1. Synthesis and Characterization of Bone Binding Antibiotic-1 (BBA-1), a Novel Antimicrobial for Orthopedic Applications
- Author
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Aiken Dao, Aaron Schindeler, Sumedh Kamble, Michael J. Rogers, Peter Valtchev, Paul B. Savage, Théophile Pelras, and Fariba Dehghani
- Subjects
medicine.medical_treatment ,Antibiotics ,Pharmaceutical Science ,Hydroxyapatite binding ,medicine.disease_cause ,Analytical Chemistry ,Mice ,0302 clinical medicine ,Anti-Infective Agents ,BBA-1 ,Osteogenesis ,Drug Discovery ,Spectroscopy, Fourier Transform Infrared ,Cells, Cultured ,030222 orthopedics ,Diphosphonates ,Propylamines ,Chemistry ,osteomyelitis ,Cell Differentiation ,3T3 Cells ,Staphylococcal Infections ,Antimicrobial ,Pregnanes ,Anti-Bacterial Agents ,Biochemistry ,Chemistry (miscellaneous) ,Staphylococcus aureus ,030220 oncology & carcinogenesis ,Molecular Medicine ,Antibacterial activity ,Methicillin-Resistant Staphylococcus aureus ,medicine.drug_class ,CSA-90 ,Bone and Bones ,Article ,lcsh:QD241-441 ,03 medical and health sciences ,Calcification, Physiologic ,lcsh:Organic chemistry ,medicine ,Animals ,bone infection ,Physical and Theoretical Chemistry ,Osteoblasts ,Organic Chemistry ,alendronate ,Bisphosphonate ,In vitro ,Protein prenylation ,antimicrobial - Abstract
Osteomyelitis and orthopedic infections are major clinical problems, limited by a lack of antibiotics specialized for such applications. In this paper, we describe the design and synthesis of a novel bone-binding antibiotic (BBA-1) and its subsequent structural and functional characterization. The synthesis of BBA-1 was the result of a two-step chemical conjugation of cationic selective antimicrobial-90 (CSA-90) and the bisphosphonate alendronate (ALN) via a heterobifunctional linker. This was analytically confirmed by HPLC, FT-IR, MS and NMR spectroscopy. BBA-1 showed rapid binding and high affinity to bone mineral in an in vitro hydroxyapatite binding assay. Kirby—Baur assays confirmed that BBA-1 shows a potent antibacterial activity against Staphylococcus aureus and methicillin-resistant S. aureus comparable to CSA-90. Differentiation of cultured osteoblasts in media supplemented with BBA-1 led to increased alkaline phosphatase expression, which is consistent with the pro-osteogenic activity of CSA-90. Bisphosphonates, such as ALN, are inhibitors of protein prenylation, however, the amine conjugation of ALN to CSA-90 disrupted this activity in an in vitro protein prenylation assay. Overall, these findings support the antimicrobial, bone-binding, and pro-osteogenic activities of BBA-1. The compound and related agents have the potential to ensure lasting activity against osteomyelitis after systemic delivery.
- Published
- 2021
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