Bacterial pyomelanin production results in increased resistance to oxidative stress and virulence. We report on techniques that can be used to determine inhibition of pyomelanin production and assay the resulting increase in sensitivity to oxidative stress in bacteria, as well as determine antibiotic minimum inhibitory concentration (MIC).
Pyomelanin is an extracellular red-brown pigment produced by several bacterial and fungal species. This pigment is derived from the tyrosine catabolism pathway and contributes to increased oxidative stress resistance. Pyomelanin production in Pseudomonas aeruginosa is reduced in a dose dependent manner through treatment with 2-[2-nitro-4-(trifluoromethyl)benzoyl]-1,3-cyclohexanedione (NTBC). We describe a titration method using multiple concentrations of NTBC to determine the concentration of drug that will reduce or abolish pyomelanin production in bacteria. The titration method has an easily quantifiable outcome, a visible reduction in pigment production with increasing drug concentrations. We also describe a microtiter plate method to assay antibiotic minimum inhibitory concentration (MIC) in bacteria. This method uses a minimum of resources and can easily be scaled up to test multiple antibiotics in one microtiter plate for one strain of bacteria. The MIC assay can be adapted to test the affects of non-antibiotic compounds on bacterial growth at specific concentrations. Finally, we describe a method for testing bacterial sensitivity to oxidative stress by incorporating H2O2 into agar plates and spotting multiple dilutions of bacteria onto the plates. Sensitivity to oxidative stress is indicated by reductions in colony number and size for the different dilutions on plates containing H2O2 compared to a no H2O2 control. The oxidative stress spot plate assay uses a minimum of resources and low concentrations of H2O2. Importantly, it also has good reproducibility. This spot plate assay could be adapted to test bacterial sensitivity to various compounds by incorporating the compounds in agar plates and characterizing the resulting bacterial growth.
Pseudomonas aeruginosa is a Gram negative bacterium that produces a variety of pigments including pyomelanin, a red-brown pigment that helps provide protection from oxidative stress1-4 and binds a variety of compounds, including aminoglycoside antibiotics5-7. Pyomelanin production is caused by a defect in the tyrosine catabolism pathway4,8, either through deletions or mutations of the gene encoding homogentisate 1,2-dioxygenase (HmgA)1,9 or through imbalances in the various enzymes in the pathway10. Homogentisate accumulates due to inactivation of HmgA, and is secreted and oxidized to form pyomelanin11. Production of pyomelanin can be abolished or reduced in a dose dependent manner through treatment with the herbicide 2-[2-nitro-4-(trifluoromethyl)benzoyl]-1,3-cyclohexanedione (NTBC)12, which inhibits 4-hydroxyphenylpyruvate dioxygenase (Hpd) in the tyrosine catabolism pathway13. Hpd is required for the formation of homogentisate, and therefore pyomelanin11.
We describe in detail three techniques that were important in our studies of NTBC treatment of pyomelanin producing strains of P. aeruginosa. These techniques include titration of NTBC to determine the concentrations that will abolish or reduce pyomelanin production in laboratory and clinical pyomelanin producing strains, determination of the minimum inhibitory concentration (MIC) of antibiotics when bacteria are treated with NTBC, and the resulting sensitivity to oxidative stress with NTBC treatment.
The titration assay we developed serves two purposes. First, the assay will allow the user to determine if NTBC can abolish or reduce pyomelanin production in the bacterium being studied and at which concentrations. This will allow the user to determine sensitivity to NTBC, since different strains of bacteria may have different sensitivities to this compound, as observed in P. aeruginosa12. Second, the NTBC titration assay will allow the user to determine the appropriate concentration of NTBC to use in subsequent assays, such as antibiotic MIC and oxidative stress response assays, if the goal is to abolish or reduce pyomelanin production and determine the effects of pigment reduction.
The titration assay works because a visible difference in pyomelanin production can be seen in strains treated with NTBC and the differences in pyomelanin production are dose dependent12. Additionally, this technique can be applied to the study of other compounds that may eliminate or enhance pigment production in bacteria.
Antibiotic MICs are used to determine the sensitivity of bacteria to antibiotics. There are several methods to determine MICs, including agar dilution plates and broth dilutions14. Broth dilutions can be performed in small test tubes or in a 96-well microtiter plate. The microtiter plate method of MIC determination described herein will allow the user to test a wide range of antibiotics using a minimum of resources. The assay provides reproducibility as well as flexibility in the number of antibiotics and strains tested by this method. Additionally, with the incorporation of NTBC in the assay, the user can determine if elimination or reduction of pyomelanin production alters antibiotic sensitivity in bacteria that produce pyomelanin.
Bacterial response to oxidative stress can be tested in several ways. The most common methods described are either viable counts of bacteria subjected to oxidative stress for a period of time1, or oxidative stress disc diffusion assays15. These methods tend to use high concentrations of oxidative stressors to examine the effects of oxidative stress in bacteria and results can be quite variable between biological replicates. The viable count assay also tends to use more agar plates than the other methods. The spot plate assay we describe uses low concentrations of H2O2 and allows the user to test the oxidative stress response of multiple strains using a minimum of plates. The assay is also consistently reproducible between technical and biological replicates. As pyomelanin is involved in resistance to oxidative stress, the incorporation of NTBC in the assay allows the user to determine the effects of elimination of pyomelanin production on oxidative stress resistance.
1. Preparation of Culture Media, Antibiotics, and 2-[2-nitro-4-(trifluoromethyl)benzoyl]-1,3-cyclohexanedione (NTBC)
2. NTBC Titrations of Bacterial Strains
3. Antibiotic Minimum Inhibitory Concentration (MIC) Assay in 96-well Plates
4. Spot Plate Assay for Oxidative Stress Response
NTBC titrations
The NTBC titrations were used to determine if NTBC was able to reduce pyomelanin production in P. aeruginosa, and also identify the concentration of NTBC that eliminates or reduces pyomelanin production for use in additional assays. There may be variations in the levels of pyomelanin produced in different replications, but general trends remain constant. The NTBC titration assay could also be modified to test other compounds that may affect pigment production in other bacteria. This will only work, however, if there is a phenotypic change that can be visually determined or quantified.
Treatment of pyomelanin producing strains of P. aeruginosa with NTBC resulted in a dose dependent decrease in pigment production12. Figure 2 shows that different strains of P. aeruginosa have differences in sensitivity to NTBC, as indicated by levels of pyomelanin production. Higher concentrations of NTBC were required to reduce pyomelanin production in the clinical isolate PA111117 (obtained from Dara Frank) compared to the laboratory strain hmgA::tn18 (University of Washington PAO1 transposon mutant library). Strains that do not produce pyomelanin [PAO1 (obtained from Carrie Harwood) and hpd::tn18 (University of Washington PAO1 transposon mutant library)] showed no change in pigmentation with NTBC treatment. We decided to use 300 µM NTBC for our assays because pyomelanin production was substantially reduced in the laboratory strain hmgA::tn using that concentration (compare 300 µM to 0 µM NTBC). All strains used in this study were stored at -80 °C in 15% glycerol.
Antibiotic MICs
Antibiotic MICs can be tested using several different methods. The microtiter plate method described here will allow the user to test a range of antibiotic concentrations and use a minimum of resources. Results are easily replicated and the assay can be modified to allow for differences in antibiotic sensitivity of the organism to be tested. Some variation may be seen between independent experiments, but trends are fairly consistent. Technical replicates should exhibit the same MIC.
Table 3 shows the results for different P. aeruginosa strains treated with and without NTBC and various aminoglycoside antibiotics. Three independent colonies were tested in triplicate following the method described. MICs were recorded as the lowest concentration of antibiotic that inhibited bacterial growth in all three technical replicates. NTBC treatment had no effect on the aminoglycoside MICs for the strains tested.
Oxidative stress spot plate assay
The spot plate assay for testing oxidative stress gives reproducible results using lower levels of H2O2 than those used in other assays. The plate without H2O2 is a control plate to determine the accuracy of the dilution series for each strain, as well as determine colony size and number of colonies in each spot without subjecting the cells to oxidative stress. In a proper dilution series, the final spot should have very few colonies, while the first spot will have an uncountable number of colonies on H2O2 free media. There should be a ten-fold difference in the number of colonies in each spot within a dilution series. For all strains tested, similar numbers of colonies should be seen in the same dilution on the H2O2 free control plate.
As different strains of bacteria may have different sensitivities to oxidative stress, a range of H2O2 concentrations should be tested. Increasing concentrations of H2O2 should show decreasing amounts of growth, as indicated by a reduction in colony size and numbers in each spot, assuming the bacteria are sensitive to H2O2 induced oxidative stress. The growth characteristics of different bacterial strains can be compared to determine the sensitivity to oxidative stress under a particular H2O2 concentration. The assay can be modified to determine the effects of a particular compound or reagent, such as NTBC, on a single bacterial strain when the bacteria are subjected to oxidative stress. Colonies can also be counted to determine the percent reduction in bacterial colony forming units between different experimental conditions.
Figure 3 shows a spot plate assay of pyomelanin and non-pyomelanin producing strains of P. aeruginosa treated with and without NTBC and exposed to H2O2 induced oxidative stress. There is a clear difference in sensitivity to oxidative stress when pyomelanin producing bacteria are treated with NTBC, and also between bacteria that do not produce pyomelanin compared to those that do produce pigment. Strains that did not produce pyomelanin, either naturally or due to NTBC treatment, were more sensitive to oxidative stress than strains that produced pyomelanin.
Figure 1: Schematic of antibiotic MIC assay 96-well plate set up. (A) 100 µl of 2x antibiotics of the highest starting concentration are in row A. Rows B through H are filled with 50 µl of either LB + NTBC or LB + DMSO without antibiotics. (B) Two fold serial dilutions are performed in rows A through G, resulting in 50 µl of diluted antibiotic in each well at 2x the final desired concentration. Row H is a control well for bacterial growth without antibiotics. 50 µl of LB or inoculum is added to the appropriate wells, diluting the antibiotics two fold to the final concentration. LB serves as a control for bacterial contamination in the antibiotics. Gm, gentamicin; Km, kanamycin; Tob, tobramycin.
Figure 2: NTBC titrations of pyomelanin producers and non-producers of P. aeruginosa. NTBC reduced pyomelanin production in a dose dependent manner in laboratory and clinical pyomelanin producers, but had no effect on pigment production in strains that do not produce pyomelanin. Modified from reference12.
Figure 3: Spot plate assay for oxidative stress response. Bacterial strains were diluted to the same OD600, serial diluted 10-fold, and spotted on LB plates containing various concentrations of H2O2. The 0 mM H2O2 plate results showed that all the strains were diluted properly, as indicated by a similar number of colonies in each of the spots for the same dilution for different strains. The plates containing H2O2 show that the strains were more sensitive to oxidative stress as the concentration of H2O2 increased. This is indicated by decreased colony counts in the spots compared to the no H2O2 condition, as well as a reduction in colony size. Modified from reference12.
Final Concentration of NTBC (µM) | Volume of NTBC (75.9 mM) to add (µl) |
0 | 0 |
50 | 0.659 |
100 | 1.318 |
200 | 2.64 |
300 | 3.95 |
600 | 7.91 |
900 | 11.86 |
Table 1: NTBC concentrations for setting up titrations in LB. This table gives various NTBC concentrations and the corresponding amount of NTBC stock to add to 1 ml LB.
Final Concentration of H2O2 (mM) | Amount of 9.79 M H2O2 (30% wt) to add (µl) |
0 | 0 |
0.2 | 2.04 |
0.4 | 4.09 |
0.6 | 6.13 |
0.8 | 8.17 |
1 | 10.21 |
Table 2: Concentrations of H2O2 to add to LB agar for the oxidative stress spot plate assay. This table gives various H2O2 concentrations and the corresponding amount of concentrated H2O2 stock to add to 100 ml LB agar.
PAO1 – NTBC | PAO1 + NTBC | hmgA::tn – NTBC | hmgA::tn + NTBC | hpd::tn – NTBC | hpd::tn + NTBC | PA1111 – NTBC | PA1111 + NTBC | |
Gentamicin | 1 | 0.5 | 2 | 2 | 1 | 1 | 0.5 | 0.5 |
Kanamycin | 16 | 8 | 32 | 32 | 32 | 32 | 16 | 16 |
Tobramycin | 0.5 | 0.5 | 0.5 | 0.5 | 0.25 | 0.25 | 0.5 | 0.5 |
Table 3: Antibiotic MIC results. Three independent colonies were tested in triplicate for each strain. Re-printed with permission from reference12.
The NTBC titration method described in this protocol will allow the user to determine if NTBC can reduce or eliminate pyomelanin production in bacteria, and determine the concentration of NTBC required. The most critical step in the NTBC titration assay is determining the range of NTBC concentrations to use in the assay. Different strains of P. aeruginosa have different sensitivities to NTBC, and laboratory strains may be more sensitive to NTBC than clinical isolates12 (Figure 2). Therefore, it is necessary to test a range of NTBC concentrations for each strain being assayed. It is advisable to start with lower concentrations and increase to higher concentrations as needed because the user will most likely want to determine the lowest concentration of NTBC that inhibits pyomelanin production in a particular strain. Our titration assay describes a qualitative method to determine inhibition of pigment production. Depending on the objective of the study, it may be necessary to determine pyomelanin levels. This could be accomplished through HPLC3 or electron paramagnetic resonance (EPR) spectroscopy19, which could be used to detect the presence of pyomelanin in the samples. Melanin produces a characteristic EPR spectrum, and samples lacking melanin should not produce that spectrum20.
Modifications can be made to the titration assay by using minimal medium supplemented with tyrosine instead of LB. If a minimal medium (such as Defined minimal media21) is used, tyrosine must be supplemented in the medium since pyomelanin production will not occur in the absence of tyrosine. Minimal medium supplemented with tyrosine provides the advantage of having a defined concentration of tyrosine in the media and may eliminate some variation between biological replicates. The titration technique works quite well when one is looking for a change in pigment production, but will not work if the bacterium does not produce pigment. Other compounds could be substituted for NTBC in a titration series, provided there is a visual output to determine if the compound has an effect on the bacteria, such as reduction or enhancement of pigment production. In our assay, once the concentration of NTBC needed to eliminate or reduce pyomelanin production has been determined it is possible to use this concentration in other assays, including antibiotic MICs and oxidative stress response, in order to test the effects of NTBC on other bacterial phenotypes.
The antibiotic MIC method described in this paper will allow the user to determine antibiotic sensitivity of bacteria. Additionally, the incorporation of NTBC in the assay will allow the user to determine the effects of NTBC treatment on antibiotic sensitivity in pyomelanin producing bacteria (Table 3). Antibiotic sensitivity in bacteria can be quite variable and there are several techniques that can be used to determine MICs. Common techniques include agar dilution plates and large and small scale broth dilutions14. The microtiter plate broth dilution method described here is an easy way to determine MICs for various antibiotics, and it uses fewer resources than other methods since the protocol is designed to use small volumes. The most critical steps in the procedure are setting up the initial antibiotic stock solutions and performing accurate two fold dilutions in the 96-well microtiter plate (Figure 1A). It is important that the antibiotic stocks are two fold higher than the final desired concentration, since the antibiotics will be diluted two fold when the inoculum is added to the wells. The range of antibiotic concentrations used must be determined experimentally since different strains of bacteria have different sensitivities to antibiotics, and sensitivities are dependent on the antibiotic. The concentration of NTBC used in the assay must also be two fold higher than the final desired concentration since it will be diluted two fold when the inoculum is added. Accuracy in performing serial dilutions will help ensure that there is a two-fold difference in antibiotic concentration in each row of the plate.
The 96-well microtiter plate MIC assay can be easily modified to incorporate as many antibiotics or bacterial strains as needed. While more than one antibiotic can be tested in a plate, only one bacterial strain should be tested per plate to avoid cross contamination from other bacterial strains. No more than three antibiotics should be tested in one plate to allow for testing of one bacterial colony in triplicate with one control column containing medium only for each antibiotic (Figure 1B). The medium only column will test for contamination in the antibiotic stocks. It is also advisable to include an LB only row inoculated with bacteria in the plate to test for bacterial growth in the absence of antibiotics. This will ensure that the bacteria is growing properly and in the event that there is no growth in any of the antibiotic concentrations tested, the possibility that there was something wrong with the inoculum can be ruled out. In addition, this will provide a turbidity control for unimpaired growth, should a plate reader be used to determine the optical densities of each well. The majority of issues arise in determining the MIC, which is defined as the lowest concentration of antibiotic in which no growth occurs in all three technical replicates. It is possible that technical replicates may have slightly different MICs. Differences in MIC within technical replicates for a strain should be no more than two fold. We found that placing the pipet tips in the antibiotic containing medium while adding inoculum helps reduce some of the MIC differences for technical replicates, as it eliminates some of the potential for inoculum splashes into adjacent wells. The MIC assay should be done with at least three biological replicates to determine that the MICs and trends are consistent between replicates. The assay as described gives a very clear method for setting up a 96-well plate with different antibiotics and strains of bacteria. A large range of antibiotic concentrations can be tested, as well as a variety of different antibiotics, which can be adapted as appropriate to the bacterium being tested. This technique can be modified to test the antibiotic sensitivities of a large range of bacteria, as well as to test sensitivities to non-antibiotic compounds.
Several oxidative stress response assays have been described in the literature, including viable counts after exposure to oxidative stress1 and disc diffusion assays15. The spot plate assay described here determines bacterial sensitivity to oxidative stress when the oxidative stressor is in an agar plate. This technique allows low concentrations of H2O2 to be tested instead of the high concentrations typically used in the other assays. The spot plate technique has less variation between biological replicates than viable counts and disc diffusion methods. Trends in the spot plate assay tend to be very consistent, although there is still some variability between biological replicates. The variability is usually seen as slight differences in the H2O2 concentration that allows a clear difference in bacterial growth and sensitivity to oxidative stress to be observed. Sources for these inconsistencies are likely due to either pipetting errors when adding H2O2 to the plates or natural variations in sensitivity to oxidative stress in different colonies of bacteria. Technical replicates consistently show the same results. It is important that a range of H2O2 concentrations be tested, as different strains of bacteria may have different sensitivities to oxidative stress (Figure 3). It is also critical that the same dilutions be plated for all conditions so comparisons can be made between strains and test conditions. Additionally, a plate containing no H2O2 must be included as a control to ensure that a proper dilution series was created and to provide a comparison for bacterial growth in the absence of oxidative stress. If bacteria are treated with a compound, such as NTBC, it is necessary to include a no treatment control so a comparison can be made between the two conditions. This will allow the user to determine if the compound has an effect on oxidative stress response (Figure 3).
The spot plate protocol can be modified to include other oxidative stressors such as paraquat. However, the type of oxidative stress to be generated in the bacteria must be determined before adding the oxidative stressor, since different compounds generate different types of oxidative stress. This assay could also be modified to test bacterial sensitivity to other compounds. In that case, the compound would be included in the agar plates at various concentrations and the bacteria would be spotted onto the plates as described in the protocol. Differences in colony numbers and size in different dilutions compared to a control plate without the compound would indicate sensitivity to the compound.
We describe three methods to test the effects of NTBC on pyomelanin producing strains of bacteria. First, we use a titration containing various concentrations of NTBC to determine if NTBC will reduce or abolish pyomelanin production in bacteria, and then determine the minimum concentration of NTBC necessary to do so. The concentration of NTBC that eliminates or reduces pyomelanin production will be used in other assays to determine the effects of NTBC on antibiotic MICs and oxidative stress response. The MIC assay will allow the user to test the effects of NTBC on antibiotic sensitivity. Finally, the spot plate oxidative stress response assay will be used to test the effects of NTBC on sensitivity to oxidative stress.
The authors have nothing to disclose.
The authors thank Dara Frank and Carrie Harwood for their generous contribution of strains. University of Wisconsin Milwaukee Research Foundation holds patent no. 8,354,451; with claims broadly directed to treating or inhibiting the progression of infection of a microorganism in a patient by administering a 4-hydroxyphenylpyruvate dioxygenase-inhibiting compound such as 2-[2-nitro-4-(trifluoromethyl)benzoyl]-1,3-cyclohexanedione (NTBC). Inventors are Graham Moran and Pang He. This research was supported by the National Institutes of Health (R00-GM083147). The University of Washington P. aeruginosa transposon mutant library is supported by NIH P30 DK089507.
2-[2-nitro-4-(trifluoromethyl)benzoyl]-1,3-cyclohexanedione (NTBC) | Sigma-Aldrich | SML0269-50mg | Also called nitisinone. Soluble in DMSO. |
H2O2 | Sigma-Aldrich | 216763-100ML | 30 wt. % in H2O. Stabilized. |
Gentamycin | Gold Bio | G-400-100 | Soluble in H2O. Filter sterilize. |
Kanamycin | Fisher Scientific | BP906-5 | Soluble in H2O. Filter sterilize. |
Tobramycin | Sigma-Aldrich | T4014-100MG | Soluble in H2O. Filter sterilize. |