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Synergistic Effect of Doripenem in Combination With Cefoxitin and Tetracycline in Inhibiting NDM-1 Producing Bacteria

Lubna Maryam, Shamsi Khalid, Abid Ali, Asad U Khan

Future Microbiol. 2019 May;14:671-689.

PMID: 31161792

Abstract:

Aim: To propose newer combinations of antibiotics effective against NDM-1-producing bacterial strains. Materials & methods: Antibiotics combinations were tested by checkerboard assay. NDM-1 protein/enzyme was expressed and purified to perform enzyme kinetics, circular dichroism and fluorescence spectroscopic studies. Results: Doripenem-cefoxitin combination and doripenem-tetracycline combination showed synergistic effect toward NDM-1-producing strains. The catalytic efficiency of NDM-1 enzyme was decreased drastically by 96.6% upon doripenem-cefoxitin treatment and by 35.54% after doripenem-tetracycline treatment. Conformational changes were observed in NDM-1 upon combination treatment. Conclusion: NDM-1-producing bacterial strains show resistance to multiple antibiotics but the combination of doripenem-cefoxitin and doripenem-tetracycline are effective against them. The combination of a carbapenem and cephamycin antibiotic is proposed for future treatment options against bacteria-producing NDM-1.

Chemicals Related in the Paper:

Catalog Number Product Name Structure CAS Number Price
AP35607660 Cefoxitin Cefoxitin 35607-66-0 Price
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