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The Journal of Organic Chemistry
Introduction. Control of infections has long been a serious
the lifetime of these antibacterial drugs and minimize the
impact of the appearance of resistance. Medicinal plants
are an extraordinary rich storehouse of bioactive second-
ary metabolites with a large-spectrum of enzyme inhibito-
ry potential.18-21 They can work as ligands and bind to an
enzyme blocking its activity with an irreversible or re-
versible process. Recently, a unique in house library of nat-
ural products available in our group was screened in silico
against the catalytic site of the ArnT enzyme to identify pu-
tative inhibitors of Ara4N-dependent colistin resistance
mechanism.22 This led to the selection of the ent-beyerene
diterpene 1 (formerly known as BBN149), isolated from
the leaves of Fabiana densa var. ramulosa, with a colistin
adjuvant activity versus colistin-resistant P. aeruginosa
strains, without any significant effect on colistin-
susceptible strains.22, 23 Here we exploit the versatility of
the diterpene scaffold by designing, synthesizing and test-
ing several analogs of 1. Through the combination of com-
putational modeling, organic synthesis and biological eval-
uations in a concerted multidisciplinary strategy, we ex-
plore structure-activity relationships (SAR) around the ini-
tial diterpene hit 1, and validate its scaffold for the produc-
tion of novel antibacterial agents for the treatment of col-
istin-resistant infections. Chemical analogs featuring a
structurally related diterpene core were synthesized and
screened in vitro against colistin-resistant P. aeruginosa
strains including clinical isolates, while the putative bind-
ing mode against the ArnT enzyme was investigated by
molecular modeling. Herein, the ent-beyerane skeleton is
identified for the first time as a privileged scaffold for fur-
ther development and optimization of valuable colistin re-
sistance inhibitors.
1
2
3
4
5
6
7
8
clinical concern and the discovery of antibiotics during the
1930s to 1960s opened the door to current antimicrobial
drug discovery.1 Nevertheless, the excessive use of antibi-
otics in humans and in the livestock, the poor sanitation
and the release of non-metabolized antibiotics in the sur-
roundings, have threatened most of the recorded advanc-
es.2 Together with the unavailability of newer drugs these
factors have contributed to the genetic selection pressure
for the appearance and evolution of multidrug resistant
(MDR) bacteria with global spread in the last decades,
which stand for a serious public health emergency and a
current challenge with considerable economic impacts.3, 4
As an example of MDR microorganisms, the Gram-negative
bacterium Pseudomonas aeruginosa is one of the leading
causes of nosocomial and chronic infections, especially in
cystic fibrosis patients where it concurs to lung disease
which accounts for more than 85% mortality.5 P. aerugino-
sa has intrinsic resistance to a large number of antibiotics,
because of the low permeability of its outer membrane
(OM), the presence of active efflux pumps and the expres-
sion of antibiotic-modifying enzymes.6 Furthermore, at the
infectious site, it often lives within biofilm communities
that make bacteria recalcitrant to stressful environmental
conditions, antibiotic treatments and to the host immune
clearance.7 Currently, there are very few antipseudomonal
agents in clinical development, while the lack of treatment
options for MDR bacteria has contributed to reconsider
colistin as a last-line antimicrobial therapy, despite its tox-
icity for kidneys and neural tissues.8, 9 Colistin is a cationic
multicomponent lipopeptide that targets lipopolysaccha-
rides (LPS) in the OM of Gram-negative bacteria.10, 11 It ini-
tially interacts with the anionic phosphate headgroups of
the lipid A moiety of LPS, displacing divalent cations i.e.
Ca++ and Mg++ that stabilize adjacent LPS molecules. This is
then followed by destabilization of the OM with subse-
quent disruption of the inner membrane leading to cell
death. Unfortunately, resistance to colistin has been docu-
mented in several case reports.12, 13 This can have devastat-
ing effects if no other therapeutic strategies are uncovered
to combat infections, including those associated with P. ae-
ruginosa in cystic fibrosis lungs. One of the mechanisms of
resistance consists in the covalent modification of LPS by
the addition of 4-amino-4-deoxy-L-arabinose (L-Ara4N) or
phosphoethanolamine groups to lipid A, which decrease
the overall charge of LPS and, as a result, the binding affini-
ty of the cationic lipopeptide.14 In P. aeruginosa these
changes are controlled by enzymes encoded by the arn op-
eron which is regulated by several two-component sys-
tems. One of these enzymes is the glycosyltransferase ArnT
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Results and discussion. Compound 1 is a tetracyclic ent-
beyerene diterpene which was recently discovered by our
group and patented for its novel colistin adjuvant
activity.23
It
was
isolated
from Fabiana
den-
sa var. ramulosa (Solanaceae), a native shrub of Chile, and,
to the best of our knowledge, this compound is not availa-
ble from other chemical sources than our own in house li-
brary.24, 25 It is the oxaloyl ester of the ent-beyer-15-en-18-
ol (4), which was identified in the same plant along with
other diterpene analogs i.e. the malonoyl (2) and succinoyl
(3) esters.25 (Chart 1) To validate the power of the diter-
pene scaffold as a key platform for further development of
ArnT-mediated colistin resistance inhibitors with im-
proved activity, a large variety of chemical analogs was
produced for SAR studies. In particular, different deriva-
tives of compound 1 were synthesized with the aim to in-
vestigate the role of (i) the length and flexibility of the alkyl
chain of the functional group at C-18; (ii) the chirality of C-
4; (iii) the presence of a sugar unit to mimic L-Ara4N, and
(iv) the unsaturation between C-15 and C-16, on the bio-
logical properties of the original diterpene scaffold. To as-
sess whether the expansion of the alkyl chain between the
carbonyl groups as well as its removal at C-18 could affect
the colistin adjuvant activity, the analogs 2-4 were repur-
posed and some of them prepared according to the semi-
synthetic procedure previously described by using alcohol
4 as starting material.25 However, the semisynthetic ap-
(undecaprenyl
phosphate-alpha-4-amino-4-deoxy-L-
arabinose arabinosyl transferase) which catalyzes the
transfer of L-Ara4N, provided by the lipid carrier un-
decaprenyl phosphate, to lipid A phosphate groups.15 Po-
tentiating the effect of existing antimicrobial compounds
represents a promising approach to address the current
antibiotics crisis and poor efficacy.16 In particular, inhibi-
tors of resistance enzymes offer an alternative avenue to
withstand this threat.17 The combination of such inhibitors
with clinically relevant antibiotics may effectively extend
2
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