Species-specific activity of antibacterial drug combinations.

Brochado, Ana Rita; Telzerow, Anja; Bobonis, Jacob; Banzhaf, Manuel; Mateus, André; Selkrig, Joel; Huth, Emily; Bassler, Stefan; Zamarreño Beas, Jordi; Zietek, Matylda; Ng, Natalie; Förster, Sunniva; Ezraty, Benjamin; Py, Béatrice; Barras, Frédéric; Savitski, Mikhail M; Bork, Peer; Göttig, Stephan; Typas, Athanasios (2018). Species-specific activity of antibacterial drug combinations. Nature, 559(7713), pp. 259-263. Macmillan Journals Ltd. 10.1038/s41586-018-0278-9

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The spread of antimicrobial resistance has become a serious public health concern, making once-treatable diseases deadly again and undermining the achievements of modern medicine. Drug combinations can help to fight multi-drug-resistant bacterial infections, yet they are largely unexplored and rarely used in clinics. Here we profile almost 3,000 dose-resolved combinations of antibiotics, human-targeted drugs and food additives in six strains from three Gram-negative pathogens-Escherichia coli, Salmonella enterica serovar Typhimurium and Pseudomonas aeruginosa-to identify general principles for antibacterial drug combinations and understand their potential. Despite the phylogenetic relatedness of the three species, more than 70% of the drug-drug interactions that we detected are species-specific and 20% display strain specificity, revealing a large potential for narrow-spectrum therapies. Overall, antagonisms are more common than synergies and occur almost exclusively between drugs that target different cellular processes, whereas synergies are more conserved and are enriched in drugs that target the same process. We provide mechanistic insights into this dichotomy and further dissect the interactions of the food additive vanillin. Finally, we demonstrate that several synergies are effective against multi-drug-resistant clinical isolates in vitro and during infections of the larvae of the greater wax moth Galleria mellonella, with one reverting resistance to the last-resort antibiotic colistin.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Förster, Sunniva Marita


500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services




Macmillan Journals Ltd.




Tanya Karrer

Date Deposited:

19 Jul 2018 13:30

Last Modified:

23 Oct 2019 08:34

Publisher DOI:


PubMed ID:






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