Botulinum neurotoxin (BoNT) serotype A is the most lethal known toxin and has an occluded structure which prevents direct inhibition of its active site before it enters the cytosol. We combine in situ click target-guided synthesis with synthetic epitope-targeting to exploit the tertiary structure of the BoNT protein as a landscape for assembling a competitive inhibitor. A substrate mimicking peptide macrocycle is used as a direct inhibitor of BoNT. An epitope targeted in situ click screen is utilized to identify a second peptide macrocycle ligand that binds to an epitope that, in the folded BoNT structure, is active site adjacent. A second in situ click screen identifies a molecular bridge between the two macrocycles. The resulting divalent inhibitor exhibits an inhibition constant of 165 pM in vitro against the BoNT/A catalytic chain. The inhibitor is carried into cells by the intact holotoxin, and demonstrates protection and rescue of BoNT intoxication in a human neuron model.
Keywordstarget-guided synthesis; botulinum neurotoxin; combinatorial screening; epitope targeting; peptides Botulinum neurotoxin (BoNT) serotype A is the most lethal known toxin and is produced by some species of the bacterial genus Clostridium. BoNT/A is a chemodenervating zincdependent protease that prevent the Ca 2+ -triggered release of acetylcholine in neuromuscular junctions, by cleaving one of the three SNARE proteins required for synaptic vesicle