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Jurnal Triclosan
Jurnal Triclosan
Richard J. Heath‡, J. Ronald Rubin§, Debra R. Holland§, Erli Zhang§, Mark. E. Snow§, and
Charles O. Rock‡¶i
From the ‡Department of Biochemistry, St. Jude Children’s Research Hospital, Memphis, Tennessee 38105,
the §Department of Biomolecular Structure and Drug Design, Parke-Davis Pharmaceutical Research,
Ann Arbor, Michigan 48105, and the ¶Department of Biochemistry, University of Tennessee, Memphis, Tennessee 38163
Triclosan is a broad-spectrum antibacterial agent that the introduction of a cis double bond into the growing acyl
inhibits bacterial fatty acid synthesis at the enoyl-acyl chain at the b-hydroxydecanoyl-ACP step and most efficiently
carrier protein reductase (FabI) step. Resistance to tri- catalyzes dehydration of short-chain b-hydroxyacyl-ACPs,
closan in Escherichia coli is acquired through a mis- whereas the FabZ dehydratase has a broader substrate speci-
sense mutation in the fabI gene that leads to the expres- ficity (5). The last reaction in each elongation cycle is catalyzed
sion of FabI[G93V]. The specific activity and substrate by enoyl-ACP reductase (FabI). Contrary to the initial conclu-
affinities of FabI[G93V] are similar to FabI. Two differ- sion that there were two enoyl-ACP reductases, based on as-
ent binding assays establish that triclosan dramatically says in crude extracts (6), E. coli cells possess only a single
increases the affinity of FabI for NAD1. In contrast, NADH-dependent enoyl-ACP reductases encoded by the fabI
triclosan does not increase the binding of NAD1 to gene that utilizes all chain lengths (7).
FabI[G93V]. The x-ray crystal structure of the FabI-
The importance of fatty acid biosynthesis to cell growth and
NAD1-triclosan complex confirms that hydrogen bonds
function makes this pathway an attractive target for the de-
and hydrophobic interactions between triclosan and
velopment of antibacterial agents. Two important control
both the protein and the NAD1 cofactor contribute to
the formation of a stable ternary complex, with the drug points in the cycle are the condensing enzymes and the enoyl-
binding at the enoyl substrate site. These data show that ACP reductase (8, 9), and both reactions are targeted by com-
the formation of a noncovalent “bi-substrate” complex pounds that effectively inhibit fatty acid synthesis. Two natu-
accounts for the effectiveness of triclosan as a FabI in- ral products, cerulenin and thiolactomycin, are potent
hibitor and illustrates that mutations in the FabI active antibiotics that function by specifically inhibiting the condens-
site that interfere with the formation of a stable FabI- ing enzyme reactions (for reviews, see Refs. 3, 10). The diaza-
NAD1-triclosan ternary complex acquire resistance to borines, a class of heterocyclic antibacterials, inhibit fatty acid
the drug. biosynthesis by blocking the FabI step (11). Resistance to the
diazaborines arises from a missense mutation in the fabI gene
that leads to the expression of a FabI[G93S] mutant protein
The fatty acid synthase system of Escherichia coli is the (12, 13). Similarly, the fabI analog in Mycobacterium tubercu-
paradigm for the type II or dissociated fatty acid synthase losis, the inhA gene, encodes a cellular target for isoniazid and
systems (for reviews, see Refs. 1–3). Distinct genes encode each ethionamide. A point mutation in the inhA gene confers resist-
of the individual enzymes, and the same basic chemical reac- ance to the drugs (14). Both isoniazid and diazaborine bind at
tion is often catalyzed by multiple isozymes. There are four the substrate site of the respective enoyl-ACP reductases and
basic reactions that constitute a single round of elongation. The covalently react with NAD1 to form tight binding bi-substrate
first step is the condensation of malonyl-ACP1 with either complexes (15, 16). Triclosan is a broad-spectrum antibacterial
acetyl-CoA to initiate fatty acid synthesis (FabH) or with the agent that enjoys widespread applications in a multitude of
growing acyl chain to continue cycles of elongation (FabB or contemporary consumer products including, soaps, detergents,
FabF). The b-ketoacyl-ACP is reduced by an NADPH-depend- toothpastes, skin care products, cutting boards, and mattress
ent b-ketoacyl-ACP reductase (FabG). Only a single enzyme is pads (17). Triclosan is widely thought to be a nonspecific bio-
responsible for this step (4). There are two b-hydroxyacyl-ACP cide that attacks bacterial membranes (18 –20), and if triclosan
dehydrases (FabA and FabZ) capable of forming trans-2-enoyl- does not have a discrete mechanism of action, the acquisition of
ACP. The product of the fabA gene is specifically involved in cellular resistance is unlikely. However, recent work reveals
that resistant E. coli strains arise from missense mutations in
the fabI gene (21, 22) and that triclosan and other 2-hydroxy-
* This work was supported by National Institutes of Health Grant
diphenyl ethers directly inhibit fatty acid biosynthesis in vivo
GM 34496, Cancer Center (CORE) Support Grant CA 21765, and the
American Lebanese Syrian Associated Charities. The costs of publica- and FabI catalysis in vitro (22). The goal of this study was to
tion of this article were defrayed in part by the payment of page investigate the mechanism by which triclosan inhibits FabI.
charges. This article must therefore be hereby marked “advertisement”
in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. EXPERIMENTAL PROCEDURES
i To whom correspondence should be addressed: Dept. of Biochemis-
try, St. Jude Children’s Research Hospital, 332 N. Lauderdale, Mem- Materials—Sources of supplies were: American Radiochemicals, Inc.,
phis, TN 38105-2794. Tel.: 901-495-3491; Fax: 901-525-8025; E-mail: [adenine-2,8-3H]NAD (specific activity 25 Ci/mmol); Sigma, NADH and
charles.rock@stjude.org. NAD1; and Millipore Corp., Ultrafree Probind centrifugal filtration
1
The abbreviations used are: ACP, acyl carrier protein; FabI, enoyl- units. The substrate analogs, 4:1-NAC and 8:1-NAC, were the generous
acyl carrier protein reductase; triclosan, 2,4,49-trichloro-29-hydroxydi- gift of Rocco Gogliotti and John Domagala (Parke-Davis). Triclosan was
phenyl ether; IC50, concentration giving 50% inhibition of activity; the gift of KIC Chemicals, Inc. (Armonk, NY). All other chemicals were
4:1-NAC, crotonyl-N-acetylcysteamine; 8:1-NAC, trans-2-octadecenoyl- of the best grade available.
N-acetylcysteamine. Purification of FabI and FabI[G93V]—The expression and purifica-
FIG. 4. Triclosan increases the affinity of FabI for NAD1. Panel FIG. 5. Triclosan-dependent [3H]NAD1 binding to FabI. Panel
A, binding of [3H]NAD1 to FabI in the presence (●) and absence (E) of A, dependence of [3H]NAD1 binding to FabI on the concentration of
4 mM triclosan. Panel B, double-reciprocal plot of the data in panel A. triclosan. Panel B, double-reciprocal plot of the data in panel A. The
The apparent NAD1 association constant (K) was 2.5 mM. The filter apparent triclosan association constant (K) was 4.2 mM. The filter bind-
binding assay was performed as described under “Experimental ing assay was performed as described under “Experimental Procedures.”
Procedures.”
co-factor with an interplanar stacking distance of 3.4 Å. In These residues are also not observed in the native structure of
addition to the nicotinamide ring, the hydroxychlorophenyl FabI, but the positions of these residues are evident in the
ring was surrounded by hydrophobic side chains on the protein FabI-NAD1-diazaborine structure (15). If the loop seen in the
including Tyr-146 and Tyr-156. The 29-hydroxyl group of tri- FabI-NAD1-diazaborine complex is modeled onto the triclosan
closan was involved in two strong hydrogen bonds. One bond complex structure, there are no conflicting contacts between
was with the 29-hydroxyl group of the nicotinamide ribose, and triclosan and the protein. In this model Ile-200 is in van der
the second was to the phenolic hydroxyl group of Tyr-156. The Waals contact with the 2,4-dichlorophenyl ring of triclosan, and
2,4-dichlorophenyl ring of triclosan was rotated 90° of the plane Phe-203 is in contact with the hydroxychlorophenyl group.
of the hydroxychlorophenyl group. The chlorine substituent in These data support the conclusion that triclosan forms a ter-
the 4-position of the phenyl ring accepted a hydrogen bond from nary complex that acts as a dead-end inhibitor that effectively
the backbone amide of Ala-95 and formed hydrophobic contacts removes protein from the catalytic cycle. These results lead to
with the side chain of Met-159. These data supported the the general conclusion that all 2-hydroxydiphenyl ether FabI
concept that the formation of a stable, ternary FabI-NAD1- inhibitors (22) block enzyme activity through the formation of
triclosan complex accounted for the effective inhibition of the noncovalent bisubstrate complexes with NAD1.
FabI reaction by this drug. Missense mutations, like FabI[G93V], confer resistance by
preventing the formation of the FabI-NAD1-triclosan ternary
DISCUSSION complex. Strains expressing either FabI[G93S] and
The formation of a ternary FabI-NAD1-triclosan complex FabI[G93V] have significantly elevated minimum inhibitory
accounts for the effectiveness of triclosan as an antibacterial concentrations for triclosan (21, 22). Although FabI[G93V] ac-
agent. Triclosan binds to the enoyl substrate site on FabI, and tivity is still inhibited at high triclosan concentrations (Fig.
tight binding of the drug requires interactions between both 2B), the drug is not capable of forming a stable complex with
the protein and the NAD1 cofactor (Fig. 6A). There is a strong the reductase. Triclosan is neither a dead-end inhibitor of
similarity between the mode of triclosan NAD1 binding to FabI FabI[G93V] (Fig. 2) nor does it form a FabI[G93V]-NAD1-
(Fig. 6A) and the structure of the FabI-NAD1-diazaborine com- triclosan ternary complex based on the inability of FabI[G93V]
plex described by Baldock et al. (15) (Fig. 6B). The diazaborine to bind [3H]NAD1 (Fig. 3). These biochemical results are inter-
compounds form covalent adducts with NAD1 at the FabI preted by modeling the Val-93 into the Gly-93 position in the
active site. The boron atom of the diazaborine is attached to the structure of the triclosan complex. Gly-93 lies on one side of the
29-hydroxyl of the NAD1 ribose, and this is the same 29-hy- substrate binding pocket, and the branched hydrophobic side
droxyl group that forms a hydrogen bond with the hydroxychlo- chain of Val protrudes into the pocket and occupies the same
rophenyl hydroxyl of triclosan. The FabI-NAD1-triclosan ter- space as the dichlorophenyl ring of triclosan (see Fig. 6). There-
nary complexes can be superimposed with the diazaborine fore, we conclude that the substitution of Gly-93 with bulkier
complex with a root mean square deviation of 0.3 Å for the amino acid residues imparts resistance to 2-hydroxydiphenyl
observed a-carbons. Residues 194 –210 were not well defined in ethers because of steric interference.
the electron density map of the FabI-NAD1-triclosan complex. Our identification of a ternary FabI-NAD1-triclosan complex
11114 FabI-NAD1 Triclosan Ternary Complex
that triclosan-resistant strains have missense mutations in the
fabI gene. The biochemical analysis of FabI inhibition by tri-
closan (22) and the delineation of its mechanism of binding
(this study) provide definitive evidence that enoyl-ACP reduc-
tase is the primary site for triclosan action. Thus, the reported
effects of triclosan on membrane structure and function are a
consequence of its specific inhibition of fatty acid biosynthesis
at the FabI step.
The ability of E. coli to acquire genetic resistance to triclosan
and related compounds through missense mutations in the fabI
gene suggests that the widespread use of this drug will lead to
the appearance of resistant organisms that will compromise
the usefulness of triclosan. The ubiquitous occurrence of type II
fatty acid synthase systems in bacteria and the essential na-
ture of the FabI reaction make this enzyme an attractive target
for antibacterial drugs. Accordingly, triclosan is effective
against a broad spectrum of bacteria (17), including multi-
drug-resistant Staphylococcus aureus (26, 27). The design and
development of second generation FabI inhibitors based on
their ability to form ternary FabI-NAD1-drug complexes will
supplement the arsenal against a broad spectrum of bacteria.
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