In vitro efficacy and pharmacodynamic profiles of four polyether ionophores against methicillin-resistant

Elizabeth E Hickey1, Stephen W Page2, Darren J Trott1

  • 1Australian Centre for Antimicrobial Resistance Ecology, School of Animal and Veterinary Sciences, The University of Adelaide, SA, Australia.

Insights

Four ionophores showed antimicrobial activity against staphylococcal infections in humans and animals. Methicillin resistance did not affect ionophore effectiveness, indicating broad applicability for these antimicrobials.

Area of Science:

  • Veterinary Medicine
  • Microbiology
  • Infectious Diseases

Background:

  • Staphylococcal infections pose significant threats to both human and animal health.
  • Ionophores are a class of compounds with known antimicrobial properties.
  • The impact of methicillin resistance on ionophore efficacy against staphylococci requires further elucidation.

Purpose of the Study:

  • To determine the minimum inhibitory concentrations (MICs) and pharmacodynamic profiles of four ionophores (lasalocid, monensin, narasin, salinomycin).
  • To evaluate the antimicrobial activity of these ionophores against staphylococcal isolates from human and veterinary clinical cases.
  • To assess the influence of methicillin resistance on the antimicrobial activity of ionophores against staphylococci.

Main Methods:

  • Broth microdilution MIC testing was performed on 156 staphylococcal isolates of human and veterinary origin.
  • Time-kill kinetics profiles were used to examine pharmacodynamic properties against Staphylococcus aureus and methicillin-resistant Staphylococcus pseudintermedius.
  • All procedures adhered to Clinical and Laboratory Standards Institute (CLSI) guidelines.

Main Results:

  • All four ionophores exhibited antimicrobial activity against methicillin-resistant staphylococci at concentrations comparable to methicillin-susceptible isolates.
  • The host origin (human or veterinary) did not influence MIC values for methicillin-resistant Staphylococcus aureus (MRSA) isolates.
  • Pharmacodynamic profiles were consistent across ionophores and isolates, showing similar reductions in viable cell counts over 18–24 hours.

Conclusions:

  • Lasalocid, monensin, narasin, and salinomycin are effective against staphylococcal isolates from both human and veterinary sources.
  • Antimicrobial activity of these ionophores is not diminished by methicillin resistance.
  • Further research is warranted to investigate observed Staphylococcus species-specific effects.