Here
we present a platform for discovery of protease-activated
prodrugs and apply it to antibiotics that target Gram-negative bacteria.
Because cleavable linkers for prodrugs had not been developed for
bacterial proteases, we used substrate phage to discover substrates
for proteases found in the bacterial periplasm. Rather than focusing
on a single protease, we used a periplasmic extract of E.
coli to find sequences with the greatest susceptibility to
the endogenous mixture of periplasmic proteases. Using a fluorescence
assay, candidate sequences were evaluated to identify substrates that
release native amine-containing payloads. We next designed conjugates
consisting of (1) an N-terminal siderophore to facilitate uptake,
(2) a protease-cleavable linker, and (3) an amine-containing antibiotic.
Using this strategy, we converted daptomycinwhich by itself
is active only against Gram-positive bacteriainto an antibiotic
capable of targeting Gram-negative Acinetobacter species.
We similarly demonstrated siderophore-facilitated delivery of oxazolidinone
and macrolide antibiotics into a number of Gram-negative species.
These results illustrate this platform’s utility for development
of protease-activated prodrugs, including Trojan horse antibiotics.