Biofilm-associated infections affect millions of people and are a leading cause of death and disability. With progress of medical sciences, more and more indwelling devices for the purpose of medical treatments and foreign body implants are applied. Infection continues to be a major complication of their use. Many efforts to decrease the burden of biofilm-associated infections have been made, however there is still no anti-biofilm compound in clinical use.
Many of today´s antibiotics are very effective in the treatment of bacterial infections. However, their use in the successful eradication of biofilm-associated infection relies on our ability to overcome biofilm tolerance. In this project, we managed to obtain new knowledge on the mechanisms of biofilm tolerance of the gram-negative pathogen Pseudomonas aeruginosa. Our results on how bacterial metabolism and pH homeostasis impact the bacterial tolerance profiles can be exploited to improve current diagnostics and to develop more effective therapeutic intervention strategies for the control of biofilm-associated infections. In contrast to the application of therapeutics that kill biofilm-grown cells, those therapeutic interventions will include the sensitization of biofilm-grown pathogens to the effects of common antibiotics.