Microbubble-Mediated Ultrasound Enhances the Lethal Effect of Gentamicin on PlanktonicEscherichia coli
Previous research has found that low-intensity ultrasound enhanced the lethal effect of gentamicin on planktonicE. coli. We aimed to further investigate whether microbubble-mediated low-intensity ultrasound could further enhance the antimicrobial efficacy of gentamicin. The planktonicE. coli(ATCC 25922) was distributed to four different interventions: control (GCON), microbubble only (GMB), ultrasound only (GUS), and microbubble-mediated ultrasound (GMUS). Ultrasound was applied with 100 mW/cm2(average intensity) and 46.5 KHz, which presented no bactericidal activity. After 12 h, plate counting was used to estimate the number of bacteria, and bacterial micromorphology was observed with transmission electron microscope. The results showed that the viable counts ofE. coliinGMUSwere decreased by 1.01 to 1.42 log10 CFU/mL compared withGUS(P<0.01). The minimal inhibitory concentration (MIC) of gentamicin againstE. coliwas 1 μg/mL in theGMUSandGUSgroups, lower than that in theGCONandGMBgroups (2 μg/mL). Transmission electron microscopy (TEM) images exhibited more destruction and higher thickness of bacterial cell membranes in theGMUSthan those in other groups. The reason might be the increased permeability of cell membranes for gentamicin caused by acoustic cavitation.