TY - CONF A1 - Nordholt, Niclas T1 - The interplay between biocides, phenotypic heterogeneity and resistance evolution N2 - An overview of the interplay between biocides, phenotypic heterogeneity and resistance evolution presented at the University Wroclaw. T2 - Invited seminar at the Department of Molecular Microbiology CY - Wroclaw, Poland DA - 08.04.2024 KW - Disinfectants KW - Biocide resistance KW - Phenotypic heterogeneity KW - Evolution PY - 2024 AN - OPUS4-61173 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - CONF A1 - Nordholt, Niclas T1 - Biocides and phenotypic heterogeneity N2 - An overview of our findings regarding the interplay between phenotypic heterogeneity in bacteria and biocides. T2 - One Health and Antimicrobial Resistance CY - Berlin, Germany DA - 29.01.2024 KW - Biocides KW - Phenotypic heterogeneity KW - Biocide resistance PY - 2024 AN - OPUS4-61174 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - CONF A1 - Nordholt, Niclas T1 - ALEE-AMC: Bacterial resistance evolution towards antimicrobial surfaces and development of a standardized test N2 - Background: Antimicrobial surfaces and coatings (AMCs) are important to protect man-made structures from biodeterioration and biodegradation. Advances in nano-structuring methods hold the promise of a new generation of AMCs. However, the evolution and selection of bacterial resistance to AMCs may threaten their efficacy in the long term. Therefore, according to the EU Biocidal Products Regulation, the risk of resistance development upon exposure to AMCs must be evaluated during product authorization. The same applies to the development of cross-resistances to other substances, for instance biocides and antibiotics. However, no standardized method exists to assess the risk of resistance and cross-resistance development upon exposure to AMCs during the authorization process. Objectives: • To develop a standardizable adaptive laboratory evolution experiment to be performed on AMCs (ALEE-AMC) • To assess performance and robustness of ALEE-AMC in a round robin test, using a copper AMC as reference • To uncover the mechanisms underlying evolution of resistance to copper AMC Materials & Methods: ALEE-AMC was developed based on an approved standard to determine the efficacy of antimicrobial surfaces (ISO 22196). ALEE-MC was performed on an antimicrobial copper surface as reference material and Escherichia coli as model organism. A round robin test was conducted with six participants to evaluate the reproducibility and applicability of ALEE-AMC. Evolved E. coli populations from the round robin partners were collected and subjected to phenotypic (antimicrobial susceptibility testing, ISO 22196) and genotypic (whole genome sequencing) characterization at BAM. Results: The results of the ALEE-AMC round robin test indicate that repeated exposure to copper can select for reduced copper susceptibility. However, failure of individual E. coli lineages to adapt to the copper surfaces was also observed. Evolved E. coli exhibited increased survival upon exposure to copper surfaces. Adaptation to copper did not induce cross-resistance to antibiotics. Whole genome sequencing of the evolved E. coli revealed high diversity of mutations among individual evolved strains, indicating the existence of multiple, underexplored evolutionary pathways towards increased survival of antimicrobial copper surfaces. Conclusion & Significance: ALEE-AMC offers a standardizable platform to assess the risk of resistance development towards novel and existing AMCs. Specifically, using ALEE-AMC in a round robin test, insights into evolvable survival mechanisms to copper AMCs have been gained. These mechanistic insights may be exploited to prevent the evolution against copper AMCs. In future steps, criteria need to be defined to provide guidelines for the authorization of AMCs based on the outcomes of ALEE-AMC T2 - International Biodeterioration and Biodegradation Symposium, Berlin, Germany CY - Berlin, Germany DA - 09.09.2024 KW - Biocides KW - Antimicrobial surfaces KW - Resistance KW - Evolution KW - Standardized test PY - 2024 AN - OPUS4-61176 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - JOUR A1 - Nordholt, Niclas A1 - Sobisch, Lydia-Yasmin A1 - Gödt, Annett A1 - Lewerenz, Dominique A1 - Schreiber, Frank T1 - Heterogeneous survival upon disinfection underlies evolution of increased tolerance N2 - Disinfection is important to limit the spread of infections, but failure of disinfection may foster the evolution of antimicrobial resistance in bacteria. Persisters are phenotypically tolerant subpopulations that survive toxic stress longer than susceptible cells, leading to failure in treatments with antimicrobials and facilitating resistance evolution. To date, little is known about persistence in the context of disinfectants. The aim of this study was to investigate the influence of persisters on disinfection and to determine the consequences of disinfectant persistence for the evolution of increased tolerance to disinfectants. Disinfection kinetics with high temporal resolution were recorded for Escherichia coli exposed to the following six disinfectants: hydrogen peroxide (H2O2), glutaraldehyde (GTA), chlorhexidine (CHX), benzalkonium chloride (BAC), didecyldimethylammonium chloride (DDAC), and isopropanol (ISO). A mathematical model was used to infer the presence of persisters from the time–kill data. Time–kill kinetics for BAC, DDAC, and ISO were indicative of persisters, whereas no or weak evidence was found for H2O2, GTA, and CHX. When subjected to comparative experimental evolution under recurring disinfection, E. coli evolved increased tolerance to substances for which persisters were predicted (BAC and ISO), whereas adaptation failed for substances in which no persisters were predicted (GTA and CHX), causing extinction of exposed populations. Our findings have implications for the risk of disinfection failure, highlighting a potential link between persistence to disinfectants and the ability to evolve disinfectant survival mechanisms. IMPORTANCE: Disinfection is key to control the spread of infections. But the application of disinfectants bears the risk to promote the evolution of reduced susceptibility to antimicrobials if bacteria survive the treatment. The ability of individual bacteria to survive disinfection can display considerable heterogeneity within isogenic populations and may be facilitated by tolerant persister subpopulations. Using time–kill kinetics and interpreting the data within a mathematical framework, we quantify heterogeneity and persistence in Escherichia coli when exposed to six different disinfectants. We find that the level of persistence, and with this the risk for disinfection failure, depends on the disinfectant. Importantly, evolution experiments under recurrent disinfection provide evidence that links the presence of persisters to the ability to evolve reduced susceptibility to disinfectants. This study emphasizes the impact of heterogeneity within bacterial populations on disinfection outcomes and the potential consequences for the evolution of antimicrobial resistances. KW - Antimicrobial resistance KW - Bacteria KW - Standardization KW - Biocides PY - 2024 UR - https://nbn-resolving.org/urn:nbn:de:kobv:b43-615566 DO - https://doi.org/10.1128/spectrum.03276-22 SN - 2165-0497 VL - 12 IS - 12 SP - 1 EP - 11 PB - American Society for Microbiology CY - Birmingham, Ala. AN - OPUS4-61556 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - JOUR A1 - Schmidt, Selina B. I. A1 - Täschner, Tom A1 - Nordholt, Niclas A1 - Schreiber, Frank T1 - Differential Selection for Survival and for Growth in Adaptive Laboratory Evolution Experiments With Benzalkonium Chloride N2 - Biocides are used to control microorganisms across different applications, but emerging resistance may pose risks for those applications. Resistance to biocides has commonly been studied using adaptive laboratory evolution (ALE) experiments with growth at subinhibitory concentrations linked to serial subculturing. It has been shown recently that Escherichia coli adapts to repeated lethal stress imposed by the biocide benzalkonium chloride (BAC) by increased survival (i.e., tolerance) and not by evolving the ability to grow at increased concentrations (i.e., resistance). Here, we investigate the contributions of evolution for tolerance as opposed to resistance for the outcome of ALE experiments with E. coli exposed to BAC. We find that BAC concentrations close to the half maximal effective concentration (EC50, 4.36 μg mL−1) show initial killing (~40%) before the population resumes growth. This indicates that cells face a two‐fold selection pressure: for increased survival and for increased growth. To disentangle the effects of both selection pressures, we conducted two ALE experiments: (i) one with initial killing and continued stress close to the EC50 during growth and (ii) another with initial killing and no stress during growth. Phenotypic characterization of adapted populations showed that growth at higher BAC concentrations was only selected for when BAC was present during growth. Whole genome sequencing revealed distinct differences in mutated genes across treatments. Treatments selecting for survival‐only led to mutations in genes for metabolic regulation (cyaA) and cellular structure (flagella fliJ), while treatments selecting for growth and survival led to mutations in genes related to stress response (hslO and tufA). Our results demonstrate that serial subculture ALE experiments with an antimicrobial at subinhibitory concentrations can select for increased growth and survival. This finding has implications for the design of ALE experiments to assess resistance risks of antimicrobials in different scenarios such as disinfection, preservation, and environmental pollution. KW - Antimicrobial resistance KW - Bacteria KW - Standardization KW - Biocides PY - 2024 UR - https://nbn-resolving.org/urn:nbn:de:kobv:b43-615496 DO - https://doi.org/10.1111/eva.70017 VL - 17 IS - 10 SP - 1 EP - 11 PB - Wiley AN - OPUS4-61549 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - CONF A1 - Nordholt, Niclas T1 - NBD-DDA: a tool to study biocide & disinfectant resistance mechanisms N2 - Quaternary ammonium compounds (QACs) are widely used as active agents in disinfectants, antiseptics, and preservatives. Despite being in use since the 1940s, there remain multiple open questions regarding their detailed mode-of-action and the mechanisms that can make bacteria less susceptible to QACs, including phenotypic heterogeneity. Goals To develop a fluorescent quaternary ammonium compound and to use it to investigate the mechanisms underlying QAC susceptibility in bacteria. Material & Methods A fluorescent quaternary ammonium compound, N-dodecyl-N,N-dimethyl-[2-[(4-nitro-2,1,3-benzoxadiazol-7-yl)amino]ethyl] azanium-iodide (NBD-DDA), was synthesized. Chemical structure and purity of NBD-DDA was confirmed by mass spectrometry and NMR spectroscopy. Antimicrobial activity against S. aureus, P. aeruginosa and E. coli was assessed by determination of minimum inhibitory concentrations and time-kill assays. Uptake, heterogeneity and efflux of NBD-DDA in wild-type and efflux-deficient mutants (ΔtolC) were determined, using flow cytometry and fluorometry. Sub-cellular localization of NBD-DDA was determined using confocal laser scanning microscopy. Results NBD-DDA was readily detected by flow cytometry and fluorescence microscopy with standard GFP/FITC-settings. NBD-DDA retained antimicrobial activity comparable to the structurally similar, widely used QAC benzalkonium chloride (BAC). Characteristic time-kill kinetics and increased tolerance of a BAC tolerant E. coli strain against NBD-DDA suggest that the mode of action of NBD-DDA is similar to that of BAC. NBD-DDA was preferentially localized to the cell envelope, which is a primary target of BAC and other QACs. Leveraging NBD-DDA‘s fluorescent properties, it was demonstrated that reduced cellular accumulation underlies BAC tolerance in a BAC tolerant E. coli strain and that NBD-DDA is subject to efflux mediated by TolC. Summary Overall, NBD-DDA’s antimicrobial activity, its fluorescent properties, and its ease of detection render it a powerful tool to study mechanisms of QAC susceptibility and mode-of-action in bacteria, both on the level of populations and single-cells. T2 - VAAM - Jahrestagung 2024 CY - Würzburg, Germany DA - 02.06.2024 KW - Biocides KW - Phenotypic heterogeneity PY - 2024 AN - OPUS4-61177 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - CONF A1 - Nordholt, Niclas A1 - Kanaris, Orestis A1 - Lewerenz, Dominique A1 - Gödt, Annett A1 - Schreiber, Frank T1 - Evolutionary implications of heterogeneous disinfectant tolerance N2 - Introduction: Effective disinfection is crucial to maintain hygiene and to prevent the spread of infections. Phenotypic heterogeneity in disinfection survival (i.e. tolerance) may result in failure of disinfection, which in turn may foster the evolution of resistance to both disinfectants and antibiotics. However, the consequences of phenotypic heterogeneity for disinfection outcome and resistance evolution are not well understood. Goal: This study investigates the impact of phenotypic heterogeneity on the survival and evolution of Escherichia coli during disinfection with six commonly used substances. Furthermore, the consequences of evolved disinfectant tolerance for antibiotic resistance evolution are studied. Materials & Methods: The extent of population heterogeneity during disinfection is derived by determining time-kill kinetics and analysis with mathematical modelling. The link between population heterogeneity and evolvability of disinfectant tolerance was assessed by laboratory evolution experiments under periodic disinfection. The ability of disinfectant tolerant strains to evolve antibiotic resistance is assessed by serial transfer experiments with increasing concentrations of different antibiotics and by whole genome sequencing. Results: Multi-modal time-kill kinetics in three of the six disinfectants suggest the presence of disinfectant-tolerant subpopulations (i.e. persister cells). Importantly, the ability and extent to evolve population-wide tolerance under periodic disinfection is related with the presence of persister cells and the level of phenotypic heterogeneity during disinfection. Interestingly, the probability of high-level resistance evolution to certain antibiotics is attenuated in disinfectant tolerant strains as compared to the sensitive ancestor. Whole-genome sequencing reveals epistatic interactions between disinfectant tolerance and antibiotic resistance mutations, preventing access to canonical evolutionary paths to resistance. Summary: Our findings suggest that phenotypic heterogeneity can facilitate disinfection survival and the evolution of population wide tolerance, which can impact future antibiotic resistance evolution. T2 - Vereinigung Allgemeiner und Angewandter Mikrobiobiologie Jahreskongress 2023 CY - Würzburg, Germany DA - 02.06.2024 KW - Biocide KW - Resistance KW - Persistence KW - Evolution KW - Herteogeneous phenotypes PY - 2024 AN - OPUS4-60244 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - CONF A1 - Nordholt, Niclas T1 - Progress on STOP-project WP5 and WP6 at BAM N2 - An overview of the progress that has been made on testing of antimicrobial efficacy and method development in the STOP project at BAM. T2 - STOP project meeting 09/2024 CY - Bukarest, Romania DA - 18.09.2024 KW - Antimicrobial surfaces KW - ISO22196 PY - 2024 AN - OPUS4-61178 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER -