We characterized the inhibition of Neisseria gonorrhoeae type II topoisomerases gyrase and
topoisomerase IV by
AZD0914 (
AZD0914 will be henceforth known as
ETX0914 (Entasis
Therapeutics)), a novel spiropyrimidinetrione antibacterial compound that is currently in clinical trials for treatment of
drug-resistant
gonorrhea.
AZD0914 has potent bactericidal activity against N. gonorrhoeae, including multidrug-resistant strains and key Gram-positive, fastidious Gram-negative, atypical, and anaerobic bacterial species (Huband, M. D., Bradford, P. A., Otterson, L. G., Basrab, G. S., Giacobe, R. A., Patey, S. A., Kutschke, A. C., Johnstone, M. R., Potter, M. E., Miller, P. F., and Mueller, J. P. (2014) In Vitro Antibacterial Activity of
AZD0914: A New Spiropyrimidinetrione
DNA Gyrase/
Topoisomerase Inhibitor with Potent Activity against Gram-positive, Fastidious Gram-negative, and Atypical Bacteria. Antimicrob. Agents Chemother. 59, 467-474).
AZD0914 inhibited
DNA biosynthesis preferentially to other macromolecules in Escherichia coli and induced the SOS response to DNA damage in E. coli.
AZD0914 stabilized the
enzyme-
DNA cleaved complex for N. gonorrhoeae gyrase and
topoisomerase IV. The potency of
AZD0914 for inhibition of supercoiling and the stabilization of cleaved complex by N. gonorrhoeae gyrase increased in a
fluoroquinolone-resistant mutant
enzyme. When a mutation, conferring mild resistance to
AZD0914, was present in the
fluoroquinolone-resistant mutant, the potency of
ciprofloxacin for inhibition of supercoiling and stabilization of cleaved complex was increased greater than 20-fold. In contrast to
ciprofloxacin, religation of the cleaved
DNA did not occur in the presence of
AZD0914 upon removal of
magnesium from the
DNA-gyrase-inhibitor complex.
AZD0914 had relatively low potency for inhibition of human type II topoisomerases α and β.