@misc{10481/66691, year = {2021}, month = {1}, url = {http://hdl.handle.net/10481/66691}, abstract = {The development and dissemination of antibiotic-resistant bacterial pathogens is a growing global threat to public health. Novel compounds and/or therapeutic strategies are required to face the challenge posed, in particular, by Gram-negative bacteria. Here we assess the combined effect of potent cell-wall synthesis inhibitors with either natural or synthetic peptides that can act on the outer-membrane. Thus, several linear peptides, either alone or combined with vancomycin or nisin, were tested against selected Gram-negative pathogens, and the best one was improved by further engineering. Finally, peptide D-11 and vancomycin displayed a potent antimicrobial activity at low μM concentrations against a panel of relevant Gram-negative pathogens. This combination was highly active in biological fluids like blood, but was non-hemolytic and non-toxic against cell lines. We conclude that vancomycin and D- 11 are safe at >50-fold their MICs. Based on the results obtained, and as a proof of concept for the newly observed synergy, a Pseudomonas aeruginosa mouse infection model experiment was also performed, showing a 4 log10 reduction of the pathogen after treatment with the combination. This approach offers a potent alternative strategy to fight (drug-resistant) Gram-negative pathogens in humans and mammals.}, organization = {China Scholarship Council 201306770012}, organization = {European Union (EU)}, organization = {NWO-NACTAR program}, publisher = {Nature Research}, title = {Outer-membrane-acting peptides and lipid II-targeting antibiotics cooperatively kill Gram-negative pathogens}, doi = {10.1038/s42003-020-01511-1}, author = {Li, Qian and Montalbán López, Manuel}, }