Discovery of Novel Sertraline Derivatives as Potent Anti- Cryptococcus Agents

J Med Chem. 2022 May 12;65(9):6541-6554. doi: 10.1021/acs.jmedchem.1c01845. Epub 2022 Mar 6.

Abstract

Treatment of life-threatening cryptococcal meningitis (CM) is highly challenging due to the limited efficacy of the available antifungal drugs. Antidepressant sertraline (SER) has been proposed to be a potential antifungal agent for CM. However, clinical studies indicated that SER failed to achieve the expected therapeutic effects. Herein, novel SER derivatives were designed by scaffold hopping, and they showed improved anticryptococcal activity both in vitro and in vivo. In particular, compound D16 was identified as a promising anti-CM agent with a new antifungal mode of action. It acted by blocking the biosynthesis of ergosterol through the inhibition of Δ5,6-desaturase. This study provides a new target and a drug-like candidate for CM treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antidepressive Agents / pharmacology
  • Antidepressive Agents / therapeutic use
  • Antifungal Agents / pharmacology
  • Antifungal Agents / therapeutic use
  • Cryptococcus neoformans*
  • Cryptococcus*
  • Humans
  • Meningitis, Cryptococcal* / drug therapy
  • Microbial Sensitivity Tests
  • Sertraline / pharmacology
  • Sertraline / therapeutic use

Substances

  • Antidepressive Agents
  • Antifungal Agents
  • Sertraline