Susceptibility of Colistin-Resistant, Gram-Negative Bacteria to Antimicrobial Peptides and Ceragenins

Antimicrob Agents Chemother. 2017 Jul 25;61(8):e00292-17. doi: 10.1128/AAC.00292-17. Print 2017 Aug.

Abstract

The susceptibility of colistin-resistant clinical isolates of Klebsiella pneumoniae to ceragenins and antimicrobial peptides (AMPs) suggests that there is little to no cross-resistance between colistin and ceragenins/AMPs and that lipid A modifications are found in bacteria with modest changes in susceptibility to ceragenins and with high levels of resistance to colistin. These results suggest that there are differences in the resistance mechanisms to colistin and ceragenins/AMPs.

Keywords: Gram-negative bacteria; antimicrobial peptides; ceragenin; colistin; resistant.

MeSH terms

  • Acinetobacter baumannii / drug effects*
  • Anti-Bacterial Agents / pharmacology*
  • Antimicrobial Cationic Peptides / pharmacology*
  • Colistin / pharmacology*
  • Drug Resistance, Multiple, Bacterial
  • Humans
  • Klebsiella pneumoniae / drug effects*
  • Klebsiella pneumoniae / isolation & purification
  • Lipid A / genetics
  • Microbial Sensitivity Tests
  • Pseudomonas aeruginosa / drug effects*
  • Steroids / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Antimicrobial Cationic Peptides
  • Lipid A
  • Steroids
  • ceragenin CSA-13
  • Colistin