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de Lima FCG, de Araújo AR, do Nascimento AV, Bezerra Cavalcanti CDL, Oliveira Júnior JB, Sandes JM, da Silva EM, de Freitas CF, Veras DL, Alves LC, Brayner FA. In vitro evaluation of human intravenous immunoglobulin in combination with antimicrobials and human serum against multidrug-resistant isolates of Acinetobacter baumannii. Braz J Microbiol 2023; 54:2845-2856. [PMID: 37904004 PMCID: PMC10689330 DOI: 10.1007/s42770-023-01153-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 10/12/2023] [Indexed: 11/01/2023] Open
Abstract
The high incidence of multidrug-resistant (MDR) Acinetobacter baumannii has been a challenge for health worldwide, due to the reduction of therapeutic options, making the use of antimicrobial combinations necessary for the treatment, such as meropenem, amikacin, and colistin. Antibodies against bacterial species, mainly immunoglobulins G (IgG), are produced for acting as effector mechanisms (neutralization, opsonization, phagocytosis, and complement system activation). Some studies have demonstrated promising results of IgG in combination with antimicrobial preparations against bacterial infections, in which the direct action of IgG has restored the immune system balance. Serious problem caused by the increase of MDR A. baumannii isolates results in a constant search for therapeutic alternatives to defeat these infections. However, this study aims to verify in vitro the phagocytosis rate of the A. baumannii-infected human monocytes, as well as to analyze possible morphological changes induced by intravenous immunoglobulin G (IVIG) with human serum in association with antimicrobials. The phagocytosis rate and bacterial cell binding capacity of IVIG were determined for two A. baumannii isolates submitted to 4 mg/mL of human IVIG alone and in combination with different sub-minimum inhibitory concentrations (sub-MICs) of meropenem, amikacin, and colistin and processed for indirect immunofluorescence. Subsequently, these isolates were resubmitted and coupled with human serum and processed for scanning electron microscopy. There was no statistical difference for phagocytosis rates in the isolates tested. Bacterial isolates showed alterations in cell morphology when exposed to IVIG/human serum alone and in combination with antimicrobials such as alteration in shape, wrinkling, membrane depression, and especially cell rupture with extravasation of cytoplasmic material. The isolates visually differed in the IVIG binding to the bacterial cell, with higher fluorescence intensity, which corresponds to the highest IVIG binding, in the isolate more sensitive to meropenem, amikacin, and colistin. No differences between treatments were observed in the IVIG binding to the bacterial cell. The combined action of IVIG with meropenem, amikacin, and colistin against A. baumannii MDR isolates induced several bacterial cell damages. And when associated with human serum, a massive destruction of cells can be observed. These results may suggest the analysis of the use of IgG preparations for the treatment of A. baumannii MDR infections.
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Affiliation(s)
| | - Alberon Ribeiro de Araújo
- Laboratory of Molecular and Cellular Biology, and Laboratory of Leishmaniasis and Mutagenesis, Department of Parasitology, Aggeu Magalhães Institute (FIOCRUZ/PE), Recife, Pernambuco, Brazil
| | | | | | - Jorge Belém Oliveira Júnior
- Laboratory of Molecular and Cellular Biology, and Laboratory of Leishmaniasis and Mutagenesis, Department of Parasitology, Aggeu Magalhães Institute (FIOCRUZ/PE), Recife, Pernambuco, Brazil.
| | - Jana Messias Sandes
- Electronic Microscopy Laboratory, Keizo Asami Institute, Federal Universidad of Pernambuco, Recife, Pernambuco, Brazil
| | - Everton Morais da Silva
- Bachelor's Degree in Pharmacy From Federal Universidad of Pernambuco, Recife, Pernambuco, Brazil
| | | | - Dyana Leal Veras
- Laboratory of Molecular and Cellular Biology, and Laboratory of Leishmaniasis and Mutagenesis, Department of Parasitology, Aggeu Magalhães Institute (FIOCRUZ/PE), Recife, Pernambuco, Brazil
| | - Luis Carlos Alves
- Laboratory of Molecular and Cellular Biology, and Laboratory of Leishmaniasis and Mutagenesis, Department of Parasitology, Aggeu Magalhães Institute (FIOCRUZ/PE), Recife, Pernambuco, Brazil
- Electronic Microscopy Laboratory, Keizo Asami Institute, Federal Universidad of Pernambuco, Recife, Pernambuco, Brazil
| | - Fábio André Brayner
- Laboratory of Molecular and Cellular Biology, and Laboratory of Leishmaniasis and Mutagenesis, Department of Parasitology, Aggeu Magalhães Institute (FIOCRUZ/PE), Recife, Pernambuco, Brazil
- Electronic Microscopy Laboratory, Keizo Asami Institute, Federal Universidad of Pernambuco, Recife, Pernambuco, Brazil
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Oliveira-Júnior JB, da Silva EM, Veras DL, Ribeiro KRC, de Freitas CF, de Lima FCG, Gutierrez SJC, Camara CA, Barbosa-Filho JM, Alves LC, Brayner FA. Antimicrobial activity and biofilm inhibition of riparins I, II and III and ultrastructural changes in multidrug-resistant bacteria of medical importance. Microb Pathog 2020; 149:104529. [PMID: 33010367 DOI: 10.1016/j.micpath.2020.104529] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 09/17/2020] [Accepted: 09/18/2020] [Indexed: 10/23/2022]
Abstract
Natural products have been used to treat various infections; however, the development of antimicrobials has made natural products in disuse. Riparin I, II and III are natural alkamide isolated from Aniba riparia (Ness) Mez (Lauraceae), that exhibit economic importance and it is used in traditional medicine, and popularly known as "louro". This study investigated the cytotoxicity, antimicrobial and antibiofilm activity, and ultrastructural changes in vitro by riparins I, II and III in Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii and Pseudomonas aeruginosa. We analyzed the cytotoxicity by MTT assay in Vero cells and hemolytic action verified in human erythrocytes. The antimicrobial activity was determined by microdilution in broth against ATCC strains, identifying the susceptible species. Subsequently, only the MDR isolates of sensitive bacterial species were evaluated regarding its biofilm formation and ultrastructural changes. Riparin I presented low cytotoxicity and hemolytic percentage ranging from of 9.01%-12.97%. Only the riparin III that showed antimicrobial activity against MDR clinical isolates, and significant reduction in biofilm formation in S. aureus. Moreover, the riparin III promoted ultrastructural changes in bacterial cells, such as elongated cellular without bacterial septum, cells with a rugged appearance on the cell surface and cytoplasmic material extravasation. As has been noted riparin III has an inhibitory potential against biofilm formation in S. aureus, besides having antimicrobial activity and promoting ultrastructural changes in MDR clinical isolates. Thus, riparin III is an interesting alternative for further studies aiming to develop new therapeutic options.
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Affiliation(s)
- Jorge Belém Oliveira-Júnior
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil.
| | - Everton Morais da Silva
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil
| | - Dyana Leal Veras
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil
| | - Karla Raíza Cardoso Ribeiro
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil
| | - Catarina Fernandes de Freitas
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil
| | - Fernanda Cristina Gomes de Lima
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil
| | - Stanley Juan Chavez Gutierrez
- Pharmacy Course Coordination, Federal University of Piauí (Campus Universitário Ministro Petrônio Portela, SG-8 - Bairro Ininga, Teresina, PI, 64049-550, Brazil
| | - Celso Amorim Camara
- Department of Chemistry, Rural Federal University of Pernambuco (Rua Dom Manuel de Medeiros, S/n - Dois Irmãos, Recife, PE, 52171-900, Brazil
| | - José Maria Barbosa-Filho
- Laboratory of Pharmaceutical Technology, Federal University of Paraíba (Campus I - Lot. Cidade Universitária, João Pessoa, PB, 58051-900, Brazil
| | - Luiz Carlos Alves
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil; Electronic Microscopy, Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco (Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, 50670-901, Brazil
| | - Fábio André Brayner
- Laboratory of Molecular and Cellular Biology, Department of Parasitology, Institute Aggeu Magalhães - FIOCRUZ/PE (Av. Prof. Moraes Rego, S/n - Cidade Universitária, Recife/PE, 50670-420, Brazil; Electronic Microscopy, Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco (Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife, PE, 50670-901, Brazil
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