Suppr超能文献

Leu-teixobactin 与头孢吡肟联合应用对多重耐药金黄色葡萄球菌的协同作用。

Synergistic potential of Leu-teixobactin and cefepime against multidrug-resistant Staphylococcus aureus.

机构信息

Department of Biochemistry and Pharmacology, School of Biomedical Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, 3010, Australia.

Monash Biomedicine Discovery Institute, Department of Pharmacology, Monash University, Clayton, VIC, 3800, Australia.

出版信息

BMC Microbiol. 2024 Oct 29;24(1):442. doi: 10.1186/s12866-024-03577-x.

Abstract

Staphylococcus aureus (S. aureus) is a significant Gram-positive opportunistic pathogen behind many debilitating infections. β-lactam antibiotics are conventionally prescribed for treating S. aureus infections. However, the adaptability of S. aureus in evolving resistance to multiple β-lactams contributed to the persistence and spread of infections, exemplified in the emergence of methicillin-resistant S. aureus (MRSA). In the present study, we investigated the efficacies of the synthetic teixobactin analogue, Leu-teixobactin, combined with the penicillinase-resistant cephalosporin cefepime against MRSA strains. The Leu-teixobactin and cefepime combination exerted synergism against most strains tested in broth microdilution assay. Time-kill profiles showed that both Leu-teixobactin and cefepime predominantly exhibited synergistic activity, with > 2.0-logCFU decrease compared to monotherapy at 24 h. Moreover, biofilm assays revealed a significant inhibition of biofilm production in ATCC™43300 cells treated with sub-MICs of Leu-teixobactin and cefepime. Subsequent electron microscopy studies showed more extensive damage with the combination therapy compared to monotherapies, including aberrant bacterial morphology, vesicle formation and substantial lysis, indicating combined damage to the cell wall. Quantitative real-time PCR revealed marked perturbation of genes mecA, sarA, atlA, and icaA, substantiating the apparent mode of combined antibacterial action of both antibiotics against peptidoglycan synthesis and initial biofilm production. Hence, the study highlights the prospective utility of the Leu-teixobactin-cefepime combination in treating MRSA infections via β-lactam potentiation.

摘要

金黄色葡萄球菌(S. aureus)是一种重要的革兰氏阳性机会性病原体,可导致多种衰弱性感染。传统上,β-内酰胺类抗生素被用于治疗 S. aureus 感染。然而,S. aureus 适应性地进化出对多种β-内酰胺类抗生素的耐药性,导致感染的持续和传播,耐甲氧西林金黄色葡萄球菌(MRSA)的出现就是一个例证。在本研究中,我们研究了合成泰利霉素类似物 Leu-teixobactin 与耐青霉素酶头孢菌素头孢吡肟联合治疗 MRSA 菌株的疗效。Leu-teixobactin 和头孢吡肟联合用药对肉汤微量稀释法检测的大多数菌株均表现出协同作用。时间杀伤曲线显示,Leu-teixobactin 和头孢吡肟均主要表现出协同作用,与单独用药相比,24 小时时的活菌数减少了>2.0 对数 CFU。此外,生物膜测定显示,Leu-teixobactin 和头孢吡肟的亚 MIC 处理可显著抑制 ATCC™43300 细胞的生物膜生成。随后的电子显微镜研究显示,与单独用药相比,联合治疗组的细菌形态出现更广泛的损伤,包括细菌形态异常、囊泡形成和大量裂解,表明联合治疗对细胞壁造成了损伤。实时定量 PCR 显示 mecA、sarA、atlA 和 icaA 等基因明显受到干扰,证实了两种抗生素联合抑制肽聚糖合成和初始生物膜生成的协同抗菌作用模式。因此,本研究强调了 Leu-teixobactin-头孢吡肟联合治疗 MRSA 感染的潜在应用,通过β-内酰胺增效作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1402/11520699/edf3acfa0d6f/12866_2024_3577_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验