“…Thus, compounds inhibiting efflux pumps are expected to influence internal concentrations of substances such as antibiotics, and combined use of EIs with antimicrobials might increase bacterial susceptibility [ 51 , 55 , 56 , 57 ]. CCCP, reserpine or valinomycin inhibit ABC, DMT, MATE, MFS and/or RND [ 51 , 55 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 ], which are the main conserved families of bacterial efflux pumps [ 51 , 65 , 66 , 67 ]. As the antimicrobial activity of compound IV derivatives is not greatly affected by those EIs, these IV -related antimicrobials do not seem to be substrates of the most common types of bacterial efflux pumps, which adds to their potential to bypass intrinsic resistance mechanisms of H. pylori .…”