Cell · 2023 · 136 citations · 67 references
Life SciencesMicrobiologyMolecular BiologyAntimicrobial ResistanceDrug DiscoveryStructural BiologyAntibacterial ResistanceAntibiotic ResistanceAntibiotic Resistance MechanismsBiological MembranesMacromolecular AssemblyMechanisms Of Antimicrobial ResistanceAntibiotic DiscoveryBacterial Cell Wall BiosynthesisBacterial Peptidoglycan SynthesisCell Wall Synthesis InhibitionDrug-resistant PathogensNovel Antibacterial Drug DiscoveryPeptidoglycan BiosynthesisSupramolecular Interactions
Antimicrobial resistance is a leading mortality factor worldwide. Here, we report the discovery of clovibactin, an antibiotic isolated from uncultured soil bacteria. Clovibactin efficiently kills drug-resistant Gram-positive bacterial pathogens without detectable resistance. Using biochemical assays, solid-state nuclear magnetic resonance, and atomic force microscopy, we dissect its mode of action. Clovibactin blocks cell wall synthesis by targeting pyrophosphate of multiple essential peptidoglycan precursors (C 55 PP, lipid II, and lipid III WTA ). Clovibactin uses an unusual hydrophobic interface to tightly wrap around pyrophosphate but bypasses the variable structural elements of precursors, accounting for the lack of resistance. Selective and efficient target binding is achieved by the sequestration of precursors into supramolecular fibrils that only form on bacterial membranes that contain lipid-anchored pyrophosphate groups. This potent antibiotic holds the promise of enabling the design of improved therapeutics that kill bacterial pathogens without resistance development.
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