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TBAJ-876 Retains Bedaquiline's Activity against Subunits c and ? of Mycobacterium tuberculosis F-ATP Synthase.


ABSTRACT: The antituberculosis drug bedaquiline (BDQ) inhibits Mycobacterium tuberculosis F-ATP synthase by interfering with two subunits. Drug binding to the c subunit stalls the rotation of the c ring, while binding to the ? subunit blocks coupling of c ring rotation to ATP synthesis at the catalytic ?3:?3 headpiece. BDQ is used for the treatment of drug-resistant tuberculosis. However, the drug is highly lipophilic, displays a long terminal half-life, and has a cardiotoxicity liability by causing QT interval prolongation. Recent medicinal chemistry campaigns have resulted in the discovery of 3,5-dialkoxypyridine analogues of BDQ that are less lipophilic, have higher clearance, and display lower cardiotoxic potential. TBAJ-876, which is a new developmental compound of this series, shows attractive antitubercular activity and efficacy in a murine tuberculosis model. Here, we asked whether TBAJ-876 and selected analogues of the compound retain BDQ's mechanism of action. Biochemical assays showed that TBAJ-876 is a potent inhibitor of mycobacterial F-ATP synthase. Selection of spontaneous TBAJ-876-resistant mutants identified missense mutations at BDQ's binding site on the c subunit, suggesting that TBAJ-876 retains BDQ's targeting of the c ring. Susceptibility testing against a strain overexpressing the ? subunit and a strain harboring an engineered mutation in BDQ's ? subunit binding site suggest that TBAJ-876 retains BDQ's activity on the ? subunit. Nuclear magnetic resonance (NMR) titration studies confirmed that TBAJ-876 binds to the ? subunit at BDQ's binding site. We show that TBAJ-876 retains BDQ's antimycobacterial mode of action. The developmental compound inhibits the mycobacterial F-ATP synthase via a dual-subunit mechanism of interfering with the functions of both the enzyme's c and ? subunits.

SUBMITTER: Sarathy JP 

PROVIDER: S-EPMC6761534 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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TBAJ-876 Retains Bedaquiline's Activity against Subunits c and ε of <i>Mycobacterium tuberculosis</i> F-ATP Synthase.

Sarathy Jickky Palmae JP   Ragunathan Priya P   Shin Joon J   Cooper Christopher B CB   Upton Anna M AM   Grüber Gerhard G   Dick Thomas T  

Antimicrobial agents and chemotherapy 20190923 10


The antituberculosis drug bedaquiline (BDQ) inhibits <i>Mycobacterium tuberculosis</i> F-ATP synthase by interfering with two subunits. Drug binding to the c subunit stalls the rotation of the c ring, while binding to the ε subunit blocks coupling of c ring rotation to ATP synthesis at the catalytic α<sub>3</sub>:β<sub>3</sub> headpiece. BDQ is used for the treatment of drug-resistant tuberculosis. However, the drug is highly lipophilic, displays a long terminal half-life, and has a cardiotoxici  ...[more]

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