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Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies

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Resumo:Hospital-acquired infections caused by adaptive resistance mechanisms and enhanced virulence in pathogens, often within the challenging context of biofilms, have led to the development of alternative treatments. Bacteriophages, viruses that infect bacteria, have emerged as a potential alternative or complement to antibiotics, especially in complex cases involving multi-species biofilms. This thesis examined the combined effect of phages and antibiotics, investigating how it contributes to biofilm eradication while mitigating antibiotic resistance. It is crucial to note that phage-antibiotic combinations can sometimes hinder treatment, emphasizing the importance of understanding optimal timing, dosage, and combinations for maximizing therapeutic potential. Phage therapy shows promise due to its bacteriaspecific targeting and ability to penetrate biofilm layers. However, understanding how biofilm formation conditions influences the treatment out-come is very important for an effective standardization of in vitro phage/biofilm interaction studies. The initial study was focused on the effect of hydrodynamic conditions of biofilm formation on phage killing activity. Results revealed variations in structure of P. aeruginosa biofilm formed under dynamic and static conditions, and a better phage performance against biofilms formed in dynamic conditions. These results demonstrate the need to develop and adopt standard conditions to assay phage/biofilm interactions. Furthermore, the study evaluated the antibiofilm ability of a newly isolated P. aeruginosa phage (EPA1) and seven antibiotics against mono and dual-species biofilms. Simultaneous phage-antibiotic application significantly enhanced biofilm reduction, compared to individual treatments, while sequential application (first phage, then antibiotic) led to impressive biofilm eradication. Antibiotics concentration and the timing were pivotal factors influencing the effectiveness of combined treatment. To validate these findings, further experiments were conducted using a threedimensional lung epithelial model and an artificial wound model. Sequential phages and gentamicin treatment eradicated P. aeruginosa biofilms in the lung model. Similarly, phage EPA1 and SAFA with GEN in sequential and multiple dose administrations effectively reduced biofilms of both P. aeruginosa and S. aureus. Simultaneous multiple dose administration showed the most promising results against the dualspecies biofilms. In conclusion, phage and antibiotic combination holds promise in controlling infectious biofilms. However, a careful consideration of optimal application strategies, including timing, dosage, and order of administration, is necessary to maximize the efficacy. Future research efforts should focus on elucidating these complex interactions to develop optimized therapeutic strategies against biofilmassociated infections, ultimately improving patient outcomes.
Autores principais:Akturk, Ergun
Assunto:Antibiotic Bacteriophage Biofilm Phage-antibiotic combinations Antibiótico Bacteriófago Biofilme Combinações fago-antibióticos
Ano:2024
País:Portugal
Tipo de documento:tese de doutoramento
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Akturk, Ergun
author_facet Akturk, Ergun
author_role author
contributor_name_str_mv Azeredo, Joana
Melo, Luís Daniel Rodrigues
Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Akturk, Ergun\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Azeredo, Joana
Melo, Luís Daniel Rodrigues
Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Akturk, Ergun
datacite.date.Accepted.fl_str_mv 2024-04-15T00:00:00Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Antibiotic
Bacteriophage
Biofilm
Phage-antibiotic combinations
Antibiótico
Bacteriófago
Biofilme
Combinações fago-antibióticos
datacite.titles.title.fl_str_mv Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
dc.contributor.none.fl_str_mv Azeredo, Joana
Melo, Luís Daniel Rodrigues
Universidade do Minho
dc.creator.none.fl_str_mv Akturk, Ergun
dc.date.Accepted.fl_str_mv 2024-04-15T00:00:00Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/92446
dc.language.none.fl_str_mv eng
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.rights.copyright.fl_str_mv openAccess
dc.subject.none.fl_str_mv Antibiotic
Bacteriophage
Biofilm
Phage-antibiotic combinations
Antibiótico
Bacteriófago
Biofilme
Combinações fago-antibióticos
dc.title.fl_str_mv Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_db06
description Hospital-acquired infections caused by adaptive resistance mechanisms and enhanced virulence in pathogens, often within the challenging context of biofilms, have led to the development of alternative treatments. Bacteriophages, viruses that infect bacteria, have emerged as a potential alternative or complement to antibiotics, especially in complex cases involving multi-species biofilms. This thesis examined the combined effect of phages and antibiotics, investigating how it contributes to biofilm eradication while mitigating antibiotic resistance. It is crucial to note that phage-antibiotic combinations can sometimes hinder treatment, emphasizing the importance of understanding optimal timing, dosage, and combinations for maximizing therapeutic potential. Phage therapy shows promise due to its bacteriaspecific targeting and ability to penetrate biofilm layers. However, understanding how biofilm formation conditions influences the treatment out-come is very important for an effective standardization of in vitro phage/biofilm interaction studies. The initial study was focused on the effect of hydrodynamic conditions of biofilm formation on phage killing activity. Results revealed variations in structure of P. aeruginosa biofilm formed under dynamic and static conditions, and a better phage performance against biofilms formed in dynamic conditions. These results demonstrate the need to develop and adopt standard conditions to assay phage/biofilm interactions. Furthermore, the study evaluated the antibiofilm ability of a newly isolated P. aeruginosa phage (EPA1) and seven antibiotics against mono and dual-species biofilms. Simultaneous phage-antibiotic application significantly enhanced biofilm reduction, compared to individual treatments, while sequential application (first phage, then antibiotic) led to impressive biofilm eradication. Antibiotics concentration and the timing were pivotal factors influencing the effectiveness of combined treatment. To validate these findings, further experiments were conducted using a threedimensional lung epithelial model and an artificial wound model. Sequential phages and gentamicin treatment eradicated P. aeruginosa biofilms in the lung model. Similarly, phage EPA1 and SAFA with GEN in sequential and multiple dose administrations effectively reduced biofilms of both P. aeruginosa and S. aureus. Simultaneous multiple dose administration showed the most promising results against the dualspecies biofilms. In conclusion, phage and antibiotic combination holds promise in controlling infectious biofilms. However, a careful consideration of optimal application strategies, including timing, dosage, and order of administration, is necessary to maximize the efficacy. Future research efforts should focus on elucidating these complex interactions to develop optimized therapeutic strategies against biofilmassociated infections, ultimately improving patient outcomes.
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spelling engporHospital-acquired infections caused by adaptive resistance mechanisms and enhanced virulence in pathogens, often within the challenging context of biofilms, have led to the development of alternative treatments. Bacteriophages, viruses that infect bacteria, have emerged as a potential alternative or complement to antibiotics, especially in complex cases involving multi-species biofilms. This thesis examined the combined effect of phages and antibiotics, investigating how it contributes to biofilm eradication while mitigating antibiotic resistance. It is crucial to note that phage-antibiotic combinations can sometimes hinder treatment, emphasizing the importance of understanding optimal timing, dosage, and combinations for maximizing therapeutic potential. Phage therapy shows promise due to its bacteriaspecific targeting and ability to penetrate biofilm layers. However, understanding how biofilm formation conditions influences the treatment out-come is very important for an effective standardization of in vitro phage/biofilm interaction studies. The initial study was focused on the effect of hydrodynamic conditions of biofilm formation on phage killing activity. Results revealed variations in structure of P. aeruginosa biofilm formed under dynamic and static conditions, and a better phage performance against biofilms formed in dynamic conditions. These results demonstrate the need to develop and adopt standard conditions to assay phage/biofilm interactions. Furthermore, the study evaluated the antibiofilm ability of a newly isolated P. aeruginosa phage (EPA1) and seven antibiotics against mono and dual-species biofilms. Simultaneous phage-antibiotic application significantly enhanced biofilm reduction, compared to individual treatments, while sequential application (first phage, then antibiotic) led to impressive biofilm eradication. Antibiotics concentration and the timing were pivotal factors influencing the effectiveness of combined treatment. To validate these findings, further experiments were conducted using a threedimensional lung epithelial model and an artificial wound model. Sequential phages and gentamicin treatment eradicated P. aeruginosa biofilms in the lung model. Similarly, phage EPA1 and SAFA with GEN in sequential and multiple dose administrations effectively reduced biofilms of both P. aeruginosa and S. aureus. Simultaneous multiple dose administration showed the most promising results against the dualspecies biofilms. In conclusion, phage and antibiotic combination holds promise in controlling infectious biofilms. However, a careful consideration of optimal application strategies, including timing, dosage, and order of administration, is necessary to maximize the efficacy. Future research efforts should focus on elucidating these complex interactions to develop optimized therapeutic strategies against biofilmassociated infections, ultimately improving patient outcomes.application/pdfporUnderstanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategiesAkturk, ErgunAzeredo, JoanaMelo, Luís Daniel RodriguesHostingInstitutionOrganizationalUniversidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptURNurn:tid:1016179252024-04-1520242024-04-15T00:00:00ZHandlehttps://hdl.handle.net/1822/92446http://purl.org/coar/access_right/c_abf2open accessAntibioticBacteriophageBiofilmPhage-antibiotic combinationsAntibióticoBacteriófagoBiofilmeCombinações fago-antibióticos9534725 bytesliteraturehttp://purl.org/coar/resource_type/c_db06doctoral thesis2024-04-15http://creativecommons.org/licenses/by-nc-sa/4.0/openAccesshttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorium.uminho.pt/bitstreams/bb2ed516-a2d9-49d1-a754-308cc06724dd/download
spellingShingle Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
Akturk, Ergun
Antibiotic
Bacteriophage
Biofilm
Phage-antibiotic combinations
Antibiótico
Bacteriófago
Biofilme
Combinações fago-antibióticos
status SINGLETON
subject.fl_str_mv Antibiotic
Bacteriophage
Biofilm
Phage-antibiotic combinations
Antibiótico
Bacteriófago
Biofilme
Combinações fago-antibióticos
title Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
title_full Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
title_fullStr Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
title_full_unstemmed Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
title_short Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
title_sort Understanding and controlling Pseudomonas aeruginosa and Staphylococcus aureus biofilms using combined phage-based strategies
topic Antibiotic
Bacteriophage
Biofilm
Phage-antibiotic combinations
Antibiótico
Bacteriófago
Biofilme
Combinações fago-antibióticos
topic_facet Antibiotic
Bacteriophage
Biofilm
Phage-antibiotic combinations
Antibiótico
Bacteriófago
Biofilme
Combinações fago-antibióticos
url https://hdl.handle.net/1822/92446
visible 1