Verapamil increases susceptibility of colistin-resistant Acinetobacter baumannii to colistin. 2024

Sichen Liu, and Huijing Zhou, and Jingchun Kong, and Huanchang Chen, and Lei Chen, and Miran Tang, and Beibei Zhou, and Mengxin Xu, and Lijiang Chen, and Tieli Zhou
Department of Clinical Laboratory, The First Affiliated Hospital of Wenzhou Medical University; Key Laboratory of Clinical Laboratory Diagnosis and Translational Research of Zhejiang Province.

Acinetobacter baumannii, which is predominantly responsible for hospital-acquired infections, presents a tremendous clinical challenge due to its increasing antibiotic resistance to colistin (COL), a last-line antibiotic. As a result, the combination of antimicrobial and non-antimicrobial agents is emerging as a more popular treatment approach against infections caused by colistin-resistant (COL-R) A. baumannii. This study administered COL and verapamil (VER), i.e., an antihypertensive and antiarrhythmic agent. We found that the susceptibility of A. baumannii to COL was restored both in vitro and in vivo. Scanning electron microscope (SEM) and Crystal violet staining showed inhibition of the VER/COL combination on bacterial biofilm formation. Cytotoxicity assay and hemolysis test were used to confirm in vitro safety evaluation. Further experiments using propidium iodide (PI) staining revealed that the VER/COL combination improved the therapeutic efficacy of COL by modifying the permeability of bacterial membranes. As demonstrated by Reactive Oxygen Species (ROS) experiments, the drug combination caused the accumulation of bacterial ROS and their eventual death. Additionally, VER/COL treatment significantly reduced the efflux of Rhodamine 123 (Rh123). For the first time, this study identifies the anti-hypertensive drug VER as a COL potentiator against A. baumannii, providing a potential treatment approach against A. baumannii infections and improving patient outcomes.

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