Dispersing and Sonoporating Biofilm-Associated Bacteria with Sonobactericide

Bacteria encased in a biofilm poses significant challenges to successful treatment, since both the immune system and antibiotics are ineffective. Sonobactericide, which uses ultrasound and microbubbles, is a potential new strategy for increasing antimicrobial effectiveness or directly killing bacter...

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Main Authors: Kirby R. Lattwein, Inés Beekers, Joop J. P. Kouijzer, Mariël Leon-Grooters, Simone A. G. Langeveld, Tom van Rooij, Antonius F. W. van der Steen, Nico de Jong, Willem J. B. van Wamel, Klazina Kooiman
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/14/6/1164
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author Kirby R. Lattwein
Inés Beekers
Joop J. P. Kouijzer
Mariël Leon-Grooters
Simone A. G. Langeveld
Tom van Rooij
Antonius F. W. van der Steen
Nico de Jong
Willem J. B. van Wamel
Klazina Kooiman
author_facet Kirby R. Lattwein
Inés Beekers
Joop J. P. Kouijzer
Mariël Leon-Grooters
Simone A. G. Langeveld
Tom van Rooij
Antonius F. W. van der Steen
Nico de Jong
Willem J. B. van Wamel
Klazina Kooiman
author_sort Kirby R. Lattwein
collection DOAJ
description Bacteria encased in a biofilm poses significant challenges to successful treatment, since both the immune system and antibiotics are ineffective. Sonobactericide, which uses ultrasound and microbubbles, is a potential new strategy for increasing antimicrobial effectiveness or directly killing bacteria. Several studies suggest that sonobactericide can lead to bacterial dispersion or sonoporation (i.e., cell membrane permeabilization); however, real-time observations distinguishing individual bacteria during and directly after insonification are missing. Therefore, in this study, we investigated, in real-time and at high-resolution, the effects of ultrasound-induced microbubble oscillation on <i>Staphylococcus aureus</i> biofilms, without or with an antibiotic (oxacillin, 1 μg/mL). Biofilms were exposed to ultrasound (2 MHz, 100–400 kPa, 100–1000 cycles, every second for 30 s) during time-lapse confocal microscopy recordings of 10 min. Bacterial responses were quantified using post hoc image analysis with particle counting. Bacterial dispersion was observed as the dominant effect over sonoporation, resulting from oscillating microbubbles. Increasing pressure and cycles both led to significantly more dispersion, with the highest pressure leading to the most biofilm removal (up to 83.7%). Antibiotic presence led to more variable treatment responses, yet did not significantly impact the therapeutic efficacy of sonobactericide, suggesting synergism is not an immediate effect. These findings elucidate the direct effects induced by sonobactericide to best utilize its potential as a biofilm treatment strategy.
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spelling doaj.art-26188fea512347ef8d621d7be333d8892023-11-23T18:29:19ZengMDPI AGPharmaceutics1999-49232022-05-01146116410.3390/pharmaceutics14061164Dispersing and Sonoporating Biofilm-Associated Bacteria with SonobactericideKirby R. Lattwein0Inés Beekers1Joop J. P. Kouijzer2Mariël Leon-Grooters3Simone A. G. Langeveld4Tom van Rooij5Antonius F. W. van der Steen6Nico de Jong7Willem J. B. van Wamel8Klazina Kooiman9Department of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Medical Microbiology and Infectious Diseases, Erasmus MC University Medical Center Rotterdam, Office Na9182, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Biomedical Engineering, Thoraxcenter, Erasmus MC University Medical Center Rotterdam, Office Ee2302, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsBacteria encased in a biofilm poses significant challenges to successful treatment, since both the immune system and antibiotics are ineffective. Sonobactericide, which uses ultrasound and microbubbles, is a potential new strategy for increasing antimicrobial effectiveness or directly killing bacteria. Several studies suggest that sonobactericide can lead to bacterial dispersion or sonoporation (i.e., cell membrane permeabilization); however, real-time observations distinguishing individual bacteria during and directly after insonification are missing. Therefore, in this study, we investigated, in real-time and at high-resolution, the effects of ultrasound-induced microbubble oscillation on <i>Staphylococcus aureus</i> biofilms, without or with an antibiotic (oxacillin, 1 μg/mL). Biofilms were exposed to ultrasound (2 MHz, 100–400 kPa, 100–1000 cycles, every second for 30 s) during time-lapse confocal microscopy recordings of 10 min. Bacterial responses were quantified using post hoc image analysis with particle counting. Bacterial dispersion was observed as the dominant effect over sonoporation, resulting from oscillating microbubbles. Increasing pressure and cycles both led to significantly more dispersion, with the highest pressure leading to the most biofilm removal (up to 83.7%). Antibiotic presence led to more variable treatment responses, yet did not significantly impact the therapeutic efficacy of sonobactericide, suggesting synergism is not an immediate effect. These findings elucidate the direct effects induced by sonobactericide to best utilize its potential as a biofilm treatment strategy.https://www.mdpi.com/1999-4923/14/6/1164antibioticbacteriabiofilmdispersionmicrobubblesonobactericide
spellingShingle Kirby R. Lattwein
Inés Beekers
Joop J. P. Kouijzer
Mariël Leon-Grooters
Simone A. G. Langeveld
Tom van Rooij
Antonius F. W. van der Steen
Nico de Jong
Willem J. B. van Wamel
Klazina Kooiman
Dispersing and Sonoporating Biofilm-Associated Bacteria with Sonobactericide
Pharmaceutics
antibiotic
bacteria
biofilm
dispersion
microbubble
sonobactericide
title Dispersing and Sonoporating Biofilm-Associated Bacteria with Sonobactericide
title_full Dispersing and Sonoporating Biofilm-Associated Bacteria with Sonobactericide
title_fullStr Dispersing and Sonoporating Biofilm-Associated Bacteria with Sonobactericide
title_full_unstemmed Dispersing and Sonoporating Biofilm-Associated Bacteria with Sonobactericide
title_short Dispersing and Sonoporating Biofilm-Associated Bacteria with Sonobactericide
title_sort dispersing and sonoporating biofilm associated bacteria with sonobactericide
topic antibiotic
bacteria
biofilm
dispersion
microbubble
sonobactericide
url https://www.mdpi.com/1999-4923/14/6/1164
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