Comparison of the therapeutic potential of bacteriophage KpV74 and phage-derived depolymerase (β-glucosidase) against Klebsiella pneumoniae capsular type K2

Bacteriophages and phage polysaccharide-degrading enzymes (depolymerases) are garnering attention as possible alternatives to antibiotics. Here, we describe the antimicrobial properties of bacteriophage KpV74 and phage depolymerase Dep_kpv74 specific to the hypervirulent Klebsiella pneumoniae of the K2 capsular type. The depolymerase Dep_kpv74 was identified as a specific glucosidase that cleaved the K2 type capsular polysaccharides of the K. pneumoniae by a hydrolytic mechanism. This depolymerase was effective against thigh soft tissue K. pneumoniae infection in mice without inducing adverse behavioral effects or toxicity. The depolymerase efficiency was similar to or greater than the bacteriophage efficiency. The phage KpV74 had a therapeutic effect only for treating the infection caused by the phage-propagating K. pneumoniae strain and was completely inactive against the infection caused by the K. pneumoniae strain that did not support phage multiplication. The depolymerase was effective in both cases. A mutant resistant to phage and depolymerase was isolated during the treatment of mice with bacteriophage. A confirmed one-base deletion in the flippase-coding wzx gene of this mutant is assumed to affect the polysaccharide capsule, abolishing the KpV74 phage adsorption and reducing the K. pneumoniae virulence.

Novel Klebsiella pneumoniae K23-Specific Bacteriophages From Different Families: Similarity of Depolymerases and Their Therapeutic Potential

Antibiotic resistance is a major public health concern in many countries worldwide. The rapid spread of multidrug-resistant (MDR) bacteria is the main driving force for the development of novel non-antibiotic antimicrobials as a therapeutic alternative. Here, we isolated and characterized three virulent bacteriophages that specifically infect and lyse MDR Klebsiella pneumoniae with K23 capsule type. The phages belonged to the Autographiviridae (vB_KpnP_Dlv622) and Myoviridae (vB_KpnM_Seu621, KpS8) families and contained highly similar receptor-binding proteins (RBPs) with polysaccharide depolymerase enzymatic activity. Based on phylogenetic analysis, a similar pattern was also noted for five other groups of depolymerases, specific against capsule types K1, K30/K69, K57, K63, and KN2. The resulting recombinant depolymerases Dep622 (phage vB_KpnP_Dlv622) and DepS8 (phage KpS8) demonstrated narrow specificity against K. pneumoniae with capsule type K23 and were able to protect Galleria mellonella larvae in a model infection with a K. pneumoniae multidrug-resistant strain. These findings expand our knowledge of the diversity of phage depolymerases and provide further evidence that bacteriophages and phage polysaccharide depolymerases represent a promising tool for antimicrobial therapy.

Synergistic and long-lasting antibacterial effect of antibiotic-loaded TiCaPCON-Ag films against pathogenic bacteria and fungi

Implant-related bacterial infections remain a serious problem that is not solved yet. Herein we combined several antibacterial agents to achieve synergistic effects and broader protection of widely used metallic implants. Titanium samples with microcontainers for drug, produced by selective laser sintering, were coated with Ag-doped biocompatible and bioactive TiCaPCON film and loaded with an antibiotic (gentamicin or a mixture of gentamicin and amphotericin B). Bactericide release tests demonstrated that the release rate of one bactericide agent (Ag⁺ ions or gentamicin) depended on the presence of the other antibacterial component. The antibacterial activity of the biocide-doped samples was evaluated against clinically isolated Escherichia coli O78 (E. coli), Staphylococcus aureus (S. aureus) bacteria, and Neurospora crassa wt-987 (N. crassa) spores. It was found that samples loaded with low gentamicin concentration (0.2 and 0.02 mg/cm²), i.e. 10 and 100 times less than the standard gentamicin concentration (2 mg/cm²), demonstrated a superb antibacterial activity against E. coli bacteria. We showed that a crosslinking reaction between gentamicin and TiCaPCON film proceeded either through the formation of amide bonds or via the electrostatic interaction between amine groups of gentamicin and COOH groups of TiCaPCON and led to the formation of relatively stable drug/film conjugates that prevented a rapid dissolution of gentamicin and ensured its long-term (for 72 h) antibacterial protection. Leaching of silver ions provided an effective antibacterial protection after the depletion of the drug reservoirs. The obtained results clearly show a synergistic antibacterial action of Ag⁺ ions and gentamicin against S. aureus bacteria. In addition, in the presence of Ag⁺ ions, the antifungal activity of samples loaded with a mixture of gentamicin and amphotericin B against N. crassa fungus was observed to increase. Thus, it is demonstrated that silver can be successfully coupled with different types of antibiotics to provide innovative hybrid metal-ceramic bioconstructions that are able to deliver precise doses of bactericide agents within a certain period of time and are equally effective against Gram-negative E. coli bacteria, Gram-positive S. aureus, and N. crassa fungus.

Approaches for Controlled Ag+ Ion Release: Influence of Surface Topography, Roughness, and Bactericide Content

Silver is the most famous bactericidal element known from ancient times. Its antibacterial and antifungal effects are typically associated with the Ag ionization and concentration of Ag⁺ ions in a bacterial culture. Herein we thoroughly studied the influence of surface topography and roughness on the rate of Ag⁺ ion release. We considered two types of biocompatible and bioactive TiCaPCON-Ag films with 1 and 2 at. % of Ag and nine types of Ti surfaces with an average roughness varying in the range from 5.4 × 10^-2 to 12.6 μm and different topographic features obtained through polishing, sandblasting, laser treatment, and pulsed electrospark deposition. It is demonstrated that the Ag⁺ ion release rates do not depend on the Ag content in the films as the main parameter, and it is other factors, such as the state of Ag agglomeration, surface topography and roughness, as well as kinetics of surface oxidation, that play a critical role. The obtained results clearly show a synergistic effect of the Ag content in the film and surface topography and roughness on Ag⁺ ion release. By changing the surface topographical features at a constant content of bactericidal element, we showed that the Ag⁺ ion release can be either accelerated by 2.5 times or almost completely suppressed. Despite low Ag⁺ ion concentration in physiological solution (<40 ppb), samples with specially fabricated surface reliefs (flakes or holes) showed a pronounced antibacterial effect already after 3 h of immersion in E. coli bacterial culture. Thus, our results open up new possibilities for the production of cost-effective, scalable, and biologically safe implants with pronounced antibacterial characteristics for future applications in the orthopedic field.

Toward bioactive yet antibacterial surfaces

The fabrication of antibacterial yet biocompatible and bioactive surfaces is a challenge that biological and biomedical community has faced for many years, while no "dream material" has been developed so far. The primary goal of this study was to establish an optimal range of Ag concentration and its state of agglomeration in bioactive nanocomposite TiCaPCON films which would provide a strong bactericidal effect without compromising the material biocompatibility and bioactivity. To obtain samples with different Ag content and redistribution, two different methods were employed: (i) TiCaPCON films deposition by magnetron sputtering of composite TiС0.5-Ca3(РО4)2 target followed by Ag(+) ion implantation and (ii) Ag-doped TiCaPCON films obtained by co-sputtering of composite TiС0.5-Ca3(РО4)2 and Ag targets. In order to reveal the antibacterial role of Ag nanoparticles and Ag(+) ions, both separate and in synergy, part of the samples from the first and second groups was subjected to additional ion etching to remove an Ag rich surface layer heavily populated with Ag nanoparticles. All resultant films were characterized with respect to surface morphology, chemical composition, surface roughness, wettability, and Ag(+) ion release. The antibacterial and antifungal effects of the Ag-doped TiCaPCON films were evaluated against clinically isolated Escherichia coli O78 (E. coli) and Neurospora crassa wt-987 spores. The influence of the surface chemistry on spreading, proliferation, and early stages of MC3T3-E1 osteoblastic cell differentiation was also studied. Our data demonstrated that under optimal conditions in terms of Ag content and agglomeration, the Ag-doped TiCaPCON films are highly efficient against E. coli bacteria and, at the same time, provide good adhesion, spreading, proliferation and differentiation of osteoblastic cells which reflect high level of biocompatibility and bioactivity of the films. The influence of Ag(+) ions and nanoparticles on the MC3T3-E1 osteoblastic cells and E. coli bacteria is also discussed.

[Thermodynamic approach to estimating climate change impacts on the vegetation cover]

Possible changes of zonal phytocenoses for the territory of European Russia under a 1 degrees C increase in the annual mean global surface temperature are analyzed from a thermodynamic point of view. Outputs of the atmosphere-ocean general circulation model HadCM3 (Met Office Hadley Centre, United Kingdom) and the intermediate-complexity climate model developed at the Institute of Atmospheric Physics, Russian Academy of Sciences, are used. Model estimates of the annual entropy production by the vegetation cover for the territory under study are obtained for the second half of the 20th century. Changes in the annual entropy production are estimated under possible warming.

[Model estimates of climate change impact on habitats of zonal vegetation for the plain territories of Russia]

Possible changes in the habitats of zonal phytocenoses for the plain territories of Russia under a 1 degrees C increase in the annual mean global surface temperature are estimated by simulation with the atmosphere-ocean general circulation models ECHAM4/OPYC3 and HadCM3 and the intermediate-complexity climate model of the Institute of Atmospheric Physics for anthropogenic scenarios of greenhouse gas changes. The response of the phytocenotic habitats to possible climate changes is estimated from the changes in net primary production for the considered climatic scenarios. The obtained data allowed us to recognize the zonal phytocenoses most sensitive to climate changes.

[Successions in the forest-steppe under climate changes: a modelling approach]

The paper represents an attempt to apply the general principles of modelling vegetation dynamics under climate changes to a study of the long-term vegetation dynamics in the forest-steppe zone of the European territory of Russia, with a purpose to forecast under special climatic scenarios. An original technique is used to construct a Markov chain as a model of vegetation succession. The technique emanated from gebotanic knowledge generalized as a scheme of successional transitions with estimates of the average duration for certain stages of succession. Whenever the knowledge related the stage duration to certain (climate-sensitive) factors of the environment, the fundamental potentiality arises to model the temporal course of succession as a function of a given scenario for how the key factors change. In the formal terms, the model represents a random chain of the Markov kind with a finite number of states and discrete time of transitions by the given scheme. Relative square distributions of succession stages under concern at any time moment (within an adopted scenario) appear as the model outcome (forecasts), as well as estimates of the attainment time for certain states of the vegetation in the territory under study. A method is proposed to describe dynamics of the phytomass production and stores (and the corresponding model trajectories are obtained) for a given scenario.

[Modeling of values of the net primary production for the zonal vegetation in European Russia]

Several modern approaches to the problem of estimating the net primary production of terrestrial ecosystems are discussed. A method for predicting the dynamics of this parameter as a function of radiation balance and annual evapotranspiration is described. The values of annual carbon by the zonal vegetation of European Russia are calculated in two ways: by methods based on the empirically determined relationships between the annual average values of climatic parameters and net primary production and on the basis of models describing carbon flows between the compartments of ecosystems. The model estimations of net primary production are compared with experimental data.

[Surgical correction of external nose deformities]

During surgical elimination of external nose deformation biologically inert prostheses were used. In the post-operative period low-intensity laser therapy was applied. No adverse effects of corundum ceramics were noted. The procedure of posterior tamponade was modified to ensure complete isolation of the nasopharynx during surgical manipulations on the external nose skeleton.