6-Arylmethylidene Penicillin-Based Sulfone Inhibitors for Repurposing Antibiotic Efficiency in Priority Pathogens

J Med Chem. 2020 Apr 9;63(7):3737-3755. doi: 10.1021/acs.jmedchem.0c00127. Epub 2020 Mar 31.

Abstract

The ability of 6-(aryl)methylidene penicillin-based sulfones 1-7 to repurpose β-lactam antibiotics activity with bacterial species that carry carbapenem-hydrolyzing class D β-lactamases (OXA-23, OXA-24/40 and OXA-48), as well as with class A (TEM-1, CTX-M-2) and class C (CMY-2, DHA-1) enzymes, is reported. The combinations imipenem/3 and imipenem/4 restored almost completely the antibiotic efficacy in OXA-23 and OXA-24/40 carbapenemase-producing A. baumannii strains (1 μg mL-1) and also provided good results for OXA-48 carbapenemase-producing K. pneumoniae strains (4 μg mL-1). Compounds 2-6 in combinations with ceftazidime and ampicillin were also efficient in restoring antibiotic efficacy in E. coli strains carrying class C (CMY-2 and DHA-1) and class A (TEM-1 and CTX-M-2) β-lactamase enzymes, respectively. Kinetic and inhibition studies with the OXA-24/40 enzyme, protein mass spectrometry analysis and docking studies allowed us to gain an insight into the inhibition mechanism and the experimentally observed differences between the ligands.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acinetobacter baumannii / drug effects
  • Acinetobacter baumannii / enzymology
  • Ampicillin / pharmacology
  • Anti-Bacterial Agents / chemical synthesis
  • Anti-Bacterial Agents / metabolism
  • Anti-Bacterial Agents / pharmacology*
  • Catalytic Domain
  • Ceftazidime / pharmacology
  • Drug Repositioning
  • Escherichia coli / drug effects
  • Imipenem / pharmacology
  • Klebsiella pneumoniae / drug effects
  • Microbial Sensitivity Tests
  • Molecular Docking Simulation
  • Penicillins / chemical synthesis
  • Penicillins / metabolism
  • Penicillins / pharmacology*
  • Protein Binding
  • Sulfones / chemical synthesis
  • Sulfones / metabolism
  • Sulfones / pharmacology*
  • beta-Lactamase Inhibitors / chemical synthesis
  • beta-Lactamase Inhibitors / metabolism
  • beta-Lactamase Inhibitors / pharmacology*
  • beta-Lactamases / chemistry
  • beta-Lactamases / metabolism

Substances

  • Anti-Bacterial Agents
  • Penicillins
  • Sulfones
  • beta-Lactamase Inhibitors
  • Imipenem
  • Ampicillin
  • Ceftazidime
  • beta-Lactamases