Antimicrobial Frog Peptide-based Combination Therapy against Mycobacterium tuberculosis (#309)
Antitubercular therapy has been successful in bringing down the death rate due to tuberculosis. However, there are cases where patients survive with persistent Mycobacterium at the end of their treatment cycles, demanding for new markers or agents to treat drug resistant variants1,2. Highly complex mycobacterial membrane envelope with outer and inner membrane layers that possess distinct compositions and membrane properties at different growth stages, act a barrier to therapeutic agents, attenuating their intracellular concentrations and hence leading to drug resistance3. Australian frog peptides aurein1.2 and maculatin1.1 have membrane-disruptive properties4,5 which could be exploited to enhance the antibiotic uptake in Mycobacterium. In this work, a combination of biophysical techniques was used to study the lipid-specific peptide interaction patterns on mycobacterial cell envelope layers. Microscale thermophoresis studies assured specific binding of the peptides to Mycobacterium smegmatis (Msm) at or above ~2µM, where concentration dependent cell-size reduction was observed upon aurein interaction. Surface plasmon resonance and atomic force microscopy studies revealed that these peptides interact with the lipid membrane to induce membrane disruption by either pore formation or lipid clustering. This mechanism induced enhanced permeability of the lipid membranes, which when cross-checked on whole Msm cell, assured the absence of any non-lipid component (peptidoglycan or lipoarabinomannan) in initiating the membrane permeability. This expanded the application of these peptides in combination drug therapy, where when used with small anti-tubercular drugs such as amikacin, these peptides spur up the drug uptake to enhance intracellular drug concentrations and induce improved cytotoxicity up to 150%. Taken together, leveraging the membrane-drug interaction profiles unique to mycobacteria, membrane-disruptive peptides and anti-tubercular drugs may provide strategies for new combination TB therapies6.
- Behr MA, Edelstein PH, Ramakrishnan L. Is Mycobacterium tuberculosis infection life long?. Bmj. 2019 Oct 24;367.
- Arega B, Menbere F, Getachew Y. Prevalence of rifampicin resistant Mycobacterium tuberculosis among presumptive tuberculosis patients in selected governmental hospitals in Addis Ababa, Ethiopia. BMC infectious diseases. 2019 Dec;19(1):1-5.
- Menon AP, Dong W, Lee TH, Aguilar MI, Duan M, Kapoor S. Mutually Exclusive Interactions of Rifabutin with Spatially Distinct Mycobacterial Cell Envelope Membrane Layers Offer Insights into Membrane-Centric Therapy of Infectious Diseases. ACS bio & med Chem Au. 2022 Mar 24;2(4):395-408.
- Szymanowski F, Balatti GE, Ambroggio E, Hugo AA, Martini MF, Fidelio GD, Gómez-Zavaglia A, Pickholz M, Perez PF. Differential activity of lytic α-helical peptides on lactobacilli and lactobacilli-derived liposomes. Biochimica et Biophysica Acta (BBA)-Biomembranes. 2019 Jun 1;1861(6):1069-77.
- Lee TH, Hofferek V, Sani MA, Separovic F, Reid GE, Aguilar MI. The impact of antibacterial peptides on bacterial lipid membranes depends on stage of growth. Faraday Discussions. 2021;232:399-418.
- Wang L, Wang N, Zhang W, Cheng X, Yan Z, Shao G, Wang X, Wang R, Fu C. Therapeutic peptides: Current applications and future directions. Signal Transduction and Targeted Therapy. 2022 Feb 14;7(1):48.