Infection with
Campylobacter jejuni is the leading cause of food-borne bacterial gastroenteritis in the developed world and is often associated with the consumption of undercooked poultry products (
19). The United Kingdom Health Protection Agency reported more than 45,000 laboratory-confirmed cases for England and Wales in 2006 alone, although this is thought to be a 5- to 10-fold underestimation of the total number of community incidents (
20,
43). The symptoms associated with
C. jejuni infection usually last between 2 and 5 days and include diarrhea, vomiting, and stomach pains. Sequelae of
C. jejuni infection include more-serious autoimmune diseases, such as Guillain-Barré syndrome, Miller-Fisher syndrome (
18), and reactive arthritis (
15).
Poultry represents a major natural reservoir for
C. jejuni, since the organism is usually considered to be a commensal and can reach densities as high as 1 × 10
8 CFU g of cecal contents
−1 (
35). As a result, large numbers of bacteria are shed via feces into the environment, and consequently,
C. jejuni can spread rapidly through a flock of birds in a broiler house (
1). While well adapted to life in the avian host,
C. jejuni must survive during transit between hosts and on food products under stressful storage conditions, including high and low temperatures and atmospheric oxygen levels. The organism must therefore have mechanisms to protect itself from unfavorable conditions.
Biofilm formation is a well-characterized bacterial mode of growth and survival, where the surface-attached and matrix-encased bacteria are protected from stressful environmental conditions, such as UV radiation, predation, and desiccation (
7,
8,
28). Bacteria in biofilms are also known to be >1,000-fold more resistant to disinfectants and antimicrobials than their planktonic counterparts (
11). Several reports have now shown that
Campylobacter species are capable of forming a monospecies biofilm (
21,
22) and can colonize a preexisting biofilm (
14). Biofilm formation can be demonstrated under laboratory conditions, and environmental biofilms, from poultry-rearing facilities, have been shown to contain
Campylobacter (
5,
32,
44).
Campylobacter biofilms allow the organism to survive up to twice as long under atmospheric conditions (
2,
21) and in water systems (
27).
Molecular understanding of biofilm formation by
Campylobacter is still in its infancy, although there is evidence for the role of flagella and gene regulation in biofilm formation. Indeed, a
flaAB mutant shows reduced biofilm formation (
34); mutants defective in flagellar modification (
cj1337) and assembly (
fliS) are defective in adhering to glass surfaces (
21); and a proteomic study of biofilm-grown cells shows increased levels of motility-associated proteins, including FlaA, FlaB, FliD, FlgG, and FlgG2 (
22). Flagella are also implicated in adhesion and in biofilm formation and development in other bacterial species, including
Aeromonas,
Vibrio,
Yersinia, and
Pseudomonas species (
3,
23,
24,
31,
42).
MATERIALS AND METHODS
C. jejuni strains and growth conditions.
Campylobacter jejuni strains were cultured in a MACS-MG-1000 controlled-atmosphere cabinet (Don Whitley Scientific) under microaerobic conditions (85% N2, 5% O2, 10% CO2) at 37°C. For growth on plates, strains were either grown on brucella agar, on blood plates (Blood Agar Base no. 2 [BAB], 1% yeast extract, 5% horse blood [Oxoid]), or on BAB with Skirrow supplements (10 μg ml−1 vancomycin, 5 μg ml−1 trimethoprim, 2.5 IU polymyxin B). Broth culture was carried out in brucella broth (Becton, Dickinson and Company). A Jouan EB115 incubator was used for aerobic culture at 37°C, and a Sanyo MCO-20AIC incubator was used for culture under 10% CO2 in air at 37°C.
Two variants of
C. jejuni strain NCTC 11168 were used: a motile strain (11168Mot) and its nonmotile (aflagellate) derivative (11168Non-mot). A
C. jejuni NCTC 11168
flaAB mutant (11168Mot::
flaAB) was created by transformation of the motile strain with chromosomal DNA from
C. jejuni strain R2 (81116
flaAB::Km
r) (
41) using standard protocols (
16,
39).
Motility and autoagglutination assays.
The motility of
C. jejuni was assessed on soft-agar plates, as described previously (
22). For soft-agar assays, 5 μl of an overnight culture was spotted onto brucella medium supplemented with 0.4% agar, left to dry for 30 min, and incubated under microaerobic conditions for 2 days. Autoagglutination (i.e., cell clumping and sedimentation) was measured as described previously (
12,
17), by monitoring the decrease in
A600 following incubation in a cuvette at room temperature under aerobic conditions.
Crystal violet biofilm assays.
Crystal violet staining was used for measuring biofilm formation, as described previously for
C. jejuni and other bacteria (
2,
9,
29). For each assay, a 50-μl single-use glycerol stock, routinely stored at −80°C, was plated onto a BAB plate with Skirrow supplements, and these cells were used to inoculate fresh brucella broth. Cultures were grown microaerobically with shaking overnight at 37°C. The overnight culture was diluted to ∼1 × 10
9 CFU ml
−1 in fresh brucella broth, and 1 ml was added to a sterile borosilicate glass test tube. Tubes were incubated without shaking at 37°C under microaerobic or aerobic conditions, or under 10% CO
2 in air. Three replicates for each strain under each condition were used for each assay; three independent experiments were conducted. To determine the number of viable cells, prior to crystal violet staining, a sample of the planktonic cells was serially diluted in phosphate-buffered saline (PBS), and dilutions were plated onto brucella agar plates. After 2 days of growth, colonies were counted, and CFU counts ml
−1 were calculated.
For crystal violet staining, tubes were washed with water and then dried at 60°C for 30 min. One milliliter of a 1% crystal violet solution was added, and the tubes were incubated on a rocker at room temperature for 30 min. Unbound crystal violet was washed off with water, and the tubes were dried at 37°C. Bound crystal violet was dissolved in 20% acetone in ethanol for 10 min and was then poured into cuvettes, and the A590 was measured.
Microscopy.
A 25-ml volume of sterile brucella broth was inoculated with 750 μl of an overnight culture (∼ 1 × 10
9 cells). Sterile twin-frosted microscope slides (VWR International) were inserted into the tubes, and cultures were grown without shaking under microaerobic or aerobic conditions. After 1 to 5 days, slides were removed and washed once with distilled water. One side was cleaned, and the other side was examined using a Nikon Eclipse 50i microscope at magnifications of ×400 and ×1,000. For crystal violet staining, slides were stained with 1% crystal violet for 5 min and were then washed with water to remove unbound crystal violet. The microcolony pixel area was measured using ImageJ software (version 1.41; National Institutes of Health [
http://rsbweb.nih.gov/ij/ ]).
Congo red assay.
Overnight cultures were prepared as described for the crystal violet biofilm assays. The overnight culture was diluted to ∼1 × 109 CFU ml−1 in fresh brucella broth supplemented with 0.01% (wt/vol) Congo red (Hopkin and Williams Ltd., United Kingdom), and 1 ml of this solution was added to sterile borosilicate glass test tubes (Corning, United Kingdom). Tubes were incubated without shaking under microaerobic or aerobic conditions, or under 10% CO2 in air, at 37°C for 2 days. The culture supernatant was carefully removed with a pipette, and the tubes were washed with 500 μl PBS (10 mM phosphate buffer, 137 mM NaCl [pH 7.5]) to remove unbound Congo red. Tubes were dried for 30 min at 60°C and were developed in 1 ml of 50% ethanol in PBS (pH 7.5) for 10 min before the A500 of the solution was read. Three technical replicates were used for each condition, and data were obtained from three independent experiments.
Shedding of viable cells from preformed biofilms.
Two-day-old C. jejuni biofilms were incubated aerobically as described under “Crystal violet biofilm assays” above. Instead of being washed and stained with crystal violet, tubes were washed twice with 1 ml sterile PBS, and 1 ml fresh sterile brucella broth was added to each tube. Viable cells in the culture supernatant were determined by plating serial dilutions on brucella agar plates immediately after washing or after 24 h at 37°C under microaerobic or aerobic conditions. Data were obtained from three independent experiments.
DISCUSSION
One of the conundrums of zoonotic diseases caused by
C. jejuni is that the organism is a very successful pathogen which survives during transmission under stressful aerobic conditions, yet it is an obligate microaerophile which survives poorly under controlled aerobic conditions. Compared to other food-borne pathogens, such as
Escherichia coli and
Salmonella enterica serovar Typhimurium,
C. jejuni has a low infectious dose (500 to 800 CFU [see reference
4]). While this may contribute to infection, it remains unclear what allows the bacterium to survive during transmission under aerobic conditions. Survival in a biofilm would be an explanation, and in our study we have demonstrated that the level of biofilm formation by
C. jejuni is clearly increased under aerobic conditions, that the presence of flagellum-dependent motility results in increased biofilm formation, and that biofilms are a reservoir of viable cells.
It has been reported previously that flagellar expression is required for biofilm formation by
C. jejuni under microaerobic conditions (
21,
22,
34), and our results comparing the motile wild-type strain with both a nonmotile strain and a
flaAB mutant are in agreement with the findings of these previous studies (
21,
34). Likewise, in other bacterial species, loss of flagella and motility defects have often been shown to result in a biofilm defect (
3,
23,
24,
31,
42). We observed, though, that the absence of flagella does not completely abolish biofilm formation, since aflagellate
C. jejuni strains also display increased biofilm formation under aerobic conditions (Fig.
1A). Hence, in
C. jejuni biofilms, flagella may improve or facilitate initial attachment or biofilm structuring but are not essential for this process. Flagellar motility is, however, likely to be critical for motility toward a preexisting biofilm. In our experiments, in a growing biofilm, we cannot distinguish between cell division within the biofilm and recruitment of planktonic cells to an existing biofilm; however, an initial attachment stage is necessary for the initiation of biofilm formation. In light of our data, we suggest that there may be both flagellum-dependent and flagellum-independent mechanisms of attachment and biofilm formation in
C. jejuni. In addition to the role of flagella in surface attachment (
17), the flagella may also be coopted as a system for the secretion of nonflagellar extracellular proteins, as has been shown for FlaC (
36), CiaB (
25), and FspA (
33). These secreted proteins may contribute to the biofilm lifestyle. The correlation between autoagglutination and biofilm formation is in agreement with published experiments (
17) showing that flagellar glycosylation mutants have both an autoagglutination and a biofilm defect. Clearly, the nonmotile strains used in this study represent the extreme end of this scale, given that they are devoid of flagella.
The observation of bacterial flocs in the supernatants of biofilm cultures and the relatively high numbers of cells liberated from a preformed biofilm show that viable cells are readily shed from a biofilm (Fig.
4A). In other organisms, biofilm dispersal can be a coordinated response to environmental signals, such as nutrient-induced dispersal in
Pseudomonas aeruginosa (
30) or flow-induced dispersal in
Shewanella oneidensis (
38).
C. jejuni may lack this coordinated response and may instead rely on continual shedding of cells into the environment, resulting in new populations of planktonic cells. Under unfavorable conditions, these cells may die or reattach to an existing biofilm; however, under favorable conditions, the cells will go on to colonize relevant niches, such as the poultry host (visualized in Fig.
4B). We observed no difference in shedding between motile and nonmotile stains, suggesting that this process is independent of flagella and motility. Clearly, in an environmental setting, motility would be crucial for the colonization of new niches/hosts.
The observation that biofilm formation is enhanced under aerobic conditions suggests that
C. jejuni may be well adapted for survival in the environment in a biofilm. Indeed, under static microaerobic conditions, we can recover viable cells from a biofilm after 50 days of culture (data not shown). The detection of viable cells released by aerobically formed biofilms is consistent with our hypothesis of biofilm-mediated survival of
C. jejuni during transmission in the food chain or the environment. Moreover, we can postulate that the biofilm may provide a microaerobic environment suitable for growth or survival, generating viable cells that are eventually shed into the environment. Indeed, our washing assay clearly demonstrates the role of a biofilm as a reservoir of viable cells. A study of
Campylobacter in multispecies biofilms showed that the species composition of the biofilm is in flux, with changes of as much as 40% every 24 h, demonstrating the role of release of cells from a biofilm (
14). Oxygen has been shown to penetrate a
P. aeruginosa biofilm to a depth of 90 μm (
40), indicating a role of the biofilm in protecting cells from oxygen. In this study, it is not possible to know the growth phase of the planktonic cells in the aerobic culture. However, mutations in genes that affect the stationary phase (polyphosphate kinase 1 and the ppGpp biosynthesis protein SpoT) appear to play a role in biofilm formation (
6,
29).
A recent study postulated that biofilm-grown cells are poorer colonizers of chicks than planktonic cells (
13). However, those investigators' model of the biofilm was agar-grown cells, and while this is an adherent lifestyle, it is perhaps not the most appropriate biofilm model. Our data suggest that in the environment, a
C. jejuni biofilm will more likely act as a reservoir of motile bacteria that can subsequently colonize chicks.
Many questions remain about the role of biofilm formation as an environmental protection mechanism. We have shown that under a relevant environmental stress, the level of biofilm formation is increased; however, further work is necessary to define the signaling mechanisms underlying this response. A number of regulatory proteins have been shown to have a role in biofilm formation by
C. jejuni. Deletion of the gene encoding a histidine kinase sensor (
cprS) enhances biofilm formation (
37), while the absence of the global regulator CsrA causes a biofilm defect (
9). The data presented here may shed new light on the role of these regulators with respect to environmental sensing. Indeed, one can speculate that these regulators may be involved in integrating increased oxygen levels into a global transcription response resulting in a change from a planktonic to a biofilm lifestyle.