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Synthesis and Structure-Activity Relationships of Antibacterials Against Priority Pathogens
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Medicinal Chemistry. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Uppsala Antibiotic Center. (Drug Design and Discovery)ORCID iD: 0000-0001-7928-4947
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Description
Abstract [en]

Antibiotics revolutionised modern medicine, not only for treating bacterial infections, but also for ensuring the safety of surgery, organ transplantation, and cancer chemotherapy. However, rising antimicrobial resistance threatens their efficacy in the clinic. Clostridioides difficile and Escherichia coli are important pathogens that present distinct challenges for antibiotic development. Selective activity against C. difficile is needed to avoid disrupting the beneficial gut microbiome, while poor permeability across the Gram-negative cell envelope limits drug development against pathogens such as E. coli. The gut bacterium C. difficile is the most common of all hospital-acquired infections in the USA and places a heavy burden on the healthcare system. Disruption of the microbiome caused by antibiotic use is a major risk factor for infection, where the lost diversity contributes to a high rate of recurrent infection. Selective antibiotics which spare the microbiome are crucial to combating recurrent infection. In Gram-negative bacteria, the Lol (localization of lipoprotein) system is essential for outer membrane biogenesis. The ATP-driven transporter complex LolCDE has emerged as a promising, yet underexplored, antibacterial target. Some LolCDE inhibitors have been reported, but limited structure–activity information is available, and none have yet progressed to clinical trials. In Manuscript I, published microbiome datasets were leveraged to identify fentiazac, a known anti-inflammatory drug, as a selective inhibitor of C. difficile. Structure-activity optimisation identified a compound with increased potency, which selectively inhibited C. difficile in a model gut microbiome and was active against clinical isolates. The compound retained some anti-inflammatory activity and was non-toxic to human cells. Sequencing of resistant mutants proposed DNA polymerase subunit DnaE as the molecular target. In Manuscript II, structure–activity relationships of a pyrazole-based E. coli LolCDE inhibitor were systematically investigated. Structural motifs associated with toxicity and poor metabolic stability were identified, and further optimisation produced analogues with increased potency and improved drug-like properties. In Manuscript III, structural motifs shared by topologically similar LolCDE inhibitors were explored through systematic modification of the core heterocycle. Insights from Manuscript II were then applied to optimise a novel series of triazole-based inhibitors with improved potency and drug-like properties. The three works in this thesis are unified by the overarching societal demand for new starting points to feed into the antibiotic development pipeline. The described compound series provide a solid base for further studies towards antibacterials against C. difficile and priority Gram-negative pathogens.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2026. , p. 127
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy, ISSN 1651-6192 ; 405
Keywords [en]
Antibiotics, Antimicrobial Resistance, C. difficile, Medicinal Chemistry, Antibiotic Discovery.
National Category
Organic Chemistry Infectious Medicine
Identifiers
URN: urn:nbn:se:uu:diva-594980ISBN: 978-91-513-2917-8 (print)OAI: oai:DiVA.org:uu-594980DiVA, id: diva2:2090130
Public defence
2026-09-24, Hall IV, University Main Building, Biskopsgatan 3, Uppsala, 09:00 (English)
Opponent
Supervisors
Available from: 2026-09-02 Created: 2026-08-05 Last updated: 2026-09-02
List of papers
1. From anti-inflammatory to antibiotic? A new approach for targeting C. difficile
Open this publication in new window or tab >>From anti-inflammatory to antibiotic? A new approach for targeting C. difficile
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(English)Manuscript (preprint) (Other academic)
National Category
Organic Chemistry Infectious Medicine
Research subject
Chemistry with specialization in Organic Chemistry
Identifiers
urn:nbn:se:uu:diva-594975 (URN)
Available from: 2026-08-04 Created: 2026-08-04 Last updated: 2026-08-14
2. Pyrazole-based inhibitors of lipoprotein transport in Gram-negative bacteria
Open this publication in new window or tab >>Pyrazole-based inhibitors of lipoprotein transport in Gram-negative bacteria
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(English)Manuscript (preprint) (Other academic)
National Category
Organic Chemistry Infectious Medicine
Research subject
Chemistry with specialization in Organic Chemistry
Identifiers
urn:nbn:se:uu:diva-594977 (URN)
Available from: 2026-08-04 Created: 2026-08-04 Last updated: 2026-08-14
3. Exploration of LolCDE inhibitors in Gram-negative bacteria; identification of triazole-based antibacterials
Open this publication in new window or tab >>Exploration of LolCDE inhibitors in Gram-negative bacteria; identification of triazole-based antibacterials
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(English)Manuscript (preprint) (Other academic)
National Category
Organic Chemistry Infectious Medicine
Research subject
Chemistry with specialization in Organic Chemistry
Identifiers
urn:nbn:se:uu:diva-594979 (URN)
Available from: 2026-08-04 Created: 2026-08-04 Last updated: 2026-08-05

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