Microbial community compositions in breast implant biofilms associated with contracted capsules.

Subclinical bacterial infections (biofilms) are strongly implicated in breast augmentation failure due to capsular contracture, and while these infections are generally ascribed to common skin commensals, this remains largely unsubstantiated through robust cultivation independent analyses. To determ...

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Main Authors: Sean A Crowe, Rachel L Simister, Jenifer S Spence, Paul A Kenward, Aaron C Van Slyke, Peter Lennox, Nick Carr
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249261&type=printable
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author Sean A Crowe
Rachel L Simister
Jenifer S Spence
Paul A Kenward
Aaron C Van Slyke
Peter Lennox
Nick Carr
author_facet Sean A Crowe
Rachel L Simister
Jenifer S Spence
Paul A Kenward
Aaron C Van Slyke
Peter Lennox
Nick Carr
author_sort Sean A Crowe
collection DOAJ
description Subclinical bacterial infections (biofilms) are strongly implicated in breast augmentation failure due to capsular contracture, and while these infections are generally ascribed to common skin commensals, this remains largely unsubstantiated through robust cultivation independent analyses. To determine capsule biofilm microbial community compositions, we employed amplicon sequencing of the 16S rRNA gene using DNA extracted from breast implant capsule samples. These cultivation independent analyses revealed that capsule associated biofilms are more diverse than canonical single-species infections, but have relatively low diversity (~ <100 species) compared to many host-associated microbial communities. In addition to taxa commonly associated with capsular contracture, the biofilms analyzed comprised a number of taxa that escaped detection in cultivation-dependent work. We have also isolated several key taxa identified through the culture-independent analyses. Together our analyses reveal that capsule biofilms are more diverse than cultivation studies suggest and can be heterogeneous within an individual capsule, between breasts of the same patient, across similar implant types, and over a range in severity of contracture. The complex nature of these communities requires further study across a broader suite of patients in addition to higher resolution analyses including metagenomics to better assess the fundamental role of microorganisms in capsular contracture.
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publisher Public Library of Science (PLoS)
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spelling doaj-art-133608624e2f414f896fedc8cbb510d12025-08-20T02:00:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01164e024926110.1371/journal.pone.0249261Microbial community compositions in breast implant biofilms associated with contracted capsules.Sean A CroweRachel L SimisterJenifer S SpencePaul A KenwardAaron C Van SlykePeter LennoxNick CarrSubclinical bacterial infections (biofilms) are strongly implicated in breast augmentation failure due to capsular contracture, and while these infections are generally ascribed to common skin commensals, this remains largely unsubstantiated through robust cultivation independent analyses. To determine capsule biofilm microbial community compositions, we employed amplicon sequencing of the 16S rRNA gene using DNA extracted from breast implant capsule samples. These cultivation independent analyses revealed that capsule associated biofilms are more diverse than canonical single-species infections, but have relatively low diversity (~ <100 species) compared to many host-associated microbial communities. In addition to taxa commonly associated with capsular contracture, the biofilms analyzed comprised a number of taxa that escaped detection in cultivation-dependent work. We have also isolated several key taxa identified through the culture-independent analyses. Together our analyses reveal that capsule biofilms are more diverse than cultivation studies suggest and can be heterogeneous within an individual capsule, between breasts of the same patient, across similar implant types, and over a range in severity of contracture. The complex nature of these communities requires further study across a broader suite of patients in addition to higher resolution analyses including metagenomics to better assess the fundamental role of microorganisms in capsular contracture.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249261&type=printable
spellingShingle Sean A Crowe
Rachel L Simister
Jenifer S Spence
Paul A Kenward
Aaron C Van Slyke
Peter Lennox
Nick Carr
Microbial community compositions in breast implant biofilms associated with contracted capsules.
PLoS ONE
title Microbial community compositions in breast implant biofilms associated with contracted capsules.
title_full Microbial community compositions in breast implant biofilms associated with contracted capsules.
title_fullStr Microbial community compositions in breast implant biofilms associated with contracted capsules.
title_full_unstemmed Microbial community compositions in breast implant biofilms associated with contracted capsules.
title_short Microbial community compositions in breast implant biofilms associated with contracted capsules.
title_sort microbial community compositions in breast implant biofilms associated with contracted capsules
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0249261&type=printable
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