Challenging antibiotic resistance with dual-action Macrolones

News Excerpt:

For a new paper in Nature Chemical Biology, researchers examined how a class of synthetic drugs called macrolones disrupt bacterial cell function to fight infectious diseases.

What are Macrolones:

  • Macrolones are synthetic antibiotics that combine the structures of two widely used antibiotics with different mechanisms. 
  • Macrolides, such as erythromycin, block the ribosome, the protein manufacturing factories of the cell. 
  • Fluoroquinolones, such as ciprofloxacin, target a bacteria-specific enzyme called DNA gyrase.

Key Points:

  • Dual-action mechanism: Macrolones work by targeting two different cellular processes in bacteria: 
    • Interfering with protein production
    • Corrupting DNA structure
  • Drastically reduced resistance: This dual-action approach makes it approximately 100 million times more difficult for bacteria to develop resistance. The bacteria would need to simultaneously evolve defenses against both mechanisms, which is highly improbable.
  • Key findings of the research: 
    • Macrolones bind more tightly to ribosomes than traditional macrolides. 
    • They can even bind to and block ribosomes from macrolide-resistant bacterial strains. 
    • Macrolones do not trigger the activation of resistance genes. 
    • Some macrolone designs were found to inhibit both ribosome and DNA gyrase enzymes at the same concentration, making them particularly promising.

Implications for future antibiotic development: 

  • The research suggests that optimizing macrolones to target both cellular processes simultaneously could lead to more effective antibiotics with a significantly lower risk of resistance development.

Significance of the research:

  • The significance of this research lies in its potential to address the growing global concern of antibiotic resistance.
  • As antibiotic resistance continues to be a major threat to global health, this research provides a promising new direction for the development of more effective and lasting antibiotic treatments.

Antibiotic Resistance:

  • Antibiotics are medicines used to prevent and treat bacterial infections. 
  • Antibiotic resistance occurs when bacteria change so that antibiotic medicines can't kill them or stop their growth. Bacteria, not humans, become antibiotic resistant. 
  • These bacteria may then infect humans and are harder to treat than non-resistant bacteria. 
  • Antibiotic resistance is a type of antimicrobial resistance. 

Antimicrobial Resistance:

  • Antimicrobial resistance is a broader term, encompassing resistance to drugs to treat infections caused by other microbes as well, such as parasites (e.g. malaria), viruses (e.g. HIV) and fungi (e.g. Candida).

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