Beijing Advanced Innovation Center for Food Nutrition and Human Health, College of Veterinary Medicine, China Agricultural University, Beijing, China.
Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Institute of Comparative Medicine, College of Veterinary Medicine, Yangzhou University, Yangzhou, Jiangsu, China.
Nat Microbiol. 2020 Aug;5(8):1040-1050. doi: 10.1038/s41564-020-0723-z. Epub 2020 May 18.
The rapid emergence and dissemination of multidrug-resistant (MDR) bacterial pathogens pose a serious threat to global healthcare. One particular concern is the carbapenem-resistant Enterobacteriaceae (CRE), a group of Gram-negative bacteria that have evolved resistance to all or nearly all available antibiotics. Coupled with the fact of barren antibiotic development pipeline nowadays, a critical approach is to revitalize existing antibiotics using antibiotic adjuvants. We found a short linear antibacterial peptide (SLAP)-S25 carrying four non-natural amino acids of 2,4-diaminobutanoic acid (Dab), which solely showed weak antibacterial activity but boosted the efficacy of antibiotics covering all major classes, including cefepime, colistin, ofloxacin, rifampicin, tetracycline and vancomycin, against MDR Gram-negative pathogens. Mechanistic studies showed that SLAP-S25 triggers membrane damage by binding to both lipopolysaccharide (LPS) in the outer membrane and phosphatidylglycerol (PG) in bacterial cytoplasmic membrane, to potentiate antibiotic efficacy through collaborative strategies. Lastly, SLAP-S25 effectively enhanced the activity of colistin against MDR Escherichia coli-associated infections in three animal models. Our findings provide a potential therapeutic option using existing antibiotics in combination with broad-spectrum antibiotic adjuvants, to address the prevalent infections caused by MDR Gram-negative pathogens worldwide.
多重耐药(MDR)细菌病原体的迅速出现和传播对全球医疗保健构成了严重威胁。一个特别令人担忧的问题是碳青霉烯类耐药肠杆菌科(CRE),这是一组革兰氏阴性细菌,已经对所有或几乎所有可用的抗生素产生了耐药性。再加上当今抗生素研发管道的枯竭,一个关键的方法是使用抗生素佐剂来恢复现有抗生素的活力。我们发现了一种带有四个非天然氨基酸 2,4-二氨基丁酸(Dab)的短线性抗菌肽(SLAP)-S25,它仅显示出微弱的抗菌活性,但增强了包括头孢吡肟、粘菌素、氧氟沙星、利福平、四环素和万古霉素在内的所有主要类别的抗生素对 MDR 革兰氏阴性病原体的疗效。机制研究表明,SLAP-S25 通过与外膜中的脂多糖(LPS)和细菌细胞质膜中的磷脂酰甘油(PG)结合,触发膜损伤,通过协同策略增强抗生素的疗效。最后,SLAP-S25 有效地增强了粘菌素对三种动物模型中 MDR 大肠杆菌相关感染的活性。我们的研究结果为使用现有的抗生素与广谱抗生素佐剂联合治疗由 MDR 革兰氏阴性病原体引起的普遍感染提供了一种潜在的治疗选择。
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