TARGETING MITOCHONDRIA DESIGN, SYNTHESIS AND APPLICATION OF GS-NITROXIDES. Tanja Krainz Wipf Group Research Topic Seminar 16 th May, 2015

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TARGETING MITOCHONDRIA DESIGN, SYNTHESIS AND APPLICATION OF GS-NITROXIDES Tanja Krainz Wipf Group Research Topic Seminar 16 th May, 2015 Tanja Krainz @ Wipf Group Page 1 of 26 5/20/2015

Mitochondria as a Target in Drug Discovery Mitochondria play an essential role in cellular life and death Aging is the greatest risk factor for neurodegenerative disease due to accumulation of mtdna mutations, oxidative stress Escaping ROS damage many intracellular targets in vicious cycle Radiation, Traumatic Brain Injury induce ROS generation There is strong evidence to support the hypothesis that the source of pathogenesis in age-related neurodegeneration is oxidative stress caused by overproduction of ROS as a result of mitochondrial dysfunction Nature 2006, 443, 787-795 Tanja Krainz @ Wipf Group Page 2 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 2 of 26 5/20/2015

Mitochondria The Energy Powerhouse Discreet organelles in most eukaryotic cells 80-90% of ATP is produced in mitochondria via oxidative phosphorylation (OXPHOS) Other Roles of Mitochondria: Ion Homeostasis Regulation of Apoptotic Cell Death Biochemical pathways (Krebs Cycle, β- Oxidation, Lipid Cholesterol Synthesis) Calcium Regulation Mitochondria Morphology Porous outer membrane (< 5kDa) Intermembrane space Innermitochondrial membrane Mitochondrial Matrix Curr. Biol. 2006, 16, R551 Biomol. Therap. 2010, 18, 235-245 Tanja Krainz @ Wipf Group Page 3 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 3 of 26 5/20/2015

ATP Production and Oxidative Stress In 1956 Harman proposed free radical theory of aging and related diseases the reaction of active free radicals, normally produced in the organism, with cellular constituents initiates the changes associated with aging Ca. 0.2% of cellular O 2 is converted to ROS Trends Biochem Sci, 2010, 35, 505-513 Biochem J. 2009, 417, 1-13 Tanja Krainz @ Wipf Group Page 4 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 4 of 26 5/20/2015

The Role of Cardiolipin Cardiolipin (CL) is exclusively expressed in the IMM Ø Ø Ø Roles: Cristae Formation Organization of complexes into supercomplexes for optimal OXPHOS Interaction with Cyt c for optimal electron transfer Br J Pharmacol. 2014, 171, 2029-2050 Tanja Krainz @ Wipf Group Page 5 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 5 of 26 5/20/2015

Consequences of Cardiolipin (CL) Oxidation CL is particularly vulnerable to oxidation due to unsaturated fatty acid chains Located at ROS production site Reduction of CL affinity to cyt c leading to cyt c unfolding and enhances cyt c peroxidase activity Oxidized CL synergizes with Ca 2+ to induce opening of the mitochondrial permeability transition pore (MPT) Br. J. Pharmacol. 2014, 171, 2029-2050 Tanja Krainz @ Wipf Group Page 6 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 6 of 26 5/20/2015

Harmful Activities of ROS Apoptotic and necrotic cell death Mitochondrial diseases Neurodegenerative disease (Huntington's, Alzheimer s, Parkinson s) Neuromuscular Obesity Diabetes Cardiovascular Cancer Biochem. J. 2009, 417, 1-13 Tanja Krainz @ Wipf Group Page 7 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 7 of 26 5/20/2015

Natural Antioxidants Superoxide dismutase (SOD) Catalase Vitamin C Vitamin E Thioredoxin (Trx) Glutathione peroxidase Environ. Mol. Mutagen, 2010, 51, 462 Tanja Krainz @ Wipf Group Page 8 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 8 of 26 5/20/2015

Strategies in Mitochondrial Targeting Environ. Mol. Mutagen. 2010, 51, 462 Tanja Krainz @ Wipf Group Page 9 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 9 of 26 5/20/2015

Gramicidin S based Conjugates Gramicidin S Scaffold for Subcellular Targeting Probes Cyclic Peptide (Bacillus brevis) Disrupts bacterial inner membrane Type II β turn ( D Phe-Pro) E-alkene isostere Payload TEMPO Vehicle (hemi GS) Replacement of amide bond with alkene à extended bioavailability due to increased resistance against protease action Acc. Chem. Res. 2008, 41, 87 Tanja Krainz @ Wipf Group Page 10 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 10 of 26 5/20/2015

Cyclic Nitroxides ROS scavengers and SOD mimetics Cyclic Nitroxides are stable free radicals Nitroxides with α-hs are unstable due to dismutation to nitrones Very efficient radical scavengers Inhibit lipid peroxidation Cyclic Nitroxides in therapeutic applications: TEMPOL: completed phase I in radiation oncology Challenges: High dosage necessary due to poor cellular partitioning J. Org. Chem, 2008, 73, 6763 Tanja Krainz @ Wipf Group Page 11 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 11 of 26 5/20/2015

Synthetic Route to XJB-5-131 Tanja Krainz @ Wipf Group Page 12 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 12 of 26 5/20/2015

Monte Carlo Simulation Effective partitioning of nitroxide is necessary but not sufficient for the protection against oxidative stress XJB-5-131 Cardiolipin Positioning of the nitroxide at the polar/nonpolar interface of the lipid membrane is essential for activity to allow successful competition with O 2 for electrons from ETC. Accomplished by the intact β-turn motif J. Pharmacol. Exp. Ther. 2007, 320, 1050-1060 Tanja Krainz @ Wipf Group Page 13 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 13 of 26 5/20/2015

XJB-5-131 Delivery into Mitochondria EPR monitoring of mitochondrial uptake of XJB-5-131 in Mouse Embryonic Cells (MECs) à incubation with 10 µm XJB-5-131 Mitochondrial enrichment of XJB-5-131 and reduction of nitroxide to hydroxylamine J. Am. Chem. Soc. 2005, 127, 12460 Tanja Krainz @ Wipf Group Page 14 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 14 of 26 5/20/2015

Fluorescent Labelling of XJB-5-131 Mitochondrial Localization of labelled XJB-5-131 Overlay XJB-BODIPY-FL MitoTrackCMXROS Tanja Krainz @ Wipf Group Page 15 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 15 of 26 5/20/2015

Independent studies with XJB-5-131 Anti-inflammatory properties Radioprotection Lethal Haemorrhagic Shock Protection against gamma irradiation Huntington s disease Ischemia reperfusion Traumatic Brain Injury Tanja Krainz @ Wipf Group Page 18 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 16 of 26 5/20/2015

In Vivo Studies: Lethal Haemorrhagic Shock Leading cause of death of people under 45 years of age. Current Treatment: controlling of bleeding and restoring intravascular volume 0h 55% blood removal 1h Post bleeding observation 6h 16 rats 3 rats died i.v. injection of XJB-5-131 (total dose 2 µmol/kg) XJB-5-131 prolongs survival of rats with lethal haemorrhagic shock Ann. Surg. 2007, 245, 305 Biochem. Pharmacol. 2007, 74, 801 Tanja Krainz @ Wipf Group Page 19 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 17 of 26 5/20/2015

Traumatic Brain Injury (TBI) Leading cause of death and disability in children and young adults Ca. 1.7 million people/year in US alone sustain acute brain injury ~52,000 deaths ~85,000 suffer from long term disabilities. No specific therapy standard treatment remains supportive care Nat. Neuro. 2012, 15, 1407-1415 Tanja Krainz @ Wipf Group Page 20 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 18 of 26 5/20/2015

XJB Partitioning in the Brain Imaging of XJB-5-131 in the brain by L-B and EPR spectroscopy Dose and time-dependent distribution of XJB-5-131 in naïve rat brain after interperitoneal injection Tanja Krainz @ Wipf Group Page 21 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 19 of 26 5/20/2015

Cytochrome C Release Triggers Apoptosis Accumulation of H 2 O 2 during TBI leads to unfolding of Cyt c Enhancement of Cyt c peroxidase activity targeting side chains of CL Oxidation of CL weakens interaction with Cyt c Release of Cyt c to cytosol via transition pore Nat. Neurosc. 2012, 15, 1325-1327 Tanja Krainz @ Wipf Group Page 22 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 20 of 26 5/20/2015

Traumatic Brain Injury 2D-LCMS assessment of molecular species of CL and its oxidation products trauma +XJB XJB-5-131 substantially reduces neuronal death in both in vitro and in vivo, and markedly reduced behavioural deficits and cortical lesion volume. Tanja Krainz @ Wipf Group Page 23 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 21 of 26 5/20/2015

Huntington s Disease Huntington s disease is a progressive brain disorder that causes uncontrolled movements, cognitive difficulties and emotional disturbance Disease more prevalent in people of European ancestry 3-7 out of 100,000 in Europe have HD 30,000 cases in US Only 1-3% of HD cases are not inherited This study: Mouse Model of HD harbouring disease length 150CAG tract knocked into both alleles of the mouse HD gene homologue. HD150Kl mice treated up to 57 weeks with XJB-5-131 (1 mg/kg up to 3 times/ week) Tanja Krainz @ Wipf Group Page 24 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 22 of 26 5/20/2015

In Vivo Studies: Huntington s Disease Early signs of HD: Weight loss Motor Abnormalities XJB-5-131 supresses weight loss in HD mice and significantly improves motor performance Cell Rep. 2012, 2,1137 Tanja Krainz @ Wipf Group Page 25 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 23 of 26 5/20/2015

Huntington s Disease: XJB Enhances Neuronal Survival B. MtT=Mitotracker co-labelled in primary striatal neurons from embryonic day 17 HD150KI mice. C. XJB treatment (1 µm) for 1 week does not induce measurable changes in the number of MT as quantified after Mitotracker intensity. D. XJB treatment protects survival of primary striatal neurons after 7 days in culture Tanja Krainz @ Wipf Group Page 26 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 24 of 26 5/20/2015

Conclusion and Future Outlook Demonstrated effectiveness of XJB-5-131 in: Traumatic Brain Injury Lethal Haemorrhagic Shock Huntington's Disease BODIPY - analogues for visualization and co-localization in mitochondria Challenges: More concise synthesis of XJB-5-131 Metabolic stability Solubility Tanja Krainz @ Wipf Group Page 33 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 25 of 26 5/20/2015

Acknowledgements Prof Peter Wipf CMCR Wipf Group Collaborators Prof Hülya Bayir Prof Cynthia McMurray Prof Joel Greenberger Prof Laura Niedernhofer Prof Louis Falo Tanja Krainz @ Wipf Group Page 33 of 33 May 16, 2015 Tanja Krainz @ Wipf Group Page 26 of 26 5/20/2015