Identification, purification and elucidation of the mode of action of (novel) antimicrobial substances Sabine Oppedijk Identification, purification and elucidation of the mode of action of (novel) antimicrobial compounds PhD thesis, Utrecht University, 2017 In English, with a Dutch summary Sabine Oppedijk Cover design: Sabine Oppedijk Printed by: ProefschriftMaken || www.proefschriftmaken.nl ISBN: 978-90-393-6858-9 The majority of the research presented in this thesis was conducted at the Membrane Biochemistry and Biophysics group, Bijvoet Centre for Biomolecular Research, Faculty of Science, of Utrecht University, the Netherlands. Identification, purification and elucidation of the mode of action of (novel) antimicrobial substances Identificatie, zuivering en ontrafelen van het werkingsmechanisme van (nieuwe) antimicrobiële substanties (Met een samenvatting in het Nederlands) Proefschrift ter verkrijging van de graad van doctor aan de Universiteit Utrecht op gezag van de rector magnificus, prof.dr. G.J. van der Zwaan, ingevolge het besluit van het college voor promoties in het openbaar te verdedigen op woensdag 25 oktober 2017 des middags te 2.30 uur door Sabina Franka Oppedijk geboren op 23 oktober 1987 te Utrecht Promotoren: Prof. dr. J.A. Killian Prof. dr. J. den Hertog Copromotoren: Dr. E.J. Breukink Dr. N.I. Martin Table of Content Table of Content Chapter 1 Introduction: The peptidoglycan precursor lipid II as an 7 effient target for antibiotics against Gram-positive bacteria 1 Chapter 2 The search for novel lipid II targeting antibiotics from fungal 33 sources: Activity based isolation of antimicrobial active compounds from Talaromyces atroroseus Chapter 3 Mode of action studies of Laspartomycin C and analogues 59 of Daptomycn Chapter 4 Characteristics of the mode of action of Pep5: a highly 75 active and specific lantibiotic Chapter 5 Energy metabolism as a target for antibiotics: metabolism 99 studies on Staphylococcus simulans under the influence of Pep5 Chapter 6 Genetic sequencing as a tool to study the mode of action 127 of Pep5 Chapter 7 General discussion and concluding remarks 157 Appendix 165 Nederlandse samenvatting 166 Acknowledgements 170 Curriculum Vitae 175 Chapter 1 Introduction The peptidoglycan precursor Lipid II as an efficient target for antibiotics against Gram-positive bacteria This chapter is based on: Sabine F. Oppedijk(1), Nathaniel I. Martin(2) and Eefjan Breukink(1), Hit ‘em where it hurts: The growing and structurally diverse family of peptides that target Lipid-II, BBA Biomembranes, 2016, 1858(5): 947- 57 (1) Membrane Biochemistry and Biophysics, Utrecht University, Padualaan 8, 3584CH, Utrecht, The Netherlands (2) Department of Medicinal Chemistry and Chemical Biology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Universiteitsweg 99, 3584 CG Utrecht, The Netherlands Chapter 1: Introduction Abstract: 1 The peptidoglycan precursor lipid II has been widely used as a target for antibiotics and was dubbed by some as the “bacterial achilles heel”. This review provides a comprehensive overview of different antimicrobial peptides that interact with lipid II. Different classes of antimicrobial peptides and their interaction with lipid II are discussed ranging from lantibiotics, defensins and the most recently discovered teixobactin. We speculate that future antibacterial agents operating via lipid II-mediated modes of action will play an important role in the battle against pathogenic bacteria by effectively hitting ‘em where it hurts! 8 1.2. Peptidoglycan Biosynthesis Pathway 1.1. Introduction: The era of discovery of lipid II binding antibiotics In an era where microorganisms develop resistance faster than we can develop new antibiotics, interest in antimicrobial substances produced by competing 1 microorganisms is growing. Microorganisms themselves are an important source of novel antimicrobial substances as they commonly produce toxins to combat other microbes. Screening for novel antimicrobials has led to the discovery of numerous active compounds in the past decades. In addition to the search for novel antibiotics, understanding their associated mode(s) of action is also of increasing importance. Studying different types of antimicrobial peptides (AMPs) reveals that AMPs have sustained their effectiveness throughout evolution.1,2 Many AMPs have an amphipathic nature and are positively charged due to the high content of arginine and lysine residues. This gives them the ability to specifically interact with negatively charged membranes and subsequently disrupt the bilayer structure. Several general mechanisms have been assigned for these various AMP modes of actions including the carpet model3,4 and the ‘sand-in-the-gearbox’ model5 where amphipathic peptides aggregate on the membrane followed by membrane disruption. However, in order for an AMP to be broadly applicable as a possible therapeutic, it is important that it acts on a specific target, so as to circumvent toxicity and general membrane distortion. In this regard, there are a number of AMPs that are effective at low nanomolar concentrations indicating that they work via a target-specific mechanism rather than via general membrane distortion. One of those very essential target pathways in Gram positive bacteria is the peptidoglycan synthesis pathway. 1.2. Peptidoglycan Biosynthesis Pathway The bacterial cell wall is of vital importance for bacteria because it counters the osmotic pressures that arise between the cell’s cytosol and its surroundings. Peptidoglycan is synthesized from Lipid II, a building block unique to bacterial cells. Lipid II synthesis starts at the cytosolic side of the membrane where the membrane embedded enzyme MraY links UDP-N-Acetyl-Muramic acid pentapeptide (UDP- MurNAc-pentapeptide) to the carrier lipid undecaprenyl phosphate forming lipid-I. Next, the transferase MurG couples UDP-N-Acetyl Glucosamine (UDP-GlcNAc) to the muramoyl moiety of lipid I to form lipid II. Lipid II is then flipped to the other side of the bacterial membrane by FtsW after which penicillin binding proteins (PBPs) incorporate lipid II into the growing peptidoglycan network. The residual undecaprenyl pyrophosphate is then dephosphorylated to the monophosphate and flipped back to 9 Chapter 1: Introduction 1 Fig. 1: Schematic overview of the peptidoglycan biosynthesis pathway. MurNAc-pentapeptide is coupled to undecaprenylphosphate by mraY. Then GlcNAc is coupled to lipid I by MurG to form lipid II. The peptidoglycan precursor is then flipped to the periplasmic space by ftsW and incorporated into the peptidoglycan by the penicillin binding peptides (PBPs). the cytosolic site to be reused in the lipid II synthesis cycle. (Figure 1, for reviews on the whole process see 6-9) The bacterial cell wall in Gram-positive bacteria is readily accessible and as such, the bacterial cell wall biosynthesis machinery is a prominent target for different types of antibiotics.6,7,10 The viability of lipid II as a drug target is clearly demonstrated by vancomycin. Belonging to the glycopeptide class of antibiotics, vancomycin was first isolated from the soil bacteria Streptomyces orientalis in 1953 by Eli Lily. The use of vancomycin has significantly increased since the development of penicillin- and methicillin- resistant isolates. Since its introduction into the clinic, vancomycin remains the only antibiotic that targets lipid II and is a last resort treatment against many highly resistant Gram-positive bacteria. During vancomycin’s early development phase, researchers were unable to isolate vancomycin resistant bacteria.11,12 However, after more that 50 years of clinical use vancomycin resistance slowly emerged. Nowadays six different phenotypes of vancomycin resistant bacteria are known, designated as the VanA- to VanG-gene clusters.12 Bacteria with VanA-, VanB- and VanD-type resistance possess an altered form of lipid wherin the vancomycin-binding D-Ala- D-Ala motif is replaced with D-Ala-D-Lac. Other vancomycin resistant organisms instead employ a D-Ala-D-Ser although this results in less severe resistance. Binding of vancomycin to the D-Ala-D-Ala moiety of lipid II is well studied and is driven by the formation of five hydrogen bonds. Substituting the terminal D-alanine 10
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