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Antimicrob Agents Chemother. 2018;62(10):AAC.00731-18.

Effects of Phage Endolysin SAL200 Combined with Antibiotics on Staphylococcus aureus Infection.

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제1저자 김낙현 · 교신저자 박완범,김홍빈

소속 (6)
  1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
  2. Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  3. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea wbpark1@snu.ac.kr hbkimmd@snu.ac.kr.
  4. Division of Infectious Diseases, Seoul National University Hospital, Seoul, Republic of Korea.
  5. Division of Infectious Diseases, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  6. iNtRON Biotechnology, Inc., Seongnam, Republic of Korea.

Abstract

Phages and their derivatives are increasingly being reconsidered for use in the treatment of bacterial infections due to the rising rates of antibiotic resistance. We assessed the antistaphylococcal effect of the endolysin SAL200 in combination with standard-of-care (SOC) antibiotics. The activity of SAL200 when it was combined with SOC antibiotics was assessed in vitro by checkerboard and time-kill assays and in vivo with murine bacteremia and Galleria mellonella infection models. SAL200 reduced the SOC antibiotic MICs and showed a ≥3-log10-CFU/ml reduction of Staphylococcus aureus counts within 30 min in time-kill assays. Combinations of SAL200 and SOC antibiotics achieved a sustained decrease of >2 log10 CFU/ml. SAL200 significantly lowered the blood bacterial density within 1 h by >1 log10 CFU/ml in bacteremic mice (P < 0.05 versus untreated mice), and SAL200 and SOC antibiotic combinations achieved the lowest levels of bacteremia. The bacterial density in splenic tissue at 72 h postinfection was the lowest in mice treated with SAL200 and SOC antibiotic combinations. SAL200 combined with SOC antibiotics also improved Galleria mellonella larva survival at 96 h postinfection. The combination of the phage endolysin SAL200 with SOC antistaphylococcal antibiotics showed synergistic effects in vitro and in vivo The combination of SAL200 with SOC antibiotics could help in the treatment of difficult-to-treat S. aureus infections.

Copyright © 2018 American Society for Microbiology.

Keywords

Staphylococcus aureusendolysinphagesynergism

그 밖의 정보
출판 형태
Journal Article, Research Support, Non-U.S. Gov't
저널
Antimicrobial agents and chemotherapy · eISSN 1098-6596
전자 출판
2018-09-24
MeSH
Animals · Anti-Bacterial Agents / therapeutic use · Bacteremia / drug therapy / microbiology · Drug Synergism · Endopeptidases / therapeutic use · Female · Lepidoptera / microbiology · Mice · Mice, Inbred BALB C · Microbial Sensitivity Tests · Staphylococcal Infections / drug therapy · Staphylococcus aureus / drug effects / pathogenicity
Substances
Anti-Bacterial Agents · Endopeptidases · endolysin
참고문헌
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