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1.
Antimicrob Agents Chemother ; 45(6): 1780-7, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11353625

RESUMO

We investigated the unusual susceptibility to meropenem observed for seven imipenem-resistant clinical isolates of Pseudomonas aeruginosa. These strains were genetically closely related, expressed OprD, as determined by Western blot analyses, and were resistant to imipenem (>5 microg/ml) but susceptible to meropenem (<1 microg/ml). The oprD genes from two isolates were entirely sequenced, and their deduced protein sequences showed 93% identity with that of OprD of strain PAO1. The major alteration consisted of the replacement of a stretch of 12 amino acids, located in putative external loop L7 of OprD, by a divergent sequence of 10 amino acid residues. The oprD gene variants and the wild-type oprD gene were cloned and expressed in a defined oprD mutant. The meropenem MICs for strains carrying the oprD genes from clinical isolates were four times lower than that for the strain carrying the wild-type oprD gene. Imipenem activities, however, were comparable for all strains. Furthermore, meropenem hypersusceptibility was obtained with a hybrid OprD porin that consisted of the PAO1 oprD gene containing loop L7 from a clinical isolate. These results show that the C-terminal portion of OprD, in particular, loop L7, was responsible for the unusual meropenem hypersusceptibility. Competition experiments suggested that the observed OprD modifications in the clinical isolates did not affect antagonism between imipenem and the basic amino acid L-lysine. We further propose that shortening of putative loop L7 of the OprD porin by 2 amino acid residues sufficiently opens the porin channel to allow optimal penetration of meropenem and increase its activity. In contrast, this alteration would not affect susceptibility to a smaller carbapenem molecule, such as imipenem.


Assuntos
Imipenem/farmacologia , Porinas/efeitos dos fármacos , Pseudomonas aeruginosa/efeitos dos fármacos , Pseudomonas aeruginosa/genética , Tienamicinas/farmacologia , Sequência de Aminoácidos , Meropeném , Testes de Sensibilidade Microbiana , Dados de Sequência Molecular , Plasmídeos/efeitos dos fármacos
2.
Antimicrob Agents Chemother ; 45(2): 571-6, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11158756

RESUMO

The ability of trovafloxacin and ciprofloxacin to select efflux mutants in vivo was studied in a model of acute Pseudomonas aeruginosa pneumonia in rats. Twelve hours after intratracheal inoculation of 10(6) CFU of P. aeruginosa strain PAO1 enmeshed in agar beads, two groups of 12 rats were treated by three intraperitoneal injections of each antibiotic given every 5 h. Dosing regimens were chosen to obtain a comparable area under the concentration-time curve from 0 to infinity/MIC ratio of 27.9 min for trovafloxacin (75 mg/kg of body weight) and of 32.6 min for ciprofloxacin (12.5 mg/kg). Twelve rats were left untreated and served as controls. Rats were sacrificed 12 h after the last injection (34 h after infection) for lung bacteriological studies. Selection of resistant bacteria was determined by plating lung homogenates on Trypticase soy agar plates containing antibiotic. In untreated animals, the frequency of resistant colonies was 10-fold higher than in agar beads. Compared to controls, both treatment regimens resulted in a 2-log reduction of lung bacterial load. The frequency of resistant colonies was 10-fold less with trovafloxacin than with ciprofloxacin at twice the MIC (7.4 x 10(-5) versus 8.4 x 10(-4), respectively) (P < 0.05) and at four times the MIC (6.2 x 10(-4) versus 5.0 x 10(-5), respectively) (P < 0.05). A multidrug resistance phenotype typical of efflux mutants was observed in all 41 randomly tested colonies obtained from treated and untreated rats. In agreement with in vitro results, trovafloxacin and ciprofloxacin preferentially selected MexCD-OprJ and MexEF-OprN overproducers, respectively. These results demonstrate the differential ability of trovafloxacin and ciprofloxacin to select efflux mutants in vivo and highlight the rapid emergence of those mutants, even without treatment.


Assuntos
Anti-Infecciosos/uso terapêutico , Ciprofloxacina/uso terapêutico , Resistência a Múltiplos Medicamentos/genética , Fluoroquinolonas , Naftiridinas/uso terapêutico , Pneumonia Bacteriana/tratamento farmacológico , Pseudomonas aeruginosa , Doença Aguda , Animais , Anti-Infecciosos/farmacocinética , Ciprofloxacina/farmacocinética , Resistência Microbiana a Medicamentos , Pulmão/microbiologia , Pulmão/patologia , Masculino , Mutação/genética , Naftiridinas/farmacocinética , Pneumonia Bacteriana/microbiologia , Pneumonia Bacteriana/patologia , Ratos , Ratos Sprague-Dawley
3.
Antimicrob Agents Chemother ; 43(2): 424-7, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9925552

RESUMO

While meropenem MICs were strongly influenced by the presence or absence of the MexAB-OprM efflux pump in both OprD-proficient and -deficient strain backgrounds, MICs of imipenem and of ER-35786 remained unchanged, demonstrating that meropenem is a substrate of MexAB-OprM but not imipenem and ER-35786. In vitro, all three carbapenems selected loss of OprD as a first mechanism of resistance. However, in an OprD-deficient background, meropenem was able to select MexAB-OprM overproducers as a secondary resistance mechanism, while ER-35786 selected a mutant cross-resistant to sparfloxacin and cefpirome.


Assuntos
Antibacterianos/farmacologia , Carbapenêmicos/farmacologia , Porinas/genética , Pseudomonas aeruginosa/efeitos dos fármacos , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/genética , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/metabolismo , Transporte Biológico , Carbapenêmicos/metabolismo , Resistência Microbiana a Medicamentos/genética , Resistência Microbiana a Medicamentos/fisiologia , Testes de Sensibilidade Microbiana , Mutação , Porinas/metabolismo
4.
Antimicrob Agents Chemother ; 41(11): 2540-3, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9371363

RESUMO

Resistance mechanisms selected after in vitro exposure to 12 quinolones were analyzed for Pseudomonas aeruginosa. Efflux-type mutants were predominant. Quinolones differed in their ability to select a particular efflux system. While the newer fluoroquinolones favored the MexCD-OprJ system, the older quinolones selected exclusively the MexEF-OprN or MexAB-OprM systems. A protonable C-7 substituent in combination with a C-6 fluorine atom is a structural determinant of quinolones involved in efflux pump substrate specificity.


Assuntos
Anti-Infecciosos/farmacologia , Pseudomonas aeruginosa/efeitos dos fármacos , Anti-Infecciosos/química , Resistência a Múltiplos Medicamentos/genética , Fluoroquinolonas , Testes de Sensibilidade Microbiana , Pseudomonas aeruginosa/genética , Relação Estrutura-Atividade
5.
Mol Microbiol ; 23(2): 345-54, 1997 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9044268

RESUMO

Antibiotic-resistant mutants of Pseudomonas aeruginosa were generated using chloramphenicol and ciprofloxacin as selective agents. These mutants displayed a multidrug phenotype and overexpressed an outer membrane protein of 50 kDa, which was shown by Western blot analysis to correspond to OprN. A cosmid clone harbouring the oprN gene was isolated by partial complementation of a mutant deficient in OprM, the outer membrane component of the mexAB-oprM efflux operon. Antibiotic-accumulation studies indicated that OprN was part of an energy-dependent antibiotic-efflux system. Sequencing of a 6180bp fragment from the complementing cosmid revealed the presence of three open reading frames (ORFs), which exhibited amino acid similarity to the components of the mexAB-oprM and mexCD-oprJ efflux operons of P. aeruginosa. The ORFs were designated MexE, MexF and OprN. Mutation of the mexE gene eliminated the multidrug-resistance phenotype in an OprN-overexpressing strain, but did not affect the susceptibility profile of the wild-type strain. Expression of the mexEF-oprN operon was shown to be positively regulated by a protein encoded on a 1.5 kb DNA fragment located upstream of mexE and belonging to the LysR family of transcriptional activators. The presence of a plasmid containing this DNA fragment was sufficient to confer a multidrug phenotype onto the wild-type strain but not onto the mexE mutant. Evidence is provided to show that the mexEF-oprN operon may be involved in the excretion of intermediates for the biosynthesis of pyocyanin, a typical secondary metabolite of P. aeruginosa.


Assuntos
Proteínas da Membrana Bacteriana Externa/genética , Resistência a Múltiplos Medicamentos/genética , Proteínas de Membrana/genética , Pseudomonas aeruginosa/genética , Sequência de Aminoácidos , Western Blotting , Clonagem Molecular , Dados de Sequência Molecular , Alinhamento de Sequência , Análise de Sequência de DNA
6.
Antimicrob Agents Chemother ; 40(10): 2288-90, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9036831

RESUMO

Pseudomonas aeruginosa possesses at least two multiple drug efflux systems which are defined by the outer membrane proteins OprM and OprJ. We have found that mutants overexpressing OprM were two- and eightfold more resistant than their wild-type parent to sulfamethoxazole (SMX) and trimethoprim (TMP), respectively. For OprJ-overproducing strains, MICs of TMP increased fourfold but those of SMX were unchanged. Strains overexpressing OprM, but not those overexpressing OprJ, became hypersusceptible to TMP and SMX when oprM was inactivated. The wild-type antibiotic profile could be restored in an oprM mutant by transcomplementation with the cloned oprM gene. These results demonstrate that the mexABoprM multidrug efflux system is mainly responsible for the intrinsic resistance of P. aeruginosa to TMP and SMX.


Assuntos
Antibacterianos/metabolismo , Pseudomonas aeruginosa/efeitos dos fármacos , Pseudomonas aeruginosa/metabolismo , Combinação Trimetoprima e Sulfametoxazol/metabolismo , Combinação Trimetoprima e Sulfametoxazol/farmacologia , Antibacterianos/farmacologia , Proteínas da Membrana Bacteriana Externa/genética , Proteínas da Membrana Bacteriana Externa/metabolismo , Western Blotting , Clonagem Molecular , Resistência a Múltiplos Medicamentos , Genes Bacterianos , Teste de Complementação Genética , Testes de Sensibilidade Microbiana , Plasmídeos , Pseudomonas aeruginosa/genética , Tetra-Hidrofolato Desidrogenase/metabolismo
7.
Infection ; 22 Suppl 2: S105-10, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7927828

RESUMO

The ability of six antibiotics to produce resistance by stepwise selection on agar medium was assessed in 24 gram-negative rods. Escherichia coli was the strain least prone to selection of resistance, whereas Pseudomonas aeruginosa frequently developed resistance to all antibiotics. When used alone, ciprofloxacin, pefloxacin, amikacin, ceftazidime and cefpirome were associated with a comparable risk of acquired resistance (in 14 to 17 out of 24 strains); imipenem selected resistant strains in 10/24 isolates (5/18 in non-pseudomonas strains). The number of strains exhibiting cross resistance with structurally unrelated antibiotics was 11 after pefloxacin treatment, eight after exposure to ciprofloxacin, six after ceftazidime, and one after imipenem or cefpirome. The combination of ciprofloxacin with amikacin was less efficient in reducing acquisition of resistance than the combination of ciprofloxacin with a beta-lactam: ciprofloxacin plus cefpirome was especially potent in this respect.


Assuntos
Amicacina/uso terapêutico , Antibacterianos/uso terapêutico , Anti-Infecciosos/uso terapêutico , Infecção Hospitalar/tratamento farmacológico , Infecção Hospitalar/microbiologia , Quimioterapia Combinada/uso terapêutico , Infecções por Bactérias Gram-Negativas/tratamento farmacológico , Infecções por Bactérias Gram-Negativas/microbiologia , Infecção Hospitalar/epidemiologia , Resistência Microbiana a Medicamentos , Estudos de Avaliação como Assunto , Fluoroquinolonas , Infecções por Bactérias Gram-Negativas/epidemiologia , Humanos , Controle de Infecções , Fatores de Risco , beta-Lactamas
8.
Enzyme Protein ; 47(1): 1-8, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-8012497

RESUMO

Outer membrane (OM) proteins of beta-lactam-susceptible and -resistant strains of Pseudomonas aeruginosa were analyzed by 2-D polyacrylamide gel electrophoresis. Carrier ampholytes, pH 4-8, and immobilized pH gradient (IPG), pH 3.5-10.0, procedures were used. An acidic-protein spot (pI = 5.2) detected in susceptible but not in an imipenem-resistant strain was sequenced and twenty-five N-terminal amino acids had total homology with the OM protein D, the imipenem-specific porin of P. aeruginosa. A basic-protein spot (pI = 9.0) detected in ceftazidime-resistant, but not in a susceptible strain was sequenced and fourteen N-terminal amino acids had homology with a beta-lactamase encoded by the ampC gene of P. aeruginosa. The IPG procedure allows identification of more than one hundred proteins of the OM fraction from a single gel. Detection of beta-lactamase in OM fractions might reflect a periplasmic contamination, but its anchorage within the OM cannot be ruled out.


Assuntos
Proteínas da Membrana Bacteriana Externa/química , Pseudomonas aeruginosa/química , Sequência de Aminoácidos , Proteínas da Membrana Bacteriana Externa/isolamento & purificação , Ceftazidima/toxicidade , Resistência a Medicamentos , Eletroforese em Gel Bidimensional/métodos , Eletroforese em Gel de Poliacrilamida/métodos , Humanos , Imipenem/toxicidade , Dados de Sequência Molecular , Infecções por Pseudomonas/microbiologia , Pseudomonas aeruginosa/efeitos dos fármacos , Pseudomonas aeruginosa/isolamento & purificação , Homologia de Sequência de Aminoácidos
9.
Antimicrob Agents Chemother ; 35(10): 2091-7, 1991 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1662023

RESUMO

Routes of quinolone permeation in Pseudomonas aeruginosa were investigated by using sparfloxacin as a prototype compound. [14C]sparfloxacin cell labeling was 13 to 28% lower in three protein D2-deficient mutants resistant to imipenem than in their imipenem-susceptible counterparts. In four impermeability-type quinolone-resistant strains isolated from pefloxacin-treated animals, we observed two- to fourfold-greater resistance to imipenem, reduced protein D2 expression in the outer membrane according to Western blotting (immunoblotting), and 25 to 29% decreased cell labeling with imipenem. In a protein D2-producing strain but not in its protein D2-deficient isogenic mutant, uptake of [14C]sparfloxacin was strongly inhibited by L-lysine and imipenem, which act as substrates for protein D2. Conversely, binding of [14C]imipenem in a porin D2-positive strain was reduced by sparfloxacin but not by the nonamphoteric quinolone nalidixic acid. Sparfloxacin, imipenem, and lysine possess a carboxyl group and a potentially protonated nitrogen separated from each other by 0.64 to 1.07 nm as calculated by computer. Hence, protein D2 may catalyze facilitated diffusion for sparfloxacin, as it does for imipenem. In addition, pefloxacin-selected isolates contained 41 to 113% more 3-deoxy-D-mannooctulosonic acid than their quinolone-susceptible counterparts, with MIC increases of 2- to 4-fold for WIN-57273 (n-octanol-phosphate buffer partition coefficient, 13.139), 4- to 8-fold for difloxacin (partition coefficient, 3.093) and sparfloxacin (partition coefficient, 0.431), and 8- to 16-fold for norfloxacin (partition coefficient, 0.059) and ciprofloxacin (partition coefficient, 0.056). Thus, we hypothetize that in quinolone-selected strains, increased amounts of lipopolysaccharide form a permeability barrier that acts preferentially against hydrophilic quinolones.


Assuntos
Anti-Infecciosos/farmacocinética , Proteínas da Membrana Bacteriana Externa/metabolismo , Fluoroquinolonas , Lipopolissacarídeos/metabolismo , Pseudomonas aeruginosa/metabolismo , Difusão , Resistência Microbiana a Medicamentos , Eletroforese em Gel de Poliacrilamida , Imipenem/farmacologia , Immunoblotting , Lisina/metabolismo , Ligação Proteica/efeitos dos fármacos , Quinolonas/farmacocinética , Açúcares Ácidos
10.
Antimicrob Agents Chemother ; 35(3): 512-8, 1991 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-1645509

RESUMO

Mechanisms of resistance to pefloxacin were investigated in four isogenic Pseudomonas aeruginosa strains: S (parent isolate; MIC, 2 micrograms/ml), PT1 and PT2 (posttherapy isolates obtained in animals; MICs, 32 and 128 micrograms/ml, respectively), and PT2-r (posttherapy isolate obtained after six in vitro subpassages of PT2; MIC, 32 micrograms/ml). [2-3H]adenine incorporation (indirect evidence of DNA gyrase activity) in EDTA-permeabilized cells was less affected by pefloxacin in PT2 and PT2-r (50% inhibitory concentration, 0.27 and 0.26 microgram/ml, respectively) than it was in S and PT1 (50% inhibitory concentration, 0.04 and 0.05 microgram/ml, respectively). Reduced [14C]pefloxacin labeling of intact cells in strains PT1 and PT2 correlated with more susceptibility to EDTA and the presence of more calcium (P less than 0.05) and phosphorus in the outer membrane fractions. Outer membrane protein analysis showed reduced expression of protein D2 (47 kDa) in strains PT1 and PT2. Other proteins were apparently similar in all strains. The addition of calcium chloride (2 mM) to the sodium dodecyl sulfate-solubilized samples of outer membrane proteins, before heating and Western blotting, probed with monoclonal antibody anti-OmpF showed electrophoretic mobility changes of OmpF in strains PT1 and PT2 which were not seen in strain S. Calcium-induced changes were reversed with ethyleneglycoltetraacetate. Decreased [14C]pefloxacin labeling was further correlated with an altered lipopolysaccharide pattern and increased 3-deoxy-D-mannooctulosonic acid concentration (P less than 0.01). These findings suggested that resistance to pefloxacin is associated with altered DNA gyrase in strain PT2-r, with altered permeability in PT1, and with both mechanisms in PT2. The decreased expression of protein D2 and the higher calcium and lipopolysaccharide contents of the outer membrane could be responsible for the permeability deficiency in P. aeruginosa.


Assuntos
Pefloxacina/farmacologia , Pseudomonas aeruginosa/efeitos dos fármacos , Membrana Celular/efeitos dos fármacos , Permeabilidade da Membrana Celular/efeitos dos fármacos , Células Cultivadas , DNA/biossíntese , DNA Topoisomerases Tipo II/metabolismo , Resistência Microbiana a Medicamentos , Ácido Edético/farmacologia , Eletroforese em Gel de Poliacrilamida
11.
J Antimicrob Chemother ; 24(3): 387-95, 1989 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2808193

RESUMO

Certain non-fastidious Gram-negative bacilli, notably Enterobacter cloacae, although classified as susceptible by usual in-vitro susceptibility testing, often become resistant in patients treated with newer beta-lactam antibiotics. Here various in-vitro tests were carried out together with an animal model allowing the quantification of resistance that emerges after short term therapy. Mice were challenged (10(8) cfu plus talcum) intraperitoneally with one each of four strains of Ent. cloacae. Two hours later, a single beta-lactam dose was administered subcutaneously. The following day, the peritoneal bacterial population was analysed by using antibiotic-containing gradient plates. Development of resistance after therapy varied according to the compound considered. Imipenem (50 mg/kg) produced no resistance, and piperacillin (200 mg/kg) only a few, while resistance occurred frequently after therapy with aztreonam (50 mg/kg), ceftazidime (50 mg/kg), cefotaxime (50 mg/kg) and cefpirome (50 mg/kg). MICs increased by at least 16-fold when resistance developed. No simple correlations were found between these in-vivo results and initial MICs, killing kinetics, frequency of resistant variants within the bacterial populations before therapy, initial MIC of these variants or antibiotic concentrations assayed in peritoneal fluid 60 min after dosing. The most reliable predictive in-vitro test appeared to be the determination of resistance emerging in broth containing at least 16 times the MIC of the antibiotic tested. Such a test is unlikely to be used on a routine basis. When a beta-lactam compound seems appropriate for treating an Enterobacter infection, it may be advisable to avoid drugs that are prone to produce resistance in experimental or clinical infections, whatever the results of conventional in-vitro susceptibility tests.


Assuntos
Antibacterianos/uso terapêutico , Infecções por Enterobacteriaceae/microbiologia , Animais , Líquidos Corporais/microbiologia , Meios de Cultura , Resistência Microbiana a Medicamentos , Enterobacter , Infecções por Enterobacteriaceae/tratamento farmacológico , Feminino , Camundongos , Camundongos Endogâmicos ICR , Testes de Sensibilidade Microbiana , beta-Lactamas
12.
Drugs ; 35 Suppl 2: 6-11, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3396490

RESUMO

The effect of cefotaxime and ceftriaxone on faecal flora was investigated in women undergoing routine vaginal or abdominal hysterectomy. Three groups of 9 patients received, in a double-blind fashion and just before surgery, cefotaxime 2g intravenously, ceftriaxone 2g intravenously or no antibiotic (controls). Stools were collected before prophylaxis (sample 1) and after surgery (samples 2 and 3). The only alteration after cefotaxime was a decrease of non-fastidious aerobic Gram-negative flora in sample 2. The same effect was more pronounced after ceftriaxone (p less than 0.01) which, in addition, increased yeast colonies (p less than 0.05) in sample 2. In sample 3, more resistant (MIC greater than 32 mg/L) aerobic and anaerobic bacteria were found after ceftriaxone (log10 median 7.5 and 9.0, respectively) than after cefotaxime (4.2 and 6.0) or in controls (4.4 and 6.6) [p less than 0.01 in each case]. Group D streptococci and Gram-positive cocci remained unchanged in the 3 groups. Clostridium difficile cytotoxin assays were negative. The effects on faecal flora were more pronounced after ceftriaxone.


Assuntos
Cefotaxima/farmacologia , Ceftriaxona/farmacologia , Fezes/microbiologia , Bactérias Aeróbias/efeitos dos fármacos , Bactérias Anaeróbias/efeitos dos fármacos , Método Duplo-Cego , Feminino , Humanos , Infusões Intravenosas , Distribuição Aleatória
13.
Antimicrob Agents Chemother ; 31(11): 1803-8, 1987 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-3124739

RESUMO

Resistance emerging after fluoroquinolone therapy was investigated in a murine model of Pseudomonas aeruginosa infection. Mice were infected intraperitoneally by one of six strains and treated with pefloxacin or ciprofloxacin. In mice challenged with a low inoculum (1.6 X 10(5) CFU), no resistance occurred. With a higher inoculum (1.5 X 10(8) CFU) and after a single dose of antibiotic, posttherapy (PT1) strains with decreased susceptibility to quinolones (4- to 32-fold less) were isolated at a variable rate. The presence of talcum (125 mg) in the peritoneal cavity increased the risk of resistance after therapy. Pefloxacin (25 or 200 mg/kg) and ciprofloxacin (25 mg/kg) yielded similar resistance rates (61 to 77%), but ciprofloxacin (10 mg/kg) produced more resistance (83%) than did ciprofloxacin (50 mg/kg) (44%) (P less than 0.02). Combined with a quinolone, ceftazidime (P less than 0.001) or amikacin (P less than 0.01), but not piperacillin, reduced the emergence of resistance. After several doses of ciprofloxacin, it was found that 25-mg/kg doses every 12 h produced more resistance than did 25-mg/kg doses every 8 h or 50-mg/kg doses every 12 h. Compared with the preceding experiments using parent strains, ciprofloxacin and pefloxacin were less efficient in killing bacteria in mice infected with PT1 strains. Moreover, in one of these mice, a highly resistant PT2 strain (64-fold MIC increase for the quinolones) emerged. Besides increased MICs of the quinolones, there was a two- to eightfold increase in imipenem MIC for all PT1 and PT2 strains without alteration of other beta-lactam and aminoglycoside susceptibility. Some PT1 strains also showed a decreased susceptibility to trimethoprim and chloramphenicol. During therapy with a quinolone, resistance can emerge rapidly, especially when there is a large number of bacteria or a foreign body present. This risk may depend on the dosing schedule and may be reduced by combined therapy.


Assuntos
Ciprofloxacina/uso terapêutico , Norfloxacino/análogos & derivados , Peritonite/tratamento farmacológico , Infecções por Pseudomonas/tratamento farmacológico , Animais , Ciprofloxacina/farmacocinética , Resistência Microbiana a Medicamentos , Quimioterapia Combinada , Feminino , Camundongos , Camundongos Endogâmicos ICR , Testes de Sensibilidade Microbiana , Norfloxacino/farmacocinética , Norfloxacino/uso terapêutico , Pefloxacina , Pseudomonas aeruginosa/efeitos dos fármacos
14.
J Infect Dis ; 156(2): 369-73, 1987 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-3598235

RESUMO

We compared the ability of four newer beta-lactam compounds to produce resistance in an experimental model of Enterobacter cloacae infection. Mice infected intraperitoneally developed resistance depending on antibiotic treatment and the dose given. Percentages of mice in which resistance was observed were as follows: 100% after ceftriaxone (50 mg/kg, two doses); 87% after ceftriaxone (50 mg/kg, one dose); 35% after ceftriaxone (500 mg/kg, one dose); and 21% after carumonam (25 mg/kg, two doses). No resistance occurred after therapy with either BMY 28142 (25 mg/kg, two doses) or Sch 34343 (50 mg/kg, two doses). Heterogeneous resistance to beta-lactams among the cells within a given Enterobacter population accounted for these differences. The minimal concentration inhibiting the growth of the preexisting resistant variants, together with the antibiotic concentrations obtained in the peritoneal fluid, were associated with further emergence of resistance in the mouse treated with this antibiotic.


Assuntos
Antibacterianos/farmacologia , Enterobacter/efeitos dos fármacos , Enterobacteriaceae/efeitos dos fármacos , Lactamas , beta-Lactamas , Animais , Antibacterianos/análise , Líquido Ascítico/análise , Cefepima , Cefalosporinas/farmacologia , Resistência Microbiana a Medicamentos , Feminino , Masculino , Camundongos , Camundongos Endogâmicos ICR
15.
Experientia ; 43(4): 439-40, 1987 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-3032673

RESUMO

In mitochondria of heat-shocked conidia of Neurospora exogenous NADH and succinate were oxidized mainly via the alternative, hydroxamate-sensitive pathway (70%) and only 30% via the cytochromic, cyanide-sensitive pathway which was predominant in untreated conidia; the alternative oxidase pathway was markedly stimulated by guanosine 5'-monophosphate (GMP).


Assuntos
Cianetos/farmacologia , Nucleotídeos de Guanina/farmacologia , Guanosina Monofosfato/farmacologia , Mitocôndrias/metabolismo , Neurospora crassa/metabolismo , Neurospora/metabolismo , Cianeto de Potássio/farmacologia , Temperatura Alta , NAD/metabolismo , Oxirredução , Oxirredutases/metabolismo , Consumo de Oxigênio/efeitos dos fármacos , Succinatos/metabolismo , Ácido Succínico
16.
Am J Med ; 80(6B): 138-42, 1986 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-3088999

RESUMO

The ability of antibiotic combinations to limit the emergence of resistance during therapy was evaluated in a murine model. Peritonitis was produced by injecting a mixture containing 10(8) colony-forming units of bacteria and sterilized talcum into the peritoneum. Two hours later, a single antibiotic dose was administered subcutaneously. The next day, peritoneal bacterial populations were analyzed on Szybalski's gradients. Acquired resistance was recorded when there was at least a fourfold increase in minimum inhibitory concentrations compared with untreated animals. No resistance emerged after amikacin monotherapy (15 mg/kg); however, resistance was frequently observed after monotherapy with ceftriaxone (50 mg/kg) or pefloxacin (25 mg/kg). Resistance to ceftriaxone and pefloxacin emerged, respectively, in 15 percent and 83 percent of animals with Klebsiella pneumoniae, 71 percent and 54 percent with Enterobacter cloacae, 0 percent and 83 percent with Serratia marcescens, 25 percent and 100 percent with Pseudomonas aeruginosa, and 0 percent with both Escherichia coli and Staphylococcus aureus. In mice with K. pneumoniae or E. cloacae infections, any dual combination of amikacin, pefloxacin, and ceftriaxone produced less acquired resistance than did monotherapy. In these animals, the combination of ceftriaxone and pefloxacin abolished all resistance, whereas the combinations of amikacin plus ceftriaxone or amikacin plus pefloxacin reduced the frequency of resistance by more than half. In animals with P. aeruginosa or S. marcescens infections, resistance to pefloxacin diminished or disappeared after treatment with the combinations of pefloxacin plus ceftriaxone or pefloxacin plus amikacin. However, combinations with ceftriaxone resulted in more frequent resistance to ceftriaxone than did ceftriaxone alone. This was the case in P. aeruginosa infections treated with ceftriaxone plus amikacin (p less than 0.01), and in S. marcescens infections treated with ceftriaxone plus pefloxacin (p less than 0.05). Despite these certain notable exceptions, our data confirm that in most cases combination therapy does limit the emergence of resistance.


Assuntos
Antibacterianos/uso terapêutico , Infecções por Enterobacteriaceae/tratamento farmacológico , Infecções por Pseudomonas/tratamento farmacológico , Amicacina/uso terapêutico , Animais , Ceftriaxona/uso terapêutico , Resistência Microbiana a Medicamentos , Quimioterapia Combinada , Enterobacter/efeitos dos fármacos , Escherichia coli/efeitos dos fármacos , Infecções por Escherichia coli/tratamento farmacológico , Feminino , Infecções por Klebsiella/tratamento farmacológico , Klebsiella pneumoniae/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos ICR , Norfloxacino/análogos & derivados , Norfloxacino/uso terapêutico , Pefloxacina , Pseudomonas aeruginosa/efeitos dos fármacos , Serratia marcescens/efeitos dos fármacos , Infecções Estafilocócicas/tratamento farmacológico , Staphylococcus aureus/efeitos dos fármacos , Fatores de Tempo
17.
J Antimicrob Chemother ; 17 Suppl B: 29-39, 1986 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-2940214

RESUMO

Nalidixic and five newer 4-quinolones, ciprofloxacin, enoxacin, norfloxacin, ofloxacin and pefloxacin were tested against 576 recent clinical aerobic bacterial isolates. The 4-quinolones were regularly active (MIC90 less than 4 mg/l) against the following bacteria: Staphylococcus aureus, S. epidermidis, S. saprophyticus, different Enterobacteriaceae, Haemophilus influenzae, Campylobacter jejuni, Pseudomonas aeruginosa, Agrobacter spp., Aeromonas spp., Plesiomonas spp., Neisseria meningitidis. Other bacteria were usually intermediately susceptible or resistant: different streptococci, Listeria monocytogenes, Nocardia asteroides, P. maltophilia, Achromobacter xylosoxydans and Alcaligenes denitrificans. Ciprofloxacin was the most potent compound, followed by ofloxacin and pefloxacin, norfloxacin and enoxacin being less active. All the 4-quinolones were much more active than nalidixic acid. The MBC/MIC ratios of the 4-quinolones were between 1 and 2 with a majority of strains, and between 2 and 3 with Streptococcus agalactiae, Str. faecalis and L. monocytogenes. A two- to eight-fold increase of MIC was observed by increasing the inoculum 10,000-fold with most of the strains tested. Susceptible bacterial population of Klebsiella pneumoniae, Enterobacter cloacae, Serratia marcescens and P. aeruginosa contained more clones resistant to nalidixic acid (10(4) to 10(8) at four times the MIC) than to 4-quinolones (10(5) to 10(9) at four times the MIC). Supplementing the media with MgSO4 produced smaller inhibition zone diameters with a disc diffusion method than those obtained with non-supplemented agar, with all quinolone or strains. Less regular effect, or no effect was obtained after supplementation with ZnSO4 or Ca(NO3)2.


Assuntos
Antibacterianos/farmacologia , Bactérias Aeróbias/efeitos dos fármacos , Ácido Nalidíxico/farmacologia , Naftiridinas/farmacologia , Oxazinas/farmacologia , Quinolinas/farmacologia , Cálcio/farmacologia , Ciprofloxacina , Enoxacino , Enterobacteriaceae/efeitos dos fármacos , Sulfato de Magnésio/farmacologia , Testes de Sensibilidade Microbiana , Norfloxacino/análogos & derivados , Norfloxacino/farmacologia , Ofloxacino , Pefloxacina , Pseudomonas/efeitos dos fármacos , Sulfatos/farmacologia , Zinco/farmacologia , Sulfato de Zinco
18.
J Antimicrob Chemother ; 17 Suppl A: 11-8, 1986 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-3086276

RESUMO

A murine model of peritonitis allowing detection and quantification of in-vivo acquired resistance during short term therapy has been used in order to evaluate the capacity of antimicrobial combinations to limit emergence of resistance, as compared to individual components of the regimens. Mice were challenged intraperitoneally with 10(8) cfu of bacteria. Two hours later, a single antibiotic dose was injected subcutaneously: amikacin (15 mg/kg), ceftriaxone (50 mg/kg), pefloxacin (25 mg/kg), amikacin + ceftriaxone, amikacin + pefloxacin or ceftriaxone + pefloxacin. Escherichia coli and Staphylococcus aureus never became resistant. Single drug therapy yielded resistant mutants in Enterobacter cloacae, Serratia marcescens, Klebsiella pneumoniae and Pseudomonas aeruginosa as follows: 74% of ceftriaxone-treated animals, 57% of pefloxacin treated animals and 27% of amikacin treated animals. All the tested combinations reduced the frequency of in-vivo acquired resistance produced by single drugs, and no combination selected resistance when the separate agents of the combination did not. Combining antimicrobial agents limits the risk of emergence of resistance during antibiotic therapy.


Assuntos
Amicacina/farmacologia , Bactérias/efeitos dos fármacos , Infecções Bacterianas/tratamento farmacológico , Ceftriaxona/farmacologia , Canamicina/análogos & derivados , Norfloxacino/análogos & derivados , Animais , Infecções Bacterianas/microbiologia , Ceftriaxona/uso terapêutico , Resistência Microbiana a Medicamentos , Quimioterapia Combinada , Enterobacter/efeitos dos fármacos , Escherichia coli/efeitos dos fármacos , Feminino , Klebsiella pneumoniae/efeitos dos fármacos , Camundongos , Norfloxacino/farmacologia , Norfloxacino/uso terapêutico , Pefloxacina , Peritonite/tratamento farmacológico , Peritonite/microbiologia , Pseudomonas aeruginosa/efeitos dos fármacos , Serratia marcescens/efeitos dos fármacos , Staphylococcus aureus/efeitos dos fármacos
19.
Arch Microbiol ; 125(1-2): 53-8, 1980 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-6446266

RESUMO

Changes in both respiratory pathways and mitochondrial structure of Neurospora crassa occurred under conditions of microcycle conidiation. Upon heat-treatment at 46 degrees C, conidia developed a highly cyanide-insensitive, hydroxamate-sensitive respiration associated with morphological alterations in mitochondrial membranes; such changes were time-dependent. When heat-treated conidia were shifted down to 25 degrees C, the alternate, hydroxamate-sensitive respiration decreased significantly, paralleling the recovery of well-cristated mitochondria with an electron-dense matrix in the germ tubes. The decrease in hydroxamate-sensitivity was associated with two periods of increase in cyanide sensitivity corresponding to the events of germination and precocious proconidial budding.


Assuntos
Temperatura Alta , Mitocôndrias/ultraestrutura , Neurospora crassa/metabolismo , Neurospora/metabolismo , Consumo de Oxigênio , Ácidos Hidroxâmicos/farmacologia , Neurospora crassa/crescimento & desenvolvimento , Neurospora crassa/ultraestrutura , Consumo de Oxigênio/efeitos dos fármacos , Cianeto de Potássio/farmacologia , Salicilamidas/farmacologia , Esporos Fúngicos
20.
J Exp Zool ; 201(1): 109-14, 1977 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-328818

RESUMO

The lymphoid structures in the gastrointestinal tract of immunized and non-immunized adult Xenopus laevis were studied by light and fluorescent microscopy. Serial sections stained with May-Grunnwald Giemsa showed that lymphoid aggregations and scattered lymphoid cells are present along the whole digestive tract. The aggregations are few and rather small in the oesophagus and stomach, they are particularly voluminous in the duodenum. An indirect immunofluorescent technique using antisera against Xenopus laevis 19S and 7S immunoglobulins and their heavy polypeptide chains, revealed the presence of immunoglobulin-containing cells in the duodenal region. The oesophagus and stomach were devoid of these. It has been shown that the immunoglobulins produced in the duodenal lamina propria are formed of both heavy and light polypeptide chains, and that the heavy chains are of the 19S H-type.


Assuntos
Células Produtoras de Anticorpos/imunologia , Imunoglobulina M/análise , Mucosa Intestinal/imunologia , Xenopus/imunologia , Animais , Duodeno/imunologia , Imunofluorescência , Tecido Linfoide/imunologia
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