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Natural Compound Shows Promise Against Drug-Resistant Bacteria

Research highlights protocatechuic acid's potential in combating resistant Klebsiella pneumoniae infections.

― 7 min read


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Klebsiella Pneumoniae is a type of bacteria that can be found in different parts of the body, such as the skin, lungs, and digestive system. It is also present in the environment. This bacterium can cause serious health problems, especially in people with weak immune systems. Some of the diseases it may cause include pneumonia, infections in the blood, urinary tract infections, and meningitis.

This bacterium can be passed from animals to humans through food or direct contact, making it a concern for both public health and farming. Unfortunately, Klebsiella pneumoniae has become resistant to many Antibiotics due to their overuse. This resistance, especially to a group of powerful antibiotics called carbapenems, makes treating infections very challenging.

Recently, a new and dangerous type of Klebsiella pneumoniae has been identified. This type not only resists carbapenems but is also very virulent, meaning it can cause more severe illness. This kind of bacteria is now seen as a serious new threat to public health.

The Need for New Treatments

Due to the growing problem of antibiotic resistance, there is a pressing need to find new treatments to deal with infections caused by this resistant bacterium. One promising area involves using natural substances found in plants as antibacterial agents.

Natural plant compounds can be safe and effective, and they often have fewer side effects compared to traditional antibiotics. Some of these natural compounds include flavonoids, phenolic acids, tannins, and anthocyanins. These substances can impact bacteria in various ways, such as damaging their cell walls and disrupting their energy production.

Introducing Protocatechuic Acid

One such compound is protocatechuic acid (PCA). This is a phenolic acid that can be found in various fruits and vegetables, such as blackberries, strawberries, and tea. PCA is known for its many health benefits, including reducing inflammation and fighting cancer. It also shows some antibacterial features and can inhibit the growth of several types of bacteria.

PCA has been shown to stop biofilm formation in Klebsiella pneumoniae, meaning it can prevent the bacteria from sticking together and forming protective layers that make them harder to kill. However, the effectiveness of PCA against the most resistant types of Klebsiella pneumoniae and how it works is not completely understood yet.

The Focus of the Study

This study looked at how PCA affects the growth and behavior of Klebsiella pneumoniae. The goal was to see whether PCA could disrupt the normal functions of this bacterium and work with antibiotics to eliminate these resistant infections.

Researchers used two carbapenem-resistant strains of Klebsiella pneumoniae. They checked how PCA affected the bacteria's ability to grow and survive under different conditions. They also looked at how PCA interacts with key bacteria functions such as biofilm formation and cell membrane stability.

Testing PCA's Antibacterial Properties

Researchers tested different concentrations of PCA to find out how it impacts the bacteria's growth. They measured the minimum amount of PCA needed to stop the bacteria from growing, called the minimum inhibitory concentration (MIC). They found that PCA could significantly inhibit the growth of the bacteria at lower concentrations.

To see how PCA worked over time, they measured bacterial growth at several points after treatment. Results showed that higher concentrations of PCA led to a greater reduction in bacterial growth.

They also used a special staining method to observe the bacteria's structure. The results indicated that PCA caused damage to the bacteria's DNA, as the fluorescence (or brightness) indicated irregularities that showed compromised DNA integrity.

Evaluating Safety

To evaluate the safety of PCA on human tissues, scientists conducted a hemolysis test. This test determines how PCA affects red blood cells. They found that PCA appears to be safe at the concentrations effective against bacteria since it did not harm red blood cells.

Assessing Resistance Development

The study further tested whether Klebsiella pneumoniae would develop resistance to PCA over time. They found that, unlike traditional antibiotics that often lead to resistance, PCA did not appear to induce any significant resistance in the bacteria after multiple generations of exposure.

Synergistic Effects with Antibiotics

Since PCA showed potential as an antibacterial agent, researchers also investigated whether PCA could enhance the effectiveness of existing antibiotics, particularly meropenem. The results indicated that PCA could significantly lower the MIC for meropenem, suggesting a strong synergistic effect when both substances were used together.

Inhibition of Biofilm Formation

Bacterial Biofilms are thick layers of bacteria that stick to surfaces, making them hard to treat. The study evaluated how PCA impacted the formation of biofilms in Klebsiella pneumoniae. Using specific tests, they determined that PCA significantly reduced the bacteria's ability to form biofilms.

Through a series of additional tests, researchers found that PCA caused lower levels of extracellular polymeric substances (the sugary substances that make up biofilms). This reduction indicates that PCA can interfere with how bacteria stick together.

Effects on Bacterial Membrane

The bacterial cell membrane is crucial for its survival and functioning. PCA was found to alter the structure of the bacteria's cell membrane, making it rough and uneven. This structural change can lead to increased membrane permeability, allowing more substances to enter or leave the bacteria.

Researchers tested PCA’s impact on both inner and outer membranes. They found that PCA increased the permeability of both membranes, indicating that the bacterium’s protective barrier was compromised. This change can affect how the bacteria function and how they respond to treatments.

Impact on Metabolism

PCA not only affects the structure but also the metabolism of Klebsiella pneumoniae. Metabolic processes are important for energy production and overall bacterial function. After treating the bacteria with PCA, researchers found changes in key metabolic pathways.

The study highlighted significant changes in two major metabolic pathways: the pentose phosphate pathway (PPP) and glycolysis. Both pathways are critical for generating energy and other necessary substances.

PCA treatment reduced the activity of critical enzymes in these pathways. This reduction leads to an imbalance in the bacteria's redox state, which is essential for proper cellular function. When the balance is disturbed, the bacteria can become more susceptible to oxidative stress, meaning they are more vulnerable to damage from reactive oxygen species (ROS).

Inducing Oxidative Stress

The pentose phosphate pathway is vital for producing NADPH, a molecule that helps counteract oxidative stress. The study found that PCA treatment lowered the NADPH levels in Klebsiella pneumoniae, making the bacteria more prone to damage from ROS.

As a result, researchers noted an increase in ROS levels and a rise in malondialdehyde (MDA), which indicates oxidative damage within the bacterial cells. The more damage the bacteria experience, the less likely they are to survive and reproduce.

Additionally, PCA treatment caused a decrease in intracellular ATP levels. ATP is the energy currency of the cell, and lower levels indicate that the bacteria are struggling to maintain their essential functions.

Conclusion

This study suggests that protocatechuic acid (PCA) is a promising candidate in the fight against drug-resistant Klebsiella pneumoniae. PCA not only inhibits the growth of this persistent bacterium but also shows the potential to enhance the effects of existing antibiotics.

PCA’s ability to disrupt biofilm formation and alter the bacteria’s cell membrane and metabolic processes could offer new strategies for treating infections that have become challenging due to antibiotic resistance.

With growing concerns about drug-resistant bacteria, using natural compounds like PCA may pave the way for safer and effective treatments. Continued research into natural antibacterial agents remains critical for addressing the evolving challenges in infectious disease management.

As scientists learn more about PCA and its mechanisms of action, there is hope for the development of new therapies that can successfully combat antibiotic-resistant bacteria and improve patient outcomes.

Original Source

Title: Protocatechuic acid induces endogenous oxidative stress in CR-hvKP by regulating the EMP-PPP pathway

Abstract: BackgroundKlebsiella pneumoniae is an important opportunistic pathogen and zoonotic pathogen. The widespread use of antibiotics has led to the emergence of a large number of multidrug-resistant Klebsiella pneumoniae in clinical animal husbandry, posing a serious threat to global health security. Protocatechuic acid (PCA) is a phenolic acid substance naturally present in many vegetables and fruits. It is a safe and highly developed new type of antibacterial synergist. PurposeThis study explored the antibacterial and synergistic mechanisms of PCA against Carbapenem-resistant hypervirulent Klebsiella pneumoniae. Study designMetabolomic analysis using PCA to investigate the metabolic effects of CR-hvKP and further explore the antibacterial mechanisms resulting from this metabolic regulation. MethodsThe MIC of PCA was measured by microdilution, and its bactericidal effect was observed by DAPI staining. Resistance and hemolysis tests were performed to ensure safety. The synergy of PCA and meropenem was tested by checkerboard assay. The biofilm inhibition was assessed by crystal violet and EPS assays. The membrane morphology, permeability, and potential were examined by SEM, PI, NPN, and DiSC3(5). The metabolic changes were evaluated by AlamarBlue, metabolomics, enzyme activity, ELISA, molecular docking, and qRT-PCR. The oxidative stress and metabolic disorders were verified by NADP(H), ROS, MDA, and ATP assays. ResultsThe results showed that PCA can synergize with antibiotics and inhibit the biofilm and membrane functions of CR-hvKP at low concentrations. Metabolomics revealed that PCA affects the EMP and PPP pathways of CR-hvKP, causing oxidative stress. This involves the binding of PGAM and the downregulation of BPGM, leading to the accumulation of glycerate-3P. This results in the inhibition of G6PDH and the imbalance of NADPH/NADP+, disrupting the energy metabolism and increasing the oxidative stress, which impair the biofilm and membrane functions and enhance the antibiotic efficacy. ConclusionThe results demonstrate that PCA regulates the EMP-linked PPP pathway of CR-hvKP, inhibits biofilm and membrane functions, and synergizes with antibiotics to kill bacteria, providing new insights and candidates for natural antibacterial enhancers. Author SummaryKlebsiella pneumoniae is a common pathogenic bacterium that can infect both humans and animals, causing serious diseases such as pneumonia, meningitis, and sepsis. Due to the overuse of antibiotics, this bacterium has developed resistance to many drugs, posing a significant threat to global health security. Through our research, we have discovered a natural substance called protocatechuic acid (PCA) that can enhance the effectiveness of antibiotics against this bacterium. PCA is found in many vegetables and fruits and is a safe and non-toxic antibacterial adjuvant. Our analysis of the metabolomics of PCA on Klebsiella pneumoniae has revealed its antibacterial and synergistic mechanisms. The study found that PCA can affect the bacteriums sugar metabolism pathway, leading to the generation of endogenous oxidative stress. This disrupts their energy metabolism, damages their cell membranes and biofilms, making them more susceptible to being killed by antibiotics. Through this mechanism, PCA can synergize with common antibiotics such as meropenem, enhancing their bactericidal ability. Our research has demonstrated that PCA is an effective antibacterial adjuvant, providing new candidates and insights for the development of natural antibacterial agents. Graphical abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=104 SRC="FIGDIR/small/583678v1_ufig1.gif" ALT="Figure 1"> View larger version (27K): [email protected]@9f3c51org.highwire.dtl.DTLVardef@3125a8org.highwire.dtl.DTLVardef@9f39b7_HPS_FORMAT_FIGEXP M_FIG C_FIG

Authors: Hong-Bin Si, Y. Zhong, Y. Cheng, S. Xing, X. Zhang, S. Luo, X. Shi, Y. He, H. Liu, M. Yang

Last Update: 2024-03-07 00:00:00

Language: English

Source URL: https://www.biorxiv.org/content/10.1101/2024.03.06.583678

Source PDF: https://www.biorxiv.org/content/10.1101/2024.03.06.583678.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to biorxiv for use of its open access interoperability.

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