Crippling of Klebsiella pneumoniae virulence by metformin, N-acetylcysteine and secnidazole

Faculty Pharmacy Year: 2023
Type of Publication: ZU Hosted Pages:
Authors:
Journal: BMC Microbiology Springer Volume:
Keywords : Crippling , Klebsiella pneumoniae virulence , metformin, N-acetylcysteine    
Abstract:
Introduction The emergence of multidrug-resistant Klebsiella pneumoniae in hospitals represents a serious threat to public health. Infections caused by Klebsiella pneumoniae are widespread in healthcare institutions, mainly pneumonia, bloodstream infections, and infections affecting neonates in intensive care units; so, it is necessary to combat this pathogen with new strategies. Targeting virulence factors necessary to induce host damage and disease is a new paradigm for antimicrobial therapy with several potential benefits that could lead to decreased resistance. Background The influence of metformin, N-acetylcysteine, and secnidazole on Klebsiella pneumoniae virulence factors production was tested. The production of Klebsiella pneumoniae virulence factors such as biofilm formation, urease, proteases, hemolysins, and tolerance to oxidative stress was evaluated phenotypically using sub-inhibitory concentration (1/8 MIC) of metformin, N-acetylcysteine, and secnidazole. For more confirmation, qRT-PCR was used to assess the relative expression level of rmpA, wcaG, fimH-1, mrkD, ureA, and khe genes regulating virulence factors production. Results Metformin, N-acetylcysteine, and secnidazole were all found to have a powerful inhibitory effect on the production of virulence factors phenotypically. Our results showed a significant reduction in the expression level of rmpA, wcaG, fimH-1, mrkD, ureA, and khe genes. Furthermore, the tested drugs were investigated in vivo to inform their ability to protect mice against Klebsiella pneumoniae pathogenesis. Conclusions Metformin, N-acetylcysteine, and secnidazole inhibited the virulence of Klebsiella pneumoniae. Besides combating resistant Klebsiella pneumoniae, the tested drugs could also serve as an adjuvant to traditional antibiotics.
   
     
 
       

Author Related Publications

  • Hisham AbdelMonem AbdelHamid Abaas, "Impeding efflux-mediated resistance in Staphylococcus aureus", A & V Publications, 2022 More
  • Hisham AbdelMonem AbdelHamid Abaas, "Celastrol Modulates Multiple Signaling Pathways to Inhibit Proliferation of Pancreatic Cancer via DDIT3 and ATF3 Up-Regulation and RRM2 and MCM4 Down-Regulation", Dove press, 2021 More
  • Hisham AbdelMonem AbdelHamid Abaas, "Xylitol Inhibits Growth and Blocks Virulence in Serratia marcescens", MDPI, 2021 More
  • Hisham AbdelMonem AbdelHamid Abaas, "Tackling Virulence of Pseudomonas aeruginosa by the Natural Furanone Sotolon", MDPI, 2021 More
  • Hisham AbdelMonem AbdelHamid Abaas, "Secnidazole Is a Promising Imidazole Mitigator of Serratia marcescens Virulence", MDPI, 2021 More

Department Related Publications

  • Mona Abdelmoniem Elsayed Mahmmoud , "The value of peritoneal lavage in peritonitis", لايوجد, 1900 More
  • Mona Abdelmoniem Elsayed Mahmmoud , "Chemoantibiotic _ resistance in enteropathogenic Escherichia Coli Locally ", لايوجد, 1900 More
  • Mona Abdelmoniem Elsayed Mahmmoud , "Identification of different Candidia species according to its fatty acids contents.", لايوجد, 1900 More
  • Mona Abdelmoniem Elsayed Mahmmoud , "The effects of various antimicrobial agents against Escherichia coli isolated from urine.", لايوجد, 1900 More
  • Mona Abdelmoniem Elsayed Mahmmoud , "Isolation and Characterization of cellulose from Streptomyces roseoflavus ", لايوجد, 1900 More
Tweet