The unique capabilities of the atomic force microscope (AFM), including super‐resolution imaging, piconewton force‐sensitivity, nanomanipulation, and ability to work under physiological conditions in aqueous solution, have offered exciting avenues for cellular and molecular biology research. AFM imaging has helped unravel the fine architectures of microbial cell envelopes at the nanoscale, and how these are altered by antimicrobial treatment. Nanomechanical measurements have shed new light on the elasticity, tensile strength and turgor pressure of single cells. Single‐molecule and single‐cell force spectroscopy experiments have revealed the forces in and dynamics of receptor‐ligand interactions, the nanoscale distribution of receptors on the cell surface, and the elasticity and adhesiveness of bacterial pili. Importantly, recent force spectroscopy studies have demonstrated that extremely stable bonds are formed between bacterial adhesins and their cognate ligands, originating from a catch bond behaviour allowing the pathogen to reinforce adhesion under shear or tensile stress. Here, we survey how the versatility of AFM has enabled addressing crucial questions in microbiology, with emphasis on bacterial pathogens.

Significance: Staphylococcus aureus colonizes skin of patients with atopic dermatitis (AD), increasing disease severity. Colonization involves bacterial adhesion to skin corneocytes, and elucidating the molecular basis of interactions governing adhesion is crucial to further our understanding of pathogenesis and inform targeted therapies. We identify host and pathogen factors that enable adhesion. We demonstrate that S. aureus interacts with the N-terminal region of corneodesmosin on the surface of patient corneocytes. This interaction is mediated by two bacterial cell wall-anchored proteins (fibronectin binding protein B and clumping factor B). Frequency and force of bacterial binding to AD corneocytes decreased when the N-terminal region of corneodesmosin was blocked with an antibody, indicating the contribution of this interaction during S. aureus adhesion to human skin.

Most bacteria live on abiotic and biotic surfaces in surface-attached communities known as biofilms. Surface sensing and increased levels of the second-messenger molecule c-di-GMP are crucial to the transition from planktonic to biofilm growth.

Physical forces have profound effects on cellular behavior, physiology, and disease. Perhaps the most intruiguing and fascinating example is the formation of catch-bonds that strengthen cellular adhesion under shear stresses. Today mannose-binding by the Escherichia coli FimH adhesin remains one of the rare microbial catch-bond thoroughly characterized at the molecular level. Here we provide a quantitative demonstration of a catch-bond in living Gram-positive pathogens using force-clamp spectroscopy. We show that the dock, lock, and latch interaction between staphylococcal surface protein SpsD and fibrinogen is strong, and exhibits an unusual catch-slip transition. The bond lifetime first grows with force, but ultimately decreases to behave as a slip bond beyond a critical force (~1 nN) that is orders of magnitude higher than for previously investigated complexes. This catch-bond, never reported for a staphylococcal adhesin, provides the pathogen with a mechanism to tightly control its adhesive function during colonization and infection.

Microbial adhesion and biofilm formation are usually studied using molecular and cellular biology assays, optical and electron microscopy, or laminar flow chamber experiments. Today, atomic force microscopy (AFM) represents a valuable addition to these approaches, enabling the measurement of forces involved in microbial adhesion at the single-molecule level. In this minireview, we discuss recent discoveries made applying state-of-the-art AFM techniques to microbial specimens in order to understand the strength and dynamics of adhesive interactions.