1 (PVJ)
1 (PVJ)
Quorum sensing: Bacterial growth, virulence or peptide signals are recognized by either membrane
pathogenic ability primarily depends on the ability of associated histidine kinase or cytoplasmic receptors
bacteria for cell-to-cell communication through a variety (Thoendel et al., 2011). Another type of auto inducer AI-2
of signal molecules. This type of communication among has also been identified, their chemical nature is still
or between bacteria is referred to as Quorum sensing (QS) unknown but they initiate QS both in Gram-negative and
(Rumbaugh et al., 2012). The molecules (auto inducers) Gram-positive bacteria (Xavier and Bassler, 2003;
used in signaling process in Gram positive and Gram- Galloway et al., 2011). Some of the auto inducers are
negative bacteria are different and distinct (Galloway et shared between prokaryotes and eukaryotes. It is
al., 2011). Biofilm formation and sporulation in Gram- hypothesized that cross kingdom communication also
positive organisms e.g. Bacillus subtilis has recently been exists and is more prevalent than had been previously
discussed thoroughly in a recent article by Liaqat et al. assumed (Iyer et al., 2004). For example, we know that
(2013). Gram-negative bacteria utilize N-acylated-L- QS is functional between prokaryotes but it can also exist
homoserine lactones (AHLs) which are produced by LuxI- between prokaryotes and eukaryotes. In eukaryotes, most
type synthase enzymes and bind to cytoplasmic LuxR of the enzymes, which help in communication, are
receptors to exert a regulatory output and Gram positive homologous to such structures, which help in quorum
bacteria use cyclic peptides as an auto inducer. The sensing in prokaryotes. These enzymes are present in
426
427 Pak Vet J, 2014, 34(4): 426-431.
prokaryotes but absent in eukaryotes including plants, so oxodoecanoyl)-L-homserine lactone (3O-C12- HSL),
prokaryotes share these enzymes (e.g. which can bind to receptor Las R. This complex controls
Phenylethanolamine N-methyltransferase, glutamate the transcription of genes for several virulence factors,
decarboxylase, histidine decarboxylase, etc) with including alkaline protease, toxin A and elastases
eukaryotes and help them in quorum sensing (Iyer et al., (Schuster et al., 2003; Duan and Surcttc, 2007). The
2004). second type of QS system is named rhlI/R, where RhlI
synthase directs the production of N-butyryl-L-
Quorum sensing inhibition (QSI)/quorum quenching: homoserine lactone (C4-HSL) binding to receptor Rhl R
The cure or treatment of conventional infectious diseases (Bottomley et al., 2007). The complex so formed i.e. C4-
is based primarily on the use of antibiotics that aim to kill HSL-RhIR activates transcription of several genes
or inhibit bacterial growth (Sharon et al., 2009). The including rhl AB operon that encodes for the enzyme
major problem with this approach is the frequent responsible for rhamnolipid synthesis which are
development of antibiotic resistant strains of microbes intricately involved in biofilm formation.
under attack. For example, one prime strategy of P. aeruginosa also uses a third signal, Pseudomonas
resistance that P. aeruginosa utilizes is the development quinolone signal (PQS) and the PqsR receptor protein
of biofilm mode of growth. Through the use of this (Dubern and Diggle, 2008). This QS signal is responsible
strategy Pseudomonas effectively evades the action of for the expression of many virulence factors in P.
antibiotics since biofilms prevent effective concentrations aeruginosa (Schuster et al., 2003; Bottomley et al., 2007;
of antibiotics to penetrate to arrest and prevent the further Bredenbruch et al., 2006).
development of such opportunistic pathogens (Rasmussen
and Michael, 2006). The emergence of antibiotic resistant Quorum quenching against AHL mediated QS
strains of P. aeruginosa demands new approaches for 1) Quorum quenching enzymes: QSI or quorum
combating infections (Kaufmann et al., 2008). quenching in P. aeruginosa or gram-negative bacteria in
Accordingly, the use of selected signal molecules or cell- general can be interfered with in several ways. Since we
to-cell communication disrupting drugs (that will arrest know that in P. aeruginosa or in Gram-negative bacteria
the ability of invading microbes to launch their virulence quorum sensing is AHL based, so it can be blocked by
mechanisms through activation of responsible genes) can inhibition of AHL biosynthesis involved enzymes of acyl
potentially prove to be one of the most effective chain (acyl-acyl carrier protein) (ACP) and S-
strategies. Although, we will focus our attention here adenosylmethionine synthase (Parveen and Cornell,
primarily on P. aeruginosa, a Gram-negative bacterium, it 2011), as well as LuxI homolog proteins. For example,
behooves to remind the reader that this strategy can be various analogs of SAM (S-adenosyle methionine), such
equally effective against a variety of Gram-positive as S-adenosylhomocysteine, S-adenosylcysteine, and
bacteria. Compounds capable of such a type of sinefungin, have been demonstrated to be potent inhibitors
interference have been termed antipathogenic drugs and of AHL synthesis catalyzed by the P. aeruginosa RhlI
this phenomenon is also called quorum sensing inhibition protein (Pechere, 2001).
(QSI) or quorum quenching (Rasmussen and Michael, Second way in which quorum quenching can be
2006; Kalia and Purohit, 2011). Actually there are three exercised is through destruction of the QS signaling
main strategies for accomplishing quorum quenching molecules. In this way signal is not accumulated in the
either by targeting signal generation inhibition or by environment and is unable to initiate and express QS
inhibition of signal dissemination or signal receptor phenomena. Two enzymes that play a significant part in
inhibition (Dong et al., 2007). degradation of AHL have been discovered: i.e., AHL
lactonase and AHL acylase (Dong et al., 2007).For
Pseudomonas aeruginosa and its pathogenicity: P. example Bacillus spp. which is a Gram-positive
aeruginosa is an opportunistic pathogen of humans, bacterium, inhibits quorum sensing in Gram-negative or
animals as well as of plants and the most common gram- AHL autoinducer producing bacteria by lactonase
negative bacterium found in nosocomial infections of enzymes (A ii A) which cleave acyl moiety from lactone
urinary tract, bloodstream, pneumonia, and burn wound. It rings of AHL and utimately inactivate AHL. However, in
is also known for its connection with chronic infections of this mode it only acts as quorum quencher for AHL auto
the respiratory tract diseases including cystic fibrosis, inducer producing bacteria and its own communication
diffuse panbronchiolitis, and bronchiectasia (Bjarnsholt threshold remains uninterrupted (Dong et al., 2000; 2001).
and Givskov, 2007). Its survival and pathogenicity Similarly, human paraoxonase (PON2) enzymes are
depends on the production of lytic enzymes like protease, lactonase in nature so they also inhibit QS by targeting the
elastase, pyocynanin pigment, exopolysaccharide (EPS), signal transmission (Draganov et al., 2005; Ozer et al.,
and swarming motility (Adonizio et al., 2008; Vu et al., 2005). From other bacteria as diverse as Agrobacterium
2009). tumefaciens, Erwiniacarotovora, and Xanthomonas spp.
there are reports of autoinducer degradation activities
Quorum sensing in Pseudomonas aeruginosa: It has (Haudecoeur et al., 2009). Similarly, many other bacteria
been found that P. aeruginosa uses at least two QS produce AHL acylase and act as a quorum quencher by
systems for the formation of biofilm and other virulence targeting AHL molecules. They degrade the amide bonds
expression factors (Duan and Surcttc, 2007). The first QS resulting in the yield of homoserine lactone and fatty acid.
system of P. aeruginosa uses the LasI/R and the By this mechanism the AHL ring becomes open, which
concerned genes are LuxI/R homologues. In the LasI/R can serve as a ready source of energy and nitrogen
system, LasI synthase directs the synthesis of N-(3- compounds. As a further example Variovorax paradoxus
428 Pak Vet J, 2014, 34(4): 426-431.
and Ralstonia specie XJ12Bendeavor toopen AHL ringsin CV026 and concluded that gorgonian extracts possessed
order to use products of AHL as carbon and nitrogen significant QS inhibitory activities on long chain AHL
sources (Leadbetter and Greenberg, 2000; Lin et al., from P. aeruginosa PAO1
2003;Nishino and Spain, 2006). In conclusion, lactonases Basavaraj et al. (2008) reported that natural fruit
and acylases are quite efficient quorum-quenching juices like grapefruit are known to inhibit biofilm
enzymes which can be utilized as effective antivirulence formation in Escherichia coli O157:H7, Staphylococcus
or antipathogenic tools against P. aeruginosa or other aureus, Salmonella and P. aeruginosa by acting on QS
Gram negative bacteria because of their ability to mechanisms of these bacteria. They concluded that
inactivate signaling molecules without interfering with the particularly furocoumarins from grapefruit possess such
enzymatic mechanisms inside the bacterial cells, thereby inhibitory capabilities on a number of bacterial species.
reducing the selective pressure exerted by the use of Dietary phytochemicals are secondary metabolites in
antibiotics. plants. Vattem et al. (2007) have tested some common
Finally, the third mode of quorum quenching in phyto chemicals from dietary fruit, herb and spice extracts
bacteria can be achieved by the inhibition of LuxR in model bioassay test systems. The effect of the
homolog proteins (Qs receptors) (Koch et al., 2005; Chen substances as antipathogenic drugs at sub-lethal
et al., 2011). For example, synthetic halogenated concentrations (SLCs) were investigated and resulted in
furanones from Delisea pulchra inhibit AHL-dependent the conclusion that indeed such compounds possessed
quorum sensing by displacing the AHL signal from its inhibitory QS related functions that were effective on
reporter protein (Manefield et al., 1999). Furanones from different bacterial properties like swarming motility of
marine algae Delisea pulchra do not act as quorum pathogens Escherichia coliO157:H7and P. aeruginosa,
quenching compounds against P. aeruginosa (de Nys et violaceum production in Chromobacterium violaceum o26
al., 1993) but synthetic furanones have demonstrated good (CVo26). Almost 200,000 compounds have been screened
efficacy (Rasmussen and Givskov, 2006). On the other which are potential inhibitors of LasR-dependent gene
hand a chemical compound, Iberin from horseradish expression and the two best inhibitors among these are
inhibits QS in P. aeruginosa by acting on RhIR receptors. tetrazole and V-06-018, with phenyl ring that normally
These receptors are used in the second type of QS system binds to Las R. Müh et al. (2006) observed that both of
deployed by P. aeruginosa (Jakobsen et al., 2012). these compounds inhibited the production of two QS
dependent virulence factors, elastase and pyocyanin in P.
2) Quorum quenching pressure exerted by herbal aeruginosa.
extracts: Many natural food products, herbs and spices Many other plants produce compounds which have
possess quorum sensing inhibitory properties for example, good QS inhibitory effects as an example, carrot, soya
garlic, carrot, and chamomile (Fulghesu et al., 2007). bean, water lilly, tomatoes pea seedlings, bean sprouts,
Among these, garlic (Allium sativum) is renowned for its vanilla and similar natural compound scan be very
antifungal, anticancerous, antiviral, antiprotozoal and effective QS inhibitory agents (Rasch et al., 2005; Choo et
antimicrobial activities (Block, 2010). It was al.,2006; Niu et al., 2006; Jaramillo et al., 2012). Most of
demonstrated that the antimicrobial activities related to these plant extracts exert a strong antagonistic effect on
the presence of growth inhibitory compounds, such as LuxR based QS. Due to the quorum quenching ability of
allicin, which is the active ingredient in garlic (Ankri and these plants, they have been used in food and flavor
Mirelman, 2001). Later on it was reported that ajoene industry as a preservative and to delay the onset of food
from garlic are naturally occurring substances which act spoilage (Rasmussen et al., 2005; Blana, 2011).The
as quorum quenching compound active against P. commonly used cuminum (Cuminum cyminum) and its
aeruginosa. Recently tested mouse model studies of secondary metabolite, methyl eugenol has been used
pulmonary infection have shown that ajoene elicited against Gram-negative bacterial pathogens such asP.
significant clearance of P. aeruginosa in these studies aeruginosa and it was found that it promoted the
(Jakobsen et al., 2012). Ajoene is a sulfur-containing loosening of biofilm architecture and strongly inhibited in
compound, which is produced when garlic is crushed. vitro biofilm formation of this organism (Packiavathy et
Michael and his team found that ajoene from garlic acts as al., 2011). Garlic and other similar spices in daily culinary
a quorum quencher for almost 11 virulence genes that are use as additives such as ginger and turmeric have been
responsible for P. aeruginosa infections (Michael, 2012). reported to possess QSI properties (Vattem et al., 2007).
Gorgonian corals are naturally occurring invertebrates, Similarly, several other commonly used substances like
which are found in coral reefs worldwide in marineeco essential oils of cinnamon (Niu et al., 2006) and clove
system (Bayer, 1961). Laura et al. (2012) tested different (Khan et al., 2009) can also act as potent QSI compounds
non-marine human pathogenic Gram-positive and Gram- against Gram-negative or AHL mediated QS. Several
negative bacteria as well as a variety of marine bacteria natural compounds have been shown to possess QSI
against the antimicrobial and quorum sensing inhibitory properties, like edible fruit (grape fruit), as well as marine
activities of gorgonian extracts. They found that among sponges and seaweeds (Skindersoe et al., 2008; Musthafa
the non-marine human pathogenic bacteria, P. aeruginosa et al., 2010) and even some bacteria themselves exhibit
PAO1, Bacillus subtilis, Vancomycin resistant QSI activities (Thenmozhi et al., 2009; Nithya et al.,
enterococcus, methicillin sensitive staphylococcus and 2010). Extracts from edible plants were tested as QS
Escherichia coli were sensitive to gorgonian extracts. inhibitors for examples, Melicope lunu-ankenda which is
They proceeded to examine the quorum sensing inhibitory a Malay garden salad, has been found by Tan et al. (2012)
effects of long chain AHL from P. aeruginosa PAO1 and to inhibit QS dependent virulence determinants of human
short chain AHL from Chromobacterium violaceum pathogen P. aeruginosa PAO1,s pyocyanin and swarming
429 Pak Vet J, 2014, 34(4): 426-431.
motility. These plant extracts also inhibited other Gram- Patulin was found to enhance biofilm susceptibility to
negative bacterial virulence like that of Chromobacterium tobramycin treatment and patulin or penicillic acid also
violaceum CV026, violacein production and rendered the P. aeruginosa susceptible to
bioluminescence expression in E. coli [pSB401] by polymorphonuclear (PMLN) cells effect.
hindering response of their QS signal N-hexanoyl
homoserine lactone. Other benefits of quorum quenching: Bacterial
enzymes, which have been reported to be regulated by
3) Synergistic effect of combinatorial therapy with QS, for example different microbial extracellular enzymes
antimicrobial agents and herbal extracts enhances such as Pectate lyase, pectin lyase, polygalactouronase,
quorum quenching effects: Given the emergence and cellulase, lipases, chitinase, nuclease and protease have
increasing occurrence of multidrug resistance among a been known to cause food spoilage. As these enzymes
variety of pathogenic bacteria, the development of novel play a part in food spoilage, by inhibiting the regulatory
therapies for the treatment of bacterial infections, such as system of these enzymes by using various preservatives
those based on quorum quenching would be of huge with duel QSI properties, food spoilage could be delayed
clinical significance. Selective disruption of quorum or entirely prevented (Pirhonen et al., 1993; Rasmussen et
sensing should attenuate pathogenicity without imposing al., 2005; Van et al., 2006; Van et al., 2007).
the level of selective pressure associated with antibacterial Anti pathogenic drugs whose mode of action is
treatment (Defoirdt et al., 2010; Maeda et al., 2012). primarily QSI based mainly target the QS activities of
In most of pathogenic bacteria and especially in the bacteria and hence prevent the expression of bacterial
case of P. aeruginosa biofilm formation is critical QS virulence genes or stress survival genes but do not kill the
regulated phenomena. Biofilm production causes many pathogen itself. Accordingly, by using this mode of action
problems such as surgical instrument associated infections of anti pathogenic drugs, prevalence of the development
(nosocomial infections) and catheter-related bloodstream of antibiotic resistant strains can be avoided or minimized
infections (Donlan, 2001; Taylor and Webster, 2011). If (Tan et al., 2012).
QS could be controlled or disrupted then the formation of Food borne pathogens cause great economic losses to
biofilms could also be avoided or minimized but the extent of about 5-6 billion euros each year in Europe
sometimes with the disruption of QS in P. aeruginosa, alone and the pathogens that are primarily involved as
biofilm formation is not entirely prevented. However the
causative agents are Listeria monocytogenes, Salmonella,
simultaneous use of QSI compounds could make the
Escherichia coli, Pseudomonas spp. and Entero-
infection more susceptible to antibiotic compounds
bacteriaceae (Koutsoumanis 2009; Scallan et al., 2011).
(Estrela and Abraham, 2010; Brackman et al., 2011).
Rhamno lipids that form as a result of QS, provide the
Amide bond
bacteria such an environment in order to escape from the degradation 3. Signal
inhibition AHL
Acyl moiety
cleave
SAM
garlic combined with the antibiotic tobramycin killed over LuxI LuxR
nerati
`
90% of bacteria which were involved in biofilm formation
on
Pseudomonas
instead of tobramycin alone which killed less than 10%. Acyl-ACP Lux R
virulence gene
expression
QSI compounds are naturally found in many of our Dong YH, LH Wang, JL Xu, HB Zhang, XF Zhang and LH Zhang, 2001.
Quenching quorum sensing dependent bacterial infection by an N-
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and these selective studies of these products and their Dong YH, LY Wang and LH Zhang, 2007. Quorum quenching microbial
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