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Infection and Immunity, October 2008, p. 4431-4438, Vol. 76, No. 10
0019-9567/08/$08.00+0 doi:10.1128/IAI.00321-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Michel Gilbert,3
Wim Ang,1,
Hubert P. Endtz,1
Mathijs P. Bergman,1,
and
Edward E. Nieuwenhuis2
Departments of Medical Microbiology and Infectious Diseases,1 Pediatrics, Erasmus MC, Rotterdam, The Netherlands,2 Institute for Biological Sciences, National Research Council of Canada, Ottawa, Ontario, Canada3
Received 11 March 2008/ Returned for modification 20 April 2008/ Accepted 8 July 2008
Campylobacter jejuni is a frequent cause of bacterial gastroenteritis worldwide. Lipooligosaccharide (LOS) has been identified as an important virulence factor that may play a role in microbial adhesion and invasion. Here we specifically address the question of whether LOS sialylation affects the interaction of C. jejuni with human epithelial cells. For this purpose, 14 strains associated with Guillain-Barré syndrome (GBS), 34 enteritis-associated strains, the 81-176 reference strain, and 6 Penner serotype strains were tested for invasion of two epithelial cell lines. C. jejuni strains expressing sialylated LOS (classes A, B, and C) invaded cells significantly more frequently than strains expressing nonsialylated LOS (classes D and E) (P < 0.0001). To further explore this observation, we inactivated the LOS sialyltransferase (Cst-II) via knockout mutagenesis in three GBS-associated C. jejuni strains expressing sialylated LOS (GB2, GB11, and GB19). All knockout strains displayed significantly lower levels of invasion than the respective wild types. Complementation of a
cst-II mutant strain restored LOS sialylation and reset the invasiveness to wild-type levels. Finally, formalin-fixed wild-type strains GB2, GB11 and GB19, but not the isogenic
cst-II mutants that lack sialic acid, were able to inhibit epithelial invasion by viable GB2, GB11, and GB19 strains. We conclude that sialylation of the LOS outer core contributes significantly to epithelial invasion by C. jejuni and may thus play a role in subsequent postinfectious pathologies.
Published ahead of print on 21 July 2008.
Present address: Laboratory for Infectious Diseases, Groningen, The Netherlands.
Present address: Department of Medical Microbiology, Vrije Universiteit, Amsterdam, The Netherlands.
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