Li Wei, Upadhyay Ashutosh, Fontes Fabio L, North E Jeffrey, Wang Yuehong, Crans Debbie C, Grzegorzewicz Anna E, Jones Victoria, Franzblau Scott G, Lee Richard E, Crick Dean C, Jackson Mary
Mycobacteria Research Laboratories, Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, Colorado, USA.
Department of Chemical Biology and Therapeutics, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Antimicrob Agents Chemother. 2014 Nov;58(11):6413-23. doi: 10.1128/AAC.03229-14. Epub 2014 Aug 18.
MmpL3, a resistance-nodulation-division (RND) superfamily transporter, has been implicated in the formation of the outer membrane of Mycobacterium tuberculosis; specifically, MmpL3 is required for the export of mycolic acids in the form of trehalose monomycolates (TMM) to the periplasmic space or outer membrane of M. tuberculosis. Recently, seven series of inhibitors identified by whole-cell screening against M. tuberculosis, including the antituberculosis drug candidate SQ109, were shown to abolish MmpL3-mediated TMM export. However, this mode of action was brought into question by the broad-spectrum activities of some of these inhibitors against a variety of bacterial and fungal pathogens that do not synthesize mycolic acids. This observation, coupled with the ability of three of these classes of inhibitors to kill nonreplicating M. tuberculosis bacilli, led us to investigate alternative mechanisms of action. Our results indicate that the inhibitory effects of adamantyl ureas, indolecarboxamides, tetrahydropyrazolopyrimidines, and the 1,5-diarylpyrrole BM212 on the transport activity of MmpL3 in actively replicating M. tuberculosis bacilli are, like that of SQ109, most likely due to their ability to dissipate the transmembrane electrochemical proton gradient. In addition to providing novel insights into the modes of action of compounds reported to inhibit MmpL3, our results provide the first explanation for the large number of pharmacophores that apparently target this essential inner membrane transporter.
MmpL3是一种耐药-结瘤-分裂(RND)超家族转运蛋白,与结核分枝杆菌外膜的形成有关;具体而言,海藻糖单分枝菌酸酯(TMM)形式的分枝菌酸向结核分枝杆菌周质空间或外膜的输出需要MmpL3。最近,通过对结核分枝杆菌进行全细胞筛选鉴定出的七类抑制剂,包括抗结核药物候选物SQ109,被证明可消除MmpL3介导的TMM输出。然而,其中一些抑制剂对多种不合成分枝菌酸的细菌和真菌病原体具有广谱活性,这使得这种作用方式受到质疑。这一观察结果,再加上其中三类抑制剂能够杀死非复制型结核分枝杆菌,促使我们研究其替代作用机制。我们的结果表明,金刚烷基脲、吲哚甲酰胺、四氢吡唑并嘧啶以及1,5 - 二芳基吡咯BM212对活跃复制的结核分枝杆菌中MmpL3转运活性的抑制作用,与SQ109一样,很可能是由于它们能够消除跨膜电化学质子梯度。除了为报道的抑制MmpL3的化合物的作用方式提供新见解外,我们的结果还首次解释了大量明显靶向这种必需内膜转运蛋白的药效基团。