AUTHOR=Antoniciello Federico , Roncarati Davide , Zannoni Annamaria , Chiti Elena , Scarlato Vincenzo , Chiappori Federica TITLE=Targeting the Essential Transcription Factor HP1043 of Helicobacter pylori: A Drug Repositioning Study JOURNAL=Frontiers in Molecular Biosciences VOLUME=Volume 9 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/molecular-biosciences/articles/10.3389/fmolb.2022.887564 DOI=10.3389/fmolb.2022.887564 ISSN=2296-889X ABSTRACT=Antibiotic resistant bacterial pathogens are a very challenging problem of our period. Helicobacter pylori is one of the most widespread and successful human pathogens since it colonizes half of the world population causing chronic and atrophic gastritis, peptic ulcer, mucosa-associated lymphoid tissue-lymphoma, up to gastric adenocarcinoma. Moreover, it displays resistance to numerous antibiotics. One of the H. pylori pivotal transcription factors, HP1043, plays a fundamental role regulating essential cellular processes. Like other bacterial transcription factors, HP1043 does not display a eukaryote homologous. These characteristics make HP1043 a promising candidate to develop novel anti-bacterial strategies. Drug repositioning is a relatively recent strategy employed in drug development; testing approved drugs on new targets considerably reduces process’s time and costs of this process. The combined computational and in vitro approach further reduces the number of compounds to be tested in vivo. Our aim was to identify a subset of known drugs able to prevent HP1043 binding to DNA promoters. This result was reached by evaluating by molecular docking the binding capacity of about 14350 molecules on HP1043 dimer in both conformations, bound and unbound to the DNA. Employing an ad hoc pipeline including MMGBSA molecular dynamics, a selection of seven drugs was obtained. These were tested in vitro by electrophoretic mobility shift assay to evaluate HP1043-DNA interaction. Among these, three returned promising results showing an appreciable reduction of DNA binding activity of HP1043. Overall, we applied a computational methodology coupled to experimental validation of the results to screen a large number of known drugs on one of the H. pylori essential transcription factors. This methodology allowed a rapid reduction of the number of drugs to be tested, and the drug repositioning approach considerably reduced the drug design costs. Identified drugs do not belong to the same pharmaceutical category and, by computational analysis, bound different cavities, but all display a reduction of HP1043 binding activity on the DNA.