Mutant prevention concentration of ozenoxacin for quinolone-susceptible or -resistant Staphylococcus aureus and Staphylococcus epidermidis

PLoS One. 2019 Oct 9;14(10):e0223326. doi: 10.1371/journal.pone.0223326. eCollection 2019.

Abstract

Ozenoxacin (OZN) belongs to a new generation of non-fluorinated quinolones for the topical treatment of skin infections which has shown to be effective in the treatment of susceptible and resistant Gram-positive cocci. The mutant prevention concentration (MPC) of ozenoxacin, levofloxacin and ciprofloxacin was determined in quinolone-susceptible and -resistant strains including methicillin-susceptible S. aureus, methicillin-resistant S. aureus, methicillin-susceptible S. epidermidis and methicillin-resistant S. epidermidis with different profile of mutation in the quinolone resistance determining regions (QRDR). The MPC value of OZN for the methicillin-susceptible S. aureus strain susceptible to quinolones, without mutations in QRDR, was 0.05 mg/L, being 280-fold lower than that observed with ciprofloxacin and levofloxacin. In methicillin-susceptible and-resistant S. aureus strains with mutations in the gyrA or/and grlA genes the MPC of OZN went from 0.1 to 6 mg/L, whereas the MPC of levofloxacin and ciprofloxacin was > 50 mg/L for the same strains. For methicillin-susceptible and-resistant S. epidermidis the results were similar to those abovementioned for S. aureus. According to our results, the MPC of OZN was far below the quantity of ozenoxacin achieved in the epidermal layer, suggesting that the in vivo selection of mutants, if it occurs, will take place at low frequency. Ozenoxacin is an excellent candidate for the treatment of bacterial infections caused by susceptible and quinolone-resistant staphylococci isolated usually from skin infections.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminopyridines / toxicity*
  • Anti-Bacterial Agents / toxicity*
  • Bacterial Proteins / genetics
  • DNA Gyrase / genetics
  • Drug Resistance, Bacterial*
  • Methicillin-Resistant Staphylococcus aureus / drug effects*
  • Methicillin-Resistant Staphylococcus aureus / genetics
  • Mutation*
  • Quinolones / toxicity*
  • Staphylococcus epidermidis / drug effects*
  • Staphylococcus epidermidis / genetics

Substances

  • Aminopyridines
  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Quinolones
  • DNA Gyrase
  • ozenoxacin

Grants and funding

JV was supported by (REIPI RD16/0016/0010) Instituto de Salud Carlos III, Subdirección General de Redes y Centros de Investigación Cooperativa, Ministerio de Economía y Competitividad, Spanish Network for Research in Infectious Diseases and was co-financed by European Development Regional Fund “A way to achieve Europe”. JV was also supported by 2017 SGR 0809 from the Agència de Gestiód’Ajuts Universitaris i de Recerca of the Generalitat de Catalunya. “Ferrer Internacional S.A also provided funds to perform this study. In addition, this funder provided support in the form of salaries for author [IZ], but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of this author are articulated in the author contributions’ section.