Appl - Environ.microbiol. 2015 Gutirrez 3336 48
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Phage therapy is a promising option for fighting against staphylococcal infections. Two lytic phages, vB_SauM_phiIPLA-RODI
(phiIPLA-RODI) and vB_SepM_phiIPLA-C1C (phiIPLA-C1C), belonging to the Myoviridae family and exhibiting wide host
ranges, were characterized in this study. The complete genome sequences comprised 142,348 bp and 140,961 bp and contained
213 and 203 open reading frames, respectively. The gene organization was typical of Spounavirinae members, with long direct
terminal repeats (LTRs), genes grouped into modules not clearly separated from each other, and several group I introns. In addi-
tion, four genes encoding tRNAs were identified in phiIPLA-RODI. Comparative DNA sequence analysis showed high similari-
ties with two phages, GH15 and 676Z, belonging to the Twort-like virus genus (nucleotide identities of >84%); for phiIPLA-
C1C, a high similarity with phage phiIBB-SEP1 was observed (identity of 80%). Challenge assays of phages phiIPLA-RODI and
phiIPLA-C1C against planktonic staphylococcal cells confirmed their lytic ability, as they were able to remove 5 log units in 8 h.
Exposure of biofilms to phages phiIPLA-RODI and phiIPLA-C1C reduced the amount of adhered bacteria to about 2 log units in
both monospecies and dual-species biofilms, but phiIPLA-RODI turned out to be as effective as the mixture of both phages.
Moreover, the frequencies of bacteriophage-insensitive mutants (BIMs) of Staphylococcus aureus and S. epidermidis with resis-
tance to phiIPLA-RODI and phiIPLA-C1C were low, at 4.05 ⴛ 10ⴚ7 ⴞ 2.34 ⴛ 10ⴚ9 and 1.1 ⴛ 10ⴚ7 ⴞ 2.08 ⴛ 10ⴚ9, respectively.
Overall, a generally reduced fitness in the absence of phages was observed for BIMs, which showed a restored phage-sensitive
phenotype in a few generations. These results confirm that lytic bacteriophages can be efficient biofilm-disrupting agents, sup-
porting their potential as antimicrobials against staphylococcal infections.
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New Lytic Phages against Staphylococcal Biofilms
TABLE 1 Strains used in this study, with origins and phage sensitivities, expressed as efficiencies of plaque formation (EOP)
EOPa
Species Strain Origin Reference phiIPLA-RODI phiIPLA-C1C
S. aureus IPLA-1 Dairy industry surfaces 66 1 —
IPLA-2 Dairy industry surfaces 66 0.98 ⫾ 0.03 —
IPLA-3 Dairy industry surfaces 66 0.87 ⫾ 0.06 —
IPLA-4 Dairy industry surfaces 66 1.03 ⫾ 0.04 —
IPLA-5 Dairy industry surfaces 66 0.91 ⫾ 0.01 —
IPLA-6 Meat industry surfaces 66 1.01 ⫾ 0.03 —
IPLA-7 Meat industry surfaces 66 0.99 ⫾ 0.03 —
0.85 ⫾ 0.11
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IPLA-8 Meat industry surfaces 66 —
IPLA-9 Meat industry surfaces 66 0.92 ⫾ 0.23 —
IPLA-10 Meat industry surfaces 66 0.87 ⫾ 0.07 —
IPLA-11 Meat industry surfaces 66 0.89 ⫾ 0.06 0.09 ⫾ 0.01
IPLA-12 Meat industry surfaces 66 0.79 ⫾ 0.05 —
IPLA-13 Meat industry surfaces 66 1.02 ⫾ 0.03 —
IPLA-14 Meat industry surfaces 66 0.96 ⫾ 0.02 —
IPLA-15 Meat industry surfaces 66 1.02 ⫾ 0.03 —
IPLA-16 Meat industry surfaces 66 1.23 ⫾ 0.04 1.09 ⫾ 0.07
IPLA-17 Meat industry surfaces 66 1.06 ⫾ 0.01 —
IPLA-18 Meat industry surfaces 66 0.96 ⫾ 0.02 0.39 ⫾ 0.05
IPLA-19 Milk sample Unpublished data 1.12 ⫾ 0.03 —
15981 Clinical isolate 67 0.99 ⫾ 0.02 —
V329 Bovine subclinical mastitis 68 1.01 ⫾ 0.01 —
Staphylococcus lugdunensis ZL5-11 Women’s breast milk 70 0.69 ⫾ 0.04 0.56 ⫾ 0.05
Staphylococcus gallinarum ZL90-5 Women’s breast milk 70 0.71 ⫾ 0.06 0.68 ⫾ 0.01
Staphylococcus kloosii ZL74-2 Women’s breast milk 70 0.46 ⫾ 0.03 0.65 ⫾ 0.01
Staphylococcus pasteuri ZL16-6 Women’s breast milk 70 0.45 ⫾ 0.06 —
Staphylococcus xylosus ZL61-2 Women’s breast milk 70 0.65 ⫾ 0.02 0.56 ⫾ 0.01
Staphylococcus saprophyticus ZL112-15 Women’s breast milk 70 0.89 ⫾ 0.08 0.37 ⫾ 0.04
Staphylococcus sciuri IPLA301 Women’s breast milk 70 0.98 ⫾ 0.05 —
Macrococcus caseolyticus IPLA101 Dairy industry surface Unpublished data 0.65 ⫾ 0.03 0.06 ⫾ 0.03
a
Data are means ⫾ standard deviations calculated for three independent experiments. —, resistance to the phage.
frequency of bacteriophage-insensitive mutants (BIMs) of plank- Parker (BP) agar and were routinely cultured in tryptic soy broth (TSB;
tonic cells was calculated for both phages, and a preliminary charac- Scharlau, Barcelona, Spain) at 37°C with shaking or on TSB plates con-
terization of these resistant bacteria is also presented. taining 2% (wt/vol) bacteriological agar (TSA).
To select S. aureus IPLA16 colonies resistant to rifampin (S. aureus
MATERIALS AND METHODS IPLA16-rifR), 100-l aliquots of overnight cultures were plated onto TSA
Bacterial strains, bacteriophages, and growth conditions. Forty-four plates supplemented with 100 g/ml of rifampin. Plates were incubated
different staphylococcal species and one Macrococcus caseolyticus strain for 16 h at 37°C. Single colonies were picked up and grown in fresh TSB at
were used in this study (Table 1). All the bacteria were isolated in Baird- 37°C with shaking for further studies.
May 2015 Volume 81 Number 10 Applied and Environmental Microbiology aem.asm.org 3337
Gutiérrez et al.
Bacteriophages phiIPLA-RODI and phiIPLA-C1C were propagated phage). SM buffer was added for control purposes. The plates were incu-
on S. aureus IPLA1 and S. epidermidis F12, respectively, as previously bated for 4 h at 37°C, the supernatants were removed, and serial dilutions
described (24). were plated on TSA plates. The cells that were still bound after phage
Bacteriophage isolation and propagation. Bacteriophages were iso- treatment were collected by scratching twice with a sterile swab, sus-
lated from a sewage treatment plant in Colunga, Asturias, Spain. For iso- pended in 9 ml of SM buffer, and vigorously vortexed for 1 min. Serial
lation of staphylococcal phages, 1 liter of sewage was centrifuged twice at dilutions were plated for bacterial counting. For mixed biofilms, S. epi-
13,600 ⫻ g for 30 min, and the supernatant was filtered using 0.45-m dermidis counts were calculated as the differences between total staphylo-
and 0.22-m cellulose acetate membrane filters sequentially (VWR, coccal counts in TSA and the S. aureus IPLA16-rifR counts in TSA supple-
Spain). Enrichment cultures were performed by mixing 20 ml of TSB mented with 100 g/ml of rifampin.
concentrated five times (5⫻ TSB), 80 ml of filtered sewage, and 100 l of Alternatively, the biomass adhered to the well was observed by staining
overnight culture from one of four mixtures of S. aureus strains (mixture with crystal violet (0.1% [wt/vol]) as described previously (25).
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1, S. aureus IPLA3, IPLA4, IPLA6, IPLA15, IPLA16, IPLA17, and IPLA18; Isolation and characterization of BIMs. Bacteriophage-insensitive
mixture 2, S. aureus IPLA5, IPLA8, and IPLA14; mixture 3, S. aureus mutants (BIMs) resistant to phages phiIPLA-RODI and phiIPLA-C1C
IPLA1, IPLA2, IPLA9, and IPLA10; and mixture 4, S. aureus IPLA7 and were obtained from strains S. aureus IPLA16 and S. epidermidis LO5081,
IPLA13). After incubation for 16 h at 37°C, the samples were centrifuged respectively. Aliquots of 100 l of overnight culture of each strain (108
and filtered. A total of three enrichments were carried out to obtain higher CFU) were incubated with 100 l of phage (109 PFU) for 10 min at 37°C.
phage titrations. To assess the presence of phages, 5-l aliquots of the The mixture was then poured onto a 2% TSA plate and covered with 3 ml
supernatants from the different combinations were spotted onto bacterial of 0.7% TSA. Plates were incubated for 16 h at 37°C. Surviving colonies
lawns of each of the S. aureus and S. epidermidis strains following the were picked up and grown in fresh TSB medium for 16 h at 37°C. Bacte-
double-layer technique (24). The presence of an inhibition halo was con- riophage susceptibility was tested by the drop assay (24). The BIM fre-
sidered representative of phage sensitivity. Each inhibition halo was fur- quency was calculated as the ratio between the number of surviving colo-
ther purified to isolate different phages. Two phages were reisolated, nies and the initial number of bacteria incubated in the presence of phage.
propagated, and purified by use of a CsCl continuous-density gradient as Surface hydrophobicity was determined according to the microbial
described previously (24). As host bacteria, S. aureus IPLA1 and S. epider- adhesion to solvents (MATS) assay, using hexadecane (Sigma-Aldrich,
midis F12 were used for the propagation and purification of phages Madrid, Spain) and stationary-phase cells washed with 0.15 M NaCl and
phiIPLA-RODI and phiIPLA-C1C, respectively. adjusted to a final OD600 of 0.8 (26). Each measurement was performed in
Bacteriophage one-step growth curves, EOP, and stabilities at vari- triplicate, and the assay was carried out twice with independent cultures.
ous pHs and temperatures. One-step growth curves were performed with The susceptibilities of S. aureus IPLA16, S. epidermidis LO5081, and
phages phiIPLA-RODI and phiIPLA-C1C, using the sensitive strains S. their respective BIMs to several NaCl concentrations were evaluated by
aureus IPLA16 and S. epidermidis LO5081, respectively, as previously de- determining the 50% lethal dose (LD50) values, defined as the concentra-
scribed (24). Bacteriophage host ranges were determined using phiIPLA- tion of NaCl that inhibited the growth of the strain by 50% compared with
RODI (109 PFU/ml) and phiIPLA-C1C (109 PFU/ml) in the drop test, and the control culture of the same strain growing in standard TSB (0.5%
titrations of the phages were further carried out with all sensitive strains to NaCl). Overnight cultures were diluted to an OD600 of 0.05 in TSB con-
differentiate between infection and lysis due to bacteriocins. The effi- taining different NaCl concentrations (0.5 to 20%). Aliquots of 0.2 ml
ciency of plaque formation (EOP) was determined by dividing the phage were placed into 96-microwell plates (Nunclon D surface; Nunc, Rosk-
titer on the test strain by the phage titer on the reference strain (S. aureus ilde, Denmark). Plates were incubated at 37°C, and growth was monitored
IPLA1 for phage phiIPLA-RODI and S. epidermidis F12 for phage in a Benchmark Plus microplate spectrophotometer (Bio-Rad Laborato-
phiIPLA-C1C). ries) until the control samples reached an OD600 of 0.9 ⫾ 0.1. Growth
The pH stability of the phage particles was tested by incubation in rates were estimated by linear regression after plotting the ln(OD600) as a
Britton-Robinson pH universal buffer (150 mM KCl, 10 mM KH2PO4, 10 function of time during the exponential growth phase, as described pre-
mM sodium citrate, 10 mM H3BO3, with adjustment of the pH in the viously (27). The adsorption kinetics and the adsorption rate constants (k)
range from 3 to 11) for 3 h at room temperature. Similarly, the tempera- of the phages were calculated as previously described (28).
ture stability was examined by incubating the phages in SM buffer (20 Electron microscopy of phage particles. Electron microscopic exam-
mg/liter Tris-HCl, 10 mg/liter MgSO4, 10 mg/liter CaCl2, 100 mg/liter ination was performed after negative staining of the phage particles with
NaCl, pH 7.5) at different temperatures (ranging from 40°C to 90°C) for 2% uranyl acetate. Electron micrographs were taken using a JEOL 12.000
30 min. Phage suspensions in SM buffer at 4°C were used as controls. EXII transmission electron microscope (JEOL USA Inc., Peabody, MA).
Bacterium-phage challenge test with planktonic staphylococcal cul- DNA extraction and protein analysis. To prepare bacterial DNA-free
tures. Ten milliliters of TSB broth was inoculated with an overnight cul- samples for sequence analysis, the purified phages were treated as de-
ture to an optical density at 600 nm (OD600) of 0.05 and then incubated at scribed previously (20). Analysis of virion proteins was carried out by
37°C with shaking until reaching an OD600 of 0.1 (107 CFU/ml). A 100- SDS-PAGE analysis and matrix-assisted laser desorption ionization–tan-
fold dilution of the culture was infected at a multiplicity of infection dem time of flight (MALDI-TOF/TOF) mass spectrometry as previously
(MOI) of 100 (107 PFU/ml). Infected cultures were incubated for 8 h at described (29).
37°C, and samples were taken at 2-h intervals. Phage and cell counts were Bacteriophage genome analysis and characterization. The genome
performed in triplicate. sequences of phages phiIPLA-RODI and phiIPLA-C1C were determined
Biofilm formation and biofilm-phage challenge test. Overnight cul- by GenProbio SRL (Parma, Italy), using an Ion Torrent personal genome
tures of S. aureus IPLA16-rifR and S. epidermidis LO5081 were diluted to machine (PGM; Life Technologies). The MIRA program (version 3.4.0)
106 CFU/ml in fresh TSB supplemented with 0.25% glucose. Aliquots of was used for assembly of genome sequences, resulting in 138-fold cover-
200 l of each single culture or mixture of both strains (100 l of each age for phiIPLA-C1C and 432-fold coverage for phiIPLA-RODI. Addi-
strain) were poured into a 96-microwell plate (Thermo Scientific, Madrid, tional sequencing using specific primers was done to elucidate regions
Spain). Biofilms were grown for 24 h at 37°C. Wells were then washed with ambiguities. Phage genomes were autoannotated using RAST (30)
twice with PBS (137 mM NaCl, 2.7 mM KCl, 10 mM Na2HPO4, and 2 mM and were manually curated. BLASTX and BLASTP were used to search for
KH2PO4; pH 7.4). To test biofilm degradation by each phage, 100 l of SM similar proteins (31). Structural predictions and motif searches were per-
buffer and 100 l of phiIPLA-RODI or phiIPLA-C1C were added to each formed with InterProScan (32). Putative promoters and Shine-Dalgarno
well (109 PFU/well). To test the combined effect of both phages, 200 l of sites were predicted using the software MEME (33) followed by visual
the mixture of both phages was added to the well (109 PFU/well of each inspection. ARNold (34) and TransTerm (35) were used to detect poten-
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FIG 1 (A) Transmission electron microphotographs of phages phiIPLA-RODI and phiIPLA-C1C. (B) One-step growth curves of phage phiIPLA-RODI in S.
aureus IPLA16 and phage phiIPLA-C1C in S. epidermidis LO5081. Values correspond to the numbers of PFU per infected cell in chloroform-treated cultures ()
and untreated cultures (). Each data point shows the mean ⫾ standard deviation for three independent experiments.
tial rho-independent terminators. Putative tRNAs were predicted using all strains were infected by phiIPLA-RODI, whereas phiIPLA-C1C
tRNAscan-SE (36) and ARAGORN (37). Genomic comparison at the nu- infected only three strains. All S. epidermidis strains were infected
cleotide level was made with EMBOSS Stretcher (38) and with MAUVE by phiIPLA-C1C, indicating that phage phiIPLA-C1C is more
(39), using the genome sequences available in public databases (July 2014) specific for S. epidermidis. In addition, 10 different species belong-
for phages of the Myoviridae family infecting Staphylococcus. Before the
ing to the Staphylococcus genus were also sensitive to phiIPLA-
global alignments could be performed, the genomes were manually colin-
earized, placing the arbitrary starting point at the end of the open reading
RODI, and 6 of them were sensitive to phiIPLA-C1C. Both phages
frame (ORF) preceding the large terminase subunit gene. The genome were able to infect the Macrococcus caseolyticus IPLA101 strain
organization of the phages and comparative BLASTN figures were gener- (Table 1).
ated using CGView server (40). Annotation was done on the basis of Virions of both phages were observed by transmission electron
homology with previously described phages. microscopy, and they showed isometric capsids and long contrac-
Statistical analysis. Statistical analyses were performed to establish tile tails typical of the Myoviridae family (Fig. 1A). phiIPLA-RODI
any significant differences between the control and tested strains. The has a capsid of 73 ⫾ 8 nm in diameter and a tail that is 95 ⫾ 8 nm
differences are expressed as means ⫾ standard deviations for three bio- long. phiIPLA-C1C has a capsid of 88 ⫾ 10 nm in diameter and a
logical replicates for all assays and were determined by one-way analysis of
tail that is 110 ⫾ 13 nm long. A double baseplate upon tail con-
variance (ANOVA) followed by the Bonferroni multicomparison test. P
values of ⬍0.05 were considered statistically significant. traction, which is typical of SPO1-related phages, was clearly ob-
Nucleotide sequence accession numbers. The sequences of phiIPLA- served in both phages (41).
RODI and phiIPLA-C1C have been deposited in GenBank under acces- One-step growth curves under standardized conditions were de-
sion numbers KP027446 and KP027447, respectively. termined for both phages (Fig. 1B). The eclipse and latent periods of
phiIPLA-RODI on S. aureus IPLA16 and of phiIPLA-C1C on S.
RESULTS epidermidis LO5081 were 15 and 20 min, respectively. The burst
Bacteriophages phiIPLA-RODI and phiIPLA-C1C, two new sizes were estimated to be 25 and 15 phage particles per infected
members of the Myoviridae family that infect staphylococcal cell for phiIPLA-RODI and phiIPLA-C1C, respectively (Fig. 1B).
species. Two phages were isolated from sewage after enrichment Both phages appeared to be quite stable at temperatures below
with four different mixtures of S. aureus strains. From mixtures 1 60°C, but a total inactivation of the phages at temperatures over
and 4, two phages were further isolated, propagated, and purified, 70°C was observed (see Fig. S1 in the supplemental material).
using S. aureus IPLA1 as the host for phage phiIPLA-RODI and S. Concerning pH stability, a notable reduction of 3.6 log units in the
epidermidis F12 for phage phiIPLA-C1C. The host ranges of the phage titer was observed for phage phiIPLA-C1C at pH 11, while
isolated bacteriophages were determined by testing against a col- phiIPLA-RODI was found to be quite stable at this pH. No viable
lection of 47 bacterial strains (Table 1). Both phages showed a phages were recovered after incubation at pH 3 (see Fig. S1).
wide host range, infecting 81% (phiIPLA-RODI) and 40% The genomic organization of phages phiIPLA-RODI and
(phiIPLA-C1C) of the Staphylococcus strains tested. For S. aureus, phiIPLA-C1C is typical of the Spounaviridae subfamily. The ge-
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FIG 2 Genome organization of phage phiIPLA-RODI and BLASTN comparisons. The outer ring with arrows represents the ORFs of the circularized phage. The
predicted gene functions are also indicated. The different functional modules in the genome are shown by colored shading. BLASTn analysis, whose results are
represented by each inner ring, was performed with the representative phages Twort (dark red), K (green), and (most similar) GH15 (blue).
nomes of phiIPLA-RODI and phiIPLA-C1C are double-stranded tional modules, including genes for long terminal repeats (LTRs),
linear DNA molecules of 142,348 bp (carrying 213 putative ORFs) morphogenesis, cell lysis, and replication/transcription. Further-
and 140,961 bp (carrying 203 putative ORFs), respectively, with more, the phiIPLA-RODI genome carries a tRNA gene between
ORFs preceded by potential Shine-Dalgarno sequences (see Ta- orf18 and orf19, encoding tRNAMet, and three tRNA genes be-
bles S1 and S2 in the supplemental material). Up to 40 and 27 tween orf59 and orf60, encoding tRNAAsp, tRNAPhe, and tRNATrp.
putative promoters (see Table S3), respectively, were identified, The presence of a conserved sequence (TGTCAAGTTAATTT)
and most of them showed AT-rich sequences upstream of the ⫺35 was detected near these tRNA genes, at positions 8852 to 8865,
region and corresponded to middle or early promoters. In addi- 31999 to 32012, and 32179 to 32192, which may be binding sites
tion, 52 and 33 putative rho-independent terminators were pre- for a transcriptional regulatory factor (42). No tRNA genes were
dicted for phiIPLA-RODI and phiIPLA-C1C, respectively (Table identified in the phiIPLA-C1C genome.
S4). Two main transcriptional units were identified in both phages The ends of the genomes of both phages are flanked by LTRs,
(Fig. 2 and 3). which are putatively involved in the recombination of phage ge-
Based on BLAST analysis and conserved domain screening, nomes inside the cell. These regions encode small proteins impli-
putative functions have been assigned to 93 of the predicted ORFs cated in host takeover, redirecting cell metabolism to phage pro-
(44%) from phiIPLA-RODI and 80 of the predicted ORFs (39%) duction (43). The exact boundaries between these LTRs and the
from phiIPLA-C1C (see Tables S1 and S2, respectively). ORFs rest of the genome have not been determined, but comparison
were annotated based on the similarities of phiIPLA-RODI and with the terminal repeat proteins of other phages suggests that
phiIPLA-C1C to phage K (accession number NC_005880) and S. they may span from the TreA (orf192)- to the BofL (orf6)-encod-
epidermidis phage phiIBB-SEP1 (accession number KF021268.1), ing genes in phiIPLA-RODI. In this fragment, genes encoding 28
respectively. putative terminal repeat proteins were detected. In addition to the
Overall, genes of both phages are organized into four func- previously described TreA protein gene, the homologous TreB,
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New Lytic Phages against Staphylococcal Biofilms
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FIG 3 Genome organization of phage phiIPLA-C1C and BLASTN comparisons. The outer ring with arrows represents the ORFs of the circularized phage. The
predicted gene functions are indicated. The different functional modules in the genome are shown by colored shading. BLASTn analysis, whose results are
represented by each inner ring, was performed with the representative phages Twort (dark red), K (green), and (most similar) phiIBB-SEP1 (blue).
TreC, TreE, TreF, TreJ, TreK, TreN, TreP, TreU, and TreT protein to the terminase small subunits. The TMP-encoding gene is fol-
genes were recognized in a region of 10,330 bp. In addition, the lowed by two putative genes in phiIPLA-RODI: orf95, which en-
gene for a putative group I homing HNH endonuclease (orf206), codes a tail-associated protein with muralytic activity (as deduced
which is typical of this region, was also identified. In phiIPLA- from the presence of a CHAP domain); and orf96, which encodes
C1C, LTRs could be expanded from the pentapeptide repeat a protein with a predicted endopeptidase domain. Moreover, the
protein gene (orf143) to the BofL gene (orf165), with a total of product of orf97 showed homology with glycerol-phosphodiester
11,844 bp and genes encoding 23 putative proteins. In this hydrolytic activities. In phiIPLA-C1C, the TMP-encoding gene is
region, genes for three putative terminal repeat proteins, with followed by four putative genes: orf28, encoding a glucosamini-
homology to TreK (orf150), TreO (orf152), and TreN (orf155), dase; orf29, encoding a lytic transglycosylase; orf30, encoding an
were identified. amidase with a CHAP domain; and orf31, encoding a peptidase.
The morphogenesis module was split into two regions in both The other genes in these modules are likely to encode baseplate,
genomes. In phiIPLA-RODI, these regions (orf67 to orf108 and structural, and assembly proteins. Protein analysis of viral parti-
orf135 to orf139) were separated by the replication/transcription cles allowed the identification of the adsorption-associated tail
module, whereas the LTR region and the replication/transcription protein (orf104), major tail sheath protein (orf85), capsid protein
module were located between the two morphogenetic regions (orf78), and major tail protein (orf136) in phage phiIPLA-RODI.
(orf1 to orf42 and orf169 to orf171) in phiIPLA-C1C. Genes encod- In phage phiIPLA-C1C, a tail protein (orf40), major tail sheath
ing the large terminase subunit, portal protein, prohead protease, (orf18), major capsid protein (orf11), and a hypothetical protein
major capsid, major tail sheath, and tape measure protein (TMP) (orf85) were also identified (Fig. 4).
were identified. The large terminase subunit of phiIPLA-RODI The lysis modules, containing genes involved in bacterial lysis
(orf67) presented a group I intron interspaced in the gene, while (holin and endolysin), were located upstream of the morphoge-
this intron was not present in phiIPLA-C1C (orf2). The remainder netic module. In addition, putative transglycosylase-encoding
of the proteins encoded in these regions failed to show similarity genes (orf53 in phiIPLA-RODI and orf174 in phiIPLA-C1C),
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supplemental material). The internal organization in these re-
gions is highly dependent on the presence of homing endonu-
cleases and transposases. Regarding the LTR region, phage
phiIPLA-RODI shared homology with all the phages except
Twort, phiIPLA-C1C, and phiIBB-SEP1. The phages phiIPLA-
C1C and phiIBB-SEP1 possess a specific organization in the LTR
FIG 4 Analysis by SDS-PAGE and silver staining of the structural proteins of region that is not shared with the other phages. The most vari-
phages phiIPLA-RODI and phiIPLA-C1C. Protein molecular size markers able regions at the nucleotide level are located upstream of the
(kDa) are shown on the left (lane L). Bands marked with white arrowheads LTR region, in which differences regarding the length and gene
were identified by mass spectrophotometry. The proteins in phage phiIPLA- arrangement are found (see Fig. S2).
RODI were the adsorption-associated tail protein (orf104) (1), the major tail
sheath protein (orf85) (2), the capsid protein (orf78) (3), and the major tail
Killing of planktonic staphylococcal cultures by phiIPLA-
protein (orf136) (4). The proteins in phage phiIPLA-C1C were the tail protein RODI and phiIPLA-C1C. Phages phiIPLA-RODI and phiIPLA-
(orf40) (5), the major tail sheath (orf18) (6), the major capsid protein (orf11) C1C had the same lytic activity on S. aureus IPLA16, since no
(7), and a hypothetical protein (orf85) (8). viable bacteria were detected after 8 h of incubation and a consid-
erable decrease of the bacterial population was already achieved
after 6 h of treatment (7.9 log units compared to the control). Note
which may be involved in cell wall hydrolysis, were also identified. that both phages halted growth during the first 4 h, keeping bac-
Moreover, in phiIPLA-C1C, a second holin gene (orf78) was lo- terial counts at 105 CFU/ml (Fig. 5A). When S. epidermidis
cated downstream of the replication/transcription module. LO5081 was infected by either phage, no viable counts were de-
In the replication and transcription module, several genes re-
lated to DNA replication (DNA helicase, DNA primase, resolvase,
DNA polymerase, and DNA repair protein), synthesis of DNA TABLE 2 Comparative genomic analysis of Myoviridae phages infecting
precursors (ribonucleotide reductase), and gene regulation Staphylococcus, using Emboss Stretcher
(sigma factor and integration host factor) were identified. Addi- % similarity
tionally, two direct repeats of 41 nucleotides were found in the
Phage phiIPLA-C1C phiIPLA-RODI
phiIPLA-RODI genome, between orf60 and orf61 (AAAAAGTAC
GTATTTAGAAAATAAGGAACTCTCCTATTATA). These se- phiIPLA-C1C 100 54.8
quences share the 27 first nucleotides with a sequence of 28 nucle- phiIPLA-RODI 54.8 100
G1 54.6 83.5
otides conserved in the Myoviridae family of phages infecting
GH15 54.2 84.3
Staphylococcus (except in phages Romulus, Remus, SA11, phiIBB- JD007 54.1 83.5
SEP1, and Twort). These regions are supposed to be potential K 53.6 81.1
binding sites for the replication initiator protein. Twort 53.4 54.5
A group I intron associated with a VRS endonuclease was de- vB_SauM_Remus 53.6 54.6
tected in the middle of the terminase large subunit gene (orf68) in vB_SauM_Romulus 52.9 54.2
phiIPLA-RODI, while in phiIPLA-C1C, two introns and one in- SA11 54.7 56.2
tein were identified. The group I intron GIY-YIG homing endo- SA1 44.1 44.7
nucleases were located interrupting the ribonucleotide reductase ISP 54.7 83.8
large subunit (orf61) and DNA polymerase (orf69) genes. The in- A5W 54.7 83.2
Sb-1 54.1 79
tein DOD homing endonuclease is encoded after the recombina-
SA5 54.3 83.1
tion protein (orf73). Additionally, in phiIPLA-C1C, two intron- S25-3 55.1 81.2
less ORFs encoding homing endonucleases (GIY-YIG and HNH) S25-4 55.3 80.1
were located in intergenic regions after orf171 and orf185, respec- SA012 54.8 81.6
tively. phiIBB-SEP1 80.2 55.8
Comparative genomics. To perform comparative genomics, P4W 55.1 83.6
genomes of Myoviridae phages infecting Staphylococcus were co- MSA6 54.9 81.7
linearized to start at the terminase large subunit. At the nucleotide Fi200w 55 84.2
level, phage phiIPLA-C1C shares a similarity of 80.2% with the 676Z 55 84.3
only S. epidermidis-specific myophage, phiIBB-SEP1 (Table 2), A3R 55.1 82.6
Staph1N 54.7 83.1
whereas its similarity with the S. aureus phages is ⬍55%, suggest-
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New Lytic Phages against Staphylococcal Biofilms
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above). However, in terms of total biomass, the phage treatment
turned out to be more effective when a mixture of both phages was
FIG 5 Susceptibilities of S. aureus IPLA16 (A) and S. epidermidis LO5081 (B) applied to both an S. epidermidis LO5081 single-species biofilm
to phages phiIPLA-RODI and phiIPLA-C1C. Cell counts of control cultures and the dual-species biofilm (Fig. 6C). Similarly, the treatment
() and cultures treated with phiIPLA-RODI (Œ) or phiIPLA-C1C () are with phiIPLA-RODI was more effective than that with phiIPLA-
represented as log (CFU/ml). Each value corresponds to the mean ⫾ standard C1C. However, in biofilms formed only by S. aureus IPLA16-rifR,
deviation for three independent experiments.
all the treatments were found to have similar detachment abilities.
A phage resistance phenotype has an important fitness cost
and is highly unstable. BIMs of S. aureus IPLA16 after treatment
tected after 8 h of incubation (Fig. 5B). However, phiIPLA-C1C with phiIPLA-RODI (MOI ⫽ 100) and of S. epidermidis LO5081
killed host cells more quickly than phiIPLA-RODI did, and after 4 treated with phiIPLA-C1C (MOI ⫽ 1,000) emerged at frequencies
h of incubation, only 10 CFU/ml viable cells remained. As ex- of 4.05 ⫻ 10⫺7 ⫾ 2.34 ⫻ 10⫺9 and 1.1 ⫻ 10⫺7 ⫾ 2.08 ⫻ 10⫺9,
pected, the number of phages increased in all infected cultures, to respectively. To test whether resistance implies fitness costs, three
about 109 PFU/ml (data not shown). phage-resistant colonies of S. aureus IPLA16 (S. aureus IPLA16-
phiIPLA-RODI proved to be more effective than phiIPLA- R40, S. aureus IPLA16-R53, and S. aureus IPLA16-R71) and two
C1C for removal of mono- and dual-species staphylococcal bio- phage-resistant colonies of S. epidermidis LO5081 (S. epidermidis
films. To perform challenge assays against mono- and dual-spe- LO5081-R49 and S. epidermidis LO5081-R32) were randomly se-
cies biofilms, an S. aureus IPLA16-derived strain that is resistant to lected for further microbiological characterization (Table 3).
rifampin (S. aureus IPLA16-rifR) was isolated, with the same In phage-free liquid cultures, all the BIMs formed aggregates as
phage sensitivity and biofilm formation as its parent (data not observed by optical microscopy (see Fig. S3 in the supplemental
shown). S. aureus IPLA16-rifR and S. epidermidis LO5081 were material). Moreover, the growth rate of BIMs was clearly reduced
grown in both mono- and dual-species biofilms and treated with compared to that of wild-type strains (Table 3). Other parameters
the phages individually and as a mixture. Numbers of surface- indicative of cellular fitness, such as the ability of BIMs to grow in
adhered bacteria were successfully reduced after phage treatment high NaCl concentrations and to form biofilms on polystyrene
(Fig. 6A). In the presence of phiIPLA-RODI, a reduction of 2.43 surfaces, were also determined. S. aureus IPLA16-derived BIMs
log units was achieved for S. aureus IPLA16-rifR, with a reduction were sensitive to 8% NaCl (Table 3), whereas S. epidermidis
of 1.89 log units for S. epidermidis LO5081. Phage phiIPLA-C1C LO5081-derived BIMs showed resistance to NaCl similar to that
showed a reduced lytic ability against both staphylococcal bio- of control cultures. Phage-resistant bacteria of both species had a
films, with reductions in viable counts of 1.84 and 1.16 log units reduced capacity to form biofilms on polystyrene surfaces (up to a
for S. aureus IPLA16-rifR and S. epidermidis LO5081, respectively. 4-fold reduction for S. aureus IPLA16 BIMs and up to a 25-fold
No significant reduction beyond that recorded for individual reduction for S. epidermidis LO5081-R33), except for S. epidermi-
phages was observed on biofilms treated with a mixture of phages dis LO5081-R49, which showed values similar to those of the wild-
(Fig. 6A). type strain (Table 3).
Planktonic cells of S. aureus IPLA16-rifR were more sensitive to Regardless of the phage against which BIMs had arisen, they
lysis by phage phiIPLA-RODI (reduction of 4.27 log units) than were also resistant to either phiIPLA-RODI or phiIPLA-CIC as
by phage phiIPLA-C1C (reduction of 0.76 log unit) (Fig. 6A). well as to phages vB_SauS_phiIPLA88 (44) and vB_SepS_
However, neither individual phage nor the phage mixture was phiIPLA5 (24), two Siphoviridae staphylococcal phages (data not
able to kill planktonic S. epidermidis LO5081 (ANOVA; P ⬎ 0.05) shown). Cross-resistance suggested that impaired phage infection
(Fig. 6A). may have been due to a lower or nonexistent adsorption of phages.
In dual-species biofilms, treatment with phage phiIPLA-RODI The kinetics of phage binding indicated that adsorption of
showed a reduction in adhered cells of 4.27 log units for S. aureus phiIPLA-RODI and phiIPLA-C1C proceeded to 87 to 90% in 15
IPLA16-rifR and of 2.66 log units for S. epidermidis LO5081 (Fig. min for wild-type strains, while the adsorption rates of BIMs were
6B). Treatment of biofilms with phiIPLA-C1C was found to be reduced to 38 to 62% in S. aureus and 23% in S. epidermidis BIMs
more effective than that observed in individual biofilms, with a (Table 3), indicating that phage infection was prevented by low
decrease in the adhered cells of 3.23 log units for S. aureus IPLA16- adsorption of phages to the bacterial surface. Changes in cell sur-
rifR and 2.64 log units for S. epidermidis LO5081. Similar to the face properties were further confirmed by the significantly less
monospecies biofilm challenge, the mixture of phages did not hydrophobic character of the BIMs than of the wild-type strains
clearly improve the results obtained by individual phages. (Table 3).
Regarding the planktonic cells, the efficacy of phiIPLA-RODI To check whether the phage resistance phenotype of BIMs is
May 2015 Volume 81 Number 10 Applied and Environmental Microbiology aem.asm.org 3343
Gutiérrez et al.
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FIG 6 Bacteriophage-mediated removal of 24-h-old S. aureus and S. epidermidis biofilms. Mono (A)- or dual (B)-species biofilms of S. aureus IPLA16-rifR and
S. epidermidis LO5081 were treated with phage phiIPLA-RODI (dark gray), phage phiIPLA-C1C (light gray), or a mixture of both phages (white) for 4 h. Data
on control biofilms are presented in black. Adhered cell counts and supernatant cell counts are expressed as log (CFU/well). The bacterial detection threshold was
10 log (CFU/ml). (C) Alternatively, the biomass was calculated by crystal violet staining of adhered cells after phage treatment. The absorbance was measured at
a wavelength of 595 nm. Means and standard deviations were calculated for three biological replicates. Bars marked with an asterisk are significantly different
from the control (ANOVA; P ⬍ 0.05), and bars marked with “a” indicate significantly different decreases in biomass between the treatment with the mixture of
phages and the individual treatment with either phiIPLA-RODI or phiIPLA-C1C (ANOVA; P ⬍ 0.05).
stable without the selective pressure of phages, BIMs were subcul- show the typical wide host range of polyvalent phages, such as
tured for 57 generations, and their sensitivities to phages phiIPLA- phage K and phi812 (45, 46), in contrast to other monovalent
RODI and phiIPLA-C1C were tested. S. aureus IPLA16-R40, myophages, such as Stau2, Romulus, and Remus (28, 47), whose
IPLA16-R53, and IPLA16-R71 showed a highly unstable pheno- host range is limited to S. aureus strains, and phage phiIBB-SEP1,
type, and sensitive cultures (a defined transparent halo was ob- infecting only S. epidermidis strains (48).
served) were obtained after 27 generations. More variability was From the perspective of feasibility for therapeutic application,
observed for S. epidermidis LO5081 BIMs, as S. epidermidis we determined that the stabilities of phages phiIPLA-RODI and
LO5081-R49 reverted to the sensitive phenotype after 17 genera- phiIPLA-C1C at various pHs and temperatures were very similar
tions, while S. epidermidis LO5081-R33 lost phage resistance only to those described for related phages, such as MSA6 (49) and
after 57 generations (Table 3). Recovery of phage sensitivity was Romulus and Remus (28), and therefore that these phages are
linked to the reestablishment of sensitivity to either phiIPLA- suitable for design of different pharmaceutical formulations by
RODI or phiIPLA-C1C and the two Siphoviridae phages. More- lyophilization (50), spray drying (51), and aerosolization (52).
over, the original growth rate was also restored (data not shown). Bioinformatic analysis of the phiIPLA-RODI and phiIPLA-C1C
genomes showed the typical characteristics of the “Twort-like vi-
DISCUSSION ruses” (Spounavirinae subfamily): strictly virulent, with large ge-
Within the bacteriophage therapy context, we have characterized nomes (127 to 140 kb) containing LTRs, genes grouped into mod-
two new lytic phages, phiIPLA-RODI and phiIPLA-C1C, which ules that are not clearly separated, a few genes encoding tRNAs,
3344 aem.asm.org Applied and Environmental Microbiology May 2015 Volume 81 Number 10
New Lytic Phages against Staphylococcal Biofilms
TABLE 3 Fitness of S. aureus IPLA16 and S. epidermidis LO5081, and their BIMs, against phages phiIPLA-RODI and phiIPLA-C1C, respectivelya
Generation
Biofilm % phage Hydrophobicity after which
Growth rate LD50 of formation adsorption in Adsorption rate constant (k) (% adhesion to reversion
Strain () (h⫺1) NaCl (%) (OD595) 15 min (ml/min) hexadecane) occurred
S. aureus 0.76 ⫾ 0.02 8.14 ⫾ 0.42 1.13 ⫾ 0.06 87.67 ⫾ 3.74 8.9 ⫻ 10⫺11 ⫾ 7.5 ⫻ 10⫺12 85.62 ⫾ 5.47
IPLA16
S. aureus 0.56 ⫾ 0.02* 6.12 ⫾ 0.33* 0.31 ⫾ 0.01* 62.66 ⫾ 2.09* 3.1 ⫻ 10⫺10 ⫾ 7.1 ⫻ 10⫺11* 44.47 ⫾ 7.67* 27
IPLA16-R40
S. aureus 0.59 ⫾ 0.04* 4.80 ⫾ 0.23* 0.28 ⫾ 0.02* 38.33 ⫾ 6.21* 6.5 ⫻ 10⫺10 ⫾ 1.7 ⫻ 10⫺11* 32.13 ⫾ 8.37* 27
IPLA16-R53
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S. aureus 0.49 ⫾ 0.03* 2.82 ⫾ 0.34* 0.41 ⫾ 0.02* 39.66 ⫾ 3.25* 6.2 ⫻ 10⫺10 ⫾ 1.2 ⫻ 10⫺11* 34.77 ⫾ 8.17* 27
IPLA16-R71
S. epidermidis 0.74 ⫾ 0.03 8.23 ⫾ 0.74 9.81 ⫾ 0.38 90.60 ⫾ 8.19 6.5 ⫻ 10⫺11 ⫾ 2.3 ⫻ 10⫺12 95.43 ⫾ 2.06
LO5081
S. epidermidis 0.58 ⫾ 0.02* 8.15 ⫾ 0.25 0.39 ⫾ 0.06* 17.60 ⫾ 7.23* 6.9 ⫻ 10⫺10 ⫾ 1.3 ⫻ 10⫺10* 33.78 ⫾ 6.65* 57
LO5081-R32
S. epidermidis 0.52 ⫾ 0.06* 8.13 ⫾ 0.08 8.99 ⫾ 0.47 23.00 ⫾ 5.69* 9.9 ⫻ 10⫺10 ⫾ 1.7 ⫻ 10⫺10* 77.05 ⫾ 11.31* 17
LO5081-R49
a
Values represent the means ⫾ standard deviations for three biological replicates. The presence of an asterisk indicates those values that are significantly different from those of the
wild-type strain (ANOVA; P ⬍ 0.05).
and the presence of group I introns (42). The genome of phage nome. After biofilm treatment, it was also quite surprising that
phiIPLA-C1C differs from those of the above-mentioned phages detached cells were not killed by phages, except those released
in the lack of genes encoding tRNAs, a peculiarity already ob- from S. aureus IPLA16 biofilms treated with phiIPLA-RODI.
served in the S. epidermidis phage phiIBB-SEP1 (48). In addition, These data suggest that cells released from inside a biofilm are not
the nucleotide genome sequence of phiIPLA-RODI showed a lack susceptible to phage infection due to their unique physiological
of restriction sites for the endonucleases Sau3AI, BamHI, and state (22). The biomass reductions of S. aureus IPLA16 biofilms by
BglII, but these are present in the phiIPLA-C1C genome. This these phages were similar (67% for phage phiIPLA-RODI and
appears to be a general strategy among S. aureus bacteriophages, 69% for phage phiIPLA-C1C) to those obtained with phages ISP,
such as Twort, K, G1, Sb-1, and MSA6, to avoid restriction by host Romulus, and Remus (28). The complete eradication of biofilms
bacteria (49, 53). by phages has not been described in the literature to date. How-
Both phages encode homing endonucleases, found within ever, prevention of biofilm formation has been achieved for S.
group I introns, intergenic regions, or inteins, in accordance aureus Xen29 biofilms, using a combination of phage K and mod-
with previous results reported for other myophages, such as T4, ified derivatives (21). In addition, S. aureus biofilms could be erad-
where 11% of the ORFs correspond to homing endonucleases icated efficiently with a combination of phage SAP-26 and rifam-
(54). In T4-related phages, most of the homing endonucleases pin (55).
belong to the GIY-YIG and HNH families, with multiple func- Phage control of dual-species biofilms was investigated using S.
tions, such as recombination and binding to and repair of DNA aureus and S. epidermidis as a proof of concept to evaluate whether
(54). Homing endonucleases encoded by phiIPLA-C1C were the mixture of both phages could be more effective than each
not identified in other phage genomes, consistent with the idea individual phage. Our results provide evidence that phages can
that these proteins are a recent evolutionary acquisition that reduce the cell numbers of both species, but the application of a
may have an influence on gene arrangement and function and phage mixture against each of the hosts was not always more ef-
that, in addition, they may promote their own spread between fective than the use of only one phage. Indeed, the addition of the
phages (54). single phage phiIPLA-RODI resulted in a reduction similar to that
Once the phages were morphologically and genetically charac- achieved by the mixture of phages. The low efficacy of phiIPLA-
terized, we proceeded to study their lytic activity against staphy- C1C may be due to the lower burst size of this phage than that of
lococcal bacteria in both planktonic cultures and preformed bio- phiIPLA-RODI. Overall, these results are in agreement with those
films. The results of biofilm removal assays confirmed that phage obtained by other authors (56, 57), who reported reductions of
infection in planktonic cell cultures is more efficient than that in about 3 to 4 log units in viable cells from mixed biofilms treated
biofilms. Overall, S. aureus IPLA16 biofilms were well infected by with phages. Mixed-species biofilms are complex communities in
both phages, while S. epidermidis LO5081 biofilms were found to which the physiological state of cells and the availability of phage
be more resistant to phage predation. A likely explanation is the receptors play important roles in the behavior of phages (58).
higher content of extracellular matrix formed by S. epidermidis These features may be altered drastically by competition with
LO5081 than by S. aureus IPLA16, which may hinder the access of other bacterial species. In mixed cultures of Escherichia coli and
phages to bacteria. Some phages encode polysaccharide depoly- Salmonella, phages against E. coli were more effective at removing
merase proteins which degrade the extracellular matrix of bio- this species than in monocultures of E. coli. It seems that for some
films, facilitating the access of phages to target bacteria (20). How- bacteria, the competition with other bacterial species may en-
ever, no genes encoding proteins with these catalytic domains hance the effectiveness of phages, because phage bacterial resis-
were detected in either the phiIPLA-RODI or phiIPLA-C1C ge- tance can decrease the competitive ability of bacteria (59). Similar
May 2015 Volume 81 Number 10 Applied and Environmental Microbiology aem.asm.org 3345
Gutiérrez et al.
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ACKNOWLEDGMENTS N, Daibata M, Matsuzaki S. 2013. Evaluating efficacy of bacteriophage
This research study was supported by grants AGL2012-40194-C02-01 therapy against Staphylococcus aureus infections using a silkworm larval
(Ministry of Science and Innovation, Spain) and GRUPIN14-139 (Pro- infection model. FEMS Microbiol Lett 347:52– 60. http://dx.doi.org/10
gram of Science, Technology and Innovation 2013–2017, Principado de .1111/1574-6968.12220.
Asturias, Spain) and by the bacteriophage network FAGOMA. D.G. is a 16. Drilling A, Morales S, Jardeleza C, Vreugde S, Speck P, Wormald PJ.
2014. Bacteriophage reduces biofilm of Staphylococcus aureus ex vivo iso-
fellow of the Ministry of Science and Innovation, Spain. P.G., B.M., and
lates from chronic rhinosinusitis patients. Am J Rhinol Allergy 28:3–11.
A.R. are members of the FWO Vlaanderen-funded Phagebiotics research http://dx.doi.org/10.2500/ajra.2014.28.4001.
community (WO.016.14). D.V. holds a Ph.D. scholarship from the IWT 17. Mendes JJ, Leandro C, Corte-Real S, Barbosa R, Cavaco-Silva P, Melo-
Vlaanderen. Cristino J, Gorski A, Garcia M. 2013. Wound healing potential of topical
We thank R. Calvo (IPLA-CSIC) for technical assistance. bacteriophage therapy on diabetic cutaneous wounds. Wound Repair Re-
gen 21:595– 603. http://dx.doi.org/10.1111/wrr.12056.
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