Skip to main content

Ultrasound-Targeted Microbubble Destruction Enhances Human β-Defensin 3 Activity Against Antibiotic-Resistant Staphylococcus Biofilms

Abstract

The infection of orthopedic implantation devices with Staphylococcus is a serious concern within the biomaterial community. Treatments are not always successful because of antibiotic-resistant bacteria and serious biofilm infections. Human β-defensin 3 (hBD-3) is considered to be the most promising class of defensin antimicrobial peptides and its effect on antibiotic-resistant Staphylococcus biofilms, combined with ultrasound (US)-targeted microbubble (MB) destruction (UTMD), has not been reported. In the study, we found that biofilm densities, the percentage of live cells and the viable counts of two tested Staphylococcus recovered from the biofilm were significantly decreased in the maximum concentration hBD-3 combined with UTMD compared with those of any other groups. Furthermore, results suggested that UTMD could also enhance 1MIC hBD-3 activity inhibiting the biofilm-associated genes expression of icaAD and the methicillin-resistance genes expression of MecA by simultaneously promoting the icaR expression. UTMD may have great potential for improving antibiotic activity against biofilm infections.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

References

  1. Darouiche, R.O. 2004. Treatment of infections associated with surgical implants. The New England Journal of Medicine 350: 1422–1429.

    PubMed  Article  CAS  Google Scholar 

  2. Montanaro, L., P. Speziale, D. Campoccia, S. Ravaioli, I. Cangini, G. Pietrocola, S. Giannini, and C.R. Arciola. 2011. Scenery of Staphylococcus implant infections in orthopedics. Future Microbiology 6: 1329–1349.

    PubMed  Article  CAS  Google Scholar 

  3. Campoccia, D., L. Montanaro, P. Speziale, and C.R. Arciola. 2010. Antibiotic-loaded biomaterials and the risks for the spread of antibiotic resistance following their prophylactic and therapeutic clinical use. Biomaterials 31: 6363–6377.

    PubMed  Article  CAS  Google Scholar 

  4. Shi, Z., K.G. Neoh, E.T. Kang, C. Poh, and W. Wang. 2009. Titanium with surface-grafted dextran and immobilized bone morphogenetic protein-2 for inhibition of bacterial adhesion and enhancement of osteoblast functions. Tissue Engineering. Part A 15: 417–426.

    PubMed  Article  CAS  Google Scholar 

  5. Blum-Menezes, D., O.J. Bratfich, M.C. Padoveze, and M.L. Moretti. 2009. Hospital strain colonization by Staphylococcus epidermidis. Brazilian Journal of Medical and Biological Research 42: 294–298.

    PubMed  Article  CAS  Google Scholar 

  6. Patel, Z.M., P.H. Hwang, A. Chernomorsky, D.T. Bravo, B.L. Nguyen, K. Nesterova, and J.V. Nayak. 2012. Low-frequency pulsed ultrasound in the nasal cavity and paranasal sinuses: A feasibility and distribution study. International Forum of Allergy Rhinology 2: 303–308.

    PubMed  Article  Google Scholar 

  7. Dijkmans, P.A., L.J. Juffermans, R.J. Musters, A. van Wamel, F.J. ten Cate, W. van Gilst, C.A. Visser, N. de Jong, and O. Kamp. 2004. Microbubbles and ultrasound: From diagnosis to therapy. European Journal of Echocardiography 5: 245–256.

    PubMed  Article  CAS  Google Scholar 

  8. He, N., J. Hu, H. Liu, T. Zhu, B. Huang, X. Wang, Y. Wu, W. Wang, and D. Qu. 2011. Enhancement of vancomycin activity against biofilms by using ultrasound-targeted microbubble destruction. Antimicrobial Agents and Chemotherapy 55: 5331–5337.

    PubMed  Article  CAS  Google Scholar 

  9. Qin, Z., X. Yang, L. Yang, J. Jiang, Y. Ou, S. Molin, and D. Qu. 2007. Formation and properties of in vitro biofilms of ica-negative Staphylococcus epidermidis clinical isolates. Journal of Medical Microbiology 56: 83–93.

    PubMed  Article  CAS  Google Scholar 

  10. Hancock, R.E. 2005. Mechanism of action of newer antibiotics for Gram-positive pathogens. The Lancet Infectious Diseases 5: 209–218.

    PubMed  Article  CAS  Google Scholar 

  11. Harder, J., J. Bartels, E. Christophers, and J.M. Schroder. 2001. Isolation and characterization of human beta-defensin-3, a novel human inducible peptide antibiotic. Journal of Biological Chemistry 276: 5707–5713.

    PubMed  Article  CAS  Google Scholar 

  12. Maisetta, G., G. Batoni, S. Esin, W. Florio, D. Bottai, F. Favilli, and M. Campa. 2006. In vitro bactericidal activity of human beta-defensin 3 against multidrug-resistant nosocomial strains. Antimicrobial Agents and Chemotherapy 50: 806–809.

    PubMed  Article  CAS  Google Scholar 

  13. Warnke, P.H., I.N. Springer, P.A. Russo, J. Wiltfang, H. Essig, M. Kosmahl, E. Sherry, and Y. Acil. 2006. Innate immunity in human bone. Bone 38: 400–408.

    PubMed  Article  CAS  Google Scholar 

  14. Huang, Q., H.J. Yu, G.D. Liu, X.K. Huang, L.Y. Zhang, Y.G. Zhou, J.Y. Chen, F. Lin, Y. Wang, and J. Fei. 2012. Comparison of the effects of human β-defensin 3, Vancomycin, and Clindamycin on Staphylococcus aureus biofilm formation. Orthopedics 35: e53–e60.

    PubMed  Article  Google Scholar 

  15. Zhu, C., H. Tan, T. Cheng, H. Shen, J. Shao, Y. Guo, S. Shi, and X. Zhang. 2012. Human β-defensin 3 inhibits antibiotic-resistant Staphylococcus biofilm formation. Journal of Surgical Research. doi:10.1016/j.jss.2012.11.048.

    Google Scholar 

  16. Nihonyanagi, S., Y. Kanoh, K. Okada, T. Uozumi, Y. Kazuyama, T. Yamaguchi, N. Nakazaki, K. Sakurai, Y. Hirata, S. Munekata, S. Ohtani, T. Takemoto, Y. Bandoh, and T. Akahoshi. 2012. Clinical usefulness of multiplex PCR lateral flow in MRSA detection: a novel, rapid genetic testing method. Inflammation 35: 927–934.

    PubMed  Article  CAS  Google Scholar 

  17. Arciola, C.R., D. Campoccia, L. Baldassarri, M.E. Donati, V. Pirini, S. Gamberini, and L. Montanaro. 2006. Detection of biofilm formation in Staphylococcus epidermidis from implant infections: Comparison of a PCR method that recognizes the presence of ica genes with two classic phenotypic methods. Journal of Biomedical Materials Research. Part A 76: 425–430.

    PubMed  Article  Google Scholar 

  18. Quaia, E., F. Calliada, M. Bertolotto, S. Rossi, L. Garioni, L. Rosa, and R. Pozzi-Mucelli. 2004. Characterization of focal liver lesions with contrast-specific US modes and a sulfur hexafluoride-filled microbubble contrast agent: Diagnostic performance and confidence. Radiology 232: 420–430.

    PubMed  Article  Google Scholar 

  19. van der Plas, M.J., G.N. Jukema, S.W. Wai, H.C. Dogterom-Ballering, E.L. Lagendijk, C. van Gulpen, J.T. van Dissel, G.V. Bloemberg, and P.H. Nibbering. 2008. Maggot excretions/secretions are differentially effective against biofilms of Staphylococcus aureus and Pseudomonas aeruginosa. Journal of Antimicrobial Chemotherapy 61: 117–122.

    PubMed  Article  Google Scholar 

  20. Kim, H.J., J.F. Greenleaf, R.R. Kinnick, J.T. Bronk, and M.E. Bolander. 1996. Ultrasound-mediated transfection of mammalian cells. Hum. Gene Therapy 7: 1339–1346.

    Article  CAS  Google Scholar 

  21. Li, M., D.J. Cha, Y. Lai, A.E. Villaruz, D.E. Sturdevant, and M. Otto. 2007. The antimicrobial peptide-sensing system aps of Staphylococcus aureus. Molecular Microbiology 66: 1136–1147.

    PubMed  Article  CAS  Google Scholar 

  22. Bjerkan, G., E. Witsø, and K. Bergh. 2009. Sonication is superior to scraping for retrieval of bacteria in biofilm on titanium and steel surfaces in vitro. Acta Orthopaedica 80: 245–250.

    PubMed  Article  Google Scholar 

  23. Peng, Z.X., B. Tu, Y. Shen, L. Du, L. Wang, S.R. Guo, and T.T. Tang. 2011. Quaternized chitosan inhibits icaA transcription and biofilm formation by staphylococcus on a titanium surface. Antimicrobial Agents and Chemotherapy 55: 860–866.

    PubMed  Article  CAS  Google Scholar 

  24. Tan, H., Z. Peng, Q. Li, X. Xu, S. Guo, and T. Tang. 2012. The use of quaternised chitosan-loaded PMMA to inhibit biofilm formation and downregulate the virulence-associated gene expression of antibiotic-resistant staphylococcus. Biomaterials 33: 365–377.

    PubMed  Article  CAS  Google Scholar 

  25. Rohde, H., S. Frankenberger, U. Zähringer, and D. Mack. 2011. Structure, function and contribution of polysaccharide intercellular adhesin (PIA) to Staphylococcus epidermidis biofilm formation and pathogenesis of biomaterial-associated infections. European Journal of Cell Biology 89: 103–111.

    Article  Google Scholar 

  26. Jeng, W.Y., T.P. Ko, C.I. Liu, R.T. Guo, C.L. Liu, H.L. Shr, and A.H. Wang. 2008. Crystal structureof IcaR, a repressor of the TetR family implicated in biofilm formation in Staphylococcus epidermidis. Nucleic Acids Research 36: 1567–1577.

    PubMed  Article  CAS  Google Scholar 

  27. Katayama, Y., T. Ito, and K. Hiramatsu. 2000. A new class of genetic element, staphylococcus cassette chromosome mec, encodes methicillin resistance in Staphylococcus aureus. Antimicrobial Agents and Chemotherapy 44: 1549–1555.

    PubMed  Article  CAS  Google Scholar 

  28. Runyan, C.M., J.C. Carmen, B.L. Beckstead, J.L. Nelson, R.A. Robison, and W.G. Pitt. 2006. Low-frequency ultrasound increases outer membrane permeability of Pseudomonas aeruginosa. Journal of General and Applied Microbiology 52: 295–301.

    PubMed  Article  CAS  Google Scholar 

  29. Carmen, J.C., J.L. Nelson, B.L. Beckstead, C.M. Runyan, R.A. Robison, G.B. Schaalje, and W.G. Pitt. 2004. Ultrasonic-enhanced gentamicin transport through colony biofilms of Pseudomonas aeruginosa and Escherichia coli. Journal of Infection and Chemotherapy 10: 193–199.

    PubMed  Article  Google Scholar 

  30. Juffermans, L.J., P.A. Dijkmans, R.J. Musters, C.A. Visser, and O. Kamp. 2006. Transient permeabilization of cell membranes by ultrasound-exposed microbubbles is related to formation of hydrogen peroxide. American Journal of Physiology - Heart and Circulatory Physiology 291: H1595–H1601.

    PubMed  Article  CAS  Google Scholar 

  31. Li, P., Y. Zheng, H. Ran, J. Tan, Y. Lin, Q. Zhang, J. Ren, and Z. Wang. 2012. Ultrasound triggered drug release from 10-hydroxycamptothecin-loaded phospholipid microbubbles for targeted tumor therapy in mice. Journal of Controlled Release 162: 349–354.

    PubMed  Article  CAS  Google Scholar 

  32. Moosavi Nejad, S., S.H. Hosseini, H. Akiyama, and K. Tachibana. 2011. Optical observation of cell sonoporation with low intensity ultrasound. Biochemical and Biophysical Research Communications 413: 218–223.

    PubMed  Article  CAS  Google Scholar 

  33. Han, Y.W., A. Ikegami, P. Chung, L. Zhang, and C.X. Deng. 2007. Sonoporation is an efficient tool for intracellular fluorescent dextran delivery and one-step double-crossover mutant construction in Fusobacterium nucleatum. Applied and Environmental Microbiology 73: 3677–3683.

    PubMed  Article  CAS  Google Scholar 

  34. Nishikawa, T., A. Yoshida, A. Khanal, M. Habu, I. Yoshioka, K. Toyoshima, T. Takehara, T. Nishihara, K. Tachibana, and K. Tominaga. 2010. A study of the efficacy of ultrasonic waves in removing biofilms. Gerodontology 27: 199–206.

    PubMed  Article  Google Scholar 

  35. Xu, J., T.A. Bigelow, L.J. Halverson, J.M. Middendorf, and B. Rusk. 2012. Minimization of treatment time for in vitro 1.1 MHz destruction of Pseudomonas aeruginosa biofilms by high-intensity focused ultrasound. Ultrasonics 52: 668–675.

    PubMed  Article  CAS  Google Scholar 

  36. Santamato, A., V. Solfrizzi, F. Panza, G. Tondi, V. Frisardi, B.G. Leggin, M. Ranieri, and P. Fiore. 2009. Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of people with subacromial impingement syndrome: A randomized clinical trial. Physical Therapy 89: 643–652.

    PubMed  Article  Google Scholar 

  37. Yu, H., S. Chen, and P. Cao. 2012. Synergistic bactericidal effects and mechanisms of low intensity ultrasound and antibiotics against bacteria: A review. Ultrasonics Sonochemistry 19: 377–382.

    PubMed  Article  CAS  Google Scholar 

  38. Maisetta, G., F.L. Brancatisano, S. Esin, M. Campa, and G. Batoni. 2011. Gingipains produced by Porphyromonas gingivalis ATCC49417 degrade human-β-defensin 3 and affect peptide's antibacterial activity in vitro. Peptides 32: 1073–1077.

    PubMed  Article  CAS  Google Scholar 

  39. Maisetta, G., M. Di Luca, S. Esin, W. Florio, F.L. Brancatisano, D. Bottai, M. Campa, and G. Batoni. 2008. Evaluation of the inhibitory effects of human serum components on bactericidal activity of human beta defensin 3. Peptides 29: 1–6.

    PubMed  Article  CAS  Google Scholar 

  40. Hengge, U.R. 2006. Gene therapy progress and prospects: The skin—easily accessible, but still far away. Gene Therapy 13: 1555–1563.

    PubMed  Article  CAS  Google Scholar 

  41. Yu, Q., R.I. Lehrer, and J.P. Tam. 2000. Engineered salt-insensitive alpha defensins with end-to -end circularizeed structures. Journal of Biological Chemistry 275: 3943–3949.

    PubMed  Article  CAS  Google Scholar 

  42. Hirsch, T., M. Spielmann, B. Zuhaili, M. Fossum, M. Metzig, T. Koehler, H.U. Steinau, F. Yao, A.B. Onderdonk, L. Steinstraesser, and E. Eriksson. 2009. Human beta-defensin-3 promotes wound healing in infected diabetic wounds. The Journal of Gene Medicine 11: 220–228.

    PubMed  Article  CAS  Google Scholar 

  43. Gibson, A.L., C.L. Thomas-Virnig, J.M. Centanni, S.J. Schlosser, C.E. Johnston, K.F. Van Winkle, A. Szilagyi, L.K. He, R. Shankar, and B.L. Allen-Hoffmann. 2012. Nonviral human beta defensin-3 expression in a bioengineered human skin tissue: A therapeutic alternative for infected wounds. Wound Repair and Regeneration 20: 414–424.

    PubMed  Article  Google Scholar 

Download references

Acknowledgments

This work was supported by the Interdisciplinary (Engineering-Medical) Research Fund of Shanghai Jiao Tong University (Grant No. YG2011MS30), Shanghai Municipal Health Bureau Science Fund for Young Scholars (Grant No. 2010QJ036A), the Opening Project of State Key Laboratory of High Performance Ceramics and Superfine Microstructure (Grant No. SKL201206SIC), and the National Natural Science Foundation of China (Grant No. 81171688).

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Xianlong Zhang.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Zhu, C., He, N., Cheng, T. et al. Ultrasound-Targeted Microbubble Destruction Enhances Human β-Defensin 3 Activity Against Antibiotic-Resistant Staphylococcus Biofilms. Inflammation 36, 983–996 (2013). https://doi.org/10.1007/s10753-013-9630-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10753-013-9630-2

KEY WORDS

  • ultrasound
  • microbubbles
  • Staphylococcus
  • biofilm
  • β-defensin