The Science
Development of antimicrobial resistance (AMR)
For over 100 years, small molecule antibiotics drastically changed the trajectory of modern medicine, which helped extend the average human lifespan by 23 years1. Due to the overuse of these antibiotics and the adaptability of bacteria, AMR is becoming more common, especially in clinical settings2. To combat the rise of AMR, pharmaceutical companies and academic institutions search for new antibiotics largely by identifying novel naturally-derived compounds or by chemically transforming older antibiotics3. In turn, bacteria adapt and generate resistance genes, then share them among similar bacteria or other species. This is a cycle that plagues the antibiotic community and new approaches and resources are required to resolve this AMR impasse.
Antibacterial proteins as tools to combat AMR
To answer the need for novel antimicrobial therapies, Erinyes Therapeutics employs mammalian antibacterial proteins to suppress AMR in vitro and to limit bacterial infections in vivo. Mammalian antibacterial proteins represent a unique class of antibiotics whose purpose is philosophically distinct from small molecule antibiotics. Small molecule antibiotics are derived from microbes and synthesized to target specific features on other microbes to gain competitive advantages for nutrients and sustaining ecological niches4. In contrast, mammalian antibacterial proteins exist to remove bacteria that colonize barrier sites and in blood5. Importantly, microbes that develop AMR against mammalian antibacterial proteins result in a loss of viability for the mutated microbe6-7. Our initial efforts are focused on original discoveries of mammalian antibacterial proteins found at barrier sites and human blood.
The intestinal epithelium is a rich source of antimicrobial proteins
The gastrointestinal tract harbors trillions of microorganisms that co-exists with its host in a mutually beneficial relationship. To prevent deterioration of the intestinal barrier and penetration of deeper tissues, the host secretes numerous antibacterial proteins to maintain host-microbiota mutualism8. These proteins form a protective barrier outside of host cells to eliminate any microbe that gets too close for comfort. At Erinyes Therapeutics, we leverage our expertise of mammalian antimicrobial proteins to develop and engineer biologics to treat bacterial infections for clinical use.
References
1) Aminov, R.I. Frontiers in Microbiology. "A brief history of the antibiotic era: lessons learned and challenges for the future." 2010. 1(134):1-7.
2) Hutchings, M.I. et al. Current Opinion in Microbiology. "Antibiotics: past, present and future." 2019. 51:72-80.
3) Fair, R.J. and Tor, Y. Perspectives in Med. Chemistry. "Antibiotics and Bacterial Resistance in the 21st Century." 2014. 6:25-62.
4) Hibbing, M.E., et al. Nature Reviews Microbiology. "Bacterial competition: surviving and thriving in the microbial jungle." 2010. 8(1):15-25.
5) Yang, D., et al. Cellular and Molecular Life Sciences. "The role of mammalian antimicrobial peptides and proteins in awakening of innate host defenses and adaptive immunity." 2001. 58:978-89.
6)Jangir, P.K., et al. Trends in Microbiology. "Evolutionary constraints on the acquisition of antimicrobial peptide resistance in bacterial pathogens." 2021. doi: 10.1016/j.tim.2021.03.007.
7) Andersson, D.I., et al. Drug Resistance Updates. "Mechanisms and consequences of bacterial resistance to antimicrobial peptides." 2016. 26:43-57.
8) Gallo, R.L. and Hooper, L.V. Nature Reviews Immunology. "Epithelial antimicrobial defense of the skin and intestine." 2012. 12(7):503-16.