Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo Study

<i>Stenotrophomonas maltophilia</i> is increasingly recognized as a nosocomial bacterial pathogen with a multi-drug resistance profile. In this study, the novel drug gepotidacin, the first compound of the novel triazaacenaphthylene topoisomerase inhibitor antibiotics class, was evaluated...

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Main Authors: Maike Isabell Sanders, Eyhab Ali, Jan Buer, Joerg Steinmann, Peter-Michael Rath, Hedda Luise Verhasselt, Lisa Kirchhoff
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/11/2/192
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author Maike Isabell Sanders
Eyhab Ali
Jan Buer
Joerg Steinmann
Peter-Michael Rath
Hedda Luise Verhasselt
Lisa Kirchhoff
author_facet Maike Isabell Sanders
Eyhab Ali
Jan Buer
Joerg Steinmann
Peter-Michael Rath
Hedda Luise Verhasselt
Lisa Kirchhoff
author_sort Maike Isabell Sanders
collection DOAJ
description <i>Stenotrophomonas maltophilia</i> is increasingly recognized as a nosocomial bacterial pathogen with a multi-drug resistance profile. In this study, the novel drug gepotidacin, the first compound of the novel triazaacenaphthylene topoisomerase inhibitor antibiotics class, was evaluated on its activity against clinical <i>S. maltophilia</i> isolates. Ninety-nine <i>S. maltophilia</i> isolates plus reference strain K279a (N = 100) were tested on their susceptibility towards gepotidacin in a broth microdilution. Additional susceptibility testing was performed towards the commonly applied combination trimethoprim/sulfamethoxazole (TMP/SXT), moxifloxacin, and levofloxacin. The time–kill kinetic of gepotidacin was observed in a time–kill assay. The greater wax moth <i>Galleria mellonella</i> was used to determine the activity of gepotidacin against <i>S. maltophilia </i>in vivo. Gepotidacin showed minimum inhibitory concentrations (MICs) between 0.25 and 16 mg/L (MIC<sub>50</sub>: 2 mg/L; MIC<sub>90</sub>: 8 mg/L), independently of its susceptibility towards TMP/SXT. The five TMP/SXT resistant strains exhibited gepotidacin MICs from 1 to 4 mg/L. The <i>S. maltophilia</i> strains resistant to the assessed fluoroquinolones showed in parts high MICs of gepotidacin. The time–kill assay revealed a time- and strain-dependent killing effect of gepotidacin. In vivo, injection of gepotidacin increased the survival rate of the larvae from 61 % to 90 % after 2 days. This study showed antimicrobial effects of gepotidacin towards <i>S. maltophilia</i>.
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spelling doaj.art-d981ccdbbbd343f2b1cd8b40198ed9bb2023-11-23T18:27:58ZengMDPI AGAntibiotics2079-63822022-02-0111219210.3390/antibiotics11020192Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo StudyMaike Isabell Sanders0Eyhab Ali1Jan Buer2Joerg Steinmann3Peter-Michael Rath4Hedda Luise Verhasselt5Lisa Kirchhoff6Institute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45122 Essen, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45122 Essen, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45122 Essen, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45122 Essen, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45122 Essen, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45122 Essen, GermanyInstitute of Medical Microbiology, University Hospital Essen, University of Duisburg-Essen, 45122 Essen, Germany<i>Stenotrophomonas maltophilia</i> is increasingly recognized as a nosocomial bacterial pathogen with a multi-drug resistance profile. In this study, the novel drug gepotidacin, the first compound of the novel triazaacenaphthylene topoisomerase inhibitor antibiotics class, was evaluated on its activity against clinical <i>S. maltophilia</i> isolates. Ninety-nine <i>S. maltophilia</i> isolates plus reference strain K279a (N = 100) were tested on their susceptibility towards gepotidacin in a broth microdilution. Additional susceptibility testing was performed towards the commonly applied combination trimethoprim/sulfamethoxazole (TMP/SXT), moxifloxacin, and levofloxacin. The time–kill kinetic of gepotidacin was observed in a time–kill assay. The greater wax moth <i>Galleria mellonella</i> was used to determine the activity of gepotidacin against <i>S. maltophilia </i>in vivo. Gepotidacin showed minimum inhibitory concentrations (MICs) between 0.25 and 16 mg/L (MIC<sub>50</sub>: 2 mg/L; MIC<sub>90</sub>: 8 mg/L), independently of its susceptibility towards TMP/SXT. The five TMP/SXT resistant strains exhibited gepotidacin MICs from 1 to 4 mg/L. The <i>S. maltophilia</i> strains resistant to the assessed fluoroquinolones showed in parts high MICs of gepotidacin. The time–kill assay revealed a time- and strain-dependent killing effect of gepotidacin. In vivo, injection of gepotidacin increased the survival rate of the larvae from 61 % to 90 % after 2 days. This study showed antimicrobial effects of gepotidacin towards <i>S. maltophilia</i>.https://www.mdpi.com/2079-6382/11/2/192<i>Stenotrophomonas maltophilia</i>gepotidacintriazaacenaphthylenetopoisomerase inhibitor<i>Galleria mellonella</i>cystic fibrosis
spellingShingle Maike Isabell Sanders
Eyhab Ali
Jan Buer
Joerg Steinmann
Peter-Michael Rath
Hedda Luise Verhasselt
Lisa Kirchhoff
Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo Study
Antibiotics
<i>Stenotrophomonas maltophilia</i>
gepotidacin
triazaacenaphthylene
topoisomerase inhibitor
<i>Galleria mellonella</i>
cystic fibrosis
title Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo Study
title_full Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo Study
title_fullStr Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo Study
title_full_unstemmed Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo Study
title_short Antibacterial Activity of the Novel Drug Gepotidacin against <i>Stenotrophomonas maltophilia</i>—An In Vitro and In Vivo Study
title_sort antibacterial activity of the novel drug gepotidacin against i stenotrophomonas maltophilia i an in vitro and in vivo study
topic <i>Stenotrophomonas maltophilia</i>
gepotidacin
triazaacenaphthylene
topoisomerase inhibitor
<i>Galleria mellonella</i>
cystic fibrosis
url https://www.mdpi.com/2079-6382/11/2/192
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