In vivo production of analogues of amphotericin B Dr Bernard J. Rawlings Department of Chemistry University of Leicester In close collaboration with: Dr Patrick Caffrey School of Biomolecular and Biomedical Science and Centre for Synthesis and Chemical Biology University College, Dublin BJR Oct 14 (Mycosamine) A polyketide (polyene) produced by the soil bacterium Streptomyces nodosus Antifungal used in clinic against systemic mycoses for 60 years (NO resistance). Now, also used against leishmaniasis Mode of action: Binding to ergosterol (with sterol can oligomerise to form transmembrane pores causing uncontrolled release of ions and small molecules) VERY EFFECTIVE ANTIBIOTIC (does NOT need making more effective!) Problem is toxicity (side effects): Must be delivered intraveneously (small doses, in hospital, over 1 month) Will bind to cholesterol in human membranes/blood cells causing anaemia Low water/serum solubility causes aggregation and precipitation in kidney (nephrotoxicity) Liposomal formulation (Ambisome), less toxic but very expensive (£1,000 per day, Fungizone £10/day) Used extensively in NHS, but on ‘pharmacoeconomic’ basis In recent years, frontline treatment for visceral leishmaniasis 500,000 new cases of VL each year (2004) 50,000 deaths per year Used in Bihar (India) and Nepal replacing antimonials These are some of the poorest parts of the world. WHO subsidises use of ‘Ambisome’ (US$3,000 per treatment reduced to US$200) but still far too expensive Courtesy of P. Bates Univ Lancaster Visceral leishmaniasis Vector is the sand fly: - a silent killer! Mucocutaneous leishmaniasis Chemical semisynthesis has provided improvements but far too expensive for clinical use AIM OF OUR (PC + BJR) PROGRAMME: THROUGH HARNESSING THE BIOSYNTHETIC POWER OF S. NODOSUS PRODUCE COMMERCIALLY VIABLE ANALOGUES OF AMPHOTERICIN B THAT RETAIN THERAPEUTIC POWER but with reduced toxicity Less toxicity, less side effects, higher but fewer doses less time hospitalised. Dr Patrick Caffrey (Dublin) has sequenced the amphotericin B gene cluster (113 kb) Currently performing gene disruption/deletion/substitution experiments Sends mutants to Leicester We grow, isolate, purify and characterise amphL Less soluble amphDIII No sugar inactive PKS product less soluble ‘KR16 mutant’ More soluble in water equipotent with apph B Then add a glycosyltransferase… but currently low yields Use hybrid glycosyltransferase to replace mycosamine with persosamine in amphotericin B regioisomer (4 mgs isolated) 19-(O)-Perosaminyl-amphoteronolide B Most analogues produced in low quantities VERY TEDIOUS LABOUR INTENSIVE TO OBTAIN mgs ‘amphNM’ mutant * Relatively good titre Relatively soluble, and easy to purify (from membrane lipids, saccharides and other polyenes) Also investigating use of functionalised polymers Several growths, 100 mg ‘purified’ (Simon Walmsley) Chemical semisynthesis (Burke, USA), 11 steps 1.35%, gave 9 mg. (disk diffusion with yeast or Candida, equipotent to Amph B) Simon Walmsley Dr Patrick Caffrey and Group University College, Dublin Acknowledgements: Dr Charles Borissow (Oct 06 to Feb07) Dr Barry Murphy (Apr 07 to Oct 2009) Bunmi Ibrahim (PhD) Simon Walmsley (PhD current) Resul Haser (PhD current) Mick Lee (Technical) Dr Gerry Griffiths (NMR) Dr Graham Eaton (MS) MChem, MSc and summer students: Jessica Hearn (MChem) Natalie Lambourn (MChem) Emma J. Gibson (MChem) Katherine (Katie) Anderson (Summer) Katherine (Kat) Pugh (Summer) Daniella Pariza (MSc) Laskarini Tsoulkani (MSc) Xi Chen (MSc) Peter Kanengoni (MChem) Kah-Mun Ng (MChem) Vincent Leung (MChem) Todd Cowan (MSc) Zaeem Omar (MChem, current) Financial assistance: BBSRC
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