Document Detail


Mechanism for synergism between sulphonamides and trimethoprim clarified.
MedLine Citation:
PMID:  8910868     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pseudomonas aeruginosa, Escherichia coli, Pseudomonas cepacia and Moraxella catarrhalis were selected for their markedly different resistance patterns to sulphonamides and trimethoprim. In addition, strains of E. coli and P. cepacia were selected having different resistance profiles to the inhibition of dihydropteroate synthetase and dihydrofolate reductase. All inhibitors of dihydropteroate synthetase combined in any combination with inhibitors of dihydrofolate reductase resulted in mutual enhancement of bacterial uptakes of the inhibitors and corresponding increased antibacterial activity of the combinations. High concentrations of sulphonamides or p-aminobenzoic acid plus trimethoprim caused a decrease in overall activity of the combination and indicated that both sulphonamides and p-aminobenzoic acid at high concentrations can interact with dihydrofolate reductase. The antibacterial activity of p-aminobenzoic acid at high concentrations is considered to be a blocking effect on dihydrofolate reductase even though p-aminobenzoic acid at low concentrations is an essential part of the synthesis of dihydrofolic acid. These findings support an alternative hypothesis for the mechanism of antibacterial action of individual antifolates and their mechanism of synergism in combination.
Authors:
R M Richards; R B Taylor; Z Y Zhu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of pharmacy and pharmacology     Volume:  48     ISSN:  0022-3573     ISO Abbreviation:  J. Pharm. Pharmacol.     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1997-02-24     Completed Date:  1997-02-24     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  0376363     Medline TA:  J Pharm Pharmacol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  981-4     Citation Subset:  IM    
Affiliation:
School of Pharmacy, Robert Gordon University, Schoolhill, Aberdeen, UK.
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MeSH Terms
Descriptor/Qualifier:
4-Aminobenzoic Acid / pharmacology
Anti-Bacterial Agents / pharmacology*
Bacteria / drug effects*
Drug Resistance, Microbial
Drug Synergism
Microbial Sensitivity Tests
Sulfonamides / pharmacology*
Trimethoprim / pharmacology*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Sulfonamides; 150-13-0/4-Aminobenzoic Acid; 738-70-5/Trimethoprim

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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