FAB I AND INHIBITION OF APICOMPLEXAN PARASITES

Abstract: Discovery and characterization of an apicomplexan Fab I gene and encoded enzyme and discovery of the triclosan as a lead compound, provide means to rationally design novel inhibitory compositions useful for prevention and treatment of apicomplexan related diseases.

Description: FAB I AND INHIBITION OF APICOMPLEXAN PARASITES Inventors: Rima McLeod, Stephen P. Muench. John B. Rafferty, Dennis E. Kyle, Ernest J. Mui, Michael J. Kirisits, Douglas G. Mack, Craig W. Roberts, Benjamin U. Samuel, Russell E. Lyons, Wilbur K. Milhous, Sean Prigge and David W. Rice BACKGROUND Discovery and characterization of an apicomplexan Fab I gene and encoded enzyme and the discovery of triclosan as a lead compound, provide means to rationally design novel inhibitory compositions useful for prevention and treatment of apicomplexan and microbial related diseases. Fab I, enoyl acyl carrier protein reductase (ENR), is an enzyme used in fatty acid synthesis. It is a single chain polypeptide in plants, bacteria, and mycobacteria, but is part of a complex polypeptide in animals and fungi. Certain other enzymes in fatty acid synthesis in apicomplexan parasites appear to have multiple forms, homologous to either a plastid sequence, a plant-like single chain enzyme, or more like the animal complex polypeptide. Apicomplexan infections are among the most common and devastating infectious diseases. Malaria (Plasmodium) kills one child every eleven seconds and three million people every year. It is a cause of substantial morbidity in pregnant women and young children. Toxoplasmosis gondii results in a chronic central nervous system infection in more than a third of the world population, as well as acute life threatening disease in immunocomprised individuals. New medicines are greatly needed for the treatment of these diseases. Recently a number of plant-like biochemical pathways associated with the vestigial plastid organelle of T. gondii and Plasmodium species have been suggested as new targets for such medicines (Roberts et al, 1998; Waller et al., 1998; Zuther et al., 1999). A particularly attractive target in this respect is the fatty acid biosynthesis pathway because there are major differences between the structure of the plastid- associated enzymes found in plants and the cytosolic enzymes found in mammals (Roberts et al., 1998; Jomaa et al., 1999; Zuther et al., 1999; Waller et al., 2000). Importantly, enzymes of mammalian lipid synthesis form domains on a multifunctional protein, whereas those enzymes in plants and certain bacteria are found on discrete mono-functional polypeptides. These differences have already been exploited by a number of compounds which selectively inhibit bacterial or plant enzymes, but do not inhibit mammalian enzymes (Roberts et al., 1998; Waller et al., 1998; Zuther et al., 1999; Payne et al., 2000). Notably, both E. gondii and E. falciparum have been shown to possess mono-functional, plant- or bacterial-like fatty acid biosynthesis enzymes which are targeted to the plastid organelle via a bipartite, N-terminal transit sequence (Waller et al, 1998; Zuther et al, 1999; Roos et al, 1999; DeRocher et al, 2000). Compounds such as aryloxyphenoxypropionates (Zuther et al, 1999), cyclohexanedione (Zuther et al, 1999) herbicides and thiolactomycin (Waller et al, 1998) which inhibit acetyl-CoA carbozylase (ACC) and β-ketoacyl-ACP synthase (Fab H) respectively, have been demonstrated to restrict the growth of E. gondii in vitro. Εnoyl acyl carrier protein reductase catalyses the NAD (P)-dependent reduction of a trans-2,3 enoyl moiety into a saturated acyl chain, the second reductive step in the fatty acid biosynthesis pathway. Recent studies on the inhibition of ΕNR by compounds such as the diazaborines (Turaowsky et al, 1989; Baldock et al, 1996) and triclosan (McMurray et al, 1998; Heath et al, 1998; Levy et al, 1999; Payne et al, 2000; and Jones et al, 2000) have validated this enzyme as a target for the development of new antibacterial agents. In particular, triclosan, which is found in many house-hold formulations including soaps, deodorants, hand lotion, toothpaste and impregnated into plastics as an anti-bacterial agent is an extremely potent ΕNR inhibitor (Ward et al, 1999). A question is whether Fab /is in apicomplexan parasites and, if so, whether inhibition of Fab /can inhibit parasite growth and/or survival. SUMMARY OF THE INVENTION The present invention relates the first report of apicomplexan Fab I (enoyl acyl carrier protein reductase, ENR) and discloses the effects of triclosan, a potent and specific inhibitor of this enzyme, on the in vitro growth of T. gondii and E. falciparum chain. A plant- like Fab I in P. falciparum was identified by the inventors and the structure was modeled on the Brassia napus and Escherichia coli structures, alone and complexed to triclosan (5-chloro-2-[2,4 dichloropheoxyl] phenol), which confirmed all the requisite features of an enoyl acyl carrier protein reductase (ΕNR) and its interactions with triclosan. Like the remarkable effect of triclosan on a wide variety of bacteria, this compound markedly inhibits growth and survival of the apicomplexan parasites E. falciparum and Toxoplasma gondii at low concentrations (i.e., IC50 = 150-2000 and 62 nanogram/ml respectively). Initially, a sequence for a putative Plasmodium falciparum Fab I was located on the aggregate E. falciparum chromosomes referred to as "blob" (GenBank Accession Number AF338731). The deduced amino acid sequence and a multisequence alignment with representative enoyl acyl carrier protein reductases are shown in FIG. 1 (GenBank Accession Number AF33781). GenBank web site is www.ncbi.nlm.nih.gov. The gene sequence of Plasmodium ENR was obtained with a BLAST search using the sequences from both the B. napus and E. coli enzymes within the E. falciparum database "PlasmoDB" (found at www.PlasmoDB.org). (See Materials and Methods). This sequence was then converted to an amino acid sequence at www.expasy.ch/tools/dna.html. The sequence was aligned using the "Multiple Sequence Alignment at http://searchlauncher.bcm.tmc.edu. Subsequently, the molecules were prepared and tested in a laboratory setting (see Example 1). Errors in the published sequence for the Plasmodium genome were found. FIG. 1 shows the correct amino acid sequence for Plasmodium. Analysis of the pattern of sequence conservation confirmed that this protein has all the residues that have been identified as essential for enzyme activity. Interestingly, there is much greater sequence similarity with the plant enzyme than with the ENRs of bacterial origin. The P. falciparum enoyl acyl carrier protein reductase appears to have a plastid targeting sequence (Waller et al, 2000) and has a number of internal insertions. In addition, the P. falciparum protein has an extremely polar additional internal insertion for which no counterpart exists in any of the previously described enoyl acyl carrier protein reductases. This is important to target sequences among that are unique species of Fab /targets that can be attacked with antisense. Because Fab f was located, the effects of triclosan on Plasmodium falciparum in vitro were investigated. For P. falciparum, the in vitro assays (Milhous et al, 1985; Oduola et al, 1988) were conducted using a modification of the semiautomated microdilution technique for assessing antifolate antagonists. Instead of dialysed human plasma, 10% Albumax I (Gibco BRL), a serum- free substitute, was used to supplement the RPMI 1640 medium. All test compounds were dissolved in DMSO and diluted 400-fold into complete medium before serial dilution over 11 concentrations. Incubation was at 37°C in 5% O 2 , 5% CO 2 and 90% N 2 for 48 h. [ 3 H]-Hypoxanthine incorporation was measured as described previously (Milhous et al, 1985; Oduola et al, 1988). P. falciparum strain W2 is susceptible to mefloquine, but resistant to pyrimethamine, sulphadoxine and quinine and less susceptible to chloroquine than E. falciparum strain D6. Strain D6 is susceptible to pyrimethamine and sulphadoxine, but similar to P. falciparum strains TM90C2A and TM90C2B, and strain TM91C235 is less susceptible to mefloquine. The effect of triclosan on P. falciparum in vitro was studied with pyrimethamine sensitive and resistant organisms, and those with varying sensitivity to chloroquine and mefloquine, simultaneously with studies of effect of chloroquin or mefloquine on these parasites (Table 1). Triclosan was effective against pyrimethamine resistant E. falciparum (W2) at low concentrations (IC50s of 150 nanograms/ml [triclosan] and 160 ngm/ml [Chloroquin], respectively) (Table 1). Interestingly, the pattern of relative susceptibility of triclosan and mefloquine were identical. This similarity suggests that triclosan and mefloquine may share a common mechanism of influx or efflux, because such differences in transporters are believed to be the basis of the differences in susceptibility of malaria parasites to mefioquin although other mechanisms are possible. For E. gondii, growth inhibition was assessed over a 4-day period as described previously (Mack et al., 1984; Roberts et al, 1998; Zuther et al, 1999) using human foreskin fibroblasts (HFF) infected with 10 5 tachyzoites of the RH strain of E. gondii. The assays are based on microscopic visual inspection of infected and inhibitor treated cultures, and on quantitation of nucleic acid synthesis of the parasite by measuring uptake of 3 H uracil into the parasite's nucleic acid. Uracil is not utilized by mammalian cells. Parasites present as tachyzoites (RH, Ptg., a clone derived from the Me49 strain), bradyzoites (Me49), and R5 mutants (mixed tachyzoites/bradyzoites of the Me49 strain that can be stage switched by culture conditions) (Bohne et al, 1993; Soete et al., 1994; Tomovo and Boothroyd, 1995; Weiss et al, 1992) are suitable for assay systems used to study effects of inhibitors. Only the RH strain tachyzoites, cultured for up to 72 hours, had been used in previously reported assays. The use of Me49, Ptg, and R5 mutants are unique aspects of the methods used in these assays in this invention. Results using the assay systems are shown in FIGS. 6-8. In these assays toxicity of a candidate inhibitor was assessed by its ability to prevent growth of human foreskin fibroblasts (HFF) after 4 days and after 8 days as measured by tritiated thymidine uptake and microscopic evaluation. Confluent monolayers of HFF were infected with tachyzoites and bradyzoites. Inhibitor was added one hour later. Non-toxic doses were used in parasite growth inhibition assays. Parasite growth was measured by ability to incorporate tritiated uracil during the last 48 hours of culture. Triclosan also was effective against E. gondii, in nanomolar amounts (FIG. 2). IC50 was 62 nanograms/ml. There was no toxicity to host cells at these concentrations. Analysis of the binding site for triclosan in B. napus and E. coli ΕNR shows that 11 residues have contacts less than 4 A with one of more atoms of the triclosan (FIG. 3). Inspection of the sequence for P. falciparum ΕNR reveals that it shares sequence identity at each of these positions with either the sequence of the B. napus or E. coli enzymes providing a clear explanation for the inhibitory properties of this agent against P. falciparum. The discovery and characterization of an apicomplexan Fab I and discovery of triclosan as a lead compound provide means to rationally design novel inhibitory compounds with considerable promise. The invention provides novel ways to counteract the increasing resistance of Plasmodium to the current armoury of antimalarial agents and provides a new approach to the great need for additional, less toxic antimicrobial agents effective against E. gondii. The inventors (Zuther et al, 1999) and others (Waller et al, 1998) have also identified other novel inhibitors of sequential enzymatic steps in the apicomplexan lipid synthesis pathway, that are predicted to be synergistic with triclosan and other inhibitors of Fab I (Baldock, et al, 1996). This also raises the exciting possibility of a rational basis for discovery of synergistic inhibitors of this pathway effective against multiple different microorganisms (Payne et al, 2000). BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 shows a multiple structure-based sequence alignment of the enoyl reductases from E. coli, H. pylori, B. subtilis, S. aureus, P. falciparum and B. napus. The secondary structures and sequence numbers of the E. coli and B. napus enzymes are shown above and below the alignment, respectively. The residues which are completely conserved are in reverse type and those involved in triclosan binding are indicated with a black, filled circle above. Residues in red are conserved between B. napus and E. falciparum ΕNRs. The N terminal sequence in the P. falciparum Fab I with no corresponding sequence in E. coli is a plastid target sequence which is a suitable separate target from the entire enzyme for inhibition. FIG. 2 demonstrates inhibition of E. gondii by triclosan. (a) no effect of triclosan on the host cells uptake of thymidine. Appearance of the monolayer also was unchanged, (b) effect of triclosan on E. gondii uracil uptake. Triclosan reduces uracil uptake by intracellular E. gondii 4 days after infection. IC50 was = 62 nanograms per ml. Effect increased between days 1 to 4. For example, in a separate experiment, for 125 nanograms per ml of triclosan on day 1, percentage inhibition was 20% and on day 4 was 72% and for pyrimethamine/sulfadiazine percentages of inhibition at these times were 63 % and 100% respectively. Abbreviations: RH, RH strain of T. gondii within fibroblasts; No RH, Control with fibroblasts alone; DMSO, fibroblasts with highest concentration of DMSO; P/S, fibroblasts, T. gondii, pyrimethamine and sulfadiazine used as a positive control for the assay; CPM, counts per minute. FIG. 3 is a stereo view of the three dimensional arrangement of the atoms that form the binding pocket for triclosan, in E. coli enoyl reductase, with the 11 residues that have any atom within 4 A of the inhibitor, labeled and colored red. This is important in assigning the relative contributions made to the interaction with triclosan by the critical amino acids that are also present in the P. falciparum enzyme. FIG. 4 shows Fablt fusion protein cut with Factor Xa protease (lane 2) was applied to a cation exchange column (SP Sepharose) separating the fusion protein (lane 3) from Fab ft (lanes 4-10). Molecular weight markers (Sigma Wide) are shown in lane 1. FIG. 5 shows the expression and purification of recombinant Fab I. Fabl- MBP fusion protein cut with Factor Xa protease (lane 2) was applied to a cation exchange column (SP Sepharose) separating MBP (lane 3) from Fab /(lanes 4-10). A small amount of uncut fusion protein (EαbZ-MBP) can be seen in the elution fractions as well as some lower molecular weight fragments resulting from overdigestion of Fab I. FIG. 6(A) is a schematic representation of the pathway for conversion of shikimate to chorismate in E. gondii. The inhibitor of ΕPSP synthase is NMPG; (B) shows uptake of tritiated uracil by tachyzoites (RH strain) is inhibited by NPMG. Toxicity of NPMG was assessed by its ability to prevent growth of human foreskin fibroblasts (HFF) after 4 days, as measured by tritiated thymidine uptake and microscopic evaluation; (C) shows product rescue of NPMG' s inhibitory effect of ΕPSP synthase on PABA. The effect of P ABA on sulfadiazine is similar, but the effect of pyrimethamine, as predicted reduces the enzyme to the levels that were present when media alone was utilized, as measured by the uracil uptake. S = sulfdiazine; PYR = pyrimethamine; and PABA = para amino benzoic acid; (D) shows functional and enzymatic evidence for the shikimate pathway in E. gondii with inhibition of ΕPSP synthase enzyme activity by ImM glyosate. Squares, without glyphosate. Circles, with glyphosate; (Ε) shows evidence for the shikimate pathway in E. falciparum with functional evidence for the shikimate pathway in E. falciparum. Glyphosate inhibition of in vitro growth of asexual erythrocytic forms and PABA and folate antagonism of growth inhibition. Effect of NPMG on C. parvum was not abrogated by PABA. This suggests that either uptake of PABA by C. parvum differs or effect of NPMG is on a different branch from the shikimate pathway in C. parvum. FIG. 7 shows inhibitory effects of NPMG, gabaculine, SHAM 8-OH-quinoline and on Cryptosporidia. 3NPA also inhibited Qyptosporidia. FIG. 8 shows the effect of NPMG, pyrimethamine, and pyrimethamine plus NPMG on survival of mice following intraperitoneal infection with 500 tachyzoites of the RH strain of T. gondii. Dosage of NPMG was 200mg/kg/day and pyrimethamine was 12.5 mg/kg/day. MATERIALS AND METHODS T. gondii in vitro. Growth inhibition was assessed over a 4-day period as described previously by Roberts et al, 1998; Zuther et al, 1999; and Mack et al, 1984, all incorporated by reference, using human foreskin fibroblasts (HFF) infected with 10 5 tachyzoites of the RH strain of T. gondii. Uptake of 3 H uracil was determined. Evaluation of slides of preparations containing HFF, Toxoplasma and inhibitors were made. P. falciparum. The in vitro assays (Oduala et al, 1988; Milhous et al, 1985) were conducted using a modification of the semiautomated microdilution technique for assessing antifolate antagonists. Instead of dialysed human plasma, 10%> Albumaz I (Gibco BRL), a serum- free substitute, was used to supplement the RPMI 16-40 media. All test compounds were dissolved in DMSO and diluted 400-fold into complete media before serial dilution over 11 concentrations. Incubation was at 37 °C in 5% O 2 , 5% C O 2 and 90% N 2 for 48h, [ 3 H]-Hypoxanthine incorporation was measured as described previously (13, 14). W2 is susceptible to mefloquine, but resistant to pyrimethamine, sulphadoxine, but similar to TM90C2A and TM90C2B, and TM91C235 is less susceptible to mefloquin. TABLE 1: IC 50 a OF TRICLOSAN, CHLOROQUINE, AND MEFLOQUINE WHEN CULTURED WITH P FALCIPARUM (NANOGRAMS/ML) Parasite Strain Antimicrobial Agents D6 TM90C2A W2 TM90C2B TM91C235 Triclosan 387.1 1891.4 154.4 1330.4 1800.5 Mefloquine 5-3 24.5 2-Q 19.3 19.6 Chloroquine 8 57.3 162.4 82.7 46.1 Cloning of the Fabl gene. The Fabl gene from Plasmodium falciparum is located on chromosome 4 and codes for a 432 amino acid protein. The Fabl gene from gDNA of the 3D7 strain of E. falciparum was amplified using PfuTurbo polymerase (Stratagene) and two primers (5'- GGTGGTGAATTCATGAATAAAATATCACAACGG-3 ' and 5 '- GGTGGTGTCGACTTATTCATTTTCATTGCGATATATATC-3'). The resulting amplicon was digested with EcoRI and Sail endonucleases and gel purified using the QIAquick Gel Extraction Kit from Qiagen. The digested ampicon was ligated with T4 DNA ligase (Boehringer Mannheim) into the pMAL-c2x vector (New England Biolabs) which had previously been digested with the same endonucleases and treated with Shrimp Alkaline Phosphatase (USB). A second construct, lacking Fabl residues 1-84, was prepared in the same way using the following two primers: 5'- GGTGGTGAATTCTCAAACATAAACAAAATTAAAGAAG-3' and 5'- GGTGGTGTCGACTTATTCATTTTCATTGCGATATATATC-3'. This truncated construct was called Fablt. Overexpression of Fablt in bacterial culture. The pMAL-c2x vector containing the The activity of triclosan, mefloquine, and chloroquine were tested against a series of P. falciparum isolates and clones with differing susceptibilities to antimalarial drugs. D6, a clone from the African Sierra I/U C isolate, is chloroquine and pyrimethamine susceptible; W2 is a clone of the Indochina I isolate and is chloroquine and pyrimethamine resistant. TM90C2A, TM90C2B, and TM91C235 are isolates from Thailand and all are chloroquine and mefloquine resistant. TM91 C235 was isolated from a patient that failed mefloquine twice, whereas TM90-C2a and TM90-Cb are admission and recradescent isolates, respectively, of the first patient who failed treatment with atovaquone (alone) in Thailand. Subsequent susceptibility testing demonstrated that the recrudescent isolate (2B) was approximately 2000 fold resistant to atovaquone, when compared with the admission isolate and other atovaquone - susceptible isolates from Thailand. Fablt construct was transformed into BL21-CodonPlus(DE3) cells (Stratagene). Bacterial cultures were grown in shaker flasks at 37° to an OD 600 of 0.6 and then induced with IPTG (Sigma) to a final concentration of 0.4mM. Induced cultures were transferred to a 20° shaker and incubated for an additional 12 hours. After this period, the cells were harvested by centrifugation at 5,000 x G for 15 minutes and the cell pellet was frozen at -20°. Purification of Recombinant Fab It fusion proten. Cell lysis buffer (20mM Na K phosphate pH 7.5, 1 mg/ml lysozyme (Sigma), 2.5 μg/ml DNAse I (Sigma), 200mM NaCl) was added to the frozen cell pellets (20mL per liter of original culture) and gently vortexed. Resuspended cells were incubated on ice for 10 minutes followed by 30 seconds of sonication. Cell lysate was clarified by centrifugation at 20,000 x G for 15 minutes at 4° and applied to a 10ml amylose column (New England Biolabs) equilibrated in 20mM Na K phosphate pH 7.5, 200mM NaCl. The column was washed with 5 column volumes of 20mM Na/K phosphate pH 7.5, 500mM NaCl followed by elution with 20mM Na K phosphate pH 7.5, 200mM NaCl, lOOmM Maltose. Cleavage of Fablt fusion protein and purification of Fablt. Purified Fablt fusion protein was digested with Factor Xa (New England Biolabs) at ratio of lmg Factor Xa per 500mg of fusion protein. Calcium chloride was added to the reaction mixture at a final concentration of ImM and the mixture was incubated at 4° for 24 hours. The reaction mixture was desalted with a HiPrep 26/10 Desalting column (Pharmacia) equilibrated in 20mM Na/K phosphate pH 8.0, lOμM NAD+. Desalted protein was applied to a SP Sepharose cation exchange column (Pharmacia) equilibrated in 20mM Na/K phosphate pH 8.0, lOμM NAD+ and washed for 10 column volumes with the same buffer. Adsorbed proteins were eluted from the column with a linear gradient to 20mM Na K phosphate pH 8.0, lOμM NAD+, 500mM NaCl in 20 column volumes. Fractions containing pure Fablt protein were pooled for further analysis. Overexpression of Recombinant Fab I. The Fabl gene was amplified from cDNA of the 3D7 strain of P. falciparum and inserted into the pMAL-c2x vector (New England Biolabs) for expression in E. coli. Recombinant Fabf fused the Maltose Binding Protein (Fabl-MBP) was purified from clarified cell lysate using a 10ml Data Release Policy for ii Plasmodium falciparum genomic §« sequence PlasmoDB Downloads Tools Queries History CDs&Links Browse Data Sources Help SRT Data Release Policy The Malaria Genome Project has been undertaken by an international consortium of scientists and funding agencies, with the initial goal of determining and annotating the complete genome sequence of the malaria parasite P. falciparum (clone 3D7). In order to expedite research progress, the scientists participating in this project have agreed to release sequence information (raw shotgun reads and assembled contigs-in-progress) as rapidly as possible. Note, however, that these data are preliminary, and may contain errors and/or contaminating sequences (e.g. from yeast and E. coli). The Plasmodium Genome Database (PlasmoDB) is being developed to facilitate common access to all of the sequence data emerging from the various sequencing centers involved in this project, along with other relevant information on malaria. Investigators using E. falciparum sequence data from PlasmoDB are required to acknowledge the source of this information in all relevant publications, using the following statement: "We wish to thank the scientists and funding agencies comprising the international Malaria Genome Project for making sequence data from the genome of P. falciparum (3D7) public prior to publication of the completed sequence. The Sanger Centre (UK) provided sequence for chromosomes 1, 3- 9, & 13, with financial support from the Wellcome Trust. 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Certain other enzymes in fatt) acid synthesis in apicomplexan parasites appear to haNe multiple forms, homologous to either a plastid, plant-like single chain enzyme or more like the animal complex polypeptide chain. We identified a plant-like Fab I in Plasmodium falciparum and modeled the structure on the Brassica napus and Escherichia coli structures, alone and complexed to triclosan (5-chloro-2-[2 dichlorophenoxy] phenol]), which confirmed all the requisite features of an EΝR and its interactions with triclosan. Like the remarkable effect of triclosan on a wide variety of bacteria, this compound markedly inhibits growth and survival of the apicomplexan parasites P. falciparum and Toxoplasma gondii at low (i.e. IC50 « 150-2000 and 62 ng/ml, respectively) concentrations. Soluble P. falciparum Fab I has been over expressed. Discovery and characterisation of an apicomplexan Fab I and discovery of triclosan as a lead compound provide means to rationally design novel inhibitory compounds. Acetyl Co-A carboxylases of apicomplexan were identified. T. gondii was inhibited by the herbicide, clodinafop, 1 micromolar. A and C control; B and D with clodinafop. (Zuther, Johnson, Haselkom, McLeod, Gomicki. PNAS, 1999). oiniormaucs, alignment, ana analysis 01 sirucrare. uene Effect of triclosan on P. falciparum in vitro . Assays were conducted using a modification of a semiautomated microdilution technique for assessing antifolate antagonists. Instead of dialysed human plasma, 10% Albumax I, a serum-free substitute, was used to supplement the RPMI 1640 medium. All test compounds were dissolved in DMSO and diluted 400-fold into complete medium before serial dilution over 11 concentrations. Incubation was at 37°C in 5% 0 2 , 5% C0 2 and 90% N 2 for 48h. [ 3 H]-Hypoxanthine incorporation was measured. Strain W2 is susceptible to mefloquine, but resistant to pyrimethamine, sulphadoxine and quinine and less susceptible to chloroquine than strain D6. Strain D6 is susceptible to pyrimethamine and sulphadoxine, but similar to strains TM90C2A and TM90C2B, and strain TM91C235 is less susceptible to mefloquine. The effect of triclosan was studied with pyrimethamine sensitive and resistant organisms and those with varying sensitivities to chloroquine and mefloquine, simultaneously with studies of chloroquine or mefloquine. Effect of triclosan on T. gondii in vitro. Assessed over a 4 day period using human foreskin fibroblasts (HFF) infected with 10 5 tachyzoites of the RH strain of T. gondii. There was no toxicity to host cells at these concentrations. Over expression of recombinant FAB I. The Fabl gene was amplified from cDNA of the 3D7 strain of P. falciparum and inserted into the ρMAL-c2x vector (New England Biolabs) for expression in E. coli. Recombinant Fab I fused to the Maltose Binding Protein (Fabl-MBP) was purified from clarified cell lysate using a 10ml amylose column (New England Biolabs). The pure Fabl-MBP fusion protein was cleaved with Factor Xa protease yielding Fab I and MBP, which were then separated with a 5ml SP Sepharose column (Pharmacia). [Triclosan ng/ml] [Triclosan ng/ml] Inhibition of T. gondii by triclosan. (a). No inhibitoryeffect of triclosan on the host cells uptake of thymidine. Appearance of the monolayer also was unchanged, (b). Effect of triclosan on T. gondii uracil uptake. Triclosan reduces uracil uptake by lntracellular T. gondii 4 days after infection. IC50 was ~ 62 ng/ml. Effect increased between days 1 to 4. For example, in a separate experiment, for 125 ng/ml of triclosan on day I, percentage inhibition was 20% and on day 4 was 72% and for pyrimethamine/sulfadiazine percentages of inhibition at these times were 63 and 100%, respectively. Abbreviations: RH, RH strain of T. gondii within fibroblasts; No RH, Control with fibroblasts alone; DMSO, fibroblasts with highest concentration of DMSO; P/S, fibroblasts, T. gondii, pyrimethamine and sulfadizine used as a positive control for the assay; CPM, counts per minute. Model of triclosan binding to its target enzyme, ENR. Fatty Acid Synthesis Pathway Acetyl- CoA * Acetyl- CoA carboxylase (ACC) Malonyl- CoA Acetyl- CoA + ACP Acetyl-ACP Malonyl- CoA + Malonyl- ACP Acetyl-ACP + Malonyl- ACP > ^ β-Ketoacyl- ACP synthase β- Ketoacyl-ACP β- Ketoacyl- ACP reductase D-β- Hydroxyacyl-ACP β- Hydroxyacyl- ACP dehydrase , β- trans- Enoyl- ACP Enoyl- ACP reductase Butyryl- ACP TRICLOSAN ait There are major differences between the structure of plastid associated FAS enzymes in plants and those in animals. Most significant, enzymes of mammalian lipid synthesis form domains on a multifuntional protein whereas these enzymes in plants and certain bacteria are found as discrete monofunctional polypeptides. IC50 a of Triclosan, chloroquine, and mefloquine when cultured with P. falciparum (ng ml) Parasite Strain Antimicrobial Agents D6 TM90C2A W2 1 90C2B TM91C235 Triclosan 387.1 1891.4 154.4 1330.4 1800.5 Mefloquin 5.3 24.5 2.0 19.3 19.6 Chloroquine 3.8 57.3 162.4 J 82.7 46.1 The activity of triclosan, mefloquine, and chloroquine were tested against a series of P. falciparum isolates and clones with differing susceptibilities to antimalarial drugs. D6, a clone from the African Sierra ItUNC isolate, is chloroquine and pyrimethamine susceptible; W2 is a clone of the Indochina I isolate and is chloroquine and pyrimethamine resistant. TM90C2A, TM90C2B , and TM91C235 are isolates from Thailand and all are chloroquine and mefloquine resistant. TM91C235 was isolated from a patient that failed mefloquine twice, whereas TM90-C2a and TM90-Cb are admission andrecrudescent isolates, respectively, of the first patient who failed treatment with atovaquone (alone) hi Thailand. Subsequent susceptibility testing demonstrated that the recrudescent isolate (2b) was approximately 2000 fold resistant to atovaquone, when compared to the admission isolate and other atovaquone - susceptible isolates from Thailand. A stereo view of the three dimensional arrangement of the atoms that form the binding pocket for triclosan, in . coli enoyl redμctase, with the 11 residues that have any atom within 4 A of the inhibitor, labelled and coloured red. This is important in assigning the relative contributions made to the interaction with triclosan by the critical amino acids that are also present in the P. falciparum enzyme. • Plant-like Fab Tin Plasmodium falciparum -sequence confirmed -single chain, discrete enzyme -all requisite residues for Fab I -putative plastid targeting sequence -unique polar insertion • Modeled on E. coli and B. napus Fab Is alone and complexed to triclosan -key amino acids for 2° structure -residues for binding triclosan conserved providing explanation for inhibition by triclosan • Soluble protein overexpressed • Triclosan inhibits P. falciparum, T. gondii (nm) -pattern similar to mefloquine From P. falciparum: • FAB I purified. N terminal sequence same as B. napus FAB I • Enzyme activity: NADH dependent, inhibited by triclosan • Involved in synthesis of 10,12 C fatty acids • In P. berghei murine model Triclosan administered subcutaneously (3 or 38 mg/kg) — nontoxic, cleared parasitemia and prevented death • Synergy in vitro with cerulein, an inhibitor of Fab F,B,H amylose column (New England Biolabs). The pure Fabl-MBP fusion protein was cleaved with Factor Xa protease yielding Fabl and MBP, which were the separated with a 5ml SP Sepharose column (Pharmacia). DOCUMENTS CITED Baldock C, Rafferty J.B., Sdelnikova S.E., Baker P.J., Stitje A.R., Slabas A.R., Hawkes T.R., Rice D.W., 1996. A mechanism of drug action revealed by structural studies of enoyl reductase. Science. 274, 2107-2110. DeRocher A., Hage C.B., ' Froehlich J.E., Feagin J.E., Parsons M., 2000. Analysis of targeting sequences demonstrates that trafficking to the toxoplasma gondii plastid branches off the secretory system. J Cell Sci. 113, (Pt22):3969-77. - Heath R.J., Yu Y.T., Shapiro M.A., Olson E. Rock CO., 1998. Broad- spectrum antimicrobial biocides target the Fab I component of fatty acid synthesis. J Biol Chem. . 273, 30316-30320. . Jomaa H., Wiesner J., Sanderbrand S., Altincicek B., Weidemeyer C, Hintz M., Turbachova I., Eberl M., Zeidler J., Lichtenhaler H.K., Soldati D., Beck E., 1999. Inhibitors of the nonmevalonate pathway of isoprenoid biosynthesis as antimalarial drugs. Science. 285 (5433): 1573-6. Jones R.D.., Janpahi H., Newman J.L., Lee A., 2000. Triclosan: A review of effectiveness and safety in healthcare settings. Am J. Inf. Control. 28, 184-196. Levy, C.W., Roujeinikova A., Sedelnikova S.E., Baker P.J., Stuitje, A.R., . Slabas, A.R., Rice, D.W., Rafferty, J.B., 1999. Molecular basis of triclosan activity. ' Nature. 398, 383-384 . Mack D., McLeod R., 1984. A new micromethod to study effects of antimicrobial agents on Toxoplasma gondii: Comparison of sulfadoxine and sulfadiazine and study of clindamycin, metronidazole, and cyclosporin A. Antimicrob. Agents Chemother. 26, 26-30. McMurray L.M., Oethinger M., Levy S.B., 1998, Triclosan targets lipid . ' synthesis. Nature. 394, 531-2. Milhous W.K., Weatherly N.F., Bowdre J.H., Desjardins R.E., 1985. In vitro activities and mechanisms of resistance to anti-folates and anti-malarial drugs. Antimicrob. Agents Chemother: 27, 525-530. Oduola A.M.J., Weatherly NJ., Bowdre J.H., Desjardins R.E., 1988. Plasmodium falciparum - cloning by single erythrocyte micromanipulation and heterogeneity in vitro. Exp. Parasitol. 66, 86-95 . Payne D.J., Wallis N.G., Gentry D.R., Rosenberg M., 2000. The impact of genomics on novel antibacterial targets. Curr Opin Drug Discovery Devel. 3(2), 177- 190. The Plasmodium Genome Database http://PlasmoDB.org (Nucleic Acids 5 Research) 29, In Press 2001. Roberts F., Roberts C.W., Johnson J., Kyle D.E., Krell T., Coggins J.R., Coombs G.H., Milhous W.K., Tzipori S., Ferguson D.J.P., Chakrabarti D., McLeod R., 1998. Evidence for the shikimate pathway in apicomplexan parasites. Nature. . 393, 801-805. 1.0 Roos D.S., Crawford M.J., Donald R.G., Kissinger J.C., Klimczak L.J., • Striepen B., 1999. Origin, targeting, and function of the apicomplexan plastid. Curr Opin Microbiol. 2(4):426-32. Review. Turnowsky F. ,Fuchs K., Jeschek C, Hogenauer G., 1989. env M genes of Salmonella typhimurium and Escherichia coli. l. Bacteriol. 171, 6555-6565. 15 Waller R.F., Keeling P. J., Donald R.G., Striepen B., Handman E., Lan- Unnasch N., Cowman A.F., Besra G.S., Roos D.S., McFadden G.I., 1998. Nuclear- encoded proteins target to the plastid in Toxoplasma gondii and Plasmodium falciparum. Proc Natl Acad Sci USA. 95(21), 12352-12357. Waller R.F., Reed M.D., Cowman A.F., McFadden G.I., 2000. Protein 20 trafficking to the plastid of Plasmodium falciparum is via the secretory pathway. EMBO .19(8): 1794-802. Ward W.H.J., Holdgate G.A., Rowesell S., McLean E.G., Pauptit R.A., Clayton E., Nichols W.W., Colls J.G., Minshull C.A., Jude, D.A., Mistry A., Timms D., Gamble R., Hales, N.J., Britton C J., Taylor, I.W.F., 1999. Kinetic and structural 25 , characteristics of the inhibition of enoyl (acyl carrier protein) reductase by triclosan. Biochemistry. 38, 12514-12525. Zuther E., Johnson J.J., Haselkom R., McLeod R., and Gomicki P., 1999. Growth of Toxoplasma gondii is inhibited by aryloxyphenoxypropionate herbicides targeting acetyl-CoA carboxylase. Proc Natl. Acad Sci USA. 96, 13387-92. 30 Plasmodium Genome Database Collaborative, 2001. PlasmoDB: An integrative database of the P. falciparum genome. Tools for accessing and analyzing finished and unfinshed sequence data. Nucl. Acids Res. 29: 66-69.

Claims: WE CLAIM: 1. A molecule of the Eαb / enzyme having the amino acid sequence of the Fab I enzyme in Plasmodium falciparum, as shown in FIG. 1. 2. Use of the amino acid sequence information from apicomplexan Fab I as a target, to develop inhibitors and antimicrobal agents disease causing agents. 3. The use of claim 2, wherein the apicomplexan is Plasmodium falciparum ^ 4. The use of claim 2 wherein the disease causing agents are bacteria. 5. A novel recombinant protein with an amino acid sequence substantially similar to that of Plasmodium falciparum shown FIG. 1. 6. Use of the recombinant protein of claim 5 to determine the crystal structure of the enzyme from which novel inhibitors can be designed. 7. Use of the information on the mRNA sequence corresponding to the amino acid sequence of apicomplexan Eab / to develop iRNA which will complete for the FAB I mRNA. 8. Use of the plasmid targeting sequence of the Plasmodium falciparum Fab I amino acid sequence according to FIG. 1, to design antimicrobial agents and inhibitors of apicomplexan growth and Survival. 9. Use of triclosan to inhibit apicomplexan growth and survival.

Inventors: KIRISITS MICHAEL J, KYLE DENNIS E, LYONS RUSSEL E, MACK DOUGLAS G, MCLEOD RIMA, MILHOUS WILBUR K, MUENCH STEPHEN P, MUI ERNEST J, PRIGGE SEAN, RAFFERTY JOHN B, RICE DAVID W, ROBERTS CRAIG W, SAMUEL BENJAMIN U, KIRISITS, MICHAEL, J., KYLE, DENNIS, E., LYONS, RUSSEL, E., MACK, DOUGLAS, G., MCLEOD, RIMA, MILHOUS, WILBUR, K., MUENCH, STEPHEN, P., MUI, ERNEST, J., PRIGGE, SEAN, RAFFERTY, JOHN, B., RICE, DAVID, W., ROBERTS, CRAIG, W., SAMUEL, BENJAMIN, U.
Applicants: KIRISITS MICHAEL J, KYLE DENNIS E, LYONS RUSSEL E, MACK DOUGLAS G, MCLEOD RIMA, MILHOUS WILBUR K, MUENCH STEPHEN P, MUI ERNEST J, PRIGGE SEAN, RAFFERTY JOHN B, RICE DAVID W, ROBERTS CRAIG W, SAMUEL BENJAMIN U, KIRISITS, MICHAEL, J., KYLE, DENNIS, E., LYONS, RUSSEL, E., MACK, DOUGLAS, G., MCLEOD, RIMA, MILHOUS, WILBUR, K., MUENCH, STEPHEN, P., MUI, ERNEST, J., PRIGGE, SEAN, RAFFERTY, JOHN, B., RICE, DAVID, W., ROBERTS, CRAIG, W., SAMUEL, BENJAMIN, U.
Application year: 2001
Main classification: A61K
IPC codes: A61K31, A61K38, A61P33, C12N9, C12N15, C12Q1, G01N33