Literature DB >> 32312774

Thioridazine Is an Efflux Pump Inhibitor in Mycobacterium avium Complex but of Limited Clinical Relevance.

Mike Marvin Ruth1, Lian J Pennings1, Valerie A C M Koeken2, Jodie A Schildkraut1, Aria Hashemi1, Heiman F L Wertheim1, Wouter Hoefsloot3, Jakko van Ingen4.   

Abstract

Treatment of Mycobacterium avium complex pulmonary disease (MAC-PD) is challenging partly due to high efflux pump expression. Thioridazine might block these efflux pumps. We explore the efficacy of thioridazine against M. avium isolates using MICs, time-kill combination assays, ex vivo macrophage infection assays, and efflux assays. Thioridazine is bactericidal against M. avium, inhibits intracellular growth at 2× MIC, and blocks ethidium bromide efflux. However, its toxicity and low plasma concentrations make it unlikely to add efficacy to MAC-PD therapy.
Copyright © 2020 American Society for Microbiology.

Entities:  

Keywords:  M. avium; efflux pumps; thioridazine

Mesh:

Substances:

Year:  2020        PMID: 32312774      PMCID: PMC7318027          DOI: 10.1128/AAC.00181-20

Source DB:  PubMed          Journal:  Antimicrob Agents Chemother        ISSN: 0066-4804            Impact factor:   5.191


  22 in total

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