ChemMedChem p. 687 - 701 (2016)
Update date:2022-08-03
Topics:
Guardia, Ana
Gulten, Gulcin
Fernandez, Raquel
Gómez, Jesus
Wang, Feng
Convery, Maire
Blanco, Delia
Martínez, María
Pérez-Herrán, Esther
Alonso, Marta
Ortega, Fátima
Rullás, Joaquín
Calvo, David
Mata, Lydia
Young, Robert
Sacchettini, James C.
Mendoza-Losana, Alfonso
Remui?án, Modesto
Ballellpages, Lluís
Castro-Pichel, Julia
Isoniazid (INH) remains one of the cornerstones of antitubercular chemotherapy for drug-sensitive strains of M.tuberculosis bacteria. However, the increasing prevalence of multidrug-resistant (MDR) and extensively drug-resistant (XDR) strains containing mutations in the KatG enzyme, which is responsible for the activation of INH into its antitubercular form, have rendered this drug of little or no use in many cases of drug-resistant tuberculosis. Presented herein is a novel family of antitubercular direct NADH-dependent 2-trans enoyl-acyl carrier protein reductase (InhA) inhibitors based on an N-benzyl-4-((heteroaryl)methyl)benzamide template; unlike INH, these do not require prior activation by KatG. Given their direct InhA target engagement, these compounds should be able to circumvent KatG-related resistance in the clinic. The lead molecules were shown to be potent inhibitors of InhA and showed activity against M.tuberculosis bacteria. This new family of inhibitors was found to be chemically tractable, as exemplified by the facile synthesis of analogues and the establishment of structure-activity relationships. Furthermore, a co-crystal structure of the initial hit with the enzyme is disclosed, providing valuable information toward the design of new InhA inhibitors for the treatment of MDR/XDR tuberculosis.
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