Squalene Epoxidase Inhibitors - ACS Symposium Series (ACS

Jul 2, 1992 - The allylamine antifungal agents naftifine, terbinafine and numerous related compounds act by inhibiting fungal squalene epoxidase but h...
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Chapter 14

Squalene Epoxidase Inhibitors Structural Determinants for Activity and Selectivity of Allylamines and Related Compounds

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Neil S. Ryder, Anton Stuetz, and Peter Nussbaumer Department of Dermatology, Sandoz Research Institute, A-1235 Vienna, Austria

The allylamine antifungal agents naftifine, terbinafine and numerous related compounds act by inhibiting fungal squalene epoxidase but have a much weaker effect on the equivalent enzyme from mammalian sources. Terbinafine is a reversible non-competitive inhibitor of squalene epoxidase from Candida (Ki=30 nM) and a reversible competitive inhibitor of the rat liver microsomal enzyme (Ki=77 μΜ). The structurally related NB-598 has reversed selectivity with potent inhibition of mammalian epoxidase and no effect on the fungal enzyme. The structural features required for epoxidase inhibition and selectivity have been examined. The terbinafine side-chain appears to be optimal for inhibition of both enzymes while modifications of the naphthalene ring can lead to either improved antifungal activity or to selectivity for the mammalian epoxidase.

Squalene epoxidase plays a key role in the biosynthetic sequence from acetate to sterols and is the first enzyme in the pathway which requires molecular oxygen. The presence of the 2,3-epoxide is a pre-condition for subsequent cyclization to the rigid 4-ring sterol backbone. The capability to synthesize sterols is thus limited to aerobic organisms. Squalene epoxidase is a membrane-bound enzyme first described in rat liver microsomes by Yamamoto and Bloch (7). Similar enzymes are known to occur in other mammalian tissues and eukaryotic cells, including fungi. The enzymology of squalene epoxidase and its inhibitors has recently been reviewed (2). The first specific inhibitor of squalene epoxidase to be identified was the antifungal agent naftifine, compound 1 (J-5) which represents the prototype of a separate class of antimycotics, the allylamines (6). The biological and clinical properties of these drugs, including the oral antimycotic terbinafine, compound 2 , ( 7,8 ) are the subject of a recent review (9) . An interesting aspect of the allylamines is that they show high selectivity between fungal and mammalian epoxidases (2). More than one thousand derivatives of the

0097-6156/92/0497-0192$06.00/0 © 1992 American Chemical Society

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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allylamine type have been synthesized and tested for antifungal activity, permitting extensive study of structure-activity relationships (70-75). In this article we review current knowledge concerning the mechanism of squalene epoxidase inhibition by allylamines, and the structural requirements for this inhibition.

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Inhibition of Sterol Biosynthesis The antifungal activity of 1 and 2 appears to result solely from their inhibition of fungal ergosterol biosynthesis, the blockade of squalene epoxidation causing accumulation of squalene and deficiency of ergosterol in treated cells (5,8,16-18). The build-up of high intracellular levels of squalene is thought to be responsible for the primary fungicidal action of these drugs (9,19). Structurally similar compounds which have been characterised as antifungal agents include SDZ 87-469 (1020), 3, and the benzylamine derivative butenafine, 4, (27), both of which are squalene epoxidase inhibitors as described below. The significance of this enzyme as an antifungal target is underlined by the existence of a second class of antifungal squalene epoxidase inhibitors, the thiocarbamates (22,25) which show some structural resemblance to 1. The antifungal allylamines are highly selective for inhibition of the fungal squalene epoxidase and thus have no effect on mammalian cholesterol biosynthesis (1824). However, recently the structurally related compound NB-598 (5) has been reported to be a potent inhibitor of mammalian squalene epoxidase and cholesterol biosynthesis in vitro and in vivo while having no antifungal activity (25). Measurement of Inhibition. Several experimental systems were used to assess the activity of allylamines as sterol biosynthesis inhibitors, using incorporation of radiolabelled precursors. Three standard methods described below were employed in comparison and selection of compounds, although only compounds of exceptional interest were tested in all three. In the subsequent tables of data, these tests are referred to as "Cells", "Cell-free" and "Epoxidase". Comparison between inhibitory values obtained in whole-cell and cell-free tests is important in assessing the ability of a compound to penetrate the fungal cell envelope, a property essential for antifungal activity. There is generally very good agreement between values from the cell-free and squalene epoxidase tests. The direct enzyme assay was also used for detailed kinetic investigations of selected compounds. Whole Cell Test. Fungal cells grown to late exponential phase were washed and incubated 2 hours with labelled acetate in a buffered glucose medium (5,8). The nonsaponifiable lipids were then extracted and analyzed by thin layer chromatography. Fractions corresponding to squalene, 4,4-dimethylsterols, 4-monomethylsterols and ergosterol were counted for radioactivity, usually accounting for about 95% of the total incorporated radioactivity. Inclusion of a squalene epoxidase inhibitor such as terbinafine caused a dose-dependent inhibition of incorporation into the ergosterol and other sterolfractionswith a corresponding accumulation of label in the squalene fraction (5,8,17). From the dose-response curves, drug concentrations for 50% inhibition (IC-50) could be calculated. All values presented here arefromyeast-form cells of the pathogenic dimorphic yeast Candida albicans. For selected compounds such as 1, 2 and 3, results have been obtained in a range of filamentous and yeast-like

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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Table I. Selective Inhibition of Fungal Squalene Epoxidase

I.C.-50 (μΜ) Com­ pound

Candida albicans

Candida parapsil.

Rat Liver

Guinea Pig Liver >100

144

1

1.1

0.34

2

0.03

0.04

77

3

0.011

0.02

43

4

0.045

n.d.

n.d.

n.d.: not done

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4 1.2 23

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fungi, showing good correlation between inhibition of growth and of sterol biosynthesis (8,17).

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Cell-free Test. Candida cells were disrupted by homogenizing or (for best results) by sphaeroplasting (26) and centrifuged at 10,000 g. The resulting cell-free extract incorporated radiolabeled mevalonate into the sterol fractions in the presence of a cocktail of biochemical cofactors (5,8). Measurement of IC-50 values was as for the whole-cell system. A very similar system derived from rat liver homogenate was used to investigate effects on mammalian cholesterol biosynthesis (8,18). Squalene Epoxidase Assay. The Candida microsomal squalene epoxidase was characterized and optimal assay conditions worked out on the principle of measuring conversion of labelled squalene to squalene epoxide (2426,27). A similar assay was employed for the microsomal epoxidase from rat liver (24) and guinea pig liver (26). Specificity of Inhibition. The possibility of aUylamines inhibiting steps other than squalene epoxidase in the ergosterol biosynthesis pathway was investigated in a range of cell-free tests using several different labelled sterol precursors (8,17). Possible effects on steps distal to squalene epoxide in whole fungal cells were also examined by measuring sterol side-chain methylation which occurs later in the pathway (28). No evidence could be found for significant inhibition of any enzyme other than squalene epoxidase, using 1, 2 and 3 as test compounds. These findings are supported by comparisons of the inhibitory concentrations in different test systems (see below), which indicate that epoxidase inhibition fully accounts for the observed inhibition of cellular ergosterol biosynthesis. Selective Inhibition of Fungal Squalene Epoxidase. Squalene epoxidase is a membrane-bound microsomal enzyme requiring molecular oxygen, F A D , and a source of reducing equivalents ( N A D H or NADPH). The epoxidase is not an enzyme of the cytochrome P-450 superfamily, does not contain heme and is unaffected by known inhibitors of cytochrome P-450 such as carbon monoxide. This is important from a therapeutic point of view, as the aUylamines have no tendency to inhibit the P-450 enzymes which have many important functions in the human body (29). Since 2 is also an orally active drug, its effects on both fungal and mammalian epoxidases were characterized. For this purpose, the microsomal epoxidases from C. albicans and C. parapsilosis were investigated (24,27). The rat liver enzyme was the subject of extensive studies by Bloch and coworkers and has been purified (30). Fungal Squalene Epoxidase. Compounds 1 and 2 and related structures cause a concentration-dependent inhibition of the Candida epoxidase and complete suppression of activity is attainable (24). Kinetic analysis indicates both compounds to be noncompetitive with respect to the substrate squalene and the cofactors F A D , N A D H and N A D P H . Table I shows inhibitory concentrations for 1 to 4; the potency of these drugs reflects their respective antifungal activities. The inhibition is fully reversible by dilution and is not time-dependent, indicating that covalent modification of the enzyme

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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does not occur. Very similar results were obtained with the two Candida species. Full kinetic analysis has only been carried out with 1 and 2 but it can be assumed that other allylamines are qualitatively similar in effect. The non-competitive nature of the inhibition is in agreement with the observation that the high squalene concentrations occurring in treated fungi do not lead to reversal of the drug-induced growth arrest. C. albicans squalene epoxidase can be solubilized by detergent action but remains equally sensitive to inhibition by 2, indicating that the inhibition is direct and not dependent on membrane integrity. Mammalian Squalene Epoxidase. AUylamines 1-3 proved to be very weak inhibitors of the rat liver microsomal enzyme (Table I). Kinetic studies with 2 showed that, in contrast to the fungal enzyme, inhibition of the liver epoxidase is competitive with squalene. Inhibition is reversible and non-competitive with F A D and NAD(P)H. The epoxidase from liver microsomes differs from the fungal enzyme in being almost completely dependent for activity on a soluble cytoplasmic protein factor. Inhibition by 2 was found to be competitive with the soluble cytoplasmic fraction, but not to an extent which would account for the high selectivity with respect to the fungal epoxidase (2426). Examination of several mammalian squalene epoxidases revealed a considerable variation in their sensitivity to aUylamines. The enzyme from guinea pig liver was found to be exceptionaUy sensitive, although stiU orders of magnitude less sensitive than the fungal enzyme, and was employed to test a number of compounds (Table I). The reason for this difference in sensitivity is not known, but is clearly not due to differences in binding to the respective soluble cytoplasmic factors (26). AU the antifungal aUylamines which have been investigated were found to be relatively inactive against the mammalian squalene epoxidase. However, compound 5 with a terbinafine-type sidechain and greatly modified ring structure has recently been reported as a very potent inhibitor of human microsomal squalene epoxidase, with Ki= 0.68 n M (25). Interestingly, 5 is also competitive with regard to squalene as in the case of 2, although with 4 to 5 orders of magnitude difference in potency. The selectivity of 5 is the reverse of that of 2, the former compound having no antifungal activity (25) and no significant effect on ergosterol biosynthesis (Table Π), indicating that selectivity is at the enzymatic level. Mechanism of Epoxidase Inhibition. The squalene epoxidase system presents a number of possible targets for inhibition, including the terminal oxidase, the reductase enzyme to which it is coupled, the lipid environment and , in the case of the mammalian enzyme, the soluble cytoplasmic factor. The aUylamines do not inhibit the reductase and have only a weak interaction with the cytoplasmic factor. Mechanism-based irreversible types of inhibition are ruled out by the kinetic properties of inhibition in both fungal and mammalian systems. Fungal Enzyme. The non-competitive kinetics and high selectivity render it unlikely that die aUylamines are acting as substrate analogues, and indeed their general structure has little in common with that of squalene. It is known that epoxidase activity requires phospholipids and is affected by various fatty acids (2). A recently suggested model

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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Inhibitors

Table Π. Selective Sterol Biosynthesis Inhibition by Terbinafine (2) and NB-598 (5)

I.C.-50 (μΜ) Compound Candida Cells

Candida Cell-free

Rat Liver Epoxidase

0.03

0.03

77

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2 5

>100

34

0.004*

Value from reference 25.

(31) postulates that the inhibitor binds with relatively low affinity to two separate sites on the epoxidase, the naphthalene ring to the squalene-binding site, and the sidechain to an adjacent lipophilic pocket, resulting in high-affinity entropie binding of the molecule to the enzyme. This concept is compatible with all the available evidence. The two-site model is supported by experiments withfragmentsof 2; the sidechain alone has no inhibitory effect on the Candida epoxidase at concentrations up to 1 mM. However, naphthalene (6) and 1-methyl derivative (7) are very weak inhibitors (Table ΙΠ). This activity is lost with addition of the hydrophilic amine group (8, 9), which causes strong polarization of the molecule, but then increases with a tertiary amine and increasing chain length (10-12). Addition of the terminal tertiary butyl group then delivers a 10,000-fold increase in activity (comparing 2 and 12). This suggests the need for a minimum chain length to bridge the two binding sites on the enzyme. Mammalian Enzyme. Selectivity might be explained by differences in alignment or distance between the two postulated binding sites. The competitive inhibition shown by both 2 and 5 suggests interaction with the substrate-binding site of the mammalian enzyme, weak in the case of 2 and strong in the case of 5. Unlike 2, the extended structure of 5 could provide the possibility of occupying the squalene-binding site with high affinity. This concept of selective inhibition is of course highly speculative and will require further detailed studies of the respective enzymes for confirmation. Structural Determinants for Epoxidase Inhibition. Initial studies (15) of structure-activity relationships of 1 and its derivatives, based on antifungal activity, indicated the specific structural requirements for this activity. These included the 1-substituted naphthalene and tertiary aUylamine groups, while consider­ able modification of the sidechain was permitted. Modification of Sidechain. As shown in Table TV, variation of the sidechain of 1 can lead to greatly increased epoxidase inhibitory activity. The rigid analogue 13 is interesting in showing stereospecificity at the chiral centre, the /?-enantiomer having

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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TABLE ΙΠ. Inhibition of C. albicans Squalene Epoxidase by Naphthalene Derivatives

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Squalene Epoxidase Inhibition(%)

CO Nr.

10-»M

R

6

/

H

CH 7

3

ΙΟ^Μ

lO-'M

11

16

84

7

0

85

0

0

0

-27

0

26

0

0

100

33

63

100

0

37

84

100

100

100

1 ^NH

2

8

9 1 10

f

^

11

12

2'

Ι Ο ο = 0.03 μ Μ

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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TABLE IV. Effect of Sidechain Variation on Inhibition of C. albicans Biosynthesis and Squalene Epoxidase R I

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Nr.

Sterol

I.C.„ (μΜ)

R

Cells

Cell-free

Epoxidase

1.08

0.59

0.93

0.36

0.14

0.11

4.95

2.47

n.d.

1 13a 13b

s

>100

38.8

n.d.

14 0.21

0.10

n.d.

0.03

0.03

0.03

0.03

0.03

n.d.

n.d.

n.d.

0.04

n.d.

n.d.

0.09

0.14

0.05

0.05

n.d

n.d

0.05

15

2

16

17

18

a n

0

-

4

19

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REGULATION OF ISOPENTENOID METABOLISM

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10-fold superior activity, which also correlates with antifungal activity (14). A s previously shown i n Table ΠΙ, the length o f the sidechain is important, and the enyne sidechain o f 2 appears to be optimal i n this respect. Further extension (17, 18) gives no further increase i n activity. The benzylamine (4) and homopropargylamine (19) sidechains are o f similar length to the enyne and have comparable activity. A bulky terminal group appears to be beneficial (compare 2 and 15), while addition o f a polar group (14,18) is unfavorable, i n agreement with the two-site model o f inhibition. The trimethylsilyl derivative 16 has activity equivalent to that of 2, w h i c h is also translated into antimycotic activity (13). A l l y l a m i n e D o u b l e B o n d . It was previously known from antifungal activities that the trans configuration o f the double bond was required for activity, the cis isomer being much less active (13). This specificity clearly operates at the enzymatic level, seen i n comparison o f 2 and its cis isomer 20 (Table V ) . The cis configuration also appears to have an adverse effect on cell penetration. Fluorination at the double bond either has little effect (21), or leads to reduction i n activity (22). Although the configuration is important, the double bond itself is not required for epoxidase inhibition, as demonstrated by the activity of 19 i n Table I V . A l l y l a m i n e N i t r o g e n . Removal o f the N-methyl group (23) leads to loss of activity, but substitution with ethyl (24) does not increase activity above that o f 2. The low but significant epoxidase inhibition shown by the oxa analogue 25 indicates that the amino nitrogen is not strictly required for activity. Further clarification o f this point was obtained by synthesis (77) o f a series of carbon analogues o f 2, compounds 26-33. The results (Table V I ) demonstrate inhibitory activity to be related to similar steric requirements as i n 2, that is, methyl substituent at the carbon replacing the nitrogen, and trans configuration o f the double bond. The spécifie attributes o f the nitrogen atom are not required. The active compounds 27 and 32 showed antifungal activity against dermatophytes only (77). Comparing the values for inhibition i n whole cells and cellfree extracts (Table V I ) , it is clear that presence o f the aUylamine nitrogen is important for penetration o f the compounds through the fungal cell envelope. The surprisingly good activity o f the cumulenes 31-33 gives further support for the concept o f the sidechain acting as a rigid bridge between two separate binding sites. M o d i f i c a t i o n o f Naphthalene R i n g . The size o f the ring structure is critical for inhibitory activity, and the monocyclic compounds 34-36 show only weak activity (Table V I I ) . W i t h i n the naphthalene series, 4-substitution leads to reduced activity (compound 37), while substitution at some other positions is permitted but without improving activity (compounds 38 and 39). Naphthalene can be replaced by benzo[6]thiophene with equivalent activity (compounds 40 and 41) but enlargement o f the ring to a dibenzothiophene (42) leads to loss of activity. The 3-chloro-7benzo[fc]thienyl compound 3 is significantly higher i n activity (Table V u ) , and is i n fact the most potent inhibitor o f fungal squalene epoxidase w h i c h has been found up to now, correlating with its very high antifungal efficacy (10,20).

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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TABLE V. Effect of Variation in Allylamine Group on Inhibition of C. albicans Sterol Biosynthesis and Squalene Epoxidase

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I.C.50 (μΜ)

CO Nr.

R

Cells

Cell-free

Epoxidase

0.03

0.03

0.03

2.44

0.64

n.d.

n.d.

n.d.

0.05

n.d.

n.d.

0.42

0.32

0.32

n.d.

0.04

0.03

n.d.

n.d.

n.d.

2.16

2

20

I I

21

22 1

F

23

24

25

n.d. = not done

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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T A B L E VI. Inhibition of C . albicans Ergosterol Biosynthesis by Carbon Analogs of Allylamines

I.e.* (μΜ)

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CO Nr.

R

Cells >30

Cell-free 16.3

26

2.69

0.24

27

>30

2.48

28 11

n.d.

>30

n.d.

>30

29

30

1 / \

n.d.

0.47

0.34

0.10

31

32

>30

0.56

33

*E:Z-

1:1

In Regulation of Isopentenoid Metabolism; Nes, W., et al.; ACS Symposium Series; American Chemical Society: Washington, DC, 1992.

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TABLE Vu. Effect of Ring Modification on Inhibition of C. albicans Sterol Biosynthesis and Squalene Epoxidase L e . » (μΜ) R

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Nr

34

R

Cells

ό

Cell-free

Epoxidase

n.d.

n.d.

3.87

1.56

1.56

n.d

n.d.

47.9

35 184 36 o-cH

3

0.43

0.21

n.d.

n.d.

0.02

n.d.

0.03

0.03

n.d.

0.03

0.03

n.d.

0.03

0.03

n.d.

0.011

0.007

0.011

n.d.

n.d.

0.37

37 CH

3

38 Cl 39

40

41

1

42

n.d. = not done

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References. 1. Yamamoto, S.; Bloch, K. J. Biol. Chem. 1970, 245, 1670-1674. 2. Ryder, N.S. Biochemistry of Cell Walls and Membranes in Fungi; Kuhn, P.J., Trinci, A.P.J., Jung, M.J., Goosey, M.W., Copping, L.G., Eds.; Springer-Verlag: Berlin, 1990, pp 189-203. 3. Georgopoulos, A. G.; Petranyi, G.; Mieth, H.; Drews, J. Antimicrob. Agents Chemother. 1981, 19, 386-389. 4. Paltauf, F.; Daum, G.; Zuder, G.; Hoegenauer, G.; Schulz, G.; Seidl, G. Biochim. Biophys. Acta 1982, 712, 268-273. 5. Ryder, N. S.; Seidl, G.; Troke, P. F. Antimicrob. Agents Chemother. 1984, 25, 483-487. 6. Petranyi, G.; Ryder, N. S.; Stuetz, A. Science 1984, 224, 1239-1241. 7. Petranyi, G.; Meingassner, J. G.; Mieth, H. Antimicrob. Agents Chemother. 1987, 31, 1365-1368. 8. Ryder, N. S. Antimicrob. Agents Chemother. 1985, 27, 252-256. 9. Ryder, N.S.; Mieth, H. Current Topics in Medical Mycology Vol. 4; Borgers, M., Hay, R., Rinaldi, M.G., Eds.; Springer-Verlag: New York, 1991, pp 158-188. 10. Nussbaumer, P.; Petranyi, G.; Stuetz, A. J. Med. Chem. 1991, 34, 65-73. 11. Nussbaumer, P.; Ryder, N. S.; Stuetz, A. Pestic. Sci. 1991, 31, 437-455. 12. Stuetz, Α.; Petranyi, G. J. Med. Chem. 1984, 27, 1539-1543. 13. Stuetz, A. Ann. Ν. Y. Acad. Sci. 1988, 544, 46-62. 14. Stuetz, A. Angew. Chem. Int. Ed. Engl. 1987, 26, 320-328. 15. Stuetz, Α.; Georgopoulos, A. G.; Granitzer, W.; Petranyi, G.; Berney, D. J. Med. Chem. 1986, 29, 112-125. 16. Ryder, N.S. In vitro and In vivo Evaluation of Antifungal Agents; Iwata, K., Vanden Bossche, H., Eds.; Elsevier Science Publishers: Amsterdam, 1986, pp 89-99. 17. Ryder, N.S. Sterol Biosynthesis Inhibitors. Pharmaceutical and Agrochemical Aspects; Berg, D., Plempel, M., Eds.; Ellis Horwood Ltd.: Chichester, 1988, pp 151-167. 18. Ryder, N. S. Ann. Ν. Y. Acad. Sci. 1988, 544, 208-220. 19. Ryder, N.S.; Seidl, G.; Petranyi, G.; Stuetz, A. Recent Advances in Chemotherapy; Ishigami, J., Ed.; University of Tokyo Press: Tokyo, 1985, pp 2558-2559. 20. Stuetz, Α.; Nussbaumer, P. Drugs Fut. 1989, 14, 639-642. 21. Arika, T.; Yokoo, M.; Hase, T.; Maeda, T.; Amemiya, K.; Yamaguchi, Η. Antimicrob. Agents Chemother. 1990, 34, 2250-2253. 22. Morita, T.; Nozawa, Y. J. Invest. Dermatol. 1985, 85, 434-437. 23. Ryder, N. S.; Frank, I.; Dupont, M.-C. Antimicrob. Agents Chemother. 1986, 29, 858-860. 24. Ryder, N. S.; Dupont, M.-C. Biochem. J. 1985, 230, 765-770. 25. Horie, M.; Tsuchiya, Y.; Hayashi, M.; Iida, Y.; Iwasawa, Y.; Nagata, Y.; Sawasaki, Y.; Fukuzumi, H.; Kitani, K.; Kamei, T. J. Biol. Chem. 1990, 265, 18075-18078. 26. Ryder, N. S. Pestic. Sci. 1987, 21, 281-288. 27. Ryder, N. S.; Dupont, M.-C. Biochim. Biophys. Acta 1984, 794, 466-471. 28. Ryder, N. S. J. Gen. Microbiol. 1985, 131, 1595-1602. 29. Schuster, I. Xenobiotica 1985, 15, 529-546. 30. Ono, T.; Nakazono, K.; Kosaka, H. Biochim. Biophys. Acta 1982, 709, 84-90. 31. Ryder, N. S. Biochem. Soc. Trans. 1990, 18, 45-46. RECEIVED December 26, 1991

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