Novel synthetic polymyxins kill Gram-positive bacteria

J Antimicrob Chemother. 2018 Dec 1;73(12):3385-3390. doi: 10.1093/jac/dky366.

Abstract

Background: Staphylococcus aureus, including 'superbug' MRSA, is a major cause of nosocomial infections. In the European Union, up to 171 200 new nosocomial MRSA infections are acquired annually, and in the USA S. aureus causes more deaths than HIV/AIDS and tuberculosis combined. MRSA is also the first group of pathogens that infect the pulmonary tract in young patients with cystic fibrosis.

Objectives: We describe two newly developed and synthesized colistin (polymyxin E)-inspired molecules.

Methods: A collection of several isolates of S. aureus [including MRSA and vancomycin-resistant S. aureus (VRSA)] was tested. To check the antimicrobial activity, we performed time-kill curves, growth curves, biofilm eradication, toxicity and isothermal titration calorimetry.

Results: Both peptides showed high antimicrobial activities (MIC 4 mg/L) and low relative toxicities (selectivity index close to 23).

Conclusions: Successful production of polymyxin-scaffold molecules active against S. aureus, both MRSA and VRSA, opens up new approaches to the treatment of these complicated infections.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / chemical synthesis
  • Anti-Bacterial Agents / pharmacology*
  • Biofilms / drug effects
  • Cell Survival / drug effects
  • Hepatocytes / drug effects
  • Hepatocytes / physiology
  • Humans
  • Microbial Sensitivity Tests
  • Microbial Viability / drug effects*
  • Models, Molecular
  • Molecular Conformation
  • Polymyxins / chemical synthesis
  • Polymyxins / pharmacology*
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / physiology

Substances

  • Anti-Bacterial Agents
  • Polymyxins