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一种广谱抗生素佐剂可逆转多重耐药革兰氏阴性病原体。

A broad-spectrum antibiotic adjuvant reverses multidrug-resistant Gram-negative pathogens.

机构信息

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.

出版信息

Nat Microbiol. 2020 Aug;5(8):1040-1050. doi: 10.1038/s41564-020-0723-z. Epub 2020 May 18.


DOI:10.1038/s41564-020-0723-z
PMID:32424338
Abstract

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.

摘要

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。

相似文献

[1]
A broad-spectrum antibiotic adjuvant reverses multidrug-resistant Gram-negative pathogens.

Nat Microbiol. 2020-5-18

[2]
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[3]
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Biomed Pharmacother. 2024-7

[4]
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Microb Cell. 2020-6-15

[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Modified Antibiotic Adjuvant Ratios Can Slow and Steer the Evolution of Resistance: Co-amoxiclav as a Case Study.

mBio. 2019-9-17

[2]
Antibiotic Adjuvants: Make Antibiotics Great Again!

J Med Chem. 2019-5-16

[3]
Discovery of Linear Low-Cationic Peptides to Target Methicillin-Resistant Staphylococcus aureus in Vivo.

ACS Infect Dis. 2019-1-11

[4]
Nonribosomal antibacterial peptides that target multidrug-resistant bacteria.

Nat Prod Rep. 2019-4-17

[5]
Membrane Microdomain Disassembly Inhibits MRSA Antibiotic Resistance.

Cell. 2017-11-30

[6]
Recent advances and perspectives in the design and development of polymyxins.

Nat Prod Rep. 2017-7-6

[7]
Predictive compound accumulation rules yield a broad-spectrum antibiotic.

Nature. 2017-5-18

[8]
Reversion of antibiotic resistance in by spiroisoxazoline SMARt-420.

Science. 2017-3-16

[9]
Pentamidine sensitizes Gram-negative pathogens to antibiotics and overcomes acquired colistin resistance.

Nat Microbiol. 2017-3-6

[10]
Comprehensive resistome analysis reveals the prevalence of NDM and MCR-1 in Chinese poultry production.

Nat Microbiol. 2017-2-6

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