Biochemical and genetic characterization of Trypanosoma cruzi N-myristoyltransferase

The protozoan parasite Trypanosoma cruzi is the causative agent of Chagas’ disease, which is endemic in Latin American countries. There are an estimated 8–10 million infected individuals worldwide, with an annual death toll of ~10000 per annum [1–3]. Migration from endemic countries has also led to the worldwide distribution of Chagas’ disease [1]. The acute stage of this disease often has very mild and non-specific symptoms that occur 4–8 weeks post-infection, resulting in only 1–2% of all infected individuals being diagnosed in this stage [4]. Approximately 30% of infected individuals go on to develop the chronic disease, most often characterized by heart abnormalities, and to a lesser extent, mega-organ disease affecting the digestive tract [2]. To date, benznidazole and nifurtimox are the only approved drugs available for the treatment of Chagas’ disease. Prolonged treatment with these nitroimidazoles during the acute stage cures up to 70% of individuals; however, the efficacy of these drugs significantly decreases in the chronic stage [5]. Both therapies have been associated with severe toxic side effects that can lead to the interruption or discontinuation of treatment in as many as 30% of cases [6,7]. At present, there are two drugs being clinically assessed for the treatment of asymptomatic chronic Chagas’ disease, posaconazole (Merck; ClinicalTrials.gov Identifiers NCT01377480 and NCT01162967) and E1224 (Eisai; ClinicalTrials.gov Identifier NCT01489228). However, bearing in mind the high levels of drug candidate attrition in the clinical trials process, there remains an urgent need to identify new drug targets and better drugs to treat this disease.

The enzyme NMT (N-myristoyltransferase; EC 2.3.1.97) catalyses the co- and post-translational addition of myristic acid (C_14:0) on to the N-terminal glycine residue of specific proteins [8,9]. This irreversible modification plays an important role in the correct cellular localization and biological function of the modified proteins. This enzyme has been extensively studied in a number of organisms including the trypanosomatid parasites Trypanosoma brucei and Leishmania major [10–15]. In these parasitic organisms, NMT has been demonstrated to be essential for viability either by classical gene knockout with episomal rescue or by RNAi, indicating that the N-myristoylation of certain proteins is a key biological process. Moreover, in the African trypanosome, NMT is now pharmacologically validated with compounds such as DDD85646 that specifically inhibit the enzyme and are curative in the mouse model of stage one African sleeping sickness [13]. Amino acid sequence comparisons indicate that the T. cruzi enzyme is approximately 60% identical to those of Leishmania spp. and various African trypanosomes. Although metabolic labelling studies in the parasite have confirmed that multiple proteins are N-myristoylated [16], T. cruzi NMT has not been characterized biochemically or assessed for essentiality or druggability. With this in mind, in our present study, we utilize both genetic and chemical approaches to assess the essentiality of the enzyme in T. cruzi.

T. cruzi epimastigotes from the Silvio strain (MHOM/BR/78/Silvio; clone X10/7) were grown at 28°C in RTH/FBS [RPMI 1640 medium supplemented with trypticase, haemin, Hepes and 10% heat-inactivated FBS (PAA Laboratories; now GE Healthcare)] [17]. {The Silvio strain, originally isolated from a 19-year-old male patient (Silvio B.S.) living in Pará, Brazil [18], is also incorrectly referred to as the Sylvio strain in the literature.} Clone Silvio X10/7A, used in subsequent experiments, was generated by limiting dilution. Stationary-phase epimastigote cultures containing metacyclic trypomastigotes were used to infect Vero cells. Trypomastigotes were recovered from Vero cell monolayers infected with Silvio X10/7A at 5–6 days post-infection [19]. For infectivity studies, Vero cells were infected with transgenic T. cruzi trypomastigotes using a multiplicity of infection of 5:1. Free-swimming trypomastigotes were washed off after 12 h and the infected cells were re-plated into 384-well plates (Corning® CellBIND®). After 72 h the cells were fixed in PBS containing 1% formaldehyde before staining with 5 μg·ml⁻¹ Hoechst 33342 in PBS containing 0.01% Triton X-100. Plates were imaged using a high content microscope (Operetta, PerkinElmer), and the images captured were processed using an automated image analysis software (Columbus, PerkinElmer) to determine the percentage of infected cells and the mean number of parasites per infected Vero cell. Vero cells (Cercopithecus aethiops kidney cells; ATCC® CCL-81™) were cultured in DMEM (Dulbecco's modified Eagle's medium; Lonza) supplemented with 10% heat-inactivated FBS at 37°C with 5% CO₂ [20].

The NMT ORF was identified from the Silvio X10/1 genome by BLAST, using the CL-Brenner sequence (TriTrypDB accession number TcCLB.511283.90) as a search template [21]. Primers designed against this sequence, TcNMT-pET15b-TEV_s and TcNMT-pET15b-TEV_as (Table 1), were used to amplify the NMT ORF from Silvio X10/7A genomic DNA using Pfu DNA polymerase (Promega). The resulting PCR product was cloned into Zero Blunt® TOPO® and sequenced. TcNMT was excised from Zero Blunt® TOPO®-TcNMT by digestion with the appropriate restriction enzymes and ligated directly into linearized pET15b-TEV.

The resulting pET15b-TcNMT expression construct was transformed into Rosetta™ (DE3)pLysS competent cells and recombinant expression was carried out in auto-induction media [22] at 20°C for 48 h with agitation at 200 rev./min. The cells were harvested (20 min, 4°C and 5020 g), resuspended in lysis buffer {25 mM Tris, 500 mM NaCl, 25 mM imidazole, 1 mM TCEP [tris-(2-carboxyethyl)phosphine]/HCl, pH 8.5, DNAse I (Sigma) and cOmplete EDTA-free protease inhibitors (Roche)} and lysed at 30000 psi (1 psi=6.9 kPa) using a Constant Systems cell disruptor. Soluble protein was recovered by centrifugation (30 min, 4°C and 40000 g) and filtered (0.2 μm Sartorius) before loading on to a pre-equilibrated HisTrap HP 5 ml column (GE Healthcare). The protein was eluted using a gradient of 25–500 mM imidazole. Fractions containing NMT were identified by SDS/PAGE (4–12% gel), pooled and dialysed into buffer A (25 mM Tris, 25 mM NaCl and 1 mM TCEP, pH 8.5). The dialysed protein was loaded on to a 5 ml HiTrap Q HP column (GE Healthcare) and eluted with a gradient of NaCl (25–500 mM) in buffer A. Pooled fractions containing NMT were further purified by size exclusion on a Superdex 75 26/60 column equilibrated in buffer B (25 mM Tris/HCl, 150 mM NaCl and 1 mM TCEP, pH 8.5). The purity and mass of the recovered recombinant NMT was assessed by SDS/PAGE and MALDI–TOF carried out by the FingerPrints Proteomics service at the University of Dundee. The oligomeric structure was characterized by size-exclusion chromatography using a Superdex 200 300/10 GL column (GE Healthcare) equilibrated with buffer B.

The primers used to generate constructs for genetic manipulation were designed using the TcNMT X10/1 and flanking sequences in TriTrypDB as a template (Table 1). The accuracy of all assembled constructs was verified by sequencing. NMT gene replacement cassettes were generated by amplifying a region of DNA encompassing 449 bp of the 5′-UTR, the ORF and 449 bp of the 3′-UTR of TcNMT from genomic DNA with primers 5′-UTR-NotI_s and 3′-UTR-NotI_as, using Pfu DNA polymerase. This sequence was then used as a template for the amplification of the individual regions used in the assembly of replacement cassettes containing the selectable drug resistance genes PAC (puromycin N-acetyltransferase) and HYG (hygromycin phosphotransferase), exactly as described previously [23]. To generate a construct for use as both a recovery and NMT-overexpressing vector in knockout and WT (wild-type) parasites, NMT was amplified from genomic DNA using the primers TcNMT-pTREX_s and TcNMT-pTREX_as and cloned into the constitutive expression vector pTREX [24] using the EcoRI and XhoI cloning sites.

Transfections of T. cruzi epimastigotes were carried out using an Amaxa Nucleofector™ electroporator, as described previously [25]. A total of 5–10 μg of DNA was transfected into early- to mid-log epimastigotes (1×10⁷), suspended in Human T-cell Nucleofector™ solution (100 μl; Lonza), using the program U-33. At 24 h following transfection, 10 μg·ml⁻¹ puromycin (Sigma), 250 μg·ml⁻¹ G418 (Gibco®) or 500 μg·ml⁻¹ hygromycin (Roche) was added to cultures of transgenic parasites. Following drug selection, the parasites were cloned on to semi-solid agar plates [1% Agar Noble (Difco™) and RTH/FBS] containing 20 μg·ml⁻¹ puromycin, 500 μg·ml⁻¹ G418 or 750 μg·ml⁻¹ hygromycin, as appropriate. After 2–3 weeks at 28°C, colonies were picked and grown in fresh RTH/FBS plus the appropriate drug.

To examine the effects of test compounds on growth, triplicate epimastigote cultures were seeded with 1×10⁵ cells·ml⁻¹. Parasites were grown in 10-ml cultures in the presence of drug for 120 h. Cells were fixed in PBS (137 mM NaCl, 2.7 mM KCl, 10 mM Na₂HPO₄ and 1.8 mM KH₂PO₄) containing 1% formaldehyde and manually counted using a Neubauer haemocytometer. Data were processed using GraFit (version 5.0.4; Erithacus software) and fitted to a 2-parameter equation (eqn 1) to obtain the effective EC₅₀:

In this equation, [I] represents inhibitor concentration and m is the slope factor. The data are presented as the means±S.D.

Epimastigotes and trypomastigotes were harvested by centrifugation (15 min, 20°C, 1620 and 2000 g respectively) and washed twice in PBS. Amastigotes were purified from a mixed population of trypomastigotes and amastigotes released from an infected Vero cell monolayer [25a]. Briefly, parasites were collected by centrifugation (10 min, 20°C, 4000 g) and the pellet incubated for 3 h at 37°C overlaid with DMEM/FBS. Motile trypomastigotes released into the supernatant were removed and the pellet was resuspended in DMEM/FBS. This process was repeated twice to produce a pure population of amastigotes (~95%). Cells (5×10⁷) were resuspended in Laemmli buffer (Bio-Rad Laboratories) and heated at 95°C for 10 min. The equivalent of 1×10⁷ cells were separated by SDS/PAGE on a 4–12% NuPAGE® gel. Cellular proteins were transferred on to Protran™ nitrocellulose membrane (Whatman) by electrotransfer. Membranes were probed with primary rat antisera generated against either TcNMT or TcTryR (T. cruzi trypanothione reductase) [26] (both 1:500 dilution) before probing with an HRP (horseradish peroxidase)-conjugated rabbit anti-rat polyclonal secondary serum (1:10000; Dako). TcNMT-specific polyclonal antiserum was raised against the recombinant His₆–TcNMT (CL-Brenner) in adult male Wistar rats, as described previously [27]. Immunization protocols were approved by the University Welfare and Ethical Use of Animals Committee and were performed under the Animals (Scientific Procedures) Act 1986 in accordance with the European Communites Council Directive (86/609/EEC). The blot was developed using ECL detection reagent kit (GE Healthcare) and exposed to Amersham Hyperfilm™ ECL (GE Healthcare). The developed film was scanned and the protein bands were quantified by densitometry with ImageJ (NIH).

The ORFs of TcNMT, PAC and HYG were amplified by PCR (using the primers described previously for the cloning of TcNMT and knockout constructs) using the PCR DIG Probe Synthesis Kit (Roche). The resulting DIG (digoxigenin)-labelled products were used as probes. Samples of genomic DNA (5 μg) from WT and transgenic cell lines were digested with appropriate restriction endonucleases, the digestion products were then separated on a 0.8% agarose gel and transferred to a positively charged nylon membrane (Roche). The membrane was hybridized overnight in DIG Easy Hyb solution (Roche) at 42°C with the DIG-labelled probes (2 μl of PCR product). Following hybridization, membranes were washed twice in low stringency conditions (25°C, 5 min, 2× SSC buffer with 0.1% SDS) and twice in high stringency conditions (68°C, 15 min, 0.5× SSC with 0.1% SDS), where 1× SSC comprises 150 mM NaCl and 50 mM sodium acetate, pH 7.0. The bound probe was detected using the DIG immunological detection kit (Roche) as per the manufacturer's instructions.

Mid-log epimastigotes were harvested by centrifugation and resuspended at 1×10⁷ cells·ml⁻¹ in fresh RTH/FBS. Various concentrations of DDD85646 (0, 12.5, 25, 50 and 100 μM) were added to epimastigote cultures 30 min before the addition of 50 μM Click-IT® myristic acid (Invitrogen) and cultures were then incubated for a further 5 h. Following incubation, cells were washed (three times in PBS), the resulting cell pellet was resuspended in lysis buffer (150 μl, 50 mM Tris/HCl, pH 7.4, 150 mM NaCl, 1% sodium deoxycholate, 0.1% SDS, 1% Triton X-100 and a cOmplete mini EDTA-free protease inhibitor cocktail tablet) and incubated on ice for 1 h. Lysates were clarified by centrifugation (10 min, 4°C and 14000 g) and quantified with the Bio-Rad Laboratories protein assay using BSA as a standard. IRDye® 800CW alkyne (LI-COR Biosciences) was ligated to Click-IT® myristic acid using the Click-IT® protein reaction buffer set (Invitrogen) and methanol/chloroform precipitated, according to the manufacturer's instructions. Treated lysates (12 μg) were separated by SDS/PAGE, fixed in 10% acetic acid and 40% methanol. The fixed gel was washed in 0.2 M NaOH for 1 h before washing briefly in H₂O and imaged by in-gel fluorescence using an Odyssey Sa infrared imaging system (LI-COR Biosciences). Quantification of band intensities was carried out using Image Studio Lite (version 3.1; LI-COR Biosciences). Cells not labelled with azidomyristate were used for a background fluorescence measurement to correct the values obtained for N-myristoylated proteins. Intensities are expressed as a percentage of the no drug control.

Parasites were incubated in a methionine-free RTH/FBS medium that was supplemented with 10 μCi·ml⁻¹L-[³⁵S]methionine (PerkinElmer). After incubating with the same concentrations of inhibitor and azidomyristate as mentioned above, the parasites were washed three times in PBS and boiled in Laemmli buffer for 10 min. A total of 5×10⁶ parasites per lane were separated by SDS/PAGE and stained with Coomassie Blue. The gel was incubated in EN³HANCE™ solution (PerkinElmer) as per the manufacturer's protocol and then gel dried. The gel was exposed to BioMax MS film (Kodak) using a BioMax TranScreen LE (Kodak) for 8 h.

Kinetic analysis [K_m(app) and k_cat values] of TcNMT activity was performed at 30°C using a previously published coupled-enzyme spectrophotometric assay monitoring the increase in absorbance at 340 nm [28]. Each 0.25 ml assay contained 50 mM Tris, 0.5 mM EDTA, 0.5 mM EGTA, 1.25 mM DTT, 0.1% Triton X-100, 40 mM pyruvic acid, 0.125 units·ml⁻¹ pyruvate dehydrogenase, 0.2 mM thiamine pyrophosphate, 40 μM myristoyl-CoA and 2.5 mM NAD⁺, adjusted to pH 7.4 with HCl. K_m(app) values were determined for a biotinylated peptide substrate derived from amino acids 2–15 of T. brucei [13] and T. cruzi CAP5.5 (cytoskeleton-associated protein 5.5) (TcCAP5.5 GCCASKEKQPRPGAK[biotin], TbCAP5.5 GCGGSKVKPQPPQAK[biotin], custom synthesized by Pepceuticals) and for myristoyl-CoA (Sigma). The IC₅₀ value of DDD85646 for recombinant NMT was determined using this coupled-enzyme assay. The K_i(app) was determined by fitting the resulting data to the Morrison equation (eqn 2), allowing the true K_i value to be determined using eqn (3). In a comparative study, the kinetic parameters of TcNMT (5 nM per assay) were also determined using a scintillation proximity method, as described previously [13,29]. The myristoyl-CoA K_m(app) was determined using CAP5.5 at 600 μM or 50 μM in the coupled-enzyme and scintillation proximity assays respectively. The CAP5.5 K_m(app) values were determined using either 40 μM or 125 nM in the coupled-enzyme or scintillation proximity assays.

Restriction enzyme digestion and Southern blotting analysis of T. cruzi X10/7A DNA indicated that NMT is a single copy gene per haploid genome (results not shown). DNA sequencing of PCR products gave identical amino acid sequences apart from a serine or proline residue at position 150, probably due to allelic variation. The essentiality of NMT in T. cruzi epimastigotes was then assessed using a classical two-step gene replacement strategy where NMT is sequentially replaced by homologous recombination with drug resistance genes and drug selection (Figure 1). The first gene copy of NMT could be successfully replaced with either hygromycin (HYG) or puromycin (PAC) resistance genes resulting in two independent SKO (single knockout) cell lines (Figures 1B, lane 3, and 1C, lane 2). Loss of a single allelic copy of NMT did not markedly alter the growth rate of SKO parasites. Several attempts were made to directly replace the remaining allelic copy of NMT in the SKO-PAC clone with HYG. In two out of three attempts, epimastigotes that were resistant to both hygromycin and puromycin were recovered following transfection. On the remaining occasion, no live parasites were recovered. Southern blot analysis of genomic DNA isolated from clones of putative DKO parasites revealed that in all cases an endogenous copy of NMT was retained (Figure 1A, lanes 6–8) along with a copy of PAC at the NMT locus (Figure 1C, lanes 6–8). Moreover, probing these blots with the HYG probe showed that this drug resistance gene had not integrated into the T. cruzi genome (Figure 1B, lanes 6 and 7). PCR of these failed DKO attempts suggest that the HYG resistance gene is present as a multicopy episome. In another of these clones, HYG was not only present as an episomal copy, but also integrated at the NMT locus with retention of a copy of NMT (Figures 1A and 1B, lane 8). We have not investigated whether the latter is due to amplification of all or part of the NMT chromosome resulting in aneuploidy, as has been observed in Leishmania spp. [30].

Owing to the failure to directly produce NMT DKO epimastigotes, a ‘rescued’ DKO cell line was generated. First, a constitutively expressed ectopic copy of NMT was targeted to the ribosomal locus of SKO-PAC parasites (Figure 1A, lane 4). Only then was it possible to replace the last allelic copy of NMT in cells, due to the presence of an episomal copy of the gene (Figure 1A, lane 5). These findings provide strong evidence that NMT is essential for growth and survival of T. cruzi epimastigotes in vitro.

The ability to infect Vero cells was quantified to determine whether the presence of an ectopic copy or the deletion of a single allele of TcNMT affected the virulence of these parasites. Representative images of uninfected and infected Vero cells are shown (Figures 2A and 2B respectively). The deletion of a single allele in both cases led to a very minor increase in the percentage of infected cells compared with the WT, whereas the presence of an ectopic copy [NMT^OE (NMT overexpressor)] had no effect (Figure 2C). Absolute numbers of parasites per infected Vero cell were also monitored (Figure 2D). Vero cells infected with SKO-PAC and NMT^OE parasites were found to have marginally reduced parasite loads compared with WT. Despite the statistical differences between some, but not all, cell lines, these changes are not relevant biologically as all lines showed similar infection profiles.

For technical reasons, it is not possible to genetically validate NMT in the clinically relevant non-dividing trypomastigote stage and intracellular amastigote stage by gene knockout. However, we were able to confirm that NMT is expressed in all stages of the parasite's life cycle by probing an immunoblot of crude lysates with a TcNMT-specific antiserum (Figure 3). Single bands of approximately 53 kDa, close to the predicted molecular mass of NMT (51.4 kDa), were detected in all three lysates indicating that NMT is expressed at all stages of the parasite life cycle. The cellular concentration of NMT in each of these parasite stages was determined by densitometry and previously published cell volumes [31]. Using this information, NMT concentrations in each stage of the parasite were estimated to be within a 2-fold range; 1.2, 2.1 and 2.5 μM in the epimastigote, trypomastigote and amastigote respectively.

The pyrazole sulphonamide DDD85646 has been shown to specifically inhibit TbNMT (T. brucei NMT) in vitro and cure the stage 1 murine model of human African trypanosomiasis [13]. To establish whether this inhibitor can also chemically target the T. cruzi enzyme, the comparative sensitivity of WT epimastigotes and transgenic cell lines with different levels of NMT to DDD85646 was determined. In the first instance, altered levels of NMT expression in transgenic parasites were confirmed by Western blot, using TcTryR as a loading control (Figure 4A). Cellular levels of NMT were analysed in WT parasites, the SKO cell line generated previously (SKO-PAC) and in an NMT overexpressing cell line (NMT^OE) which was generated by transfecting pTREX-NMT into WT epimastigotes. Densitometry revealed that SKO-PAC parasites contained NMT protein levels ~2.5-fold lower than the WT, with levels in the NMT^OE epimastigotes ~7.6-fold higher. Varying the cellular levels of NMT within these parasites was found to markedly alter their sensitivity to DDD85646 with WT, SKO-PAC and NMT^OE cell lines having EC₅₀ values of 6.3, 2.9 and 78.6 μM respectively (Figure 4B). The clear relationship observed between the levels of NMT expression and the sensitivity of the parasites for this compound confirms that TcNMT is specifically targeted by DDD85646 and thus may be druggable in T. cruzi. There was no selectivity between the amastigote and Vero cells with DDD85646 [EC₅₀ values of ≥8.7±0.8 μM and 6.7±1 μM (n=4) respectively]. The actual EC₅₀ value for the amastigote may be higher as the parasite cannot replicate in the absence of the host cell.

To confirm DDD85646-mediated inhibition of N-myristoylation within T. cruzi epimastigotes, parasites were pre-treated with a range of inhibitor concentrations for 30 min. N-azidomyristoylated proteins were detected by in-gel fluorescence. It is evident that there is some non-specific interaction of the dye with an unlabelled 49 kDa protein (Figure 4A, upper panel, lane 1). Labelling parasites with this myristic acid analogue led to the NMT-mediated incorporation of azidomyristate into multiple T. cruzi proteins (Figure 4A, upper panel, lane 2). In parasites treated with DDD85646, we observe that six bands were depleted in a dose-dependent manner which was confirmed by quantifying the fluorescent intensities of the bands (Figures 5A, upper panel, and 5B). The most prominent effect was observed for a ~20 kDa band, where the N-myristoylation of this protein decreased to 40% of the untreated control, at the lowest inhibitor concentration tested (~2×EC₅₀). The remaining bands are insensitive over 5.5 h exposure to DDD85646 at the range of concentrations tested. Labelling parasites with L-[³⁵S]methionine revealed no inhibition of nascent protein synthesis (Figure 5A, lower panel), indicating that the observed inhibition of N-myristoylation is due to the direct inhibition of cellular NMT. These data further demonstrate the on-target activity of the inhibitor DDD85646 in T. cruzi.

In order to facilitate kinetic studies of TcNMT, the recombinant enzyme was expressed and purified to homogeneity. Escherichia coli Rosetta™ (DE3)pLysS cells transformed with pET15b-TEV-TcNMT produced soluble and active protein. TcNMT was purified following three chromatographic steps to obtain a yield of 2.5 mg·l⁻¹ (Figure 6A). Analysis of the recombinant protein by size-exclusion chromatography revealed that His₆–NMT elutes primarily as a monomer at ~47.4 kDa, close to the predicted molecular mass of 53.7 kDa (Figure 6B). This was confirmed by MS to be 53.7 kDa for the tagged recombinant protein by MALDI–TOF analysis.

Multiple assays already exist for the kinetic characterization of NMTs using HPLC, ELISA, scintillation proximity assay or spectrophotometric methodologies [9,29,32,33]. In the present study, we have compared the scintillation proximity assay with a modified version of a coupled-enzyme spectrophotometric assay [28]. The basic kinetic parameters of TcNMT [K_m(app) and k_cat] were measured in these assays for CAP5.5, a protein known to be N-myristoylated in T. brucei [34] (Table 2). Synthetic peptides based on the amino acids 2–15 of CAP5.5 from both T. brucei and T. cruzi were used as substrates in these assays. In the coupled-enzyme assay, the K_m value determined for TbCAP5.5 was ~21-fold higher than observed for TcCAP5.5, but the catalytic efficiencies (k_cat/K_m) of both substrates were found to be similar. For reasons of cost, it was not possible to determine the K_m values in the presence of saturating concentrations of myristoyl-CoA using the scintillation proximity assay, allowing only a K_m(app) value to be determined for each peptide. Using this assay, the K_m(app) values for the peptide substrates were very similar at 1.6 and 2.2 μM. In the coupled-enzyme assay (in the presence of 600 μM TbCAP5.5), the K_m(app) value of the myristoyl-CoA substrate was 6.2±0.6 μM, which is not statistically different from the value of 5.3±1.0 μM determined in the scintillation proximity assay (in the presence of 50 μM TcCAP5.5) (P =  0.252) Student's t test.

DDD85646 is a potent inhibitor of T. brucei recombinant NMT [K_i(app)=1.44 nM] and inhibits the growth of T. brucei bloodstream parasites in vitro at similar concentrations (EC₅₀=2.1 nM) [13]. In comparison, we noted that DDD85646 was far less potent against T. cruzi epimastigotes (EC₅₀=6.3 μM) (Figure 4B). Since we have demonstrated that DDD85646 specifically inhibits TcNMT in vitro, the drop-off in cellular potency could be in part explained by differences in active site architecture leading to a decreased affinity for the inhibitor. To test this hypothesis, the K_i value of DDD85646 was determined against the T. cruzi recombinant enzyme using both the scintillation proximity assay and coupled assay (Table 2). Under both sets of assay conditions, the K_i of DDD85646 was calculated to be ~12.7–22.8 nM, which is 13–23-fold less potent than against the T. brucei enzyme. In contrast with T. brucei, there is a drop-off in culture potency of two orders of magnitude between target and cell activity.

The paucity of validated drug targets in T. cruzi has severely hampered the search for better and more effective treatments for Chagas’ disease. Previous studies have shown that the enzyme encoded by the NMT gene is essential for the survival of many eukaryotic organisms [10,12,35,36], including the related trypanosomatids L. major and T. brucei [12]. Metabolic labelling studies in T. cruzi have already revealed that N-myristoylation occurs in this parasite and plays a role in the correct cellular localization of the flagellar calcium-binding protein [16,37]. The genetic studies investigated in the present study indicate that TcNMT is an essential gene in the epimastigote stage of the parasite, since we were unable to directly replace both endogenous copies of NMT, except in the presence of an ectopic copy of the gene. Although we have carried out genetic validation of TcNMT in the epimastigote stage of the parasite, there is clear evidence to show that the enzyme is also present in the clinically relevant stages. Therefore it is likely that N-myristoylation is also an essential cellular process during the trypomastigote and amastigote stages of development.

The comparative profiling of NMT substrate specificities from multiple organisms has revealed that there are subtle species-specific differences in the N-myristoylation motif of protein substrates recognized by each homologue. These differences have already been exploited to generate inhibitors which are up to 560-fold more potent against a fungal enzyme than the human enzyme [38]. Several high-throughput inhibitor-screening programmes have been carried out in recent years with the aim of identifying both potent and selective inhibitors of NMT from the target species [13,39,40]. One such campaign led to the development of DDD85646, a highly potent inhibitor of T. brucei and human NMT [13]. Despite selectivity at the target level being only 2-fold, this increases to 200-fold at the cellular level. The reason for biological selectivity is not fully understood and may involve pleiotropic biological effects. Depletion of NMT by RNAi in this parasite leads to impairment of the endocytic pathway [41], a process that is known to involve the N-myristoylated protein TbARF1 (T. brucei ARF1) [42]. Endocytosis and exocytosis in T. brucei occurs exclusively from a specialized invagination of the plasma membrane known as the flagellar pocket. Owing to the high endocytic/exocytic rate, the entire plasma membrane of the parasite is turned over in approximately 12 min, considerably faster than that of mammalian macrophages or fibroblasts [43]. Treatment of T. brucei with DDD85646 causes a massively enlarged flagellar pocket or ‘big eye’ phenotype [13], as found by RNAi knockdown of either clathrin heavy chain [44] or ARF1 [42], suggesting that endocytosis, but not exocytosis, is inhibited. Curiously, knockdown of NMT itself does not produce this phenotype, despite inhibiting endocytosis [41]. Nonetheless, the marked sensitivity of the T. brucei bloodstream parasite to NMT inhibition can be attributed at least partly to the high rate of endocytosis/exocytosis and the consequent high turnover of plasma membrane in the flagellar pocket [13].

Although DDD85646 is a potent inhibitor of the T. cruzi enzyme, there is a considerable drop off in potency against the intact parasite (epimastigote or amastigote), in marked contrast with T. brucei where DDD85646 is equipotent against both the enzyme and the parasite [13]. The reason for this is not clear, but could be due to differences in the rate of plasma membrane turnover, differences in other essential biological functions requiring N-myristoylation or due to differences in cellular pharmacokinetics of drug uptake or efflux. The kinetics of endocytosis has not been studied in T. cruzi. However, it is worth noting that endocytosis in T. cruzi epimastigotes occurs principally via another membrane invagination adjacent to the flagellar pocket (the cytostome) and not the flagellar pocket itself [45].

Our studies clearly demonstrate that NMT is an essential and druggable enzyme in T. cruzi, thus it is entirely plausible that parasite-specific N-myristoylated proteins may also be potential drug targets in their own right. To date, only two T. cruzi proteins (flagellar calcium-binding protein and phosphoinositide-specific phospholipase C) have been definitively confirmed to be N-myristoylated [16,37], although two studies have predicted many proteins may undergo this modification [46,47]. Although our studies identify at least ten distinct bands, treatment of epimastigotes with DDD85646 was only able to specifically block the N-myristoylation of six in vitro under the experimental conditions used in the present study. Although it is possible to theoretically predict N-myristoylated proteins from any completed genome [46,48], these bioinformatics and predictive approaches have several drawbacks. Most notably, using known N-myristoylated motifs from various organisms to inform our identification of N-myristoylated proteins in T. cruzi may well lead to difficulties, since previous studies have shown a degree of variability in this motif across different organisms [49–51]. With this in mind, work is underway to identify directly the N-myristoylated proteins comprising the T. cruzi N-myristoylome using a click chemistry approach.

In conclusion, we have demonstrated that NMT from T. cruzi is both an essential and druggable target. However, discovery of more potent and selective inhibitors will be required to achieve a suitable therapeutic window for the treatment of Chagas’ disease.

CAP5.5

cytoskeleton-associated protein 5.5

DIG

digoxigenin

DKO

double knockout

DMEM

Dulbecco’s modified Eagle’s medium

HYG

hygromycin phosphotransferase

NMT

N-myristoyltransferase

NMT^OE

NMT overexpressor

PAC

puromycin N-acetyltransferase

RTH/FBS

RPMI 1640 medium supplemented with trypticase, haemin, Hepes and 10% heat-inactivated FBS

SKO

single knockout

TbNMT

Trypanosoma brucei NMT

TCEP

tris-(2-carboxyethyl)phosphine

TcNMT

Trypanosoma cruzi NMT

TcTryR

Trypanosoma cruzi trypanothione reductase

WT

wild-type

Adam Roberts, Susan Wyllie and Alan Fairlamb designed the experiments. Adam Roberts, Leah Torrie and Susan Wyllie performed the experiments. All authors wrote the paper.

We thank our colleagues in the Division of Biological Chemistry and Drug Discovery, University of Dundee, particularly Dr Stephen Brand for provision of DDD85646 used in the present study, Dr Manu De Ryker for assistance with infectivity studies and to Mrs Sharon Shepherd for providing the expression conditions for the recombinant enzyme.

This work was supported by the Wellcome Trust [grant numbers 079838, 092340 and 100476]. A.J.R. is supported by the Biotechnology and Biological Sciences Research Council via the Collaborative Awards in Science and Engineering Studentship in partnership with Pfizer [grant number BB/1532461].