Antiseptic quaternary ammonium compound tolerance by gram-negative bacteria can be rapidly detected using an impermeant fluorescent dye-based assay

Sci Rep. 2020 Nov 25;10(1):20543. doi: 10.1038/s41598-020-77446-8.

Abstract

Biocides such as quaternary ammonium compounds (QACs) are potentially important contributors towards bacterial antimicrobial resistance development, however, their contributions are unclear due to a lack of internationally recognized biocide testing standards. Methods to detect QAC tolerance are limited to laborious traditional antimicrobial susceptibility testing (AST) methods. Here, we developed a rapid fluorescent dye-based membrane impermeant assay (RFDMIA) to discriminate QAC susceptibility among Gram-negative Enterobacterales and Pseudomonadales species. RFDMIA uses a membrane impermeant fluorescent dye, propidium iodide, in a 30-min 96-well fluorescent microplate-based assay where cell suspensions are exposed to increasing QAC concentrations. Our results demonstrate that RFDMIA can discriminate between QAC-susceptible and QAC-adapted Escherichia coli tolerant phenotypes and predict benzalkonium and cetrimide tolerance in all species tested except for intrinsically fluorescent Pseudomonas aeruginosa. RFDMIA identified a close association to minimum inhibitory concentration values determined by broth microdilution AST and increasing fluorescent dye emission values. RFDMIA emission values and scanning electron microscopy results also suggest that CET-adapted E. coli isolates have a CET dependence, where cells require sub-inhibitory CET concentrations to maintain bacilliform cell integrity. Overall, this study generates a new, rapid, sensitive fluorescent assay capable of detecting QAC-susceptible Gram-negative bacteria phenotypes and cell membrane perturbations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Infective Agents / pharmacology
  • Anti-Infective Agents, Local / pharmacology
  • Bacteria / metabolism
  • Bacterial Proteins / metabolism
  • Benzalkonium Compounds / pharmacology
  • Disinfectants / pharmacology
  • Drug Resistance, Bacterial / genetics*
  • Fluorescent Dyes / pharmacology
  • Gram-Negative Bacteria / genetics
  • Gram-Negative Bacteria / metabolism
  • Microbial Sensitivity Tests / methods*
  • Quaternary Ammonium Compounds / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Anti-Infective Agents, Local
  • Bacterial Proteins
  • Benzalkonium Compounds
  • Disinfectants
  • Fluorescent Dyes
  • Quaternary Ammonium Compounds