Experimental application of the median-effect principle for in vitro quantification of the combined inhibitory activities of clavulanic acid and imipenem against IRT-4 β-lactamase

Autor: Vincent Foulongne, J. Jourdan, Roger Labia, Albert Sotto, D. Sirot
Rok vydání: 2002
Předmět:
Zdroj: International Journal of Antimicrobial Agents. 19:75-78
ISSN: 0924-8579
DOI: 10.1016/s0924-8579(01)00465-4
Popis: Inhibitor-resistant TEM β-lactamases (IRT) have been identified in Enterobacteriaceae which, however, remained susceptible to cephalosporins. We evaluated the combined inhibitory activity of clavulanic acid and imipenem at ratios of 1:1 and 1:3 against IRT-4, using the median effect principle of Chou and Talalay. The combination of the two drugs, which produced a nearly additive effect, meant their concentrations could be lowered 1.3–4.9-fold, while maintaining a 50% inhibitory effect against the IRT-4 in comparison with each drug alone. From a therapeutic point of view, such a combination is not efficient but this method of Chou and Talalay, used for the first time to assay combined inhibitory activity of β-lactamase inhibitors, could be used to evaluate new molecules and/or strategies to inactivate β-lactamase.
Databáze: OpenAIRE