Cell wall peptidoglycan in Mycobacterium tuberculosis: An Achilles' heel for the TB-causing pathogen

FEMS Microbiol Rev. 2019 Sep 1;43(5):548-575. doi: 10.1093/femsre/fuz016.

Abstract

Tuberculosis (TB), caused by the intracellular pathogen Mycobacterium tuberculosis, remains one of the leading causes of mortality across the world. There is an urgent requirement to build a robust arsenal of effective antimicrobials, targeting novel molecular mechanisms to overcome the challenges posed by the increase of antibiotic resistance in TB. Mycobacterium tuberculosis has a unique cell envelope structure and composition, containing a peptidoglycan layer that is essential for maintaining cellular integrity and for virulence. The enzymes involved in the biosynthesis, degradation, remodelling and recycling of peptidoglycan have resurfaced as attractive targets for anti-infective drug discovery. Here, we review the importance of peptidoglycan, including the structure, function and regulation of key enzymes involved in its metabolism. We also discuss known inhibitors of ATP-dependent Mur ligases, and discuss the potential for the development of pan-enzyme inhibitors targeting multiple Mur ligases.

Keywords: Tuberculosis (TB); antibacterial; antibiotic resistance; cell envelope; drug-target validation; metabolism; peptidoglycan.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antitubercular Agents
  • Bacterial Proteins / antagonists & inhibitors
  • Bacterial Proteins / metabolism
  • Biosynthetic Pathways / drug effects
  • Cell Wall / chemistry*
  • Enzyme Inhibitors / pharmacology
  • Humans
  • Ligases / genetics
  • Ligases / metabolism
  • Mice
  • Mycobacterium tuberculosis / drug effects
  • Mycobacterium tuberculosis / enzymology*
  • Peptidoglycan / chemistry*
  • Tuberculosis / microbiology*
  • Virulence

Substances

  • Antitubercular Agents
  • Bacterial Proteins
  • Enzyme Inhibitors
  • Peptidoglycan
  • Ligases