PMID- 28335779 OWN - NLM STAT- MEDLINE DCOM- 20170417 LR - 20181113 IS - 1476-0711 (Electronic) IS - 1476-0711 (Linking) VI - 16 IP - 1 DP - 2017 Mar 23 TI - Activity of AMP2041 against human and animal multidrug resistant Pseudomonas aeruginosa clinical isolates. PG - 17 LID - 10.1186/s12941-017-0193-1 [doi] LID - 17 AB - BACKGROUND: Antimicrobial resistance is a growing threat to public health. Pseudomonas aeruginosa is a relevant pathogen causing human and animal infections, frequently displaying high levels of resistance to commonly used antimicrobials. The increasing difficulty to develop new effective antibiotics have discouraged investment in this area and only a few new antibiotics are currently under development. An approach to overcome antibiotic resistance could be based on antimicrobial peptides since they offer advantages over currently used microbicides. METHODS: The antimicrobial activity of the synthetic peptide AMP2041 was evaluated against 49 P. aeruginosa clinical strains with high levels of antimicrobial resistance, isolated from humans (n = 19) and animals (n = 30). In vitro activity was evaluated by a microdilution assay for lethal dose 90% (LD(90)), while the activity over time was performed by time-kill assay with 12.5 microg/ml of AMP2014. Evidences for a direct membrane damage were investigated on P. aeruginosa ATCC 27853 reference strain, on animal isolate PA-VET 38 and on human isolate PA-H 24 by propidium iodide and on P. aeruginosa ATCC 27853 by scanning electron microscopy. RESULTS: AMP2041 showed a dose-dependent activity, with a mean (SEM) LD(90) of 1.69 and 3.3 microg/ml for animal and human strains, respectively. AMP2041 showed microbicidal activity on P. aeruginosa isolates from a patient with cystic fibrosis (CF) and resistance increased from first infection isolate (LD(90) = 0.3 mug/ml) to the mucoid phenotype (LD(90) = 10.4 mug/ml). The time-kill assay showed a time-dependent bactericidal effect of AMP2041 and LD(90) was reached within 20 min for all the strains. The stain-dead assay showed an increasing of membrane permeabilization and SEM analysis revealed holes, dents and bursts throughout bacterial cell wall after 30 min of incubation with AMP2041. CONCLUSIONS: The obtained results assessed for the first time the good antimicrobial activity of AMP2041 on P. aeruginosa strains of human origin, including those deriving from a CF patient. We confirmed the excellent antimicrobial activity of AMP2041 on P. aeruginosa strains derived from dog otitis. We also assessed that AMP2041 antimicrobial activity is linked to changes of the P. aeruginosa cell wall morphology and to the increasing of membrane permeability. FAU - Cabassi, Clotilde Silvia AU - Cabassi CS AD - Department of Veterinary Science, University of Parma, Via del Taglio 10, 43126, Parma, Italy. FAU - Sala, Andrea AU - Sala A AD - Department of Veterinary Science, University of Parma, Via del Taglio 10, 43126, Parma, Italy. FAU - Santospirito, Davide AU - Santospirito D AD - Department of Veterinary Science, University of Parma, Via del Taglio 10, 43126, Parma, Italy. FAU - Alborali, Giovanni Loris AU - Alborali GL AD - Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna, Via Bianchi 7/9, 25124, Brescia, Italy. FAU - Carretto, Edoardo AU - Carretto E AD - Arcispedale S. Maria Nuova, Viale Risorgimento 80, 42123, Reggio Emilia, Italy. FAU - Ghibaudo, Giovanni AU - Ghibaudo G AD - Clinica Veterinaria Malpensa, Via Marconi 27, 21017, Samarate, VA, Italy. FAU - Taddei, Simone AU - Taddei S AD - Department of Veterinary Science, University of Parma, Via del Taglio 10, 43126, Parma, Italy. simone.taddei@unipr.it. LA - eng PT - Journal Article DEP - 20170323 PL - England TA - Ann Clin Microbiol Antimicrob JT - Annals of clinical microbiology and antimicrobials JID - 101152152 RN - 0 (Anti-Bacterial Agents) RN - 0 (Peptides) SB - IM MH - Animals MH - Anti-Bacterial Agents/*pharmacology MH - Cell Membrane/drug effects/ultrastructure MH - Cell Wall/drug effects/ultrastructure MH - Dogs MH - *Drug Resistance, Multiple, Bacterial MH - Humans MH - Microbial Viability/drug effects MH - Microscopy, Electron, Scanning MH - Peptides/*pharmacology MH - Pseudomonas Infections/*microbiology/*veterinary MH - Pseudomonas aeruginosa/*drug effects/isolation & purification PMC - PMC5364734 OTO - NOTNLM OT - Antimicrobial peptide OT - Bacterial membrane damage OT - Cinical isolates OT - Multidrug resistance OT - Pseudomonas aeruginosa EDAT- 2017/03/25 06:00 MHDA- 2017/04/18 06:00 PMCR- 2017/03/23 CRDT- 2017/03/25 06:00 PHST- 2016/07/21 00:00 [received] PHST- 2017/03/18 00:00 [accepted] PHST- 2017/03/25 06:00 [entrez] PHST- 2017/03/25 06:00 [pubmed] PHST- 2017/04/18 06:00 [medline] PHST- 2017/03/23 00:00 [pmc-release] AID - 10.1186/s12941-017-0193-1 [pii] AID - 193 [pii] AID - 10.1186/s12941-017-0193-1 [doi] PST - epublish SO - Ann Clin Microbiol Antimicrob. 2017 Mar 23;16(1):17. doi: 10.1186/s12941-017-0193-1.