Special Technical Feature Fragment-based Drug Discovery, an Accessible Approach to New Therapeutics Martin Scanlon* and Raymond Norton* Medicinal Chemistry, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville 3052 *Corresponding authors: [email protected] and [email protected] The past decade has witnessed a drop in the number of new FDA-approved drugs reaching the clinic, although that decline appears to have halted temporarily (1). In certain key areas, antibiotics being a prime example, the output of new therapeutics from big pharma has fallen alarmingly (2). New approaches to the development of therapeutic leads are needed. In this article we describe fragment-based drug discovery (FBDD), which offers one particularly promising way forward. FBDD, moreover, is readily accessible to the academic community, and in this article we outline some of the requirements for a successful FBDD campaign. Introduction The initial phase of FBDD employs one or more of a number of sensitive biophysical techniques to detect the binding of small molecular entities (fragments) to a target protein. Indeed, the development of biophysical techniques with sufficient sensitivity and throughput to enable fragment screening has been a key innovation that has enabled FBDD to flourish. Many of the key concepts of FBDD had in fact been discussed in the literature long before they were demonstrated experimentally. The notion that binding free energies could be additive was proposed by Jencks in 1981 (3). This idea was developed by Andrews et al. (4), who reported the contribution of individual functional groups to binding energies and may have also been responsible for one of the first of an evergrowing number of measures to probe the efficiency with which a ligand binds to its receptor. Peter Goodford’s GRID provided an early computational tool to map the sites where particular functional groups could bind to proteins (5). However, it was not until 1996, when researchers from Abbott Laboratories described their approach of SAR-by-NMR (structure activity relationships by nuclear magnetic resonance), that the first practical demonstration of FBDD emerged (6). The field has developed rapidly since then, and there is now an almost mind-boggling array of techniques for finding hits, metrics to select the most promising candidates, and strategies for enhancing their potency and selectivity at the desired target. FBDD involves identifying small (typically <300 Da) ligands (‘fragments’), which, because of their small size, tend to bind with relatively low affinity, and then developing these to produce larger, higher-affinity ligands (7,8). The major advantage of FBDD over more traditional high-throughput screening methods is that FBDD provides a more rapid and effective means of identifying ligands for a protein target. Because there are fewer possible fragmentsized molecules than lead- or drug-sized molecules, FBDD Vol 44 No 3 December 2013 samples chemical space far more efficiently than traditional approaches and therefore requires far fewer compounds to be tested to identify suitable hits as starting points for development. Furthermore, there is some evidence to suggest that the lead compounds that emerge from FBDD have better physicochemical properties (described by Lipinski’s ‘rule of five’ (9)) than those from traditional drug discovery approaches, and as such are more likely to result in orally bioavailable compounds (10). A recent analysis of compounds that have emerged from FBDD programs on the Practical Fragments blog (http://practicalfragments.blogspot.com.au/2013/01/ fragments-in-clinic-2013-edition.html), hosted by Dan Erlanson, lists 26 fragment-derived compounds in various stages of clinical evaluation, and notes that this number is likely to be an underestimate. Indeed, the recent approval of vemurafenib, a B-Raf(V600E) inhibitor developed by Plexxikon for late-stage melanoma, validates FBDD as an approach to support the development of clinically useful drugs (11). Moreover, FBDD also has the capability to develop inhibitors of protein-protein interactions (PPIs), about which the pharmaceutical industry has had major reservations in the past as drug targets. That skepticism, however, is gradually being eroded as blockers of such interactions progress to the clinic. Several companies have employed FBDD to develop inhibitors of the β-secretase enzyme (BACE1) that have been taken into clinical trials for the treatment of Alzheimer’s disease. Similarly, inhibitors of the protein folding chaperone Hsp90 and inhibitors of proteins involved in apoptosis (Bcl-2 and Bcl-xL) have progressed to clinical trials for the treatment of cancer. This demonstrates that FBDD has the capacity to generate lead inhibitors of PPI targets. The ingredients of a successful fragment-based drug discovery program are a stable biomolecular target that can be produced in milligram quantities, a wellconstructed fragment library, one or more biophysical screening methods, and access to medicinal chemistry expertise to develop promising hits. It helps to have a high-resolution structure of the target, determined by either X-ray crystallography or NMR spectroscopy (Fig. 1). As all of these are accessible in an academic research environment and do not require access to sophisticated robotic platforms or dedicated assay development, there is growing interest in FBDD within the academic community in Australasia. Choosing a Fragment Librar y Fragment screens can be undertaken with commercially available libraries, although most practitioners prefer to AUSTRALIAN BIOCHEMIST Page 9 Special Technical Feature Fig. 1. Overview of fragment-based drug screening workflow. The fragment library is screened using one or more biophysical methods (in this example STD NMR), then hits are validated by orthogonal biophysical methods (here SPR and two-dimensional protein-detected NMR), ranked according to chemical class and ligand efficiency, then elaborated synthetically. High-resolution structural feedback is invaluable for efficient elaboration of fragments. 1D, one-dimensional NMR spectrum; STD, saturation transfer difference; SPR, surface plasmon resonance. create their own. Analysis of commercially available libraries (http://www.cambridgemedchemconsulting. com/resources/hit_identification/FragmentLibrary Profiles.html) indicates that there is remarkably little overlap between the compound collections offered by different commercial vendors, suggesting that purchasing fragments from multiple vendors may generate a more diverse library. Most reported libraries consist of fragments with an average molecular mass of ~200 Da (12). As smaller compounds are better able to sample chemical space (13,14), diverse screening libraries can be constructed with relatively few compounds. Most reported libraries contain fewer than 3,000 fragments. Although some of the larger companies have collections with significantly more fragments, there is little literature to suggest that this provides a significant advantage for the implementation of FBDD. However, there is an increased requirement to maintain and curate these larger libraries, imposing significant additional costs. Fragment screening is typically undertaken at relatively high fragment concentrations (300–500 µM), as the small size of the fragments dictates that they usually interact weakly with their targets. Therefore, fragment solubility is a key consideration in designing the library. For a general screening library, diversity, purity and suitability for the proposed screening technique(s) are also key considerations (15-17). Some of the issues associated with establishing a bespoke fragment library are described in recent articles by Doak et al. (12) and Francis et al. (18). Screening the Librar y Screening is mostly undertaken using biophysical techniques, as conventional biochemical methods are often not sufficiently sensitive to identify the modest (often mM) affinity of fragments for the target protein. Many such techniques are used to identify fragment hits, each with its own strengths and weaknesses, and it is advisable to employ at least two orthogonal methods to eliminate false positives (Table 1). At the Monash Institute of Pharmaceutical Sciences, we screen our in-house library in cocktails of six fragments by Page 10 ligand-based NMR methods initially, and score as positive those fragments that show clear responses in at least two and preferably three ‘ligand-detected’ NMR methods (saturation-transfer difference (STD), Carr-PurcellMeiboom-Gill (CPMG) and WATER-LOGSY), all of which detect ligand binding to the target over the µM–mM affinity range. If there is a peptide or similar ligand for the target-binding site, we further filter those positive hits on the basis of whether they compete with the known ligand. Finally, we confirm that those fragment hits give a clear, concentration-dependent response by SPR and/or HSQC NMR. A critical evaluation of the strengths and weaknesses of various methods for fragment screening and follow-up is provided by Davis and Erlanson (19) Transforming Fragment Hits into Potent Ligands Fragments that are identified as hits in a primary screen must subsequently be elaborated to increase their potency. This can be achieved through a range of different strategies exemplified in a number of recent reviews of successful FBDD campaigns (20-22). The relatively high hit rates that are observed in FBDD dictate that it is not uncommon to have several hits to choose from after the primary screen is completed. Therefore, a key aspect of fragment elaboration is to select from the primary screen the most promising candidates for development. Ideally the screening library should be free of problematic compounds such as those identified as ‘Pan Assay Interfering compounds’ (PAINS (23)) and those containing reactive functional groups (24). Fragment hits are often ranked not on their affinity for the target, but rather their ligand efficiency, which is commonly defined as [ΔGbinding/(number of heavy atoms)] (25) and is a more accurate descriptor of the quality of binding interactions present in the complex. The aim of the elaboration process is to maintain the ligand efficiency of the compound whilst increasing its potency. One of the design criteria in quality fragment libraries is that there are numerous commercially available analogues for each fragment, which allows the initial exploration of structure-activity relationships (SAR) to commence without AUSTRALIAN BIOCHEMIST Vol 44 No 3 December 2013 Special Technical Feature Table 1. Screening methods commonly employed for FBDD. Screening technique Protein requirement Limitations Strengths Ligand-detected NMR Moderate High false positive rate. Protein-detected NMR (e.g. twodimensional HSQC) High Surface plasmon resonance (SPR) Low Labeled protein required. Generally only suitable for proteins <35 kDa produced in bacterial expression systems. Protein must be immobilised on a surface in an active conformation. Suitable for screening of mixtures. Capable of detecting binding below fragment KD. Provides valuable QC for fragment in screening data. Can identify binding site. Provides KD estimate. X-ray crystallography Moderate Isothermal titration calorimetry Weak affinity chromatography Thermal shift assay High Low Low High false negative rate. Low throughput. No information on affinity. Low throughput. Protein must be immobilised on column. Not applicable to all targets. Requires high concentration of fragments. having to synthesise compounds. Once it is established that elaborated fragments show promising SAR, it’s time to engage medicinal chemists in the project. Their input is essential for the efficient and effective transformation of weakly binding fragments into sub-µM ligands that can serve as valuable biological tools and eventually therapeutic leads. Structural input is also important in guiding the medicinal chemistry elaboration of promising fragments. Ideally, compounds can be soaked into crystals or cocrystallised with the target protein. If a crystal structure is not available, high-resolution NMR can provide structural details of protein-fragment complexes. An example of the value of structural data in designing elaborated ligands is shown in Fig. 2 for fragments that were found to bind to the integrase enzyme of HIV-1 (26). High throughput. High sensitivity. Capable of detecting binding below KD. Provides KD estimate. Provides detailed structural information on the complex. Provides thermodynamics (KD, ΔH, ΔS) and stoichiometry of binding. Capable of screening mixtures. High throughput. Relatively inexpensive and high throughput. Conclusions This field offers many exciting opportunities for the biomedical community. The tools of the trade required for FBDD are readily available in an academic setting and the small size of the screening library means the cost is not prohibitive. We hope you share the enthusiasm of the authors for the prospects it offers to produce new biological tools and eventually new therapeutics. References 1. Osborne, R. (2013) Nat. Biotechnol. 31, 100-103 2. Butler, M.S., and Cooper, M.A. (2012) Curr. 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