Synthesis and Evaluation of Polymyxins Bearing Reductively Labile Disulfide-Linked Lipids

Cornelis J Slingerland1, Charlotte M J Wesseling1, Paolo Innocenti1

  • 1Biological Chemistry Group, Institute of Biology Leiden, Leiden University, Sylviusweg 72, 2333 BE Leiden, The Netherlands.

Insights

Researchers developed new polymyxin antibiotics to combat drug-resistant Gram-negative bacteria. These novel polymyxin analogues show potent antibacterial activity with significantly reduced kidney toxicity.

Area of Science:

  • Microbiology
  • Medicinal Chemistry
  • Pharmacology

Background:

  • Polymyxins are crucial last-resort antibiotics against multidrug-resistant Gram-negative bacteria.
  • Nephrotoxicity is a major dose-limiting adverse effect of polymyxins, restricting their clinical use.
  • The rise of antimicrobial resistance necessitates the development of safer and effective polymyxin derivatives.

Purpose of the Study:

  • To synthesize and evaluate novel polymyxin analogues with reduced nephrotoxicity.
  • To explore modifications in the exocyclic region of the polymyxin scaffold.
  • To maintain potent antibacterial activity while mitigating kidney damage.

Main Methods:

  • Semisynthetic approach to modify polymyxin structure.
  • Incorporation of a reductively labile disulfide linkage in the lipid tail.
  • Evaluation of antibacterial activity and cytotoxicity against human renal cells.

Main Results:

  • Novel polymyxin analogues synthesized and characterized.
  • The modified polymyxins retained potent antibacterial activity comparable to polymyxin B.
  • Reduced toxicity was observed in human renal proximal tubular epithelial cells.

Conclusions:

  • The novel polymyxin analogues represent a promising advancement in antibiotic development.
  • Disulfide linkage modification offers a strategy to reduce polymyxin-induced nephrotoxicity.
  • These findings could lead to safer therapeutic options for multidrug-resistant infections.