Membrane-Targeting Triphenylphosphonium Functionalized Ciprofloxacin for Methicillin-Resistant Staphylococcus aureus

Sangrim Kang1, Kyoung Sunwoo2, Yuna Jung3

  • 1Department of Anatomy and Neurobiology, College of Medicine, Kyung Hee University, Seoul 02447, Korea.

Insights

Researchers modified ciprofloxacin (CFX) with triphenylphosphonium (TPP) to create new antibiotics targeting multidrug-resistant (MDR) bacteria. These TPP-conjugated CFX derivatives show enhanced activity against MRSA, inhibiting growth and biofilm formation.

Area of Science:

  • Medicinal Chemistry
  • Microbiology
  • Drug Discovery

Background:

  • Multidrug-resistant (MDR) bacteria pose a significant global public health threat.
  • Developing novel antibiotics against MDR strains is a challenging and lengthy process.
  • Targeting bacterial membranes offers a potential strategy to overcome existing resistance mechanisms.

Purpose of the Study:

  • To synthesize and evaluate novel ciprofloxacin (CFX) derivatives conjugated with triphenylphosphonium (TPP) moiety.
  • To assess the antibacterial activity of these derivatives against a panel of bacteria, including MDR strains.
  • To investigate the impact of TPP conjugation on bacterial membrane integrity, biofilm formation, and resistance gene expression.

Main Methods:

  • Synthesis of CFX-ester-PPh3 and CFX-amide-PPh3 via ester and amide coupling.
  • Minimum Inhibitory Concentration (MIC) assays against 16 bacterial species, including MDR strains.
  • Morphological monitoring using microscopy and analysis of resistance-related gene expression.

Main Results:

  • TPP-conjugated CFX derivatives demonstrated significantly enhanced antibacterial activity against Gram-positive bacteria, particularly methicillin-resistant Staphylococcus aureus (MRSA).
  • CFX-amide-PPh3 exhibited potent activity against MRSA ST5 5016, with MIC values as low as 2.78 µg/mL.
  • CFX derivatives effectively inhibited MRSA biofilm formation (up to 74.9% inhibition by CFX-amide-PPh3) and induced significant morphological changes and reduced resistance gene expression.

Conclusions:

  • Triphenylphosphonium (TPP) conjugation is a viable strategy to enhance the antibacterial efficacy of existing antibiotics like ciprofloxacin.
  • The developed TPP-conjugated CFX derivatives show promise as novel agents to combat challenging MDR bacterial infections, including MRSA.
  • This modification approach offers a potentially straightforward method for developing new antimicrobial therapies that can be prepared at clinical sites.

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