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重新利用依布硒啉治疗多重耐药性葡萄球菌感染。

Repurposing ebselen for treatment of multidrug-resistant staphylococcal infections.

作者信息

Thangamani Shankar, Younis Waleed, Seleem Mohamed N

机构信息

Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA.

出版信息

Sci Rep. 2015 Jun 26;5:11596. doi: 10.1038/srep11596.

Abstract

Novel antimicrobials and new approaches to developing them are urgently needed. Repurposing already-approved drugs with well-characterized toxicology and pharmacology is a novel way to reduce the time, cost, and risk associated with antibiotic innovation. Ebselen, an organoselenium compound, is known to be clinically safe and has a well-known pharmacology profile. It has shown potent bactericidal activity against multidrug-resistant clinical isolates of staphylococcus aureus, including methicillin- and vancomycin-resistant S. aureus (MRSA and VRSA). We demonstrated that ebselen acts through inhibition of protein synthesis and subsequently inhibited toxin production in MRSA. Additionally, ebselen was remarkably active and significantly reduced established staphylococcal biofilms. The therapeutic efficacy of ebselen was evaluated in a mouse model of staphylococcal skin infections. Ebselen 1% and 2% significantly reduced the bacterial load and the levels of the pro-inflammatory cytokines tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), interleukin-1 beta (IL-1β), and monocyte chemo attractant protein-1 (MCP-1) in MRSA USA300 skin lesions. Furthermore, it acts synergistically with traditional antimicrobials. This study provides evidence that ebselen has great potential for topical treatment of MRSA skin infections and lays the foundation for further analysis and development of ebselen as a potential treatment for multidrug-resistant staphylococcal infections.

摘要

迫切需要新型抗菌药物及其研发的新方法。将已获批准且毒理学和药理学特征明确的药物重新用于其他用途,是一种减少抗生素创新相关时间、成本和风险的新方法。依布硒仑是一种有机硒化合物,已知其临床安全性良好且药理学特征明确。它已显示出对金黄色葡萄球菌的多重耐药临床分离株具有强大的杀菌活性,包括耐甲氧西林金黄色葡萄球菌(MRSA)和耐万古霉素金黄色葡萄球菌(VRSA)。我们证明依布硒仑通过抑制蛋白质合成发挥作用,随后抑制MRSA中的毒素产生。此外,依布硒仑活性显著,能显著减少已形成的葡萄球菌生物膜。在葡萄球菌皮肤感染的小鼠模型中评估了依布硒仑的治疗效果。1%和2%的依布硒仑显著降低了MRSA USA300皮肤损伤中的细菌载量以及促炎细胞因子肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)和单核细胞趋化蛋白-1(MCP-1)的水平。此外,它与传统抗菌药物具有协同作用。本研究提供了证据表明依布硒仑在局部治疗MRSA皮肤感染方面具有巨大潜力,并为进一步分析和开发依布硒仑作为多重耐药葡萄球菌感染的潜在治疗药物奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c89/4481386/5914628657ba/srep11596-f1.jpg

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