Dynamics and spatial distribution of beta-lactamase expression in Pseudomonas aeruginosa biofilms

Niels Bagge1, Morten Hentzer, Jens Bo Andersen

  • 1Department of Clinical Microbiology, Rigshospitalet, and Department of Bacteriology, Institute for Medical Microbiology and Immunology, Panum Institute, University of Copenhagen, Denmark. nbagge2000@yahoo.dk

Insights

Pseudomonas aeruginosa biofilms exhibit heterogeneous antibiotic resistance. Beta-lactam antibiotics like imipenem and ceftazidime induce resistance primarily in peripheral cells, not central cells, creating varied environments within biofilms.

Area of Science:

  • Microbiology
  • Bacterial Pathogenesis
  • Antibiotic Resistance

Background:

  • Chronic Pseudomonas aeruginosa lung infections in cystic fibrosis patients are challenging due to antibiotic resistance.
  • High-level AmpC beta-lactamase expression in P. aeruginosa biofilms is a key resistance mechanism.
  • Regulation of ampC expression in P. aeruginosa biofilms remains poorly understood.

Purpose of the Study:

  • To investigate the spatial and dynamic regulation of ampC expression in P. aeruginosa biofilms.
  • To understand how beta-lactam antibiotics induce resistance mechanisms in biofilm structures.

Main Methods:

  • Constructed a reporter system fusing the ampC promoter to gfp(ASV) for monitoring gene expression.
  • Exposed in vitro P. aeruginosa biofilms to sub-inhibitory concentrations (sub-MICs) of imipenem and ceftazidime.
  • Utilized an arabinose-inducible promoter fused to gfp(ASV) to assess physiological activity in biofilm centers.

Main Results:

  • Sub-MIC imipenem induced ampC expression in biofilm peripheries, but not centers.
  • Biofilm centers were physiologically active, indicating localized resistance mechanisms.
  • Ceftazidime also induced peripheral ampC expression, even at high concentrations.
  • Increased imipenem concentrations induced expression throughout the entire biofilm.

Conclusions:

  • P. aeruginosa biofilms display heterogeneous populations with spatially distinct antibiotic responses.
  • Biofilm heterogeneity may lead to varied antibiotic-selective environments, complicating treatment.
  • These findings offer novel insights into antibiotic resistance dynamics within biofilms.