Imitation of β-lactam binding enables broad-spectrum metallo-β-lactamase inhibitors

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  • Jürgen Brem
  • Tharindi Panduwawala
  • Jon Ulf Hansen
  • Joanne Hewitt
  • Edgars Liepins
  • Pawel Donets
  • Laura Espina
  • Alistair J.M. Farley
  • Kirill Shubin
  • Gonzalo Gomez Campillos
  • Paula Kiuru
  • Shifali Shishodia
  • Daniel Krahn
  • Robert K. Leśniak
  • Juliane Schmidt (Adrian)
  • Karina Calvopiña
  • María Carmen Turrientes
  • Madeline E. Kavanagh
  • Dmitrijs Lubriks
  • Philip Hinchliffe
  • Gareth W. Langley
  • Ali F. Aboklaish
  • Anders Eneroth
  • Maria Backlund
  • Andrei G. Baran
  • Elisabet I. Nielsen
  • Michael Speake
  • Janis Kuka
  • John Robinson
  • Solveiga Grinberga
  • Lindsay Robinson
  • Michael A. McDonough
  • Anna M. Rydzik
  • Thomas M. Leissing
  • Juan Carlos Jimenez-Castellanos
  • Matthew B. Avison
  • Solange Da Silva Pinto
  • Andrew D. Pannifer
  • Marina Martjuga
  • Emma Widlake
  • Martins Priede
  • Iva Hopkins Navratilova
  • Marek Gniadkowski
  • Anna Karin Belfrage
  • Peter Brandt
  • Jari Yli-Kauhaluoma
  • Eric Bacque
  • Malcolm G.P. Page
  • Jonathan M. Tyrrell
  • James Spencer
  • Pauline A. Lang
  • Pawel Baranczewski
  • Rafael Cantón
  • Stuart P. McElroy
  • Philip S. Jones
  • Fernando Baquero
  • Edgars Suna
  • Angus Morrison
  • Timothy R. Walsh
  • Christopher J. Schofield

Carbapenems are vital antibiotics, but their efficacy is increasingly compromised by metallo-β-lactamases (MBLs). Here we report the discovery and optimization of potent broad-spectrum MBL inhibitors. A high-throughput screen for NDM-1 inhibitors identified indole-2-carboxylates (InCs) as potential β-lactamase stable β-lactam mimics. Subsequent structure–activity relationship studies revealed InCs as a new class of potent MBL inhibitor, active against all MBL classes of major clinical relevance. Crystallographic studies revealed a binding mode of the InCs to MBLs that, in some regards, mimics that predicted for intact carbapenems, including with respect to maintenance of the Zn(II)-bound hydroxyl, and in other regards mimics binding observed in MBL–carbapenem product complexes. InCs restore carbapenem activity against multiple drug-resistant Gram-negative bacteria and have a low frequency of resistance. InCs also have a good in vivo safety profile, and when combined with meropenem show a strong in vivo efficacy in peritonitis and thigh mouse infection models. [Figure not available: see fulltext.]

OriginalsprogEngelsk
TidsskriftNature Chemistry
Vol/bind14
Sider (fra-til)15–24
ISSN1755-4330
DOI
StatusUdgivet - 2022

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© 2021, The Author(s), under exclusive licence to Springer Nature Limited.

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