2016
DOI: 10.1021/acsinfecdis.6b00102
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The Inosine Monophosphate Dehydrogenase, GuaB2, Is a Vulnerable New Bactericidal Drug Target for Tuberculosis

Abstract: VCC234718, a molecule with growth inhibitory activity against Mycobacterium tuberculosis (Mtb), was identified by phenotypic screening of a 15344-compound library. Sequencing of a VCC234718-resistant mutant identified a Y487C substitution in the inosine monophosphate dehydrogenase, GuaB2, which was subsequently validated to be the primary molecular target of VCC234718 in Mtb. VCC234718 inhibits Mtb GuaB2 with a Ki of 100 nM and is uncompetitive with respect to IMP and NAD+. This compound binds at the NAD+ site… Show more

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Cited by 81 publications
(118 citation statements)
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“…During the development of a recent class of Mycobacterium tuberculosis IMPDH inhibitors, structural guided mutational prediction was used to identify likely resistance mutations, defined in this case as point mutations that disrupted inhibitor binding, but did not affect NAD binding, protein solubility or formation of the active tetramer. One mutation in particular, Y487C, was highlighted, and subsequently confirmed to be one of the few mutations to arise during resistance screening 91 . Subsequent drug development attempts avoided this resistance hotspot and were active against the Y487C mutant 92 .…”
Section: Expert Opinionsmentioning
confidence: 95%
“…During the development of a recent class of Mycobacterium tuberculosis IMPDH inhibitors, structural guided mutational prediction was used to identify likely resistance mutations, defined in this case as point mutations that disrupted inhibitor binding, but did not affect NAD binding, protein solubility or formation of the active tetramer. One mutation in particular, Y487C, was highlighted, and subsequently confirmed to be one of the few mutations to arise during resistance screening 91 . Subsequent drug development attempts avoided this resistance hotspot and were active against the Y487C mutant 92 .…”
Section: Expert Opinionsmentioning
confidence: 95%
“…While these inhibitors were shown to be active against Mtb in vitro through the inhibition of GuaB2, further work is needed to explore the potential therapeutic benefit of GuaB2 inhibition in vivo .
Figure 3.Avoiding resistance hotspots.The GuaB2 inhibitor VCC234718 (represented as yellow sticks [52]) stacks on top of IMP (represented as black sticks) in a similar manner to NAD (represented as orange sticks), but makes different interactions to the neighbouring protomer unit through Y487, which is mutated leading to resistance. Optimisation of a separate scaffold (Compound 6, represented as purple sticks [53]) more closely mimicked the interactions made by NAD, and was active against the Y487C mutant.
…”
Section: Mutations and Diseasementioning
confidence: 99%
“…To this end, many enzymes from Mtb metabolic pathways, such as secretory tyrosine phosphatases (MptpA, MptpB) or the inosine 5 -monophosphate dehydrogenase (GuaB2), have been identified and characterized [5][6][7][8]. Many amino acid biosynthetic pathways, including those of arginine and methionine, have also been proposed as promising therapeutic targets given their essential role in bacterial growth [9][10][11].…”
Section: Introductionmentioning
confidence: 99%