From Bacterial Toxin to Therapeutic Agent: The Unexpected Fate of Mycolactone.

Toxins (Basel)

Institut Pasteur, Université Paris Cité, Inserm U1224, Immunobiology and Therapy Unit, 75015 Paris, France.

Published: May 2023

"Recognizing a surprising fact is the first step towards discovery." This famous quote from Louis Pasteur is particularly appropriate to describe what led us to study mycolactone, a lipid toxin produced by the human pathogen . is the causative agent of Buruli ulcer, a neglected tropical disease manifesting as chronic, necrotic skin lesions with a "surprising" lack of inflammation and pain. Decades after its first description, mycolactone has become much more than a mycobacterial toxin. This uniquely potent inhibitor of the mammalian translocon (Sec61) helped reveal the central importance of Sec61 activity for immune cell functions, the spread of viral particles and, unexpectedly, the viability of certain cancer cells. We report in this review the main discoveries that marked our research into mycolactone, and the medical perspectives they opened up. The story of mycolactone is not over and the applications of Sec61 inhibition may go well beyond immunomodulation, viral infections, and oncology.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303314PMC
http://dx.doi.org/10.3390/toxins15060369DOI Listing

Publication Analysis

Top Keywords

mycolactone
5
bacterial toxin
4
toxin therapeutic
4
therapeutic agent
4
agent unexpected
4
unexpected fate
4
fate mycolactone
4
mycolactone "recognizing
4
"recognizing surprising
4
surprising fact
4

Similar Publications

Buruli ulcer (BU) a neglected disease induced by the bacterium Mycobacterium ulcerans, predominantly impacts tropical and subtropical areas with its pathophysiology ascribed to the Mycolactone protein. Current antibiotics frequently prove insufficient to manage advanced or chronic ulcers and the rise of drug resistance presents a considerable challenge. This work aims to address these challenges by employing computational methods to identify therapeutic candidates from organic compounds, which may be developed into more effective therapies for Buruli ulcer.

View Article and Find Full Text PDF

Mycolactone is a complex macrolide toxin produced by , the causative agent of Buruli ulcer. The aim of this paper is to review the chemistry, biosynthetic, and synthetic pathways of mycolactone A/B to help develop an understanding of the mode of action of these polyketides as well as their therapeutic potential. The synthetic work has largely been driven by the desire to afford researchers enough (≥100 mg) of the pure toxins for systematic biological studies toward understanding their very high biological activities.

View Article and Find Full Text PDF

Buruli ulcer: An epidemiological update from Japan.

J Dermatol

January 2025

Department of Tropical Medicine and Infectious Disease, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.

Article Synopsis
  • Japan has reported cases of Buruli ulcer (BU), a rare disease caused by Mycobacterium ulcerans subsp. shinshuense, dating back to 1982, with an increase in cases, especially in the last decade.
  • Out of 87 total reported cases to date, 50 occurred within the last ten years, indicating a rising trend.
  • The country's advanced healthcare system aids in the investigation and treatment of BU, but a lack of awareness among medical professionals often leads to delayed diagnoses, highlighting the need for increased education and awareness efforts.
View Article and Find Full Text PDF

Buruli ulcer, caused by , is a neglected tropical disease (NTD) characterized by necrosis of the cutaneous tissue, predominantly affecting the limbs. The pathogenesis of this disease is mainly attributed to mycolactone, a lipid toxin produced by . Here, we report the case of a 7-year-old Japanese girl who presented with worsening ulceration on her left forearm, extending to the elbow, following antimicrobial treatment.

View Article and Find Full Text PDF

Bacterial diversity in Buruli ulcer lesions in Ghana.

J Clin Tuberc Other Mycobact Dis

August 2024

Kumasi Centre for Collaborative Research into Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Article Synopsis
  • A study was conducted to explore how the variety of bacteria in Buruli ulcer lesions affects treatment outcome, focusing on cases in central Ghana.
  • The researchers collected samples from 36 participants, finding that ulcers on the lower limbs had more bacterial diversity and that higher diversity was linked to poorer healing outcomes.
  • The study suggests that the presence of diverse bacteria, including antibiotic-resistant strains, impacts recovery, highlighting the need for better treatment protocols to manage these infections.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!