1. Introduction
Tuberculosis (TB) is a communicable disease caused by the pathogenic bacillus
Mycobacterium tuberculosis. According to the WHO Global Tuberculosis Report 2022, globally, in 2021, an estimated 10.6 million people developed an active tuberculosis and 1.58 million died from tuberculosis [
1]. In addition, occurrence of increasing numbers of multi drug-resistant (MDR) and extensively drug-resistant (XDR)
Mycobacterium tuberculosis strains is of great concern [
1].
Mycobacterium tuberculosis cell wall contains from the inside to the outside, an arabinogalactan layer covalently attached to the peptidoglycan layer and mycolic acids, covalently attached to the arabinogalactan, in which various unique long carbon chain lipids can be further embedded. The complex outer membrane is further wrapped up by capsular and biofilm extracellular compounds [
2]. Some of the long and complex lipids non-covalently attached to the outer membrane, only present in pathogenic mycobacteria, such as the phthiocerol dimycocerosate (PDIM), have been shown to play important roles, not only in virulence,
i.e., for camouflage in macrophages, but also in antibiotic intrinsic resistance [
3,
4]. Furthermore, pathogenic mycobacteria show slow growth, tending to enter in a non-replicative state when facing
in vivo stress conditions, eventually leading to dormancy. To circumvent this metabolic characteristic, long (more than 6 months) and complex (more than 4 drugs) must be administrated to the patients in order to eradicate the infection. Despite the efficacy of the current anti-TB treatments, several factors, such as poor patient compliance, toxicity of drugs and irrational prescribing practices increase the risk of drug-resistant strain selection. This leads to even further difficult and more expensive treatment [
1]. Thus, novel and efficient anti-tuberculosis drugs are urgently need to fight TB.
Since the first hydroxamic acid (HA) discovery in 1869, HA and its related analogs have been intensively studied. This chemical component class shows diverse applications, in biology, industry and medicine. Interestingly, some of the HA derivates displayed antimicrobial properties with anti-bacterial, anti-virulence or anti-fungal activities. For instance, the benzoylacetone and HA complexes could inhibit the
A. hydrophila,
S. aureus,
E. aerogenes,
S. sonnei,
P. aeruginosa,
S. typhimurium,
S. epidermidis, and
M. luteus [
5]. Cyclic hydroxamic acid (
N-hydroxylactam) able to chelated iron ions inhibited iron-containing enzyme lipoxygenase in Gram-negative
P. aeruginosa [
6]. Heterocyclic methylsulfone hydroxamates analogous inhibited the LpxC enzyme activity, involved in lipopolysaccharide (LPS) production of Gram-negative bacteria [
7]. Due to the potential values of HA analogues in the field of medicine development, we previously synthesized various HA derivates, including complexes with varying numbers of carbon atoms (C
2, C
6, C
8, C
10, C
12 and C
17) and their corresponding Fe(II/III), Ni(II), Cu(II) and Zn(II) complexes and we observed that the C
6 to C
12 HA derivates complexed with Fe(II/III) had antibacterial activities against gram positive and negative bacteria while the C
12 HA had a larger spectrum activities, on bacteria and yeast [
8]. The C
12 HA compounds complexed or not to the Fe(II/III) even showed an antimycobacterial activity on
M. smegmatis [
8].
Furthermore, HA analogs also displayed antimycobacterial activity against mycobacteria, like
M. tuberculosis,
M. abscessus,
M. marinum,
M. smegmatis [
9,
10,
11]. The complexes of benzohydroxamate associated with transition metallic ions (Cu
2+ and Co
2+) could inhibit
M. tuberculosis growth by interaction with the urease in the nitrogen metabolism [
9]. The compound of
para-nitrobenzohydroxamic acid demonstrated a minimum inhibitory concentration (MIC) of 0.71 μM in glycerol-alanine salt medium or a MIC of 7.79 μM in 7H12 medium on
M. tuberculosis [
12]. The pentacyanoferrate moiety in Fe(II) coordination hydroxamic complexes benefited of the release of HNO from HA, improving pyrazinamide and delamanid efficiency against
M. tuberculosis [
13]. The suberoylanilide hydroxamic acid (SAHA) also had adjunctive potential to enhance the effects of first-line anti-TB drugs (isoniazid and rifampicin) against intracellular
M. tuberculosis [
14].
The aims of this study was to evaluate the potential and selective antimycobacterial and anti-biofilm activities (on M. tuberculosis, M. bovis BCG and M. marinum) of 47 HA derivates, containing various numbers of carbon atoms (C2, C6, C8, C10, C12 and C17) and eventually complexed with Fe(II/III), Ni(II), Cu(II) and Zn(II), to further assess their potentials as anti-TB or anti-biofilm drug candidates.
3. Results
3.1. HA compounds present anti-mycobacterial activities
In order to identify whether the HA derivatives could have antimycobacterial activities, we assessed those activities in planktonic condition and in stress condition with high glycerol concentration leading to biofilm development. Biofilm conditions are indeed known to better mimic the stressful
in vivo condition [
21,
22,
23]. These antimycobacterial activities were assessed using three strains, harboring various characteristics, among others, the presence of absence of the phthiocerol dimycocerosate (PDIM) lipids in their cell wall: the H37Ra
M. tuberculosis strain is PDIM negative and is a slow growing strain, the
M. marinum is PDIM positive and a slow growing mycobacteria (however in planktonic culture it grows faster than
M. bovis BCG or H37Ra
M. tuberculosis strains) and the
M. bovis BCG is PDIM positive and a slow growing mycobacteria. The drug susceptibility assays performed under planktonic growth condition eventually allowed to identify the minimal inhibitory concentration (MIC), while those performed under biofilm growth development allowed to eventually identify the minimal biofilm-formation inhibitory concentration (MBIC).
In planktonic conditions, various HA and complexes displayed anti-mycobacterial activities, especially on
M. tuberculosis H37Ra strain (
Table 1,
Table 2 and
Table 3). The active compounds had generally a MIC ≥ 200 µM on the three species. An inhibitory activity was less often observed on
M. marinum, with only the HA10 and the HA8FeCl and HA8Fe3 complexes showing an anti-mycobacterial activity. On the
M. bovis BCG, 8 compounds showed an inhibitory activity, however with relatively high MIC (≥ 200 µM), except for HA10FeCl showing a MIC of 100-200 µM.
In stressful condition, mycobacteria were grown into biofilm. Biofilm formation was visible from 10-12 days for
M. bovis BCG and
M. tuberculosis H37Ra, from 15-20 days for
M. marinum and mature biofilms were obtained in 20-24 days for
M. bovis BCG, in 28-30 days for H37Ra
M. tuberculosis and in 35-40 days for
M. marinum. The biofilm was thinner for
M. marinum, compared to those of
M. bovis BCG and H37Ra
M. tuberculosis. Again, more compounds had biofilm inhibitory activities on the H37Ra
M. tuberculosis strain. The HA10 was active on the three biofilms with minimal biofilm-formation inhibitory concentration (MBIC) ranging between the 100 and 250 µM, depending on the bacteria strain. For most active compounds on the
M. marinum biofilm
, the MBIC were ≥ 200 µM, except for HA8FeCl, HA10FeCl, HA10Fe, HA8Ni2 with MBIC of 62.5 µM and for HA12Ni2 and HA12Cu2 with MBIC of 125 µM. For
M. bovis BCG, the active compounds had a MBIC generally ≥ 100 µM, except for HA10Fe2 (20 µM), HA10FeCl (20-100 µM), HA10Fe3 (20-40 µM), HA10Ni2 (20 µM) and HA10Cu2 (20 µM) (Supplementary figure 1) (
Table 1,
Table 2 and
Table 3). For the H37Ra
M. tuberculosis strain, the active compounds had generally a MBIC ≥ 125 µM, except for HA6Ni2, HA8Ni2, HA10FeCl and HA8Fe3 with a MIC of 31.25 µM, HA10Fe3 with a MIC of 31.25-62.5 µM, HA17Fe3 with a MIC of 62.5 µM (
Table 1,
Table 2 and
Table 3).
In order to assess whether some of the HA compounds could target PDIM biosynthesis in pathogenic mycobacteria, we investigated the susceptibility
M. bovis BCG to vancomycin in the presence of HA10FeCl. Indeed, we previously showed that the vancomycin, usually used to treat Gram positive bacteria and inactive on pathogen mycobacteria, can target those ones when they are lacking PDIM in their cell wall [
4]. Drug targeting the compounds involved in PDIM biosynthesis can thus synergize with vancomycin in the drug susceptibility assay. Interestingly, in the present study the complex HA10FeCl increased by more than 4-fold the susceptibility of
M. bovis BCG to vancomycin in drug susceptibility assay. To investigate whether this growth inhibition results from a synergy between the HA10FeCl and the vancomycin, the Checkerboard method was also used to calculate the FICI (
Table 4). The MIC of complexes HA10FeCl dropped from 46.34-92.7μg/mL to 11.59 μg/mL in the presence of vancomycin (50 μg/mL), and the MIC of vancomycin dropped from 750 µg/mL to 125 µg/mL in the presence of complexes HA10FeCl (46.35 µg/mL), suggesting that the combination can inhibit
M. bovis BCG growth in synergy (FICI=0.292-0.417).
3.2. HA10Fe2, HA12Fe2 and HA12FeCl can also reduce pre-formed P. aeruginosa biofilm.
Furthermore, in view of the large spectrum of compounds able to inhibit mycobacterial biofilm development, we investigated the anti-biofilm activity of the compounds on pre-formed P. aeruginosa biofilm, a well-known biofilm difficult to eradicate. Most of the compounds were totally inactive in this assay, such as HA10Ni2, HA10Cu2, HA8Cu2, CuCl2, NiCl2 and FeCl2 even at 2.5 mM. Interestingly, the iron-complexes HA10Fe2, HA12Fe2 and HA12FeCl could inhibited the P. aeruginosa biofilm formation with a MBIC of 625 µM, 312.5 µM and 312.5 µM, respectively (data not shown).
3.3. Proteomic profile of the HA10FeCl-treated bacilli
In order to better understand the mode of the action of the drug candidate, we also compared the proteomics of the HA10FeCl-treated
M. bovis BCG cells with untreated cells (
Figure 1 and
Figure 2). A total 41 proteins were screened and identified with significant difference (
p<0.05) by
t test and with a fold change (FC) >1.1 and <0.9, including 32 up-regulated and 9 down-regulated proteins in the HA10FeCl-treated bacilli, compared with the control without treatment (
Table S1).
Generally, the hydrolase proteins encoded by the genes (pstC2, bglS, BCG_1059c, BCG_0364, moaC3, gltD, lipG, BCG_2973, BCG_0099, truA, BCG_1935c, mltG, topA, pks12) were up-regulated. The possible membrane proteins encoded by the genes BCG_1478, BCG_3932, BCG_3545c, mmpS4, BCG_1127c were also up-regulated in the HA10FeCl-treated bacilli. The Phosphate transport system permease protein encoded by the gene pstC2 with a FC of 2.19 and the Rubredoxin encoded by the BCG_3279c with a FC of 2.19 were also up-regulated. The proteins encoded by the genes crgA, BCG_3932, BCG_1708, BCG_1384c, BCG_0352, BCG_2826, BCG_3492c, gltD, lipG, BCG_2813c, BCG_0099, BCG_1268, truA, mutT2, BCG_1935c, mltG, topA, BCG_3927, BCG_1127c, rnpA_2 were also up-regulated in HA treated M. bovis BCG. In addition, the proteins encoded by pks12 (BCG_2067c), BCG_2973 involved in PDIM biosynthesis and the proteins mmpS4 involved in siderophore export was also up-regulated in HA treated M. bovis BCG. By contrast, the proteins encoded by the genes thiG, BCG_2384c and BCG_2177c were down-regulated in the HA10FeCl-treated M. bovis BCG.
Furthermore, we also observed some up-regulated proteins, encoded BCG_1100c, narK2, BCG_0259c, BCG_3092 in HA10FeCl-treated M. bovis BCG and down-regulated proteins, encoded by genes PE15, mmpL9a (BCG_2361) in the control were not identified from the proteomic profiles (data not shown).
4. Discussion
In the present study, the anti-mycobacterial activities and anti-biofilm activities were assessed using three mycobacteria strains (H37Ra M. tuberculosis, M. bovis BCG and M. marinum) and P. aeruginosa. Globally, the obtained results showed that HA antimycobacterial activity depended on the carbon chain length and the metal ions in the complexes. HA with C10 and C12 carbon chain (HA10 and HA12, respectively) displaying higher activity than C2 and C6 carbon chain HA (HA2 and HA6). Among the complexes, those with at C8, C10, and C12 length carbon chain, for instance, HA10FeCl, HA12FeCl, HA8Fe3, HA10Fe3 showed interesting antimycobacterial activities with MIC of 125 µM and MBIC of 31.25-62.5 µM on M. tuberculosis, with MBIC similar to Ni-complexes HA6Ni2 and HA8Ni2. The iron-complexes HA10FeCl, HA10Fe2, HA10Fe3 displayed higher inhibitory on M. bovis BCG biofilm with a MBIC of 20-100 µM, compared to the other iron-complexes. By contrast, these iron-complexes showed less activity on M. bovis BCG growth in planktonic conditions. Indeed, the iron-complexes inhibitory effect on mycobacteria biofilm formation is globally better than in planktonic growth conditions.
In this study our compounds were evaluated to target three mycobacterial strains,
M. bovis BCG (PDIM
+/PGL
+),
M. marinum (PDIM
+/PGL
+) and
M. tuberculosis H37Ra (PDIM
-). As expected from a PDIM negative strain, the
M. tuberculosis H37Ra strain was more susceptible to a larger panel of compounds, compared with other two mycobacterial strains. This was probably due to the impaired cell wall impermeability. As well known, the mycobacterial cell wall lipids, like trehalose monomycolate and dimycolate (TMM, TDM), PDIM, sulpholipid-1 (SL-1), diacyl trehalose (DAT), and pentacyl trehalose (PAT) are known to play an important role in pathogenesis. The proteins involved in the cell lipids biosynthesis were also considered as the potential virulence factors, like transport proteins. In
M. tuberculosis, the mycobacterial membrane protein MmpL and MmpS family mediating transport of important cell wall lipids across the mycobacterial membrane, together with their interactor play important roles in the synthesis and export of mycobacterial outer membrane lipids [
24], such as drug efflux (MmpL5 and MmpL7), siderophore export (MmpL4/MmpS4 and MmpL5/MmpS5), and heme uptake (MmpL3 and MmpL11) [
25,
26]. The iron–sulfur proteins [3Fe-4S] and [4Fe-4S] ferredoxins and [1Fe-0S] rubredoxins play the important role of iron-containing proteins in maintaining redox homeostasis [
27]. The rubredoxin are involved in the electron transfer processes and was considered to be part of an evolutionary chain between ferredoxins and flavodoxins, might be catalyzed by cytochrome P450 (CYP) proteins [
27]. It was reported that the rubredoxins transfer metabolic reducing equivalents to oxygen or reactive oxygen species and act as electron carriers in oxidative stress responses, often accompanied by inhibition of ferredoxin expression. Our results also indicate that the HA10FeCl participate the ferredoxins and flavodoxins balance in
M. bovis BCG, by decrease the CYP124 production and up-regulated the rubredoxin to adapt the growth condition.
As well known, the virulence mycobacterial cell wall lipids PDIM and PGL, were considered as the potential targets for antituberculosis drug development. The phenolphthiocerol (phthiocerol) moiety biosynthesis of PGL (PDIM) contains several genes
ppsA-
E and
pks15/
1, encoding type I polyketide synthases (PKS), and they are highly conserved in PDIM/PGL producing mycobacteria strains,
e.g. M. tuberculosis H37Rv,
M. bovis BCG (Pasteur 1173P2),
M. marinum (M strain).The
pks1 expression is also correlated with other genes, like
fadD22,
Rv2949c,
lppX,
fadD29,
pks6 and
pks12 [
28]. The largest open reading frame (
pks12) in the genome of
M. tuberculosis H37Rv encodes probable polyketide synthase needed to produce fatty acids, probably involved in the synthesis of phthiocerol, the diol required for DIM synthesis [
29]. Indeed, the phthiotriol/phenolphthiotriol dimycocerosates methyltransferase encoded by the gene BCG_2973 (Rv2952 in
M. tuberculosis) encoded could catalyze the reduction of phthiodiolone and phenolphthiodiolone to yield phthiotriol and phenolphthiotriol in
M. tuberculosis [
30]. The proteins from the proteomic profiles encoded by the gene
pks12 and BCG_2973 were significantly up-regulated also indicated that the HA10FeCl could affect the virulent PDIM/PGL biosynthesis, further verify the sensibility of HA10FeCl to PDIM negative
M. tuberculosis in the experimental conditions.
Additionally, the two-component regulatory system (2CRS) SenX3-RegX3 is required for
M. tuberculosis virulence. During phosphate depletion and nutrient starvation, the phosphate-specific transport operon
pstS3-pstC2-pstA1 was induced and dependent on the (2CRS) SenX3-RegX3[
29]. The disruption of the 2CRS induced the phosphate-specific transport gene
pstC2 downregulated and the phosphate-starved bacilli became phenotypically tolerant to isoniazid, further indication the role of PstC2 in stressful condition [
29,
30]. The up-regulated PstC2 in HA10FeCl-treated bacilli suggest that the HA10FeCl could increase the susceptibility to isoniazid and their combination could fight against the isoniazid resistant
M. tuberculosis.
Furthermore, the proteins PE15 and MmpL9a in HA10FeCl-treated
M. bovis BCG were not identified, probably due to the lower expression, compared with the control. As well known, the
M. tuberculosis is surrounded by a highly impermeable outer cell wall that is composed primarily of the complex PDIM that form an outer membrane. Due to the absence of typical porins, like the β-barrel porins in Gram-negative bacteria, transports small molecules such as nutrients, metabolites, Ca
2+ across the outer membrane need the special transporters in
M. tuberculosis. The PE/PPE proteins were essential for Ca
2+ efficient uptake as a specific channel[
31]. Here, we observed that the PE15 was absolutely decrease in the HA10FeCl-treated bacilli from the proteomic profiles, suggesting that the PE15 could be one of the targets. The lower expression of MmpL9a (BCG_2361) in the HA10FeCl-treated bacilli also suggested that it could be related to the linezolid resistance of the complex HA10FeCl on
M. bovis BCG.
Author Contributions
Conceptualization: D.Y; Methodology: D.Y., I.S.S, Y.F. Z., V.F.; Resources: D.Y., R.S.L., V.F., and F. D.; Investigations: D.Y., I.S.S, N.E.M, Y.F. Z., L.-N.D., H.P.L. and G.X.C.; Formal analysis: D.Y., I.S.S, Y.F. Z.; Funding acquisition: D.Y., V.F. and R.S.L.; Supervision: V.F., F.D., M.G. and R.S.L.; Writing-original draft: D.Y. and I.S.S.; Writing-review & editing: D.Y., I.S.S. R.S.L., M.G., V.F., and F.D. All authors have given approval to the final version of the manuscript. All authors have read and agreed to the published version of the manuscript.