Laboratory assays such as MIC tests assume that antibiotic molecules are stable in the chosen growth medium -but rapid degradation has been observed for antibiotics including β-lactams under some conditions in aqueous solution. Degradation rates in bacterial growth medium are less well known. Here, we develop a 'delay time bioassay' that provides a simple way to estimate antibiotic stability in bacterial growth media. We use the bioassay to measure degradation half-lives of the β-lactam antibiotics mecillinam, aztreonam and cefotaxime in widely-used bacterial growth media based on MOPS and Luria-Bertani (LB) broth. We find that mecillinam degradation can occur rapidly, with a half-life as short as 2 hours in MOPS medium at 37 • C and pH 7.4, and 4-5 hours in LB, but that adjusting the pH and temperature can increase its stability to a half-life around 6 hours without excessively perturbing growth. Aztreonam and cefotaxime were found to have half-lives longer than 6 hours in MOPS medium at 37 • C and pH 7.4, but still shorter than the timescale of a typical minimum inhibitory concentration (MIC) assay. Taken together, our results suggest that care is needed in interpreting MIC tests and other laboratory growth assays for β-lactam antibiotics, since there may be significant degradation of the antibiotic during the assay.Antibiotic efficacy is usually quantified by the minimal inhibitory concentration (MIC), 2 or the concentration of antibiotic needed to prevent bacterial growth over 24 hours in a 3 standard laboratory growth medium [1]; the MIC value plays a central role in 4 diagnostic and therapeutic decision-making. When performing an MIC assay, one 5 assumes that the antibiotic does not degrade over the timescale of the assay. Antibiotic 6 stability is also assumed in a host of other bacterial growth assays that are used to 7 determine antibiotic mechanism of action [2][3][4][5], interactions between antibiotics [6-9], 8 and evolution of antibiotic resistance [10][11][12][13][14].
9Antibiotic degradation in aqueous solution has been extensively studied in the 10 chemical literature [15][16][17][18][19], and it is well-known that, under some conditions, 11 antibiotics can degrade on timescales much shorter than a typical bacterial growth assay. 12 There has been little work, however, on how quickly antibiotics degrade in standard 13 laboratory growth media, such as those used for MIC assays. Here, we develop a 14 'delay-time bioassay', based on growth measurements in a plate reader, that allows 15 simple estimation of the rate of antibiotic degradation in bacterial growth media.
16Bacterial growth media are chemically complex, since bacterial proliferation requires 17 carbon, nitrogen, phosphorous, iron and a diverse array of micronutrients [20,21].
18April 14, 2020 1/18 "Undefined" growth media contain ingredients such as yeast extract, blood or beef 19 extract, whose detailed chemical composition is not known. Luria-Bertani (LB) medium, 20 which consists of water, tryptone, sodium chloride and yeast extract, i...