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Bacillus anthracis topoisomerase IV is an essential type II topoisomerase enzyme responsible for the decatenation and segregation of daughter chromosomes during bacterial DNA replication (Aldred et al., 2014; UniProt). It exists as a heterotetramer composed of two GrlA (ParC) and two GrlB (ParE) subunits, which work together to manage DNA topology by introducing transient double-strand breaks (Aldred et al., 2012). This enzyme is a critical therapeutic target for fluoroquinolone antibiotics, such as ciprofloxacin, which are frontline treatments for anthrax (NIH; PubMed). Quinolones act by stabilizing the enzyme-DNA cleavage complex, effectively converting the enzyme into a cellular toxin that generates lethal DNA damage (Hooper, 1997). However, the emergence of resistance through specific mutations in the GrlA and GrlB subunits, such as Ser81 mutations, poses a significant challenge, particularly given the status of B. anthracis as a potential bioweapon (Aldred et al., 2012). Recent drug development efforts have focused on novel bacterial topoisomerase inhibitors (NBTIs) that target distinct sites to overcome existing resistance mechanisms (Mitton-Fry et al., 2025).
Fluoroquinolones stabilize the covalent enzyme-DNA cleavage complex, preventing the religation of DNA strands and leading to lethal double-strand breaks (Aldred et al., 2012). Novel bacterial topoisomerase inhibitors (NBTIs) like gepotidacin bind to a distinct site between the two subunits and induce single-stranded DNA breaks, allowing them to bypass common quinolone resistance mutations (Mitton-Fry et al., 2025).
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