Pretreatment with colistin and Proteus sensitivity to other agents

Insights

Colistin pretreatment enhanced the sensitivity of some Proteus strains to lysis by tris and sodium deoxycholate (DOC). However, this effect was strain-specific, with other strains showing little change in susceptibility.

Area of Science:

  • Microbiology
  • Bacterial Physiology
  • Antimicrobial Resistance

Background:

  • Proteus species are Gram-negative bacteria with clinical relevance.
  • Understanding bacterial membrane permeability is crucial for developing new antimicrobial strategies.
  • Colistin (polymyxin E) is an antibiotic that interacts with bacterial membranes.

Purpose of the Study:

  • To investigate the impact of colistin pretreatment on the susceptibility of Proteus strains to tris and sodium deoxycholate (DOC).
  • To determine if colistin pretreatment alters the sensitivity of Proteus mirabilis, P. vulgaris, and P. morganii to membrane-disrupting agents.

Main Methods:

  • Bacterial strains (Proteus mirabilis, P. vulgaris, P. morganii) were pretreated with varying concentrations of colistin.
  • Pretreated and control bacterial cells were subsequently exposed to tris or sodium deoxycholate (DOC).
  • Cell viability and lysis were assessed to determine sensitivity changes.

Main Results:

  • Low-concentration colistin pretreatment sensitized two P. mirabilis strains (NCTC 60 and 4199) to lysis by tris and DOC.
  • Other P. mirabilis, P. vulgaris, and P. morganii strains showed minimal sensitivity changes to tris or DOC, even after high colistin exposure.
  • Ethylenediamine tetraacetate (EDTA) pretreatment also induced some tris sensitivity, but less than colistin.
  • One P. vulgaris strain became sensitive to tris and DOC after ampicillin exposure.

Conclusions:

  • Colistin pretreatment can selectively increase the susceptibility of certain Proteus strains to membrane-disrupting agents like tris and DOC.
  • The observed effects are strain-dependent, highlighting variability within Proteus species.
  • These findings suggest potential mechanisms for enhancing the efficacy of certain antimicrobial agents through combination strategies.

Related Concept Videos

Antibiotic Selection00:57

Antibiotic Selection

Overview
Urine Studies II: Urine Culture and Sensitivity Test01:26

Urine Studies II: Urine Culture and Sensitivity Test

A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...