VFV as a New Effective CYP51 Structure-Derived Drug Candidate for Chagas Disease and Visceral Leishmaniasis

Sterol 14α-demethylases (CYP51) are the enzymes essential for sterol biosynthesis. They serve as clinical targets for antifungal azoles and are considered as targets for treatment of human Trypanosomatidae infections. Recently, we have shown that VNI, a potent and selective inhibitor of trypanosomal...

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Veröffentlicht in:The Journal of infectious diseases 2015-11, Vol.212 (9), p.1439-1448
Hauptverfasser: Lepesheva, Galina I., Hargrove, Tatiana Y., Rachakonda, Girish, Wawrzak, Zdzislaw, Pomel, Sébastien, Cojean, Sandrine, Nde, Pius N., Nes, W. David, Locuson, Charles W., Calcutt, M. Wade, Waterman, Michael R., Daniels, J. Scott, Loiseau, Philippe M., Villalta, Fernando
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container_end_page 1448
container_issue 9
container_start_page 1439
container_title The Journal of infectious diseases
container_volume 212
creator Lepesheva, Galina I.
Hargrove, Tatiana Y.
Rachakonda, Girish
Wawrzak, Zdzislaw
Pomel, Sébastien
Cojean, Sandrine
Nde, Pius N.
Nes, W. David
Locuson, Charles W.
Calcutt, M. Wade
Waterman, Michael R.
Daniels, J. Scott
Loiseau, Philippe M.
Villalta, Fernando
description Sterol 14α-demethylases (CYP51) are the enzymes essential for sterol biosynthesis. They serve as clinical targets for antifungal azoles and are considered as targets for treatment of human Trypanosomatidae infections. Recently, we have shown that VNI, a potent and selective inhibitor of trypanosomal CYP51 that we identified and structurally characterized in complex with the enzyme, can cure the acute and chronic forms of Chagas disease. The purpose of this work was to apply the CYP51 structure/function for further development of the VNI scaffold. As anticipated, VFV (R)-N-(1-(3,4'-difluorobiphenyl-4-yl)-2-(1H-imidazol-1-yl) ethyl)-4-(5-phenyl-1,3,4-oxadiazol-2-yl) benzamide, the derivative designed to fill the deepest portion of the CYP51 substrate-binding cavity, reveals a broader antiprotozoan spectrum of action. It has stronger antiparasitic activity in cellular experiments, cures the experimental Chagas disease with 100% efficacy, and suppresses visceral leishmaniasis by 89% (vs 60% for VNI). Oral bioavailability, low off-target activity, favorable pharmacokinetics and tissue distribution characterize VFV as a promising new drug candidate.
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Animals
Antiprotozoal Agents - pharmacokinetics
Antiprotozoal Agents - pharmacology
Benzamides - pharmacokinetics
Benzamides - pharmacology
Biotransformation
Chagas Disease - drug therapy
Cytochrome P-450 Enzyme Inhibitors - pharmacokinetics
Cytochrome P-450 Enzyme Inhibitors - pharmacology
Cytochrome P-450 Enzyme System - chemistry
Disease Models, Animal
Female
Humans
Imidazoles - pharmacology
Inhibitory Concentration 50
Leishmaniasis, Visceral - drug therapy
Major and Brief Reports
Mice
Mice, Inbred BALB C
Microsomes, Liver - drug effects
Molecular Structure
Oxadiazoles - pharmacokinetics
Oxadiazoles - pharmacology
PARASITES
Rats
Structure-Activity Relationship
Tissue Distribution
Trypanosoma cruzi - drug effects
title VFV as a New Effective CYP51 Structure-Derived Drug Candidate for Chagas Disease and Visceral Leishmaniasis
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