1. Introduction
The Gram-positive opportunistic pathogen
S. aureus represents a serious public health burden worldwide, particularly within healthcare settings where they are often associated with an increased virulence due to their ability to form biofilm. To establish infection bacteria initially have to attach to the tissue.
S.
aureus does this using Microbial Surface Components Recognising Adhesive Matrix Molecules abbreviated as MSCRAMMs, and Secreted Expanded-Repertoire Adhesive Molecules termed SERAMs. In addition, various types of enzymes also produced by
S. aureus including exotoxins such as exfoliative toxins A and B (which increase host tissue invasion), lipases, proteases, thermonucleases, and hyaluronidases [
1,
2]. Planktonic cells (free-floating) generally cause acute infections by producing extracellular enzymes and secreted toxins [
3].
S. aureus play significant role in chronic infections due to its biofilm development on host tissues or on implantable medical devices (e.g., prosthetic joints, catheters, breast implants, and pacemakers) [
4,
5,
6,
7,
8,
9] to withstand therapeutic intervention.
Biofilms are microbial communities embedded in a self-produced EPS matrix which can be found on any surface [
10,
11]. Although the exact composition of EPS differs between various bacterial species and environmental conditions, EPS consists mainly of polysaccharides, proteins, and extracellular DNA (eDNA) [
11]. In general, biofilm development is characterised by three stages: initial attachment, biofilm maturation, and dispersal. Several studies highlighted primarily the elucidation of individual molecular variables essential in the growth of
S. aureus biofilms. A very recent study by Graf
et. al. (2019) mentioned some of the proteinaceous and non-proteinaceous factors responsible for various phases of biofilm formation and the synthesis and expression of these molecular factors are closely regulated by several biofilm regulators such as AgrA and RNAIII, Rot, SigB, SarA, IcaR, CodY, and others [
12].
Attempts to comprehend the biochemical framework of biofilm formation and resilience have constantly demonstrated alterations in protein expression profile in
S. aureus [
13,
14,
15,
16,
17] compared with planktonic counterparts. However, numerous facets of complex structure and role of biofilms have yet to be elucidated.
In the present study, our goal was to construct a comprehensive proteomic reference map of S. aureus biofilm as compared with planktonic culture by employing TMT-based high-resolution MS. In addition, significant dysregulated marker proteins were identified and further characterised to better understand key proteins’ potential role(s) in S. aureus biofilm biology.
4. Discussion
Whilst the proteomics of
S. aureus biofilm have previously been investigated [
13,
14,
16,
24], we have utilised highly powerful TMT-MS in this study. TMT-labelling combined with tandem MS can label and analyse up to 10 protein samples simultaneously in high-resolution in the low mass region [
25,
26]. This powerful proteomic strategy can be helpful for a deeper understanding of biological mechanisms as well as a screening of biomarkers by examining the variations in protein expression levels.
In our proteomics data, we identified several proteins associated with transporters, mostly ABC transporters (
Table S2,
Figure 2) as uniquely upregulated in the
S. aureus biofilm state: molybdenum ABC transporter permease (4.68 fold), peptide ABC transporter substrate-binding protein (2.91 fold), spermidine/putrescine ABC transporter ATP-binding protein potA (2.39 fold), heme ABC transporter ATP-binding protein (2.32 fold), and glutamine ABC transporter ATP-binding protein (2.05 fold). Proteins were also exclusively downregulated in biofilm growth and included ABC transporter ATP-binding protein encoded by vga and iron ABC transporter substrate-binding protein encoded by SA0691. ATP-binding cassette transporters (ABC transporters) are members of a superfamily of proteins, that are transmembrane proteins which are linked with adenosine triphosphate (ATP) binding energy utilisation. They play substantial functions in molecular (macro and micro) uptake of nutrients, such as capsular polysaccharides, small molecule inhibitors, amino acids, lipids, and vitamins. To better understand of virulence and drug resistance, microbial ABC transporters are gaining attention as a potential target [
27]. In previous studies, ABC transporters (such as ABC transporter lipoprotein, ABC transporter permease protein, ABC transporter periplasmic amino acid-binding protein, and ABC transporter ATP-binding protein) have been reported to be upregulated in biofilm formation in
S. aureus [
14,
28,
29,
30] and in numerous other bacteria, including
Cronobacter sp.,
Streptococcus uberis,
Rhizobium leguminosarum,
Pseudomonas fluorescens and
Bacillus subtilis [
31,
32,
33,
34,
35], but have also been reported to be downregulated (putative ABC transporter permease) in
Listeria monocytogenes [
36], and ABC transporter ATP-binding protein in
S. aureus [
37]. The specific role of the ABC transporters (i.e., up- or down-regulation) depends on the supplied substrates. The downregulation of ABC transporters may be due to the lower metabolic rate of the biofilm, reducing the need to transport ATP. A study by Brady et al. (2006) revealed that the upregulation of a membrane-bound ABC transporter protein in
S. aureus biofilm growth and suggested that it may be an excellent vaccine candidate, as previous work reported it as immunogenic in
S. aureus infections in humans [
30,
38]. The unique ABC transporter proteins, particularly those that are membrane-bound, identified in our study may play a crucial role in biofilm formation. These proteins could potentially serve as marker proteins, vaccine targets, and antimicrobial targets for biofilm-related infections.
Among the significant differentially regulated proteins in the biofilm extractomes, we identified most of the extracellular or cell-wall associated proteins to be primarily represented by virulence factors (
Table 1). Proteins exclusively upregulated include fibrinogen-binding protein (SA1000), hypothetical protein KQ76_08475 (SA1452), hyaluronate lyase (hysA), and coagulase, while downregulated proteins (
Table S3,
Figure 2) include hemolysins (hld, SA1007, hlgCAB), proteases (sspABP, splCEF, SA1121, clpP), nucleases (nuc, rnhC, SA1526, cbf1, rnz), peptidases (lytM, SA0205, SA0620, sspA), lipases (lip1, lip 2), a chitinase (SA0914), a phenol soluble modulin (SACOL1186), fibronectin-binding protein (fnbA), and adhesin (sasF). Among the upregulated proteins, fibrinogen-binding protein is an MSCRAMM, vital for the attachment of
S. aureus to human cells and thus for the spread of infections [
39,
40]. A recent in vitro study by Kot et al. (2018), demonstrated that the expression levels of fibrinogen-binding protein in weakly attaching strain of
S. aureus was considerably smaller than in strongly attaching strain of
S. aureus [
41]. Studies by Resch et al. (2006), reported the upregulation of fibrinogen-binding protein in biofilm growth mode compared with planktonic which shows a similar trend with our study. In an in vivo rat model of central venous catheter infection using
S. epidermidis, rat lacking fibrinogen-binding motif observed more robust biofilm on the catheter, indicating its significance in the in vivo biofilm development [
42]. In addition, binding of
S. aureus to fibrinogen-binding protein and coagulase demonstrates various evasive responses that protect bacteria against the immune system, and its binding is influenced by Rot and Agr mediated regulatory systems [
16,
42].
Hyaluronidase (hysA) an extracellular enzyme exclusively upregulated in biofilm state and play an important role in disseminating recognised biofilms by the degradation of hyaluronic acid (HA) (
Figure 3). HA is an extracellular matrix component and revealed to enhance biofilm development in Gram-positive pathogens, including
Streptococcus intermedius, and
Streptococcus pneumoniae. A very recent in-depth study by Ibberson et al. (2016) demonstrated that
S. aureus integrates HA into the biofilm matrix both in vivo (murine implant-associated infection model) and
in vitro, and HysA acts as a spreading factor by dispersing the biofilm and disseminating to new locations of infection [
43]. On the other hand, among the exclusively downregulated proteins, chitinase (SA0914) an exo-enzyme involved in quorum sensing that prevents the initial stage development of biofilms. Interestingly, HA is the structural constituent of N-acetyl-D-glucosamine (
Figure 3) which can be hydrolysed by chitinase [
44]. Therefore, we can speculate that hysA in conjunction with chitinase may play significant role in the elimination and/or prevention of biofilm development.
Further, the significant downregulation of virulence-related and cell wall proteins showed that the bacteria adapted to the diverse biofilm condition by reducing some less essential roles such as adhesion, invasion, and virulence. For example, agr quorum-sensing system regulates the expression of virulence genes and contributes to the dispersal and structuring of biofilms by regulating extracellular proteases (e.g., sspAB) and phenol-soluble modulin (PSMs) surfactant peptides [
45,
46]. Further, Staphylococcal accessory regulator (SarA) is a positive biofilm regulator through the downregulation of extracellular nuclease (nuc) and proteases [
47]. Downregulation of these genes from our findings shows similarity with the findings of Resch et al. [
28]. Studies have shown that
S. aureus produces proteases which in most cases act as a virulence factor that may influence the chronicity of
S. aureus infections [
48]. In vivo the inflammatory response also contributes to tissue destruction by continually recruiting proinflammatory cells such as lymphocytes and macrophages, releasing proteases and inflammatory mediators [
8]. Although proteases help dislodge biofilms, they also harm ordinary and curative tissues, whereas macrophages may form a fibrous capsule around the implants [
49].
Further pathway analysis revealed that, the upregulation of glyceraldehyde-3-phosphate dehydrogenase encoded by gapA1 (2.34 fold), cystathionine gamma-synthase encoded by metB (2.33 fold), threonine synthase encoded by thrC (2.27 fold), argininosuccinate lyase encoded by argH (2.21 fold), acetolactate synthase encoded by alsS (2.21 fold), argininosuccinate synthase encoded by argG (2.15 fold), 3-phosphoshikimate 1-carboxyvinyltransferase encoded by aroA (2.09 fold), and histidinol-phosphate aminotransferase encoded by SACOL2701 (2.01 fold) involved in biosynthesis of amino acid (
Table S2,
Figure 2). Besides protein parts, amino acids function as signals for gene expression molecules and regulators. In the meantime, changes in the metabolism of amino acids contribute to the development of biofilms catheter infection, both in vitro and in vivo [
50,
51]. Studies by Ammons et al. (2014) reported that, in addition to the diverse role of amino acids in biofilm development, they also involved in substantial energy expenditure for adequate redox equilibrium maintenance, cell-wall synthesis components, and deposition of EPS matrix [
52]. Notably, in our biofilm extractomes, we found exclusively upregulated proteins involved in amino sugar and nucleotide sugar metabolism (such as glmS, nanE, capG) which is linked with peptidoglycan biosynthesis (
Figure 4). As we know, peptidoglycan is the major component of the bacterial cell-wall, and our study also observed significant accumulation of peptidoglycan biosynthesis associated protein (e.g., murA). Therefore, we can speculate that the proper utilisation of amino acids will stimulate cell-wall formation leading to EPS matrix deposition and enhance biofilm formation.
Many ribosomal subunit proteins such as 30S ribosomal protein S14 (rpsN), 50S ribosomal protein L27 (rpmA), 30S ribosomal protein S5 (rpsE), 50S ribosomal protein L10 (rplJ) were exclusively upregulated (
Table S2,
Figure 2) under biofilm growth state, while 50S ribosomal protein L17 (rplQ) and 50S ribosomal protein L20 (rplT) were downregulated (
Table S3,
Figure 2). Usually, ribosomal subunit proteins play a significant role in regulating the expression of whole proteins. 50S involves the activity that catalyses the formation of peptide bonds, protects premature polypeptide hydrolysis, and helps to fold proteins after synthesis, etc. Synthesising some peptides or proteins helps to promote resistance. For example, 50S ribosomal protein L27 (rpmA) plays a critical role in tRNA substrate stabilisation during the peptidyl transfer reaction as well as ribosome assembly and catalysis even with certain level of stress environment (e.g., deletion of some part) [
53].
Among the significantly differentially regulated proteins, we identified several proteins related to different stress responses in the
S. aureus biofilm extractomes: DNA-directed RNA polymerase subunit omega (RpoZ), dehydrogenases (e.g., bfmBAA, gap, ldhD), oxidoreductases (e.g., guaC, SACOL0959, SA0558, nfrA), reductases (e.g., SACOL1543, SA0759, SACOL1768, trxB), glutathione S-transferase, and heat shock protein GrpE (
Table S3 and
Table 1). The formation of a stress response is a significant characteristic of biofilm life cycle as it leads to changes in many gene expressions which increase antimicrobial resistance and is generally regulated by alternative RNA polymerase sigma factor B (SigB). Multiples studies have reported increased or decreased expression of stress response associated proteins in
S. aureus biofilm [
14,
16,
54] and other bacterial [
55,
56,
57]. However, notably, we identified a unique DNA-directed RNA polymerase subunit omega (RpoZ) which is 4.52-fold upregulated in the biofilm. Even though very little is known about RpoZ, a very recent study reported its significant roles in stability, complex assembly, maintenance of transcriptional integrity, and cellular physiology in response to stress in
S. aureus biofilm [
54]. Another protein glyceraldehyde-3-phosphate dehydrogenase (Gap) was exclusively upregulated in biofilm growth mode and under oxidative stress environments, and showed a significant positive correlation between development, ATP level and Gap activity in planktonic
S. aureus [
58]. Pathway analysis revealed that the Gap, an enzyme involved in multiple pathways (such as biosynthesis of amino acids, carbon metabolism, microbial metabolism in diverse environments, glycolysis/gluconeogenesis etc), play an important role in the phosphorylation of glyceraldehyde-3 phosphate and contributes in phosphotransferase activity and repair apoptosis [
59]. Gap is upregulated in biofilms developed by numerous bacterial species [
60,
61,
62,
63,
64].
Metabolic activity and growth rate of the bacteria are affected by the changes in the gradient of oxygen and other nutrients within the biofilm. Many studies have demonstrated that cells within hypoxic conditions have decreased metabolic activity [
65,
66,
67], this slow pace of development suggests tolerance as antimicrobials are most efficient against rapidly developing cells [
68,
69,
70]. In addition, the deeper layers of cells are also located in biofilms with undergrowth-limiting conditions, with anaerobic or micro-aerobic conditions. Pyruvate fermentation could support these cells, allowing them to survive with little or no oxygen [
71]. In our
S. aureus biofilm extractomes, we observed significant upregulation of acetolactate synthase (alsS) which is responsible for the activation of butanediol pathway from pyruvate. Activation of this pathway will promote NADH oxidation and indicate that there is a tenuous redox balance during the development of biofilms [
50]. Another study reported that alsS utilise pyruvate to produce acetoin which is essential for acid tolerance within biofilms [
72].
Among the 273 DREPs, unique or exclusive proteins identified in
S. aureus biofilm contain 34 of functionally unknown or very little-known hypothetical proteins (
Tables S2 and S3) including a hypothetical protein namely hypothetical protein KQ76_08425 encoded by SA0772 with the highest upregulation (5.09 fold), suggests that the complex metabolic and regulatory reaction to biofilm is not yet fully elucidated. Even though the role of the hypothetical protein remains unknown, it is probable to play a part in the distinct physiological state of the biofilm. In particular, we can speculate for those exclusively upregulated in biofilm growth state. Although previous reports have suggested that certain proteins may be involved in altering biofilm structures [
73,
74,
75], more studies are needed to determine their specific roles.to assess their role.
In this present study, we have constructed a comprehensive reference map of the proteome of S. aureus biofilm, observed a significant range of abundance variation in the biofilm, identified differentially expressed potential marker proteins, and elucidated potential role (s) of these exclusive proteins using this reference strain. In the future studies, identified significant marker proteins such as virulence factors, antibiofilm agents, will be further characterised and analysed using different platforms (e.g., targeted ELISAs, biochemical assays) to validate the proteomics results in numerous S. aureus strains.