C-4-Modified Isotetrones Prevent Biofilm Growth and Persister Cell Resuscitation in Mycobacterium smegmatis

Kingshuk Bag1, Aditya Kumar Pal2, Subhadip Basu3

  • 1Department of Organic Chemistry, Indian Institute of Science, Bangalore 560 012, India.

ACS Omega
|June 16, 2023
PubMed

Insights

Isotetrone lactones inhibit mycobacterial biofilm and persister cell growth by targeting the Rel protein. These compounds also enhance antibiotic effectiveness, offering a new strategy against persistent infections.

Area of Science:

  • Microbiology
  • Medicinal Chemistry
  • Biochemistry

Background:

  • The stringent response pathway, regulated by the Rel protein and (p)ppGpp, is crucial for mycobacterial biofilm and persister cell development.
  • Vitamin C has been identified as an inhibitor of Rel protein, suggesting potential therapeutic avenues.
  • Tetronic acid derivatives, specifically isotetrones, are explored for their ability to modulate these pathways.

Purpose of the Study:

  • To identify and synthesize isotetrone lactone derivatives as potential inhibitors of mycobacterial biofilm and persister cell formation.
  • To evaluate the efficacy of these derivatives in inhibiting Rel protein-mediated pathways.
  • To investigate the potential of isotetrones as bioenhancers in combination with antibiotics.

Main Methods:

  • Synthesis of isotetrone lactone derivatives with varying substituents.
  • Biochemical assays to assess inhibition of biofilm formation and persister cell growth.
  • Molecular dynamics simulations to study binding interactions with the Rel protein (RelMsm).

Main Results:

  • An isotetrone derivative with a phenyl substituent at C-4 effectively inhibited biofilm formation.
  • An isotetrone with a p-hydroxyphenyl substituent showed moderate inhibition of biofilm formation and inhibited persister cell growth.
  • Isotetrones demonstrated bioenhancement effects when combined with ciprofloxacin, potentiating antibiotic activity against tolerant cells.
  • Molecular dynamics revealed stronger binding of isotetrones to RelMsm compared to vitamin C.

Conclusions:

  • Isotetrone lactones are effective inhibitors of key pathways in mycobacteria, including biofilm formation and persister cell growth.
  • These compounds show promise as novel therapeutic agents and bioenhancers for treating mycobacterial infections.
  • The detailed binding interactions provide a basis for further drug design and optimization.