Abstract

One of the potential antibiofilm strategies is to use lytic phages and phage-derived polysaccharide depolymerases. The idea is to uncover bacteria embedded in the biofilm matrix making them accessible and vulnerable to antibacterials and the immune system. Here we present the antibiofilm efficiency of lytic phage KP34 equipped with virion-associated capsule degrading enzyme (depolymerase) and its recombinant depolymerase KP34p57, depolymerase-non-bearing phage KP15, and ciprofloxacin, separately and in combination, using a multidrug-resistant K. pneumoniae biofilm model. The most effective antibiofilm agents were (1) phage KP34 alone or in combination with ciprofloxacin/phage KP15, and (2) depolymerase KP34p57 with phage KP15 and ciprofloxacin. Secondly, applying the commonly used biofilm microtiter assays: (1) colony count, (2) LIVE/DEAD BacLight Bacterial Viability Kit, and (3) crystal violet (CV) biofilm staining, we unravelled the main advantages and limitations of the above methods in antibiofilm testing. The diverse mode of action of selected antimicrobials strongly influenced obtained results, including a false positive enlargement of biofilm mass (CV staining) while applying polysaccharide degrading agents. We suggest that to get a proper picture of antimicrobials’ effectiveness, multiple examination methods should be used and the results must be read considering the principle of each technique and the antibacterial mechanism.

Highlights

  • Ine and transferred to fresh TSB containing different concentrations of depolymerase KP34p57 (1000 Minimal Halo Forming (MHF), 100 MHF, 10 MHF, and 1 MHF), ciprofloxacin (MP Biomedicals, Thermo Fisher Scientific Waltham, Massachusetts, USA, 4 Minimal inhibitory concentration (MIC), 2 MIC, 1 MIC, and 0.5 MIC) and phage KP34 ­(106 and ­109 PFU/ml)

  • The most effective antibiofilm combinations were: (1) ciprofloxacin with depolymerase producing phage KP34, (2) depolymerase producing phage KP34 together with depolymerase-non-bearing phage KP15, and (3) both phages mixed with the antibiotic

  • A triple cocktail containing depolymerase, depolymerase-nonbearing phage KP15, and ciprofloxacin resulted in a high CFU and live/dead ratio reduction as well

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Summary

Introduction

Ine and transferred to fresh TSB containing different concentrations of depolymerase KP34p57 (1000 MHF, 100 MHF, 10 MHF, and 1 MHF), ciprofloxacin (MP Biomedicals, Thermo Fisher Scientific Waltham, Massachusetts, USA, 4 MIC, 2 MIC, 1 MIC, and 0.5 MIC) and phage KP34 ­(106 and ­109 PFU/ml). The most optimal concentrations of antibiofilm compounds (10 MHF of depolymerase, 4 MIC of ciprofloxacin, and 1­ 08 PFU/ml) were chosen for treatments in combinations. Biofilm eradication experiments were conducted twice, each condition in five repea

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