Author: Andersen, Jens Bo ; Uhd, Jesper ; Tolker-Nielsen, Tim ; Bjarnsholt, Thomas ; Givskov, Michael ; Kristensen, Rasmus ; Jansen, Charlotte Uldahl ; Rybtke, Morten ; Qvortrup, Katrine ; Jakobsen, Tim Holm ; Kiilerich, Rikke Overgaard ; Fritz, Blaine Gabriel

ABSTRACT The cell-to-cell communication system quorum sensing (QS), used by various pathogenic bacteria to synchronize gene expression and increase host invasion potentials, is studied as a potential target for persistent infection control. To search for novel molecules targeting the QS system in the Gram-negative opportunistic pathogen Pseudomonas aeruginosa , a chemical library consisting of 3,280 small compounds from LifeArc was screened. A series of 10 conjugated phenones that have not previously been reported to target bacteria were identified as inhibitors of QS in P. aeruginosa . Two lead compounds (ethylthio enynone and propylthio enynone) were re-synthesized for verification of activity and further elucidation of the mode of action. The isomeric pure Z-ethylthio enynone was used for RNA sequencing, revealing a strong inhibitor of QS-regulated genes, and the QS-regulated virulence factors rhamnolipid and pyocyanin were significantly decreased by treatment with the compounds. A transposon mutagenesis screen performed in a newly constructed lasB-gfp monitor strain identified the target of Z-ethylthio enynone in P. aeruginosa to be the MexEF-OprN efflux pump, which was further established using defined mex knockout mutants. Our data indicate that the QS inhibitory capabilities of Z-ethylthio enynone were caused by the drainage of intracellular signal molecules as a response to chemical-induced stimulation of the MexEF-oprN efflux pump, thereby inhibiting the autogenerated positive feedback and its enhanced signal-molecule synthesis.

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Indication	Highest Phase	Country/Location	Organization	Date
Pseudomonas aeruginosa infection	Preclinical	Denmark	University of Copenhagen	07 Feb 2024

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