Institute of Microbiology and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
Roche Pharma Research and Early Development, Roche Innovation Center Basel, Basel, Switzerland.
mBio. 2020 Jul 14;11(4):e01340-20. doi: 10.1128/mBio.01340-20.
Active efflux of antibiotics preventing their accumulation to toxic intracellular concentrations contributes to clinically relevant multidrug resistance. Inhibition of active efflux potentiates antibiotic activity, indicating that efflux inhibitors could be used in combination with antibiotics to reverse drug resistance. Expression of by serovar Typhimurium increases in response to efflux inhibition, irrespective of the mode of inhibition. We hypothesized that measuring promoter activity could act as a reporter of efflux inhibition. A rapid, inexpensive, and high-throughput green fluorescent protein (GFP) screen to identify efflux inhibitors was developed, validated, and implemented. Two chemical compound libraries were screened for compounds that increased GFP production. Fifty of the compounds in the 1,200-compound Prestwick chemical library were identified as potential efflux inhibitors, including the previously characterized efflux inhibitors mefloquine and thioridazine. There were 107 hits from a library of 47,168 proprietary compounds from L. Hoffmann La Roche; 45 were confirmed hits, and a dose response was determined. Dye efflux and accumulation assays showed that 40 Roche and three Prestwick chemical library compounds were efflux inhibitors. Most compounds had specific efflux-inhibitor-antibiotic combinations and/or species-specific synergy in antibiotic disc diffusion and checkerboard assays performed with , , , and Typhimurium. These data indicate that both narrow-spectrum and broad-spectrum combinations of efflux inhibitors with antibiotics can be found. Eleven novel efflux inhibitor compounds potentiated antibiotic activities against at least one species of Gram-negative bacteria, and data revealing an mutant with loss of AcrB function suggested that these are AcrB inhibitors. Multidrug-resistant Gram-negative bacteria pose a serious threat to human and animal health. Molecules that inhibit multidrug efflux offer an alternative approach to resolving the challenges caused by antibiotic resistance, by potentiating the activity of old, licensed, and new antibiotics. We have developed, validated, and implemented a high-throughput screen and used it to identify efflux inhibitors from two compound libraries selected for their high chemical and pharmacological diversity. We found that the new high-throughput screen is a valuable tool to identify efflux inhibitors, as evidenced by the 43 new efflux inhibitors described in this study.
主动外排抗生素防止其积聚到毒性细胞内浓度有助于临床相关的多药耐药性。抑制主动外排可增强抗生素活性,表明外排抑制剂可与抗生素联合使用以逆转耐药性。鼠伤寒血清型 的表达增加对主动外排的抑制作用,而不论抑制作用的模式如何。我们假设测量 启动子活性可以作为外排抑制的报告。开发、验证并实施了一种快速、廉价、高通量的绿色荧光蛋白 (GFP) 筛选方法,以鉴定外排抑制剂。两种化学化合物库被筛选出能增加 GFP 产量的化合物。在 1200 种 Prestwick 化学化合物库中的 50 种化合物被鉴定为潜在的外排抑制剂,其中包括先前被表征的外排抑制剂甲氟喹和噻氯匹定。从罗氏公司拥有的 47168 种专利化合物库中筛选出 107 种化合物,其中 45 种被确认为阳性,且确定了剂量反应。染料外排和积累实验表明,罗氏的 40 种化合物和 Prestwick 化学库的 3 种化合物为外排抑制剂。大多数化合物在外排抑制剂-抗生素组合和/或在与 、 、 和 鼠伤寒血清型进行的抗生素药敏纸片扩散和棋盘试验中具有种特异性协同作用。这些数据表明,可以找到窄谱和广谱的外排抑制剂与抗生素的组合。11 种新型外排抑制剂化合物增强了至少一种革兰氏阴性菌的抗生素活性,并且数据显示一种丧失 AcrB 功能的 突变体表明这些是 AcrB 抑制剂。多药耐药革兰氏阴性菌对人类和动物健康构成严重威胁。抑制多药外排的分子提供了一种替代方法,可以通过增强旧的、已批准的和新的抗生素的活性来解决抗生素耐药性引起的挑战。我们已经开发、验证并实施了高通量筛选,并使用该筛选方法从两个化合物库中鉴定出了外排抑制剂,这些化合物库是根据其高化学和药理学多样性选择的。我们发现,新的高通量筛选是一种鉴定外排抑制剂的有价值的工具,正如本研究中描述的 43 种新的外排抑制剂所证明的那样。
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