Prevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation

ABSTRACT Ophthalmia neonatorum, also called neonatal conjunctivitis, acquired during delivery can occur in the first 28 days of life. Commonly caused by the bacterial pathogen Neisseria gonorrhoeae, infection can lead to corneal scarring, perforation of the eye, and blindness. One approach that can...

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Autores principales: Colin P. Churchward, Raid G. Alany, Ruth S. Kirk, Anthony J. Walker, Lori A. S. Snyder
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Publicado: American Society for Microbiology 2017
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spelling oai:doaj.org-article:2bf5a61dd3b94d73a3030663b2ce5dec2021-11-15T15:51:42ZPrevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation10.1128/mBio.00534-172150-7511https://doaj.org/article/2bf5a61dd3b94d73a3030663b2ce5dec2017-09-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.00534-17https://doaj.org/toc/2150-7511ABSTRACT Ophthalmia neonatorum, also called neonatal conjunctivitis, acquired during delivery can occur in the first 28 days of life. Commonly caused by the bacterial pathogen Neisseria gonorrhoeae, infection can lead to corneal scarring, perforation of the eye, and blindness. One approach that can be taken to prevent the disease is the use of an ophthalmic prophylaxis, which kills the bacteria on the surface of the eye shortly after birth. Current prophylaxes are based on antibiotic ointments. However, N. gonorrhoeae is resistant to many antibiotics and alternative treatments must be developed before the condition becomes untreatable. This study focused on developing a fatty acid-based prophylaxis. For this, 37 fatty acids or fatty acid derivatives were screened in vitro for fast antigonococcal activity. Seven candidates were identified as bactericidal at 1 mM. These seven were subjected to irritation testing using three separate methods: the bovine corneal opacity and permeability (BCOP) test; the hen’s egg test—chorioallantoic membrane (HET-CAM); and the red blood cell (RBC) lysis assay. The candidates were also tested in artificial tear fluid to determine whether they were effective in this environment. Four of the candidates remained effective. Among these, two lead candidates, monocaprin and myristoleic acid, displayed the best potential as active compounds in the development of a fatty acid-based prophylaxis for prevention of ophthalmia neonatorum.Colin P. ChurchwardRaid G. AlanyRuth S. KirkAnthony J. WalkerLori A. S. SnyderAmerican Society for Microbiologyarticleantibiotic resistanceeye infectionfatty acidsgonococcusMicrobiologyQR1-502ENmBio, Vol 8, Iss 4 (2017)
institution DOAJ
collection DOAJ
language EN
topic antibiotic resistance
eye infection
fatty acids
gonococcus
Microbiology
QR1-502
spellingShingle antibiotic resistance
eye infection
fatty acids
gonococcus
Microbiology
QR1-502
Colin P. Churchward
Raid G. Alany
Ruth S. Kirk
Anthony J. Walker
Lori A. S. Snyder
Prevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation
description ABSTRACT Ophthalmia neonatorum, also called neonatal conjunctivitis, acquired during delivery can occur in the first 28 days of life. Commonly caused by the bacterial pathogen Neisseria gonorrhoeae, infection can lead to corneal scarring, perforation of the eye, and blindness. One approach that can be taken to prevent the disease is the use of an ophthalmic prophylaxis, which kills the bacteria on the surface of the eye shortly after birth. Current prophylaxes are based on antibiotic ointments. However, N. gonorrhoeae is resistant to many antibiotics and alternative treatments must be developed before the condition becomes untreatable. This study focused on developing a fatty acid-based prophylaxis. For this, 37 fatty acids or fatty acid derivatives were screened in vitro for fast antigonococcal activity. Seven candidates were identified as bactericidal at 1 mM. These seven were subjected to irritation testing using three separate methods: the bovine corneal opacity and permeability (BCOP) test; the hen’s egg test—chorioallantoic membrane (HET-CAM); and the red blood cell (RBC) lysis assay. The candidates were also tested in artificial tear fluid to determine whether they were effective in this environment. Four of the candidates remained effective. Among these, two lead candidates, monocaprin and myristoleic acid, displayed the best potential as active compounds in the development of a fatty acid-based prophylaxis for prevention of ophthalmia neonatorum.
format article
author Colin P. Churchward
Raid G. Alany
Ruth S. Kirk
Anthony J. Walker
Lori A. S. Snyder
author_facet Colin P. Churchward
Raid G. Alany
Ruth S. Kirk
Anthony J. Walker
Lori A. S. Snyder
author_sort Colin P. Churchward
title Prevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation
title_short Prevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation
title_full Prevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation
title_fullStr Prevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation
title_full_unstemmed Prevention of Ophthalmia Neonatorum Caused by <italic toggle="yes">Neisseria gonorrhoeae</italic> Using a Fatty Acid-Based Formulation
title_sort prevention of ophthalmia neonatorum caused by <italic toggle="yes">neisseria gonorrhoeae</italic> using a fatty acid-based formulation
publisher American Society for Microbiology
publishDate 2017
url https://doaj.org/article/2bf5a61dd3b94d73a3030663b2ce5dec
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