A team led by scientists in the Perelman
School of Medicine at the University of Pennsylvania has engineered powerful
new antimicrobial molecules from toxic proteins found in wasp venom. The team hopes to develop the molecules into
new bacteria-killing drugs, an important advancement considering increasing
numbers of antibiotic-resistant bacteria which can cause illness such as sepsis
and tuberculosis.
In the
study, published in the “Proceedings of the National Academy of Sciences”, the
researchers altered a highly toxic small protein from a common Asian wasp
species, Vespula Lewisii, the Korean yellow-jacket wasp. The alterations enhanced the molecule's
ability to kill bacterial cells while greatly reducing its ability to harm
human cells. In animal models, the
scientists showed that this family of new antimicrobial molecules made with
these alterations could protect mice from otherwise lethal bacterial
infections.
There is
an urgent need for new drug treatments for bacterial infections, as many
circulating bacterial species have developed a resistance to older drugs. The U.S. Centres for Disease Control &
Prevention has estimated that each year nearly three million Americans are
infected with antibiotic-resistant microbes and more than 35,000 die of them. Globally, the problem is even worse: Sepsis, an often-fatal inflammatory syndrome
triggered by extensive bacterial infection, is thought to have accounted for
about one in five deaths around the world as recently as 2017.
"New
antibiotics are urgently needed to treat the ever-increasing number of
drug-resistant infections, and venoms are an untapped source of novel potential
drugs. We think that venom-derived
molecules such as the ones we engineered in this study are going to be a
valuable source of new antibiotics," said study senior author César de la
Fuente, PhD, a Presidential Assistant Professor in Psychiatry, Microbiology,
and Bioengineering at Penn.
De la
Fuente and his team started with a small protein, or "peptide,"
called mastoparan-L, a key ingredient in the venom of Vespula Lewisii wasps. Mastoparan-L-containing venom is usually not
dangerous to humans in the small doses delivered by wasp stings, but it is
quite toxic. It destroys red blood cells
and triggers a type of allergic/inflammatory reaction that, in susceptible
individuals, can lead to a fatal syndrome called anaphylaxis, in which blood
pressure drops and breathing becomes difficult or impossible.
Mastoparan-L
(mast-L) also is known for its moderate toxicity to bacterial species, making
it a potential starting point for engineering new antibiotics. But there are still some unknowns, including
how to enhance its anti-bacterial properties, and how to make it safe for
humans.
The team
searched a database of hundreds of known antimicrobial peptides and found a
small region, the so-called pentapeptide motif, that was associated with strong
activity against bacteria. The researchers
then used this motif to replace a section at one end of mast-L that is thought
to be the chief source of toxicity to human cells.
In a key
set of experiments, the researchers treated mice with mast-MO several hours
after infecting them with otherwise lethal, sepsis-inducing strains of the
bacteria E. coli or Staphylococcus aureus. In each test the antimicrobial peptide kept 80
percent of treated mice alive. By
contrast, mice treated with mast-L were less likely to survive and showed
severe toxic side-effects when treated with higher doses, doses at which
mast-MO caused no evident toxicity.
The
potency of mast-MO in these tests also appeared to be comparable to existing
antibiotics such as gentamicin and imipenem -- for which alternatives are
needed due to the spread of resistant bacterial strains.
De la
Fuente and his colleagues found evidence in the study that mast-MO kills
bacterial cells by making their outer membranes more porous, which can also
improve the ability of co-administered antibiotics to penetrate the cells, and
by summoning antimicrobial white blood cells. At the same time, mast-MO appears to damp down
the kind of harmful immune-overreaction that can lead to severe disease in some
bacterial infections.
The
researchers created dozens of variants of mast-MO and found several that
appeared to have significantly enhanced antimicrobial potency with no toxicity
to human cells. They hope to develop one
or more of these molecules into new antibiotics, and they expect to take a
similar approach in future to turn other venom toxins into promising antibiotic
candidates.
"The
principles and approaches we used in this study can be applied more broadly to
better understand the antimicrobial and immune-modulating properties of peptide
molecules, and to harness that understanding to make valuable new
treatments," de la Fuente said.
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