A novel class of antimicrobial drugs selectively targets a Mycobacterium tuberculosis PE-PGRS protein

PLoS Biol. 2022 May 31;20(5):e3001648. doi: 10.1371/journal.pbio.3001648. eCollection 2022 May.

Abstract

The continued spread of drug-resistant tuberculosis is one of the most pressing and complex challenges facing tuberculosis management worldwide. Therefore, developing a new class of drugs is necessary and urgently needed to cope with the increasing threat of drug-resistant tuberculosis. This study aims to discover a potential new class of tuberculosis drug candidates different from existing tuberculosis drugs. By screening a library of compounds, methyl (S)-1-((3-alkoxy-6,7-dimethoxyphenanthren-9-yl)methyl)-5-oxopyrrolidine-2-carboxylate (PP) derivatives with antitubercular activity were discovered. MIC ranges for PP1S, PP2S, and PP3S against clinically isolated drug-resistant Mycobacterium tuberculosis strains were 0.78 to 3.13, 0.19 to 1.56, and 0.78 to 6.25 μg/ml, respectively. PPs demonstrated antitubercular activities in macrophage and tuberculosis mouse models, showing no detectable toxicity in all assays tested. PPs specifically inhibited M. tuberculosis without significantly changing the intestinal microbiome in mice. Mutants selected in vitro suggest that the drug targets the PE-PGRS57, which has been found only in the genomes of the M. tuberculosis complex, highlighting the specificity and safety potency of this compound. As PPs show an excellent safety profile and highly selective toxicity specific to M. tuberculosis, PPs are considered a promising new candidate for the treatment of drug-resistant tuberculosis while maintaining microbiome homeostasis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Infective Agents*
  • Antitubercular Agents / pharmacology
  • Antitubercular Agents / therapeutic use
  • Mice
  • Mycobacterium tuberculosis*
  • Tuberculosis* / drug therapy
  • Tuberculosis, Multidrug-Resistant*

Substances

  • Anti-Infective Agents
  • Antitubercular Agents

Grants and funding

This research was supported by a grant (HI13C0828) from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) funded by the Ministry of Health & Welfare, Republic of Korea. It was also supported by Soonchunhyang University Research Fund. H-Y S received all the funding described. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.