Identification of GLP1R agonists using a novel high throughput screening assay Wan Namkung, Ph.D.

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Identification of GLP1R agonists using a novel high throughput screening assay Wan Namkung, Ph.D. College of Pharmacy, Yonsei University

Contents High-throughput screening (HTS) HTS assays for identification of GLP1R agonists http://www.acco.org/targeted-therapeutics/ 2

High-throughput screening (HTS) 3

High-throughput screening (HTS) Typically, HTS assays are performed in "automation-friendly" microplates with a 96, 384 or 1536 well format. 4

High-throughput screening (HTS) Microplate reader High-content screening (HCS) high-content analysis detects Fluorescence, Absorbance, Luminescence and Fluorescence Resonance Energy Transfer (FRET) Epi-fluorescence microscopy Confocal microscopy Ion channels / Receptors (Fluorescence sensor) Transcription (Promoter assay) Enzymes (ELISA assay, Plate-based assay) Cell growth (MTT/XTT, Live/Dead cell staining) Cell morphology (High content confocal Imaging) Protein-protein interactions (FRET, Fluorescence polarization, Tripartite split-gfp complementation assay) 5

Workflow of HTS in Drug Discovery Target selection Target identification & validation unmet medical need & a specific indication? intended patient population & market? relevant cellular or molecular targets? mode of action? risk & side effects? available relevant literature? competitive advantage? patents? appropriate assays - established or to be developed? 6

Workflow of HTS in Drug Discovery Target selection Assay development mean (μ), standard deviation (σ), positive (p) and negative (n) controls Primary screen with chemical libraries 7

Chemical libraries 8

Chemical libraries 9

Chemical libraries http://www-organik.chemie.uni-wuerzburg.de/ 10

Chemical libraries 11

Workflow of HTS in Drug Discovery Target selection Assay development mean (μ), standard deviation (σ), positive (p) and negative (n) controls Primary screen with chemical libraries Secondary screen with primary hits using more sensitive assay Characterization of hit compounds Structure Activity Relationships (SAR)

Workflow of HTS in Drug Discovery Structure Activity Relationships (SAR) Nature Chemical Biology 6, 476 479

Workflow of HTS in Drug Discovery Target selection Assay development mean (μ), standard deviation (σ), positive (p) and negative (n) controls Primary screen with chemical libraries Secondary screen with primary hits using more sensitive assay Characterization of hit compounds Structure Activity Relationships (SAR) Determination of drug potency and selectivity Apply to cell or animal model

Therapeutic target classes 15

GPCR (G-protein coupled receptor) 16

GPCR (G-protein coupled receptor) GLP1R The gene family of Rhodopsin-like GPCRs, constituting for 26.8% of all FDA-approved drugs. 367 GPCRs with endogenous ligands - 87 human GPCRs that are drugged already 280 GPCRs? JOURNAL OF BIOLOGICAL CHEMISTRY VOL. 287, NO. 16, pp. 12787 12796, April 13, 2012 17

HTS assays for identification of GLP1R agonists 18

Glucagon-Like Peptide 1 Receptor (GLP-1R, GLP1R) 19

Effects of GLP1R activation on pancreatic -cells Cassandra Koole et al. Biochm. Soc. Trans. 2013;41:172-179 20

GLP-1 vs Dipeptidyl peptidase 4 (DPP-4) 21

Comparing antihyperglycemic agents Relative A1C lowering Change in body weight Overall risk of hypoglycemia Cost DPP-4 inhibitor Neutral to Rare $$$ GLP-1 receptor agonists to Rare $$$$ Insulin Yes $-$$$$ Meglitinides Yes $$ Sulfonylureas Yes $ CDA 2013 Clinical Practice Guidelines 22

DPP-4 substrates regulate many biological function http://care.diabetesjournals.org Diabetes Care 2014; 37(10): 2884-2894. 23

The GLP1R agonists currently available & in development 24

Effects of SA & LA GLP-1 on regulation of plasma glucose levels 25

Small-molecule agonists of GLP1R Exp Diabetes Res. 2012;2012:709893. / Acta Pharmacol Sin. 2012 Feb;33(2):148-54. / Cassandra Koole et al. Biochm. Soc. Trans. 2013;41:172-179 / WO2011/122815 26

Small-molecule agonists of GLP1R Positive Allosteric Modulation of the GLP1R by Diverse Electrophiles J Biol Chem. 2016; 291(20):10700-15. 27

Small-molecule agonists of GLP1R 28

GLP1R Structure & GLP1 Binding Site Second extracellular loop of human glucagon-like peptide-1 receptor (GLP-1R) has a critical role in GLP-1 peptide binding and receptor activation. J. Biol. Chem. 2012, 287;3642 3658 Biosci Rep. 2016 Feb; 36(1): e00285. 29

Aims Identification of potent & specific small-molecule agonists of GLP1R for treatment of type 2 diabetes 30

How to identify novel GLP1R agonists? 31

HTS assays for identification of GPCR modulators Current Chemical Genomics, 2010, 4, 84-91 32

HTS assays for identification of GPCR modulators The amplified luminescence assay (AlphaScreen) Time-resolved fluorescence resonance energy transfer (TR-FRET) Nature Reviews Drug Discovery 3, 125-135 33

HTS assays for identification of GPCR modulators G alpha 15 and G alpha 16 couple a wide variety of receptors to phospholipase C J Biol Chem. 1995 ;270(25):15175-80. 34

Establishment of a cell-based HTS assays for identification of GLP1R agonist I - I - I - I - I - I - I- I I - - PKA camp I - I - I - I - ATP I - CFTR YFP Gs AC 35

Establishment of a cell-based HTS assays for identification of GLP1R agonist A kda 75 50 Calu-3-GLP1R- CFTR-YFP cell GLP1R B Calu-3-GLP1R- CFTR-YFP cell 250 CFTR (C-band) 150 CFTR (B-band) C 36

In House HTS Facilities Cell culture room Fluorescence Microplate reader Microplate dispenser FACS Q-TOF, NMR, LC/MS, HPLC Microplate sealer Chemical library ~110,000 compounds Robotic liquid handler IncuCyte ZOOM Confocal microscope 37

HTS Assay Procedure 38

26 hits Strategy for the identification of specific GLP1R agonists Primary screening with ~60,000 compounds Second screening / CFTR assay 9 hits Dose response analysis of 9 hits 3 novel potent & selective agonists of GLP1R 39

YFP fluorescence 20% Representative traces of YFP fluorescence & HTS summary A I - B non-active compounds activators 2 s Time forskolin 40

Effect of hit compounds on GLP1R-mediated activation of CFTR in the Calu-3 cells 41

Effect of hit compounds on GLP1R-mediated activation of CFTR in the Calu-3 cells 42

YFP fluorescence (%) Effect of GLP1R agonists on CFTR activity in CHO-CFTR cells not expressing GLP1R 105 100 95 90 85 80 75 70 65 I - 0 2 4 6 8 Time (s) Exendin-4 (10 um) Compound B (30 um) Quercetin (30 um) Gract-1 (30 um) Gract-2 (30 um) Gract-3 (30 um) Forskolin (10 um) Control 43

Effect of Exendin-4 & GRacts on intracellular camp levels in GLP1R expressing Calu-3 cells 44

Effect of GLP1R agonists on GLP1R-mediated CFTR activation in CHO-CFTR-GLP1R cells 45

HTS results in CHO-CFTR-GLP1R-YFP cells 46

YFP fluorescence (%) YFP fluorescence (%) Effect of GLP1R agonists on GLP1R-mediated CFTR activation in CHO-CFTR-GLP1R cells CHO_CFTR_GLP1R CHO_CFTR 105 100 95 90 85 80 75 I - Hit-1 control 3 µm 10 µm Cmpd B (20 µm) 30 µm Forskolin (10 µm) 50 µm 100 95 90 85 80 75 I - Hit-1 (30 um) Cmpd B (30 um) En-4 (0.2 um) control Forskolin (10 um) 70 0 2 4 6 8 Time (s) 70 0 2 4 6 8 Time (s) 47

In human GLP1R (hglp1r) expressing cells, compounds 2 and B induced camp production but caused no intracellular Ca 2+ accumulation, ERK phosphorylation or hglp1r internalisation. PLoS One. 2016; 11(4): e0154229. 48

Fluo-4 fluorescence 5% Effect of GLP1R agonist on [Ca 2+ ] i in CHO-CFTR-GLP1R cells ATP En-4 Hit-1 Cmpd B 0 10 20 30 40 50 60 70 80 90 Time (s) 49

Increase of insulin secretion (ratio) Increase of insulin secretion (ratio) Effect of GLP1R agonist on insulin secretion in MIN6 cells Low Glucose High Glucose 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 vehicle En-4 10 nm Cmpd B 20 um Hit-1 30 um Hit-1 50 um 2.2 2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 vehicle En-4 10 nm Cmpd B 20 um Hit-1 30 um Hit-1 50 um 50

Summary High-throughput screening of ~110,000 compounds yielded 3 novel agonists (1 class) of GLP1R. Hit-1 showed GLP1R-mediated CFTR activation in a dosedependent manner in CHO-K1 cells expressing CFTR & GLP1R. Hit-1 induced intracellular calcium increase in CHO-K1 cells expressing CFTR & GLP1R. Hit-1 increased insulin secretion in MIN6 cells. Hit-1 may be a good starting material for the development of small-molecule GLP1R agonist. 51

Acknowledgment Lab members Collaborators Yonsei University, College of Pharmacy Prof. Gyoonhee Han, Prof. Yun-Hee Lee, NRF-2015R1D1A1A01057695 52

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