A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-time

Abstract Understanding the response of bacteria to environmental stress is hampered by the relative insensitivity of methods to detect growth. This means studies of antibiotic resistance and other physiological methods often take 24 h or longer. We developed and tested a scattered light and detectio...

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Main Authors: Robert J. H. Hammond, Kerry Falconer, Thomas Powell, Ruth Bowness, Stephen H. Gillespie
Format: Article
Language:English
Published: Nature Portfolio 2022-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-22671-6
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author Robert J. H. Hammond
Kerry Falconer
Thomas Powell
Ruth Bowness
Stephen H. Gillespie
author_facet Robert J. H. Hammond
Kerry Falconer
Thomas Powell
Ruth Bowness
Stephen H. Gillespie
author_sort Robert J. H. Hammond
collection DOAJ
description Abstract Understanding the response of bacteria to environmental stress is hampered by the relative insensitivity of methods to detect growth. This means studies of antibiotic resistance and other physiological methods often take 24 h or longer. We developed and tested a scattered light and detection system (SLIC) to address this challenge, establishing the limit of detection, and time to positive detection of the growth of small inocula. We compared the light-scattering of bacteria grown in varying high and low nutrient liquid medium and the growth dynamics of two closely related organisms. Scattering data was modelled using Gompertz and Broken Stick equations. Bacteria were also exposed meropenem, gentamicin and cefoxitin at a range of concentrations and light scattering of the liquid culture was captured in real-time. We established the limit of detection for SLIC to be between 10 and 100 cfu mL−1 in a volume of 1–2 mL. Quantitative measurement of the different nutrient effects on bacteria were obtained in less than four hours and it was possible to distinguish differences in the growth dynamics of Klebsiella pneumoniae 1705 possessing the Bla KPC betalactamase vs. strain 1706 very rapidly. There was a dose dependent difference in the speed of action of each antibiotic tested at supra-MIC concentrations. The lethal effect of gentamicin and lytic effect of meropenem, and slow bactericidal effect of cefoxitin were demonstrated in real time. Significantly, strains that were sensitive to antibiotics could be identified in seconds. This research demonstrates the critical importance of improving the sensitivity of bacterial detection. This results in more rapid assessment of susceptibility and the ability to capture a wealth of data on the growth dynamics of bacteria. The rapid rate at which killing occurs at supra-MIC concentrations, an important finding that needs to be incorporated into pharmacokinetic and pharmacodynamic models. Importantly, enhanced sensitivity of bacterial detection opens the possibility of susceptibility results being reportable clinically in a few minutes, as we have demonstrated.
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spelling doaj.art-b3e5b4046e22490297f442b4ec5c9c1d2022-12-22T03:36:52ZengNature PortfolioScientific Reports2045-23222022-11-0112111110.1038/s41598-022-22671-6A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-timeRobert J. H. Hammond0Kerry Falconer1Thomas Powell2Ruth Bowness3Stephen H. Gillespie4Division of Infection and Global Health, School of Medicine, University of St AndrewsDivision of Infection and Global Health, School of Medicine, University of St AndrewsDivision of Infection and Global Health, School of Medicine, University of St AndrewsDepartment of Mathematical Sciences, Centre for Mathematical Biology, University of BathDivision of Infection and Global Health, School of Medicine, University of St AndrewsAbstract Understanding the response of bacteria to environmental stress is hampered by the relative insensitivity of methods to detect growth. This means studies of antibiotic resistance and other physiological methods often take 24 h or longer. We developed and tested a scattered light and detection system (SLIC) to address this challenge, establishing the limit of detection, and time to positive detection of the growth of small inocula. We compared the light-scattering of bacteria grown in varying high and low nutrient liquid medium and the growth dynamics of two closely related organisms. Scattering data was modelled using Gompertz and Broken Stick equations. Bacteria were also exposed meropenem, gentamicin and cefoxitin at a range of concentrations and light scattering of the liquid culture was captured in real-time. We established the limit of detection for SLIC to be between 10 and 100 cfu mL−1 in a volume of 1–2 mL. Quantitative measurement of the different nutrient effects on bacteria were obtained in less than four hours and it was possible to distinguish differences in the growth dynamics of Klebsiella pneumoniae 1705 possessing the Bla KPC betalactamase vs. strain 1706 very rapidly. There was a dose dependent difference in the speed of action of each antibiotic tested at supra-MIC concentrations. The lethal effect of gentamicin and lytic effect of meropenem, and slow bactericidal effect of cefoxitin were demonstrated in real time. Significantly, strains that were sensitive to antibiotics could be identified in seconds. This research demonstrates the critical importance of improving the sensitivity of bacterial detection. This results in more rapid assessment of susceptibility and the ability to capture a wealth of data on the growth dynamics of bacteria. The rapid rate at which killing occurs at supra-MIC concentrations, an important finding that needs to be incorporated into pharmacokinetic and pharmacodynamic models. Importantly, enhanced sensitivity of bacterial detection opens the possibility of susceptibility results being reportable clinically in a few minutes, as we have demonstrated.https://doi.org/10.1038/s41598-022-22671-6
spellingShingle Robert J. H. Hammond
Kerry Falconer
Thomas Powell
Ruth Bowness
Stephen H. Gillespie
A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-time
Scientific Reports
title A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-time
title_full A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-time
title_fullStr A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-time
title_full_unstemmed A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-time
title_short A simple label-free method reveals bacterial growth dynamics and antibiotic action in real-time
title_sort simple label free method reveals bacterial growth dynamics and antibiotic action in real time
url https://doi.org/10.1038/s41598-022-22671-6
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