A Semisynthetic Kanglemycin Shows In Vivo Efficacy against High-Burden Rifampicin Resistant Pathogens

Semisynthetic rifamycin derivatives such as rifampicin (Rif) are first line treatments for tuberculosis and other bacterial infections. Historically, synthetic modifications made to the C-3/C-4 region of the rifamycin naphthalene core, like those seen in Rif, have yielded the biggest improvements in pharmacological properties. However, modifications found in natural product rifamycin congeners occur at other positions in the structure. The kanglemycins (Kangs) are a family of rifamycin congeners with a unique collection of natural modifications including a dimethylsuccinic acid appended to their polyketide backbone. These modifications confer activity against the single most common clinically relevant Rif resistance (RifR) mutation in the antibiotic's target, the bacterial RNA polymerase (RNAP). Here we evaluate the in vivo efficacy of Kang A, the parent compound in the Kang family, in a murine model of bacterial peritonitis/sepsis. We then set out to improve its potency by combining its natural tailoring modifications with semisynthetic derivatizations at either its acid moiety or in the C-3/C-4 region. A collection of C-3/C-4 benzoxazino Kang derivatives exhibit improved activity against wild-type bacteria, and acquire activity against the second most common clinically relevant RifR mutation. The semisynthetic analogue 3'-hydroxy-5'-[4-isobutyl-1-piperazinyl] benzoxazino Kang A (Kang KZ) protected mice against infection with either Rif sensitive MRSA or a highly virulent RifRStaphylococcus  aureus strain in a neutropenic peritonitis/sepsis model and led to reduced bacterial burdens. The compounds generated in this study may represent promising candidates for treating RifR infections.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

ACS infectious diseases - 6(2020), 9 vom: 11. Sept., Seite 2431-2440

Sprache:

Englisch

Beteiligte Personen:

Peek, James [VerfasserIn]
Xu, Jiayi [VerfasserIn]
Wang, Han [VerfasserIn]
Suryavanshi, Shraddha [VerfasserIn]
Zimmerman, Matthew [VerfasserIn]
Russo, Riccardo [VerfasserIn]
Park, Steven [VerfasserIn]
Perlin, David S [VerfasserIn]
Brady, Sean F [VerfasserIn]

Links:

Volltext

Themen:

DNA-Directed RNA Polymerases
EC 2.7.7.6
Journal Article
Kanglemycin, antibiotic resistance
Mycobacterium tuberculosis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Rifampicin
Rifampin
Rifamycin
Staphylococcus aureus
VJT6J7R4TR

Anmerkungen:

Date Completed 23.06.2021

Date Revised 23.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1021/acsinfecdis.0c00223

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM313610142