Joanna Juhaniewicz-Dębińska1, Robert Lasek2, Dagmara Tymecka3, Kinga Burdach1, Dariusz Bartosik2, Sławomir Sęk1. 1. Faculty of Chemistry, Biological and Chemical Research Centre, University of Warsaw, Żwirki i Wigury101, 02-089 Warsaw, Poland. 2. Faculty of Biology, Institute of Microbiology, Department of Bacterial Genetics, University of Warsaw, Miecznikowa 1, 02-096 Warsaw, Poland. 3. Faculty of Chemistry, University of Warsaw, Pasteura 1, 02-093 Warsaw, Poland.
Abstract
We have designed and synthesized new short lipopeptides composed of tetrapeptide conjugated to fatty acids with different chain lengths. The amino acid sequence of the peptide moiety included d-phenylalanine, two residues of l-2,4-diaminobutyric acid and l-leucine. To explore the possible mechanism of lipopeptide action, we have provided a physicochemical characterization of their interactions with artificial lipid membranes. For this purpose, we have used monolayers and bilayers composed of lipids representative of Gram-negative and Gram-positive bacterial membranes. Using surface pressure measurements and atomic force microscopy, we were able to monitor the changes occurring within the films upon exposure to lipopeptides. Our experiments revealed that all lipopeptides can penetrate the lipid membranes and affect their molecular ordering. The latter results in membrane thinning and fluidization. However, the effect is stronger in the lipid films mimicking Gram-positive bacterial membranes. The results of the physicochemical characterization were compared with the biological activity of lipopeptides. The effect of lipopeptides on bacterial growth was tested on several strains of bacteria. It was revealed that lipopeptides show stronger antimicrobial activity against Gram-positive bacteria. At the same time, all tested compounds display relatively low hemolytic activity.
We have designed and synthesized new short lipopeptides composed of tetrapeptide conjugated to fatty acids with different chain lengths. The amino acid sequence of the peptide moiety included d-phenylalanine, two residues of l-2,4-diaminobutyric acid and l-leucine. To explore the possible mechanism of lipopeptide action, we have provided a physicochemical characterization of their interactions with artificial lipid membranes. For this purpose, we have used monolayers and bilayers composed of lipids representative of Gram-negative and Gram-positive bacterial membranes. Using surface pressure measurements and atomic force microscopy, we were able to monitor the changes occurring within the films upon exposure to lipopeptides. Our experiments revealed that all lipopeptides can penetrate the lipid membranes and affect their molecular ordering. The latter results in membrane thinning and fluidization. However, the effect is stronger in the lipid films mimicking Gram-positive bacterial membranes. The results of the physicochemical characterization were compared with the biological activity of lipopeptides. The effect of lipopeptides on bacterial growth was tested on several strains of bacteria. It was revealed that lipopeptides show stronger antimicrobial activity against Gram-positive bacteria. At the same time, all tested compounds display relatively low hemolytic activity.
The increasing number
of infections caused by multiresistant bacteria
drives numerous studies devoted to the development of a new class
of antibiotic agents. In recent years, much effort has been put into
the development of active compounds with alternative modes of action
compared with currently available drugs. One of the most popular approaches
involves the use of peptide-based compounds having the ability to
disrupt cell membranes.[1] The advantage
of the membrane-active agents over existing drugs comes from the fact
that the development of drug-resistance mechanisms in bacteria is
much more difficult in such cases since the action of the membrane-active
agent is less specific compared with those affecting certain biochemical
processes. Among numerous classes of peptide-based products, lipopeptides
seem to be a very promising group of compounds with potent antibacterial
activity.[2,3] Lipopeptides are either natural or synthetic
compounds built of cyclic or short linear peptides coupled with a
lipid chain or other lipophilic molecules.[4] Lipopeptides with antimicrobial activity have been purified from
the numerous bacterial genera such as Bacillus, Pseudomonas, or Streptomyces.[5−7] Some of them are already approved as antibiotic drugs. The specific
examples include polymyxins and daptomycin. Synthetic lipopeptides
also show potent antimicrobial activity, as it was demonstrated in
several papers by Shai’s group.[1,8,9] In this case, the desired biological activity and
the function of lipopeptides may be suitably adjusted through careful
selection of fatty acid and peptide motif combination.[10] This represents a convenient approach to the
development of new antimicrobial agents, and their activity can be
modulated by variation of the amino acid sequence and/or the structure
of the acyl chain.The common feature of synthetic and natural
lipopeptides is their
ability to affect cell membrane integrity and permeability. For example,
daptomycin was shown to form calcium-dependent pores, which cause
membrane depolarization resulting from the increased transmembrane
flux of small cations.[11] On the other hand,
the mechanism of action of the same lipopeptide may vary depending
on the lipid composition of the membrane. In the case of daptomycin,
the presence of cardiolipin and palmitoyl lipids prevents the lipopeptide
translocation and pore-forming activity is hindered.[12,13] Nevertheless, depolarization still occurs due to the aggregation
of the active component on the surface of the membrane, which in turn
causes significant charge redistribution across the membrane.[14] Another possible mode of action involves permeation,
fluidization, and disintegration of membranes. The latter is often
observed for short synthetic lipopeptides.[8,15,16]In this work, we have synthesized
three new lipopeptides composed
of tetrapeptide covalently bonded at N-terminus to fatty acids with
different chain lengths. Their structure is demonstrated in Scheme .
Scheme 1
Structure of Lipopeptides
The lipopeptides were designed to possess features
providing their
membrane-active properties. These include the presence of a hydrophobic
portion, possibly with aromatic residues, which drives partitioning
into the hydrophobic core of the lipid bilayer, and the presence of
polar amino acid residues with positively charged side groups, which
facilitate electrostatic interactions with negatively charged lipids.
Additionally, it is favorable to introduce d-amino acid,
which suppresses in vivo enzymatic degradation of the active molecule.
Following this line of reasoning, the peptide sequence contained the
aromatic d-amino acid and positively charged residues, 2,4-diaminobutyric
acid. The latter was chosen since it is known to occur in natural
lipopeptides as well as cationic homopolymers that show affinity to
the microbial cytoplasmic membrane and cell-penetrating activity.[17] The presence of Dab residues distinguishes the
compounds described herein from ultrashort lipopeptides described
so far in the literature, where mainly Lys and Arg residues have been
utilized as positively charged amino acid residues. To explore the
nature of the interaction of lipopeptides with lipid membranes, we
have utilized model films composed of lipid species occurring in cell
membranes of Gram-positive and Gram-negative bacteria. Using surface
pressure measurements and atomic force microscopy (AFM), we have examined
how the presence of lipopeptides affects the structure of lipid assemblies.
The results of physicochemical characterization were compared with
the biological activity of the tested compounds.
Experimental
Section
Chemicals
1-Palmitoyl-2-oleoyl-sn-glycero-3-phosphoethanoloamine
(POPE), 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphoglycerol
(POPG), 1,2-dipalmitoyl-sn-glycero-3-phosphoglycerol
(DPPG), and 1′,3′-bis[1,2-dimyristoyl-sn-glycero-3-phospho]-glycerol (CL) were purchased from Avanti Polar
Lipids Inc. Phosphate buffer saline, all amino acid derivatives (Fmoc-dPhe-OH, Fmoc-Leu-OH, Fmoc-Dab(Boc)-OH), coupling reagent 2-(1H-benzotriazole-1-yl)-1,1,3,3-tetramethylaminium
tetrafluoroborate (TBTU), and N,N-diisopropylethylamine (DIPEA) were purchased from Sigma-Aldrich.
All solvents were obtained from Avantor Performance Materials Poland
S.A. The water was purified through the Milli-Q system (resistivity
18.2 MΩ × cm). In all experiments, we have used an aqueous
solution of 0.01 M phosphate buffer saline (PBS) adjusted to pH =
7.4 unless otherwise stated.
Synthesis of Lipopeptides
The lipopeptides,
with the
general formula of CH2CO-dPhe-Dab-Dab-Leu-NH2, where n = 11, 13, or 15 (further abbreviated as C-fXXL, where X denotes l-2,4-diaminobutyric
acid residue; f denotes d-phenylalanine, and L denotes l-leucine), were synthesized by solid-phase peptide synthesis.
The details of the synthesis and its general route are presented in
the Supporting Information.
Surface Pressure
Measurements
Spreading solutions of
lipids were prepared by dissolving the compounds in the chloroform/methanol
mixture (4:1, v/v). Two mixtures were prepared from the respective
stock solutions: POPE/DPPG/POPG (8:1.5:0.5) and DPPG/POPG/CL (1:1:2).
The stock solution of C16-fXXL was prepared in a water/methanol
mixture (1:1, v/v), while C14-fXXL and C12-fXXL
were dissolved in water.The critical micelle concentration
(CMC) in 0.01 M PBS was determined by measuring the changes in the
surface pressure at the air–water interface as a function of
the logarithm of the lipopeptide concentration in an aqueous 0.01
PBS solution. The surface pressure grew rapidly with the increasing
lipopeptide concertation in the subphase, but after reaching CMC,
a further increase in the lipopeptide concentration does not lead
to an increase in the surface pressure. The latter is pronounced as
a plateau, and the CMC value can be determined from the inflection
point between two regimes (see Supporting Information Figure S1).The experiments were performed
using a KSV NIMA Langmuir trough
(Biolin Scientific, Sweden) equipped with hydrophilic barriers. The
surface pressure was measured using a Wilhelmy plate made of filter
paper, and 0.01 M PBS was used as a subphase. Lipid mixtures were
deposited onto the buffered subphase using a Hamilton microsyringe
and left for 15 min for solvent evaporation. The monolayers were compressed
with a barrier speed of 15 cm2/min and at a constant temperature
of the subphase (22 ± 1 °C) measured after each experiment.
The results are presented as the mean (±SD) of experiments repeated
at least three times.The binding parameters of lipopeptides
were determined based on
a series of experiments in which lipopeptides were injected into the
subphase underneath the lipid monolayer at different values of the
initial surface pressure. The plot of the surface pressure increases
as a function of the initial surface pressure allows determining the
maximum insertion pressure (MIP) and ΔΠ0 by extrapolating the regression of the plot to the x- and y-axes, respectively. The synergy
was obtained by adding 1 to the slope of the plot. The experimental
errors of these parameters were calculated using a freely available
webpage (http://www.crchudequebec. ulaval.ca/BindingParametersCalculator/).
Liposome Preparation
Small unilamellar vesicles (SUVs)
were prepared according to the procedure described by Barenholtz and
co-workers.[18] Stock solutions containing
∼5.0 mg/mL of the desired lipids in chloroform/methanol (4:1,
v/v) were mixed in a test tube at the desired molar ratio. The solvent
was evaporated by vortexing the solution under the stream of argon,
and then the test tube with a dry lipid cake was placed in a vacuum
desiccator for 1 h. After the removal of solvent residues, 1.0 mL
of an aqueous solution of 0.01 M PBS was added to the lipid cake and
the mixture was sonicated at ∼40 °C for 1 h. The resulting
suspension of SUVs was homogeneous and transparent.
Topography
Imaging
Atomic force microscopy (AFM) experiments
were performed with a 5500AFM (Keysight Technologies) in a MAC Mode
with Type VII MAC levers (nominal spring constant 0.14 N/m). The samples
were imaged under in situ conditions in an aqueous buffer solution
at a temperature of 22 ± 1 °C. The bilayers were deposited
on freshly cleaved mica by spreading of small unilamellar vesicles,
and the bilayer formation was completed within approximately 2 h.
The thickness of lipid bilayers was determined based on cross-sectional
analysis as an average height difference between the bare substrate
and the region covered by the lipid film. In all AFM-based experiments,
we have used an aqueous solution of 0.01 M PBS to adjust the pH to
7.4, unless otherwise stated.
Bacterial Strains and Growth
Media
All tested strains
were acquired either from the Polish Collection of Microorganisms
(PCM) or American Type Culture Collection (ATCC). Gram-positive strains
tested: Staphylococcus aureus ATCC
29213, Staphylococcus epidermidis ATCC
12228, Enterococcus faecalis ATCC 14506.
Gram-negative strains tested: Escherichia coliST2-8624 O157:H7, Pseudomonas aeruginosa PAO 1 PCM
499, Klebsiella pneumoniae PCM 1, and Yersinia enterocolitica PCM 2081. All strains were
grown in lysogeny broth (LB).
Determination of Minimal
Inhibitory Concentration (MIC)
A single colony of the tested
bacterial strain was transferred to
10 mL of LB and grown at 30 °C overnight. The optical density
of the overnight culture was measured and adjusted to be 0.05 (at
600 nm) by diluting with LB. Tested lipopeptides were dissolved in
water, and a dilution series in LB were made to cover the concentration
range from 5 to 50 mg/L. The assay was performed by adding 100 μL
of each of the lipopeptide solutions at various concentrations and
100 μL of the diluted bacterial culture to the different wells
of a 96-well microtiter plate. MIC was defined as the lowest antibiotic
concentration required to inhibit the growth of bacteria after 24
h of incubation at 30 °C with vigorous shaking (final optical
density of <0.05 at 600 nm). Optical density measurements for the
MIC assay were conducted using a TECAN Sunrise plate reader. Data
were obtained from five independent experiments.
Determination
of the Effect of Lipopeptides on Bacterial Growth
The effect
of various concentrations of lipopeptides on bacterial
growth was tested for one Gram-positive strain (S.
aureus ATCC 29213) and three Gram-negative strains
(P. aeruginosa PAO 1 PCM 499, K. pneumoniae PCM 1, and Yersinia
enterocolitica PCM 2081). It was assessed similarly
to MIC, except that the diluted overnight cultures were preincubated
for 2 h before the addition of the lipopeptide solutions. Subsequently,
bacterial growth was monitored by optical density measurements every
60 min for 6 h. The data were obtained from three independent experiments.
Hemolytic Assay
Defibrinated sheep or horse blood was
washed three times in PBS buffer (137 mM NaCl, 2.7 mM KCl, 8 mM Na2HPO4, 2 mM KH2PO4, pH 7.4)
and diluted to obtain 2% (v/v) red blood cell (RBC) preparation. Serial
dilutions of lipopeptide compounds were prepared in PBS buffer medium
in the range of 5–50 mg/L (final concentrations). The experiment
was performed by adding 190 μL of a 2% RBC preparation to 10
μL each of the prepared dilutions of lipopeptides in a 96-well
microtiter plate. Instead of preparations of test compounds, Triton
X-100 (2% final concentration) was used as a positive control, while
the PBS buffer was used as a negative control. The samples were then
incubated for 30 min at 30 °C with shaking. After this time,
the plate was centrifuged (1200 rpm) and 150 μL of supernatant
was transferred to another microtiter plate, and then the absorbance
at 415 nm was measured using a TECAN Sunrise plate reader. The percentage
of hemolysis with respect to the positive control was determined at
different concentrations of lipopeptides. The data were obtained from
three independent experiments.
Results and Discussion
Surface
Pressure Measurements
Because lipopeptides
exhibit a surfactant-like structure, we have determined their critical
micelle concentration (CMC) using surface pressure measurements vs
logarithm of the lipopeptide concentration in aqueous 0.01 PBS. This
enables the assessment of the concentration range where active molecules
occur in a nonaggregated state in solution. The CMCs were determined
to be: 33 μM (24 μg/mL), 62 μM (43 μg/mL),
and 95 μM (63 μg/mL) for C16-fXXL, C14-fXXL, and C12-fXXL, respectively. Hence, within the concentration
range below CMC values, lipopeptides are dispersed in the bulk of
an aqueous buffer. Since lipopeptides studied here have the same polar
headgroups, the variation in the CMC value reflects the differences
in the length of the fatty acid residue chain. The surfactant self-assembly
is primarily governed by the hydrophobic effect, and the increase
in hydrophobicity of a molecule reduces the CMC. Therefore, the determined
CMC values decrease linearly with the increasing number of methylene
groups in the lipid chain.The effect of lipopeptides on model
bacterial lipid membranes was studied utilizing the Langmuir technique.
Two model lipid membranes were prepared composed of POPE/DPPG/POPG
(8:1.5:0.5) and DPPG/POPG/CL (1:1:2) to mimic the lipid composition
of the cell membrane of Gram-negative and Gram-positive bacteria,
respectively.[19,20] Lipopeptides were dissolved in
0.01 M PBS to the final concentration in the subphase equal to 1 μM,
which is well below their CMC values.First, lipid monolayers
were compressed on the PBS subphase without
lipopeptides. The POPE/DPPG/POPG monolayer shows only liquid-expanded
behavior (without LE-LC phase transition) during the compression until
achieving collapse at 48 mN/m (Figure A). The introduction of any lipopeptide into the subphase
shifts the POPE/DPPG/POPG isotherm toward larger molecular areas indicating
that lipopeptides incorporate into the POPE/DPPG/POPG monolayer, especially
at the beginning of the compression. However, the lift-off of the
isotherms recorded on C12-fXXL and C14-fXXL
subphase starts at a larger molecular area than in the case of C16-fXXL. This suggests that at low surface pressure, the lipopeptides
with shorter lipid chains incorporate more easily into the POPE/DPPG/POPG
membrane. This may be caused by the fact that shorter hydrophobic
chains result in better water solubility of lipopeptide molecules.
However, the limiting area per molecule increases with the increasing
length of the lipopeptidelipid chain (Table ) that is usually ascribed to the increasing
number of molecules incorporated from the subphase.[21,22] However, for the monolayer registered on the subphase with C16-fXXL, the slope of the isotherm changes rapidly above 38
mN/m, indicating a highly expanded and disordered state of the monolayer.
Interestingly, the minimum molecular area does not vary significantly
between individual lipopeptides, which means that the number of lipopeptide
molecules that remain within the monolayer at the interface are independent
of the lipopeptide chain length. Moreover, upon the introduction of
lipopeptides in the subphase, the shape of isotherms is transformed
toward those recorded for pure lipopeptides dissolved in chloroform
(see Supporting Information Figure S2).
These changes in the shape of isotherms are followed by substantial
changes in the values of the reciprocal of compression modulus (Cs–1), which is defined as[23]where Π is the surface
pressure and A is the area per molecule. The compression
modulus provides information on the state in which the monolayer exists
at a particular surface pressure. The maximum value of Cs–1 obtained for the POPE/DPPG/POPG
monolayer on a pure buffer subphase confirms that the monolayer exists
in a liquid-expanded state (Table ). With the addition of lipopeptide to the subphase,
new minima appear (inset in Figure A). The one at 25 mN/m (green curve) corresponds to
the one seen for C12-fXXL, and it is associated with the
structural reorganization within the layer (see Supporting Information Figure S2). At 39 mN/m, the C14-fXXL
and C16-fXXL monolayers collapse, indicating that the lipopeptide
molecules are squeezed out from the mixed layer. However, the minimum
molecular area and changes in the slope of isotherms above 39 mN/m
indicate that not all lipopeptide molecules are removed from the interface
and the mixed monolayer exists in a highly expanded phase until the
collapse at 44–45 mN/m. These results clearly show that all
three lipopeptides affect the POPE/DPPG/POPG monolayer during compression,
but the mode of interactions is strongly dependent on the length of
the acyl chain in the lipopeptide molecule.
Figure 1
Surface pressure-area
per molecule isotherm of (A) POPE/DPPG/POPG
and (B) DPPG/POPG/CL monolayers on a pure buffer subphase (black)
and buffer subphase containing 1 μM solution of C16-fXXL (red), C14-fXXL (blue), and C12-fXXL
(green). Insets: compression modulus vs surface pressure plots.
Table 1
Characteristic Parameters of Langmuir
Monolayers Formed on Subphases Containing Different Lipopeptides
subphase
limiting
area per molecule (Å2)
collapse
pressure (mN/m)
minimum area
per molecule (Å2)
maximum Cs–1 (mN/m)
POPE/DPPG/POPG
PBS buffer
80.5 ± 0.9
48.2 ± 0.6
43.3 ± 0.4
75 ± 4
10–6 M C16-fXXL
185.5 ± 2.2
43.5 ± 0.7
61.5 ± 0.7
65 ± 3
10–6 M C14-fXXL
172.3 ± 1.8
45.2 ± 0.8
57.3 ± 0.6
66 ± 5
10–6 M C12-fXXL
162.7 ± 1.5
44.4 ± 0.5
58.3 ± 0.7
55 ± 4
POPG/DPPG/CL
PBS
buffer
104.9 ± 0.6
57.5 ± 0.7
62.5 ± 0.5
110 ± 3
10–6 M C16-fXXL
164.2 ± 0.7
60.5 ± 0.4
72.9 ± 0.4
76 ± 2
10–6 M C14-fXXL
180.9 ± 0.9
62.2 ± 0.6
82.4 ± 0.6
72 ± 1
10–6 M C12-fXXL
201.4 ± 1.6
63.0 ± 0.5
99.1 ± 0.8
68 ± 2
Surface pressure-area
per molecule isotherm of (A) POPE/DPPG/POPG
and (B) DPPG/POPG/CL monolayers on a pure buffer subphase (black)
and buffer subphase containing 1 μM solution of C16-fXXL (red), C14-fXXL (blue), and C12-fXXL
(green). Insets: compression modulus vs surface pressure plots.The surface behavior of the DPPG/POPG/CL monolayer spread on the
pure buffer subphase is drastically different compared with POPE/DPPG/POPG
(see Figure B). The
presence of bulky cardiolipin molecules shifts the lift-off of the
isotherm toward larger molecular areas. At the surface pressure of
28 mN/m, the phase transition from liquid-expanded to liquid-condensed
phase occurs. Next, the partial collapse of the monolayer occurs at
58 mN/m, which can be ascribed to the collapse of POPG.[24] Thus, POPG molecules are squeezed out from the
monolayer. The condensed mixture of DPPG and cardiolipin is further
compressed up to 80 mN/m with no collapse recorded. These changes
can also be easily followed on the compression modulus plot. The minima
observed at 28 and 58 mN/m confirm the LE-LC phase transition and
POPG collapse, respectively. The maximum value of the compression
modulus indicates that the monolayer exists in a liquid-condensed
phase. The removal of POPG increases the condensation of the monolayer,
which is manifested by the further increase in the maximum value of
the compression modulus. However, since we want to examine the effect
of lipopeptides on a three-component monolayer, the data recorded
after the collapse of POPG will not be analyzed.The isotherms
of DPPG/POPG/CL registered on a lipopeptide-containing
subphase show that all three lipopeptides incorporate into the DPPG/POPG/CL
monolayer during compression. It should be noted that the characteristic
phase transition of the DPPG/POPG/CL monolayer at 28 mN/m disappeared
when monolayers were compressed on the lipopeptide-containing subphase
(Figure B). Moreover,
the maximum of compression modulus decreases, reflecting the fluidizing
effect of all lipopeptides on the DPPG/POPG/CL monolayer. The shape
of the isotherms changes upon the introduction of lipopeptides to
the subphase with the inflection characteristics also for pure lipopeptide
monolayers. These changes are manifested in compression modulus plots
as numerous minima. Taken together, this indicates that lipopeptides
induce strong perturbations in the structural organization of the
DPPG/POPG/CL monolayer. The analysis of characteristic parameters
calculated from the isotherm (Table ) reveals that the effect of the lipopeptide on the
DPPG/POPG/CL monolayer increases with the decreasing length of the
lipopeptide acyl chain. Namely, the limiting molecular area and minimum
area per molecule shift toward higher values, while the hydrophobic
portion of lipopeptide molecules becomes shorter. This suggests that
the length of the acyl chain affects the number of lipopeptide molecules
that remain at the air–buffer interface. In other words, the
incorporation of shorter lipopeptides causes a notably higher increase
in intermolecular distances between the molecules forming the film.
This seems to be in line with the typical behavior of amphiphiles,
where shortening of the hydrophobic portion leads to more disordered
monolayers due to the decreased cohesion between hydrocarbon chains.
Interestingly, the isotherms recorded on the subphase with lipopeptides
are characterized by a higher collapse surface pressure than the isotherm
recorded on the pure buffer. This indicates that the incorporation
of lipopeptides leads to the formation of relatively stable films,
although the fluidity of the membrane decreases compared with pure
lipid monolayers.Despite the similar fluidizing effect of lipopeptides
on two model
bacterial membranes, the detailed analysis reveals some differences
in lipid membrane–lipopeptide interactions. The main difference
in POPE/DPPG/POPG and DPPG/POPG/CL model membranes is the composition
and charge of polar headgroups. The POPE/DPPG/POPG membrane is composed
of 80% of zwitterionic phosphatidylethanolamines (PE) and 20% of negatively
charged phosphatidylglycerols (PG), whereas the DPPG/POPG/CL mixture
contains only negatively charged phosphatidylglycerols. On the other
hand, the lipopeptides studied in this work have the same polar peptide
moiety with the positive charge of +2. Therefore, it is understandable
that the electrostatic attraction between lipopeptides and the DPPG/POPG/CL
membrane is stronger compared to that with the POPE/DPPG/POPG film.
Similar observations were reported by Fiedler and Heerklotz, who studied
the influence of natural antimicrobial lipopeptides on lipid membranes
containing various amounts of PE and PG lipids.[25] Fluorescence-lifetime-based leakage studies showed that
the leakage was inhibited by PE but unaffected by PG in the absence
of PE. Moreover, Shahane et al. employed microsecond-timescale atomistic
molecular dynamics simulations to show that in bacterial membranes,
PElipids interact favorably with both PG and other PElipids, whereas
PG lipids interact almost only with PE with rare PG–PG interactions.[26] The presence of a negative charge on the PG
headgroup causes increased electrostatic repulsion between the neighboring
PG lipids. By introducing lipopeptides, such PG–PE interactions
are disrupted and PG lipids showed a significant preference for lipopeptides
over PE and PG lipids. Therefore, in the absence of PE, this preference
might be more pronounced.To prepare a biologically more relevant
model in which drugs interact
with already existing cell membranes, we have examined the effect
of lipopeptides on monolayers precompressed at the air–buffer
interface. Lipid monolayers were first compressed to 35 mN/m to obtain
the structural organization of the film similar to that in natural
cell membranes. After reaching the target pressure, a stock solution
of individual lipopeptide was injected into the subphase under the
monolayer to obtain a final concentration of 1 μM and the changes
of surface pressure over time were monitored (Figure ).
Figure 2
Changes in surface pressure in time recorded
for (A) POPE/DPPG/POPG
and (B) DPPG/POPG/CL monolayers on the pure buffer subphase (black)
and after injection of C16-fXXL (red), C14-fXXL
(blue), and C12-fXXL (green) into the subphase.
Changes in surface pressure in time recorded
for (A) POPE/DPPG/POPG
and (B) DPPG/POPG/CL monolayers on the pure buffer subphase (black)
and after injection of C16-fXXL (red), C14-fXXL
(blue), and C12-fXXL (green) into the subphase.For the POPE/DPPG/POPG monolayer (Figure A), penetration profiles are identical for
all lipopeptides and the time required for reaching a quasi-steady
state is quite similar. For the DPPG/POPG/CL monolayer (Figure B), the kinetics of lipopeptide
incorporation is dependent on the length of the lipopeptide chain.
Lipopeptide with a shorter acyl chain requires more structural reorganization
within the membrane and more time to reach the quasi-plateau. The
increase of the surface pressure observed for the DPPG/POPG/CL monolayer
is larger than for the POPE/DPPG/POPG film, which indicates that the
incorporation of lipopeptides into the DPPG/POPG/CL monolayer is easier.
However, for both lipid systems, surface pressure rises rapidly after
the injection of lipopeptides. This may be due to the fact that lipopeptides
first approach the polar region of lipid monolayers and the electrostatic
interactions are prevailing. The analysis of the slope of the curves
within the first 10 min reveals that the longer acyl chain in lipopeptide
causes slower diffusion of the lipopeptide to the lipid film. On the
other hand, lipopeptides with longer lipid chains induce a higher
surface pressure increase, which reflects stronger cohesion between
the hydrocarbon chains of the amphiphiles. This indicates that once
lipopeptide approached the polar region of the lipid film, the hydrophobic
interactions become very important for the penetration ability of
lipopeptides. The same observations were made by Eeman et al, who
studied the interactions of surfactin with different lipid chain lengths
with the DPPC monolayer.[27]The same
experimental approach was also employed to determine the
characteristic binding parameters of lipopeptides. For this purpose,
lipid monolayers were compressed to the selected surface pressures
and lipopeptides were injected under the lipid films. The changes
in the surface pressure over time was monitored until the system reached
a steady state. The initial surface pressure range was chosen to reflect
the liquid-expanded state of the lipid monolayers. By plotting the
surface pressure increase (ΔΠ) as a function
of the initial surface pressure (Πi) of the lipid film, the binding parameters such as ΔΠ0, synergy, and maximum insertion pressure
(MIP) can be determined (Figure ).
Figure 3
Surface pressure increase vs the initial pressure of POPE/DPPG/POPG
(dashed) and DPPG/POPG/CL (solid) monolayers after injection of C16-fXXL (red), C14-fXXL (blue), and C12-fXXL (green)
into the subphase.
Surface pressure increase vs the initial pressure of POPE/DPPG/POPG
(dashed) and DPPG/POPG/CL (solid) monolayers after injection of C16-fXXL (red), C14-fXXL (blue), and C12-fXXL (green)
into the subphase.MIP corresponds to the
maximum surface pressure, at which the insertion
of the drug into the lipid membrane is feasible. Synergy can be calculated
from the linear regression of the ΔΠ–Πi plot by adding 1 to the value of the
slope. ΔΠ0 was obtained by
extrapolating the regression of the plot to the y-axis.[28]Figure presents the surface pressure increase vs
the initial surface pressure plots for both lipid systems. The determined
MIP values are in the range of 47–70 mN/m (Table ), which is much larger than
the lateral pressure representative for the cell membranes.[29] This suggests that the lipopeptides studied
here are able to penetrate natural bacterial membranes. As can be
seen in Figure , the
longer the lipopeptide acyl chain, the larger the MIP values. Moreover,
MIP values obtained for the DPPG/POPG/CL monolayer are significantly
higher than those observed for the POPE/DPPG/POPG film (Table ), which confirms the preferential
interaction of lipopeptides with lipid films composed of pure PG over
the PE/PG mixture. The values of ΔΠ0 follow the same trend as the MIP. ΔΠ0 increases with the increasing length of the lipopeptide
acyl chain and the values are generally larger for DPPG/POPG/CL than
POPE/DPPG/POPG membranes (Figure and Table ). Calvez et al., who studied the binding of protein Retinitis
pigmentosa 2 to the lipid monolayers of different compositions, postulated
that when ΔΠ0 is equal to
the protein surface tension, protein would not be inserted more deeply
than the polar headgroup of the lipid monolayer. In contrast, when
ΔΠ0 is larger than the protein
surface tension, this protein would insert more deeply within the
lipid fatty acyl chains.[30] ΔΠ0 values found for all three lipopeptides,
independently of the lipid monolayer composition, are noticeably larger
than their surface tension (see Supporting Information Figure S2), indicating that after reaching monolayer
polar headgroups, lipopeptides can penetrate the hydrophobic region
of lipid membranes and the increasing length of the lipopeptide acyl
chain facilitates lipid–lipopeptide hydrophobic interactions.
Table 2
Summary of Binding Parameters for
Lipopeptides Penetration into Lipid Monolayers
subphase
MIP
synergy
ΔΠ0
POPE/DPPG/POPG
10–6 M C16-fXXL
51.4 ± 2.9
0.35 ± 0.03
33.3 ± 0.6
10–6 M C14-fXXL
50.0 ± 0.9
0.41 ± 0.01
30.0 ± 0.1
10–6 M C12-fXXL
48.4 ± 1.3
0.43 ± 0.02
27.6 ± 0.3
POPG/DPPG/CL
10–6 M C16-fXXL
68.3 ± 4.6
0.42 ± 0.05
39.4 ± 0.9
10–6 M C14-fXXL
65.1 ± 3.5
0.44 ± 0.04
36.5 ± 0.8
10–6 M C12-fXXL
61.2 ± 4.1
0.48 ± 0.05
33.4 ± 0.8
The slope of the linear regressions presented in Figure corresponds to the synergy
between lipopeptides and lipid monolayers, which can be used to describe
the affinity of the lipopeptide to the monolayer.[30] Positive values of the synergy for both lipid systems and
all lipopeptides were obtained, indicating that lipid monolayers favor
lipopeptide binding. However, higher values of synergy were obtained
for the DPPG/POPG/CL monolayer, which suggests that lipopeptides show
higher affinity to phosphatidylglycerols. Interestingly, in contrast
to ΔΠ0 and MIP, the synergy
increases with the reduced lipopeptide acyl chain, which shows that
the affinity of the lipid monolayers for binding of lipopeptides with
a longer lipid chain is lower. This remains in agreement with the
slope of penetration profiles that showed that the binding of lipopeptides
with a shorter lipid chain occurs faster, which might reflect the
lower energy barrier for insertion. Therefore, a conclusion can be
drawn from the analysis of binding parameters that the lipopeptide
binding to the lipid film is governed not only by electrostatic but
also by hydrophobic interactions. However, lipopeptide surface activity
seems to play an important role as well.
Atomic Force Microscopy
The membranolytic properties
of the lipopeptides were evaluated by atomic force microscopy (AFM),
which is a three-dimensional topographic technique enabling micro-
and nanoscale imaging of the surface structure. The uniqueness of
this technique lies in the possibility of imaging surfaces under in
situ conditions, which makes it possible to follow the dynamics of
numerous surface-related processes.[31,32] In this work,
we have used AFM to monitor the changes in the morphology of the lipid
bilayers upon exposure to lipopeptides. Figure demonstrates the exemplary images representing
the topography of the POPE/POPG/DPPG (A–D) and POPG/DPPG/CL
(E–H) membranes before and after treatment with lipopeptides.
Figure 4
AFM-derived
morphology of the mica-supported lipid bilayers: POPE/POPG/DPPG
before (A) and after exposure to C12-fXXL (B), C14-fXXL (C), and C16-fXXL (D); POPG/DPPG/CL before (E) and
after exposure to C12-fXXL (F), C14-fXXL (G),
and C16-fXXL (H). The images (B–D) and (F–H)
were collected after 20 min of membrane exposure to a given lipopeptide.
The size of the images: 3.0 × 3.0 μm2.
AFM-derived
morphology of the mica-supported lipid bilayers: POPE/POPG/DPPG
before (A) and after exposure to C12-fXXL (B), C14-fXXL (C), and C16-fXXL (D); POPG/DPPG/CL before (E) and
after exposure to C12-fXXL (F), C14-fXXL (G),
and C16-fXXL (H). The images (B–D) and (F–H)
were collected after 20 min of membrane exposure to a given lipopeptide.
The size of the images: 3.0 × 3.0 μm2.An intact bilayer of POPE/POPG/DPPG (see Figure A) appears as a heterogeneous
film, where
two different domains can be distinguished corresponding to topographically
lower and higher regions. Said domains can be ascribed to a liquid
disordered phase (Lα) and a gel
phase (Lβ), respectively.[33] The gel phase prevails and on average occupies
∼70% of the scanned surface, which holds for all POPE/POPG/DPPG
membranes tested in this work. Such morphology of the membrane closely
resembles that observed for the mica-supported membranes composed
of PE and PGE. coli extracts.[34] After the injection of the given lipopeptide,
the topography of the samples is substantially changed. In all cases,
the size of the Lβ domains is reduced
and at the same time, the area occupied by Lβ is expanded, which is indicative of the membrane fluidization.[35] The latter results from an increased disorder
of lipid molecules upon lipopeptide binding and/or insertion. This
observation is in line with the results of the surface pressure measurement.
However, the extent of fluidization depends on the length of the fatty
acid chain. The most notable reduction in the size of the gel phase
domains, down to ∼15% of the scanned area, was observed for
C12-fXXL. The other two lipopeptides had a less pronounced
effect on membrane morphology, and the percentage of the area occupied
by Lβ was reduced to ∼28
and ∼40% for C14-fXXL and C16-fXXL, respectively.
Hence, the model of the Gram-negative membrane is most strongly fluidized
by the shortest analogue. The effect of the lipopeptides on the model
of the Gram-positive membrane seems to be similar. The intact POPG/DPPG/CL
bilayer exists mostly in the Lβ phase,
which occupies on average ∼97% of the scanned area. After the
injection of the lipopeptide, the morphology of the films is substantially
changed and, in all cases, the Lβ domains are substantially reduced or completely disappeared. The
area occupied by gel domains (Lβ) after 20 min of exposure to lipopeptides is reduced to ∼4,
∼6, and ∼3% for C12-fXXL, C14-fXXL,
and C16-fXXL, respectively. Thus, the disordering effect
of the lipopeptides is significantly stronger in the case of the Gram-positive
membrane model compared with Gram-negative. These observations are
fully in line with the results of the surface pressure measurements.The effect of lipopeptide action on the ordering and orientation
of lipid molecules within the bilayer can be analyzed more quantitatively
by following the lipopeptide-induced changes in an average thickness
of the POPE/POPG/DPPG and POPG/DPPG/CL membranes. Namely, fluidization
leads to membrane thinning, which is indicative of a decreased packing
density and an increased tilt angle of lipid molecules forming the
assembly. The relevant time-dependences are shown in Figure .
Figure 5
Time-dependent changes
in the thickness of the POPE/POPG/DPPG (A)
and POPG/DPPG/CL (B) bilayers after exposure to C12-fXXL
(blue), C14-fXXL (red), and C16-fXXL (black)
lipopeptides. The thickness was calculated as a weighted average determined
from AFM images (see the text for details).
Time-dependent changes
in the thickness of the POPE/POPG/DPPG (A)
and POPG/DPPG/CL (B) bilayers after exposure to C12-fXXL
(blue), C14-fXXL (red), and C16-fXXL (black)
lipopeptides. The thickness was calculated as a weighted average determined
from AFM images (see the text for details).Since the bilayers under study are two-phase systems, the thickness
was determined as a weighted average. The weights were proportional
to the fraction of the area occupied by a given phase (Lβ or Lα). An average
thickness of the intact POPE/POPG/DPPG bilayer was ∼5.0 nm.
The injection of lipopeptides resulted in a sharp decrease in bilayer
thickness during the first 20–30 min of exposure. After this
period, the curves reach a steady state at ∼3.2, ∼3.5,
and ∼4.0 nm for C12-fXXL, C14-fXXL, and
C16-fXXL, respectively. There are differences in lipopeptide
action depending on the length of the analogue, and the disordering
effect is stronger when the lipophilic fatty acid chain becomes shorter.
Interestingly, the said differences between the analogues are much
better pronounced in the case of the model of the Gram-negative membrane
compared to the Gram-positive one. Exposure of the POPG/DPPG/CL membrane
to lipopeptides results in a rapid decrease in the bilayer thickness
during the first 20–30 min, followed by a steady state. Although
at the initial stage there are well-pronounced differences in the
action of particular lipopeptides (i.e., the thinning effect decreases
in the order C12-fXXL, C14-fXXL, C16-fXXL), elongated exposure leads to a similar final thickness of
∼3.2 nm. The membrane thinning effect can be explained in terms
of Israelachvili′s concept of the critical packing parameter
(cpp), which expresses the ratio between the hydrocarbon tail effective
area and the projection area of the polar headgroup.[36] It has been shown that the value of cpp determines the
aggregate formed by lipids or amphiphiles upon hydration. Typical
values of cpp for lipid bilayers are between 1/2 and 1. In this work,
the mixtures of lipids were used for bilayer preparation and using
the additivity of the cpp, and the weighted average value can be calculated
for each system.[37,38] In both cases, the additive values
of cpp are close to the unity; however, the Gram-negative model will
have a slightly higher value compared to the Gram-positive one because
of the presence of a large fraction of POPElipids, which have cpp
> 1. The partitioning of the lipopeptides is expected to change
the
additive value of cpp since their shape is conical due to the large
size of the polar head (estimated cpp ∼ 1/3). Upon insertion
into the membrane, the presence of the bulky polar heads needs to
be compensated, which is achieved by increasing a tilt angle of the
lipid molecules with respect to the surface normal and increasing
the intermolecular distances between them. As a result, the bilayer
becomes more fluid, which can be ascribed to the decrease of the additive
value of cpp for the bilayer accommodating lipopeptides. A bit more
pronounced effect of thinning observed for POPG/DPPG/CL might be related
to the fact that upon lipopeptide insertion, the additive cpp drops
to a slightly lower value. Unfortunately, the quantitative estimation
is rather difficult since the exact fraction of lipopeptide inserted
into the bilayer is not known.
In Vitro Antimicrobial
Activity
The minimum inhibitory
concentrations (MICs) for all lipopeptides against the selected pathogens
are shown in Table . The results demonstrate that lipopeptides show diverse activity
against the bacterial strains tested. The lowest MICs (5 mg/L), hence
the highest inhibitory activities, were observed for S. aureus and S. epidermidis strains. This is consistent with the results of AFM imaging, which
show a stronger disordering effect of lipopeptides on lipid bilayers
mimicking the membrane of Gram-positive bacteria. A slightly lower
but still noticeable activity of C12-fXXL and C14-fXXL was also observed against other bacterial strains, including
Gram-positive E. faecalis as well as
Gram-negative K. pneumoniae, P. aeruginosa, and Y. enterocolitica. The latter was also susceptible to the action of C16-fXXL; however, in this case, the MIC value was higher compared with
C12-fXXL and C14-fXXL. Interestingly, the other
strains remain negligibly affected by C16-fXXL, which demonstrates
the rather weak activity of this lipopeptide against Gram-negative
strains. Again, this observation seems to be consistent with AFM imaging
since the effect of C16-fXXL on the POPE/POPG/DPPG bilayer
mimicking the Gram-negative membrane was less pronounced compared
with other lipopeptides under study. It is noteworthy that decreased
activity of the lipopeptides against Gram-negative strains might be
related to their limited ability to penetrate the outer membrane of
Gram-negative bacteria. However, the results of the control experiments
indicate that lipopeptides have the ability to insert into the monolayers
of lipopolysaccharides (see the Supporting Information for details), which implies that the penetration of the outer membrane
is feasible.
Table 3
Minimum Inhibitory Concentrations
Determined for Tested Lipopeptidesa
MIC (mg/L)
strain
C12-fXXL
C14-fXXL
C16-fXXL
Gram-negative
E. coli ST2-8624 O157:H7
50
n.d.
n.d.
K. pneumoniae PCM 1
20
20
n.d.
P. aeruginosa PAO1
PCM 499
20
20
n.d.
Y. enterocolitica PCM 2081
20
10
30
Gram-positive
E. faecalis ATCC
14506
30
30
n.d.
S. aureus ATCC 29213
5
5
5
S. epidermidis ATCC 12228
5
5
5
n.d. = Not determined, i.e., MIC
higher than 50 mg/L.
n.d. = Not determined, i.e., MIC
higher than 50 mg/L.Furthermore,
we have tested the effect of the concentration of
lipopeptides on bacterial growth. For this purpose, we have selected
four strains, including Gram-negative K. pneumoniae, P. aeruginosa, Y.
enterocolitica, and Gram-positive S.
aureus. The experiment was conducted analogously to
the MIC determination. Measurements are presented in the form of graphs
shown in Figures and 7. The results show that the tested lipopeptides
inhibit the growth dynamics of four tested bacterial strains. However,
in the case of Gram-negative bacterial strains, C12-fXXL
and C14-fXXL slowed down the dynamics of bacterial growth
at a significantly lower concentration compared with C16-fXXL lipopeptide. Nevertheless, the strongest effect of bacterial
growth inhibition was observed for Gram-positive strain S. aureus, where lipopeptide concentrations of 2.5–5.0
mg/L caused almost complete inhibition of bacterial growth. An equally
strong inhibition effect on the growth dynamics of Gram-negative bacteria
was also observed for C14-fXXL lipopeptide against the P. aeruginosa strain. Based on our results, we conclude
that C14-fXXL exhibits the strongest activity against tested
pathogens. In this case, a rapid concentration-dependent antimicrobial
activity was observed for all four strains and the bacterial growth
was substantially inhibited already at sub-MIC concentrations.
Figure 6
Effect of the
concentration of lipopeptides on the bacterial growth
of the two Gram-negative strains K. pneumoniae (A–C) and P. aeruginosa (D–F).
Bacterial growth was monitored by measuring the optical density of
the culture at 600 nm every 60 min for 6 h. Error bars represent the
standard deviations.
Figure 7
Effect of the concentration
of lipopeptides on bacterial growth
of Gram-positive strain S. aureus (A–C)
and Gram-negative strain Y. enterocolitica (D–F). Bacterial growth was monitored by measuring the optical
density of the culture at 600 nm every 60 min for 6 h. Error bars
represent the standard deviations.
Effect of the
concentration of lipopeptides on the bacterial growth
of the two Gram-negative strains K. pneumoniae (A–C) and P. aeruginosa (D–F).
Bacterial growth was monitored by measuring the optical density of
the culture at 600 nm every 60 min for 6 h. Error bars represent the
standard deviations.Effect of the concentration
of lipopeptides on bacterial growth
of Gram-positive strain S. aureus (A–C)
and Gram-negative strain Y. enterocolitica (D–F). Bacterial growth was monitored by measuring the optical
density of the culture at 600 nm every 60 min for 6 h. Error bars
represent the standard deviations.These observations highlight the important role of the lipopeptide
chemical structure. The difference between lipopeptides studied in
this work is rather subtle, and it stems from the varying chain length
of the fatty acid portion, while the peptide portion remains the same.
Apparently, the high antimicrobial activity requires the proper balance
between the hydrophilic and hydrophobic portions of the molecule.
The latter seems to be propitious for C12-fXXL and particularly
advantageous for C14-fXXL, while in C16-fXXL
the fatty acid chain exceeds the critical length, at least as long
as the activity against Gram-negative strains is considered. The issue
of the suitable proportion between the peptide and the fatty acid
part was raised in several earlier reports. For example, the dependence
of the fatty acid chain length on antimicrobial activity was investigated
for tridecaptin A1.[39] In this
case, it was proved that the molecules with the fatty acid chains
shorter than C6 or longer than C12 show significantly
lower activity compared with the derivatives, which fall within the
range of C6–C12. However, the composition
of the bacterial cell wall seems to be an equally important factor
since the low activity of C16-fXXL is manifested mainly
in the case of Gram-negative bacteria, while its activity against
Gram-positive S. aureus remains at
a similar level as observed for C12-fXXL and C14-fXXL. Hence, the advantageous proportion between hydrophobic and
hydrophilic parts of the lipopeptide will also depend on the targeted
bacteria. This in turn implies that fine-tuning of the size of hydrophobic
and hydrophilic portions of the molecule may be considered as an important
factor in improving its selectivity against different bacterial strains.
Hemolytic Activity
The ability of lipopeptides to lyse
red blood cells (RBCs) isolated either from sheep or horse blood was
used as a measure of their toxicity toward mammalian cells. For this
purpose, the percentage of hemolysis was determined at different concentrations
of lipopeptides. The resulting plots are shown in Figure .
Figure 8
Hemolytic activity of
lipopeptides C12-fXXL (green),
C14-fXXL (blue), and C16-fXXL (red) tested on
RBC preparations from a horse (A) and sheep (B) blood. The relative
index of hemolysis reflects the percentage of hemolysis referred to
the positive control. Error bars represent the standard deviations.
Hemolytic activity of
lipopeptides C12-fXXL (green),
C14-fXXL (blue), and C16-fXXL (red) tested on
RBC preparations from a horse (A) and sheep (B) blood. The relative
index of hemolysis reflects the percentage of hemolysis referred to
the positive control. Error bars represent the standard deviations.In all cases, the concentration required for 50%
hemolysis of blood
cells is in the range of 30–40 μg/mL, but it is apparent
that at lower concentrations, C12-fXXL is less toxic compared
with the other two lipopeptides. It is very well-pronounced at a concentration
of 5 μg/mL, which corresponds to MIC determined for all three
compounds against S. aureus and S. epidermidis. Under such conditions, the percentage
of hemolysis of horse RBCs determined for C12-fXXL is below
5%, while the hemolysis indices for C14-fXXL and C16-fXXL are ∼10% (see Figure A). A similar trend is observed for sheep
RBCs (see Figure B),
but in this case, the percentage of hemolysis obtained for C12-fXXL is virtually zero and the index for C16-fXXL is
lower than 5%. Hence, the toxicity of the lipopeptides against mammalian
cells seems to be low at the concentrations comparable to MIC determined
for S. aureus and S.
epidermidis. However, C12-fXXL is most
advantageous in terms of both good antimicrobial properties and low
hemolytic activity.
Conclusions
We have demonstrated
that purposely tailored lipopeptides possessing
the fXXL tetrapeptide moiety display membrane-active properties. Physicochemical
characterization proved that all lipopeptides under study have the
ability to penetrate the artificial lipid membranes and affect their
physical state. The latter results from decreased molecular packing
and ordering of lipids within the films, which is manifested as membrane
fluidization. This effect is better pronounced in the lipid films
mimicking Gram-positive bacterial membranes, which is in line with
the results of the biological activity studies. We have demonstrated
that lipopeptides show stronger antimicrobial activity against Gram-positive
bacteria compared to Gram-negative strains. The lipopeptide concentration
within the range of 2.5–5.0 mg/L was found to inhibit the growth
of S. aureus almost completely. Such
activity is comparable to that observed for daptomycin (see the Supporting Information), which is known as the
MRSA drug of last resort. Importantly, all tested compounds display
relatively low hemolytic activity.
Authors: Stephen A Cochrane; Christopher T Lohans; Jeremy R Brandelli; George Mulvey; Glen D Armstrong; John C Vederas Journal: J Med Chem Date: 2014-01-30 Impact factor: 7.446