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Antimicrobial Agents and Chemotherapy, June 2006, p. 2178-2184, Vol. 50, No. 6
0066-4804/06/$08.00+0 doi:10.1128/AAC.00140-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Molecular Validation of LpxC as an Antibacterial Drug Target in Pseudomonas aeruginosa
Khisimuzi E. Mdluli,1,
Pamela R. Witte,1,
Toni Kline,2,
Adam W. Barb,3
Alice L. Erwin,1*
Bryce E. Mansfield,1,¶
Amanda L. McClerren,3,||
Michael C. Pirrung,4,
L. Nathan Tumey,3,#
Paul Warrener,1,
Christian R. H. Raetz,3 and
C. Kendall Stover1,
Departments of Research Biology,1
Chemistry, Chiron Corporation, 201 Elliott Avenue West, Suite 150, Seattle, Washington 98119,2
Departments of Biochemistry,3
Chemistry, Duke University Medical Center, Durham, North Carolina 277104
Received 2 February 2006/
Returned for modification 2 March 2006/
Accepted 24 March 2006

ABSTRACT
LpxC [UDP-3-
O-(
R-3-hydroxymyristoyl)-GlcNAc deacetylase] is
a metalloamidase that catalyzes the first committed step in
the biosynthesis of the lipid A component of lipopolysaccharide.
A previous study (H. R. Onishi, B. A. Pelak, L. S. Gerckens,
L. L. Silver, F. M. Kahan, M. H. Chen, A. A. Patchett, S. M.
Galloway, S. A. Hyland, M. S. Anderson, and C. R. H. Raetz,
Science 274:980-982, 1996) identified a series of synthetic
LpxC-inhibitory molecules that were bactericidal for
Escherichia coli. These molecules did not inhibit the growth of
Pseudomonas aeruginosa and were therefore not developed further as antibacterial
drugs. The inactivity of the LpxC inhibitors for
P. aeruginosa raised the possibility that LpxC activity might not be essential
for all gram-negative bacteria. By placing the
lpxC gene of
P. aeruginosa under tight control of an arabinose-inducible
promoter, we demonstrated the essentiality of LpxC activity
for
P. aeruginosa. It was found that compound L-161,240, the
most potent inhibitor from the previous study, was active against
a
P. aeruginosa construct in which the endogenous
lpxC gene
was inactivated and in which LpxC activity was supplied by the
lpxC gene from
E. coli. Conversely, an
E. coli construct in
which growth was dependent on the
P. aeruginosa lpxC gene was
resistant to the compound. The differential activities of L-161,240
against the two bacterial species are thus the result primarily
of greater potency toward the
E. coli enzyme rather than of
differences in the intrinsic resistance of the bacteria toward
antibacterial compounds due to permeability or efflux. These
data validate
P. aeruginosa LpxC as a target for novel antibiotic
drugs and should help direct the design of inhibitors against
clinically important gram-negative bacteria.

INTRODUCTION
Lipopolysaccharide has a critical function in gram-negative
bacterial membrane integrity and resistance to host defenses,
and therefore, the conserved lipopolysaccharide biosynthetic
enzymes are attractive targets for novel antibacterial drugs.
A drug targeting enzymes of this biosynthetic pathway would
need to be active against
Pseudomonas aeruginosa and other nonfermenting
gram-negative bacterial species, as well as against
Escherichia coli and other enteric bacteria, to be clinically useful. The
P. aeruginosa outer membrane is less permeable to small molecules
than that of
E. coli, and
P. aeruginosa has several multidrug
efflux pumps. As a result of both of these factors,
P. aeruginosa is less susceptible than
E. coli to many antibiotics (
24). Several
laboratories have focused on the metalloenzyme LpxC [UDP-(3-
O-acyl)-
N-acetylglucosamine
deacetylase], since it catalyzes the first committed step in
lipid A synthesis (Fig.
1) and has been demonstrated to be essential
for the growth of
E. coli (
3,
12,
38).
P. aeruginosa LpxC is
similar in sequence (Fig.
2) and catalyzes the same activity
(
11). While the essentiality of LpxC activity for
P. aeruginosa has not been formally proven, the
lpxC gene was not inactivated
in a saturating transposon mutagenesis study (
15). These data
suggest that it might be possible to discover LpxC inhibitors
active against both
E. coli and
P. aeruginosa. However, none
of the early LpxC inhibitors, some of which showed antibacterial
activity against
E. coli and certain other organisms, were able
to inhibit growth of
P. aeruginosa (
5,
12,
27-
29). It was tempting
to assume that the reason for this failure was the intrinsic
resistance of
P. aeruginosa to antibiotics. Challenging this
assumption, we undertook the studies described here to evaluate
the basis for the refractory nature of
P. aeruginosa to LpxC
inhibitors that are effective against
E. coli. We focused on
the compound L-161,240 (Fig.
1), the most active of the LpxC
inhibitors reported by researchers at Merck (
4,
27). We found
that the critical reason for the inactivity of this compound
against
P. aeruginosa was its failure to inhibit enzyme activity.
These findings have implications for designing effective strategies
to identify LpxC inhibitors that can be developed as novel antibacterial
drugs.

MATERIALS AND METHODS
Reagents and bacterial cultivation.
The bacterial strains and plasmids used are listed in Table
1.
P. aeruginosa strains were grown at 37°C in Luria-Bertani
(LB) broth (Difco) or plated on sheep blood agar (Remel).
E. coli was grown in LB broth or on LB agar. EDTA, bis-Tris buffer,
sucrose, arabinose, and dimethyl sulfoxide (DMSO) were purchased
from Sigma as ultrapure agents. Yeast extract and tryptone were
obtained from Difco. Restriction enzymes, T4 DNA ligase, and
their reaction buffers were obtained from New England Biolabs.
Polymyxin B nonapeptide, tetracycline, ampicillin, carbenicillin,
gentamicin, and kanamycin were all purchased from Sigma. Compound
L-161,240 was synthesized as described previously (
4). Antibacterial
compounds were dissolved in DMSO to make stock solutions of
polymyxin B nonapeptide at 3 mg/ml, L-161,240 at 10 mg/ml, and
tetracycline at 125 mg/ml. For growth curves, DMSO was added
to control tubes as needed so that DMSO concentrations were
the same in all cultures within each experiment.
Enzyme inhibition assays.
LpxC activity was measured as previously described (
13,
20),
using either crude cell extracts (
38) of
E. coli W3110 or
P. aeruginosa PAO1 or purified enzyme from
E. coli BL21/DE3/pLysS/pJEJ1
(
14) or
P. aeruginosa PAO1 (
16) as the enzyme source. Assays
were done in 25 mM phosphate buffer at pH 7.4 with 5 µM
substrate at 30°C, with enzyme concentrations (typically
0.5 to 10 nM) adjusted to keep the conversion below 10% over
the time course of the assays.
DNA manipulations.
Standard recombinant DNA procedures were used (30). The primers for amplification of the coding region of the lpxC genes included NdeI and EcoRI restriction sites for subsequent cloning. For the E. coli gene, the primers were 5'-GGGAATTCCATATGATCAAACAAAGGACACTTAAACGT-3' and 5'-CCGGAATTCTTATGCCAGTACAGCTGAAGGCGCT-3', and for the P. aeruginosa gene, they were 5'-GGGAATTCCATATGATGATCAAACAACGCACCTTGAAGAACAT-3' and 5'-CCGGAATTCCTACACTGCCGCCGCCGGGCGCATATAG-3'. These primers were used in a PCR mixture containing as the template either 10 to 50 µg P. aeruginosa genomic DNA or 1 µg plasmid pKD6 containing the E. coli lpxC gene (34). The lpxC genes were amplified using Pwo DNA polymerase (Roche) in a 100-µl reaction mixture containing a 200 µM concentration of each deoxynucleoside triphosphate and a 0.5 µM concentration of each primer for 30 cycles (94°C denaturation, 55°C annealing, and 72°C polymerization). The PCR products were purified with the QIAquick PCR purification kit from QIAGEN and digested with NdeI and EcoRI restriction enzymes. The bands of the sizes predicted for the lpxC genes were identified following gel electrophoresis and excised from the gel. The excised DNA was purified using the QIAquick gel extraction kit from QIAGEN. The purified DNA was cut with NdeI and EcoRI and ligated into the T7 expression vector (36) pET21b (Novagen) that had been cut in the multiple cloning site with NdeI and EcoRI. The ligation mixture was transformed into DH5
, which was plated on LB agar containing ampicillin (250 µg/ml). The inserts in the resulting clones were sequenced before being subcloned. The E. coli and P. aeruginosa inserts were subcloned into pDN19 to produce plasmids pEC-lpxC1 and pPA-lpxC1, respectively, for low-copy-number complementation of E. coli JBK-1 and subcloned into pUCP30T to produce plasmids pEC-lpxC2 and pPA-lpxC2, respectively, for complementation of the P. aeruginosa promoter replacement mutation.
Construction of a P. aeruginosa strain with lpxC expression tightly controlled by the araBAD promoter.
Promoter replacement was carried out using a homologous recombination strategy, whereby recombination of pBEM10 with P. aeruginosa removed the native lpxC promoter and placed the tightly regulated araBAD promoter upstream of lpxC on the chromosome (Fig. 3). In preliminary experiments (data not shown) in which this promoter controlled expression of the luciferase gene lux (9), it was found that in P. aeruginosa, there was a low background level of expression in the absence of arabinose and that this expression was not eliminated by the addition of glucose as it is in E. coli (22). Background levels of promoter expression were successfully reduced by altering the sequence of the ribosome binding site from its original sequence of AGGAG to CTTCT.
Plasmid pPW101 was constructed by ligating the RP4 origin of
transfer
oriT into pSP72.
oriT was amplified from plasmid pEX100T
(
33) with an introduction of NdeI and AatII restriction sites.
To create pBEM10, the following DNA pieces were amplified and
sequentially ligated into pPW101: the tetracycline resistance
marker from plasmid pUCP26 (
26), the
araBAD promoter (
8) from
the plasmid pBAD HisB (Invitrogen), with an altered ribosome
binding site, the
araC repressor gene (
17,
31), also from pBAD
HisB, and the first 340 base pairs of
P. aeruginosa lpxC gene
PA4406. The tetracycline resistance marker was amplified using
a forward primer that introduced a BglII site (5'-AGATCTCAAGGGTTGGTTTGCGCA-3')
and a reverse primer that introduced an EcoRI site (5'-GAATTCTAATTCTCATGTTTGACA-3').
The
araBAD promoter and
araC gene were amplified as one piece
from the pBAD HisB vector. The forward primer introduced an
XhoI site (5'-CTCGAGGCATGCATAATGTG CCTGTC-3'), and the reverse
primer introduced a HindIII site (5'-AAGCTTCTCCTGTTAGCCCAAAAAAACG-3').
A primer set was used to alter the ribosome binding site and
introduce an upstream BssHII site (5'-GCGCGCGGACGAAAGTAAACCCACTGG-3')
and a downstream HindIII site (5'-AAGCTTATTCAGAAGGTTAGCCCAAAAAAACGGG-3').
The first 340 bases of PAO1
lpxC were amplified from PAO1 genomic
DNA. The forward primer introduced a HindIII site (5'-AAGCTTATGATCAAACAACGCACCTT-3'),
and the reverse primer introduced an XbaI site (5'-TCTAGAAGCGCTGCCATCCATGATCGG-3').
These pieces were then ligated into pPW101 to form the final
product, pBEM10. Transformation of pBEM10 into
P. aeruginosa removed the native
lpxC promoter and replaced it with the tightly
regulated
araBAD promoter just upstream of the chromosomal copy
of
lpxC. Growth of the resulting strain, designated PAO1-PBAD-lpxC,
was dependent on arabinose.
Growth curves.
Bacterial cultures were prepared by diluting overnight cultures to an optical density at 600 nm (OD600) of 0.1 in 5 ml of LB. The inhibitor L-161,240 was added to the bacterial cultures to a final concentration of 50 µg/ml or 10 µg/ml. The cultures were incubated with shaking, and 0.8 ml was taken for OD600 readings over the course of the experiment. DH5-
, PAO1, and PAO200 were all grown at 37°C. In the cases where temperature-sensitive JBK-1 strains were being assayed, the cultures were grown at 42°C for both the overnight and the time course cultures.
Microtiter assay for growth inhibition of promoter replacement mutants by L-161,240.
Single colonies of DH5
, PAO1, and each mutant strain were picked and grown in LB at 37°C, with shaking for approximately 4 h, and then each culture was diluted to 5 x 105 cells/ml. A total of 200 µl of each diluted culture was added to wells containing 4 µl of inhibitor. The 96-well plates were incubated at 37°C overnight and their OD600s were determined using the Spectramax Plus plate reader (Molecular Devices).

RESULTS
Compound L-161,240, the most potent of the LpxC inhibitors described
by Onishi et al., is active against
E. coli, with an MIC of
1 µg/ml, but has no activity against
P. aeruginosa (MIC
> 50 µg/ml) (
27). We found that this compound was inactive
against wild-type strains of
P. aeruginosa (PAO1 and ATCC 27853),
strain PAO200, in which genes
mexAB and
oprM, encoding the major
multidrug efflux pump, are deleted (
32), and the hypersusceptible
strain Z61 (ATCC 35151) (
2). Treatment of PAO1 and PAO200 with
polymyxin B nonapeptide (3 µg/ml) to increase the permeability
of the membrane (
23) failed to render these strains susceptible
to L-161,240 (data not shown). These observations suggested
that the failure of L-161,240 to reach its target within
P. aeruginosa cells might not be the primary reason for its failure
to inhibit growth of
P. aeruginosa.
L-161,240 was 38 times more potent toward E. coli than toward P. aeruginosa in an in vitro assay of the LpxC activity in crude bacterial extracts (Table 2). For E. coli, the inhibitor was equally as active toward purified LpxC as it was toward the LpxC in a bacterial extract. However, for P. aeruginosa, purification of LpxC increased its susceptibility to L-161,240.
These observations indicate that
P. aeruginosa LpxC is more
resistant to L-161,240 than the LpxC from
E. coli and that reducing
the effect of intrinsic resistance mechanisms does not render
P. aeruginosa susceptible to growth inhibition by L-161,240.
These data do not allow us to determine the relative contributions
of these two aspects of
P. aeruginosa's resistance to the compound.
In order to assess the effect of L-161,240 on
P. aeruginosa LpxC in a bacterial cell that is known to allow entry of the
compound, we made use of an
E. coli construct in which growth
at 42°C was dependent on the presence of a functional
lpxC gene from either
E. coli or
P. aeruginosa. The chromosomal
lpxC gene of
E. coli strain JBK-1/pKD6 has been inactivated; a wild-type
copy of
E. coli lpxC is provided on the temperature-sensitive
replicon pKD6, which also confers ampicillin resistance (
34).
Since
lpxC is essential for growth, this strain is not viable
at 42°C because the functional copy is on the temperature-sensitive
replicon. We transformed JBK-1/pKD6 with a low-copy, non-temperature-sensitive
replicon carrying wild-type
lpxC from either
E. coli or
P. aeruginosa.
Selection for tetracycline resistance at 42°C yielded ampicillin-susceptible
transformants with either the
E. coli or the
P. aeruginosa construct,
designated JBK-1/pEClpxC1 and JBK-1/pPAlpxC1, respectively.
This result indicated that
lpxC from
P. aeruginosa could be
expressed in the
E. coli background and was capable of substituting
for the inactivated chromosomal copy.
When incubated at 42°, JBK-1/pEC-lpxC1 failed to grow in the presence of the LpxC inhibitor L-161,240, as expected. However, the isogenic strain JBK-1/pPA-lpxC1 was resistant to the LpxC inhibitor at this temperature (Fig. 4). This indicated that the relative insensitivity of the P. aeruginosa enzyme to the inhibitor is sufficient to confer resistance to growth inhibition.
We constructed a mutant of
P. aeruginosa in which the native
promoter of
lpxC was replaced by an inducible promoter (Fig.
3). Modification of the
E. coli araBAD promoter to render it
tightly regulated in
P. aeruginosa is described in Materials
and Methods. The resulting
P. aeruginosa mutant, designated
PAO1-PBAD-lpxC, was fully capable of growth in the presence
of arabinose but did not grow at all in the absence of this
inducer. This confirmed that
P. aeruginosa is similar to
E. coli in that it contains only one functional copy of
lpxC and
in that its activity is essential for growth. PAO1-PBAD-lpxC
was transformed with a plasmid containing either
P. aeruginosa lpxC or
E. coli lpxC (pPA-lpxC2 or pEC-lpxC2, respectively).
The transformants were then incubated in various concentrations
of the LpxC inhibitor. In the absence of arabinose,
P. aeruginosa strains expressing only
E. coli LpxC were nearly as susceptible
to the inhibitor as
E. coli DH5

strains, while transformants
with the
lpxC gene from
P. aeruginosa were resistant, as was
the parent
P. aeruginosa strain PAO1 (Fig.
5). When the experiment
was carried out in the presence of 0.2% arabinose to induce
expression of the chromosomal
lpxC gene, neither transformant
was susceptible to L-161,240 (Fig.
5). This confirmed that the
P. aeruginosa lpxC enzyme itself is the primary factor in the
resistance of
P. aeruginosa to L-161,240. The intrinsic resistance
mechanisms of
P. aeruginosa, in the form of membrane impermeability
or inhibitor efflux, play a relatively minor role.

DISCUSSION
Our data indicate that the LpxC of
P. aeruginosa is refractory
to inhibition by compound L-161,240 at concentrations 10-fold
higher than those that completely inhibit the LpxC of
E. coli.
This was demonstrated in both in vitro assays of enzyme activity
and bacterial growth experiments using a
P. aeruginosa construct
in which the only active
lpxC gene was from
E. coli and a complementary
construct in which growth of
E. coli depended on the
lpxC gene
from
P. aeruginosa. Thus, it is clearly the difference in enzymes,
not differences between species in membrane structure or specificity
of efflux pumps, that is the primary mediator of the differential
susceptibilities of the two bacterial species to this inhibitor.
There remains, however, some cytoplasmic process in P. aeruginosa that further reduces the activity of L-161,240 (Table 2). Our experiments reveal the existence of, but do not characterize, this process. The inhibitor could be sequestered or inactivated within P. aeruginosa. Alternatively, P. aeruginosa LpxC could itself be complexed with other molecules in such a way as to limit access of the inhibitor to the enzyme. Nonetheless, the different potencies of L-161,240 against the two enzymes appear to be the single factor that contributes most to the lack of activity of the inhibitor against P. aeruginosa.
Our current knowledge of the structure and biochemistry of the LpxC enzymes is limited to very few species. The relatively high degree of primary sequence similarity between the E. coli and P. aeruginosa enzymes (Fig. 2) demonstrates the inadequacy of primary sequences for accurate prediction of functional similarity between proteins. Subtle differences, such as the two nonconserved histidines in the E. coli sequence, may have significant consequences in the overall fold and binding properties. The unexpected differences between the two species' LpxC enzymes highlight the importance of protein structure in drug design. Nuclear magnetic resonance (6) and X-ray (37) structures of LpxC from Aquifex aeolicus have been determined, and the zinc sites of the A. aeolicus and P. aeruginosa enzymes have been studied using extended X-ray absorption fine-structure spectroscopy (21). Structural studies of LpxC from species in addition to A. aeolicus may provide the structural rationale for the differential susceptibilities of these species to a given inhibitor and thereby facilitate the design of inhibitors with much broader specificity than has previously been possible.
Our data suggest that strategies to identify broad-spectrum LpxC inhibitors could be challenging and must take into account the structural differences in LpxC enzymes from different gram-negative bacterial species. The finding that nonenzyme components of cell extracts affect the activity of inhibitors within the bacterial cell adds an additional level of complexity. Target-based antibiotic discovery will be most successful when it is possible to evaluate separately each of the factors that contribute to bacterial growth inhibition: penetration of the cell wall, resistance to efflux, inactivation or sequestration by intracytoplasmic components, and potency toward the target. The use of multiple molecular and biochemical approaches allowed us to evaluate each of these for the LpxC inhibitor L-161,240 and to show that in this case, potency toward the target was the primary factor limiting activity for P. aeruginosa. This conclusion was critical to the discovery of potent small-molecule LpxC inhibitors with antibacterial activity toward P. aeruginosa and other gram-negative pathogens, the details of which have been presented elsewhere (1, 16, 19).

ACKNOWLEDGMENTS
This work was supported by PathoGenesis Corporation, Seattle,
WA (later merged with Chiron Corporation). C.R.H.R. was supported
by NIH grant GM-51310.

FOOTNOTES
* Corresponding author. Present address: Microbial Pathogens Program, Seattle Biomedical Research Institute, 307 Westlake Ave. N., Seattle, WA 98109. Phone: (206) 256-7431. Fax: (206) 256-7229. E-mail:
alice.erwin{at}sbri.org.

Present address: Global Alliance for TB Drug Discovery, New York, NY 10004. 
Present address: deCODE Biostructures, Bainbridge Island, WA 98110. 
Present address: Department of Genome Sciences, University of Washington, Seattle, WA 98195. 
¶ Present address: Department of Pathobiology, University of Washington, Seattle, WA 98195. 
|| Present address: Department of Chemistry, University of Illinois, Urbana-Champaign, IL 61801. 

Present address: Department of Chemistry, University of California at Riverside, Riverside, CA 92521. 
# Present address: Wyeth Research, Pearl River, NY 10965. 

Present address: Rosetta Inpharmatics LLC, Seattle, WA 98109. 

Present address: Pfizer Corporation, Ann Arbor, MI 48105. 

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Antimicrobial Agents and Chemotherapy, June 2006, p. 2178-2184, Vol. 50, No. 6
0066-4804/06/$08.00+0 doi:10.1128/AAC.00140-06
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