Simeprevir restores the anti-Staphylococcus activity of polymyxins

Abstract Methicillin-resistant Staphylococcus aureus (MRSA) infection poses a severe threat to global public health due to its high mortality. Currently, polymyxins are mainly used for the treatment of Gram-negative bacterial-related infection, while exhibiting limited antibacterial activities again...

Full description

Bibliographic Details
Main Authors: Yuan Wu, Pingyun Wu, Ruolan Wu, Huilong Li, Yao Duan, Chaoni Cai, Zixin Liu, Pengfei She, Di Zhang
Format: Article
Language:English
Published: SpringerOpen 2023-11-01
Series:AMB Express
Subjects:
Online Access:https://doi.org/10.1186/s13568-023-01634-8
_version_ 1797636660655030272
author Yuan Wu
Pingyun Wu
Ruolan Wu
Huilong Li
Yao Duan
Chaoni Cai
Zixin Liu
Pengfei She
Di Zhang
author_facet Yuan Wu
Pingyun Wu
Ruolan Wu
Huilong Li
Yao Duan
Chaoni Cai
Zixin Liu
Pengfei She
Di Zhang
author_sort Yuan Wu
collection DOAJ
description Abstract Methicillin-resistant Staphylococcus aureus (MRSA) infection poses a severe threat to global public health due to its high mortality. Currently, polymyxins are mainly used for the treatment of Gram-negative bacterial-related infection, while exhibiting limited antibacterial activities against Staphylococcus aureus (S. aureus). However, the combination of antibiotics with antibiotic adjuvants is a feasible strategy for the hard-treated infection and toxicity reducing. We will investigate the antibacterial activity of simeprevir (SIM), which treated for genotype 1 and 4 chronic hepatitis C, combined with polymyxins against MRSA through high-throughput screening technology. In our study, the synergistic antibacterial effect of SIM and polymyxins against S. aureus in vitro was found by checkerboard assay and time-growth curve. The cytotoxicity of SIM combined with polymyxin B sulfate [PB(S)] or polymyxin E (PE) in vitro was evaluated using CCK-8, human RBC hemolysis and scratch assays. In addition, we investigated the eradication of biofilm formation of S. aureus by biofilm inhibition assay and the killing of persister cells. Moreover, we evaluated the therapeutic effect and in vivo toxicity of the combination against MRSA in murine subcutaneous abscess model. Furthermore, it was preliminarily found that SIM significantly enhanced the destruction of MRSA membrane by SYTOX Green and DISC3(5) probes. In summary, these results reveal that the therapy of SIM combined with polymyxins (especially PE) is promising for the treatment of MRSA infection.
first_indexed 2024-03-11T12:37:13Z
format Article
id doaj.art-084e7f24b017455b9efcf31ddc022643
institution Directory Open Access Journal
issn 2191-0855
language English
last_indexed 2024-03-11T12:37:13Z
publishDate 2023-11-01
publisher SpringerOpen
record_format Article
series AMB Express
spelling doaj.art-084e7f24b017455b9efcf31ddc0226432023-11-05T12:30:24ZengSpringerOpenAMB Express2191-08552023-11-0113111410.1186/s13568-023-01634-8Simeprevir restores the anti-Staphylococcus activity of polymyxinsYuan Wu0Pingyun Wu1Ruolan Wu2Huilong Li3Yao Duan4Chaoni Cai5Zixin Liu6Pengfei She7Di Zhang8Department of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityDepartment of Laboratory Medicine, The Third Xiangya Hospital of Central South UniversityAbstract Methicillin-resistant Staphylococcus aureus (MRSA) infection poses a severe threat to global public health due to its high mortality. Currently, polymyxins are mainly used for the treatment of Gram-negative bacterial-related infection, while exhibiting limited antibacterial activities against Staphylococcus aureus (S. aureus). However, the combination of antibiotics with antibiotic adjuvants is a feasible strategy for the hard-treated infection and toxicity reducing. We will investigate the antibacterial activity of simeprevir (SIM), which treated for genotype 1 and 4 chronic hepatitis C, combined with polymyxins against MRSA through high-throughput screening technology. In our study, the synergistic antibacterial effect of SIM and polymyxins against S. aureus in vitro was found by checkerboard assay and time-growth curve. The cytotoxicity of SIM combined with polymyxin B sulfate [PB(S)] or polymyxin E (PE) in vitro was evaluated using CCK-8, human RBC hemolysis and scratch assays. In addition, we investigated the eradication of biofilm formation of S. aureus by biofilm inhibition assay and the killing of persister cells. Moreover, we evaluated the therapeutic effect and in vivo toxicity of the combination against MRSA in murine subcutaneous abscess model. Furthermore, it was preliminarily found that SIM significantly enhanced the destruction of MRSA membrane by SYTOX Green and DISC3(5) probes. In summary, these results reveal that the therapy of SIM combined with polymyxins (especially PE) is promising for the treatment of MRSA infection.https://doi.org/10.1186/s13568-023-01634-8Staphylococcus aureusSimeprevirPolymyxinsAntimicrobialDrug repurposingPersister cells
spellingShingle Yuan Wu
Pingyun Wu
Ruolan Wu
Huilong Li
Yao Duan
Chaoni Cai
Zixin Liu
Pengfei She
Di Zhang
Simeprevir restores the anti-Staphylococcus activity of polymyxins
AMB Express
Staphylococcus aureus
Simeprevir
Polymyxins
Antimicrobial
Drug repurposing
Persister cells
title Simeprevir restores the anti-Staphylococcus activity of polymyxins
title_full Simeprevir restores the anti-Staphylococcus activity of polymyxins
title_fullStr Simeprevir restores the anti-Staphylococcus activity of polymyxins
title_full_unstemmed Simeprevir restores the anti-Staphylococcus activity of polymyxins
title_short Simeprevir restores the anti-Staphylococcus activity of polymyxins
title_sort simeprevir restores the anti staphylococcus activity of polymyxins
topic Staphylococcus aureus
Simeprevir
Polymyxins
Antimicrobial
Drug repurposing
Persister cells
url https://doi.org/10.1186/s13568-023-01634-8
work_keys_str_mv AT yuanwu simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT pingyunwu simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT ruolanwu simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT huilongli simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT yaoduan simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT chaonicai simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT zixinliu simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT pengfeishe simeprevirrestorestheantistaphylococcusactivityofpolymyxins
AT dizhang simeprevirrestorestheantistaphylococcusactivityofpolymyxins