Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Metabolic rewiring of isoniazid sensitivity in Mycobacterium tuberculosis
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 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.
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.
Show others and affiliations
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. Vol. 122, no 36, article id e2421336122
Keywords [en]
cell envelope, isoniazid, metabolism, Mycobacterium tuberculosis, peptidoglycan
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:umu:diva-244181DOI: 10.1073/pnas.2421336122PubMedID: 40892921Scopus ID: 2-s2.0-105015117144OAI: oai:DiVA.org:umu-244181DiVA, id: diva2:1999844
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 StiftelseAvailable from: 2025-09-22 Created: 2025-09-22 Last updated: 2025-09-22Bibliographically approved

Open Access in DiVA

fulltext(9384 kB)105 downloads
File information
File name FULLTEXT01.pdfFile size 9384 kBChecksum SHA-512
8d88e59987ea4eeaaafc59c9d31c370d3307851c4f01b3b74faa4f325998651b1488de142a78f617c775eb72a7b66599fa8e04314d3a7b8b1c167f218c3104c8
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Sarkar, SouvikAlmqvist, Fredrik

Search in DiVA

By author/editor
Sarkar, SouvikAlmqvist, Fredrik
By organisation
Department of ChemistryUmeå Centre for Microbial Research (UCMR)
In the same journal
Proceedings of the National Academy of Sciences of the United States of America
Infectious Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 105 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 402 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf