Skip to main content

ORIGINAL RESEARCH article

Front. Microbiol., 26 August 2020
Sec. Antimicrobials, Resistance and Chemotherapy

A Small Molecule Inhibitor of CTP Synthetase Identified by Differential Activity on a Bacillus subtilis Mutant Deficient in Class A Penicillin-Binding Proteins

  • Centre for Bacterial Cell Biology, Biosciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom

In the course of screening for compounds with differential growth inhibition activity on a mutant of Bacillus subtilis lacking all four class A penicillin-binding proteins (Δ4), we came across an isoquinoline derivative, IQ-1 carboxylic acid (IQC) with relatively high activity on the mutant compared to the wild type strain. Treated cells were slightly elongated and had altered chromosome morphology. Mutants of Δ4 resistant to IQC were isolated and subjected to whole genome sequencing. Most of the mutants were affected in the gene, pyrG, encoding CTP synthetase (CTPS). Purified wild type CTPS was inhibited in vitro by IQC. Two of the three mutant proteins purified showed decreased sensitivity to IQC in vitro. Finally, inhibition by IQC was rescued by addition of cytidine but not uridine to the growth medium, consistent with the notion that IQC acts by reducing the synthesis of CTP or a related compound. IQC provides a promising new starting point for antibiotic inhibitors of CTPS.

Introduction

The continuous rise in resistance to antibiotics is encouraging the search for antibiotics with new modes of action. Historically, the cell wall has been one of the most productive targets for discovery and development of antibiotics, because it is usually essential for bacterial growth and viability and there is no equivalent of the structure or synthetic pathway in human cells. The main essential component of virtually all bacterial cell walls is peptidoglycan (PG). Synthesis of PG requires one or more enzymes with glycosyltransferase (GTase) activity. It recently emerged that the RodA and FtsW “SEDS” enzymes are the main, essential GTases in many bacteria (Cho et al., 2016; Meeske et al., 2016; Emami et al., 2017; Sjodt et al., 2018) and thus are interesting potential targets for novel antibiotics.

The SEDS proteins are partially redundant to class A penicillin-binding proteins (PBPs), which also have PG glycosyltransferase activity (Sauvage et al., 2008). We previously described a screen for RodA inhibitors looking for chemical activities that were more potent on a strain of Bacillus subtilis deleted for all four known class A PBPs (Mcpherson and Popham, 2003) than on wild type cells, based on the idea that this Δ4 mutant should rely completely on RodA for PG polymerization during cell growth (Emami et al., 2017). Here we describe the finding and characterization of isoquinoline compounds that have the required specificity for the Δ4 mutant over wild type cells. However, the compounds turn out to target not RodA, but rather an enzyme CTP synthetase encoded by pyrG, required for synthesis of cytidine triphosphate (CTP). The compound differs from known CTP synthetase inhibitors in lacking similarity to the enzyme substrate or products. The compound may provide a starting point for the development of a new family of anti-infectives.

Results

Isoquinoline 1-Carboxylic Acid Has Higher Antibiotic Activity on B. subtilis Lacking All Four Class A Penicillin-Binding Proteins

We previously described a chemical genetics screen for antibiotic compounds potentially targeted the RodA GTase, based on differential activity on a B. subtilis mutant lacking all 4 class A PBPs (called Δ4) vs. the wild type, 168ca (Emami et al., 2017). Culture supernatants from an actinomycete strain, DEM20654, were found to inhibit the growth of the Δ4 strain much more than the isogenic wild type strain. In the course of attempting to purify the active component from the complex mixture of metabolites produced by DEM20654 using HPLC-mass spectrometry, we frequently observed the presence of a molecule with a monoisotopic mass of 129.057, potentially a fragment of the active species, or an intermediate in its synthesis. A search of the Dictionary of Natural Products highlighted quinoline and isoquinoline as the only plausible compounds with that accurate mass. We obtained several commercially available compounds with a quinoline or isoquinoline nucleus, as well as various other similar compounds and tested them for antibiotic activity by a disc diffusion assay on the wild type and Δ4 strains. Two closely related compounds, isoquinoline-1-carboxylic acid (hereafter IQC; Figure 1A) and isoquinoline-3-carboxylic acid (IQC3; Figure 1B), were found to have antibiotic activity that was greater on the Δ4 mutant than on the wild type (Figure 1C). The other compounds tested were mainly inactive or showed no signs of differential activity on the two strains (Table 1 and Supplementary Figure S1). Subsequent studies were mainly conducted with IQC, which has a minimum inhibitory concentration (MIC) of 300 μg mL–1 for the WT (168ca) and 50 μg mL–1 for Δ4. Figure 1D shows the results of a liquid culture experiment in which 40 μg mL–1 IQC almost completely inhibited the growth of the Δ4 mutant but had a much lesser effect on wild type cells. In some of the experiments described below we replaced Δ4 with a mutant (ΔponA) deficient only in the major class A PBP, PBP1. This single mutant also showed differential sensitivity to the compound relative to wild type (168ca) cells (Figure 1E) and had a similar MIC (50 μg mL–1) to the Δ4 mutant.

FIGURE 1
www.frontiersin.org

Figure 1. Compound structures and effects on bacterial growth. (A,B) The structures of Isoquinoline-1-carboxylic acid (A), and Isoquinoline-3-carboxylic acid (B). (C,E) Disc assays showing the activity of IQC against the wild type (WT) and the Δ4 (C) and ΔponA (E) mutants. The radius of the inhibition zones for Δ4 at 500 μg was 7 vs. 2 mm for the WT. In Panel (C) the values were 10 and 3 mm for the ΔponA and WT strains (1000 μg disc), respectively. Numbers refer to the amounts of IQC added to the discs (μg). CON, Citrox (5 μL). (D) Effect of IQC (40 μg mL–1) on growth of wild type and mutant strains in liquid culture.

TABLE 1
www.frontiersin.org

Table 1. Testing various compounds for differential antibiotic activity on the Δ4 and WT strains.

Mode of Action Studies Suggest an Effect on Chromosome Dynamics

If IQC acted on RodA and or FtsW we expected to see a disruption of cell growth, rod shape and or division in both wild type and the Δ4 or ΔponA mutant strains, with the effects being more severe in the mutants than in the wild type (because the class A PBPs remain active in the wild type). We therefore used phase contrast and fluorescence microscopy to examine cells of each of the strains, in the presence and absence of IQC. Although the wild type was more resistant to the compound, the phenotypic effects of IQC treatment turned out to be similar in all three of the strains (Supplementary Figure S2). Because the Δ4 and ΔponA strains already have a slight morphological phenotype (Popham and Setlow, 1996) we focused our attention on the wild type. As shown in Figure 2, treatment with IQC caused an increase in cell length, as judged both by phase contrast (A-E) and fluorescence microscopy (membrane stain; I, J), consistent with an inhibition of cell division. However, examination of chromosome morphology in cells bearing an hbsU-GFP fusion, which uniformly labels the entire nucleoid (Kohler and Marahiel, 1997) revealed impaired chromosome segregation and or organization in IQC treated cells (Figures 2F–H). The yellow arrows point to nucleoids that are highly elongated compared to the relatively compact nucleoids in the untreated cells (panel F).

FIGURE 2
www.frontiersin.org

Figure 2. Effects of IQC on cell morphology. (A–C) and (F–H) Effects of different concentrations of IQC on B. subtilis cells. The wild type strain 168ca, carrying an ezrA-gfp fusion (native promoter at native locus) and an Hbsu-mCherry fusion (at amyE; for labeling DNA), was grown in the presence of IQC or 0.01% DMSO at 30°C for 130 min. (A–C) phase contrast images. (F–H) images of Hbsu-mCherry showing the nucleoids. (A,F) no IQC (0.01% DMSO). (B,G) 150 μg mL–1 IQC. (C,H) 300 μg mL–1. Arrows in H point to elongated nucleoids. (D,E,I,J) Effect of IQC treatment on cell length. Wild type strain 168ca grown in LB was treated with 150 μg mL–1 IQC for 240 min at 30°C. Membranes were stained with membrane dye FM5-95. (D,E) Phase contrast images. (I,J) images of membranes. (K–R) Effect of IQC treatment on the localization of early cell division protein EzrA. The wild type strain 168ca, carrying an ezrA-gfp fusion (native promoter at native locus) and an Hbsu-mCherry fusion (at amyE; for labeling DNA), was grown in the presence of IQC (O–R) or DMSO (K–N) at 30°C for 270 min. (K,O) Phase contrast images. (L,P) Images of Hbsu-mCherry showing the nucleoids. (M,Q) Images of EzrA-GFP used as a marker for the localization of cell division protein FtsZ. (N,R) Overlay of Hbsu-mCherry and the EzrA-GFP images. EzrA-GFP is shown in green and DNA in magenta. Arrows point to locations where EzrA localization is perturbed or absent and chromosome are not properly segregated. The inserts show the enlarged images of the cells circled in red in panels (F,H).

Since perturbations of chromosome dynamics are well known to impact on cell division, and specifically on the assembly and localization of the master regulator of cell division, FtsZ, whereas RodA / FtsW inhibition should act on PG synthesis downstream of FtsZ ring assembly (Adams and Errington, 2009), we examined FtsZ localization in the treated cells using EzrA-GFP as a surrogate, functional marker for FtsZ ring formation (Levin et al., 1999; Gamba et al., 2009). As shown in Figures 2K–N, the short untreated cells virtually all had an EzrA-GFP band very close to the mid-point of the rod. However, GFP bands were much less frequent per unit length in the elongated treated cells. Furthermore, the elongated nucleoids in treated cells corresponded to the locations where expected EzrA rings were absent (yellow arrows in panels Q – R point to sites where bands would have been expected), showing that division inhibition occurred early and that it might be a result of defects in chromosome organization. Supplementary Figure S2 shows that similar phenotypic effects were seen for the Δ4 and ΔponA mutants. These results suggested that the primary effect of IQC might be on chromosome dynamics, rather than on FtsZ or one or more of the SEDS proteins.

To investigate the mode of action further, we tested the effects of IQC on a collection of strains with lacZ reporter genes coupled to promoters sensitive to various antibiotic challenges. Supplementary Figure S3 shows that IQC triggered expression of a DNA damage reporter construct based on a late promoter of the Φ105 prophage, and of liaI-lacZ, which is thought to respond generally to cell envelope damage (Radeck et al., 2017). None of the other reporter strains tested showed a response, including those sensitive to inhibition of protein synthesis, transcription, or fatty acid synthesis (Hutter et al., 2004). Isoquinoline-3-carboxylic acid (but not picolinic acid, which has the carboxylic substituted pyridind ring and no benzyl ring) triggered the same two reporters, supporting the notion that this compound has a similar mode of action to IQC.

IQC-Resistance Mutations Mainly Map to the pyrG (CTP Synthetase) Locus

To gain further insights into the mode of action of IQC we isolated a series of mutants resistant to the compound. We took the Δ4 mutant strain and plated it in the presence of 300 μg ml–1 IQC (∼6× MIC) to select for resistant mutants, which emerged at a frequency of approximately 1×10–7 per cell. Figure 3A shows examples of the growth of wild type, parental (Δ4) strain and several resistant mutant strains cultured in the presence of 100 μg ml–1 IQC. This concentration of IQC abolished growth of the parent Δ4 strain but all of the mutants showed increased growth rate; most showed similar level of growth to the parent strain with no compound. Figure 3B demonstrates the resistance of the pyrG mutants relative to the parental Δ4 strain based on disc diffusion assays. Killing by 200 or 400 μg IQC on discs gave broader zones of growth inhibition on the parent Δ4 strain than on the mutants, whereas the control compound gave equal sized zones of clearing on both Δ4 and the mutants.

FIGURE 3
www.frontiersin.org

Figure 3. Characterization of the mutants of the Δ4 strain resistant to IQC. (A) Growth curves of Δ4, and various resistant mutants derived from Δ4, in the presence of an inhibitory concentration of IQC (100 μg ml–1). (B) Disc diffusion assay comparing the sensitivities of the 3 main pyrG mutants (mutants # 1, 5, and 11) and the Δ4 parental strain to 200 and 400 μg IQC in duplicate. The positive control disc contained 5 μL of Citrox.

Having verified that the isolates were indeed resistant to IQC we used whole genome sequencing to identify the site(s) of the mutations. As summarized in Table 2, mutations likely to be responsible for resistance in 9 different mutants were identified. In all but 2 we found single point mutations in the pyrG gene, all of which would result in single amino acid substitutions. The other two mutants both had a mutation in the rpoB gene, encoding the β-subunit of RNA polymerase, together with additional mutations in rpoC or greA. All 4 of these mutations seemed likely to affect general transcription, so we focused on the pyrG mutations. pyrG encodes CTP synthetase (CTPS), an essential enzyme required to make CTP, using UTP, glutamine and ATP as substrates (Mccluskey et al., 2016).

TABLE 2
www.frontiersin.org

Table 2. Locations of the IQC-resistance mutations and predicted effects and disc diffusion assay results.

Table 2 shows the inhibition zones of different mutants in response to IQC by disc diffusion assay. In general, the pyrG mutation at position 1454 (# 5, 8, 9, and13) resulted in a higher level of resistance to IQC, becoming more or less similar to the WT (168ca), and the other pyrG mutations (# 1, 11, and 12) resulted in resistance even higher than the WT. The MIC values for the pyrG mutants were estimated to be 250 for mutant #5 and 400 μg mL–1 for mutants #1 and #11.

To confirm that the mutations identified actually conferred resistance to IQC, we PCR amplified the pyrG region from three of the resistant mutants (# 1, 5, 11) and also the parental strain Δ4 (as a control), and transformed the PCR products into the sensitive parental strain (Δ4), with selection for growth on IQC. Resistant colonies were readily obtained for DNA samples from each of the resistant mutants but not the wild type control DNA. We then PCR amplified and sequenced the pyrG genes from one transformant each, and confirmed that in each case they contained the same substitution as in the donor of the mutant DNA.

IQC Inhibits CTP Synthetase in vitro

The finding of resistance mutations in the pyrG gene suggested that IQC is an inhibitor of CTPS and that the resistance mutations alter the properties of the protein to overcome IQC action. To test this, we overexpressed and purified the wild type CTPS and several of the resistant mutant proteins. CTPS catalyses the following reaction.

ATP + H O 2 + L - glutamine + UTP = ADP + CTP + 2 H + + L - glutamate + phosphate

We set up an activity assay based on spectrophotometric detection of CTP production in the presence of UTP, ATP and glutamine. The time course for a typical reaction with the wild type enzyme and measurement of the apparent Km are shown in Figures 4A,B, with summaries in Table 3. We then examined several of the mutant enzymes. One of the mutants (#11, R159C) exhibited a substantially faster initial rate than the wild type, whereas #1, E156G, was much less active (Figure 4A). Surprisingly, mutant #5 (P485L) was virtually indistinguishable from the wild type enzyme. The mutant enzymes did not differ appreciably from the wild type in terms of affinity, although their Km values were all slightly lower (Figure 4B and Table 3). Unfortunately, we could not use this assay to examine the effects of IQC on enzyme activity because the compound absorbed strongly at the wavelength used to measure CTP production (291 nm). We therefore employed an alternative assay based on the conversion of glutamine to glutamate. As shown in Figure 4C, IQC inhibited wild type CTPS activity in a dose responsive manner, with an IC50 of approximately 94 μg mL–1. Mutant #5, again, somewhat surprisingly, had only a slightly higher level of resistance to the compound (∼100 μg mL–1), so these experiments did not shed light on the ability of the strains containing this mutation to resist IQC in vivo. However, both mutants #1 and #11 had substantially higher IC50 values, of 450 and 240 μg mL–1, respectively, despite the fact that they differed so much in catalytic velocity (#11 higher and #1 lower than wild type).

FIGURE 4
www.frontiersin.org

Figure 4. Activities of wild type and mutant CTPS enzymes and the effects of inhibition by IQC. (A) Reaction velocities for the wild type and mutant enzymes. Production of CTP from reactions containing 2 mM UTP was measured by absorbance at 291 nm in the presence of ATP, L-glutamine, and Mg2+. (B) Relationship between UTP concentration and reaction velocity in assays equivalent to (A). Inset shows calculated values for Km. (C) Dose response curves for inhibition of the wild type and mutant enzymes by IQC. Inset shows calculated IC50 values. The reactions were carried out in triplicate and the data points are the mean of three replicates. Errors are ± standard deviation. The fit curves and the IC50 values were calculated using SigmaPlot 13.1.

TABLE 3
www.frontiersin.org

Table 3. Characterization of the wild type and mutant CTPS enzymes.

Similar conclusions in relation to the relative activities of the mutant and the wild type proteins, and inhibition by IQC, were obtained by qualitative assays based on MALDI-TOF discrimination of CTP / UTP and glutamine / glutamate (Supplementary Figure S4).

Growth of IQC-Treated Cells Is Partially Rescued by Exogenous Cytidine

The above results suggested that IQC inhibits growth by limiting the synthesis of CTP, which is needed for many cellular processes including RNA, DNA and fatty acid synthesis. B. subtilis cells can take up and incorporate nucleosides, including both cytidine and uridine (Kloudova and Fucik, 1974). If CTPS was the only or main target for IQC activity, growth in the presence of the compound might be rescued by supplementation of the culture medium with cytidine. As shown in Figure 5, the zones of inhibition generated by IQC discs were greatly diminished by the presence of 2.5 mM cytidine (Panel B), whereas uridine had no discernible effect (Panel C). This result lent strong support to the notion that the major effect of IQC is directly on the activity of CTPS.

FIGURE 5
www.frontiersin.org

Figure 5. Effects of exogenous cytidine and uridine on growth of IQC treated cells. The disc diffusion plates were seeded with the Δ4 cells. Discs were impregnated with different quantities of IQC or the control compound (Citrox). (A) Medium (NA/Mg2+) only; (B) Medium supplemented with cytidine (2.5 mM); (C) Medium with uridine supplement. The addition of cytidine (but not uridine), can compensate the CTPS inhibition by IQC.

Discussion

Unexpected Effects of CTPS Inhibitors on Peptidoglycan-GTase-Deficient Strains

We set out to find inhibitors of the SEDS proteins RodA and or FtsW, based on the expectation that strains lacking all four class A PBPs, which lack the alternative GTase for PG synthesis, should be more susceptible to GTase inhibitors (Emami et al., 2017). A search of a small set of compounds related to a candidate natural product inhibitor resulted in identification of the closely related IQC and IQC-3 small molecules, which were both more active on the ΔponA or Δ4 strains than the wild type. Although microscopic examination of treated cells revealed a cell division deficiency, as expected for an FtsW inhibitor, further studies revealed that the division defect was likely secondary to abnormalities in chromosome replication, segregation or organization. Also, both compounds induced a DNA damage reporter, consistent with an upstream effect on chromosome dynamics. The finding that the compounds were probably acting to inhibit CTPS provided a possible explanation for the chromosome effect, since depletion of CTP would be expected to perturb dCTP levels required for DNA replication. Induction of the liaI reporter was also observed, indicative of some kind of cell envelope stress response. Although this could again have been due to direct inhibition of SEDS function, it could also be due to depletion of intermediates in lipid II, phospholipid or teichoic acid synthesis, all of which have pathway components involving CTP carriers. It is also possible that the extra sensitivity is the consequence of altered cell wall synthesis, which might explain why such compounds were not discovered in previous screens for CTPS inhibitors. We are presently carrying out experiments to try and understand why inhibition of CTPS is more toxic to ponA and Δ4 mutants than wild type cells.

CTPS as a Therapeutic Target

CTPS occupies a central position in intermediary metabolism and interacts with multiple key metabolites including ATP, GTP, CTP, UTP and glutamine, with ADP and glutamate (as well as CTP) being the products (reviewed by Endrizzi et al., 2004). Not surprisingly, the pyrG gene encoding CTPS has been shown to be essential in several different organisms (e.g., Kobayashi et al., 2003; Mori et al., 2015). CTPS has indeed been explored as a potential therapeutic target for a number of infections, especially Mycobacterium tuberculosis (Mori et al., 2015; Esposito et al., 2017; Chiarelli et al., 2018), but also for protozoan infections including trypanosomiasis (Fijolek et al., 2007). Nucleoside analogs acting on CTPS have also been used in human cancer therapies e.g., gemcitabine (Mccluskey et al., 2016); but these tend to have complex off target effects as they can interfere with multiple nucleotide binding proteins and even act as substrates.

To be useful as an antibiotic target the protein needs to be either missing in humans or sufficiently different to enable specific inhibitors of the pathogen protein to be isolated. There are now several structures of bacterial and human CTPS enzymes (Endrizzi et al., 2004; Mori et al., 2015; Lynch et al., 2017). These structures and complementary biochemical studies have revealed a complex higher order levels of CTPS organization. The protein has a very complex tertiary structure. The active form of the enzyme is at least a tetramer, and tetramers can then polymerize to form filamentous structures (Levitzki et al., 1971; Barry et al., 2014; Lynch et al., 2017). Polymerization appears to be a mechanism for allosteric control of enzyme activity. Remarkably, however, the effects of polymerization are completely opposite in the human and bacterial enzymes: thus, polymers of the human protein have increased activity (Lynch et al., 2017) whereas they are inactive in bacteria (Barry et al., 2014). This offers the opportunity, at least in principle, to achieve the desired specificity of inhibition in a potential therapeutic.

IQC as a Possible Therapeutic Starting Point

IQC and IQC-3 (MW 173 Da) are small molecules with relatively high MIC values. However, the experiments described above demonstrate that despite their simplicity, they have good specificity for the CTPS enzyme, which is not displayed by closely related molecules. Several lines of evidence show that the primary if not exclusive target for these compounds is CTPS. First, the mapping to pyrG of resistance mutations largely overcoming the effects of the inhibitors on growth of B. subtilis. Second, direct inhibition of purified CTPS in vitro. Third, partial rescue of growth inhibition by exogenous cytidine but not the closely related nucleoside uridine. At this stage we do not know how these molecules inhibit CTPS function. IQC does not resemble any of the key substrates (ATP, UTP or glutamine), nor the allosteric regulators CTP or GTP. Thus, structural studies will be required to establish where it binds and how it affects enzyme activity. Interestingly, some of the mutations generating resistance to IQC affected amino acid residues (E156 and R159 in B. subtilis) that are equivalent to those found for other diverse compounds affecting bacterial, yeast or mammalian CTPS (Whelan et al., 1993; Ostrander et al., 1998; Endrizzi et al., 2005). These substitutions, and S201I, lie in the conserved N-terminal amidoligase domain, whereas P485L lies in the C-terminal glutamine amidotransferase domain at an important inter-subunit interface that seems to be involved in allosteric regulation of the protein in response to CTP binding (Endrizzi et al., 2005), so they probably work by deregulation of enzyme activity. Further structural and biochemical studies are warranted to resolve these interesting findings. Work to identify analogs of IQC with improved antibiotic properties are underway.

Materials and Methods

Chemicals and Media

Nucleoside triphosphates were from Thermo Fischer Scientific. All other chemicals, unless stated otherwise were from Merck.

Nutrient agar (NA, Oxoid) was used for routine selection and maintenance of both B. subtilis and E. coli strains. Liquid medium used for B. subtilis growth was Luria–Bertani (LB) supplemented with Mg2+ to a final concentration of 20 mM.

B. subtilis Transformation

Bacillus subtilis cells were made competent for transformation with DNA either by the method of Hamoen et al. (2002) or that of Anagnostopoulos and Spizizen (1961) as modified by Jenkinson (1983).

Minimum Inhibitory Concentration (MIC) Estimation

Luria–Bertani medium supplemented with Mg2+ was inoculated with one single colony and incubated at 30°C overnight. Next morning the overnight culture was diluted (1 in 1000) in fresh LB supplemented with Mg2+ and grown to exponential phase. The culture was diluted again in the same medium to an OD 600 nm of 0.04, then aliquoted into 96-well plates. Cells were grown for 1 h and then different concentrations of IQC, ranging from 2000 to 15 μg mL–1, were added to the wells using a multi-channel pipette, to a final volume of 200 μL. The growth of the cultures were monitored for 10 h at 30°C. The lowest concentration that stopped the visible growth of each strain was indicated as the MIC for the strain.

Preparation of Genomic DNA for PCR and Genome Sequencing and Analysis

Genomic DNA was prepared using GenElute Bacterial Genomic DNA kit (SIGMA-ALDRICH). Prepared material was then passed through a 0.45 μm filter to remove any possible spores escaped during the procedure. Genomic DNA sequences of B. subtilis strains were performed by NU-OMICS DNA sequencing research facility, Northumbria University, Newcastle upon Tyne, using the Illumina NexteraXT technology. Briefly, an Illumina NexteraXT kit was used to create the sequencing libraries from 50 ng of genomic DNA, adding sequencing adaptors by transposition. Molecular equivalents of each library were loaded and sequenced with an Illumina MiSeq V3instrument, giving 300 base, paired end reads.

Genome de novo assembly and analyses were carried out using QIAGEN CLC Main Workbench software version 11.0.2 (CLC Bio, Qiagen, Valencia, CA, United States). In brief, in General methods, the “Paired reads Import” option was selected to import the Illumina sequences. The relevant pairs of each sequence were selected, then the De Novo Sequencing and De Novo Assembly path was followed. The contig sequences were generated using Map reads back to contigs. The reference genome of Bacillus subtilis 168 (GenBank: AL009126.3) was imported from Genbank, using the Standard Import command. Then in Toolbox, Track tools and Convert to tracks were selected. In the Toolbox, NGS core tools then Map reads to reference were selected. The removed failed reads parameter was applied. A track list of the reference genome and coding domains were generated and the genomes of the mutant strains were compared to the reference.

Bacterial Strains

Bacterial strains used in this study are listed in Supplementary Table S1.

Oligonucleotides

All oligonucleotides were purchased from Eurogentec Ltd and are listed in Supplementary Table S2.

Disc Diffusion Assay for Antibiotics Sensitivity

Exponentially growing cultures were diluted to OD600 0.02 then mixed with melt nutrient agar being poured into Petri dishes. Whatman® 6 mm Antibiotic Assay Discs (cat# WHA2017006) containing the indicated amounts of antibiotics (as shown in the relevant figures) were put on the solidified agar containing bacteria. The plates were incubated at 30°C overnight.

Inhibition zone was measured as the radial distance from the external edge of the disc to the edge of the inhibitory zone.

Re-creation of the IQC Resistant Mutants

DNA fragments containing the pyrG gene region were obtained by PCR from each IQC resistant pyrG mutant using primers PyrG-F1 and PyrG-R2 and Q5® High-Fidelity DNA Polymerase (New England Biolabs Inc.). The PCR products, extending from 1570 bp upstream to 2247 bp downstream of pyrG, were then used to transform competent Δ4 cells, with NA plates supplemented with 20 mM Mg2+ and containing 200 μg mL–1 IQC for selection.

Reporter Strains

A disc diffusion assay was performed with the B. subtilis strains carrying the lacZ reporter gene coupled to promoters sensitive to various antibiotic activities including: gyrA, yvgS, yjaX, ypuA, yheH, Φ105, helD, and liaI (Fischer et al., 2004; Mascher et al., 2004; Urban et al., 2007). Cells were mixed with melting nutrient agar containing 100 μg mL–1 X-Gal before being added to Petri dishes. Effects of various compounds on induction of lacZ expression in strains containing reporter constructs for various cell damaging agents. Blue halos around zones of growth inhibition indicate induction of lacZ expression and hydrolysis of the indicator X-Gal. Each plate also contained a disc with a positive control.

Purification of His-SUMO Tagged CTPS

Construction of pSF-WT14-pyrG and Derivatives

Plasmid pSF14 (curtesy of Prof. H. Murray), harboring a 14× His-SUMO domain was used as the backbone to construct the expression plasmid for the wild type PyrG (CTPS). Primers oKE-21 and oKE-22 (Supplementary Table S2) were used to generate the pyrG ORF with pSF14 overhangs, using Δ4 genomic DNA as the template; primers oKE-23 and 24, with an overhang containing the pyrG stop or start codon, respectively, were used to amplify the plasmid backbone (Supplementary Table S2). The PCR products were then assembled using Gibson Assembly Cloning kit (New England Biolabs Inc.). After cloning of the WT pyrG gene, each resistant mutation was introduced into the wild type construct (pSF14-WTPyrG) by site-directed mutagenesis, using the primers specified in Supplementary Table S2.

Purification of bdSENP1 (SUMO Protease)

E. coli BL21 carrying plasmid pSF1389 encoding His14-TEV-bdSENP1 (Frey and Gorlich, 2014) was grown at 37°C in 400 mL LB to an OD600 of 1.0. Expression of SUMO protease was induced by adding IPTG to a final concentration of 1 mM and growing at 30°C for 4 hrs. Cells were harvested by centrifugation at 4000× g for 15 min and re-suspended in 10 mL of Ni2+Binding Buffer A (250 mM NaCl, 40 mM Tris–HCl pH7.5, 10 mM MgCl2, 10 mM imidazole), containing protease inhibitor (Complete, EDTA free protease inhibitor cocktail, Roche). Cells were disrupted by sonication for 10 min at 70 W in 2−s on/4-s off pulses using a Fisherbrand FB-505 sonicator (Fisher Scientific), and cell debris was removed by centrifugation at 30,000× g, 4°C for 45 min. The supernatant was further clarified by filtration (0.20 μm). The following purification procedures were performed at 4°C. The clarified lysate was applied at 1 mL min–1 to a 5 mL His-Trap HP column (GE Healthcare) equilibrated with Ni2+ binding buffer A.

After several stepped washes of the column with buffer A containing 20 to 150 mM imidazole, the SUMO protease was eluted with Ni2+ elution Buffer B (290 mM NaCl, 45 mM Tris–HCl pH7.5, 4.5 mM MgCl2, 10 mM DTT, 500 mM imidazole). The eluent was dialysed into Buffer B with no imidazole for further use.

Expression and Purification of Recombinant CTPS

E. coli BL21 was used as the expression host strain. The expression and purification of the proteins were carried out using standard protocols. Transformants harboring the overexpression plasmids were grown overnight at 37°C in LB broth containing 100 μg mL–1 ampicillin. The overnight cultures were diluted in fresh LB medium containing ampicillin (1:1000 V/V) and grown to an OD600 of 0.6, before being induced with 1 mM IPTG and incubated for 4 h at 30°C. Cell pellets were resuspended in extraction Buffer A containing protease inhibitor cocktail. Clarified lysate was passed through a 0.2 μm filter prior to loading onto a 5 mL His-Trap HP chromatography column. The column was subjected to stepped washes with buffer A containing a range of imidazole concentrations from 20 to 200 mM imidazole (5 column volume each). The protein was eluted with buffer A, containing 300 mM imidazole. The elute was then dialysed overnight at 4°C against buffer A without imidazole. The purified fusion protein was subjected to digestion with bdSENP1 (SUMO Protease) at 4°C for 48 h. The mixture was then loaded onto a His-Trap HP column freshly calibrated with Buffer A. Then the column was washed with buffer A resulting in binding of the His tagged bdSENP1 in the column and elution of un-tagged CTPS. The purity of the CTPS proteins was verified by SDS-PAGE.

MALDI-ToF Mass Spectrometry

A RapifleX MALDI TOF/TOF mass spectrometer (Bruker Daltonics) equipped with a Smartbeam 3D laser was used in negative ion mode with Compass 2.0 control for all data acquisition. Samples were run in automatic mode (AutoXecute; Bruker Daltonics), acquiring 5000 shots at a 10-kHz frequency per spot in a random walk on spot.

Ionization was achieved using a fixed laser power of 70% (laser attenuator offset 7%, range 30%) and detected by the FlashDetector (Bruker, Bremen, Germany) at a detector gain of × 2 in the range of 100 to 2000 mass to charge ratios (m/z). Samples were analyzed in reflector mode with optimized voltages for reflector 1 (20.82 kV), reflector 2 (1.085 kV), and reflector 3 (8.8 kV), ion sources (ion source 1, 20 kV, PIE 2.66 kV), lens (11.3 kV), and a pulsed ion extraction of 200 ns. Spectra were accumulated with FlexControl software (v4.0) and processed using FlexAnalysis software (v4.0) (Bruker Daltonics). Calibration was performed using UTP, CTP, and GTP (Thermo Fisher). Fresh suspension of 10 mg mL–1 of 9-aminoacridine in 10% methanol was prepared, then centrifuged and the supernatant was used in a 1:1 ratio (v/v) with each sample on a MTP polished steel plate. The spotted targets were allowed to air dry before MALDI-MS analysis.

CTP Synthetase Assays and Kinetic Analysis

CTP synthetase activity was determined by measuring the conversion of UTP to CTP (molar extinction coefficients of 182 and 1520 M21 cm-1, respectively (Long and Pardee, 1967) as an increase in absorbance at 291 nm (Nadkarni et al., 1995). The absorbance was monitored using a SpectroStra Nano (BMG LABTECH). Where required, the concentration of CTP was calculated using A291 = ε (1338 M–1 cm–1) x c (mol L–1) × L (1.03 cm) equation (Habrian et al., 2016). The standard reaction mixture contained 50 mM Tris–HCl, pH 7.5, 10 mM MgCl2, 1 mM DTT, 2 mM L-glutamine, 0.1 mM GTP, 2 mM ATP, 2 mM UTP, and an appropriate dilution of enzyme protein in a total volume of 0.2 mL. The initial rates were extracted from the earliest linear regions of A291 versus time data using linear regressions.

The kinetic parameters Vmax and Km were determined by running a series of 8 h CTPS assay at UTP concentrations ranging from 0 to 6 mM. The parameters were assessed by plotting the reaction against UTP concentration. The ligand-binding option, and then Michaelis−Menten and Hill equation were applied using SigmaPlot 13.1 (Systat Software Inc.). The values were determined in triplicate and the mean values are reported in Figure 4. The reported errors are ± Standard Deviation (SD).

IC50 Determination by Glutamate Assay

Glutamate assay kit was purchased from SIGMA ALDRICH (cat # MAK004) and the supplier’s protocol was followed to measure the amount of glutamate released by purified CTP synthetase species. The enzymatic reaction was set up as described before. The reaction was stopped by boiling the samples for 10 min, before adding the reaction components for development of the color and reading the absorbance at 450 nm using a BMG SpectroStra Nano (BMG LABTECH). The estimated IC50 values were established by sigmoidal non-linear regression, 4-parameter logistic function, using Sigma Plot 13.1 software.

Microscopic Imaging

Overnight cultures, grown in LB supplemented with Mg2+ (20 mM) at 30°C, were diluted (1:1000 V/V) into fresh medium and grown at 30°C until exponential phase. The exponentially growing cultures were then diluted again to an OD of 0.02, and IQC was added to a final concentration of 150 or 300 μg mL–1. For “no IQC” control, DMSO was added to a final concentration of 0.01%. Growth of the cultures was continued at 30°C. For microscopy 2 μl of cells were mounted onto microscope slides coated with a thin film of 1.2% agarose in water. To visualize membranes and DNA, 30 μl culture was mixed with 1 μl of membrane dye FM5-95 (200 μg ml–1; Molecular Probes) then, if used, with 3 μl DNA dye 4,6-diamidino-2-phenylindole (DAPI; Sigma; 1 μg ml–1 in 50% glycerol), before adding onto the agarose slide. Images were acquired with a Rolera EM-C2 (Q-imaging) camera attached to a Nikon Ti microscope using METAMORPH version 6 (Molecular Devices). Images were processed using Fiji (NIH).

Data Availability Statement

All datasets presented in this study are included in the article/Supplementary Material.

Author Contributions

KE and LW did the experiments. All authors contributed to experimental design and concepts. JE wrote the main text with contributions from KE and LW.

Funding

This work was funded by an ERC Advanced Grant (670980) and a Wellcome Senior Investigator Award (209500).

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Acknowledgments

We thank Prof. Heath Murray and especially Dr. Stepan Fenyk for their help with protein purification, Dr. Maria Duenas (Trost Lab, Newcastle University) for her assistance with MALD-ToF MS experiments, and Demuris Ltd. for providing the Streptomyces DEM20654 strain.

Supplementary Material

The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fmicb.2020.02001/full#supplementary-material

References

Adams, D. W., and Errington, J. (2009). Bacterial cell division: assembly, maintenance and disassembly of the Z ring. Nat. Rev. Microbiol. 7, 642–653. doi: 10.1038/nrmicro2198

PubMed Abstract | CrossRef Full Text | Google Scholar

Anagnostopoulos, C., and Spizizen, J. (1961). Requirements for Transformation in Bacillus subtilis. J. Bacteriol. 81, 741–746.

Google Scholar

Barry, R. M., Bitbol, A. F., Lorestani, A., Charles, E. J., Habrian, C. H., Hansen, J. M., et al. (2014). Large-scale filament formation inhibits the activity of CTP synthetase. eLife 3:e03638. doi: 10.7554/eLife.03638

PubMed Abstract | CrossRef Full Text | Google Scholar

Chiarelli, L. R., Mori, G., Orena, B. S., Esposito, M., Lane, T., De Jesus Lopes Ribeiro, A. L., et al. (2018). A multitarget approach to drug discovery inhibiting Mycobacterium tuberculosis PyrG and PanK. Sci. Rep. 8:3187. doi: 10.1038/s41598-018-21614-4

PubMed Abstract | CrossRef Full Text | Google Scholar

Cho, H., Wivagg, C. N., Kapoor, M., Barry, Z., Rohs, P. D. A., Suh, H., et al. (2016). Bacterial cell wall biogenesis is mediated by SEDS and PBP polymerase families functioning semi-autonomously. Nat. Microbiol. 1:16172. doi: 10.1038/Nmicrobiol.2016.172

PubMed Abstract | CrossRef Full Text | Google Scholar

Emami, K., Guyet, A., Kawai, Y., Devi, J., Wu, L. J., Allenby, N., et al. (2017). RodA as the missing glycosyltransferase in Bacillus subtilis and antibiotic discovery for the peptidoglycan polymerase pathway. Nat. Microbiol. 2:16253. doi: 10.1038/nmicrobiol.2016.253

PubMed Abstract | CrossRef Full Text | Google Scholar

Endrizzi, J. A., Kim, H., Anderson, P. M., and Baldwin, E. P. (2004). Crystal structure of Escherichia coli cytidine triphosphate synthetase, a nucleotide-regulated glutamine amidotransferase/ATP-dependent amidoligase fusion protein and homologue of anticancer and antiparasitic drug targets. Biochemistry 43, 6447–6463. doi: 10.1021/bi0496945

PubMed Abstract | CrossRef Full Text | Google Scholar

Endrizzi, J. A., Kim, H., Anderson, P. M., and Baldwin, E. P. (2005). Mechanisms of product feedback regulation and drug resistance in cytidine triphosphate synthetases from the structure of a CTP-inhibited complex. Biochemistry 44, 13491–13499. doi: 10.1021/bi051282o

PubMed Abstract | CrossRef Full Text | Google Scholar

Esposito, M., Szadocka, S., Degiacomi, G., Orena, B. S., Mori, G., Piano, V., et al. (2017). A Phenotypic Based Target Screening Approach Delivers New Antitubercular CTP Synthetase Inhibitors. ACS Infect. Dis. 3, 428–437. doi: 10.1021/acsinfecdis.7b00006

PubMed Abstract | CrossRef Full Text | Google Scholar

Fijolek, A., Hofer, A., and Thelander, L. (2007). Expression, purification, characterization, and in vivo targeting of trypanosome CTP synthetase for treatment of African sleeping sickness. J. Biol. Chem. 282, 11858–11865. doi: 10.1074/jbc.M611580200

PubMed Abstract | CrossRef Full Text | Google Scholar

Fischer, H. P., Brunner, N. A., Wieland, B., Paquette, J., Macko, L., Ziegelbauer, K., et al. (2004). Identification of antibiotic stress-inducible promoters: a systematic approach to novel pathway-specific reporter assays for antibacterial drug discovery. Genome Res. 14, 90–98. doi: 10.1101/gr.1275704

PubMed Abstract | CrossRef Full Text | Google Scholar

Frey, S., and Gorlich, D. (2014). Purification of protein complexes of defined subunit stoichiometry using a set of orthogonal, tag-cleaving proteases. J. Chromatogr. A 1337, 106–115. doi: 10.1016/j.chroma.2014.02.030

PubMed Abstract | CrossRef Full Text | Google Scholar

Gamba, P., Veening, J. W., Saunders, N. J., Hamoen, L. W., and Daniel, R. A. (2009). Two-step assembly dynamics of the Bacillus subtilis divisome. J. Bacteriol. 191, 4186–4194. doi: 10.1128/Jb.01758-08

PubMed Abstract | CrossRef Full Text | Google Scholar

Habrian, C., Chandrasekhara, A., Shahrvini, B., Hua, B., Lee, J., Jesinghaus, R., et al. (2016). Inhibition of Escherichia coli CTP Synthetase by NADH and Other Nicotinamides and Their Mutual Interactions with CTP and GTP. Biochemistry 55, 5554–5565. doi: 10.1021/acs.biochem.6b00383

PubMed Abstract | CrossRef Full Text | Google Scholar

Hamoen, L. W., Smits, W. K., De Jong, A., Holsappel, S., and Kuipers, O. P. (2002). Improving the predictive value of the competence transcription factor (ComK) binding site in Bacillus subtilis using a genomic approach. Nucleic Acids Res. 30, 5517–5528. doi: 10.1093/nar/gkf698

PubMed Abstract | CrossRef Full Text | Google Scholar

Hutter, B., Fischer, C., Jacobi, A., Schaab, C., and Loferer, H. (2004). Panel of Bacillus subtilis reporter strains indicative of various modes of action. Antimicrob. Agents Ch 48, 2588–2594. doi: 10.1128/Aac.48.7.2588-2594.2004

PubMed Abstract | CrossRef Full Text | Google Scholar

Jenkinson, H. F. (1983). Altered arrangement of proteins in the spore coat of a germination mutant of Bacillus-Subtilis. J. Gen. Microbiol. 129, 1945–1958. doi: 10.1099/00221287-129-6-1945

PubMed Abstract | CrossRef Full Text | Google Scholar

Kloudova, A., and Fucik, V. (1974). Transport of nucleosides in Bacillus-Subtilis - characteristics of cytidine-uptake. Nucleic Acids Res. 1, 629–637. doi: 10.1093/nar/1.4.629

PubMed Abstract | CrossRef Full Text | Google Scholar

Kobayashi, K., Ehrlich, S. D., Albertini, A., Amati, G., Andersen, K. K., Arnaud, M., et al. (2003). Essential Bacillus subtilis genes. Proc. Natl. Acad. Sci. U.S.A. 100, 4678–4683. doi: 10.1073/pnas.0730515100

PubMed Abstract | CrossRef Full Text | Google Scholar

Kohler, P., and Marahiel, M. A. (1997). Association of the histone-like protein HBsu with the nucleoid of Bacillus subtilis. J. Bacteriol. 179, 2060–2064. doi: 10.1128/jb.179.6.2060-2064.1997

PubMed Abstract | CrossRef Full Text | Google Scholar

Levin, P. A., Kurtser, I. G., and Grossman, A. D. (1999). Identification and characterization of a negative regulator of FtsZ ring formation in Bacillus subtilis. Proc. Natl. Acad. Sci. U.S.A. 96, 9642–9647. doi: 10.1073/pnas.96.17.9642

PubMed Abstract | CrossRef Full Text | Google Scholar

Levitzki, A., Stallcup, W. B., and Koshland, D. E. (1971). Half-of-the-sites reactivity and the conformational states of cytidine triphosphate synthetase. Biochemistry 10, 3371–3378. doi: 10.1021/bi00794a009

PubMed Abstract | CrossRef Full Text | Google Scholar

Long, C. W., and Pardee, A. B. (1967). Cytidine triphosphate synthetase of Escherichia coli B. I. Purification and kinetics. J. Biol. Chem. 242, 4715–4721.

Google Scholar

Lynch, E. M., Hicks, D. R., Shepherd, M., Endrizzi, J. A., Maker, A., Hansen, J. M., et al. (2017). Human CTP synthase filament structure reveals the active enzyme conformation. Nat. Struct. Mol. Biol. 24, 507–514. doi: 10.1038/nsmb.3407

PubMed Abstract | CrossRef Full Text | Google Scholar

Mascher, T., Zimmer, S. L., Smith, T. A., and Helmann, J. D. (2004). Antibiotic-inducible promoter regulated by the cell envelope stress-sensing two-component system LiaRS of Bacillus subtilis. Antimicrob. Agents Ch 48, 2888–2896. doi: 10.1128/Aac.48.8.2888-2896.2004

PubMed Abstract | CrossRef Full Text | Google Scholar

Mccluskey, G. D., Mohamady, S., Taylor, S. D., and Bearne, S. L. (2016). Exploring the Potent Inhibition of CTP Synthase by Gemcitabine-5’-Triphosphate. Chembiochem 17, 2240–2249. doi: 10.1002/cbic.201600405

PubMed Abstract | CrossRef Full Text | Google Scholar

Mcpherson, D. C., and Popham, D. L. (2003). Peptidoglycan synthesis in the absence of class A penicillin-binding proteins in Bacillus subtilis. J. Bacteriol. 185, 1423–1431. doi: 10.1128/Jb.185.4.1423-1431.2003

PubMed Abstract | CrossRef Full Text | Google Scholar

Meeske, A. J., Riley, E. P., Robins, W. P., Uehara, T., Mekalanos, J. J., Kahne, D., et al. (2016). SEDS proteins are a widespread family of bacterial cell wall polymerases. Nature 537, 634–638. doi: 10.1038/nature19331

PubMed Abstract | CrossRef Full Text | Google Scholar

Mori, G., Chiarelli, L. R., Esposito, M., Makarov, V., Bellinzoni, M., Hartkoorn, R. C., et al. (2015). Thiophenecarboxamide Derivatives Activated by EthA Kill Mycobacterium tuberculosis by Inhibiting the CTP Synthetase PyrG. Chem. Biol. 22, 917–927. doi: 10.1016/j.chembiol.2015.05.016

PubMed Abstract | CrossRef Full Text | Google Scholar

Nadkarni, A. K., Mcdonough, V. M., Yang, W. L., Stukey, J. E., Ozierkalogeropoulos, O., and Carman, G. M. (1995). Differential Biochemical Regulation of the Ura7-Encoded and Ura8-Encoded Ctp Synthetases from Saccharomyces-cerevisiae. J. Biol. Chem. 270, 24982–24988. doi: 10.1074/jbc.270.42.24982

PubMed Abstract | CrossRef Full Text | Google Scholar

Ostrander, D. B., Gorman, J. A., and Carman, G. M. (1998). The effect of CTP-synthetase regulation on macromolecular synthesis in yeast. FASEB J. 12, A1286–A1286.

Google Scholar

Popham, D. L., and Setlow, P. (1996). Phenotypes of Bacillus subtilis mutants lacking multiple class A high-molecular-weight penicillin-binding proteins. J. Bacteriol. 178, 2079–2085. doi: 10.1128/jb.178.7.2079-2085.1996

PubMed Abstract | CrossRef Full Text | Google Scholar

Radeck, J., Fritz, G., and Mascher, T. (2017). The cell envelope stress response of Bacillus subtilis: from static signaling devices to dynamic regulatory network. Curr. Genet. 63, 79–90. doi: 10.1007/s00294-016-0624-0

PubMed Abstract | CrossRef Full Text | Google Scholar

Sauvage, E., Kerff, F., Terrak, M., Ayala, J. A., and Charlier, P. (2008). The penicillin-binding proteins: structure and role in peptidoglycan biosynthesis. FEMS Microbiol. Rev. 32, 234–258. doi: 10.1111/j.1574-6976.2008.00105.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Sjodt, M., Brock, K., Dobihal, G., Rohs, P. D. A., Green, A. G., Hopf, T. A., et al. (2018). Structure and function of the SEDS:bPBP bacterial cell wall synthesis machinery. Acta Crystallogr. A 74, a144-a144. doi: 10.1107/S0108767318098550

CrossRef Full Text | Google Scholar

Urban, A., Eckermann, S., Fast, B., Metzger, S., Gehling, M., Ziegelbauer, K., et al. (2007). Novel whole-cell antibiotic biosensors for compound discovery. Appl. Environ. Microbiol. 73, 6436–6443. doi: 10.1128/AEM.00586-07

PubMed Abstract | CrossRef Full Text | Google Scholar

Whelan, J., Phear, G., Yamauchi, M., and Meuth, M. (1993). Clustered base substitutions in Ctp synthetase conferring drug-resistance in chinese-hamster ovary cells. Nat. Genet. 3, 317–322. doi: 10.1038/ng0493-317

PubMed Abstract | CrossRef Full Text | Google Scholar

Keywords: CTP synthetase, pyrG, isoquinoline antibiotic, Bacillus subtilis, class A penicillin-binding protein

Citation: Emami K, Wu LJ and Errington J (2020) A Small Molecule Inhibitor of CTP Synthetase Identified by Differential Activity on a Bacillus subtilis Mutant Deficient in Class A Penicillin-Binding Proteins. Front. Microbiol. 11:2001. doi: 10.3389/fmicb.2020.02001

Received: 09 June 2020; Accepted: 28 July 2020;
Published: 26 August 2020.

Edited by:

Yuji Morita, Meiji Pharmaceutical University, Japan

Reviewed by:

Kei Asai, Tokyo University of Agriculture, Japan
Giorgia Mori, The University of Queensland, Australia
Laurent Roberto Chiarelli, University of Pavia, Italy

Copyright © 2020 Emami, Wu and Errington. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Jeff Errington, jeff.errington@ncl.ac.uk

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.