Verna and Marrs McLean Department of Biochemistry and Molecular Biology, Baylor College of Medicine, Houston, Texas 77030, United States.
Center for Drug Discovery, Baylor College of Medicine, Houston, Texas 77030, United States.
ACS Infect Dis. 2020 May 8;6(5):1214-1227. doi: 10.1021/acsinfecdis.0c00015. Epub 2020 Mar 25.
Bacterial resistance to β-lactam antibiotics is largely mediated by β-lactamases, which catalyze the hydrolysis of these drugs and continue to emerge in response to antibiotic use. β-Lactamases that hydrolyze the last resort carbapenem class of β-lactam antibiotics (carbapenemases) are a growing global health threat. Inhibitors have been developed to prevent β-lactamase-mediated hydrolysis and restore the efficacy of these antibiotics. However, there are few inhibitors available for problematic carbapenemases such as oxacillinase-48 (OXA-48). A DNA-encoded chemical library approach was used to rapidly screen for compounds that bind and potentially inhibit OXA-48. Using this approach, a hit compound, CDD-97, was identified with submicromolar potency ( = 0.53 ± 0.08 μM) against OXA-48. X-ray crystallography showed that CDD-97 binds noncovalently in the active site of OXA-48. Synthesis and testing of derivatives of CDD-97 revealed structure-activity relationships and informed the design of a compound with a 2-fold increase in potency. CDD-97, however, synergizes poorly with β-lactam antibiotics to inhibit the growth of bacteria expressing OXA-48 due to poor accumulation into . Despite the low activity, CDD-97 provides new insights into OXA-48 inhibition and demonstrates the potential of using DNA-encoded chemistry technology to rapidly identify β-lactamase binders and to study β-lactamase inhibition, leading to clinically useful inhibitors.
细菌对β-内酰胺类抗生素的耐药性主要由β-内酰胺酶介导,这些酶催化这些药物的水解,并继续在抗生素的使用下出现。能够水解β-内酰胺类抗生素最后一道防线(碳青霉烯类抗生素)的β-内酰胺酶(碳青霉烯酶)是一个日益严重的全球健康威胁。已经开发了抑制剂来防止β-内酰胺酶介导的水解并恢复这些抗生素的疗效。然而,对于一些有问题的碳青霉烯酶,如耐甲氧西林酶-48(OXA-48),可用的抑制剂很少。采用 DNA 编码的化学文库方法快速筛选与潜在结合并抑制 OXA-48 的化合物。使用这种方法,鉴定出一个命中化合物 CDD-97,对 OXA-48 的抑制活性为亚微摩尔级(= 0.53 ± 0.08 μM)。X 射线晶体学显示 CDD-97 以非共价方式结合在 OXA-48 的活性部位。CDD-97 的衍生物的合成和测试揭示了构效关系,并为一种效力提高 2 倍的化合物的设计提供了信息。然而,由于在细菌中积累较差,CDD-97 与β-内酰胺类抗生素协同作用较差,不能抑制表达 OXA-48 的细菌的生长。尽管活性较低,但 CDD-97 为 OXA-48 的抑制提供了新的见解,并证明了使用 DNA 编码化学技术快速鉴定β-内酰胺酶结合物并研究β-内酰胺酶抑制作用以获得临床有用的抑制剂的潜力。