A unique aspect of the workshop was the time allocated to discussion groups. The topics were collated based on ideas contributed anonymously during the virtual meeting (via a free online virtual collaboration platform at Mural.com). During the in-person meeting, we then developed and matured these fragmented ideas into more distinct lines of thoughts through collaborative brainstorming and discussion sessions. Some of the key topics that were discussed in sessions of focus groups included the following:
Currently, there is no shortage of perspective pieces and review papers that present opinions on possible directions for biofilm research (
7–11) as well as for interfacing these studies with significant technological or conceptual breakthroughs such as metabolomics, liquid-liquid phase separation (
12), single-cell transcriptomics (
13), and microbiome studies (
14–16). Indeed, some of the topics we selected overlap with established interests within the field where concrete roadmaps for future research directions were laid as have been put forward recently for the biophysics of biofilms (
17). We moved our discussions beyond the traditional borders of the biofilm field by asking questions that represent a mix of balanced practical pragmatism with more expansive thinking that should drive exciting new research discoveries. Here, we aim to summarize the discussions of a subset of these key topics (see
Fig. 1), based on the concepts that are attributable to the leaders of the discussion groups (whose names are provided below) and to the enthusiastic and active workshop participants of each discussion group.
Eukaryotic tissues and biofilms: implications of the analogy (Thorsten Mascher and Pascal Silberzan)
Led by Thorsten Mascher, a microbiologist and a speaker of the Deutsche Forschungsgemeinschaft-funded Priority Program “Emergent Functions of Bacterial Multicellularity,” and Pascal Silberzan, a physicist and a well-known expert in the field of wound healing in eukaryotic model systems, this discussion group highlighted key points in the analogy between bacterial and eukaryotic tissues. At the same time, it also exposed many open questions that are yet to be addressed to understand biofilm formation from a tissue-like perspective.
One of the first questions raised was “why do we need to compare bacteria with eukaryotes”? Most of the discussion panelists agreed that the value of this analogy lies in our ability to compare the knowledge about the processes that govern the formation of tissues in both study systems, allowing each system individually to then be reconsidered in light of what is known about the other. The discussion then revolved around the following three questions.
What is a tissue?
This almost philosophical question was raised in an attempt to base the comparison between bacterial and eukaryotic tissues on a solid definition. A different way of phrasing this question was “under which conditions should we not look at individual cells but rather at a group of cells”? This discussion brought more questions than solutions. Since the discussion group was composed of people from multiple disparate fields of the study, initially there was a divide between those who favored a biological definition and those who favored a physical one. Then, however, participants converged on the following criteria, shared by both bacteria and Eukarya, for defining a group of cells as a tissue:
•
Localization in space: a tissue is a stationary group of cells that is located in a specific locus in space.
•
Cellular differentiation/cell death: cells in a tissue are differentiated to perform specific tasks. Similarly, cells in biofilms are differentiated into groups of cells that are each performing distinct tasks, even if just temporarily. Dying cells were noted as a subgroup of cells that contribute to the biology and the physics of the whole tissue/biofilm.
•
Function: tissues of differentiated cells evolved to perform certain functions. A bone serves to stabilize the organism mechanically; a blood vessel serves to deliver nutrients to all body parts and collect waste; and the skin provides a barrier protecting the inner layers from pathogens, chemicals, and physical disturbances. Many analogies of these processes exist in biofilms: fibrous extracellular matrix proteins and polysaccharides provide mechanical stability; water-filled channels enable nutrient and waste transport; and secretion of surfactants and reduced metabolic activity at the biofilm surface minimize the activity of antimicrobial agents.
•
Specific material properties (e.g., viscosity, elasticity, or a combination of both): the different functions of tissues are enabled by their specific mechanical properties. For example, inner tissues tend to be softer than skeletal tissues (e.g., bone), which provide an organism with mechanical stability. In the context of biofilms, in contrast, mechanical properties are not yet spatially resolved.
•
Extracellular matrix: an extracellular matrix was brought up as one of the integral parts of both eukaryotic tissues and bacterial biofilms; a separate session was dedicated to discussing the extracellular matrix (see the section on “The extracellular matrix of biofilms and eukaryotic tissues (Matthew Chapman, Meytal Landau, and Regine Hengge)”).
What are the similarities between bacterial and eukaryotic tissues?
In line with these criteria, several differences between bacteria and eukarya were mentioned.
Quorum sensing is key in cell-to-cell communication in bacterial systems, but it is unclear whether eukaryotic cells use the same type of communication to identify which cells should form a group or tissue. What is the parallel of quorum sensing in eukaryotic tissues? One possibility is to compare morphogen gradients with quorum sensing, for example, when signaling molecules diffuse in space and time during embryo development, which leads to local morphogenesis of cells (
18). Another interesting possibility is to compare the physical phenomenon of jamming (
19) to quorum sensing. Jamming occurs when eukaryotic cells spread in different directions: where they meet, they form a jamming point where they become stalled and immobile (
20). Sensing the forces at the jamming point may serve as a mechanical signal to the cells that they reached confluency and that they populated the available area, similarly to the outcome of quorum sensing.
Cell adhesion on a single and collective level is a major feature of eukaryotic tissues. Bacteria possess a certain arsenal of adhesion proteins, with pili and fimbria being the most known appendages mediating adhesion (
21,
22). Interestingly, in cases where adhesion takes place in bacterial systems, it is typically reversible and there is no permanent commitment to the group of nearby cells. An additional aspect of adhesion was reflected in the possibility to disperse. Biofilm dispersal appears in every textbook, and it is accepted as common knowledge, but do biofilms really actively disperse? If so, what is the mechanism? Do cells detach from the matrix, as was mentioned in the talk by Regine Hengge for
Pseudomonas aeruginosa bacteria, or do they instead perhaps digest the matrix? Are there apoptotic signals in biofilms? Are the antibiotic “cannibalism systems” of some bacteria serving this function of culling a subset of sister cells (
23,
24)? This led to the next point, a discussion on the existence of lifecycles in microbial and eukaryotic systems.
The existence of lifecycles
An example here is necessary, and the most common one comes from plants. In the plant kingdom, seeds develop into plants that then produce fruits that contain seeds that go on to form plants, and the cycle repeats. The analogous cycle in biofilms would be that a spore germinates to form a vegetatively growing cell, which divides, spreads, and forms a biofilm; some cells in biofilms differentiate into spores; and spores then get dispersed, acting as seeds that close this cycle. Similar lifecycle analogies can thus be drawn across distinct kingdoms of life. Indeed, this portion of the discussion primarily led to open questions that were not accompanied by any ready answers but could stimulate ideas in our readers:
•
What is the minimal tissue?
•
Is the time course of biofilm formation similar to that of eukaryotic tissues? More precisely, in many biofilms, a cohort of cells is required before the extracellular matrix is secreted. Is this the same in eukaryotic tissues?
•
Is it obligatory for cells to form a tissue? Should any aggregate of cells and extracellular matrix that has a detectable, specific function be considered a tissue?
•
Can we refer to biofilms as facultative tissues?
The extracellular matrix of biofilms and eukaryotic tissues (Matthew Chapman, Meytal Landau, and Regine Hengge)
The discussion in this group was on bacterial extracellular matrix led by experts Matthew Chapman, Meytal Landau, and Regine Hengge. Their expertise covers both extracellular matrix proteins (Matthew, Meytal, and Regine) as well as polysaccharide components (Regine) from complementing directions, including structural, mechanistic, and regulatory aspects. This discussion centered around two major topics.
Comparison between microbial and eukaryotic extracellular matrices
Early on during the discussion, there was an agreement in the group that bacterial (
25–27) and eukaryotic (
28,
29) ECMs are similar conceptually because they share the same general composition (namely, polysaccharides, proteins, and sometimes nucleic acids) and also because they share similar roles (e.g., structural stability). However, they are different at the molecular scale, harboring different compositions. This is hardly surprising because in eukaryotes, the matrix varies even between different tissues of the same organism, and its composition is different across bacterial species. Molecular differences are translated to different mechanical properties, and it was stated that the eukaryotic ECM is less robust than the bacterial one and that some bacterial ECMs include amyloid or amyloid-like fibers, which are rather stiff.
A recurring question in this group discussion also evolved around the reversibility of biofilms. Specifically, if aged biofilms disperse into the environment (through the cycling mechanism discussed above), is this the result of matrix decomposition or do the cells separate from their ECM and leave it behind? (
30)
The relationship between microbial and eukaryotic extracellular matrices
The interactions between bacterial biofilms and eukaryotic tissues were initially questioned: are there really biofilms in the human body? This question was raised because the conditions that lead to biofilm formation in common laboratory settings are distinct from the conditions that exist in and on the human body. For example,
Escherichia coli produces the biofilm matrix at 20°C in the laboratory; do
E.coli cells produce the matrix at the much higher temperatures of our mammalian bodies, or do they, perhaps, use the matrix already produced by the host? Can different ECMs be shared by different bacteria? Can the ECM be shared between bacteria and the host? How do bacterial and eukaryotic ECMs physically and mechanically interact with each other? If the mixing of ECMs takes place, what happens at their interface? Do ECM components phase-separate? Do matrix-producing and non-producing cells mix or do they phase-separate? These are just a few of the many outstanding questions that were raised by participants and serve as potential research directions for the future. Indeed, one relevant phenomenon is the segregation of matrix-forming biofilms. Multiple participants shared their observations of a physical barrier seemingly forming between two wild-type colonies growing nearby; such a barrier does not exist or is less pronounced when two matrix mutants are growing and even spreading into each other. In some cases, the mechanisms of such colony boundaries have been identified. For example, existing data indicate that the lipopeptide surfactin is important in defining kin and nonkin relationships in
Bacillus species (
31), while other types of self-recognition systems lead to biofilm colony boundaries in
Proteus mirabilis (
32).
The rest of the discussion was mainly centered on biofilms in the context of disease, such as those caused by bacteria in the oral cavity and inflammatory bowel disease (
33,
34). The link between oral cavity disease and bacterial diversity is well established (
35–37), but, here, participants focused on the effects of the bacterial ECM on the accumulation of metal ions (
38) and the deposition of minerals, such as calcium carbonate (
39) and calcium phosphate (
40), particularly during the formation of dental tartar or hardened plaque (
41–43). An interesting question that arose was about the differences (if any) between the polymorphs of these crystals when they form around biofilms in the laboratory and when they are isolated from patients’ tartar. The latter formed in natural environments with innate bacteria intact and thus were likely exposed to a greater bacterial diversity than would be present in laboratory experiments.
The relationship between the bacterial ECM and human diseases has been recently noted in the context of neurodegenerative disease, where amyloid proteins or peptides are thought to be transferred across species (
44). In this discussion group, it was mentioned mostly with respect to the interface between the ECM and the immune system. More specifically, the general question being asked was as follows: does the ECM activate an immune response in the host? This question is intriguing because most bacterial ECM components are polymers rather than small molecules. We will dive more into that topic in the subsection on biofilms and host immune response below.
This group discussion also left some open questions that the reader may be interested in:
•
How do individual cells interact with their own matrix?
•
Can cells actively control their ECM’s properties?
•
What is the relationship between matrix components (e.g., exopolysaccharides such as cellulose and extracellular DNA) and signaling second-messenger compounds such as cyclic di-GMP and cAMP?
•
How does the synthetic ECM compare with the natively produced ECM? Do they share mechanical properties? Adhesive properties? How and to what degree do the physical properties of the biofilm (viscoelasticity, adhesivity, and microstructure) impact the efficacy of phagocytosis and other immune responses?
The ECM is central for determining the mechanical properties of the biofilms and thus also mediates how the cells sense their mechanical environment. The next subsection is devoted to this phenomenon.
Mechanosensing by single cells and in biofilms (Nicolas Biais and Stefan Klumpp)
This discussion session was led by Nicolas Biais, an experimentalist specializing in mechanomicrobiology, and Stephan Klumpp, a theoretical physicist studying a broad set of topics, including modeling cell motility and transport by molecular motors. The discussion started with the realization of the need to specify the definition of mechanosensing (which is relevant for both eukaryotic and bacterial worlds). On the triggering side, there is a signal or a stimulus, but are these terms the same? A signal is often related to an intention to sense, but sensing may be non-specific, and it was therefore agreed that the term “stimulus” rather than “signal” may be more appropriate for the trigger of a sensation. A stimulus may be sensed actively or passively. Taking examples from humans, a passive reaction to a force stimulus is a reflex (e.g., when you hit a certain area on your knee and it jumps unwillingly). An active reaction to a force is related to intention, for example, the probing touch of a fruit before we decide to put it in our shopping bag. These examples from our everyday lives lead to the question: do bacteria have intentions to actively probe their environment or is mechanosensing by bacteria solely passive? An example of passive mechanosensing is magnetotactic bacteria that use a self-formed intracellular magnet to navigate by the magnetic field of the Earth, as was discussed in the talk by Stefan Klumpp (
45). However, the adhesion of bacterial cells to each other or to other cells is probabilistic, and therefore, it may be claimed that mechanosensing by bacteria is not entirely passive, as was discussed in the talk by Vernita Gordon (
46).
Mechanosensing thus is triggered by a mechanical stimulus, and, in order for this stimulus to lead to a response, it needs to be transmitted. Mechanosensing therefore involves mechanotransmission, which then leads to a certain activity, such as, for example, altered gene expression levels. Mechanosensation can also be distinguished based on what is sensed: interactions with the environment, or other cells, or changes occurring to the cell itself. Additionally, sensation can be performed by a single cell or by a group of cells. In the context of a single bacterial cell, the envelope of bacterial cells is composed of peptidoglycans and a membrane, which are the possible objects on which a stimulus can act. It is currently unclear how flexible the bacterial envelope is and to which extent it can respond to external stimuli, particularly compared to the eukaryotic cell. Here, the previously discussed analogy with eukaryotes (see the first two discussion group topics above) is more challenging: eukaryotic cells possess more advanced mechanosensing mechanisms both because mechanical stimuli may be sensed by the cytoskeleton in addition to the cell envelope and also due to specific mechanosensitive protein complexes and channels in the cell and nuclear membranes (
47). That said, while bacterial and eukaryotic cells may not be all that similar in their mechanosensing potential and mechanisms, borrowing ideas for mechanosensing from eukaryotes may provide the basis for the terminology to describe mechanosensing in bacterial systems.
The question of immediate practical relevance is how to experimentally test mechanosensing in bacteria. A few plausible candidate processes to focus on are the triggers of turgor pressure and tension and their relationship to sensing elements of mechanosensitive channels (
48), pili (
49), and flagella (
50). It would also be interesting to address whether bacteria respond to stimuli in a digital or analog manner. In a digital-type stimulus response, the sensor reacts above a certain threshold, whereas in an analog-type stimulus response, the reaction of the sensor is proportional to (and scales with the magnitude of) the stimulus. Similarly, it would be interesting to understand whether a bacterium can distinguish the “sign” of the stimulus, for example, discriminating “pushing” from “pulling” forces.
Sensing is also what happens when the immune cell encounters bacteria, whether at the molecular signaling or at the mechanical level. In the next discussion group, we contemplated biofilms in the context of host immune responses.
Biofilms and host immune response (Susanne Häußler and Matthias Hannig)
This focus session was chaired by Susanne Häußler (Head of the Department of Molecular Bacteriology at the Helmholtz Center for Infection Research), who is leading a unique global effort on DNA and RNA sequencing of clinical P. aeruginosa isolates, and Matthias Hannig, Head of the Department of Tooth Retention, Periodontology, and Preventive Dental Care of the Saarland University Hospital, whose research focuses on oral biofilms.
While much still remains to be learned about both the topics of biofilms and the host immune response, considering them in synergy might lead to important and practical discoveries that help treat microbial diseases. One emerging idea here is that the human-associated biofilms that exist in equilibrium with the immune system might be considered a constituent tissue or a part of the human organism. In the oral cavity, healthy, homeostatic, multi-species bacterial populations prevent the dominance of pathogenic (cariogenic) strains and serve as a protective barrier against infections (
35); a similar situation occurs in the digestive system where gut bacteria not only work to exclude pathogens but also perform additional metabolic tasks (
51). Overcoming the technical difficulty of separating bacterial and eukaryotic genomes and then performing DNA and RNA sequencing of both biofilms and host or patient tissue would lead to important correlative analyses of the preferred microbiome and possible crosstalk and interactions between hosts and their colonizing bacterial strains.
In the context of antimicrobial peptides and their relation to COVID-19 infection (discussed in a talk by Gerard Wong), the question of vaccination against caries was brought up. Indeed, anti-caries vaccines (in practice vaccination against
Streptococcus mutans) were tested in animals as early as in the 1970s, together with local spray vaccines (as now also being tested for COVID); however, they were not deemed commercially interesting. A further challenge is that in a dysbiotic oral microbiome, often multiple bacterial strains are cariogenic; once again, this redirects us from thinking about the disease being caused by a single bacterium to instead recognizing that they may be multi-species and that neglecting apparent microbial bystanders might be a dangerous oversimplification. A related strategy to treat a disease is to impose homeostasis by introducing a certain probiotic strain of bacteria, which has also been implemented using non-pathogenic
S. mutans mutants and other bacterial strains in the context of caries (
52). For predicting how promising this replacement strategy is, it is critical to understand how bacteria “talk to each other” (see the key point below).
One very active effort in studying bacterial interactions with the immune system is in the area of anti-tumor bacterial therapies. This therapeutic approach builds on the natural abilities of bacteria to localize to certain tumors and uses genetically engineered bacterial strains that produce location-specific toxins. The novel twist is the usage of bacteria in the tumor environment to activate or modulate the immune system when the tumor cells are evading the immune response. Here, the importance of extracellular matrix modification induced by tumor cells (
53) may have an interesting analogy with matrix production and regulation by bacterial biofilms (following the ideas of the second discussion topic above). Another blind spot of the immune system is the surfaces of medical implants, where it cannot reach a biofilm, emphasizing the importance of biofilm formation at biotic-abiotic interfaces. Several key technologies were mentioned during the discussion that address the aforementioned challenges, including experiments using germ-free (microbiome-free) mice that, together with rapidly evolving omics approaches, permit a high level of control on which bacterial species are present and provide the most natural environment for disease models. As was frequently highlighted, the interdisciplinary effort of integrating medical and basic research experts is critical in solving questions in this area of research.
How cells in biofilms “talk” to each other (Michael Meijler and Rachel Neve)
The leaders of this session are both experts in bacterial interactions, with Michael Meijler (Ben-Gurion University of the Negev) representing the chemistry perspective and Rachel Neve (postdoctoral researcher in Elizabeth Shank’s group) highlighting the biological aspects of this topic.
The ability of cells to interact and communicate with each other is critical for the collective lifestyle of cells in bacterial biofilms that would benefit from the advantages offered by diversity and communal division of labor (
9). Within these multi-species communities, bacteria interact through physical and chemical mechanisms. One of the first points brought up during our discussions was a concern about the connotation of the word “communicate” itself. Cells communicating implies
intent, which clearly microbes are incapable of, leading participants to suggest the need for a more neutral word. This concern harkens back to longstanding semantic discussions in the bacterial cell-cell interaction field regarding the use of the term “signal” and efforts to disambiguate it from a “cue” when discussing microbial communication systems. Both “signals” and “cues” benefit the organisms that can receive or sense these molecular indicators (
54). In contrast, the term “signal” has been codified (in evolutionary theory developed in animal systems) to indicate systems that have evolved due to their ability to alter the behavior of the organisms receiving these signals and where the receiving organisms have also evolved specific responses to those signals (
54,
55). In spite of the terms “signal” and “cue” being used interchangeably in common parlance, the necessity for precise language describing these different scientific paradigms has implications for how we shape predictions about the outcomes of these interaction systems (
54). Indeed, some participants argued that the language used is relevant in terms of altering the theoretical framework with which we interpret the results from interaction studies. Interestingly, a similar discussion on definitions was brought up in the discussion group on mechanosensing: distinguishing between a signal and a stimulus. Here, the use of a more neutral and less personified term to describe these phenomena would benefit the field, which is perhaps why “microbial interactions” are commonly evoked. This phrase more generically represents the potentially reciprocal—but also potentially one-sided—bacterial “communication” that may be occurring within natural systems. This ambiguity may be both useful and necessary during early studies, where the precise nature of the signal or cue is not yet known.
In addition to these linguistic issues, several technical issues were discussed on our ability to examine and study cellular interactions and communication within biofilms. Most natural biofilms are three-dimensional structures, many of which are “thicker” than can be examined using traditional optical microscopy. This poses issues for accurately probing the heterogeneous environments distributed throughout microbial biofilms and exploring how microbes are interacting within them. There are additional challenges with measuring the temporal dynamics of these interactions, which are critically important to understanding which cells are interacting over time within the biofilms. In addition, there remains the challenge of being able to not only identify and localize the relevant interacting bacterial cells but also simultaneously identify the signals produced by them to affect one another. While theoretically these barriers can be overcome using multimodal imaging techniques that integrate diverse spectroscopy approaches, their effective implementation can be difficult. The generation of tools that are more generally available to broad sets of researchers that enable these types of studies would greatly advance our understanding of microbial interactions within biofilms.
In terms of which model systems should be used to study microbial interactions, there remains—as has been true for decades—a tension between environmental relevance/complexity and experimental amenability/tractability (
56). Not unexpectedly, some participants argued that using more native-like systems (perhaps
via enrichments to simplify the complexity and diversity of the communities) would yield the most relevant data. The trade-off for this environmental relevance is that when more species are present, it becomes harder to detect and distinguish relevant signals due to the masking of the interactions through the system’s complexity. With more simplified systems, it becomes more straightforward to track down and identify potential molecular cues and signals, which can then be verified for activity in more natural systems. The caveat of the reductionist approach is that identifying which microbes best represent the critical functional attributes of native systems is highly challenging. For example, efforts to identify relevant microbes extracted from native settings often rely on bulk analyses, where the disconnection between the relevant spatial scales can lead us astray; the “bulk” analysis of microbes coming from a single grain of sand on a millimeter scale (an example brought up in Roberto Kolter’s talk) would indicate a single interconnected bacterial community, where, in reality, it can be a number of much smaller isolated microscopic patches: the sample size still remains orders of magnitude larger than that of individual microbial cells. In a way, this is equivalent to assuming that all people within an area a mile square are “interacting” with one another!
Understanding spatial relationships between bacteria and whether they are transient or conserved will similarly impact our understanding of the evolutionary conservation of these signals since many signals likely act over short spatial scales, and thus microbes may only “talk” to others in close physical proximity, as was discussed in the talk by Avigdor Eldar (
57). In addition, these evolutionary relationships may affect whether there are any signaling
principles that may be conserved across many microbes and their communication mechanisms, or whether each identified interaction needs to be considered as a unique entity. Overall, these considerations reinforce the need to experimentally validate any interactions we identify in the laboratory using simplistic systems back in their original environments, as well as not to overinterpret findings from laboratory systems.
One proposed approach to the dual challenges of both selecting study systems that replicate the diversity and function of natural communities and how to normalize results across research groups is offered by fabricated ecosystems (EcoFABs) (
https://eco-fab.org) (
58–60). In these laboratory study systems, physical chambers provide standardized growth environments to facilitate intra- and inter-laboratory reproducibility, facilitating the comparison of microbial responses to diverse variables and the utilization of more native-like communities. These tools require the consensus of the community in selecting which variables should be conserved across the EcoFABs but will then enable the generation of imaging, omics, and phenotyping datasets that build productively on other scientists’ work.
Overall, the take-home messages from the discussions in this group (which in fact are also applicable to the several previous key topics) were as follows. First, we need to work to expand the tools available and being utilized. Second, we need to normalize the types of data we can collect (i.e., multimodal dynamic imaging over time; using conserved study systems and microcosm environments) and thus enable all of our results to be more broadly applicable. It remains important to use modest experimental study systems and to then not overstate the ecological implications of our findings without first translating these studies into more realistic natural settings.