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Antimicrobial Agents and Chemotherapy, September 2008, p. 3040-3046, Vol. 52, No. 9
0066-4804/08/$08.00+0     doi:10.1128/AAC.00105-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Cooperation between Prokaryotic (Lde) and Eukaryotic (MRP) Efflux Transporters in J774 Macrophages Infected with Listeria monocytogenes: Studies with Ciprofloxacin and Moxifloxacin{triangledown} ,{dagger}

Ann Lismond,1 Paul M. Tulkens,1 Marie-Paule Mingeot-Leclercq,1 Patrice Courvalin,2 and Françoise Van Bambeke1*

Unité de pharmacologie cellulaire et moléculaire, Université catholique de Louvain, Brussels, Belgium,1 Unité des Agents Antibactériens, Institut Pasteur, Paris, France2

Received 25 January 2008/ Returned for modification 29 April 2008/ Accepted 16 June 2008

Antibiotic efflux is observed in both eukaryotic and prokaryotic cells, modulating accumulation and resistance. The present study examines whether eukaryotic and prokaryotic fluoroquinolone transporters can cooperate in the context of an intracellular infection. We have used (i) J774 macrophages (comparing a ciprofloxacin-resistant cell line overexpressing an MRP-like transporter with wild-type cells with basal expression), (ii) Listeria monocytogenes (comparing a clinical isolate [CLIP21369] displaying ciprofloxacin resistance associated with overexpression of the Lde efflux system with a wild-type strain [EGD]), (iii) ciprofloxacin (substrate of both Lde and MRP) and moxifloxacin (nonsubstrate), and (iv) probenecid and reserpine (preferential inhibitors of MRP and Lde, respectively). The ciprofloxacin MICs for EGD were unaffected by reserpine, while those for CLIP21369 were decreased approximately fourfold (and made similar to those of EGD). Neither probenecid nor reserpine affected the moxifloxacin MICs against EGD or CLIP21369. In dose-response studies (0.01x to 100x MIC) in broth, reserpine fully restored the susceptibility of CLIP21369 to ciprofloxacin (no effect on EGD) but did not influence the activity of moxifloxacin. In studies with intracellular bacteria, reserpine, probenecid, and their combination increased the activity of ciprofloxacin in wild-type and ciprofloxacin-resistant macrophages in parallel with an increase in ciprofloxacin accumulation in macrophages for EGD and an increase in accumulation and decrease in MIC (in broth) for CLIP21369. Moxifloxacin accumulation and intracellular activity were consistently not affected by the inhibitors. A bacterial efflux pump may thus actively cooperate with a eukaryotic efflux transporter to reduce the activity of a common substrate (ciprofloxacin) toward an intracellular bacterial target.


* Corresponding author. Mailing address: UCL7370 avenue Mounier 73, 1200 Brussels, Belgium. Phone: 32-2-764.73.78. Fax: 32-2-764.73.73. E-mail: francoise.vanbambeke{at}uclouvain.be

{triangledown} Published ahead of print on 23 June 2008.

{dagger} Supplemental material for this article may be found at http://aac.asm.org/.


Antimicrobial Agents and Chemotherapy, September 2008, p. 3040-3046, Vol. 52, No. 9
0066-4804/08/$08.00+0     doi:10.1128/AAC.00105-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.




This article has been cited by other articles:

  • Marquez, B., Caceres, N. E., Mingeot-Leclercq, M.-P., Tulkens, P. M., Van Bambeke, F. (2009). Identification of the Efflux Transporter of the Fluoroquinolone Antibiotic Ciprofloxacin in Murine Macrophages: Studies with Ciprofloxacin-Resistant Cells. Antimicrob. Agents Chemother. 53: 2410-2416 [Abstract] [Full Text]