In Vitro Assessment of the Synergy between Polymyxin B (PMB) and Polymyxin B Nonapeptide (PMBN) and Antibiotics on Biofilms from Diabetic Foot Infections

Background: The increasing resistance of Gram-negative bacteria isolated from nosocomial infections and chronic wounds, such as diabetic foot ulcers has renewed research interests in the use of polymyxins in the treatment of multidrug resistant infections. The added resistance conferred by biofilm development in such infections and the absence of novel antibiotics presuppose that polymyxins are the likely drugs of choice in spite of their nephrotoxicity. The effects of PMB and PMBN have been previously assessed on planktonic bacteria isolated from various infections. Methods: This current study assessed the synergy between a PMB/PMBN and two antibiotics (ceftazidime and levofloxacin) in an attempt to develop a strategy for biofilm disruption using the Minimum Biofilm Eradication Concentration Physiology and Genetic assay (MBEC™ P & G, Innovotech Inc, Edmonton, Alberta, Canada) according to manufacturer’s instructions. Klebsiella pneumoniae (K. pneumoniae) and Proteus mirabilis (P. mirabilis) biofilms of initial broth suspensions of 108 colony forming units per mL, cultivated on the pegs of the MBEC device were challenged with 5120 µg/mL of both ceftazidime and levofloxacin in a ten-fold dilution assay and in the presence of 100 and 500 µg/mL PMB and PMBN. Results: From table of results (Table 1), it can be deduced that both ceftazidime and levofloxacin are very effective in inhibiting biofilm development (as shown by percentage inhibition (PI)) when augmented with PMB and PMBN. This is about 100-fold increase in efficacy when compared to the antibiotics used on their own. The percentage reduction (PR) in biofilm was also increased considerably when PMB and PMBN concentrations were increased to 500 µg/mL. PMB was more effective than its less antibacterial derivative PMBN. Levofloxacin was also found to be more effective than ceftazidime when combined with both PMB and PMBN due to its enhanced cell-membrane permeability and as an anti-DNA replication uncoupling agent. Conclusion: The above results indicate that the synergy between antibiotics and cell membrane permeabilising agents may provide alternate strategies towards biofilm eradication

Differential effects of two anti-apo-cytochrome c-specific monoclonal antibodies on the function of apo-cytochrome c-specific murine T cell clones.

A murine monoclonal antibody (SJL 2-4) specific for the antigen apo-cytochrome c was shown to inhibit both antigen-induced proliferation and lymphokine secretion by an apo-cytochrome c-specific BALB/c helper T cell clone. The inhibition was specific because additional apo-cytochrome c-specific T cell clones were not inhibited by the same monoclonal antibody. Time course studies of the inhibition indicated that the initial 8 hr of contact between T cell clones and antigen-presenting cells were critical for activation of the T cell clones. Inhibition of T cell functions by antigen-specific antibodies appeared to correlate with the antibody-antigen binding constant because a second monoclonal antibody (Cyt-1-59), with identical specificity but with a lower affinity constant for apo-cytochrome c, had very little inhibitory effect on the proliferation or lymphokine secretion of apo-cytochrome c-specific T cell clones.

500 cm3, Naas sur A.B.C. [critérium motocycliste de l'A.A.M.M., Association des anciens motocyclistes militaires à Auxerre, le 24 mai 1920] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59359

« Oeuvres sacrez de J. B. C. », à savoir.

Contient : 1 « Job ou de la fermeté,.VI. livres », traduction en vers du livre de Job ; 2 « Version des cantiques de l'Eglise » ; 3 « Le Symbole d'ATHANASE » ; 4 « Hymne de S. S. AMBROISE et AUGUSTIN » ; 5 « Le Cantique des cantiques, ou Les amours de Salomon et de Sulamite, avec l'allegorie des amours de Jesu Christ et de l'Eglise » ; 6 « Version du psaume 137, Super flumina Babylonis »

26-8-20, circuit de la Sarthe, Borgotti sur A.B.C. : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60720

26-8-20, circuit de la Sarthe, Detruche sur A.B.C. : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60731

26-8-20, Circuit de la Sarthe, Emerson sur A.B.C. : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60737

26-8-20, Circuit de la Sarthe, [Henri] Naas sur A.B.C. : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60739