Lu Yuan1, Hao Wei1, Xiao-Yu Yang2,3, Wei Geng4, Brandon W Peterson1, Henny C van der Mei1, Henk J Busscher1. 1. Department of Biomedical Engineering, University of Groningen and University Medical Center Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands. 2. State Key Laboratory of Advanced Technology for Materials Synthesis and Processing, Wuhan University of Technology, Wuhan 430070, China. 3. School of Engineering and Applied Sciences, Harvard University, Cambridge, Massachusetts 02138, United States. 4. Southern Marine Science and Engineering Guangdong Laboratory (Zhuhai) & School of Chemical Engineering and Technology & School of Materials, Sun Yat-Sen University, Guangdong 510275, China.
Abstract
Encapsulation of probiotic bacteria can enhance their functionality when used in combination with antibiotics for treating intestinal tract infections. The interaction strength of encapsulating shells, however, varies among the encapsulation methods and impacts encapsulation. Here, we compared the protection offered by encapsulating shells with different interaction strengths toward probiotic Bifidobacterium breve against simulated gastric fluid and tetracycline, including protamine-assisted SiO2 nanoparticle yolk-shell packing (weak interaction across a void), alginate gelation (intermediate interaction due to hydrogen binding), and ZIF-8 mineralization (strong interaction due to coordinate covalent binding). The presence of encapsulating shells was demonstrated using X-ray-photoelectron spectroscopy, particulate microelectrophoresis, and dynamic light scattering. Strong interaction upon ZIF-8 encapsulation caused demonstrable cell wall damage to B. breve and slightly reduced bacterial viability, delaying the growth of encapsulated bacteria. Cell wall damage and reduced viability did not occur upon encapsulation with weakly interacting yolk-shells. Only alginate-hydrogel-based shells yielded protection against simulated gastric acid and tetracycline. Accordingly, only alginate-hydrogel-encapsulated B. breve operated synergistically with tetracycline in killing tetracycline-resistant Escherichia coli adhering to intestinal epithelial layers and maintained surface coverage of transwell membranes by epithelial cell layers and their barrier integrity. This synergy between alginate-hydrogel-encapsulated B. breve and an antibiotic warrants further studies for treating antibiotic-resistant E. coli infections in the gastrointestinal tract.
Encapsulation ofprobiotic bacteria can enhance their n>an class="Chemical">functionality when used in combination with antibiotics for treating intestinal tract infections. The interaction strength of encapsulating shells, however, varies among the encapsulation methods and impacts encapsulation. Here, we compared the protection offered by encapsulating shells with different interaction strengths toward probiotic Bifidobacterium breve against simulated gastric fluid and tetracycline, including protamine-assisted SiO2 nanoparticle yolk-shell packing (weak interaction across a void), alginate gelation (intermediate interaction due to hydrogen binding), and ZIF-8 mineralization (strong interaction due to coordinate covalent binding). The presence of encapsulating shells was demonstrated using X-ray-photoelectron spectroscopy, particulate microelectrophoresis, and dynamic light scattering. Strong interaction upon ZIF-8 encapsulation caused demonstrable cell wall damage to B. breve and slightly reduced bacterial viability, delaying the growth of encapsulated bacteria. Cell wall damage and reduced viability did not occur upon encapsulation with weakly interacting yolk-shells. Only alginate-hydrogel-based shells yielded protection against simulated gastric acid and tetracycline. Accordingly, only alginate-hydrogel-encapsulated B. breve operated synergistically with tetracycline in killing tetracycline-resistant Escherichia coli adhering to intestinal epithelial layers and maintained surface coverage of transwell membranes by epithelial cell layers and their barrier integrity. This synergy between alginate-hydrogel-encapsulated B. breve and an antibiotic warrants further studies for treating antibiotic-resistant E. coli infections in the gastrointestinal tract.
Encapsulation ofprobiotic
bacteria can enhance the n>an class="Chemical">functionality
of probiotics in over-the-counter food and beverages and in the clinical
control ofbacterial infections. Probiotics provide health benefits,
in particular, to the lower gastrointestinal tract, most notably by
maintaining or restoring a balanced intestinal microflora.[1−4] However, this can only be achieved if, after oral administration,
probiotic bacteria can reach their intestinal target site in a viable
state.[5] This is not trivial, however, since
during passage through the gastrointestinal tract, exposure to acidic
conditions can severely hamper their viability.[6−8] Lactobacilli
and Bifidobacteria are the most commonly applied probiotics associated
with gastrointestinal health.[9,10] Whey protein spray-drying
has been employed to encapsulate probiotic Bifidobacteria in fermented
dairy products to facilitate their survival in simulated gastrointestinal
conditions.[11,12] Alginate gelation has been shown
to protect encapsulated Lactobacilli against acidic conditions,[13] as encountered by probiotic bacteria underway
in the gastrointestinal tract toward their intestinal target site.
Beyond their use in over-the-counter products, a combination of probiotic
Lactobacilli encapsulated in an alginate hydrogel and tobramycin has
recently been demonstrated to synergistically kill a methicillin-resistant Staphylococcus aureus strain.[14] Clinically, synergistic use of antibiotics and probiotic
bacteria without encapsulation in a protective shell will generally
be impossible in the treatment ofintestinal tract infections, as
the antibiotics that are supposed to kill the infectious pathogens
will also kill the probiotic bacteria.[15,16]
The
yolk–shell is an example of a highly cell-n>an class="Chemical">friendly mineralized
encapsulating shell.[17] An important characteristic
of the yolk–shell responsible for its cell friendliness is
the absence of binding between the shell and the bacterial cell surface.
In yolk–shell encapsulation, the SiO2 nanoparticles
self-assemble on a pre-adsorbed protamine film on a bacterial cell
surface. The protamine film internalizes into the bacterium after
self-assembly of the nanoparticles to form a void between the bacterial
cell surface and the nanoparticle shell,[17] across which only a weak interaction is resulted. Yolk–shell
encapsulation has not yet been employed for probiotic bacteria. Alginate,
electrostatically crosslinked by Ca2+ ions, has been frequently
employed for encapsulating probiotic bacteria.[18] Alginate gelation is relatively simple and inexpensive,
yielding an extensive three-dimensional hydrogel[13,19] that interacts with bacterial cell surface proteins through hydrogen
binding with carboxyl and hydroxyl groups in the alginate hydrogel.[20] In a hydrogen bond, a shared electron pair is
formed between a hydrogen atom and another atom, giving rise to weak
interactions with typical binding energies up to 4 kcal mol–1.[21] However, due to the high porosity
of many hydrogels, encapsulated bacteria may remain sensitive to extreme
pH conditions. Another new type of encapsulating shell not yet applied
for probiotic protection is based on mineralization of a 2-methylimidazole
zinc-salt based metal–organic framework (ZIF-8).[22] Zn has very low toxicity, and mineralized shells
with ZIF-8 yield high viability and possess high porosity. The ZIF-8-mineralized
shells interact with the amino groups of bacterial cell surface proteins
through coordinate covalent binding with zinc.[23] In contrast to hydrogen binding, coordination covalent
binding involves electrons from only one of the interacting atoms
to form a shared electron pair with another atom, yielding strong
interactions, for example, zinc with amino acid side chains between
195 and 364 kcal mol–1, depending on the coordination
geometry.[24]
This study aimed to compare
the protection ofn>an class="Chemical">fered by encapsulating
shells with different interaction strengths toward a probiotic Bifidobacterium breve against simulated gastric fluid
(SGF) and tetracycline. To this end, B. breve was encapsulated using protamine-assisted SiO2 nanoparticle
packing, alginate gelation, and ZIF-8 mineralization. The physicochemical
properties of unencapsulated and differently encapsulated Bifidobacteria,
as well as the protection offered toward SGF and tetracycline, were
determined. As a proof of the pudding, killing of pathogenic Escherichia coli biofilms grown on an intestinal
epithelial layer in a transwell by differently encapsulated Bifidobacteria
in the absence and presence oftetracycline was evaluated after their
exposure to SGF. In addition, pathogen-inflicted damage to the integrity
of the cellular layer was assessed microscopically and using transepithelial
electrical resistance (TEER)[25] measurements
across the intestinal epithelial layer.
Experimental
Section
Materials and Reagents
B. breve ATCC15700 and Caco-2 BBe1 (ATCC CRL-2102) intestinal epithelial
cells were purchased n>an class="Chemical">from American Type Culture Collection (ATCC,
Manassas, VA, USA). Lysogeny broth (LB), tetracycline hydrochloride,
protamine, 2-methylimidazole, LUDOX HS-40 colloidal silica, zinc acetate
dihydrate, pepsin, phalloidin-FITC, and 4′,6-diamidino-2-phenylindole
dihydrochloride (DAPI) were obtained from Sigma-Aldrich (St. Louis,
MO, USA); reinforced clostridial medium (RCM) was obtained from Becton
& Dickinson (Franklin Lakes, NJ, USA), and Dulbecco’s modified
Eagle medium containing 4.5 g/L glucose (DMEM-HG), fetal bovine serum
(FBS), and trypsin–EDTA (2.5 g/L) were obtained from Gibco
(Gaithersburg, MD, USA). Transwells (12 well-plates) with 0.4 μm
poly(ethylene terephthalate) (PET) porous membranes were purchased
from Greiner Bio-One (Österreich, Austria). The Live/Dead BacLight
Bacterial Viability Kit was obtained from Thermo Fisher Scientific
(Waltham, Massachusetts, USA).
Bacterial Culturing and
Harvesting
B.
breve ATCC15700 was streaked on RCMn>an class="Chemical">agar plates from
a frozen stock and grown under anaerobic conditions (85% N2, 5% CO2, and 10% H2) at 37 °C for 48
h. E. coli Hu734 is a tetracycline-resistant
(see Figure S1) human clinical isolate
and used as a pathogenic strain. E. coli was streaked on a blood agar plate and aerobically incubated at
37 °C for 24 h. Subsequently, one B. breve colony was transferred to the RCM broth and an E.
coli colony was transferred to the LB broth. Strains
were cultured for 24 h after which the bacteria were transferred (1:20)
to their respective fresh culture media and grown for 18 h under appropriate
conditions. The bacteria were harvested by centrifugation for 5 min
at 6500g at 10 °C, washed twice with sterile
10 mM potassium phosphate buffer (5 mM K2HPO4, 5 mM KH2PO4, pH 7.0), and re-suspended in
10 mM phosphate buffer for further use. The concentrations ofB. breve and E. coli were determined by enumeration in a Bürker-Türk counting
chamber and adjusted to a concentration appropriate for the respective
experiments.
Encapsulation Methods Applied
An
alginate-hydrogel-based
method and a two-nanobiomaterial-based method were used to encapsulate n>an class="Species">B. breve. For protamine-assisted SiO2 nanoparticle
encapsulation ofB. breve (B. breve@SiO2), B. breve (3 × 108/mL) suspended in a 1 mg/mL protamine solution
in 10 mM phosphate buffer by vortexing for 1 min[17] were allowed to settle for 15 min at room temperature.
Bacteria were collected by centrifugation at 6500g at 10 °C for 5 min and re-suspended in 1 mg/mL SiO2 nanoparticle (12 nm diameter according to the LUDOX HS-40 product
specification) suspension in 10 mM potassium phosphate buffer. The
mixture was vortexed for 1 min, and the encapsulated bacteria were
allowed to settle at room temperature for another 15 min. Finally, B. breve@SiO2 were collected by centrifugation
(6500g at 10 °C for 5 min) and re-suspended
in 10 mM phosphate buffer for further use.
Alginate hydrogel
encapsulation on>an class="Chemical">fB. breve (B. breve@Alginate) was done as previously described
with minor modifications.[14] Briefly, B. breve (3 × 109/mL), suspended
in 5 mL of 10 mM phosphate buffer with 25 mg/mL ofalginate, was vortexed
for 1 min. Subsequently, the mixture ofB. breve with alginate was dropwise added into 50 mL of 0.1 M CaCl2 solution and stirred for 30 min at room temperature to allow complete
gelation. In order to obtain protective shells with different thicknesses,
the droplet volumes were varied from 5 μL up to 20 μL.
Finally, B. breve@Alginate were collected
by filtration and stored in 10 mM phosphate buffer.
ZIF-8 encapn>sulation
on>an class="Chemical">fB. breve (B. breve@ZIF-8) was done by suspending B. breve (3 × 109/mL) in 5 mL of
demineralized water containing 160 mM 2-methylimidazole.[22] Subsequently, 5 mL of 40 mM zinc acetate dihydrate
in demineralized water was added, and the mixture was kept at 37 °C
under shaking for 10 min (150 rpm). After shaking, the encapsulated B. breve were collected by centrifugation at 6500g at 10 °C for 5 min and re-suspended in 10 mM phosphate
buffer.
Elemental Surface Composition, Zeta Potentials, and Diameters
of Encapsulated Bacteria
The elemental surface compn>on>an class="Chemical">sitions,
zeta potentials, and diameters of unencapsulated and encapsulated B. breve were measured in order to demonstrate the
presence of encapsulating shells. The elemental surface compositions
of unencapsulated and encapsulated B. breve were determined using X-ray photoelectron spectroscopy (XPS; S-Probe,
Surface Science Instruments, Mountain View, CA, USA). To this end,
unencapsulated and encapsulated bacteria were washed twice with demineralized
water and freeze-dried (Leybold, Germany). The freeze-dried bacterial
powders were pressed into small stainless steel cups and put into
the XPS chamber. The XPS chamber was equipped with an aluminum anode
(10 kV, 22 mA), and overall scans were taken over the binding energy
range of 1–1200 eV at a resolution of 150 eV and a spot size
of 1000 × 250 μm. Narrow scans were taken over the binding
energy range of 20 eV to determine the chemical functionalities in
O1s. The binding energies were calculated with respect
to the C1s binding energy peak set at 284.8 eV. The area
under each peak, after background subtraction, was used for the calculation
of peak intensities, yielding elemental surface concentration ratios
for nitrogen, oxygen, and phosphorus to carbon.
The zeta potentials
(through particulate microelectrophoresis) and diameters (through
dynamic light scattering) on>an class="Chemical">f unencapsulated and encapsulated B. breve were measured on a Malvern ZetaSizer ZEN3600
instrument (Malvern Panalytical, Worcestershire, UK) in 10 mM potassium
phosphate buffer (bacterial concentration 3 × 107/mL)
over the pH range of 2–9; the pH was adjusted by 0.1 M HCl
or 0.1 M KOH. The diameters were only measured at pH 7.0.
Viability of B. breve after Encapsulation
In order to
assess adverse efn>an class="Chemical">fects of encapsulation on the viability
ofB. breve, the number of viable B. breve before and after encapsulation were determined
by colony-forming units (CFUs). Prior to assessing the viability,
yolk–shells were removed by sonication for 30 s at 130 W while
cooling in an ice–water bath, alginate-hydrogel-based shells
were removed by a 15 min exposure to a 55 mM sodium citrate solution,
and ZIF-8-mineralized shells were removed by exposure to 10 mM EDTAfor 5 min. After the removal of the shells, the bacteria were collected
by centrifugation (6500g at 10 °C for 5 min)
and re-suspended in 10 mM potassium phosphate buffer. Serial dilutions
of the resulting bacterial suspensions were made in phosphate buffer
and plated on RCMagar. After anaerobic culturing of the RCMagar
plates, the numbers of CFU were enumerated.
In addition, possible
growth inhibition on>an class="Chemical">fB. breve by different
encapsulating shells was determined without shell removal in modified
growth medium (70% DMEM-HG supplemented with 30% RCM) that allows
the growth ofB. breve, E. coli, and intestinal epithelial cells.[26] Bacterial growth was monitored for 24 h and
quantitated by measuring OD600 (Genesy30, Thermo Scientific).
The modified medium without bacteria was used as a blank control.
Cell wall integrity before and an>an class="Chemical">fter encapsulation was assessed
using SYTO9/propidium iodide staining (BacLight Bacterial Viability
Kit), rendering bacteria without cell wall damage green fluorescence
and bacteria with cell wall damage red fluorescence, respectively.
Briefly, unencapsulated B. breve and
bacteria after shell removal (3 × 108/mL) were stained
with SYTO9/propidium iodide solution and incubated in the dark at
room temperature for 15 min, after which bacterial fluorescence was
examined using fluorescence microscopy (Leica DM4000, Germany).
Protection of B. breve Encapsulation
against SGF and Tetracycline
The protection ofn>an class="Chemical">fered by the
different encapsulations ofB. breve was evaluated against SGF (SGF) and the antibiotic tetracycline.
SGF was prepared by dissolving 2.0 g ofNaCl and 6.0 g of pepsin in
7 mL of 37% HCl.[27] Next, the solution was
diluted with demineralized water to 1 L and pH was adjusted to pH
2 by adding 1 M NaOH. SGF was filtered (0.22 μm filter) prior
to use. In order to evaluate the protection offered by the different
encapsulations, unencapsulated and differently encapsulated B. breve were suspended at a concentration of 3 ×
108/mL in SGF under shaking of 150 rpm at 37 °C. Depending
on the amount, composition, and size of a meal, the complete passage
offood through the stomach requires 2–4 h. However, within
20 min after consuming solid food, the first food leaves the stomach,
while 50% ofwater after consuming a single glass ofwater would have
passed through the stomach after 10 min.[28] Hence, we chose 30 min as the exposure time for evaluating the protection
offered by encapsulating shells against SGF. After 30 min of exposure
to SGF, bacteria were collected by centrifugation (6500g for 5 min), washed with 10 mM phosphate buffer, and re-suspended
in 10 mM phosphate buffer. Only B. breve@Alginate was collected by filtration. The bacterial suspensions
with unencapsulated and differently encapsulated bacteria were serially
diluted and plated on RCMagar. After 48 h of growth under anaerobic
conditions, the numbers of CFUs were enumerated.
Protection
on>an class="Chemical">f different encapsulations against tetracycline was evaluated by
culturing unencapsulated and encapsulated B. breve (3 × 108/mL) in a modified medium supplemented with
tetracycline (10 μg/mL) for 3 h. After culturing, B. breve were collected by centrifugation, washed
with phosphate buffer, serially diluted, and plated on RCMagarfor
CFU enumeration, as described above.
B. breve Protection of Intestinal
Epithelial Cells against an E. coli Challenge in the Absence or Presence of Tetracycline
Human
intestinal epithelial cells (Caco-2 BBe) were grown in n>an class="Chemical">DMEM-HG supplemented
with 10% (vol/vol) FBS in 5% CO2 humidified air at 37 °C.
Cells were passaged at 80% confluency after trypsinization using trypsin–EDTA
at 37 °C for 5 min. After detachment, 6 mL ofDMEM-HG with 10%
FBS was added for trypsin neutralization and cells were collected
by centrifugation at 800g for 5 min. The cellular
pellet was re-suspended in DMEM-HG supplemented with 10% FBS, and
their concentration was adjusted to 2 × 105 cells/mL
by counting in a Bürker-Türk counting chamber. Then,
0.5 mL of cell suspension was added to a transwell insert in a 12-well
plate with a 1.13 cm2 PET membrane (pore size 0.4 μm).
During the growth of the cellular layer, the medium was refreshed
every other day. The integrity of the cellular layer was monitored
by measuring its TEER using a MillicellERS-2 meter (Millipore, USA).
Within 10–14 days, the TEER had reached a value ≥400
Ω × cm2, characteristic of an intestinal epithelial monolayer,
and the layer was used for further experiments.
First, unencapsulated
and din>an class="Chemical">fferently encapsulated B. breve after having been exposed to SGF as described above were added on
the intestinal epithelial layer in the transwell at a final concentration
of 3 × 108/mL, and further co-culturing ofB. breve and epithelial cells was continued in modified
growth medium (70% cell culture medium supplemented with 30% RCM).[26] After 4 h of co-culturing epithelial cells with
adhering B. breve, the cell layer with B. breve was challenged with an E.
coli suspension (50 μL, concentration 3 ×
107/mL) in 10 mM phosphate buffer, and co-culturing was
continued in a 5% CO2 humidified incubator at 37 °C
for another 24 h.
To evaluate the combined efn>an class="Chemical">fects of probiotic B.
breve and tetracycline on the eradication of an infectious E. coli biofilm, unencapsulated and encapsulated B. breve exposed to SGF as described above were added
to the intestinal epithelial cell layer on the transwell membrane
at a concentration of 3 × 108/mL. After co-culturing
with the modified medium for 4 h, the cell layer was challenged with
an E. coli suspension (50 μL,
concentration 3 × 107/mL) in 10 mM phosphate buffer.
Two hours after initiating the E. coli challenge, tetracycline was added for 3 h at a final concentration
of 10 μg/mL. After 3 h, the modified medium was refreshed and
culturing continued in the absence oftetracyclinefor another 19
h.
The TEER values of the intestinal epithelial layers were
measured
to monitor the intestinal barrier integrity ben>an class="Chemical">fore initiating the E. coli challenge and after 24 h, that is, the end
point of an experiment. At the end of an experiment, the numbers of
adhering E. coli and B. breve were determined. To this end, the cell layers
with adhering bacteria were washed twice with phosphate-buffered saline
(PBS), and 200 μL of trypsin–EDTA (2.5 mg/mL) was added
for 5 min at 37 °C to detach the cell layers from the transwell
membrane. The bacterial cell suspension was subsequently mixed with
300 μL ofPBS and vortexed for 30 s. The resulting bacterial
cell suspension was centrifuged (6500g for 5 min)
to remove the trypsin and re-suspended in 0.5 mL ofPBS. After serial
dilution, the suspension was plated on LB agar plates to grow E. coli and on RCMagar to grow B.
breve (for details, see section “Bacterial Culturing and Harvesting”). After
24 h of growth the number of CFUs ofE. coli was
counted and after 48 h the number of CFUs ofB. breve was counted to yield the numbers ofB. breve and E. coli adhering to the epithelial
cell layers. The intestinal epithelial cells on the transwell membranes
were stained with phalloidin-FITC (F-actin) and DAPI (DNA). Briefly,
the cells were washed with PBS buffer for 5 min, fixed with 3.7% (wt/vol)
paraformaldehydefor 15 min, and permeabilized with 0.5% (vol/vol)
Triton X-100for another 5 min. Subsequently, the cells were stained
with phalloidin-FITC (diluted 50× in PBS with 1% bovine serum
albumin) and DAPI (diluted 50× in PBS with 1% bovine serum albumin)
for 30 min and then washed with PBS. The cells were imaged using fluorescence
microscopy (Leica DM4000, Germany), and surface coverage was determined
using Fiji software.[29] Five images per
sample were averaged.
Statistical Analysis
All experiments
were carried out
in triplicate with separately cultured cells and bacteria. Results
were expressed as means ± standard deviation (SD) and analyzed
with one-way analysis on>an class="Chemical">f variance (ANOVA), followed by Dunnett’s
or Tukey’s test for multiple comparison using GraphPad Prism
8.00. Differences between groups at p < 0.05 were
considered as statistically significant.
Results
Characterization
of Unencapsulated and Differently Encapsulated B. breve
XPS presents an easy way to obtain
elemental surn>an class="Chemical">face compositions of bacterial cell surfaces[30,31] and therewith demonstrate successful encapsulation. Unencapsulated B. breve demonstrated C1s, O1s, and N1s electron binding energies (Figure A) of which nitrogen is uniquely
associated with surface proteins.[32,33] Confirmation
of the association ofnitrogen with surface proteins was obtained
from a decomposition of the O1s binding energy spectrum
(Figure S2A), showing a binding energy
component at 531.5 eV due to C=O and N–C=O functionalities.
Yolk–shell encapsulation through SiO2 nanoparticle
assembly reduced elemental surface concentrations ofcarbon, nitrogen,
and phosphorus (Table ), while oxygen and silicon appeared in a ratio of 2.1. This ratio
confirms full encapsulation of bacteria with SiO2 nanoparticles
with a thickness that, in a freeze-dried state, exceeds the XPS depth
of information, that is, around 5 nm.[34] The presence ofSiO2 nanoparticles was furthermore confirmed
by decomposition of the O1s electron binding energy spectrum
(Figure S2B), demonstrating Si–O
as the major component in the shell. Alginate hydrogel encapsulation
also reduced nitrogen counts (Table ), but O1s peak components representative
of cell surface proteins remained detectable (Figure S2C), probably because the hydrogel shell collapsed
into a thin layer upon freeze-drying as required for XPS analysis.
Alginate gelation uniquely introduced calcium involved in bridging
of the anionic polymer chains within the hydrogel network.[35] ZIF-8-mineralized shells were evidenced by the
presence of zinc, together with high amounts ofnitrogenfrom 2-methylimidazole
ligands, used for coordinate covalent binding between zinc and the
amino groups of bacterial surface proteins. Narrow scans of the O1s electron binding energies also demonstrated components representative
of C=O and N–C=O functionalities underlying the
shell (Figure S2D), indicative of a relatively
thin shell with a dehydrated thickness within the XPS depth of information.
Figure 1
Characterization
of unencapsulated and differently encapsulated B. breve ATCC15700 using XPS and particulate microelectrophoresis.
(A) Wide scan electron binding energy spectra of unencapsulated and
differently encapsulated B. breve.
(B) Zeta potentials of unencapsulated and differently encapsulated B. breve measured in phosphate buffer (5 mM K2HPO4 and 5 mM KH2PO4) as
a function of pH. Note that alginate-encapsulated B.
breve in their fully hydrated state were too large
for particulate microelectrophoresis. Error bars represent the SD
over three experiments with separately grown bacteria. Note that for B. breve@Alginate, 20 μL alginate droplets
were used for encapsulation.
Table 1
Elemental Surface Composition of Freeze-Dried,
Unencapsulated and Differently Encapsulated B. breve ATCC15700a
encapsulation
method
C (%)
O (%)
N (%)
P (%)
Ca (%)
Si (%)
Zn (%)
unencapsulated
64.4
32.1
2.1
0.2
yolk–shell, SiO2 nanoparticle assembly
9.8
59.5
0.6
28.8
alginate gelationb
51.7
28.7
0.7
0.5
7.4
1.3
ZIF-8 mineralization
61.1
13.3
16.9
8.3
Na, Cl, and F were not included
in this table.
20 μL
alginate droplets were
used for encapsulation.
Characterization
of unencapsulated and din>an class="Chemical">fferently encapsulated B. breve ATCC15700 using XPS and particulate microelectrophoresis.
(A) Wide scan electron binding energy spectra of unencapsulated and
differently encapsulated B. breve.
(B) Zeta potentials of unencapsulated and differently encapsulated B. breve measured in phosphate buffer (5 mM K2HPO4 and 5 mM KH2PO4) as
a function of pH. Note that alginate-encapsulated B.
breve in their fully hydrated state were too large
for particulate microelectrophoresis. Error bars represent the SD
over three experiments with separately grown bacteria. Note that for B. breve@Alginate, 20 μL alginate droplets
were used for encapsulation.
Na, Cl, and pan class="Chemical">F were not included
in this table.
20 μL
pan class="Chemical">alginate droplets were
used n>an class="Chemical">for encapsulation.
The zeta potentials of unencapsulated n>an class="Species">B. breve were negative over the entire pH range from pH 2 to 9 (Figure B). Protamine-assisted,
SiO2 nanoparticle yolk–shells caused less negative
zeta potentials over the entire pH range with a well-defined iso-electric
point at pH 3.4, coinciding with the iso-electric point ofSiO2 nanoparticles.[36] Internalization
of pre-adsorbed protamine was confirmed by time-dependent zeta potential
measurements and Fourier transform infrared spectroscopy (FTIR) ofB. breve after protamine adsorption (Figure S3). Protamine adsorption caused an initial
increase ofB. breve zeta potentials
to positive values between pH 3 and 6 (Figure S3A), while FTIR spectra (Figure S3B–D) demonstrated a strong increase in AmI (1653 cm–1) and AmII (1541 cm–1) absorption band ratios with
respect to the C–H (around 2930 cm–1) absorption
band (Figure S3). However, 1 h after protamine
adsorption, the zeta potentials returned to the same values as observed
before protamine adsorption but amide absorption band ratios remained
invariably high (Figure S3E). Since the
zeta potentials reflect only the outer cell surface, while the FTIR
spectra represent the composition of both the cell interior and its
surface, which indicated the internalization of the adsorbed protamine.
ZIF-8 encapsulation only affected B. breve zeta potentials in the pH range of 7–9 (see also Figure B). This may implicate
that the ZIF-8 shell acts as a soft layer[37] below pH 7, positioning the plane of shear inside the shell close
to the bacterial cell surface and measuring the zeta potentials identical
to those of unencapsulated bacteria. Positioning the plane of shear
within the shell while still probing the bacterial cell surface charge
confirms that the ZIF-8 shell is relatively thin. Above pH 7, however,
deprotonation ofimidazole groups may interfere with electrophoretic
probing of charges closely connected with the cell surface to yield
more negative zeta potentials. The zeta potentials of hydrated alginate-hydrogel-encapsulated B. breve could not be determined because bacteria
with a hydrated alginate shell were too large for particulate microelectrophoresis
using the Malvern ZetaSizer ZEN3600.
Unencapsulated B. breve in their
hydrated state had a diameter on>an class="Chemical">f 998 ± 17 nm with a low polydispersity
index (0.18). Diameters increased to 1190 ± 177 and 1141 ±
184 nm upon yolk–shell and ZIF-8 encapsulation, respectively,
while polydispersity indices increased to 0.39 and 0.69, respectively.
These diameters and polydispersities are all within the micrometer-range
size of bacteria, indicating single-cell encapsulation. The diameter
of hydrated, alginate-hydrogel-encapsulated B. breve was too large for measurement using dynamic light scattering due
to the size of the hydrated alginate gel, possibly comprising more
than one bacterium.
Cell Wall Damage, Viability, and Growth Curves
of B. breve after Encapsulation
Different encapsulations
inflicted different types of damages to B. breve (Figure ). Neither
alginate gelation nor protamine-assisted, SiO2 nanoparticle
assembly caused any cell wall damage (Figure A). ZIF-8 mineralization, however, yielded
clear cell wall damage probably as a result of its strong coordinate
covalent binding between bacterial cell surface proteins and zinc.
Figure 2
Cell wall
damage, viabilities, and growth curves of differently
encapsulated B. breve ATCC15700. (A)
Cell wall damage (red fluorescent bacteria) inflicted to B. breve upon encapsulation. Shells have been removed
before fluorescence staining and images have been enhanced for improved
clarity. (B) Viability of B. breve,
measured immediately after encapsulation, expressed as CFUs. Shells
have been removed before agar plating. (C) Growth curve of unencapsulated
and differently encapsulated B. breve expressed as OD600nm as a function of time. Note that
encapsulating shells have not been removed before starting a culture.
Error bars represent the standard error of the mean (SEM) over three
experiments with separately grown bacteria. * indicates statistically
significant differences (one-way ANOVA, followed by Dunnett’s
test for multi-comparison) between unencapsulated and encapsulated B. breve. Significance was accepted at p < 0.05. Note that for B. breve@Alginate, 20 μL alginate droplets were used for encapsulation.
Cell wall
damage, viabilities, and growth curves of din>an class="Chemical">fferently
encapsulated B. breve ATCC15700. (A)
Cell wall damage (red fluorescent bacteria) inflicted to B. breve upon encapsulation. Shells have been removed
before fluorescence staining and images have been enhanced for improved
clarity. (B) Viability ofB. breve,
measured immediately after encapsulation, expressed as CFUs. Shells
have been removed before agar plating. (C) Growth curve of unencapsulated
and differently encapsulated B. breve expressed as OD600nm as a function of time. Note that
encapsulating shells have not been removed before starting a culture.
Error bars represent the standard error of the mean (SEM) over three
experiments with separately grown bacteria. * indicates statistically
significant differences (one-way ANOVA, followed by Dunnett’s
test for multi-comparison) between unencapsulated and encapsulated B. breve. Significance was accepted at p < 0.05. Note that for B. breve@Alginate, 20 μL alginate droplets were used for encapsulation.
After the removal on>an class="Chemical">f encapsulating shells, B. breve could be grown on agar plates in the same
numbers of CFUs as B. breve that had
never been encapsulated. From this,
it can be concluded that neither encapsulation nor shell removal had
a negative impact on bacterial viability. Only the cell wall damage
inflicted by ZIF-8 mineralization was accompanied by a small decrease
in bacterial viability after encapsulation (Figure B). Neither type of encapsulation inhibited
bacterial growth, and all growth curves demonstrated standard kinetics,
including a lag phase and an exponential growth phase leading to a
stationary phase. However, all the three different types of encapsulations
delayed bacterial growth as compared with unencapsulated B. breve (Figure C), indicative of recovery from encapsulation and growth
through the shell. The onset of the exponential growth phase was delayed
least by weakly interacting, protamine-assisted, SiO2 nanoparticle
yolk–shell packing, probably due to the absence of direct contact
between the shell and the bacterial cell surface. In line with the
cell wall damage and minor reduction in viability ofB. breve upon ZIF-8 mineralization of a shell, recovery
from encapsulation and growth through the shell lasted longest and
the onset of exponential growth was delayed most by ZIF-8 shells.
Protection Offered to Planktonic B. breve by Different Shells against Low pH and Antibiotic Exposure in the
Absence of E. coli
Unencapsulated B. breve did not survive expn>osure to SGn>an class="Chemical">F at pH 2
(Figure A) and only
alginate hydrogel gelation prepared with 20 μL droplets provided
a shell that was able to effectively protect B. breve against 30 min of exposure to simulated gastric acid. Alginate hydrogel
shells prepared with droplet volumes smaller than 20 μL did
not offer effective protection against simulated gastric acid (Figure S4). Hence, all data in the remainder
of this paper, including the conclusions, pertain on alginate hydrogel
encapsulation prepared using 20 μL droplets. Exposure ofB. breve (3 × 108/mL) to tetracycline
(10 μg/mL) yielded a 2 log unit reduction in CFUs compared with
a PBS control. Shells prepared by alginate gelation caused full protection
against tetracycline. None of the other shells could achieve this
level of protection, and encapsulating shells composed of nanobiomaterials
caused even greater reductions in CFUs upon tetracycline exposure
than experienced by unencapsulated B. breve. Thus, depending on the type of the protective shell applied, encapsulation
may also backfire on the bacteria that were supposed to be protected
by encapsulating shells.
Figure 3
Protection by different shells offered to planktonic B. breve ATCC15700 in suspension against exposure
to SGF (pH 2) or tetracycline. The horizontal bands represent CFU/mL
± SD after exposure of unencapsulated B. breve to PBS. (A) Survival of B. breve in
suspension after 30 min of exposure to SGF (pH 2) for 30 min, expressed
as CFUs. Shells have been removed before agar plating. The absence
of data represents less than 102 CFU/mL. (B) Survival of B. breve in suspension after 3 h of exposure to tetracycline
(10 μg/mL), expressed as CFUs. Shells have been removed before
agar plating. Error bars represent the SEM over three experiments
with separately grown bacteria. * indicates statistically significant
differences (one-way ANOVA, followed by Tukey’s test for multi-comparison)
between unencapsulated and encapsulated B. breve. Significance was accepted at p < 0.05. The
absence of significance is indicated as “ns”.
Protection by din>an class="Chemical">fferent shells offered to planktonic B. breve ATCC15700 in suspension against exposure
to SGF (pH 2) or tetracycline. The horizontal bands represent CFU/mL
± SD after exposure of unencapsulated B. breve to PBS. (A) Survival ofB. breve in
suspension after 30 min of exposure to SGF (pH 2) for 30 min, expressed
as CFUs. Shells have been removed before agar plating. The absence
of data represents less than 102 CFU/mL. (B) Survival ofB. breve in suspension after 3 h of exposure to tetracycline
(10 μg/mL), expressed as CFUs. Shells have been removed before
agar plating. Error bars represent the SEM over three experiments
with separately grown bacteria. * indicates statistically significant
differences (one-way ANOVA, followed by Tukey’s test for multi-comparison)
between unencapsulated and encapsulated B. breve. Significance was accepted at p < 0.05. The
absence ofsignificance is indicated as “ns”.
Influence of Shell Components on the Viability
of Planktonic E. coli
To evaluate
whether shell components
affected the viability ofE. coli,
alginate, SiO2 nanoparticles, or ZIF-8 were cultured with E. coli in a modified growth medium. Neither alginate
nor SiO2 nanoparticles affected the viability ofE. coli, while ZIF-8 slightly reduced the viability
ofE. coli (Figure S5).
Protection Offered by Differently Encapsulated B. breve to Intestinal Epithelial Cells against an E. coli Challenge
Finally, we evaluated
the protection on>an class="Chemical">ffered by differently encapsulated B. breve to a layer of intestinal epithelial cells
against an E. coli challenge. Protection
was evaluated with unencapsulated and encapsulated B. breve after 30 min of exposure to simulated gastric
acid in order to mimic their oral administration. B.
breve adhering to intestinal epithelial layers did
not survive a challenge by pathogenic E. coli, except when encapsulated by an alginate hydrogel shell (Figure A) and regardless
oftetracycline exposure (Figure B). E. coli adhering
to intestinal epithelial layers were neither killed by unencapsulated
nor killed by encapsulated B. breve (Figure C) or tetracycline
alone (Figure D).
However, the combined presence of surviving, alginate-hydrogel-encapsulated B. breve and tetracycline caused a significant, synergistic
killing of adhering E. coli (see also Figure D) that other encapsulation
methods did not achieve.
Figure 4
Effects of differently encapsulated B. breve ATCC15700 on their protection offered to
intestinal epithelial layers
against a 2 h E. coli Hu734 challenge
in the absence or presence of tetracycline. Cell layers were co-cultured
for 4 h with B. breve that were first
exposed for 30 min to SGF, followed by a 2 h E. coli challenge and continued co-culturing for another 2 h. Finally, growth
was pursued in the modified medium without or with tetracycline for
another 22 h with tetracycline exposure for the first 3 h (10 μg/mL).
(A) Number of B. breve CFUs adhering
to intestinal epithelial layers that survived an E.
coli challenge in the absence of tetracycline exposure.
Absence of data indicates CFU/cm2 below detection. (B)
Same as panel (A), now for B. breve surviving an E. coli challenge in
the presence of tetracycline exposure. Absence of data indicates CFU/cm2 below detection. (C) The number of E. coli CFUs adhering to intestinal epithelial layers that were killed by
differently encapsulated B. breve in
the absence of tetracycline exposure. (D) Same as panel (C), now for E. coli killed by adhering differently encapsulated B. breve in the presence of tetracycline exposure.
(E) TEER values of intestinal epithelial cell layers with adhering B. breve and challenged by E. coli in the absence of tetracycline exposure. The horizontal band represents
the TEER values of intestinal cell layers with or without adhering B. breve in the absence of an E. coli challenge. Note that these TEER values were not affected by the
presence of adhering unencapsulated or differently encapsulated B. breve (Figure S6A).
(F) Same as panel (E), now for the TEER of intestinal epithelial cell
layers with adhering B. breve and challenged
by E. coli in the presence of tetracycline
exposure. (G) Surface coverage of the transwell membrane by intestinal
epithelial cell layers with adhering B. breve and challenged by E. coli in the
absence of tetracycline exposure. The horizontal band represents the
surface coverages of intestinal cell layers with or without adhering B. breve in the absence of an E. coli challenge (Figure S6B). Surface coverages
were calculated from fluorescence images, as presented in Figure S6C. (H) Same as panel (G), but now representing
surface coverage by intestinal epithelial cells of the transwell membrane
in the presence of tetracycline exposure. The horizontal band represents
the membrane surface coverage by intestinal cell layers without adhering B. breve in the absence of an E. coli challenge. Surface coverages were calculated from fluorescence images,
as presented in Figure S6D. Error bars
represent the SEM over three experiments with separately grown cells
and bacteria. * indicates statistically significant differences (one-way
ANOVA) between unencapsulated and encapsulated B. breve, while # indicates the difference between cellular layers with E. coli challenges in the absence of colonizing B. breve and in the presence of unencapsulated and
encapsulated B. breve. Significance
was accepted at p < 0.05. The absence of significance
is indicated as “ns”, while seemingly missing data are
too close to the axes to be visible.
Efn>an class="Chemical">fects of differently encapsulated B. breve ATCC15700 on their protection offered to
intestinal epithelial layers
against a 2 h E. coli Hu734 challenge
in the absence or presence oftetracycline. Cell layers were co-cultured
for 4 h with B. breve that were first
exposed for 30 min to SGF, followed by a 2 h E. coli challenge and continued co-culturing for another 2 h. Finally, growth
was pursued in the modified medium without or with tetracyclinefor
another 22 h with tetracycline exposure for the first 3 h (10 μg/mL).
(A) Number ofB. breve CFUs adhering
to intestinal epithelial layers that survived an E.
coli challenge in the absence oftetracycline exposure.
Absence of data indicates CFU/cm2 below detection. (B)
Same as panel (A), now for B. breve surviving an E. coli challenge in
the presence oftetracycline exposure. Absence of data indicates CFU/cm2 below detection. (C) The number ofE. coli CFUs adhering to intestinal epithelial layers that were killed by
differently encapsulated B. breve in
the absence oftetracycline exposure. (D) Same as panel (C), now for E. coli killed by adhering differently encapsulated B. breve in the presence oftetracycline exposure.
(E) TEER values of intestinal epithelial cell layers with adhering B. breve and challenged by E. coli in the absence oftetracycline exposure. The horizontal band represents
the TEER values of intestinal cell layers with or without adhering B. breve in the absence of an E. coli challenge. Note that these TEER values were not affected by the
presence of adhering unencapsulated or differently encapsulated B. breve (Figure S6A).
(F) Same as panel (E), now for the TEER of intestinal epithelial cell
layers with adhering B. breve and challenged
by E. coli in the presence oftetracycline
exposure. (G) Surface coverage of the transwell membrane by intestinal
epithelial cell layers with adhering B. breve and challenged by E. coli in the
absence oftetracycline exposure. The horizontal band represents the
surface coverages of intestinal cell layers with or without adhering B. breve in the absence of an E. coli challenge (Figure S6B). Surface coverages
were calculated from fluorescence images, as presented in Figure S6C. (H) Same as panel (G), but now representing
surface coverage by intestinal epithelial cells of the transwell membrane
in the presence oftetracycline exposure. The horizontal band represents
the membrane surface coverage by intestinal cell layers without adhering B. breve in the absence of an E. coli challenge. Surface coverages were calculated from fluorescence images,
as presented in Figure S6D. Error bars
represent the SEM over three experiments with separately grown cells
and bacteria. * indicates statistically significant differences (one-way
ANOVA) between unencapsulated and encapsulated B. breve, while # indicates the difference between cellular layers with E. coli challenges in the absence of colonizing B. breve and in the presence of unencapsulated and
encapsulated B. breve. Significance
was accepted at p < 0.05. The absence ofsignificance
is indicated as “ns”, while seemingly missing data are
too close to the axes to be visible.
As a consequence, the E. coli challenges
in the absence on>an class="Chemical">ftetracycline strongly impaired the barrier function
of the epithelial layer regardless of the presence of (encapsulated) B. breve, as evidenced by a significant decrease
in TEER to below the level of an unchallenged epithelial layer (Figure E). Concurrently,
membrane surface coverage by epithelial cells derived from fluorescence
imaging was absent (Figure G). However, fully in line with the synergistic killing ofE. coli by alginate-encapsulated B.
breve and tetracycline, the TEER values (Figure F) and membrane surface
coverage by epithelial cells (Figure H) remained at the unchallenged level in the presence
ofalginate-encapsulated B. breve and
tetracycline exposure. Other encapsulation methods did not achieve
this synergistic protection of the intestinal epithelial layer.
Discussion
Alginate-hydrogel-based shells yielded superior
protection against
n>an class="Chemical">simulated gastric acid and tetracycline as compared with nanobiomaterial-based
shells, such as yolk–shell packing ofSiO2 nanoparticles
or ZIF-8 mineralization. Accordingly, only alginate-hydrogel-encapsulated B. breve operated synergistically with tetracycline
in killing tetracycline-resistant E. coli adhering to intestinal epithelial layers and maintaining surface
coverage (Figure H)
and barrier integrity (Figure F) of the cell layers.
The inability of nanobiomaterial-based
shells to kill n>an class="Species">E. coli adhering to
intestinal epithelial cell layers
under antibiotic exposure is due to a combination of inadequate protective
properties and cell wall damage caused during encapsulation. For yolk–shell
encapsulation, the primary reason will be inadequate protection as
it interacts weakly through a void[17] with
encapsulated bacteria and no cell wall damage (Figure A) or reduction in viability (Figure B) was observed. Yolk–shell
protection ofB. breve offered no protection
against simulated gastric acid (Figure A), and packed SiO2 nanoparticle shells
were unable to prevent penetration of acids. Possibly, bilayered shells,
such as those composed ofchitosan and alginate, are required to protect
bacteria against SGF at pH 2, as observed for Bacillus coagulans,
surviving around 3-logs more when encapsulated with chitosan and alginate
applied through a layer-by-layer method rather than when encapsulated
with a single layer composed ofchitosan.[38] The yolk–shell, possessing pore diameters of around 11 nm,
based on the use of 12 nm nanoparticles,[17] does protect against tetracycline. At this point, it is important
to realize that protection of encapsulating shells against acidic
conditions, antibiotics, and other potentially harmful substances
is often temporary. Different shells may cause different delay times
in the penetration of harmful substances, which suggests that adsorptive
and absorptive properties of the shells may be more important than
pore size. This is also true for the protection offered by alginate
hydrogels toward B. breve, leaving
the great majority of encapsulated B. breve viable after 30 min of exposure to SGF (see Figure A). However, a separate experiment demonstrated
that protection decreased by 2-log units after 1 h as compared with
30 min of exposure to SGF, attesting to the temporary protection of
bacterial encapsulation. The combination of exposure to simulated
gastric acid and tetracycline, mimicking the conditions encountered
by an encapsulated probiotic bacterium on its way to an intestinal
infectionsite while the patient is under antibiotic treatment, is
too harsh, a condition for the yolk–shell to yield synergistic
killing ofE. coli adhering to an intestinal
epithelial layer (Figure ). For ZIF-8-mineralized shells, inadequate protection (Figure ) is attributed to
cell wall damage due to strong coordinate covalent binding ofZIF-8.
Incidentally, cell wall damage upon ZIF-8 encapsulation has also been
reported for Saccharomyces cerevisiae, a yeast, and Gram-negative E. coli.[39] Although recovery from ZIF-8-inflicted
cell wall damage required 16–20 h before B.
breve was able to start growing again under unchallenged
conditions (see Figure C), cell wall damage combined with an acid or antibiotic attack resulted
in a severe loss of viability after ZIF-8 encapsulation. Thus, the
long recovery period ofB. breve after
ZIF-8 encapsulation combined with the ability oftetracycline to adsorb
to ZIF-8 causing high local tetracycline concentration[40] will contribute to the inability ofZIF-8-mineralized
shells to kill E. coli adhering to
intestinal epithelial cell layers under antibiotic exposure.[40]
The in vitro demonstrated
synergy between alginate-hydrogel-encapsulated n>an class="Species">B. breve and tetracycline in killing tetracycline-resistant
adhering E. coli is similar to the
synergy observed for alginate-hydrogel-encapsulated Lactobacilli working
in concert with tobramycin in killing planktonic, multidrug-resistant
pathogenic S. aureus and Pseudomonas aeruginosa.[14] Our study extends the above study by using a different probiotic
strain and using bacteria in an adhering rather than in a planktonic
state, which is of great relevance for potential clinical applications
as most infections are due to adhering pathogens and not the planktonic
ones. Bifidobacteria are known to produce biosurfactants[26] and acetate[41] that
facilitate detachment of adhering E. coli and perturbation of the intracellular anionic composition,[42] respectively. These two processes likely enhance
tetracycline entry into E. coli to
disturb protein synthesis,[43] yielding synergistic E. coli killing.
We pre-exposed the probiotic
bacteria to simulated gastric acid
and therewith mimic the clinical threats encountered by orally administered
probiotics combined with antibiotic treatment, including en>an class="Chemical">ffects on
intestinal epithelial layers. Considering the close resemblance between in vitro conditions and clinical conditions that can be
realized in a transwell co-culture system, it can be debated whether
evaluation of probiotic bacteria and their encapsulation require animal
experiments. Animal experiments are under heavy societal and regulatory
scrutiny while the conditions in an animal experiment are often remote
from human clinical conditions,[44] particularly
with respect to the different microbiomes in the body. B. breve, tetracycline, and calcium alginate are
all already used either in the clinic or in over-the-counter products. B. breve is orally administered to newborns delivered
through cesarean section to ensure a healthy gut microflora.[45] Tetracycline is a frequently used antibiotic
in the clinic. Alginate hydrogels are considered safe by the FDA for
oral administration.[46] Transplantation
ofalginate-hydrogel-encapsulated islets of Langerhans successfully
increases the control of the blood glucose diabetic type Ipatients,
without invoking an immune response.[47] Accordingly,
the in vitro demonstrated synergy between alginate-hydrogel-encapsulated B. breve and an antibiotic may be clinically pursued,
preferably on the basis of enrichment principles[48] to yield a regulatory-approved strategy for the control
of antibiotic-resistant E. coli infections
in the gastrointestinal tract.
Conclusions
In conclusion, the n>an class="Chemical">ZIF-8
shells strongly interacting with B. breve cell surfaces caused demonstrable cell wall
damage with a minor loss of viability. Accordingly, it took B. breve considerably more time to recover from the
cell wall damage inflicted by ZIF-8 encapsulation and start growing
again than after encapsulation by weakly interacting yolk–shells
or alginate hydrogels. Only, alginate hydrogel shells protected B. breve against gastric acids and antibiotics and
worked synergistically with tetracycline in protecting intestinal
epithelial layers against adhering tetracycline-resistant E. coli in a transwell co-culture model. This synergy
between alginate-hydrogel-encapsulated B. breve and an antibiotic warrants further studies for treating antibiotic-resistant E. coli infections in the gastrointestinal tract.
Authors: Paul de Vos; Marek Bucko; Peter Gemeiner; Marián Navrátil; Juraj Svitel; Marijke Faas; Berit Løkensgard Strand; Gudmund Skjak-Braek; Yrr A Morch; Alica Vikartovská; Igor Lacík; Gabriela Kolláriková; Gorka Orive; Dennis Poncelet; Jose Luis Pedraz; Marion B Ansorge-Schumacher Journal: Biomaterials Date: 2009-02-07 Impact factor: 12.479