Bortezomib Eliminates Persistent Chlamydia trachomatis Infection through Rapid and Specific Host Cell Apoptosis

Ryota Itoh1, Yusuke Kurihara1, Michinobu Yoshimura1

  • 1Department of Microbiology & Immunology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan.

Insights

Bortezomib and ixazomib, proteasome inhibitors, effectively inhibit Chlamydia trachomatis growth. These compounds also selectively eliminate infected cells, suggesting potential for treating persistent chlamydial infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Drug Discovery

Background:

  • Chlamydia trachomatis is a significant human pathogen causing trachoma, STIs, and pneumonia.
  • Previous research identified peptidomimetic inhibitors with hydrophobic dipeptide derivatives effective against chlamydial growth.

Purpose of the Study:

  • To investigate the inhibitory activity of bortezomib (BTZ) and ixazomib (IXA) against Chlamydia.
  • To explore the therapeutic potential of these compounds, particularly in persistent infections.

Main Methods:

  • Testing BTZ and IXA, known proteasome inhibitors and hydrophobic dipeptide derivatives, for activity against Chlamydia.
  • Utilizing electron microscopy to observe the mechanism of growth inhibition.
  • Assessing the effect of BTZ on Chlamydia-infected cells versus uninfected cells.

Main Results:

  • BTZ and IXA demonstrated potent inhibitory activity against Chlamydia growth (BTZ, IC50 = 24 nM).
  • No significant inhibition was observed against non-intracellular bacteria like Escherichia coli.
  • BTZ selectively eliminated Chlamydia-infected cells, sparing uninfected cells, suggesting a mechanism for clearing persistent infections.

Conclusions:

  • Boron compounds based on hydrophobic dipeptides, like BTZ and IXA, show promise for treating chlamydial infections.
  • These compounds may be particularly useful for addressing persistent and difficult-to-treat chlamydial diseases.