Discovery of a potential MCR-1 inhibitor that reverses polymyxin activity against clinical mcr-1-positive Enterobacteriaceae - 19/04/19


Highlights |
• | Osthole could influence the function of MCR-1 to restore the antibacterial activity of polymyxin for MCR-1-positive CRE. |
• | Osthole in combination with colistin led to significant decreases in the bacterial burdens compared with monotherapy. |
• | Osthole is a promising candidate for tackling the inevitability of serious infections caused by MCR-positive bacteria. |
Abstract |
The recent emergence of the plasmid-mediated colistin resistance gene mcr-1 poses a substantial clinical threat to the severe infections caused by CRE (Carbapenem Resistant Enterobacteriaceae), as the treatment failure of the mcr-1-positive CRE “Superbug” most likely occurs by using the combination of carbapenem and polymixins. Therefore, our study aims to seek a potent MCR-1 inhibitor to fight this infection. A checkerboard MIC (Minimum Inhibitory Concentration) assay, time-killing assay, MPNP (Modified rapid polymyxin Nordmann/Poirel) test, combined disk test and molecular modelling analysis were performed on different mcr-1-positive strains to confirm the synergistic effects of the combination of colistin and osthole (OST). And a thigh mouse infection model was also used to evaluate such synergies. We identified that OST regained the bactericidal activity of polymyxins (FIC (Fractional Inhibitory Concentration) index = 0.11±0.04 − 0.29±0.10) against mcr-1-positive Enterobacteriaceae including Escherichia coli and Klebsiella pneumoniae. The in-vitro time-killing assays showed that either OST or polymyxins failed to eradicate mcr-1-positive Enterobacteriaceae, but the combination eliminated mcr-1-positive Enterobacteriaceae by 3–7-h post-inoculation. The mouse infection model demonstrated that the combination therapy significantly reduced the bacterial load in the thighs following subcutaneous administration. Our results established that OST is a promising natural compound that could be used to extend the life of polymyxins and to tackle the inevitability of serious infections caused by polymyxin-resistant bacteria.
Le texte complet de cet article est disponible en PDF.Keywords : Enterobacteriaceae, Osthole, MCR-1 inhibitor, Colistin
Plan
Vol 78 - N° 5
P. 364-372 - mai 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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