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Title: Active-Site Druggability of Carbapenemases and Broad-Spectrum Inhibitor Discovery

Journal Article · · ACS Infectious Diseases

Serine and metallo-carbapenemases are a serious health concern due to their capability to hydrolyze nearly all β-lactam antibiotics. However, the molecular basis for their unique broad-spectrum substrate profile is poorly understood, particularly for serine carbapenemases, such as KPC-2. Using substrates and newly identified small molecules, we compared the ligand binding properties of KPC-2 with the noncarbapenemase CTX-M-14, both of which are Class A β-lactamases with highly similar active sites. Notably, compared to CTX-M-14, KPC-2 was more potently inhibited by hydrolyzed β-lactam products (product inhibition), as well as by a series of novel tetrazole-based inhibitors selected from molecular docking against CTX-M-14. Together with complex crystal structures, these data suggest that the KPC-2 active site has an enhanced ability to form favorable interactions with substrates and small molecule ligands due to its increased hydrophobicity and flexibility. Such properties are even more pronounced in metallo-carbapenemases, such as NDM-1, which was also inhibited by some of the novel tetrazole compounds, including one displaying comparable low μM affinities against both KPC-2 and NDM-1. Our results suggest that carbapenemase activity confers an evolutionary advantage on producers via a broad β-lactam substrate scope but also a mechanistic Achilles’ heel that can be exploited for new inhibitor discovery. The complex structures show, for the first time, how noncovalent inhibitors can be engineered to simultaneously target both serine and metallo-carbapenemases. Despite the relatively modest activity of the current compounds, these studies also demonstrate that hydrolyzed products and tetrazole-based chemotypes can provide valuable starting points for broad-spectrum inhibitor discovery against carbapenemases.

Research Organization:
Argonne National Laboratory (ANL), Argonne, IL (United States). Advanced Photon Source (APS)
Sponsoring Organization:
National Institutes of Health (NIH)
Grant/Contract Number:
AI103158
OSTI ID:
1530999
Journal Information:
ACS Infectious Diseases, Vol. 5, Issue 6; ISSN 2373-8227
Publisher:
American Chemical Society (ACS)Copyright Statement
Country of Publication:
United States
Language:
ENGLISH
Citation Metrics:
Cited by: 14 works
Citation information provided by
Web of Science

References (78)

Structural and Mechanistic Insights into NDM-1 Catalyzed Hydrolysis of Cephalosporins journal October 2014
Structure-Based Design of Potent and Ligand-Efficient Inhibitors of CTX-M Class A β-Lactamase journal February 2012
beta-Lactamases in laboratory and clinical resistance. journal October 1995
Structural and Kinetic Studies of the Potent Inhibition of Metallo-β-lactamases by 6-Phosphonomethylpyridine-2-carboxylates journal February 2018
Atomic Resolution Structures of CTX-M β-Lactamases: Extended Spectrum Activities from Increased Mobility and Decreased Stability journal April 2005
Structure-Based Analysis of Boronic Acids as Inhibitors of Acinetobacter -Derived Cephalosporinase-7, a Unique Class C β-Lactamase journal November 2017
Inhibition of Acinetobacter -Derived Cephalosporinase: Exploring the Carboxylate Recognition Site Using Novel β-Lactamase Inhibitors journal November 2017
Ten Years with New Delhi Metallo-β-lactamase-1 (NDM-1): From Structural Insights to Inhibitor Design journal November 2018
Overview of the CCP 4 suite and current developments journal March 2011
Aspergillomarasmine A overcomes metallo-β-lactamase antibiotic resistance journal June 2014
Binding of (5 S )-Penicilloic Acid to Penicillin Binding Protein 3 journal August 2013
Molecular Basis for the Catalytic Specificity of the CTX-M Extended-Spectrum β-Lactamases journal December 2014
Crystal structure of NDM-1 reveals a common β-lactam hydrolysis mechanism journal August 2011
Targeting metallo-β-lactamase enzymes in antibiotic resistance journal July 2013
A New Covalent Inhibitor of Class C β-Lactamases Reveals Extended Active Site Specificity journal December 2015
Extended-Spectrum  -Lactamases in the 21st Century: Characterization, Epidemiology, and Detection of This Important Resistance Threat journal October 2001
New β-Lactamase Inhibitors in the Clinic journal June 2016
Cross-class metallo-β-lactamase inhibition by bisthiazolidines reveals multiple binding modes journal June 2016
Structural Milestones in the Reaction Pathway of an Amide Hydrolase journal March 2002
Rh( iii )-Catalyzed directed C–H carbenoid coupling reveals aromatic bisphosphonates inhibiting metallo- and Serine-β-lactamases journal January 2018
β-Lactam/β-Lactamase Inhibitor Combinations: From Then to Now journal October 2014
A focused fragment library targeting the antibiotic resistance enzyme - Oxacillinase-48: Synthesis, structural evaluation and inhibitor design journal February 2018
Towards automated crystallographic structure refinement with phenix.refine journal March 2012
Molecular docking and ligand specificity in fragment-based inhibitor discovery journal March 2009
Bisthiazolidines: A Substrate-Mimicking Scaffold as an Inhibitor of the NDM-1 Carbapenemase journal July 2015
Alarming β-lactamase-mediated resistance in multidrug-resistant Enterobacteriaceae journal October 2010
Three Decades of  -Lactamase Inhibitors journal January 2010
Beta-lactamases and bacterial resistance to antibiotics journal May 1995
Natural Variants of the KPC-2 Carbapenemase have Evolved Increased Catalytic Efficiency for Ceftazidime Hydrolysis at the Cost of Enzyme Stability journal June 2015
Crystal Structures of KPC-2 and SHV-1 β-Lactamases in Complex with the Boronic Acid Transition State Analog S02030 journal January 2016
The mechanism of NDM-1-catalyzed carbapenem hydrolysis is distinct from that of penicillin or cephalosporin hydrolysis journal December 2017
Hierarchical Docking of Databases of Multiple Ligand Conformations journal August 2005
MolProbity: all-atom contacts and structure validation for proteins and nucleic acids journal May 2007
The Bacteria Fight Back journal July 2008
ZINC − A Free Database of Commercially Available Compounds for Virtual Screening journal December 2004
Docking for fragment inhibitors of AmpC  -lactamase journal April 2009
Metallo-β-lactamase inhibitors by bioisosteric replacement: Preparation, activity and binding journal July 2017
electronic Ligand Builder and Optimization Workbench ( eLBOW ): a tool for ligand coordinate and restraint generation journal September 2009
In Silico Fragment-Based Design Identifies Subfamily B1 Metallo-β-lactamase Inhibitors journal January 2018
The continuing challenge of ESBLs journal October 2007
Scaling and assessment of data quality journal December 2005
What's new in antibiotic resistance? Focus on beta-lactamases journal June 2006
Cyclobutanone Analogues of β-Lactams Revisited: Insights into Conformational Requirements for Inhibition of Serine- and Metallo-β-Lactamases journal March 2010
First virtual screening and experimental validation of inhibitors targeting GES-5 carbapenemase journal January 2019
Exploring the potential of boronic acids as inhibitors of OXA-24/40 β-lactamase: Boronic Acid Inhibitors of OXA-24/40 journal February 2017
Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study journal September 2010
Identification of Products of Inhibition of GES-2 β-Lactamase by Tazobactam by X-ray Crystallography and Spectrometry journal April 2011
The Crystal Structure of Phosphonate-Inhibited d -Ala- d -Ala Peptidase Reveals an Analogue of a Tetrahedral Transition State , journal February 2003
iMOSFLM : a new graphical interface for diffraction-image processing with MOSFLM journal March 2011
Plasmid-Mediated Carbapenem-Hydrolyzing β-Lactamase KPC in a Klebsiella pneumoniae Isolate from France journal October 2005
Crystal Structure of KPC-2:  Insights into Carbapenemase Activity in Class A β-Lactamases , journal May 2007
Structural Basis for Progression toward the Carbapenemase Activity in the GES Family of β-Lactamases journal November 2012
Crystallographic analyses of isoquinoline complexes reveal a new mode of metallo-β-lactamase inhibition journal January 2017
The 1.4 Å Crystal Structure of the Class D β-Lactamase OXA-1 Complexed with Doripenem journal December 2009
Automated docking with grid-based energy evaluation journal May 1992
Reversible inhibitors of penicillinases journal January 1978
Emergence of KPC-Possessing Klebsiella pneumoniae in Brooklyn, New York: Epidemiology and Recommendations for Detection journal July 2005
Molecular Basis of Substrate Recognition and Product Release by the Klebsiella pneumoniae Carbapenemase (KPC-2) journal April 2017
Features and development of Coot journal March 2010
Status report on carbapenemases: challenges and prospects journal May 2011
A functional classification scheme for beta-lactamases and its correlation with molecular structure journal June 1995
Computational and biological profile of boronic acids for the detection of bacterial serine- and metallo-β-lactamases journal December 2017
PHENIX: a comprehensive Python-based system for macromolecular structure solution journal January 2010
Crystal structure of New Delhi metallo-β-lactamase reveals molecular basis for antibiotic resistance journal August 2011
New Delhi Metallo-β-Lactamase: Structural Insights into β-Lactam Recognition and Inhibition journal July 2012
Antibacterial properties and atomic resolution X-ray complex crystal structure of a ruthenocene conjugated β-lactam antibiotic journal January 2015
Iterative-build OMIT maps: map improvement by iterative model building and refinement without model bias journal April 2008
Boronic Acid Transition State Inhibitors Active against KPC and Other Class A β-Lactamases: Structure-Activity Relationships as a Guide to Inhibitor Design journal January 2016
Structural basis of metallo-β-lactamase, serine-β-lactamase and penicillin-binding protein inhibition by cyclic boronates journal August 2016
Cyclobutanone Analogues of β-Lactam Antibiotics: β-Lactamase Inhibitors with Untapped Potential? journal February 2017
Crystal Structures of Penicillin-Binding Protein 6 from Escherichia coli journal October 2009
Fragment-based inhibitor discovery against β-lactamase journal March 2014
Rhodanine hydrolysis leads to potent thioenolate mediated metallo-β-lactamase inhibition journal November 2014
Mechanism of action of penicillins: a proposal based on their structural similarity to acyl-D-alanyl-D-alanine. journal October 1965
Mechanistic Basis for the Emergence of Catalytic Competence against Carbapenem Antibiotics by the GES Family of β-Lactamases journal October 2009
Phaser crystallographic software journal July 2007
2-Substituted 4,5-dihydrothiazole-4-carboxylic acids are novel inhibitors of metallo-β-lactamases journal October 2012
Strategic Approaches to Overcome Resistance against Gram-Negative Pathogens Using β-Lactamase Inhibitors and β-Lactam Enhancers: Activity of Three Novel Diazabicyclooctanes WCK 5153, Zidebactam (WCK 5107), and WCK 4234 journal April 2018

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