1. Introduction
The compound 5,7-dichloro-2-[(dimethylamino)methyl]-8-hydroxyquinoline (PBT2) is a terdentate Cu
2+ and Zn
2+ chelator that was previously trialled as a therapeutic to treat Alzheimer’s disease (AD). Its anticipated mechanism of action was based on the controversial “metals hypothesis”, which proposed that AD results from aberrant interactions of the β-amyloid (Aβ) peptide with endogenous transition metal ions, notably Cu
2+, causing Aβ to misfold and generate reactive oxygen species (ROS) [
1,
2]. PBT2 was proposed to prevent these interactions, sequester transition metal ions thought to be trapped within extracellular β-amyloid aggregates, and then enable cellular uptake of these ions by ionophore action [
3]. However, repeated phase II clinical trials ultimately provided no evidence for cognitive efficacy of PBT2 in patients with prodromal or mild AD [
4,
5].
Using electron paramagnetic resonance (EPR) spectroscopy, the Cu
2+ coordination of this class of ligand (L) was first characterized using the non-chlorinated homologue of PBT2 (
Figure 1), which was shown to form a terdentate CuL complex and a five-coordinate CuL
2 complex [
6]. The proposed structure of CuL
2 has been replicated in the crystal structure of PBT2 [
7], and the UV-vis and EPR spectroscopic properties of Cu(PBT2) and Cu(PBT2)
2 have been shown to mirror those of the non-chlorinated homologue [
6,
7,
8,
9] (
Table S1). Early EPR studies also showed that both ligands form ternary CuLN
ImX complexes (
Figure 1) in which the labile Cl
− ligand of CuL is replaced with an imine (N
Im) donor ligand provided by X = imidazole, histamine, L-His, or proteins such as α-synuclein and Aβ (see, in particular,
Figure S33 of ref. [
6]). However, despite recently identifying a similar EPR spectroscopic signature using a Cu/PBT2/Aβ
1–42 mixture, George and coworkers ascribed the signal to a unique PBT2-inaccessible Cu(Aβ) species and concluded that there was no evidence to support formation of a ternary Cu
2+ complex [
10]. Since this could be interpreted by some as a reason for the failure of PBT2 in AD clinical trials, it is important to resolve this contradiction.
To address the above issue, we used EPR spectroscopy to analyze the species distributions in Cu/PBT2/Aβ mixtures in unprecedented detail. We identified ternary Cu(PBT2)NImX complex formation with X = His6 and His13/14 of Aβ1–40 and derived the corresponding stepwise conditional formation constants at pH 7.4. For comparison, we also determined the conditional formation constants for X = imidazole and histamine using PBT2 and its non-chlorinated homologue. The stepwise conditional formation constant for Cu(PBT2)NImH6 was found to be 3.5-fold larger than that for Cu(PBT2)2 at pH 7.4 and 100-fold larger than the stepwise formation constants for Cu(PBT2)NImH13/14 and Cu(PBT2)NImX (X = imidazole, histamine).
2. Results
To characterize the Cu
2+ complexes formed by PBT2 in the presence of Aβ, we titrated Cu
2+ into an equimolar mixture of PBT2 and Aβ
1–40 in PBS pH 7.4 and acquired the corresponding EPR spectra (
Figure 2a). To determine the species distribution, each spectrum was decomposed into a linear superposition of basis spectra (
Figure 2b) corresponding to Cu(PBT2), Cu(PBT2)
2, Cu(Aβ
1–40), Cu
2(Aβ
1–40), and the putative Cu(PBT2)N
ImAβ complex. The spectrum of Cu(PBT2) was obtained at equimolar Cu/PBT2 stoichiometry and that of Cu(PBT2)
2 at sub-stoichiometric ratios (
Figure S1). The spectra of Cu(Aβ) and Cu
2(Aβ) were acquired at Cu/Aβ ratios of 1:1 and 2.5:1 (
Figure S2). Attempts to use linear combinations of normalized Cu(PBT2), Cu(PBT2)
2, Cu(Aβ), and Cu
2(Aβ) spectra failed to reproduce the EPR spectra of Cu/PBT2/Aβ
1–40 n:1:1 (
n = 0–2.67), indicating that additional species must be formed. Indeed, the dominant spectral features did not resemble any of those of the above four species (
Figure 2b;
Figure S3). Rather, they corresponded closely to those of previously characterized CuLN
Im complexes (
Table 1) [
6,
8,
11], indicating that Cu(PBT2) can anchor on the imine nitrogen (N
Im) of the His side chains of Aβ
1–40.
To quantify the number and stabilities of ternary Cu(PBT2)N
ImAβ interactions, it is important to consider how the His residues participate in binary Cu(Aβ) complexes. At pH 7.4, Cu(Aβ) is dominated by {NH
2D1, C=O
D1, N
ImH6, N
ImH13} and {NH
2D1, C=O
D1, N
ImH6, N
ImH14} coordination spheres with indistinguishable EPR spectra [
12,
13,
14]. Thus, His6 is absolutely required to form Cu(Aβ), whereas only one of His13 or His14 is needed. Thus, anchoring of Cu(PBT2) on His6 to form Cu(PBT2)N
ImH6 will occur at the expense of Cu(Aβ), whereas anchoring on one of His13 or His14 to form Cu(PBT2)N
ImH13/14 will not. Sequential binding of a second Cu
2+ ion by Cu(Aβ) generates Cu
2(Aβ). The coordination in Cu
2(Aβ) remains poorly defined, with one suggestion that sequential binding of a second Cu
2+ ion changes the coordination of the first [
15]. However, it will be shown below that a satisfactory explanation of the species distributions requires that His6 remains Cu
2+-bound and His13 or His14 non-coordinated in Cu
2(Aβ).
The conditional constants (
) for formation of Cu(PBT2), Cu(PBT2)
2, Cu(Aβ), and Cu
2(Aβ) at pH 7.4 have all been previously determined (
Table S2), which greatly simplified the task of determining the species distribution of the Cu/PBT2/Aβ
1–40 n:1:1 system. Using these values and the EPR basis spectra (
Figure 2b), we fitted the series of EPR spectra in
Figure 2a as a function of the unknown constants
c and
c (see
Section 4.3 for detail). The best agreement between the experimental and theoretical species distributions (
Figure 2c) was obtained for log
c = 6.4 ± 0.1 and log
c = 4.4 ± 0.1 (
Table 2). Allowing the conditional formation constants
c and
c to vary beyond their generally accepted ranges worsened the fit. Although we did not refine the value of
c, we found that large changes from its published value also worsened the fit unless
c was set to a value beyond its accepted range.
The general appearance of the species distributions for Cu/PBT2/Aβ
1–40 n:1:1 (
Figure 2c,
Figure S5) can be understood as follows. For small
n, the 1000-fold greater stability of Cu(PBT2) compared with Cu(Aβ) (
Table 2) ensures that Cu
2+ will first bind to PBT2, with the identity of the fourth in-plane ligand then being determined by the relative magnitudes of the stepwise constants
c c. Thus, for
n < 1, Cu
2+ is predominantly bound in a Cu(PBT2)N
ImH6 complex with a minor quantity of Cu(PBT2)
2. For
n = 1, Cu(PBT2)
2 is almost entirely replaced by Cu(PBT2)N
ImH6 and Cu(PBT2)N
ImH13/14, which only require one PBT2 molecule per Cu
2+ ion. For
n > 1, with no free PBT2 molecules available, the additional Cu
2+ is coordinated in the next most stable binary complex, which is Cu(Aβ) (log
c = 10.0 ± 0.1). However, because Cu(Aβ) coordination requires His6, some Cu(PBT2) detaches from His6 and anchors instead on a His13 or His14 side chain, albeit with lower stability, to form Cu(PBT2)N
ImH13/14. As the available sites at His6 are gradually filled by Cu(Aβ), stepwise addition of a second Cu
2+ ion to the peptide occurs (log
c = 8.0 ± 0.1) to form Cu
2(Aβ). Maximum occupancy of the Cu/PBT2/Aβ
1–40 n:1:1 system is reached at
n = 3, with two Cu
2+ ions are bound to the “first” and “second” sites of Aβ, and a third Cu
2+ ion bound either to Cu(PBT2) that is free (minor) or anchored to His13/14 of Cu
2(Aβ) in a Cu(PBT2)N
ImH13/14 complex (major).
More than three Cu
2+ ions cannot be accommodated by an equimolar PBT2/Aβ mixture, with the excess Cu
2+ ions existing as aqueous copper that will precipitate as [Cu(OH)
2]
n at pH 7.4. Inclusion of Cu(PBT2)N
ImH13/14, whose formation does not depend on the Cu
2+ loading state of Aβ, was essential to fit the experimental data. Alternative explanations of the physical origin of the lower-affinity ternary complex, such as a change in coordination of the first-bound Cu
2+ ion in Cu
2(Aβ), can be ruled out because the concentration of Cu
2(Aβ) relative to that of the ternary complex is too low at
n < 2 (
Figure S5).
The fact that
c is 100-fold larger than
c indicates that either Cu(PBT2)N
ImH6 is stabilized by favorable outer-sphere ligand–peptide interactions and/or that Cu(PBT2)N
ImH13/14 is destabilized by such interactions. To distinguish between these possibilities, we repeated the EPR analyses using Cu/PBT2/X 1:1:
n systems with relatively unstructured N
Im donor ligands from X = imidazole (
Figures S6–S8) and histamine (
Figures S9–S11). The EPR spectra of the isolated ternary Cu(PBT2)N
ImX complexes were characterized by the same parameters as Cu(PBT2)N
ImAβ spectra (
Table 1), confirming that each of these ternary Cu
2+ complexes involves monodentate N
Im coordination of the co-ligand (
Figure 1). The difference between
c and
c was within experimental error, whereas
c was slightly lower than these constants (
Table 2). Thus, we may conclude that the stability of Cu(PBT2)N
ImH13/14 is not strongly influenced by outer-sphere ligand–peptide interactions, whereas such interactions greatly enhance the stability of Cu(PBT2)N
ImH6.
To independently verify the EPR method for deriving the conditional formation constants, we performed the same analyses for ternary complexes of the non-chlorinated homologue of PBT2 (L′) with imidazole (
Figures S12–S14) and compared the value with that previously determined using potentiometric titrations [
11]. After pH correction of the absolute stability constants (
Table S3),
c was not significantly different from that determined here using EPR (
Table S2) and, similar to PBT2, slightly higher than
c (
Figures S15–S17).
3. Discussion
EPR spectroscopy isolated a common Cu(PBT2)N
ImAβ spectrum for (
Figure S3) for both Cu(PBT2)N
ImH6 and Cu(PBT2)N
ImH13/14 because they have very similar first coordination spheres. Nevertheless, as has been shown for other terdentate Cu
2+ chelators [
27,
28], ternary complexes with different N
Im donor ligands can be distinguished based on their distinct formation constants, which are determined by outer-sphere interactions to which continuous-wave EPR is typically insensitive. Importantly, the spectroscopic signature of Cu(PBT2)N
ImAβ isolated here for Cu/PBT2/Aβ
1–40 n:1:1 closely matches that reported for the species isolated in Cu/PBT2/Aβ
1–42 1:2:1 [
10]. In the latter study, the authors ascribed this to a unique PBT2-inaccessible Cu(Aβ) complex and concluded that there was no evidence for ternary complex formation. However, we have shown that CuLN
ImX complexes with this spectroscopic signature are formed by PBT2 with a number of N
Im donor ligands X (
Table 1,
Table S1). Moreover, we demonstrated the requirement for two such complexes — Cu(PBT2)N
ImH6 and Cu(PBT2)N
ImH13/14 — with distinct stabilities (
Table 2) to explain the species distributions of Cu/PBT2/Aβ
1–40 mixtures. The relatively high stability of Cu(PBT2)N
ImH6 compared with complexes formed with other N
Im donors might result from stabilizing pi–pi stacking of the aromatic rings of PBT2 and Phe4 or Tyr10, although a combination of electrostatic, steric, and hydrogen-bonding effects may contribute.
Despite the large ternary formation constant for Cu(PBT2)N
ImH6, PBT2 remains a promiscuous Cu
2+ chelator because it is capable of forming a ternary Cu(PBT2)N
Im complex with all N
Im donor ligands, including ubiquitous His side chains of peptides and proteins in the biological milieu, whose combined effect should outweigh that of a single Cu(PBT2)N
ImAβ complex regardless of its stability. We therefore conclude that PBT2 is capable of accessing Cu(Aβ) complexes with high stability but not specificity. Potential functional implications of Cu(PBT2)N
Im complexes have been discussed in our previous studies of the non-chlorinated PBT2 homologue. First, as an alternative to acting as a mobile ion carrier (ionophore) in a lipid membrane, endocytosis of extracellular proteins on which Cu(PBT2) is anchored, followed by release of Cu
2+ in low-pH and/or reducing intracellular compartments, may contribute to bulk transport of these ions [
6]. Second, their production of ROS in the presence of ascorbate [
11], in addition to the modulation of cellular ROS signaling following exposure to this class of ligand [
16], contrasts with the originally intended ROS-silencing of function of PBT2 [
17].
Recently, PBT2 has found renewed interest as an antimicrobial compound. Notably, a number of gram-positive bacteria became re-sensitized to previously resistant classes of antibiotic when these antibiotics were supplemented with PBT2 and Zn
2+ in mouse models of wound healing [
18] and pneumonia [
19]. These results have been attributed multiple bactericidal mechanisms associated with intracellular Zn
2+ accumulation, including impairment of Mn-dependent superoxide dismutase and production of ROS [
20]. Although ligands generally have a greater affinity for Cu
2+ compared with Zn
2+ [
21], the above effects were observed in response to co-administration of PBT2 (~1 μM) with an excess of Zn
2+ (~100 μM). Therefore, remains unclear whether ternary Cu(PBT2)N
Im complexes may be formed under these conditions. However, given the ability of PBT2 to also form terdentate Zn
2+ chelates [
7], the role of similar Zn(PBT2)N
Im complexes in the antimicrobial activity of Zn/PBT2 may be speculated.