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Updated: May 31, 2026

An Efficient Method for the Synthesis of Peptoids with Mixed Lysine-type/Arginine-type Monomers and Evaluation of Their Anti-leishmanial Activity
Published on: November 2, 2016
A synthetic antimicrobial peptidomimetic (LTX 109): stereochemical impact on membrane disruption
Johan Isaksson1, Bjørn O Brandsdal, Magnus Engqvist
1Department of Chemistry, University of Tromsø, N-9037 Tromsø, Norway.
Abstract:
LTX 109 is a synthetic antimicrobial peptidomimetic (SAMP) currently in clinical phase II trials for topical treatment of infections of multiresistant bacterial strains. All possible eight stereoisomers of the peptidomimetic have been synthesized and tested for antimicrobial effect, hemolysis, and hydrophobicity, revealing a strong and unusual dependence on the stereochemistry for a molecule proposed to act on a general membrane mechanism. The three-dimensional structures were assessed using nuclear magnetic resonance spectroscopy (NMR) and molecular dynamics (MD) simulations in aqueous solution and in phospholipid bilayers. The solution structures of the most active stereoisomers are perfectly preorganized for insertion into the membrane, whereas the less active isomers need to pay an energy penalty in order to enter the lipid bilayer. This effect is also found to be reinforced by a significantly improved water solubility of the less active isomers due to a guanidyl-π stacking that helps to solvate the hydrophobic surfaces.
Insights
Stereochemistry significantly impacts the antimicrobial activity of LTX 109, a synthetic antimicrobial peptidomimetic (SAMP). Optimized stereoisomers show preorganized membrane insertion, while others require energy to penetrate lipid bilayers.
Area of Science:
- Medicinal Chemistry
- Biophysics
- Microbiology
Background:
- Multidrug-resistant bacterial infections pose a significant global health threat.
- Synthetic antimicrobial peptidomimetics (SAMPs) like LTX 109 are promising therapeutic agents.
- Understanding structure-activity relationships is crucial for optimizing antimicrobial efficacy.
Purpose of the Study:
- To synthesize and evaluate all eight stereoisomers of LTX 109.
- To investigate the influence of stereochemistry on antimicrobial activity, hemolysis, and hydrophobicity.
- To elucidate the three-dimensional structures and membrane interaction mechanisms of LTX 109 stereoisomers.
Main Methods:
- Synthesis of all eight stereoisomers of LTX 109.
- Antimicrobial susceptibility testing and hemolysis assays.
- Nuclear magnetic resonance (NMR) spectroscopy and molecular dynamics (MD) simulations in aqueous and lipid bilayer environments.
Main Results:
- A strong and unusual dependence of antimicrobial activity on stereochemistry was observed.
- The most active stereoisomers exhibited preorganized structures for membrane insertion.
- Less active stereoisomers required an energy penalty for membrane penetration, influenced by improved water solubility via guanidyl-π stacking.
Conclusions:
- Stereochemistry is a critical determinant of LTX 109's antimicrobial mechanism and efficacy.
- Structural preorganization significantly enhances membrane insertion and activity.
- Molecular insights guide the rational design of novel peptidomimetic antibiotics.
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