18 - Biofilms & Quorum Sensing Flashcards
Biofilms
- Organised community of microbial cells
- Enclosed in extracellular polysaccaride substances (EPS)
- Adhere to a living or non living surface
- Channels allow nutrients and O2 to reach most of the biofilm community
Sessile
Microbes living attached to surfaces
Planktonic
Free floating bacteria
What % of human infections are associated with biofilm
65-80%
Medical devices that may be colonised with biofilms
- Catheters
- Prostheses
- Contact lenses
- Heart valves
Dental plaque
- Biofilms are initiated by adherence of primary colonisers (normal flora) to glycoprotein receptors on tooth surface via adhesins (e.g. fimbriae/pili)
- Adherence of secondary colonisers to primary colonisers via co-aggregation
- Process continues –> complex, multispecies biofilm = plaque
Co-aggregation
- Adhesin of secondary colonisers recognises CHO receptor on surface of primary colonisers
- OR adhesin of primary colonisers recognise CHO receptor on surface of secondary colonisers
Secondary colonisers
May be normal flora (e.g Strep. mitis) or pathogens (e.g. Actinobacillus)
Corn cob formation
Binding of streptococci to a filamentous bacterium such as Fusobacterium nucleatum
Calculus
- Salivary calcium and phosphate leads to calcified plaque mass
- Bacterial toxins within calculus can lead to chronic inflammation
Process of development of dental plaque on enamel surface
A: Attachment of coccal bacteria
B: Bacteria multiply to form microcolonies
C: Bacteria embedded in matrix
D and E: Bacterial diversity increases, rods and filaments appear
F: corn cob formations appera
Most complex biofilm
Plaque, with about 500 species
Healthy tooth
- Plaque levels low, early colonisers predominantly gram +ve aerobic cocci
- High plaque levels causes anaerobic environment which leads to shift in bacterial flora (to gram -ve anaerobic rods, including opportunistic pathogens)
What are sessile biofilm bacteria more resistant than planktonic bacteria to
- Antibiotics
- Antibody/complement mediated lysis
- Phagocytosis
Extracellular capsular material of biofilm bacteria
- Diffusion barrier to antibodies, complement and antibiotics
- Inhibits macrophage binding
- Protects cell from hydrolytic enzymes released by phagocytes
Phenotypic changes within biofilm that induce antibiotic tolerance
- Decreased antibiotic diffusion through capsular material
- Increased expression of specific genes in biofilm (e.g. antibiotic efflux pump genes upregulated)
- Bacteria deep in biofilm are in metabolically inactive state (antibiotic target is inactive so cell is less susceptible)
Antibiotic tolerance
The ability of a microorganism to survive, but neither grow nor die, in the presence of an antibiotic
Antibiotic that only works if cells are dividing
Penicillin