22nd International Symposium on Plasma Chemistry July 5-10, 2015; Antwerp, Belgium Atmospheric pressure non-thermal plasma-mediated attenuation of acyl homoserine lactone-dependent bacterial cell-cell communication (quorum sensing): a possible anti-virulence approach in chronic infection P.B. Flynn1, A. Busetti1, N.H. Alshraiedeh1,2, W.G. Graham3, S.P. Gorman1 and B.F. Gilmore1 1 2 School of Pharmacy, Queen’s University Belfast, Northern Ireland Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan 3 Centre for Plasma Physics, Queen’s University Belfast, Northern Ireland Abstract: To date, the vast majority of antimicrobial studies in the field of plasma medicine, have examined the susceptibility to, and cellular interactions of, non-thermal plasmas with bacteria, for infection and contamination control applications. However, few studies have examined the potential role of non thermal plasmas in the control of key microbial virulence factors, including the sophisticated bacterial intracellular system of communication, known as Quorum Sensing (QS). QS is a population density-dependent cell-cell communication system which coordinates gene expression and controls key behaviours in bacteria including virulence, biofilm formation and motility. QS relies on small diffusible signals, termed autoinducers, the most extensively studied of which are the Gram negative signalling molecules, the acyl homoserine lactones (AHLs). This study reports for the first time the ability of non-thermal plasma to degrade these molecules and in so doing, disrupt this critical bacterial signalling pathway. Keywords: quorum sensing, acyl-homoserine lactones, atmospheric pressure non-thermal plasma 1. Introduction The rapidly growing field of plasma medicine has experienced an explosion of interest within the past two decades. In particular, atmospheric non-thermal plasma (APNTP) has shown tremendous antimicrobial efficacy against microorganisms, [1] suggesting its potential applicability in a plethora of clinical applications, settings and scenarios. Whilst still a relatively nascent and rapidly expanding field, the antimicrobial potential of APNTP has attracted greatest interest within the fields of infection and contamination control, with sterilization and disinfection amongst the earliest applications described [2]. Within a host, bacterial cells produce a variety of extracellular molecules responsible for mediating bacteria-host interactions. The term ‘autoinducers’ is used to describe a class of extracellular molecules synthesised by bacteria which are integral to cellular communication, a process termed quorum sensing (QS). QS is fundamental for the regulation of pathogenicity and virulence in numerous human pathogens [3]. This study represents the first investigation on the effects of APNTP on the biological activity of a class of autoinducers employed by several Gram negative human pathogens, the acyl homoserine lactones (AHLs). QS in bacteria relies on the production, detection and response to auto inducers. There are different autoinducer molecules and pathways for detection between bacteria. Gram negative bacteria typically use the LuxI/LuxR QS pathway. The LuxI system is responsible for synthesising autoinducer molecules called acyl homoserine lactones O-22-1 (AHL). These molecules are composed of a lactone ring ligated to an acyl carbon chain through an amide bond. Examples of these molecules are shown in Fig. 1. These AHL molecules bind to the cognate LuxR receptor and activate transcription of target genes. As well as activating the production of genes, the bound AHLs also activate a feedback loop that increases the production of more AHLs [3]. The transcription of QS-controlled genes regulate key behaviours in these bacteria, including antibiotic resistance, biofilm formation, motility and virulence factor production. QS systems are critical in control of virulence in many clinically important Gramnegative human pathogens including Pseudomonas aeruginosa, Acinetobacter baumannii and Burkholderia species. Using four acyl homoserine lactones (Fig. 1) as model autoinducer signalling molecules, we examined the effect of plasma on the ability of these molecules to induce phenotypic responses (pigment/ bioluminescence) using several bacterial bio-reporters. This study describes, for the first time, the effect of atmospheric plasma exposure the biological activity of these molecules and its consequential effect on the QS pathway. This study demonstrates that, in addition to direct bactericidal activity, short non thermal plasma exposures have the ability to disrupt key virulence pathways in bacteria thus elucidating further the potential biological effects of atmospheric plasma in the biological milieu of chronic infections, and highlights the potential of APNTP as an ‘anti-virulence’ approach. 1 and diluted in phosphate buffer saline (PBS) to achieve a working concentration of 100 µM. Fig. 1. Structures of acyl homoserine lactone molecules used in this study. (A) N-butyrl-homoserine lactone, (B) N-hexanoyl-homoserine lactone, (C) N-octanoylhomoserine lactone, (D) N-(3-oxododecanoyl)homoserine lactone. 2. Materials and Methods 2.1. Plasma Source and Exposure Protocol The atmospheric plasma jet used in this study has previously been described in [4, 5] and a diagram of the experimental set up is shown in Fig. 2. Briefly 20 µl samples of each molecule were exposed to a 2 standard litre per minute (SLM) helium/oxygen 0.5% plasma plume, 15 mm from the nozzle exit. Correction of the evaporation was considered through weighing before and after plasma exposure samples. Five replicates were exposed for 0 (control), 30, 60, 120, 240 seconds for each molecule. Fig. 2. Diagram of plasma jet and exposed samples. 2.2. Acyl Homoserine Lactones A stock 10 mM concentration of the following molecules N-butyrl-dl-homoserine lactone (C4 AHL). N-hexanoyl-dl-homoserine lactone (C6 AHL), N-octanoyl-dl-homoserine lactone (C8 AHL) and N-(3-oxododecanoyl)-homoserine lactone (C12 AHL) (Sigma Aldrich, Dorset, UK) was prepared in acetonitrile 2 2.3. Bio-reporter strains and Growth Conditions Chromobacterium violaceum (CVO26) and Escherichia coli pSB401 were used to report the QS activity of C6 AHL and C8 AHL. CV026 produces a strong purple pigment in the presence of C6 and C8 AHLs. E. coli pSB401 utilises the luxCDABE system from Vibrio fisheri and produces bioluminescence when exogenous C6 or C8 AHL are added to the culture. Another bioluminescent strain, E. coli pSB 1142, was used to report the biological activity of C12 AHL. Agrobacterium tumefaciens ATCC BAA-2240 was used to report the biological activity of all AHLs, this system produces an enzyme, β-galactosidase, in the presence of threshold concentrations of AHL. The produced enzyme metabolises the chromogenic substrate, X-Gal (5-Bromo-4-chloro-3-indolyl β-D-galactoside) to an insoluble blue pigment in the presence of exogenous AHLs. These bio-reporter strains were grown in Luria Bertani (LB) broth with 25 µg/ml kanamycin added to CV026, 5 µg/ml tetracycline added to both E. coli strains and 25 µg/ml gentamicin added to A. tumefaciens. CV026 and A. tumefaciens were grown at 28 °C and the E. coli strains at 37 °C. 2.4. Thin Layer Chromatography (TLC) and Bio- reporter Overlays. AHLs were spotted on RP-C18 aluminium backed silica TLC plates and developed in a 60:40% v/v methanol: water mobile phase. TLCs were air-dried and placed on LBA. CV026 overlays were prepared by adding 50 µl of an overnight culture to 10 ml of LB + 1% agar and poured over the plates. To prepare the A. tumefaciens overlays, X-Gal (5-bromo-4-chloro-3-indolyl β-D-galactoside) was added to 10 ml of LB + 1% agar to make a final concentration of 60 µg/ml along with 1 ml of an overnight culture, which was poured over the TLC plates. Plates were incubated at 28 °C for 48 hours allowing the pigments to develop. The plates were then photographed using an Olympus E-600 digital camera. 2.5. Bioluminescence Assay 10µl of AHL samples were added to 90 µl of a 1 in 100 dilution of an overnight culture of E. coli pSB401 (C6 & C8) or E. coli pSB1142 (C12). Luminescence was measured using a BMG Fluostar Optima Fluorescence plate reader (BMG,Labtech Ltd, Aylesbury, UK) over 14 hours at 37 °C. Luminescence values were normalised according to growth (OD 550 ) over the same period of time for each sample. 3. Results and Discussion TLC overlays were carried out for all AHL molecules using CV026 and A. tumefaciens. CV026 is specific to both C6 AHLs and C8 AHLs with C6 eliciting the strongest response. A. tumefaciens is less selective responding to a range of AHLs [6]. Fig. 3 shows CV026 O-22-1 Bioluminescence (RLU/OD 550nm) response to plasma exposed n-hexanoyl-homoserine lactone over various times. It is clear from Fig. 3 that with increasing plasma exposure of C6 AHL, the phenotypic response (pigment production) of CV026 decreases indicating attenuation of QS. (A) 10 6 Control 3-oxododecanoyl HL 30 seconds exposure 60 seconds exposure 120 seconds exposure 240 seconds exposure Negative Control 10 5 10 4 10 3 10 2 10 1 (B) (A) 10 0 0 6 4 2 10 8 14 12 Bioluminescence (RLU/OD 550nm ) Growth time (hours) (B) 10 6 Control N-hexanoyl-HL 30 C6 AHL 60 C6 AHL 120 C6 AHL 240 C6 AHL Negative Control 10 5 10 4 10 3 10 2 (C) (D) 10 1 10 0 0 2 4 6 8 10 12 14 Fig. 3. TLC overlays of CV026 and 100µM C6 AHL treated for various times. A, positive control (0 second’s exposure). B, 30 seconds exposure. C, 60 seconds exposure. D, 120 second’s exposure. E, 240 seconds exposure. The black line represents were 1 µl of N-hexanoyl homoserine lactone was spotted (1 x 10-9 M). Fig. 4, presents the bioluminescence assays for plasma treated C12, C6 and C8 AHLs. It is clearly shown that with increased plasma treatment the phenotypic response decreases, confirming that plasma has altered the biological activity of these QS molecules. The negative control (no AHL added) is present indicating the “no response” limit approx. <102 RLU/OD 550 . From this description it can be put that there is no phenotypic response at 4 minutes exposure indicating complete QS inhibition. These curves were normalised to the corresponding growth curve. Bacteria entered the log phase after four hours and accounts for the near plateau shape of each exposure time. 4. Conclusion In this study we have, for the first time, demonstrated that APNTP in addition to eliciting a direct a biocidal effect on microorganisms, is also capable of interfering with the key QS pathways of Gram negative bacteria, potentially leading to attenuation of bacterial virulence, as well as reducing the bacterial load. This is particularly relevant to the study of APNTP in chronically infected wounds were the production of virulence factors delays wound repair and normal healing. Further work is however required to elucidate the potential of this approach in vivo, but this is the first report of the potential for APNTP to be used as an ‘anti-virulence’ approach. O-22-1 Bioluminescence (RLU/OD 550nm) Growth time (hours) (C) 10 6 Control N-octanoyl-HL 30 seconds C8 AHL 60 Seconds C8 AHL 120 Seconds C8 AHL 240 Seconds C8 AHL Negative control 10 5 10 4 10 3 10 2 10 1 10 0 0 2 4 6 8 10 12 14 Growth time (hours) Fig. 4. Bioluminescence activity of bioreporter strain after plasma treatment of AHLs. (A) N-(3-oxododecanoyl)-homoserine lactone using E.coli pSB 1142, (B) N-hexanoyl-homoserine lactone using E. coli pSB 401, (C) N-octanoyl-homoserine lactone using E. coli pSB 401. Each point represent five replicates with error bars representing the standard deviation. 5. References [1] M.Y. Alkawareek, Q.T. Algwari, S.P. Gorman, W.G. Graham, D. O’Connell and B.F. Gilmore. 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