Methicillin-resistant Staphylococcus aureus (MRSA) is the most threatening infectious resistant bacterium worldwide, thus the discovery of effective antibiotics against MRSA is a critical global priority. In this study, we report the chemical evolution of a natural product to discover a novel and potent antibiotic candidate. Specifically, neocryptotanshinone was semisynthetically modified, and its enantiomeric derivative (S)-7n demonstrated pronounced efficacy in vitro and in vivo for treating MRSA infection. This candidate was effective against vancomycin-resistant S. aureus (VRSA) and various clinical MRSA isolates, while exhibiting low toxicity. Mechanistic exploration suggests that (S)-7n exerts a dual antibacterial action, combining selective membrane depolarization with perturbation of the transcriptional regulator TetR/AcrR, likely independent of classical efflux pump control. This dual mechanism facilitates potent biofilm eradication, bacteria growth inhibition, and synergistic activity with specific antibiotics. Collectively, this work establishes (S)-7n as a promising, mechanistically novel lead compound and provides a natural product-inspired strategy to overcome MRSA resistance.
Chen et al. (Wed,) studied this question.