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...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-07-01
|
Series: | Antibiotics |
Subjects: | |
Online Access: | https://www.mdpi.com/2079-6382/9/7/399 |
_version_ | 1797562765164937216 |
---|---|
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. |
first_indexed | 2024-03-10T18:33:45Z |
format | Article |
id | doaj.art-aa3789c57af3460f8f2c6471057f42f0 |
institution | Directory Open Access Journal |
issn | 2079-6382 |
language | English |
last_indexed | 2024-03-10T18:33:45Z |
publishDate | 2020-07-01 |
publisher | MDPI AG |
record_format | Article |
series | Antibiotics |
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 |
work_keys_str_mv | AT gianmarcomangiaterra roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT nicholascedraro roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT salvatorevaiasicca roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT barbaracitterio roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT robertagaleazzi roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT emilianolaudadio roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT giovannamobbili roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT cristinaminnelli roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT davidebizzaro roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel AT francescabiavasco roleoftobramycinintheinductionandmaintenanceofviablebutnonculturableipseudomonasaeruginosaiinaninvitrobiofilmmodel |