BPB Reports

Paper Details

BPB Reports
Vol. 6 No. 4 p.141-143 2023
Report
Overcoming Native Macrolide and Acquired Multidrug-Resistant Pseudomonas aeruginosa with Azithromycin and Polymyxin B Nonapeptide
  • Yukihiro Asami (Graduate School of Infection Control Sciences, Kitasato University / Ōmura Satoshi Memorial Institute, Kitasato University / yasami@lisci.kitasato-u.ac.jp)
Aoi Kimishima 1) 2) , Hidehito Matsui 1) 2) , Kazunari Sakai 3) , Masako Honsho 1) 2) , Sota Honma 1) 2) , Miho Sugamata 1) 2) , Naozumi Kondo 1) , Serino Maruyama 1) , Paul Wasuwanich 4) , Kamrun Naher 2) , Naoaki Arima 3) , Kazutoyo Abe 3) , Hideaki Hanaki 1) 2) 3) , Yukihiro Asami 1) 2)
1) Graduate School of Infection Control Sciences, Kitasato University , 2) Ōmura Satoshi Memorial Institute, Kitasato University , 3) Research Management Department, Kowa Company Ltd. , 4) University of Florida College of Medicine
Received: June 21, 2023;   Accepted: July 23, 2023;   Released: August 04, 2023
Keywords: azithromycin (AZM), polymyxin B nonapeptide (PMBN), Pseudomonas aeruginosa (P. aeruginosa), multidrug-resistant clinical isolates
Abstracts

Semi-synthetic antibiotic, azithromycin (AZM) does not show significant bactericidal activity against Pseudomonas aeruginosa (P. aeruginosa). We focused on potential for AZM as a multi targeting drug against P. aeruginosa and found combination of AZM and Polymyxin B nonapeptide (PMBN) to increase the permeability of the outer membrane. This combination is effective for P. aeruginosa including multidrug-resistance clinical isolates and shows 32-512-fold potentiation of the anti-P. aeruginosa activity of AZM. We found a great opportunity to create new anti-P. aeruginosa drug candidates based on AZM and PMBN.