Mycobacterium tuberculosis, the etiological agent of tuberculosis (TB), is responsible for approximately 9.27 million incident cases of TB annually, resulting in 2–3 million deaths.
1 The recent emergence of drug-resistant mycobacteria, particularly XDR-TB, has prompted the World Health Organisation (WHO) to set clear objectives to control this threat.
1 The rising incidence of human and animal infection by non tuberculosis mycobacteria (NTM) has also become a serious public-health concern.
2 NTM can cause a broad spectrum of diseases including pulmonary infections resembling tuberculosis
3 and extra pulmonary infections affecting lymph nodes, skin and soft tissue.
4 Among NTM,
Mycobacterium avium subsp. paratuberculosis (MAP), the causative agent of Johne's disease in ruminants, has been the focus of much attention in recent years, partly as a consequence of its association with Crohn disease in humans.
5–7 Lantibiotics have been suggested as a possible alternative to antibiotics for many drug-resistant infections.
8–11 This is due to their multiple mechanisms of action, broad-spectrum activity against a wide variety of Gram-positive targets, gene-encoded nature (making them excellent templates for bioengineering) and their ability to be delivered to the site of infection.
12–14 However, although lantibiotics have been extensively researched, little work has been done to investigate their application to treat mycobacterial diseases.
15Nisin A is the prototype lantibiotic and has safely been incorporated into a wide range of commercial products since its acceptance by the Food and Drug Administration (FDA) as a food additive in 1988.
16 As with all lantibiotics, synthesis of the mature nisin peptide involves extensive post-translational modification resulting in the formation of the unusual amino acids lanthionine and β-methyllanthionine, as well as dehydrated amino acids.
8 Nisin is produced by
Lactococcus lactis which is generally regarded as safe (GRAS) for food applications. Nisin is generally used as a food preservative, although it has recently been applied therapeutically in the form of an anti-mastitis product called ‘Wipe-out’.
8The bio-engineering of lantibiotics has been particularly useful with respect to elucidating the importance of specific residues and domains within the peptides. In particular, the N-terminal region responsible for binding lipid II in the cell wall of target cells was elucidated, as was the C-terminal region which inserts into the cell membrane to cause pore formation. Most note-worthy is the work focusing on the central hinge region which allows the aforementioned domains to move relative to one another.
17–19 In contrast however, the generation of lantibiotics with enhanced features has been infrequently reported. Some successes have occurred, such as the generation of nisin variants with enhanced solubility at neutral pH
20 or increased antimicrobial activity against non-pathogenic strains.
21 Interestingly it has been established that modification of the hinge region in nisin Z (a natural variant of nisin A which differs by only one amino acid) led to the identification of variants (N20K and M21K) with increased efficacy against Gram-negative species, i.e., Shigella, Pseudomonas and Salmonella.
18 Perhaps more significantly, variants with enhanced activity against specific Gram-positive pathogens, such as
S. aureus, S. agalactiae and
L. monocytogenes, have also been generated.
19 The enhanced activity of two peptides, i.e., nisinK22T and M21V (hereafter nisin T and V respectively), () has been confirmed against non mycobacterial targets, in studies with purified peptides.
19,22 However, nisinK22S (hereafter nisin S) has not been evaluated in purified form to date. Here we carry out an investigation to determine if any of these three nisin variants display enhanced antimicrobial activity against four representative species of pathogenic mycobacteria.