In-Vitro Activity of Dimercaptosuccinic Acid in Combination with Carbapenems Against Carbapenem-Resistant Pseudomonas aeruginosa.

Details

Serval ID
serval:BIB_DD10BD2203F7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
In-Vitro Activity of Dimercaptosuccinic Acid in Combination with Carbapenems Against Carbapenem-Resistant Pseudomonas aeruginosa.
Journal
Microbial drug resistance
Author(s)
Bouvier M., Freire S., Findlay J., Nordmann P.
ISSN
1931-8448 (Electronic)
ISSN-L
1076-6294
Publication state
Published
Issued date
01/2025
Peer-reviewed
Oui
Volume
31
Number
1
Pages
16-20
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Carbapenenemase producers, particularly the metallo-β-lactamase (MBL) types in Pseudomonas aeruginosa, have emerged as an urgent threat in health care settings. MBLs require zinc at their catalytic site and can be inhibited by dimercaptosuccinic acid (DMSA), a metal chelator known for the treatment of lead and mercury intoxication. Isogenic strains of wild-type and OprD-deleted P. aeruginosa PA14, were constructed, producing the MBLs VIM-2, NDM-1, SPM-1, IMP-1, and AIM-1, or the non-MBL carbapenemases, GES-5 and KPC-2. In addition, 59 previously characterized clinical isolates of P. aeruginosa producing different ß-lactamases (including carbapenemases), and with known outer-membrane porin OprD status, were utilized. Minimal inhibitory concentrations values of imipenem and meropenem, and DMSA combinations were determined, and time-kill assays were performed with PA14 expressing VIM-2. Results indicated a significant additive effect of DMSA (most effective at 3 mM) and carbapenems in recombinant and clinical strains of P. aeruginosa expressing MBLs, in particular against VIM producers, which are the most prevalent carbapenemases in P. aeruginosa. This effect was best evidenced with meropenem and in strains without OprD modification. DMSA shows promising efficacy, particularly in combination therapy with meropenem, for treating infections caused by MBL-producing P. aeruginosa.
Keywords
Pseudomonas aeruginosa/drug effects, Pseudomonas aeruginosa/genetics, Anti-Bacterial Agents/pharmacology, Microbial Sensitivity Tests, beta-Lactamases/genetics, Carbapenems/pharmacology, Meropenem/pharmacology, Humans, Bacterial Proteins/genetics, Porins/genetics, Pseudomonas Infections/drug therapy, Pseudomonas Infections/microbiology, Unithiol/pharmacology, Imipenem/pharmacology, Drug Synergism, Pseudomonas aeruginosa, carbapenem, dimercaptosuccinic acid, metallo-β-lactamase, β-lactamase inhibitor
Pubmed
Web of science
Create date
02/12/2024 13:56
Last modification date
10/01/2025 7:04
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