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<ep-patent-document id="EP07804998B9W1" file="EP07804998W1B9.xml" lang="en" country="EP" doc-number="2046378" kind="B9" correction-code="W1" date-publ="20110223" status="c" dtd-version="ep-patent-document-v1-4">
<SDOBI lang="en"><B000><eptags><B001EP>ATBECHDEDKESFRGBGRITLILUNLSEMCPTIESILTLVFIRO..CY..TRBGCZEEHUPLSK....IS..MT..........................</B001EP><B003EP>*</B003EP><B005EP>J</B005EP><B007EP>DIM360 Ver 2.15 (14 Jul 2008) -  2999001/0</B007EP><B078EP><date>20101213</date></B078EP></eptags></B000><B100><B110>2046378</B110><B120><B121>CORRECTED EUROPEAN PATENT SPECIFICATION</B121></B120><B130>B9</B130><B132EP>B1</B132EP><B140><date>20110223</date></B140><B150><B151>W1</B151><B155><B1551>de</B1551><B1552>Beschreibung</B1552><B1551>en</B1551><B1552>Description</B1552><B1551>fr</B1551><B1552>Description</B1552></B155></B150><B190>EP</B190></B100><B200><B210>07804998.8</B210><B220><date>20070625</date></B220><B240><B241><date>20090126</date></B241></B240><B250>en</B250><B251EP>en</B251EP><B260>en</B260></B200><B300><B310>06291080</B310><B320><date>20060630</date></B320><B330><ctry>EP</ctry></B330></B300><B400><B405><date>20110223</date><bnum>201108</bnum></B405><B430><date>20090415</date><bnum>200916</bnum></B430><B450><date>20100310</date><bnum>201010</bnum></B450><B452EP><date>20091021</date></B452EP><B472><B475><date>20100610</date><ctry>BG</ctry></B475></B472><B480><date>20110223</date><bnum>201108</bnum></B480></B400><B500><B510EP><classification-ipcr sequence="1"><text>A61K  39/102       20060101AFI20090211BHEP        </text></classification-ipcr><classification-ipcr sequence="2"><text>A61P  31/04        20060101ALI20090211BHEP        </text></classification-ipcr></B510EP><B540><B541>de</B541><B542>VERWENDUNG BAKTERIELLER POLYSACCHARIDE FÜR BIOFILMHEMMUNG</B542><B541>en</B541><B542>USE OF BACTERIAL POLYSACCHARIDES FOR BIOFILM INHIBITION</B542><B541>fr</B541><B542>UTILISATION DE POLYSACCHARIDES BACTÉRIENS POUR EMPÊCHER LA FORMATION D'UN FILM BIOLOGIQUE</B542></B540><B560><B561><text>EP-A2- 0 208 375</text></B561><B561><text>WO-A-2006/046143</text></B561><B561><text>US-A1- 2003 165 870</text></B561><B562><text>WELCH R A ET AL: "Extensive mosaic structure revealed by the complete genome sequence of uropathogenic Escherichia coli" PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF USA, NATIONAL ACADEMY OF SCIENCE, WASHINGTON, DC, US, vol. 99, no. 26, 24 December 2002 (2002-12-24), pages 17020-17024, XP002283177 ISSN: 0027-8424</text></B562></B560></B500><B700><B720><B721><snm>GHIGO, Jean-Marc</snm><adr><str>33 rue des Moulins à Vent</str><city>92260 Fontenay aux Roses</city><ctry>FR</ctry></adr></B721><B721><snm>VALLE, Jaione</snm><adr><str>Santacruz 95° C</str><city>Zizur Mayor</city><ctry>ES</ctry></adr></B721><B721><snm>DA RE, Sandra</snm><adr><str>62 rue Théodore Bac</str><city>87100 Limoges</city><ctry>FR</ctry></adr></B721></B720><B730><B731><snm>Institut Pasteur</snm><iid>101020671</iid><irf>WMAedF2260127EP</irf><adr><str>28 rue du Docteur Roux</str><city>75015 Paris</city><ctry>FR</ctry></adr></B731><B731><snm>Centre National de la Recherche Scientifique</snm><iid>100779578</iid><irf>WMAedF2260127EP</irf><adr><str>3, rue Michel Ange</str><city>75016 Paris</city><ctry>FR</ctry></adr></B731></B730><B740><B741><snm>Marcadé, Véronique</snm><sfx>et al</sfx><iid>100058695</iid><adr><str>Cabinet Ores 
36, rue de St Pétersbourg</str><city>75008 Paris</city><ctry>FR</ctry></adr></B741></B740></B700><B800><B840><ctry>AT</ctry><ctry>BE</ctry><ctry>BG</ctry><ctry>CH</ctry><ctry>CY</ctry><ctry>CZ</ctry><ctry>DE</ctry><ctry>DK</ctry><ctry>EE</ctry><ctry>ES</ctry><ctry>FI</ctry><ctry>FR</ctry><ctry>GB</ctry><ctry>GR</ctry><ctry>HU</ctry><ctry>IE</ctry><ctry>IS</ctry><ctry>IT</ctry><ctry>LI</ctry><ctry>LT</ctry><ctry>LU</ctry><ctry>LV</ctry><ctry>MC</ctry><ctry>MT</ctry><ctry>NL</ctry><ctry>PL</ctry><ctry>PT</ctry><ctry>RO</ctry><ctry>SE</ctry><ctry>SI</ctry><ctry>SK</ctry><ctry>TR</ctry></B840><B860><B861><dnum><anum>IB2007002875</anum></dnum><date>20070625</date></B861><B862>en</B862></B860><B870><B871><dnum><pnum>WO2008004128</pnum></dnum><date>20080110</date><bnum>200802</bnum></B871></B870></B800></SDOBI><!-- EPO <DP n="1"> -->
<description id="desc" lang="en">
<p id="p0001" num="0001">The present invention pertains to the field of biolfilm prevention. More particularly, the invention provides novel components which can prevent and/or inhibit bacterial biofilm formation on various surfaces.</p>
<p id="p0002" num="0002">A biofilm is an accumulation of microorganisms embedded in a polysaccharide matrix and adherent to a biological or a non-biotic surface. Diverse microorganisms (bacteria, fungi, and/or protozoa, with associated bacteriophages and other viruses) can be found in these biofilms. Biofilms are ubiquitous in nature and are commonly found in a wide range of environments, including domestic and industrial water systems.</p>
<p id="p0003" num="0003">Biofilms are also etiologic agents for a number of disease states in mammals. Examples include infections of the oral soft tissues, teeth, middle ear, gastrointestinal tract, urogenital tract, airway/lung tissue, peritoneal membrane and eye. Biofilms also develop on medical indwelling devices, such as dental implants, urinary tract prostheses, peritoneal dialysis catheters, indwelling catheters for hemodialysis and for chronic administration of chemotherapeutic agents (Hickman catheters), cardiac implants such as pacemakers, prosthetic heart valves, ventricular assist devices (VAD), synthetic vascular grafts and stents, prostheses, internal fixation devices, percutaneous sutures, and tracheal and ventilator tubing.</p>
<p id="p0004" num="0004">Biofilm development in industrial devices such as water systems or agri-food plants also raises safety problems.</p>
<p id="p0005" num="0005">Planktonic bacteria (<i>i</i>.<i>e</i>., single-celled bacteria suspended in liquid media) are usually used as models for research and antibiotics design. However, bacteria in biofilms are far more resistant to antibiotics than their planktonic counterparts, and less accessible to the immune system. Moreover, conjugation occurs at a greater rate between cells in biofilms than between planktonic cells. This increased opportunity for gene transfer among bacteria is important, since bacteria resistant to antimicrobials or chemical biocides can transfer the genes for resistance to neighboring susceptible bacteria. Gene transfer can also convert a previous avirulent commensal organism into a highly virulent pathogen.</p>
<p id="p0006" num="0006">Biofilm formation is not limited to the attachment of bacteria to a surface. Indeed, when growing in depth, biofilm bacteria interact more between each other than with the actual physical substratum on which the biofilm initially developed. In a biofilm, bacteria can communicate through chemical signalling mechanisms, so that the community undergoes phenotypic changes when a minimum density (the quorum) is<!-- EPO <DP n="2"> --> reached in the biofilm. This phenomenon, called "quorum sensing", can be responsible for the expression of virulence factors.</p>
<p id="p0007" num="0007">Besides <i>E. coli</i> biofilm-related polysaccharides such as colanic acid polymer, cellulose and (1-6) β-N-acetyl-glucosamine, <i>E. coli</i> isolates also produce two serotype-specific surface polysaccharides: the lipopolysaccharide (LPS) O antigen and capsular polysaccharide K antigen. These two classes of surface exposed polysaccharidic polymers have been shown to play indirect roles in biofilms by shielding of bacterial surface adhesin (Schembri et al., 2004).</p>
<p id="p0008" num="0008">The strategies described to date for preventing and/or disrupting biofilms are mainly based on quorum sensing inhibitors (Schachter, 2003).</p>
<p id="p0009" num="0009">The present invention provides a novel strategy for inhibiting biofilm formation, since the inventors have demonstrated, using <i>in vitro</i> mixed-species bacterial biofilm, that some bacteria release in the culture supernatant a soluble group II capsular polysaccharide that prevents biofilm formation by a wide range of Gram-negative and Gram-positive bacteria. As described in the experimental part below, these capsule components induce physico-chemical alterations of surface, leading to a reduction of cell-surface and cell-cell contacts that limits both initial adhesion and bacterial biofilm development.</p>
<p id="p0010" num="0010">A first object of the present invention is hence the use of a soluble group II-like capsular polysaccharide from a bacterial strain, for the preparation of a composition which prevents or inhibits adhesion of micro-organisms and/or biofilm development, in particular bacterial adhesion and/or bacterial biofilm development. In what follows, the term "polysaccharide", although used in the singular, can designate a mixture of different polysaccharides. The capsular polysaccharides produced by the bacteria are indeed of various sizes. In fact, <i>E. coli</i> capsules, which constitute the outermost protective layer of the cell surface, are classified into four groups based on genetic and biosynthetic criteria. Group II capsule is one of the 4 capsular types described in <i>E. coli</i>, and is constituted of high molecular weight and charged polysaccharidic polymers produced by most uropathogenic <i>Escherichia coli</i> (UPEC) and other extra-intestinal <i>E. coli</i>. Group II capsule displays a conserved modular genetic organization characterized by 3 functional regions. Region I (kpsFEDCUS) and region 3 (kpsMT) are conserved in all group II capsulated bacteria and encode proteins required for ABC-dependent export. Region 2 encodes a diversity of polysaccharidic structural components such as K1, K2 (CFT073), K5 and K96 capsular serotypes (Whitfield, 2006; Whitfield and Roberts, 1999). Group II-like capsules have also been described in <i>Hemophilus influenzae</i> and in <i>Neisseria meningitides</i> (Roberts, 1996).<!-- EPO <DP n="3"> --></p>
<p id="p0011" num="0011">In a preferred embodiment of the invention, a soluble group II-like capsular polysaccharide is obtained in the supernatant of a culture of bacteria selected amongst <i>Escherichia coli, Hemophilus influenzae</i> and <i>Neisseria meningitidis</i>. However, in the present text, the phrase "group II-like capsular polysaccharides" can designate capsular polysaccharides which are produced by other bacteria, provided they retain the anti-biofilm properties observed for the capsular polysaccharides produced by the above-mentioned strains. For example, capsular polysaccharides produced by the strain 47 of the ECOR collection (Ochman and Selander, 1984) are herein considered as a "group II-like capsular polysaccharide", although this strain apparently produces a hybrid group II/group III capsule.</p>
<p id="p0012" num="0012">The present invention can be performed with polysaccharides having different purification levels. For example, the crude supernatant of a bacterial culture (separated from the bacteria by filter-sterilizing or centrifugation) can be used according to the invention as a composition comprising soluble group 11-like capsular polysaccharides. However, in order to increase the anti-biofilm activity of the composition, as well as its safely, the soluble group II-like capsular polysaccharide can be obtained as a purified fraction. Three levels of purification are described in the experimental part below, as non-limitative examples. Alternatively, a composition according to the invention can be obtained directly from the bacterial culture, for example after lysis of the bacteria.</p>
<p id="p0013" num="0013">Another object of the present invention is a composition for inhibiting bacterial adhesion and/or bacterial biofilm development, which comprises a soluble group II-like capsular polysaccharide from a bacterial strain. Such a composition can comprise polysaccharides having different purification levels. In a preferred embodiment, such a composition comprises a purified fraction of the supernatant of a culture of bacteria selected amongst <i>E. coli, H. influenzae</i> and <i>N. meningitidis</i>, comprising soluble group II-like capsular polysaccharides.</p>
<p id="p0014" num="0014">The present invention also relates to a process for purifying an anti-biofilm group II-like capsular polysaccharide from a bacterial strain, comprising the following steps:
<ol id="ol0001" compact="compact" ol-style="">
<li>(i) separating the supernatant of a culture of a bacterial strain expressing a group II-like capsule from the bacterial cells,</li>
<li>(ii) precipitating the polysaccharides present in the obtained supernatant, and</li>
<li>(iii) optionally, resuspending the precipitate.</li>
</ol><!-- EPO <DP n="4"> --></p>
<p id="p0015" num="0015">The above process is preferably performed with a bacterial strain selected amongst <i>E. coli, H. influenzae</i> and <i>N. meningitidis</i>, more preferably with an uropathogenic <i>E. coli</i>.</p>
<p id="p0016" num="0016">In this process, step (i) can be carried out by centrifuging and/or filter-sterilizing the bacterial culture, in order to eliminate the bacterial cells. For example, in industrial processes, tangential filtration can be performed without any preliminary centrifugation. Tangential filtration can be performed continuously.</p>
<p id="p0017" num="0017">The skilled artisan can use any precipitation process known in the art to perform the second step of the above-described process. For example, the precipitation in step (ii) can be performed with three volumes of ethanol for one volume of supernatant.</p>
<p id="p0018" num="0018">In an advantageous variant of the process according to the invention, the precipitate obtained in step (ii) is first resuspended in water, dialyzed against deionised water, and then lyophilized before step (iii).</p>
<p id="p0019" num="0019">The resuspension in step (iii) can be done in water or in any buffer suitable for the intended use. An example of buffer which can be used is TrisHCl 20 mM, pH 7.5, with 25% propanol-1.</p>
<p id="p0020" num="0020">At the end of step (iii), the anti-biofilm polysaccharides are obtained as a semi-purified product, which can be used as such according to the invention, especially in applications which do not need medical-grade products.</p>
<p id="p0021" num="0021">In order to further purify the polysaccharides, the purification process can comprise an additional step (iv) of purification by chromatography, especially ion exchange chromatography, for example using a DEAE-Sepharose column. In this embodiment of the invention, an optional centrifugation step can be performed between step (iii) and step (iv), to discard the insoluble fraction.</p>
<p id="p0022" num="0022">The skilled artisan can choose any appropriate buffer for performing step (iv). An example of buffer which can be used is TrisHCl 20 mM, pH 7.5, with 25% propanol-1. According to an advantageous embodiment of the process, the precipitate is resuspended in TrisHCl 20 mM, pH 7.5, with 25% propanol-1 in step (iii), and the column used in step (iv) is equilibrated with the same buffer.</p>
<p id="p0023" num="0023">When performing a step of purification by ion-exchange chromatography, the group II-like capsular polysaccharides can be eluted using a salt gradient, for example a NaCl gradient. In an efficient embodiment of the process, described in the experimental part, the group II-like capsular polysaccharides are eluted with 300 mM NaCl in TrisHCl 20 mM, pH 7.5, 25% propanol-1.</p>
<p id="p0024" num="0024">Of course, the soluble group II-like capsular polysaccharides obtained through a process as above-described can be used, according to the invention, for the<!-- EPO <DP n="5"> --> preparation of a composition which prevents or inhibits bacterial adhesion and/or bacterial biofilm development. An anti-biofilm composition comprising such purified polysaccharides is also part of the present invention.</p>
<p id="p0025" num="0025">In a particular embodiment, the composition of the present invention is formulated for preventive or therapeutic administration to a subject in need thereof. Non-limitative examples of compositions according to this aspect of the invention are oral solutions, solutions for infusion into the ear, collyrium, toothpaste or therapeutic dentifrice, <i>etc</i>. These compositions can be used, for example, to prevent the (re)-colonization of the gut, the lung, the ear, the sinus or any other organ or cavity, by pathogenic bacteria.</p>
<p id="p0026" num="0026">In another embodiment, the composition according to the invention is a liquid or a paste, for example a paint, which can be applied on any kind surfaces in order to prevent biofilm formation on these surfaces.</p>
<p id="p0027" num="0027">Another aspect of the present invention is an anti-biofilm coating, comprising a group II-like capsular polysaccharide from a bacterial strain. In such a coating, the group II-like capsular polysaccharide can have different purification levels, as described above. In a preferred embodiment of the coating according to the invention, the group 11-like capsular polysaccharide is from a bacterial strain selected amongst <i>Escherichia coli, Hemophilus influenzae</i> and <i>Neisseria meningitidis</i>. This coating can be obtained, for example, by application of a composition as above-described. It can also be in the form of sheets which can be applied on any kind of device on which biofilm formation must be avoided.</p>
<p id="p0028" num="0028">Accordingly, a medical or industrial device, which is at least partly coated with an anti-biofilm coating comprising a group II-like capsular polysaccharide from a bacterial strain, is also part of the present invention. Such an object can be obtained, for example, by dipping part of the device or the whole device, into a liquid composition as described above. The skilled artisan can choose the incubation duration, depending on the material, the concentration of the composition in group II-like capsular polysaccharide, the intended use, and the like. Typically, said incubation can last from 10 seconds to 30 minutes. Short incubations (≤ 1 to 5 minutes) are usually sufficient. If necessary, the coated device can then be sterilized by a variety of treatments, without damaging the coating. For example, it can be intensively washed and/or autoclaved. Any kind of device made of glass, pyrex, PVC, polycarbonate, polypropylene and the like, can advantageously be coated according to this aspect of the invention.</p>
<p id="p0029" num="0029">Non-limitative medical devices which can advantageously be coated according to this aspect of the invention are scalpels, burs and other non-disposable<!-- EPO <DP n="6"> --> surgery and/or dentistry tools, and indwelling devices, such as dental implants, urinary tract prostheses, peritoneal dialysis catheters, indwelling catheters for hemodialysis and for chronic administration of chemotherapeutic agents (Hickman catheters), cardiac implants such as pacemakers, prosthetic heart valves, ventricular assist devices (VAD), synthetic vascular grafts and stents, prostheses, internal fixation devices, percutaneous sutures, and tracheal and ventilator tubing.</p>
<p id="p0030" num="0030">Non-limitative examples of industrial devices which can advantageously be coated according to this aspect of the invention are plumbing materials, such as pipes, tubes, valves and the like, air-cooled towers, warm water systems, coolant circuits of nuclear power plant, especially secondary and tertiary circuits, agri-food materials, such as silos, fermenters, colanders, <i>etc</i>., furniture elements such as lab tables, counter tops and the like, especially for clean rooms, <i>etc</i>.</p>
<p id="p0031" num="0031">The invention is further illustrated by the following figures and examples.</p>
<heading id="h0001"><b><u>FIGURE LEGENDS</u></b></heading>
<p id="p0032" num="0032">
<ul id="ul0001" list-style="none" compact="compact">
<li><figref idref="f0001"><b>Figure 1</b></figref><b>: Biofilm inhibitory effect of CFT073. A,</b> Biofilm formation of MG1655 F' in microfermentors inoculated with 1 or 10 OD<sub>600nm</sub> equivalent of KS272 (grey) or CFT073 (black) cells. MG1655F' biofilm alone (∅, white). Results are average of 6 replicates ±s.d. <i>P</i>&lt;0.001 compared with MG1655F' biofilm. <b>B,</b> Microtiter plate MG1655F' biofilm alone (∅), or in the presence of KS272 or CFT073 supernatant, (S.KS272 and S.CFT073, respectively). <b>C,</b> MG1655F' biofilm in microfermentors perfused with medium without supernatant (∅) or with S.KS272 or S.CFT073. <b>D,</b> Growth curves of MG1655F' alone (∅) or with S.KS272 or S.CFT073. <b>E</b>, MG1655F' cell viability alone (∅) or with S.KS272 or S.CFT073 visualized with BacLight staining. <b>F,</b> Qualitative analysis of the biofilm formation in microtiter plate by different bacteria in the presence of CFT073 supernatant (S. CFT).</li>
<li><figref idref="f0002"><b>Figure 2</b></figref><b>: Effect of CFT073 supernatant on Gram-positive and Gram-negative bacterial biofilm formation. A,</b> Quantification of the microtiter plate biofilm formation of different bacteria, alone (∅), with KS272 (S.KS) or CFT073 (S.CFT) supernatant. Levels of crystal violet retained were measured spectrophotometrically (OD<sub>570nm</sub>). <b>B,</b> Quantification of biofilm formed by several pathogenic bacteria in microfermentors using media not supplemented (∅), or supplemented with S.CFT or S.KS. Error bars represent standard deviation of two independent experiments. <b>C,</b> Effect of CFT073 supernatant (S.CFT073) in mix biofilms of <i>E. coli</i> (MG1655F') with <i>P. aeruginoso</i> (PAK), <i>K. pneumoniae</i> (KP21), <i>S. epidermidis</i> (O-47), <i>S. aureus</i> (15981) and <i>S. epidermidis</i> (O-47) with <i>S. aureus</i> (15981) and <i>E. faecalis</i> (54). Supernatant of <i>E. coli</i> CFT073Δ<i>kpsD</i> strain (S. Δ<i>kpsD</i>) that do not<!-- EPO <DP n="7"> --> secrete any group II capsule is used as negative control. <b>D,</b> Qualitative analysis of biofilm formation of <i>S. aureus</i> and <i>P. aeruginosa</i>, in a microfennentor using media not supplemented, or supplemented with CFT073 supernatant.</li>
<li><figref idref="f0003"><b>Figure 3</b></figref><b>: Relationship between capsule production and anti-biofilm activity of the CFT073 supernatant. A,</b> Genetic organization of the CFT073 capsule R1, R2 and R3 regions. Genes with transposon insertions are marked with an asterisk. <b>B,</b> Biofilm formation of MG1655F' cultivated in the presence of the capsule mutant supernatants. <b>C,</b> Hexose levels in the supernatants. <i>kpsF, kpsU, c3692</i> and <i>c3693</i> correspond to mutants that do not impair capsule production. <b>D,</b> Stationary phase CFT073 or CFT073Δ bacterial cell capsules stained with ferritin and examined by transmission electron microscopy (X100000; bar = 0,2 µm) (left panel); 125 and 105 cells were observed respectively. Stained CFT073 capsule is indicated by an arrow. On the right panel: scanning electron micrographs of stationary-phase CFT073 or CFT073Δ<i>kpsD</i> (X50,000; bar = 0.5 µm); 45 and 37 cells were observed respectively.</li>
<li><figref idref="f0004"><b>Figure 4</b></figref><b>. Correlation between anti-biofilm activity and group II</b> capsule. Biofilm formation of <i>E. coli</i> MG1655F' and 1091 strains, and of the <i>S. aureus</i> 15981 strain cultured with: <b>(A)</b> supernatants of <i>E. coli</i> exhibiting anti-biofilm activity (see Table 1) (beside strain 47, all the strains tested produce group 11 capsule) <b>(B)</b> supernatants of CFT073, U-9, U-15 strains and their respective <i>kpsD</i> mutants. <b>(C)</b> Biofilm formation in microfermentor of UPEC strains CFT073, U-9, U-15 (black) and their respective <i>kpsD</i> mutants (grey) grown in M63B1glu, and <i>kpsD</i> mutants grown in media supplemented with their corresponding wild-type supernatant (white). Biofilms were grown for 36 h at 37°C. Error bars represent standard deviation of the mean. Strains identified by simple numbers correspond to those of the EcoR collection (Ochman and Selander, 1984).</li>
<li><figref idref="f0005"><b>Figure 5</b></figref>. <b>Anti-biofilm effect of <i>Neisseria meningitidis</i> supernatant.</b> Quantification of the microtiter plate biofilm formation of MG1655F' in the presence of S.<i>Neisseria</i>. OD<sub>570nm</sub> of the crystal violet dye was determined as described in (O'Toole and Kolter, 1998).</li>
<li><figref idref="f0005"><b>Figure 6</b></figref><b>: Phyico-chemical properties of the CFT073 supernatant. a</b>, ζ potential of cationic colloids incubated with the dialyzed supernatants from: CFT073 (CFT), U-9, IHE3034 (IHE), EcoR72 (E-72) (dark grey) and their respective capsule mutants (light grey). (∅) correspond to M63Blglu treatment. <b>b</b>, Water droplet contact angle on surface incubated with CFT, U-9, IHE, E-72 (dark grey) and the capsule mutants (light grey). <b>c</b>, Propidium iodide adsorption onto cationic particles incubated with CFT, U-9, IHE, E-72, FR2 (CFT073 supernatant purified fraction), (dark grey) and their respective capsule mutants (light grey). The extent of the adsoption is<!-- EPO <DP n="8"> --> given by the fluorescent intensity (&gt;670nm). <b>d</b>, Fluorescence microscopy of cationic particles incubated with CFT, S.CFT073ΔR1 (∅R1), FR2 and not incubated (∅). Error bars represent the standard deviation of the mean.</li>
<li><figref idref="f0006"><b>Figure 7</b></figref><b>: Biofilm inhibition effect of CFT073 supernatant on coated surfaces.</b> Biofilm formation in microfermentors by several bacteria using: untreated glass slides (upper panel), glass slides treated with CFT073 supernatant (middle panel) and glass slides treated with CFT073Δ<i>kpsD</i> supernatant (lower panel).</li>
<li><figref idref="f0006"><b>Figure 8</b></figref><b>. Impact of the treatment of spatula coated with S.CFT073 supernatant (S.CFT).</b> Biofilm formation in microfermentors by MG1655F' using untreated glass slides and glass slides treated with S.CFT or with boiled S.CFT, and then autoclaved or submitted to intensive wash.</li>
<li><figref idref="f0007"><b>Figure 9</b></figref><b>: CFT073 supernatant affects cell-cell interaction. A,</b> MG1655F' biofilm formation in microfermentors with media supplemented with CFT073 supernatant (S.CFT) at times 0 h, 1 h, 6 h (24 h of culture) and 24 h (48 h of culture). ∅: no addition of S.CFT. <b>B,</b> GFP-tagged MG1655F' inoculated in a flow-cell and monitored by confocal microscopy. CFT073 or KS272 supernatants were supplemented after 3 h of culture and biofilms were grown for 12 h total. <b>C,</b> Autoaggregation assay with strains that aggregate via different mechanisms: MG1655F' (F conjugative pilus expression); MG1655<i>ompR234</i> (curli overexpression); MG1655Δ<i>oxyR</i> (Ag43 autotransporter adhesin overexpression); 1094 (cellulose production). Cells were diluted to OD<sub>600</sub> of 2 in 3 ml of M63B1 (triangle), CFT073 supernatant (circle) and Δ<i>kpsD</i> supernatant (rectangle).</li>
<li><figref idref="f0008"><b>Figure 10</b></figref><b>. Anti-biofilm activity of the FR2 fraction.</b> CFT073 supernatant purified fraction (FR2) was added to the MG1655F' culture in concentrations ranging from 0.5 to 500 µg/ml. Biofilm formation of MG1655F' was visualized after 24 h. Concentration of 50-100 µg/ml inhibited MG1655 F' biofilm.</li>
<li><figref idref="f0008"><b>Figure 11</b></figref><b>. Intestinal colonization by CFT073 and CFT073ΔR1. a,</b> Bars represent the standard error of the log10 mean number of CFU per gram of feces; a Mann-Whitney test was used for statistical analysis, the level of statistical significance (*) was set at P values of &lt;0.016. <b>b</b>, Colon and caecium colonization by CFT073 (circles) and CFT073ΔR1 (triangles). DL: Detection limit.</li>
<li><figref idref="f0008"><b>Figure 12</b></figref><b>. Effect of growth phase and quorum-sensing in the anti-biofilm properties of CFT073 supernatant.</b> Biofilm formation of MG1655F' in microtiter plate in presence of supernatants purified from cells in exponential phase, stationary phase and Δ<i>luxS</i> mutant. 10<sup>10</sup> cells in exponential phase (OD<sub>600nm</sub>=0.4) and in stationary phase (OD<sub>600nm</sub>=2) were centrifuged and supernatants were precipitated with<!-- EPO <DP n="9"> --> 3 volumes of ethanol. The supernatant of Δ<i>luxS</i> mutant was purified from an overnight culture.</li>
</ul></p>
<heading id="h0002"><b><u>EXAMPLES</u></b></heading>
<heading id="h0003"><u>Example 1: Methods</u></heading>
<heading id="h0004"><b><i>Bacterial strains, growth conditions and microscopy analysis</i></b></heading>
<p id="p0033" num="0033">Bacterial strains are listed in Table 1 below. Gram-negative bacteria were grown at 37°C in M63B1 minimal medium with 0.4% glucose (M63B1glu) or in LB rich medium. Gram-positive bacteria were grown in TSB with 0.25% glucose (TSBglu) at 37°C. The effect of CFT073 supernatant on bacterial growth and viability rate was evaluated using growth curve determination, colony forming unit count on LB plate and BacLight Live/Dead viability stain (Molecular Probes). Ferritin-staining and Scanning Electronic Microscopy was performed as described in (Bahrani-Mougeot et al., 2002). Epifluorescence and transmitted light microscopy were acquired using a Nikon E400 microscope. Autoaggregation assays were performed as described in (Beloin et al., 2006).
<tables id="tabl0001" num="0001">
<table frame="topbot">
<title><b>TABLE 1:</b> Strains used in this study</title>
<tgroup cols="3" colsep="0">
<colspec colnum="1" colname="col1" colwidth="28mm"/>
<colspec colnum="2" colname="col2" colwidth="73mm"/>
<colspec colnum="3" colname="col3" colwidth="47mm"/>
<thead>
<row>
<entry valign="top">Strains</entry>
<entry valign="top">Relevant characteristics</entry>
<entry valign="top">References</entry></row>
<row>
<entry namest="col1" nameend="col3" align="left" valign="top"><i>E. coli</i> strains</entry></row></thead>
<tbody>
<row rowsep="0">
<entry>CFT073</entry>
<entry>UPEC group II capsule (K2)</entry>
<entry>(Mobley et al., 1990)</entry></row>
<row rowsep="0">
<entry>MG1655F'</entry>
<entry>MG1655 F'<i>tet-</i>Δ<i>fraD</i> plasmid</entry>
<entry>(Ghigo, 2001)</entry></row>
<row rowsep="0">
<entry>KS272</entry>
<entry>Commensal <i>E. coli</i> K-12</entry>
<entry>(Strauch and Beckwith, 1988)</entry></row>
<row rowsep="0">
<entry>1091</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1092</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1094</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>(Da Re and Ghigo, 2006)</entry></row>
<row rowsep="0">
<entry>1096</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1097</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1102</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1103</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1110</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1125</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>1127</entry>
<entry>Commensal <i>E. coli</i></entry>
<entry>C. Le Bouguenec</entry></row>
<row rowsep="0">
<entry>U-1</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-2</entry>
<entry>UPEC group II capsule (K2)</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-3</entry>
<entry>UPEC non-group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-4</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-5</entry>
<entry>UPEC group 11 capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-6</entry>
<entry>UPEC group II capsule (K2)</entry>
<entry>C. Forestier</entry></row><!-- EPO <DP n="10"> -->
<row rowsep="0">
<entry>U-7</entry>
<entry>UPEC non-group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-8</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-9</entry>
<entry>UPEC group 11 capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-10</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-11</entry>
<entry>UPEC non-goup II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-12</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-13</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-14</entry>
<entry>UPEC non-group 11 capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-15</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-16</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-17</entry>
<entry>UPEC non-group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-18</entry>
<entry>UPEC non-goup II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-19</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-20</entry>
<entry>UPEC group II capsule</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>U-21</entry>
<entry>UPEC group II capsule (K2)</entry>
<entry>C. Forestier</entry></row>
<row rowsep="0">
<entry>984</entry>
<entry>Commensal <i>E. coli</i> group II capsule (K1)</entry>
<entry>M.C. Ploy</entry></row>
<row rowsep="0">
<entry>988</entry>
<entry>Commensal <i>E. coli</i> group II capsule (K1)</entry>
<entry>M.C. Ploy</entry></row>
<row rowsep="0">
<entry>999</entry>
<entry>Commensal <i>E. coli</i> group II capsule (K1)</entry>
<entry>M.C. Ploy</entry></row>
<row rowsep="0">
<entry>1007</entry>
<entry>Commensal <i>E. coli</i> goup II capsule (K1)</entry>
<entry>M.C. Ploy</entry></row>
<row rowsep="0">
<entry>1014</entry>
<entry>Commensal <i>E. coli</i> group II capsule (K1)</entry>
<entry>M.C. Ploy</entry></row>
<row rowsep="0">
<entry>1HE3034</entry>
<entry><i>E. coli</i> causing meningitis group II capsule (K1)</entry>
<entry>(Meier et al., 1996)</entry></row>
<row>
<entry>EcoR strains</entry>
<entry><i>E. coli</i> Reference Collection (72 strains)</entry>
<entry>(Ochman and Selander, 1984)</entry></row></tbody></tgroup>
<tgroup cols="3" colsep="0">
<colspec colnum="1" colname="col1" colwidth="28mm"/>
<colspec colnum="2" colname="col2" colwidth="73mm"/>
<colspec colnum="3" colname="col3" colwidth="47mm"/>
<thead>
<row>
<entry namest="col1" nameend="col3" align="left" valign="top">Other bacteria</entry></row></thead>
<tbody>
<row rowsep="0">
<entry>15981</entry>
<entry><i>S. aureus</i> clinical strain</entry>
<entry>(Valle et al., 2003)</entry></row>
<row rowsep="0">
<entry>V329</entry>
<entry><i>S. aureus</i> bovine mastitis subclinical isolate</entry>
<entry>(Cucarella et al., 2001)</entry></row>
<row rowsep="0">
<entry>O-47</entry>
<entry><i>S. epidermidis</i> clinical strain</entry>
<entry>(Heilmann et al., 1996)</entry></row>
<row rowsep="0">
<entry>CH845</entry>
<entry><i>S. epidermidis</i> clinical strain BM94314</entry>
<entry>(Galdbart et al., 2000)</entry></row>
<row rowsep="0">
<entry>54</entry>
<entry><i>E. faecalis</i> clinical strain</entry>
<entry>(Toledo-Arana et al., 2001)</entry></row>
<row rowsep="0">
<entry>11279</entry>
<entry><i>E. faecalis</i> clinical strain</entry>
<entry>(Toledo-Arana et al., 2001)</entry></row>
<row rowsep="0">
<entry>KP21</entry>
<entry><i>Klebsiella pneumoniae</i> strain</entry>
<entry>C. Forestier</entry></row>
<row>
<entry>PAK</entry>
<entry><i>Pseudomonas aeruginosa</i></entry>
<entry>(Vasseur et al., 2005)</entry></row>
<row rowsep="0">
<entry>8013</entry>
<entry><i>Neisseria meningitidis</i> strain, serogroup C, class 1</entry>
<entry>(Deghmane et al., 2002)</entry></row></tbody></tgroup><!-- EPO <DP n="11"> -->
<tgroup cols="3" colsep="0" rowsep="0">
<colspec colnum="1" colname="col1" colwidth="28mm"/>
<colspec colnum="2" colname="col2" colwidth="73mm"/>
<colspec colnum="3" colname="col3" colwidth="47mm"/>
<thead>
<row>
<entry namest="col1" nameend="col3" rowsep="1" align="left" valign="top">Mutants</entry></row></thead>
<tbody>
<row>
<entry>44H3</entry>
<entry>CFT073 <i>kpsD</i>::<i>TnSC189</i></entry>
<entry>This study</entry></row>
<row>
<entry>25F11</entry>
<entry>CFT073 <i>kpsD</i>::<i>TnSC189</i></entry>
<entry>This study</entry></row>
<row>
<entry>23D5</entry>
<entry>CFT073 <i>kpsU</i>::<i>TnSC189</i></entry>
<entry>This study</entry></row>
<row>
<entry>16B9</entry>
<entry>CFT073 <i>kpsU</i>::<i>TnSC189</i></entry>
<entry>This study</entry></row>
<row>
<entry>14E12</entry>
<entry>CFT073 <i>kpsC</i>::<i>TnSC189</i></entry>
<entry>This study</entry></row>
<row>
<entry>76H11</entry>
<entry>CFT073 <i>kpsS</i>::<i>TnSC189</i></entry>
<entry>This study</entry></row>
<row>
<entry>30H8</entry>
<entry>CFT073 <i>kpsM</i>::<i>TnSC189</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>kpsD</i></entry>
<entry>CFT073 <i>kpsD</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>kpsC</i></entry>
<entry>CFT073 <i>kpsC</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>kpsU</i></entry>
<entry>CFT073 <i>kpsU</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>kpsS</i></entry>
<entry>CFT073 <i>kpsD</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>kpsM</i></entry>
<entry>CFT073 <i>kpsM</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>3692</i></entry>
<entry>CFT073 Δ<i>3692</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>3693</i></entry>
<entry>CFT073 Δ<i>3693</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>3694</i></entry>
<entry>CFT073 Δ<i>3694</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>3695-96</i></entry>
<entry>CFT073 Δ<i>3695</i>Δ<i>3696</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>ΔR1</entry>
<entry>CFT073 with a deletion from <i>kpsD</i> to <i>kpsS</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ2</entry>
<entry>CFT073 with a deletion from <i>c3692</i> to <i>c3696</i></entry>
<entry>This study</entry></row>
<row>
<entry>ΔR3</entry>
<entry>CFT073 with a deletion from <i>kpsT</i> to <i>kpsM</i></entry>
<entry>This study</entry></row>
<row>
<entry><i>U-9</i> Δ<i>kpsD</i></entry>
<entry>U-9 <i>kpsD</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>U-15 Δ<i>kpsD</i></entry>
<entry>U-15 <i>kpsD</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>IHE3034 Δ<i>kpsD</i></entry>
<entry>IHE3034 <i>kpsD</i>::<i>km</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>luxS</i></entry>
<entry>CFT073 Δ<i>luxS</i></entry>
<entry>This study</entry></row>
<row>
<entry>CFT073<i>gfp</i></entry>
<entry>CFT073λATT<i>gfp</i></entry>
<entry>This study</entry></row>
<row>
<entry>ΔR1<i>gfp</i></entry>
<entry>ΔR1λATT<i>gfp</i></entry>
<entry>This study</entry></row>
<row>
<entry>Δ<i>oxyR</i></entry>
<entry>MG1655 <i>oxyR</i>::km</entry>
<entry>(Beloin et al., 2006)</entry></row>
<row rowsep="1">
<entry><i>ompR234</i></entry>
<entry>MG1655 <i>ompR234 malA</i>::km</entry>
<entry>(Vidal et al., 1998)</entry></row></tbody></tgroup>
</table>
</tables></p>
<heading id="h0005"><b><i>Biofilm formation procedures</i></b></heading>
<p id="p0034" num="0034"><i>Microfermentors experiments</i>: Biofilm was performed as described previously (Ghigo, 2001). <i>Mixed biofilm cultures</i>: an 8 hours MG1655F' biofilm formed in the internal microfermentors glass slide was infected with 1 OD<sub>600nm</sub> equivalent of CFT073-gfp overnight culture. After 24 hours of continuous culture in M63B1glu, pictures of the glass slides were taken. Biofilm biomass was estimated by determining the OD<sub>600nm</sub> of the resuspension of the biofilm formed on the internal glass slide (Ghigo, 2001). <i>Biofilm inhibition assays</i>: the incoming medium was mixed in a 1:1 ratio with filtered supernatants and brought into the microfermentors at different time after bacteria inoculation (0, 1, 6 or 24 hours). The biofilm was further cultivated for an additional 24 hours before biomass determination. <i>Analysis of bacterial interaction with treated surfaces</i>: the glass slides were incubated I min with filtered CFT073 supernatant and rinsed once in deionised water prior to inoculation in microfermentors. Biofilm formation on the slide was determined after 24 hours.<!-- EPO <DP n="12"> --></p>
<p id="p0035" num="0035"><i>Microtiter plate experiments</i>. Static biofilm formation assay were performed in 96-well PVC microtiter plates (Falcon) as described in (O'Toole and Kolter, 1998). <i>Biofilm inhibition assays</i>: overnight cultures were adjusted to OD<sub>600</sub>=0.04 before inoculating 100 µl in 96-well plates in the presence or absence of 50 µl of supernatant. <i>Flow-chamber experiments</i>. Biofilms were performed in M63B1glu at 37°C in 3 x channels flow-cells (1 × 4 × 40 mm). The flow system was assembled and prepared as described in (Christensen et al., 1999). Inocula were prepared as follows: 16-20 hours old overnight cultures in M63B1glu were harvested and resuspended as normalized dilutions (OD<sub>600</sub>=0.005). 300 µl were injected into each flow channel. Input medium was mixed in a 1:1 ratio with filtered supernatant. Flow was started 1 h after inoculation at a constant rate of 3 ml h<sup>-1</sup> using a Watson Marlow 205S peristaltic pump. All Assays were at least performed in triplicate.</p>
<heading id="h0006"><b><i>Purification of CFT073 or other group II capsulated strain supernatants displaying anti-biofilm activity</i></b></heading>
<p id="p0036" num="0036">Three levels of purification have been tested:
<ol id="ol0002" compact="compact" ol-style="">
<li>(i) Filtration (sterilization) of the active supernatants (<b>S.CFT</b>, used in all the experiments on microtiter plates or in microfermentors)
<ul id="ul0002" list-style="bullet" compact="compact">
<li>Overnight cultures in M63B1glucose 0.4% were centrifuged for 30 min at 5000 rpm at 4°C and filtered through 0.25 µm filter to eliminate bacteria.</li>
</ul></li>
<li>(ii) Precipitation of polysaccharides contained in active supernatants
<ul id="ul0003" list-style="bullet" compact="compact">
<li>The polysaccharides contained in the filtered supernatant were precipitated with 3 volumes of ethanol, resuspended in deionized water and dialyzed against deionized water in 10 kDa cut-off dialysis cassettes (Pierce biochemical).</li>
</ul></li>
<li>(iii) purification of the capsular polysaccharides active fraction (capsular active fraction <b>FR2</b>)
<ul id="ul0004" list-style="bullet" compact="compact">
<li>the partially purified supernatant active fraction obtained in step (ii) was lyophilized and resuspended in 80 ml of buffer Tris HCl 20 mM pH 7.5 containing 25% de propanol-1.</li>
<li>This resuspension was centrifuged for 10 minutes at 3000 rpm to eliminate the insoluble particles.</li>
<li>the soluble supernatant was loaded on a DEAE-Sepharose column (30 ml, 2.6 x 6 cm, Amersham) and equilibrated with Tris HCl 20 mM pH 7.5, 25% de propanol-1 buffer.</li>
<li>the column was washed with Tris HCl 20 mM pH 7.5, 25% propanol-1 buffer at the rate of 20 ml/h.</li>
<li>After the wash, the column was eluted with a NaCl gradient (0 to 1 M in 400 ml) and the polysaccharide concentration of each eluted fractions (4.5 ml) was<!-- EPO <DP n="13"> --> tested by the Dubois method (Dubois et al., 1956): 100 µl of phenol at 5% and 500 µl of concentrated sulfuric acid followed by vortex agitation and read at 492 nm)</li>
<li>The positive fractions (about 10 fractions of 4.5 ml) were pooled together and dialyzed against deionized water and lyophilized</li>
<li>1 mg of the lyophilysate was resuspended in 1 ml of deionized water</li>
</ul></li>
</ol></p>
<heading id="h0007"><b><i>Handling of culture supernatants and polysaccharide analysis</i></b></heading>
<p id="p0037" num="0037">Overnight cultures in M63B1glu at 37°C were centrifuged 30 minutes at 5000 rpm at 4°C. After filtration of the supernatant with a 0.2 µm filter, macromolecules were precipitated with 3 volumes of ethanol and dialysed against deionised water using 10kDa cassettes (Pierce). Total amounts of phosphate and neutral sugars were determined by ammonium molybdate/ascorbic acid and phenol/sulfuric acid methods, respectively. Polysaccharide composition was determined by HPLC (ion-exclusion column) and by gas liquid chromatography as in (d'Enfert and Fontaine, 1997; Fontaine et al., 2000). CFT073 supernatant active fraction, FR2, was purified using a DEAE-Sepharose column (Amersham) and eluted with 300 mM NaCl in 25% propanol-1,20 mM TrisHCl pH7.5. Molecular weight of the polymer was estimated by gel filtration chromatography on Superdex-200 (Amersham) using dextran as standard. Polysaccharide degradations were done by total acid hydrolysis (trifluoroacetic acid, 4N, 4H, 100°C) or by aqueous hydrofluoric acid (48% aq. HF, 2 days on water-ice).</p>
<heading id="h0008"><b><i>Mutagenesis and molecular techniques</i></b></heading>
<p id="p0038" num="0038">Mariner transposon mutagenesis of <i>E. coli</i> CFT073 was performed as described in (Da Re and Ghigo, 2006). The supernatants of 10,000 transposon mutants incubated 24h, in LB at 37°C in 96-well microtiter plates were extracted after centrifugation of the plates 15 min at 10000rpm and their effect on MG1655F' biofilm formation was analysed. Transposon insertion sites were determined as described in (Da Re and Ghigo, 2006). Homology searches were performed using Blast 2.0. Deletion mutants were generated as detailed at <u>http://www.pasteur.fr/recherche/unites/Ggb/3SPCRprotocol.html</u>, using primers presented in Table 2.
<tables id="tabl0002" num="0002">
<table frame="topbot">
<title><b>TABLE 2:</b> Primers used in this study.</title>
<tgroup cols="4" colsep="0">
<colspec colnum="1" colname="col1" colwidth="22mm"/>
<colspec colnum="2" colname="col2" colwidth="26mm"/>
<colspec colnum="3" colname="col3" colwidth="99mm"/>
<colspec colnum="4" colname="col4" colwidth="21mm"/>
<thead>
<row>
<entry valign="top">Target gene</entry>
<entry valign="top">Primer name</entry>
<entry valign="top">Sequence</entry>
<entry valign="top">SEQ ID No:</entry></row>
<row>
<entry namest="col1" nameend="col4" align="left" valign="top">Primers used to generate deletion mutants</entry></row></thead>
<tbody>
<row rowsep="0">
<entry>kpsD</entry>
<entry>KpsD.500-5</entry>
<entry>gaccagcttgcctttgcagaaacg</entry>
<entry>1</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsD.500-3</entry>
<entry>ctttttcagcattacgcggatagg</entry>
<entry>2</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsD.GB.L-5</entry>
<entry>TGCTCGATGAGTTTTTCTAAGGAGTTGAAatgagcaa</entry>
<entry>3</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsD.GB.L-3</entry>
<entry>gattttgagacacaacgtggctttCATcacAAACTCATTCAGCGACA</entry>
<entry>4</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsD.ext-5</entry>
<entry>ttgcgcttaagtttaaccaaaccg</entry>
<entry>5</entry></row>
<row>
<entry/>
<entry>KpsD.ext-3</entry>
<entry>gctctggcatggactccggtaact</entry>
<entry>6</entry></row>
<row rowsep="0">
<entry>kpsU</entry>
<entry>KpsU.500-5</entry>
<entry>atgaacgcagttcagctttatcgcc</entry>
<entry>7</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsU.500-3</entry>
<entry>ccaaatttcggcttgaggattttc</entry>
<entry>8</entry></row>
<row>
<entry rowsep="0"/>
<entry rowsep="0">KpsU.GB.L-5</entry>
<entry rowsep="0">TGCTCGATGAGTTTTTCTAAcaggaactggctgaaaacgcatga</entry>
<entry rowsep="0">9</entry></row>
<row>
<entry rowsep="0"/>
<entry rowsep="0">KpsU.GB.L-3</entry>
<entry rowsep="0">gattttgagacacaacgtggctttCATTTCAACTCCttacaaagacaga</entry>
<entry rowsep="0">10</entry></row>
<row>
<entry rowsep="0"/>
<entry rowsep="0">KpsU.ext-5</entry>
<entry rowsep="0">tgcagaacggcgataccttaatcg</entry>
<entry rowsep="0">11</entry></row>
<row>
<entry/>
<entry>KpsU.ext-3</entry>
<entry>ctcggcaatcaaacgtactcgttg</entry>
<entry>12</entry></row><!-- EPO <DP n="14"> -->
<row rowsep="0">
<entry>kpsC</entry>
<entry>KpsC.500-5</entry>
<entry>gaggcagatatcaacattaacc</entry>
<entry>13</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsC.500-3</entry>
<entry>gttgaaggttttaagttctcaac</entry>
<entry>14</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsC.GB.L-5</entry>
<entry>TGCTCGATGAGTTTTTCTAAACAATTTCATAGTTGACTATTAC</entry>
<entry>15</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsC.GB.L-3</entry>
<entry>gattttgagacacaacgtggctttgagtaaatgccaatcatgcgttttc</entry>
<entry>16</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsC.ext-5</entry>
<entry>cgactcacattacgattatgcg</entry>
<entry>17</entry></row>
<row>
<entry/>
<entry>KpsC.ext-3</entry>
<entry>gaaaatgatttgtggtggcggtagc</entry>
<entry>18</entry></row>
<row rowsep="0">
<entry>kpsS</entry>
<entry>KpsS.500-5</entry>
<entry>agagcaaccttgagttattacg</entry>
<entry>19</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsS.500-3</entry>
<entry>aaagacaagggatagctttagg</entry>
<entry>20</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsS.GB.L-5</entry>
<entry>TGCTCGATGAGTTTTTCTAATTTATTCTAAATTATCAACG</entry>
<entry>21</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsS.GB.L-3</entry>
<entry>gattttgagacacaacgtggcttCATAAATAATCTGTGTAATAGTCAA</entry>
<entry>22</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsS.ext-5</entry>
<entry>agcgactggttgaaagcaaactg</entry>
<entry>23</entry></row>
<row>
<entry/>
<entry>KpsS.ext-3</entry>
<entry>ttcgatgagtcaagactattgg</entry>
<entry>24</entry></row>
<row rowsep="0">
<entry>kpsM</entry>
<entry>KpsM.500-5</entry>
<entry>TTACTACGCATAAAATTCATGG</entry>
<entry>25</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsM.500-3</entry>
<entry>aatgccatgcttaaaccaaagcc</entry>
<entry>26</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsM.GB.L-5</entry>
<entry>TGCTCGATGAGTTTTTCTAAcaatgctgacatcatgattaagattg</entry>
<entry>27</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsM.GB.L-3</entry>
<entry>gattttgagacacaacgtggctttcttgccatTTGGTGATGTGATCCT</entry>
<entry>28</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsM.ext-5</entry>
<entry>TCGCATGCGTTCTGGTTTGAG</entry>
<entry>29</entry></row>
<row>
<entry/>
<entry>KpsM.ext-3</entry>
<entry>cacatcacaaaactctttcaatg</entry>
<entry>30</entry></row>
<row rowsep="0">
<entry>Kps</entry>
<entry>KpsD.500-5</entry>
<entry>gaccagcttgcctttgcagaaacg</entry>
<entry>31</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsS.500-3</entry>
<entry>aaagacaagggatagctttagg</entry>
<entry>32</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsD.GB.L-3</entry>
<entry>gattttgagacacaacgtggctttCATcacAAACTCATTCAGCGACA</entry>
<entry>33</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsS.GB.L-3</entry>
<entry>gattttgagacacaacgtggctttCATAAATAATCTGTGTAATAGTCAA</entry>
<entry>34</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsD.ext-5</entry>
<entry>ttgcgcttaagtttaaccaaaccg</entry>
<entry>35</entry></row>
<row>
<entry/>
<entry>KpsS.ext-3</entry>
<entry>ttcgatgagtcaagactattgg</entry>
<entry>36</entry></row>
<row rowsep="0">
<entry>Kps</entry>
<entry>KpsR2.500-5</entry>
<entry>atataggagtatggagcgaaac</entry>
<entry>37</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsR2.500-3</entry>
<entry>ttgagtaaggaatatggcttag</entry>
<entry>38</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsR2.GB-L5</entry>
<entry>TGCTCGATGAGTTTTTCTAAGAAATCAGACGAGTTTTC</entry>
<entry>39</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsR2.GB-L3</entry>
<entry>gattttgagacacaacgtggctttcataacatACTATGTCCCCATGATTATT</entry>
<entry>40</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsR2.ext-5</entry>
<entry>catgtactcattttcacgtaaag</entry>
<entry>41</entry></row>
<row>
<entry/>
<entry>KpsR2.ext-3</entry>
<entry>tgctaaaattgcattattaggtc</entry>
<entry>42</entry></row>
<row rowsep="0">
<entry>Kps</entry>
<entry>KpsM.500-5</entry>
<entry>TTACTACGCATAAAATTCATGG</entry>
<entry>43</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsR3.500-3</entry>
<entry>AATTAACCATATCTTTTGATTTGAG</entry>
<entry>44</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsR3.GB-L5</entry>
<entry>TGCTCGATGAGTTTTTCTAAatcagacttgtctttatcag</entry>
<entry>45</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsM.GB.L-3</entry>
<entry>gattttgagacacaacgtggctttcttgccatTTGGTGATGTGATCCT</entry>
<entry>46</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsM.ext-5</entry>
<entry>TCGCATGCGTTCTGGTTTGAG</entry>
<entry>47</entry></row>
<row>
<entry/>
<entry>KpsR3.ext-3</entry>
<entry>cctagcaacaaaatatttagcgac</entry>
<entry>48</entry></row>
<row rowsep="0">
<entry>Kp95-</entry>
<entry namest="col2" nameend="col3" align="left">Kps95-96.500-aaacaatatcatggccagtcgg</entry>
<entry>49</entry></row>
<row rowsep="0">
<entry/>
<entry namest="col2" nameend="col3" align="left">Kps95-96.500- aataacgttcaggtattgaagg</entry>
<entry>50</entry></row>
<row rowsep="0">
<entry/>
<entry>Kps95-96.GB-</entry>
<entry>TGCTCGATGAGTTTTTCTAAccttgaGGTCTATATAACTGAA</entry>
<entry>51</entry></row>
<row rowsep="0">
<entry/>
<entry>Kps95-96.GB-</entry>
<entry>gattttgagacacaacgtggctttcatcaaatgtaccaaaggtgataac</entry>
<entry>52</entry></row>
<row rowsep="0">
<entry/>
<entry>Kps95-96.ext-</entry>
<entry>taaatcaacgttactgagaatg</entry>
<entry>53</entry></row>
<row rowsep="0">
<entry/>
<entry>Kps95-96.ext-</entry>
<entry>gaatatccgagtgcataatacc</entry>
<entry>54</entry></row>
<row>
<entry/>
<entry namest="col2" nameend="col3" align="left">Kps95-96-500- aaacaatatcatggccagtcgg</entry>
<entry>55</entry></row>
<row rowsep="0">
<entry>C3694</entry>
<entry>c3694.500-5</entry>
<entry>aagcattagaattggaaccc</entry>
<entry>56</entry></row>
<row rowsep="0">
<entry/>
<entry>c3694.500-3</entry>
<entry>ctttccatgtattcctctccaag</entry>
<entry>57</entry></row>
<row rowsep="0">
<entry/>
<entry>c3694.GB.L-5</entry>
<entry>TGCTCGATGAGTTTTTCTAAgtgcaagtatttcttgtaaccc</entry>
<entry>58</entry></row>
<row rowsep="0">
<entry/>
<entry>c3694.GB.L-3</entry>
<entry>GATTTTGAGACACAACGTGGCTTTCATatacgcatcaatagccttagccc</entry>
<entry>59</entry></row>
<row rowsep="0">
<entry/>
<entry>c3694.ext-5</entry>
<entry>gcggagagctattttaaagcagg</entry>
<entry>60</entry></row>
<row>
<entry/>
<entry>c3694.ext-3</entry>
<entry>cggaaaacgatatgacaatcctg</entry>
<entry>61</entry></row><!-- EPO <DP n="15"> -->
<row>
<entry rowsep="0">C3693</entry>
<entry rowsep="0">c3693.500-5</entry>
<entry rowsep="0">gtttattgttgcaggcatccaag</entry>
<entry rowsep="0">62</entry></row>
<row>
<entry rowsep="0"/>
<entry rowsep="0">c3693.500-3</entry>
<entry rowsep="0">atgccgttagatagttttattcc</entry>
<entry rowsep="0">63</entry></row>
<row>
<entry rowsep="0"/>
<entry rowsep="0">c3693.GB.L-5</entry>
<entry rowsep="0">TGCTCGATGAGTTTTTCTAAatggatgctcaaaaggaggtacg</entry>
<entry rowsep="0">64</entry></row>
<row>
<entry rowsep="0"/>
<entry rowsep="0">c3693.GB.L-3</entry>
<entry rowsep="0">GATTTTGAGACACAACGTGGCTTTCATcagcattggttggtaatgcatttg</entry>
<entry rowsep="0">65</entry></row>
<row>
<entry rowsep="0"/>
<entry rowsep="0">c3693.ext-5</entry>
<entry rowsep="0">acatattaacagtaatataacc</entry>
<entry rowsep="0">66</entry></row>
<row>
<entry/>
<entry>c3693.ext-3</entry>
<entry>ctacaaatttggatactgcaaatc</entry>
<entry>67</entry></row>
<row rowsep="0">
<entry>C3692</entry>
<entry>c3692.500-5</entry>
<entry>ttatacttgcggtgatttgcag</entry>
<entry>68</entry></row>
<row rowsep="0">
<entry/>
<entry>c3692.500-3</entry>
<entry>ATGACTCATAAAAATATATTCC</entry>
<entry>69</entry></row>
<row rowsep="0">
<entry/>
<entry>c3692.GB.L-5</entry>
<entry>TGCTCGATGAGTTTTTCTAAtatttacagaataattattctgg</entry>
<entry>70</entry></row>
<row rowsep="0">
<entry/>
<entry>c3692.GB.L-3</entry>
<entry>GATTTTGAGACACAACGTGGCTTTCATtaagccaatagtcttgactcatcg</entry>
<entry>71</entry></row>
<row rowsep="0">
<entry/>
<entry>c3692.ext-5</entry>
<entry>aattcatatgattgtagcaatg</entry>
<entry>72</entry></row>
<row>
<entry/>
<entry>c3692.ext-3</entry>
<entry>CAACGTAGAATAAAAGCATTACC</entry>
<entry>73</entry></row>
<row rowsep="0">
<entry>luxS</entry>
<entry>LuxS.500-5</entry>
<entry>AAACTGCGCAGTTCCCGTTACC</entry>
<entry>74</entry></row>
<row rowsep="0">
<entry/>
<entry>LuxS.500-3</entry>
<entry>CCTGATTTTGTTCCCTGGGAGG</entry>
<entry>75</entry></row>
<row rowsep="0">
<entry/>
<entry>LuxS.GB-L5</entry>
<entry>TGCTCGATGAGTTTTTCTAATCAGTGGAACAAAAGAAG</entry>
<entry>76</entry></row>
<row rowsep="0">
<entry/>
<entry>LuxS.GB-L3</entry>
<entry>gattttgagacacaacgtggctttcatTTAGCCACCTCCGGTAATTT</entry>
<entry>77</entry></row>
<row rowsep="0">
<entry/>
<entry>LuxS.ext-5</entry>
<entry>CTGGAACCGGGTGATCCTCGAAG</entry>
<entry>78</entry></row>
<row>
<entry/>
<entry>LuxS.ext-3</entry>
<entry>AGCAACAATGCTGGGGAAAAATGC</entry>
<entry>79</entry></row></tbody></tgroup>
<tgroup cols="4" colsep="0">
<colspec colnum="1" colname="col1" colwidth="22mm"/>
<colspec colnum="2" colname="col2" colwidth="26mm"/>
<colspec colnum="3" colname="col3" colwidth="99mm"/>
<colspec colnum="4" colname="col4" colwidth="21mm"/>
<thead>
<row>
<entry namest="col1" nameend="col4" align="left" valign="top">Primers used for</entry></row></thead>
<tbody>
<row rowsep="0">
<entry/>
<entry>Kps95-F</entry>
<entry>aacgaaaattgcttgctctggc</entry>
<entry>80</entry></row>
<row rowsep="0">
<entry/>
<entry>Kps94-R</entry>
<entry>cggtgccaagtttgaaataacg</entry>
<entry>81</entry></row>
<row rowsep="0">
<entry/>
<entry>Kps94-F</entry>
<entry>gaaaatagtgtagacggtctcttc</entry>
<entry>82</entry></row>
<row rowsep="0">
<entry/>
<entry>Kps92-R</entry>
<entry>tttggatactgcaaatcaccgc</entry>
<entry>83</entry></row>
<row rowsep="0">
<entry/>
<entry>KpsIIf</entry>
<entry>GCGCATTTGCTGATACTGTTG</entry>
<entry>84</entry></row>
<row>
<entry/>
<entry>KpsK2r</entry>
<entry>AGGTAGTTCAGACTCACACCT</entry>
<entry>85</entry></row></tbody></tgroup>
<tgroup cols="4" colsep="0">
<colspec colnum="1" colname="col1" colwidth="22mm"/>
<colspec colnum="2" colname="col2" colwidth="26mm"/>
<colspec colnum="3" colname="col3" colwidth="99mm"/>
<colspec colnum="4" colname="col4" colwidth="21mm"/>
<thead>
<row>
<entry namest="col1" nameend="col4" align="left" valign="top">Primers used to check</entry></row></thead>
<tbody>
<row rowsep="0">
<entry/>
<entry>KmGB.verif-5</entry>
<entry>TGGCTCCCTCACTTTCTGGC</entry>
<entry>86</entry></row>
<row>
<entry/>
<entry>KmGB.verif-</entry>
<entry>3 ATATGGCTCATAACACCCCTTG</entry>
<entry>87</entry></row></tbody></tgroup>
<tgroup cols="4" colsep="0">
<colspec colnum="1" colname="col1" colwidth="22mm"/>
<colspec colnum="2" colname="col2" colwidth="26mm"/>
<colspec colnum="3" colname="col3" colwidth="99mm"/>
<colspec colnum="4" colname="col4" colwidth="21mm"/>
<thead>
<row>
<entry namest="col1" nameend="col4" align="left" valign="top">Primers used for</entry></row></thead>
<tbody>
<row rowsep="0">
<entry/>
<entry>ARB1</entry>
<entry>ggCCACgCgTCgACTAgTAC,'NNNNNNNNNNgATAT</entry>
<entry>88</entry></row>
<row rowsep="0">
<entry/>
<entry>ARB6</entry>
<entry>ggCCACgCgTCgACTAgTACNNNNNNNNNNACgCC</entry>
<entry>89</entry></row>
<row rowsep="0">
<entry/>
<entry>ARB2</entry>
<entry>ggCCACgCgTCgACTAgTAC</entry>
<entry>90</entry></row>
<row rowsep="0">
<entry/>
<entry>IR2</entry>
<entry>CTgACCgCTTCCTCgTgCTTTACgg</entry>
<entry>91</entry></row>
<row>
<entry/>
<entry>IR2-60-5</entry>
<entry>TTCTGAgcgggactctggggtacg</entry>
<entry>92</entry></row></tbody></tgroup>
</table>
</tables></p>
<heading id="h0009"><b><i>Analysis of the physico-chemical properties of the active fractions</i></b></heading>
<p id="p0039" num="0039">Zeta potential was measured as in (Caruso et al., 1999) after 20 minutes of incubation of 10 µm in diameter cationic colloids latex particles with dialyzed precipitated supernatants (<i>i</i>.<i>e</i>., the level (ii) of purification indicated above). The latex particles bear permanent net positive charge due to their polyethylenimine (PEI) coating. The layer of PEI is a branched 6400 dalton molecular weight polymer bearing approximatively 50% of methylated quaternary functions which confer a stable positive charge to the molecule. This polymer was deposited in aqueous phase on the initially carboxylated particles (Decher, 1997). Hydrophilic properties of the supernatants were investigated by determining the contact angle formed by a 2.5 µl ultrapure water droplet with a glass plane surface previously incubated in the supernatants for 20 minutes. Surface interactions were analyzed by monitoring the adsorption of propidium iodide on supernatant-treated cationic colloids. The affinity of the treated surfaces for the fluorescent probe was tested using flow cytometry (Leboeuf and Henry, 2006) and fluorescence microscopy. All incubations of particles with supernatant were performed at low particle/volume fraction (ca. 0.2%) likely leading to surface saturation by the active species.<!-- EPO <DP n="16"> --></p>
<heading id="h0010"><b><i>In vivo mice experiments</i></b></heading>
<p id="p0040" num="0040">CFT073 and CFT073ΔR1 <i>in vivo</i> colonization were performed as described previously (Maroncle et al., 2006). Mice were intragastrically fed with 1010 CFU. Bacteria contained in fecal samples were numbered on agar plates. For examination of bacterial growth in the host, mice were sacrificed at various times after inoculation; colon and caecum were homogenized in physiological water, and plated to determine cfu per gram of tissue.</p>
<heading id="h0011"><u>Example 2: anti-biofilm activity of CFT073 supernatant</u></heading>
<p id="p0041" num="0041">In order to study UPEC interactions within multicellular biofilm (Hall-Stoodley et al., 2004) bacterial communities, an <i>in vitro</i> mixed bacterial biofilm model in microfermentors was developed (Ghigo, 2001). Using this model, a 8 hours biofilm formed by the commensal strain of <i>E. coli</i> K12 MG1655 F' was inoculated with different titers of the UPEC strain CFT073, and further cultivated for 24 hours. Upon increasing titers of CFT073, a strong reduction of the <i>E. coli</i> K12 MG1655 F' biofilm development was observed, which was not observed when the commensal <i>E. coli</i> strain KS272 was used (<figref idref="f0001">Fig. 1A</figref>). This suggested that CFT073 could prevent MG1655 F' biofilm formation either by direct contact or by secretion of an inhibitory molecule. To distinguish between these two possibilities, the supernatant of CFT073 stationary phase culture was filter-sterilized and its effect on <i>E. coli</i> biofilm formation was tested. In the presence of CFT073 supernatant, MG1655 F' biofilm was severely affected (<figref idref="f0001">Fig. 1B,C</figref>). This biofilm inhibition did not result from a growth defect due to a bactericidal or bacteriostatic activity, since MG1655 F' growth rate and cell viability were not affected by the CFT073 supernatant (<figref idref="f0001">Fig. 1D,E</figref>).</p>
<p id="p0042" num="0042">In order to determine the spectrum of the anti-biofilm activity of CFT073 supernatant, its effect was tested on several adherent bacteria (<i>E. coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus, S. epidermidis</i> and <i>Enterococcus faecalis</i>). This analysis showed that CFT073 supernatant was active against a surprisingly wide range of bacteria, even in mixed cultures (<figref idref="f0001">Fig. 1F</figref> and <figref idref="f0002">Fig. 2</figref>).</p>
<heading id="h0012"><u>Example 3: Correlation between anti-biofilm activity and type-II capsule</u></heading>
<p id="p0043" num="0043">To elucidate the genetic basis of the anti-biofilm effect, the supernatant activity of ca. 10,000 CFT073 random <i>mariner</i> transposon insertion mutants was tested. The inventors identified seven candidates impaired in their ability to inhibit MG1655 F' biofilm formation. All these mutants mapped in genes involved in the expression of the group II capsular polysaccharide, the outermost bacterial cell surface structure (Whitfield and Roberts, 1999). Group II capsule displays a conserved modular genetic organization characterized by 3 functional regions (Roberts, 1996)<!-- EPO <DP n="17"> --> (<figref idref="f0003">Fig. 3A</figref>). Region 1 (<i>kpsFEDCUS</i>) and region 3 (<i>kpsMT</i>) are conserved in all group 11 capsulated bacteria and encode proteins required for the ABC-dependent polysaccharide export. Region 2 is variable and encodes polysaccharide serotypes such as K1, K2 (CFT073), K5, K96 (Roberts, 1996). The R1, R2 or R3 region, or each individual <i>kps</i> gene was deleted and it was observed that, except for <i>kpsU, c3692</i> and <i>c3693</i>, all the mutants lost the ability to inhibit <i>E. coli</i> biofilm formation, which correlated with a reduced amount of precipitated sugars in the supernatant (<figref idref="f0003">Fig. 3B, 3C</figref>). While a ferritin-stained capsule could still be detected around CFT073 cells (<figref idref="f0003">Fig. 3D</figref>), these results indicated that the CFT073 capsule nevertheless undergoes a significant release into the medium supernatant that is responsible for the observed anti-biofilm effect.</p>
<p id="p0044" num="0044">In order to determine whether biofilm inhibition was an exclusive property of <i>E. coli</i> CFT073 supernatant, the inventors screened several clinical uropathogenic bacterial isolates of <i>Klebsiella, Proteus, Enterobacter, Morganella, Citrobacter</i> and <i>Serratia,</i> as well as a collection of 110 <i>E. coli</i> strains of diverse origins. They found that only the filtered supernatant of 40 <i>E. coli,</i> including 17 UPEC, inhibited biofilm formation on a wide range of bacteria without affecting growth rate (<figref idref="f0004">Fig. 4A</figref>). Moreover, as CFT073 <i>E.coli</i> strain, all active strains are able to inhibit biofilm formation of adherent bacteria other than <i>E.coli</i> (in <figref idref="f0004">Fig. 4A</figref> see 15981 <i>S. aureus</i> biofilm data). Using specific PCR probes (Johnson and O'Bryan, 2004), they showed that 39 of the 40 active <i>E. coli</i> strains carried group II capsule genes. The 40<sup>th</sup> bacterium, EcoR47, seems in fact to produce a hybrid group II/group III capsule. This strain has been shown to carry group II KPS genes (Boyd and Hartl, 1998). Consistently, the introduction of a <i>kpsD</i> mutation into the clinical UPEC isolates U-9 and U-15 abolished the biofilm-inhibitory effect of their supernatants (<figref idref="f0004">Fig. 4B</figref>). Interestingly, although CFT073, U-9 and U-15 strains displayed a very limited ability to form biofilm in the microfermentor biofilm model, their respective <i>kpsD</i> mutants displayed an increased biofilm phenotype. This phenotype could be reverted upon the addition of CFT073 supernatant, suggesting that these strains could also self-inhibit their own adhesion (<figref idref="f0004">Fig. 4C</figref>).</p>
<p id="p0045" num="0045">A biofilm formation inhibition test was also performed with a strain of <i>Neisseria meningitidis,</i> the capsule of which is biochemically very similar to the group II capsule of <i>E. coli.</i> Interestingly, the results show that the supernatant of <i>N. meningitidis</i> also inhibits the biofilm formation of <i>E. coli</i> MG1655F' (<figref idref="f0005">Fig. 5</figref>), demonstrating that anti-biofilm activity is a property not only of the group II capsule from <i>E. coli</i> but also of capsules known to be similar to the latter (<i>i</i>.<i>e.</i>, group II- like capsules).<!-- EPO <DP n="18"> --></p>
<heading id="h0013"><u>Example 4: Physico-chemical properties of the CFT073 supernatant</u></heading>
<p id="p0046" num="0046">When the inventors analyzed the composition of the polysaccharidic fractions precipitated from the active supernatants of different group II capsule <i>E. coli</i> serotypes, including CFT073 (K2), U-9 (non-K2) and IHE3034 (K1), they observed, in agreement with previous studies (Jann et al., 1980; Silver and Vimr, 1984), that these fractions displayed significantly different compositions (data not shown). This suggested that, although biochemically distinct, group II capsules released by these strains could share a similar mode of action leading to biofilm inhibition. To further study the mechanisms by which group II capsule inhibit bacterial biofilm formation, these fractions were brought into contact with cationic colloids composed of 10 µm in diameter latex particles bearing permanent net positive charge due to their polyethylenimine coating. The determination of the interface ζ (Zeta) potential showed that the wild-type supernatants induced a strong charge inversion of the cationic colloids, indicative of their highly anionic nature as compared to the supernatants of their respective capsule mutants (<figref idref="f0005">Fig. 6a</figref>). Moreover, the treatment of acid-cleaned glass slides with active supernatant lowered the water-slide interfacial energy, which is indicative of their hydrophilic nature (<figref idref="f0005">Fig. 6b</figref>).</p>
<p id="p0047" num="0047">To analyze whether group II capsule could induce surface modifications and affect intermolecular forces on the treated surfaces, the inventors monitored the adsorption of propidium iodide, a fluorescent amphiphillic cationic ion, on colloids coated with active or inactive supernatants. They first showed that anionic but inactive supernatant of the non-group II capsulated <i>E. coli</i> EcoR72 displayed strong affinity for the cationic fluorescent probe (<figref idref="f0005">Fig. 6c</figref>). Despite their high negative charge, active supernatants displayed significantly lower probe affinity than inactive but less negatively charged capsule mutant supernatants (<figref idref="f0005">Fig. 6c and 6d</figref>). This effect was even more pronounced with the 500 kDa K2 capsular active fraction (FR2) purified from CFT073 by anion exchange-chromatography containing galactose, glycerol, phosphate and acetate in the molar ratio of 1: 2: 1: 1 (Jann et al., 1980) (<figref idref="f0005">Fig. 6c and 6d</figref>). Therefore, these results showed that, besides strong electrostatic modifications, active supernatants also induced a profound remodelling of the colloid surface properties, possibly including surface hydration and steric repulsion. These analyses confirm that the surface modifications induced by group 11 capsule are more critical for the biofilm inhibition activity than the capsule primary composition.</p>
<heading id="h0014"><u>Example 5: Prevention of biofilm development</u></heading>
<p id="p0048" num="0048">The physico-chemical properties displayed by group II capsule might deeply alter bacterial ability to interact with surfaces and therefore drastically reduce adhesion (Neu, 1996). To test this hypothesis, the capacity of both MG1655 F' and <i>S.<!-- EPO <DP n="19"> --> aureus</i> to adhere to glass surfaces pre-treated with CFT073 supernatant was analysed. After I hour of incubation, <i>E. coli</i> MG1655 F' and <i>S</i>. <i>aureus</i> 15981 exhibited a 3-fold reduction in their initial adhesion on treated surface (data not shown). Consistently, pretreatment of the internal microfermentor glass slide with CFT073 supernatant drastically reduced biofilm formation by <i>E. coli</i> and a wide range of Gram-positive and Gram-negative bacteria (<figref idref="f0006">Fig. 7</figref>). The same effect was observed when CFT073 supernatant was perfused in the microfermentor (<figref idref="f0002">Fig. 2B</figref>). No effect was observed when a similar treatment was performed with CFT073Δ<i>kpsD</i> supernatant (<figref idref="f0006">Fig. 7</figref>). These results therefore suggested that the surface modifications induced by capsular polysaccharides released in the CFT073 supernatant could interfere with biofilm formation by impairing initial bacterial-surface interactions.</p>
<p id="p0049" num="0049">Remarkably, the anti-biofilm effect of the CFT073 supernatant persisted even after drastic treatments of the glass slide (<figref idref="f0006">Fig. 8</figref>), which suggests that the group II capsule could be used in applications which necessitate a sterilisation step (such as agro-industrial or medical applications).</p>
<p id="p0050" num="0050">In order to investigate the effect of CFT073 supernatant on already existing biofilms, microfermentors inoculated with MG1655 F' at different stages of biofilm maturation were supplemented with filtered CFT073 supernatant. This analysis showed that, whereas the treatment of a mature 24 h biofilm did not induce biofilm dispersal, addition of the CFT073 supernatant at 0, 1 and 6 h after MG1655 F' biofilm initiation blocked its further development (<figref idref="f0007">Fig. 9A</figref>). The inventors then examined the <i>in vitro</i> biofilm characteristics of a GFP-tagged MG1655F' after addition of CFT073 supernatant and confocal laser scanning microscopy (CLSM). After 3h post initial inoculation, the adddition of active CFT073 exogenous supernatant on a regularly covered surface profoundly affected MG1655F' mature biofilm structure development (<figref idref="f0007">Fig 9B</figref>). This effect was not observed upon control KS272 supernatant treatment.</p>
<p id="p0051" num="0051">The direct contribution of bacterial surface structures to the tridimensional <i>E. coli</i> biofilm structure has been amply demonstrated (Beloin et al., 2005). These structures have also been shown to mediate bacterial aggregation and clumping in standing cultures. To further characterize the role of group II capsule in biofilm maturation, the inventors tested its effects on bacterial aggregation mediated by several different surface-exposed factors also involved in biofilm formation. It was shown that CFT073 supernatant prevents formation of bacterial aggregates induced by different types of bacterial surface structures (<figref idref="f0007">Fig. 9C</figref>).</p>
<p id="p0052" num="0052">The anti-biofilm activity of different concentrations of the FR2 fraction was tested in microtiter plate assays. This showed that the purified FR2 fraction is active at concentrations starting from 50 µg/ml (<figref idref="f0008">Fig. 10</figref>).<!-- EPO <DP n="20"> --></p>
<p id="p0053" num="0053">Taken together, these results suggest that the physico-chemical properties of the group II capsular polysaccharides affect biofilm formation by weakening cell-surface contacts (initial adhesion) but also by reducing cell-cell interactions (biofilm maturation).</p>
<p id="p0054" num="0054">In conclusion, the inventors demonstrated that group II-like capsular polysaccharides are released in the culture supernatant and display anti-adhesion properties against a wide range of bacteria, including important nosocomial pathogens. This study reveals a novel property of the group II capsular polysaccharides that are commonly expressed by extra-intestinal <i>E. coli,</i> but also by other pathogens such as <i>Neisseria meningitides</i> (Kaijser, 1973; Sandberg et al., 1988), which supernatant could also inhibit <i>E. coli</i> biofilm formation (data not shown). Group II capsule has been shown to be involved in UPEC virulence by increasing their resistance to phagocytosis and to the bactericidal effects of human serum (Cross et al., 1986; Kaper et al., 2004; Pluschke et al., 1983; Russo et al., 1995). Capsule could also play an important biological role in UPEC interactions with living and inert surfaces. In particular, besides bacterial competition, the inhibition of UPEC own adhesion by group II capsule secretion may contribute to gastrointestinal tract colonisation by reducing bacteria-bacteria interactions (Schembri et al., 2004), thus avoiding bacterial clearance due to clump formation (Favre-Bonte et al., 1999). Consistently, it was observed that an uncapsulated CFT073ΔRI mutant is unable to colonize the mouse intestine (<figref idref="f0008">Fig. 11</figref>).</p>
<p id="p0055" num="0055">The <i>in vitro</i> analyses indicate that group II capsule can induce surface modifications such as charge inversion of cationic surface, increased surface wettability and molecular repulsion, leading to non-specific anti-adhesion properties. Since this inhibitory effect was observed in both exponential and stationary growth phase supernatants as well as in a quorum-sensing Δ<i>luxS</i> mutant of CFT073 (<figref idref="f0008">Fig. 12</figref>), this suggests that the anti-biofilm effect does not involve cell-signaling (Waters and Bassler, 2005), but rather acts through physico-chemical alteration, of either abiotic or bacterial surfaces. Polymers assembling on surfaces are known to cause strong physical repulsion depending on their density, size, solvation and structure (de Gennes, 1987). Such repulsive forces created by capsule polymers could limit initial bacterial adhesion and biofilm development by interfering with subsequent cell-cell contacts. Finally, the inventors showed that the application of group II capsular polysaccharides on abiotic surfaces reduces bacterial initial adhesion, and has enough long-lasting effect to significantly inhibit mature biofilm development of a broad-spectrum of bacteria. This finding may have far reaching implications in the design of therapeutic strategies to limit the formation of pathogenic biofilms, for example, on medical implants.<!-- EPO <DP n="21"> --></p>
<heading id="h0015"><b><u>REFERENCES</u></b></heading>
<p id="p0056" num="0056">
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</ul></p>
<heading id="h0016">SEQUENCE LISTING</heading>
<p id="p0057" num="0057">
<ul id="ul0006" list-style="none">
<li>&lt;110&gt; INSTITUT PASTEUR<br/>
CENTRE NATIONAL DE LA RECHERCHE SCIENTIFIQUE<br/>
GHIGO, Jean-Marc<br/>
VALLE, Jaione<br/>
DA RE, Sandra</li>
<li>&lt;120&gt; USE OF BACTERIAL POLYSACCHARIDES FOR BIOFILM INHIBITION.</li>
<li>&lt;130&gt; VMA/ahF226/127</li>
<li>&lt;160&gt; 92</li>
<li>&lt;170&gt; PatentIn version 3.3</li>
<li>&lt;210&gt; 1<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.500-5</li>
<li>&lt;400&gt; 1<br/>
gaccagcttg cctttgcaga aacg    24</li>
<li>&lt;210&gt; 2<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.500-3</li>
<li>&lt;400&gt; 2<br/>
ctttttcagc attacgcgga tagg    24</li>
<li>&lt;210&gt; 3<br/>
&lt;211&gt; 37<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.GB.L-5</li>
<li>&lt;400&gt; 3<br/>
tgctcgatga gtttttctaa ggagttgaaa tgagcaa    37</li>
<li>&lt;210&gt; 4<br/>
&lt;211&gt; 47<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.GB.L-3</li>
<li>&lt;400&gt; 4<br/>
gattttgaga cacaacgtgg ctttcatcac aaactcattc agcgaca    47</li>
<li>&lt;210&gt; 5<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.ext-5</li>
<li>&lt;400&gt; 5<br/>
ttgcgcttaa gtttaaccaa accg    24</li>
<li>&lt;210&gt; 6<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.ext-3</li>
<li>&lt;400&gt; 6<br/>
gctctggcat ggactccggt aact    24</li>
<li>&lt;210&gt; 7<br/>
&lt;211&gt; 25<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsU.500-5</li>
<li>&lt;400&gt; 7<br/>
atgaacgcag ttcagcttta tcgcc    25</li>
<li>&lt;210&gt; 8<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsU.500-3</li>
<li>&lt;400&gt; 8<br/>
ccaaatttcg gcttgaggat tttc    24</li>
<li>&lt;210&gt; 9<br/>
&lt;211&gt; 44<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsU.GB.L-5</li>
<li>&lt;400&gt; 9<br/>
tgctcgatga gtttttctaa caggaactgg ctgaaaacgc atga    44</li>
<li>&lt;210&gt; 10<br/>
&lt;211&gt; 49<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsU.GB.L-3</li>
<li>&lt;400&gt; 10<br/>
gattttgaga cacaacgtgg ctttcatttc aactccttac aaagacaga    49</li>
<li>&lt;210&gt; 11<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsU.ext-5</li>
<li>&lt;400&gt; 11<br/>
tgcagaacgg cgatacctta atcg    24</li>
<li>&lt;210&gt; 12<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsU.ext-3</li>
<li>&lt;400&gt; 12<br/>
ctcggcaatc aaacgtactc gttg    24</li>
<li>&lt;210&gt; 13<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsC.500-5</li>
<li>&lt;400&gt; 13<br/>
gaggcagata tcaacattaa cc    22</li>
<li>&lt;210&gt; 14<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsC.500-3</li>
<li>&lt;400&gt; 14<br/>
gttgaaggtt ttaagttctc aac    23</li>
<li>&lt;210&gt; 15<br/>
&lt;211&gt; 43<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsC.GB.L-5</li>
<li>&lt;400&gt; 15<br/>
tgctcgatga gtttttctaa acaatttcat agttgactat tac    43</li>
<li>&lt;210&gt; 16<br/>
&lt;211&gt; 49<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsC.GB.L-3</li>
<li>&lt;400&gt; 16<br/>
gattttgaga cacaacgtgg ctttgagtaa atgccaatca tgcgttttc    49</li>
<li>&lt;210&gt; 17<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsC.ext-5</li>
<li>&lt;400&gt; 17<br/>
cgactcacat tacgattatg cg    22</li>
<li>&lt;210&gt; 18<br/>
&lt;211&gt; 25<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsC.ext-3</li>
<li>&lt;400&gt; 18<br/>
gaaaatgatt tgtggtggcg gtagc    25</li>
<li>&lt;210&gt; 19<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.500-5</li>
<li>&lt;400&gt; 19<br/>
agagcaacct tgagttatta cg    22</li>
<li>&lt;210&gt; 20<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.500-3</li>
<li>&lt;400&gt; 20<br/>
aaagacaagg gatagcttta gg    22</li>
<li>&lt;210&gt; 21<br/>
&lt;211&gt; 40<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.GB.L-5</li>
<li>&lt;400&gt; 21<br/>
tgctcgatga gtttttctaa tttattctaa attatcaacg    40</li>
<li>&lt;210&gt; 22<br/>
&lt;211&gt; 49<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.GB.L-3</li>
<li>&lt;400&gt; 22<br/>
gattttgaga cacaacgtgg ctttcataaa taatctgtgt aatagtcaa    49</li>
<li>&lt;210&gt; 23<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.ext-5</li>
<li>&lt;400&gt; 23<br/>
agcgactggt tgaaagcaaa ctg    23</li>
<li>&lt;210&gt; 24<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.ext-3</li>
<li>&lt;400&gt; 24<br/>
ttcgatgagt caagactatt gg    22</li>
<li>&lt;210&gt; 25<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.500-5</li>
<li>&lt;400&gt; 25<br/>
ttactacgca taaaattcat gg    22</li>
<li>&lt;210&gt; 26<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.500-3</li>
<li>&lt;400&gt; 26<br/>
aatgccatgc ttaaaccaaa gcc    23</li>
<li>&lt;210&gt; 27<br/>
&lt;211&gt; 46<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.GB.L-5</li>
<li>&lt;400&gt; 27<br/>
tgctcgatga gtttttctaa caatgctgac atcatgatta agattg    46</li>
<li>&lt;210&gt; 28<br/>
&lt;211&gt; 48<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.GB.L-3</li>
<li>&lt;400&gt; 28<br/>
gattttgaga cacaacgtgg ctttcttgcc atttggtgat gtgatcct    48</li>
<li>&lt;210&gt; 29<br/>
&lt;211&gt; 21<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.ext-5</li>
<li>&lt;400&gt; 29<br/>
tcgcatgcgt tctggtttga g    21</li>
<li>&lt;210&gt; 30<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.ext-3</li>
<li>&lt;400&gt; 30<br/>
cacatcacaa aactctttca atg    23</li>
<li>&lt;210&gt; 31<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.500-5</li>
<li>&lt;400&gt; 31<br/>
gaccagcttg cctttgcaga aacg    24</li>
<li>&lt;210&gt; 32<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.500-3</li>
<li>&lt;400&gt; 32<br/>
aaagacaagg gatagcttta gg    22</li>
<li>&lt;210&gt; 33<br/>
&lt;211&gt; 47<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.GB.L-3</li>
<li>&lt;400&gt; 33<br/>
gattttgaga cacaacgtgg ctttcatcac aaactcattc agcgaca    47</li>
<li>&lt;210&gt; 34<br/>
&lt;211&gt; 49<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.GB.L-3</li>
<li>&lt;400&gt; 34<br/>
gattttgaga cacaacgtgg ctttcataaa taatctgtgt aatagtcaa    49</li>
<li>&lt;210&gt; 35<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsD.ext-5</li>
<li>&lt;400&gt; 35<br/>
ttgcgcttaa gtttaaccaa accg    24</li>
<li>&lt;210&gt; 36<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsS.ext-3</li>
<li>&lt;400&gt; 36<br/>
ttcgatgagt caagactatt gg    22</li>
<li>&lt;210&gt; 37<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR2.500-5</li>
<li>&lt;400&gt; 37<br/>
atataggagt atggagcgaa ac    22</li>
<li>&lt;210&gt; 38<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR2.500-3</li>
<li>&lt;400&gt; 38<br/>
ttgagtaagg aatatggctt ag    22</li>
<li>&lt;210&gt; 39<br/>
&lt;211&gt; 38<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR2.GB-L5</li>
<li>&lt;400&gt; 39<br/>
tgctcgatga gtttttctaa gaaatcagac gagttttc    38</li>
<li>&lt;210&gt; 40<br/>
&lt;211&gt; 52<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR2.GB-L3</li>
<li>&lt;400&gt; 40<br/>
gattttgaga cacaacgtgg ctttcataac atactatgtc cccatgatta tt    52</li>
<li>&lt;210&gt; 41<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR2.ext-5</li>
<li>&lt;400&gt; 41<br/>
catgtactca ttttcacgta aag    23</li>
<li>&lt;210&gt; 42<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR2. ext-3</li>
<li>&lt;400&gt; 42<br/>
tgctaaaatt gcattattag gtc    23</li>
<li>&lt;210&gt; 43<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.500-5</li>
<li>&lt;400&gt; 43<br/>
ttactacgca taaaattcat gg    22</li>
<li>&lt;210&gt; 44<br/>
&lt;211&gt; 25<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR3.500-3</li>
<li>&lt;400&gt; 44<br/>
aattaaccat atcttttgat ttgag    25</li>
<li>&lt;210&gt; 45<br/>
&lt;211&gt; 40<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR3.GB-L5</li>
<li>&lt;400&gt; 45<br/>
tgctcgatga gtttttctaa atcagacttg tctttatcag    40</li>
<li>&lt;210&gt; 46<br/>
&lt;211&gt; 48<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.GB.L-3</li>
<li>&lt;400&gt; 46<br/>
gattttgaga cacaacgtgg ctttcttgcc atttggtgat gtgatcct    48</li>
<li>&lt;210&gt; 47<br/>
&lt;211&gt; 21<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsM.ext-5</li>
<li>&lt;400&gt; 47<br/>
tcgcatgcgt tctggtttga g    21</li>
<li>&lt;210&gt; 48<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsR3.ext-3</li>
<li>&lt;400&gt; 48<br/>
cctagcaaca aaatatttag cgac    24</li>
<li>&lt;210&gt; 49<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-96.500-5</li>
<li>&lt;400&gt; 49<br/>
aaacaatatc atggccagtc gg    22</li>
<li>&lt;210&gt; 50<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-96.500-3</li>
<li>&lt;400&gt; 50<br/>
aataacgttc aggtattgaa gg    22</li>
<li>&lt;210&gt; 51<br/>
&lt;211&gt; 42<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-96.GB-L5</li>
<li>&lt;400&gt; 51<br/>
tgctcgatga gtttttctaa ccttgaggtc tatataactg aa    42</li>
<li>&lt;210&gt; 52<br/>
&lt;211&gt; 49<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-96.GB-L3</li>
<li>&lt;400&gt; 52<br/>
gattttgaga cacaacgtgg ctttcatcaa atgtaccaaa ggtgataac    49</li>
<li>&lt;210&gt; 53<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-96.ext-5</li>
<li>&lt;400&gt; 53<br/>
taaatcaacg ttactgagaa tg    22</li>
<li>&lt;210&gt; 54<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-96.ext-3</li>
<li>&lt;400&gt; 54<br/>
gaatatccga gtgcataata cc    22</li>
<li>&lt;210&gt; 55<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-96.500-5</li>
<li>&lt;400&gt; 55<br/>
aaacaatatc atggccagtc gg    22</li>
<li>&lt;210&gt; 56<br/>
&lt;211&gt; 20<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3694.500-5</li>
<li>&lt;400&gt; 56<br/>
aagcattaga attggaaccc    20</li>
<li>&lt;210&gt; 57<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3694.500-3</li>
<li>&lt;400&gt; 57<br/>
ctttccatgt attcctctcc aag    23</li>
<li>&lt;210&gt; 58<br/>
&lt;211&gt; 42<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3694.GB.L-5</li>
<li>&lt;400&gt; 58<br/>
tgctcgatga gtttttctaa gtgcaagtat ttcttgtaac cc    42</li>
<li>&lt;210&gt; 59<br/>
&lt;211&gt; 50<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3694.GB.L-3</li>
<li>&lt;400&gt; 59<br/>
gattttgaga cacaacgtgg ctttcatata cgcatcaata gccttagccc    50</li>
<li>&lt;210&gt; 60<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3694.ext-5</li>
<li>&lt;400&gt; 60<br/>
gcggagagct attttaaagc agg    23</li>
<li>&lt;210&gt; 61<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3694.ext-3</li>
<li>&lt;400&gt; 61<br/>
cggaaaacga tatgacaatc ctg    23</li>
<li>&lt;210&gt; 62<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3693.500-5</li>
<li>&lt;400&gt; 62<br/>
gtttattgtt gcaggcatcc aag    23</li>
<li>&lt;210&gt; 63<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3693.500-3</li>
<li>&lt;400&gt; 63<br/>
atgccgttag atagttttat tcc    23</li>
<li>&lt;210&gt; 64<br/>
&lt;211&gt; 43<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3693.GB.L-5</li>
<li>&lt;400&gt; 64<br/>
tgctcgatga gtttttctaa atggatgctc aaaaggaggt acg    43</li>
<li>&lt;210&gt; 65<br/>
&lt;211&gt; 51<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3693.GB.L-3</li>
<li>&lt;400&gt; 65<br/>
gattttgaga cacaacgtgg ctttcatcag cattggttgg taatgcattt g    51</li>
<li>&lt;210&gt; 66<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3693.ext-5</li>
<li>&lt;400&gt; 66<br/>
acatattaac agtaatataa cc    22</li>
<li>&lt;210&gt; 67<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3693.ext-3</li>
<li>&lt;400&gt; 67<br/>
ctacaaattt ggatactgca aatc    24</li>
<li>&lt;210&gt; 68<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3692.500-5</li>
<li>&lt;400&gt; 68<br/>
ttatacttgc ggtgatttgc ag    22</li>
<li>&lt;210&gt; 69<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3692.500-3</li>
<li>&lt;400&gt; 69<br/>
atgactcata aaaatatatt cc    22</li>
<li>&lt;210&gt; 70<br/>
&lt;211&gt; 43<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3692.GB.L-5</li>
<li>&lt;400&gt; 70<br/>
tgctcgatga gtttttctaa tatttacaga ataattattc tgg    43</li>
<li>&lt;210&gt; 71<br/>
&lt;211&gt; 51<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3692.GB.L-3</li>
<li>&lt;400&gt; 71<br/>
gattttgaga cacaacgtgg ctttcattaa gccaatagtc ttgactcatc g    51</li>
<li>&lt;210&gt; 72<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3692.ext-5</li>
<li>&lt;400&gt; 72<br/>
aattcatatg attgtagcaa tg    22</li>
<li>&lt;210&gt; 73<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; c3692.ext-3</li>
<li>&lt;400&gt; 73<br/>
caacgtagaa taaaagcatt acc    23</li>
<li>&lt;210&gt; 74<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; LuxS.500-5</li>
<li>&lt;400&gt; 74<br/>
aaactgcgca gttcccgtta cc    22</li>
<li>&lt;210&gt; 75<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; LuxS.500-3</li>
<li>&lt;400&gt; 75<br/>
cctgattttg ttccctggga gg    22</li>
<li>&lt;210&gt; 76<br/>
&lt;211&gt; 38<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; LuxS.GB-L5</li>
<li>&lt;400&gt; 76<br/>
tgctcgatga gtttttctaa tcagtggaac aaaagaag    38</li>
<li>&lt;210&gt; 77<br/>
&lt;211&gt; 47<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; LuxS.GB-L3</li>
<li>&lt;400&gt; 77<br/>
gattttgaga cacaacgtgg ctttcattta gccacctccg gtaattt    47</li>
<li>&lt;210&gt; 78<br/>
&lt;211&gt; 23<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; LuxS.ext-5</li>
<li>&lt;400&gt; 78<br/>
ctggaaccgg gtgatcctcg aag    23</li>
<li>&lt;210&gt; 79<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; LuxS.ext-3</li>
<li>&lt;400&gt; 79<br/>
agcaacaatg ctggggaaaa atgc    24</li>
<li>&lt;210&gt; 80<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps95-F</li>
<li>&lt;400&gt; 80<br/>
aacgaaaatt gcttgctctg gc    22</li>
<li>&lt;210&gt; 81<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps94-R</li>
<li>&lt;400&gt; 81<br/>
cggtgccaag tttgaaataa cg    22</li>
<li>&lt;210&gt; 82<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps94-F</li>
<li>&lt;400&gt; 82<br/>
gaaaatagtg tagacggtct cttc    24</li>
<li>&lt;210&gt; 83<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; Kps92-R</li>
<li>&lt;400&gt; 83<br/>
tttggatact gcaaatcacc gc    22</li>
<li>&lt;210&gt; 84<br/>
&lt;211&gt; 21<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsIIf</li>
<li>&lt;400&gt; 84<br/>
gcgcatttgc tgatactgtt g    21</li>
<li>&lt;210&gt; 85<br/>
&lt;211&gt; 21<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KpsK2r</li>
<li>&lt;400&gt; 85<br/>
aggtagttca gactcacacc t    21</li>
<li>&lt;210&gt; 86<br/>
&lt;211&gt; 20<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KmGB.verif-5</li>
<li>&lt;400&gt; 86<br/>
tggctccctc actttctggc    20</li>
<li>&lt;210&gt; 87<br/>
&lt;211&gt; 22<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; KmGB.verif-3</li>
<li>&lt;400&gt; 87<br/>
atatggctca taacacccct tg    22</li>
<li>&lt;210&gt; 88<br/>
&lt;211&gt; 35<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; ARB1</li>
<li>&lt;220&gt;<br/>
&lt;221&gt; misc_feature<br/>
&lt;222&gt; (21)..(30)<br/>
&lt;223&gt; n is a, c, g, or t</li>
<li>&lt;400&gt; 88<br/>
ggccacgcgt cgactagtac nnnnnnnnnn gatat    35</li>
<li>&lt;210&gt; 89<br/>
&lt;211&gt; 35<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; ARB6</li>
<li>&lt;220&gt;<br/>
&lt;221&gt; misc_feature<br/>
&lt;222&gt; (21)..(30)<br/>
&lt;223&gt; n is a, c, g, or t</li>
<li>&lt;400&gt; 89<br/>
ggccacgcgt cgactagtac nnnnnnnnnn acgcc    35</li>
<li>&lt;210&gt; 90<br/>
&lt;211&gt; 20<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; ARB2</li>
<li>&lt;400&gt; 90<br/>
ggccacgcgt cgactagtac    20</li>
<li>&lt;210&gt; 91<br/>
&lt;211&gt; 25<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; IR2</li>
<li>&lt;400&gt; 91<br/>
ctgaccgctt cctcgtgctt tacgg    25</li>
<li>&lt;210&gt; 92<br/>
&lt;211&gt; 24<br/>
&lt;212&gt; DNA<br/>
&lt;213&gt; Artificial</li>
<li>&lt;220&gt;<br/>
&lt;223&gt; IR2-60-5</li>
<li>&lt;400&gt; 92<br/>
ttctgagcgg gactctgggg tacg    24</li>
</ul></p>
</description><!-- EPO <DP n="25"> -->
<claims id="claims01" lang="en">
<claim id="c-en-01-0001" num="0001">
<claim-text>Use of a soluble group II-like capsular polysaccharide from a bacterial strain, for the preparation of a composition which prevents or inhibits bacterial adhesion and/or bacterial biofilm development.</claim-text></claim>
<claim id="c-en-01-0002" num="0002">
<claim-text>The use of claim 1, wherein said soluble group II-like capsular polysaccharide is obtained in the supernatant of a culture of bacteria selected amongst <i>Escherichia coli, Hemophilus influenzae</i> and <i>Neisseria meningitidis</i>.</claim-text></claim>
<claim id="c-en-01-0003" num="0003">
<claim-text>The use of claim 1 or claim 2, wherein said soluble group II-like capsular polysaccharide is obtained as a purified fraction.</claim-text></claim>
<claim id="c-en-01-0004" num="0004">
<claim-text>A composition for inhibiting bacterial adhesion and/or bacterial biofilm development, <b>characterized in that</b> it comprises a soluble group II-like capsular polysaccharide from a bacterial strain</claim-text></claim>
<claim id="c-en-01-0005" num="0005">
<claim-text>The composition of claim 4, which comprises a purified fraction of the supernatant of a culture of bacteria selected amongst <i>E. coli, H. influenzae</i> and <i>N. meningitidis</i>.</claim-text></claim>
<claim id="c-en-01-0006" num="0006">
<claim-text>A process for purifying an anti-biofilm group II-like capsular polysaccharide from a bacterial strain, comprising the following steps:
<claim-text>(i) separating the supernatant of a culture of a bacterial strain expressing a group II-like capsule from the bacterial cells,</claim-text>
<claim-text>(ii) precipitating the polysaccharides present in the obtained supernatant, and</claim-text>
<claim-text>(iii) optionally resuspending the precipitate.</claim-text></claim-text></claim>
<claim id="c-en-01-0007" num="0007">
<claim-text>The process of claim 6, wherein said bacterial strain expressing a group II-like capsule is selected amongst <i>E. coli, H. influenzae</i> and <i>N. meningitidis</i>.</claim-text></claim>
<claim id="c-en-01-0008" num="0008">
<claim-text>The process of claim 6 or claim 7, wherein said bacterial strain is an uropathogenic <i>E. coli</i>.</claim-text></claim>
<claim id="c-en-01-0009" num="0009">
<claim-text>The process of any of claims 6 to 8, wherein the separation in step (i) is performed by filter-sterilization and/or by centrifugation of the culture</claim-text></claim>
<claim id="c-en-01-0010" num="0010">
<claim-text>The process of any of claims 6 to 9, wherein the precipitation in step (ii) is performed with three volumes of ethanol for one volume of supernatant.</claim-text></claim>
<claim id="c-en-01-0011" num="0011">
<claim-text>The process of any of claims 6 to 10, wherein the precipitate obtained in step (ii) is resuspended in water, dialyzed against deionised water, and then lyophilized before step (iii).</claim-text></claim>
<claim id="c-en-01-0012" num="0012">
<claim-text>The process of any of claims 6 to 11, further comprising an additional step (iv) of purification by ion exchange chromatography.</claim-text></claim>
<claim id="c-en-01-0013" num="0013">
<claim-text>The process of claim 12, wherein step (iv) is performed using a DEAE-Sepharose column.<!-- EPO <DP n="26"> --></claim-text></claim>
<claim id="c-en-01-0014" num="0014">
<claim-text>The process of claim 12 or claim 13, wherein the resuspension in step (iii) is done in TrisHCl 20 mM, pH 7.5, with 25% propanol-1, and the column used in step (iv) is equilibrated with the same buffer.</claim-text></claim>
<claim id="c-en-01-0015" num="0015">
<claim-text>The process of any of claims 12 to 14, wherein a centrifugation step is performed between step (iii) and step (iv) to discard the insoluble fraction.</claim-text></claim>
<claim id="c-en-01-0016" num="0016">
<claim-text>The process of any of claims 12 to 15, wherein said group II-like capsular polysaccharide is eluted with 300 mM NaCl in TrisHCl 20 mM, pH 7.5, 25% propanol-1.</claim-text></claim>
<claim id="c-en-01-0017" num="0017">
<claim-text>The use of any of claims 1 to 3, or the composition of claim 4 or 5, wherein said soluble group II-like capsular polysaccharide is obtained through a process according to any of claims 6 to 16.</claim-text></claim>
<claim id="c-en-01-0018" num="0018">
<claim-text>The composition of any of claims 4, 5 and 17, which is formulated for preventive or therapeutic administration to a subject in need thereof.</claim-text></claim>
<claim id="c-en-01-0019" num="0019">
<claim-text>An anti-biofilm coating, <b>characterized in that</b> it comprises a group II-like capsular polysaccharide from a bacterial strain.</claim-text></claim>
<claim id="c-en-01-0020" num="0020">
<claim-text>The anti-biofilm coating of claim 19, <b>characterized in that</b> said group II-like capsular polysaccharide is from a bacterial strain selected amongst <i>Escherichia coli, Hemophilus influenzae</i> and <i>Neisseria meningitidis</i>.</claim-text></claim>
<claim id="c-en-01-0021" num="0021">
<claim-text>The anti-biofilm coating of claim 19 or claim 20, <b>characterized in that</b> it has been obtained by application of a composition of any one of claims 4, 5 and 17.</claim-text></claim>
<claim id="c-en-01-0022" num="0022">
<claim-text>A medical or industrial device, <b>characterized in that</b> it is at least partly coated with an anti-biofilm coating according to any of claims 19, 20 and 21.</claim-text></claim>
</claims><!-- EPO <DP n="27"> -->
<claims id="claims02" lang="de">
<claim id="c-de-01-0001" num="0001">
<claim-text>Verwendung eines löslichen Gruppe II-ähnlichen Kapselpolysaccharids aus einem Bakterienstamm für die Herstellung einer Zusammensetzung, welche eine bakterielle Adhäsion und/oder die Entwicklung eines bakteriellen Biofilms verhindert oder inhibiert.</claim-text></claim>
<claim id="c-de-01-0002" num="0002">
<claim-text>Die Verwendung nach Anspruch 1, wobei das lösliche Gruppe II-ähnliche Kapselpolysaccharid enthalten ist in dem Überstand aus einer Bakterienkultur, ausgewählt aus <i>Escherichia coli, Hemophilus influenzae</i> und <i>Neisseria meningitidis.</i></claim-text></claim>
<claim id="c-de-01-0003" num="0003">
<claim-text>Die Verwendung nach Anspruch 1 oder Anspruch 2, wobei das lösliche Gruppe II-ähnliche Kapselpolysaccharid erhalten wird als eine gereinigte Fraktion.</claim-text></claim>
<claim id="c-de-01-0004" num="0004">
<claim-text>Eine Zusammensetzung zum Inhibieren der bakteriellen Adhäsion und/oder einer bakteriellen Biofilmentwicklung, <b>dadurch gekennzeichnet, dass</b> sie ein lösliches Gruppe II-ähnliches Kapselpolysaccharid aus einem Bakterienstamm umfasst.</claim-text></claim>
<claim id="c-de-01-0005" num="0005">
<claim-text>Die Zusammensetzung nach Anspruch 4, welche eine gereinigte Fraktion aus dem Überstand einer Bakterienkultur, ausgewählt aus <i>E. coli, H. influenzae</i> und <i>N. meningitidis</i>, umfasst.</claim-text></claim>
<claim id="c-de-01-0006" num="0006">
<claim-text>Ein Verfahren zum Reinigen eines Gruppe II-ähnlichen Kapsel-Anti-Biofilm-Polysaccharids aus einem Bakterienstamm, welcher die folgenden Schritte umfasst:
<claim-text>(i) Trennen des Überstands einer Kultur aus einem Bakterienstamm, welcher eine Gruppe II-ähnliche Kapsel aus den Bakterienzellen bildet,</claim-text>
<claim-text>(ii) Präzipitieren des Polysaccharids, welches in dem erhaltenen Überstand vorliegt, und</claim-text>
<claim-text>(iii) gegebenenfalls Resuspendieren des Niederschlags.</claim-text><!-- EPO <DP n="28"> --></claim-text></claim>
<claim id="c-de-01-0007" num="0007">
<claim-text>Das Verfahren nach Anspruch 6, wobei der Bakterienstamm, der eine Gruppe II-ähnliche Kapsel bildet, ausgewählt wird aus <i>E. coli, H. influenzae</i> und <i>N. meningitidis</i>.</claim-text></claim>
<claim id="c-de-01-0008" num="0008">
<claim-text>Das Verfahren nach Anspruch 6 oder Anspruch 7, wobei der Bakterienstamm ein uropathogener <i>E. coli</i> ist.</claim-text></claim>
<claim id="c-de-01-0009" num="0009">
<claim-text>Das Verfahren nach irgendeinem der Ansprüche 6 bis 8, wobei die Trennung in Schritt (i) durchgeführt wird durch Filtersterilisation und/oder durch Zentrifugation der Kultur.</claim-text></claim>
<claim id="c-de-01-0010" num="0010">
<claim-text>Das Verfahren nach irgendeinem der Ansprüche 6 bis 9, wobei die Präzipitation in Schritt (ii) durchgeführt wird mit drei Volumina an Ethanol auf ein Volumen Überstand.</claim-text></claim>
<claim id="c-de-01-0011" num="0011">
<claim-text>Das Verfahren nach irgendeinem der Ansprüche 6 bis 10, wobei das Präzipitat, welches in Schritt (ii) erhalten wird, in Wasser resuspendiert wird, gegen deionisiertes Wasser dialysiert wird und dann vor Schritt (iii) lyophilisiert wird.</claim-text></claim>
<claim id="c-de-01-0012" num="0012">
<claim-text>Das Verfahren nach irgendeinem der Ansprüche 6 bis 11, ferner umfassend einen zusätzlichen Schritt (iv) des Reinigens durch lonenaustauschchromatografie.</claim-text></claim>
<claim id="c-de-01-0013" num="0013">
<claim-text>Das Verfahren nach Anspruch 12, wobei Schritt (iv) durchgeführt wird unter Verwendung einer DEAE-Sepharosesäule.</claim-text></claim>
<claim id="c-de-01-0014" num="0014">
<claim-text>Das Verfahren nach Anspruch 12 oder Anspruch 13, wobei die Resuspendierung in Schritt (iii) durchgeführt wird in TrisHCl 20 mM, pH 7,5, mit 25 % Propanol-1 und die Säule, die in Schritt (iv) verwendet wird, mit demselben Puffer äquilibriert wird.</claim-text></claim>
<claim id="c-de-01-0015" num="0015">
<claim-text>Das Verfahren nach irgendeinem der Ansprüche 12 bis 14, wobei ein Zentrifugationsschritt durchgeführt wird zwischen dem Schritt (iii) und dem Schritt (iv), um die unlösliche Fraktion zu verwerfen.<!-- EPO <DP n="29"> --></claim-text></claim>
<claim id="c-de-01-0016" num="0016">
<claim-text>Das Verfahren nach irgendeinem der Ansprüche 12 bis 15, wobei das Gruppe II-ähnliche Kapselpolysaccharid mit 300 mM NaCl in TrisHCl 20 mM, pH 7,5, 25 % Propanol-1 eluiert wird.</claim-text></claim>
<claim id="c-de-01-0017" num="0017">
<claim-text>Die Verwendung nach irgendeinem der Ansprüche 1 bis 3 oder die Zusammensetzung nach Anspruch 4 oder 5, wobei das lösliche Gruppe II-ähnliche Kapselpolysaccharid erhalten wird durch ein Verfahren gemäß irgendeinem der Ansprüche 6 bis 16.</claim-text></claim>
<claim id="c-de-01-0018" num="0018">
<claim-text>Die Zusammensetzung nach irgendeinem der Ansprüche 4, 5 und 17, welche formuliert ist zur vorbeugenden oder therapeutischen Anwendung bei einem Probanden, welcher es benötigt.</claim-text></claim>
<claim id="c-de-01-0019" num="0019">
<claim-text>Eine Anti-Biofilmbeschichtung, <b>dadurch gekennzeichnet, dass</b> sie ein Gruppe II-ähnliches Kapselpolysaccharid aus einem Bakterienstamm umfasst.</claim-text></claim>
<claim id="c-de-01-0020" num="0020">
<claim-text>Die Anti-Biofilmbeschichtung gemäß Anspruch 19, <b>dadurch gekennzeichnet, dass</b> das Gruppe II-ähnliche Kapselpolysaccharid aus einem Bakterienstamm stammt, der ausgewählt wird aus <i>Escherichia coli, Hemophilus influenzae</i> und <i>Neisseria meningitidis.</i></claim-text></claim>
<claim id="c-de-01-0021" num="0021">
<claim-text>Die Anti-Biofilmbeschichtung nach Anspruch 19 oder 20, <b>dadurch gekennzeichnet, dass</b> sie erhalten wird durch Anwenden einer Zusammensetzung aus irgendeinem der Ansprüche 4, 5 und 17.</claim-text></claim>
<claim id="c-de-01-0022" num="0022">
<claim-text>Eine medizinische oder industrielle Vorrichtung, <b>dadurch gekennzeichnet, dass</b> sie wenigstens teilweise mit einer Anti-Biofilmbeschichtung gemäß einem der Ansprüche 19, 20 und 21 beschichtet ist.</claim-text></claim>
</claims><!-- EPO <DP n="30"> -->
<claims id="claims03" lang="fr">
<claim id="c-fr-01-0001" num="0001">
<claim-text>Utilisation d'un polysaccharide capsulaire de type groupe II soluble provenant d'une souche bactérienne, pour la préparation d'une composition qui prévient ou inhibe l'adhérence bactérienne et/ou le développement d'un biofilm bactérien.</claim-text></claim>
<claim id="c-fr-01-0002" num="0002">
<claim-text>Utilisation selon la revendication 1, où ledit polysaccharide capsulaire de type groupe II soluble est obtenu dans le surnageant d'une culture de bactéries choisies parmi <i>Escherichia coli, Haemophilus influenzae</i> et <i>Neisseria meningitidis.</i></claim-text></claim>
<claim id="c-fr-01-0003" num="0003">
<claim-text>Utilisation selon la revendication 1 ou la revendication 2, où ledit polysaccharide capsulaire de type groupe II soluble est obtenu sous la forme d'une fraction purifiée.</claim-text></claim>
<claim id="c-fr-01-0004" num="0004">
<claim-text>Composition destinée à l'inhibition de l'adhérence bactérienne et/ou du développement d'un biofilm bactérien, <b>caractérisée en ce qu'</b>elle comprend un polysaccharide capsulaire de type groupe II soluble provenant d'une souche bactérienne.</claim-text></claim>
<claim id="c-fr-01-0005" num="0005">
<claim-text>Composition selon la revendication 4, qui comprend une fraction purifiée du surnageant d'une<!-- EPO <DP n="31"> --> culture de bactéries choisies parmi <i>E. coli, H. influenzae</i> et <i>N. meningitidis.</i></claim-text></claim>
<claim id="c-fr-01-0006" num="0006">
<claim-text>Procédé de purification d'un polysaccharide capsulaire de type groupe II anti-biofilm provenant d'une souche bactérienne, comprenant les étapes suivantes :
<claim-text>(i) la séparation du surnageant d'une culture d'une souche bactérienne exprimant une capsule de type groupe II à partir des cellules bactériennes,</claim-text>
<claim-text>(ii) la précipitation des polysaccharides présents dans le surnageant obtenu, et</claim-text>
<claim-text>(iii) éventuellement la remise en suspension du précipité.</claim-text></claim-text></claim>
<claim id="c-fr-01-0007" num="0007">
<claim-text>Procédé selon la revendication 6, dans lequel ladite souche bactérienne exprimant une capsule de type groupe II est choisie parmi <i>E. coli, H. influenzae</i> et <i>N. meningitidis.</i></claim-text></claim>
<claim id="c-fr-01-0008" num="0008">
<claim-text>Procédé selon la revendication 6 ou la revendication 7, dans lequel ladite souche bactérienne est un <i>E</i>. <i>coli</i> uropathogène.</claim-text></claim>
<claim id="c-fr-01-0009" num="0009">
<claim-text>Procédé selon l'une quelconque des revendications 6 à 8, dans lequel la séparation dans l'étape (i) est réalisée par stérilisation sur filtre et/ou par centrifugation de la culture.</claim-text></claim>
<claim id="c-fr-01-0010" num="0010">
<claim-text>Procédé selon l'une quelconque des revendications 6 à 9, dans lequel la précipitation dans l'étape (ii) est réalisée avec trois volumes d'éthanol pour un volume de surnageant.</claim-text></claim>
<claim id="c-fr-01-0011" num="0011">
<claim-text>Procédé selon l'une quelconque des revendications 6 à 10, dans lequel le précipité obtenu dans l'étape (ii) est remis en suspension dans de l'eau,<!-- EPO <DP n="32"> --> dialysé contre de l'eau désionisée et ensuite lyophilisé avant l'étape (iii).</claim-text></claim>
<claim id="c-fr-01-0012" num="0012">
<claim-text>Procédé selon l'une quelconque des revendications 6 à 11, comprenant en outre une étape (iv) supplémentaire de purification par chromatographie par échange d'ions.</claim-text></claim>
<claim id="c-fr-01-0013" num="0013">
<claim-text>Procédé selon la revendication 12, dans lequel l'étape (iv) est réalisée en utilisant une colonne DEAE-Sepharose.</claim-text></claim>
<claim id="c-fr-01-0014" num="0014">
<claim-text>Procédé selon la revendication 12 ou la revendication 13, dans lequel la remise en suspension dans l'étape (iii) est réalisée dans du Tris-HCl 20 mM, pH 7,5, avec 25 % de propan-1-ol, et la colonne utilisée dans l'étape (iv) est équilibrée avec le même tampon.</claim-text></claim>
<claim id="c-fr-01-0015" num="0015">
<claim-text>Procédé selon l'une quelconque des revendications 12 à 14, dans lequel une étape de centrifugation est réalisée entre l'étape (iii) et l'étape (iv) pour éliminer la fraction insoluble.</claim-text></claim>
<claim id="c-fr-01-0016" num="0016">
<claim-text>Procédé selon l'une quelconque des revendications 12 à 15, dans lequel ledit polysaccharide capsulaire de type groupe II est élué avec 300 mM de NaCl dans du Tris-HCl 20 mM, pH 7,5, 25 % de propan-1-ol.</claim-text></claim>
<claim id="c-fr-01-0017" num="0017">
<claim-text>Utilisation selon l'une quelconque des revendications 1 à 3, ou composition selon la revendication 4 ou 5, où ledit polysaccharide capsulaire de type groupe II soluble est obtenu par l'intermédiaire d'un procédé selon l'une quelconque des revendications 6 à 16.<!-- EPO <DP n="33"> --></claim-text></claim>
<claim id="c-fr-01-0018" num="0018">
<claim-text>Composition selon l'une quelconque des revendications 4, 5 et 17, qui est formulée pour une administration préventive ou thérapeutique à un sujet en ayant besoin.</claim-text></claim>
<claim id="c-fr-01-0019" num="0019">
<claim-text>Revêtement anti-biofilm, <b>caractérisé en ce qu'</b>il comprend un polysaccharide capsulaire de type groupe II provenant d'une souche bactérienne.</claim-text></claim>
<claim id="c-fr-01-0020" num="0020">
<claim-text>Revêtement anti-biofilm selon la revendication 19, <b>caractérisé en ce que</b> ledit polysaccharide capsulaire de type groupe II provient d'une souche bactérienne choisie parmi <i>Escherichia coli, Haemophilus influenzae</i> et <i>Neisseria meningitidis.</i></claim-text></claim>
<claim id="c-fr-01-0021" num="0021">
<claim-text>Revêtement anti-biofilm selon la revendication 19 ou la revendication 20, <b>caractérisé en ce qu'</b>il a été obtenu par application d'une composition selon l'une quelconque des revendications 4, 5 et 17.</claim-text></claim>
<claim id="c-fr-01-0022" num="0022">
<claim-text>Dispositif médical ou industriel, <b>caractérisé en ce qu'</b>il est au moins partiellement revêtu d'un revêtement anti-biofilm selon l'une quelconque des revendications 19, 20 et 21.</claim-text></claim>
</claims>
<drawings id="draw" lang="en">
<figure id="f0001" num="1A,1B,1C,1D,1E,1F"><img id="if0001" file="imgf0001.tif" wi="165" he="196" img-content="drawing" img-format="tif"/></figure><!-- EPO <DP n="34"> -->
<figure id="f0002" num="2A,2B,2C,2D"><img id="if0002" file="imgf0002.tif" wi="157" he="233" img-content="drawing" img-format="tif"/></figure><!-- EPO <DP n="35"> -->
<figure id="f0003" num="3A,3B,3C,3D"><img id="if0003" file="imgf0003.tif" wi="165" he="172" img-content="drawing" img-format="tif"/></figure><!-- EPO <DP n="36"> -->
<figure id="f0004" num="4A,4B,4C"><img id="if0004" file="imgf0004.tif" wi="161" he="233" img-content="drawing" img-format="tif"/></figure><!-- EPO <DP n="37"> -->
<figure id="f0005" num="5,6A,6B,6C,6D"><img id="if0005" file="imgf0005.tif" wi="164" he="233" img-content="drawing" img-format="tif"/></figure><!-- EPO <DP n="38"> -->
<figure id="f0006" num="7,8"><img id="if0006" file="imgf0006.tif" wi="165" he="220" img-content="drawing" img-format="tif"/></figure><!-- EPO <DP n="39"> -->
<figure id="f0007" num="9A,9B,9C"><img id="if0007" file="imgf0007.tif" wi="156" he="209" img-content="drawing" img-format="tif"/></figure><!-- EPO <DP n="40"> -->
<figure id="f0008" num="10A,10B,11,12"><img id="if0008" file="imgf0008.tif" wi="164" he="233" img-content="drawing" img-format="tif"/></figure>
</drawings>
<ep-reference-list id="ref-list">
<heading id="ref-h0001"><b>REFERENCES CITED IN THE DESCRIPTION</b></heading>
<p id="ref-p0001" num=""><i>This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.</i></p>
<heading id="ref-h0002"><b>Non-patent literature cited in the description</b></heading>
<p id="ref-p0002" num="">
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</ep-patent-document>
