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The Investigational Drug VT-1129 Is a Highly Potent Inhibitor of Cryptococcus Species CYP51 but Only Weakly Inhibits the Human Enzyme

Andrew Warrilow, Josie Parker, Claire Price Orcid Logo, W. David Nes, Edward P. Garvey, William J. Hoekstra, Robert J. Schotzinger, Diane Kelly, Steven Kelly

Antimicrobial Agents and Chemotherapy, Volume: 60, Issue: 8, Pages: 4530 - 4538

Swansea University Authors: Andrew Warrilow, Josie Parker, Claire Price Orcid Logo, Diane Kelly, Steven Kelly

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DOI (Published version): 10.1128/aac.00349-16

Abstract

Cryptococcosis is a life-threatening disease often associated with HIV infection. Three Cryptococcus species CYP51 enzymes were purified and catalyzed the 14α-demethylation of lanosterol, eburicol, and obtusifoliol. The investigational agent VT-1129 bound tightly to all three CYP51 proteins (dissoci...

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Published in: Antimicrobial Agents and Chemotherapy
ISSN: 0066-4804 1098-6596
Published: American Society for Microbiology 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa64805
Abstract: Cryptococcosis is a life-threatening disease often associated with HIV infection. Three Cryptococcus species CYP51 enzymes were purified and catalyzed the 14α-demethylation of lanosterol, eburicol, and obtusifoliol. The investigational agent VT-1129 bound tightly to all three CYP51 proteins (dissociation constant [Kd] range, 14 to 25 nM) with affinities similar to those of fluconazole, voriconazole, itraconazole, clotrimazole, and ketoconazole (Kd range, 4 to 52 nM), whereas VT-1129 bound weakly to human CYP51 (Kd, 4.53 μM). VT-1129 was as effective as conventional triazole antifungal drugs at inhibiting cryptococcal CYP51 activity (50% inhibitory concentration [IC50] range, 0.14 to 0.20 μM), while it only weakly inhibited human CYP51 activity (IC50, ∼600 μM). Furthermore, VT-1129 weakly inhibited human CYP2C9, CYP2C19, and CYP3A4, suggesting a low drug-drug interaction potential. Finally, the cellular mode of action for VT-1129 was confirmed to be CYP51 inhibition, resulting in the depletion of ergosterol and ergosta-7-enol and the accumulation of eburicol, obtusifolione, and lanosterol/obtusifoliol in the cell membranes.
Keywords: Cryptococcosis, Cryptococcus, CYP51 enzymes, VT-1129
College: Faculty of Medicine, Health and Life Sciences
Funders: This work was supported in part by the European Regional Development Fund/Welsh Government funded BEACON research program (Swansea University), the National Science Foundation of the United States (grant NSF-MCB-09020212 awarded to W. David Nes, Texas Tech University), and Viamet Pharmaceuticals, Inc. (Durham, NC, USA).
Issue: 8
Start Page: 4530
End Page: 4538