Anti-plasmid activity of Chlorpromazine in types of antibiotics resistant pathogenic bacteria

Al-Hassan A. Qasim, M. Essa
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Abstract

This study was performed to evaluate the ability of chlorpromazine compound to cure the plasmids and remove the antibiotic resistance character of multidrug resistance Gram-negative pathogenic bacteria. The curing experiment was done by incubating bacterial strains in nutrient broth with sub MIC concentration of chlorpromazine, and the disc diffusion method was used before and after curing to evaluate antibiotic resistance pattern of bacteria. Synergetic test of chlorpromazine with antibiotics that the studied bacteria showed resistance toward also done. The results showed the ability of chlorpromazine to remove the plasmids from four bacterial genera out of five genera, where the most plasmid removal cases was with E.cloacae, P.aeruginosa, and P.merabilis, and the loss of antibiotics resistance was observed in the same bacterial genera, but P.merabilis showed the most antibiotics resistance losing by three antibiotics out of nine antibiotics that the bacteria were resistant to them before curing. As for the synergistic effect, the compound showed a synergism with only two antibiotic and with the three aforementioned bacterial genera. From results of this study we concluded the possibility of removing bacteria resistance to antibiotics by eliminating plasmids through using chlorpromazine, and the possibility of using this compound in synergism with antibiotics, this will open the way to find new strategies  to treat many diseases caused by resistant bacteria.
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氯丙嗪对几种耐药病原菌的抗质粒活性研究
本研究旨在评价复方氯丙嗪对多重耐药革兰氏阴性致病菌的治愈质粒和去除耐药性的能力。采用亚MIC浓度氯丙嗪的营养液培养菌株进行养护实验,养护前后采用圆盘扩散法评价细菌的耐药模式。并进行了氯丙嗪与所研究细菌耐药抗生素的协同试验。结果表明,氯丙嘧啶能够去除5种细菌属中的4种细菌的质粒,其中去除质粒最多的是cloacae、P.aeruginosa和P.merabilis,并且在同一细菌属中观察到抗生素耐药性的丧失,但P.merabilis在治愈前对9种抗生素中的3种抗生素的耐药性丧失最多。在协同作用方面,该化合物仅与两种抗生素和上述三种细菌属具有协同作用。根据本研究结果,我们得出氯丙嗪通过消除质粒来去除细菌对抗生素的耐药性的可能性,以及该化合物与抗生素协同使用的可能性,这将为寻找治疗耐药细菌引起的许多疾病的新策略开辟道路。
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