Review Article

Candida Biofilms and the Host: Models and New Concepts for Eradication

Table 1

Examples of Candida biofilm models in vitro.

Models in vitro DeviceUsed for

Closed systems (discontinuous growth conditions over time (nutrient depletion, accumulation of secondary metabolites))(i) 96-well polystyrene microtiter plate
(ii) Discs/pieces of catheter in 6- to 24-well plate (discs made of silicone, polyurethane, polycarbonate, polystyrene, stainless steel, Teflon, polyvinyl chloride, hydroxyapatite, and porcelain)
Easy and widespread use: comparative analyses between strains and species [33ā€“39] to antifungal susceptibility tests [40]
(iii) Calgary biofilm device (80 pegs immersed into a standard 96-well plate) Biofilm formation studies by different Candida species [41]
(iv) Candida biofilm chip (several hundreds nanobiofilms encapsulated in collagen and formed on a glass slide treated to obtained a monolayer of hydrophobic coating) High-throughput biofilm studies [42]

Flow systems (Continuous growth conditions)(i) CDC biofilm reactor (24 biofilms can be formed simultaneously)Comparative analysis of biofilm quantification methods [43]
(ii) Microfermentors (biofilms formed on a Thermanox slide glued to a glass spatula) Gene expression analyses [44]
(iii) Modified Robbins device (adapted to hold several individual discs) Study of the effects of shear forces and nutrient supplies on C. albicans biofilm formation [45]
(iv) Flow biofilm model (silicone elastomer strip placed into a polypropylene conical tube) Study of C. albicans biofilm development, architecture, and drug resistance [46]

Shear stress conditionsRotating disc system (silicone catheter devices placed under a shear force of 350 revolutions per minute)C. albicans biofilm architecture and development [47]