The role of catalase in Pseudomonas aeruginosa biofilm resistance to hydrogen peroxide by James Garrett Elkins A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Land Resources and Environmental Sciences Montana State University © Copyright by James Garrett Elkins (1999) Abstract: Microbial biofilm formation on man-made surfaces can profoundly impact human health and welfare. Biofilms readily develop on medical implants such as catheters and artificial joints causing chronic infections. Industrial processing systems are also plagued with the accumulation of biofilm in pipes, heat exchangers, cooling towers, and other equipment resulting in the loss of system efficiency. Biofilm bacteria are tremendously more difficult to kill with antimicrobial agents than freely suspended organisms. The basis for biofilm resistance to antimicrobial agents has been investigated but, the primary mechanisms responsible for this phenomena are still poorly understood. It has been hypothesized that biofilm bacteria are able to rapidly adapt to an antimicrobial agent and neutralize it with protective proteins/enzymes. This hypothesis was addressed in this study by investigating the adaptive response of Pseudomonas aeruginosa biofilms to the oxidizing biocide, hydrogen peroxide (H2O2). P. aeruginosa expresses two catalase enzymes in defense against H2O2 known as KatA and KatB. These enzymes catalyticaly degrade H2O2 into oxygen and water. P. aeruginosa mutants that are unable to synthesize either KatA or KatB were tested for their susceptibility to H2O2 when grown as planktonic cells and biofilms. Biofilms lacking KatA activity were more susceptible to H2O2 than the wild-type or KatB- strain but remained much more resistant to the biocide than planktonic cultures. However, the absence of catalase activity in KatA- biofilms allowed efficient biofilm removal with H2O2. Biofilms unable to synthesize the inducible KatB catalase were nearly equal to the wild-type strain with respect to H2O2 resistance. Using spectrophotometric assays, activity gel staining techniques, and reporter enzyme measurements, catalase expression was monitored in biofilms. Specific catalase levels were essentially equal for biofilms and planktonic cells. Biofilms exposed to relatively high concentrations of H2O2 induced the KatB catalase but induction patterns did not differ from planktonic cells exposed to lower H2O2 concentrations. In conclusion, constitutive catalase expression is necessary for optimal biofilm resistance to H2O2 but other mechanisms of resistance must exist. Biofilms are capable of adapting to exogenous H2O2 by inducing KatB synthesis but this enzyme is relatively insignificant to overall biofilm resistance to short-term H2O2 exposure. THE ROLE OF CATALASE IN Pseudomonas aeruginosa BIOFILM RESISTANCE TO HYDROGEN PEROXIDE by James Garrett Elkins A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Land Resources and Environmental Sciences MONTANA STATE UNIVERSITY-BOZEMAN Bozeman, Montana May 1999 APPROVAL of a thesis submitted by James Garrett Elkins This thesis has been read by each member of the thesis committee and has been found to be satisfactory regarding content, English usage, format, citations, bibliographic style, and consistency, and is ready for submission to the College of Graduate Studies. Timothy R. McDermott Approved for the Department of Land Resources and Environmental Sciences Jeffery S. Jacobsen A? 7 (Sjgnafiife) Date Approved for the College of Graduate Studies Bruce R. McLeod /r (Signature) Date iii STATEMENT OF PERMISSION TO USE In presenting this thesis in partial fulfillment of the requirements for a master’s degree at Montana State University-Bozeman, I agree that the Library shall make it available to borrowers under rules of the Library. If I have indicated my intention to copyright this thesis by including a copyright notice page, copying is allowable only for scholarly purposes, consistent with “fair use” as prescribed in the U.S. Copyright Law. Requests for permission for extended quotation from or reproduction of this thesis in whole or in parts may be granted only by the copyright holder. Signature Date 7 iv ACKNOWLEDGMENTS Special thanks must be given to several individuals who helped me complete this thesis. I especially thank Dr. Timothy R. McDermott for his guidance and advice over the last several years. Dr. Phil Stewart and I enjoyed many hours of insightful discussion regarding this project and he provided outstanding direction. Dr. Thamir Al-Niemi often provided help with difficulties encountered during my work and Dr. Michael L. Summers proved to be a fountain of wisdom in and out of the laboratory. I would also like to thank Dr. Dan Hassett for conveying his knowledge of oxidative stress physiology and for providing the catalase mutants used in this study. Dr. Herbert Schweizer and Dr. Michael Franklin deserve credit for furnishing many of the plasmids and strains needed for my research. Many close friends and family members provided support during my graduate work, especially my fiance Melissa, Sam and Louise Sampson, Bill and Jana McRae, Nicole and McKenzie Elkins, Tracy Elkins, Tom and Lauren Mackay, and Scott Korell. Most of all, I would like to thank my parents, Jim and Charlene, for their tremendous amount of love and support throughout my educational endeavors. TABLE OF CONTENTS LIST OF TABLES............................................................................................................ vii LIST OF FIGURES........................................................................................................... ix ABSTRACT....................................................................................................................... x 1. INTRODUCTION........................................................................................................ I References............................................................................................................ 6 2. LITERATURE REVIEW............................................................................................ Introduction.......................................................................................................... Mechanisms of Biofilm Resistance to Antimicrobial Agents............................. Role of Extracellular Polysaccharide Matrix.......................................... Resistance Due to Low Physiological Activity...................................... Biofilm Physiological Adaptation to Antimicrobial Agents................... Reactive Oxygen Intermediates.............................. Superoxide (O2")...................................................................................... Hydrogen Peroxide (H2O2)..................................................................... The Hydroxyl Radical (HO )................................................................... Oxidizing Biocides............................................ :............................................... Chlorine.................................................................................................. Ozone................................................................................ Hydrogen Peroxide................................................................................. Mechanisms of Oxidative Stress Resistance............................................. Superoxide Response and SoxRS Regulon............................................. Regulation of Superoxide Dismutases.................................................... SOD regulation in E. coli............................................................ SOD regulation in P. aeruginosa................................................ Hydrogen Peroxide Response................................................................. OxyR Regulon....................................................................................... Regulation of Catalase in E. coli............................................................. Regulation of katG in E. coli.............................................. Regulation of katE in E. coli............................ ,......................... Regulation of Catalase in P. aeruginosa........................................... Summary................................................. 8 8 10 10 13 15 17 17 18 19 20 21 22 23 24 25 26 27 28 29 29 31 32 34 36 38 vi References.......................................... 3. Pseudomonas aeruginosa BIOFILM RESISTANCE TO HYDROGEN PEROXIDE: PROTECTIVE ROLE OF CATALASE............................................ Introduction........................................................................................................ Materials and Methods........................................................................................ Bacterial Strains and Plasmids.......................................................... Media and Growth Conditions................................................................ Planktonic Disinfection........................................................................... Biofilm Disinfection............................................................................... Preparation of Cell Free Extracts...:.................... Catalase Assays and Native-PAGE........................................................ DNA Manipulation.............................. Construction of pJGE02.................... Construction of pJGE03................................ Isolation of PAOI(katB\\lacZ)................ Reporter Gene Assays.........................................................,.................. Statistical Analysis........................................ Results..................................................................................... Catalase Activity in katA and katB mutants............................................ H2O2 Sensitivity of Planktonic Cells...................................................... H2O2 Sensitivity of Biofilm Cells........................................................... Biofilm Removal with Hydrogen Peroxide............................................ Catalase Activity of P. aeruginosa Biofilms.......................................... katB::IacZ Reporter Construction and Analysis..................................... Discussion......................................................... References........................................................ ................. ,.............:............... 40 49 49 52 52 52 54 55 56 57 57 57 58 58 59 59 60 60 62 62 63 67 70 72 77 4. CONCLUSIONS......................................................................................................... 81 APPENDIX 86 vii LIST OF TABLES Table Page 3-1. List of Strains and Plasmids Used in this Study................................... .............. 53 3-2. Planktonic Specific Catalase Activity of PAOl wt, KatA", and KatB" Before and After Treatment with H2O2................................. 61 A-1. Percent Survival of PAOl(wt) Planktonic Cells During Disinfection................. 86 A-2. Percent Survival of PA01(KatA") Planktonic Cells During Disinfection......... 86 A-3. Percent Survival of PAOI (KatB') Planktonic Cells During Disinfection.......... 86 A-4. Percent Survival of PAOl (wt) Biofilm Cells During Disinfection..................... 87 A-5. Percent Survival of PAOl(KatA') Biofilm Cells During Disinfection.............. 87 A-6. Percent Survival of PAOI (KatB") Biofilm Cells During Disinfection............... 87 A.-1. Percent Removal of PAOl(wt) Biofilm Cells During Disinfection.................... 88 A-8. Percent Removal of PAOl(KatA ) Biofilm Cells During Disinfection............... 88 A-9. Percent Removal of PAOl(KatB') Biofilm Cells During Disinfection............... 88 A-10. Specific Catalase Activity of Stationary Phase, Planktonic wt, KatA", and KatB" Cells Before and After Treatment with 2mM Pulses of H2O2 Every 10 min for I hr.................................................................. 89 A -II. Specific Catalase Activity (U/mg protein) of PAOl wt Biofilm During Disinfection................................................................................ 89 A-12. Specific Catalase Activity (U/mg protein) of PAOl KatB" Biofilm During Disinfection............................................................................ 90 viii LIST OF TABLES (Cont) Table A-13. Specific Catalase Activity (U/mg protein) of PAOl KatB" Biofilm During Disinfection.................................................. Page 90 A-14. PAOI QcatB::lacT) Reporter Activity in Miller. Units for Biofilms Exposed to 50 mM H2O2 for I hr.................................................... 90 A-15. PAOI QcatB::lacZ) Reporter Activity in Miller Units for Biofilms Not Exposed to H2O2...................................................................... 91 A-16. PAOI QcatBwlacZ) Reporter Activity in Miller Units for Planktonic Cells Exposed to 2mM Pulses of H2O2 Every 10 min. for I hr.......................................................................................... 91 A-17. PAOI QiatB::lacZ) Reporter Activity in Miller Units for Planktonic Cells Exposed to 1-50 mM Dose of H2O2.................................... 91 A-18. PAOI QiatB::lacZ) Reporter Activity in Miller Units for Planktonic Cells Not Exposed to H2O2.......................................................... 92 ix LIST OF FIGURES Figure Page 2- 1. Induction of HPI During Exponential Growth By the OxyR System............... 33 2- 2. Model of Catalase Regulation in Stationary Phase E. coli............................... . 35 3- 1. Planktonic Cell Disinfection with 50 mM H2O2................................................ 64 3- 2. Biofilm Disinfection with 50 mM H2O2............................ ........'...................... 65 3-3. Biofilm Removal During Disinfection.................................................................. 66 3-4. Biofilm Specific Catalase Activity........................................................................ 68 3-5. Biofilm Catalase Expression During Disinfection................................................ 69 3-6. PAOl (katB::lacZ) Expression in Response to Hydrogen Peroxide 71 ABSTRACT Microbial biofilm formation on man-made surfaces can profoundly impact human health and welfare. Biofilms readily develop on medical implants such as catheters and artificial joints causing chronic infections. Industrial processing systems are also plagued with the accumulation of biofilm in pipes, heat exchangers, cooling towers, and other equipment resulting in the loss of system efficiency. Biofilm bacteria are tremendously more difficult to kill with antimicrobial agents than freely suspended organisms. The basis for biofilm resistance to antimicrobial agents has been investigated but, the primary mechanisms responsible for this phenomena are still poorly understood. It has been hypothesized that biofilm bacteria are able to rapidly adapt to an antimicrobial agent and neutralize it with protective proteins/enzymes. This hypothesis was addressed in this study by investigating the adaptive response of Pseudomonas aeruginosa biofilms to the oxidizing biocide, hydrogen peroxide (H2O2). P- aeruginosa expresses two catalase enzymes in defense against H2O2 known as KatA and KatB. These enzymes catalyticaly degrade H2O2 into oxygen and water. P. aeruginosa mutants that are unable to synthesize either KatA or KatB were tested for their susceptibility to H2O2 when grown as planktonic cells and biofilms. Biofilms lacking KatA activity were more susceptible to H2O2 than the wild-type or KatB' strain but remained much more resistant to the biocide than planktonic cultures. However, the absence of catalase activity in KatA" biofilms allowed efficient biofilm removal with H2O2. Biofilms unable to synthesize the inducible KatB catalase were nearly equal to the wild-type strain with respect to H2O2 resistance. Using spectrophotometric assays, activity gel staining techniques, and reporter enzyme measurements, catalase expression was monitored in biofilms. Specific catalase levels were essentially equal for biofilms and planktonic cells. Biofilms exposed to relatively high concentrations of H2O2 induced the KatB catalase but induction patterns did not differ from planktonic cells exposed to lower H2O2 concentrations. In conclusion, constitutive catalase expression is necessary for optimal biofilm resistance to H2O2 but other mechanisms of resistance must exist.. Biofilms are capable of adapting to exogenous H2O2 by inducing KatB synthesis but this enzyme is relatively insignificant to overall biofilm resistance to short-term H2O2 exposure. I CHAPTER I INTRODUCTION Prokaryotic success in many different environments can likely be attributed to the tendency of bacteria to form biofilms. Biofilms arise when planktonic cells adhere to a surface and undergo phenotypic changes including the expression of genes involved in exopolysaccharide (EPS) synthesis (Davies et al., 1993, Davies and Geesey, 1995). Through binary fission, single cells become microcolonies and eventually, a highly complex microbial community is established. Biofilms consist of microorganisms, a polymer matrix surrounding each cell, a system of voids and flow channels allowing fluid • convection throughout the biofilm, and other abiotic materials that become trapped by the EPS matrix (Costerton et al., 1995). As a common soil/water microorganism and opportunistic pathogen, Pseudomonas aeruginosa occupies many diverse niches in nature. Since P. aeruginosa is often isolated from natural biofilms, this species serves as an appropriate model organism for biofilm research. Biofilm formation is problematic in many different medical and industrial situations. For instance, the colonization of catheters and prosthetic devices by microorganisms results in chronic systemic infections, especially in immunocompromised patients. P. aeruginosa colonization and biofilm formation is often the cause of morbidity and mortality in patients suffering from cystic fibrosis. Regrowth of coliform biofilms in drinking water distribution systems can also impact human health. In industrial systems, heat exchangers are less efficient when fouled with biofilms. Biofilm accumulation in pipe systems results in pressure loss and poor flow characteristics. The warm, oxygenated waters found in cooling towers are especially conducive to biofilm formation, resulting in loss of cooling efficiency and structural integrity. The corrosion of metal surfaces is also enhanced when colonized with bacteria (Costertonetal., 1988). Antimicrobial agents are widely used to control unwanted microbial growth in medical and industrial situations. Antimicrobial agents include all classes of antibiotics (i. e. (3-lactams) as well as low molecular weight, broad spectrum biocides such as hypochlorous acid and hydrogen peroxide. The use of these compounds to kill or remove biofilms often proves difficult since sessile bacteria are much more resistant to killing than freely suspended organisms (Ashby et ah, 1994; Brown and Gilbert, 1993; LeChevallier et ah, 1988). Currently, the basis for the reduced efficacy of antimicrobial agents against biofilm organisms is poorly understood. Knowing the underlying mechanisms responsible for biofilm resistance will allow for the development of improved antimicrobial compounds as well as better application protocols for compounds already in use. Several biofilm structural and physiological characteristics have been assessed for their role in biofilm resistance to antimicrobial agents. The EPS matrix may provide protection by establishing a reaction/diffusional barrier that prevents penetration of the antimicrobial compound into the biofilm (Nichols et al., 1989; Tresse and Junter, 1995), Poor biocide penetration has been shown to enhance the survival of biofilm bacteria 3 although some investigators argue that slow penetration alone is insufficient to account t for the resistance biofilms display to many bactericidal compounds (Brown and Gilbert, 1994; Stewart, 1996). Low physiological activity has been demonstrated in P. aeruginosa biofilms due to oxygen limitation (Xu et al., 1998). The mode of action for many antimicrobial agents such as P-Iactams is growth dependent; therefore, growth limiting conditions within a biofilm may account for reduced susceptibility. Another mechanism that may contribute to the reduced efficacy of antimicrobial agents against biofilm organisms is physiological adaptation to the compound itself. Upon exposure to a particular agent, bacteria may possess the genetic and physiological capability of synthesizing proteins/enzymes that are able neutralize or catalyticaly degrade the compound in use. Physiological adaptation to antimicrobial agents has been observed in biofilm disinfection experiments but the actual mechanisms responsible for adaptation are not understood (Sanderson and Stewart, 1997). Adaptive stress responses to oxidizing agents have been well characterized in enteric bacteria. One of the best described adaptive responses to an oxidizing agent includes the expression of catalase in defense against the oxidizing biocide, hydrogen peroxide (H2O2). Catalase enzymatically degrades H2O2 into oxygen and water. E. coli increases total cellular catalase activity when exposed to sub-lethal doses of H2O2, enabling the organism to become resistant to much higher concentrations of the oxidant (Christman et al., 1985). Catalase expression and its role in scavenging H2O2 has been studied in organisms such as E. coli for nearly 30 years and a comprehensive review of this work is provided in this thesis. Since past research has been conducted almost exclusively with planktonic organisms, little is known about the importance of catalase expression in biofilm resistance to H2O2. Hassett and co-workers (Brown et al., 1995; Hassett et al, 1992) have studied catalase expression in planktonic P. aeruginosa cells under both oxidative and nonoxidative conditions. Two genes, termed TcatA and katB, encoding two distinct catalases have been identified in P. aeruginosa. The JeatA gene is constitutively expressed throughout the aerobic growth cycle while IeatB transcription occurs only when cells are under oxidative attack by H2O2. Since adaptation to H2O2 has been described for planktonic cells of P. aeruginosa, relatively simple yet fundamentally important questions could be addressed in this thesis regarding the importance of adaptive responses in biofilm resistance to H2O2. By assessing the susceptibility of mutant biofilms that are unable to synthesize either KatA or KatB to H2O2, the following hypotheses were tested: 1. P. aeruginosa biofilms that cannot constitutively express catalase (KatA") will be hypersusceptible to H2O2. 0 KatA mutants have essentially no catalase activity. What fraction of overall biofilm resistance to" H2O2 can be attributed to constitutive catalase expression? 2. Catalase (KatB) induction in response to H2O2 is necessary for biofilm resistance to H2O2. 0 If P. aeruginosa biofilms are unable to initiate an adaptive response to peroxide by inducing KatB, will they be more susceptible to H2O2 relative to wild-type biofilms. By studying the expression patterns of both enzymes under oxidative and non-oxidative stress conditions, these hypotheses were tested: 3. Even in the absence OfH2Ch, catalase genes (JeatA, katB, or both) are upregulated in biofilms resulting in a high specific catalase activity relative to planktonic organisms. o Perhaps biofilms are resistant to H2Oa because of differential gene regulation that results in relatively high biofilm specific catalase activity. 4. P. aeruginosa biofilms initiate an oxidative stress response upon exposure to H2O2. o Although this has been demonstrated in planktonic cells (Brown et ah, 1995), catalase expression, specifically katB induction, may be differentially regulated in biofilms. This thesis begins with a comprehensive literature review (Chapter 2) covering pertinent topics such as possible mechanisms of biofilm resistance to antimicrobial agents, evidence for physiological adaptation to antimicrobials, the use of oxidizing biocides to control problematic biofilms, oxygen radical chemistry and biology, and oxidative stress genetics and physiology in enteric bacteria and P. aeruginosa. Chapter 3 features the main scientific study completed for this thesis in a professional publication format. In addition to assessing the importance of adaptive responses in biofilm resistance to oxidizing agents, this research represents a novel approach toward understanding basic differences in oxidative stress physiology between planktonic organisms and biofilms. Also resulting from this work, we have described an excellent model system for examining resistance mechanisms in biofilms (Hassett et ah, 1999a) as well as uncover other aspects of biofilm physiology that affect biofilm resistance to oxidizing agents (Hassett et ah, 1999b). These contributions should provide further insight regarding differences in biofilm and planktonic cell physiology and will hopefully assist in the development of improved antimicrobial agents and biofilm control strategies. 6 References Ashby, M. J., J. E. Neale, S. J. Knott, and I. A. Critchley. 1994. Effect of antibiotics on non-growing planktonic cells and biofilms of Escherichia coli. J. Antimicroh Chemother. 33:443-452. Brown, M. R. W., and P. Gilbert. 1993. Sensitivity of biofilm to antimicrobial agents. J. AppL Bacteriol. Symp. Suppl. 74:87S-97S. Brown, S. M., M. L. Howell,, M. L. Vasil, A. J. Anderson, and B. J. Hassett. 1995. Cloning and characterization of the katB gene of Pseudomonas aeruginosa encoding a hydrogen peroxide-inducible catalase: purification of KatB5cellular localization, and demonstration that it is essential for optimal resistance to hydrogen peroxide. J. Bacteriol. 177:6536-6544. Christman, M. F., R. W. Morgan, F. S. Jacobson, and B. N. Ames. 1985. Positive control of a regulon for defenses against oxidative stress and some heat-shock proteins in Salmonella typhimurium. Cell. 41:753-762. Costerton, J. W., Z..Lewandowski, B. E. Caldwell, D. R. Korber, and H. M. LappinScott. 1995. Microbial biofilms. Annu. Rev. Microbiol. 49:711-745. Costerton, J. W., G. G. Geesey, and P. A. Jones. 1988. Bacterial biofilms in relation to internal corrosion monitoring and biocide strategies. Materials Performance. 27:49-53. Davies D. G., A. M. Chakrabarty, and G. G. Geesey. 1993. Exopolysaccharide production in biofilms: substratum activation of alginate gene expression by Pseudomonas aeruginosa. AppL Environ. Microbiol. 59:1181-1186. Davies D. G., and G. G. Geesey. 1995. Regulation of the alginate biosynthesis gene algC in Pseudomonas aeruginosa during biofilm development in continuous culture. AppL Environ. Microbiol. 61:860-867. Hassett, D. J., L. Charniga, K. Bean, D. E. Ohman, and M. S. Cohen. 1992. Response of Pseudomonas aeruginosa to pyocyanin: mechanisms of resistance, antioxidant defenses, and demonstration of a manganese-cofactored superoxide dismutase. Infect. Immun. 60:328-336. Hassett, D. J., J. G. Elkins, D.-J. Ma, and T. R. McDermott. 1999a. Pseudomonas aeruginosa biofilm sensitivity to biocides: use of hydrogen peroxide as a model antimicrobial agent for examining resistance mechanisms. Meth. EnzymoL In press. 7 Hassett, D. J., J.-F. Ma, J. G. Elkins, T. R. McDermott, U. A. Ochsner, S. E. H. West, C.-T. Huang, J. Fredericks, S. Burnett, P. S. Stewart, G. McFeters, L. Passador, and B. H. Iglewski. 1999b. Quorum sensing in Pseudomonas aeruginosa controls catalase and superoxide dismutase genes and mediates biofilm susceptibility to hydrogen peroxide. J. Bacteriol. Submitted. Lechevallier M. W., C. D. Cawthon, and R. G. Lee. 1988. Inactivation of biofilm bacteria. AppL Environ. Microbiol. 54:2492-2499. Nichols, W. W., M. J. Evans, M. P. E. Slack, and H. L. Walmsley. 1989. The penetration of antibiotics into aggregates of mucoid and non-mucoid Pseudomonas aeruginosa. J. Gen. Microbiol. 135:1291-1303. Sanderson, S. S., and P. S. Stewart. 1997. Evidence of bacterial adaptation to monochloramine in Pseudomonas aeruginosa biofilms and evaluation of biocide action model. Biotechnol. Bioeng. 56:201-209. Stewart, P. S. 1996. Theoretical aspects of antibiotic diffusion into microbial biofilms. Antimicrob. Agents. Chemother. 40:2517-2522. Tresse, O., T. Jouenne, and G.-A. Junter. The role of oxygen limitation in the resistance of agar-entrapped, sessile-like Escherichia coli to aminoglycoside and 13lactam antibiotics. J. Antimicrob. Chemother. 36:521-526. Xu, K. D., P. S. Stewart, F. Xia, C.-T. Huang, and G. A. McFeters. 1998. Physiological heterogeneity in Pseudomonas aeruginosa biofilm is determined by oxygen availability. AppL Environ. Microbiol. 64:4035-4039. 8 CHAPTER 2 LITERATURE REVIEW Introduction One of the primary reasons behind the problematic nature of biofilms is their ability to resist killing by antimicrobial agents. Biofilm resistance to numerous antimicrobial compounds has been demonstrated repeatedly (Brown and Gilbert, 1993; LeChevallier et ah, 1988; Sanderson and Stewart, 1997) and, to date, no antimicrobial agent has been shown to eliminate biofilms as effectively as it can suspended organisms. Biofilm resistance appears to be universal for all types of compounds including antibiotics such as 3-lactams and aminoglycosides (Anwar et al., 1990) as well as low molecular weight biocides like hypochlorous acid and monochloramine (Berman et al., 1988; Sanderson and Stewart, 1997). Biofilm resistance to such a wide range of antimicrobial agents is the basis for the problematic nature of biofilms in so many different situations. This is especially true in the prevention of nosocomial infections where conventional antibiotics are proving to be poorly effective against many types of pathogenic organisms. Biofilm formation by inherently antibiotic resistant strains of bacteria greatly increases the potential for disease causing organisms to evade disinfection. 9 Control of biofilms in industrial settings generally relies on the use of broad spectrum, low molecular weight biocides that can be purchased in bulk quantities. Of the many types of biocides employed in industry, members of the oxidizing class of biocides remain the most widely used (Kuo and Smith, 1996). Oxidizing biocides include halogenated compounds such as hypochlorous acid (HOC1), monochloramine (NH2CI), chlorine dioxide (CIO2), and hypobromous acid (HOBr), or oxygen derivatives such as ozone (O3) and hydrogen peroxide (H2O2). Biofilms composed of single organisms or consortia of bacterial species have demonstrated resistance to oxidizing biocides. LeChevallier et al. (1988) challenged planktonic and biofilm cultures of heterotrophic bacteria isolated from drinking water and Klebsiella pneumoniae isolates with varying doses of hypochlorous acid and monochloramine. Planktonic cells required only 0.08 mg L'1 of hypochlorous acid or 94 mg L"1 of monochloramine to achieve a 99% reduction in viability within I minute of exposure. Biofilms grown on the surfaces of granular activated carbon particles, metal coupons, and glass microscope slides were 150to 3000 fold more resistant to equal doses of hypochlorous acid and 2- to 100 fold more resistant to equal doses of monochloramine. The authors speculated that the decreased reactivity of the monochloramine allowed the agent to penetrate deeper into the biofilm thus improving its efficacy relative to hypochlorous acid. Currently, the mechanisms responsible for biofilm resistance to antimicrobial agents are poorly understood. Several unifying characteristics of biofilms and their structure have been implicated in resistance. These hallmarks include cell encapsulation within an extra-cellular polysaccharide matrix; decreased physiological activity due to limitation of electron donors/acceptors or other essential nutrients; and the physiological 10 production of cell constituents capable of neutralizing biocides. These processes and their role in biofilm resistance to antimicrobial agents will now be reviewed. Mechanisms of Biofilm Resistance to Antimicrobial Agents Role of Extracellular Polysaccharide Matrix One of the prominent features of any biofilm is the presence of an exopolysaccharide (EPS) matrix surrounding each cell. Biofilm formation is initiated when bacteria originating from the external milieu attach to a surface. The ability of a single cell to remain attached to a surface and initiate biofilm formation has been shown to occur through the expression of genes responsible for polysaccharide biosynthesis (Davies et al., 1993; Davies and Geesey, 1995). Cell division and the accretion of additional planktonic cells results in the development of a mature biofilm which includes an EPS matrix. Biofilm polymer matrices are highly hydrated containing up to 95% water and are responsible for the heterogeneous three-dimensional structure of biofilms ) which include clusters of cells (mushrooms) and flow channels (Costerton et al., 1995). The EPS matrix of surface attached bacteria has been implicated in biofilm resistance to antimicrobial agents (Nichols et al., 1989). Primarily, the EPS matrix is thought to either slow or prevent the transport of antimicrobial agents from the bulk phase to the encapsulated biofilm cells. This could occur with the matrix serving as a simple physical barrier to convective/diffusive mass transport. Also, the antimicrobial agent could physically adsorb to the matrix thus immobilizing it. Alternatively, reactive biocides such as hypochlorous acid may act upon the EPS matrix, being stoichiometrically consumed. The role of the EPS matrix in protecting biofihn bacteria 11 from various antimicrobial agents has been determined experimentally. Using microelectrodes, DeBeer et al. (1994) directly measured the penetration of chlorine (added as hypochlorous acid) into P. aeruginosa and K. pneumoniae biofilms cultured on stainless steel slides. Sharp concentration gradients were established throughout the depth of the biofilm within a few minutes following the addition of chlorine. The ability of chlorine to penetrate these biofilms varied widely with concentration and exposure times, although this variation was thought to be mainly due to heterogeneity in the biofilm structure. Nevertheless, the EPS matrix of these two-species biofilms did establish a reaction-diffusion barrier, enhancing resistance to chlorine. Artificial biofilms constructed of bacteria entrapped in agarose gel slabs (Chen and Stewart, 1996) or alginate and agarose beads (Xu et al., 1996) have been used as models to study chlorine transport into polymer matrices. Such artificial biofilms posses homogeneous matrices and consistent geometries which minimizes the variablility otherwise encountered with real biofilms. In these studies, chlorine reacted slowly with agarose and penetrated ca. 500 pm thick slab comparatively rapidly (15 min.) when cells of P. aeruginosa were absent. However, the entrapment of bacteria in the agarose matrix greatly retarded chlorine transport with penetration equivalent to cell free slabs occurring after I hour of exposure. Unlike agarose, alginate presents a significant reactiondiffusion barrier for chlorine. After 45 hours of exposure to 20 mg L'1 chlorine, concentrations did not reach 50% of the bulk phase at the center of 3 mm agarose beads containing 2% (w/w) alginate. Agarose/alginate beads containing P. aeruginosa at a density 2.5 x IO9 cfu/cm3further retarded chlorine penetration. Entrapment of cells in polymer beads resulted in remarkable resistance to chlorine with 6 hours of exposure 12 killing only the cells near the surface of the bead. Others have argued that the biofilm EPS matrix provides only limited or no antimicrobial resistance. Using povidone-iodine as a disinfectant against P. .aeruginosa. Brown et al. (1995) showed that the iodine demands imparted by biofilm and planktonic samples of equal biomass were similar. Consequently, iodine reacting with the matrix could not explain the difference in resistance observed between planktonic and biofilm cells. Similarly, Nichols et al. (1989) measured the penetration of tobramycin and cefsulodin through mucoid and non-mucoid aggregates of P. aeruginosa and concluded that the rates of penetration were not significantly different between the two cell types. Gristina et al. (1989) tested the susceptibility of mucoid and non-mucoid strains of Staphylococcus epidermis to a number of antibiotics and concluded that polymer encapsulation provided no protection. The specific role of the EPS matrix in the protection of natural biofilms from antimicrobial agents remains unclear. In general, the establishment of a diffusion/convection barrier by the EPS layer is insufficient to explain the recalcitrance of biofilms to disinfection (Quesnel et al., 1993; Stewart et al., 1996). This is supported by the fact that biofilm cells remain resistant to biocides even after system equilibrium is reached and solute concentrations within the biofilm equal those in the bulk fluid. This suggests that other mechanisms are involved in biofilm resistance to disinfection. It is likely that the nature of the biocide, primarily its reactivity with EPS, that will be important in determining the degree to which the polysaccharide matrix will have possible protective affects. Specifically, the level of protection afforded by the matrix probably depends on biofilm species composition, age, hydraulic flow conditions, and the 13 chemical nature of the antimicrobial agent in question. Resistance Due to Low Physiological Activity Gradients of metabolic activity have been demonstrated within biofilms (Huang et ah, 1998; Huang et ah, 1995; Xu et ah, 1998). Due to reaction/diffusion limitations on the penetration of electron donors/acceptors, organisms residing near the substratum or deep within microcolonies of a biofilm are likely to be experiencing a nutrient limited physiology. Microelectrodes have been employed to demonstrate that in aerobic, heterotropbic biofilms, oxygen concentrations sharply decline with biofilm depth (Costerton et ah, 1995). Xu et ah (1998) recently concluded that oxygen was the primary determinant of physiological activity in P. aeruginosa biofilms. Using the ability to induce alkaline phosphatase under phosphate starvation conditions as an indicator of protein synthesis, it was found that only the oxygenated fraction of the biofilm (ca. upper 30 |_im) was capable of de novo protein synthesis. Kinniment and Wimpenny (1992) used a different approach to demonstrate physiological heterogeneity in P. aeruginosa biofilms. Frozen sections of biofilm were sliced horizontally and then assayed for adenylated nucleotides. Based on ratios of ATP, ADP, and AMP, an adenylate energy charge (ECa) index could be established to predict cellular energy status. Interestingly, AMP was the dominant species of adenine nucleotide in either 55 or 105 hour old biofilms except near the biofilm surface where the ATP/ADP ratio increased. These results suggested that a large percentage of the biofilm was in a metabolically quiescent. Antibiotic efficacy is often dependant on the target organisms being metabolically active. This is especially true for antibiotics that target growth related phenomena such 14 as peptidoglycan, nucleic acid, and protein synthesis. Gristina et al. (1989) determined nafcillin, vancomycin, gentamicin, and daptomycin efficacy against suspended and adherent Staphylococcus epidermidis and concluded that the increased resistance S. epidermidis biofilms displayed to all of the antibiotics was likely due to slow growth. Other studies have shown, however, that slow microbial growth rates were not responsible for increased resistance to several antibiotics applied to differing experimental conditions. Slow growth rates may not lead to Staphylococcus aureus biofilm resistance to high molecular weight antibiotics such as benzylpenicillin, tetracycline, and vancomycin (Williams et ah, 1997). The efficacies of halogenated biocides such as iodine (Brown and Gauthier, 1993) and fluoride (Embleton et ah, 1998) against biofilms have also been shown to be independent of specific growth rate. Other phenomena related to growth are often implicated in biofilm resistance to antimicrobial agents. Profound changes occur in cells when nutrients such as carbon, nitrogen, phosphate, and/or iron become limiting (Kjelleberg, 1993). Nutrient limitation is also known to induce significant changes in cell permeability to many antimicrobial agents (Brown et ah, 1990), therefore decreasing susceptibility to disinfection. Phenotypic changes elicited by nutrient limitation vary widely and many authors speculate that some aspect of a nutrient limited physiology is responsible for the increased resistance of biofilms to antimicrobial agents. Increased EPS production at the onset of stationary phase has often been attributed to antibiotic resistance (Evans et ah, 1994). Although, as in many cases noted above, the presence of the EPS envelope alone cannot account for decreased susceptibility. Also, the production of an EPS matrix has been shown to result from just the initial attachment of P. aeruginosa to a surface (Davies et al., 1995) which implies that formation of a polymer matrix is independent of starvation; however, extracellular polymer formation likely plays some role in the long term survival of biofilm organisms (Costerton et al., 1981). Biofilm Physiological Adaptation to Antimicrobial Agents Bacteria residing in a biofilm may physiologically adapt to antimicrobial agents, therefore increasing their resistance. Adaptation, in this sense, occurs when the biofilm cell expresses a phenotype that renders the bacterium less susceptible to a particular agent. Since microorganisms have always been confronted with naturally occurring antimicrobial agents, resistance mechanisms have evolved to overcome them. Adaptation strategies include the expression of genes/operons that provide nonspecific protection to various agents while other mechanisms act by irreversible enzymatic degradation. Examples include the induction of membrane bound permeases to pump antibiotics such as tetracycline out of the cell; the generation of intracellular reducing agents like glutathione which can neutralize oxidizing biocides (Chapman et al. 1993; Chesney et al. 1996); and the induction of enzymes that possess high substrate specificity against a particular agent such as (3-lactamases for [3-lactam antibiotics or catalase for hydrogen peroxide. The onset of physiological resistance to antimicrobials in biofilms can be elicited by exposure to the agent itself, or perhaps by the induction/repression of genes associated with biofilm formation which co-incidentally affect antimicrobial susceptibility. Physiological adaptation to antimicrobial agents has been observed in biofilms. Giwercman et al. (1991) recorded increases in p-lactamase production in P. aeruginosa 16 biofilms exposed to imipenem and peperacillin; the ability of the biofilms to induce (3-lactamase upon exposure to the antibiotics afforded the cells increased protection. This report demonstrated that exposure to the antimicrobial agent was the cause of increased P-Iactamase activity rather than biofilm formation itself. When testing a mathematical model designed to predict the kinetics of P. aeruginosa biofilm disinfection with monochloramine, Sanderson and Stewart (1997) reported that biofilm cells became increasingly resistant to subsequent doses of monochloramine at increasing concentrations. They concluded that the adaptation to the oxidizing agent, monochloramine, was perhaps due to an oxidative stress response being elicited by the biofilm organisms. Oxidizing biocides serve as the primary tools used to combat unwanted biofilm accumulation and biofouling in industrial settings. Oxidants in the form of reactive oxygen intermediates (ROIs) (see below) are also employed to kill invading microorganisms in vivo via phagocytosis and the respiratory burst (Babior, 1987). Over the last several decades, an impressive scientific effort has been focused on characterizing the genetic, physiological, and biochemical mechanisms responsible for the bacterial evasion of oxidizing agents. However, a weakness in our knowledge regarding how bacteria adapt to and evade external oxidants exists since, in the past, only planktonic organisms cultured in highly artificial environments have been studied. The information obtained in this manner has unquestionably been crucial to our current understanding of microbial genetics and physiology; nevertheless, bacteria in situ prefer to associate with surfaces. Oxidative stress responses evoked by biofilm organisms are yet to be explored and understood. The remainder of this review will cover the known 17 chemical species that induce oxidative stress responses in microorganisms as well as the genetics and physiology of oxidative stress as it is known to occur in Eschehcia coli and Pseudomonas aeruginosa. Reactive Oxygen Intermediates In aerobic organisms, the dependency on molecular oxygen (O2) as a terminal electron acceptor is not without consequence. Toxic, reactive oxygen intermediates (ROIs) are readily formed during the reduction of O2 to H2O through aerobic metabolism. This is due to the paramagnetic nature of O2 which possesses unpaired electrons in separate orbitals of parallel spin. In order to avoid formation of ROIs, simultaneous reduction of each unpaired electron must occur by another electron of complementary spin. Univalent, single electron reductions frequently occur through aberrant electron flow in membrane associated electron transport systems, thus forming both oxygen radicals and nonradical, but unstable, compounds (Fridovich, 1978; Demple, 1991). ROIs are known to cause damage to nucleic acids (Imlay and Linn 1988), proteins (Tamarit et al., 1998), and lipids (Farr and Kogoma, 1991). As shown in Equation I, three distinct oxygen species may be created as O2 is reduced to water: O2 j^i ^ HO2 ^ H2O2 ^ HO' + H2O p+ 2H2O (Equation I) Superoxide (PT) The superoxide anion radical is generated via a single electron reduction of molecular oxygen and is the most readily formed of the ROIs (Fridovich, 1978). In 18 biological systems, superoxide production mainly occurs via redox cycling agents and, to a lesser extent, non-cyclic autoxidation of biomolecules by O2. Cyclic production of superoxide is mediated through a large class of cellular and environmental compounds which undergo reduction via electron carriers, usually NADH or NADPH, followed with oxidation by O2. Redox cycling agents include quinones and the herbicide paraquat. Imlay and Fridovich (1991) used membrane preparations of superoxide dismutase (SOD) deficient E. coli cells to measure the flux of superoxide being generated by aerobic respiration. These authors reported that respiring membrane vesicles generated 3 O2" molecules for every 10,000 electrons entering the electron transport system which correlated to an intracellular superoxide production rate of 5 p,mol/s. SODs restricted the calculated intracellular concentration of superoxide to ca. 2x10"111M, which is sufficient to cause oxidative damage. Superoxide is capable of oxidizing thiols, ascorbate, tocopherols, and catecholamines, and especially proteins containing (Fe-S)4 centers (Farr and Kogoma, 1991; Fridovich, 1978). An important characteristic of superoxide is its ability to reduce both free and complexed transition metals, especially ferric iron, as shown by the following reaction: O f + M(n+1)+ ---------- ► O2 + Mn+ (Equation 2) Hydrogen Peroxide (H2O2) Superoxide electrons may be redistributed in vivo to generate O2 and H2O2. This dismutation is mediated either by redox-active metals, such as iron, or enzymatically by superoxide dismutases (Fridovich, 1978). Since hydrogen peroxide can freely permeate cellular membranes, Gonzalez-Flecha and Demple (1995) could determine the intracellular steady-state concentration OfH2O2 in oxygen respiring, intact cells offs, coli by measuring the concentrations of peroxide present in extracellular buffers. They concluded that exponentially growing cells maintain an intracellular H2O2 concentration of 0.15 pM even in the presence of catalase. Using various inhibitors of the electron transport system, these authors also determined the primary sources of H2O2 generation within the cell. They reported that less than 20% of the steady state intracellular H2O2 concentration originated from the cytosolic fraction of the cell. Most H2O2originated from O2' which was produced via aberrant electron flow from NADH dehydrogenase and ubiquinone. Hydrogen peroxide is relatively unreactive with biomolecules but may oxidize thiols and reduced glutathione (Farr and Kogoma, 1991). The bactericidal effects of hydrogen peroxide are likely not due to the peroxide itself but the tendency of this molecule to react with reduced metals, mainly ferrous iron, to form hydroxyl radicals (Imlay et al., 1988). The Hydroxyl Radical (HO ) The oxidative effects of O2" and H2O2 are relatively mild compared to those caused by the hydroxyl radical. This species is capable of reacting with any biological molecule at rates limited only by diffusion. It is believed that the cytotoxic effects of superoxide and hydrogen peroxide are imparted by the participation in the formation of intracellular hydroxyl radicals when hydrogen peroxide undergoes univalent reduction by superoxide (Equation 3; Ascenzi, 1996). O2 - + H2O2 > OH + OH' + O2 (Equation 3) 20 Hydroxyl radicals are also generated in the presence of ferrous iron acts as a catalyst in radical formation from H2O2 (Equation 4; Imlay et al, 1988): Fe2+ + H2O2 + H+ ► Fe3+ + HO' + H2O (Equation 4) It is also important to revisit the chemistry represented in Eq. 2 where superoxide can reduce the ferric iron produced in Eq. 4 back to the ferrous species, allowing it to participate in another Fenton reaction. Attempting to elucidate the cytotoxic mechanism of hydrogen peroxide, Imlay et al. (1988) were able to generate severe DNA strand breaks in an in vitro system that contained ferrous iron and H2O2. Also, the cytotoxic effects of hydrogen peroxide could be eliminated when iron chelators were included with cultures of exponentially growing E. coli undergoing H2O2 disinfection. Interestingly, low doses ( 1 - 3 mM) of hydrogen peroxide were more effective at generating hydroxyl radicals while higher concentrations seemed to inhibit Fenton chemistry. These authors concluded that the primary killing mechanism of hydrogen peroxide was the generation of hydroxyl radicals through Fenton reactions at or near the surface of DNA molecules. A follow-up report by the same group demonstrated that NADH and NADPH could also reduce ferric iron bound to DNA (Imlay and Linn, 1988). The reduced nucleotides would then serve as a source of reductant to fuel ongoing Fenton reactions at the DNA surface, which would cause strand breaks and damage individual nucleotides. Oxidizing Biocides ROIs and other oxidizing agents, when added to the external milieu, can be powerful antimicrobial agents. Generally referred to as oxidizing biocides, these 21 compounds are known to be very powerful killers of planktonic organisms, but are often inadequate to eliminate biofilm problems such as biofouling of cooling towers and heat exchangers. Many oxidizing biocides are believed to generate intracellular hydroxyl radicals and the ROI chemistry described above is likely to be involved in the killing mechanisms possessed by many different compounds. Commonly used biocides that are either known or hypothesized to involve oxygen radical generation will be reviewed below. Chlorine Chlorine is still the most widely used biocide employed in industry since it can be purchased as an inexpensive bulk commodity and is relatively easy to apply (Ascenzi, 1996). Chlorine can be administered as a compressed gas, neutralized salt solution such as sodium hypochlorite (bleach), dry calcium salt form, or as organo-chlorides (Ascenzi, 1996). The compressed gas form is commonly employed in municipal water treatments as well as industrial water process systems. Chlorine gas forms hydrochloric and hypochlorous acid in water. The hypochlorous acid can further dissociate into the hypochlorite ion which is ca. 80 times less effective than the acid species. Hypochlorous acid is an electrophilic, strong oxidizing compound that can disrupt cell walls and membranes at very low concentrations (Ascenzi, 1996). Thiol and amino groups of proteins and other cellular constituents are also attacked. Candelas et al. (1994) demonstrated that hydroxyl radicals could be generated in vitro from hypochlorous acid and reduced iron by the following Fenton-type reaction (Equation 5): 22 Fe2+ + HOCl ---------- ► Fe3+ + HO' + Cl" (Equation 5) Similar to Eq. 3, superoxide and hypochlorous acid also produced hydroxyl radicals in vitro by this reaction: O2 ' + HOCl ^ OH' + Cl" + O2 (Equation 6) Dukan and Touati (1996) investigated the mechanisms that may be responsible for hypochlorous acid killing of E. coli. It was found that mutants lacking various genes responsible for hydrogen peroxide resistance (see below) were more susceptible to HOCl suggesting that HOCl toxicity did involve ROIs. Also,/hr mutants, which accumulate elevated levels of iron, were also more susceptible to hypochlorous acid disinfection which implies the generation of hydroxyl radicals via a Fenton-like reaction. Another report (Dukan et al., 1996) ruled out the possibility that intracellular superoxide radicals were generated by hypochlorous acid since strains lacking protection against superoxide (sodA and sodB) were no more susceptible to HOCl than wild-type controls. Ozone Stricter environmental regulations are requiring non-toxic discharges from industrial sources. The use of chlorinated biocides as a means to control biofouling results in the formation of disinfection by-products. Disinfection by-products are created when organic matter reacts with chlorine to form chlorinated organics such as trihalomethane. The use of ozone (O3) as a disinfectant is gaining in popularity since it is a strong oxidant, and therefore bactericidal, but does not generate chlorinated disinfection 23 byproducts (Kuo and Smith, 1996). O3 has been shown to be moderately effective against suspended organisms and biofilms at concentrations ranging from 0.2 to 3.5 ppm (Videla et ah, 1995; Lund and Ormerod, 1995) O3 is a highly reactive form of oxygen which decomposes in pure water to form hydroxyl and superoxide radicals (Farr and Kogoma, 1991). O3 will also generate intracellular ozonides (cyclic peroxides) and hydrogen peroxide. Since ozone primarily generates ROIs, its killing mechanism relies on that of the ROIs described above. Hydrogen Peroxide The external application of H2O2 serves as an effective biocide since it is a relatively stable ROL H2O2 is often used as a disinfectant for medical and dental equipment (Ascenzi, 1996) and is also gaining in popularity as an industrial and municipal biocontrol agent since its use avoids the production of disinfection by-products (Kuo and Smith, 1996). Christensen et al. (1990) demonstrated that sub-lethal doses of H2O2, in the presence of ferrous iron, could induce biofilm detachment. These authors cultured mixed Pseudomonas spp. biofilms in micro-annular reactors and exposed them to 1.5 mM H2O2 and either 0.03 to 0.1 mM Fe2+ or 100 mM ascorbate. Ascorbate, like ferrous iron, may participate in the univalent, single electron reduction of H2O2 to form hydroxyl radicals. H2O2 treatments alone had no affect on biofilm removal although when either reduced iron or ascorbate was added, as much as 90% of the biofilm biomass was removed. These authors speculated that the peroxide was reacting with the reducing agents to form hydroxyl radicals which in turn, were degrading the EPS matrix surrounding the cells, causing the biofilm to slough. Interestingly, it was noted that after 24 disinfection, biofilm regrowth rapidly occurred and that the resulting bacterial population was much more resistant to subsequent doses of peroxide and iron/ascorbate. A similar result was reported by Sanderson and Stewart (1997) where P. aeruginosa biofilms displayed resistance to subsequent doses of monochloramine of increasing concentration. Since microorganisms have been exposed to ROIs for much of their evolution, resistance or adaptation to oxidizing agents has naturally been a part of that evolutionary process. In fact, microorganisms possess elaborate genetic and physiological oxidative stress protection mechanisms which will now be reviewed. ■Mechanisms of Oxidative Stress Resistance Driven by the presence of internal and extracellular ROIs, multi-layered protection systems have evolved in bacteria. In addition to neutralizing the constant flux of superoxide and hydrogen peroxide produced during aerobic metabolism, microorganisms may also physiologically respond to extracellular sources of potentially lethal ROIs. The genetics and physiology of oxidative stress in enteric bacteria, primarily E. coli and S. Iyphimurium, has been studied for nearly 30 years. As a result of this research, distinct responses to specific ROIs have been elucidated and patterns of global gene regulation have emerged. Still, the function and regulation of many genes known to be ROI sensitive remain unknown. Superoxide and hydrogen peroxide each elicit distinct oxidative stress responses in E. coli and S. typhimurium. This is due to the presence of cognate regulatory elements present in the cell that are able to sense these oxidants and then transduce a signal that initiates a physiological response. The physiological response includes the de novo synthesis of a large number of proteins/enzymes that have some protective function. These adaptive responses are a key survival strategy when killing by ROIs is eminent. Alsoi oxidative stress responses appear to be integrated with other general, but very complex, cellular adaptations to nutritional downshift conditions. Several genes with an oxidant protective product are known to be induced as the cell begins to experience nutrient starvation (Kjelleberg, 1993). The major adaptive responses to superoxide and hydrogen peroxide, as well as the protective role of nutrient limited or stationary phase physiology will be reviewed below. An emphasis will be placed on the hydrogen peroxide response since this oxidant is generated through the elimination of superoxide from the cell by the action of superoxide dismutases; a flux of superoxide results in a hydrogen peroxide response as well (Demple, 1991). Most information regarding bacterial oxidative stress has been obtained using enteric organisms. However, more recently, the oxidative stress physiology of P. aeruginosa has been partially characterized. Similarities and differences between the enteric models and P. aeruginosa with respect to ROI defense systems will be highlighted. Superoxide Response and SoxRS Regulon When pre-treated with low doses of superoxide generating (redox cycling) drugs such as paraquat, E. coli becomes increasingly resistant to subsequent doses of superoxide generators presented at higher concentrations (Hassan and Fridovich, 1977). This adaptive resistance is made possible via the induction of ca. 40 proteins as determined by 2-dimensional gel analysis (Greenberg and Demple, 1989). At least nine of these proteins are members of the soxRS regulon of superoxide inducible (soi) genes 26 Greenberg et al., 1990; Tsaneva and Weiss, 1990). The soxRS oxidative stress regulon is controlled by two divergently transcribed genes soxR, and soxS (Wu and Weiss, 1991). The SoxR protein contains redox sensitive [2Fe-2S] centers which upon oxidation, activate this DNA binding protein, allowing it to enhance transcription of its only target gene, soxS (Ding et al., 1996; Gaudu et al., 1997; Nunoshiba et al., 1992). SoxS belongs to the AraC family of transcriptional activator proteins and induces transcription of genes/operons included in the soxRS regulon. Therefore, the SoxR protein serves as the sensor of superoxide stress and the SoxS protein transduces the signal to superoxide adaptive response genes. Several genes included in the soxRS regulon have been identified in E. coli. These include manganese-cofactored superoxide dismutase (sodA), endonuclease IV info), glucose-6-phosphate dehydrogenase (zwf), NAD(P)Hdehydrogenase {ndh), heat shock protein GroEL (groEL), and a repressor of OmpF synthesis (micF) (Farr and Kogoma, 1991; Greenberg and Demple, 1989). Regulation of Superoxide Dismutases Although all of the above mentioned genes are important to a superoxide adaptive response, superoxide dismutases (SODs) serve as a first line of defense against superoxide since these enzymes can directly scavenge superoxide from the intracellular environment as shown in Equation 7. 2 0 2‘ + 2H+ __ H2O2 + O2 (Equation 7) E. coli possesses both a manganese-cofactored superoxide dismutase (MnSOD) (Keele et al., 1970) encoded by the sodA gene and an iron-cofactored superoxide dismutase (FeSOD) (Yost and Fridovich, 1973) encoded by sodB. Carlioz and Touati (1986) found that the aerobic growth rates of E. coli single mutants lacking either SOD were equal to wild-type cells although the aerobic growth of double mutants in rich medium was severely retarded. These authors also found that mutants lacking total SOD activity were unable to grow in minimal media due to the inactivation of a, (3-dihydroxyisovalerate dehydratase, a superoxide sensitive enzyme essential for leucine and isoleucine biosynthesis. SOD regulation in E. coli. SOD regulation is complex, displaying multilayer control of MnSOD and FeSOD. FeSOD is constitutively expressed in anaerobically and aerobically grown cells (Hassan and Fridovich, 1977), while MnSOD is not expressed anaerobically but is inducible upon exposure to oxygen or superoxide-generating redox cycling agents (Hassan and Fridovich, 1979). In addition to soxRS control, Tardat and Touati (1991) showed that MnSOD is also regulated by the Fur (ferric uptake regulatory) protein as well as the Arc regulatory system (aerobic respiratory control). Hassan and Sun (1992) also observed multi-layered regulation of MnSOD by monitoring sodAr.lacZ expression in several mutant backgrounds. These authors reported that under anaerobic conditions, sodA is tightly repressed by the Fur, Arc, and Fnr (fumarate nitrate reduction/regulator of anaerobic respiration) regulatory proteins, all of which are independent of SoxRS regulation. Transcription of the sodB gene, on the other hand, is positively regulated by the Fur protein and is negatively regulated by iron starvation (Neiderhofferetal., 1990). 28 SOD regulation in P. aeruginosa. Like E. coli, P. aeruginosa possesses both an iron (Steinman, 1985) and manganese (Hassett et al, 1992) cofactored superoxide dismutase. Both P. aeruginosa SODs show high homology (50-67% deduced amino acid sequence similarity) to their E. coli counterparts (Hassett et al., 1993). Similar to SOD expression patterns in E. coli, P. aeruginosa FeSOD is expressed throughout the aerobic growth cycle while MnSOD is tightly repressed. Hassett et al. (1996) found that P. aeruginosa strains that expressed mutant Fur proteins, also possessed increased levels of MnS OD, suggesting that Fur has a repressive function in P. aeruginosa similar to that in E. coli. Interestingly, the same fur mutants also produce increased alginate levels (Hassett et al., 1997). The addition of iron chelators such as 2,2’-dipyridyl to cultures of P. aeruginosa increases the expression of MnSOD which further supports the regulatory role of the Fur protein in P. aeruginosa MnSOD expression. Hassett et al. (1997) latter reported that sodA is included in a four gene operon that contained two Fur binding sites immediately upstream of the transcriptional start. Sequence analysis of the region upstream of the sodB open reading frame suggests that this gene is regulated by a promoter of the a 70 type (Hassett et al., 1993). As of yet, a superoxide sensing, transcriptional activation system similar to the soxRS system in E. coli has not been characterized in P. aeruginosa. Recent studies conducted by Hassett et al., (submitted) have shown that quorum sensing (for review see Fuqua et al., 1996) affects MnSOD expression in P. aeruginosa. These authors observed that P. aeruginosa mutants that are unable to synthesize the autoinducer N-Q-xoxdedecanoyl)-L-homoserine lactone (a.k.a. Pseudomonas autoindercer-1; PAI-1) were also unable to express MnSOD in stationary phase cells. 29 Growth of these mutants in the presence of externally added PAI-I restored MnSOD activity to near wild-type levels. As expected, quorum sensing mutants were also more susceptible than the wild type strain to the superoxide generating redox cycling compound paraquat. Hydrogen Peroxide Response Enteric bacteria are able to sense and respond to potentially lethal concentrations of peroxide by inducing several genes that have products of some protective function. For example, S. typhimurium treated with low doses (60 pM) of hydrogen peroxide for a period of one hour induces the synthesis of 30 proteins (Christman et al., 1985; Morgan et al., 1986) Of these, 12 (early proteins) are maximally induced during the first 30 minutes of exposure while the remaining 18 (late proteins) continue to be synthesized at an elevated rate for the remainder of the dosing period. The induction of these genes renders S. typhimurium resistant to subsequent doses of hydrogen peroxide at concentrations of up to I OmM. A similar adaptive response is elicited by E. coli as determined by 2-dimensional protein gel analysis (Farr and Kogoma, 1991; VanBogelen, 1987). Similar results were obtained in a study using randomly inserted Xp/acMu53 promoter probes showing sensitivity to hydrogen peroxide (Schellhom and Stones, 1992). Similar to the soxRS system, a peroxide sensing system has been well characterized in E. coli and S. typhimurium and is described below. OxyR Regulation Similar to superoxide adaptive responses, many H2O2 inducible genes and the regulatory circuitry that governs their expression remain to he identified. A major 30 regulator of peroxide stress in S. typhimurium and E. coli was identified when Christman et al. (1985) subjected S. typhimurium to chemical mutagenesis and selected mutants that demonstrated increased resistance to hydrogen peroxide without prior exposure to the oxidant. Two-dimensional protein gel analysis revealed that nine of the twelve ‘early’ proteins were constitutively overexpressed in a mutant strain designated oxyRl. A Tn5 insertion mutant that expressed the same phenotype as oxyRl allowed identification of the regulatory component controlling the overexpressed genes. Designated oxyR, the protein encoded by this gene was determined to be a positive transcriptional activator of a regulon which included hydrogen peroxide stress inducible genes as well as three heat shock proteins. Both the S. typhimurium (Christman et al., 1989) and E. coli (Tao et al., 1989) oxyR homologues were later identified as members of a large class of bacterial regulatory proteins known as the LysR family of positive transcriptional activators. OxyR homologues have also been identified in Mycobacterium spp. (Deretic et al., 1995) and Xanthomonas campestris (Mongkolsuk et al., 1998). The mechanism allowing transcriptional activation of hydrogen peroxide inducible genes OxyR has been elucidated (Kullik et al., 1995). When a cysteine residue at position 199 becomes oxidized by H2O2, OxyR is conformationally changed such that it will now bind to its target promoter sequences. Toledano et al. (1994) employed a series of synthetic binding sequences to determine that the oxidized OxyR protein recognizes a binding motif comprised of four ATAGnt elements spaced at 10 bp intervals along the DNA helix. Oxidized OxyR, once bound to its target sequence, allows contact of the target nucleotide sequence with the a subunit of RNA polymerase, which then initiates transcription of the affected gene (Tao et al., 1995). In contrast, reduced OxyR 31 on the other hand, binds to only two ATAGnt elements which enables it to act as a repressor by blocking transcription of the target gene. Like other LysR transcriptional regulators, OxyR autoregulates its own expression during normal growth by repressing oxyR (Christman et ah, 198.9; Tao et ah, 1991). OxyR regulates the synthesis of several genes that participate in the protection against oxidative stress as well as the maintenance of homeostatic, intracellular H2O2 concentrations (Gonzalez-Flecha and Demple, 1997) Initially, JcatG (encoding HPI catalase), ahpCF (encoding an alkyl hydroperoxide reductase), dps (encoding a nonspecific DNA-binding protein), gorA (encoding glutathione reductase), and oxyS (encoding a small untranslated, regulatory RNA) were identified as being under OxyR control (Altuvia et al., 1994; Christman et ah, 1985; Storz et ah, 1990). Mukhopadhyay and Schellhom (1997) tested previously constructed libraries of hydrogen peroxidesensitive (hps) XpZacMuS3 promoter probes (Schellhom and Stones, 1992) to screen for genes controlled by OxyR. By transducing the library into OxyRir and AoxyR E. coli backgrounds and comparing IacZ reporter activities, these authors reported that 8 of the hps phenotypes were independent of OxyR, 10 alleles required OxyR for activation, and 6 fusions were always repressed in the presence of oxidized or reduced OxyR. Using sequence information obtained from the reporter junctions, several previously unknown genes activated by OxyR were identified, including rcsC, which encodes a sensorregulator protein of capsular polysaccharide synthesis genes. Regulation of Catalase in E. coli With a role similar to superoxide dismutase, catalase (a.k.a. hydrpperoxidase) is 32 an essential component of a hydrogen peroxide adaptive response (Schellhorn, 1995). Catalases are heme containing enzymes that catalyze the disproportionation of hydrogen peroxide into the products oxygen and water as shown by Equation 8. 2H2O2 — catalase ^ 2H2O + O2 (Equation 8) The importance of catalase in the protection of bacteria from H2O2 has been repeatedly demonstrated with the use of catalase mutants (Ma and Eaton, 1992; Brown et ah, 1995; Rocha et ah, 1996) and with regulatory mutants unable to synthesize wild type levels of catalase (Christman et ah 1985; Seymour et ah 1996). The best model for the regulation of catalases has been constructed from work done on E. coli, which expresses two distinct inducible catalases termed HPI and HPII (Claiborne et ah, 1979; Hassan and Fridovich, 1978). HPI, encoded by katG, is a tetramer with subunits of 80 kDa in molecular mass. The HPII holoenzyme is a hexamer with subunits of 93 kDa. HPII is also able to scavenge peroxide at a much high rate with a Vmax of 8924 pmol min'1mg ' enzyme compared to 1496 pmol min ' mg"' enzyme for HPh Unlike HPII, HPI possesses a peroxidase activity in addition to its catalase activity that catalyses the reduction of hydrogen peroxide by oxidizing an intracellular reductant such as NAD(P)H (Loewen et ah, 1985). Regulation of katG in E. coli. During exponential growth, HPI composes only a small fraction of the total catalase activity expressed by E. coli', however, this catalase is the most important determinant for hydrogen peroxide resistance (Schellhorn, 1995). HPI has been shown to have several protective functions including recovery of proton 33 Exponential Phase Oxidative Stress I H 2O 2 OxyR (reduced/inactive) OxyR (oxidized/active) 9 other proteins katG I Figure 2-1. Induction of HPI during exponential growth by the OxyR system (Adapted from Schellhorn, 1995). 34 motive force following oxidative attack (Farr et al., 1988). As mentioned above, HPI is a member of the OxyR regulon and is therefore, highly inducible upon exposure to sublethal levels of hydrogen peroxide (Christman et al., 1985) (See Fig. 2-1). Transcription of katG has been shown to increase 100-fold when oxidized OxyR protein is present (Storz et al. 1990). This inductive capability makes HPI expression a marker enzyme for the hydrogen peroxide adaptive response in E. coli. The rapid induction of HPI due to exposure to hydrogen peroxide has been characterized with exponentially growing cells; however, little is known about the role of OxyR activation in nutrient limited cultures. In the absence of hydrogen peroxide, HPI is also constitutively expressed at low levels during normal aerobic and anaerobic growth. HPI activities have also been shown to dramatically increase when cultures of A. coli reach stationary phase. This induction in HPI activity during nutrient limiting conditions is controlled by another layer of catalase regulation in E. coli which is also the primary regulatory mechanism responsible for HPII synthesis (Ivanova et al., 1994) (See Fig. 2-2). Regulation of katE in E. coli. HPII, encoded by katE, constitutes the largest fraction of catalase activity in aerobically grown E. coli and it is well known that catalase levels increase 10-20 fold as cultures of E. coli enter stationary phase. HPII is not inducible by hydrogen peroxide and transcription of this catalase is essentially the same in a AoxyR mutant as it is in wild type cells suggesting that katE regulation is independent of OxyR (Schellhom and Hassan, 1988). By screening E. coli TnfO insertion mutants that displayed a constitutive catalase activity phenotype, Loewen and Triggs, (1984) were able to identify a regulatory element that was responsible for increased stationary phase 35 Stationary Phase Starvation ------ ► ribosomal stalling ReIA ATP + GTP PpGpp + AMP, Pi stringent induction of biosynthetic operons homoserine -< RspA homoserine lactone I induction of rpoS weak acids 30 other proteins katG i i HPII HPI Figure 2-2. Model of catalase regulation in stationary phase E. coli. (Adapted from Schellhom, 1995) 36 catalase production. The regulatory element, termed KatF, was latter identified as an alternative RNA polymerase sigma factor now commonly referred to as a 38 or RpoS (encoded by the rpoS gene) (see Loewen and Hengge-Aronis, 1994 for review). As cells enter stationary phase, RpoS increases the synthesis of more that 30 proteins in E. coli including HPII, exonuclease III, glycogen synthetase, trehalose synthesis, acid phosphatase, and bacterial virulence factors (Loewen and Hengge-Aronis, 1994). The regulation of rpoS is complex and RpoS itself is subject to transcriptional, translational, and post-translational regulation. RpoS expression has been shown to be influenced by stringent response inducing metabolites such as guanosine tetraphosphate (ppGpp) (Gentry et al., 1993) as well as cell density dependent, homoserine lactone mediated signaling pathways (Huisman and Kolter, 1994). Regulation of Catalase in P. aeruginosa Compared to E. coli, relatively little is known about the hydrogen peroxide adaptive response and regulation of catalase in P. aeruginosa. The work of Hassett and co-workers (Brown et al., 1995; Hassett et al., 1992; Hassett et al., 1996) has uncovered many similarities in the overall peroxide stress response and catalase expression patterns in P. aeruginosa although evidence also suggests likely differences. In defense against hydrogen peroxide, P. aeruginosa expresses two major catalases designated KatA and KatB (Hassett et al., 1992). Under certain conditions, a third catalase, KatC, may also be ' expressed at low levels (Fredricks, unpublished observations). Similar to HPII in E. coli, KatA constitutes the major fraction of total catalase activity in P. aeruginosa and is expressed during the entire aerobic growth cycle. Also like HPII, KatA expression 37 increases markedly at the onset of stationary phase. P. aeruginosa possesses an rpoS homologue which, as in E. coli, directs the synthesis of many stationary phase inducible genes (Fujita et al., 1994; Tanaka and Takahashi, 1994) Although direct evidence has not been provided thus far, KatA is likely under RpoS control much the same as HPII synthesis is in E. coli (Hassett, 1998). Indirect evidence suggesting RpoS regulation of KatA was recently discovered by Hassett et al. (submitted) by showing that P. aeruginosa mutants unable to synthesize cell-to-cell signaling molecules, especially PAI1, express nearly 2-fold less catalase in stationary phase compared to wild-type organisms. A katAv.lacZ transcriptional fusion was used to confirm that the decrease in total catalase activity could be attributed to sub-optimal KatA expression. Since quorum sensing is known to positively influence RpoS expression in P. aeruginosa (Latifi et al., 1996), it is possible that the observed decrease in katA transcription was due to restricted Rpo S-mediated stationary phase gene expression resulting from the lack of quorum sensing ability in the mutants. Catalase activity in Rhizobium leguminosarum bv. phaseoli, a Gram-negative bacterium related to P. aeruginosa, is also affected by cell density-dependent gene regulation (Crockford et al., 1995). Iron also affects the regulation of KatA in P. aeruginosa since Fur mutants of this organism express roughly 2-fold less catalase than Fur+cells and the addition of iron chelators such as 2,2’dipyridyl severely decrease total catalase activities (Hassett et al., 1996). It is not known, however, whether iron limitation or defective Fur binding affects KatA at the transcriptional or post-translational level. P. aeruginosa KatB is typically not expressed during the aerobic growth cycle of P. aeruginosa but is highly inducible upon exposure to sub-lethal doses of hydrogen 38 peroxide (Brown et al., 1995). Although the regulation of KatB is currently unknown, P. aeruginosa must possess some system that is able to sense peroxide attack and transduce a signal to oxidative stress sensitive genes like katB. Like the E. coli katG loci, katB transcription increases in response to peroxide. Unlike HPI, however, KatB activity is virtually silent in the absence of H2O2. Again, iron availability and the Fur system likely play a role in KatB regulation since P. aeruginosa Fur mutants constitutively express KatB in the absence of inducing agents (Hassett et ah, 1996). This suggests the regulation of katB by a redox sensitive transcriptional repression system (i.e. Fur protein) rather that a transcriptional activating element like OxyR. Summary Biofilms undoubtedly affect human health and prosperity by creating chronic infections in medical situations and retarding industrial system performance. Much effort has been focused on improving methods of controlling microbial biofilms either by preventing their formation or by eliminating them with antimicrobial agents. Since most existing antimicrobial control strategies have been developed using planktonic organisms, new challenges exist in developing methods of killing highly resistant biofilms. In order to develop effective biofilm management strategies, the underlying mechanisms responsible for biofilm resistance to antimicrobial agents must be understood. Unifying hallmarks of biofilm structure and physiology such as EPS encapsulation and retarded growth rates have been implicated in biofilm resistance, but these attributes are sometimes inadequate for explaining why biofilms are less susceptible to antimicrobial agents. 39 Microorganisms are extremely ‘talented’ in their capacity to adapt to adverse environmental conditions. Since many toxic compounds (or at least structural analogs) used to control biofilms are found in nature, bacteria are likely to have evolved mechanisms to effectively deal with them. Toxic oxygen derivatives such as hydrogen peroxide have existed through much of biological evolution and therefore microorganisms possess effective physiological weapons for their defense. Ironically, toxic oxygen derivatives are often applied in large quantities to control biofilms. Much work has focused on elucidating oxygen chemistry in living systems as well as the microbial genetics and physiology that are associated with oxygen respiration and oxidative stress. It is well known that microorganisms can sense and adapt to oxidizing agents but the role of these adaptive responses in protecting biofilms from oxidizing biocides is poorly understood. Determining the importance of oxidative stress physiology in biofilm bacteria will broaden our understanding of biofilms as whole and lead to more effective strategies for controlling biofilms. 40 References Altuvia, S., M. Almiron, G. Huisman, R. Kolter, and G. Storz. 1994, The dps promoter is activated by OxyR during growth and by IHF and crs in stationary phase. Mol. Microbiol. 13:265-272. Anwar, H., M. K. Dasgupta, and J. W. Costerton. 1990. Testing the susceptibility of bacteria in biofilms to antibacterial agents. Antimicrob. Agents Chemother. 34:20432046. Ascenzi, J. M. 1996. Handbook of Disinfectants and Antiseptics. Marcel Dekker, Inc. New York, New York. Babior, B. M. 1988. The respiratory burst oxidase. Basic Life Sci. 49:815-821. Berman, D., E. W. Rice, and J. C. Hoff. 1988 . Inactivation of particle-associated coliforms by chlorine and monochloramine. AppL Environ. Microbiol. 54:507-512. Brown, M. L., H. C. Aldrich, and J. J. Gauthier. 1995. Relationship between glycocalyx and povidone-iodine resistance in Pseudomonas aeruginosa (ATCC 27853) biofilms. AppL Environ. Microbiol. 61:187-193. Brown, M. R. W., P. J. Collier, and P. Gilbert. 1990. Influence of growth rate on susceptibility to antimicrobial agents: modification of the cell envelope and batch and continuous culture studies. Antimicrob. Agents Chemother. 34:1623-1628. Brown, M. L., and J. J. Gauthier. 1993. Cell density and growth phase as factors in the resistance of a biofilm of Pseudomonas aeruginosa (ATCC 27853) to iodine. AppL Environ. Microbiol. 59:2320-2322. Brown, M. R. W., and P. Gilbert. 1993. Sensitivity of biofilm to antimicrobial agents. J. AppL BacterioL Symp. SuppL 74:87S-97S Brown, S. M., M. L. Howell, M. L. Vasil, A. J. Anderson, and D. J. Hassett. 1995. Cloning and characterization of the katB gene of Pseudomonas aeruginosa encoding a hydrogen peroxide-inducible catalase: purification of KatB, cellular localization, and demonstration that it is essential for optimal resistance to hydrogen peroxide. J. BacterioL 177:6536-6544. Carlioz, A., and D. Touati. 1986. Isolation of superoxide dismutase mutants in Escherichia coir, is superoxide dismutase necessary for aerobic life? EMB0. 5:623-630. 41 Candelas, L. P., M. R. L. Stratford, and P. Wardman. 1994. Formation of hydroxyl radicals on reaction of hypochlorous acid with ferrocyanide, a model Iron(II) complex. Free Radical Res. 20:241-249. Chapman, J. S., M. A. Diehl, and R. C. Lyman. 1993. Biocide susceptibility and intracellular glutathione in Escherichia coli. J. Ind. Microbiol. 12:403-407. Chesney, J. A., J. W. Eaton, and J. R. Mahoney, Jr. 1996. Bacterial, glutathione: a sacrificial defense against chlorine compounds. J. Bacteriol. 178:2131-2135. Chen, X., and P. S. Stewart. 1996. Chlorine penetration into artificial biofilm is limited by a reaction-diffusion interaction. Environ. Sci. Technoh 30:2078-2083. Christensen, B. E., H. N. Tronnes, K. Vollan, O. Smidsrod, and R. Bakke. 1990. Biofilm removal by low concentrations of hydrogen peroxide. Biofouling 2:165-175. Christman, M. F., R. W. Morgan, F. S. Jacobson, and B. N. Ames. 1985. Positive control of a regulon for defenses against oxidative stress and some heat-shock proteins in Salmonella typhimurium. Cell. 41:753-762. Christman, M. F., G. Storz, and B. N. Ames. 1989. OxyR, a positive regulator of hydrogen peroxide-inducible genes in Escherichia coli and Salmonella typhimurium, is homologous to a family of bacterial regulatory proteins. Proc. Natl. Acad. Sci- 86:34843488. Claiborne, A., D. P. Malinowski, and I. Fridovich. 1979. Purification and characterization of hydroperoxidase II of Escherichia coli B. J. Biol. Chem. 254:1166411668. Costerton, J. W., R. T. Irvin, and K.-J. Cheng. 1981. The bacterial glycocalyx in nature and disease. Annu. Rev. Microbiol. 35:299-324. Costerton, J. W., Z. Lewandowski, D. E. Caldwell, D. R. Korber, and H. M. LappinScott. 1995. Microbial biofilms. Annu. Rev. Microbiol. 49:711-745. Crockford, A. J., G. A. Davis, and H. D. Williams. 1995. Evidence for cell-densitydependent regulation of catalase activity in Rhizobium leguminosarum bv. phaseoli. Microbiology. 141:843-851. Davies D. G., A. M. Chakrabarty, and G. G. Geesey. 1993. Exopolysaccharide production in biofilms: substratum activation of alginate gene expression by Pseudomonas aeruginosa. Apph Environ. Microbiol. 59:1181-1186. ) 42 Davies D. G., and G. G. Geesey. 1995. Regulation of the alginate biosynthesis gene algC in Pseudomonas aeruginosa during biofilm development in continuous culture. Appl. Environ. Microbiol. 61:860-867. de Beer, D., R. Srinivasan, and P. S. Stewart. 1994. Direct measurement of chlorine penetration into biofilms during disinfection. Appl. Environ. Microbiol. 60:4339-4344. Demple B. 1991. Regulation of bacterial oxidative stress genes. Annu. Rev. Genet. 25:315-337. Deretic, V., W. Philipp, S. Dhandayuthapani, M. H. Mudd, R. Curcic, T. Garbe, B. Heym, L. E. Via, and S. T. Cole. 1995. Mycobacterium tuberculosis is a natural mutant with an inactivated oxidative-stress regulatory gene: implications for sensitivity to isoniazid. Mol. Microbiol. 17:889-900. Ding, H., E. Hidalgo, and B. Demple. 1996. The redox state of the [2Fe-2S] clusters in the SoxR protein regulates its activity as a transcription factor. J. Biol. Chem. 271:3317333175. Dukan, S., S. Dadon, D. R. Smulski, and S. Belkin. 1996. Hypochlorous acid activates the heat shock and soxRS systems of Escherichia coli. Appl. Environ. Microbiol. 62:4003-4008. Dukan, S., and D. Touati. 1996. Hypochlorous acid stress m. Escherichia coir. resistance, DNA damage, and comparison with hydrogen peroxide stress. J. Bacteriol. 178:6145-6150. Embleton, J. V., H. N. Newman, and M. Wilson. 1998. Influence of growth mode and sucrose on susceptibility of streptococcus sanguis to amine fluorides and amine fluorideinorganic fluoride combinations. Appl. Environ. Microbiol. 64:3503-3506. Evans, E., M. R. Brown, and P. Gilbert. 1994. Iron chelator, exopolysaccharide and protease production in Staphylococcus epidermidis: a comparative study of the effects of specific growth rate in biofilm and planktonic culture. Microbiology. 140:153-157. Fujita, M., K. Tanaka, H. Takahashi, and A. Amemura. 1994. Transcription of the principal sigma-factor genes, rpoD and rpoS, in Pseudomonas aeruginosa is controlled according to the growth phase. Mol. Microbiol. 13:1071-1077. F a rr S. B., and T. Kogoma. 1991. Oxidative stress responses in Escherichia coli and Salmonella typhimurium. Microbiol. Rev. 55:561-585. F arr S. B., D. Touati, and T. Kogoma. 1988. Effects of oxygen stress on membrane functions in Escherichia coli: role of HPI catalase. J. Bacteriol. 170:1837-1842. 43 Fridovich, I. 1978. The biology of oxygen radicals. Science 201:875-880. Fuqua, W. C., S. C. Winans, and E. P. Greenberg. 1994. Quorum sensing in bacteria: the LuxR-LuxI family of cell density-responsive transcriptional regulators. J. Bacteriol. 176:269-275. Gaudu, P., N. Noon, and B. Weiss. 1997. Regulation of the soxRS oxidative stress regulon: reversible oxidation of the Re-S centers of SoxR in vivo.. J. Biol. Chem. 272:5082-5086. Gentry, D. R., V. J. Hernandez, L. H. Nuygen, D. B. Jensen, and M. Cashel. 1993. Synthesis of the stationary phase sigma factor a s is positively regulated by ppGpp. J. Bacteriol. 175:7982-7989. Giwercman, B., E. T. Jensen, N. Hoiby, A. Kharazmi, and J. W. Costerton. 1991. Induction of the (3-lactamase production in Pseudomonas aeruginosa biofilm. Antimicrob. Agents Chemother. 35:1008-1010. Greenberg, J. T., and B. Demple. 1989. A global response induced in Escherichia coli by redox-cycling agents overlaps with that induced by peroxide stress. J. Bacteriol. 171:3933-3939. Greenberg J. T., P. A. Monach, J. H. Chou, P. D. Josephy, and B. Demple. 1990. Positive control of a global antioxidant defense regulon activated by superoxide­ generating agents in Escherichia coli. Proc. Natl. Acad. Sci. 87:6181-6185. Gristina, A. G., R. A. Jennings, P. T. Naylor, Q. N. Myrvik, and L. X. Webb. 1989. comparative in vitro antibiotic resistance of surface-colonizing coagulase-negative staphylococci. Antimicrob. Agents Chemother. 33:813-816. Gonzalez-Flecha, B., and B. Demple. 1997. Homeostatic regulation of intracellular hydrogen peroxide concentration in aerobically growing Escherichia coli. J. Bacteriol. 179:382-388. Gonzalez-Flecha, B., and B. Demple. 1995. Metabolic sources of hydrogen peroxide in aerobically growing Escherichia coli. J. Biol. Chem. 270:13681-13687. Hassan, H. M., and I. Fridovich. 1977. Regulation of the synthesis of superoxide dismutase in Escherichia coil. J. Biol. Chem. 252:7667-7672.. Hassan, H. M., and I. Fridovich. 1978. Regulation of the synthesis of catalase and peroxidase in Escherichia coli. J. Biol. Chem. 253:6445-6450. 44 Hassan, H. M., and H. C. Sun. 1992. Regulatory roles of Fur, Fur, and Arc in expression of manganese-containing superoxide dismutase in Escherichia coli. Proc. Natl. Acad. Sci. 89:3217-3221. Hassett, D. J. 1998. Personal communication. Hassett, D. J., L. Charniga, K. Bean, B. E. Ohman, and M. S. Cohen. 1992. Response of Pseudomonas aeruginosa to pyocyanin: mechanisms of resistance, antioxidant defenses, and demonstration of a manganese-cofactored superoxide dismutase. Infect. Immun. 60:328-336. Hassett, D. J., M. L. Howell, U. A. Ochsner, M. L. Vasil, Z. Johnson, and G. E. Dean. 1997. An operon containing/wmC and sodA encoding lumarase C and manganese superoxide dismutase is controlled by the ferric uptake regulator in Pseudomonas aeruginosa: fur mutants produce elevated alginate levels. J. Bacteriol. 179:1452-1459. Hassett, D. J., J.-F. Ma, J. G. Elkins, T. R. McDermott, U. A. Ochsner, S. E. H. West, C.-T. Huang, J. Fredericks, S. Burnett, P. S. Stewart, G. McFeters, L. Passador, and B. H. Iglewski. 1999. Quorum sensing in Pseudomonas aeruginosa controls catalase and superoxide dismutase genes and mediates biofilm susceptibility to hydrogen peroxide. J. Bacteriol. Submitted. Hassett, D. J., P. A. Sokol, M. L. Howell, J.-F. Ma, H. T. Schweizer, U. Ochsner, and M. L. Vasil. 1996. Ferric uptake regulator (Fur) mutants of Pseudomonas aeruginosa demonstrate defective siderophore-mediated iron uptake, altered aerobic growth, and decreased superoxide dismutase and catalase activities. J. Bacteriol. 178:3996-4003. Hassett, D. J., W. A. Woodruff, D. J. Wozniak, M. L. Vasil, M. S. Cohen, and D. E. Ohman. 1993. Cloning and characterization of the Pseudomonas aeruginosa sodA and sodB genes encoding manganese- and iron-cofactored superoxide dismutase: demonstration of increased manganese superoxide dismutase activity in alginateproducing bacteria. J. Bacteriol. 175:7658-7665. Huang, C.-T., K. D. Xu, G. A. McFeters, and P. A. Stewart. 1998. Spatial patterns of alkaline phosphatase expression within bacterial colonies and biofilm in response to phosphate starvation. AppL Environ. Microbiol. 64:1526-1531. Huang, C.-T., F. P. Yu, G. A. McFeters, and P. S. Stewart. 1995. Nonuniform spatial patterns of respiratory activity within biofilms during disinfection. AppL Environ. Microbiol. 61:2252-2256. Huisman, G. W., and R. Kolter. 1994. Sensing starvation: a homoserine lactonedependent signaling pathway m. Escherichia coli. Science. 265:537-539. 45 Imlay, J. A., S. M. Chin, and S. Linn. 1988. Toxic DNA damage by hydrogen peroxide through the Fenton reaction in vivo and in vitro. Science. 240:640-642. Imlay, J. A., and S. Linn. 1988. DNA damage and oxygen radical toxicity. Science. 240:1302-13089. Imlay, J. A., and I. Fridovich. 1991. Assay of metabolic superoxide production in Escherichia coli. J. Biol. Chem. 266:6957-6965. Ivanova, A., C. Miller, G. Glinsky, and A. Eisenstark. 1994. Role of rpoS (katF) in oxyR-independent regulation of hydroperoxidase I in Escherichia coli. Mol. Microbiol. 12:571-578. Keele, B. B., Jr., J. M. McCord, and I. Fridovich. 1970. Superoxide dismutase from Escherichia coli B. A new manganese containing enzyme. J. Biol. Chem. 245:61766181. Kinniment, S. L., and J. W. T. Wimpenny. 1992. Measurements of the distribution of adenylate concentrations and adenylate energy charge across Pseudomonas aeruginosa biofilms. Appl. Environ. Microbiol. 58:1629-1635. Kjelleberg, S. 1993. Starvation in Bacteria. Plenum Press. New York, New York. Kullik, I., J. Stevens, M. B. Toledano, and G. Storz. 1995. Mutational analysis of the redox-sensitive transcriptional regulator OxyR: regions important for DNA binding and multimerization. J. Bacteriol. 177:1285-1291. Kullik, I., M. B. Toledano, L. A. Tartaglia, and G. Storz. 1995. Mutational analysis of the redox-sensitive transcriptional regulator OxyR: regions important for oxidation and transcriptional activation. J. Bacteriol. 177:1275-1284. Kuo, J.-F., S. O. Smith. 1996. Disinfection. Wat. Environ. Res. 68:503-510. Latifi, A., M. Foglino, K. Tanaka, P. Williams, and A. LazdunskL 1996. A hierarchical quorum-sensing cascade in Pseudomonas aeruginosa links the transcriptional activators LasR and RhlR (VsmR) to expression of the stationary-phase sigma factor RpoS. Mol. Microbiol. 21:1137-1146. Lechevallier M. W., C. D. Cawthon, and R. G. Lee. 1988. Inactivation of biofilm bacteria. Appl. Environ. Microbiol. 54:2492-2499. Loewen, P. C., and R. Hengge-Aronis. 1994. The role of the sigma factor Gs (KatF) in bacterial global regulation. Annu. Rev. Microbiol. 48:53-80. 46 Loewen, J. C., and B. L. Triggs. 1984. Genetic mapping of katF, a locus that the katE affects the synthesis of a second catalase species in Escherichia coli. J. BacterioL 160:668-675. Lund, V., and K. Ormerod. 1995. The influence of disinfection processes on biofilm formation in water distribution systems. Wat. Res. 29:1013-1021. Ma, M., and J. W. Eaton. 1992. Multicellular oxidant defense in unicellular organisms. Proc. Natl. Acad. Sci. 89:7924-7928. Mongkolsuk, S., R. Sukchawalit, S. Loprasert, W. Praituan, and A. Upaichit 1998. Construction and physiological analysis of Xanthomonas mutant to examine the role of the oxyR gene in oxidant-induced protection against peroxide killing. J. Bacteriol. 180:3988-3991. Morgan, R. W., M. F. Christman, F. S. Jacobson, G. Storz, and B. N. Ames. 1986. Hydrogen peroxide-inducible proteins in Salmonella typhimurium overlap with heat shock and other stress proteins. Proc. Natl. Acad. Sci. 83:8059-8063. ■ Mukhopadhyay, S., and H. B. ScheIIhorn. 1997. Identification and characterization of hydrogen peroxide-sensitive mutants of Escherichia coli: genes that require OxyR for expression. J. Bacteriol. 179:330-338. Niederhoffer, E. C., C. M. Naranjo, K. L. Bradley, and J. A. Fee. 1990. Control of Escherichia coli superoxide dismutase (sodA and sodB) genes by the ferric uptake regulation (fur) locus. J. Bacteriol. 172:1930-1938. Nichols, W. W., M. J. Evans, M. P. E. Slack, and H. L. Walmsley. 1989. The penetration of antibiotics into aggregates of mucoid and non-mucoid Pseudomonas aeruginosa. J. Gen. Microbiol. 135:1291-1303. Nunoshiba, T., E. Hidalgo, C. F. A. Cuevas, and B. Bemple. 1992. Two-stage control of an oxidative stress regulon: the Escherichia coli SoxR protein triggers redox-inducible expression of the soxS regulatory gene. J. Bacteriol. 174:6054-6060. Rocha, E. R., T. Selby, J. P. Coleman, and C. J. Smith. 1996. Oxidative stress response in an anaerobe, Bacteriodes fragilis: a role for catalase in protection against hydrogen peroxide. 178:6895-6903. Rosner, J. L. 1993. Susceptibilities of oxyR regulon mutants of Escherichia coli and Salmonella typhimurium to isoniazid. Antimicrob. Agents. Chemother. 37:2251-2253. Sanderson, S. S., and P. S. Stewart. 1997. Evidence of bacterial adaptation to monochloramine in Pseudomonas aeruginosa biofilms and evaluation of biocide action model. Biotechnol. Bioeng. 56:201-209. 47 Schellhorn, H. E. 1995. Regulation of hydroperoxidase (catalase) expression in Escherichia coli. FEMS Microbiol. Lett. 131:113-119. Schellhorn, H. E., and H. M. Hassan. 1988. Transcriptional regulation of katE in Escherichia coli K-12. J. Bacteriol. 170:4286-4292. Schellhorn, H. E., and V. L. Stones. 1992. Regulation of katF and katE in Escherichia coli K-12 by weak acids. J. Bacteriol. 174:4769-4776. Seymour, R. L., P. V. Mishra, M. A. Khan, and M. P. Spector. 1996. Essential roles of core starvation-stress response loci in carbon-starvation-inducible cross-resistance and hydrogen peroxide-inducible adaptive resistance to oxidative challenge in Salmonella typhimurium. Mol. Microbiol. 20:497-505. Stewart, P. S. 1996. Theoretical aspects of antibiotic diffusion into microbial biofilms. Antimicrob. Agents Chemother. 40:2517-2522. Storz, G., L. A. Tartaglia, and B. N. Ames. 1990. Transcriptional regulator of Oxidative stress-inducible genes: direct activation by oxidation. Science. 248:189-194. Steinman, H. M. 1985. Bacteriocuprein superoxide dismutases in Pseudomonads. J. Bacteriol. 162:1255-1260. Tamarit, J., E. Cabiscol, and J. Ros. 1998. Identification of the major oxidatively damaged proteins in Escherichia coli cells exposed to oxidative stress. J. Biol. Chem. 273:3027-3032. Tanaka, K., and H. Takahashi. 1994. Cloning, analysis, and expression of an rpoS homologue gene from. Pseudomonas aeruginosa PAOI. Gene. 150:81-85. Tao, K., K. Makino, S. Yonei, A. Nakata, and H. Shinahawa. 1989. Molecular cloning and nucleotide sequencing of oxyR, the positive regulatory gene of a regulon for an adaptive response to oxidative stress in Escherichia coli: homologies between OxyR protein and a family of bacterial activator proteins. Mol. Gen. Genet. 218:371-376. Tao, K., K. Makino, S. Yonei, A. Nakata, and H. Shinahawa. 1991. Purification and characterization of the Escherichia coli OxyR protein, the positive regulator for a hydrogen peroxide-inducible regulon. J. Biochem. 109:262-266. Tao, K., C. Zon, N. Fujita, and A. Ishihama. 1995. Mapping of the OxyR protein contact site in the c-terminal region of RNA polymerase a subunit. J. Bacteriol. 177:6740-6744. 48 Toledano, M. B., I. Kullik, F. Trinh, P. T. Baird, T. B. Schneider, and G. Storz. 1994. Redox-dependent shift of OxyR-DNA contacts along an extended DNA-binding site: a mechanism for differential promoter selection. Cell. 78:897-909. Tsaneva, L. R., and B. Weiss. 1990. soxR, a locus governing a superoxide response regulon'm Escherichia coli K-12. J. Bacteriol. 170:4415-4419. VanBogelen, R. A., P. M. Kelley, and F. C. Neidhardt. 1987. Differential induction of heat shock, SOS, and oxidative stress regulons and accumulation of nucleotides in Escherichia coli. J. Bacteriol. 169:26-32. Videla H. A., M. R. Viera, P. S. Guiamet, and J. C. S. Alais. 1995. Using ozone to control biofilms. Materials Performance. 124:40-44. ■ Williams, I., W. A. Venables, D. Lloyd, F. Paul, and I. Critchley. 1997. The effects of adherence to silicone surfaces on antibiotic susceptibility in Staphylococcus aureus. Microbiology. 143:2407-2413. Wu, J., and B. Weiss. 1991. Two divergently transcribed genes, soxR and soxS, control a superoxide response regulon of Escherichia coli. J. Bacteriol. 173:2864-2871. Xu, X., P. S. Stewart, and X. Chen. 1996. Transport limitation of chlorine disinfection of Pseudomonas aeruginosa entrapped in alginate beads. Biotechnol. Bioeng. 49:93-100. Xu, K. D., P. S. Stewart, F. Xia, C.-T. Huang, and G. A. McFeters. 1998. Physiological heterogeneity in Pseudomonas aeruginosa biofilm is determined by oxygen availability. AppL Environ. Microbiol. 64:4035-4039. Yost, F. J., Jr., and I. Fridovich. 1973. An iron-containing superoxide dismutase from Escherichia coli. J. Biol. Chem. 248:4905-4908. 49 CHAPTER 3 Pseudomonas aeruginosa BIOFILM RESISTANCE TO HYDROGEN PEROXIDE: PROTECTIVE ROLE OF CATALASE Introduction Bacterial biofilms profoundly affect industrial systems by promoting material fouling and loss of ‘pump and pipe’ system efficiency. Biofilms also impact human health by causing persistent infections stemming from bacterial accumulations on tooth surfaces and medical implants. Biofilm formation, especially in Gram-negative bacteria, is thought to be an effective survival strategy for bacteria against environmental challenges such as desiccation (Costerton et ah, 1981) or nutrient limitation (Ostling et ah, 1 993). The importance of biofilm formation to the survival of microbial populations is best demonstrated by the tremendous resistance biofilms exhibit against antimicrobial agents (Ashby et ah, 1994; Brown and Gilbert, 1993; LeChevallier et ah, 1988). Biofilm resistance to antimicrobials is much greater than planktonic organisms, and it is this innate recalcitrance to a broad spectrum of bactericidal compounds that makes biofilm control difficult. An understanding of the primary mechanisms responsible for the reduced susceptibility of biofilms to antimicrobial agents will aid in the successful eradication of problem biofilms in the future. Biofilm structural characteristics have been assessed for their contribution to 50 biofilm resistance to antimicrobial agents. The retarded penetration of antibiotics into microbial aggregates due to exopolysaccharide (EPS) encapsulation has been implicated in biofilm resistance (Nichols et ah, 1989; Tresse and Junter, 1995). Also, reaction, and therefore neutralization, between strongly oxidizing biocides such as hypochlorous acid and biofilm constituents have been shown to provide some protection against Tcilling (Chen and Stewart, 1996). Undoubtedly, reaction and diffusional barriers to antimicrobial penetration established by the complex EPS matrices surrounding biofilm organisms provide some degree of protection. However, it has been suggested that reaction-diffusional limitation alone cannot totally account for biofilm resistance to many antimicrobial agents (Brown and Gilbert, 1993; Stewart, 1996). It has recently been shown that physiological heterogeneity exists throughout the depth of a biofilm (Huang et al., 1998), with physiological variation perhaps occurring as a function of oxygen availability (Xu et al., 1998). Physiological heterogeneity is likely to contribute to the reduced susceptibility of biofilms to antimicrobial agents, especially when growth dependent antibiotics (i.e. p-lactams) are administered. Also, portions of a biofilm experiencing nutrient limitation may be more resistant to antimicrobial agents due to differential stationary-phase gene regulation which is well known to render microorganisms more resistant to many adverse environmental conditions (Morita, 1993). In addition to reaction-diffusion limitation and low physiological activity, physiological adaptation to antimicrobial agents may also be important. Specific physiological responses to antimicrobial agents have been well characterized in bacteria, especially oxidative stress responses against bactericidal reactive oxygen intermediates (ROIs) (See Demple, 1991; Farr and Kogoma, 1991 for reviews). ROIs include the superoxide anion (0% ), hydrogen peroxide (H2O2), and the powerfully oxidizing hydroxyl radical (OH ). ROIs primarily result from the partial, univalent reduction of oxygen by electron transport components during aerobic metabolism (Gonzalez-Flecha and Demple, 1995). Bacteria may also encounter extracellular fluxes of ROIs from macrophage when attempting to colonize animal tissues or when ROIs are employed as disinfectants. Although adaptive responses against oxidative stress have been extensively studied with planktonic cells (Demple, 1991; Farr and Kogoma, 1991), comparatively little is known about biofilm responses to biocide attack. Biofilms have been shown to become increasingly resistant to repeated doses of antibiotics (Giwercman et al., 1991) or non-specific oxidizing biocides such as monochloramine (Sanderson and Stewart, 1997), but the basis for this acquired resistance is currently unknown. In this study, a previously described model system for examining biofilm resistance mechanisms (Hassett et al., 1999a) was employed to assess the significance of catalase expression in the protection of Pseudomonas aeruginosa biofilms against the oxidizing biocide H2O2. P. aeruginosa expresses several catalases, which catalyze the disproportionation OfH2O2 into oxygen and water. The primary ‘housekeeping’ catalase, KatA, is expressed constitutively throughout the growth cycle with increased expression at the onset of stationary phase (Brown et al., 1995; Hassett et al., 1992). KatB expression is repressed during aerobic growth but is highly inducible upon exposure to H2O2 (Brown et al., 1995). Another catalase, KatC, has been observed in P. aeruginosa at very low levels and the importance and regulation qf this enzyme remain currently unknown (Hassett, personal communication). In this study, the importance of catalase for the protection of P. aeruginosa biofilms was examined by comparing the wild type strain against KatA' and KatB" mutants for their susceptibility to H2O2. Spectrophotometric enzyme assays, activity stains in non-denaturing polyacrylamide gels, and reporter gene experiments were employed to characterize the oxidative stress response in biofilms and planktonic cells. Materials and Methods Bacterial Strains and Plasmids The Escherichia coli and P. aeruginosa strains as well as the plasmids used in this study are listed in Table 3-1. Media and Growth Conditions Planktonic cells were cultured in Pseudomonas Basal Mineral (PBM) medium (Atlas, 1997), which contained I g/L glucose as carbon source. Iron was added as 10 pM FeCl3, which was found in preliminary studies to yield maximum catalase activity in PBM medium (results not shown). Strains were maintained on PBM medium solidified with 1.5% Noble Agar (Difco) and containing 300 mg/L gentamicin (Sigma) when appropriate. All planktonic cultures were incubated at 25° C in a rotary shaker water bath at 300 rpm. Culture volumes did not exceed 10% of the flask volume to ensure maximum aeration. Biofilms were cultured using a drip-flow reactor system previously described by Huang et al. (1998) and included 316L stainless steel slides (1.3 x 7.6 cm) as the substratum. Briefly, 10 mis of PBM medium were added to each chamber (four chambers per reactor), followed by inoculation with I ml of stationary phase culture of the test strain grown in the same medium. The reactor was then incubated horizontally at 53 Table 3-1. List of Strains and Plasmids Used in This Study. Strain or Plasmid E. coli DHSoc Source or Reference F" ZacZDMlS recAl hsdRl 7 supE44 Liss, 1987 EilacZYA argF) thi thr leu tonA IacY supE recA Muc1" Simon et al., 1983 recA thi pro leu hsdRM' Boyer and R.-Dussoix, 1969 SMlO HBlOl P. aeruginosa PAOl PAOl(AaM) P A O l( M ) PAOI (katB\:lacZ) PAOl(ZacZ) Plasmids pRK2013 pZ1918 pMini-CTX pFLP2 pJE26 Relevant Genotype or Characteristic Wild-type PAOI, AaMxGmr PAOI, AatSxGmr PAOI, katB reporter strain PAOI, IacZcontrol strain This study This study This study This study This study Kmr, orzT helper plasmid. Figurski and Helinski, 1979 Apr, pUC19/18 with 3.2 kb IacZcassette Schweizer, 1993 Tcr, attP site specific integration vector H. P. Schweizer Apr, Sucs, broad-host-range Flp expression H. P. Schweizer vector Apr, Xbal-HindLll katB fragment in pQFSO This study forming a katBv.lacZ transcriptional fusion pJGE02 Tcr, pMini-CTX containing IacZ cassette from pZ1918 on BamlAl fragment. pJGE03 Tcr, pJGE02 with Xhol-Hindlll fragment from pJE26 containing katB promoter. This study This study Abbreviations include: Apr, ampicillin resistance; Gmr, gentamicin resistance; Kmr, kanamycin resistance; Sucs, sucrose sensitivity; Tcr, tetracycline resistance. 54 room temperature for 24 hrs to allow bacterial attachment to the substratum. Following the attachment period, the reactor was inclined 10° and a constant drip of half-strength PBM (except 200 mg/L glucose) was allowed to flow over the slides at a rate of 50 mis hr ^for 72 hrs. Biofilm thickness was determined using cryosectioning and microscopic analysis as previously described (Huang et ah, 1998). For construction and isolation of catalase IacZ reporter strains, Pseudomonas Isolation Agar (PIA) (Difco) was employed as the sole medium for P. aeruginosa strain selection and maintenance and was supplemented with carbenicillin (Cb; 300 mg/L), tetracycline (Tc; 100 mg/L), or sucrose (Sc; 5%) when appropriate. Plates were incubated at 37° C for 24-48 hrs. E. coli strains were cultured in LB (1% Triptone, 0.5% Yeast Extract, and 0.5% NaCl) broth or on LB plates solidified with 1.5% Bacto agar (Difco). For maintenance and selection of plasmids, liquid and solid LB media were supplemented with tetracycline (Tc; 15 mg/L), ampicillin (Ap; 100 mg/L) and 5-bromo-4-chloro-3-indolyl-|3-D-galactopyranoside (XGal; 40 mg/L). Liquid cultures were incubated overnight at 37° C in a rotary shaker water bath set at 300 rpm; plates were also incubated overnight at 37° C. Planktonic Disinfection P. aeruginosa wild-type (wt) strain PAOI, katA mutant, and katB mutant strains were cultured as described above for broth cultures. Stationary phase Cells were harvested and diluted to a cell density of approximately 3.0 x IO7 CFU/ihl in PBM medium that did not contain glucose. To determine initial cell viability, an aliquot of cells from each flask was serially diluted in phosphate buffered saline (PBS) (pH 7.2) that contained 0.2% sodium thiosulfate (w/v) to neutralize H2O2, then plated on R2A agar (Difco). Hydrogen peroxide (Sigma) was then added to a final concentration of 50 mM and each flask was immediately returned to shaking at 25° C. At 20 minute intervals for a period of I hour, culture aliquots were collected and serially diluted in the peroxide neutralizing PBS buffer. Appropriate dilutions were plated on duplicate R2A agar plates which were allowed to incubate overnight at 37° C. Following incubation, CPUs were enumerated and disinfection was expressed as the percentage of surviving cell's relative to the initial cell viability. Biofilm Disinfection P- aeruginosa wt, KatA", and KatB" biofilms were generated with a drip-flow reactor under the conditions described above. Following the 72 hr growth period, a biofilm sample was harvested as a zero H2O2 control and the culture medium was exchanged for PBM medium that included 50 mM H2O2. The peroxide containing medium was allowed to flow over the biofilms at a rate of 50 mls/hr for a period of I hr. At 20 minute intervals, biofilm slides were harvested and scraped into 50 mis of PB S (pH 7.2) containing 0.2% sodium thiosulfate to neutralize H2O2. Biofilm biomass was homogenized by using a PT 10/35 Brinkman homogenizer (Brinkman Instruments, Westbury, NY) for 15 sec. at setting 4. Biofilm cell viability was determined before and during disinfection by diluting biofilm homogenate and enumerating viable cells on R2A agar as described for the planktonic disinfection experiments. In addition to the viable cell count, the total number of cells harvested from each biofilm was determined using nonspecific staining and epifluorescence microscopy. Cells from appropriate dilutions were collected on black polycarbonate filters (Poretics, Livermore, CA) and stained with 4 ’-6 diamidino-2-phenylindole dihydrochloride (DAPI; Molecular Probes, Inc, Eugene, Oregon). Stained cells were visualized using an Olympus BH-2 microscope (Lake Success, NY) with ultra-violet, epiflourescent illumination. In order to eliminate potential sampling bias that may arise from detachment of biofilm cells during disinfection, biofilm disinfection is expressed as a ratio between the viable fraction of the total number of cells present in each biofilm before and after disinfection. All experiments were repeated at least three times. Preparation of Cell Free Extracts Planktonic cultures were allowed to achieve stationary phase and then subjected to a 2 mM pulse OfH2O2 every 10 min. for a period of I hr. while biofilms were treated with a constant stream of peroxide as described above. Planktonic cultures were harvested before and after the dosing protocol while biofilm samples were collected at 20 minute intervals during the I hr. disinfection period. Batch cultures and biofilm homogenates were neutralized with 0.2% sodium thiosulfate, and chloramphenicol (Cm; 300 mg/L) Was added to arrest protein synthesis. Cell free extracts and catalase enzyme assays for planktonic and biofilm cells were prepared according to Hassett et al. (1999a). Briefly, treated and control planktonic cultures and biofilm homogenates were centrifuged at 8,000 x g for 8 minutes at 4° C, washed twice with 10 mis of ice-cold 50 mM potassium phosphate buffer (PPB; pH 7.0), then resuspended in 0.5 ml of PPB and transferred to an Eppendorftube for sonication. Cell extracts were generated by 2-30 sec. pulses with a Fisher Scientific Model #550 sonicator at power setting 1.8. Sonicate was then centrifuged at 13,000 x g for 10 minutes at 4° C to remove unbroken cells and cell debris, and the supernatant was then transferred to a fresh tube. Total protein concentration was determined by the method of Bradford (1976) with bovine serum albumin fraction V as standard. Catalase Assays and Native-PAGE Specific catalase activities for planktonic and biofilm cell free extracts were determined as previously described (Beers and Sizer, 1952; Brown etal., 1995; Hassett et al., 1999a). Catalase expression was also analyzed using non-denaturing polyacrylamide gel electrophoresis according to Hassett et al. (1999a). Briefly, cell free extracts (15 pg protein/well) were electrophoresed through vertical 5% continuous polyacrylamide gels for approximately 10 hours at 10 mA constant current. Gels were stained for catalase activity as previously described (Brown et al., 1995; Wayne and Diaz, 1986). DNA Manipulation and Cloning Protocols used to manipulate nucleic acids were obtained from Sambrook et al. (1989). Enzymes were purchased from either Promega (Madison, WI) or New England Biolabs (Beverly, MA). Oligonucleotides were designed with OLIGO software and purchased from Integrated DNA Technologies Inc. (Coralville, IA). Construction of pJGE02 A promoterless IacZ cassette was excised from pZ1918 (Schweizer, 1993) on a 3.4-kb BamRl fragment which was then ligated into the unique BamRl site located in the multi-cloning region of the integration vector pMini-CTX (Schweizer, 1999). The ligation products were transformed into E. coli DH5a and transformants yielding light blue colonies, on LB plates containing 20 mg/L tetracycline and 40 mg/L X-Gal were selected for further analysis. Restriction analysis was used to screen recombinant plasmids for constructs containing the 3.4-kb IacZ cassette in the correct orientation. Construction of pJGEOB A 580 bp fragment containing the katB promoter was isolated from pJE26, a previously constructed katB::lacZ transcriptional reporter vector (Hassett et al., 1999b), on Z-XhoI-HindlIl fragment and sub-cloned into the corresponding sites of the pJGE02 polylinker. Restriction analysis of plasmids isolated from tetracycline resistant transformants revealed several constructs containing the 580-bp XhoI-HindIII fragment. Isolation of PAOI (katB:\lacZ) A novel system developed by Schweizer (1999) was employed to introduce a site directed, single-copy katBwlacZ transcriptional fusion into the P. aeruginosa PAOl genome. Briefly, the pMini-CTX suicide vector (pJGE03 backbone) integrates into the P- aeruginosa genome at the attB site via an integrase {inf) mediated recombination. Tcr PAOl colonies are selected and a second plasmid, pFLP2, is introduced. The pFLP2 construct is a broad-host-range, Flp-expression vector that excises DNA sequences included within Flp recombinase target (FRT) sites. The integrated pMini-CTX vector contains two FRT sites that flank the Tcr, int, and onT markers. Therefore, introduction of the pFLP2 construct eliminates these markers from the integrate. After the pFLP2 . plasmid is cured from the reporter strain, only the inserted gene fusion is left remaining which is also flanked by T4-derived transcriptional terminators. The pJGEOS construct was introduced into PAOl by tri-parental conjugal mating using E. coli DH5a as the donor and E. coli HB101(pRK2013) as the helper strain. Tcr colonies on PIA containing Tc 100 mg/L were selected and E. coli SMlO (pFLP2) was used to introduce the excision plasmid into the Tcr transconjugates. Several colonies showing Cbr and Tcs were selected. To cure the pFLP2 plasmid from putative reporter strains after FRT excision, cultures were grown overnight in the absence of antibiotics at 42° C and then plated on PIA containing 5% sucrose. Plasmid preps were used to verify absence of the plasmid. A control strain, PAOl(ZacZ), which contained a promoterless IacZ gene inserted at the attB site, was also constructed using the same approach. PCR primers (designed from template obtained from GenBank accession number D13407) were designed to verify integration of pJGE02 and excision of the unwanted vector sequences. PCR products were sequenced using an ABI Prism BigDye Kit (PE Applied Biosystems, Foster City, . CA) and an ABI model 310 Genetic Analyzer (PE Applied Biosystems, Foster City, CA). Reporter Gene Assays Planktonic cells and biofilms were cultured and treated with H2O2 as described above except that in addition, stationary phase planktonic cells were also treated with a single 50 mM dose of H2O2. Biofilms and planktonic cells were harvested as described above but instead of preparing cell free extracts, biofilm homogenates and planktonic cultures were washed twice in PBS (pH 7.2) and resuspended in Z-buffer (pH 7.2; Miller, • 1972). Resuspended cells were then assayed for (3-galactosidase activity by the method described by Miller (1972). Statistical Analysis When comparing sample means, a Student’s Z-test was performed to generate 60 probability values (P). Statistical significance was declared with 95% confidence (a=0.05). Results Catalase Activity in IcatA and katB mutants The oxidative stress response in the catalase mutants was characterized relative to the wild-type (wt) strain. Previous work had established that KatA is expressed constitutively in P. aeruginosa and represents the primary defense against H2O2, whereas KatB is the secondary resistance mechanism and is inducible upon exposure of the cells to H2O2 (Brown et ah, 1995; Hassett et ah, 1992). Catalase specific activity levels in wt stationary phase planktonic cultures were typically about 400 U/mg protein (Table 3-2). After repeated doses of low levels of H2O2, total catalase levels increased by roughly 50%. No catalase activity was observed in untreated stationary phase cultures of the hatA mutant, nor was it detectable in equivalent cultures exposed to H2O2. In the latter case, the lack of the constitutively expressed KatA catalase resulted in almost complete killing within minutes (see below) and thus the cells were not capable of inducing katB. Inducibility of katB was verified, however, using very small doses of H2O2 (Table 3-2). Catalase levels in uninduced katB cells were similar to wt cells, but would not increase when the mutant was stressed with H2O2. The results of these studies established the range of catalase activity to be expected with each strain and verified that the phenotype matched the mutations introduced into P. aeruginosa. Table 3-2. Planktonic Specific Catalase Activity of wt, KatA", and KatB' Before and After Treatment with H2O2. Strain PAOl Catalase Activity Before Disinfection (U/mg protein) 426 ± 6 Catalase Activity After Disinfection1 (U/mg protein) 609 ± 14 PAOl(AnM) ND2 ND PAOl(WB) 430 ± 10 432 ± 9 1 Stationary phase cultures were treated with 2 mM doses of H2O2 every 10 min, for I hr. while shaking at 25° C. 2 ND, not detectable. 62 H2O2 Sensitivity of Planktonic Cells In order to assess the importance of catalase in the protection of planktonic cells from hydrogen peroxide, each strain was subjected to a single dose of 50 mM H2O2. Reductions in cell viability were determined at 20 min. intervals for a period of I hour (see Materials and Methods). Shown in Fig. 3-1, all strains were variably sensitive to the peroxide treatment. Even with a full complement of catalase activity, wt cells displayed a logic 3.5 cfu/ml decrease in viability during the I hour sampling period. The KatB" mutant appeared to be more sensitive to peroxide than the wt (mean logic reduction of 5.0 at I hr.), particularly at the longer H2O2 exposure periods, but these differences were not statistically significant (P-0.119). Cells lacking KatA, and therefore having virtually no catalase activity (Table 3-2), were hypersensitive to peroxide. In all experiments^ viable KatA" cells could not be detected at the 20 min. sampling time. Therefore, at least a logic 6.3 reduction in viable cells occurred as soon as 20 min. after addition of peroxide. The lack of KatA clearly had a significant effect on the ability of planktonic cells to survive H2O2 treatment when compared to the wt (P < 0.01) or KatB' strains (P < 0 .01). H2O2 Sensitivity of Biofilm Cells Biofilms formed by the wt and catalase mutant strains were also tested for their susceptibility to 50 mM H2O2. However, in these experiments peroxide was delivered as a constant flow (50 mls/hr.) rather than a single pulse. The catalase mutations had no apparent affect on the ability of these strains to form a biofilm. Biofilm thickness of . these strains was determined to be 114 +/-13 pm and total cell counts estimated that 63 initial cell densities ranged from 2.1xl09 to 8.7xl09 total cells/cm2; these are typical ranges for both parameters. To better represent actual biofilm cell survival, percent survival is shown as the viable fraction of the total number of cells present on the substratum at each sampling point (Fig. 3-2). When compared to the rates of killing observed with planktonic organisms, all strains were relatively much more resistant to peroxide. For the wt and KatB' strains, survival did not differ and was nearly constant at about 80% and 77%, respectively. A different result was obtained with the KatA' mutant. During the first 20 min. of H2O2 exposure, a logic 1.03 reduction in the viable fraction occurred. At 40 min., the total number of cells showed consistently higher viability and nearly equaled those of the wt and KatB" strains. Then at 60 min., viability decreased again approximately 90%. Although not as dramatic as the affect seen with planktonic cells, the lack of KatA significantly (P< 0.05) increased the susceptibility of biofilms to the 50 mM H2O2 treatment. Biofilm Removal with Hydrogen Peroxide. From total cell counts, the relative amount of biofilm removal that occurred during exposure to H2O2 could be determined and compared (Fig. 3-3). Even with profuse effervescence due to high specific catalase activity (Fig. 3-4), wt and KatB' biofilms remained largely intact with greater than 70% of the initial total biomass remaining on the stainless steel surface at I hr. Unlike the wt and KatB", virtually no fizzing was observed with the KatA" biofilms during treatment with H2O2. Nevertheless, biofilm breakup occurred such that approximately 90% of the initial biomass was removed, leaving a very thin, and apparently more resistant, layer of cells remaining on 64 Planktonic Cell Disinfection with 50 mM H2O2 1.0E+03 - 'o Surviv 1.0E+01 . 1.0E-01 . 1.0E-03 . 1.0E-05 Time (min.) Figure 3-1. Planktonic disinfection of wt (■ ), KatA" (♦ ), and KatB" ( • ) strains exposed to 50 mM H2O2 for I hr. Cells were grown to stationary phase in PBM medium and then diluted to approx. 3.0 x IO7cfu/ml in PBM w/o carbon source. Hydrogen peroxide was added as a single dose and samples were collected and neutralized at 20 min. intervals for I hr. Data are represented as the mean +/- S.E. for 3 independent experiments. 65 Biofilm Disinfection with 50 mM H2O2 Surviv 100.0 10. 0 . Time (min.) Figure 3-2. Biofilm disinfection of wt (■ ), KatA" (♦ ), and KatB" ( • ) strains exposed to a constant flow of 50 mM H2O2 for I hr. Percent survival is expressed as the viable fraction of the total number of cells present on the substratum relative to f=0 min. or, [(V,/T,) / (V0ZT0)] x 100. Data are represented as the mean +/- S.E. for 3 independent experiments. 66 Biofilm Removal During Disinfection 1 0 0 ., 80. ro 60 o E <D cr 40 20. wild-type KatA- KatB- Figure 3-3. Total cell removal from wt, KatA', and KatB'biofilms after 60 min. of constant exposure to 50 mM H2O2. Each data point represents the mean +/- S. E. for three independent experiments. the slide. Differences in remaining katA mutant biofilm biomass and that measured with the wt and katB strains were statistically significant (P=O-Ol). Catalase Activity of P. aeruginosa Biofilms In addition to assessing susceptibility to hydrogen peroxide, the specific catalase activities of biofilms (Fig. 3-4) before and after exposure to H2O2 were determined for P. aeruginosa PAOl wt and catalase mutant strains. Biofilms were collected at 20 min. intervals during exposure to a constant flow of 50 mM H2O2. Initial specific catalase activities of wt biofilms did not differ from stationary phase planktonic cultures (compare to Table 3-2). Like planktonic cells, biofilm catalase expression is influenced by peroxide. As soon as 20 min. after exposure, specific catalase activity had increased in wt biofilms and continued to increase throughout the exposure period reaching approximately 700 U/mg protein in I hr. The 47% increase over the initial activity was again almost identical to planktonic cells. KatB" biofilms yielded similar initial specific catalase activities but displayed no increase during exposure to peroxide indicating that katB induction was primarily responsible for the significant (P=0.01) increase in catalase activity observed for the wt biofilms. Total specific catalase activities for KatA" biofilms could only be determined at 0 and 20 min. after exposure since most of the biomass sloughed from the substratum after 30 min. No catalase activity was detected in cell free extracts collected from KatA" biofilms at either time point (data not shown). As with planktonic cells (Table 3-2), KatA" biofilm cells appeared to be rapidly overwhelmed by the H2O2, and could not survive long enough to synthesize the KatB catalase. Attributing the increase in biofilm catalase activity to katB induction is supported by the data shown 68 Biofilm Specific Catalase Activity 800 n 700 . 600 . 500 -- Time (min.) Figure 3-4. Total specific catalase activity of wt ( a ) and katB- ( * ) biofilms exposed to 50 mM H2O2 for I hr. Cell free extracts were prepared from biofilms during the disinfection period and assayed for catalase activity as described in materials and methods. Specific catalase activity is expressed as ^mol H2O2degraded per min. per mg of total protein. Each data point represents the mean +/- S. E. for three independent experiments. Duplicate assays were performed on each cell free extract preparation. Biofilm Catalase Expression During Disinfection Figure 3-5. Biofilm catalase expression patterns during disinfection. Biofilms were exposed to 50 mM H2O2 and samples were harvested at 20 min. intervals for a period of I hour. Cell free extracts were loaded on a 5% non-denaturing polyacrylamide gel allowing separation of the KatA and KatB enzymes. Each lane contains 15 pg of total protein. In Fig. 3-5. Examining catalase activity in nondenaturing polyacrylamide gels, though lacking the precision of spectrophotometric assays, allows a sensitive assessment of which isozymes are being expressed. Before exposure to H2O2, no KatB activity is apparent in cell free extracts collected from wt biofilms. Following H2O2 exposure, KatB is apparent at the first sampling point during the treatment period. Although the lack of KatB did not have a significant affect on biofilm susceptibility to the dosing procedure used in these experiments, the induction of KatB activity strongly suggests that the biofilms cells are experiencing oxidative stress due to the constant exposure to hydrogen peroxide. katBwlacZ Reporter Construction and Analysis To further investigate the physiological response of P. aeruginosa biofilms to H2O2, a PAOKkatBwlacZ) reporter strain was constructed using a novel approach for introducing single-copy gene fusions into the P. aeruginosa genome (Schweizer et al, 1999). This method is advantageous for biofilm studies since the chromosomal fusions are stable in the absence of antibiotic selection and of particular importance, the promoter/gene of interest is not insertionally inactivated. To verify correct insertion, PCR primers specific for the flanking chromosomal DNA and integrated fusion were used to amplify the junction sequences. Single amplification products of the predicted size were obtained from genomic templates (data not shown). These PCR products were also sequenced as an additional verification that the constructions were correct. Sequence data verified that both the pJGE03 and pMini-CTX (control) vectors had integrated into the chromosome at the attP site and that pFLP2 mediated excision had occurred PAOI(katB/.lacZ) Expression in Response to Hydrogen Peroxide Time (min.) Time (min.) Figure 3-6. PAOl (katB. dacZ) reporter activity of biofilm (A) and planktonic cultures (B) exposed to hydrogen peroxide. Biofilms were treated with a continuous dose of OmM ( • ) or 50 mM (O) H2O2 for a period of I hr. Planktonic, stationary phase cultures were exposed to single 0 mM ( • ) and 50 mM (O) doses or 2 mM pulses every 10 min. for I hr. (■ ). Data represent the mean +/- S. E. for three independent experiments. 72 precisely. The ^AO\{katBwlacZ) reporter strain provided a means of studying katB expression in both planktonic and biofilm cells (Fig. 3-6A and 3-6B). The induction profile was similar for both cell types, although the conditions required for induction differed somewhat. In preliminary measurements, it was empirically determined that culture cfu/ml optical density units for washed cell suspensions of both cell types were equivalent (results not shown), and therefore allowed reporter enzyme units to be conveniently calculated in terms of optical density. Similar to the results of experiments depicted in Table 3-2 and Fig. 3-4, PAOI {katB::lacZ) biofilms exhibited a gradual, two­ fold induction of reporter gene activity over the one hour exposure period. Reporter enzyme levels did not increase in ?AOl{katBwlacZ) biofilms that were not exposed to H2O2. When planktonic cells were exposed to 2 mM doses OfH2O2 every 10 min. for I hr., a response similar to that of biofilm cells (Fig. 3-6A) was observed. However, when stationary phase planktonic cells of the reporter strain were exposed to a single 50 mM dose OfH2O2, no katBwlacZ induction was observed (Fig. 3-6B). Initial levels of biofilm and planktonic cells gave nearly equal levels of reporter enzyme activity, averaging roughly 30 Miller units. The promoterless IacZ control construct, PAOl(ZacZ), consistently yielded approximately 30 Miller units and was unaffected by single 50 mM or multiple 2 mM H2O2 treatments. Discussion Due to its ubiquity in nature and tendency to form biofilms, P. aeruginosa has been used as a model organism for studying biofilm behavior and for the development of biofilm control strategies (Costerton et al., 1994). Though recent progress has been significant, P. aeruginosa biofilm cell physiology is still only poorly understood. Gradients in metabolic activity have been shown to exist in P. aeruginosa biofilms, and some information regarding adaptive gene regulation has also been recently published (Huang et al. 1998; Xu et al., 1998). These studies examined P. aeruginosa gene regulation in response to environmental stress, showing for example that induction of phoA in response to phosphate limitation was limited to the upper region (ca. 20%) of the biofilm (Huang et al. 1998). It was proposed that oxygen limitation within the biofilm imposes restrictions on cell activities that include de novo protein synthesis in response to environmental stress (Xu et al., 1998). It is anticipated that spatially differentiated gene regulatory responses within biofilms will prove to be an important issue in biofilm control. In continuing attempts to expand our understanding of biofilm cell physiology, we are also examining oxidative stress responses in P. aeruginosa biofilms. Significant genetic and biochemical information regarding the oxidative stress response to H2O2 in this organism is already available [Hassett and co-workers papers (1992, 1995, 1999a, 1999b)], This should facilitate efficient progress in determining the basis for the significant resistance oiP. aeruginosa biofilms to oxidizing biocides. In the data reported here, the extraordinary recalcitrance of P. aeruginosa biofilms to H2O2 treatment is in complete agreement with previous studies using other oxidizing biocides (LeChevallier et al., 1988; Sanderson and Stewart, 1997). Even after one hour of continuous exposure to 50 mM H2O2, wt biofilm integrity remained largely intact (Fig. 3-3) and nearly 80% of the cells survived (Fig. 3-2). We were interested in determining whether such biofilms employed special mechanisms that are especially effective in guarding the cell against oxidative damage by H2O2. An obvious physiologic trait of importance to inactivating H2O2 would be the cellular level of catalase activity, and therefore we focussed our initial efforts on this enzyme. While the catalase specific activity of P. aeruginosa grown in a defined medium is lower than that measured with cultures grown in complex media (Brown et al., 1995; Hassett et al., 1999b), regulation of the isozymes appears to be the same. KatA is expressed throughout the growth cycle with a marked increase at the onset of stationary phase (Brown et al., 1995). KatB is not expressed during the aerobic growth cycle but is inducible upon exposure to peroxide, making KatB expression a marker enzyme for oxidative stress in P. aeruginosa. With planktonic cultures grown in minimal media, expression patterns of KatA and KatB were unaltered (Table 3-2 and other data not shown). In the absence OfH2O2, biofilms formed by the wt strain contained only KatA (Fig. 3-5), and at levels that were equivalent to planktonic cultures (Table 3-2., Fig. 3-4). As the KatB catalase represents the primary oxidative stress response catalase in P. aeruginosa, we also examined the expression of this enzyme to determine whether significantly high levels of expression could explain the elevated levels of resistance to H2O2. As was observed with planktonic cells, catalase specific activity increased in biofilms treated with H2O2; however, the increase observed in biofilm cells was of the same magnitude as observed in planktonic cultures (Table 3-2, Fig. 3-4). Native gel analysis and reporter gene data were also in agreement and suggested that the increased catalase activity was due to KatB (Fig. 3-5, Fig. 3-6). As another approach to assessing the relative contribution of these enzymes to biofilm resistance to H2O2, we created defined katA and JcatB mutations in the wt strain PAOI. The loss of KatA resulted in planktonic cells being hypersensitive to H2O2 (Fig. 3-1), and biofilm resistance to H2O2 decreasing by approximately an order of magnitude relative to the wt strain (Fig. 3-2). Further, biofilms formed by the KatA' mutant essentially disintegrated when exposed to H2O2 (Fig. 3-3), suggesting that constitutive catalase expression is necessary for maintaining biofilm structural integrity in the presence O fH 2O2. In contrast, katB mutants were very similar to the wt strain with regards to planktonic cell survival and biofilm resistance to H2O2 (Figs. 3-1 and 3-2). Therefore, even though katB is readily induced in both cell types in response to H2O2 exposure, its contribution to the initial biofilm oxidative stress resistance phenotype appears to be minimal. It is important to note however, that biofilms were able to induce katB in the presence OfH2O2 concentrations that were lethal to planktonic cells (Figs 3-6a and 3-6b). This suggests that at the community level, biofilms are better adapted than planktonic cells in initiating a multi-cellular oxidant defense against H2O2. In the current study, we have assessed the relative importance of the different catalase enzymes to protection against H2O2. Based on the analysis of KatA and KatB catalase expression and activity levels, we conclude that the remarkable resistance of the wt biofilm to H2O2 cannot be attributed to abnormally high initial or induced levels of catalase activity. Catalase expression is critical to survival, however, other mechanisms of resistance appear to be involved. Indeed, it is important to note that under the conditions of the experiments used in this study, even the katA mutant still survived at relatively high levels. Other possible mechanisms contributing to the reduced susceptibility of biofilm cells to oxidizing agents have been investigated. The failure of reactive agents to penetrate the EPS matrix of a biofilm has been shown to contribute to the reduction in susceptibility to oxidizing agents (Chen and Stewart, 1996); but, penetration failure alone may only be partially responsible for resistance (Brown and Gilbert, 1994; Stewart, 1996). Gradients in metabolic activity have been shown to exist in biofilms (Huang et ah, 1998; Xu et ah, 1998); and, slow microbial growth rates are also correlated with increased resistance to oxidants such as hydrogen peroxide (Ivanova et ah, 1994; Loewen and Hengge-Aronis, 1994; Seymor et ah, 1996). It is likely that several mechanisms including physiological adaptation contribute simultaneously to biofilm resistance to antimicrobial agents. Further investigation of the unique aspects of biofilm physiology will eventually reveal assailable approaches to eradicating problematic biofilms in the future. 77 References Ashby, M. J., J. E. Neale, S. J. Knott, and I. A. Critchley. 1994. Effect of antibiotics on non-growing planktonic cells and biofilms of Escherichia coli. J. Antimicrob. Chemother. 33:443-452. Atlas, R. M. 1997 in “Handbook of Microbiological Media”, L. C. Parks, ed., CRC Press, Ann Arbor, Mich. Beers, R. F., Jr., and I. W. Sizer. 1952. A spectrophotometric method for measuring the breakdown of hydrogen peroxide by catalase. J. Biol. Chem. 195:133-140. Boyer, H. W., and D. Roulland-Dussoix. 1969. A complementation analysis of the restriction and modification of DNA in Escherichia coli. J. Mol. Biol. 41:459. Bradford, M. M. 1976. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal. Biochem. 72:248-254. Brown, M. R. W., and P. Gilbert. 1993. Sensitivity of biofilm to antimicrobial agents. J. AppL Bacteriol. Symp. Suppl. 74:87S-97S. Brown, S. M., M. L. Howell, M. L. Vasil, A. J. Anderson, and D. J. Hassett. 1995. Cloning and characterization of the katB gene of Pseudomonas aeruginosa encoding a hydrogen peroxide-inducible catalase: purification of KatB, cellular localization, and demonstration that it is essential for optimal resistance to hydrogen peroxide. J. Bacteriol. 177:6536-6544. Chen, X., and P. S. Stewart. 1996. Chlorine penetration into artificial biofilm is limited by a reaction-diffusion interaction. Environ. Sci. Technol. 30:2078-2083. Costerton, J. W., R. T. Irvin, and K.-J. Cheng. 1981. The bacterial glycocalyx in nature and disease. Annu. Rev. Microbiol. 35:299-324. Costerton, J. W., Z. Lewandowski, D. DeBeer, D. Caldwell, D. Korber, and G. James. 1994. Biqfilms, the customized microniche. J. Bacteriol. 176:2137-2142. DempIe B. 1991. Regulation of bacterial oxidative stress genes. Annu. Rev. Genet. 25:315-337. Farr S. B., and T. Kogoma. 1991. Oxidative stress responses in Escherichia coli and Salmonella typhimurium. Microbiol. Rev. 55:561-585. 78 Figurski, D. H., and D. R. Helinski. 1979. Replication of an origin-containing derivative of plasmid RK2 dependent on a plasmid function provided in trans. Proc. Natl. Acad. Sci. USA 76:1648-1652. Giwercman, B., E. T. Jensen, N. Heiby, A. Kharazmi, and J. W. Costerton. 1991. Induction of the p-lactamase production in Pseudomonas aeruginosa biofilm. Antimicrob. Agents Chemother. 35:1008-1010. Gonzalez-Flecha, B., and B. Demple. 1995. Metabolic sources of hydrogen peroxide in aerobically growing Escherichia coli. I. Biol. Chem. 270:13681-13687. Hassett, D. J., L. Charniga, K. Bean, D. E. Ohman, and M. S. Cohen. 1992. Response of Pseudomonas aeruginosa to pyocyanin: mechanisms of resistance, antioxidant defenses, and demonstration of a manganese-cofactored superoxide dismutase. Infect. Immun. 60:328-336. Hassett, D. J., J. G. Elkins, D.-J. Ma, and T. R. McDermott. 1999a. Pseudomonas aeruginosa biofilm sensitivity to biocides: use of hydrogen peroxide as a model antimicrobial agent for examining resistance mechanisms. Meth. Enzymol. In press. Hassett, D. J., J.-F. Ma, J. G. Elkins, T. R. McDermott, U. A. Ochsner, S. E. H. West, C.-T. Huang, J. Fredericks, S. Burnett, P. S. Stewart, G. McFeters, L. Passador, and B. H. Iglewski. 1999b. Quorum sensing'm Pseudomonas aeruginosa controls catalase and superoxide dismutase genes and mediates biofilm susceptibility to hydrogen peroxide. J. Bacteriol. Submitted. Huang, C.-T., K. D. Xu, G. A. McFeters, and P. A. Stewart. 1998. Spatial patterns of alkaline phosphatase expression within bacterial colonies and biofilm in response to phosphate starvation. AppL Environ. Microbiol. 64:1526-1531. Ivanova, A., C. Miller, G. Glinsky, and A. Eisenstark. 1994. Role of rpoS (katF) in oxyiZ-independent regulation of hydroperoxidase I 'm Escherichia coli. Mol. Microbiol. 12:571-578. Lechevallier M. W., C. D. Cawthon, and R. G. Lee. 1988. Inactivation of biofilm bacteria. AppL Environ. Microbiol. 54:2492-2499. Liss, L. 1987. New M13 host: DH5aF’ competent cells Bethesda Res. Lab Focus 9:13. Loewen, P. C , and R. Hengge-Aronis. 1994. The role of the sigma factor Gs (KatF) in bacterial global regulation. Annu. Rev. Microbiol. 48:53-80. Miller, J. H. 1972. Experiments in Molecular Genetics. Cold Spring Harbor Laboratory, Cold Spring Harbor, New York. 79 Morita, R. Y. 1993. Bioavailability of energy and the starvation state, in “Starvation in Bacteria”. Plenum Press, New York, New York. Nichols, W. W., M. J. Evans, M. P. E. Slack, and H. L. Walmsley. 1989. The penetration of antibiotics into aggregates of mucoid and non-mucoid Pseudomonas aeruginosa. J. Gen. Microbiol. 135:1291-1303. Ostling, J., L. Holmquist, K. Flardh, B. Svenblad, A. Jouper-Jaan, and S. KjelIeberg. 1993. Starvation and Recovery of Vibrio, in “Starvation in Bacteria”. Plenum Press, New York, New York. Sambrook, J., E. F. Frisch, and T. A. Maniatis. 1989. Molecular Cloning: A Laboratory Manual. 2nd ed. Cold Spring Harbor Laboratory, Cold Spring Harbor, NY. Sanderson, S. S., and P. S. Stewart. 1997. Evidence of bacterial adaptation to monochloramine in Pseudomonas aeruginosa biofilms and evaluation of biocide action model. Biotechnol. Bioeng. 56:201-209 Schweizer, H. P. 1993. Two plasmids, X1918 and Z1918, for easy recovery of xylE and IacZ reporter genes. Gene. 134:89-91. Schweizer, H. P. 1999. Manuscript in preparation Seymour, R. L., P. V. Mishra, M. A. Khan, and M. P. Spector. 1996. Essential roles of core starvation-stress response loci in carbon-starvation-inducible cross-resistance and hydrogen peroxide-inducible adaptive resistance to oxidative challenge in Salmonella typhimurium. Mol. Microbiol. 20:497-505. Simon, R., U. Priefer, and A. Puehller. 1983. A broad host range mobilization system for in-vivo genetic engineering: transposon mutagenesis in gram negative bacteria. Bio/Technology 1:784-791. Stewart, P. S. 1996. Theoretical aspects of antibiotic diffusion into microbial biofilms. Antimicrob. Agents. Chemother. 40:2517-2522. Tresse, O., T. Jouenne, and G.-A. Junter. The role of oxygen limitation in the resistance of agar-entrapped, sessile-like Escherichia coli to aminoglycoside and Plactam antibiotics. J. Antimicrob. Chemother. 36:521-526 Wayne, L. G., and G. A. Diaz. 1986. A double staining method for differentiating between two classes of mycobacterial catalases in polyacrylamide gels. Anal. Biochem. 157:89-92. 80 Xu, K. D., P. S. Stewart, F. Xia, C.-T. Huang, and G. A. McFeters. 1998. Physiological heterogeneity in Pseudomonas aeruginosa biofilm is determined by oxygen availability. Appl. Environ. Microbiol. 64:4035-4039. CHAPTER 4 CONCLUSIONS The use of P, aeruginosa as a model biofilm organism and H0O0 as a model biocide allowed several pertinent questions regarding biofilm physiological adaptation to antimicrobial agents to be addressed. However, the work presented in this thesis specifically examines the importance of catalase in protecting P. aeruginosa biofilms from H2O2. It should be emphasized that studies using other biofilm organisms exposed to different antimicrobial agents may exhibit results dissimilar to the ones obtained in this investigation. Nevertheless, determining the importance of oxidative stress metabolism in protecting biofilms from oxidizing agents represents a relatively new area of research in microbiology since studies conducted in the past have focused only on the physiology of planktonic cells. Since little is known about the importance of catalase in protecting sessile populations of bacteria, relatively simple questions could be directly addressed with the model system employed in this study.' Stated below are the hypotheses I directly tested in this work followed by a brief discussion of the results that support or reject each hypothesis. Hypothesis I . P. aeruginosa biofilms that cannot constitutively express catalase (KatA ) will be hypersusceptible to H2O2. o The data displayed in Fig. 3-2 shows that the VAQKkatA) strain was more susceptible to the H3O3 treatment than the wild-type in the biofilm disinfection experiments. However, the survival of the KatA- mutant was much greater in biofilms relative to ; the substantial and rapid drop in viability that occurred in the disinfection experiments using planktonic cells. Therefore, constitutive catalase activity due to KatA expression cannot account for all of the resistance PAOl biofilms display against H2O2. Hypothesis 2. Catalase (KatB) induction in response to H2O2 is necessary for biofilm resistance to H2O2. o Catalase induction has little influence on overall biofilm resistance to H2O2. This is shown in Fig. 3-2 where the survival of the PAOI (katB) strain was nearly identical to that of the wild-type. Since biofilms were exposed to H2O2 for only I hour, the role of catalase induction in protecting against prolonged or repeated exposures to peroxide could not be assessed. Hypothesis 3. Even in the absence of H2O2, catalase genes (katA, katB, or both) are upregulated in biofilms resulting in a high specific catalase activity relative to planktonic organisms. o A comparison of specific catalase activities between planktonic (Table 3-2) and biofilm cells (Fig. 3-3) confirms that catalase levels are nearly equal for both cell types. Catalase expression patterns in biofilms before and during exposure to peroxide (Fig. 3-5) also demonstrate that there are no differences in catalase expression between planktonic cells and biofilms (i.e. katB is not expressed prior to H2O2 treatment). Hypothesis 4. P. aeruginosa biofilms initiate an oxidative stress response upon exposure o Shown by the rapid increase in catalase activity upon exposure to H2O2 (Fig. 3-4). P. aeruginosa biofilms do physiologically respond to the oxidant. Also, lack of induction with the PAQl(WB) confirms that the increase in catalase activity is due solely to KatB expression. This is also demonstrated by the appearance of the KatB activity band after peroxide exposure in Native-PAGE gels (Fig. 3-5). Reporter gene studies also confirmed katB induction (Fig. 3-6b) in biofilms and also showed that planktonic cells could not adapt to 50 mM H2O2 by inducing katB (Fig. 3-6a) whereas the biofilm ‘community’ could physiologically respond This data also suggests that the catalase activity produced by the KatA isozyme was insufficient to prevent oxidative stress in biofilms since expression of KatB is an indicator of an oxidative stress response. By using the KatA- and KatB- mutants, the possibility of H2O2 penetration failure was eliminated along with the biofilms ability to adapt to H2O2 by increasing catalase activity. However, physiological activity of the cells was likely a variable that impacted the overall susceptibility of the biofilms to H2O2 (See Chapter 2 for review). Since biofilms were cultured for 72 hours, the cells near the substratum at the time of disinfection were 72 hours old. During treatment with 50 mM H2O2, the KatA- biofilm sloughed from the stainless steel surface leaving behind a deeper (closer to the substratum), and therefore older, layer of apparently more resistant cells. The survival 84 rates of the KatA- mutant biofilms shown in Fig. 3-2 reflect a relatively high viable fraction of the total number of cells in the biofilm but it must be emphasized that these biofilms are also rapidly sloughing from the substratum while the wild-type and KatBmutant biofilms largely retained their integrity. Planktonic cultures were tested for their sensitivity to H2O2 at 24 hours (stationary phase). Future antimicrobial efficacy studies should consider overall cell age as an important factor in resistance rather than just growth phase. Natural populations of bacteria, whether they occur on the surface of an endo-prosthetic medical devise or in a drinking water distribution system, are likely to consist of cells that vary widely with age which is likely to contribute to antimicrobial evasion. Stress responses to adverse environmental conditions such as nutrient starvation, heat shock, osmotic shock, desiccation, and oxidative attack have been well characterized genetically and physiologically in a number of different organisms. Bacteria predominately exist as biofilms in their natural micro-environments; therefore, future studies regarding stress responses should be conducted with biofilms rather than planktonic cells. Conclusions based only on the results of the planktonic disinfection experiments conducted for this study would erroneously predict that catalase is absolutely essential in protecting P. aeruginosa from H2O2. However, data collected from biofilms suggest that other resistance mechanisms are involved since biofilms retained relatively high viability in the complete absence of catalase activity. I strongly feel that this work represents ‘a step in the right direction’ regarding the way microbiological research (specifically microbial physiology) should be conducted in the future. Adopting the biofilm mode of growth as the standard method for cell cultivation in the laboratory should yield a more accurate understanding of microbial physiology and the way microorganisms interact with and survive in their natural environment. 86 APPENDIX Table A-1. Percent Survival of PAOl (wt) Planktonic Cells During Disinfection. Time (min.) Exp. I Exp. 2 Exp. 3 Mean S. E. O 1.0x1002 1.0x1002 1.0x1002 . 1.0x1002 0.0x1000 20 2.0x1001 2.0x1000 7.3x10-01 7.4xlOoo 6.1x1000 40 4.6x1000 7.7x10-03 6.1x10-04 1.5x1000 1.5x1000 60 8.5x10-02 4.2x10-03 3.7x10-05 3.0x10-02 2.8x10-02 Table A-2. Percent Survival OfPAOl(KatAi) Planktonic Cells During Disinfection. Time (min.) Exp. I Exp. 2 Exp. 3 Mean 0 1.0x1002 1.0x1002 1.0x1002 1.0x1002 0.0x1000 20 7.7x10-05 3.6x10-05 3.0x10-05 4.8x10-05 1.5x10-05 40 7.7x10-05 3.6x10-05 3.0x10-05 4.8x10-05 1.5x10-05 60 7.7x10-05 3.6x10-05 3.0x10-05 4.8x10-05 1.5x10-05 S. E. Table A-3. Percent Survival of PAOI (KatB-) Planktonic Cells During Disinfection. Time (min.) Exp. I Exp. 2 Exp. 3 Mean 0 1.0x1002 1.0x1002 1.0x1002 1.0x1002 0.0x1000 20 9.2x10-01 2.3xl0-oo 3.8xlO-oo 2.3xlO-oo 8.3x10-01 40 5.4x10-04 1.7xlO-oi 2.9x10-03 5.6x10-02 5.4x10-02 60 5.0x10-05 3.0x10-03 1.7x10-04 1.1x10-03 9.6x10-04 S.E. 87 T ab le A -4 . P ercen t S urvival o f P A O I (w t) B io film C ells D uring D isin fectio n .. Time (min.) Exp. I Exp. 2 Exp. 3 Mean S.E. 100.0 100.0 100.0 100.0 0.0 20 56.0 69.1 78.5 67.9 6.5 40 64.4 94.7 50.9 70.0 13.0 60 98.8 92.8 48.1 79.9 16.0 O Table A-5. Percent Survival of PAOI (KatA ) Biofilm Cells During Disinfection. Time (min.) Exp. I Exp. 2 Exp. 3 0 100.0 100.0 100.0 100.0 0.0 20 15.3 8.3 15.9 13.2 2.4 40 91.7 24.5 23.5 46.3 22.6 60 1.6 25.2 1.3 9.3 7.9 Mean S.E. Table A-6. Percent Survival of PAOl(KatB ) Biofilm Cells During Disinfection. Time (min.) Exp. I Exp . 2 Exp. 3 0 100.0 100.0 100.0 100.0 0.0 20 84.5 68.2 .80.7 77.8 4.9 40 80.8 50.5 38.1 56.5 12.7 60 69.1 60.1 100.4 76.5 12.2 Mean S. E. 88 T ab le A -I . P ercent R em oval o f P A O I (w t) B io film C ells D uring D isin fectio n . Time (min.) Exp. I Exp. 2 O 0.0 0.0 20 18.1 40 60 Exp. 3 Mean S.E. 0.0 0.0 0.0 48.9 4.5 23.8 6.5 78.1 19.2 88.5 61.9 13.0 32.1 4.9 41.0 26.0 16.0 Table A-8. Percent Removal of PAOI (KatA-) Biofilm Cells During Disinfection. Time (min.) Exp. I Exp. 2 Exp. 3 Mean S.E. 0 0.0 0.0 0.0 0.0 0.0 20 42.7 66.2 5.8 38.2 17.6 40 94.6 96.5 83.0 91.4 4.2 60 94.5 95.8 88.2 92.8 2.4 Table A-9. Percent Removal of PAOI (KatB-) Biofilm Cells During Disinfection. Time (mm.) Exp. I Exp. 2 Exp. 3 0 0.0 0.0 20 5.7 40 60 Mean S.E. 0.0 0.0 0.0 4.9 53.2 38.2 16.0 -0.1 20.2 57.9 91.4 17.0 20.7 47.5 52.9 92.8 10.0 I 89 Table A-10. Specific Catalase Activity of Stationary Phase, Planktonic PAOl wt, KatA-, and KatB- Cells Before and After Treatment with 2mM Pulses of H O9 . Every 10 min. for I hr. Specific Catalase Activity (U/mg protein) Strain wild-type - H2O2 + H2O2 Exp. I Exp. 2 Exp. 3 Mean S.E. 420 613 441 577 418 637 426 609 6.0 14.2 430 432 10.4 9.0 KatA mutant - H2O2 + H2O2 None Detected None Detected None Detected None Detected KatB mutant - H2O2 + H2O2 409 423 453 419 None Detected None Detected 429 454 ■ Table A-I I . Specific Catalase Activity (U/mg protein) of PAOl wt Biofilm During Disinfection. Time (min.) Exp. I Exp. 2 Exp. 3 0 0.0 0.0 20 5.7 40 60 Mean S.E. 0.0 0.0 0.0 4.9 53.2 38.2 16.0 -0.1 20.2 57.9 91.4 17.0 20.7 47.5 52.9 92.8 10.0 90 T ab le A -1 2 . S p e c ific C atalase A c tiv ity (U /m g protein) o f P A O l w t B io film D uring D isin fectio n . Time (min.) Exp. I Exp. 2 0 507 20 Exp. 3 Mean S.E. 423 495 475 26.2 603 626 517 582 33.2 40 606 625 752 661 45.8 60 618 719 795 717 51.3 Table A-13. Specific Catalase Activity (U/mg protein) of PAOI KatB- Biofilm During Disinfection. Time (min.) Exp. I Exp. 2 Exp. 3 Mean S.E. 0 383 478 ■ 519 460 40.3 20 . 421 515 470 469 27.1 40 497 460 428 462 19.9 60 421 530 434 462 34.4 Table A-14. PAOI {katB::lacT) Reporter Activity in Miller Units for Biofilms Exposed to 50 mM H2O2 for I hr. Time (min.) Exp. I Exp. 2 0 ■35 33 20 43 40 60 Exp. 3 Mean S. E. 25 31 3.0 52 37 44 4.2 51 59 47 52 3.5 79 64 43 62 10.5 91 Table A-15. VAO\(katBwlacZ) Reporter Activity in Miller Units for Biofilms Not Exposed to H2O2. Time (min.) Exp. I Exp. 2 0 23 29 20 29 40 60 Exp. 3 Mean S. E. 36 29 3.5 27 36 31 2.5 24 28 36 29 3.3 19 28 31 26 3.6 Table A-16. BAO\{katBv.lacZ) Reporter Activity in Miller Units for Planktonic Cells Exposed to 2mM Pulses of H2O2 Every I Omin. for I hr. Time (min.) Exp. I Exp. 2 0 29 29 20 69 40 60 Exp. 3 Mean S.E. 34 31 1.7 68 54 64 4.8 82 61 62 68 6.8 87 71 67 75 6.1 Table A-17. PAOl(WRxZacZ) Reporter Activity in Miller Units for Planktonic Cells Exposed to 1-50 mM Dose OfH2O2. Time (min.) Exp. I Exp. 2 0 33 33 31 32 0.7 20 30 30 30 30 0.0 40 34 32 30 . 32 1.2 60 29 29 29 ' 29 0.0 Exp. 3 . Mean S.E. . 92 Table A-18. VAO\(katBwlacZ) Reporter Activity in Miller Units for Planktonic Cells Not Exposed to H2O2. Time (min.) Exp. I Exp. 2 0 26 27 20' 29 ■ 40 29 60 31 ' Exp. 3 Mean S.E. 33 29 2.2 27 30 29 0.9 30 34 31 1.5 29 35 32 1.8