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Acurx Reveals Structural Insights into New Class of Antibiotics

Acurx Reveals Structural Insights into New Class of Antibiotics

Researchers at Leiden University Medical Center have mapped the interaction between Acurx Pharmaceuticals’ lead antibiotic, ibezapolstat, and its target enzyme at 3.2Å resolution. This high-resolution visualization confirms how the drug selectively disrupts DNA replication in Gram-positive bacteria, potentially offering a more precise weapon against multi-drug resistant infections.

The findings, presented at the Leiden Early Drug Discovery & Development scientific conference, detail the molecular mechanics of DNA pol IIIC inhibitors. By utilizing cryo-electron microscopy, the team identified a distinctive non-planar conformation that allows the drug to bind effectively to a conserved site across more than 220 Gram-positive species. This structural conservation suggests that the treatment could be effective against a broad array of pathogens, including methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE).

For Acurx, these results validate the drug's mechanism of action as it prepares for international Phase 3 clinical trials targeting Clostridioides difficile. Executive Chairman Bob DeLuccia noted that the research clarifies how the compound maintains selectivity while sparing the gut microbiota, a key factor in reducing infection recurrence. The company is currently leveraging these insights to guide the design of future candidates, including an oral treatment for skin infections and a prophylactic program for inhalation anthrax.

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