Antibiotic resistance
is an increasingly important global public
health issue, as major opportunistic pathogens are evolving toward
multidrug- and pan-drug resistance phenotypes. New antibiotics are
thus needed to maintain our ability to treat bacterial infections.
According to the WHO, carbapenem-resistant Acinetobacter, Enterobactericaeae, and Pseudomonas are the most critical targets for the
development of new antibacterial drugs. An automated phenotypic screen
was implemented to screen 634 synthetic compounds obtained in-house
for both their direct-acting and synergistic activity. Fourteen percent
and 10% of the compounds showed growth inhibition against tested Gram-positive
and Gram-negative bacteria, respectively. The most active direct-acting
compounds showed a broad-spectrum antibacterial activity, including
on some multidrug-resistant clinical isolates. In addition, 47 compounds
were identified for their ability to potentiate the activity of other
antibiotics. Compounds of three different scaffolds (2-quinolones,
phenols, and pyrazoles) showed a strong potentiation of colistin,
some being able to revert colistin resistance in Acinetobacter
baumannii.