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Therapeutic Alternatives for Drug-Resistant Cabapenemase- Producing Enterobacteria
THERAPEUTIC ALTERNATIVES FOR MULTIDRUG-RESISTANT AND EXTREMELY All isolates resistant to carbapenems were evaluated Fig. 1: Susceptibility (%) of Carbapenemase-producing MDRE Fig. 3: Susceptibility (%) of VIM-producing MDRE to Alternative DRUG-RESISTANT CABAPENEMASE- for the presence of genes encoding carbapenemases to Alternative Antibiotics Antibiotics PRODUCING ENTEROBACTERIA OXA-48-like, KPC, GES, NDM, VIM, IMP and GIM. M. Almagro*, A. Kramer, B. Gross, S. Suerbaum, S. Schubert. Max Von Pettenkofer Institut, Faculty of Medicine. LMU Munich, München, Germany. RESULTS BACKROUND 44 isolates of CPE were collected: OXA-48 (n=29), VIM (n=9), NDM-1 (n=5), KPC (n=1) and GES (n=1). The increasing emergence and dissemination of carbapenem-resistant gram-negative bacilli has From the 44 CPE isolates, 26 isolates were identified reduced significantly the options for sufficient as Klebsiella pneumoniae (68% of the OXA-48 CPE), 8 Fig. 2: Susceptibility (%) of OXA-48-producing MDRE to Fig. 4: Susceptibility (%) of NDM-producing MDRE to Alternative antibiotic therapy. The genes encoding most of these as Escherichia coli, 6 as Enterobacter cloacae, 2 as Alternative Antibiotics Antibiotics carbapenemases reside on plasmids or transposons Citrobacter freundii,1 as Providencia stuartii and 1 as carrying additional resistance genes which confer Morganella morganii. multidrug resistance to the isolates. 31 isolates (70%) were causing an infection, including urinary tract infection (20%), respiratory tract MATERIALS AND METHODS infection (18%), abdominal infection (18%), bacteraemia (9%) and skin and soft tissue infection In the present study, we tested the in vitro activity of (5%). 13 isolates were believed to be colonizers. antimicrobial agents against a well-characterized c o l l e c t i o n o f c a r b a p e n e m a s e - p r o d u c i n g Isolates were classified as 32 MDRE and 13 XDRE. -
National Antibiotic Consumption for Human Use in Sierra Leone (2017–2019): a Cross-Sectional Study
Tropical Medicine and Infectious Disease Article National Antibiotic Consumption for Human Use in Sierra Leone (2017–2019): A Cross-Sectional Study Joseph Sam Kanu 1,2,* , Mohammed Khogali 3, Katrina Hann 4 , Wenjing Tao 5, Shuwary Barlatt 6,7, James Komeh 6, Joy Johnson 6, Mohamed Sesay 6, Mohamed Alex Vandi 8, Hannock Tweya 9, Collins Timire 10, Onome Thomas Abiri 6,11 , Fawzi Thomas 6, Ahmed Sankoh-Hughes 12, Bailah Molleh 4, Anna Maruta 13 and Anthony D. Harries 10,14 1 National Disease Surveillance Programme, Sierra Leone National Public Health Emergency Operations Centre, Ministry of Health and Sanitation, Cockerill, Wilkinson Road, Freetown, Sierra Leone 2 Department of Community Health, Faculty of Clinical Sciences, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone 3 Special Programme for Research and Training in Tropical Diseases (TDR), World Health Organization, 1211 Geneva, Switzerland; [email protected] 4 Sustainable Health Systems, Freetown, Sierra Leone; [email protected] (K.H.); [email protected] (B.M.) 5 Unit for Antibiotics and Infection Control, Public Health Agency of Sweden, Folkhalsomyndigheten, SE-171 82 Stockholm, Sweden; [email protected] 6 Pharmacy Board of Sierra Leone, Central Medical Stores, New England Ville, Freetown, Sierra Leone; [email protected] (S.B.); [email protected] (J.K.); [email protected] (J.J.); [email protected] (M.S.); [email protected] (O.T.A.); [email protected] (F.T.) Citation: Kanu, J.S.; Khogali, M.; 7 Department of Pharmaceutics and Clinical Pharmacy & Therapeutics, Faculty of Pharmaceutical Sciences, Hann, K.; Tao, W.; Barlatt, S.; Komeh, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown 0000, Sierra Leone 8 J.; Johnson, J.; Sesay, M.; Vandi, M.A.; Directorate of Health Security & Emergencies, Ministry of Health and Sanitation, Sierra Leone National Tweya, H.; et al. -
Spectroscopic Characterization of Chloramphenicol and Tetracycline
A tica nal eu yt c ic a a m A r a c t Trivedi et al., Pharm Anal Acta 2015, 6:7 h a P DOI: 10.4172/2153-2435.1000395 ISSN: 2153-2435 Pharmaceutica Analytica Acta Research Article Open Access Spectroscopic Characterization of Chloramphenicol and Tetracycline: An Impact of Biofield Treatment Mahendra Kumar Trivedi1, Shrikant Patil1, Harish Shettigar1, Khemraj Bairwa2 and Snehasis Jana2* 1Trivedi Global Inc., 10624 S Eastern Avenue Suite A-969, Henderson, NV 89052, USA 2Trivedi Science Research Laboratory Pvt. Ltd., Hall-A, Chinar Mega Mall, Chinar Fortune City, Hoshangabad Rd., Bhopal- 462026, Madhya Pradesh, India Abstract Objective: Chloramphenicol and tetracycline are broad-spectrum antibiotics and widely used against variety of microbial infections. Nowadays, several microbes have acquired resistance to chloramphenicol and tetracycline. The present study was aimed to evaluate the impact of biofield treatment for spectroscopic characterization of chloramphenicol and tetracycline using FT-IR and UV-Vis spectroscopy. Methods: The study was performed in two groups (control and treatment) of each antibiotic. The control groups remained as untreated, and biofield treatment was given to treatment groups. Results: FT-IR spectrum of treated chloramphenicol exhibited the decrease in wavenumber of NO2 from 1521 cm-1 to 1512 cm-1 and increase in wavenumber of C=O from 1681 cm-1 to 1694 cm-1 in acylamino group. It may be due to increase of conjugation effect in NO2 group, and increased force constant of C=O bond. As a result, stability of both NO2 and C=O groups might be increased in treated sample as compared to control. -
P147-Bioorgchem-Kanamycin Nucleotidyltransferase-1999.Pdf
Bioorganic Chemistry 27, 395±408 (1999) Article ID bioo.1999.1144, available online at http://www.idealibrary.com on Kinetic Mechanism of Kanamycin Nucleotidyltransferase from Staphylococcus aureus1 Misty Chen-Goodspeed,* Janeen L. Vanhooke,² Hazel M. Holden,² and Frank M. Raushel*,2 *Department of Chemistry, Texas A&M University, College Station, Texas 77843; and ²Department of Biochemistry, Institute for Enzyme Research, University of Wisconsin, Madison, Wisconsin 53705 Received December 16, 1998 Kanamycin nucleotidyltransferase (KNTase) catalyzes the transfer of the adenyl group from MgATP to either the 4Ј or 4Љ-hydroxyl group of aminoglycoside antibiotics. The steady state kinetic parameters of the enzymatic reaction have been measured by initial velocity, product, and dead-end inhibition techniques. The kinetic mechanism is ordered where the antibiotic binds prior to MgATP and the modified antibiotic is the last product to be released. The effects of altering the relative solvent viscosity are consistent with the release of the products as the rate-limiting step. The pH profiles for Vmax and V/KATP show that a single ionizable group with apK of ϳ8.9 must be protonated for catalysis. The V/K profile for kanamycin as a function of pH is bell-shaped and indicates that one group must be protonated with a pK value of 8.5, while another group must be unprotonated with a pK value of 6.6. An analysis of the kinetic constants for 10 different aminoglycoside antibiotics and 5 nucleotide triphosphates indicates very little difference in the rate of catalysis or substrate binding among these substrates. ᭧ 1999 Academic Press Key Words: kanamycin nucleotidyltransferase; antibiotic modification. -
Comparison of Thimerosal Effectiveness in the Formulation of Eye Drops Containing Neomycin Sulfate and Chloramphenicol
International Journal of Applied Pharmaceutics ISSN- 0975-7058 Vol 11, Issue 1, 2019 Original Article COMPARISON OF THIMEROSAL EFFECTIVENESS IN THE FORMULATION OF EYE DROPS CONTAINING NEOMYCIN SULFATE AND CHLORAMPHENICOL MARLINE ABDASSAH1, SRI AGUNG FITRI KUSUMA2* 1Departement of Pharmaceutics, Faculty of Pharmacy, Padjadjaran University, Sumedang, West Java, Indonesia 45363, 2Department of Biology Pharmacy, Faculty of Pharmacy, Padjadjaran University, Sumedang, West Java, Indonesia 45363 Email: [email protected] Received: 27 Sep 2018, Revised and Accepted: 19 Nov 2018 ABSTRACT Objective: This study was aimed to compare the preservative efficacy of thimerosal in eye drops formulation containing neomycin sulfate and chloramphenicol as the active agents. Methods: Determination of thimerosal concentration in combinations with chloramphenicol and neomycin sulfate was carried out using the agar diffusion method. Then the thimerosal ineffective and minimal concentration was formulated into eye drops, each with 0.5% neomycin sulfate and 0.5% chloramphenicol as the active ingredient. Evaluation of eye drops was carried out for 28 d, which included: visual observation, pH measurement, sterility, and effectiveness test. Results: Thimerosal at a minimum concentration of 0.001% remain to provide antibacterial activity against common eyes contaminants. Both eyes drops containing neomycin sulfate, and chloramphenicol resulted in clear solution, sterile, and stable in the pH and antibacterial potency,showed the efficacy of thimerosal’s role in eye drops at the lowest concentration. But, the thimerosal stability as a preservative agent was affected by the pH values of the eye drops solution. Therefore, the effectivity of thimerosal in chloramphenicol (pH 7.19-7.22) was better than neomycin sulfate (6.45- 6.60). -
BD BBL™ Sabouraud Brain Heart Infusion Agar Slants with Chloramphenicol and Gentamicin, Pkg
BBL™ Sabouraud Brain Heart Infusion Agar Slants with Chloramphenicol and Gentamicin 8806701 • Rev. 02 • April 2015 QUALITY CONTROL PROCEDURES I INTRODUCTION This medium is used in qualitative procedures for the selective isolation and cultivation of pathogenic fungi from clinical and nonclinical specimens. II PERFORMANCE TEST PROCEDURE 1. Inoculate representative samples with the cultures listed below. a. For B. dermatitidis and T. mentagrophytes inoculate directly using a 0.01 mL loopful of fungal broth culture. b. For C. albicans and E. coli inoculate using 0.01 mL of saline suspensions diluted to yield 103 – 104 CFUs. 2. Incubate tubes with loosened caps at 25 ± 2 °C for up to 7 days in an aerobic atmosphere. 3. Expected Results Organisms ATCC® Recovery *Blastomyces dermatitidis 56218 Fair to heavy growth *Candida albicans 10231 Fair to heavy growth *Trichophyton mentagrophytes 9533 Fair to heavy growth *Escherichia coli 25922 Inhibition (partial to complete) *Recommended organism strain for User Quality Control. III ADDITIONAL QUALITY CONTROL 1. Examine the tubes for signs of deterioration as described under “Product Deterioration.” 2. Visually examine representative tubes to assure that any existing physical defects will not interfere with use. 3. Determine the pH potentiometrically at room temperature for adherence to the specification of 6.8 ± 0.2. 4. Incubate uninoculated representative samples at 20 – 25 °C and 30 – 35 °C and examine after 7 days for microbial contamination. PRODUCT INFORMATION IV INTENDED USE This medium is used in qualitative procedures for the selective isolation and cultivation of pathogenic fungi from clinical and nonclinical specimens. V SUMMARY AND EXPLANATION Sabouraud Brain Heart Infusion Agar is based on the formulation of Gorman.1 The combination of Brain Heart Infusion Agar and Sabouraud Dextrose Agar in this medium improves the recovery of fungi compared with the recovery on either medium individually. -
A New Mutation in 16S Rrna Ofescherichia Coli
464-466 Nucleic Acids Research, 1995, Vol. 23, No. 3 Q-D/ 1995 Oxford University Press A new mutation in 16S rRNA of Escherichia coli conferring spectinomycin resistance Urban Johanson and Diarmaid Hughes* Department of Molecular Biology, Uppsala University, Biomedical Center, S-751 24 Uppsala, Sweden Received September 24, 1994; Revised and Accepted December 30, 1994 ABSTRACT 1067 1089 A -U We report a novel mutation, Cl 066U in 16S rRNA which was selected for resistance to spectinomycin, an U @- G4C antibiotic which inhibits ribosomal translocation. The U,A,C e- G,U,A minimal inhibitory concentration (MIC) of spectinomy- A cin determined for this mutant (15 pg/ml) is greater U U than with the wild-type plasmid (5 ig/ml) but lower than 1062 1194 with the well known C1192U mutation (>80 pg/ml). The Cl 066U mutation also increases the cells sensitivity to Figure 1. Secondary structure of the upper part of helix 34 of 16S rRNA in fusidic acid, another antibiotic which inhibits transla- Ecoli (24) with the novel C1066U mutation indicated by an open U. In tion at the translocation stage, whereas C1192U is addition, all other known SpcR mutations are shown. The mutations are A1191G,C, Gi 193A in C.reinhardtii chloroplast (25); G1064A (20), A1191C, unchanged relative to the wild type. We discuss why Cl 192U (26) inN.tabacum chloroplast; GI 193A (20) inN.undulata chloroplast the acquisition of resistance to one of these drugs is and C1192U (1), C1192U,G,A (19), G1064U,C,A, G1064U-C1192A, often associated with hypersensitivity to the other. -
Yeast Glycosylation Mutants Are Sensitive to Aminoglycosides
Proc. Natl. Acad. Sci. USA Vol. 92, pp. 1287-1291, February 1995 Cell Biology Yeast glycosylation mutants are sensitive to aminoglycosides NETA DEAN Department of Biochemistry and Cell Biology, State University of New York, Stony Brook, NY 11794-5215 Communicated by William J. Lennarz, State University of New York Stony Brook, NY, September 30, 1994 (received for review July 13, 1994) ABSTRACT Aminoglycosides are a therapeutically im- tants and their genetic analyses will be described elsewhere.) portant class of antibiotics that inhibit bacterial protein syn- Surprisingly, two mutants were isolated that are defective in very thesis and a number of viral and eukaryotic functions by early steps of glycosylation that take place in or before the blocking RNA-protein interactions. Vanadate-resistant Sac- endoplasmic reticulum (ER). The isolation of mutants with de- charomyces cerevisiae mutants with defects in Golgi-specific fects in early steps in the glycosylation pathway suggested that glycosylation processes exhibit growth sensitivity to hygro- hygromycin B sensitivity is not due to defects in Golgi-specific mycin B, an aminoglycoside [Ballou, L., Hitzeman, R. A., functions. To understand how a molecule that binds to RNA Lewis, M. S. & Ballou, C. E. (1991) Proc. Nall. Acad. Sci. USA impinges upon glycosylation within the secretory pathway, I ex- 88,3209-3212]. Here, evidence is presented that glycosylation amined the effect of aminoglycosides on the growth character- is, in and of itself, a key factor mediating aminoglycoside istics ofyeast glycosylation mutants. In the present work, I report sensitivity in yeast. Examination ofmutants with a wide range the results of experiments that demonstrate that aminoglycoside of glycosylation abnormalities reveals that all are sensitive to hypersensitivity is due, at least in part, to defects in glycosylation. -
Mitochondria and Antibiotics: for Good Or for Evil?
biomolecules Review Mitochondria and Antibiotics: For Good or for Evil? Juan M. Suárez-Rivero † , Carmen J. Pastor-Maldonado † , Suleva Povea-Cabello, Mónica Álvarez-Córdoba, Irene Villalón-García, Marta Talaverón-Rey, Alejandra Suárez-Carrillo, Manuel Munuera-Cabeza and José A. Sánchez-Alcázar * Andalusian Center for Developmental Biology (CABD-CSIC-Pablo de Olavide University) and Center for Biomedical Network Research on Rare Diseases, Carlos III Health Institute, 41013 Seville, Spain; [email protected] (J.M.S.-R.); [email protected] (C.J.P.-M.); [email protected] (S.P.-C.); [email protected] (M.Á.-C.); [email protected] (I.V.-G.); [email protected] (M.T.-R.); [email protected] (A.S.-C.); [email protected] (M.M.-C.) * Correspondence: [email protected] † These authors contributed equally to this work. Abstract: The discovery and application of antibiotics in the common clinical practice has undeniably been one of the major medical advances in our times. Their use meant a drastic drop in infectious diseases-related mortality and contributed to prolonging human life expectancy worldwide. Never- theless, antibiotics are considered by many a double-edged sword. Their extensive use in the past few years has given rise to a global problem: antibiotic resistance. This factor and the increasing evidence that a wide range of antibiotics can damage mammalian mitochondria, have driven a significant sector of the medical and scientific communities to advise against the use of antibiotics for purposes Citation: Suárez-Rivero, J.M.; other to treating severe infections. Notwithstanding, a notorious number of recent studies support Pastor-Maldonado, C.J.; the use of these drugs to treat very diverse conditions, ranging from cancer to neurodegenerative or Povea-Cabello, S.; Álvarez-Córdoba, M.; Villalón-García, I.; Talaverón-Rey, mitochondrial diseases. -
Chloramphenicol Gesting That Mitochondrial DNA Is Involved in the Pathogenesis of Secondary Leukemia
Report on Carcinogens, Fourteenth Edition For Table of Contents, see home page: http://ntp.niehs.nih.gov/go/roc Chloramphenicol gesting that mitochondrial DNA is involved in the pathogenesis of secondary leukemia. CAS No. 56-75-7 Cancer Studies in Experimental Animals Reasonably anticipated to be a human carcinogen No adequate studies of the carcinogenicity of chloramphenicol in First listed in the Tenth Report on Carcinogens (2002) experimental animals were identified. In male mice given chloram- phenicol by intraperitoneal injection in combination with busulfan OH Cl (the known human carcinogen 1,4-butanediol dimethanesulfonate), H CH N CH the incidence of lymphoma was significantly higher than in mice re- CH C Cl ceiving either busulfan or chloramphenicol alone (Robin et al. 1981). CH2 O O2N HO Properties Carcinogenicity Chloramphenicol is a naturally occurring antibiotic derivative of di- chloroacetic acid that is a white to grayish or yellowish-white fine Chloramphenicol is reasonably anticipated to be a human carcinogen, crystalline powder at room temperature. It is soluble in water and based on limited evidence of carcinogenicity from studies in humans. very soluble in methanol, ethanol, butanol, ethyl acetate, chloroform, and acetone. It is fairly soluble in ether, but insoluble in benzene, pe- Cancer Studies in Humans troleum ether, and vegetable oils (IARC 1990, HSDB 2009). It is stable Numerous case reports have shown leukemia to occur after medical under normal shipping and handling conditions (Akron 2009). The treatment for chloramphenicol-induced aplastic anemia, and three biologically active form of chloramphenicol is levorotatory (Cham- case reports have documented the occurrence of leukemia after chlor- bers 2001). -
Structural Basis for Potent Inhibitory Activity of the Antibiotic Tigecycline During Protein Synthesis
Structural basis for potent inhibitory activity of the antibiotic tigecycline during protein synthesis Lasse Jennera,b,1, Agata L. Starostac,1, Daniel S. Terryd,e, Aleksandra Mikolajkac, Liudmila Filonavaa,b,f, Marat Yusupova,b, Scott C. Blanchardd, Daniel N. Wilsonc,g,2, and Gulnara Yusupovaa,b,2 aInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Institut National de la Santé et de la Recherche Médicale U964, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 7104, 67404 Illkirch, France; bUniversité de Strasbourg, F-67084 Strasbourg, France; cGene Center and Department for Biochemistry, University of Munich, 81377 Munich, Germany; dDepartment of Physiology and Biophysics, Weill Medical College of Cornell University, New York, NY 10065; eTri-Institutional Training Program in Computational Biology and Medicine, New York, NY 10065; fMax Planck Institute for Biophysical Chemistry, 37077 Göttingen, Germany; and gCenter for Integrated Protein Science Munich, University of Munich, 81377 Munich, Germany Edited by Rachel Green, Johns Hopkins University, Baltimore, MD, and approved January 17, 2013 (received for review September 28, 2012) + Here we present an X-ray crystallography structure of the clinically C1054 via a coordinated Mg2 ion (Fig. 1 D and E), as reported relevant tigecycline antibiotic bound to the 70S ribosome. Our previously for tetracycline (2). In addition, ring A of tigecycline + structural and biochemical analysis indicate that the enhanced coordinates a second Mg2 ion to facilitate an indirect interaction potency of tigecycline results from a stacking interaction with with the phosphate-backbone of G966 in h31 (Fig. 1 C–E). We also nucleobase C1054 within the decoding site of the ribosome. -
TETRACYCLINES and CHLORAMPHENICOL Protein Synthesis
ANTIMICROBIALS INHIBITING PROTEIN SYNTHESIS AMINOGLYCOSIDES MACROLIDES TETRACYCLINES AND CHLORAMPHENICOL Protein synthesis Aminoglycosides 1. Aminoglycosides are group of natural and semi -synthetic antibiotics. They have polybasic amino groups linked glycosidically to two or more aminosugar like: sterptidine, 2-deoxy streptamine, glucosamine 2. Aminoglycosides which are derived from: Streptomyces genus are named with the suffix –mycin. While those which are derived from Micromonospora are named with the suffix –micin. Classification of Aminoglycosides 1. Systemic aminogycosides Streptomycin (Streptomyces griseus) Gentamicin (Micromonospora purpurea) Kanamycin (S. kanamyceticus) Tobramycin (S. tenebrarius) Amikacin (Semisynthetic derivative of Kanamycin) Sisomicin (Micromonospora inyoensis) Netilmicin (Semisynthetic derivative of Sisomicin) 2. Topical aminoglycosides Neomycin (S. fradiae) Framycetin (S. lavendulae) Pharmacology of Streptomycin NH H2N NH HO OH Streptidine OH NH H2N O O NH CHO L-Streptose CH3 OH O HO O HO NHCH3 N-Methyl-L- Glucosamine OH Streptomycin Biological Source It is a oldest aminoglycoside antibiotic obtained from Streptomyces griseus. Antibacterial spectrum 1. It is mostly active against gram negative bacteria like H. ducreyi, Brucella, Yersinia pestis, Francisella tularensis, Nocardia,etc. 2. It is also used against M.tuberculosis 3. Few strains of E.coli, V. cholerae, H. influenzae , Enterococci etc. are sensitive at higher concentration. Mechanism of action Aminoglycosides bind to the 16S rRNA of the 30S subunit and inhibit protein synthesis. 1. Transport of aminoglycoside through cell wall and cytoplasmic membrane. a) Diffuse across cell wall of gram negative bacteria by porin channels. b) Transport across cell membrane by carrier mediated process liked with electron transport chain 2. Binding to ribosome resulting in inhibition of protein synthesis A.