Phytochemicals as multi-target inhibitors of the inflammatory pathway- A modeling and experimental study

Phytochemicals as multi-target inhibitors of the inflammatory pathway- A modeling and experimental study

Accepted Manuscript Phytochemicals as multi-target inhibitors of the inflammatory pathway- A modeling and experimental study Nisha S. Devi, Meera Rama...

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Accepted Manuscript Phytochemicals as multi-target inhibitors of the inflammatory pathway- A modeling and experimental study Nisha S. Devi, Meera Ramanan, Padmapriya Paragi-Vedanthi, Mukesh Doble PII:

S0006-291X(17)30071-2

DOI:

10.1016/j.bbrc.2017.01.046

Reference:

YBBRC 37108

To appear in:

Biochemical and Biophysical Research Communications

Received Date: 22 November 2016 Revised Date:

8 January 2017

Accepted Date: 10 January 2017

Please cite this article as: N.S. Devi, M. Ramanan, P. Paragi-Vedanthi, M. Doble, Phytochemicals as multi-target inhibitors of the inflammatory pathway- A modeling and experimental study, Biochemical and Biophysical Research Communications (2017), doi: 10.1016/j.bbrc.2017.01.046. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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ACCEPTED MANUSCRIPT

Phytochemicals as multi-target inhibitors of the inflammatory pathway- A modeling and experimental study Nisha S. Devi#, Meera Ramanan#, Padmapriya Paragi-Vedanthi, Mukesh Doble*

of Technology, Madras, Tamil Nadu, 600036, India. #

Both authors contributed equally.

*Email ID: [email protected]

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Bhupat&Jyoti Mehta School of Biosciences, Department of Biotechnology, Indian Institute

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Keywords: Inflammation; 5-Lipoxygenase; Microsomal Prostaglandin E2 Synthase 1;

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Pharmacophore; Multitarget drugs

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ACCEPTED MANUSCRIPT Abstract The arachidonic acid pathway consists of several enzymes and targeting them is favored for developing antiinflammatory drugs. However, till date the current drugs are generally active against a single target, leading to undesirable side-effects. Phytochemicals are known to inhibit multiple targets simultaneously and hence, an

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attempt is made here to investigate their suitability. A pharmacophore based study is performed with three sets of reported phytochemicals namely, dual 5-LOX/mPGES1, alkaloids and FLAP inhibitors. The analysis

indicated that phenylpropanoids (including ferulic acid) and benzoic acids derivatives, and berberine mapped onto these pharmacophores with three hydrophobic centroids and an acceptor feature. 2,4,5-trimethoxy (7) and

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3,4-dimethoxy cinnamic acids (8) mapped onto all the three pharmacophores. Experimental studies indicated that berberine inhibited 5-LOX and PGE2 production by 72.2 and 72.0 % and ferulic acid by 74.3 and 54.4 %

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respectively. This approach offers a promising theoretical combined with experimental strategy for designing novel molecules against inflammatory enzymes. Abbreviations:

LT: Leukotriene; PG: Prostaglandin;5-LOX: 5-Lipoxygenase;COX: Cyclooxygenase;FLAP: 5-Lipoxygenase

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Activating Protein;PGE2: Prostaglandin E2;mPGES1: microsomal Prostaglandin E Synthase 1; NF-kB: Nuclear Factor-κ-light chain enhancer of activated B cells; STAT-3: Signal Transducer and Activator of Transcription 3.

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The arachidonic acid pathway is responsible for the production of the inflammatory mediators, leukotrienes (LT) and prostaglandins (PG), via the lipoxygenase (LOX) and cyclooxygenase (COX) and

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pathways respectively. The LTs are synthesized mainly by the inflammatory cells including granulocytes, monocytes and mast cells and are responsible for the pathogenesis of asthma allergy and rheumatoid arthritis1-3. However, drugs targeting the enzymes in this pathway namely, 5-lipoxygenase (5LOX), are yet to enter the market. The only drug developed against this enzyme, Zileuton, is withdrawn in 2008 due to hepatotoxicity but still the extended release formulation of it is available in the market4. Several inhibitors for 5-lipoxyganase activating protein (FLAP), a helper protein of the leukotriene pathway, are under clinical trials but none have entered the market till date5. The prostaglandins are synthesized on being stimulated by injury or under the influence of proinflammatory cytokines and other stimuli1. They have been implicated in the development of both acute and

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ACCEPTED MANUSCRIPT chronic inflammation and the most notable among them is prostaglandin E2 (PGE2), which is also involved in the progression of several cancers 6. Many of the drugs developed till date, including the non-steroidal antiinflammatory drugs (NSAIDs) and COX-2 inhibitors (Coxibs) which target COX-1/2 enzymes have been

associated with gastric toxicity and cardiovascular complications 7, 8. Hence, targeting microsomal prostaglandin E synthase1 (mPGES1) downstream of these two enzymes, for specifically inhibiting the production of PGE2 is

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being touted as a promising strategy for development of anti-inflammatory drugs 9.

Although the anti-inflammatory drugs, both currently available and under development, are mostly active against a single enzyme, studies have shown that inhibiting a single pathway results in the shunting of the

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substrate arachidonic acid to the other one, thus negating the therapeutic intervention 10. This has lead to interest in the development of dual inhibitors against 5-LOX/mPGES1 and COX/LOX 11. Studies have showed that for

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multi-factorial diseases such as inflammation, drugs active on multiple targets have better efficiency and safety profiles. Experimental studies have shown that 5-LOX/mPGES1 dual inhibitors such as a pirinixic acid derivative reduce vascular remodeling in a murine model of aortic aneurysm without significantly inhibiting COX1/212. Licofelone, a multi-targeted inhibitor which inhibits COX-1, mPGES1 and FLAP has completed Phase III clinical trials for arthritis treatment 13.

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Phytochemicals (such as curcumin) have been shown to have multi-targeted action against COX-1, 5LOX and mPGES1 and signaling molecules such as NF-κB, stat-3 and P53 14-26(Supplementary table 1). Natural products are capable of interacting with a wide range of biological macromolecules, occupy a diverse chemical

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space and exhibit better drug-like properties when compared to synthetic molecules, making them a promising resource for identification of leads molecules for drug development 27, 28. A study by David J. Newman (2012)

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found that in the period ranging from 1940s to 2010, of the 175 small molecules approved for cancer treatment, about half of them were either phytochemicals or their direct derivatives 29. More than 60% of the drugs in the market are derived from natural compounds 30.This points to the importance of these molecules as excellent sources for identifying novel scaffolds and leads for drug development. Several phytochemicals have been shown to have anti-inflammatory properties and have been in use for a long time in traditional medicines 31. Flavonoids such as quercetin have been shown to inhibit both acute and chronic phases of inflammation in rats 32. They purportedly act by downregulating the expressions and activities of the enzymes involved in the synthesis of inflammatory mediators such as nitric oxide, prostaglandins and leukotrienes 33. Dietary polyphenols have also been shown to attenuate atherosclerosis by

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ACCEPTED MANUSCRIPT alleviating inflammation in mouse models of atherosclerosis 34. These findings suggest the possibility of utilising the chemical diversity of phytochemicals and their reported anti-inflammatory action in the design of multi-target drugs against inflammation. The important functional features of a biomolecule are represented by a pharmacophore which is a set

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of features including hydrogen bond donors, acceptors, hydrophobic and aromatic centers that identify their properties necessary for the ligand-enzyme interaction. Pharmacophore studies provide an insight on the

structural and chemical properties shared by active molecules and can be a powerful tool for zeroing in on

potential inhibitors. In the current study, this approach is used to identify phytochemicals which may serve as

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starting scaffolds for development of dual or multi-target inhibitors against these enzymes/proteins involved in inflammation. The possible candidates identified by this study are experimentally tested against the two

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enzymes, 5-LOX andmPGES1.The pharmacophore based approach for identifying leads coupled with experimental studies hold the promise of developing molecules which can exert a multi-pronged influence towards treating inflammation. Materials and Methods

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All the phytochemicals were purchased from Sigma-Aldrich and Sisco Research Laboratories (SRL, Mumbai, India). HeLa cells were purchased from NCCS (Pune, India) and maintained in Dulbecco’s Minimal Essential Medium (DMEM) at 37°C with 5% CO2. The PGE2-EIA kit was obtained from Cayman chemicals (# 514010, Ann Arbor, MI). The leucocyte concentrates for the 5-LOX enzyme assay were obtained from healthy

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human volunteers with the necessary ethical clearance.

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The overall scheme of this work has been outlined in Fig 1. More detailed information is given in supplementary section.

Pharmacophore elucidation of inhibitors of inflammatory enzymes The pharmacophoric features of a group of molecules are derived using the ‘Pharmacophore

elucidation’ module of Molecular Operating Environment (MOE) 2015.2001 software (Chemical Computing Group, Quebec, Canada).

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ACCEPTED MANUSCRIPT Docking of hit molecules with inflammatory enzymes The representative hit molecules identified from the pharmacophore search were docked to the active sites of 5-LOX, mPGES1 and FLAP using Goldsuite 5.2.

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Extraction of 5-LOX protein from human blood: 5-LOX is isolated from the leukocyte concentrates (Buffy coats) of healthy human donors obtained from blood bank (Voluntary Health Services, Chennai) following the approved procedure after obtaining the necessary ethical clearance. The enzyme activity was determined following a standard protocol 50, 51.

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Estimation of PGE2 production:

The inhibition of the prostaglandin synthesis pathway was detected by measuring the amount of

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the COX-2/mPGES1 product, prostaglandin E2 (PGE2), as previously described 52.

Results and Discussion

Several phytochemicals have been shown to be active against chronic inflammatory diseases including rheumatoid arthritis and inflammatory bowel disease53.They have also been found to aid in the

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prevention and treatment of inflammation associated with malignancies such as colorectal cancer54. The identification of their target could shed light on the mechanism by which they exert their anti-inflammatory effects. For this study, we have chosen a range of phenylpropanoids, benzoic acids and alkaloids present as

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active components in several medicinal plants with previously documented anti-inflammatory activity. We have attempted to deduce the action of natural products on pro-inflammatory enzymes using both

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computational and experimental strategies and explore their potential as the starting structure for the development of multi-target anti-inflammatory drugs.

Pharmacophore elucidation

The elucidation of pharmacophoric features common to a set of enzyme inhibitors provides

important information regarding the features essential for their interaction. In an attempt to study the features common to anti-inflammatory molecules across different targets, we collected phytochemicals belonging to three structurally diverse groups: phenolic 5-LOX/mPGES1 dual inhibitors, alkaloids with known anti-inflammatory functions and FLAP inhibitors (Supplementary fig 2).

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ACCEPTED MANUSCRIPT Five phenolic phytochemicals which are known to have the 5-LOX/mPGES1 dual inhibitory activity were selected, namely, arzanol, garcinol, embelin, curcumin and trans-resveratrol (Supplementary fig 1A)14, 35-38. Arzanol has a phloroglucinylpyrone ring while Garcinol consists of polyprenylated chain

and is used in traditional medicine for the treatment of inflammation. Embelin has a benzoquinone moiety and a lipophilic tail and curcumin consists of a lipophilic linker and multiple phenolic groups and is a

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mainstay in the Indian traditional medicine system of Ayurveda against inflammation. Trans-resveratrol is a phenol which has a good anti-oxidant activity and is a prominent anti-inflammatory agent in folk medicine. A four-point pharmacophore (Ph-dual) elucidated from these five compounds has three

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hydrophobic centroids (Hyd) and one projected hydrogen bond acceptor (Acc2) (Fig 2A). This Ph-dual was set as a query against an in-house conformational database of natural products (mainly phenylpropanoids, benzoic acids and alkaloids) derived from active components of medicinal plants

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(Supplementary fig 2). It was found that eight compounds, consisting of phenylpropanoids including 2,4,5trimethoxy cinnamic acid (7) and benzoic acids such as 2,3-dimethoxy benzoic acid (2),map onto this pharmacophore.

Since alkaloids are an important constituent in phytochemicals having anti-inflammatory properties,

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studying their common pharmacophore features will aid in the design of novel drugs. The second set of known anti-inflammatory alkaloid phytochemicals selected includes stylopine, glaucine, boldine and tylophorine (Supplementary fig 1B) 39-42. The salient structural features of the pharmacophore thus derived (Ph-alk) (Fig 2B)

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consists of fused aromatic and heterocyclic rings and presence of nitrogen as part of the ring. Stylopine is reported to inhibit several inflammatory molecules namely COX-2, PGE2, NO, iNOS and inflammatory

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cytokines such as TNFα, IL-1β and IL-6. Glaucine is a potent inhibitor of phosphodiesterase-4 and is used in the treatment of asthma in traditional medicine. Boldine reduces the levels of TNFα, NF-κb and IL-6 while tylophorine is a phenanthraindolizidine with significant inhibition of the pro-inflammatory molecules IL-6, TNFα, IFNγ, NO. Hence these set of alkaloids exhibits their anti-inflammatory activity through different mechanisms. The elucidated pharmacophore (Ph-alk) (Fig 2B) for these compounds was found to consist of three hydrophobic centroids and one projected acceptor. In a pharmacophore search of our previously mentioned natural products database (Supplementary fig 2), berberine (17), ferulic acid (12) and other phenylpropanoids were found to share these pharmacophoric features.

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ACCEPTED MANUSCRIPT FLAP is a carrier protein for 5-LOX, which makes it an important drug target and could be a site of action for multi-target drugs. A 4-point pharmacophore elucidated from eight reported FLAP inhibitors (Ph-FLAP)43-48(Supplementary fig 1C) including indole-sulphur compounds and quinolones (Fig 2C) consisted of three hydrophobic centroids and one projected acceptor. Ph-FLAP was able to identify

berberine (17), a few phenylpropanoids and benzoic acid derivatives from the database to possess the same

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pharmacophoric features.

A comparison of Ph-dual, Ph-alk and Ph-FLAP(Fig 4) indicated that the three hydrophobic

centroid groups (F1, F2 and F3)are approximately at the same distance from one another, namely, the

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distances between F1-F2, F2-F3 and F3-F1 ranged between 2.2-3.3, 3.2-3.4 and 5.2-5.7 respectively. 2,4,5trimethoxy cinnamic acid (7) and 3,4-dimethoxy cinnamic acid(8) were found to possess all the three pharmacophores. Berberine (17) mapped onto Ph-alk and Ph-FLAP; 2,3-dimethoxy benzoic acid (2)and

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2,5-dimethoxy benzoic acid (3) onto Ph-dual and Ph-FLAP and methyl eugenol (14) onto Ph-dual and Phalk. The structures of these phytochemicals were overlapped with the pharmacophores to determine the groups that contributed to these structural features (Fig 3). The common groups contributing to the hydrophobic centroids features could be attributed to three specific groups in the case of 2,4,5-trimethoxy (7) and 3,4-dimethoxy cinnamic acid (8). These included the C=C present in the propionic acid tail, the

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benzene ring and the –CH3 group of the methoxy tail. The projected acceptor group is contributed by the phenolic oxygen of the propionic acid tail. In the case of berberine, the hydrophobic moieties are the tetracyclic skeleton while the acceptor feature is the oxygen atom in the azapentacyclo ring. The presence

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of three hydrophobic centroid features appears to be crucial for the anti-inflammatory activity and hence could be an important factor for designing novel drugs for this ailment. Based on these pharmacophore

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searches, a group of nine phenyl propanoids, six benzoic acid derivatives, alkaloids and other diverse phytochemicals were shortlisted for in vitro testing of inhibition of 5-LOX activity and PGE2 production. The importance of these hydrophobic centroids in aiding the interaction of the compounds with the active site residues of the inflammatory enzymes was revealed by the docking analysis. Molecular docking of ligand with enzyme is used to study the binding interactions and the preferred pose of the ligand in the binding with the enzyme using various conformational search algorithms. In our case, 2,4,5- trimethoxy cinnamic acid was selected as the representative molecule since it mapped onto all the three pharmacophores and for docking studies against 5-LOX, FLAP and mPGES1 (Supplementary fig 3). The analysis revealed extensive Van der waals interactions with the hydrophobic amino acids of the 5-LOX

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ACCEPTED MANUSCRIPT proteinnamelyPhe610, Leu607 and Val604 (Supplementary fig 3A). The compound also showed hydrophobic interactions with the residues such as Tyr112, Ile113 and Phe114 in FLAP protein (Supplementary fig 3B). Interaction of this compound with the hydrophobic residues such as Gly35 and Leu39 present in mPGES1 was also observed (Supplementary fig 3C). The hydrophobic centroids identified in the pharmacophore search appear to be crucial for the interaction with the various

Inhibition of 5-LOX and COX-2/mPGES1 by phytochemicals

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hydrophobic aminoacids that lines the active site of these inflammatory proteins.

Eugenol, ferulic acid and cinnamic acid inhibited 5-LOX by 86.5±0.6%, 74.4±4.2% and

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66.6±2.6% respectively at a concentration of 100 µ M (Fig 4). The alkaloid, berberine, also showed a high inhibition (72.2±3.5%) while flavonoid, quercetin, showed an inhibition of 55.2±2.4%. Of the benzoic acid derivatives tested, 4-hydroxy 3-methoxy benzoic acid (vanillic acid) showed the maximum inhibition

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(50.3±5.2%) of 5-LOX.

4-hydroxy 3-methoxy benzoic acid (vanillic acid) at a concentration of 50 µ Mshowed the maximum inhibition of PGE2 production(87.1±3.5%). Among the phenylpropanoids, 3,4dimethoxycinnamic acid exhibited the highest inhibition (86.7±11.3%). The alkaloid, berberine, was inhibited by 71.9±5.1% while the flavonoid quercetin was inhibited by 84.1±6.6%. Potent mPGES1

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inhibitors including MK886 are shown to be ineffective in in vivo systems due to their plasma binding tendency(in vitro IC50- 1.6 µM; ~ 20% inhibition for 100 µM in whole blood) whereas our approach of inhibiting PGE2 in vivo in HeLa cells appear to be a better strategy to a priori address the above mentioned

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problem.

An elevated level of PGE2 is observed under inflammatory conditions and it functions by binding

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to four EP receptors (EP1-4) and amplifying the inflammatory signals 55. It is also associated with the development of cancer as it participates in metastasis and angiogenesis. COX-2 and mPGES1 are found to be functionally coupled in the synthesis of PGE2, thus favoring the progression of inflammation 56.Thus, inhibiting PGE2 promises to attenuate inflammation and indeed, has been shown to halt the progression of leukaemia and a decrease of anti-apoptotic markers57. The above results indicate that compounds such as 2,4,5-trimethoxy cinnamic acid, berberine, vanillic acid and quercetin inhibit 5-LOX as well as the enzymes that are involved in the production of PGE2, namely, COX and mPGES1. The phenylpropanoid 2,4,5-cinnamic acid which mapped onto all 3 pharmacophores viz, Ph-dual, Ph-alk and Ph-FLAP, also showed good activity against 5-LOX (47.6%) and PGE2 production (79.9%).

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ACCEPTED MANUSCRIPT Another phenylpropanoid, methyl eugenol, which mapped onto two pharmacophores, namely, Ph-dual and Ph-

alk, also inhibit 5-LOX (49.5%) and PGE2 production (78.3% resp.).The alkaloid, berberine which mapped onto Ph-alk and Ph-FLAP also exhibited significant inhibition of 5-LOX activity (72.19%) as well as PGE2 production (71.88%). Two benzoic acid derivatives, namely, 2,3- and 2,5-dimethoxy benzoic acid which possessed the pharmacophoric features of Ph-dual and Ph-FLAP, exhibited moderate inhibition of 5-LOX

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activity (33.7 and 42.0% resp.) and PGE2 production (18.2 and 80.1 % resp.). These studies indicate that

phenylpropanoids and alkaloids have the pharmacophoric features necessary for efficient anti-inflammatory action which is further validatedfrom our experimental studies, hence suggesting the possibility of developing

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these molecules as a multi-target inhibitor of the arachidonic acid pathway.

Inflammation has a complex pathology characterized by the interplay of several inflammatory

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enzymes, cytokines and mediators. For such multi-factorial diseases, the strategy of targeting single enzymes may not lead to effective treatment of the underlying condition, as seen in the case of NSAIDs and coxibs with unwanted side effects. Since an anti-inflammatory drug with minimal side-effects remains a distant possibility, a multi-prongedtargeting of the enzymes in the inflammatory pathway seems to be need of the hour.In this regard, we have attempted to use a systematic approach involving theoretical and experimental strategy towards

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exploring the features of phytochemicals which may enable them to target several inflammatory enzymes such as 5-LOX, mPGES1 and FLAP simultaneously. Pharmacophore studies allowed us to identify chemical features which are prevalent in several reported anti-inflammatory molecules which target a range of protein/enzymes.

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This allowed us to rationally select phytochemicals to test against these inflammatory enzymes experimentally. The pharmacophore analysis showed that the inhibitors of 5-LOX, mPGES1 and FLAP had three hydrophobic

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centroid features and a projected acceptor. This information could be an useful guide while designing drugs active on multiple points of the inflammatory pathway. Further studies using other inflammatory enzymes could add meaningful insights into the present findings. Our studies showed that phenylpropanoids such as 2,4,5trimethoxy cinnamic acid and berberine are privileged structures which mapped onto multiple pharmacophores and also showed significant inhibition of 5-LOX and COX-2/mPGES1 activities, thus underlining their importance as starting structures for multi-target drugs.

Acknowledgement & Funding sources

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ACCEPTED MANUSCRIPT NSD acknowledges Council of Scientific and Industrial Research (CSIR) for the fellowship; MR and PPV acknowledge WOS-A, DST, India for the project funding and fellowship. Author contributions:

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MD conceived and supervised the study; NSD & MR designed & performed experiments; NSD & PV standardized 5-LOX extraction protocol; MD analyzed the data; NSD & MR wrote the manuscript which was revised by MD. References:

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Figure 1: Identification of multi-targeted anti-inflammatory molecules; Known anti-inflammatory compounds were used to derive three pharmacophores, viz, Ph-dual, Ph-alk and Ph-FLAP. The query molecules were searched for these pharmacophores and the hits documented. * represents hits molecules present in all the three pharmacophores; # represents those that are mapped onto Ph-dual and Ph-FLAP; ^ shows the compound present in both Ph-dual and Ph-alk; $ represents the molecules mapped onto Ph-alk and Ph-FLAP

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Figure 2: Positioning of the pharmacophoric features of A) Ph-dual B) Ph-alk C) Ph-FLAP as deduced by the pharmacophore elucidation module of MOE2015.1001; Hyd- Hydrophobic centroids & Acc2- Projected acceptor; The distances between the pharmacophores are given in A⁰.

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Figure 3: Structure of 2,4,5 trimethoxycinnamic acid mapped onto Ph-dual (A), Ph-alk (B) and Ph-FLAP (C); The hydrophobic centroids are depicted in blue spheres and the projected acceptor is shown as red sphere; denotes the element that has hydrophobic property and denotes the atom that possess acceptor property.

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Figure 4: Percentage inhibition of (a) 5-LOX extracted from PMNL by natural products at 100 µM concentration and (b) mPGES1 in HeLa cells by natural products at 50 µM concentration; Zileuton(2 µM- 90% inhibition for 5LOX) and Licofelone (6 µM- 55% inhibition for PGE2) are included as reference molecules; TA-Total activity of the enzyme in the absence of test compounds ( Highlights the three best compounds); Compounds 7&8 appear in all the three pharmacophores.

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Pharmacophores were elucidated using three sets of anti-inflammatory molecules. All pharmacophores had three hydrophobic centroids and a projected acceptor feature. Two methoxy derivatives of cinnamic acid mapped onto all the three pharmacophores. Berberine showed good inhibition of 5-LOX activity and PGE2 production.

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