Potency of DX-619, a novel des-F(6)-quinolone, in haematogenous murine bronchopneumonia caused by methicillin-resistant and vancomycin-intermediate Staphylococcus aureus

Int J Antimicrob Agents. 2006 Sep;28(3):212-6. doi: 10.1016/j.ijantimicag.2006.03.026. Epub 2006 Aug 2.

Abstract

In this study, the potency of DX-619, a novel des-fluoro(6)-quinolone agent, was compared with that of vancomycin (VCM) in a murine model of haematogenous bronchopneumonia infection caused by methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-intermediate S. aureus (VISA). The minimum inhibitory concentrations (MICs) of DX-619 and VCM against MRSA were 0.03 microg/mL and 1.0 microg/mL, respectively, whilst the MICs against VISA were 0.125 microg/mL and 8.0 microg/mL, respectively. Treatment with DX-619 resulted in a significant decrease in the number of viable bacteria in the MRSA infection model (mean+/-standard error of the mean for control, VCM and DX-619 groups: 7.97+/-0.32, 7.19+/-0.33 and 2.91+/-0.60 log(10) colony-forming units/lung, respectively). For infection with VISA, mice were pre-treated with cyclophosphamide. The survival rate of mice treated with DX-619 (90% survival) was significantly higher than survival rates in the other two groups (45% both for VCM and control groups; P<0.05). Histopathological examination revealed that inflammatory changes in the DX-619-treated group were less marked than in the other two groups. The parameters in lung tissue for the area under the concentration-time curve/MIC ratio both for MRSA and VISA were higher in the DX-619 group than in the VCM group. Our results emphasise the potency of DX-619 against MRSA and VISA murine haematogenous pulmonary infection.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Anti-Bacterial Agents / blood
  • Anti-Bacterial Agents / pharmacokinetics
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use*
  • Disease Models, Animal
  • Lung / metabolism
  • Lung / microbiology
  • Lung / pathology
  • Male
  • Methicillin / pharmacology
  • Methicillin Resistance
  • Mice
  • Pneumonia, Staphylococcal / drug therapy
  • Pneumonia, Staphylococcal / microbiology*
  • Pneumonia, Staphylococcal / pathology
  • Pyrrolidines / blood
  • Pyrrolidines / pharmacokinetics
  • Pyrrolidines / pharmacology
  • Pyrrolidines / therapeutic use*
  • Quinolones / blood
  • Quinolones / pharmacokinetics
  • Quinolones / pharmacology
  • Quinolones / therapeutic use*
  • Specific Pathogen-Free Organisms
  • Staphylococcus aureus / drug effects*
  • Vancomycin / pharmacokinetics
  • Vancomycin / pharmacology*

Substances

  • Anti-Bacterial Agents
  • DX 619
  • Pyrrolidines
  • Quinolones
  • Vancomycin
  • Methicillin