Inhibition of Staphylococcus aureus biofilm by Lactobacillus isolated from fine cocoa
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Biofilm production represents an important virulence and pathogenesis factor for Staphylococcus aureus. The formation of biofilms on medical devices is a major concern in hospital environments, as they can become a constant source of infection. Probiotic bacteria, such as Lactobacillus fermentum and L. plantarum, have been found to inhibit biofilm formation; however little is known about the underlying mechanism. In this study, we tested the activity of supernatants produced by L. fermentum TCUESC01 and L. plantarum TCUESC02, isolated during the fermentation of fine cocoa, against S. aureus CCMB262 biofilm production. We measured inhibition of biofilm formation in vitro and analyzed biofilm structure by confocal and electronic microscopy. Additionally, we quantified the expression of S. aureus genes icaA and icaR involved in the synthesis of the biofilm matrix by real-time PCR.
Both Lactobacillus supernatants inhibited S. aureus growth. However, only L. fermentum TCUESC01 significantly reduced the thickness of the biofilm, from 14 μm to 2.83 μm (at 18 mg∙mL−1, 90 % of the minimum inhibitory concentration, MIC), 3.12 μm (at 14 mg∙mL−1, 70 % of the MIC), and 5.21 μm (at 10 mg∙mL−1, 50 % of the MIC). Additionally, L. fermentum TCUESC01 supernatant modulated the expression of icaA and icaR.
L. fermentum TCUESC01 reduces the formation of S. aureus biofilm under subinhibitory conditions. Inhibition of biofilm production probably depends on modulation of the ica operon.
KeywordsAntistaphylococcal Biofilm ica Lactobacillus fermentum Probiotic properties
Biofilm formation index
Microorganisms Culture Collection of Bahia
Clinical and Laboratory Standards Institute
Sterility control of the mueller hinton medium
Mueller hinton agar
Minimum inhibitory concentration
de Man, Rogosa, and Sharpe
Polysaccharide of intercellular adhesion
Scanning electron microscopy
Tryptic soy broth
Staphylococcus aureus is a widely distributed and opportunistic human pathogen. It is the causative agent of both simple skin infections and potentially life-threatening systemic complications such as toxic shock syndrome . S. aureus is a major concern in hospital environments because asymptomatic carriers represent a great risk factor to patients subjected to long hospitalization periods .
Some aspects of S. aureus pathogenicity are related to biofilm production, which increases resistance to chemotherapeutic treatments and to the host’s defense mechanisms . The biofilm is composed of cells adhering to a surface and held together by a polymer matrix. The main components of the matrix are polysaccharides, proteins, and extracellular DNA (eDNA) .
S. aureus secretes polysaccharides of intercellular adhesion (PIAs), which are composed mostly of β-1, 6-N-acetylglucosamine residues. PIA production and excretion is controlled by the icaADBC operon . icaA, the first gene to be transcribed, leads to production of short chains of N-acetylglucosamine oligomers . icaD, co-expressed with icaA, enhances oligomer production by about 20 fold [7, 8]. icaC is responsible for increasing oligomer chains and possibly for translocation to the cell surface [8, 9]. Finally, icaB is thought to deacetylate poly-N- acetylglucosamines . The icaADBC locus is regulated by a transcriptional repressor located upstream encoded by icaR . This repressor protein can bind to the ica operon promoter region close to the icaA start codon . Additional factors that can negatively influence the ica operon in S. aureus include expression of the weak repressor TcaR, global regulation by SarA, and the insertion sequence element IS256 in the ica locus [8, 11]. The ica operon is also regulated by environmental factors, which play an important role in the response to anaerobic growth (SrrAB), in the response to stress (Spx), supplementation with glucose or ethanol, osmolarity, temperature, and low concentrations of antibiotics [8, 11, 12]. Another way of controlling this operon is through a regulatory protein responsible for biofilm formation, Rbf, which can repress transcription of IcaR and indirectly increase expression of the gene icaADBC .
S. aureus biofilms are commonly treated with antibiotics, such as protein synthesis inhibitors that target the cell membrane and cell wall, as well as inhibitors of DNA and RNA synthesis , or antimicrobials like Cu2+ that lead to cell membrane breakage and subsequent cell lysis . The indiscriminate use of antibiotics for the treatment of bacterial infections has been suggested to be responsible for the appearance of multidrug-resistant bacteria such as methicillin-resistant S. aureus strains . In this context, alternatives to antibiotic therapy are more than welcome. Probiotics represent a possible option, as the microorganisms that produce them have been proven effective in the prevention and control of human pathogens .
Lactobacillus fermentum TCUESC01 and L. plantarum TCUESC02 strains have been recently isolated from the fermentation of fine cocoa seeds. Our group has demonstrated their anti-inflammatory potential and technological properties. We observed that these strains exhibited probiotic characteristics in vivo in an experimental colitis model, reducing histological damage and the systemic concentration of inflammatory cytokines. Additionally, they inhibited the growth of pathogenic bacteria and displayed high resistance to the stressful conditions of the gastrointestinal tract and industrial environments (unpublished observations). In this study, we evaluated the activity of cell-free supernatant from L. fermentum TCUESC01 and L. plantarum TCUESC02 on S. aureus CCMB262 biofilm formation.
Microorganisms and culture conditions
Pure cultures of L. fermentum TCUESC01, L. plantarum TCUESC02, and S. aureus CCMB262 were used. TCUESC01 and TCUESC02 strains were previously isolated by our group during fine cocoa fermentation . The cultures were stored at −80 °C in 10 % skim milk (Molico®, Nestlé, São Paulo Brazil) with 30 % glycerol. Lactobacilli were cultured in de Man, Rogosa, and Sharpe (MRS) broth (1 % peptone, 0.8 % meat extract, 0.4 % yeast extract, 2 % glucose, 0.5 % sodium acetate, 0.2 % dipotassium hydrogen phosphate, 0.02 % magnesium sulfate eptahydrate, 0.005 % manganese sulfate tetrahydrate, 0.02 % triammonium citrate) (HiMedia®, Mumbai, India), for 48 h at 37 °C. Species identity was confirmed by 16S rDNA sequencing and strains were deposited in the GenBank database  under accession numbers KU244478 and KU244476.
S. aureus CCMB262 was obtained from the Microorganisms Culture Collection of Bahia (CCMB), Brazil. The strain, which is resistant to streptomycin and dihydrostreptomycin, was cultured in tryptic soy broth (TSB; DIFCO, Becton Dickinson, Franklin Lakes, NJ, USA) supplemented with 1 % (w/v) glucose (Glc) at 37 °C with agitation (250 rpm) for 18 h. For inoculum standardization, S. aureus cells were homogenized in saline solution (NaCl 0.85 %) and the suspension was diluted to 0.5 × 108 CFU∙mL−1 using a spectrophotometer (Evolution 60, Thermo Fisher Scientific, Waltham, MA, USA).
Supernatant preparation and lyophilization process
L. fermentum TCUESC01 and L. plantarum TCUESC02 were cultured in 30 mL of MRS broth. Following centrifugation at 10,000 × g for 15 min at 4 °C, culture supernatants were collected and filtered through a 0.22 μm nitrocellulose membrane. Supernatants and samples containing medium culture only (control) were frozen at −80 °C for 24 h and lyophilized (Lyophilizer LS3000, Terroni, São Carlos, Brazil). Following lyophilization, the samples were weighed and stored at −20 °C. They were then rehydrated with sterile deionized water prior to use.
Minimum inhibitory concentration (MIC) assay
MIC assays were performed by microdilution in 96-well plates (Costar®, Corning, NY, USA), in accordance with recommendations from the Clinical and Laboratory Standards Institute . A serial dilution was performed starting with 40 μg∙mL−1 of TCUESC01 and TCUESC02 supernatants on Mueller Hinton (MH) medium containing 5 × 105 CFU∙mL−1 of S. aureus CCMB262 per well. The same procedure was performed with the following controls: lyophilized medium without Lactobacillus (MRS control); MH without inoculum (medium sterility control - MC); MH containing 5 × 105 CFU∙mL−1 of S. aureus CCMB262 (positive control); MH containing 5 × 105 CFU∙mL−1 of S. aureus CCMB262 and 12.5 μg∙mL−1 chloramphenicol (negative control). The microplate was incubated for 24 h at 37 °C and revealed with 20 μL of Resazurin (0.01 %) for 30 min at 37 °C. At the same time, 5 μL of each suspension (samples and control) was cultured on MH agar (MHA; DIFCO) for 24 h at 37 °C, after which the inhibitory concentrations were classified as bactericidal or bacteriostatic. The entire experiment was performed three times with three independent repetitions.
Preparation of subinhibitory concentrations of TCUESC01 and TCUESC02 supernatants
To avoid killing all S. aureus, lyophilized supernatants of the two Lactobacillus strains were weighed and diluted to concentrations below the MIC. Thus, dilutions were made using subinhibitory concentrations of 90, 70, and 50 % of MIC.
Biofilm formation on a polystyrene plate
Based on the BFI, S. aureus cultures were classified as non-producers (less than or equal to zero), weak producers (less than 1), moderate producers (between 1 and 2), producers (between 2 and 3), or strong biofilm producers (greater than 4).
Biofilm evaluation by confocal laser scanning microscopy
S. aureus CCMB262 biofilm viability was assessed according to Hobby et al. (2012) with some modifications . S. aureus CCMB262 was cultured in TSB with 1 % Glc for 18 h at 37 °C in 12-well culture plates (Costar®) containing 18 mm coverslips. Cells were cultured in the presence of L. fermentum TCUESC01 (90, 70, and 50 % of MIC) and L. plantarum TCUESC02 (90 and 70 % of MIC) supernatants or control medium. Microplates were incubated for 18 h at 37 °C, then coverslips were washed twice with 0.85 % NaCl and stained with 0.3 μg∙mL−1 4′, 6′-diamidino-2-phenylindole (DAPI; Molecular Probes, Carlsbad, CA, USA) and 2.5 μg∙mL−1 propidium iodide (PI; Invitrogen, Carlsbad, CA, USA) for 15 min in the dark. The coverslips were observed with a confocal laser scanning microscope (Carl Zeiss LSM 700; Jena, Germany), equipped with an argon laser at 488 nm and two helium/neon lasers at 543 nm.
Cultivation of S. aureus CCMB262 in the presence or absence of L. fermentum TCUESC01 supernatant at a subinhibitory dose (50 % of MIC)
To confirm that the concentration used to inhibit the biofilm was not lethal to S. aureus, a growth curve was constructed. S. aureus (75 μL, 0.5 × 108 CFU∙mL−1) was inoculated in 75 mL TSB with 1 % Glc and cultivated in the presence or absence of 750 mg of TCUESC01 supernatant (50 % of MIC) for 24 h at 37 °C under agitation (250 rpm). Aliquots were collected every 4 h to record optical density at 660 nm and count CFU∙mL−1 in mannitol salt agar.
Phenotypic evaluation of biofilms by scanning electron microscopy (SEM)
The phenotype of S. aureus CCMB262 biofilm was evaluated by SEM according to Pitino et al. (2012) with some modifications . S. aureus was cultured in TSB with 1 % Glc in the presence or absence of TCUESC01 supernatant in 12-well culture plates (Costar®) containing 18 mm coverslips. After incubation for 24 h at 37 °C, the coverslips were washed twice with 0.85 % NaCl and dehydrated with 50, 60, 70, 80, and 90 % acetone for 10 min each, and twice with 100 % acetone for 10 min. The coverslips were subsequently dehydrated in a critical point dryer CPD 030 (BAL-TEC®, Balzers, Germany) using liquid carbon dioxide as transition fluid. The samples were placed in aluminum pieces, metallized with a SCD-050 (BAL-TEC®, Alzenau, Germany), and viewed under a scanning electron microscope (Quanta 250, FEI, Hillsboro, OR, USA).
Total RNA extraction
S. aureus CCMB262 was cultured in TSB with 1 % Glc for 18 h at 37 °C under agitation (250 rpm), in the presence or absence of L. fermentum TCUESC01 supernatant (50 % of the MIC). The samples were then diluted in the same medium (1:100) and incubated at 37 °C for another 18 h, after which aliquots were collected and used immediately for RNA extraction.
Each sample (1 mL) was centrifuged at 10,000 × g for 10 min at 4 °C. The supernatant was discarded and RNA from the pellet was extracted with the RNAqueous® Phenol-free total RNA isolation kit (Ambion®, Waltham, MA, USA), according to the manufacturer’s recommendations. The RNA was visualized on a 1 % agarose gel and quantified with a NanoDrop 2000 spectrophotometer (Thermo Fisher Scientific).
Reverse transcription, PCR, and real-time PCR
cDNA was synthesized using 25 mg RNA and the SuperScript™ First-Strand Synthesis System for RT-PCR kit (Invitrogen) following the manufacturer’s protocol. Specific primers (Invitrogen) were selected according to Yu et al. (2012) : icaR Forward (5′-ATCTAATACGCCTGAGGA-3′), Reverse (5′-TTCTTCCACTGCTCCAA-3′); icaA Forward (5′-TTTCGGGTGTCTTCACTCTAT-3′), Reverse (5′-CGTAGTAATACTTCGTGTCCC-3′); 16S rRNA S. aureus Forward (5′-CGTGGAGGGTCATTGGA-3′), Reverse (5′-CGTTTACGGCGTGGACT-3′). Amplification was carried out in a Mastercyler Gradient Nexus Thermal Cycler (Eppendorf, Hauppage, NY, USA). The cDNA was then quantified with a NanoDrop 2000 spectrophotometer (Thermo Fisher Scientific).
Gene expression analysis was carried out on a 7500 Fast real-time PCR system (Applied Biosytems, Waltham, MA, USA), using 10 ng cDNA and the KAPA SYBR® qPCR Master Mix ABI Prism™ kit (Kapa Biosystems, Wilmington, MA, USA) according to the manufacturer’s recommendations. The PCR reaction was carried out in quintuplicate with an initial denaturation at 95 °C for 5 min followed by 40 cycles of amplification at 95 °C for 20 s, 60 °C for 20 s, and 72 °C for 20 s. Data were normalized to16S rRNA (endogenous control) and the relative quantification (RQ) was calculated with 7500 Software v 2.3 (Applied Biosytems).
Average, standard deviation, t-test, analysis of variance, Tukey’s multiple comparison test, graphics, and other statistical analyses were performed using the Graphpad® prism 5.0 software (GraphPad Software, San Diego, CA, USA).
Results and discussion
L. plantarum TCUESC02 was less effective against S. aureus CCMB262 biofilm formation (MIC, 2.5 mg∙mL−1). We found a significant difference in the BFI only when using 90 % of the MIC (p < 0.01), meaning that S. aureus CCMB262 was still a strong biofilm producer. We did not observe statistically significant differences between treatments with 90 % (2.25 mg∙mL−1) or 70 % of the MIC (1.75 mg∙mL−1) for this strain. In a previous report, the supernatant of L. bulgaricus FTDC8611 inhibited significantly S. aureus biofilm, an effect attributed to organic acids . Also, Ait Ouali et al.(2014) demonstrated that L. pentosus LB3F2 had antimicrobial and antibiofilm activity against S. aureus SA3 .
Biofilms are formed by planktonic cells that bind irreversibly to a solid substrate. Wrapped in a matrix, cells multiply, differentiate, and modify gene expression patterns, in addition to creating channels for nutrient circulation . After ripening, fragments of this bacterial community scatter, carrying all the “mother” community features such as antimicrobial resistance and virulence, and adhere elsewhere to repeat the cycle . When organized into biofilms, bacteria tend to become more pathogenic. Suci et al. (1994) demonstrated the delayed penetration of ciprofloxacin into biofilms of Pseudomonas aeruginosa ERC-1 . Seemingly, Ceri et al. (1999) found that the MIC of some antibiotics was around 100 to 1000 times greater for microorganisms in biofilms . These findings underscore the importance of developing new strategies to combat biofilms, such as the use of probiotics. Here, L. fermentum TCUESC01 and L. plantarum TCUESC02 showed bactericidal properties against S. aureus CCMB262. Furthermore, TCUESC01 was able to reduce the formation of S. aureus biofilms under subinhibitory conditions. In addition, increased icaR and reduced icaA expression in S. aureus cultures treated with TCUESC01 supernatant indicated that the reduction in biofilm production occurred through modulation of the ica operon.
The results presented in this study suggest an interesting novel application for lactobacilli isolated from fine cocoa. The antimicrobial effect and biofilm inhibition exhibited by the probiotic strain TCUESC01 could be applied to the treatment and prevention of infections with pathogenic bacterial strains.
We thank Dr. Eduardo Gross, and Lucas Ribeiro dos Santos (Centro de Microscopía Eletrônica, CME-UESC) for the technical support with confocal laser scanning microscopy and scanning electron microscopy studies. And we thank Dr. Eric de Lima Silva Marques (Laboratório de Biotecnologia Microbiana – UESC) and Dr. Sara Pereira Menezes for the technical support with Total RNA extraction and real-time PCR.
This research was supported by a grant from Fundação de Amparo a Pesquisa do Estado da Bahia (FAPESB) request number 4450/2012, Conselho de Desenvolvimento Científico e Tecnológico (CNPq) request mumber 408442/2013-1. FAPESB provided productivity and graduate fellowships for authors term number BOL0277/2013.
Availability of data and materials
The data generated or analysed during this study are included in this published article. Additional data available from the corresponding author on reasonable request.
TAM, TSF, RPR, LMM, CCR projected the study, assessed, and interpreted the results. TAM executed the experiments and prepared the manuscript. MEA, LAGFJ, EFA assisted in the minimum inhibitory concentration and biofilm formation index experiments. All authors read and approved the final manuscript.
The authors declare that they have no competing interests.
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