Conspectus
This Account describes the risky proposition of organizing a multidisciplinary
team to interrogate a challenging problem in chemical biology: characterizing
how human milk, at the molecular level, protects infants from infectious
diseases. At the outset, our initial hypothesis was that human milk
oligosaccharides (HMOs) possess antimicrobial and antivirulence activities.
Early on, we discovered that HMOs do indeed modulate bacterial growth
and biofilm production for numerous bacterial pathogens. In light
of this discovery, three priorities emerged for our program moving
forward. The first was to decode the mode of action behind this activity.
The second was to decipher the functional effects of HMO structural
diversity as there are ca. 200 unique HMOs present in human milk.
Finally, we set our sights on discovering novel uses for HMOs as we
believed this would uniquely position our team to achieve a major
breakthrough in human health and wellness.
Through a combination
of fractionation techniques, chemical synthesis,
and industrial partnerships, we have determined the identities of
several HMOs with potent antimicrobial activity against the important
neonate pathogen Group B Streptococcus (Group B Strep;
GBS). In addition to a structure–activity relationship (SAR)
study, we observed that HMOs are effective adjuvants for intracellular-targeting
antibiotics against GBS. This included two antibiotics that GBS has
evolved resistance to. At their half maximal inhibitory concentration
(IC50), heterogeneous HMOs reduced the minimum inhibitory
concentration (MIC) of select antibiotics by up to 32-fold. Similarly,
we observed that HMOs potentiate the activity of polymyxin B (Gram-negative-selective
antibiotic) against GBS (Gram-positive species). Based on these collective
discoveries, we hypothesized that HMOs function by increasing bacterial
cell permeability, which would be a novel mode of action for
these molecules. This hypothesis was validated as HMOs were
found to increase membrane permeability by around 30% compared to
an untreated control. The question that remains is how exactly HMOs
interact with bacterial membranes to induce permeability changes (i.e.,
through promiscuous insertion into the bilayer, engagement of proteins
involved in membrane synthesis, or HMO-capsular polysaccharide interactions).
Our immediate efforts in this regard are to apply chemoproteomics
to identify the molecular target(s) of HMOs. These investigations
are enabled through manipulation of HMOs produced via total synthesis
or enzymatic and whole-cell microbial biotransformation.