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Journée Infections Nosocomiales - Lyon - 10 décembre 2015
1
Design, synthesis and development
of anti-adhesion glycoclusters against infection
by Pseudomonas aeruginosa
Eric Kipnis
CHU Lille
Université de Lille
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
4 academic teams involved in the original patent
Elicityl
Benoit DARBLADE Conception et synthèse
d’oligosaccharides naturels fonctionnalisés et synthèse de
glycoclusters
Université Lyon 1
Dr Sébastien VIDAL
Chimie des sucres
Dr Benoit COURNOYER
Etudes d’interaction bactérie/bactérie
CERMAV-CNRS (Grenoble)
Dr Anne IMBERTY
Lectines, Glycobiologie structurale, Etudes
d’interactions
LISM-CNRS (Marseille)
Dr Christophe BORDI
Formation/inhibition de formation du biofilm
Université Lille 2
Pr Eric KIPNIS Dr Rodrigue DESSEIN
Adhésion cellulaire in vitro
Etudes biologiques in vivo
SANOFI R&D
Dr Laurent FRAISSE (TSU maladies infectieuses)
Dr Michael MOUREZ
Evaluation de l’application - Sélection de candidats
2 Industrial partners
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
3
Design, synthesis and development
of anti-adhesion glycoclusters against infection
by Pseudomonas aeruginosa
Projet AntiPyo - 14eme Appel à Projets du Fonds Unitaire Interministériel
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
4
Design, synthesis and development
of anti-adhesion glycoclusters against infection
by Pseudomonas aeruginosa
Projet AntiPyo - 14eme Appel à Projets du Fonds Unitaire Interministériel
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Epidémiologie : pneumopathies nosocomiales
Enquête nationale de prévalence 2012
InVS 2013
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Epidémiologie : pneumopathies nosocomiales
Enquête nationale de prévalence 2012
InVS 2013
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Résistances - France et Europe
European Antimicrobial resistance surveillance network
Ears-Net 2013
PIP-TAZ R
FQ R
Cefta R
Aminosides R
Carbapénèmes R
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Pseudomonas aeruginosa lung infection
Pathophysiology
Adhesion
• critical step of infection
• activation of virulence
• T3SS
• quorum-sensing
Lectins
Lec A and LecB
• soluble adhesins
• secreted by P. aeruginosa
Imberty Microbes Infect 2004
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
P. aeruginosa lectins
Pathogenicity - in-vitro on respiratory epithelial cells
Chemani Infect Immunity 2009
Cytotoxicity (on A549 cell-line)
• lectin-producing P. aeruginosa strains
• vs. non producing deletional mutant strains
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
P. aeruginosa lectins
Targets for competitive inhitbition with glycomolecules
Target : lectins Inhibitors : glycomolecules
• Monosaccharides
- Fucose/galactose
• Derivatives
- Methylated
- N-acteylated
• Glycomimétics
• Glycoclusters
Pieters Med Res Rev 2007
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
P. aeruginosa lectins
Targets for competitive inhitbition with glycomolecules
Target : lectins Inhibitors : glycomolecules
• Monosaccharides
- Fucose/galactose
• Derivatives
- Methylated
- N-acteylated
• Glycomimétics
• Glycoclusters
Pieters Med Res Rev 2007
LecB (Fucose) LecA (Galactose)
ligand specificity
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
12
Lectin inhibitors
In-vivo effects of monosaccharides and derivatives
Murine model of acute lethal P. aeruginosa pneumonia
Monosaccharides and derivatives
Intratracheal co-instillation
decreased lung injury decreased bacterial load (moderately) increased survival
Chemani Infect and Immunity 2009
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Lectin inhibitors
Clinical potential
10 patients with cystic fibrosis
monosaccharides
aerosolized inhaled fucose or galactose therapy over 21days
bacterial load inflammation
Hauber Int J Med Sci 2008
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Lectin inhibitors
High-affinity glycocluster synthesis
click-chemistry: azide-alyne cycloaddition
Boukerb J Med Chem 2014
tetrapropargylated
calixarene-based
core
cali(4)arene
azido-functionalized fucoside
synthesis
Cu(I)-Catalyzed
azide-alkyne cycloaddition
of propargyl acetate
Cu(I)-Catalyzed
azide-alkyne cycloaddition
conjugation
acetyl groups deprotection
byproduct evaporation
C18 MPLC purification
fucosylated tetravalent glycocluster
Calix-Fuc4 (compound 6)
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Lectin inhibitors
High-affinity glycocluster synthesis
click-chemistry: azide-alyne cycloaddition
Boukerb J Med Chem 2014
tetrapropargylated
calixarene-based
core
cali(4)arene
azido-functionalized galactoside
synthesis
galactosylated tetravalent glycocluster
Calix-Gal4 (compound 8)
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (1)
Structure-based affinity of inhibitors for lectins
multivalency
Sicard Chem Comm 2011
carbohydrate calixarene
core linker
LectinLecA/LecB targeting specificity
Présentation
Multivalency avidity
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (1)
Structure-based affinity of inhibitors for lectins
Inhibitor multivalency vs. target multimerization
Sicard Chem Comm 2011
Soluble lectin
tetramer
Tetravalent
Calix4arene Multivalent
interactions
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (1)
Structure-based affinity/specificity of inhibitors for lectins
Isothermal titration microcalorimetry (ITC)
Boukerb J Med Chem 2014
Study of ligand-receptor interactions
Multivalent interaction induces nanomolar
affinities toward lecA LecB
Target Ligand Kd (nM)
LecB αFucOMe 430 ± 10
LecB Calix-Fuc4 48 ± 0.2
LecA αGalOMe 20 000 ± 300
LecA Calix-Gal4 176 ± 6
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (2)
Inhibitor effects related to structure/affinity
Bacterial agregation assays
Boukerb J Med Chem 2014
monosaccharide
derivatives
α-L-FucOMe
α-D-GalOMe
Calix-Fuc4
Calix-Gal4
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (2)
Inhibitor effects related to structure/affinity/specificity
Bacterial agregation assays
Boukerb J Med Chem 2014
Calix-Fuc4
loss of effect
against LecB mutants
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (2)
Inhibitor effects related to structure/affinity
Cell adhesion assays
Boukerb J Med Chem 2014
Fucosylated derivatives vs. Calix-Fuc4 Galactosylated derivatives vs. Calix-Gal4
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (2)
Inhibitor effects related to structure/affinity/specificity
Cell adhesion assays
Boukerb J Med Chem 2014
Loss of antiadhesion effect of
fucosylated derivatives & Calix-Fuc4
on LecB mutant strain
Loss/attenuation of antiadhesion effect of
galactosylated derivatives & Calix-Gal4
on LecA mutant strain
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (2)
Inhibitor effects related to structure/affinity/specificity ?
Cell adhesion assays
Boukerb J Med Chem 2014
Partial recovery of antiadhesion effect of Calix-Gal4
on LecA mutant strain at high concentrations
non-specific effects?
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (2)
Inhibitor effects related to structure/affinity/specificity
Biofilm inhibition
Boukerb J Med Chem 2014
Effect of calixarenes only :
• fucosylated (a)
• galactosylated (b)
Calixarene effects unchanged
• LecB deletional mutant (d)
• LecA deletional mutant (c)
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (2)
Inhibitor effects related to structure/affinity/specificity
Biofilm inhibition
Boukerb J Med Chem 2014
No effect of a claixarene
with a different non-lectin-ligand
carbohydrate = glucose
0.1mM 5mM Ø
2D imaging
2D imaging
3D imaging
3D imaging
Calix-Gal4
Calix-Glc4
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Hypotheses (3)
In-vivo effects related to cell adhesion inhibition
Murine model of acute lethal P. aeruginosa pneumonia
Boukerb J Med Chem 2014
Lung injury (alveolar capillary barrier permeability)
Bacterial clearance (lung bacterial load)
Bacterial dissemination (spleen bacterial load)
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
• Monosaccharides
- galactose
- fucose
• in-vitro adhesion inhibtion: 10-40%
• in-vivo injury decrease: 20-25%
• in-vivo load decrease: 1 log CFU/ml
• Derivatives
- N-Acetyl
- α-méthyl
• in-vitro adhesion inhibtion: 10-50%
• in-vivo injury decrease: 20-30%
• in-vivo load decrease: 1-2 log CFU/ml
• Glycomimetics
• in-vitro adhesion inhibtion : 70-80%
• in-vivo injury decrease: 20-30%
• in-vivo load decrease: 2+ log CFU/ml
• Glycoclusters
• in-vitro adhesion inhibtion : > 90%
• in-vivo injury decrease: 80-100%
• in-vivo load decrease: 3-4 log CFU/ml
Hypotheses (3) In-vivo effects ~cell adhesion inhibition
Boukerb J Med Chem 2014
Chemani Infect Immunity (+ unpublished data)
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Summary
Tetravalent fucosyl/galactosylated glycoclusters
Boukerb J Med Chem 2014
Target LecA / LecB
sturcture-based high affinity
Bacterial agregation
Adhesion inhibition
Lung injury, bacterial clearance/dissemination
Biofilm inhibition ~ structure/affinity
~ structure/affinity
± A/B specificity
Calix-Fuc4
Calix-Gal4
Calix-Man4 Calix-Glc4
ITC (Kd) 48 nM
(LecB)
176 nM
(LecA)
2.3 µM
(Lec B)
>1.5 mM
(LecA & LecB)
Bacterial aggregation +++ ++ + -
Biofim inhibition +++ +++ - -
Bacterial adhesion +++ ++ nd nd
Acute pneumonia +++ + nd nd
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Development
Ongoing development stages
Synthesis and affinity studies
new generations of calixarenes
affinity enhancement with new linkers
Lectin A/B specificity enhancement with modified oligosaccharide ligands
carbohydrate 2d 3d
generation calixarene
cores
new linkers
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Development
Ongoing development stages
Screening (agregation, adhesion, biofilm, pneumonia)
characterized strains (n=164)
ventilator-acquired pneumonia
virulence
resistance (MDR and XDR strains included)
Reference strain PAO1 Clinical MDR VAP strain Clinical virulent (ExoU)
VAP strain
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Development
Ongoing development stages
Screening (agregation, adhesion, biofilm, pneumonia)
characterized strains (n=164)
cystic fibrosis strains
time-series
virulence/adhesion-related
gene expression
non CF control
Ø 0.1mM 5mM
KK1
ST111
KK14
Calix- -Gal
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Development
Ongoing development stages
Screening (agregation, adhesion, biofilm, pneumonia)
characterized strains (n=164)
LecA/LecB vraints
ventilator-acquired pneumonia
CF
environmental
Boukerb (in press)
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Development
Ongoing development stages
Synthesis and affinity studies
new generations of calixarenes
affinity enhancement with new linkers
Lectin A/B specificity enhancement with modified oligosaccharide ligands
Screening (agregation, adhesion, biofilm, pneumonia)
Characterized strains (n=164)
ventilator-acquired pneumonia
virulence
resistance (MDR and XDR strains included)
cystic fibrosis strains
time-series
virulence and adhesion-related gene expression
environmental strains
LecA Lec B mutational variants
ADME-Tox studies
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Development pipeline
Pipeline Design and Synthesis
Scling-up of synthesis
Identification, characterisation and production of lectins
Glcluster/lectin interactions - affinities
Sesnsitivity to lectin variants
Glycocluster effects on biofilm formation
Glycocluster effects on adhesion to cells
Glycocluster effects in-vivo pneumonia model
ADME-Tox studies
Assessment of pharmaceutical development
T1.1
T1.2
T2.1
T2.2
T2.3
T3.0
T3.1
T3.2
T3.3
T4.1
T4.2
Tâche 1 Glycocluster Design and Synthesis
Univ Lyon1
Elicityl
Elicityl
CERMAV
CERMAV
Univ Lyon1
Univ Lyon1
LISM Univ Lille2
LISM
Univ Lille2
Univ Lille2
Sanofi R&D
Sanofi R&D
Tâche 2 : Glycocluster-target (lectins) interactions
Tâche 3 : Biological effect screening
Tâche 4 : Application assessment
P. aeruginosa strain collections
Glycocluster candidate for
pharmaceutical development
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Thanks
Affiliations, supports and endorsements
Financing
Journée Infections Nosocomiales - Lyon - 10 décembre 2015
Thanks
ICBMS – CNRS - Univ Lyon 1
Villeurbanne, France
Audric Rousset
Nicolas Galanos
Samy Cecioni
Sébastien Vidal
CERMAV – CNRS, Grenoble, France
Emilie Gillon
Anne Imberty
Laboratoire Recherche
Translationnelle Hôtes Pathogènes,
Univ Lille 2, Lille, France
Jean-Baptiste Méar
Karine Faure
Eric Kipnis
Rodrigue Dessein Benoit Guéry School of Pharmacy, University of East
Anglia, Norwich, UK
Susan E. Matthews CNRS Aix Marseille Université,
Marseille, France
David Redelberger
Christophe Bordi
Sophie de Bentzmann
Ecologie Microbienne, CNRS - Univ
Lyon 1, Villeurbanne, France
Amine M. Boukerb
Sébastien Ribun
Benoit Cournoyer
Elicityl SA, Crolles, France
S Havet, S Bonnet,
L Bastide, C Cottin
M Randrianstoa,
Benoît Darblade