Novel Antibacterial Agents SAAP-148 and Halicin Combat Gram-Negative Bacteria Colonizing Catheters

The antibiotic management of catheter-related infections (CRIs) often fails owing to the emergence of antimicrobial-resistant strains and/or biofilm/persister apparitions. Thus, we investigated the efficacy of two novel antimicrobial agents, i.e., the synthetic peptide SAAP-148 and the novel antibio...

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Main Authors: Nesrine Bouhrour (Author), Tanny J. K. van der Reijden (Author), Michella M. Voet (Author), Bep Schonkeren-Ravensbergen (Author), Robert A. Cordfunke (Author), Jan Wouter Drijfhout (Author), Farida Bendali (Author), Peter H. Nibbering (Author)
Format: Book
Published: MDPI AG, 2023-12-01T00:00:00Z.
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Summary:The antibiotic management of catheter-related infections (CRIs) often fails owing to the emergence of antimicrobial-resistant strains and/or biofilm/persister apparitions. Thus, we investigated the efficacy of two novel antimicrobial agents, i.e., the synthetic peptide SAAP-148 and the novel antibiotic halicin, against Gram-negative bacteria (GNB) colonizing catheters. The antibacterial, anti-biofilm, and anti-persister activities of both agents were evaluated against <i>Acinetobacter baumannii</i>, <i>Escherichia coli</i>, and <i>Klebsiella pneumoniae</i> strains. The enrolled strains were isolated from catheters and selected based on their resistance to at least three antibiotic classes and biofilm formation potential. Furthermore, the hemolysis and endotoxin neutralization abilities of these agents were explored. The bactericidal activity of both agents was reduced in urine and plasma as compared to buffered saline. In a dose-dependent manner, SAAP-148 and halicin reduced bacterial counts in 24 h preformed biofilms on silicone elastomer discs and eliminated persisters originating from antibiotic-exposed mature 7-day biofilms, with halicin being less effective than SAAP-148. Importantly, SAAP-148 and halicin acted synergistically on <i>E. coli</i> and <i>K. pneumoniae</i> biofilms but not on <i>A. baumannii</i> biofilms. The peptide, but not halicin, decreased the production of IL-12p40 upon exposure to UV-killed bacteria. This preliminary study showed that SAAP-148 and halicin alone/in combination are promising candidates to fight GNB colonizing catheters.
Item Description:10.3390/antibiotics12121743
2079-6382