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In Vitro Antibacterial Properties of Cefiderocol, a Novel Siderophore Cephalosporin, against Gram-Negative Bacteria
Author(s) -
Akinobu Ito,
Takafumi Sato,
Merime Ota,
Miki Takemura,
Toru Nishikawa,
Shinsuke Toba,
Naoki Kohira,
Satoshi Miyagawa,
Naoki Ishibashi,
Shuhei Matsumoto,
Rio Nakamura,
Masakatsu Tsuji,
Yoshinori Yamano
Publication year - 2017
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01454-17
Subject(s) - siderophore , microbiology and biotechnology , pseudomonas aeruginosa , cephalosporin , acinetobacter baumannii , biology , enterobacteriaceae , efflux , klebsiella pneumoniae , escherichia coli , bacteria , serratia , antibiotics , pseudomonas , biochemistry , gene , genetics
Cefiderocol (CFDC; S-649266), a novel parenteral siderophore cephalosporin conjugated with a catechol moiety, has a characteristic antibacterial spectrum with a potent activity against a broad range of aerobic Gram-negative bacterial species, including carbapenem-resistant strains of Enterobacteriaceae and nonfermenting bacteria such as Pseudomonas aeruginosa and Acinetobacter baumannii Cefiderocol has affinity mainly for penicillin-binding protein 3 (PBP3) of Enterobacteriaceae and nonfermenting bacteria similar to that of ceftazidime. A deficiency of the iron transporter PiuA in P. aeruginosa or both CirA and Fiu in Escherichia coli caused 16-fold increases in cefiderocol MICs, suggesting that these iron transporters contribute to the permeation of cefiderocol across the outer membrane. The deficiency of OmpK35/36 in Klebsiella pneumoniae and the overproduction of efflux pump MexA-MexB-OprM in P. aeruginosa showed no significant impact on the activity of cefiderocol.

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