Repurposing Thiram and Disulfiram as Antibacterial Agents for Multidrug-Resistant Staphylococcus aureus Infections
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Thiram and disulfiram were evaluated as antibacterial agents against multidrug-resistant Staphylococcus aureus . Against a 30-member panel comprised of vancomycin-susceptible, vancomycin-intermediate, and vancomycin-resistant S. aureus strains, the MIC 90 values of the respective test agents were 4 and 16 μg/ml. Additional analyses revealed that thiram and disulfiram are rapid-acting bacteriostatic agents with narrow, Gram-positive-bacterium spectrum activity. Synergy studies further determined that disulfiram increases the vancomycin susceptibility of three clinical vancomycin-resistant S. aureus strains in vitro , thus establishing a potential use in combination therapy.
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DIS, an electrophilic compound, readily forms disulfides with thiol-bearing molecules; bacteria harbor diverse intracellular thiols that DIS can modify via thiol-disulfide exchange, triggering antimicrobial effects.
“DIS, an electrophilic compound, readily forms disulfides with thiol-bearing molecules. Bacteria harbor diverse intracellular thiols, including cofactors (e.g., coenzyme A), metabolites (e.g., glutathione, mycothiol, and bacillithiol), and enzymes (e.g., thioredoxin), that DIS can modify via thiol-disulfide exchange, triggering antimicrobial effects.100”
From Off-label and repurposed use of disulfiram beyond alcohol dependence: A systematic review of clinical and preclinical evidence (2026) · cites this paper as [100]
Exogenous glutathione raises minimal inhibitory concentrations 2-fold for DIS, explaining its limited activity against thiol-rich Gram-negatives versus Gram-positives.
“Exogenous glutathione raises minimal inhibitory concentrations 2-fold for DIS,100 explaining its limited activity against thiol-rich Gram-negatives versus Gram-positives.100,103,104,105,106,107,108”
From Off-label and repurposed use of disulfiram beyond alcohol dependence: A systematic review of clinical and preclinical evidence (2026) · cites this paper as [100]
Initial growth deceleration stems from rapid DIS cleavage by cellular thiols in proteins, metabolites, and cofactors, abruptly halting metabolism; cleavage yields mixed disulfides that undergo further thiol-disulfide exchange, producing disulfides and DDC.
“Initial growth deceleration stems from rapid DIS cleavage by cellular thiols in proteins, metabolites, and cofactors, abruptly halting metabolism. Cleavage yields mixed disulfides that undergo further thiol-disulfide exchange (e.g., with glutathione), producing disulfides and DDC.100”
From Off-label and repurposed use of disulfiram beyond alcohol dependence: A systematic review of clinical and preclinical evidence (2026) · cites this paper as [100]
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- Authors
- Long, T. E.
- Affiliations
- Marshall University (US)
- Corresponding author
- Long, Timothy E.
- ORCID
- Long, Timothy E.
- Venue
- Antimicrobial Agents and Chemotherapy
- Publisher
- American Society for Microbiology
- Published
- 2017-09
- Volume
- 61
- Issue
- 9
- ISSN
- 0066-4804 (ISSN-L)
- 1098-6596
- PMC
- PMC5571293
- OpenAlex
- W2730199880
- Cited by
- 67
- References
- 21
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 9 · 2022: 15 · 2021: 8 · 2020: 13 · 2019: 6 · 2018: 3 · 2017: 1
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Antimicrobial Agents and Chemotherapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Physical Sciences › Chemistry › Organic Chemistry › Antimicrobial agents and applications
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Keywords
- thiram, disulfiram, multidrug-resistant Staphylococcus aureus, vancomycin resistance, vancomycin-intermediate Staphylococcus aureus, antibacterial agents, bacteriostatic activity, combination therapy, drug repurposing, synergistic effect, minimum inhibitory concentration
- MeSH terms
- Anti-Bacterial Agents, Disulfiram, Humans, Staphylococcal Infections, Staphylococcus aureus, Thiram, Vancomycin, Vancomycin Resistance, Drug Resistance, Multiple, Bacterial
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