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Table 2 Checkerboard assays between penicillin and the cpl-1 endolysin with the penicillin-resistant pneumococcal isolates. The table indicates minimal inhibitory concentrations observed for penicillin, endolysin cpl-1 or the different combinations thereof. FIC is the fractional inhibitory concentration, which indicates synergy if values are ≤ 0.50. The EUCAST breakpoint for penicillin resistance is set at 2.00 µg/mL

From: Bacteriophage-derived endolysins restore antibiotic susceptibility in β-lactam- and macrolide-resistant Streptococcus pneumoniae infections

 

AMR 12,116

AMR 19,000

AMR 68,715

Cpl-1

5.00 µM

2.50 µM

2.50 µM

Penicillin

4.00 µg/mL

4.00 µg/mL

16.00 µg/mL

Penicillin + cpl-1

0.50 µg/mL

1.00 µg/mL

1.00 µg/mL

Cpl-1 + penicillin

0.62 µM

0.62 µM

0.62 µM

FIC

0.25

0.50

0.31