E. cloacae, a member of the ESKAPE group, is one of the important nosocomial pathogens which can form biofilms on abiotic surfaces, including medical devices. Biofilm formation is a highly regulated, complex, and dynamic process mediated by multiple genetic, physiological, and environmental factors. Since biofilm formation is one of the key entities which imparts virulence to most of the organisms, the present study investigated the potential role of curli, an important proteinaceous component of the biofilm matrix, in the biofilm formation of an pathogenic environmental isolate (non-clinical) of E. cloacae (SBP-8) (Khan et al., 2020). To the best of our knowledge, the role of curli in biofilm formation by E. cloacae is underexplored. To understand the role of curli, we generated a knockout mutant of csgA, the structural protein, and monomer of curli fimbriae, employing ʎ red-recombinase system.
The preliminary screening of curli using CR assay confirmed the curli production by E. cloacae SBP-8 at both 25 and 37℃. Since CR can also bind to other bacterial factors like cellulose, we used ΔcsgA mutant of E. cloacae. The loss of colour in the mutant bacterial colony confirmed that the colour change on CR-agar plate was due to curli production (Fig. 1). CR assay is a standard method for curli production and has been used to confirm it in E. coli (Reichhardt et al., 2015). It has also been well-documented in E.coli O157:H7 that congo red affinity is strongly dependent on the curli production at both 25 and 37°C temperatures (Sharma and Bearson, 2013). Similar findings have been reported in various members from the family of Enterobacteriaceae which includes to enterotoxigenic E. coli, Citrobacter freundii, C. koseri/farmeri, E. aerogenes, E. cloacae, E. sakazakii, Klebsiella oxytoca, K. pneumoniae, Proteus mirabilis, and Raoultella ornithinolytica which showed binding to Congo red 25 and 37°C (Zogaj et al., 2003; Szabó et al., 2005).
To investigate the role of curli in biofilm production by E. cloacae SBP-8, crystal violet (CV) assay was performed under static conditions at 25 and 37°C. Decreased biofilm formation in ∆csgA mutant at both temperatures and all the surfaces clearly indicated that curli does play a role in biofilm formation by E. cloacae. A similar observation was reported in E. coli K-12 and E. coli strain MG1655, where curli deficient strains adhered less to the surface (Beloin et al., 2008; Azam et al., 2020). Another report on E. coli also showed that the curli facilitates attachment and provides a scaffold for the maturation of biofilms, where it was shown to adhere to polyurethane sheets at both 25 and 37°C (16). However, the effect of csg gene deletion on biofilm formation was highest between 48 to 72 hrs of biofilm development at different surfaces. It highlights that curli is primarily required for adhesion during the initiation of biofilm formation and the development of multi-layered cell clusters on various surfaces (Prigent-Combaret et al., 2000; Le Thi et al., 2001). Similar studies have shown that curli is important for different strains of E. coli, including O157:H7 and STEC (Shiga toxin-producing E. coli) to attach to the biotic and abiotic surfaces such as glass, stainless steel, polystyrene, and stainless steel (Cookson et al., 2002; Jain and Chen, 2007; Uhlich et al., 2009). Another study demonstrated that attachment and biofilm formation on glass and polystyrene surfaces by curli-producing Salmonella strains was more efficient than non-curli-producing strains (Austin et al., 1998).
To correlate the role of curli with biofilm formation at the molecular level, we further quantified the expression of csgA, a structural gene of curli at 25 and 37°C. In general, the curli fibers are known to be expressed at a lower temperature (25–30°C) as observed in our study as well, but not at 37°C in various enteric bacteria (Kikuchi et al., 2005). On the contrary, we observed csgA expression also at 37°C on all the surfaces mentioned above. Our observation aligned with the study carried out in different pathogenic strains of E. coli only including six pathogenic isolates of E. coli O:157, E. coli O157:H7 (Ben Nasr et al., 1996; Uhlich et al., 2001; Gualdi et al., 2008). Similar findings have been reported in STEC E. coli, where it has been demonstrated that the maturation of the biofilm cannot take place without the expression of curli at 37°C (Dewanti and Wong, 1995). As mentioned earlier, curli is expressed at 37°C in the case of E. coli K-12, helping in a strong attachment to the polyurethane sheets (Kikuchi et al., 2005). Our results infer that expression of the curli at 37°C is favourable for the organism to adhere to the biotic and abiotic surfaces and is thought to be strain-dependent owing to the complex regulatory network governing curli biogenesis (Gophna et al., 2001). Natural variation in curli production has been reported for E. coli isolates and STEC O157:H7 populations originating from diverse environments (Maurer et al., 1998; Scheuerman et al., 1998; Carter et al., 2016).
Our gene expression analysis also showed that curli is required for attachment on the above-mentioned surfaces at both temperatures. We found increased curli expression on the glass surface, an enteral feeding tube (PVC), and a latex foley catheter. Medical implants, including catheters and stents implanted into the human body, are primarily vulnerable to colonization by biofilms (Austin et al., 1998). Various findings have shown that curli helps in attachment to hydrophilic surfaces. Biomaterials owing to their roughness and irregularities in the polymeric substances, provide easy bacterial adhesion and attachment to the bacterial colonies. Our data also significantly depicted that biofilm formation was more on medical devices than the glass surface (Eginton et al., 1995; Scheuerman et al., 1998). It has been reported that particular surface structures, such as type I secretion system and curli fimbriae, enable the cells to stabilize onto the surface (Ryu et al., 2004).
The overall reduction in the biofilm formation by E. cloacae SBP-8 ΔcsgA gives us an insight that the curli in enteric bacteria could potentially contribute towards the colonization on various surfaces. Although not yet formally demonstrated, our observations support the notion that curli could indeed be expressed by E. cloacae SBP-8 growing in-vivo, especially in biofilm, where environmental conditions and selective pressures are considerably different from in vitro conditions. Thus, once expressed, curli will have the capacity to interact with human cells at physiological temperatures and contribute to the pathophysiology of bacterial infectious disease.
Our CLSM analysis of biofilm formed by E. coli strain W3110 under static conditions at 30°C revealed that the curli is restricted to the micro-colony formation stages. In contrast, the mutant ΔcsgA strain showed lesser adhesion to the surface with low cell density (Besharova et al., 2016).
Curli have been identified as a morphological envelope structure of major importance for biofilm formation in E.coli (Vidal et al., 1998). Our findings through FESEM analysis demonstrated that curli is required for biofilm formation on various surfaces. Since the wild-type strain produced substantially thicker layers of cells than the mutant strains, it appears that curli stabilizes intracellular contacts allowing aggregation to occur and thereby increasing the biofilm thickness (Austin et al., 1998). Similar to the function of thin aggregative fimbriae, curli produced by diarrheagenic E. coli plays an influential role by forming stiff colony phenotypes and cell clumping to facilitate strong adhesion (Collinson et al., 1992). Similar to our observations, several studies using SEM and TEM have shown a clear role of curli in mediating cell-to-cell contact and forming thick bundles which bind cells together onto the surface in enteropathogenic E. coli (Giron et al., 1991). Auto aggregation was shown to be high in ompR234 E. coli K-12, suggesting that this property results from the formation of interbacterial curli bundles formation (Sohel et al., 1996; Vidal et al., 1998).
Altogether, the results obtained in this study allow us to draw up a model that explains biofilm development on abiotic surfaces. Curli plays a fundamental role in two steps required for biofilm development: initial bacterial attachment and three-dimensional biofilm formation. Curli helps in adhesion and becomes an important requirement by the bacterial cells to attach to the varying surface with different physio-chemical properties. Although curli have been shown to mediate the binding of host proteins in the mammalian host, we speculate that the varying conditions encountered outside the host enhance curli expression. Our study shows that curli are more precisely adapted to bacterial attachment on inert surfaces. To cope successfully with diverse environmental conditions, it seems convincing that E. cloacae SBP-8 may possess adaptive programs for optimizing growth and survival in each ecological niche as demonstrated through our study.