Nutrient transitions are a source of persisters in Escherichia coli biofilms

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Abstract

Chronic and recurrent infections have been attributed to persisters in biofilms, and despite this importance, the mechanisms of persister formation in biofilms remain unclear. The plethora of biofilm characteristics that could give rise to persisters, including slower growth, quorum signaling, oxidative stress, and nutrient heterogeneity, have complicated efforts to delineate formation pathways that generate persisters during biofilm development. Here we sought to specifically determine whether nutrient transitions, which are a common metabolic stress encountered within surface-attached communities, stimulate persister formation in biofilms and if so, to then identify the pathway. To accomplish this, we established an experimental methodology where nutrient availability to biofilm cells could be controlled exogenously, and then used that method to discover that diauxic carbon source transitions stimulated persister formation in Escherichia coli biofilms. Previously, we found that carbon source transitions stimulate persister formation in planktonic E. coli cultures, through a pathway that involved ppGpp and nucleoid-associated proteins, and therefore, tested the functionality of that pathway in biofilms. Biofilm persister formation was also found to be dependent on ppGpp and nucleoid-associated proteins, but the importance of specific proteins and enzymes between biofilm and planktonic lifestyles was significantly different. Data presented here support the increasingly appreciated role of ppGpp as a central mediator of bacterial persistence and demonstrate that nutrient transitions can be a source of persisters in biofilms. © 2014 Amato, Brynildsen.

Figures

  • Figure 1. Experimental approach to control carbon source transitions in biofilms. (A) A schematic of our experimental setup where cells and the primary carbon source are applied to a PES membrane set atop agar containing the secondary carbon source, glucose, or no carbon. (B) Biofilms expressing GFP were grown to FCOD600 = 30. Membranes were aseptically removed from the agar and analyzed using fluorescence microscopy. (C) Cells expressing GFP were inoculated into 25 mL of 10 mM glucose at 0.01 OD600 and after,5 doublings,,107 CFU were inoculated onto a sterilized PES membrane and analyzed using fluorescence microscopy. (D) PES membranes atop agar containing 10 mM glucose, 15 mM fumarate, and no carbon were inoculated with wild-type cells at 0.01 OD600 in 2.5 mM glucose and incubated at 37uC. The OD600 was measured at specified time intervals and FCOD600 was determined. One exponential growth phase was observed for glucose samples. Two regimes of exponential growth were observed for glucose-fumarate samples and no carbon sample exhibited limited growth after glucose exhaustion. (E) Glucose concentration measurements were taken at each persister sampling (FCOD600 = 6 and FCOD600 = 30) for glucose and glucose-fumarate samples and at FCOD600 = 6 and 2 h post glucose exhaustion for the no carbon sample. (F) PmalK-gfp GFP distribution at FCOD600 = 6 and FCOD600 = 30 in glucosefumarate and glucose samples. Data are averages of $3 independent experiments for (D) and (E) and data are representative samples of 3 independent experiments for (B), (C), and (F) and error bars indicate standard deviation. doi:10.1371/journal.pone.0093110.g001
  • Figure 2. Diauxic shifts stimulate persister formation in biofilms. (A) E. coli were grown on glucose as the primary carbon source and a panel of secondary carbon sources. At hourly time points, biofilms were challenged with 200 ml of 10 mg/mL ofloxacin for 5 h, aseptically removed from the agar, vortexed in 2 mL PBS for 1 minute, washed, and plated to measure CFUs. To construct the color plot as a function of FCOD600, as needed values plotted were interpolated from two adjacent measurements. Raw values are presented in Table S2. (B) Diauxic growth (glucose-fumarate) results in significant persister formation (p,0.05), whereas non-diauxic growth does not (p.0.05) (glucose and glucose-fructose) when comparing persister levels 5 h post-antibiotic treatment. Time on the x-axis represents time after antibiotic treatment. (C) Growth on fumarate is not responsible for persister formation in glucose-fumarate samples, as evidence by sole fumarate control, which contained fumarate as the only carbon source both in the inoculum and agar. Data are averages of $3 independent experiments, error bars indicate standard deviation, and significance was assessed using the null hypothesis that the mean CFU levels in two sample sets were equal. doi:10.1371/journal.pone.0093110.g002
  • Figure 3. Genes required for persister formation from carbon source transitions in biofilms. Cells were challenged with 200 mL of 10 mg/ mL ofloxacin at FCOD600 = 6 and FCOD600 = 30, representing growth on glucose and growth after glucose exhaustion, respectively (except for glucoseonly sample). Carbon source transitions resulted in significant persister formation for (A) wild-type. (B) DrelA eliminated persister formation compared to wild-type (p,0.05). Components of 2 NAPs (C) DhupA, (D) DhupB, and (E) Dfis eliminated persister formation compared to wild-type (p,0.05). Time on the x-axis represents time after antibiotic treatment. Data are averages of 3 independent experiments, error bars indicate standard deviation, and significance was assessed using the null hypothesis that the mutant mean fold-change in persisters was equal to the wild-type fold-change in persisters. doi:10.1371/journal.pone.0093110.g003
  • Figure 4. Mediators of persister formation during carbon source transitions play significant role during growth on complex media. E. coli in 2.5 mM glucose M9 media were inoculated onto PES membranes atop LB agar. At a FCOD600 = 1000, cells were challenged with 200 mL of 10 mg/mL ofloxacin. (A) MG1655 demonstrated a statistically significant 6-fold increase in persisters compared to (B) DrelA, and (C) DhupB (p-value,0.05). Time on the x-axis represents time after antibiotic treatment. Data are averages of 3 independent experiments, error bars indicate standard deviation, and significance was assessed using the null hypothesis that the mean CFU levels in two sample sets were equal. doi:10.1371/journal.pone.0093110.g004

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Amato, S. M., & Brynildsen, M. P. (2014). Nutrient transitions are a source of persisters in Escherichia coli biofilms. PLoS ONE, 9(3). https://doi.org/10.1371/journal.pone.0093110

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