Albatrellus confluens (Alb. & Schwein.) Kotl. & Pouz.: Natural Fungal Compounds and Synthetic Derivatives with In Vitro Anthelmintic Activities and Antiproliferative Effects against Two Human Cancer Cell Lines

Neglected tropical diseases affect the world’s poorest populations with soil-transmitted helminthiasis and schistosomiasis being among the most prevalent ones. Mass drug administration is currently the most important control measure, but the use of the few available drugs is giving rise to increased resistance of the parasites to the drugs. Different approaches are needed to come up with new therapeutic agents against these helminths. Fungi are a source of secondary metabolites, but most fungi remain largely uninvestigated as anthelmintics. In this report, the anthelmintic activity of Albatrellus confluens against Caenorhabditis elegans was investigated using bio-assay guided isolation. Grifolin (1) and neogrifolin (2) were identified as responsible for the anthelmintic activity. Derivatives 4–6 were synthesized to investigate the effect of varying the prenyl chain length on anthelmintic activity. The isolated compounds 1 and 2 and synthetic derivatives 4–6, as well as their educts 7–10, were tested against Schistosoma mansoni (adult and newly transformed schistosomula), Strongyloides ratti, Heligmosomoides polygyrus, Necator americanus, and Ancylostoma ceylanicum. Prenyl-2-orcinol (4) and geranylgeranyl-2-orcinol (6) showed promising activity against newly transformed schistosomula. The compounds 1, 2, 4, 5, and 6 were also screened for antiproliferative or cytotoxic activity against two human cancer lines, viz. prostate adenocarcinoma cells (PC-3) and colorectal adenocarcinoma cells (HT-29). Compound 6 was determined to be the most effective against both cell lines with IC50 values of 16.1 µM in PC-3 prostate cells and 33.7 µM in HT-29 colorectal cells.


Introduction
Neglected tropical diseases (NTDs) affect more than 1.7 billion of the world's poorest populations. The two most common are the soil-transmitted helminthiases and schistosomiasis. Soil-transmitted helminths (STHs) are parasitic worm infections affecting mainly marginalized population groups in the tropics and subtropics. The STHs with the highest infection rates are the "large roundworm" Ascaris lumbricoides, the whipworm Trichuris trichiura, and the hookworms Ancylostoma duodenale (Old World hookworm) and Necator americanus (New World hookworm) which affect more than 1.5 billion people precursors enzymatically to the active agent [26]. Half of the fungal biomass in the soil is consumed by nematodes. Therefore, fungi possess defense compounds as a means to protect themselves [27]. Fungi are therefore a good source of anthelmintic compounds and in some respect, fungi are a better alternative to vascular plants as sources of naturally occurring antinematodal compounds due to the less complex anatomical structure of fungi and their ability to adapt to growth in large fermenters [28]. Compounds isolated from plants may present some cost and sustainability issues, for example, if the compound is found in a slow-growing plant or found in tissues that cannot be sustainably harvested like root bark [29].

Results
The crude extracts (80% aqueous methanol) from fruiting bodies of Albatrellus confluens Suillus tridentinus (Bres.) Sing. were tested for their anthelmintic properties against C. elegans as described before [30]. Only A. confluens showed anthelmintic activity above 50% while all other species tested had anthelmintic activity below 10% ( Figure 1). The percentage of anthelmintic activity is the percentage of dead worms.

A. confluens: Anthelmintic Activity of Crude Extract, Fractions and Metabolites
The mushroom showing activity, A. confluens, belongs to the family Albatrellaceae (Russulales) and is widely distributed across Europe, North America, and Asia. The mycorrhizal species grow in a variety of habitats but mainly occur in coniferous forests (Pinus spp., Picea spp.). The fruiting cap is pale peach-colored and circular with a diameter of 3-20 cm. The spores are cream-colored, the stipe up to 11 cm long and 3 cm thick [31].
To assess the influence of the prenyl side chain in compounds 1 and 2 on their anthelmintic activities, derivatives of compound 1 with different side-chain lengths were synthesized in an alumina-promoted regioselective aromatic allylation one-step reaction adopted from Jentsch et al. [35] (Scheme 1; Figure 3).
The prenyl alcohols 7-10 showed no significant activity against the parasites NTS, N. americaus, S. ratti, H. polygyrus, and A. ceylanicum. Reference compounds were auranofin for NTS and levamisole for N. americanus, S. ratti, H. polygyrus and abamectin A. ceylanicum (all at 10 µM) ( Table 3). They were not tested against adult S. mansoni as the activity against NTS was less than 50%. Compounds 1, 2, 4, 5, and 6 were screened for their potential antiproliferative and cytotoxic activity against two human cancer lines, namely prostate adenocarcinoma cells (PC-3) and colorectal adenocarcinoma cells (HT-29). The compounds' effect on the metabolic cancer cell viability was determined by conducting a MTT assay, general cytotoxic effects were determined by using a CV assay, both after a 48-h cancer cell treatment with increasing concentrations of up to 100 µM of the compounds. The MTT and CV assay read-outs were normalized to 100% cell viability (0.5% DMSO negative control) and 0% cell viability (digitonin positive control) and analyzed by non-linear curve regression and IC 50 values calculation using GraphPad Prism 8 software.
As shown in Figure 4, compound 4 lacked any substantial antiproliferative activity in both cell lines and both assays, as indicated by IC 50 values > 100 µM. Whereas the compounds 1, 2, 5, and 6 were detected to permit antiproliferative, and ultimately cytotoxic activity, in PC-3 and HT-29 cells with IC 50 values in the range of 15-95 µM.
The monomeric grifolin (1) and neogrifolin (2) are well known to possess diverse biological activities [45] such as anti-oxidative activity, anti-microbial effect, activity on human and rat vanilloid receptor 1, inhibition of tumor cell growth, promotion of melanin synthesis by B 16 melanin, inhibition of nitric oxide production in RAW 264.7 cells, the anticholesteremic activity level in blood and liver and plant growth inhibition. For compound 1, a significant in vitro activity against three Leishmania species and Trypanosoma cruzi was reported [46].
The higher activity may be due to the shift of the hydroxyl group at C-3 in grifolin (1) to C-5 in neogrifolin (2) and the shift of the methyl substituent in 1 from C-5 to C-3 in 2.
In general, phenolic compounds possess biological activity based on the ability to form a phenoxy radical which can then scavenge free radicals [47]. The anthelmintic activity observed against C. elegans was, however, probably not due to the antioxidant activity of the phenoxy anion as orcinol (3) showed no activity against C. elegans, while the activity seemed to be due to the presence of the prenyl chain as we demonstrated through the tested prenyl alcohols 7-10 ( Table 2). From the activity profile of synthesized derivatives 4-6 of the farnesylphenod grifolin (1), it can be concluded that increasing prenyl chain length n (Scheme 1) reduced the anthelmintic activity against C. elegans. Compounds 4 (n = 1) and 5 (n = 2) bear shorter prenyl side chains than compound 1 (n = 3) and are more active while compound 6 (n = 4) exhibited almost no activity against C. elegans. There was also similar activity between the prenyl alcohols 8-10 and their corresponding phenolic compounds 1, 5, and 6 except for compound 4 whereby the corresponding prenyl alcohol 7 had lower activity. Prenol (7) is known to elicit behavioral responses in C. elegans through the AWC neurons [48]. The observed anthelmintic activity may be due to the interaction of 4 with these neurons. The higher activity of 4 compared to the corresponding alcohol 7 (prenol) against C. elegans may also be explained by the fact that prenol (7) itself is a very small molecule, but as a substituent in 4 is part of a larger molecule that can bind more easily to the AWC receptor.
Previously, anthelmintic activity against C. elegans for geraniol (8), which is the main component in the essential oil of Cymbopogon martini, and other Cymbopogon species, has been reported [49,50]. The essential oils of C. martini and Thymus bovei have also shown anthelmintic activity against adult Indian earthworms Pheretima posthuma and this was attributed to the high content of geraniol (8) in the oils of both species [51,52]. Farnesol (9) has also been reported to have anthelmintic properties against C. elegans but is less potent than the monoterpenoid 8 [53] as also seen in our results. Furthermore, farnesol (9) exhibited nematicidal properties against the human parasitic Anisakis species which infects individuals who eat raw fish contaminated with the parasite [54]. Geranylgeraniol (10) isolated from Pterodon pubescens seed oil showed antitrypanosomal activity against bloodstream trypomastigotes of Trypanosoma cruzi [55]. In traditional medicine, terpenes play an important role as they are thought to be responsible for the anthelmintic properties of some plants such as Asian wormwood (Artemisia annua) and American wormseed (Dysphania anthelmintica) [56]. The use of terpenes as anthelmintics is however challenging as they are rapidly absorbed in the stomach and proximal intestine and therefore large doses are required to reach the target site where the intestinal parasites reside, resulting in toxic side effects [57]. The prenyl alcohols showed weak in vitro anthelmintic activity against the parasitic helminths (Table 3) and no correlation could be made between the in vitro anthelmintic activity of compounds 1, 4, 5, and 6 and their corresponding prenyl alcohols.
The NTS against which compounds 4 and 6 showed good activity, is a target for drug and vaccine development as it is susceptible to the immune response [58]. Praziquantel kills adult worms and compounds that affect NTS and juvenile worms would offer a complementary approach in the fight against schistosomiasis. The activity shown by compounds 4 and 6 against NTS could therefore be a starting point for the development of similar compounds with modifications to enhance activity and bioavailability at the site of infection. As human schistosomiasis is only second to malaria in mortality [59] the importance of finding new alternative therapeutic agents to the current drug used cannot be overemphasized.
In addition to the in vitro anthelmintic screening, compounds 1, 2, 4, 5, and 6 were tested in vitro for their effects on the viability and proliferation of human cancer cell lines. Since two of the compounds, namely 1 (grifolin) and 2 (neogrifolin), have been tested and described by others, amongst others, for their impact on human HT-29 colorectal cancer cells [34], we decided to use the same cell line for our screenings, as well as human PC-3 prostate cancer cells as one of our most frequently used human cancer cell lines. Both allow comparison of the data with published data of others and with internal data of other natural products.
Compound 6 was detected in vitro to be the most active of these compounds affecting cancer cells' viability with IC 50 values of 16.1 µM in PC-3 prostate cells and 33.7 µM in HT-29 colorectal cells (both in MTT assay), followed by the compounds 2, 1 and 5, in that order. In all cases, the respective IC 50 value was lower by 1.5-2 in PC-3 prostate cancer cells compared to HT-29 colorectal cancer cells. However, the IC 50 values determined in our study are in very good agreement with data very recently published, at least for compounds 1 and 2 [34]. Furthermore, the calculated IC 50 values based on our MTT and CV data are very similar, with slightly lower IC 50 values in the metabolic MTT cell viability assay. This indicates that metabolic cell viability is affected by compounds 1, 2, 5, and 6, triggering a cytotoxic effect that is ultimately leading to cancer cell death.
As mentioned above, cytotoxic activities toward human cancer cells of compounds 1 (grifolin) and 2 (neogrifolin) have been described by others. Yaqoob and coworkers, for instance, tested these compounds for anti-cell viability activity against human colon cancer cells, and published IC 50 values in a quite narrow range of~25-35 µM for all cell lines they tested [34], in very good accordance with the antiproliferative and cytotoxic activities, respectively, described here. The cancer cells' growth-inhibiting properties of grifolin and neogrifolin motivated researchers to investigate the underlying mode of cell death in several cancer cell lines [60]. Ye et al., postulated that grifolin induces cell death in nasopharyngeal carcinoma cell line CNE1 through a caspase-mediated apoptosis process [61]. Furthermore, Che et al., investigated the role of autophagy in grifolin-treated human ovarian cancer cells [62]. The research of Che and coworkers suggested that autophagic cell death is induced by grifolin in human ovarian cancer cells by inhibiting the Akt/mTOR/S6K pathway. However, many other grifolin derivatives are still underinvestigated. Especially, the influence of adding or subtracting one or more isoprene units to or from, respectively, the polyisoprene chain of grifolin (1)-resulting in compounds 4, 5, and 6-on the anticancer properties is not yet investigated. Therefore, further advanced studies should be conducted to investigate in more detail both the compounds' potential as anticancer treatments and the safety of these compounds in non-cancer treatments in humans. All the more, since the latter aspect, the impact of those compounds on normal, i.e., healthy cells was not investigated so far.
To the best of our knowledge, this is the first report of the anthelmintic activity of constituents from Albatrellus confluens against C. elegans and the first investigation of the isolated grifolin (1) and neogrifolin (2) against the parasitic organisms S.mansoni (adult and NTS, and the larval stages of N. americanus, S. ratti, H. polygyrus, and A. ceylanicum. It is also the first time the effect of prenyl chain length on the anticancer activity of grifolin derivatives, compounds 4, 5, and 6, is investigated.

General
Column chromatography for fractionations or purifications was performed on, silica gel (0.040-0.063 mm, Merck, Darmstadt, Germany). Analytical TLC was performed on pre-coated silica gel F 254 aluminum sheets (Merck, Darmstadt, Germany) using the solvent system n-hexan-EtOAc (3:1) the solvent system and spots were detected by their color, their absorbance under UV-light (254 nm and 366 nm), or after spraying with vanillin and heating.
NMR spectra were recorded with an Agilent DD2 400 MHz NMR spectrometer (Varian, Palo Alto, CA, USA) operating at a proton NMR frequency of 400 MHz using a 5-mm inverse detection cryoprobe. A 2D NMR spectra were recorded using standard CHEMPACK 8.1 pulse sequences ( 1 H, 1 H zTOCSY, 1 H, 13 C gHSQCAD, 1 H, 13 C gHMBCAD) implemented in Varian VNMRJ 4.2 spectrometer software (Varian, Palo Alto, CA, USA). The mixing time for the TOCSY experiments was set to 80 msec. The HSQC experiment was optimized for 1 JCH = 146 Hz with DEPT-like editing and 13 C-decoupling during acquisition time. The HMBC experiment was optimized for a long-range coupling of 8 Hz; a two-step 1 JCH filter was used (130-165 Hz). 1 H chemical shifts are referenced to internal TMS ( 1 H δ = 0 ppm), while 13 C chemical shifts are referenced to CDCl 3 ( 13 C δ = 77.0 ppm).
The negative ion-electron spray ionization high-resolution mass spectra (ESI-HRMS) were obtained from an API 3200 Triple Quadrupole System (Sciex, Framingham, MA, USA) equipped with a turbo ion spray source, which performs ionization with an ion spray voltage on 70 eV. Sample introduction was performed by direct injection through an Agilent-HPLC 1200 (Agilent, Santa Clara, CA, USA) syringe pump. During the measurement, the mass/charge range from 5 to 1800 can be scanned.

Fungal Material
The collected fungal fruiting bodies were stored at −20 •

Extract Preparations and Preliminary Anthelmintic Screening
Frozen fungal fruiting bodies (1 g) of each species were macerated and extracted by sonication three times for 15 min with 5 mL of 80% MeOH at room temperature. The resulting solutions were evaporated to dryness under reduced pressure using a rotary evaporator maintained at 40 • C to afford the crude extracts. From each crude extract, a stock solution of 1 mg/mL in 4% DMSO was prepared. The samples were screened for anthelmintic properties against C. elegans at the final concentration of 500 µg/mL as described previously [30]. Ivermectin (10 µg/mL) was used as a positive control.

Isolation of Compounds 1 and 2
Frozen fungal fruiting bodies of Albatrellus confluens (375 g) were macerated and extracted three times by sonication for 15 mins with 80% MeOH (3 × 400 mL). The slight yellow solution was evaporated to dryness under reduced pressure using a rotary evaporator maintained at 40 • C to afford 11.6 g of crude extract. The crude extract was redissolved in 100 mL of water and partitioned between n-hexane (200 mL × 2), chloroform (200 mL × 2), EtOAc (200 mL × 2), and n-butanol (200 mL × 2). The resulting fractions were evaporated to dryness at 40 • C to yield 3.6 g of n-hexane, 1.6 g of chloroform, 0.3 g of EtOAc, 1.2 g of n-BuOH, and 4.7 g of the remaining aqueous fractions.
The n-hexane, chloroform and EtOAc fractions were combined based on their TLC profiles to give 5.5 g of combined fractions which was adsorbed on an equivalent mass of silica gel and chromatographed over a silica gel column (7 × 34 cm) using n-hexane-EtOAc and EtOAc-MeOH gradients as eluents. , and F10 (36-37; 0.39 g). 1.5 g of F2 was separated by silica gel column chromatography (7 × 34 cm) and using n-hexane-EtOAc 9:1 as eluent system. A total of 10 fractions of 25 mL each were collected and fractions 4 to 7 were combined to yield compound 1 (767 mg). 1.5 g of F6 was separated by column chromatography using silica gel column chromatography (7 × 34 cm) and n-hexane-EtOAc 4:1 as eluent system. A total of 14 fractions of 25 mL each were collected and fractions 5 to 9 were combined to give compound 2 (843 mg).

Synthesis of 1, 4-6
Compounds 1, 4-6 were synthesized as described in the literature [35]. Briefly, in each reaction to a solution of orcinol (3, 2 g, 16 mmol) the corresponding prenyl alcohol (7, 0.55 mL, 5 mmol; 8, 0.94, 5 mmol; 9, 1.35 mL, 5 mmol; 10, 1.75 mL, 5 mmol) in 20 mL dichlormethane acidic alumionia (4 g) was added. In each synthesis, the reaction was refluxed at 60 • C for one week and monitored by TLC plates using vanillin as a spray reagent. After one week, the reaction was cooled down and the reaction mixture was filtered through Celite plug. The filter cake was rinsed with ethyl acetate (500 mL). The ethyl acetate phase was dried with brine and concentrated in vacuo. The crude extract from each reaction was separated by column chromatography on silica gel using n-hexane-EtOAc In the in vitro anthelmintic assay, the Bristol N2 wild-type strain of C. elegans was used. The nematodes were cultured on NGM (Nematode Growth Media) Petri plates using the uracil auxotroph E. coli strain OP50 as a food source according to the methods described by Stiernagle [63]. The bioassay using C. elegans was carried out following the method described earlier [64]. Briefly, an NGM plate containing a 4-day-old C. elegans culture was used to harvest worms by washing the plate twice with 2 mL of M9 buffer. The worm suspension was centrifuged at 800 g and resuspended in 2 mL of M9 buffer. The number of worms was adjusted to between 30-40 worms per 20 µL. Using a 384 microtiter well plate 20 µL of the worm suspension was incubated with 20 µL of the test substance for 30 minutes after which the number of living and dead worms in each well was enumerated using a microscope (Olympus BX 41, Tokyo, Japan). In vitro, anthelmintic activity was expressed as the percentage of dead worms. The solvent DMSO (2%) and the standard anthelmintic drug ivermectin (10 µg/mL) were used as negative and positive controls, respectively. All assays were carried out in triplicate and LC 50 values were calculated using SigmaPlot 14.0.

Parasitic Helminths
The drug sensitivity assays with S. mansoni [adult and newly transformed schistosomules (NTS)] and S. ratti, H.s polygyrus, N. americanus, and A. duodenale (L3 larvae) to test compounds 1, 2, 4-10 were carried out in triplicates and conducted as described in previous publications [30,65,66]. All in vitro studies were carried out in accordance with Swiss national and cantonal regulations on animal welfare under permission number 2070 at the Swiss Tropical and Public Health Institute (Swiss TPH).

Cell Culture
Two human cancer cell lines, PC-3 (prostate adenocarcinoma) and HT-29 (colorectal adenocarcinoma) were used to study cytotoxic and anti-proliferative effects, respectively, of the compounds 1, 2, 4, 5, and 6. Both cell lines were cultured in RPMI 1640 medium, supplemented with 10% heat-inactivated FCS, 2 mM L-glutamine, and 1% penicillin/streptomycin, in a humidified atmosphere with 5% CO 2 at 37 • C. Routinely, cells were cultured in T-75 flasks until reaching subconfluency (~80%). Subsequently, the adherent cells were harvested by washing once with PBS and detaching from plastics by using trypsin/EDTA (0.05% in PBS), prior to cell passaging and seeding for sub-culturing and assays in 96-well plates, respectively.

Cytoxicity Assay
Cells handling and assay techniques were in accordance to the methods described by Khan et al. [67]. In brief, the anti-proliferative and cytotoxic effects of the five compounds under investigation were examined by performing colorimetric MTT (3-(4,5dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) metabolic cell viability assays and CV (crystal violet)-based cytotoxicity assays, respectively. For this purpose, cells were seeded in low densities in 96-well plates (6000 cells/100 µL/well for PC-3 and 10,000 cells/100 µL/well for HT-29) using the aforementioned cell culture medium. The cells were allowed to adhere for 24 h, followed by the 48 h compound treatment. Based on 20 mM DMSO stock solutions, the compounds 1, 2, 4, 5, and 6 were serially diluted in standard growth medium to reach final concentrations of 100, 50, 25, 12.5, 6.25, 3.125, 1.56, and 0.78 µM for cell treatment. Furthermore, two controls were used for data normalization (i) negative control (0.5% DMSO) and (ii) positive control (100 µM digitonin) to determine the 100% and 0% viability, respectively. Each data point was determined in independent biological triplicates, each with technical quadruplicates. As soon as the 48 h incubation was finished, MTT and CV assays were conducted.
For the MTT assay, cells were washed once with PBS, followed by incubation with MTT working solution (0.5 mg/mL MTT in culture medium) for 1h under standard growth conditions. After discarding the MTT solution, DMSO was added in order to dissolve the formed formazan, followed by measuring formazan absorbance at 570 nm, and additionally at the reference/background wavelength of 670 nm, by using a SpectraMax M5 multi-well plate reader (Molecular Devices, San Jose, CA, USA).
For the CV assay, cells were washed once with PBS and fixed with 4% paraformaldehyde (PFA) for 20 min at room temperature (RT). After discarding the PFA solution, the cells were left to dry for 10 min and then stained with 1% crystal violet solution for 15 min at RT. The cells were washed with water and dried overnight at RT. Afterward, acetic acid (33% in aqua bidest.) was added to the stained cells and the absorbance was measured at 570 nm and 670 nm (reference wavelength) using a SpectraMax M5 multi-well plate reader (Molecular Devices, San Jose, CA, USA). For data analyses, GraphPad Prism version 8.0.2 was used.

Conclusions
The in vitro anthelmintic activity against C. elegans shown by compounds 1 and 2 was a clear demonstration of the structure activity relationship showing that the position of functional groups has an effect on biological activity. There was also a clear correlation between in vitro anthelmintic activity of the prenyl alcohols against C. elegans whereby reducing the length of the prenyl chain increased activity. Although no correlation could be made between the structure of the compounds and anthelmintic activity in the in vitro parasitic assays compounds 4 and 6 displayed promising antischistosomal activity. Compound 6 was also the most promising when the cytotoxic and anti-proliferative effects were investigated. Based on our promising bioactivity for compounds 1-2, 4-6, the synthesis of farnesyl phenols is still an area of interest and should be pursued [68]. Even though prenyl compounds are said to have limited chemical developability they are still enticing scaffolds for the generation of derivatives with the ability to interfere with essential pathways in target organisms like disrupting the transfer or synthesis of essential aliphatic prenyl groups to protein [69].

Acknowledgments:
The authors are indebted to Gudrun Hahn for NMR measurements and Andrej Frolov for HRMS measurements.

Conflicts of Interest:
The authors declare no conflict of interest.