Penicillins transpeptidases

The antibacterial effectiveness of penicillins cephalospotins and other P-lactam antibiotics depends upon selective acylation and consequentiy, iaactivation, of transpeptidases involved ia bacterial ceU wall synthesis. This acylating ability is a result of the reactivity of the P-lactam ring (1). Bacteria that are resistant to P-lactam antibiotics often produce enzymes called P-lactamases that inactivate the antibiotics by cataly2ing the hydrolytic opening of the P-lactam ring to give products (2) devoid of antibacterial activity. 

Preliminary investigations involving a P-lactam-sensitive, bifimctional D-alanyl-carboxypeptidase—transpeptidase (C Pase—T Pase) from Streptomjces R61 have identified the three-dimensional stmcture and catalytic site of interaction with penicillins (63). 

By virtue of their fused /3-lactam-thiazolidine ring structure, the penicillins behave as acylating agents of a reactivity comparable to carboxylic acid anhydrides (see Section 5.11.2.1). This reactivity is responsible for many of the properties of the penicillins, e.g. difficult isolation due to hydrolytic instability (B-49MI51102), antibacterial activity due to irreversible transpeptidase inhibition (Section 5.11.5.1), and antigen formation via reaction with protein molecules. 

The biological activity of penicillins and cephalosporins is due to the presence of the strained /3-lactam ring, which reacts with and deactivates the transpeptidase enzyme needed to synthesize and repair bacterial cell walls. With the wall either incomplete or weakened, the bacterial cell ruptures and dies. 

In contrast to macrolides, the targets of (3-lactams, the penicillin binding proteins (PBPs) require several mutations in order to become resistant while simultaneously maintaining their viable function as cell wall transpeptidases/transglycosidases. Thus, in order to achieve clinically relevant resistance Streptococcus pneumoniae uses a unique strategy to rapidly accumulate several point mutations. Due to its natural competence for transformation during respiratory tract... 

A comparison of the structures of penicillin and Dalanyl-Dalanine (cf. structures 41 and 42) shows that there is a great deal of similarity between the two molecules. Penicillin is essentially an acylated cyclic dipeptide of Dcysteine and Dvaline (84). As such, it contains a peptide bond, that of the /3-lactam ring, that can acylate the enzyme. Labeling studies of the peptidoglycan transpeptidase of Bacillus subtilis indicate that radioactive penicillin reacts with a sulfhydryl group of a cysteine residue of the enzyme (86). 

The /3-lactam bond is broken (instead of the equivalent peptide bond joining the alanine residues) but the remaining ring system in the /3-lactam (a thiazolidine in penicillins) is not released (Fig. 8.3). Instead, the transpeptidase remains linked to the hydrolysed antibiotic with a half hfe of 10-15 minutes. Whilst bound to the / -lactam, the transpeptidase cannot participate in further rounds of peptidoglycan... 

Fig. 8.2 Interaction of transpeptidase (Enz) with its natural substrate, acyl-D-alanyl-D-alanine in the first stage of the transpeptidation reaction to form an acyl-enzyme intermediate. A similar reaction with a penicillin results in the formation of an inactive penicilloyl-enyme complex.

The antibiotic activity of certain (3-lactams depends largely on their interaction with two different groups of bacterial enzymes. (3-Lactams, like the penicillins and cephalosporins, inhibit the DD-peptidases/transpeptidases that are responsible for the final step of bacterial cell wall biosynthesis.63 Unfortunately, they are themselves destroyed by the [3-lactamases,64 which thereby provide much of the resistance to these antibiotics. Class A, C, and D [3-lactamases and DD-peptidases all have a conserved serine residue in the active site whose hydroxyl group is the primary nucleophile that attacks the substrate carbonyl. Catalysis in both cases involves a double-displacement reaction with the transient formation of an acyl-enzyme intermediate. The major distinction between [3-lactamases and their evolutionary parents the DD-peptidase residues is the lifetime of the acyl-enzyme it is short in (3-lactamases and long in the DD-peptidases.65-67... 

The answer is d. (Hardman, pp 1097—1098.) The antibiotic clavu-lanic acid is a potent inhibitor of p-lactamases. The mode of inhibition is irreversible. Although clavulanic acid does not effectively inhibit the transpeptidase, it maybe used in conjunction with a p-lactamase-sensitive penicillin to potentiate its activity... 

To be an effective antibacterial agent, a drng mnst inhibit an enzyme that is present in the bacteria bnt not in the host. One well-known example is a transpeptidase involved in cell wall synthesis in some bacteria. Inhibition prevents bacteria from synthesising their cell wall so that proliferation stops. A drng that inhibits this enzyme is the antibiotic, penicillin first nsed in 1941 (see Chapter 17). However, the first dnrg to inhibit bacterial growth was developed from a dye (Box 3.8). 

Penicillins disrupt cell wall synthesis by inhibiting transpeptidase. When bacteria are in their growth and replication phase, penicillins are bactericidal due to cell wall defects, the bacteria swell and burst. 

The antibiotic activity of penicillin is due to its ability to inhibit transpeptidases responsible for crosslink formation in construction of bacterial cell walls, leading to lysis of the weakened cells. 

In addition to transpeptidases, other penicillin-binding proteins (PBPs) function as transglycosylases and carboxypeptidases. All of the PBPs are involved with assembly, maintenance, or regulation of peptidoglycan cell wall synthesis. When (3-lactam antibiotics inactivate PBPs, the consequence to the bacterium is a structurally weakened cell wall, aberrant morphological form, cell lysis, and death. 

Is specific for Gram-positive microorganisms Is a potent inhibitor of cell-wall transpeptidase Inactivates bacterial P-lactamases Has a spectrum of activity similar to that of penicillin G... 

Figure 9.4 Mechanism of penicillin. By means of its highly reactive lactam ring, penicillin is able to deactivate the transpeptidase enzyme. This in turn leads to a halting of cell wall construction within the bacterium, ultimately leading to bacterial death.

Penicillin G Prevents bacterial cell wall synthesis by binding to and inhibiting cell wall transpeptidases Rapid bactericidal activity against susceptible bacteria Streptococcal infections, meningococcal infections, neurosyphilis IV administration rapid renal clearance (half-life 30 min, so requires frequent dosing (every 4 h) Toxicity Immediate hypersensitivity, rash, seizures... 

Penicillin is an antibiotic which destroys bacteria by covalently bonding a transpeptidase enzyme which closes up the cell wall during its biosynthesis. This is its biochemical mechanism of action. See Figure 15. 

Penicillin inhibits a D-alanyl-D-alanine transpeptidase that catalyzes the reaction... 

Several classes of (3-lactamases, often encoded in transmissible plasmids, have spread worldwide rapidly among bacteria, seriously decreasing the effectivenss of penicillins and other (3-lactam anti-biotics.t y Most (3-lactamases (classes A and C) contain an active site serine and are thought to have evolved from the dd transpeptidases, but the B typey has a catalytic Zn2+. The latter, as well as a recently discovered type A enzyme,2 hydrolyze imipenem, currently one of the antibiotics of last resort used to treat infections by penicillin-resistant bacteria. Some (3-lactam antibiotics are also powerful inhibitors of (3-lactamases.U/aa/bb These antibiotics may also have uses in inhibition of serine proteasesCC/dd such as elastase. Some antibiotic-resistant staphylococci produce an extra penicillin-binding protein that protects them from beta lactams.ee Because of antibiotic resistance the isolation of antibiotics from mixed populations of microbes from soil, swamps, and lakes continues. Renewed efforts are being... 

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