Discovery and Optimization of Triazine Nitrile Inhibitors of Toxoplasma gondii Cathepsin L for the Potential Treatment of Chronic Toxoplasmosis in the CNS

JD Zwicker, D Smith, AJ Guerra… - ACS chemical …, 2020 - ACS Publications
JD Zwicker, D Smith, AJ Guerra, JR Hitchens, N Haug, S Vander Roest, P Lee, B Wen
ACS chemical neuroscience, 2020ACS Publications
With roughly 2 billion people infected, the neurotropic protozoan Toxoplasma gondii
remains one of the most pervasive and infectious parasites. Toxoplasma infection is the
second leading cause of death due to foodborne illness in the United States, causes severe
disease in immunocompromised patients, and is correlated with several cognitive and
neurological disorders. Currently, no therapies exist that are capable of eliminating the
persistent infection in the central nervous system (CNS). In this study we report the …
With roughly 2 billion people infected, the neurotropic protozoan Toxoplasma gondii remains one of the most pervasive and infectious parasites. Toxoplasma infection is the second leading cause of death due to foodborne illness in the United States, causes severe disease in immunocompromised patients, and is correlated with several cognitive and neurological disorders. Currently, no therapies exist that are capable of eliminating the persistent infection in the central nervous system (CNS). In this study we report the identification of triazine nitrile inhibitors of Toxoplasma cathepsin L (TgCPL) from a high throughput screen and their subsequent optimization. Through rational design, we improved inhibitor potency to as low as 5 nM, identified pharmacophore features that can be exploited for isoform selectivity (up to 7-fold for TgCPL versus human isoform), and improved metabolic stability (t1/2 > 60 min in mouse liver microsomes) guided by a metabolite ID study. We demonstrated that this class of compounds is capable of crossing the blood-brain barrier in mice (1:1 brain/plasma at 2 h). Importantly, we also show for the first time that treatment of T. gondii bradyzoite cysts in vitro with triazine nitrile inhibitors reduces parasite viability with efficacy equivalent to a TgCPL genetic knockout.
ACS Publications
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