Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning

The repositioning of approved drugs is atopic of interest for the academy and the pharmaceutical industry. The synergistic combination of these drugs can be successful in the treatment of infections caused by resistant bacteria. This study aimed to assess the in vitro synergistic antibacterial activity of sertraline and disulfiram and their interaction with ciprofloxacin and sulfamethoxazole/trimethoprim. We determined the minimum inhibitory concentration, the minimum bactericidal concentration and the fractional inhibitory concentration index. Eighteen bacterial strains were used, being nine American Type Culture Collection reference strains and nine multidrug resistant clinical isolates. Synergy was detected between sertraline and disulfiram against a strain of Staphylococcus aureusATCC 25923 and a clinical isolate of S. aureus. When associated to sulfamethoxazole/trimethoprim and ciprofloxacin, sertraline and disulfiram showed eight synergistic events, which occurred against three different standard strains and two multidrug resistant clinical isolates. When the minimum bactericidal concentration was determined, the bactericidal activity of sertraline was enhanced with disulfiram. Our results suggest that these drugs, widely used to treat depression and chronic alcoholism, have antibacterial potential individually, in association, and combined with antimicrobials, what makes their repositioning a promising therapeutic alternative for the effective treatment of infections caused by multidrug resistant bacteria.

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Main Authors: Serafin,Marissa Bolson, Bottega,Angelita, Foletto,Vitória Segabinazzi, Rosa,Taciéli Fagundes da, Rampelotto,Roberta Filipini, Carvalho,Fernanda Aguirre, Hörner,Rosmari
Format: Digital revista
Language:English
Published: Universidade de São Paulo, Faculdade de Ciências Farmacêuticas 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502020000100548
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spelling oai:scielo:S1984-825020200001005482020-04-02Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioningSerafin,Marissa BolsonBottega,AngelitaFoletto,Vitória SegabinazziRosa,Taciéli Fagundes daRampelotto,Roberta FilipiniCarvalho,Fernanda AguirreHörner,Rosmari Sertraline Disulfiram.Antimicrobial activity Drug synergism Drug repositioning The repositioning of approved drugs is atopic of interest for the academy and the pharmaceutical industry. The synergistic combination of these drugs can be successful in the treatment of infections caused by resistant bacteria. This study aimed to assess the in vitro synergistic antibacterial activity of sertraline and disulfiram and their interaction with ciprofloxacin and sulfamethoxazole/trimethoprim. We determined the minimum inhibitory concentration, the minimum bactericidal concentration and the fractional inhibitory concentration index. Eighteen bacterial strains were used, being nine American Type Culture Collection reference strains and nine multidrug resistant clinical isolates. Synergy was detected between sertraline and disulfiram against a strain of Staphylococcus aureusATCC 25923 and a clinical isolate of S. aureus. When associated to sulfamethoxazole/trimethoprim and ciprofloxacin, sertraline and disulfiram showed eight synergistic events, which occurred against three different standard strains and two multidrug resistant clinical isolates. When the minimum bactericidal concentration was determined, the bactericidal activity of sertraline was enhanced with disulfiram. Our results suggest that these drugs, widely used to treat depression and chronic alcoholism, have antibacterial potential individually, in association, and combined with antimicrobials, what makes their repositioning a promising therapeutic alternative for the effective treatment of infections caused by multidrug resistant bacteria.info:eu-repo/semantics/openAccessUniversidade de São Paulo, Faculdade de Ciências FarmacêuticasBrazilian Journal of Pharmaceutical Sciences v.56 20202020-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502020000100548en10.1590/s2175-97902019000418089
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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libraryname SciELO
language English
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author Serafin,Marissa Bolson
Bottega,Angelita
Foletto,Vitória Segabinazzi
Rosa,Taciéli Fagundes da
Rampelotto,Roberta Filipini
Carvalho,Fernanda Aguirre
Hörner,Rosmari
spellingShingle Serafin,Marissa Bolson
Bottega,Angelita
Foletto,Vitória Segabinazzi
Rosa,Taciéli Fagundes da
Rampelotto,Roberta Filipini
Carvalho,Fernanda Aguirre
Hörner,Rosmari
Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning
author_facet Serafin,Marissa Bolson
Bottega,Angelita
Foletto,Vitória Segabinazzi
Rosa,Taciéli Fagundes da
Rampelotto,Roberta Filipini
Carvalho,Fernanda Aguirre
Hörner,Rosmari
author_sort Serafin,Marissa Bolson
title Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning
title_short Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning
title_full Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning
title_fullStr Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning
title_full_unstemmed Synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning
title_sort synergistic effect of sertraline and disulfiram against multidrug resistant bacteria as a new alternative to drug repositioning
description The repositioning of approved drugs is atopic of interest for the academy and the pharmaceutical industry. The synergistic combination of these drugs can be successful in the treatment of infections caused by resistant bacteria. This study aimed to assess the in vitro synergistic antibacterial activity of sertraline and disulfiram and their interaction with ciprofloxacin and sulfamethoxazole/trimethoprim. We determined the minimum inhibitory concentration, the minimum bactericidal concentration and the fractional inhibitory concentration index. Eighteen bacterial strains were used, being nine American Type Culture Collection reference strains and nine multidrug resistant clinical isolates. Synergy was detected between sertraline and disulfiram against a strain of Staphylococcus aureusATCC 25923 and a clinical isolate of S. aureus. When associated to sulfamethoxazole/trimethoprim and ciprofloxacin, sertraline and disulfiram showed eight synergistic events, which occurred against three different standard strains and two multidrug resistant clinical isolates. When the minimum bactericidal concentration was determined, the bactericidal activity of sertraline was enhanced with disulfiram. Our results suggest that these drugs, widely used to treat depression and chronic alcoholism, have antibacterial potential individually, in association, and combined with antimicrobials, what makes their repositioning a promising therapeutic alternative for the effective treatment of infections caused by multidrug resistant bacteria.
publisher Universidade de São Paulo, Faculdade de Ciências Farmacêuticas
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502020000100548
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