| Literature DB >> 34003651 |
Alistair J M Farley1, Yuri Ermolovich2, Karina Calvopiña1, Patrick Rabe1, Tharindi Panduwawala1, Jürgen Brem1, Fredrik Björkling2, Christopher J Schofield1.
Abstract
Metallo-β-lactamases (MBLs) can efficiently catalyze the hydrolysis of all classes of β-lactam antibiotics except monobactams. While serine-β-lactamase (SBL) inhibitors (e.g., clavulanic acid, avibactam) are established for clinical use, no such MBL inhibitors are available. We report on the synthesis and mechanism of inhibition of N-sulfamoylpyrrole-2-carboxylates (NSPCs) which are potent inhibitors of clinically relevant B1 subclass MBLs, including NDM-1. Crystallography reveals that the N-sulfamoyl NH2 group displaces the dizinc bridging hydroxide/water of the B1 MBLs. Comparison of crystal structures of an NSPC and taniborbactam (VRNX-5133), presently in Phase III clinical trials, shows similar binding modes for the NSPC and the cyclic boronate ring systems. The presence of an NSPC restores meropenem efficacy in clinically derived E. coli and K. pneumoniae blaNDM-1. The results support the potential of NSPCs and related compounds as efficient MBL inhibitors, though further optimization is required for their clinical development.Entities:
Keywords: NDM-1; antimicrobial resistance; metallo-β-lactamase; sulfonamide; taniborbactam
Mesh:
Substances:
Year: 2021 PMID: 34003651 PMCID: PMC8205225 DOI: 10.1021/acsinfecdis.1c00104
Source DB: PubMed Journal: ACS Infect Dis ISSN: 2373-8227 Impact factor: 5.084
Figure 1(a) Classes of β-lactam antibiotics. (b) Outline of the MBL hydrolysis mechanism. Ligands around the zinc ions are not shown for clarity. (c) Representative SBL inhibitors. (d) Representative MBL inhibitors[29−31] with sulfonamide ANT2681[19] and related sulfonamide and sulfamoyl inhibitors.[21,22,32] Zinc-chelating functional groups are highlighted in blue.
Scheme 1Synthesis of 6a and NSPCs 8-14
(a) NaH, then PhSO2Cl, DMF, 0 °C, 2 h; (b) Br2, AcOH, reflux, 1 h, 54% yield over two steps; (c) i-Pr2NLi, then CbzCl, THF, −78 to 0 °C; (d) 1 M TBAF, THF, rt, 2 h, 63% over two steps; (e) NaH, then 7, THF, 0 °C to reflux, 4 h, 69%; (f) 4-FC6H4B(OH)2, 5% Pd(dppf)Cl2, Na2CO3, dioxane: H2O 2:1, MW, 100 °C, 3 h, 70%; (g) 1 M aq HCl, then 10% Pd/C, H2 atmosphere, MeOH, rt, overnight, 69%; (h) 10% Pd/C, H2 atmosphere, MeOH, rt, overnight, 93%; (i) structure previously disclosed.
Activity of N-Sulfamoyl Pyrrole Carboxylate Derivatives against Clinically Relevant MBLs
| pIC50 | ||||
|---|---|---|---|---|
| VIM-1 | NDM-1 | VIM-2 | IMP-1 | |
| CB2 | 7.1[ | 7.5[ | 8.5[ | 6.0[ |
| taniborbactam | 8.1[ | 8.0[ | 8.3[ | 5.6[ |
| 6.9 | 8.1 | 7.7 | 9.2 | |
| 6.9 | 8.2 | 7.5 | 8.9 | |
| 7.1 | 7.9 | 6.8 | 8.6 | |
| 6.5 | 7.9 | 6.7 | 9 | |
| 7.1 | 8.1 | 7.8 | 8.9 | |
| 7.4 | 7.9 | 7.3 | 8.2 | |
| 8.5 | 6.5 | 7.9 | 7.3 | |
| 6.6 | 8.8 | 6.8 | >9.2 | |
| 7.4 | 7.9 | 8.2 | 8.3 | |
| AMRC272 | 6.1[ | 4.5[ | 6.4[ | |
| AMRC276 | 6.8[ | 4.2[ | 7.4[ | |
| AMRC364 | 5.6[ | 4.4[ | 5.7[ | |
| AMRC439 | 6.4[ | 4.3[ | 6.3[ | |
| SPC | 6.0[ | 7.7[ | 6.6[ | |
Determined using 100 μM nitrocefin.[22]
Determined by measuring hydrolysis of imipenem.[21]
Structure in Figure d. Assay details are given in the Supporting Information. Enzyme concentration: 100 pM (VIM-1), 20 pM (NDM-1), 20 pM (IMP-1), and 500 pM (VIM-2); the concentration of FC5 was 5 μM. Note: inhibition data are reported as pIC50 values (pIC50 = −log10IC50) and repeated in quadruplicate.
Figure 2VIM-1 active site binding mode of sulfamoyl inhibitor 6 and comparison with that of a bicyclic boronate and SPC. (a) Polder omit map[48] of VIM-1:Zn2:6 (PDB: 7AYJ, 1.21 Å resolution, 3.0 σ contour level) showing the NSPC sulfamoyl NH2 group replaces the dizinc bridging water. (b) Superimposition of VIM-1:Zn2:CB2 (PDB: 7AYJ, yellow) and VIM-2:Zn2:CB2 (PDB: 5FQC, teal)[43] structures reveals related binding modes. Note, whereas binding of CB2 to VIM-2 has an impact on the Zn–Zn distance compared to unligated VIM-2, the effects of binding of 6 on this distance are negligible (see Supporting Information Figure S1e–g); note also that the aryl side chains of CB2 and 6 project in different directions. (c) Superimposition of VIM-1:Zn2:SPC (PDB: 7AYJ, yellow) and Vim-2:Zn2:NSPC (PDB: 6KZN, salmon)[21] structures reveal the same binding mode.
MIC Values of Meropenem (MEM)-SPC Combination against NDM-1 Producing Enterobacteriaceae
| strain | MIC
(μg mL–1) | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| species, genotype | MEM | [ | MEM VNRX | MEM | MEM | MEM | MEM | MEM | MEM | MEM | MEM | MEM | |
| 64 | 0.5 | 1 | 1 | 0.5 | 1 | 1 | 1.5 | 4 | 4 | 1.5 | |||
| 2 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | 0.375 | ≤0.25 | 0.5 | ≤0.25 | ||||
| 8 | 0.5 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | 0.375 | 0.5 | ≤0.25 | |||
| 64 | 0.5 | 0.5 | 0.5 | 0.5 | 0.5 | 1 | 1 | 16 | 1 | 3 | |||
| 2 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ||||
| 8 | 0.5 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | 0.5 | 0.5 | 0.5 | ≤0.25 | |||
| 256 | 0.5 | 4 | 2 | 1 | 1 | 1.5 | 1.5 | 32 | 8 | 4 | |||
| 2 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | 0.5 | ≤0.25 | ||||
| 8 | 1 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | 0.5 | 0.5 | 0.5 | ≤0.25 | |||
| 128 | 0.5 | ≤0.25 | ≤0.25 | 0.375 | 0.5 | 0.5 | 0.5 | 16 | 0.5 | 1.5 | |||
| 2 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ||||
| 8 | 0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | ≤0.25 | 0.375 | 0.5 | ≤0.25 | |||
MIC values of meropenem (MEM) and VRNX were at 10 μg mL–1.[41] MIC experiments were repeated in triplicate.