Open this publication in new window or tab >>Department of Medicine, Weill Cornell Medicine, NY, NY, United States.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles; Center for Women's Infectious Disease Research, Washington University School of Medicine, Saint Louis, Seychelles.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles; Center for Women's Infectious Disease Research, Washington University School of Medicine, Saint Louis, Seychelles.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles; Center for Women's Infectious Disease Research, Washington University School of Medicine, Saint Louis, Seychelles.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles; Center for Women's Infectious Disease Research, Washington University School of Medicine, Saint Louis, Seychelles.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles.
Center for Emerging and Re-emerging Pathogens, Public Health Research Institute, Rutgers New Jersey Medical School; Department of Microbiology, Biochemistry, Molecular Genetics, Rutgers New Jersey Medical School, Newark, United States.
Umeå University, Faculty of Science and Technology, Department of Chemistry.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles.
Umeå University, Faculty of Science and Technology, Department of Chemistry. Umeå University, Faculty of Medicine, Umeå Centre for Microbial Research (UCMR).
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles.
Center for Emerging and Re-emerging Pathogens, Public Health Research Institute, Rutgers New Jersey Medical School; Department of Microbiology, Biochemistry, Molecular Genetics, Rutgers New Jersey Medical School, Newark, United States.
Department of Chemistry, Massachusetts Institute of Technology, Cambridge, United Kingdom; Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard, Cambridge, MA 02139; Department of Chemistry, University of Wisconsin, Madison, United States.
Department of Medicine, Weill Cornell Medicine, NY, NY, United States.
Department of Chemistry, Washington University in St. Louis, Saint Louis, Seychelles; Department of Medicine, Washington University School of Medicine, Saint Louis, Seychelles; Center for Mass Spectrometry and Metabolic Tracing, Washington University in St. Louis, Saint Louis, Seychelles.
Department of Molecular Microbiology, Washington University School of Medicine, Saint Louis, Seychelles; Center for Women's Infectious Disease Research, Washington University School of Medicine, Saint Louis, Seychelles.
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2025 (English)In: Proceedings of the National Academy of Sciences of the United States of America, ISSN 0027-8424, E-ISSN 1091-6490, Vol. 122, no 36, article id e2421336122Article in journal (Refereed) Published
Abstract [en]
Isoniazid (INH) inhibits mycolic acid synthesis in Mycobacterium tuberculosis (Mtb) and is a cornerstone of treatment regimens against this deadly pathogen. However, over 10% of Mtb infections are INH-resistant. The compound C10 can sensitize clinically relevant INH-resistant mutants to killing by INH. Thus, understanding the mechanism of action for C10 could aid in designing new strategies for circumventing drug resistance. We find that C10 treatment reroutes carbon flux toward valine, drawing carbon away from gluconeogenesis and the TCA cycle. As a result, C10 decreases cell envelope capsule thickness and blocks an accumulation of peptidoglycan precursors that occurs in response to INH treatment in an INH-resistant Mtb katG mutant. In this altered metabolic state induced by C10, INH treatment of the INH-resistant Mtb katG mutant inhibits peptidoglycan synthesis, precipitating collapse of cell envelope integrity. Pyruvate supplementation relieves the C10-induced requirement for carbon flux toward valine, enhancing carbon assimilation into cell envelope precursors and restoring resistance to INH. In addition, we identify the formation of isoniazid-pyruvate in INH-treated katGW328LMtb, where pyruvate sequesters INH, lowering the concentration of INH available to inhibit Mtb. Together, our findings reveal a bactericidal activity for INH in Mtb that can function in INH-resistant mutants independently of INH-mediated inhibition of mycolic acid synthesis. This activity for INH can be elicited by shifting carbon flux toward valine and away from cell envelope precursor synthesis, highlighting a metabolic vulnerability that can be exploited to kill INH-resistant Mtb.
Place, publisher, year, edition, pages
Proceedings of the National Academy of Sciences (PNAS), 2025
Keywords
cell envelope, isoniazid, metabolism, Mycobacterium tuberculosis, peptidoglycan
National Category
Infectious Medicine
Identifiers
urn:nbn:se:umu:diva-244181 (URN)10.1073/pnas.2421336122 (DOI)40892921 (PubMedID)2-s2.0-105015117144 (Scopus ID)
Funder
NIH (National Institutes of Health), T32AI007172NIH (National Institutes of Health), R01 AI134847NIH (National Institutes of Health), R35ES028365NIH (National Institutes of Health), R01 AI135012NIH (National Institutes of Health), R01 AI126592NIH (National Institutes of Health), R01 AI146194NIH (National Institutes of Health), U19 AI11276Swedish Research Council, 2018-04589Swedish Research Council, 2021-05040The Kempe Foundations, SMK-1755Familjen Erling-Perssons Stiftelse
2025-09-222025-09-222025-09-22Bibliographically approved