Low-Temperature Gas Plasma Combined with Antibiotics for the Reduction of Methicillin-Resistant Staphylococcus aureus

Li Guo1, Lu Yang2, Yu Qi1

  • 1Center for Plasma Biomedicine, State Key Laboratory of Electrical Insulation and Power Equipment, Xi'an Jiaotong University, Xi'an 710049, China.

Insights

Low-temperature gas plasma combined with antibiotics effectively reduces Staphylococcus aureus biofilms in wound infections. This novel approach enhances antibiotic efficacy and demonstrates biosafety, offering a promising new therapy for challenging wound infections.

Area of Science:

  • Microbiology
  • Biomedical Engineering
  • Infectious Diseases

Background:

  • Biofilm infections, particularly those caused by methicillin-resistant Staphylococcus aureus (MRSA), significantly impede wound healing.
  • Low-temperature gas plasma (LTGP) exhibits antimicrobial properties and can re-sensitize microbes to antibiotics.
  • The combined application of LTGP and antibiotics for infectious diseases remains largely unexplored.

Purpose of the Study:

  • To investigate the synergistic effects of LTGP treatment with various antibiotics on reducing Staphylococcus aureus (S. aureus) biofilms in vitro.
  • To evaluate the efficacy and biosafety of a combined LTGP and antibiotic (rifampicin) treatment in a murine wound infection model.
  • To establish LTGP-antibiotic combination therapy as a viable strategy for treating S. aureus wound infections.

Main Methods:

  • In vitro assessment of LTGP's effect on S. aureus biofilms in combination with different antibiotics.
  • In vivo study using a murine wound infection model treated with LTGP and rifampicin.
  • Blood and histochemical analyses to determine the biosafety profile of the combined treatment.

Main Results:

  • LTGP treatment significantly enhanced the efficacy of various antibiotics in reducing S. aureus biofilms in vitro.
  • The combination of LTGP and rifampicin demonstrated significant reduction of S. aureus cells within biofilms in the murine wound model.
  • Biosafety was confirmed through blood and histochemical analyses, indicating no adverse effects from the combined treatment.

Conclusions:

  • Low-temperature gas plasma combined with antibiotics is a potent strategy for combating S. aureus biofilms.
  • This combined therapy shows promise for treating chronic and antibiotic-resistant wound infections.
  • The demonstrated biosafety supports further clinical investigation of LTGP-antibiotic combination treatments for wound infections.