Document details

Exploring in vitro efficacy of rCHAPk with antibiotic combinations, and promising findings of its therapeutic potential for clinical-originated MRSA wound infection

Author(s): Tasdurmazli, Semra ; Cinar, Irfan ; Karamese, Murat ; Aksak Karamese, Selina ; Cadirci, Elif ; Melo, Luís Daniel Rodrigues ; Ozbek, Tulin

Date: 2025

Persistent ID: https://hdl.handle.net/1822/94658

Origin: RepositóriUM - Universidade do Minho

Subject(s): Endolysin rCHAPk; Endolysin-antibiotic synergism; MRSA-infected in vivo wound model


Description

The increasing threat of antimicrobial-resistant bacteria, particularly Staphylococcus aureus, which rapidly develops multidrug resistance and commonly colonizes wound surfaces, demands innovative strategies. Phage-encoded endolysins offer a dual-purpose approach as topical therapies for infectious skin wounds and synergistic agents to reduce high-dose antibiotic dependence. This study explores recombinant CHAPk (rCHAPk), efficiently synthesized within 3 h, displaying broad-spectrum antibacterial activity against 10 Gram-positive strains, including resistant variants, with rapid bactericidal kinetics. Application of 10 g of rCHAPk reduced OD600 by 0.4 within 5 min against a clinical methicillin-resistant S. aureus (MRSA) strain. Combining rCHAPk (1.875 g/mL) with oxacillin/vancomycin lowered their minimum bactericidal concentrations to 1 g/mL from initial values over 64 g/mL and 32 g/mL, respectively, with a fractional inhibitory concentration index below 0.1. rCHAPk retained efficacy after one year of refrigerated storage. In in vivo experiments, rCHAPk outperformed commercial fucidin therapy in MRSA-induced murine wound models over two weeks, enhancing wound healing by modulating pro-inflammatory cytokine responses and the proliferative phase. This study, for the first time, investigates rCHAPk's in vitro combination with antibiotics and wound healing parameters, highlighting its potential as a potent antibacterial agent synergizing with antibiotics to address antibiotic-resistant bacterial wound infections. © 2025 Elsevier B.V.

TÜBİTAK -Türkiye Bilimsel ve Teknolojik Araştırma Kurumu(CA21145)

info:eu-repo/semantics/publishedVersion

Document Type Journal article
Language English
Contributor(s) Universidade do Minho
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