Design, Synthesis, and Biological Evaluation of 5-(5-Iodo-2-isopropyl-4-methoxyphenoxy)pyrimidine-2,4-diamine (AF-353) Derivatives as Novel DHFR Inhibitors against Staphylococcus aureus

J Med Chem. 2024 Mar 28;67(6):4757-4781. doi: 10.1021/acs.jmedchem.3c02355. Epub 2024 Mar 11.

Abstract

The high lethality of Staphylococcus aureus infections and the emergence of antibiotic resistance make the development of new antibiotics urgent. Our previous work identified a hit compound h1 (AF-353) as a novel Mycobacterium tuberculosis (Mtb) dihydrofolate reductase (DHFR) inhibitor. Herein, we analyzed the antimicrobial profile of h1 and performed a comprehensive structure-activity relationship (SAR) assay based on h1. The representative compound j9 exhibited potent antibacterial activity against S. aureus without cross-resistance to other antimicrobial classes. Multiple genetic and biochemical approaches showed that j9 directly binds to SaDHFR, resulting in strong inhibition of its enzymatic activity (IC50 = 0.97 nM). Additionally, j9 had an acceptable in vivo safety profile and oral bioavailability (F = 40.7%) and also showed favorable efficacy in a mouse model of methicillin-resistant S. aureus (MRSA) skin infection. Collectively, these findings identified j9 as a novel SaDHFR inhibitor with the potential to combat drug-resistant S. aureus infections.

MeSH terms

  • Animals
  • Anti-Bacterial Agents / chemistry
  • Folic Acid Antagonists* / pharmacology
  • Methicillin-Resistant Staphylococcus aureus*
  • Mice
  • Microbial Sensitivity Tests
  • Phenyl Ethers*
  • Pyrimidines*
  • Staphylococcal Infections* / drug therapy
  • Staphylococcus aureus

Substances

  • 5-(5-iodo-2-isopropyl-4-methoxyphenoxy)pyrimidine-2,4-diamine
  • Folic Acid Antagonists
  • Anti-Bacterial Agents
  • Phenyl Ethers
  • Pyrimidines