Evidence map›Paper›PMID 39107625›Full record

ArticleArchives of microbiology2024

Crotamine derived from Crotalus durissus terrificus venom combined with drugs increases in vitro antibacterial and antifungal activities.

Juliana Ramos de Oliveira, Cícera Datiane de Morais Oliveira-Tintino, Joara Nályda Pereira Carneiro, Andressa Guilhermino Dos Santos, Anderson Maciel de Lima, Andreimar Martins Soares, Maria Flaviana Bezerra Morais-Braga, Henrique Douglas Melo Coutinho, Roberto Nicolete

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In one paragraph

Article in Archives of microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Juliana Ramos de OliveiraRede Nordeste de Biotecnologia (Renorbio), Fortaleza, CE, Brazil.
Cícera Datiane de Morais Oliveira-TintinoDepartment of Biological Chemistry, Regional University of Cariri (URCA), Crato, CE, Brazil.
Joara Nályda Pereira CarneiroDepartment of Biological Chemistry, Regional University of Cariri (URCA), Crato, CE, Brazil.
Andressa Guilhermino Dos SantosDepartment of Biological Sciences, Regional University of Cariri (URCA), Crato, CE, Brazil.
Anderson Maciel de LimaLaboratório de Biotecnologia e Educação Aplicadas à Saúde Única (LABIOPROT), Fiocruz Rondônia, Porto Velho, RO, Brazil.
Andreimar Martins SoaresLaboratório de Biotecnologia e Educação Aplicadas à Saúde Única (LABIOPROT), Fiocruz Rondônia, Porto Velho, RO, Brazil.
Maria Flaviana Bezerra Morais-BragaDepartment of Biological Sciences, Regional University of Cariri (URCA), Crato, CE, Brazil.
Henrique Douglas Melo CoutinhoDepartment of Biological Chemistry, Regional University of Cariri (URCA), Crato, CE, Brazil.
Roberto NicoleteRede Nordeste de Biotecnologia (Renorbio), Fortaleza, CE, Brazil. roberto.nicolete@fiocruz.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated crotamine (CTA), a peptide derived from the venom of the South American rattlesnake Crotalus durissus terrificus, known for its exceptional cell penetration potential. The objective was to explore the antibacterial and antifungal activity of CTA, its ability to inhibit efflux pumps and evaluate the effectiveness of its pharmacological combination with antibiotics and antifungals. In microbiological assays, CTA in combination with antibiotics was tested against strains of S. aureus and the inhibition of NorA, Tet(K) and MepA efflux pumps was also evaluated. CTA alone did not present clinically relevant direct antibacterial action, presenting MIC > 209.7 µM against strains S. aureus 1199B, IS-58, K2068. The standard efflux pump inhibitor CCCP showed significant effects in all negative relationships to assay reproducibility. Against the S. aureus 1199B strain, CTA (20.5 µM) associated with norfloxacin diluted 10 × (320.67 µM) showed a potentiating effect, in relation to the control. Against the S. aureus IS-58 strain, the CTA associated with tetracycline did not show a significant combinatorial effect, either with 2304 or 230.4 µM tetracycline. CTA at a concentration of 2.05 µM associated with ciprofloxacin at a concentration of 309.4 µM showed a significant potentiating effect. In association with EtBr, CTA at concentrations of 2.05 and 20.5 µM potentiated the effect in all strains tested, reducing the prevention of NorA, Tet(K) and MepA efflux pumps. In the C. albicans strain, a potentiating effect of fluconazole (334.3 µM) was observed when combined with CTA (2.05 µM). Against the C. tropicalis strain, a significant effect was also observed in the association of fluconazole 334.3 µM, where CTA 2.05 µM considerably reduced fungal growth and decreased the potentiation of fluconazole. Against the C. krusei strain, no significant potentiating effect of fluconazole was obtained by CTA. Our results indicate that CTA in pharmacological combination potentiates the effects of antibiotics and antifungal. This represents a new and promising antimicrobial strategy for treating a wide variety of infections.

Indexed as

Anti-Bacterial AgentsAntifungal AgentsCrotalid VenomsCrotalusMicrobial Sensitivity TestsAnimalsCandida albicansDrug SynergismStaphylococcus aureusVenomous SnakesAnti-Bacterial AgentsAntifungal AgentsCrotalid VenomscrotamineAntibiotic potentiationCell penetrating peptideCrotamineEfflux pumpMicrobial resistancePharmacological combination

Identifiers

PMID39107625

What OpenQuestion holds

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Registered trials

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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.