“One Ring to Bind Them All”—Part I: The Efficiency of the Macrocyclic Scaffold for G-Quadruplex DNA Recognition

Macrocyclic scaffolds are particularly attractive for designing selective G-quadruplex ligands essentially because, on one hand, they show a poor affinity for the “standard” B-DNA conformation and, on the other hand, they fit nicely with the external G-quartets of quadruplexes. Stimulated by the pioneering studies on the cationic porphyrin TMPyP4 and the natural product telomestatin, follow-up studies have developed, rapidly leading to a large diversity of macrocyclic structures with remarkable-quadruplex binding properties and biological activities. In this review we summarize the current state of the art in detailing the three main categories of quadruplex-binding macrocycles described so far (telomestatin-like polyheteroarenes, porphyrins and derivatives, polyammonium cyclophanes), and in addressing both synthetic issues and biological aspects.


Introduction
G-rich DNA strands are naturally involved in duplex-DNA architecture through association with their complementary C-rich DNA strands by the canonical Watson-Crick pairing [1][2][3]. However, a growing body of evidence currently testifies that this canonical association is not the unique mode of stabilization of G-rich DNA in cells. Indeed, given that four guanine residues can self-associate in a planar arrangement through a Hoogsteen-type hydrogen-bonding network [4] to form a structure called G-quartet, G-rich strands can adopt a peculiar three-dimensional arrangement called G-quadruplex DNA [5][6][7][8][9] resulting from the stacking of several contiguous G-quartets (Figure 1).
The formation of G-quadruplex DNA is easily conceivable in DNA sequences that are present as single strands in cells, such as the telomeric overhang. The structural and functional integrity of this overhang is based on its association with a constellation of specific proteins, some of them belonging to the shelterin complex [10]. Altogether, this nucleoproteic assembly caps the chromosomes, protects their integrity, and is also deeply involved in the telomeric replication process [11][12][13]. Numerous studies currently suggest that quadruplex formation in this overhang alters the structure and function of telomeres, inducing a damage response and rapid apoptosis in particular in cancer cells [14][15][16][17][18][19][20][21][22][23][24]. Thus, over the past decade telomeric Gquadruplex DNA has been thoroughly studied with an initial focus on the possible interferences with telomerase activity [25].
The existence of G-quadruplex DNA is also heavily implied in the promoter region of genes and oncogenes, and is thus assumed to play an important regulatory role in their transcription [26]. It has been indeed demonstrated that the involvement of G-rich sequences in duplex architecture is compatible with their folding into quadruplex structures, thanks to the breathing of duplex DNA [27]. Nevertheless, we have to keep in mind that these G-quadruplex-forming sequences although transiently single-stranded are a priori not as easily accessible as the telomeric sequences, due to the presence of the transcription machinery [28]. Stabilization of quadruplex architecture by small molecules is thus emerging as a potential anticancer approach since it is thought to interfere with oncogenic expression and telomeric maintenance in cancer cells [11][12][13]. Interestingly, several classes of small molecules have been developed that efficiently target G-quadruplex DNA [29][30][31][32]. Among them, macrocycles rapidly became popular for recognition of quadruplexes motivated by the fact that telomestatin is one of the most active known G-quadruplex ligands [33]. This natural 8-ring 24-membered macroheterocycle ( Figure 2) displays high affinity for quadruplex and most importantly has no affinity for duplex DNA (vide infra). Nevertheless, apart from several reports on telomestatinlike molecules, true polyheteroaryl analogues are still scarce, essentially because of the difficulty to synthesise such molecules. Another well-known G-quadruplex ligand-and arguably one of the most studied-is TMPyP4 [34,35], a tetramethylpyridinium porphyrin (Figure 2). This molecule has been widely used, essentially due to its great affinity for several quadruplex targets, as well as its commercial availability. However, the interest in employing TMPyP4 is somewhat counterbalanced by its lack of quadruplex selectivity (vide infra).
These two examples illustrate the main reasons that made the macrocyclic scaffold particularly interesting for targeting G-quadruplex DNA: (i) a broad aromatic surface that favours the stacking interactions with the external G-quartets of the quadruplex, (ii) a rigid structure that maximizes the quartet overlap and, combined with their large size, impedes intercalation into duplex DNA, and (iii) in the case of TMPyP4, a cationic charge that promotes the electrostatic interactions with the negatively charged biopolymer. Unfortunately, the high cationic charge of TMPyP4 represents both an advantage and a drawback due to the nonspecificity of electrostatic interactions which promote association with any form of DNA, but in particular duplex DNA, thereby decreasing the binding selectivity (vide infra).
A great deal of research effort around the macrocyclic scaffold was thus motivated by these two examples. The macrocyclic systems described up to now as G-quadruplex ligands can be divided in three different categories: (i) telomestatin like (i.e., neutral and rigid macrocycles), (ii) porphyrin (TMPyP4) like (i.e., cationic and rigid macrocycles), and (iii) the less studied family of flexible polyammonium macrocycles (i.e., cationic and non planar), which will be described herein also in the companion paper, "One Ring to Bind Them All"-Part II, by A. Granzhan et al.) in the present issue. energy transfer) [37]. Semiquantitative evaluation of ligandbinding affinity is obtained by measuring the increase in melting temperature induced by the ligand (ΔT 1/2 ). The quadruplex-over-duplex-DNA selectivity may then be established via competitive FRET melting which is carried out in presence of competitive duplex DNA (ds26). In the presence of telomestatin, the increase in melting temperature is very large (ΔT 1/2 = 24 • C), and since this value is unaffected by the presence of up to 50 equiv. of competitive duplex DNA (herein ds26, the self-complementary sequence 5 -CA 2 TCG 2 ATCGA 2 T 2 CGATC 2 GAT 2 G-3 ), telomestatin stands among the most selective of G-quadruplex ligands. This property has been subsequently confirmed by independent studies using various evaluation techniques.
The enthusiasm for telomestatin was also justified by its ability to inhibit telomerase [38], with the reported IC 50 value lying, impressively, in the nanomolar range (IC 50 -TRAP = 5 nM) [33]. However, the relationship between TRAP assay and telomerase inhibition was recently challenged on the grounds that this assay does not actually reflect the influence of the ligand on the activity of the enzyme but rather the ability of the ligand to inhibit the PCR amplification step [25]. The direct assay, a more constraining method based on the telomerase elongation of a telomeric primer with incorporation of [α-32 P]dGTP, provides a more reliable estimation of the telomerase inhibition ability [25]. Interestingly, telomestatin is still highly active, staying among the best reported inhibitors, with an IC 50 value of 58 nM.
The structure of telomestatin is quite unusual since it is a neutral polycyclic compound, composed of five oxazole, two methyloxazole, and one thiazoline rings, whose overall flatness is impeded by the presence of an sp 3 carbon within the thiazoline ring ( Figure 2). Whether this molecule is aggregated in water is yet not known; however, it is likely that the strong hydrophobic character of the molecule should reinforce the hydrophobic forces that contribute to stacking interactions, and so explain its exceptional effectiveness in binding G-quadruplex. This efficiency is also assumed to rely on a perfect shape adaptation between the macrocycle and a G-quartet ( Figure 3) [39].
Abundant biophysical and biological investigations have been performed with telomestatin. For example, it exhibits an antiproliferative activity against a wide variety of cancer cell lines with IC 50 values between 0.1 and 5 μM, including human pancreatic carcinoma [40], myeloid leukaemia [41,42], breast cancer [43], cervical [43], tumoral HT1080 [44], telomerase-transformed SW39 [45], ALT-transformed SW26 [45], immortalized EcR293 [46], and a panel of myeloma [47] and neuroblastoma lines [48]. Remarkably, telomestatin does not affect normal cell lines, with no effect observed at 5 μM on fibroblast MRC-5 cells [43]. This observation has recently been substantiated by the finding that telomestatin does not interfere with telomere replication in normal cells [49]. Telomestatin was also a tool of choice to investigate the biological role of G-quadruplex ligands in cells by suggesting that effects of ligands might originate essentially from the disruption of the telomeric structure with subsequent displacement of protective proteins (shelterin complex) rather than in telomerase inhibition [44,46]. Telomestatin was used to investigate the role of putative quadruplex formation within the promoter region of genes like VEGF [50] and hTERT [51] or oncogenes like c-Myc [52], Bcl-2 [53], and RET [54], whose corresponding proteins are overexpressed in some cancers. Recently, telomestatin was shown to interfere with the ability of helicases to unwind G-quadruplex structures [55], and to affect the growth of telomerase-negative ALT (Alternative Lengthening of Telomeres) cell lines via an indirect interaction with a proteinic complex comprised of the shelterin component TRF2, the helicase BLM, and the enzyme Topoisomerase IIIα [56]. The reason why telomestatin-or more generally Gquadruplex ligands-selectively affects tumour cell lines is yet not fully understood. However, differences in plasmic membrane permeability between normal and cancer cells or in the accessibility of the telomere and in particular variations in the composition of the shelterin complex have been proposed; even if the accessibility is identical, one can imagine that the cellular responses are different.
Unexpectedly, only two studies have addressed in detail the actual binding mode of telomestatin to G-quadruplex using in silico investigations [57,58]. This is particularly surprising, given that there are no structural characterizations of this interaction (NMR, X-ray crystallography) available to date. These studies support concomitant double endstacking on quartets, with a preference for the parallel conformation of the human telomeric quadruplex. This conclusion is somewhat in contradiction with those of other studies based on CD spectroscopy [59] or 125 I-radioprobing [60], underlining that further efforts are required to clarify the interaction mode of telomestatin with quadruplexes.  : Qualitative in silico superposition of HXDV and a Gtetrad (extracted from PDB entry: 2A5R); guanine residues appear in gold, the carbon, nitrogen, oxygen, and hydrogen atoms of HXDV in grey, blue, red and white, respectively.
Nevertheless, one major concern is that telomestatin is difficult to synthesise. Despite considerable synthetic efforts to obtain either fragments of telomestatin or telomestatinlike arrays of polyoxazoles [61][62][63][64][65], its total synthesis has been reported only recently [66], and the complexity of the proposed pathway is incompatible with large-scale Figure 6: Interaction of TMPyP4 and a G-tetrad (adapted from PDB entry: 2A5R); guanine residues appear in gold; the carbon, nitrogen, oxygen, and hydrogen atoms of TMPyP4 appear in grey, blue, red, and white, respectively.
preparation. This can explain why, whilst the excellence of telomestatin towards quadruplex-recognition can hardly be exaggerated, relatively few reports on telomestatin-like compounds have appeared in the literature. Among them, two hexaoxazole macrocyclic ligands have been independently reported by Rice et al. [67,68] and by Shin-ya, Nagasawa et al. [69]. The structure of these macrocycles was based on the dimeric association of two symmetrical trioxazole moieties through an amino-acid linker, either a valine (for HXDV, Figure 4) or a protected serine (for S2A2-6OTD, Figure 4), respectively.
HXDV has been widely investigated and found to profoundly stabilize the telomeric G-quadruplex structure by UV-melting assay (ΔT m = 24 • C), without any significant binding to duplex DNA [67,68]. Its association with a quadruplex-forming sequence mimicking the human telomeric sequence has recently been confirmed to be based on external stacking, with occupancy of both external Gquartets. Interestingly, the high quadruplex selectivity of HXDV is assumed to originate from its particular telomestatin-like concave shape since the two planes defined by the trioxazole moieties present an angle of ∼30 • , along with the disposition of the two amino-acid residues on the same face of the cycle, thereby optimizing stacking interaction with quartets ( Figure 5) [39]. The biological effects of HXDV have been investigated on human lymphoblastoma (RPM1) and murine leukaemia (P388) cell lines, with IC 50 values for inhibition of the population doubling in the low micromolar range (0.4 and 0.5 μM, resp.) [67,68]. Very interestingly, it has also been shown recently that HXDV elicits antiproliferative effect on both telomerase-positive (HeLa, A875, PC3-1 with IC 50 between 0.2 and 0.6 μM) and telomerase-negative cell lines (like SAOS2 or GM847 with IC 50 between 0.4 and 0.5 μM) mainly through an M-phase inhibitory effect, thereby contributing to the elucidation of the actual biological effects of G-quadruplex ligands [70].
Interestingly, to circumvent the solubility problems, various HXDV derivatives have been prepared based on the modification of the nature of the side chain(s), from two valine residues (for HXDV), to only one valine [71], one valine and one protected lysine (HXLV-AC) [72], and two lysine residues (HXDL, Figure 4) [73]. Of all these derivatives, HXDL appeared as the most promising, whilst it is not neutral at physiological pH (due to protonation of both terminal amine groups, whose pK a values are estimated as 9.9 and 10.5) [74] and the characteristics of its association with quadruplex are impressive in terms of both affinity (ΔT m = 49 • C) and selectivity, since only residual stabilization of salmon testes duplex-DNA is observed. This gain in efficiency is assumed to originate in a higher solubility and in enhanced interactions with quadruplex-DNA, mixing both tetrad-stacking and electrostatic interactions.
The success obtained with HXDL was concomitantlyand independently-confirmed by Nagasawa et al., who developed a series of G-quadruplex binding macrocyclic hexaoxazoles (6OTD for 6-Oxazole Telomestatin Derivatives). The very first example of this series, S2A2-6OTD (Figure 4), [69] was rapidly surpassed by more active compounds, in which the serine residues of the side chain were replaced by lysine (L2H2-6OTD, also called HXDL by Rice et al.) or arginine residues (L2G2-6OTD) [75]. Both compounds were found to be active in vitro in a range similar to that of telomestatin, notably via PCR stop assay (IC 50 down to 0.64 μM), TRAP assay (IC 50 down to 20 nM), and inhibition of the growth of HeLa cells (IC 50 down to 0.5 μM). Current strategies for improvement include the dimerisation of the 6OTD scaffold (6OTD dimer, Figure 4) [76], using a bisamide linker between the two 6OTD moieties, which is long enough to span the thickness of the quadruplex architecture (∼15Å). Unexpectedly the affinity of the dimer so obtained is not significantly increased as compared with the corresponding monomer, as judged by FRET-melting data (ΔT m = 25.1 versus 25.0 • C, resp.) and PCR stop assays (IC 50 = 3.0 versus 2.9 μM, resp.). On the other hand, the dimer is more selective than the monomer since a ∼10-fold improvement is obtained when comparing the inhibitory IC 50 values measured by PCR stop assay allowing the authors to claim a 800-fold selectivity. The fact that the dimer is able to form a unique 1 : 1 complex with G-quadruplex, as shown by ESI-MS analysis, added to a proven inability to interact with duplex-DNA, implies that this dimeric scaffold is optimized for quadruplex recognition. Further improvement was found by replacing the hexaoxazole scaffold by the more planar heptaoxazole analogue (L1H1-7OTD, Figure 4) [77]. This compound was shown to interact strongly with quadruplex DNA (as judged by PCR stop assay, IC 50 = 0.67 μM), with a fair quadruplex-over-duplex DNA selectivity (∼8fold). Furthermore, it displays a selective cytotoxicity toward telomerase-positive cells (HeLa, IC 50 = 2.2 μM) as compared to telomerase-negative cells (Saos-2, IC 50 > 30 μM). It is thus highly probable that a dimeric version of the 7OTD scaffold will appear in a near future and that it will help this scaffold to improve its quadruplex-over-duplex DNA selectivity.
Other series of oxazole-based macrocycles have been investigated as G-quadruplex binders and notably macrocycles whose structure is based on a trisoxazole [78], trisfuran, or tetrafuran scaffolds [79] (Figure 4). Amino-terminated chains have been introduced to improve water solubility and favour electrostatic interactions with DNA (the pK a values of the amino side chains depicted in Figure 4 standing in the 8.8-10.7 range) [74], with the chain length finely tuned to reach the quadruplex grooves. The intrinsic qualities of these compounds have been evaluated through FRETmelting assay, and whilst modest results were obtained with the oxazole-based tripeptide (ΔT 1/2 = 6.4 • C), moderate (ΔT 1/2 = 10 • C) to good (ΔT 1/2 = 17 • C) results were obtained with furan-based tri-and tetrapeptides, respectively. Interestingly, when performed with duplex DNA, no stabilization occurred in any case, thus inferring a high quadruplex-selectivity of this series of ligands. But a real breakthrough was achieved in increasing the aromatic surface of the ligands, since stabilizations higher than 30 • C were obtained with the aminoquinoline-based cyclic oligoamide depicted in Figure 4 [80,81]. Once more, this compound retains a high selectivity for quadruplex DNA, since no stabilization was detected when a FRET-melting assay was performed with duplex hairpin-DNA. It is worth noting that this compound is also able to discriminate various types of quadruplex DNA (human telomeric versus oncogenic c-kit), thus opening perspectives for discovery of a novel generation of selective and specific G-quadruplex ligands. Additionally, the very attractive in vitro biophysical results were also complemented by the low general cytotoxicity of the cyclic oligopeptides.
Despite the real viability of the neutral macrocyclic scaffold for G-quadruplex recognition, the equilibrium between hydrosolubility and activity is difficult to achieve. One improvement has been the introduction of amino side chains that increase water-solubility and electrostatic attraction with the DNA target without altering the duplex-versusquadruplex selectivity of the ligand, which relies on the shape and rigidity of the polyhetroaryl cyclic scaffold itself. Such molecular designs have thus to be further investigated, in order to gain more insights in terms of bioavailability and selective cytotoxicity.
Thus, the current status of TMPyP4 is the opposite of telomestatin; it is both commercially and synthetically accessible and its interaction with quadruplexes, although multiple, is fully characterized. Finally, the simple geometric comparison allowed by the overlaps shown in Figures 3  and 6 strongly suggests that the tetrapyrrolic macrocycle is much less suitable than the octacyclic ring for optimizing aromatic-aromatic interactions with a G-quartet. In conclusion, although TMPyP4 remains an interesting tool that has contributed to the understanding of the ligand-quadruplex interactions and to their complexity, its biological use for probing the involvement of quadruplex in biological assays is questionable.
The porphyrin core, as clearly demonstrated with TMPyP4, has been extensively explored as a macrocyclic scaffold for the design of G-quadruplex ligands. Among the numerous examples that have been reported, either as metal free or in a complexed state, the most interesting ligands are presented in Figure 7. Even if the methods for analyzing Gquadruplex affinity and selectivity are not yet standardised, the nature of the side arms that surround the porphyrin core is unmistakably crucial. Indeed, while the above mentioned Mn-TMPyP4 was able to interact with G-quadruplex 10 times faster than with duplex DNA, a 10,000-fold difference was obtained by moving the N-methylpyridinium moieties from the close vicinity of the porphyrin core to the termini of flexible arms [143]. This modification is assumed to greatly improve the electrostatic interaction with quadruplex grooves, while impeding intercalation into duplex DNA. This kinetic difference was evaluated through biosensorsurface plasmon resonance (SPR) measurements. The SPR technique, based on the use of surface-immobilized oligonucleotides, enables a quantitative analysis of the binding parameters, that is, thermodynamic (equilibrium constant, Gibbs energy of binding, and stoichiometry) and kinetic (k on /k off ) parameters of the interaction of small molecules with the target DNA [90,144]. In the present case, the affinity constant determined with duplex DNA lies in the 10 4 M −1 range, reaching up to 10 8 M −1 with quadruplex-DNA. Even if more modest, similar observations were made with TQMP, a porphyrin in which N-methylpyridinium substituents were replaced by (trimethylammonium)methylphenol arms (Figure 7) [91]. In this case, an ∼100-fold difference in the kinetics of the association with duplex (10 4 M −1 · s −1 range) and quadruplex DNA (10 6 M −1 · s −1 range) was obtained. Finally, knowing that the nature and number of the surrounding side arms can be finely tuned in the case of TMPyP4 [145,146], interesting perspectives exist to modify porphyrin-based G-quadruplex ligands in this way. It is, however, worth noting that the equilibrium between affinity and selectivity is difficult to access with the TMPyP4 scaffold, as demonstrated by a recent study in which a TMPyP4-related compound was included in a highorder supramolecular architecture (ruthenium coordination cubes) [147], on the basis of the elegant idea to use the metal itself to build the macrocyclic scaffold [148]. These cubic complexes were indeed shown to strongly bind not only quadruplex-DNA but also duplex-DNA, despite their peculiar molecular volume. This lack of selectivity may originate in their highly cationic nature (eight positive charges).  A large number of structural analogues of TMPyP4 have been recently described in the literature, differing notably by the nature of the side-arms (N-methylpyridinium groups have, for example, been replaced by N-propylpyridinium [126], N-methylquinolinium [149], and phenyl groups with short [150] or long aminoalkyl arms [151], and even endowed with fluorescent reporters) [152]. The extensive family of ring-size analogues of the 16-membered porphyrins are exemplified in Figure 8, including the 15membered corrole, 16-membered phthalocyanine or porphyrazine, and the 19-membered sapphyrin, which have all been employed for the construction of G-quadruplex ligands.
Corroles are tetrapyrrolic macrocyclic structures, lacking one bridging sp 2 carbon with respect to porphyrins. Interestingly, the resulting TMPyP4 analogue, which is substituted with N-methylpyridium groups (Figure 9) [153], is only trisubstituted, with a peculiar spatial disposition of pyridinium moieties relative to each other ( Figure 10) [39]. This corrole efficiently stabilizes quadruplex DNA, as judged from CD-melting experiments (T m increase of 36 • C), with a fair selectivity, judged by SPR measurements (affinity constants in the range of 10 5 and 10 6 M −1 for duplex-and quadruplex-DNA, resp.). Copper corroles have also been studied and proved to be good stabilizing agents for quadruplexes formed from sequences of both the human telomere and the c-myc promoter [154]. Porphyrazine, the polyaza tetra(pyrrolopyridine) analogue of porphyrin (Figures 8 and 9), has also been widely used in the design of G-quadruplex ligands, because of its steric properties (close to those of the porphyrin), but also because its synthesis opens novel perspectives for structural diversity. It enables, for example, to fuse the pyridinium moieties with the cyclic scaffold, thereby leading to a flat, electron-deficient and structurally frozen macrocycle, with an excellent overlap of a G-tetrad ( Figure 10) [39]. 3,4-TMPyPz, used either as metal-free or as Zn complex, shows a high affinity and selectivity for quadruplex DNA, as demonstrated by UV-Vis and SPR experiments (affinity constants in the range of 10 6 M −1 for quadruplex DNA and <10 5 for duplex-DNA), with a refined binding mode, since a unique binding site was determined using both of these techniques [155]. It is worth noting that 3,4-TMPyPz has also been used as a tool to investigate the role of G-quadruplex ligands in a totally telomere-independent mechanism, that is, an innovative gene-silencing strategy based on the control by a G-quadruplex ligand of the dicing of quadruplex-forming short hairpin RNAs that actively participate to the RNA interference (RNAi) pathway [156].
Phthalocyanines are structurally close to porphyrazines, with the pyridine rings that compose the porphyrazine scaffold replaced by benzene rings. The zinc phthalocyanine complex ZnPc (Figure 9) [157,158] carries the classical amino side chains in the close vicinity of the macrocyclic scaffold. The results are interesting, since they demonstrate that a highly charged compound (up to 8 positive charges), whilst presenting an expected high degree of quadruplex affinity, can concomitantly retain a satisfactory level of selectivity (on the basis of SPR and CD-melting data), the difference in kinetic parameters with duplex-versusquadruplex DNA being in the range of one order of magnitude. When the aminoalkyl side arms of ZnPc are replaced by guanidinium moieties, the corresponding Zn-DIGP (for tetrakis-(diisopropylguanidinio) zinc phthalocyanine, Figure 9) elicits quite exceptional properties, both in terms of quadruplex affinity (K d < 2 nM for c-myc quadruplex) and quadruplex-versus-duplex DNA selectivity (Zn-DIGP displays a 5000-fold higher affinity for c-myc quadruplex than for calf thymus DNA). In addition, Zn-DIGP exhibits "turn-on" fluorescent properties, making it a particularly interesting quadruplex-selective dye [159]. Very recent studies have substantiated the interest in this series of molecules, confirming their good cellular uptake and inhibition of promoter-quadruplex-mediated genes (KRAS) [160].
The expanded diselenosapphyrin Se2SAP (Figure 9) represents a novel class of chemically challenging compounds but with a very interesting ability to interact only with its preferential target, the oncogenic c-myc-derived quadruplex [52,59]. Indeed, Se2SAP discerns, firstly, among the DNAs of various nature (duplex and quadruplex DNA, with a selectivity factor of ∼600 as judged by a competitive Taq polymerase assay), and secondly, among quadruplex DNA of various structures (Se2SAP binds specifically c-myc, as compared to human telomeric quadruplex, but displays also a higher affinity for the quadruplex found in the promoter region of VEGF) [102]. The substitution of nitrogen by selenium atoms in the backbone of the ligand was motivated by the decrease of the known photocytotoxicity of the porphyrins, as confirmed by the low general cytotoxicity of Se2SAP in HeLa cells (no effect at 200 μM dose). One major drawback to the use of Se2SAP in cells stands in its limited bioavailability, which remains to be improved for further biological investigations.
A hemin-related porphyrin, NMM (or N-methyl mesoporphyrin IX) has also been thoroughly investigated for its ability to interact with G-quadruplex. NMM (Figure 11) is interesting as the unique representative of the negatively charged macrocyclic G-quadruplex ligands (its two carboxylic groups being deprotonated at physiological pH) [74,[186][187][188]. NMM was initially studied since it behaves as stable transition-state analogue for ferrochelatase enzyme, which catalyzes the insertion of Fe 2+ ions into protoporphyrin in the final step of the heme biosynthesis [161][162][163][164][165]. Whilst NMM became rapidly known as highly quadruplex selective [87,189], it was only sparingly studied due to a moderate affinity for its DNA target, despite an excellent overlap with the G-tetrad ( Figure 12). However, in recent studies in yeast, it has shown a very interesting ability to control the regulation of genes in direct connection with the probability of quadruplex formation in their promoters [190,191]. Additionally, given that the effect of NMM is felt at both telomeres and loci throughout the genome, this study provides novel lines of evidence of the possible in vivo roles of G-quadruplexes. Finally, NMM has also been used as a novel tool for isolating G-quadruplex DNA from a mixture of nucleic acids derived from in vivo sources, via its grafting on a sepharose resin, thus offering an innovative way to determine whether or not the in silico detected putative quadruplex-forming sequences (QFSs) [192][193][194] exist in the cellular context as quadruplex DNA [195].

Polyammonium Cyclophane-Type Macrocycles
As compared to the telomestatin, porphyrins, and related compounds, polyammonium cyclophane-type macrocycles have not been extensively studied as G-quadruplex ligands.
Mainly two types of cyclophane-like macrocycles have been studied for their interaction with quadruplexes: the cyclobisintercalator family (CBI, Figure 13) and the neomycincapped aromatic platforms (exemplified by NCQ, Figure 13). The CBI macrocycles contain two flat aromatic units, usually derived from simple intercalators linked together by polyamine chains. This particular scaffold is highly soluble at physiological pH thanks to protonation of the four benzylic nitrogen atoms of the linkers [196]. With regard to DNA binding, the CBIs present unique features that are (i) a strong association with DNA bases via aromatic π-π interactions and (ii) a very low affinity for duplex-DNA. This family of compounds has already been studied for its recognition of various unusual DNA structures, mainly mismatch-containing DNA [197][198][199][200], abasic sites [201], and trinucleotide repeats [202]. However, only two members of this family, namely, BOQ 1 (for Bis-Ortho-Quinacridine, Figure 13) [203][204][205] and BisA (for Bis-Acridine, Figure 13), [206] have been already evaluated for their ability to interact with quadruplex-DNA.
Most interestingly the two compounds exhibit a high selectivity for quadruplex over duplex DNA attributed to their particular topology. CBIs are clearly distinct from the planar rigid macrocycles mentioned precedently since they exist in a semiclosed conformation with the two aromatic units facing each other in more or less parallel planes ( Figures  13 and 14) [39]. This particular nonplanar conformation impedes binding to duplex-DNA, both for steric reasons and because the length of the linkers does not enable bisintercalation between contiguous base pairs due to the neighbourexclusion principle [214,215]. In the case of BOQ 1 , this particular topology was found both in the free state ( Figures  14(a)-14(c)) and in the complex formed with the human telomeric quadruplex (Figure 14(d)) [205], meaning that there is little conformational change upon binding. This would suggest that the ligand is already preorganized to fit into the quadruplex target resulting in a gain in the binding entropy. In addition, the modelling studies performed both with the telomeric and with the c-myc quadruplex demonstrate that the semiclosed conformation of BOQ 1 enables interaction via a mixed binding mode, combining Gquartet and loop ( Figure 14(d), c-myc not shown) [205]. In fact, careful examination of this complex strongly suggests the occurrence of electrostatic and H-bonding interactions between the linkers and the loop backbone ( Figure 14(d)).
The second category of polyammonium cyclophane-type macrocycles, namely, the neomycin-capped macrocycles was developed with the goal to validate the ditopic interactive design. To this aim three aromatic platforms (acridine, phenanthroline, and quinacridine) able to stack on a Gquartet were combined with a well-known loop-binding motif, that is, the aminoglycoside neomycin. The most active prototype of this series is the quinacridine derivative NCQ shown in Figure 13 [216,217]. This ligand that has a high degree of molecular flexibility is a potent binder of the telomeric quadruplex as shown by the FRET melting assay (ΔT 1/2 = 15 • C) whereas it elicits a poor affinity for duplex-DNA. Most importantly NCQ elicits a high degree of selectivity for looped quadruplex (i.e., intramolecular telomeric quadruplex), compared with the tetramolecular quadruplex lacking the loop motifs. The preference for intramolecular over tetramolecular quadruplexes confirms the potential of the multitopic approach and altogether this work proposes a new innovative design for achieving intra-quadruplex selectivity. Subsequent studies have since then fully supported this approach using various Gquadruplex recognition scaffolds, including a macrocyclic oxazole-based tripeptide [218] or a small-molecule ligand (acridine) [219] equipped with loop and/or groove recognition elements like carbohydrates [218] or peptides [219].
In conclusion, polyammonium cyclophane-type macrocycles have been only sparingly studied as G-quadruplex ligands. They are able to establish various types of interaction with their DNA target, thereby opening the innovative perspective of a selective interaction with quadruplex DNA  Figure 14: Structure of BOQ 1 (a), side (b), and front views (c) of the lowest-energy conformation during the molecular dynamic simulation (see [39]) and modelled interaction between BOQ 1 and the human telomeric quadruplex ((d), see [205]); guanine residues appear in gold; the carbon, nitrogen, oxygen, and hydrogen atoms appear in grey, blue, red, and white, respectively. as a function of the nature of the quadruplex structure itself. This intra-quadruplex selectivity, motivated by the putative presence of quadruplexes at various genomic localizations (vide supra), is one of the major issues that will have to be addressed in the near future. The results previously obtained with CBIs and presented herein, although limited to a few examples, are promising. On this solid basis, an extensive study of binding of CBIs to G-quadruplex has been undertaken which is further reported in the companion paper ("One Ring to Bind Them All"-Part II, by A. Granzhan et al.), a research article in the present issue.

Conclusion
Macrocyclic scaffolds are particularly attractive for designing selective G-quadruplex ligands essentially for the two following reasons: on one hand, they show a poor affinity for the "standard" B-DNA conformation, due to their sterically difficult intercalation between the base pairs of the double helix; on the other hand, in contrast, they fit nicely with the external G-quartets of quadruplexes that constitute accessible planar sites of large aromatic area. Although synthetic accesses to macrocycles are often difficult, this chemical class is nevertheless a fascinating tool that can be chemically engineered to generate new biological properties. The few macrocyclic families depicted herein have only begun to mine this incredible potential and we hope that the present article will be helpful to understand what the crucial guidelines are to control their efficiencies and selectivities for recognizing quadruplexes.