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Imitation of β-lactam binding enables broad-spectrum metallo-β-lactamase inhibitors

Brem, Jürgen (author)
Panduwawala, Tharindi (author)
Hansen, Jon Ulf (author)
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Hewitt, Joanne (author)
Liepins, Edgars (author)
Donets, Pawel (author)
Espina, Laura (author)
Farley, Alistair J M (author)
Shubin, Kirill (author)
Campillos, Gonzalo Gomez (author)
Kiuru, Paula (author)
Shishodia, Shifali (author)
Krahn, Daniel (author)
Leśniak, Robert K (author)
Schmidt Adrian, Juliane (author)
Calvopiña, Karina (author)
Turrientes, María-Carmen (author)
Kavanagh, Madeline E (author)
Lubriks, Dmitrijs (author)
Hinchliffe, Philip (author)
Langley, Gareth W (author)
Aboklaish, Ali F (author)
Eneroth, Anders (author)
Uppsala universitet,Institutionen för farmaci
Backlund, Maria (author)
Uppsala universitet,Institutionen för farmaci,Science for Life Laboratory, SciLifeLab
Baran, Andrei G (author)
Nielsen, Elisabet I., 1973- (author)
Uppsala universitet,Institutionen för farmaci,Institutionen för farmaceutisk biovetenskap
Speake, Michael (author)
Kuka, Janis (author)
Robinson, John (author)
Grinberga, Solveiga (author)
Robinson, Lindsay (author)
McDonough, Michael A (author)
Rydzik, Anna M (author)
Leissing, Thomas M (author)
Jimenez-Castellanos, Juan Carlos (author)
Avison, Matthew B (author)
Da Silva Pinto, Solange (author)
Pannifer, Andrew D (author)
Martjuga, Marina (author)
Widlake, Emma (author)
Priede, Martins (author)
Hopkins Navratilova, Iva (author)
Gniadkowski, Marek (author)
Belfrage, Anna Karin, 1977- (author)
Uppsala universitet,Läkemedelsdesign och läkemedelsutveckling
Brandt, Peter (author)
Uppsala universitet,Läkemedelsdesign och läkemedelsutveckling
Yli-Kauhaluoma, Jari (author)
Bacque, Eric (author)
Page, Malcolm G P (author)
Björkling, Fredrik (author)
Tyrrell, Jonathan M (author)
Spencer, James (author)
Lang, Pauline A (author)
Baranczewski, Pawel (author)
Uppsala universitet,Institutionen för farmaci,Science for Life Laboratory, SciLifeLab
Cantón, Rafael (author)
McElroy, Stuart P (author)
Jones, Philip S (author)
Baquero, Fernando (author)
Suna, Edgars (author)
Morrison, Angus (author)
Walsh, Timothy R (author)
Schofield, Christopher J (author)
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 (creator_code:org_t)
2021-12-13
2022
English.
In: Nature Chemistry. - : Springer Nature. - 1755-4330 .- 1755-4349. ; 14:1, s. 15-24
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Carbapenems are vital antibiotics, but their efficacy is increasingly compromised by metallo-β-lactamases (MBLs). Here we report the discovery and optimization of potent broad-spectrum MBL inhibitors. A high-throughput screen for NDM-1 inhibitors identified indole-2-carboxylates (InCs) as potential β-lactamase stable β-lactam mimics. Subsequent structure-activity relationship studies revealed InCs as a new class of potent MBL inhibitor, active against all MBL classes of major clinical relevance. Crystallographic studies revealed a binding mode of the InCs to MBLs that, in some regards, mimics that predicted for intact carbapenems, including with respect to maintenance of the Zn(II)-bound hydroxyl, and in other regards mimics binding observed in MBL-carbapenem product complexes. InCs restore carbapenem activity against multiple drug-resistant Gram-negative bacteria and have a low frequency of resistance. InCs also have a good in vivo safety profile, and when combined with meropenem show a strong in vivo efficacy in peritonitis and thigh mouse infection models.

Keyword

Pharmaceutical Science
Farmaceutisk vetenskap

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ref (subject category)
art (subject category)

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