Research Signpost 37/661 (2), Fort P.O. Trivandrum-695 023 Kerala, India Opportunity, Challenge and Scope of Natural Products in Medicinal Chemistry, 2011: 411-431 ISBN: 978-81-308-0448-4 14. Carbohydrate-containing natural products in medicinal chemistry 1 Hongzhi Cao1, Joel Hwang2 and Xi Chen2 National Glycoengineering Research Center, Shandong University, Jinan, Shandong 250012 P. R. China; 2Department of Chemistry, University of California-Davis One Shields Avenue, CA 95616, USA Abstract. Carbohydrates are essential components of many natural products known for great medicinal importance. The carbohydrate moieties can increase drug water solubility, decrease toxicity, and/or contribute to the bioactivity of the natural products. This review provides a short summary of diverse carbohydratecontaining natural products, recent advances in introducing glycan diversity to natural products, and their potential application in medicinal chemistry. 1. Introduction Carbohydrates are the most abundant biomolecules. They are presented as free monosaccharides, oligosaccharides, polysaccharides, and as essential components of glycoconjugates, including glycolipids, glycoproteins or glycopeptides, and glycosylated natural products. Glycosylated natural products have been commonly used as antimicrobial drugs and now as emerging anti-cancer drug candidates. The sugar moieties in many bioactive natural products do not only increase water solubility thus the bioavailability of the compounds, but also decrease toxicity. Some glycans are also the essential components for the bioactivity of the natural products. This review Correspondence/Reprint request: Dr. Hongzhi Cao, National Glycoengineering Research Center, Shandong University, Jinan, Shandong 250012, P. R. China. E-mail: [email protected]; Prof. Xi Chen, Department of Chemistry, University of California-Davis, One Shields Avenue, CA 95616, USA E-mail: [email protected] 412 Hongzhi Cao et al. summarizes the diverse carbohydrate-based and glycosylated natural products that have been used as drugs and those have great drug potential. Recent advance in developing novel glycosylated natural products by glycorandomization/glycodiversification is also included in the review. 2. Iminosugars, aminoglycosides and carbohydrate mimics Iminosugars, also known as azasugars or polyhydroxylated alkaloids, are a family of naturally occurring carbohydrate mimics. These sugar mimics in which the ring oxygen is replaced by nitrogen are classified into five structural classes: polyhydroxylated piperidines, pyrrolidines, indolizidines, pyrrolizidines, and nortropanes [1]. Some representative iminosugar structures are shown in Figure 1. Nojirimycin (1, Figure 1) [2] was the first natural iminosugar isolated from Streptomyces roseochromogenes R-468 and S. lavendulae SF-425 and was shown to be a potent inhibitor of α- and β-glucosidases from various sources [3]. The chemically more stable 1-deoxy nojirimycin (DNJ, 2) was also isolated shortly after the discovery of nojirimycin. So far, many iminosugars have been isolated from natural source and most of them exhibit specific potent inhibition against different glycosidases, a class of carbohydrate catabolic enzymes [1-4]. Aminoglycosides are an important group of carbohydrate-based antibiotics typically containing one aminocyclitol linked to two or more uncommon monosaccharides. Streptomycin (9, Figure 2) from Streptomyces griseus was the first aminoglycoside natural product discovered [5]. Streptomycin and many other aminoglycosides (Figure 2) isolated from natural sources have been widely used as antibacterial agents, especially against mycobacterium tuberculosis. Recently, aminoglycosides have been demonstrated to inhibit catalytic RNAs in vitro as well as to interfere with HIV replication by disruption of essential protein-RNA contacts [6-8]. Figure 1. Structures of representative iminosugars. 413 Carbohydrate-containing natural products in medicinal chemistry H2N NH2 NH HN OH OH HO NH H2N NH CHO O H3C HO HO O HO HO H2N O NH2 O HO OH O O OH NHMe H2N O H2N NH2 O HO OH O O OH NH2 O H2N HO OH H2N OH Streptomycin, 9 H2N NH2 O O H2N H2N O HO NH2 O Kanamycin B, 12 H2N O HO H2N NH2 O H2N O HO NH2 O OH O HO OH Paromomycin, 11 NHCH3 O NH2 O OH Neomycin B, 10 NH2 HO HO H2N O O HO HO O O HO OH OH NH2 O HO CH3HN Gentamicin C1, 13 CH3 OH O HO CH3HN CH3 OH Sisomicin, 14 Figure 2. Structures of representative aminoglycosides. Many natural occurring and synthetic carbohydrate mimics including iminosugar- and aminoglycoside-based glycosidase inhibitors have been used as drugs to treat diabetes, viral infections, cancers, and Gaucher disease (Figure 3) [1-4]. For example, acarbose (15), a pseudotetrasaccharide isolated from the fermentation broth of the Actinoplanes strain SE 50, was the first marketed α-glucosidase inhibitor. It was introduced in early 1990s under the name of GlucobayTM [3]. Two other synthetic carbohydrate mimics, miglitol (16) and voglibiose (17), have also been introduced to the market as α-glucosidase inhibitors for the treatment of type II diabetes [4,9]. As α-glucosidase inhibitors, acarbose (15), miglitol (16) and voglibiose (17) can decrease the carbohydrate digestion rate and reduce postprandial hyperglycaemia (PPHG). Neu5Ac2en (20), the dehydrated Neu5Ac, is a transition state analog inhibitor of sialidases (also known as neuraminidases). To overcome the low efficiency and poor selectivity of Neu5Ac2en in inhibiting influenza virus neuraminidases, Relenza (18) and Tamiflu (19) were developed in recent years as competitive inhibitors against influenza viral neuraminidase [1,4]. These two blockbuster “flu drugs” have played important roles in combating the recent flu pandemic and epidemics. 414 Hongzhi Cao et al. Figure 3. Some glycosidase inhibitor-based drugs. The iminosugar Miglustat (22) was the first market azasugar anticancer drug. It was also used to treat Gaucher disease by inhibiting the glycosyltransferase involved in the biosynthesis of glucosylceramide [4,9]. Other iminosugars, such as naturally occurring swainsonine (5), castanospermine (6), and a DNJ synthetic derivative (NMDNJ, 21), are current anticancer drug candidates in ongoing clinic trails. These iminosugars are inhibitors against catabolic glycosidasees associated with cancer progresses [1,4]. During the course of synthesizing novel inhibitors against glycosidases and glycosyltransferases, many new synthetic approaches and methods for iminosugars have been developed. For example, Wong and co-workers developed a one-pot chemoenzyamtic approach for the synthesis of a library of iminocyclitols using fructose-6-phosphate aldolase (FSA) [10]. Most recently, the Wong group also developed a two-step chemical synthesis of iminocyclitols using Petasis-type aminocyclization as the key step [11]. The organocatalytic aldo reaction was also intensively investigated in recent years for the synthesis of iminosugars [12,13]. 415 Carbohydrate-containing natural products in medicinal chemistry 3. Saponins Saponins are a class of glycosylated secondary metabolites that have been found in various plant species and some marine organisms. Thousands of saponins have been characterized and they usually can be classified into steroidal glycosides and triterpenoid glycosides according to their aglycones. As natural surfactants, saponins have not only been used as detergents or foaming agents for many years, they have also been used in Africa to kill infected snails and prevent the transmission of schistosomiasis. Plant saponin extracts from ginseng, liquorice, horse chestnuts, ivy leaves, quillaia barks, primula roots, senega roots, sarsaparilla roots and others have been used as folk medicines [14-16]. The cardiac glycosides include well-known drugs such as digoxin (23) has been used for many years to treat congestive heart failure. O OH O HO OH O O OH O O O OH O OH Digoxin, 23 Some recent studies showed that digoxin also has anti-cancer activity and can be used as a novel cancer therapeutic agent [17,18]. Antimicrobial, especially antifungal, activities of many steroidal saponins (e.g. 24-29 in Figure 4) have also been reported [19-25]. Ginseng (Panax genus) is a family of slow-growing perennial plants belonging to the family Araliaceae. Its root has been used to increase the quality of life in China and East Asia since ancient time. So far, more than 30 different ginsenosides (Figure 5) have been isolated, and these triterpene saponins are considered to be the main active compounds in the ginseng products [26,27]. Accumulated evidences have shown that ginsenosides also have anti-inflammation [28], anticancer [29-31] anti-diabetic [32,33] activities, and can prevent neurodegeneration [34,35]. OSW-1 (Figure 6, 34) is a high potent anticancer cholestane glycoside. OSW-1 and its four natural analogues (35-38) have been isolated from the bulbs of Ornithogalum saundersiae, a perennial grown in southern Africa where it is cultivated as a cut flower and garden plant [36]. These cholestane 416 Hongzhi Cao et al. O O HO O HO O HO HO O OH O O OH HO O O HO HO O O OH O HO HO O OH TTS-12, 24 HO O HO O HO HO HO O OH O O OH HO O O HO HO O O O OH O HO HO OH TTS-15, 25 O O OH O O OH O HO HO HO O O HO HO Dioscin, 26 HO OH 29 O OH O HO O HO O HO HO O OH O HO HO HO HO O O OH O OH O HO O HO O O OH OH OH O Aginoside, 27 HO HO HO HO O HO O OH O HO HO O O OH HO HO O OH O O OH O HO O HO O OH OH CAY-1, 28 Figure 4. Structures of representative antimicrobial saponins. 417 Carbohydrate-containing natural products in medicinal chemistry OH O HO HO O HO HO OH OH OH O O HO HO HO O RO O HO HO OR 30, R = Rha, Ginsenoside Re, HO 31, R = Glc, Ginsenosied Rg1 32, R = H, Ginsenoside Rh2 33, R = Glc, Ginsenoside Rg3 Figure 5. Structures of some representative ginsenosides (30–33). glycosides exhibited extremely potent cytotoxicity against human promyelocytic leukemia HL-60 cells with IC50 between 0.1 and 0.3 nM. OSW-1, the major constituent, exhibited high potent activity against various malignant tumor cells, including leukemia, mastrocarcinoma, lung adenocarcinoma, pulmonary large cell carcinoma and pulmonary squamous cell carcinoma. The cytotoxicity is 10-100 fold more potent than some wellknown anticancer agents in clinical use, such as mitomycin C, cisplatin, camptothecin, adriamycin and taxol [37]. Due to its unique structure and exceptional highly potent anticancer activity, OSW-1 has been an attractive synthetic target for organic chemists. Three groups have reported the total synthesis of OSW-1. All of these synthetic approaches utilized a convergent strategy that glycosylated the aglycone acceptor with disaccharide donor to realize the coupling (Figure 7). The most challenging part of the total synthesis was the synthesis of aglycone O OH O AcO R1O HO HO 34, R1 = H, R2 = p-methoxybenzoyl, OSW-1 35, R1 = H, R2 = 3,4-dimethoxybenzoyl O 36, R1 = H, R2 = (E)-cinnamoyl O O OH 37, R1 = Glc,R2 = p-methoxybenzoyl 38, R1 = Glc,R2 = (E)-cinnamoyl OR2 Figure 6. OSW-1 and its analogs. 418 Hongzhi Cao et al. (a) Hui and Yu's synthesis (1999) O O 35% 39 O OH OH 3 steps 9 steps HO O O 54% 30% 40 TBSO 2 steps 41 TBSO OSW-1 (b) Jin's synthesis (2001) O O 66% 39 TBSO O OH OH 3 steps OAc 2 steps 7 steps HO O O 58% 74% 42 41 TBSO OSW-1 (c) Guo's gram scale synthesis (2008) O O HO 39 O O 4 steps 3 steps 37% 41% TBSO 40 TBSO O OH OH 3 steps 41% 41 OSW-1 Figure 7. Total synthesis of OSW-1 (34). acceptor. It was achieved from commercially available 5-androsten-3β-ol-17one (39) in all three reports. The Hui and the Yu groups reported the first total synthesis of OSW-1 (34) in 1999 (Figure 7, path a) [38]. In their synthesis, the side chain elongation was realized by employing sequentially Wittig olefination, Ene reaction, Dess-Martin oxidation, Grignard addition, PDC oxidation, and protection of keto with ethylene glycol to give the key diene intermediate 40. The diene 40 was subjected to OsO4 to afford the corresponding 16α,17α diol intermediate in moderate yield, which was converted to the natural aglycone as the acceptor for the next glycosylation step by reversing the 16α-OH to 16β-OH through an oxidation-reduction process. Finally, the OSW-1 (34) was constructed from commercially available dehydroisoandro-sterone, L-arabinose, and D-xylose in 14 linear steps with a total yield of 6%. Jin and co-workers developed a new strategy for steroselective introduction of the aglycone side chain via 1,4-addition of α-alkoxy vinyl cuprate to 17(20)-en-16-one steroid to give the intermediate 42 (Figure 7, pathway b) [39,40]. In Jin’s synthesis, a new strategy was developed to introduce the 16β,17α diol to avoid using toxic OsO4. The total synthesis was finished in 10 linear steps with a 28% overall yield. 419 Carbohydrate-containing natural products in medicinal chemistry Recently, Guo and co-workers reported gram-scale synthesis of OSW-1 (34) (Figure 7, pathway c) [41]. In their synthesis, an efficient new approach was developed to elongate the steroid side chain to give the key diene intermediate 40 in 4 steps with a 37% total yield. Then, following the similar approach as described by Hui and Yu, the OSW-1 was synthesized in 10 linear steps in a 6% overall yield. Structure-activity relationship studies of OSW-1 analogues revealed that a new 23-oxa-analogue of OSW-1 had much more potent antitumor activity than its parent OSW-1 [42]. Recently, a biotinylated OSW-1 was successfully synthesized for cell targeting studies [43]. Other than the anti-cancer activity of some saponins such as OSW-1 and its analogs described above, some saponins such as QS-21Aapi and QS-21Axyl has been used as the potent immunoadjuvants for vaccine. The saponin extracts of South American tree Quillaja saponaria Molina have long been used as foaming agents in beverages. Recently, the extracted saponins attract tremendous attention for its immunological adjuvant activities and have been used as a critical adjuvant component in many vaccine therapy trials [44]. QS-21A (the 21st fraction from Reverse Phase-HPLC) was the minor constituent which comprised two isomeric triterpene glycoside saponins QS-21Aapi (43) and QS-21Axyl (44) (Figure 8) [45]. These two complex triterpene-oligosaccharide-normonoterpene conjugates consist of a quillaic acid as a central lipophilic core, a branched trisaccharide, a linear tetrasaccharide, and an extended glycosylated diester side chain (Figure 8). QS-21Aapi (43) and QS-21Axyl (44) have a β-D-apiose and a β-D-xylose, respectively, as the terminal saccharide residue on the linear tetrasaccharide substructure. Unfortunately, obtaining sufficient quantities of these natural products in pure form is a daunting project due to their low abundance. O OH O O HO O HO HO O HO O OH HO OH O HO CO2- OH O O O O O HO O CHO OH HO O O HOO HO OR O OH OH OH OH O 43, QS-21Aapi R= HOOOH 44, QS-21Axyl R= HO O OH OH Figure 8. Structures of QS-21Aapi (43) and QS-21Axyl (44). O OH 420 Hongzhi Cao et al. The synthesis of the fully protected branched trisaccharide and the linear tetrasaccharide components of QS-21Aapi were reported by Zhu et al. [46]. The total synthesis of QS-21 Aapi (43) [47], QS-21Axyl (44) [48], QS-7-Api [49] was successfully accomplished by Gin and his co-workers. The total synthesis of QS-21 Aapi (43) was achieved in 2006 by judicious choice of the coupling protocols and protecting patterns (Figure 9) [47]. A convergent coupling strategy was used for conjugating four building blocks including a branched trisaccharide (45), a quillaic acid acceptor (46), a tetrasaccharide fragment (47), and an acyl chain (48) (Figure 9). The glycosyl acceptor, a 30-carbon triterpene quillaic acid ester (46), was prepared by acid-mediated hydrolysis of natural semipurified QS saponins followed by selective protection. In Gin’s total synthesis, most of the glycosidic linkages were constructed with sulphoxide-mediated dehydrative glycosylation (Ph2SO-Tf2O) method using hemiacetal donors. The steroselective coupling between branched trisaccharide α-imidate (45) and the quillaic allyl ester (46) was achieved using a less common B(C6F5)3 Lewis acid as the promoter. The coupling of linear tetrasaccharide (47) and acyl chain (48) under Yamaguchi conditions provided the complex sugar ester in 90% yield. This sugar ester was then converted to its α-imidate and coupled with the acid of glycosylated quillaic acid triterpene to give the fully protected QS-21Aapi. QS-21Aapi was finally achieved after global deprotection [47]. BnO BnO O BnO BnO CO2Me AcO O O OBn O OO CO2All OH NH BnO CCl3 OBz HO 46 CHO 45 H OH BnO TIPSO O O O O O O O BnO O O Ph OO HO OBn OBn TBSO O TBSO O O O TBSOO TBSO 47 OTBS 48 Figure 9. Structures of four building blocks for the synthesis of QS-21Aapi (43). 421 Carbohydrate-containing natural products in medicinal chemistry The total synthesis of the other two QS saponins, QS-21Axyl (44) [48] and QS-7-Api [49], were also accomplished by the same group using a similar approach. Most recently, Gin and his co-workers designed and synthesized several amide-modified, non-natural QS-21 analogs [50]. These synthetic saponins were chemically stable and exhibited similar or even better immunopotentiating effects in in vivo assays with GD3-KLH melanoma conjugate vaccine. The highly convergent synthesis of these novel non-natural saponins provides new avenues for searching and identifying improved molecular adjuvants for specifically tailored vaccine therapies. Some other saponins have been isolated and characterized with significant biological activities such as anticancer, anti-infection, anti-fungi etc. Because of the lengthy steps of protection/deprotection and sometimes low yields and low stereoselectivity in the glycosidic coupling processes suffered in saponin synthesis, only a small portion of these natural products have been synthesized. For example, two complex triterpene saponins, Lobatoside E (49) [51] and Candicanoside A (50) [52] both exhibited potent anticancer activity, have been recently synthesized by Yu’s group (Figure 10). However, many others, such as Avicin D (Figure 10, 51) [53] which also exhibited potent anticancer activity, are still attractive total synthetic targets that have not been synthesized. O HO O HO HO HO O O O O O HO O OH OH OH O HO O O HO O O OH O O O O HO HO OH OH HO HO HO O O O OH O HO HO OH Anticancer Total Synthesized in 2008 Lobatoside E (49) Anticancer Total Synthesized in 2007 Candicanoside A (50) O O O HO O HO HO OH O O HO HO OH O OH O HO O O O NHAc OH O O O O O HOO O OH O OH HO O HO HO OH HO OH OH O OH OH OH OH Anticancer (To be synthesized) Avicin D (51) Figure 10. Structures of three bioactive complex triterpene saponins. 422 Hongzhi Cao et al. 4. Glycosylated macrolides Many microlides produced by bacteria have sugar moieties and have excellent activity against Gram-positive bacteria. Many of them such as erythromycin A (52), oleandomycin, spiramycin, josamycin, tylosin, and midecamycin have been successfully used in clinic for years [54,55]. In addtion, cytotoxic tetraene macrolide CE-108 (53) [20-56], a secondary metabolite of Streptomyces diastaticus 108, and amphotericin B (54) [57] are good candidates for broad-spectrum antifungal drugs. Most recently, a new 18-membered macrolide glycoside, biselyngbyaside (55) from marine cyanobacterium Lyngbya sp., has been reported to exhibit uncommon broadspectrum antitumor activity in a human tumor cell line panel [58]. 5. Glycosylated cyclic peptides Cyclic polypeptides have been considered as potential antimicrobial agents for pharmaceutical, preservation, cleaning, and disinfection uses [59]. Most of these cyclic polypeptides are of microbial origin and many have carbohydrate moieties. Many of these glycosylated cyclic peptides, such as O HO HO HO OH NMe2 HO O O O O OH O O HO OH OH HO (antibacterial) Erythromycin A, 52 O OH NH2 (Antifungal) CE-108, 53 OH OH O OH O OMe O O HO O O HO O OH OH OH OH O OH O O HO (Antifungal) Amphotericin B, 54 O NH2 OH O HO HO MeO O O O OMe OH (antitumor) Biselyngbyaside, 55 Figure 11. Structures of representative glycosylated macrolides. 423 Carbohydrate-containing natural products in medicinal chemistry OH H2N HO OH HO Cl O O HO HO HO O O O Cl HO HO Cl O O H N N H HN O O OH OH HO NH2 H H N H2N HO O O H N HN N H N N H O NH O HO NH2 O O O HO OH HO OH O H N S+ O H N N H Vancomycin, 56 NH2 OH OH O OH O OH Teicoplanin, 57 OH NH2 H N O N H Cl O AcHN O NH2 O O H N N H O HO OH O O O O HO O O H N O HO O H H H N O HO H O H O HO N H H H N O H OH O O N H OH OH O OH OH O O NH2 N O HO H N S H N NH N Bleomycin, 58 S HO H N O N H O NH H2N O O HO HO HO N O O R OH O NH2 HN H N O HO N H O O O O O O O R = OH, Hassallidin A, 59a R = L-Rhamnose, Hassallidin B, 59b Figure 12. Structures of some glycosylated cyclic peptides. vancomycin (56), teicoplanin (57), bleomycin (58) and ristocetin etc., are very important antibiotics and some of them have been considered as the last resort for treating multiple resistant bacteria infections (Figure 12) [60]. Hassallidins A (59a) [61] and B (59b) [62] isolated from a cyanobacterium Hassallia sp., have shown broad-spectrum antifungal activity. Compared to hassallidin A, hassallidin B has an extra rhamnose attached to the 3-hydroxyl group of the acyl chain and was shown to have increased water solubility without decreasing its potent antifungal activity [20,62]. 6. Cyanogenic glycosides Cyanogenic glycosides are secondary metabolites widely distributed in more than 2500 plant species. They comprise a sugar moiety, mostly D-glucose, beta-linked to an alpha-hydroxynitrile type aglycone. The sugar in some cases can also be gentibiose, primeverose or others, and the aglycones can be aliphatic or aromatic compounds (Figure 13) [63,64]. Cyanogenic glycosides can release hydrocyanic acid (HCN) upon hydrolysis. They are believed to participate in defense mechanisms of many plants against different phytopathogens [63,65]. 424 Hongzhi Cao et al. HO HO HO CN O CH3 O OH HO HO HO O OH CO2H HO HO HO OH Cynocardin, 62 NC HO HO HO O O NC O O OH OH CO2H HO HO OH Lithosperm, 64 Tryglochinin, 63 NC O O OH Aciapetalin, 61 CN O O OH CH3 Linamarin, 60 HO HO HO HO HO HO NC O OH 65 Figure 13. Structures of some cyanogenic glycosides. 7. Glucosinolates Glucosinolates are sulfur-rich secondary metabolites of plants which contain beta-D-thioglucose and sulpholated oxime moieties (Figure 14) [66-68]. The glucosinolates share some common features with cyanogenic glycosides, such as similar biosynthetic pathway at the early stages and both can be hydrolyzed to generate toxic degradation products in plant defense. The biosynthesis of glucosinolates comprised three steps, sidechain elongation of precursor amino acids, formation of the core glucosinolate structure, and side-chain decoration. The biological activity of glucosinolates is not limited to protection against various pathogens and weeds in case of plants, and recently studies demonstrated it has antifungal, antibacterial, antioxidant, antimutagenic and anticarcinogenic effects [69-73]. HO HO HO N O S OH OSO3- HO HO OH HO N OSO3- O S H N N HO HO HO O Glucobrassicin, 67 S OH OH Sinalbin, 66 OSO3- Sinigrin, 68 Figure 14. Structures of some glucosinolates. 8. Other carbohydrate-containing natural products Other carbohydrate-containing major secondary metabolites which have recently been identified as potent antimicrobial agents or dietary supplements include antifungal glycosylated flavonoid 69, antimicrobial glycosylated iridoids (monoterpenoids) 71 and 73, antimicrobial glycosylated lignan 74, and antibacterial glycosylated terpenoid 72 (Figure 15) [20,74-76]. In addition, flavonol glycoside rutin (70, from buckwheat and rue) and the flavanone glycoside hesperidin from Citrus peels have been used as vitamin P in dietary supplements [5]. 425 Carbohydrate-containing natural products in medicinal chemistry MeO2C O HO HO OH HO OH O HO O OH HO HO HO O OH O 73 O H O O O AcO O O O 71 H CO2H OH 72 O O OH OMe HO OH O HO H OH AcO OMe HO O H OH O HO O OH HO HO HO O O rutin, 70 69 O O OH O-Glc-Rha OH OH HO HO HO OH O MeO OMe OH 74 OH OMe HO HO O O O OH OH OH O hesperidin, 75 Figure 15. Some glycosylated flavonoids, iridoids, lignans & terpenoids. 9. Current advances in glycosylated natural products: Glycorandomization/glycodiversification Many glycosylated naturally occurring antibiotics and its synthetic analogs are widely used in the clinic for the treatment of various human diseases such as antibacterial, anticancer, antifungal, antiparasite drugs, etc [77,78]. These antibiotics can be classified to macrolides, enediynes, anthracyclines, coumarins, non-ribosomal peptides, aminoglycoside, polyenes, aureolic acids, and others, according to their specific architectures. The emergence of pathogenic bacteria that are resistant to multiple antibiotics represents a growing threat to human health and has given additional driving force for the search for novel antibiotic drugs [79-81]. Fewer and fewer new drugs have been found in target screening programs during the past two decades, and scientists have started to look for new technologies to generate new compounds. Accumulating evidence has shown that the sugar moiety of many antibiotics play pivotal roles in drug targeting and activity. Alteration of the carbohydrate structures of drugs, therefore, will have profound effect to their molecular targeting and organism specificity. Recently, Thorson’s group reported a promising new glycoengineering (glycorandomization or glycodiversification) strategy for drug development by quick accessing a library of diverse natural product analogs [82,83]. One example is glycoengineering of vancomycin using a promiscuous glucosyltransferase GtfE and an expanded pool of NDP-sugars (Figure 16) [84,85]. Vancomycin (56), a glycosylated natural product from Amycolatopsis orientalis, is considered the last defense against infections caused by methicillin-resistant Gram-positive bacteria. Two glycosyltransferases, GtfE and GtfD, are involved in the vancomycin biosynthetic pathway to stepwisely add L-vancosaminyl-1,2-D-glucosyl disaccharide to the 4-hydroxyphenylglycine of the heptapeptide vancomycin aglycone (Figure 16a) [86]. 426 Hongzhi Cao et al. OH H 2N a) Glycosylation steps in the vancomycin biosynthetic pathway O HO R OH vancomycin aglycone O O dTDP-Glc dTDP-vancosamine GtfE HO HO O GtfD vancomycin aglycone O O vancomycin aglycone b) Glycoengineering and futher chemical diversification of vancomycin (Thorson, 2003) R1 R O OH O NDP-sugars vancomycin aglycone R2 alkynes vancomycin aglycone GtfE N OH O O vancomycin aglycone HN N H O O vancomycin aglycone OH O N H O H N O N H H N NH2 O HO N O H N HO OH O Cl HO O O Click-chemistry Cl OH HO HO N OH OH Figure 16. Glycoengineering of vancomycin. Previous studies have shown that GtfD and GtfE have flexible substrate specificity [86,87]. Thorson and his co-worker further exploited these properties and found that 21 of the 23 TDP-sugars generated through chemoenzymatic synthesis were utilized by GtfE to give a library of novel vancomycin analogs (Figure 16, Path way B). The vancomycin analog which has an azidosugar moiety (6-azido-6-deoxy-glucopyranose) can be further modified in the presence of alkynes via “Click-Chemistry” to generate 39 additional vancomycin derivatives. One of the new compounds displayed improved antibiotic activity against Staphylococcus aureus and Enterococcus faecium (Figure 16) [84,85]. The glycodiversification strategy has been recently employed by the same group in generating calicheamicin analogs. A new reversible reaction mechanism catalyzed by the glycosyltransferases (GTs) was discovered during the course of their studies (Figure 17) [88]. Calicheamicin (Figure 17, 77) is a member of the enediyne family of antitumor antibiotics isolated from Micromonospora echinospora. Thorson and his co-workers demonstrated 427 Carbohydrate-containing natural products in medicinal chemistry A) Glycosylation step catalyzed by CalG1 in the Calicheamicin biosynthetic pathway O HO O HO MeSSS O I O S H O N HO OMe OH HO OMe O H NHAc HO MeO O OTDP O CalG1 B) Modification Calicheamicin by in vitro glycodiversification I O S OMe OH HO NHAc MeSSS O H N HO 76 OMe O O HO MeO OH O OMe OH OMe O H N HO O R O OH Calicheamicin, 77 O O S OTDP O CalG1 OH MeSSS O I H NHAc H HO O O S O OH HO I OH 76 MeSSS O R O O OMe OH O O H N HO O NHAc H O OH OMe Calicheamicin derivatives with non-natural sugar moiety C) Modification Calicheamicin by reverse glycosyltransferase reaction I O S OMe OH HO NHAc MeSSS O O H N HO O H O HO O HO R O O I S OTDP O CalG1 OH MeSSS R O OMe OH O O O H N HO O NHAc H O OH OMe OMe Calicheamicin derivatives with non-natural sugar moiety O OTDP HO MeO OH CalG1 TDP O HO MeSSS O I OMe OH O O HO MeO OH O S OMe O H N HO O NHAc H O OH 77 Figure 17. Glycoengineering of calicheamicin by in vitro glycodiversifation and reverse glycosyltransferase reaction. that ten different TDP-sugars can be utilized by calicheamicin glycosyltransferase CalG1 to give calicheamicin derivatives with different sugars (Figure 17, Pathway B). Quite interestingly, when TDP-3-deoxy-α-Dglucose was incubated with CalG1 in the presence of calicheamicin (77), a calicheamicin derivative with the sugar moiety being replaced by 3-deoxy-αD-glucose was identified (Figure 17, Pathway C). Close investigation revealed that CalG1 catalyzed a reverse glycosyltransferase reaction in the presence of TDP to generate TDP-sugar and deglycosylated calicheamicin as a glycosyltransferase acceptor for producing the final derivative (76) [88]. More than 70 different calicheamicin derivatives were generated by this CalG1 catalyzed reverse reaction from 8 calicheamicin derivatives and 10 CalG1 recognized TDP-sugars. This GTs catalyzed reverse reaction was demonstrated to be a novel approach for the “aglycone exchange” reaction and can be applied for the synthesis of NDP-sugars [88]. Calicheamicin aminopentosyltransferase (CalG4) and vancomycin GTs (GtfD and GtfE) were also shown to catalyze reversible reactions in this study, suggesting that reversibility may be a general property of GTs involved in glycosylation of natural products in vitro [88]. 428 Hongzhi Cao et al. 10. Prospective and conclusion Finding drugable carbohydrate-containing natural products remains an ongoing process. With the increasing interests in the field of carbohydrates and the rapid advance of the powerful tools including chemical synthetic strategies, cheomenzymatic methods, and glycodiversification strategies, it is now possible to expand the existing repertoire of carbohydrate-containing natural products to find new drugs that can be used to protect human health and to combat and treat diseases. 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