Evidence map›Paper›PMID 40175724›Full record

ArticleNature microbiology2025

A quinolone N-oxide antibiotic selectively targets Neisseria gonorrhoeae via its toxin-antitoxin system.

Ann-Kathrin Mix, Thi Hong Nhung Nguyen, Tamara Schuhmacher, Dávid Szamosvári, Petra Muenzner, Paula Haas, Lydia Heeb, Haleluya T Wami, Ulrich Dobrindt, Yasar Özge Delikkafa and 3 more

Abstract read
In one paragraph

Article in Nature microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Revisiting 2-Substituted-4(1Journal of medicinal chemistry · 2026
    Article
  3. Plasmids inClinical microbiology reviews · 2026
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ann-Kathrin MixLehrstuhl Zellbiologie, Department of Biology, University of Konstanz, Konstanz, Germany.
Thi Hong Nhung NguyenMicrobial Biochemistry, Faculty of Chemistry, Institute for Biological Chemistry and Centre for Microbiology and Environmental Systems Science, University of Vienna, Vienna, Austria.
Tamara SchuhmacherLehrstuhl Zellbiologie, Department of Biology, University of Konstanz, Konstanz, Germany.
Dávid SzamosváriMicrobial Biochemistry, Faculty of Chemistry, Institute for Biological Chemistry and Centre for Microbiology and Environmental Systems Science, University of Vienna, Vienna, Austria.
Petra MuenznerLehrstuhl Zellbiologie, Department of Biology, University of Konstanz, Konstanz, Germany.
Paula HaasLehrstuhl Zellbiologie, Department of Biology, University of Konstanz, Konstanz, Germany.
Lydia HeebLehrstuhl Zellbiologie, Department of Biology, University of Konstanz, Konstanz, Germany.
Haleluya T WamiInstitut für Hygiene, Universität Münster, Münster, Germany.
Ulrich DobrindtInstitut für Hygiene, Universität Münster, Münster, Germany.
Yasar Özge DelikkafaLehrstuhl Molekulare Genetik, Department of Biology, University of Konstanz, Konstanz, Germany.
Thomas U MayerLehrstuhl Molekulare Genetik, Department of Biology, University of Konstanz, Konstanz, Germany.ORCID http://orcid.org/0000-0001-6954-2287
Thomas BöttcherMicrobial Biochemistry, Faculty of Chemistry, Institute for Biological Chemistry and Centre for Microbiology and Environmental Systems Science, University of Vienna, Vienna, Austria. Thomas.Boettcher@univie.ac.at.ORCID http://orcid.org/0000-0003-0235-4825
Christof R HauckLehrstuhl Zellbiologie, Department of Biology, University of Konstanz, Konstanz, Germany. christof.hauck@uni-konstanz.de.ORCID http://orcid.org/0000-0002-1005-2141

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) Emmy Noether ProgramDeutsche Forschungsgemeinschaft (German Research Foundation) HA 2856/10-1Deutsche Forschungsgemeinschaft (German Research Foundation) HA 2856/11-1Deutsche Forschungsgemeinschaft (German Research Foundation) SFB1009/B05
6 · The paper itself

Abstract

Gonorrhoea is a major sexually transmitted infection and the emergence of multidrug-resistant Neisseria gonorrhoeae poses a global health threat. To identify candidate antibiotics against N. gonorrhoeae, we screened Pseudomonas aeruginosa-derived secondary metabolites and found that 2-nonyl-4-quinolone N-oxide (NQNO) abrogated growth of N. gonorrhoeae in vitro. NQNO did not impair growth of commensal Neisseriae, vaginal lactobacilli or viability of human cells. Mechanistically, NQNO disrupted the electron transport chain, depleted ATP and NADH levels and increased oxidative stress. This triggered activation of a toxin-antitoxin system, release of the endogenous Zeta1 toxin and bacterial death. In a mouse model of infection, topical application of NQNO prevented colonization by N. gonorrhoeae. Chemical modification yielded 3-methyl NQNO, which exhibited nanomolar potency against multidrug-resistant strains, lack of resistance development and significantly reduced pathogen numbers during experimental infection of mice. These findings show the potential for selective killing of bacterial pathogens such as multidrug-resistant N. gonorrrhoeae through activation of endogenous toxins.

Indexed as

Anti-Bacterial AgentsNeisseria gonorrhoeaeQuinolonesToxin-Antitoxin SystemsAdenosine TriphosphateAnimalsBacterial ToxinsDisease Models, AnimalDrug Resistance, Multiple, BacterialFemaleGonorrheaHumansMiceMicrobial Sensitivity TestsOxidative StressPseudomonas aeruginosaAdenosine TriphosphateAnti-Bacterial AgentsBacterial ToxinsQuinolones

Identifiers

PMID40175724
PMCPMC11964940

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.