We investigated the ability of compounds interfering with iron metabolism to inhibit the growth of Acinetobacter baumannii. Iron restriction with transferrin or 2,2-bipyridyl significantly inhibited A. baumannii growth in vitro. Gallium nitrate alone was moderately effective at reducing A. baumannii growth but became bacteriostatic in the presence of serum or transferrin. More importantly, gallium nitrate treatment reduced lung bacterial burdens in mice. The use of gallium-based therapies shows promise for the control of multidrug-resistant A. baumannii.
Acinetobacter baumannii has emerged as a major cause of both community-associated and nosocomial infections worldwide. Infections have become increasingly difficult to treat because of the rapid development of A. baumannii antibiotic resistance. Counteracting the action of virulence factors represents a novel strategy of infection control with potentially high specificity and low impact on the host. Hence, identification of the critical factors necessary for the in vivo success of the pathogen might reveal novel therapeutic targets.One characteristic shared by virulent bacteria is their ability to acquire iron in the blood and tissues, where its availability is low. Conversely, several host factors exist whose role is to restrict iron and form a nutritional barrier (reviewed in reference 9). Pathogen iron acquisition could be further disrupted by using biologically compatible chelators (6-8) or by introducing gallium as a competitor (1).To examine the biological activity of iron-restricting compounds against A. baumannii, we first investigated the effect of a selection of iron chelators on A. baumannii ATCC 17978 growth in different media. 2,2-Bipyridyl (BiP) is a classical iron chelator and was chosen as a positive control for both metal depletion and growth inhibition of many organisms. Pyridoxal isonicotinyl hydrazone (PIH) is a potent cell-permeable chela-