1. In vitro activity of N-acetylcysteine against Stenotrophomonas maltophilia and Burkholderia cepacia complex grown in planktonic phase and biofilm
- Author
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Stefano Aliberti, Simona Pollini, Lisa Cariani, Samantha Sottotetti, Tiziana Di Maggio, Francesco Blasi, Vincenzo Di Pilato, Francesco Sergio, Lucia Pallecchi, Gian Maria Rossolini, Antonio Cannatelli, and Giulia Landini
- Subjects
0301 basic medicine ,Time Factors ,Burkholderia cenocepacia ,Cystic Fibrosis ,Pulmonology ,Stenotrophomonas maltophilia ,lcsh:Medicine ,Drug resistance ,Pathology and Laboratory Medicine ,Acetylcysteine ,Medicine and Health Sciences ,lcsh:Science ,Multidisciplinary ,biology ,Chemistry ,Antimicrobials ,Drugs ,Antimicrobial ,Plankton ,Bacterial Pathogens ,Medical Microbiology ,Genetic Diseases ,Pathogens ,Burkholderia Cenocepacia ,medicine.drug ,Research Article ,Burkholderia ,030106 microbiology ,Microbial Sensitivity Tests ,In Vitro Techniques ,Microbiology ,03 medical and health sciences ,Burkholderia Cepacia Complex ,Autosomal Recessive Diseases ,Microbial Control ,Drug Resistance, Bacterial ,medicine ,Humans ,Microbial Pathogens ,Clinical Genetics ,Pharmacology ,Dose-Response Relationship, Drug ,Bacteria ,lcsh:R ,Biofilm ,Organisms ,Biology and Life Sciences ,Bacteriology ,biology.organism_classification ,Fibrosis ,In vitro ,Burkholderia cepacia complex ,030104 developmental biology ,Biofilms ,lcsh:Q ,Bacterial Biofilms ,Developmental Biology - Abstract
Stenotrophomonas maltophilia and Burkholderia cepacia complex (Bcc) have been increasingly recognized as relevant pathogens in hospitalized, immunocompromised and cystic fibrosis (CF) patients. As a result of complex mechanisms, including biofilm formation and multidrug resistance phenotype, S. maltophilia and Bcc respiratory infections are often refractory to therapy, and have been associated with a worse outcome in CF patients. Here we demonstrate for the first time that N-acetylcysteine (NAC), a mucolytic agent with antioxidant and anti-inflammatory properties, may exhibit antimicrobial and antibiofilm activity against these pathogens. The antimicrobial and antibiofilm activity of high NAC concentrations, potentially achievable by topical administration, was tested against a collection of S. maltophilia (n = 19) and Bcc (n = 19) strains, including strains from CF patients with acquired resistance traits. Minimum Inhibitory Concentrations (MICs) and Minimum Bactericidal Concentrations (MBCs) ranged from 16 to 32 mg/ml and from 32 to >32 mg/ml, respectively. Sub-MIC concentrations (i.e., 0.25 × MIC) slowed down the growth kinetics of most strains. In time-kill assays, 2-day-old biofilms were more affected than planktonic cultures, suggesting a specific antibiofilm activity of NAC against these pathogens. Indeed, a dose- and time-dependent antibiofilm activity of NAC against most of the S. maltophilia and Bcc strains tested was observed, with a sizable antibiofilm activity observed also at 0.5 and 1 × MIC NAC concentrations. Furthermore, at those concentrations, NAC was also shown to significantly inhibit biofilm formation with the great majority of tested strains.
- Published
- 2018