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A critical step of this bacterial species competition protocol that differentiates it from others, is the overnight incubation of the inhibitor isolate before addition of the competitor isolate. The inhibitor strain requires this growth period to produce inhibitory compounds. As the competitor strain is overlaid on top of the same medium, this method allows the researcher to observe the full potential of the inhibitor strain to interfere with growth of the competitor strain. As a result, this assay reflects what happens with nature; one isolate is fully established in a niche, and the other must be able to counteract any inhibitory variables to be able to successfully invade the niche.
There are two parts to this protocol that are most likely to cause erroneous results if performed incorrectly. Firstly, incomplete sterilization of the vaporizer bottles can introduce contaminating bacteria into the assay. Incubation of the broth used to rinse the vaporizer bottle in step 3.6 in a sterile vessel can be used to confirm bottles were completely sterilized. Additional washes in disinfectant solutions, such as Virkon, can be used prior to the wash in surface active cleaning agent, described in step 3.2, if additional sterilization is required.
A second step that may cause erroneous results is the dilution of the competitor strain (step 6.1). If the dilution is not optimal, clear measurements of inhibition may not be easily determined. This assay was optimized using various nasal isolates as inhibitor-producing strains across a wide range of Gram-positive and Gram-negative species versus S. aureus SH1000 as the competitor strain 7,8. It has subsequently been tested using various coagulase-negative and coagulase-positive staphylococci as competitor and inhibitor-producing strains. When testing genera other than those described above as the competitor strain, some optimization of the dilution for the inoculum may be necessary.
If clarity scores vary significantly between repeats, it might be necessary to standardize the competitor strain inoculum by setting it to a specific optical density. However, this will increase the time the assay takes to set up, and is likely to reduce the number of strains it is possible to process per experiment. Visually adjusting the culture to an appropriate OD using a McFarland standard may provide a rapid alternative.
One limitation of this technique is that it it can only be applied to culturable bacteria. This is why many studies use 16S rRNA sequencing to predict competitive exclusion interactions 3,4,13. However, genetic and metagenomic techniques can only distinguish community members to the species level, and/or do not account for particular intraspecific trait variation. It is possible to screen for the association of a particular gene that encodes a trait with the presence or absence of a bacterial species 5, however this requires pre-knowledge of a gene likely to be associated with exclusion of a species.
A safety consideration of this technique is that, due to the aerosol generation of bacteria, it can only be used in laboratories with a level 2 safety cabinet, or with similar safety precautions. There are alternative techniques to test for competition between isolates that account for intraspecific trait variation and do not generate aerosols of bacteria. One such method is the simultaneous antagonism assay 2. In this method, an inoculum of one isolate is spread onto an agar plate, and a second isolate inoculum is spotted or stabbed on top once the first has dried. This would produce an environment where the strains are in direct competition (simultaneous antagonism), both competing to produce inhibitory compounds and scavenge nutrients first. The advantage of the deferred growth inhibition assay over the simultaneous antagonism assay is that the inhibitor isolate should always have the competitive advantage of being fully established before invasion of the competitor isolate. This is more reflective of what would happen in the environment, as in most niches, one isolate will be established before another strain is added, rather than two isolates being added at the same time 8.
Another alternative to avoid aerosol generation of bacteria would be to add the competitor isolate in top agar, which could be poured rather than sprayed over the inhibitor isolate. However, the volume of top agar added would need to be approximately 3 ml to ensure even coverage of the plate. Within this volume, the competitor isolate would not be growing on the same media as the inhibitor isolate, so would not suffer from reduced nutrients. The competitor would also not be in direct contact with any inhibitory compounds until they diffused into the top agar. Such an assay could not be described as deferred inhibition or simultaneous antagonism.
A similar method has previously been used to assess the levels of bacitracin resistance amongst clinical S. aureus isolates 10. The main difference between the protocol described here and that described by 10, is the latter only classified competitor strains as sensitive (complete inhibition- clarity score 0) or resistant (partial to no inhibition- clarity score 1-5). The deferred growth inhibition assay could therefore also be used to screen for levels of resistance to producers of particular antimicrobials, or even to search for novel antimicrobials active against multi-drug resistant pathogens.
It has been suggested that the host microflora could be manipulated to eliminate undesirable members of the bacterial community 9. Application of corynebacteria or Staphylococcus epidermidis have already been shown to eliminate S. aureus colonization in the nares in a significant proportion of the population 11,12. Studies into specific strains that can competitively exclude undesirable members of the host flora, through techniques such as the one described here, may therefore lead to future therapeutics.