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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2022.869736</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The Depletion Mechanism Actuates Bacterial Aggregation by Exopolysaccharides and Determines Species Distribution &amp; Composition in Bacterial Aggregates</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Secor</surname>
<given-names>Patrick R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/847737"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Michaels</surname>
<given-names>Lia A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bublitz</surname>
<given-names>DeAnna C.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jennings</surname>
<given-names>Laura K.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/897481"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Singh</surname>
<given-names>Pradeep K.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Division of Biological Sciences, University of Montana</institution>, <addr-line>Missoula, MT</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Microbiology, University of Washington</institution>, <addr-line>Seattle, WA</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Landon William Locke, The Ohio State University, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Erin Samantha Gloag, The Ohio State University, United States; Paul Stoodley, The Ohio State University, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Patrick R. Secor, <email xlink:href="mailto:Patrick.secor@mso.umt.edu">Patrick.secor@mso.umt.edu</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Biofilms, a section of the journal Frontiers in Cellular and Infection Microbiology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>12</volume>
<elocation-id>869736</elocation-id>
<history>
<date date-type="received">
<day>04</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Secor, Michaels, Bublitz, Jennings and Singh</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Secor, Michaels, Bublitz, Jennings and Singh</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Bacteria in natural environments and infections are often found in cell aggregates suspended in polymer-rich solutions, and aggregation can promote bacterial survival and stress resistance. One aggregation mechanism, called depletion aggregation, is driven by physical forces between bacteria and high concentrations of polymers in the environment rather than bacterial activity <italic>per se</italic>. As such, bacteria aggregated by the depletion mechanism will disperse when polymer concentrations fall unless other adhesion mechanisms supervene. Here we investigated whether the depletion mechanism can actuate the aggregating effects of <italic>Pseudomonas aeruginosa</italic> exopolysaccharides for suspended (i.e. not surface attached) bacteria, and how depletion affects bacterial inter-species interactions. We found that cells overexpressing the exopolysaccharides Pel and Psl remained aggregated after short periods of depletion aggregation whereas wild-type and mucoid <italic>P. aeruginosa</italic> did not. In co-culture, depletion aggregation had contrasting effects on <italic>P. aeruginosa&#x2019;s</italic> interactions with coccus- and rod-shaped bacteria. Depletion caused <italic>S. aureus</italic> (cocci) and <italic>P. aeruginosa</italic> (rods) to segregate from each other and <italic>S. aureus</italic> to resist secreted <italic>P. aeruginosa</italic> antimicrobial factors resulting in species co-existence. In contrast, depletion aggregation caused <italic>P. aeruginosa</italic> and <italic>Burkholderia</italic> sp. (both rods) to intermix, enhancing type VI secretion inhibition of <italic>Burkholderia</italic> by <italic>P. aeruginosa</italic>, leading to <italic>P. aeruginosa</italic> dominance. These results show that in addition to being a primary cause of aggregation in polymer-rich suspensions, physical forces inherent to the depletion mechanism can promote aggregation by some self-produced exopolysaccharides and determine species distribution and composition of bacterial communities.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Pseudomonas aeruginosa</italic>
</kwd>
<kwd>
<italic>Staphylococcus Aureus</italic>
</kwd>
<kwd>
<italic>Burkholderia</italic>
</kwd>
<kwd>aggregate</kwd>
<kwd>biofilm</kwd>
<kwd>quorum sensing</kwd>
<kwd>type VI secretion</kwd>
<kwd>antimicrobial tolerance</kwd>
</kwd-group>    <contract-sponsor id="cn001">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content>
</contract-sponsor>    <contract-sponsor id="cn002">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content>
</contract-sponsor>    <contract-sponsor id="cn003">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content>
</contract-sponsor>    <contract-sponsor id="cn004">National Institutes of Health<named-content content-type="fundref-id">10.13039/100000002</named-content>
</contract-sponsor>    <contract-sponsor id="cn005">Cystic Fibrosis Foundation<named-content content-type="fundref-id">10.13039/100000897</named-content>
</contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="85"/>
<page-count count="13"/>
<word-count count="6139"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Bacteria are often found within cell aggregates suspended in polymer-rich environments. Examples include bacteria growing in soil (<xref ref-type="bibr" rid="B81">Wilpiszeski et&#xa0;al., 2019</xref>), aqueous environments (<xref ref-type="bibr" rid="B10">Blom et&#xa0;al., 2010</xref>), and those living in animal host secretions such as mucus, pus, and sputum (<xref ref-type="bibr" rid="B8">Bjarnsholt et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B43">Kragh et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B7">Bay et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B73">Speare et&#xa0;al., 2020</xref>). Aggregated growth is thought important because it can increase the ability of bacteria to survive environmental stresses such as pH and osmotic extremes, as well as host-derived and pharmaceutical antimicrobials (<xref ref-type="bibr" rid="B77">Stewart and Costerton, 2001</xref>; <xref ref-type="bibr" rid="B30">Hall-Stoodley et&#xa0;al., 2004</xref>). Bacterial aggregation also affects phenotypes relevant to host-microbe interactions such as bacterial invasiveness, virulence factor production, resistance to predation by protozoans, and resistance to phagocytic uptake (<xref ref-type="bibr" rid="B40">Kharazmi, 1991</xref>; <xref ref-type="bibr" rid="B29">Hahn et&#xa0;al., 2000</xref>; <xref ref-type="bibr" rid="B38">Jesaitis et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B2">Alhede et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B72">Sonderholm et&#xa0;al., 2017</xref>).</p>
<p>Bacteria can aggregate <italic>via</italic> bridging aggregation, which occurs when adhesions, polymers, or other molecules bind cells to one another. For example, biofilm formation occurs when cells accumulate next to each other on surfaces and produce exopolysaccharides and other matrix components that enable them to stick together <italic>via</italic> bridging interactions (<xref ref-type="bibr" rid="B17">Costerton et&#xa0;al., 1995</xref>; <xref ref-type="bibr" rid="B19">Davey and O'Toole, 2000</xref>). However, bacteria suspended in solutions are less likely to accumulate immediately adjacent to each other by clonal growth because random (i.e. Brownian) movement or fluid flows will disperse them. This reduces the opportunity for cell-cell bridging interactions <italic>via</italic> self-produced exopolysaccharides.</p>
<p>Another general yet underappreciated mechanism is depletion aggregation (<xref ref-type="bibr" rid="B50">Marenduzzo et&#xa0;al., 2006</xref>). Depletion aggregation occurs in environments containing high concentrations of non-adsorbing polymers (<xref ref-type="bibr" rid="B4">Asakura and Oosawa, 1958</xref>; <xref ref-type="bibr" rid="B60">Poon, 2002</xref>). Such conditions exist in the cytoplasm of eukaryotic cells (<xref ref-type="bibr" rid="B50">Marenduzzo et&#xa0;al., 2006</xref>), mucosal surfaces (<xref ref-type="bibr" rid="B61">Preska Steinberg et&#xa0;al., 2019</xref>), cystic fibrosis (CF) airways (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>), wounds (<xref ref-type="bibr" rid="B14">Clark, 1996</xref>), biofilm matrices (<xref ref-type="bibr" rid="B23">Dorken et&#xa0;al., 2012</xref>), and other settings. Depletion aggregation is initiated when bacteria spontaneously come into close contact with each other (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). This causes the polymers in between cells to become restricted in their configurational freedom, which decreases their entropy. Polymers will spontaneously move out from in between cells (<xref ref-type="bibr" rid="B67">Schwarz-Linek et&#xa0;al., 2010</xref>) which results in a polymer concentration gradient across adjacent bacterial cells and an osmotic imbalance (i.e., the depletion force) that physically holds the cells together (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B, C</bold>
</xref>) (<xref ref-type="bibr" rid="B65">Schwarz-Linek et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B59">Peters et&#xa0;al., 2021</xref>). A representative image of a <italic>Pseudomonas aeruginosa</italic> PAO1 depletion aggregate produced by exposure to the model polymer polyethylene glycol (PEG) is shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Depletion aggregation aggregates bacterial cells in environments crowded with non-adsorbing polymers. <bold>(A)</bold> Bacterial cells (green) are suspended in an environment with high concentrations of non-adsorbing polymer (circles). <bold>(B)</bold> Polymers in between cells are restricted in their conformational freedom and spontaneously move out from in between cells (black arrows), increasing their entropy. The polymer concentration gradient across the cells produces an osmotic imbalance (blue arrows). <bold>(C)</bold> The osmotic imbalance (i.e., the depletion force) physically holds the cells together in aggregates. <bold>(D)</bold> Representative image of a <italic>P. aeruginosa</italic> PAO1 depletion aggregate with PEG 35 kDa as the polymer.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-869736-g001.tif"/>
</fig>
<p>Depletion aggregation is a spontaneous process driven by physical forces generated in environments with high concentrations of polymers. Thus, if bacteria and polymer concentrations are high enough, aggregation <italic>via</italic> depletion will occur as a default and obligatory outcome unless mechanisms like mechanical disruption or bacterial motility (<xref ref-type="bibr" rid="B66">Schwarz-Linek et&#xa0;al., 2012</xref>) produce stronger counteracting forces to disperse cells. Likewise, diluting the polymers will reduce the osmotic force holding the aggregates together and result in aggregate dispersal unless other cell-to-cell adhesion interactions supervene.</p>
<p>Previous work has shown that the concentrations of host-derived polymers like mucin, DNA, and F-actin found at infection sites can cause bacterial depletion aggregation in a similar manner to model polymers like PEG, and that depletion aggregation induces an antibiotic-tolerance phenotype in <italic>P. aeruginosa</italic> (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>). Here we investigated whether the depletion mechanism can actuate durable cell-to-cell adhesion of suspended bacteria by the exopolysaccharides implicated in the formation of surface-attached <italic>P. aeruginosa</italic> biofilms. We also investigated how depletion aggregation affects interactions between bacterial species that are found together in some settings such as the infected CF lung.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Chemicals/Growth Media/Strains</title>
<p>Growth media (Lysogeny broth, LB), polyethylene glycol MW 2,000 and 35,000 Da, and antibiotics were purchased from Sigma. Strains and their sources are listed in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Strains used in this study.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Strain</th>
<th valign="top" align="center">Description</th>
<th valign="top" align="center">Source</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<italic>P. aeruginosa</italic> PAO1</td>
<td valign="top" align="left">Wild type</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B33">Holloway et&#xa0;al., 1979</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>pelA/pslBCD/algD</italic>
</td>
<td valign="top" align="left">Deletion of <italic>pelA</italic>, <italic>pslB, pslC, pslD</italic>, and <italic>algD</italic>
</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B16">Colvin et&#xa0;al., 2012</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>wspF</italic>/<italic>pslD</italic>; pBAD::Pel</td>
<td valign="top" align="left">Deletion of <italic>wspF</italic> and <italic>pslD</italic>; arabinose-inducible Pel operon</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B15">Colvin et&#xa0;al., 2013</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>wspF</italic>/<italic>pelF</italic>; pBAD::Psl</td>
<td valign="top" align="left">Deletion of <italic>wspF</italic> and <italic>pelF</italic>; arabinose-inducible Psl operon</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B37">Jennings et&#xa0;al., 2015</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">MucA22 (PDO300)</td>
<td valign="top" align="left">A <italic>mucA22</italic> allele derivative of PAO1 constructed by allelic exchange</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B52">Mathee et&#xa0;al., 1999</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>mucA</italic>
</td>
<td valign="top" align="left">Contains a truncated <italic>mucA</italic> allele</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B62">Pritchett et&#xa0;al., 2015</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolates</td>
<td valign="top" align="left">
<italic>P. aeruginosa</italic> clinical isolates from various patients</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B71">Smith et&#xa0;al., 2006</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>lasR/rhlR</italic>
</td>
<td valign="top" align="left">Deletion of <italic>lasR</italic> and <italic>rhlR</italic>
</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B69">Siehnel et&#xa0;al., 2010</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>clpV1</italic>
</td>
<td valign="top" align="left">Deletion of <italic>clpV1</italic>
</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B55">Mougous et&#xa0;al., 2006</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 attTn7::<italic>GFP</italic>
</td>
<td valign="top" align="left">Constitutive expression of GFP</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B13">Choi and Schweizer, 2006</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;clpV1; attTn7::<italic>GFP</italic>
</td>
<td valign="top" align="left">Deletion of <italic>clpV1</italic>; constitutively expressing GFP</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B44">LeRoux et&#xa0;al., 2012</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 attTn7:<italic>TFP</italic>
</td>
<td valign="top" align="left">Constitutive expression of TFP</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B85">Zhao et&#xa0;al., 2013</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 attTn7::<italic>YFP</italic>
</td>
<td valign="top" align="left">Constitutive expression of YFP</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B85">Zhao et&#xa0;al., 2013</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>E. coli</italic> pUCP18-<italic>mCherry</italic>
</td>
<td valign="top" align="left">Carries plasmid expressing IPTG-inducible mCherry</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B35">Irie et&#xa0;al., 2012</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>B. thailandensis</italic> E264</td>
<td valign="top" align="left">Wild type</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B84">Yu et&#xa0;al., 2006</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>B. thailandensis</italic> E264 attTn7::<italic>mCherry</italic>
</td>
<td valign="top" align="left">Constitutive expression of mCherry</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B44">LeRoux et&#xa0;al., 2012</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>B. cenocepacia</italic> K56-2 attTn7::<italic>GFP</italic>
</td>
<td valign="top" align="left">Constitutive expression of GFP</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B78">Varga et&#xa0;al., 2013</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>S. aureus</italic> SH1000</td>
<td valign="top" align="left">Wild type</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B34">Horsburgh et&#xa0;al., 2002</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>S. aureus</italic> pCE-SarA-<italic>mCherry</italic>
</td>
<td valign="top" align="left">Constitutive expression of mCherry</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B48">Malone et&#xa0;al., 2009</xref>)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_2">
<title>PEG-Induced Depletion Aggregation of Bacteria</title>
<p>For PEG-induced depletion aggregation, bacteria were added at the indicated densities to either LB diluted 4:6 with distilled water or LB diluted with 50% PEG 35 kDa (w/vol) prepared in distilled water to ensure that nutrient concentrations were the same in dispersed and aggregated conditions. LB was diluted with water or 50% w/vol PEG 35 kDa for all experiments described unless noted otherwise. Cultures were then incubated on a roller (60 rpm) at 37&#xb0;C unless indicated otherwise.</p>
</sec>
<sec id="s2_3">
<title>Aggregate Reversibility Assays</title>
<p>The indicated bacterial strains in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref> were grown overnight in LB at 37&#xb0;C with shaking. One hundred &#xb5;l of overnight cultures were used to inoculate 3 ml of LB+PEG 35 kDa. After 18-h of growth, 100 &#xb5;l of the indicated cultures were removed to a 1.5 ml tube containing 900 &#xb5;l of either 1x PBS or PBS supplemented with 30% w/vol PEG 35 kDa and vortexed. PBS was used to facilitate imaging. Imaging was performed on 50 &#xb5;l culture aliquots pre- and post-dilution using a Leica DM1000 LED microscope by spotting onto a glass slide. Aggregate dispersal was either scored i) by eye as either aggregated or dispersed by comparing to undiluted control cultures. Aggregate reversal assays shown in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref> were performed as follows: <italic>P. aeruginosa</italic> PAO1 or &#x394;<italic>pelA/pslBCD/algD</italic> constitutively expressing YFP were grown overnight in LB at 37&#xb0;C, spun down, and washed and resuspended in PBS at 1x10<sup>9</sup> CFU/ml. Bacteria were added at a 1:1 ratio to either an 8% (w/vol) solution of mucin (porcine gastric mucin) and 4 mg/ml DNA (HMW, salmon sperm DNA) in PBS or a 30% (w/vol) solution of PEG 35k in PBS. Cultures were incubated on a roller (60 rpm, 37&#xb0;C) for 15 or 120 minutes. Bacteria (50 ul) were diluted with 200 ul PBS and mixed by inverting the tube. 20ul of diluted (or undiluted) cultures were placed onto a slide and bacteria were imaged (YFP) such that aggregates were bright and had a distinct defining border from any background. Aggregate area was calculated using Velocity&#x2019;s (Improvision) find object tool using intensity and a minimum aggregate size of 16.64 &#xb5;m<sup>2</sup> (40 pixels). The mean are &#xb1; SD of at least 100 aggregates per replicate was then calculated.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Depletion aggregate dispersal phenotypes of <italic>P. aeruginosa</italic> laboratory strains and CF clinical isolates. <bold>(A&#x2013;F)</bold> Aggregate dispersal of the indicated strains and isolates was measured. Depletion aggregation was induced with 30% w/vol PEG 35 kDa for 18 hours. Depletion aggregates were then diluted 10X with PBS and representative images were acquired immediately pre- and immediately post-dilution. Scale bar 40 &#xb5;m.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-869736-g002.tif"/>
</fig>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Depletion aggregate dispersal phenotypes of <italic>P. aeruginosa</italic> in PEG or mixtures of mucin/DNA. <bold>(A, B)</bold> Fluorescent <italic>P. aeruginosa</italic> PAO1 (wild type) or <bold>(C, D)</bold> the exopolysaccharide triple mutant &#x394;<italic>pelA/pslBCD/algD</italic> were aggregated by either PEG 35 kDa or a mixture of mucin and DNA. Fifteen- or 120-minutes post-aggregation, cultures were diluted 10X with PBS; fluorescent images were acquired immediately pre- and immediately post-dilution. The area of fluorescent aggregates was measured using Velocity image analysis software. The mean &#xb1; SD of at least 100 aggregates per replicate (n = 4) is shown, **P&lt;0.01, ***P&lt;0.001, Student&#x2019;s <italic>t</italic>-test. See representative aggregate images in <xref ref-type="supplementary-material" rid="SF3">
<bold>Figure S3</bold>
</xref>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-869736-g003.tif"/>
</fig>
</sec>
<sec id="s2_4">
<title>Bacterial Competition Assays</title>
<p>
<italic>S. aureus</italic> SH1000 (<xref ref-type="bibr" rid="B34">Horsburgh et&#xa0;al., 2002</xref>) and <italic>P. aeruginosa</italic> PAO1 (<xref ref-type="bibr" rid="B33">Holloway et&#xa0;al., 1979</xref>) were grown overnight at 37&#xb0;C with shaking in LB broth. <italic>S. aureus</italic> and <italic>P. aeruginosa</italic> were pelleted and resuspended at 10<sup>8</sup> CFU/ml in fresh LB broth. One hundred &#xb5;l of each culture was added to 2 ml LB supplemented with either 30% w/vol PEG (35 kDa or 2 kDa) where indicated. Bacteria were grown in co-culture for 18 h and viable bacteria were enumerated by serial dilution and plating on LB plates. For experiments investigating the effects of quorum-regulated antimicrobials on <italic>S. aureus</italic> killing, <italic>P. aeruginosa</italic> PAO1 or <italic>&#x394;lasR/rhlR</italic> (<xref ref-type="bibr" rid="B69">Siehnel et&#xa0;al., 2010</xref>) were grown overnight at 37&#xb0;C with shaking in 50 ml LB broth in a 250 ml flask. Bacteria were removed by centrifugation (10 minutes, 9,000 x g) and supernatants were filter sterilized using bottle top vacuum filters with 0.2 &#xb5;m pore size (Millipore). PEG 2 kDa or 35 kDa was added to these supernatants to a final concentration of 30% w/vol where indicated. <italic>S. aureus</italic> was inoculated into <italic>P. aeruginosa</italic> supernatants at 10<sup>8</sup> CFU/ml and cultured for 6 h at 37&#xb0;C on a roller at 60 rpm. Viable <italic>S. aureus</italic> were enumerated by serial dilution and plating onto LB agar plates. To investigate TSS mediated killing, <italic>P. aeruginosa</italic> PAO1, <italic>&#x394;clpV1</italic> (<xref ref-type="bibr" rid="B55">Mougous et&#xa0;al., 2006</xref>), and <italic>B. thailandensis</italic> E264 (<xref ref-type="bibr" rid="B84">Yu et&#xa0;al., 2006</xref>) were grown overnight at 37&#xb0;C with shaking in LB broth. Bacteria were resuspended in fresh LB at 10<sup>9</sup> CFU/ml. One hundred &#xb5;l containing 1x10<sup>8</sup> CFU <italic>P. aeruginosa</italic> PAO1 or &#x394;<italic>clpV1</italic> and 100 &#xb5;l containing 2.0x10<sup>7</sup> CFU <italic>B. thailandensis</italic> were added to 800 &#xb5;l LB or the indicated polymer solutions and incubated in co-culture for 24 h at 37&#xb0;C on a roller at 60 rpm. Viable bacteria were enumerated by serial dilution and plating on LB plates. For fluorescent imaging of aggregates, strains PAO1 or <italic>&#x394;clpV1</italic> constitutively expressing GFP (PAO1 attTn7::<italic>GFP</italic> (<xref ref-type="bibr" rid="B13">Choi and Schweizer, 2006</xref>),) were co-cultured with <italic>B. thailandensis</italic> E264 attTn7::<italic>mCherry</italic> for 24 hours (<xref ref-type="bibr" rid="B44">LeRoux et&#xa0;al., 2012</xref>).</p>
</sec>
<sec id="s2_5">
<title>Fluorescent Microscopy</title>
<p>
<italic>S. aureus</italic> SH1000 carrying the fluorescent reporter pCE-SarA-<italic>mCherry</italic> (<xref ref-type="bibr" rid="B48">Malone et&#xa0;al., 2009</xref>), <italic>P. aeruginosa</italic> PAO1 attTn7::<italic>GFP</italic>, PAO1 attTn7::<italic>TFP</italic> (<xref ref-type="bibr" rid="B85">Zhao et&#xa0;al., 2013</xref>), PAO1 attTn7::<italic>YFP</italic> (<xref ref-type="bibr" rid="B85">Zhao et&#xa0;al., 2013</xref>), <italic>E. coli</italic> carrying pUCP18-mCherry (<xref ref-type="bibr" rid="B35">Irie et&#xa0;al., 2012</xref>), <italic>B. cenocepacia</italic> K56-2 attTn7::<italic>GFP</italic> (<xref ref-type="bibr" rid="B78">Varga et&#xa0;al., 2013</xref>) and <italic>B. thailandensis</italic> E264 attTn7::<italic>mCherry</italic> were co-cultured as indicated. Depletion aggregates assembled from dead bacteria were prepared by washing and resuspending overnight cultures of PAO1 YFP or PAO1 TFP in PBS at a concentration of 10<sup>9</sup> CFU/ml. Formaldehyde (16%, Thermo) was added slowly to bacteria while vortexing to a final concentration of 4% vol/vol. Bacteria were allowed to fix for 30 minutes with constant mixing to prevent bacteria from clumping. Cells were then centrifuged for 10 minutes at 9,000 x g, washed twice with PBS, and resuspended in 1 ml PBS. Complete bacterial killing was confirmed by plating fixed bacteria on LB agar. One hundred &#xb5;l of the indicated fixed strains were added to 2 ml PBS or PBS+30% PEG 35 kDa. Bacteria were incubated in a 37&#xb0;C in a roller at 60 rpm. Samples were removed and visualized on a glass slide at the indicated times using a Zeiss LSM 510 confocal laser-scanning microscope. Image series were processed using Volocity (Improvision).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Depletion Aggregation can Actuate Cell-Cell Adhesion by Exopolysaccharides.</title>
<p>
<italic>P. aeruginosa</italic> encodes three exopolysaccharides: Pel is a cationic polymer composed of partially acetylated N-acetylgalactosamine and N-acetylglucosamine (<xref ref-type="bibr" rid="B37">Jennings et&#xa0;al., 2015</xref>), Psl is a neutral polymer containing glucose, mannose, and rhamnose (<xref ref-type="bibr" rid="B12">Byrd et&#xa0;al., 2009</xref>), and alginate is a negatively-charged polymer composed of mannuronic and guluronic acid (<xref ref-type="bibr" rid="B58">Pedersen et&#xa0;al., 1992</xref>; <xref ref-type="bibr" rid="B27">Gibson et&#xa0;al., 2003</xref>).</p>
<p>We first tested wild-type <italic>P. aeruginosa</italic> PAO1 that encodes all three exopolysaccharides (<xref ref-type="bibr" rid="B16">Colvin et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B80">Wiens et&#xa0;al., 2014</xref>). As seen previously, wild-type <italic>P. aeruginosa</italic> exposed to the model polymer PEG (35 kDa) rapidly aggregated <italic>via</italic> the depletion mechanism, but disaggregated when polymers were diluted by adding PBS (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Adding PEG did not disperse aggregates, implicating polymer dilution rather than physical disruption in disaggregation (<xref ref-type="supplementary-material" rid="SF1">
<bold>Figure S1</bold>
</xref>). Notably, wild-type <italic>P. aeruginosa</italic> aggregates held together by PEG exposure for as long as 18 hours disaggregated upon polymer dilution with PBS (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref> and <xref ref-type="supplementary-material" rid="SF2">
<bold>Figure S2</bold>
</xref>). Reversibility with dilution is a hallmark of depletion aggregation, as it is driven by a reduction in crowding effects of environmental polymers. Thus, in the conditions tested, wild-type <italic>P. aeruginosa</italic> did not activate bacterially-driven adhesive mechanisms to maintain aggregation.</p>
<p>Expression of exopolysaccharides is a key step in surface adherence and aggregation in surface-associated biofilms (<xref ref-type="bibr" rid="B49">Mann and Wozniak, 2012</xref>), so we reasoned that strains overproducing exopolysaccharides might remain aggregated after polymer dilution. To test this, we aggregated <italic>P. aeruginosa</italic> PAO1 overproducing alginate, Pel, or Psl, and investigated whether PBS dilution caused dispersal. Alginate overproduction was achieved <italic>via</italic> a mutation in an anti-sigma factor gene regulating alginate (PAO1 <italic>mucA22</italic>), and Pel or Psl overproduction was achieved using Pel or Psl genes on an inducible promoter (PAO1 P<sub>BAD</sub>-Psl and PAO1 P<sub>BAD</sub>-Pel).</p>
<p>After 18 hours of depletion aggregation, wild-type PAO1 and PAO1 overproducing alginate (PAO1 <italic>mucA22</italic>) readily dispersed after polymer dilution (i.e. PBS addition) (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A, B</bold>
</xref>) whereas the strains over-expressing Pel and Psl did not (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2C, D</bold>
</xref> and <xref ref-type="supplementary-material" rid="SF2">
<bold>Figure S2</bold>
</xref>). These findings indicate that cells aggregated by the depletion mechanism that have Pel and Psl expression induced can remain aggregated after depletion promoting-conditions are reversed.</p>
<p>To determine if the differential effects of alginate verses Pel and Psl on aggregate stability were generalizable to strains other than PAO1, we studied <italic>P. aeruginosa</italic> clinical isolates taken from people with CF. CF strains can evolve exopolysaccharide over-expression phenotypes (<xref ref-type="bibr" rid="B71">Smith et&#xa0;al., 2006</xref>). Pel or Psl overexpression is known to produce a rugose small-colony morphology (<xref ref-type="bibr" rid="B75">Starkey et&#xa0;al., 2009</xref>) whereas strains that over-produce alginate are mucoid (<xref ref-type="bibr" rid="B58">Pedersen et&#xa0;al., 1992</xref>).</p>
<p>All 10 P<italic>. aeruginosa</italic> CF clinical isolates tested that had a rugose colony morphology formed dilution-resistant aggregates in PEG (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref> and <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>), whereas all (9/9) alginate-overproducing clinical isolates (i.e. mucoid strains) had a reversible aggregation phenotype (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref> and <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). These results with exopolysaccharide-overproducing clinical isolates are consistent with findings using engineered PAO1 strains (see above) and suggest that induced expression of Pel and Psl, but not alginate, enable aggregates formed by the depletion mechanism to remain intact after depletion-promoting conditions are reversed. Different chemical compositions or physical properties of bacterial exopolysaccharides such as charge may explain these differences.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>
<italic>P. aeruginosa</italic> morphology and aggregate reversibility phenotypes.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Strain</th>
<th valign="top" align="center">Morphology</th>
<th valign="top" align="center">Reversible aggregation?</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">PAO1</td>
<td valign="top" align="left">Non-mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>wspF/pslD</italic>; pBAD::Pel</td>
<td valign="top" align="left">Non-mucoid</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>wspF/pelF</italic>; pBAD::Psl</td>
<td valign="top" align="left">Non-mucoid</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">PDO300 mucA22</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">PAO1 &#x394;<italic>mucA</italic>
</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 2-6.3</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 29-14</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 7-15.4</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 9-19.6A</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate W1</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate W2</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate W3</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate W4</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate W5</td>
<td valign="top" align="left">Mucoid</td>
<td valign="top" align="left">Yes</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 27-6.4</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 28-17.9</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolates 29-5.6</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 14-4.2</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate 17-6.6</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate S1</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate S2</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate S3</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate S4</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
<tr>
<td valign="top" align="left">Clinical Isolate S5</td>
<td valign="top" align="left">Rugose</td>
<td valign="top" align="left">No</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Previous work shows that non-adsorbing biological polymers can produce depletion aggregation of bacteria like PEG does (<xref ref-type="bibr" rid="B23">Dorken et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>). However, polymers found at infection sites can also induce biological responses in bacteria that have consequences for aggregation whereas PEG is considered to be relatively inert (<xref ref-type="bibr" rid="B6">Banerjee et&#xa0;al., 2012</xref>). For example, exposure to mucin can induce the expression of <italic>P. aeruginosa</italic> genes important in infection pathogenesis (<xref ref-type="bibr" rid="B47">Lory et&#xa0;al., 1996</xref>; <xref ref-type="bibr" rid="B79">Wang et&#xa0;al., 1996</xref>). Our previous work indicates that depletion aggregates formed <italic>in vitro</italic> by exposing <italic>P. aeruginosa</italic> to mixtures of mucin and DNA are comparable in size to aggregates formed by PEG (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>). These observations led us to investigate whether depletion aggregates induced by biological polymers exhibit dispersal after polymer dilution, like aggregates induced by PEG.</p>
<p>To test this, we induced depletion aggregation using a mixture of mucin and DNA, which are major polymers in lung secretions (i.e. sputum) from people with CF. In these experiments we used concentrations found similar to those <italic>in vivo</italic> (mucin at 4% w/vol and DNA at 2 mg/ml) (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>), and fluorescently-tagged bacterial strains because mucin/DNA mixtures are opaque (PEG is transparent), and assayed several hundred aggregates per condition. Similar to PEG, mucin and DNA mixtures aggregated wild-type PAO1 and PBS addition 15 minutes later caused aggregate dispersal (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>
<bold>;</bold> <xref ref-type="supplementary-material" rid="SF3">
<bold>Figure S3</bold>
</xref>). However, when we extended the period of polymer aggregation to 120 minutes, wild-type PAO1 that had been aggregated in mucin/DNA mixtures remained intact after PBS dilution and mixing by vortexing (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>
<bold>;</bold> <xref ref-type="supplementary-material" rid="SF3">
<bold>Figure S3</bold>
</xref>), whereas those that had been aggregated in PEG dispersed (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). These results suggest that the aggregates that survive dilution by PBS and mixing are stable and in a steady state.</p>
<p>Our finding that induced expression of Pel and Psl makes depletion aggregates dilution-resistant led us to investigate whether self-produced exopolysaccharides mediated the dilution-resistant phenotype of aggregates induced by mucin and DNA. We tested this using PAO1 in which biosynthetic genes of all three exopolysaccharides had been inactivated (PAO1&#x394;<italic>pelA/pslBCD/algD</italic>) and found that the mutant lacking exopolysaccharides genes dispersed upon dilution with PBS regardless of whether aggregation was induced by PEG or the mucin/DNA mixture (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3C, D</bold>
</xref>). Collectively, these results suggest that depletion aggregation can actuate cell-cell adhesion by some <italic>P. aeruginosa</italic> exopolysaccharides, and that depletion aggregation by polymers present at infection sites can initiate the formation of aggregates that remain intact after depletion-mediating conditions are reversed provided exopolysaccharide genes are intact.</p>
</sec>
<sec id="s3_2">
<title>Cell Shape Is Associated With Species Distribution in Depletion Aggregates</title>
<p>Theory predicts that bacteria aggregated by the depletion mechanism will be arranged to minimize the amount of volume occupied (<xref ref-type="bibr" rid="B60">Poon, 2002</xref>), as efficient packing will increase the space available for polymers and the concomitant entropy gains. This effect should cause bacteria with similar shapes to be arranged together, and bacteria with different shapes to separate, unless other external forces or bacterial activity intervene. To test this hypothesis, we mixed <italic>P. aeruginosa</italic>, <italic>Burkholderia cenocepacia</italic> (rod)<italic>, Escherichia coli</italic> (rod), and <italic>Staphylococcus aureus</italic> (a coccus) bearing different florescent labels in various combinations in PEG and examined species distribution by microscopy.</p>
<p>Polymer-mediated depletion aggregation caused cocci-shaped species (<italic>S. aureus</italic>) to segregate from rods (<italic>P. aeruginosa</italic> and <italic>B. cenocepacia</italic>). Two patterns of segregation were observed. In some cases, entire aggregates appeared to be composed of a single species (i.e either rods or cocci) without an appreciable presence of the differently shaped species (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). In other cases, sections of mixed-species aggregates were composed primarily of either the rod or cocci-shaped species, as shown with <italic>S. aureus</italic> and <italic>B. cenocepacia</italic> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). Similar results were seen using mixtures of formalin-killed <italic>P. aeruginosa</italic> and <italic>S. aureus</italic>, and with <italic>P. aeruginosa</italic> mixed with 2 &#xb5;m diameter spherical beads similarly sized as <italic>S. aureus</italic> (<xref ref-type="supplementary-material" rid="SF4">
<bold>Figures S4A, B</bold>
</xref>). Thus, bacterial activity is not required for species segregation under the conditions tested.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Depletion aggregation spontaneously segregates bacteria with different cell shapes. Equal numbers of the indicated species (10<sup>9</sup> CFU/ml each) were mixed prior to the addition of PEG 35 kDa to induce depletion aggregation. After 18 hours, aggregates were imaged by fluorescent microscopy. Representative images of depletion aggregates composed of <bold>(A)</bold> <italic>P. aeruginosa</italic> expressing GFP and <italic>S. aureus</italic> expressing mCherry, <bold>(B)</bold> <italic>S. aureus</italic> expressing mCherry and <italic>B. cenocepacia</italic> expressing GFP, <bold>(C)</bold> <italic>P. aeruginosa</italic> expressing either YFP or CFP, or <bold>(D)</bold> <italic>P. aeruginosa</italic> expressing GFP and <italic>E. coli</italic> expressing mCherry are shown.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-869736-g004.tif"/>
</fig>
<p>In contrast, depletion aggregation caused bacteria with similar cell shapes (i.e. differentially labeled <italic>P. aeruginosa</italic> with <italic>P. aeruginosa, or P. aeruginosa</italic> with <italic>E. coli</italic>) to intermix (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C, D</bold>
</xref>). These experiments, along with previous work using inert particles (<xref ref-type="bibr" rid="B1">Adams et&#xa0;al., 1998</xref>), show that physical forces mediating depletion aggregation cause like-shaped bacteria to intermix, and differently shaped bacteria to separate. The physical arrangement of bacterial species in aggregates can affect competitive and cooperative interactions (see below).</p>
</sec>
<sec id="s3_3">
<title>Depletion Aggregation Promotes Antimicrobial Tolerance in <italic>S. aureus</italic>.</title>
<p>Our finding that depletion aggregation can determine the physical arrangement of species within aggregates led us to investigate its effects on interspecies interactions. <italic>P. aeruginosa</italic> and <italic>S. aureus</italic> are often co-isolated from CF airways (<xref ref-type="bibr" rid="B31">Harrison, 2007</xref>; <xref ref-type="bibr" rid="B32">Hauser et&#xa0;al., 2011</xref>) and wounds (<xref ref-type="bibr" rid="B42">Kirketerp-Moller et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B20">DeLeon et&#xa0;al., 2014</xref>) for long durations. However, in laboratory co-cultures, <italic>P. aeruginosa</italic> rapidly inhibits <italic>S. aureus</italic> by quorum-regulated antimicrobials such as rhamnolipids, hydrogen cyanide, phenazines, quinolones, and others (<xref ref-type="bibr" rid="B53">Mavrodi et&#xa0;al., 2001</xref>; <xref ref-type="bibr" rid="B22">Deziel et&#xa0;al., 2004</xref>; <xref ref-type="bibr" rid="B51">Mashburn et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B57">Palmer et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B63">Schuster and Greenberg, 2006</xref>). Because aggregation can increase antimicrobial tolerance (<xref ref-type="bibr" rid="B28">Haaber et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B76">Staudinger et&#xa0;al., 2014</xref>), we hypothesized that depletion aggregation could enhance the ability of <italic>S. aureus</italic> to co-exist with <italic>P. aeruginosa</italic>.</p>
<p>Similar to previous studies (<xref ref-type="bibr" rid="B53">Mavrodi et&#xa0;al., 2001</xref>; <xref ref-type="bibr" rid="B22">Deziel et&#xa0;al., 2004</xref>; <xref ref-type="bibr" rid="B51">Mashburn et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B57">Palmer et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B63">Schuster and Greenberg, 2006</xref>), we found that wild-type <italic>P. aeruginosa</italic> severely inhibited <italic>S. aureus</italic> in non-aggregated broth co-cultures (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>), and inhibition was diminished if quorum sensing was genetically inactivated (i.e. using &#x394;<italic>lasI/rhlI</italic> PAO1) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>, compare white bars). However, in co-cultures where PEG or mucin/DNA was used to induce depletion aggregation, the competitive index of wild-type <italic>P. aeruginosa</italic> over <italic>S. aureus</italic> was reduced by greater than 10-fold (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>, gray and black bars).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Depletion aggregation increases <italic>S. aureus</italic> tolerance to quorum-regulated antimicrobials secreted by <italic>P. aeruginosa</italic>. <bold>(A)</bold> Equal numbers (10<sup>7</sup> CFUs) of <italic>S. aureus</italic> and <italic>P. aeruginosa</italic> (wild-type PAO1 or &#x394;<italic>lasR/rhlR</italic>) were cocultured in LB supplemented with 30% w/vol PEG 35 kDa or mucin (4%w/vol) and DNA (2 mg/ml), where indicated. After 18-h, viable bacteria were enumerated by serial dilution and plating and plotting the competitive index (change [final/initial] in <italic>P. aeruginosa</italic> vs. <italic>S. aureus</italic> CFUs). Results are the mean &#xb1; SD, N = 3 for each condition; **p&lt;0.01 relative to wild type, Student&#x2019;s <italic>t</italic>-test. <bold>(B, C)</bold> <italic>S. aureus</italic> (10<sup>8</sup> CFU/ml) was added to filter sterilized supernatants collected from wild-type or &#x394;<italic>lasR/rhlR P. aeruginosa</italic> overnight cultures supplemented with 30% w/vol PEG 35 kDa where indicated. Viable <italic>S. aureus</italic> was enumerated by serial dilution and plating at the indicated times. Results are the mean &#xb1; SD, N = 3 for each condition and timepoint; *p &lt; 0.02, Student&#x2019;s <italic>t</italic>-test.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-869736-g005.tif"/>
</fig>
<p>Previous work indicating that depletion aggregation caused marked tolerance of <italic>P. aeruginosa</italic> to pharmaceutical antibiotics (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>) led us to investigate whether depletion aggregation could cause <italic>S. aureus</italic> to become insensitive to antimicrobials produced by <italic>P. aeruginosa</italic>. We tested this by exposing dispersed and depletion-aggregated <italic>S. aureus</italic> to filter-sterilized <italic>P. aeruginosa</italic> planktonic culture supernatants. Supernatants from wild-type <italic>P. aeruginosa</italic> killed ~10-fold more dispersed <italic>S. aureus</italic> than aggregated <italic>S. aureus</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>), whereas supernatants from <italic>P. aeruginosa</italic> &#x394;<italic>lasI/rhlI</italic> did not kill dispersed or aggregated <italic>S. aureus</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). Control experiments indicate that PEG did not diminish the antimicrobial activity of wild-type <italic>P. aeruginosa</italic> supernatants (<xref ref-type="supplementary-material" rid="SF5">
<bold>Figure S5</bold>
</xref>). These results suggest that depletion aggregation may promote co-existence of <italic>P. aeruginosa</italic> and <italic>S. aureus</italic> by enhancing <italic>S. aureus</italic> tolerance to quorum-regulated antimicrobials secreted by <italic>P. aeruginosa</italic>. It is also possible that decreased production of antimicrobial factors by aggregated <italic>P. aeruginosa</italic> contributes to species co-existence in aggregates.</p>
</sec>
<sec id="s3_4">
<title>Depletion Aggregation Promotes Contact-Dependent Bacterial Antagonism</title>
<p>In addition to secreted factors, <italic>P. aeruginosa</italic> and other bacteria also possess competitive mechanisms that depend upon direct cell-to-cell contact. One mechanism is type VI secretion (TSS) in which a needle-like apparatus delivers toxins and effectors into neighboring cells (<xref ref-type="bibr" rid="B55">Mougous et&#xa0;al., 2006</xref>). Our finding that depletion aggregation causes like-shaped bacterial cells to intermix in aggregates led us to hypothesize that depletion aggregation could promote TSS-mediated bacterial antagonism.</p>
<p>To test this, we mixed <italic>P. aeruginosa</italic> (which is capable of TSS antagonism) with <italic>Burkholderia thailandensis</italic>, a TSS-susceptible rod-shaped Gram-negative bacterium (<xref ref-type="bibr" rid="B44">LeRoux et&#xa0;al., 2012</xref>) at a 5:1 ratio following previously established protocols (<xref ref-type="bibr" rid="B45">LeRoux et&#xa0;al., 2015</xref>). In dispersed conditions, no <italic>P. aeruginosa</italic>-<italic>B. thailandensis</italic> antagonism was apparent over 24 hours, as the ratio of <italic>P. aeruginosa</italic> to <italic>B. thailandensis</italic> remained unchanged at 5:1 (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). In contrast, <italic>P. aeruginosa</italic> outcompeted <italic>B. thailandensis</italic> in depletion aggregates as measured by viable counts (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>) and visually assessing differentially-labeled species (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). Notably the aggregation-induced competitive advantage of <italic>P. aeruginosa</italic> was eliminated by genetically inactivating TSS [i.e. PAO1 &#x394;<italic>clpV1</italic> (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>)]. The reduced fluorescent signal of <italic>B. thailandensis</italic> could be due to cell death or inhibition. Taken together, these results demonstrate that depletion aggregation can facilitate contact-dependent mechanisms of bacterial antagonism.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Depletion aggregation promotes contact-dependent bacterial competition. <bold>(A)</bold> The outcome of competitions between <italic>B. thailandensis</italic> and either wild-type or &#x394;<italic>clpV1 P. aeruginosa</italic> are shown. Initial cultures contained 1x10<sup>8</sup> CFU/ml <italic>P. aeruginosa</italic> and 2x10<sup>7</sup> CFU/ml <italic>B. thailandensis.</italic> Results are after 24-h of co-culture in the indicated conditions and are the mean &#xb1; SD, N = 3 for each condition; **p &lt; 0.01, Student&#x2019;s <italic>t</italic>-test. <bold>(B, C)</bold> Confocal microscopy was used to visualize depletion aggregates after 24-h of co-culture with 30% PEG 35 kDa. Representative 10&#xb5;m thick sections through the aggregates are shown with <bold>(B)</bold>. thailandensis strains in red and <italic>P. aeruginosa</italic> in green. Scale bar, 30 &#xb5;m. *P &lt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-869736-g006.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Pathogens causing chronic infection like those in CF airways and wounds are generally found in aggregates suspended in polymer-rich secretions (<xref ref-type="bibr" rid="B17">Costerton et&#xa0;al., 1995</xref>; <xref ref-type="bibr" rid="B70">Singh et&#xa0;al., 2000</xref>; <xref ref-type="bibr" rid="B83">Worlitzsch et&#xa0;al., 2002</xref>; <xref ref-type="bibr" rid="B42">Kirketerp-Moller et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B9">Bjarnsholt et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B24">Fazli et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B8">Bjarnsholt et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B21">DePas et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B74">Stacy et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B72">Sonderholm et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B7">Bay et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B41">Kim et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B36">Jennings et&#xa0;al., 2021</xref>). Our previous work shows that physical forces produced by polymers found at infection sites can cause bacteria to form suspended aggregates by the depletion mechanism, and depletion aggregation produces antimicrobial tolerance phenotypes (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>). In this study we found that depletion aggregation can (i) actuate bridging interactions mediated by two of <italic>P. aeruginosa</italic>&#x2019;s self-produced biofilm polysaccharides, (ii) cause bacteria with similar shapes to intermix and bacteria with different shapes to segregate, and (iii) can influence the outcome of bacterial competition mediated by secreted factors and cell-to-cell contact.</p>
<p>Surface attachment induces biofilm formation <italic>via</italic> several mechanisms. Sensing and adhering to surfaces induces physiological responses important in biofilm growth, and attachment keeps nascent biofilm-forming cells from dispersing (from random movement or fluid flows) giving self-produced matrix material the opportunity to bind cells together (<xref ref-type="bibr" rid="B56">O'Toole et&#xa0;al., 2000</xref>). Our work raises the possibility that the depletion mechanism can serve similar functions for suspended aggregates as attachment surfaces serve for biofilms. For example, previously we found that like surface attachment (<xref ref-type="bibr" rid="B82">Wood and Ohman, 2009</xref>), depletion aggregation can induce stress responses in <italic>P. aeruginosa</italic> that mediate antibiotic tolerance (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>). Our current experiments show that depletion aggregation also brings suspended cells together and can promote cell-cell adhesion by self-produced exopolysaccharides.</p>
<p>One important caveat is that when PEG was used to induce depletion aggregation, exopolysaccharide overexpression was required as wild-type <italic>P. aeruginosa</italic> PAO1 capable of producing exopolysaccharides did not produce aggregates that remained intact after polymer dilution, even after long exposures to PEG. However, when mucin/DNA mixtures were used to induce depletion aggregation, wild-type <italic>P. aeruginosa</italic> did exhibit durable aggregation that was resistant to dispersal by dilution. Notably, <italic>P. aeruginosa</italic> strains constitutively expressing exopolysaccharides can be isolated from infected CF subjects (<xref ref-type="bibr" rid="B75">Starkey et&#xa0;al., 2009</xref>), and it is possible that <italic>in vivo</italic> conditions (such mucin and DNA in CF airway secretions) could induce exopolysaccharide expression to produce durable aggregation.</p>
<p>Our findings also have implications for interspecies interactions that may occur in infections. The experiments showing that depletion aggregation increases tolerance of <italic>S. aureus</italic> to antimicrobials produced by <italic>P. aeruginosa</italic> (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>) could help explain how <italic>P. aeruginosa</italic> and <italic>S. aureus</italic> can co-exist in chronic infections like wounds and CF lungs (<xref ref-type="bibr" rid="B25">Fischer et&#xa0;al., 2021</xref>), but are difficult to maintain in liquid co-cultures in the laboratory. While the underlying mechanism remains to be characterized, our previous work showing that depletion aggregation induces the SOS stress response in <italic>P. aeruginosa</italic> (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>) raises the possibility that a similar phenomenon operates in <italic>S. aureus</italic> (<xref ref-type="bibr" rid="B3">Anderson et&#xa0;al., 2006</xref>; <xref ref-type="bibr" rid="B26">Gardete et&#xa0;al., 2006</xref>). If general stresses were induced, aggregated <italic>S. aureus</italic> may exhibit tolerance to other environmental stresses including antibiotics. It is also possible that aggregated <italic>P. aeruginosa</italic> produce less antimicrobials compared to planktonic cultures, and this may also contribute to co-existence.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Model depicting how depletion aggregation affects bacterial competition and species distribution in aggregates. <bold>(A)</bold> Depletion aggregation causes bacteria with different cell shapes to spontaneously segregate. When <italic>P. aeruginosa</italic> and <italic>S. aureus</italic> were co-cultured under conditions promoting depletion aggregation, <italic>S. aureus</italic> aggregates tolerated antimicrobials secreted by <italic>P. aeruginosa</italic>, promoting species coexistence. <bold>(B)</bold> When two rod-shaped species such as <italic>P. aeruginosa</italic> and <italic>B. thailandensis</italic> are aggregated by the depletion mechanism, species segregation is not observed and contact-dependent TSS-mediated killing is promoted, allowing <italic>P. aeruginosa</italic> to dominate.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-12-869736-g007.tif"/>
</fig>
<p>The species could have wide ranging effects. One consequence we demonstrated is enhanced efficacy of TSS-mediated inhibition of rod shaped <italic>Burkholderia</italic> sp. by rod-shaped <italic>P. aeruginosa</italic>, as TSS is dependent upon species intermixing and prolonged cell-to-cell contact (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Such interactions could contribute to the ability of <italic>P. aeruginosa</italic> to dominate other rod-shaped CF pathogens such as <italic>Haemophilus influenzae</italic> and <italic>Stenotrophomonas maltophilia</italic> (<xref ref-type="bibr" rid="B31">Harrison, 2007</xref>; <xref ref-type="bibr" rid="B18">Coutinho et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B32">Hauser et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B64">Schwab et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B39">Jorth et&#xa0;al., 2015</xref>). Depletion aggregation could likewise affect other close-range mechanisms that depend on contact or have short diffusion distances (like oxidants), depending on whether species are of similar or dissimilar shapes. In addition, in settings where depletion aggregation is maintained for long durations (i.e. polymers are continuously present), the effects of depletion aggregation on species arrangement could shape co-evolutionary trajectories of species, as the within-aggregate arrangement of cells likely affects selection, competition, and cell migration.</p>
<p>In addition to bacteria that cause infection, depletion aggregation may also affect interactions between commensal bacterial species. Recent work examining TSS in <italic>Vibrio fischeri</italic> as it transitions from life in an aquatic environment to colonization of the squid host reveals that viscous, polymer-rich host conditions promote both <italic>V</italic>. <italic>fischeri</italic> aggregation and TSS activation, which increases fitness against competing bacteria during initial stages of host colonization (<xref ref-type="bibr" rid="B73">Speare et&#xa0;al., 2020</xref>). The addition of the polymer polyvinylpyrrolidone (PVP) to <italic>V. fischeri</italic> cultures <italic>in vitro</italic> was used to increase the viscosity of the growth medium to experimentally validate TSS activation. Notably, PVP also induces depletion aggregation of inert bacteria-sized colloids (<xref ref-type="bibr" rid="B54">McFarlane et&#xa0;al., 2010</xref>). It would be interesting to dissect the contributions of viscosity and depletion aggregation on bacterial aggregate assembly and interspecies competition in both pathogenic and commensal settings.</p>
<p>Our study had several limitations. In some experiments we used a non-biological polymer (PEG) at a specific concentration (30% w/vol) with a defined molecular weight (PEG 35 kDa) to induce depletion aggregation. Use of a defined polymer limited variability and the transparency of PEG enhanced microscopy. We confirmed key findings with biological polymers (mucin and DNA), but for feasibility reasons we used porcine gastric mucin and salmon sperm DNA which are supplied as lyophilized powders. Thus, it is possible that biological polymers could produce different results <italic>in vivo</italic>. We think this is unlikely because polymers with disparate chemical properties produce depletion aggregates with similar morphologies and tolerance phenotypes (<xref ref-type="bibr" rid="B68">Secor et&#xa0;al., 2018</xref>).</p>
<p>We also recognize that varying polymer size and molecular weight will affect the strength of the aggregating force by changing osmotic pressure. Furthermore, the presence of multivalent cations could introduce polymer-polymer bridging interactions that would affect results, and these variables were not examined here. We also only explored intermixing in rod-shaped bacteria; it is likely that intermixing also occurs in populations of cocci-shaped bacterial species, which would be consistent with experiments using inert colloidal particles (<xref ref-type="bibr" rid="B46">Li et&#xa0;al., 2020</xref>). An additional limitation was that our experiments used laboratory strains and a handful of <italic>P. aeruginosa</italic> clinical isolates. Clinical isolates with different biological characteristics could affect depletion-mediated bacteria-bacteria interactions. For example, recent work demonstrates that LPS O-antigen modifications in <italic>P. aeruginosa</italic> change cell surface hydrophobicity, which may disrupt the tightly-packed and ordered cell arrangements characteristic of depletion aggregates (<xref ref-type="bibr" rid="B5">Azimi et&#xa0;al., 2021</xref>). Other surface modifications that affect surface charge could also affect depletion-mediated bacteria-bacteria or bacteria-polymer interactions. Finally, we did not explore the contributions of pili, flagella, adhesins, or exopolysaccharide binding proteins such as CdrA (<xref ref-type="bibr" rid="B11">Borlee et&#xa0;al., 2010</xref>), which could be important in stabilizing bacterial aggregates formed by PAO1 or by clinical <italic>P. aeruginosa</italic> isolates.</p>
<p>Much research in model systems has been devoted to understanding bacterial sensing and signaling pathways, purpose-evolved genetic programs, and cooperation behaviors that shape bacterial phenotypes important in chronic infections. The data presented here show that physical forces inherent to polymer-rich environments can have marked effects on complex bacterial behaviors including aggregation, stress survival, and interspecies competition. New strategies to manipulate pathogenesis phenotypes will require understanding the relative contributions of bacterially-driven processes and mechanisms caused by physical forces in the environment.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>    <p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author Contributions</title>
<p>All authors listed have made a substantial, direct, and intellectual contribution to the work and approved it for publication.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>NIH grants K22AI125282, R01AI138981, and P30GM140963 to PRS; R01HL141098-01A1 to PKS. Isolates were provided by the Clinical Core of UW&#x2019;s CF Foundation sponsored Research Development Program (SINGH19R0).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We are grateful to Joseph Mougous for sharing the <italic>clpV1</italic> mutant and <italic>Burkholderia</italic> strains.</p>
</ack>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcimb.2022.869736/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcimb.2022.869736/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image_1.tiff" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>Depletion aggregation was induced with 30% w/vol PEG 35 kDa for 18 hours. <italic>P. aeruginosa</italic> PAO1 depletion aggregates were then diluted 10X with additional PEG 35 kDa. Scale bar 40 &#xb5;m.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.tiff" id="SF2" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>Depletion aggregate dispersal phenotypes of <italic>P. aeruginosa</italic> PAO1 and PAO1 pBAD::Pel. Aggregate dispersal of wild-type and pBAD::Pel strains was measured. Depletion aggregation was induced with 30% w/vol PEG 35 kDa for 18 hours. Depletion aggregates were then diluted 10X with PBS and representative images were acquired pre-dilution and 10- and 60-seconds post-dilution.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.tiff" id="SF3" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;3</label>
<caption>
<p>Depletion aggregate dispersal phenotypes of <italic>P. aeruginosa</italic> in mixtures of mucin and DNA. Aggregate dispersal of fluorescent <italic>P. aeruginosa</italic> PAO1 was measured. Depletion aggregation was induced with 4% w/vol mucin and 2 mg/ml DNA for 15 or 120 minutes. Depletion aggregates were then diluted 10X with PBS and images were acquired immediately pre- and immediately post-dilution. Representative images are shown.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_4.tiff" id="SF4" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;4</label>
<caption>
<p>Depletion aggregation operates on dead cells and inert latex beads. <bold>(A, B)</bold> Depletion aggregation was induced with 30% w/vol PEG 35 kDa using combinations of the indicated species of dead formalin-fixed bacteria. Fluorescent microscopy was used to image aggregates after 18-h of growth. Bar, 30 &#xb5;m. <bold>(C)</bold> <italic>P. aeruginosa</italic> (white arrows) and fluorescent spherical latex beads (2 &#xb5;m diameter, black arrows) were aggregated using 30% w/vol PEG 35 kDa for 18-h and imaged using fluorescent and brightfield microscopy. Bar, 30 &#xb5;m.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_5.tiff" id="SF5" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;5</label>
<caption>
<p>PEG does not inactivate antimicrobials present in <italic>P. aeruginosa</italic> supernatants. One possible explanation for the reduced killing of aggregated <italic>S. aureus</italic> (see ) was that PEG somehow inactivated antimicrobials present in wild-type <italic>P. aeruginosa</italic> supernatants. To address this possibility, we used a lower molecular weight PEG (PEG 2 kDa). As polymer molecular weight decreases, the polymer concentration required to induce depletion aggregation of a given number of cells increases. Thus, PEG 2 kDa does not promote depletion aggregation at 30% w/vol. Dissolving PEG 2 kDa into wild-type <italic>P. aeruginosa</italic> supernatants did not affect <italic>S. aureus</italic> inhibition in supernatants collected from <bold>(A)</bold> wild-type or <bold>(B)</bold> &#x394;<italic>lasR/rhlR</italic> overnight cultures compared to polymer-free controls, indicating that PEG did not inactivate antimicrobials present in <italic>P. aeruginosa</italic> supernatants.</p>
</caption>
</supplementary-material>
</sec>
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