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Article: Suppression of gyrase-mediated resistance by C7 aryl fluoroquinolones

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Article co-written by Northwestern Health Sciences University faculty member Lisa Oppegard. The article was published online on March 16, 2016. Citation: Nucleic Acids Research, 2016, Vol. 44, No. 7, 3304-3316.
Abstract

Fluoroquinolones form drug-topoisomerase-DNA complexes that rapidly block transcription and replication. Crystallographic and biochemical studies showthat quinolone binding involves a water/metalion bridge between the quinolone C3-C4 keto-acid and amino acids in helix-4 of the target proteins, GyrA(gyrase) and ParC (topoisomerase IV). A recent cross-linking study revealed a second drug-binding modeinwhichtheotherendofthequinolone, the C7 ring system, interacts with GyrA. We report that addition of a dinitrophenyl (DNP) moiety to the C7 end of ciprofloxacin (Cip-DNP) reduced protection due to resistance substitutions in Escherichia coli GyrA helix-4, consistent with the existence of a second drug-binding mode not evident in X-ray structures of drug-topoisomerase-DNA complexes. Several other C7 aryl fluoroquinolones behaved in a similar manner with particular GyrA mutants. Treatment of E. coli cultures with Cip-DNP selectively enriched an uncommon variant, GyrA-A119E, a change that may impede binding of the dinitrophenyl group at or near the GyrA-GyrA interface. Collectively the data support the existence of a secondary quinolone-binding mode in which the quinolone C7 ring system interacts with GyrA; the data also identify C7 aryl derivatives as a new way to obtain fluoroquinolones that overcome existing GyrA-mediated quinolone resistance.