Abstract

Bacterial β-lactamase enzymes are in large part responsible for the decreased ability of β-lactam antibiotics to combat infections. The inability to overcome β-lactamase mediated resistance spurred the development of inhibitors with penems and penam sulfones being amongst the most potent and broad spectrum mechanism-based inactivators. These inhibitors form covalent, “suicide-type” inhibitory intermediates that are attached to the catalytic S70 residue. To further probe the details of the mechanism of β-lactamase inhibition by these novel compounds, we determined the crystal structures of SHV-1 bound with penem 1, and penam sulfones SA1-204 and SA3-53. Comparison with each other and with previously determined crystal structures of members of these classes of inhibitors suggests that the final conformation of the covalent adduct can vary greatly amongst the complex structures. In contrast, a common theme of carbonyl conjugation as a mechanism to avoid deacylation emerges despite that the penem and penam sulfone inhibitors form different types of intermediates. The detailed insights gained from this study could be used to further improve new mechanism-based inhibitors of these common class A serine β-lactamases.

Highlights

  • Bacterial b-lactamases in Gram negative bacteria are primarily responsible for the inactivation of our current b-lactam antibiotics

  • The continued introduction of newer b-lactam antibiotics and blactamase inhibitors to overcome b-lactam resistance has been driven by the increased number of b-lactamases including extended-spectrum (ESBL), carbapenem hydrolyzing, and inhibitor-resistant phenotypes (IR) [1]

  • In addition to the three clinically used b-lactamase inhibitors a number of other mechanism-based inactivators are being explored that employ a variety of different chemical pathways to achieve inhibition [2]

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Summary

Introduction

Bacterial b-lactamases in Gram negative bacteria are primarily responsible for the inactivation of our current b-lactam antibiotics. Penem and penam sulfone b-lactamase inhibitors bearing heterocycle substitutions at the C6 position via a methylidene linkage (see Figure 1) are two compound classes that inactivate class A b-lactamases by forming a long-lived intermediates [2].

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