Since utilization of menaquinone in the electron transport system is a characteristic of Gram-positive organisms, the 1,4-dihydroxy-2-naphthoate prenyltransferase (MenA) inhibitors 1a and 2a act as selective antibacterial agents against organisms such as methicillin-resistant Stapylococcus aureus (MRSA), Staphylococcus epidermidis (MRSE), and Mycobacterium spp. Growth of drug-resistant Gram-positive organisms was sensitive to the MenA inhibitors, indicating that menaquinone synthesis is a valid new drug target in Gram-positive organisms.Antimicrobial resistance of pathogens is a global problem. Each year worldwide, more than 11 million people die from the major infectious killers (i.e., MDR a tuberculosis, malaria, HIV, diarrhea diseases, and pneumonia). 1 The increasing drug resistance among Gram-positive bacteria is a significant problem because they are responsible for one-third of nosocomial * To whom correspondence should be addressed. For M.K. : phone, 970-491-7628; fax, 970-491-1815; e-mail, michio.kurosu@colostate.edu. For D.C.C.: phone, 970-491-3308; fax, 970-491-1815; e-mail, dean The results of over 10 years of screening of strains and molecular targets (existing and new) from traditional product sources (randomly generated library molecules, secondary metabolites, and drug libraries) have been disappointing. 4 Therefore, identification of new molecular targets and mechanisms of action that involved identifying essential, ubiquitous bacterial genes in pathogens that are prokaryote and eukaryote selective to prevent side effects in the host has been studied.The lipid-soluble electron carriers (lipoquinones) occupy a central and essential role in electron transport coupled ATP synthesis. The lipoquinones involved in the respiratory chains of bacteria consist of menaquinones and ubiquinones. From the taxonomic studies it is evident that a majority of Gram-positive bacteria including Mycobacterium spp. utilize only menaquinone in their electron transport systems, 5 and menaquinone biosynthesis is essential for survival of nonfermenting Gram-positive bacteria. 6 On the other hand, Gram-negative organisms such as E. coli utilize ubiquinone (CoQ) under aerobic conditions and utilize menaquinone under anaerobic conditions. Moreover, the electron transport chain in humans does not utilize menaquinone. 7 Therefore, inhibitors of menaquinone biosynthesis have great potential for the development of novel and selective drugs against MDR Gram-positive pathogens. 8 However, no study on the development of inhibitors for menaquinone biosynthetic enzymes has been reported. In this communication, we report that inhibition of 1,4-dihydroxy-2-naphthoate prenyltransferase (MenA), which catalyzes a formal decarboxylative prenylation of 1,4-dihydroxy-2-napthoate (DHNA) (Figure 1), 9 showed significant growth inhibitory activities against drug-resistant Gram-positive bacteria.The MenA activity was characterized using membrane fractions prepared from M. tuberculosis as previously described. 11 MenA is predicted to hav...