Most bacteria form matrix-enclosed communities, or biofilms, when growing on surfaces. In clinical settings, biofilms are particularly problematic since they tend to form on indwelling devices and cause persistent infections and sepsis. Biofilmassociated bacteria are much less sensitive to antibiotics, making biofilm-related infections especially difficult to cure (7, 13). Often the only solution for a biofilm-infected catheter is complete replacement, a procedure that can range from uncomfortable and inconvenient to painful, expensive, and life threatening. Consequently, the development of methods to prevent biofilm formation may be just as important for treating hospital-acquired infections as the development of new antibiotics.Bacterial signaling molecules that trigger the dispersal of old biofilms hold promise as possible therapeutic agents. Recent work has demonstrated that D-amino acids may be an exemplary class of such compounds (10, 19). Certain D-amino acids isolated from the supernatants of disassembled Bacillus subtilis biofilms were shown to prevent biofilm formation in fresh cultures by disrupting the connection between an extracellular matrix protein and the cell. Similar inhibitory effects for Staphylococcus aureus and Pseudomonas aeruginosa biofilms suggested that D-amino acids might constitute a general strategy for inhibiting biofilm formation in opportunistic pathogens (10). Genes whose products are involved in biofilm formation are not orthologous across these species, however, and the mechanism of action of D-amino acids against biofilms formed by these dissimilar pathogens remains unknown.Here we describe investigations of the mechanism by which D-amino acids inhibit biofilm formation by S. aureus using fluorescence and confocal scanning laser microscopy. These techniques provide a more detailed picture of biofilm development on surfaces than visual inspection and bulk staining alone. Using dyes for specific components of the biofilm, such as cells, proteins, and polysaccharides, we have found that D-amino acids inhibit biofilm formation in S. aureus in much the same way as in B. subtilis: by preventing protein localization at the cell surface. Since S. aureus employs cell surface-associated proteins to connect neighboring cells in large aggregates (9), D-amino acids could prove effective at preventing mature biofilm development.
MATERIALS AND METHODSBacterial growth. Staphylococcus aureus wild-type (WT) strain SC01 (2) was obtained from the Kolter lab collection. Tryptic soy broth (TSB) medium and D and L isomers of proline, tyrosine, phenylalanine, tryptophan, and leucine were obtained from Sigma-Aldrich (Atlanta). Cells were cultured in a shaking LB medium overnight and diluted 1:100 in TSB medium supplemented with NaCl (3%), glucose (0.5%), and the appropriate concentrations of L-or D-amino acids (or lack thereof). Cells were grown for the specified period of time in the bottom of 6-or 12-well polystyrene plates or in 6-well plates with submerged substrates without shaking at 37°C. Plan...