Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.

Antibiotic resistance is rising and we urgently need to gain a better quantitative understanding of how antibiotics act, which in turn would also speed up the development of new antibiotics. Here, we describe a computational model (COMBAT-COmputational Model of Bacterial Antibiotic Target-binding) t...

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Main Authors: Fabrizio Clarelli, Adam Palmer, Bhupender Singh, Merete Storflor, Silje Lauksund, Ted Cohen, Sören Abel, Pia Abel Zur Wiesch
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-08-01
Series:PLoS Computational Biology
Online Access:https://doi.org/10.1371/journal.pcbi.1008106
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author Fabrizio Clarelli
Adam Palmer
Bhupender Singh
Merete Storflor
Silje Lauksund
Ted Cohen
Sören Abel
Pia Abel Zur Wiesch
author_facet Fabrizio Clarelli
Adam Palmer
Bhupender Singh
Merete Storflor
Silje Lauksund
Ted Cohen
Sören Abel
Pia Abel Zur Wiesch
author_sort Fabrizio Clarelli
collection DOAJ
description Antibiotic resistance is rising and we urgently need to gain a better quantitative understanding of how antibiotics act, which in turn would also speed up the development of new antibiotics. Here, we describe a computational model (COMBAT-COmputational Model of Bacterial Antibiotic Target-binding) that can quantitatively predict antibiotic dose-response relationships. Our goal is dual: We address a fundamental biological question and investigate how drug-target binding shapes antibiotic action. We also create a tool that can predict antibiotic efficacy a priori. COMBAT requires measurable biochemical parameters of drug-target interaction and can be directly fitted to time-kill curves. As a proof-of-concept, we first investigate the utility of COMBAT with antibiotics belonging to the widely used quinolone class. COMBAT can predict antibiotic efficacy in clinical isolates for quinolones from drug affinity (R2>0.9). To further challenge our approach, we also do the reverse: estimate the magnitude of changes in drug-target binding based on antibiotic dose-response curves. We overexpress target molecules to infer changes in antibiotic-target binding from changes in antimicrobial efficacy of ciprofloxacin with 92-94% accuracy. To test the generality of our approach, we use the beta-lactam ampicillin to predict target molecule occupancy at MIC from antimicrobial action with 90% accuracy. Finally, we apply COMBAT to predict antibiotic concentrations that can select for resistance due to novel resistance mutations. Using ciprofloxacin and ampicillin as well defined test cases, our work demonstrates that drug-target binding is a major predictor of bacterial responses to antibiotics. This is surprising because antibiotic action involves many additional effects downstream of drug-target binding. In addition, COMBAT provides a framework to inform optimal antibiotic dose levels that maximize efficacy and minimize the rise of resistant mutants.
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spelling doaj.art-cedf55b060ce4ede83872a81b49ec7a92022-12-21T22:36:47ZengPublic Library of Science (PLoS)PLoS Computational Biology1553-734X1553-73582020-08-01168e100810610.1371/journal.pcbi.1008106Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.Fabrizio ClarelliAdam PalmerBhupender SinghMerete StorflorSilje LauksundTed CohenSören AbelPia Abel Zur WieschAntibiotic resistance is rising and we urgently need to gain a better quantitative understanding of how antibiotics act, which in turn would also speed up the development of new antibiotics. Here, we describe a computational model (COMBAT-COmputational Model of Bacterial Antibiotic Target-binding) that can quantitatively predict antibiotic dose-response relationships. Our goal is dual: We address a fundamental biological question and investigate how drug-target binding shapes antibiotic action. We also create a tool that can predict antibiotic efficacy a priori. COMBAT requires measurable biochemical parameters of drug-target interaction and can be directly fitted to time-kill curves. As a proof-of-concept, we first investigate the utility of COMBAT with antibiotics belonging to the widely used quinolone class. COMBAT can predict antibiotic efficacy in clinical isolates for quinolones from drug affinity (R2>0.9). To further challenge our approach, we also do the reverse: estimate the magnitude of changes in drug-target binding based on antibiotic dose-response curves. We overexpress target molecules to infer changes in antibiotic-target binding from changes in antimicrobial efficacy of ciprofloxacin with 92-94% accuracy. To test the generality of our approach, we use the beta-lactam ampicillin to predict target molecule occupancy at MIC from antimicrobial action with 90% accuracy. Finally, we apply COMBAT to predict antibiotic concentrations that can select for resistance due to novel resistance mutations. Using ciprofloxacin and ampicillin as well defined test cases, our work demonstrates that drug-target binding is a major predictor of bacterial responses to antibiotics. This is surprising because antibiotic action involves many additional effects downstream of drug-target binding. In addition, COMBAT provides a framework to inform optimal antibiotic dose levels that maximize efficacy and minimize the rise of resistant mutants.https://doi.org/10.1371/journal.pcbi.1008106
spellingShingle Fabrizio Clarelli
Adam Palmer
Bhupender Singh
Merete Storflor
Silje Lauksund
Ted Cohen
Sören Abel
Pia Abel Zur Wiesch
Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.
PLoS Computational Biology
title Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.
title_full Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.
title_fullStr Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.
title_full_unstemmed Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.
title_short Drug-target binding quantitatively predicts optimal antibiotic dose levels in quinolones.
title_sort drug target binding quantitatively predicts optimal antibiotic dose levels in quinolones
url https://doi.org/10.1371/journal.pcbi.1008106
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