The Role of msa in Staphylococcus aureus Biofilm Formation
- Karthik Sambanthamoorthy†1,
- Antony Schwartz†1,
- Vijayaraj Nagarajan1 and
- Mohamed O Elasri1Email author
© Sambanthamoorthy et al; licensee BioMed Central Ltd. 2008
Received: 17 June 2008
Accepted: 16 December 2008
Published: 16 December 2008
Staphylococcus aureus is an important pathogen that forms biofilms. The global regulator sarA is essential for biofilm formation. Since the modulator of sarA (msa) is required for full expression of sarA and regulates several virulence factors, we examined the capacity of the msa mutant to form biofilm.
We found that mutation of msa results in reduced expression of sarA in biofilm and that the msa mutant formed a weak and unstable biofilm. The msa mutant is able to adhere to surfaces and begins to form biofilm but fails to mature indicating that the defect of the msa mutant biofilm is in the accumulation stage but not in primary adhesion.
The msa gene plays an important role in biofilm development which is likely due to its role in modulating the expression of sarA. This finding is significant because it identifies a new gene that plays a role in the development of biofilm.
Staphylococcus aureus is a gram-positive pathogen that causes potentially life threatening nosocomial- and community-acquired infections, such as osteomyelitis and endocarditis. An important characteristic of S. aureus is its ability to form a biofilm, a characteristic associated with several diseases . Bacteria in biofilms are encased in a polysaccharide glycocalyx , which provides them with protection against host defenses and antimicrobial drugs . Staphylococcal biofilms form in two distinct stages: (1) primary adhesion to surfaces by means of adhesins or cell wall components, and (2) accumulation of multilayered clusters of cells via the production of a polysaccharide . Cells are also able to detach from the biofilm and disperse to distant sites for colonization or infection.
The staphylococcal accessory regulator sarA is a major global regulator that is essential for biofilm formation both in vitro and in vivo [4–6]. Additionally, O'Neill et al. showed that sarA is essential for biofilm formation in both MRSA and MSSA. However the mechanism of sarA regulation of biofilm is not yet understood. Previously we identified the msa gene as a positive modulator of sarA . We also showed that mutation of msa resulted in differential expression of several virulence factors . These findings prompted the present study, focused on the role of msa in biofilm formation. We show here that msa indeed modulates the accumulation of biofilm in S. aureus.
Results and discussion
The msa mutant has a weak biofilm defect
Relative expression of msa and sarA in the msa mutant.
msa vs. COL
Compl. vs. COL
msa vs. COL
Compl. vs. COL
mature (12 hrs)
modulator of sarA
staphylococcal accessory regulator
Since expression of sarA is essential to biofilm formation, we wanted to examine the expression of sarA in cells forming a biofilm. We harvested biofilm from flow cells inoculated with msa mutant and wild-type COL at 24 h post-inoculation and measured the expression of sarA by RT-qPCR. We found that sarA expression levels were significantly reduced in the msa mutant, suggesting that msa is required for full expression of sarA in biofilm (Table 1). It is possible that the weak biofilm formation phenotype of the msa mutant could be due to a reduction in sarA expression.
Relative expression of biofilm-related genes.
msa vs. COL
compl. vs. COL
clumping factor A
There are many other genes known to be involved in biofilm formation. The major autolysin, atl, has been shown to promote adherence of bacterial cells to solid surfaces [12, 13]. The Atl homolog of S. epidermidis, AtlE, has also been shown to play an important role in primary attachment to polystyrene surfaces . Gene expression studies using RT-qPCR in the msa mutant revealed that atl levels were significantly reduced in biofilm (Table 2). Therefore, our studies with S. aureus strain COL msa mutant have demonstrated that primary adhesion to surfaces with or without a plasma coat does not require full expression of the major autolysin Atl. This is consistent with previous findings in which enhanced biofilm formation occurred in the absence of the major autolysin Atl . Collectively, these results suggest that the strain COL msa mutant is not defective in primary adhesion to surfaces, but that the defect manifests in the accumulation stage of biofilm formation.
msa mutant is defective in the accumulation stage of biofilm formation
To further characterize the biofilm formation defect in cells lacking msa, we used RT-qPCR to analyze the expression of icaA (ica operon), arcA (arginine deiminase), tcaR (transcription regulator), atlA (autolysin), alsS (alpha-acetolactate synthase), spxA (transcriptional regulator), genes that are reported to be involved in biofilm development (Table 2). Some of these selected loci are regulated by sarA (alsS, atlA, and icaA); the others are not directly associated with the sarA regulon (arcA, spx, and tcaR). Expression levels of these genes were analyzed in biofilm using the wild-type strain COL, the msa mutant, and the complemented msa mutant (Table 2). A change in expression level of twofold or higher was considered significant (Table 2).
Mutation of msa resulted in a significant increase in alsS expression in biofilm. The alsSD operon encodes acetolactate synthase and an acetolactate decarboxylase. Previous studies have reported that mutation of the alsSD operon in S. aureus resulted in a biofilm defect [17, 18]. The biofilm defect of the alsSD mutant was attributed to the role of this operon in the production of acetoin from pyruvate [18, 19]. Acetoin production is necessary for acid tolerance within biofilms [5, 20]. The effect of over-expression of the alsSD operon as observed in the msa S. aureus mutant on biofilm formation is not clear. One might speculate that premature build up acetoin in the medium could signal exhaustion of glucose and lead to detachment of cells from biofilm. Further studies are needed to explore this possibility.
Mutation of msa resulted in a significant decrease in expression of arcA in biofilm (Table 2). The arcA gene encodes arginine deiminase which is a member of the arginine deaminase (ADI) pathway. This pathway is used to generate energy using arginine under anaerobic conditions, [21–23]. The results of several studies point to the importance of the ADI pathway in biofilm formation and pathogenesis. Some oral bacteria have been shown generate ammonia via the ADI pathway to maintain pH homeostasis in biofilms . Other studies have shown that the ADI pathway was induced during biofilm formation . Additionally, bacteria in biofilm selectively utilize six amino acids, including arginine , further demonstrating the importance of the ADI pathway in biofilm formation and pathogenesis and may explain the msa mutant biofilm phenotype. However, when arcD was disrupted in the S. aureus strain UAMS-1, the mutant formed effective biofilms and were as virulent as wild-type in a catheter infection mouse model despite the fact that PIA was significantly reduced . These discrepant results may be due to differences in strains, growth conditions, or infection model but they clearly indicated the need for more studies in the role of arginine metabolism in biofilm development and pathogenesis.
Biofilm accumulation relies on cell-cell adhesion mediated by the polysaccharide intercellular adhesin (PIA), which is produced by the icaADBC operon, and was shown to play a major role in biofilm accumulation . Recent studies, however, have indicated that the icaADBC operon is not essential for biofilm formation in some strains [5, 15, 27, 28]. We studied the expression levels of genes encoded by this operon and found that the msa mutation reduced the expression of icaA in the post-exponential growth phase of planktonic cultures only (data not shown). In biofilm, however, the expression of icaA in the mutant was not significantly different from wild-type (Table 2). The ica-dependent pathway is primarily regulated by the icaR repressor . When IcaR becomes activated by Spx, PIA levels are reduced [30, 31]. We found that there was no significant difference in expression of icaR or spx in the msa mutant compared to the wild-type (data not shown). This is consistent with findings by Tu Quoc et al.  that some biofilm-defective mutants did not show altered PIA levels. Additionally, O'Neill et al. , recently showed that glucose-induced biofilm formation in MRSA strains is ica-independent. This is relevant to our data, since the COL strain is a MRSA strain and glucose was added to the culture media to induce biofilm in this study suggesting that msa is involved in biofilm formation using an ica-independent mechanism as was previously described in some strains [5, 33, 34]. Another important locus, sasG, which is similar to accumulation- associated protein in S. epidermidis has been shown to play a role in cell-cell adhesion and accumulation of biofilm [35, 36], however, there was no change in expression of sasG between the msa mutant and wild type grown in planktonic cultures as determined by DNA microarray experiments in our lab (data not shown).
In summary, mutation of the msa gene in strain COL of S. aureus results in a weak biofilm at the accumulation stage resulting in an immature biofilm. This defect is likely mediated by the reduced expression of sarA in the msa mutant. Our results suggested that the weak/unstable biofilm defect in the msa mutant is an intermediate phenotype between the sarA mutant and wild-type. However, we cannot rule out the contribution of other loci that fall under the influence of msa in a sarA-independent manner (e.g. arcA). Our findings emphasize the complex nature of biofilms and indicated that several independent regulators and environmental stimuli contribute to the establishment of sessile communities of S. aureus. The intermediate phenotype of the biofilm formed by the msa mutant is a helpful clue in deciphering the sarA-mediated mechanism of biofilm formation, which is still unclear. Sequence analysis shows that Msa is a putative membrane protein [8, 37] suggesting that it may play a role in environmental sensing that feeds into the sarA regulon to contribute to biofilm formation.
Bacteria and growth conditions
The S. aureus biofilm-forming strain COL was used in this study. Strains were grown on tryptic soy agar (TSA) or in tryptic soy broth (TSB) at 37°C under constant aeration, supplemented with antibiotics where appropriate. Generalized transduction with phage Φ11 was used to generate an msa mutant and a complemented msa mutant in the COL strain, as described previously . The media used in flow cells and microtitre plate assays was TSB supplemented with 3% sodium chloride and 0.5% glucose.
Biofilm assays were performed in microtitre plates and flow cells, as described previously [4, 5]. Briefly, flow cells (Stovall Life Science, Greensboro, NC) were pre-coated with human plasma. A suspension of bacteria from an overnight culture were then introduced into the flow cells by injection and allowed to incubate at 37°C for one hour. Media was then pumped through the flow cells at a flow rate of 0.5 ml/min. Flow cells were observed and photographed periodically. No antibiotic selection was used when growing the complemented msa mutant in biofilm.
Host proteins binding assays were performed as we described previously . These assays were used to compare the capacity of the msa mutant to bind fibrinogen and fibronectin.
Initial adherence assay
We used two assays to measure the capacity of the msa mutant to bind surfaces with or without pre-coating with plasma. The first one was performed by modifying the microtitre biofim assay described previously . Briefly, overnight cultures of S. aureus test strains were diluted to an OD560 of 0.1 in fresh TSB, and 200 μl was added to each well (polystyrene pre-coated with human plasma) in triplicate. Following a 1 hour incubation at 37°C, the microtitre wells were washed three times with 1× PBS. Adherent cells were then fixed with 200 μl of 100% ethanol for 10 min. Ethanol was removed and the wells were air dried for 2 min. Adherent cells were stained for 2 minutes with 200 μl of 0.41% Crystal Violet (w/v in 12% ethanol), then washed three times with 1× PBS. Wells were allowed to dry, and then ethanol was used to elute the wells. Absorbance readings were taken at 595 nm using a Synergy2™ Multi-Mode Microplate Reader (BioTek Instruments, Inc. Winooski, Vermont). Data shown is the average of three independent experiments. The second assay measures adherence to a catheter without pre-coating with plasma. This assay was performed as previously described . Briefly, staphylococcal strains were grown overnight in TSB and cultures were standardized to an OD650 of 0.1. Catheters (PE10; Becton Dickinson and Co., Sparks, MD.) were cut to a length of 0.5 cm and placed into appropriate cultures. After incubating the cultures at 37°C for 30 min, the catheters were removed using sterile forceps and washed five times in sterile PBS. After washing, the catheters were placed in 1% proteose peptone (Difco, Ann Arbor, MI.) and continuously vortexed for two minutes to release bacterial cells from the catheter. For bacterial enumeration, serial dilutions were plated onto TSA plates. The mean and standard errors were calculated for the adherence of each strain.
Confocal scanning laser microscopy was performed using a Carl-Zeiss LSM 510 META with excitation at 488 nm and emission collected at 500 to 530 nm (green channel). Image stacks of biofilms were taken from at least three distinct regions on the flow cell and were analyzed using the provided software (Carl-Zeiss, Inc., Peabody, Mass.). Thickness of the biofilm was measured starting from the z-section at the flow-cell/biofilm interface to the z-section at the top of the biofilm surface containing < 5% of total biomass.
Total RNA was isolated from S. aureus planktonic cultures using Qiagen RNeasy Maxi column (Qiagen) as previously described , based on a method developed by Lindsay and Foster . S. aureus cultures were grown without antibiotic selection and under low-aeration conditions (150 r.p.m. at a media volume:flask volume ratio of 0.5). Cells were harvested at optical densities (OD560) of 0.3, 1.5 and 4.0, which correspond to the mid-exponential, late-exponential, and post-exponential growth phases, respectively. RNA from biofilms was accomplished by harvesting cells from flow cells as previously described  and using using Qiagen RNeasy Maxi column. The data shown is from three independent experiments.
Real-time quantitative PCR
Gene expression analysis by real-time quantitative PCR (RT-qPCR) was performed as described previously , with all reactions done in triplicate. The constitutively expressed gyrase gene (gyr) was used as an endogenous control, as described previously . Primer specificity and efficiency was measured as described previously . Expression analysis for each gene was based on at least two independent experiments. Two-fold or higher changes in gene expression were considered significant.
This work was supported by grant no.1R15AI062727-01A1 from the National Institute of Allergy and Infectious Diseases (NIAID) to MOE and by The Mississippi Functional Genomics Network (NIH/NCRR P20 RR016476).
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