Review Article

Biofilm Formation by Helicobacter pylori and Its Involvement for Antibiotic Resistance

Table 1

Generation of CAM resistance mutations in biofilm and planktonic cells. The 2-day and 3-day biofilms and planktonic cells were exposed to the indicated concentrations of CAM (biofilms were exposed to one-eighth, one-quarter, or one-half of the MBC of CAM at concentrations of 0.125, 0.25, and 0.5 μg/mL, concentrations which are equivalent to 8x, 16x, and 32x MIC and planktonic cultures were also exposed to one-quarter or one-half of the MBC of CAM at concentrations of 0.063 and 0.125 μg/mL, concentrations which are equivalent to 4x and 8x MIC) for 24 h under microaerobic conditions at 37°C with shaking. After incubation, cells were recovered in fresh Brucella supplemented with 7% FCS agar, and the generation of CAM resistant mutants was assessed in media supplemented with 1.0 μg/mL CAM. When no CAM resistant cells were detected, exposure to CAM was repeated up to 5 times. The table indicates the accumulation ratio of the generated CAM resistance in biofilms (number of samples was 12 or 13) or in planktonic cultures (number of samples was 12).

SamplesPassage time
 CAM concentrations1st2nd3rd4th5th

2-day biofilm
 CAM 0.5 μg/mL 0/12 (0%) 0/12 (0%) 1/12 (8%) 2/12 (17%) 4/12 (33%)
 CAM 0.25 μg/mL 1/12 (8%) 4/12 (33%) 6/12 (50%) 8/12 (67%) 9/12 (75%)
 CAM 0.125 μg/mL 0/12 (0%) 1/12 (8%) 2/12 (17%) 3/12 (25%) 4/12 (33%)
2-day planktonic
 CAM 0.125 μg/mL 0/12 (0%) 0/12 (0%) 1/12 (8%) 4/12 (33%) 4/12 (33%)
 CAM 0.063 μg/mL 0/12 (0%) 0/12 (0%) 3/12 (25%) 3/12 (25%) 3/12 (25%)
3-day biofilm
 CAM 0.5 μg/mL 1/12 (8%) 3/12 (25%) 4/12 (33%) 6/12 (50%) 6/12 (50%)
 CAM 0.25 μg/mL 1/13 (8%) 5/13 (38%) 11/13 (85%) 11/13 (85%) 11/13 (85%)
 CAM 0.125 μg/mL 1/13 (8%) 2/13 (15) 3/13 (23%) 5/13 (38%) 6/13 (46%)
3-day planktonic
 CAM 0.125 μg/mL 0/12 (0%) 1/12 (8%) 1/12 (8%) 1/12 (8%) 3/12 (25%)
 CAM 0.063 μg/mL 1/12 (8%) 1/12 (8%) 1/12 (8%) 1/12 (8%) 3/12 (25%)