School of Microbiology, University College Cork, Cork, Ireland.
APC Microbiome Ireland, University College Cork, Cork, Ireland.
Gut Microbes. 2024 Jan-Dec;16(1):2342583. doi: 10.1080/19490976.2024.2342583. Epub 2024 May 9.
Vancomycin and metronidazole are commonly used treatments for infection (CDI). However, these antibiotics have been associated with high levels of relapse in patients. Fidaxomicin is a new treatment for CDI that is described as a narrow spectrum antibiotic that is minimally active on the commensal bacteria of the gut microbiome. The aim of this study was to compare the effect of fidaxomicin on the human gut microbiome with a number of narrow (thuricin CD) and broad spectrum (vancomycin and nisin) antimicrobials. The spectrum of activity of each antimicrobial was tested against 47 bacterial strains by well-diffusion assay. Minimum inhibitory concentrations (MICs) were calculated against a select number of these strains. Further, a pooled fecal slurry of 6 donors was prepared and incubated for 24 h with 100 µM of each antimicrobial in a mini-fermentation system together with a no-treatment control. Fidaxomicin, vancomycin, and nisin were active against most gram positive bacteria tested , although fidaxomicin and vancomycin produced larger zones of inhibition compared to nisin. In contrast, the antimicrobial activity of thuricin CD was specific to and some spp. The MICs showed similar results. Thuricin CD exhibited low MICs (<3.1 µg/mL) for and , whereas fidaxomicin, vancomycin, and nisin demonstrated lower MICs for all other strains tested when compared to thuricin CD. The narrow spectrum of thuricin CD was also observed in the gut model system. We conclude that the spectrum of activity of fidaxomicin is comparable to that of the broad-spectrum antibiotic vancomycin and the broad spectrum bacteriocin nisin in a complex community.
万古霉素和甲硝唑通常用于治疗 感染(CDI)。然而,这些抗生素与患者的高复发率有关。非达霉素是一种新的 CDI 治疗药物,被描述为一种窄谱抗生素,对肠道微生物组的共生菌活性最低。本研究旨在比较非达霉素对人类肠道微生物组的影响与几种窄谱(硫粘菌素 CD)和广谱(万古霉素和乳链菌肽)抗生素的影响。通过扩散试验测试每种抗生素对 47 种细菌株的活性谱。针对其中一些菌株计算最小抑菌浓度(MIC)。此外,制备了 6 个供体的混合粪便浆,并在微型发酵系统中与无处理对照一起在 100µM 的每种抗生素中孵育 24 小时。非达霉素、万古霉素和乳链菌肽对大多数测试的革兰氏阳性菌均有活性,尽管非达霉素和万古霉素产生的抑制区比乳链菌肽大。相比之下,硫粘菌素 CD 的抗菌活性是针对 和 属的一些种。MIC 结果相似。硫粘菌素 CD 对 和 表现出较低的 MIC(<3.1µg/mL),而非达霉素、万古霉素和乳链菌肽与硫粘菌素 CD 相比,对所有其他测试菌株的 MIC 较低。硫粘菌素 CD 的窄谱在肠道模型系统中也观察到。我们得出结论,非达霉素的活性谱与广谱抗生素万古霉素和广谱细菌素乳链菌肽在复杂群落中相当。