Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant Bacteria

The threat of antibiotic resistance warrants the discovery of agents with novel antimicrobial mechanisms. Antimicrobial peptides (AMPs) directly disrupting bacterial membranes may overcome resistance to traditional antibiotics. AMP development for clinical use has been mostly limited to topical appl...

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Main Authors: Wenyu Xiang, Patrice Clemenza, Jessie Klousnitzer, Jespar Chen, Weiheng Qin, Stephanie Tristram-Nagle, Yohei Doi, Y. Peter Di, Berthony Deslouches
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2022.889791/full
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author Wenyu Xiang
Patrice Clemenza
Jessie Klousnitzer
Jespar Chen
Weiheng Qin
Stephanie Tristram-Nagle
Yohei Doi
Y. Peter Di
Berthony Deslouches
author_facet Wenyu Xiang
Patrice Clemenza
Jessie Klousnitzer
Jespar Chen
Weiheng Qin
Stephanie Tristram-Nagle
Yohei Doi
Y. Peter Di
Berthony Deslouches
author_sort Wenyu Xiang
collection DOAJ
description The threat of antibiotic resistance warrants the discovery of agents with novel antimicrobial mechanisms. Antimicrobial peptides (AMPs) directly disrupting bacterial membranes may overcome resistance to traditional antibiotics. AMP development for clinical use has been mostly limited to topical application to date. We developed a rational framework for systematically addressing this challenge using libraries composed of 86 novel Trp- and Arg-rich engineered peptides tested against clinical strains of the most common multidrug-resistant bacteria known as ESKAPE pathogens. Structure-function correlations revealed minimum lengths (as low as 16 residues) and Trp positioning for maximum antibacterial potency with mean minimum inhibitory concentration (MIC) of 2–4 μM and corresponding negligible toxicity to mammalian cells. Twelve peptides were selected based on broad-spectrum activity against both gram-negative and -positive bacteria and <25% toxicity to mammalian cells at maximum test concentrations. Most of the selected PAX remained active against the colistin-resistant clinical strains. Of the selected peptides, the shortest (the 16-residue E35) was further investigated for antibacterial mechanism and proof-of-concept in vivo efficacy. E35 killed an extensively-resistant isolate of Pseudomonas aeruginosa (PA239 from the CDC, also resistant to colistin) by irreversibly disrupting the cell membranes as shown by propidium iodide incorporation, using flow cytometry and live cell imaging. As proof of concept, in vivo toxicity studies showed that mice tolerated a systemic dose of up to 30 mg/kg peptide and were protected with a single 5 mg/kg intravenous (IV) dose against an otherwise lethal intraperitoneal injection of PA239. Efficacy was also demonstrated in an immune-compromised Klebsiella pneumoniae infection model using a daily dose of 4mg/kg E35 systemically for 2 days. This framework defines the determinants of efficacy of helical AMPs composed of only cationic and hydrophobic amino acids and provides a path for a potential departure from the restriction to topical use of AMPs toward systemic application.
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spelling doaj.art-609951ce00f9461daa7345404a47a07c2022-12-22T00:35:30ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2022-05-011310.3389/fmicb.2022.889791889791Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant BacteriaWenyu Xiang0Patrice Clemenza1Jessie Klousnitzer2Jespar Chen3Weiheng Qin4Stephanie Tristram-Nagle5Yohei Doi6Y. Peter Di7Berthony Deslouches8Department of Environmental and Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Environmental and Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Environmental and Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United StatesBiological Physics Group, Department of Physics, Carnegie Mellon University, Pittsburgh, PA, United StatesBiological Physics Group, Department of Physics, Carnegie Mellon University, Pittsburgh, PA, United StatesBiological Physics Group, Department of Physics, Carnegie Mellon University, Pittsburgh, PA, United StatesDivision of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesDepartment of Environmental and Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Environmental and Occupational Health, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United StatesThe threat of antibiotic resistance warrants the discovery of agents with novel antimicrobial mechanisms. Antimicrobial peptides (AMPs) directly disrupting bacterial membranes may overcome resistance to traditional antibiotics. AMP development for clinical use has been mostly limited to topical application to date. We developed a rational framework for systematically addressing this challenge using libraries composed of 86 novel Trp- and Arg-rich engineered peptides tested against clinical strains of the most common multidrug-resistant bacteria known as ESKAPE pathogens. Structure-function correlations revealed minimum lengths (as low as 16 residues) and Trp positioning for maximum antibacterial potency with mean minimum inhibitory concentration (MIC) of 2–4 μM and corresponding negligible toxicity to mammalian cells. Twelve peptides were selected based on broad-spectrum activity against both gram-negative and -positive bacteria and <25% toxicity to mammalian cells at maximum test concentrations. Most of the selected PAX remained active against the colistin-resistant clinical strains. Of the selected peptides, the shortest (the 16-residue E35) was further investigated for antibacterial mechanism and proof-of-concept in vivo efficacy. E35 killed an extensively-resistant isolate of Pseudomonas aeruginosa (PA239 from the CDC, also resistant to colistin) by irreversibly disrupting the cell membranes as shown by propidium iodide incorporation, using flow cytometry and live cell imaging. As proof of concept, in vivo toxicity studies showed that mice tolerated a systemic dose of up to 30 mg/kg peptide and were protected with a single 5 mg/kg intravenous (IV) dose against an otherwise lethal intraperitoneal injection of PA239. Efficacy was also demonstrated in an immune-compromised Klebsiella pneumoniae infection model using a daily dose of 4mg/kg E35 systemically for 2 days. This framework defines the determinants of efficacy of helical AMPs composed of only cationic and hydrophobic amino acids and provides a path for a potential departure from the restriction to topical use of AMPs toward systemic application.https://www.frontiersin.org/articles/10.3389/fmicb.2022.889791/fullantimicrobial peptidesantibiotic resistancepeptide antibioticsmultidrug resistanceESKAPE pathogensantimicrobial agents
spellingShingle Wenyu Xiang
Patrice Clemenza
Jessie Klousnitzer
Jespar Chen
Weiheng Qin
Stephanie Tristram-Nagle
Yohei Doi
Y. Peter Di
Berthony Deslouches
Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant Bacteria
Frontiers in Microbiology
antimicrobial peptides
antibiotic resistance
peptide antibiotics
multidrug resistance
ESKAPE pathogens
antimicrobial agents
title Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant Bacteria
title_full Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant Bacteria
title_fullStr Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant Bacteria
title_full_unstemmed Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant Bacteria
title_short Rational Framework for the Design of Trp- and Arg-Rich Peptide Antibiotics Against Multidrug-Resistant Bacteria
title_sort rational framework for the design of trp and arg rich peptide antibiotics against multidrug resistant bacteria
topic antimicrobial peptides
antibiotic resistance
peptide antibiotics
multidrug resistance
ESKAPE pathogens
antimicrobial agents
url https://www.frontiersin.org/articles/10.3389/fmicb.2022.889791/full
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