PMID- 33352641 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201231 IS - 2076-0817 (Print) IS - 2076-0817 (Electronic) IS - 2076-0817 (Linking) VI - 9 IP - 12 DP - 2020 Dec 19 TI - Clinical Biofilm Ring Test((R)) Reveals the Potential Role of beta-Lactams in the Induction of Biofilm Formation by P. aeruginosa in Cystic Fibrosis Patients. LID - 10.3390/pathogens9121065 [doi] LID - 1065 AB - Biofilms are characterized by high tolerance to antimicrobials. However, conventional antibiograms are performed on planktonic microorganisms. Through the clinical Biofilm Ring Test((R)) (cBRT), initially aimed to measure the adhesion propensity of bacteria, we discerned a variable distribution of biofilm-producer strains among P. aeruginosa samples isolated from expectorations of cystic fibrosis (CF) patients. Despite a majority of spontaneous adherent isolates, few strains remained planktonic after 5 h of incubation. Their analysis by an adapted protocol of the cBRT revealed an induction of the biofilm early formation by sub-inhibitory doses of beta-lactams. Microscopic observations of bacterial cultures stained with Syto 9/Propidium Iodide (PI) confirmed the ability of antimicrobials to increase either the bacterial biomass or the biovolume occupied by induced sessile cells. Finally, the cBRT and its derivatives enabled to highlight in a few hours the potential inducer property of antibiotics on bacterial adhesion. This phenomenon should be considered carefully in the context of CF since patients are constantly under fluctuating antimicrobial treatments. To conclude, assays derived from the Biofilm Ring Test((R)) (BRT) device, not only define efficient doses preventing biofilm formation, but could be useful for the antimicrobial selection in CF, to avoid inducer molecules of the early biofilm initiation. FAU - Olivares, Elodie AU - Olivares E AUID- ORCID: 0000-0001-9224-7665 AD - Virulence Bacterienne Precoce UR7290, ITI Innovec, FMTS, Institut de Bacteriologie, Universite de Strasbourg, 3 Rue Koeberle, 67000 Strasbourg, France. AD - BioFilm Pharma SAS, 317 Avenue Jean Jaures, 69007 Lyon, France. FAU - Tasse, Jason AU - Tasse J AUID- ORCID: 0000-0002-7496-7594 AD - BioFilm Pharma SAS, 317 Avenue Jean Jaures, 69007 Lyon, France. FAU - Badel-Berchoux, Stephanie AU - Badel-Berchoux S AUID- ORCID: 0000-0002-7212-8199 AD - BioFilm Control SAS, Rue Emile Duclaux, 63360 Saint Beauzire, France. FAU - Provot, Christian AU - Provot C AD - BioFilm Pharma SAS, 317 Avenue Jean Jaures, 69007 Lyon, France. AD - BioFilm Control SAS, Rue Emile Duclaux, 63360 Saint Beauzire, France. FAU - Prevost, Gilles AU - Prevost G AD - Virulence Bacterienne Precoce UR7290, ITI Innovec, FMTS, Institut de Bacteriologie, Universite de Strasbourg, 3 Rue Koeberle, 67000 Strasbourg, France. FAU - Bernardi, Thierry AU - Bernardi T AD - BioFilm Pharma SAS, 317 Avenue Jean Jaures, 69007 Lyon, France. AD - BioFilm Control SAS, Rue Emile Duclaux, 63360 Saint Beauzire, France. LA - eng PT - Journal Article DEP - 20201219 PL - Switzerland TA - Pathogens JT - Pathogens (Basel, Switzerland) JID - 101596317 PMC - PMC7766936 OTO - NOTNLM OT - Pseudomonas aeruginosa OT - antibiotics OT - biofilm OT - clinical Biofilm Ring Test(R) OT - cystic fibrosis OT - early bacterial adhesion induction COIS- Authors E.O., C.P., S.B.-B., and J.T. were employed by the companies BioFilm Pharma SAS and BioFilm Control SAS. Author T.B. is the inventor of the BRT device. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2020/12/24 06:00 MHDA- 2020/12/24 06:01 PMCR- 2020/12/19 CRDT- 2020/12/23 01:01 PHST- 2020/12/01 00:00 [received] PHST- 2020/12/15 00:00 [revised] PHST- 2020/12/16 00:00 [accepted] PHST- 2020/12/23 01:01 [entrez] PHST- 2020/12/24 06:00 [pubmed] PHST- 2020/12/24 06:01 [medline] PHST- 2020/12/19 00:00 [pmc-release] AID - pathogens9121065 [pii] AID - pathogens-09-01065 [pii] AID - 10.3390/pathogens9121065 [doi] PST - epublish SO - Pathogens. 2020 Dec 19;9(12):1065. doi: 10.3390/pathogens9121065.