Open Access Article
Skye B.
Brettell
a,
Gillian
Cann
c,
Abbey
Begen
c,
Saumya
Sharma
c,
Amit
Mahindra
a,
Lauren V.
Carruthers
c,
Graeme
Milligan
b,
David J.
Clarke
d,
Andrew B.
Tobin
b and
Andrew G.
Jamieson
*a
aSchool of Chemistry, The Advanced Research Centre, University of Glasgow, 11 Chapel Lane, Glasgow G11 6EW, UK. E-mail: andrew.jamieson.2@glasgow.ac.uk
bCentre for Translational Pharmacology, The Advanced Research Centre, University of Glasgow, 11 Chapel Lane, G11 6EW, UK
cKeltic Pharma Therapeutics, The Advanced Research Centre, University of Glasgow, 11 Chapel Lane, G11 6EW, UK
dEaSTCHEM School of Chemistry, University of Edinburgh, Joseph Black Building, David, Brewster Road, Edinburgh, EH9 3FJ, UK
First published on 27th May 2025
Malaria continues to devastate tropical regions of the world, with resistance to frontline drugs on the rise. Kinase inhibition has emerged as a promising novel mechanism of action in the fight against malaria. We previously reported the development of TCMDC-135051 (1), a highly potent, multi-stage inhibitor of Plasmodium falciparum CLK3 (PfCLK3). Building on this work, we subsequently developed the first covalent kinase inhibitor for malaria, selectively targeting a unique cysteine residue. Despite their high potency and selectivity, covalent inhibitors that target cysteine residues are particularly vulnerable to resistance arising from single point mutations of the nucleophilic residue. This work presents a novel strategy targeting the essential kinase catalytic lysine residue which has the potential to evade this resistance mechanism. Using structure based drug design, analogues of TCMDC-135051 (1) targeting Lys394 of PfCLK3 were developed. Four compounds, all harbouring benzaldehyde-based warheads, covalently engaged Lys394 as determined by protein mass spectrometry. These analogues were highly potent against recombinant protein, with good parasiticidal potency and cytotoxicity profiles. These molecules 4, 5, 8, 9 are the first lysine-targeting covalent inhibitors reported for malaria and offer a promising general strategy for future antimalarial drug discovery.
000 deaths annually.1 In 2023, 76% of these deaths were of children under 5. With each novel therapeutic or insecticide comes new resistant strains of Plasmodium falciparum (P. falciparum), limiting therapeutic efficacy.2 After the development of chloroquine in 1934, resistance was first detected in in 1957.3 After sulfadoxine-pyrimethamine combination treatment was introduced in 1967 to replace chloroquine, resistance was detected later that year.4 A similar story is true of other frontline treatments such as proguanil and mefloquine.5,6 The release of artemisinin in the 1980 and 1990s brought new hope of eradication, and a rapid reduction in malaria cases and mortality.7 However, by 2008 strains of P. falciparum resistant to artemisinin were detected in Cambodia.8 Since then this resistance has spread to parts of Africa.9 The efficacy of artemisinin combination therapy (ACT) has now been compromised, threatening the progress that has been made in the last 20 years. The WHO's aspirational target of malaria eradication by 2030 is now highly unlikely to be met.1
Novel therapeutics with new mechanisms of action are therefore required to combat these resistant strains. We have validated an essential P. falciparum kinase PfCLK3 as a novel drug target using our tool inhibitor TCMDC-135051 (1).10 Inhibition of PfCLK3 could prove a therapeutic strategy to deliver a transmission blocking, prophylactic and curative agent.11 In an effort to improve the potency and selectivity of TCMDC-135051 (1), we have since developed a covalent kinase inhibitor targeting a cysteine not conserved across the human kinome.12 This compound showed improved potency, duration of action and selectivity relative to TCMDC-135051 (1), validating our strategy of developing a covalent inhibitor of this kinase.
Acquired resistance towards cysteine-targeting covalent inhibitors by single-point Cys to Ser mutations have been observed in the field of oncology, however.13–17 For this reason, several covalent inhibitors targeting other residues are currently in pre-clinical development.18 Kinase inhibitors in particular have been developed targeting the catalytic lysine of the ATP binding site.19 This residue is conserved across all protein kinases, and is involved in the phospho-transfer from ATP to the substrate.20 In 2017, Dalton et al. demonstrated for the first time that the catalytic lysine of PI3Kδ could be selectively targeted with amine-reactive covalent inhibitors.21 Since then, multiple kinase drug targets have been inhibited using this approach.18,19 This strategy should be unsusceptible to single-point mutations of the nucleophile, evading resistance by this mechanism. In this way inhibitors that operate via covalent modification of the catalytic lysine of protein kinases could categorised as “irresistible”. We therefore propose this as a strategy worthwhile investigating in the field of malaria.
As a first step in testing this hypothesis, we aimed to determine if it were possible to generate covalent inhibitors targeting the catalytic lysine of the essential protein kinase, PfCLK3 (Lys394). In this work, several inhibitors were designed based on a scaffold of TCMDC-135051 (1). Some of which, 4, 5, 8 and 9, showed excellent biochemical potency, and covalent adduct formation via protein mass spectrometry. Inhibitors maintained moderate parasiticidal potency from this change of mechanism. These results demonstrate, for the first time, that the catalytic lysine of PfCLK3 can be targeted by covalent inhibitors.
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| Fig. 1 a, Previously published co-crystal structure of TCMDC-135051 in PfCLK3 (PDB: 8RPC); b, structures of TCMDC-135051, compound 2 and 3; c, and d, molecular docking of compounds 2 and 3 respectively in the co-crystal structure. | ||
Sulfonyl fluorides can prove unstable to hydrolysis and to human metabolism however.27 We therefore sought to diversify our library of potential covalent inhibitors by replacing the benzoic acid with a range of more stable warheads. Salicylic aldehydes have been reported in the literature to covalently bind globulins, kinases and regulator proteins. Voxelotor was approved to treat sickle cell disease in 2019.28 It uses a salicylic aldehyde to form a reversible Schiff-base linkage to the N-terminal valine of mutant haemoglobin.29 More recently, Chen et al. used this warhead to form the stabilised imine with Lys271 of BCR-ABL kinase, producing a cell active, selective inhibitor.24 Two regioisomers (compounds 4 and 5, Fig. 2) were therefore designed, maintaining the optimal substitution found in the azaindole inhibitors of BCR-ABL. Taunton and coworkers showed both para- and meta-substituted salicylic aldehydes could covalently bind >95 kinases in Jurkat cells, thus compounds 6 and 7 were designed.30 Irreversible ethynyl benzaldehyde-based inhibitors 8 and 9 were also designed, inspired by the work of Chen et al. who developed ethynyl benzaldehyde covalent inhibitors of BCR-ABL, EGFR and Mcl-1.31 These reactive groups first form an imine with the catalytic lysine, followed by a tandem cyclisation event with the alkyne to form an irreversible pyridinium adduct. In this work by Chen et al., ethynyl benzaldehyde inhibitors showed superior potency to those harbouring salicylic aldehydes. Vinyl sulfonamides have also demonstrated promising reactivity with lysine residues, while acrylamides, which share the geometric features of sulfonamide warheads, offer the added advantage of improved metabolic stability.19,32,33 Sulfonamides 10–11 and acrylamides 12–13 were therefore designed. Molecular docking of all analogues was attempted, however limitations of the software meant these warheads were not compatible with the covalent molecular docking tool in MOE. This highlights limitations that are often encountered using current molecular docking capabilities with covalent inhibitors.
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| Fig. 2 Designed covalent inhibitors 4–13 featuring salicylic aldehyde, ethynyl benzaldehyde, vinyl sulfone and acrylamide warheads. | ||
Synthesis of compounds 2, 4, 6, 8 and 11 was achieved using the previously published synthesis of TCMDC-135051 to obtain common intermediate 30 (Scheme 2).11 Tosylation of commercially available 4-bromoazaindole 25 produced azaindole 26 in 98% yield. Selective iodination of the indole C-2 position was achieved through directed metalation to provide iodide 27, which was obtained 70% yield. Suzuki–Miyaura cross-coupling of the iodo-azaindole with 5-formyl-2-methoxyphenyl boronic acid gave aldehyde 28. Reductive amination installed the diethylamine in 85% yield. Indole deprotection in basic conditions afforded NH-indole 30 in 60% yield. Late-stage diversification using a series of Suzuki–Miyaura cross-couplings yielded final molecules 2, 4, 6 and 8. Aniline 31 was also obtained via this method. Standard conditions used for the installation of the benzoic acid of TCMDC-135051 were used in every case except analogue 2, whereby the equivalents of base was reduced, and potassium phosphate was used instead of sodium carbonate. This was to reduce the hydrolysis of the sulfonyl fluoride, which was observed using standard conditions. Treatment of 31 with acryloyl chloride and triethylamine yielded acrylamide 11. The vinyl sulfonamide 10 proved unstable to silica gel chromatography, and was not isolated. It should also be noted that while all final compounds were purified using reverse phase column chromatography, compounds 2 and 8 did not tolerate eluents spiked with 0.1% TFA, and 0.1% acetic acid was used instead. The weaker acid successfully limited hydrolysis and decomposition. All final compounds were obtained in 25–51% yield in purity >95%.
For the synthesis of the 3,5-substituted azaindoles 3, 5, 7, 9 and 13, a similar synthetic route was followed (Scheme 3). Tosylation of 5-bromo-azaindole served to ease the purification of subsequent compounds, rather than facilitating halogenation as with the 2,4-regioisomers. Suzuki–Miyaura cross-coupling to provide aldehyde 34 and subsequent reductive amination gave diethylamine 35 in 68% and 99% yields respectively. The tosyl group was then removed and the 3-position was brominated using N-bromo-succinimide. Bromination did not proceed when the tosyl group was present. Bromide 37 was obtained in poor yield due to its highly polar nature making purification challenging. Compounds 3, 5, 7, 9 and 38 were then obtained under similar conditions used for compounds 2, 4, 6, 8 and 31, with the key modification being the use of XPhos Pd G2 as the catalyst. This change was made after poor conversion was observed using Pd(dppf)Cl2·CH2Cl2. Acrylamide 13 was then obtained through acetylation of amine 38.
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5 protein to compound ratio and analysed for covalent adduct formation using ESI TOF. While salicylic aldehydes 4 and 5 and ethynyl benzaldehydes 8 and 9 showed covalent adduct formation, all others yielded the mass of apo protein only. Compounds 4 and 5 showed partial covalent bond formation (32–60% modification) consistent with reversible covalent adduct formation.24 These modified species had a mass consistent with imine formation. Compounds 8 and 9 yielded a fully modified species at 43
957 Da, which can be attributed to the mass of the apo protein + the mass of the pyridinium product adduct. A minor mass (20–25%) of 44
378 Da was also detected, consistent with a doubly modified PfCLK3 kinase domain. This implies that cross reactivity with non-catalytic lysine residues is possible using the ethynyl benzaldehyde functionality, although a minor product.
PfCLK3 pretreated with either compound 4 or 9 was then digested with trypsin, and the resulting tryptic peptides analysed by tandem mass spectrometry (Fig. 4d and e). This subset of compounds sampled azaindole regioisomers as well as both aldehyde warheads used. For salicylic aldehyde 4, spectrometry analysis determined that Lys394 was the predominant site of modification, and this was confirmed by tandem MS. However, possible modification of a peptide containing Lys494 and Lys503 was also observed. This is a curious result, as a secondary adduct was not observed in the intact spectrum. Lys503 is distal from the ATP binding site, whereas Lys494 lies at its entrance. Adduct formation may be occurring with Lys494 as 4 approaches the binding-site.
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| Fig. 4 a, Lysine interacting moiety of compounds 4 and 6, docked into PfCLK3 (PDB: 8RPC) and overlayed. b, Proposed mechanism of 4's covalent reaction with Lys394, and the inability of 6 to react.24 | ||
For the tryptic digest of the PfCLK3-9 adduct, a pyridinium modification was observed in peptides containing both the target Lys394, and Lys373. This is consistent with the intact mass spectrum, which detected a doubly modified species in ∼20% abundance versus the singly modified protein. Similar to the results of 4, Lys373 also lies at the entrance of the ATP binding site, and may be forming an adduct as the ethynyl benzaldehyde warhead enters the catalytic pocket. Overall, aldehydes 4 and 9 were successful in covalently binding PfCLK3 with relatively good selectivity for Lys394.
An interesting observation was that only those compounds functionalised with an aldehyde at the meta-position (compounds 4, 5, 8 and 9) formed a covalent adduct with PfCLK3. Those featuring a para-substituted aldehyde (compounds 6 and 7) were unable to covalently bind the protein. Rationalising this experimental data, we theorise that compounds 6 and 7 are unable to be attacked by Lys394 from the necessary Bürgi–Dunitz angle for nucleophilic attack of a carbonyl, and therefore unable to form the imine (Fig. 4c). Looking at compounds 4 and 6 docked reversibly into PfCLK3 (Fig. 4A), compound 6 (orange) is predicted to form a hydrogen bond with Lys394, whereas compound 4 (green) does not, appearing to be too far away. This is consistent with experimental data from our previous work, which showed that a regioisomer of TCMDC-135051, where the carboxylic acid and isopropyl group were swapped, was inactive, implying a meta-substituted carbonyl is unable to interact with Lys394.11 Were compound 6 to form this hydrogen bond, this would restrict rotation of the C–C benzaldehyde bond, preventing the presentation of the carbonyl carbon towards Lys394 at a 107° angle. Compound 4 would have no such restriction, and could thus form the imine. This logic may equally apply to compounds 5, 7, 8 and 9.
Compounds which formed covalent bonds with PfCLK3 were then tested in the same assay using an increased concentration of ATP (3 mM) rather than the Km for PfCLK3 (5 μM). This was designed to emulate physiological concentrations of ATP in the parasite. Our previous work has shown this to be predictive of parasiticidal activity.12 Kinase activity at 3 mM ATP was obtained for covalent compounds 4, 5, 8 and 9. All compounds lost significant potency in these assays (Fig. S1†). This is hypothesised to be explained by the disruption of the key carboxylic acid-Lys394 reversible interaction of TCMDC-135051 (1). Covalent binding is a two-step process, a reversible binding event (measured by the dissociation constant koff/kon) followed by nucleophilic attack (measured by the rate constant kinact) once the electrophile is placed in proximity to the nucleophile.18 It is therefore hypothesised that at physiological ATP concentrations, kon for 4, 5, 8 and 9 is reduced due to the absence of the carboxylic acid-Lys394 salt bridge, and the covalent reaction cannot occur.
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| Fig. 6 Parasiticidal potency of covalent compounds against Pf3D7 parasites. Errors given as standard deviations, N ≥ 3. | ||
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| Fig. 7 Selectivity of compounds 1, S1, 4, 5, 8 and 9 against hCLK2 and cytotoxicity against HepG2 cells. Errors given as standard deviations, N ≥ 3. | ||
Cytotoxicity was assessed in HepG2 cells to complement the selectivity evaluations (Fig. 7). All compounds showed comparable cytotoxicity (pCC50 values of 4.90–5.57) to that of the parent compound TCMDC-135051 (5.56). This could suggest a similar kinome and proteome-wide selectivity to that of TCMDC-135051. This is gratifying in the development of covalent inhibitors, implying no additional toxic off-target effects are observed. Enhancing selectivity further requires improvement of the reversible interactions of the scaffold with PfCLK3 relative to off-targets. A significant drug discovery effort is currently underway to achieve this.
From the parasiticidal potency of these compounds, it is clear that the benzoic acid-Lys394 interaction is key for reversible binding of TCMDC-135051 (1), and the covalent molecules disrupt this. As covalent binding is a two-step process, involving reversible binding (ki) followed by a covalent binding event (kinact), the ki of these compounds at higher ATP concentrations must be optimised to facilitate kinact and therefore overall potency. By improving the reversible binding of the scaffold such that the potency is less reliant on the ionic interaction with Lys394, covalent bod formation should be facilitated in parasite. This work presents proof-of-concept molecules that covalently bind to and inhibit PfCLK3 at [ATP] = Km concentrations.
This strategy may be of use against other malarial kinases, all of which harbour catalytic lysine residues. MMV390048 for instance, which reached phase II clinical trials, features a methylsulfonylphenyl group which is believed to interact with the catalytic Lys1308 of PfPI4K.39 Substitution with a sulfonyl fluoride or an aldehyde-based warhead, as in this current work, may prove an effective strategy. Covalently engaging the catalytic residue may evade future resistance to clinical candidate MMV390048, which showed a high propensity for resistance in drug pressure studies.40,41
In conclusion, this study validates the strategy of covalent inhibition of PfCLK3 by targeting catalytic Lys394, demonstrating its potential as a novel approach for malaria drug discovery. By leveraging the appropriate scaffold, this inhibitor class could enable the development of new therapeutics against this essential kinase. Furthermore, this covalent inhibition strategy may extend to other malarial kinases that possess catalytic lysine residues. Engaging the catalytic lysine covalently may also reduce the likelihood of resistance emerging. Our work represents the first reported lysine-targeting covalent inhibitor for malaria, laying the foundation for future advancements in this field.
Footnote |
| † Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d5md00335k |
| This journal is © The Royal Society of Chemistry 2025 |