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DNA topoisomerase targets of the fluoroquinolones: a strategy for avoiding bacterial resistance
X Zhao1, C Xu, J Domagala
1Public Health Research Institute, 455 First Avenue, New York, NY 10016, USA.
Abstract:
Fluoroquinolones are antibacterial agents that attack DNA gyrase and topoisomerase IV on chromosomal DNA. The existence of two fluoroquinolone targets and stepwise accumulation of resistance suggested that new quinolones could be found that would require cells to obtain two topoisomerase mutations to display resistance. For wild-type cells to become resistant, the two mutations must be acquired concomitantly. That is expected to occur infrequently. To identify such compounds, fluoroquinolones were tested for the ability to kill a moderately resistant gyrase mutant. Compounds containing a C8-methoxyl group were particularly lethal, and incubation of wild-type cultures on agar containing C8-methoxyl fluoroquinolones produced no resistant mutant, whereas thousands arose during comparable treatment with control compounds lacking the C8 substituent. When the test strain contained a preexisting topoisomerase IV mutation, which by itself conferred no resistance, equally high numbers of resistant mutants were obtained for C8-methoxyl and control compounds. Thus C8-methoxyl fluoroquinolones required two mutations for expression of resistance. Although highly lethal, C8-methoxyl fluoroquinolones were not more effective than C8-H controls at blocking bacterial growth. Consequently, quinolone action involves two events, which we envision as formation of drug-enzyme-DNA complexes followed by release of lethal double-strand DNA breaks. Release of DNA breaks, which must occur less frequently than complex formation, is probably the process stimulated by the C8-methoxyl group. Understanding this stimulation should provide insight into intracellular quinolone action and contribute to development of fluoroquinolones that prevent selection of resistant bacteria.
Insights
New C8-methoxyl fluoroquinolones require two mutations for bacterial resistance, preventing the emergence of resistant strains. This discovery offers insights into fluoroquinolone action and the development of novel antibacterial agents.
Area of Science:
- Microbiology
- Molecular Biology
- Drug Discovery
Background:
- Fluoroquinolones are crucial antibacterial agents targeting bacterial DNA gyrase and topoisomerase IV.
- Bacterial resistance to fluoroquinolones can arise through stepwise accumulation of mutations in these target enzymes.
- Developing new fluoroquinolones that necessitate multiple mutations for resistance is a key strategy to combat antibacterial resistance.
Purpose of the Study:
- To identify novel fluoroquinolone compounds that require the acquisition of two specific mutations for bacterial resistance.
- To investigate the role of the C8-methoxyl group in the mechanism of action and resistance development of fluoroquinolones.
Main Methods:
- Testing fluoroquinolone compounds for their ability to kill bacterial strains with pre-existing resistance mutations.
- Comparing the emergence of resistant mutants in wild-type and mutant bacterial strains treated with C8-methoxyl fluoroquinolones and control compounds.
- Evaluating the antibacterial efficacy of C8-methoxyl fluoroquinolones in terms of growth inhibition.
Main Results:
- C8-methoxyl fluoroquinolones were particularly lethal to bacteria with a moderately resistant gyrase mutation.
- Wild-type bacteria treated with C8-methoxyl fluoroquinolones did not produce resistant mutants, unlike control compounds.
- The C8-methoxyl group appears to stimulate the release of lethal double-strand DNA breaks, a key event in fluoroquinolone action.
Conclusions:
- C8-methoxyl fluoroquinolones necessitate two distinct topoisomerase mutations for resistance to emerge, significantly reducing the likelihood of resistance development.
- The C8-methoxyl group plays a critical role in enhancing the lethal effects of fluoroquinolones, likely by promoting DNA breaks.
- Understanding this mechanism can guide the development of next-generation fluoroquinolones with improved efficacy and reduced resistance potential.
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