Article
Author: Morris, Roxanne ; Perryman, Alexander L. ; Connell, Nancy ; Capodagli, Glenn C. ; Dartois, Véronique ; Salgame, Padmini ; Li, Shao-Gang ; Rhee, Kyu Y. ; Zimmerman, Matthew ; Porter, Gene ; Kumar, Pradeep ; Verma, Sheetal ; Sukheja, Paridhi ; Gupta, Aditi ; Awasthi, Divya ; Maharaja, Karishma ; Russo, Riccardo ; Alland, David ; Ho Liang, Hsin Pin ; Shrestha, Riju ; Mina, Marizel ; Singleton, Eric ; Husain, Seema ; Inoyama, Daigo ; Ekins, Sean ; Rasic, George ; Wang, Zhe ; Sarathy, Jansy ; Neiditch, Matthew B. ; Richmann, Todd ; Agnihotri, Gautam ; Freundlich, Joel S. ; Soteropoulos, Patricia
Cell wall biosynthesis inhibitors have proven highly effective for treating tuberculosis (TB). We discovered and validated members of the indazole sulfonamide class of small molecules as inhibitors of
Mycobacterium tuberculosis
KasA—a key component for biosynthesis of the mycolic acid layer of the bacterium’s cell wall and the same pathway as that inhibited by the first-line antitubercular drug isoniazid (INH). One lead compound, DG167, demonstrated synergistic lethality in combination with INH and a transcriptional pattern consistent with bactericidality and loss of persisters. Our results also detail a novel dual-binding mechanism for this compound as well as substantial structure-activity relationships (SAR) that may help in lead optimization activities. Together, these results suggest that KasA inhibition, specifically, that shown by the DG167 series, may be developed into a potent therapy that can synergize with existing antituberculars.