Pseudomonas aeruginosa forms biofilms in wounds, which often leads to chronic infections that are difficult to treat with antibiotics. Free iron enhances biofilm formation, delays wound healing, and may even be responsible for persistent inflammation, increased connective tissue destruction, and lipid peroxidation. Exposure of P. aeruginosa Xen 5 to the iron chelator 2,3-dihydroxybenzoic acid (DHBA), electrospun into a nanofiber blend of poly(D,L-lactide) (PDLLA) and poly(ethylene oxide) (PEO), referred to as DF, for 8 h decreased biofilm formation by approximately 75%. This was shown by a drastic decline in cell numbers, from 7.1 log 10 CFU/ml to 4.8 log 10 CFU/ml when biofilms were exposed to DF in the presence of 2.0 mM FeCl 3 6H 2 O. A similar decline in cell numbers was recorded in the presence of 3.0 mM FeCl 3 6H 2 O and DF. The cells were more mobile in the presence of DHBA, supporting the observation of less biofilm formation at lower iron concentrations. DHBA at MIC levels (1.5 mg/ ml) inhibited the growth of strain Xen 5 for at least 24 h. Our findings indicate that DHBA electrospun into nanofibers inhibits cell growth for at least 4 h, which is equivalent to the time required for all DHBA to diffuse from DF. This is the first indication that DF can be developed into a wound dressing to treat topical infections caused by P. aeruginosa.
Pseudomonas aeruginosa is a versatile opportunistic pathogen commonly associated with a number of nosocomial infections of the respiratory tract, urinary tract, and wounds (1, 2, 3). The antibiotic-induced killing of P. aeruginosa is extremely poor in chronic wounds such as leg ulcers or burn wounds (4). The species protects itself from antibiotics by forming biofilms (5-7) and by doing so develops resistance to antibiotics (6,8,9).Cystic fibrosis is one of the best-studied examples of chronic infections caused by biofilms of P. aeruginosa (10). Zhao et al. (11) have shown that biofilm formation by P. aeruginosa is stimulated by Psl exopolysaccharide on the cell surface. However, Singh et al. (12) and Banin et al. (13) attributed biofilm formation by Pseudomonas spp. to higher levels of free iron in the environment. Free iron may retard wound healing and may even be responsible for persistent inflammation, increased connective tissue destruction, and lipid peroxidation (14). These pose unique challenges in the development of antimicrobial drugs effective against P. aeruginosa.Lactoferrin, an iron chelator in mammals, inhibited biofilm formation (12,13,15). Similar results were obtained with synthetic iron chelators such as 2,2=-dipyridyl (2DP), diethylenetriaminepentaacetic acid (DTPA), EDTA, deferoxamine mesylate (DM), and ethylenediamine-N,N=-diacetic acid (EDDA) (16). As far as we could determine, the effect of the iron chelator 2,3-dihydroxybenzoic acid (DHBA) on biofilm formation by Pseudomonas spp. has not been reported.DHBA has been used orally as a noncytotoxic iron-chelating agent in patients suffering from -thalassemia (17, 18). DHBA is produced during as...