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Review
. 2021 Jun;13(11):1001-1015.
doi: 10.4155/fmc-2021-0036. Epub 2021 Apr 22.

Small-molecule inhibitors of carboxylesterase Notum

Affiliations
Review

Small-molecule inhibitors of carboxylesterase Notum

Yuguang Zhao et al. Future Med Chem. 2021 Jun.

Abstract

Notum has recently been identified as a negative regulator of Wnt signaling through the removal of an essential palmitoleate group from Wnt proteins. There are emerging reports that Notum plays a role in human disease, with published data suggesting that targeting Notum could represent a new therapeutic approach for treating cancer, osteoporosis and neurodegenerative disorders. Complementary hit-finding strategies have been applied with successful approaches that include high-throughput screening, activity-based protein profiling, screening of fragment libraries and virtual screening campaigns. Structural studies are accelerating the discovery of new inhibitors of Notum. Three fit-for-purpose examples are LP-922056, ABC99 and ARUK3001185. The application of these small-molecule inhibitors is helping to further advance an understanding of the role Notum plays in human disease.

Keywords: Notum inhibitors; Wnt signaling; activity-based protein profiling; fragment screening; high-throughput screening; hit-finding strategies; structural biology; virtual screening.

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Conflict of interest statement

Financial & competing interests disclosure

Y Zhao, EY Jones and PV Fish are co-inventors of patent application WO2020043866, which describes inhibitors of Notum. EY Jones is supported by Cancer Research UK (program grant: C375/A17721). The Wellcome Trust funds the Wellcome Centre for Human Genetics, University of Oxford (center grant: 203141/Z/16/Z). PV Fish is supported by Alzheimer's Research UK. The Alzheimer's Research UK UCL Drug Discovery Institute is core funded by Alzheimer's Research UK (520909). The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Figures

Figure 1.
Figure 1.. Notum depalmiteoylates Wnt proteins.
(A) Representation of the biochemical reaction that Notum exerts on palmitoleoylated Wnt proteins. (B) A cell-based TCF-LEF reporter assay can be used to assess activity in the Wnt/β-catenin pathway and shows that an increasing concentration of Notum reduces the Wnt3A signaling response. (C) Example of concentration–response curves with inhibitor 5 ± Notum. The Wnt3A signaling response is restored in the presence of Notum by the addition of a Notum inhibitor.
Figure 2.
Figure 2.. Notum is expressed in the liver and brain in mice.
(A) RNAscope of Notum (A′ red and A″) showing expression in the liver close to a central vein. A‴ is a zoom image. (B) RNAscope of Notum (B′ red and B″) showing expression in the subventricular zone in the brain close to GFAP-positive cells (green). B‴ is a zoom image. Confocal images. Hoechst indicates nuclear staining (blue) in all cases. Scale bar = 100 μm. Courtesy of S Jolly.
Figure 3.
Figure 3.. Cartoon representation of Notum structure.
(A) The enzyme core is shown as a gray cartoon with the lid domain in pale cyan. The lipophilic pocket is outlined as a purple surface. (B) Notum pocket-forming residues (white ball and sticks) and the substrate of palmitoleic acid (gray sticks) within the pocket (purple mesh). (C) Close-up view of pocket (purple) showing the alignment of substrates of Wnt palmitoleate (gray) and ghrelin octanoyl lipid (green/orange), along with representative inhibitor 15 (teal).
Figure 4.
Figure 4.. Examples of small-molecule inhibitors of Notum discovered by fragment-based drug design.
(A) Fragment hit 15 (green, Protein Data Bank [PDB]: 6ZUV) and optimized lead 16 (gold, PDB: 6ZVL). Oxadiazole 16 makes an effective interaction with the oxyanion hole while still filling the pocket (purple). (B) Fragment hit 11 (cyan, PDB: 6R8P) and derived inhibitor 12 (salmon, PDB: 6R8R). Isoquinoline 12 shows a flipped binding mode. (C) Natural alkaloids caffeine 22 (wheat, PDB: 6TV4) and theophylline 23 (teal, PDB: 6TUZ). Both compounds bind at the center of the pocket but with quite different orientations. (D) Overlay of all Notum–inhibitor structures (wire) aligned with O-palmitoleate serine (gray, PDB: 4UZQ).
Figure 5.
Figure 5.. New covalent inhibitor of Notum.
High-resolution crystal structure of the Notum–inhibitor complex reveals a covalent adduct formed between Notum and 24, which resembles the substrate acyl-enzyme intermediate (Protein Data Bank: 7ARG). The indolinyl rings of 24 (green) bind in the pocket (purple surface), whereas the oxobutanoyl chain acylates Ser232 of the catalytic triad (gray).

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