Synergistic Activity of Fluoroquinolones Combining with Artesunate Against Multidrug-Resistant Escherichia coli

Multidrug resistance (MDR) is an increasing public health concern worldwide. Artesunate (ART) has been reported to be significantly effective in enhancing the effectiveness of various β-lactam antibiotics against MDR Escherichia coli via inhibiting the efflux pump genes. Apart from β-lactam antibiot...

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Veröffentlicht in:Microbial drug resistance (Larchmont, N.Y.) N.Y.), 2020-01, Vol.26 (1), p.81-88
Hauptverfasser: Wei, SiMin, Yang, YueFei, Tian, Wei, Liu, MingJiang, Yin, ShaoJie, Li, JinGui
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container_issue 1
container_start_page 81
container_title Microbial drug resistance (Larchmont, N.Y.)
container_volume 26
creator Wei, SiMin
Yang, YueFei
Tian, Wei
Liu, MingJiang
Yin, ShaoJie
Li, JinGui
description Multidrug resistance (MDR) is an increasing public health concern worldwide. Artesunate (ART) has been reported to be significantly effective in enhancing the effectiveness of various β-lactam antibiotics against MDR Escherichia coli via inhibiting the efflux pump genes. Apart from β-lactam antibiotics, there is no report regarding the potential synergistic effects of ART combining with fluoroquinolones (FQs). In this study, we investigated whether ART can enhance the antibacterial effects of FQs in vitro . The antibacterial activity of ART and antibiotics against 13 animal-derived E. coli clinical isolates was assessed for screening MDR strains. Then the synergistic activity of FQs with ART against MDR E. coli isolates was evaluated. Daunorubicin (DNR) accumulation within E. coli and messenger RNA (mRNA) expressions of acrA , acrB , tolC , and qnr genes were investigated. The results showed that ART did not show significant antimicrobial activity. However, a dramatically synergistic activity of ART combining with FQs was obsessed with (ΣFIC) = 0.12–0.33. ART increased the DNR accumulation and reduced acrAB-tolC mRNA expression, but enhanced the mRNA expression of qnrS and qnrB within MDR E. coli isolates. These findings suggest that ART can potentiate FQs activity which may be associated with drug accumulation by inhibiting the expression of acrAB-tolC.
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Artesunate (ART) has been reported to be significantly effective in enhancing the effectiveness of various β-lactam antibiotics against MDR Escherichia coli via inhibiting the efflux pump genes. Apart from β-lactam antibiotics, there is no report regarding the potential synergistic effects of ART combining with fluoroquinolones (FQs). In this study, we investigated whether ART can enhance the antibacterial effects of FQs in vitro . The antibacterial activity of ART and antibiotics against 13 animal-derived E. coli clinical isolates was assessed for screening MDR strains. Then the synergistic activity of FQs with ART against MDR E. coli isolates was evaluated. Daunorubicin (DNR) accumulation within E. coli and messenger RNA (mRNA) expressions of acrA , acrB , tolC , and qnr genes were investigated. The results showed that ART did not show significant antimicrobial activity. However, a dramatically synergistic activity of ART combining with FQs was obsessed with (ΣFIC) = 0.12–0.33. ART increased the DNR accumulation and reduced acrAB-tolC mRNA expression, but enhanced the mRNA expression of qnrS and qnrB within MDR E. coli isolates. These findings suggest that ART can potentiate FQs activity which may be associated with drug accumulation by inhibiting the expression of acrAB-tolC.</description><identifier>ISSN: 1076-6294</identifier><identifier>EISSN: 1931-8448</identifier><identifier>DOI: 10.1089/mdr.2018.0463</identifier><identifier>PMID: 31738637</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Accumulation ; Amides ; Antibacterial activity ; Antibiotics ; Antimicrobial activity ; Artesunate ; Clinical isolates ; Daunorubicin ; E coli ; Efflux ; Escherichia coli ; Fluoroquinolones ; Gene expression ; Genes ; Multidrug resistance ; Multidrug resistant organisms ; Public health ; Synergistic effect ; Veterinary Microbiology ; β-Lactam antibiotics</subject><ispartof>Microbial drug resistance (Larchmont, N.Y.), 2020-01, Vol.26 (1), p.81-88</ispartof><rights>SiMin Wei et al., 2019; Published by Mary Ann Liebert, Inc.</rights><rights>Copyright Mary Ann Liebert, Inc. Jan 2020</rights><rights>SiMin Wei et al., 2019; Published by Mary Ann Liebert, Inc. 2019 SiMin Wei et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-ae4fc06542f3c6ae20077d4fddcb59e73090a7d8c8644ba0bd781209c66a1c713</citedby><cites>FETCH-LOGICAL-c459t-ae4fc06542f3c6ae20077d4fddcb59e73090a7d8c8644ba0bd781209c66a1c713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31738637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wei, SiMin</creatorcontrib><creatorcontrib>Yang, YueFei</creatorcontrib><creatorcontrib>Tian, Wei</creatorcontrib><creatorcontrib>Liu, MingJiang</creatorcontrib><creatorcontrib>Yin, ShaoJie</creatorcontrib><creatorcontrib>Li, JinGui</creatorcontrib><title>Synergistic Activity of Fluoroquinolones Combining with Artesunate Against Multidrug-Resistant Escherichia coli</title><title>Microbial drug resistance (Larchmont, N.Y.)</title><addtitle>Microb Drug Resist</addtitle><description>Multidrug resistance (MDR) is an increasing public health concern worldwide. Artesunate (ART) has been reported to be significantly effective in enhancing the effectiveness of various β-lactam antibiotics against MDR Escherichia coli via inhibiting the efflux pump genes. Apart from β-lactam antibiotics, there is no report regarding the potential synergistic effects of ART combining with fluoroquinolones (FQs). In this study, we investigated whether ART can enhance the antibacterial effects of FQs in vitro . The antibacterial activity of ART and antibiotics against 13 animal-derived E. coli clinical isolates was assessed for screening MDR strains. Then the synergistic activity of FQs with ART against MDR E. coli isolates was evaluated. Daunorubicin (DNR) accumulation within E. coli and messenger RNA (mRNA) expressions of acrA , acrB , tolC , and qnr genes were investigated. The results showed that ART did not show significant antimicrobial activity. However, a dramatically synergistic activity of ART combining with FQs was obsessed with (ΣFIC) = 0.12–0.33. ART increased the DNR accumulation and reduced acrAB-tolC mRNA expression, but enhanced the mRNA expression of qnrS and qnrB within MDR E. coli isolates. These findings suggest that ART can potentiate FQs activity which may be associated with drug accumulation by inhibiting the expression of acrAB-tolC.</description><subject>Accumulation</subject><subject>Amides</subject><subject>Antibacterial activity</subject><subject>Antibiotics</subject><subject>Antimicrobial activity</subject><subject>Artesunate</subject><subject>Clinical isolates</subject><subject>Daunorubicin</subject><subject>E coli</subject><subject>Efflux</subject><subject>Escherichia coli</subject><subject>Fluoroquinolones</subject><subject>Gene expression</subject><subject>Genes</subject><subject>Multidrug resistance</subject><subject>Multidrug resistant organisms</subject><subject>Public health</subject><subject>Synergistic effect</subject><subject>Veterinary Microbiology</subject><subject>β-Lactam antibiotics</subject><issn>1076-6294</issn><issn>1931-8448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>1-M</sourceid><recordid>eNqFkU1v1DAQhiNERUvhyBVZ4sIlix07_rggrVYtIBVVauFsOc4k68qxi-0U7b8n0ZYKuHDyyPPo1cw8VfWG4A3BUn2Y-rRpMJEbzDh9Vp0RRUktGZPPlxoLXvNGsdPqZc53GOOWcPqiOqVEUMmpOKvi7SFAGl0uzqKtLe7BlQOKA7r0c0zxx-xC9DFARrs4dS64MKKfruzRNhXIczAF0HY0LuSCvs6-uD7NY30DeUk0oaCLbPeQnN07g2z07lV1Mhif4fXje159v7z4tvtcX11_-rLbXtWWtarUBthgMW9ZM1DLDTQYC9Gzoe9t1yoQFCtsRC-t5Ix1Bne9kKTBynJuiBWEnlcfj7n3czdBbyGUZLy-T24y6aCjcfrvTnB7PcYHzZWQomVLwPvHgPUKkIueXLbgvQkQ56wbSlolcEtX9N0_6F2cU1jWWygqCWvaZp2oPlI2xZwTDE_DEKxXlXpRqVeVelW58G__3OCJ_u1uAegRWL9NCN5BB6n8J_YXKWSucg</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Wei, SiMin</creator><creator>Yang, YueFei</creator><creator>Tian, Wei</creator><creator>Liu, MingJiang</creator><creator>Yin, ShaoJie</creator><creator>Li, JinGui</creator><general>Mary Ann Liebert, Inc., publishers</general><general>Mary Ann Liebert, Inc</general><scope>1-M</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7T7</scope><scope>7TK</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200101</creationdate><title>Synergistic Activity of Fluoroquinolones Combining with Artesunate Against Multidrug-Resistant Escherichia coli</title><author>Wei, SiMin ; 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subjects Accumulation
Amides
Antibacterial activity
Antibiotics
Antimicrobial activity
Artesunate
Clinical isolates
Daunorubicin
E coli
Efflux
Escherichia coli
Fluoroquinolones
Gene expression
Genes
Multidrug resistance
Multidrug resistant organisms
Public health
Synergistic effect
Veterinary Microbiology
β-Lactam antibiotics
title Synergistic Activity of Fluoroquinolones Combining with Artesunate Against Multidrug-Resistant Escherichia coli
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