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  4. Rapid Cytolysis of Mycobacterium tuberculosis by Faropenem, an Orally Bioavailable beta-Lactam Antibiotic
 
research article

Rapid Cytolysis of Mycobacterium tuberculosis by Faropenem, an Orally Bioavailable beta-Lactam Antibiotic

Dhar, Neeraj  
•
Dubee, Vincent
•
Ballell, Lluis
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2015
Antimicrobial Agents And Chemotherapy

Recent clinical studies indicate that meropenem, a beta-lactam antibiotic, is a promising candidate for therapy of drug-resistant tuberculosis. However, meropenem is chemically unstable, requires frequent intravenous injection, and must be combined with a beta-lactamase inhibitor (clavulanate) for optimal activity. Here, we report that faropenem, a stable and orally bioavailable beta-lactam, efficiently kills Mycobacterium tuberculosis even in the absence of clavulanate. The target enzymes, L, D-transpeptidases, were inactivated 6- to 22-fold more efficiently by faropenem than by meropenem. Using a real-time assay based on quantitative time-lapse microscopy and microfluidics, we demonstrate the superiority of faropenem to the frontline antituberculosis drug isoniazid in its ability to induce the rapid cytolysis of single cells. Faropenem also showed superior activity against a cryptic sub-population of nongrowing but metabolically active cells, which may correspond to the viable but nonculturable forms believed to be responsible for relapses following prolonged chemotherapy. These results identify faropenem to be a potential candidate for alternative therapy of drug-resistant tuberculosis.

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Type
research article
DOI
10.1128/Aac.03461-14
Web of Science ID

WOS:000348610000068

Author(s)
Dhar, Neeraj  
Dubee, Vincent
Ballell, Lluis
Cuinet, Guillaume
Hugonnet, Jean-Emmanuel
Signorino-Gelo, Francois
Barros, David
Arthur, Michel
Mckinney, John D.  
Date Issued

2015

Publisher

American Society for Microbiology

Published in
Antimicrobial Agents And Chemotherapy
Volume

59

Issue

2

Start page

1308

End page

1319

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPKIN  
Available on Infoscience
May 29, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/114668
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