Mutans streptococci are biofilm-forming bacteria and are considered to be the primary etiologic agents of human dental caries (
19,
30). They possess a variety of abilities to colonize tooth surfaces and under certain conditions are present in large quantities in cariogenic biofilms and also form biofilms with other organisms, including other streptococci and bacteria (
13,
30,
36). Mutans streptococci produce glucosyltransferase (GTF) enzymes that synthesize glucan from the glucose moiety of sucrose that causes the cariogenicity of the dental pathogens. Although many studies have described the mechanisms of streptococcal adhesion (
17,
24,
37,
41) and coaggregation among oral bacteria (
25,
38), the subsequent process of bacterial accumulation, proliferation, and biofilm formation leading to functional heterogeneous species in the organized sessile community is poorly understood, especially in the presence of sucrose that induces cariogenicity. However, it is likely that the cooperative interactions between mutans streptococci and other oral streptococci play important roles in the development of dental biofilm and caries in the oral cavity (
27,
48,
50,
53).
Streptococcus salivarius is a typical representative of the commensal microflora residents in the oral cavity and is a major constituent of the biofilm colonizing the buccal epithelium, tongue, and dorsal epithelium (
6). This microorganism comprises the majority of the total cultivable flora on the soft tissues of the mouth and possesses a number of important biological activities in lactose uptake and urease production that are thought to contribute to the stability of the oral community (
15,
44).
S. salivarius metabolic products may regulate oral biofilm formation over a considerable distance to integrate the entire oral cavity (
18,
44). When
S. salivarius was cocultured with
S. mutans GS-5,
S. salivarius inhibited
S. mutans biofilm formation (
48). A substance(s) in the culture supernatant from
S. salivarius inhibited the activities of competence-stimulating peptide (CSP) for biofilm formation on polystyrene plates and competency in
S. mutans (
48).
S. salivarius colonizes the surfaces of the oral cavity and is believed to remain a numerically important member of this ecosystem throughout life.
Fructosyltransferase (FTF) is an enzyme that converts sucrose to extracellular homopolymers of fructose, the fructans. Streptococci have at least two types of FTF activity which differ in the structure of the products, inulin (β2→1 fructan) or levan (β2→6 fructan).
S. salivarius produces FTF that converts sucrose to levan (
21). Bacteria that produce fructans also produce enzymes that degrade these polymers (
10). Conversely, strains of
S. mutans and other streptococci generally produce extracellular enzymes that hydrolyze the two primary types of polymers of
d-fructose produced from sucrose using the FTF from oral bacteria (
8,
16,
51). This enzyme, the product of the
fruA gene, is an exo-β-
d-fructosidase that releases fructose from β(2.6)- and β(2.1)-linked fructans and also cleaves fructose from sucrose and raffinose (
9,
11). FTF and FruA were demonstrated to aid in the development of dental caries using various mutant strains of
S. mutans (
12,
23,
35,
42).
MATERIALS AND METHODS
Bacterial strains and culture conditions.
We used S. mutans GS-5 and S. salivarius HT9R, JCM5707, and ATCC 9759. All bacteria were grown in an aerobic atmosphere of 5% CO2, 75% N2, and 20% O2 (GasPack CO2; Becton/Dickinson, Sparks, MD) in brain heart infusion (BHI) broth (Difco Laboratories, Detroit, MI) at 37°C prior to inoculation into 96-well microtiter plates. The bacterial growth was measured as the absorbance at 600 nm at 0, 1, 2, 3, 4, 5, 6, 7, 9, and 22 h after inoculation of S. salivarius HT9R, ATCC 9759, or JCM5707 into tryptic soy broth (TSB; Difco Laboratories) without dextrose and with 0.25% sucrose. S. mutans GS-5 was cultivated with 0, 0.9, 1.9, 3.8 and 7.5 units/ml FruA in a fructanase mixture for 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10 h in TSB without dextrose and with 0.25% sucrose. The bacterial growth was measured as the absorbance level at 600 nm after ultrasonic dispersion (60-W power output) for 10 s.
Biofilm formation assay.
Biofilm formation using each strain was assayed using a method described previously (
48). To evaluate biofilm formation using a dual-species culture of oral streptococci, 20 μl of one bacterial cell suspension (4.0 × 10
4 CFU) (or phosphate-buffered saline [PBS] as a control) was mixed with 20 μl of another cell suspension (4.0 × 10
4 CFU) in 160 μl of TSB without dextrose and supplemented with 0.25% sucrose or 3% sucrose in 96-well (flat-bottom) microtiter plates (Sumitomo Bakelite, Tokyo, Japan). To evaluate the effects of the samples from
S. salivarius and commercial fructanase, 20 μl of a
S. mutans GS-5 suspension (4.0 × 10
4 CFU) was mixed with 20 μl of samples from
S. salivarius and a fructanase mixture (Megazyme, Wicklow, Ireland) that includes exo-inulinase (FruA)-to-endo-inulinase unit ratios of 10:1 or less of fructanase activity, exo-inulinase (Megazyme) and endo-inulinase (Megazyme) from
Aspergillus niger, and 160 μl of TSB with 0.25% sucrose. The biofilm formation assay was performed at 37°C for 10 h or 16 h using 5% CO
2 in an aerobic atmosphere. After the plates were incubated at 37°C for 10 or 16 h, the liquid medium was removed, and the wells were rinsed twice with sterile distilled water (DW). The plates were then air dried and stained with 0.25% safranin-0.5% ethanol-H
2O for 15 min. After plates were stained, they were rinsed with DW to remove the excess dye and then air dried. The biofilm mass was dissolved with 70% ethanol and measured using a microplate reader (Thermo Bioanalysis Japan, Tokyo, Japan). Quantification of the stained biofilm was performed by measuring the absorbance at 492 nm.
Substrate hydrolysis activity.
To assay for fructan or sucrose hydrolysis, soluble fructan (inulin; Nonomoist, Bioland, Chungnam, South Korea) or sucrose (Wako Chemical, Tokyo, Japan) was prepared, respectively. The fructanase was assayed for activity by measuring the appearance of fructose or glucose released from the substrate: 1% inulin-DW or 1% sucrose-DW and TSB with 0.25% dextran (Sigma). Activity was quantitatively expressed as a concentration (units mg
−1 of protein). Fructose or glucose was utilized as the standard for the reaction. Monosaccharide concentration was defined using the method of Bradford (
7) with a commercially available kit (Fructanase Assay Kit [Sigma-Aldrich] or Glucose CII-test [Wako Chemical]).
Preparation of inhibitors from S. salivarius.
BHI extract medium was prepared using dialysis of 37 g of BHI powder/100 ml of DW in a cellulose dialysis membrane (passage molecular weight, 14,000; Viskase Companies, Inc., Darien, IL) in 1 liter of ultrapure DW. S. salivarius ATCC 9759 or HT9R was inoculated into the BHI extract medium with or without 0.25% sucrose and incubated at 37°C overnight. Culture supernatant samples were precipitated using gradual addition to 55% ammonium sulfate at 4°C. The precipitates were collected by centrifugation at 10,000 × g, resuspended in 20 mM Tris buffer (pH 7.4), and dialyzed against Tris buffer at 4°C. The sample was then concentrated using an ultrafiltration centrifugal filter with a cutoff of >10 kDa (Amicon Ultra, Millipore, Billerica, MA). The supernatant sample was applied to a DEAE-Sephacel column (GE Healthcare Bioscience, Buckinghamshire, United Kingdom) preequilibrated with the same buffer. After the column was washed extensively, 7-ml fractions were collected using an elution gradient from 0.15 M to 0.25 M NaCl in 20 mM Tris-HCl buffer at a flow rate of 0.2 ml/min and monitored at UV 280-nm absorbance. The fractions showing absorbance were assayed for suppression of biofilm formation. The active fractions were pooled and concentrated using ultrafiltration with a >10-kDa cutoff. The samples were applied to a Superdex 200 column (20 mm by 750 mm; GE Healthcare Bioscience) equilibrated with 20 mM Tris-HCl buffer, pH 7.4. The column was washed with the buffer at a flow rate of 0.3 ml/min, and these fractionated samples were monitored at UV 280 nm.
MALDI-TOF mass spectrometry and peptide mass fingerprinting.
After SDS-PAGE, the silver-stained protein bands were excised from the gels, and in-gel digestion with trypsin was performed as described previously (
26). Matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) mass spectra were acquired using a Bruker Ultraflex mass spectrometer (Bruker Daltonics Inc., Billerica, MA). The peptide masses were compared to the MSDB database using the Mascot search engine (
http://www.matrixscience.com/cgi/search_form.pl?FORMVER=2&SEARCH=PMF). Search parameters were defined with a mass accuracy of ±0.5 Da and one missing cleavage by trypsin, carbamidomethylation of cysteine, and oxidation of methionine.
Measurement of polysaccharide.
Cell suspensions of S. mutans GS-5 were cultivated with 1.25 or 6.0 units of fructanase/ml at 37°C for 16 h using 5% CO2 in an aerobic atmosphere in TSB with 0.25% sucrose using six-well culture plates. The liquid medium was removed, and the wells were rinsed twice with sterile distilled water (dH2O). To observe polysaccharide in the biofilm, biofilm cells on the six-well plates and planktonic cells were treated with 2 mg/ml dextran-Alexa Fluor 647 (10,000 molecular weight [MW], anionic, and fixable; Invitrogen, Carlsbad, CA) in PBS (pH 8.0) for 30 min at room temperature. After samples were washed with PBS three times, the biofilms or planktonic cells in PBS were poured on glass slides covered with a coverglass. Alexa Fluor-labeled polysaccharide was observed using a fluorescence microscope (BX50; Olympus, Tokyo, Japan).
Statistics.
Comparison of biofilm formation levels among various cultures of single and dual species were performed using analysis of variance (ANOVA). A P value of 0.05 or less was considered to be statistically significant.
Nucleotide sequence accession number.
The sequence fragment of S. salivarius HT9R determined in this study was deposited in the DDBJ database under accession number DRA000072.
DISCUSSION
Two
S. salivarius strains consistently inhibited biofilm formation in our assay using dual-species cultures with
S. mutans GS-5 (
48) and inhibited biofilms as well with other strains and streptococci.
S. salivarius is a non-biofilm-forming bacterium and does not directly communicate with biofilm bacteria on the tooth surface; however, it inhibits biofilm formation by streptococci in the
in vitro assay. Previously,
S. salivarius was found to produce urease enzymes that are thought to contribute to the stability of oral communities (
15,
44).
S. salivarius is the primary bacteria species inhabiting the oral cavity and is distributed throughout the cavity by saliva. Here, we show that FruA produced by
S. salivarius inhibited
S. mutans biofilm formation completely in the
in vitro assay supplemented with sucrose. This was also supported by the inhibition activities of commercial fructanase from
A. niger. The purified samples from
S. salivarius and commercial FruA induced upregulation of glucose concentrations in the sucrose solution, which is a substrate for glucan synthesis by GTF (Fig.
5A). FruA inhibited biofilm formation early in the biofilm formation assay (Fig.
5B). Further, the biofilm did not develop in the culture medium containing sucrose pretreated with FruA before the biofilm assay (Fig.
5C). This suggests that FruA digests sucrose before the production of glucan by GTF, which is secreted after one or more hours of culture of
S. mutans in the medium, and that this glucose after the digestion was not employed for synthesis of glucan. Fructan is not an essential component in streptococcal biofilm formation. Therefore, we propose that the FruA mechanism is the cleaving of sucrose into glucose and fructose rather than inulin digestion.
This study shows that FruA has various identities and similarities among microorganisms. We show that commercial FruA from A. niger with a low identity but similar to other streptococcal FruA inhibited S. mutans biofilm formation completely and showed the same fructanase activity as the FruA purified from the S. salivarius supernatant. Further, FruA also inhibited S. sobrinus biofilm formation. This demonstrates indirectly that fructanase activity may nonspecifically be as important for biofilm development under conditions with supplemented sucrose. FruA produced not only by S. salivarius but also by other streptococci is everywhere in the oral cavity. This suggests that FruA may play an essential role in the development of oral biofilm formation by commensal bacteria and may regulate microbial pathogenicity in the oral cavity.
FruA converts fructan to a fructose; however, this is not the cause for the inhibition of
S. mutans biofilm formation.
S. mutans lacks a complete tricarboxylic acid (TCA) cycle in its respiratory chain; thus, the organism depends entirely on glycolysis to generate sufficient energy for growth (
3,
4,
49), and, therefore, FTF and FruA are needed for the carbohydrate utilization required for growth (
55). The synthesis and subsequent degradation of fructans from sucrose generate energy to enhance growth to increase the cariogenic potential of the organisms. FTF was also identified in the inhibiting samples from
S. salivarius ATCC 9759 and HT9R. FTF converts sucrose to fructan; therefore, 0.25% sucrose in the medium of the biofilm formation assay is consumed by FTF, and the GTF-dependent biofilm formation of
S. mutans may have decreased because of a reduction in the required sucrose concentration. However, the function may be to store carbohydrate after the conversion using its bacterial metabolism. This allows
S. mutans to shunt a readily diffusible substance into a high-molecular-weight polymer that can be accessed over an extended period of time. Further, we suggest that this causes increased amounts of carbohydrate to be converted to acids, increasing the duration of exposure of tooth mineral to a low pH (
12,
13).
Previous reports used isogenic FruA mutants in a program-fed rat caries model to show that FruA is a virulence determinant contributing to the progression of dental caries (
12). This presents a discrepancy in the role of FruA for pathogenic activity of
S. mutans between our data and previous reports. Possibly, in our
in vitro study, exogenous FruA was used in the biofilm formation assay, and, therefore, the enzyme responded quickly to a substrate such as sucrose. In contrast, the isogenic FruA mutant that was used in previous
in vivo reports may not respond quickly and needs time for cell growth, signaling, and production (
12). Therefore, the roles of FruA may be variable and dependent on experimental, environmental, and growth conditions for various streptococci. Another possibility is that the sufficient concentration of sucrose (0.25%) declined after FruA addition, reducing biofilm formation, whereas excess concentrations of sucrose were used in the feed for the rats in the previous
in vivo assay. Sucrose concentration is the key for pathogenic activity of
S. mutans. However, we observed that biofilm formation was not inhibited by addition of samples from
S. salivarius where increased concentrations of sucrose from 0.25% to 3% were used (Fig.
1B). However, the continuous ingestion of food containing excess amounts of sucrose (56%) is not unusual. The role of FruA may depend also on a balance of sucrose concentrations and the homeostatic bacterial metabolism in various environments during biofilm formation and the appearance of pathogenic activity. Recently, a report suggested that some aspects of diet-induced changes in the microbiota composition may be predetermined based on the intrinsic capacity of an individual species to use the substrates being consumed by the host (
46). The investigators speculate that diets enriched in different polysaccharides could result in microbiotas of very different species composition. Therefore, substrates such as sucrose should be used carefully to study
S. mutans pathology to try to simulate concentration levels similar to natural levels in either
in vitro or
in vivo assays.
The glucan binding protein (Gbp) was also identified in the inhibiting substances from
S. salivarius HT9R. The biological significance of the Gbps has not been defined; however, studies suggest that these proteins influence virulence and play a role in maintaining biofilm architecture by linking bacteria to extracellular molecules of the glucan (
5,
43). The Gbps consist of GbpA, GbpB, GbpC, and GbpD. GbpA, GbpC, and GbpD are secreted, and only GbpA and GbpD are released. The extracellular GbpA and GbpD contribute to the scaffolding that allows
S. mutans to build onto the biofilm outward from the substratum (
31). The precise functions of the Gbp have yet to be clearly defined; however, previous reports suggest that
S. mutans Gbps positively affects biofilm formation. Therefore, we considered that Gbp is not an inhibiting factor in the ASP from
S. salivarius for
S. mutans biofilm formation.
Recently, our laboratory reported that inhibitor proteins from
S. salivarius HT9R induced inactivation of the competence-stimulating peptide (CSP) and inhibited CSP-dependent bacteriocin production and biofilm formation by
S. mutans (
48).
Streptococcus gordonii also produces an inhibitor that degrades the CSP and inhibits a bacteriocin produced by
S. mutans GS-5 (
53). CSP encoded by
comC induces competence and antimicrobial activity and is one of the key factors in streptococcal biofilm formation (
40). Therefore, products from
S. salivarius including FruA may inhibit CSP-dependent competency, bacteriocin production, and biofilm formation. The issues remaining are further studies concerning the interactions between
S. mutans and
S. salivarius.
A variety of nonspecific β-
d-fructofuranosidases are found in bacteria, yeast, and fungi. For example, inulinases and levanases are capable of hydrolyzing inulin; levan and sucrose have been isolated from
Bacillus subtilis (
29),
Actinomyces viscosus ATCC 15987 (
33),
S. mutans (
9),
Saccharomyces fragilis (
45), and
Chrysosporium pannorum (
54). Enzymes active for inulin and sucrose but not levan are found in filamentous fungi among the β-fructofuranosidases (I to III) from
A. niger (
52) and
C. pannorum (
54), However, levanases which are specific for levan have been isolated from
S. salivarius KTA-19 (
47) and
Actinomyces viscosus ATCC 19246 (
2). Here, we show that the exo-inulinase from
S. salivarius ATCC 9759 has similar functions to the exo-inulinase from
A. niger in addition to being a levanase. This enzyme function may regulate the biofilm inhibition activity for
S. mutans and other streptococci in
in vitro assays supplemented with sucrose. Therefore, the fructanase from the streptococci may have multiple properties depending on the species, genospecies, and strain. The differences in substrate preferences may be important in the oral cavity, where there are probably multiple types of fructans available as a result of the variable compositions of oral biofilms at different sites in the mouth.
In conclusion, here we demonstrate that FruA plays a central role in inhibition of biofilm formation by multiple species including S. salivarius. However, other factors from S. salivarius may influence biofilm formation, in addition to the influence of FruA and CSP activities. FruA from other streptococci was also involved in streptococcus biofilm formation. Further investigations are needed to evaluate whether the purified recombinant proteins of FruA from various streptococci and mutants of FruA and other components from various streptococci support the multispecies communication mechanisms of the streptococci.