Rapid Discovery of Potent Inhibitors of the Main Protease of SARS-CoV-2
November 02, 2022Yale Cancer Center Grand Rounds | November 1, 2022
Presentation by: Dr. William Jorgensen
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- 00:00On behalf of my Co leader,
- 00:02Barbara Burtness and I,
- 00:03I'm pleased to introduce Bill Jorgensen,
- 00:06one of our developmental therapeutic program
- 00:08members and also my long term collaborator.
- 00:11Bill is a graduate of Princeton and Harvard,
- 00:14spent 15 years on the faculty at Purdue,
- 00:17and in 1990 he moved to Yale,
- 00:19where he's currently Sterling
- 00:21Professor in the Chemistry department.
- 00:24Bill is internationally recognized
- 00:25as one of the world leaders in
- 00:28computational chemistry and drug design.
- 00:30His research has been recognized
- 00:32by many honors,
- 00:34and among among those include the American
- 00:36Chemical Society Cope Scholar Award,
- 00:39the ACS Award for computers.
- 00:42Chemical and pharmaceutical research,
- 00:44the ACS Hildebrand Award,
- 00:47the ISTQB P award in computational biology,
- 00:51the Sato International Award from
- 00:54the Pharmaceutical Society of Japan.
- 00:56He's been elected to membership
- 00:58in the International Academy
- 01:00of Quantum Molecular Science,
- 01:02American Academy of Arts and Sciences,
- 01:04and the US National Academy of Sciences.
- 01:07Another recent honor in
- 01:092020 includes one of the 16.
- 01:11Researchers selected for a Nobel Laureate
- 01:15Citation for individuals considered
- 01:18doing Nobel Nobel Class Research
- 01:20that has been cited over 2000 times.
- 01:23Today he's going to tell you a little bit
- 01:26about some of his work on SARS COVID 2.
- 01:29So without further ado,
- 01:31Bill,
- 01:31take it away.
- 01:33Yeah. Well, thank you very much
- 01:35Karen and the pleasure to be here
- 01:37the other side of the campus.
- 01:39So the our work I'll tell you about today
- 01:42is totally a collaboration between my
- 01:45research group and chemistry and Karen's
- 01:47group over here in the the Med school.
- 01:50So I'll talk a little bit in general about
- 01:53computer aided drug discovery and then
- 01:56specifically about our work and finding
- 01:59very potent protease inhibitors for SARS.
- 02:03Move two. So a key element of drug design
- 02:08is the fact of trying to make inhibitors
- 02:12that bind to an enzyme typically.
- 02:15So and we'll be talking about again a small
- 02:19molecule binding to SARS Cove 2 protease.
- 02:22And so this is governed by an equilibrium
- 02:24where you have the protein and water,
- 02:26the inhibitor and water,
- 02:28there's a free energy of
- 02:31binding and then the complex.
- 02:33So the free energy of binding the G because
- 02:36we're working in the constant pressure,
- 02:39constant temperature world is for Gibbs.
- 02:42So it's a Gibbs free energy and I put the
- 02:46stamp of our former colleague Jay Willard.
- 02:50Gibbs here is the father of.
- 02:53Thermodynamics.
- 02:53So the free energy binding just to introduce
- 02:58the concept of a nanomolar inhibitor.
- 03:01So the free energy of binding is given
- 03:04by minus RTL and the dissociation
- 03:06constant if you have a dissociation
- 03:09constant of 10 to the minus nine molar.
- 03:12That would correspond to A1 nanomolar.
- 03:16Inhibitor or an inhibitor that has that KD,
- 03:22one that has a KD of 10 to the
- 03:24minus six would be a micromolar
- 03:26inhibitor and our binder.
- 03:28And the reason I bring this up
- 03:32is that most drugs turn out to be
- 03:36typically one to let's say 20 or
- 03:39so nanomolar in a binding assay.
- 03:42And this all ultimately has to do with
- 03:45the farm human pharmacology and just
- 03:47how big a pill one is willing to take.
- 03:50So this obsession with nanomolar
- 03:53inhibitors just to, you know,
- 03:56reflects this fact,
- 03:58so.
- 03:58Ultimately here we're going to have to
- 04:01do simulations on computer simulations
- 04:04of proteins binding to ligands in water.
- 04:07And so how did this arise?
- 04:09When did it with such things happen?
- 04:12And the answer is,
- 04:13there really wasn't any significant
- 04:16work on doing computer simulations of
- 04:18molecular fluids before the late 1970s.
- 04:21And then of course it grew slowly after that.
- 04:25The problem is you have a lot of particles,
- 04:27you're using classical force.
- 04:29Those describe the interactions,
- 04:31but there's still a lot of particles
- 04:34and you have to.
- 04:35Observe the system over a significant
- 04:38time period.
- 04:39So if you're doing molecular dynamics,
- 04:41we might want to run the molecular dynamics
- 04:44for picosecond hundreds of picoseconds,
- 04:47nanoseconds and this just we didn't
- 04:50have the computer resources to do that.
- 04:53And then making it more complicated
- 04:56by putting a protein into it and
- 04:59describing the energetics of the
- 05:01protein and the water.
- 05:03That really didn't happen until mid.
- 05:061980s and my colleague here,
- 05:08Julian Torrado Rivas and I
- 05:10published one of the first
- 05:13calculations for a protein in water
- 05:16where we did molecular dynamics for
- 05:19100 picoseconds and that was in 1988.
- 05:22So doing the type of calculations
- 05:25we're talking about today is
- 05:28relatively recent phenomenon.
- 05:30This is a picture we'll talk
- 05:32about HIV reverse transcriptase
- 05:33and just to get the sense,
- 05:35I usually give this to less.
- 05:36Sophisticated audiences
- 05:37to point out the yellow,
- 05:39little yellow pieces inhibitor
- 05:41and that's enough to shut down
- 05:44this enzyme and this is an example
- 05:47of one of the compounds that
- 05:49developed through Karens and in
- 05:52our work that is a inhibitor of
- 05:55HIV RT that little molecule.
- 05:57So here's the way we do it.
- 06:00We normally start with an X-ray
- 06:02structure and the first phase of
- 06:05this we're looking for micromolar
- 06:07hit compounds that then we have to
- 06:09do a lot of hard work on to bring
- 06:12them to the low nanomolar level.
- 06:15So we normally start with an X-ray
- 06:17structure and this can be from
- 06:19you know somebody else's work and
- 06:20we remove the ligand that might
- 06:23be in that X-ray structure and
- 06:25then we try to design our new
- 06:27our own inhibitors and that this.
- 06:30Started out we do a virtual
- 06:33screening which is docking.
- 06:36And I'll tell you a little
- 06:37bit more about that,
- 06:38where we literally fly molecules
- 06:40into the protein structure and
- 06:42see which ones look the best.
- 06:45Or are we do denovo design where we
- 06:47use a growing program that I wrote
- 06:50a while back that starts with the
- 06:53little seed core of a molecule of,
- 06:56say benzene you place in the binding site.
- 06:59And then the program will build libraries
- 07:02of compounds starting from that core,
- 07:04growing them out in the binding site.
- 07:06And then you have to.
- 07:08A score of them,
- 07:09evaluate them in the same manner
- 07:12that this invariably gives us
- 07:14these micromolar hit compounds.
- 07:16But we've never been fortunate enough
- 07:18to do this initial part of the work
- 07:21and end up with nanomolar inhibitors.
- 07:23We're close, you know,
- 07:26single digit micromolar.
- 07:27So then the hard part is the lead
- 07:30optimization because we're going to
- 07:32have to refine the micromolar hits by
- 07:35making small changes that we decide.
- 07:38What to do?
- 07:39By a lot of structure building
- 07:41and energy minimizations.
- 07:43So this bond program of mining can
- 07:45rapidly build protein ligand complexes.
- 07:48We can energy minimize them.
- 07:50That's just a fast calculation
- 07:52compared to adding the water
- 07:54doing the molecular anamax.
- 07:56And so we do a lot of the structure building,
- 07:58energy minimization and then for
- 08:02select cases we will do, excuse me,
- 08:07the free energy calculations
- 08:09that are sort of our hallmark.
- 08:12We call them FEP,
- 08:14free energy perturbation calculations.
- 08:16Virtually all pharmaceutical
- 08:17companies today are,
- 08:19you know,
- 08:20jumped on this.
- 08:21Everybody's doing FP calculations
- 08:24for a drug design.
- 08:26So then you have to make a decision on
- 08:29what molecules to synthesize their assay.
- 08:32So you need somebody like Karen to help out
- 08:35in the assaying and the crystallography,
- 08:39the crystallography isn't.
- 08:41Critical,
- 08:42but it sure is helpful if you know very
- 08:45much helps reinforce what
- 08:47the modeling is doing.
- 08:49And also sometimes you'll see that
- 08:51the there the there's a change in
- 08:53the protein structure from what you
- 08:55originally started with that you
- 08:57will see in the crystallography.
- 08:59You don't necessarily see
- 09:00it in the computation.
- 09:01So the crystallography is really helpful.
- 09:06When the HIV area,
- 09:08Karen and I got along for quite a few
- 09:11years without a crystal structures,
- 09:13but then once we certainly
- 09:15current lab start getting them,
- 09:16it certainly made life a lot more confident.
- 09:20So you repeat the cycle until
- 09:23you get the potency you want.
- 09:26All the while we are mindful of properties,
- 09:29so we want the compounds to be drug like.
- 09:33And that requires a having things
- 09:36like reasonable solubility,
- 09:37reasonable cell permeability,
- 09:39no reactive functional groups.
- 09:41So we have software that checks that
- 09:44and then we also do some measurements
- 09:47of solubility and cell permeability,
- 09:50OK.
- 09:50So the FP calculations are done for
- 09:53where you do molecular dynamics or Monte
- 09:57Carlo simulations for protein ligand
- 10:00and a typically a ball of several 1000.
- 10:04Water molecules.
- 10:05And you do a calculation where
- 10:08you're comparing the green ligand,
- 10:11green inhibitor with the blue.
- 10:13So you do calculation.
- 10:15We have protein green legging to give
- 10:17complex protein blue ligand to give complex.
- 10:20And what we do on the computer,
- 10:21it turns out to be easier is to mutate
- 10:25the green leg into the blue unbound
- 10:27in water and then bound protein.
- 10:30And the difference in the two
- 10:33vertical numbers there then gives us
- 10:35the difference in predicted free.
- 10:37Energy binding.
- 10:39And so this type of calculation wasn't
- 10:42done at all before 1985 or just the
- 10:46simple green to blue in water FP calculation.
- 10:50That was something that I.
- 10:53It will take credit for doing the
- 10:56first calculation of that type again.
- 10:58Then there's no software.
- 10:59You had to write all the software,
- 11:01you know the force fields we
- 11:03had to develop etcetera.
- 11:04So it was very different world in 1985, OK.
- 11:08So here are just a little bit on HIV.
- 11:11HIV is still a big problem.
- 11:14Some of the statistics
- 11:16are shown there for 2021.
- 11:18They're,
- 11:19you know,
- 11:19close to 40 million people in the world
- 11:22that are infected with HIV and about 1
- 11:26to 2,000,000 each year are becoming infected.
- 11:30And they're on the order of 650,000 deaths.
- 11:34So that's down quite a bit from what it was.
- 11:38But still,
- 11:39you know,
- 11:40from a very serious problem and
- 11:43a Long story short.
- 11:45We have worked on with Karen on
- 11:48the reverse transcriptase and the
- 11:50so this is a an RNA virus and it
- 11:54has a reverse transcriptase which
- 11:58converts the RNA to DNA which
- 12:01is incorporated into the host
- 12:03cells a genome by HIV integrase.
- 12:06So HIV reverse transcriptase has
- 12:08been the principal target for anti
- 12:11HIV drugs and there are two classes,
- 12:13the nucleosides.
- 12:14And the non nuclear science,
- 12:17Karen has worked on both.
- 12:19So in our collaboration with Karen
- 12:21we've only worked on non nuclear sites,
- 12:23the NRT I and there are allosteric
- 12:26inhibitors. They bind in this little
- 12:29pocket that is about 10 angstroms or
- 12:32so from the polymerase active site.
- 12:35It's one of the few examples of of allosteric
- 12:39inhibitor that's that have become drugs.
- 12:41It's very, very, very very I'm, I'm, I'm.
- 12:44Have to think of it to find others.
- 12:47This is the principal example.
- 12:49The crystal structure.
- 12:51Again a Yale connection.
- 12:53The original crystal structure of HIV
- 12:55RT was done in the sites lab 1992.
- 12:58This is a very big. You know,
- 13:02discovery at the time because the HIV
- 13:05crisis was so severe and it's a big protein,
- 13:08thousand of residues.
- 13:10So Long story short,
- 13:12we've tried to make better
- 13:15non nucleoside inhibitors.
- 13:16The original ones have limitations.
- 13:19They're susceptible to mutations
- 13:21that arise quickly.
- 13:22They also had some undesirable pharmacology.
- 13:26So the way we proceed on
- 13:29HIV is the same with the.
- 13:31COVID and the trick in lead optimization is
- 13:37making systematic changes small changes in.
- 13:42Substituents on rings,
- 13:44the rings themselves and groups
- 13:46that link rings together,
- 13:49and if you know the right changes to make,
- 13:52they can have profound effects.
- 13:54So this is an early HIV compound
- 13:58of of ours that we came about from
- 14:02a de Novo design and Karen's lab.
- 14:05The assay they're running is an infected T
- 14:09cell assay and this compound had an EC50.
- 14:12For inhibiting the reproduction
- 14:15of of of the HIV in the infected
- 14:19cells of 10 micromolar,
- 14:21so 10,000 nanomolar.
- 14:23So that's a reasonable starting place,
- 14:25a small molecule, but we've got to
- 14:28increase the potency by a thousandfold.
- 14:31So I I point out here that if you
- 14:34happen to know to put a cyano group
- 14:36in the four position of this ring,
- 14:38you get a very big boost,
- 14:4050 fold boost to 200 nanomolar.
- 14:44OK.
- 14:45Then if you happen to change
- 14:48the thiazole into a pyrimidine,
- 14:50you get another tenfold boost and
- 14:53you're at 17 nanul. So quite amazing.
- 14:56And then if you happen to know to
- 14:59put a methoxy group and the the
- 15:01three position of the pyrimidine
- 15:03ring here 2 nanomolar.
- 15:05So you have more potency than
- 15:06you need for a drug.
- 15:08So this is all fine and this is
- 15:10what we use the FEP calculations to
- 15:13help us with because these changes
- 15:15are in a sea of possible changes.
- 15:17So we do however scans where we
- 15:20have we have a compound like this,
- 15:22we'll scan in chlorine atoms at each open.
- 15:26To see if we can add a little
- 15:29beef to it and that might have,
- 15:32if we did that it would show that this
- 15:35four position is good for chlorine,
- 15:37well if it's good for chlorine
- 15:39and may also be good or even
- 15:41better for cyano because they're
- 15:42both somewhat electronic drawing.
- 15:44So then we would try siana.
- 15:46But we do these initial scans,
- 15:48we also do heterocycle scans of
- 15:51five and six membered rings because
- 15:53they are obviously affect hydrogen
- 15:55bonding patterns and hopefully
- 15:57that would have picked up that
- 15:59the pyrimidine was the
- 16:00way to go. And then finally we do
- 16:03another substituent scan on the
- 16:05pyrimidine of methyls and chlorines,
- 16:08we would see that substitution and the
- 16:10three position is a good thing and
- 16:13before long we would come to the methoxy.
- 16:15So that's the way it's done.
- 16:17And that's attuned animal or very potent
- 16:19compound we did in collaboration with
- 16:22Eddie Arnold got a crystal structure
- 16:24of that there's quite a quite a bit
- 16:27later and that was the only crystal
- 16:29structure we had until Karen's group
- 16:31started getting some around 2012.
- 16:34OK, so here is just some of the
- 16:37work with Karen.
- 16:39These are all publications on different.
- 16:43And an RTI's and you might say well
- 16:47Gee and from 2006 you have these two
- 16:50national or compound aren't you done,
- 16:51why are you why are you keeping doing
- 16:54this and the answer is that that
- 16:56number is against the wild type virus.
- 16:59But the virus as you know have
- 17:01mutates just like COVID is mutating
- 17:04and there's a whole panel of mutants
- 17:06with the HIV and you need to have
- 17:09efficacy against all of the common
- 17:12mutants with one compound.
- 17:14So it's tough.
- 17:15So that initial compound like initial.
- 17:20Compounds in this class,
- 17:22such as nevirapine,
- 17:23was the first approved drug in
- 17:25this class, like nevirapine.
- 17:27It was good against wild
- 17:29type but not not much else.
- 17:32So these other compounds that
- 17:34I'll just skip to this one,
- 17:36one of our better compounds,
- 17:38we've increased the potency,
- 17:39but we very much increased the
- 17:42performance again mutant panels,
- 17:44so very difficult mutant
- 17:45is a double mutant K10 3N.
- 17:50Y181C and this compound
- 17:52here is A10 animal or EC50,
- 17:56which is you know good and great
- 17:58against that whereas the original
- 18:00compounds here would have had
- 18:02no efficacy against that mutant.
- 18:05And we've gone on,
- 18:07we even see something that looks like
- 18:08a covalent inhibitor which it is.
- 18:10We with cooperation with Karen,
- 18:13we have covalent inhibitors for HIV RT Wild.
- 18:19Type and also the Y181C mutant.
- 18:23But I will go on now to what
- 18:26we did with COVID.
- 18:29So fortunately, because of our work on HIV.
- 18:33We're pretty well positioned just to
- 18:36try to do something when COVID rolled
- 18:39around at the beginning of 2020.
- 18:42So this is the IT again an RNA genome.
- 18:47And it some of the proteins that
- 18:50it encodes are indicated here,
- 18:52and not as many as with the HIV,
- 18:56but you do have.
- 18:59The The There's a proteases here
- 19:01that are sort of papain like protease
- 19:03and then the main protease and what
- 19:06we've worked on is the main protease.
- 19:09There's also,
- 19:09you've probably heard of the
- 19:11RNA dependent RNA polymerase.
- 19:12This is just to reproduce the RNA genome.
- 19:16That's another possible target,
- 19:18and some of the structural
- 19:20proteins are over here.
- 19:21There's the spike and the famous
- 19:24spike that is mutating and causing
- 19:26a lot of problems for the vaccines.
- 19:31So the cycle, the life cycle involves
- 19:36the COVID virus binding to the ACE 2
- 19:41receptors on the cells endocytosis.
- 19:45The RNA genome is unprocessed by a host of
- 19:49ribosomes to give you these two polyproteins.
- 19:53You similar situation with HIV,
- 19:57generating polyproteins that
- 19:58have to be cleaved by HIV. Areas.
- 20:02So here's where if we can stop this
- 20:05proteolysis step, the rest of the
- 20:08reproduction cycle stops and it's,
- 20:11I could say there aren't as many
- 20:14targets here as with the HIV.
- 20:16There's no integrase,
- 20:18no reverse transcriptase.
- 20:19And So what we picked in the beginning
- 20:22of 2020 that we would work on the
- 20:26protease almost because there's
- 20:27hardly anything else to work on
- 20:29and there was a crystal structure.
- 20:31Reported so the first thing we did.
- 20:36So this came about as as you recall,
- 20:40things got serious in late January
- 20:422020 and then in March 2020 is
- 20:45one thing shut down. So we were.
- 20:50Sent out of the lab.
- 20:51You know, we could work from home.
- 20:53If you had special permission,
- 20:54you could work in the lab.
- 20:56But we didn't pursue that.
- 20:58But we decided for working at
- 21:00home that what we could do is we
- 21:02would do docking because we have
- 21:04the crystal structure,
- 21:06a crystal structure of the protease.
- 21:08So we would do docking.
- 21:10And the typical way docking works
- 21:11is you have the crystal structure
- 21:13and you have a library of compounds
- 21:15and these are typically commercially
- 21:18available compounds.
- 21:19There's a.
- 21:20Famous library called Zinc that
- 21:22has up to 100 million compounds
- 21:25and then the computers software
- 21:28combines them and it makes the
- 21:31complexes and then it has to score
- 21:33the complexes which is the weak spot.
- 21:37Often the scoring isn't very
- 21:39accurate but you can then test
- 21:41the high scoring molecules.
- 21:42Well that's a lot of compounds to deal with
- 21:46so I thought well we would do 1st instead.
- 21:50Is to dock known drugs,
- 21:52approved FDA approved drugs.
- 21:53So I happen to keep a library of
- 21:56these in the computer and there are
- 21:59three-dimensional structures of the drugs,
- 22:00which is this is all three-dimensional.
- 22:03And so I asked Muhammad and Julian.
- 22:07To dock the 2000 known drugs to see if
- 22:12we could see get some reasonable hits
- 22:16from that and So what happened was.
- 22:21The docking was done in a consensus fashion,
- 22:25meaning they used four different
- 22:27docking protocols,
- 22:273 different programs and four ways
- 22:30of doing the docking because any
- 22:32one program we don't fully trust.
- 22:35So we're hoping that there will be a
- 22:38consensus where you score well in all four.
- 22:42Protocols. And so we got the list.
- 22:46Excuse me. I don't have code and I've tested.
- 22:53But.
- 22:54We we got the list of the top
- 22:57compounds and then, very importantly,
- 22:59we visualize the predicted poses,
- 23:02the complexes.
- 23:05And based on that visualization,
- 23:07we picked compounds that we think look
- 23:10good in the way they're positioned.
- 23:13And I also was very concerned about
- 23:16the idea that we would possibly be
- 23:20making analogs of these compounds
- 23:22because I didn't expect to have
- 23:25again come up with a 10 nanomolar
- 23:28compound we never have in the past.
- 23:30So we purchased 17 compounds and.
- 23:34Gave them to Karens lab,
- 23:37and Karen had meanwhile obtained
- 23:40the protein, expressed it,
- 23:42and she also had implemented the A fret
- 23:45assay that was from the literature.
- 23:48So she was ready to go.
- 23:50And the 17 compounds arrived.
- 23:54And to our surprise, in Karen's lab,
- 23:5814 of them showed some inhibition of the
- 24:02protease activity of Massar Scope 2 Proteus.
- 24:05So that was.
- 24:06Shocking.
- 24:07And so we were did very well on the
- 24:10compound selection and the most
- 24:12potent compounds are listed here.
- 24:14They were single digit micromolar.
- 24:19And but we had a bunch that were
- 24:22under about 50 micromolar.
- 24:24So that this we published and this is a
- 24:28picture of one of the dock structures.
- 24:31The binding site is you know is
- 24:34meant to accommodate a peptide
- 24:36that's going to get cleaved and we
- 24:39have site sub sites we call S1S1,
- 24:41Prime S2 and then this channel S3S4S5.
- 24:45So here's just a picture of a
- 24:48compound in that binding site.
- 24:50So we published that but of course
- 24:53we were looking very much now.
- 24:55And one of these compounds we're
- 24:57going to take and try to optimize it.
- 25:00And the compound we picked,
- 25:02we were we didn't say what it was
- 25:04going to be in this paper and it was
- 25:06not one of the most potent ones.
- 25:08In fact, it was this one param panel.
- 25:11Which is only 100 to 250 micromolar,
- 25:15so a relatively weak hit.
- 25:18But the fact was I liked the way it looked.
- 25:24And this was the dock structure.
- 25:28I'm orienting them all in the same
- 25:31way as 1S Primus 2 and I felt that
- 25:34the dock structure looked reasonable.
- 25:36Sometimes they they have features,
- 25:39they just say this doesn't feel right.
- 25:41But this looked reasonable.
- 25:43But I could also see that it had
- 25:45features that were not optimal.
- 25:47So looking at it over here,
- 25:49so the yellows are carbons,
- 25:52Reds are oxygens, Blues or nitrogens.
- 25:55I could see features that were not optimal.
- 25:57There's a histidine here and it could,
- 26:00it would be nice if it could form
- 26:03a hydrogen bond with this ring.
- 26:04So you probably want to put a nitrogen
- 26:06in here, this nitrogen of the purity,
- 26:08and that's not doing any good.
- 26:10So we can get rid of that.
- 26:13It's just spacing out into solvent.
- 26:15There's an NH over here that's.
- 26:18I would like to be in a hydrogen bond,
- 26:20but it isn't.
- 26:21Meanwhile,
- 26:21this carbonyl is just interacting
- 26:24with solvent,
- 26:25so maybe I could flip that from
- 26:27moving over left to there.
- 26:29Plus it looked like there was a
- 26:32little space in the meta position
- 26:35of that right ring.
- 26:37So.
- 26:39What happened next was we did some
- 26:42FEP calculations to test those
- 26:44ideas and this is what those are
- 26:46raw data looks like in an Excel
- 26:48sheet so that the the things I'm
- 26:51trying here are for the left ring.
- 26:55I'm going to try different rings.
- 26:57So ring scan where I did 234
- 27:01pyridinyl 4 pyrimidine 2 triazine,
- 27:04so a bunch of different rings there.
- 27:07They also did a calc and that those
- 27:10calculations said that the three pyridine
- 27:13the the negative number here is good.
- 27:16This is the change in free energy
- 27:19of binding relative to benzene.
- 27:21So this was saying go for the three pyrenee.
- 27:25Also I checked that ring flip of the
- 27:28carbonyl and that was very good,
- 27:30minus 4.7 and then over on the right
- 27:33side checking to see if we could
- 27:36put something in that meta position,
- 27:39indeed the meta position when we did
- 27:42a chlorine scan at each position,
- 27:45the meta here shed very good.
- 27:48Looks like we should put a chlorine there.
- 27:50So combining those three ideas
- 27:53led to then the.
- 27:55Three initial compounds
- 27:57that were synthesized.
- 27:58So here.
- 27:59Now I'm aligning everything so you
- 28:01can see the changes from parent panel,
- 28:04the three pyridyl.
- 28:06The carbonyl's been flipped and we've
- 28:09added the chlorine and we've left the
- 28:12the cyano phenyl from parent panel.
- 28:14I also from modeling with my bond program.
- 28:19Again, the,
- 28:19the slow part in all of this is synthesis.
- 28:22So we have plenty of time to do computer
- 28:25work while people are doing synthesis.
- 28:28So it's a natural thing to, you know,
- 28:32look very hard at these structures.
- 28:33And I had looked hard at this and I
- 28:36recognized maybe I could do something
- 28:38over with this ring because there's an
- 28:40edge that will show more clearly here
- 28:43of a loop that could use some hydrogen bonds.
- 28:47And I thought a uracil might work,
- 28:49so I'd modeled.
- 28:50Got with the program complex
- 28:51has looked very good.
- 28:53So we synthesized a uracil and also
- 28:56just this 35 dot clock compound.
- 28:59So this is a very happy day now.
- 29:02Because the potency of those original 3
- 29:06compounds was 10-6 and four micromolar.
- 29:09So here we've gotten a huge boost as
- 29:12expected from the FEP calculations.
- 29:14And this was the wonderful and I'll
- 29:17tell you the timing more in a bit,
- 29:19but this is now June of 2020.
- 29:23So we didn't get back into our lab until May.
- 29:27And now in June we have these,
- 29:31this 4 micromolar. Compound.
- 29:34We've only,
- 29:35and then it came a little later was
- 29:38actually October and Karen's group
- 29:40got a crystal structure for that
- 29:43dichloro compound and it's basically
- 29:46identical to what we've predicted.
- 29:48There's the carbonyl and hydrogen
- 29:51bond we wanted.
- 29:52There's a hydrogen bond between
- 29:54the pyridine and the histidine.
- 29:56We still have the nitrile hydrogen
- 29:58bonded in what he called the oxyanion
- 30:01sort of hole and the dichloro compound.
- 30:05Is again looking very good.
- 30:07Furthermore,
- 30:08we have this channel running N from
- 30:11the upper chlorine there and so we're
- 30:14ready to think about putting some
- 30:16of the something in that Channel.
- 30:19So the next thing was to try to grow
- 30:23substituents into that Channel and
- 30:25just for grins and I mean really not
- 30:28interested in methyl particularly,
- 30:30but just for grins, we did FP
- 30:32calculations for methyl ethyl propyl,
- 30:34O methyl ethyl propyl albuterol and
- 30:37then some ones with a hydroxyl that
- 30:40I figured probably wouldn't be very
- 30:42good problem with hydroxyl is it's
- 30:44very happy unbound said waters around
- 30:47and if you go bound it may be happy.
- 30:49Again, but you're not going to gain much.
- 30:52The way you gain is by having more
- 30:55hydrophobic pieces that are binding into
- 30:58hydrophobic part of the binding site.
- 31:00So this told us.
- 31:04Tried the O propyl compound
- 31:06so we synthesize on.
- 31:08There are two synthetic chemists
- 31:10are working on this so Lizzie and
- 31:14Chun way and so we they made.
- 31:19The proxy compound in both the
- 31:22cyano phenyl and the urea series,
- 31:25and this turned out great,
- 31:29140 nanomolar and 120 animal later on.
- 31:33This wasn't in sequence.
- 31:35We had made the trifluoromethyl analogs
- 31:38to that. They're more hydrophobic.
- 31:40They're probably going to be better
- 31:42binders as they were showing this
- 31:44one even down at 25 an animal,
- 31:47but generally I don't like CF.
- 31:49Big groups and drug like molecules
- 31:51because they really hurt the
- 31:53solubility of the compounds.
- 31:55So, but we're doing very well here 120.
- 31:59An animal or and I'll show
- 32:01you the timing on this,
- 32:02but this,
- 32:03this I think is in August now and
- 32:07Karen's group again got a crystal
- 32:10structure in October and it was exactly
- 32:14as expected including this bent.
- 32:17Hard at the at the end of the Propoxur group.
- 32:19And so it's a Ghosh. We call it a gauche.
- 32:22You've all taken organic chemistry, I'm sure.
- 32:27So that's the course you hated the most,
- 32:30but maybe, maybe not.
- 32:32But there it is.
- 32:33There's this gosche OCC and we
- 32:36had figured that was the case.
- 32:38The modeling told us that because at
- 32:41that terminal methyl fits right in
- 32:43the S4 site of the of that Channel.
- 32:48And so there's a lucine or problem,
- 32:50so hydrophobic site and so put
- 32:54it right in there also.
- 32:56Again, like I said,
- 32:57there's lots of time to do computing
- 33:00and so we considered benzel oxy groups.
- 33:04So you can imagine a benzene ring
- 33:08sitting here and potentially projecting.
- 33:12A substituent into that pocket.
- 33:15So sure enough we did modeling on
- 33:18these benzyl oxy analogs and did a
- 33:21chlorine scan on the fennel which said
- 33:24in a methyl scan and both methyl and
- 33:27chlorine were predicted to be very good.
- 33:30And so those compounds were made and
- 33:34the parent compounds 120 micromolar,
- 33:37but the ortho chloro compound
- 33:4118 an animal compound and this
- 33:44we had in October of of 2020.
- 33:48And Karen's group again got a
- 33:51crystal structure for the bend the
- 33:55parent Benz loxy components and
- 33:59is positioned as one expected.
- 34:02So this is just now a little video.
- 34:06To. Have those. Break this.
- 34:10This is a dimer, so they're two.
- 34:12This is Karen's crystal structure
- 34:16of the propoxur compound and
- 34:19just zeroing in on it.
- 34:22There.
- 34:29OK, so you can.
- 34:34Run it again. So that little
- 34:39molecule is enough to shut down the
- 34:43enzymatic activity of that protein.
- 34:50OK, so this we published and.
- 34:54I was also saying a a second here,
- 34:57we're going to of course the
- 34:58well I've shown you so far
- 35:00is just protease inhibition.
- 35:01We've got to go into cells,
- 35:02infected cells and so that
- 35:05we published 28 compounds.
- 35:07Of course by the results
- 35:09I've talked about so far,
- 35:10we have lots of compounds here
- 35:13under the 50 nanomolar and
- 35:14you can see there are authors,
- 35:16lots of people involved and from
- 35:18the medical school, you know,
- 35:20fair and Isaacs and Brett Lindenbach,
- 35:22grouper and very important.
- 35:24Along with Karen in doing the
- 35:27cell assays that will describe in
- 35:29a Miller in a minute and Scott
- 35:31Miller in chemistry had donated
- 35:33his graduate student Lizzie Stone
- 35:36to help us with the synthesis,
- 35:38along with my postdoc Chunwei Zang.
- 35:42So that was good.
- 35:43We published that in ACS Central
- 35:46science in February 2022.
- 35:47A little later we also replaced
- 35:50the benzyl Oxy with heterocycles.
- 35:52This is a standard, I'd say,
- 35:54medicinal chemistry.
- 35:55This isn't, you know, genius stuff.
- 35:59Heterocycles often have some desirable
- 36:02properties over a substituted benzene.
- 36:05So we published some more compounds
- 36:07in the summer than of a 2021.
- 36:10We also.
- 36:11Tested cell permeability with
- 36:14a pampa assay in our lab and
- 36:18measured aqueous solubility.
- 36:20So now we have uracil's with
- 36:22the hydrogen or with a methyl.
- 36:24So the ones with the methyl are going
- 36:27to have better cell permeability.
- 36:29And so that is an issue because we want
- 36:33to show that we have efficacy and sell assay.
- 36:37So this is where the,
- 36:39again the folks here in the Med
- 36:40school are so important to us.
- 36:42The BSL three facility was used.
- 36:45There's krassimir getting suited up
- 36:49because COVID, of course, is airborne.
- 36:51He has to have a full breathing
- 36:54apparatus and the assays that were done.
- 36:57Karen certainly can describe these far
- 36:59better than I can, but there's one.
- 37:01It's a a plaque assay using infectious virus.
- 37:05And so you have the live these are Vero
- 37:09cells infected with large live SARS Cove two.
- 37:14And there's also then the replicon.
- 37:16Assay and the Republican
- 37:18isn't using infectious virus,
- 37:20but it's giving us a very
- 37:22virtually identical readout.
- 37:24So we're testing our compounds and we have
- 37:28as a as a reference compound remdesivir,
- 37:32which is A1 micromolar EC50
- 37:37and the assays that were done.
- 37:40And long short, we have many
- 37:42compounds that are one micromolar.
- 37:45We also have some compounds.
- 37:46This one's 38 nanomolar EC 50,
- 37:49that's inhibition of the
- 37:52of the protease activity,
- 37:54but it's not active in the replicant housing.
- 38:00And this simply because it
- 38:01doesn't get into the virus.
- 38:03Cell permeability is too low,
- 38:05so the cell permeability is critical.
- 38:08The quite remarkable compound is number 19.
- 38:12So this.
- 38:14Benzyl oxy compound that has a
- 38:17methylated uracil and in the assay it
- 38:21was 80 nanomolar in the infectious
- 38:24virus assay and 175 and the replicon assay.
- 38:29So this became our our lead
- 38:32compound for preclinical work.
- 38:35Now unfortunately in our world we can't,
- 38:37you know we're not Pfizer,
- 38:39so we can't take 10 compounds and put
- 38:41them all into preclinical studies but.
- 38:44We did work on 19 and a pharmaceutical
- 38:48company was very interested in 19.
- 38:52They took 19 and did their own sell
- 38:55assay and they came back and their
- 38:57cell was 15 animals they can confirmed
- 39:00everything that we we had reported.
- 39:03So that compound 19 is a very potent compound
- 39:08in infected cells and Karen's group has
- 39:12been working on the PK, it has very good.
- 39:16Basic PK bioavailability.
- 39:18And they have done with Pretty Kumar
- 39:21some initial mouse studies and this
- 39:25is with these humanized mouse mice,
- 39:27KTH 2 mice.
- 39:29And again Karen could describe
- 39:31the current status of this.
- 39:34But basically we were delighted a very
- 39:37low dose of the compounds that were using
- 39:41and if you don't untreated mouse after
- 39:45six days as this is now fluorescent.
- 39:48Imaging of where the virus is.
- 39:50So initially the virus goes into the lungs,
- 39:53but it makes its way into the brain.
- 39:57And at day six,
- 39:59the mouse is again horribly
- 40:01infected and dies.
- 40:03So we have tested we meaning Karen
- 40:07and pretty by both Ivy and oral.
- 40:12And the results have been very good.
- 40:14There's only one dose and you see
- 40:17protection for four days, you know,
- 40:19completely clean a mouse and even at 6 days.
- 40:22So with the oral, it's,
- 40:25you know, really very clean.
- 40:26So if this was being dosed every day,
- 40:29the feeling is infection that wouldn't go on.
- 40:33So we have very, you know,
- 40:35concur raging data with this compound.
- 40:38There has been some.
- 40:40You know again external interest
- 40:42in this compound, yeah,
- 40:44we think we if we had the resources we
- 40:46can come up with lots of other compounds,
- 40:48but we need support for this and are
- 40:51you know high level because these
- 40:54preclinical studies are are expensive.
- 40:57So just to compare what we've done.
- 41:00Versus others.
- 41:01So first of all our compound is a non
- 41:04covalent inhibitor by most of the other
- 41:07work in this area been covalent inhibitors.
- 41:10Up until recently covalent
- 41:12inhibitors were considered to be.
- 41:15Not desirable because you're always
- 41:18worried about off target activity.
- 41:21But here is how other people progress.
- 41:23So a lot of these things are peptidic.
- 41:25Generally we don't like peptidic inhibitors
- 41:29because they can be proteolysis by many.
- 41:33Proteolytic enzymes that exist
- 41:36in humans so but this is some of
- 41:40the compounds and EC 50 of 720.
- 41:44Remember we're 50 or 80 nanomolar.
- 41:48This is the COVID moon shot that
- 41:49got quite a bit of publicity.
- 41:51This is just the icy 50.
- 41:53They obtained an assay 2400
- 41:57compounds and the best IC50 they
- 42:01obtained is basically 100 nanomolar.
- 42:04At 30,
- 42:05we had made no more than 30 compounds
- 42:08and we were at 18 nanomolar.
- 42:10Another peptide peptide peptide,
- 42:13but this is a PAX lovin.
- 42:17So Pax Lovid is this neurometrix alvir,
- 42:21but you have to include a SIP
- 42:24inhibitor ritonavir.
- 42:25So ritonavir is an HIV protease inhibitor.
- 42:29Not something you probably want
- 42:30to take for a long time and have
- 42:32their side effects of that.
- 42:33Of course you're not going to take
- 42:35packs a little bit for a long time.
- 42:36So I guess it's OK,
- 42:38but on the other hand having to
- 42:41have the SIP inhibitor to keep the.
- 42:45Protease inhibitor from being chewed up.
- 42:48Metabolically.
- 42:49Is clearly not desirable because
- 42:51you don't want to be, you know,
- 42:54can have drug, drug interactions.
- 42:56This is our compound.
- 42:58Again, by comparison,
- 42:59other things that you know.
- 43:02I'm obviously a little bit prejudiced here,
- 43:04but this to me is a tough molecule.
- 43:08All the stereo chemistry going
- 43:10to be tough to synthesize.
- 43:11You have high cost of goods.
- 43:13It's peptic. You worry about that.
- 43:15It is a covalent inhibitor,
- 43:17covalently modifies the cyano,
- 43:19but it's probably reversible.
- 43:21Are covalent.
- 43:22There have been a synthesis
- 43:24issues with the compound.
- 43:27It's also intrinsically not
- 43:28as potent as our compound.
- 43:30It's a EC 50 or 740 whereas we're at you
- 43:35know 10 times more potent with there's no,
- 43:38we don't we know from our preclinical
- 43:41work on off target and SIP
- 43:43activity that we don't have any sip
- 43:46problems with the compound either.
- 43:47So the rest of the story.
- 43:51So why isn't our compound in clinical
- 43:53trials and that's a probably takes me
- 43:57more than the last time I I have here.
- 44:00But the packs of lovin and thermal,
- 44:03Trevor got into clinical trials very
- 44:05quickly because it was sitting on the
- 44:08shelf from the SARS Cove One project.
- 44:10They made a minor modification to
- 44:12make it have better solubility.
- 44:14So it was ready to go and
- 44:17so it's off and running,
- 44:19I doubt seriously it's the best.
- 44:21Drug possible,
- 44:23and there's no way, and well,
- 44:26time will tell the problem for the
- 44:28pharmaceutical companies that they're
- 44:29all in the business of making money.
- 44:32And so the before the end of last fall.
- 44:37People are getting kind of cocky about,
- 44:39you know, covid's under control,
- 44:42the vaccines are working.
- 44:44And then Omicron came along around December
- 44:48of last year and that's changed things a bit.
- 44:53But we'll see who has the, you know,
- 44:57stamina to advance additional protease
- 45:00inhibitors into the clinic because
- 45:02of the cost of the clinical trials.
- 45:05This is a timeline just showing
- 45:06the power I think of our approach.
- 45:09So June 15th all we had was parent panel.
- 45:12By August 3rd we had these six
- 45:15and four micromolar compounds.
- 45:17By.
- 45:18September 2nd we had the proxy
- 45:20140 nanomolar compound.
- 45:22September 10th we had the corresponding of.
- 45:26Benzyl oxy,
- 45:27uracil and then we started getting
- 45:30some crystal structures October 3rd.
- 45:33We had the first crystal structure October
- 45:374th and also the Propoxur compound and
- 45:41but the speed here which we got to the.
- 45:46These sort of loading animal compounds
- 45:49again to get to 18 animal we had
- 45:52synthesized about 30 compounds and a
- 45:54few of them were things we probably 8
- 45:57or 10 of them were real or wild shots.
- 46:02And this synthesis was done by a gun.
- 46:04Postdoc chunwei and graduate student Lizzie.
- 46:07So that's the story and I I hope
- 46:11I've told you a little bit about
- 46:14what Karen and I do and the.
- 46:16Hour of combining the computation with the,
- 46:21you know,
- 46:22reliable assaying and crystallography
- 46:24is such a different world than
- 46:26what we lived in 20 years ago.
- 46:28So just thanking people in my lab notably.
- 46:33And Julian is a long-term associate other
- 46:35so he's a senior research scientist.
- 46:38Anna and Joe were both associate research
- 46:42scientist and other people listed here.
- 46:45Karen of course my.
- 46:47Wonderful collaborator and
- 46:49other Pi collaborators,
- 46:51pretty yosi on our Jack projects and Brett,
- 46:57Brett and Faron on the COVID project.
- 47:01So pleasure to be here with
- 47:02you and thank you very much.
- 47:12What a whirlwind journey.
- 47:13Yeah, amazing.
- 47:15Are there any questions here,
- 47:18Emily? Are you monitoring
- 47:19questions in the chat, Tommy?
- 47:35Yeah, these the COVID compounds
- 47:37are all binding to the active
- 47:41site of the Proteus.
- 47:43So the cysteine, that's a,
- 47:44there's a cysteine,
- 47:45it's a cysteine protease,
- 47:46there's a cysteine it.
- 47:48We're sort of in the middle of all
- 47:50the structures I showed you and
- 47:52that's the active site cysteine.
- 48:02Even fine.
- 48:08Yes, the the Pfizer compound
- 48:12binds in that same site, and it
- 48:15covalently modifies that cysteine.
- 48:18And you? Does not covalent.
- 48:27Yes.
- 48:34Dog.
- 48:40Quite understand, he's asking if
- 48:43in the crystal structure does
- 48:45it bind to the cleavage. Yes,
- 48:48and this is the.
- 48:51The cysteine there cysts 145
- 48:54and this histadine over here.
- 48:58Are the catalytic residues,
- 48:59so our compound sitting right on top of them.
- 49:03And the Pfizer compound covalently modifies
- 49:07that cysteine as do most of the other.
- 49:11There's a very few coat non covalent
- 49:13inhibitors have been reported for this.
- 49:16But we from the getco we wanted
- 49:18to pursue non covalent inhibitors
- 49:20just to avoid the potential
- 49:23issues of covalent inhibitors.
- 49:29So you know, we're we're
- 49:31extremely familiar with the hyper
- 49:33immutability of this virus in the
- 49:36spike protein to evade immunity.
- 49:38I wonder if you've done sort of low dose
- 49:41exposure and if there's a mutational.
- 49:44Response to to a protease
- 49:46inhibitor like this?
- 49:49Yeah, I haven't maybe.
- 49:50I mean, we haven't to my knowledge,
- 49:53unless Karen's been up to
- 49:55something I don't know about,
- 49:57the SARS Cove 1 protease and SARS Cove
- 50:012 protease are extremely identical.
- 50:05They're the only differences are quite
- 50:07far from the the protease active site.
- 50:10So it's it's hoped that there won't be.
- 50:15A lot of mutations possible
- 50:18for the Proteus, however,
- 50:19it hasn't been under pressure.
- 50:21So I think with the Pax lovid treatments
- 50:24we will probably begin to see some
- 50:28mutations closer to the binding site.
- 50:31And there there was a recent
- 50:33paper in science,
- 50:35I believe is it science indicating some
- 50:40mutations that might arise in this Proteus,
- 50:43so it was under some pressure that they.
- 50:46Put it,
- 50:47but we haven't looked into that yet.
- 51:01So this is a this is a related question,
- 51:03but how different is the COVID 2
- 51:06protease active site from that
- 51:08of other common human proteases?
- 51:11Umm. Well, I would say it's it's the
- 51:17COVID active site is quite unique,
- 51:20but it's virtually identical to
- 51:23the SARS Cove one active site,
- 51:25but I don't think there's been a.
- 51:30I don't think that these inhibitors are
- 51:33generally inhibiting other proteases.
- 51:39So I I haven't heard that,
- 51:42so I don't expect it, but if they were,
- 51:45it would certainly be, I'd imagine
- 51:47it'd be assisting a protease would
- 51:49be the ones you'd be looking at.
- 51:53Well, we're we're at the hour.
- 51:55I can't thank you enough for this
- 51:58lucid explanation to a bunch of
- 52:00non chemists was really beautiful.
- 52:02Also on behalf of healthcare
- 52:04workers who, you know,
- 52:05see people with COVID all the time.
- 52:07It's wonderful work.
- 52:07Thank you very much. Thank you.