The resistance breaker
A second route: restore the antibiotics we already have.
Dr David Brown proposed restoring failing antibiotics with non-antibiotic resistance breakers in Nature Reviews Drug Discovery5.
Our funded programme tests both replacement activity and whether the cocktails can reduce the effective dose of conventional drugs.
Why this matters here
Mechanism and compound class meet at one protein
Azithromycin resistance in S. Typhi can arise from an AcrB efflux-pump mutation7. The same pump class is reported to be inhibited by carvacrol and thymol9.
This is the rationale for funded mechanistic testing of our specific cocktails; it is not yet a demonstrated mechanism in our isolates.