Background:
Invasive fungal infections (IFIs) kill ~1.5 million people each year. Despite this, few antifungal drug classes are available to treat IFIs and they have poor efficacy and/or significant toxicity. Furthermore, drug-resistant fungi have emerged. New drug classes are urgently required to address this unmet global medical need.
Aim:
Our aim is to develop a novel class of antifungal drug targeting inositol polyphosphate (IP) kinases (IPK). These drugs would have a different mode of action to current drugs, which predominantly block cell wall and ergosterol biosynthesis. We and others showed that genetically ablating the kinase that produces IP3 (IP3K) in the major human fungal pathogens, Cryptococcus neoformans and Candida albicans, leads to multiple cellular defects and avirulence or lethality [1-3]. These data suggest that inhibition of IP3K would clear a fungal infection by inhibiting numerous cellular functions as opposed to a single function inhibited by the current drugs.
Methods:
We used 2 approaches to develop IPK inhibitors:
(1) rational design from two molecular starting points; dibenzylpurines (DBP), which we showed have selectivity for fungal over human IPKs (Monash collaboration) and a novel scaffold provided by University of North Carolina (UNC);
(2) fragment-based drug discovery (FBDD).
To complete each approach, we purified recombinant IP3K from C. neoformans and C. albicans and developed assays to assess inhibitor potency.
Results:
We synthesised 44 DBP analogues. However, the half-inhibitory concentration (IC50) of these analogues remained too high against Cryptococcus IP3K (µM IC50s) and none inhibited Candida IP3K. In contrast, UNC analogues had IC50s of 30nM/400nM for Cryptococcus/Candida IP3K. FBDD identified 3 new molecular scaffolds that inhibited both fungal IP3Ks.
Conclusion:
(1) The UNC compounds are a promising scaffold for developing potent, pan fungal IP3K inhibitors. (2) FBDD identified additional novel lead scaffolds with scope for development into pan fungal IPK inhibitors.