In vitro and in vivo activity of EDTA and antibacterial agents against the biofilm of mucoid Pseudomonas aeruginosa.

Purpose: Refractory infection caused by bacterial biofilm is an important clinical problem. Pseudomonas aeruginosa is a common pathogen responsible for persistent and chronic biofilm infections. We aimed to explore the in vitro and in vivo activity of ethylenediamine tetraacetic acid (EDTA) in combi...

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Published in:Infection Vol. 45; no. 1; pp. 23 - 32
Main Authors: Liu, Zhenqiu, Lin, Yaying, Lu, Qi, Li, Fang, Yu, Jialin, Wang, Zhengli, He, Yu, Song, Chao
Format: pictorial research tables/charts Journal Article
Published: Springer Nature Feb2017
Online Access:View this record in EBSCOhost
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      dt: Feb2017
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s15010-016-0905-z
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        atl: In vitro and in vivo activity of EDTA and antibacterial agents against the biofilm of mucoid Pseudomonas aeruginosa.
      aug:
        au:
          Liu, Zhenqiu
          Lin, Yaying
          Lu, Qi
          Li, Fang
          Yu, Jialin
          Wang, Zhengli
          He, Yu
          Song, Chao
        affil: Department of Neonatology , Maternal and Child Health Hospital of Xiamen City , Xiamen China
      sug:
        subj:
          Biofilms
          Bacterial Infections Prevention and Control
          Pseudomonas Infections Therapy
          Descriptive Statistics
          Ampicillin Pharmacodynamics
          Ciprofloxacin Pharmacodynamics
          Gentamicins
          Guinea Pigs
          Microbial Culture and Sensitivity Tests
          Stem Cells
          In Vitro Studies
          In Vivo Studies
          Edetic Acid
          Pseudomonas Infections Physiopathology
          Recurrence
          Data Analysis Software
          Animal Studies
          Lung Diseases
          Analysis of Variance
      ab: Purpose: Refractory infection caused by bacterial biofilm is an important clinical problem. Pseudomonas aeruginosa is a common pathogen responsible for persistent and chronic biofilm infections. We aimed to explore the in vitro and in vivo activity of ethylenediamine tetraacetic acid (EDTA) in combination with antibacterial agents against mucoid P. aeruginosa biofilm. Methods: The minimal inhibitory concentration (MIC) and minimal bactericidal concentration of ciprofloxacin, gentamicin, and ampicillin alone or with EDTA against P. aeruginosa were determined in vitro. Extracellular polysaccharides (EPS) and structural parameters of the biofilm were monitored. P. aeruginosa was aerosolized and delivered into the lungs of guinea pigs, which were treated with ciprofloxacin with or without EDTA. The colony-forming units (CFUs) of P. aeruginosa were determined from the lungs. Results: EDTA reduced the MIC of ciprofloxacin and ampicillin by about 30-fold and that of gentamicin by twofold. EDTA reduced the biofilm EPS and the proportion of viable bacteria. The thickness, average diffusion distance, and textural entropy of EDTA-treated biofilm were significantly decreased. EDTA plus antibiotics reduced the colony counting from 10 to 10 CFU/mL. In vivo, EDTA plus ciprofloxacin had a significantly lower mean CFU/g of lung tissue (EDTA + ciprofloxacin 1.3 ± 0.19; EDTA 4.4 ± 0.57; ciprofloxacin 4.2 ± 0.47), and lung lesions were less severe compared with the single treatment groups. Conclusions: EDTA can destroy the biofilm structures of mucoid P. aeruginosa in vitro. Moreover, EDTA and ciprofloxacin had a significant bactericidal effect against biofilm in vivo.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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