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Antimicrobial Agents and Chemotherapy, January 2006, p. 385-387, Vol. 50, No. 1
0066-4804/06/$08.00+0 doi:10.1128/AAC.50.1.385-387.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Different Modes of Action of Naphthyridones in Gram-Positive and Gram-Negative Bacteria
Ed T. Buurman,1*
Kenneth D. Johnson,1
Roxanne K. Kelly,2 and
Kathy MacCormack2
Department of Microbiology,1
Molecular Sciences, Infection Discovery, AstraZeneca R&D Boston, Waltham, Massachusetts 024512
Received 25 July 2005/
Returned for modification 23 August 2005/
Accepted 25 August 2005

ABSTRACT
Naphthyridones that were recently described as a class of translation
inhibitors in gram-positive bacteria mediate their mode of action
via GyrA in
Haemophilus influenzae and
Escherichia coli. These
are the first examples of compounds in which modes of action
in different bacterial pathogens are mediated through widely
different targets.

TEXT
Naphthyridones A-72310 and A-692345 were studied previously
as racemic mixtures and were described as a novel class of translation
inhibitors (
3,
12). Here, both sets of two enantiomers were
separated, resulting in four compounds (Fig.
1). All compounds
were tested in a transcription-translation assay using S30 fractions
isolated from
Escherichia coli and were confirmed to inhibit
translation, with 50% inhibitory concentrations ranging from
7.5 to 26 µM (Table
1). Antimicrobial activities of the
compounds tended to be more potent against gram-negative species
than gram-positive bacteria (Table
1). Strains of
Haemophilus influenzae and
E. coli lacking AcrB and TolC, respectively,
were used to assess efflux via systems containing these subunits
(
4,
11). Absence of the pump increased activity only modestly
in
H. influenzae (1- to 4-fold) but more dramatically in
E. coli (4- to 32-fold), indicating the occurrence of net efflux
of naphthyridones.
All compounds were tested in a set of radiolabeled precursor
assays (
6) using
Streptococcus pneumoniae. Leucine and valine,
thymidine, uridine,
N-acetylglucosamine, and acetic acid were
used as precursors to measure inhibition of the synthesis of
protein, DNA, RNA, cell walls, and fatty acids, respectively.
All naphthyridones inhibited incorporation of leucine and valine
at lower compound concentrations than they inhibited any other
processes. These results confirm a previous study (
3) which
showed that the compounds mediated their modes of action (MOA)
via inhibition of protein synthesis. As expected, the structurally
similar quinolone ciprofloxacin preferentially inhibited incorporation
of thymidine (Fig.
2). A similar outcome was obtained with
Staphylococcus aureus (data not shown).
The hypothesis that protein synthesis was the target of the
naphthyridones in
S. pneumoniae was confirmed by the isolation
and analysis of mutants of
S. pneumoniae. Mutants resistant
to the most potent compound, compound 3, were isolated after
incubation for 24 h at a frequency of 10
7 from blood
agar plates containing compound 3 at 32 µg · ml
1.
Although all mutants were cross-resistant against other naphthyridones
in the microdilution assay (Table
2), about half of them showed
a spotty growth phenotype at higher naphthyridone concentrations.
Based on previous data (
3) all 16S rRNA genes and the gene encoding
the S3 ribosomal protein were sequenced in one representative
strain of each phenotype. The strain showing spotty growth had
a G
1049
A mutation, corresponding to G
1053 in
E. coli, in all
four copies of the 16S rRNA, whereas no mutation was found in
the S3 gene. Conversely, the seemingly more stable mutant did
not have any mutation in the 16S rRNA genes but contained an
in-frame deletion in the gene encoding the S3 ribosomal protein,
removing amino acids GYS
159. Although G
1053 is immediately next
to the main tetracycline binding site (
9), the susceptibility
to this antibiotic was not changed (Table
2). Interestingly,
although the deletion in S3 does not seem close enough to G
1053 (
2) to comprise part of a putative naphthyridone binding site,
its proximity to G
1053 may be sufficient to influence that region
of the ribosome, due to more indirect alterations of the structure.
No cross-resistance to fluoroquinolones was observed (Table
2).
View this table:
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TABLE 2. Cross-resistance of naphthyridone-resistance mutants of S. pneumoniae, E. coli tolC, and H. influenzae acrB
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Similar studies using
H. influenzae and
E. coli (data not shown)
yielded different results. Inhibition of incorporation of radiolabeled
precursors showed that, in these species, thymidine incorporation,
and thus, DNA synthesis, was inhibited similarly to the way
it was inhibited by quinolones (Fig.
2). The hypothesis that
inhibition of DNA synthesis rather than protein synthesis was
the target of the naphthyridones in these two gram-negative
species was confirmed by isolation of mutants of AcrB- and TolC-negative
H. influenzae and
E. coli, respectively. Mutants to either compound
1 (at 16 and 32 µg · ml
1 for
H. influenzae acrB::cap [chloramphenicol resistant] and
E. coli tolC::
Tn10,
respectively) or compound 3 (at 2 and 0.5 µg ·
ml
1 for
H. influenzae acrB::cap and
E. coli tolC::
Tn10,
respectively) were isolated at frequencies of 10
7 to
10
8. In contrast to the naphthyridone-resistant mutant
isolates obtained from
S. pneumoniae, all mutants were found
to be cross-resistant to fluoroquinolones, suggesting involvement
of GyrA or ParC (
7). One mutant of each compound-species combination
was analyzed further (Table
2) and all mutants were found to
contain mutations in
gyrA. Three out of four had previously
described mutations in the quinolone-resistance-determining
region (
8,
15,
16) and one novel mutation, E
153
G, was found.
Compounds 1 to 3 were tested in an in vitro supercoiling assay
(
10) and were found to inhibit
E. coli GyrA-GyrB (Table
1).
Transcriptional profiles were determined for cultures of E. coli tolC::Tn10 which were treated for 30 min at compound concentrations that equaled their MICs (1). Multivariate analysis of all transcript levels (14) showed that treatment with naphthyridones altered the profile similarly to treatment with inhibitors of DNA synthesis ciprofloxacin, ofloxacin, or nalidixic acid, and the result was quite distinct from those of protein synthesis inhibitors chloramphenicol and tetracycline (data not shown). A similar result was obtained when the analysis was more focused, using the restricted gene set defined by Dandliker et al. (3). Whereas in B. subtilis elevated transcript levels of many ribosomal proteins were found upon treatment with naphthyridones (3), in E. coli a >2-fold increase of many of these genes was found with tetracycline and with chloramphenicol (32 and 27 out of 34 genes, respectively), but no increase was detected after treatment with naphthyridones (data not shown), suggesting that in E. coli, these naphthyridones do not inhibit growth via inhibition of protein synthesis.
Here, we confirm an earlier report that naphthyridones are in vitro inhibitors of translation in S. pneumoniae and E. coli, and that in gram-positive species, the antibacterial action is mediated via inhibition of this target (3). However, naphthyridones also inhibit DNA gyrase of E. coli in an in vitro supercoiling assay (Table 1). Since DNA gyrase is a well-established target of both coumarins (13) and quinolones (5), this implies that there are (at least) two possible targets via which naphthyridones can act. The data presented here show that, whereas the in situ inhibition of translation may occur in E. coli and H. influenzae, the antibacterial action is mediated via inhibition of DNA gyrase. Combining our results with those of Dandliker et al. (3) suggests that naphthyridones mediate their antibacterial MOA via inhibition of translation in gram-positive species and via inhibition of DNA supercoiling in gram-negative species. To our knowledge, this is the first example of compounds with widely different MOA in different bacterial pathogens. One implication is that in order to elucidate relationships between chemical structure, biochemical activity, and antimicrobial activity in different pathogens, the MOA in each species needs to be determined.

ACKNOWLEDGMENTS
We thank Richard Alm, Paul Fleming, Tom Keating, Kevin Keenan,
Valerie Laganas, Bob McLaughlin, Scott Mills, Linda Otterson,
Adam Shapiro, Wei Yang, and Elaina Zverina for their contributions
to this work.

FOOTNOTES
* Corresponding author. Mailing address: AstraZeneca R&D Boston, 35 Gatehouse Drive, Waltham, MA 02451. Phone: (781) 839-4592. Fax: (781) 839-4800. E-mail:
Ed.Buurman{at}astrazeneca.com.


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Antimicrobial Agents and Chemotherapy, January 2006, p. 385-387, Vol. 50, No. 1
0066-4804/06/$08.00+0 doi:10.1128/AAC.50.1.385-387.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.