We report that 2 mug of azithromycin/ml inhibits the quorum-sensing circuit
ry of Pseudomonas aeruginosa strain PAO1. Addition of synthetic autoinducer
s partially restored the expression of the trancriptional activator-encodin
g genes lasR and rhlR but not that of the autoinducer synthase-encoding gen
e lasI. We propose that azithromycin interferes with the synthesis of autoi
nducers, by an unknown mechanism, leading to a reduction of virulence facto
r production.