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An antisense peptide-conjugated peptide nucleic acid (PPNA) for peptidoglycan recycling inhibition reduces AmpC hyperproduction and β–lactam resistance in Pseudomonas aeruginosa
ARPBIG group, Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain; Microbiology Department, University Hospital Son Espases (HUSE), Palma, Spain; Centro de Investigación Biomédica en Red, Área Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
ARPBIG group, Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain; Microbiology Department, University Hospital Son Espases (HUSE), Palma, Spain; Centro de Investigación Biomédica en Red, Área Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
ARPBIG group, Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain; Microbiology Department, University Hospital Son Espases (HUSE), Palma, Spain.
Umeå University, Faculty of Medicine, Molecular Infection Medicine Sweden (MIMS). Umeå University, Faculty of Medicine, Umeå Centre for Microbial Research (UCMR). Umeå University, Faculty of Medicine, Department of Molecular Biology (Faculty of Medicine).ORCID iD: 0000-0002-0450-1430
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2025 (English)In: Microbiology Spectrum, E-ISSN 2165-0497, Vol. 13, no 9, article id e02622-24Article in journal (Refereed) Published
Abstract [en]

We performed a proof-of-concept study to validate a peptide-conjugated peptide nucleic acid (PPNA) directed to inhibit peptidoglycan recycling as strategy to reduce AmpC hyperproduction and β-lactam resistance in Pseudomonas aeruginosa. Our nagZ-targeting PPNA at 2 µM decreased mRNA levels of nagZ and ampC to about a quarter in the AmpC high-level hyperproducer mutant PAdacBΔD and a previously characterized clinical strain with similar features, causing low cytotoxicity on human A549 cells. Ceftazidime minimum inhibitory concentration decreased from 64 to 8 mg/L in both strains after combination with 2 µM PPNA (which showed significant synergy in checkerboard assays), suggesting that nagZ-targeting PPNAs can be explored as weapons to sensitize P. aeruginosa against β-lactams and return therapeutic value to these essential drugs.

Place, publisher, year, edition, pages
American Society for Microbiology, 2025. Vol. 13, no 9, article id e02622-24
Keywords [en]
AmpC β-lactamase, ceftazidime, NagZ, peptide-conjugated peptide nucleic acid (PPNA), peptidoglycan recycling, Pseudomonas aeruginosa
National Category
Microbiology in the Medical Area
Identifiers
URN: urn:nbn:se:umu:diva-244081DOI: 10.1128/spectrum.02622-24ISI: 001539319500001PubMedID: 40736236Scopus ID: 2-s2.0-105014962637OAI: oai:DiVA.org:umu-244081DiVA, id: diva2:2000275
Available from: 2025-09-23 Created: 2025-09-23 Last updated: 2025-09-23Bibliographically approved

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Torrens, Gabriel

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Molecular Infection Medicine Sweden (MIMS)Umeå Centre for Microbial Research (UCMR)Department of Molecular Biology (Faculty of Medicine)
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