Anette Aakj&#230;r Thomsen and Javier E. Garcia are acknowledged for excellent technical support. The authors thank Rubens Spin-Neto for fruitful discussions on image analysis.

The protocol for saliva collection was reviewed and approved by the Ethics Committee of Aarhus County (M-20100032).
1. Cultivation of Cross-kingdom Biofilms
<ol>
	<li>Grow S. mutans DSM 20523 and C. albicans NCPF 3179 on blood agar plates at 37 &#176;C under aerobic conditions.</li>
	<li>Transfer single colonies of each organism to test tubes filled with 5 mL of brain heart infusion (BHI). Grow for 18 h under aerobic conditions at 37 &#176;C.</li>
	<li>Centrifuge the overni...

<ol>
	<li>Siqueira, J. F., Sen, B. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fungi+in+endodontic+infections.">Fungi in endodontic infections.</a> Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics. 97 (5), 632-641 (2004).</li><li>Matic Petrovic, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Subgingival+areas+as+potential+reservoirs+of+different+Candida+spp+in+type+2+diabetes+patients+and+healthy+subjects.">Subgingival areas as potential reservoirs of different Candida spp in type 2 diabetes patients and healthy subjects.</a> PloS One. 14 (1), 0210527 (2019).</li><li>De-La-Torre, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Oral+Candida+colonization+in+patients+with+chronic+periodontitis.+Is+there+any+relationship.">Oral Candida colonization in patients with chronic periodontitis. Is there any relationship.</a> Revista Iberoamericana De Micologia. 35 (3), 134-139 (2018).</li><li>Xu, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Streptococcal+co-infection+augments+Candida+pathogenicity+by+amplifying+the+mucosal+inflammatory+response.">Streptococcal co-infection augments Candida pathogenicity by amplifying the mucosal inflammatory response.</a> Cellular Microbiology. 16 (2), 214-231 (2014).</li><li>Xu, H., Sobue, T., Bertolini, M., Thompson, A., Dongari-Bagtzoglou, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Streptococcus+oralis+and+Candida+albicans+Synergistically+Activate+&#956;-Calpain+to+Degrade+E-cadherin+From+Oral+Epithelial+Junctions.">Streptococcus oralis and Candida albicans Synergistically Activate &#956;-Calpain to Degrade E-cadherin From Oral Epithelial Junctions.</a> The Journal of Infectious Diseases. 214 (6), 925-934 (2016).</li><li>Dongari-Bagtzoglou, A., Kashleva, H., Dwivedi, P., Diaz, P., Vasilakos, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Characterization+of+mucosal+Candida+albicans+biofilms.">Characterization of mucosal Candida albicans biofilms.</a> PloS One. 4 (11), 7967 (2009).</li><li>Diaz, P. I., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Synergistic+interaction+between+Candida+albicans+and+commensal+oral+streptococci+in+a+novel+in+vitro+mucosal+model.">Synergistic interaction between Candida albicans and commensal oral streptococci in a novel in vitro mucosal model.</a> Infection and Immunity. 80 (2), 620-632 (2012).</li><li>Xiao, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Candida+albicans+and+Early+Childhood+Caries:+A+Systematic+Review+and+Meta-Analysis.">Candida albicans and Early Childhood Caries: A Systematic Review and Meta-Analysis.</a> Caries Research. 52 (1-2), 102-112 (2018).</li><li>Falsetta, M. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Symbiotic+relationship+between+Streptococcus+mutans+and+Candida+albicans+synergizes+virulence+of+plaque+biofilms+in+vivo.">Symbiotic relationship between Streptococcus mutans and Candida albicans synergizes virulence of plaque biofilms in vivo.</a> Infection and Immunity. 82 (5), 1968-1981 (2014).</li><li>Hwang, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Candida+albicans+mannans+mediate+Streptococcus+mutans+exoenzyme+GtfB+binding+to+modulate+cross-kingdom+biofilm+development+in+vivo.">Candida albicans mannans mediate Streptococcus mutans exoenzyme GtfB binding to modulate cross-kingdom biofilm development in vivo.</a> PLoS Pathogens. 13 (6), 1006407 (2017).</li><li>Koo, H., Falsetta, M. L., Klein, M. I. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+exopolysaccharide+matrix:+a+virulence+determinant+of+cariogenic+biofilm.">The exopolysaccharide matrix: a virulence determinant of cariogenic biofilm.</a> Journal of Dental Research. 92 (12), 1065-1073 (2013).</li><li>Schlafer, S., Dige, I. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ratiometric+Imaging+of+Extracellular+pH+in+Dental+Biofilms.">Ratiometric Imaging of Extracellular pH in Dental Biofilms.</a> Journal of Visualized Experiments. (109), 53622 (2016).</li><li>Schlafer, S., Kamp, A., Garcia, J. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+confocal+microscopy-based+method+to+monitor+extracellular+pH+in+fungal+biofilms.">A confocal microscopy-based method to monitor extracellular pH in fungal biofilms.</a> FEMS Yeast Research. 18 (5), (2018).</li><li>Schlafer, S., B&#230;lum, V., Dige, I. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Improved+pH-ratiometry+for+the+three-dimensional+mapping+of+pH+microenvironments+in+biofilms+under+flow+conditions.">Improved pH-ratiometry for the three-dimensional mapping of pH microenvironments in biofilms under flow conditions.</a> Journal of Microbiological Methods. 152, 194-200 (2018).</li><li>Hidalgo, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Functional+tomographic+fluorescence+imaging+of+pH+microenvironments+in+microbial+biofilms+by+use+of+silica+nanoparticle+sensors.">Functional tomographic fluorescence imaging of pH microenvironments in microbial biofilms by use of silica nanoparticle sensors.</a> Applied and Environmental Microbiology. 75 (23), 7426-7435 (2009).</li><li>Vroom, J. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Depth+Penetration+and+Detection+of+pH+Gradients+in+Biofilms+by+Two-Photon+Excitation+Microscopy.">Depth Penetration and Detection of pH Gradients in Biofilms by Two-Photon Excitation Microscopy.</a> Applied and Environmental Microbiology. 65, 3502-3511 (1999).</li><li>Lawrence, J. R., Swerhone, G. D. W., Kuhlicke, U., Neu, T. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=In+situ+evidence+for+metabolic+and+chemical+microdomains+in+the+structured+polymer+matrix+of+bacterial+microcolonies.">In situ evidence for metabolic and chemical microdomains in the structured polymer matrix of bacterial microcolonies.</a> FEMS Microbiology Ecology. 92 (11), (2016).</li><li>Franks, A. E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Novel+strategy+for+three-dimensional+real-time+imaging+of+microbial+fuel+cell+communities:+monitoring+the+inhibitory+effects+of+proton+accumulation+within+the+anode+biofilm.">Novel strategy for three-dimensional real-time imaging of microbial fuel cell communities: monitoring the inhibitory effects of proton accumulation within the anode biofilm.</a> Energy Environmental Science. 2 (1), 113-119 (2009).</li><li>de Jong, M. H., van der Hoeven, J. S., van OS, J. H., Olijve, J. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Growth+of+oral+Streptococcus+species+and+Actinomyces+viscosus+in+human+saliva.">Growth of oral Streptococcus species and Actinomyces viscosus in human saliva.</a> Applied and Environmental Microbiology. 47 (5), 901-904 (1984).</li><li>Schneider, C. A., Rasband, W. S., Eliceiri, K. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=NIH+Image+to+ImageJ:+25+years+of+image+analysis.">NIH Image to ImageJ: 25 years of image analysis.</a> Nature Methods. 9 (7), 671-675 (2012).</li><li>Daims, H., L&#252;cker, S., Wagner, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Daime,+a+novel+image+analysis+program+for+microbial+ecology+and+biofilm+research.">Daime, a novel image analysis program for microbial ecology and biofilm research.</a> Environmental Microbiology. 8 (2), 200-213 (2006).</li><li>Barbosa, J. O., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Streptococcus+mutans+Can+Modulate+Biofilm+Formation+and+Attenuate+the+Virulence+of+Candida+albicans.">Streptococcus mutans Can Modulate Biofilm Formation and Attenuate the Virulence of Candida albicans.</a> PloS One. 11 (3), 0150457 (2016).</li><li>Thein, Z. M., Samaranayake, Y. H., Samaranayake, L. P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+oral+bacteria+on+growth+and+survival+of+Candida+albicans+biofilms.">Effect of oral bacteria on growth and survival of Candida albicans biofilms.</a> Archives of Oral Biology. 51 (8), 672-680 (2006).</li><li>Krzy&#347;ciak, W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+a+Lactobacillus+Salivarius+Probiotic+on+a+Double-Species+Streptococcus+Mutans+and+Candida+Albicans+Caries+Biofilm.">Effect of a Lactobacillus Salivarius Probiotic on a Double-Species Streptococcus Mutans and Candida Albicans Caries Biofilm.</a> Nutrients. 9 (11), 1242 (2017).</li><li>Liu, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Nicotine+Enhances+Interspecies+Relationship+between+Streptococcus+mutans+and+Candida+albicans.">Nicotine Enhances Interspecies Relationship between Streptococcus mutans and Candida albicans.</a> BioMed Research International. 2017, 7953920 (2017).</li><li>Schlafer, S., Meyer, R. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Confocal+microscopy+imaging+of+the+biofilm+matrix.">Confocal microscopy imaging of the biofilm matrix.</a> Journal of Microbiological Methods. 138, 50-59 (2017).</li><li>Schlafer, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ratiometric+imaging+of+extracellular+pH+in+bacterial+biofilms+with+C-SNARF-4.">Ratiometric imaging of extracellular pH in bacterial biofilms with C-SNARF-4.</a> Applied and Environmental Microbiology. 81 (4), 1267-1273 (2015).</li><li>Ohle, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Real-time+microsensor+measurement+of+local+metabolic+activities+in+ex+vivo+dental+biofilms+exposed+to+sucrose+and+treated+with+chlorhexidine.">Real-time microsensor measurement of local metabolic activities in ex vivo dental biofilms exposed to sucrose and treated with chlorhexidine.</a> Applied and Environmental Microbiology. 76 (7), 2326-2334 (2010).</li><li>Schlafer, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=pH+landscapes+in+a+novel+five-species+model+of+early+dental+biofilm.">pH landscapes in a novel five-species model of early dental biofilm.</a> PloS One. 6 (9), 25299 (2011).</li><li>Divaris, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+Supragingival+Biofilm+in+Early+Childhood+Caries:+Clinical+and+Laboratory+Protocols+and+Bioinformatics+Pipelines+Supporting+Metagenomics,+Metatranscriptomics,+and+Metabolomics+Studies+of+the+Oral+Microbiome.">The Supragingival Biofilm in Early Childhood Caries: Clinical and Laboratory Protocols and Bioinformatics Pipelines Supporting Metagenomics, Metatranscriptomics, and Metabolomics Studies of the Oral Microbiome.</a> Methods in Molecular Biology. 1922, 525-548 (2019).</li><li>Stewart, P. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mini+review:+convection+around+biofilms.">Mini review: convection around biofilms.</a> Biofouling. 28 (2), 187-198 (2012).</li><li>Stoodley, P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Biofilms:+Flow+disrupts+communication.">Biofilms: Flow disrupts communication.</a> Nature Microbiology. 1, 15012 (2016).</li></ol>

Different protocols for the cultivation of cross-kingdom biofilms involving C. albicans and Streptococcus spp. have been described previously9,22,23,24,25. However, the present setup focuses on simple growth conditions, a time schedule compatible with regular working days, a balanced species composition, and the development of a volu...

Cross-kingdom biofilms comprising both fungal and bacterial species are involved in several pathologic conditions in the oral cavity. Candida spp. have frequently been isolated from endodontic infections1 and from periodontal lesions2,3. In mucosal infections, streptococcal species from the mitis group have been shown to enhance fungal biofilm formation, tissue invasion, and dissemination in both in vitro and murine models4,5,6,7. Most interestingly, oral carriage of Candida spp. has been proven to be associated with the prevalence of caries in children8. As shown in rodent models, a symbiotic relationship between Streptococcus mutans and Candidas albicans increases the production of extracellular polysaccharides and leads to the formation of thicker and more cariogenic biofilms9,10.
In all of the above-mentioned conditions, early childhood caries in particular, the biofilm pH is of importance for disease progression, and the eminent role of the biofilm matrix for the development of acidogenic microenvironments11 calls for methodologies that allow studying pH changes inside cross-kingdom biofilms. Simple and accurate confocal microscopy-based approaches to monitor pH inside bacterial12 and fungal13 biofilms have been developed. With the ratiometric dye C-SNARF-4 and threshold-based image post-processing, extracellular pH can be determined in real-time in all three dimensions of a biofilm14. Compared to other published techniques for microscopy-based pH-monitoring in biofilms, pH ratiometry with C-SNARF-4 is simple and cheap, because it does not require the synthesis of particles or compounds that include a reference dye15 or the use of two-photon excitation16. The use of just one dye prevents problems with probe compartmentalization, fluorescent bleed-through, and selective bleaching16,17,18 while still allowing for a reliable differentiation between intra- and extracellular pH. Finally, incubation with the dye is performed after biofilm growth, which allows studying both laboratory and in situ-grown biofilms.
The aim of the present work is to extend the use of pH ratiometry and provide a method to study pH changes in cross-kingdom biofilms. As proof of concept, the method is used to monitor pH in dual species biofilms consisting of S. mutans and C. albicans exposed to glucose.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Blood agar plates</td>
			<td>Statens Serum Institut</td>
			<td>677</td>
			<td></td>
		</tr>
		<tr>
			<td>Brain heart infusion</td>
			<td>Oxoid</td>
			<td>CM1135</td>
			<td></td>
		</tr>
		<tr>
			<td>Brain heart infusion + 5 % sucrose</td>
			<td>BDH laboratory supplies</td>
			<td>10274</td>
			<td></td>
		</tr>
		<tr>
			<td>Candida albicans</td>
			<td>National Collection of Pathogenic Fungi</td>
			<td>NCPF 3179</td>
			<td></td>
		</tr>
		<tr>
			<td>D-(+)-Glucose</td>
			<td>Sigma-Aldrich</td>
			<td>G8270</td>
			<td></td>
		</tr>
		<tr>
			<td>daime: digital image analysis in microbial ecology</td>
			<td>Universit&#228;t Wien</td>
			<td>N/A</td>
			<td>Freeware; V2.1; <a href="https://dome.csb.univie.ac.at/daime" target="_blank">https://dome.csb.univie.ac.at/daime</a></td>
		</tr>
		<tr>
			<td>Dimethyl sulfoxide</td>
			<td>Life Technologies</td>
			<td>D12345</td>
			<td></td>
		</tr>
		<tr>
			<td>Fetal bovine serum</td>
			<td>Gibco Life technologies</td>
			<td>10270</td>
			<td></td>
		</tr>
		<tr>
			<td>GS-6R refrigerated centrifuge</td>
			<td>Beckman</td>
			<td>N/A</td>
			<td></td>
		</tr>
		<tr>
			<td>ImageJ</td>
			<td>National Institutes of Health</td>
			<td>N/A</td>
			<td>Freeware; V1.46r; <a href="https://imagej.nih.gov/ij" target="_blank">https://imagej.nih.gov/ij</a></td>
		</tr>
		<tr>
			<td>Java</td>
			<td>Oracle</td>
			<td>N/A</td>
			<td>Freeware necessary to run ImageJ; V8.0; <a href="https://java.com/en/download" target="_blank">https://java.com/en/download</a></td>
		</tr>
		<tr>
			<td>&#181;-Plate 96 Well Black</td>
			<td>Ibidi</td>
			<td>89626</td>
			<td></td>
		</tr>
		<tr>
			<td>MyCurveFit</td>
			<td>MyAssays Ltd.</td>
			<td>N/A</td>
			<td></td>
		</tr>
		<tr>
			<td>2-(N-Morpholino)ethanesulfonic acid (MES) buffer</td>
			<td>Bioworld</td>
			<td>700728</td>
			<td></td>
		</tr>
		<tr>
			<td>PHM210 pH-meter</td>
			<td>Radiometer Analytical</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Plan-Apochromat 63x oil immersion objective</td>
			<td>Zeiss</td>
			<td>N/A</td>
			<td>NA=1.4</td>
		</tr>
		<tr>
			<td>SNARF&#174;-4F 5-(and-6)-Carboxylic Acid</td>
			<td>Life Technologies</td>
			<td>S23920</td>
			<td></td>
		</tr>
		<tr>
			<td>Sterile physiological saline</td>
			<td>VWR</td>
			<td>6404</td>
			<td></td>
		</tr>
		<tr>
			<td>Streptococcus mutans</td>
			<td>Deutsche Sammlung von Mikroorganismen und Zellkulturen</td>
			<td>DSM 20523</td>
			<td></td>
		</tr>
		<tr>
			<td>Vis-spectrophotometer V-3000PC</td>
			<td>VWR</td>
			<td>N/A</td>
			<td></td>
		</tr>
		<tr>
			<td>XL Incubator</td>
			<td>PeCON</td>
			<td>N/A</td>
			<td></td>
		</tr>
		<tr>
			<td>Zeiss LSM 510 META</td>
			<td>Zeiss</td>
			<td>N/A</td>
			<td></td>
		</tr>
	</tbody>
</table>

monitoring extracellular ph in cross-kingdom biofilms using confocal microscopy

Cross-kingdom biofilms consisting of both fungal and bacterial cells are involved in a variety of oral diseases, such as endodontic infections, periodontitis, mucosal infections and, most notably, early childhood caries. In all of these conditions, the pH in the biofilm matrix impacts microbe-host interactions and thus the disease progression. The present protocol describes a confocal microscopy-based method to monitor pH dynamics inside cross-kingdom biofilms comprising Candida albicans and Streptococcus mutans. The pH-dependent dual-emission spectrum and the staining properties of the ratiometric probe C-SNARF-4 are exploited to determine drops in pH in extracellular areas of the biofilms. Use of pH ratiometry with the probe requires a meticulous choice of imaging parameters, a thorough calibration of the dye, and careful, threshold-based post-processing of the image data. When used correctly, the technique allows for the rapid assessment of extracellular pH in different areas of a biofilm and thus the monitoring of both horizontal and vertical pH gradients over time. While the use of confocal microscopy limits Z-profiling to thin biofilms of 75 &#181;m or less, the use of pH ratiometry is ideally suited for the noninvasive study of an important virulence factor in cross-kingdom biofilms.

After 24 h and 48 h, robust cross-kingdom biofilms developed in the well plates. C. albicans showed varying degrees of filamentous growth, and S. mutans formed dense clusters of up to 35 &#181;m in height. Single cells and chains of S. mutans grouped around fungal hyphae, and large intercellular spaces indicated the presence of a voluminous matrix (Figure S1).
Calibration of the ratiometric dye yields an asymmetrical sigmoidal curve...

Watch this Scientific Journal Video about Monitoring Extracellular pH in Cross-Kingdom Biofilms using Confocal Microscopy at JoVE.com

Monitoring Extracellular pH in Cross-Kingdom Biofilms using Confocal Microscopy

The protocol describes the cultivation of cross-kingdom biofilms consisting of Candida albicans and Streptococcus mutans and presents a confocal microscopy-based method for the monitoring of extracellular pH inside these biofilms.

Cross-kingdom biofilms consisting of both fungal and bacterial cells are involved in a variety of oral diseases, such as endodontic infections, ...

The protocol presents an easy-to-perform method for the cultivation of cross-kingdom biofilms consisting of StreptococcuS. mutans and Candida albicans. Subsequent confocal microscopy-based pH ratiometry allows for accurate monitoring of pH developments inside the extracellular matrix of those biofilms.The careful choice of image acquisition parameters is of utmost importance to obtain image data with sufficient contrast for subsequent analysis. pH ratiometry is a rapid, precise, and inexpensive method to study both horizontal and vertical pH gradients in cross-kingdom biofilms in real time. pH ratiometry can also be performed in purely fungal and bacterial biofilms.The method contributes to increase our understanding of microbial metabolism in biofilms. Demonstrating the procedure for biofilm growth will be Anette Aakjaer Thomsen, a technician from my laboratory. Grow S.mutans and C.albicans on blood agar plates at 37 degrees Celsius under aerobic conditions.Then transfer single colonies of each organism to test tubes filled with five milliliters of brain heart infusion and grow them for an additional 18 hours. On the next day, centrifuge the cultures at 1, 200 times g for five minutes and discard the supernatant. Resuspend the cells in physiological saline and adjust the OD 550 to 0.5 for both C.albicans and S.mutans.Then dilute the S.mutans suspension one to 10 to achieve equivalent concentrations. Pipette 50 microliters of sterile salivary solution into the wells of an optical bottom 96-well plate for microscopy. Incubate the plate for 30 minutes at 37 degrees Celsius, then wash the plate three times with 100 microliters of sterile physiological saline and empty the wells.Add 100 microliters of C.albicans suspension to each well, incubate the plate at 37 degrees Celsius for 90 minutes, then wash the well three times with saline. Next, add 100 microliters of heat-inactivated fetal bovine serum to each well. Incubate the plate for two hours, then wash it three times with saline.Empty the wells but leave a 20 microliter reservoir to avoid excessive shear forces. Add 100 microliters of S.mutans suspension and 150 microliters of BHI with 5%sucrose to each well. Then incubate the plate at 37 degrees Celsius for 24 hours or longer.When cultivating older biofilms, replace the medium daily. At the end of the cross-kingdom growth phase, wash the plate five times with sterile physiological saline. For ratiometric pH imaging, use an inverted confocal laser scanning microscope with a 63X oil or water immersion lens, a 543 nanometer laser line, and a spectral imaging system.Use an incubator to warm the microscope stage to 35 degrees Celsius. Set the detector for simultaneous detection of green fluorescence from 576 to 608 nanometers and red fluorescence from 629 to 661 nanometers. Then choose an appropriate laser power and gain to avoid over and underexposure.Set the pinhole size to one air unit or an optical slice of about 0.8 micrometers. Then set the image size to 512 by 512 pixels and the scan speed to two. Choose a line average of two using the mean option.Prepare 100 microliters of sterile physiological saline with 0.4%glucose titrated to pH seven. Then make a stock solution of C-SNARF-4 and add the dye to a final concentration of 30 micromolar. Empty one of the wells with the cross-kingdom biofilm leaving a 20 microliter reservoir and add the saline with glucose and ratiometric dye.Place the plate on the microscope stage and start imaging. Prepare a series of 50 millimolar MES buffer titrated to pH four to 7.8 in the increments of 0.2 pH units at 35 degrees Celsius. Pipette 150 microliters of each buffer solution into the wells of an optical bottom 96-well plate.Add the dye to the buffer-filled wells at a concentration of 30 micromolar and let it equilibrate for five minutes. Warm the microscope stage to 35 degrees Celsius and choose the same settings as for ratiometric pH imaging previously described. Place the 96-well plate on the microscope stage and focus on the bottom of the wells.Acquire green and red channel images for all buffer solutions. At regular intervals, take images with the laser turned off to correct for detector offset. Perform the calibration experiment in triplicate and export all images as TIFF files.Store the green and red images in separate folders and rename both series of files with sequential numbers. Import the images into dedicated image analysis software such as ImageJ. In the images taken with the laser off, click analyze and histogram to determine the average fluorescence intensity.Subtract this value from the biofilm images by clicking process, math, and subtract. Then import the two image series into daime and perform a threshold-based segmentation of the red channel images by clicking segment, automatic segmentation, and custom threshold. Set the low threshold above the fluorescence intensity of the fungal cytoplasm and the high threshold below the intensity of the fungal cell walls and the bacteria.Then transfer the object layer of the segmented image series to the green channel image series by clicking segment and transfer object layer. Delete non-object pixels in the red and green channel series. Now the biofilm images are cleared from bacterial and fungal cells and can be exported as TIFF files.Import the image series back into ImageJ and divide the red image series by itself. Then multiply the result by the original image series. The resulting image series is identical to the original except all zero intensity pixels are removed.Repeat the process with the green image series. Next, use the mean filter on both image series to compensate for detector noise. Divide the green by the red image series which then yields the green-to-red ratio for all object pixels.Robust cross-kingdom biofilms developed in the well plates after 24 and 48 hours. Single cells and chains of S.mutans grouped around fungal hyphae and large intracellular spaces indicated the presence of a voluminous matrix. The pH in the extracellular space was visualized using a lookup table.The extracellular pH in the biofilms dropped quickly in the first five minutes after exposure to glucose. Thereafter, acidification slowed down typically reaching values of 5.5 to 5.8 after 15 minutes. Due to the local pH changes, fluorescence intensity in the biofilms changed over time.During image segmentation, high and low thresholds were chosen to adequately eliminate all areas covered by bacterial and fungal cells. The blue and green areas were eliminated by the low and high thresholds respectively. The careful choice of image acquisition parameters is crucial to obtain a good contrast between bacterial cells, fungal cells, and the biofilm matrix.If cross-kingdom biofilms are grown in flow cells, pH developments can be monitored under flow condition mimicking those in the oral cavity. pH ratiometry has been employed to identify local areas in dental biofilms with particularly low pH, so called acidogenic hotspots.

monitoring-extracellular-ph-cross-kingdom-biofilms-using-confocal

Research

JoVE Journal

Immunology and Infection

6.2K visualizações.  Aarhus University. O protocolo apresenta um método fácil de executar para o cultivo de biofilmes entre reinos que consistem em StreptococcuS. mutans e Candida albicans. A proporção de pH baseada em microscopia confocal permite um monitoramento preciso dos desenvolvimentos de pH dentro da matriz extracelular desses biofilmes.A escolha cuidadosa dos parâmetros de aquisição de imagens é de extrema importância para obter dados de imagem com contraste suficiente para análise posterior. a proporção...