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Gymnemic Acids Inhibit Adhesive Nanofibrillar Mediated Streptococcus gordonii–Candida albicans Mono-Species and Dual-Species Biofilms

Dental caries and periodontitis are the most common oral disease of all age groups, affecting billions of people worldwide. These oral diseases are mostly associated with microbial biofilms in the oral cavity. Streptococcus gordonii, an early tooth colonizing bacterium and Candida albicans, an opportunistic pathogenic fungus, are the two abundant oral microbes that form mixed biofilms with augmented virulence, affecting oral health negatively. Understanding the molecular mechanisms of the pathogen interactions and identifying non-toxic compounds that block the growth of biofilms are important steps in the development of effective therapeutic approaches. In this in vitro study we report the inhibition of mono-species or dual-species biofilms of S. gordonii and C. albicans, and decreased levels of biofilm extracellular DNA (eDNA), when biofilms were grown in the presence of gymnemic acids (GAs), a non-toxic small molecule inhibitor of fungal hyphae. Scanning electron microscopic images of biofilms on saliva-coated hydroxyapatite (sHA) surfaces revealed attachment of S. gordonii cells to C. albicans hyphae and to sHA surfaces via nanofibrils only in the untreated control, but not in the GAs-treated biofilms. Interestingly, C. albicans produced fibrillar adhesive structures from hyphae when grown with S. gordonii as a mixed biofilm; addition of GAs abrogated the nanofibrils and reduced the growth of both hyphae and the biofilm. To our knowledge, this is the first report that C. albicans produces adhesive fibrils from hyphae in response to S. gordonii mixed biofilm growth. Semi-quantitative PCR of selected genes related to biofilms from both microbes showed differential expression in control vs. treated biofilms. Further, GAs inhibited the activity of recombinant S. gordonii glyceraldehyde-3-phosphate dehydrogenase (GAPDH). Taken together, our results suggest that S. gordonii stimulates the expression of adhesive materials in C. albicans by direct interaction and/or signaling, and the adhesive material expression can be inhibited by GAs.


INTRODUCTION
Dental caries is a polymicrobial biofilm-induced disease affecting 3.5 billion people globally (Kassebaum et al., 2017). The worldwide annual total costs due to dental diseases are estimated to be around $545 billion in 2015 (Righolt et al., 2018). New therapeutic approaches are required to manage these biofilmassociated oral diseases. We need an efficient antimicrobial agent which inhibits biofilm formation, while not exerting selective pressure on the oral microbiome. Candida albicans is a fungus that is the etiologic agent of oral thrush and denture stomatitis, two mucosal oral biofilm infections that particularly affect immunocompromised patients and elderly people, respectively (Odds, 1987). C. albicans and Streptococcus bacterial species are abundant in the oral cavity and readily form mixed biofilms which are resistant to antimicrobials and serve as a source for systemic infections (Dongari-Bagtzoglou et al., 2009;Silverman et al., 2010;Diaz et al., 2012;Ricker et al., 2014;O'Donnell et al., 2015). Some of the streptococci (e.g., Streptococcus mutans) are the causative agents of dental caries and gum disease. Recent studies have shown that a complex interaction and aggregation occurs between streptococci and C. albicans, and the molecular mechanisms are poorly understood (Dutton et al., 2014;Hwang et al., 2017).
Candida albicans is a commensal and an opportunistic human fungal pathogen found in cutaneous, oral, intestinal, and genital regions, and can initiate various forms of Candidiasis. Various groups of oral bacteria are shown to interact with C. albicans and influence the disease severity (Dongari-Bagtzoglou et al., 2009;Harriott and Noverr, 2011). Oral streptococcal species, including Streptococcus gordonii, Streptococcus oralis, and S. mutans, interact with C. albicans and augment both fungal and bacterial virulence (Silverman et al., 2010;Ricker et al., 2014;O'Donnell et al., 2015;Hwang et al., 2017). Other bacteria, including Staphylococcus aureus (Harriott and Noverr, 2009) and Acinetobacter baumannii (Uppuluri et al., 2018), use C. albicans hyphae as a substratum for attachment, and form robust biofilms.
Candida albicans exists in yeast, pseudohyphae, and hyphal growth forms. The transition from yeast or pseudohyphae to hyphae is required for its tissue invasion and biofilm formation. Mutants that are defective in hyphal growth are avirulent and unable to form biofilms (Lo et al., 1997;Nobile and Mitchell, 2006). Hence, C. albicans hyphae play a pivotal role in biofilm growth and virulence. Some of the oral bacteria, including S. gordonii are shown to promote the hyphal growths of C. albicans and bind preferably to these hyphal surfaces (Bamford et al., 2009). This hyphal binding increases biofilm mass, and chemical inhibition of candida hyphae reduces biofilm mass (Bamford et al., 2009). Several bacterial pathogens exploit C. albicans hyphae for their attachments (Silverman et al., 2010;Diaz et al., 2012;Dutton et al., 2014;Xu et al., 2014b;O'Donnell et al., 2015). A recent study has shown that yeast cells of Candida glabrata bind to C. albicans hyphae and form fungal-fungal biofilms in the oral milieu (Tati et al., 2016). Microbial biofilms are highly resistant to antimicrobial agents, sequestering them and causing tissue inflammation (Nett et al., 2010;Vediyappan et al., 2010;Xu et al., 2014b). It is plausible that inhibiting C. albicans hyphal growth with non-toxic small molecules could abrogate the hyphae-related virulence, including C. albicans interaction with bacteria and the growth of polymicrobial biofilms.
Gymnemic acids (GAs), a family of triterpenoid molecules from the medicinal plant Gymnema sylvestre, were shown to block C. albicans yeast-to-hypha transition and hyphal growth in vitro and in a worm (Caenorhabditis elegans) model of invasive candidiasis (Vediyappan et al., 2013). GAs contain various pharmacological properties, including antagonistic activity against the β-isoform of Liver-X-Receptor (LXR) which could result in decreased lipid accumulation in liver cells (Renga et al., 2015), suppressing sweet taste sensation by binding to taste receptors, T1R2, and T1R3 (Sanematsu et al., 2014), and blocking the uptake of glucose in the intestinal cells (Wang et al., 2014). The GA-rich gymnema extract has been used in humans to treat diabetes and obesity (Baskaran et al., 1990;Porchezhian and Dobriyal, 2003;Leach, 2007). A recent clinical study confirmed the traditional use of G. sylvestre for diabetes (Zuniga et al., 2017). Since S. gordonii and other oral bacteria use C. albicans hyphae for their attachment (Bamford et al., 2009) and GAs block the hyphal growth of C. albicans, we wanted to test the hypothesis that prevention of C. albicans hyphal growth using GAs could abolish bacteria -C. albicans interactions and the formation of mixed biofilms. In the current study, we show a synergistic interaction between S. gordonii and C. albicans in vitro, and the addition of gymnemic acids (GAs) prevented the growth of mono-species or dual-species biofilms. Our results show, for the first time to our knowledge, formation of "nanofibrillar" structures from C. albicans hyphae in response to S. gordonii co-culture, which correlates with their enhanced interaction and biofilms growth. Treating mono-species or dual-species biofilms with GAs abolished these structures and reduced biofilm growth.

Strains, Culture Conditions, and Compounds
Streptococcus gordonii ATCC 10558 (generously provided by Dr. Indranil Biswas, Kansas University Medical Center, Kansas City, KS) and C. albicans SC5314 (genome sequenced) were used to generate mono-species or dual-species biofilms in 24-well microtiter plates (TPP, Cell culture treated) under static condition. Escherichia coli 10-Beta (NEB) and BL21(DE3) (Novagen, Madison, WI, United States) were used for cloning and expression of recombinant protein, and were routinely grown in Luria-Bertani (LB) broth or on LB agar. GAs were purified from G. sylvestre plant leaf extract, obtained from Suan Forma Inc., NJ, United States, according to the published protocols (Vediyappan et al., 2013;Sanematsu et al., 2014) and a mixture of GAs was used in this study. The GA mixture contains at least five species (GA-III, GA-IV, GA-XIII, GA-XIV, and GA-I) and therefore, the term GAs was used throughout in the text. All five GA species that we used have similar bioactivities of yeast-to-hypha inhibition (Vediyappan et al., 2013;Sanematsu et al., 2014).
We have isolated GA-I recently and it was included in the GA mixture. There are 18 different species of GA that have been reported (Liu et al., 1992;Porchezhian and Dobriyal, 2003;Di Fabio et al., 2013). The GA mixture (50 mg/ml) was solubilized as a stock solution in TYES growth medium, filter sterilized (0.4 µm syringe filter), and diluted in the growth medium as required.

Determination of Minimum Biofilm Inhibition Concentrations (MBICs) and Growth Kinetics
Streptococcus gordonii and C. albicans co-exist in the oral cavity as abundant microbes, and the former is known to attach to the hyphal surfaces of the latter, forming a mixed-species biofilm with enhanced virulence. Preventing the growth of these biofilms by non-toxic small molecules would limit oral diseases and their systemic dissemination. Since GAs are known to inhibit C. albicans hyphal growth, we wanted to know if GAs can inhibit S. gordonii and C. albicans biofilms. First, we wanted to determine the MBIC of GAs against these microbial biofilms. The MBIC is the lowest concentration of GAs that inhibit maximum amount of biofilm growth. MBIC was determined in 24-well plates as previously described (Saputo et al., 2018), with slight modifications using TYES broth medium (1% tryptone and 0.5% yeast extract at pH 7.0 with 1% (wt/vol) sucrose). Briefly, suspensions of S. gordonii (∼2 × 10 6 CFU/ml) or C. albicans yeast cells (2 × 10 4 CFU/ml), according to Kim et al. (2017), were added into 24-well plates containing serially diluted GAs at concentrations ranging from 0 to 600 µg/mL. The plates were incubated at 37 • C with 5% CO 2 for 18 h statically. Medium alone and medium with GAs were also included in parallel as blanks to rule out that the observed readings were not due to precipitation of GAs or non-specific absorbance. After washing off unbound cells and medium with PBS, the adhered biofilms were stained with crystal violet (0.1%, CV solubilized in water) solution (Merritt et al., 2005). After removing the unbound CV, the wells were washed (at least two times) with PBS and dried to remove residual buffer. Biofilm attached CV stains were solubilized in 95% ethanol, and the absorbance was measured at 595 nm with a Victor 3 multimode reader (Perkin Elmer, United States). Experiments were repeated at least three times, each with triplicates, and representative results are shown.
To determine the effect of GAs on the growth rates of S. gordonii and C. albicans, we used a Bioscreen-C real time growth monitoring system (Oy Growth Curves Ab Ltd., Finland). In this method, 200 µl of growth medium containing exponentially growing S. gordonii or C. albicans yeast cells (each at A 600 = 0.1) were added into the honeycomb wells (triplicate) with GAs (400, 500, and 600 µg/mL in 200 µl total volume) or without GAs (control), and their growth rates were measured for 24 h. The plates were incubated at 37 • C without shaking except for 10-s of shaking before reading absorbance at 600 nm at 30min intervals. The overall objective of the kinetic growth readings of S. gordonii and C. albicans in the presence or absence of GAs was to determine if GAs exert any toxic effect on the microbes.

Unstimulated Whole Saliva Preparation
Human saliva collection and processing were done as described previously (Jack et al., 2015). Briefly, unstimulated whole human saliva was collected from six healthy volunteers with Institutional Review Board (IRB) protocol approval (#9130.1) from Kansas State University. All the subjects gave written informed consent approved by the IRB committee. Saliva was pooled and mixed with 2.5 mM dithiothreitol and kept in ice for 10 min before clarification by centrifugation (10,000 × g for 10 min). The supernatant was diluted to 10% in distilled water and filter sterilized through a 0.22-µm nitrocellulose filter and stored at −80 • C in aliquots. Diluted saliva was used to coat the microtiter wells and hydroxyapatite (HA) disks (Clarkson Chromatography Products, PA, United States) overnight.

Mono-Species and Dual-Species Biofilm Assay
To test the effect of GAs on biofilm formation in salivacoated wells and on hydroxyapatite (sHA) disks, S. gordonii and C. albicans were grown alone or in combination in TYES medium with or without GAs (500 µg/ml) statically for 18 h at 37 • C and in 5% CO 2 , as reported with some minor modifications (Dutton et al., 2014;Ricker et al., 2014). Two types of biofilm models were used. (i) Biofilms grown on saliva-coated hydroxyapatite (sHA) disks that were used for Scanning Electron Microscopic (SEM) analysis, and (ii) biofilms grown on the bottom of the saliva coated polystyrene microplates (24-wells, TPP cell culture treated). The biofilms developed on the microplate surfaces were used for CV staining, RNA, and for eDNA isolations. Briefly, sHA disks were placed in a 24-well plate and inoculated with approximately 2 × 10 6 (CFU/ml) of S. gordonii or/and 2 × 10 4 (CFU/ml) of C. albicans according to Kim et al. (2017) in the TYES medium with or without GAs. The effect of GAs against biofilm formation in the microtiter wells was determined using CV staining (Merritt et al., 2005), as described above (MBIC section). Experiments were repeated at least three times each with triplicates, and representative results are shown.

Measurement of Biofilm Extracellular DNA (eDNA)
Extracellular DNA was measured as described by Jack et al. (2015). Briefly, biofilms were scraped from saliva-coated wells into 0.5 mL TE buffer (10 mM Tris-HCl, pH 7.5, 1 mM EDTA), sonicated for 15 s at low speed (20 pulse, Branson Ultrasonic 250), and the cell-free DNA was collected by centrifugation at 10,000 × g for 5 min. The DNA concentration was then analyzed from the supernatant using a NanoDrop 2000 spectrophotometer (Thermo Scientific, United States).

Scanning Electron Microscopy (SEM)
Scanning Electron Microscopy was done as per the standard protocol described previously (Erlandsen et al., 2004). Briefly, sHA disks with biofilms on their surfaces were fixed with 2% paraformaldehyde and 2% glutaraldehyde in 0.15 M sodium cacodylate buffer, pH 7.4, containing 0.15% Alcian blue. Biofilms grown on sHA disks were washed with 0.15 M cacodylate buffer and dehydrated in a graded series of ethanol concentrations. Specimens were mounted on adhesive carbon films and then coated with 1 nm of platinum using an Ion Tech argon ion beam coater. Prepared samples were observed in a SEM (Field Emission Scanning Electron Microscope, Versa 3D Dual Beam, Nikon).
RNA Isolation, cDNA Synthesis, and Semi-Quantitative RT-PCR Biofilms grown in 24-well microtiter plates were treated with RNAprotect bacteria reagent (Qiagen, Valencia, CA, United States) for 5 min to stabilize RNA, and stored at −80 • C. Total RNA was isolated from the biofilms using the TRIzol reagent (Invitrogen, Carlsbad, CA, United States) as per manufacturer instructions. The concentration of RNA was determined by measuring the A 260 in a NanoDrop 2000 spectrophotometer (Thermo Scientific, United States). Total RNA (1 µg) was reverse transcribed into cDNA using the SuperScript III indirect cDNA labeling kit (Invitrogen), as per the manufacturer's instructions with slight modifications. The semi-quantitative RT-PCR using 2X PCR Master Mix (Promega Corporation, Madison, WI, United States) and primers was carried out in a 20 µL reaction volume (1 µL cDNA, 10 µL Master Mix, 0.5 µM of each primer). Primers were designed using PrimerQuest R (Integrated DNA Technologies), and the details are given in Tables 1, 2. The internal control was 16S rRNA for S. gordonii and TDH3 for C. albicans. The cycling conditions consisted of initial denaturation at 94 • C for 3 min followed by denaturation at 94 • C for 30 s, annealing at 50 or 58 • C for 30 s, and extension at 72 • C for 45 s, then final extension at 72 • C for 7 min. Twenty microliters of each PCR product was electrophoresed on an agarose gel (1.2% w/v) containing ethidium bromide (0.5 µg/ml). Images of the amplified products were acquired with an Alpha Imager; the intensity was quantified using the Image J software (NIH, United States). The band intensity was expressed as mRNA fold expression [specific gene expression/internal control gene (16S rRNA or TDH3)]. The intensity of each DNA band in the control cells was determined, taken as 1, and compared with the respective treated group (Sivaprakasam et al., 2016).

Cloning, Expression, and Purification of rGAPDH
Glyceraldehyde-3-phosphate dehydrogenase is reported to be present in various streptococcal cell surfaces which mediates cell adhesion and plays an important role in bacterial infection and invasion (Brassard et al., 2004;Jin et al., 2011;Wang et al., 2012). For example, S. gordonii cell surface GAPDH binds to the FimA protein of Porphyromonas gingivalis and forms a mixed biofilm (Maeda et al., 2004a,b). GAPDH has multiple functions in various organisms (Sirover, 2017). Further, our semi-quantitative RT-PCR results showed reduced transcripts of gapdh in both mono-species and mixed-species biofilms, and hence we pursued to analyze the role of this protein. GAPDH gene from S. gordonii was PCR amplified using primers GAPDH-F (5 -ATTCCATATGGTAGTTAAAGTTGGTATTAACGGT-3 ) and GAPDH-R (5 -GCGCTCGAGTTTAGCGATTTTCGCGAA GTATTCAAG-3 ), where the underlined sequences in the forward and in reverse primers indicate NdeI and XhoI restriction sites, respectively. Following PCR amplification of chromosomal DNA from S. gordonii strain ATCC 10558, amplicons of 1008 bp were digested with NdeI and XhoI and inserted into the predigested pET28b plasmid (Novagen, Madison, WI, United States). Successful cloning of the gene was confirmed by restriction endonuclease and DNA sequence analyses (Supplementary Figures S1, S2). Recombinant plasmid was transformed into E. coli BL21 (DE3) for overexpression. Expression of GAPDH-6His protein was induced with 1 mM isopropyl-β-d-thiogalactopyranoside (IPTG) when cultures reached an optical density at 600 nm (OD600) of 0.6, and cells were harvested after 4 h. The cell pellet from 2 L of culture was resuspended in 40 ml of a buffer containing 50 mM NaH 2 PO 4 pH 8.0, 300 mM NaCl, 20 mM imidazole with 1× protease inhibitor cocktail (Roche) and 1 mM phenylmethylsulfonyl fluoride (PMSF), and cells were lysed by French press (∼19,000 psi). The lysate was centrifuged at 10,000 × g for 20 min at 4 • C.

SDS-PAGE and Immunoblotting
The purity of the proteins was checked using SDS-PAGE electrophoresis in a vertical electrophoretic mini-cell unit (Bio-Rad, Hercules, CA), in Tris-glycine running buffer (25 mM Tris, 192 mM glycine, 0.1% SDS [pH 8.3]), for 1 h at 120 V. Proteins were transferred to an Immobilon-P PVDF membrane (pore size, 0.45 µm; Millipore Sigma, United States) and blocked with 5% non-fat dry milk in Tris-buffered saline (20 mM Tris, 150 mM NaCl, 0.2% Tween 20 [pH 7.5]). Membranes were incubated with anti-SgGAPDH immune sera raised in rabbits, followed by incubation with secondary antibody (anti-rabbit IgG; Cell Signaling Technology, United States). Reacted protein bands were visualized by using Pierce TM ECL 2 Western Blotting Substrate (Thermo Scientific, United States) and imaging.

Determination of GAPDH Activity
Glyceraldehyde-3-phosphate dehydrogenase activity was measured in the presence and absence of GAs using Glyceraldehyde 3 Phosphate Dehydrogenase Activity Colorimetric Assay Kit (ab204732, Abcam, Cambridge, MA, United States) as per the manufacturer's instructions. Briefly, purified rGAPDH protein (0.1 µM) was mixed with and without GAs (100 and 200 µM), followed by the addition of reaction mix supplied from the kit components. The conversion of NAD to NADH was monitored every 10 s spectrometrically using a Victor 3 multimode reader (Perkin Elmer, United States) at 450 nm.

Statistical Analysis
Data from multiple experiments (≥3) were quantified and expressed as mean ± SD, and differences between groups were analyzed using one-way ANOVA. Tukey multiple comparison test was used to analyze significance among the groups. p ≤ 0.05 was considered significant in all analyses. The data were computed with GraphPad Prism version 7.0 software.

Determination of Minimum Biofilm Inhibition Concentration
To determine the minimum amount of GAs needed to inhibit maximum biofilm growth of S. gordonii and C. albicans, an MBIC assay was performed with increasing concentrations of GAs (0-600 µg/mL). Biofilms were quantified by CV staining, and the results showed a concentration-dependent antibiofilm activity of GAs against S. gordonii and C. albicans (Figures 1A,C, respectively). A significant inhibition of biofilm formation was found from concentrations >400 µg/mL for S. gordonii and from concentrations >200 µg/mL for C. albicans. While maximum biofilm growth inhibition (80-90%) was found between 500 and 600 µg/mL for S. gordonii, about 50% biofilm growth was inhibited for C. albicans at that GAs concentration ( Figure 1C).

Impact of GAs on the Growth Kinetics of S. gordonii and C. albicans
To determine if GAs are toxic to S. gordonii and C. albicans, we measured their growth kinetics as planktonic cells in the presence or absence of GAs using Bioscreen-C growth monitor at 37 • C in TYES medium, as described in the section "Materials and Methods." Since GAs inhibited S. gordonii biofilm growth from a concentration of 400 µg/ml upward, we used three different concentrations of GAs (400, 500, and 600 µg/mL) to assess its effects. As shown in Figure 1B, the growth of S. gordonii is slightly reduced in the presence of GAs. When S. gordonii was exposed to 400 and 500 µg/mL, GAs showed only slight growth inhibition, while GAs at 600 µg/mL affected S. gordonii growth to a greater extent. In contrast, GAs did not affect C. albicans growth rate until 12 h. At that point, GAs (400, 500, and 600 µg/mL) promoted the growth of C. albicans (Figure 1D), and each concentration had a similar effect. The mechanism for the growth induction is not known. One possibility may be that GAs may interfere with the carbohydrate metabolism of C. albicans, and as an adaptive response, the fungus turns on a different metabolic pathway for its cellular energy needs, resulting in an increased growth rate compared to the control. This conjecture is based on the fact that GAs are used for treating FIGURE 1 | Determination of minimum biofilm inhibition concentration (MBIC) of GAs against S. gordonii (A) and C. albicans (C). Varying concentrations of GAs (0-600 µg/ml) were used in TYES medium containing S. gordonii or C. albicans in 24-wells with triplicates and incubated at 37 • C with 5% CO 2 statically for 18 h. Biofilms grown without GAs served as controls. Inhibition of biofilm growth was analyzed by CV staining and % inhibition of biofilm was calculated. The results represent means ± standard deviations for three independent experiments. Statistical significance was determined by ANOVA and a Dunnett's multiple comparison test. * p < 0.05, * * * p < 0.0001, NS, not significant. Analysis of planktonic growths of S. gordonii (B) and C. albicans (D) with and without GAs. Honeycomb wells containing S. gordonii or C. albicans in 200 µl TYES medium with or without GAs were used to monitor their growth rates in a Bioscreen-C system for 24 h. Three different concentrations of GAs (400, 500, 600 µg/ml) were used. Absorbance was recorded every 30-min intervals at 600 nm as described in the section "Materials and Methods." The results represent means ± standard deviations for three independent experiments. metabolic diseases in humans (e.g., lowering plasma glucose in diabetes) (Baskaran et al., 1990;Leach, 2007). Further studies on biofilm gene expression in the presence of GAs and biochemical validation are warranted. Taken together, GAs inhibited the growth of S. gordonii slightly at 400-600 µg/mL but did not inhibit C. albicans' growth under the conditions used. Since 500 µg/ml GAs maximally inhibited biofilms of both microbes with minimal impacts on their growth rates, we employed this concentration (500 µg/mL) throughout the study to determine its effect on mono-species or dual-species biofilms.
Inhibition of S. gordonii and C. albicans

Mono-Species and Dual-Species Biofilms Grown in 24-Well Microtiter Plates by GAs
The anti-biofilm efficacy of GAs was assessed under in vitro condition by measuring the binding of CV to S. gordonii biofilms cells grown in 24-well plates. The antibiofilm activity of GAs was effective at 500 µg/ml against S. gordonii and C. albicans mono-species and dual-species biofilms (Figure 2A). GAs treatment significantly reduced the amount of S. gordonii biofilms (Figure 2A). Similarly, the mixed biofilms were also reduced with GAs treatment, and are significant as analyzed by one-way ANOVA (p = 0.001). When Tukey multiple comparison test was used, the S. gordonii biofilm was significantly inhibited by GAs compared to C. albicans or dual-species biofilms (Figure 2A).

Effective Reduction of eDNA in Mono-Species and Dual-Species Biofilm by GAs Treatment
Extracellular DNA is a part of the polymeric materials in the extracellular matrix of biofilms (Xu and Kreth, 2013).
To examine the effects of GAs on biofilm eDNA, monospecies and dual-species biofilms were grown in TYES medium. High levels of eDNA were found in both mono-species and dual-species biofilms. Interestingly, a significant reduction in eDNA concentrations were observed in the biofilms treated with GAs (p = 0.001, Figure 2B). There was no significant difference in the amount of eDNA reduction among the three groups as determined by Tukey multiple comparison test (Figure 2B), suggesting GAs treatment affects eDNA in all these biofilms similarly.

Mono-Species and Dual-Species Biofilms on sHA Disks
Scanning Electron Microscopy analysis was carried out to examine the structures of mono-species and dual-species biofilms formed on sHA disks that were treated with GAs. Biofilms formed on sHA disks were fixed, stained with Alcian blue, and processed as described (Erlandsen et al., 2004). These authors used different cationic stains to visualize bacterial surface structures by SEM.
Since the microbial surface structures are negatively charged, the positively charged Alcian blue stain binds to the cell surface nanofibrils and improves their detection by SEM. SEM micrographs of S. gordonii revealed the formation of biofilms with thick aggregates of cells and patches of exopolysaccharide (EPS) on the surface of sHA ( Figure 3A). Interestingly, very little biofilm of S. gordonii was found on the GAs treated-sHA disk, and large empty areas were seen mostly ( Figure 3G). The SEM results are consistent with the results of the in vitro biofilm growth assay (Figure 2A). As expected, C. albicans control biofilms (B) contained multilayers of hyphae and in the GAs exposed biofilms, very little yeast and pseudohyphal cells were present on the sHA disks (H-I). It is worth mentioning that although GAs promote the growth rate of C. albicans (Figure 1D), the cells that grow are mostly planktonic yeast cells, and they poorly attach or fail to form biofilms. S. gordonii and C. albicans dual biofilms contained both dense bacterial and fungal hyphal cells (Figure 3C), and their abundance was decreased by GAs treatment (Figure 3I). The inhibitory effect of GAs was clearly demonstrated in the SEM micrographs of biofilms. Interestingly, mono-species and dualspecies biofilms grown on sHA disks treated with GAs has no or few cell surface nanofibrils and instead exhibited smooth hyphal surfaces (Figures 3J-L).

S. gordonii and C. albicans Co-culture Promotes Formation of Extracellular Fibrils
Viewing the biofilms at higher magnification (50,000× or 1 µm) revealed that, without GAs exposure, there were short fibrils between S. gordonii cells, and some of these fibrils were attached to sHA (Figure 4C, arrows). As expected, C. albicans biofilms without GAs treatment produced mostly hyphae. Interestingly, C. albicans biofilms co-cultured with S. gordonii (dual-species biofilm) without GAs showed several closely attached bacterialfungal cells with extracellular materials ( Figure 4A). Strikingly, we found several thin fibrils from hypha that are in close contact with the sHA disk ( Figure 4A, arrows) or to the neighboring hypha ( Figure 4D, arrows). S. gordonii was in close contact with the C. albicans hyphae as the bacterium coiled around the hypha, and also appeared to be directly attached with the help of fibrils (Figures 4C,D, arrows).

Modulation of Gene Expression in Mono-Species and Dual-Species Biofilms With and Without GAs
Few studies have described differential expressions of genes during S. gordonii (Gilmore et al., 2003) or Streptococci + C. albicans dual-species biofilm growth (Dutton et al., 2016). To determine if some of these genes are affected by GAs treatment, a semi-quantitative RT-PCR analysis was used to examine variation in the expression of genes related to biofilm formation, i.e., cshA, ldh, gapdh, gftG1, scaA, and scaR for S. gordonii and CSH1, ZRT1, NRG1, and PRA1, for C. albicans. Treatment with GAs significantly reduced the expression of genes, including scaA, gapdh, and gtfG1 in S. gordonii mono-species biofilms, whereas, in dual-species biofilms, scaA, ldh, and cshA were reduced in their expression when compared with their respective controls ( Figure 5A). Interestingly, the expression of ldh was enhanced ninefold in GAs treated S. gordonii mono-species biofilms but not in dual-species biofilms ( Figure 5A). In mono-species biofilms of C. albicans, the expression of NRG1 was increased twofold in GAs treated samples compared to the untreated control ( Figure 5B). No change was observed for NRG1 and CSH1 in GAs treated dual biofilms ( Figure 5B and Supplementary Figure S3). The expression of PRA1 was increased twofold in GAs exposed C. abicans mono-species biofilms, whereas, in dual-species biofilms, the expression of PRA1 was decreased in GAs treated biofilms. In contrast, ZRT1, the regulator of PRA1, was overexpressed about fivefold in dual-species biofilms in the presence of GAs, but not in the GAs-exposed C. albicans mono-species biofilms.

Inhibition of GAPDH Activity by GAs
Glyceraldehyde-3-phosphate dehydrogenase from streptococcal species is involved in pathogenesis and biofilm formation. Also, GAs treatment of S. gordonii mono-species or dual-species biofilms showed a reduction in its, gene expression. To assess the potential inhibitory activity of GAs against the GAPDH from S. gordonii, we cloned the gene, overexpressed and purified the rGAPDH protein using the E. coli expression system ( Figure 6A). The purified rGAPDH migrated at an apparent molecular weight of ∼40 kDa and reacted to polyclonal anti-SgGAPDH antibody ( Figure 6B). We next tested the effect of GAs (100 and 200 µM) against the purified rGAPDH protein (0.1 µM). The assay depends on the conversion of glyceraldehyde-3-phosphate to 1,3-diphosphoglycerate by GAPDH enzyme in the presence of NAD. Interestingly, GAs appears to bind to GAPDH and block its enzyme activity in a dose-dependent manner. At 200 µM concentration, GAs block the activity of GAPDH completely when compared to the reaction without GAs where it shows strong enzyme activity ( Figure 6C).

DISCUSSION
Microbial infection in the oral cavity of humans is biofilmassociated, where a significant proportion of infection was mixed biofilms. S. gordonii, an early colonizer of the oral cavity, forms an adhering biofilm on oral surfaces via cell surface adhesins (Bamford et al., 2009), leads to stable colonization in the oral cavity, and also attaches to C. albicans hyphae via proteinprotein interactions . In addition, S. gordonii colonization on the tooth surface allows other microbes to adhere and develop mixed biofilms such as dental caries, which is the most prevalent human oral disease, especially among the children. We have investigated the S. gordonii mono-species and S. gordonii -C. albicans dual-species biofilms and their inhibition by gymnemic acids (GAs) in vitro. GAs, a medicinal plant-derived small molecule, was shown to prevent C. albicans yeast-to-hypha transition and hyphal growth without affecting its viability or yeast growth rate (Vediyappan et al., 2013). However, GAs' effect on bacterial and or bacterial-fungal mixed biofilms are unknown. GAs are a family of triterpenoid saponin compounds which are the major active principles of G. sylvestre plant leaves. The extract of this plant is widely used for its various medicinal properties, including lowering blood glucose activity in diabetic patients and reducing obesity (Porchezhian and Dobriyal, 2003;Leach, 2007;Zuniga et al., 2017). Antibiofilm efficacy of GAs was investigated in terms of CV staining and eDNA reduction in the saliva-coated microtiter wells, where the results were found to be significant compared to untreated controls. This is the first report to provide evidence that the GAs shows antibiofilm efficacy against both mono-species and dual-species biofilms of S. gordonii and C. albicans. The microbial biofilms are protected by self-produced exopolysaccharides (EPS). EPS are generally made up of different types of polysaccharides, proteins, glycoproteins, glycolipids, and eDNA. The importance of eDNA release during early stages of biofilm is to preserve the structural firmness, enhancing the mixed biofilm and protection against antimicrobial agents (Mulcahy et al., 2008;Jack et al., 2015;Jung et al., 2017). Therefore, reduction of eDNA accumulation and other components could substantively diminish the development of biofilm formation. As such, we found that GAs was able to reduce a significant amount of eDNA in both mono-species and dual-species biofilms (Figures 1, 2).
It was reported earlier that S. gordonii cells form surface fibrils, which have multiple properties like cell surface hydrophobicity, co-aggregate with other oral bacteria, salivacoated hydroxyapatite (sHA) and bind to host fibronectin Back et al., 2017). These results emphasize that fibril-mediated attachment is the critical factor for the initial oral colonization for Streptococci. In the present study, we observed an extracellular nanofibrillar-mediated attachment of S. gordonii cells to sHA by SEM. Interestingly, these nanofibrils were not peritrichous as previously reported (McNab et al., 1999) and instead, the scattered fibrils were attached to neighboring streptococci cells, sHA substratum and to C. albicans hyphae (Figures 3, 4A-D) confirming its role in adherence. To our surprise, synthesis of these fibrils was abolished in the GAs treated S. gordonii biofilms. These fibrils could be related to EPS and we believe GAs might be affecting their synthesis and/or their incorporation into the biofilms. One of the unexpected findings of S. gordonii-C. albicans mixed biofilms was the formation of short fibrils from the C. albicans hyphae (Figures 4A,B). These fibrils show attachment to neighboring hypha and to the sHA substratum. This shows that there is an enhanced mutual synergism between these two microbes. However, in GAs treated mixed biofilms, these fibrils were absent ( Figure 3L) and significant inhibition of biofilms was found. Djaczenko and Cassone (1972) have reported the presence of fimbriae in C. albicans yeast cells and known to contain mannosylated glycoprotein (Yu et al., 1994). We believe the fibrils that we observe in hyphae could be different from the fimbriae described above. For example, the fimbriae reported by Djaczenko and Cassone (1972) were found on the surface of "yeast cells" grown on agar plates for several days. These fimbriae are short and continuous throughout the cell surface of mother yeast cells but very little on the daughter cells.
In contrast, our results show the fibrils are discontinuous and found only from hyphae of S. gordonii-C. albicans co-cultured biofilms where they have close contacts with abiotic or biotic surfaces (Figure 4). These fibrils were not observed in biofilms grown in the presence of GAs, suggesting that GAs can prevent adhesive fibrils, in part, by inhibiting its synthesis and or hyphae associated adhesive proteins.
To understand the mechanisms of biofilm inhibition by GAs, we determined the expression of selected genes that have predicted roles in the growth of S. gordonii and C. albicans biofilms (Gilmore et al., 2003;Dutton et al., 2016). EPSs are the core parts for the assembly and maintenance of biofilm architectural integrity in the oral cavity. The oral streptococci produce glucosyltransferase enzymes, Gtfs, that split and use glucose from extracellular sucrose to synthesize glucans, which helps the streptococci adhere to the tooth surface and to the surfaces of other oral microbes. S. gordonii, the primary colonizer of the oral cavity, produces gtfG1 (Vickerman et al., 1997). The RT-PCR analysis of S. gordonii biofilm cells shows basal (1) C. albicans, (2) C. albicans + GAs, (3) S. gordonii + C. albicans, (4) S. gordonii + C. albicans + GAs, (5) Positive PCR control (gDNA as template). Bar graph represents the densitometry analysis of respective genes and a constant level of expression of TDH3. The results represent means ± standard deviations for three independent experiments. NS, not significant, * p < 0.05, * * p < 0.01, * * * p < 0.001. P values were obtained by one-way ANOVA followed by Tukey's multiple comparison test. level expression of gtfG1. However, GAs treatment reduced its expression, signifying the inhibitory potential of biofilm glucan by GAs ( Figure 5A). This result agrees with SEM data where the S. gordonii biofilms treated with GAs show absence of adhesive fibrils when compared to the control biofilm where the fibrils can be seen between the biofilms cells and on the sHA (Figures 3D,J). The other roles of Gtfs include glycosylation of adhesive proteins such as GspB of S. gordonii and Fap1 of Streptococcus parasanguinis (Zhu et al., 2015). GAs are known to bind several proteins, including glucose transporter (Wang et al., 2014), taste receptors T1R2/T1R3 (Sanematsu et al., 2014), and Liver X-receptor (LXR) that regulates lipid metabolism in the liver (Renga et al., 2015). It has been reported that administration of GAs containing fraction, GS4, decreased the glycosylated hemoglobin (HbA1c) and glycosylated plasma protein in diabetic patients (Baskaran et al., 1990), and a similar mechanism may occur in microbial biofilms. Bacterial Gtfs play a critical role in enhancing the accumulation of C. albicans cells during mixed biofilm growths (Ellepola et al., 2017). GAs may affect the polysaccharide synthesis pathway in S. gordonii biofilms, through a reduced gtfG1 expression and or its enzyme activity. Further, Gtfs use metal co-factor Mn 2+ for enzyme catalytic activity (Zhu et al., 2015) and the downregulation of scaA, the gene that encodes Mn 2+ binding lipoprotein, in GAs treated S. gordonii mono-species as well as dual-species biofilms (Figure 5) may also contribute to the reduction of adhesive fibrils/polysaccharides. For growth and survival in the human host, S. gordonii will have to acquire Mn 2+ with the help of ScaA, a prominent surface antigen. It has been shown that inactivation of scaA gene resulted in both impaired growth of cells and >70% inhibition of Mn 2+ uptake (Kolenbrander et al., 1998). Oral bacteria, including S. gordonii, can sense the redox status of the biofilm niche and respond accordingly. Among the genes examined for differential expression in biofilms, we found lactate dehydrogenase (ldh) is one of the highly upregulated genes in GAs treated biofilms of S. gordonii (Figure 5). The ldh enzyme interconverts pyruvate into lactate and back, as it converts NADH to NAD and back. In GAs treated S. gordonii, ldh may be converting lactate into pyruvate as the gapdh mRNA is downregulated in GAs treated mono-species or mixed biofilms of S. gordonii but not in C. albicans. GAPDH uses NAD during glycolytic activity and the reduced amount of GAPDH may lead to the accumulation of NAD, which in turn activates the overexpression of ldh through a redox-sensing system (Bitoun and Wen, 2016). To determine if GAs has any effect on GAPDH enzyme activity, we cloned the gapdh gene from S. gordonii, overexpressed in E. coli, and tested the purified rGAPDH with or without GAs. We found the inhibition of rGAPDH enzyme activity in a dose-dependent manner (Figure 6). GA was shown to inhibit rabbit GAPDH enzyme activity (Izutani et al., 2005). Maeda et al. (2004a,b) have showed that oral streptococcal (e.g., S. oralis, S. gordonii) cell surface-associated GAPDH binds to the long fimbriae (FimA) of P. gingivalis and play a role in the development of oral polymicrobial biofilms (Kuboniwa et al., 2017). In addition to glycolytic function, GAPDH is also a moonlighting protein and known to carry out multiple functions (Sirover, 2017). It is worth mentioning that natural products (anacardic acid and curcumin) have been shown to bind and inhibit Streptococcus pyogenes GAPDH activity. GAPDH is a major virulence factor (Gomez et al., 2019), and the GAPDH serves as a drug target for other pathogens (Freitas et al., 2009) as well. GAs appear to impact S. gordonii GAPDH both at the transcriptional and translational level and could account, at least partially, for the observed inhibition of S. gordonii growth and or biofilm. Comparison of amino acid sequences of both S. gordonii and C. albicans GAPDH revealed about 50% similarity, leaving open the possibility that GAs impact on them could be different. In fact, the expression of GAPDH gene in C. albicans (TDH3) biofilms grown in the presence or absence of GAs is not affected (Figure 5B, TDH3 RT-PCR bands). However, GAs impact on C. albicans GAPDH (Tdh3) enzyme activity and its role in biofilms can't be ruled out and remains to be determined. Global gene expression and biochemical analyzes are necessary steps to reveal the mechanism(s) of GAs-mediated inhibition of S. gordonii mono-species and dual-species biofilms.
Among the genes examined in C. albicans mono-species or dual-species biofilms, NRG1, PRA1, and ZRT1 are the most differentially expressed. It is well known from the literature that Nrg1 of C. albicans is a DNA binding protein that represses its filamentous growth (Braun et al., 2001). GAs treatment shows a significant increase of NRG1 mRNA expression in C. albicans biofilms compared to control biofilms (Figure 5B), which may correspond to the observed yeast or pseudohyphal growth forms of C. albicans mono-species biofilm (Figure 3). However, no change of NRG1 expression level was observed in dual-species biofilms, yet their biofilm growth was inhibited, underscoring the unknown regulatory mechanism in the GAs treated dual-species biofilms. C. albicans sequesters environmental zinc through a secreted protein, the pH-regulated antigen 1 (Pra1) and transports it through the membrane transporter (Zrt1) for its invasive growth in the host (Citiulo et al., 2012). C. albicans has biphasic mechanisms for its environmental and cellular zinc homeostasis and Pra1 expresses when cells are at pH 7 and above or at zinc limitation (Crawford et al., 2018;Wilson, 2019). Kurakado et al. (2018) have also reported that the hypharelated Pra1 and Zrt1 play a major regulatory role C. albicans biofilm formation through zinc homeostasis. GAs treatment to C. albicans mono-species biofilm appears to cause zinc limitation and or change in cellular pH, which could be altered when grown with S. gordonii as mixed-species biofilms ( Figure 5B).
Our understanding about mixed species biofilms in caries pathogenesis is still in its infancy (Metwalli et al., 2013). It was well known that from various host defense factors, microbes in mixed biofilms act synergistically for their survival (Morales and Hogan, 2010;Xu et al., 2014a). Great attention is needed on mitis group streptococci (S. gordonii, S. oralis, Streptococcus mitis, S. parasanguinis, and Streptococcus sanguinis), which form multispecies biofilms when aggregating with other bacterial and fungal species (Xu et al., 2014b). These oral microbial infections pose a significant threat to public health, as many pathogenic bacteria readily develop resistance to multiple antibiotics and form biofilms with additional protection from antibiotic treatment (Lebeaux et al., 2014). Currently available antimicrobial agents were most effective at drastically reducing the cell viability, rather than reducing the virulence via inhibiting the biofilm growth. For instance, fluoride is a proven agent for caries prophylaxis; however, excess use of fluoride causes fluorosis and hardening of cartilage. Also, these synthetic antimicrobial agents lead to negative effects in the gastrointestinal system and several other side effects. We are in need of efficient antimicrobial agent which inhibit biofilm formation, while at the same time the agent should not exert selective pressure over oral microbiome.
Recently, many studies have targeted medicinal plants in finding effective anticaries agents (Islam et al., 2008;Yang et al., 2017;Gartika et al., 2018;Henley-Smith et al., 2018). Medicinal plants have been used to prevent and treat microbial diseases since ancient times, which can target several antigens or pathways of the pathogens for inhibition without adverse effects. Earlier studies on medicinal plant extracts described biofilm inhibition by hindering hydrophobic properties of S. mutans (Nostro et al., 2004;Khan et al., 2012). Any antimicrobial agent that reduces or hinders interactions/attachment represents a novel strategy to overcome oral infection. Interestingly, our GAs treatment shows a significant reduction in both mono-species and dualspecies biofilms and appear to act via more than one mechanism. GAs affect the transcription of S. gordonii gapdh and its enzyme activity in addition to gtfG1, which is involved in glucan polysaccharide synthesis. Further, GAs are able to curtail the development of nanofibrils that mediate cell-cell and substrate adhesion both in S. gordonii and C. albicans. In summary, our findings offer an anti-virulence approach for preventing mixed oral biofilms and by further optimization, and natural products have high potential as a useful source for developing mixed biofilm inhibitors.

DATA AVAILABILITY STATEMENT
All datasets generated for this study are included in the manuscript/Supplementary Files.

ETHICS STATEMENT
The studies involving human participants were reviewed and approved by Institutional Review Board, Kansas State University. The patients/participants provided their written informed consent to participate in this study.

AUTHOR CONTRIBUTIONS
GV designed the study. RV and GV conducted the experiments, analyzed the data, and wrote the manuscript.

FUNDING
This work was supported by American Heart Association SDG Grant #14SDG18910036 to GV, and by an Institutional Development Award (IDeA) from the National Institute of General Medical Sciences of the National Institutes of Health under grant number P20 GM103418. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of General Medical Sciences or the National Institutes of Health. Publication of this article was funded in part by the Kansas State University Open Access Publishing Fund to GV.