14In response to the increasingly problematic emergence of antibiotic resistance, novel 15 strategies for combating pathogenic bacteria are being investigated. Targeting the agr 16 quorum sensing system, which regulates expression of virulence in Staphylococcus 17 aureus, is one potentially useful approach for combating drug-resistant pathogens that 18 has not yet been fully explored. A previously published study of a fragment screen 19 resulted in the identification of five compound fragments that interact with the DNA-20 binding domain of the response regulator AgrA from S. aureus. We have analyzed the 21 ability of these compounds to affect agr-mediated virulence gene expression in S. 22 aureus cells. Three of the compounds demonstrated the ability to reduce agr-driven 23 2 transcription of at the P2 and P3 promoters of the agr operon and increase biofilm 24 formation, and two of these compounds also showed the ability to reduce levels of 25 secreted toxins. The finding that the compounds tested were able to reduce agr activity 26 suggests that they could be useful tools for probing the effects of agr inhibition.
27Furthermore, the characteristics of compound fragments make them good starting 28 materials for the development of compound libraries to iteratively improve the inhibitors. 29 30 31 32 Staphylococcus aureus is a dangerous human pathogen and a leading cause of 33 endocarditis, bone and joint infections, pulmonary infections, and bacteremia 1 . S. 34 aureus infections have become increasingly difficult to treat due to the growing 35 prevalence of antibiotic-resistant strains. Methicillin-resistant S. aureus (MRSA) strains 36 such as USA300 have become the predominant source of soft-tissue infections in the 37 USA 2,3 . MRSA infections are often treated with vancomycin as a last-resort antibiotic; 38 however, strains resistant to vancomycin have been reported 4,5 . Although clinical 39 observation of vancomycin resistance in infections has been relatively limited, the threat 40 highlights the urgent need for novel antibiotic therapies 6 . 41 42In response to the problem of increasing antibiotic resistance, targeting bacterial 43 virulence rather than viability has been proposed. Because virulence expression and 44 regulation are important for the establishment and maintenance of an infection but are 45 otherwise non-essential, it has been argued that targeting virulence might be less likely 46 3 to lead to the development of resistance 7,8 . While these potential advantages make the 47 idea of targeting virulence extremely appealing, this strategy remains largely untested.
49In S. aureus, the agr quorum sensing system plays a major role in the regulation of 50 virulence 9 . The agr system coordinates the timing of the transition to an invasive mode 51 that entails increased production of virulence factors and a reduction in surface 52 proteins 10 . Infection models have shown that disruption of the timing of agr activation 53 leads to the attenuation of an infection 11 . The importance of agr-med...