eradicate. However, biofilm studies have been hampered by the fact that most assays utilize nonliving surfaces as biofilm attachment substrates. In an attempt to better understand the mechanisms behind P. aeruginosa biofilm formation, we performed a genetic screen to identify novel factors involved in biofilm formation on biotic and abiotic surfaces. We found that deletion of genes polB and PA14_46880 reduced biofilm formation significantly compared to that in the wild-type strain PA14 in an abiotic biofilm system. In a biotic biofilm model, wherein biofilms form on cultured airway cells, the ⌬polB and ⌬PA14_46880 strains showed increased cytotoxic killing of the airway cells independent of the total number of bacteria bound. Notably, deletion mutant strains were more resistant to ciprofloxacin treatment. This phenotype was linked to decreased expression of algR, an alginate transcriptional regulatory gene, under ciprofloxacin pressure. Moreover, we found that pyocyanin production was increased in planktonic cells of mutant strains. These results indicate that inactivation of polB and PA14_46880 may inhibit transition of P. aeruginosa from a more acute infection lifestyle to the biofilm phenotype. Future investigation of these genes may lead to a better understanding of P. aeruginosa biofilm formation and chronic biofilm infections.
Chronic Pseudomonas aeruginosa infections in the lungs of cystic fibrosis (CF) patients are characterized by development of biofilm (1, 2). This biofilm formation protects these bacteria from stressful environmental factors, including antibiotic treatment and host defense mechanisms (1, 2). In particular, the biofilm extracellular matrix enhances the survival and persistence of P. aeruginosa by shielding the bacteria from the harsh conditions of CF patient lungs (3). Decreased growth rate, development of persisters, and expression of biofilm-specific resistance factors further enhance biofilm survival in the face of antibiotic and host stress (4,5). This adaptation to the CF lung environment is controlled by a complex regulatory network (6). Additionally, longterm exposure to stresses during chronic infection results in accumulation of mutations that contribute to persistent survival (7,8), suggesting that host pressures during infections actually enhance biofilm formation (9, 10). Thus, due to biofilm formation and subsequent phenotypic and genotypic adaptation to the harsh and stressful conditions, P. aeruginosa colonization often becomes lifelong in the CF lung (11), and it is a major factor contributing to CF complications, including respiratory failure and death (12).Genetic adaptation to the CF lung environment is thought to arise by a multistep process. Stress-induced DNA damage leads to mutation in DNA repair systems. Indeed, a high percentage of CF isolates have impaired DNA repair mechanisms (8,13,14). This initial defect then results in hypermutability and further genetic mutation (15, 16), which is particularly linked with acquired resistance to antibiotics and oxidative ...