Abstract

Mycobacterium abscessus is a rapidly growing life-threatening mycobacterium with multiple drug-resistance mechanisms. However, there is no official regimen for M. abscessus therapy. In this study, we screened the Pathogen Box, which contains 400 drug-like molecules active against neglected diseases, to identify active molecules targeting Mycobacterium abscessus using resazurin live/dead assays. In this screening assay, the Z-factor was 0.7, as an indicator of the statistical confidence of the assay. A cut-off of 80% growth inhibition in the screening resulted in the identification of four different compounds at a single concentration (20 μM). Dose-response curves identified three different hit candidates, i.e., MMV688508, MMV688844, and MMV688845, which generated good inhibitory curves. All hit candidates were expected to have different molecular targets. Among them, MMV688844 showed the best minimum inhibitory concentration value for not only wild-type M. abscessus but also for nine different R and S morphotype clinical isolates. Thus, we found that MMV688844, identified from the Pathogen Box screen, may be a promising candidate in the M. abscessus drug discovery pipeline.

Highlights

  • Mycobacterium abscessus is a potentially life-threatening, pathogenic, rapidly growing mycobacterium (RGM) with multiple intrinsic and extrinsic drug-resistance mechanisms [1]

  • We found that MMV688844 was the best candidate with potential for lead optimization, exhibiting the lowest minimum inhibitory concentration (MIC) and strong activity against clinical isolates

  • We identified effective compounds using a screening assay with M. abscessus grown in the mid-log phase

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Summary

Introduction

Mycobacterium abscessus is a potentially life-threatening, pathogenic, rapidly growing mycobacterium (RGM) with multiple intrinsic and extrinsic drug-resistance mechanisms [1]. We screened the Pathogen Box, which contains 400 diverse, drug-like molecules active against neglected diseases, such as ascariasis, Buruli ulcer, Chagas disease, and malaria, in order to identify hit compounds for M. abscessus. We found that MMV688844 was the best candidate with potential for lead optimization, exhibiting the lowest minimum inhibitory concentration (MIC) and strong activity against clinical isolates. The MICs of the hit compounds were determined using twofold serial dilution assays.

Results
Conclusion
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