Summary of project PR002321

This data is available at the NIH Common Fund's National Metabolomics Data Repository (NMDR) website, the Metabolomics Workbench, https://www.metabolomicsworkbench.org, where it has been assigned Project ID PR002321. The data can be accessed directly via it's Project DOI: 10.21228/M8MJ9D This work is supported by NIH grant, U2C- DK119886.

See: https://www.metabolomicsworkbench.org/about/howtocite.php

Project ID: PR002321
Project DOI:doi: 10.21228/M8MJ9D
Project Title:Evaluation of in vitro pharmacodynamic drug interactions of ceftazidime-avibactam with tigecycline in ESBL- (extended spectrum beta-lactamase) and carbapenemase producing Escherichia coli
Project Summary:Background: Combination therapy offers a promising option to enhance efficacy and prevent resistance. A comprehensive and quantitative assessment of the last-resort combination of ceftazidime/avibactam and tigecycline is not available. Objective: This study systematically investigated the pharmacodynamic interaction between ceftazidime/avibactam and tigecycline in clinical and isogenic Escherichia coli strains harbouring genes that encode various carbapenemases or ESBLs (extended spectrum beta-lactamases). Methods: An adaptive in vitro 'dynamic' checkerboard design and pharmacometric modelling were employed for the evaluation of pharmacodynamic interactions in fifteen bacterial isolates. Additionally, time-kill assays and metabolomic analyses were used to provide mechanistic insights. Metabolomic analysis: Mechanistical investigation of the PD interaction between ceftazidime/avibactam-tigecycline was studied in a selected clinical isolate of E. coli (strain JUM_JEA) using metabolomic analyses in mono- and combination treatment scenarios. Time-kill assays were conducted for ceftazidime/avibactam and tigecycline concentrations of 4 x MIC (minimum inhibitory concentration) as well as combinations of both antibiotics at 4 x MIC CZA – 4 x MIC TGC and growth controls as four replicates over 4 h with samples at 0, 2 and 4 h. Results: Antagonistic drug interactions between ceftazidime/avibactam and tigecycline were identified in the majority of tested strains. Time-kill assays confirmed antagonistic interactions, with tigecycline limiting ceftazidime/avibactam total killing. Metabolomic analyses of mono and combined drug exposure to bacteria revealed matching metabolomes in tigecycline alone and the combination with ceftazidime/avibactam, corroborating the identified antagonism between these drugs.
Institute:European Molecular Biology Laboratory
Department:EMBL Heidelberg
Last Name:Drotleff
First Name:Bernhard
Address:Meyerhofstr. 1, Heidelberg, BW, 69117, Germany
Email:bernhard.drotleff@embl.de
Phone:none
Publications:https://doi.org/10.1016/j.ijantimicag.2025.107457
Contributors:Aneeq Farooq, Bernhard Drotleff, Niklas Kroemer, Mei-Ling Han, Jian Li, Jean Winoc Decousser, David Schrey, Julien Buyck, Nicolas Grégoire, Patrice Nordmann, Sebastian G. Wicha

Summary of all studies in project PR002321

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ST003735 Evaluation of in vitro pharmacodynamic drug interactions of ceftazidime-avibactam with tigecycline in ESBL- (extended spectrum beta-lactamase) and carbapenemase producing Escherichia coli Escherichia coli European Molecular Biology Laboratory MS 2025-03-13 1 256 Uploaded data (23G)*
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