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Updated: Dec 16, 2025

Antimicrobial Synergy Testing by the Inkjet Printer-assisted Automated Checkerboard Array and the Manual Time-kill Method
Published on: April 18, 2019
Antimicrobial Peptides Display Strong Synergy with Vancomycin Against Vancomycin-Resistant E. faecium, S. aureus, and
Chih-Lung Wu1, Ju-Yun Hsueh1, Bak-Sau Yip1,2
1Institute of Biotechnology and Department of Medical Science, National Tsing Hua University, Hsinchu 300, Taiwan.
Abstract:
There is an urgent and imminent need to develop new antimicrobials to fight against antibiotic-resistant bacterial and fungal strains. In this study, a checkerboard method was used to evaluate the synergistic effects of the antimicrobial peptide P-113 and its bulky non-nature amino acid substituted derivatives with vancomycin against vancomycin-resistant Enterococcus faecium, Staphylococcus aureus, and wild-type Escherichia coli. Boron-dipyrro-methene (BODIPY) labeled vancomycin was used to characterize the interactions between the peptides, vancomycin, and bacterial strains. Moreover, neutralization of antibiotic-induced releasing of lipopolysaccharide (LPS) from E. coli by the peptides was obtained. Among these peptides, Bip-P-113 demonstrated the best minimal inhibitory concentrations (MICs), antibiotics synergism, bacterial membrane permeabilization, and supernatant LPS neutralizing activities against the bacteria studied. These results could help in developing antimicrobial peptides that have synergistic activity with large size glycopeptides such as vancomycin in therapeutic applications.
Insights
New antimicrobial peptides show synergistic effects with vancomycin against resistant bacteria. Bip-P-113 peptide demonstrated potent activity, enhancing antibiotic efficacy and neutralizing lipopolysaccharide release.
Area of Science:
- Microbiology
- Infectious Diseases
- Drug Discovery
Background:
- Antibiotic resistance poses a significant global health threat, necessitating novel therapeutic strategies.
- Existing antibiotics, like vancomycin, face resistance from bacterial strains such as Enterococcus faecium and Staphylococcus aureus.
- Antimicrobial peptides (AMPs) are a promising class of compounds with potential to overcome resistance mechanisms.
Purpose of the Study:
- To investigate the synergistic effects of the antimicrobial peptide P-113 and its derivatives with vancomycin against resistant bacterial strains.
- To characterize the interactions between these peptides, vancomycin, and bacteria using labeled vancomycin.
- To evaluate the ability of the peptides to neutralize lipopolysaccharide (LPS) release induced by antibiotics.
Main Methods:
- Checkerboard method to assess synergistic antimicrobial activity.
- Use of Boron-dipyrro-methene (BODIPY) labeled vancomycin for interaction studies.
- Evaluation of minimal inhibitory concentrations (MICs) and membrane permeabilization.
Main Results:
- Bip-P-113 exhibited the most significant synergistic effects with vancomycin against vancomycin-resistant Enterococcus faecium, Staphylococcus aureus, and wild-type Escherichia coli.
- The peptide demonstrated potent bacterial membrane permeabilization and effective neutralization of LPS release from E. coli.
- BODIPY-vancomycin labeling facilitated characterization of peptide-antibiotic-bacterial interactions.
Conclusions:
- Antimicrobial peptide Bip-P-113 shows strong synergistic potential with vancomycin against challenging bacterial pathogens.
- This peptide offers a promising strategy for developing novel antimicrobial therapies, particularly in combination with glycopeptides.
- The findings contribute to the development of effective treatments against antibiotic-resistant infections.
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