Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary Resistome

The increasing prevalence of antimicrobial resistance and the limited availability of new antimicrobial agents have created an urgent need for new approaches to combat these issues. One such approach involves reevaluating the use of old antibiotics to ensure their appropriate usage and maximize thei...

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Main Authors: Mosaed Saleh A. Alobaidallah, Vanesa García, Sandra M. Wellner, Line E. Thomsen, Ana Herrero-Fresno, John Elmerdahl Olsen
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/13/1/73
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author Mosaed Saleh A. Alobaidallah
Vanesa García
Sandra M. Wellner
Line E. Thomsen
Ana Herrero-Fresno
John Elmerdahl Olsen
author_facet Mosaed Saleh A. Alobaidallah
Vanesa García
Sandra M. Wellner
Line E. Thomsen
Ana Herrero-Fresno
John Elmerdahl Olsen
author_sort Mosaed Saleh A. Alobaidallah
collection DOAJ
description The increasing prevalence of antimicrobial resistance and the limited availability of new antimicrobial agents have created an urgent need for new approaches to combat these issues. One such approach involves reevaluating the use of old antibiotics to ensure their appropriate usage and maximize their effectiveness, as older antibiotics could help alleviate the burden on newer agents. An example of such an antibiotic is chloramphenicol (CHL), which is rarely used due to its hematological toxicity. In the current study, we employed a previously published transposon mutant library in MG1655/pTF2::<i>bla</i><sub>CTX-M-1</sub>, containing over 315,000 unique transposon insertions, to identify the genetic factors that play an important role during growth in the presence of CHL. The list of conditionally essential genes, collectively referred to as the secondary resistome (SR), included 67 genes. To validate our findings, we conducted gene knockout experiments on six genes: <i>arcA</i>, <i>hfq</i>, <i>acrZ</i>, <i>cls</i>, <i>mdfA</i>, and <i>nlpI</i>. Deleting these genes resulted in increased susceptibility to CHL as demonstrated by MIC estimations and growth experiments, suggesting that targeting the products encoded from these genes may reduce the dose of CHL needed for treatment and hence reduce the toxicity associated with CHL treatment. Thus, the gene products are indicated as targets for antibiotic adjuvants to favor the use of CHL in modern medicine.
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spelling doaj.art-f079736535d54b39bb42b5ea11025f562024-01-26T14:37:23ZengMDPI AGAntibiotics2079-63822024-01-011317310.3390/antibiotics13010073Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary ResistomeMosaed Saleh A. Alobaidallah0Vanesa García1Sandra M. Wellner2Line E. Thomsen3Ana Herrero-Fresno4John Elmerdahl Olsen5Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, DenmarkDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, DenmarkDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, DenmarkDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, DenmarkDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, DenmarkDepartment of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 1870 Frederiksberg, DenmarkThe increasing prevalence of antimicrobial resistance and the limited availability of new antimicrobial agents have created an urgent need for new approaches to combat these issues. One such approach involves reevaluating the use of old antibiotics to ensure their appropriate usage and maximize their effectiveness, as older antibiotics could help alleviate the burden on newer agents. An example of such an antibiotic is chloramphenicol (CHL), which is rarely used due to its hematological toxicity. In the current study, we employed a previously published transposon mutant library in MG1655/pTF2::<i>bla</i><sub>CTX-M-1</sub>, containing over 315,000 unique transposon insertions, to identify the genetic factors that play an important role during growth in the presence of CHL. The list of conditionally essential genes, collectively referred to as the secondary resistome (SR), included 67 genes. To validate our findings, we conducted gene knockout experiments on six genes: <i>arcA</i>, <i>hfq</i>, <i>acrZ</i>, <i>cls</i>, <i>mdfA</i>, and <i>nlpI</i>. Deleting these genes resulted in increased susceptibility to CHL as demonstrated by MIC estimations and growth experiments, suggesting that targeting the products encoded from these genes may reduce the dose of CHL needed for treatment and hence reduce the toxicity associated with CHL treatment. Thus, the gene products are indicated as targets for antibiotic adjuvants to favor the use of CHL in modern medicine.https://www.mdpi.com/2079-6382/13/1/73<i>Escherichia coli</i>chloramphenicolmulti-drug-resistant bacteriaextended-spectrum beta-lactamasetransposon-directed insertion site sequencingantibiotic adjuvants
spellingShingle Mosaed Saleh A. Alobaidallah
Vanesa García
Sandra M. Wellner
Line E. Thomsen
Ana Herrero-Fresno
John Elmerdahl Olsen
Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary Resistome
Antibiotics
<i>Escherichia coli</i>
chloramphenicol
multi-drug-resistant bacteria
extended-spectrum beta-lactamase
transposon-directed insertion site sequencing
antibiotic adjuvants
title Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary Resistome
title_full Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary Resistome
title_fullStr Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary Resistome
title_full_unstemmed Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary Resistome
title_short Enhancing the Efficacy of Chloramphenicol Therapy for <i>Escherichia coli</i> by Targeting the Secondary Resistome
title_sort enhancing the efficacy of chloramphenicol therapy for i escherichia coli i by targeting the secondary resistome
topic <i>Escherichia coli</i>
chloramphenicol
multi-drug-resistant bacteria
extended-spectrum beta-lactamase
transposon-directed insertion site sequencing
antibiotic adjuvants
url https://www.mdpi.com/2079-6382/13/1/73
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