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1.
Microb Pathog ; 185: 106398, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37852551

ABSTRACT

Pasteurella multocida, a Gram-negative zoonotic bacterial pathogen, interacts with the host environment, immune response, and infection through outer membrane proteins, adhesins, and sialic acid binding proteins. Sialic acids provide nutrition and mask bacterial identity, hindering the complement system, facilitates tissue access and biofilm formation. Sialic acid binding protein (SAB) enable adhesion to host cells, immune evasion, and nutrient acquisition, making them potential targets for preventing Pasteurella multocida infections. In this study, in silico molecular docking assessed 11 antibiotics targeting SAB (4MMP) comparing their docking scores to Amoxicillin. As SAB (4MMP) exhibits a highly conserved sequence in various Pasteurella multocida strains, including the specific strain PMR212 studied in this article, with a 96.09% similarity score. Aztreonam and Gentamicin displayed the highest docking scores (-6.025 and -5.718), followed by a 100ns molecular dynamics simulation. Aztreonam exhibited stable simulation with protein RMSD fluctuations of 1.8-2.2 Å. The ligand initially had an RMSD of 1.6 Å, stabilizing at 4.8 Å. Antibiotic sensitivity testing confirmed Aztreonam's efficacy with the largest inhibition zone of 42 mm, while Amoxicillin and Gentamicin had inhibition zones of 32 mm and 25 mm, respectively. According to CLSI guidelines, all three antibiotics were effective against Pasteurella multocida. Aztreonam's superior efficacy positions it as a promising candidate for further investigation in targeting Pasteurella multocida.


Subject(s)
Pasteurella Infections , Pasteurella multocida , Humans , Anti-Bacterial Agents/metabolism , Aztreonam/pharmacology , Aztreonam/metabolism , Pasteurella Infections/microbiology , N-Acetylneuraminic Acid/metabolism , Molecular Docking Simulation , Amoxicillin/pharmacology , Gentamicins/pharmacology
2.
FEBS Lett ; 597(23): 2931-2945, 2023 12.
Article in English | MEDLINE | ID: mdl-37857499

ABSTRACT

Bacterial division is mediated by a protein complex called the Z-ring, and Z-ring associated protein E (ZapE) is a Z-ring-associated protein that acts as its negative regulator. In the present study, we show that treatment of Escherichia coli with the antibiotic aztreonam stabilized the Z-ring, induced filamentation, and reduced viability, with similar phenotypes being observed in ZapE deletion strains. Aztreonam treatment decreased ZapE expression, and the overexpression of ZapE rescued filamentous morphology significantly and viability partially. However, overexpression of filamentous temperature sensitive I (FtsI), a known target of aztreonam, could not rescue the filamentation. Interestingly, overexpression of ZapE and FtsI together was able to rescue both filamentous morphology and cell viability. Using in silico and biochemical analyses, we show that aztreonam directly interacts with ZapE. Our study suggests that the inhibitory effects of aztreonam in E. coli could be mediated by targeting ZapE.


Subject(s)
Escherichia coli Proteins , Escherichia coli , Escherichia coli/metabolism , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/metabolism , Aztreonam/pharmacology , Aztreonam/metabolism , Escherichia coli Proteins/metabolism , Cell Division
3.
Appl Biochem Biotechnol ; 195(3): 1983-1998, 2023 Mar.
Article in English | MEDLINE | ID: mdl-36401722

ABSTRACT

In recent years, candidiasis attains major clinical importance due to its unique pathogenic strategy, which distinguishes it from other nosocomial infections. Secreted aspartyl proteinases (SAPs) is a hydrolytic enzyme secreted by Candida species that mediate versatile biological activity including hyphal formation, adherence, biofilm formation, phenotypic adaptation, etc. Emerging clinical evidence strongly suggested that conventional anti-fungal agent's are often prone to high level of resistance upon repeated exposure. Drug repurposing is an ideal strategy that shall impose the additional clinical benefits of the already approved molecules. Hence, through this realistic pathway, the potential of the suitable lead candidates will be explored in order to prolong the life span of existing molecules thereby need for newer therapeutics shall be avoided. The main aim of the present investigation is to determine the enzyme inhibitory potential of certain FDA-approved antibiotics and to validate its efficacy against the virulent enzyme secreted aspartyl proteinase (SAP) of Candida albicans via the AutoDock simulation program. The outcome of in silico dynamic simulations depicts that the drugs such as gentamicin, clindamycin, meropenem, metronidazole, and aztreonam emphasize superior binding affinity in terms of demonstrating considerable interaction with the core catalytic residues (Asp 32, Asp86, Asp 218, Gly220, Thr 221, and Thr 222). Data further indicates that the drug gentamicin exhibited best binding affinity of - 14.16 kcal/mol followed by meropenem (- 9.20 kcal/mol), clindamycin (- 9.00 kcal/mol), ciprofloxacin (- 8.95 kcal/mol), and imipenem (- 8.00 kcal/mol). In conclusion, repurposed antibiotics like gentamicin, clindamycin, meropenem, metronidazole, and aztreonam shall be considered an alternate drug of choice for the clinical management of drug resistant candida infections in the near future.


Subject(s)
Aspartic Acid Proteases , Candidiasis , Humans , Candida albicans/metabolism , Aztreonam/metabolism , Clindamycin/metabolism , Meropenem/metabolism , Drug Repositioning , Metronidazole , Aspartic Acid Endopeptidases/metabolism , Candidiasis/microbiology , Anti-Bacterial Agents
4.
Front Cell Infect Microbiol ; 12: 926209, 2022.
Article in English | MEDLINE | ID: mdl-35811669

ABSTRACT

Aztreonam/avibactam (AZA), as one of the novel ß-lactamases and ß-lactamase inhibitor combinations, is considered to be a promising option for bloodstream infection (BSI) of carbapenem-resistant Klebsiella pneumoniae (CR-Kp). However, decreased susceptibility of AZA activity in Enterobacterales has been reported. The aim of this study was to identify the mechanisms of BSI CR-Kp with decreased susceptibility of AZA (minimal inhibitory concentration above 16/4 mg/L) (AZAH-Kp). Nine BSI AZAH-Kp isolates were screened from 317 CR-Kp isolates in Blood Bacterial Resistant Investigation Collaborative System (BRICS) program. Whole genome sequencing, bioinformatics analysis, and the relative expression of blaKPC , ompK35, and ompK37 were explored for CR-Kp with decreased susceptibility to AZA. The results revealed that elevated inhibitory concentration of AZA has emerged in CR-Kp before previous clinical exposure. In addition, decreased AZA susceptibility was associated with higher KPC expression and changes in OmpK35-37.


Subject(s)
Carbapenem-Resistant Enterobacteriaceae , Klebsiella Infections , Sepsis , Anti-Bacterial Agents/therapeutic use , Azabicyclo Compounds , Aztreonam/metabolism , Aztreonam/pharmacology , Bacterial Proteins/genetics , Carbapenem-Resistant Enterobacteriaceae/genetics , Carbapenems/pharmacology , Ceftazidime/pharmacology , Drug Combinations , Genomics , Humans , Klebsiella Infections/microbiology , Klebsiella pneumoniae , Microbial Sensitivity Tests , beta-Lactamases/genetics , beta-Lactamases/metabolism
5.
Article in English | MEDLINE | ID: mdl-31383664

ABSTRACT

ß-Lactamase production is the major ß-lactam resistance mechanism in Gram-negative bacteria. ß-Lactamase inhibitors (BLIs) efficacious against serine ß-lactamase (SBL) producers, especially strains carrying the widely disseminated class A enzymes, are required. Relebactam, a diazabicyclooctane (DBO) BLI, is in phase 3 clinical trials in combination with imipenem for the treatment of infections by multidrug-resistant Enterobacteriaceae We show that relebactam inhibits five clinically important class A SBLs (despite their differing spectra of activity), representing both chromosomal and plasmid-borne enzymes, i.e., the extended-spectrum ß-lactamases L2 (inhibition constant 3 µM) and CTX-M-15 (21 µM) and the carbapenemases KPC-2, -3, and -4 (1 to 5 µM). Against purified class A SBLs, relebactam is an inferior inhibitor compared with the clinically approved DBO avibactam (9- to 120-fold differences in half maximal inhibitory concentration [IC50]). MIC assays indicate relebactam potentiates ß-lactam (imipenem) activity against KPC-producing Klebsiella pneumoniae, with similar potency to avibactam (with ceftazidime). Relebactam is less effective than avibactam in combination with aztreonam against Stenotrophomonas maltophilia K279a. X-ray crystal structures of relebactam bound to CTX-M-15, L2, KPC-2, KPC-3, and KPC-4 reveal its C2-linked piperidine ring can sterically clash with Asn104 (CTX-M-15) or His/Trp105 (L2 and KPCs), rationalizing its poorer inhibition activity than that of avibactam, which has a smaller C2 carboxyamide group. Mass spectrometry and crystallographic data show slow, pH-dependent relebactam desulfation by KPC-2, -3, and -4. This comprehensive comparison of relebactam binding across five clinically important class A SBLs will inform the design of future DBOs, with the aim of improving clinical efficacy of BLI-ß-lactam combinations.


Subject(s)
Azabicyclo Compounds/pharmacology , Klebsiella pneumoniae/drug effects , Stenotrophomonas maltophilia/drug effects , beta-Lactam Resistance/genetics , beta-Lactamase Inhibitors/pharmacology , beta-Lactamases/chemistry , Azabicyclo Compounds/chemistry , Azabicyclo Compounds/metabolism , Aztreonam/chemistry , Aztreonam/metabolism , Aztreonam/pharmacology , Binding Sites , Ceftazidime/chemistry , Ceftazidime/metabolism , Ceftazidime/pharmacology , Chromosomes, Bacterial/chemistry , Chromosomes, Bacterial/enzymology , Clinical Trials, Phase III as Topic , Cloning, Molecular , Drug Combinations , Escherichia coli/genetics , Escherichia coli/metabolism , Gene Expression , Genetic Vectors/chemistry , Genetic Vectors/metabolism , Humans , Imipenem/chemistry , Imipenem/metabolism , Imipenem/pharmacology , Isoenzymes/antagonists & inhibitors , Isoenzymes/chemistry , Isoenzymes/genetics , Isoenzymes/metabolism , Klebsiella pneumoniae/enzymology , Klebsiella pneumoniae/genetics , Microbial Sensitivity Tests , Models, Molecular , Plasmids/chemistry , Plasmids/metabolism , Protein Binding , Protein Interaction Domains and Motifs , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Stenotrophomonas maltophilia/enzymology , Stenotrophomonas maltophilia/genetics , beta-Lactamase Inhibitors/chemistry , beta-Lactamase Inhibitors/metabolism , beta-Lactamases/genetics , beta-Lactamases/metabolism
6.
Biochemistry ; 58(34): 3604-3616, 2019 08 27.
Article in English | MEDLINE | ID: mdl-31355630

ABSTRACT

The class D ß-lactamase OXA-143 has been described as an efficient penicillinase, oxacillinase, and carbapenemase. The D224A variant, known as OXA-231, was described in 2012 as exhibiting less activity toward imipenem and increased oxacillinase activity. Additionally, the P227S mutation was reported as a case of convergent evolution for homologous enzymes. To investigate the impact of both mutations (D224A and P227S), we describe in this paper a deep investigation of the enzymatic activities of these three homologues. OXA-143(P227S) presented enhanced catalytic activity against ampicillin, oxacillins, aztreonam, and carbapenems. In addition, OXA-143(P227S) was the only member capable of hydrolyzing ceftazidime. These enhanced activities were due to a combination of a higher affinity (lower Km) and a higher turnover number (higher kcat). We also determined the crystal structure of apo OXA-231. As expected, the structure of this variant is very similar to the published OXA-143 structure, except for the two M223 conformations and the absence of electron density for three solvent-exposed loop segments. Molecular dynamics calculations showed that both mutants experience higher flexibility compared to that of the wild-type form. Therefore, our results illustrate that D224A and P227S act as deleterious and positive mutations, respectively, within the evolutionary path of the OXA-143 subfamily toward a more efficient carbapenemase.


Subject(s)
Acinetobacter baumannii/enzymology , Carbapenems/metabolism , Models, Molecular , Mutation, Missense , beta-Lactamases/metabolism , Ampicillin/metabolism , Aztreonam/metabolism , Ceftazidime , Hydrolysis , Kinetics , Molecular Dynamics Simulation , Oxacillin/metabolism , Protein Conformation, beta-Strand , Protein Stability , Substrate Specificity , beta-Lactamases/genetics
7.
Article in English | MEDLINE | ID: mdl-31285231

ABSTRACT

Inhaled aztreonam is increasingly used for chronic Pseudomonas aeruginosa suppression in patients with cystic fibrosis (CF), but the potential for that organism to evolve aztreonam resistance remains incompletely explored. Here, we performed genomic analysis of clonally related pre- and posttreatment CF clinical isolate pairs to identify genes that are under positive selection during aztreonam therapy in vivo We identified 16 frequently mutated genes associated with aztreonam resistance, the most prevalent being ftsI and ampC, and 13 of which increased aztreonam resistance when introduced as single gene transposon mutants. Several previously implicated aztreonam resistance genes were found to be under positive selection in clinical isolates even in the absence of inhaled aztreonam exposure, indicating that other selective pressures in the cystic fibrosis airway can promote aztreonam resistance. Given its potential to confer plasmid-mediated resistance, we further characterized mutant ampC alleles and performed artificial evolution of ampC for maximal activity against aztreonam. We found that naturally occurring ampC mutants conferred variably increased resistance to aztreonam (2- to 64-fold) and other ß-lactam agents but that its maximal evolutionary capacity for hydrolyzing aztreonam was considerably higher (512- to 1,024-fold increases) and was achieved while maintaining or increasing resistance to other drugs. These studies implicate novel chromosomal aztreonam resistance determinants while highlighting that different mutations are favored during selection in vivo and in vitro, show that ampC has a high maximal potential to hydrolyze aztreonam, and provide an approach to disambiguate mutations promoting specific resistance phenotypes from those more generally increasing bacterial fitness in vivo.


Subject(s)
Bacterial Proteins/genetics , Cystic Fibrosis/drug therapy , Peptidoglycan Glycosyltransferase/genetics , Pseudomonas Infections/drug therapy , Pseudomonas aeruginosa/genetics , beta-Lactam Resistance/genetics , beta-Lactamases/genetics , Administration, Inhalation , Anti-Bacterial Agents/metabolism , Anti-Bacterial Agents/therapeutic use , Aztreonam/metabolism , Aztreonam/therapeutic use , Cystic Fibrosis/microbiology , Cystic Fibrosis/pathology , DNA Transposable Elements , Gene Expression , Humans , Mutation , Pseudomonas Infections/microbiology , Pseudomonas Infections/pathology , Pseudomonas aeruginosa/drug effects , Pseudomonas aeruginosa/enzymology , Pseudomonas aeruginosa/isolation & purification , Selection, Genetic
8.
Article in English | MEDLINE | ID: mdl-30782990

ABSTRACT

In 2016, we identified a new class A carbapenemase, VCC-1, in a nontoxigenic Vibrio cholerae strain that had been isolated from retail shrimp imported into Canada for human consumption. Shortly thereafter, seven additional VCC-1-producing V. cholerae isolates were recovered along the German coastline. These isolates appear to have acquired the VCC-1 gene (blaVCC-1) independently from the Canadian isolate, suggesting that blaVCC-1 is mobile and widely distributed. VCC-1 hydrolyzes penicillins, cephalothin, aztreonam, and carbapenems and, like the broadly disseminated class A carbapenemase KPC-2, is only weakly inhibited by clavulanic acid or tazobactam. Although VCC-1 has yet to be observed in the clinic, its encroachment into aquaculture and other areas with human activity suggests that the enzyme may be emerging as a public health threat. To preemptively address this threat, we examined the structural and functional biology of VCC-1 against the FDA-approved non-ß-lactam-based inhibitor avibactam. We found that avibactam restored the in vitro sensitivity of V. cholerae to meropenem, imipenem, and ertapenem. The acylation efficiency was lower for VCC-1 than for KPC-2 and akin to that of Pseudomonas aeruginosa PAO1 AmpC (k2/Ki = 3.0 × 103 M-1 s-1). The tertiary structure of VCC-1 is similar to that of KPC-2, and they bind avibactam similarly; however, our analyses suggest that VCC-1 may be unable to degrade avibactam, as has been found for KPC-2. Based on our prior genomics-based surveillance, we were able to target VCC-1 for detailed molecular studies to gain early insights that could be used to combat this carbapenemase in the future.


Subject(s)
Azabicyclo Compounds/pharmacology , Bacterial Proteins/antagonists & inhibitors , Carbapenems/pharmacology , Vibrio cholerae/drug effects , beta-Lactamase Inhibitors/pharmacology , Aztreonam/metabolism , Carbapenems/metabolism , Cephalothin/metabolism , Humans , Microbial Sensitivity Tests , Penicillins/metabolism , Seafood/microbiology , Vibrio cholerae/genetics , Vibrio cholerae/isolation & purification , beta-Lactamases
9.
J Phys Chem B ; 122(15): 4299-4308, 2018 04 19.
Article in English | MEDLINE | ID: mdl-29553742

ABSTRACT

Enhanced sampling of large number of collective variables (CVs) is inevitable in molecular dynamics (MD) simulations of complex chemical processes such as enzymatic reactions. Because of the computational overhead of hybrid quantum mechanical/molecular mechanical (QM/MM)-based MD simulations, especially together with density functional theory, predictions of reaction mechanism, and estimation of free-energy barriers have to be carried out within few tens of picoseconds. We show here that the recently developed temperature-accelerated sliced sampling method allows one to sample large number of CVs, thereby enabling us to obtain rapid convergence in free-energy estimates in QM/MM MD simulation of enzymatic reactions. Moreover, the method is shown to be efficient in exploring flat and broad free-energy basins that commonly occur in enzymatic reactions. We demonstrate this by studying deacylation and reverse acylation reactions of aztreonam drug catalyzed by a class-C ß lactamase (CBL) bacterial enzyme. Mechanistic details and nature of kinetics of aztreonam hydrolysis by CBL are elaborated here. The results of this study point to characteristics of the aztreonam drug that are responsible for its slow hydrolysis.


Subject(s)
Aztreonam/metabolism , Biocatalysis , Molecular Dynamics Simulation , Quantum Theory , Temperature , beta-Lactamases/metabolism , Aztreonam/chemistry , Hydrolysis , Kinetics
11.
Article in English | MEDLINE | ID: mdl-28584146

ABSTRACT

Antibiotics excreted into the intestinal tract may disrupt the microbiota that provide colonization resistance against enteric pathogens and alter normal metabolic functions of the microbiota. Many of the bacterial metabolites produced in the intestinal tract are absorbed systemically and excreted in urine. Here, we used a mouse model to test the hypothesis that alterations in levels of targeted bacterial metabolites in urine specimens could provide useful biomarkers indicating disrupted or intact colonization resistance. To assess in vivo colonization resistance, mice were challenged with Clostridium difficile spores orally 3, 6, and 11 days after the completion of 2 days of treatment with piperacillin-tazobactam, aztreonam, or saline. For concurrent groups of antibiotic-treated mice, urine samples were analyzed by using liquid chromatography-tandem mass spectrometry (LC-MS/MS) to quantify the concentrations of 11 compounds targeted as potential biomarkers of colonization resistance. Aztreonam did not affect colonization resistance, whereas piperacillin-tazobactam disrupted colonization resistance 3 days after piperacillin-tazobactam treatment, with complete recovery by 11 days after treatment. Three of the 11 compounds exhibited a statistically significant and >10-fold increase (the tryptophan metabolite N-acetyltryptophan) or decrease (the plant polyphenyl derivatives cinnamoylglycine and enterodiol) in concentrations in urine 3 days after piperacillin-tazobactam treatment, followed by recovery to baseline that coincided with the restoration of in vivo colonization resistance. These urinary metabolites could provide useful and easily accessible biomarkers indicating intact or disrupted colonization resistance during and after antibiotic treatment.


Subject(s)
Gastrointestinal Microbiome/drug effects , Glycine/analogs & derivatives , Intestines/microbiology , Lignans/urine , Tryptophan/analogs & derivatives , Animals , Anti-Bacterial Agents/pharmacology , Aztreonam/metabolism , Aztreonam/pharmacology , Biomarkers/urine , Chromatography, Liquid , Clostridioides difficile/drug effects , Drug Resistance, Bacterial/physiology , Glycine/urine , Intestines/drug effects , Metabolome/drug effects , Metabolomics , Mice , Penicillanic Acid/analogs & derivatives , Penicillanic Acid/metabolism , Penicillanic Acid/pharmacology , Piperacillin/metabolism , Piperacillin/pharmacology , Piperacillin, Tazobactam Drug Combination , Tandem Mass Spectrometry , Tryptophan/urine
12.
APMIS ; 124(8): 681-8, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27197940

ABSTRACT

Pseudomonas aeruginosa is an opportunistic pathogen, which can have several virulence factors that confer on it the ability to cause severe, acute and chronic infections. Thus, the simultaneous occurrence of resistance to antibiotics and heavy metals associated with the presence of virulence genes is a potential threat to human health and environmental balance. This study aimed to investigate the resistance profile to heavy metals and the correlation of this phenotype of resistance to antimicrobials and to investigate the pathogenic potential of 46 P. aeruginosa isolates obtained from the soil of five Brazilian regions. The bacteria were evaluating for antimicrobial and heavy metal resistance, as well as the presence of plasmids and virulence genes. The isolates showed resistance to four different antibiotics and the majority (n = 44) had resistance to aztreonam or ticarcillin, furthermore, 32 isolates showed concomitant resistance to both of these antibiotics. A high prevalence of virulence genes was found, which highlights the pathogenic potential of the studied environmental isolates. Moreover, a high frequency of heavy metal resistance genes was also detected, however, the phenotypic results indicated that other genes and/or mechanisms should be related to heavy metal resistance.


Subject(s)
Drug Resistance, Bacterial , Metals, Heavy/toxicity , Pseudomonas aeruginosa/drug effects , Pseudomonas aeruginosa/pathogenicity , Soil Microbiology , Virulence Factors/genetics , Anti-Bacterial Agents/metabolism , Aztreonam/metabolism , Brazil , Humans , Microbial Sensitivity Tests , Plasmids/analysis , Polymerase Chain Reaction , Pseudomonas aeruginosa/genetics , Ticarcillin/metabolism
13.
Antimicrob Agents Chemother ; 60(3): 1819-25, 2016 Jan 11.
Article in English | MEDLINE | ID: mdl-26824956

ABSTRACT

One of the core goals of the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS) is to monitor major meat commodities for antimicrobial resistance. Targeted studies with methodologies based on core surveillance protocols are used to examine other foods, e.g., seafood, for antimicrobial resistance to detect resistances of concern to public health. Here we report the discovery of a novel Ambler class A carbapenemase that was identified in a nontoxigenic strain of Vibrio cholerae (N14-02106) isolated from shrimp that was sold for human consumption in Canada. V. cholerae N14-02106 was resistant to penicillins, carbapenems, and monobactam antibiotics; however, PCR did not detect common ß-lactamases. Bioinformatic analysis of the whole-genome sequence of V. cholerae N14-02106 revealed on the large chromosome a novel carbapenemase (referred to here as VCC-1, for Vibrio cholerae carbapenemase 1) with sequence similarity to class A enzymes. Two copies of blaVCC-1 separated and flanked by ISVch9 (i.e., 3 copies of ISVch9) were found in an acquired 8.5-kb region inserted into a VrgG family protein gene. Cloned blaVCC-1 conferred a ß-lactam resistance profile similar to that in V. cholerae N14-02106 when it was transformed into a susceptible laboratory strain of Escherichia coli. Purified VCC-1 was found to hydrolyze penicillins, 1st-generation cephalosporins, aztreonam, and carbapenems, whereas 2nd- and 3rd-generation cephalosporins were poor substrates. Using nitrocefin as a reporter substrate, VCC-1 was moderately inhibited by clavulanic acid and tazobactam but not EDTA. In this report, we present the discovery of a novel class A carbapenemase from the food supply.


Subject(s)
Bacterial Proteins/genetics , Drug Resistance, Multiple, Bacterial/genetics , Penaeidae/microbiology , Seafood/microbiology , Vibrio cholerae/drug effects , Vibrio cholerae/genetics , beta-Lactamases/genetics , Amino Acid Sequence , Animals , Aztreonam/metabolism , Bacterial Proteins/antagonists & inhibitors , Base Sequence , Canada , Carbapenems/metabolism , Cephalosporins/metabolism , Clavulanic Acid/chemistry , Genome, Bacterial/genetics , Humans , Microbial Sensitivity Tests , Penicillanic Acid/analogs & derivatives , Penicillanic Acid/chemistry , Penicillins/metabolism , Sequence Alignment , Sequence Analysis, DNA , Tazobactam , Vibrio cholerae/isolation & purification
14.
Xenobiotica ; 46(9): 784-92, 2016 Sep.
Article in English | MEDLINE | ID: mdl-26711252

ABSTRACT

1. Interspecies allometry scaling for prediction of human excretory amounts in urine or feces was performed for numerous antibacterials. Antibacterials used for urinary scaling were: rifapentine, pefloxacin, trovafloxacin (Gr1/low; <10%); miloxacin, linezolid, PNU-142300 (Gr2/medium; 10-40%); aztreonam, carumonam, cefozopran, doripenem, imipenem, and ceftazidime (Gr3/high; >50%). Rifapentine, cabotegravir, and dolutegravir was used for fecal scaling (high; >50%). 2. The employment of allometry equation: Y = aW(b) enabled scaling of urine/fecal amounts from animal species. Corresponding predicted amounts were converted into % recovery by considering the respective human dose. Comparison of predicted/observed values enabled fold difference and error calculations (mean absolute error [MAE] and root mean square error [RMSE]). Comparisons were made for urinary/fecal data; and qualitative assessment was made amongst Gr1/Gr2/Gr3 for urine. 3. Average correlation coefficient for the allometry scaling was >0.995. Excretory amount predictions were largely within 0.75- to 1.5-fold differences. Average MAE and RMSE were within ±22% and 23%, respectively. Although robust predictions were achieved for higher urinary/fecal excretion (>50%), interspecies scaling was applicable for low/medium excretory drugs. 4. Based on the data, interspecies scaling of urine or fecal excretory amounts may be potentially used as a tool to understand the significance of either urinary or fecal routes of elimination in humans in early development.


Subject(s)
Anti-Bacterial Agents/metabolism , Animals , Anti-Bacterial Agents/urine , Aztreonam/analogs & derivatives , Aztreonam/metabolism , Carbapenems/metabolism , Ceftazidime/metabolism , Cephalosporins/metabolism , Doripenem , Feces/chemistry , Fluoroquinolones/metabolism , Heterocyclic Compounds, 3-Ring/metabolism , Humans , Imipenem/metabolism , Linezolid/metabolism , Naphthyridines/metabolism , Oxazines , Oxolinic Acid/analogs & derivatives , Oxolinic Acid/metabolism , Pefloxacin/metabolism , Piperazines , Pyridones , Retrospective Studies , Rifampin/analogs & derivatives , Rifampin/metabolism , Cefozopran
15.
J Antimicrob Chemother ; 70(1): 160-6, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25213272

ABSTRACT

OBJECTIVES: Chelating iron may be a promising new therapy to eliminate Pseudomonas aeruginosa biofilms in the lungs of cystic fibrosis (CF) patients. Here, we investigate whether ALX-109 [a defined combination of an investigational drug containing lactoferrin (an iron-binding glycoprotein) and hypothiocyanite (a bactericidal agent)], alone and in combination with tobramycin or aztreonam, reduces P. aeruginosa biofilms grown on human CF airway epithelial cells. METHODS: P. aeruginosa (PAO1 and six clinical isolates of Pseudomonas) biofilms grown at the apical surface of confluent monolayers of CF airway epithelial cells were treated with ALX-109, either alone or in combination with tobramycin or aztreonam. Bacterial cfu remaining after treatment were determined by plate counting. RESULTS: ALX-109 alone reduced PAO1 biofilm formation, but had no effect on established biofilms. ALX-109 enhanced the ability of tobramycin and aztreonam to inhibit PAO1 biofilm formation and to reduce established PAO1 biofilms. ALX-109 and tobramycin were additive in disrupting established biofilms formed by six clinical isolates of P. aeruginosa obtained from the sputum of CF patients. Mucoid P. aeruginosa isolates were most susceptible to the combination of ALX-109 and tobramycin. In addition, ALX-109 also enhanced the ability of aztreonam to reduce established PAO1 biofilms. CONCLUSIONS: Inhalation therapy combining hypothiocyanite and lactoferrin with TOBI(®) (tobramycin) or Cayston(®) (aztreonam) may be beneficial to CF patients by decreasing the airway bacterial burden of P. aeruginosa.


Subject(s)
Anti-Bacterial Agents/metabolism , Aztreonam/metabolism , Epithelial Cells/microbiology , Lactoferrin/metabolism , Pseudomonas aeruginosa/drug effects , Thiocyanates/metabolism , Tobramycin/metabolism , Biofilms/drug effects , Biofilms/growth & development , Cells, Cultured , Colony Count, Microbial , Drug Combinations , Drug Synergism , Humans , Microbial Viability/drug effects , Pseudomonas aeruginosa/physiology
16.
J Am Chem Soc ; 135(39): 14679-90, 2013 Oct 02.
Article in English | MEDLINE | ID: mdl-24010547

ABSTRACT

Bacteria that cause most of the hospital-acquired infections make use of class C ß-lactamase (CBL) among other enzymes to resist a wide spectrum of modern antibiotics and pose a major public health concern. Other than the general features, details of the defensive mechanism by CBL, leading to the hydrolysis of drug molecules, remain a matter of debate, in particular the identification of the general base and role of the active site residues and substrate. In an attempt to unravel the detailed molecular mechanism, we carried out extensive hybrid quantum mechanical/molecular mechanical Car-Parrinello molecular dynamics simulation of the reaction with the aid of the metadynamics technique. On this basis, we report here the mechanism of the formation of the acyl-enzyme complex from the Henry-Michaelis complex formed by ß-lactam antibiotics and CBL. We considered two ß-lactam antibiotics, namely, cephalothin and aztreonam, belonging to two different subfamilies. A general mechanism for the formation of a ß-lactam antibiotic-CBL acyl-enzyme complex is elicited, and the individual roles of the active site residues and substrate are probed. The general base in the acylation step has been identified as Lys67, while Tyr150 aids the protonation of the ß-lactam nitrogen through either the substrate carboxylate group or a water molecule.


Subject(s)
Anti-Bacterial Agents/metabolism , Aztreonam/metabolism , Cephalothin/metabolism , Citrobacter freundii/enzymology , beta-Lactamases/metabolism , Anti-Bacterial Agents/chemistry , Aztreonam/chemistry , Catalytic Domain , Cephalothin/chemistry , Citrobacter freundii/chemistry , Citrobacter freundii/metabolism , Models, Molecular , beta-Lactamases/chemistry
17.
Antimicrob Agents Chemother ; 56(11): 6006-8, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22908150

ABSTRACT

The class A carbapenemase KPC-6 produces resistance to a broad range of ß-lactam antibiotics. This enzyme hydrolyzes penicillins, the monobactam aztreonam, and carbapenems with similar catalytic efficiencies, ranging from 10(5) to 10(6) M(-1) s(-1). The catalytic efficiencies of KPC-6 against cephems vary to a greater extent, ranging from 10(3) M(-1) s(-1) for the cephamycin cefoxitin and the extended-spectrum cephalosporin ceftazidime to 10(5) to 10(6) M(-1) s(-1) for the narrow-spectrum and some of the extended-spectrum cephalosporins.


Subject(s)
Aztreonam/metabolism , Bacterial Proteins/metabolism , Carbapenems/metabolism , Cephalosporins/metabolism , Escherichia coli/enzymology , Penicillins/metabolism , beta-Lactamases/metabolism , Aztreonam/pharmacology , Bacterial Proteins/genetics , Biocatalysis , Carbapenems/pharmacology , Cephalosporins/pharmacology , Escherichia coli/genetics , Hydrolysis , Isoenzymes/genetics , Isoenzymes/metabolism , Kinetics , Microbial Sensitivity Tests , Penicillins/pharmacology , Substrate Specificity , beta-Lactam Resistance/genetics , beta-Lactamases/genetics
18.
J Chemother ; 23(5): 263-5, 2011 Oct.
Article in English | MEDLINE | ID: mdl-22005056

ABSTRACT

New Delhi metallo-ß-lactamase (NDM-1) is a novel broad spectrum carbapenemase with ability to inactivate all ß-lactams except aztreonam. However, most of the NDM-1-producers also produce aztreonam hydrolysing-ß-lactamases thereby making these pathogens absolutely resistant to all ß-lactams. The bla(NDM-1) gene encodes a 27.5 kDa protein of 269 amino acids. It shares very little identity with other metallo-ß-lactamases. Maximum identity has been observed to VIM-1/VIM-2 (32.4%). This mini-review is an update of the scientific literature for the said enzyme. Following the recommendation of David livermore, we further propose to combine "aztreonam" and "inhibitor of the most frequently encountered aztreonam hydrolysing-ß-lactamases in a given setting" as a possible strategy against NDM-1-producers. The inhibitor should be 'versatile' as well, i.e. it should have the ability to inhibit most of the variants of aztreonam hydrolysing-ß-lactamases prevalent in the concerned setting. We strongly recommend surveillance studies using aztreonam/NXL-104-combination against NDM-1-producing pathogens in different geographical regions across the globe.


Subject(s)
Anti-Bacterial Agents/metabolism , Bacterial Proteins/metabolism , Drug Resistance, Multiple, Bacterial , Enzyme Inhibitors/pharmacology , beta-Lactamase Inhibitors , beta-Lactamases/metabolism , beta-Lactams/metabolism , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Azabicyclo Compounds/administration & dosage , Azabicyclo Compounds/pharmacology , Azabicyclo Compounds/therapeutic use , Aztreonam/administration & dosage , Aztreonam/metabolism , Aztreonam/pharmacology , Aztreonam/therapeutic use , Bacterial Proteins/antagonists & inhibitors , Biotransformation , Drug Resistance, Multiple, Bacterial/drug effects , Drug Therapy, Combination , Enzyme Inhibitors/administration & dosage , Enzyme Inhibitors/therapeutic use , Global Health , Gram-Negative Bacteria/drug effects , Gram-Negative Bacteria/enzymology , Gram-Negative Bacterial Infections/drug therapy , Gram-Positive Bacteria/drug effects , Gram-Positive Bacteria/enzymology , Gram-Positive Bacterial Infections/drug therapy , Humans , Molecular Targeted Therapy , Sulbactam/administration & dosage , Sulbactam/pharmacology , Sulbactam/therapeutic use , beta-Lactams/administration & dosage , beta-Lactams/pharmacology , beta-Lactams/therapeutic use
19.
Biochim Biophys Acta ; 1804(4): 684-91, 2010 Apr.
Article in English | MEDLINE | ID: mdl-19883800

ABSTRACT

The extended-spectrum beta-lactamases are associated with antibiotic resistance. Toho-1 R274N/R276N, a Class A beta-lactamase of CTX-M-type, efficiently hydrolyzes first generationcephalosporins (for example, cephalothin), in addition to cefotaxime, a third generation cephalosporin. However, this enzyme only marginally hydrolyzes the third generation cephalosporin ceftazidime, and the monobactam aztreonam. The deacylation defectiveness of the mutant Toho-1 E166A/R274N/R276N, which lacks the deacylation activity, results in the accumulation of the complex of an acylated-enzyme intermediate analog. For drug design, it would be useful if a quantitative prediction of a catalytic property were available without the need of enzymatic measurements. Therefore, we examined whether there is a correlation between the thermal stability of a catalytic intermediate (analog) and its kinetic parameters. First we measured the hydrolytic kinetics of the 14 species of beta-lactam antibiotics by Toho-1 R274N/R276N, and also measured the thermal stability of the accumulated acyl-intermediates of Toho-1 E166A/R274N/R276 by differential scanning calorimetry. Here we report the correlation of these parameters. The logarithm of the catalytic efficiency for Toho-1 R274N/R276N, log(k(cat)/K(m)) exhibited the best linear correlation with T(m,) which is the heat-denaturation temperature midpoint of the corresponding acylated complex of Toho-1 E166A/R274N/R276N. The correlation coefficient was 0.947, indicating that a relationship exists between the kinetic parameters and the stability of the intermediates. The results demonstrate a new method for investigating the catalytic properties of enzymes against any substrates, and a new approach to designing enzymes.


Subject(s)
Escherichia coli Proteins/chemistry , Escherichia coli Proteins/metabolism , beta-Lactamases/chemistry , beta-Lactamases/metabolism , Acylation , Amino Acid Substitution , Aztreonam/metabolism , Calorimetry, Differential Scanning , Catalysis , Ceftazidime/metabolism , Drug Design , Enzyme Stability , Escherichia coli/enzymology , Escherichia coli/genetics , Escherichia coli Proteins/genetics , Kinetics , Mutagenesis, Site-Directed , Mutant Proteins/chemistry , Mutant Proteins/genetics , Mutant Proteins/metabolism , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Substrate Specificity , Thermodynamics , beta-Lactamases/genetics
20.
Antimicrob Agents Chemother ; 53(8): 3520-3, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19470510

ABSTRACT

CMY-30, a Val211Gly mutant of CMY-2 cephalosporinase, was derived by mutagenesis. The hydrolytic efficiency of CMY-30 against expanded-spectrum cephalosporins was higher than that of CMY-2 due to increased k(cat) values. Findings indicate a role of the Omega loop residue 211 in determining the substrate specificities of CMYs also corroborated by modeling studies.


Subject(s)
Cephalosporins/metabolism , Escherichia coli Proteins/genetics , beta-Lactamases , Aztreonam/metabolism , Ceftazidime/metabolism , Escherichia coli Proteins/chemistry , Escherichia coli Proteins/metabolism , Protein Binding , Protein Structure, Secondary , beta-Lactamases/chemistry , beta-Lactamases/genetics , beta-Lactamases/metabolism , beta-Lactams/metabolism
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