Abstract
Non-thermal plasma (NTP), generated at atmospheric pressure by DC cometary discharge with a metallic grid, and antibiotics (gentamicin—GTM, ceftazidime—CFZ and polymyxin B—PMB), either alone or in combination, were used to eradicate the mature biofilm of Pseudomonas aeruginosa formed on Ti-6Al-4V alloy. Our aim was to find the conditions for NTP pre-treatment capable of enhancing the action of the antibiotics and thus reducing their effective concentrations. The NTP treatment increased the efficacy of relatively low concentrations of antibiotics. Generally, the highest effect was achieved with GTM, which was able to suppress the metabolic activity of pre-formed P. aeruginosa biofilms in the concentration range of 4–9 mg/L by up to 99%. In addition, an apparent decrease of biofilm-covered area was confirmed after combined NTP treatment and GTM action by SYTO®13 staining using fluorescence microscopy. Scanning electron microscopy confirmed a complete eradication of P. aeruginosa ATCC 15442 mature biofilm from Ti-6Al-4V alloy when using 0.25 h NTP treatment and subsequent treatment by 8.5 mg/L GTM. Therefore, NTP may be used as a suitable antibiofilm agent in combination with antibiotics for the treatment of biofilm-associated infections caused by this pathogen.
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Abramzon N, Joaquin JC, Bray J, Brelles-Marińo G (2006) Biofilm destruction by RF high-pressure cold plasma jet. IEEE Trans Plasma Sci 34:1304–1309
Alkawareek MY, Algwari QT, Laverty G et al (2012) Eradication of Pseudomonas aeruginosa biofilms by atmospheric pressure non-thermal plasma. PLoS ONE 7:e44289
Alkawareek MY, Gorman SP, Graham WG et al (2014) Potential cellular targets and antibacterial efficacy of atmospheric pressure non-thermal plasma. Int J Antimicrob Agents 43:154–160
Boles BR, Thoendel M, Singh PK (2005) Rhamnolipids mediate detachment of Pseudomonas aeruginosa from biofilms. Mol Microbiol 57:1210–1223
Campoccia D, Montanaro L, Arciola CR (2006) The significance of infection related to orthopedic devices and issues of antibiotic resistance. Biomaterials 27:2331–2339
Choudhary S, Schmidt-Dannert C (2010) Applications of quorum sensing in biotechnology. Appl Microbiol Biotechnol 86:1267–1279
Ciofu O, Tolker-Nielsen T (2019) Tolerance and resistance of Pseudomonas aeruginosa biofilms to antimicrobial agents—how P. aeruginosa can escape antibiotics. Front Microbiol 10:913
Cole SJ, Records AR, Orr MW et al (2014) Catheter-associated urinary tract infection by Pseudomonas aeruginosa is mediated by exopolysaccharide-independent biofilms. Infect Immun 82:2048–2058
Conrads H, Schmidt M (2000) Plasma generation and plasma sources. Plasma Sources Sci Technol 9:441
Davey ME, O´toole GA (2000) Microbial biofilms: from ecology to molecular genetics. Microbiol Mol Biol Rev 64:847–867
Davey ME, Caiazza NC, O'Toole GA (2003) Rhamnolipid surfactant production affects biofilm architecture in Pseudomonas aeruginosa PAO1. J Bacteriol 185:1027–1036
Davies DG, Parsek MR, Pearson JP et al (1998) The involvement of cell-to-cell signals in the development of a bacterial biofilm. Science 280:295–298
Du S, Kuo H, Cheng C et al (2010) Molecular mechanisms of ceftazidime resistance in Pseudomonas aeruginosa isolates from canine and human infections. Vet Med 55:172–182
Du T et al (2013) Effect of modified nonequilibrium plasma with chlorhexidine digluconate against endodontic biofilms in vitro. J Endod 39:1438–1443
Dufour D, Leung V, Lévesque CM (2010) Bacterial biofilm: structure, function, and antimicrobial resistance. Endod Topics 22:2–16
Flynn PB, Busetti A, Wielogorska E et al (2016) Non-thermal plasma exposure rapidly attenuates bacterial AHL-dependent quorum sensing and virulence. Sci Rep 6:26320
Geetha M, Singh AK, Asokamani R et al (2009) Ti based biomaterials, the ultimate choice for orthopaedic implants—a review. Prog Mater Sci 54:397–425
Gilbert KB, Kim TH, Gupta R et al (2009) Global position analysis of the Pseudomonas aeruginosa quorum-sensing transcription factor LasR. Mol Microbiol 73:1072–1085
Guo L et al (2018) Gas plasma pre-treatment increases antibiotic sensitivity and persister eradication in methicillin-resistant Staphylococcus aureus. Front Microbiol 9:537
Gupta TT, Karki SB, Matson JS et al (2017) Sterilization of biofilm on a titanium surface using a combination of nonthermal plasma and chlorhexidine digluconate. Biomed Res Int 2017:1–11
Hermsen ED, Sullivan CJ, Rotschafer JC (2003) Polymyxins: pharmacology, pharmacokinetics, pharmacodynamics, and clinical applications. Infect Dis Clin N Am 17:545–562
Jimenez PN, Koch G, Thompson JA et al (2012) The multiple signaling systems regulating virulence in Pseudomonas aeruginosa. Microbiol Mol Biol Rev 76:46–65
Julák J, Scholtz V, Vaňková E (2018) Medically important biofilms and non-thermal plasma. World J Microbiol Biotechnol 34:178
Julák J., Vaňková E., Válková M et al (2020) Combination of non-thermal plasma and subsequent antibiotic treatment for biofilm re-development prevention. Folia Microbiol.
Khun J, Scholtz V, Hozák P et al (2018) Various DC-driven point-to-plain discharges as non-thermal plasma sources and their bactericidal effects. Plasma Sources Sci Technol 27:065002
Klebes M, Ulrich C, Kluschke F et al (2015) Combined antibacterial effects of tissue-tolerable plasma and a modern conventional liquid antiseptic on chronic wound treatment. J Biophotonics 8:382–391
Koban I, Geisel MH, Holtfreter B et al (2013) Synergistic effects of nonthermal plasma and disinfecting agents against dental biofilms in vitro. ISRN Dent 2013:1–10
Kvam E, Davis B, Mondello F et al (2012) Nonthermal atmospheric plasma rapidly disinfects multidrug-resistant microbes by inducing cell surface damage. Antimicrob Agents Chemother 56:2028–2036
Matthes R, Koban I, Bender C et al (2013) Antimicrobial efficacy of an atmospheric pressure plasma jet against biofilms of Pseudomonas aeruginosa and Staphylococcus epidermidis. Plasma Processes Polym 10:161–166
Mulani MS, Kamble EE, Kumkar SN et al (2019) Emerging strategies to combat ESKAPE pathogens in the era of antimicrobial resistance: a review. Front Microbiol 10:539
Mulcahy LR, Isabella VM, Lewis K (2014) Pseudomonas aeruginosa biofilms in disease. Microb Ecol 68:1–12
Paldrychová M, Vaňková E, Scholtz V et al (2019) Effect of non-thermal plasma on AHL-dependent QS systems and biofilm formation in Pseudomonas aeruginosa: difference between non-hospital and clinical isolates. AIP Adv 9:055117
Pandey R, Berendt A, Athanasou N et al (2000) Histological and microbiological findings in non-infected and infected revision arthroplasty tissues. Arch Orth Traum Surg 120:570–574
Peeters E, Nelis HJ, Coenye T (2008) Comparison of multiple methods for quantification of microbial biofilms grown in microtiter plates. J Microbiol Methods 72:157–165
Ren H, Liu Y, Zhou J, Long Y, Liu C, Xia B, Shi J, Fan Z, Liang Y, Chen S, Xu J, Wang P, Zhang Y, Zhu G, Liu H, Jin Y, Bai F, Cheng Z, Jin S, Wu W (2019) Combination of azithromycin and gentamicin for efficient treatment of Pseudomonas aeruginosa infections. J Infect Dis 220:1667–1678
Richards DM, Brogden R (1985) Ceftazidime. Drugs 29:105–161
Scholtz V, Kvasničková E, Julák J (2013) Microbial inactivation by electric discharge with metallic grid. Acta Phys Pol A 124:62–65
Sendi P, Banderet F, Graber P et al (2011) Clinical comparison between exogenous and haematogenous periprosthetic joint infections caused by Staphylococcus aureus. Clin Microbiol Infect 17:1098–1100
Soler-Arango J, Figoli C, Muraca G et al (2019) The Pseudomonas aeruginosa biofilm matrix and cells are drastically impacted by gas discharge plasma treatment: a comprehensive model explaining plasma-mediated biofilm eradication. PLoS ONE 14:1–27
Sun Y, Yu S, Sun P et al (2012) Inactivation of Candida biofilms by non-thermal plasma and its enhancement for fungistatic effect of antifungal drugs. PLoS ONE 7:e40629
Trautner BW, Darouiche RO (2004) Role of biofilm in catheter-associated urinary tract infection. Am J Infect Control 32:177–183
Triandafillu K, Balazs DJ, Aronsson BO et al (2003) Adhesion of Pseudomonas aeruginosa strains to untreated and oxygen-plasma treated poly (vinyl chloride)(PVC) from endotracheal intubation devices. Biomaterials 24:1507–1518
Ullal AJ, Pisetsky DS, Reich CF III (2010) Use of SYTO 13, a fluorescent dye binding nucleic acids, for the detection of microparticles in vitro systems. Cytometry Part A 77:294–301
van Delden C (2004) Virulence factors in Pseudomonas aeruginosa virulence and gene regulation. Springer, Boston, pp 3–45
Vaňková E, Válková M, Kašparová P et al (2018) Prevention of biofilm re-development on Ti-6Al-4V alloy by cometary discharge with a metallic grid. Contrib Plasm Phys 59:166–172
Vaňková E, Kašparová P, Dulíčková N et al (2020) Combined effect of lasioglossin LL-III derivative with azoles against Candida albicans virulence factors: biofilm formation, phospholipases, proteases and hemolytic activity. FEMS Yeast Res 20:foaa020
Volejníková A, Melicherčík P, Nešuta O et al (2019) Antimicrobial peptides prevent bacterial biofilm formation on the surface of polymethylmethacrylate bone cement. J Med Microbiol 68:961–972
Zavascki AP, Goldani LZ, Li J et al (2007) Polymyxin B for the treatment of multidrug-resistant pathogens: a critical review. J Antimicrob Chemother 60:1206–1215
Zelaya A, Vandervoort K, Brelles-Mariño G (2012) Battling bacterial biofilms with gas discharge plasma. Plasma for bio-decontamination. medicine and food security. Springer, Dordrecht, pp 135–148
Zimmerli W, Moser C (2012) Pathogenesis and treatment concepts of orthopaedic biofilm infections. FEMS Immunol Med Microbiol 65:158–168
Zimmerli W, Sendi P (2011) Pathogenesis of implant-associated infection: the role of the host. Semin Immunopathol 33:295–306
Ziuzina D, Boehm D, Patil S et al (2015) Cold plasma inactivation of bacterial biofilms and reduction of quorum sensing regulated virulence factors. PLoS ONE 10:e0138209
Acknowledgements
This work was supported by the “Operational Programme Prague—Competitiveness” (CZ.2.16/3.1.00/24503) and the “National Programme of Sustainability I”—NPU I LO1601 and Charles University research program “Progress Q25”.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by MP, PK and ES. The first draft of the manuscript was written by MP and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. Conceptualization: MP and EV, Introduction: MP, Methodology: MP, Formal analysis and investigation: MP, PK and ES, Writing—original draft preparation: MP and EV, Writing—review and editing: VS, Funding acquisition: OM and JM, Resources: OM, Supervision: JJ.
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Paldrychová, M., Vaňková, E., Kašparová, P. et al. Use of non-thermal plasma pre-treatment to enhance antibiotic action against mature Pseudomonas aeruginosa biofilms. World J Microbiol Biotechnol 36, 108 (2020). https://doi.org/10.1007/s11274-020-02891-6
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DOI: https://doi.org/10.1007/s11274-020-02891-6