1. Amidochelocardin overcomes resistance mechanisms exerted on tetracyclines and natural chelocardin
- Author
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Tadeja Lukežič, Nestor Zaburannyi, Jörg Vogel, Steffen Bernecker, Rolf Jansen, Thomas Hesterkamp, Marc Stadler, Can Imirzalioglu, Fabienne Hennessen, Judith Schmiedel, Alexander J. Westermann, Moritz Fritzenwanker, Maria Loose, Florian M.E. Wagenlehner, Hrvoje Petković, Rolf Müller, Marcus Miethke, Stephan Hüttel, Jennifer Herrmann, HIPS, Helmholtz-Institut für Pharmazeutische Forschung Saarland, Universitätscampus E8.1 66123 Saarbrücken, Germany., HZI,Helmholtz-Zentrum für Infektionsforschung GmbH, Inhoffenstr. 7,38124 Braunschweig, Germany., and HIRI, Helmholtz-Institut für RNA-basierte Infektionsforschung, Josef-Shneider Strasse 2, 97080 Würzburg, Germany.
- Subjects
0301 basic medicine ,Microbiology (medical) ,Klebsiella ,Klebsiella pneumoniae ,clinical isolates ,030106 microbiology ,chelocardins ,poliketidi ,medicine.disease_cause ,Biochemistry ,Microbiology ,Article ,AcrAB-TolC efflux pump ,03 medical and health sciences ,Antibiotic resistance ,resistance-breaking properties ,medicine ,Pharmacology (medical) ,protimikrobna aktivnost ,ddc:610 ,General Pharmacology, Toxicology and Pharmaceutics ,broad-spectrum antibiotics ,amidokelokardin ,atypical tetracyclines ,udc:604.4:615.33 ,biology ,Pseudomonas aeruginosa ,Chemistry ,lcsh:RM1-950 ,uropathogens ,tertaciklin ,biology.organism_classification ,Acinetobacter baumannii ,urinary tract infection (UTI) ,kelokardin ,lcsh:Therapeutics. Pharmacology ,030104 developmental biology ,Infectious Diseases ,Staphylococcus aureus ,mechanism of resistance ,Efflux ,antibiotiki ,mehanizem delovanja ,Enterococcus faecium - Abstract
The reassessment of known but neglected natural compounds is a vital strategy for providing novel lead structures urgently needed to overcome antimicrobial resistance. Scaffolds with resistance-breaking properties represent the most promising candidates for a successful translation into future therapeutics. Our study focuses on chelocardin, a member of the atypical tetracyclines, and its bioengineered derivative amidochelocardin, both showing broad-spectrum antibacterial activity within the ESKAPE (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter species) panel. Further lead development of chelocardins requires extensive biological and chemical profiling to achieve favorable pharmaceutical properties and efficacy. This study shows that both molecules possess resistance-breaking properties enabling the escape from most common tetracycline resistance mechanisms. Further, we show that these compounds are potent candidates for treatment of urinary tract infections due to their in vitro activity against a large panel of multidrug-resistant uropathogenic clinical isolates. In addition, the mechanism of resistance to natural chelocardin was identified as relying on efflux processes, both in the chelocardin producer Amycolatopsis sulphurea and in the pathogen Klebsiella pneumoniae. Resistance development in Klebsiella led primarily to mutations in ramR, causing increased expression of the acrAB-tolC efflux pump. Most importantly, amidochelocardin overcomes this resistance mechanism, revealing not only the improved activity profile but also superior resistance-breaking properties of this novel antibacterial compound.
- Published
- 2020