Vol. 100, No. 3,1981
BIOCHEMICAL
AND
BIOPHYSICAL
RESEARCH
COMMUNICATIONS Pages 1377-1383
June 16, 1981
PHOSPHORYLATION AND ANTI-LEISHMANIAL
ACTIVITY
OF FORMYCIN B
DENNIS A. CARSON KWANG-PO0 CHANG Department of Clinical Research Scripps Clinic and Research Foundation 10666 North Torrey Pines Road La Jolla, California 92037 Laboratory of Parasitology The Rockefeller University New York, New York 10021
Received
May 6,
1981 SUMMARY
The inosine analog formycin B (l-10 uM) inhibited the in vitro growth of Leishmania promastigotes and amastigotes. When administered to Syrian hamsters infected with Leishmania donovani, formycin B (10 mg qd X 5) decreased by greater than 90% the number of liver amastigotes, with a concomitant reduction in hepatosplenomeqaly. Both extracts and intact cells of Leishmania, unlike mammalian cells, effectively phosphorylated formycin B. The resultinq form.ycin B monophosphate inhibited dose-dependently the conversion-of IMP to adenylosuccinate in parasite extracts. This effect may be related to the potent anti-leishmanial activity of formycin B. The inosine
analog
allopurinol
ribonucleoside,
ribofuranosylpyrazolo(3,4-d)pyrimidine) vitro
growth
of the
and intracellular -al
also
hosts, that
showed
that
contained converted
(3).
the
of several of Leishmania
Leishmania
an unusual allopurinol
Subsequent
was found
promastigotes amastigotes
with
resulting
reported infection
inhibition
whether
or not
unlike
to the
that of growth
allopurinol
in vitro
Nelson
their
mammalian
ribonucleoside
nucleotide
incorporated It is
et -
(EC 2.7.1.77)
5'-monophosphate
(l-4).
(l),
(2).
yielded
were
the -in species
phosphotransferase
and phosphorylation
of 4-aminopyrazolo(3,4-d)pyrimidine
inhibit
leishmanial
parasites,
nucleoside
to
donovani --
ribonucleoside
amination
(4-hydroxy-l-B-D-
derivative derivatives
into
RNA,
has not
been
effective
in Leishmania
--in vivo.
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0006-291X/81/111377-07$01.00/0 Copyright 0 1981 by Academic Press, Inc. All rights of reproduction in any form reserved.
Vol. lOO,No.3,1981
BIOCHEMICAL
Formycin
analog
by mammalian
inhibits
inosine
of
in mammalian
is rather
low.
In mice,
when
injected
present
--in vitro
growth
converted
the
was a potent ligase
Growth
of
COMMUNICATIONS
nucleoside
Leishmania
formycin
the
in vivo
6 competitively diphosphoribose
toxicity
of the
compound
B was estimated
dose,
nor
and greater
than
to be 200 mg/kg
(8).
to
we show that promastigotes
formycin
in parasite
therapeutically
formycin
synthetase extracts.
active
B inhibits
and amastigotes.
B monophosphate.
of adenylosuccinate
EC 6.3.4.4)
donovani
phosphorylated
and polyadenosine
as a single
Leishmania
B was also
Leishmania
RESEARCH
neither
LD50 of formycin
experiments,
inhibitor
(GDP),
formycin
of
(6)
the
qd X 10 days
is
Although
cells,
when injected
In the
that
(5,6).
phosphorolysis
(7)
mg/kg
inosine
cells
synthesis
1,000
BIOPHYSICAL
B (7-hydroxy-3-8-D-ribofuranosylpyrazolo(4,3-d)pyrimidine)
is a C-nucleoside cleaved
AND
The parasites
The latter (IMP:
with
compound,
L-aspartate
In a preliminary
in hamsters
the
trial,
established
infection.
MATERIALS AND METHODS Promastigotes and Amastigotes
Promastigotes 04 Leishmania donovani and Leishmania mexicana were obtained and grown at 27 C in a semi-defined medium defined medium (10) with-modifications (11). Parasites in late610g phase were resuspended in fresh medium at an average density of 10 ml, either supplemented or not with formycin B. After three days, the number of viable parasites was determined under a microscope in a hemocytometer. Amastigotes of Leishmania mexicana were grown 'in the J77468-mouse macrophage-cell line in RPM1 1640 medium SUDDlemented with 20% heat inactivated fetal bovine serum, exactly as described previously (12). The number of cells and parasites per cell, and the percent infected cells were determined as described after three days incubation with formycin B at various concentrations (12). Treatment
of
Hamsters
Infected
with
Leishmania
donovani
Six 85 gram, month old, male Syrian golden hamsters each received lo8 Leishmania donovani amastigotes by intracardiac inoculation. Treatment began two weeks later. Formycin B was dissolved in distilled water at a concentration of 10 mg/ml and sterilized by ultrafiltration. Three mice received 1 ml formycin B in water administered ip qd X 5; control mice received water only. One day after stopping treatment, all mice were sacrificed and the spleens gnd livers were removed and weighed. The number of amastigotes per 10 liver cells was determined by microscopic counts of Giemsa stained impression smears.
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8iOCHEMICAL
AND
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RESEARCH
COMMUNICATIONS
Enzyme Assays Washed pellets (10' cells) of Leishmania mexicana or Leishmania donovani promastigotes were suspended in 1 ml of distilled water and lysed by sonication. After clarification of the extracts by centrifugation (20,000 g, 1 hour), low molecular weight materials were removed by Sephadex G-25 chromatography in water. Nucleoside phosphotransferase activity in the extracts was determined as described by Nelson -et -3 al using 100 mM p-nitrophenyl phosphate as the phosphate donor, 2.5 mM formycin B or inosine as the acceptor, and 10 ug Leishmania extract in a total volume of 50 ul of 100 mM sodium acetate phm The products were isolated by high performance liquid chromatography (HPLC) on a Partisil 10 SAX column (Whatman, Maidstone, Kent) eluted with 7 mM potassium phosphate pH 3.6 at a flow rate of 1.5 ml/minute. Formycin B monophosphate and IMP eluted at 20 and 18.5 minutes respectively, and were well separated from other ultraviolet absorbing peaks. The nucleotides were identified by comparison of their retention volumes with authentic standards, and by the ratio of absorbance at 280 nm/254 nm. Viable Leishmania mexicana promastigotes were also treated with 100 pM formycin B for 24 hours. After washing and extraction, formycin B monophosphate levels were determined by HPLC. Adenylosuccinate synthetase activity in Leishmania extracts was determined by the method of Lieberman, using 100 mM glycine pH 8 contaiydng 10 mM magnesium, 200 fan IMP or formycin B monophosphate, 20 l.nn IUCl-L-aspartate (specific activity 233 mCi/mmole, New England Nuclear, Boston, MA.), and 140 ug protein either with or without 100 p GTP in a total volume of 100 pl (13). After 15 and 30 minutes at 37 C, the incubations were terminated in a boiling water bath, and radioactive reactants and products were separated by HPLC in 0.125M K&, 0.068M potassium phosphate, pH 3.5 at a flow rate of 1.5 ml/minute; [ Cl-adenylosuccinate eluted at 20 minutes. Product formation averaged 75 pmols/hr/mg protein, and was linear with time up to 30 minutes, and with protein concentration. Reagents Formycin B was obtained from Calbiochem (La Jolla, CA). monophosphate was prepared from formycin A monophosphate by the action of adenylate deaminase (Sigma, St. Louis) by HPLC.
Formycin B (Calbiochem) and was purified
RESULTS Effects
of
Formycin
B on In Vitro
Growth
of
Leishmania
One m formycin B inhibited the proliferation of Leishmania donovani and Leishmania mexicana promastigotes by 85%, and Leishmania mexicana amastigotes in macrophages by 52% (Table 1). The drug at this concentration was primarily leishmanistatic , since the non-growing parasites remained viable. One um formycin 8 had no effect on the growth of murine 577468 macrophages. Ten ldn formycin B showed leishmanicidal activity against intracellular amastigotes, with a 30% decrease in the growth rate of the host macrophages. Effects
of Formycin
B on In Vivo
Infection
Formycin B, 10 mg ip qd X 5, markedly decreased the number of amastigotes in the livers of Leishmania donovani infected hamsters, with an accompanying reduction in hepatosplenomegaly, when compared to control animals (Table 2 and Figure 1).
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Vol. 100, No. 3,198l
BIOCHEMICAL
TABLE 1: A.
EFFECT
AND
OF FORMYCIN
BIOPHYSICAL
RESEARCH
B UPON THE GROWTH
OF LEISHMANIA
COMMUNICATIONS
IN VITRO
Promastigotes Treatment
Percent
Control
Parasites
L. donovani
8.
L. mexicana
100(14.8x106/ml)
None
at 72 hours
lOO( 14.8x106/ml)
Formycin
B, 1~
14 + la
16 + 2
Formycin
B, 1Ofl
13 + 1
11 + 1
Amastigotes
of L. mexicana
in 577468 Mouse Macrophaqes Percent Infected
C”:lloy
Treatment None
Parasites Infected
per Cell
Parasits No. x 10
5.0 -+ 1.3a
35 2 5
5.9 + 0.8
1.12 + 0.1
Fortnycin
B, lug
5.0 + 0.6
18 + 6
5.5 + 1.4
0.48 + 0.17
Formycin
B, 1Ofl
3.5 + 0.4
11 + 2
2.2 + 0.5
0.09 + 0.03
aS.E,M.,
Formation
n=3
of Formycin
B Monophosphate
Leishmania promastigotes incubated with formycin B (100 ~ni) for 24 hours accumulated 2.76 Fmoles/mg protein formycin B monophosphate, as determined by HPLC. No formycin A monophosphate was detected. Similarly, in the presence of p-nitrophenyl phosphate, but not in its absence, Leishmania extracts effectively phosphorylated formycin B (0.75 mmoles/hr/mg protein). The glycosidic bond of formycin B was not cleaved detectably by Leishmania extracts. Inhibition
of Adenylosuccinate
Synthetase
In the presence ofl@TP, and [14C]-L-aspartate, converted IMP to [ Cl-adenylosuccinate.
TABLE 2:
by Formycin Product
B Monophosphate
extracts of formation
Leishmania was entirely
EFFECT OF FORMYCIN B ON LEISHMANIA DONOVAN1 INFECTION IN HAMSTERS
Hamster
Treatment
Liver weight (gm)
Spleen weight (gm)
+astigotes per, 10 liver nuclei
:
Control
5.54 7.24
0.78 0.47
1,710 2,394
8.28
0.80
1,316
3.46
0.14
264
3.81 3.34
0.18 0.28
220 0
3 4 z 'Giemsa
Formycin ip, stained
B, 10 mg qd x 5 impression
smears (microscopic
1380
counts).
Vol. 100, No. 3,198l
Figure
1:
BIOCHEMICAL
AND
Photograph of spleens treated with formycin (right side).
BIOPHYSICAL
RESEARCH
COMMUNICATIONS
removed from C. donovani infected hamsters 6 (left side) as compared to controls
GTP dependent, consistent with the described properties of an adenylosuccinate synthetase (13). Since radiolabelled formycin B was not available, we could not determine unequivocally the metabolism of formycin B monophosphate. Nevertheless, if formycin B monophosphate was substituted for IMP in no new radioactive peaks were the adenylosuccinate synthetase reaction, detected by HPLC. Instead, the addition of formycin B monophosphate to IMP containing reaction mixtures dose dependently inhibited adenylosuccinate formation (Figure 2). At an IMP concentration of 200 W, 2Ol.1771formycin B monophosphate inhibited product formation by 50%. In other experiments, formycin B monophosphate inhibited similarly the adenylosuccinate synthetase activity in extracts of Bacillus subtilis. DISCUSSION Formycin B inhibited the in vitro growth of Leishmania promastigotes and amastigotes at concentrations that were non-toxic to mammalian cells. The drug also was effective in treating established Leishmania donovani infections in hamsters. Formycin B was phosphorylated by intact parasites, in contrast to mammalian cells. The probable enzyme mediating the phosphorylation was the recently described nucleoside phosphotransferase of Leishmania, since p-nitrophenyl phosphate served as an efficient phosphate donor in the reaction (3).
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Vol. 100, No. 3,19Bl
BIOCHEMICAL
AND
BIOPHYSICAL
RESEARCH
COMMUNICATIONS
100 5 2 0 :E 36 E s4 E E2 a. Pl 0
Figure
2:
2
20 200 FormycinB Monophosphate,PM
Inhibition of adenylosuccinate synthetase in a C. mexicana et&t-act by formycin B monophosphate. Percent controlactivity= 1 Cl-L-aspartate incorporatpd into adenylosuccinate with formycin B monophosphate 4 1 Cl-L-aspartate incorporated without formycin B monophosphate x 100. The IMP concentration was 200 pM. The brackets show the range of two experiments.
Formycin B monophosphate inhibited the conversion of IMP to adenylosuccinate in Leishmania extracts, but was not itself a detectable substrate for the Moreover, the inhibition of adenylosuccinate synthetase parasite enzyme. activity by formycin B monophosphate was not unique to the Leishmania, but was also observed in extracts of Bacillus subtilis. The results suggest that the selective toxicity of formycin B toward Leishmania results from the phosphorylation and trapping of the nucleoside by the parasite, but not the host cells. This route of metabolism of formycin B is shared in common with allopurinol ribonucleoside. However, the mechanism of action of formycin B monophosphate differs markedly Thus, formycin B monophosphate is from allopurinol ribonucleotide. a potent inhibitor of Leishmania adenylosuccinate synthetase activity; in contrast, allopurinol ribonucleotide is a substrate, and indeed requires amination to exert its biological activity. Konigk (14) reported inhibition of inosine nucleosidase and adenosine phosphorylase of C. tropica by formycin B, but the inhibitory effect was marginal at very high drug concentrations. It is unlikely that this effect contributes to the anti-leishmanial activity of the drug. In summary, the in viva anti-leishmanial with its distinctive effects on nucleotide detailed investigation of its therapeutic action.
activity of formycin B, combined metabolism, warrants further potential and mechanism of
Acknowledgements: Supported by NIH grants GM 23200, AI 15183, U.N. Development Programme, World Bank-World Health Organization Program for Research and Training in Tropical Diseases Contract and by an Irma T. Hirsch1 Career Scientist Award (To KPC).
by the Special 780040,
REFERENCES
1. 2.
Berens, R.L., Marr, J.J., Nelson, D.J., and LaFon, S.W. (1980) Biochem. Pharm. 29,2397-2398. R.L. (1977) J. Infect. Dis. 136,724-730. Marr, J.J., and Berens,
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3. 4. 5. 6. 7. 8. 9. if:
::: 14.
BIOCHEMICAL
AND
BIOPHYSICAL
RESEARCH
COMMUNICATIONS
Nelson, D.J., LaFon, S.W., Tuttle, J.V., Miller, W.H., Miller, R.L., Krenitsky, T.A., Elion, G.B., Berens, R.L., and Marr, J.J. (1979) J. Biol. Chem. 254,11544-11549. Nelson, D. J., Bugge, C.J.L., Elion, G.B., Berens, R.L., and Marr, J.J. (1979) J. Biol. Chem. 254,3959-3964. Umezawa, H. Sawa, T., Fukagawa, Y., Hommo, I., Ishizuka, M. and Takeuchi, T. (1967) J. Antibiotics (Tokyo) 20,308-316. Sheen, M.R., Kim, B.K., and Parks, R.E. (1968) Mol. Pharmacol. 4,293299. Muller, M., Zahn, R.K., and Umezawa, H. (1975) Cant. Res. 35,36733681. Ishizuka, M., Sawa, T., Hori, S., Takazama, H., Takeuchi, T., and Umezawa, H. (1968) J. Antibiotics (Tokyo) 21,5-12. Chang, K.P. (1979) Exp. Parasitol. 48,175-189. Steiger, R.F. and Steiger, E. (1977) J. Parasitol. 62,1010-1011. Chang, K.P. and Fish, W.R. (1981) In --In Vitro cultivation of protozoa pathogenic to man and domestic animals, Ed. J.B. Jensen, CRC Press, Florida (In Press). Chang, K.P. (1980) Science 209,1240-1242. Lieberman, I. (1956) J. Biol. Chem. 223,327-339. Konigk, E. (1978) Tropenmed. Parasit. 29,435-438.
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