Table 2. Summary of the Potentiating Effects of Outer Membrane Permeabilizers.
no. | OM permeabilizers | molecular structure | combined drug | microbial species | proposed mechanisms | MICa of drug alone | MICa in combination | fold decrease | FIC | ref |
---|---|---|---|---|---|---|---|---|---|---|
a | pentamidine | Scheme 2a | novobiocin | A. baumannii | displace the ion cross-linkers in the OM | 12 | <0.2 | >60 | <0.258 | (56) |
b | colistin | Scheme 2b | rifampicin | P. aeruginosa | displace the ion cross-linkers in the OM | 64 | 4 | 16 | 0.31 | (59) |
c | PMBN | Scheme 2c | fusidic acid | E. coli | displace the ion cross-linkers in the OM | 100 | 1 | 100 | <0.03 | (67) |
d | SPR741 | Scheme 2d | rifampicin | A. baumannii. | displace the ion cross-linkers in the OM | 4 | 0.5 | 8 | 0.14 | (71) |
e | SLAP-S25 | Scheme 2e | colistin | Providencia alcalifaciens | displace the ion cross-linkers in the OM | 16 | 0.016 | 1000 | 0.002 | (73) |
f | thanatin | Scheme 1k | meropenem | E. coli | sequester the ion cross-linkers in the OM | 144* | 18* | 8 | 0.625 | (42) |
g | LABv2.1 | Scheme 2f | erythromycin | E. coli | target 1-phosphor-GlcNAc of lipid A | 200 | <0.2 | >1000 | <0.251 | (75) |
h | LL-37 | N.D. | histone | E. coli | pore formation in the OM and IM | N.A.b | N.A.b | N.A.b | N.A.b | (79) |
i | PAS8-b-PDM12 | Scheme 2g | rifampicin | E. coli | target lipid A in the OM | 12.5 | 0.25 | 50 | 0.25 | (82) |
j | 2,6-DAC | Scheme 2h | novobiocin | A. baumannii | enhance antibiotic penetration | 8 | 0.5 | 16 | 0.312 | (83) |
The MIC is given as μg/mL, except when specified by “*”, which indicates that the MIC is given as μM.
The synergy was determined by the time-killing method; N.D., not determined; N.A., not available. OM, outer membrane; IM, inner membrane.