Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activity

Abstract Antimicrobial resistance is one of the most pressing concerns of our time. The human diet is rich with compounds that alter bacterial gut communities and virulence‐associated behaviours, suggesting food additives may be a niche for the discovery of novel anti‐virulence compounds. Here, we i...

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Main Authors: Rubén de Dios, Chris R Proctor, Evgenia Maslova, Sindija Dzalbe, Christian J Rudolph, Ronan R McCarthy
Format: Article
Language:English
Published: Springer Nature 2023-01-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.202216397
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author Rubén de Dios
Chris R Proctor
Evgenia Maslova
Sindija Dzalbe
Christian J Rudolph
Ronan R McCarthy
author_facet Rubén de Dios
Chris R Proctor
Evgenia Maslova
Sindija Dzalbe
Christian J Rudolph
Ronan R McCarthy
author_sort Rubén de Dios
collection DOAJ
description Abstract Antimicrobial resistance is one of the most pressing concerns of our time. The human diet is rich with compounds that alter bacterial gut communities and virulence‐associated behaviours, suggesting food additives may be a niche for the discovery of novel anti‐virulence compounds. Here, we identify three artificial sweeteners, saccharin, cyclamate and acesulfame‐K (ace‐K), that have a major growth inhibitory effect on priority pathogens. We further characterise the impact of ace‐K on multidrug‐resistant Acinetobacter baumannii, demonstrating that it can disable virulence behaviours such as biofilm formation, motility and the ability to acquire exogenous antibiotic‐resistant genes. Further analysis revealed the mechanism of growth inhibition is through bulge‐mediated cell lysis and that cells can be rescued by cation supplementation. Antibiotic sensitivity assays demonstrated that at sub‐lethal concentrations, ace‐K can resensitise A. baumannii to last resort antibiotics, including carbapenems. Using a novel ex vivo porcine skin wound model, we show that ace‐K antimicrobial activity is maintained in the wound microenvironment. Our findings demonstrate the influence of artificial sweeteners on pathogen behaviour and uncover their therapeutic potential.
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spelling doaj.art-1f873535607c445a86cfeef0d7b1bd892024-03-03T06:36:52ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842023-01-01151n/an/a10.15252/emmm.202216397Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activityRubén de Dios0Chris R Proctor1Evgenia Maslova2Sindija Dzalbe3Christian J Rudolph4Ronan R McCarthy5Division of Biosciences, Department of Life Sciences, Centre of Inflammation Research and Translational Medicine, College of Health, Medicine and Life Sciences Brunel University London Uxbridge UKDivision of Biosciences, Department of Life Sciences, Centre of Inflammation Research and Translational Medicine, College of Health, Medicine and Life Sciences Brunel University London Uxbridge UKDivision of Biosciences, Department of Life Sciences, Centre of Inflammation Research and Translational Medicine, College of Health, Medicine and Life Sciences Brunel University London Uxbridge UKDivision of Biosciences, Department of Life Sciences, Centre of Inflammation Research and Translational Medicine, College of Health, Medicine and Life Sciences Brunel University London Uxbridge UKDivision of Biosciences, Department of Life Sciences, Centre for Genome Engineering and Maintenance, College of Health, Medicine and Life Sciences Brunel University London Uxbridge UKDivision of Biosciences, Department of Life Sciences, Centre of Inflammation Research and Translational Medicine, College of Health, Medicine and Life Sciences Brunel University London Uxbridge UKAbstract Antimicrobial resistance is one of the most pressing concerns of our time. The human diet is rich with compounds that alter bacterial gut communities and virulence‐associated behaviours, suggesting food additives may be a niche for the discovery of novel anti‐virulence compounds. Here, we identify three artificial sweeteners, saccharin, cyclamate and acesulfame‐K (ace‐K), that have a major growth inhibitory effect on priority pathogens. We further characterise the impact of ace‐K on multidrug‐resistant Acinetobacter baumannii, demonstrating that it can disable virulence behaviours such as biofilm formation, motility and the ability to acquire exogenous antibiotic‐resistant genes. Further analysis revealed the mechanism of growth inhibition is through bulge‐mediated cell lysis and that cells can be rescued by cation supplementation. Antibiotic sensitivity assays demonstrated that at sub‐lethal concentrations, ace‐K can resensitise A. baumannii to last resort antibiotics, including carbapenems. Using a novel ex vivo porcine skin wound model, we show that ace‐K antimicrobial activity is maintained in the wound microenvironment. Our findings demonstrate the influence of artificial sweeteners on pathogen behaviour and uncover their therapeutic potential.https://doi.org/10.15252/emmm.202216397Acinetobacter baumanniiantimicrobialartificial sweetenerbiofilmcarbapenem
spellingShingle Rubén de Dios
Chris R Proctor
Evgenia Maslova
Sindija Dzalbe
Christian J Rudolph
Ronan R McCarthy
Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activity
EMBO Molecular Medicine
Acinetobacter baumannii
antimicrobial
artificial sweetener
biofilm
carbapenem
title Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activity
title_full Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activity
title_fullStr Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activity
title_full_unstemmed Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activity
title_short Artificial sweeteners inhibit multidrug‐resistant pathogen growth and potentiate antibiotic activity
title_sort artificial sweeteners inhibit multidrug resistant pathogen growth and potentiate antibiotic activity
topic Acinetobacter baumannii
antimicrobial
artificial sweetener
biofilm
carbapenem
url https://doi.org/10.15252/emmm.202216397
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