Impact of a Novel Anticoccidial Analogue on Systemic <i>Staphylococcus aureus</i> Infection in a Bioluminescent Mouse Model

In this study, we investigated the potential of an analogue of robenidine (NCL179) to expand its chemical diversity for the treatment of multidrug-resistant (MDR) bacterial infections. We show that NCL179 exhibits potent bactericidal activity, returning minimum inhibitory concentration/minimum bacte...

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Main Authors: Hang Thi Nguyen (Author), Henrietta Venter (Author), Lucy Woolford (Author), Kelly Young (Author), Adam McCluskey (Author), Sanjay Garg (Author), Stephen W. Page (Author), Darren J. Trott (Author), Abiodun David Ogunniyi (Author)
Format: Book
Published: MDPI AG, 2022-01-01T00:00:00Z.
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Summary:In this study, we investigated the potential of an analogue of robenidine (NCL179) to expand its chemical diversity for the treatment of multidrug-resistant (MDR) bacterial infections. We show that NCL179 exhibits potent bactericidal activity, returning minimum inhibitory concentration/minimum bactericidal concentrations (MICs/MBCs) of 1-2 µg/mL against methicillin-resistant <i>Staphylococcus aureus</i>, MICs/MBCs of 1-2 µg/mL against methicillin-resistant <i>S. pseudintermedius</i> and MICs/MBCs of 2-4 µg/mL against vancomycin-resistant enterococci. NCL179 showed synergistic activity against clinical isolates and reference strains of <i>Acinetobacter baumannii</i>, <i>Escherichia coli</i>, <i>Klebsiella pneumoniae</i> and <i>Pseudomonas aeruginosa</i> in the presence of sub-inhibitory concentrations of colistin, whereas NCL179 alone had no activity. Mice given oral NCL179 at 10 mg/kg and 50 mg/kg (4 × doses, 4 h apart) showed no adverse clinical effects and no observable histological effects in any of the organs examined. In a bioluminescent <i>S. aureus</i> sepsis challenge model, mice that received four oral doses of NCL179 at 50 mg/kg at 4 h intervals exhibited significantly reduced bacterial loads, longer survival times and higher overall survival rates than the vehicle-only treated mice. These results support NCL179 as a valid candidate for further development to treat MDR bacterial infections as a stand-alone antibiotic or in combination with existing antibiotic classes.
Item Description:10.3390/antibiotics11010065
2079-6382