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1. Host-defense piscidin peptides as antibiotic adjuvants against Clostridioides difficile

   https://doi.org/10.1371/journal.pone.0295627  

   Oludiran, Adenrele; Malik, Areej; Zourou, Andriana C; Wu, Yonghan; Gross, Steven P; Siryapon, Albert; Poudel, Asia; Alleyne, Kwincy; Adams, Savion; Courson, David S; et al (January 2024, PLOS ONE)

   Yasir, Muhammad (Ed.)

   The spore-forming intestinal pathogen Clostridioides difficile causes multidrug resistant infection with a high rate of recurrence after treatment. Piscidins 1 (p1) and 3 (p3), cationic host defense peptides with micromolar cytotoxicity against C. difficile, sensitize C. difficile to clinically relevant antibiotics tested at sublethal concentrations. Both peptides bind to Cu2+ using an amino terminal copper and nickel binding motif. Here, we investigate the two peptides in the apo and holo states as antibiotic adjuvants against an epidemic strain of C. difficile. We find that the presence of the peptides leads to lower doses of metronidazole, vancomycin, and fidaxomicin to kill C. difficile. The activity of metronidazole, which targets DNA, is enhanced by a factor of 32 when combined with p3, previously shown to bind and condense DNA. Conversely, the activity of vancomycin, which acts at bacterial cell walls, is enhanced 64-fold when combined with membrane-active p1-Cu2+. As shown through microscopy monitoring the permeabilization of membranes of C. difficile cells and vesicle mimics of their membranes, the adjuvant effect of p1 and p3 in the apo and holo states is consistent with a mechanism of action where the peptides enable greater antibiotic penetration through the cell membrane to increase their bioavailability. The variations in effects obtained with the different forms of the peptides reveal that while all piscidins generally sensitize C. difficile to antibiotics, co-treatments can be optimized in accordance with the underlying mechanism of action of the peptides and antibiotics. Overall, this study highlights the potential of antimicrobial peptides as antibiotic adjuvants to increase the lethality of currently approved antibiotic dosages, reducing the risk of incomplete treatments and ensuing drug resistance. 

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2. The accumulation and growth of Pseudomonas aeruginosa on surfaces is modulated by surface mechanics via cyclic-di-GMP signaling

   https://doi.org/10.1038/s41522-023-00436-x  

   Wang, Liyun; Wong, Yu-Chern; Correira, Joshua M.; Wancura, Megan; Geiger, Chris J.; Webster, Shanice S.; Touhami, Ahmed; Butler, Benjamin J.; O’Toole, George A.; Langford, Richard M.; et al (October 2023, npj Biofilms and Microbiomes)

   Abstract Attachment of bacteria onto a surface, consequent signaling, and accumulation and growth of the surface-bound bacterial population are key initial steps in the formation of pathogenic biofilms. While recent reports have hinted that surface mechanics may affect the accumulation of bacteria on that surface, the processes that underlie bacterial perception of surface mechanics and modulation of accumulation in response to surface mechanics remain largely unknown. We use thin and thick hydrogels coated on glass to create composite materials with different mechanics (higher elasticity for thin composites; lower elasticity for thick composites) but with the same surface adhesivity and chemistry. The mechanical cue stemming from surface mechanics is elucidated using experiments with the opportunistic human pathogenPseudomonas aeruginosacombined with finite-element modeling. Adhesion to thin composites results in greater changes in mechanical stress and strain in the bacterial envelope than does adhesion to thick composites with identical surface chemistry. Using quantitative microscopy, we find that adhesion to thin composites also results in higher cyclic-di-GMP levels, which in turn result in lower motility and less detachment, and thus greater accumulation of bacteria on the surface than does adhesion to thick composites. Mechanics-dependent c-di-GMP production is mediated by the cell-surface-exposed protein PilY1. The biofilm lag phase, which is longer for bacterial populations on thin composites than on thick composites, is also mediated by PilY1. This study shows clear evidence that bacteria actively regulate differential accumulation on surfaces of different stiffnessesviaperceiving varied mechanical stress and strain upon surface engagement. 

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3. Direct Laser-Functionalized Au-LIG Sensors for Real-time Electrochemical Monitoring of Response of Pseudomonas aeruginosa Biofilms to Antibiotics

   https://doi.org/10.1149/2754-2726/ad08d4  

   Zhou, Keren; Kammarchedu, Vinay; Ebrahimi, Aida (November 2023, ECS Sensors Plus)

   Pseudomonas aeruginosa(P. aeruginosa) is a phenazine-producing pathogen recognized for its biofilm-mediated antibiotic resistance, showing up to 1000 times higher resistance compared to planktonic cells. In particular, it is shown that a phenazine called pyocyanin promotes antibiotic tolerance inP. aeruginosacultures by upregulating efflux pumps and inducing biofilm formation. Therefore, real-time study of phenazine production in response to antibiotics could offer new insights for early detection and management of the infection. Toward this goal, this work demonstrates real-time monitoring ofP. aeruginosacolony biofilms challenged by antibiotics using electrochemical sensors based on direct laser functionalization of laser induced graphene (LIG) with gold (Au) nanostructures. Specifically, two routes for functionalization of the LIG electrodes with Au-containing solutions are studied: electroless deposition and direct laser functionalization (E-Au/LIG and L-Au/LIG, respectively). While both methods show comparable sensitivity (1.276 vs 1.205μAμM⁻¹), E-Au/LIG has bactericidal effects which make it unsuitable as a sensor material. The effect of antibiotics (gentamicin as a model drug) on the production rate of phenazines before (i.e., in planktonic phase) or after biofilm formation is studied. The sensor data confirms that theP. aeruginosabiofilms are at least 100 times more tolerant to the antibiotic compared to planktonic cells. The biosensors are developed using a scalable and facile manufacturing approach and may pave the way toward simple-to-use antibiotic susceptibility testing devices for early infection diagnosis and real-time study of antibiotic resistance evolution. 

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4. Heterogenous biofilm mass-transport model replicates periphery sequestration of antibiotics in Pseudomonas aeruginosa PAO1 microcolonies

   https://doi.org/10.1073/pnas.2312995120  

   Prince, Joshua; Jones, A-Andrew D (November 2023, Proceedings of the National Academy of Sciences)

   A model for antibiotic accumulation in bacterial biofilm microcolonies utilizing heterogenous porosity and attachment site profiles replicated the periphery sequestration reported in prior experimental studies onPseudomonas aeruginosa PAO1biofilm cell clusters. TheseP. aeruginosacell clusters are in vitro models of the chronicP. aeruginosainfections in cystic fibrosis patients which display recalcitrance to antibiotic treatments, leading to exacerbated morbidity and mortality. This resistance has been partially attributed to periphery sequestration, where antibiotics fail to penetrate biofilm cell clusters. The physical phenomena driving this periphery sequestration have not been definitively established. This paper introduces mathematical models to account for two proposed physical phenomena driving periphery sequestration: biofilm matrix attachment and volume-exclusion due to variable biofilm porosity. An antibiotic accumulation model which incorporated these phenomena better fit observed periphery sequestration data compared to previous models. 

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5. Sound the (Smaller) Alarm: The Triphosphate Magic Spot Nucleotide pGpp

   https://doi.org/10.1128/iai.00432-22  

   Malik, Areej; Hept, Megan A.; Purcell, Erin B. (April 2023, Infection and Immunity)

   Richardson, Anthony R. (Ed.)

   ABSTRACT It has recently become evident that the bacterial stringent response is regulated by a triphosphate alarmone (pGpp) as well as the canonical tetra- and pentaphosphate alarmones ppGpp and pppGpp [together, (p)ppGpp]. Often dismissed in the past as an artifact or degradation product, pGpp has been confirmed as a deliberate endpoint of multiple synthetic pathways utilizing GMP, (p)ppGpp, or GDP/GTP as precursors. Some early studies concluded that pGpp functionally mimics (p)ppGpp and that its biological role is to make alarmone metabolism less dependent on the guanine energy charge of the cell by allowing GMP-dependent synthesis to continue when GDP/GTP has been depleted. However, recent reports that pGpp binds unique potential protein receptors and is the only alarmone synthesized by the intestinal pathogen Clostridioides difficile indicate that pGpp is more than a stand-in for the longer alarmones and plays a distinct biological role beyond its functional overlap (p)ppGpp. 

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