纯化内酯酶和环丙沙星在小鼠烧伤创面模型中预防铜绿假单胞菌全身播散的疗效

Efficacy of purified lactonase and ciprofloxacin in preventing systemic spread of Pseudomonas aeruginosa in murine burn wound model.

作者信息

Gupta Parul, Chhibber Sanjay, Harjai Kusum

机构信息

Department of Microbiology, BMS Block, Panjab University, Chandigarh 160014, India.

Department of Microbiology, BMS Block, Panjab University, Chandigarh 160014, India.

出版信息

Burns. 2015 Feb;41(1):153-62. doi: 10.1016/j.burns.2014.06.009. Epub 2014 Jul 9.

Abstract

Pseudomonas aeruginosa is an important etiological agent associated with systemic infection in burn patients. Quorum sensing (QS) mechanism of P. aeruginosa contributes to its virulence. Inhibition of QS signals can serve as an effective anti-virulence strategy. Aim of the present study was to evaluate the efficacy of lactonase alone and in combination with ciprofloxacin in treating P. aeruginosa murine burn wound infection. Topical application of lactonase alone and ciprofloxacin alone prevented systemic spread of P. aeruginosa through burned skin and also reduced the mortality. When lactonase (topical) and ciprofloxacin (I/P) were used in combination, zero mortality was observed. It not only significantly reduced systemic dissemination and severity of histopathologic lesions but also resulted in skin regeneration. Decreased production of pathologic index factors (malondialdehyde and reactive nitrogen intermediates) and interleukins (IL-10, IL-6 and MIP-2) was also observed in comparison to control. The results of present study suggest that combination of lactonase and ciprofloxacin can potentially attenuate the virulence of P. aeruginosa. This is the first report of topical administration of lactonase along with antibiotic for the efficient control of burn wound infection.

摘要

铜绿假单胞菌是烧伤患者全身感染的重要病原体。铜绿假单胞菌的群体感应(QS)机制有助于其毒力。抑制QS信号可作为一种有效的抗毒力策略。本研究的目的是评估内酯酶单独使用以及与环丙沙星联合使用治疗铜绿假单胞菌小鼠烧伤创面感染的疗效。单独局部应用内酯酶和单独应用环丙沙星可防止铜绿假单胞菌通过烧伤皮肤发生全身扩散,还可降低死亡率。当联合使用内酯酶(局部)和环丙沙星(腹腔注射)时,观察到死亡率为零。它不仅显著减少了全身播散和组织病理学损伤的严重程度,还促进了皮肤再生。与对照组相比,还观察到病理指标因子(丙二醛和活性氮中间体)和白细胞介素(IL-10、IL-6和MIP-2)的产生减少。本研究结果表明,内酯酶和环丙沙星联合使用可能会减弱铜绿假单胞菌的毒力。这是关于局部应用内酯酶与抗生素联合有效控制烧伤创面感染的首次报道。

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