Liu Di, Li Xiaodan, Zhang Zhaoran, Zhang Ziyi, Wang Hui, Dong Wenqi, Wang Xiangru, Chen Huanchun, Wang Chenchen, Tan Chen
National Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan 430070 Hubei, China.
Hubei Hongshan Laboratory, Wuhan 430070 Hubei, China.
ACS Infect Dis. 2025 Jul 11;11(7):1994-2008. doi: 10.1021/acsinfecdis.5c00277. Epub 2025 Jun 27.
Plasmid-mediated transmission of the gene significantly impairs the antimicrobial activity of colistin, limiting clinical therapeutic options. In this study, we evaluated the potential of bosutinib in restoring the susceptibility of colistin to mcr-1-positive drug-resistant using a "drug repurposing" strategy and explored its mechanism of action to develop a new combination therapy regimen. We found that bosutinib combined with colistin significantly restored the susceptibility of mcr-1-positive to colistin and showed strong bactericidal and antibiofilm activities, confirmed by drug sensitivity assays, viable bacterial counts, and biofilm assays. Meanwhile, membrane permeability assay, reactive oxygen species (ROS) measurement, molecular docking, and SPR analysis showed that bosutinib could enhance bacterial membrane permeability, increase ROS accumulation, and directly bind to the MCR-1 protein, disrupting its resistance mechanism. Furthermore, in an infected animal model, bosutinib combined with colistin significantly increased the survival and reduced the bacterial load in tissues, confirming its in vivo antimicrobial efficacy. In conclusion, the present study reveals that bosutinib restores the antimicrobial activity of colistin through dual mechanisms: membrane permeability enhancement and direct targeting of the MCR-1 protein. Indeed, the discovery of bosutinib not only expands the application of tyrosine kinase inhibitor analogues in the field of anti-infective drugs but also provides a potentially new alternative for the clinical treatment of MCR-1-positive bacterial infections.
质粒介导的该基因传播显著损害了黏菌素的抗菌活性,限制了临床治疗选择。在本研究中,我们使用“药物重新利用”策略评估了博舒替尼恢复黏菌素对mcr-1阳性耐药菌敏感性的潜力,并探索了其作用机制以开发新的联合治疗方案。我们发现,博舒替尼与黏菌素联合使用可显著恢复mcr-1阳性菌对黏菌素的敏感性,并表现出强大的杀菌和抗生物膜活性,这通过药敏试验、活菌计数和生物膜试验得到证实。同时,膜通透性试验、活性氧(ROS)测定、分子对接和表面等离子体共振(SPR)分析表明,博舒替尼可增强细菌膜通透性,增加ROS积累,并直接与MCR-1蛋白结合,破坏其耐药机制。此外,在感染动物模型中,博舒替尼与黏菌素联合使用可显著提高存活率并降低组织中的细菌载量,证实了其体内抗菌效果。总之,本研究表明博舒替尼通过双重机制恢复黏菌素的抗菌活性:增强膜通透性和直接靶向MCR-1蛋白。事实上,博舒替尼的发现不仅扩大了酪氨酸激酶抑制剂类似物在抗感染药物领域的应用,还为临床治疗MCR-1阳性细菌感染提供了一种潜在的新选择。
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