Peptidomimetic antibiotics disrupt the lipopolysaccharide transport bridge of drug-resistant Enterobacteriaceae

Sci Adv. 2023 May 24;9(21):eadg3683. doi: 10.1126/sciadv.adg3683. Epub 2023 May 24.

Abstract

The rise of antimicrobial resistance poses a substantial threat to our health system, and, hence, development of drugs against novel targets is urgently needed. The natural peptide thanatin kills Gram-negative bacteria by targeting proteins of the lipopolysaccharide transport (Lpt) machinery. Using the thanatin scaffold together with phenotypic medicinal chemistry, structural data, and a target-focused approach, we developed antimicrobial peptides with drug-like properties. They exhibit potent activity against Enterobacteriaceae both in vitro and in vivo while eliciting low frequencies of resistance. We show that the peptides bind LptA of both wild-type and thanatin-resistant Escherichia coli and Klebsiella pneumoniae strains with low-nanomolar affinities. Mode of action studies revealed that the antimicrobial activity involves the specific disruption of the Lpt periplasmic protein bridge.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Carrier Proteins
  • Enterobacteriaceae
  • Escherichia coli
  • Escherichia coli Proteins*
  • Lipopolysaccharides
  • Peptidomimetics* / pharmacology

Substances

  • Lipopolysaccharides
  • Peptidomimetics
  • Anti-Bacterial Agents
  • LptA protein, E coli
  • Carrier Proteins
  • Escherichia coli Proteins