dispersin B

分散液 B
  • 文章类型: Journal Article
    人工关节感染(PJI)是关节置换术的常见并发症。细菌生物膜的快速形成使它们的治疗变得复杂,限制抗生素治疗的有效性。在这项研究中,我们探索了由内切-1,4-β-d-葡聚糖酶组成的三酶混合物(TEC)的作用,β-1,6-己糖胺酶,和RNA/DNA非特异性核酸内切酶与不同类别的抗生素联合对抗金黄色葡萄球菌的生物膜,表皮葡萄球菌,和在Ti-6Al-4V底物上生长的大肠杆菌。将生物膜在含有10g/升葡萄糖和20g/升NaCl(TGN)的胰蛋白酶大豆肉汤(TSB)中生长。将成熟的生物膜分配到对照组或用TEC处理30分钟,然后分析或用抗生素在TGN或TGN中重新孵育24小时。测定TEC对MG-63成骨细胞的细胞毒性,原代鼠成纤维细胞,和J-774巨噬细胞使用乳酸脱氢酶(LDH)释放试验。30分钟后,TEC分散了80.3%至95.2%的生物膜生物量。与在三个测试物种中单独用抗生素处理的生物膜相比,用抗生素重新孵育处理的生物膜导致总可培养细菌计数(CFU)的协同减少(从2到超过3log10CFU的额外减少)。孵育24小时后,未观察到TEC对测试细胞系的毒性。用TEC预处理,然后用抗生素孵育24小时的组合对金黄色葡萄球菌的生物膜具有协同作用,表皮葡萄球菌,进一步的研究应该评估TEC在PJI体内模型中作为辅助治疗的潜力。
    Prosthetic joint infections (PJI) are frequent complications of arthroplasties. Their treatment is made complex by the rapid formation of bacterial biofilms, limiting the effectiveness of antibiotic therapy. In this study, we explore the effect of a tri-enzymatic cocktail (TEC) consisting of an endo-1,4-β-d-glucanase, a β-1,6-hexosaminidase, and an RNA/DNA nonspecific endonuclease combined with antibiotics of different classes against biofilms of Staphylococcus aureus, Staphylococcus epidermidis, and Escherichia coli grown on Ti-6Al-4V substrates. Biofilms were grown in Trypticase soy broth (TSB) with 10 g/liter glucose and 20 g/liter NaCl (TGN). Mature biofilms were assigned to a control group or treated with the TEC for 30 min and then either analyzed or reincubated for 24 h in TGN or TGN with antibiotics. The cytotoxicity of the TEC was assayed against MG-63 osteoblasts, primary murine fibroblasts, and J-774 macrophages using the lactate dehydrogenase (LDH) release test. The TEC dispersed 80.3 to 95.2% of the biofilms\' biomass after 30 min. The reincubation of the treated biofilms with antibiotics resulted in a synergistic reduction of the total culturable bacterial count (CFU) compared to that of biofilms treated with antibiotics alone in the three tested species (additional reduction from 2 to more than 3 log10 CFU). No toxicity of the TEC was observed against the tested cell lines after 24 h of incubation. The combination of pretreatment with TEC followed by 24 h of incubation with antibiotics had a synergistic effect against biofilms of S. aureus, S. epidermidis, and E. coli Further studies should assess the potential of the TEC as an adjuvant therapy in in vivo models of PJI.
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