A Fluorinated Analogue of Marine Bisindole Alkaloid 2,2-Bis(6-bromo-1-indol-3-yl)ethanamine as Potential Anti-Biofilm Agent and Antibiotic Adjuvant Against .

Methicillin resistant (MRSA) infections represent a major global healthcare problem. Therapeutic options are often limited by the ability of MRSA strains to grow as biofilms on medical devices, where antibiotic persistence and resistance is positively selected, leading to recurrent and chronic implant-associated infections. One strategy to circumvent these problems is the co-administration of adjuvants, which may prolong the efficacy of antibiotic treatments, by broadening their spectrum and lowering the required dosage. The marine bisindole alkaloid 2,2-bis(6-bromo-1-indol-3-yl)ethanamine () and its fluorinated analogue () were tested for their potential use as antibiotic adjuvants and antibiofilm agents against CH 10850 (MRSA) and ATCC 29213 (MSSA). Both compounds showed antimicrobial activity and bisindole enabled 256-fold reduction (ΣFICs = 0.5) in the minimum inhibitory concentration (MIC) of oxacillin for the clinical MRSA strain. In addition, these molecules inhibited biofilm formation of strains, and compound showed greater eradicating activity on preformed biofilm compared to . None of the tested molecules exerted a viable but non-culturable cells (VBNC) inducing effect at their MIC values. Moreover, both compounds exhibited no hemolytic activity and a good stability in plasma, indicating a non-toxic profile, hence, in particular compound , a potential for in vivo applications to restore antibiotic treatment against MRSA infections.