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PDBsum entry 6x3c
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DOI no:
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Nature
586:145-150
(2020)
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PubMed id:
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Synthetic group A streptogramin antibiotics that overcome Vat resistance.
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Q.Li,
J.Pellegrino,
D.J.Lee,
A.A.Tran,
H.A.Chaires,
R.Wang,
J.E.Park,
K.Ji,
D.Chow,
N.Zhang,
A.F.Brilot,
J.T.Biel,
G.van Zundert,
K.Borrelli,
D.Shinabarger,
C.Wolfe,
B.Murray,
M.P.Jacobson,
E.Mühle,
O.Chesneau,
J.S.Fraser,
I.B.Seiple.
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ABSTRACT
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Natural products serve as chemical blueprints for most antibiotics in clinical
use. The evolutionary process by which these molecules arise is inherently
accompanied by the co-evolution of resistance mechanisms that shorten the
clinical lifetime of any given class of antibiotics1. Virginiamycin
acetyltransferase (Vat) enzymes are resistance proteins that provide protection
against streptogramins2, potent antibiotics against Gram-positive
bacteria that inhibit the bacterial ribosome3. Owing to the challenge
of selectively modifying the chemically complex, 23-membered macrocyclic
scaffold of group A streptogramins, analogues that overcome the resistance
conferred by Vat enzymes have not been previously developed2. Here we
report the design, synthesis, and antibacterial evaluation of group A
streptogramin antibiotics with extensive structural variability. Using
cryo-electron microscopy and forcefield-based refinement, we characterize the
binding of eight analogues to the bacterial ribosome at high resolution,
revealing binding interactions that extend into the peptidyl tRNA-binding site
and towards synergistic binders that occupy the nascent peptide exit tunnel. One
of these analogues has excellent activity against several
streptogramin-resistant strains of Staphylococcus aureus, exhibits decreased
rates of acetylation in vitro, and is effective at lowering bacterial load in a
mouse model of infection. Our results demonstrate that the combination of
rational design and modular chemical synthesis can revitalize classes of
antibiotics that are limited by naturally arising resistance mechanisms.
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}
}
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