A Nisin Z-polycationic dendrimer formulation to treat diabetic foot infections

Prof. Vasco Bonifácio (DBE, iBB), and collaborators from CEFEMA (IST), the Faculty of Veterinary Medicine – University of Lisbon, the Instituto de Higiene e Medicina Tropical (IHMT) and ITQB – NOVA University of Lisbon, and the Faculty of Sciences – University of Lisbon, reported in Antibiotics a novel therapeutic strategy to treat diabetic foot infections (DFIs). DFIs pose a significant clinical burden, often leading to repeated hospitalizations, amputations, and high mortality rates due to resistant polymicrobial biofilms. In this study three non-resistance-promoting therapeutic candidates were evaluated (in vitro and in vivo – Galleria mellonella model) against Staphylococcus aureus and Pseudomonas aeruginosa isolates from DFIs: the antimicrobial peptide Nisin Z, the polycationic pharmadendrimer PUREG4OEI48 (patented by Prof. Vasco Bonifácio) and amlodipine. These findings position Nisin Z and PUREG4OEI48 as promising topical adjuncts for mild DFIs, combining selective action without driving resistance. Further evaluation in more complex models is critical to confirm safety and clinical viability. See more.