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Review

Recombinant Endolysins as Potential Therapeutics against Antibiotic-Resistant Staphylococcus aureus: Current Status of Research and Novel Delivery Strategies

Hamed Haddad Kashani, Mathias Schmelcher, Hamed Sabzalipoor, Elahe Seyed Hosseini, Rezvan Moniri
Hamed Haddad Kashani
aAnatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran
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Mathias Schmelcher
bInstitute of Food, Nutrition and Health, ETH Zurich, Zurich, Switzerland
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Hamed Sabzalipoor
cDepartment of Nanobiotechnology, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, Iran
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Elahe Seyed Hosseini
aAnatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran
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Rezvan Moniri
aAnatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran
dDepartment of Immunology and Microbiology, Kashan University of Medical Sciences, Kashan, Iran
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DOI: 10.1128/CMR.00071-17
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  • FIG 1
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    FIG 1

    The cell wall structure of Gram-positive bacteria contains a thick layer of peptidoglycan that resides beyond the cytoplasmic membrane.

  • FIG 2
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    FIG 2

    The modular structure of the LysK endolysin, consisting of 2 enzymatically active domains (CHAP and amidase-2) and one bacterial SH3 (SH3b) cell wall-binding domain.

  • FIG 3
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    FIG 3

    Schematic representation of S. aureus peptidoglycan and LysK cleavage sites. The peptidoglycan is made up of sugar strands consisting of two alternating units (N-acetylmuramic acid and N-acetylglucosamine) and peptide linkers connecting these strands. Five units of glycine (Gly) act as a cross-bridge between stem peptides.

  • FIG 4
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    FIG 4

    Protein secretion pathway in the nisin-controlled gene expression system in L. lactis. After nisin is detected by the sensor histidine kinase protein located in the membrane (NisK), autophosphorylation of this protein occurs, followed by the transfer of its phosphatase group to the cytoplasmic response regulator NisR. NisR, which is now activated, then activates transcription via the PnisA promoter, followed by the production of a target protein, which in this case is a recombinant endolysin. Depending on the presence or absence of a specific signal peptide, the protein either is secreted into the external medium or accumulates in the cytoplasm.

  • FIG 5
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    FIG 5

    Schematic structure of an antibiotic-nanoparticle conjugate reacting with receptors within the cytoplasmic membrane. Ag-NP, silver nanoparticle; ABX, any kind of natural, synthetic, or recombinant antibiotic.

Tables

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  • TABLE 1

    Selection of antimicrobial applications of endolysins and engineered derivativesa

    Target pathogen(s)Endolysin(s) and/or derivative(s)Model type (animal[s])Delivery method(s)Description and/or outcomeReference
    Streptococcus pyogenes, MRSAPlySs2In vivo (mouse)IntraperitonealProtection of 92% of mice from S. pyogenes and MRSA bacteremia201
    Streptococcus suisPlySs2In vivo (mouse)IntranasalHigh killing activity against multiple serotypes and strains of S. suis and survival of mice202
    S. pyogenesPlyPyIn vivo (mouse)IntraperitonealProtection of mice from death (90–95%) in a bacteremia model203
    S. pyogenesPlyCIn vivo (mouse)Oral, nasalElimination of the pathogen in orally colonized mice204
    S. aureusCHAPKIn vivo (mouse)IntranasalTruncated endolysin construct eliminates S. aureus in the nares of mice144
    Streptococcus agalactiaePlySK1249In vivo (mouse)IntraperitonealProtection of 80% of mice from systemic infection205
    S. agalactiae, S. dysgalactiae, S. uberisB30, λSA2In vivo (mouse)IntramammaryReduction of intramammary bacterial loads (1.5–4.5 logs) in a mouse model of bovine mastitis127
    Streptococcus pneumoniaeCpl-1In vivo (mouse)AerosolReduction in mice mortality due to pneumonia by 80%206
    S. pneumoniaeCpl-1In vivo (mouse)Intravenous, nasal, oralReduction of bacterial loads in nasopharyngeal and bacteremia models; longer survival of animals207
    S. pneumoniaeCpl-1In vivo (mouse)IntraperitonealTotal protection of mice from pneumonia when endolysin was administered within 24 h postinfection; reduced protection with delayed treatment (42% survival)208
    S. pneumoniaeCpl-1In vivo (rat)IntravenousElimination of pneumococci causing endocarditis from blood within 30 min with high-dose treatment209
    MRSAPlyGH15In vivo (mouse)IntraperitonealProtection of mice from bacteremia145
    MRSASAL-1In vivo (mouse)IntravenousIncreased survival rate of mice and reduction of bacterial counts in the bloodstream137
    MRSAMV-LIn vivo (mouse)Intraperitoneal, nasalElimination of MRSA from nares of mice and protection against death from systemic infection125
    MRSA8 different endolysins and lysostaphinIn vivo (mouse)Intraperitoneal100% protection from death by the majority of the tested enzymes; no clinical signs of disease at the end of the treatment78
    B. anthracisPlyGIn vivo (mouse)IntraperitonealRescue of mice from fatal septicemia210
    MRSASAL-1In vivo (rat, dog)IntravenousAbsence of adverse effects upon administration of endolysin146
    MRSAClyHIn vivo (mouse)Intraperitoneal100% protection of mice from death211
    MRSAClySIn vivo (mouse)IntraperitonealProtection of mice from death with synergy between the endolysin and oxacillin121
    S. aureusClySIn vivo (mouse)TopicalBetter performance (3-log CFU reduction on skin) than that of the antibiotic mupirocin126
    S. aureusλ SA2-E-Lyso-SH3b, λ SA2-E-LysK-SH3bIn vivo (mouse)IntramammaryReduction of 3.36 log CFU with combined treatment with lysostaphin in a mouse model of bovine mastitis101
    S. aureusSeveral chimeric peptidoglycan hydrolasesIn vivo (mouse, rat)Intranasal, intramammary, intramuscularBetter activity than that of the parental protein in models of nasal infection, mastitis, and osteomyelitis114
    S. pneumoniae, S. pyogenesCpl-7In vivo (zebrafish embryos)ImmersionIncreased survival rate of 95–99% of animals; combination with carvacrol was effective at killing Gram-negative bacteria212
    Pseudomonas aeruginosaArtilysinIn vivo (Caenorhabditis elegans)ImmersionImproved survival of nematodes treated with an artilysin (63%) active against the Gram-negative pathogen compared to the native endolysin (40%)213
    MRSAMR-10In vivo (mouse)SubcutaneousCombined application with minocycline effectively reduced bacterial burdens in localized and systemic burn wound infections214
    S. aureusPlyGRCSIn vivo (mouse)IntravenousPlyGRCS was effective at rescuing 30% of mice from death induced by S. aureus bacteremia after 3.5 days120
    MRSA, MSSALysGH15In vivo (mouse)SubcutaneousLysGH15 did not induce resistance in MRSA, and its in vitro and in vivo efficacy was not compromised in the presence of antibodies generated against the endolysin215
    MRSASAL200 (SAL-1)In vivo (monkey)IntravenousRepeated SAL200 injections over a period of <1 wk or single high-dose injections were well tolerated138
    MRSASAL200 (SAL-1)In vivo (human)IntravenousPhase 1 clinical study evaluating pharmacokinetics, pharmacodynamics, and tolerance of SAL200 in humans; no serious adverse effects were observed140
    MRSATrx-SA1In vivo (cow)IntramammarySignificant reductions in pathogen levels and somatic cell counts in milk from udder quarters with mild clinical S. aureus-induced mastitis216
    MSSA, MRSASA.100In vivo (human)TopicalCase report describing successful treatment of 3 different S. aureus-related dermatoses by topical application of the endolysin-based therapeutic Staphefekt SA.100217
    S. pyogenesPlyCIn vitroNAPlyC is able to cross epithelial cell membranes, making it a promising agent to control intracellular streptococci218
    S. suisLySMPIn vitroNAEfficacy against biofilms219
    Streptococcus equiPlyCIn vitroNA1,000-fold-higher activity against the causative agent of equine strangles than the commercial disinfectant Virkon-S220
    Streptococcus sp.Ply700In vitroNAActivity against S. uberis in milk221
    MRSACHAPKIn vitroNAThermally triggered release of a synergistic staphylolytic cocktail consisting of lysostaphin and CHAPK from poly(N-isopropylacrylamide) nanoparticles222
    E. coliBacteriophage T5 endolysinIn vitroNASynergistic effect of T5 endolysin in combination with membrane-permeabilizing compounds against Gram-negative bacteria223
    MSSA, MRSA, and ceftaroline-ceftobiprole- and borderline oxacillin-resistant staphylococcal isolatesHY-133In vitroNAActivity of a chimeric endolysin construct against a collection of African staphylococcal strains133
    Multidrug-resistant Acinetobacter baumanniiABgp46In vitroNAActivity of the novel ABgp46 endolysin against Acinetobacter and other Gram-negative bacteria is enhanced by citric and maleic acids224
    S. aureus, S. epidermidisLysH5In vitroNAActivity in milk against S. aureus225
    S. aureusLysH5In vitroNAExpression and secretion of an active staphylococcal endolysin in lactic acid bacteria157
    L. monocytogenesPly511In vitroNAExpression and secretion of an active endolysin by lactic acid bacteria111
    A. baumanniiLysAB2In vitroNALysAB2 exhibited broad bacteriolytic activity against a number of Gram-negative and Gram-positive bacteria226
    S. aureusSAL-2In vitroNAActivity against planktonic bacteria and biofilms227
    • ↵a NA, not applicable.

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Recombinant Endolysins as Potential Therapeutics against Antibiotic-Resistant Staphylococcus aureus: Current Status of Research and Novel Delivery Strategies
Hamed Haddad Kashani, Mathias Schmelcher, Hamed Sabzalipoor, Elahe Seyed Hosseini, Rezvan Moniri
Clinical Microbiology Reviews Nov 2017, 31 (1) e00071-17; DOI: 10.1128/CMR.00071-17

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Recombinant Endolysins as Potential Therapeutics against Antibiotic-Resistant Staphylococcus aureus: Current Status of Research and Novel Delivery Strategies
Hamed Haddad Kashani, Mathias Schmelcher, Hamed Sabzalipoor, Elahe Seyed Hosseini, Rezvan Moniri
Clinical Microbiology Reviews Nov 2017, 31 (1) e00071-17; DOI: 10.1128/CMR.00071-17
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  • Top
  • Article
    • SUMMARY
    • INTRODUCTION
    • ANTIBIOTIC RESISTANCE IN STAPHYLOCOCCUS AUREUS
    • BACTERIOPHAGE
    • ENDOLYSINS
    • LysK AND ITS HOMOLOGUES
    • ENDOLYSIN PRODUCTION IN LACTIC ACID BACTERIA FOR FOOD SAFETY APPLICATIONS
    • NANOTECHNOLOGY AS A NEW STRATEGY FOR ENDOLYSIN DELIVERY
    • CONCLUDING REMARKS
    • ACKNOWLEDGMENTS
    • REFERENCES
    • Author Bios
  • Figures & Data
  • Info & Metrics
  • PDF

KEYWORDS

antibiotic resistance
endolysin
Staphylococcus aureus
probiotic bacteria
nanoparticles
infectious diseases

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