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Bedaquiline Eliminates Bactericidal Activity of ?-Lactams against Mycobacterium abscessus.


ABSTRACT: The ?-lactams imipenem and cefoxitin are used for the treatment of Mycobacterium abscessus lung infections. Here, we show that these cell wall synthesis inhibitors trigger a lethal bacterial ATP burst by increasing oxidative phosphorylation. Cotreatment of M. abscessus with the antimycobacterial ATP synthase inhibitor bedaquiline suppresses this ATP burst and eliminates the bactericidal activity of ?-lactams. Thus, the addition of bedaquiline to ?-lactam-containing regimes may negatively affect treatment outcome.

SUBMITTER: Lindman M 

PROVIDER: S-EPMC6658768 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Bedaquiline Eliminates Bactericidal Activity of β-Lactams against Mycobacterium abscessus.

Lindman Marissa M   Dick Thomas T  

Antimicrobial agents and chemotherapy 20190725 8


The β-lactams imipenem and cefoxitin are used for the treatment of <i>Mycobacterium abscessus</i> lung infections. Here, we show that these cell wall synthesis inhibitors trigger a lethal bacterial ATP burst by increasing oxidative phosphorylation. Cotreatment of <i>M. abscessus</i> with the antimycobacterial ATP synthase inhibitor bedaquiline suppresses this ATP burst and eliminates the bactericidal activity of β-lactams. Thus, the addition of bedaquiline to β-lactam-containing regimes may nega  ...[more]

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