S T A N F O R D M E D I C I N E

Spring /2000

 

For Alumni
Stanford
MD

 

On the Cover

Bridging Disciplines to Squelch Cholera. 

Cover illustration by Calef Brown.

Stanford Medicine, published quarterly by Stanford University Medical Center, aims to keep readers informed about the education, research, clinical care and other goings on at the Medical Center.

 

slime

cities

BY MITCH LESLIE

 
Researchers

explore the

slippery world

of biofilms

 

"COOPERATIVE" IS NOT AN ADJECTIVE MOST PEOPLE WOULD THINK OF APPLYING TO BACTERIA. MAYBE "SOCIOPATHIC" OR "INSIDIOUS" OR "RUTHLESS." But to the surprise of microbiologists, these minute organisms, which have nary a brain cell among them, are sometimes as neighborly as an Amish barn raising. Under the right circumstances, bacteria settle down and band together to construct durable, complex living quarters made from slime and known as a biofilm. As scientists have learned over the last 30 years, the free-swimming, solitary bacteria that they know so well represent just one stage in a complex life cycle that typically includes a spell in a biofilm.

Biofilms grow on almost any damp or wet surface. You probably encounter them daily as the bathroom scum that proliferates in tubs, sinks and showers. To engineers, dentists and doctors, biofilms are more than an eyesore. They are expensive, destructive and sometimes deadly. Biofilms growing in pipes and on the hulls of ships gnaw metal surfaces and cause corrosion. In Europe's damp climate, biofilms living on buildings absorb sulfur and nitrogen compounds from the atmosphere, turning them into corrosive nitric and sulfuric acids that dissolve stone, brick and metal. The dental plaque that coats our teeth and aggravates our gums is a diverse biofilm that can house more than 300 species. Catheters, pacemakers and other medical equipment attract biofilms, making these slime layers the scourge of hospital infection control. The Centers for Disease Control estimates that 65 percent of hospital infections are caused by biofilms.

Not all biofilms are bad. Without them, sewage would never get treated and toxic wastes might spread more widely. But their ability to cause disease and wreck machinery has attracted interest from a wide range of scientists, from engineers to microbial geneticists.

Like so much else in science, an appreciation of biofilms had to wait for the right technology. With the invention of the confocal electron microscope in the early 1990s, scientists could snoop into the lives of bacteria without destroying or damaging the biofilm. What they found was not a homogeneous slime layer but an organized structure that many scientists liken to a city or to a living organism. Towers of "goo" house the microbes in luxury, while channels wending through the slime deliver nutrients and haul away wastes.

"A biofilm is almost like a tissue, where you have steep gradients," says assistant professor of civil and environmental engineering Alfred Spormann. "You have chemical gradients, ionic gradients, pH gradients, gradients in substrate and oxygen availability." This chemical complexity means that, to some degree, the metabolic pathways of biofilm bacteria overlap, so that the wastes of one species become the food of another.

Like a multicellular organism, a biofilm grows and develops from simple beginnings. First, a few bacteria settle down on a hospitable surface and lay down a foundation of slime. After enough settlers arrive, the bacteria begin to build a more elaborate structure, constructing the towers and channels that characterize the mature biofilm. To know when to build, the bacteria apparently keep track of their numbers -- a phenomenon called quorum sensing -- and coordinate their actions with chemical messages.

Scientists have begun using their new knowledge about biofilms to explore more exotic control methods -- which are sorely needed, since biofilms are particularly hard to dislodge or destroy. Sheltered within their slime, the bacteria are resistant to disinfectants like chlorine and hydrogen peroxide and to antibiotics. The scientists hope that once they learn how to block the bacteria's critical chemical messages, they will succeed in thwarting the biofilm's growth. SM