2. Inhibitors
2.1. Strategies Used for Developing m6A Demethylases Inhibitors
Since FTO and ALKBH5 rely on cofactors 2OG and Fe
2+ for their m6A demethylation activity, early studies focused on screening a series of 2OG analogues and related compounds as their inhibitors
[15]. Structure-based virtual screening of different compound libraries was an important way to obtain potent FTO/ALKBH5 inhibitors
[16][17][18][19][20][21]. Interestingly, a high-throughput fluorescence polarization (FP) assay was performed for compounds that competed with FTO/ALKBH5 for binding to m6A-containing single-stranded nucleic acids, and meclofenamic acid (MA) was found to be a selective inhibitor of FTO over ALKBH5
[22]. Later on, Svensen and Jaffrey reported an approach to identify FTO inhibitors by using a fluorometric RNA substrate based on broccoli aptamer
[23]. Das and co-workers designed a multi-protein dynamic combinatorial chemistry (DCC) system for screening FTO inhibitors
[24]. More recently, Zhang et al. developed a single quantum dot-based Förster resonance energy transfer (FRET) nanosensor for FTO inhibitor screening
[25]. Chang’s team identified several types of compounds that inhibit FTO activity through fluorescence quenching and molecular modeling studies
[26][27][28]. Moreover, combining the information from crystal structures of ligand–protein complexes and structure-based drug designs was also an efficient approach to discover potent inhibitors with distinct chemical scaffolds
[29][30][31].
2.2. FTO Inhibitors
2.2.1. Metal-Chelating Inhibitors
Since the 2OG dependent oxygenases shared the same protein-folding pattern, conserved cofactor, and substrate-binding sites, several 2OG oxygenases generic inhibitors have been shown to suppress FTO demethylation in vitro. These chemical inhibitors included 2OG, as well as pyridyl-, hydroxyquinoline-, and isoquinoline-based compounds
[15][32]. Although they showed the different compound scaffolds, these inhibitors were all located in the 2OG binding pocket and chelated the metal ion in a bidentate manner. For instance, the 2OG competitive inhibitor 2-hydroxyglutarate (R-2HG, compound
1,
Figure 3) has been identified as an FTO inhibitor, which displayed anticancer activity in leukemia and glioma
[32][33]. N-oxalylglycine (NOG, compound
2,
Figure 3), pyridine-2,4-dicarboxylate (2,4-PDCA, compound
3,
Figure 3), and compound
4 (
Figure 3) inhibited FTO demethylation in vitro, the IC
50 values of which were 44, 8.3 and 15 μM, respectively
[15].
Figure 3. Metal-chelating inhibitors of FTO.
The 2D protein-ligand interaction diagrams were processed in four steps: (1) load the PDB file of the crystal complex into the MOE software; (2) rotate the crystal structure to a suitable angle and click “Compute” and “Ligand Interactions” buttons to create 2D diagrams; (3) change the “Legend” dropdown to “Rendering Options”, increase the residue size to 1.8 angstroms, and click “Apply”; and (4) save the diagram as an image in the TIF format with default parameters. Structures for FTO in complexes with NOG (PDB ID: 4IDZ) and 2,4-PDCA (PDB ID: 4IE0) showed that both of them are bound to metal ions (
Figure 5A,B). Moreover, they further interacted with residues Arg316, Ser318, and Tyr295 of the side chains. In the complex of FTO with 4 (PDB ID: 4IE5), the pyridine ring of 4 nearly reached the substrate-binding site of FTO, which might spatially compete with the catalytic substrate (
Figure 5C). Moreover, 8-QH (compound
5,
Figure 3) was a relatively potent FTO inhibitor with an IC
50 value of 3.3 μM. The crystal structure of FTO-8-QH (PDB ID: 4IE4) showed that 8-QH doubly chelated the Zn
2+ ion with hydroxyl and nitrogen of the hydroxyquinoline in a similar way to NOG (
Figure 5D). IOX3 (compound
6,
Figure 3) and FG-4592 (compound
7,
Figure 3) were known as prolyl-hydroxylase inhibitors
[34], which also showed good inhibitory activity against FTO with IC
50 of 2.8 and 9.8 μM, respectively
[15][35]. The crystal structure of FTO-IOX3 (PDB ID: 4IE6) indicated that its chlorine atom of the isoquinoline group reached the substrate-binding site (
Figure 5E).
Figure 5. Two-dimensional representation of ligand–protein interactions of FTO inhibitors with FTO protein using MOE software. In MOE, the polar and non-polar residues are shown in pink and green disks; the water molecules are drawn as white circles; the metal ions are shown in grey circles; the hydrogen bonds are indicated by green dotted lines. (A–M) Ligand interactions of FTO with distinct compounds: (A) NOG (PDB ID: 4IDZ); (B) pyridine-2,4-dicarboxylate (2,4-PDCA, PDB ID: 4IE0); (C) 4 (PDB ID: 4IE5); (D) 8-QH (PDB ID: 4IE4); (E) IOX3 (PDB ID: 4IE6); (F) rhein (PDB ID: 4IE7); (G) 9a (PDB ID: 4CXW); (H) Meclofenamic acid (MA) (PDB ID: 4QKN); (I) fluorescein (PDB ID: 4ZS2); (J) FB23 (PDB ID: 6AKW); (K) N-CDPCB (PDB ID: 5DAB); (L) CHTB (PDB ID: 5F8P); and (M) entacapone (PDB ID: 6AK4).
In 2012, Chen et al. identified the natural product rhein (compound
8,
Figure 3) (IC
50 = 21 μM) as a competitive substrate inhibitor of FTO
[17]. Further, rhein was the first discovered cell-active FTO inhibitor, which could inhibit cellular FTO demethylase activity. In molecular modeling of FTO-rhein (PDB ID: 4IE7), rhein occupied the binding sites of 3-meT, 2OG, and Fe
2+. It is important to mention that this special structure blocked the binding of m6A containing ssDNA/ssRNA substrates to FTO (
Figure 5F). Compound
9a (
Figure 3) acted as a selective inhibitor of FTO (IC
50 = 0.6 μM) compared to ALKBH5 (IC
50 = 96.5 μM) and other AlkB subfamilies
[36]. To view the superimposition from an FTO-3-meT-NOG (PDB ID: 3LFM) structure with that of FTO-
9a (PDB ID: 4CXW),
9a occupied both 2OG and nucleotide acid binding sites (
Figure 5G). The fumarate hydrazide of
9a was bound in the same combination as NOG, while the 4-benzyl pyridine side-chain sat in the nucleotide-binding site. Inferentially, the interaction between the pyridine nitrogen atom of
9a and Glu234 of FTO was the key factor for the high binding selectivity of FTO. In contrast, in other AlkB subfamilies, it was significantly weakened and even disappeared. In particular, both compound
9a and its ethyl ester derivative
9b (
Figure 3) showed low cytotoxicity and significantly increased the global level of m6A in HeLa cells. Shishodia et al. used knowledge of the interaction of FTO with 2OG and substrates to design synthetic FTO inhibitors, of which compound
10 (IC
50 = 1.5 μM,
Figure 3) exhibited the best inhibitory activity
[29].
Compound MO-I-500 (compound
11,
Figure 3), a dihydroxyfuran sulfonamide
[37], was the first identified as an FTO inhibitor, which displayed anticonvulsant activity. In the superposition of the MO-I-500 to NOG-FTO complex (PDB ID: 3LFM), this compound is located at the 2OG active site, and the hydroxyl oxygens of dihydroxyfuran chelated with the metal ion in opposite directions. The molecule MO-I-500 displayed anticonvulsant activity in the 6 Hz
mouse model at a nontoxic dose, increased the total m6A level of cellular RNA, and altered the production of relative microRNAs. Through using a multi-protein DCC strategy, compound
12 (
Figure 3) was identified as a FTO (IC
50 = 2.6 μM) selective inhibitor, in comparison with ALKBH5 (IC
50 = 201.3 μM)
[24]. The structural model of FTO-
12 revealed that compound
12 coordinated with Fe
2+ in a bidentate manner, which was further stabilized by a combination of hydrogen-bonding and salt bridge interactions with Arg96, Arg319, Tyr295, and Ser318 of side chains from FTO. Two compounds
13a (IC
50 = 1.46 µM,
Figure 3) and
13b (IC
50 = 28.9 µM,
Figure 3) were defined as FTO inhibitors through a virtual screening on the ZINC compound library
[18]. Molecular docking calculations revealed specific interactions between the amino acid residues of the FTO proteins Asp233, Tyr106, Glu234, Arg96, and Arg322, as well as two compounds. Importantly, compounds
13a and
13b are the first FTO inhibitors demonstrated to support the survival and rescue dopamine neurons from growth factor deprivation-induced apoptosis in vitro.
2.2.2. Substrate Competitive Inhibitors
Meclofenamic acid (MA) (compound
14a,
Figure 4) and its derivatives were determined to be substrate competitive selective inhibitors of FTO
[22][38][39]. When structural superimposition of the complexes of FTO-MA (PDB ID: 4QKN) and FTO-3-meT (PDB ID: 3LFM) was accomplished, in this case, MA partially covered the binding site of 3-meT in an L shape. In addition, there were stable hydrophobic interactions between a part of the FTO NRL and the carboxyl acid substituent of MA (
Figure 5H)
[22]. However, these hydrophobic interactions did not appear in the NRL of ALKBH5, which reduced the binding of MA to ALKBH5. MA2 (compound
14b,
Figure 4), an ethyl ester derivative of MA, was a cell-active inhibitor of FTO, which could enhance the overall level of m6A in HeLa cells. Inspired by the specific binding of MA to FTO, fluorescein (compound
15a,
Figure 4) and its derivatives, i.e., FL2 and FL2-DZ (compound
15b and compound
15c,
Figure 4), were explored as FTO inhibitors with IC
50 = 3.23 μM, 1.72 μM, and 4.49 μM, respectively. In FTO fluorescein’s (PDB ID: 4ZS2) crystal, fluorescein sat in the nucleotide-binding site of FTO, which was similar to MA (
Figure 5I). Among them, FL2-DZ could selectively inhibit the demethylation of FTO. FL2-DZ also showed specific photo-affinity labeling of intracellular FTO because of the diazirine unit
[39]. Thus, these fluorescein derivatives have dual functions of inhibiting FTO activity and labeling FTO. More recently, selective inhibitors FB23 (compound
16a,
Figure 4) and FB23-2 (compound
16b,
Figure 4) were synthesized by extending the dichloride-substituted benzene of MA. They were more efficient with IC
50 values of 0.06 μM and 2.6 μM, respectively
[38]. In the FTO-FB23 crystalline complex (PDB ID: 6AKW), FB23 occupied the entire binding position of MA in a similar L shape (
Figure 5J). For FB23, the phenyl carboxylic acid substituent of MA was retained, forming several hydrophobic interactions with the nucleotide recognition cap. Hence, it showed the specific recognition capability of FTO compared to ALKBH5. Moreover, several hydrogen bonds were found between nitrogen or oxygen in the heterocyclic ring of FB23 and Glu234 of FTO, which was beneficial for the FB23 inhibitory activity of FTO. In vitro and in vivo research confirmed that FB23-2 improved the anti-proliferative activity of AML cell line cells and inhibited primary AML LSCs in
mouse models.
Figure 4. Substrate competitive inhibitors of FTO.
A series of benzene-1,3-diol derivatives were identified as selective inhibitors of FTO. They were N-CDPCB (compound
17,
Figure 4)
[30], CHTB (compound
18,
Figure 4)
[40], and radicicol (compound
19,
Figure 4)
[19]. IC50 values of N-CDPCB, CHTB and radicicol were 4.95 μM, 39.24 μM and 16.04 μM, respectively. In the crystal of compounds FTO-N-CDPCB (PDB ID: 5DAB) and N-CDPCB was sandwiched between the β-sheet and the L1 loop of FTO at the extension of the 2OG binding site (
Figure 5K)
[30]. In addition, the chlorine group was crucial for strengthening the N-CDPCB-FTO complex
[30]. According to the binding pocket of N-CDPCB to FTO, a novel binding site was observed, which was partly overlapped with the inhibitor MA, not the 3-meT position. Interestingly, CHTB occupied the entire MA binding site in a similar L-shaped fashion in the crystal of FTO-CHTB (PDB ID: 5F8P)
[40]. There were visible interactions between the chlorine atom in the chroman ring and several residues (Val83, Ile85, Leu90, and Thr92) of FTO in the hydrophobic pocket (
Figure 5L). A hydrogen bond was also formed between residue Glu234 and the benzene hydroxyl group. Moreover, both N-CDPCB and CHTB were able to increase m6A abundance in total mRNA in 3T3-L1 cells. Inspired by the common structural features of N-CDPCB and CHTB, Chang’s group performed a structure-based virtual screening of compounds containing the 4-Cl-1,3-diol group and identified the natural compound radicicol as an effective FTO inhibitor
[19]. Radicicol is bound to FTO and located at a similar cavity in the crystal of the FTO-radicicol complex, compared to N-CDPCB’s in an L-shaped conformation. One of the obvious differences between these two crystal complexes was that the conservative 4-Cl-1,3-diol group was bound to FTO in different orientations.
Additionally, by using Schrödinger software for molecular docking to target the MA binding site of FTO, a study designed and synthesized chemically distinct FTO inhibitors, of which FTO-04 (compound
20,
Figure 4) was identified as a competitive inhibitor of FTO (IC
50 = 3.39 μM) over ALKBH5 (IC
50 = 39. 4 μM)
[31]. Importantly, research demonstrated that FTO could impair the self-renewal properties of GSCs to inhibit neurosphere formation without altering the growth of
human neural stem cell neurospheres. Prakash and co-workers synthesized compound
21a (
Figure 4) as a potent FTO selectivity inhibitor (IC
50 = 0.087 μM) by merging the key fragments of compound
9a and MA
[41]. Moreover, the ester prodrug
21b of compound
21a could reduce the viability of AML cells by downregulating MYC and upregulating RARA, which was consistent with previous reports on the anticancer effect of pharmacological FTO inhibition
[32][42].
In 2020, Chen and co-workers determined CS1 (compound
22a,
Figure 4) and CS2 (compound
22b,
Figure 4) as potent and selective FTO inhibitors through conducting a structure-based virtual screening
[20]. Both CS1 and CS2 displayed a much higher anti-leukemic efficacy in comparison to FB23–2 in vitro and in vivo by modulating the expression of FTO target genes, including MYC, RARA, and ASB2. Moreover, this study also confirmed that CS1 and CS2 reprogramed immune response by reducing immune checkpoint gene expressions, especially leukocyte immunoglobulin-like receptor (LILRB4)
[20]. In the same year, diacerein (compound
23,
Figure 4) was identified as an FTO inhibitor by using a single quantum dot-based FRET nanosensor with an IC
50 value of 1.51 μM
[25]. Molecular modeling studies have suggested that diacerein possibly competed with m6A-containing ssDNA for FTO binding through forming hydrogen bonding with the amino acid residues of FTO protein. In addition, researchers validated the anti-proliferation effects of Saikosaponin-d (SsD, compound
24,
Figure 4) in AML by targeting the m6A demethylation activity of FTO
[43]. In vitro experiments showed that SsD exhibited good inhibitory activity on FTO demethylation with a low IC
50 value of 0.46 μM. Importantly, they also demonstrated that SsD could overcome the resistance to tyrosine kinase inhibitors by suppressing FTO-mediated m6A RNA methylation pathways.
2.2.3. FTO Inhibitors with Other Scaffolds
Svensen and Jaffrey found a fluorogenic-methylated substrate for FTO based on the Broccoli aptamer
[23]. After demethylation by FTO, this substrate was fluorescent. Subsequently, the fluorescent substrate was utilized to high-throughput screen FTO inhibitors with different chemical structures. As a consequence, a series of novel effective inhibitors were found, including amiloride analogue compound
25a (
Figure 6), methionine derivative
25b (
Figure 6), rhein analogues
25c-1 and
25c-2 (
Figure 6), MA analogues
25d (
Figure 6), and other scaffolds (
25e-1,
25e-2,
25e-3,
25e-4,
25e-5) (
Figure 6) with low IC
50 values ranging from 0.34 μM to 3.00 μM. In comparison with ALKBH5,
25e-1 and
25e-4 showed selectivity for FTO. Further,
25c-2,
25e-1, and
25e-3 were cell-active in inhibiting FTO demethylase activity. These compounds provide new information for the design of more potent FTO inhibitors with new structural scaffolds.
Figure 6. FTO inhibitors with different scaffolds.
Additionally, through structure-based virtual screening of U.S. Food and Drug Administration (FDA)-approved drugs, Peng et al. discovered that entacapone (compound
26a,
Figure 6) was a substrate, as well as the 2OG cofactor competitive inhibitor of FTO
[16]. Entacapone was structurally distinct from any reported inhibitors of FTO, the IC
50 value of which was 3.5 μM. In the crystal of entacapone bound with FTO (PDB ID: 6AK4), hydrogen bonds could be discovered between the heterotopic hydroxyl group on the nitrocatechol ring with residues from the substrate-binding site (
Figure 5M). Additionally, the nitrile group of the compound could chelate with Zn
2+, which was recently reported in histone demethylase protein–ligand complex cases. Interestingly, the flexible tail of diethyl-propanamide was embedded deeply in the cofactor binding site. Furthermore, compounds
26b (
Figure 6) and
26c (
Figure 6) were designed and synthesized by replacing the flexible diethyl tail of entacapone with alicyclic groups, enhancing the inhibitory activity of FTO with IC
50 values of 1.2 and 0.7 μM, respectively.
Combining the fluorescence quenching technology, several inhibitors were found to decrease the demethylase activity of FTO, including nafamostat mesylate (compound
27,
Figure 6)
[26], clausine E (compound
28,
Figure 6)
[27], 2-phenyl-1H-benzimidazole
29 (
Figure 6)
[28], fluoronucleoside analogue
30 (
Figure 6)
[44], (s)-hydroxycamptothecin (compound
31,
Figure 6)
[45], flavonols
32a and
32b (
Figure 6)
[46], clenbuterol
33 (
Figure 6)
[47], pyrazole derivative
34 (
Figure 6)
[48], 1,3-diazaheterocyclic compounds
35a and
35b (
Figure 6)
[49], and 3-substituted 2-aminochromones
36a and
36b (
Figure 6)
[50]. Among them, nafamostat mesylate, clausine E, and compound
29 showed good inhibitory activity against FTO with IC
50 values of 13.77 μM, 27.79 μM, and 24.65 μM, respectively. Moreover, molecular docking model analysis showed that the affinity bindings between FTO and these molecules were mainly forced by the hydrophobic and hydrogen bonds interactions with residues from the active cavity of FTO, which were similar to the binding modes between FTO and other inhibitors.
2.3. ALKBH5 Inhibitors
Recently, several research groups found that 2OG inhibitors showed the inhibiting activity of ALKBH5 demethylase. In these cases, the crystalline complexes of ALKBH5 with different compounds were also obtained to display the direct structural evidence
[51][52][53][54]. For instance, NOG and succinate (compound
37,
Figure 7) showed IC
50 values of 25.85 μM and 30.00 μM, respectively. However, different from FTO, 2,4-PDCA (IC
50 = 347.2 μM) and citrate (compound
38, IC
50 = 488 μM) were moderate inhibitors of ALKBH5 (
Figure 7). In the ALKBH5 crystal with NOG, succinate, and 2,4-PDCA (PDB IDs: 4NRP
[52], 4NPM
[54], or 4NRQ
[52]), all of the corresponding inhibitors were located in the 2OG active site of ALKBH5 and chelated with Mn
2+ (
Figure 8A–C). Moreover, according to the overlay of ALKBH5-citrate (PDB entry 4O61) and FTO-citrate (PDB entry 4IE7), the citrate molecule competed with 2OG, and the 2OG binding sites were partially covered by its positions (
Figure 8D)
[53]. One possible reason was that the residues Ile281 and Tyr195 of ALKBH5 blocked citrate from reaching the 2OG active site. Notably, even if citrate displayed the modest inhibitory activity on the ALKBH family dioxygenases, the discrepancies of citrate binding to FTO and ALKBH5 could provide a strategy to design new types of ALKBH5-specific inhibitors.
Figure 7. ALKBH5 inhibitors.
Figure 8. Two-dimensional representation of ligand–protein interactions of ALKBH5 inhibitors with ALKBH5 protein using MOE software. (A–D) Crystal structures of ALKBH5 with different compounds: (A) NOG (PDB ID: 4NRP); (B) succinate (PDB ID: 4NPM); (C) 2,4-PDCA (PDB ID: 4NRQ); (D) citrate (PDB ID: 4O61).
The imidazobenzoxazin-5-thione MV1035 (compound
39,
Figure 7) was demonstrated to inhibit ALKBH5 demethylase activity in vitro. At the same time, it significantly reduced the migration and invasiveness of the U87 glioblastoma cell lines
[55]. In this case, they reported a potential binding site for MV1035 within ALKBH5. MV1035 overlapped with the catalytic site of the enzyme, specifically near the carboxylate group of 2OG. Recently, a structure-based virtual screening identified two compounds, 2-[(1-hydroxy-2-oxo-2-phenylethyl)sulfanyl]acetic acid(compound
40,
Figure 7)) and 4-{[(furan-2-yl)methyl]amino}-1,2-diazinane-3,6-dione (compound
41,
Figure 7)), which acted as ALKBH5 inhibitors with IC
50 values of 0.84 μM and 1.79 μM, respectively
[21]. This study also demonstrated that these two inhibitors suppressed the cell proliferation of several AML cell lines at low micromolar concentrations, with IC
50 ranging from 1.38 to 16.5 μM. In addition, some FTO inhibitors also showed similar activity with ALKBH5. For example, amiloride analogue
25a (
Figure 7), rhein analog
25c-2 (
Figure 7), and compound
25e-3 (
Figure 7) showed inhibitory activity with IC
50 values of 1.98 μM, 7.13 μM, and 1.24 μM for target ALKBH5, respectively.