General Information of the Molecule (ID: Mol04277)
Name
Multiple efflux pumps MepA and NorA ,Staphylococcus aureus
Synonyms
Multiple efflux pumps MepA and NorA
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Molecule Type
Protein
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Kingdom: N.A.
Phylum: Firmicutes
Class: Bacilli
Order: Bacillales
Family: Staphylococcaceae
Genus: Staphylococcus
Species: Staphylococcus aureus
Type(s) of Resistant Mechanism of This Molecule
  IDUE: Irregularity in Drug Uptake and Drug Efflux
Drug Resistance Data Categorized by Drug
Investigative Drug(s)
1 drug(s) in total
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Alpha-Mangostin-4
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Drug Sensitivity Data Categorized by Their Corresponding Mechanisms
  Irregularity in Drug Uptake and Drug Efflux (IDUE) Click to Show/Hide
Disease Class: Staphylococcus aureus infection [ICD-11: 1B54.0] [1]
Sensitive Disease Staphylococcus aureus infection [ICD-11: 1B54.0]
Sensitive Drug Alpha-Mangostin-4
Molecule Alteration Expression
Down-regulation
Experimental Note Revealed Based on the Cell Line Data
Cell Pathway Regulation Efflux pumps of MRSA2 signaling pathway Regulation N.A.
In Vitro Model Male SPF-grade ICR mice 5833
Methicillin-resistant Staphylococcus aureus 5833
Experiment for
Molecule Alteration
SEM assay; TEM assay; EtBr accumulation assay; qRT-PCR; Western blot assay; Bocillin FL PBP binding assay; beta-Lactamase activity assay
Experiment for
Drug Resistance
MIC assay; Time-Kill assay; Hemolytic activity assay; Cytotoxicity assay
Mechanism Description In this study, potential agents to combat MRSA resistance were explored, with the antibacterial activity of synthesized alpha-mangostin (alpha-MG) derivatives being evaluated alongside investigations into their cellular mechanisms against MRSA2. alpha-MG-4, featuring an allyl group at C3 of the lead compound alpha-MG, restored the sensitivity of MRSA2 to penicillin, enrofloxacin, and gentamicin, while also demonstrating improved safety profiles. Although alpha-MG-4 alone was ineffective against MRSA2, it exhibited an optimal synergistic ratio in vitro when combined with these antibiotics. This significant synergistic antibacterial effect was further confirmed in vivo using a mouse skin abscess model. Additionally, the synergistic mechanisms revealed that alpha-MG-4 was associated with changes in membrane permeability and inhibition of the MepA and NorA genes, which encode the efflux pumps of MRSA2. alpha-MG-4 also inhibited PBP2a expression, potentially by occupying a crucial binding site in a dose-dependent manner.IMPORTANCEMethicillin-resistant Staphylococcus aureus (MRSA)'s resistance to multiple antibiotics poses significant health and safety concerns. A novel alpha-mangostin (alpha-MG) derivative, alpha-MG-4, was first identified as a xanthone-based PBP2a inhibitor that reverses MRSA2 resistance to penicillin. The synergistic antibacterial effects of alpha-MG-4 were linked to increased cell membrane permeability and the inhibition of genes involved in efflux pump function.
References
Ref 1 A novel alpha-mangostin derivative synergistic to antibiotics against MRSA with unique mechanisms. Microbiol Spectr. 2024 Nov 7;12(12):e0163124.

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