Journal of the American Chemical Society
Article
of resistance in which F98Y hinders cofactor binding and
obstructs the formation of the ternary complex required for
stability. Further analysis indicates that the PLAs evade this
mechanism by effectively binding and disabling both the wild-
type and mutant enzymes. The alteration of the cofactor
binding site by a key active site mutation represents a highly
unusual mechanism for drug resistance.
Figure 3. Proposed Mechanism of F98Y-Mediated Resistance. DHFR
can exist in multiple states, bound to the major (a) and minor (c)
anomers of NADPH as well as the solvated form (b). As the binary
complex with β-NADPH (a) is believed to predominate in the wild-
type enzyme, TMP, or the PLAs can bind, form a stable complex, and
exert a strong antibiotic effect. However, the F98Y mutation alters the
distribution between these three states, leading to an increase in (b)
and/or (c) at the expense of (a), effectively protecting a portion of the
enzyme from forming a stable ternary complex with TMP and allowing
bacterial growth. The binding modes of the PLA chemotype allow
these inhibitors to evade this mechanism of resistance by effectively
competing with DHF in all three states, as PLA inhibitors bind
regardless of the cofactor status.
ASSOCIATED CONTENT
Supporting Information
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*
S
Crystallographic data collection and refinement statistics,
experimental procedures, spectral data, and biological data are
provided. The crystallographic coordinates are deposited in the
Protein Data Bank (PDB codes 4XEC and 4TU5). The
AUTHOR INFORMATION
*
*
several structures of binary complexes of DHFR indicate that
mimics of DHF and various inhibitors can bind the apo
Author Contributions
These authors contributed equally.
Notes
‡
4
2−45
enzyme.
While TMP can bind the enzyme without β-
NADPH, it is only when β-NADPH binds that a stable ternary
The authors declare no competing financial interest.
8
complex is formed. As dihydrofolate does not bind
8
cooperatively with cofactor, it likely forms complexes with
ACKNOWLEDGMENTS
We gratefully acknowledge grant support from the NIH
R01AI111957) to D.L.W. and A.C.A. Data for this study
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(
either anomer or the apo enzyme, eventually undergoing
catalysis when productive complexes with β-NADPH arise.
Therefore, TMP resistance is mediated by an increase in
Sa(F98Y) species lacking bound β-NADPH and hence,
lowering affinity for TMP, yet reserving a pool of enzyme
capable of binding and ultimately reducing dihydrofolate. As we
show here that the PLAs can bind to complexes with both α-
NADPH and β-NADPH, it is expected that they could form
inhibitory complexes irrespective of the cofactor. As PLAs do
not appear to depend on the presence of β-NADPH for
binding, it is anticipated that they will also bind effectively to
the apo enzyme. The combination of these possible binding
events leads to a more effective blockade of the folate pathway
in both wild-type and F98Y enzymes. The ability of PLAs to
form ternary complexes with α-NADPH raises the intriguing
possibility that the enzyme is simultaneously bound to two
inhibitory molecules and that sequential replacement of both
would be required before catalytic activity could be restored.
In conclusion, we have demonstrated the importance of
pursuing enantiomerically pure PLAs as the configuration
drives major structural, biochemical, and antibacterial effects
and aids in the translation to studies in vivo. We have
confirmed that this center is critical for activity and that the
preferred configuration is a parameter that is dependent on the
overall composition of the inhibitor. Analysis of ten
enantiomerically pure PLAs identified an exemplary inhibitor,
S-27, which is potent at both the enzymatic and cellular levels
against wild-type and mutant F98Y DHFR. The efficiency of
the synthetic strategy described herein allows us to prepare
compound for ongoing in vivo efficacy analysis. Interestingly,
the crystal structures of one pair of enantiomers reveal that the
least active enantiomer complex bound an alternative cofactor,
α-NADPH. Concurrently, it was observed that the least active
enantiomer of the pair biochemically mirrors the effect of the
F98Y mutation in DHFR that leads to trimethoprim resistance.
These observations lead to a refined model of the mechanism
were measured at beamline X25 of the National Synchrotron
Light Source with the help of Dr. Annie Heroux. We also thank
Pablo Gainza and Bruce Donald for discussion of α-NADPH.
REFERENCES
■
(
1) Frei, C.; Miller, M.; Lewis, J.; Lawson, K.; Hunter, J.;
Oramasionwu, C.; Talbert, R. J. Am. Board Fam. Med. 2010, 23, 714.
(
2) Nathwani, D.; Morgan, M.; Masterton, R.; Dryden, M.; Cookson,
B.; French, G.; Lewis, D. J. Antimicrob. Chemother. 2008, 61, 976.
3) Klevens, M.; Edwards, J.; Tenover, F.; McDonald, L. C.; Horan,
T.; Gaynes, R. NNISS Clin. Infect. Dis. 2006, 42, 389.
4) Wisplinghoff, H.; Bischoff, T.; Tallent, S.; Seifert, H.; Wenzel, R.;
(
(
Edmond, M. Clin. Infect. Dis. 2004, 39, 309.
(5) Dale, G.; Broger, C.; D’Arcy, A.; Hartman, P.; DeHoogt, R.;
Jolidon, S.; Kompis, I.; Labhardt, A.; Langen, H.; Locher, H.; Page, M.;
Stuber, D.; Then, R.; Wipf, B.; Oefner, C. J. Mol. Biol. 1997, 266, 23.
(
6) Houvinen, P.; Sundstrom, L.; Swedberg, G.; Skold, O. Antimicrob.
Agents Chemother. 1995, 39, 279.
7) Heaslet, H.; Harris, M.; Fahnoe, K.; Sarver, R.; Putz, H.; Chang,
J.; Subramanyam, C.; Barreiro, G.; Miller, J. R. Proteins 2009, 76, 706.
8) Feeney, J.; Birdsall, B.; Kovalevskaya, N. V.; Smurnyy, Y. D.;
Navarro Peran, E. M.; Polshakov, V. I. Biochemistry 2011, 50, 3609.
9) Viswanathan, K.; Frey, K.; Scocchera, E.; Martin, B.; Swain, P.;
(
(
(
Alverson, J.; Priestley, N.; Anderson, A.; Wright, D. PLoS One 2012, 7,
e29434.
(10) Frey, K.; Liu, J.; Lombardo, M.; Bolstad, D.; Wright, D.;
Anderson, A. J. Mol. Biol. 2009, 387, 1298.
(
11) Frey, K.; Lombardo, M.; Wright, D.; Anderson, A. J. Struc. Biol.
010, 170, 93.
12) Frey, K.; Viswanathan, K.; Wright, D.; Anderson, A. Antimicrob.
Agents Chemother. 2012, 56, 3556.
13) Huang, W.-S.; Metcalf, C. A.; Sundaramoorthi, R.; Wang, Y.;
2
(
(
Zou, D.; Thomas, R. M.; Zhu, X.; Cai, L.; Wen, D.; Liu, S.; Romero, J.;
Qi, J.; Chen, I.; Banda, G.; Lentini, S. P.; Das, S.; Xu, Q.; Keats, J.;
Wang, F.; Wardwell, S.; Ning, Y.; Snodgrass, J. T.; Broudy, M. I.;
Russian, K.; Zhou, T.; Commodore, L.; Narasimhan, N. I.;
G
J. Am. Chem. Soc. XXXX, XXX, XXX−XXX