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乳铁杀菌素的铁模拟修饰显著增强了对广泛耐药嗜麦芽窄食单胞菌临床分离株的抗菌效力。

Sideromimic Modification of Lactivicin Dramatically Increases Potency against Extensively Drug-Resistant Stenotrophomonas maltophilia Clinical Isolates.

作者信息

Calvopiña Karina, Umland Klaus-Daniel, Rydzik Anna M, Hinchliffe Philip, Brem Jürgen, Spencer James, Schofield Christopher J, Avison Matthew B

机构信息

School of Cellular & Molecular Medicine, University of Bristol, Bristol, United Kingdom.

Department of Chemistry, University of Oxford, Oxford, United Kingdom.

出版信息

Antimicrob Agents Chemother. 2016 Jun 20;60(7):4170-5. doi: 10.1128/AAC.00371-16. Print 2016 Jul.

Abstract

Acetamido derivatives of the naturally antibacterial non-β-lactam lactivicin (LTV) have improved activity against their penicillin binding protein targets and reduced hydrolysis by β-lactamases, but penetration into Gram-negative bacteria is still relatively poor. Here we report that modification of the LTV lactone with a catechol-type siderophore increases potency 1,000-fold against Stenotrophomonas maltophilia, a species renowned for its insusceptibility to antimicrobials. The MIC90 of modified lactone compound 17 (LTV17) against a global collection of extensively drug-resistant clinical S. maltophilia isolates was 0.063 μg · ml(-1) Sideromimic modification does not reduce the ability of LTVs to induce production of the L1 and L2 β-lactamases in S. maltophilia and does not reduce the rate at which LTVs are hydrolyzed by L1 or L2. We conclude, therefore, that lactivicin modification with a siderophore known to be preferentially used by S. maltophilia substantially increases penetration via siderophore uptake. LTV17 has the potential to be developed as a novel antimicrobial for treatment of infections by S. maltophilia More generally, our work shows that sideromimic modification in a species-targeted manner might prove useful for the development of narrow-spectrum antimicrobials that have reduced collateral effects.

摘要

天然抗菌的非β-内酰胺类乳酸杀菌素(LTV)的乙酰氨基衍生物对其青霉素结合蛋白靶点的活性有所提高,且对β-内酰胺酶的水解作用降低,但对革兰氏阴性菌的渗透能力仍然相对较差。在此,我们报道用儿茶酚型铁载体修饰LTV内酯可使对嗜麦芽窄食单胞菌的效力提高1000倍,嗜麦芽窄食单胞菌是一种以对抗菌药物不敏感而闻名的菌种。修饰后的内酯化合物17(LTV17)对全球广泛耐药的临床嗜麦芽窄食单胞菌分离株的MIC90为0.063μg·ml-1。铁载体模拟修饰不会降低LTV在嗜麦芽窄食单胞菌中诱导L1和L2β-内酰胺酶产生的能力,也不会降低LTV被L1或L2水解的速率。因此,我们得出结论,用已知嗜麦芽窄食单胞菌优先使用的铁载体修饰乳酸杀菌素可通过铁载体摄取大幅提高其渗透能力。LTV17有潜力被开发为治疗嗜麦芽窄食单胞菌感染的新型抗菌药物。更普遍地说,我们的工作表明,以物种靶向方式进行铁载体模拟修饰可能对开发具有降低附带效应的窄谱抗菌药物有用。

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