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A fungal metabolite zearalenone as a CFTR inhibitor and potential therapy of secretory diarrheas

Muangnil, P;Satitsri, S;Tadpetch, K;Saparpakorn, P;Chatsudthipong, V;Hannongbua, S;Rukachaisirikul, V;Muanprasat, C;

Overstimulation of CFTR-mediated Cl-secretion plays an important role in the pathogenesis of secretory diarrheas, which remain an important global health problem. This study aimed to identify inhibitors of CFTR-mediated Cl-secretion from a library of fungus-derived compounds and to evaluate their pharmacological properties and anti-diarrheal utility. We identified zearalenone, 7′-dehydrozearalenone and 8′-hydroxyzearalenone isolated from the seagrass-derived fungus Fusarium sp. PSU-ES123 as inhibitors of CFTR-mediated Cl-secretion in human intestinal epithelial (T84) cells. Being the most potent fungal metabolite capable of inhibiting CFTR-mediated Cl-secretion, zearalenone reversibly inhibited CFTR Cl-channel activity in T84 cells with an IC50of 0.5 M. Functional and biochemical analyses and molecular docking studies indicate that zearalenone binds to the -estradiol binding sites in the ATP-binding pockets on NBD1 and NBD2 of CFTR. Mechanisms of CFTR inhibition by zearalenone do not involve activation of phosphodiesterases, protein phosphatases, multidrug-resistance protein 4 and AMP-activated protein kinases. Importantly, zearalenone significantly inhibited cholera toxin (CT)-induced Cl-secretion in T84 cells and blocked CT-induced intestinal fluid secretion in mice. Collectively, our study indicates that zearalenone represents the first class of fungus-derived CFTR inhibitors. Further development of this class of compounds may provide an effective treatment of secretory diarrheas. Copyright 2018 Elsevier Inc. All rights reserved.