Exploiting the 2-Amino-1,3,4-thiadiazole Scaffold To Inhibit Trypanosoma brucei Pteridine Reductase in Support of Early-Stage Drug Discovery

Pteridine reductase-1 (PTR1) is a promising drug target for the treatment of trypanosomiasis. We investigated the potential of a previously identified class of thiadiazole inhibitors of Leishmania major PTR1 for activity against Trypanosoma brucei (Tb). We solved crystal structures of several TbPTR1-inhibitor complexes to guide the structure-based design of new thiadiazole derivatives. Subsequent synthesis and enzyme- and cell-based assays confirm new, mid-micromolar inhibitors of TbPTR1 with low toxicity. In particular, compound 4m, a biphenyl-thiadiazole-2,5-diamine with IC50 = 16 μM, was able to potentiate the antitrypanosomal activity of the dihydrofolate reductase inhibitor methotrexate (MTX) with a 4.1-fold decrease of the EC50 value. In addition, the antiparasitic activity of the combination of 4m and MTX was reversed by addition of folic acid. By adopting an efficient hit discovery platform, we demonstrate, using the 2-amino-1,3,4-thiadiazole scaffold, how a promising tool for the development of anti-T. brucei agents can be obtained.


■ INTRODUCTION
According to the World Health Organization (WHO), neglected tropical diseases afflict over 1 billion people. 1 Among them, parasitic infections caused by trypanosomatids represent a major challenge. Kinetoplastea is a class of flagellated parasitic protists, which includes various human pathogens transmitted by insect vectors. Diseases that result from kinetoplastid infections include human African trypanosomiasis (HAT; also known as African sleeping sickness), which is caused by Trypanosoma brucei gambiense and T. brucei rhodesiense, Chagas disease caused by Trypanosoma cruzi, and various forms of leishmaniasis caused due to infection with different species of Leishmania. 2 Sleeping sickness is found across sub-Saharan Africa and evolves in two phases. The parasite first reaches the bloodstream and the lymphatic system, where it multiplies. At a later stage, the parasite crosses the blood−brain barrier, reaching the central nervous system and leading to death if untreated. 3 Therefore, therapies should be able to cure at least one of the two stages or both. Pentamidine and suramin are first choice drugs for the treatment of HAT. These drugs are specific for the first stage of pathology but they are completely ineffective in the second neuronal stage. Eflornithine, either in monotherapy or in combination with nifurtimox, is approved for second-stage treatment of HAT caused by T. b. gambiense. 4 For the latter stage, melarsoprol is also still used despite its high toxicity. 5 However, all of the drugs mentioned above have problems relating to poor efficacy, difficulties in administration, and side effects. In addition, drug resistance is also emerging. Thus, there is an urgent need to discover new improved and affordable drugs. 3 A target-based drug-discovery approach is a promising strategy for the discovery of new treatments for neglected diseases 6 and has been successfully exploited for the development of eflornithine (an inhibitor of ornithine decarboxylase). 7 Other targets, such as Nmyristoyltransferase, 8 farnesyl transferase, 9 trypanothione reductase, 10 and cathepsin L, 11 have been validated in T. brucei (Tb), but no drugs acting on these targets have yet been approved for the treatment of HAT. One approach, successfully used in the treatment of some bacterial infections 12 and malaria, 13 could entail the use of drugs that target enzymes involved in folate metabolism. Targeting dihydrofolate reductase (DHFR) alone does not allow for successful antitrypanosomatid therapy because of the presence of pteridine reductase-1 (PTR1). PTR1 is a reduced nicotinamide adenine dinucleotide phosphate (NADPH)-dependent short-chain dehydrogenase/ reductase (SDR) mainly involved in the reduction of conjugated and unconjugated pterins, such as biopterin. 14,15 PTR1 is responsible for the production of 10% of tetrahydrofolate required by the cell, and its expression is increased when parasite DHFR is inhibited by antifolate drugs. PTR1 thus provides the reduced folate necessary for parasite survival, thereby contributing to treatment failure. 16,17 PTR1 knockdown studies performed by RNA interference methodologies on blood stream form T. brucei compromised parasitic growth in vitro and in an animal host. 17,18 This evidence supports the importance of PTR1 for parasitic survival and indicates that it is a promising drug target for the treatment of HAT. However, TbPTR1 inhibitors developed to date have limited antiparasitic activity against T. brucei. 6,15,19−23 In our previous work, we have identified thiadiazole derivatives as a new class of Leishmania major PTR1 (LmPTR1) inhibitors that showed synergistic activity in combination with pyrimethamine (a DHFR inhibitor) against both L. major and Leishmania mexicana promastigotes. 24,25 The same behavior was observed with another PTR1 inhibitor class, namely pteridines, tested against the same Leishmania species. Thus, the emerging concept was that the selective PTR1 inhibitor alone did not show antiparasitic activity, and only the combination with a DHFR inhibitor, such as pyrimethamine, allowed the antiparasitic activity detection. 26 In the present work, we sought to exploit the thiadiazole scaffold as a source of new inhibitors of TbPTR1, thereby targeting the folate/biopterin pathway with potential for activity against the parasite in combination with DHFR inhibitors. Therefore, we focused mainly on compounds that showed PTR1 inhibition and no/low antiparasitic activity to exploit the above combination concept.
We have established an efficient hit discovery platform, which has a sound foundation in drug discovery that made use of a combination of computational design, organic synthesis, X-ray crystallography, enzyme inhibition, and antiparasitic activity assays as well as early-toxicity studies. The chemical starting points of the present study originated from a screen of the previously tested thiadiazole library 24 against TbPTR1 and the T. brucei parasite. We then determined five ternary crystal structures of TbPTR1 in complex with the cofactor NADP + and thiadiazole compounds, providing crucial data to support the design of improved inhibitors. Four new compound series, including a total of 57 compounds based on the 2-amino-1,3,4-thiadiazole scaffold, were designed, synthesized, and evaluated against TbPTR1. In addition, structure−activity relationships (SAR) for TbPTR1 were derived from comparison of computational docking results and crystallographic analyses. Initial toxicity assessments were carried out with a panel of five assays in high throughput screening (HTS) format. All compounds were evaluated for in vitro antiparasitic activity by phenotypic HTS against T. brucei. Finally, the most potent TbPTR1 inhibitors were assayed in combination with the known DHFR inhibitor methotrexate (MTX) to evaluate the efficacy of the simultaneous inhibition of DHFR and PTR1 on T. brucei parasite growth.

■ RESULTS AND DISCUSSION
Selection of Compounds I−IV and X-ray Crystallographic Analyses. Compounds I−X (Table S1) of the original thiadiazole library were selected for testing against TbPTR1, based on molecular diversity and compound availability. 24,27 Only compounds II−IV showed measurable inhibition constants (K i ) against TbPTR1 in the range of 48−88 μM (II K i 48 μM; III K i 53 μM; and IV K i 88 μM), thus behaving as weak TbPTR1 inhibitors ( Figure 1 and Table S1). Compound I showed an EC 50 value of 35 μM in the T. brucei parasite growth inhibition assay and no detectable inhibition of TbPTR1 at 100 μM. We could not detect antiparasitic activity for compounds II and III at concentrations up to 50 μM. Compound IV was the only compound with low PTR1 inhibition and parasite growth inhibition (TbPTR1 K i 88 μM and T. brucei EC 50 170 μM). Compounds V−X showed low inhibition of TbPTR1 (Table S1) at the tested concentration and no detectable growth inhibition of the T. brucei parasite at the concentration tested (50 or 100 μM). Compounds I−IV showed high toxicity against mammalian cells with selectivity indices (EC 50 mammalian/EC 50 T. brucei) lower than 1 (Table S1).
We carried out crystallographic analyses of TbPTR1-inhibitor complexes to identify possible templates for medicinal chemistry exploration. Previous docking studies 19 indicated that the thiadiazole ring would form a stacking interaction between the nicotinamide ring of NADP + and Phe113 of LmPTR1 (corresponding to Phe97 of TbPTR1) and that lack of a cofactor results in a disordered binding pocket. 28 I−X were used for crystallization trials with TbPTR1, and for four compounds I−IV (Figure 1) ternary complex structures [PDB ID: 2YHI (I); 2YHU (II); 4WCF (III); and 4WCD (IV)] were determined at high resolution (1.80, 2.01, 1.68, and 1.93 Å, respectively). Crystallographic statistics are presented in Table S2 in the Supporting Information.
The crystal structures are isomorphous with an asymmetric unit consisting of a homotetramer, the functional unit of ACS Omega Article TbPTR1. Each subunit has the typical structure of the shortchain SDR superfamily: a single α/β-domain constructed from a seven-stranded parallel β-sheet sandwiched between two sets of α-helices. The active site is an L-shaped depression, formed primarily by one subunit and blocked at one end by a partner subunit. NADP + binds in an extended conformation to form the binary complex essential for substrate/ligand binding. Analyses of the complexes with I−IV shows that the interaction of compounds I−III is mainly driven by the thiadiazole moiety, which is indeed sandwiched between the nicotinamide of NADP + and Phe97 (Figure 2A−C). However, for compound IV ( Figure 2D), it is the bulkier benzotriazole substituent that stacks in this position, placing the thiadiazole moiety to participate in an edge−face interaction with Trp221 on the periphery of the active site. The crystal structure of TbPTR1− NADP + −I shows that the chloro-ethyl moiety of the inhibitor establishes a halogen bond with the π-system of Trp221 and van der Waals interactions with Val206, Pro210, and Met213. The amino group is H-bonded to Tyr174 OH and to the nicotinamide ribose, whereas a water molecule mediates the interactions with the side chain of Ser95 and the cofactor phosphate ( Figure 2A). Because of the increased bulk of II and III, these compounds are placed further toward the cofactor, and the amino group displaces the ordered water observed in the TbPTR1−NADP + −I active site ( Figure 2B,C). A H-bond is formed between Tyr174 and nitrogen at position 3 of the thiadiazole ring of compound II (not shown). The same nitrogen is within the H-bonding distance of the ribose moiety of the   Table S2.1 in the Supporting Information.

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Article cofactor. This interaction is also visible in the complex with compound III ( Figure 2C). Moreover, here the amino group on the aminopyridine ring is H-bonded to Asp161 and Tyr174 and participates in water-mediated interactions with the same aspartate and the carbonyl of Gly205 (not shown). Comparison between the binding modes of compounds II−III and folate (PDB: 3BMC; TbPTR1−NADP + −folate complex) reveals that thiadiazole overlaps 2-amino-4-oxo pyrimidine of folic acid (see Figure S1 in Supporting Information). Notably, the amino group at position 2 of compounds II and III superimposes on the amino group in position 2 of the pteridine, forming similar H-bonds with the enzyme and the cofactor. In the case of II, the thiophene ring forms a T-shaped stacking interaction with Trp221 ( Figure  2B). In the structure of the ternary complex TbPTR1−NADP + − IV ( Figure 2D), although similar to the other inhibitor complexes, one active site of the tetramer does not possess electron density for either the cofactor or the inhibitor. Moreover, in this subunit, the loop adjacent to the active site, including residues from 209 to 217, is disordered and hence excluded from our model. In addition to the different stacking arrangement described for compound IV, a series of polar interactions stabilize the benzotriazole position. The nitrogen at position 1 forms a H-bond with NADP + phosphate, and cofactor ribose hydroxyl is within the hydrogen bonding distance of the benzotriazole nitrogens at positions 2 and 3 that are further involved in weak interactions with the hydroxyl groups of Ser95 and Tyr174, respectively.
Despite the modest biological profile of compounds I−IV as TbPTR1 inhibitors, we sought to explore the potential of this class of compounds as TbPTR1 inhibitors and anti-T. brucei agents, guided by the structural binding mode of the thiadiazole scaffold within TbPTR1 observed in the four resolved crystallographic complexes. The design of new thiadiazole derivatives focused on the optimization of the molecular interactions described herein, exploiting the most reliable binding mode of compounds I−III. In our design, we aimed at identifying a TbPTR1 inhibitor that can show a synergistic effect in combination with a DHFR inhibitor; therefore, the antiparasitic activity of the thiadiazole derivative per se was not considered to be a requirement for the synergistic combination effect.
Design of 2-Amino-1,3,4-thiadiazole Derivatives. To initiate the design of new 2-amino-1,3,4-thiadiazole derivatives, molecular interaction fields were calculated (SiteMap 27 ) to understand how the ligands complement the receptor and how extensions into adjacent regions could promote binding. The structures of TbPTR1 with compounds I−IV show similar interaction fields in the active site. However, we opted to exploit for the development of the 2-amino-1,3,4-thiadiazole core, the binding mode of compounds I−III, as it is conserved in three of the four X-ray crystal structures, thus providing a reliable premise for the structure-based inhibitor design. These structures reveal a large hydrophobic region between Phe97 and the nicotinamide, extending toward the surface of the protein next to Trp221, which closes the TbPTR1 active site (Figure 3). Two distinct hydrophilic regions were also identified, which can be further divided into regions favorable for H-bond donors and acceptors. One of these is located in the depth of the catalytic site, and the phosphate groups of the NADP + cofactor, Ser95 and Tyr174, delineate it. This region is split into a region favorable for H-bond donors, which is in part addressed by the amino group in position 2 on the main core scaffold, and a small favorable interaction site for H-bond acceptors. The second hydrophilic region is close to Asp161 and represents an additional favorable interaction site for H-bond donors. Therefore, extending from the 2-amino-1,3,4thiadiazole core, which establishes key interactions, we modified position 5 of the ring with substituents designed to interact with the residues lining the pocket of the binding site. Four series of compounds were synthesized ( Figure 1). In the first two series, a phenyl or heteroaromatic ring (compounds 1a−t, Chart 1) or a biphenyl system (compounds 2a−g, Chart 2) was bound to the thiadiazole ring to fill the large hydrophobic region located next to the catalytic site. In the third series (compounds 3a−k, Chart 3), the aromatic ring was spaced with a short aliphatic chain (one to three carbon atoms) to reach the position occupied by the pamino-benzoic acid (PABA) ring of the natural folic acid substrate. The only exception is compound 3i, which has the distal aromatic ring replaced by dimethylamine; it was commercially available and was purchased. Compound II (showing the lowest K i value in the initial screen) was resynthesized as an internal reference (3k). Then, to closely match the nitrogen system of the pteridine moiety of the natural PTR1 substrate and to potentially address the additional region favorable for H-bond donors close to Asp161, a fourth series of thiadiazoles was designed (compounds 4a−s, Chart 4), introducing nitrogen in position 5 of the thiadiazole ring.

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Article were synthesized following the described procedure. It was not possible to obtain the thiadiazoles 1a, 3e, 3h, and 3j−k in the presence of POCl 3 ; for these compounds, the use of concentrated sulfuric acid as a dehydrating agent at room temperature overnight allowed the final compounds to be obtained in good yield (method B, Scheme 1). 29 The synthesis of thiadiazoles 1b, 1t, 3b, and intermediate 6 required milder experimental conditions because several attempts with sulfuric acid or POCl 3 led to decomposition. Thus, the thiadiazole ring closure was in this case performed by condensation between alkyl/aryl nitrile 9a−d and thiosemicarbazide in concentrated trifluoroacetic acid at 60°C (method C, Scheme 1). 29 Thiadiazole 6 thus obtained was not isolated and was instead directly used in the next step without further purification. When it was not possible to use these strong oxidizing and dehydrating agents because of the presence of sensitive chemical functions, an alternative synthetic route that requires oxidation of arylthiosemicarbazone, prepared from the relative aldehydes, with an ethanolic solution of FeCl 3 at 60°C was shown to be successful (method D, Scheme 1). 29 Ureido-thiadiazoles 1p−q were prepared through a reaction of 1b and 6, respectively, with dimethylcarbamyl chloride in dry dichloromethane (DCM) (Scheme 2). Because it was not possible to directly prepare catecholic thiadiazole with any of the experimental procedures described above, 3′,4′-dihydroxy-phenyl-1,3,4-thiadiazole (1d) and 3′,4′,5′-trihydroxy-phenyl-1,3,4-thiadiazole (1f) were obtained through demethylation of the respective methoxylated thiadiazoles 1c and 1e, using boron tribromide (Scheme 3). Finally, compounds 4a−s were all synthesized through aromatic nucleophilic substitution between the appropriate commercial alkylamine and 5-amino-2-bromo-1,3,4-thiadiazole (Scheme 4). Nitriles 9a (benzylcyanide) and 9b [4-(aminomethyl)benzonitrile] were commercially available and used as purchased. 3-(4-Methoxyphenyl-)pyridin-2-carbonitrile (9c) was instead prepared as depicted in Scheme 5: 3-bromo-5-pyridincarboxaldehyde was converted first to 3-bromo-5-pyridincarbonitrile (7) with concentrated ammonia in tetrahydrofuran (THF) at room temperature, using iodine as the oxidant. 30 Then, 7 was reacted with 4-methoxyphenylboronic acid through the standard Suzuki reaction to obtain biphenyl nitrile 9c. 31 Similarly, for the synthesis of 3-(aminomethyl)benzonitrile (9d), 3-(bromomethyl)benzonitrile was reacted with potassium phthalimide under standard S N 2 conditions to give the corresponding phthalimide 8. Phthalimide was then converted to amine with

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Article aqueous hydrazine to give the desired nitrile 9d (Scheme 5). Finally, for the synthesis of thiosemicarbazones 11a−o, aldehydes 10a−e and 10i−j were commercially available and used as purchased. Biphenylaldehydes 10k−o were prepared using the Suzuki reaction between 3-bromobenzaldehyde and the appropriate phenylboronic acid. The same synthetic reaction was performed between 3-(bromomethyl)benzaldehyde and phenylboronic acid or 4-cyanophenylboronic acid to give benzylbenzaldehydes 10f and 10g, respectively. Aldehyde 10h was instead prepared via S N 2 reaction between p-hydroxybenzaldehyde and 3,4-dichlorobenzylchloride. Thus, aryl aldehydes 10a− o were condensed with thiosemicarbazide to obtain the respective aryl-thiosemicarbazones (11a−o) (Scheme 6).
PTR1 Inhibition Studies. All 57 new thiadiazoles 1a−t, 2a− g, 3a−k, and 4a−s were evaluated for their inhibitory activity against TbPTR1. Compounds displaying a percentage of inhibition against TbPTR1 above 30% at 50 μM were further analyzed in dose−response experiments between 0.001 and 100 μM to enable the determination of their IC 50 values. The IC 50 value of pyrimethamine (IC 50 = 0.09 μM against TbPTR1), a DHFR inhibitor also able to inhibit PTR1, was measured routinely as a standard. The activity data of the entire panel of compounds are reported in Charts 1−4. The general activity profile of the studied compounds is shown in Figure 4. Among the 57 thiadiazoles synthesized, 1f, 4c, 4e−f, 4h−i, 4m−o, and 4q were associated with IC 50 values in the range of 16 to 112 μM (Charts 1−4), resulting in a 2 to 12-fold improved inhibition effect toward TbPTR1 in comparison to the initial screening hits II−IV (IC 50 > 200 μM). With the exception of 1f (TbPTR1, IC 50 41 μM), the most active TbPTR1 inhibitors belong to the 2,5diamino-1,3,4-thiadiazoles (series 4) with the best compound 4m showing an IC 50 of 16 μM. TbPTR1 and TbDHFR use similar substrates such as dihydrofolic acid; thus, PTR1 inhibitors can also interact with DHFR. Therefore, to evaluate the potential dual PTR1 and DHFR inhibition, all compounds were tested against TbDHFR. However, none of the compounds showed any significant inhibitory activity against TbDHFR (Table S3). The compounds that showed the best inhibitory activity against TbPTR1 were selected for further studies.
Crystallographic Studies of Compound 4c. Cocrystallization trials were performed with ten thiadiazole compounds that showed the best inhibition against TbPTR1 (1f, 4c, 4e−f, 4h−i, 4m−o, and 4q). Only compound 4c, belonging to the fourth series, resulted in a ternary complex at an acceptable resolution. 4c is a comparatively modest inhibitor of TbPTR1 showing an IC 50 of 112 μM. The structure of the complex TbPTR1− NADP + −4c was determined to 1.92 Å resolution (PDB ID: 5IZC). Statistics for the data collection and refinement are presented in Table S2 in the Supporting Information. Ligand placement in the active site and key interactions are depicted in Figure 5. 4c adopts the same binding mode in all four subunits of the enzyme, only with differing orientations of the thiophene ring. The electron density for 4c is best defined in subunits A and D. The 4c thiadiazole ring binds in a π-sandwich between the nicotinamide of NADP + and Phe97, as previously described. The 2-amino group on the thiadiazole of 4c is within the hydrogen bonding distance of both NADP + phosphate and Ser95 OH. The thiadiazole nitrogen in position 3 forms a bifurcated interaction with the NADP + ribose OH and Tyr174 OH. Furthermore, the thiadiazole nitrogen in position 4 is within the hydrogen bonding distance of Tyr174 OH. The thiophene moiety of 4c lodges in the hydrophobic cavity defined by Cys168, Val206, Leu209, Met213, and Trp221. The above interactions are retained in all four subunits of the TbPTR1 tetramer. Cys168 is chemically modified to S,S-(2-hydroxylethyl)thiocysteine (defined also as CME in Figure 5) because of the reaction with βmercaptoethanol present in the purification buffer.

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Article SAR for TbPTR1 Inhibition. Although the design of the 57 compounds was largely based on the crystal structures available for compounds I−IV, the observed PTR1 inhibition potency did not reflect the expected effects of the structural modifications. This suggests that the binding mode observed in the crystal structures might be altered for the modified compounds. Therefore, to explore possible alternative binding modes, we docked all synthesized compounds in the TbPTR1 binding site. Combining the predicted binding modes with the crystal structures enabled us to explain the SAR for the compounds' inhibitory potential against TbPTR1. Common interactions, such as stacking of the thiadiazole core moiety between Phe97 and nicotinamide, were generally reproduced in docking.
Because of the small size of the ligand core, rotation within the pocket did however result in different hydrogen bonding patterns, for example, involving the cofactor phosphate and ribose, Ser95, Asp161, and Tyr174, as indicated by differing arrangements of the thiadiazole core in Figure 6B−D.
A direct connection of the thiadiazole core with an aryl moiety, as in series 1 (Chart 1: 5-aryl-1,3,4-thiadiazoles), may lead to a competition for the stacking position in the TbPTR1 binding site, which pushes the core moiety closer to the cofactor to introduce unfavorable contacts, as observed in almost all docked complexes of these compounds. Series 1 compounds consistently show low TbPTR1 inhibition. Only compound 1f, bearing a pyrogallol substituent, presents a moderate IC 50 value of 41 μM. We hypothesize that the pyrogallol moiety occupies the stacking position and forms several H-bonds with Tyr174 and cofactor phosphates and ribose ( Figure 6A). Because this alternative binding mode is specific for 1f, it may explain the observed activity. Series 2 and series 3 compounds only yielded <47% inhibition of TbPTR1 at 50 μM. In series 2 (Chart 2: 5biphenyl-1,3,4-thiadiazoles), the elongated conformation of the compounds fits the binding pocket poorly, whereas in series 3 (Chart 3: 5-aryl-aliphatic-1,3,4-thiadiazoles), the long, flexible aliphatic linkers tend to be disfavored and are often placed in a polar and thus unfavorable environment, further leading to an unfavorable placement of substituents. Series 4 (Chart 4: 2,5diamino-1,3,4-thiadiazoles) includes nine out of the nineteen compounds that yielded >30% inhibition of TbPTR1 at 50 μM, resulting in IC 50 values in the range of 16−112 μM. Compounds of this class typically have a linker of 2−3 atoms between thiadiazole and further aryl substituents, including nitrogen in position 5. The second amino-nitrogen thereby allows for further favorable interactions, for example, with the carbonyl group of the cofactor, Asp161, or Tyr174, as indicated by the bound orientation of compound 4c in the crystal structure 5IZC (see Figure 5). Hence, series 4 allows the exploitation of the additional region favorable for H-bond donors, as identified by the SiteMap calculations (see also Figure 3). Although comparatively small compounds, such as 4i, show similar binding modes to that observed in the crystallographic complex of 4c (compare Figure S2A), larger compounds are locked in a binding orientation closely resembling that of folic acid, as shown in

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Article Figure 6B−D. A substrate-like complex thereby seems to correlate with enhanced activity because the docking mode of the majority of actives in this class best matches the folic acid orientation.
Compound 4m has a linked biphenyl system and is the most active compound (TbPTR1 IC 50 16 μM). The thiadiazole position is stabilized by hydrogen bonding interactions with the cofactor and Ser95, and the phenyl ring systems of 4m interact by π−π interactions and hydrophobic contacts with Phe97, Met163, Phe171, Tyr174, Met213, and Trp221. Notably, as shown in Figure 6B, the biphenyl system adopts a substrate-like orientation, with the first phenyl ring mimicking the PABA moiety of folic acid and the second phenyl locking the compound in that orientation by spatial restraints. Similar observations can be made for compounds 4o (TbPTR1, IC 50 25 μM) and 4e (TbPTR1, IC 50 31 μM). Interestingly, 4n (TbPTR1, IC 50 62 μM) shows an identical binding mode to 4o but is about 3 times less active. In summary, compounds that are able to bind in a

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Article substrate-like orientation show the best TbPTR1 inhibition profile. Despite the fact that direct correlation between the docking score and the % inhibition or IC 50 for the compounds could not be observed, we were able to deduce likely near native poses and describe a qualitative correlation between the observed binding mode in the crystallographic complexes, the docking results, and the anti-PTR1 activity of the compounds ("Docking Protocol Validation", Supporting Information). Visual inspection of the interaction pattern and comparison with crystal structures were used to select the most likely poses, based on experimental evidence.
Antiparasitic In Vitro Evaluation against Cultured T. brucei. All compounds were evaluated for inhibitory activity on growth of in vitro cultured T. b. brucei through a HTS assay (a cell-based assay with a fluorescent readout) during a phenotypic screening campaign. The antiparasitic activity is expressed as the percentage of cell growth inhibition at 50 μM and is reported in Charts 1−4. For the nine compounds (1b, 1d, 1f, 1m, 1n, 2d, 3f, 3h, and 4i) showing >75% inhibition, the EC 50 was also determined with results in the range of 0.8−58.0 μM. We observed no correlation between TbPTR1 inhibition and antiparasitic activity (Figure 7). The data distribution in Figure  7 highlights two distinct sets of compounds: cluster A includes all thiadiazoles that showed antiparasitic activity with EC 50 in the range of 0.8−58.0 μM (1b, 1d, 1f, 1m−n, 2d−e, 3f, 3h, and 4i) but had poor efficacy against the target enzyme (<50% inhibition of TbPTR1 at 50 μM) and is therefore likely to have a different target. On the other hand, cluster B comprises two compounds (4m and 4o) that show the highest TbPTR1 inhibition (IC 50 16 and 25 μM, respectively) but poor antiparasitic activity when tested as single agents (Figure 7, Chart 4). In addition, neither 4m nor 4o is able to inhibit parasitic TbDHFR at 100 μM. We were able to identify better T. brucei growth inhibitors with respect to our starting compounds. In particular, compound 1b showed 7.2-fold better activity with respect to compound I (EC 50 0.8 μM and EC 50 5.8 μM). All compounds were also evaluated for in vitro antiparasitic activity against the intracellular amastigote stage of L. infantum, but no compound showed antileishmanial activity >50% inhibition at 50 μM (Table S3, Supporting Information). 32 The best compounds with anti-T. brucei activity were 1b and 1f, but they did not show inhibition of TbPTR1. Because of the lack of compounds exhibiting both TbPTR1 inhibition and antiparasitic activity, our interest turned to the     in the TbPTR1 active site. The 4c thiadiazole ring is sandwiched between the nicotinamide ring of the NADP + cofactor and the phenyl ring of Phe97, as for compounds I, II, and III. H-bonds are represented by black dashed lines; water molecules are shown as red spheres. All model atoms are color coded following atom types, except C atoms for protein residues are in white, for NADP + in black, and for the inhibitor in green. The protein backbone is drawn as a white cartoon. Note the modified Cys168 as S,S-(2-hydroxyethyl)thiocysteine (CME). Interaction distances are reported in Table S2.1 in the Supporting Information.

Article
We compared the antiparasitic activity of some selected TbPTR1 inhibitors as single agents and in combination with MTX, resulting in the selection of four compounds that presented distinct TbPTR1 inhibition (4m, IC 50 = 16 μM; 4o, IC 50 = 25 μM; 4h, IC 50 = 70 μM, and 3k, IC 50 > 70 μM), and dose−response antiparasitic studies were performed. Compounds 1m, 2d, and 2e were associated with 34−48% antiparasitic activity at 50 μM, whereas all other compounds yielded <30% antiparasitic activity. Therefore, the entire compound library was considered associated with low activity against T. brucei ( Figure S3, Supporting Information). The TbPTR1 inhibitors were combined with equimolar amounts of MTX (the EC 50 value for MTX against T. brucei was 35 ± 3.0 μM), and dose−response curves were determined (Figure 8).

Article
The data show a measureable antiparasitic EC 50 for the combinations and, in particular, the EC 50 of MTX was reduced by a factor of 4.1 when combined with 4m (EC 50 8.6 ± 1.1 μM, Figures 8 and S4) and by a factor of 2 when combined with 4o (EC 50 17.5 ± 0.5 μM, Figures 8 and S4). Interestingly, only compounds showing TbPTR1 inhibition (4m and 4o) were able to potentiate MTX EC 50 . Although MTX can inhibit both PTR1 and DHFR enzymes, the observed potentiation effect can arise from the enhancement of the dual inhibitory effect caused by supplementary PTR1 inhibition induced by the thiadiazoles used in the combination. In fact, despite the PTR1 inhibitory activity, the administration of 50 μM of 4m alone did not show any significant antiparasitic effect. Similarly, compounds 4o and 4c showed low T. brucei cell inhibitory activity. In addition, an increasing concentration of 4m induced an increasing inhibitory effect of MTX in combination, indicating that potentiation occurs. This potentiation is greater than the simple additive effect (4m has no intrinsic antiparasitic activity); therefore, the potency of the combination is much greater than the potency of the single agents that compose it.
On the basis of these results, we expected to rescue the DHFR activity and consequently, parasite vitality, by supplementing with folic acid, the natural substrate of DHFR. Our compounds display almost no inhibition of DHFR (Table S3). It is reported that folic acid competes with MTX for DHFR, displacing it and reversing DHFR inhibition on a cellular level. 38 Folic acid supply is in fact used in clinical settings to alleviate the toxicity of MTX. 39, 40 We observed the same behavior in T. brucei cell culture. After testing different folic acid concentrations, we observed that the addition of 1 mM folic acid was able to reduce the antiparasitic activity of MTX alone, safeguarding the cell survival, without interfering with parasite growth ( Figure 9A). Focusing on compound 4m, which showed the best TbPTR1 IC 50 value and potentiation of the antiparasitic activity of MTX, we observed that supplementation with 1 mM folic acid was able to rescue cell growth treated with 4m and MTX ( Figure 9B). Our data suggest that PTR1 inhibitors potentiate the antiparasitic effect of MTX, probably by preventing the PTR1 bypass for the reduction of folate.
Folic acid administration reverses the effect of MTX (by binding both to DHFR and PTR1) up to almost the original activity of MTX alone, but does not abrogate the effect of MTX completely. This nonphysiological folate concentration could reduce the antitrypanosomal potency of MTX through competition for drug uptake. 36 Thus, the low effect of MTX on the parasite cells is due to a low amount of compound passing into the cells, and as a consequence, there is a low amount of MTX inside the cells and low inhibition of TbPTR1 and TbDHFR. Instead the trans-membrane crossing of 4m and 4o is different from that of MTX because they have a folate-unrelated structure. This allows 4m to be competitive with respect to MTX in the binding toward PTR1. Therefore, coadministering the thiadiazole with MTX, the compound is delivered to the cell and is available to induce supplementary inhibition on PTR1, thus causing an overall potentiation effect. More experiments are ongoing to clarify the potentiation effect of PTR1 inhibitors using other classes of PTR1 inhibitors.
Early Compound-Mediated Toxicity and Liability Studies. Independent of the effect of any antiparasitic potential of compounds, they were evaluated using a panel of early-toxicity assays comprising cytotoxicity (A549, human lung adenocarcinoma epithelial cell line and WI-38, human lung fibroblasts), mitochondrial toxicity (786-O, human renal carcinoma cell line), hERG inhibition, 31 cytochrome P450 inhibition (CYP1A2, CYP2C9, CYP2C19, CYP2D6, and CYP3A4), 31 and Aurora B kinase inhibition. These experiments were performed using 10 μM of each compound and the output was expressed as % inhibition, which is displayed as a heat map in Figure 10. An acceptable profile for compounds at this stage in the drugdiscovery process should exhibit <30% inhibition at 10 μM in the case of mitochondrial toxicity, hERG, CYP isoforms, and Aurora B kinase, whereas the percentage of A549/WI-38 cell growth should be >70%. 32 Almost all evaluated compounds (series 1− 3) showed a safe profile, revealing that the thiadiazole scaffold has a well-tolerated liability profile that can be further explored during their development. Some compounds in series 4 showed a liability risk for their effects on hERG, CYP2D6, and WI-38 cells, which appears to be due to the introduction of the second nitrogen atom that can induce a toxic effect on the thiadiazole core. The cytotoxicity of the compounds selected for combination studies (4m, 4o, 3k, 4h) at 100 μM alone and in combination with equimolar MTX was evaluated using THP-1 macrophage-like cells. Notably, no increase in toxicity was seen in THP-1 cells for compound 4m (Figure 11). For the two compounds active against TbPTR1 (4m and 4o), IC 50 against hERG, cytochrome P450, and mitochondrial toxicity were determined (reported in Supporting Information). We observed that the dose of compounds 4m, 4o, 4c, and 3k was 4 μM in the potentiation assays. Therefore, considering the toxicity of the compounds at 10 μM, we can extrapolate that only CYP1A2 shows around 50% of inhibition at 4 μM in the combination studies. In the case of hERG, CYP2D6, CYP2A9, CYP2C19, and mitochondrial toxicity, there is a selectivity index of around 3−4 fold, thus showing an acceptable profile.

■ CONCLUSIONS
In the present work, we have established an efficient platform to identify and characterize hits for further development toward the discovery of more potent antitrypanosomatidic agents. A

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Article crystallization screen with a library of previously identified inhibitors of LmPTR1 with a thiadiazole scaffold was performed, and it resulted in structures of four new TbPTR1-cofactorinhibitor complexes, which guided the design of new thiadiazoles in a structure-based approach. Compounds were synthesized and evaluated for inhibitory activity against TbPTR1 and for antiparasitic activity in a phenotypic assay against T. brucei. Two of the best compounds yielded IC 50 values of 16 and 25 μM against TbPTR1 and share a 2,5-diamino-1,3,4-thiadiazole scaffold. Compound 4c, a representative of this class, was successfully crystallized in a ternary complex with TbPTR1 (TbPTR1−NADP + −4c), supporting the binding mode of the earliest compounds (I−III). With respect to our starting compounds, I−IV, we have improved the compounds' biological profiles, with 23 out of 57 compounds displaying a better PTR1 inhibition profile. Five compounds showed a better antiparasitic effect with respect to I and IV.
In previous experiments performed on LmPTR1 thiadiazole inhibitors, we have shown the combination effect with pyrimethamine on promastigotes of L. infantum and mexicana. This work specifically addressed the ability of TbPTR1 inhibitors to potentiate the effect of the DHFR inhibitor MTX against T. brucei by performing studies in combination with compounds 3k, 4h, 4o, and 4m. The potentiating effect was observed only with the compounds inhibiting TbPTR1, 4o and 4m. In particular, we focused on compound 4m, which showed the greatest inhibition against the target enzyme, TbPTR1. When combined with MTX, the EC 50 of MTX against T. brucei improved 4.1 times (EC 50 MTX alone 35 μM; EC 50 MTX and 4m 8.6 μM). No increase in the toxicity of the PTR1−DHFR inhibitor combination with respect to the single compounds was observed. In addition, we demonstrated that the potentiation activity of a PTR1 inhibitor combined with MTX could be reversed through administration of folic acid, the natural substrate of DHFR. The molecular mechanism that might explain this reversal of inhibition is likely complex and will be studied in future work. By adopting an efficient early hit discovery platform, we showed that the 2amino-1,3,4-thiadiazole scaffold can be considered a promising approach for the development of anti-T. brucei agents targeting TbPTR1. Whereas the compounds show modest IC 50 values against both the enzymes and parasites in isolation, our results suggest that combining the PTR1 inhibitors with DHFR inhibitors provides a valid strategy for developing more potent antiparasitic agents. X-ray Crystallography. TbPTR1-cofactor-inhibitor complexes with I and II were prepared by incubating protein (6 mg/ mL, 1 mM NADPH, 10 mM dithiothreitol) with 2.5 μL of a 5  . Summary heat map of the in vitro assays to determine possible liability issues for all synthesized compounds. Assays were performed to assess inhibition of hERG and five CYP isoforms (1A2, 2C9, 2C19, 2D6, and 3A4), growth inhibition of A549 and W1-38 cell lines, and mitochondrial toxicity at 10 μM. The hDHFR inhibition was determined at 100 μM. The data, expressed as percentage values, were organized by adopting a color code for rapid and intuitive visualization. The ideal compound should have all tiles blue, indicating a safe toxicological profile for progressing into the development pipeline. The cells are colored from blue (100% of cell growth at the tested concentration) to red (0% of cell growth at the tested concentration) for A549 and W1-38 and from blue (0% of inhibitory activity at the tested concentration) to red (100% of inhibitory activity at the tested concentration) for CYP isoforms, hERG, hDHFR, and mitochondrial toxicity.

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Article mM solution of inhibitor in dimethylsulfoxide (DMSO) in 20 mM Tris-HCl pH 7.5 on ice for 1 h before crystallization. Hanging drops (1.5 μL of protein solution and 1.5 μL of reservoir) were incubated over 1 mL of reservoir (2.7 M sodium acetate, 10 mM sodium citrate pH 4.5). Crystals grew at 20°C in a few days. Complexes with compounds III, IV, and 4c were obtained by soaking the preformed crystals of a TbPTR1− cofactor binary complex obtained in sitting drops equilibrated against reservoir (1.5−2.5 M sodium acetate and 100 mM sodium citrate pH 5.0). The crystals were soaked for 4−6 h in the crystallization buffer containing 2−4 mM of each compound dissolved in DMSO (without exceeding a DMSO/crystal solution ratio of 1:9). The crystals were transferred in a cryoprotectant (precipitant plus 30% glycerol) and flash-frozen in liquid nitrogen or taken directly from mother liquor and flashcooled. Data were recorded using a Rigaku MicroMax 007 rotating anode and an R-AXIS IV ++ dual image plate detector system at the European Synchrotron Radiation Facility (Grenoble, France) on beamline BM30A with an ADSC Q315r detector, at the Diamond Light Source (Didcot, UK) on beamline I04 with a PILATUS 6M-F detector, or at the Elettra Synchrotron (Trieste, Italy) on beamline XRD1 with a PILATUS 2M detector. Data were processed with MOSFLM 41 or XDS 42 and then scaled with SCALA 43 with the CCP4 software suite. 44 The structures were solved by molecular replacement 45 using TbPTR1 (PDB: 2X9G) as the starting model. 27 Rigid body refinement and rounds of restrained refinement were carried out using REFMAC5. 46 Inspection of electron density, model manipulation, and identification of solvent, ions, and ligands were done using COOT. 47 Figures were generated with CCP4mg. 48 The coordinates and structure factors were deposited in the Protein Data Bank (PDB) under accession codes 2YHI, 2YHU, 4WCD, 4WCF, and 5IZC for compounds I, II, III, IV, and 4c, respectively. In TbPTR1−II and TbPTR1−III, Cys168 is chemically modified to S-oxycysteine (defined as CSX) indicative of a reactive cysteine (see Figure 2B,C).
Computational Docking. The three-dimensional (3D) structures of the compounds were created from SMILES strings and optimized with the OPLS_2005 force field 49 using Maestro (Schrodinger, LLC). 50 Ligand preparation included the generation of stereoisomers (up to eight) and low-energy ring conformations (one per compound) as well as determination of ionization states and tautomers for pH 7.0 ± 0.5 using Epik. Highly conserved structural water was identified by the WatCH clustering approach. 51 Briefly, 99 chains from TbPTR1 crystal structures (see Table S5 for a list of structures) were superimposed, and their crystallographic water positions were clustered with a distance criterion of 2.4 Å for considering identical water oxygen positions. Seventeen water sites with at least 50% conservation were considered to be conserved. TbPTR1 receptors for docking and SiteMap analysis 52 were composed of chain A of the respective crystal structure and a Cterminal tripeptide from the neighboring subunit, Val266 to Ala268, pointing into the active site of chain A. Crystallographic solvent molecules were removed and replaced with conserved water molecules (from WatCH clustering) for docking studies. SiteMap calculations were conducted with PDB IDs 2YHI, 2YHU, 4WCD, and 4WCF. Docking was carried out to PDB ID 2X9G. 27 Bond-order assignment and hydrogen atom addition was done with PrepWizard. 49 N-and C-termini of chain A were capped with N-acetyl and N-methyl amide groups, respectively. The NADP + cofactor protonation state was computed at pH 7.0 ± 0.5. Protein protonation states were assigned for pH 7.0 using PROPKA. 53 The H-bond network was optimized, and all hydrogens were subjected to a restrained minimization. For the SiteMap analysis, the site was defined by the thiadiazole core moiety of the ligand. A surrounding region of 3 Å was examined. Ten site points were required per reported site, and site maps were cropped at 3 Å from their nearest site point. Otherwise, standard values were used. For docking, a 20 Å × 20 Å × 20 Å docking grid was centered on Phe97. The hydroxyl groups of Ser95, Cys168, Tyr174, and NADP + ribose were set rotatable. Docking was performed with Glide (Schrodinger, LLC) 54−56 using the SP protocol (standard precision). The maximum ligand size and rotatable bond count were kept at standard values. A scaling factor of 0.80 for the ligand van der Waals radii and a partial charge cutoff of 0.15 were used. Ligands were treated as flexible, nitrogen inversions, and ring conformations were sampled. Nonplanar conformations were penalized when performing bias sampling of amide torsions. Epik state penalties were added to the docking score; intramolecular hydrogen bonds were rewarded; and conjugated π group planarity was enhanced. Twenty poses per ligand were subjected to postdocking energy minimization, employing a pose rejection threshold of 0.5 kcal/ mol. Up to 10 final solutions were collected.
The validation of the docking protocol was based on crossdocking studies of the crystallized compounds I, II, III, IV, and 4c. As shown in Table S6 and as discussed in the "Docking Validation section" of the Supporting Information, near-native poses were overall reproduced with the current protocol and typically found within 0.3 kcal/mol of the best-scoring docking solution, as ranked by the docking score. Poses were therefore ranked by the Glide docking score, and all poses within 1.0 kcal/ mol of the top scoring solution were further analyzed. A visual inspection of the interaction pattern and comparison with crystal structures 3BMC (TbPTR1 in complex with folate) and 5IZC (TbPTR1 in complex with 4c) were used to select the most likely Figure 11. Toxicity against THP-1 cells for selected thiadiazoles 3k, 4h, 4m, and 4o (in blue), MTX (in red), and equimolar combinations of thiadiazoles and MTX at 100 μM (in green). The data presented are the average ± standard deviation from at least two independent experiments.

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Article poses on the basis of experimental evidence. Docking results are also given in Table S7 in the Supporting Information.
Biological Assays. Protein Expression and Purification. TbPTR1, LmPTR1, TbDHFR, LmDHFR, and hDHFR were obtained and purified as reported in our previous work. 32 The kinetic characterization (K m and k cat ) of the enzymes is reported in Table S8 of the Supporting Information.
TbPTR1, LmPTR1, TbDHFR, LmDHFR, and hDHFR Enzyme Assays. The thiadiazoles were a small part of a library of many thousands of molecules that we tested within the threeyear European project NMTrypI (http://fp7-nmtrypi.eu). Because of the sharing of technologies within the NMTrypI platform, we were able to perform the enzymatic studies against TbPTR1 and LmPTR1 and the early-toxicity assays by HTS methodologies. The in vitro assays used in the current study were based upon those reported in the literature, and the kinetic data are comparable (Table S8). 34 Because PTR1 enzymes use H 2 B as a substrate and also require NADPH for the reaction, the reduction of H 2 B to H 4 B by PTR1 is nonenzymatically linked with the reduction of cytochrome c in this assay, which is detected at 550 nm. The formation of cyt c Fe 2+ results in a signal increase in the photometric readout.
TbPTR1 and LmPTR1 activities were assayed in a buffer containing 20 mM sodium citrate (pH 6.0). The final reaction mixture contained the test compound in a range of concentrations and TbPTR1/LmPTR1 (6.0 nM/12.0 nM), H 2 B (0.3 μM/3.0 μM), cytochrome c (100 μM/100 μM), and NADPH (500 μM/500 μM). The final assay volume was 50 μL in 384-well clear plates (Greiner Bio-One, 781101). Compound screening was performed by addition of the compound to assay plates (in 100% DMSO), followed by addition of 45 μL reaction mix (enzyme, H 2 B, and cytochrome c in 20 mM sodium citrate buffer). A preread was made at 550 nm using an EnVision Multilabel Reader 2103 (PerkinElmer Inc, US), followed by incubation of the assay plates at 30°C for 10 min. The reaction was initiated by addition of 5 μL of NADPH (from a stock at 5 mM in ultrapure water), followed by kinetically reading the assay plates at 550 nm using the EnVision Multilabel Reader at 10, 20, 30, 40, and 50 min and calculating the slope of the reaction in each well. The screening data were analyzed using ActivityBase (IDBS), and for outlier elimination in the control wells, the 3sigma method was applied. On the basis of the slope, data were normalized to the positive control MTX for TbPTR1/LmPTR1 (1 μM/50 μM, yielding 100% inhibition) and negative controls (1% DMSO, yielding 0% inhibition), and % inhibition was calculated for all samples. The measurement at time 0 min was used to flag the interfering samples. Each compound was tested in triplicate, and the pIC 50 value, standard deviation, Hill slope, and minimum signal and maximum signal for each dose− response curve were obtained using a four-parameter logistic fit in the XE module of ActivityBase (IDBS). Compounds displaying a percentage of inhibition against TbPTR1 above 30% at 50 μM were further analyzed at concentrations from 0.001 to 100 μM for the determination of IC 50 . The IC 50 value of pyrimethamine (IC 50 = 0.09 μM against TbPTR1), a DHFR inhibitor also able to inhibit PTR1, was measured routinely as a standard. However, not all compounds selected gave measurable IC 50 in the dose−response assays. LmDHFR, TbDHFR, and hDHFR activities were assessed spectrophotometrically as previously described, and the values for the kinetic constants characterizing each enzyme (K m ) were comparable to literature values (Table S8). 22 hERG Cardiotoxicity Assay. This assay made use of Invitrogen's Predictor hERG fluorescence polarization (FP) assay. The assay uses a membrane fraction containing the hERG channel (Predictor hERG membrane) and a high-affinity red fluorescent hERG channel ligand or "tracer" (Predictor hERG Tracer Red), whose displacement by test compounds can be determined in a homogenous, FP-based format. 32 Cytochrome P450 1A2, 2C9, 2C19, 2D6, and 3A4 Assays. These assays made use of the Promega P450-Glo assay platform. Each CYP450 assay made use of microsomal preparations of cytochromes from baculovirus-infected insect cells. Action of the CYP450 enzymes on each substrate ultimately resulted in the generation of light, and a decrease in this was indicative of inhibition of the enzyme. 32 Cytotoxicity Assay against A549 and W1-38 Cells. The assays were performed using the CellTiter-Glo assay from Promega. The assay detects cellular ATP content, with the amount of ATP being directly proportional to the number of cells present. The A549 cells were obtained from DSMZ (German Collection of Microorganisms and Cell Cultures, Braunschweig, Germany) and W1-38 cells were obtained from ATCC (ATCC CCL-75) and were grown in Dulbecco's modified Eagle medium (DMEM) with fetal calf serum (FCS) (10% v/v), streptomycin, (100 μg/mL) and penicillin G (100 U/mL). 32 Assessment of Mitochondrial Toxicity. This assay made use of MitoTracker Red chloromethyl-X-rosamine (CMXRos) uptake and high content imaging to monitor compoundmediated mitochondrial toxicity in the 786-O (renal carcinoma) cell line. Cells were maintained using the Roswell Park Memorial Institute (RPMI)-1640 medium containing 2 mM glutamine, FCS (10% v/v), streptomycin (100 μg/mL), and penicillin G (100 U/mL). 32 In Vitro Evaluation of Activity against T. brucei. The assay relies on indirect determination of parasite population viability by quantification of total DNA present in the well using the SYBR Green I DNA fluorescent dye. Briefly, the assay consisted of incubating bloodstream forms of the T. b. brucei Lister 427 strain in the presence of compounds for 72 h, followed by cell lysis and addition of the SYBR Green I dye. 57 Pentamidine at 120 nM was used as the reference compound showing an EC 50 of 3.8 ± 0.48 nM comparable with the value reported in the literature. 58 DMSO-treated parasites were used as negative controls and pentamidine-treated parasites and blank wells (without parasites) were used as positive controls. Compounds and controls were plated in a semiautomated process that utilizes the liquid handler Janus MDT (PerkinElmer), which is equipped with a 384 pipetting head capable of dispensing a minimum volume of 0.5 μL. As T. b. brucei is sensitive to DMSO and tolerates a maximum of approximately 1% DMSO, compound libraries dissolved in 100% DMSO must be diluted at least 200fold with the aid of "intermediate plates". Following compound plating in the final assay plate, 50 μL of a parasite suspension at 8000 trypanosomes/mL was seeded to the assay and control plates and incubated for 72 h at 37°C and 5% CO 2 . At the assay endpoint, 15 μL of the lysis solution (30 mM Tris-HCl pH 7.5, 7.5 mM EDTA, 0.012% saponin, and 0.12% Triton X-100) was added to the plates containing 0.5 μL of SYBR Green I (10 000×, Life Technologies) per 1 mL of lysis solution. The plates were shaken for 30 s at 800 rpm in a MixMate (Eppendorf) and incubated for 1 h in the dark at room temperature. The plates were then read for fluorescence at the microplate reader EnVision (PerkinElmer). Compounds that yielded >80% inhibition of parasite growth at 50 μM were selected for EC 50

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Article determinations. However, not all selected compounds gave reliable EC 50 data in the dose−response assay.
In Vitro Evaluation of Activity against T. brucei for MTX Potentiation Assays and Folic Acid Supplementation Experiment. T. b. brucei Lister 427 bloodstream forms were grown at 37°C and 5% CO 2 in a complete HMI-9 medium, supplemented with 10% FCS and 100 UI/mL of penicillin/ streptomycin. The cultures were diluted until a cell density of 2 × 10 6 /mL was reached. The efficacy of compounds against T. brucei bloodstream forms was evaluated using a modified resazurinbased assay previously described. 46 The compounds were prepared from a stock solution in 10 mM DMSO and diluted in HMI-9 (supplemented or not with 1 mM folic acid, Sigma-Aldrich) to 40 μM work solution (0.4% DMSO, with the DMSO limit in the assay being 0.4%). For the combination assays, 40 μM equimolar mixture was prepared using 20 μM test compound and 20 μM MTX. The 40 μM work solution was then used to perform serial dilutions (1:2) in a 96-well plate. Upon compound addition to the test plate, the mid-log bloodstream forms were added (100 μL) in complete HMI-9 medium (supplemented or not with 1 mM folic acid) at a final cell density of 1 × 10 4 /mL in a final well volume of 200 μL with a maximum DMSO concentration of 0.2%. Following incubation for 72 h at 37°C and 5% CO 2 , 20 μL of 0.5 mM resazurin solution was added, and the plates were incubated further for 4 h under the same conditions. Fluorescence was measured at 540 and 620 nm excitation and emission wavelengths, respectively, using a Synergy 2 multi-mode reader (BioTek). The antitrypanosomatid effect was evaluated by the determination of the IC 50 value (concentration required to inhibit growth by 50%) and calculated by the nonlinear regression analysis using GraphPad Prism version 5.00 for Windows, GraphPad Software, San Diego, California, USA (www.graphpad.com). It was not possible to analyze the combination of 4m with MTX by adopting an isobologram approach, as described by Chou. 59 This approach requires the use of both compounds at their EC 50 potency in the combination, which is impossible to be detected for compound 4m having no intrinsic antiparasitic activity as a single agent at the tested concentrations. Folic acid (1 mM) was chosen on the basis of the following experiments. The stock solution of 10 mM folic acid dissolved in NaOH solution was used to perform a dose− response curve with folic acid alone to evaluate the maximum amount we could use without compromising parasite growth due to pH modification of the media. The highest concentration that we could use was 1 mM without interfering with the parasite growth or significantly changing the pH of the media. The IC 50 values reported are the averages of the results obtained in at least two independent experiments. Pentamidine was used as the reference drug and internal control in all assays. The average pentamidine EC 50 for the assays was 2.28 ± 1.18 nM.
Cytotoxicity Assessment against THP-1 Macrophages. The effect of compounds 3k, 4h, 4m, and 4o on THP-1-derived macrophages was assessed by the colorimetric MTT assay [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide]. Briefly, 1 × 10 6 THP-1 cells were differentiated into macrophages by addition of 20 ng/mL of phorbol-myristate 13-acetate (PMA, Sigma-Aldrich) for 18 h, followed by replacement with a fresh medium and further incubation for 24 h. The cells were incubated with compounds ranging from 100 to 3 μM after dilution in the RPMI complete medium containing a maximum amount of 1% DMSO. After incubation for 72 h at 37°C and 5% CO 2 , the medium was removed and 0.5 mg/mL MTT solution was added. The plates were incubated for 4 additional hours to allow viable cells to convert MTT into a purple formazan product. Solubilization of formazan crystals was achieved by addition of 2-propanol, and absorbance was read at 570 nm using a Synergy 2 multi-mode reader (BioTek). Cytotoxicity was evaluated by the determination of the CC 50 value (drug concentration that reduced the percentage of viable cells by 50%) and calculated by the nonlinear regression analysis using GraphPad Prism version 5.00 for Windows, GraphPad Software, San Diego, California, USA (www.graphpad.com).

* S Supporting Information
The Supporting Information is available free of charge on the ACS Publications website at DOI: 10.1021/acsomega.7b00473.