2024 Spring International Convention of
The Pharmaceutical Society of Korea

2024 Spring
International Convention of PSK

04.17(WED) - 04.19(FRI)
D+28

Abstracts

P6-11

Enhancement of antimicrobial activity of aztreonam against metallo-carbapenemase-producing Pseudomonas aeruginosa by dual inhibitors of efflux pumps and broad-spectrum carbapenemases

  • Seongyeon Lee1, Taegum Lee1, Mikyoung Kim1, Youhoon Chong*1
  • 1Department of Integrative Bioscience and Biotechnology, Bio/Molecular Informatics Center, Konkuk University, Korea

Recent investigations have revealed that a combination of aztreonam (ATM), a monobactam antibiotic, with a β-lactamase inhibitor (ceftazidime/avibactam, CAZ/AVI) can be used for the treatment of infections caused by carbapenemases-resistant E. coli. However, due to the complex resistance mechanism, the metallo-carbapenemase-producing Pseudomonas aeruginosa are not susceptible to ATM/CAZ/AVI combinations to leave polymyxin as the only treatment option. In this context, it is urgently required to discover novel combination antibiotic therapy against the formidable foe, and there have been numerous efforts to discover novel inhibitors against the efflux pumps and carbapenemases, the key players in carbapenemases resistance in Gram negative bacteria. In this study, we discovered that a new class of compounds with a modified quercetin scaffold serve as hereto unknown dual inhibitors of the efflux pumps and carbapenemases. Worth to note is that they have broad-spectrum inhibitory activity against various carbapenemases including the hard-to-inhibit metallo-carbapenemases. In addition, the dual inhibitor significantly enhanced the antimicrobial activity of ATM against the metallo-carbapenemase-producing P. aeruginosa and, upon combination with the dual inhibitor, the MIC of ATM decreased below its clinical breakpoint (1 mg/L). 


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TODAY 2024. 05. 17

2024 Spring Convention

D+28

Conference infomation

Conference Schedule
Apr. 17(Wed) ~ 19(Fri), 2024
Conference Venue
BPEX (Busan Port International Exhibition & Convention Center) Busan Metropolitan City, Republic of Korea
Location
Early Registration Period
Feb. 20(Tue) ~ Apr. 3(Wed), 2024
Abstract Submission Period
Feb. 20(Tue) ~ Apr. 3(Wed), 2024
Certificate of Attendance