NLRP3 has received considerable
attention as an inflammatory disease target. The protein normally exists in an
auto-inhibited conformation, but in response to various stimuli it changes
shape to help form a multimeric complex called the inflammasome. This in turn activates
various inflammatory pathways, including cell death. Several drugs targeting NLRP3
have gone into the clinic, but none have been approved. In a new open-access Br.
J. Pharmacol. paper, Brian Cook, Gabriel Simon, and colleagues at Vividion
describe a covalent inhibitor that binds to a previously unknown site.
As we wrote nearly a decade ago,
Vividion pioneered the use of chemoproteomics to identify covalent binders in
cells and cell lysates. While exploring the mechanism of the previously
reported NLRP3 inhibitor MCC950, they found that cysteine 280 became resistant
to modification by electrophiles in the presence of the ligand. MCC950 does not
contain an electrophile, arguing against direct interaction with Cys280 and
suggesting instead that binding causes a conformational change to the protein
which makes Cys280 less accessible. In other words, protein inhibition correlated
with Cys280 being less exposed.
A screen of Vividion’s library
yielded no hits against Cys280 but more than 300 against cysteine 463.
Interestingly, modification of C463 also caused a decrease in reactivity of
Cys280, suggesting a conformational change similar to the one caused by MCC950.
Thus, the researchers pursued Cys463 binders.
Two parameters were used to guide
compound optimization, target engagement and promiscuity. The first number, TE50,
measures the extent of covalent engagement of a given cysteine after 1 hour in
cell lysates. The second, P500, measures the percentage of all
measured cysteines in the sample labeled by at least 40% after incubation with
500 µM compound for 1 hour. One of the initial hits, VVD-124476, gave a low
micromolar value for TE50 but labeled some 20% of the measured proteome.
Indeed, it was previously reported as a covalent ligand for a completely
different protein. To be useful as a NLRP3 inhibitor, the researchers needed to
reduce promiscuity, and the most straightforward approach is to reduce general reactivity.
To decrease reactivity, the researchers
swapped the acrylamide warhead with a butynamide (VVD-142397). Butynamides are
reported to be less reactive than acrylamides, a result corroborated at
Vividion with chemoproteomic data on 400 matched molecular pairs. The
acrylamide to butynamide swap improved selectivity some 20-fold, though it also
decreased potency against NLRP3. Increasing the core ring size regained
activity, and rigidifying the molecule led to further improvements. Further
optimization ultimately led to VVD-338213 and several related molecules.
Although the researchers do not
report kinact/KI values, a back of the envelope
calculation puts it around 1200 M-1s-1 for VVD-338213, a
potency where cell activity might be expected. Happily this turned out to be
the case: the molecule blocked IL-1β
secretion from human cells at lower concentrations than MCC950. Importantly, in
cells where Cys463 had been mutated to alanine, MCC950 was still active while the
covalent molecules were inactive.
In addition to promising cell
activity, many of the covalent molecules had reasonable stability in whole blood, good
permeability, and low efflux. (I do wish the ligand efficiency reactivities
of the molecules were reported; after all Vividion, introduced this metric.) Some
of the molecules also showed good brain penetration. In vivo pharmacodynamic
studies are complicated by the fact that Cys463 is not conserved in mice, but fortunately
the researchers could run studies on transgenic mice in which human NLRP3 had
been introduced. In these animals, IL-1β
was decreased by both VVD-338213 and by MCC950.
The researchers were also able to
obtain a cryo-EM structure of one of their molecules bound to NLRP3, which confirmed
covalent binding to Cys463. More importantly, it revealed that the binding site
is in a cryptic pocket some 20 Å from where MCC950 binds. (One wonders if the computational
technique we discussed last week would have been able to predict this pocket.) Similarly
to the WRN inhibitor Vividion has taken into the clinic, the molecule appears
to make only hydrophobic contacts with the protein, with no polar interactions.
Mechanistically, the “Cys463 ligands act as molecular doorstops, stabilizing the
inactive conformation and preventing the structural rearrangements necessary for
transition to the active inflammasome disc.”
This is a lovely paper and a case
study in transforming a highly reactive molecule into a selective molecule with
in vivo activity. It is interesting that the starting molecule, with 28
non-hydrogen atoms, flagrantly violates the rule of three. Last year we asked
whether covalent fragments need to be larger than their non-covalent counterparts,
and this paper provides another example where the answer is yes. Whether or not this
chemical series ultimately advances, it is nice to have another chemical probe
for this target.