Cited by 4Antimicrobial Resistance in StaphylococcusBacterial biofilms and quorum sensingAntimicrobial agents and applications

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Repurposing AZD-5991 for inhibiting growth and biofilm formation of Staphylococcus aureus by disrupting the cell membrane and targeting FabI

Open access
Tang, Yuanyuan, Deng, Han, Xu, Zhichao, Yu, Zhijian, Xiang, Yong, Wen, Zewen, Han, Shiqing, Chen, Zhong, Hou, Tieying·2025·BMC Microbiology

Published version of a preprint

Abstract

Staphylococcus aureus infections have emerged as a global public health threat. Two key factors—drug resistance and biofilm formation—substantially impair the efficacy of the antimicrobial treatment for S. aureus infections using conventional antibiotics. Consequently, discovering novel antimicrobial agents with potent antibacterial and antibiofilm activity has become a hotspot in recent years. Herein, the research first reported the remarkable inhibitory activity of AZD-5991, a selective Mcl-1 inhibitor, against S. aureus. The MIC50 and MIC90 values of AZD-5991 against S. aureus were 12.5 µM, and significant growth inhibition was observed at a subinhibitory concentration of 1/2 × MIC. Additionally, AZD-5991 exhibited bactericidal activity and a robust capacity for inhibiting S. aureus biofilm formation, with minimal cytotoxicity toward host cell lines. Membrane permeability assays revealed that AZD-5991 compromised S. aureus cell membrane integrity, while bacterial phospholipid components were found to neutralize the antibacterial activity of AZD-5991. Moreover, whole-genome sequencing and proteomic analysis were also applied to gain insights into the possible impact of AZD-5991 on the fatty metabolism of S. aureus. Furthermore, the antibacterial activity of AZD-5991 was remarkably declined by exogenous fatty acids linoleic acid (C18:2Δ9,12) and arachidonic acid (C20:4Δ5,8,11,14). Lastly, the biolayer interferometry assay supported the direct interaction of AZD-5991 with FabI, a key protein essential for bacterial growth and fatty acid metabolism. Conclusively, this study demonstrates that AZD-5991 inhibits S. aureus planktonic growth and biofilm formation by disrupting cell membrane integrity and targeting FabI. These findings position AZD-5991 as a promising novel antibiotic candidate for treating S. aureus infections resistant to traditional clinical antibiotics.

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Research works printed but not linked: 42

  1. Bhowmik A. Role of diagnostic procedures in managing human bacterial infections: A comprehensive overview. Arch Hematol Case Rep Rev. 2023;8(1):008–19. · DOI
  2. Douglas EJA, Wulandari SW, Lovell SD, Laabei M. Novel antimicrobial strategies to treat multi-drug resistant Staphylococcus aureus infections. Microb Biotechnol. 2023;16(7):1456–74. · DOI
  3. Hu FP, Guo Y, Wang F, Zhu DM. Chinet 2021 surveillance of bacterial resistance in China. Chin J Infect Chemother. 2022;22(5):521–30.
  4. Abebe AA, Birhanu AG. Methicillin resistant Staphylococcus aureus: molecular mechanisms underlying drug resistance development and novel strategies to combat. Infect Drug Resist. 2023;16:7641–62. · DOI
  5. Kamble E, Pardesi K. Antibiotic tolerance in biofilm and stationary-phase planktonic cells of Staphylococcus aureus. Microb Drug Resist. 2021;27(1):3–12. · DOI
  6. Parastan R, Kargar M, Solhjoo K, Kafilzadeh F. Staphylococcus aureus biofilms: structures, antibiotic resistance, inhibition, and vaccines. Gene Rep. 2020;20:100739. · DOI
  7. Ulloa ER, Singh KV, Geriak M, Haddad F, Murray BE, Nizet V, Sakoulas G. Cefazolin and ertapenem salvage therapy rapidly clears persistent methicillin-susceptible Staphylococcus aureus bacteremia. Clin Infect Dis. 2020;71(6):1413–8. · DOI
  8. Xu L, She P, Chen L, Li S, Zhou L, Hussain Z, Liu Y, Wu Y. Repurposing Candesartan cilexetil as antibacterial agent for MRSA infection. Front Microbiol. 2021;12:688772. · DOI
  9. Tron AE, Belmonte MA, Adam A, Aquila BM, Boise LH, Chiarparin E, Cidado J, Embrey KJ, Gangl E, Gibbons FD, Gregory GP, Hargreaves D, Hendricks JA, Johannes JW, Johnstone RW, Kazmirski SL, Kettle JG, Lamb ML, Matulis SM, Nooka AK, Packer MJ, Peng B, Rawlins PB, Robbins DW, Schuller AG, Su N, Yang W, Ye Q, Zheng X, Secrist JP, Clark EA, Wilson DM, Fawell SE, Hird AW. Discovery of Mcl-1-specific inhibitor AZD5991 and preclinical activity in multiple myeloma and acute myeloid leukemia. Nat Commun. 2018;9(1):5341. · DOI
  10. Shen S, Duan H, Xie Y, Liu K, Tu L, Yang B, Wang Y, Song C, Sun Y, Luo M. Discovery of anti-MRSA carpatamides’ congeners by heterologous expression along with their mechanism investigation targeting FabI and biofilm formation. Bioorg Chem. 2025;161:108518. · DOI
  11. Zheng Y, Lu X, Liu B, Li B, Yang C, Tang W, Zhang J. Novel FabI inhibitor disrupts the biofilm formation of MRSA through down-regulating the expression of quorum-sensing regulatory genes. Microb Pathogenesis. 2022;163:105391. · DOI
  12. Süssmuth RD, Kulike-Koczula M, Gao P, Kosol S. Fighting antimicrobial resistance: innovative drugs in antibacterial research. Angew Chem Int Edit. 2025;64(10):e202414325. · DOI
  13. Verdon J, Girardin N, Lacombe C, Berjeaud JM, Héchard Y. δ-hemolysin, an update on a membrane-interacting peptide. Peptides. 2009;30(4):817–23. · DOI
  14. Wang J, Sheng Z, Liu Y, Chen X, Wang S, Yang H. Combined proteomic and transcriptomic analysis of the antimicrobial mechanism of Tannic acid against Staphylococcus aureus. Front Pharmacol. 2023;14:1178177. · DOI
  15. Wuillème-Toumi S, Robillard N, Gomez P, Moreau P, Le Gouill S, Avet-Loiseau H, Harousseau JL, Amiot M, Bataille R. Mcl-1 is overexpressed in multiple myeloma and associated with relapse and shorter survival. Leukemia. 2005;19(7):1248–52. · DOI
  16. Shree P, Singh CK, Sodhi KK, Surya JN, Singh DK, Biofilms. Understanding the structure and contribution towards bacterial resistance in antibiotics. Med Microecol. 2023;16:100084. · DOI
  17. Cornejo-Juárez P, Vilar-Compte D, Pérez-Jiménez C, Ñamendys-Silva SA, Sandoval-Hernández S, Volkow-Fernández P. The impact of hospital-acquired infections with multidrug-resistant bacteria in an oncology intensive care unit. Int J Infect Dis. 2015;31:31–4. · DOI
  18. Gonzales RD, Schreckenberger PC, Graham MB, Kelkar S, DenBesten K, Quinn JP. Infections due to vancomycin-resistant Enterococcus faecium resistant to linezolid. Lancet. 2001;357(9263):1179. · DOI
  19. Jubeh B, Breijyeh Z, Karaman R. Resistance of gram-positive bacteria to current antibacterial agents and overcoming approaches. Molecules. 2020;25(12):2888. · DOI
  20. Desai P, Lonial S, Cashen A, Kamdar M, Flinn I, O’Brien S, Garcia JS, Korde N, Moslehi J, Wey M, Cheung P, Sharma S, Olabode D, Chen H, Syed FA, Liu M, Saeh J, Andrade-Campos M, Kadia TM, Blachly JS. A phase 1 first-in-human study of the MCL-1 inhibitor AZD5991 in patients with relapsed/refractory hematologic malignancies. Clin Cancer Res. 2024;30(21):4844–55. · DOI
  21. Breijyeh Z, Karaman R. Design and synthesis of novel antimicrobial agents. Antibiotics. 2023;12(3):628. · DOI
  22. Chen J, Lv Y, Shang W, Yang Y, Wang Y, Hu Z, Huang X, Zhang R, Yuan J, Huang J, Rao X. Loaded delta-hemolysin shapes the properties of Staphylococcus aureus membrane vesicles. Front Microbiol. 2023;14:1254367. · DOI
  23. Wong SH, Lonhienne TG, Winzor DJ, Schenk G, Guddat LW. Bacterial and plant ketol-acid reductoisomerases have different mechanisms of induced fit during the catalytic cycle. J Mol Biol. 2012;424(3–4):168–79. · DOI
  24. Akanuma G, Nanamiya H, Natori Y, Yano K, Suzuki S, Omata S, Ishizuka M, Sekine Y, Kawamura F. Inactivation of ribosomal protein genes in Bacillus subtilis reveals importance of each ribosomal protein for cell proliferation and cell differentiation. J Bacteriol. 2012;194(22):6282–91. · DOI
  25. Ramamoorthy A. NMR structural studies on membrane proteins. BBA Bioenergetics. 2007;1768(12):2947–8.
  26. Mohapatra SS, Dwibedy SK, Padhy I. Polymyxins, the last-resort antibiotics: mode of action, resistance emergence, and potential solutions. J Biosci. 2021;46(3):85. · DOI
  27. Vaou N, Stavropoulou E, Voidarou C, Tsigalou C, Bezirtzoglou E. Towards advances in medicinal plant antimicrobial activity: A review study on challenges and future perspectives. Microorganisms. 2021;9(10):2041. · DOI
  28. Heath RJ, Rubin JR, Holland DR, Zhang E, Snow ME, Rock CO. Mechanism of triclosan Inhibition of bacterial fatty acid synthesis. J Biol Chem. 1999;274(16):11110–4. · DOI
  29. Katiki M, Neetu N, Pratap S, Kumar P. Biochemical and structural basis for Moraxella catarrhalis enoyl-acyl carrier protein reductase (FabI) Inhibition by triclosan and estradiol. Biochimie. 2022;198:8–22. · DOI
  30. Manrique-Moreno M, Jemioła-Rzemińska M, Múnera-Jaramillo J, López GD, Suesca E, Leidy C, Strzałka K. Staphylococcus aureus carotenoids modulate the thermotropic phase behavior of model systems that mimic its membrane composition. Membranes. 2022;12(10):945. · DOI
  31. Butler MS, Vollmer W, Goodall ECA, Capon RJ, Henderson IR, Blaskovich MA. A review of antibacterial candidates with new modes of action. ACS Infect Dis. 2024;10(10):3440–74. · DOI
  32. Nickels JD, Poudel S, Chatterjee S, Farmer A, Cordner D, Campagna SR, Giannone RJ, Hettich RL, Myles DA, Standaert RF, Katsaras J, Elkins JG. Impact of fatty-acid labeling of Bacillus subtilis membranes on the cellular lipidome and proteome. Front Microbiol. 2020;11:914. · DOI
  33. Wen Z, Chen C, Shang Y, Fan K, Li P, Li C, Zheng J, Deng Q, Yu Z. Baohuoside I inhibits virulence of multidrug-resistant Staphylococcus aureus by targeting the transcription Staphylococcus accessory regulator factor SarZ. Phytomedicine. 2024;130:155590. · DOI
  34. Chen C, Li D, Shang Y, Lin Z, Wen Z, Li P, Yu Z, Chen Z, Liu X. Antibacterial activity and mechanism of Candesartan cilexetil against Enterococcus faecalis. ACS Omega. 2024;9(19):21510–9. · DOI
  35. Liu X, Xiong Y, Shi Y, Deng X, Deng Q, Liu Y, Yu Z, Li D, Zhang J, Li P. In vitro activities of licochalcone A against planktonic cells and biofilm of Enterococcus faecalis. Front Microbiol. 2022;13:970901. · DOI
  36. Xiong Y, Chen Z, Bai B, Peng Y, Liu S, Fang D, Wen Z, Shang Y, Lin Z, Han S, Yu Z. Thiazolopyrimidinone derivative H5-23 enhances daptomycin activity against Linezolid-Resistant Enterococcus faecalis by disrupting the cell membrane. ACS Infect Dis. 2023;9(12):2523–37. · DOI
  37. Zheng J, Shang Y, Wu Y, Zhao Y, Chen Z, Lin Z, Li P, Sun X, Xu G, Wen Z, Chen J, Wang Y, Wang Z, Xiong Y, Deng Q, Qu D, Yu Z. Loratadine inhibits Staphylococcus aureus virulence and biofilm formation. IScience. 2022;25(2):103731. · DOI
  38. Xiong Y, Liu S, Zheng J, Chen J, Wen Z, Deng X, Bai B, Li D, Yu Z, Han S, Liu X, Li P. Cinacalcet exhibits rapid bactericidal and efficient anti-biofilm activities against multidrug-resistant Gram-positive pathogens. Iscience. 2023;26(4):106378. · DOI
  39. Zheng J, Liu X, Xiong Y, Meng Q, Li P, Zhang F, Liu X, Lin Z, Deng Q, Wen Z, Yu Z. AMXT-1501 targets membrane phospholipids against Gram-positive and-negative multidrug-resistant bacteria. Emerg Microbes Infecti. 2024;13(1):2321981. · DOI
  40. Wen Z, Zhao Y, Gong Z, Tang Y, Xiong Y, Chen J, Chen C, Zhang Y, Liu S, Zheng J, Li D, Deng Q, Yu Z. The mechanism of action of ginkgolic acid (15:1) against gram-positive bacteria involves cross talk with iron homeostasis. Microbiol Spectr. 2022;10(1):e00991–21. · DOI
  41. Lee AS, De Lencastre H, Garau J, Kluytmans J, Malhotra-Kumar S, Peschel A, Harbarth S. Methicillin-resistant Staphylococcus aureus. Nat Rev Dis Primers. 2018;4(1):1–23. · DOI
  42. Liu Y, Yang X, Gan J, Chen S, Xiao Z, Cao Y. CB-Dock2: improved protein-ligand blind Docking by integrating cavity detection, Docking and homologous template fitting. Nucleic Acids Res. 2022;50(W1):W159–64. · DOI

Metadata

Authors
Tang, Y., Deng, H., Xu, Z., Yu, Z., Xiang, Y., Wen, Z., Han, S., Chen, Z., & Hou, T.
Affiliations
  • Nanjing Tech University (CN)
  • Shenzhen University (CN)
Corresponding author
Han, Shiqing
Venue
BMC Microbiology
Published
2025-07-02
Volume
25
Issue
1
Pages
393-393
ISSN
1471-2180 (ISSN-L)
OpenAlex
W4411917844
Cited by
4
References
2
Citations by year
2026: 3 · 2025: 1
FWCI
3.08
Type
journal article
Language
en
Open access
Locations
  • BMC Microbiology (publishedVersion, cc-by-nc-nd)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Shenzhen Nanshan District Scientific Research Program of the People’s Republic of China (NS2024007, NS2023008, NSZD2024023, NSZD2024032, NS2022046, NS2024001Z, NS2024038)
  • National Natural Science Foundation of China (82172283)
  • Basic and Applied Basic Research Foundation of Guangdong Province (2022A1515110096, 2024A1515013276)
  • Sanming Project of Medicine in Shenzen Municipality (SMZ202303037)
  • Science, Technology and Innovation Commission of Shenzhen Municipality of basic research funds (JCYJ20220530141614034, JCYJ20240813114503005)
  • Shenzhen Key Medical Discipline Construction Fund (SZXK06162)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
  • Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antimicrobial agents and applications
Keywords
Staphylococcus aureus, antibacterial activity, antibiofilm activity, biofilm formation, plasma membrane integrity, FabI, fatty acid metabolism, Mcl-1 inhibitors, drug repurposing, linoleic acid, arachidonic acid, bacterial fatty acids, drug resistance, bactericidal activity
MeSH terms
Anti-Bacterial Agents, Bacterial Proteins, Cell Membrane, Humans, Microbial Sensitivity Tests, Staphylococcal Infections, Staphylococcus aureus, Biofilms

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