Emerging Strategies for the Chemical Treatment of Microbial Biofilms

A. McBain, D. Allison, P. Gilbert
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引用次数: 24

Abstract

Over the past decade, several strategies have been proposed for the control of surfaceassociated tnicrobial populations. Physical methods, including electrification, ultrasonication, application of ablative laser light and mechanical cleaning or scraping are generally effective at removing sutface growth. Chemical control methods, on the other hand, are often ineffective. This has led to a notorious association of biofilms with resistance towards antibiotics, biocides and disinfectants. In such respects, reaction-diffusion limitation of the passage of oxidizing biocides and antibiotics, across biofilms aided by the presence ofextracellular enzymes often causes the failure of such agents to sanitize contaminated surfaces. Deep-lying cells within biofilms are often also severely nutrientand oxygen..litnited, causing the expression of starvation phenotypes, which include multi-drug efflux pumps and enhanced exopolylner synthesis. During exposure to antimicrobial agents, these slow growing organislns1 being exposed to sub-lethal levels of agent, will generaHy out-survive their less nutrient-depleted congeners. This Inay well enrich the population for drug resistant phenotypes and genotypes during the post...treatment phase. Emerging biofihn treatment methodologies are based 011 our knowledge of biofilm physiology and resistance mechanisms. For example, in an attempt to prevent early colonization of surfaces and in order to overcome reaction..diffusion limitation, treatnlent agents may be coated onto or incorporated into the substrate to be protected. More sophisticated approaches have been developed, with varying success, that deploy erodable~ biocide-containing coatings. Erosion, in this instance being intended to purge the surface of attached bacteria and cellular debris. At the vanguard of emerging control strategies are surface-catalyzed hygiene and anti cell-cell signalling chemicals.
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微生物生物膜化学处理的新策略
在过去的十年中,已经提出了几种控制表面相关微生物种群的策略。物理方法,包括电气化,超声波,应用烧蚀激光和机械清洗或刮除通常是有效的去除表面生长。另一方面,化学防治方法往往无效。这导致了生物膜与抗生素、杀菌剂和消毒剂的耐药性之间臭名昭著的联系。在这些方面,氧化性杀菌剂和抗生素在细胞外酶的帮助下通过生物膜的反应-扩散限制通常导致这些试剂无法消毒被污染的表面。生物膜深处的细胞通常也严重缺乏营养和氧气。有限的,引起饥饿表型的表达,包括多药物外排泵和增强的外聚合物合成。在暴露于抗菌剂期间,这些生长缓慢的有机体暴露在亚致死水平的抗菌剂中,会比营养较少的同类存活得更久。这将很好地丰富耐药表型和基因型人群。治疗阶段。新兴的生物纤维治疗方法是基于我们对生物膜生理学和耐药机制的了解。例如,为了防止表面的早期定植,为了克服反应扩散的限制,可以将处理剂涂覆在待保护的基质上或并入待保护的基质中。更复杂的方法已经被开发出来,并取得了不同程度的成功,即部署可腐蚀的含有杀菌剂的涂层。在这种情况下,侵蚀是为了清除附着在表面的细菌和细胞碎片。在新兴的控制策略的先锋是表面催化卫生和抗细胞-细胞信号化学物质。
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