1. Designer broad-spectrum polyimidazolium antibiotics
- Author
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Oon Tek Ng, Liang Yang, Paula T. Hammond, Kalisvar Marimuthu, Mary B. Chan-Park, Surendra H. Mahadevegowda, Yonggui Robin Chi, Partha Pratim De, Yahua Chen, Chong Hui Koh, Kaixi Zhang, Merve S. Zeden, Wenbin Zhong, Lin Ruan, Yabin Zhu, Carmen J. E. Pee, E. Peter Greenberg, Yunn-Hwen Gan, Angelika Gründling, Zhenyu Shi, Kevin Pethe, Bo Liu, School of Chemical and Biomedical Engineering, Lee Kong Chian School of Medicine (LKCMedicine), School of Physical and Mathematical Sciences, School of Biological Sciences, Singapore Centre for Environmental Life Sciences and Engineering (SCELSE), Centre for Antimicrobial Bioengineering, Wellcome Trust, and Medical Research Council (MRC)
- Subjects
cationic antimicrobial polymers ,medicine.drug_class ,Antimicrobial peptides ,Antibiotics ,02 engineering and technology ,Microbial Sensitivity Tests ,medicine.disease_cause ,Microbiology ,Bacterial cell structure ,Chemical engineering::Polymers and polymer manufacture [Engineering] ,Cell Line ,Designer Drugs ,Membrane Potentials ,03 medical and health sciences ,Mice ,bactericidal ,Sepsis ,medicine ,Animals ,Humans ,Pseudomonas Infections ,Cationic Antimicrobial Polymers ,030304 developmental biology ,Skin ,0303 health sciences ,Multidisciplinary ,Microbial Viability ,biology ,Cell Death ,Chemistry ,Pseudomonas aeruginosa ,Cell Membrane ,Imidazoles ,Biological Sciences ,021001 nanoscience & nanotechnology ,biology.organism_classification ,Anti-Bacterial Agents ,Staphylococcus aureus ,Toxicity ,Colistin ,Bactericidal ,0210 nano-technology ,colistin-resistant ,Hydrophobic and Hydrophilic Interactions ,Bacteria ,medicine.drug - Abstract
Significance We designed and synthesized antimicrobial compounds effective in killing pan-drug-resistant bacterial pathogens. These compounds have a large therapeutic window due to their low mammalian cell toxicity. A lead compound showed efficacy in treating murine model S. aureus and P. aeruginosa infections. In the case of the obligate respiratory bacterium P. aeruginosa we were unable to evolve strains resistant to these compounds. This paper points toward the potential of this type of compound to deal with the current threat of pan-resistant pathogens., For a myriad of different reasons most antimicrobial peptides (AMPs) have failed to reach clinical application. Different AMPs have different shortcomings including but not limited to toxicity issues, potency, limited spectrum of activity, or reduced activity in situ. We synthesized several cationic peptide mimics, main-chain cationic polyimidazoliums (PIMs), and discovered that, although select PIMs show little acute mammalian cell toxicity, they are potent broad-spectrum antibiotics with activity against even pan-antibiotic-resistant gram-positive and gram-negative bacteria, and mycobacteria. We selected PIM1, a particularly potent PIM, for mechanistic studies. Our experiments indicate PIM1 binds bacterial cell membranes by hydrophobic and electrostatic interactions, enters cells, and ultimately kills bacteria. Unlike cationic AMPs, such as colistin (CST), PIM1 does not permeabilize cell membranes. We show that a membrane electric potential is required for PIM1 activity. In laboratory evolution experiments with the gram-positive Staphylococcus aureus we obtained PIM1-resistant isolates most of which had menaquinone mutations, and we found that a site-directed menaquinone mutation also conferred PIM1 resistance. In similar experiments with the gram-negative pathogen Pseudomonas aeruginosa, PIM1-resistant mutants did not emerge. Although PIM1 was efficacious as a topical agent, intraperitoneal administration of PIM1 in mice showed some toxicity. We synthesized a PIM1 derivative, PIM1D, which is less hydrophobic than PIM1. PIM1D did not show evidence of toxicity but retained antibacterial activity and showed efficacy in murine sepsis infections. Our evidence indicates the PIMs have potential as candidates for development of new drugs for treatment of pan-resistant bacterial infections.
- Published
- 2020