PMID- 26111644 OWN - NLM STAT- MEDLINE DCOM- 20160621 LR - 20211203 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 5 DP - 2015 Jun 26 TI - Repurposing ebselen for treatment of multidrug-resistant staphylococcal infections. PG - 11596 LID - 10.1038/srep11596 [doi] LID - 11596 AB - Novel antimicrobials and new approaches to developing them are urgently needed. Repurposing already-approved drugs with well-characterized toxicology and pharmacology is a novel way to reduce the time, cost, and risk associated with antibiotic innovation. Ebselen, an organoselenium compound, is known to be clinically safe and has a well-known pharmacology profile. It has shown potent bactericidal activity against multidrug-resistant clinical isolates of staphylococcus aureus, including methicillin- and vancomycin-resistant S. aureus (MRSA and VRSA). We demonstrated that ebselen acts through inhibition of protein synthesis and subsequently inhibited toxin production in MRSA. Additionally, ebselen was remarkably active and significantly reduced established staphylococcal biofilms. The therapeutic efficacy of ebselen was evaluated in a mouse model of staphylococcal skin infections. Ebselen 1% and 2% significantly reduced the bacterial load and the levels of the pro-inflammatory cytokines tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), interleukin-1 beta (IL-1beta), and monocyte chemo attractant protein-1 (MCP-1) in MRSA USA300 skin lesions. Furthermore, it acts synergistically with traditional antimicrobials. This study provides evidence that ebselen has great potential for topical treatment of MRSA skin infections and lays the foundation for further analysis and development of ebselen as a potential treatment for multidrug-resistant staphylococcal infections. FAU - Thangamani, Shankar AU - Thangamani S AD - Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA. FAU - Younis, Waleed AU - Younis W AD - Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA. FAU - Seleem, Mohamed N AU - Seleem MN AD - Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA. LA - eng GR - HHSN272200700055C/AI/NIAID NIH HHS/United States GR - HHSN272200700055C/PHS HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20150626 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Azoles) RN - 0 (Bacterial Toxins) RN - 0 (Isoindoles) RN - 0 (Organoselenium Compounds) RN - 40X2P7DPGH (ebselen) RN - D0GX863OA5 (Mupirocin) RN - NWQ5N31VKK (Daptomycin) SB - IM MH - Animals MH - Anti-Bacterial Agents/pharmacology MH - Anti-Inflammatory Agents, Non-Steroidal/pharmacology MH - Azoles/*pharmacology MH - Bacterial Toxins/metabolism MH - Biofilms/drug effects/growth & development MH - Cell Survival/drug effects MH - Cells, Cultured MH - Daptomycin/pharmacology MH - Drug Repositioning MH - Drug Synergism MH - Female MH - Host-Pathogen Interactions/drug effects MH - Humans MH - Isoindoles MH - Keratinocytes/drug effects MH - Methicillin Resistance/*drug effects MH - Methicillin-Resistant Staphylococcus aureus/*drug effects/metabolism/physiology MH - Mice, Inbred BALB C MH - Microbial Sensitivity Tests MH - Mupirocin/pharmacology MH - Organoselenium Compounds/*pharmacology MH - Skin/drug effects/metabolism/microbiology MH - Staphylococcal Infections/*drug therapy/microbiology PMC - PMC4481386 EDAT- 2015/06/27 06:00 MHDA- 2016/06/22 06:00 PMCR- 2015/06/26 CRDT- 2015/06/27 06:00 PHST- 2015/04/15 00:00 [received] PHST- 2015/05/21 00:00 [accepted] PHST- 2015/06/27 06:00 [entrez] PHST- 2015/06/27 06:00 [pubmed] PHST- 2016/06/22 06:00 [medline] PHST- 2015/06/26 00:00 [pmc-release] AID - srep11596 [pii] AID - 10.1038/srep11596 [doi] PST - epublish SO - Sci Rep. 2015 Jun 26;5:11596. doi: 10.1038/srep11596.