RT Journal Article T1 IgM-enriched immunoglobulin improves colistin efficacy in a pneumonia model by Pseudomonas aeruginosa. A1 Cebrero-Cangueiro, Tania A1 Labrador-Herrera, Gema A1 Carretero-Ledesma, Marta A1 Herrera-Espejo, Soraya A1 Alvarez-Marin, Rocio A1 Pachon, Jeronimo A1 Cisneros, Jose Miguel A1 Pachon-Ibañez, Maria Eugenia K1 Anti-Bacterial Agents K1 Ceftazidime K1 Drug Resistance, Multiple, Bacterial K1 Mice, Inbred C57BL K1 Pneumonia AB We evaluated the efficacy of ceftazidime or colistin in combination with polyclonal IgM-enriched immunoglobulin (IgM-IG), in an experimental pneumonia model (C57BL/6J male mice) using two multidrug-resistant Pseudomonas aeruginosa strains, both ceftazidime-susceptible and one colistin-resistant. Pharmacodynamically optimised antimicrobials were administered for 72 h, and intravenous IgM-IG was given as a single dose. Bacterial tissues count and the mortality were analysed. Ceftazidime was more effective than colistin for both strains. In mice infected with the colistin-susceptible strain, ceftazidime reduced the bacterial concentration in the lungs and blood (-2.42 and -3.87 log10 CFU/ml) compared with colistin (-0.55 and -1.23 log10 CFU/ml, respectively) and with the controls. Colistin plus IgM-IG reduced the bacterial lung concentrations of both colistin-susceptible and resistant strains (-2.91 and -1.73 log10 CFU/g, respectively) and the bacteraemia rate of the colistin-resistant strain (-44%). These results suggest that IgM-IG might be useful as an adjuvant to colistin in the treatment of pneumonia caused by multidrug-resistant P. aeruginosa. PB Life Science Alliance LLC YR 2022 FD 2022-06-21 LK http://hdl.handle.net/10668/21801 UL http://hdl.handle.net/10668/21801 LA en NO Cebrero-Cangueiro T, Labrador-Herrera G, Carretero-Ledesma M, Herrera-Espejo S, Álvarez-Marín R, Pachón J, et al. IgM-enriched immunoglobulin improves colistin efficacy in a pneumonia model by Pseudomonas aeruginosa. Life Sci Alliance. 2022 Jun 21;5(10):e202101349. DS RISalud RD Jun 4, 2025