Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin Infection

Increased resistance to antimicrobials in clinically important bacteria has been widely reported. The major mechanism causing multidrug resistance (MDR) is mediated by efflux pumps, proteins located in the cytoplasmic membrane to exclude antimicrobial drug. Some efflux pumps recognize and expel a va...

Full description

Saved in:
Bibliographic Details
Main Authors: Alejandro A. Hidalgo, Ángel J. Arias, Juan A. Fuentes, Patricia García, Guido C. Mora, Nicolás A. Villagra
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2018/3467219
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849306206741463040
author Alejandro A. Hidalgo
Ángel J. Arias
Juan A. Fuentes
Patricia García
Guido C. Mora
Nicolás A. Villagra
author_facet Alejandro A. Hidalgo
Ángel J. Arias
Juan A. Fuentes
Patricia García
Guido C. Mora
Nicolás A. Villagra
author_sort Alejandro A. Hidalgo
collection DOAJ
description Increased resistance to antimicrobials in clinically important bacteria has been widely reported. The major mechanism causing multidrug resistance (MDR) is mediated by efflux pumps, proteins located in the cytoplasmic membrane to exclude antimicrobial drug. Some efflux pumps recognize and expel a variety of unrelated antimicrobial agents, while other efflux pumps can expel only one specific class of antibiotics. Previously, we have reported that xylose decreases the efflux-mediated antimicrobial resistance in Salmonella typhimurium, Pseudomonas aeruginosa, and Acinetobacter baumannii in vitro. In this work, we assessed the effectiveness of combining xylose with antibiotics to kill resistant Acinetobacter baumannii and Klebsiella pneumoniae in a murine model of skin infection. Skin infections were established by seeding 109 bacteria onto eroded skin of mice. Mice treated with the antibiotic alone or with a mixture of glucose and antibiotics or xylose and antibiotics were compared to a control group that was infected but received no further treatment. We observed that the mixtures xylose-tetracycline and xylose-chloramphenicol produced a decrease of at least 10 times viable Acinetobacter baumannii and Klebsiella pneumoniae recovered from infected skin, compared with mice treated with the antibiotic alone. Our results show that xylose improves the antibiotic activity of tetracycline and chloramphenicol against efflux-mediated resistance Acinetobacter baumannii and Klebsiella pneumoniae, in a murine model of skin infection. We envision these combined formulations as an efficient treatment of skin infections with bacteria presenting efflux-mediated resistance, in both humans and animals.
format Article
id doaj-art-39087771ab614dd0af91ea1a6c8d4e67
institution Kabale University
issn 1712-9532
1918-1493
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-39087771ab614dd0af91ea1a6c8d4e672025-08-20T03:55:11ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932018-01-01201810.1155/2018/34672193467219Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin InfectionAlejandro A. Hidalgo0Ángel J. Arias1Juan A. Fuentes2Patricia García3Guido C. Mora4Nicolás A. Villagra5Laboratorio de Patogénesis Molecular y Antimicrobianos, Facultad de Medicina, Universidad Andres Bello, Santiago, ChileLaboratorio de Patogénesis Molecular y Antimicrobianos, Facultad de Medicina, Universidad Andres Bello, Santiago, ChileLaboratorio de Genética y Patogénesis Bacteriana, Facultad de Ciencias de la Vida, Universidad Andres Bello, Santiago, ChileServicio de Laboratorios Clínicos Laboratorio de Microbiología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, ChileLaboratorio de Patogénesis Molecular y Antimicrobianos, Facultad de Medicina, Universidad Andres Bello, Santiago, ChileLaboratorio de Patogénesis Molecular y Antimicrobianos, Facultad de Medicina, Universidad Andres Bello, Santiago, ChileIncreased resistance to antimicrobials in clinically important bacteria has been widely reported. The major mechanism causing multidrug resistance (MDR) is mediated by efflux pumps, proteins located in the cytoplasmic membrane to exclude antimicrobial drug. Some efflux pumps recognize and expel a variety of unrelated antimicrobial agents, while other efflux pumps can expel only one specific class of antibiotics. Previously, we have reported that xylose decreases the efflux-mediated antimicrobial resistance in Salmonella typhimurium, Pseudomonas aeruginosa, and Acinetobacter baumannii in vitro. In this work, we assessed the effectiveness of combining xylose with antibiotics to kill resistant Acinetobacter baumannii and Klebsiella pneumoniae in a murine model of skin infection. Skin infections were established by seeding 109 bacteria onto eroded skin of mice. Mice treated with the antibiotic alone or with a mixture of glucose and antibiotics or xylose and antibiotics were compared to a control group that was infected but received no further treatment. We observed that the mixtures xylose-tetracycline and xylose-chloramphenicol produced a decrease of at least 10 times viable Acinetobacter baumannii and Klebsiella pneumoniae recovered from infected skin, compared with mice treated with the antibiotic alone. Our results show that xylose improves the antibiotic activity of tetracycline and chloramphenicol against efflux-mediated resistance Acinetobacter baumannii and Klebsiella pneumoniae, in a murine model of skin infection. We envision these combined formulations as an efficient treatment of skin infections with bacteria presenting efflux-mediated resistance, in both humans and animals.http://dx.doi.org/10.1155/2018/3467219
spellingShingle Alejandro A. Hidalgo
Ángel J. Arias
Juan A. Fuentes
Patricia García
Guido C. Mora
Nicolás A. Villagra
Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin Infection
Canadian Journal of Infectious Diseases and Medical Microbiology
title Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin Infection
title_full Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin Infection
title_fullStr Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin Infection
title_full_unstemmed Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin Infection
title_short Xylose Improves Antibiotic Activity of Chloramphenicol and Tetracycline against K. pneumoniae and A. baumannii in a Murine Model of Skin Infection
title_sort xylose improves antibiotic activity of chloramphenicol and tetracycline against k pneumoniae and a baumannii in a murine model of skin infection
url http://dx.doi.org/10.1155/2018/3467219
work_keys_str_mv AT alejandroahidalgo xyloseimprovesantibioticactivityofchloramphenicolandtetracyclineagainstkpneumoniaeandabaumanniiinamurinemodelofskininfection
AT angeljarias xyloseimprovesantibioticactivityofchloramphenicolandtetracyclineagainstkpneumoniaeandabaumanniiinamurinemodelofskininfection
AT juanafuentes xyloseimprovesantibioticactivityofchloramphenicolandtetracyclineagainstkpneumoniaeandabaumanniiinamurinemodelofskininfection
AT patriciagarcia xyloseimprovesantibioticactivityofchloramphenicolandtetracyclineagainstkpneumoniaeandabaumanniiinamurinemodelofskininfection
AT guidocmora xyloseimprovesantibioticactivityofchloramphenicolandtetracyclineagainstkpneumoniaeandabaumanniiinamurinemodelofskininfection
AT nicolasavillagra xyloseimprovesantibioticactivityofchloramphenicolandtetracyclineagainstkpneumoniaeandabaumanniiinamurinemodelofskininfection