A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.

Asymptomatic carriage of Salmonella Typhi continues to facilitate the transmission of typhoid fever, resulting in 14 million new infections and 136,000 fatalities each year. Asymptomatic chronic carriage of S. Typhi is facilitated by the formation of biofilms on gallstones that protect the bacteria...

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Main Authors: Jenna L Sandala, Bradley W Eichar, Laura G Kuo, Mark M Hahn, Akash K Basak, William M Huggins, Katherine Woolard, Christian Melander, John S Gunn
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-12-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1009192
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author Jenna L Sandala
Bradley W Eichar
Laura G Kuo
Mark M Hahn
Akash K Basak
William M Huggins
Katherine Woolard
Christian Melander
John S Gunn
author_facet Jenna L Sandala
Bradley W Eichar
Laura G Kuo
Mark M Hahn
Akash K Basak
William M Huggins
Katherine Woolard
Christian Melander
John S Gunn
author_sort Jenna L Sandala
collection DOAJ
description Asymptomatic carriage of Salmonella Typhi continues to facilitate the transmission of typhoid fever, resulting in 14 million new infections and 136,000 fatalities each year. Asymptomatic chronic carriage of S. Typhi is facilitated by the formation of biofilms on gallstones that protect the bacteria from environmental insults and immune system clearance. Here, we identified two unique small molecules capable of both inhibiting Salmonella biofilm growth and disrupting pre-formed biofilm structures without affecting bacterial viability. In a mouse model of chronic gallbladder Salmonella carriage, treatment with either compound reduced bacterial burden in the gallbladder by 1-2 logs resulting in bacterial dissemination to peripheral organs that was associated with increased mortality. Co-administration of either compound with ciprofloxacin not only enhanced compound efficacy in the gallbladder by a further 1-1.5 logs for a total of 3-4.5 log reduction, but also prevented bacterial dissemination to peripheral organs. These data suggest a dual-therapy approach targeting both biofilm and planktonic populations can be further developed as a safe and efficient treatment of biofilm-mediated chronic S. Typhi infections.
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spelling doaj.art-6987b1dfdd31401380798923c2b8d8632022-12-21T19:18:13ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742020-12-011612e100919210.1371/journal.ppat.1009192A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.Jenna L SandalaBradley W EicharLaura G KuoMark M HahnAkash K BasakWilliam M HugginsKatherine WoolardChristian MelanderJohn S GunnAsymptomatic carriage of Salmonella Typhi continues to facilitate the transmission of typhoid fever, resulting in 14 million new infections and 136,000 fatalities each year. Asymptomatic chronic carriage of S. Typhi is facilitated by the formation of biofilms on gallstones that protect the bacteria from environmental insults and immune system clearance. Here, we identified two unique small molecules capable of both inhibiting Salmonella biofilm growth and disrupting pre-formed biofilm structures without affecting bacterial viability. In a mouse model of chronic gallbladder Salmonella carriage, treatment with either compound reduced bacterial burden in the gallbladder by 1-2 logs resulting in bacterial dissemination to peripheral organs that was associated with increased mortality. Co-administration of either compound with ciprofloxacin not only enhanced compound efficacy in the gallbladder by a further 1-1.5 logs for a total of 3-4.5 log reduction, but also prevented bacterial dissemination to peripheral organs. These data suggest a dual-therapy approach targeting both biofilm and planktonic populations can be further developed as a safe and efficient treatment of biofilm-mediated chronic S. Typhi infections.https://doi.org/10.1371/journal.ppat.1009192
spellingShingle Jenna L Sandala
Bradley W Eichar
Laura G Kuo
Mark M Hahn
Akash K Basak
William M Huggins
Katherine Woolard
Christian Melander
John S Gunn
A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.
PLoS Pathogens
title A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.
title_full A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.
title_fullStr A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.
title_full_unstemmed A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.
title_short A dual-therapy approach for the treatment of biofilm-mediated Salmonella gallbladder carriage.
title_sort dual therapy approach for the treatment of biofilm mediated salmonella gallbladder carriage
url https://doi.org/10.1371/journal.ppat.1009192
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