PMID- 37196462 OWN - NLM STAT- MEDLINE DCOM- 20230620 LR - 20230720 IS - 1873-4367 (Electronic) IS - 0927-7765 (Print) IS - 0927-7765 (Linking) VI - 227 DP - 2023 Jul TI - Surfaces modified with small molecules that interfere with nucleotide signaling reduce Staphylococcus epidermidis biofilm and increase the efficacy of ciprofloxacin. PG - 113345 LID - S0927-7765(23)00223-0 [pii] LID - 10.1016/j.colsurfb.2023.113345 [doi] AB - Staphylococcus epidermidis are common bacteria associated with biofilm related infections on implanted medical devices. Antibiotics are often used in combating such infections, but they may lose their efficacy in the presence of biofilms. Bacterial intracellular nucleotide second messenger signaling plays an important role in biofilm formation, and interference with the nucleotide signaling pathways provides a possible way to control biofilm formation and to increase biofilm susceptibility to antibiotic therapy. This study synthesized small molecule derivates of 4-arylazo-3,5-diamino-1 H-pyrazole (named as SP02 and SP03) and found these molecules inhibited S. epidermidis biofilm formation and induced biofilm dispersal. Analysis of bacterial nucleotide signaling molecules showed that both SP02 and SP03 significantly reduced cyclic dimeric adenosine monophosphate (c-di-AMP) levels in S. epidermidis at doses as low as 25 microM while having significant effects on multiple nucleotides signaling including cyclic dimeric guanosine monophosphate (c-di-GMP), c-di-AMP, and cyclic adenosine monophosphate (cAMP) at high doses (100 microM or greater). We then tethered these small molecules to polyurethane (PU) biomaterial surfaces and investigated biofilm formation on the modified surfaces. Results showed that the modified surfaces significantly inhibited biofilm formation during 24 h and 7-day incubations. The antibiotic ciprofloxacin was used to treat these biofilms and the efficacy of the antibiotic (2 microg/mL) was found to increase from 94.8% on unmodified PU surfaces to > 99.9% on both SP02 and SP03 modified surfaces (>3 log units). Results demonstrated the feasibility of tethering small molecules that interfere with nucleotide signaling onto polymeric biomaterial surfaces and in a way that interrupts biofilm formation and increases antibiotic efficacy for S. epidermidis infections. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Xu, Li-Chong AU - Xu LC AD - Department of Surgery, The Pennsylvania State University College of Medicine, Hershey, PA 17033, USA. Electronic address: lxx5@psu.edu. FAU - Ochetto, Alyssa AU - Ochetto A AD - Department of Biological and Biomedical Sciences, Rowan University, Glassboro, NJ 08028, USA. FAU - Chen, Chen AU - Chen C AD - Department of Chemistry, The Pennsylvania State University, University Park, PA 16802, USA. FAU - Sun, Dongxiao AU - Sun D AD - Department of Pharmacology, Mass Spectrometry Core Facilities (RRID: SCR_017831), The Pennsylvania State University College of Medicine, Hershey, PA 17033, USA. FAU - Allcock, Harry R AU - Allcock HR AD - Department of Chemistry, The Pennsylvania State University, University Park, PA 16802, USA. FAU - Siedlecki, Christopher A AU - Siedlecki CA AD - Department of Surgery, The Pennsylvania State University College of Medicine, Hershey, PA 17033, USA; Department of Biomedical Engineering, The Pennsylvania State University College of Medicine, Hershey, PA 17033, USA. LA - eng GR - R01 HL153231/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20230512 PL - Netherlands TA - Colloids Surf B Biointerfaces JT - Colloids and surfaces. B, Biointerfaces JID - 9315133 RN - 5E8K9I0O4U (Ciprofloxacin) RN - 0 (Nucleotides) RN - 0 (Anti-Bacterial Agents) RN - H2D2X058MU (Cyclic GMP) RN - 0 (Biocompatible Materials) RN - 415SHH325A (Adenosine Monophosphate) SB - IM MH - *Ciprofloxacin/pharmacology MH - *Staphylococcus epidermidis MH - Nucleotides MH - Biofilms MH - Anti-Bacterial Agents/pharmacology MH - Cyclic GMP/metabolism/pharmacology MH - Biocompatible Materials/pharmacology MH - Adenosine Monophosphate PMC - PMC10355139 MID - NIHMS1902697 OTO - NOTNLM OT - Biofilm OT - C-di-AMP OT - C-di-GMP OT - Efficacy of antibiotics OT - Nucleotide OT - Small molecule COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/05/18 01:07 MHDA- 2023/06/20 06:41 PMCR- 2024/07/01 CRDT- 2023/05/17 18:05 PHST- 2022/11/12 00:00 [received] PHST- 2023/03/30 00:00 [revised] PHST- 2023/05/11 00:00 [accepted] PHST- 2024/07/01 00:00 [pmc-release] PHST- 2023/06/20 06:41 [medline] PHST- 2023/05/18 01:07 [pubmed] PHST- 2023/05/17 18:05 [entrez] AID - S0927-7765(23)00223-0 [pii] AID - 10.1016/j.colsurfb.2023.113345 [doi] PST - ppublish SO - Colloids Surf B Biointerfaces. 2023 Jul;227:113345. doi: 10.1016/j.colsurfb.2023.113345. Epub 2023 May 12.