Institute of Medicinal Biotechnology, Chinese Academy of Medical Sciences and Peking Union Medical College, 100050, Beijing, China.
School of Information Science and Technology, Northeast Normal University, Changchun, 130117, China.
Signal Transduct Target Ther. 2024 Jul 8;9(1):183. doi: 10.1038/s41392-024-01895-0.
Helicobacter pylori (H. pylori) is currently recognized as the primary carcinogenic pathogen associated with gastric tumorigenesis, and its high prevalence and resistance make it difficult to tackle. A graph neural network-based deep learning model, employing different training sets of 13,638 molecules for pre-training and fine-tuning, was aided in predicting and exploring novel molecules against H. pylori. A positively predicted novel berberine derivative 8 with 3,13-disubstituted alkene exhibited a potency against all tested drug-susceptible and resistant H. pylori strains with minimum inhibitory concentrations (MICs) of 0.25-0.5 μg/mL. Pharmacokinetic studies demonstrated an ideal gastric retention of 8, with the stomach concentration significantly higher than its MIC at 24 h post dose. Oral administration of 8 and omeprazole (OPZ) showed a comparable gastric bacterial reduction (2.2-log reduction) to the triple-therapy, namely OPZ + amoxicillin (AMX) + clarithromycin (CLA) without obvious disturbance on the intestinal flora. A combination of OPZ, AMX, CLA, and 8 could further decrease the bacteria load (2.8-log reduction). More importantly, the mono-therapy of 8 exhibited comparable eradication to both triple-therapy (OPZ + AMX + CLA) and quadruple-therapy (OPZ + AMX + CLA + bismuth citrate) groups. SecA and BamD, playing a major role in outer membrane protein (OMP) transport and assembling, were identified and verified as the direct targets of 8 by employing the chemoproteomics technique. In summary, by targeting the relatively conserved OMPs transport and assembling system, 8 has the potential to be developed as a novel anti-H. pylori candidate, especially for the eradication of drug-resistant strains.
幽门螺杆菌(H. pylori)目前被认为是与胃肿瘤发生相关的主要致癌病原体,其高患病率和耐药性使其难以解决。基于图神经网络的深度学习模型,使用 13638 种分子的不同训练集进行预训练和微调,有助于预测和探索针对 H. pylori 的新型分子。一种被积极预测的新型黄连素衍生物 8,具有 3,13-取代烯烃,对所有测试的药敏和耐药 H. pylori 菌株均表现出活性,最低抑菌浓度(MIC)为 0.25-0.5μg/ml。药代动力学研究表明,8 在胃中的保留理想,在给药后 24 小时,胃浓度明显高于其 MIC。8 和奥美拉唑(OPZ)的口服给药显示出与三联疗法(即 OPZ+阿莫西林(AMX)+克拉霉素(CLA))相当的胃内细菌减少(2.2 对数减少),对肠道菌群没有明显干扰。OPZ、AMX、CLA 和 8 的联合使用可进一步降低细菌负荷(2.8 对数减少)。更重要的是,8 的单药治疗与三联疗法(OPZ+AMX+CLA)和四联疗法(OPZ+AMX+CLA+柠檬酸铋)的根除率相当。SecA 和 BamD,在外膜蛋白(OMP)转运和组装中起主要作用,通过化学蛋白质组学技术被鉴定和确认为 8 的直接靶标。总之,通过靶向相对保守的 OMP 转运和组装系统,8 有可能被开发为一种新型的抗 H. pylori 候选药物,特别是用于根除耐药菌株。
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