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Gepotidacin

Manufactured by GlaxoSmithKline

Gepotidacin is a novel triazaacenaphthylene antibacterial agent developed by GlaxoSmithKline. It acts as a topoisomerase II inhibitor, targeting the bacterial DNA gyrase and topoisomerase IV enzymes. This mechanism of action disrupts bacterial DNA replication and transcription, leading to cell death. Gepotidacin is currently in clinical development for the treatment of various bacterial infections.

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2 protocols using gepotidacin

1

Evaluating Gepotidacin Resistance in N. gonorrhoeae

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Six N. gonorrhoeae isolates were evaluated in the study described herein. One (ATCC 49226) was purchased from the American Type Culture Collection (ATCC, Manassas, VA). The remaining five isolates were clinical isolates, each from a baseline culture obtained from individual Gepotidacin-treated patients with uncomplicated urogenital gonorrhea enrolled in a phase 2 dose-ranging study (13 (link)). All five isolates contained a preexisting ParC D86N mutation that likely conferred resistance to fluoroquinolones. However, this mutation compromised dual targeting by Gepotidacin, as ParC D86 is a critical residue for interacting with Gepotidacin. Clinical resistance to Gepotidacin likely developed from the subpopulation containing the preexisting ParC D86N mutation (14 (link)). Gepotidacin was provided by GlaxoSmithKline, while ciprofloxacin and ceftriaxone were each purchased from Henry-Schein Medical (Mellville, NY).
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2

Purification and Supercoiling of pBR322 DNA

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Full-length wild-type S. aureus gyrase subunits (GyrA and GyrB, used for enzymological studies), as well as the wild-type gyrase core fusion truncate (GyrB27-A56) and a fusion truncate containing a GyrAY123F mutation (used for structural studies) were expressed and purified as described previously.25 (link)Negatively supercoiled pBR322 DNA was prepared from Escherichia coli using a Plasmid Mega Kit (Qiagen) as described by the manufacturer. Positively supercoiled pBR322 DNA was prepared by treating negatively supercoiled molecules with recombinant Archaeoglobus fulgidus reverse gyrase.49 (link)–50 (link) The number of positive supercoils induced by this process is comparable to the number of negative supercoils in the original pBR322 preparations.49 (link) In the experiments that compared negatively and positively supercoiled DNA, the negatively supercoiled plasmid preparations were processed identically to the positively supercoiled molecules except that reaction mixtures did not contain reverse gyrase. Relaxed pBR322 plasmid DNA was generated by treating negatively supercoiled pBR322 with calf thymus topoisomerase I (Invitrogen) and purified as described previously.27 (link)Gepotidacin was provided by GlaxoSmithKline. Moxifloxacin was obtained from LKT Laboratories. Gepotidacin and Moxifloxacin were stored at 4 °C as 20 mM stock solutions in 100% dimethyl sulfoxide.
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