Azetidines Kill Multidrug-Resistant Mycobacterium tuberculosis without Detectable Resistance by Blocking Mycolate Assembly

Y Cui, A Lanne, X Peng, E Browne… - Journal of Medicinal …, 2024 - ACS Publications
Y Cui, A Lanne, X Peng, E Browne, A Bhatt, NJ Coltman, P Craven, LR Cox, NJ Cundy…
Journal of Medicinal Chemistry, 2024ACS Publications
Tuberculosis (TB) is the leading cause of global morbidity and mortality resulting from
infectious disease, with over 10.6 million new cases and 1.4 million deaths in 2021. This
global emergency is exacerbated by the emergence of multidrug-resistant MDR-TB and
extensively drug-resistant XDR-TB; therefore, new drugs and new drug targets are urgently
required. From a whole cell phenotypic screen, a series of azetidines derivatives termed
BGAz, which elicit potent bactericidal activity with MIC99 values< 10 μM against drug …
Tuberculosis (TB) is the leading cause of global morbidity and mortality resulting from infectious disease, with over 10.6 million new cases and 1.4 million deaths in 2021. This global emergency is exacerbated by the emergence of multidrug-resistant MDR-TB and extensively drug-resistant XDR-TB; therefore, new drugs and new drug targets are urgently required. From a whole cell phenotypic screen, a series of azetidines derivatives termed BGAz, which elicit potent bactericidal activity with MIC99 values <10 μM against drug-sensitive Mycobacterium tuberculosis and MDR-TB, were identified. These compounds demonstrate no detectable drug resistance. The mode of action and target deconvolution studies suggest that these compounds inhibit mycobacterial growth by interfering with cell envelope biogenesis, specifically late-stage mycolic acid biosynthesis. Transcriptomic analysis demonstrates that the BGAz compounds tested display a mode of action distinct from the existing mycobacterial cell wall inhibitors. In addition, the compounds tested exhibit toxicological and PK/PD profiles that pave the way for their development as antitubercular chemotherapies.
ACS Publications
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