Abstract
Malaria is responsible for thousands of deaths each year. Currently, artemisinin combination therapy (ACT) is used as first-choice medication against the disease. However, the emergence of resistant strains prompts the search for alternative compounds. The present study aimed to investigate the antiplasmodial activities of natural triterpenes (compounds 1 and 2), and semisynthetic derivatives 1a, 1b, 1c, and 1d. Antiplasmodial assays were carried out using the SYBR Green technique, whereas cytotoxicity was evaluated by the MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) method. Hemolytic assays were performed on human erythrocytes. An in silico analysis of the compounds against PfENR (Plasmodium falciparum 2-trans-enoyl-reductase) was carried out by molecular docking. Experiments with 1, and its derivatives against P. falciparum showed that 1a was very similar in terms of biological activity to compound 1 (half maximal inhibitory concentration (IC50) ca. 4 µM), whereas 1b, 1c, and 1d had reduced antiplasmodial activities (IC50 between 8-103 µM). The selectivity indexes of 1 and 1d for HepG2, and Vero cells were > 10. Docking results partially agreed with the in vitro experiments, with 1 and 1c having the best and worst affinities with PfENR, respectively. In conclusion, the results showed that 1 and 1d may serve as biotechnological tools in the development of antimalarial drugs.
Keywords: Combretum; triterpenes; antiplasmodial; Plasmodium; enoyl-reductase
Introduction
Malaria is a disease transmitted by female mosquitos of the genus Anopheles, in which the etiological agents are some protozoan species of the genus Plasmodium. To date, five species are known to infect humans: P. falciparum, P. vivax, P. malariae, P. ovale, and P. knowlesi.1 This disease is responsible for an enormous social burden, especially in sub-Saharan Africa.2 According to the World Health Organization (WHO), the estimated number of cases of the disease for 2018 was 228 million.3 The incubation period of the parasite varies from species to species, with the average being approximately two weeks. The symptoms are nonspecific, such as fever, myalgia, malaise, headache, and vomiting. Malaria may also present in a severe form, mainly caused by P. falciparum, which affects mostly immunocompromised patients, and can cause extensive damage to organs such as the brain, kidneys, and lungs.4
Regarding therapeutics, there are currently no vaccines available for the disease, with pharmacological treatment being the only intervention to treat the disease. The artemisinin combination therapy (TCA) is the standard treatment in most cases of P. falciparum malaria,5 replacing chloroquine due to the increasing appearance of resistant strains. However, with the increasing occurrence of resistance to artemisinin-based therapy, there is a need to search for new classes of drugs that can treat infections caused by future resistant strains.6 Natural products, mainly those derived from medicinal plants, played an important role in malaria chemotherapy, in which two medicinal plants, Cinchona officinalis, and Artemisia annua, resulted in two generations of antimalarial drugs: quinine and its derivatives, and artemisinin and its derivatives.7 Moreover, numerous medicinal plants are used in Africa by traditional populations to treat the disease, evidencing their potential for the discovery and development of antiplasmodial compounds.8
The above context motivates the search for compounds that can act on the parasite, reducing the impact of their resistance on malaria control and eradication programs. In this sense, natural products have been widely studied as pharmacological agents for the treatment of various diseases. Newman and Cragg9 show, for example, that a great proportion of the Food and Drug Administration (FDA)-approved drugs from 1981 to 2014 resulted directly or indirectly from natural products, especially medicinal plants.
Combretum leprosum, a species popularly known as “mofumbo”, has a restricted distribution to South America, and is found in Brazil, Bolivia, and Paraguay. Its distinctive feature is the presence of whitish or yellowish, lepidote indumentum.10 Concerning this species, several studies have demonstrated its potential against a variety of diseases, including leishmaniasis,11-13 cell proliferation,14 cancer,15 and bacterial infections.16 Based on this context, the present study aimed to investigate the antiplasmodial and cytotoxic activities of natural triterpenes (1 and 2) and semisynthetic derivatives of 1, as well as theoretically determine their binding affinities with the P. falciparum enzyme 2-trans-enoyl-ACP reductase (PfENR) by molecular docking simulations.
Experimental
Obtainment of natural and semisynthetic triterpenes
Two natural triterpenes, 3β,6β,16β-trihydroxy-lup-20(29)-ene (compound 1), and arjunolic acid (compound 2) were previously isolated by silica gel chromatography assisted by thin-layer chromatography, from the flowers, and leaves of C. leprosum. The natural compounds, along with the four semisynthetic derivatives: the diacetylated triterpene (compound 1a), diacetylated oxidated triterpene (compound 1b), triacetylated triterpene (compound 1c) and trioxidized triterpene (compound 1d) were obtained from the studies of Facundo et al.17,18 The compounds are presented in Figure 1.
In vitro assays against P. falciparum
In the antimalarial activity assays, blood forms of a chloroquine-resistant P. falciparum (W2) clone were used. The parasites were cultured in human red blood cells under conditions established by Trager and Jensen19 with minor modifications. Cultivation was performed in culture flasks (TPP) with 2% hematocrit diluted in Roswell Park Memorial Institute (RPMI) 1640 culture medium (Sigma-Aldrich, St. Louis, USA) supplemented with 25 mM Hepes (Sigma-Aldrich, West Chester, PA, USA), 21 mM sodium bicarbonate (Sigma-Aldrich, Waltham, USA), 11 mM glucose (Sigma-Aldrich, USA), 40 μg mL-1 gentamycin, and 10% (v/v) albumax.19 Cultures were maintained in desiccators at 37 ºC or in a gaseous mixture containing 5% O2, 5% CO2, and 90% N2.
Synchronization of P. falciparum culture
The predominant young trophozoite cultures that were used in the antiplasmodial assays were obtained through synchronization with sorbitol as described by Lambros and Vanderberg.20 Hematocrit and parasitemia were adjusted to 5 and 0.5%, respectively.
In vitro antiplasmodial assays
Parasite cultures were distributed in 96-well microplates by adding 180 μL per well of RPMI culture medium containing: 0.5% parasitemia and 2% hematocrit for the SYBR Green test. Before the addition of the parasite suspension, 20 μL of C. leprosum compounds to be tested were added to the test plate in triplicate and at different concentrations (100-1.56 μM). The positive control consisted of artemisinin (17.7 nM) whereas the negative control consisted of infected red blood cells without the addition of drugs. The blank consisted of uninfected red blood cells with no treatment. Plates were incubated at 37 °C for 48 h. After the incubation period, the fluorescence test was performed according to Lambros and Vanderberg.20 After, the SYBR Green fluorimetric assay was conducted to evaluate antiplasmodial activity.21 Plates containing the tested compounds and parasites had the supernatant discarded and for rinsing of the red cells, 100 μL of 1× phosphate buffer solution (PBS) was added per well and then centrifuged at 700 g for 10 min. Subsequently, the supernatant was discarded again and 100 μL of the lysis buffer (20 mM Tris, pH 7.5, 5 mM ethylenediamine tetraacetic acid (EDTA), 0.008%, m/v saponin, 0.08%, v/v Triton X-100) was added with SYBR Green I (2 μL of SYBR to each 10 mL of buffer) homogenized and transferred to the 96-well plate with 100 μL of 1× PBS in which the reading was performed. After incubation for 30 min at room temperature, the fluorescence was measured in a fluorometer with excitation of 485 nm and an emission of 590 nm in a gain of 100.
Determination of the IC50
The IC50 corresponds to the concentration at which the compound causes 50% inhibition of parasite growth. We established that compounds with IC50 values less than or equal to 25 μM were considered active, and below this threshold, inactive.22 The IC50 was determined by the software Origin (OriginLab Corporation, Northampton, MA, USA),23 through non-linear regression of the concentrations tested.
In vitro cytotoxicity assays
Culture of the HepG2 and Vero cells
The adherent cell lines HepG2 and Vero were cultured as recommended.24 They were maintained in 75 cm2 culture flasks supplemented in RPMI containing 5% fetal bovine serum (FBS). Cells were maintained in 5% CO2 in an incubator at 95% humidity at 37 °C and the medium of the flasks was replaced every two days.
Preparation of the test plates
For cytotoxicity assays, cells were washed with medium without FBS, treated with 1 mL of 0.25% trypsin-EDTA (Gibco/Invitrogen) and incubated at 37 °C for 5 to 10 min. 9 mL of complete medium was added to the resulting content of the trypsinization, followed by centrifugation at 1500 rpm for 5 min at room temperature. The supernatant was discarded and the pellet was resuspended in complete medium containing 10% FBS. After counting in a Neubauer’s chamber, the suspension was adjusted to 2 × 104 per mL and 180 μL added to each well of the microplate. The cells were incubated for 12 to 16 h in a CO2 incubator at 37 °C for the adhesion process. Then, 20 μL of complete medium containing different concentrations (500 3.16 µM) of the compounds were added to the wells of the microplate. The plates were incubated for 72 h at 37 ºC, 5% CO2, and 95% humidity. The negative control consisted of untreated cells, and the positive control consisted of lysis buffer. The dimethyl sulfoxide (DMSO) concentration did not exceed 1%. Due to the insufficient amount of samples, only the two natural triterpenes (1 and 2), and compound 1d were tested for their cytotoxic activity.
Preparation of the test plates
MTT colorimetric assay
Cytotoxicity was determined by the MTT method (3-((4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium).25 After the incubation period, 20 µL of MTT at 5 mg mL-1 in PBS in each well, and the plates were incubated for 4 h at 37 ºC. At the end of that period, the culture medium, along with excess MTT, was discarded and then 100 μL DMSO (Sigma-Aldrich, St. Louis, USA) was added to each well. Optical reading was performed using a microplate spectrophotometer at 570 nm.
Determination of CC50
The cytotoxic concentration to 50% of the cells (CC50) was determined from non-linear regression of the tested concentrations using the software Origin, as established for antiparasitic tests.23
Selectivity index
The selectivity index (SI) was calculated as the quotient between the CC50 and the IC50 of the respective compound. We considered that compounds whose selectivity index was greater than 10 were selective/non-toxic, whereas compounds with SI less than 10 were considered non-selective/toxic.26
Hemolysis assay
The hemolytic test was performed as previously established.27 The natural compound 1 and the semisynthetic derivatives 1a, and 1d were screened for their hemolytic activity for being active against P. falciparum. The concentrations tested were the same as those of the antiplasmodial assay. After dilution of the samples, 20 μL of them were added to 180 μL of an erythrocyte suspension to a 1% hematocrit in round-bottom 96-well microplates. A solution of saponins (0.05%) constituted the positive control (Sigma-Aldrich, St. Louis, USA) After preparation, the microplate was incubated for 30 min at a temperature of 37 °C with gentle shaking every 5 min. Subsequently, the plate was centrifuged for 10 min at 1,500 rpm and the supernatant was transferred to another flat-bottom 96-well microplate. Absorbance reading was performed at 540 nm on a microplate spectrophotometer.
Molecular docking
The triterpenes tested in vitro against the W2 of P. falciparum were evaluated in silico for their binding affinity with the P. falciparum enzyme 2-trans-enoyl-ACP-reductase (PfENR). Since this enzyme is involved in the parasite’s fatty acid biosynthesis FAS-II, which is not present in humans, it constitutes a promising target for screening antimalarial compounds.28 Since there is previous evidence29 that triterpenes might act as PfENR inhibitors, we also decided to evaluate the compound of the above-mentioned study, which presented in silico, and in vitro inhibition against the PfENR, the pentacyclic triterpene celastrol, in order to compare its results with those of the triterpenes evaluated in the present study.29
After the obtainment of the structures of all triterpenic analogs, the compounds were evaluated for their in silico affinity for 2-trans-enoyl-ACP-reductase through molecular docking simulations, in which the lowest ∆G (Gibbs free energy) values, resulting from various positions of the screened compounds, were evaluated. The software used for the evaluation of the in silico interaction was AutoDock 4.0.30 The tridimensional structure of PfENR was retrieved from the PDB (Protein Data Bank), PDB code 3LT0.
The simulation grid was positioned at the active site with a size of 170 × 170 × 170 points and centered at 45.515, 84.230 and 39.810 Å for the coordinates x, y, and z. The Lamarckian genetic algorithm was followed with protocol consisted of 10 independent runs per ligand, using an initial population of 150 randomly placed individuals, with 2.5 × 106 energy evaluations, a maximum number of 27000 iterations, a mutation rate of 0.02, a crossover rate of 0.80, and an elitism value of 1. The analyses and visualizations were generated by the software USCF chimera.31
Results
The antiplasmodial assays showed that the natural compound 1 was the most active for P. falciparum with an IC50 = 4.4 μM. The derivatives 1a and 1d were also considered active, with IC50 values of 4.56 and 8.9 μM, respectively. Compound 2, 1b and 1c were considered inactive (IC50 > 25 μM).
Concerning the comparison of the natural triterpene and its derivatives, it was observed that compound 1 obtained almost the same degree of activity as its diacetylated derivative (1a) at positions 3 and 16 of the molecule (both with IC50 < 5 μM). Compound 1d was also considered active, although it has its potency decreased (Table 1). These three compounds were assessed for their hemolytic activity in human red blood cells, in which no hemolytic activity was found (data not showed). Compounds 1b and 1c were considered inactive (IC50 ≥ 25 μM). For the natural triterpene 1 and its derivative 1a, it was possible to determine the IC50 at a range from 13.07-0.19 µM. However, for the other triterpenes (1b, 1c, and 1d), the dose-response for the determination of the IC50 was established with concentrations ranging from 104.62-1.56 µM.
Antiplasmodial activity (IC50), cytotoxicity (CC50) and selectivity index (SI) of the two natural triterpenes and synthetic derivatives against P. falciparum
Since the natural triterpene 1, 1a, and 1d met the activity criteria of < 25 µM, they were investigated for their hemolytic potential to assess whether the antiplasmodial effects were due to hemolytic effects or direct action against the parasite. The results demonstrated (data not shown) that none of these compounds presented hemolysis for human red blood cells (RBC’s) (13.07 to 0.19 µM for compound 1 and 204.62 3.19 µM for compound 2).
Cytotoxic assays
Cytotoxicity assays were performed concurrently with the antiplasmodial assays, with some of the compounds being tested against P. falciparum. Cytotoxicity tests for the HepG2 and Vero cell lines were performed in parallel to antiparasitic tests, with the same compounds tested against Plasmodium falciparum.
The cytotoxicity results showed that compounds 1, 2, and 1d were inactive against the evaluated cell lines when considering the toxicity threshold of 25 µM (Table 1). 1a, 1b, and 1c were not tested due to an insufficient amount of samples. Compounds 1 and 1d presented selectivity indexes > 10 for both cell lines.
Molecular docking simulations
The molecular docking simulations were used to predict the binding affinity of the triterpenes evaluated in vitro, against the enzyme PfENR (Figure 2). The results demonstrated that the natural triterpene 1 obtained the highest binding affinity amongst the triterpenes of the present study, with a ∆G of -6.8 kcal mol-1. Celastrol obtained an estimated ∆G slightly higher than that of compound 1, being = -6.58 kcal mol-1. The rest of the compounds obtained lower estimated binding affinities, with 1c obtaining a positive ∆G value. The reference inhibitor triclosan obtained the best binding affinity, with an estimated ∆G of -8.66 kcal mol-1 (Table 2).
Molecular docking between PfENR (marked in yellow) and compound 1 (marked in light blue). The hydrogen bond is marked as a green traced line.
Discussion
The literature shows that there are several antiplasmodial studies32-35 in which natural or semi-synthetic triterpenes are active against P. falciparum in vitro, evidencing the importance of prospecting and conducting antiplasmodial tests with this class of substances. The biological activity of the semisynthetic derivatives of the natural triterpene against P. falciparum showed that the substitution of all hydroxyls by acetyl groups results in loss of activity for the molecule. Compound 1a, which had acetyl groups replacing the hydroxyls at positions 3 and 16 but not at position 6, maintained an IC50 very similar to that of the natural compound 1 (IC50 for 1 = 4.4 μM; IC50 for 1a = 4.56 μM). On the other hand, compound 1c, which had two of its hydroxyls replaced by acetyl groups and one oxidized, had its activity notably decreased than those of the parental compound 1 and the diacetylated compound 1a, with an IC50 of 76.25 μM. Concerning compound 1d, which had its hydroxyls oxidized in all 3 positions, its potency slightly decreased, with an IC50 of 8.9 μM. These results suggest that, for the natural triterpene (compound 1 in the present study), the hydroxyl at position C-6 is crucial for biological activity. The presence of this hydroxyl may be crucial for interaction with the active site of the enzyme, for example, via the formation the hydrogen bonds. However, further studies are yet to be conducted to properly elucidate the mechanistic nature of this structure-activity relationship.
Natural compound 2 (arjunolic acid) was not considered active against P. falciparum, with an IC50 = 52.7 µM. A previous study by da Silva et al.36 agrees with our observations, with an IC50 = 61.18 µM for arjunolic acid being reported for P. falciparum.
The importance of hydroxyls and other polar functional groups in the activity of lupane triterpenes for P. falciparum is also observed in other studies. It was found that two lupane triterpenes (messagenic acid A and messagenic acid B), both bearing carboxylates and p-coumarate groups in their radicals, obtained smaller IC50’s (massagenic acid A, IC50 = 2.42 μM, massagenic acid B, IC50 = 6.14 μM) than lupeol, a lupane having only one hydroxyl, which was not active at 20 μg mL-1 (IC50 not shown).37 Betulone and lupenone, two other lupane triterpenes, were tested against a chloroquine-resistant strain (K1) of P. falciparum in a hypoxanthine incorporation assay, yielding IC50 of 3 and 4.7 μM, respectively. The difference between the two molecules was the presence of an alcohol (polar group) in a betulone radical, and the presence of a methyl (non-polar group) instead of the same lupenone radical.38
Some of the compounds here evaluated (1, 1a, and 1d) were previously investigated for their antileishmanial activity against Leishmania amazonensis promastigotes.12 In this previous study, the authors observed that the natural compound 1 was the most active against L. amazonensis, agreeing with the present study. However, they found that the replacement of two acetyl groups at positions 3 and 16 rendered the compound inactive. Finally, they observed that when the compound was trioxidized (compound 1d), it had an IC50 value similar to compound 1, contrasting with the present study.
Due to the hemolytic reports of triterpenes in the literature, and because the triterpenes of the present study were tested against erythrocytic stages of P. falciparum, a hemolytic assay was performed for the three compounds that complied with the threshold established for biological activity against P. falciparum: 1, 1a, and 1d.39,40 The results demonstrated that the compounds did not cause hemolysis toward human erythrocytes, in contrast to the positive control, consisting of the saponin solution. This fact is probably due to the presence of few polar groups in the structures of the triterpenes and/or absence of sugars coupled to these, a characteristic that would confer amphiphilicity to these molecules. These results also suggest that the compounds act directly against the blood trophozoites, rather than causing their death by destroying their host cells.
Parallel to the antiplasmodial assays, cytotoxicity assays were performed to assess the possible damage that these compounds might cause on human cells. In this work, tests were performed against the following cell lines: HepG2, because they are hepatocytes, cells that naturally metabolize drugs and cells where Plasmodium spp. replicates in a phase of its cycle in the vertebrate host;41 and Vero cells, because they are a non-tumoral lineage that preserves characteristics of their original cells, besides being renal, playing a key role in the excretion of metabolites and being responsible for the production of EPO (erythropoietin).42 Studies in literature usually report cytotoxic activities from triterpenes.43 Interestingly, in our study, none of the evaluated triterpenes were classified as being cytotoxic for the two evaluated cell lines (CC50 > 25 µM), although it does not mean they are completely devoid of toxicity since some of the CC50’s obtained were as low as 50 µM.
In fact, a study that investigated the cytotoxic activity of 1 against a wide variety of cancer cell lines showed that this triterpene obtained a CC50 of 13.35 µM for the HepG2 cell line by the XTT (2,3-bis-(2-methoxy-4 nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide)) method.15 This study also found that the triterpene is capable of inducing apoptosis in cancer cells, increasing the population of sub-G1 cells. Its mechanism of action in cancer cells appears to be the generation of free radicals and the induction of mutations. A study by Lacouth Silva et al.44 showed that it is also cytotoxic to PBMC (peripheral blood mononuclear cells), with an estimated CC50 of 9.4 µM after 15 h of incubation with compound 1. Compound 2 was considered to be cytotoxic against neither the HepG2 nor the Vero cells, with CC50 values of 141.53 and 151.31 µM, respectively. Indeed, some studies show that arjunolic acid has cytoprotective effects both in vitro and in vivo.45,46
Interestingly, compound 1d has its cytotoxicity substantially decreased against HepG2 and Vero cells, with CC50 values being ≥ 500 µM for both cell lines. Combined with its IC50, the selectivity index of 1d was the highest of the evaluated compounds (≥ 56.18). Such a result encourages further analyses to investigate its antiplasmodial activity in vivo.
Since there is evidence that pentacyclic triterpenes may inhibit the PfENR, we screened all six compounds in a molecular docking simulation against this enzyme.29 We also included the validated compounds celastrol and triclosan in order to compare their results with the evaluated compounds. Such a computational approach has demonstrated valuable usefulness and may direct compound selection in a drug discovery pipeline.47 Compounds 1 and 1c obtained the best and worst binding affinities of the six compounds screened respectively, which agree with the in vitro experiments, where these compounds obtained the lowest and highest IC50 values against P. falciparum in vitro.
Thermodynamically, a ligand and a macromolecule represent a reaction system, where ∆G values are negative if the reaction occurs favorably and the system is stable, and positive if the reaction is unfavorable. The positive values found for 1c (3.8 kcal mol-1) indicate that the complex protein-ligand does not form a stable interaction and the reaction does not occur spontaneously and that therefore, this compound does not interfere with the activity of PfENR.
Conclusions
Despite the in silico interaction of most triterpenes with PfENR, further in vitro experiments with the compounds, PfENR, and its substrate are needed to confirm whether or not they are acting via PfENR inhibition. In conclusion, the results of this study demonstrated that the natural triterpene 1, and its derivative 1d presented interesting antiplasmodial activity in vitro, and interacted in silico with PfENR, and thus may serve as biotechnological tools in the development of antimalarial drugs.
Supplementary Information
Supplementary data (graphs containing the parasite growth inhibition data of the natural compound and the four derivatives) are available free of charge at http://jbcs.sbq.org.br as PDF file.
Acknowledgments
We are grateful to EpiAmo for granting financial resources to this study and CNPq for the scholarship concession. The authors are also grateful to Malaria and Leishmaniasis Bioassays Platform - Fiocruz (Rondônia).
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Edited by
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Editor handled this article: José Walkimar M. Carneiro
Publication Dates
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Publication in this collection
02 May 2022 -
Date of issue
2022
History
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Received
03 Sept 2021 -
Accepted
10 Dec 2021