Innate Effector Systems in Primary Human Macrophages Sensitize Multidrug-Resistant Klebsiella pneumoniae to Antibiotics

Author:

Rekha Rokeya Sultana1,Karadottir Harpa1,Ahmed Sultan1,Gudmundsson Gudmundur H.12,Agerberth Birgitta1,Bergman Peter13ORCID

Affiliation:

1. Department of Laboratory Medicine, Division of Clinical Microbiology, Karolinska Institutet, Stockholm, Sweden

2. Biomedical Center, University of Iceland, Reykjavik, Iceland

3. Infectious Disease Clinic, The Immunodeficiency Unit, Karolinska University Hospital, Stockholm, Sweden

Abstract

Infections caused by multidrug-resistant (MDR) Klebsiella pneumoniae are difficult to treat with conventional antibiotics. Thus, alternative strategies to control the growth of MDR Klebsiella are warranted. We hypothesized that activation of innate effector systems could sensitize MDR K. pneumoniae to conventional antibiotics. Thus, human primary macrophages were stimulated with compounds known to activate innate immunity (vitamin D 3 , phenylbutyrate [PBA], and the aroylated phenylenediamine HO53) and then infected with MDR Klebsiella in the presence or absence of antibiotics.

Funder

Icelandic Center for Research

Swedish Research Council

Swedish Heart and Lung Foundation

Stockholm County Council

Karolinska Institutet

Stiftelsen Lars Hiertas Minne

Scandinavian Society for Antimicrobial Chemotherapy Foundation

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Immunology,Microbiology,Parasitology

Reference28 articles.

1. WHO. 2017. Global priority list of antibiotic-resistant bacteria to guide research discovery and development of new antibiotics. WHO Geneva Switzerland. http://www.who.int/medicines/publications/global-priority-list-antibiotic-resistant-bacteria/en/.

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3. Antibiotic resistance—the need for global solutions

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5. ECDC. 2018. Antimicrobial resistance (EARS-Net). Annual epidemiological report for 2014. European Centre for Disease Prevention and Control Stockholm Sweden. https://www.ecdc.europa.eu/sites/default/files/documents/AER_for_2014-AMR-EARSnet.pdf.

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