NP108, an Antimicrobial Polymer with Activity against Methicillin- and Mupirocin-Resistant Staphylococcus aureus

Copyright © 2017 Mercer et al..

Staphylococcus aureus is a clinically significant human pathogen that causes infectious diseases ranging from skin and soft tissue infections (SSTI) and health care-associated infections (HAI) to potentially fatal bacteremia and endocarditis. Nasal carriage of S. aureus, especially for persistent carriage, is associated with an increased risk of subsequent infection, particularly nosocomial and surgical site infections (SSI), usually via autoinfection. NP108 is a cationic antimicrobial polymer composed of generally recognized as safe (GRAS) amino acid building blocks. NP108 is broad spectrum and rapidly bactericidal (3-log kill in ≤3 h), killing bacteria by membrane disruption and cell lysis. NP108, contrary to many antibiotics, shows equally effective antimicrobial activity against a variety of S. aureus (MIC100 = 8 to 500 mg/liter) and S. epidermidis (MIC100 = 4 to 8 mg/liter) isolates, whether exponentially growing or in stationary phase. NP108 is antimicrobially active under nutrient-limiting conditions similar to those found in the anterior nares (MIC100 = 8 mg/liter) and kills antibiotic-resilient small colony variants (MIC100 = 32 mg/liter) and S. aureus biofilms (prevention, MIC100 = 1 to 4 mg/liter; eradication, MIC100 ≥ 31.25 mg/liter). NP108 is active against isolates of S. aureus resistant to the current standard-of-care decolonization agent, mupirocin, with no significant increase in the MIC100 NP108 is water soluble and has been formulated into compatible aqueous gel vehicles for human use in which antimicrobial efficacy is retained (2.0% [wt/vol]). NP108 is a potential nonantibiotic antimicrobial alternative to antibiotics for the nasal decolonization of S. aureus, with clear advantages in its mechanism of action over the existing gold standard, mupirocin.

Errataetall:

ErratumIn: Antimicrob Agents Chemother. 2018 Feb 23;62(3):. - PMID 29475889

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Antimicrobial agents and chemotherapy - 61(2017), 9 vom: 14. Sept.

Sprache:

Englisch

Beteiligte Personen:

Mercer, Derry K [VerfasserIn]
Katvars, Laura K [VerfasserIn]
Hewitt, Fiona [VerfasserIn]
Smith, Daniel W [VerfasserIn]
Robertson, Jennifer [VerfasserIn]
O'Neil, Deborah A [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Antimicrobial activity
D0GX863OA5
Journal Article
Methicillin
Mupirocin
Nasal decolonization
Polymers
Q91FH1328A
Staphylococcus aureus

Anmerkungen:

Date Completed 01.05.2018

Date Revised 13.11.2018

published: Electronic-Print

ErratumIn: Antimicrob Agents Chemother. 2018 Feb 23;62(3):. - PMID 29475889

Citation Status MEDLINE

doi:

10.1128/AAC.00502-17

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM272863009