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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.
Background:
Lysozyme is an innate immune peptide with bactericidal and fungicidal activity (FA). Despite increased expression of lysozyme protein in chronic rhinosinusitis (CRS) sinus mucosa, CRS patients experience repeated bacterial and/or fungal infections. Commercial sinus irrigation solutions are often used to provide symptomatic relief. However, one of the mechanisms of action of lysozyme involves ionic interactions with the microbial cell wall, which may be inhibited by ionic solutions such as commercial sinus irrigation solutions.
Objective:
Determine if the FA of lysozyme is reduced in the presence of solutions with increasing ionic strength and inhibited in the presence of commercial sinus irrigation solutions.
Methods:
Using an in vitro colony-forming unit (CFU) assay, the FA of lysozyme (5 μM) was tested against a fungi commonly isolated from CRS patients, Aspergillus fumigatus, in solutions of increasing ionic strength or commercial sinus irrigation solutions. FA was presented as percent of control.
Results:
FA of lysozyme against A. fumigatus was 95% in a 21-mM ionic strength solution. However, with increasing ionic strength, FA decreased and was abolished in a 46-mM ionic strength solution. Commercial sinus irrigation solutions abolished the FA of lysozyme against A. fumigatus.
Conclusion:
The in vitro FA of lysozyme is dependent on the ionic strength of the solution. The use of sinus irrigation solutions should be further evaluated with regard to maintaining functional activity of cationic antimicrobial peptides involved in sinonasal innate immunity.
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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