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1.
Commun Biol ; 4(1): 729, 2021 06 11.
Article in English | MEDLINE | ID: mdl-34117352

ABSTRACT

The approval of plazomicin broadened the clinical library of aminoglycosides available for use against emerging bacterial pathogens. Contrarily to other aminoglycosides, resistance to plazomicin is limited; still, instances of resistance have been reported in clinical settings. Here, we present structural insights into the mechanism of plazomicin action and the mechanisms of clinical resistance. The structural data reveal that plazomicin exclusively binds to the 16S ribosomal A site, where it likely interferes with the fidelity of mRNA translation. The unique extensions to the core aminoglycoside scaffold incorporated into the structure of plazomicin do not interfere with ribosome binding, which is analogously seen in the binding of this antibiotic to the AAC(2')-Ia resistance enzyme. The data provides a structural rationale for resistance conferred by drug acetylation and ribosome methylation, i.e., the two mechanisms of resistance observed clinically. Finally, the crystal structures of plazomicin in complex with both its target and the clinically relevant resistance factor provide a roadmap for next-generation drug development that aims to ameliorate the impact of antibiotic resistance.


Subject(s)
Anti-Bacterial Agents/pharmacology , Sisomicin/analogs & derivatives , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/metabolism , Binding Sites , Crystallography, X-Ray , Drug Resistance, Bacterial , Methylation , Providencia/drug effects , Providencia/metabolism , RNA, Ribosomal, 16S/metabolism , RNA, Transfer/metabolism , Ribosomes/metabolism , Sisomicin/chemistry , Sisomicin/metabolism , Sisomicin/pharmacology , Structure-Activity Relationship
2.
Sci Rep ; 11(1): 11614, 2021 06 02.
Article in English | MEDLINE | ID: mdl-34078922

ABSTRACT

Plazomicin is currently the only next-generation aminoglycoside approved for clinical use that has the potential of evading the effects of widespread enzymatic resistance factors. However, plazomicin is still susceptible to the action of the resistance enzyme AAC(2')-Ia from Providencia stuartii. As the clinical use of plazomicin begins to increase, the spread of resistance factors will undoubtedly accelerate, rendering this aminoglycoside increasingly obsolete. Understanding resistance to plazomicin is an important step to ensure this aminoglycoside remains a viable treatment option for the foreseeable future. Here, we present three crystal structures of AAC(2')-Ia from P. stuartii, two in complex with acetylated aminoglycosides tobramycin and netilmicin, and one in complex with a non-substrate aminoglycoside, amikacin. Together, with our previously reported AAC(2')-Ia-acetylated plazomicin complex, these structures outline AAC(2')-Ia's specificity for a wide range of aminoglycosides. Additionally, our survey of AAC(2')-I homologues highlights the conservation of residues predicted to be involved in aminoglycoside binding, and identifies the presence of plasmid-encoded enzymes in environmental strains that confer resistance to the latest next-generation aminoglycoside. These results forecast the likely spread of plazomicin resistance and highlight the urgency for advancements in next-generation aminoglycoside design.


Subject(s)
Acetyltransferases/chemistry , Anti-Bacterial Agents/chemistry , Bacterial Proteins/chemistry , Drug Resistance, Bacterial/genetics , Providencia/enzymology , Sisomicin/analogs & derivatives , Acetyltransferases/genetics , Acetyltransferases/metabolism , Amikacin/chemistry , Amikacin/metabolism , Amikacin/pharmacology , Anti-Bacterial Agents/metabolism , Anti-Bacterial Agents/pharmacology , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Binding Sites , Cloning, Molecular , Crystallography, X-Ray , Escherichia coli/genetics , Escherichia coli/metabolism , Gene Expression , Genetic Vectors/chemistry , Genetic Vectors/metabolism , Humans , Kinetics , Models, Molecular , Netilmicin/chemistry , Netilmicin/metabolism , Netilmicin/pharmacology , Protein Binding , Protein Conformation, alpha-Helical , Protein Conformation, beta-Strand , Protein Interaction Domains and Motifs , Providencia/chemistry , Providencia/drug effects , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Sisomicin/chemistry , Sisomicin/metabolism , Sisomicin/pharmacology , Substrate Specificity , Tobramycin/chemistry , Tobramycin/metabolism , Tobramycin/pharmacology
3.
Int J Biol Macromol ; 164: 2418-2431, 2020 Dec 01.
Article in English | MEDLINE | ID: mdl-32798544

ABSTRACT

A kind of "intelligent" antibacterial dressing-A-HA/HA-ADH/SS hydrogel was in situ formed quickly via dynamic covalent bonds cross-linking between aldehyde hyaluronic acid (A-HA), adipic acid dihydrazide graft hyaluronic acid (HA-ADH) and sisomicin sulfate (SS). FT-IR, SEM and rheological results displayed that the hydrogels were successfully prepared. The hydrogels had good optical transmittance, injectability, self-healing ability, cytocompatibility, antioxidant activity and hemostatic performance which were beneficial to observe the wound healing condition and provide a good healing environment for wounds. In addition, the hydrogels showed a pH- and HAase- dependent degradability, which allowed them to release more SS at infected wound and then exert on-demand and sustained antibacterial effect against S. aureus and E. coli. The results of wound healing and histological examination revealed that these hydrogels have a good therapeutic effect in the full-thickness mouse skin defect wound. Thus, the hydrogels are expected to be used as potential wound dressings to improve wound healing.


Subject(s)
Anti-Bacterial Agents , Escherichia coli/growth & development , Hydrogels , Sisomicin , Staphylococcus aureus/growth & development , Wound Healing/drug effects , Animals , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacokinetics , Anti-Bacterial Agents/pharmacology , Cell Line , Delayed-Action Preparations/chemistry , Delayed-Action Preparations/pharmacokinetics , Delayed-Action Preparations/pharmacology , Hydrogels/chemistry , Hydrogels/pharmacokinetics , Hydrogels/pharmacology , Hydrogen-Ion Concentration , Mice , Mice, Inbred BALB C , Sisomicin/chemistry , Sisomicin/pharmacokinetics , Sisomicin/pharmacology
4.
Microb Cell Fact ; 19(1): 62, 2020 Mar 10.
Article in English | MEDLINE | ID: mdl-32156271

ABSTRACT

BACKGROUND: New semi-synthetic aminoglycoside antibiotics generally use chemical modifications to avoid inactivity from pathogens. One of the most used modifications is 3',4'-di-deoxygenation, which imitates the structure of gentamicin. However, the mechanism of di-deoxygenation has not been clearly elucidated. RESULTS: Here, we report that the bifunctional enzyme, GenB4, catalyzes the last step of gentamicin 3',4'-di-deoxygenation via reduction and transamination activities. Following disruption of genB4 in wild-type M. echinospora, its products accumulated in 6'-deamino-6'-oxoverdamicin (1), verdamicin C2a (2), and its epimer, verdamicin C2 (3). Following disruption of genB4 in M. echinospora ΔgenK, its products accumulated in sisomicin (4) and 6'-N-methylsisomicin (5, G-52). Following in vitro catalytic reactions, GenB4 transformed sisomicin (4) to gentamicin C1a (9) and transformed verdamicin C2a (2) and its epimer, verdamicin C2 (3), to gentamicin C2a (11) and gentamicin C2 (12), respectively. CONCLUSION: This finding indicated that in addition to its transamination activity, GenB4 exhibits specific 4',5' double-bond reducing activity and is responsible for the last step of gentamicin 3',4'-di-deoxygenation. Taken together, we propose three new intermediates that may refine and supplement the specific biosynthetic pathway of gentamicin C components and lay the foundation for the complete elucidation of di-deoxygenation mechanisms.


Subject(s)
Anti-Bacterial Agents/chemistry , Bacterial Proteins/metabolism , Gentamicins/chemistry , Micromonospora/enzymology , Oxygen/chemistry , Amination , Bacterial Proteins/genetics , Biosynthetic Pathways , Catalysis , Micromonospora/genetics , Sisomicin/chemistry
5.
ACS Synth Biol ; 8(9): 1991-1997, 2019 09 20.
Article in English | MEDLINE | ID: mdl-31487454

ABSTRACT

Direct cloning of natural product pathways for efficient refactoring and heterologous expression has become an important strategy for microbial natural product research and discovery, especially for those kept silent or poorly expressed in the original strains. Accordingly, the development of convenient and efficient cloning approaches is becoming increasingly necessary. Here we presented an in vitro packaging mediated cloning approach that combines CRISPR/Cas9 system with in vitro λ packaging system, for targeted cloning of natural product pathways. In such a scheme, pathways of Tü3010 (27.4 kb) and sisomicin (40.7 kb) were respectively cloned, and stuR was further depicted to positively regulate Tü3010 production. In vitro packaging mediated approach not only enables to activate cryptic pathways, but also facilitates refactoring or interrogating the pathways in conjunction with various gene editing systems. This approach features an expedited, convenient, and generic manner, and it is conceivable that it may be widely adopted for targeted cloning of the natural product pathways.


Subject(s)
Biological Products/metabolism , CRISPR-Cas Systems/genetics , Bacterial Proteins/genetics , Biological Products/chemistry , Cloning, Molecular , Gene Editing , Multigene Family , Plasmids/genetics , Plasmids/metabolism , Repressor Proteins/genetics , Sisomicin/chemistry , Sisomicin/metabolism , Streptomyces/genetics , Trans-Activators/genetics
6.
Am J Health Syst Pharm ; 75(14): 1048-1056, 2018 Jul 15.
Article in English | MEDLINE | ID: mdl-29895521

ABSTRACT

PURPOSE: The results of a study to determine the physical compatibility of plazomicin sulfate solution during simulated Y-site administration with 92 i.v. drugs are reported. METHODS: Plazomicin injection solution (500 mg/10 mL) was diluted in 0.9% sodium chloride or 5% dextrose for injection to a final volume of 50 mL (final plazomicin concentration, 24 mg/mL), consistent with a 15-mg/kg dose administered to an 80-kg patient (i.e., 1,200 mg). All other i.v. drugs were reconstituted according to manufacturers' recommendations and diluted with 0.9% sodium chloride or 5% dextrose for injection to the upper range of concentrations used clinically. Y-site conditions were simulated by mixing 5 mL of plazomicin solution with 5 mL of tested drug solutions in a 1:1 ratio. Solutions were assessed for visual (via color and Tyndall beam testing), turbidity (using a laboratory-grade turbidimeter), and pH changes over a 60-minute observation period. Incompatibility was defined a priori as precipitation, color change, a positive Tyndall test, or a turbidity change of ≥0.5 nephelometric turbidity units at any time during the 60-minute observation period. RESULTS: Plazomicin was physically compatible with 79 of the 92 drugs tested. Determinations of physical incompatibility with plazomicin were made for 13 drugs: albumin, amiodarone, amphotericin B deoxycholate, anidulafungin, calcium chloride, daptomycin, esomeprazole, heparin, levofloxacin, methylprednisolone, micafungin, phenytoin, and propofol, CONCLUSION: Plazomicin at a concentration of 24 mg/mL was physically compatible with 85% of the drugs tested, including 31 of 36 antimicrobial agents.


Subject(s)
Anti-Bacterial Agents/chemistry , Infusions, Intravenous , Sisomicin/analogs & derivatives , Drug Compounding , Drug Incompatibility , Glucose/chemistry , Humans , Nephelometry and Turbidimetry , Sisomicin/chemistry , Sodium Chloride/chemistry
7.
ACS Infect Dis ; 4(7): 1114-1120, 2018 07 13.
Article in English | MEDLINE | ID: mdl-29708331

ABSTRACT

Syntheses of the 6'- N-(2-hydroxyethyl) and 1- N-(4-amino-2 S-hydroxybutyryl) derivatives of the 4,6-aminoglycoside sisomicin and that of the doubly modified 1- N-(4-amino-2 S-hydroxybutyryl)-6'- N-(2-hydroxyethyl) derivative known as plazomicin are reported together with their antibacterial and antiribosomal activities and selectivities. The 6'- N-(2-hydroxyethyl) modification results in a moderate increase in prokaryotic/eukaryotic ribosomal selectivity, whereas the 1- N-(4-amino-2 S-hydroxybutyryl) modification has the opposite effect. When combined in plazomicin, the effects of the two groups on ribosomal selectivity cancel each other out, leading to the prediction that plazomicin will exhibit ototoxicity comparable to those of the parent and the current clinical aminoglycoside antibiotics gentamicin and tobramycin, as borne out by ex vivo studies with mouse cochlear explants. The 6'- N-(2-hydroxyethyl) modification restores antibacterial activity in the presence of the AAC(6') aminoglycoside-modifying enzymes, while the 1- N-(4-amino-2 S-hydroxybutyryl) modification overcomes resistance to the AAC(2') class but is still affected to some extent by the AAC(3) class. Neither modification is able to circumvent the ArmA ribosomal methyltransferase-induced aminoglycoside resistance. The use of phenyltriazenyl protection for the secondary amino group of sisomicin facilitates the synthesis of each derivative and their characterization through the provision of sharp NMR spectra for all intermediates.


Subject(s)
Aminoglycosides/chemistry , Aminoglycosides/pharmacology , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacology , Ribosomes/physiology , Sisomicin/chemistry , Sisomicin/pharmacology , Aminoglycosides/chemical synthesis , Anti-Bacterial Agents/chemical synthesis , Base Sequence , Dose-Response Relationship, Drug , Drug Evaluation, Preclinical , Escherichia coli/drug effects , Humans , Microbial Sensitivity Tests , Protein Biosynthesis/drug effects , Sisomicin/chemical synthesis , Structure-Activity Relationship
8.
ACS Infect Dis ; 4(6): 980-987, 2018 06 08.
Article in English | MEDLINE | ID: mdl-29634241

ABSTRACT

Plazomicin is a next-generation, semisynthetic aminoglycoside antibiotic currently under development for the treatment of infections due to multidrug-resistant Enterobacteriaceae. The compound was designed by chemical modification of the natural product sisomicin to provide protection from common aminoglycoside modifying enzymes that chemically alter these drugs via N-acetylation, O-adenylylation, or O-phosphorylation. In this study, plazomicin was profiled against a panel of isogenic strains of Escherichia coli individually expressing twenty-one aminoglycoside resistance enzymes. Plazomicin retained antibacterial activity against 15 of the 17 modifying enzyme-expressing strains tested. Expression of only two of the modifying enzymes, aac(2')-Ia and aph(2″)-IVa, decreased plazomicin potency. On the other hand, expression of 16S rRNA ribosomal methyltransferases results in a complete lack of plazomicin potency. In vitro enzymatic assessment confirmed that AAC(2')-Ia and APH(2'')-IVa (aminoglycoside acetyltransferase, AAC; aminoglycoside phosphotransferase, APH) were able to utilize plazomicin as a substrate. AAC(2')-Ia and APH(2'')-IVa are limited in their distribution to Providencia stuartii and Enterococci, respectively. These data demonstrate that plazomicin is not modified by a broad spectrum of common aminoglycoside modifying enzymes including those commonly found in Enterobacteriaceae. However, plazomicin is inactive in the presence of 16S rRNA ribosomal methyltransferases, which should be monitored in future surveillance programs.


Subject(s)
Aminoglycosides/metabolism , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacology , Sisomicin/analogs & derivatives , Acetyltransferases/antagonists & inhibitors , Aminoglycosides/chemistry , Aminoglycosides/pharmacology , Escherichia coli/drug effects , Escherichia coli/enzymology , Humans , Mass Spectrometry , Microbial Sensitivity Tests , Models, Molecular , Molecular Conformation , Molecular Structure , Sisomicin/chemistry , Sisomicin/pharmacology , Structure-Activity Relationship
9.
Proteins ; 85(7): 1258-1265, 2017 07.
Article in English | MEDLINE | ID: mdl-28316100

ABSTRACT

Kinetic, thermodynamic, and structural properties of the aminoglycoside N3-acetyltransferase-VIa (AAC-VIa) are determined. Among the aminoglycoside N3-acetyltransferases, AAC-VIa has one of the most limited substrate profiles. Kinetic studies showed that only five aminoglycosides are substrates for this enzyme with a range of fourfold difference in kcat values. Larger differences in KM (∼40-fold) resulted in ∼30-fold variation in kcat /KM . Binding of aminoglycosides to AAC-VIa was enthalpically favored and entropically disfavored with a net result of favorable Gibbs energy (ΔG < 0). A net deprotonation of the enzyme, ligand, or both accompanied the formation of binary and ternary complexes. This is opposite of what was observed with several other aminoglycoside N3-acetyltransferases, where ligand binding causes more protonation. The change in heat capacity (ΔCp) was different in H2 O and D2 O for the binary enzyme-sisomicin complex but remained the same in both solvents for the ternary enzyme-CoASH-sisomicin complex. Unlike, most other aminoglycoside-modifying enzymes, the values of ΔCp were within the expected range of protein-carbohydrate interactions. Solution behavior of AAC-VIa was also different from the more promiscuous aminoglycoside N3-acetyltransferases and showed a monomer-dimer equilibrium as detected by analytical ultracentrifugation (AUC). Binding of ligands shifted the enzyme to monomeric state. Data also showed that polar interactions were the most dominant factor in dimer formation. Overall, thermodynamics of ligand-protein interactions and differences in protein behavior in solution provide few clues on the limited substrate profile of this enzyme despite its >55% sequence similarity to the highly promiscuous aminoglycoside N3-acetyltransferase. Proteins 2017; 85:1258-1265. © 2017 Wiley Periodicals, Inc.


Subject(s)
Acetyltransferases/chemistry , Anti-Bacterial Agents/chemistry , Bacterial Proteins/chemistry , Enterobacter cloacae/chemistry , Protons , Sisomicin/chemistry , Acetyltransferases/genetics , Acetyltransferases/metabolism , Amino Acid Motifs , Anti-Bacterial Agents/metabolism , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Binding Sites , Cloning, Molecular , Deuterium Oxide/chemistry , Enterobacter cloacae/enzymology , Escherichia coli/genetics , Escherichia coli/metabolism , Gene Expression , Gentamicins/chemistry , Gentamicins/metabolism , Kanamycin/chemistry , Kanamycin/metabolism , Kinetics , Ligands , Models, Molecular , Protein Binding , Protein Interaction Domains and Motifs , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Sisomicin/metabolism , Structural Homology, Protein , Substrate Specificity , Thermodynamics , Tobramycin/chemistry , Tobramycin/metabolism , Water/chemistry
10.
Methods Mol Biol ; 1483: 77-90, 2016.
Article in English | MEDLINE | ID: mdl-27645732

ABSTRACT

The components of the aminoglycosides, e.g., gentamicin, sisomicin, netilmicin, kanamycin, amikacin, and tobramycin, and related impurities of these antibiotics can be separated by means of micellar electrokinetic chromatography (MEKC). Derivatization with o-phthaldialdehyde and thioglycolic acid is found to be appropriate for these antibiotics. The background electrolyte was composed of sodium tetraborate (100 mM), sodium deoxycholate (20 mM), and ß-cyclodextrin (15 mM) having a pH value of 10.0. This method is valid for evaluation of gentamicin, kanamycin, and tobramycin. It has to be adopted for amikacin, paromomycin, neomycin, and netilmicin.


Subject(s)
Aminoglycosides/isolation & purification , Anti-Bacterial Agents/isolation & purification , Chromatography, Micellar Electrokinetic Capillary/methods , Amikacin/chemistry , Amikacin/isolation & purification , Aminoglycosides/chemistry , Anti-Bacterial Agents/chemistry , Kanamycin/chemistry , Kanamycin/isolation & purification , Micelles , Netilmicin/chemistry , Netilmicin/isolation & purification , Sisomicin/chemistry , Sisomicin/isolation & purification , Tobramycin/chemistry , Tobramycin/isolation & purification , beta-Cyclodextrins/chemistry , beta-Cyclodextrins/isolation & purification
11.
Bioorg Med Chem ; 24(24): 6429-6439, 2016 12 15.
Article in English | MEDLINE | ID: mdl-27614915

ABSTRACT

The efficacy of plazomicin for pneumonic plague was evaluated in a non-human primate model. African Green monkeys challenged with a lethal aerosol of Yersinia pestis [median (range) of 98 (15-331) LD50s] received placebo (n=12) or 'humanized' dose regimens (6.25, 12.5 or 25mg/kg every 24h) of plazomicin (n=52) after the onset of fever for a duration of 5 or 10days. All animals treated with placebo died, while 36 plazomicin-treated animals survived through study end. The majority (33/36) were either in the 10-day (high-/mid-/low-dose) or 5-day high-dose groups. The findings suggest an exposure range of plazomicin for treatment of pneumonic/bacteremic Y. pestis infection in humans.


Subject(s)
Disease Models, Animal , Plague/drug therapy , Sisomicin/analogs & derivatives , Animals , Chlorocebus aethiops , Dose-Response Relationship, Drug , Molecular Conformation , Sisomicin/chemistry , Sisomicin/therapeutic use
12.
J Pharm Biomed Anal ; 111: 126-30, 2015.
Article in English | MEDLINE | ID: mdl-25880243

ABSTRACT

Amino carbamate adduct formation from the amino group of an aminoglycoside and carbon dioxide has been postulated as a mechanism for reducing nephrotoxicity in the aminoglycoside class compounds. In this study, sisomicin was used as a model compound for amino carbamate analysis. A high pH based reversed-phase high performance liquid chromatography (RP-HPLC) method is used to separate the amino carbamate from sisomicin. The carbamate is stable as the breakdown is inhibited at high pH and any reactive carbon dioxide is removed as the carbonate. The amino carbamate was quantified and the molar fraction of amine as the carbamate of sisomicin was obtained from the HPLC peak areas. The equilibrium constant of carbamate formation, Kc, was determined to be 3.3 × 10(-6) and it was used to predict the fraction of carbamate over the pH range in a typical biological systems. Based on these results, the fraction of amino carbamate at physiological pH values is less than 13%, and the postulated mechanism for nephrotoxicity protection is not valid. The same methodology is applicable for other aminoglycosides.


Subject(s)
Carbamates/chemistry , Sisomicin/chemistry , Aminoglycosides/chemistry , Carbon Dioxide/chemistry , Chromatography, High Pressure Liquid/methods , Chromatography, Reverse-Phase/methods , Hydrogen-Ion Concentration
13.
ChemMedChem ; 8(5): 733-9, 2013 May.
Article in English | MEDLINE | ID: mdl-23436717

ABSTRACT

Parasitic infections recognized as neglected tropical diseases are a source of concern for several regions of the world. Aminoglycosides are potent antimicrobial agents that have been extensively studied by biochemical and structural studies in prokaryotes. However, the molecular mechanism of their potential antiprotozoal activity is less well understood. In the present study, we have examined the in vitro inhibitory activities of some aminoglycosides with a 6'-hydroxy group on ring I and highlight that one of them, 6'-hydroxysisomicin, exhibits promising activity against a broad range of protozoan parasites. Furthermore, we have conducted X-ray analyses of 6'-hydroxysisomicin bound to the target ribosomal RNA A-sites in order to understand the mechanisms of both its antibacterial and antiprotozoal activities at the molecular level. The unsaturated ring I of 6'-hydroxysisomicin can directly stack on G1491, which is highly conserved in bacterial and protozoal species, through π-π interaction and fits closer to the guanidine base than the typically saturated and hydroxylated ring I of other structurally related aminoglycosides. Consequently, the compound adopts a lower energy conformation within the bacterial and protozoal A-sites and makes pseudo pairs to either A or G at position 1408. The A-site-selective binding mode strongly suggests that 6'-hydroxysisomicin is a potential lead for the design of next-generation aminoglycosides targeting a wide variety of infectious diseases.


Subject(s)
Anti-Bacterial Agents/pharmacology , Antiprotozoal Agents/pharmacology , RNA, Ribosomal/antagonists & inhibitors , Sisomicin/pharmacology , Anti-Bacterial Agents/chemistry , Antiprotozoal Agents/chemistry , Bacteria/drug effects , Binding Sites/drug effects , Crystallography, X-Ray , Dose-Response Relationship, Drug , Leishmania donovani/drug effects , Microbial Sensitivity Tests , Models, Molecular , Molecular Conformation , Parasitic Sensitivity Tests , Plasmodium falciparum/drug effects , RNA, Ribosomal/chemistry , RNA, Ribosomal/metabolism , Sisomicin/chemistry , Structure-Activity Relationship , Trypanosoma brucei rhodesiense/drug effects
14.
Expert Rev Anti Infect Ther ; 10(4): 459-73, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22512755

ABSTRACT

Plazomicin (formerly ACHN-490) is a next-generation aminoglycoside that was synthetically derived from sisomicin by appending a hydroxy-aminobutyric acid substituent at position 1 and a hydroxyethyl substituent at position 6'. Plazomicin inhibits bacterial protein synthesis and exhibits dose-dependent bactericidal activity. Plazomicin demonstrates activity against both Gram-negative and Gram-positive bacterial pathogens, including isolates harboring any of the clinically relevant aminoglycoside-modifying enzymes. However, like older parenteral aminoglycosides, plazomicin is not active against bacterial isolates expressing ribosomal methyltransferases conferring aminoglycoside resistance. Plazomicin has been reported to demonstrate in vitro synergistic activity when combined with daptomycin or ceftobiprole versus methicillin-resistant Staphylococcus aureus, heteroresistant vancomycin-intermediate S. aureus, vancomycin-intermediate S. aureus, and vancomycin-resistant S. aureus and against Pseudomonas aeruginosa when combined with cefepime, doripenem, imipenem or piperacillin-tazobactam. After intravenous administration of plazomicin to humans at a dose of 15 mg/ kg, the maximum concentraration was 113 µg/ml, the area under the curve(0-24) was 239 h·µg/ml, the half-life was 4.0 h and the steady-state volume of distribution was 0.24 L/kg. Results from a Phase II randomized, double-blind study in patients with complicated urinary tract infection and acute pyelonephritis including cases with concurrent bacteremia comparing plazomicin 15 mg/kg intravenously once daily for 5 days with levofloxacin 750 mg intravenously. for 5 days are anticipated in 2012. Human studies to date have not reported nephrotoxicity or ototoxicity, and lack of ototoxicity has been reported in the guinea pig model. Given reported increases in bacterial resistance to current antimicrobial agents and the lack of availability of new agents with novel mechanisms, plazomicin may become a welcomed addition to the antibacterial armamentarium pending positive results from large-scale clinical trials and other required clinical studies.


Subject(s)
Aminoglycosides/pharmacology , Anti-Bacterial Agents/pharmacology , Gram-Negative Bacteria/drug effects , Gram-Positive Bacteria/drug effects , Sisomicin/analogs & derivatives , Amikacin/chemistry , Amikacin/pharmacokinetics , Amikacin/pharmacology , Aminoglycosides/chemistry , Aminoglycosides/pharmacokinetics , Animals , Anti-Bacterial Agents/chemistry , Anti-Bacterial Agents/pharmacokinetics , Drug Resistance, Bacterial , Female , Gentamicins/chemistry , Gentamicins/pharmacokinetics , Gentamicins/pharmacology , Humans , Mice , Mice, Inbred BALB C , Microbial Sensitivity Tests , Sisomicin/chemistry , Sisomicin/pharmacokinetics , Sisomicin/pharmacology , Tobramycin/chemistry , Tobramycin/pharmacokinetics , Tobramycin/pharmacology
15.
J Pharm Biomed Anal ; 66: 75-84, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22459505

ABSTRACT

A reversed-phase high performance liquid chromatographic (RP-HPLC) method has been developed for the aminoglycoside (AG) plazomicin (ACHN-490). This method employed a high pH mobile phase (pH>11) with a gradient of 0.25 M ammonium hydroxide in water and acetonitrile, an XBridge C(18) column and UV detection at 210 nm. Although the molar UV absorption of plazomicin is weak, the high pH conditions of this method allow for higher loadings, which compensates for the inherent low UV sensitivity. Under these high pH conditions, impurities and degradants were base line separated from plazomicin. The mobile phases used for this method allowed for on-line mass detection for the impurities and degradants. The RP-HPLC method has been validated in terms of specificity, linearity and range, accuracy, and precision. The analytical method met specificity requirements of a homogenous peak with no interferences from the blank or from the known impurities in plazomicin. The linearity of the method for the plazomicin impurity determination was excellent, with a coefficient of determination (r(2)) of 0.9993, over the freebase (FB) concentration range of 0.0025-3.0 mg/mL. The method is capable of detecting impurities down to 0.1% of the peak area of plazomicin. A single point standard at a concentration of 1.0 mg/mL FB was validated over the range of 50-150% for quantitation of the freebase content (the assay) in bulk drug substance. The mean recoveries of FB are in the range 98.6-102.0% with a mean RSD (relative standard deviation) <1.0%. The study also examined the method precision for purity, impurities and the assay with two instruments on two different days. The method showed adequate accuracy and precision for the intended use. This high pH method was successfully used to determine the impurity and measure the drug content in the final plazomicin drug substance. In addition, the method with an on-line mass spectrometry detector has been used to characterize the structures of the impurities in plazomicin.


Subject(s)
Anti-Bacterial Agents/analysis , Chromatography, High Pressure Liquid/methods , Mass Spectrometry/methods , Sisomicin/analogs & derivatives , Anti-Bacterial Agents/chemistry , Drug Contamination , Hydrogen-Ion Concentration , Limit of Detection , Reproducibility of Results , Sensitivity and Specificity , Sisomicin/analysis , Sisomicin/chemistry
16.
Eur J Pharm Sci ; 45(3): 251-62, 2012 Feb 14.
Article in English | MEDLINE | ID: mdl-22115867

ABSTRACT

Radiation sterilization technology is more actively used now that any time because of its many advantages. Gamma radiation has high penetrating power, relatively low chemical reactivity and causes small temperature rise. But on the other hand radiosterilization can lead to radiolytic products appearing, in example free radicals. Free radicals in radiative sterilized sisomicin, tobramycin and paromomycin were studied by electron paramagnetic resonance (EPR) spectroscopy. Dose of gamma irradiation of 25kGy was used. Concentrations and properties of free radicals in irradiated antibiotics were studied. EPR spectra were recorded for samples stored in air and argon. For gamma irradiated antibiotics strong EPR lines were recorded. One- and two-exponential functions were fitted to experimental points during testing and researching of time influence of the antibiotics storage to studied parameters of EPR lines. Our study of free radicals in radiosterilized antibiotics indicates the need for characterization of medicinal substances prior to sterilization process using EPR values. We propose the concentration of free radicals and other spectroscopic parameters as useful factors to select the optimal type of sterilization for the individual drug. The important parameters are i.a. the τ time constants and K constants of exponential functions. Time constants τ give us information about the speed of free radicals concentration decrease in radiated medicinal substances. The constant K(0) shows the free radicals concentration in irradiated medicament after long time of storage.


Subject(s)
Anti-Bacterial Agents/radiation effects , Free Radicals/analysis , Gamma Rays , Paromomycin/radiation effects , Sisomicin/radiation effects , Sterilization/methods , Tobramycin/radiation effects , Algorithms , Anti-Bacterial Agents/chemistry , Electron Spin Resonance Spectroscopy , Humans , Kinetics , Melanins/metabolism , Paromomycin/chemistry , Sisomicin/chemistry , Tobramycin/chemistry
17.
Org Lett ; 13(24): 6476-9, 2011 Dec 16.
Article in English | MEDLINE | ID: mdl-22085292

ABSTRACT

Biosynthetically inspired manipulation of the antibiotic paromomycin led, in six high-yielding steps, to a ring A harboring an α,ß-unsaturated 6'-aldehyde and an allylic 3'-methylcarbonate group. Tsuji deoxygenation in the presence of 5 mol % Pd(2)(dba)(3) and Bu(3)P granted access to a novel series of 3',4'-dideoxy-4',5'-dehydro ring A hybrids. The neomycin-sisomicin hybrid exhibited superior in vitro antibacterial activity to the parent compound neomycin.


Subject(s)
Aminoglycosides/chemical synthesis , Anti-Bacterial Agents/chemical synthesis , Palladium/chemistry , Aminoglycosides/chemistry , Anti-Bacterial Agents/chemistry , Catalysis , Neomycin/chemistry , Oxidation-Reduction , Paromomycin/chemistry , Sisomicin/chemistry
18.
Antimicrob Agents Chemother ; 54(11): 4636-42, 2010 Nov.
Article in English | MEDLINE | ID: mdl-20805391

ABSTRACT

ACHN-490 is a neoglycoside, or "next-generation" aminoglycoside (AG), that has been identified as a potentially useful agent to combat drug-resistant bacteria emerging in hospitals and health care facilities around the world. A focused medicinal chemistry campaign produced a collection of over 400 sisomicin analogs from which ACHN-490 was selected. We tested ACHN-490 against two panels of Gram-negative and Gram-positive pathogens, many of which harbored AG resistance mechanisms. Unlike legacy AGs, ACHN-490 was active against strains expressing known AG-modifying enzymes, including the three most common such enzymes found in Enterobacteriaceae. ACHN-490 inhibited the growth of AG-resistant Enterobacteriaceae (MIC(90), ≤4 µg/ml), with the exception of Proteus mirabilis and indole-positive Proteae (MIC(90), 8 µg/ml and 16 µg/ml, respectively). ACHN-490 was more active alone in vitro against Pseudomonas aeruginosa and Acinetobacter baumannii isolates with AG-modifying enzymes than against those with altered permeability/efflux. The MIC(90) of ACHN-490 against AG-resistant staphylococci was 2 µg/ml. Due to its promising in vitro and in vivo profiles, ACHN-490 has been advanced into clinical development as a new antibacterial agent.


Subject(s)
Anti-Bacterial Agents/chemical synthesis , Anti-Bacterial Agents/pharmacology , Sisomicin/analogs & derivatives , Acinetobacter baumannii/drug effects , Anti-Bacterial Agents/chemistry , Enterobacteriaceae/drug effects , Microbial Sensitivity Tests , Molecular Structure , Proteus mirabilis/drug effects , Pseudomonas aeruginosa/drug effects , Sisomicin/chemical synthesis , Sisomicin/chemistry , Sisomicin/pharmacology
19.
Antimicrob Agents Chemother ; 54(5): 2258-61, 2010 May.
Article in English | MEDLINE | ID: mdl-20145088

ABSTRACT

Synergy time-kill studies of 47 methicillin-resistant Staphylococcus aureus strains with differing resistance phenotypes showed that combinations of subinhibitory concentrations of ACHN-490 and daptomycin yielded synergy against 43/47 strains at 24 h, while the combination was indifferent against the remaining 4 strains. ACHN-490 and ceftobiprole showed synergy in 17/47 strains tested at 24 h, while 6/47 strains showed synergy for subinhibitory combinations of ACHN-490 and linezolid.


Subject(s)
Acetamides/pharmacology , Aminoglycosides/pharmacology , Daptomycin/pharmacology , Methicillin-Resistant Staphylococcus aureus/drug effects , Oxazolidinones/pharmacology , Sisomicin/analogs & derivatives , Aminoglycosides/chemistry , Anti-Bacterial Agents/pharmacology , Cephalosporins/pharmacology , Drug Resistance, Bacterial/drug effects , Drug Synergism , Linezolid , Microbial Sensitivity Tests , Sisomicin/chemistry , Sisomicin/pharmacology , Time Factors
20.
Mar Biotechnol (NY) ; 11(6): 717-24, 2009.
Article in English | MEDLINE | ID: mdl-19277782

ABSTRACT

Strain GB-2 is a marine microbe with broad-spectrum antimicrobial activity, isolated from soil taken from the coastal city Lianyungang in the JiangSu province of China. Analysis of its morphological, physiological, and biochemical characteristics as well as chemical components of the cell wall strongly suggested that the strain GB-2 belonged to the Streptomyces sp. Analysis of the nucleotide sequence of the 16S rRNA gene of Streptomyces sp. GB-2 strain showed a strong similarity (98%) with the 16 rRNA gene of Streptomyces fradiae. Application to antibacterial substance of strain Streptomyces sp. GB-2 by various separation steps led to isolation of one active molecule having a retention time of 9.495 min, P(9.495 min), which possessed antibacterial activity against Bacillus cereus and Escherichia coli. Through analysis by liquid chromatography-mass spectrometry and mass/mass spectrometry of the peak, the molecular weight of the antibacterial substance (P(9.495 min) sample) was 447.5 Da and it was determined to be sisomicin according to the analysis of ion fragments. Nuclear magnetic resonance spectrum of the peak also demonstrated that the antibacterial substance was sisomicin. This study is the first to introduce the finding of sisomicin produced from marine Streptomyces sp. This work provides a preference for the production of sisomicin in pharmaceutical industries and a probability for studying the biodiversity of marine microbe.


Subject(s)
Anti-Bacterial Agents/isolation & purification , Sisomicin/isolation & purification , Streptomyces/chemistry , Anti-Bacterial Agents/chemistry , Base Sequence , China , Chromatography, Liquid , Cluster Analysis , DNA Primers/genetics , Magnetic Resonance Spectroscopy , Mass Spectrometry , Molecular Sequence Data , Phylogeny , RNA, Ribosomal, 16S/genetics , Sequence Analysis, DNA , Sequence Homology , Sisomicin/chemistry , Streptomyces/genetics
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