Downloads provided by UsageCounts
Preventing bacterial contact with host cells can provide an additional approach to tackling MDR Acinetobacter baumannii. Recently, we identified AOA-2 as a potential blocker of A. baumannii outer membrane protein A without presenting bactericidal activity. Here, we aimed to study whether AOA-2 can increase the activity of colistin against colistin-resistant A. baumannii in vitro and in vivo.Reference and clinical A. baumannii strains susceptible and resistant to colistin (CST-S and CST-R) were used. Microdilution and time-kill curve assays were performed to determine the synergy between AOA-2 and colistin. SDS-PAGE assays with CST-S and CST-R outer membrane proteins and MALDI-TOF-TOF (MS-MS/MS) analysis were performed to determine the AOA-2 and colistin synergy mechanism. In a murine peritoneal sepsis model, the therapeutic efficacy of AOA-2 (10 mg/kg/24 h) in combination with a sub-optimal dose of colistin (10 mg/kg/24 h) against CST-R was evaluated by determining the bacterial load in tissues and blood, and mouse survival.We showed that AOA-2 increased the in vitro colistin susceptibility of reference and clinical CST-S and CST-R strains. This combination also enhanced their killing activity after 24 h of drug exposure. This synergy is mediated by the overexpression of Omp25. In vivo, the combination of AOA-2 with colistin significantly reduced the bacterial load in tissues and blood, and increased mouse survival, compared with colistin monotherapy.We identified a novel class of antimicrobial agents that has proven to be effective in combination with colistin in an experimental model of severe infection by CST-R A. baumannii.
Acinetobacter baumannii, Colistin, Drug Synergism, Microbial Sensitivity Tests, Anti-Bacterial Agents, Mice, Inbred C57BL, Disease Models, Animal, Treatment Outcome, Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization, Animals, Female, Enzyme Inhibitors, Acinetobacter Infections, Bacterial Outer Membrane Proteins
Acinetobacter baumannii, Colistin, Drug Synergism, Microbial Sensitivity Tests, Anti-Bacterial Agents, Mice, Inbred C57BL, Disease Models, Animal, Treatment Outcome, Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization, Animals, Female, Enzyme Inhibitors, Acinetobacter Infections, Bacterial Outer Membrane Proteins
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 25 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
| views | 38 | |
| downloads | 31 |

Views provided by UsageCounts
Downloads provided by UsageCounts