Drug (ID: DG00480) and It's Reported Resistant Information
Name
BPI-derived peptide P2
Drug Resistance Disease(s)
Disease(s) with Clinically Reported Resistance for This Drug (2 diseases)
Cholera [ICD-11: 1A00]
[1], [2]
COVID-19 [ICD-11: 1D92]
[3]
Type(s) of Resistant Mechanism of This Drug
  IDUE: Irregularity in Drug Uptake and Drug Efflux
Drug Resistance Data Categorized by Their Corresponding Diseases
ICD-01: Infectious/parasitic diseases
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Cholera [ICD-11: 1A00]
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Drug Resistance Data Categorized by Their Corresponding Mechanisms
       Irregularity in Drug Uptake and Drug Efflux (IDUE) Click to Show/Hide
Key Molecule: Outer membrane protein U (OMPU) [1], [2]
Molecule Alteration Expression
Up-regulation
Resistant Disease Vibrio cholerae infection [ICD-11: 1A00.0]
Experimental Note Identified from the Human Clinical Data
In Vitro Model Vibrio cholerae N16961 243277
Vibrio cholerae O395 345073
Experiment for
Molecule Alteration
Whole genome sequence assay
Experiment for
Drug Resistance
MIC assay
Mechanism Description BPI and P2, a peptide that contains BPI residues 86 to 104, may employ the same mechanism for killing Escherichia coli since both increase outer membrane (OM) permeability to hydrophobic compounds and inhibit O2 consumption.The ompU mutant was more sensitive to P2 because it possessed a more fragile OM than did wt cells.
References
Ref 1 The Vibrio cholerae ToxR-regulated porin OmpU confers resistance to antimicrobial peptides. Infect Immun. 2004 Jun;72(6):3577-83. doi: 10.1128/IAI.72.6.3577-3583.2004.
Ref 2 OmpU as a biomarker for rapid discrimination between toxigenic and epidemic Vibrio cholerae O1/O139 and non-epidemic Vibrio cholerae in a modified MALDI-TOF MS assay. BMC Microbiol. 2014 Jun 18;14:158. doi: 10.1186/1471-2180-14-158.
Ref 3 Antibody resistance of SARS-CoV-2 variants B.1.351 and B.1.1.7 Nature. 2021 May;593(7857):130-135. doi: 10.1038/s41586-021-03398-2. Epub 2021 Mar 8.

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