Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm Model

The recurrence of <i>Pseudomonas aeruginosa</i> (PA) biofilm infections is a major issue in cystic fibrosis (CF) patients. A pivotal role is played by the presence of antibiotic-unresponsive persisters and/or viable but non-culturable (VBNC) forms, whose development might be favored by s...

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Main Authors: Gianmarco Mangiaterra, Nicholas Cedraro, Salvatore Vaiasicca, Barbara Citterio, Roberta Galeazzi, Emiliano Laudadio, Giovanna Mobbili, Cristina Minnelli, Davide Bizzaro, Francesca Biavasco
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/9/7/399
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author Gianmarco Mangiaterra
Nicholas Cedraro
Salvatore Vaiasicca
Barbara Citterio
Roberta Galeazzi
Emiliano Laudadio
Giovanna Mobbili
Cristina Minnelli
Davide Bizzaro
Francesca Biavasco
author_facet Gianmarco Mangiaterra
Nicholas Cedraro
Salvatore Vaiasicca
Barbara Citterio
Roberta Galeazzi
Emiliano Laudadio
Giovanna Mobbili
Cristina Minnelli
Davide Bizzaro
Francesca Biavasco
author_sort Gianmarco Mangiaterra
collection DOAJ
description The recurrence of <i>Pseudomonas aeruginosa</i> (PA) biofilm infections is a major issue in cystic fibrosis (CF) patients. A pivotal role is played by the presence of antibiotic-unresponsive persisters and/or viable but non-culturable (VBNC) forms, whose development might be favored by subinhibitory antibiotic concentrations. The involvement of tobramycin and ciprofloxacin, widely used to treat CF PA lung infections, in the abundance of VBNC cells was investigated in PA biofilms models. In vitro biofilms of the laboratory strain PAO1-N and the clinical strain C24 were developed and starved by subculture for 170 days in a non-nutrient (NN) broth, unsupplemented or supplemented with one-quarter minimal inhibitory concentration (MIC) of tobramycin or ciprofloxacin. VBNC cells abundance, estimated as the difference between total live (detected by qPCR and flow cytometry) and colony forming unit (CFU) counts, showed a strain- and drug-specific pattern. A greater and earlier abundance of VBNC PAO1-N cells was detected in all conditions. Exposure of the C24 strain to NN and NN + ciprofloxacin induced only a transient VBNC subpopulation, which was more abundant and stable until the end of the experiment in tobramycin-exposed biofilms. The same response to tobramycin was observed in the PAO1-N strain. These findings suggest that low tobramycin concentrations might contribute to PA infection recurrence by favoring the development of VBNC forms.
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spelling doaj.art-aa3789c57af3460f8f2c6471057f42f02023-11-20T06:26:37ZengMDPI AGAntibiotics2079-63822020-07-019739910.3390/antibiotics9070399Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm ModelGianmarco Mangiaterra0Nicholas Cedraro1Salvatore Vaiasicca2Barbara Citterio3Roberta Galeazzi4Emiliano Laudadio5Giovanna Mobbili6Cristina Minnelli7Davide Bizzaro8Francesca Biavasco9Department of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Biomolecular Science, Biotechnology Section, University of Urbino “Carlo Bo”, via Arco d’Augusto 2, 61032 Fano, ItalyDepartment of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Materials, Environmental Sciences and Urban Planning, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyDepartment of Life and Environmental Sciences, Polytechnic University of Marche, via Brecce Bianche, 60131 Ancona, ItalyThe recurrence of <i>Pseudomonas aeruginosa</i> (PA) biofilm infections is a major issue in cystic fibrosis (CF) patients. A pivotal role is played by the presence of antibiotic-unresponsive persisters and/or viable but non-culturable (VBNC) forms, whose development might be favored by subinhibitory antibiotic concentrations. The involvement of tobramycin and ciprofloxacin, widely used to treat CF PA lung infections, in the abundance of VBNC cells was investigated in PA biofilms models. In vitro biofilms of the laboratory strain PAO1-N and the clinical strain C24 were developed and starved by subculture for 170 days in a non-nutrient (NN) broth, unsupplemented or supplemented with one-quarter minimal inhibitory concentration (MIC) of tobramycin or ciprofloxacin. VBNC cells abundance, estimated as the difference between total live (detected by qPCR and flow cytometry) and colony forming unit (CFU) counts, showed a strain- and drug-specific pattern. A greater and earlier abundance of VBNC PAO1-N cells was detected in all conditions. Exposure of the C24 strain to NN and NN + ciprofloxacin induced only a transient VBNC subpopulation, which was more abundant and stable until the end of the experiment in tobramycin-exposed biofilms. The same response to tobramycin was observed in the PAO1-N strain. These findings suggest that low tobramycin concentrations might contribute to PA infection recurrence by favoring the development of VBNC forms.https://www.mdpi.com/2079-6382/9/7/399cystic fibrosis<i>Pseudomonas aeruginosa</i> biofilmsviable but non-culturable formstobramycinrecurrent infections
spellingShingle Gianmarco Mangiaterra
Nicholas Cedraro
Salvatore Vaiasicca
Barbara Citterio
Roberta Galeazzi
Emiliano Laudadio
Giovanna Mobbili
Cristina Minnelli
Davide Bizzaro
Francesca Biavasco
Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm Model
Antibiotics
cystic fibrosis
<i>Pseudomonas aeruginosa</i> biofilms
viable but non-culturable forms
tobramycin
recurrent infections
title Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm Model
title_full Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm Model
title_fullStr Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm Model
title_full_unstemmed Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm Model
title_short Role of Tobramycin in the Induction and Maintenance of Viable but Non-Culturable <i>Pseudomonas aeruginosa</i> in an In Vitro Biofilm Model
title_sort role of tobramycin in the induction and maintenance of viable but non culturable i pseudomonas aeruginosa i in an in vitro biofilm model
topic cystic fibrosis
<i>Pseudomonas aeruginosa</i> biofilms
viable but non-culturable forms
tobramycin
recurrent infections
url https://www.mdpi.com/2079-6382/9/7/399
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