Oral Presentation BACPATH 2022

 Targeting the initiation step of fatty acid synthesis sensitises multi-drug-resistant Escherichia coli to previously ineffective antibiotics (#20)

Yaoqin Hong 1 , Jilong Qin 1 , Anthony Verderosa 1 2 , Sophia Hawas 1 , Bing Zhang 3 , Mark Blaskovich 3 , John Cronan 4 5 , Makrina Totsika 1
  1. Queensland University of Technology, Brisbane City, QLD, Australia
  2. Present address: University of Queensland, St Lucia, QLD
  3. University of Queensland, St Lucia, QLD, Australia
  4. Department of Microbiology, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States of America
  5. Department of Biochemistry, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States of America

Antibiotic resistance is one of the most prominent threats to modern medicine. In the latest World Health Organization list of bacterial pathogens that urgently require new antibiotics, nine out of 12 are Gram-negative, with four being of “critical priority.” One crucial barrier restricting antibiotic efficacy against Gram-negative bacteria is their unique cell envelope. While fatty acids are a shared constituent of all structural membrane lipids, their biosynthesis pathway in bacteria is distinct from eukaryotes, making it an attractive target for new antibiotic development that remains less explored. Here, we interrogated the redundant components of the bacterial type II fatty acid synthesis (FAS II) pathway, showing that disrupting FAS II homeostasis in Escherichia coli through deletion of the fabH gene damages the cell envelope of antibiotic-susceptible and antibiotic-resistant clinical isolates. The fabH gene encodes the β-ketoacyl acyl carrier protein synthase III (KAS III), which catalyzes the initial condensation reactions during fatty acid biosynthesis. We show that fabH null mutation potentiated the killing of multidrug-resistant E. coli by a broad panel of previously ineffective antibiotics, despite the presence of relevant antibiotic resistance determinants, for example, carbapenemase kpc2. Enhanced antibiotic sensitivity was additionally demonstrated in the context of eradicating established biofilms and treating established human cell infection in vitro. Our findings showcase the potential of FabH as a promising target that could be further explored in the development of therapies that may repurpose currently ineffective antibiotics or rescue failing last-resort antibiotics against Gram-negative pathogens.