Glyceryl Trinitrate, a Vasodilating Drug Acts as an Antibiofilm Agent in Serratia marcescens

Authors

  • Ziyad Hameed Al-Fayyadh Department of Biology, College of Science, University of Anbar, Al-Anbar, Iraq.
  • Ahmed Mohammed Turki Department of Biology, College of Science, University of Anbar, Al-Anbar, Iraq.
  • Harith Al-Mathkhury Department of Biology, College of Science, University of Baghdad, Baghdad, Iraq.

DOI:

https://doi.org/10.22317/jcms.v9i3.1329

Keywords:

fimA, fimC, Glyceryl trinitrate, Serratia marcescens

Abstract

Objectives: Serratia marcescens is a gram-negative pathogen of many species. The ability of S. marcescens to form biofilms and its potent innate resistance to antimicrobials and cleaning solutions are both essential for its pathogenicity and survival. The present study was conducted to investigate the effect of glyceryl trinitrate (GTN) on the biofilm of S. marcescens, as an alternative for antibiotic therapy.

Methods: Different specimens, including ear swabs, burns, mid-stream urine, wound swabs, and sputum, were collected from patients who were brought to Al-Ramadi Hospital, Iraq. All samples were cultured, and the colonies that were obtained were detected using the VITEK® 2 compact. The ability of biofilms to develop was examined using the microtiter plate technique. The bactericidal effectiveness of GTN was estimated by the broth microdilution technique. The presence of fimA and fimC in S. marcescens isolates was detected using the polymerase chain reaction (PCR) method. Quantitative real-time polymerase chain reaction (qRT-PCR) was used to assess the effect of GTN on fimA and fimC gene expression.

Results: The results demonstrated that GTN has no effect on S. marcescens growth; while its biofilm was significantly (p<0.05) influenced. Moreover, all S. marcescens isolates had fimA and fimC, and the presence of GTN reduced the expression of these genes.

Conclusion: The findings of this study reveal that GTN can act as a promising antibiofilm agent in reference to S. marcescens.

References

Nelson G, Greene M. Enterobacteriaceae. In: John E. Bennett, Raphael Dolin, Martin J. Blaser, editors. Mandell, Douglas, and Bennett’s principles and practice of infectious diseases. 9th ed: Elsevier; 2020.

Shanks RM, Stella NA, Brothers KM, Polaski DM. Exploitation of a "hockey-puck" phenotype to identify pilus and biofilm regulators in Serratia marcescens through genetic analysis. Can J Microbiol. 2016;62(1):83-93.

Reisner A, Haagensen JA, Schembri MA, Zechner EL, Molin S. Development and maturation of Escherichia coli K-12 biofilms. Mol Microbiol. 2003;48(4):933-46.

Labbate M, Queck SY, Koh KS, Rice SA, Givskov M, Kjelleberg S. Quorum sensing-controlled biofilm development in Serratia liquefaciens MG1. J Bacteriol. 2004;186(3):692-8.

Şimşek M. Determination of the antibiotic resistance rates of Serratia marcescens isolates obtained from various clinical specimens. Niger J Clin Pract. 2019;22(1):125-30.

Zahraa AS, Saad LH. Molecular Detection of Extended-Spectrum β-Lactamases- Producer Serratia marcescens Causing Neonatal Sepsis in Iraq. International Journal of Research in Pharmaceutical Sciences. 2020;11(4):5803-8.

Kim KH, Kerndt CC, Adnan G, Schaller DJ. Nitroglycerin: StatPearls Publishing; 2022.

Palmeira-de-Oliveira A, Ramos AR, Gaspar C, Palmeira-de-Oliveira R, Gouveia P, Martinez-de-Oliveira J. In vitro anti-Candida activity of lidocaine and nitroglycerin: alone and combined. Infect Dis Obstet Gynecol. 2012;2012:727248.

Rosenblatt J, Reitzel RA, Raad I. Caprylic acid and glyceryl trinitrate combination for eradication of biofilm. Antimicrob Agents Chemother. 2015;59(3):1786-8.

Abbas HA, Elsherbini AM, Shaldam MA. Glyceryl trinitrate blocks staphyloxanthin and biofilm formation in Staphylococcus aureus. Afr Health Sci. 2019;19(1):1376-84.

Andrews JM. BSAC standardized disc susceptibility testing method. . J Antimicrob Chemother. 2001;48:43-57.

Khayyat AN, Hegazy WAH, Shaldam MA, Mosbah R, Almalki AJ, Ibrahim TS, et al. Xylitol Inhibits Growth and Blocks Virulence in Serratia marcescens. Microorganisms. 2021;9(5).

Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods. 2001;25(4):402-8.

Rasigade JP, Moulay A, Lhoste Y, Tristan A, Bes M, Vandenesch F, et al. Impact of sub-inhibitory antibiotics on fibronectin-mediated host cell adhesion and invasion by Staphylococcus aureus. BMC Microbiol. 2011;11:263.

Srinivasan R, Mohankumar R, Kannappan A, Karthick Raja V, Archunan G, Karutha Pandian S, et al. Exploring the Anti-quorum Sensing and Antibiofilm Efficacy of Phytol against Serratia marcescens Associated Acute Pyelonephritis Infection in Wistar Rats. Front Cell Infect Microbiol. 2017;7:498.

Ali T. Antibiomicrobial Susceptibility Testing of Serratia Species Isolated from Hospitalized Patients in Two Hospitals in Al-Mosul, Iraq. Jordan M J. 2007;41:121-8.

Mahdi S. Isolation and Molecular Identification of a Serratia spp. from Suspected Neonatal Sepsis in Intensive Care Unit (ICU) of Basra Province, Iraq Int J Inn Res Sci Eng Technol. 2016;5:4619-24.

Mahlen SD. Serratia infections: from military experiments to current practice. Clin Microbiol Rev. 2011;24(4):755-91.

Passaro DJ, Waring L, Armstrong R, Bolding F, Bouvier B, Rosenberg J, et al. Postoperative Serratia marcescens wound infections traced to an out-of-hospital source. J Infect Dis. 1997;175(4):992-5.

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Published

2023-06-26

How to Cite

Al-Fayyadh, Z. H. ., Turki, A. M. ., & Al-Mathkhury, H. (2023). Glyceryl Trinitrate, a Vasodilating Drug Acts as an Antibiofilm Agent in Serratia marcescens. Journal of Contemporary Medical Sciences, 9(3), 175–178. https://doi.org/10.22317/jcms.v9i3.1329