Abstract

Polymer masked–unmasked protein therapy (PUMPT) uses conjugation of a biodegradable polymer, such as dextrin, hyaluronic acid, or poly(l-glutamic acid), to mask a protein or peptide’s activity; subsequent locally triggered degradation of the polymer at the target site regenerates bioactivity in a controllable fashion. Although the concept of PUMPT is well established, the relationship between protein unmasking and reinstatement of bioactivity is unclear. Here, we used dextrin–colistin conjugates to study the relationship between the molecular structure (degree of unmasking) and biological activity. Size exclusion chromatography was employed to collect fractions of differentially degraded conjugates and ultraperformance liquid chromatography–mass spectrometry (UPLC–MS) employed to characterize the corresponding structures. Antimicrobial activity was studied using a minimum inhibitory concentration (MIC) assay and confocal laser scanning microscopy of LIVE/DEAD-stained biofilms with COMSTAT analysis. In vitro toxicity of the degraded conjugate was assessed using an 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide assay. UPLC–MS revealed that the fully “unmasked” dextrin–colistin conjugate composed of colistin bound to at least one linker, whereas larger species were composed of colistin with varying lengths of glucose units attached. Increasing the degree of dextrin modification by succinoylation typically led to a greater number of linkers bound to colistin. Greater antimicrobial and antibiofilm activity were observed for the fully “unmasked” conjugate compared to the partially degraded species (MIC = 0.25 and 2–8 μg/mL, respectively), whereas dextrin conjugation reduced colistin’s in vitro toxicity toward kidney cells, even after complete unmasking. This study highlights the importance of defining the structure–antimicrobial activity relationship for novel antibiotic derivatives and demonstrates the suitability of LC–MS to aid the design of biodegradable polymer–antibiotic conjugates.

Highlights

  • The emergence of antibiotic-resistant bacteria represents a major global health threat and a significant clinical and societal challenge

  • size exclusion chromatography (SEC)-RI of the dextrin−colistin conjugate after amylase unmasking showed a decrease of the peak corresponding to the conjugate (400−750 min) (Figure 2A)

  • This was mirrored by the appearance of a peak corresponding to a species with a molecular weight close to that of colistin, which was observed by SEC-UV (Figure 2B)

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Summary

Introduction

The emergence of antibiotic-resistant bacteria represents a major global health threat and a significant clinical and societal challenge. Of particular concern is the rapidly increasing resistance rate of many Gram-negative bacterial pathogens, which has been mirrored by a decrease in research and development of new antibiotic compounds.[1] In 2018, the World Health Organization (WHO) published a list of pathogens posing the greatest threat to human health.[2] The most critical pathogen group includes Pseudomonas aeruginosa, Acinetobacter baumannii, and Enterobacteriaceae (which includes Klebsiella pneumoniae and Escherichia coli) because of high levels of drug resistance and severity of infection in hospitals, nursing homes, and among critically ill and elderly patients. Received: April 10, 2019 Revised: May 21, 2019 Accepted: May 24, 2019 Published: May 24, 2019.

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