Infectious diseases caused by bacterial pathogens are
a leading
cause of mortality worldwide. In particular, recalcitrant bacterial
communities known as biofilms are implicated in persistent and difficult
to treat infections. With a diminishing antibiotic pipeline, new treatments
are urgently required to combat biofilm infections. An emerging strategy
to develop new treatments is the hybridization of antibiotics. The
benefit of this approach is the extension of the useful lifetime of
existing antibiotics. The oxazolidinones, which include the last resort
antibiotic linezolid, are an attractive target for improving antibiofilm
efficacy as they present one of the most recently discovered classes
of antibiotics. A key step in the synthesis of new 3-aryl-2-oxazolidinone
derivatives is the challenging formation of the oxazolidinone ring.
Herein we report a direct synthetic route to the piperazinyl functionalized
3-aryl-2-oxazolidinone 17. We also demonstrate an application
of these piperazine molecules by functionalizing them with a nitroxide
moiety as a strategy to extend the useful lifetime of oxazolidinones
and improve their potency against Methicillin-resistant Staphylococcus
aureus (MRSA) biofilms. The antimicrobial susceptibility
of the linezolid-nitroxide conjugate 11 and its corresponding
methoxyamine derivative 12 (a control for biofilm dispersal)
was assessed against planktonic cells and biofilms of MRSA. In comparison
to linezolid and our lead compound 10 (a piperazinyl
oxazolidinone derivative), the linezolid-nitroxide conjugate 11 displayed a minimum inhibitory concentration that was 4–16-fold
higher. The opposite effect was seen in biofilms where the linezolid-nitroxide
hybrid 11 was >2-fold more effective (160 μg/mL
versus >320 μg/mL) in eradicating MRSA biofilms. The methoxyamine
derivative 12 performed on par with linezolid. The drug-likeness
of the compounds was also assessed, and all compounds were predicted
to have good oral bioavailability. Our piperazinyl oxazolidinone derivative 10 was confirmed to be lead-like and would be a good lead
candidate for future functionalized oxazolidinones. The modification
of antibiotics with a dispersal agent appears to be a promising approach
for eradicating MRSA biofilms and overcoming the antibiotic resistance
associated with the biofilm mode of growth.