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8 protocols using erythromycin

1

Antibiotic Resistance Evaluation of Isoalantolactone

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The strains used in this experiment were described in our preceding studies21, 22, 23 and are listed in Table 1. Isoalantolactone (IAL) was purchased from Chengdu Ruifensi Biotechnology Co. Ltd. Colistin, polymyxin B and penicillin were purchased from the National Institute for the Control of Pharmaceutical and Biological Products (Beijing, China). Streptomycin sulphate, kanamycin sulphate, erythromycin and achromycin were purchased from Dalian Meilun Biotechnology Co Ltd. Stock solutions of IAL were prepared in dimethyl sulfoxide (Sigma‐Aldrich) at a concentration of 20 mg/mL.
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2

Screening Antibiotic Resistance Genes and Potential Inhibitors

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The bacterial strains, plasmids and primers used in this study are listed in Supplementary Table S1, Table S2 and Table S3, respectively. All bacterial strains were grown on Luria-Bertani (LB) plates or in LB broth. All NDM-1-positive strains were originated from our previous studies [17] . E. cloacae 20710 and E. cloacae 20712 were provided by Dr. Yonghong Xiao at Zhejiang University [18] . A. baumannii 21 was provided by Dr. Zhimin Guo at the First Hospital of Jilin University.
The full gene sequences of blaIMP-1, blaVIM-1, blaKPC-2 and blaOXA-48 were synthesized by GeneScript (Nanjing, China) and were inserted into pET28a or pETSUMO for protein expression.
The FDA-approved drug library was purchased from ApexBio Technology (Cat#L1021, Houston, TX, USA). Dexrazoxane, embelin, CAN and NDGA were dissolved in DMSO (Sigma-Aldrich, St. Louis, MO, USA). Meropenem, amoxicillin, ciprofloxacin, imipenem, erythromycin, chloramphenicol, tetracycline and gentamicin were obtained from Dalian Meilun Biotechnology Co., Ltd. (Dalian, China).
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3

Disaspidin BB and Erythromycin Preparation

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Disaspidin BB was made in the laboratory with a purity of 98%. Erythromycin (N0825A, > 97%) was purchased from Dalian Meilun Biotechnology Co., Ltd. Dimethyl sulfoxide (DMSO, Beijing Dingguo Changsheng biotechnology Co., Ltd) was used to prepare a stock solution of Disaspidin BB (16 mg/ml) and Erythromycin (256 mg/ml), respectively, stored at 4°C in the dark.
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4

Characterization of mcr-1-producing Isolates

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Human clinical MCR-1 producing isolates K. pneumoniae ZJ02, K. pneumoniae ZJ05 and E. coli ZJ40 were collected in our previous study (Wang et al., 2017 (link)). And the mcr-1 gene was chromosomally located in E. coli ZJ40. K. pneumoniae E8.31, K.pneumoniae 13b5 and K.pneumoniae L18 were collected from food animals. We also used E. coli strain DH5α (pUC19-mcr-1) (Zhou et al., 2018 (link)), which carries a mcr-1 gene originating from K. pneumoniae ZJ05. Polymyxin-resistant mcr-1-negative K. pneumoniae isolate 16ZJJ9-19BC was obtained from a chicken cloacae sample collected in Zhejiang, China. E. coli ATCC25922, K. pneumoniae ATCC700603 and K. pneumoniae K7 were used as quality control strains. Pterostilbene (≥97% HPLC-pure) was purchased from Sigma-Aldrich (St. Louis, MO, USA). Colistin sulfate, polymyxin B sulfate, penicillin, imipenem, gentamicin sulfate, and chloramphenicol were purchased from the National Institute for the Control of Pharmaceutical and Biological Products (Beijing, China). Cephalothin sodium, streptomycin sulfate, kanamycin sulfate, erythromycin, and acheomycin were purchased from Dalian Meilun Biotechnology Co. (Dalian, China). Stock solutions of Pterostilbene were prepared in dimethyl sulfoxide (Sigma-Aldrich).
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5

Synthesis and Characterization of ZG Compounds and Antibiotic Purchases

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ZG180, (R)- and (S)-ZG197 were synthesized in lab and fully characterized. ONC212 and ADEP 4 were purchased from Topscience and ChemPartner (Shanghai, China), respectively. Antibiotics of vancomycin, spectinomycin, erythromycin, ciprofloxacin, rifampicin, tetracycline, norfloxacin, clindamycin, and gentamicin, were purchased from Dalian Meilun Biotech. Oxacillin was purchased from Sigma-Aldrich. Anhydrous tetracycline (ATC) was purchased from APExBIO.
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Antimicrobial Agents Evaluation Protocol

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The antimicrobials utilized in this work were cefazolin, gentamicin, erythromycin, tigecycline, rifampicin, daptomycin (purchased from Dalian Meilun Biotech, Dalin, China), ciprofloxacin, clindamycin, vancomycin (from the National Institutes for Food and Drug Control, Beijing, China), linezolid (Selleck Chemicals, Houston, TX, United States), and trimethoprim–sulfamethoxazole (Sigma–Aldrich, St Louis, MO, United States).
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7

Antibiotic Susceptibility Testing Protocol

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Antibiotic agents (oxacillin, cefazolin, cefuroxime, clindamycin, erythromycin, levofloxacin, moxifloxacin, tetracycline, tigecycline, amikacin, fosfomycin, trimethoprim-sulfamethoxazole, linezolid, vancomycin, daptomycin, rifampin) were purchased from Dalian Meilun Biotech (Dalian, China). Glucose-6-phosphate was obtained from Sigma-Aldrich Co. (St Louis, MO, USA). tigecycline and daptomycin susceptibility test were done via broth dilution method according to CLSI recommendations. The MICs of the other 15 antibiotics were determined using the twofold serial agar dilution method.9
E. faecalis ATCC 29212 were used as quality-control strains.
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8

Biochemical Assays and Reagents Protocol

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COP (purity >98%) was purchased from Shanghai Yuan Ye Biotechnology Co., Ltd (Shanghai, China). Dextra sulfate sodium was obtained from MP Biomedical (Irvine, CA, USA). Cefadroxil (purity >99%), terramycin (purity >98%) and erythromycin (purity >99%) were purchased from Dalian Meilun Biotechnology Co., Ltd (Dalian, China). Mesalazine (MSZ) was obtained from Losan Pharma GmbH, Germany. ELISA kits (TNF-α, IL-6, IL-10, IL-18, IL-1β, TGF-β, and IFN-γ) were obtained from Shanghai Enzyme-linked Biotechnology Co., Ltd (Shanghai, China). BCA kit and myeloperoxidase (MPO) assay kit were obtained from the Jiancheng Bioengineering Institute of Nanjing (Nanjing, Jiangsu, China). Primary antibodies against p65, IκBα, p-IκBα, NLRP3, ASC, Capase-1, Caspase-1 p10, GAPDH and Histone H3 were purchased from Affinity Biosciences (OH, USA). All other reagents and chemicals were at least of analytical grade.
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