Apramycin Sulfate, an aminoglycoside antibiotic for animals, is widely used to treat Salmonella, Escherichia coli, and other infections[1]. Apramycin showed potent in-vitro activity against hypervirulent carbapenem-resistant K pneumoniae isolates, including those resistant to amikacin or gentamicin[2].
Apramycin (50mg/L, overnight) was used as a selection marker to successfully select isolates with the restoration of functional wild type Ompk35 or Ompk36[3].
Apramycin (20mg/kg, i.p.) and citrulline combined with glutamine significantly improved the body condition of the infected mice[1]. Apramycin (20, 80, or 500mg/kg, s.c.) demonstrated a dramatic therapeutic effect against A. baumannii strains MSRN7465, MSRN1450 and FDA-CDC278 in neutropenic murine thigh infection model[4].
References:
[1] Yong Y, Zhou Y, Liu K, et al. Exogenous citrulline and glutamine contribute to reverse the resistance of Salmonella to apramycin. Frontiers in Microbiology. 2021 Oct 14;12:759170.
[2] Melchiorri D, Rocke T, Alm RA, et al. Addressing urgent priorities in antibiotic development: insights from WHO 2023 antibacterial clinical pipeline analyses. The Lancet Microbe. 2024 Oct 22.
[3] Sun L, Li H, Wang Q, et al. Increased gene expression and copy number of mutated bla KPC lead to high-level ceftazidime/avibactam resistance in Klebsiella pneumoniae. BMC microbiology. 2021 Dec;21:1-0.
[4] Kang AD, Smith KP, Berg AH, et al. Efficacy of apramycin against multidrug-resistant Acinetobacter baumannii in the murine neutropenic thigh model. Antimicrobial agents and chemotherapy. 2018 Apr;62(4):10-128.
















