Research Article
RSC Medicinal Chemistry
would be little to no lysis of eukaryotic cells when dosed at
a lower concentration.
Conclusions
In conclusion, we have employed a scaffold hopping strategy
to develop compounds with anti-biofilm activity against
MRSA. While the lead compound 8g shows comparable
inhibitory activity with previously reported compounds, none
of the disclosed compounds were able to disperse preformed
biofilms. The lead compound 8g also suppressed resistance
to the polymyxin antibiotic colistin in K. pneumoniae,
encouraging future structural derivatizations that could
increase this activity. We determined that the specific
connectivity between the 2-AP head, the phenyl core, and the
aryl tail has a significant effect on activity, and studies to
diversify this scaffold further are underway.
Scheme 4 Reagents and condition for synthesis of compound 17: (a)
EDC, DMAP, DCM, 18 h (b) HCl/MeOH.
with colistin to determine the effect on colistin activity. The
MIC of colistin was 1024 and 512 μg mL−1 against AB 4106
and KP B9, respectively, as previously reported.11,13
None of the compounds lowered the MIC of colistin
against AB 4106 below 64 μg mL−1 at 60 μM. However, one
compound from this pilot library, compound 8g, did lower
the MIC of colistin from 512 to 16 μg mL−1 against KP B9, a
32-fold reduction. Interestingly, compound 8g was also the
most active MRSA biofilm inhibitor out of the 18-compound
library. With antibiotic-adjuvants, we look for adjuvants that
can lower the MIC of an antibiotic to its breakpoint against a
bacterial strain. The colistin breakpoint in AB 4106 and KP
B9 is 2 μg mL−1; therefore, further diversification of this
scaffold may allow for a new class of molecules that can
potentiate colistin activity.
To determine if 8g exhibits synergy with colistin, we
performed checkerboard assays with compound 8g and
colistin in KP B9, and observed a fractional inhibitory
concentration index (FICI) of ≤0.09 (Table S3†). We also
performed the checkerboard assay in two additional strains
of K. pneumoniae; A5, an additional highly colistin resistant
clinical isolate, and F2210219mcr-1, an engineered strain
harboring a plasmid containing the mcr-1 gene.14 In both
strains, compound 8g exhibited synergy with colistin,
returning FICI values of ≤0.31 and ≤0.19 for A5 and
F2210219mcr-1 respectively (Table S3†).
The authors would like to thank the National Institutes of
Health (AI136904 and DE022350) for support.
Conflicts of interest
Dr. C. Melander is
a co-founder of Agile Sciences, a
biotechnology company seeking to commercialize antibiotic
adjuvants.
Notes and references
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9 C. A. Bunders, J. J. Richards and C. Melander, Bioorg. Med.
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Resistance to colistin typically involves modification of the
lipid A anchor of the lipopolysaccharide (LPS) of Gram-
negative bacteria. To begin probing the mechanism of action
for this decrease in colistin resistance we analyzed lipid A
extracted from KP B9 grown in the absence and presence of
8g via mass spectrometry. No change in the lipid
substitution pattern was noted between the two samples,
indicating that these compounds potentiate colistin through
A
10 E. A. Lindsey, R. J. Worthington, C. Alcaraz and C. Melander,
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11 W. M. Huggins, W. T. Barker, J. T. Baker, N. A. Hahn, R. J.
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a
mechanism not dependent upon reversing lipid A
modification. Further investigation into the mechanism of
action is ongoing.
Finally, we tested the hemolytic activity of compounds
8g and 8e by performing
a
hemolysis assay using
defibrinated sheep's blood challenged with either
compound. Triton-X (1%) used as the 100% lysis marker,
and phosphate buffered saline as the 0% lysis marker.
Compounds 8e and 8g only lysed 5% and 3.4% of cells
respectively when dosed at 200 μM, a concentration higher
than the IC50 of either compound suggesting that there
14 Y. Y. Liu, C. E. Chandler, L. M. Leung, C. L. McElheny, R. T.
Mettus, R. M. Shanks, J. H. Liu, D. R. Goodlett, R. K. Ernst
and Y. Doi, Antimicrob. Agents Chemother., 2017, 61(6),
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RSC Med. Chem.
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