Dynamics of Dissolution, Killing, and Inhibition of Dental Plaque Biofilm

The present study aims to establish a standardized model that makes it possible to evaluate the dynamic dissolution of biofilm, killing of biofilm microbes and inhibition of growth of biofilm by disinfecting solutions. Biofilm was grown from dental plaque bacteria on collagen-coated hydroxyapatite (HA) disks for 3 days or 3 weeks under anaerobic conditions. Biofilms were stained with the LIVE/DEAD viability stain and subjected to sterile water, 2% sodium hypochlorite (NaOCl), 6% NaOCl, or 2% chlorhexidine (CHX) for 32 min. Dynamic change in fluorescence on bacterial cells and extracellular polymeric substance (EPS) during the exposure was analyzed using Alexa Fluor 647-labeled dextran conjugate and a live-cell imaging confocal laser scanning microscopy (LC-CLSM). The biofilm structures after treatments were visualized by scanning electron microscopy (SEM). The treated biofilms on HA disks were collected and subjected to colony forming unit (CFU) counting. Another set of sterile HA disks were coated with CHX prior to the monitoring of plaque biofilm growth for 12 h. The LC-CLSM results showed that NaOCl dissolved biofilm effectively, more so at a higher concentration and longer exposure time. Six percent NaOCl was the most effective at dissolving and killing bacteria (e.g., 99% bacterial reduction in 3-day-old biofilm and 95% bacterial reduction in 3-week-old biofilm in 32 min) followed by 2% NaOCl and CHX. Sodium hypochlorite dissolved over 99.9% of the EPS whereas CHX only slightly reduced the EPS biovolume in 32 min. CFU results indicated that the dispersed biofilm bacteria are more resistant than planktonic bacteria to disinfectants. SEM showed the disruption of biofilm after exposures to CHX and NaOCl. The use of 2% CHX and sterile water did not result in biofilm dissolution. However, prior exposure of the HA disks to 2 and 0.2% CHX for 3 min prevented biofilm from growing on the HA disk surfaces for at least 12 h. This new platform has the potential to aid in a better understanding of the antibiofilm properties of oral disinfectants.

Phenotypic Characterization of Rhodococcus equi Biofilm Grown In Vitro and Inhibiting and Dissolving Activity of Azithromycin/Rifampicin Treatment

Microbial biofilm has been implicated in a wide range of chronic infections. In spite of the fact that Rhodococcus equi is a recognized cause of chronic disease in animals and humans, few studies have focused on the sessile phenotype of R.equi. The aim of this research was to phenotypically characterize the biofilm development of R. equi and its answerability for hypo-responsiveness to macrolides and rifampicin. Biofilm formation is initiated by bacterial adhesion to the surface. In this work, the ability of R. equi to adhere to the surface of human lung epithelial cells was detected by a fluorometric adhesion test performed on 40 clinical isolates. Subsequently, the capability of R. equi to produce biofilm was investigated by colorimetric, fluorescence and scanning electron microscopy analysis, revealing a general slow growth of rhodococcal biofilm and different sessile phenotypes among field isolates, some also including filamented bacteria. Azithromycin treatment produced a higher long-term inhibition and dissolution of R. equi biofilms than rifampicin, while the two antibiotics combined boosted the anti-biofilm effect in a statistically significant manner, although this was not equally effective for all R. equi isolates. Increasing the MIC concentrations of drugs tenfold alone and in combination did not completely eradicate pre-formed R. equi biofilms, while a rifampicin-resistant isolate produced an exceptionally abundant extracellular matrix. These results have strengthened the hypothesis that biofilm production may occur as an antibiotic tolerance system in R. equi, potentially determining persistence and, eventually, chronic infection.

Vibrio cholerae Combines Individual and Collective Sensing to Trigger Biofilm Dispersal

Bacteria can generate benefits for themselves and their kin by living in multicellular, matrix-enclosed communities, termed biofilms, which are fundamental to microbial ecology and the impact bacteria have on the environment, infections, and industry [1, 2, 3, 4, 5, 6]. The advantages of the biofilm mode of life include increased stress resistance and access to concentrated nutrient sources [3, 7, 8]. However, there are also costs associated with biofilm growth, including the metabolic burden of biofilm matrix production, increased resource competition, and limited mobility inside the community [9, 10, 11]. The decision-making strategies used by bacteria to weigh the costs between remaining in a biofilm or actively dispersing are largely unclear, even though the dispersal transition is a central aspect of the biofilm life cycle and critical for infection transmission [12, 13, 14]. Using a combination of genetic and novel single-cell imaging approaches, we show that Vibrio cholerae integrates dual sensory inputs to control the dispersal response: cells use the general stress response, which can be induced via starvation, and they also integrate information about the local cell density and molecular transport conditions in the environment via the quorum sensing apparatus. By combining information from individual (stress response) and collective (quorum sensing) avenues of sensory input, biofilm-dwelling bacteria can make robust decisions to disperse from large biofilms under distress, while preventing premature dispersal when biofilm populations are small. These insights into triggers and regulators of biofilm dispersal are a key step toward actively inducing biofilm dispersal for technological and medical applications, and for environmental control of biofilms.

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Cells in V. cholerae biofilms decide to disperse by combining two sensory mechanisms

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Quorum sensing and RpoS provide information on different environmental parameters

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Integration of both sensory inputs yields robust and optimal dispersal decisions