Früh Robin, Anderson Annette, Cieplik Fabian, Hellwig Elmar, Wittmer Annette, Vach Kirstin, Al-Ahmad Ali
Department of Operative Dentistry & Periodontology, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, 93053 Regensburg, Germany.
Antibiotics (Basel). 2022 Oct 17;11(10):1420. doi: 10.3390/antibiotics11101420.
Due to increasing rates of antibiotic resistance and very few novel developments of antibiotics, it is crucial to understand the mechanisms of resistance development. The aim of the present study was to investigate the adaptation of oral bacteria to the frequently used oral antiseptic chlorhexidine digluconate (CHX) and potential cross-adaptation to antibiotics after repeated exposure of supragingival plaque samples to subinhibitory concentrations of CHX. Plaque samples from six healthy donors were passaged for 10 days in subinhibitory concentrations of CHX, while passaging of plaque samples without CHX served as control. The surviving bacteria were cultured on agar plates and identified with Matrix-assisted Laser Desorption/Ionization-Time of Flight-Mass spectrometry (MALDI-TOF). Subsequently, the minimum inhibitory concentrations (MIC) of these isolates toward CHX were determined using a broth-microdilution method, and phenotypic antibiotic resistance was evaluated using the epsilometertest. Furthermore, biofilm-forming capacities were determined. Repeated exposure of supragingival plaque samples to subinhibitory concentrations of CHX led to the selection of oral bacteria with 2-fold up to 4-fold increased MICs toward CHX. Furthermore, these isolates showed up to 12-fold increased MICs towards some antibiotics such as erythromycin and clindamycin. Conversely, biofilm-forming capacity was decreased. In summary, this study shows that oral bacteria are able to adapt to CHX, while also decreasing their susceptibility to antibiotics.
由于抗生素耐药率不断上升且新型抗生素研发极少,了解耐药性产生的机制至关重要。本研究的目的是在龈上菌斑样本反复暴露于亚抑制浓度的葡萄糖酸洗必泰(CHX)后,研究口腔细菌对常用口腔抗菌剂葡萄糖酸洗必泰(CHX)的适应性以及对抗生素的潜在交叉适应性。来自六名健康供体的菌斑样本在亚抑制浓度的CHX中传代培养10天,而未添加CHX的菌斑样本传代培养作为对照。将存活的细菌接种在琼脂平板上,并用基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF)进行鉴定。随后,使用肉汤微量稀释法测定这些分离株对CHX的最低抑菌浓度(MIC),并使用埃普利ometer试验评估表型抗生素耐药性。此外,还测定了生物膜形成能力。龈上菌斑样本反复暴露于亚抑制浓度的CHX导致对CHX的MIC升高2至4倍的口腔细菌被筛选出来。此外,这些分离株对某些抗生素如红霉素和克林霉素的MIC升高了12倍。相反,生物膜形成能力下降。总之,本研究表明口腔细菌能够适应CHX,同时也降低了它们对抗生素的敏感性。