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Copyright Adams et al. This is an open-access article distributed under the
terms of the Creative Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original author and
source are credited. A Mapping of Drug Space from the Viewpoint of Small Molecule
Metabolism 1Graduate Program in Pharmaceutical Sciences and Pharmacogenomics,
University of California, San Francisco, California, United States of
America 2Graduate Program in Bioinformatics, University of California, San
Francisco, California, United States of America 3San Francisco General Hospital, University of California San Francisco,
San Francisco, California, United States of America 4Center for Complex Network Research and Departments of Physics, Biology,
and Computer Science, Northeastern University, Boston, Massachusetts, United
States of America 5Center for Cancer Systems Biology, Dana-Farber Cancer Institute, Boston,
Massachusetts, United States of America 6Department of Natural Medical Sciences, Inha University, Incheon,
Korea 7Department of Chemistry and Biochemistry, University of Notre Dame, Notre
Dame, Indiana, United States of America 8Department of Bioengineering and Therapeutic Sciences, University of
California, San Francisco, California, United States of America 9Department of Pharmaceutical Chemistry, University of California, San
Francisco, California, United States of America 10California Institute for Quantitative Biosciences, University of
California, San Francisco, California, United States of America Philip E. Bourne, Editor University of California San Diego, United States of America #Contributed equally. * E-mail: Babbitt/at/cgl.ucsf.edu Conceived and designed the experiments: JCA MJK OGW PCB. Performed the
experiments: JCA MJK LB. Analyzed the data: JCA OGW. Contributed
reagents/materials/analysis tools: MJK D-SL HFC. Wrote the paper: JCA
PCB. Received April 9, 2009; Accepted July 16, 2009. Abstract Small molecule drugs target many core metabolic enzymes in humans and pathogens,
often mimicking endogenous ligands. The effects may be therapeutic or toxic, but
are frequently unexpected. A large-scale mapping of the intersection between
drugs and metabolism is needed to better guide drug discovery. To map the
intersection between drugs and metabolism, we have grouped drugs and metabolites
by their associated targets and enzymes using ligand-based set signatures
created to quantify their degree of similarity in chemical space. The results
reveal the chemical space that has been explored for metabolic targets, where
successful drugs have been found, and what novel territory remains. To aid other
researchers in their drug discovery efforts, we have created an online resource
of interactive maps linking drugs to metabolism. These maps predict the
“effect space” comprising likely target enzymes for each of
the 246 MDDR drug classes in humans. The online resource also provides
species-specific interactive drug-metabolism maps for each of the 385 model
organisms and pathogens in the BioCyc database collection. Chemical similarity
links between drugs and metabolites predict potential toxicity, suggest routes
of metabolism, and reveal drug polypharmacology. The metabolic maps enable
interactive navigation of the vast biological data on potential metabolic drug
targets and the drug chemistry currently available to prosecute those targets.
Thus, this work provides a large-scale approach to ligand-based prediction of
drug action in small molecule metabolism. Author Summary All humans, plants, and animals use enzymes to metabolize food for energy, build
and maintain the body, and get rid of toxins. Drugs used to clear infections or
cure cancer often target enzymes in bacteria or cancer cells, but the drugs can
interfere with the proper function of human enzymes as well. Recent studies have
mapped drugs to enzymes and many other targets in humans and other organisms,
but have not focused on metabolism. In this study, we present a new method to
predict what enzymes drugs might affect based on the chemical similarity between
classes of drugs and the natural chemicals used by enzymes. We have applied the
method to 246 known drug classes and a collection of 385 organisms (including 65
National Institutes of Health Priority Pathogens) to create maps of potential
drug action in metabolism. We also show how the predicted connections can be
used to find new ways to kill pathogens and to avoid unintentionally interfering
with human enzymes. Introduction Drug developers have long mined small molecule metabolism for new drug targets and
chemical strategies for inhibition. The approach leverages the “chemical
similarity principle” [1] which states that similar molecules likely have
similar properties. Applied to small molecule metabolism, this principle has
motivated the search for enzyme inhibitors chemically similar to their endogenous
substrates. The approach has yielded many successes, including antimetabolites such
as the folate derivatives used in cancer therapy and the nucleoside analog pro-drugs
used for antiviral therapy. However, drug discovery efforts also frequently falter
due to unacceptable metabolic side-effect profiles or incomplete genomic information
for poorly characterized pathogens [2]–[4]. With the recent availability of large datasets of drugs and drug-like molecules,
computational profiling of small molecules has been performed to create global maps
of pharmacological activity. This in turn provides a larger context for evaluation
of metabolic targets. For example, Paolini et al. [5] identified 727 human
drug targets associated with ligands exhibiting potency at concentrations below 10
µM, thereby creating a polypharmacology interaction network organized by
the similarity between ligand binding profiles. Keiser et al. [6] organized known drug
targets into biologically sensible clusters based solely upon the bond topology of
65,000 biologically active ligands. The results revealed new and unexpected
pharmacological relationships, three of which involved GPCRs and their predicted
ligands that were subsequently confirmed in vitro. Cleves et al.
[7]
also rationalized several known drug side effects and drug-drug interactions based
upon three-dimensional modeling of 979 approved drugs. However, despite the clear
rationale and past successes in applying ligand-based approaches to drug discovery,
global mapping between drugs and small molecule metabolism, the goal of this study,
has been hindered by both methodological challenges and incomplete genomic
information. The relatively recent availability of metabolomes for numerous
organisms allows a fresh look on a large scale [8]–[13]. In this work, we link the chemistry of drugs to the chemistry of small molecule
metabolites to investigate the intersection between small molecule metabolism and
drugs. The Similarity Ensemble Approach (SEA) [6] was used to link
metabolic reactions and drug classes by their chemical similarity, measured by
comparing bond topology patterns between sets of molecules. Two types of molecule
sets are used in this work. The first comprises drug-like molecules known to act at
a specific protein target, and the second comprises the known substrates and
products of an enzymatic reaction. While this approach is complementary to target
and disease focused methods [5], [14]–[23], neither
protein structure nor sequence information is used in the comparisons. Thus, these
links provide an orthogonal view of metabolism based only upon the chemical
similarity between existing drug classes and endogenous metabolites. To provide the results in the context of metabolism, drug
“effect-space” maps were also created. For each of the 246 drug
classes investigated in this work, effect-space maps enable visualization of the
chemical similarities between drugs and metabolites painted onto human metabolic
pathways, allowing a unique assessment of potential drug action in humans. In
addition, to aid target discovery in pathogens, 385 species-specific effect-space
maps were created to show the predicted effect-space of currently marketed drugs,
painted onto metabolic pathways representing target reactions in model organisms and
pathogens. Examples of these maps are provided below and their applications in
predicting drug action, toxicity, and routes of metabolism are discussed. To enable
facile exploration of the drug-metabolite links established by this analysis,
interactive versions of both sets of maps are available at http://sea.docking.org/metabolism. Finally, using methicillin-resistant Staphylococcus aureus (MRSA), a
major pathogen causing both hospital- and community-acquired infections that is
resistant to at least one of the antibiotics most commonly used for treatment [24]–[28] as an example, we show
by retrospective analysis the use of species-specific maps for discovery and
evaluation of drug targets. This also illustrates how additional types of biological
information can be incorporated to enhance the value of these analyses. Results Drug-metabolite links reproduce known drug-target interactions To evaluate the chemical similarity between drug classes and metabolic reactions,
links between sets of metabolic ligands and sets of drugs were generated
according to SEA (Figure 1
Although drugs and metabolites typically differ in their physiochemical
properties, significant and specific similarity links nonetheless emerged. Using
SEA at an expectation value cutoff of
E = 1.0×10−10,
a previously reported cutoff for significance [6], 54% (132
of 246) of drug sets link to an average of 43.7
(median = 10) or 0.9% of metabolic
reactions. None of the remaining 46% (114 of 246) of drug sets link
to any metabolic reaction sets. For instance, while the α-glucosidase
drug set links to the α-glucosidase reaction
(E = 1.00×10−51),
the thrombin inhibitor drug set does not link significantly with any metabolic
reaction. The thrombin inhibitor drug set targets the serine protease thrombin,
which does not participate in small molecule metabolism, but rather plays a role
in the coagulation signaling cascade. Likewise, 40% (2,044 of 5,056)
of metabolic reactions hit an average of 2.8
(median = 2) or 1.1% of drug sets at
expectation value
E = 1.0×10−10
or better. For instance, the metabolite set for retinal dehydrogenase reaction
set links, as expected, to the retinoid drugs at
E = 3.05×E−98,
but the valine decarboxylase reaction, which is not an MDDR drug target, does
not link significantly to any drug sets. These strikingly similar results
suggest both broad coverage (54% of drug sets and 40% of
metabolite sets) and specificity (single sets link to just 0.9% of
metabolite sets and 1.1% of drug sets, respectively). For full
results, see Dataset S5.To determine the utility of the method for recovery of known drug-target
interactions, it was hypothesized that chemical similarity between MetaCyc
reaction sets and corresponding MDDR drug sets could specifically recover the
known drug-target interactions. The 246 MDDR drug set targets include 62 enzymes
that could be mapped to MetaCyc via the Enzyme Commission (EC) number [31]
describing the overall reaction catalyzed [32]. The results
show that all 62 reaction sets for these targets link to at least one MDDR drug
set. The majority of best hits (42 out of 62) were found at expectation values
of E = 1.0×10−10
or better (Table 1). At expectation values better than
E = 1.0×10−25,
61% (19 of 31) of best hits recover either the specific known target
or another enzyme in the same pathway. Examples of specific compounds linked by
this analysis are given in Figure 2
Other links recovered off-pathway hits, which often reflect known
polypharmacology that is well-documented. For example, the glycinamide
ribonucleotide formyltransferase (GART) inhibitor drug set hits both the GART
reaction set
(E = 1.55×10−82)
and the off-pathway but pharmacologically related antifolate target
dihydrofolate reductase (DHFR)
(E = 1.02×10−134).
Other off-pathway hits reflect biological connections, or physical connections,
between targets. For example, the adenosine deaminase reaction set links to the
A1 adenosine receptor agonist drug set
(E = 7.69×10−159)
(Table 1) capturing the known interaction between A1 adenosine
receptors and adenosine deaminase on the cell surface of smooth muscle cells
[33]. Considering only the stringent case of exact
matches based on EC numbers, a Mann-Whitney rank-sum test (also referred to as
the U-test) shows that the expectation values for links between reaction sets
and drug sets of known drug target enzymes were significantly better than the
expectation values for links to reaction sets of non-target enzymes, i.e., 62
known enzyme targets were recovered in a background of 4,920 non-target
“other” enzymes at a statistical significance of
P = 2.01×10−6.In addition to recapitulating many known drug-target interactions, the links
identified by these comparisons also suggest new hypotheses about drug-target
interactions. One such new prediction involves the phospholipase A2 (PLA2)
inhibitor drug class. The substrates and products of PLA2 recapitulate its known
link to the PLA2 inhibitor drug set
(E = 9.82×10−26),
however, the sterol esterase reaction returns an even better score against the
PLA2 inhibitor set
(E = 3.18×10−44)
(Table 1). Although this predicted pharmacological relationship has, to our
knowledge, not been previously documented, the result is consistent with the
known biological relationship between PLA2 and sterol esterase. Both enzymes are
secreted by the pancreas and require phosphatidylcholine hydrolysis to
facilitate intestinal cholesterol uptake [34]. Thus, this link
suggests that therapeutic agents directed against PLA2 may also inhibit sterol
esterase, perhaps even more strongly than their intended target.Human drug “effect-space” maps detail interactions
between drug classes and enzyme targets To present links between small molecule metabolites and drugs in the context of
their known (and potential) metabolic targets, metabolic
“effect-space” maps for currently marketed drugs were
generated for each of the 246 drug classes investigated in this work. These maps
enable visualization of the chemical similarities between drugs and metabolites
painted onto human metabolic pathways, illustrating potential interactions
between an individual drug class and specific metabolic enzymes in humans.
Examples include the nucleoside reverse transcriptase, dihydrofolate reductase,
and thymidylate synthase inhibitors which target pyrimidine nucleotide
metabolism and biosynthesis of the essential coenzyme folate (Figure 3
It has previously been shown that chemical similarity between known drugs often
suggests novel drug-target interactions [5]–[7],[14]. Consistent with
these observations, effect-space maps such as those shown in Figure 3 = 3.48×10−26),
thymidylate kinase
(E = 7.48×10−28),
and deoxythymidine diphosphate kinase
(E = 1.54×10−24)
(Figure 3Drug effect-space maps also offer a broad glimpse of potential human metabolic
interactions predicting new “polypharmacology”. From the
ligand perspective, “drug polypharmacology” refers to a
single drug or drug class that hits multiple targets. For example, dihydrofolate
reductase (DHFR, reaction number 7 in Figure 3 = 1.46×10−82)
(Figure 3 = 2.68×10−44),
phosphoribosyl-aminoimidazole-carboxamide formyltransferase (AICAR
transformylase,
E = 2.21×10−39),
and phosphoribosyl-glycinamide formyltransferase (GART,
E = 2.21×10−39)
(Table 2). The effect-space maps in Figure 3
Alternatively, from the target perspective, “target
polypharmacology” may refer to a single target being modulated by
multiple classes of drugs. For instance, thymidylate synthase (TS) is another
classic antifolate target that uses a folate coenzyme to methylate deoxyuridine
phosphate, generating deoxythymidine phosphate [44]–[47]. As
expected, the TS reaction links to known antifolate drug classes such as GART
inhibitors
(E = 4.76×10−73)
and DHFR inhibitors
(E = 1.91×10−48)
(Table 3 and Figure 4 = 5.68×10−11)
(Figure 4 = 2.54×10−75),
but also the GART
(E = 1.50×10−60)
and DHFR
(E = 1.96×10−123)
reactions (Figure 3
Species-specific effect-space maps for pathogens and model organisms The great diversity of metabolic strategies, pathways, and enzymes present in
humans, model organisms, and pathogenic species presents both opportunities and
significant barriers to drug discovery. To address these issues,
species-specific effect-space maps were created for each of 385 organisms from
the BioCyc Database Collection. Target reactions existing in common and
differentially between each of these species and humans are shown in these
metabolic maps. As with the human effect-space maps, this set of maps is
available in interactive form online. To show how these maps may be used to
provide a context for drug discovery, MRSA is used as an example (Figure 5
As described for Figure 3 = 1.0×10−10
or better. Several complete pathways of diverse chemical classes, including
shikimic acid, phospholipid, peptidoglycan, teichoic acid, and molybdenum
cofactor biosynthesis, lack links to any drug set at all. Only 18 of the 469
MRSA metabolic reactions are already known to be drug targets in MDDR. Fourteen
of these are represented in Figure 5Figure 6 = 1.02×10−134),
thymidylate synthase
(E = 2.54×10−75),
and dihydrofolate synthase
(E = 1.35×10−70).
This retrospective result illustrates the potential of such additional
information in enriching for targets and drug chemistry that have been proven
accessible. Other targets and pathways have not yet yielded successful drugs but
are under investigation in MRSA or other pathogens, such as the shikimate
pathway [49] in aromatic amino acid biosynthesis and the
histidine biosynthesis pathway [50].
The combination of the essentiality data with the drug space mapping emphasizes
the challenges to drug discovery against MRSA. Thus, while species-specific
antifolates do exist, many antifolates such as methotrexate used in cancer
therapy cause severe toxicity [43]. To avoid such toxicity, 14 of the 39
essential MRSA reactions that are also present in humans can be excluded from
further consideration as drug targets in MRSA. A compilation of all of the metabolic network maps generated in this study is
available at http://sea.docking.org/metabolism. These include interactive
versions of the human effect-space maps shown in Figure 3 Discussion A key product of this study is the construction of drug-metabolite correspondence
maps that provide both a global view and a more contextual picture of predicted drug
action in human metabolism than has been previously available. Several aspects of
these maps deserve particular emphasis. First, despite the differences in
physiochemical properties of most drugs and small molecule metabolites, numerous
links arise between drugs and metabolism. Viewed in the context of metabolic
networks, the pharmacological relationships predicted by these links can be readily
interpreted in a way that is biologically sensible. Moreover, as shown by both the
drug effect space maps and species-specific maps, our retrospective analyses confirm
that biologically and pharmacologically significant connections can be recovered,
capturing known polypharmacology and revealing the relevant chemotypes previously
explored in drug development. The metabolome-wide exploratory tools provided with
these map sets also enable a new way to interrogate the links between drugs and
metabolism that will likely be useful for prediction of new targets and to indicate
routes of drug metabolism and toxicity. Further, by integrating biological
information such as essentiality and synthetic lethal analyses with the metabolic
context, our approach allows users to focus evaluation of potential targets around
specific types of data simply by painting the results on to metabolic maps. With respect to the coverage of drug links across small molecule metabolism that this
study provides, we note that the SEA method relies solely upon the chemical
similarity of ligands to establish links between drug sets and reaction sets. Based
on these links, and the biologically sensible connections shown in the results, we
infer that a particular drug class may act on a certain target. However, drugs may
also act against an enzyme active site without resembling the endogenous substrate,
or by allosteric regulation at an entirely different site. The SEA method, as
applied here to the substrates and products of metabolic reactions, does not capture
these additional drug-target links. Other viable strategies are available for
targeting metabolic enzyme active sites that use principles unrelated to the
ligand-drug similarities that are the focus of our approach [52]–[55]. For
instance, Tondi et al. designed novel inhibitors of thymidylate synthase that
complemented the three dimensional structure of the active site. Five high-scoring
compounds selected for testing were dissimilar to the substrate but bound
competitively with it [55]. While many classical kinase inhibitors interact
directly with the ATP binding site, imatinib (tradename Gleevec) represents a new
generation of allosteric protein kinase inhibitors that alter the kinase
conformation to prevent ATP binding. Other allosteric kinase inhibitors prevent the
protein substrate from loading [52]. While a quantitative determination of the proportion of drug-target links that cannot
be accessed by our approach is beyond the scope of this study, we can provide a
rough estimate for the frequency of such cases based on the results reported in
Table 1. Of the 62 known enzyme targets in MetaCyc, 42 (68%) the
substrate/product metabolite sets show significant chemical similarity to at least
one MDDR drug set, establishing a reasonable first pass estimate for the percentage
of current enzyme targets accessible to this approach. Furthermore, 40%
(2,044 of 5,056) of all MetaCyc reaction sets linked at
E = 1.0×10−10 or
better to MDDR, with each reaction linking to an average of just 2.8 MDDR drug sets.
These results indicate broad and specific coverage of metabolism, and suggest that
numerous additional enzyme targets may be accessible by the method presented here.Conclusion Using the SEA method, we have shown that comparison between ligand sets
representing MDDR drug classes and ligand sets representing the substrates and
products of metabolic reactions yields statistically significant links between
known drugs and enzyme targets. Because the method is based on chemical
similarity and requires only information from these molecule sets rather than
the sequence, structure or physiochemistry of the targets, this ligand-based
approach is independent from, and complementary to, protein structure and
sequence based methods. Our results also suggest the potential of this method
for predicting previously unknown interactions between drug classes and
metabolic targets, recovering routes of metabolism and toxicity in humans, and
identifying potential drug targets (as well as challenges for target discovery)
in emerging pathogens. Thus, by mapping the chemical diversity of drugs to small
molecule metabolism using ligand topology, this work establishes a computational
framework for ligand-based prediction of drug class action, metabolism, and
toxicity. Methods Compound sets All compounds, both drugs and metabolites, are represented using Daylight
SMILES strings [29]. Sets comprised of isomers with unique
compound names were retained, even though stereochemistry was later removed
as part of the molecule fingerprinting process. Ligand sets Reaction sets were extracted from the 8.15.2007 release of MetaCyc based upon
the substrates and products annotated to each reaction. Two filters were
applied. First, the ten most common metabolites based on the number of
occurrences in the MetaCyc metabolic network were removed: water, ATP, ADP,
NAD, pyrophosphate, NADH, carbon dioxide, AMP, glutamate, and pyruvate.
Second, each reaction set was required to include at least two unique
compounds, as indicated by a MetaCyc or a MDDR unique compound id. Drug sets Drug sets were extracted from the MDDR, a compilation of about 169,000
drug-like ligands in 688 activity classes, each targeting a specific enzyme
(designated by the Enzyme Commission (E.C.) number). The subset of this
database for which mappings between enzymes and the MDDR drug classes were
available was used. These mappings were based on a previous study that maps
E.C. numbers, GPCRs, ion channels and nuclear receptors to MDDR activity
classes [32]. Only sets containing five or more
ligands were used. Salts and fragments were removed, ligand protonation was
normalized and duplicate molecules were removed. Of the 688 targets in the
MDDR, 97 were excluded as having too few ligands (<5), and another
345 targets were excluded because their definitions did not describe a
molecular target, e.g., drugs associated only with an annotation such as
“Anticancer” were not used. The remaining 246 enzyme
targets were together associated with a total of 65,241 unique ligands, with
a median and mean of 124 and 289 drug ligands per target. For further
details, see Keiser et al. [6]. Set comparisons All pairs of ligands between any two sets were compared using a pair-wise
similarity metric, which consists of a descriptor and a similarity
criterion. For the similarity descriptor, standard two-dimensional
topological fingerprints were computed using the Scitegic ECFP4 fingerprint
[56]. The similarity criterion was the widely used
Tanimoto coefficient (Tc) [57]. For set comparisons, all pair-wise Tcs
between elements across sets were calculated, and those scoring above a
threshold were summed, giving a raw score relating the two sets. The
Tanimoto coefficient threshold of 0.32 was determined according to a
previously published method based upon fit to an extreme value distribution
[6]. A model for random similarity similar to that
used by BLAST [58] was used to generate expectation values
(E) which are used to describe the strengths of relationships discovered
using this protocol [6]. All scores reported here are based upon
the background distribution and cutoff scores generated using the drug sets
extracted from the MDDR collection. For further details, see Keiser et al.
[6]. Network visualization was performed in
Cytoscape 2.6.2 [59] using the γ-files hierarchical
layout algorithm. MRSA essentiality and synthetic lethal analysis Essentiality and synthetic lethal data generated as described earlier [48].
Briefly, the metabolic network was reconstructed from the genome to include
all reactions that have an active flux The essentiality of a given enzyme
was then assessed by the effect of the removal of that enzyme on biomass
production. Similarly, synthetic lethal pairs can be identified by
systematic pairwise deletion of enzymes and recalculation of biomass
production in an ideally rich medium. Dataset S2 SMILES describing the molecular strucutre of MetaCyc reaction substrates and
products (0.25 MB TXT) Click here for additional data file.(241K, txt) Dataset S4 SMILES describing the molecular structure of MDDR ligands. (4.45 MB TXT) Click here for additional data file.(1.8K, txt) Dataset S5 E-values for links between MDDR drug sets and MetaCyc reaction sets (3.12 MB CSV) Click here for additional data file.(2.9M, csv) Acknowledgments We thank Elsevier MDL for the MDDR and Scitegic for PipelinePilot. Footnotes The authors have declared that no competing interests exist. This work was supported by National Institutes of Health (NIH) GM60595 to PCB and
U01-AI070499 to OGW. MJK was supported by Training Grant GM67547 and a National
Science Foundation graduate fellowship. D-SL was supported by NIH GA1070499-01.
Tools used for visualization of metabolic networks and SEA links were created by
the UCSF Resource for Biocomputing, Visualization, and Informatics (RBVI)
supported by NIH P41 RR-01081. The funders had no role in study design, data
collection and analysis, decision to publish, or preparation of the
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