Centro de Analises Proteômicas e Bioquímicas, Curso de Pós-graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasília, DF, Brazil.
Centro Universitário de Brasília, UniCEUB, Asa Norte, Brazil.
Microbiology (Reading). 2017 Nov;163(11):1525-1531. doi: 10.1099/mic.0.000547. Epub 2017 Oct 18.
Gram-positive pathogens such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus faecium (VRE) have been frequently associated with bacterial resistance mechanisms. These mechanisms, in turn, restrict a range of therapeutic opportunities for the treatment of infections caused by these micro-organisms. Faced with this problem, the present study aims to isolate and characterize molecules with antimicrobial activity derived from the fungus Penicillium citrinum isolated from Cerrado soil. Furthermore, we also tested possible antibacterial potential alone and in combination with commercial antimicrobial agents. In this context, citrinin was isolated and characterized by nuclear magnetic resonance and electrospray ionization. Functional analyses showed MIC of 128 µg ml against S. aureus ATCC 25923, E. faecalis ATCC 29212 and a clinical isolate of vancomycin-resistant E. faecium (VRE01). However, for a clinical strain of methicillin-resistant S. aureus (MRSA01), the MIC was 256 µg ml. In order to avoid such high concentrations and reduce the collateral effects, additive effects were evidenced by combining citrinin with cefoxitin against MRSA01 (FIC index=0.5) and also citrinin with vancomycin toward VRE01 (FIC index=0.5). In vivo studies with BALB/c-tipe mice (MRSA assay) demonstrated a clinical ineffectiveness of cefoxitin associated with citrinin (9.8 mg kg of cefoxitin +0.2 mg kg of citrinin), with this combination being inefficient to increase animal survival. However, the combination used in the treatment of VRE (23.5 mg kg of citrinin +1.5 mg kg of vancomycin) sepsis model was extremely promising, leading to an animal survival rate of 80 percent. In summary, our data show, for the first time, the possible successful use of citrinin associated with vancomycin for pathogenic bacteria control.
革兰氏阳性病原体,如耐甲氧西林金黄色葡萄球菌(MRSA)和万古霉素耐药粪肠球菌(VRE),常与细菌耐药机制有关。这些机制反过来又限制了治疗这些微生物引起的感染的治疗机会。面对这个问题,本研究旨在从塞拉多土壤中分离并鉴定具有抗微生物活性的分子,这些分子来自青霉属真菌。此外,我们还测试了单独使用和与商业抗菌剂联合使用的可能的抗菌潜力。在这种情况下,桔青霉素通过核磁共振和电喷雾电离进行了分离和表征。功能分析显示,对金黄色葡萄球菌 ATCC 25923、粪肠球菌 ATCC 29212 和耐万古霉素粪肠球菌(VRE01)的临床分离株的 MIC 为 128μg/ml。然而,对于耐甲氧西林金黄色葡萄球菌(MRSA01)的临床株,MIC 为 256μg/ml。为了避免如此高的浓度并减少副作用,桔青霉素与头孢西丁联合使用对 MRSA01 (FIC 指数=0.5)以及桔青霉素与万古霉素联合使用对 VRE01 (FIC 指数=0.5)都显示出相加作用。用 BALB/c-tipe 小鼠(MRSA 测定)进行的体内研究表明,头孢西丁与桔青霉素联合使用临床无效(9.8mg/kg 头孢西丁+0.2mg/kg 桔青霉素),这种联合用药不能提高动物的存活率。然而,在治疗 VRE(23.5mg/kg 桔青霉素+1.5mg/kg 万古霉素)败血症模型中使用的联合用药非常有前景,使动物的存活率达到 80%。总之,我们的数据首次表明,桔青霉素与万古霉素联合使用控制致病菌可能取得成功。
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