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Bedaquiline reprograms central metabolism to reveal glycolytic vulnerability in Mycobacterium tuberculosis

Author

Listed:
  • Jared S. Mackenzie

    (Africa Health Research Institute)

  • Dirk A. Lamprecht

    (Janssen Pharmaceutica, Global Public Health)

  • Rukaya Asmal

    (Africa Health Research Institute)

  • John H. Adamson

    (Africa Health Research Institute)

  • Khushboo Borah

    (Faculty of Health and Medical Sciences, University of Surrey)

  • Dany J. V. Beste

    (Faculty of Health and Medical Sciences, University of Surrey)

  • Bei Shi Lee

    (Nanyang Technological University)

  • Kevin Pethe

    (Nanyang Technological University
    Lee Kong Chian School of Medicine, Nanyang Technological University)

  • Simon Rousseau

    (Texas A&M University, Department of Biochemistry and Biophysics)

  • Inna Krieger

    (Texas A&M University, Department of Biochemistry and Biophysics)

  • James C. Sacchettini

    (Texas A&M University, Department of Biochemistry and Biophysics)

  • Joel N. Glasgow

    (University of Alabama at Birmingham)

  • Adrie J. C. Steyn

    (Africa Health Research Institute
    University of Alabama at Birmingham
    Center for AIDS Research and Center for Free Radical Biology, University of Alabama at Birmingham)

Abstract

The approval of bedaquiline (BDQ) for the treatment of tuberculosis has generated substantial interest in inhibiting energy metabolism as a therapeutic paradigm. However, it is not known precisely how BDQ triggers cell death in Mycobacterium tuberculosis (Mtb). Using 13C isotopomer analysis, we show that BDQ-treated Mtb redirects central carbon metabolism to induce a metabolically vulnerable state susceptible to genetic disruption of glycolysis and gluconeogenesis. Metabolic flux profiles indicate that BDQ-treated Mtb is dependent on glycolysis for ATP production, operates a bifurcated TCA cycle by increasing flux through the glyoxylate shunt, and requires enzymes of the anaplerotic node and methylcitrate cycle. Targeting oxidative phosphorylation (OXPHOS) with BDQ and simultaneously inhibiting substrate level phosphorylation via genetic disruption of glycolysis leads to rapid sterilization. Our findings provide insight into the metabolic mechanism of BDQ-induced cell death and establish a paradigm for the development of combination therapies that target OXPHOS and glycolysis.

Suggested Citation

  • Jared S. Mackenzie & Dirk A. Lamprecht & Rukaya Asmal & John H. Adamson & Khushboo Borah & Dany J. V. Beste & Bei Shi Lee & Kevin Pethe & Simon Rousseau & Inna Krieger & James C. Sacchettini & Joel N., 2020. "Bedaquiline reprograms central metabolism to reveal glycolytic vulnerability in Mycobacterium tuberculosis," Nature Communications, Nature, vol. 11(1), pages 1-16, December.
  • Handle: RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-19959-4
    DOI: 10.1038/s41467-020-19959-4
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    Cited by:

    1. XinYue Wang & William J. Jowsey & Chen-Yi Cheung & Caitlan J. Smart & Hannah R. Klaus & Noon EJ Seeto & Natalie JE Waller & Michael T. Chrisp & Amanda L. Peterson & Boatema Ofori-Anyinam & Emily Stron, 2024. "Whole genome CRISPRi screening identifies druggable vulnerabilities in an isoniazid resistant strain of Mycobacterium tuberculosis," Nature Communications, Nature, vol. 15(1), pages 1-18, December.

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