2012
DOI: 10.1128/aac.00726-12
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Broadening the Spectrum of β-Lactam Antibiotics through Inhibition of Signal Peptidase Type I

Abstract: bThe resistance of methicillin-resistant Staphylococcus aureus (MRSA) to all ␤-lactam classes limits treatment options for serious infections involving this organism. Our goal is to discover new agents that restore the activity of ␤-lactams against MRSA, an approach that has led to the discovery of two classes of natural product antibiotics, a cyclic depsipeptide (krisynomycin) and a lipoglycopeptide (actinocarbasin), which potentiate the activity of imipenem against MRSA strain COL. We report here that these … Show more

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Cited by 72 publications
(54 citation statements)
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“…92 A screen for synergizers by the Merck Frosst group of imipenem in MRSA identified two natural product SP-I inhibitors, the arylomycinlike actinocarbamycin and the cyclic peptide krisinomycin (Figure 7a). 93 The logic of synergy likely is the result of inhibition of secretion of β-lactamases that inactivate imipenem. Synthesis of actinocarbamycin generated M131 (Figure 7a) with improved in vitro inhibition of the MRSA SP-I, SpsB and imipenem synergy activity in murine models of MRSA infection.…”
Section: Bacterial Proteases Untapped Antimicrobial Drug Targetsmentioning
confidence: 99%
“…92 A screen for synergizers by the Merck Frosst group of imipenem in MRSA identified two natural product SP-I inhibitors, the arylomycinlike actinocarbamycin and the cyclic peptide krisinomycin (Figure 7a). 93 The logic of synergy likely is the result of inhibition of secretion of β-lactamases that inactivate imipenem. Synthesis of actinocarbamycin generated M131 (Figure 7a) with improved in vitro inhibition of the MRSA SP-I, SpsB and imipenem synergy activity in murine models of MRSA infection.…”
Section: Bacterial Proteases Untapped Antimicrobial Drug Targetsmentioning
confidence: 99%
“…Thus, it seems likely that in the actual context of an infection, the arylomycins may possess a more potent and broad-spectrum activity than predicted based on MICs, especially against Gram-negative bacteria, which possess a single SPase and where high levels of secretion are typically required for the protein-rich periplasm and outer membrane of these organisms (65,66). Along with the previously demonstrated activity of the arylomycins against many Gram-positive bacteria (25,67), this reinforces the idea that they may be promising candidates for further development as therapeutics.…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, compared to Gram-positive organisms, a far greater number of proteins are processed by SPase in Gram-negative bacteria, which must maintain a protein-rich periplasm and outer membrane (65,66), suggesting that targeting SPase may be a particularly effective strategy to combat these pathogens. Our previous demonstration that the arylomycin class of antibiotics, which act by inhibiting SPase, has the potential for broad-spectrum activity (14,25,58,67), including against Gramnegative pathogens, suggests that they might be interesting for development as antibiotics. However, this will require an understanding of the varying susceptibilities of different bacteria and their physiological origins.…”
Section: Discussionmentioning
confidence: 99%
“…Researchers discover new agents that restore the activity of beta-lactams against MRSA, an approach that has led to the discovery of two classes of natural product antibiotics, a cyclic depsipeptide (krisynomycin) and a lipoglycopeptide (actinocarbasin) [64], which potentiate the activity of imipenem against MRSA strain COL. Researchers reported that these imipenem synergists are inhibitors of the bacterial type I signal peptidase SpsB, a serine protease that is required for the secretion of proteins that are exported through the Sec and Tat systems [65].…”
Section: Broadening the Spectrum Of Beta-lactam Antibioticsmentioning
confidence: 99%