A new in vitro model of non-attached biofilm-like bacterial aggregates based on magnetic levitation.

Chronic infections are associated with the formation of non-attached biofilm-like aggregates. In vitro models of surface-attached biofilms do not always accurately mimic these processes. Here, we tested a new approach to create in vitro non-attached bacterial aggregates using the principle of magnetic levitation of biological objects placed into a magnetic field gradient. Bacteria grown under magnetic levitation conditions formed non-attached aggregates that were studied with CLSM and SEM and characterized quantitatively. Non-attached aggregates consisted of bacteria submerged into an extracellular matrix and demonstrated features characteristic of biofilms, such as polymeric matrix that binds Ruby Red and Congo red dyes, prerequisite of bacterial growth, and increased resistance to gentamicin. Three quantitative methods were explored to characterize strain-specific potential to form non-attached aggregates: geometric sizes, relative quantities of aggregated and free-swimming bacteria, and Congo red binding. A comparison of three E. coli strains demonstrated that the strain weakly forming non-attached aggregates differed from strains that formed aggregates based on all three parameters (p<0.05). Further, we characterized biofilm formation on plastic and agar surfaces by these strains and found that good biofilm formation ability does not necessarily indicate good non-attached aggregate formation ability, and vice versa. The model and quantitative methods can be applied for in vitro studies of non-attached aggregates and modeling bacterial behavior in chronic infections, as it is important to increase understanding of the role that non-attached bacterial aggregates play in the pathogenesis of chronic diseases.Importance paragraphAn increasing amount of evidence indicates that chronic infections are associated with non-attached biofilm-like aggregates formed by pathogenic bacteria. These aggregates differ from biofilms because they form under low-shear conditions within the volume of biological fluids and they do not attach to surfaces. Here, we describe an in vitro model that provides non-attached aggregate formation within the liquid volume due to magnetic levitation. Using this model, we demonstrated that despite morphological and functional similarities of non-attached aggregates and biofilms, strains that exhibit good biofilm formation might exhibit poor non-attached aggregate formation, suggesting that mechanisms underlying the formation of biofilms and non-attached aggregates are not identical. The magnetic levitation approach can be useful for in vitro studies of non-attached aggregate formation and simulation of bacterial behavior in chronic infections.