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Discovery of Potent Coumarin-Based Kinetic Stabilizers of Amyloidogenic Immunoglobulin Light Chains Using Structure-Based Design

  • Nicholas L. Yan
    Nicholas L. Yan
    Department of Chemistry, The Scripps Research Institute, La Jolla, California 92037, United States
  • Diogo Santos-Martins
    Diogo Santos-Martins
    Department of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, California 92037, United States
  • Reji Nair
    Reji Nair
    Department of Chemistry, The Scripps Research Institute, La Jolla, California 92037, United States
    More by Reji Nair
  • Alan Chu
    Alan Chu
    California Institute for Biomedical Research, 11119 North Torrey Pines Road, La Jolla, California 92037, United States
    More by Alan Chu
  • Ian A. Wilson
    Ian A. Wilson
    Department of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, California 92037, United States
  • Kristen A. Johnson
    Kristen A. Johnson
    California Institute for Biomedical Research, 11119 North Torrey Pines Road, La Jolla, California 92037, United States
  • Stefano Forli
    Stefano Forli
    Department of Integrative Structural and Computational Biology, The Scripps Research Institute, La Jolla, California 92037, United States
  • Gareth J. Morgan
    Gareth J. Morgan
    Section of Hematology and Medical Oncology, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, United States
    The Amyloidosis Center, Boston University School of Medicine, Boston, Massachusetts 02118, United States
  • H. Michael Petrassi*
    H. Michael Petrassi
    California Institute for Biomedical Research, 11119 North Torrey Pines Road, La Jolla, California 92037, United States
    *Email: [email protected]
  • , and 
  • Jeffery W. Kelly*
    Jeffery W. Kelly
    Department of Chemistry, The Scripps Research Institute, La Jolla, California 92037, United States
    The Skaggs Institute for Chemical Biology, The Scripps Research Institute, La Jolla, California 92037, United States
    *Email: [email protected]
Cite this: J. Med. Chem. 2021, 64, 9, 6273–6299
Publication Date (Web):May 3, 2021
https://doi.org/10.1021/acs.jmedchem.1c00339
Copyright © 2021 American Chemical Society

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    Abstract

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    In immunoglobulin light-chain (LC) amyloidosis, transient unfolding or unfolding and proteolysis enable aggregation of LC proteins, causing potentially fatal organ damage. A drug that kinetically stabilizes LCs could suppress aggregation; however, LC sequences are variable and have no natural ligands, hindering drug development efforts. We previously identified high-throughput screening hits that bind to a site at the interface between the two variable domains of the LC homodimer. We hypothesized that extending the stabilizers beyond this initially characterized binding site would improve affinity. Here, using protease sensitivity assays, we identified stabilizers that can be divided into four substructures. Some stabilizers exhibit nanomolar EC50 values, a 3000-fold enhancement over the screening hits. Crystal structures reveal a key π–π stacking interaction with a conserved tyrosine residue that was not utilized by the screening hits. These data provide a foundation for developing LC stabilizers with improved binding selectivity and enhanced physicochemical properties.

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    The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acs.jmedchem.1c00339.

    • Structure–activity relationship data on all small molecules tested, proteolysis assays and computational studies, electron density maps for crystal structures, and analytical data (1H NMR, 13C NMR, LC–MS, HRMS, chiral SFC) for compounds 26, 53, 83, and 84 (PDF)

    • Molecular formula strings and associated data (CSV)

    Accession Codes

    The PDB codes for JTO-FL•stabilizer crystal structures are 7LMN (JTO•26), 7LMO (JTO•34), 7LMP (JTO•36), 7LMQ (JTO•62), and 7LMR (JTO•63).

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    Most electronic Supporting Information files are available without a subscription to ACS Web Editions. Such files may be downloaded by article for research use (if there is a public use license linked to the relevant article, that license may permit other uses). Permission may be obtained from ACS for other uses through requests via the RightsLink permission system: http://pubs.acs.org/page/copyright/permissions.html.

    Cited By

    This article is cited by 14 publications.

    1. Georg J. Rottenaicher, Ramona M. Absmeier, Laura Meier, Martin Zacharias, Johannes Buchner. A constant domain mutation in a patient-derived antibody light chain reveals principles of AL amyloidosis. Communications Biology 2023, 6 (1) https://doi.org/10.1038/s42003-023-04574-y
    2. Nicholas L. Yan, Gareth J. Morgan, H. Michael Petrassi, Ian A. Wilson, Jeffery W. Kelly. Pharmacological stabilization of the native state of full-length immunoglobulin light chains to treat light chain amyloidosis. Current Opinion in Chemical Biology 2023, 75 , 102319. https://doi.org/10.1016/j.cbpa.2023.102319
    3. Nicholas L. Yan, Ian A. Wilson, Jeffery W. Kelly. Crystal Structures of Diaryl Hydrazone and Sulfone Stabilizers in Complex with an Amyloidogenic Light Chain Reveal an Alternate Ligand‐Binding Cavity. Israel Journal of Chemistry 2023, https://doi.org/10.1002/ijch.202300002
    4. Xiaodan Chang, Liangxin Fan, Lijun Shi, Zhenliang Pan, Guoyu Yang, Cuilian Xu, Lulu Wu, Caixia Wang. Catalyst- and solvent-free coupling of 2-methyl quinazolinones and 3-(trifluoroacetyl)coumarins: An environmentally benign access of quinazolinone derivatives. Journal of Saudi Chemical Society 2023, 27 (2) , 101621. https://doi.org/10.1016/j.jscs.2023.101621
    5. Ramona M. Absmeier, Georg J. Rottenaicher, Hristo L. Svilenov, Pamina Kazman, Johannes Buchner. Antibodies gone bad – the molecular mechanism of light chain amyloidosis. The FEBS Journal 2023, 290 (6) , 1398-1419. https://doi.org/10.1111/febs.16390
    6. Shengfei Jiang, Guoyu Yang, Lijun Shi, Liangxin Fan, Zhenliang Pan, Caixia Wang, Xiaodan Chang, Bingyi Zhou, Meng Xu, Lulu Wu, Cuilian Xu. Design, Catalyst-Free Synthesis of New Novel α-Trifluoromethylated Tertiary Alcohols Bearing Coumarins as Potential Antifungal Agents. Molecules 2023, 28 (1) , 260. https://doi.org/10.3390/molecules28010260
    7. Siva Hariprasad Kurma, Sai Teja Kolla, Balasubramanian Sridhar, China Raju Bhimapaka. Ruthenium‐Catalyzed Intermolecular Cyclization and N‐Methylation of Salicyl N‐Tosylhydrazones. European Journal of Organic Chemistry 2022, 2022 (22) https://doi.org/10.1002/ejoc.202200336
    8. Giovanni Palladini, Giampaolo Merlini. How I treat AL amyloidosis. Blood 2022, 139 (19) , 2918-2930. https://doi.org/10.1182/blood.2020008737
    9. Nicholas L. Yan, Reji Nair, Alan Chu, Ian A. Wilson, Kristen A. Johnson, Gareth J. Morgan, Jeffery W. Kelly. Amyloidogenic immunoglobulin light chain kinetic stabilizers comprising a simple urea linker module reveal a novel binding sub-site. Bioorganic & Medicinal Chemistry Letters 2022, 60 , 128571. https://doi.org/10.1016/j.bmcl.2022.128571
    10. Francesca Lavatelli. Mechanisms of Organ Damage and Novel Treatment Targets in AL Amyloidosis. Hemato 2022, 3 (1) , 47-62. https://doi.org/10.3390/hemato3010005
    11. Fabrizio Chiti, Jeffery W. Kelly. Small molecule protein binding to correct cellular folding or stabilize the native state against misfolding and aggregation. Current Opinion in Structural Biology 2022, 72 , 267-278. https://doi.org/10.1016/j.sbi.2021.11.009
    12. Maoling Tao, An‐Jun Wang, Peng Guo, Weipiao Li, Liang Zhao, Jie Tong, Haoyang Wang, Yanbo Yu, Chun‐Yang He. Visible‐Light‐Induced Regioselective Deaminative Alkylation of Coumarins via Photoredox Catalysis. Advanced Synthesis & Catalysis 2022, 364 (1) , 24-29. https://doi.org/10.1002/adsc.202100940
    13. Gareth J. Morgan, Joel N. Buxbaum, Jeffery W. Kelly. Light Chain Stabilization: A Therapeutic Approach to Ameliorate AL Amyloidosis. Hemato 2021, 2 (4) , 645-659. https://doi.org/10.3390/hemato2040042
    14. Gareth J. Morgan. Barriers to Small Molecule Drug Discovery for Systemic Amyloidosis. Molecules 2021, 26 (12) , 3571. https://doi.org/10.3390/molecules26123571

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