Permeability enhancers sensitize β-lactamase-expressing Enterobacteriaceae and Pseudomonas aeruginosa to β-lactamase inhibitors, thereby restoring their β-lactam susceptibility

التفاصيل البيبلوغرافية
العنوان: Permeability enhancers sensitize β-lactamase-expressing Enterobacteriaceae and Pseudomonas aeruginosa to β-lactamase inhibitors, thereby restoring their β-lactam susceptibility
المؤلفون: Susana Sánchez-Gómez, Betsey Pitts, Philip S. Stewart, Raquel Ferrer-Espada, Guillermo Martínez-de-Tejada
المصدر: International Journal of Antimicrobial Agents. 56:105986
بيانات النشر: Elsevier BV, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Pore Forming Cytotoxic Proteins, 0301 basic medicine, Microbiology (medical), Tazobactam, Klebsiella pneumoniae, 030106 microbiology, Ceftazidime, Microbial Sensitivity Tests, Aztreonam, beta-Lactamases, Microbiology, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Clavulanic acid, Escherichia coli, polycyclic compounds, medicine, Humans, Pharmacology (medical), 030212 general & internal medicine, Polymyxin B, biology, Drug Synergism, General Medicine, Sulbactam, biology.organism_classification, Anti-Bacterial Agents, Carbapenem-Resistant Enterobacteriaceae, Infectious Diseases, chemistry, Ticarcillin, Pseudomonas aeruginosa, Drug Therapy, Combination, beta-Lactamase Inhibitors, medicine.drug, Piperacillin
الوصف: Objectives β-lactamases are the major resistance determinant for β-lactam antibiotics in Gram-negative bacteria. Although there are β-lactamase inhibitors (BLIs) available, β-lactam-BLI combinations are increasingly being neutralised by diverse mechanisms of bacterial resistance. This study hypothesised that permeability-increasing antimicrobial peptides (AMPs) could lower the amount of BLIs necessary to sensitise bacteria to antibiotics that are β-lactamase substrates. Methods To test this hypothesis, checkerboard assays were performed to measure the ability of several AMPs to synergise with piperacillin, ticarcillin, amoxicillin, ampicillin, and ceftazidime in the presence of either tazobactam, clavulanic acid, sulbactam, aztreonam, phenylboronic acid (PBA), or oxacillin. Assays were performed using planktonic and biofilm-forming cells of Pseudomonas aeruginosa, Escherichia coli and Klebsiella pneumoniae overexpressing β-lactamases. Results Synergy between polymyxin B nonapeptide (PMBN) and tazobactam boosted piperacillin activity by a factor of 128 in Escherichia coli (from 256 to 2 mg/L, fractional inhibitory concentration index (FICI) ≤ 0.02) and by a factor of at least 64 in Klebsiella pneumoniae (from 1024 mg/L to 16 mg/L, FICI ≤ 0.05). Synergy between PMBN and PBA enhanced ceftazidime activity 133 times in Pseudomonas aeruginosa (from 16 mg/L to 0.12 mg/L, FICI ≤ 0.03). As a consequence, MICs of all the tested antibiotics were brought down to therapeutic range. In addition, the combinations also reduced several orders of magnitude the amount of inhibitor needed for antibiotic sensitisation. Ceftazidime/PBA/PMBN at 50 times the planktonic MIC caused a 10 million-fold reduction in the viability of mature biofilms. Conclusion This study proved that AMPs can synergise with BLIs and that this phenomenon can be exploited to sensitise bacteria to antibiotics.
تدمد: 0924-8579
DOI: 10.1016/j.ijantimicag.2020.105986
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2e262b17a93a8fe724e32803fe1a9f16
https://doi.org/10.1016/j.ijantimicag.2020.105986
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....2e262b17a93a8fe724e32803fe1a9f16
قاعدة البيانات: OpenAIRE
الوصف
تدمد:09248579
DOI:10.1016/j.ijantimicag.2020.105986