EDTA对庆大霉素杀灭平台期大肠杆菌的影响及其机制

    Effect and Mechanism of EDTA on the Gentamicin-Mediated Killing of Stationary-Phase Escherichia coli

    • 摘要: 探寻影响抗生素杀菌效率的外源因子,是解析细菌耐药性与耐受性形成机制的关键切入点,对优化临床抗感染治疗方案具有重要理论与实践意义。以平台期大肠杆菌为研究对象,通过外源添加乙二胺四乙酸(EDTA)与庆大霉素联合处理,评估 EDTA 对庆大霉素杀菌活性的影响。浓度梯度试验与时间依赖性试验证实,EDTA 对庆大霉素杀菌活性的抑制作用具有明显的浓度依赖性,且该保护效应可在整个药物处理周期内持续存在。机制探究结果揭示,EDTA 通过降低平台期大肠杆菌的质子动力势(PMF)、减少细胞内活性氧(ROS)的积累量,以及减轻药物诱导的细胞膜损伤,最终减弱庆大霉素的杀菌效果。进一步研究发现,EDTA 的保护作用具有抗生素类别特异性,仅对氨基糖苷类抗生素(包括庆大霉素、妥布霉素、链霉素、卡那霉素及阿米卡星)有效,而对喹诺酮类与β-内酰胺类抗生素的杀菌活性无显著影响。研究可为临床评估 EDTA 在氨基糖苷类抗生素联合用药方案中的应用合理性提供了参考依据。

       

      Abstract: Exploring the exogenous factors that affected the bactericidal efficiency of antibiotics was a key entry point for analyzing the mechanism of bacterial resistance and tolerance, and had important theoretical and practical significance for optimizing the clinical anti-infection treatment. By taking Escherichia coli in the platform period as the research object, the effect of EDTA on the bactericidal activity of gentamicin was evaluated by exogenous addition of ethylenediaminetetraacetic acid (EDTA) combined with gentamicin. The concentration-gradient test and time-dependence test confirmed that: the inhibitory effect of EDTA on the bactericidal activity of gentamicin was significantly concentration-dependent, and this protective effect could persist throughout the whole drug treatment cycle. The results of mechanism exploration revealed that: by reducing the proton motive force (PMF) of Escherichia coli in the plateau phase, reducing the accumulation of intracellular reactive oxygen species (ROS), and alleviating the drug-induced cell membrane damage, EDTA finally weakened the bactericidal efficacy of gentamicin. The further research found that: the protective effect of EDTA was antibiotic class-specific, and only effective against aminoglycoside antibiotics (including gentamicin, tobramycin, streptomycin, kanamycin and amikacin), but had no significant effect on the bactericidal activity of quinolones and β-lactam antibiotics. The study could provide a reference for the clinical evaluation of the rationality of the application of EDTA in the combination of aminoglycoside antibiotics.

       

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