Abstract
Lasso peptides are ribosomally synthesized and post-translationally modified natural products with a characteristic slipknot-like structure, which confers these peptides remarkable stability and diverse pharmacologically relevant bioactivities. Among all the reported lasso peptides, lassomycin and lariatins are unique lasso peptides that exhibit noticeable anti-tuberculosis (TB) activity. Due to the unique threaded structure and the unusual bactericidal mechanism toward Mycobacterium tuberculosis, these peptides have drawn considerable interest, not only in the field of total synthesis but also in several other fields including biosynthesis, bioengineering, and structure-activity studies. During the past few years, significant progress has been made in understanding the biosynthetic mechanism of these intriguing compounds, which has provided a solid foundation for future work. This review highlights recent achievements in the discovery, structure elucidation, biological activity, and the unique anti-TB mechanism of lasso peptides. Moreover, the discovery of their biosynthetic pathway has laid the foundation for combinatorial biosynthesis of their analogs, which provides new perspectives for the production of novel anti-TB lasso peptides.
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Introduction
Long gone are the days when tuberculosis (TB) would kill about one-fourth of the infected population during the nineteenth century. However, TB is still a leading cause of death and is ranked as the ninth leading cause of the world’s mortality from a single infectious disease for humans (Cano-Muniz et al. 2018). According to the World Health Organization, in 2017, approximately 10.0 million individuals were diagnosed with TB infection, with 1.3 million of them dying of this life-threatening disease (WHO 2018). Moreover, it is estimated that 23% of the world’s population is infected with latent TB infection (WHO 2018).
With the development of diverse antibiotics against TB, the currently practiced TB treatment includes consuming four medicines (ethambutol (EMB), pyrazinamide (PZA), isoniazid (INH), and rifampin (RIF)) for a 2-month period, followed by a consumption of two antibiotics (INH and RIF) for a 4-month period (Cano-Muniz et al. 2018). The long treatment duration is challenging in terms of patient adherence. Worse still, the multi-drug-resistant (MDR) and extensively drug-resistant (XDR) M. tuberculosis are a continuing threat (Hanumunthadu et al. 2016). In most cases, treatment of MDR/XDR TB infection takes 9–20 months or even longer periods of time (Xu et al. 2017). This is a global public health concern since most first-line antibiotics have been used in clinical practice for over 40 years and antibiotic resistance is rapidly increasing (Falzon et al. 2017). For example, there were 558,000 new TB cases reported with resistance to rifampicin in 2017 (WHO 2018). Therefore, there is a pressing need to develop more effective and shorter TB therapy regimens to tackle this problem.
The presence of dormant mycobacterial cells in patients is the main reason for long treatment durations. These cells can resuscitate after standard antibiotic therapy, leading to relapse (Cano-Muniz et al. 2018). Therefore, the discovery of new drugs targeting particularly dormant mycobacterial cells with novel mechanism is critical for the development of new TB therapies. Traditionally, most of the antibiotics were discovered from natural sources, especially during the 1950s–1960s, which is recognized as the golden age of natural products research (Harvey et al. 2015; Shen 2015). However, natural product programs have been gradually reduced by pharmaceutical companies, which have led to the overall reduction in the pipeline for the development of new antibiotics (Newman and Cragg 2016). Despite this, natural products, especially microbial natural products, remain an ideal source of antibiotic and other medicinal candidates (Newman and Cragg 2016). During the past few years, progress in microbial genomics, fundamental understanding of natural product biosynthesis, and development of novel high-throughput screening (HTS) methods have led to the discovery of several highly promising anti-TB drugs from soil bacteria (Gavrish et al. 2014; Ling et al. 2015). Some of these molecules, including teixobactin and lassomycin, can target the dormant M. tuberculosis cells, thereby providing several highly promising groups of anti-TB drugs (Gavrish et al. 2014; Ling et al. 2015).
Lassomycin belongs to a subclass of ribosomally synthesized and post-translationally modified peptides (RiPPs) known as lasso peptides (Arnison et al. 2013; Challis 2008; Letzel et al. 2014; Velásquez and van der Donk 2011). These are characterized by an extraordinarily stable knot structure that consists of an N-terminal 7–9-membered macrolactam ring through which C-terminal peptide tail threads, giving them the appearance of a lasso fold (Hegemann et al. 2015; Maksimov and Link 2014; Maksimov et al. 2012a). Apart from lassomycin, other lasso peptides, including lariatin A and lariatin B, also showed notable anti-TB activity (Iwatsuki et al. 2006). Because of their intriguing three-dimensional structures and notable bioactivity, these molecules have drawn considerable attention from academia (Dit Fouque et al. 2018; Fouque et al. 2017; Metelev et al. 2017; Tietz et al. 2017; Zong et al. 2017, 2018). However, the total synthesis of these molecules remains an open challenge (Lear et al. 2016; Martin-Gomez and Tulla-Puche 2018). On the other hand, the biosynthetic pathways for lariatins and lassomycin-like peptides have been elucidated recently which has opened up new avenues for the successful heterologous biosynthesis of these intriguing compounds and has also provided a technical foundation for further bioengineering studies. Herein, we summarize the isolation, structural elucidation, bioactivity, biosynthesis, and bioengineering of known anti-TB lasso peptides. Perspectives on the discovery and combinatorial biosynthesis of anti-TB lasso peptides and their analogs are also discussed.
Discovery, structure, and biological activity of anti-TB lasso peptides
Lasso peptides exhibit a diverse range of biologically relevant properties, ranging from antimicrobial function to receptor antagonistic activities (Bayro et al. 2003; Hegemann et al. 2013a, 2014; Knappe et al. 2008; Ogawa et al. 1995). Most of the lasso peptides with a known pharmaceutical activity were discovered in the course of activity-driven compound screening (Hegemann et al. 2015; Maksimov and Link 2014; Maksimov et al. 2012a, b). Actinobacteria, especially those from the genus Streptomyces, are the main producers of novel bioactive lasso peptides. Among them, only lariatins and lassomycin have been shown to exhibit anti-TB activity (Gavrish et al. 2014; Iwatsuki et al. 2006, 2007).
Lariatins were discovered in 2005 during the screening of antibiotics specifically targeting Mycobacterium smegmatis. Two compounds, named lariatin A and lariatin B, were successfully identified from the same Rhodococcus sp. K01-B0171 strain (renamed as Rhodococcus jostii K01-B0171) (Iwatsuki et al. 2006, 2007). Upon isolation, the solution structure of lariatin A was then successfully elucidated by 2D NMR according to the method previously established by Wüthrich et al. Final structural models were built based on the distance and dihedral angle constraints acquired by different NMR spectra (Iwatsuki et al. 2006). It was discovered that lariatin A exhibits a “lasso” fold where the C-terminal tail (Trp9-Pro18) loops back and threads through the N-terminal 8-residue macrolactam ring linked by an isopeptide bond formed through the amino group of Gly1 and the carboxylic acid side chain of Glu8 (Fig. 1a) (Iwatsuki et al. 2006). Lariatin A has three main hydrophobic regions. One particular region, consisting of residues Tyr6 and Ile16, is important for its antibacterial activity. Lariatins belong to the class II lasso peptide group according to the number of disulfide bonds present. In the absence of a disulfide bond to hold the lasso structure, lariatin relies on residues His12 and Asn14 to form a “steric lock” (so-called plug) to prevent the unthreading of the tail (Fig. 1a). The C terminus of the tail is very flexible and disordered in solution. Based on the sequence of the biosynthetic pathway, lariatin A and lariatin B were found to originate from the same precursor peptide. Two additional residues (Gly19, Pro20) were observed in lariatin B and could be easily hydrolyzed by unspecific peptidases in the strains producing these peptides.
Lariatins show unique antimicrobial activity only against mycobacterial species. Lariatin A showed notable inhibition against M. smegmatis with an MIC (minimum inhibitory concentration) value of about 3.13 μg/ml (Table 1) (Iwatsuki et al. 2007). Moreover, lariatin A displayed an MIC value of 0.39 μg/ml against M. tuberculosis growth measured by liquid microdilution methods. Lariatin B exhibited inhibition against M. smegmatis with an MIC value of 6.25 μg/ml (Iwatsuki et al. 2007). The C-terminal tail of lariatins could affect their bioactivity and the Lys17 in lariatin A has been proved to be essential for its anti-mycobacterial activity (Iwatsuki et al. 2009). However, the bactericidal mechanism of lariatins remains elusive. It was proposed that the target of lariatins might lie within the mycobacterial cell wall and they might inhibit cell wall biosynthesis in M. tuberculosis (Iwatsuki et al. 2006). However, further investigation is necessary to uncover this mystery.
Lassomycin is another anti-TB lasso peptide discovered by the Lewis group in 2014 (Gavrish et al. 2014; Parish 2014). By developing a novel in situ cultivation methods, lassomycin was discovered from an uncultured strain Lentzea kentuckyensis sp. The structure of lassomycin was also elucidated after its isolation (Gavrish et al. 2014). Based on the NOE distance restraints obtained from NOESY NMR spectra, a structural model for lassomycin was proposed (Gavrish et al. 2014). Unlike other lasso peptides with a characteristic threaded lasso structure, this model shows that lassomycin has an unthreaded form in solution. The peptide consists of 16 residues in which an eight-residue macrolactam ring was linked through an isopeptide bond between the N terminus Gly1 and Asp8. Instead of passing through the N terminus ring, the C-terminal tail packs tightly with the loop (Fig. 1b) (Gavrish et al. 2014). The Arg13 and Asn15 directly interact with Arg3, which forms a sandwich structure. However, a recent study on the total chemical synthesis of unthreaded lassomycin by the same group revealed that the synthesized lassomycin lacks bioactivity and demonstrates an NMR spectrum different from the naturally occurring lassomycin (Lear et al. 2016). These results suggest that the native lassomycin should have a threaded conformation and that the reported structural model was inappropriate. Nevertheless, based on the preliminary NMR analysis, Arg13 could be a suitable plug in lassomycin and revision of the structure is in progress.
Lassomycin exhibits strong bactericidal activity towards a variety of mycobacterial species, including MDR and XDR M. tuberculosis, with an MIC value of 0.8–3 μg/ml (Gavrish et al. 2014). Unlike other broad-spectrum antibiotics, lassomycin showed a very narrow activity spectrum as it specifically targets mycobacterial species and had no obvious activity against other species and symbionts of the human microbiota (Gavrish et al. 2014). In addition, lassomycin had low cytotoxicity against human cells and high stability against diverse serum proteases (Gavrish et al. 2014; Lee and Suh 2016). Compared with the most potent existing antibiotic for TB, rifampicin, lassomycin not only showed excellent killing activity against M. tuberculosis in the exponential growth phase but also had greater killing activity against M. tuberculosis in the stationary phase (Gavrish et al. 2014). Hence, lassomycin has great potential as a first-line anti-TB drug.
The bactericidal mechanism of lassomycin has also been revealed. M. tuberculosis that spontaneously developed resistance against lassomycin was screened, and ClpC1 was identified as the sole target through genome sequencing of the resistant mutants (Gavrish et al. 2014). ClpC1 is a hexameric ATPase that belongs to the caseinolytic protease (Clp) complex (Lee and Suh 2016; Weinhaupl et al. 2018). It directly interacts with the two heptameric ring proteases ClpP1/P2 and catalyzes the unfolding of the protein substrate in an ATP-dependent fashion and the subsequent translocation to the ClpP1/P2 complexes for further breakdown. Interestingly, lassomycin could stimulate the ATPase activity of ClpC1 upon binding, while uncoupling ATP hydrolysis from the ClpP1/P2-mediated proteolysis (Fig. 2) (Gavrish et al. 2014). This process is highly detrimental to M. tuberculosis because a functional ClpC1/ClpP1/P2 complex is essential for the survival of the organism. Based on the mutations observed in the resistant strains, a highly acidic region including the residues Gln17, Arg21, and Pro79 located at the N terminus of ClpC1 was proposed to be the interaction site for lassomycin, which has been further confirmed by docking studies (Gavrish et al. 2014). However, since the structural elucidation of lassomycin was incorrect, further studies including the analysis of the solution structure of ClpC1 with a threaded lassomycin is necessary to understand the molecular mechanism in detail.
Biosynthesis of lariatins, lassomycin, and structurally related lasso peptides
Taking advantage of the expedient molecular biology technologies developed in the past three decades and the emerging genome mining technologies, significant progress has been made in understanding the biosynthesis of lasso peptides. Currently, several different families of lasso peptides have been studied based on the organization of their biosynthetic pathways.
Generally, lasso peptides require three essential components for their biosynthesis: one gene encoding a precursor peptide A, one gene encoding a cysteine protease B for cleavage of the leader peptide, and another gene for an ATP-dependent lactam synthetase C for macrolactam ring formation (Cheung et al. 2016; Hegemann et al. 2013a, b; Li et al. 2015; Metelev et al. 2015; Piscotta et al. 2015; Yan et al. 2012). However, several subsets of lasso peptide biosynthetic pathways feature a “split” B protein (B1 and B2) including lassomycin, lariatin, paeniondin, chaxapeptin, sviceucin and fusilassin, or fuscanodin (DiCaprio et al. 2018; Elsayed et al. 2015; Gavrish et al. 2014; Inokoshi et al. 2012; Koos and Link 2018; Li et al. 2015; Zhu et al. 2016b, c). The lariatin biosynthetic pathway was the first lasso peptide system to be discovered to have a “split” B protein. Pioneering work by Inokoshi et al. identified all the genes necessary for the assembly of lariatins and proved that the B1 protein is essential for lasso peptide biosynthesis (Cheung et al. 2016; Inokoshi et al. 2012). The biosynthetic pathway for lassomycin was first identified by the Lewis Group but not publicly released (Gavrish et al. 2014). Nevertheless, two lassomycin-like gene clusters have been successfully discovered via a genome mining strategy (Su et al. 2019).
As of now, despite the absence of any report on the in vitro total biosynthesis of lariatins and lassomycin, research on other systems provide several clues for their biosynthesis. For example, past in vitro studies on the Mccj25 system have been performed, which revealed that the McjB protein is a type of cysteine protease and McjC is responsible for the isopeptide bond formation (Duquesne et al. 2007; Yan et al. 2012). Further investigation showed that McjB and McjC are interdependent and formed a synthetase complex that assembles McjA into the final mature MccJ25 (Duquesne et al. 2007; Yan et al. 2012). Though the lariatin and lassomycin systems are different from the Mccj25 system, the C protein might have a similar function. On the other hand, recent in vitro studies on the “split” B protein containing systems have unveiled its roles. In the biosynthetic pathways of streptomonomicin, paeniondin, and lariatin, the B1 protein was shown to be a PqqD-like chaperone specifically binding to the leader peptide known as the RiPP precursor peptide recognition element (RRE) (Burkhart et al. 2015; Cheung et al. 2016; Zhu et al. 2016a). Furthermore, in the paeniondin system, the B1 protein was shown to be able to deliver its peptide substrate to the B2 protein for processing (Zhu et al. 2016a). More recently, in vitro total biochemical synthesis of a lasso peptide from Thermobifida fusca was achieved (DiCaprio et al. 2018; Koos and Link 2018). Based on these studies, we propose that all the “split” B containing systems might follow the same rules for biosynthesis. For lassomycin biosynthesis, there is an additional O-methyltransferase located downstream of the ABC transporter that is responsible for C-terminal methylation (Gavrish et al. 2014). We have recently identified two rare lassomycin-like biosynthetic gene clusters in Actinobacteria via genome mining (Su et al. 2019). Through in vitro studies, the methyltransferase from Streptomyces sp. Amel2xC10 was shown to be a novel C-terminal peptide carboxyl methyltransferase that specifically modified the precursor peptide (Su et al. 2019). Therefore, a biosynthetic scheme for lariatins and lassomycin could be proposed using the above information. The precursor peptide was first synthesized and directly modified by the tailoring methyltransferase, in the case of lassomycin. The B1 protein then binds to the leader peptide and transfers the precursor peptides to B2 and C proteins, which assemble the precursor into the lasso fold and remove the leader peptide (Su et al. 2019). Finally, the D protein is responsible for the export of the folded products, which function as antibiotics to kill the competitors in the environment (Fig. 3).
Precursor-directed biosynthesis of anti-TB lasso peptide analogs
Total chemical synthesis of lassomycin was attempted owing to its bioactivity and unusual 3D structure. Though unthreaded lassomycin and lassomycin-amide have been generated through total synthesis, no native lasso peptides have been synthesized via chemical methods (Lear et al. 2016). The structural complexity is a major challenge and a practical method for the chemical synthesis of lasso peptide analogs has not been achieved so far (Chekan et al. 2016; Piscotta et al. 2015; Tietz et al. 2017; Zong et al. 2016). However, progress in the biosynthesis of lasso peptides has significantly expedited the process of obtaining new analogs (Piscotta et al. 2015). The repertoire of lasso peptide analogs could be significantly expanded by simple site-directed mutagenesis on the precursor since lasso peptides are of ribosomal origin (Hegemann et al. 2013a, 2014; Inokoshi et al. 2016; Pan and Link 2011). Currently, a convergent expression system for the precursor larA was established in the larA-deficient R. jostii strain (Inokoshi et al. 2016). The larA-carrying plasmid was readily used to generate up to 36 variants and enabled parallel biosynthesis of lariatin mutants for structure-activity relationship (SAR) studies. Firstly, the mutational study identified four residues (Gly1, Arg7, Glu8, and Trp9) in the core peptide that are critical for the biosynthesis of lariatin A (Inokoshi et al. 2016). Furthermore, all the generated lariatin A analogs were used for systematic SAR studies, which demonstrated that three residues (Tyr6, Gly11, and Asn14) are important for anti-TB activity (Fig. 4a) (Inokoshi et al. 2016). Remarkably, tyrosine at the macrolactam ring and the last four residues at the C terminus proved to be essential for enhancing the activity. The region is likely to be involved in the binding of the specific target. A previous study showed that lariatin A without the C terminus completely loses its anti-mycobacterial peptide activity, which further confirmed this conclusion (Iwatsuki et al. 2009). Compared with the native lariatin A (Fig. 4b), lariatin A-Y6F (Fig. 4c), lariatin A-V15A/I16A (Fig. 4d), lariatin A-K17R (Fig. 4e), and lariatin A-P18A (Fig. 4f) exhibited much higher anti-mycobacterial peptide activity (Inokoshi et al. 2016). Notably, only an aromatic amino acid present at position 6 of lariatin exhibits anti-mycobacterial activity. These new lariatin analogs and their effects on bioactivity have provided valuable information regarding the SAR of lariatin and demonstrate that it is possible to generate therapeutically effective lariatin analogs with higher activity by engineering the potential binding site.
For lassomycin, there are no analogs that have been reported thus far. This is due to the lack of biosynthetic information and the absence of any heterologous expression systems (Gavrish et al. 2014). Coincidently, we have recently identified two lassomycin-like gene clusters (Su et al. 2019). Notably, the gene cluster from Streptomyces sp. Amel2xC10 is closely related to lassomycin (Su et al. 2019). The core peptides are very similar and amino acid substitutions were observed only at 5 out of 16 positions. Thus, the identified gene clusters provide valuable information on lassomycin biosynthesis and the construction of genetically engineered strains for lassomycin derivatives might be feasible (Su et al. 2019). Though an E. coli-based heterologous system has not been established, we propose that a Streptomyces-based production system might be an ideal biosynthetic platform to generate diverse lassomycin analogs, among which the ones with enhanced activity might be further developed as promising anti-TB medicines (Mevaere et al. 2018; Su et al. 2019).
Conclusion and perspectives
Herein, we highlight recent achievements and useful approaches regarding anti-TB lasso peptides. The progressive advances in the fundamental understanding of RiPP biosynthesis and genomics studies as well as emerging biotechnological techniques have reinvigorated the development of novel anti-TB lasso peptide analogs. With these developments, we suppose that there might be three main directions for the discovery of novel anti-TB lasso peptides. First, the exploration of novel lasso peptide biosynthetic pathways is still an efficient way for the discovery of these compounds. It is worth noting that the lassomycin lasso peptide is very close to the lariatins, based on the phylogenetic analysis of the C protein, from the biosynthetic gene clusters (Fig. 5a) (Su et al. 2019). Previous studies have shown that antimicrobial lasso peptides normally exhibit activity against closely related strains (Knappe et al. 2008). It is reasonable to check other closely related lasso peptide biosynthetic gene clusters that might also target M. tuberculosis. Through homology-based searches, Rhodococcus rhodochrous, Streptomyces sp. Amel2xC10, Streptomyces radiopugnans, and Sanguibacter keddieii were identified to be potential resources for finding novel anti-TB lasso peptides as they all show high similarity with the lariatin or lassomycin biosynthetic systems (Su et al. 2019). However, since the sequence of the final products showed little similarity, the future investigation might lead to promising drug candidates.
The second strategy for the generation of anti-TB lasso peptide analogs is precursor-directed mutagenesis. The lasso peptide libraries can be generated rapidly and predictably as demonstrated by the lariatin system. The associated “split” B and C proteins showed a wide substrate specificity and the precursor peptides can be extensively mutated (Inokoshi et al. 2016). The generated variants can be used for screening activity and the variants with enhanced activity could be further evaluated for clinical application. Generally, this strategy requires a heterologous expression system for biosynthesis. In the case of lariatin, a convergent expression system also worked well. However, no such platform for lassomycin has been reported so far due to the lack of biosynthetic information at the gene level (Su et al. 2019). We think that the discovery of the lassomycin-like gene clusters from S. keddieii and Streptomyces sp. Amel2xC10 is perhaps an important step towards achieving such goals (Su et al. 2019). In the future, the elucidation of the lassomycin biosynthetic pathway could also significantly contribute to research in this area (Gavrish et al. 2014). Further structure-activity relationships revealed by the analogs could lay a solid foundation towards rational design of more promising anti-TB drugs.
The third strategy is the application of combinatorial biosynthesis to generate lasso peptide analogs, and this approach has been supported by several recent successful attempts. For instance, Burkhart et al. successfully generated several non-natural hybrid RiPP products through artificial leader peptides that enable recognition and processing by diverse tailoring enzymes from unrelated RiPP pathways (Burkhart et al. 2017). In the past, further tailoring of lasso peptides has rarely been observed. However, recently discovered paeniondin, lassomycin, MS-271, and albusnodin have greatly changed our understanding of lasso peptide biosynthesis (Feng et al. 2018; Gavrish et al. 2014; Su et al. 2019; Zhu et al. 2016b, 2016c; Zong et al. 2018). These tailoring enzymes showed interesting promiscuous activities towards diverse substrates (Su et al. 2019; Zhu et al. 2016b, c). For example, the kinase from the paeniondin pathway and the methyltransferase from the lassomycin-like pathway showed wide substrate specificity regardless of the length and sequence of the precursor peptide, which makes them very promising candidates for combinatorial biosynthesis (Su et al. 2019; Zhu et al. 2016b, c). Additionally, an acetyltransferase from the albusnodin pathway, a potential epimerase in the MS-271 lasso peptide pathway and potential nucleotidyltransferases and sulfotransferases in lasso peptide pathways from Firmicutes have also been identified (Feng et al. 2018; Zhu et al. 2016c; Zong et al. 2018). All these tailoring enzymes provide diverse tools for the design of artificial lasso peptide biosynthetic pathways, which could lead to the production of various modified lasso peptides. Moreover, other tailoring enzymes from different RiPP pathways also have the potential to be incorporated into the new lasso peptide biosynthetic pathway via rational design. With these strategies, it could be possible to generate diverse modified lasso peptide analogs for further SAR studies.
In summary, lariatins, lassomycin, and their analogs represent an important family of anti-TB drugs with novel bactericidal mechanisms. Considering the devastating impact of TB on human health, research on these compounds should be prioritized. We recognize that lassomycin has already attracted the attention of the pharmaceutical industry as a grant from the Bill & Melinda Gates Foundation has been awarded to NovoBiotic Pharmaceuticals, to evaluate its potential as a novel anti-TB medicine. Furthermore, with more microbial genomes being sequenced, novel biosynthetic pathways combined with unprecedented tailoring enzymes will provide an essential genetic basis for the combinatorial biosynthesis of these interesting compounds. This biosynthetic approach will open a new avenue towards the synthesis of novel anti-TB lasso peptides through rational design.
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This work was supported by the Fundamental Research Funds for the Central Universities (XK1802-8 and XK1803-06), National Natural Science Foundation of China (NSFC, Grant No. 21706005), and National Great Science and Technology Projects (2018ZX09721001). Dedicated to Renzhi Zhu.
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Zhu, S., Su, Y., Shams, S. et al. Lassomycin and lariatin lasso peptides as suitable antibiotics for combating mycobacterial infections: current state of biosynthesis and perspectives for production. Appl Microbiol Biotechnol 103, 3931–3940 (2019). https://doi.org/10.1007/s00253-019-09771-6
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DOI: https://doi.org/10.1007/s00253-019-09771-6