Hyperphosphorylated
nucleotide (p)ppGpp, synthesized by Rel protein,
regulates the stringent response pathway responsible for biofilm and
persister cell growth in mycobacteria. The discovery of vitamin C
as an inhibitor of Rel protein activities raises the prospect of tetrone
lactones to prevent such pathways. The closely related isotetrone
lactone derivatives are identified herein as inhibitors of the above
processes in a mycobacterium. Synthesis and biochemical evaluations
show that an isotetrone possessing phenyl substituent at C-4 inhibit the biofilm formation at 400 μg mL–1, 84 h post-exposure, followed by moderate inhibition by the isotetrone
possessing the p-hydroxyphenyl substituent. The latter
isotetrone inhibits the growth of persister cells at 400 μg
mL–1 f.c. when monitored for 2 weeks, under PBS
starvation. Isotetrones also potentiate the inhibition of antibiotic-tolerant
regrowth of cells by ciprofloxacin (0.75 μg mL–1) and thus act as bioenhancers. Molecular dynamics studies show that
isotetrone derivatives bind to the RelMsm protein more
efficiently than vitamin C at a binding site possessing serine, threonine,
lysine, and arginine.