Inhibitors of aminoglycoside resistance activated in cells

ACS Chem Biol. 2012 Mar 16;7(3):470-5. doi: 10.1021/cb200366u. Epub 2012 Jan 18.

Abstract

The most common mechanism of resistance to aminoglycoside antibiotics entails bacterial expression of drug-metabolizing enzymes, such as the clinically widespread aminoglycoside N-6'-acetyltransferase (AAC(6')). Aminoglycoside-CoA bisubstrates are highly potent AAC(6') inhibitors; however, their inability to penetrate cells precludes in vivo studies. Some truncated bisubstrates are known to cross cell membranes, yet their activities against AAC(6') are in the micromolar range at best. We report here the synthesis and biological activity of aminoglycoside-pantetheine derivatives that, although devoid of AAC(6') inhibitory activity, can potentiate the antibacterial activity of kanamycin A against an aminoglycoside-resistant strain of Enterococcus faecium. Biological studies demonstrate that these molecules are potentially extended to their corresponding full-length bisubstrates by enzymes of the coenzyme A biosynthetic pathway. This work provides a proof-of-concept for the utility of prodrug compounds activated by enzymes of the coenzyme A biosynthetic pathway, to resensitize resistant strains of bacteria to aminoglycoside antibiotics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetyltransferases / antagonists & inhibitors
  • Acetyltransferases / metabolism
  • Aminoglycosides / chemical synthesis
  • Aminoglycosides / chemistry
  • Aminoglycosides / pharmacology*
  • Anti-Bacterial Agents / chemical synthesis
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology*
  • Coenzyme A / biosynthesis
  • Coenzyme A / metabolism
  • Dose-Response Relationship, Drug
  • Drug Resistance, Bacterial / drug effects*
  • Enterococcus faecium / cytology
  • Enterococcus faecium / drug effects*
  • Enterococcus faecium / enzymology
  • Kanamycin / chemical synthesis
  • Kanamycin / chemistry
  • Kanamycin / pharmacology*
  • Pantetheine / chemical synthesis
  • Pantetheine / chemistry
  • Pantetheine / pharmacology
  • Prodrugs / metabolism*
  • Prodrugs / pharmacology*
  • Structure-Activity Relationship

Substances

  • Aminoglycosides
  • Anti-Bacterial Agents
  • Prodrugs
  • Pantetheine
  • Kanamycin
  • Acetyltransferases
  • aminoglycoside N1-acetyltransferase
  • Coenzyme A