Skin and biomaterial infection - Biofilms, antimicrobials and resistance

3 important questions on Skin and biomaterial infection - Biofilms, antimicrobials and resistance

How do bacteria attache to biomaterial surface?

  • Bacterial attachment on protein-coated biomaterial surface through adhesion
  • Biofilm formation through
    • Exopolysaccaride production
    • Release of DNA
    • Factors of proteic nature

What are the steps to form biofilm?

  1. Primary attachment phase
    • Aap and MSCRAMM bind the surface
  1. Accumulation phase
    • Aap/SasG B domaine mediated accumulation and MSCRAMM mediated accumulation
  2. Detachment/dispersion phase:
  • Phenol-soluble modulins (PSMs)
    • strongly amphipathic alfa-helical peptides
    • biofilm structuring and dispersal
    • under quorum sensing control
    • (‘Quorum Sensing’ (QS) to describe the phenomenon whereby the accumulation of signaling molecules enable a single cell to sense the number of bacteria (cell density))

What happens to bacteria within biofilm?

  • Difficult to phagocytose
  • Expressing different gene sets than planktonic
  • Regulate gene expression by “quorum sensing”
  • Produce extracellular polysaccharide increasing biofilm and/or biofilm dispersing molecules
  • Not effectively reached by all antibiotics
  • In “dormant state”, bacteria are less susceptible to antibiotics
  • Persisting inflammatory stimulus


Local immunity is compromised, allowing intracellular survival
Biomaterial together with bacteria derange immune responses

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