The lipopeptide antibiotic daptomycin is active against Gram-positive pathogens. It permeabilizes bacterial cell membranes, which involves the formation of membrane-associated oligomers. We here studied a dimer of daptomycin whose two subunits were linked through a bivalent aliphatic acyl chain. Unexpectedly, the dimer had very low activity on vegetative Staphylococcus aureus and Bacillus subtilis cells. However, activity resembled that of monomeric daptomycin on liposomes and on B. subtilis L-forms. These findings underscore the importance of the bacterial cell wall in daptomycin resistance.
Keywords lipopeptide antibiotics, antibiotic resistance, cell wall permeability, bacterial L-formsThis document is the unedited Author's version of a Submitted Work that was subsequently accepted for publication in ACS Infectious Diseases,© American Chemical Society after peer review. To access the final edited and published work see http://pubs.acs.org/doi/full/10.1021/acsinfecdis.7b00019.Daptomycin is a calcium-dependent lipopeptide antibiotic that depolarizes the cell membranes of Gram-positive bacteria (1, 2). In previous studies, we have shown that permeabilization involves the formation of daptomycin oligomers on target cell membranes (3,4). Oligomer formation has an entropy cost, and we reasoned that lowering this cost by joining two daptomycin molecules together might produce a derivative with greater antimicrobial activity. Within the daptomycin oligomer, the fatty acyl tails of adjoining subunits are in close proximity (5, 6),suggesting that joining them covalently should not impose any unfavourable steric constraints on oligomer formation; we thus used a bivalent fatty acyl moiety to effect dimerization (see Figure 1).The dimer was then tested for antibacterial activity against several strains of Staphylococcus aureus and Bacillus subtilis. Unexpectedly, the MIC was higher than that of the monomer with all tested strains by one to two orders of magnitude (see Tables 1 and 2).Figure 1: Structure of the semisynthetic daptomycin dimer characterized in this study. Each half of the molecule corresponds to a native daptomycin monomer. Details on the synthetic procedure and on the characterization are given in the Supplementary Materials. Several explanations might conceivably account for the marked reduction in activity. Firstly, the steric constraints introduced by dimerization might disrupt the membrane-permeabilizing activity. To test this possibility, we tested the dimer in a liposome model that recapitulates both the oligomer formation (7) and the membrane permeabilization (8) which are also observed in bacterial cells (1,(3)(4)(5) 9). Membrane binding and oligomerization is accompanied by a large increase in the fluorescence intensity of daptomycin's intrinsic kynurenine residue (10, 11). The fluorescence increase occurs in a virtually indistinguishable manner with the monomer and the dimer ( Figure 2A). Similarly, when phosphatidylglycerol was omitted from the liposomes, both the monomer (3) and the dime...