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[Synergism of josamycin and oxidation against Staphylococcus aureus]

M T Labro1, J el Benna

  • 1INSERM, U. 294, CHU Xavier Bichat, Paris.

Insights

Josamycin (JM) and erythromycin (EM) enhance bacterial killing by reactive oxygen species, mimicking phagolysosome conditions. JM showed a stronger effect, suggesting macrolides can be activated by oxidants to increase toxicity against Staphylococcus aureus.

Area of Science:

  • Microbiology
  • Biochemistry
  • Immunology

Context:

  • Josamycin (JM) previously showed synergistic bactericidal activity with human neutrophils (PMN).
  • JM and erythromycin (EM) may concentrate in phagocytes and lysosomes.
  • Investigating acellular systems mimicking phagolysosomal conditions to understand macrolide activity.

Purpose:

  • To evaluate if josamycin (JM) and erythromycin (EM) can enhance the bactericidal activity of acellular systems mimicking phagolysosomes.
  • To determine the comparative efficacy of JM and EM in an oxidant stress environment against Staphylococcus aureus.
  • To assess if macrolide pretreatment affects bacterial sensitivity to neutrophils or acellular killing systems.

Summary:

  • Neither JM nor EM enhanced killing in a crude PMN extract (O2-independent system).
  • Both macrolides enhanced bacterial killing under oxidant stress (xanthine + xanthine oxidase), with JM showing a stronger effect.
  • JM, but not EM, reduced Staphylococcus aureus survival when exposed to H2O2, suggesting JM is more potent in oxidant-dependent killing.

Impact:

  • Data suggest JM and EM can be transformed by reactive oxygen species (ROS) within the phagolysosome.
  • This transformation potentially increases the macrolides' toxicity towards bacteria like Staphylococcus aureus.
  • The findings offer insights into novel mechanisms of antibiotic action and synergy in the presence of host immune defenses.

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