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两组分调控系统 PhoP-PhoQ 和 PmrA-PmrB 对铜绿假单胞菌中黏菌素药效学的影响。

Impact of two-component regulatory systems PhoP-PhoQ and PmrA-PmrB on colistin pharmacodynamics in Pseudomonas aeruginosa.

机构信息

Laboratory for Antimicrobial Pharmacodynamics, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA.

出版信息

Antimicrob Agents Chemother. 2012 Jun;56(6):3453-6. doi: 10.1128/AAC.06380-11. Epub 2012 Apr 2.

Abstract

The in vitro pharmacodynamics of colistin against Pseudomonas aeruginosa PAO1 wild-type and isogenic knockout strains of phoP and pmrA were evaluated. Colistin killing at subinhibitory concentrations was greater against the phoP and pmrA mutants than the wild type within the first 8 h: the concentration that results in 50% of maximal effect (EC(50)) of the pmrA mutant (0.413 mg/liter) was less than that of the wild type (0.718 mg/liter) (P < 0.05). An in vitro pharmacodynamic model simulating human colistin regimens displayed initial killing followed by regrowth in the phoP mutant and gradual regrowth in the pmrA mutant and wild type.

摘要

我们评估了粘菌素对铜绿假单胞菌 PAO1 野生型及其同源敲除 phoP 和 pmrA 突变株的体外药效学。在最初的 8 小时内,亚抑菌浓度下的粘菌素对 phoP 和 pmrA 突变株的杀菌作用强于野生型:pmrA 突变株的最大效应浓度(EC(50))为 0.413mg/L,小于野生型的 0.718mg/L(P<0.05)。模拟人体粘菌素治疗方案的体外药效动力学模型显示,在 phoP 突变株中存在初始杀菌作用,随后再生长,而在 pmrA 突变株和野生型中则逐渐再生长。

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