Kévin Ly

Dissection of the Endogenous Cellular Pathways of PCSK9-induced Low Density Lipoprotein Receptor Degradation EVIDENCE FOR AN INTRACELLULAR ROUTE

Elevated levels of plasma low density lipoprotein (LDL)-cholesterol, leading to familial hypercholesterolemia, are enhanced by mutations in at least three major genes, the LDL receptor (LDLR), its ligand apolipoprotein B, and the proprotein convertase PCSK9. Single point mutations in PCSK9 are associated with either hyper- or hypocholesterolemia. Accordingly, PCSK9 is an attractive target for treatment of dyslipidemia. PCSK9 binds the epidermal growth factor domain A (EGF-A) of the LDLR and directs it to endosomes/lysosomes for destruction. Although the mechanism by which PCSK9 regulates LDLR degradation is not fully resolved, it seems to involve both intracellular and extracellular pathways. Here, we show that clathrin light chain small interfering RNAs that block intracellular trafficking from the trans-Golgi network to lysosomes rapidly increased LDLR levels within HepG2 cells in a PCSK9-dependent fashion without affecting the ability of exogenous PCSK9 to enhance LDLR degradation. In contrast, blocking the extracellular LDLR endocytosis/degradation pathway by a 4-, 6-, or 24-h incubation of cells with Dynasore or an EGF-AB peptide or by knockdown of endogenous autosomal recessive hypercholesterolemia did not significantly affect LDLR levels. The present data from HepG2 cells and mouse primary hepatocytes favor a model whereby depending on the dose and/or incubation period, endogenous PCSK9 enhances the degradation of the LDLR both extra- and intracellularly. Therefore, targeting either pathway, or both, would be an effective method to reduce PCSK9 activity in the treatment of hypercholesterolemia and coronary heart disease.

Design, Synthesis, and Structure−Activity Relationship Studies of a Potent PACE4 Inhibitor

PACE4 plays an important role in the progression of prostate cancer and is an attractive target for the development of novel inhibitor-based tumor therapies. We previously reported the design and synthesis of a novel, potent, and relatively selective PACE4 inhibitor known as a Multi-Leu (ML) peptide. In the present work, we examined the ML peptide through detailed structure-activity relationship studies. A variety of ML-peptide analogues modified at the P8-P5 positions with leucine isomers (Nle, DLeu, and DNle) or substituted at the P1 position with arginine mimetics were tested for their inhibitory activity, specificity, stability, and antiproliferative effect. By incorporating d isomers at the P8 position or a decarboxylated arginine mimetic, we obtained analogues with an improved stability profile and excellent antiproliferative properties. The DLeu or DNle residue also has improved specificity toward PACE4, whereas specificity was reduced for a peptide modified with the arginine mimetic, such as 4-amidinobenzylamide.

Annexin A2 reduces PCSK9 protein levels via a translational mechanism and interacts with the M1 and M2 domains of PCSK9.

Background: Annexin A2 (AnxA2) is an extracellular endogenous inhibitor of the PCSK9-LDLR protein-protein interaction. Results: AnxA2 mRNA knockdown in Huh7 cells increases PCSK9 protein levels, and its overexpression in HepG2 cells has the opposite effect. Conclusion: AnxA2 inhibits mRNA translation of PCSK9 and interacts with the M1 + M2 domains of PCSK9. Significance: AnxA2 is a negative regulator of PCSK9 protein levels and activity. Annexin A2 (AnxA2) was reported to be an extracellular endogenous inhibitor of proprotein convertase subtilisin kexin type 9 (PCSK9) activity on cell-surface LDL receptor degradation. In this study, we investigated the effect of silencing the expression of AnxA2 and PCSK9 in HepG2 and Huh7 cells to better define the role of AnxA2 in PCSK9 regulation. AnxA2 knockdown in Huh7 cells significantly increased PCSK9 protein levels as opposed to AnxA2 knockdown in HepG2 cells. However, HepG2 cells overexpressing AnxA2 had lower levels of PCSK9 protein. Overall, our data revealed a plausible new role of AnxA2 in the reduction of PCSK9 protein levels via a translational mechanism. Moreover, the C-terminal Cys/His-rich domain of PCSK9 is crucial in the regulation of PCSK9 activity, and we demonstrated by far-Western blot assay that the M1 and M2 domains are necessary for the specific interaction of PCSK9s C-terminal Cys/His-rich domain and AnxA2. Finally, we produced and purified recombinant PCSK9 from humans and mice, which was characterized and used to perform 1,1′-dioctadecyl-3,3,3′,3′-tetramethylindocarbocyanine perchlorate LDL cell-based assays on the stable knockdown HepG2 and Huh7 cells. We also demonstrated for the first time the equipotency of human and mouse PCSK9 R218S on human cells.

Novel Insights into Structure–Activity Relationships of N-Terminally Modified PACE4 Inhibitors

PACE4 plays important roles in prostate cancer cell proliferation. The inhibition of this enzyme has been shown to slow prostate cancer progression and is emerging as a promising therapeutic strategy. In previous work, we developed a highly potent and selective PACE4 inhibitor, the multi‐Leu (ML) peptide, an octapeptide with the sequence Ac‐LLLLRVKR‐NH2. Here, with the objective of developing a useful compound for in vivo administration, we investigate the effect of N‐terminal modifications. The inhibitory activity, toxicity, stability, and cell penetration properties of the resulting analogues were studied and compared to the unmodified inhibitor. Our results show that the incorporation of a polyethylene glycol (PEG) moiety leads to a loss of antiproliferative activity, whereas the attachment of a lipid chain preserves or improves it. However, the lipidated peptides are significantly more toxic when compared with their unmodified counterparts. Therefore, the best results were achieved not by the N‐terminal extension but by the protection of both ends with the d‐Leu residue and 4‐amidinobenzylamide, which yielded the most stable inhibitor, with an excellent activity and toxicity profile.

Multi-Leu PACE4 Inhibitor Retention within Cells Is PACE4 Dependent and a Prerequisite for Antiproliferative Activity

The overexpression as well as the critical implication of the proprotein convertase PACE4 in prostate cancer progression has been previously reported and supported the development of peptide inhibitors. The multi-Leu peptide, a PACE4-specific inhibitor, was further generated and its capability to be uptaken by tumor xenograft was demonstrated with regard to its PACE4 expression status. To investigate whether the uptake of this inhibitor was directly dependent of PACE4 levels, uptake and efflux from cancer cells were evaluated and correlations were established with PACE4 contents on both wild type and PACE4-knockdown cell lines. PACE4-knockdown associated growth deficiencies were established on the knockdown HepG2, Huh7, and HT1080 cells as well as the antiproliferative effects of the multi-Leu peptide supporting the growth capabilities of PACE4 in cancer cells.

Positional Scanning Identifies the Molecular Determinants of a High Affinity Multi-Leucine Inhibitor for Furin and PACE4

The proprotein convertase family of enzymes includes seven endoproteases with significant redundancy in their cleavage activity. We previously described the peptide Ac-LLLLRVK-Amba that displays potent inhibitory effects on both PACE4 and prostate cancer cell lines proliferation. Herein, the molecular determinants for PACE4 and furin inhibition were investigated by positional scanning using peptide libraries that substituted its leucine core with each natural amino acid. We determined that the incorporation of basic amino acids led to analogues with improved inhibitory potency toward both enzymes, whereas negatively charged residues significantly reduced it. All the remaining amino acids were in general well tolerated, with the exemption of the P6 position. However, not all of the potent PACE4 inhibitors displayed antiproliferative activity. The best analogues were obtained by the incorporation of the Ile residue at the P5 and P6 positions. These substitutions led to inhibitors with increased PACE4 selectivity and potent antiproliferative effects.

Thrombin Activation of Protein C Requires Prior Processing by a Liver Proprotein Convertase

Protein C, a secretory vitamin K-dependent anticoagulant serine protease, inactivates factors Va/VIIIa. It is exclusively synthesized in liver hepatocytes as an inactive zymogen (proprotein C). In humans, thrombin cleavage of the propeptide at PR221↓ results in activated protein C (APC; residues 222–461). However, the propeptide is also cleaved by a furin-like proprotein convertase(s) (PCs) at KKRSHLKR199↓ (underlined basic residues critical for the recognition by PCs), but the order of cleavage is unknown. Herein, we present evidence that at the surface of COS-1 cells, mouse proprotein C is first cleaved by the convertases furin, PC5/6A, and PACE4. In mice, this cleavage occurs at the equivalent site, KKRKILKR198↓, and requires the presence of Arg198 at P1 and a combination of two other basic residues at either P2 (Lys197), P6 (Arg193), or P8 (Lys191) positions. Notably, the thrombin-resistant R221A mutant is still cleaved by these PCs, revealing that convertase cleavage can precede thrombin activation. This conclusion was supported by the fact that the APC-specific activity in the medium of COS-1 cells is exclusively dependent on prior cleavage by the convertases, because both R198A and R221A lack protein C activity. Primary cultures of hepatocytes derived from wild-type or hepatocyte-specific furin, PC5/6, or complete PACE4 knock-out mice suggested that the cleavage of overexpressed proprotein C is predominantly performed by furin intracellularly and by all three proprotein convertases at the cell surface. Indeed, plasma analyses of single-proprotein convertase-knock-out mice showed that loss of the convertase furin or PC5/6 in hepatocytes results in a ∼30% decrease in APC levels, with no significant contribution from PACE4. We conclude that prior convertase cleavage of protein C in hepatocytes is critical for its thrombin activation.

Macrocyclization of a potent PACE4 inhibitor: Benefits and limitations

PACE4, one of the seven members of the proprotein convertase family, plays an important role in the progression of prostate cancer. Therefore, its inhibition has become an attractive target to develop new therapies against this disease. Recently, we have developed a highly potent and selective PACE4 inhibitor, known as the multi-Leu peptide with the following sequence Ac-LLLLRVKR-NH2. Herein, with the aim of improving the stability profile of this inhibitor for potential in vivo application, we investigated the impact of different cyclization strategies. The inhibitory activity of new peptides was tested and compared to their linear counterparts. The potent analogues were further selected for stability evaluation. Our results showed that the cyclization involving a C-terminal carboxylic acid (head-to-tail or side chain-to-tail) led to compounds with significantly diminished inhibitory potency towards PACE4, indicating that an appropriate balance between rigidity and flexibility of the structure is necessary to allow the optimal binding with the enzyme. On the other hand, the modification within a multi-Leu core in combination with the incorporation of a C-terminal 4-amidinobenzylamide (Amba) residue yielded potent cyclic analogues. The best compound derived from this group, (&)[Mpa]LLLC(&)RVK[Amba] (where & indicates cyclization, Mpa - 3-mercaptopropionic acid), exhibited promising overall profile comprising of potent inhibitory effect against PACE4 and prostate cancer cell lines as well as improved stability. We believe that this cyclic framework could be further used to design even more potent and stable PACE4 inhibitors.

Structure-Based Optimization of a Potent PACE4 Inhibitor Containing a Decarboxylated P1 Arginine Mimetic

Our recent studies have provided direct evidence for the critical role of PACE4 in the progression of prostrate cancer, identifying this enzyme as a promising target to design novel and effective treatments [1]. Moreover, we developed a potent PACE4 inhibitor with considerable selectivity (20-fold over furin) known as the Multi-Leu (ML) peptide [2]. In order to improve its pharmacological profile, we performed structure-activity relationship (SAR) studies and determined that the incorporation of the decarboxylated arginine mimetic (4-amidinobenzylamide, Amba) at the P1 position led to a more potent and stable analog [3]. Unfortunately, this inhibitor suffered from a reduced selectivity towards PACE4. To restore its specificity profile, we used a positional-scanning approach and synthesized peptide libraries by substituting each amino acid residue in the leucine core of our inhibitor. These studies revealed that we are able to enhance the specificity profile (3-fold) and preserve the inhibitory activity as well as antiproliferative properties of our inhibitor by incorporating a leucine isomer – L-isoleucine into its structure (Maluch, et al., unpublished data). Based on these results, we decided to perform further SAR studies aiming to improve the specificity and activity of our MLAmba inhibitor. We focused on the leucine core (P8-P5) and its modification with unnatural amino acid residues possessing hydrophobic character (Figure 1). First we evaluated the impact of a single substitution (from the P8 to P5 position) on the inhibitory activity of the resulting peptides, and then we combined the most promising modifications. In this work, we present the synthesis and biological evaluation of a new series of MLAmba analogs.

Abstract 1707: PACE4-dependent cellular uptake and retention of the Multi-Leucine peptide inhibitor into cancer cells

Proceedings: AACR 106th Annual Meeting 2015; April 18-22, 2015; Philadelphia, PA The proprotein convertase PACE4 is strongly overexpressed in prostate cancer and plays an important role in tumor progression by promoting cell proliferation and tumor angiogenesis. Because the high expression levels and the necessity of this enzyme for cancer progression, we have developed a peptide-based inhibitor known as the Multi-Leucine (ML) peptide, which is a PACE4-specific inhibitor. Just like PACE4-downregulation through stable shRNA transfections, this compound displays anti-proliferative properties when applied on cancer cells. We showed its target-specific uptake into prostate cancer xenografts by positron emission tomography, which allowed clear tumor visualization. The ML-peptide has potent effects to block the further progression of prostate cancer cells, however, the uptake mechanism of this peptide is not clear and whether it is PACE4-dependent. We therefore tested the uptake and efflux rates of the ML-peptide peptide in prostate cancer cells and correlated these with PACE4 expression levels in wild type and stable PACE4-knockdown cell lines. In addition to prostate cancer cell lines LNCaP, DU145 and PC3, we tested HepG2, Huh7 and HT1080 cells, which also express PACE4. To measure peptide uptake, the ML peptide was modified through the addition a 1,4,7-triazacyclononane-1,4,7-triacetic acid (NOTA) moiety to strongly chelate radiometal such as 64Cu. Our study shows that uptake of the ML-peptide is correlated with expression levels, but more importantly can be blocked in PACE4-knockdown cell lines, demonstrating a PACE4-dependant uptake mechanism. We also correlated uptake with the anti-proliferative effects of the ML-peptide and showed that entry into these cell lines predicted the effects of the ML-peptide on the growth of these cells. These results confirm the notion that ML-peptide entry within cell is an important requirement to exert growth inhibition properties, and further provide a mechanism for that entry. This study demonstrates further support for the use of the ML-peptide or its analogs as potential drugs in prostate cancer, as well as any other PACE4-dependent tumors. These indications of peptide uptake within tumor could allows PACE4-status to be determined by positron emission tomography and may be of great theranostics uses in the context of pharmacological intervention with PACE4 inhibitors. Citation Format: Frederic Couture, Kevin Ly, Christine Levesque, Anna Kwiatkowska, Roxane Desjardins, Brigitte Guerin, Robert Day. PACE4-dependent cellular uptake and retention of the Multi-Leucine peptide inhibitor into cancer cells. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 1707. doi:10.1158/1538-7445.AM2015-1707