Benzothiazinones kill Mycobacterium tuberculosis by blocking arabinan synthesis

Vadim Makarov, Giulia Manina, Katarina Mikusova, Ute Möllmann, Olga Ryabova, Brigitte Saint-Joanis, Neeraj Dhar, Maria Rosalia Pasca, Silvia Buroni, Anna Paola Lucarelli, Anna Milano, Edda De Rossi, Martina Belanova, Adela Bobovska, Petronela Dianiskova, Jana Kordulakova, Claudia Sala, Elizabeth Fullam, Patricia Schneider, John D McKinneyPriscille Brodin, Thierry Christophe, Simon Waddell, Philip Butcher, Jakob Albrethsen, Ida Rosenkrands, Roland Brosch, Vrinda Nandi, Sowmya Bharath, Sheshagiri Gaonkar, Radha K Shandil, Venkataraman Balasubramanian, Tanjore Balganesh, Sandeep Tyagi, Jacques Grosset, Giovanna Riccardi, Stewart T Cole

653 Citations (Scopus)

Abstract

New drugs are required to counter the tuberculosis (TB) pandemic. Here, we describe the synthesis and characterization of 1,3-benzothiazin-4-ones (BTZs), a new class of antimycobacterial agents that kill Mycobacterium tuberculosis in vitro, ex vivo, and in mouse models of TB. Using genetics and biochemistry, we identified the enzyme decaprenylphosphoryl-beta-d-ribose 2'-epimerase as a major BTZ target. Inhibition of this enzymatic activity abolishes the formation of decaprenylphosphoryl arabinose, a key precursor that is required for the synthesis of the cell-wall arabinans, thus provoking cell lysis and bacterial death. The most advanced compound, BTZ043, is a candidate for inclusion in combination therapies for both drug-sensitive and extensively drug-resistant TB.

Original languageEnglish
JournalScience
Volume324
Issue number5928
Pages (from-to)801-4
Number of pages4
DOIs
Publication statusPublished - 8 May 2009

Keywords

  • Amino Acid Sequence
  • Animals
  • Antitubercular Agents
  • Arabinose
  • Cell Wall
  • Drug Resistance, Bacterial
  • Enzyme Inhibitors
  • Ethambutol
  • Gene Expression Regulation, Bacterial
  • Genes, Bacterial
  • Mice
  • Mice, Inbred BALB C
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Molecular Structure
  • Mycobacterium
  • Mycobacterium tuberculosis
  • Polysaccharides
  • Racemases and Epimerases
  • Spiro Compounds
  • Thiazines
  • Tuberculosis
  • Journal Article
  • Research Support, Non-U.S. Gov't

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