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Discovery of Potent and Selective Inhibitors of Ataxia Telangiectasia Mutated and Rad3 Related (ATR) Protein Kinase as Potential Anticancer Agents ABSTRACT: DNA-damaging agents are among the most frequently used anticancer drugs. However, they provide only modest benefit in mostcancers. Thismay be attributedtoa genomemaintenance network, the DNA damage response (DDR), that recognizes and repairs damaged DNA. ATR is a major regulator of the DDR and an attractive anticancer target. Herein, we describe the discovery of a series of aminopyrazines with potent and selective ATR inhibition. Compound 45 inhibits ATR with a Kiof 6 nM, shows >600-fold selectivity over related kinases ATM or DNA-PK, and blocks ATR signaling in cells with an IC50of 0.42 ¦ÌM. Using this compound, we show that ATR inhibition markedly enhances death induced by DNA-damaging agents in certain cancers but not normal cells. This differential response between cancer and normal cells highlightsthegreatpotentialforATRinhibitionasanovelmechanismto dramatically increase the efficacy of many established drugs and ionizing radiation. ¡¯INTRODUCTION DNA-damaging agents such as cisplatin, irinotecan, gemcitabine, and ionizing radiation (IR) represent the cornerstone for the treatment of solid tumors. While they can be highly effective in the treatment of certain cancers, for example, testicular cancer,1for the majority of solid tumors, they provide onlymodest benefit. The fact that, intumor cells, proficient processes exist to repair the damaged DNA2-5provides one explanation for the poor response. Important among these processes is the DNAdamageresponse(DDR).6Twophosphoinositol3-kinase-like kinase (PIKK) family members, ATM (ataxia telangiectasia mutated) and ATR (ATM and Rad-3 related), act together as apicalregulatorsofthissignalingpathway.7,8Betweenthem,they actonacomplexnetworkinvolvinghundredsofsubstrates,many of which are shared, to regulate a wide range of critical functions such as cell cycle checkpoint activation and DNA damage repair.Although ATM and ATR are recruited to different DNA strand break structures, it is now known that these structures can be readily interconverted in the cell.8Loss of ATM function is very common in tumors, either through lossof ATM itself or through defects in upstream and downstream signaling.9-12It is believed that such a loss enables the proliferation of incipient cancer cells that carry DNA lesions.13While this may confer a growth advantage on the tumor cells, it is likely to place more reliance on the ATR pathway, for survival following DNA damage. In support of this, some studies have shown that disruption of p53 function, a major substrate for ATM, enhances cell sensitivity to ATR disruption.14,15The exploitation of a potentially synthetic lethal interaction between the ATR and the ATM-p53 pathway provides an attractive opportunity to deliver anticancer drugs that increase the efficacy of established DNA-damaging agents. The benefits of exploiting such synthetic lethal interactions have recently been demonstrated with inhibitors of poly-ADP-ribose polymerase (PARP), an enzyme also involved in DNA repair.16 Cancer cells defective in the breast cancer susceptibility proteins BRCA1/2, which participate in a complementary DNA repair pathway,areacutelysensitivetoinhibitorsofPARP.A number of PARP inhibitors are in clinical trials, and initial results are highly encouraging.17,18 AnumberofpotentandselectiveinhibitorsofthePIKKfamily members ATM (e.g. 1, KU-5593319), DNA-PK(e.g. 2, NU 702620),andtheATRsubstrateChk1(e.g.3,AZD-776221)have been disclosed. In contrast, reported inhibitors of ATR such as 4 (caffeine22) and 5 (schisandrin B23) (Figure 1) are weak and nonselective (Table 1). However, there is a growing interest in ATR as a target for anticancer drugs,24and a number of patent applications have recently been filed that claim ATR inhibitors (from AstraZenecaand Vertex), although limited biochemical or cellular data are disclosed in these documents.25-27The work described here rectifies the shortage of good, well-characterized chemical tools that has hampered characterization of ATR as an oncology target.24Specifically, these compounds will be valuable in helping to define the potential for synthetic lethal interactions with the ATM signaling pathway and the impact of ATR inhibition on normal cells. We report a novel series of 3-amino-6-arylpyrazines that has provided potent and highly selective inhibitors of ATR. Starting from the hit compound 6 (Figure 1), identified from a high-throughput screen (HTS), a combination of structure-activity relationship (SAR) studies and homology modeling led to an understanding of the interactions between the inhibitors and the ATR active site that are critical for both potency and selectivity. Compound 45 represents one of the most potent (Kiappof 6 nM for ATR) and selective members of the series and is used here to illustratetheattractivecellularphenotypethatcanbeachievedby inhibiting ATR¡£ ¡¯CHEMISTRY Compound 8, with its 6-bromo functional group, provided a late stage intermediate that enabled rapid and versatile modifica-tionofthephenylringatthe6-positionofthepyrazinenucleusin compound 6. The synthetic route for the preparation of ATR inhibitors 6-47 is depicted in Scheme 1. Commercial methyl aminopyrazin-2-carboxylate 53wasbrominatedatthe6-position of the pyrazine nucleus with NBS,28to provide intermediate 54 in high yield. Base hydrolysis of the methyl ester 54 afforded the carboxylic acid 56, which condensed with aniline to give the desired advanced intermediate amide 8.29Diversity of the group at the 6-position of the pyrazine ring was introduced when 8 was subjected to Suzuki cross-coupling30reactions with a range of boronic acids/boronates to generate inhibitors 6 and 10-47. The fully saturated cyclohexane 9 was produced from the cyclohexene derivative 10 by reduction under hydrogenation conditions.31 For alternative amides at the 2-position of the pyrazine core (e.g., cyclohexylamide 48), the chemical sequence described in Scheme 2 was used. A Suzuki cross-coupling reaction be-tween 4-(methylsulfonyl)phenylboronic acid and 54 provided advancedintermediate 57, which in turn was converted toamide 48. An array of bicyclic heteroaryl moieties that could act as phenylamide isosteres was also prepared (benzimidazole, benzoxazole, benzothiazole, and indoles 49-52; Schemes 3 and 4). Early installation of the bicyclic heteroaryl feature preserved the versatility of the 6-position. Thus, treatment of intermediate carboxylic acid 56 with phenylenediamine in DME, in the presence of diethoxy-phosphorylformonitrile, afforded the late stage intermediate benzimidazole 58 in moderate yield.32Subsequent coupling with 4-(methylsulfonyl) phenylboronic acid provided isostere 49. A similar functionalization sequence was adopted for the synthesis of benzoxazole and benzothiazole isosteres 50 and 51. Conversion of the nitrile 59 into late stage intermediatesbenzoxazole60orbenzothiazole61proceededwith 2-aminophenol or 2-aminothiophenol in moderate yield.33-35 Suzuki cross-coupling with 4-(methylsulfonyl)boronic acid gave the required isosteres 50 and 51. Although the chemical sequences described in Scheme 3 for the preparation of isosteres 49-51 have provided the desired compounds,thereversesyntheses(i.e.,functionalizationthrough Suzuki cross-coupling prior to the construction of the isosteric motifs, in a sequence similar to that described in Scheme 2) have also been successfully utilized and are preferred for exploration of the substitution of the bicyclic isosteres. A sequential derivatization (Scheme 4) of building block 6236 ¡¯RESULTS AND DISCUSSION Compound 6 was identified from a HTS against full-length recombinant ATR. It inhibits ATR with an IC50of 0.62 ¦ÌM and has good selectivity against ATM and DNAPK (IC50> 8 ¦ÌM). However, inhibition of ATR activity in cell-based assays, as measured by a reduction in hydroxyurea-induced phosphorylation of H2AX, a direct substrate of ATR37was not observed (IC50> 2.5 ¦ÌM). Because high-resolution crystallographic data for any member of the PIKK family were unavailable, the related kinase phosphatidylinositol 3-kinase ¦Ã (PI3K-¦Ã) was used as a structural template38,39for an ATR homology model to aid inhibitor design. To provide guidance on selectivity, homology models of ATM and DNAPK were also constructed from the same root. The low-resolution structure of DNAPK reported by Sibanda et al.40was used to provide guidance on the overall fold. Although sequence identity between PI3K-¦Ã and PIKK family membersisrelativelylow(e.g.,22%betweenPI3K-¦ÃandATRin the kinase domain), a number of important residues are conserved within the active site. These include a salt bridge provided the indole variant 52. This sequence enabled the introduction of the indole motif at the most reactive position (vicinal to amino group), using N-Boc-indol-2-ylboronic ester in a palladium catalyzed cross-coupling reaction; a second Suzuki coupling with 4-(methylsulfonyl)phenylboronic acid, followed by Boc deprotection with TFA, afforded the desired indole containing derivative 52. The homology model with the HTS hit 6 bound to ATR is shown in Figure 2. The positioning of compound 6 in the model active site was guided by a cocomplex structure of a related aminopyrazine in PI3K-¦Ã (not shown). This enabled us to locate critical H-bond interactions between the hinge motif of the protein active site and the core scaffold. Minimization of the co-complex of 6 with ATR predicts H-bond interactions of the ringsp2-nitrogenwiththebackbone-NH ofVal2378(3.01Å and the exocyclic amine of the amino-pyrazine with the carbonyl of Glu2380 (3.08 Å . The biaryl motif of the inhibitor is also anticipated to contribute to the binding through ¦Ð-stacking with the indole ring of Trp2379.The hydroxyl of the gatekeeper residue (Tyr2365 in ATR) is located near the amide carbonyl at the 2-position of the pyrazine and appears to be positioned to form a H-bond. A salt bridge between Asp2494 and Lys2327, conserved across the PIKK family,is predicted to be disrupted by the anilinering of inhibitor 6, forcing the side chain of Asp2494 down, thus allowing the aromatic ring to fit under the P loop (Figure 2). This P loop, unusually rich in lipophilic residues when compared with most kinases, appears to fold over the aniline ring at the 2-position (Figure 3) and may also contribute to lipophilic binding. In addition to the interactions described above, the potential interactions between compound 6 and ATM or DNAPK were also examined (described in detail below). This work suggested exploitable differences that should allow selectivity against these related kinases to be engineered. With the objective of increasing potency while preserving selectivity, a first round of exploration was conducted through modification or substitution of the 6-aryl ring (Table 2). As predicted by the homology model, the ¦Ð-stacking interaction between the 6-aryl in 6 and the Trp2379 makes an important contribution to the potency of the inhibitor. Removal of the phenylring(7and8)resultedina10-foldlossofbindingaffinity, and its complete or partial reduction (cyclohexyl 9 and cyclohex-enyl 10, respectively) led to about 5-fold decrease in potency. These results prompted us to retain an aromatic group at the 6-position of the aminopyrazine core. Exchanging the 6-phenyl group with a pyridine (11) produced 3-fold potency increase. However, inhibition of some Cyp isoforms was also increased (e.g., IC50 cyp3A42 ¦ÌM for 11 vs IC50 cyp3A4>100 ¦ÌM for 6), discouraging us from using this motif further. Compounds 13-19 provided information on the effects of substitution at the ortho-position. Introduction of a nitrile group (13) led to a 25-fold improvement in potency against ATR but also increased affinity for ATM and DNAPK. The enhanced potency for ATR and DNAPK can be explained by the possible formation of a new H-bond with a serine residue (Ser2305 in ATRorSer3731inDNAPK).AlthoughATMhasnosuch serine residue, a slight change in conformation of the P loop could, in this case, allow a backbone N-H to participate in an H-bond to the nitrile group. No other substituent gave such affinity en-hancement, although sulfoxide 14 was able to provide a 5-fold improvement. Small group substitutions in the meta-position (compounds20-25) did not lead to significantly increased ATR potency, although selectivity was compromised by polar groups. On the other hand, substitution in the para-position (compounds 26-31) led to the most potent and selective inhibitors in this array. The sulfone 27, and to a lesser extent nitrile 26, provided significant improvements in potency against ATR (25-fold for 27), while retaining >100-fold selectivity against ATM and DNAPK (e.g., for 27, IC50 ATR= 26 nM, IC50 ATM= >8 ¦ÌM, and IC50DNAPK= 4.4 ¦ÌM). These results can be attributed to the formation of a putative H-bond with the backbone N-H of the ATR-specific glycine residue (Gly2385), located C-terminal to thehingeregion(Figure3,bluevanderWaalsspheres).InATM, this residue is a proline (Figure 3, red mesh), and no such H-bond can be formed. The equivalent residue in DNAPK is a threonine (Figure 3, yellow mesh), and any chance of a similar H-bond is likely to be blocked by the presence of the threonine side chain. Anilides 6-31 have the potential to form anilines In Vivo and so present a potential toxicological liability. There-fore, the effects of removing the anilide by reduction of the aromatic ring or by providing isosteres of the amide functional group were examined (compounds 48-52). Saturation of the aniline ring (48) resulted in a >100-fold loss in potency. On the other hand, the use of heterocyclic motifs as anilide ¡°isosteres¡± gave much better results. Benzimidazole 49,41and by shape analogy benzoxazole 50, benzothiazole 51, and indole 52 show similar inhibitory activity to anilide 27 (Table 3) despite the fact only benzimidazole 49 has the potential to form the same H-bonds as the original amide. Neither replacement of the H-bond donor N-H in 27 with an oxygen acceptor in benzox-azole 50 nor removal of the H-bond acceptor carbonyl in indole 52 compromised potency. These results indicate that the proposed H-bond between the anilide carbonyl and the Tyr2365 is not a major contributor to binding, and we concluded that the amide group functions primarily as a linker to position the aromatic group under the P loop. Although these bicyclic heteroaryls led to good ATR inhibition, selectivity against ATM was compromised in all cases. Compounds 49-52 cannot mimic the exact shape of the anilide in27and,asaconsequence,have to bind deeperin the activesite and become more likely to clash with the conserved tyrosine in thebackoftheadenosine-50-triphosphate(ATP)bindingpocket. Inspection of the homology modelsledustohy pothesize that the loss in selectivity may be associated with compounds 49-52 attaining a slightly different position in the active site relative to 27 (clockwise rotation illustrated in Figure 4). In this binding mode, compounds 49-52 avoid a clash with the tyrosine gate-keeper residue and also appear to alleviate a potential clash between the para-sulfone and Pro2775 in ATM that is observed for 27 (the equivalent residue is Gly2385 in ATR and Thr3809 in DNAPK). In addition, the ATM homology model predicts that an arginine residue (Arg2691) may also contribute to the enhanced potency through a H-bond with the sulfone in compounds 49-52. Because the anilide27remainedthemostpotentandselective compound, it was chosen as the platform from which to further understand the interaction of the sulfone group. SARs between compoundsin Table2 and the ATR homology model(Figure3)suggested that para-H-bond acceptors were important and that an optimal interaction with the protein could be formed when the H-bond acceptor is positioned below the plane of the 6-phenyl ring. A set of para-amides (32-38) (Table 4) that have a range of in vacuo dihedral angles between the carbonyl and the plane of the6-phenylwereusedtoassessthishypothesis.The piperidine amide 37, with a natural dihedral angle of ¡«60?, was the most potentin this series.This is consistent with the ATR homology model, which suggests that the dihedral angle in the co-complex is¡«65? for an optimal H-bond with Gly2385. For other amide analogues, the decreased potency can be explained by rotational energy barriers to the optimal ¡«65? dihedral angle: for example, the primary amide 32, which is conjugated with the phenyl ring, has to overcome a 6 kcal/mol barrier, which leads to a 4-fold reduction in potency(IC50of110nMascomparedtoanIC50of26nMfor37).In the case of sulfone 27, the improved potency is attributed to a low rotation alenergy barrier (<1 kcal/mol) to positiona sulfone oxygen at the optimal angle and distance for a H-bond with the -NH- of Gly2385. While the use of amides offers advantages in terms of the provision of chemical diversity, the requirement for favorable dihedral angles for good H-bond interactions limits the possibilities.Wethereforecontinuedtoexplore theutility ofsulfone 27. Substituting the methyl-sulfone itself with both lipophilic (40-44) and polar groups (45-47) led to compounds with potency improvements of up to 4-fold, while retaining selectivity versus DNAPK and ATM. In addition, polar substitution (45-47) provided an enhancementin cell potency that may have been due toim proved physical properties.Compound45,forexample,has an enzyme potency of 12 nM and inhibits ATR-mediated phosphorylation of H2AX in cells with an IC50of 0.42 ¦ÌM; in contrast,compound42,with as imilarenzyme potency of14nM, inhibits ATR in cells with an IC50of 2 ¦ÌM. Besides its attractive combination of potency, selectivity, and cellular activity, compound 45 has good ¡°druglike¡± properties that include aqueous solubility, lipophilicity (cLogP 3.0), and a profilein Caco 2 study that suggests good passive diffusionacross membranes with minimal efflux liability (A-B = 17.10-6cm/s, and B-A = 23.10-6cm/s). It was therefore selected for further biological evaluation. |
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