Abedon Stephen T
Department of Microbiology, The Ohio State University, 1680 University Dr., Mansfield, OH 44906,USA.
Pharmaceuticals (Basel). 2015 Sep 9;8(3):525-58. doi: 10.3390/ph8030525.
Bacteriophages, the viruses that infect bacteria, have for decades been successfully used to combat antibiotic-resistant, chronic bacterial infections, many of which are likely biofilm associated. Antibiotics as anti-biofilm agents can, by contrast, be inefficacious against even genetically sensitive targets. Such deficiencies in usefulness may result from antibiotics, as naturally occurring compounds, not serving their producers, in nature, as stand-alone disruptors of mature biofilms. Anti-biofilm effectiveness by phages, by contrast, may result from a combination of inherent abilities to concentrate lytic antibacterial activity intracellularly via bacterial infection and extracellularly via localized population growth. Considered here is the anti-biofilm activity of microorganisms, with a case presented for why, ecologically, bacteriophages can be more efficacious than traditional antibiotics as medically or environmentally applied biofilm-disrupting agents. Four criteria, it can be argued, generally must be met, in combination, for microorganisms to eradicate biofilms: (1) Furnishing of sufficiently effective antibacterial factors, (2) intimate interaction with biofilm bacteria over extended periods, (3) associated ability to concentrate antibacterial factors in or around targets, and, ultimately, (4) a means of physically disrupting or displacing target bacteria. In nature, lytic predators of bacteria likely can meet these criteria whereas antibiotic production, in and of itself, largely may not.
噬菌体,即感染细菌的病毒,几十年来已成功用于对抗耐药性慢性细菌感染,其中许多感染可能与生物膜有关。相比之下,抗生素作为抗生物膜剂,即使对基因敏感的靶点也可能无效。这种效用上的不足可能是因为抗生素作为天然存在的化合物,在自然界中并非作为成熟生物膜的独立破坏者为其产生者服务。相比之下,噬菌体的抗生物膜有效性可能源于通过细菌感染在细胞内以及通过局部群体生长在细胞外集中溶菌抗菌活性的内在能力的结合。本文探讨了微生物的抗生物膜活性,并举例说明了为何从生态学角度来看,噬菌体作为医学或环境应用的生物膜破坏剂可能比传统抗生素更有效。可以认为,微生物要根除生物膜通常必须同时满足四个标准:(1)提供足够有效的抗菌因子;(2)长时间与生物膜细菌密切相互作用;(3)具备在靶点或其周围集中抗菌因子的相关能力,最终(4)具备物理破坏或取代目标细菌的手段。在自然界中,细菌的溶菌性捕食者可能满足这些标准,而抗生素的产生本身在很大程度上可能无法满足这些标准。