Identification of kinase modulators as host-directed therapeutics against intracellular methicillin-resistant

Robin H G A van den Biggelaar1,2, Kimberley V Walburg1, Susan J F van den Eeden1

  • 1Leiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, Netherlands.

Insights

Host-directed therapy offers a novel approach against drug-resistant Staphylococcus aureus. Researchers identified kinase inhibitors that target intracellular MRSA, showing promise for new treatments when antibiotics fail.

Area of Science:

  • Microbiology
  • Pharmacology
  • Infectious Diseases

Background:

  • Antimicrobial resistance in Staphylococcus aureus, particularly MRSA, necessitates alternative therapeutic strategies.
  • Vaccine development has been unsuccessful, and resistance to last-resort antibiotics is rising.
  • Host-directed therapy (HDT) presents a promising alternative by targeting intracellular bacterial stages.

Purpose of the Study:

  • To identify host-directed compounds effective against intracellular methicillin-resistant Staphylococcus aureus (MRSA).
  • To evaluate the efficacy and mechanism of action of identified compounds.
  • To assess the therapeutic potential of lead compounds in preclinical models.

Main Methods:

  • Screening of 201 ATP-competitive kinase inhibitors from PKIS1 and PKIS2 against intracellular MRSA.
  • Testing hit compounds in various human cell lines and planktonic cultures.
  • Investigating mechanisms of action, including EGFR/HER and AMPK pathways, and evaluating efficacy in zebrafish embryos.

Main Results:

  • Seventeen hit compounds were identified, with GW633459A and GW296115X selected for further study.
  • Hit compounds demonstrated host-directed activity in human cell lines but not in planktonic cultures.
  • GW633459A showed HDT effects independent of EGFR/HER targets; GW296115X activated AMPK, enhancing autophagy-mediated bacterial degradation.

Conclusions:

  • Kinase inhibitors can serve as effective host-directed therapies against intracellular MRSA.
  • GW296115X demonstrates potential as an anti-MRSA therapeutic by modulating host cell pathways and improving survival in vivo.
  • HDT represents a viable strategy to combat challenging MRSA infections.