Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumannii

Acinetobacter baumannii often causes serious nosocomial infections. Because of its serious drug resistance problems, complex drug resistance mechanism, and rapid adaptation to antibiotics, it often shows pan-drug resistance and high fatality rates, which represent great challenges for clinical treat...

Full description

Bibliographic Details
Main Authors: Weiwei Huang, Qishu Zhang, Weiran Li, Yongjun Chen, Congyan Shu, Qingrong Li, Jingxian Zhou, Chao Ye, Hongmei Bai, Wenjia Sun, Xu Yang, Yanbing Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-06-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2019.01379/full
_version_ 1819183050380017664
author Weiwei Huang
Qishu Zhang
Weiran Li
Yongjun Chen
Congyan Shu
Qingrong Li
Jingxian Zhou
Chao Ye
Hongmei Bai
Wenjia Sun
Xu Yang
Yanbing Ma
author_facet Weiwei Huang
Qishu Zhang
Weiran Li
Yongjun Chen
Congyan Shu
Qingrong Li
Jingxian Zhou
Chao Ye
Hongmei Bai
Wenjia Sun
Xu Yang
Yanbing Ma
author_sort Weiwei Huang
collection DOAJ
description Acinetobacter baumannii often causes serious nosocomial infections. Because of its serious drug resistance problems, complex drug resistance mechanism, and rapid adaptation to antibiotics, it often shows pan-drug resistance and high fatality rates, which represent great challenges for clinical treatment. Therefore, identifying new ways to overcome antibiotic resistance is particularly important. In this study, mice immunized with A. baumannii outer membrane vesicles (AbOMVs) produced high IgG levels for a long time, and this antiserum significantly increased the small molecule intracellular aggregation rate and concentrations. In vitro experiments demonstrated that the combined used of anti-AbOMV serum and quinolone antibiotics significantly increased the sensitivity of the bacteria to these antibiotics. Mouse sepsis model experiments demonstrated that delivery of these antibodies using both active and passive immunization strategies significantly improved the susceptibility to quinolone antibiotics, improved the survival rate of mice infected with A. baumannii, and reduced the bacterial load in the organs. In a pneumonia model, the combination of serum anti-AbOMVs and levofloxacin improved levofloxacin sensitivity, which significantly reduced the bacterial loads in the lung and spleen compared with those of the antibiotic or antibody alone. This combination also significantly reduced lung inflammatory cell infiltration and inflammatory cytokine aggregation. In this study, the main protein targets that bound to these antibodies were identified. Structural modeling showed that seven of the proteins were porins. Therefore, we speculated that the anti-AbOMV antibodies mainly improved the intracellular aggregation of antibiotics by affecting porins, thus improving susceptibility to quinolone antibiotics. This study provides a method to improve susceptibility to existing antibiotics and a novel idea for the prevention and treatment of pan-drug-resistant A. baumannii.
first_indexed 2024-12-22T22:55:51Z
format Article
id doaj.art-63ad128266f84ae2ab9d14b2f82bb602
institution Directory Open Access Journal
issn 1664-302X
language English
last_indexed 2024-12-22T22:55:51Z
publishDate 2019-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Microbiology
spelling doaj.art-63ad128266f84ae2ab9d14b2f82bb6022022-12-21T18:09:49ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2019-06-011010.3389/fmicb.2019.01379463576Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumanniiWeiwei Huang0Qishu Zhang1Weiran Li2Yongjun Chen3Congyan Shu4Qingrong Li5Jingxian Zhou6Chao Ye7Hongmei Bai8Wenjia Sun9Xu Yang10Yanbing Ma11Laboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaSichuan Institute for Food and Drug Control, Chengdu, ChinaThe Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaLaboratory of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, ChinaAcinetobacter baumannii often causes serious nosocomial infections. Because of its serious drug resistance problems, complex drug resistance mechanism, and rapid adaptation to antibiotics, it often shows pan-drug resistance and high fatality rates, which represent great challenges for clinical treatment. Therefore, identifying new ways to overcome antibiotic resistance is particularly important. In this study, mice immunized with A. baumannii outer membrane vesicles (AbOMVs) produced high IgG levels for a long time, and this antiserum significantly increased the small molecule intracellular aggregation rate and concentrations. In vitro experiments demonstrated that the combined used of anti-AbOMV serum and quinolone antibiotics significantly increased the sensitivity of the bacteria to these antibiotics. Mouse sepsis model experiments demonstrated that delivery of these antibodies using both active and passive immunization strategies significantly improved the susceptibility to quinolone antibiotics, improved the survival rate of mice infected with A. baumannii, and reduced the bacterial load in the organs. In a pneumonia model, the combination of serum anti-AbOMVs and levofloxacin improved levofloxacin sensitivity, which significantly reduced the bacterial loads in the lung and spleen compared with those of the antibiotic or antibody alone. This combination also significantly reduced lung inflammatory cell infiltration and inflammatory cytokine aggregation. In this study, the main protein targets that bound to these antibodies were identified. Structural modeling showed that seven of the proteins were porins. Therefore, we speculated that the anti-AbOMV antibodies mainly improved the intracellular aggregation of antibiotics by affecting porins, thus improving susceptibility to quinolone antibiotics. This study provides a method to improve susceptibility to existing antibiotics and a novel idea for the prevention and treatment of pan-drug-resistant A. baumannii.https://www.frontiersin.org/article/10.3389/fmicb.2019.01379/fullantibiotic resistanceAcinetobacter baumanniiantibodiesouter membrane vesiclesouter membrane proteins
spellingShingle Weiwei Huang
Qishu Zhang
Weiran Li
Yongjun Chen
Congyan Shu
Qingrong Li
Jingxian Zhou
Chao Ye
Hongmei Bai
Wenjia Sun
Xu Yang
Yanbing Ma
Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumannii
Frontiers in Microbiology
antibiotic resistance
Acinetobacter baumannii
antibodies
outer membrane vesicles
outer membrane proteins
title Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumannii
title_full Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumannii
title_fullStr Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumannii
title_full_unstemmed Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumannii
title_short Anti-outer Membrane Vesicle Antibodies Increase Antibiotic Sensitivity of Pan-Drug-Resistant Acinetobacter baumannii
title_sort anti outer membrane vesicle antibodies increase antibiotic sensitivity of pan drug resistant acinetobacter baumannii
topic antibiotic resistance
Acinetobacter baumannii
antibodies
outer membrane vesicles
outer membrane proteins
url https://www.frontiersin.org/article/10.3389/fmicb.2019.01379/full
work_keys_str_mv AT weiweihuang antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT qishuzhang antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT weiranli antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT yongjunchen antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT congyanshu antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT qingrongli antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT jingxianzhou antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT chaoye antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT hongmeibai antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT wenjiasun antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT xuyang antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii
AT yanbingma antioutermembranevesicleantibodiesincreaseantibioticsensitivityofpandrugresistantacinetobacterbaumannii