Repurposing metformin as a quorum sensing inhibitor in .

BACKGROUND

Quorum sensing is a mechanism of intercellular communication that controls the production of virulence factors in . Inhibition of quorum sensing can disarm the virulence factors without exerting stress on bacterial growth that leads to emergence of antibiotic resistance.

OBJECTIVES

Finding a new quorum sensing inhibitor and determining its inhibitory activities against virulence factors of PAO1 strain.

METHODS

Quorum sensing was evaluated by estimation of violacein production by CV026. Molecular docking was used to investigate the possible binding of metformin to LasR and rhlR receptors. The inhibition of pyocyanin, hemolysin, protease, elastase in addition to swimming and twitching motilities, biofilm formation and resistance to oxidative stress by metformin was also assessed.

RESULTS

Metformin significantly reduced the production of violacein pigment. Significant inhibition of pyocyanin, hemolysin, protease and elastase was achieved. Metformin markedly decreased biofilm formation, swimming and twitching motilities and increased the sensitivity to oxidative stress. In the molecular docking study, metformin could bind to LasR by hydrogen bonding and electrostatic interaction and to rhlR by hydrogen bonding only.

CONCLUSION

Metformin can act as a quorum sensing inhibitor and virulence inhibiting agent that may be useful in the treatment of infection.