'Forgotten' antibiotic offers hope against worst superbugs

University of Queensland Institute for Molecular Bioscience (IMB) researchers synthesised the antibiotic, and increased its effectiveness against extensively drug-resistant bacteria, then collaborated with Monash University to evaluate the drug using animal models of infection.

Professor Matt Cooper, Director of IMB's Centre for Superbug Solutions, said the study was prompted by the urgent need for new drugs to counter widespread resistance to last-resort treatments.

"Octapeptins were discovered in the late 1970s but were not selected for development at the time, as there was an abundance of new antibiotics with thousands of people working in antibiotic research and development," Professor Cooper said.

"Given the very few researchers left in this field now, and the sparse pipeline for new antibiotics, we've used modern drug discovery procedures to re-evaluate its effectiveness against superbugs."

Professor Cooper said there were no new classes of antibiotics available for Gram-negative bacteria, with increasing incidence of extensive drug resistance around the world.

"Gram-negative bacteria are harder to kill as disease organisms, because they have an extra membrane to penetrate that is often hidden by a capsule or slime layer which acts to camouflage them from drugs and our immune system," he said.

"The emergence of resistance to meropenem, and now colistin, the antibiotic of last resort, means multi-drug and extensively drug-resistant bacteria are now a reality confronting clinicians.

"Octapeptin showed superior antimicrobial activity to colistin against extensively resistant Gram-negative bacteria in early pre-clinical testing.

"In addition, octapeptin was shown to be potentially less toxic to the kidneys than colistin."

Professor Cooper said the study laid the foundation for the development of a new generation of antibiotics to treat life-threatening infections.

Researchers from Wayne State University in Detroit, the University of Melbourne, Germany's EMBL, and Victoria University in New Zealand collaborated on the project.

IMB research was supported by the National Health and Medical Research Council, and the US National Institute of Allergy and Infection Disease, part of the US National Institutes of Health.

The study is published in Cell Chemical Biology.