α-Mangostin Disrupts the Development of Streptococcus mutans Biofilms and Facilitates Its Mechanical Removal

α-Mangostin (αMG) has been reported to be an effective antimicrobial agent against planktonic cells of Streptococcus mutans, a biofilm-forming and acid-producing cariogenic organism. However, its anti-biofilm activity remains to be determined. We examined whether αMG, a xanthone purified from Garcinia mangostana L grown in Vietnam, disrupts the development, acidogenicity, and/or the mechanical stability of S. mutans biofilms. Treatment regimens simulating those experienced clinically (twice-daily, 60 s exposure each) were used to assess the bioactivity of αMG using a saliva-coated hydroxyapatite (sHA) biofilm model. Topical applications of early-formed biofilms with αMG (150 µM) effectively reduced further biomass accumulation and disrupted the 3D architecture of S. mutans biofilms. Biofilms treated with αMG had lower amounts of extracellular insoluble and intracellular iodophilic polysaccharides (30–45%) than those treated with vehicle control (P<0.05), while the number of viable bacterial counts was unaffected. Furthermore, αMG treatments significantly compromised the mechanical stability of the biofilm, facilitating its removal from the sHA surface when subjected to a constant shear stress of 0.809 N/m2 (>3-fold biofilm detachment from sHA vs. vehicle-treated biofilms; P<0.05). Moreover, acid production by S. mutans biofilms was disrupted following αMG treatments (vs. vehicle-control, P<0.05). The activity of enzymes associated with glucan synthesis, acid production, and acid tolerance (glucosyltransferases B and C, phosphotransferase-PTS system, and F1F0-ATPase) were significantly inhibited by αMG. The expression of manL, encoding a key component of the mannose PTS, and gtfB were slightly repressed by αMG treatment (P<0.05), while the expression of atpD (encoding F-ATPase) and gtfC genes was unaffected. Hence, this study reveals that brief exposures to αMG can disrupt the development and structural integrity of S. mutans biofilms, at least in part via inhibition of key enzymatic systems associated with exopolysaccharide synthesis and acidogenicity. αMG could be an effective anti-virulence additive for the control and/or removal of cariogenic biofilms.


Introduction
Many infectious diseases in human are caused by virulent biofilms, including oral diseases [1]. Among them, dental caries continues to be one of the most ubiquitous and costly biofilmdependent diseases throughout the world [2,3]. For organisms associated with caries development, the production of an extracellular polysaccharide (EPS)-rich biofilm matrix, acidification of the milieu, and the maintenance of acidic pH microenvironment in close proximity to the tooth enamel are major controlling virulence factors linked with the pathogenesis of the disease. Current therapeutic approaches to control pathogenic oral biofilms fall short; the search for new/improved agents may lead to more efficacious anti-caries therapies [4][5][6]. Natural products are currently regarded as potentially promising sources for new bioactive agents that may function to suppress these key virulence attributes that are associated with the establishment and maintenance of cariogenic biofilms [5].
The assembly of cariogenic biofilms results from complex interactions that occur between specific oral bacteria, the products they produce, host saliva and dietary carbohydrates, all of which occurs on pellicle-coated tooth surfaces [7,8]. Streptococcus mutans has been recognized as one of the key etiologic agents associated with the initiation of dental caries, although additional organisms may contribute to its pathogenesis [9]. Sucrose is considered the primary catalyst for caries development, as it serves as a substrate for the production of both EPS and acids. S. mutans can effectively form cariogenic biofilms when sucrose is available, because this bacterium rapidly synthesizes EPS (from sucrose) through the activity of exoenzymes (e.g. glucosyltransferases; Gtfs) [8]. At the same time, S. mutans produces acid and is highly aciduric, allowing it to tolerate and continue to produce acids in low pH microenvironments, while readily adapting to acidic and other environmental stresses [10][11][12][13][14].
EPS synthesis via S. mutans-derived Gtfs is critical for cariogenic biofilm formation, since the glucans produced by the secreted exoenzymes (present in the pellicle-coated tooth and on bacterial surfaces) promote local bacterial accumulation, while embedding bacteria in a diffusion-limiting matrix. These processes create highly cohesive and adhesive biofilms that are firmly attached to surfaces and are difficult to remove [15][16][17][18]. At the same time, the EPS-rich matrix shelters resident organisms from antimicrobial and other inimical influences [18][19][20]. In parallel, sugars (in addition to sucrose) are fermented by S. mutans and other acidogenic bacteria ensnared within the biofilm matrix, creating acidic microenvironments across the three-dimensional (3D) architecture and at the surface of attachment [18,21,22]. Acidification of the milieu favors growth of aciduric organisms, further enhancing EPS production and ensuring biofilm accrual and localized acid-dissolution of the enamel in areas where biofilm is present and pH is low [18,23]. Therefore, using bioactive agents that target EPS-mediated biofilm assembly and acidogenicity could disrupt the pathogenesis of dental caries in a highly effective and precise manner.
Plants are valuable sources of new bioactive compounds to combat dental caries, because they produce a wide variety of secondary metabolites, many of which have been found to have biological properties against oral pathogens in vitro (as reviewed in Jeon et al. [5]). Garcinia mangostana L. (Guttiferae) is a widely cultivated fruit tree in Southeast Asian nations, including Thailand, Sri Lanka, The Philippines, and Vietnam [24]. The pericarp of G. mangostana has been used in traditional medicine to treat a variety of infections. Experimental studies have demonstrated that xanthone derivatives are the major bioactive substances, exhibiting antioxidant, antitumor, anti-inflammatory, and antimicrobial activities [24][25][26].
Our previous work showed that aMG exhibits antimicrobial activity against planktonic S. mutans cells via multiple actions, particularly reducing acid production by disrupting the membrane of this organism [27]. However, the question as to whether this agent is capable of compromising the ability of S. mutans to develop biofilms using a clinically relevant treatment regiment (brief topical exposures) remains to be elucidated. Therefore, the aim of the present study was to investigate the potential effectiveness of topical applications of aMG and its biological actions against S. mutans biofilm formation on saliva-coated apatitic surfaces.

Extraction and isolation of a-mangostin
Garcinia mangostana L is a fruit plant widely available in the south of Vietnam. The dried powder of samples of Garcinia mangostana peels collected from Binhduong province (south of Vietnam) was used in this study. No specific permission for collection of G. mangostana is required for this location because it is not an endangered or protected species. Ethanolic extracts of G. mangostana were prepared for the initial step of aMG isolation. The dried powder of G. mangostana peels collected from the South of Vietnam were extracted with ethanol at room temperature, followed by an evaporation of solvent to give a dark brown gummy residue. This residue was taken up in water followed by extraction with n-hexane to produce the most bioactive fractions. The n-hexane fraction was then evaporated and dried under reduced pressure. Further separation was performed using silica gel column chromatography (Merck Kieselgel 60, 70-230 mesh) by eluting with n-hexane -ethyl acetate -methanol (6:3:0.1, by volume) and 10 mL volumes of eluant were collected in test tubes. The aliquots of each fraction were subjected to thin-layer chromatography (60 F254, 1 mm plate, Merck) in a solvent system containing toluene -ethyl acetate -acetone -formic acid (5:3:1:1, by volume). Partially purified aMG was recovered from the active fractions and then further separated by silica gel column chromatography (Merck Kieselgel 60, 70-230 mesh) and eluting with n-hexane -chloroform -ethyl acetate -methanol (4:1:0.5:0.3, by volume), yielding a single compound, aMG, as yellow crystals. The purity of aMG was examined by high-pressure liquid chromatography connected with mass spectrometry (LCMSD-Trap-SL Mass spectra, Agilent 1100, Palo Alto, California). The chemical structure ( Fig. 1) of aMG was determined using nuclear magnetic resonance (Bruker Avance 500 spectrometer, Germany).
The compound at concentration of 100, 150 and 200 mM was dissolved in 25% ethanol, which was also used as a vehicle control; treatments with 25% ethanol did not affect the viability of cells of S. mutans in a biofilm when compared to untreated controls. The pH of the treatment solution was maintained at 5.860.2, based on the observation that aMG activity is best at acidic pH [27].
Preparation and treatment of the biofilm S. mutans UA159 (ATCC 700610), a proven virulent-cariogenic strain selected for genomic sequencing, was used in this study. Biofilms of S. mutans were formed on saliva coated hydroxyapatite (sHA) surfaces (12.7 mm in diameter, 1 mm in thickness, Clarkson Chromatography Products Inc., South Williamsport, PA), as previously described [28]. The biofilms were grown in ultrafiltered (10 kDa MW cut-off membrane; Prep/Scale, Millipore, MA) buffered tryptone-yeast extract broth (UFTYE; 2.5% tryptone and 1.5% yeast extract with the addition of 4.35 g/L of potassium phosphate and 1 g/L of MgSO 4 ?7H 2 O, pH 7.0) with 1% sucrose at 37uC and 5% CO 2 . Briefly, S. mutans cells in exponential growth phase were inoculated into UFTYE and applied to wells containing sHA discs placed vertically in a custommade holder. Biofilms were allowed to form on sHA discs and were treated for the first time with the test agents or vehicle control after 6 h of development. Subsequently, the biofilms were treated at 8 am (20 h-old) and 6 pm (30 h-old), with two more additional treatments the following day (8 am; 44 h-old and 6 pm; 54 h-old). The biofilms were exposed to the treatments for 60 s, dip-washed in sterile saline solution (0.89% w/v NaCl) to remove excess agents, and then transferred to fresh culture medium [29,30]. The biofilm was analyzed after 44 h and 68 h using confocal microscopy to examine the effects on the overall 3D architecture after receiving the initial topical treatments (Figure 2). At 68 h, the biofilms were removed, homogenized and subjected to biochemical analysis as detailed previously [28]. Briefly, biomass was assessed with an aliquot of the homogenized suspension centrifuged at 10,000 g for 10 min at 4uC, and the cell pellet was washed twice with water, then dried in the dry oven at 105uC for 24 h and weighed [28]. The water soluble and insoluble exopolysaccharides (EPS), and intracellular iodophilic polysaccharides (IPS) were extracted and quantified via colorimetric assays [28]. The total number of viable cells in each of the biofilms was determined by counting colony forming units (CFU), while total protein was quantified via ninhydrin assays as descrbed in Koo et al. [28]. Furthermore, the pH of the culture media of treated and untreated biofilms was monitored every 2 hours with an Orion pH electrode attached to an Orion 290 A+ pH meter (Thermo Fisher Scientific).

Confocal microscopy of biofilms
The overall effect of topical applications of aMG on the 3D architecture and the spatial distribution of EPS and bacterial biomass within intact biofilms was assessed using confocal fluorescence imaging [18]. Briefly, 2.5 mM Alexa Fluor 647labeled dextran conjugate (10,000 MW; absorbance/fluorescence emission maxima 647/668 nm; Molecular Probes Inc., Eugene, OR) was added to the culture medium during the formation and development of S. mutans biofilms. The fluorescently-labeled dextran serves as a primer for Gtf-mediated glucan synthesis and can be simultaneously incorporated during EPS matrix synthesis over the course of biofilm development, but does not stain the bacterial cells at the concentrations used in the study. The bacterial cells in the biofilms were labeled with 2.5 mM SYTO 9 green-fluorescent nucleic acid stain (480/500 nm; Molecular Probes Inc., Eugene, OR) using standard procedures [18]. Laser scanning confocal fluorescence imaging of the biofilms was performed using an Olympus FV 1000 two-photon laser scanning microscope (Olympus, Tokyo, Japan) equipped with a 10 X (0.45 numerical aperture) water immersion objective lens. Each biofilm was scanned at 5 randomly selected positions on the microscope stage and the confocal image series were generated by optical sectioning at each of these positions. Three independent experiments were conducted. The step size of z-series scanning was 2 mm. The confocal images were analyzed using software for simultaneous visualization of EPS and bacterial cells within intact biofilms [18,31,32]. Amira 5.4.1 software (Visage Imaging, San Diego, CA) was used to create 3D renderings of each structural component (EPS and bacteria) to examine the architecture of the biofilm.

Determination of mechanical stability of biofilms
The mechanical stability of the biofilms treated with or without aMG was compared using a custom built device (detailed information is in Figure S1). Biofilms were exposed to constant shear stress of 0.809 N/m 2 for 10 min, which is capable of removing S. mutans biofilm from sHA surface; such shear stress was determined as a threshold for .50% removal of untreated S. mutans biofilms from saliva-coated HA surfaces using our model. Shear stress at the biofilm surface was produced by shear flow generated via rotating paddle, and estimated based on Reynolds number of the flow (turbulent flow) and the surface friction using Blasius formula (Supplemental information). The amount of biofilm dry-weight (biomass) before and after application of shear  stress for each condition (vehicle-and aMG-treated) was determined. Then, the percentage of biofilm that remained on sHA disc surface was calculated. All experiments were performed in quadruplicates in three distinct experiments.

Gtf Docking Analyses
In the present study, different bioinformatics tools and databases were used. The crystal structure of glucosyltransferases C (GtfC) from the dental caries pathogen Streptococcus mutans is available in the Protein Data Bank (PDB) and was used as a receptor for docking of the aMG compound (ligand) using HEX software. Since the crystal structure of GtfB is not yet available, Phyre server [33] was used to predict ligand sites. HEX has been reported as an interactive molecular graphic program. It calculates protein-ligand docking, assuming that the ligand is rigid and then superimposes pairs of molecules using only their 3D shapes [34,35]. In addition, it uses Spherical Polar Fourier (SPF) correlations, increasing the speed of the calculations, and it also has integrated graphics software to view the final result [35][36][37][38]. PDB was used to download the crystal structure of glucansucrase from the dental caries pathogen Streptococcus mutans (http://www.rcsb.org/pdb/ home/home.do). PubChem Compound was used for retrieving the 3D-structure of a-mangostin (http://www.ncbi.nlm.nih.gov/ pccompound). MarvinSketch software was utilized for obtaining the a-mangostin structure in a PDB format (http://www. chemaxon.com/products/marvin/marvinsketch/), and the Hex-Server (HEX 6.9 software) was accessed for calculating and displaying protein-ligand docking (http://hexserver.loria.fr/). The parameters used for docking included: Correlation type (Shape only), FFT mode (3D fast life), Grid dimension (0.6), Receptor range (180), Ligand range (180), Twist range (360), and Distance range (40) were used.

Determination of Gtf activity
GtfB and GtfC were obtained from recombinant strains carrying the appropriate genes as detailed elsewhere [34]. Strain S. milleri KSB8 harboring the gtfB gene transformed from S. control, the same reaction was carried out with 25% ethanol (v/v) replacing the test agent solutions. Glucosyltransferase activity was measured by incorporation of [U-14 C-glucose] from labeled sucrose into glucans [34]. The radiolabelled glucans were quantified by scintillation counting.
F-ATPase and phosphotransferase system (PTS) assays F-ATPase and PTS activity of treated biofilm cells were determined as described by Belli and Marquis [39] and Phan et al. [40]. Biofilms were homogenized and centrifuged at 4uC, and then biofilm pellets from each sample were resuspended in 2.5 ml of 75 mM Tris-HCl buffer (pH 7.0) with 10 mM MgSO 4 . Toluene (250 ul) was added to each biofilm cell suspension prior to vigorous vortex mixing and incubation for 5 min at 37uC. Each suspension was then subjected to two cycles of freezing in a dry iceethanol bath and thawing at 37uC. Permeabilized biofilm cells were harvested by centrifugation. They were then resuspended in 1.0 ml of 75 mM Tris-HCl buffer (pH 7.0) with 10 mM MgSO 4 . The suspension was quickly frozen in a dry ice-ethanol bath and stored at 270uC for F-ATPase and PTS assays. F-ATPase activity was determined as described by Belli and Marquis [39]. The F-ATPase reaction is initiated by the addition of 30 ml of 0.5 M ATP (pH 6.0). Samples of 50 ml were removed and assayed for inorganic phosphate liberated from cleavage of ATP with reagents from American Monitor Co. (Indianapolis, IN) [39]. Phosphotransferase system (PTS) activity was assessed in terms of pyruvate production from phosphoenolpyruvate in response to glucose addition. Pyruvate was assayed by use of lactic dehydrogenase and measurements of the change in absorbance of 340 nm light associated with oxidation of NADH [39].

Reverse transcription quantitative PCR (RT-qPCR)
RT-qPCR was performed to evaluate the expression of the gtfB, gtfC, atpD, and manL genes. Biofilms were treated as described in the Figure 2. RNA was extracted and purified using standard protocols optimized for biofilms [41]. The RNA integrity numbers (RIN) of purified samples used for RT-qPCR were determined by microcapillary electrophoresis on an Agilent 2100 Bioanalyzer (Agilent Technologies, Santa Clara, CA). Purified RNA samples (RIN$9) were stored in RNase-free water at 2 80uC. cDNAs were synthesized from 1 mg of purified RNA using a BioRad iScript cDNA synthesis kit (Bio-Rad Laboratories, Inc., Hercules, CA). RNA samples without reverse transcriptase were included as a negative control. The resulting cDNAs and negative controls were amplified by a MyiQ qPCR detection system with iQ SYBR Green supermix (Bio-Rad Laboratories, Inc., CA, USA) and specific primers. When Taqman probes were available, cDNAs and controls were amplified using a Bio-Rad CFX96 system (Bio-Rad Laboratories). The 16S rRNA primers/TaqMan probes were run separately, and primers/TaqMan probes for other specific targets were combined and used in a multiplex setting. For reactions with only one TaqMan probe (used for target 16S rRNA), the iQ Supermix (BioRad) was used. For multiplex reactions (gtfB, gtfC) and (atpD, manL) the iQ Multiplex Powermix (BioRad) were employed. Standard curves were used to determine the relative number of cDNA molecules, which were normalized to the relative number of 16S rRNA cDNA in each sample, as described previously [42]. 16S rRNA served as a reference gene [43]. These values were used to determine the foldchange between each treated sample and the vehicle control. The MIQE guidelines [44] were followed for quality control of the data generated and for data analysis. The gene expression profile was determined 4 h after the topical treatment at 20 h (Figure 2), to evaluate the impact of aMG on S. mutans within the accumulated biofilms post-treatment. This time point represents the most active period of the biofilm development using our model, and was selected based on our biochemical data and previous studies on the dynamics of the S. mutans transcriptome during biofilm formation on sHA and in response to topically applied agents [43,45].

Statistical analyses
Data are presented as the mean 6 one standard deviation (SD). Pair-wise comparisons were made between test and control using Student's t-test. Statistical analysis was performed using JMP (version 3.1; SAS Institute, Cary, NC). The level of significance was set at 5%.

Results and Discussion
aMG disrupts the accumulation and acidogenicity of S. mutans biofilms In our experiment, S. mutans biofilms were initially treated with a-mangostin (aMG) at concentrations of 100, 150, and 200 mM (Table S1) based on bioactivity against planktonic S. mutans cells [27] and solubility in the vehicle system. We selected a concentration of 150 mM aMG, because it was as effective as 200 mM in reducing the overall biofilm development and acid production.
The data in Table 1 indicate that treatments with 150 mM aMG significantly reduced the accumulation of S. mutans biofilms on saliva-coated apatitic surfaces, which resulted in less biomass (dry-weight) and less total protein compared to the vehicle control (P,0.05). The viability of the biofilms was not significantly impacted by the treatments. Nevertheless, short-term topical applications (one-minute exposure, twice daily) significantly reduced the amount of polysaccharides in the biofilms ( Table 1).
The amount of insoluble exopolysaccharides (EPS) was drastically reduced, while the soluble EPS content was unaffected by aMG treatments. The data suggest that GtfB and GtfC, which are largely responsible for the synthesis of insoluble glucans in the biofilm matrix [8], could be targeted by aMG; while possibly having limited effects on the activity of GtfD (involved for soluble glucan synthesis). Interestingly, the amount of intracellular iodophilic polysaccharides (IPS), a glycogen-like storage polymer [46], was significantly disrupted by treatments with the agent.
Altogether, the biochemical changes inflicted by aMG may affect the matrix assembly and 3D biofilm architecture, which could disrupt the mechanical stability and adhesive strength of the treated biofilms.
aMG compromises the 3D architecture and mechanical stability of S. mutans biofilms Confocal images revealed a marked impairment in the development of an insoluble EPS-matrix (in red), as well as the defective formation of bacterial clusters or microcolonies (in green) following aMG treatment, particularly at 44 h (Figure 3). The few microcolonies detected in the aMG-treated biofilms at 44 h visually appear to be larger than those treated with vehicle-control, suggesting that microcolony development was not completely inhibited. Nevertheless, the defective biofilm assembly resulted in an altered 3D architecture (at 68 h) characterized by sparsely distributed microcolonies (with many areas on the sHA surface that were devoid of such structures), as well as a less developed EPS matrix, compared to vehicle-treated biofilms. These findings agree well with our biochemical data showing a significant reduction in the insoluble EPS content.
These structural changes may affect the stability of the biofilms treated with aMG and facilitate mechanical clearance of biofilms. The mechanical stability of biofilms appears to be dependent on the exopolysaccharide content, as EPS binds the cells together while strengthening their cohesiveness [15,[47][48][49][50]. Furthermore, glucans enhance S. mutans adhesive strength, while the develop-ment of multi-microcolony aggregates via EPS-cell adhesions provides structural integrity to S. mutans biofilms [16,18]. Thus, we hypothesized that the disruptive effects of aMG could facilitate biofilm removal and/or detachment. We investigated the impact of aMG on mechanical stability of S. mutans biofilms using a custom-built shear-inducing device ( Figure S1).
The ability of treated-biofilms to withstand mechanical removal under shear stress was determined by measuring the amount of biofilm biomass (dry-weight) that remained on the sHA after shearing ( Figure 4A). We observed that aMG-treated biofilms  were more effectively removed from the sHA surface (84.51% removal) than those treated with vehicle-control (49.2%; P,0.05) when subjected to shear stress, indicating that the mechanical stability of the biofilms was compromised by aMG. Indeed, confocal images of aMG-treated biofilms show that most of the bacterial biomass and EPS was removed, while vehicle-treated biofilms show numerous EPS-enmeshed bacterial microcolonies still attached on the sHA surface ( Figure 4B). Clearly, the data demonstrate that alterations in the EPS-matrix and microcolony assembly resulted in significantly less adherent biofilms, which facilitated their mechanical clearance from the sHA surface when exposed to shear force. By reducing the production of insoluble EPS, aMG treatments could affect optimal microcolony formation and surface anchoring as well as the cell-matrix cross-linking forces and the overall viscoelasticity, which have been shown to be critical for weakening the biofilm structure [18,49,51]. Further studies shall elucidate how aMG affects the adhesion forces and rheological properties of the biofilms locally.

aMG inhibits GtfB and GtfC activity
Previous studies have shown that extracellular glucans produced by GtfB and GtfC enzymes play vital, yet distinct roles in the formation of cariogenic biofilms and are essential in the pathogenesis of dental caries (as reviewed in Bowen and Koo [8]). The glucans synthesized by GtfC assemble the initial EPS layers on the sHA surface, which provide enhanced binding sites for S. mutans colonization and accumulation [52,53]. Conversely, the highly insoluble and structurally rigid glucans formed by GtfB embed the cells, contributing to the scaffolding of the 3D EPS-rich matrix [18]. The accumulation of Gtf-derived EPS and bacteria cells mediates the construction of EPS-enmeshed microcolonies that are firmly anchored to the apatitic surface [16][17][18]54]. Here, we examined whether aMG is capable of inhibiting the activity of purified GtfB and GtfC enzymes, which could explain the defective assembly and attachment of the treated biofilms observed in this study. Since there is no previous data on Gtf inhibition by aMG, we initially examined the likelihood of the agent to bind Gtfs using in silico docking studies.
Docking studies support the prediction of conformation and binding affinity for selected molecules against a given target protein [55]. Therefore, docking of aMG on Gtf was carried out to explore if/how this compound might interact with the enzymes. In our study, when the GtfC enzyme was docked with aMG, the energy value obtained by HEX software was 2511.36 Kcal/mol, indicating a stable and strong binding between the two molecules [55]. The best docked structure, visualized by UCSF Chimera molecular modeling system version 1.8 (http://www.cgl.ucsf.edu/ chimera/download.html), showed the interaction of four amino acids (Trp 517, Glu 515, Asp 588 and Asn 481) ( Figure 5A and 5B). A previous report by Ito et al. [56] indicated that binding to Glu 515 compromised the acid/base catalyst function, while interaction with Trp 517 blocked the acceptor glycosyl moiety. These observations can explain the inhibitory properties shown by acarbose when bound to Gtf-SI [56]. As displayed in figure 5B, aMG and acarbose interact with Trp 517, which provides the main frame for the glycosyl acceptor binding site. Since the crystal structure of GtfB is not yet available, Phyre server [33] Figure 5C).
All amino acids mentioned above are found in catalytic or the glucan binding regions of both GtfB and GtfC [57][58][59][60], suggesting that the function of these enzymes could be affected by aMG. Indeed, the enzymatic activity of purified GtfB and GtfC was impacted by aMG as shown in Figure 5D. The test agent was highly effective in reducing glucan synthesis by both enzymes, displaying more than 70% inhibition (vs. vehicle control) at 150 mM, which agrees well with the in silico analysis, as well as the biochemical (reduction of insoluble EPS content) and confocal imaging (defective assembly of EPS-matrix and impaired microcolony formation) data of the aMG-treated biofilms.
aMG affects acidogenicity of S. mutans biofilms, and disrupts F-ATPase and PTS activities The biofilm EPS-matrix and microcolonies provide S. mutans with niches, where it survives and carries out glycolysis, even at low pH values, resulting in demineralization of the adjacent dental enamel [8,39]. In addition to the deleterious effects on biomass accumulation and structural organization, aMG also affected S. mutans biofilm acidogenicity following topical applications of the agent ( Figure 6). aMG reduced both the acid production and the acid tolerance of S. mutans biofilm cells as indicated in the pHdrop profile ( Figure 6). The test agent sensitized the biofilm cells to acidification to the point that the final pH value was significantly higher (,1 unit) than those treated with vehicle-control (P,0.05), suggesting that there may be disturbances in the activity of the proton-translocating membrane F-ATPase [27,39].
A previous study has shown that aMG was particularly effective in inhibiting the activity of F(H + )-ATPase and PTS [27], which are critical for acid production and acid-tolerance and to ensure the optimum function of glycolysis by S. mutans within biofilms [61]. However, the assays were conducted with S. mutans grown in the planktonic phase. In this study, we examined the F-ATPase and PTS activity of biofilm cells following the treatment with aMG. The membrane-bound F-ATPase (H + -translocating ATPase) is considered the primary determinant for acid tolerance [61]. During glycolysis, protons are pumped out of the cell by F-ATPase to help maintain DpH across the cell membrane, preventing acidification of the cytoplasm, which would typically inhibit intracellular enzymes [39]. Furthermore, under certain conditions, it also generates ATP for S. mutans growth and persistence [62]. The data in Figure 7 show that the F-ATPase activity was strongly inhibited by aMG with nearly 80% inhibition following topical treatments.
Conversely, sugar uptake by oral streptococci occurs primarily by means of the PTS system [63]. In this system, phosphoenolpyruvate (PEP), provided by glycolysis, is cleaved by Enzyme I and the phosphate group is transferred to a general phosphocarrier protein, HPr, which in turn acts as a phosphate donor to membrane-bound Enzyme II [63]. Thus, the system catalyzes the transfer of phosphate to an incoming sugar and translocation of it across the cell membrane to yield a sugar phosphate in the cytoplasm, at which point sugar is metabolized via glycolytic pathways to produce organic acids. As shown in Figure 7, the PTS activity of biofilms treated with aMG was also significantly inhibited (,50% inhibition vs. vehicle-treated biofilms, P,0.05). Although the exact nature of aMG inhibition of the F-ATPase and PTS system found in this study remains to be determined using purified enzymes, our data suggest that aMG can affect S. mutans biofilms acidogenicity by disrupting the activity of these critical membrane-associated enzymes (albeit at concentrations of 3-5 times higher than those found against planktonic cells [27]. The inhibitory effects of aMG on F-ATPase and PTS could have additional impact on biofilm composition and virulence. Cytoplasmic acidification and reduction of sugar transport not only disrupts glycolytic acid production, but also the formation and accumulation of intracellular iodophilic polysaccharides (IPS) [46], which could explain at least in part the marked reduction of IPS in the treated biofilms (Table 1). The role of IPS in S. mutans virulence and dental caries in general has been clearly documented [64][65][66]. IPS provides S. mutans with an endogenous source of carbohydrates that can be metabolized when exogenous fermentable substrates have been depleted within the oral cavity [67]. As a result, IPS can help to promote the formation of dental caries by prolonging the exposure of tooth surfaces to organic acids and a concomitant lower fasting pH in the matrix of the plaque [65]. Thus, the inhibition of IPS accumulation by aMG could also contribute with the overall disruptive effects of the agent on S. mutans biofilms acidogenicity.
aMG has limited effects on gtfBC, atpD and manL gene expression by S. mutans biofilms Treatment of biofilms with a-mangostin could inhibit insoluble EPS synthesis and glycolytic pH drop in either of the following two ways: i) reducing enzymatic function and/or ii) affecting transcription of the genes encoding these enzymes to reduce the amount of enzyme produced. Therefore, we profiled the transcription of gtfB, gtfC, atpD (encoding F-ATPase), and manL (encoding a key component of the mannose PTS). The expression profiles of these genes are shown in Figure 8. Overall, RT-qPCR analysis showed only a slight repression of gtfB and manL after treatment with aMG (P,0.05), while no significant effects were observed on gtfC and atpD expression, suggesting that the reduction in EPS biomass in treated biofilms may be largely due to the impact on enzymatic function ( Figure 5 and 7).
Upon biofilm establishment, the resident microorganisms, encased in an EPS-rich matrix, are difficult to remove or treat, while a highly acidogenic and aciduric biofilm environment is created [20]. In this paper, we reported that topical application of a-mangostin (aMG) can disrupt some of the major virulence properties of S. mutans within biofilms, impairing further biofilm accumulation and acidogenicity, while facilitating mechanical clearance. Although previous studies have shown the biological actions of aMG against planktonic cells of S. mutans and other organisms, this is the first study demonstrating the antibiofilm effects of this promising phytochemical agent. Analysis of our data shows that aMG could affect biofilm development by S. mutans through at least three distinctive and yet interconnected ways: 1) disruption of insoluble EPS-matrix assembly at least in part by inhibiting GtfB and GtfC enzymatic activities, 2) compromising the mechanical stability, which may be linked to defective EPS production and impaired microcolony formation (thereby facilitating biofilm detachment from sHA surface), and 3) reducing acidogenicity by affecting IPS accumulation and the activities of the F-ATPase and PTS system. The results from this study indicate that GtfB and GtfC, as well as the F-ATPase and PTS enzymatic systems, are therapeutic targets of aMG.
In conclusion, our study demonstrated that the phytochemical aMG may represent a potentially useful anti-virulence additive for the control and/or removal of cariogenic biofilms. Having shown here that aMG exhibits significant bioactivity against S. mutans biofilms, further understanding of the molecular mechanisms of action of this agent as well as its effects on mixed-species cariogenic biofilm models are certainly warranted. Furthermore, cytotoxicity studies revealed that aMG is non-toxic and is generally regarded as safe [68][69][70]. Clearly, the efficacy of our treatment needs to be evaluated in vivo using a rodent model of dental caries.