New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used Antibiotics

With the rapid and continuous emergence of antimicrobial resistance, bacterial infections became a significant global healthcare concern. One of the proposed strategies to combat multidrug-resistant pathogens is to use additional compounds, such as natural biologically active substances, as adjuvant...

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Main Authors: Anna Woziwodzka, Marta Krychowiak-Maśnicka, Grzegorz Gołuński, Anna Łosiewska, Agnieszka Borowik, Dariusz Wyrzykowski, Jacek Piosik
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/15/7/872
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author Anna Woziwodzka
Marta Krychowiak-Maśnicka
Grzegorz Gołuński
Anna Łosiewska
Agnieszka Borowik
Dariusz Wyrzykowski
Jacek Piosik
author_facet Anna Woziwodzka
Marta Krychowiak-Maśnicka
Grzegorz Gołuński
Anna Łosiewska
Agnieszka Borowik
Dariusz Wyrzykowski
Jacek Piosik
author_sort Anna Woziwodzka
collection DOAJ
description With the rapid and continuous emergence of antimicrobial resistance, bacterial infections became a significant global healthcare concern. One of the proposed strategies to combat multidrug-resistant pathogens is to use additional compounds, such as natural biologically active substances, as adjuvants for existing antibiotics. In this study, we investigated the potential of caffeine, the widely consumed alkaloid, to modulate the antibacterial effects of antibiotics commonly used in clinical practice. We used disc diffusion assay to evaluate the effects of caffeine on 40 antibiotics in two <i>Staphylococcus aureus</i> strains (methicillin-resistant and methicillin-sensitive). Based on the results of this step, we selected five antibiotics for which the greatest caffeine-induced improvements in antibacterial activity were observed, and further analyzed their interactions with caffeine using a checkerboard approach. Caffeine at concentrations of 250 µg/mL or higher halved the MIC values of ticarcillin, cefepime, gentamycin, azithromycin, and novobiocin for all gram-negative species investigated (<i>Pseudomonas aeruginosa</i>, <i>Klebsiella pneumoniae</i>, and <i>Acinetobacter baumannii</i>). At the highest caffeine concentrations tested (up to 16 mg/mL), decreases in MIC values were 8- to 16-fold. The obtained results prove that caffeine modulates the activity of structurally diverse antibiotics, with the most promising synergistic effects observed for cefepime and azithromycin toward gram-negative pathogens.
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spelling doaj.art-728867fc5f464aa78db4c394db1873912023-11-30T21:40:39ZengMDPI AGPharmaceuticals1424-82472022-07-0115787210.3390/ph15070872New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used AntibioticsAnna Woziwodzka0Marta Krychowiak-Maśnicka1Grzegorz Gołuński2Anna Łosiewska3Agnieszka Borowik4Dariusz Wyrzykowski5Jacek Piosik6Laboratory of Biophysics, Intercollegiate Faculty of Biotechnology, University of Gdansk and Medical University of Gdansk, 80-307 Gdansk, PolandLaboratory of Biologically Active Compounds, Intercollegiate Faculty of Biotechnology, University of Gdansk and Medical University of Gdansk, 80-307 Gdansk, PolandLaboratory of Biophysics, Intercollegiate Faculty of Biotechnology, University of Gdansk and Medical University of Gdansk, 80-307 Gdansk, PolandLaboratory of Biophysics, Intercollegiate Faculty of Biotechnology, University of Gdansk and Medical University of Gdansk, 80-307 Gdansk, PolandLaboratory of Biophysics, Intercollegiate Faculty of Biotechnology, University of Gdansk and Medical University of Gdansk, 80-307 Gdansk, PolandDepartment of Inorganic Biological Chemistry, Faculty of Chemistry, University of Gdansk, 80-308 Gdansk, PolandLaboratory of Biophysics, Intercollegiate Faculty of Biotechnology, University of Gdansk and Medical University of Gdansk, 80-307 Gdansk, PolandWith the rapid and continuous emergence of antimicrobial resistance, bacterial infections became a significant global healthcare concern. One of the proposed strategies to combat multidrug-resistant pathogens is to use additional compounds, such as natural biologically active substances, as adjuvants for existing antibiotics. In this study, we investigated the potential of caffeine, the widely consumed alkaloid, to modulate the antibacterial effects of antibiotics commonly used in clinical practice. We used disc diffusion assay to evaluate the effects of caffeine on 40 antibiotics in two <i>Staphylococcus aureus</i> strains (methicillin-resistant and methicillin-sensitive). Based on the results of this step, we selected five antibiotics for which the greatest caffeine-induced improvements in antibacterial activity were observed, and further analyzed their interactions with caffeine using a checkerboard approach. Caffeine at concentrations of 250 µg/mL or higher halved the MIC values of ticarcillin, cefepime, gentamycin, azithromycin, and novobiocin for all gram-negative species investigated (<i>Pseudomonas aeruginosa</i>, <i>Klebsiella pneumoniae</i>, and <i>Acinetobacter baumannii</i>). At the highest caffeine concentrations tested (up to 16 mg/mL), decreases in MIC values were 8- to 16-fold. The obtained results prove that caffeine modulates the activity of structurally diverse antibiotics, with the most promising synergistic effects observed for cefepime and azithromycin toward gram-negative pathogens.https://www.mdpi.com/1424-8247/15/7/872antibacterial agentantimicrobial resistanceazithromycincaffeinecefepimedrug repositioning
spellingShingle Anna Woziwodzka
Marta Krychowiak-Maśnicka
Grzegorz Gołuński
Anna Łosiewska
Agnieszka Borowik
Dariusz Wyrzykowski
Jacek Piosik
New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used Antibiotics
Pharmaceuticals
antibacterial agent
antimicrobial resistance
azithromycin
caffeine
cefepime
drug repositioning
title New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used Antibiotics
title_full New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used Antibiotics
title_fullStr New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used Antibiotics
title_full_unstemmed New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used Antibiotics
title_short New Life of an Old Drug: Caffeine as a Modulator of Antibacterial Activity of Commonly Used Antibiotics
title_sort new life of an old drug caffeine as a modulator of antibacterial activity of commonly used antibiotics
topic antibacterial agent
antimicrobial resistance
azithromycin
caffeine
cefepime
drug repositioning
url https://www.mdpi.com/1424-8247/15/7/872
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