Influence of Media on Breath Biomarker Development for Staphylococcal Infections

Staphylococcus aureus permanently asymptomatically colonizes one-third of humans, yet is an opportunistic pathogen causing life threatening diseases. Diagnosing S. aureus infections requires differentiating S. aureus from the human commensal Staphylococcus epidermidis, which beneficially colonizes the skin of all people. These studies aimed to characterize the volatile metabolites of S. aureus and S. epidermidis, and to measure the influence of growth medium on the discovery of volatile organic compounds that differentiate them. Headspace solid-phase microextraction and comprehensive two-dimensional gas chromatography with time-of-flight mass spectrometry detected 337 S. aureus and S. epidermidis headspace volatiles produced during aerobic growth in four complex media. Analyses revealed that only 20 – 40% of staph volatiles are produced by both species in any one medium. Using principal components and hierarchical clustering analyses of the staphylococcal volatiles showed individual clustering of S. aureus and S. epidermidis independent of culturing media but clustering of replicate cultures by growth medium within species. Subsets of volatiles produced in common by both species, or in common across all four media, revealed volatilome differences between S. aureus and S. epidermidis based on the volatiles’ relative abundances. When analyzing volatiles by relative abundances, culturing staph in media containing free glucose (brain heart infusion and tryptic soy broth) revealed volatilomes dominated by acids and esters (67%). The low-glucose media (lysogeny broth and Mueller-Hinton broth) yielded ketones in greatest relative abundances, yet also produced highly dissimilar volatilome compositions. The staphylococcal volatilome is strongly influenced by the nutritional composition of growth medium, especially free glucose availability, which is robustly evident when analyzing the relative abundances of the volatiles, compared to their presence versus absence. Future work will evaluate more strains of each species, testing the universality of these results. Prospective analyses involve hypotheses testing on the role of catabolite repression control and glucose availability on the volatilome, with plans to model in vitro culture conditions that replicate in vivo volatilomes. Studies assessing correlations of virulence to species-specific volatilome responses to free glucose may identify pathogenic strains of S. epidermidis and other staphylococcal commensals.