Tuning isoform selectivity and bortezomib sensitivity with a new class of alkenyl indene PDI inhibitor

Reeder M Robinson1, Leticia Reyes1, Ravyn M Duncan1

  • 1Department of Cell and Molecular Pharmacology & Experimental Therapeutics, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.

Insights

New indene compounds targeting protein disulfide isomerase (PDI) show promise for treating multiple myeloma. These PDI inhibitors enhance proteasome inhibitor efficacy, inducing cancer cell death and overcoming drug resistance.

Area of Science:

  • Biochemistry
  • Medicinal Chemistry
  • Oncology

Background:

  • Protein disulfide isomerase (PDI) is a key target in cancer therapy.
  • PDI inhibitors show potential in inducing apoptosis and overcoming drug resistance, but clinical development is pending.
  • Previous research identified E64FC26 as a potent pan-PDI inhibitor enhancing proteasome inhibitor effects in multiple myeloma (MM).

Purpose of the Study:

  • To synthesize and characterize a novel library of indene-based PDI inhibitors.
  • To establish structure-activity relationships (SAR) for indene compounds in potentiating proteasome inhibitors.
  • To validate PDI as a therapeutic target in MM, both as a single agent and in combination therapy.

Main Methods:

  • Novel nucleophilic aromatic ring cyclization and dehydration reactions were used to synthesize indene derivatives from precursor ketones.
  • Structure-activity relationships (SAR) were determined by evaluating PDI inhibition and bortezomib (Btz) potentiation in MM cells.
  • The effects of PDI inhibition on endoplasmic reticulum (ER) stress and oxidative stress were assessed by monitoring protein accumulation and UPR biomarkers (ATF4, CHOP, Nrf2).

Main Results:

  • A diverse library of indene-containing molecules was generated with varying PDI inhibitory and proteasome inhibitor potentiating activities.
  • A strong correlation was observed between PDI inhibition potency and bortezomib potentiation in MM cells.
  • PDI inhibition induced ER and oxidative stress, characterized by misfolded protein accumulation and upregulation of ATF4, CHOP, and Nrf2.

Conclusions:

  • This study characterizes a new chemical class of indene-based PDI inhibitors.
  • Detailed SAR provides insights into the pharmacophore for PDI inhibition and proteasome inhibitor potentiation.
  • The findings further support PDI as a viable therapeutic target for MM treatment, alone or in combination with proteasome inhibitors.