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1 Morehouse School of Medicine Department of Microbiology, Biochemistry and Immunology, 720 Westview Dr, SW, Atlanta, GA 30310-1495, USA
2 California State University College of Science and Mathematics, Department Biology, 2555 East San Ramon Avenue, Fresno, CA 93740, USA
Correspondence
Jorge A. Benitez
jbenitez{at}msm.edu
| ABSTRACT |
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| INTRODUCTION |
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In order to cause disease, cholera vibrios must overcome the mucus barrier. The thickness of the human intestinal mucus barrier has been recently estimated to centre around 150 µm (Jordan et al., 1998
). Accordingly, infecting vibrios need to overcome a physical barrier of 50 times their length to reach the underlying epithelial cells. It has been reported that V. cholerae is attracted to mucus by a CheR-dependent chemotactic mechanism (O'Toole et al., 1999
). There is plentiful microscopy evidence indicating that infecting vibrios associate with the protective mucus blanket (Yamamoto & Yokota, 1988
). However, very little is known regarding the mechanism by which V. cholerae penetrates the mucus gel and much less on how this process is coordinated with the expression of other virulence factors.
We have investigated the role of Hap mucinase in the interaction of cholera vibrios with mucus using cultured HT29-18N2 cells (Benitez et al., 1997
), which form a thick meshwork of heterogeneously glycosylated MUC2, MUC3 and MUC5AC mucin (Huet et al., 1987
; Phillips & Frisch, 1990
; Phillips et al., 1988
; Stanley & Phillips, 1999
). Inactivation of hapA increased adherence to HT29-18N2 cells and diminished detachment of vibrios into the washings (Benitez et al., 1997
). In the infant mouse cholera model, inactivation of hapA enhanced V. cholerae adherence (Robert et al., 1996
). The CTX
-negative Hap-defective attenuated strain 638 was well tolerated in volunteers (Benitez et al., 1999
). In contrast, V. cholerae 81, the hapA+ precursor of strain 638, was strongly reactogenic (presented at the 35th US Japan Cholera and Other Bacterial Enteric Infections Joint Panel Meeting, 315 December 1999). V. cholerae produces many potential known reactogenic factors (Hap, haemolysin, RTX toxin, etc.) (Mel et al., 2000
; Fullner et al., 2001
). Our volunteer studies suggest that Hap could contribute to reactogenicity along with other known or unknown factors. We have postulated that the Hap mucinase activity that mediates detachment of vibrios from the mucin meshwork of HT29-18N2 cells is the same activity that facilitates penetration of the mucus barrier in vivo (Benitez et al., 2001
). The diminished reactogenicity of strain 638 could be due its limited capacity to overcome, degrade or penetrate the mucus blanket.
Expression of hapA requires transcriptional activation by HapR (Jobling & Holmes, 1997
), an analogue of Vibrio harveyi LuxR. Production of Hap in the stationary phase is enhanced upon nutrient limitation and strongly repressed by glucose and other sugars (Benitez et al., 2001
).
In the present work we demonstrate that carbon source limitation, bile salts, mucin and growth at 37 °C significantly enhance delivery of enzymically active Hap to the culture medium. Analysis of hapA and hapRlacZ transcriptional fusions showed that glucose represses and mucin induces hapA promoter activity by a HapR-independent mechanism. Expression of hapA was required for the vibrios to translocate through a mucin-containing gel in a column assay.
| METHODS |
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CTX
, hapA : : celA) (Benitez et al., 1999
ctxA hapR) were used as negative controls that do not produce Hap. Strain JBK70 is derived from N16961, which contains a natural frame-shift mutation in the hapR gene (Zhu et al., 2002
Enzyme assays.
Protease activity was measured using an azocasein assay as described previously (Benitez et al., 2001
). One azocasein unit is defined as the amount of enzyme producing an increase of 0·01 A000 units h-1.
-Galactosidase activities were measured as described by Miller (1971)
using the substrate o-nitrophenyl
-D-galactotopyranoside (ONPG). Specific activities are given in nmol ONP min-1 per 108 c.f.u. using a molar absorption coefficient for ONP of 0·0045.
Immunoblot assay.
Culture supernatants were concentrated by passing through Centricon-10 centrifugal filters (Amicon Bioseparations) and separated by 12 % SDS-PAGE. The volume of supernatant applied per lane was standardized to account for differences in OD600 or c.f.u. ml-1. Proteins were electroblotted to a PVDF membrane and sequentially treated with 5 % skim milk and rabbit anti-Hap serum in phosphate-buffered saline (pH 7·4) (60 min, 37 °C each). The membrane was treated for 60 min at 37 °C with anti-rabbit IgG, peroxidase-conjugated (Sigma), and developed with 4-chloro-1-naphthol. Molecular masses were estimated using Bio-Rad SDS-PAGE low-range standards.
Construction of hapA and hapRlacZ transcriptional fusions.
The hapA promoter was amplified from plasmid pCH2 (Häse & Finkelstein, 1991
) using primers 5'-CAAGGTACCCGAAAATAAAGCCGCGA-3' and 5'-GGCCAAGCTTCATTTCTCAATCCTAG-3'. The amplification product extended from the upstream ompW transcription terminator to the hapA translational start (nucleotide 663, accession no. AF001009). The hapR promoter was amplified from plasmid pC1.1 (Jobling & Holmes, 1997
) using primers 5'-CTTGGATCCGTGAGCTTTGCATACTG-3' and 5'-GCTAAGCTTTTTCGATTGATGCGTCC-3'. The amplification product extended from the upstream hpt gene transcribed in the opposite direction to nucleotide 551 of hapR (accession no. AF000716). The strong rrnBT1T2 transcription terminator was amplified from plasmid pKK3535 (Brosius et al., 1981
) using primers 5'-CCCTCTAGAGATTTTCAGCCTGATAC-3' and 5'-GAACTGCAGTGGCTTGTAGATATGAC-3'. PCR was conducted using the Advantage 2 kit (BD Biosciences Clontech) as recommended by the manufacturer. Annealing temperatures for each pair of primers were set at 5 °C below the lowest Tm value. Primers were designed with appropriate restriction sites for subsequent directional cloning in pUC19. Both strands of each insert were sequenced for correctness using the universal and reverse M13 sequencing primers. The hapA and hapR transcriptional fusions were assembled on plasmid pKRZ1 (Rothmel et al., 1991
) as indicated in Fig. 3
. Promoter fragments were recovered as KpnIHindIII fragments and ligated to a HindIIIKpnI fragment of pKRZ1 containing a promoterless lacZ gene, and the pBR322 origin of replication and bla gene (Rothmel et al., 1991
). The pUC19 derivative pTT3 containing the amplified rrnBT1T2 terminator cloned as a XbaIPstI fragment was modified by digestion with HindIII, Klenow polymerase fill-in and insertion of a KpnI phosphorylated linker (New England BioLabs). The terminator was subsequently inserted as a KpnI fragment upstream from the hapA and hapR promoter sequence to generate plasmids pHaplac11 and pHapRlac2 (Fig. 3
). Additional transcriptional fusions containing 5' deletions of the hapA promoter were constructed likewise but varying the upstream primer used to amplify the hapA promoter fragment. The following plasmids harbouring 5' deletions were constructed using the upstream primer indicated in parentheses: pHaplac4 (5'-ACATGCATGCGTGGCCTCAATTTCAT-3'), pHaplac16 (5'-GGAAGATCTGCGCAAACCTATCAGTAA-3'), pHaplac7 (5'-ACATGCATGCCTGGCTTTCTTATCGA-3') and pHaplac12 (5'-ACATGCATGCACACGTAGAGTTCACA-3'). The extension of each deletion relative to the hapA translational start is provided in Fig. 3
. Cloning, subcloning, ligation and transformation were performed by standard procedures. lacZ fusions were introduced into strain AC-V66 by electroporation.
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| RESULTS |
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-galactosidase activity was observed between the pHapRlac2 and pHaplac11 control cultures (3·35±0·18 and 4·98±0·29 nmol ONP min-1 per 10-8 c.f.u., respectively) and their corresponding bile-supplemented culture (3·14±0·14 and 4·82±0·2 nmol ONP min-110-8 c.f.u., respectively). We conclude that the effect of bile on Hap does not involve transcription of either hapR of hapA.
Deletion analysis of the hapA promoter
In order to determine the smallest DNA fragment retaining promoter activity we constructed additional lacZ transcriptional fusions containing 5' deletions of the hapA promoter (see Fig. 3
). Plasmid pHaplac7, containing a DNA sequence extending 201 bp upstream from the hapA translational start, retained promoter activity, while pHaplac12, lacking the 5' conserved putative CRP-binding pentamer, was inactive (Fig. 3
). Plasmid pHaplac7, like all other lacZ fusions tested, produced white colonies on X-Gal medium when transformed into E. coli and blue colonies in V. cholerae AC-V66, confirming its requirement for HapR. Derepression of the lacZ fusions contained in pHaplac7 was also significantly diminished by glucose (data not shown). We conclude that the 201 bp promoter fragment contained in pHaplac7 contains the information required for glucose-sensitive HapR-dependent transcription initiation.
Expression of hapA positively correlates with the capacity of vibrios to translocate through a mucin-containing gel
As previously proposed, Hap could play a major role in cholera pathogenesis by facilitating penetration of the protective mucus barrier. In order to examine the significance of hapA expression to the capacity of vibrios to penetrate mucus we used a simple column penetration assay initially developed for trichomonads (Lehker & Sweeney, 1999
) and later applied to enteroaggregative E. coli (Sheikh et al., 2002
). As demonstrated in Fig. 6
(a), gel penetration required an active hapA gene. Conditions that stimulate Hap production such as incubation at 37°C (Fig. 6b
) or bile (Fig. 6c
) significantly enhanced column penetration. In contrast, addition of glucose, which represses hapA, prevented mucin gel penetration (Fig. 6d
). Bile did not enhance column penetration in strain 638, which lacks a functional hapA gene (Fig. 6c
).
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| DISCUSSION |
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We tested the effect of glucose on derepression of hapR and hapA. Derepression of the hapR promoter was not affected by glucose. In contrast, the activity of the hapA promoter (pHaplac11) was strongly reduced in the presence of glucose. In the Enterobacteriaceae, glucose depletion is known to increase intracellular levels of cAMP (Ganguly & Greennough, 1975
; Kolb et al., 1993
). This condition leads to formation of the cAMPCRP complex, which binds to responsive promoters to activate transcription (Kolb et al., 1993
). The interpretation that hapA expression is controlled by carbon catabolite repression is supported by our previous finding that Hap is not produced in a mutant lacking an active crp gene (Benitez et al., 2001
). By constructing several 5' deletions of the hapA promoter the minimal fragment retaining promoter activity was narrowed to the 201 bp fragment contained in pHaplac7. This fragment contains a conserved cAMPCRP-binding TGTGA pentamer separated by 10 bp from the less conserved TCANA pentamer located upstream from the presumptive hapA -35 sequence. A deletion eliminating the upstream conserved pentamer was inactive (Fig. 3
, pHaplac12). However, it remains to be established whether CRP actually binds to this site, in which the spacing between the two pentamers is 10 bp rather than the more common 6 or 8 bp. We hypothesize that in vivo, production of Hap is determined by a dual regulation. The onset of hapA expression is controlled by the availability of HapR once a critical cell density is attained. Once HapR is available, the hapA promoter is further activated by carbon source limitation by a mechanism that could involve the cAMPCRP global regulator. This dual control explains the observation that production of Hap in LB medium occurs at the end of the exponential phase in spite of the fact that this medium does not contain glucose, indicating that glucose limitation does not stimulate hapA expression at a low cell density. Addition of mucin to M9 minimal medium did not affect hapR promoter function but significantly enhanced hapA promoter activity in plasmid pHaplac11. Gastrointestinal mucus has been shown to induce production of the closely related EmpA metalloprotease in the fish pathogen Vibrio anguillarum (Denkin & Nelson, 1999
). The finding that mucins isolated from different sources with a different degree of purity enhanced production of Hap and hapA promoter activity strongly suggests mucin, or a component derived from it, to be the active inducing compound. The above results suggest that hapA is transcribed from a complex promoter that integrates multiple (at least two) environmental signals to control protease production. Further studies (already in progress) such as transcript analysis and binding assays are required to understand the mechanism of hapA activation at the molecular level.
In contrast to glucose and mucin, bile had no effect on either hapR or hapA promoter activity. This result suggests that the positive effect of bile on Hap production is not exerted at the level of hapA and hapR transcription. It has been demonstrated that bile affects expression of outer-membrane proteins OmpU and OmpT (Wibenmeyer et al., 2002
). It is possible that bile could indirectly affect processing and secretion of Hap through its effect on outer-membrane porin expression and localization. In any case, our results imply that the effect of bile could only occur once conditions for expression of hapA (i.e. high cell density) have been established.
Coordination of protease production with other virulence factors such as cholera toxin and toxin co-regulated pilus (TCP) appears to be exerted at least at two levels: CRP and HapR. It has been shown that Hap is not produced in a crp insertion mutant (Benitez et al., 2001
) in which production of cholera toxin and TCP is stimulated (Skorupski & Taylor, 1997a
, b
). On the other hand, HapR, which activates hapA, was recently shown to repress expression of the TcpP regulator required for expression of cholera toxin and TCP (Zhu et al., 2002
). Thus, protease production is coordinated in a reciprocal fashion to cholera toxin and TCP. Expression of Hap appears to be also coordinated with the motility status of the cell, since two classes of hypermotile mutants showed a striking increase in protease production (Gardel & Mekalanos, 1996
).
We used a simple column penetration assay to examine the effect of Hap expression on the capacity of vibrios to translocate through a mucin-containing gel. The results (Fig. 6
) clearly establish a causeeffect relationship between hapA expression and mucin gel penetration. It is often intuitively accepted that motility plays a role in penetration of the mucus barrier. Since bile also enhances motility in V. cholerae (Gupta & Chowdhury, 1997
), we expected it could stimulate mucin gel penetration by increasing both Hap production and flagellar motility. However, bile did not stimulate mucin gel penetration in a hapA mutant background (Fig. 6c
, open bars). Flagellar motility in V. cholerae is due to a single polar flagellum (Häse, 2001
), and development of hyper-flagellated swarming cells has not been observed as it has in other enteric bacteria (Brown & Häse, 2001
). Consequently, V. cholerae might not be capable of swimming in highly viscous media. As an example, Vibrio alginolyticus mutants expressing only a polar flagellum (the wild-type makes a polar and a lateral flagellum) are unable to swim at high viscosity (Atsumi et al., 1996
). We hypothesize that in the absence of a lateral flagellum or a multi-flagellated stage, production of extracellular proteases could allow V. cholerae to swim by decreasing the viscosity of the medium. The translocation process observed in our assay is clearly different from the surface translocation phenomenon observed by Brown & Häse (2001)
, which apparently required the production of a proteinaceous wetting agent. This surface translocation was inhibited rather than stimulated by the presence of Hap (Brown & Häse, 2001
). It is possible that vibrios use both strategies to disseminate in the gastrointestinal tract. For instance, surface translocation via a wetting agent could allow vibrios to spread at low cell densities when Hap is not produced, while Hap production could increase the efficiency of flagellar motility at high cell densities by breaking down the mucus blanket.
We have proposed that Hap facilitates penetration of the mucus layer by infecting vibrios. The manner in which Hap production is regulated by environmental factors present in the human small bowel is consistent with such a role in pathogenesis. It is likely that at the initial stage of a cholera infection, when a low cell density prevails, hapA is not expressed, providing a time interval for adherence, microcolony formation and surface translocation. An early wave of TCP expression, known to promote bacterial autoagglutination, could enhance microcolony formation at this stage (Chiang et al., 1995
; Lee et al., 1999
). As the cell density of infecting vibrios increases (HapR available) and carbon source becomes limited (CRPcAMP available), in a proteinaceous medium (i.e. mucin) containing bile, production of Hap reaches its maximum. At this stage, degradation of the mucin blanket could allow motile vibrios to either detach or swim toward their target epithelial cells. It remains to be studied if the pattern of expression of Hap in vivo is consistent with this view or if inactivation of hapA perturbs the timely expression of other virulence factors during infection. Finally, since V. cholerae likely interacts with other proteinaceous surfaces outside the human host, regulation of extracellular protease production could have an impact on the ecology of this organism.
| ACKNOWLEDGEMENTS |
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Received 31 October 2002;
revised 18 February 2003;
accepted 17 March 2003.
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