# Overcoming Ceftaroline Resistance in MRSA Using Ceftaroline–Carbapenem Combination Therapy

**Authors:** Joshua Olson, Valliammai Alaguvel, Gabriel Pérez-Parra, Allen Jankeel, Anuj K Khetarpal, Valeria Rodríguez-Guevara, Vanessa Vu, George Sakoulas, Erlinda R Ulloa

PMC · DOI: 10.1093/ofid/ofag009 · Open Forum Infectious Diseases · 2026-01-20

## TL;DR

Combining ceftaroline with carbapenems can overcome resistance in MRSA, showing promise in both lab and animal studies.

## Contribution

The study introduces a combination therapy strategy to combat ceftaroline-resistant MRSA.

## Key findings

- Ceftaroline plus carbapenems restores activity against resistant MRSA in vitro.
- The combination therapy was effective in a murine bacteremia model.

## Abstract

The limited but rising threat of ceftaroline-resistant MRSA poses a therapeutic challenge. We show that ceftaroline plus carbapenems restores activity against a resistant strain both in vitro and in a murine bacteremia model. These findings support combination therapy as a potential strategy for difficult MRSA infections, warranting further clinical investigation.

## Linked entities

- **Chemicals:** ceftaroline (PubChem CID 9852981), carbapenems (PubChem CID 134085)
- **Diseases:** MRSA (MONDO:0100073)

## Full-text entities

- **Genes:** Pbp2 (phosphatidylethanolamine binding protein 2) [NCBI Gene 76400] {aka 1700023A18Rik, Pebp-2, Pebp2}, Pebp1 (phosphatidylethanolamine binding protein 1) [NCBI Gene 23980] {aka HCNP, Pbp, Pbp1, Pbpr, Rkip}
- **Diseases:** MRSA (MESH:D013203), toxicity (MESH:D064420), Infectious Diseases (MESH:D003141), THA (MESH:D010243), MRSA infections (MESH:D007239), endocarditis (MESH:D004696), dislocation (MESH:D004204), Bacteremia (MESH:D016470), lung infection (MESH:D012141)
- **Chemicals:** cephalosporin (MESH:D002511), Vancomycin (MESH:D014640), Ceftaroline (MESH:C490727), AR-0703 (-), ceftaroline fosamil (MESH:C515501), silica (MESH:D012822), Carbapenem (MESH:D015780), beta-lactam (MESH:D047090), ETP (MESH:D000077727), daptomycin (MESH:D017576), water (MESH:D014867), PBS (MESH:D007854), Meropenem (MESH:D000077731), CO2 (MESH:D002245), glycerol (MESH:D005990), Methicillin (MESH:D008712)
- **Species:** Staphylococcus aureus (species) [taxon 1280], Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12818010/full.md

## References

24 references — full list in the complete paper: https://tomesphere.com/paper/PMC12818010/full.md

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Source: https://tomesphere.com/paper/PMC12818010