paromomycin-sulfate and Genetic-Diseases--Inborn

Compelling evidence is now available that gentamicin and Geneticin (G418) can induce the mammalian ribosome to suppress disease-causing nonsense mutations and partially restore the expression of functional proteins. However, toxicity and relative lack of efficacy at subtoxic doses limit the use of gentamicin for suppression therapy. Although G418 exhibits the strongest activity, it is very cytotoxic even at low doses. We describe here the first systematic development of the novel aminoglycoside (S)-11 exhibiting similar in vitro and ex vivo activity to that of G418, while its cell toxicity is significantly lower than those of gentamicin and G418. Using a series of biochemical assays, we provide proof of principle that antibacterial activity and toxicity of aminoglycosides can be dissected from their suppression activity. The data further indicate that the increased specificity toward cytoplasmic ribosome correlates with the increased activity and that the decreased specificity toward mitochondrial ribosome confers the lowered cytotoxicity.

Topics: Aminoglycosides; Codon, Nonsense; Cytoplasm; Genetic Diseases, Inborn; Humans; Magnetic Resonance Spectroscopy; Mitochondria; Ribosomes; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization

A series of new derivatives of the clinically used aminoglycoside antibiotic paromomycin were designed, synthesized, and their ability to read-through premature stop codon mutations was examined in both in vitro translation system and ex vivo mammalian cultured cells. One of these structures, a pseudo-trisaccharide derivative, showed notably higher stop codon read-through activity in cultured cells compared to those of paromomycin and gentamicin.

Topics: Aminoglycosides; Carbohydrate Conformation; Codon, Terminator; Drug Design; Genetic Diseases, Inborn; Models, Molecular; Molecular Conformation; Mutation