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亚抑菌浓度的达巴万星可减弱甲氧西林敏感和耐甲氧西林金黄色葡萄球菌产毒素。

Subinhibitory Dalbavancin Attenuates Exotoxin Production from Methicillin-Sensitive and Methicillin-Resistant Staphylococcus aureus .

机构信息

Idaho Veterans Research and Education Foundation, Boise, Idaho, USA

Infectious Diseases Section, Veterans Affairs Medical Center, Boise, Idaho, USA.

出版信息

Antimicrob Agents Chemother. 2017 Oct 24;61(11). doi: 10.1128/AAC.01090-17. Print 2017 Nov.

DOI:10.1128/AAC.01090-17
PMID:28874375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5655096/
Abstract

This study investigated the effects of subinhibitory doses of the lipoglycopeptide antibiotic dalbavancin on toxin production toxin production levels were compared to those seen with the natural glycopeptide antibiotic vancomycin and with representative beta-lactam and oxazolidinone antibiotics. While neither dalbavancin nor vancomycin adversely affected toxin production, of these glycopeptide antibiotics, only dalbavancin significantly attenuated toxin production at subinhibitory concentrations. These findings support the recent success of dalbavancin for treatment of staphylococcal infections.

摘要

本研究调查了亚抑菌剂量的脂糖肽抗生素达巴万星对毒素产生的影响。将毒素产生水平与天然糖肽抗生素万古霉素以及代表性的β-内酰胺类和恶唑烷酮类抗生素进行了比较。达巴万星和万古霉素均不会对毒素产生不利影响,而这些糖肽抗生素中,只有达巴万星在亚抑菌浓度下显著减弱了毒素的产生。这些发现支持了达巴万星最近在治疗葡萄球菌感染方面的成功。

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本文引用的文献

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Review of the pharmacokinetics of dalbavancin, a recently approved lipoglycopeptide antibiotic.达巴万星的药代动力学评价,一种最近获批的新型糖肽类抗生素。
Infect Dis (Lond). 2017 Jul;49(7):483-492. doi: 10.1080/23744235.2017.1296968. Epub 2017 Mar 6.
2
Dalbavancin: A Novel Lipoglycopeptide Antibiotic with Extended Activity Against Gram-Positive Infections.达巴万星:一种新型脂糖肽类抗生素,对革兰氏阳性感染具有扩展作用。
Infect Dis Ther. 2015 Sep;4(3):245-58. doi: 10.1007/s40121-015-0077-7. Epub 2015 Sep 4.
3
Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America.皮肤和软组织感染诊断与管理实践指南:美国传染病学会 2014 年更新版。
Clin Infect Dis. 2014 Jul 15;59(2):e10-52. doi: 10.1093/cid/ciu444.
4
Role of antibodies in protection elicited by active vaccination with genetically inactivated alpha hemolysin in a mouse model of staphylococcus aureus skin and soft tissue infections.在金黄色葡萄球菌皮肤和软组织感染小鼠模型中,抗体在基因灭活α溶血素主动疫苗接种所引发的保护作用中的角色。
Clin Vaccine Immunol. 2014 May;21(5):622-7. doi: 10.1128/CVI.00051-14. Epub 2014 Feb 26.
5
Surveillance of dalbavancin potency and spectrum in the United States (2012).美国达巴万星效力与抗菌谱监测(2012年)
Diagn Microbiol Infect Dis. 2013 May;76(1):122-3. doi: 10.1016/j.diagmicrobio.2013.01.003. Epub 2013 Feb 20.
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The role of the Panton-Valentine leucocidin toxin in staphylococcal disease: a systematic review and meta-analysis.Panton-Valentine 白细胞毒素在葡萄球菌病中的作用:系统评价和荟萃分析。
Lancet Infect Dis. 2013 Jan;13(1):43-54. doi: 10.1016/S1473-3099(12)70238-4. Epub 2012 Oct 26.
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Novel structurally designed vaccine for S. aureus α-hemolysin: protection against bacteremia and pneumonia.新型结构设计的金黄色葡萄球菌α-溶血素疫苗:预防菌血症和肺炎。
PLoS One. 2012;7(6):e38567. doi: 10.1371/journal.pone.0038567. Epub 2012 Jun 6.
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Immunity to Staphylococcus aureus secreted proteins protects rabbits from serious illnesses.金黄色葡萄球菌分泌蛋白的免疫保护作用可使兔子免受严重疾病的侵害。
Vaccine. 2012 Jul 20;30(34):5099-109. doi: 10.1016/j.vaccine.2012.05.067. Epub 2012 Jun 9.
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Targeting of alpha-hemolysin by active or passive immunization decreases severity of USA300 skin infection in a mouse model.主动或被动免疫靶向 alpha-溶血素可降低 USA300 皮肤感染小鼠模型的严重程度。
J Infect Dis. 2010 Oct 1;202(7):1050-8. doi: 10.1086/656043.
10
Factors influencing time to vancomycin-induced clearance of nonendocarditis methicillin-resistant Staphylococcus aureus bacteremia: role of platelet microbicidal protein killing and agr genotypes.影响万古霉素诱导清除非心内膜炎耐甲氧西林金黄色葡萄球菌菌血症时间的因素:血小板杀菌蛋白杀伤和 agr 基因型的作用。
J Infect Dis. 2010 Jan 15;201(2):233-40. doi: 10.1086/649429.