In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>

The increasing trend of carbapenem-resistant <i>Acinetobacter baumannii</i> (CRAB) worldwide has become a concern, limiting therapeutic alternatives and increasing morbidity and mortality rates. The immunomodulation agent ammonium trichloro (dioxoethylene-O,O′-) tellurate (AS101) was rep...

وصف كامل

التفاصيل البيبلوغرافية
المؤلفون الرئيسيون: Tsung-Ying Yang, Sung-Pin Tseng, Heather Nokulunga Dlamini, Po-Liang Lu, Lin Lin, Liang-Chun Wang, Wei-Chun Hung
التنسيق: مقال
اللغة:English
منشور في: MDPI AG 2021-08-01
سلاسل:Pharmaceuticals
الموضوعات:
الوصول للمادة أونلاين:https://www.mdpi.com/1424-8247/14/8/823
_version_ 1827684380368175104
author Tsung-Ying Yang
Sung-Pin Tseng
Heather Nokulunga Dlamini
Po-Liang Lu
Lin Lin
Liang-Chun Wang
Wei-Chun Hung
author_facet Tsung-Ying Yang
Sung-Pin Tseng
Heather Nokulunga Dlamini
Po-Liang Lu
Lin Lin
Liang-Chun Wang
Wei-Chun Hung
author_sort Tsung-Ying Yang
collection DOAJ
description The increasing trend of carbapenem-resistant <i>Acinetobacter baumannii</i> (CRAB) worldwide has become a concern, limiting therapeutic alternatives and increasing morbidity and mortality rates. The immunomodulation agent ammonium trichloro (dioxoethylene-O,O′-) tellurate (AS101) was repurposed as an antimicrobial agent against CRAB. Between 2016 and 2018, 27 CRAB clinical isolates were collected in Taiwan. The in vitro antibacterial activities of AS101 were evaluated using broth microdilution, time-kill assay, reactive oxygen species (ROS) detection and electron microscopy. In vivo effectiveness was assessed using a sepsis mouse infection model. The MIC range of AS101 for 27 CRAB isolates was from 0.5 to 32 µg/mL, which is below its 50% cytotoxicity (approximately 150 µg/mL). Bactericidal activity was confirmed using a time-kill assay. The antibacterial mechanism of AS101 was the accumulation of the ROS and the disruption of the cell membrane, which, in turn, results in cell death. The carbapenemase-producing <i>A. baumannii</i> mouse sepsis model showed that AS101 was a better therapeutic effect than colistin. The mice survival rate after 120 h was 33% (4/12) in the colistin-treated group and 58% (7/12) in the high-dose AS101 (3.33 mg/kg/day) group. Furthermore, high-dose AS101 significantly decreased bacterial population in the liver, kidney and spleen (all <i>p</i> < 0.001). These findings support the concept that AS101 is an ideal candidate for further testing in future studies.
first_indexed 2024-03-10T08:29:25Z
format Article
id doaj.art-9466b510dbed4c1ebc72bcf495d81390
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-10T08:29:25Z
publishDate 2021-08-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-9466b510dbed4c1ebc72bcf495d813902023-11-22T09:12:22ZengMDPI AGPharmaceuticals1424-82472021-08-0114882310.3390/ph14080823In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>Tsung-Ying Yang0Sung-Pin Tseng1Heather Nokulunga Dlamini2Po-Liang Lu3Lin Lin4Liang-Chun Wang5Wei-Chun Hung6Department of Medical Laboratory Science and Biotechnology, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 807, TaiwanDepartment of Medical Laboratory Science and Biotechnology, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 807, TaiwanDepartment of Medical Laboratory Science and Biotechnology, College of Health Sciences, Kaohsiung Medical University, Kaohsiung 807, TaiwanCenter for Liquid Biopsy and Cohort Research, Kaohsiung Medical University, Kaohsiung 807, TaiwanDepartment of Culinary Art, I-Shou University, Kaohsiung 84001, TaiwanDepartment of Marine Biotechnology and Resources, National Sun Yat-sen University, Kaohsiung 80424, TaiwanDepartment of Microbiology and Immunology, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanThe increasing trend of carbapenem-resistant <i>Acinetobacter baumannii</i> (CRAB) worldwide has become a concern, limiting therapeutic alternatives and increasing morbidity and mortality rates. The immunomodulation agent ammonium trichloro (dioxoethylene-O,O′-) tellurate (AS101) was repurposed as an antimicrobial agent against CRAB. Between 2016 and 2018, 27 CRAB clinical isolates were collected in Taiwan. The in vitro antibacterial activities of AS101 were evaluated using broth microdilution, time-kill assay, reactive oxygen species (ROS) detection and electron microscopy. In vivo effectiveness was assessed using a sepsis mouse infection model. The MIC range of AS101 for 27 CRAB isolates was from 0.5 to 32 µg/mL, which is below its 50% cytotoxicity (approximately 150 µg/mL). Bactericidal activity was confirmed using a time-kill assay. The antibacterial mechanism of AS101 was the accumulation of the ROS and the disruption of the cell membrane, which, in turn, results in cell death. The carbapenemase-producing <i>A. baumannii</i> mouse sepsis model showed that AS101 was a better therapeutic effect than colistin. The mice survival rate after 120 h was 33% (4/12) in the colistin-treated group and 58% (7/12) in the high-dose AS101 (3.33 mg/kg/day) group. Furthermore, high-dose AS101 significantly decreased bacterial population in the liver, kidney and spleen (all <i>p</i> < 0.001). These findings support the concept that AS101 is an ideal candidate for further testing in future studies.https://www.mdpi.com/1424-8247/14/8/823drug repurposingAS101carbapenem resistance<i>Acinetobacter baumannii</i>
spellingShingle Tsung-Ying Yang
Sung-Pin Tseng
Heather Nokulunga Dlamini
Po-Liang Lu
Lin Lin
Liang-Chun Wang
Wei-Chun Hung
In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>
Pharmaceuticals
drug repurposing
AS101
carbapenem resistance
<i>Acinetobacter baumannii</i>
title In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>
title_full In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>
title_fullStr In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>
title_full_unstemmed In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>
title_short In Vitro and In Vivo Activity of AS101 against Carbapenem-Resistant <i>Acinetobacter baumannii</i>
title_sort in vitro and in vivo activity of as101 against carbapenem resistant i acinetobacter baumannii i
topic drug repurposing
AS101
carbapenem resistance
<i>Acinetobacter baumannii</i>
url https://www.mdpi.com/1424-8247/14/8/823
work_keys_str_mv AT tsungyingyang invitroandinvivoactivityofas101againstcarbapenemresistantiacinetobacterbaumanniii
AT sungpintseng invitroandinvivoactivityofas101againstcarbapenemresistantiacinetobacterbaumanniii
AT heathernokulungadlamini invitroandinvivoactivityofas101againstcarbapenemresistantiacinetobacterbaumanniii
AT polianglu invitroandinvivoactivityofas101againstcarbapenemresistantiacinetobacterbaumanniii
AT linlin invitroandinvivoactivityofas101againstcarbapenemresistantiacinetobacterbaumanniii
AT liangchunwang invitroandinvivoactivityofas101againstcarbapenemresistantiacinetobacterbaumanniii
AT weichunhung invitroandinvivoactivityofas101againstcarbapenemresistantiacinetobacterbaumanniii