Title ULOGA NITROKSOLINA U KONTROLI INFEKCIJA UROPATOGENIM
ENTEROKOKIMA
Title (english) THE ROLE OF NITROXOLINE IN THE CONTROL OF
UROPATHOGENIC ENTEROCOCCI INFECTIONS
Author Davorka Repac Antić
Mentor Ivana Gobin (mentor)
Committee member Darinka Vučković (predsjednik povjerenstva)
Committee member Branka Bedenić (član povjerenstva)
Committee member Đurđica Cekinović Grbeša (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Microbiology and Parasitology) Rijeka
Defense date and country 2022-12-29, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Medical Microbiology
Universal decimal classification (UDC ) 61 - Medical sciences
Thesaurus (MESH - Medical Subject Headings )
Enterococcus faecalis
drug effects
Anti-Bacterial Agents
therapeutic use
Drug Resistance
Urinary Tract Infections
drug therapy
Abstract Ciljevi istraživanja: Utvrditi mehanizam antimikrobnog i antiadhezijskog učinka nitroksolina (5-nitro-8-hidroksikinolin) na uropatogene enterokoke. Ispitati interakciju između nitroksolina s hidrokinonom ili gentamicinom i njihov utjecaj na spriječavanje stvaranja biofilma kao i na liječenje urinarnih infekcija uzrokovanih enterokokom. Metode: U radu su korištena 29 klinička izolata uropatogenih sojeva Enterococcus faecalis, te standardni ATCC 29212 soj. Klinički izolati su karakterizirani različitim biokemijskim metodama, 16S rRNA sekvencioniranjem, proteinskim profilom (MALDI TOF) te sposobnošću stvaranja biofilma. Antimikrobna učinkovitost se ispitivala određivanjem minimalne inhibicijske koncentracije (MIK), minimalne baktericidne koncentracije (MBK) i minimalne antiadhezijske koncentracije (MAK). Proteinski profil enterokoka prije i nakon tretmana se ispitao pomoću MALDI-TOF MS analize, dok su se morfološke promjene bakterijskih stanica nakon tretmana pratile transmisijskom elektronskom mikroskopijom (TEM), a promjene u strukturi biofilma pomoću pretražne elektronske mikroskopije. Rezultati: Testirani uropatogeni enterokoki pokazuju sličan biokemijski i proteinski profil, a razlikuju se prema svojstvu stvaranja biofilma te osjetljivosti na odabrana antimikrobna sredstva. Nitroksolin pokazuje bakteriostatsko i antiadhezijsko djelovanje na uropatogene enterokoke koje se u kombinaciji s hidrokinonom ili gentamicinom dodatno pojačava. Većina kombinacija hidrokinona i nitroksolina kao i gentamicina i nitroksolina pokazuje aditivni učinak na sve sojeve enterokoka. Zaključak: Navedene kombinacije mogle bi postati potencijalno terapijsko rješenje za liječenje urinarnih infekcija uzrokovanih enterokokima, no neophodno je detaljnije istražiti mehanizme djelovanja.
Abstract (english) Research objectives: To determine the mechanism of the antimicrobial and anti adhesion effect of nitroxoline (5-nitro-8-hydroxyquinoline) on uropathogenic enterococci. To examine the interaction between nitroxoline with hydroquinone or gentamicin and their effect on the prevention of biofilm formation as well as on the treatment of urinary infections caused by Enterococcus. Methods: In our research, 29 clinical isolates of uropathogenic E. faecalis strains and the standard ATCC 29212 strain were used. Clinical isolates were characterized by various biochemical methods, 16S rRNA sequencing, protein profile (MALDI-TOF) and the ability to form biofilm. Antimicrobial efficiency was tested by determining the minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC) and minimum antiadhesion concentration (MAC). The protein profile of enterococci before and after treatment was examined using MALDI-TOF MS analysis, while the morphological changes of bacterial cells after treatment were monitored by transmission electron microscopy (TEM), and changes in the biofilm structure using scanning electron microscopy (SEM). Results: The tested uropathogenic enterococci show a similar biochemical and protein profile and differ by ability to form biofilm as well as sensitivity to selected antimicrobial agents. Nitroxoline exhibits bacteriostatic and anti-adhesion effects on uropathogenic enterococci, which is further enhanced when combined with hydroquinone or gentamicin. Most combinations of hydroquinone and nitroxoline aswell as gentamicin and nitroxoline show an additive effect on all strains of enterococci. Conclusion: The mentioned combinations could become a potential therapeutic solution for the treatment of urinary infections caused by enterococci, but it is necessary to further investigate the mechanisms of action
Keywords
enterokoki
antimikrobna rezistencija
nitroksolin
hidrokinon
biofilm
gentamicin
Keywords (english)
enterococci
antimicrobial resistance
nitroxoline
hydroquinone
biofilm
gentamicin
Language croatian
URN:NBN urn:nbn:hr:184:613889
Study programme Title: Biomedicine Postgraduate (doctoral) study programme Study programme type: university Study level: postgraduate Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
Type of resource Text
File origin Born digital
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Terms of use
Created on 2023-01-18 12:02:12