VOL. 46, 2002
N-ALKYL UREA HYDROXAMIC ACIDS INHIBIT DEFORMYLASE
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H. influenzae fmt occur at a lower frequency (10Ϫ8) than those
found with succinate inhibitors in E. coli or S. aureus (10Ϫ6).
One hypothesis is that the difference in resistance rates may be
due to the bactericidal effects of these compounds on H. in-
fluenzae, which may lead to a decreased number of viable
mutants able to survive the selection process. Alternatively,
rather than a bypass mechanism, perhaps the truncated Fmt
created by the frameshift mutation remains partly functional,
and fmt is essential in H. influenzae. In S. pneumoniae, a second
mechanism has been identified; resistance to actinonin results
from missense mutations in the defB gene. The distinction in
resistance mechanisms observed in different species presum-
ably reflects the fact that fmt is essential in pneumococci (33).
Resistance to the urea-based compounds VRC4232 and
VRC4307 in S. pneumoniae also appears to be mediated by an
alteration in the target, but the location of the missense mu-
tation in defB (V71F) is distinct from those of two other pneu-
mococcal defB mutations, A123D and Q172K, that were iden-
tified previously (33). The V71F mutation seen in strains
VSPN6521 and VSPN6522 is located in the highly conserved
box 1 (70GVGLAAPQ77) of S. pneumoniae PDF. As a com-
parison with the PDF consensus sequence shows, Val71 does
not correspond to a strictly conserved residue; an Ile-to-Ala
substitution of the equivalent residue in the E. coli enzyme is
well tolerated (41). However, this residue does lie between Gly
residues known to be critical for enzyme activity in the E. coli
enzyme.
It also appears that the defB (V71F) mutants VSPN6521 and
VSPN6522 are able to distinguish between inhibitors of the
urea and succinate hydroxamate series. These mutants are
more susceptible to actinonin (Table 4) as well as to other
succinate inhibitors (data not shown), although they are highly
resistant to all urea-series PDF inhibitors tested. In contrast,
mutants selected with actinonin contain distinct defB muta-
tions (33) and are resistant to both classes of PDF inhibitors
(data not shown). A crystal structure of the enzyme containing
this V71F mutation is not available; however, the crystal struc-
ture of E. coli PDF complexed with VRC4307 can be used to
infer the effect of this mutation. The two most common rota-
mers for Phe71 would place it in either the S1Ј or the S3Ј
pocket. Given that the V71F mutant is still active, the more
likely position would be in the large S3Ј pocket, which could
accommodate this large side chain with only minor perturba-
tions. The urea hydroxamate inhibitors are less likely to toler-
ate any movement of Phe71 (and the adjacent Gly70) into the
active site due to the close contact between Gly70 and the
inhibitor. These observations may reflect a species-specific
structural aspect of the pneumococcal PDF enzyme.
both instances, and the sites of modification were also compa-
rable.
VRC4232 and VRC4307 were selected for further in vivo
studies. In an S. aureus septicemia model, both compounds
showed moderate protective activity after s.c. administration,
establishing N-alkyl urea hydroxamic acids as potential anti-
bacterial agents. However, when the more potent compound
VRC4307 was tested after p.o. administration in the same
model, no protective effect was observed up to 30 mg/kg. This
lack of p.o. efficacy presumably reflects the poor p.o. bioavail-
ability of VRC4307, as demonstrated by the in vivo pharma-
cokinetic analysis (absolute p.o. bioavailability, 0.1%). These
data suggest the need to incorporate bioavailability tests at
early stages of compound screening by using Caco-2 cell in
vitro testing or by using cassette dosing.
In summary, we have identified N-alkyl urea hydroxamic
acids as a new class of PDF inhibitors. This class of compounds
has potent whole-cell activity against both gram-positive and
gram-negative bacteria but is devoid of MMP inhibition. The
potential use of this class of compounds as antibacterial agents
is supported by their protective activity in an in vivo infection
model.
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The metabolic instability of the urea-series compounds seen
in rodent microsomes (Table 6) is likely a factor in the rapid
clearance of the compounds in this species (Table 5). However,
the rate of clearance of both compounds in human liver mi-
crosomes is approximately 10-fold slower than that in rodent
microsomes, suggesting that this class of compounds should
have longer half-lives in humans. The predictive value of these
in vitro models has been reported by others (22, 23, 47, 48, 54)
and is borne out by the similar spectra of the metabolic prod-
ucts observed in vitro (mouse liver microsomes) and in vivo
(mouse serum). Two major modifications, hydroxamic acid
hydrolysis and glucuronic acid conjugation, were prominent in