Murepavadin Enhances the Killing Efficacy of Ciprofloxacin against by Inhibiting Drug Efflux.

Antibiotics (Basel)

State Key Laboratory of Medicinal Chemical Biology, Key Laboratory of Molecular Microbiology and Technology of the Ministry of Education, Department of Microbiology, College of Life Sciences, Nankai University, Tianjin 300071, China.

Published: August 2024

AI Article Synopsis

  • Murepavadin is a new drug that targets a specific protein in a multidrug-resistant Gram-negative pathogen, which is known to cause serious lung infections.
  • The study shows that murepavadin boosts the effectiveness of ciprofloxacin, a common antibiotic, by increasing its levels inside the bacterial cells and reducing its expulsion.
  • The combination of murepavadin and ciprofloxacin works well together in treating pneumonia in mice, suggesting that it could be a promising option for tackling difficult infections in humans.

Article Abstract

is a multidrug-resistant Gram-negative pathogen and one of the leading causes of ventilator-associated pneumonia and infections in patients with chronic obstructive pulmonary disease and cystic fibrosis. Murepavadin is a peptidomimetic that specifically targets outer-membrane lipopolysaccharide transport protein LptD of . In this study, we find that murepavadin enhances the bactericidal efficacy of ciprofloxacin. We further demonstrate that murepavadin increases intracellular accumulation of ciprofloxacin by suppressing drug efflux. In addition, the murepavadin-ciprofloxacin combination exhibits a synergistic bactericidal effect in an acute murine pneumonia model. In conclusion, our results identify an effective drug combination for the treatment of infections.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11429200PMC
http://dx.doi.org/10.3390/antibiotics13090810DOI Listing

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