TABLE 6

Oligonucleotides for Gram-negative respiratory infections

Gene silenced and typical functionSilencing clinical resultDevelopment phaseBacterial target
CTX-M-15 ASOblaCTX−M-15
Encodes resistance to third-generation cephalosporins
Reduced MIC to third-generation cephalosporinsPre-clinicalE. coli; other Gram-negatives
MexB siRNAmexB
Encodes efflux pump component
Restored activity of resistant antibioticsPre-clinicalE. coli; other Gram-negatives
NDM-1 ASOblaNDM-1
Encodes carbapenemases
Restored activity of resistant antibioticsPre-clinicalP. aeruginosa; other Gram-negatives

NDM: New Delhi metallo-β-lactamases; MIC: minimum inhibitory concentration; E. coli: Escherichia coli; P. aeruginosa: Pseudomonas aeruginosa.