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Antimicrobial Phytochemical Evaluation

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Phytochemicals (berberine chloride, 8-hydroxyquinoline, salicylic acid, tannic acid, and sanguinarine chloride) and their synthetic analogs [chloroxine (5,7-dichloroquinolin-8-ol), nitroxoline (5-nitroquinolin-8-ol), ferron (7-iodo-8-hydroxyquinoline-5-sulfonic acid), bismuth subsalicylate, and zinc pyrithione], as well as antibiotics (ceftriaxone sodium, ciprofloxacin, chloramphenicol, metronidazole, tetracycline, and vancomycin hydrochloride), used in this study were purchased from Sigma-Aldrich (Prague, Czech Republic). Dimethyl sulfoxide (DMSO) (Sigma-Aldrich, Prague, Czech Republic) was used to prepare the stock solutions of all test compounds, except those of metronidazole, salicylic acid, vancomycin, and zinc pyrithione, which were prepared using distilled water. Stock solutions of chloramphenicol, tannic acid, and tetracycline were prepared using 96% ethanol (Sigma-Aldrich, Prague, Czech Republic). The chemical structures of individual compounds tested are shown in Figure 3.
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2

High-throughput Screening of Compound Library

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The 727-compound NCC was purchased from Evotec (Hamburg, Germany) as 10-mM solutions in DMSO. The pig skeletal muscle (longissimus dorsi) was processed and purchased from Pel-Freez Biologicals (AR, USA). Fluorophores Alexa Fluor 488 C5-maleimide (AF488) and Alexa Fluor 568 C5-maleimide (AF568) were purchased from Life Technologies (OR, USA). Individual NCC compounds of interest (hits) were purchased separately, as following: disulfiram and ebselen from Fisher Scientific; chloroxine, diazoxide and fluphenazine from Sigma-Aldrich; cefatrizine propylene glycol (PG), and cefixime trihydrate and tacrolimus from Sequoia Research Products Ltd (Pangbourne, UK); and pravastatin and lofepramine from Santa Cruz Biotechnology (CA, USA).
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Chloroxine Solubilization in Intralipid

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Chloroxine (5,7-dichloro-8-quinolinol, Sigma-Aldrich) was weighed in amounts of 0 (blank), 10, 30, 50 and 100 mg/kg in separate glass vials. Larger clumps were broken down using a spatula. In total, 15 ml of Intralipid emulsion (Sigma-Aldrich) was added to each glass vial, vortex-mixed for 5 min and bath-sonicated for at least 2 h at 40 °C. A previous report16 (link) showed that there was no effect of bath sonication on the stability of these emulsions. Optimum solubility was obtained at 10 mg/kg.
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4

Screening Non-Cytotoxic Compounds Against S. neurona

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Non-cytotoxic confirmed S. neurona-inhibitory compounds were purchased for additional testing. Altanserin, chloroxine, diphenylcyclopropenone, and pyrimethamine were purchased from Sigma. Thiothixene and 5-fluorouracil were purchased from AK Scientific. Perospirone HCl was purchased from Carbosynth. AM-251, artesunate, azelastine HCl, carmofur, clofazimine, dantrolene, disulfiram, hexachlorophene, perphenazine, prazosin, and primaquine phosphate were purchased from TargetMol. Purchased chemicals were used to prepare 10 mM stock solutions in 100% DMSO. Assay plates seeded with BT cells and infected with 2.0 × 104S. neurona + GFP/FLUC parasites were treated with growth media supplemented with 10, 5, 2.5, 1, 0.5, 0.1, and 0.5 μM compound or 0.1% DMSO control. Compounds were added to assay plates in triplicate and incubated at 37 °C and 5% CO2 for 4 days before measuring FLUC activity as before. Estimation of EC50 value for each compound was accomplished using a four-parametric logistic function of GraphPad Prism 7.00 Software (GraphPad, USA).
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5

Cultivation and Resuspension of Burkholderia

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B. thailandensis strain E264 (ATCC; strain 700388) was grown in high salt (10 g/L) Lysogeny broth (LB) at 37°C with aeration at 200 rpm. For experiments investigating the activity of the combination therapy, B. thailandensis was grown to stationary phase in LB broth and cells harvested by centrifugation. Cell pellets were resuspended in M9 minimal media [32 ] supplemented with 730 μM/400 μg/ml ceftazidime hydrate (Melford Laboratories, #C5920; hereafter referred to as ceftazidime). Initial cell counts were determined from the absorbance at 600 nm. An OD600 of 0.2 corresponds to 2x108 cfu (Claudia Hemsley, University of Exeter, personal communication). For growth of B. pseudomallei strain K96243 (S. Songsivilai, Siriraj Hospital), bacteria were plated onto low salt (5 g/L) LB-agar. Single colonies were picked into 100 ml low salt LB broth and grown at 37°C for 20 hours with orbital shaking. Cells were harvested by centrifugation and pellets resuspended in M9 minimal media. Ceftazidime was prepared from a stock at 73 mM active component in 0.1 M sodium hydroxide. Chloroxine (Sigma-Aldrich, #D64600) was prepared from a stock at 10–100 mg/ml active component in dimethyl sulfoxide (DMSO).
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