Cell Density and Growth Phase as Factors in the Resistance of a Biofilm of Pseudomonas aeruginosa (ATCC 27853) to Iodine

Does low hydroxyl group surface density explain less bacterial adhesion on porous alumina?

BACKGROUND

Bacterial adhesion depends on surface materials. Recently it was suggested that ceramic-on-ceramic bearings could be less prone to infection than other bearings. We examined the possibility that porous alumina ceramic could be less susceptible to bacterial adhesion.

HYPOTHESIS

As hydroxyl groups (OH) on material surface are a major factor governing the surface properties (for example: adsorption, first non-specific step of bacterial adhesion), we hypothesized that alumina had lower OH group density than other material. Thus, we asked (i) if bacterial adhesion was lower on alumina than on titanium alloy, stainless steel and polyethylene and (ii) if OH group density was also lower on alumina.

MATERIAL AND METHODS

We performed (i) in vitro bacterial cultures on porous alumina, titanium, stainless steel and polyethylene using Staphylococcus aureus and Pseudomonas aeruginosa, known to adhere to surfaces. Bacterial cultures were done 3 times in duplicate for each material and each strain. Colony Forming Units (CFU) per cm² were measured; (ii) Neutral red reagent helped obtaining OH density estimates using spacer arms. UV-visible spectrophotometry method with Neutral red test, reproduced twice for each surface, provided μg/cm² measurements of OH density.

RESULTS

There was significantly less P. aeruginosa adherent on porous alumina (2.25×10⁴ CFU/cm²) than on titanium (4.27×10⁵ CFU/cm², p=0.01), on stainless steel (2.44×10⁵ CFU/cm², p=0.02) and on polyethylene (7.29×10⁵ CFU/cm², p<0.001). S. aureus was significantly less adherent on porous alumina (3.22×10⁵ CFU/cm²) than on polyethylene (5.23×10⁶ CFU/cm², p=0.01), but there was no difference with titanium (1.64×10⁶ CFU/cm², p=0.08) and stainless steel (1.79×10⁶ CFU/cm², p=0.1). There was significantly lower Neutral red grafted on porous alumina (0.09μg/cm²) than on titanium (8.88μg/cm², p<0.0001), on stainless steel (39.8μg/cm², p=0.002) and on polyethylene (4.5μg/cm², p<0.01). However, no correlation was found between bacterial adherence and OH group density.

DISCUSSION

Bacterial adherence on porous alumina was lower than on other bearings. Although there were less surface OH groups on porous alumina, we failed establishing a statistical correlation between bacterial adherence and OH group density.

LEVEL OF EVIDENCE

IV, in vitro study.

Halogenated indoles eradicate bacterial persister cells and biofilms

The emergence of antibiotic resistance has necessitated new therapeutic approaches to combat recalcitrant bacterial infections. Persister cells, often found in biofilms, are metabolically dormant, and thus, are highly tolerant to all traditional antibiotics and represent a major drug resistance mechanism. In the present study, 36 diverse indole derivatives were investigated with the aim of identifying novel compounds that inhibit persisters and biofilm formation by Gram-negative Escherichia coli and Gram-positive Staphylococcus aureus. 5-Iodoindole and other halogenated indoles, 4-fluoroindole, 7-chloroindole, and 7-bromoindole, eradicated persister formation by E. coli and S. aureus, and 5-iodoindole most potently inhibited biofilm formation by the two bacteria. Unlike other antibiotics, 5-iodoindole did not induce persister cell formation, and 5-iodoindole inhibited the production of the immune-evasive carotenoid staphyloxanthin in S. aureus; hence, 5-iodoindole diminished the production of virulence factors in this strain. These results demonstrate halogenated indoles are potentially useful for controlling bacterial antibiotic resistance.

Effects of community composition and growth rate on aquifer biofilm bacteria and their susceptibility to betadine disinfection

Biofilm formation and function was studied in mixed culture using 20 bacterial strains isolated from a karst aquifer. When co-cultured in a glucose-limited chemostat, Vogesella indigofera and Pseudomonas putida were the dominant planktonic and biofilm organisms respectively. Biofilm formation and resistance to the iodine disinfectant betadine were then studied with monoculture and binary cultures of V. indigofera and P. putida and a 20-strain community. Biofilm population size [measured as colony-forming units (CFU) cm(-2)] increased with increasing species diversity. Significantly larger populations formed at dilution rates (DRs) of 0.0083 h(-1) than at 0.033 h(-1). P. putida populations were higher and V. indigofera lower in binary than in monoculture biofilms, suggesting that P. putida outcompeted V. indigofera. In binary biofilms, V. indigofera, a betadine-resistant organism, enhanced the survival of P. putida, a betadine-susceptible organism. In the 20-strain biofilms, this protective effect was not observed because of low concentrations of V. indigofera (< 1% of the total population), suggesting that resistant organisms contribute to overall biofilm disinfectant resistance. Growth at 0.033 h(-1) enhanced survival of V. indigofera biofilms against betadine. Although DR did influence survival of the other communities, its effects were neither consistent nor significant. All told, biofilm formation and betadine resistance are complex phenomena, influenced by community composition, growth rate and betadine concentration.

The response of a bacterial biofilm community in a simulated industrial cooling water system to treatment with an anionic dispersant

The effect of a dispersant on the microbial community in a simulated open recirculating cooling water system was determined by continuous operation of the system over two consecutive periods of 196 and 252 d, respectively. An open recirculating cooling water system feeding a modified Robbin's Device with synthetic cooling water to simulate the environment of an industrial cooling water system was set up. Planktonic and biofilm (mild steel and Nylon(R)) samples were taken weekly in 1997 (196-d period) and fortnightly in 1998 (252-d period). Each biofilm was scraped off and diluted in 10-ml 1 x phosphate-buffered saline (PBS). Serial dilutions were performed and plated onto R2A agar (pH 8.0) to obtain the predominant culturable bacteria. The diversity was determined by allocating groups according to colony morphology, diameter and colour. Diversity was calculated according to the Shannon-Weaver Index. During the first run (1997), dispersant was added on day 57 to a final concentration of 15 mg l-1 for 49 d, stopped for 49 d and dosed at 30 mg l-1 for 41 d. The second run entailed adding dispersant to a final concentration of 30 mg l-1 on day 98 for 70 d, stopping dosing for 56 d and resuming dosing at 30 mg l-1 for another 28 d. The 2-year evaluation period demonstrated that the biofilm-removing action of the dispersant decreased to a point where it was not effective at all. Our results showed that the synthetic dispersant evaluated was only effective initially, but was ineffective in controlling biofouling on Nylon, and to a lesser degree on mild steel at the recommended (15 mg l-1) as well as at double the recommended concentration in the long term. The release of cells from biofilms observed when dispersant dosing was terminated, supports the notion that a community attaching in the presence of the surface active agent was selected for. The decreased efficacy may therefore be due to a selection of strains able to remain attached and/or attach in the presence of the dispersant as demonstrated by shifts in the biofilm communities on both Nylon and mild steel.

The effect of electrical currents and tobramycin on Pseudomonas aeruginosa biofilms

The combined use of antibiotics with low levels of electrical current has been reported to be more effective in controlling biofilms (the bioelectric effect) than antibiotics alone. An electrical colonisation cell was designed to study the effect of antibiotics on biofilms formed on a dialysis membrane away from the electrode surface. To avoid the electrochemical generation of toxic products, Pseudomonas aeruginosa biofilms were formed in minimal salts medium that excluded chloride-containing compounds. Under these conditions, electrical currents of up to 20 mA cm-2 did not prevent biofilm formation or have any detrimental effect on an established biofilm. Tobramycin alone at concentrations of 10 micrograms ml-1 did not affect the biofilm, but were significantly enhanced by 9 mA cm-2. The effect of tobramycin concentrations of 25 micrograms ml-1 were enhanced by a 15 mA cm-2 electrical current. In both cases higher levels of electrical current, up to 20 mA cm-2, did not further enhance the effect of the antibiotic. The possible mechanisms of action of the bioelectric effect have been reported to involve electrophoresis, iontophoresis and electroporesis, thus overcoming the biofilm biomass and cell wall barriers. Our results suggest that other factors may also be important, such as the metabolic activity and growth rate of the bacteria. Such factors may be critical in maximising antibiotic efficacy.

Channel structures in aerobic biofilms of fixed-film reactors treating contaminated groundwater

Scanning electron microscopy, confocal scanning laser microscopy, and fatty acid methyl ester profiles were used to study the development, organization, and structure of aerobic multispecies biofilm communities in granular activated-carbon (GAC) fluidized-bed reactors treating petroleum-contaminated groundwaters. The sequential development of biofilm structure was studied in a laboratory reactor fed toluene-amended groundwater and colonized by the indigenous aquifer populations. During the early stages of colonization, microcolonies were observed primarily in crevices and other regions sheltered from hydraulic shear forces. Eventually, these microcolonies grew over the entire surface of the GAC. This growth led to the development of discrete discontinuous multilayer biofilm structures. Cell-free channel-like structures of variable sizes were observed to interconnect the surface film with the deep inner layers. These interconnections appeared to increase the biological surface area per unit volume ratio, which may facilitate transport of substrates into and waste products out of deep regions of the biofilm at rates greater than possible by diffusion alone. These architectural features were also observed in biofilms from four field-scale GAC reactors that were in commercial operation treating petroleum-contaminated groundwaters. These shared features suggest that formation of cell-free channel structures and their maintenance may be a general microbial strategy to deal with the problem of limiting diffusive transport in thick biofilms typical of fluidized-bed reactors.

Relationship between glycocalyx and povidone-iodine resistance in Pseudomonas aeruginosa (ATCC 27853) biofilms

Biofilm-embedded bacteria are generally more resistant to antimicrobial agents than are planktonic bacteria. Two possible mechanisms for biofilm resistance are that the glycocalyx matrix secreted by cells in a biofilm reacts with and neutralizes the antimicrobial agent and that the matrix creates a diffusion barrier to the antimicrobial agent. This study was therefore conducted to examine the relationship between glycocalyx and enhanced povidone-iodine resistance in biofilms of Pseudomonas aeruginosa (ATCC 27853). Biofilms were generated by inoculation of polycarbonate membranes with broth-grown cells and incubation of them on the surfaces of nutrient agar plates. The quantities of glycocalyx material per cell were found not to be significantly different between biofilm and planktonic samples. Transmission electron microscopy showed that the distributions of glycocalyx material around cells differed in biofilm and in planktonic samples. Addition of alginic acid to planktonic cell suspensions resulted in a slight increase in resistance to povidone-iodine, suggesting some neutralizing interaction. However, the iodine demands created by biofilm and planktonic samples of equivalent biomass were not significantly different and, therefore, do not explain the contrast in resistance observed between biofilm and planktonic samples. Examination of the relationship between cell death and biomass detachment from the glycocalyx matrix revealed that most cell death occurred in the fraction of biomass that detached from a biofilm during treatment. The overall rate of iodine diffusion through biofilms was not different from that of planktonic cells collected on a polycarbonate membrane.(ABSTRACT TRUNCATED AT 250 WORDS)

Bacterial biofilms and biofouling

Advances in the development and application of investigative tools, such as scanning confocal laser microscopy and genetic techniques, are leading to new insights concerning the composition, structure, and function of bacterial biofilms. Molecular biology has also demonstrated that bacteria are able to 'sense' surface environments, altering their pattern of gene expression. Recent studies on mechanisms of bacterial attachment provide further evidence for the diversity of attachment mechanisms, as do investigations of attachment interactions between bacteria and invertebrates.