Compounds for restoring susceptibility to beta-lactam antibiotics
AssigneeUniversity of Notre Dame du Lac
InventorsShahriar MOBASHERY, Van T. NGUYEN, Jed F. FISHER, Mayland CHANG
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AssigneeUniversity of Notre Dame du Lac
InventorsShahriar MOBASHERY, Van T. NGUYEN, Jed F. FISHER, Mayland CHANG
Estimating the term…
Infections by Staphylococcus aureus have been treated historically with b-lactam antibiotics. However, these antibiotics have become obsolete in methicillin-resistant S. aureus (MRSA) by acquisition of the bla and mec operons. The presence of the β-lactam antibiotic is detected by the sensor domains of the BlaR and/or MecR, and the information is transmitted to the cytoplasm, resulting in derepression of the antibiotic-resistance genes. We hypothesized that inhibition of the sensor domain would shut down this response system, and D-lactam susceptibility would be restored. An in-silico search of 11 million compounds led to a benzimidazole-based hit, and ultimately to the boronate 4. The X-ray structure of 4 is covalently engaged with the active-site serine of BlaR. Compound 4 potentiates by 16- to 4096-fold the activity of oxacillin and of meropenem against MRSA strains. The combination of 4 with oxacillin or meropenem shows efficacy in infected mice, validating the strategy.
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