Logo: to the web site of Uppsala University

uu.sePublications from Uppsala University
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The COMBINE pneumonia model: a multicenter study to standardize a mouse pneumonia model with Pseudomonas aeruginosa and Klebsiella pneumoniae for antibiotic development
Statens Serum Inst, Dept Bacteria Parasites & Fungi, Copenhagen, Denmark..
Paul Ehrlich Inst, Div Microbiol, Langen, Germany..
GSK, Infect Dis Res, Collegeville, PA USA..
Paul Ehrlich Inst, Div Microbiol, Langen, Germany..
Show others and affiliations
2026 (English)In: Microbiology Spectrum, E-ISSN 2165-0497, Vol. 14, no 3Article in journal (Refereed) Published
Abstract [en]

The growing threat of antimicrobial resistance highlights the urgent need for new treatment strategies. Reliable animal data are essential to accelerate antibiotic development, and standardized murine infection models, like the neutropenic mouse pneumonia model, can improve the reproducibility and comparability of efficacy data across laboratories-key for clinical translation. This study aims to develop a standardized murine pneumonia model to enhance the clinical relevance of preclinical findings. Using a consensus lung infection protocol, we tested 32 Klebsiella pneumoniae and Pseudomonas aeruginosa isolates. Fifteen met predefined virulence criteria-showing at least a 1 log(1)(0) increase in bacterial load from baseline to endpoint, while maintaining mouse survival for at least 12 h post-inoculation. These isolates are available through the German Collection of Microorganisms and Cell Cultures GmbH (DSMZ). Follow-up studies at independent sites confirmed the virulence of eight isolates with minimal variability in bacterial growth. These were added to the Collaboration for Prevention and Treatment of MDR Bacterial Infection (COMBINE Preclinical Bacterial Strain Repository at DSMZ. Based on this work, we propose a standardized experimental framework using this isolate panel to support robust preclinical testing of new antibacterial therapies. This model offers a reproducible, well-characterized platform for evaluating anti-infective candidates. We believe the COMBINE protocol can enhance the reliability and consistency of preclinical efficacy assessments and help reduce the number of animals required, aligning with the 3R principles-reduce, refine, replace-in animal research.IMPORTANCEThe rise of antibiotic-resistant bacteria has made it increasingly difficult to treat common infections, such as pneumonia. To develop new antibiotics, scientists rely on animal infection models to test how well potential drugs work before human trials. However, inconsistent methods between laboratories make it hard to compare results and slow the progress of new treatments. This study established and validated a standardized mouse pneumonia model for Klebsiella pneumoniae and Pseudomonas aeruginosa-two major pneumonia pathogens-across three international research centers. By identifying and sharing a set of well-characterized bacterial strains and a common experimental protocol, we provide a reliable foundation for comparing drug efficacy data. This model will help improve the quality and reproducibility of preclinical antibiotic research, reduce unnecessary animal use, and accelerate the discovery of new treatments against life-threatening bacterial infections.

Place, publisher, year, edition, pages
American Society for Microbiology, 2026. Vol. 14, no 3
Keywords [en]
Gram-negative, PK/PD, antimicrobial, antimicrobial efficacy studies, lung infection, murine pneumonia model, K. pneumoniae, P. aeruginosa
National Category
Infectious Medicine Microbiology in the Medical Area
Identifiers
URN: urn:nbn:se:uu:diva-587327DOI: 10.1128/spectrum.03464-25ISI: 001661148100001PubMedID: 41532788Scopus ID: 2-s2.0-105031958265OAI: oai:DiVA.org:uu-587327DiVA, id: diva2:2066873
Funder
EU, Horizon 2020, 853967Available from: 2026-06-05 Created: 2026-06-05 Last updated: 2026-06-05Bibliographically approved

Open Access in DiVA

fulltext(727 kB)107 downloads
File information
File name FULLTEXT01.pdfFile size 727 kBChecksum SHA-512
99e2b9edccaed07eec48b672619df4b39a6132f1441b96b4cdbaf0a7afe2b017984bb3e2257c233c3c442357724dbd99271a5d98a63b535f0916f3f85bf0431f
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Huseby, Douglas L.Cao, ShaLindahl, OttoHughes, DiarmaidFriberg, Lena E.

Search in DiVA

By author/editor
Huseby, Douglas L.Gadiya, YojanaCao, ShaLindahl, OttoHughes, DiarmaidFriberg, Lena E.Vingsbo Lundberg, Carina
By organisation
Department of Medical Biochemistry and MicrobiologyInfection and ImmunityMicrobiology and ImmunologyDepartment of Pharmacy
In the same journal
Microbiology Spectrum
Infectious MedicineMicrobiology in the Medical Area

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 160 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf