Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membrane

Abstract Background The emergence of multidrug-resistant (MDR) Staphylococcus aureus (S. aureus) seriously poses a serious threat to human health and presents a significant clinical challenge. Therefore, it is urgent to explore alternative treatments and develop novel antimicrobial agents. To invest...

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Main Authors: Xuancheng Huang, Congcong Li, Chaoqin Zhang, Yong Xiang, Zhijian Yu, Peiyu Li, Bing Bai, Zewen Wen, Tieying Hou
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Microbiology
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Online Access:https://doi.org/10.1186/s12866-025-04163-5
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author Xuancheng Huang
Congcong Li
Chaoqin Zhang
Yong Xiang
Zhijian Yu
Peiyu Li
Bing Bai
Zewen Wen
Tieying Hou
author_facet Xuancheng Huang
Congcong Li
Chaoqin Zhang
Yong Xiang
Zhijian Yu
Peiyu Li
Bing Bai
Zewen Wen
Tieying Hou
author_sort Xuancheng Huang
collection DOAJ
description Abstract Background The emergence of multidrug-resistant (MDR) Staphylococcus aureus (S. aureus) seriously poses a serious threat to human health and presents a significant clinical challenge. Therefore, it is urgent to explore alternative treatments and develop novel antimicrobial agents. To investigate the antibacterial activity of Etalocib against S. aureus and elucidate its underlying mechanism of action. Results Etalocib, a drug previously investigated in clinical trials, exhibited notable antibacterial activity against S. aureus, with a minimum inhibitory concentration (MIC) of ≤ 25 μM. Time-kill curves demonstrated concentration-dependent bactericidal effects. Etalocib could significantly inhibited biofilm formation and kill bacteria within mature biofilms. Moreover, permeability assays revealed that Etalocib treatment caused bacterial membrane damage, accompanied by dissipation of membrane potential. Checkerboard analysis showed that bacterial membrane phospholipids, including phosphatidylglycerol and cardiolipin, could neutralize the antibacterial activity of Etalocib in a dose-dependent manner. These findings suggest that the primary mechanism of action involves disruption of the bacterial membrane, potentially through interactions with membrane phospholipids, alterations in protein homeostasis, and disturbances in energy and metabolic processes. Notably, Etalocib significantly improved the survival rate of the Galleria mellonella in the methicillin-resistant S. aureus (MRSA) infection model. Conclusions The findings highlight the potential of Etalocib as an effective antibacterial agent for combating MDR S. aureus infections. It holds significant promise as a novel therapeutic option for the treatment of severe infections caused by Gram-positive pathogens.
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publishDate 2025-08-01
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spelling doaj-art-75bca5599b1d4f33b9a62c7f06dd9f172025-08-20T03:42:44ZengBMCBMC Microbiology1471-21802025-08-0125111510.1186/s12866-025-04163-5Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membraneXuancheng Huang0Congcong Li1Chaoqin Zhang2Yong Xiang3Zhijian Yu4Peiyu Li5Bing Bai6Zewen Wen7Tieying Hou8School of Pharmacy, Shenzhen University Medical School, Shenzhen UniversityDepartment of Infectious Diseases and Shenzhen Key Laboratory for Endogenous Infections, Shenzhen Nanshan People’s Hospital, Affiliated Nanshan Hospital of Shenzhen University, Nanshan DistrictDepartment of Infectious Diseases and Shenzhen Key Laboratory for Endogenous Infections, Shenzhen Nanshan People’s Hospital, Affiliated Nanshan Hospital of Shenzhen University, Nanshan DistrictMarketing Department of Guangzhou Branch of Varian Medical Equipment Trading (Beijing) Corp, Tianhe DistrictSchool of Pharmacy, Shenzhen University Medical School, Shenzhen UniversitySchool of Pharmacy, Shenzhen University Medical School, Shenzhen UniversityDepartment of Infectious Diseases and Shenzhen Key Laboratory for Endogenous Infections, Shenzhen Nanshan People’s Hospital, Affiliated Nanshan Hospital of Shenzhen University, Nanshan DistrictSchool of Pharmacy, Shenzhen University Medical School, Shenzhen UniversitySchool of Pharmacy, Shenzhen University Medical School, Shenzhen UniversityAbstract Background The emergence of multidrug-resistant (MDR) Staphylococcus aureus (S. aureus) seriously poses a serious threat to human health and presents a significant clinical challenge. Therefore, it is urgent to explore alternative treatments and develop novel antimicrobial agents. To investigate the antibacterial activity of Etalocib against S. aureus and elucidate its underlying mechanism of action. Results Etalocib, a drug previously investigated in clinical trials, exhibited notable antibacterial activity against S. aureus, with a minimum inhibitory concentration (MIC) of ≤ 25 μM. Time-kill curves demonstrated concentration-dependent bactericidal effects. Etalocib could significantly inhibited biofilm formation and kill bacteria within mature biofilms. Moreover, permeability assays revealed that Etalocib treatment caused bacterial membrane damage, accompanied by dissipation of membrane potential. Checkerboard analysis showed that bacterial membrane phospholipids, including phosphatidylglycerol and cardiolipin, could neutralize the antibacterial activity of Etalocib in a dose-dependent manner. These findings suggest that the primary mechanism of action involves disruption of the bacterial membrane, potentially through interactions with membrane phospholipids, alterations in protein homeostasis, and disturbances in energy and metabolic processes. Notably, Etalocib significantly improved the survival rate of the Galleria mellonella in the methicillin-resistant S. aureus (MRSA) infection model. Conclusions The findings highlight the potential of Etalocib as an effective antibacterial agent for combating MDR S. aureus infections. It holds significant promise as a novel therapeutic option for the treatment of severe infections caused by Gram-positive pathogens.https://doi.org/10.1186/s12866-025-04163-5EtalocibS. aureusAntibacterial effectBacterial membrane
spellingShingle Xuancheng Huang
Congcong Li
Chaoqin Zhang
Yong Xiang
Zhijian Yu
Peiyu Li
Bing Bai
Zewen Wen
Tieying Hou
Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membrane
BMC Microbiology
Etalocib
S. aureus
Antibacterial effect
Bacterial membrane
title Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membrane
title_full Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membrane
title_fullStr Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membrane
title_full_unstemmed Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membrane
title_short Repurposing Etalocib suppresses multidrug-resistant Staphylococcus aureus by disrupting the bacterial membrane
title_sort repurposing etalocib suppresses multidrug resistant staphylococcus aureus by disrupting the bacterial membrane
topic Etalocib
S. aureus
Antibacterial effect
Bacterial membrane
url https://doi.org/10.1186/s12866-025-04163-5
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