Introduction
The human pathogen
Mycobacterium tuberculosis remains a major global cause of mortality as the infectious bacterium that causes tuberculosis (TB)
8The abbreviations used are:
TB
tuberculosis
MDR
multidrug-resistant
Ni-IDA
nickel-iminodiacetic acid
MIC
minimum inhibitory concentration
HS
high spin
LS
low spin
Rz
Reinheitszahl
ESI
electrospray ionization
CT
charge transfer
HTS
high throughput screening
MCD
magnetic circular dichroism
NHE
normal hydrogen electrode
PDB
Protein Data Bank
IPTG
isopropyl β-d-thiogalactopyranoside.
(
1- Cole S.T.
- Brosch R.
- Parkhill J.
- Garnier T.
- Churcher C.
- Harris D.
- Gordon S.V.
- Eiglmeier K.
- Gas S.
- Barry 3rd, C.E.
- Tekaia F.
- Badcock K.
- Basham D.
- Brown D.
- Chillingworth T.
- et al.
Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence.
). Recent data from the World Health Organization indicate that TB is the leading cause of human death worldwide among infectious diseases (
2- World Health Organization
Global Tuberculosis Report 2015.
). The mortality rate in TB victims may be increased by co-infection with the human immunodeficiency virus (HIV). Moreover, the development of
M. tuberculosis strains resistant to leading drugs usually results in extended treatment times (
2- World Health Organization
Global Tuberculosis Report 2015.
). Multidrug-resistant (MDR) and extensively drug-resistant
M. tuberculosis strains are resistant to at least the two leading TB drugs (rifampicin and isoniazid) or to both of these drugs as well as to any one of the quinolone drugs and to at least one of the second-line injectable TB drugs amikacin, capreomycin, and kanamycin (
3- Matsumoto M.
- Hashizume H.
- Tsubouchi H.
- Sasaki H.
- Itotani M.
- Kuroda H.
- Tomishige T.
- Kawasaki M.
- Komatsu M.
Screening for novel antituberculosis agents that are effective against multidrug resistant tuberculosis.
,
4Extensively drug-resistant tuberculosis: a new face to an old pathogen.
). Consequently, there is increased need for development of new TB drugs with novel modes of action. This need has been partially met recently by the development of drugs such as delamanid (which inhibits cell wall mycolic acid synthesis) and bedaquiline (an
M. tuberculosis ATPase proton pump inhibitor), both of which have been authorized for use in MDR TB treatment (
5- Esposito S.
- Bianchini S.
- Blasi F.
Bedaquiline and delamanid in tuberculosis.
).
A revelation from the first genome sequence of
M. tuberculosis (that for the virulent H37Rv strain) was that 20 different cytochrome P450 (CYP or P450) enzymes were encoded (
1- Cole S.T.
- Brosch R.
- Parkhill J.
- Garnier T.
- Churcher C.
- Harris D.
- Gordon S.V.
- Eiglmeier K.
- Gas S.
- Barry 3rd, C.E.
- Tekaia F.
- Badcock K.
- Basham D.
- Brown D.
- Chillingworth T.
- et al.
Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence.
). This large number of P450s suggested important functions for these enzymes, and key roles for
M. tuberculosis P450s were identified in the metabolism of host cholesterol/cholest-4-en-3-one (CYP125A1 and CYP142A1) and branched chain lipids (CYP124A1), oxidative tailoring of cyclic dipeptides (CYP121A1), hydroxylation of menaquinone (CYP128A1), and sterol demethylation (CYP51B1) (
6- Capyk J.K.
- Kalscheuer R.
- Stewart G.R.
- Liu J.
- Kwon H.
- Zhao R.
- Okamoto S.
- Jacobs Jr., W.R.
- Eltis L.D.
- Mohn W.W.
Mycobacterial cytochrome P450 125 (cyp125) catalyzes the terminal hydroxylation of C27 steroids.
7- McLean K.J.
- Lafite P.
- Levy C.
- Cheesman M.R.
- Mast N.
- Pikuleva I.A.
- Leys D.
- Munro A.W.
The structure of Mycobacterium tuberculosis CYP125: molecular basis for cholesterol binding in a P450 needed for host infection.
,
8- Driscoll M.D.
- McLean K.J.
- Levy C.
- Mast N.
- Pikuleva I.A.
- Lafite P.
- Rigby S.E.
- Leys D.
- Munro A.W.
Structural and biochemical characterization of Mycobacterium tuberculosis CYP142: evidence for multiple cholesterol 27-hydroxylase activities in a human pathogen.
,
9- Johnston J.B.
- Kells P.M.
- Podust L.M.
- Ortiz de Montellano P.R.
Biochemical and structural characterization of CYP124: a methyl-branched lipid omega-hydroxylase from Mycobacterium tuberculosis.
,
10- Leys D.
- Mowat C.G.
- McLean K.J.
- Richmond A.
- Chapman S.K.
- Walkinshaw M.D.
- Munro A.W.
Atomic structure of Mycobacterium tuberculosis CYP121 to 1.06 Å reveals novel features of cytochrome P450.
,
11- Belin P.
- Le Du M.H.
- Fielding A.
- Lequin O.
- Jacquet M.
- Charbonnier J.B.
- Lecoq A.
- Thai R.
- Courçon M.
- Masson C.
- Dugave C.
- Genet R.
- Pernodet J.L.
- Gondry M.
Identification and structural basis of the reaction catalyzed by CYP121, an essential cytochrome P450 in Mycobacterium tuberculosis.
,
12- Holsclaw C.M.
- Sogi K.M.
- Gilmore S.A.
- Schelle M.W.
- Leavell M.D.
- Bertozzi C.R.
- Leary J.A.
Structural characterization of a novel sulfated menaquinone produced by stf3 from Mycobacterium tuberculosis.
,
13- Podust L.M.
- Poulos T.L.
- Waterman M.R.
Crystal structure of cytochrome P450 14α-sterol demethylase (CYP51) from Mycobacterium tuberculosis in complex with azole inhibitors.
14- McLean K.J.
- Warman A.J.
- Seward H.E.
- Marshall K.R.
- Girvan H.M.
- Cheesman M.R.
- Waterman M.R.
- Munro A.W.
Biophysical characterization of the sterol demethylase P450 from Mycobacterium tuberculosis, its cognate ferredoxin, and their interactions.
). The
CYP125A1 and
CYP142A1genes are located in a gene regulon associated with host cholesterol metabolism and uptake and are required for oxidative metabolism of the steroid side chain to initiate its catabolism by
M. tuberculosis in the macrophage (
7- McLean K.J.
- Lafite P.
- Levy C.
- Cheesman M.R.
- Mast N.
- Pikuleva I.A.
- Leys D.
- Munro A.W.
The structure of Mycobacterium tuberculosis CYP125: molecular basis for cholesterol binding in a P450 needed for host infection.
,
8- Driscoll M.D.
- McLean K.J.
- Levy C.
- Mast N.
- Pikuleva I.A.
- Lafite P.
- Rigby S.E.
- Leys D.
- Munro A.W.
Structural and biochemical characterization of Mycobacterium tuberculosis CYP142: evidence for multiple cholesterol 27-hydroxylase activities in a human pathogen.
,
15- Van der Geize R.
- Yam K.
- Heuser T.
- Wilbrink M.H.
- Hara H.
- Anderton M.C.
- Sim E.
- Dijkhuizen L.
- Davies J.E.
- Mohn W.W.
- Eltis L.D.
A gene cluster encoding cholesterol catabolism in a soil actinomyete provides insight into Mycobacterium tuberculosis survival in macrophages.
). CYP128A1 is implicated in the synthesis of a virulence-associated sulfolipid (S881) through hydroxylating menaquinone 9, (MK9H
2), the sole quinol electron carrier in the
M. tuberculosis respiratory chain. CYP128A1 catalyzes terminal hydroxylation of MK9H
2 to enable sulfation at the hydroxyl group by the sulfotransferase Stf3 encoded by the gene
Rv2267c, immediately downstream of
CYP128A1 (
1- Cole S.T.
- Brosch R.
- Parkhill J.
- Garnier T.
- Churcher C.
- Harris D.
- Gordon S.V.
- Eiglmeier K.
- Gas S.
- Barry 3rd, C.E.
- Tekaia F.
- Badcock K.
- Basham D.
- Brown D.
- Chillingworth T.
- et al.
Deciphering the biology of Mycobacterium tuberculosis from the complete genome sequence.
,
12- Holsclaw C.M.
- Sogi K.M.
- Gilmore S.A.
- Schelle M.W.
- Leavell M.D.
- Bertozzi C.R.
- Leary J.A.
Structural characterization of a novel sulfated menaquinone produced by stf3 from Mycobacterium tuberculosis.
).
The first
M. tuberculosis P450 to be structurally and biochemically characterized was CYP51B1, the first member of the
CYP51 (sterol demethylase) gene family identified in a prokaryote (
13- Podust L.M.
- Poulos T.L.
- Waterman M.R.
Crystal structure of cytochrome P450 14α-sterol demethylase (CYP51) from Mycobacterium tuberculosis in complex with azole inhibitors.
,
16- Aoyama Y.
- Horiuchi T.
- Gotoh O.
- Noshiro M.
- Yoshida Y.
CYP51-like gene of Mycobacterium tuberculosis actually encodes a P450 similar to eukaryotic CYP51.
,
17- Bellamine A.
- Mangla A.T.
- Nes W.D.
- Waterman M.R.
Characterization and catalytic properties of the sterol 14α-demethylase from Mycobacterium tuberculosis.
). The CYP51B1 Fe
II-CO complex is unstable and collapses from the cysteine thiolate-coordinated P450 form to the thiol-coordinated P420 state. However, the thiolate-coordinated form is stabilized by binding of estriol (
14- McLean K.J.
- Warman A.J.
- Seward H.E.
- Marshall K.R.
- Girvan H.M.
- Cheesman M.R.
- Waterman M.R.
- Munro A.W.
Biophysical characterization of the sterol demethylase P450 from Mycobacterium tuberculosis, its cognate ferredoxin, and their interactions.
). Later studies on the
M. tuberculosis cholesterol hydroxylase CYP142A1 and the
Sorangium cellulosum epothilone C/D epoxidase EpoK showed that binding of substrates (cholest-4-en-3-one and epothilone D, respectively) regenerated the P450 state when added to the Fe
II-CO P420 forms (
8- Driscoll M.D.
- McLean K.J.
- Levy C.
- Mast N.
- Pikuleva I.A.
- Lafite P.
- Rigby S.E.
- Leys D.
- Munro A.W.
Structural and biochemical characterization of Mycobacterium tuberculosis CYP142: evidence for multiple cholesterol 27-hydroxylase activities in a human pathogen.
,
18- Ogura H.
- Nishida C.R.
- Hoch U.R.
- Perera R.
- Dawson J.H.
- Ortiz de Montellano P.R.
EpoK, a cytochrome P450 involved in biosynthesis of the anticancer agents epothilones A and B: substrate-mediated rescue of a P450 enzyme.
). Importantly, the soluble CYP51B1 enzyme catalyzes oxidative 14α-demethylation of lanosterol, 24,25-dihydrolanosterol, and the plant sterol obtusifoliol and also binds azole drugs used clinically to inhibit fungal CYP51 enzymes (
13- Podust L.M.
- Poulos T.L.
- Waterman M.R.
Crystal structure of cytochrome P450 14α-sterol demethylase (CYP51) from Mycobacterium tuberculosis in complex with azole inhibitors.
,
17- Bellamine A.
- Mangla A.T.
- Nes W.D.
- Waterman M.R.
Characterization and catalytic properties of the sterol 14α-demethylase from Mycobacterium tuberculosis.
). These findings inspired research to examine the potency of azole drugs against mycobacteria.
In vitro studies revealed that several azoles had good MIC values against
Mycobacterium smegmatis, particularly econazole (<0.1 μg/ml) and miconazole (0.1 μg/ml). The same two azoles were also the most effective against
M. tuberculosis H37Rv, albeit with higher MIC values (8 μg/ml for both drugs) (
19- McLean K.J.
- Marshall K.R.
- Richmond A.
- Hunter I.S.
- Fowler K.
- Kieser T.
- Gurcha S.S.
- Besra G.S.
- Munro A.W.
Azole antifungals are potent inhibitors of cytochrome P450 mono-oxygenases and bacterial growth in mycobacteria and streptomycetes.
,
20- McLean K.J.
- Carroll P.
- Lewis D.G.
- Dunford A.J.
- Seward H.E.
- Neeli R.
- Cheesman M.R.
- Marsollier L.
- Douglas P.
- Smith W.E.
- Rosenkrands I.
- Cole S.T.
- Leys D.
- Parish T.
- Munro A.W.
Characterization of active site structure in CYP121. A cytochrome P450 essential for viability of Mycobacterium tuberculosis H37Rv.
). This is possibly due to lower azole penetration into
M. tuberculosis cells or to drug efflux (
21- Milano A.
- Pasca M.R.
- Provvedi R.
- Lucarelli A.P.
- Manina G.
- Ribeiro A.L.
- Manganelli R.
- Riccardi G.
Azole resistance in Mycobacterium tuberculosis is mediated by the MmpS5-MmpL5 efflux system.
). Studies in mice also showed that econazole reduced bacterial burden by 90% in lungs and spleen and was also effective against MDR
M. tuberculosis strains (
22- Ahmad Z.
- Sharma S.
- Khuller G.K.
Azole antifungals as novel chemotherapeutic agents against murine tuberculosis.
,
23- Ahmad Z.
- Sharma S.
- Khuller G.K.
- Singh P.
- Faujdar J.
- Katoch V.M.
Antimycobacterial activity of econazole against multidrug-resistant strains of Mycobacterium tuberculosis.
). Thus, regardless of issues surrounding cross-reactivity of azole drugs with human P450s, various azoles are clearly potent inhibitors of
M. tuberculosis P450s and are important tools for characterization of these enzymes (
13- Podust L.M.
- Poulos T.L.
- Waterman M.R.
Crystal structure of cytochrome P450 14α-sterol demethylase (CYP51) from Mycobacterium tuberculosis in complex with azole inhibitors.
,
24- Seward H.E.
- Roujeinikova A.
- McLean K.J.
- Munro A.W.
- Leys D.
Crystal structure of the Mycobacterium tuberculosis P450 CYP121-fluconazole complex reveals new azole drug-P450 binding mode.
).
Several of the
M. tuberculosis P450s remain structurally uncharacterized. Among these is CYP126A1, a P450 with ∼35% amino acid identity to the cholesterol-oxidizing
M. tuberculosis CYP142A1 and CYP125A1. The
CYP126A1 (
Rv0778) gene is located in a region close to genes encoding the sterol demethylase P450 CYP51B1 (
Rv0764c) and the uncharacterized CYP123A1 (
Rv0766c), an enzyme that is predicted to be associated with the
M. tuberculosis H37Rv cell membrane by 2D LC-MS analysis (
25- Mawuenyega K.G.
- Forst C.V.
- Dobos K.M.
- Belisle J.T.
- Chen J.
- Bradbury E.M.
- Bradbury A.R.
- Chen X.
Mycobacterium tuberculosis functional network analysis by global subcellular protein profiling.
).
CYP126A1 is also located between genes involved in purine synthesis (
purB,
Rv0777;
purC,
Rv0780; and
purD,
Rv0772), although there is no evidence for its involvement in this pathway. However,
CYP126A1 is highly conserved across pathogenic and non-pathogenic
Mycobacterium species, suggesting an important evolutionary role for the protein.
In previous studies, we have taken a fragment-based approach to identify novel small molecule ligands for
M. tuberculosis P450s, including CYP121A1, CYP125A1, and CYP126A1 (
26- Hudson S.A.
- McLean K.J.
- Surade S.
- Yang Y.Q.
- Leys D.
- Ciulli A.
- Munro A.W.
- Abell C.
Application of fragment screening and merging to the discovery of inhibitors of the Mycobacterium tuberculosis cytochrome P450 CYP121.
,
27- Hudson S.A.
- Surade S.
- Coyne A.G.
- McLean K.J.
- Leys D.
- Munro A.W.
- Abell C.
Overcoming the limitations of the fragment merging: rescuing a strained merged fragment series targeting Mycobacterium tuberculosis CYP121.
28- Hudson S.A.
- Mashalidis E.H.
- Bender A.
- McLean K.J.
- Munro A.W.
- Abell C.
Biofragments: an approach towards predicting protein function using biologically related fragments and its application to Mycobacterium tuberculosis CYP126.
). In this paper, we present detailed biochemical, spectroscopic, and structural data for CYP126A1, including studies of its binding to novel substrates and inhibitors identified from a library of ∼40,000 compounds structurally related to the World Drug Index (
29- Lisurek M.
- Rupp B.
- Wichard J.
- Neuenschwander M.
- von Kries J.P.
- Frank R.
- Rademann J.
- Kühne R.
Design of chemical libraries with potentially bioactive molecules applying a maximum common substructure concept.
). The crystal structures of CYP126A1 in complex with the azole drug ketoconazole and with inhibitor and substrate-like molecules from the screen are presented, illustrating the capacity of CYP126A1 to bind bulky compounds with several rings. Native CYP126A1 was found to form a crystallographic dimer in which both open and closed forms of the protein (with respect to P450 conformation and active site access) are observed. In contrast, the CYP126A1-ketoconazole structure is a crystallographic monomer. These data provide important insights into the structural properties and the molecular selectivity of this
M. tuberculosis P450 enzyme, highlighting its capacity to bind large compounds, and the ability of molecules with nitroaromatic groups to “moonlight” as substrates through inducing formation of high spin (HS) heme iron in CYP126A1. This is the first report of structural data for the widely conserved
M. tuberculosis CYP126A1 P450 enzyme and provides important insights into CYP126A1 molecular selectivity and structural adaptation to the binding of large compounds.
Discussion
Orthologs of the
M. tuberculosis CYP126A1 gene are widely distributed among both pathogenic (
e.g. Mycobacterium ulcerans Agy99, 80% amino acid sequence identity) and non-pathogenic (
e.g. M. smegmatis mc
2155, 79% identity) mycobacteria. This suggests an important conserved function in these organisms. Related P450s are also found in other actinobacteria (
e.g. Streptomyces sp. Eco86, 43% identity) and also among the myxobacteria (
e.g. S. cellulosum So ce56, 42% identity; and
Stigmatella aurantiaca DW4/3-1, 41% identity), again suggesting that a common function may be retained in diverse bacteria (
53- Khatri Y.
- Hannemann F.
- Perlova O.
- Müller R.
- Bernhardt R.
Investigation of cytochromes P450 in myxobacteria: excavation of cytochromes P450 from the genome of Sorangium cellulosum So ce56.
). Phylogenetic studies indicate that CYP126A1 is most closely related to CYP125A1, CYP142A1, and CYP124A1 from
M. tuberculosis H37Rv, all of which have been implicated in host cholesterol metabolism (
6- Capyk J.K.
- Kalscheuer R.
- Stewart G.R.
- Liu J.
- Kwon H.
- Zhao R.
- Okamoto S.
- Jacobs Jr., W.R.
- Eltis L.D.
- Mohn W.W.
Mycobacterial cytochrome P450 125 (cyp125) catalyzes the terminal hydroxylation of C27 steroids.
7- McLean K.J.
- Lafite P.
- Levy C.
- Cheesman M.R.
- Mast N.
- Pikuleva I.A.
- Leys D.
- Munro A.W.
The structure of Mycobacterium tuberculosis CYP125: molecular basis for cholesterol binding in a P450 needed for host infection.
,
8- Driscoll M.D.
- McLean K.J.
- Levy C.
- Mast N.
- Pikuleva I.A.
- Lafite P.
- Rigby S.E.
- Leys D.
- Munro A.W.
Structural and biochemical characterization of Mycobacterium tuberculosis CYP142: evidence for multiple cholesterol 27-hydroxylase activities in a human pathogen.
9- Johnston J.B.
- Kells P.M.
- Podust L.M.
- Ortiz de Montellano P.R.
Biochemical and structural characterization of CYP124: a methyl-branched lipid omega-hydroxylase from Mycobacterium tuberculosis.
,
54- Ouellet H.
- Johnston J.B.
- Ortiz de Montellano P.R.
The Mycobacterium tuberculosis cytochrome P450 system.
,
55Structural biology and biochemistry of cytochrome P450 systems in Mycobacterium tuberculosis.
). However, we could find no evidence for cholesterol binding to CYP126A1 by UV-visible spectral titration. Although there are relatively few data available on
CYP126A1 from transcriptomics and microarray studies, the
CYP126A1 gene is not essential for the
in vitro growth of the virulent
M. tuberculosis H37Rv strain. However, its importance in the infective state remains uncertain (
56The cytochrome P450 homepage.
). CYP126A1 protein is clearly produced in
M. tuberculosis and was identified in
M. tuberculosis H37Rv cell lysates by mass spectrometry. It was not identified in bacterial culture filtrate or membrane fractions, consistent with it being a soluble, cytosolic protein (
57- Griffin J.E.
- Gawronski J.D.
- Dejesus M.A.
- Ioerger T.R.
- Akerley B.J.
- Sassetti C.M.
High-resolution phenotypic profiling defines genes essential for mycobacterial growth and cholesterol catabolism.
,
58- de Souza G.A.
- Leversen N.A.
- Målen H.
- Wiker H.G.
Bacterial proteins with cleaved or uncleaved signal peptides of the general secretory pathway.
). Moreover, a computational analysis of predicted
M. tuberculosis target proteins and their druggability ranks CYP126A1 (and other
M. tuberculosis P450s) in the top 50 potential targets among more than 1500 candidate
M. tuberculosis proteins (
59- Agüero F.
- Al-Lazikani B.
- Aslett M.
- Berriman M.
- Buckner F.S.
- Campbell R.K.
- Carmona S.
- Carruthers I.M.
- Chan A.W.
- Chen F.
- Crowther G.J.
- Doyle M.A.
- Hertz-Fowler C.
- Hopkins A.L.
- McAllister G.
- et al.
Genomic-scale prioritization of drug targets: the TDR Targets database.
).
To characterize in more detail the structural and biochemical properties of CYP126A1, we purified the P450 using an
E. coli expression system and demonstrated by mass spectrometry that the protein was intact. Nano-ESI native mass spectrometry indicated that the enzyme is predominantly monomeric but has a propensity to form higher dimeric, trimeric, and tetrameric species at relatively low concentrations (
Fig. 1). This property probably underpins the formation of CYP126A1 dimer crystals (see below). UV-visible spectroscopy confirms typical heme spectral features in CYP126A1. A slow collapse of the P450 form of the CYP126A1 Fe
II-CO complex at 448.5 nm to the P420 state at 423 nm occurs, and this phenomenon is also observed in other
M. tuberculosis P450s (
8- Driscoll M.D.
- McLean K.J.
- Levy C.
- Mast N.
- Pikuleva I.A.
- Lafite P.
- Rigby S.E.
- Leys D.
- Munro A.W.
Structural and biochemical characterization of Mycobacterium tuberculosis CYP142: evidence for multiple cholesterol 27-hydroxylase activities in a human pathogen.
,
13- Podust L.M.
- Poulos T.L.
- Waterman M.R.
Crystal structure of cytochrome P450 14α-sterol demethylase (CYP51) from Mycobacterium tuberculosis in complex with azole inhibitors.
,
14- McLean K.J.
- Warman A.J.
- Seward H.E.
- Marshall K.R.
- Girvan H.M.
- Cheesman M.R.
- Waterman M.R.
- Munro A.W.
Biophysical characterization of the sterol demethylase P450 from Mycobacterium tuberculosis, its cognate ferredoxin, and their interactions.
). On the basis of previous studies, it is expected that the thiolate-coordinated P450 state would be stabilized by the binding of its natural substrate (
8- Driscoll M.D.
- McLean K.J.
- Levy C.
- Mast N.
- Pikuleva I.A.
- Lafite P.
- Rigby S.E.
- Leys D.
- Munro A.W.
Structural and biochemical characterization of Mycobacterium tuberculosis CYP142: evidence for multiple cholesterol 27-hydroxylase activities in a human pathogen.
,
18- Ogura H.
- Nishida C.R.
- Hoch U.R.
- Perera R.
- Dawson J.H.
- Ortiz de Montellano P.R.
EpoK, a cytochrome P450 involved in biosynthesis of the anticancer agents epothilones A and B: substrate-mediated rescue of a P450 enzyme.
). Supporting this conclusion, the stabilization of the thiolate-coordinated ferrous form of CYP126A1 is evident in the redox titration of the P450 bound to the type I screening hit compound
1. The blue Soret shift seen on CYP126A1-compound
1 heme iron reduction, along with spectral “fusion” of the Q-bands, is characteristic of retention of thiolate coordination in the ferrous state, whereas a Soret red shift (
e.g. to 423 nm in the case of
M. tuberculosis CYP51B1) with shifted α- and β-band features is typical for cysteine thiol-coordinated ferrous heme iron (
14- McLean K.J.
- Warman A.J.
- Seward H.E.
- Marshall K.R.
- Girvan H.M.
- Cheesman M.R.
- Waterman M.R.
- Munro A.W.
Biophysical characterization of the sterol demethylase P450 from Mycobacterium tuberculosis, its cognate ferredoxin, and their interactions.
,
38- Daff S.N.
- Chapman S.K.
- Turner K.L.
- Holt R.A.
- Govindaraj S.
- Poulos T.L.
- Munro A.W.
Redox control of the catalytic cycle of flavocytochrome P450 BM3.
). The redox titration also reveals an ∼155-mV increase in the reduction potential of the CYP126A1 heme iron Fe
III/Fe
II couple, an effect probably dominated by the extensive conversion of the CYP126A1 ferric heme iron to the HS state (
38- Daff S.N.
- Chapman S.K.
- Turner K.L.
- Holt R.A.
- Govindaraj S.
- Poulos T.L.
- Munro A.W.
Redox control of the catalytic cycle of flavocytochrome P450 BM3.
,
39Coupling of spin, substrate, and redox equilibria in cytochrome P450.
). However, the significant structural rearrangements accompanying the binding of compound
1 (
Fig. 11) also alter the CYP126A1 heme environment and are likely to influence the heme redox potential.
CYP126A1 binds avidly to a number of azole drugs but shows a clear preference for binding azole antifungal drugs with imidazole rather than triazole groups. Azole binding to CYP126A1 induces a red (type II) Soret band shift with a distinctive decrease of Soret absorbance intensity (by ∼15–20%) as the titrations progress to completion (
Fig. 3). An interesting pattern of azole drug selectivity among
M. tuberculosis P450s emerges from data presented in
Table 1. First, it is clear that in the case of CYP126A1, CYP144A1, and CYP121A1, the affinity for the imidazole-containing azole drugs is markedly greater than those for the triazole-containing drugs tested. Indeed, no significant type II Soret shifts were observed for CYP126A1 with fluconazole, voriconazole, or itraconazole. The CYP144A1
Kd values for econazole, clotrimazole, and miconazole are submicromolar, whereas those for the triazoles fluconazole and voriconazole are >10 and 6.5 m
m, respectively. CYP121A1 binds fluconazole and voriconazole more tightly (
Kd values are 8.61 and 16.3 μ
m, respectively), but affinity remains ∼120–680-fold weaker than for econazole and miconazole. However, there is much less discrimination between the imidazoles and triazoles in at least CYP51B1 and CYP125A1, although voriconazole does not bind the heme iron in CYP125A1. For CYP51B1, the binding of fluconazole and voriconazole is quite tight (
Kd = 5.82 and 2.10 μ
m, respectively) and only 12–32-fold weaker than that for clotrimazole, the tightest binding imidazole drug. Ketoconazole displays similar affinity (
Kd = 3.57 μ
m) to the triazole drugs in CYP51B1. It is known that that CYP51B1, CYP125A1, and CYP142A1 are all sterol-oxidizing P450s in
M. tuberculosis, whereas no such role has been assigned to CYP126A1 or the other
M. tuberculosis P450s in
Table 1. The binding of fluconazole and voriconazole to CYP126A1 is not detectable, whereas at least fluconazole binds each of three known sterol-metabolizing
M. tuberculosis P450s with good to moderate affinity. It can thus be speculated that, despite apparent phylogenetic relationships between CYP126A1 and sterol-metabolizing
M. tuberculosis P450s, CYP126A1 has taken a distinct evolutionary path and that its role in pathogenic and non-pathogenic mycobacteria (and other bacteria) may be unrelated to metabolism of host or environmental sterols. With regard to the effectiveness of the various azole drugs in inhibiting mycobacterial growth, preceding studies (
60- Byrne S.T.
- Denkin S.M.
- Gu P.
- Nuermberger E.
- Zhang Y.
Activity of ketoconazole against Mycobacterium tuberculosis in vitro and in the mouse model.
) showed that the triazoles fluconazole and itraconazole had no significant effect on
M. tuberculosis growth
in vitro, whereas ketoconazole had an MIC of 8–16 μg/ml against the virulent
M. tuberculosis H37Rv strain. Our own studies confirmed the greater potency of the imidazole-containing azole drugs, with fluconazole proving ineffective against
M. tuberculosis H37Rv, whereas econazole (8 μg/ml), miconazole (8 μg/ml), clotrimazole (11 μg/ml), and ketoconazole (16 μg/ml) all showed good MIC values (
20- McLean K.J.
- Carroll P.
- Lewis D.G.
- Dunford A.J.
- Seward H.E.
- Neeli R.
- Cheesman M.R.
- Marsollier L.
- Douglas P.
- Smith W.E.
- Rosenkrands I.
- Cole S.T.
- Leys D.
- Parish T.
- Munro A.W.
Characterization of active site structure in CYP121. A cytochrome P450 essential for viability of Mycobacterium tuberculosis H37Rv.
). Imidazole azole drug potency was even greater against the laboratory strain
M. smegmatis mc
2155 in most cases, with MIC values of <0.1 μg/ml for econazole, 0.1 μg/ml for clotrimazole, and 1.25 μg/ml for miconazole, compared with >100 μg/ml for the triazole fluconazole (
19- McLean K.J.
- Marshall K.R.
- Richmond A.
- Hunter I.S.
- Fowler K.
- Kieser T.
- Gurcha S.S.
- Besra G.S.
- Munro A.W.
Azole antifungals are potent inhibitors of cytochrome P450 mono-oxygenases and bacterial growth in mycobacteria and streptomycetes.
). The enhanced azole potency against
M. smegmatis mc
2155 may reflect greater drug permeability as a consequence of altered glycolipid composition in the cell envelope (
61- Etienne G.
- Laval F.
- Villeneuve C.
- Dinadayala P.
- Abouwarda A.
- Zerbib D.
- Galamba A.
- Daffé M.
The cell envelope structure and properties of Mycobacterium smegmatis mc2155: is there a clue for the unique transformability of the strain?.
).
In work to identify novel type I and type II compounds binding to CYP126A1, we undertook a large (∼40,000) compound screen and identified several molecules that induce CYP126A1 heme Soret shifts consistent with substrate-like (HS heme iron accumulation with Soret blue shift) or heme iron-ligating (Soret red shift, similar to that seen for azole drug binding) properties. The compound hits selected for analysis were all extended molecules containing between 2 and 6 aromatic or non-aromatic ring structures (
Fig. 4). Although these bulky compounds do not provide immediate clues to the identity of physiologically relevant substrates, type I CYP126A1 spectral shifts were obtained in several cases, and evidence of P450-mediated substrate oxidation of HTS type I compounds was obtained in three cases, with the clearest results obtained with compound
4.
Crystal structures were determined for CYP126A1 in the absence of added ligand and for CYP126A1 in complex with ketoconazole and with HTS molecules compound
1 (type I hit) and compound
7 (type II hit). The imidazole group of compound
7 clearly ligates the heme iron, whereas the nitrobenzene moiety of compound
1 is placed directly above the heme plane and displaces the distal water, inducing adoption of the HS ferric state in CYP126A1. No evidence of oxidation of either compound
1 or compound
2 (which both possess a terminal 4-nitrophenyl group) could be obtained in turnover studies, and it thus appears that these molecules “moonlight” as substrates but are not readily oxidized and instead act as P450 inhibitors. A small number of nitroaromatic compounds were identified as inhibitors of the P450-like, cysteine thiolate-coordinated nitric-oxide synthase enzymes (
62- Mukherjee P.
- Cinelli M.A.
- Kang S.
- Silverman R.B.
Development of nitric oxide synthase inhibitors for neurodegeneration and neuropathic pain.
). However, there is no available evidence for their binding in a similar mode to that shown here structurally for compound
1. The similar binding modes for both compounds
1 and
2 to CYP126A1 suggest that binding studies with other nitroaromatic compounds could identify more potent inhibitors of CYP126A1.
The CYP126A1 structures reveal a dynamic molecule, with the BC and FG regions clearly affected by ligand binding. These regions are also involved in the formation of CYP126A1 dimers observed in some crystal forms, as indicated by PISA analysis (see
Table 4 for corresponding dimer interface size), establishing a putative link between ligand binding and protein oligomerization. However, it remains unclear whether the same types of interactions lead to CYP126A1 dimerization in the solution state. The malleable nature of CYP126A1 (as demonstrated by its ability to bind to a range of structurally diverse inhibitors and substrate-like molecules) suggests that the nature of the physiological substrate does not necessarily reflect the shape of the ligand-free CYP126A1 structure. However, the nature of the residues that line the various active site regions does suggest that the physiological substrate contains polar moieties that might establish interactions with residues such as Thr-83, Asn-96, Ser-300, Lys-303, Arg-400, and His-401. Ketoconazole binding reorients the BC-loop region of CYP126A1 and disrupts the dimer interface, resulting in a binding mode for ketoconazole that is approximately orthogonal to those for HTS compounds
1 and
7, which extend upward from the heme, close to the path followed by the I-helix (
Fig. 11). The binding modes of these molecules are compatible with CYP126A1 dimer formation in the crystal, although differences in the dimer interface regions are observed. The ability of CYP126A1 to form crystallographic dimers is reminiscent of properties reported for the
M. tuberculosis CYP130A1 P450, with similar regions of the P450s forming the dimer interfaces. However, whereas CYP130A1 crystallizes as a monomer in the “open” conformation when ligand-free, the econazole-bound form has a “closed” conformation in a dimeric state (
63- Ouellet H.
- Podust L.M.
- de Montellano P.R.
Mycobacterium tuberculosis CYP130: crystal structure, biophysical characterization, and interactions with antifungal azole drugs.
). In contrast, the ketoconazole-bound CYP126A1 is a crystallographic monomer, whereas the ligand-free form of CYP126A1 is a dimer containing both “open” and “closed” monomers.
In conclusion, we present the first biochemical and structural studies of the M. tuberculosis P450 CYP126A1, revealing novel substrates and inhibitors for the enzyme, defining its relatively polar active site and its ability to adapt structurally to facilitate the binding of bulky ligands. Future work will be directed at the identification of the natural substrate(s) for this widely conserved P450 enzyme.