Evidence map›Paper›PMID 34824393›Full record

ArticleCommunications biology2021

Reversion of antibiotic resistance in multidrug-resistant pathogens using non-antibiotic pharmaceutical benzydamine.

Yuan Liu, Ziwen Tong, Jingru Shi, Yuqian Jia, Tian Deng, Zhiqiang Wang

Open access · goldAbstract read
In one paragraph

Article in Communications biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 67 citations in OpenAlex.

  1. Discovery of HAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Frontiers in bioinformatics · 2026
    Review
  7. Article
  8. Article
  9. Threat and Control ofFoods (Basel, Switzerland) · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Enhancing the destruction ofFrontiers in cellular and infection microbiology · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Yuan LiuCollege of Veterinary Medicine, Yangzhou University, Yangzhou, 225009, China. liuyuan2018@yzu.edu.cn.ORCID http://orcid.org/0000-0002-9622-6471
Ziwen TongCollege of Veterinary Medicine, Yangzhou University, Yangzhou, 225009, China.
Jingru ShiCollege of Veterinary Medicine, Yangzhou University, Yangzhou, 225009, China.
Yuqian JiaCollege of Veterinary Medicine, Yangzhou University, Yangzhou, 225009, China.
Tian DengCollege of Veterinary Medicine, Yangzhou University, Yangzhou, 225009, China.
Zhiqiang WangCollege of Veterinary Medicine, Yangzhou University, Yangzhou, 225009, China. zqwang@yzu.edu.cn.ORCID http://orcid.org/0000-0001-6486-9600
Yangzhou University · CNMinistry of Education · MV

Funding

Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20190893
6 · The paper itself

Abstract

Antimicrobial resistance has been a growing concern that gradually undermines our tradition treatment regimens. The fact that few antibacterial drugs with new scaffolds or targets have been approved in the past two decades aggravates this crisis. Repurposing drugs as potent antibiotic adjuvants offers a cost-effective strategy to mitigate the development of resistance and tackle the increasing infections by multidrug-resistant (MDR) bacteria. Herein, we found that benzydamine, a widely used non-steroidal anti-inflammatory drug in clinic, remarkably potentiated broad-spectrum antibiotic-tetracyclines activity against a panel of clinically important pathogens, including MRSA, VRE, MCRPEC and tet(X)-positive Gram-negative bacteria. Mechanistic studies showed that benzydamine dissipated membrane potential (▵Ψ) in both Gram-positive and Gram-negative bacteria, which in turn upregulated the transmembrane proton gradient (▵pH) and promoted the uptake of tetracyclines. Additionally, benzydamine exacerbated the oxidative stress by triggering the production of ROS and suppressing GAD system-mediated oxidative defensive. This mode of action explains the great bactericidal activity of the doxycycline-benzydamine combination against different metabolic states of bacteria involve persister cells. As a proof-of-concept, the in vivo efficacy of this drug combination was evidenced in multiple animal infection models. These findings indicate that benzydamine is a potential tetracyclines adjuvant to address life-threatening infections by MDR bacteria.

Indexed as

Adjuvants, PharmaceuticAnti-Bacterial AgentsBenzydamineDrug Resistance, Multiple, BacterialGram-Negative BacteriaGram-Positive BacteriaMicrobial Sensitivity TestsAdjuvants, PharmaceuticAnti-Bacterial AgentsBenzydamine

Identifiers

PMID34824393
PMCPMC8616900
OpenAlexW3217497192

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.