Targeting de novo purine biosynthesis for tuberculosis treatment
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Abstract
. Here we report the discovery of a first-in-class small-molecule inhibitor targeting PurF, the first enzyme in the mycobacterial de novo purine biosynthesis pathway. The lead candidate, JNJ-6640, exhibited nanomolar bactericidal activity in vitro. Comprehensive genetic and biochemical approaches confirmed that JNJ-6640 was highly selective for mycobacterial PurF. Single-cell-level microscopy demonstrated a downstream effect on DNA replication. We determined the physiologically relevant concentrations of nucleobases in human and mouse lung tissue, showing that these levels were insufficient to salvage PurF inhibition. Indeed, proof-of-concept studies using a long-acting injectable formulation demonstrated the in vivo efficacy of the compound. Finally, we show that inclusion of JNJ-6640 could have a crucial role in improving current treatment regimens for drug-resistant tuberculosis. Together, we demonstrate that JNJ-6640 is a promising chemical lead and that targeting de novo purine biosynthesis represents a novel strategy for tuberculosis drug development.
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- Authors
- Lamprecht, D. A., Wall, R. J., Leemans, A., Truebody, B., Sprangers, J., Fiogbe, P., Davies, C., Wetzel, J., Daems, S., Pearson, W., Pillay, V., Saylock, S., Ricketts, M. D., Davis, E., Huff, A., Grell, T., Lin, S., Gerber, M., Vos, A., Dallow, J., Willcocks, S. J., Roubert, C., Sans, S., Desorme, A., Chappat, N., Ray, A., Pereira Moraes, M., Washington, T., D’Erasmo, H., Sancheti, P., Everaerts, M., Monshouwer, M., Esquivias, J., Larrouy-Maumus, G., Draghia Akli, R., Fletcher, H., Pym, A. S., Aldridge, B. B., Sarathy, J. P., Clancy, K. W., Stoops, B., Dhar, N., Steyn, A. J. C., Jackson, P., Aguilar-Pérez, C., & Koul, A.
- Affiliations
- Janssen (Belgium) (BE)
- London School of Hygiene & Tropical Medicine (GB)
- Africa Health Research Institute (ZA)
- University of Saskatchewan (CA)
- Tufts University (US)
- Imperial College London (GB)
- Janssen (United Kingdom) (GB)
- Hackensack Meridian Health (US)
- University of Alabama at Birmingham (US)
- Janssen (United States) (US)
- Corresponding author
- Lamprecht, Dirk A.
- Koul, Anil
- ORCID
- Lamprecht, Dirk A.
- Wall, Richard J.
- Truebody, Barry
- Daems, Stijn
- Pearson, William
- Grell, Tsehai
- Vos, Ann
- Willcocks, Sam J.
- Sans, Stéphanie
- Pereira Moraes, Mariana
- Washington, Tracy
- D’Erasmo, Hope
- Monshouwer, Mario
- Esquivias, Jorge
- Larrouy-Maumus, Gerald
- Draghia Akli, Ruxandra
- Fletcher, Helen
- Pym, Alexander S.
- Aldridge, Bree B.
- Sarathy, Jansy P.
- Clancy, Kathleen W.
- Stoops, Bart
- Dhar, Neeraj
- Steyn, Adrie J. C.
- Jackson, Paul
- Aguilar-Pérez, Clara
- Koul, Anil
- Venue
- Nature
- Published
- 2025-06-18
- Volume
- 644
- Issue
- 8075
- Pages
- 214-220
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC12328218
- OpenAlex
- W4411413727
- Cited by
- 24
- References
- 52
- Citations by year
- 2026: 13 · 2025: 11
- FWCI
- 7.21
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nature (publishedVersion, cc-by-nc-nd)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Brunel University Research Archive (BURA) (Brunel University London) (submittedVersion, cc-by-nc-nd)
- Funders
- Wellcome Trust (227167/A/23/Z))
- Innovation Saskatchewan
- Canadian Institutes of Health Research (185715)
- National Institute of Allergy and Infectious Diseases (R33AI138280, R24AI186591)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Biochemical and Molecular Research
- Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
- Physical Sciences › Chemistry › Organic Chemistry › Synthesis and Characterization of Heterocyclic Compounds
- Keywords
- tuberculosis, de novo purine synthesis, purF, small molecule inhibitors, mycobacteria, DNA replication, drug-resistant tuberculosis, long-acting injectables, antitubercular drug development
- MeSH terms
- Proof of Concept Study, Animals, Antitubercular Agents, DNA Replication, Female, Humans, Lung, Male, Mice, Inbred C57BL, Mycobacterium tuberculosis, Purines, Tuberculosis, Tuberculosis, Multidrug-Resistant, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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