The Enzymatic Activity of Inosine 5'-Monophosphate Dehydrogenase May Not Be a Vulnerable Target for Staphylococcus

Gyan Modi1, Gary M Marqus2, Mohana Rao Vippila3

  • 1Department of Biology, Brandeis University, Waltham, Massachusetts 02453, United States.

ACS Infectious Diseases
|September 30, 2021
PubMed

Insights

New antibiotics targeting inosine 5'-monophosphate dehydrogenase (IMPDH) in Staphylococcus aureus show promise. However, resistance emerged quickly, and IMPDH

Area of Science:

  • Microbiology
  • Drug Discovery
  • Biochemistry

Background:

  • Inosine 5 -monophosphate dehydrogenase (IMPDH) is essential for bacterial pathogens like Staphylococcus aureus.
  • Targeting IMPDH presents a potential strategy for novel antibiotic development.
  • Previous IMPDH inhibitors showed limited antibacterial efficacy despite high selectivity.

Purpose of the Study:

  • To develop potent and selective inhibitors of Staphylococcus aureus IMPDH (SaIMPDH) with antibacterial activity.
  • To investigate the role of SaIMPDH enzymatic activity in S. aureus infection models.

Main Methods:

  • Structure-informed design was employed to create SaIMPDH inhibitors.
  • Inhibitor efficacy was assessed through minimal inhibitory concentration (MIC) determination and in vivo infection models.
  • Inhibitor resistance was generated in vitro, and resistance mutations were characterized.

Main Results:

  • Several novel SaIMPDH inhibitors demonstrated potent antibacterial activity (MIC < 2 μM) and low mammalian cytotoxicity.
  • Inhibitor-resistant S. aureus strains emerged rapidly, with mutations in the SaIMPDH cofactor/inhibitor binding site.
  • Resistant strains exhibited reduced inhibitor binding and catalytic activity but maintained virulence, and catalytically inactive IMPDH showed only mild virulence defects.

Conclusions:

  • While structure-informed design yielded potent SaIMPDH inhibitors, rapid resistance development and virulence data question the enzyme's enzymatic activity as a sole therapeutic target.
  • The findings suggest that non-enzymatic functions of SaIMPDH may be critical for its role in S. aureus pathogenesis.
  • Further research is needed to explore alternative strategies for targeting SaIMPDH or other pathways in S. aureus infections.

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