Leveraging the MMV Pathogen Box to Engineer an Antifungal Compound with Improved Efficacy and Selectivity against

Baolong Pan1, Harshini Weerasinghe2,3, Aysha Sezmis4

  • 1Monash Institute of Pharmaceutical Sciences, Monash University, Parkville 3052, VIC, Australia.

ACS Infectious Diseases
|September 27, 2023
PubMed

Insights

Researchers identified a promising new antifungal compound effective against critical Candida species, including drug-resistant strains. This discovery offers hope for developing novel treatments against invasive fungal infections.

Area of Science:

  • Mycology and Infectious Diseases
  • Medicinal Chemistry
  • Drug Discovery

Background:

  • Fungal infections represent a growing global health concern, exacerbated by a limited and often inadequate supply of effective antifungal medications.
  • The rise of drug-resistant fungal pathogens, particularly *Candida* species, necessitates the urgent development of new therapeutic agents.

Purpose of the Study:

  • To screen the Medicines for Malaria Venture (MMV) Pathogen Box for novel antifungal compounds targeting critical *Candida* species (*C. albicans*, *C. auris*, *C. glabrata*).
  • To optimize lead compounds through structure-activity relationship (SAR) studies, aiming to enhance antifungal efficacy and reduce cytotoxicity.
  • To investigate mechanisms of resistance and potential cross-resistance to existing antifungal drugs.

Main Methods:

  • Screening of the MMV Pathogen Box against *Candida* species.
  • Chemical modification of a pyrazolo-pyrimidine hit compound (MMV022478) to generate analogues.
  • Antifungal activity assays, including inhibition of fungal replication within immune cells.
  • Cytotoxicity assessments against mammalian cells.
  • Fungal evolution experiments to generate resistant isolates and investigate resistance mechanisms (e.g., dye uptake, fluconazole susceptibility).

Main Results:

  • Identification of 14 hit compounds with antifungal activity, predominantly against *C. albicans* and *C. auris*.
  • Two modified analogues, 7a and 8g, demonstrated significantly enhanced efficacy against *C. auris* and inhibited intracellular fungal growth.
  • Analogue 7a exhibited improved selectivity, showing greater fungal cell killing compared to mammalian cell toxicity.
  • Resistant *Candida* isolates developed altered cell morphology, reduced rhodamine 6G uptake, and decreased susceptibility to fluconazole, suggesting cell surface alterations.

Conclusions:

  • A novel pyrazolo-pyrimidine derivative shows significant potential as an antifungal agent against high-priority *Candida* pathogens.
  • SAR studies on publicly available compounds can effectively expand the pipeline of antifungal drug candidates.
  • Understanding resistance mechanisms, including cell surface changes, is crucial for developing next-generation antifungal therapies with reduced cross-resistance.