Efflux Pump (QacA, QacB, and QacC) and β-Lactamase Inhibitors? An Evaluation of 1,8-Naphthyridines against Staphylococcus aureus Strains

Molecules. 2023 Feb 15;28(4):1819. doi: 10.3390/molecules28041819.

Abstract

The bacterial species Staphylococcus aureus presents a variety of resistance mechanisms, among which the expression of β-lactamases and efflux pumps stand out for providing a significant degree of resistance to clinically relevant antibiotics. The 1,8-naphthyridines are nitrogen heterocycles with a broad spectrum of biological activities and, as such, are promising research targets. However, the potential roles of these compounds on bacterial resistance management remain to be better investigated. Therefore, the present study evaluated the antibacterial activity of 1,8-naphthyridine sulfonamides, addressing their ability to act as inhibitors of β-lactamases and efflux pump (QacA/B and QacC) against the strains SA-K4414 and SA-K4100 of S. aureus. All substances were prepared at an initial concentration of 1024 μg/mL, and their minimum inhibitory concentrations (MIC) were determined by the broth microdilution method. Subsequently, their effects on β-lactamase- and efflux pump-mediated antibiotic resistance was evaluated from the reduction of the MIC of ethidium bromide (EtBr) and β-lactam antibiotics, respectively. The 1,8-naphthyridines did not present direct antibacterial activity against the strains SA-K4414 and SA-K4100 of S. aureus. On the other hand, when associated with antibiotics against both strains, the compounds reduced the MIC of EtBr and β-lactam antibiotics, suggesting that they may act by inhibiting β-lactamases and efflux pumps such as QacC and QacA/B. However, further research is required to elucidate the molecular mechanisms underlying these observed effects.

Keywords: 1,8-naphthyridines; QacA/B efflux pumps; S. aureus; bacterial resistance; β-lactamase.

MeSH terms

  • Anti-Bacterial Agents* / pharmacology
  • Bacterial Proteins / metabolism
  • Microbial Sensitivity Tests
  • Multidrug Resistance-Associated Proteins / metabolism
  • Staphylococcus aureus* / drug effects
  • beta-Lactamase Inhibitors* / pharmacology
  • beta-Lactamases / metabolism
  • beta-Lactams / pharmacology

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • beta-Lactamase Inhibitors
  • beta-Lactamases
  • beta-Lactams
  • Multidrug Resistance-Associated Proteins

Grants and funding

This research was funded by the Cearense Foundation for Support for Scientific and Technological Development (Funcap)—process: PS1-0186-00188.01.00/21, through the Regional Scientific and Technological Development Program of CNPq/Funcap Notice 03/2021, according to administrative processes of numbers DCT-0182-00104.02.00/21 and 04855159/2022; Coordination for the Improvement of Higher Education Personnel (CAPES) Finance Code 001 and the National Council of Scientific and Technological Development (CNPq) processes 150456/2018-2 and 406685/2018-5.