Open Access
Open access
EMBO Molecular Medicine, volume 6, issue 3, pages 372-383

Towards a new combination therapy for tuberculosis with next generation benzothiazinones

Makarov Vadim 1, 2
Lechartier Benoit 2, 3
Zhang Ming 2, 3
Neres João 2, 3
van der Sar Astrid M. 4
Raadsen Susanne A 4
Hartkoorn Ruben C 2, 3
Ryabova Olga B. 1, 2
Vocat Anthony 2, 3
Decosterd Laurent A. 5
Widmer Nicolas 5
Buclin Thierry 5
Bitter Wilbert 4, 6
Andries Koen 7
Pojer Florence 2, 3
Dyson Paul J 8
Cole Stewart T 2, 3
2
 
More Medicines for Tuberculosis (MM4TB) Consortium www.mm4tb.org
4
 
Department Medical Microbiology and Infection Control VU University Medical Center Amsterdam The Netherlands
6
 
Department of Molecular Microbiology VU University Amsterdam The Netherlands
7
 
Janssen Infectious Diseases Beerse Belgium
Publication typeJournal Article
Publication date2014-02-05
Quartile SCImago
Q1
Quartile WOS
Q1
Impact factor11.1
ISSN17574676, 17574684
Molecular Medicine
Abstract
The benzothiazinone lead compound, BTZ043, kills Mycobacterium tuberculosis by inhibiting the essential flavo‐enzyme DprE1, decaprenylphosphoryl‐beta‐D‐ribose 2‐epimerase. Here, we synthesized a new series of piperazine‐containing benzothiazinones (PBTZ) and show that, like BTZ043, the preclinical candidate PBTZ169 binds covalently to DprE1. The crystal structure of the DprE1‐PBTZ169 complex reveals formation of a semimercaptal adduct with Cys387 in the active site and explains the irreversible inactivation of the enzyme. Compared to BTZ043, PBTZ169 has improved potency, safety and efficacy in zebrafish and mouse models of tuberculosis (TB). When combined with other TB drugs, PBTZ169 showed additive activity against M. tuberculosis in vitro except with bedaquiline (BDQ) where synergy was observed. A new regimen comprising PBTZ169, BDQ and pyrazinamide was found to be more efficacious than the standard three drug treatment in a murine model of chronic disease. PBTZ169 is thus an attractive drug candidate to treat TB in humans.

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GOST Copy
Makarov V. et al. Towards a new combination therapy for tuberculosis with next generation benzothiazinones // EMBO Molecular Medicine. 2014. Vol. 6. No. 3. pp. 372-383.
GOST all authors (up to 50) Copy
Makarov V., Lechartier B., Zhang M., Neres J., van der Sar A. M., Raadsen S. A., Hartkoorn R. C., Ryabova O. B., Vocat A., Decosterd L. A., Widmer N., Buclin T., Bitter W., Andries K., Pojer F., Dyson P. J., Cole S. T. Towards a new combination therapy for tuberculosis with next generation benzothiazinones // EMBO Molecular Medicine. 2014. Vol. 6. No. 3. pp. 372-383.
RIS |
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RIS Copy
TY - JOUR
DO - 10.1002/emmm.201303575
UR - https://doi.org/10.1002%2Femmm.201303575
TI - Towards a new combination therapy for tuberculosis with next generation benzothiazinones
T2 - EMBO Molecular Medicine
AU - Makarov, Vadim
AU - Lechartier, Benoit
AU - Zhang, Ming
AU - Neres, João
AU - van der Sar, Astrid M.
AU - Raadsen, Susanne A
AU - Hartkoorn, Ruben C
AU - Ryabova, Olga B.
AU - Vocat, Anthony
AU - Decosterd, Laurent A.
AU - Widmer, Nicolas
AU - Buclin, Thierry
AU - Bitter, Wilbert
AU - Andries, Koen
AU - Pojer, Florence
AU - Dyson, Paul J
AU - Cole, Stewart T
PY - 2014
DA - 2014/02/05 00:00:00
PB - EMBO press
SP - 372-383
IS - 3
VL - 6
PMID - 24500695
SN - 1757-4676
SN - 1757-4684
ER -
BibTex |
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BibTex Copy
@article{2014_Makarov,
author = {Vadim Makarov and Benoit Lechartier and Ming Zhang and João Neres and Astrid M. van der Sar and Susanne A Raadsen and Ruben C Hartkoorn and Olga B. Ryabova and Anthony Vocat and Laurent A. Decosterd and Nicolas Widmer and Thierry Buclin and Wilbert Bitter and Koen Andries and Florence Pojer and Paul J Dyson and Stewart T Cole},
title = {Towards a new combination therapy for tuberculosis with next generation benzothiazinones},
journal = {EMBO Molecular Medicine},
year = {2014},
volume = {6},
publisher = {EMBO press},
month = {feb},
url = {https://doi.org/10.1002%2Femmm.201303575},
number = {3},
pages = {372--383},
doi = {10.1002/emmm.201303575}
}
MLA
Cite this
MLA Copy
Makarov, Vadim, et al. “Towards a new combination therapy for tuberculosis with next generation benzothiazinones.” EMBO Molecular Medicine, vol. 6, no. 3, Feb. 2014, pp. 372-383. https://doi.org/10.1002%2Femmm.201303575.
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