Journal of Antimicrobial Chemotherapy, Vol 39, 47-51, Copyright © 1997 by The British Society for Antimicrobial Chemotherapy
K Sieradzki and A Tomasz
We tested the effect of a number of mechanistically distinct antibacterial
agents on the expression of methicillin resistance in a highly and
homogeneously resistant strain of methicillin-resistant Staphylococcus
aureus. The antibiotics, used at 0.25 x MIC, included inhibitors of early
steps in peptidoglycan synthesis (fosfomycin, beta- chloro-D-alanine,
D-cycloserine); bacitracin; teicoplanin and vancomycin; beta-lactam
inhibitors chosen on the basis of their relatively selective affinities for
penicillin-binding proteins 1, 2, 3 and 4 of S. aureus (imipenem,
cefotaxime, cephradine and cefoxitin); compounds that inhibit various steps
in protein synthesis (tetracycline, chloramphenicol, gentamicin,
erythromycin and quinupristin/dalfopristin) and an inhibitor of DNA gyrase
(temafloxacin). All inhibitors of early cell wall synthesis caused
reduction of methicillin resistance and change from the homogeneous to the
heterogeneous methicillin-resistant phenotype. Similar effects were
obtained with only cephradine out of the four beta-lactams tested, and with
erythromycin and quinupristin/dalfopristin as well. The other inhibitors of
protein synthesis and DNA gyrase had no effect.
ORIGINAL ARTICLES
Suppression of beta-lactam antibiotic resistance in a methicillin- resistant Staphylococcus aureus through synergic action of early cell wall inhibitors and some other antibiotics
Rockefeller University, New York, NY 10021, USA.
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