Abstract

A variety of commercial analogs and a newer series of Sulindac derivatives were screened for inhibition of M. tuberculosis (Mtb) in vitro and specifically as inhibitors of the essential mycobacterial tubulin homolog, FtsZ. Due to the ease of preparing diverse analogs and a favorable in vivo pharmacokinetic and toxicity profile of a representative analog, the Sulindac scaffold may be useful for further development against Mtb with respect to in vitro bacterial growth inhibition and selective activity for Mtb FtsZ versus mammalian tubulin. Further discovery efforts will require separating reported mammalian cell activity from both antibacterial activity and inhibition of Mtb FtsZ. Modeling studies suggest that these analogs bind in a specific region of the Mtb FtsZ polymer that differs from human tubulin and, in combination with a pharmacophore model presented herein, future hybrid analogs of the reported active molecules that more efficiently bind in this pocket may improve antibacterial activity while improving other drug characteristics.

Highlights

  • Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), is one of the most prevalent infectious diseases worldwide

  • A diverse set of compounds and natural products was selected for screening against Mtb FtsZ and its mammalian homolog tubulin

  • In order to assess whole bacterial activity, MICs against the non-pathogenic mycobacterial strains Mtb H37Ra and MAC NJ211 were determined and inhibitory activities evaluated against a potential target, FtsZ, that is highly homologous between Mtb strains and essential in mycobacteria

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Summary

Introduction

Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), is one of the most prevalent infectious diseases worldwide. A recent report by the World Health Organization (WHO) reveals that in 2014 there were an estimated 9.6 million new cases of TB (12% co-infected with HIV) and 1.5 million people died from the disease, including 1.1 million deaths among HIVnegative individuals and 400,000 among people who were HIV-positive.[1] the increasing development of multi-drug resistant TB (MDR-TB) strains, forms of TB that do not respond to standard front line regimens, is a serious burden on public health systems throughout the world. Extensively drug resistant tuberculosis (XDR-TB) that is resistant to second line drugs has emerged in numerous areas PLOS ONE | DOI:10.1371/journal.pone.0164100 October 21, 2016

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