PUBLICATION

Ferulic acid derivative inhibits NorA efflux and in combination with ciprofloxacin curtails growth of MRSA in vitro and in vivo

Authors
Sundarmoorthy, N.S., Mithra, K., Ganesh, J.S., Makala, H., Lotha, R., Bhanuvalli, S.R., Ulaganathan, V., Thirunaukarasu, V., Sivasubramanian, A., Nagarajan, S.
ID
ZDB-PUB-180820-7
Date
2018
Source
Microbial pathogenesis   124: 54-62 (Journal)
Registered Authors
Keywords
none
MeSH Terms
  • Animals
  • Anti-Bacterial Agents/chemical synthesis
  • Anti-Bacterial Agents/pharmacology*
  • Bacterial Proteins/antagonists & inhibitors*
  • Biological Transport
  • Ciprofloxacin/pharmacology*
  • Colony Count, Microbial
  • Coumaric Acids/chemical synthesis
  • Coumaric Acids/pharmacology*
  • Disease Models, Animal
  • Drug Synergism*
  • Enzyme Inhibitors/chemical synthesis
  • Enzyme Inhibitors/pharmacology
  • Ethidium/metabolism
  • Methicillin-Resistant Staphylococcus aureus/drug effects*
  • Methicillin-Resistant Staphylococcus aureus/growth & development*
  • Microbial Sensitivity Tests
  • Microbial Viability/drug effects
  • Multidrug Resistance-Associated Proteins/antagonists & inhibitors*
  • Muscles/microbiology
  • Staphylococcal Infections/drug therapy
  • Staphylococcal Infections/microbiology
  • Treatment Outcome
  • Zebrafish
PubMed
30118803 Full text @ Microb. Pathog.
Abstract
A series of ferulic acid (FA) derivatives were synthesized and evaluated for its ability to inhibit NorA efflux in methicillin resistant Staphylococcus aureus (MRSA), by in silico docking analysis. Based on prediction from glide scores and ability to reduce EtBr MIC, two of the ten derivatives S3- [4-((E)-2-(diethylcarbamoyl)vinyl)-2-methoxyphenyl acetate] and S6- [(E)-methyl 3-(4-((p-tolylcarbamoyl)methoxy)-3-methoxyphenyl)acrylate] were chosen as putative efflux pump inhibitors (EPI's). Time dependent accumulation studies revealed that S6 caused enhanced EtBr accumulation relative to standard NorA efflux inhibitor reserpine in clinical isolate of MRSA (CIMRSA) and in NorA overexpressed strain of S. aureus (SA1199B). S6 also exhibited synergy with Ciprofloxacin (CPX) against NorA overexpressed strain (SA1199B) of S. aureus but not in NorA knock out strain (K1758). MIC reversal studies showed that S3 in CIMRSA and S6 in NorA overexpressed strain of S. aureus (SA1199B), caused a 4 fold reduction in ciprofloxacin (CPX) MIC. In vitro time kill studies revealed that both S3 and S6 with sub MIC of CPX caused a significant 4 log CFU decline in CIMRSA. A decline of >3 log fold CFU by time kill assay implies synergy between FA derivatives and CPX. When tested in vivo in infected muscle tissue of zebrafish both S3 and S6 with CPX caused >3.2 log decline in CIMRSA cell counts relative to CPX treatment alone. Of the two potent derivatives, S6 probably acts through NorA whereas S3 might exert its effect through pump other than NorA. Greater in vitro and in vivo efficiency of FA derivatives implies its potential to use as an adjuvant along with CPX to curtail MRSA infection in higher animal models.
Genes / Markers
Figures
Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping