Lung cancer is one of the most common cancer types and the leading cause of cancer associated death worldwide. Non-small-cell lung cancer (NSCLC) accounts for around 85% of the diagnosed lung cancer and has poor therapeutic efficacy. Ginseng has been used for thousands of years in Asian countries as traditional medicine for replenishing vital energy without side effects. The main components of ginseng are ginsenosides which possess a steroidal core containing four trans-rings with a modified side chain at C-20 and saccharide chains at different positions. Compound K (CK) (20-O-β-(D-glucopyranosyl)-20(S)-protopanaxadiol) is the intestinal bacterial metabolite of ginsenosides Rb1, Rb2, and Rc. Over the decades, numerous studies about the anti-cancer activity of CK in various cancer cell lines including lung cancer, liver cancer, breast cancer and colorectal cancer have been described. CK suppressed the proliferation of lung cancer cells including NCI-H460, A549 and H1299 via hypoxia-inducible factor-1α (HIF-1α) regulated glucose metabolism by inhibition of expression and the downstream gene GLUT1. CK induces apoptosis and autophagy in A549 and H1975 cells through AMPK-mTOR and JNK pathways. CK has synergistic effects with other therapeutics. For instance, efficacy of cisplatin improves when co-treatment with CK in lung cancer and the effect is p53 dependent. Combination therapy of CK with γ-ray radiation is effective in both cell culture and NCI-H460 tumor xenografts models. Nevertheless, the molecular targets of CK in lung cancer remains obscure.
Different chemical proteomics methods have been developed for target identification including activity-based protein profiling (ABPP), thermal proteome profiling (TPP) and functional identification of target by expression proteomics (FITExP). The principle of TPP is based on ligand binding inducing thermal stability of target proteins. A western blot format called cellular thermal shift assay (CETSA) has been designed based on this phenomenon to validate the drug and target interaction. Savitski et al. extended CETSA in a proteome wide manner using liquid chromatography with tandem mass spectrometry (LC-MS/MS) so that the change of thousands of proteins induced by drug treatment could be monitored simultaneously. A simplified version of TPP called proteome-wide integral solubility alteration (PISA) was proposed by Zubarev's group where the difference of Sm (the integral of the area under the melting curve of each protein) of each protein between different samples is measured. In contrast, ProTargetMiner (PTM), is a proteome signature database of anticancer compounds (>50 drugs) based on FITExP. Similar to FITExP, PTM monitors change of protein expression after long-term (normally 48 h) incubation with drugs in cells at a LC50 concentration. Both methods are based on the phenomenon that protein targets show strong and specific modulation upon drug stimulation. To have a more specific target information, PTM introduces orthogonal projections to a latent structures discriminant analysis (OPLS-DA) in comparison with other anticancer drugs in the database (http://proteargetminer.genexplain.com).
Mitochondria contributes to the production of ATP, macromolecules, apoptosis, and oxidative stress. Mitochondria are involved in key steps of cancer aggressiveness, sustaining tumor growth and cancer progression. Mitochondrial membranes are made up of different phospholipids such as cardiolipin (CL) and phosphatidylethanolamine (PE). Cardiolipins (CLs) are exclusive to mitochondria and associate with mitochondrial dynamics and are involved in the oxidative phosphorylation system, maintaining mitochondrial cristae organization. Dysregulation of CL metabolism is essential in anti-cancer therapy of different types of cancer. It is important to maintain the composition, transport, and membrane allocation of these phospholipids for mitochondrial homoeostasis. The proteins of relevant evolutionary and lymphoid interest (PRELI) domain containing family are responsible for the lipid transfer systems in mitochondria. This family is conserved from yeast system across all eukaryotic life, highlighting its importance in cellular viability via maintaining mitochondrial lipid homeostasis, and has an important role in malignant cancers. Knock down of PRELID1 suppressed breast cancer cell growth and associated with the cell apoptosis in liver cancer. There is no direct relationship between PRELID3b and cancer, however, knock down of PRELID3b in Hela cell inhibits expression of PRELID1 and mitochondrial Dynamin Like GTPase (OPA1), where both of these two proteins play important roles in mitochondrial function.
The mechanism(s) of anti-cancer activity of ginsenosides remain(s) unclear. One of the reasons for this is the complex structure of ginsenosides, which are challenging in transformation into derivatives. Although CK has been shown to exert anticancer activity in lung cancer cells, it's in vivo effect is not potent, mainly attributed to its low bioavailability. Modifications of CK have not resulted in enhanced anti-cancer activity. Hence the modification of CK that achieves a greater activity is desirable.
Embodiments of the invention are directed to an anticancer compound that is a derivative of 20-O-β-(D-glucopyranosyl)-20(S)-protopanaxadiol (CK), where at least one of the glucose hydroxyl groups has been converted into at least one acetal group. The acetal group provides a hydrophobic portion that enhances binding between the anticancer compound and a mitochondrial intermembrane protein that is capable of assembling a lipid transfer complex with TRIAP1 in mitochondria. One of the CK derivatives (CKDs), CKD-4 displays higher cytotoxicity than CK.
In embodiments the CKD can be an acetal derivative with the structure:
where R is an unsubstituted, monosubstituted, or disubstituted aromatic group. For example, but not limited to, R can be —C6HxX5-x where x is 3 to 5 and X is independently selected from methoxy, nitro, trifluoromethyl or trifluoromethoxy where X substituents can be in any of the para, meta, or ortho position to the acetal. The R can be p-methoxyphenyl, phenyl, o-methoxyphenyl, m-methoxyphenyl, p-nitrophenyl, p-trifluoromethyl or p-trifluoromethoxyphenyl. Other acetal comprising CKDs can form acetals of 2,2-propane or 2,2-fluoromethane with two adjacent glucose hydroxyl groups.
In embodiments, one or more of the anticancer compounds described above can be included in an anticancer medicament. These CKD compounds can be used as an alternative or in conjunction with currently employed cancer drugs.
Other embodiments are directed to methods of preparing an anticancer compound from CK, where CK is combined in a reaction mixture with an aldehyde, acetal, ketone, or ketal to form the CKD. The CKD is then isolated by common isolation methods, which may include crystallization, distillation, precipitation, or chromatographic methods. The reagents can be combined in a solvent and a catalyst can be included in the reaction mixture.
In embodiments, derivatives of the ginsenoside, 20-O-β-(D-glucopyranosyl)-20(S)-protopanaxadiol (CKDs) are prepared that improve CK activity for anticancer compositions. The derivatives have various numbers of protected glucose hydroxyl groups. One derivative, CKD-4, according to an embodiment, has a higher cellular uptake than CK in A549 cells and display a much greater cytotoxicity than CK in vitro and in vivo. The molecular target of CK and CKD-4 is PRELID3b, suggesting a significant relationship between PRELID3b and cancer. Anticancer activity of ginsenosides increases with decreasing number of saccharides, where ginsenosides with one moiety of saccharide has the strongest cytotoxicity, such as Rh2 and CK, and the glucose moiety in CK is essential to its interaction with its molecular targets. Both CK and CKD-4 interact with PRELID3b and appear to bind to the lipid binding pocket of the protein. CKD-4 has stronger anti-cancer activity than CK both in vitro and in vivo. The mechanism of CK and CKD-4 is similar as both compounds engage the mitochondrial inter membrane proteins, PRELID3b and PRELID1. Based on these interactions, the two compounds appeared to disrupt the normal transportation of phospholipids, leading to a reduction in mitochondrial levels of CL. The treatment with these anti-cancer compounds facilitates the release of cytochrome c and mitochondrial fission, leading to mitochondrial dysfunction and apoptosis.
The novel anticancer compounds, according to embodiments of the invention, are formed by the modification of natural products and the study of their new mode of action (MOA). New and potent CK derivatives, such as, but not limited to CKD-4, exhibit stronger cytotoxicity and higher inhibition rate in animal models than the natural product from which they are derived, and display relatively low toxicity. Using a combined proteomics approach with proteome-wide integral solubility alteration (PISA) and ProTargetMiner (PTM)), identified the molecular target, PRELID3b, for CK, CKD-4, and other CK derivatives of CK, that resides in the lung cancer cell line. PRELI-like family proteins regulate lipid metabolism in mitochondria and emerging evidence shows their importance in tumor progression. The new anticancer treatment involves a novel strategy of treatment, that, according to embodiments, target PRELID3b.
The 20-O-β-(D-glucopyranosyl)-20(S)-protopanaxadiol (CK) derivatives are produced by reaction with one or more hydroxy group of the monosaccharide unit of CK:
In one embodiment the anticancer compound is an aromatic acetal derivative of CK having the structure:
(CKD-x). X is H, R1 is independently H, F or methyl and R2 is independently F, methyl or an unsubstituted, monosubstituted, or disubstituted aromatic group. Substituents of a monosubstituted, or disubstituted phenyl or other aromatic group can be, but not limited to, methoxy, nitro, trifluoromethyl, or trifluoromethoxy where one or more of these substituents can be present in the ortho, meta, or para positions relative to the saccharide ring. A non-exhaustive list of CKDs includes, CKD-2 (2, 2-dimethyl), CKD-4 (p-methoxyphenyl), CKD-5 (phenyl), CKD-6 (o-methoxyphenyl), CKD-7 (m-methoxyphenyl), CKD-8 (p-nitrophenyl), CKD-9 (p-trifluoromethylphenyl), CKD-10 (p-trifluoromethoxyphenyl) and CKD-11 (2, 2-difluoro).
In other embodiments the CKD-x can be a compound of the structure:
(CKD-x). Substituent X can be F or other halogen, for example:
Both PRELID3b and PRELID1 belong to the same family that assembles into a lipid transfer complex with TRIAP1 in mitochondria. Specifically, PRELID3b/TRIAP1 carries PS from endoplasmic reticulum (ER) to mitochondrial inner membrane (IM) for synthesis of PE and PRELID1/TRIAP1 transports PA across the intermembrane space (IMS) for synthesis of CL. Therefore, the interaction/engagement of CK or CKD-4 with these two complexes appear to cause change accumulation of CL and PE. Although the two complexes specifically transport the precursor of PE or CL, either the deletion of PRELID1 or PRELID3b in Hela cells affect the accumulation of both CL and PE. A decrease in the level of CL in A549 cells occurs after treatment with CK or CKD-4. This reduction of CL triggers release of cytochrome c from mitochondria, results in cell apoptosis. Cytochrome c release from mitochondria during CK or CKD-4 induced cell apoptosis that is restored after the recovery of CL level by replenishment of its precursor, phosphatidylglycerol (PG). Moreover, the inhibition of cell viability by CK or CKD-4 also suppressed after supplement of PG.
Cytotoxicity of CK was measured using MTT assay towards various cancer cell lines, as shown in Table 1, below. CK is cytotoxic towards lung cancer (NCI-H460), cervical cancer (Hela), liver cancer (MHCC97-L and HepG2) and colon cancer (SW480) at sub-micro molar levels without selectivity.
Five CK derivatives were synthesized by protecting various number of hydroxyl groups, as shown in
Cellular uptake of CK and CKD-4 A549 cells monitored at two different incubation time duration (4 and 24 hours), is shown in
The effect of CK and CKD-4 on cell apoptosis and cell death is indicated by A549 cells treated with 60 μM of CK and 20 μM of CKD-4 for 48 hours that are analyzed by flow cytometry.
Treatment of nude mice bearing NCI-H460 xenografts with 5 mg/kg of CK and CKD-4 through intravenous once every two days, shows significant tumor volume inhibition in the group of CKD-4 while almost no difference is observed between the group of CK and solvent control, as shown in
Two label free chemical proteomics, proteome integral stability alteration assay (PISA) and ProtargetMiner (PTM) are alternative strategies to study CK and CKD-4. PISA is a turbo-charged method development of thermal proteome profiling (TPP) which based on the principle that ligand induced stability of proteins is observed upon a temperature increase. PTM is used to contrast the proteome signature of CK and CKD-4 against the PTM database to reveal their mode of action.
To investigate that CKD-4 has the same mechanism as CK after modification, protein expression profiles (ratio of drug over DMSO treatment) in PTM are compared. The expression profile of CKD-4 and CK correlate significantly with R2 equals to 0.6877, as shown in
Most probable target candidate proteins are ranked in PISA based on the absolute value of log2 ΔSm of drug relative to DMSO treatment and PTM ranking are based on the log2 fold change of drug over DMSO treatment. The rankings of two experiments are summed to provide a list of candidate drug targets. PRELID3b and JUN stand out as the first and second candidate as indicated in
PRELID3b and PRELID1 are PRELI proteins. These proteins and TRIAP1 locate within the inter membrane space responsible for the regulation of phospholipid metabolism. Therefore, a cardiolipin probe is used to measure levels of mitochondrial cardiolipin after drug treatment. The amount of cardiolipin decreased significantly after a 24-hour treatment with either CK or CKD-4 in A549 cells is shown in
Computational docking and molecular dynamics simulations provide a model of interactions between CK or CKD-4 and PRELID3b. Based on the chemical similarity between CK and phosphatidylserine lipid, the lipid binding cavity of PRELID3b is assumed as the potential binding pocket of CK and CKD-4. For both compounds, top poses predicted by docking are subjected to 50 ns MD simulations for stability assessment, which is an efficient approach to identify correct binding pose and to refine docking predicted binding poses. The computational results are summarized in Table 4, below, and illustrated in
The CK molecules bound to PRELID3b dimer are quite stable as supported by the ligand rsmd profiles. The averaged rmsd values of the two CK molecules during the last 10 ns are 2.3 Å and 1.5 Å, respectively, which are under the generally accepted threshold of 2.5 Å for a stable binding. The PRELID3b/CKD-4 complex is also shown in
In the lipid-binding pocket, the orientations of both CK and CKD-4 are similar to the PS lipid, as illustrated in
Apparently, the large PMB group creates more hydrophobic contacts between CKD-4 and PRELID3b, leading to the enhanced binding affinity of CKD-4. This hypothesis is supported by the decomposition of the binding energies of both compounds. AutoDock score function estimates the binding energy by combining the van der Waals interactions, hydrogen bonds, electrostatic interactions, desolvation effect and the ligand torsional energy. By comparing these terms, the combination of van der Waals and hydrogen bonds (ΔEvdw+HB) is the major contribution (3.26 kcal/mol) to the binding energy difference. As shown in
To validate the docking analysis, biolayer interferometry (BLI) was employed to measure the interaction between PRELID3b and CK or CKD-4. The recombinant protein was purified by co-expression of PRELID3b with a hexa-histidine tag and the p53 regulated protein, TRIAP1 conjugated with maltose binding protein (MBP). The reported crystal structure of RELID3b is in complex with TRIAP1 and they form as a swapped dimer. PRELID3b is intrinsically unstable in the absence of TRIAP1 and easily degraded by mitochondrial protease. Maltose binding protein (MBP) is a necessary component to improve the solubility of the whole protein complex.
The sensor used is coated with Ni NTA so that proteins with the hexa-histidine tag could be immobilized on the sensor. After immobilization with protein, the sensor was incubated with the compounds at different concentrations in an ascending order. Both the stoichiometry of CK or CKD-4 with PRELID3b is in a 1:1 ratio but the kinetic modes for the two cases are different. CK interacts with PRELID3b with a fast on/off rate while the rate is slower in the case of CKD-4. This assay using PRELID3b and CKD-4 gave the Kd of 5.3 μM which is almost 7-fold smaller than the Kd (55.7 μM) between CK and PRELID3b, as shown in
Synthesis of CKD-2
To a round bottom flask, p-toluenesulfonic acid (13.9 mg, 0.081 mmol) was added to a mixture of acetone and 2,2-dimethoxypropane (5:1, v/v, 20 mL) containing CK (50.3 mg, 0.081 mmol) under argon. The reaction was stirred at room temperature for 1.5 hours and the progress was monitored by TLC analysis. Triethylamine (1 mL) was added to quench the reaction. The mixture was concentrated, diluted with dichloromethane, and washed with water for multiple times. The organic fraction was dried with anhydrous MgSO4, followed by filtration and concentration under reduced pressure. Flash column chromatography was used for purification yielding CKD-2 (3.8 mg, 0.0057 mmol, 7% yield). 1H NMR (400 MHz, CDCl3), δ ppm 5.29 (m, 1H), 4.57 (d, J=7.7 Hz, 1H), 3.84 (m, 2H), 3.65 (m, 3H), 3.39 (t, J=4.4 Hz, 1H), 3.21 (t, J=4.4 Hz, 2H), 1.68-0.78 (m, 30H). 13C NMR (600 MHz, CDCl3), δ ppm 124.45, 99.75, 97.48, 84.49, 78.86, 74.55, 73.84, 72.83, 70.59, 67.17, 62.26, 55.79, 51.70, 51.42, 49.77, 47.95, 39.75, 38.91, 38.87, 37.06, 35.41, 34.71, 30.61, 30.44, 29.70, 29.08, 28.01, 27.38, 26.66, 25.71, 22.27, 21.62, 19.13, 18.25, 17.75, 16.94, 16.12, 15.71, 15.37. MS (ESI): m/z for C37H62O8, calcd 634.4445 [M+Na]+ found 685.30.
To a solution of 2,2-dimethoxy propane (20 mL) and CK (49.3 mg, 0.079 mmol), p-toluenesulfonic acid (13.6 mg, 0.079 mmol) was added under argon. The mixture was stirred overnight at room temperature and stopped by addition of triethylamine (1 mL). Dichloromethane was added to dilute the mixture and the mixture was washed with water. Anhydrous MgSO4 was used to dry the mixture, followed by filtration and concentration under reduced pressure. Flash column chromatography purification finally yielded CKD-3 (11.3 mg, 0.016 mmol, 20.3%). 1H NMR (400 MHz, CDCl3), δ ppm 5.15 (m, 1H), 4.91 (d, J=7.6 Hz, 1H), 4.06 (m, 1H), 3.95 (m, 1H), 3.63 (m, 1H), 1.70-0.78 (m, 36H). 13C NMR (400 MHz, CDCl3), δ ppm 125.30, 109.63, 108.87, 94.87, 79.28, 78.79, 78.53, 78.12, 76.72, 76.36, 70.87, 67.61, 55.93, 50.77, 50.33, 48.49, 48.37, 39.71, 39.13, 38.97, 37.28, 35.90, 34.79, 32.73, 29.72, 28.71, 28.04, 27.40, 26.86, 26.68, 25.78, 25.53, 25.44, 24.71, 22.09, 18.28, 17.74, 16.35, 16.26, 15.45, 15.35. HRMS(ESI): m/z for C42H70O8, calcd 702.5071 [M+Na]+ found 725.4977.
To a round bottom flask, p-anisaldehyde (5 mL) and boron trifluoride diethyl etherate (100 L) were added and suspended in methanol (80 mL). The resultant mixture was stirred and heated under reflux overnight. Triethylamine (10 mL) was used to quench reaction. Ether was used to extract the product, followed by washing with K2CO3 solution. Anhydrous MgSO4 was used to dry the mixture, followed by filtration and concentration under reduced pressure. Flash column chromatography purification finally yielded 1-(dimethoxymethyl)-4-methoxybenzene.
To a suspension of CK (50 mg, 0.08 mmol) in dry dichloromethane (5 mL), 1-(dimethoxymethyl)-4-methoxybenzene (2 mL) and boron trifluoride diethyl etherate (6 μL) were added under argon. The resultant mixture was stirred at room temperature overnight and TLC was employed to monitor the progress until all CK was consumed. Triethylamine (1 mL) was added to stop the reaction. Dichloromethane was used to extract the resultant product, followed by washing with K2CO3 solution. Anhydrous MgSO4 was used to dry the mixture, followed by filtration and concentration under reduced pressure. Flash column chromatography purification finally yielded CKD-4 (19.3 mg, 0.026 mmol, 32.5% yield). 1H NMR (400 MHz, CDCl3), δ ppm 7.43 (d, J=8.7 Hz, 2H), 6.89 (d, J=8.8 Hz, 2H), 5.49 (s, 1H), 5.12 (m, 1H), 4.64 (d, J=7.7 Hz, 1H), 4.26 (m, 1H), 3.57 (m, 2H), 3.44 (m, 2H), 1.80-0.77 (m, 24H). 13C NMR (600 MHz, CDCl3), δ ppm 160.18, 131.63, 129.54, 127.60, 124.47, 113.64, 101.70, 97.40, 84.51, 80.16, 78.85, 74.43, 73.54, 70.57, 68.76, 66.19, 55.80, 55.30, 51.65, 51.44, 49.79, 48.00, 39.47, 38.89, 37.04, 35.39, 34.71, 30.58, 30.36. HRMS(ESI): m/z for C44H68O9, calcd 740.4863 [M+Na]+ found 763.4765.
Methanol (60 mL), benzaldehyde (5 mL) and boron trifluoride diethyl etherate (2 mL) were combined, stirred, and heated under reflux overnight. Triethylamine (10 mL) was added to quench the reaction. Ether was used to extract the resultant product, followed by washing with K2CO3 solution. Anhydrous MgSO4 was used to dry the mixture, followed by filtration and concentration under reduced pressure. Flash column chromatography purification finally yielded (dimethoxymethyl)benzene.
To a suspension of CK (31.6 mg, 0.05 mmol) in dry dichloromethane (5 mL), dimethoxymethyl)-benzene (1 mL) and boron trifluoride diethyl etherate (6 μL) were added under argon. The resultant mixture was stirred at room temperature overnight and TLC was used to monitor the reaction. The reaction was stopped with triethylamine (1 mL). Dichloromethane was used to extract the resultant product, followed by washing with K2CO3 solution. Anhydrous MgSO4 was used to dry the mixture, followed by filtration and concentration under reduced pressure. Flash column chromatography purification finally yielded CKD-5. 1H NMR (400 MHz, CDCl3), δ ppm 7.50-7.47 (m, 2H), 7.36-7.34 (m, 3H), 5.53 (s, 1H) 5.10 (t, J=6.7 Hz, 1H), 4.64 (d, J=7.7 Hz, 1H), 4.27-4.25 (m, 1H), 3.81-3.77 (m, 2H), 3.59-3.54 (m, 2H). MS(ESI): m/z for C43H66O8, calcd 710.4758 [M+Na]+ found 733.40.
All patents, patent applications, provisional applications, and publications cited herein are incorporated by reference in their entirety, including all figures and tables, to the extent they are not inconsistent with the explicit teachings of this specification.
It should be understood that the examples and embodiments described herein are for illustrative purposes only and that various modifications or changes in light thereof will be suggested to persons skilled in the art and are to be included within the spirit and purview of this application and the scope of the appended claims. In addition, any elements or limitations of any invention or embodiment thereof disclosed herein can be combined with any and/or all other elements or limitations (individually or in any combination) or any other invention or embodiment thereof disclosed herein, and all such combinations are contemplated with the scope of the invention without limitation thereto.
This application claims the benefit of U.S. Provisional Application Ser. No. 63/365,528, filed May 31, 2022, which is hereby incorporated by reference in its entirety including any tables, figures, or drawings.
Number | Date | Country | |
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63365528 | May 2022 | US |