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Cui F, Xi L, Wang D, Tan X, Li J, Li T. Functional magnetic nanoparticles combined with molecular dynamics technology to screen quorum sensing inhibitors from natural substances: Accuracy, efficiency and high throughput. Sep Purif Technol 2022. [DOI: 10.1016/j.seppur.2022.121932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lamin A, Kaksonen AH, Cole IS, Chen XB. Quorum sensing inhibitors applications: a new prospect for mitigation of microbiologically influenced corrosion. Bioelectrochemistry 2022; 145:108050. [DOI: 10.1016/j.bioelechem.2022.108050] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 12/30/2021] [Accepted: 01/02/2022] [Indexed: 12/21/2022]
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Önem E, Tüzün B, Akkoç S. Anti-quorum sensing activity in Pseudomonas aeruginosa PA01 of benzimidazolium salts: electronic, spectral and structural investigations as theoretical approach. J Biomol Struct Dyn 2021; 40:6845-6856. [PMID: 33645444 DOI: 10.1080/07391102.2021.1890222] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Quorum sensing (QS) is a system used in the expression of virulence factors by many pathogenic bacteria, and blockage of the system is seen as a new and effective strategy in combating with resistant bacteria. The inhibition effects of two benzimidazolium salts, namely 1-(2-methylbenzonitrile)-3-benzylbenzimidazolium bromide (2) and 1-(N-methylphthalimide)-3-(4-methylbenzyl)benzimidazolium bromide (3), on quorum sensing-related virulence factors such as pyocyanin, elastase, biofilm formation and swarming motility, which is an opportunistic pathogen Pseudomonas aeruginosa PA01, were investigated in this study. The results show that the compound 3 has a significant inhibition on biofilm formation with 94%. Furthermore, the compounds 2 and 3 reduced swarming motility by 64-69% as well as pyocyanin production by 49-64% in P. aeruginosa PA01 without preventing bacterial growth in the tested concentrations. HF, B3LYP and M06-2X methods were used with 3-21 g, 6-31 g, sdd basis sets to compare the chemical activity of the compounds. Theoretically, 1H NMR, 13C NMR and Infrared spectra of the compounds were calculated in the HF/6-31++g basis set. The biological activities of the relative compounds were theoretically studied against cancer proteins. Crystal structure of the BRCT repeat region from the breast cancer associated protein, ID: 1JNX, crystal structure of liver cancer protein, ID: 3WZE and crystal structure of lung cancer protein, ID: 5ZMA, were compared. In the docking studies, the best result was obtained with compound 2 against the lung cancer cell with a docking score parameter of -5.85.Communicated by Ramaswamy H. Sarma.
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Affiliation(s)
- Ebru Önem
- Faculty of Pharmacy, Department of Pharmaceutical Microbiology, Suleyman Demirel University, Isparta, Turkey
| | - Burak Tüzün
- Faculty of Sciences, Department of Chemistry, Cumhuriyet University, Sivas, Turkey
| | - Senem Akkoç
- Faculty of Pharmacy, Department of Basic Pharmaceutical Sciences, Suleyman Demirel University, Isparta, Turkey
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Abbas HA, Hegazy WAH. Repurposing anti-diabetic drug "Sitagliptin" as a novel virulence attenuating agent in Serratia marcescens. PLoS One 2020; 15:e0231625. [PMID: 32298346 PMCID: PMC7162429 DOI: 10.1371/journal.pone.0231625] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 03/26/2020] [Indexed: 12/13/2022] Open
Abstract
Background Serratia marcescens is an emerging pathogen that causes a variety of health care associated infections. S. marcescens is equipped with an arsenal of virulence factors such as biofilm formation, swimming and swarming motilities, prodigiosin, protease and others which enable it to initiate and cause the infection. These virulence factors are orchestrated under the umbrella of an intercellular communication system named Quorum sensing (QS). QS allows bacterial population to synchronize the expression of virulence genes upon detection of a chemical signaling molecule. Targeting bacterial virulence is a promising approach to attenuate bacteria and enhances the ability of immune system to eradicate the bacterial infection. Drug repurposing is an advantageous strategy that confers new applications for drugs outside the scope of their original medical use. This promising strategy offers the use of safe approved compounds, which potentially lowers the costs and shortens the time than that needed for development of new drugs. Sitagliptin is dipeptidyl peptidase-4 (DPP-4) inhibitor, is used to treat diabetes mellitus type II as it increases the production of insulin and decreasing the production of glucagon by the pancreas. We aimed in this study to repurpose sitagliptin, investigating the anti-virulence activities of sitagliptin on S. marcescens. Methods The effect of sub-inhibitory concentrations of sitagliptin on virulence factors; protease, prodigiosin, biofilm formation, swimming and swarming motilities was estimated phenotypically. The qRT-PCR was used to show the effect of sitagliptin on the expression of QS-regulated virulence genes. The in-vivo protective activity of sitagliptin on S. marcescens pathogenesis was evaluated on mice. Results Sitagliptin (1 mg/ml) significantly reduced the biofilm formation, swimming and swarming motilities, prodigiosin and protease. The qRT-PCR confirmed the effect on virulence as shown by down regulating the expression of fimA, fimC, flhC, flhD, bsmB, rssB, rsmA, pigP, and shlA genes. Moreover, the in-vivo findings showed the efficient ability of sitagliptin to weaken S. marcescens pathogenesis. Conclusion Sitagliptin is a promising anti-virulence agent against S. marcescens that may be beneficial in the control of healthcare associated infections caused by S. marcescens.
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Affiliation(s)
- Hisham A. Abbas
- Department of Microbiology and Immunology, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt
| | - Wael A. H. Hegazy
- Department of Microbiology and Immunology, Faculty of Pharmacy, Zagazig University, Zagazig, Egypt
- * E-mail:
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Ugboko HU, Nwinyi OC, Oranusi SU, Fatoki TH, Akinduti PA, Enibukun JM. In Silico Screening and Analysis of Broad-Spectrum Molecular Targets and Lead Compounds for Diarrhea Therapy. Bioinform Biol Insights 2019; 13:1177932219884297. [PMID: 31695343 PMCID: PMC6820192 DOI: 10.1177/1177932219884297] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Accepted: 09/27/2019] [Indexed: 12/28/2022] Open
Abstract
Diarrhoeal disease kills about 1.5 million human beings per year across the continents. The enterotoxigenic Escherichia coli (ETEC) pathotype has been noted as a major cause of diarrheal disease in human and livestock. The aim of this study is to identify broad-spectrum molecular targets in bacteria and broad-spectrum lead compounds (functional inhibitors) with high efficacy and no significant adverse implication on human systems, in relevance to diarrhea therapy through computational approaches which include phylogenetics, target prediction, molecular docking, and molecular flexibility dynamic simulations. Three molecular target genes, murA, dxr, and DnaE, which code for uridine diphosphate-N-acetylglucosamine-1-carboxyvinyltransferase, 1-deoxy-D-xylulose-5-phosphate reductoisomerase, and deoxyribonucleic acid polymerase III alpha subunit, respectively, were found to be highly conserved in 7 diarrhea-causing microbes. In addition, 21 potential compounds identified showed varied degree of affinity to these enzymes. At free energy cutoff of -8.0 kcal/mol, the highest effective molecular target was DNA polymerase III alpha subunit (PDB ID: 4JOM) followed by UDP-N-acetylglucosamine-1-carboxyvinyltransferase (PDB ID: 5UJS), and 1-deoxy-D-xylulose-5-phosphate reductoisomerase (PDB ID: 1ONN), while the highest effective lead compound was N-coeleneterazine followed by amphotericin B, MMV010576, MMV687800, MMV028694, azithromycin, and diphenoxylate. The flexibility dynamics of DNA polymerase III alpha subunit unraveled the atomic fluctuation which potentially implicated Asp593 as unstable active site amino acid residue. In conclusion, bacteria DnaE gene or its protein is a highly promising molecular target for the next generation of antibacterial drugs of the class of N-coeleneterazine.
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Affiliation(s)
- Harriet U Ugboko
- Microbiology Research Unit, Department of Biological Sciences, Covenant University, Ota, Nigeria
| | - Obinna C Nwinyi
- Microbiology Research Unit, Department of Biological Sciences, Covenant University, Ota, Nigeria
| | - Solomon U Oranusi
- Microbiology Research Unit, Department of Biological Sciences, Covenant University, Ota, Nigeria
| | - Toluwase H Fatoki
- Enzyme Biotechnology and Pharmaceutics Research Unit, Department of Biochemistry, The Federal University of Technology, Akure, Nigeria
| | - Paul A Akinduti
- Microbiology Research Unit, Department of Biological Sciences, Covenant University, Ota, Nigeria
| | - Jesupemi M Enibukun
- Molecular Biology and Environmental Microbiology Research Unit, Department of Microbiology, The Federal University of Technology, Akure, Nigeria
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Kalia VC, Patel SKS, Kang YC, Lee JK. Quorum sensing inhibitors as antipathogens: biotechnological applications. Biotechnol Adv 2018; 37:68-90. [PMID: 30471318 DOI: 10.1016/j.biotechadv.2018.11.006] [Citation(s) in RCA: 185] [Impact Index Per Article: 30.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 10/19/2018] [Accepted: 11/18/2018] [Indexed: 12/20/2022]
Abstract
The mechanisms through which microbes communicate using signal molecules has inspired a great deal of research. Microbes use this exchange of information, known as quorum sensing (QS), to initiate and perpetuate infectious diseases in eukaryotic organisms, evading the eukaryotic defense system by multiplying and expressing their pathogenicity through QS regulation. The major issue to arise from such networks is increased bacterial resistance to antibiotics, resulting from QS-dependent mediation of the formation of biofilm, the induction of efflux pumps, and the production of antibiotics. QS inhibitors (QSIs) of diverse origins have been shown to act as potential antipathogens. In this review, we focus on the use of QSIs to counter diseases in humans as well as plants and animals of economic importance. We also discuss the challenges encountered in the potential applications of QSIs.
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Affiliation(s)
- Vipin Chandra Kalia
- Department of Chemical Engineering, Konkuk University, Seoul 05029, Republic of Korea.
| | - Sanjay K S Patel
- Department of Chemical Engineering, Konkuk University, Seoul 05029, Republic of Korea
| | - Yun Chan Kang
- Department of Materials Science and Engineering, Korea University, Anam-Dong, Seongbuk-Gu, Seoul 02841, Republic of Korea
| | - Jung-Kul Lee
- Department of Chemical Engineering, Konkuk University, Seoul 05029, Republic of Korea.
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Bassegoda A, Ivanova K, Ramon E, Tzanov T. Strategies to prevent the occurrence of resistance against antibiotics by using advanced materials. Appl Microbiol Biotechnol 2018; 102:2075-2089. [PMID: 29392390 DOI: 10.1007/s00253-018-8776-0] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Revised: 01/04/2018] [Accepted: 01/06/2018] [Indexed: 01/26/2023]
Abstract
Drug resistance occurrence is a global healthcare concern responsible for the increased morbidity and mortality in hospitals, time of hospitalisation and huge financial loss. The failure of the most antibiotics to kill "superbugs" poses the urgent need to develop innovative strategies aimed at not only controlling bacterial infection but also the spread of resistance. The prevention of pathogen host invasion by inhibiting bacterial virulence and biofilm formation, and the utilisation of bactericidal agents with different mode of action than classic antibiotics are the two most promising new alternative strategies to overcome antibiotic resistance. Based on these novel approaches, researchers are developing different advanced materials (nanoparticles, hydrogels and surface coatings) with novel antimicrobial properties. In this review, we summarise the recent advances in terms of engineered materials to prevent bacteria-resistant infections according to the antimicrobial strategies underlying their design.
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Affiliation(s)
- Arnau Bassegoda
- Group of Molecular and Industrial Biotechnology, Department of Chemical Engineering, Universitat Politècnica de Catalunya, Terrassa, Spain
| | - Kristina Ivanova
- Group of Molecular and Industrial Biotechnology, Department of Chemical Engineering, Universitat Politècnica de Catalunya, Terrassa, Spain
| | - Eva Ramon
- Group of Molecular and Industrial Biotechnology, Department of Chemical Engineering, Universitat Politècnica de Catalunya, Terrassa, Spain
| | - Tzanko Tzanov
- Group of Molecular and Industrial Biotechnology, Department of Chemical Engineering, Universitat Politècnica de Catalunya, Terrassa, Spain.
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Sasikala D, Jeyakanthan J, Srinivasan P. Structure-based virtual screening and biological evaluation of LuxT inhibitors for targeting quorum sensing through an in vitro biofilm formation. J Mol Struct 2017. [DOI: 10.1016/j.molstruc.2016.07.118] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Kisch JM, Utpatel C, Hilterhaus L, Streit WR, Liese A. Pseudomonas aeruginosa biofilm growth inhibition on medical plastic materials by immobilized esterases and acylase. Chembiochem 2014; 15:1911-9. [PMID: 25044227 DOI: 10.1002/cbic.201400023] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2014] [Indexed: 01/11/2023]
Abstract
Biofilms are matrix-encapsulated cell aggregates that cause problems in technical and health-related areas; for example, 65 % of all human infections are biofilm associated. This is mainly due to their ameliorated resistance against antimicrobials and immune systems. Pseudomonas aeruginosa, a biofilm-forming organism, is commonly responsible for nosocomial infections. Biofilm development is partly mediated by signal molecules, such as acyl-homoserine lactones (AHLs) in Gram-negative bacteria. We applied horse liver esterase, porcine kidney acylase, and porcine liver esterase; these can hydrolyze AHLs, thereby inhibiting biofilm formation. As biofilm infections are often related to foreign material introduced into the human body, we immobilized the enzymes on medical plastic materials. Biofilm formation was quantified by Crystal Violet staining and confocal laser scanning microscopy, revealing up to 97 % (on silicone), 54 % (on polyvinyl chloride), and 77 % (on polyurethane) reduced biomass after 68 h growth.
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Affiliation(s)
- Johannes Martin Kisch
- Institute of Technical Biocatalysis, Hamburg University of Technology, Denickestr. 15, 21071 Hamburg (Germany)
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Yujie L, Geng X, Huang YC, Li Y, Yang K, Ye L, Chen X, Zhao G, Yin C. The Effect of Brominated Furanones on The Formation of Staphylococcus aureus Biofilm on PVC. Cell Biochem Biophys 2013; 67:1501-5. [DOI: 10.1007/s12013-013-9652-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Quorum sensing inhibitors: An overview. Biotechnol Adv 2013; 31:224-45. [DOI: 10.1016/j.biotechadv.2012.10.004] [Citation(s) in RCA: 474] [Impact Index Per Article: 43.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2012] [Revised: 09/24/2012] [Accepted: 10/30/2012] [Indexed: 12/28/2022]
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Fazil MHUT, Singh DV. Vibrio cholerae infection, novel drug targets and phage therapy. Future Microbiol 2011; 6:1199-208. [DOI: 10.2217/fmb.11.93] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Vibrio cholerae is the causative agent of the diarrheal disease cholera. Although antibiotic therapy shortens the duration of diarrhea, excessive use has contributed to the emergence of antibiotic resistance in V. cholerae. Mobile genetic elements have been shown to be largely responsible for the shift of drug resistance genes in bacteria, including some V. cholerae strains. Quorum sensing communication systems are used for interaction among bacteria and for sensing environmental signals. Sequence analysis of the ctxB gene of toxigenic V. cholerae strains demonstrated its presence in multiple cholera toxin genotypes. Moreover, bacteriophage that lyse the bacterium have been reported to modulate epidemics by decreasing the required infectious dose of the bacterium. In this article, we will briefly discuss the disease, its clinical manifestation, antimicrobial resistance and the novel approaches to locate drug targets to treat cholera.
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Kalia VC, Purohit HJ. Quenching the quorum sensing system: potential antibacterial drug targets. Crit Rev Microbiol 2011; 37:121-40. [PMID: 21271798 DOI: 10.3109/1040841x.2010.532479] [Citation(s) in RCA: 175] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Emergence of antibiotic and multi-drug resistant pathogenic bacteria has created the need for new drugs and drug targets. During pathogenesis bacteria release signals which regulate virulence and pathogenicity related genes. Such bacteria co-ordinate their virulent behaviour in a cell density dependent phenomenon termed as quorum sensing (QS). In contrast, microbes interfere with QS system by quenching the signals, termed quorum quenching (QQ). As a consequence of disrupted QS, pathogens become susceptible to antibiotics and drugs. In this article, the biodiversity of organisms with potential to quench QS signals and the use of QQ molecules as antibacterial drugs have been reviewed.
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Affiliation(s)
- Vipin Chandra Kalia
- Microbial Biotechnology and Genomics, Institute of Genomics and Integrative Biology (IGIB), CSIR, Delhi University Campus, Mall Road, Delhi-110007, India.
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Galloway WRJD, Hodgkinson JT, Bowden SD, Welch M, Spring DR. Quorum Sensing in Gram-Negative Bacteria: Small-Molecule Modulation of AHL and AI-2 Quorum Sensing Pathways. Chem Rev 2010; 111:28-67. [DOI: 10.1021/cr100109t] [Citation(s) in RCA: 454] [Impact Index Per Article: 32.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- Warren R. J. D. Galloway
- Department of Chemistry and Department of Biochemistry, University of Cambridge, Cambridge, CB2 1EW U.K
| | - James T. Hodgkinson
- Department of Chemistry and Department of Biochemistry, University of Cambridge, Cambridge, CB2 1EW U.K
| | - Steven D. Bowden
- Department of Chemistry and Department of Biochemistry, University of Cambridge, Cambridge, CB2 1EW U.K
| | - Martin Welch
- Department of Chemistry and Department of Biochemistry, University of Cambridge, Cambridge, CB2 1EW U.K
| | - David R. Spring
- Department of Chemistry and Department of Biochemistry, University of Cambridge, Cambridge, CB2 1EW U.K
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Stevens AM, Queneau Y, Soulère L, Bodman SV, Doutheau A. Mechanisms and Synthetic Modulators of AHL-Dependent Gene Regulation. Chem Rev 2010; 111:4-27. [DOI: 10.1021/cr100064s] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Ann M. Stevens
- Department of Biological Sciences, Virginia Tech, Blacksburg, Virginia 24061, United States, INSA Lyon, Laboratoire de Chimie Organique et Bioorganique, 69621 Villeurbanne Cedex, France, CNRS, UMR 5246 ICBMS, Université Lyon 1, INSA-Lyon, CPE-Lyon, 69622 Villeurbanne Cedex, France, Department of Plant Science, University of Connecticut, Storrs, Connecticut 06269, United States, and National Science Foundation, Arlington, Virginia 22230, United States
| | - Yves Queneau
- Department of Biological Sciences, Virginia Tech, Blacksburg, Virginia 24061, United States, INSA Lyon, Laboratoire de Chimie Organique et Bioorganique, 69621 Villeurbanne Cedex, France, CNRS, UMR 5246 ICBMS, Université Lyon 1, INSA-Lyon, CPE-Lyon, 69622 Villeurbanne Cedex, France, Department of Plant Science, University of Connecticut, Storrs, Connecticut 06269, United States, and National Science Foundation, Arlington, Virginia 22230, United States
| | - Laurent Soulère
- Department of Biological Sciences, Virginia Tech, Blacksburg, Virginia 24061, United States, INSA Lyon, Laboratoire de Chimie Organique et Bioorganique, 69621 Villeurbanne Cedex, France, CNRS, UMR 5246 ICBMS, Université Lyon 1, INSA-Lyon, CPE-Lyon, 69622 Villeurbanne Cedex, France, Department of Plant Science, University of Connecticut, Storrs, Connecticut 06269, United States, and National Science Foundation, Arlington, Virginia 22230, United States
| | - Susanne von Bodman
- Department of Biological Sciences, Virginia Tech, Blacksburg, Virginia 24061, United States, INSA Lyon, Laboratoire de Chimie Organique et Bioorganique, 69621 Villeurbanne Cedex, France, CNRS, UMR 5246 ICBMS, Université Lyon 1, INSA-Lyon, CPE-Lyon, 69622 Villeurbanne Cedex, France, Department of Plant Science, University of Connecticut, Storrs, Connecticut 06269, United States, and National Science Foundation, Arlington, Virginia 22230, United States
| | - Alain Doutheau
- Department of Biological Sciences, Virginia Tech, Blacksburg, Virginia 24061, United States, INSA Lyon, Laboratoire de Chimie Organique et Bioorganique, 69621 Villeurbanne Cedex, France, CNRS, UMR 5246 ICBMS, Université Lyon 1, INSA-Lyon, CPE-Lyon, 69622 Villeurbanne Cedex, France, Department of Plant Science, University of Connecticut, Storrs, Connecticut 06269, United States, and National Science Foundation, Arlington, Virginia 22230, United States
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Productive steps toward an antimicrobial targeting virulence. Curr Opin Microbiol 2009; 12:490-6. [PMID: 19631578 DOI: 10.1016/j.mib.2009.06.012] [Citation(s) in RCA: 80] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2009] [Accepted: 06/05/2009] [Indexed: 01/19/2023]
Abstract
Targeting virulence factors has gained increasing attention as a potential approach to new antibiotics. Small molecule inhibitors of virulence have been shown to change the course of disease in whole organism infection models. Recently, key advances in the field include the identification of novel targets within cell signaling pathways, a new class of anti-virulence compounds that target bacterial defenses against host immunity, and a growing body of in vivo data to support the general approach of anti-virulence therapies. Additionally, there has been a distinct trend toward developing broader spectrum anti-virulence compounds, in particular agents with activity against diverse Gram-negative organisms. Herein we provide an update on the status of the field with a focus on recent advancements.
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