School of Fundamental Sciences, Massey University, Palmerston North, New Zealand.
New Zealand Pharmaceuticals Ltd., Palmerston North, New Zealand.
Antimicrob Agents Chemother. 2019 Oct 22;63(11). doi: 10.1128/AAC.00868-19. Print 2019 Nov.
The global spread of multidrug-resistant enterobacteria warrants new strategies to combat these pathogens. One possible approach is the reconsideration of "old" antimicrobials, which remain effective after decades of use. Synthetic 5-nitrofurans such as furazolidone, nitrofurantoin, and nitrofurazone are such a class of antimicrobial drugs. Recent epidemiological data showed a very low prevalence of resistance to this antimicrobial class among clinical isolates in various parts of the world, forecasting the increasing importance of its uses to battle antibiotic-resistant enterobacteria. However, although they have had a long history of clinical use, a detailed understanding of the 5-nitrofurans' mechanisms of action remains limited. Nitrofurans are known as prodrugs that are activated in by reduction catalyzed by two redundant nitroreductases, NfsA and NfsB. Furazolidone, nevertheless, retains relatively significant antibacterial activity in the nitroreductase-deficient Δ Δ strain, indicating the presence of additional activating enzymes and/or antibacterial activity of the unreduced form. Using genome sequencing, genetic, biochemical, and bioinformatic approaches, we discovered a novel 5-nitrofuran-activating enzyme, AhpF, in The discovery of a new nitrofuran-reducing enzyme opens new avenues for overcoming 5-nitrofuran resistance, such as designing nitrofuran analogues with higher affinity for AhpF or screening for adjuvants that enhance AhpF expression.
全球耐多药肠杆菌的传播需要新的策略来对抗这些病原体。一种可能的方法是重新考虑“旧”的抗生素,这些抗生素在使用几十年后仍然有效。合成的 5-硝基呋喃类如呋喃唑酮、呋喃妥因和呋喃西林就是这样一类抗菌药物。最近的流行病学数据显示,在世界各地的临床分离株中,这种抗菌药物类别的耐药性非常低,预示着其在对抗抗生素耐药肠杆菌方面的重要性日益增加。然而,尽管它们在临床应用中有很长的历史,但对 5-硝基呋喃类药物作用机制的详细了解仍然有限。硝基呋喃类药物被称为前体药物,在由两个冗余的硝基还原酶 NfsA 和 NfsB 催化的还原作用下被激活。然而,呋喃唑酮在缺乏硝基还原酶的 Δ Δ 菌株中仍然保持着相对显著的抗菌活性,这表明存在额外的激活酶和/或未还原形式的抗菌活性。通过基因组测序、遗传、生化和生物信息学方法,我们在 中发现了一种新的 5-硝基呋喃激活酶 AhpF。新硝基呋喃还原酶的发现为克服 5-硝基呋喃耐药性开辟了新的途径,例如设计对 AhpF 具有更高亲和力的硝基呋喃类似物或筛选增强 AhpF 表达的佐剂。