The Peptide Antibiotic Corramycin Adopts a β-Hairpin-like Structure and Is Inactivated by the Kinase ComGClick to copy article linkArticle link copied!
- Sebastian AdamSebastian AdamHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyMore by Sebastian Adam
- Franziska FriesFranziska FriesHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyDepartment of Pharmacy, Saarland University, 66123 Saarbrücken, GermanyGerman Center for Infection Research (DZIF), Partner Site Hannover-Braunschweig, 38124 Braunschweig, GermanyMore by Franziska Fries
- Alexander von TesmarAlexander von TesmarHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyMore by Alexander von Tesmar
- Sari RasheedSari RasheedHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyGerman Center for Infection Research (DZIF), Partner Site Hannover-Braunschweig, 38124 Braunschweig, GermanyMore by Sari Rasheed
- Selina DeckarmSelina DeckarmHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyMore by Selina Deckarm
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- Roman ReberšekRoman ReberšekHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyMore by Roman Reberšek
- Timo RischTimo RischHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyDepartment of Pharmacy, Saarland University, 66123 Saarbrücken, GermanyMore by Timo Risch
- Stefano ManciniStefano ManciniInstitute of Medical Microbiology, University of Zürich, 8006 Zürich, SwitzerlandMore by Stefano Mancini
- Jennifer HerrmannJennifer HerrmannHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyGerman Center for Infection Research (DZIF), Partner Site Hannover-Braunschweig, 38124 Braunschweig, GermanyMore by Jennifer Herrmann
- Jesko KoehnkeJesko KoehnkeHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyInstitute of Food Chemistry, Leibniz University Hannover, Callinstraße 5, 30167 Hannover, GermanyMore by Jesko Koehnke
- Olga V. KalininaOlga V. KalininaHelmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyFaculty of Medicine, Saarland University, 66421 Homburg , GermanyCenter for Bioinformatics, Saarland University, 66123 Saarbrücken, GermanyMore by Olga V. Kalinina
- Rolf Müller*Rolf Müller*Email: [email protected]Helmholtz Institute for Pharmaceutical Research Saarland (HIPS), Helmholtz Centre for Infection Research (HZI), Saarland University, Campus E8 1, 66123 Saarbrücken, GermanyDepartment of Pharmacy, Saarland University, 66123 Saarbrücken, GermanyGerman Center for Infection Research (DZIF), Partner Site Hannover-Braunschweig, 38124 Braunschweig, GermanyMore by Rolf Müller
Abstract
The rapid development of antibiotic resistance, especially among difficult-to-treat Gram-negative bacteria, is recognized as a serious and urgent threat to public health. The detection and characterization of novel resistance mechanisms are essential to better predict the spread and evolution of antibiotic resistance. Corramycin is a novel and modified peptidic antibiotic with activity against several Gram-negative pathogens. We demonstrate that the kinase ComG, part of the corramycin biosynthetic gene cluster, phosphorylates and thereby inactivates corramycin, leading to the resistance of the host. Remarkably, we found that the closest structural homologues of ComG are aminoglycoside phosphotransferases; however, ComG shows no activity toward this class of antibiotics. The crystal structure of ComG in complex with corramycin reveals that corramycin adopts a β-hairpin-like structure and allowed us to define the changes leading to a switch in substrate from sugar to peptide. Bioinformatic analyses suggest a limited occurrence of ComG-like proteins, which along with the absence of cross-resistance to clinically used drugs positions corramycin as an attractive antibiotic for further development.
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You are free to share(copy and redistribute) this article in any medium or format and to adapt(remix, transform, and build upon) the material for any purpose, even commercially within the parameters below:
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Attribution (BY): Credit must be given to the creator.
*Disclaimer
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License Summary*
You are free to share(copy and redistribute) this article in any medium or format and to adapt(remix, transform, and build upon) the material for any purpose, even commercially within the parameters below:
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Attribution (BY): Credit must be given to the creator.
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Introduction
Figure 1
Figure 1. (A) Chemical structure of corramycins. (B) Representation of the biosynthetic gene cluster (BGC) of corramycins. Biosynthetic genes are colored based on their function. (C) Chemical structures of tobramycin (left panel) and gentamicin C1 (right panel). NRPS: nonribosomal peptide synthetase; PKS: polyketide synthase.
Results and Discussion
The Corramycin BGC Contains a Gene Related to Aminoglycoside Kinases
ComG Phosphorylates Corramycin in an Unprecedented Position
Figure 2
Figure 2. ComG phosphorylates corramycin in an unprecedented position. (A) HR-LCMS analysis of an in vitro reaction of corramycin with ComG and ATP/MgCl2. Extracted ion chromatograms (EIC) show a characteristic mass shift of +80 Da, hinting at the addition of a phosphate group (left panel: + ATP/– ComG; right panel: + ComG/ATP). The negative control depicting the reaction of corramycin with ComG, but without ATP, can be found in Figure S3. (B) Tandem MS/MS analysis of the product of the ComG reaction Cor-P (phosphorylated corramycin). Characteristic shifts of y8 and b3 ions highlight the position of phosphorylation being the β-alanine moiety. Full mass tables of corramycin and Cor-P fragmentation by MS/MS analysis are shown in Tables S2 and S3. NMR data of Cor-P can be found in Figure S7.
Overall Structural Analysis of ComG
Figure 3
Figure 3. (A) Cartoon representation of the crystal structure of apo ComG, highlighting the typical bilobed kinase fold. The N-terminal lobe is shown in blue, the hinge region in green, and the C-terminal lobe in orange. (B) Surface representation of the crystal structure of apo ComG, with the same color coding as that in A. (C) Surface representation of ComGC. Protein residues are shown in pale green, whereas corramycin is shown as yellow sticks. (D) Structure of corramycin bound to ComG adopts a β-hairpin-like structure. The hydroxyl group that is phosphorylated by ComG is marked with an asterisk.
Corramycin Adopts a β-Hairpin-like Structure
Modeling of the Catalytic Center
Figure 4
Figure 4. Mg2+ coordination center. (A, B) Representation of the coordination center in production 1 (A) and production 2 (B). Mg2+ is shown in dark green, DFE residues and water are shown with balls and sticks, and ATP is shown with sticks. Carbon atoms are colored in yellow, nitrogen in blue, oxygen in red, phosphorus in gold, and hydrogens in white. Protein backbone is shown in pale green. (C, D) Distance between the Mg2+ center and the oxygen ligands from ATP (C) and from Asp220 or Glu222 (D). Results from production 1 are shown with solid lines, and results from production 2 are shown with dashed lines. Oxygens from ATP are labeled as shown in the representation on the upper left side of C.
Bioinformatic Analysis and Evolution of ComG
Figure 5
Figure 5. (A) Cartoon structure of ComG. The C-terminal corramycin-binding region between Trp285 and Tyr315 is colored orange, whereas the natural product is shown as violet sticks. (B) Phylogenetic tree of ComG-like proteins with a conserved C-terminal corramycin-binding region. Branches corresponding to important taxa are shown in color. ComG is shown in gold. (C) Sequence logo of conservation of corramycin-binding residues.
Corramycin Overcomes Aminoglycoside Resistance Mediated through AMEs
MIC [μg mL–1] | ||||
---|---|---|---|---|
antibiotic | EUCAST CBP (25) [μg mL–1] | MIC range (n = 57) | MIC50 | MIC90 |
corramycin | n/a | 2 to >64 | 8 | 16 |
amikacin | 8 | 4 to 64 | 16 | 32 |
gentamicinb | 2 | 2 to >64 | >64 | >64 |
kanamycinc | n/a | 4 to >64 | >64 | >64 |
neomycind | n/a | 2 to >64 | 4 | >64 |
tobramycin | 2 | 2 to >64 | 32 | >64 |
imipenem | 2 | 0.25 to 2 | 0.5 | 1 |
colistin | 2 | 0.25 to 0.5 | 0.5 | 0.5 |
ciprofloxacin | 0.25e | 0.016 to >8 | >8 | >8 |
levofloxacin | 0.5 | 0.03 to >16 | 16 | >16 |
tetracycline | n/a | 2 to >64 | >64 | >64 |
trimethoprim | 4f | 0.5 to >64 | >64 | >64 |
Minimum inhibitory concentrations (MICs) were determined in cation-adjusted Mueller-Hinton broth (MHB2) using the broth microdilution method according to the EUCAST guidelines. Values represent two independent repeats. CBP: clinical breakpoint; EUCAST: European Committee on Antimicrobial Susceptibility Testing; n/a: not available.
Combination of gentamicin C1, C1a, and C2.
Main component kanamycin A.
Main component neomycin B.
Indications other than meningitis.
Uncomplicated urinary tract infections (UTI).
Figure 6
Figure 6. Distribution of corramycin MICs among 57 multidrug-resistant Escherichia coli clinical isolates. Corramycin is not affected by aminoglycoside-modifying enzymes (AMEs), irrespective of the class of AMEs. APH: aminoglycoside phosphotransferase; AAC: aminoglycoside acetyltransferase; no.: number.
Conclusion
Supporting Information
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/jacs.3c13208.
Experimental details, materials, and methods, as well as supplementary figures and tables (PDF)
Diffraction data and refined structural models have been deposited in the PDB. See Table S4 for PDB codes.
Terms & Conditions
Most electronic Supporting Information files are available without a subscription to ACS Web Editions. Such files may be downloaded by article for research use (if there is a public use license linked to the relevant article, that license may permit other uses). Permission may be obtained from ACS for other uses through requests via the RightsLink permission system: http://pubs.acs.org/page/copyright/permissions.html.
Acknowledgments
The authors would like to acknowledge David Auerbach for the purification of the phosphorylated corramycin and Asfandyar Sikandar for help with protein purification. In addition, the authors would like to thank Kirsten Harmrolfs, who aided the structural elucidation of Cor-P by NMR, and Natalia Kolesnik-Goldmann for shipment of the clinical isolates. Furthermore, the authors would like to thank Norbert Reiling and the National Reference Center for Mycobacteria (NRZ, Borstel, Germany) for providing capreomyin.
GNAT | GCN5-related N-acetyltransferase |
HMBC | heteronuclear multiple bond correlation |
RMSD | root mean square deviation |
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- 19Robicsek, A.; Strahilevitz, J.; Jacoby, G. A.; Macielag, M.; Abbanat, D.; Hye Park, C.; Bush, K.; Hooper, D. C. Fluoroquinolone-Modifying Enzyme: A New Adaptation of a Common Aminoglycoside Acetyltransferase. Nat. Med. 2006, 12 (1), 83– 88, DOI: 10.1038/nm1347Google Scholar19https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BD28Xht1Kmtg%253D%253D&md5=be41e6bdbb1d2cd7280af1cb8cacb085Fluoroquinolone-modifying enzyme: a new adaptation of a common aminoglycoside acetyltransferaseRobicsek, Ari; Strahilevitz, Jacob; Jacoby, George A.; Macielag, Mark; Abbanat, Darren; Park, Chi Hye; Bush, Karen; Hooper, David C.Nature Medicine (New York, NY, United States) (2006), 12 (1), 83-88CODEN: NAMEFI; ISSN:1078-8956. (Nature Publishing Group)Antimicrobial-modifying resistance enzymes have traditionally been class specific, having coevolved with the antibiotics they inactivate. Fluoroquinolones, antimicrobial agents used extensively in medicine and agriculture, are synthetic and have been considered safe from naturally occurring antimicrobial-modifying enzymes. We describe reduced susceptibility to ciprofloxacin in clin. bacterial isolates conferred by a variant of the gene encoding aminoglycoside acetyltransferase AAC(6')-Ib. This enzyme reduces the activity of ciprofloxacin by N-acetylation at the amino nitrogen on its piperazinyl substituent. Although approx. 30 variants of this gene have been reported since 1986, the two base-pair changes responsible for the ciprofloxacin modification phenotype are unique to this variant, first reported in 2003 and now widely disseminated. An intense increase in the medical use of ciprofloxacin seems to have been accompanied by a notable development: a single-function resistance enzyme has crossed class boundaries, and is now capable of enzymically undermining two unrelated antimicrobial agents, one of them fully synthetic.
- 20Vetting, M. W.; Park, C. H.; Hegde, S. S.; Jacoby, G. A.; Hooper, D. C.; Blanchard, J. S. Mechanistic and Structural Analysis of Aminoglycoside N-Acetyltransferase AAC(6′)-Ib and Its Bifunctional, Fluoroquinolone-Active AAC(6′)-Ib-Cr Variant. Biochemistry 2008, 47 (37), 9825– 9835, DOI: 10.1021/bi800664xGoogle Scholar20https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BD1cXpvFyktb4%253D&md5=225ad106123a5362c2954cf8adaafc77Mechanistic and Structural Analysis of Aminoglycoside N-Acetyltransferase AAC(6')-Ib and Its Bifunctional, Fluoroquinolone-Active AAC(6')-Ib-cr VariantVetting, Matthew W.; Park, Chi Hye; Hegde, Subray S.; Jacoby, George A.; Hooper, David C.; Blanchard, John S.Biochemistry (2008), 47 (37), 9825-9835CODEN: BICHAW; ISSN:0006-2960. (American Chemical Society)Enzymic modification of aminoglycoside antibiotics mediated by regioselective aminoglycoside N-acetyltransferases is the predominant cause of bacterial resistance to aminoglycosides. A recently discovered bifunctional aminoglycoside acetyltransferase (AAC(6')-Ib variant, AAC(6')-Ib-cr) has been shown to catalyze the acetylation of fluoroquinolones as well as aminoglycosides. We have expressed and purified AAC(6')-Ib-wt. and its bifunctional variant AAC(6')-Ib-cr in Escherichia coli and characterized their kinetic and chem. mechanism. Initial velocity and dead-end inhibition studies support an ordered sequential mechanism for the enzyme(s). The three-dimensional structure of AAC(6')-Ib-wt. was detd. in various complexes with donor and acceptor ligands to resolns. greater than 2.2 Å. Observation of the direct, and optimally positioned, interaction between the 6'-NH2 and Asp115 suggests that Asp115 acts as a general base to accept a proton in the reaction. The structure of AAC(6')-Ib-wt. permits the construction of a mol. model of the interactions of fluoroquinolones with the AAC(6')-Ib-cr variant. The model suggests that a major contribution to the fluoroquinolone acetylation activity comes from the Asp179Tyr mutation, where Tyr179 makes π-stacking interactions with the quinolone ring facilitating quinolone binding. The model also suggests that fluoroquinolones and aminoglycosides have different binding modes. On the basis of kinetic properties, the pH dependence of the kinetic parameters, and structural information, we propose an acid/base-assisted reaction catalyzed by AAC(6')-Ib-wt. and the AAC(6')-Ib-cr variant involving a ternary complex.
- 21Putignano, V.; Rosato, A.; Banci, L.; Andreini, C. MetalPDB in 2018: A Database of Metal Sites in Biological Macromolecular Structures. Nucleic Acids Res. 2018, 46 (D1), D459– D464, DOI: 10.1093/nar/gkx989Google Scholar21https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC1cXitlGisL3N&md5=a3c7d882fd20192f2668fa0c9e9f1805MetalPDB in 2018: a database of metal sites in biological macromolecular structuresPutignano, Valeria; Rosato, Antonio; Banci, Lucia; Andreini, ClaudiaNucleic Acids Research (2018), 46 (D1), D459-D464CODEN: NARHAD; ISSN:1362-4962. (Oxford University Press)A review. MetalPDB is a database providing information on metal-binding sites detected in the three-dimensional (3D) structures of biol. macromols. MetalPDB represents such sites as 3D templates, called Minimal Functional Sites (MFSs), which describe the local environment around the metal(s) independently of the larger context of the macromol. structure. The 2018 update of MetalPDB includes new contents and tools. A major extension is the inclusion of proteins whose structures do not contain metal ions although their sequences potentially contain a known MFS. In addn., MetalPDB now provides extensive statistical analyses addressing several aspects of general metal usage within the PDB, across protein families and in catalysis. Users can also query MetalPDB to ext. statistical information on structural aspects assocd. with individual metals, such as preferred coordination geometries or amino-acidic environment. A further major improvement is the functional annotation of MFSs; the annotation is manually performed via a password-protected annotator interface. At present, ∼50% of all MFSs have such a functional annotation. Other noteworthy improvements are bulk query functionality, through the upload of a list of PDB identifiers, and ftp access to MetalPDB contents, allowing users to carry out in-depth analyses on their own computational infrastructure.
- 22Caldwell, S. J.; Huang, Y.; Berghuis, A. M. Antibiotic Binding Drives Catalytic Activation of Aminoglycoside Kinase APH(2″)-Ia. Structure 2016, 24 (6), 935– 945, DOI: 10.1016/j.str.2016.04.002Google ScholarThere is no corresponding record for this reference.
- 23Alcock, B. P.; Huynh, W.; Chalil, R.; Smith, K. W.; Raphenya, A. R.; Wlodarski, M. A.; Edalatmand, A.; Petkau, A.; Syed, S. A.; Tsang, K. K.; Baker, S. J. C.; Dave, M.; McCarthy, M. C.; Mukiri, K. M.; Nasir, J. A.; Golbon, B.; Imtiaz, H.; Jiang, X.; Kaur, K.; Kwong, M.; Liang, Z. C.; Niu, K. C.; Shan, P.; Yang, J. Y. J.; Gray, K. L.; Hoad, G. R.; Jia, B.; Bhando, T.; Carfrae, L. A.; Farha, M. A.; French, S.; Gordzevich, R.; Rachwalski, K.; Tu, M. M.; Bordeleau, E.; Dooley, D.; Griffiths, E.; Zubyk, H. L.; Brown, E. D.; Maguire, F.; Beiko, R. G.; Hsiao, W. W. L.; Brinkman, F. S. L.; Van Domselaar, G.; McArthur, A. G. CARD 2023: Expanded Curation, Support for Machine Learning, and Resistome Prediction at the Comprehensive Antibiotic Resistance Database. Nucleic Acids Res. 2023, 51 (D1), D690– D699, DOI: 10.1093/nar/gkac920Google Scholar23https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BB3sXht1yhsLbP&md5=26e52e8b4bf34df0779df23e6cc8e72eCARD 2023: expanded curation, support for machine learning, and resistome prediction at the comprehensive antibiotic resistance databaseAlcock, Brian P.; Huynh, William; Chalil, Romeo; Smith, Keaton W.; Raphenya, Amogelang R.; Wlodarski, Mateusz A.; Edalatmand, Arman; Petkau, Aaron; Syed, Sohaib A.; Tsang, Kara K.; Baker, Sheridan J. C.; Dave, Mugdha; McCarthy, Madeline C.; Mukiri, Karyn M.; Nasir, Jalees A.; Golbon, Bahar; Imtiaz, Hamna; Jiang, Xingjian; Kaur, Komal; Kwong, Megan; Liang, Zi Cheng; Niu, Keyu C.; Shan, Prabakar; Yang, Jasmine Y. J.; Gray, Kristen L.; Hoad, Gemma R.; Jia, Baofeng; Bhando, Timsy; Carfrae, Lindsey A.; Farha, Maya A.; French, Shawn; Gordzevich, Rodion; Rachwalski, Kenneth; Tu, Megan M.; Bordeleau, Emily; Dooley, Damion; Griffiths, Emma; Zubyk, Haley L.; Brown, Eric D.; Maguire, Finlay; Beiko, Robert G.; Hsiao, William W. L.; Brinkman, Fiona S. L.; Van Domselaar, Gary; McArthur, Andrew G.Nucleic Acids Research (2023), 51 (D1), D690-D699CODEN: NARHAD; ISSN:1362-4962. (Oxford University Press)The Comprehensive Antibiotic Resistance Database (CARD; card.mcmaster.ca) combines the Antibiotic Resistance Ontol. (ARO) with curated AMR gene (ARG) sequences and resistance-conferring mutations to provide an informatics framework for annotation and interpretation of resistomes. As of version 3.2.4, CARD encompasses 6627 ontol. terms, 5010 ref. sequences, 1933 mutations, 3004 publications, and 5057 AMR detection models that can be used by the accompanying Resistance Gene Identifier (RGI) software to annotate genomic or metagenomic sequences. Focused curation enhancements since 2020 include expanded β-lactamase curation, incorporation of likelihood-based AMR mutations for Mycobacterium tuberculosis, addn. of disinfectants and antiseptics plus their assocd. ARGs, and systematic curation of resistance-modifying agents. This expanded curation includes 180 new AMR gene families, 15 new drug classes, 1 new resistance mechanism, and two new ontol. relationships: evolutionary_variant_of and is_small_mol._inhibitor. In silico prediction of resistomes and prevalence statistics of ARGs has been expanded to 377 pathogens, 21,079 chromosomes, 2,662 genomic islands, 41,828 plasmids and 155,606 whole-genome shotgun assemblies, resulting in collation of 322,710 unique ARG allele sequences. New features include the CARD:Live collection of community submitted isolate resistome data and the introduction of standardized 15 character CARD Short Names for ARGs to support machine learning efforts.
- 24Mancini, S.; Marchesi, M.; Imkamp, F.; Wagner, K.; Keller, P. M.; Quiblier, C.; Bodendoerfer, E.; Courvalin, P.; Böttger, E. C. Population-Based Inference of Aminoglycoside Resistance Mechanisms in Escherichia Coli. EBioMedicine 2019, 46, 184– 192, DOI: 10.1016/j.ebiom.2019.07.020Google Scholar24https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A280%3ADC%252BB3MznsF2gtQ%253D%253D&md5=1dd97bce91446eebe701f836744de3eaPopulation-based inference of aminoglycoside resistance mechanisms in Escherichia coliMancini Stefano; Marchesi Martina; Imkamp Frank; Wagner Karoline; Keller Peter M; Quiblier Chantal; Bodendoerfer Elias; Bottger Erik C; Courvalin PatriceEBioMedicine (2019), 46 (), 184-192 ISSN:.BACKGROUND: Interpretative reading of antimicrobial susceptibility test (AST) results allows inferring biochemical resistance mechanisms from resistance phenotypes. For aminoglycosides, however, correlations between resistance pathways inferred on the basis of the European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoints and expert rules versus genotypes are generally poor. This study aimed at developing and validating a decision tree based on resistance phenotypes determined by disc diffusion and based on epidemiological cut-offs (ECOFFs) to infer the corresponding resistance mechanisms in Escherichia coli. METHODS: Phenotypic antibiotic susceptibility of thirty wild-type and 458 aminoglycoside-resistant E. coli clinical isolates was determined by disc diffusion and the genomes were sequenced. Based on well-defined cut-offs, we developed a phenotype-based algorithm (Aminoglycoside Resistance Mechanism Inference Algorithm - ARMIA) to infer the biochemical mechanisms responsible for the corresponding aminoglycoside resistance phenotypes. The mechanisms inferred from susceptibility to kanamycin, tobramycin and gentamicin were analysed using ARMIA- or EUCAST-based AST interpretation and validated by whole genome sequencing (WGS) of the host bacteria. FINDINGS: ARMIA-based inference of resistance mechanisms and WGS data were congruent in 441/458 isolates (96·3%). In contrast, there was a poor correlation between resistance mechanisms inferred using EUCAST CBPs/expert rules and WGS data (418/488, 85·6%). Based on the assumption that resistance mechanisms can result in therapeutic failure, EUCAST produced 63 (12·9%) very major errors (vME), compared to only 2 (0·4%) vME with ARMIA. When used for detection and identification of resistance mechanisms, ARMIA resolved >95% vMEs generated by EUCAST-based AST interpretation. INTERPRETATION: This study demonstrates that ECOFF-based analysis of AST data of only four aminoglycosides provides accurate information on the resistance mechanisms in E. coli. Since aminoglycoside resistance mechanisms, despite having in certain cases a minimal effect on the minimal inhibitory concentration, may compromise the bactericidal activity of aminoglycosides, prompt detection of resistance mechanisms is crucial for therapy. Using ARMIA as an interpretative rule set for editing AST results allows for better predictions of in vivo activity of this drug class.
- 25The European Committee on Antimicrobial Susceptibility Testing. Breakpoint tables for interpretation of MICs and zone diameters. Version 14.0, 2024. https://www.eucast.org/clinical_breakpoints (accessed 2024–01–08).Google ScholarThere is no corresponding record for this reference.
- 26Miethke, M.; Pieroni, M.; Weber, T.; Brönstrup, M.; Hammann, P.; Halby, L.; Arimondo, P. B.; Glaser, P.; Aigle, B.; Bode, H. B.; Moreira, R.; Li, Y.; Luzhetskyy, A.; Medema, M. H.; Pernodet, J.-L.; Stadler, M.; Tormo, J. R.; Genilloud, O.; Truman, A. W.; Weissman, K. J.; Takano, E.; Sabatini, S.; Stegmann, E.; Brötz-Oesterhelt, H.; Wohlleben, W.; Seemann, M.; Empting, M.; Hirsch, A. K. H.; Loretz, B.; Lehr, C.-M.; Titz, A.; Herrmann, J.; Jaeger, T.; Alt, S.; Hesterkamp, T.; Winterhalter, M.; Schiefer, A.; Pfarr, K.; Hoerauf, A.; Graz, H.; Graz, M.; Lindvall, M.; Ramurthy, S.; Karlén, A.; van Dongen, M.; Petkovic, H.; Keller, A.; Peyrane, F.; Donadio, S.; Fraisse, L.; Piddock, L. J. V.; Gilbert, I. H.; Moser, H. E.; Müller, R. Towards the Sustainable Discovery and Development of New Antibiotics. Nat. Rev. Chem. 2021, 5 (10), 726– 749, DOI: 10.1038/s41570-021-00313-1Google Scholar26https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BB3MXhvVGgtLnN&md5=b157d43901bdb7f0be97f05306d1fc87Towards the sustainable discovery and development of new antibioticsMiethke, Marcus; Pieroni, Marco; Weber, Tilmann; Broenstrup, Mark; Hammann, Peter; Halby, Ludovic; Arimondo, Paola B.; Glaser, Philippe; Aigle, Bertrand; Bode, Helge B.; Moreira, Rui; Li, Yanyan; Luzhetskyy, Andriy; Medema, Marnix H.; Pernodet, Jean-Luc; Stadler, Marc; Tormo, Jose Ruben; Genilloud, Olga; Truman, Andrew W.; Weissman, Kira J.; Takano, Eriko; Sabatini, Stefano; Stegmann, Evi; Broetz-Oesterhelt, Heike; Wohlleben, Wolfgang; Seemann, Myriam; Empting, Martin; Hirsch, Anna K. H.; Loretz, Brigitta; Lehr, Claus-Michael; Titz, Alexander; Herrmann, Jennifer; Jaeger, Timo; Alt, Silke; Hesterkamp, Thomas; Winterhalter, Mathias; Schiefer, Andrea; Pfarr, Kenneth; Hoerauf, Achim; Graz, Heather; Graz, Michael; Lindvall, Mika; Ramurthy, Savithri; Karlen, Anders; van Dongen, Maarten; Petkovic, Hrvoje; Keller, Andreas; Peyrane, Frederic; Donadio, Stefano; Fraisse, Laurent; Piddock, Laura J. V.; Gilbert, Ian H.; Moser, Heinz E.; Mueller, RolfNature Reviews Chemistry (2021), 5 (10), 726-749CODEN: NRCAF7; ISSN:2397-3358. (Nature Portfolio)A review. An ever-increasing demand for novel antimicrobials to treat life-threatening infections caused by the global spread of multidrug-resistant bacterial pathogens stands in stark contrast to the current level of investment in their development, particularly in the fields of natural-product-derived and synthetic small mols. New agents displaying innovative chem. and modes of action are desperately needed worldwide to tackle the public health menace posed by antimicrobial resistance. Here, our consortium presents a strategic blueprint to substantially improve our ability to discover and develop new antibiotics. We propose both short-term and long-term solns. to overcome the most urgent limitations in the various sectors of research and funding, aiming to bridge the gap between academic, industrial and political stakeholders, and to unite interdisciplinary expertise in order to efficiently fuel the translational pipeline for the benefit of future generations.
- 27Walesch, S.; Birkelbach, J.; Jézéquel, G.; Haeckl, F. P. J.; Hegemann, J. D.; Hesterkamp, T.; Hirsch, A. K. H.; Hammann, P.; Müller, R. Fighting Antibiotic Resistance─Strategies and (Pre)Clinical Developments to Find New Antibacterials. EMBO Reports 2023, 24 (1), e56033 DOI: 10.15252/embr.202256033Google ScholarThere is no corresponding record for this reference.
- 28Yan, F.; Auerbach, D.; Chai, Y.; Keller, L.; Tu, Q.; Hüttel, S.; Glemser, A.; Grab, H. A.; Bach, T.; Zhang, Y.; Müller, R. Biosynthesis and Heterologous Production of Vioprolides: Rational Biosynthetic Engineering and Unprecedented 4-Methylazetidinecarboxylic Acid Formation. Angew. Chem. Int. Ed 2018, 57 (28), 8754– 8759, DOI: 10.1002/anie.201802479Google Scholar28https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC1cXhtVyktLvF&md5=0cbdb84e5e23e5be3e571476e56dfe3dBiosynthesis and Heterologous Production of Vioprolides: Rational Biosynthetic Engineering and Unprecedented 4-Methylazetidinecarboxylic Acid FormationYan, Fu; Auerbach, David; Chai, Yi; Keller, Lena; Tu, Qiang; Huettel, Stephan; Glemser, Amelie; Grab, Hanusch A.; Bach, Thorsten; Zhang, Youming; Mueller, RolfAngewandte Chemie, International Edition (2018), 57 (28), 8754-8759CODEN: ACIEF5; ISSN:1433-7851. (Wiley-VCH Verlag GmbH & Co. KGaA)Vioprolides are a promising class of anticancer and antifungal lead compds. produced by the myxobacterium Cystobacter violaceus Cb vi35. Previously nothing had been reported about their biosynthesis, including the origin of the unusual 4-methylazetidinecarboxylic acid (MAZ) moiety. We describe the vioprolide biosynthetic gene cluster and solve the prodn. obstacle by expression in three heterologous hosts. Starting from unstable prodn. in the wild type at the single-digit mg L-1 scale, we developed a stable host that eventually allowed for yields of up to half a gram per L in fermenters. Gene inactivations coupled with isotope feeding studies identified an S-adenosylmethionine (SAM)-dependent enzyme and a methyltransferase as being responsible for the generation of the MAZ building block by a proposed mechanism unprecedented in bacteria. Furthermore, nonnatural vioprolide derivs. were generated via rational genetic engineering.
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Abstract
Figure 1
Figure 1. (A) Chemical structure of corramycins. (B) Representation of the biosynthetic gene cluster (BGC) of corramycins. Biosynthetic genes are colored based on their function. (C) Chemical structures of tobramycin (left panel) and gentamicin C1 (right panel). NRPS: nonribosomal peptide synthetase; PKS: polyketide synthase.
Figure 2
Figure 2. ComG phosphorylates corramycin in an unprecedented position. (A) HR-LCMS analysis of an in vitro reaction of corramycin with ComG and ATP/MgCl2. Extracted ion chromatograms (EIC) show a characteristic mass shift of +80 Da, hinting at the addition of a phosphate group (left panel: + ATP/– ComG; right panel: + ComG/ATP). The negative control depicting the reaction of corramycin with ComG, but without ATP, can be found in Figure S3. (B) Tandem MS/MS analysis of the product of the ComG reaction Cor-P (phosphorylated corramycin). Characteristic shifts of y8 and b3 ions highlight the position of phosphorylation being the β-alanine moiety. Full mass tables of corramycin and Cor-P fragmentation by MS/MS analysis are shown in Tables S2 and S3. NMR data of Cor-P can be found in Figure S7.
Figure 3
Figure 3. (A) Cartoon representation of the crystal structure of apo ComG, highlighting the typical bilobed kinase fold. The N-terminal lobe is shown in blue, the hinge region in green, and the C-terminal lobe in orange. (B) Surface representation of the crystal structure of apo ComG, with the same color coding as that in A. (C) Surface representation of ComGC. Protein residues are shown in pale green, whereas corramycin is shown as yellow sticks. (D) Structure of corramycin bound to ComG adopts a β-hairpin-like structure. The hydroxyl group that is phosphorylated by ComG is marked with an asterisk.
Figure 4
Figure 4. Mg2+ coordination center. (A, B) Representation of the coordination center in production 1 (A) and production 2 (B). Mg2+ is shown in dark green, DFE residues and water are shown with balls and sticks, and ATP is shown with sticks. Carbon atoms are colored in yellow, nitrogen in blue, oxygen in red, phosphorus in gold, and hydrogens in white. Protein backbone is shown in pale green. (C, D) Distance between the Mg2+ center and the oxygen ligands from ATP (C) and from Asp220 or Glu222 (D). Results from production 1 are shown with solid lines, and results from production 2 are shown with dashed lines. Oxygens from ATP are labeled as shown in the representation on the upper left side of C.
Figure 5
Figure 5. (A) Cartoon structure of ComG. The C-terminal corramycin-binding region between Trp285 and Tyr315 is colored orange, whereas the natural product is shown as violet sticks. (B) Phylogenetic tree of ComG-like proteins with a conserved C-terminal corramycin-binding region. Branches corresponding to important taxa are shown in color. ComG is shown in gold. (C) Sequence logo of conservation of corramycin-binding residues.
Figure 6
Figure 6. Distribution of corramycin MICs among 57 multidrug-resistant Escherichia coli clinical isolates. Corramycin is not affected by aminoglycoside-modifying enzymes (AMEs), irrespective of the class of AMEs. APH: aminoglycoside phosphotransferase; AAC: aminoglycoside acetyltransferase; no.: number.
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- 5Impey, R. E.; Hawkins, D. A.; Sutton, J. M.; Soares da Costa, T. P. Overcoming Intrinsic and Acquired Resistance Mechanisms Associated with the Cell Wall of Gram-Negative Bacteria. Antibiotics (Basel) 2020, 9 (9), 623, DOI: 10.3390/antibiotics9090623There is no corresponding record for this reference.
- 6Pandeya, A.; Ojo, I.; Alegun, O.; Wei, Y. Periplasmic Targets for the Development of Effective Antimicrobials against Gram-Negative Bacteria. ACS Infect. Dis. 2020, 6 (9), 2337– 2354, DOI: 10.1021/acsinfecdis.0c003846https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BB3cXhsFaqtbrP&md5=506ff130035d893271bea61e15d967aaPeriplasmic Targets for the Development of Effective Antimicrobials against Gram-Negative BacteriaPandeya, Ankit; Ojo, Isoiza; Alegun, Olaniyi; Wei, YinanACS Infectious Diseases (2020), 6 (9), 2337-2354CODEN: AIDCBC; ISSN:2373-8227. (American Chemical Society)A review, with refs. Antibiotic resistance has emerged as a serious threat to global public health in recent years. Lack of novel antimicrobials, esp. new classes of compds., further aggravates the situation. For Gram-neg. bacteria, their double layered cell envelope and an array of efflux pumps act as formidable barriers for antimicrobials to penetrate. While cytoplasmic targets are hard to reach, proteins in the periplasm are clearly more accessible, as the drug only needs to breach the outer membrane. In this review, we summarized recent efforts on the validation and testing of periplasmic proteins as potential antimicrobial targets and the development of related inhibitors that either inhibit the growth of a bacterial pathogen or reduce its virulence during interaction with host cells. We conclude that the periplasm contains a promising pool of novel antimicrobial targets that should be scrutinized more closely for the development of effective treatment against multidrug-resistant Gram-neg. bacteria.
- 7Herrmann, J.; Fayad, A. A.; Müller, R. Natural Products from Myxobacteria: Novel Metabolites and Bioactivities. Nat. Prod. Rep. 2017, 34 (2), 135– 160, DOI: 10.1039/C6NP00106H7https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC28XhvF2gs7vF&md5=d270e3ae6cfccad1d0f123d882d345dfNatural products from myxobacteria: novel metabolites and bioactivitiesHerrmann, J.; Fayad, A. Abou; Mueller, R.Natural Product Reports (2017), 34 (2), 135-160CODEN: NPRRDF; ISSN:0265-0568. (Royal Society of Chemistry)A review. Myxobacteria are a rich source for structurally diverse secondary metabolites with intriguing biol. activities. We report on new natural products that were isolated from myxobacteria in the period of 2011 to July 2016. Some examples of recent advances on modes-of-action are also summarized along with a more detailed overview on 5 compd. classes currently assessed in preclin. studies.
- 8Couturier, C.; Groß, S.; von Tesmar, A.; Hoffmann, J.; Deckarm, S.; Fievet, A.; Dubarry, N.; Taillier, T.; Pöverlein, C.; Stump, H.; Kurz, M.; Toti, L.; Haag Richter, S.; Schummer, D.; Sizun, P.; Hoffmann, M.; Prasad Awal, R.; Zaburannyi, N.; Harmrolfs, K.; Wink, J.; Lessoud, E.; Vermat, T.; Cazals, V.; Silve, S.; Bauer, A.; Mourez, M.; Fraisse, L.; Leroi-Geissler, C.; Rey, A.; Versluys, S.; Bacqué, E.; Müller, R.; Renard, S. Structure Elucidation, Total Synthesis, Antibacterial In Vivo Efficacy and Biosynthesis Proposal of Myxobacterial Corramycin. Angew. Chem., Int. Ed. Engl. 2022, 61 (51), e202210747 DOI: 10.1002/anie.202210747There is no corresponding record for this reference.
- 9Renard, S.; Versluys, S.; Taillier, T.; Dubarry, N.; Leroi-Geissler, C.; Rey, A.; Cornaire, E.; Sordello, S.; Carry, J.-C. B.; Angouillant-Boniface, O.; Gouyon, T.; Thompson, F.; Lebourg, G.; Certal, V.; Balazs, L.; Arranz, E.; Doerflinger, G.; Bretin, F.; Gervat, V.; Brohan, E.; Kraft, V.; Boulenc, X.; Ducelier, C.; Bacqué, E.; Couturier, C. Optimization of the Antibacterial Spectrum and the Developability Profile of the Novel-Class Natural Product Corramycin. J. Med. Chem. 2023, 66 (24), 16869– 16887, DOI: 10.1021/acs.jmedchem.3c01564There is no corresponding record for this reference.
- 10Tracanna, V.; de Jong, A.; Medema, M. H.; Kuipers, O. P. Mining Prokaryotes for Antimicrobial Compounds: From Diversity to Function. FEMS Microbiology Reviews 2017, 41 (3), 417– 429, DOI: 10.1093/femsre/fux014There is no corresponding record for this reference.
- 11Panter, F.; Krug, D.; Baumann, S.; Müller, R. Self-Resistance Guided Genome Mining Uncovers New Topoisomerase Inhibitors from Myxobacteria. Chem. Sci. 2018, 9 (21), 4898– 4908, DOI: 10.1039/C8SC01325J11https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC1cXosl2murk%253D&md5=26fae6136c1c7cdde194fc51e8945da6Self-resistance guided genome mining uncovers new topoisomerase inhibitors from myxobacteriaPanter, Fabian; Krug, Daniel; Baumann, Sascha; Mueller, RolfChemical Science (2018), 9 (21), 4898-4908CODEN: CSHCCN; ISSN:2041-6520. (Royal Society of Chemistry)There is astounding discrepancy between the genome-inscribed prodn. capacity and the set of known secondary metabolite classes from many microorganisms as detected under lab. cultivation conditions. Genome-mining techniques are meant to fill this gap, but in order to favor discovery of structurally novel as well as bioactive compds. it is crucial to amend genomics-based strategies with selective filtering principles. In this study, we followed a self-resistance guided approach aiming at the discovery of inhibitors of topoisomerase, known as valid target in both cancer and antibiotic therapy. A common host self-defense mechanism against such inhibitors in bacteria is mediated by so-called pentapeptide repeat proteins (PRP). Genes encoding the biosynthetic machinery for prodn. of an alleged topoisomerase inhibitor were found on the basis of their collocation adjacent to a predicted PRP in the genome of the myxobacterium Pyxidicoccus fallax An d48, but to date no matching compd. has been reported from this bacterium. Activation of this peculiar polyketide synthase type-II gene cluster in the native host as well as its heterologous expression led to the structure elucidation of new natural products that were named pyxidicyclines and provided an insight into their biosynthesis. Subsequent topoisomerase inhibition assays showed strong affinity to - and inhibition of - unwinding topoisomerases such as E. coli topoisomerase IV and human topoisomerase I by pyxidicyclines as well as precise selectivity, since E. coli topoisomerase II (gyrase) was not inhibited at concns. up to 50 μg ml-1.
- 12Almabruk, K. H.; Dinh, L. K.; Philmus, B. Self-Resistance of Natural Product Producers: Past, Present, and Future Focusing on Self-Resistant Protein Variants. ACS Chem. Biol. 2018, 13 (6), 1426– 1437, DOI: 10.1021/acschembio.8b0017312https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC1cXpsVCitb8%253D&md5=f8cb68d0fa828d773f2fbe3a115a7202Self-Resistance of Natural Product Producers: Past, Present, and Future Focusing on Self-Resistant Protein VariantsAlmabruk, Khaled H.; Dinh, Linh K.; Philmus, BenjaminACS Chemical Biology (2018), 13 (6), 1426-1437CODEN: ACBCCT; ISSN:1554-8929. (American Chemical Society)A review. Microorganisms are prolific producers of bioactive natural products with an array of biol. activities and impact on human and animal health. But with great power comes great responsibility and the organisms that produce a bioactive compd. must be resistant to its biol. effects to survive during prodn./accumulation. Microorganism, particularly bacteria, have developed different strategies to prevent self-toxicity. Here we review a few of the major mechanisms including mechanism of resistance with a focus on self-resistant protein variants, target proteins that contain amino acid substitutions to reduce the binding of the bioactive natural product and therefore its inhibitory effect are highlighted in depth. We also try to identify some future avenues of research and challenges that need to be addressed.
- 13Li, X.-Z.; Nikaido, H. Efflux-Mediated Drug Resistance in Bacteria: An Update. Drugs 2009, 69 (12), 1555– 1623, DOI: 10.2165/11317030-000000000-0000013https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BD1MXht1ehtLfI&md5=fd988e21cc23eb9c8347f13a2a431a53Efflux-mediated drug resistance in bacteria: an updateLi, Xian-Zhi; Nikaido, HiroshiDrugs (2009), 69 (12), 1555-1623CODEN: DRUGAY; ISSN:0012-6667. (Wolters Kluwer Health)A review. Drug efflux pumps play a key role in drug resistance and also serve other functions in bacteria. There has been a growing list of multidrug and drug-specific efflux pumps characterized from bacteria of human, animal, plant and environmental origins. These pumps are mostly encoded on the chromosome, although they can also be plasmid-encoded. A previous article in this journal provided a comprehensive review regarding efflux-mediated drug resistance in bacteria. In the past 5 years, significant progress has been achieved in further understanding of drug resistance-related efflux transporters and this review focuses on the latest studies in this field since 2003. This has been demonstrated in multiple aspects that include but are not limited to: further mol. and biochem. characterization of the known drug efflux pumps and identification of novel drug efflux pumps; structural elucidation of the transport mechanisms of drug transporters; regulatory mechanisms of drug efflux pumps; detg. the role of the drug efflux pumps in other functions such as stress responses, virulence and cell communication; and development of efflux pump inhibitors. Overall, the multifaceted implications of drug efflux transporters warrant novel strategies to combat multidrug resistance in bacteria.
- 14Smith, C. A.; Baker, E. N. Aminoglycoside Antibiotic Resistance by Enzymatic Deactivation. CDTID 2002, 2 (2), 143– 160, DOI: 10.2174/1568005023342533There is no corresponding record for this reference.
- 15Wright, G. D. Aminoglycoside Phosphotransferases: Proteins, Structure, and Mechanism. Front Biosci 1999, 4 (1–3), d9, DOI: 10.2741/WrightThere is no corresponding record for this reference.
- 16Shi, K.; Caldwell, S. J.; Fong, D. H.; Berghuis, A. M. Prospects for Circumventing Aminoglycoside Kinase Mediated Antibiotic Resistance. Front. Cell. Infect. Microbiol. 2013, 3, DOI: 10.3389/fcimb.2013.00022 .There is no corresponding record for this reference.
- 17Pan, Y.-C.; Wang, Y.-L.; Toh, S.-I.; Hsu, N.-S.; Lin, K.-H.; Xu, Z.; Huang, S.-C.; Wu, T.-K.; Li, T.-L.; Chang, C.-Y. Dual-Mechanism Confers Self-Resistance to the Antituberculosis Antibiotic Capreomycin. ACS Chem. Biol. 2022, 17 (1), 138– 146, DOI: 10.1021/acschembio.1c00799There is no corresponding record for this reference.
- 18Barkei, J. J.; Kevany, B. M.; Felnagle, E. A.; Thomas, M. G. Investigations into Viomycin Biosynthesis by Using Heterologous Production in Streptomyces Lividans. Chembiochem 2009, 10 (2), 366– 376, DOI: 10.1002/cbic.200800646There is no corresponding record for this reference.
- 19Robicsek, A.; Strahilevitz, J.; Jacoby, G. A.; Macielag, M.; Abbanat, D.; Hye Park, C.; Bush, K.; Hooper, D. C. Fluoroquinolone-Modifying Enzyme: A New Adaptation of a Common Aminoglycoside Acetyltransferase. Nat. Med. 2006, 12 (1), 83– 88, DOI: 10.1038/nm134719https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BD28Xht1Kmtg%253D%253D&md5=be41e6bdbb1d2cd7280af1cb8cacb085Fluoroquinolone-modifying enzyme: a new adaptation of a common aminoglycoside acetyltransferaseRobicsek, Ari; Strahilevitz, Jacob; Jacoby, George A.; Macielag, Mark; Abbanat, Darren; Park, Chi Hye; Bush, Karen; Hooper, David C.Nature Medicine (New York, NY, United States) (2006), 12 (1), 83-88CODEN: NAMEFI; ISSN:1078-8956. (Nature Publishing Group)Antimicrobial-modifying resistance enzymes have traditionally been class specific, having coevolved with the antibiotics they inactivate. Fluoroquinolones, antimicrobial agents used extensively in medicine and agriculture, are synthetic and have been considered safe from naturally occurring antimicrobial-modifying enzymes. We describe reduced susceptibility to ciprofloxacin in clin. bacterial isolates conferred by a variant of the gene encoding aminoglycoside acetyltransferase AAC(6')-Ib. This enzyme reduces the activity of ciprofloxacin by N-acetylation at the amino nitrogen on its piperazinyl substituent. Although approx. 30 variants of this gene have been reported since 1986, the two base-pair changes responsible for the ciprofloxacin modification phenotype are unique to this variant, first reported in 2003 and now widely disseminated. An intense increase in the medical use of ciprofloxacin seems to have been accompanied by a notable development: a single-function resistance enzyme has crossed class boundaries, and is now capable of enzymically undermining two unrelated antimicrobial agents, one of them fully synthetic.
- 20Vetting, M. W.; Park, C. H.; Hegde, S. S.; Jacoby, G. A.; Hooper, D. C.; Blanchard, J. S. Mechanistic and Structural Analysis of Aminoglycoside N-Acetyltransferase AAC(6′)-Ib and Its Bifunctional, Fluoroquinolone-Active AAC(6′)-Ib-Cr Variant. Biochemistry 2008, 47 (37), 9825– 9835, DOI: 10.1021/bi800664x20https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BD1cXpvFyktb4%253D&md5=225ad106123a5362c2954cf8adaafc77Mechanistic and Structural Analysis of Aminoglycoside N-Acetyltransferase AAC(6')-Ib and Its Bifunctional, Fluoroquinolone-Active AAC(6')-Ib-cr VariantVetting, Matthew W.; Park, Chi Hye; Hegde, Subray S.; Jacoby, George A.; Hooper, David C.; Blanchard, John S.Biochemistry (2008), 47 (37), 9825-9835CODEN: BICHAW; ISSN:0006-2960. (American Chemical Society)Enzymic modification of aminoglycoside antibiotics mediated by regioselective aminoglycoside N-acetyltransferases is the predominant cause of bacterial resistance to aminoglycosides. A recently discovered bifunctional aminoglycoside acetyltransferase (AAC(6')-Ib variant, AAC(6')-Ib-cr) has been shown to catalyze the acetylation of fluoroquinolones as well as aminoglycosides. We have expressed and purified AAC(6')-Ib-wt. and its bifunctional variant AAC(6')-Ib-cr in Escherichia coli and characterized their kinetic and chem. mechanism. Initial velocity and dead-end inhibition studies support an ordered sequential mechanism for the enzyme(s). The three-dimensional structure of AAC(6')-Ib-wt. was detd. in various complexes with donor and acceptor ligands to resolns. greater than 2.2 Å. Observation of the direct, and optimally positioned, interaction between the 6'-NH2 and Asp115 suggests that Asp115 acts as a general base to accept a proton in the reaction. The structure of AAC(6')-Ib-wt. permits the construction of a mol. model of the interactions of fluoroquinolones with the AAC(6')-Ib-cr variant. The model suggests that a major contribution to the fluoroquinolone acetylation activity comes from the Asp179Tyr mutation, where Tyr179 makes π-stacking interactions with the quinolone ring facilitating quinolone binding. The model also suggests that fluoroquinolones and aminoglycosides have different binding modes. On the basis of kinetic properties, the pH dependence of the kinetic parameters, and structural information, we propose an acid/base-assisted reaction catalyzed by AAC(6')-Ib-wt. and the AAC(6')-Ib-cr variant involving a ternary complex.
- 21Putignano, V.; Rosato, A.; Banci, L.; Andreini, C. MetalPDB in 2018: A Database of Metal Sites in Biological Macromolecular Structures. Nucleic Acids Res. 2018, 46 (D1), D459– D464, DOI: 10.1093/nar/gkx98921https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC1cXitlGisL3N&md5=a3c7d882fd20192f2668fa0c9e9f1805MetalPDB in 2018: a database of metal sites in biological macromolecular structuresPutignano, Valeria; Rosato, Antonio; Banci, Lucia; Andreini, ClaudiaNucleic Acids Research (2018), 46 (D1), D459-D464CODEN: NARHAD; ISSN:1362-4962. (Oxford University Press)A review. MetalPDB is a database providing information on metal-binding sites detected in the three-dimensional (3D) structures of biol. macromols. MetalPDB represents such sites as 3D templates, called Minimal Functional Sites (MFSs), which describe the local environment around the metal(s) independently of the larger context of the macromol. structure. The 2018 update of MetalPDB includes new contents and tools. A major extension is the inclusion of proteins whose structures do not contain metal ions although their sequences potentially contain a known MFS. In addn., MetalPDB now provides extensive statistical analyses addressing several aspects of general metal usage within the PDB, across protein families and in catalysis. Users can also query MetalPDB to ext. statistical information on structural aspects assocd. with individual metals, such as preferred coordination geometries or amino-acidic environment. A further major improvement is the functional annotation of MFSs; the annotation is manually performed via a password-protected annotator interface. At present, ∼50% of all MFSs have such a functional annotation. Other noteworthy improvements are bulk query functionality, through the upload of a list of PDB identifiers, and ftp access to MetalPDB contents, allowing users to carry out in-depth analyses on their own computational infrastructure.
- 22Caldwell, S. J.; Huang, Y.; Berghuis, A. M. Antibiotic Binding Drives Catalytic Activation of Aminoglycoside Kinase APH(2″)-Ia. Structure 2016, 24 (6), 935– 945, DOI: 10.1016/j.str.2016.04.002There is no corresponding record for this reference.
- 23Alcock, B. P.; Huynh, W.; Chalil, R.; Smith, K. W.; Raphenya, A. R.; Wlodarski, M. A.; Edalatmand, A.; Petkau, A.; Syed, S. A.; Tsang, K. K.; Baker, S. J. C.; Dave, M.; McCarthy, M. C.; Mukiri, K. M.; Nasir, J. A.; Golbon, B.; Imtiaz, H.; Jiang, X.; Kaur, K.; Kwong, M.; Liang, Z. C.; Niu, K. C.; Shan, P.; Yang, J. Y. J.; Gray, K. L.; Hoad, G. R.; Jia, B.; Bhando, T.; Carfrae, L. A.; Farha, M. A.; French, S.; Gordzevich, R.; Rachwalski, K.; Tu, M. M.; Bordeleau, E.; Dooley, D.; Griffiths, E.; Zubyk, H. L.; Brown, E. D.; Maguire, F.; Beiko, R. G.; Hsiao, W. W. L.; Brinkman, F. S. L.; Van Domselaar, G.; McArthur, A. G. CARD 2023: Expanded Curation, Support for Machine Learning, and Resistome Prediction at the Comprehensive Antibiotic Resistance Database. Nucleic Acids Res. 2023, 51 (D1), D690– D699, DOI: 10.1093/nar/gkac92023https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BB3sXht1yhsLbP&md5=26e52e8b4bf34df0779df23e6cc8e72eCARD 2023: expanded curation, support for machine learning, and resistome prediction at the comprehensive antibiotic resistance databaseAlcock, Brian P.; Huynh, William; Chalil, Romeo; Smith, Keaton W.; Raphenya, Amogelang R.; Wlodarski, Mateusz A.; Edalatmand, Arman; Petkau, Aaron; Syed, Sohaib A.; Tsang, Kara K.; Baker, Sheridan J. C.; Dave, Mugdha; McCarthy, Madeline C.; Mukiri, Karyn M.; Nasir, Jalees A.; Golbon, Bahar; Imtiaz, Hamna; Jiang, Xingjian; Kaur, Komal; Kwong, Megan; Liang, Zi Cheng; Niu, Keyu C.; Shan, Prabakar; Yang, Jasmine Y. J.; Gray, Kristen L.; Hoad, Gemma R.; Jia, Baofeng; Bhando, Timsy; Carfrae, Lindsey A.; Farha, Maya A.; French, Shawn; Gordzevich, Rodion; Rachwalski, Kenneth; Tu, Megan M.; Bordeleau, Emily; Dooley, Damion; Griffiths, Emma; Zubyk, Haley L.; Brown, Eric D.; Maguire, Finlay; Beiko, Robert G.; Hsiao, William W. L.; Brinkman, Fiona S. L.; Van Domselaar, Gary; McArthur, Andrew G.Nucleic Acids Research (2023), 51 (D1), D690-D699CODEN: NARHAD; ISSN:1362-4962. (Oxford University Press)The Comprehensive Antibiotic Resistance Database (CARD; card.mcmaster.ca) combines the Antibiotic Resistance Ontol. (ARO) with curated AMR gene (ARG) sequences and resistance-conferring mutations to provide an informatics framework for annotation and interpretation of resistomes. As of version 3.2.4, CARD encompasses 6627 ontol. terms, 5010 ref. sequences, 1933 mutations, 3004 publications, and 5057 AMR detection models that can be used by the accompanying Resistance Gene Identifier (RGI) software to annotate genomic or metagenomic sequences. Focused curation enhancements since 2020 include expanded β-lactamase curation, incorporation of likelihood-based AMR mutations for Mycobacterium tuberculosis, addn. of disinfectants and antiseptics plus their assocd. ARGs, and systematic curation of resistance-modifying agents. This expanded curation includes 180 new AMR gene families, 15 new drug classes, 1 new resistance mechanism, and two new ontol. relationships: evolutionary_variant_of and is_small_mol._inhibitor. In silico prediction of resistomes and prevalence statistics of ARGs has been expanded to 377 pathogens, 21,079 chromosomes, 2,662 genomic islands, 41,828 plasmids and 155,606 whole-genome shotgun assemblies, resulting in collation of 322,710 unique ARG allele sequences. New features include the CARD:Live collection of community submitted isolate resistome data and the introduction of standardized 15 character CARD Short Names for ARGs to support machine learning efforts.
- 24Mancini, S.; Marchesi, M.; Imkamp, F.; Wagner, K.; Keller, P. M.; Quiblier, C.; Bodendoerfer, E.; Courvalin, P.; Böttger, E. C. Population-Based Inference of Aminoglycoside Resistance Mechanisms in Escherichia Coli. EBioMedicine 2019, 46, 184– 192, DOI: 10.1016/j.ebiom.2019.07.02024https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A280%3ADC%252BB3MznsF2gtQ%253D%253D&md5=1dd97bce91446eebe701f836744de3eaPopulation-based inference of aminoglycoside resistance mechanisms in Escherichia coliMancini Stefano; Marchesi Martina; Imkamp Frank; Wagner Karoline; Keller Peter M; Quiblier Chantal; Bodendoerfer Elias; Bottger Erik C; Courvalin PatriceEBioMedicine (2019), 46 (), 184-192 ISSN:.BACKGROUND: Interpretative reading of antimicrobial susceptibility test (AST) results allows inferring biochemical resistance mechanisms from resistance phenotypes. For aminoglycosides, however, correlations between resistance pathways inferred on the basis of the European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoints and expert rules versus genotypes are generally poor. This study aimed at developing and validating a decision tree based on resistance phenotypes determined by disc diffusion and based on epidemiological cut-offs (ECOFFs) to infer the corresponding resistance mechanisms in Escherichia coli. METHODS: Phenotypic antibiotic susceptibility of thirty wild-type and 458 aminoglycoside-resistant E. coli clinical isolates was determined by disc diffusion and the genomes were sequenced. Based on well-defined cut-offs, we developed a phenotype-based algorithm (Aminoglycoside Resistance Mechanism Inference Algorithm - ARMIA) to infer the biochemical mechanisms responsible for the corresponding aminoglycoside resistance phenotypes. The mechanisms inferred from susceptibility to kanamycin, tobramycin and gentamicin were analysed using ARMIA- or EUCAST-based AST interpretation and validated by whole genome sequencing (WGS) of the host bacteria. FINDINGS: ARMIA-based inference of resistance mechanisms and WGS data were congruent in 441/458 isolates (96·3%). In contrast, there was a poor correlation between resistance mechanisms inferred using EUCAST CBPs/expert rules and WGS data (418/488, 85·6%). Based on the assumption that resistance mechanisms can result in therapeutic failure, EUCAST produced 63 (12·9%) very major errors (vME), compared to only 2 (0·4%) vME with ARMIA. When used for detection and identification of resistance mechanisms, ARMIA resolved >95% vMEs generated by EUCAST-based AST interpretation. INTERPRETATION: This study demonstrates that ECOFF-based analysis of AST data of only four aminoglycosides provides accurate information on the resistance mechanisms in E. coli. Since aminoglycoside resistance mechanisms, despite having in certain cases a minimal effect on the minimal inhibitory concentration, may compromise the bactericidal activity of aminoglycosides, prompt detection of resistance mechanisms is crucial for therapy. Using ARMIA as an interpretative rule set for editing AST results allows for better predictions of in vivo activity of this drug class.
- 25The European Committee on Antimicrobial Susceptibility Testing. Breakpoint tables for interpretation of MICs and zone diameters. Version 14.0, 2024. https://www.eucast.org/clinical_breakpoints (accessed 2024–01–08).There is no corresponding record for this reference.
- 26Miethke, M.; Pieroni, M.; Weber, T.; Brönstrup, M.; Hammann, P.; Halby, L.; Arimondo, P. B.; Glaser, P.; Aigle, B.; Bode, H. B.; Moreira, R.; Li, Y.; Luzhetskyy, A.; Medema, M. H.; Pernodet, J.-L.; Stadler, M.; Tormo, J. R.; Genilloud, O.; Truman, A. W.; Weissman, K. J.; Takano, E.; Sabatini, S.; Stegmann, E.; Brötz-Oesterhelt, H.; Wohlleben, W.; Seemann, M.; Empting, M.; Hirsch, A. K. H.; Loretz, B.; Lehr, C.-M.; Titz, A.; Herrmann, J.; Jaeger, T.; Alt, S.; Hesterkamp, T.; Winterhalter, M.; Schiefer, A.; Pfarr, K.; Hoerauf, A.; Graz, H.; Graz, M.; Lindvall, M.; Ramurthy, S.; Karlén, A.; van Dongen, M.; Petkovic, H.; Keller, A.; Peyrane, F.; Donadio, S.; Fraisse, L.; Piddock, L. J. V.; Gilbert, I. H.; Moser, H. E.; Müller, R. Towards the Sustainable Discovery and Development of New Antibiotics. Nat. Rev. Chem. 2021, 5 (10), 726– 749, DOI: 10.1038/s41570-021-00313-126https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BB3MXhvVGgtLnN&md5=b157d43901bdb7f0be97f05306d1fc87Towards the sustainable discovery and development of new antibioticsMiethke, Marcus; Pieroni, Marco; Weber, Tilmann; Broenstrup, Mark; Hammann, Peter; Halby, Ludovic; Arimondo, Paola B.; Glaser, Philippe; Aigle, Bertrand; Bode, Helge B.; Moreira, Rui; Li, Yanyan; Luzhetskyy, Andriy; Medema, Marnix H.; Pernodet, Jean-Luc; Stadler, Marc; Tormo, Jose Ruben; Genilloud, Olga; Truman, Andrew W.; Weissman, Kira J.; Takano, Eriko; Sabatini, Stefano; Stegmann, Evi; Broetz-Oesterhelt, Heike; Wohlleben, Wolfgang; Seemann, Myriam; Empting, Martin; Hirsch, Anna K. H.; Loretz, Brigitta; Lehr, Claus-Michael; Titz, Alexander; Herrmann, Jennifer; Jaeger, Timo; Alt, Silke; Hesterkamp, Thomas; Winterhalter, Mathias; Schiefer, Andrea; Pfarr, Kenneth; Hoerauf, Achim; Graz, Heather; Graz, Michael; Lindvall, Mika; Ramurthy, Savithri; Karlen, Anders; van Dongen, Maarten; Petkovic, Hrvoje; Keller, Andreas; Peyrane, Frederic; Donadio, Stefano; Fraisse, Laurent; Piddock, Laura J. V.; Gilbert, Ian H.; Moser, Heinz E.; Mueller, RolfNature Reviews Chemistry (2021), 5 (10), 726-749CODEN: NRCAF7; ISSN:2397-3358. (Nature Portfolio)A review. An ever-increasing demand for novel antimicrobials to treat life-threatening infections caused by the global spread of multidrug-resistant bacterial pathogens stands in stark contrast to the current level of investment in their development, particularly in the fields of natural-product-derived and synthetic small mols. New agents displaying innovative chem. and modes of action are desperately needed worldwide to tackle the public health menace posed by antimicrobial resistance. Here, our consortium presents a strategic blueprint to substantially improve our ability to discover and develop new antibiotics. We propose both short-term and long-term solns. to overcome the most urgent limitations in the various sectors of research and funding, aiming to bridge the gap between academic, industrial and political stakeholders, and to unite interdisciplinary expertise in order to efficiently fuel the translational pipeline for the benefit of future generations.
- 27Walesch, S.; Birkelbach, J.; Jézéquel, G.; Haeckl, F. P. J.; Hegemann, J. D.; Hesterkamp, T.; Hirsch, A. K. H.; Hammann, P.; Müller, R. Fighting Antibiotic Resistance─Strategies and (Pre)Clinical Developments to Find New Antibacterials. EMBO Reports 2023, 24 (1), e56033 DOI: 10.15252/embr.202256033There is no corresponding record for this reference.
- 28Yan, F.; Auerbach, D.; Chai, Y.; Keller, L.; Tu, Q.; Hüttel, S.; Glemser, A.; Grab, H. A.; Bach, T.; Zhang, Y.; Müller, R. Biosynthesis and Heterologous Production of Vioprolides: Rational Biosynthetic Engineering and Unprecedented 4-Methylazetidinecarboxylic Acid Formation. Angew. Chem. Int. Ed 2018, 57 (28), 8754– 8759, DOI: 10.1002/anie.20180247928https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC1cXhtVyktLvF&md5=0cbdb84e5e23e5be3e571476e56dfe3dBiosynthesis and Heterologous Production of Vioprolides: Rational Biosynthetic Engineering and Unprecedented 4-Methylazetidinecarboxylic Acid FormationYan, Fu; Auerbach, David; Chai, Yi; Keller, Lena; Tu, Qiang; Huettel, Stephan; Glemser, Amelie; Grab, Hanusch A.; Bach, Thorsten; Zhang, Youming; Mueller, RolfAngewandte Chemie, International Edition (2018), 57 (28), 8754-8759CODEN: ACIEF5; ISSN:1433-7851. (Wiley-VCH Verlag GmbH & Co. KGaA)Vioprolides are a promising class of anticancer and antifungal lead compds. produced by the myxobacterium Cystobacter violaceus Cb vi35. Previously nothing had been reported about their biosynthesis, including the origin of the unusual 4-methylazetidinecarboxylic acid (MAZ) moiety. We describe the vioprolide biosynthetic gene cluster and solve the prodn. obstacle by expression in three heterologous hosts. Starting from unstable prodn. in the wild type at the single-digit mg L-1 scale, we developed a stable host that eventually allowed for yields of up to half a gram per L in fermenters. Gene inactivations coupled with isotope feeding studies identified an S-adenosylmethionine (SAM)-dependent enzyme and a methyltransferase as being responsible for the generation of the MAZ building block by a proposed mechanism unprecedented in bacteria. Furthermore, nonnatural vioprolide derivs. were generated via rational genetic engineering.
Supporting Information
Supporting Information
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/jacs.3c13208.
Experimental details, materials, and methods, as well as supplementary figures and tables (PDF)
Diffraction data and refined structural models have been deposited in the PDB. See Table S4 for PDB codes.
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