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Published on: April 25, 2025
Curcumin alleviates persistence of Acinetobacter baumannii against colistin
Amanjot Kaur1, Prince Sharma2, Neena Capalash3
1Department of Biotechnology, Panjab University, Chandigarh, 160014, India.
Abstract:
Persisters are phenotypic variants of normal susceptible bacterial populations that survive prolonged exposure to high doses of antibiotics and are responsible for pertinacious infections and post-treatment relapses. Out of the three antibiotics, Acinetobacter baumannii formed the highest percentage of persister cells against rifampicin followed by amikacin and the least against colistin. Colistin-treated cells formed the high levels of reactive oxygen species (ROS) whose quenching with bipyridyl and thiourea led to an increased persister population. Curcumin, a polyphenolic pro-oxidant, significantly decreased persistence against colistin. The quenching of ROS generated by curcumin-colistin combination and the use of resveratrol, an anti-oxidant, with colistin increased the persister population, supporting the significance of ROS in decreased persistence against this combination. The down-regulation of repair genes by this combination in comparison to colistin alone supported the modulation of gene expression in response to ROS and their importance in decreased persistence. Increased membrane permeability by colistin, facilitating the penetration of curcumin into cells and resulting in increased ROS and compromised repair compounded by the decreased efflux of colistin by the inhibition of efflux pumps, may be responsible for enhanced lethality and low persistence. Hence, the curcumin-colistin combination can be another option with anti-persister potential for the control of chronic A. baumannii infections.
Insights
The study found that combining curcumin and colistin effectively reduced persister cells in Acinetobacter baumannii infections. This combination enhances antibiotic lethality by increasing reactive oxygen species and inhibiting repair mechanisms.
Area of Science:
- Microbiology
- Pharmacology
- Molecular Biology
Background:
- Persister cells are bacterial variants that survive antibiotic treatment, causing chronic infections.
- Acinetobacter baumannii is a significant pathogen known for forming persister cells.
- Understanding mechanisms to eradicate persister cells is crucial for treating persistent infections.
Purpose of the Study:
- To investigate the role of reactive oxygen species (ROS) in persister cell formation.
- To evaluate the anti-persister activity of curcumin and colistin, alone and in combination.
- To elucidate the molecular mechanisms underlying the observed effects.
Main Methods:
- Assessing persister cell formation against rifampicin, amikacin, and colistin.
- Measuring ROS levels in antibiotic-treated bacterial cells.
- Investigating the effect of ROS quenchers and antioxidants on persister populations.
- Analyzing the expression of bacterial repair genes.
Main Results:
- Colistin treatment increased ROS levels, and quenching ROS enhanced persister formation.
- Curcumin significantly decreased persister cells when combined with colistin.
- The curcumin-colistin combination modulated gene expression, down-regulating repair genes.
- Increased membrane permeability and inhibited efflux pumps contributed to enhanced colistin efficacy.
Conclusions:
- The curcumin-colistin combination demonstrates significant anti-persister potential against Acinetobacter baumannii.
- ROS generation and compromised repair mechanisms are key factors in the combination's efficacy.
- This combination offers a promising strategy for controlling chronic A. baumannii infections.
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