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-Structure paper
Title | Creation of a macrolide antibiotic against non-tuberculous using late-stage boron-mediated aglycon delivery. |
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Journal, issue, pages | Sci Adv, Vol. 11, Issue 10, Page eadt2352, Year 2025 |
Publish date | Mar 7, 2025 |
![]() | Yuka Isozaki / Takumi Makikawa / Kosuke Kimura / Daiki Nishihara / Maho Fujino / Yoshikazu Tanaka / Chigusa Hayashi / Yoshimasa Ishizaki / Masayuki Igarashi / Takeshi Yokoyama / Kazunobu Toshima / Daisuke Takahashi / ![]() |
PubMed Abstract | Non-tuberculous mycobacteria (NTM) is gaining clinical recognition as a recently emerging pulmonary pathogen. complex (MAC), the most common NTM, is the cause of pulmonary MAC disease. Currently, ...Non-tuberculous mycobacteria (NTM) is gaining clinical recognition as a recently emerging pulmonary pathogen. complex (MAC), the most common NTM, is the cause of pulmonary MAC disease. Currently, the macrolide azithromycin (AZM) is the standard first-line antibiotic for treatment of the disease. However, the rise of drug-resistant MAC necessitates the development of alternative therapeutics. Here, we present a late-stage boron-mediated aglycon delivery strategy for selective modification of AZM, generating a library of potential anti-MAC drugs designated to . Screening of to revealed that exhibited enhanced antimicrobial activity against wild-type and macrolide-resistant MAC compared to AZM. Cryo-electron microscopy analysis indicated that the inserted tercyclic moiety of formed a robust anchor on the bacterial ribosome, creating a binding pocket with base flipping of U2847, potentially bypassing the standard mechanism of macrolide resistance. These results position as a promising lead for therapeutics against macrolide-resistant MAC. |
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Methods | EM (single particle) |
Resolution | 2.33 Å |
Structure data | EMDB-61076, PDB-9j1m: |
Chemicals | ![]() ChemComp-ZN: ![]() ChemComp-MG: ![]() PDB-1l32: |
Source |
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![]() | RIBOSOME/ANTIBIOTIC / ribosome / macrolide / ANTIBIOTIC / RIBOSOME-ANTIBIOTIC complex |