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    Confocal Microscopy Imaging of the Biofilm Matrix

    Sebastian Schlafer, Rikke L. Meyer

    PII: S0167-7012(16)30036-7

    DOI: doi: 10.1016/j.mimet.2016.03.002

    Reference: MIMET 4851

    To appear in:   Journal of Microbiological Methods

    Received date: 16 October 2015

    Revised date: 29 February 2016

    Accepted date: 2 March 2016

    Please cite this article as: Schlafer, Sebastian, Meyer, Rikke L., Confocal Mi-croscopy Imaging of the Biofilm Matrix,  Journal of Microbiological Methods  (2016), doi:10.1016/j.mimet.2016.03.002

    This is a PDF file of an unedited manuscript that has been accepted for publication.As a service to our customers we are providing this early version of the manuscript.The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production processerrors may be discovered which could affect the content, and all legal disclaimers thatapply to the journal pertain.

    http://dx.doi.org/10.1016/j.mimet.2016.03.002http://dx.doi.org/10.1016/j.mimet.2016.03.002http://dx.doi.org/10.1016/j.mimet.2016.03.002http://dx.doi.org/10.1016/j.mimet.2016.03.002

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    Confocal Microscopy Imaging of the Biofilm Matrix

    REVISED

    Sebastian Schlafera*

    , Rikke L. Meyerb,c

    aDepartment of Dentistry, HEALTH, Aarhus University, Vennelyst Boulevard 9, 8000 Aarhus C, Denmark

    bInterdisciplinary Nanoscience Center (iNANO), SCIENCE AND TECHNOLOGY, Aarhus University, Gustav

    Wieds Vej 14, 8000 Aarhus C, Denmark

    cDepartment of Bioscience, SCIENCE AND TECHNOLOGY, Aarhus University, Ny Munkegade 114, 8000

    Aarhus C, Denmark

    E-mail addresses: SS: [email protected]; RLM: [email protected]

    *Corresponding author

    Sponsor: Robert S. Burlage

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    Abstract 

    The extracellular matrix is an integral part of microbial biofilms and an important field of research. Confocal

    laser scanning microscopy is a valuable tool for the study of biofilms, and in particular of the biofilm matrix,

    as it allows real-time visualization of fully hydrated, living specimens. Confocal microscopes are held by

    many research groups, and a number of methods for qualitative and quantitative imaging of the matrix

    have emerged in recent years. This review provides an overview and a critical discussion of techniques used

    to visualize different matrix compounds, to determine the concentration of solutes and the diffusive

    properties of the biofilm matrix.

    Keywords: Biofilm; CLSM; confocal microscopy; extracellular matrix; EPS; fluorescent stains

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    Abbreviations

    CBM: carbohydrate-binding modules; CLSM: confocal laser scanning microscopy; DDAO: 1,3-dichloro-7-

    hydroxy-9,9-dimethyl-2(9H)-acridinone; ECM: extracellular matrix; eDNA: extracellular DNA; EPS:

    extracellular polymeric substances; FLIM: fluorescence lifetime imaging; FRET: Förster resonance energy

    transfer; GFP: green fluorescent protein; MALDI: matrix-assisted laser desorption ionization; PI: propidium

    iodide; SECM: scanning electrochemical microscopy; SIMS: secondary ion mass spectrometry; SPT: single

    particle tracking; STED: stimulated emission depletion microscopy; ThT: thioflavin T; WGA: wheat germ

    agglutinin

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    1 Introduction 

    The extracellular matrix of microbial biofilms is a highly complex scaffold, characterized by a multitude of

    structurally and chemically heterogeneous microenvironments. Its functions are manifold: It provides

    mechanical stability to the biofilm and protects the microorganisms from desiccation. It can act as a barrier

    against adverse chemical and biological influences, such as osmotic stress, acid/base challenges, oxygen,

    antibiotics and antiseptics, the host immune defense, and grazing protozoa. Moreover, it contributes to the

    sorption and storage of nutrients and trace elements, it is the location of numerous extracellular enzymatic

    reactions, and it keeps the microorganisms in tight contact to each other to facilitate genetic exchange and

    bacterial communication. If the biofilm is a microbial city, then the matrix is its infrastructure.

    Polysaccharides were long believed to be the main macromolecular constituent of the extracellular matrix,

    and the abbreviation EPS, today used for extracellular polymeric substances, originally designated

    extracellular polysaccharides. Today it is well-known that a multitude of different biopolymers, including

    DNA, proteins, and lipids, i.e. in outer membrane vesicles, contribute to matrix structure and function.

    For decades, the cellular components of biofilms held the center of research attention, as the

    microorganisms are the driving force behind both detrimental and beneficial effects of biofilms. The past

    ten years witnessed an increased focus on the matrix and its functional interplay with the microbiota. An

    integrated view on both compartments is necessary to attain in-depth understanding of biofilms and to

    develop target-oriented strategies for the control of biofilm-related problems.

    Confocal laser scanning microscopy (CLSM) is a valuable tool for the study of biofilms, and in particular of

    the biofilm matrix, as it allows real-time visualization of fully hydrated, living specimens. The past years

    have brought about several new imaging technologies that improve the spatial resolution of light

    microscopy, and the Nobel Prize in Chemistry was in 2014 awarded to Eric Betzig, Stefan W Hell and

    William E. Moerner for their development of super-resolution optical microscopy. Confocal laser scanning

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    microscopes are available in many research laboratories, and consequently, methods based on CLSM have

    evolved considerably in the past decade to retrieve information about the composition and the properties

    of the biofilm matrix. The aim of this review is to provide an overview and to discuss the opportunities and

    challenges of fluorescence labelling techniques that can be used to acquire either qualitative or

    quantitative information about the biofilm matrix.

    2 Qualitative confocal microscopy imaging of matrix components 

    The functionality of bacterial biofilms is entwined with its microscale structure, as mass transport by

    diffusion and convection affects chemical gradients that dictate the limits of metabolic activity and the

    conditions in the microenvironment experienced by individual cells. The physical structure also affects the

    mechanical stability of the biofilm, and the protective properties of the matrix towards host immune cells

    and antimicrobial agents. There is currently no fluorescence labeling method available which visualizes the

    biofilm matrix in general, and this is due to the complex and highly variable composition of the matrix

    produced by different bacteria and under different environmental conditions. Each matrix component must

    therefore be stained individually.

    2.1 Polysaccharide staining

    Polysaccharides are often an important part of the biofilm matrix where they contribute to cohesion,

    retention of water, sorption of organic and inorganic compounds, and protection against biocides and

    grazing protozoa (for recent reviews, see Aricola et al. (Arciola et al., 2015) or Flemming and Wingender

    (Flemming and Wingender, 2010)). Unfortunately a general stain for polysaccharides does not exist, as the

    chemical structure of matrix polysaccharides differs among different bacteria. Calcofluor white has been

    used for polysaccharide staining, but it binds only β-1,3 and β-1,4 glucans (Rasconi et al., 2009), which are

    found in cellulose and chitin but not in the more common matrix polysaccharide poly-β-1,6-N-acetyl

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    glucosamine (Sadovskaya et al., 2005). A better approach is therefore the use of fluorescently labelled

    lectins, which was pioneered by Neu et al . (Neu et al., 2001). Lectins typically recognize specific di- or tri-

    saccharides. Such oligosaccharides can be present both in the matrix and as glycoconjugates on the cell

    surface e.g. in the teichoic acids of Gram-positive bacteria and the lipopolysaccharides of Gram-negative

    bacteria. Glycoconjugates are also highly diverse in structure (Messner et al., 2013), and lectin staining

    therefore always starts with a large screening of commercial lectins to identify which are able to bind.

    A new approach to carbohydrate staining was recently introduced by Nguyen et al. (Nguyen et al., 2014),

    exploiting the high affinity of carbohydrate-binding modules (CBM): the non-catalytic carbohydrate-binding

    domain of polysaccharide-degrading enzymes. The authors constructed a green fluorescent (GFP) fusion

    protein with the carbohydrate-binding module 3 (GFP-CBM3) which has high affinity for cellulose. As a

    proof of concept, they showed that this new polysaccharide label did not bind planktonic cells, but only to

    E. coli   biofilms and flocs induced by overexpression of the cellulose synthase BscB (Nguyen et al., 2014).

    The same authors elegantly turned this concept into a quantitative and non-destructive assay for

    exopolysaccharides, as GFP was cleaved off the GFP-CBM3 fusion protein by a site-specific protease and

    subsequently quantified in solution (Ojima et al., 2015b). With 64 families of CBM, there is a wide scope for

    using this novel approach to visualize and quantify other polysaccharides in the biofilm matrix.

    2.2 Staining of extracellular DNA (eDNA)

    The significance of eDNA in the biofilm matrix was discovered when Whitchurch et al.  added DNase to a

    Pseudomonas aeruginosa biofilm and watched the biofilm disappear (Whitchurch et al., 2002). Since then,

    it has become evident that eDNA plays an important role for bacterial attachment and the early stages of

    biofilm formation in many species from across the phylogenetic tree. Despite the apparent ubiquity of

    eDNA as an important matrix component, it remains unclear what it interacts with in the matrix. Co-

    localization of eDNA with other elements of the matrix has led to the suggestion that eDNA interacts with a

    variety of different components, such as DNA-binding integration host factor (Goodman et al., 2011),

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    pyocyanines (Das et al., 2013), Staphylococcus β-toxin (Huseby et al., 2010) and polysaccharides (Hu et al.,

    2012; Jennings et al., 2015). These findings suggests a variety of ligands and ways for DNA to interact. The

    desire to address eDNA’s role in biofilm formation and antibiotic resistance has motivated the analysis of

    eDNA in the biofilm using cell-impermeant DNA-binding fluorescent stains, such as propidium iodide (PI),

    1,3-dichloro-7-hydroxy-9,9-dimethyl-2(9H)-acridinone (DDAO), TOTO-1, TO-PRO  3, PicoGreen  and

    SYTOX stains. Most reports have used DDAO for staining eDNA in biofilms after the initial publication by

    Allesen-Holm et al. (Allesen-Holm et al., 2006; Conover et al., 2011; Schooling et al., 2009). However, a

    recent evaluation of eDNA stains in biofilms of Pseudomonas, Staphylococcus and Bacillus species showed

    that TOTO-1, SYTOX Green and PI provide the most reliable results, whereas TO-PRO-3 and DDAO

    were not completely cell impermeant (Okshevsky and Meyer, 2014). PicoGreen  also becomes cell

    permeant after 10-15 minutes of incubation, but by keeping incubation times short, Tang et al (Tang et al.,

    2013) used this sensitive and quantitative stain to quantify eDNA in biofilms of environmental isolates. They

    demonstrated a transient or a gradually increasing accumulation of eDNA over time in the biofilm matrix of

    the different isolates, suggesting that the role of eDNA in the biofilm matrix is highly dynamic. Suprisingly,

    eDNA strongly affected the initiation of biofilms, even when present in concentration below the detection

    limit. The amount of eDNA accumulating in biofilms may therefore not necessarily reflect its importances,

    as it can exert its adhesive effect at very low concentrations.

    eDNA is often stained in combination with another cell-permeant DNA-binding stain, such as the

    combination of PI with SYTO 9 in the LIVE/DEAD BacLightTM

     kit for viability. However, using two stains

    binding to the same target molecule requires optimization of the concentrations used to ensure accurate

    identification of eDNA, which is exposed to both stains. One has to consider the relative concentration of

    the two stains as well as stain concentration relative to the amount of DNA in the sample. Simultaneous

    intercalation of the two stains can lead to Förster resonance energy transfer (FRET) if the emission

    spectrum of one stain overlaps with the excitation spectrum of the other, and it turns out that this effect

    works to one’s advantage in SYTO 9/ PI staining. PI cannot completely displace SYTO 9, but when used

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    in the right concentration, the FRET effect quenches emitted light from SYTO  9 and leads to enhanced

    emission by PI. However, if not used at the right concentration, the high quantum yield of SYTO  9

    compared to PI will lead to simultaneous emission from both stains (Stocks, 2004). Due to these

    complications, it is recommended to stain eDNA with TOTO-1 in combination with e.g. SYTO  60, as

    TOTO-1 has low intrinsic fluorescence and a high quantum yield (twice that of SYTO 60). Furthermore,

    fast one-track scanning can be performed with microscopes containing two photomultipliers, as the

    emission spectra of the two stains are easily separated. As an example of TOTO-1/SYTO  60 staining,

    Figure 1 shows the increasing accumulation of eDNA over time in S. epidermidis  biofilms. The eDNA is

    tightly associated with the cell surface, and the inhomogeneous distribution demonstrates the stark cell to

    cell variations in the ability to bind eDNA to the cell surface.

    2.3 Protein staining

    In recent years, it has become evident that proteins also can be important for the biofilm matrix, and

    proteins are in some cases even more predominant than polysaccharides. For example, cell wall anchored

    proteins in e.g. Staphylococcus aureus and Staphylococcus epidermidis contribute to aggregation through

    homophilic interactions (Geoghegan et al., 2010; Schaeffer et al., 2015), or by interacting with matrix

    components originating from the host, such as collagen, fibrin and fibronectin (Büttner et al., 2015; Foster

    and Höök, 1998). The protein-component of the biofilm matrix can be visualized with non-specific stains,

    such as the FilmTracerTM

     SyPro

     stains (Frank and Patel, 2007; Lawrence et al., 2003), but specific protein

    labeling is also possible through monoclonal antibodies. So far, antibody labeling in the biofilm matrix has

    mostly been used for imaging the localization of proteins by electron microscopy (Webster et al., 2006),

    but the technique is easily transferrable to fluorescence microscopy by using fluorescently labeled primary

    or secondary antibodies (Greiner et al., 2005). Berk et al.  (2012) elegantly showed how the genetic

    insertion of FLAG tags in specific matrix proteins allowed following the production and location of key

    matrix proteins in real time during initiation and development of biofilms in Vibrio cholera, demonstrating

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    complementary architectural roles of the three proteins Bap1, RbmA and RbmC. This powerful approach

    will undoubtedly reveal new insights into the specific roles of different matrix proteins, which at first glance

    appear to have overlapping roles in the biofilm formation of e.g. staphylococci (Christner et al., 2010).

    Proteins that fold into a cross-beta structure and polymerize into insoluble fibers are called amyloids.

    Amyloids initially received attention due to their role in neurodegenerative diseases where they occur due

    to a misfolding of proteins, but it turns out that bacteria purposely produce amyloids, and Larsen et al. 

    (2007) changed our perception of amyloids when showing that they are abundant in bacterial biofilms from

    a variety of different habitats. Amyloid fibers are resistant to degradation by proteases and they contribute

    to the structural integrity of biofilms by e.g. Bacillus subtilis  (Romero et al., 2010) and Staphylococcus

    aureus (Schwartz et al., 2012). A recent study showed that over-expression of amyloids in the matrix of

    Pseudomonas fluorescens biofilms led to a 20-fold increase in the biofilm stiffness (Zeng et al., 2015). As

    methods for amyloid detection improve, we will learn more about the role of amyloid production in the

    ecology of biofilms.

    Larsen et al. (2007) compared the specificity of thioflavin T (ThT) and Congo red staining with detection by

    amyloid-specific antibodies and showed that ThT was highly sensitive and more easily penetrated biofilms

    compared to the antibodies, but it was less specific, probably due to its ability to bind DNA (Ilanchelian and

    Ramaraj, 2004). Antibodies are thus more appropriate for amyloid visualization in complex samples, but the

    cumbersome procedure with multiple incubation steps at different temperatures to allow the primary and

    secondary antibodies to bind, does not allow time-resolved imaging. However, a recent study presents a

    novel fluorescent probe, CDy11, with specificity for amyloid and looks like a promising new approach that is

    even suitable for in vivo detection of bacterial amyloid in e.g. Pseudomonas aeruginosa biofilm infections

    (Kim et al., 2016).

    2.4 Lipid staining

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    Production of biosurfactants is an important part of the biofilm life cycle in many bacteria. Biosurfactants

    include polysaccharides, proteins, lipoproteins, glycolipids and lipopeptides, and in the context of biofilms

    they can have very diverse functions in the production, maturation and dispersal of biofilms (Raaijmakers et

    al., 2010). Lipids in general (including membranes) can be stained with Nile red, which also binds to

    hydrophobic domains of proteins. Nile red is not confined to the extracellular matrix and will therefore

    stain the cell membranes as well as intracellular lipids. It has been used extensively to visualise intracellular

    lipophilic storage compounds, such as polyhydroxyalkanoates (Zuriani et al., 2013). The Nile red emission

    peak differs according to whether it binds to polar or nonpolar lipids (Diaz et al., 2008), and this was

    exploited to show that Rhodococcus strain RC291 with a hydrophobic cell surface associated closely with

    both polar and non-polar lipids in the biofilm matrix, suggesting an important role of lipids in the biofilm

    architecture of this strain (Andrews et al., 2010). Alternatives to Nile Red are the hydrophobic BODIPY 

    dyes and carbocyanine DiD, which will stain lipids, membranes and other hydrophobic compounds (Baird et

    al., 2012; Rumin et al., 2015). In contrast to Nile Red and BODIPY dyes, FM stains, which brightly stain

    lipids in membranes, do not enter the cytoplasm. They are extensively used to study endocytosis and

    exocytosis in plants (Bolte et al., 2004), and would be ideal to study the formation of outer membrane

    vesicles, which can be a significant part of the biofilm matrix (Ojima et al., 2015a; Schooling and Beveridge,

    2006) and have been suggested to interact with or contribute to release of extracellular DNA (Sahu et al.,

    2012; Schooling et al., 2009).

    2.5 Monitoring of enzyme reactions

    Various enzymatic reactions are carried out in the extracellular matrix of biofilms, and a multitude of

    enzyme activity assays based on the detection of fluorescent products have been developed (Barizuddin et

    al., 2015; Ju et al., 2015; Ko et al., 2015; Walther et al., 2015). While diffusion of the reaction product

    renders the visualization of enzymatic activities difficult, a fluorogenic phosphatase substrate that forms

    precipitates at the site of reaction (ELF  97) is commercially available. Van Ommen Kloeke and Geesey

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    used the assay in activated sludge, combining it with fluorescence in situ  hybridization, albeit with an

    epifluorescence microscope (Van Ommen Kloeke, F. and Geesey, 1999). They were able to demonstrate

    that the cytophaga-flavobacteria group makes an important contribution to the removal of phosphorus

    from wastewater.

    3 Confocal microscopy approaches to quantitative analysis of the biofilm matrix

    In addition to the many qualitative descriptions of the ECM that have been performed, a number of studies

    have used CLSM based approaches that investigate different properties of the biofilm matrix quantitatively.

    These require the combination of confocal microscopy with digital image analysis and/or mathematical

    modelling. Due to the intense development of specialized image processing software with user-friendly

    interfaces and the implementation of techniques such as fluorescence lifetime imaging (FLIM) or

    fluorescence recovery after photobleaching (FRAP) in commercially available confocal microscopes,

    quantitative methods have seen a rise in recent years.

    3.1 Geometric measurements

    Geometric measurements performed on fluorescently labelled structural components of the ECM

    contribute in many ways to a better understanding of matrix functionality. Area and biovolume calculations

    permit to determine the predominant matrix components and their spatial distribution at different time

    points during biofilm formation. Measuring of distances and colocalization patterns between different

    matrix components allows drawing conclusions about the interplay between different molecules, and

    analysing colocalization patterns between matrix components and microbial cells can help to identify e.g.

    EPS producers in multispecies biofilms.

    While these kinds of geometric measurements are routinely carried out on the cellular components of

    biofilms (Bridier et al., 2010; Dige et al., 2012; Guo et al., 2013a; Lupini et al., 2011), until now most studies

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    investigating the ECM have been limited to qualitative or semi-quantitative descriptions. Only a few reports

    performed quantitative geometric analyses of the biofilm matrix and the relationship between matrix

    components and cells (Fish et al., 2015; Houari et al., 2013; Kuehn et al., 2001; Lawrence et al., 1998;

    Sweity et al., 2011). The comprehensive work of Koo and collaborators who investigated the amount of

    fluorescently labelled polysaccharides in the ECM of Streptococcus mutans  biofilms should be noted

    (Falsetta et al., 2012; Klein et al., 2009; Klein et al., 2011; Xiao and Koo, 2010). They showed that starch in

    the growth medium leads to increased amounts of EPS in the presence of sucrose, and that a combination

    treatment of biofilms with myricetin, farnesol and fluoride targets genes involved in matrix production and

    reduces EPS production. As extracellular polysaccharides in dental biofilm play an important role for biofilm

    stability and the conservation of low pH at the tooth surface, quantitative studies of the effect of different

    treatments on EPS production are particularly valuable to identify new therapeutic approaches to caries

    control. In general, geometric measurements of structural matrix components should be performed more

    frequently to facilitate comparisons between different reports, and to reduce the bias that might arise if

    phenomena are described on the basis of subjective observations that might not be representative for the

    entire sample.

    Digital image analysis tools for geometric analyses of confocal microscopy images are readily available:

    Specially designed programs, such as Comstat, daime, CMEIAS (all freeware), Imaris, Amira, Volocity, Arivis

    and the open source software environments ImageJ, Icy and BioImageXD provide a number of possibilities

    for quantitative structural analysis of fluorescence images.

    When geometric measurements in biofilms are performed, microscope settings must be chosen carefully,

    ideally by calibration with fluorescent beads of known size (Lawrence et al., 1998). Pinhole size, detector

    gain and amplifier gain/offset have been shown to influence area measurements based on confocal images

    (Sekar et al., 2010). Overexposure must be avoided and microscope settings should be kept constant

    throughout a series of experiments.

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    The most critical step in the subsequent image analysis is the segmentation process, the differentiation

    between stained objects and background fluorescence. A number of different algorithms, e.g. based on

    intensity thresholding, edge detection or region-growing, can be employed to identify objects. The ideal

    algorithm and segmentation parameters have to be determined individually for a particular set of biofilm

    samples. In any case, meticulous visual inspection of the segmented images and comparison to the original

    image data are mandatory to ascertain proper calculations.

    Not only the area or volume covered by different structures of the ECM, but also their spatial arrangement

    can be investigated quantitatively. Colocalization analyses were first performed to determine the spatial

    interaction of different bacterial populations in activated sludge flocs (Rodenacker et al., 2000). This kind of

    analysis has become more widely used for bacterial cells after its incorporation into the capability of the

    image analysis software daime (Augspurger et al., 2010; Kara et al., 2007; Maixner et al., 2006; Schillinger

    et al., 2012). The program employs a linear dipole algorithm (Reed and Howard, 1999) to determine if two

    different populations of fluorescently labelled objects co-localize (Daims et al., 2006). Images subjected to

    colocalization analysis must be cleared carefully for artifacts (i.e. by using algorithms that remove objects

    up to a certain pixel size), as the presence of fluorescent objects other than the investigated populations,

    irrespective of their size, will lead to erroneous results. Moreover, the physical properties of the samples

    must be taken into account. Areas without biofilm formation, including carrier materials, need to be

    excluded from the image analysis. So far, colocalization analyses of ECM components have been employed

    in laboratory biofilms to determine the spatial relationship between dental bacteria and fluorescently

    labelled dextrans (Xiao et al., 2012), and to study the colocalization of eDNA and wheat germ agglutinin

    (WGA) targeted exopolysaccharides in Myxococcus xanthus biofilms (Hu et al., 2012). The software Duostat

    (www.imageanalysis.dk) and the ImageJ plugin JACoP (Schneider et al., 2012) were used for calculations in

    the respective studies. An increased focus on quantitative analyses of spatial arrangements in the biofilm

    matrix is highly desirable, as it can expand our knowledge on the production and function of different ECM

    components, especially in multispecies biofilms.

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    3.2 Measuring concentrations of diffusing molecules

    Many dissolved molecules are important for biofilm development, maintenance and virulence. Oxygen and

    carbon dioxide concentrations, pH, and metal ions such as Ca2+

    , Mg2+

    , Zn2+

     and Fe3+

     have dramatic effects

    on metabolic processes carried out in biofilms. For all of these molecules, different fluorescent probes are

    commercially available, and within a certain range, the fluorescence intensity correlates with the molecule

    concentration. At first glance, it might seem straightforward to use fluorescence intensity measurements to

    determine local concentrations of small solutes. However, a number of factors other than bulk

    concentration of the dye affect the fluorescence. Microscope parameters such as laser power, detector

    gain and amplifier offset/gain are crucial and difficult to standardize, and fluorescent probes are bleached

    to a different extent during measurements, depending on the sample processing. Moreover, the local

    probe concentration in a biofilm is unknown. All molecules face differences in penetration, reaction-

    diffusion limitations and compartmentalization in biofilms, which makes it impossible to use calibration

    data obtained from homogenous buffer solutions. Finally, interactions with biopolymers or other,

    simultaneously employed dyes might alter the fluorescence properties of a probe. Consequently, only

    semiquantitative comparisons can be made, even if specimens are handled in identical ways and imaged

    with identical settings (Epstein et al., 2011; Guo et al., 2013b).

    3.2.1 Immobilization of fluorescent dyes in particles

    Several strategies can be employed to circumvent these problems. A fluorescent probe for a particular

    solute might be applied along with a reference dye that emits light in a different part of the spectrum and

    does not show a spectral response to the solute (Barker et al., 1998; de los Rios, Asuncion et al., 2003).

    Calculating the ratio between the fluorescence from both dyes would then allow determination of the

    solute concentration, but only if the concentration ratio of the dyes is identical in every location of the

    biofilm. As the diffusive properties and the binding patterns of two different stains in a biofilm might differ,

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    both stains have to be immobilized, tied together with a fixed concentration ratio to enable reliable

    measurements.

    To date, only two studies have taken this approach, immobilizing a sensitive fluorescent dye and a

    reference dye on particles. Hidalgo et al. (2009) investigated pH microenvironments in E. coli   and mixed

    species wastewater biofilms, using core shell silica nanoparticles containing covalently bound pH sensitive

    fluorescein isothiocyanate, and Cy5 as the reference stain (Hidalgo et al., 2009). Acosta et al.  monitored

    oxygen gradients in S. aureus biofilms using silica microparticles containing Ru(Ph2phen3)Cl2, which is

    quenched in an oxygen dependent fashion, and Nile blue chloride as reference (Acosta et al., 2012). Dyes

    immobilized on a particle offer good photostability, and due to the embedding in the silica matrix,

    interactions with biopolymers and their potential influence on the emission spectra are reduced. Still, the

    effect of biofilm components on fluorescence should be tested, as done by Hidalgo et al. (2009). Moreover,

    calibration should be performed at the same temperature as the actual pH measurements, as the

    fluorescence intensity might be temperature dependent. The simultaneous use of two dyes brings about

    some difficulties. FRET between the two dyes must be excluded, and the emission spectra of the dyes must

    not overlap. Visualization of the bacterial biomass with a third stain is complicated, as any overlap between

    the dyes would affect the calculated fluorescence ratios. Acosta et al. (2012) used DyLightTM

     488-labelled

    antibodies, the emission of which partly overlaps with the one of Ru(Ph2phen3)Cl2. Hidalgo et al.  (2009)

    refrained from employing a third stain and used bright-field images to visualize bacterial cells, at the cost of

    losing three-dimensional information.

    The use of particle sensors for solute visualization has some inherent disadvantages. Production of the

    sensors requires knowledge foreign to the field of microbiology, and unless the relative concentrations of

    both dyes on the particles are stable, calibration must be performed for every new batch of particles.

    Furthermore, biofilm penetration and the spatial distribution of the particles pose problems. The

    microparticles employed by Acosta et al. did not penetrate established S. aureus biofilms and had to be

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    applied before and during biofilm growth. This precludes their use in in situ grown medical biofilms. Hidalgo

    et al. tested different sizes of nanoparticles and found that only the smallest, 10 nm particles penetrated

    the biofilms sufficiently. Incubation had to be performed for several hours, which makes the rapid

    examination of in situ grown biofilms impossible. The 10 nm particles employed were not distributed

    evenly across the biofilms, but left certain cell-free areas unstained, precluding calculation of pH in the

    entire extracellular matrix. While bigger particles settle in the extracellular matrix, it cannot be excluded

    that small particles are internalized by microbial cells. Interactions with intracellular macromolecules might

    change their fluorescence properties, and moreover, the concentration of the investigated solute might

    differ considerably between intracellular and extracellular compartments, due to bacterial homeostasis. In

    the case of pH, averaging fluorescence ratios deriving from both intra- and extracellular areas is of little

    relevance.

    3.2.2 Fluorescence lifetime imaging (FLIM) and pH ratiometry

    Some of the problems encountered with two dyes immobilized in a particle can be avoided when solutes

    are quantified by FLIM of a single probe or when intrinsically ratiometric dyes are employed. For FLIM, dye

    molecules are excited by a short light pulse, and the resulting fluorescence is recorded in a time-resolved

    manner. Fluorescence decay over time changes with the surrounding environmental conditions and follows

    an exponential function that is independent of the initial fluorescence intensity and thus probe

    concentration. Vroom et al. made use of the pH dependent fluorescence lifetime of carboxyfluorescein to

    determine pH in a 10-species laboratory dental biofilm (Vroom et al., 1999). The ratio of fluorescence

    intensities recorded in two different time gates was calculated and translated into pH values.

    FLIM uses the inherent fluorescence properties of a single dye in a concentration independent way to

    quantify solutes. Immobilization is thus unnecessary, penetration of the dye into the biofilm is

    unproblematic and interactions between different stains can be avoided. The same advantages also apply

    to ratiometric dyes, and in addition, their use requires less advanced microscopy equipment. Ratiometric

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    They could show that C-SNARF-4 is upconcentrated in bacterial cells at acidic pH, and they used a digital

    image analysis procedure based on intensity thresholding to remove the bacterial biomass from the

    confocal microscopy images (Figure 2) (Schlafer et al., 2015). As this procedure offers a simple solution to

    the problems described above, the authors recommend digital image post-processing to ascertain

    adequate monitoring of extracellular pH. In dental biofilms, microscale landscaping of extracellular pH

    contributes to our understanding of the caries process. It allows studying how pH profiles and mineral loss

    of the underlying dental tissues correlate and it is a valuable tool to investigate the effect of caries

    controlling agents on pH (Schlafer et al., 2016).

    For all confocal microscopy approaches to solute quantification in biofilms the importance of the

    calibration procedure needs to be stressed. A variety of environmental factors, such as temperature, the

    presence of biopolymers and other fluorescent stains, and varying concentrations of other solutes than the

    one in question might affect the fluorescence intensity of the chosen fluoroprobe. Ratiometric calcium-

    sensitive dyes might serve as an example. The emission spectra of probes such as Fura-2 and Indo-1 are

    dependent on calcium-binding, but also on temperature and pH (Larsson et al., 1999; Oliver et al., 2000). If

    they were to be applied in an acid-producing biofilm, local variations in pH would render an appropriate

    interpretation of the effect of calcium concentration on the observed fluorescence ratios impossible. While

    a large number of fluorescent probes for different solutes are commercially available, increased attention

    needs to be paid to their specific target-oriented calibration prior to experimental use. Ideally, calibration

    of a dye should be performed in the presence of biofilms and all other stains employed concomitantly to

    exclude adverse effects on the performed measurements. If the described technical difficulties can be

    overcome, confocal microscopy measurements of solute concentrations can make an important

    contribution to our understanding of the metabolic processes carried out in different microenvironments of

    biofilms.

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    Given the cell permeability of some pH-sensitive dyes, it is tempting to employ these fluoroprobes to

    monitor intracellular changes of pH at the individual cell level (Shabala et al., 2006). For calibration, trans-

    membrane gradients of bacterial cells can be collapsed using permeant acids and bases, but for reliable

    intracellular pH measurements, it must be ascertained that the probe is exclusively located inside the

    bacterial cells and not bound on the outside of the cell wall. It is impossible to determine this based on

    confocal images alone. Martinez et al . elegantly circumvented this problem using genetically engineered

    strains of E. coli and Bacillus subtilis that expressed the intracellular ratiometric protein pHluorin (Martinez

    et al., 2012). Their approach, however, cannot be extended to in situ grown biofilms.

    3.2.3 Förster resonance energy transfer (FRET)

    FRET-based biosensing is another technique that might be exploited for concentration measurements. FRET

    is widely used in cell biology for in situ, real-time monitoring of macromolecule interactions and

    concentrations of intracellular metabolites and signaling molecules through FRET-based biosensors (Mohsin

    et al., 2015; Shrestha et al., 2015). FRET-based biosensing involves a fluorescent donor (typically a

    fluorescent protein) and an acceptor, which quenches the fluorescence of the donor upon interaction,

    resulting in excitation and emission of light from the acceptor fluorophore. Although applications in

    microbiology are less common, FRET-based biosensing is making its way into biofilm research, and a

    biosensor was recently developed to detect the intracellular c-di-GMP concentration in Caulobacter

    crescentus (Christen et al., 2010) and Salmonella typhimurium (Mills et al., 2015) through conformational

    changes in the c-di-GMP binding protein YcgR fused with a donor and acceptor fluorescent protein at either

    end. Despite the great potential for characterizing inter-molecular interactions and extracellular

    concentrations of e.g. signaling molecules in biofilm, this approach is yet to see its first application in

    studies of the biofilm matrix. The main requirement for extracellular detection is of course that the

    genetically encoded biosensor must be transported outside of the cell, and secondly that the sensing

    molecule then remains in the biofilm. One way to achieve this could be to initially focus the effort on

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    detecting interactions of cell wall- or cell membrane anchored proteins, for which fluorescent fusion

    proteins can be generated. This was recently done for the membrane bound nuclease Nuc2 in S. aureus,

    and a FRET-based assay was used – albeit not in combination with microscopy – to study the activity of this

    extracellular nuclease in vitro  and in vivo  (Kiedrowski et al., 2014). Hence FRET-based biosensing in the

    extracellular environment of a biofilm might not be so far into the future.

    3.3 Measuring diffusion properties

    3.3.1 Time-lapse imaging of fluorescent solutes

    A number of different confocal microscopy techniques can be used to quantitatively investigate diffusion

    properties in biofilms. Time-lapse imaging of fluorescent or fluorescently labelled molecules is a

    straightforward approach: A biofilm is exposed to a fluorescent molecule under static or dynamic

    conditions, and repeated confocal microscopy images are taken in a particular location. The fluorescence

    intensity is recorded in a semiquantitative way, using the intensity in the bulk fluid or the intensity of a

    stain that already has penetrated as a reference, until equilibrium is reached. The publications of Stewart

    and coworkers should be noted, who found that antibiotic-sized tracers, daptomycin and even a variety of

    macromolecular solutes penetrated bacterial clusters (Ø>100 µm) in laboratory biofilms within a few

    minutes (Rani et al., 2005; Stewart et al., 2009; Takenaka et al., 2009). Their work and a similar study

    conducted by Stone et al. (2002) proved the long standing theory wrong that the biofilm matrix constitutes

    a significant penetration barrier against antibiotics.

    3.3.2 Single particle tracking (SPT) microscopy

    Time-lapse imaging can also be employed to track the fate of single nano- or microscale particles in

    biofilms. Determining particle trajectories under flow conditions, as performed by Stoodley et al . (1994)

    and Kuehn et al . (2001), allows collecting detailed information on the hydrodynamics in different parts of

    the biofilm matrix, e.g. in bioreactors for wastewater treatment. Moreover, studies of particle diffusion

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    properties are useful to develop suitable carrier particles for controlled drug delivery to biofilms. Two

    recent reports investigated the diffusional behavior of particles with different size and surface chemistry in

    biofilms under static conditions (Birjiniuk et al., 2014; Forier et al., 2013). Both studies found that neutral

    (PEGylated) particles diffuse more rapidly through biofilms than charged particles and that diffusion is size-

    dependent. Moreover, Birjiniuk et al. (2014) showed that matrix density of E. coli  biofilms increased with

    age, leading to reduced diffusion, and that charge density increased in deeper layers of the biofilm. By

    comparing the motion paths of particles present during biofilm growth and particles added after biofilm

    growth they evidenced the presence of channels permitting rapid diffusion.

    3.3.3 Fluorescence recovery after photobleaching (FRAP) and fluorescence correlation spectroscopy (FCS)

    While time-lapse imaging is a valuable tool for diffusion measurements, it has a limited spatial and

    temporal resolution. Diffusion is quantified over a rather large volume of the biofilm, i.e. cell clusters with a

    radial dimension of 100  –  200 µm (Stewart et al., 2009), and local differences in diffusivity cannot be

    resolved. Acquisition times for microscopic images are in the order of seconds, and the diffusion and

    reactivity of the molecules in question cannot be tracked any longer, once equilibrium is reached. FRAP and

    FCS can overcome these problems, and today both techniques can be implemented in commercially

    available confocal microscopes. FRAP measures the increase of fluorescence intensity in a defined volume

    of the matrix after irreversible photobleaching of the fluorophore. The resulting fluorescence recovery

    curve is dependent on the inward diffusion of the fluorescent molecule into the bleached area. For FCS,

    fluorescent dyes or fluorescently labelled molecules are applied in nanomolar concentrations, and the

    durations and amplitudes of fluctuations in the fluorescence intensity are recorded in a defined volume of

    the matrix. Both techniques allow determining diffusion coefficients in small volumes of the biofilm with a

    temporal resolution in the order of milliseconds. Early FRAP approaches date back to the 1990’s (Bryers and

    Drummond, 1998; Lawrence et al., 1994), but in particular, the effort of Briandet and coworkers should be

    mentioned, who have improved both techniques considerably and applied them to study diffusion of

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    bacteriophages, dextrans and antibiotics in different biofilms (Briandet et al., 2008; Daddi Oubekka et al.,

    2012; Guiot et al., 2002; Lacroix-Gueu et al., 2005; Waharte et al., 2010). For a review, see Bridier et al.

    (2011). As biofilms are the causative agents of many diseases and responsible for biofouling in different

    industrial fields, a detailed understanding of the diffusional behavior of macromolecules in biofilms is of the

    utmost importance and contributes to the rational design of anti-biofilm agents.

    3.3.4 Rheology measurements

    As outlined above (3.3.2) the behavior of nano- or microscale particles can be used to describe diffusion

    processes in biofilms, but it can also be employed to determine the rheological properties of the matrix.

    Galy et al . (2012) embedded 2.8 µm sized magnetic particles in E. coli  biofilms during growth and applied

    defined forces to the particles via magnetic tweezers. Tracking the movements of the particles allowed

    plotting creep curves from which the viscoelastic behavior of the matrix in defined locations could be

    extracted. A similar approach was taken by Rogers et al. (2008) who tracked the trajectories of bacteria in

    S. aureus and P. aeruginosa biofilms exposed to different flow regimes, albeit with bright field microscopy.

    Mathias and Stoodley (2009) used digital image correlation to quantify the strains deriving from different

    flow rates, equally based on bright field microscopy. The latter two approaches might be combined with

    confocal imaging to quantitatively assess the mechanical properties of biofilms.

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    4 Conclusions

    In recent years, there has been an increased research focus on the extracellular matrix in biofilms, which

    has led to a better understanding of matrix complexity, its structural, chemical and physical organization.

    Confocal microscopy techniques allow preserving the three-dimensional structure of biofilms, investigating

    the matrix in fully hydrated state. Different structural matrix components and their spatial arrangement can

    be studied, the concentrations of solutes and their role in biofilm physiology and virulence determined, and

    the mechanical and diffusive properties of different microenvironments in the matrix probed. Being a

    standard analysis tool in many research laboratories, the use of confocal microscopy evolves constantly and

    will continuously provide deeper insight into the structure and functioning of the extracellular matrix.

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    Figure captions

    Figure 1. eDNA in Staphylococcus epidermidis biofilm becomes more abundant over time. The biofilm

    was grown in Tryptic Soy Broth for 24 (A) or 48 hours (B) and stained with 2 µm TOTO-1 for eDNA (green),

    and 20 µM SYTO 60 for intracellular DNA (red). Bar = 5 µm. 

    Figure 2. Ratiometric imaging of pH in in vivo grown dental biofilm exposed to glucose. The ratiometric

    pH-sensitive dye C-SNARF-4 is employed in combination with digital image post-processing to visualize

    extracellular pH in real-time. A) C-SNARF-4 is taken up by all bacterial cells in the biofilm, yielding

    different levels of fluorescent intensity in extracellular and intracellular compartments. An overlay of

    fluorescent emission in the green and red spectra is shown. B) The bacterial biomass has been removed

    from the image in panel A) using digital image analysis. Extracellular pH has been calculated by dividing the

    green by the red fluorescent intensities pixel-wise. A color lookup table was used to visualize pH. Acid

    production in the observed field of view is moderate. With an average extracellular pH of 6.28, 5 min after

    exposure to glucose, levels critical for enamel dissolution (ca. 5.5) have not yet been reached. Bars = 20 µm 

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    Figure 1

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    Figure 2

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    Table 1. Overview of methods for visualizing the components of the biofilm matrix by confocal microscopy

    Target molecule Staining principle References

    Polysaccharide

    adhesin

    Calcofluor (for β-1,3 and β-1,4

    glucans)Fluorescently labeled lectins (for

    various di- or tri-saccharides)

    GFP fusion protein with

    carbohydrate-binding modules

    from polysaccharide-

    degrading enzymes

    Rasconi et al. 2009

    Reviewed by Neu et al. 2001

    Nguyen et al. 2014

    Extracellular DNA Cell impermeant DNA-binding

    fluorescent stains: TOTO-1,

    TO-PRO 3, PicoGreen,

    DDAO, propidium iodide andSYTOX stains

    Specificity of stains evaluated by

    Okshevsky and Meyer 2014

    Extracellular proteins Fluorescent stains that bind to all

    proteins: FilmTracerTM

     SyPro 

    Fluorescently labeled antibodies

    with specificity for individual

    proteins

    Dye with specificity for amyloid

    proteins

    Lawrence et al. 2003, Frank et al.

    2007

    Berk et al. 2012

    Kim et al. 2016

    Extracellular amyloid Thioflavin T stainingFluorescently labeled antibodies

    with specificity for amyloid

    proteins

    Ilanchelian and Ramaraj 2004Larsen et al. 2007, Kim et al.

    2016

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    Table 2. Overview of methods for quantitative analyses of the biofilm matrix by confocal microscopy

    Employed technique References

    Geometric measurements Area/volume quantification

    of fluorescently stainedmatrix components using

    digital image analysis

    Lawrence et al. 1998, Xiao et al.

    2010

    Colocalization analyses of

    bacteria and matrix

    components using digital

    image analysis

    Hu et al. 2012

    Measurements of solute

    concentrations

    Immobilization of pH/O2-

    sensitive fluorescent dyes

    in particles

    Hidalgo et al. 2009, Acosta et al.

    2012

    Fluorescence lifetimeimaging (FLIM) of pH-

    sensitive fluorescent dyes

    Vroom et al. 1999

    pH ratiometry Xiao et al. 2012, Schlafer et al.

    2015

    Measurements of diffusion

    properties

    Time-lapse imaging Takenaka et al. 2009

    Single particle tracking (SPT) Stoodley et al. 1994, Birjiniuk et

    al. 2014

    Fluorescence recovery after

    photobleaching (FRAP)

    Waharte et al. 2010, Daddi

    Oubekka et al. 2012

    Fluorescence correlationspectroscopy (FCS) Briandet et al. 2008; DaddiOubekka et al. 2012

    Rheology measurements Magnetic microparticle

    actuation

    Galy et al. 2012

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    Highlights

    ● Confocal laser scanning microscopy is a valuable tool to study the biofilm matrix

    ● Various extracellular compounds can be labelled fluorescently and visualized in 3D

    ● Concentrations of diffusing molecules in the matrix can be monitored in real-time

    ● Diffusion of solutes through the matrix can be quantified