William E.
Walkowicz
a,
Alberto
Fernández-Tejada
bc,
Constantine
George
d,
Francisco
Corzana
e,
Jesús
Jiménez-Barbero
cfg,
Govind
Ragupathi
*d,
Derek S.
Tan
*abh and
David Y.
Gin‡
abh
aLouis V. Gerstner, Jr. Graduate School of Biomedical Sciences, 1275 York Avenue, New York, NY 10065, USA
bChemical Biology Program, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA
cChemical & Physical Biology, Center for Biological Research, CIB-CSIC, 28040 Madrid, Spain
dMelanoma & Immunotherapeutics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA
eDepartment of Chemistry, University of La Rioja, 26006 Logroño, Spain
fStructural Biology, Center for Cooperative Research, CIC-bioGUNE, 48160 Derio-Bizkaia, Spain
gIkerbasque, Basque Foundation for Science, 48013 Bilbao, Spain
hTri-Institutional Research Program, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA. E-mail: tand@mskcc.org
First published on 15th January 2016
Immunological adjuvants such as the saponin natural product QS-21 help stimulate the immune response to co-administered antigens and have become increasingly important in the development of prophylactic and therapeutic vaccines. However, clinical use of QS-21 is encumbered by chemical instability, dose-limiting toxicity, and low-yielding purification from the natural source. Previous studies of structure–activity relationships in the four structural domains of QS-21 have led to simplified, chemically stable variants that retain potent adjuvant activity and low toxicity in mouse vaccination models. However, modification of the central glycosyl ester linkage has not yet been explored. Herein, we describe the design, synthesis, immunologic evaluation, and molecular dynamics analysis of a series of novel QS-21 variants with different linker lengths, stereochemistry, and flexibility to investigate the role of this linkage in saponin adjuvant activity and conformation. Despite relatively conservative structural modifications, these variants exhibit striking differences in in vivo adjuvant activity that correlate with specific conformational preferences. These results highlight the junction of the triterpene and linear oligosaccharide domains as playing a critical role in the immunoadjuvant activity of the Quillaja saponins and also suggest a mechanism of action involving interaction with a discrete macromolecular target, in contrast to the non-specific mechanisms of emulsion-based adjuvants.
Accordingly, immunological adjuvants that help stimulate the immune response to antigens with which they are co-administered2 have become critically important in the development of vaccines against infectious diseases, neurodegenerative disorders, and cancer.3 Immunoadjuvants can increase the effectiveness of vaccines that use poorly immunogenic antigens and enable dose-sparing of expensive or rare antigens. The current clinically-approved adjuvants alum,4 AS04,5 MF59,6 and AS037 are emulsions that stimulate an immune response through several pathways of the innate immune system, including non-specific sensors of inflammation6a (NLRP3 inflammasome) and pathogen-associated molecular patterns8 (e.g., monophosphoryl lipid A). Such adjuvants effectively stimulate antibody-mediated Th2-type immunity and have been used extensively since the discovery of the immunopotentiating properties of aluminum salts in 1926, in vaccines against toxins and viruses such as diphtheria–tetanus–pertussis, hepatitis B, and hepatitis A.4b More recently, emulsion-based adjuvants have been used in prophylactic vaccines against human papilloma virus9 as well as seasonal7 and pandemic10 influenza viruses. However, efforts to develop therapeutic and prophylactic vaccines for other diseases (cancer, HIV infection, malaria, herpes, tuberculosis) have achieved limited success, due in large part to poor antigen immunogenicity and insufficient cell-mediated Th1-type immune responses.1
The saponin natural product immunoadjuvant QS-21 potently stimulates both Th1 and Th2 responses and has been the experimental immunoadjuvant of choice for two decades.11 Isolated from the bark of the Quillaja saponaria Molina tree, QS-21 has shown promising results in dozens of vaccine clinical trials,12 including a recently reported breakthrough study on the prevention of childhood malaria in Africa.13 Unfortunately, QS-21 suffers from several liabilities including chemical instability at room temperature, which hinders vaccine deployment in the developing world,14 dose-limiting toxicity involving local erythema and inflammation as well as systematic flu-like symptoms,12,15 and low-yielding (0.001%) purification from the natural source,11a potentially complicated by metabolomic heterogeneity of Q. saponaria bark extracts.16 In addition, its mechanism of action remains poorly understood.17 To address these limitations, we have previously completed the first total synthesis18 of QS-21 and also developed a modular semisynthetic strategy from partially purified Q. saponaria extracts19 that has provided access to dozens of analogues, yielding key insights into saponin structure–activity relationships (SAR).
The structure of QS-21 (1) can be divided into four domains: a branched trisaccharide, a quillaic acid triterpene, a bridging linear oligosaccharide, and a pseudo-dimeric acyl chain (Fig. 1a). The primary constituents of natural QS-21 extracts are a ≈2:1 mixture of xylose (1a) and apiose (1b) isomers at the terminus of the linear oligosaccharide domain. We have previously found that simplified acyl chain variants retain in vivo adjuvant activity and exhibit reduced toxicity relative to the natural product.20 Subsequently, stepwise truncation of the right-hand bridging linear tetrasaccharide identified trisaccharide variant 2 (SQS-0-0-5-5) (Fig. 1b) as having an optimum balance of activity and synthetic accessibility, albeit with reemergence of toxicity.21 In recent work, carried out concurrently with this study, we discovered that the entire left-hand branched trisaccharide domain is dispensable for adjuvant activity and also investigated the importance of the C4-aldehyde and C16-hydroxyl substituents in the triterpene domain.22
Herein, we report our investigations of the most prominent unexplored structural feature of the Quillaja saponaria (QS) saponins, the central glycosyl ester linkage that connects the triterpene and the linear oligosaccharide domains. Based on the previously identified lead structure 2 (SQS-0-0-5-5),21 we synthesized a series of linkage variants to modulate the distance and orientation of the two domains. Construction of these variants in the context of the complex saponin structure proved challenging, requiring formation of sterically-encumbered glycosidic bonds without the aid of neighboring group participation. As a result, several of the linkages were formed using unconventional glycosylation promoters. In a preclinical mouse vaccination model, these linkage variants exhibited a remarkable range of adjuvant activities and toxicities, providing new insights into the structural requirements for adjuvant activity in the QS saponin class. Molecular dynamics simulations of these synthetic variants and the major natural product isomer QS-21-Api (1a) revealed distinctive conformational preferences that correlate with observed adjuvant activities.
Conversion of this sterically encumbered alcohol 15 to the corresponding thiol 16 also proved challenging. Tosylation or mesylation was sluggish and the resulting sulfonate derivatives were completely unreactive to thiol nucleophiles. Ultimately, we resorted to conversion of alcohol 15 to the corresponding triflate, which proved to be a competent electrophile for substitution with potassium thioacetate in the presence of 18-crown-6 ether. Treatment of the resulting thioacetate with hydrazine under reducing conditions (DTT) furnished the desired prosapogenin thiol 16 in excellent yield (83% over two steps).
In contrast, glycosylation of prosapogenin primary amide 14 required extensive optimization of reaction conditions to achieve anomeric selectivity. Ultimately, we found that use of a two-fold excess of the glycoside acceptor 14 favored formation of β-19 (2:1 to 4:1 β/α, 60–78% combined yield of separable anomers). Notably, the anomeric preference could be reversed to favor α-19 when a two-fold excess of the donor 17 was used (6:1 α/β, 71% combined yield). Unfortunately, while these anomers were separable, the β-glycosyl amide linkage in β-19 proved surprisingly acid-sensitive, and was cleaved under even mildly acidic conditions (e.g., SiO2, HF·pyr, AcOH). Despite considerable efforts, global deprotection could not be achieved due to competing cleavage of the glycosidic C–N bond under the reaction conditions (3:1 TFA/H2O) to reform the primary amide 14 and hemiacetal 17. In contrast, a corresponding β-glycosyl pivalamide model system25 was significantly more stable (SiO2), highlighting the complexities of working with the complete saponin scaffold. Unlike its β-anomer, the axially-disposed glycosyl amide in α-19 showed no observable acid lability, illustrating the significant changes in reactivity that may arise from minor structural perturbations of the central glycosidic linkage.
We next sought to prepare the glycosyl ether linkage in 21. To our surprise, repeated attempts at glycosylation of prosapogenin neopentyl alcohol 15 with the same trisaccharide hemiacetal donor 17 under dehydrative or Schmidt conditions gave no isolable glycosylation products. However, we found that the glycosylation could be effected smoothly with trisaccharide bromide donor 20 (prepared from hemiacetal 17 with oxalyl bromide, DMF) under the silver triflate-promoted Koenigs–Knorr reaction at low temperature to give the ether-linked intermediate 21 with >20:1 β/α selectivity.
The analogous reaction with neopentyl thiol 16 was precluded by the thiophilicity of silver. However, we found that the corresponding thiolate (NaH) rapidly displaced the bromide in trisaccharide donor 20 to give glycosyl thioether 22 with complete β-selectivity.
Fig. 2 Adjuvant activity of QS saponin linkage variants in a preclinical mouse vaccination model. (a) Anti-KLH (IgG), (b) anti-OVA (IgG), and (c) anti-MUC1 (IgG) antibody titers at 5 μg dose of each saponin variant. (d) Anti-KLH (IgG), (e) anti-OVA (IgG), and (f) anti-MUC1 (IgG) antibody titers at 20 μg dose of each saponin variant. See Fig. S1 and S2† for anti-GD3 antibody titers. α/β-Glycosyl carbamates α/β-4 were inactive at both doses (not shown). Median titer values represented as horizontal bars. Statistical significance compared to the no-adjuvant negative control assessed using unpaired Student's t-test with CI = 95%: *p ≤ 0.05, **p < 0.01, ***p < 0.001. |
Among the linker length variants, which feature longer distances between the triterpene and linear oligosaccharide domains, β-glycosyl ethanolamide 3 (SQS-0-4-5-5) and β-glycosyl carbamate β-4 (SQS-0-5-5-5), were inactive as adjuvants, inducing antibody titers against all four antigens that were not significantly higher than the no-adjuvant negative control.29 This marked decrease in adjuvant activity indicates that the central glycosidic linkage is less tolerant to modification than the other domains of the QS saponins.20–22 In contrast, the β-glycosyl thioester analogue 5 (SQS-0-13-5-5) showed overall efficacy equal to or greater than that of both SQS-21 (1a/1b) and the lead compound 2 (SQS-0-0-5-5) (Fig. 2). Dose-limiting toxicity was observed at the higher 20 μg dose (Fig. S3†), with two out of five mice in this cohort dying seven days after vaccination (Table S1†). However, no weight loss was observed at the 5 μg dose (Fig. S3†), at which the glycosyl thioester retained potent adjuvant activity. Among the stereoisomeric α-linked variants, the α-glycosyl ester 6 (SQS-0-0-8-5)30 and α-glycosyl carbamate α-4 (SQS-0-5-8-5) were also inactive as adjuvants with all four antigens. It is striking that a change in a single stereocenter (α-glycosyl ester 6vs. β-glycosyl ester 2) has such a dramatic effect upon the adjuvant activity of these large, complex molecules. Interestingly, replacement of the α-glycosyl ester in 6 with an α-glycosyl amide in 7 (SQS-0-6-8-5) restored adjuvant activity against KLH and MUC1 at the 5 μg dose, and against all four antigens at the 20 μg dose. However, acute toxicity emerged at both doses (Fig. S3†), with one out of five mice in each cohort dying within a week of vaccination (Table S1†).
Along these lines, the β-glycosyl ether variant 8 (SQS-0-12-5-5) and β-glycosyl thioether variant 9 (SQS-0-14-5-5), in which the lack of the carbonyl group compared to β-glycosyl ester 2 and β-glycosyl thioester 5, respectively, affords increased conformational flexibility between the triterpene and linear oligosaccharide domains, exhibited intermediate adjuvant efficacy, with little or no activity observed at the 5 μg dose but significant activity against KLH, OVA, and MUC1 at the 20 μg dose. Both variants exhibited negligible toxicity at both doses (Fig. S3†). The increased conformational flexibility in the linkage between the triterpene and linear oligosaccharide domains may provide a molecular rationale for this attenuated activity (vide infra).
One of the limitations of the natural product QS-21 is the chemical instability of the esters in the acyl chain domain in aqueous solution, which is also associated with its toxicity.20 Although β-glycosyl thioester 5 does not contain these labile esters, we assessed potential chemical instability at other sites, such as the glycosyl thioester linkage, using a reported accelerated stability assay,31 designed to mimic suboptimal storage conditions in the developing world. While incubation of QS-21 at 37 °C in phosphate buffered saline (pH 7.0) results in degradation to 90% purity in 1.2 days (t90),31 β-glycosyl thioester 5 exhibited no measurable degradation (HPLC, 1H-NMR, data not shown) over seven days under these conditions.
Strikingly, the central linkage variants exhibited clear conformational differences that correlated with relative adjuvant activity (Fig. 3). In general, the most potent saponins adopted a conformation in which the acyl chain (gray) was folded back over the triterpene core (green), between the branched trisaccharide (magenta) and linear oligosaccharide (orange) domains. The local conformation about the central linkage and extent of folding were characterized quantitatively in two ways, by measuring the torsional angles about the central linkage (i.e.: C17 of the triterpene core to C1 of the bridging monosaccharide of the linear oligosaccharide domain), and by determining the mean distances between the centroid of triterpene B-ring and two points on the saponin: the ε position of the acyl chain and the centroid of the bridging monosaccharide (see also Fig. S4†). The central linkage torsional angles for active saponins QS-21-Api (1a), β-glycosyl ester 2, and β-glycosyl thioester 5 were strikingly similar and clustered tightly, effectively defining the position and orientation of the bridging monosaccharide with its β-face approximately perpendicular to the rear edge of the triterpene (Fig. 3 and S5†). This orientation places the acyl chain where it can be folded over the triterpene. This folded conformation was most clearly observed in the two most active synthetic saponins, β-glycosyl ester 2 and β-glycosyl thioester 5. Notably, the most highly populated conformations of the parent natural product QS-21-Api (1a) also featured a similar orientation of the bridging monosaccharide and presentation of the acyl chain relative to the triterpene and flanking oligosaccharides. In contrast, the central linkage torsional angles and acyl chain exhibited less organized and considerably different relative orientations in the other saponin variants, with the acyl chain being folded over the triterpene to a much lesser degree in attenuated adjuvants (α-glycosyl amide 7, β-glycosyl ether 8, β-glycosyl thioether 9) and directed away from the triterpene in the inactive saponins (β-glycosyl ethanolamide 3 and α-glycosyl ester 6). Furthermore, in the most active adjuvants, the linear oligosaccharide domain (orange) was oriented away from the center of the triterpene in an extended orientation, as illustrated by β-glycosyl thioester 5, as well as β-glycosyl ester 2 and QS-21-Api (1a). In contrast, attenuated and inactive adjuvants such as β-glycosyl ether 8, β-glycosyl thioether 9, β-glycosyl ethanolamide 3, and α-glycosyl ester 6 showed a distinct orientation for the linear oligosaccharide domain, which was more disorganized and folded towards the triterpene. Torsional angle distributions for all other glycosidic linkages were generally consistent with those observed in QS-21,32a independent of adjuvant activity (Fig. S6–S8†).
Fig. 3 Ensembles obtained from unrestrained 200 ns molecular dynamics simulations of QS-21-Api (1a) and saponin variants 2, 3, and 5–9. The rmsd (Å) for heavy atoms relative to average structure, key distance constraints (Å), and three-dimensional plots of torsional angle distributions (C17–C28, ψ, φ, arbitrary scale†) about the central glycosidic linker are shown. QS saponin structural domains are color-coded: branched trisaccharide (magenta), triterpene (green), linear trisaccharide (orange), acyl chain (gray), terminal sugars (QS-21 only: cyan, red). In the three-dimensional plots, torsional angle distributions are shown in blue and projections onto each plane are shown in gray. Active adjuvants exhibit distinctive and tightly-clustered torsional angle distributions about the central glycosidic linkage and comparatively shorter distances between the centroid of the triterpene B-ring and the centroid of the bridging monosaccharide (A, blue) as well as between the centroid of the triterpene B-ring and the acyl chain ε-position (B, red). See Fig. S4–S8† for additional details. |
The molecular dynamic simulations above provided saponin conformations that were predictive of adjuvant activity. However, to assess potential conformational effects of other less abundant cations or localization at the cell membrane, which has been postulated to be the site of action for these saponins, we also performed molecular dynamic simulations of QS-21-Api (1a), active β-glycosyl ester 2, and inactive α-glycosyl ester 6 in which the Na+ counterion was replaced with K+ or Mg2+ (Fig. S9†), or in more hydrophobic trifluoroethanol solvent (Fig. S10†). The active saponins 1a and 2 exhibited similar overall conformations under all of these conditions, distinct from those of the inactive saponin 6.
Moreover, in the molecular dynamics simulations, these active variants adopted the narrowest range of conformations, exhibiting relatively rigid structures that are similar to the most heavily populated conformation calculated for the natural product QS-21-Api (1a). This raises the possibility of a preferred ‘active conformation’ for these potent adjuvants. Furthermore, increased conformational flexibility about the central glycosidic linkage in β-glycosyl ether 8 and β-glycosyl thioether 9 provides attenuated variants that adopt a wider range of conformations that are distinct from the proposed folded ‘active conformation’. Thus, these molecular dynamics simulations have provided important insights into the conformational features of QS saponins that correlate with adjuvant activity, which may aid in the design of new analogues in the future.
We have previously shown that adjuvant-active fluorescent and radiolabeled QS saponin variants, but not structurally-similar inactive congeners, are internalized into antigen presenting cells in vitro21,22 and accumulate in the draining lymph nodes in vivo.22 These results, together with the correlation between three-dimensional structure and adjuvant activity observed herein, are consistent with the hypothesis that QS saponins may interact with a discrete molecular target as the basis for their adjuvant activity, in contrast to emulsion-based immunoadjuvants that are known to act through more general immunostimulatory processes.6
In conclusion, we have designed and synthesized a series of QS saponin variants to explore the effect of structural variations of the central glycosidic linkage on adjuvant activity, and have studied the implications of such modifications on saponin conformation by molecular dynamics simulations. Although the chemical complexity of these systems presented several synthetic challenges, we were able to access a number of analogues to probe the effects of linker distance, stereochemistry, and conformational flexibility upon in vivo adjuvant activity and toxicity. In the context of the overall saponin structure, these relatively conservative modifications led to striking differences in adjuvant activity, highlighting the junction of the triterpene and linear oligosaccharide domain as playing a critical role in the biological activity of the QS saponins. Notably, these minor structural perturbations also led to distinct conformational preferences in molecular dynamics simulations, providing a possible molecular rationale for the divergent adjuvant activities observed. In addition, β-glycosyl thioester analogue 5 (SQS-0-13-5-5) showed particularly potent adjuvant activity compared to SQS-21, the parent lead compound (β-glycosyl ester 2, SQS-0-0-5-5), and all other linkage variants tested. In the future, it will be of interest to investigate further modifications of the central linker carbonyl (e.g., oxetane, cyclopropyl) and to develop tailored QS-21 variants that combine this thioester linkage modification with deletion of the left-hand branched trisaccharide domain, removal of which has recently been shown to reduce toxicity in vivo without impairing adjuvant activity.22 Moreover, molecular dynamics evaluation of the conformational features of other previously synthesized QS variants would provide further structural correlations that may enable the use of such computational simulations as a predictive platform for analogue design. Finally, the pronounced SAR established in this work is suggestive of interaction with a defined molecular receptor, setting the stage for additional studies to identify possible molecular targets of these promising immunoadjuvants.
Footnotes |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/c5sc02978c |
‡ Deceased March 22, 2011. |
This journal is © The Royal Society of Chemistry 2016 |