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© 2019 Optibrium Ltd. Optibrium™, StarDrop™, Auto-Modeller™, Card View™, Glowing Molecule™ and Augmented Chemistry™ are trademarks of Optibrium Ltd. Matthew Segall – [email protected] Predicting Routes, Sites and Products of Drug Metabolism 12 th International ISSX Meeting, July 30 th 2019

Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

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Page 1: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd. Optibrium™, StarDrop™, Auto-Modeller™, Card View™, Glowing Molecule™ and Augmented Chemistry™ are trademarks of Optibrium Ltd.

Matthew Segall – [email protected]

Predicting Routes, Sites and Products of Drug Metabolism12th International ISSX Meeting, July 30th 2019

Page 2: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Overview

• Approaches to predicting metabolism

− Empirical vs mechanistic

• Predicting P450 metabolism

− P450 regioselectivity

− WhichP450

• Beyond P450s

− Flavin-containing monooxygenases (FMO)

− UDP glucuronosyltrasfreases (UGT)

• Conclusions

2

Page 3: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Approaches to Predicting Drug Metabolism

Empirical

Statistical Modelling

Machine Learning

Mechanistic

Molecular Dynamics

Quantum Mechanics

3

Page 4: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Empirical Mechanistic

Approaches to Predicting Drug Metabolism

Pros Cons

Fast Needs lots of data

Easy to set up Non-transferable

Qualitative

Pros Cons

Can be built on smaller high-quality data sets

(Very) slow

Transferable – based on physical principles

Requires detailed understanding

(Semi) quantitative

4

Page 5: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

Predicting P450 Metabolism

Page 6: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Cytochrome P450s

• Ubiquitous superfamily of haem-containing monooxygenase enzymes

• Responsible for ~70-80% of phase I drug metabolism, leading to:

− Rapid clearance or low bioavailability

− Potential for drug-drug interaction

− Impact of P450 polymorphism

− Bioactivation to form reactive/toxicmetabolites

• Primary isoforms responsible for drug metabolism in humans

6

CYP3A430%

CYP2D620%CYP2C9

13%

CYP1A29%

CYP2B67%

CYP2C197%

CYP2C85%

CYP2A63%

CYP2J23%

CYP2E13%

Zanger and Schwab, Pharmacol. & Therapeut. 138(1) p. 103 (2013)

Page 7: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

P450 Catalytic CyclePredicting sites of metabolism - regioselectivity

7

Product

formation

step

P450 compound I and bound substrate

Page 8: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Predicting Sites of MetabolismRegioselectivity

Two primary factors determine the sites of metabolism:

• Electronic properties of substrate – reactivity

− H-abstraction – aliphatic oxidation, N-dealkylation, O-dealkylation

− Direct oxidation – aromatic oxidation, epoxidation, N-oxidation, S-oxidation

− Independent of isoform

• Orientation of substrate in active site

− Electrostatic interactions between protein and substrate

− Freedom to move

− Steric accessibility

− Dependent on isoform and substrate

8

Page 9: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Quantum Mechanical Models for CYP Reactivity

• The activation energy (∆𝐻𝐴) of the rate-limiting step is a key factor determining the rate of reaction at each site

− Reaction energetics modelled for H-abstraction and direct oxidations using density functional theory

9

ΔHR

ΔHA

Ener

gy

Reactants IntermediatesTransition state

Page 10: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Quantum Mechanical Models for CYP Reactivity

• Semi-empirical QM methods (AM1) are used for practical calculations

− Surrogate radical used instead of haem

− Brønsted relationships used to estimate activation energies

− Corrections applied based on ab initio QM

• Full substrate included in simulation

− Not ‘pattern matching’ sites to precalculated energies

− Includes subtle longer range effects

− Important when developing a lead series

10J Tyzack et al. (2017) J. Chem. Inf. Model 56(1) pp. 2180-2193

Page 11: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Capturing Steric and Orientation Effects

• Corrections to activation energies estimated for each isoform

− 3A4, 2D6, 2C9, 1A2, 2C8, 2C19, 2E1

• Statistical models using 2D descriptors

− Distances to charged functionalities, H-bond acceptors/donors, etc.

− Distances to rings, flexible linkers, ‘bulky’ groups

• Trained and tested using high-quality regioselectivity data sets

Isoform Number of molecules

CYP3A4 305

CYP2D6 202

CYP2C9 193

CYP1A2 201

CYP2C19 184

CYP2E1 105

CYP2C8 106

11J Tyzack et al. (2017) J. Chem. Inf. Model 56(1) pp. 2180-2193

Page 12: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

ValidationIndependent test set of 30% of data

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

CYP3A4 CYP2D6 CYP2C9 CYP2C19 CYP1A2 CYP2E1 CYP2C8

Top 1 Top 2 Top 3

12J Tyzack et al. (2017) J. Chem. Inf. Model 56(1) pp. 2180-2193

Page 13: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Example Regioselectivity PredictionVenlafaxine

13

CYP3A4 CYP2D6

J Tyzack et al. (2017) J. Chem. Inf. Model 56(1) pp. 2180-2193

Page 14: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd. PDB 4K9T & 3E6I

WhichP450Objectives

• Many isoforms of P450

− Different active site constraints

• Predictions of regioselectivity for which isoform(s) are most relevant?

• Identify possibilities of DDIs or polymorphic effects

• Compounds may be metabolised by multiple isoforms

Binding sites: CYP3A4 – purple & CYP2E1 – blue

P Hunt et al. (2018) J. Comp.-Aided Mol. Des. 32(4) pp. 537-546 14

Page 15: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

P450 Catalytic CyclePredicting which P450 isoform(s)

15

Substrate

binding

Binding sites: CYP3A4 – purple & CYP2E1 – blue

P Hunt et al. (2018) J. Comp.-Aided Mol. Des. 32(4) pp. 537-546 PDB 4K9T & 3E6I

Page 16: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

WhichP450Methods

• Data set

− 465 unique compounds

− 633 compound/isoform pairs

• Considers 7 isoforms

− 3A4, 2D6, 2C9, 1A2, 2C8, 2C19, 2E1

• Random forest model

− Random forests

− Whole molecule and 2D descriptors

• Model rank orders isoforms by probability

16P Hunt et al. (2018) J. Comp.-Aided Mol. Des. 32(4) pp. 537-546

Page 17: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

WhichP450Methods

• Data set

− 465 unique compounds

− 633 compound/isoform pairs

• Considers 7 isoforms

− 3A4, 2D6, 2C9, 1A2, 2C8, 2C19, 2E1

• Random forest model

− Random forests

− Whole molecule and 2D descriptors

• Model rank orders isoforms by probability

17P Hunt et al. (2018) J. Comp.-Aided Mol. Des. 32(4) pp. 537-546

Page 18: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

WhichP450Results – Top-k

18

Top-1

Top-2Top-3

Models ExpectedUniformRandom

Y-shuffled Y-scrambledUniform Random

Guided Random

Perc

ent

Succ

ess

Rat

e

P Hunt et al. (2018) J. Comp.-Aided Mol. Des. 32(4) pp. 537-546

Page 19: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Putting it Together

19

CYP3A4

CYP2C9

CYP2D6

Venlafaxine

2C19 is also a minor isoform, but not predicted

P Hunt et al. (2018) J. Comp.-Aided Mol. Des. 32(4) pp. 537-546

Page 20: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

Beyond P450s

Page 21: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Flavin-containing Monooxygenase (FMO)

• Phase I enzyme class involved in compound metabolism

− Found in multiple tissues

• 5 active isoforms (FMO1−5)

− FMO3 major isoform found in adult liver

• Mechanism involves transfer of Oxygen from FAD−OOH

− Predominantly N/S-oxidation

21PDB 2XVE

Flavin Moiety

Page 22: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Flavin-containing Monooxygenase (FMO)

• Phase I enzyme class involved in compound metabolism

− Found in multiple tissues

• 5 active isoforms (FMO1−5)

− FMO3 major isoform found in adult liver

• Mechanism involves transfer of Oxygen from FAD−OOH

− Predominantly N/S-oxidation

22

Page 23: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Modelling the Reaction Mechanism

• QM simulations using DFT to determine reaction mechanism− Concerted, SN2

• Calculate activation energy, ∆𝐻𝐴

23

73 kJ mol−1

60 kJ mol−1

Page 24: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Identifying of Sites of FMO MetabolismActivation Energies

24

121 kJ mol-1

156 kJ mol-1

57 kJ mol-1

90 kJ mol-1

133 kJ mol-128 kJ mol-1

70 kJ mol-1

177 kJ mol-1108 kJ mol-1

80 kJ mol-1

62 kJ mol-1

69 kJ mol-1

20 kJ mol-1

Non-Observed

Observed

Page 25: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Example – Predicting FMO3 Metabolism

• Activation energies calculated with semi-empirical QM model of transition state

• Steric and orientation descriptors included

• Data set− 67 molecules

− 210 potential sites of metabolism

• Gaussian processes machine learning

• Classification of potential sites as metabolised (True) or not (False)

• Results on independent test set− Kappa = 0.82

− Accuracy 92%

25

23

111

2

Page 26: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

UDP-Glucuronosyltransferase (UGT)

• Major contributors to phase II metabolism

− ~40% of all conjugation reactions

• Conjugation of substrate with glucuronic acid

• Several human isoforms implicated in drug metabolism

− UGT1A – 1A1, 1A4, 1A9

− UGT2B – 2B4, 2B7, 2B15

26PDB 2O6L

N-terminal domainSubstrate binding

C-terminal domainUDP-GA binding

Page 27: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Transition State

• QM simulations to determine reaction mechanism using DFT

• Complex reaction mechanism

− Proton transfers with active-site histidine residues

• Calculate activation energy, ∆𝐻𝐴

27

Page 28: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Transition State

• QM simulations to determine reaction mechanism

• Complex reaction mechanism

− Proton transfers with active-site histidine residues

• Calculate activation energy, ∆𝐻𝐴

28

Glucuronic Acid

Uridine Diphosphate

Substrate

Proton Donor

Proton Acceptor

Page 29: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Example – Prediction UGT1A1 Metabolism

• Activation energies calculated with semi-empirical QM model of transition state

• Steric and orientation descriptors included

• Data set− 79 molecules

− 242 potential sites of metabolism

• Gaussian processes machine learning

• Classification of potential sites as metabolised (True) or not (False)

• Results on independent test set− Kappa = 0.65

− Accuracy 83%

29

2

7

19

24

Page 30: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Conclusions

• Detailed QM simulations enable us to understand the reactionmechanisms for metabolism

• This enables us to predict metabolism with greater accuracyand transferability

− Reaction energetics are important factor governing metabolism

− Combined with steric and orientation effects of protein environment

• Combining models of different steps in the catalytic cycle enableus to predict routes, sites and products of metabolism

− E.g. WhichP450 and regioselectivity

• For more information

− J. Tyzack et al. (2017) J. Chem. Inf. Model 56(1) pp. 2180-2193

− P Hunt et al. (2018) J. Comp.-Aided Mol. Des. 32(4) pp. 537-546

[email protected]

30

Booth 415

Page 31: Predicting Routes, Sites and Products of Drug Metabolism routes... · 2019. 7. 31. · metabolism −~40% of all conjugation reactions •Conjugation of substrate with glucuronic

© 2019 Optibrium Ltd.

Acknowledgements

• P450 Metabolism

− John Tyzack

− Rasmus Leth

− Many former colleagues from Camitro, ArQule, Inpharmatica and BioFocus

− This research has received funding from the European Union Seventh Framework Programme (FP7/2007-2013) under the grant agreement no 602156

• UGT Metabolism

− Mario Öeren

− David Ponting

− Funding from Lhasa Limited

• FMO Metabolism

− Peter Walton

− Mario Öeren

• All of the above – Peter Hunt

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