Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA
mBio. 2019 Jul 30;10(4):e01501-19. doi: 10.1128/mBio.01501-19.
and often cause chronic, recalcitrant infections in large part due to their ability to form biofilms. The biofilm mode of growth enables these organisms to withstand antibacterial insults that would effectively eliminate their planktonic counterparts. We found that supernatant increased the sensitivity of biofilms to multiple antimicrobial compounds, including fluoroquinolones and membrane-targeting antibacterial agents, including the antiseptic chloroxylenol. Treatment of with the antiseptic chloroxylenol alone did not decrease biofilm cell viability; however, the combination of chloroxylenol and supernatant led to a 4-log reduction in biofilm viability compared to exposure to chloroxylenol alone. We found that the -produced small molecule 2--heptyl-4-hydroxyquinoline -oxide (HQNO) is responsible for the observed heightened sensitivity of to chloroxylenol. Similarly, HQNO increased the susceptibility of biofilms to other compounds, including both traditional and nontraditional antibiotics, which permeabilize bacterial membranes. Genetic and phenotypic studies support a model whereby HQNO causes an increase in membrane fluidity, thereby improving the efficacy of membrane-targeting antiseptics and antibiotics. Importantly, our data show that exoproducts can enhance the ability of various antimicrobial agents to kill biofilm populations of that are typically difficult to eradicate. Finally, our discovery that altering membrane fluidity shifts antimicrobial sensitivity profiles of bacterial biofilms may guide new approaches to target persistent infections, such as those commonly found in respiratory tract infections and in chronic wounds. The thick mucus in the airways of cystic fibrosis (CF) patients predisposes them to frequent, polymicrobial respiratory infections. and are frequently coisolated from the airways of individuals with CF, as well as from diabetic foot ulcers and other wounds. Both organisms form biofilms, which are notoriously difficult to eradicate and promote chronic infection. In this study, we have shown that -secreted factors can increase the efficacy of compounds that alone have little or no bactericidal activity against biofilms. In particular, we discovered that exoproducts can potentiate the antistaphylococcal activity of phenol-based antiseptics and other membrane-active drugs. Our findings illustrate that polymicrobial interactions can dramatically increase antibacterial efficacy and suggest that altering membrane physiology promotes the ability of certain drugs to kill bacterial biofilms-knowledge that may provide a path for the discovery of new biofilm-targeting antimicrobial strategies.
并且经常导致慢性、难治性感染,在很大程度上是由于它们形成生物膜的能力。生物膜生长模式使这些生物体能够抵抗抗菌物质的攻击,而这些攻击通常会有效地消灭它们的浮游生物对应物。我们发现,上清液增加了生物膜对多种抗菌化合物的敏感性,包括氟喹诺酮类和靶向细胞膜的抗菌剂,包括防腐剂氯二甲酚。单独用防腐剂氯二甲酚处理不会降低生物膜细胞的活力;然而,与单独使用氯二甲酚相比,氯二甲酚和上清液的组合导致生物膜活力降低了 4 个对数级。我们发现,由 产生的小分子 2--庚基-4-羟基喹啉-N-氧化物(HQNO)是导致生物膜对氯二甲酚敏感性增加的原因。同样,HQNO 增加了生物膜对其他化合物的敏感性,包括传统和非传统抗生素,这些化合物会使细菌细胞膜穿孔。遗传和表型研究支持这样一种模式,即 HQNO 导致 细胞膜流动性增加,从而提高了靶向细胞膜的防腐剂和抗生素的功效。重要的是,我们的数据表明,外泌产物可以增强各种抗菌剂杀死生物膜中 种群的能力,这些种群通常难以根除。最后,我们发现改变膜流动性会改变细菌生物膜的抗菌敏感性谱,这可能为靶向持续性感染提供新的方法,例如在呼吸道感染和慢性伤口中常见的感染。囊性纤维化(CF)患者的气道中的厚粘液使他们容易频繁发生多种微生物的呼吸道感染。 和 经常从 CF 患者的气道以及糖尿病足溃疡和其他伤口中共同分离出来。这两种生物体都形成生物膜,生物膜难以根除,并且会导致慢性感染。在这项研究中,我们已经表明, 分泌的因子可以增加单独使用对 生物膜几乎没有杀菌活性的化合物的功效。特别是,我们发现外泌产物可以增强基于酚的防腐剂和其他膜活性药物对葡萄球菌的抗菌活性。我们的发现表明,多微生物相互作用可以显著提高抗菌功效,并且表明改变膜生理学可以促进某些药物杀死细菌生物膜的能力——这一知识可能为发现新的生物膜靶向抗菌策略提供途径。
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