Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing Benefits

Antimicrobial resistance is among the top global health problems with antibacterial resistance currently representing the major threat both in terms of occurrence and complexity. One reason current treatments of bacterial diseases are ineffective is the occurrence of protective and resistant biofilm...

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Main Authors: Karina Golberg, Victor Markus, Bat-el Kagan, Sigalit Barzanizan, Karin Yaniv, Kerem Teralı, Esti Kramarsky-Winter, Robert S. Marks, Ariel Kushmaro
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/14/5/967
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author Karina Golberg
Victor Markus
Bat-el Kagan
Sigalit Barzanizan
Karin Yaniv
Kerem Teralı
Esti Kramarsky-Winter
Robert S. Marks
Ariel Kushmaro
author_facet Karina Golberg
Victor Markus
Bat-el Kagan
Sigalit Barzanizan
Karin Yaniv
Kerem Teralı
Esti Kramarsky-Winter
Robert S. Marks
Ariel Kushmaro
author_sort Karina Golberg
collection DOAJ
description Antimicrobial resistance is among the top global health problems with antibacterial resistance currently representing the major threat both in terms of occurrence and complexity. One reason current treatments of bacterial diseases are ineffective is the occurrence of protective and resistant biofilm structures. Phytochemicals are currently being reviewed for newer anti-virulence agents. In the present study, we aimed to investigate the anti-virulence activity of 3,3′-diindolylmethane (DIM), a bioactive cruciferous phytochemical. Using a series of in vitro assays on major Gram-negative pathogens, including transcriptomic analysis, and in vivo porcine wound studies as well as in silico experiments, we show that DIM has anti-biofilm activity. Following DIM treatment, our findings show that biofilm formation of two of the most prioritized bacterial pathogens <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> was inhibited respectively by 65% and 70%. Combining the antibiotic tobramycin with DIM enabled a high inhibition (94%) of <i>P. aeruginosa</i> biofilm. A DIM-based formulation, evaluated for its wound-healing efficacy on <i>P. aeruginosa</i>-infected wounds, showed a reduction in its bacterial bioburden, and wound size. RNA-seq was used to evaluate the molecular mechanism underlying the bacterial response to DIM. The gene expression profile encompassed shifts in virulence and biofilm-associated genes. A network regulation analysis showed the downregulation of 14 virulence-associated super-regulators. Quantitative real-time PCR verified and supported the transcriptomic results. Molecular docking and interaction profiling indicate that DIM can be accommodated in the autoinducer- or DNA-binding pockets of the virulence regulators making multiple non-covalent interactions with the key residues that are involved in ligand binding. DIM treatment prevented biofilm formation and destroyed existing biofilm without affecting microbial death rates. This study provides evidence for bacterial virulence attenuation by DIM.
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spelling doaj.art-17295742fbd24afe9d1a5073769e400d2023-11-23T12:37:21ZengMDPI AGPharmaceutics1999-49232022-04-0114596710.3390/pharmaceutics14050967Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing BenefitsKarina Golberg0Victor Markus1Bat-el Kagan2Sigalit Barzanizan3Karin Yaniv4Kerem Teralı5Esti Kramarsky-Winter6Robert S. Marks7Ariel Kushmaro8Avram and Stella Goldstein-Goren Department of Biotechnology Engineering, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, IsraelDepartment of Medical Biochemistry, Faculty of Medicine, Near East University, Nicosia 99138, CyprusAvram and Stella Goldstein-Goren Department of Biotechnology Engineering, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, IsraelAvram and Stella Goldstein-Goren Department of Biotechnology Engineering, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, IsraelAvram and Stella Goldstein-Goren Department of Biotechnology Engineering, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, IsraelDepartment of Medical Biochemistry, Faculty of Medicine, Girne American University, Kyrenia 99428, CyprusAvram and Stella Goldstein-Goren Department of Biotechnology Engineering, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, IsraelAvram and Stella Goldstein-Goren Department of Biotechnology Engineering, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, IsraelAvram and Stella Goldstein-Goren Department of Biotechnology Engineering, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, IsraelAntimicrobial resistance is among the top global health problems with antibacterial resistance currently representing the major threat both in terms of occurrence and complexity. One reason current treatments of bacterial diseases are ineffective is the occurrence of protective and resistant biofilm structures. Phytochemicals are currently being reviewed for newer anti-virulence agents. In the present study, we aimed to investigate the anti-virulence activity of 3,3′-diindolylmethane (DIM), a bioactive cruciferous phytochemical. Using a series of in vitro assays on major Gram-negative pathogens, including transcriptomic analysis, and in vivo porcine wound studies as well as in silico experiments, we show that DIM has anti-biofilm activity. Following DIM treatment, our findings show that biofilm formation of two of the most prioritized bacterial pathogens <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> was inhibited respectively by 65% and 70%. Combining the antibiotic tobramycin with DIM enabled a high inhibition (94%) of <i>P. aeruginosa</i> biofilm. A DIM-based formulation, evaluated for its wound-healing efficacy on <i>P. aeruginosa</i>-infected wounds, showed a reduction in its bacterial bioburden, and wound size. RNA-seq was used to evaluate the molecular mechanism underlying the bacterial response to DIM. The gene expression profile encompassed shifts in virulence and biofilm-associated genes. A network regulation analysis showed the downregulation of 14 virulence-associated super-regulators. Quantitative real-time PCR verified and supported the transcriptomic results. Molecular docking and interaction profiling indicate that DIM can be accommodated in the autoinducer- or DNA-binding pockets of the virulence regulators making multiple non-covalent interactions with the key residues that are involved in ligand binding. DIM treatment prevented biofilm formation and destroyed existing biofilm without affecting microbial death rates. This study provides evidence for bacterial virulence attenuation by DIM.https://www.mdpi.com/1999-4923/14/5/967antibiotics resistancequorum sensingbiofilmphytochemicals3,3′-diindolylmethane
spellingShingle Karina Golberg
Victor Markus
Bat-el Kagan
Sigalit Barzanizan
Karin Yaniv
Kerem Teralı
Esti Kramarsky-Winter
Robert S. Marks
Ariel Kushmaro
Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing Benefits
Pharmaceutics
antibiotics resistance
quorum sensing
biofilm
phytochemicals
3,3′-diindolylmethane
title Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing Benefits
title_full Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing Benefits
title_fullStr Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing Benefits
title_full_unstemmed Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing Benefits
title_short Anti-Virulence Activity of 3,3′-Diindolylmethane (DIM): A Bioactive Cruciferous Phytochemical with Accelerated Wound Healing Benefits
title_sort anti virulence activity of 3 3 diindolylmethane dim a bioactive cruciferous phytochemical with accelerated wound healing benefits
topic antibiotics resistance
quorum sensing
biofilm
phytochemicals
3,3′-diindolylmethane
url https://www.mdpi.com/1999-4923/14/5/967
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