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5 protocols using clindamycin

1

Bacterial Hemolysis and Enzyme Assays

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Hemolysin production was detected using Columbia agar plates supplemented with 5% of sheep blood (Amersco, Solon, OH, USA). The presence of α or β-hemolysis was assessed by the formation of clear or greenish zones around the colonies, respectively.
Enzyme activity was measured using the commercially-available, semi-quantitative API-ZYM system (BioMérieux, Montreal, QC) as previously described. According to the manufacturer’s instructions, cell suspension was adjusted to McFarland standards 5. Then 65 μL of cell suspension were added into each well of the API-ZYM strip and were incubated at 37 °C for 4 h in anaerobic conditions. The results were graded based on the amount of from substrate hydrolyzed on a scale from 0 (no activity) to 40 (or ≥ 40 nM).
For antibiotic susceptibility testing, LAB strains (108 CFU/mL) were inoculated onto MRS soft agar. Commercial antibiotic discs (amoxicillin, penicillin, tetracycline, erythromycin, gentamicin, clindamycin, and ofloxacin, provided by Sangon Biotech (Shanghai) Co., Ltd) were placed onto the agar and incubated at 37 °C for 24 h. Resistance or sensitivity was assessed according to the CLSI/NCCLS standard.
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2

Antibiotic Resistance Profiling of L. sakei

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The predicted antibiotic resistance gene information in the genome was obtained by comparing the amino acid sequences of the strains with the comprehensive antibiotic research database (CARD, http://arpcard.mcmaster.ca, accessed on 24 May 2021) [51 (link)]. The strains were clustered using HemI software [50 (link)].
The microbroth dilution method was used to determine antibiotic resistance of L. sakei according to ISO 10932:2010 [52 ]. The following 11 antibiotics were detected: chloramphenicol, rifampicin, streptomycin, kanamycin, gentamycin, tetracycline, clindamycin, neomycin, erythromycin, ciprofloxacin, and vancomycin (all purchased from Sangon Biotech Co., Ltd., Shanghai, China). OD625 was determined using an enzyme-labeled instrument (Varioskan Lux, Thermo, Waltham, MA, USA) to determine the MIC of strain to antibiotics.
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Profiling antibiotic resistance in Bifidobacterium bifidum

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B. bifidum genomes were aligned against sequences from the latest version of the Comprehensive Antibiotic Resistance Database [39 (link)], and a conservative threshold (amino acid identity ≥ 30%, comparison hit-bit score ≥ 37.0) was used to predict putative ARGs.
The antibiotic susceptibility of the B. bifidum strains was evaluated using the broth microdilution method, according to ISO 10932:2010 [40 ]. The following 10 antibiotics were tested: tetracycline, erythromycin, clindamycin, ampicillin, amoxicillin, trimethoprim, ciprofloxacin, chloramphenicol, rifampicin, and vancomycin (all purchased from Sangon Biotech Co., Ltd., Shanghai, China). The microbiological breakpoints of Bifidobacterium recommended by the European Food Safety Authority were used to distinguish susceptible strains from resistant strains.
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Antibiotic Pretreatment and C. difficile Infection

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First, the mice were pretreated with ABX, the antibiotic mixture of 0.4 mg/mL kanamycin (A506636, Sangon Biotech), 0.035 mg/mL gentamicin (A506614, Sangon Biotech), 0.035 mg/mL polymyxin E (A606495, Sangon Biotech), 0.215 mg/mL metronidazole (A600633, Sangon Biotech), and 0.045 mg/mL vancomycin (A600983, Sangon Biotech) added to drinking water. After 5 days, the mice were intraperitoneal injected with 10 mg/kg clindamycin (A600312, Sangon Biotech). A day later, mice were infected with 5 × 106 CFU of C. difficile spores by oral gavage. Body weight and symptoms of disease (stool characteristics, weight loss, and decreased response to stimuli) were recorded every 12 h after C. difficile infection, and mortality was tracked. Disease activity index (DAI) was scored as described48 (link), varied from 0 (normal) to 12. Briefly, DAI is based on clinical symptoms of stool characteristics, behavioral change, and percent weight loss. Each category is scored from 0 to 4, and the individual values are added to provide an overall score.
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5

Antimicrobial Efficacy Evaluation in Murine Models

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Metronidazole, ciprofloxacin, clindamycin, neomycin, and ampicillin were obtained from Sangon Biotech Co., Ltd. (Shanghai, China). Vancomycin was acquired from MSD & Co., Inc. (Hangzhou, China). Luria-Bertani (LB) medium was purchased from Thermo Fisher Scientific (Shanghai, China). Mueller-Hinton (MH) and brain heart infusion (BHI) media were acquired from Becton, Dickinson and Company (Franklin Lakes, NJ, USA). 18F-FDG and 18F were obtained from the Department of Nuclear Medicine, First Affiliated Hospital of Xiamen University. Staphylococcus aureus RN450 and Escherichia coli BW25113 were from frozen stocks of the Laboratory of Microbial Pathogens, Xiamen University. Probiotics (30 billion CFU/capsule; Island’s Miracle, USA) were purchased from Amazon. Female C57BL/6 mice and male hamsters were purchased from the Beijing Vital River Laboratory Animal Technology Co., Ltd. (Beijing, China), and housed at the Laboratory Animal Center of Xiamen University.
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