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Influence of rhlR and lasR on Polymyxin Pharmacodynamics in Pseudomonas aeruginosa and Implications for Quorum Sensing Inhibition with Azithromycin.


ABSTRACT: The impact of quorum sensing on polymyxin and azithromycin pharmacodynamics was assessed in Pseudomonas aeruginosa PAO1 and an isogenic rhlR/lasR double knockout. For polymyxin B, greater killing against the rhlR/lasR knockout than against PAO1 was observed at 108 CFU/ml (polymyxin B half-maximal effective concentration [EC50], 5.61 versus 12.5 mg/liter, respectively; P < 0.005). Polymyxin B combined with azithromycin (256 mg/liter) was synergistic against each strain, significantly reducing the respective polymyxin B EC50 compared to those with monotherapy (P < 0.005), and is a promising strategy by which to combat P. aeruginosa.

SUBMITTER: Bulman ZP 

PROVIDER: S-EPMC5365695 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Influence of <i>rhlR</i> and <i>lasR</i> on Polymyxin Pharmacodynamics in Pseudomonas aeruginosa and Implications for Quorum Sensing Inhibition with Azithromycin.

Bulman Zackery P ZP   Ly Neang S NS   Lenhard Justin R JR   Holden Patricia N PN   Bulitta Jürgen B JB   Tsuji Brian T BT  

Antimicrobial agents and chemotherapy 20170324 4


The impact of quorum sensing on polymyxin and azithromycin pharmacodynamics was assessed in <i>Pseudomonas aeruginosa</i> PAO1 and an isogenic <i>rhlR</i>/<i>lasR</i> double knockout. For polymyxin B, greater killing against the <i>rhlR</i>/<i>lasR</i> knockout than against PAO1 was observed at 10<sup>8</sup> CFU/ml (polymyxin B half-maximal effective concentration [EC<sub>50</sub>], 5.61 versus 12.5 mg/liter, respectively; <i>P</i> < 0.005). Polymyxin B combined with azithromycin (256 mg/liter)  ...[more]

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