Evidence map›Paper›PMID 26687035›Full record

ArticleScientific reports2015

Antibiotic regimen based on population analysis of residing persister cells eradicates Staphylococcus epidermidis biofilms.

Shoufeng Yang, Iain D Hay, David R Cameron, Mary Speir, Bintao Cui, Feifei Su, Anton Y Peleg, Trevor Lithgow, Margaret A Deighton, Yue Qu

Abstract read
In one paragraph

Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Ventricular Assist Device-Specific Infections.Journal of clinical medicine · 2021
    Review
  12. Article
  13. Combination Therapy to Treat Fungal Biofilm-Based Infections.International journal of molecular sciences · 2020
    Review
  14. Article
  15. Biofilm Formation ofFrontiers in microbiology · 2020
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shoufeng YangDepartment of Infectious diseases, Wenzhou Central Hospital, Zhejiang, China 325000.
Iain D HayDepartment of Microbiology, School of Medicine, Nursing and Health Sciences, Monash University, Clayton 3800, Victoria, Australia.
David R CameronDepartment of Microbiology, School of Medicine, Nursing and Health Sciences, Monash University, Clayton 3800, Victoria, Australia.
Mary SpeirDepartment of Biochemistry and Molecular Biology, School of Medicine, Nursing and Health Sciences, Monash University, Clayton 3800, Victoria, Australia.
Bintao CuiSchool of Applied Sciences, RMIT University, Plenty Road, Bundoora 3083, Victoria, Australia.
Feifei SuDepartment of Infectious diseases, Wenzhou Central Hospital, Zhejiang, China 325000.
Anton Y PelegDepartment of Microbiology, School of Medicine, Nursing and Health Sciences, Monash University, Clayton 3800, Victoria, Australia.
Trevor LithgowDepartment of Microbiology, School of Medicine, Nursing and Health Sciences, Monash University, Clayton 3800, Victoria, Australia.
Margaret A DeightonSchool of Applied Sciences, RMIT University, Plenty Road, Bundoora 3083, Victoria, Australia.
Yue QuDepartment of Microbiology, School of Medicine, Nursing and Health Sciences, Monash University, Clayton 3800, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biofilm formation is a major pathogenicity strategy of Staphylococcus epidermidis causing various medical-device infections. Persister cells have been implicated in treatment failure of such infections. We sought to profile bacterial subpopulations residing in S. epidermidis biofilms, and to establish persister-targeting treatment strategies to eradicate biofilms. Population analysis was performed by challenging single biofilm cells with antibiotics at increasing concentrations ranging from planktonic minimum bactericidal concentrations (MBCs) to biofilm MBCs (MBCbiofilm). Two populations of "persister cells" were observed: bacteria that survived antibiotics at MBCbiofilm for 24/48 hours were referred to as dormant cells; those selected with antibiotics at 8 X MICs for 3 hours (excluding dormant cells) were defined as tolerant-but-killable (TBK) cells. Antibiotic regimens targeting dormant cells were tested in vitro for their efficacies in eradicating persister cells and intact biofilms. This study confirmed that there are at least three subpopulations within a S. epidermidis biofilm: normal cells, dormant cells, and TBK cells. Biofilms comprise more TBK cells and dormant cells than their log-planktonic counterparts. Using antibiotic regimens targeting dormant cells, i.e. effective antibiotics at MBCbiofilm for an extended period, might eradicate S. epidermidis biofilms. Potential uses for this strategy are in antibiotic lock techniques and inhaled aerosolized antibiotics.

Indexed as

Anti-Bacterial AgentsBiofilmsCatheter-Related InfectionsHumansMicrobial Sensitivity TestsStaphylococcus epidermidisAnti-Bacterial Agents

Identifiers

PMID26687035
PMCPMC4685274

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.