Fungicidal activity of lysozyme is inhibited in vitro by commercial sinus irrigation solutions

Charmaine M Woods1, David N Hooper, Eng H Ooi

  • 1Flinders Ear, Nose and Throat, Department of Surgery, Flinders University and Flinders Medical Centre, Adelaide, Australia.

Abstract

Insights

Lysozyme

Area of Science:

  • Immunology
  • Microbiology
  • Biochemistry

Background:

  • Lysozyme is a key innate immune peptide with antimicrobial properties.
  • Chronic rhinosinusitis (CRS) patients exhibit increased lysozyme but still suffer recurrent infections.
  • Commercial sinus irrigation solutions may interfere with lysozyme's ionic interaction mechanism.

Purpose of the Study:

  • To assess if lysozyme's fungicidal activity (FA) decreases with increasing ionic strength.
  • To determine if commercial sinus irrigation solutions inhibit lysozyme's FA.

Main Methods:

  • In vitro colony-forming unit (CFU) assay used to test lysozyme (5 μM) against Aspergillus fumigatus.
  • Fungicidal activity tested in solutions of varying ionic strengths and commercial sinus irrigation solutions.
  • Results presented as percentage of control activity.

Main Results:

  • Lysozyme's FA against A. fumigatus was 95% at 21 mM ionic strength.
  • Fungicidal activity decreased with increasing ionic strength, becoming undetectable at 46 mM.
  • Commercial sinus irrigation solutions completely abolished lysozyme's fungicidal activity.

Conclusions:

  • Lysozyme's in vitro fungicidal activity is significantly dependent on solution ionic strength.
  • The efficacy of commercial sinus irrigation solutions needs further evaluation to ensure they don't impair innate sinonasal immunity.
  • Maintaining the functional activity of antimicrobial peptides in sinus rinses is crucial for managing CRS.

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