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Moulding, P. B.

Publications and source records attributed to Moulding, P. B..

2 recordsLinked to original sources
bioRxiv2024

Discovery of broad-spectrum bacterial polyamine detoxification inhibitors as potential antivirulence agents and antibiotic adjuvants

The alarming rise in antimicrobial resistance reinforces an urgent need for new antimicrobial strategies. Host- or bacteria-derived chemicals, such as polyamines, present at infection sites often influence microbial virulence and antibiotic response. Polyamines are cationic small molecules overproduced by the host during infection, modulating immune responses. Polyamine detoxification by several pathogens correlates with increased virulence. We sought to uncover inhibitors of polyamine detoxification through a high-throughput whole-cell screen against the community-acquired methicillin-resistant Staphylococcus aureus (MRSA) USA300, identifying the polyamine analog OES2-0017 and the catechol derivative isoproterenol (OES1-1087), which synergized with polyamines in the low-micromolar range. Chemical genomics and enzymatic assays combined with computational studies revealed that both compounds prevented polyamine detoxification by spermine/spermidine acetyltransferase SSAT (SpeG) and another previously uncharacterized S. aureus SSAT (denoted PaiASa herein). OES2-0017 directly inhibited the enzymes, whereas OES1-1087 reduced intracellular levels of acetyl-CoA required for SSAT activity. OES2-0017 perturbed the bacterial membrane at higher concentrations, likely causing the observed growth-inhibitory effects, whereas OES1-1087 increased membrane fluidity, likely increasing susceptibility to spermine-mediated membrane perturbation. The inhibitors showed broad-spectrum activity against various Gram-positive and Gram-negative bacteria, as well as Candida albicans. OES2-0017 abolished the spermine-mediated protection of MRSA USA300 from antibiotics, including vancomycin, phenocopying the {Delta}speG mutant and suggesting its potential utility as an antibiotic adjuvant. OES2-0017 eradicated SpeG-expressing Salmonella Typhimurium inside murine macrophages, whereas OES1-1087 reduced the S. Typhimurium burden in the liver and spleen in a murine gastrointestinal infection model, demonstrating their potential as antivirulence agents. Neither inhibitor exhibited cytotoxic activity against eukaryotic cells at their respective antimicrobial ranges. Small-scale structure-activity relationship experimental and computational analyses identified OES2-0017 analogs with improved specificity for the bacterial enzyme compared to the human SAT1 and no toxicity. This study provides novel antimicrobial compounds with broad-spectrum activity and a novel mode of action for multidrug-resistant priority pathogens.

microbiology↗
bioRxiv2024

Polyamine-mediated sensitization of Klebsiella pneumoniae to macrolides through a dual mode of action

Chemicals bacteria encounter at the infection site could shape their stress and antibiotic responses; such effects are typically undetected in standard lab conditions. Polyamines are small molecules typically overproduced by the host during infection and have been shown to alter bacterial stress responses. We sought to determine the effect of polyamines on the antibiotic response of Klebsiella pneumoniae, a Gram-negative priority pathogen. Interestingly, putrescine and other natural polyamines sensitized K. pneumoniae to azithromycin, a macrolide protein translation inhibitor typically used for Gram-positive bacteria. This synergy was further potentiated in the physiological buffer, bicarbonate. Chemical genomic screens suggested a dual mechanism whereby putrescine acts at the membrane and ribosome levels. Putrescine permeabilized the outer membrane of K. pneumoniae (NPN and {beta}-lactamase assays) and the inner membrane (Escherichia coli {beta}-galactosidase assays). Chemically and genetically perturbing membranes led to a loss of putrescine-azithromycin synergy. Putrescine also inhibited protein synthesis in an E. coli-derived cell-free protein expression assay simultaneously monitoring transcription and translation. Profiling the putrescine-azithromycin synergy against a combinatorial array of antibiotics targeting various ribosomal sites suggested that putrescine acts as tetracyclines targeting the 30S ribosomal acceptor site. Next, exploiting the natural polyamine-azithromycin synergy, we screened a polyamine analog library for azithromycin adjuvants, discovering four azithromycin synergists with activity starting from the low micromolar range and mechanisms similar to putrescine. This work sheds light on the bacterial antibiotic responses under conditions more reflective of those at the infection site and provides a new strategy to extend the macrolide spectrum to drug-resistant K. pneumoniae.

microbiology↗