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Method Article

Establishing Bacterial–Fungal Cross-Kingdom Biofilms for Studying Oral Pathogenesis

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February 26th, 2026

In This Article

Abstract

Source: Schlafer, S, and Frost Kristensen, M. Monitoring Extracellular pH in Cross-Kingdom Biofilms using Confocal Microscopy. J. Vis. Exp. (2020)

This video demonstrates the cultivation of Streptococcus mutans and Candida albicans cross-kingdom biofilms under oral-like conditions to model bacterial–fungal interactions, enabling the study of microbial synergy, glucan-mediated adhesion, and acidogenic virulence in oral pathogenesis.

Protocol

All procedures involving sample collection have been performed in accordance with the institute's IRB guidelines.

1. Cultivation of Cross-kingdom Biofilms

  1. Grow Streptococcus mutans (S. mutans) DSM 20523 and Candida albicans (C. albicans) NCPF 3179 on blood agar plates at 37 °C under aerobic conditions.
  2. 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 °C.
  3. Centrifuge the overnight cultures at 1,200 x g for 5 min. Discard the supernatant, resuspend the cells in physiological saline and adjust the OD550 nm to 0.5 for C. albicans (~107 cells/mL) and S. mutans (~108 cells/mL). Dilute the S. mutans suspension 1:10 with sterile physiological saline (~107 cells/mL).
  4. Pipette 50 µL of sterile salivary solution, into the wells of an optical bottom 96-well plate for microscopy. Incubate for 30 min at 37 °C. Wash the wells 3x with 100 µL of sterile physiological saline. Empty the wells.
  5. Add 100 µL of C. albicans suspension to each well. Incubate at 37 °C for 90 min. Wash 3x with sterile physiological saline.
    NOTE: Do not empty the wells completely during washing. Leave a reservoir of 20 µL to avoid excessive shear forces.
  6. Add 100 µL of heat-inactivated fetal bovine serum (inactivated at 56 °C for 30 min) to each well. Incubate at 37 °C for 2 h. Wash 3x with sterile physiological saline. Empty the wells, leaving a reservoir of 20 µL.
  7. Add 100 µL of S. mutans suspension (prepared in step 1.3) to each well. Add 150 µL of BHI containing 5% sucrose. Incubate at 37 °C for 24 h or longer. When cultivating older biofilms, change the medium daily to fresh BHI. At the end of the cross-kingdom biofilm growth phase, wash 5x with sterile physiological saline.

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
Blood agar platesStatens Serum Institut677 
Brain heart infusionOxoidCM1135 
Brain heart infusion + 5 % sucroseBDH laboratory supplies10274 
Candida albicansNational Collection of Pathogenic FungiNCPF 3179 
Fetal bovine serumGibco Life technologies10270 
GS-6R refrigerated centrifugeBeckmanN/A 
µ-Plate 96 Well BlackIbidi89626 
Sterile physiological salineVWR6404 
Streptococcus mutansDeutsche Sammlung von Mikroorganismen und ZellkulturenDSM 20523 
Vis-spectrophotometer V-3000PCVWRN/A 

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