Abstract

Nosocomial infections caused by antibiotic-resistant Gram-negative pathogens are of grave concern today. Polymyxins are considered as the last resorts of therapy to treat these multi-drug resistant (MDR) bacteria. But their associated nephrotoxicity and neurotoxicity calls for the development of safer polymyxin therapy until novel and less toxic antibiotics are discovered. No other polymyxin molecule except polymyxin B and E (colistin) is explored thoroughly in literature to demonstrate its clinical relevance. In the present study, we have isolated two antimicrobial compounds named P1 and P2 from the soil isolate Paenibacillus dendritiformis strain PV3-16, which we later identified as polymyxin A2 and A1 respectively. We tested their minimum inhibitory concentrations (MICs) against MDR clinical isolates, performed membrane permeabilization assays and determined their interaction with lipopolysaccharide (LPS). Finally, we studied their toxicity against human Leukemic monocyte cell line (THP-1) and embryonic kidney cell line (HEK 293). Both compounds displayed equal efficacy when compared with standard polymyxins. P1 was 2–4 fold more active in most of the clinical strains tested. Moreover, P1 showed higher affinity toward LPS. In cytotoxicity studies, P1 had IC50 value (>1000 μg/ml) similar to colistin against HEK cells but immune cells, i.e., THP-1 cell lines were more sensitive to polymyxins. P1 showed less toxicity in THP-1 cell line than all other polymyxins checked. To sum up, P1 (polymyxin A2) possessed better efficacy than polymyxin B and E and had least toxicity to immune cells. Since polymyxin A was not investigated thoroughly, we performed the comprehensive in vitro assessment of this molecule. Moreover, this is the first report of isolation and characterization of polymyxin A from P. dendritiformis. This compound should be further investigated for its in vivo efficacy and toxicity to develop it as a drug candidate.

Highlights

  • The emergence of Multi-Drug Resistant (MDR), Extensive DrugResistant (XDR), and Pan Drug-Resistant (PDR) bacterial strains is an alarming threat to our society

  • Polymyxins are an essential group of antibiotics used as the last therapeutic option to treat infections caused by carbapenem-resistant Enterobacteriaceae, MDR A. baumannii, and P. aeruginosa

  • Since there was no report of purification of antimicrobial compound from this species previously, we decided to work on this strain

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Summary

INTRODUCTION

The emergence of Multi-Drug Resistant (MDR), Extensive DrugResistant (XDR), and Pan Drug-Resistant (PDR) bacterial strains is an alarming threat to our society. Other reports suggested the potential advantage of polymyxin B in comparison to colistin regarding the toxicity problem (Akajagbor et al, 2013; Phe et al, 2014). As polymyxins serve as sole weapons until novel and effective antibiotics are discovered, there is still need for a safer polymyxin therapy to treat MDR Gram-negative infections (Landman et al, 2008). Polymyxin A has been reported very scarcely We determined their minimum inhibitory concentration (MIC) against various MDR clinical isolates and examined their toxicity in two mammalian cell lines. We studied their effects on the membrane of Gram-negative bacteria via different techniques. We have performed comprehensive in vitro assessment of polymyxin A and its comparison with polymyxin B and E

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