Acinetobacter baumannii is an aerobic and gram-negative pathogenic bacterium that is resistant to most antibiotics. Recently, A. baumannii 1656-2 exhibited the ability to form biofilms under clinical conditions. In this study, global metabolite profiling of both planktonic and biofilm forms of A. baumannii 1656-2 was performed using high-resolution nuclear magnetic resonance (NMR) spectroscopy and multivariate statistical analysis to investigate the metabolic patterns leading to biofilm formation. Principal components analysis (PCA) and orthogonal partial least-squares discriminant analysis (OPLS-DA) score plots showed a distinct separation between planktonic and biofilm cells. Metabolites including acetates, pyruvate, succinate, UDP-glucose, AMP, glutamate, and lysine were increasingly involved in the energy metabolism of biofilm formation. In particular, the ratio of N-acetyl-D-glucosamine (GlcNAc) to D-glucosamine (GlcNH2) was significantly higher during biofilm formation than under the planktonic condition. This study demonstrates that NMR-based global metabolite profiling of bacterial cells can provide valuable insight into the metabolic changes in multidrug resistant and biofilm-forming bacteria such as A. baumannii 1656-2.
Citation: Yeom J, Shin J-H, Yang J-Y, Kim J, Hwang G-S (2013) 1H NMR-Based Metabolite Profiling of Planktonic and Biofilm Cells in Acinetobacter baumannii 1656-2. PLoS ONE 8(3): e57730. doi:10.1371/journal.pone.0057730
Editor: Jacob Guy Bundy, Imperial College London, United Kingdom
Received: October 2, 2012; Accepted: January 25, 2013; Published: March 6, 2013
Copyright: © 2013 Yeom et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This study was supported by National Research Foundation Grants, no. 2010-0019394 (to G.S.H) and no.2010-0007203 (to J.K.) funded by the Ministry of Education, Science and Technology and the Korea Basic Science Institute (T32409). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Acinetobacter species have been isolated from a variety of habitats, including human clinical specimens, water and soils, attesting the profound adaptability of the genus to various environments –. Studies on Acinetobacter species have focused primarily on Acinetobacter baumannii due to the clinical importance of its multidrug-resistant (MDR) strains , . A. baumannii is an aerobic Gram-negative coccobacillus that causes nosocomial human infections, particularly in immunocompromized individuals. These infections can result in septicemia, meningitis, endocarditis, pneumonia, wound infection, and urinary tract infections . It’s the remarkable ability of A. baumannii to acquire resistance determinants to various antibiotics is particularly dangerous . Previously, twenty-three MDR A. baumannii strains with the ability to form biofilms were isolated from a clinical environment in South Korea . The genome of A. baumannii strain 1656-2, which showed particular proclivity for biofilm formation, was determined . Thirteen genes, including the polyglutamic acid (PGA) synthesis related gene, were predicted for biofilm formation, and thirty-four genes related to cell adhesion were investigated in A. baumannii 1656-2 compared with other A. baumannii strains . A. baumannii strain 1656-2 also contains more genes involved in cell motility, cell traffic, secretion, and vesicular transport than other A. baumannii strains .
Bacterial biofilm cells are highly resistant to various stresses, especially antibiotics, relative to their planktonic counterparts. This suggested that biofilm cells differ from their planktonic versions with regard to metabolic activity –. A global analysis of protein expression in A. baumannii 1656-2 has been performed . The iron transporter, histidine kinase, diguanylate cyclase, antibiotic resistance, metabolism, and gene repair proteins were upregulated in biofilm environments .
In addition to the genome and proteomic analyses of A. baumannii 1656-2 strain , , we performed a global metabolite profiling of both planktonic and biofilm forms of A. baumannii 1656-2 using high-resolution nuclear magnetic resonance (NMR) spectroscopy. Metabolomics using nuclear magnetic resonance (NMR) spectroscopy coupled with pattern recognition analysis is useful for collecting high-density metabolite data and for characterizing metabolic changes in bacteria samples , . Here, 1H NMR-spectra were collected from both biofilm and planktonic bacterial samples and subjected to multivariate statistical analyses to investigate the metabolic signature of A. baumannii 1656-2 biofilm cells. The present study demonstrates that NMR-based global metabolite profiling can be used to gain insight into the metabolic changes in the biofilm forming MDR A. baumannii 1656-2.
Materials and Methods
Bacterial Growth Conditions
Acinetobacter baumannii 1656-2 was used throughout this study. This strain was isolated from the sputum of a patient hospitalized in a university hospital in South Korea. The isolated strain exhibited the greatest ability to form biofilms among the tested strains in a previous study . Cells were grown until the mid-exponential phase (OD600 = 0.5) in shaking flasks using M9 Minimal Media (MM) containing (per 100 ml) 2.5 ml of 20% glucose, 20 ml of x5 M9 salt (Sigma-Aldrich, St Louis, MO, USA), 200 µl of 1 M MgSO4, 10 µl of 1M CaCl2, 10 ml of 2% casamino acid, and 100 µl of trace elements. The trace elements solution contained (per 1 L) 1 g of FeSO4 • 7H2O, 1 g of MnSO4 • H2O, 0.25 g of (NH4)6Mo7O24 • 4H2O, 1 g of H3BO3, 0.25 g of CuCl2 • 2H2O, 0.25 g of ZnCl2, 0.1 g of NH4VO3, 0.25 g of Co (NO3)2 • 6H2O, and 2.5 g of Ca (NO3)2. The cells (OD600 = 0.5) were harvested to measure initial metabolites (IM) and the cultures (OD600 = 0.5) were diluted 50 times in MM. For static biofilm cultures, 5 ml of diluted bacterial solution was cultured in each 6 wells of a polystyrene cell culture plate (BD Falcon, Franklin lakes, NJ, USA) at 37°C without shaking and each well of 6 wells plates used as separated replicates. After 18 h static biofilm culture, unattached cells (planktonic cells, PMI) were isolated from the biofilm cells (BMI). PMII and BMII metabolites samples were generated from 72 h culture in the same manner with 18 h culture. A total of 11 samples at each stage, except for mature planktonic samples (PMII, 10 samples), were cultured to evaluate global metabolite profiling.
Cell Extraction for Metabolite Measurements
After cultivation of the static biofilm, unattached planktonic cells were harvested in chilled tubes, pelleted by centrifugation at 5000×g for 10 min and washed twice with cold phosphate buffered saline (PBS, 137 mM NaCl, 2.7 mM KCl, 10 mM Na2HPO4, 2 mM KH2PO4, pH 7.4). Then, six well plates were washed with 5 ml of cold PBS to remove planktonic cells. After washing, the biofilm cells were detached by scrapping, pelleted in 5 ml of cold PBS by centrifugation at 5000×g for 10 min and washed with the same buffer. For intracellular metabolite extraction, cells were sonicated (sonifer 450, Branson Ultrasonics, USA) for 30 s in a mixture of methanol, chloroform, and distilled water (4∶4:2) in an ice bath, then, vortexed and left on ice for 15 min. The upper polar layer was transferred into a vial, dried using vacuum drier and stored at −80°C until NMR experiment.
1H NMR Spectroscopic Analysis
For the NMR experiment, each extract was dissolved in a 700-µL buffer solution (0.1 M phosphate buffer, pH 7.0), and pH was adjusted to 7.0±0.1. A 100 µM of sodium 3-(trimethylsilyl) propionate -2,2,3,3-d4 (TSP) in 100% D2O was added and a 600-µL aliquot was placed in a 5-mm NMR tube (Wilmad Lab Glass, Buena, NJ). 1H NMR spectra were acquired on a VNMRS-600 MHz NMR spectrometer (Agilent Technologies, Santa Clara, CA) using a triple resonance 5-mm HCN salt-tolerant cold probe. For bacterial cell extracts, the noesypresat-NOESY pulse sequence was applied to suppress the residual water signal. Free induction delays (FIDs) were collected with 16 transients into 33,784 data points using a spectral width of 8445.9 Hz with a relaxation delay of 2.0 s, an acquisition time of 4.0 s, and a mixing time of 100 ms. Signal assignment for representative samples was facilitated by acquisition of two-dimensional (2D) total correlation spectroscopy (TOCSY), correlation spectroscopy (COSY) and comparisons to the literature.
Spectral Data Processing and Multivariate Statistical Analysis
All NMR spectra were phased and baseline-corrected using Chenomx NMR suite 6.0 (Chenomx, Edmonton, AB, Canada). The region corresponding to water (4.55–5.0 ppm) and TSP (0.00–0.70 ppm) peaks were excluded, and the remaining spectral regions were divided into 0.001 ppm bins. The binning table contained the spectral region of 0.70 to 9.50 ppm. The spectra were then normalized to the total spectral area and converted to the ASCII fotmat. The ASCII files were imported into MATLAB (R2008a; MathWorks, Inc., Natick, MA, USA), and all spectra were aligned using the correlation optimized warping (COW) method to reduce variability in the peak positions (Table S1) , . Multivariate data analysis, principal components analysis (PCA), and orthogonal partial least-squares discriminant analysis (OPLS-DA) were performed on the binning data with mean-centered scaling using SIMCA-P (version 12; Umetrics, Umea, Sweden). PCA, an unsupervised pattern-recognition (PR) method, was used to examine the intrinsic variation in the data set, and OPLS-DA, a supervised PR method, was also employed to maximize the separation between the planktonic and biofilm cells. The quality of the models was described by R2 and Q2 values. R2 is defined as the proportion of variance in the data explained by the models and indicates goodness of fit, and Q2 is defined as the proportion of variance in the data predictable by the model and indicates predictability. In addition, we performed permutation tests and external validations to test the validity of the OPLS-DA models. Statistical significance was evaluated for individual values using the t-test for unequal variances in Excel (Microsoft, Redmond, WA, USA).
1H NMR Spectra of Planktonic and Biofilm Cells
The 1H-NMR spectral resonances of metabolites were assigned according to the 600-MHz library from Chenomx NMR suite 6.0, 2D NMR spectra (COSY and TOCSY), and the literature (11,14,15). The concentration of metabolites was relatively higher in the early planktonic stages cells than early biofilm stages cells (Figure 1). In contrast, metabolite levels in the biofilm cells were higher than planktonic cells in mature stage (data not shown). Many metabolites were observed in both planktonic and biofilm cells. These include carbohydrates such as α-anomeric sugar, β-anometic sugar, glucose (Glu), H2(GlcNH2), H1(β –GlcNAc), acetate, pyruvate (Pyr) and succinate (Suc); nucleotides such as nicotinamide adenine dinucleotide phosphate (NADP+), UDP-glucose (UDPG) and adenosine monophosphate (AMP), amino acids such as aspartate (Asp), lysine (Lys), and glutamate (Glu), and others such as formate and betaine.
Multivariate Statistical Analysis of Planktonic and Biofilm Cells
PCA was initially performed to investigate intrinsic differences in the growth of planktonic and biofilm cells (Figure 2). PCA score plots of planktonic and biofilm cells revealed clear metabolic differences in the initial growth stage (IM), indicating significant changes in metabolism during the growth of A. baumannii 1656-2 under both planktonic and biofilm conditions (panels A, B, D, and E in Figure 2). Furthermore, metabolic patterns of planktonic and biofilm cells were significantly distinct (panels C and F in Figure 2). Therefore, A. baumannii 1656-2 undergoes significant changes in metabolism that are dependent on the growth state, i.e., planktonic or biofilm.
PCA score plots of planktonic cells demonstrated clear metabolic differences (IM/PMI, A; IM/PMII, B; PMI/PMII, C). PCA score plots of biofilm cells also indicated clear metabolic differences (IM/BMI, D; IM/BMII, E; BMI/BMII, F). Each PCA model was generated with principal components (PC). IM, initial metabolites; PMI, planktonic metabolites in the early stage; PMII, planktonic metabolites in the mature growth stage; BMI, biofilm metabolites in the early stage; BMII, biofilm metabolites in the mature growth stage.
Subsequently, the metabolic differences between planktonic and biofilm cells in the same growth stages were also examined (Figure 3). The resulting PCA score plots revealed significant metabolic variations with same growth stage in both planktonic and biofilm cells (panels A and D in Figure 3). OPLS-DA was also performed to minimize possible contributions from intergroup variability and to further improve the separation between the two groups. The score plots (panels B and E in Figure 3) from these OPLS-DA models for both the early (R2X of 0.630, R2Y of 0.997 and Q2 of 0.839) and mature (R2X of 0.517, R2Y of 0.999 and Q2 of 0.900) growth stages showed clear differentiation between planktonic and biofilm cells. The model parameters for the explained variation, R2, and the predictive capability, Q2, were relatively high (R2, Q2>0.5) in both the planktonic and biofilm models, indicating the high accuracy of the model.
PCA and OPLS-DA score plots derived from the 1H NMR spectra obtained from early (A and B) and mature (D and E) stages of planktonic and biofilm cells, respectively. OPLS-DA loading plots of early (C) and mature (F) stage cells show the metabolites responsible for discrimination in the score plots. Enhanced metabolites in biofilm were reperented in the OPLS-DA loading plote. Each PCA model was generated with principal components (PC) and each OPLS-DA model was generated with predictive components (T) and orthogonal components (TO) to discriminate between groups. The PCA models for distinguishing early stage (A) and mature (D) stage cells were established using each four components.
The loadings plots of the bacterial cells indicate the metabolites responsible for discrimination in the score plots. The fold-changes of these metabolites were generated with their relative peak intensities from the normalized binning data of 1H NMR spectra. The loading plots indicate high concentrations of metabolites in the early and mature biofilm stages and several metabolites increased in the early and mature biofilm stages (Figure 3C and F).
To test the validity of the OPLS-DA model, we performed a permutation procedure using the PLS-DA model with the same number of components. Generally, the extrapolated intercept value of the Q2>0.05 indicates over-fitting in the original model. Therefore, these analyses show that our models are statistically valid (panels A and B in Figure S1). Other external validation processes were also performed to validate our OPLS-DA models. For the prediction, we randomly left out three beef samples from each country group and built the OPLS-DA prediction model without them. These prediction results were able to correctly predict the origins of all test beef samples in three times processes (panels C and D in Figure S1).
Identification and Quantification of Metabolites from 1H NMR Spectra
The metabolites that were identified from NMR spectra and loading plots are listed in Table 1. Overall, levels of metabolites such as UDPG, acetate, AMP, glutamate, lysine, pyruvate and succinate gradually were greater in the biofilm cells than in the planktonic cells (panels A–G in Figure 4 and Table 1). In the early growth stages, concentrations of several metabolites in biofilm and plank- tonic cells were similar. However, levels of metabolites in the biofilm cells increased as a function of time up to the mature growth stage. The t-test was applied to determine the significance of the differences observed between the biofilm and planktonic groups. Notably, the ratio of N-acetyl-D-glucosamine (GlcNAc) to D-glucosamine (GlcNH2) increased in the early biofilm cells compared with that of the planktonic cells (Figure 4H and Figure S2). Since understanding early phase development in biofilm formation is important , changes in acetyl-glucosamine level may act as markers for biofilm infections of A. baumannii 1656-2.
The patterns of the identified metabolites were determined as a function of growth stages (A–G). The acetylation of glucosamine was determined by a t-test (p = 0.026) in planktonic and biofilm cells (H).
Control of MDR bacteria is important for public health . MDR A. baumannii strains are becoming more common in hospitals and worldwide, raising the need for effective therapies . The formation of a biofilm enhances the antibiotic resistance of bacteria and contributes to the chronicity of infections such as those associated with implanted medical devices in hospital . However, the mechanisms of resistance in biofilms differ from the familiar mechanisms of innate resistance . Therefore, understanding the physiological response of biofilms is important for developing effective treatments. While global metabolite analysis has been shown as a powerful tool for understanding bacterial physiology, it had not been applied to in MDR A. baumannii biofilm cells. The current study describes the NMR-based global metabolic profiling of MDR A. baumannii 1656-2 stain under both biofilm and planktonic conditions. This provides an excellent means of understanding biofilm formation in A. baumannii1656-2.
The metabolic profiles in Table 1 and Figure 4 show that levels of succinate, pyruvate and acetate, which are related to energy metabolism, were higher in the mature biofilm than in the planktonic growth stage, indicating a reduction in energy production. This is consistent with a previous report that showed a slower growth rate for biofilms relative to the growth rate of the same bacteria in its planktonic form. The biofilm also allows the bacteria to survive under unfavorable conditions , . Experiments with Pseudomonas aeruginosa have shown that the deeper layer in a biofilm are anaerobic or microaerobic and these deeper layers were supported by-pyruvate fermentation . As confirmation, metabolites such as succinate, lactate, and acetate, which are final products of pyruvate fermentation, were detected in P. aeruginosa biofimls by HPLC analysis . Notably, the current study yielded high levels of acetate, pyruvate, and succinate in the mature biofilm (Table 1 and Figure 4). Therefore, cells in an A. baumannii 1656-2 biofilm may depend on pyruvate fermentation for long-term survival. Also, biofilm cells have been proposed to accumulate acetate, which facilitates the formation of biofilms in Escherichia coli . In this study, levels of acetate were higher in biofilm samples than in planktonic bacteria. Thus, acetate may be important to the formation of A. baumannii 1656-2 biofilm (Table 1 and Figure 4). Changes in the carbohydrate metabolism may allow A. baumannii 1656-2 biofilm cells to grow with little or no oxygen by making use of pyruvate fermentation.
Levels of UDPG, AMP and NAD+ were higher in the mature biofilm than planktonic stage (Table 1 and Figure 4). UDPG can be used as a precursor of polysaccharides such as exopolysaccharide (EPS), which are important to maintaining biofilms of Staphylococcus epidermidis, Vibrio parahaemolyticus, and A. baumannii , , . In particular, proteome data on A. baumannii biofilm cells indicated that EPS matrix formation occurs via the Leloir pathway . Moreover, UDPG level in biofilm cells increased in this study (Table 1 and Figure 4). The Leloir pathway comprises a step in galactose phosphorylation (galactose-1P). EPS production in the cell requires free Pi and Leloir pathway acts as the Pi-supplier for biofilm formation . Levels of AMP were also higher in the mature biofilm, which suggests that A. baumannii 1656-2 biofilm cells require a relatively large supply of Pi for biofilm formation. In A. baumannii, histidine degradation leads to nucleotide production . Since extracellular DNA (eDNA) is an important constituent of the biofilm matrix , histidine degradation may contribute to nucleotide synthesis for eDNA production. High levels of AMP in the mature biofilm may help to maintain biofilm structure (Table 1 and Figure 4). Thermotoga maritima biofilm cells exhibited increased transcription of genes involved in the biosynthesis of NAD+ for iron-sulfur cluster biogenesis . Furthermore, induction of oxidative stress defense protein, which uses NAD+ as a cofactor, has been observed in biofilm cells . This is consistent with the higher levels of NAD+ observed in the mature biofilm (Table 1). An association between oxidative stress and biofilm formation has been observed in bacterial systems . Therefore, oxidative stress may promote biofilm formation in A. baumannii 1656-2.
Amino Acid Metabolism
Levels of valine, glutamate, and lysine were enhanced in the mature A. baumannii 1656-2 biofilm (Table 1 and Figure 4). Valine was previously shown to be continuously secreted in bacterial biofilm . This is consistent with the present data, which shows steady valine production in the biofilm cells (Table 1). Valine accumulates in biofilm cells, because of reduced-diffusion and the high-cell-density of the biofilm matrix . Valine synthesis likely contributes to biofilm matrix maintenance, and glutamate metabolism has been reported to be essential for biofilm formation . The present results are consistent with this observation, as glutamate levels increased in the mature biofilm (Table 1 and Figure 4). Lysine, which was also observed in the mature A. baumannii 1656-2 biofilm (Table 1 and Figure 4), was shown to be important for biofilm accumulation and the epithelial barrier to bacterial proinflammatory agents . Amino acid levels increased in biofilm cells. Amino acids are used as precursors for energy production with gluconeogenesis . A high demand for amino acids as substrates for energy production may exist in harsh environments such as those encountered in a biofilm .
Effect of N-Acetyl-D-glucosamine on Biofilm Formation
Production of an extracellular mixture of sugar polymers called an EPS is critical for biofilm formation , . In particular, N-acetyl-D-glucosamine (GlcNAc) appears to influence a variety of cellular processes, including energy metabolism, chitin utilization, competence, biofilm formation and pathogenicity in bacteria . For example, a homopolymer of GlcNAc is located on the cell surfaces of Staphylococcus epidermidis and S. aureus, where it serves as an essential factor for biofilm formation , . Only 60% of the glucosamine amino groups are acetylated and GlcNAc is useful vaccine candidate against MDR A. baumannii . The data herein shows a high ratio of GlcNAc to GlcNH2 in the early biofilm stage (Figure 4H). Thus, high levels of acetyl-glucosamine may be used as a marker for biofilm formation with MDR A. baumannii. Note that a small percentage of the GlcNAc residues in each polysaccharide were deacetylated , . Thus, the ratio of GlcNAc to GlcNH2 may be lower in mature biofilm structures.
In this study, planktonic and biofilm cells were harvested at low temperature condition. It has been reported that various quenching procedures can be used to quickly arrest metabolism . In particular, rapid sampling and reliable quenching techniques are very important in bacterial cells because of the metabolite leakage. Therefore, the results of this study can be weakened by the prolonged sampling procedures. PBS washing procedure was commonly used for analysis of biofilm cells . It has been reported that the precooled PBS (pH 7.4, 0.5°C) is the optimal quenching reagent for fixing intracellular metabolism . Although our data have a vulnerable point about quenching procedure, this study demonstrates that the analysis of intracellular metabolites in biofilm cells using 1H NMR based metabolomics is useful for understanding biofilm formation in MDR bacteria.
The permutation test of PLS-DA models and the external validation test of OPLS-DA models. The permutation tests of PLS-DA model were performed by BMI/PMI (A) and BMII/PMII (B) with 100. Samples of BMI/PMI (C) and BMII/PMII (D) were analyzed by external validation test.
An expansion of 2D TOCSY 1H NMR spectrum of early planktonic stage cell. Representative result of 2D TOCSY 1H NMR spectrum.
The binning table of 0.70 to 9.50 ppm region. The region corresponding to water and TSP regions were excluded, and the remaining spectral regions were divided into 0.001 ppm bins.
Conceived and designed the experiments: JHS JK GSH. Performed the experiments: JY JHS JYY. Analyzed the data: JY JHS JYY JK GSH. Contributed reagents/materials/analysis tools: JY JHS JYY JK GSH. Wrote the paper: JY JHS JK GSH.
- 1. Jung J, Madsen EL, Jeon CO, Park W (2011) Comparative genomic analysis of Acinetobacter oleivorans DR1 to determine strain-specific genomic regions and gentisate biodegradation. Appl Environ Microbiol 77: 7418–7424.
- 2. Poirel L, Bonnin RA, Nordmann P (2011) Genetic basis of antibiotic resistance in pathogenic Acinetobacter species. IUBMB Life 63: 1061–1067.
- 3. Cerqueira GM, Peleg AY (2011) Insights into Acinetobacter baumannii pathogenicity. IUBMB Life 63: 1055–1060.
- 4. Lee HW, Koh YM, Kim J, Lee J-C, Lee Y-C, et al. (2008) Capacity of multidrug-resistant clinical isolates of Acinetobacter baumannii to form biofilm and adhere to epithelial cell surfaces. Clin Microbiol Infect 14: 49–54.
- 5. Shin JH, Lee HW, Kim SM, Kim J (2009) Proteomic analysis of Acinetobacter baumannii in biofilm and planktonic growth mode. J Microbiol 47: 728–735.
- 6. Park JY, Kim S, Kim S-M, Cha SH, Lim S-K, et al. (2011) Complete genome sequence of multidrug-resistant Acinetobacter baumannii strain 1656–2, which forms sturdy biofilm. J Bacteriol 193: 6393–6394.
- 7. Høiby N, Bjarnsholt T, Givskov M, Molin S (2010) Antibiotic resistance of bacterial biofilms. Int J Antimicrob Agents 35: 322–332.
- 8. Worthington RJ, Richards JJ, Melander C (2012) Small molecule control of bacterial biofilms. Org Biomol Chem 10: 7457–7474.
- 9. Tomaras AP, Dorsey CW, Edelmann RE, Actis LA (2003) Attachment to and biofilm formation on abiotic surfaces by Acinetobacter baumannii: involvement of a novel chaperone-usher pili assembly system. Microbiology (Reading, Engl) 149: 3473–3484.
- 10. Gjersing EL, Herberg JL, Horn J, Schaldach CM, Maxwell RS (2007) NMR Metabolomics of Planktonic and Biofilm Modes of Growth in Pseudomonas aeruginosa. Anal Chem 79: 8037–8045.
- 11. Shin JH, Yang JY, Jeon BY, Yoon YJ, Cho SN, et al. (2011) 1H NMR-based Metabolomic Profiling in Mice Infected with Mycobacterium tuberculosis. J Proteome Res 10: 2238–2247.
- 12. Son HS, Hwang GS, Kim KM, Kim EY, Berg F, et al. (2009) 1H NMR-based metabolomic approach for understanding the fermentation behaviors of wine yeast strains Anal Chem. 81: 1137–1045.
- 13. Larsen FH, van den Berg F, Engelsen SB (2006) An exploratory chemometric study of 1H NMR spectra of table wine. J Chemom 20: 198–208.
- 14. Jung Y, Lee J, Kwon J, Lee KS, Ryu DH, et al. (2010) Discrimination of the geographical origin of beef by 1H NMR-based metabolomics. J Agric Food Chem 58: 10458–10466.
- 15. Li J, Huang C, Zheng D, Wang Y, Yuan Z (2012) CcpA-mediated enhancement of sugar and amino acid metabolism in Lysinibacillus sphaericus by NMR-based metabolomics. J Proteome Res 11: 4654–4661.
- 16. Bereket W, Hemalatha K, Getenet B, Wondwossen T, Solomon A, et al. (2012) Update on bacterial nosocomial infections. Eur Rev Med Pharmacol Sci 16: 1039–1044.
- 17. Pysz MA, Conners SB, Montero CI, Shockley KR, Johnson MR, et al. (2004) Transcriptional analysis of biofilm formation processes in the anaerobic, hyperthermophilic bacterium Thermotoga maritima. Appl Environ Microbiol 70: 6098–6112.
- 18. Candela T, Maes E, Garenaux E, Rombouts Y, Krzewinski F, et al. (2011) Environmental and biofilm-dependent changes in a Bacillus cereus secondary cell wall polysaccharide. J Biol Chem 286: 31250–31262.
- 19. Eschbach M, Schreiber K, Trunk K, Buer J, Jahn D, et al. (2004) Long-term anaerobic survival of the opportunistic pathogen Pseudomonas aeruginosa via pyruvate fermentation. J Bacteriol 186: 4596–4604.
- 20. Prüss BM, Verma K, Samanta P, Sule P, Kumar S, et al. (2010) Environmental and genetic factors that contribute to Escherichia coli K-12 biofilm formation. Arch Microbiol 192: 715–728.
- 21. Vuong C (2004) A crucial role for exopolysaccharide modification in bacterial biofilm formation, immune evasion, and virulence. J Biol Chem 279: 54881–54886.
- 22. Thompson FL, Neto AA, Santos E de O, Izutsu K, Iida T (2011) Effect of N-acetyl-D-glucosamine on gene expression in Vibrio parahaemolyticus. Microbes Environ 26: 61–66.
- 23. Cabral MP, Soares NC, Aranda J, Parreira JR, Rumbo C, et al. (2011) Proteomic and functional analyses reveal a unique lifestyle for Acinetobacter baumannii biofilms and a key role for histidine metabolism. J Proteome Res 10: 3399–3417.
- 24. Kim YH, Lee Y, Kim S, Yeom J, Yeom S, et al. (2006) The role of periplasmic antioxidant enzymes (superoxide dismutase and thiol peroxidase) of the Shiga toxin-producing Escherichia coli O157: H7 in the formation of biofilms. Proteomics 6: 6181–6193.
- 25. Valle J, Da Re S, Schmid S, Skurnik D, D’Ari R, et al. (2008) The amino acid valine is secreted in continuous-flow bacterial biofilms. J Bacteriol 190: 264–274.
- 26. Booth SC, Workentine ML, Wen J, Shaykhutdinov R, Vogel HJ, et al. (2011) Differences in metabolism between the biofilm and planktonic response to metal stress. J Proteome Res 10: 3190–3199.
- 27. Tatarko M, Romeo T (2001) Disruption of a global regulatory gene to enhance central carbon flux into phenylalanine biosynthesis in Escherichia coli. Curr Microbiol 43: 26–32.
- 28. Yeom J, Lee Y, Park W (2012) Effects of non-ionic solute stresses on biofilm formation and lipopolysaccharide production in Escherichia coli O157: H7. Res Microbiol 163: 258–267.
- 29. Itoh Y, Wang X, Hinnebusch BJ, Preston JF, Romeo T (2004) Depolymerization of beta-1,6-N-acetyl-D-glucosamine disrupts the integrity of diverse bacterial biofilms. J Bacteriol 187: 382–387.
- 30. Itoh Y, Rice JD, Goller C, Pannuri A, Taylor J, et al. (2008) Roles of pgaABCD genes in synthesis, modification, and export of the Escherichia coli biofilm adhesin Poly-β-1,6-N-Acetyl-D-Glucosamine. J Bacteriol 190: 3670–3680.
- 31. Izano EA, Sadovskaya I, Vinogradov E, Mulks MH, Velliyagounder K, et al. (2007) Poly-N-acetylglucosamine mediates biofilm formation and antibiotic resistance in Actinobacillus pleuropneumoniae. Microb 43: 1–9.
- 32. Thomas VL, Sanford BA, Moreno R, Ramsay MA (1997) Enzyme-linked lectinsorbent assay measures N-acetyl-D-glucosamine in matrix of biofilm produced by Staphylococcus epidermidis. Curr Microbiol 35: 249–254.
- 33. Mashego MR, Rumbold K, De Mey M, Vandamme E, Soetaert W, et al. (2007) Microbial metabolomics: past, present and future methodologies. Biotechnol Lett 29: 1–16.
- 34. Lee HW, Koh YM, Kim J, Lee JC, Lee YC, et al. (2008) Capacity of multidrug-resistant clinical isolates of Acinetobacter baumannii to form biofilm and adhere to epithelial cell surfaces. Clin Microbiol Infect 14: 49–54.
- 35. Kronthaler J, Gstraunthaler G, Heel C (2012) Optimizing high-throughput metabolomic biomarker screening: a study of quenching solutions to freeze intracellular metabolism in CHO cells. OMICS 16: 90–97.