Abstract

Chagas disease, caused by Trypanosoma cruzi, affects millions of people in South America and no satisfactory therapy exists, especially for its life threatening chronic phase. We targeted the Proline Racemase of T. cruzi, which is present in all stages of the parasite life cycle, to discover new inhibitors against this disease. The first published crystal structures of the enzyme revealed that the catalytic site is too small to allow any relevant drug design. In previous work, to break through the chemical space afforded to virtual screening and drug design, we generated intermediate models between the open (ligand free) and closed (ligand bound) forms of the enzyme. In the present work, we co-crystallized the enzyme with the selected inhibitors and found that they were covalently bound to the catalytic cysteine residues in the active site, thus explaining why these compounds act as irreversible inhibitors. These results led us to the design of a novel, more potent specific inhibitor, NG-P27. Co-crystallization of this new inhibitor with the enzyme allowed us to confirm the predicted protein functional motions and further characterize the chemical mechanism. Hence, the catalytic Cys300 sulfur atom of the enzyme attacks the C2 carbon of the inhibitor in a coupled, regiospecific—stereospecific Michael reaction with trans-addition of a proton on the C3 carbon. Strikingly, the six different conformations of the catalytic site in the crystal structures reported in this work had key similarities to our intermediate models previously generated by inference of the protein functional motions. These crystal structures span a conformational interval covering roughly the first quarter of the opening mechanism, demonstrating the relevance of modeling approaches to break through chemical space in drug design.

Highlights

  • Chagas disease, with nearly 10 million people infected and 100 million at risk, is the principal cause of lethality from neglected tropical diseases in Central and South America, and a leading one among all infectious diseases [1]

  • These covalent interactions can explain the irreversible inhibition of TcPRAC by Bromo-4-oxo-pent-2-enoic acid (BrOxoPA)

  • No electron density was observed for the bromine atom of the BrOxoPA inhibitor in difference Fourier maps, and X-ray fluorescence scans indicate the absence of bromine in crystals of the complex, suggesting that the bromine atom of the inhibitor was cleaved during the binding reaction of BrOxoPA with the enzyme

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Summary

Introduction

With nearly 10 million people infected and 100 million at risk, is the principal cause of lethality from neglected tropical diseases in Central and South America, and a leading one among all infectious diseases [1]. In addition to its severe socioeconomic burden [1], Chagas disease is becoming a global concern as it extends to northern countries following human migrations. There is currently no effective vaccine, and after substantial restriction in indications for the use of Nifurtimox due to severe side effects [4, 5], Benznidazole is the only generally available drug, but still causes serious side effects [6]. Drugs can be efficient in the acute phase, but are of questionable value in the chronic phase of the disease. No satisfactory compounds have been identified so far [9] despite the identification of promising therapeutic targets [10]

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