b Methicillin-resistant Staphylococcus aureus (MRSA) infections are becoming increasingly difficult to treat, owing to acquired antibiotic resistance. The emergence and spread of MRSA limit therapeutic options and require new therapeutic strategies, including novel MRSA-active antibiotics. Filamentous temperature-sensitive protein Z (FtsZ) is a highly conserved bacterial tubulin homologue that is essential for controlling the bacterial cell division process in different species of S. aureus. We conjugated a locked nucleic acid (LNA) that targeted ftsZ mRNA with the peptide (KFF) 3 K, to generate peptide-LNA (PLNA). The present study aimed to investigate whether PLNA could be used as a novel antibacterial agent. PLNA787, the most active agent synthesized, exhibited promising inhibitory effects on four pathogenic S. aureus strains in vitro. PLNA787 inhibited bacterial growth and resolved lethal Mu50 infections in epithelial cell cultures. PLNA787 also improved the survival rates of Mu50-infected mice and was associated with reductions of bacterial titers in several tissue types. The inhibitory effects on ftsZ mRNA and FtsZ protein expression and inhibition of the bacterial cell division process are considered to be the major mechanisms of PLNA. PLNA787 demonstrated activity against MRSA infections in vitro and in vivo. Our findings suggest that ftsZ mRNA is a promising new target for developing novel antisense antibiotics.
Staphylococcus aureus, particularly methicillin-resistant S. aureus (MRSA), is one of the most prominent pathogens known to pose a severe threat to human health (1). Statistical data from recent epidemiological studies indicate that the prevalence of MRSA is spreading globally. MRSA, particularly community-associated MRSA, has increased markedly in prevalence and continues to pose a significant public health challenge (2-4). -Lactam antibiotics are most effective against infections caused by S. aureus. However, widespread use of -lactam antibiotics has led to increasing prevalence of drug-resistant S. aureus; thus, the therapeutic options available for treating MRSA infections have become seriously limited, and MRSA infections are becoming increasingly difficult to treat. Indeed, MRSA has become resistant to the entire class of -lactam antibiotics and to most available antibiotics (5-7). Although linezolid, daptomycin, and telavancin are new drugs to treat MRSA infections, the development of new and non-cross-resistant antibacterial agents with novel mechanisms of action against MRSA is still needed.Antisense oligonucleotides are potential therapeutic agents for prevention of the translation of essential genes at the mRNA level with antisense nucleic acid analogues, such as phosphorothioate oligodeoxynucleotides (PS-ODNs), peptide-nucleic acids (PNAs), locked nucleic acids (LNAs), and phosphorodiamidate morpholino oligomers (8, 9). LNAs are nucleic acid analogues in which the ribose ring is locked by a 2=-O,4=-C-methylene bridge. LNA oligomers have high affinity for RNA or DNA targets, are qu...