Ritwik Maity, Uwe Mamat, Ernesto Anoz-Carbonell, Javier Sancho, Eliette Touati, Sandra Salillas, María Conde-Giménez, Alejandro Mahía, María D. Díaz-de-Villegas, José A. Gálvez, José A. Aínsa, Ulrich E. Schaible, Adrián Velázquez-Campoy, Freddy Haesebrouck, Juan J. Galano-Frutos, Helena Berlamont, European Commission, Ministerio de Ciencia, Innovación y Universidades (España), Gobierno de Aragón, University of Zaragoza - Universidad de Zaragoza [Zaragoza], Instituto de Investigación Sanitaria de Aragón [Zaragoza] (IIS Aragón), Universiteit Gent = Ghent University (UGENT), Fundación Agencia Aragonesa para la Investigación y el Desarrollo (ARAID), Instituto de Salud Carlos III [Madrid] (ISC), Pathogenèse de Helicobacter / Helicobacter Pathogenesis, Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), Forschungszentrum Borstel - Research Center Borstel, We acknowledge financial support from JPIAMR (FLAV4AMR grant), INTERREG POCTEFA aCCeSS, EU (grant Infecmol), MINECO, Spain, (PID2019-107293GB-I00 grant), Gobierno de Aragón, Spain (E45_20R and LMP30_18 grants), and Maria Sklodowska-Curie grant agreement No 801586., and ANR-18-JAM2-0006,FLAV4AMR(2018)
This article belongs to the Special Issue Antimicrobial Resistance, Molecular Mechanisms and Fight Strategies., Antimicrobial resistant (AMR) bacteria constitute a global health concern. Helicobacter pylori is a Gram-negative bacterium that infects about half of the human population and is a major cause of peptic ulcer disease and gastric cancer. Increasing resistance to triple and quadruple H. pylori eradication therapies poses great challenges and urges the development of novel, ideally narrow spectrum, antimicrobials targeting H. pylori. Here, we describe the antimicrobial spectrum of a family of nitrobenzoxadiazol-based antimicrobials initially discovered as inhibitors of flavodoxin: an essential H. pylori protein. Two groups of inhibitors are described. One group is formed by narrow-spectrum compounds, highly specific for H. pylori, but ineffective against enterohepatic Helicobacter species and other Gram-negative or Gram-positive bacteria. The second group includes extended-spectrum antimicrobials additionally targeting Gram-positive bacteria, the Gram-negative Campylobacter jejuni, and most Helicobacter species, but not affecting other Gram-negative pathogens. To identify the binding site of the inhibitors in the flavodoxin structure, several H. pylori-flavodoxin variants have been engineered and tested using isothermal titration calorimetry. An initial study of the inhibitors capacity to generate resistances and of their synergism with antimicrobials commonly used in H. pylori eradication therapies is described. The narrow-spectrum inhibitors, which are expected to affect the microbiota less dramatically than current antimicrobial drugs, offer an opportunity to develop new and specific H. pylori eradication combinations to deal with AMR in H. pylori. On the other hand, the extended-spectrum inhibitors constitute a new family of promising antimicrobials, with a potential use against AMR Gram-positive bacterial pathogens., We acknowledge financial support from JPIAMR (FLAV4AMR grant); INTERREG POCTEFA aCCeSS, EU (grant Infecmol); MINECO, Spain, (PID2019-107293GB-I00 grant); Gobierno de Aragón, Spain (E45_20R and LMP30_18 grants); and Maria Sklodowska-Curie grant agreement No 801586.