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Antimicrobial Agents and Chemotherapy, July 2004, p. 2424-2430, Vol. 48, No. 7
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.7.2424-2430.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department of Pharmaceutical Chemistry, University of CaliforniaSan Francisco, San Francisco, California 94143-2280,1 Tuberculosis Research Section, National Institute of Allergy and Infectious Diseases, Rockville, Maryland 208522
Received 6 January 2004/ Returned for modification 24 February 2004/ Accepted 8 March 2004
The resistance of Mycobacterium tuberculosis to isoniazid (INH) is largely linked to suppression of a catalase-peroxidase enzyme (KatG) that activates INH. In the absence of KatG, antioxidant protection is provided by enhanced expression of the peroxiredoxin AhpC, which is itself reduced by AhpD, a protein with low alkylhydroperoxidase activity of its own. Inhibition of AhpD might therefore impair the antioxidant protection afforded by AhpC and make KatG-negative strains more sensitive to oxidative stress. We report here that the 3(E),17-dioxime of testosterone is a potent competitive AhpD inhibitor, with a Ki of 50 ± 2 nM. The inhibitor is stereospecific, in that the 3(E) but not 3(Z) isomer is active. Computational studies provide support for a proposed AhpD substrate binding site. However, the inhibitor does not completely suppress the in vitro activity of AhpC/AhpD, because a low titer of AhpD suffices to maintain AhpC activity. This finding, and the low solubility of the inhibitor, explains its inability to suppress the growth of INH-resistant M. tuberculosis in infected mouse lungs.
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