Orally administered targeted recombinant Beta-lactamase prevents ampicillin-induced selective pressure on the gut microbiota: a novel approach to reducing antimicrobial resistance.

نویسندگان

  • Jaana Harmoinen
  • Silja Mentula
  • Matti Heikkilä
  • Michel van der Rest
  • Päivi J Rajala-Schultz
  • Curtis J Donskey
  • Rafael Frias
  • Pertti Koski
  • Nina Wickstrand
  • Hannele Jousimies-Somer
  • Elias Westermarck
  • Kai Lindevall
چکیده

Antibiotics that are excreted into the intestinal tract promote antibiotic resistance by exerting selective pressure on the gut microbiota. Using a beagle dog model, we show that an orally administered targeted recombinant beta-lactamase enzyme eliminates the portion of parenteral ampicillin that is excreted into the small intestine, preventing ampicillin-induced changes to the fecal microbiota without affecting ampicillin levels in serum. In dogs receiving ampicillin, significant disruption of the fecal microbiota and the emergence of ampicillin-resistant Escherichia coli and TEM genes were observed, whereas in dogs treated with ampicillin in combination with an oral beta-lactamase, these did not occur. These results suggest a new strategy for reducing antimicrobial resistance in humans.

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عنوان ژورنال:
  • Antimicrobial agents and chemotherapy

دوره 48 1  شماره 

صفحات  -

تاریخ انتشار 2004