New therapeutics for the treatment of tuberculosis (TB) are vital in controlling the disease which is endemic in many developing countries. The problem with treating TB is the occurrence of multi-drug resistant TB (MDR-TB) and extensively-drug resistant TB (XDR-TB) that are infections caused by strains of Mycobacterium tuberculosis that are resistant to the first-line antibiotics or both first- and second-line drugs, respectively.1 One potential target for therapeutic design for TB is the MurF enzyme, which is critical for effective cell wall synthesis. MurF catalyses the ligation of two d-Ala residues to UDP-MurNAc-tripeptide to form UDP-MurNAc-pentapeptide, which is necessary to generate the peptidoglycan structure.2
Here, we will describe the use of Random non-standard Peptide Integrated Discovery (RaPID) mRNA display with genetic reprogramming on the M. tuberculosis MurF enzyme, which led to the discovery of several high-affinity thioether-linked cyclic peptide binders of the target.3 While these hits showed very high affinities to MurF, they showed poor antimycobacterial activity which we hypothesised was due to poor permeability. To optimise our hits, we conjugated our best cyclic peptide inhibitors to Vitamin B12 to ‘hijack’ the Rv1819c (BacA homologue) transporter on Mycobacterium tuberculosis, responsible for the uptake of Vitamin B12 from its environment.4, 5