The length of the tandem repeat region of the Vsa protein of Mycoplasma pulmonis has previously been shown to modulate the susceptibility of mycoplasmas to killing by complement: cells that produce a short form of the Vsa protein are highly sensitive, and cells producing the long Vsa protein are resistant. In contrast to their differing susceptibilities to complement, the mycoplasmas were highly sensitive to gramicidin irrespective of the length of the Vsa protein produced. We show here that when encased within a biofilm, cells of M. pulmonis producing a short form of the Vsa protein were more resistant to complement and gramicidin than mycoplasmas that were dispersed. The resistance appeared to be localized to those mycoplasmas within tower structures of the biofilms. Biofilm formation may be a mechanism that protects mycoplasmas from host immunity.Biofilms are communities of microorganisms encased in an extracellular matrix of polysaccharide, lipid, DNA, and protein (7). A major function of a biofilm is to protect the microbial cells from antimicrobial agents (3) and immune surveillance (15). Generally, biofilms are structurally organized into honeycombed regions and areas of outgrowths referred to as mushrooms or towers (16). Biofilms formed in vitro by the mycoplasmas contain all of the molecular and structural features found in biofilms that are formed by other bacteria (9, 11). The tower structures contain mycoplasmal cells that are densely packed together relative to the honeycombed region.The variable surface antigens (Vsa proteins) of Mycoplasma pulmonis modulate numerous properties of the mycoplasma, including susceptibility to complement, susceptibility to phage, and the abilities to hemadsorb and to form a biofilm (11-13). Differences in the size of Vsa result from the loss or gain in the number of tandem repeat units via slipped-strand mispairing in the gene's 3Ј repetitive region (10). Mycoplasmas that produce a Vsa protein containing about 40 tandem repeats do not form biofilms (11) and are resistant to killing by complement but susceptible to the antimicrobial protein gramicidin (12,13). Mycoplasmas that produce a Vsa protein containing a few tandem repeat units, such as M. pulmonis strain CT182-R3, are efficiently killed by both complement and gramicidin. It has been proposed that the long Vsa proteins sterically hinder the access of larger molecules, such as complement, to the mycoplasma cell membrane while permitting the access of smaller molecules such as gramicidin (12).The mycoplasmas used in these previous studies were dispersed into the reaction medium and were readily accessible to complement and gramicidin. M. pulmonis strain CT182-R3 grows as a biofilm (11). To determine whether the biofilm was protective, we incubated intact mycoplasma biofilms or mycoplasma cells that were dispersed from biofilms with complement or gramicidin. We found that the biofilm protected the mycoplasmal cells. Furthermore, the resistance appeared to be localized to the tower structures in the biofilms.
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