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 IP4 and IP5 (IP3-4 kinase) 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 IP3-4 kinase 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 IP3-4 kinase (µM IC50s) and none inhibited Candida IP3-4 kinase. In contrast, UNC analogues had IC50s of 30nM/400nM for Cryptococcus/Candida IP3-4 kinase. FBDD identified 3 new molecular scaffolds that inhibited both fungal IP3-4 kinase.
Conclusion:
(1) The UNC compounds are a promising scaffold for developing potent, pan fungal IP3-4 kinase inhibitors.
(2) FBDD identified additional novel lead scaffolds with scope for development into pan fungal IPK inhibitors.