Provincial University Key Laboratory of Cellular Stress Response and Metabolic Regulation, College of Life Sciences, Fujian Normal University, Fuzhou City, Fujian Province 350117, China.
Biomedical Research Center of South China, Fujian Normal University, Fuzhou, Fujian Province 350117, China.
ACS Infect Dis. 2022 Feb 11;8(2):373-386. doi: 10.1021/acsinfecdis.1c00559. Epub 2022 Feb 1.
Potentiation of traditional antibiotics is of significance for combating antibiotic-resistant bacteria that have become a severe threat to human and animal health. Here, we report that 1 min co-treatment with -butanol greatly and specifically enhances the bactericidal action of aminoglycosides by 5 orders of magnitude against stationary-phase cells, with -propanol and isobutanol showing less potency. This combined treatment also rapidly kills various persisters, methicillin-resistant (MRSA) cells, and numerous Gram-positive and -negative pathogens including some clinically isolated multidrug-resistant pathogens (, , , and ) , as well as in mice. Mechanistically, the potentiation results from the actions of aminoglycosides on their conventional target ribosome rather than the antiseptic effect of -butanol and is achieved by rapidly enhancing the bacterial uptake of aminoglycosides, while salts and inhibitors of proton motive force (, CCCP) can diminish this uptake. Importantly, such -butanol-enhanced antibiotic uptake even enables subinhibitory concentrations of aminoglycosides to rapidly kill both MRSA and conventional cells. Given -butanol is a non-metabolite in the pathogens we tested, our work may open avenues to develop a metabolite-independent strategy for aminoglycoside potentiation to rapidly eliminate antibiotic-resistant/tolerant pathogens, as well as for reducing the toxicity associated with aminoglycoside use.
增强传统抗生素的作用对于对抗对抗生素耐药菌具有重要意义,这些耐药菌已成为人类和动物健康的严重威胁。在这里,我们报告称,与 1 分钟的联合处理可使 - 丁醇大大增强氨基糖苷类药物对静止期细胞的杀菌作用,增强幅度达 5 个数量级,而 - 丙醇和异丁醇的效果则较弱。这种联合治疗还能迅速杀死各种耐酸菌、耐甲氧西林金黄色葡萄球菌(MRSA)细胞以及多种革兰氏阳性和革兰氏阴性病原体,包括一些临床上分离的多药耐药病原体( , , ,和 ),以及在小鼠体内的细菌。从机制上讲,这种增效作用源于氨基糖苷类药物对其常规靶核糖体的作用,而不是 - 丁醇的防腐作用,通过快速增强细菌对氨基糖苷类药物的摄取来实现,而盐和质子动力势抑制剂(CCCP)可以减少这种摄取。重要的是,这种 - 丁醇增强的抗生素摄取甚至可以使亚抑制浓度的氨基糖苷类药物迅速杀死 MRSA 和常规 细胞。鉴于 - 丁醇在我们测试的病原体中是一种非代谢物,我们的工作可能为开发一种独立于代谢物的氨基糖苷类药物增效策略开辟了途径,以快速消除抗生素耐药/耐受病原体,并降低与氨基糖苷类药物使用相关的毒性。