Abstract
   Drug repositioning research using transcriptome data has recently
   attracted attention. In this study, we attempted to identify new target
   proteins of the urotensin-II receptor antagonist, KR-37524
   (4-(3-bromo-4-(piperidin-4-yloxy)benzyl)-N-(3-(dimethylamino)phenyl)pip
   erazine-1-carboxamide dihydrochloride), using a transcriptome-based
   drug repositioning approach. To do this, we obtained KR-37524-induced
   gene expression profile changes in four cell lines (A375, A549, MCF7,
   and PC3), and compared them with the approved drug-induced gene
   expression profile changes available in the LINCS L1000 database to
   identify approved drugs with similar gene expression profile changes.
   Here, the similarity between the two gene expression profile changes
   was calculated using the connectivity score. We then selected proteins
   that are known targets of the top three approved drugs with the highest
   connectivity score in each cell line (12 drugs in total) as potential
   targets of KR-37524. Seven potential target proteins were
   experimentally confirmed using an in vitro binding assay. Through this
   analysis, we identified that neurologically regulated serotonin
   transporter proteins are new target proteins of KR-37524. These results
   indicate that the transcriptome-based drug repositioning approach can
   be used to identify new target proteins of a given compound, and we
   provide a standalone software developed in this study that will serve
   as a useful tool for drug repositioning.
   Subject terms: Computational models, Gene ontology, Virtual drug
   screening
Introduction
   Novel drug development is still a time-consuming and expensive
   task^[34]1,[35]2 because it is difficult to predict side effects or
   toxicity in advance^[36]3. Even if a drug is successfully developed and
   approved, its frequency of use decreases over time because of the
   emergence of more efficient drugs and the occurrence of unexpected
   resistance^[37]4. However, since approved drugs have already passed the
   verification of in vivo toxicity and side effects through clinical
   trials, drug repositioning or repurposing approaches can find potential
   new target proteins and therefore improve drug usability^[38]5,[39]6.
   This is more efficient and easier than the development of an entirely
   new drug^[40]7,[41]8. For this reason, the drug repositioning approach
   has recently been favored for new drug development.
   Computational drug repositioning is an efficient approach for screening
   new target proteins. Various computational drug repositioning methods
   have been developed using transcriptome data to identify potential new
   target proteins for drugs, such as comparing gene expression profile
   changes between disease models and drug treatment
   conditions^[42]9,[43]10, prediction of drug-protein
   interactions^[44]11–[45]13, and network integration^[46]14,[47]15. In
   addition, the Connectivity Map (CMap) database has provided a total of
   564 gene expression profiles of 143 distinct bioactive small-molecule
   perturbagens representing 453 individual instances since 2006^[48]16.
   Many computational methods use CMap to predict unknown drug-disease
   associations based on the inverse correlation of gene expression
   patterns^[49]17,[50]18. The Library of Integrated Network-based
   Cellular Signatures (LINCS) L1000 database extends CMap to include a
   larger number of gene expression profiles^[51]19. The LINCS L1000
   database provides gene expression profiles induced by approximately
   33,000 small molecules in 99 cell lines, and is therefore highly useful
   for new drug discovery and repositioning^[52]20,[53]21.
   We previously developed novel urotensin-II receptor antagonists such as
   KR-36676^[54]22 and KR-36996^[55]23,[56]24, which are derived from
   benzo[b]thiophene-2-carboxamide. These compounds acted selectively
   against the urotensin-II receptor with good affinity (Ki = 0.7 nM and
   4.44 nM for KR-36676 and KR-36996, respectively) in cellular events
   such as stress fiber formation and cellular hypertrophy. However, drug
   development of these compounds has since been discontinued. This
   decision was made after preliminary efficacy data from a
   proof-of-concept program yielded unsatisfactory results and identified
   cardiotoxicity issues. In contrast, KR-37524,
   (4-(3-bromo-4-(piperidin-4-yloxy)benzyl)-N-(3-(dimethylamino) phenyl)
   piperazine-1-carboxamide dihydrochloride), which was developed in
   tandem with KR-36676 and KR-36996, was found to be safe for toxicity
   issues, including cardiotoxicity, although affinity (Ki = 37 nM) was
   relatively low compared to that of other drugs^[57]25. In addition,
   KR-37524 is an analogue of the piperazine-carboxamide family and these
   analogs exhibit various biological activities such as platelet-derived
   growth factor receptor (PDGFR) inhibitors^[58]26, monoacylglycerol
   lipase (MAGL) inhibitor^[59]27, serotonin (5-HT1B) receptor
   antagonists^[60]28, chemokine receptor (CCR) antagonists^[61]29,[62]30
   or fatty acid amide hydrolase (FAAH) inhibitors^[63]31–[64]33.
   Therefore, we tried to identify new target proteins of KR-37524 instead
   of the urotensin-II receptor by taking advantage of the toxicity-safe
   KR-37524.
   In this study, we identified the new target proteins of KR-37524 using
   a transcriptome-based drug repositioning approach to expand the new
   indication of KR-37524 (Fig. [65]1). To do this, we first generated the
   gene expression profile changes induced by KR-37524 in each of the four
   cell lines (A375, A549, MCF7, and PC3). We then compared the gene
   expression profile changes induced by KR-37524 in each cell line to the
   approved drug-induced gene expression profile changes provided in the
   LINCS L1000 database and found approved drugs with similar gene
   expression profile changes. Here, the similarity between the changes in
   the two gene expression profiles was calculated using a connectivity
   score. Specifically, we selected the top three approved drugs (12 drugs
   in total) with the highest connectivity score for each cell line, and
   selected their target proteins as potential target proteins of
   KR-37524. Among them, seven potential target proteins were
   experimentally validated through an in vitro binding assay, confirming
   that the neurologically regulated serotonin transporter protein is a
   new target for KR-37524. We also provide standalone software used in
   the current study to generalize our strategy (i.e., transcriptome-based
   drug repositioning).
Figure 1.
   [66]Figure 1
   [67]Open in a new tab
   Overall scheme of this study. (a) Samples were prepared from four cell
   lines treated with KR-37524 or dimethyl sulfoxide (DMSO). (b)
   Microarray data of KR-37524 induced transcriptome changes were
   generated from this sample, and the fold change values were calculated
   to measure DEGs for the 978 landmark genes. (c) The gene expression
   patterns were compared with the LINCS L1000 data to find similar
   perturbagen signatures, and (d) the top three candidate target proteins
   were selected using the Zhang score for each cell line. (e) Finally,
   experimental validation was performed to confirm the affection of
   KR-37524 on the candidate target protein. The protein structure was
   drawn by Chimera software^[68]34 ([69]www.cgl.ucsf.edu/chimera).
Results
KR-37524-induced gene expression profile data analysis
   First, we obtained gene expression profiles after treatment with DMSO
   (control group) and KR-37524 (treatment group) at 10 μM for 6 h by
   using microarray experiments in each of the four cell lines (i.e.,
   A375, A549, MCF7, and PC3) (detailed in the Materials and Methods).
   Since the experiments were performed in triplicate, the mean value of
   gene expression for each gene was used. Then, we calculated the gene
   expression profile changes in each cell line by dividing the gene
   expression of the treatment group (KR-37524 treatment) by the gene
   expression of the control group (DMSO treatment). Thus, when the
   absolute value of the fold change (FC) was lower than 1, the expression
   lower than that of the control group was marked with a negative (−)
   sign.
   Next, we analyzed the differentially expressed genes (DEGs) in each
   cell line (p < 0.05, |FC |
   [MATH: ≥ :MATH]
   1.5). In A375 cells, there were 99 upregulated genes and 103
   downregulated genes, and in A549 cells, there were 72 upregulated and
   44 downregulated genes. In MCF7 cells, 110 upregulated genes and 62
   downregulated genes were identified. Finally, in PC3 cells, there were
   163 and 81 upregulated and downregulated genes, respectively. In all
   cell lines, there were a total of three commonly upregulated genes,
   while there were no commonly downregulated genes (Fig. [70]2 and Table
   S1). Commonly upregulated genes were HMGCR
   (3-hydroxy-3-methylglutaryl-CoA reductase), LPIN1 (Lipin 1), and SQLE
   (Squalene epoxidase). HMGCR is the main target of statins, a class of
   cholesterol-lowering drugs, LPIN1 controls fatty acid metabolism at
   different levels, and SQLE is considered to be a rate-limiting enzyme
   in steroid biosynthesis. All three genes are known to primarily
   regulate the synthesis and metabolism of lipids, such as cholesterol.
Figure 2.
   [71]Figure 2
   [72]Open in a new tab
   Venn diagram for the differentially expressed gene (DEG) lists in four
   cell lines. (a) Upregulated genes and (b) downregulated genes. The
   crossing areas show the commonly changed DEGs. Statistically
   significant DEGs were defined using p < 0.05 and |FC|
   [MATH: ≥ :MATH]
   1.5 as cut-off. Venny website was used for drawing Venn diagrams
   ([73]https://bioinfogp.cnb.csic.es/tools/venny/index.html).
GO and KEGG pathway enrichment analysis
   Gene ontology (GO) enrichment^[74]35 and Kyoto Encyclopedia of Genes
   and Genomes (KEGG) pathway^[75]36 enrichment analyses were performed
   for gene sets with |FC|
   [MATH: ≥ :MATH]
   1.5 and p < 0.05 (i.e., DEGs) in each cell line (Tables S2 and S3). GO
   enrichment analysis was performed using the Database for Annotation,
   Visualization and Integrated Discovery (DAVID)^[76]37,[77]38. In this
   study, we only considered the biological process (BP) sub-ontology
   among three sub-ontologies (cellular component, biological process, and
   molecular function). Significantly enriched BP GO terms (p < 0.05) were
   extracted from each cell line, and the genes from each cell line were
   merged to investigate the changes in the overall gene expression
   profile induced by KR-37524. A total of 54 upregulated and 36
   downregulated genes were used for GO enrichment analysis, and the
   results are indicated in red and blue, respectively (Fig. [78]3). The
   top-ranked BP GO terms of upregulated genes were cholesterol
   biosynthetic process (22.2%), and the genes involved were SQLE, IDI1,
   MVK, HMGCS1, INSIG1, MSMO1, DHCR24, HMGCR, DHCR7, HSD17B7, LSS, and
   FDFT1. However, the overall number of downregulated genes was low, and
   the highest-ranked BP GO terms included the positive regulation of
   transcription from RNA polymerase II promoter (22.9%), transcription
   from RNA polymerase II promoter (20.0%), positive regulation of cell
   proliferation (20.0%), cell differentiation (14.3%), and cell
   proliferation (11.4%) (Table S4).
Figure 3.
   [79]Figure 3
   [80]Open in a new tab
   Results of GO enrichment analysis for Biological Process. The red and
   blue bars represent the results of GO enrichment analysis using
   upregulated genes and downregulated genes, respectively.
   As a result of KEGG pathway enrichment analysis, the significantly
   enriched pathways of 40 upregulated and 13 downregulated genes were
   identified (p < 0.05) from the merged gene list of each cell line
   (Fig. [81]4). The top-ranked pathway for upregulated genes was the
   metabolic pathway (64.1%). In addition, biosynthesis of antibiotics
   (33.3%) and steroid biosynthesis pathway (17.9%) were highly ranked.
   Metabolic pathway genes included PI4K2B, IDI1, MTMR3, MVK, MSMO1,
   HMGCR, HSD17B7, GK2, MTM1, FDFT1, AOC2, HMGCS1, IDH1, ACSL4, DHCR24,
   LSS, SQLE, GNPDA1, PSAT1, FASN, CYP1A2, DHCR7, LPIN1, BCAT1, and
   LDHAL6B. The top-ranked pathway for downregulated genes was
   Huntington's disease pathway (61.5%) and included NDUFA13, NDUFS7,
   NDUFA1, PPIF, CLTB, POLR2F, UQCR11, and POLR2I (Table S5).
Figure 4.
   [82]Figure 4
   [83]Open in a new tab
   Results of KEGG pathway enrichment analysis. The red and blue bars
   represent the results of KEGG pathway analysis using upregulated genes
   and downregulated genes, respectively.
Selection of candidate target proteins using LINCS L1000 data search
   To identify new target proteins of KR-37524, we compared the gene
   expression profile changes induced by KR-37524 with each perturbagen in
   the LINCS L1000 dataset. To compare the similarity, we calculated the
   connectivity score developed by Zhang^[84]39 between the gene
   expression profile changes of KR-37524 and each perturbagen in the
   LINCS L1000 database. In each cell line, the three drugs with the
   highest connectivity scores were selected (i.e., 12 drugs in total),
   and the LINCS perturbagen ID was mapped to the DrugBank ID list for
   comparison with approved drugs. The top three selected lists and their
   corresponding drug names, gene IDs, and UniProt ID results are listed
   in Table [85]1.
Table 1.
   Comparison results of connectivity score using LINCS L1000 dataset.
   Cell line Perturbagen ID Drug name Zhang score Targets
   Gene symbol UniProt ID Name of target proteins*
   A375 BRD-K15933101 Ropinirole 0.152284551
   BRD-K40758068 Efavirenz 0.14029383
   BRD-K70505054 Ranitidine 0.127356285 HRH2 [86]P25021 Histamine H2
   receptor
   A549 BRD-A64290322 Cyclosporine 0.151246937 PPP3R2, PPIA [87]Q96LZ3,
   [88]P62937 Calcineurin subunit B type 2, Peptidyl-prolyl cis–trans
   isomerase A
   BRD-A79768653 Sirolimus 0.113739203 MTOR [89]P42345
   Serine/threonine-protein kinase mTOR
   BRD-K84937637 Sirolimus 0.111655751 MTOR [90]P42345
   Serine/threonine-protein kinase mTOR
   MCF7 BRD-A22032524 Amlodipine 0.19968588 CACNA1C, CACNA1I [91]Q13936,
   [92]Q9P0X4 Voltage-dependent L-type calcium channel subunit alpha-1C,
   Voltage-dependent T-type calcium channel subunit alpha-1I
   BRD-A01320529 Salmeterol 0.194945701
   BRD-K91263825 Nortriptyline 0.182943722 SLC6A2, SLC6A4, HTR2A
   [93]P23975, [94]P31645, [95]P28223 Sodium-dependent noradrenaline
   transporter, Sodium-dependent serotonin transporter,
   5-hydroxytryptamine receptor 2A
   PC3 BRD-K89732114 Trifluoperazine 0.158636237 DRD2, CALY, ADRA1A
   [96]P14416, 9NYX4, [97]P35348 Dopamine D2 receptor, Neuron-specific
   vesicular protein calcyon, Alpha-1A adrenergic receptor
   BRD-A45889380 Quinacrine 0.155439425 PLA2G6, PLA2G4A, PLCL1 [98]O60733,
   [99]P47712, [100]Q15111 85/88 kDa calcium-independent phospholipase A2,
   Cytosolic phospholipase A2, Inactive phospholipase C-like protein 1
   BRD-A29485665 Bicalutamide 0.131271152 AR [101]P10275 Androgen receptor
   [102]Open in a new tab
   *Filtered option: ‘antagonist or inhibitor, human protein,
   pharmacological action = yes’ were used.
   In this study, we focused on drugs that could inhibit target proteins.
   The rationale behind this decision is that developing inhibitor drugs
   is a common approach, and developing an activator is more difficult
   than developing an inhibitor. Therefore, only human proteins that are
   inhibitor targets by approved drugs (i.e., antagonists and/or
   inhibitors) with known pharmacological action were considered in the
   DrugBank database^[103]40. A total of 16 valid proteins targeted by 12
   approved drugs were obtained such as histamine H2 receptor (HRH2),
   calcineurin subunit B type 2 (PPP3R2), peptidyl-prolyl cis–trans
   isomerase A (PPIA), serine/threonine-protein kinase mTOR (MTOR),
   voltage-dependent L-type calcium channel subunit alpha-1C (CACNA1C),
   voltage-dependent T-type calcium channel subunit αalpha-1I (CACNA1I),
   sodium-dependent noradrenaline transporter (SLC6A2), sodium-dependent
   serotonin transporter (SLC6A4), 5-hydroxytryptamine receptor 2A
   (HTR2A), D(2) dopamine receptor (DRD2), neuron-specific vesicular
   protein calcyon (CALY), α-1A adrenergic receptor (ADRA1A), 85/88 kDa
   calcium-independent phospholipase A2 (PLA2G6), cytosolic phospholipase
   A2 (PLA2G4A), inactive phospholipase C-like protein 1 (PLCL1), and
   androgen receptor (AR). To identify the functions of 16 target
   proteins, GO enrichment and KEGG pathway enrichment analyses were
   performed, and a list with p < 0.05, as shown in Tables S6 and S7. BP
   GO terms were evenly distributed and affected the nervous system, such
   as the drug response to stimulation, memory, and synaptic transmission
   (Fig. [104]5a). In the KEGG pathway enrichment analysis, the
   distribution of calcium signaling pathways and serotonergic synapses
   was highly involved in neurotransmission pathway (Fig. [105]5b). From
   the results of GO enrichment and KEGG pathway enrichment analyses, it
   was shown that filtered candidate groups of target proteins generally
   inhibit the nervous system.
Figure 5.
   [106]Figure 5
   [107]Open in a new tab
   (a) GO and (b) KEGG pathway enrichment analysis of potential target
   genes.
   Among the 16 predicted targets, eight targets were identified to be
   capable of being used for the antagonist radioligand binding assays
   (HRH2, CACNA1C, CACNA1I, SLC6A2, SLC6A4, HTR2A, DRD2, and ADRA1A).
   CACNA1I was excluded because it is a gene belonging to the same family
   as CACNA1C. Therefore, we conducted an in vitro binding assay with
   seven predicted targets including H2 human histamine GPCR binding assay
   for the histamine H2 receptor (HRH2), Ca v1.2 human calcium ion channel
   binding assay for voltage-dependent L-type calcium channel subunit α-1C
   (CACNA1C), NET human norepinephrine transporter binding assay for
   sodium-dependent noradrenaline transporter (SLC6A2), SET human
   serotonin transporter binding assay for sodium-dependent serotonin
   transporter (SLC6A4), 5-HT2A human serotonin GPCR binding assay for
   5-hydroxytryptamine receptor 2A (HTR2A), D2L human dopamine GPCR
   binding assay for D(2) dopamine receptor (DRD2), and α-1A human
   adrenoceptor GPCR binding assay for the α-1A adrenergic receptor
   (ADRA1A).
Experimental validation of KR-37524 target proteins
   KR-37524 was used to treat seven target proteins capable of antagonist
   radioligand testing to confirm that KR-37524 acts on the target protein
   we selected. As shown in Fig. [108]6, KR-37524 exhibited more than 50%
   interaction with the sodium-dependent serotonin transporter (SLC6A4).
   In contrast, less than 50% inhibition was observed for other targets at
   10 µM KR-37524.
Figure 6.
   [109]Figure 6
   [110]Open in a new tab
   Experimental validation of potential targets of KR-37524.
Discussion
   Urotensin-II receptor is a notable target for various cardiovascular
   diseases, such as heart failure, pulmonary hypertension, and
   atherosclerosis. However, owing to the unsatisfactory proof-of-concept
   and cardiotoxicity issues, numerous urotensin-II receptor antagonists
   have been discontinued during the development of new drugs for
   cardiovascular treatment. Unlike other discontinued drugs, we wanted to
   find new possibilities for KR-37524, which is known to be safe for
   toxicity issues. The drug repositioning approach involves expanding the
   indication of the targeted drug as well as altering the indication for
   a previously developed drug with a new function by changing the drug
   target. In general, finding a new target protein requires understanding
   not only the properties of the drug, but also the mechanism of the
   target proteins, although it can be difficult to identify a new target
   protein. Therefore, we applied a computational method to identify other
   effective target proteins to increase the usability of KR-37524.
   Primarily, we identified the gene expression profile changes through
   microarray experiments after treatment with KR-37524 in four cancer
   cell lines to understand the cellular response to drug treatment. Next,
   we performed pathway enrichment analysis using the DEGs after treatment
   with KR-37524. KR-37524 induced the gene expressions involved in
   cholesterol synthesis and metabolism, and KR-37524 reduced the gene
   expressions involved in cell differentiation and the nervous system.
   The regulation of cholesterol synthesis is known to be regulated by
   UTR^[111]41–[112]43. Although pathway enrichment analysis using
   transcriptome data reveals the regulatory mechanisms of drugs at the
   pathway level, it has limitations in identifying the direct inhibitory
   targets of the compound.
   Therefore, we used another approach to compare the experimental
   information and microarray data from KR-37524 with that in the LINCS
   L1000 database. The LINCS L1000 data measures the gene expression
   levels of 978 landmark genes, and the gene expression levels of other
   genes were estimated using a computational model. LINCS L1000 includes
   gene expression profile changes induced by thousands of perturbagens in
   various cell lines. Therefore, it was convenient to compare the gene
   expression profile changes induced by KR-37524. This enables
   comparative analyses of several experimental groups at the same time to
   identify any differences between them. Identification of approved drugs
   with similar gene expression profile changes in LINCS L1000 to that
   induced by KR-37524 could indirectly determine a shared target protein
   targeted by KR-37524. Since the LINCS L1000 dataset contains most of
   the genes expressed in cells, this served our goal of finding other
   target proteins; landmark genes were selected as genes that are widely
   expressed in cells, while the expression of other genes that were not
   directly measured in the analysis could be inferred^[113]19. Thus, by
   comparing the LINCS L1000 dataset with the KR-37524 data, it was
   possible to find drugs for a new target.
   The connectivity score was used to identify the most similar gene
   expression profile changes between the two datasets. In this study, we
   used the Zhang score, an improved version of the connectivity score,
   CMap^[114]39. Since we have already used the landmark gene to find
   other targets in the cell, we applied the Zhang score, which assigns
   more weight to the most differentially expressed genes. This method is
   appropriate for searching for drugs with similar gene expression
   profile changes, and drug candidates were selected by sorting by a high
   score. In the DrugBank database, we searched for a list of drug-target
   proteins and narrowed down those acting as inhibitors. As a result of
   performing GO enrichment and KEGG pathway enrichment analysis using the
   gene list of target proteins we selected, the drug information for the
   nervous system, such as response to drug and negative regulation of
   synaptic transmission, was retrieved. In the KEGG pathway enrichment
   analysis, pathways such as calcium signaling and the serotonergic
   synapse pathway were selected. Thus, we predicted that KR-37524 could
   act on serotonin-related target proteins. Finally, receptor-binding
   experiments confirmed that KR-37524 has a high affinity for human
   serotonin transporters.
   Our approach compared gene expression profile changes with the approved
   drugs in the LINCS L1000 database. In this case, it is possible to
   screen only well-known target proteins of approved drugs. Therefore,
   structural modeling technique based on machine learning has been
   recently proposed as a way to overcome this problem. Machine
   learning-based technique is accurate enough to predict most human
   protein structures^[115]44. This is expected to provide a great
   opportunity for drug repositioning by predicting more diverse target
   proteins.
Conclusion
   We used a transcriptome-based drug repositioning approach to identify
   new target proteins for KR-37524. Although other effects of KR-37524
   were unknown, we were able to effectively infer the characteristics of
   KR-37524 represented as gene expression profile changes affecting
   potential target proteins from the analysis of transcriptome data. The
   LINCS L1000 database provides drug-induced transcriptome data (i.e.,
   gene expression profile changes induced by perturbagens) under a
   variety of conditions, which we utilized to help identify new target
   proteins. In particular, by taking only filtered data from specific
   experimental conditions, gene expression profile changes could be
   appropriately applied. The in vitro binding assay for KR-37524 against
   seven candidate target proteins selected by connectivity score was
   performed to confirm its potential as a new target. Consequently, the
   serotonin transporter was identified as a novel target. This is
   expected to provide a new function to KR-37524 in addition to the
   indicated treatment for cardiovascular disease. The standalone
   software, which was used for drug repositioning, effectively suggested
   potential target proteins, and the LINCS L1000 database is easily
   accessible to researchers. Therefore, our approach is expected to be
   valuable for drug repositioning research.
Materials and methods
Materials
   KR-37524 (CAS Registry No. 2228942-83-2),
   (4-(3-bromo-4-(piperidin-4-yloxy)benzyl)-N-(3-(dimethylamino)phenyl)
   piperazine-1-carboxamide dihydrochloride), was synthesized at the
   Research Center for Medicinal Chemistry, Korea Research Institute of
   Chemical Technology (KRICT, Daejeon, Korea). Four cell lines, human
   skin malignant melanoma cells (A375), human lung carcinoma cells
   (A549), human breast carcinoma cells (MCF7), and human prostate
   adenocarcinoma cells (PC3) were purchased from American Type Culture
   Collection (ATCC, Rockville, MD, USA).
Cell culture and sample preparation
   A375 and A549 cells were cultured in RPMI-1640 supplemented with 10%
   fetal bovine serum (FBS) and 1% penicillin–streptomycin–glutamine. MCF7
   cells were cultured in Dulbecco's modified Eagle's medium (DMEM) with
   100% FBS and 1% penicillin–streptomycin–glutamine. PC3 cells were
   cultured in RPMI with 10% FBS, 1% penicillin–streptomycin–glutamine,
   1 mM sodium pyruvate, and 10 mM
   4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES).
   The cells were first incubated for two weeks to stabilize after initial
   seeding. KR-37524 dissolved in DMSO was stored at 10 nM at − 80℃. Cell
   lines were seeded in six 60-mm dishes (DMSO × 3 and KR-37524 × 3).
   Cells were plated at 8.45 × 10^5 cells for MCF7, 1.496 × 10^6 cells for
   PC3, 1.1375 × 10^6 cells for A375, and 1.3 × 10^6 cells for A549 under
   the culture conditions. After 24 h, DMSO and KR-37524 were diluted
   1000-fold and used to treat the cells. The final concentrations of DMSO
   and KR-37524 were 0.1% and 10 μM, respectively. After 6 h, total RNA
   from these cells was isolated using 1 mL of TRIzol reagent. After cell
   destruction by pipetting, the cells were stored in a deep freezer
   (-80℃).
Microarray data analysis
   Total RNA samples were assessed using the Clariom™ S Assay, Human
   platform. cDNA was synthesized using the GeneChip WT (Whole Transcript)
   Amplification kit, as described by the manufacturer. Sense cDNA was
   then fragmented and biotin-labeled with TdT (terminal deoxynucleoridyl
   transferase) using the GeneChip WT Terminal labeling kit. Approximately
   5.5 μg of labeled DNA target was hybridized to the Affymetrix GeneChip
   Array at 45 ℃ for 16 h. Hybridized arrays were washed and stained on a
   GeneChip Fluidics Station 450 and scanned using a GCS3000 scanner.
   Microarray data export processing and basic analysis were performed
   using the Affymetrix^® GeneChip Command Console® Software version
   6.0 + (AGCC,
   [116]www.thermofisher.com/kr/ko/home/life-science/microarray-analysis/m
   icroarray-analysis-instruments-software-services/microarray-analysis-so
   ftware/affymetrix-genechip-command-console-software.html). The data
   were summarized and normalized using the signal space
   transformation-robust multichip analysis (SST-RMA) method implemented
   in Affymetrix^® Power Tools version 2.11.4 (APT,
   [117]www.thermofisher.com/kr/en/home/life-science/microarray-analysis/m
   icroarray-analysis-partners-programs/affymetrix-developers-network/affy
   metrix-power-tools.html). We exported the results with gene level
   SST-RMA analysis. The statistical significance of the expression data
   was determined using an independent t-test and fold change, in which
   the null hypothesis was that no difference exists among groups. The
   fold change and p value cut-off are 1.5 and 0.05, respectively.
   The Database for Annotation, Visualization, and Integrated Discovery
   (DAVID) functional annotation tools^[118]37,[119]38 were used to
   calculate gene enrichment, pathways, and functional annotation analysis
   for a significant probe list.
LINCS L1000 database search and candidate target protein selection
   The LINCS L1000 database was used to compare the gene expression
   profile changes induced by KR-37524 treatment with the gene expression
   profile changes induced by thousands of perturbagens obtained from
   various times, points, doses, and cell lines. The LINCS L1000 level 5
   dataset, perturbation, signature, and landmark gene lists were
   downloaded from the Gene Expression Omnibus (GEO; [120]GSE92742)
   ([121]https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE92742). The
   LINCS L1000 level 5 dataset contains gene expression profile changes of
   978 landmark genes, which were measured directly by the L1000 assay.
   LINCS L1000 raw data were filtered by the cell line type and gene
   expression level under the same conditions as those for KR-37524
   treatment for 6 h at a dose of 10 μM. Fold change was calculated by
   obtaining the mean value of the sample gene expression level per cell
   line of KR-37524, and dividing this by the mean value of DMSO. The fold
   change was then normalized using log[2] and compared with the LINCS
   fold change of 978 landmark gene expression patterns. We used the
   DrugBank drug list to find a list of approved drugs in the LINCS
   database. We collected the simplified molecular input line entry system
   (SMILES) of drugs from the LINCS and DrugBank, and calculated the
   Tanimoto coefficient^[122]45 to list the drugs that matched perfectly
   (Tanimoto coefficient = 1.0).
   The connectivity score (Zhang score) was calculated to find LINCS L1000
   data similar to the gene expression profile changes induced by
   KR-37524. To compare gene expression patterns, Lamb et al. created a
   CMap^[123]16, converted the gene expression patterns of known chemicals
   into a database, and then calculated an order according to the
   expression level of test DEGs. Based on this, Zhang et al. developed a
   simple and more accurate and sensitive method to calculate the
   connection between two gene expression profile changes^[124]39. The
   connectivity score has a value between − 1 and 1, where 1 indicates the
   maximum positive connection strength with the reference profile,
   whereas − 1 indicates that two experimental perturbations had the
   maximum inverse correlation. All program scripts used in this
   calculation are available in the web repository
   ([125]https://bitbucket.org/krictai/lincs_search).
In vitro binding assay for target validation
   The receptor binding affinity of KR-37524 was determined by profiling
   services at Eurofins Cerep (Test No.: FR095-0019211, US034-0011488;
   I’Evescault, France) using radioligand binding assays for seven
   distinct human receptors and transporters; α-1A adrenergic receptor
   (ADRA1A), D(2) dopamine receptor (DRD2), histamine H2 receptor (HRH2),
   sodium-dependent noradrenaline transporter (SLC6A2),
   5-hydroxytryptamine receptor 2A (HTR2A), sodium-dependent serotonin
   transporter (SLC6A4), and voltage-dependent L-type calcium channel
   subunit α-1C (CACNA1C). To evaluate the percentage (%) inhibition of
   specific binding, all radioligand binding assays were performed in 96
   well plates at 37℃ in binding buffer (25 mM HEPES, 100 mM NaCl, 2 mM
   MgCl[2], and 1 mM 3-[(3-cholamidopropy) dimethyl
   ammonio]-1-propanesulfonate [CHAPS] at pH 7.4 [NaOH]). The human
   recombinant receptor membranes of the α-1A adrenergic receptor
   (ADRA1A), sodium-dependent noradrenaline transporter (SLC6A2),
   5-hydroxytryptamine receptor 2A (HTR2A), and sodium-dependent serotonin
   transporter (SLC6A4) were used in the CHO cell membrane, and D(2)
   dopamine receptor (DRD2), histamine H2 receptor (HRH2), and
   voltage-dependent L-type calcium channel subunit α-1C (CACNA1C) were
   used in the HEK293 cell membrane overexpressed by each receptor. The
   specific radiolabeled ligands of α-1A adrenergic receptor (ADRA1A),
   D(2) dopamine receptor (DRD2), histamine H2 receptor (HRH2),
   sodium-dependent noradrenaline transporter (SLC6A2),
   5-hydroxytryptamine receptor 2A (HTR2A), sodium-dependent serotonin
   transporter (SLC6A4), and voltage-dependent L-type calcium channel
   subunit α-1C (CACNA1C) were [^3H]prazosin, [^3H]methyl-spiperone,
   [^125I]APT, [^3H]nisoxetine, [^3H]ketanserin, [^3H]imipramine, and
   [^3H]PN200-110, respectively. Nonspecific binding was defined in the
   presence of 0.1 mM epinephrine, 10 μM butaclamol, 100 μM tiotidine,
   1 μM desipramine, 1 μM ketanserin, 10 μM imipramine, and 1 μM
   isradipine, respectively. Ligand binding was determined by filtration
   of the assay mixture over GF/C Whatman filters (Cytiva, Marlborough,
   MA, USA). After washing the filters, liquid scintillation counting was
   performed to quantify the radioactivity. Compound binding was
   calculated as the % inhibition of the binding of a radioactively
   labeled ligand specific to each target. In each experiment, and when
   applicable, the respective reference compound was tested concurrently
   with KR-37524, and the data were compared with historical values
   determined at Eurofins. The experiment was performed in accordance with
   the Eurofins validation standard operating procedure. The receptor
   binding assays were performed in triplicate, and each result was
   determined in three independent experiments.
Supplementary Information
   [126]Supplementary Information.^ (62.7KB, docx)
Acknowledgements