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Antimicrobial Agents and Chemotherapy, August 2005, p. 3325-3333, Vol. 49, No. 8
0066-4804/05/$08.00+0 doi:10.1128/AAC.49.8.3325-3333.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Antistaphylococcal Activity of DX-619, a New Des-F(6)-Quinolone, Compared to Those of Other Agents
Tatiana Bogdanovich,
Duygu Esel,
Linda M. Kelly,
Bülent Bozdogan,
Kim Credito,
Gengrong Lin,
Kathy Smith,
Lois M. Ednie,
Dianne B. Hoellman, and
Peter C. Appelbaum*
Department of Pathology, Hershey Medical Center, Hershey, Pennsylvania 17033
Received 2 March 2005/
Returned for modification 3 April 2005/
Accepted 10 April 2005
The in vitro activity of DX-619, a new des-F(6)-quinolone, was tested against staphylococci and compared to those of other antimicrobials. DX-619 had the lowest MIC ranges/MIC50s/MIC90s (µg/ml) against 131 Staphylococcus aureus
strains (
0.002 to 2.0/0.06/0.5) and 128 coagulase-negative staphylococci (0.004 to 0.25/0.016/0.125). Among strains tested, 76 S. aureus strains and 51 coagulase-negative staphylococci were resistant to ciprofloxacin. DX-619 had the lowest MIC50/MIC90 values against 127 quinolone-resistant staphylococci (0.125/0.5), followed by sitafloxacin (0.5/4), moxifloxacin (2/8), gatifloxacin (4/16), levofloxacin (16/>32), and ciprofloxacin (>32/>32). Raised quinolone MICs were associated with mutations in GyrA (S84L) and single or double mutations in GrlA (S80F or Y; E84K, G, or V) in all S. aureus strains tested. A recent vancomycin-resistant S.
aureus (VRSA) strain (Hershey) was resistant to available quinolones and was inhibited by DX-619 at 0.25 µg/ml and
sitafloxacin at 1.0 µg/ml. Vancomycin (except VRSA), linezolid,
ranbezolid, tigecycline, and quinupristin-dalfopristin were active
against all strains, and teicoplanin was active against S.
aureus but less active against coagulase-negative staphylococci.
DX-619 produced resistant mutants with MICs of 1 to >32
µg/ml after <50 days of selection compared to 16 to
>32 µg/ml for ciprofloxacin, sitafloxacin,
moxifloxacin, and gatifloxacin. DX-619 and sitafloxacin were also more
active than other tested drugs against selected mutants and had the
lowest mutation frequencies in single-step resistance selection. DX-619
and sitafloxacin were bactericidal against six quinolone-resistant
(including the VRSA) and seven quinolone-susceptible strains tested,
whereas gatifloxacin, moxifloxacin, levofloxacin, and ciprofloxacin
were bactericidal against 11, 10, 7, and 5 strains at 4x MIC
after 24 h, respectively. DX-619 was also bactericidal
against one other VRSA strain, five vancomycin-intermediate S.
aureus strains, and four vancomycin-intermediate
coagulase-negative staphylococci. Linezolid, ranbezolid, and
tigecycline were bacteriostatic and quinupristin-dalfopristin,
teicoplanin, and vancomycin were bactericidal against two, eight, and
nine strains, and daptomycin and oritavancin were rapidly bactericidal
against all strains, including the VRSA. DX-619 has potent in vitro
activity against staphylococci, including methicillin-, ciprofloxacin-,
and vancomycin-resistant
strains.
* Corresponding author. Mailing address: Department of Pathology, Hershey Medical Center, P.O. Box 850, Hershey, PA 17033. Phone: (717) 531-5113. Fax: (717) 531-7953. E-mail:
pappelbaum{at}psu.edu.
Antimicrobial Agents and Chemotherapy, August 2005, p. 3325-3333, Vol. 49, No. 8
0066-4804/05/$08.00+0 doi:10.1128/AAC.49.8.3325-3333.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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