Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>

Invasive methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) infections are leading causes of morbidity and mortality that are complicated by increasing resistance to conventional antibiotics. Thus, minimizing virulence and enhancing antibiotic efficacy against MRSA is a public hea...

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Main Authors: Liana C. Chan, Hong K. Lee, Ling Wang, Siyang Chaili, Yan Q. Xiong, Arnold S. Bayer, Richard A. Proctor, Michael R. Yeaman
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/7/1180
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author Liana C. Chan
Hong K. Lee
Ling Wang
Siyang Chaili
Yan Q. Xiong
Arnold S. Bayer
Richard A. Proctor
Michael R. Yeaman
author_facet Liana C. Chan
Hong K. Lee
Ling Wang
Siyang Chaili
Yan Q. Xiong
Arnold S. Bayer
Richard A. Proctor
Michael R. Yeaman
author_sort Liana C. Chan
collection DOAJ
description Invasive methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) infections are leading causes of morbidity and mortality that are complicated by increasing resistance to conventional antibiotics. Thus, minimizing virulence and enhancing antibiotic efficacy against MRSA is a public health imperative. We originally demonstrated that diflunisal (DIF; [2-hydroxy-5-(2,4-difluorophenyl) benzoic acid]) inhibits <i>S. aureus</i> virulence factor expression. To investigate pharmacophores that are active in this function, we evaluated a library of structural analogues for their efficacy to modulate virulence phenotypes in a panel of clinically relevant <i>S. aureus</i> isolates in vitro. Overall, the positions of the phenyl, hydroxyl, and carboxylic moieties and the presence or type of halogen (F vs. Cl) influenced the efficacy of compounds in suppressing hemolysis, proteolysis, and biofilm virulence phenotypes. Analogues lacking halogens inhibited proteolysis to an extent similar to DIF but were ineffective at reducing hemolysis or biofilm production. In contrast, most analogues lacking the hydroxyl or carboxylic acid groups did not suppress proteolysis but did mitigate hemolysis and biofilm production to an extent similar to DIF. Interestingly, chirality and the substitution of fluorine with chlorine resulted in a differential reduction in virulence phenotypes. Together, this pattern of data suggests virulence-suppressing pharmacophores of DIF and structural analogues integrate halogen, hydroxyl, and carboxylic acid moiety stereochemistry. The anti-virulence effects of DIF were achieved using concentrations that are safe in humans, do not impair platelet antimicrobial functions, do not affect <i>S. aureus</i> growth, and do not alter the efficacy of conventional antibiotics. These results offer proof of concept for using novel anti-virulence strategies as adjuvants to antibiotic therapy to address the challenge of MRSA infection.
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spelling doaj.art-a160510e6a7142b3a32dd3f156556b752023-11-18T18:03:24ZengMDPI AGAntibiotics2079-63822023-07-01127118010.3390/antibiotics12071180Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>Liana C. Chan0Hong K. Lee1Ling Wang2Siyang Chaili3Yan Q. Xiong4Arnold S. Bayer5Richard A. Proctor6Michael R. Yeaman7Division of Molecular Medicine, Harbor-UCLA Medical Center, Torrance, CA 90502, USADivision of Molecular Medicine, Harbor-UCLA Medical Center, Torrance, CA 90502, USADivision of Molecular Medicine, Harbor-UCLA Medical Center, Torrance, CA 90502, USAVanderbilt Eye Institute, Vanderbilt University Medical Center, 2311 Pierce Ave., Nashville, TN 37232, USADivision of Infectious Diseases, Harbor-UCLA Medical Center, Torrance, CA 90502, USADivision of Infectious Diseases, Harbor-UCLA Medical Center, Torrance, CA 90502, USADepartments of Medical Microbiology & Immunology and Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USADivision of Molecular Medicine, Harbor-UCLA Medical Center, Torrance, CA 90502, USAInvasive methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) infections are leading causes of morbidity and mortality that are complicated by increasing resistance to conventional antibiotics. Thus, minimizing virulence and enhancing antibiotic efficacy against MRSA is a public health imperative. We originally demonstrated that diflunisal (DIF; [2-hydroxy-5-(2,4-difluorophenyl) benzoic acid]) inhibits <i>S. aureus</i> virulence factor expression. To investigate pharmacophores that are active in this function, we evaluated a library of structural analogues for their efficacy to modulate virulence phenotypes in a panel of clinically relevant <i>S. aureus</i> isolates in vitro. Overall, the positions of the phenyl, hydroxyl, and carboxylic moieties and the presence or type of halogen (F vs. Cl) influenced the efficacy of compounds in suppressing hemolysis, proteolysis, and biofilm virulence phenotypes. Analogues lacking halogens inhibited proteolysis to an extent similar to DIF but were ineffective at reducing hemolysis or biofilm production. In contrast, most analogues lacking the hydroxyl or carboxylic acid groups did not suppress proteolysis but did mitigate hemolysis and biofilm production to an extent similar to DIF. Interestingly, chirality and the substitution of fluorine with chlorine resulted in a differential reduction in virulence phenotypes. Together, this pattern of data suggests virulence-suppressing pharmacophores of DIF and structural analogues integrate halogen, hydroxyl, and carboxylic acid moiety stereochemistry. The anti-virulence effects of DIF were achieved using concentrations that are safe in humans, do not impair platelet antimicrobial functions, do not affect <i>S. aureus</i> growth, and do not alter the efficacy of conventional antibiotics. These results offer proof of concept for using novel anti-virulence strategies as adjuvants to antibiotic therapy to address the challenge of MRSA infection.https://www.mdpi.com/2079-6382/12/7/1180diflunisalanaloguesvirulencepharmacophore<i>Staphylococcus aureus</i>antimicrobial
spellingShingle Liana C. Chan
Hong K. Lee
Ling Wang
Siyang Chaili
Yan Q. Xiong
Arnold S. Bayer
Richard A. Proctor
Michael R. Yeaman
Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>
Antibiotics
diflunisal
analogues
virulence
pharmacophore
<i>Staphylococcus aureus</i>
antimicrobial
title Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>
title_full Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>
title_fullStr Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>
title_full_unstemmed Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>
title_short Diflunisal and Analogue Pharmacophores Mediating Suppression of Virulence Phenotypes in <i>Staphylococcus aureus</i>
title_sort diflunisal and analogue pharmacophores mediating suppression of virulence phenotypes in i staphylococcus aureus i
topic diflunisal
analogues
virulence
pharmacophore
<i>Staphylococcus aureus</i>
antimicrobial
url https://www.mdpi.com/2079-6382/12/7/1180
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