Abstract

Biotin protein ligase (BPL) inhibitors are a novel class of antibacterial that target clinically important methicillin-resistant Staphylococcus aureus (S. aureus). In S. aureus, BPL is a bifunctional protein responsible for enzymatic biotinylation of two biotin-dependent enzymes, as well as serving as a transcriptional repressor that controls biotin synthesis and import. In this report, we investigate the mechanisms of action and resistance for a potent anti-BPL, an antibacterial compound, biotinyl-acylsulfamide adenosine (BASA). We show that BASA acts by both inhibiting the enzymatic activity of BPL in vitro, as well as functioning as a transcription co-repressor. A low spontaneous resistance rate was measured for the compound (<10−9) and whole-genome sequencing of strains evolved during serial passaging in the presence of BASA identified two discrete resistance mechanisms. In the first, deletion of the biotin-dependent enzyme pyruvate carboxylase is proposed to prioritize the utilization of bioavailable biotin for the essential enzyme acetyl-CoA carboxylase. In the second, a D200E missense mutation in BPL reduced DNA binding in vitro and transcriptional repression in vivo. We propose that this second resistance mechanism promotes bioavailability of biotin by derepressing its synthesis and import, such that free biotin may outcompete the inhibitor for binding BPL. This study provides new insights into the molecular mechanisms governing antibacterial activity and resistance of BPL inhibitors in S. aureus.

Highlights

  • The need for new antimicrobial agents to combat the growing threat of drug resistance is currently not being met, with only five novel classes of antibiotics introduced since 2000 [1,2]

  • Antimicrobial susceptibility assays performed against a panel of clinical isolates of S. aureus (n = 23) revealed that biotinyl-acylsulfamide adenosine (BASA) was active performed against a panel of clinical isolates of S. aureus (n = 23) revealed that BASA was active against both methicillin-sensitive and resistant strains with minimal inhibitory concentration (MIC)

  • There was no change to the MIC when the antimicrobial susceptibility assay was performed in growth media supplemented with 10% fetal calf antimicrobial susceptibility assay was performed in growth media supplemented with 10% fetal calf serum but it did increase eight-fold with 20% serum, suggesting slightly reduced efficacy in the presence serum but it did increase eight-fold with 20% serum, suggesting slightly reduced efficacy in the of serum fatty acids (Table 1)

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Summary

Introduction

The need for new antimicrobial agents to combat the growing threat of drug resistance is currently not being met, with only five novel classes of antibiotics introduced since 2000 [1,2]. Strains that are resistant to multiple classes of clinically approved antibiotics have been reported for Staphylococcus aureus, Enterococci species and Mycobacterium tuberculosis amongst others [3]. There is a desperate need for new products with novel mechanisms of action that are not subject to existing resistance mechanisms. Precious few novel antimicrobial agents are currently in the drug development pipeline. We examine one such inhibitor that is active against drug-resistant S. aureus [7] and probe mechanisms of action and potential resistance

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