Related Experiment Video
Updated: Jun 11, 2026

Nanomechanics of Drug-target Interactions and Antibacterial Resistance Detection
Published on: October 25, 2013
In vitro activity of the new multivalent glycopeptide-cephalosporin antibiotic TD-1792 against
Kimberly D Leuthner1, Celine Vidaillac, Chrissy M Cheung
1Anti-Infective Research Laboratory, Department of Pharmacy Practice-4148, Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, MI 48201, USA.
Abstract:
TD-1792 is a glycopeptide-cephalosporin heterodimer antibiotic with activity against a broad spectrum of gram-positive pathogens that includes methicillin-susceptible and -resistant Staphylococcus aureus. The objective of the present study was to evaluate the in vitro activity of TD-1792 against a collection of clinical isolates of vancomycin-intermediate Staphylococcus spp. (VISS), heteroresistant VISS (hVISS), and vancomycin-resistant S. aureus (VRSA). The TD-1792, vancomycin, daptomycin, linezolid, and quinupristin-dalfopristin MICs and minimum bactericidal concentrations (MBCs) were determined for 50 VISS/hVISS isolates and 3 VRSA isolates. Time-kill experiments (TKs) were then performed over 24 h with two vancomycin-intermediate S. aureus strains and two VRSA strains, using each agent at multiples of the MIC. TD-1792 and daptomycin were also evaluated in the presence and absence of 50% human serum to determine the effects of the proteins on their activities. Most of the VISS/hVISS isolates were susceptible to all agents except vancomycin. TD-1792 exhibited the lowest MIC values (MIC(90) = 0.125 microg/ml), followed by quinupristin-dalfopristin and daptomycin (MIC(90) = 1 microg/ml) and then linezolid (MIC(90) = 2 microg/ml). The presence of serum resulted in a 2- to 8-fold increase in the TD-1792 and daptomycin MIC values. In TKs, QD demonstrated bactericidal activity at multiples of the MIC that simulated therapeutic levels, whereas linezolid was only bacteriostatic. Both TD-1792 and daptomycin demonstrated rapid bactericidal activities against all isolates tested. The presence of proteins had only a minimal impact on the activity of TD-1792 in TKs. TD-1792 exhibited significant in vitro activity against multidrug-resistant Staphylococcus isolates and represents a promising candidate for the treatment of infections caused by gram-positive organisms.
Insights
TD-1792 shows potent in vitro activity against challenging Gram-positive pathogens, including vancomycin-resistant strains. This novel antibiotic demonstrates rapid bactericidal effects, offering a promising new option for treating multidrug-resistant Staphylococcus infections.
Area of Science:
- Microbiology
- Pharmacology
- Infectious Diseases
Background:
- Gram-positive bacterial infections, particularly those caused by multidrug-resistant strains like methicillin-resistant Staphylococcus aureus (MRSA), pose a significant global health threat.
- Existing antibiotics, including vancomycin, face challenges due to emerging resistance mechanisms such as vancomycin-intermediate Staphylococcus spp. (VISS), heteroresistant VISS (hVISS), and vancomycin-resistant S. aureus (VRSA).
- Novel therapeutic agents with broad-spectrum activity and efficacy against resistant strains are urgently needed.
Purpose of the Study:
- To evaluate the in vitro antimicrobial activity of TD-1792, a novel glycopeptide-cephalosporin heterodimer antibiotic.
- To assess TD-1792's efficacy against clinical isolates of vancomycin-intermediate and vancomycin-resistant Staphylococcus species.
- To compare TD-1792's activity with established antibiotics like vancomycin, daptomycin, linezolid, and quinupristin-dalfopristin.
Main Methods:
- Determination of minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) for TD-1792 and comparator agents against VISS, hVISS, and VRSA isolates.
- Conducting 24-hour time-kill experiments (TKs) with selected strains to assess bactericidal and bacteriostatic activity.
- Evaluating the impact of 50% human serum on the activity of TD-1792 and daptomycin in vitro.
Main Results:
- TD-1792 demonstrated the lowest MIC values (MIC(90) = 0.125 µg/mL) against VISS/hVISS isolates, indicating potent activity.
- Both TD-1792 and daptomycin exhibited rapid bactericidal activity in time-kill experiments against all tested Staphylococcus isolates.
- The presence of human serum had a minimal impact on TD-1792's activity in time-kill assays, unlike daptomycin.
Conclusions:
- TD-1792 exhibits significant in vitro activity against multidrug-resistant Staphylococcus isolates, including strains with vancomycin resistance.
- TD-1792 represents a promising candidate for treating infections caused by Gram-positive organisms, particularly those resistant to current therapies.
- Its robust activity and minimal susceptibility to serum protein binding suggest potential for effective clinical application.
Related Concept Videos
Inhibitors of Gram-positive Cell Wall Synthesis
Clinical Significance of Antibiotic Resistance
Antimicrobial Effectiveness
Mechanism of Antibiotic Resistance in MRSA
Staphylococcal Skin Infections