University of Birmingham Identification and characterization of aspartyl-tRNA synthetase inhibitors against Mycobacterium tuberculosis by an integrated whole-cell target-based approach

Mycobacterium tuberculosis , the causative agent of tuberculosis, has surpassed HIV as the leading cause of death due to an infectious disease worldwide, being responsible for more than 1.5 million deaths in low-income countries. In response to a pandemic threat by drug resistant strains, the tuberculosis research community is searching for new chemical entities with novel mechanisms of action to avoid drug resistance and shorten treatment regimens using combinatorial chemotherapy. Herein, we have identified several novel chemical scaffolds, GSK97C (spiro-oxazolidin-2-one), GSK93A (2-amino-1,3-thiazole, GSK85A and GSK92A (enamides), which target M . tuberculosis aspartyl-tRNA synthetase (Mt-AspRS), an essential component of the protein synthesis machinery of tuberculosi s , using a whole-cell target-based screening strategy against a genetically modified Mycobacterium bovis BCG strain. We also provide further evidence of protein inhibition and inhibitor profiling through a classical aminoacylation reaction and a tRNA-independent assay, respectively. Altogether, our results have identified a number of hit new molecules with novel mechanism of action for further development through medicinal chemistry as hits and leads. Aminoacyl-tRNA synthetases have extensively been studied by many academic research groups to elucidate the kinetics of their two-step reaction mechanism 13,14 , their specificity towards their cognate amino acid and tRNA 15 and their evolution 16 . Their utility as the target of anti-infective agents is demonstrated by the use of the clinically approved isoleucyl-tRNA inhibitor, pseudomonic acid A 17 , although drug discovery efforts against these targets has remained challenging due to: (I) the lack of translational whole-cell inhibitory activities, (II) off-target effects due to ATP competitiveness and (III) poor pharmacokinetic profiles 18 . A rhodanine compound was previously identified to target the aspartyl-tRNA synthetase of TB by WGS approaches 19 , which was then biochemically validated in a tRNA-independent assay 20 , encouraging further screening campaigns to find more potent and chemically tractable hits against this target. Herein, we have identified Mt-AspRS inhibitors by a whole-cell target-based screening of the so-called TB box 21 , a GSK library of 11,000 compounds (previously assessed against M . tuberculosis H37Rv ) against the surrogate Mycobacterium bovis BCG strain genetically engineered to consti- tutively express the TB AspRS open-reading frame in a replicative pMV261 plasmid. Combining whole-cell and target-based screening methods allows the discovery of new chemical entities with potential to shorten early drug discovery programmes.

Mycobacterium tuberculosis, the causative agent of tuberculosis, has surpassed HIV as the leading cause of death due to an infectious disease worldwide, being responsible for more than 1.5 million deaths in low-income countries. In response to a pandemic threat by drug resistant strains, the tuberculosis research community is searching for new chemical entities with novel mechanisms of action to avoid drug resistance and shorten treatment regimens using combinatorial chemotherapy. Herein, we have identified several novel chemical scaffolds, GSK97C (spiro-oxazolidin-2-one), GSK93A (2-amino-1,3thiazole, GSK85A and GSK92A (enamides), which target M. tuberculosis aspartyl-tRNA synthetase (Mt-AspRS), an essential component of the protein synthesis machinery of tuberculosis, using a whole-cell target-based screening strategy against a genetically modified Mycobacterium bovis BCG strain. We also provide further evidence of protein inhibition and inhibitor profiling through a classical aminoacylation reaction and a tRNA-independent assay, respectively. Altogether, our results have identified a number of hit new molecules with novel mechanism of action for further development through medicinal chemistry as hits and leads.
Tuberculosis (TB) ranks first as the leading cause of death due to an infectious disease worldwide, overcoming HIV 1 . It represents a major threat to global health with one-third of the world's population infected with latent tuberculosis, and multi-drug resistant (MDR) and extensively drug resistant (XDR) strains posing a significant potential threat to health care systems if left unaddressed. To effectively treat patients with MDR-TB, a 24-month-treatment regimen with second-line drugs, such as aminoglycosides and fluoroquinolones is needed, which unavoidably increases pill burden and potential side effects due to nephrotoxicity and damage to the central nervous system 2 . In order to achieve effective eradication of MDR and XDR-TB safer and more effective drugs are urgently needed with entirely novel mechanism of action 3 .
Phenotypic high-throughput screening (HTS) strategies against Mycobacterium tuberculosis have provided many promising new hits, representing a shifting strategy from classical target-based approaches 4 . Whole genome sequencing (WGS) of spontaneous resistant isolates generated against HTS hits in vitro has proven to be a valid initial starting point for target identification 5 . The discovery of TMC207 6,7 , now licensed as the FDA-approved drug bedaquiline 8 , was one of the first hits to be characterised using this approach of WGS of resistant isolates, highlighting the success of phenotypic screening campaigns 9 . However, further detailed biochemical and genetic evidence is required to elucidate the precise mode of action of small molecule hits as exemplified by the recent studies of inhibitors targeting MmpL3 10-12 . Aminoacyl-tRNA synthetases have extensively been studied by many academic research groups to elucidate the kinetics of their two-step reaction mechanism 13,14 , their specificity towards their cognate amino acid and tRNA 15 and their evolution 16 . Their utility as the target of anti-infective agents is demonstrated by the use of the clinically approved isoleucyl-tRNA inhibitor, pseudomonic acid A 17 , although drug discovery efforts against these targets has remained challenging due to: (I) the lack of translational whole-cell inhibitory activities, (II) off-target effects due to ATP competitiveness and (III) poor pharmacokinetic profiles 18 . A rhodanine compound was previously identified to target the aspartyl-tRNA synthetase of TB by WGS approaches 19 , which was then biochemically validated in a tRNA-independent assay 20 , encouraging further screening campaigns to find more potent and chemically tractable hits against this target. Herein, we have identified Mt-AspRS inhibitors by a whole-cell target-based screening of the so-called TB box 21 , a GSK library of 11,000 compounds (previously assessed against M. tuberculosis H37Rv) against the surrogate Mycobacterium bovis BCG strain genetically engineered to constitutively express the TB AspRS open-reading frame in a replicative pMV261 plasmid. Combining whole-cell and target-based screening methods allows the discovery of new chemical entities with potential to shorten early drug discovery programmes.

Results and Discussion
Identification of novel M.tb AspRS inhibitors by a whole-cell target-based screening assay. In this study we report the identification of a number of biochemically validated Mt-AspRS inhibitors identified using a target-based whole-cell screening assay in Mycobacterium bovis BCG genetically modified to constitutively express the Mt-AspRS open-reading frame. The GSK TB box compound collection of 11,000 compounds 21 was used at three independent concentrations (0.5, 2.5 and 12 μM) and initial hits were confirmed based on inhibition shift between the two strains (calculated as % inhibition of M. bovis BCG pMV261 (empty plasmid) minus % inhibition of M. bovis BCG pMV261::Mt-AspRS [based upon duplicate data]) on ActivityBase (IDBS). Assay quality was monitored in an inter-plate manner with the statistical Z′, the gold standard to assess assay quality and reproducibility in HTS assays 22 . Plates with Z′ values below 0.4 were discarded for further analysis due to poor assay robustness.
Initial hits (250) were cherry-picked for further validation in a dose-response assay at a concentration range of 0.1 up to 100 μM to assess whole-cell potency and confirmation of whole-cell target-engagement (MIC50 shift) using the previously reported rhodanine entity as a tool control compound (Fig. 1). Compounds were tested in duplicate in an inter-plate manner and Sigmoidal dose-response curves were fitted to each data set using TIBCO Spotfire for analysis and data visualization. This resulted in the identification of 11 compounds with a minimum inhibitory concentration (MIC) shift >1. A table showing whole-cell target engagement is presented in the supplementary section (S1).
Biochemical characterization of Mt-AspRS. Due to potential pathway-related effects caused by target overexpression 23 , biochemical evidence of protein inhibition is essential to further validate on-target inhibitory activities against a given target. In order to mimic physiological conditions we have utilized a classical tRNA-based aminoacylation reaction with Mt-AspRS in a 96-well-format to assess inhibitor potency and guide future hit-to-lead medicinal chemistry programmes against this target. The assay length and enzyme concentration were adjusted in order to obtain an initial rate. The assay mixture was sampled at each time-point and precipitable radioactivity was quantified by scintillation counting. Background counts corresponding to free radiolabelled aspartic acid were subtracted at each data point and plotted over the time course of the assay (Fig. 2). For   Table 1 obtained as the mean ± SD of two duplicate sets obtained from hyperbolic Michaelis-Menten curves fitted to data obtained from tRNA and ATP dose-response studies. L-Asp K M values were obtained from the IC50 of a Sigmoidal curve minus the total concentration of radiolabelled aspartic acid employed in an isotopic dilution assay. Since a substrate with K M in the low micromolar range do not contribute to the increase in enzyme velocity, the concentration of radiolabelled L-Asp was subtracted from the IC50 value of the Sigmoidal curve for an accurate determination (Fig. 3).

Biochemical validation of screening hits against Mt-AspRS.
In this study two active novel chemical families (GSK93A and GSK97C, Fig. 4) previously identified in the target-based HTS assay using M. bovis BCG over-expressing AspRS from M.tb were validated when interrogated for potency against isolated enzyme in an aminoacylation reaction. Structural details and physicochemical and biological properties of these hits, including MIC values against BCG strains and HepG2 cell lines, biochemical IC50 and physicochemical data are briefly summarised in the supplementary section. In vitro biochemical dose-response validation assays were performed at 0.2 μM Mt-AspRS and matching apparent K M values of L-Asp and tRNA while keeping ATP at a saturating concentration. Compound stocks were made as 10 mM solutions in 100% DMSO, diluted in a 1:3 fashion and dispensed into clear 96-well-polystetyrene plates up to a final concentration of 100 μM. The highest concentration of DMSO and CHAPS used in the assay were 1% and 0.5%, respectively, and precipitable radioactivity was transferred onto GF/C filter plates for scintillation counting. Raw data was standardized to the positive and negative enzyme activity controls and plotted versus the logarithm of the inhibitor concentration on Graph Pad Prism for IC50 determination.
Medium throughput target-based screening assay against GSK97C, GSK87A and GSK93A analogues. As part of a preliminary approach to initial medicinal chemistry optimization efforts and therefore find chemical scaffolds with improved biological and physicochemical profiles, we performed a structure-based analogue search of these newly identified Mt-AspRS hits in the GSK 2 million compound collection to identify structurally-related hits that could be screened against Mt-AspRS in a target-based format. After attempts to miniaturise the tRNA-based assay into a 384-compatible SPA beads-based assay failed due to background inconsistency, we decided to employ a miniaturised tRNA independent assay optimised for HTS purposes. Surprisingly, two novel chemical entities, analogues of the inhibitor GSK87A previously identified in the whole-cell target-based AspRS overexpressor assay, were identified when a small library of analogues of the three validated hits were interrogated for their potency in the aminoacylation reaction at concentrations ranging from 0.005 up to 100 μM). Reagent stability was previously assessed over the overall period of the assay and robustness was monitored in an inter-plate manner (Z′ > 0.4). Interestingly, the parent compound GSK87A had failed to show potency in the biochemical validation assays against Mt-AspRS. However, two analogues of GSK87A (Fig. 5) were confirmed as Mt-AspRS inhibitors with IC50 values in the low micromolar range. The structures, biological and physicochemical properties are provided in the supplementary section (S2).

Mechanistic characterization of novel Mt-AspRS inhibitors.
Due to the importance to assess off-target inhibitory activities early on in drug discovery projects it is essential to gain mechanistic insights into compound binding, particularly when targeting proteins with universally conserved ATP binding sites, such as kinases 24 or aminoacyl-tRNA synthetases 25 . Despite the apparent loss in potency observed for GSK97C (potentially due to compound instability in storage conditions) we show here how these inhibitors display non-competitive binding mechanism against Mt-AspRS with respect to a β-γ-methyladenosine triphosphate substrate as an ATP surrogate in a tRNA-independent reaction (Fig. 6), suggesting that the compounds interfere with tRNA aminoacylation in an allosteric-binding manner, away from the antiparallel beta-sheet ATP-binding pocket of class II aminoacyl tRNA synthetases.

Conclusions
The availability of new chemical scaffolds with sufficient whole-cell and on-target inhibitory activities displaying novel modes of action represents a promising starting point in early TB drug discovery efforts. Traditionally, drug discovery efforts with aminoacyl tRNA inhibitors had been limited due (I) poor pharmacokinetic properties, (II) off-target effects caused by competitive binding mechanisms 18 or (III) lack of penetration through bacterial membranes, the latter explaining the shifting strategy from target-based to whole-cell phenotypic approaches. We have expanded the chemical space available against Mt-AspRS that had traditionally been limited by these unspecific, ATP-competitive binding compounds or insufficient whole-cell inhibitory activities, further proving the versatility of Mt-AspRS as potential target for tuberculosis drug discovery. Diversifying the pipeline with inhibitors with novel modes of action is essential to ensure the overall survival of TB drug discovery projects with the potential to reach in vivo stages. Moreover, the success of integrating whole-cell and target-based screening strategies against other targets has previously been demonstrated, allowing the straightforward identification of small molecules against virtually any essential target with acceptable druggability features 26 . This has the potential to shorten the preclinical turnaround times of drug development projects. In this context, we have shown that expanding the chemical space available for Mt-AspRS inhibitors can expand existing possibilities for drug development by exploiting new hits with novel modes of action and mechanistic features, expanding the pipeline of available preclinical antitubercular agents. The identification of inhibitors targeting conserved binding sites that retain selectivity has been shown to be achievable 27 although as we show here, mechanistic studies are needed to derisk potential ATP-competitive inhibitors. However, despite the availability of increasing numbers of preclinical candidates for the treatment of TB, it is important to consider that small molecule drug discovery is not enough to tackle the epidemic. Combinatorial chemotherapy needs to be complemented with rapid diagnostic tools and effective prophylaxis to contain the spread of drug resistant strains. In addition, improved health care is needed in low-income countries so that tuberculosis patients can effectively access new medicines. Altogether, our results represent another step toward the final eradication of TB by expanding the chemical space available against tRNA synthetases of this organism.    Strains and culture conditions. Whole-cell screening experiments were conducted using M.bovis BCG that had been previously transformed with a pMV261 containing the Mt-AspRS 20 . Selected transformants were grown using 7H9 media supplemented with 0.025% Tween, 10% ADC (Albumin, Dextrose, Catalase) and kanamycin (25 μg/ml).

Whole-cell target-based screening. The GSK TB box collection was screened for Mt-AspRS inhibitors
based on resistance upon Mt-AspRS overexpression. We selected three different concentrations (0.5, 2.5 and 12.5 μM) based on compound potency in order not to miss any potential hit. A standard inoculum size of 10 4 cells in 25 μL was added into each assay well of a 384-well-plate with white opaque walls using a Multidrop TM Combi dispenser (Thermo Scientific). To control evaporation, plates were individually sealed with parafilm, covered with aluminium foil and stored in plastic boxes inside a 37 °C and 5% CO 2 incubator with humidity control. At day 7, reconstituted Bac-titer GLO reagent (25 μL) were added into each assay well, which causes cell lysis and allows the luminescent detection of ATP consumption, briefly shaken for 8 minutes and read for luminescence using a Spectra Max M5 reader. Raw luminescence values were standardized to cell survival percentages using positive and negative controls for cell growth. The effect of a given inhibitor was calculated as: % inhibition = 100* ((data-control 1)/(control 2-control 1)) where control 1 = maximum activity (DMSO only; uninhibited growth), and control 2 = bacterial growth completely inhibited (by treatment with 10 μM rifampicin). Assay performance statistics (signal to background ratio and Z′) were calculated using templates in ActivityBase XE ( Biochemical validation of screening hits. The IC50 dose response assays for each were performed at 0.2 μM Mt-AspRS and matching apparent K M values of L-Asp and tRNA, while keeping ATP at a saturating concentration in order to filter out ATP-competitive inhibitors. Compound stocks were made as 10 mM solutions in 100% DMSO and dispensed into 96-well-polystetyrene plates in a 1:3 dilution manner up to a final concentration of 100 μM. In the maximum (100% activity) and minimum (0% activity) controls similar DMSO concentrations were added to check the absence of solvent-related inhibition. The highest concentration of DMSO and CHAPS used in the assay were 1% and 0.5%, respectively. Precipitable radioactivity was transferred onto GF/C filter plates for scintillation counting.
Medium-throughput screening assay of a series of analogues in a tRNA-independent biochemical assay. the period of the assay (4 minutes). Similar amounts of DMSO (1%) were added into control wells to check for absence of solvent-related inhibition. The raw data was normalised to the positive and negative controls for enzyme activity in Excel and was further processed in Excel and GraphPad Prism 6.0 for IC50 determination.

Mechanistic characterization of novel Mt-AspRS inhibitors. The inhibitory activities of GSK97C
and GSK93A against Mt-AspRS was assessed at several β-γ-methyladenosine triphosphate (0-8000 μM) and inhibitor concentrations (DMSO, 50 and 100 μM) while keeping fixed amounts of L-Asp and PPi at saturating values (10*K M ). The reaction was triggered with the addition of 10 μL of a 2X substrate mix solution to a 384 black-bottom polystyrene plate (Corning) containing 10 μl of a 2X buffer solution with 1 μM Mt-AspRS in 40 mM HEPES pH 7.6, 8 mM MgCl 2 and 100 mM KCl. Plates were then briefly centrifuged and read on EnVision (Perkin Elmer) using NADPH fluorescence in the kinetic mode as the method of detection. Slopes corresponding to initial reaction rates were plotted versus substrate concentration for each inhibitor concentration and data points were fitted to standard hyperbolic Michaelis Menten curves on GraphPad Prism 6.0 for K M and V MAX determination.