Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic Bacteria

Chronic and recurrent bacterial infections are frequently associated with the formation of biofilms on biotic or abiotic materials that are composed of mono- or multi-species cultures of bacteria/fungi embedded in an extracellular matrix produced by the microorganisms. Biofilm formation is, among ot...

Full description

Bibliographic Details
Main Authors: Ronit Vogt Sionov, Doron Steinberg
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/10/6/1239
_version_ 1827658246421217280
author Ronit Vogt Sionov
Doron Steinberg
author_facet Ronit Vogt Sionov
Doron Steinberg
author_sort Ronit Vogt Sionov
collection DOAJ
description Chronic and recurrent bacterial infections are frequently associated with the formation of biofilms on biotic or abiotic materials that are composed of mono- or multi-species cultures of bacteria/fungi embedded in an extracellular matrix produced by the microorganisms. Biofilm formation is, among others, regulated by quorum sensing (QS) which is an interbacterial communication system usually composed of two-component systems (TCSs) of secreted autoinducer compounds that activate signal transduction pathways through interaction with their respective receptors. Embedded in the biofilms, the bacteria are protected from environmental stress stimuli, and they often show reduced responses to antibiotics, making it difficult to eradicate the bacterial infection. Besides reduced penetration of antibiotics through the intricate structure of the biofilms, the sessile biofilm-embedded bacteria show reduced metabolic activity making them intrinsically less sensitive to antibiotics. Moreover, they frequently express elevated levels of efflux pumps that extrude antibiotics, thereby reducing their intracellular levels. Some efflux pumps are involved in the secretion of QS compounds and biofilm-related materials, besides being important for removing toxic substances from the bacteria. Some efflux pump inhibitors (EPIs) have been shown to both prevent biofilm formation and sensitize the bacteria to antibiotics, suggesting a relationship between these processes. Additionally, QS inhibitors or quenchers may affect antibiotic susceptibility. Thus, targeting elements that regulate QS and biofilm formation might be a promising approach to combat antibiotic-resistant biofilm-related bacterial infections.
first_indexed 2024-03-09T22:59:02Z
format Article
id doaj.art-6c18fc6abf474496a583c7eb7827124f
institution Directory Open Access Journal
issn 2076-2607
language English
last_indexed 2024-03-09T22:59:02Z
publishDate 2022-06-01
publisher MDPI AG
record_format Article
series Microorganisms
spelling doaj.art-6c18fc6abf474496a583c7eb7827124f2023-11-23T18:05:21ZengMDPI AGMicroorganisms2076-26072022-06-01106123910.3390/microorganisms10061239Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic BacteriaRonit Vogt Sionov0Doron Steinberg1The Biofilm Research Laboratory, The Institute of Biomedical and Oral Research, The Faculty of Dental Medicine, Hadassah Medical School, The Hebrew University, Jerusalem 9112102, IsraelThe Biofilm Research Laboratory, The Institute of Biomedical and Oral Research, The Faculty of Dental Medicine, Hadassah Medical School, The Hebrew University, Jerusalem 9112102, IsraelChronic and recurrent bacterial infections are frequently associated with the formation of biofilms on biotic or abiotic materials that are composed of mono- or multi-species cultures of bacteria/fungi embedded in an extracellular matrix produced by the microorganisms. Biofilm formation is, among others, regulated by quorum sensing (QS) which is an interbacterial communication system usually composed of two-component systems (TCSs) of secreted autoinducer compounds that activate signal transduction pathways through interaction with their respective receptors. Embedded in the biofilms, the bacteria are protected from environmental stress stimuli, and they often show reduced responses to antibiotics, making it difficult to eradicate the bacterial infection. Besides reduced penetration of antibiotics through the intricate structure of the biofilms, the sessile biofilm-embedded bacteria show reduced metabolic activity making them intrinsically less sensitive to antibiotics. Moreover, they frequently express elevated levels of efflux pumps that extrude antibiotics, thereby reducing their intracellular levels. Some efflux pumps are involved in the secretion of QS compounds and biofilm-related materials, besides being important for removing toxic substances from the bacteria. Some efflux pump inhibitors (EPIs) have been shown to both prevent biofilm formation and sensitize the bacteria to antibiotics, suggesting a relationship between these processes. Additionally, QS inhibitors or quenchers may affect antibiotic susceptibility. Thus, targeting elements that regulate QS and biofilm formation might be a promising approach to combat antibiotic-resistant biofilm-related bacterial infections.https://www.mdpi.com/2076-2607/10/6/1239antibiotic resistanceantibiotic sensitizationbiofilmbiofilm inhibitorsefflux pump inhibitorsESKAPE bacteria
spellingShingle Ronit Vogt Sionov
Doron Steinberg
Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic Bacteria
Microorganisms
antibiotic resistance
antibiotic sensitization
biofilm
biofilm inhibitors
efflux pump inhibitors
ESKAPE bacteria
title Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic Bacteria
title_full Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic Bacteria
title_fullStr Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic Bacteria
title_full_unstemmed Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic Bacteria
title_short Targeting the Holy Triangle of Quorum Sensing, Biofilm Formation, and Antibiotic Resistance in Pathogenic Bacteria
title_sort targeting the holy triangle of quorum sensing biofilm formation and antibiotic resistance in pathogenic bacteria
topic antibiotic resistance
antibiotic sensitization
biofilm
biofilm inhibitors
efflux pump inhibitors
ESKAPE bacteria
url https://www.mdpi.com/2076-2607/10/6/1239
work_keys_str_mv AT ronitvogtsionov targetingtheholytriangleofquorumsensingbiofilmformationandantibioticresistanceinpathogenicbacteria
AT doronsteinberg targetingtheholytriangleofquorumsensingbiofilmformationandantibioticresistanceinpathogenicbacteria