Antimicrobial characteristics of Berberine against prosthetic joint infection-related Staphylococcus aureus of

Jiaqi Tan1, Jin Wang1, Chuang Yang1

  • 1Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's HospitalShanghai Jiao Tong University, Shanghai, 200233, China.

Abstract

Insights

Berberine shows bactericidal effects against Staphylococcal aureus strains causing prosthetic joint infections. However, its effectiveness varies with bacterial subtypes, impacting treatment strategies for these challenging infections.

Area of Science:

  • Microbiology and Infectious Diseases
  • Pharmacology and Traditional Medicine

Background:

  • Staphylococcus aureus (S. aureus) is the primary cause of prosthetic joint infections (PJI), a severe complication of arthroplasty.
  • The ability of S. aureus to form biofilms and develop multi-drug resistance necessitates novel anti-staphylococcal agents for PJI prevention and treatment.
  • Berberine, derived from traditional Chinese herbs, exhibits antimicrobial activity, but its efficacy against PJI-related S. aureus is not well-established.

Purpose of the Study:

  • To evaluate the antimicrobial activity of berberine against clinical isolates of PJI-related S. aureus.
  • To determine if berberine's inhibitory efficacy against S. aureus is influenced by specific bacterial subtypes (MLST).

Main Methods:

  • Collected and characterized 18 PJI-associated S. aureus strains, including Multi-locus Sequence Typing (MLST).
  • Assessed berberine susceptibility in both planktonic and biofilm forms.
  • Performed transcriptomic profiling of one S. aureus strain (ST1792) after berberine incubation.

Main Results:

  • Minimum Inhibitory Concentrations (MICs) for PJI-related S. aureus ranged broadly (64–512 μg/ml) and varied by MLST subtype.
  • S. aureus strains could regrow after 24 hours at or above their respective MICs of berberine.
  • Sub-inhibitory concentrations of berberine paradoxically enhanced biofilm formation in certain S. aureus strains.

Conclusions:

  • Berberine demonstrates bactericidal activity against PJI-related S. aureus.
  • The antimicrobial effectiveness of berberine is significantly influenced by the MLST subtype of S. aureus.
  • Berberine's impact on both planktonic and biofilm growth forms of S. aureus is subtype-dependent, suggesting personalized treatment approaches.

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