A Dual-Mechanism Antibiotic Kills Gram-Negative Bacteria and Avoids Drug Resistance.
A Dual-Mechanism Antibiotic Kills Gram-Negative Bacteria and Avoids Drug Resistance.
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DOI:
10.1016/j.cell.2020.05.005
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发表时间:
2020-06-25
期刊:
影响因子:
64.5
通讯作者:
Gitai Z
中科院分区:
文献类型:
--
作者:
Martin JK 2nd;Sheehan JP;Bratton BP;Moore GM;Mateus A;Li SH;Kim H;Rabinowitz JD;Typas A;Savitski MM;Wilson MZ;Gitai Z
The rise of antibiotic resistance and declining discovery of new antibiotics has created a global health crisis. Of particular concern, no new antibiotic classes have been approved for treating Gram-negative pathogens in decades. Here, we characterize a compound, SCH-79797, that kills both Gram-negative and Gram-positive bacteria through a unique dual-targeting mechanism of action (MoA) with undetectably low resistance frequencies. To characterize its MoA, we combined quantitative imaging, proteomic, genetic, metabolomic, and cell-based assays. This pipeline demonstrates that SCH-79797 has two independent cellular targets, folate metabolism and bacterial membrane integrity, and outperforms combination treatments in killing methicillin-resistant Staphylococcus aureus (MRSA) persisters. Building on the molecular core of SCH-79797, we developed a derivative, Irresistin-16, with increased potency and showed its efficacy against Neisseria gonorrhoeae in a mouse vaginal infection model. This promising antibiotic lead suggests that combining multiple MoAs onto a single chemical scaffold may be an underappreciated approach to targeting challenging bacterial pathogens. A compound that kills both Gram-positive and Gram-negative bacteria through two independent mechanisms may provide a platform for the development of future antibiotics.
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