Abstract: Antibiotics are pivotal for treating Staphylococcus aureus infections, but overuse has led to multidrug-resistant (MDR) strains, necessitating alternative strategies. Targeting virulence factors, rather than bacterial survival, offers a promising approach to combat resistance. This study evaluated the in vitro effects of native, non-insecticidal Bacillus thuringiensis (Bt) parasporal crystal proteins (PCPs), in protoxin (PT) and trypsin-activated (AT) forms, on S. aureus virulence gene expression and biofilm formation. Fourteen Bt PCPs were isolated and prepared as PT and AT forms. Their impact was assessed using LacZ promoter fusion assays for hla (alpha-hemolysin), spa (protein A), and RNAIII (a key virulence regulator), supplemented by quantitative β-galactosidase assays. Biofilm formation was quantified and normalized to planktonic growth (Normalized Biofilm Index, NBI) to distinguish specific antibiofilm activity from growth inhibition. AT-PCPs from Bt strains M11, M78, M91, M154t1, and A11 significantly downregulated hla, spa, and RNAIII expression (log₂ fold changes up to –4.88, p < 0.001) and reduced biofilm formation (NBI reduction up to 57%, p < 0.001). AT proteins exhibited no hemolytic activity and had MIC values >100 μg/mL, confirming antivirulence effects at sub-inhibitory concentrations. PCR screening revealed the absence of cyt1 genes in four of five active isolates, supporting Cry-mediated targeting. These in vitro findings suggest that trypsin-activated PCPs can disrupt critical virulence pathways in S. aureus. Trypsin-activated Bt PCPs attenuate virulence and biofilm formation in S. aureus in vitro, highlighting their potential as leads for novel antivirulence strategies. These proteins show potential as candidates for standalone or adjuvant strategies alongside conventional antibiotics in the fight against MDR infections, pending further validation. Further research is needed to elucidate their mechanisms, assess their efficacy in vivo, and evaluate enzymatic activation by host-derived proteases. These in vitro results highlight the potential of Bt-derived PCPs as novel virulence-targeting leads, though further research is needed to identify the active component(s), elucidate mechanisms, and evaluate efficacy in vivo.
Browsing tag: multidrug resistance
Abstract: The Burkholderia cepacia complex (Bcc) consists of multiple opportunistic pathogens capable of causing serious infections, especially in individuals with cystic fibrosis (CF). Some patients may develop “cepacia syndrome,” a rapidly worsening and often deadly complication. Treatment is difficult because Bcc naturally resists many antibiotic classes and can form biofilms, which help it persist and shield bacteria from the immune system. These issues have made traditional antibiotic treatments mostly ineffective, highlighting the urgent need for alternative solutions.
Phage therapy has shown promise as a potential strategy, but its use against Bcc remains limited. Isolating strictly lytic phages is challenging because most available Burkholderia phages are temperate and have narrow host ranges. So far, only a few phages with activity against clinically relevant isolates have been identified. Evidence from compassionate use cases indicates that phage therapy can be safe and well-tolerated, but solid clinical data are still missing. Important gaps in knowledge include the limited availability of phages, the need for standardized protocols, and the optimization of delivery methods, such as aerosolization for lung infections. Solving these issues will be crucial for making phage therapy a practical treatment option for multidrug-resistant Bcc infections.
Abstract: Candida auris is a new fungal pathogen whose clinical significance has dramatically increased within recent years. Major issues related to this species include its rapid global spread and high epidemic potential, resilience and persistence in the hospital environment favoured by its resistance against certain disinfectants, horizontal transmission; possibility of persistent colonization, challenging labora-tory identification based on conventional biochemical methods, multidrug resistance as well as the need for implementation of restrictive and expensive prevention and control measures. This review raises the above mentioned issues and compiles recent findings regarding this microorganism.
Abstract: In recent years in Poland as well as globally at an alarming rate, the number of bacteria producing mechanisms of antibiotic resistance has been increased. The major source of concern is the emergence and dissemination of carbapenem-resistant Enterobacteriaceae (CRE). Carbapenems are considered as last resort drugs for the treatment of multidrug-resistant (MDR) bacterial infections. At the present time the greatest menaces to public health are strains producing KPC (Klebsiella pneumoniae carbapenemases), NDM (New Delhi Metallo-β-lactamase) and OXA-48 (Oxacillinase-48). Carbapenemase-producing Enterobacterales have been resistant to most and sometimes even to all drugs that would be considered for treatment. Therefore, the accurate therapeutic options for the treatment of infections due to CRE strains are limited to the following antibiotics: colistin, tigecycline, fosfomycin, and aminoglycosides. Moreover, combination therapy containing two or more antibiotics has been recommended for the treatment of severe infections caused by carbapenemase-producing Enterobacterales. Due to the rapid spread of carbapenem-resistant strains and the lack of new antibiotic drug development, there is an urgent need to broaden our knowledge regarding antibiotic resistance.
1. Introduction. 2. Carbapenemases. 2.1. Metallo-β-lactamases. 2.2. Class A Carbapenemases. 2.3. Class D Carbapenemases (OXA). 3. Review of antibiotic treatment options of infections due to carbapenem-resistant strains. 3.1. Colistin. 3.2. Fosfomycin. 3.3. Tigecycline. 3.4. Aminoglycosides. 3.5. Carbapenems. 3.6. Mechanism of NDM – likely antibiotic/ chemotherapeutics could be used in the therapy. 3.7. Mechanism of KPC – likely antibiotic/ chemotherapeutics could be used in the therapy. 3.8. Mechanism of OXA-48 – likely antibiotic/ chemotherapeutics could be used in the therapy. 4. Summary
Streszczenie: W ostatnich latach w Polsce jak również na całym świecie w zastraszającym tempie rośnie liczba bakterii wytwarzających mechanizmy oporności na antybiotyki. Głównym problemem jest pojawienie się i rozprzestrzenianie bakterii z rodziny Enterobacteriaceae opornych na karbapenemy (CRE), czyli antybiotyki uznawane za leki ostatniej szansy w leczeniu zakażeń wywołanych przez bakterie wielolekooporne (MDR). W chwili obecnej największe zagrożenie dla zdrowia publicznego stanowią szczepy Enterobacterales wytwarzające mechanizm KPC (Klebsiella pneumoniae carbapenemases), NDM (New Delhi Metallo-β-lactamase) czy OXA-48 (Oxacillinase-48), charakteryzujące się opornością na większość, a czasem nawet na wszystkie możliwe do zastosowania w terapii leki. W związku z powyższym jedynymi skutecznymi opcjami terapeutycznymi w leczeniu zakażeń wywołanych przez szczepy CRE pozostają: kolistyna, tygecyklina, fosfomycyna czy aminoglikozydy. Ponadto, terapia skojarzona obejmująca dwie lub więcej grup antybiotyków zalecana jest w terapii ciężkich infekcji spowodowanych przez szczepy Enterobacterales produkujące karbapenemazy. W związku z gwałtownym rozprzestrzenianiem się szczepów opornych na karbapenemy jak również z brakiem nowych opcji terapeutycznych tak cenna jest wiedza na temat mechanizmów nabywania oporności na antybiotyki.
1. Wstęp. 2. Karbapenemazy. 2.1. Metalo-β-laktamazy. 2.2. Karbapenemazy klasy A. 2.3. Karbapenemazy klasy D (OXA). 3. Przegląd antybiotyków stosowanych w leczeniu zakażeń wywołanych przez szczepy oporne na karbapenemy. 3.1. Kolistyna. 3.2. Fosfomycyna. 3.3. Tygecyklina. 3.4. Aminoglikozydy. 3.5. Karbapenemy. 3.6. Mechanizm NDM – możliwe do zastosowania w terapii antybiotyki/
chemioterapeutyki. 3.7. Mechanizm KPC – możliwe do zastosowania w terapii antybiotyki/chemioterapeutyki. 3.8. Mechanizm OXA-48 – możliwe do zastosowania w terapii antybiotyki/chemioterapeutyki. 4. Podsumowanie

