Steixner Stephan Josef Maria, Spiegel Christopher, Dammerer Dietmar, Wurm Alexander, Nogler Michael, Coraça-Huber Débora Cristina
Research Laboratory for Biofilms and Implant Associated Infections (BIOFILM LAB), Experimental Orthopaedics, University Hospital for Orthopaedics and Traumatology, Medical University of Innsbruck, Peter-Mayr-Strasse 4b, Room 204, 6020 Innsbruck, Austria.
University Hospital for Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.
Antibiotics (Basel). 2021 Jun 29;10(7):790. doi: 10.3390/antibiotics10070790.
Bacterial antibiotic resistance and biofilm formation are mechanisms usually involved in the pathogeny of implant-related infections. Worldwide, antibiotic susceptibility tests are usually carried out using nutrient-rich media. Clinical routine laboratories and even research centers use for example EUCAST or CLSI for guidelines. In this study, we investigated the effect of different nutrient media on the antibiotic susceptibility and ADBC gene expression of bacteria in biofilm. As media, Müller-Hinton Bouillon (MHB), Tryptic Soy Broth (TSB) and human synovial fluid (SF) diluted 1:4 in phosphate buffered saline (PBS), each also supplemented with 1% glucose, were used. The influence of different nutrient media on the antibiotic susceptibility of coagulase-negative (CoNS) was evaluated by counting of colony-forming units (CFU) and by checking the metabolic activity of the bacteria. We used reverse transcriptase and real-time qPCR to investigate the influence of nutrient media on the biofilm gene expression. We used two-way analysis of variance (ANOVA). < 0.05 was considered to be statistically significant. Significant differences in growth and antibiotic susceptibility were detected in all strains tested among the different media used. The nutrient media showed influence on the cell viability of all bacteria after antibiotic treatment. ADBC gene expression was significantly influenced by glucose and all nutrient media. The results highlight the influence of glucose on the antibiotic susceptibility, growth and gene expression of all strains tested. For all strains, a significant difference in bacterial recovery, viability and gene expression were found when compared to biofilm grown in SF.
细菌抗生素耐药性和生物膜形成是植入物相关感染发病机制中通常涉及的机制。在全球范围内,抗生素敏感性试验通常使用营养丰富的培养基进行。临床常规实验室甚至研究中心都以例如欧盟抗菌药物敏感性试验委员会(EUCAST)或美国临床和实验室标准协会(CLSI)的指南为依据。在本研究中,我们调查了不同营养培养基对生物膜中细菌抗生素敏感性和ADBC基因表达的影响。作为培养基,使用了米勒-欣顿肉汤(MHB)、胰蛋白胨大豆肉汤(TSB)以及在磷酸盐缓冲盐水(PBS)中按1:4稀释并各自添加1%葡萄糖的人滑液(SF)。通过计算菌落形成单位(CFU)并检查细菌的代谢活性,评估了不同营养培养基对凝固酶阴性菌(CoNS)抗生素敏感性的影响。我们使用逆转录酶和实时定量聚合酶链反应(qPCR)来研究营养培养基对生物膜基因表达的影响。我们使用了双向方差分析(ANOVA)。P < 0.05被认为具有统计学意义。在所测试的所有菌株中,在所用的不同培养基之间检测到生长和抗生素敏感性存在显著差异。营养培养基显示出对抗生素处理后所有细菌的细胞活力有影响。ADBC基因表达受到葡萄糖和所有营养培养基的显著影响。结果突出了葡萄糖对所有测试菌株的抗生素敏感性、生长和基因表达的影响。与在SF中生长的生物膜相比,在所有菌株中均发现细菌回收率、活力和基因表达存在显著差异。