In vitro activity of novel rifamycins against rifamycin-resistant Staphylococcus aureus

Antimicrob Agents Chemother. 2006 Mar;50(3):827-34. doi: 10.1128/AAC.50.3.827-834.2006.

Abstract

We describe novel rifamycin derivatives (new chemical entities [NCEs]) that retain significant activity against a comprehensive collection of Staphylococcus aureus strains that are resistant to rifamycins. This collection of resistant strains contains 21 of the 26 known single-amino-acid alterations in RpoB, the target of rifamycins. Some NCEs also demonstrated a lower frequency of resistance development than rifampin and rifalazil in S. aureus as measured in a resistance emergence test. When assayed for activity against the strongest rifamycin-resistant mutants, several NCEs had MICs of 2 microg/ml, in contrast to MICs of rifampin and rifalazil, which were 512 microg/ml for the same strains. The properties of these NCEs therefore demonstrate a significant improvement over those of earlier rifamycins, which have been limited primarily to combination therapy due to resistance development, and suggest a potential use of these NCEs for monotherapy in several clinical indications.

Publication types

  • Comparative Study

MeSH terms

  • Drug Resistance, Bacterial
  • In Vitro Techniques
  • Molecular Conformation
  • Rifabutin / chemistry
  • Rifabutin / pharmacology*
  • Rifampin / chemistry
  • Rifampin / pharmacology*
  • Rifamycins / chemistry
  • Rifamycins / pharmacology*
  • Staphylococcal Infections / drug therapy*
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / genetics

Substances

  • Rifamycins
  • KRM 1648
  • Rifabutin
  • Rifampin