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In Vitro Cytotoxicity and Antibiotic Activity of Polymyxin B Nonapeptide

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<strong>In</strong> vitro cytotoxicity <strong>and</strong> antibiotic activity <strong>of</strong><br />

polymyxin B nonapeptide.<br />

A K Duwe, C A Rupar, G B Horsman <strong>and</strong> S I Vas<br />

Antimicrob. Agents Chemother. 1986, 30(2):340. DOI:<br />

10.1128/AAC.30.2.340.<br />

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ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Aug. 1986, p. 340-341<br />

0066-4804/86/080340-02$02.00/0<br />

Copyright X 1986, American Society for Microbiology<br />

Vol. 30, No. 2<br />

<strong>In</strong> <strong>Vitro</strong> <strong>Cytotoxicity</strong> <strong>and</strong> <strong>Antibiotic</strong> <strong>Activity</strong> <strong>of</strong><br />

<strong>Polymyxin</strong> B <strong>Nonapeptide</strong><br />

AXEL K. DUWE', C. ANTHONY RUPAR,2* GREG B. HORSMAN,1 AND STEPHEN I. VAS'<br />

Department <strong>of</strong> Microbiology, Toronto Western Hospital <strong>and</strong> University <strong>of</strong> Toronto, Toronto, Ontario MST 2S8,1 <strong>and</strong><br />

Department <strong>of</strong> Biochemistry, Children's Psychiatric Research <strong>In</strong>stitute <strong>and</strong> University <strong>of</strong> Western Ontario, London,<br />

Ontario N6A 4G6,2 Canada<br />

Received 27 November 1985/Accepted 15 May 1986<br />

<strong>Polymyxin</strong> B nonapeptide, prepared by enzymic removal <strong>of</strong> the fatty acyl diaminobutyric acid side chain<br />

from polymyxin B, was about 100-fold less toxic to K562 cells than polymyxin B. MICs <strong>of</strong> polymyxin B<br />

nonapeptide against a test panel <strong>of</strong> bacteria were 2- to 64-fold lower than those <strong>of</strong> polymyxin B.<br />

<strong>Polymyxin</strong> B is a peptide antibiotic containing a heptapeptide<br />

ring <strong>and</strong> a fatty acylated tripeptide side chain. It is a<br />

broad-spectrum antibiotic with greater activity against gramnegative<br />

than gram-positive bacteria (4). The antibacterial<br />

activity <strong>of</strong> polymyxin B results from its ability to bind <strong>and</strong><br />

disorganize the outer membrane <strong>of</strong> gram-negative bacteria,<br />

resulting in changes to the membrane permeability barrier<br />

(4). Immobilized polymyxin B can disrupt the Escherichia<br />

coli outer membrane permeability barrier, indicating that<br />

penetration <strong>of</strong> the outer membrane is not required for<br />

activity (3). The inhibition <strong>of</strong> polymyxin B binding to outer<br />

membranes by divalent cations <strong>and</strong> the polycationic nature<br />

<strong>of</strong> polymyxin B suggest that antibiotic-outer membrane<br />

interactions are electrostatic (4).<br />

<strong>Polymyxin</strong> B nonapeptide (PMBN), a derivative <strong>of</strong><br />

polymyxin B which lacks the side chain terminal fatty acyl<br />

diaminobutyrate, binds with relatively high affinity to the<br />

outer membrane (6), disrupts the outer membrane (5), <strong>and</strong><br />

sensitizes gram-negative bacteria to several hydrophobic<br />

antibiotics (8) <strong>and</strong> serum complement (7).<br />

Alterations in the fatty acyl side chain <strong>of</strong> the related<br />

antibiotic, colistin, influence both antimicrobial activity <strong>and</strong><br />

acute toxicity toward mice (1). <strong>In</strong> the present study, the<br />

eucaryotic cytotoxicity against K562 cells <strong>and</strong> antimicrobial<br />

activities <strong>of</strong> polymyxin B <strong>and</strong> PMBN against a panel <strong>of</strong><br />

gram-positive <strong>and</strong> gram-negative bacteria were compared.<br />

The procedure for the preparation <strong>of</strong> PMBN from<br />

polymyxin B sulfate (Sigma Chemical Co., St. Louis, Mo.)<br />

with ficin (Sigma) was similar to procedures previously<br />

described for the degradation <strong>of</strong> colistin (2), with the following<br />

modification. The aqueous phase remaining after butanol<br />

extractions to remove N-acyl diaminobutyric acid <strong>and</strong> undegraded<br />

polymyxin B was concentrated <strong>and</strong> dialyzed with a<br />

UM-2 membrane (Amicon, Oakville, Ontario, Canada). The<br />

purity <strong>of</strong> the PMBN was checked by thin-layer chromatography<br />

on cellulose plates (Merck, Toronto, Ontario, Canada)<br />

with solvent butanol, pyridine, acetic acid, <strong>and</strong> water<br />

(15:10:3:12). The amount <strong>of</strong> polymyxin B contaminant in<br />

PMBN preparations was determined to be


VOL. 30, 1986<br />

TABLE 2. MICs <strong>of</strong> polymyxin B <strong>and</strong> PMBN against<br />

gram-negative <strong>and</strong> gram-positive bacteria<br />

MIC (,ug/ml)<br />

MIC ratio<br />

Strain <strong>Polymyxin</strong> B PMBN (polymyxin B/PMBN)<br />

S. aureus<br />

ATCC 25923 32 128 1/4<br />

ATCC 29213 16 64 1/4<br />

S. epidermidis<br />

ATCC 27626 64 128 1/2<br />

ATCC 14990 16 128 1/8<br />

E. coli ATCC 0.5 32 1/64<br />

25922<br />

K. pneumoniae 2 128 1/64<br />

ATCC 13883<br />

S. marcescens 64 >128<br />

ATCC 13880<br />

P. aeruginosa 0.125 4 1/32<br />

ATCC 27853<br />

4 ml <strong>of</strong> Trypticase soy broth (BBL) <strong>and</strong> incubated for 3 h at<br />

37°C. This was adjusted to a McFarl<strong>and</strong> st<strong>and</strong>ard (0.5) giving<br />

approximately 108 CFU/ml <strong>and</strong> further diluted in sterile<br />

distilled water with 0.02% Tween 80 to 107 CFU. Using a<br />

Dynatech 96-prong semiautomated inoculator, 0.0015 ml<br />

was inoculated into each well containing 0.1 ml <strong>of</strong> Mueller-<br />

Hinton broth. This gave a final concentration <strong>of</strong> 105 CFU/ml.<br />

The plates were incubated at 35°C for 18 h. Each test was<br />

done in triplicate, <strong>and</strong> the endpoint was taken as the lowest<br />

antibiotic concentration at which there was no visible<br />

growth.<br />

PMBN was a less effective antibiotic than polymyxin B<br />

(Table 2). The MICs <strong>of</strong> PMBN were 2- to 8-fold higher for<br />

gram-positive bacteria <strong>and</strong> 32- to 64-fold higher for the<br />

susceptible gram-negative bacteria tested. S. marcescens<br />

was resistant to polymyxin B <strong>and</strong> was not affected by a<br />

tw<strong>of</strong>old higher concentration <strong>of</strong> PMBN. A test tube assay for<br />

MIC <strong>and</strong> MBC in which E. coli ATCC 25922 was grown in 2<br />

ml <strong>of</strong> broth for 2 h was within one tube dilution <strong>of</strong> the<br />

microtiter plate data, <strong>and</strong> the MBCs were >25 ,ug/ml for both<br />

PMBN <strong>and</strong> polymyxin B.<br />

NOTES 341<br />

The toxicity <strong>of</strong> PMBN toward K562 cells was nearly<br />

100-fold less than that <strong>of</strong> polymyxin B, whereas the antibiotic<br />

activity was decreased only 2- to 64-fold against a panel<br />

<strong>of</strong> both gram-negative <strong>and</strong> gram-positive bacteria. The results<br />

suggest that the removal <strong>of</strong> the fatty acyl diaminobutyric<br />

acid side chain terminal from polymyxin B had a<br />

greater effect on eucaryotic cytotoxicity than on antimicrobial<br />

activity. It may therefore be useful to screen the<br />

nonapeptides <strong>of</strong> other polymyxins for both antibiotic activity<br />

<strong>and</strong> eucaryotic toxicity to determine whether some <strong>of</strong> these<br />

nonapeptides may be useful against bacteria resistant to<br />

more conventional antibiotics. Although PMBN was less<br />

toxic to eucaryotic cells in vitro, caution should be exercised<br />

in extrapolating these results to in vivo toxicity. Further<br />

experiments are required to determine how PMBN is metabolized<br />

in vivo. Our results indicate that in vivo studies are<br />

appropriate <strong>and</strong> suggest a useful methodology for a preliminary<br />

screening <strong>of</strong> polymyxin peptides.<br />

LITERATURE CITED<br />

1. Chihara, S., A. Ito, M. Yahata, T. Tobita, <strong>and</strong> Y. Koyama. 1974.<br />

Chemical synthesis, isolation <strong>and</strong> characterization <strong>of</strong> a-Nfattyacyl<br />

colistin nonapeptide with special reference to the correlation<br />

between antimicrobial activity <strong>and</strong> carbon number <strong>of</strong><br />

fattyacyl moiety. Agric. Biol. Chem. 38:521-529.<br />

2. Chihara, S., T. Tobita, M. Yahata, A. Ito, <strong>and</strong> Y. Koyama. 1973.<br />

Enzymatic degradation <strong>of</strong> colistin: isolation <strong>and</strong> identification <strong>of</strong><br />

a-N-acyl a,-y-diaminobutyric acid <strong>and</strong> colistin nonapeptide.<br />

Agric. Biol. Chem. 37:2455-2463.<br />

3. Rosenthal, K. S., <strong>and</strong> D. R. Storm. 1977. Disruption <strong>of</strong> the<br />

Escherichia coli outer membrane permeability barrier by immobilized<br />

polymyxin B. J. Antibiot. 30:1087-1092.<br />

4. Storm, D. R., K. S. Rosenthal, <strong>and</strong> P. E. Swanson. 1977.<br />

<strong>Polymyxin</strong> <strong>and</strong> related peptide antibiotics. Annu. Rev. Biochem.<br />

46:723-763.<br />

5. Vaara, M., <strong>and</strong> T. Vaara. 1983. Polycations as outer membranedisorganizing<br />

agents. Antimicrob. Agents Chemother. 24:<br />

114-122.<br />

6. Vaara, M., <strong>and</strong> P. ViUanen. 1985. Binding <strong>of</strong> polymyxin B<br />

nonapeptide to gram-negative bacteria. Antimicrob. Agents Chemother.<br />

27:548-554.<br />

7. Vaara, M., P. ViUanen, T. Vaara, <strong>and</strong> P. H. Makela. 1984. An<br />

outer membrane-disorganizing peptide PMBN sensitizes E. coli<br />

strains to serum bactericidal action. J. Immunol. 132:2582-2589.<br />

8. ViUanen, P., <strong>and</strong> M. Vaara. 1984. Susceptibility <strong>of</strong> gram-negative<br />

bacteria to polymyxin B nonapeptide. Antimicrob. Agents Chemother.<br />

25:701-705.<br />

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