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Krieger, Ann-Kathrin; Knappe, Daniel; Öhlmann, Sophie; Mayer, Leonie; Eder, Ines B.; Köller, Gábor; Hoffmann, Ralf; Rieckmann, Karoline; Baums, Christoph Georg
Journal of global antimicrobial resistance, March 2021, 2021-Mar, 2021-03-00, 20210301, 2021-03-01, Volume: 24Journal Article
•New model for antimicrobial treatment of Klebsiella pneumoniae septicaemia.•The apidaecin Api137 mediates killing of K. pneumoniae in porcine blood ex vivo.•Cytotoxicity and TNFα induction of Api137 treatment are comparable with cefquinome. Klebsiella pneumoniae is an emerging invasive pathogen in humans and pigs. Resistance against multiple antibiotics in this species is a major health concern and the development of new antibiotics is urgently needed. The objective of this study was to investigate the effects of proline-rich antimicrobial peptides (PrAMPs) on the survival of K. pneumoniae strains in porcine blood. We established a bactericidal assay with K. pneumoniae in fresh blood drawn from 4-week-old piglets. PrAMPs, namely the apidaecins Api137 and Api802 as well as the oncocin Onc112, were added to ex vivo-infected whole blood samples in order to study their bactericidal effects and, in the case of Api137, also immune responses. A porcine invasive and a human iucA+rmpA+ K. pneumoniae strain showed prominent proliferation in porcine blood. Application of Api137 resulted in a dose-dependent prominent bactericidal effect killing the invasive porcine K. pneumoniae strain. Addition of 8 μg/mL Api137 also resulted in complete killing of the human iucA+rmpA+ strain. Cytotoxicity, haemolysis and induction of the pro-inflammatory cytokine tumour necrosis factor-alpha (TNFα) in K. pneumoniae-infected porcine blood treated with Api137 was comparable with values obtained after application of 10 μg/mL cefquinome. We describe a new non-rodent model for invasive K. pneumoniae bacteraemia and present promising data for the PrAMP Api137 for the control of infection with hypervirulent K. pneumoniae strains.
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