Cysteamine/Cystamine Exert Anti-<i>Mycobacterium abscessus</i> Activity Alone or in Combination with Amikacin

oleh: Ivana Palucci, Alessandro Salustri, Flavio De Maio, Maria del Carmen Pereyra Boza, Francesco Paglione, Michela Sali, Luca Occhigrossi, Manuela D’Eletto, Federica Rossin, Delia Goletti, Maurizio Sanguinetti, Mauro Piacentini, Giovanni Delogu

Format: Article
Diterbitkan: MDPI AG 2023-01-01

Deskripsi

Host-directed therapies are emerging as a promising tool in the curing of difficult-to-treat infections, such as those caused by drug-resistant bacteria. In this study, we aim to test the potential activity of the FDA- and EMA-approved drugs cysteamine and cystamine against <i>Mycobacterium abscessus</i>. In human macrophages (differentiated THP-1 cells), these drugs restricted <i>M. abscessus</i> growth similar to that achieved by amikacin. Here, we use the human ex vivo granuloma-like structures (GLS) model of infection with the <i>M. abscessus</i> rough (MAB-R) and smooth (MAB-S) variants to study the activity of new therapies against <i>M. abscessus</i>. We demonstrate that cysteamine and cystamine show a decrease in the number of total GLSs per well in the MAB-S and MAB-R infected human peripheral blood mononuclear cells (PBMCs). Furthermore, combined administration of cysteamine or cystamine with amikacin resulted in enhanced activity against the two <i>M. abscessus</i> morpho variants compared to treatment with amikacin only. Treatment with cysteamine and cystamine was more effective in reducing GLS size and bacterial load during MAB-S infection compared with MAB-R infection. Moreover, treatment with these two drugs drastically quenched the exuberant proinflammatory response triggered by the MAB-R variant. These findings showing the activity of cysteamine and cystamine against the R and S <i>M. abscessus</i> morphotypes support the use of these drugs as novel host-directed therapies against <i>M. abscessus</i> infections.