P.O.Nikiforov
et al.
(2016).
A fragment merging approach towards the development of small molecule inhibitors of Mycobacterium tuberculosis EthR for use as ethionamide boosters.
Org Biomol Chem,
14,
2318-2326.
PubMed id: 26806381
DOI: 10.1039/c5ob02630j
With the ever-increasing instances of resistance to frontline TB drugs there is
the need to develop novel strategies to fight the worldwide TB epidemic.
Boosting the effect of the existing second-line antibiotic ethionamide by
inhibiting the mycobacterial transcriptional repressor protein EthR is an
attractive therapeutic strategy. Herein we report the use of a fragment based
drug discovery approach for the structure-guided systematic merging of two
fragment molecules, each binding twice to the hydrophobic cavity of EthR from M.
tuberculosis. These together fill the entire binding pocket of EthR. We
elaborated these fragment hits and developed small molecule inhibitors which
have a 100-fold improvement of potency in vitro over the initial fragments.