Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumannii

Colistin (CT) is the last-resort of antibiotic against multidrug-resistance (MDR) Acinetobacter baumannii (A. baumannii) infection. However, colistin resistance is increasingly reported in A. baumannii isolates partially due to the global emergence and dissemination of plasmid-borne mobile colistin...

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Main Authors: Meisong Li, Furong Ma, Hui Zhao, Dianrong Zhou, Lujie Liang, Runling Lv, Jiachen Li, Yaxuan Wang, Lin Xu, Chenfei Liu, Guo-Bao Tian, Siyuan Feng, Yong Xia
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2024.1468682/full
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author Meisong Li
Furong Ma
Hui Zhao
Dianrong Zhou
Dianrong Zhou
Dianrong Zhou
Lujie Liang
Lujie Liang
Lujie Liang
Runling Lv
Jiachen Li
Jiachen Li
Jiachen Li
Yaxuan Wang
Yaxuan Wang
Yaxuan Wang
Lin Xu
Lin Xu
Lin Xu
Chenfei Liu
Guo-Bao Tian
Guo-Bao Tian
Guo-Bao Tian
Siyuan Feng
Siyuan Feng
Siyuan Feng
Yong Xia
author_facet Meisong Li
Furong Ma
Hui Zhao
Dianrong Zhou
Dianrong Zhou
Dianrong Zhou
Lujie Liang
Lujie Liang
Lujie Liang
Runling Lv
Jiachen Li
Jiachen Li
Jiachen Li
Yaxuan Wang
Yaxuan Wang
Yaxuan Wang
Lin Xu
Lin Xu
Lin Xu
Chenfei Liu
Guo-Bao Tian
Guo-Bao Tian
Guo-Bao Tian
Siyuan Feng
Siyuan Feng
Siyuan Feng
Yong Xia
author_sort Meisong Li
collection DOAJ
description Colistin (CT) is the last-resort of antibiotic against multidrug-resistance (MDR) Acinetobacter baumannii (A. baumannii) infection. However, colistin resistance is increasingly reported in A. baumannii isolates partially due to the global emergence and dissemination of plasmid-borne mobile colistin resistance (mcr) gene and is a threat to human health. Thus, available treatment strategies urgently required in the fight against colistin-resistant A. baumannii. Here, we showed that mcr confers damaged outer membrane (OM) permeability in A. baumannii, which could compromise the viability of A. baumannii. Consistently, A. baumannii with colistin resistance exhibits increased susceptibility to macromolecular antibiotics such as rifampicin (RIF) and erythromycin (ERY). Moreover, the combination therapy of colistin and rifampicin demonstrates efficacy against colistin-resistant A. baumannii, regardless of the presence of mcr. Altogether, our data suggest that the synergy of colistin in combination with macromolecular hydrophobic antibiotics poses a promising therapeutic alternative for colistin-resistant A. baumannii.
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spelling doaj-art-268d6eb0d36c401aa49dd53b6f7b78662024-11-19T06:15:44ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2024-11-011510.3389/fmicb.2024.14686821468682Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumanniiMeisong Li0Furong Ma1Hui Zhao2Dianrong Zhou3Dianrong Zhou4Dianrong Zhou5Lujie Liang6Lujie Liang7Lujie Liang8Runling Lv9Jiachen Li10Jiachen Li11Jiachen Li12Yaxuan Wang13Yaxuan Wang14Yaxuan Wang15Lin Xu16Lin Xu17Lin Xu18Chenfei Liu19Guo-Bao Tian20Guo-Bao Tian21Guo-Bao Tian22Siyuan Feng23Siyuan Feng24Siyuan Feng25Yong Xia26Department of Clinical Laboratory Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Center for Provincial Clinical Research Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Clinical Laboratory Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Center for Provincial Clinical Research Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaSchool of Pharmacy, Guangzhou Xinhua University, Guangzhou, ChinaDepartment of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaAdvanced Medical Technology Center, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaKey Laboratory of Tropical Diseases Control (Sun Yat-sen University), Ministry of Education, Guangzhou, ChinaDepartment of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaAdvanced Medical Technology Center, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaKey Laboratory of Tropical Diseases Control (Sun Yat-sen University), Ministry of Education, Guangzhou, ChinaDepartment of Clinical Laboratory Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Center for Provincial Clinical Research Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaAdvanced Medical Technology Center, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaKey Laboratory of Tropical Diseases Control (Sun Yat-sen University), Ministry of Education, Guangzhou, ChinaDepartment of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaAdvanced Medical Technology Center, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaKey Laboratory of Tropical Diseases Control (Sun Yat-sen University), Ministry of Education, Guangzhou, ChinaDepartment of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaAdvanced Medical Technology Center, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaKey Laboratory of Tropical Diseases Control (Sun Yat-sen University), Ministry of Education, Guangzhou, ChinaDepartment of Clinical Laboratory Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Center for Provincial Clinical Research Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartment of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaAdvanced Medical Technology Center, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaKey Laboratory of Tropical Diseases Control (Sun Yat-sen University), Ministry of Education, Guangzhou, ChinaDepartment of Immunology and Microbiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaAdvanced Medical Technology Center, The First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, ChinaKey Laboratory of Tropical Diseases Control (Sun Yat-sen University), Ministry of Education, Guangzhou, ChinaDepartment of Clinical Laboratory Medicine, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Center for Provincial Clinical Research Obstetrics and Gynecology, The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, ChinaColistin (CT) is the last-resort of antibiotic against multidrug-resistance (MDR) Acinetobacter baumannii (A. baumannii) infection. However, colistin resistance is increasingly reported in A. baumannii isolates partially due to the global emergence and dissemination of plasmid-borne mobile colistin resistance (mcr) gene and is a threat to human health. Thus, available treatment strategies urgently required in the fight against colistin-resistant A. baumannii. Here, we showed that mcr confers damaged outer membrane (OM) permeability in A. baumannii, which could compromise the viability of A. baumannii. Consistently, A. baumannii with colistin resistance exhibits increased susceptibility to macromolecular antibiotics such as rifampicin (RIF) and erythromycin (ERY). Moreover, the combination therapy of colistin and rifampicin demonstrates efficacy against colistin-resistant A. baumannii, regardless of the presence of mcr. Altogether, our data suggest that the synergy of colistin in combination with macromolecular hydrophobic antibiotics poses a promising therapeutic alternative for colistin-resistant A. baumannii.https://www.frontiersin.org/articles/10.3389/fmicb.2024.1468682/fullAcinetobacter baumanniicolistinrifampicinMCRouter membrane permeability
spellingShingle Meisong Li
Furong Ma
Hui Zhao
Dianrong Zhou
Dianrong Zhou
Dianrong Zhou
Lujie Liang
Lujie Liang
Lujie Liang
Runling Lv
Jiachen Li
Jiachen Li
Jiachen Li
Yaxuan Wang
Yaxuan Wang
Yaxuan Wang
Lin Xu
Lin Xu
Lin Xu
Chenfei Liu
Guo-Bao Tian
Guo-Bao Tian
Guo-Bao Tian
Siyuan Feng
Siyuan Feng
Siyuan Feng
Yong Xia
Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumannii
Frontiers in Microbiology
Acinetobacter baumannii
colistin
rifampicin
MCR
outer membrane permeability
title Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumannii
title_full Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumannii
title_fullStr Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumannii
title_full_unstemmed Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumannii
title_short Outer membrane permeability of mcr-positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin-resistant Acinetobacter baumannii
title_sort outer membrane permeability of mcr positive bacteria reveals potent synergy of colistin and macromolecular antibiotics against colistin resistant acinetobacter baumannii
topic Acinetobacter baumannii
colistin
rifampicin
MCR
outer membrane permeability
url https://www.frontiersin.org/articles/10.3389/fmicb.2024.1468682/full
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