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Amphiphilic tribasic galactosamines potentiate rifampicin in Gram-negative bacteria at low Mg++/Ca++ concentrations

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PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.bmcl.2023.129371

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Aminoglycoside; Rifampicin; Gram-negative bacteria; Antibiotic potentiator

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This study describes the synthesis and biological properties of amphiphilic tribasic galactosamines as potential rifampicin (RIF) potentiators. The results demonstrate that these compounds enhance the effectiveness of RIF against multidrug-resistant Acinetobacter baumannii and Escherichia coli in low salt-containing media, but not against Pseudomonas aeruginosa. The potentiating effect of RIF was reduced when bivalent Mg++ or Ca++ ions were added at physiological concentrations.
Many antibiotics specific to Gram-positive bacteria like rifampicin (RIF) are inactive in Gram-negative bacteria because of outer membrane (OM) impermeability. Enhancing the OM permeability of these antibiotics with the help of OM perturbants is a promising strategy to develop new agents against Gram-negative bacteria. Here we report the synthesis and biological properties of amphiphilic tribasic galactosamines as potential RIF potentiators. Our results demonstrate that tribasic galactose-based amphiphiles potentiate RIF in multidrug-resistant Acinetobacter baumannii and Escherichia coli but not Pseudomonas aeruginosa in low salt-containing media. Under these conditions, lead compounds 20, 22 and 35 lowered the minimum inhibitory concentration of RIF by 64-to 256-fold against Gram-negative bacteria. However, the RIF-potentiating effect was reduced when bivalent Mg++ or Ca++ ions were added in the media at physiological concentrations. Overall, our results indicate that amphiphilic tribasic galactosamine-based compounds show reduced RIF-potentiating effects when compared to amphiphilic tobramycin antibiotics at physiological salt concentrations.

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