Cell. 2020 May 22. pii: S0092-8674(20)30567-5. [Epub ahead of print]
James K Martin,
Joseph P Sheehan,
Benjamin P Bratton,
Gabriel M Moore,
André Mateus,
Sophia Hsin-Jung Li,
Hahn Kim,
Joshua D Rabinowitz,
Athanasios Typas,
Mikhail M Savitski,
Maxwell Z Wilson,
Zemer Gitai.
The rise of antibiotic resistance and declining discovery of new antibiotics has created a global health crisis. Of particular concern, no new antibiotic classes have been approved for treating Gram-negative pathogens in decades. Here, we characterize a compound, SCH-79797, that kills both Gram-negative and Gram-positive bacteria through a unique dual-targeting mechanism of action (MoA) with undetectably low resistance frequencies. To characterize its MoA, we combined quantitative imaging, proteomic, genetic, metabolomic, and cell-based assays. This pipeline demonstrates that SCH-79797 has two independent cellular targets, folate metabolism and bacterial membrane integrity, and outperforms combination treatments in killing methicillin-resistant Staphylococcus aureus (MRSA) persisters. Building on the molecular core of SCH-79797, we developed a derivative, Irresistin-16, with increased potency and showed its efficacy against Neisseria gonorrhoeae in a mouse vaginal infection model. This promising antibiotic lead suggests that combining multiple MoAs onto a single chemical scaffold may be an underappreciated approach to targeting challenging bacterial pathogens.
Keywords: Acinetobacter baumannii; Gram-negative pathogens; Neisseria gonorrhoeae; antibiotics; broad spectrum; dual-target drugs; folate metabolism; membrane disrupting