Abstract
NADPH oxidases (NOXs) are transmembrane enzymes that are devoted to the production of reactive oxygen species (ROS). In cancers, dysregulation of NOX enzymes affects ROS production, leading to redox unbalance and tumor progression. Consequently, NOXs are a drug target for cancer therapeutics, although current therapies have off-target effects: there is a need for isoenzyme-selective inhibitors. Here, we describe fully validated human NOX inhibitors, obtained from an in silico screen, targeting the active site of Cylindrospermum stagnale NOX5 (csNOX5). The hits are validated by in vitro and in cellulo enzymatic and binding assays, and their binding modes to the dehydrogenase domain of csNOX5 studied via high-resolution crystal structures. A high-throughput screen in a panel of cancer cells shows activity in selected cancer cell lines and synergistic effects with KRAS modulators. Our work lays the foundation for the development of inhibitor-based methods for controlling the tightly regulated and highly localized ROS sources.
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Data availability
The data that support the findings of this study is available within the main text and its Supplementary Information file. The coordinates of the cocrystal structures of csNOX5 DH present in this study have been deposited in the PDB with accession codes 8CAK, 8CAL, 8CAO, 8CAP and 8CB0. Source data are provided with this paper. Data are also available from the corresponding author upon request.
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Acknowledgements
Research on NOX proteins was supported by the Associazione Italiana per la Ricerca sul Cancro (IG19808 to. A.M., Fellowships grant nos. 26648 to M.M. and 28098 to S.M.), the European Union’s Horizon 2020 research and innovation program under the Marie Skłodowska-Curie grant agreement no. 800924) and MUR (Ministero Università Ricerca); grant no. PRIN 2020CW39SJ. This research was funded also by Regione Lombardia, regional law no. 9/2020, resolution no. 3776/2020. H.A. acknowledges support from the National Institutes of Health (grant no. R01 GM136859) and Claudia Adams Barr Program for Innovative Cancer Research. We thank R. Nagarajan for the useful discussions and the ‘Centro Grandi Strumenti’ of the University of Pavia for technical support.
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J.R., S.M., M.M. and L.B prepared csNOX5 dehydrogenase, NOX4 dehydrogenase, NOX1, NOX2, NOX4 and NOX5. J.R., S.M., M.M. and L.B. performed protein crystallography and biochemical and cellular-based experiments. C.G. performed virtual screening studies. S.V. and B. N. performed and supervised compound chemical synthesis. R.T. and T.V. performed and supported NMR experiments. H.C. performed AML cell experiments. M.H.Y. performed and analyzed experiments on KRAS cell lines. M.M.R., M.G.R. and J.A.R. performed and analyzed all the PRISM cancer line experiments. L.C., A.N. and L.A. performed and supervised cancer cell experiments. J.R., M.M., S.M., S.V., A.M., H.A. and A.M. conceived the experiments and wrote the manuscript. All the authors read and approved the manuscript.
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C.G. and H.A. are cofounders of Quantum Therapeutics Inc., a company that uses computational methods for drug development and the work presented here has no overlap. The remaining authors declare no competing interests.
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Extended data
Extended Data Fig. 1 Pipeline for human NOX inhibitor discovery.
A graphic representation of the experimental workflow and selection criteria employed for the discovery of human NOX inhibitors.
Extended Data Fig. 2 The crystal structures of the csNOX5 DH in complex with 3 (a), 4 (b), 6 (c), and 2 (d).
The panels show the close-up views of the bound inhibitors and their neighboring residues. The inhibitor 2Fc-Fc maps are countered at 1.2−1.4 σ levels and were calculated prior to the inclusion of the inhibitors in the crystallographic refinement.
Extended Data Fig. 3 Cell-based assays to monitor the efficacy of NOX inhibitors.
(a-b) Dose-response curves are graphed on a logarithmic scale with percentage of inhibition as a function of compound concentration. The conducted assay followed ROS production and determined the EC50 of 3 on NOX2 (left, pink) and 1 on NOX5 (right, orange). Data are given as the mean ± s.d, n = 2 independent experiments for NOX2, n = 3 independent experiments for NOX5. DMSO and inhibitors experiments were performed in parallel. (c-d) Western blot protein quantification after exposure to increasing temperatures without and with the inhibitor, and (e-f) CETSA analysis - data were obtained i) in the presence of 3 (red) and DMSO (blue) on NOX2; ii) in the presence of 1 (red) and DMSO (blue) on NOX5. Overall, the thermal shifts for 3 on NOX2 and 1 on NOX5 are 2.1 °C and 4.3 °C, respectively. 1 also induces a stabilizing effect on NOX4 with a thermal shift of 1.3 °C whilst 3 causes a thermal shift of 1.2 °C on NOX4. Data are given as the mean ± s.d, n = 2 independent experiments for NOX2, n = 4 independent experiments for NOX5. DMSO and inhibitors experiments were performed in parallel. The solid lines represent the best fit of the data to the saturation binding curve model within the GraphPad Prism software.
Extended Data Fig. 4 Results from PRISM experiments and leukaemia cell line studies on 3 and 15.
(a) Average area under the curves (AUCs) of blood, lymphocyte, central nervous system, and kidney cancer cell lines, divided by sub-lineages: acute myelogenous leukemia (AML), acute lymphoblastic leukemia (ALL), chronic lymphoblastic leukemia (CLL), chronic myelogenous leukemia (CML), hairy cell leukemia (HRCL) in the blood lineage; non-Hodgkin lymphoma (NNHL), Hodgkin lymphoma (HDGL), lymphoma unspecified (LYMU), adult T-cell lymphoma (ATL) in the lymphocyte lineage; meningioma (MNNG), glioma (GLIM), medulloblastoma (MDLL), primitive neuroectodermal tumor (PNET) in the central nervous system lineage; malignant rhabdoid tumor (MLRT), renal cell carcinoma (RNCC), unspecified carcinoma (NA) in the kidney lineage. The PRISM assay comprised two immortalized non-cancerous cell lines (MMNK1 and HA1E). Both 1 and 3 did not show any activity against them (AUC > 0.98); mean ± s.d., n = 3 biologically independent experiments. Boxplots show medians, 25th and 75th percentiles, with bars showing the standard error of the mean. (b) Dose-response to 3 by the PRISM-identified cell lines (mean ± s.d., n = 3 independent experiments). (c) Cell viability studies (ATP quantification) on the U937 cells incubated for 72 hours with 3 (left) and 15 (right) with and without phorbol 12-myristate13-acetate (PMA; mean ± s.d., n = 3 independent experiments; 95% confidence interval for variable dose-response fit). For comparison, the lack of activity of 1 and 3 against a non-cancerous cell line is shown in Supplementary Fig. 56.
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Reis, J., Gorgulla, C., Massari, M. et al. Targeting ROS production through inhibition of NADPH oxidases. Nat Chem Biol 19, 1540–1550 (2023). https://doi.org/10.1038/s41589-023-01457-5
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DOI: https://doi.org/10.1038/s41589-023-01457-5