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The survival of Mycobacterium tuberculosis depends on mycolic acids, very long α-alkyl-β-hydroxy fatty acids comprising 60-90 carbon atoms. However, despite considerable efforts, little is known about how enzymes involved in mycolic acid biosynthesis recognize and bind their hydrophobic fatty acyl substrates. The condensing enzyme KasA is pivotal for the synthesis of very long (C38-42) fatty acids, the precursors of mycolic acids. To probe the mechanism of substrate and inhibitor recognition by KasA, we determined the structure of this protein in complex with a mycobacterial phospholipid and with several thiolactomycin derivatives that were designed as substrate analogs. Our structures provide consecutive snapshots along the reaction coordinate for the enzyme-catalyzed reaction and support an induced fit mechanism in which a wide cavity is established through the concerted opening of three gatekeeping residues and several α-helices. The stepwise characterization of the binding process provides mechanistic insights into the induced fit recognition in this system and serves as an excellent foundation for the development of high affinity KasA inhibitors.
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http://dx.doi.org/10.1074/jbc.M113.511436 | DOI Listing |
J Med Chem
September 2025
Xiangya International Academy of Translational Medicine, Central South University, Changsha, Hunan 410013, China.
KasA and KasB are promising drug targets against and infectious nontuberculous mycobacteria, while most lead compounds are in the preclinical development stage. Herein, a platensimycin (PTM) analogue library consisting of 340 members was first screened to identify 46 PTM thioethers with superior activity compared to that of PTM against . Next, 19 PTM thioethers were chosen and semisynthesized from PTM oxirane (), together with seven PTM ether derivatives and 6-ido, 6-bromo-, and 6-thiocyanato PTM.
View Article and Find Full Text PDFBiomark Med
August 2025
Department of Medical Microbiology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Aim: This study assessed electro-impedimetric detection (EIS-MARTI) of anti-mycolate antibodies (AMAb) in TB patients before, during, and after treatment, compared to sputum culture (MGIT) as the gold standard.
Methods: A prospective pilot study enrolled 15 confirmed TB patients and 73 healthy controls at a Pretoria hospital (2016-2017). A prospective monitoring study followed 25 confirmed TB patients over 6 months of treatment at a Pretoria clinic (2019-2020) to evaluate biomarker behavior.
Proc Natl Acad Sci U S A
September 2025
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, MO 63110.
Isoniazid (INH) inhibits mycolic acid synthesis in () and is a cornerstone of treatment regimens against this deadly pathogen. However, over 10% of infections are INH-resistant. The compound C10 can sensitize clinically relevant INH-resistant mutants to killing by INH.
View Article and Find Full Text PDFChemMedChem
August 2025
Faculty of Pharmacy in Hradec Králové, Charles University, Ak. Heyrovského 1203, 500 03, Hradec Králové, Czech Republic.
A series of 33 (E)-N'-benzylidenepyrazine-2-carbohydrazides and their derivatives were synthesized and tested for biological activity. Benzylidene derivatives with 2-OH substitution on the phenyl ring (18: R = 2-OH, 21: R = 2,3-diOH, and 22: R = 2,4-diOH) exhibit various biological activities. Compounds 18 and 21 demonstrate antimycobacterial activity against Mycobacterium tuberculosis H37Ra, M.
View Article and Find Full Text PDFJ Clin Tuberc Other Mycobact Dis
December 2025
Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
We present a case series of six children who were infected with different species of Nontuberculous mycobacteria (NTM) and was the most prevalent isolate representing 50% of the total pathogens. Four of the reported cases were immunocompromised with disseminated NTM diseases and two were infected with , , and the other two infected with . Most patients responded to medical therapy, except for the case, which was fatal despite combination therapy.
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