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万古霉素与萘夫西林对人抗菌肽LL-37增强对引起菌血症的甲氧西林敏感金黄色葡萄球菌杀伤作用的影响。

Effects of vancomycin versus nafcillin in enhancing killing of methicillin-susceptible Staphylococcus aureus causing bacteremia by human cathelicidin LL-37.

作者信息

Le J, Dam Q, Schweizer M, Thienphrapa W, Nizet V, Sakoulas G

机构信息

Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, 9500 Gilman Drive, MC 0714, La Jolla, CA, 92093-0714, USA.

University of California San Diego School of Medicine, La Jolla, CA, USA.

出版信息

Eur J Clin Microbiol Infect Dis. 2016 Sep;35(9):1441-7. doi: 10.1007/s10096-016-2682-0. Epub 2016 May 27.

Abstract

Recent studies have demonstrated that anti-staphylococcal beta-lactam antibiotics, like nafcillin, render methicillin-resistant Staphylococcus aureus (MRSA) more susceptible to killing by innate host defense peptides (HDPs), such as cathelicidin LL-37. We compared the effects of growth in 1/4 minimum inhibitory concentration (MIC) of nafcillin or vancomycin on the LL-37 killing of 92 methicillin-susceptible S. aureus (MSSA) isolates. For three randomly selected strains among these, we examined the effects of nafcillin, vancomycin, daptomycin, or linezolid on LL-37 killing and autolysis. Growth in the presence of subinhibitory nafcillin significantly enhanced LL-37 killing of MSSA compared to vancomycin and antibiotic-free controls. Nafcillin also reduced MSSA production of the golden staphylococcal pigment staphyloxanthin in 39 % of pigmented strains vs. 14 % for vancomycin. Among the antibiotics tested, only nafcillin resulted in significantly increased MSSA autolysis. These studies point to additional mechanisms of anti-staphylococcal activity of nafcillin beyond direct bactericidal activity, properties that vancomycin and other antibiotic classes do not exhibit. The ability of nafcillin to enhance sensitivity to innate HDPs may contribute to its superior effectiveness against MSSA, as suggested by studies comparing clinical outcomes to vancomycin treatment.

摘要

近期研究表明,抗葡萄球菌β-内酰胺类抗生素,如萘夫西林,可使耐甲氧西林金黄色葡萄球菌(MRSA)对宿主天然防御肽(HDPs),如cathelicidin LL-37的杀伤作用更敏感。我们比较了在1/4最低抑菌浓度(MIC)的萘夫西林或万古霉素中生长对92株甲氧西林敏感金黄色葡萄球菌(MSSA)分离株的LL-37杀伤作用的影响。对于其中随机选择的三株菌株,我们研究了萘夫西林、万古霉素、达托霉素或利奈唑胺对LL-37杀伤作用和自溶作用的影响。与万古霉素和无抗生素对照组相比,在亚抑菌浓度萘夫西林存在下生长显著增强了MSSA的LL-37杀伤作用。在39%的产色素菌株中,萘夫西林还降低了MSSA金色葡萄球菌色素 staphyloxanthin的产生,而万古霉素为14%。在测试的抗生素中,只有萘夫西林导致MSSA自溶显著增加。这些研究指出了萘夫西林抗葡萄球菌活性的其他机制,这些机制超出了直接杀菌活性,而万古霉素和其他抗生素类别并不具备这些特性。如将临床结果与万古霉素治疗进行比较的研究所表明的,萘夫西林增强对天然HDPs敏感性的能力可能有助于其对MSSA的卓越疗效。

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