26The spread of antimicrobial resistance continues to be a priority health concern worldwide, 27 necessitating exploration of alternative therapies. Cannabis sativa has long been known to contain 28 antibacterial cannabinoids, but their potential to address antibiotic resistance has only been 29 superficially investigated. Here, we show that cannabinoids exhibit antibacterial activity against 30 MRSA, inhibit its ability to form biofilms and eradicate stationary phase cells persistent to antibiotics. 31 We show that the mechanism of action of cannabigerol is through targeting the cytoplasmic membrane 32 of Gram-positive bacteria and demonstrate in vivo efficacy of cannabigerol in a murine systemic 33 infection model caused by MRSA. We also show that cannabinoids are effective against Gram-negative 34 organisms whose outer membrane is permeabilized, where cannabigerol acts on the inner membrane.
35Finally, we demonstrate that cannabinoids work in combination with polymyxin B against multi-drug 36 resistant Gram-negative pathogens, revealing the broad-spectrum therapeutic potential for Public Health agencies around the globe have identified antimicrobial resistance as one of the 62 most critical challenges of our time. The rapid and global spread of antimicrobial-resistant organisms in 63 recent years has been unprecedented. So much so that the world health organization (WHO) published 64 its first ever list of antibiotic-resistant "priority pathogens", made up of 12 families of bacteria that pose 65 the greatest threat to human health 1 . Among them, Staphylococcus aureus is the leading cause of both 66 healthcare and community-associated infections worldwide and a major cause for morbidity and 67 mortality 2 , especially with the emergence and rapid spread of methicillin-resistant S. aureus (MRSA), 68 which is resistant to all known β-lactam antibiotics 3 . Worse yet, resistance to vancomycin, linezolid 69 and daptomycin has already been reported in MRSA clinical strains, compromising the therapeutic 70 alternatives for life-threatening MRSA infections 4 . Further, antibiotic-resistant Gram-negative 71 infections have increasingly become a pressing issue in the clinic. Indeed, of the bacteria highlighted 72 by the WHO, 75% are Gram-negative organisms. Among the currently approved antibiotics, the latest 73 discovery of a new drug class dates back to more than 30 years ago. The rapid loss of antibiotic 74 effectiveness and diminishing pipeline beg for the exploration of alternative therapies. 75 Cannabis plants are important herbaceous species that have been used in folk medicine since 76 the dawn of times. Increasing scientific evidence is accumulating for the efficacy of its metabolites in 77 the treatment, for example, of epilepsy, Parkinson disease, analgesia, multiple sclerosis, Tourette's 78 syndrome and other neurological diseases 5 . At a very nascent stage are investigations into the potential 79 of cannabis metabolites as antibacterial therapies. To date, assessments of their antibacterial activ...