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Vitamin K Metabolic Engineering

June 20, 2022

Vitamin K is a class of fat-soluble molecules that are required for blood clotting and calcium binding in the human body. Although acute vitamin K deficiency is rare, there is evidence that subclinical deficiency raises the risk of heart disease and osteoporosis. The menaquinones (vitamin K2) are an especially good dietary source of vitamin K because of their bioavailability and stability. Menaquinones can be found in fermented foods such as natto and dairy.

A team of researchers at the Norwegian University of Life Sciences wanted to enhance the menaquinone content of dairy to increase its functional value. To achieve this goal, they planned to genetically engineer a lactobacterium, Lactococcus lactis, that is involved in making yogurt. L. lactis contains a biosynthetic pathway to produce several menaquinones, especially menaquinone-9. The researchers tried overexpressing the genes in that pathway. Overexpression of some genes (menF, menA) caused L. lactis to produce extra menaquinone-3, instead of the more desirable menaquinone-9. The overexpression of other genes (mvk, llmg_0196) led to increased production of menaquinone-9.

When the engineered L. lactis was used to culture milk, the yogurt had enhanced levels of menaquinone-9. The researchers calculate that moderate intake of such yogurt would help many people get optimal vitamin K in their diet. This encouraging result suggests that engineered bacteria can be used more broadly to enhance nutrition.

Boe C, Holo H. Engineering Lactococcus lactis for increased vitamin K2 production. Front Bioeng Biotechnol. 2020 Mar 18;8:191. PMID: 32258010. doi: 10.3389/fbioe.2020.00191

 

Mayaro Virus Antiviral EIDD-1931

May 23, 2022

Mayaro virus is a mosquito-borne virus endemic to forests in South America. It causes acute illness with fever, headache, rash, and long-lasting joint pain. Mayaro’s range could spread in the future because of climate change. No vaccines or antiviral drugs are currently available although there are some candidates under development.

Therefore, a concerned team of scientists from the Rega Institute for Medical Researchin Belgium wanted to do exploratory research on antivirals that might treat this disease. They chose a panel of molecules that are known to treat other mosquito-borne viruses, some of which block early stages of the virus life cycle (arbidol, chloroquine, suramin, and ribavirin), and some that inhibit virus genome replication (favipiravir, 7DMA, 2’CMC, EIDD-1931, galidesivir and remdesivir).

They then applied these selected molecules to a model of cell culture that was infected with Mayaro virus. The researchers measured the 50% effective concentration, or the amount of molecule that inhibits 50% of the virus infectivity. They optimized the antiviral screening assay to be reproducible and reliable.

The assay described in this paper can be useful to test future antiviral drugs against this virus. Furthermore, the three molecules that performed well in cell culture are worth further study with in vivo models. Although the range of Mayaro virus is limited for now, we should study it and other neglected diseases to proactively prevent suffering in the future.

 

Langendries L, Abdelnabi R, Neyts J, Delang L. Repurposing drugs for Mayaro virus: identification of EIDD-1931, Favipiravir, and Suramin as Mayaro virus inhibitors. Microorganisms. 2021 Mar 31;9(4):734. PMID: 33807492

Artificial Sweetener Mogroside V

April 19, 2022

Artificial sweetener Mogroside V is a major component of S. grosvenorri, or monkfruit. Extracts from this fruit enjoy increasing popularity as artificial sweeteners. What effect does mogroside V have on the gut microbiome? Some preliminary evidence suggests that it is a prebiotic, or food for gut bacteria, so a team of researchers from South China University of Technology sought to clarify its effects.

The team incubated gut bacteria in a nutrient broth containing mogroside V for twenty-four hours. Then, they analyzed both the broth and the sediment using UPLC. The amount of mogroside V decreased and the amount of secondary metabolites increased, including mogroside I, mogroside II, mogroside III, and mogrol, suggesting that the gut bacteria had been metabolizing the mogroside V.

They then incubated gut bacterial cultures with and without added mogroside V and measured the microbial species composition. In the cultures with added mogroside V, the prevalance of actinomycetes and bacteriodetes increased, and the prevalence of proteobacteria and firmicutes decreased. These changes in gut bacterial composition might be beneficial to human health.

The artificial sweetener Mogroside V has potential as a prebiotic to improve gut health.

 

Xiao R, Liao W, Luo G. et al. Modulation of gut microbiota composition and short-chain fatty acid synthesis by mogroside V in an in vitro incubation system. ACS Omega. 2021 Sep 21;6(39):25486-25496. PMID: 34632206

HT-2 Toxin Disruption of Cartilage Development

March 21, 2022

Kashin-Beck disease is a bone and cartilage disease found in Siberia, North Korea, and northeast China. Patients suffer from short stature, malformed joints, and pain. The cause of the disease is unclear, but it is thought to be an interaction between genes and environmental factors such as selenium deficiency and mycotoxins from grains grown in the region.

T2 toxin, a mycotoxin, has already been identified as a risk factor for Kashin-Beck disease. What of Ht-2 toxin, one of its metabolites? A team of researchers from the Xi’an School of Public Health, China, wanted to know if HT-2 toxin disrupts the development of cartilage.

They used HiPSCs (human induced pluripotent stem cells) to build a model of Kashin-Beck disease. HiPSC cells with a Kashin-Beck genetic background were differentiated into chondrocytes. HT-2 toxin was toxic to these cells: microscopy found that treatment caused microtubules, mitochondria, and endoplasmic reticulum to be disordered. The cell cycle regulation, including p53, p21, and CDK6, had disrupted expression.

This study confirms that HT-2 toxin is a direct risk factor for Kashin-Beck disease. The results also suggest a mechanism for how HT-2 toxin and T-2 toxin contribute to this disease. HT-2 toxin disrupted the cell cycle, which inhibited chondrocytes from differentiating into mature cartilage. This disruption in growth could cause cartilage malformation in people.

 

Zhang Y, Liu H, Lin X, et al. Dysregulation of cells cycle and apoptosis in human induced pluripotent stem cells chondrocytes through p53 pathway by HT-2 toxin: an in vitro study. Frontiers in Genetics. 2021 Aug 4;12:677723. PMID: 34421989. doi: 10.3389/fgene.2021.677723.

Gut Peptides

February 15, 2022

Gut peptides are hormones secreted by the gut that act on the brain to regulate digestion and appetite. The function of gut peptides is a promising area of research for the treatment of type-2 diabetes and obesity.

Background

In the last ten years, glucagon-like peptide (GLP-1) agonists have reached clinical use to treat type-2 diabetes. This class of drugs can cause side effects such as nausea and vomiting, so the maximum tolerable dose is limited. A combination of gut peptide agonists might allow better patient outcomes at lower doses of each drug.

New Studies Using Combination

Recently, a team of researchers sought to understand the effects of combining a GLP-1 agonist with a cholecystokinin (CCK) agonist. They gave mice a GLP-1 agonist and a CCK agonist by injection and measured the mice’s food intake in the short and the long term. Mice on the GLP-1/CCK1 agonist combination ate less and lost more body weight than mice on either agonist alone. The researchers also tested the effect of the GLP-1/CCK1 agonist combination on mice that had become obese by eating a high-fat diet. The obese mice had a similar but smaller response.

Impact on Brain

The researchers wanted to know what effect the agonist combination had on the mouse brain. They immunostained mouse brains for a marker of brain metabolic activity and found that activity was stimulated the most in the nucleus solitary tract, a part of the brain stem.

They did a further test for neuron RNA expression. Neurons that were activated by the GLP-1/CCK1 agonist combination had increased expression of a receptor for calcitonin gene-related peptide (CGRP). Neurons that were inhibited by the GLP-1/CCK1 agonist combination had increased expression of a receptor for pituitary adenylate cyclase-activating peptide (PACAP). The results of these studies suggest that CGRP and PACAP are themselves worth studying for their effects on type-2 diabetes and obesity.

 

Glucagon, Exendin, PACAP and Related Peptides

Calcitonin and Related Peptides

Cholecystokinin (CCK)   S3351

 

Roth E, Benoit S, Quentin B, et al. Behavioral and neurochemical mechanisms underpinning the feeding-suppressive effect of GLP-1/CCK combinatorial therapy. Molecular Metabolism. 2021 Jan;43:101118. PMID: 33221554 doi.org/10.1016/j.molmet.2020.101118

 

Molnupiravir Against COVID-19

January 18, 2022

Molnupiravir is an antiviral drug that has recently been approved by the FDA for the treatment of COVID-19. This drug is especially exciting because it is the first approved COVID-19 drug that can be taken as a pill, and also because it reduces the risk of hospitalization and death by 30%. Two recent research papers give us insight into the molecular biology of how molnupiravir works.

In order to reproduce, the virus SARS-CoV-2 needs to synthesize RNA. Usually, the enzyme it uses to do this, RNA-dependent RNA polymerase (RdRp), is an attractive target for makers of antiviral drugs. At present, many antiviral drugs block RdRp by mimicking RNA nucleotides. When such a drug gets incorporated into a new RNA strand, synthesis stops. Unfortunately, this drug strategy is not effective against SARS-CoV-2 because it has proofreading enzymes that allow synthesis to continue.

Two research teams in Germany and Canada recently showed that molnupiravir mimics cytidine and uridine, two RNA nucleotides. Molnupiravir incorporates into new RNA strands, like other antiviral drugs. But interestingly, RdRp continues to synthesize RNA. How, then, does molnupiravir prevent severe COVID-19?

Both teams addressed this question by combining RNA that contained molnupiravir with RdRp in vitro. They found that when RdRp uses this RNA to synthesize new RNA, molnupiravir causes mutations. After several generations, mutations build up to a lethal level and the virus can no longer reproduce.

Molnupiravir’s mechanism of action evades viral proofreading enzymes. Because of this, it may also find use in treating a broad variety of other viruses that also have these enzymes.

 

Kabinger F, Stiller C, Schmitzova J, et al. Mechanism of molnupiravir-induced SARS-CoV-2 mutagenesis. Nature Structural & Molecular Biology. 2021 Sep;28(9):740-746. PMID: 34381216

Gordon CJ, Tchesnokov EP, Schinazi RF, et al. Molnupiravir promotes SARS-CoV-2 mutagenesis via the RNA template. Journal of Biological Chemistry. 2021 Jul;297(1):100770. PMID: 33989635

FDA News Release: FDA authorizes additional oral antiviral for treatment of COVID-19 in certain adults

Fidaxomicin as a New Antibiotic Template

December 13, 2021

Fidaxomicin is a narrow-spectrum antibiotic that is specific against gram-positive bacteria. Furthermore, it is not well absorbed into the bloodstream, so it remains in the gut. Both these characteristics make it a useful drug to treat Clostridioides difficile infections. It has been in clinical use since 2011.

Fidaxomicin-resistant C. difficile is currently rare, but antibiotic resistance is always a concern. A team of scientists at the University of Zurich, Switzerland wanted to use fidaxomicin as a template to develop new antibiotics before more resistant strains evolve.

They used a rational design approach, starting with the cryo-EM structure of fidaxomicin bound to bacterial RNA polymerase. Fidaxomicin has two carbohydrates attached to it, a noviose and a rhamnose. Based on the cryo-EM structure, the C3″ on the noviose looked like a promising place to add new functional groups. The team made thirty derivatives of fidaxomicin by changing the functional groups on that carbon.

They tested the antibiotic activity of these derivatives by measuring their minimal inhibitory concentration against C. difficile. Many of the derivatives still showed antibiotic activity. Although the derivatives were not any more effective against C. difficile than fidaxomicin, this experiment is an encouraging proof of concept for the rational design of new antibiotics.

 

Dailler D, Dorst A, Schafle D, et al. Novel fidaxomicin antibiotics through site-selective catalysis. Communications Chemistry. 2021. 4:59.  doi.org/10.1038/s42004-021-00501-6.

Astaxanthin Antitumor Effect

November 15, 2021

Astaxanthin is a natural pigment that makes many sea creatures red, such as shrimp and crabs. It has many commercial uses such as a food coloring and an animal feed supplement, and it is an antioxidant. Previous research has found that astaxanthin has an antitumor effect.

Glioblastoma is a type of brain cancer with an especially poor prognosis. It is difficult to treat because most cancer drugs can’t cross the blood-brain barrier to reach the brain tumor. Some natural products such as curcumin can cross the blood-brain barrier. Recently, a team of scientists in Japan set out to test whether astaxanthin can cross the blood-brain barrier and whether it can act against glioblastoma tumors.

First, the researchers added astaxanthin to a cell culture line of mouse glioblastoma cells. They found that the cells had reduced proliferation and migration, both of which are needed for tumors to spread.

Then they fed astaxanthin to mice and were able to detect it in mouse brains, suggesting that astaxnthin can cross the blood-brain barrier. The researchers fed astaxanthin to mice with a model of glioblastoma and the tumor growth was notably inhibited.

Astaxanthin may inhibit glioblastoma growth because it is an antioxidant. Antioxidants can affect the cell signals that control growth and division. The antitumor effect of astaxanthin in this experiment was modest, but astaxanthin is worth researching in combination with other promising glioblastoma drugs.

 

Tsuji S, Nakamura S, Maoka T, et al. Antitumor effects of astaxanthin and adonixanthin on glioblastoma. Marine Drugs. 2020 Sep 18;18(9):474. doi:10.3390/md18090474. PMID: 32962073.

Protease Inhibitors: Saquinavir and Boceprevir

October 27, 2021

The COVID-19 pandemic continues to cause death and severe illness around the world. As many countries still experience vaccine shortages and the virus evolves to be more contagious, we need to develop better treatments for this disease.

A Possible Target:

The SARS-CoV2 main protease (Mpro) is an attractive target for drug treatment. The coronavirus needs this protease to process its proteins, an important step in its life cycle. Protease inhibitors are already in clinical use to treat other viral infections, such as HIV and hepatitis C. Repurposed existing drugs can get approval to treat disease faster than new drugs because their safety and pharmacokinetics are already known. Can we repurpose known protease inhibitors to treat SARS-CoV2 infection?

Two recent scientific studies address this question.

Docking and Molecular Dynamics Simulations:

Bello et al. built a computer model of Mpro and twelve promising protease inhibitors: darunavir, indinavir, saquinavir, tipranavir, diosmin, hesperidin, rutin, raltegravir, velpatasvir, ledipasvir, rosuvastatin, and bortezomib. The model predicts that of the twelve, saquinavir should bind to Mpro the best. Interestingly, saquinavir has long been used as part of drug cocktails to treat HIV. Although a computer study is limited, saquinavir is worth following up in vitro.

Enzyme Assays:

Another team of researchers, Ma et al., used an enzyme assay to screen for drugs that might inhibit the activity of Mpro. Out of a library of known inhibitors, they found that boceprevir inhibited Mpro the most. Formerly, boceprevir was used to treat hepatitis C before more effective protease inhibitors were developed. Boceprevir might find new life now as a treatment for COVID-19, and is worth further study.

 

Bello M, Martinez-Muñoz A, Balbuena-Rebolledo I. Identification of saquinavir as a potent inhibitor of dimeric SARS-CoV2 main protease through MM/GBSA. Journal of Molecular Modeling. 2020 Nov 12; 26(12):340. PMID: 33184722

Ma C, Sacco MC, Hurst B, et al. Boceprevir, GC-376, and calpain inhibitors II, XII inhibit SARS-CoV2 viral replication by targeting the viral main protease. Cell Research. 2020 Aug; 30(8):678-692. PMID: 32541865

Remdesivir Synergy Against COVID-19

September 24, 2021

Currently, remdesivir is the only antiviral drug approved to treat COVID-19. Its effects on the course of disease are moderate. Many viral diseases, such as HIV and hepatitis C, are treated with drug cocktails. Existing antiviral drugs might make remdesivir more effective in combination.

Two research teams recently screened for antiviral drugs that might increase the effectiveness of remdesivir.

Lo et al. screened a library of drugs for its ability to reduce SARS-CoV-2 viral load in kidney epithelial cells. They found that simeprevir reduces viral load in vitro. Simeprevir is a protease inhibitor that is often combined with sofosbuvir to treat hepatitis C. Simeprevir was even more effective in the in vitro experiment when combined with remdesivir.

Nguyenla et al. added remdesivir to cell cultures of kidney epithelial cells and human lung cells and infected these cells with SARS-CoV-2. They used this remdesivir-treated culture to screen a large library of FDA-approved drugs for compounds that reduce a proxy measure of viral load. The team chose the twenty most promising drugs to validate in human lung cell culture, which they tested for viral load.

The drugs velpatasvir and elbasvir reduced viral load. Both velpatasvir and elbasvir are used as parts of drug cocktails to treat hepatitis C. Velpatasvir is used with sofosbuvir and elbasvir is used with grazoprevir. The research team then tested the velpatasvir/sofosbuvir and elbasvir/grazoprevir cocktails with remdesivir in lung cell culture; the three-drug cocktails were even more effective that the pairs.

These results support the idea that COVID-19 could be better treated with cocktails of antiviral drugs.

 

Lo HS, Hui KPY, Lai HM, et al. Simeprevir potently suppresses SARS-CoV-2 replication and synergizes with remdesivir. ACS Central Science. 2021 May 26;7(5): 792-802. doi: 10.1021/acscentsci.0c01186. PMID: 34075346

Nguyenla X, Wehri E, Dis EV, et al. Discovery of SARS-CoV-2 antiviral synergy between remdesivir and approved drugs in human lung cells. BiorXiv. Preprint. 2020 Sept. http://doi.org/10.1101/2020.09.18.302398

Baloxavir Antiviral to Shorten and Prevent Influenza

August 30, 2021

Baloxavir is an antiviral drug that was FDA approved in 2018 for the treatment of influenza. It works by inhibiting an enzyme that influenza needs to replicate its DNA. When taken early, it can shorten the course of influenza by a day.

But can it also prevent influenza?

Researchers working for Shionogi, the manufacturer of baloxavir, set up a clinical trial in Japan to test this question. During the 2018-2019 flu season, they identified patients with influenza when they went to see their primary care doctor.

The researchers offered the household contacts of these patients either baloxavir or a placebo. Ten days later, the researchers tested the household contacts for influenza RNA (clinical influenza) using RT-PCR.

1.9% of household contacts who took the active treatment had clinical influenza whereas 13.6% of household contacts who took the placebo had clinical influenza. This is a successful demonstration that Baloxavir is effective at preventing influenza and as such was recently FDA approved for this use.

The authors of this study were not able to rule out whether this chemical can contribute to the rise of drug-resistant influenza. Further research is needed on this topic.

 

Baloxavir

Baloxavir Marboxil

 

Ikematsu H, Hayden FG, Kawaguchi K, et al. Baloxavir marboxil for prophylaxis against influenza in household contacts. N Engl J Med. 2020 Jul 23; 383(4):309-320. doi 10.1056/NEJMoa1915341. PMID: 32640124.

 

Rosiglitazone for Neuroinflammatory Abnormalities

July 29, 2021

Gulf War Illness is a chronic disorder brought on by exposure to sand storms, prophylaxis against chemical warfare, and chronic unpredictable stress. This illness is characterized by neuropsychological and cognitive problems affecting the central nervous system as well as specific organs.

Animal studies of this illness have shown neuroinflammation in several regions of the brain. Treatments used to reduce the neuroinflammation have led to improvements of the neurofunctional abnormalities.

Rosiglitazone and pioglitazone are compounds from the thiazolidinedione family that both have demonstrated neuroprotection in animal models. A new study recently completed at the University of Maryland looked at Gulf War Illness in a rat model and the impact of treatment with rosiglitazone.

Simulation

In order to simulate a Gulf War type of exposure, the rats were subjected to a variety of intense daily stressors for 33 days. Stressors included subjection to restraint, cold, wet, hunger, thirst, and various other types of unpredictably timed environmental stresses. During the 33 days the experimental treatment groups were also administered an oral solution of rosiglitazone each day.

Live Testing

Beginning on day 35, a battery of neurofunctional evaluations was begun. Evaluations included open-field exploration, maze exploration, new object recognition, sucrose preferences, tail suspension response, coat hygiene, splash testing, and forced swimming. These test methods were used as a gauge for cognition, anxiety-like behavior, and depression-like behavior.

Neurofunctional evaluation of the groups showed the development of significant abnormalities in rats exposed to the stressors compared to rats not subjected to such stress. The results of rats exposed to daily stressors and treatment with rosiglitazone were less conclusive. Rosiglitazone treatment seemed to improve measures related to cognition and anxiety, while not having much impact on weight gain or depression.

Tissue Testing

Following the neurofunctional evaluations, the rats were sacrificed so that the brain tissues could be analyzed. Examination of astrocytes, translocator protein, and microglia showed results consistent with a reduced inflammatory response in the samples from the rosiglitazone-treated group.

This modelling of Gulf War Illness successfully induced critical neurofunctional abnormalities, while the concurrent treatment with rosiglitazone reduced the development or abnormalities and neuroinflammation. The model will be useful for further study of the impact and potential treatments for Gulf War Illness.

 

Learn more about Gulf War Illness on Wikipedia

 

Thiazolidinediones Available:

Ciglitazone

Pioglitazone

Rosiglitazone

Rosiglitazone Maleate

Troglitazone

 

Keledjian K, Tsymbalyuk O, Semick S, et al. The peroxisome proliferator-activated receptor gamma (PPARγ) agonist, rosiglitazone, ameliorates neurofunctional and neuroinflammatory abnormalities in a rat model of Gulf War Illness. PLoS One. 2020 Nov 13;15(11):e0242427. PMID: 33186383

Lovastatin Impact on Brain Cholesterol

June 25, 2021

Lovastatin’s impact on brain cholesterol levels is found to produce neuroprotective effects.

Statins are known to reduce cholesterol synthesis in the liver, easily cross the blood-brain barrier, and have various additional effects on brain cells.

Lovastatin, aka Mevinolin, is commonly used as a medication to slow the production of cholesterol in the body, leading to reduced concentration of cholesterol in the blood, and thereby preventing buildup on artery walls.

Interestingly, in the average healthy adult, 25% of total cholesterol is in the brain.

This cholesterol in the brain is necessary to maintain the nicotinic acetylcholine receptors (nAChRs) at the cell membranes and for moving ions across the membranes.

There are different kinds of nAChRs present in the central nervous system, with both homomeric and dimeric species. The most abundant of the homomeric species in the central nervous system is α7 nAChR, while the most abundant dimeric species is the combination of α4 and β2 subunits.

These nAChR species play roles in a variety of cognitive functions, including learning, memory, and involvement in the development of Alzheimer’s disease. At the same time, the nAChRs all seem to be quite sensitive to membrane cholesterol levels. As has been demonstrated, the levels of nAChRs may be altered by manipulating the cholesterol level.

Cholesterol is known to have a big impact on muscle-type nAChR, however, its impact on neuronal-type nAChR is less studied.

Consequently, a study was formed to evaluate the impact of ongoing lovastatin treatment on cholesterol levels and the α7 and α4-containing nAChRs.

When cultured hippocampal neurons were incubated with varying levels of lovastatin for up to 14 days the total and surface cholesterol levels were significantly reduced, in a dose-dependent manner. No signs of neuronal damage were observed at the concentrations used, 0, 10, 50, 100, and 1000 nM.

The levels of α7 nAChR found in the cultured hippocampal nerves were monitored and found to be increased with the lovastatin treatments.

Previous studies have suggested that individuals with long-term statin treatment are less susceptible to developing Alzheimer’s disease. The nAChR species in the central nervous system are potentially a key to this phenomenon.

The lingering question remains: is it the impact on cholesterol biosynthesis, which occurs in the liver, and the resulting decreased level of cholesterol interacting with the nAChRs in the brain, or is it the statin itself entering the brain, that is responsible for the neuroprotective effect? It is quite possibly a combination of both factors and more research may be able to tease this information apart.

 

Additional Statins Available…

 

Borroni V, Kamerbeek C, Pediconi M, et al. Lovastatin differentially regulates α7 and α4 neuronal nicotinic acetylcholine receptor levels in rat hippocampal neurons. Molecules. 2020 Oct 20;25(20):4838. doi: 10.3390/molecules25204838. PMID: 33092257.

https://www.scientificamerican.com/article/this-is-your-brain-on-cholesterol/

 

Vinca Alkaloids and Their Biosynthesis Enzymes

May 28, 2021

Vinca alkaloids such as vincristine and vinblastine are crucial for the treatment of several types of cancers. However, these drugs are also in short supply, because they can only be found in small amounts in one plant species, the Madagascar periwinkle.

Unfortunately, the biosynthetic pathway that the Madagascar periwinkle uses to produce vincristine and vinblastine isn’t yet fully understood. However, if we find a way to manipulate that pathway, then we may be able to upregulate production of these molecules or transfer the pathway into another plant species that is easier to grow. Recently, a team of researchers identified the last two enzymes in the vinblastine biosynthesis pathway.

To begin, this team searched periwinkle RNA expression data for genes that are expressed at the same time as known vinblastine synthesis enzymes. Consequently, they found two candidate genes, which they named taberosine synthase (TS) and catharanthine synthase (CS). They first tried knocking out the genes’ expression in periwinkle plants. As a result, plants without TS and CS expression made much less precursors to vinblastine.

Next, they expressed TS and CS in the leaves of tobacco plants. Under these circumstances, the leaves formed detectable levels of vinblastine precursors.

Conceivably, these enzymes could be used to produce vinblastine and other medically important vinca alkaloids in other plant species.

 

  • Vincristine Sulfate
  • Vinblastine Sulfate
  • Vindoline
  • Vinleurosine Sulfate
  • Vinorelbine Base
  • Vinorelbine Ditartrate
  • Vinpocetine
  • Catharanthine

 

Caputi L, Franke J, Farrow SC, et al. Missing enzymes in the biosynthesis of the anticancer drug vinblastine in Madagascar periwinkle. Science. 2018 Jun 15;360(6394):1235-1239. PMID: 29724909

Lopinavir Antiretroviral Delivery Using NLC

April 27, 2021

Lopinavir is an antiretroviral drug that is important for the treatment of HIV. Unfortunately, it has a low bioavailability because it dissolves poorly in water.

The drug might be absorbed better if it was encased in a nanostructured lipid carrier (NLC). An NLC is a particle containing a mixture of solid and liquid lipids- which should deliver drugs better than solid-only lipid particles. Recently, researchers in Malaysia sought to do a proof-of-concept of an NLC to deliver lopinavir.

To determine optimal conditions for creating NLCs, they varied homogenization time and amounts of solid lipid, liquid lipid, and surfactant. They picked the most promising sets of conditions for further study.

The researchers tested the NLCs for drug release rate in simulated gastric fluid and in simulated intestinal fluid. The NLCs released drug better than straight lopinavir, which would not dissolve in either fluid. Next, they applied the NLCs to a cell line that is popular for studying intestinal epithelium. NLC lopinavir entered the cells faster than straight lopinavir.

Finally, the researchers fed an NLC lopinavir suspension to rats. The rats reached higher blood lopinavir concentrations than rats fed straight lopinavir.

Lopinavir is an antiretroviral drug with poor bioavailability. Nanostructured lipid carriers show potential for improved drug delivery of lopinavir.

Khan AA, Mudassir J, Akhtar S, et al. Freeze-dried lopinavir-loaded nanostructured lipid carriers for enhanced cellular uptake and bioavailability: statistical optimization, in vitro and in vivo evaluations. Pharmaceutics. 2019; 11(2):97. PMID: 30823545

Baricitinib: Inhibitor of JAK-STAT Pathway

March 23, 2021

Baricitinib inhibits Janus kinases 1 and 2. These kinases are the first enzymes of the JAK-STAT signaling pathway. This pathway is important for many cell functions. Disorders of JAK-STAT can play a role in cancer and immune disease. For example, baricitinib, a JAK-STAT signaling disrupter, is approved in Europe to treat rheumatoid arthritis.

Progeria and JAK-STAT

Recently, researchers at the Technical University of Munich using a text mining approach had suspicions that a rare premature aging disorder, Hutchinson-Gilford progeria syndrome, is associated with the JAK-STAT pathway. It is known that this syndrome has four main symptoms that mimic normal aging: vascular disease, arthritis, lipodistrophy, and alopecia. In most cases of this disease, a single de novo mutation is responsible for causing the production of progerin, leading to a shortened life span. Unfortunately, sufferers rarely live past the age of thirteen.

The research team decided to run a literature meta-analysis on genes associated with each symptom of progeria. In all, seventeen genes implicated in all four symptoms were found, and of those seventeen, fourteen were part of the JAK-STAT pathway.

Baricitinib Inhibits Janus Kinases

Henceforth, to test the role of the JAK-STAT pathway in progeria experimentally, the team grew cells in culture from progeria patients and also from unaffected controls. The progeric cells expressed abnormal levels of the fourteen identified genes. When the researchers applied baricitinib to the cell culture, the gene expression levels normalized. After one month of baricitinib treatment, progeric cells were less likely to become senescent.

Furthermore, etoposide was also applied to the cell culture, which is known to worsen cell senescence. As anticipated, etoposide treatment disrupted expression of the fourteen genes.

In conclusion, this research shows that the JAK-STAT pathway is likely part of the Hutchinson-Gilford progeria disease mechanism, and baricitinib may have potential as a therapy.

 

Liu C, Arnold R, Henriques G, et al. Inhibition of JAK-STAT signaling with baricitinib reduces inflammation and improves cellular homeostasis in progeria cells. Cells. 2019 Oct 18;8(10):1276. doi: 10.3390/cells810276. PMID: 31635416.

Impact of 2-DG on Triple-Negative Breast Cancers

February 18, 2021

Triple-negative breast cancers present a difficult problem. Most existing therapies for breast cancer target hormone receptors on the cell surface to inhibit cell division. As such, breast cancers that lack these receptors, known as triple-negative cancers, are harder to treat. Physicians need more pharmaceutical options for treating these cancers.

A Possibility?

One promising molecule is 2-Deoxy-D-Glucose, which takes advantage of cancer cells’ altered metabolism. Some types of cancer cells depend on glycolysis as their source of energy, rather than oxidative phosphorylation, and so require more glucose than normal cells, which depend on oxidative phosphorylation for energy. Interestingly, 2-Deoxy-D-glucose is a toxic glucose analog that enters cells through normal glucose transporters. The toxicity should be more impactful to cancer cells than to normal cells because of the increased rate of uptake.

One Team’s Investigation

Recently, a team of researchers in Dublin tested 2-Deoxy-D-glucose’s effectiveness at treating breast cancer. They hypothesized that if 2-Deoxy-D-glucose worked as expected, then it should be more toxic to more aggressive, metabolically active cancers than less aggressive ones.

They tested two breast cancer cell lines, Hs578T, and its more aggressive variant, Hs578Ts(i)8. 2-Deoxy-D-glucose reduced the ability of the breast cancer cells to spread and migrate in vitro. The more aggressive cell line was more affected.

Normally when epithelial cells such as breast cancer travel through the blood or lymph system, they undergo apoptosis. Hence, cancer cells must have resistance to apoptosis in order to metastasize. The researchers tested the lines’ resistance to apoptosis. 2-Deoxy-D-glucose reduced the ability of the aggressive cell line to metastasize, but not the less aggressive one. Further evidence also suggests that the cancer stem cells present were directly affected by 2-Deoxy-D-Glucose treatment, in both cell lines.

Therefore, these results suggest that 2-Deoxy-D-glucose has the potential to treat triple-negative breast cancer, particularly the more aggressive variant in this study. Further studies may have a positive impact on developing treatments for the most aggressive and difficult to treat triple-negative breast cancers.

O’Neill S, Porter RK, McNamee N, et al. 2-Deoxy-D-Glucose inhibits aggressive triple-negative breast cancer cells by targeting glycolysis and the cancer stem cell phenotype. Sci Rep. 2019. 9:3788. doi: 10.1038/s41598-019-39789-9. PMID: 30846710.

 

 

Promising Mycobacteria Treatment: Bedaquiline

January 15, 2021

Bedaquiline, a potential treatment for several kinds of mycobacteria, was the first new drug to be approved for the treatment of tuberculosis in forty years back in 2012. This drug is especially important for the treatment of multidrug-resistant tuberculosis when first line treatments fail. It works by preventing the mycobacterium from making ATP, which is a different mechanism from older treatments.

Bedaquiline has attracted interest from public health researchers for the treatment of non-tuberculous mycobacteria. These bacteria infect lungs and wounds, especially in immunocompromised patients. In rich countries, non-tuberculous mycobacterial infections cause a greater health burden than tuberculosis itself does. These infections are difficult to treat because, as with tuberculosis, no effective drugs have been developed recently.

Researchers at the University of Texas Health Science Center have begun investigating the potential for developing a new treatment for this type of infection using bedaquiline. To begin, they first collected isolates of non-tuberculous mycobacteria from lungs and wounds of infected patients and grew them in nutrient broth. The isolates were then tested using broth microdilution antimicrobial susceptibility testing (AST). They calculated the minimum amount of bedaquiline they needed to add to the broth to inhibit bacterial growth, the minimum inhibitory concentration. They found that the required concentrations should be achievable in patients’ blood, so bedaquiline has potential to treat non-tuberculous mycobacterial infections.

In considering bedaquiline for the treatment of mycobacteria, researchers caution that bedaquiline should not be used as a monotherapy, because of the potential for bacteria to develop resistance.

 

Bedaquiline Fumarate

 

Brown-Elliot BA, Wallace RJ. 2018. In vitro susceptibility testing of bedaquiline against mycobacterium absceccus complex. Antimicrobial Agents and Chemotherapy. 29:63(2). doi: 10.1128/AAC.01919-18. PMID: 30509936

 

Now that you’ve read about it, find out how to pronounce it too!

 

Okadaic Acid for Alzheimer’s Research

September 14, 2020

New discoveries are one step closer with a new application using okadaic acid in Alzheimer’s research. Alzheimer’s disease is difficult to model in non-human animals. Recently, a collaboration between Indian and American researchers proposed a treatment combination that could produce rats with more biomarkers of Alzheimer’s disease than previous models.

Hypoxia increases the amount of misfolded amyloid beta aggregates in the brain, a well-known biomarker of Alzheimer’s disease. However, hypoxia does not cause tau tangles, which is another biomarker of Alzheimer’s disease. Okadaic acid is a toxin that is known for causing diarrhetic shellfish poisoning. It selectively inhibits phosphatases, so it is often used as a research chemical to study phosphorylation. As it turns out, in the brain it hyperphosphorylates tau, which causes it to tangle.

A combination of hypoxia and okadaic acid treatment therefore should produce rats with more biomarkers of Alzheimer’s disease than either treatment alone.

This collaborative research team microinjected okadaic acid into live rat brains, then placed the rats in a hypoxic chamber with 10% oxygen (atmosphere contains about 21%) for three days. The treated rats fared worse at an electrical shock avoidance test and a water maze memory test.

The team then sacrificed the rats and analyzed their brain biochemistry. As predicted, hypoxia increased the amount of amyloid beta aggregates in the rat brains, and okadaic acid increased the number of hyperphosphorylated tau tangles. Rats that received the combination treatment also had decreased acetylcholine esterase activity and increased oxidative damage, which are also biochemical hallmarks of Alzheimer’s disease.

This combination treatment of hypoxia plus okadaic acid in rats should be useful for further advancing the research into Alzheimer’s disease.

 

Okadaic Acid

Okadaic Acid Ammonium

Okadaic Acid Sodium

 

Kaushal A, Wani WY, Bal A, Gill KD, Kaur J. Okadaic acid and hypoxia induced dementia model of Alzheimer’s type in rats. 2019. Neurotoxicity Research.  PMID: 30729451

 

 

The Metabolic Impact of Kynurenic Acid

August 17, 2020

Background

Kynurenic acid is a metabolite of tryptophan. This chemical is found throughout the body, and appears to act on glutamate receptors in the brain. One effect of Kynurenic acid on Gpr35 signaling that has been discovered is enhanced cellular respiration.

Interestingly, high levels of kynurenic acid have been found in the brains of patients with schizophrenia. Further research is ongoing to understand its role in that disease. Less is known about its role in the rest of the body.

Kynurenic Acid Combined with Consistent Exercise and Feeding

One relationship that has been discovered is that exercise causes the levels of kynurenic acid to increase in skeletal muscle. Recently, Agudelo et al. sought to tease the effects of kynurenic acid on metabolism apart from the effects of exercise alone.

To accomplish this, mice were dosed with kynurenic acid without changing their exercise habits. Their metabolisms then sped up, but their level of exercise and feeding stayed the same. As a result, the mice lost some weight after two weeks, which came from a reduction in their white fat stores.

Kynurenic Acid Combined with Altered Diets and Genetics

Previous research has shown that kynurenic acid activates the receptor protein Gpr35. Agudelo et al. wanted to test whether Gpr35 was involved in the relationship between kynurenic acid and metabolism.

To test the effect of Kynurenic acid on Gpr35 signaling, they put mice on a high-fat diet that causes them to gain weight. When they dosed the mice on the high-fat diet with kynurenic acid, they prevented the mice from gaining weight.

When they dosed mice that lack Gpr35 with kynurenic acid, the mice gained weight as usual. These results suggest that Gpr35 signaling is important for kynurenic acid’s role in raising metabolism.

 

In conclusion, this study increases the understanding of both kynurenic acid and Gpr35. A therapeutic application for kynurenic acid is a long way off, but worth studying.

 

K977545  Kynurenic Acid

 

Agudelo LZ, Ferreia DMS, Cervenka I, et al. Kynurenic acid and Gpr35 regulate adipose tissue energy homeostasis and inflammation. 2018. Cell Metabolism. 27(2):378-392. PMID: 29414686.

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