The mechanism of antimicrobial activity of KRM-1648 (KRM), a new rifamycin derivative with potent antimycobacterial activity, was studied. Both KRM and rifampin (RMP) inhibited RNA polymerases from Escherichia coli and Mycobacterium avium at low concentrations: the 50% inhibitory concentrations (IC 50 s) of KRM and RMP for E. coli RNA polymerase were 0.13 and 0.10 g/ml, respectively, while the IC 50 s for M. avium RNA polymerase were 0.20 and 0.07 g/ml. Both KRM and RMP exerted weak inhibitory activity against Mycobacterium fortuitum RNA polymerase, rabbit thymus RNA polymerases, E. coli DNA polymerase I, and two types of reverse transcriptases. Uptake of 14 C-KRM by M. avium reached 18,000 dpm/mg (dry weight) 1.5 h after incubation, while uptake by E. coli cells was slight. KRM was much more effective in inhibiting uptake of 14 C-uracil than was RMP (IC 50 of KRM, 0.04 g/ml; IC 50 of RMP, 0.12 g/ml). These findings suggest, first, that the potent antimycobacterial activity of KRM is due to inhibition of bacterial RNA polymerase and, second, that the activity of KRM against target organisms depends on target cell wall permeability.3Ј-Hydroxy-5Ј-(4-isobutyl-1-piperazinyl)benzoxazinorifamycin (KRM-1648 [KRM]), a newly synthesized rifamycin derivative, exerts much more potent in vitro and in vivo activities against slowly growing mycobacteria, including those of the Mycobacterium avium complex and Mycobacterium tuberculosis, than does rifampin (RMP) (2,9,14,17,18,22,23). Furthermore, KRM is known to exhibit potent activity in vitro and in vivo against gram-positive bacteria (3, 23) but is not effective against gram-negative bacteria or rapidly growing mycobacteria such as Mycobacterium fortuitum (3,14,23). The spectrum of activity of KRM against gram-positive and gram-negative bacteria is nearly the same as that of RMP (3). Since it is well known that the antimicrobial activity of RMP is due to inhibition of microbial DNA-dependent RNA polymerases (4,5,8,16,19,20), we studied the effects of KRM on mycobacterial RNA polymerases and its ability to permeate bacterial cells.
MATERIALS AND METHODSOrganisms. M. avium, M. fortuitum, and Escherichia coli were derived from our stock cultures. The MICs of test agents for M. avium were determined with the BACTEC 460 TB system as previously described (17).Special agents. 14 C-KRM (0.51 MBq/mg) and KRM were obtained from KANEKA Corp. (Takasago, Japan). Other radiolabelled compounds were purchased from Daiichi Pure Chemical (Tokyo, Japan). Rifampin was the kind gift of Daiichi Pharmaceutical Co. (Tokyo, Japan). RNA polymerase (from E. coli) and DNA (type I from calf thymus and type VIII from E. coli) were purchased from Sigma (St. Louis, Mo.). DNA polymerase (type I from E. coli) and TTP were purchased from Takara (Kyoto, Japan). Avian myeloblastosis virus (AMV) reverse transcriptase and Moloney murine leukemia virus (MMLV) reverse transcriptase were purchased from Pharmacia Biotech (Tokyo, Japan). All other chemicals were obtained from Wako Pure Chemical Industries (Tokyo, Japa...