Abstract
Streptococcus mutans is a major cariogenic bacterium. It has adapted to the biofilm lifestyle, which is essential for pathogenesis of dental caries. We aimed to identify small molecules that can inhibit cariogenic S. mutans and to discover lead structures that could give rise to therapeutics for dental caries. In this study, we screened a focused small-molecule library of 506 compounds. Eight small molecules which inhibited S. mutans at a concentration of 4 μM or less but did not affect cell growth or biofilm formation of commensal bacteria, represented by Streptococcus sanguinis and Streptococcus gordonii, in monospecies biofilms were identified. The active compounds share similar structural properties, which are characterized by a 2-aminoimidazole (2-AI) or 2-aminobenzimidazole (2-ABI) subunit. In multispecies biofilm models, the most active compound also inhibited cell survival and biofilm formation of S. mutans but did not affect commensal streptococci. This inhibitor downregulated the expression of six biofilm-associated genes, ftf, pac, relA, comDE, gbpB, and gtfB, in planktonic S. mutans cells, while it downregulated the expression of only ftf, pac, and relA in the biofilm cells of S. mutans. The most potent compound also inhibited production of two key adhesins of S. mutans, antigen I/II and glucosyltransferase (GTF). However, the compound did not alter the expression of the corresponding genes in both S. sanguinis and S. gordonii, indicating that it possesses a selective inhibitory activity against S. mutans.
INTRODUCTION
Bacterial biofilms are defined as surface-attached bacterial communities encased in an extracellular matrix of polysaccharides, proteins, and DNA. About 75% of infectious diseases are associated with biofilms (4). As sessile bacteria grown in biofilms inherently withstand host immune responses and are more resistant to antibiotics, biocides, and hydrodynamic shear forces than their planktonic counterparts, there is a significant hurdle to overcome in treating biofilm-mediated infections (30). Therefore, there is an urgent need to develop new and effective therapeutics for biofilm-associated diseases.
Dental caries is one of the most common infectious diseases in humans and is initiated by the formation of dental plaque biofilms. Although different bacteria have been found to be associated with pathogenesis of dental caries, the mutans streptococcal group represented by Streptococcus mutans is considered to be a major etiologic agent in the pathogenesis of dental caries. Currently, dental plaque is eradicated mainly through nonspecific mechanical removal or treatment with broad-spectrum antibiotics. In addition, a number of derivatives from natural products, such as cranberry constituents, plant lectins, crude extracts of Morus alba leaves, and fractions of barley coffee, have been shown to be effective against biofilm formation of S. mutans. These substances can regulate the activities of surface-anchored virulence factors glucosyltransferase and fructosyltransferase (5, 7, 9, 14, 34). Numerous small molecules, including anthraquinones, apigenin, tt-farnesol, chitosan, and 7-epiclusianone, have been characterized and shown to have antibiofilm activity toward S. mutans (2, 17, 25, 26). However, none of them were reported to possess selectivity against S. mutans biofilms. The prevention and treatment approaches based on these existing methods tend to disturb the ecological balance between pathogens and commensal residents in the oral cavity, which may lead to more severe infections. Therefore, it is necessary to develop a new approach which can selectively inhibit pathogenic bacteria and biofilms.
To achieve this selectivity goal, we elected to pursue small molecules based upon nitrogen-dense marine alkaloids. We have designed numerous derivatives of marine natural products based primarily on the 2-aminoimidazole (2-AI) scaffold and have shown that these compounds are potent inhibitors of biofilm formation by both Gram-positive and Gram-negative bacteria (12), albeit the underlying mechanisms of biofilm inhibition/dispersion are still under investigation. One of the outcomes of these studies is that we have assembled a focused library of molecules (28) whose activity is biased toward modulating biofilm development. Therefore, screening this library represents a convenient platform for rapid identification of small molecules that modulate biofilm formation of target bacterial species. In this study, we screened the focused small-molecule library and identified eight small molecules that selectively inhibited cariogenic biofilms of S. mutans. We further evaluated how the inhibitors regulated expression of known biofilm-associated genes and adhesion molecules by S. mutans.
MATERIALS AND METHODS
Bacterial strains, culture conditions, and chemicals.
Bacterial strains, including S. mutans UA159, Streptococcus sanguinis SK36, and Streptococcus gordonii DL1, were used in this study (3, 8, 39).
Strains were grown statically at 37°C on Todd-Hewitt broth (THB) or THB agar plates under an aerobic atmosphere with 5% CO2. A single colony of each strain was inoculated into 3 ml THB and incubated for 24 h without agitation. The overnight cultures were then inoculated into fresh THB to allow bacteria to grow until they reached exponential growth phase at an optical density at 470 nm (OD470) of 1. The exponentially grown bacteria were then inoculated for biofilm assays. The medium used to grow bacterial biofilms was a chemically defined medium: biofilm medium (BM) containing 1% sucrose (22). A library of 506 small molecules dissolved in dimethyl sulfoxide (DMSO) at a 10 mM concentration was arrayed in a 96-well format and used for screening.
Biofilm formation and inhibition assays in a monospecies biofilm model.
The inhibitory effects of the library compounds on bacterial biofilm formation were examined using 96-well flat-bottom polystyrene microtiter plates (Nalge Nunc International, Rochester, NY). Lead compounds identified from the screen were then resynthesized and analyzed in static biofilm inhibition assays by utilizing crystal violet staining to confirm activity. In brief, each bacterial strain, grown at exponential phase, was inoculated into wells of a 96-well plate with optimized dilutions. The final concentration of DMSO in each well was 1%. S. mutans and S. gordonii were inoculated at 1:100 dilutions, while S. sanguinis was inoculated at 1:40 to obtain reproducible and compatible biofilms. The incubation time was 16 h for S. mutans and S. sanguinis and 12 h for S. gordonii. Bacterial growth was measured at 470 nm using a microplate reader (BioTek ELx). Crystal violet staining was used to monitor biofilm formation as described previously (42). Each assay was done with duplicate samples and replicated three times. Compounds that inhibited more than 50% of the biofilm formation of S. mutans at 20 μM in the initial screen were selected and subsequently examined for their effects on the cell growth and biofilm formation of S. sanguinis and S. gordonii. Moreover, the concentration of a given compound that inhibits biofilm formation by 50% (IC50) was determined by serial dilutions. The most active compound isolated from the library was further analyzed.
Evaluation of inhibitory effects of small-molecule compounds in a multispecies biofilm model.
To examine the precise effects of these selected compounds on biofilm formation by more than one species, we used green fluorescent protein (GFP)-tagged S. mutans UA159, which carries a kanamycin resistance gene, to coculture with S. sanguinis SK36 and/or S. gordonii DL1 in BM. Equal cell numbers of exponentially grown S. mutans and partner strains were inoculated into wells of a 96-well microtiter plate that contained variable concentrations of antibiofilm compounds and incubated under 5% CO2 at 37°C for 16 h. Biofilm mass was quantified by crystal violet staining, and the total bacteria in the biofilms were scraped from the bottom of the wells and rinsed with phosphate-buffered saline (PBS) to make sure all of the cells were collected. The cells from the biofilm were mechanically disrupted by vigorous pipetting and vortexing. The cells were serially diluted, streaked onto the plate, and then enumerated by determining the number of CFU. The THB plates supplemented with or without kanamycin were used to assess the numbers of S. mutans cells and the entire biofilm cells, respectively. The survival percentage was calculated based on the number of bacterial CFU of the compound-treated group and the total number of CFU from the DMSO-treated group (control).
CLSM analysis of biofilms.
S. mutans UA159, S. sanguinis SK36, or S. gordonii DL1 were grown in BM with 1 μM compound 2A4 or with DMSO control on glass coverslips placed in wells of a sterile 6-well cell culture plate (Corning Costar Corp., Cambridge, MA) under 5% CO2 at 37°C for 16 h. The biofilm samples were gently rinsed with PBS three times to remove unattached cells, dried for 5 min, and then stained with SYTO 9 (Molecular Probes, Invitrogen, Carlsbad, CA). The stained samples were then examined by confocal laser scanning microscopy (CLSM) (LSM 710; Zeiss) with a 63× oil immersion objective. Images were obtained from serial optical sections and captured at 488 nm. The z section was used to record the biofilm thickness. Vertical lines were chosen randomly for analysis of each image.
Expression of biofilm-associated genes by S. mutans, S. sanguinis, and S. gordonii.
Overnight cultures of S. mutans UA159, S. sanguinis, and S. gordonii were inoculated as described above into BM with control DMSO or compound 2A4 at 1 μM and then grown on a sterile 6-well cell culture plate to obtain biofilm cells, or in test tubes to obtain planktonic cells, at 37°C for 16 h. In the 6-well plate, each well was gently rinsed with PBS to remove loose bacteria, and firmly attached cells were scraped from the substrate by pipetting and rinsed with PBS to make sure all cells were collected. In the test tubes, floating cells were aspirated and collected by centrifugation at 6,000 × g at 4°C for 10 min and used as planktonic cells. Total RNA was extracted from the same numbers of cells from the control and test groups. All harvested cells were digested by N-acetylmuramidase (mutanolysin; Sigma-Aldrich, St. Louis, MO) at 20 μg/ml and lysozyme at 10 μg/ml at 37°C for 60 min. Total RNA samples of the biofilm cells or planktonic cells were then extracted with Trizol (Invitrogen, Carlsbad, CA) and further digested by RNase-free DNase (Promega, Madison, WI) to remove trace amounts of contaminated DNA. The isolated RNA was reverse transcribed into cDNA using random primers (Promega, Madison, WI). cDNA samples were then quantified by real-time PCR using the iQ SYBR green supermix kit (Bio-Rad, Madison, WI). PCR primers are listed in Table 1. The PCR cycle used was set up as follows: 40 cycles of 95°C for 15 s and 60°C for 1 min. After the last cycle, the reaction mixtures were kept at 95°C and then 55°C for 1 min each, followed by a slow ramp from 55°C to 95°C for 10 s. A standard curve was generated for each gene and then plotted by amplification of a series of diluted cDNA samples. RNA samples without reverse transcription were used as negative controls to ensure no contamination by genomic DNA. The expression levels of all selected genes were normalized using 16S rRNA as an internal standard.
Table 1.
Primers used in real-time RT-PCR
Gene | Primer sequence (5′–3′)a |
|
---|---|---|
Forward | Reverse | |
S. mutans | ||
ftf | AAATATGAAGGCGGCTACAACG | CTTCACCAGTCTTAGCATCCTGAA |
pac | AGCTGGAGAGACAAATGGTTCAT | GACACCAGCAGACTTAGCATCTT |
secA | ATCATGGTACGTGTCACATCAA | CAGAATAATCCTATTGTTGAAT |
gtfB | CATACAGTAACGACAATCAGTAGCTCTA | GTACGAACTTTGCCGTTATTGTCATA |
brpA | GGAGGAGCTGCATCAGGATTC | AACTCCAGCACATCCAGCAAG |
comDE | ACAATTCCTTGAGTTCCATCCAAG | TGGTCTGCTGCCTGTTGC |
relA | ACAAAAAGGGTATCGTCCGTACAT | AATCACGCTTGGTATTGCTAATTG |
smu630 | GTTAGTTCTGGTTTTGACCGCAAT | CCCTCAACAACAACATCAAAGGT |
vicX | TGCTCAACCACAGTTTTACCG | GGACTCAATCAGATAACCATCAGC |
gbpB | AGCAACAGAAGCACAACCATCAG | CCACCATTACCCCAGTAGTTTCC |
luxS | CAGCGTATTGACGGGATGATTG | GACTGTGGCTATTTGGGTTGTTGT |
16S rRNA | CCTACGGGAGGCAGCAGTAG | CAACAGAGCTTTACGATCCGAAA |
S. sanguinis | ||
sspC | TTGATGTCCGTGGCTTCCCTC | CCCGAAATCTTGTTGAAAGTTCCTGT |
gtfP | GAATCAATACTACCGTCCTGTGCTCTT | GGATTGCGGCACTTCTTCGTC |
comD | TTGACGCAAACGCTCTTCT | TTCTTGGCCTTTCTTTCTACCT |
gbpB | TCCTTGGGCTGGCGATTACTG | TCGCTCCAACTTCTGGCTGTG |
relA | TAACGGTCGCCTGCGGCTTTC | CATCCAGCGTCGCACGGGTAT |
16S rRNA | CCGCCTAAGGTGGGATAGATGATTG | ACCTTCCGATACGGCTACCTTGTTAC |
S. gordonii | ||
sspA | AAGAGTTGGCTGAGTATCC | AGTTCTACAAGTGCTGCCTTAATT |
gtfG | AGAGCGTTTGCCAGAACCA | CCAACACATCGTCATCATGCT |
comD | AAATGCACATCTTAATAGCTTTGCTAGT | CATATTGTTCACGAGCAGACTTCAG |
gbpB | AGCGGCAGGCTTCCGTGTA | TGTCCATAACCACCATCAGTCCAA |
relA | AGGAAATGCACGAAGTCGCTGAA | CCTTGCCTTTGATGCCCTTCTTAT |
16S rRNA | TACGGGAGGCAGCAGTAGGGAATC | CGGCGTTGCTCGGTCAGACTTT |
Primer sequences were derived from published DNA sequences. The primers for ftf and 16S rRNA were adapted from those used by Tam et al. (38), the primers for pac and secA were derived from those used by Huang et al. (11), the primers for gtfB were derived from those used by Yoshida et al. (44), the primers for brpA, comDE, relA, and smu630 were derived from those used by Steinberg et al. (35), the primers for vicX and gbpB were derived from those used by Senadheera et al. (30), and the primers for gtfG and comD of S. gordonii were derived from those used by Gilmore et al. (8). Other genes primers were designed for this study.
Western blotting of antigen I/II and glucosyltransferase (GTF).
Planktonic and biofilm cells were harvested as described above. The same cell numbers of each bacterial sample were digested by 100 μl of mutanolysin and lysozyme mixture in lysis buffer (100 mM NaCl, 20 mM Tris-HCl [pH 8.0], 0.5 mM EDTA, 0.5% [vol/vol] NP-40) for 10 min at room temperature. Cell supernatants were harvested by centrifugation at 13,000 rpm for 5 min after the removal of cell debris and used as protein extracts. The concentrations of protein extracts were determined with a bicinchoninic acid (BCA) protein assay kit (Pierce, Rockford, IL). Protein samples were then dissolved into 5× SDS loading buffer and subjected to SDS-PAGE analysis, followed by Western blotting using anti-saliva-binding region (SBR) (1:20,000 dilution) or anti-glucan-binding region (GLU) (1:10,000 dilution) antibody. Heat shock protein 70 was used as an internal control.
Statistical analysis.
Experimental data were analyzed by SPSS 10.0 software (SPSS Inc., Chicago, IL) and presented as means ± standard deviations (SD). Two-group comparisons were performed using Student's t test. A P value of <0.05 was considered to be statistically significant.
RESULTS
Identification of small-molecule compounds that selectively inhibit homotypic biofilm formation by cariogenic bacterium S. mutans.
We screened our library of 506 compounds and identified eight potent small molecules that inhibited S. mutans biofilm formation by at least 50% at concentrations of ≤4 μM, while follow-up dose-response studies determined the 50% inhibitory concentration (IC50) for each compound (Table 2). Compounds 2A4, 2B1, 2B5, 2B7, 3H5, and 4B9 (designated by plate and well numbers) all contain the 2-aminoimidazole (2-AI) subunit. 2D2 and 2D11 are functionalized 2-aminobenzimidazoles (2-ABI). Among these compounds, 2A4 exhibited the most potent activity, with an IC50 of 0.94 ± 0.02 μM. This compound also inhibited cell growth, eliciting a 50% reduction in cell growth (planktonic cell IC50) at 2.0 ± 0.5 μM (2-fold greater than the biofilm IC50). In addition, over 87% of the planktonic cells survived when grown in the presence of the IC50 of 2A4 (0.94 μM) compared to the survival of the controls. These data indicate that the compound had modest selectivity toward inhibiting biofilm formation despite its ability to inhibit cell growth.
Table 2.
IC50 and structures of selected compounds
The identified compounds did not inhibit cell growth (Fig. 1A) or biofilm formation (Fig. 1B) of the commensal colonizers S. sanguinis and S. gordonii at the concentration at which the cell growth and biofilm formation of S. mutans was significantly inhibited (P < 0.03). We also increased the concentrations of each compound to assess the safe dose for S. sanguinis and S. gordonii. For S. sanguinis biofilm formation (Fig. 2A), compound 2A4 or 4B9 did not inhibit S. sanguinis (P > 0.05) at 10 μM. At 5 μM, compound 3H5 also had no inhibition against S. sanguinis (P > 0.05). For S. gordonii biofilm formation, the compound 2A4 or 4B9 at 5 μM did not affect S. gordonii, and compounds 2B7 and 3H5 at 10 μM also did not exhibit any inhibition against S. gordonii (P > 0.05) (Fig. 2B). In addition, other selected compounds exhibited no inhibitory effect on both S. sanguinis and S. gordonii, even at 20 μM (Fig. 2A and B).
Fig. 1.
Effect of small-molecule compounds on cell growth and biofilm formation in a monospecies biofilm. S. mutans, S. sanguinis, or S. gordonii was treated with DMSO or selected small-molecule compounds. Cell growth (A) and biofilm formation (B) were determined. The percentage of cell growth or biofilm formation in compound-treated groups was calculated based on that of the DMSO control groups (100%). Values represent the means ± standard deviations from three independent experiments. An asterisk indicates that the cell growth between DMSO- and compound-treated groups was significantly different. A number sign indicates that the biofilm formation between DMSO- and compound-treated groups was significantly different. 2-AI, 2-aminoimidazoles; 2-AI+, 2-aminoimidazoles and functionalized amides; 2-ABI, 2-aminobenzimidazoles; 2-ABI+, 2-aminobenzimidazoles and functionalized amides.
Fig. 2.
Effects of selected small-molecule compounds on cell growth and biofilm formation of commensal streptococci in a monospecies biofilm. S. sanguinis (A) and S. gordonii (B) were treated with the described small-molecule compounds at different concentrations, and the cell growth and biofilm formation of each strain were determined. The percentage of cell growth or biofilm formation in compound-treated groups was calculated based on that of the DMSO-control groups (100%). Values represent the means ± standard deviations from three independent experiments.
Evaluation of the effects of the most active compound on cell growth and biofilm formation in a heterotypic biofilm model.
As 2A4 was the most potent inhibitor, we examined its efficacy in a multispecies biofilm model (Fig. 3). At up to 10 μM, 2A4 inhibited 34% ± 3.0% of the cell growth of bacteria cocultured with S. mutans (P < 0.05) (Fig. 3A) and also inhibited 45% ± 1.0% of the cocultured biofilms (P < 0.01) (Fig. 3B). The effect is likely due to inhibition of S. mutans. To verify this, we determined the survival rates of S. mutans and the cocultured bacteria. In the dual-species biofilm community of S. mutans and S. sanguinis, 2A4 at 10 μM inhibited 94.9% ± 2.6% of S. mutans (P < 0.01) (Fig. 3C), whereas 60% ± 9.0% of S. sanguinis remained in the biofilm (Fig. 3D). In the dual-species biofilm community of S. mutans and S. gordonii, only 4.2% ± 3.8% and 11% ± 5% of S. mutans survived at 10 μM and 5 μM, respectively (P < 0.05) (Fig. 3C). Over 33% ± 10% of S. gordonii survived at 10 μM, and the survival rate reached 80% ± 5% at 5 μM (Fig. 3D). In a three-species biofilm, the inhibitory profile was similar to those of the dual-species biofilms (Fig. 3C and D), supporting the idea that the compound has modest selectivity toward the cariogenic bacterium S. mutans.
Fig. 3.
Effects of the most potent small-molecule compound 2A4 on S. mutans in multispecies biofilms. S. mutans was grown with S. sanguinis, S. gordonii, or both in biofilm media and treated with DMSO or 2A4. Cell growth (A) and biofilm formation (B) in the multispecies biofilms were determined. The survival percentages of S. mutans (C) and each commensal streptococcus (D) treated with 2A4 were calculated. The percentage of cell growth or biofilm formation in 2A4-treated groups was calculated based on that of the DMSO control groups (100%). Values represent the means ± standard deviations from three independent experiments.
The most active compound altered cariogenic biofilm structure.
The effect of the most active compound 2A4 on biofilm structures of cariogenic bacteria was assessed by confocal laser scanning microscopy. Upon treatment with 2A4 at 1 μM, S. mutans cells were randomly distributed over the surface without large aggregates, and vertically elongated colonies were sporadically scattered on the biofilm substrate (Fig. 4A). In the control group (treated with DMSO), S. mutans cells clustered together and formed thick and firm typical biofilms (Fig. 4B). Vertical sectioning (Fig. 4C and D) revealed that the biofilm in the DMSO-treated group (14.15 ± 0.81 μm) was at least twice as thick as that in the 2A4-treated group (5.85 ± 0.72 μm). These data suggested that the structure of the S. mutans biofilm was disrupted by the active small molecule. There were no significant differences between 2A4-treated and -untreated biofilms from S. sanguinis (Fig. 4E and F) and S. gordonii (Fig. 4I and J). In biofilms formed by S. sanguinis, the thicknesses for the compound-treated group and DMSO-treated group were 7.98 ± 0.54 μm and 8.20 ± 0.57 μm, respectively (Fig. 4G and H). In biofilms of S. gordonii, the thicknesses for the two groups were 4.76 ± 0.10 μm and 5.19 ± 0.10 μm, respectively (Fig. 4K and L). Interestingly, the biofilm architectures of the three strains in the control groups were quite different from each other, albeit their biomass was similar. The biofilm formed by the S. mutans strain was much thicker than that formed by the other two strains. The biofilm of S. gordonii appeared compacted and lacked elaborated architecture. The z-section image revealed that the biofilm of S. gordonii was continuous (Fig. 4K and L).
Fig. 4.
Biofilm structures analyzed by confocal laser scanning microscopy. The left panels represent biofilms treated with 2A4, and the right panels represent control biofilms treated with DMSO. The top views (A, B, E, F, I, and J) and vertical sections (C, D, G, H, K, and L) of the biofilms by S. mutans (A, B, C, and D), S. sanguinis (E, F, G, and H), and S. gordonii (I, J, K, and L) are depicted. The biofilms were stained by SYTO 9 and examined with confocal laser scanning microscopy. The scale bar is 10 μm.
The small-molecule compound altered expression profiles of biofilm-associated genes.
To explore potential mechanisms of the inhibition, we examined the effect of the most potent small molecule on the expression of a number of biofilm-associated genes. The relative expression level of the chosen genes was evaluated by real-time quantitative reverse transcription-PCR (RT-PCR). Compared with the DMSO-treated group, six biofilm-associated genes were significantly downregulated after treatment with compound 2A4 in planktonic cells (P < 0.05) (Fig. 5A). These genes were ftf, pac, comDE, relA, gbpB, and gtfB. Only three biofilm-associated genes, ftf, pac, and relA, were significantly affected upon treatment of the biofilm cells (P < 0.05) (Fig. 5B). However, no significant difference in the expression of these altered genes was observed between the treated and untreated groups (P < 0.05) from both S. gordonii (Fig. 6A) and S. sanguinis (Fig. 6B).
Fig. 5.
Expression of biofilm-associated genes by S. mutans. Planktonic (A) and biofilm (B) cells treated with 2A4 were harvested and used to extract RNA; expression of biofilm-associated genes was examined by real-time RT-PCR. A number sign represents a significant difference observed from comparison of the DMSO-treated group with the 2A4-treated groups. The mRNA expression levels were calibrated using 16S rRNA. Values represent the means ± standard deviations.
Fig. 6.
Expression of biofilm-associated genes in commensal streptococci. Planktonic and biofilm cells from S. sanguinis (A) and S. gordonii (B) were treated with 2A4, harvested, and used to extract RNA. The expression of biofilm-associated genes was examined by real-time RT-PCR. The mRNA expression levels were calibrated using 16S rRNA. Values represent the means ± standard deviations.
The small molecule reduced production of two biofilm-associated adhesins, antigen I/II and GTF.
Two cell surface proteins are differentially involved in adhesion and biofilm formation by S. mutans. Antigen I/II, a surface-anchored protein, is responsible for the binding of S. mutans onto tooth surfaces in the absence of sucrose. GTF, a glucosyltransferase, synthesizes glucan polymers in the presence of sucrose. We evaluated the effect of 2A4 on the production of these two adhesins. Compared with the DMSO-treated group (Fig. 7A, lanes 1 and 3), the production of the two putative virulence determinants in both planktonic and biofilm cells was reduced significantly in the 2A4-treated cells (Fig. 7A, lanes 2 and 4). Since anti-SBR antibody recognizes antigen I/II homologs in S. sanguinis and S. gordonii, we also evaluated the effect on these homologs. The compound had no effect on production of antigen I/II homologs from S. sanguinis (Fig. 7B, lanes 1 and 2) and S. gordonii (Fig. 7B, lanes 3 and 4).
Fig. 7.
Effect of the small-molecule compound 2A4 on production of bacterial adhesins. Planktonic and biofilm cells from S. mutans (A) and S. sanguinis and S. gordonii (B) treated with DMSO (lanes 1 and 3) and 2A4 (lanes 2 and 4) were harvested, and protein samples were extracted and subjected to Western blotting for antigen I/II and GTF using anti-SBR and anti-Glu antibodies. Heat shock protein 70 (HSP) was used as an internal protein reference to control protein loading in each sample.
DISCUSSION
A series of small molecules derived from marine natural products have been shown to inhibit biofilm formation of diverse bacteria (13, 29). These compounds demonstrated antibiofilm activity against Gram-negative Pseudomonas aeruginosa, Acinetobacter baumannii, and Bordetella bronchiseptica and Gram-positive Staphylococcus aureus biofilms through a nonmicrobicidal mechanism. In this study, we screened a focused library and identified small molecules that inhibited the cariogenic bacterium S. mutans but did not inhibit two commensal colonizers, S. sanguinis and S. gordonii. The active compounds possess similar chemical structures, suggesting that there is a correlation between structure and activity. It is well known that biofilm cells are often more resistant to antimicrobial compounds than planktonic cells. On the contrary, more biofilms of S. mutans were inhibited (50%) than those of the planktonic cells (27%) when the most potent compound 2A4 was used, indicating that the compound has modest selectivity toward inhibiting biofilms, albeit it has microbicidal activity. Importantly, the compound not only inhibited biofilm formation of S. mutans in a monospecies model but also selectively inhibited S. mutans when it was cocultured with commensal S. sanguinis and/or S. gordonii in multispecies models. As oral biofilms are multispecies communities that develop through a variety of coadhesive, nutritional, metabolic, and signaling interactions among diverse constituent organisms (32), the identification of a selective small-molecule inhibitor will help to specifically inhibit pathogenic bacteria. A similar approach of “targeted killing” of cariogenic S. mutans in both planktonic and biofilm cells has been devised using a hybrid peptide that combined an S. mutans-specific binding peptide and an active antimicrobial peptide (specifically targeted antimicrobial peptides [STAMPs]) (6, 19). Such a strategy is desirable to achieve effective therapies. Together, these studies have demonstrated that antibiotics play a role in fighting against susceptible bacteria as well as regulating microbial biofilm communities (21). Furthermore, the identified small-molecule inhibitor will be a useful probe to explore the molecular mechanism underlying how S. mutans responds to the inhibitor while the commensal streptococci avoid inhibition. The small molecules we identified may functionally resemble analogues identified as quorum-sensing molecules which possess antibacterial activity via their ability to lyse bacterial cells (15). The active small molecules we report here may interact with the cell membrane of S. mutans and alter the pH gradient of the membrane, which explains why they have bactericidal effects. Additional studies are required to further delineate these potential mechanisms.
In the present study, the effect of the compound on the structures of S. mutans biofilms was also assessed using a noninvasive analytical method, CLSM (23). It was worth noting that untreated S. mutans formed a thicker biofilm with an elaborated architecture, while the biofilms formed by the commensal streptococci S. sanguinis and S. gordonii were much thinner and compacted. Although biofilm masses derived from S. mutans, S. gordonii, and S. sanguinis were comparable, the effects of 2A4 on the elaborated biofilms formed by S. mutans, but not on the biofilms formed by commensal streptococci, were evident, supporting the concept that the small-molecule compound is selective against S. mutans. The molecular mechanism underlying this phenotype response is not clear. The biofilms formed by S. mutans possessed putative water channels, which were embedded into the thick biomass as an integral part of the biofilm structure. The water channels are a potential target for the selective compound, and as such, channels were not evident in the treated biofilms formed by S. mutans, a phenotype that has been observed in Pseudomonas aeruginosa biofilms grown in the presence of quorum-sensing inhibitors (33). It should also be noted that the water channel has been linked to low efficacy of antibiofoulant agents (27, 37). The precise impact of the small-molecule compound on the water channels of S. mutans biofilms awaits further studies.
Alternatively, 2A4 could selectively target bacterial adhesion, the first step in the formation of biofilms. Indeed, 2A4 reduced the production of two important adhesion molecules that are involved in surface binding of S. mutans. Concurrent with the reduced biofilm formation in the presence of 2A4, we observed decreased production of antigen I/II and GTF by S. mutans. Antigen I/II is a cell surface fibrillar protein, which is related to the initial adherence of S. mutans to salivary pellicle. In contrast, the compound had no impact on the production of antigen I/II homologs from S. sanguinis and S. gordonii, indicating that it indeed has a selectivity toward antigen I/II produced by S. mutans. Glucosyltransferase (GTF) is another important adhesion molecule from S. mutans. It can synthesize water-soluble and water-insoluble glucans, which play a major role in plaque biofilm formation and bacterial pathogenesis (45). Consistent with this, expression of two genes, pac and gtfB, coding for antigen I/II and GTF of S. mutans were significantly downregulated by compound 2A4. However, the compound failed to inhibit expression of the homologous genes of S. sanguinis and S. gordonii, supporting the idea that it possesses selectivity toward S. mutans.
To adapt to a community biofilm lifestyle, biofilm cells undergo extensive phenotypic changes, in which an array of genes are up- or downregulated. Our studies revealed that 2A4 altered expression of six biofilm-associated genes in planktonic cells of S. mutans. These genes included the adherence-associated gene pac (24), glucosyltransferase gene gtfB (10, 42), glucan binding protein-encoding gene gbpB (36), acid-producing gene ftf (16, 38), relA, and regulatory gene comDE. They have been linked to different steps of biofilm formation. The relA gene encodes guanosine tetra (penta)-phosphate synthetase and is also involved in the acid tolerance of S. mutans, another key virulence property of its cariogenesis (18). The regulatory gene comDE is a part of the quorum-sensing cascade of S. mutans (20). However, expression of other biofilm-associated genes, including smu630 (1), brpA (41), secA (11, 40), and luxS (31), was not affected by treatment with the small molecule. These results support the notion that the compound selectively targets certain biofilm-related pathways. Indeed, only three biofilm-associated genes (ftf, pac, and relA) were downregulated in the biofilm cells of S. mutans. Differential effects of the small-molecule inhibitor on biofilm and planktonic cells further support the idea that the small-molecule compound possesses selectivity against biofilms. As we tested only a small number of biofilm-associated genes from S. mutans, our studies may not represent the complete picture of how the small-molecule inhibitor interacts with the biofilm genetic network. Therefore, future studies using genomic or proteomic approaches may shed more light on the effect of 2A4 on biofilm-associated signaling regulation (35).
In conclusion, our studies have identified small molecules that have selectivity against S. mutans. Furthermore, our studies have revealed the differential effects of the small molecule 2A4 on expression of biofilm-associated genes, suggesting that a selective mechanism is linked to the mode of action of the small-molecule inhibitor. As biofilm formation is a dynamic process that is associated with metabolic and signaling networks (43), the impact of the small molecule on biofilm biology requires further investigations.
ACKNOWLEDGMENTS
We thank Tom Wen from LSU for providing us with GFP-tagged S. mutans UA159. We thank Noel Childers from UAB for providing the anti-SBR and anti-GLU antibodies.
This work was partially supported by NIH/NIDCR grant 011000 (H.W.), by an IADR/GSK Innovation in Oral Care Award, and by the North Carolina Biotechnology Center and Keenan Institute (C.M.).
Footnotes
Published ahead of print on 14 March 2011.
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