Elsevier

Anaerobe

Volume 8, Issue 6, December 2002, Pages 307-314
Anaerobe

Clinical microbiology
Bacteroides fragilis adherence to Caco-2 cells

https://doi.org/10.1016/S1075-9964(03)00008-8Get rights and content

Abstract

The ability of ten Bacteroides fragilis strains isolated from intestinal and non-intestinal infections, normal flora and environment to adhere to human colon carcinoma cells, Caco-2, was examined. The adherence capacity varied among the strains tested from strongly adherent (76–100%) to non- or weakly adherent (0–25%). Negative staining with Indian ink showed that all the strains were capsulated, although strain 1032 (strongly adherent and originated from bacteremia) had the highest rate of capsulated cells in the culture. All strains studied presented an electron-dense layer and no fimbrial structures in their surface after PTA negative staining. The analysis of the strains with ruthenium red showed the presence of an acidic polysaccharide and also surface vesicles in all of them. The strain 1032 presented an aggregative adherence pattern toward Caco-2 cells monolayers. It could be seen trapped by elongated microvilli and surrounded by extracellular material in the scanning electron microscope. Treatment with sodium periodate (100 mM/1 h) reduced significantly its adherence capacity and also the expression of an electron-dense layer and of the capsule, detected with PTA and Indian ink staining, respectively. We suggest that the capsular polysaccharide might mediate the adherence of the B. fragilis to Caco-2 cells.

Introduction

Adherence of pathogenic microorganisms to host tissue is considered the first step in establishing infection in the host and it is an important virulence factor. Many mechanisms of attachment involving fimbriae, capsule and outer membrane components have been described for a variety of bacteria, including anaerobic pathogens such as Bacteroides fragilis [1], [2], [3], [4], [5], [6], [7], [8], [9], [10]. This species is a minor component of faeces and found as a major component of the mucosa-associated flora [11], [12], [13], [14]. The major virulence determinant identified for B. fragilis is the capsular polysaccharide, which has been widely studied and characterized as an abscess inductor and also as an adhesion factor to mesothelial cells [15], [16], [17], [18].

In vitro assays have been developed to study the adherence of pathogens to intestinal cells such as the use of the human colon carcinoma cells cultures (Caco-2 cells) which is also a useful tool for studying the intestinal epithelium differentiation because of its spontaneous capacity of differentiating and forming a confluent layer. This confluence begins after the 5th day of culture and this process is very similar to what happens in vivo, when immature intestinal cells become mature [19], [20], [21], [22], [23]. The aims of this work were to study the adherence capacity of different strains of B. fragilis to Caco-2 cells in different levels analysing if the differentiation of the cells interfers with the adhesion process. We also characterized the surface structures that may be involved in the adherence process through Indian ink, phosphotungstic acid and ruthenium red staining. We used the transmission and the scanning electron microscopy to observe the interactions beween bacteria and eukaryotic cells.

Section snippets

B. fragilis culture conditions

Ten isolates of B. fragilis from different sources and genotypically characterized by the presence of the bft (fragilysin), cfiA (metallo-β-lactamase) and cepA (cephalosporinase) genes, suggested as important virulence and resistance markers [24], and, also by Rep-PCR [25], were analysed (Table 1). They were isolated from human intestinal and non-intestinal infections, human intestinal microflora and polluted aquatic environment. Isolation and identification of the strains were performed by

Results

In this work, ten B. fragilis strains were examined by light microscopy for adherence to Caco-2 cells. The data are summarized in Fig. 1. Eight strains were defined as moderately adherent (26–75%), one as strongly adherent (76–100%) and one as weakly adherent (0–25%). Three of them were selected to represent the category of weakly adherent (AA1: 23.5%), moderately adherent (ATCC 25285: 56%) and strongly adherent (1032: 76.5%) and allowed to interact with Caco-2 cells in different levels of

Discussion

B. fragilis is the obligate anaerobe organism most commonly isolated from clinical infections. It is associated with abscesses, intra-abdominal infections and bacteremias [13], [14], [30]. It is a minor component of fecal flora, but it is the major component of the mucosa-associated flora when compared with the other species of the genus Bacteroides. Although, we have many studies on the different Bacteroides species found in the gastrointestinal tract during health and disease, little

Acknowledgments

We are thankful to Eliandro Lima and Noêmia Gonçalves for the excellent technical assistance. This study was supported by grants from the following institutions: CNPq, FAPERJ, MCT-PRONEX, FINEP-BID, CAPES and CEPG.

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