Effect of Sub-MICs of Macrolides on the Sensitivity of Pseudomonas aeruginosa to Nitrosative Stress: Effectiveness against P. aeruginosa with and without Multidrug Resistance

Antimicrob Agents Chemother. 2020 Sep 21;64(10):e01180-20. doi: 10.1128/AAC.01180-20. Print 2020 Sep 21.

Abstract

Sub-MICs of the 14-membered macrolides erythromycin (EM) and clarithromycin (CAM) decreased the growth of Pseudomonas aeruginosa PAO1 and increased its sensitivity to endogenous and exogenous nitrosative stress. However, a 16-membered macrolide, josamycin (JM), was not or less effective. In 9 of 13 non-multidrug-resistant P. aeruginosa (non-MDRP) and 9 of 27 MDRP ST235 strains, the sub-MIC of EM induced significant reductions in bacterial numbers following treatment with a nitric oxide donor.

Keywords: Pseudomonas aeruginosa; ST235; biofilm; macrolide; multidrug-resistant P. aeruginosa; nitric oxide.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Drug Resistance, Multiple
  • Macrolides* / pharmacology
  • Microbial Sensitivity Tests
  • Nitrosative Stress
  • Pseudomonas aeruginosa*

Substances

  • Anti-Bacterial Agents
  • Macrolides