1. Eur J Med Chem. 2018 Nov 5;159:324-338. doi: 10.1016/j.ejmech.2018.09.067. Epub 2018 Sep 28. 1-(2-Hydroxybenzoyl)-thiosemicarbazides are promising antimicrobial agents targeting d-alanine-d-alanine ligase in bacterio. Ameryckx A(1), Thabault L(1), Pochet L(2), Leimanis S(3), Poupaert JH(1), Wouters J(4), Joris B(3), Van Bambeke F(5), Frédérick R(6). Author information: (1)Medicinal Chemistry Research Group (CMFA), Louvain Drug Research Institute (LDRI), Université Catholique de Louvain (UCLouvain), 73 Avenue Mounier, B1.73.10, 1200, Bruxelles, Belgium. (2)Department of Pharmacy, Namur Medicine & Drug Innovation Center (NAMEDIC), Namur Research Institute for Life Sciences (NARILIS), University of Namur, Namur, Belgium. (3)Centre d'Ingénierie des Protéines, Institut de Chimie B6A, Sart-Tilman, Université de Liège, Liège, Belgium. (4)Department of Chemistry, Namur Medicine & Drug Innovation Center (NAMEDIC), Namur Research Institute for Life Sciences (NARILIS), University of Namur, Namur, Belgium. (5)Pharmacologie Cellulaire et moléculaire (FACM), Louvain Drug Research Institute (LDRI), Université Catholique de Louvain (UCLouvain), 73 Avenue Mounier, B1.73.05, 1200 Bruxelles, Belgium. (6)Medicinal Chemistry Research Group (CMFA), Louvain Drug Research Institute (LDRI), Université Catholique de Louvain (UCLouvain), 73 Avenue Mounier, B1.73.10, 1200, Bruxelles, Belgium. Electronic address: raphael.frederick@uclouvain.be. The bacterial cell wall and the enzymes involved in peptidoglycan synthesis are privileged targets for the development of novel antibacterial agents. In this work, a series of 1-(2-hydroxybenzoyl)-thiosemicarbazides inhibitors of D-Ala-D-Ala ligase (Ddl) were designed and synthesized in order to target resistant strains of bacteria. Among these, the 4-(3,4-dichlorophenyl)-1-(2-hydroxybenzoyl)-3-thiosemicarbazide 29 was identified as a potent Ddl inhibitor with activity in the micromolar range. This compound, possessing strong antimicrobial activity including against multidrug resistant strains, was proven to act through a bactericidal mechanism and demonstrated very low cytotoxicity on THP-1 human monocytic cell line. Inhibition of Ddl activity by 29 was confirmed in bacterio using UPLC-MS/MS by demonstrating an increase in D-Ala intracellular pools accompanied by a commensurate decrease in D-Ala-D-Ala. Further structure-activity relationships (SARs) studies provided evidence that the hydroxyl substituent in the 2-position (R1) of the benzoylthiosemicarbazide scaffold is essential for the enzymatic inhibition. This work thus highlights the 1-(2-hydroxybenzoyl)-thiosemicarbazide motif as a very promising tool for the development of novel antibacterial compounds acting through an interesting mechanism of action and low cytotoxicity. Copyright © 2018 Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.ejmech.2018.09.067 PMID: 30300845