Previous Article | Next Article ![]()
Infection and Immunity, November 1999, p. 5587-5596, Vol. 67, No. 11
Center for Vaccine Development, Department of
Pediatrics, University of Maryland School of Medicine, Baltimore,
Maryland 21201,1 and Department of
Public Health, Faculty of Medicine, UNAM, 04510 Mexico DF,
Mexico2
Received 2 June 1999/Returned for modification 29 July
1999/Accepted 10 August 1999
We have identified and characterized a secreted protein, designated
Pic, which is encoded on the chromosomes of enteroaggregative Escherichia coli (EAEC) 042 and Shigella
flexneri 2457T. The product of the pic gene is
synthesized as a 146.5-kDa precursor molecule which is processed at the
N and C termini during secretion, allowing the release of a mature
protein (109.8 kDa) into the culture supernatant. The deduced amino
acid sequence of Pic shows high homology to autotransporter proteins,
particularly a subgroup termed the SPATEs (serine protease
autotransporters of the Enterobacteriaceae). Present in all
members of this subgroup is a motif similar to the active sites of
certain serine proteases. Pic catalyzes gelatin degradation, which can
be abolished by disruption of the predicted proteolytic active site.
Functional analysis of the Pic protein implicates this factor in
mucinase activity, serum resistance, and hemagglutination. Our data
suggest that Pic may be a multifunctional protein involved in enteric pathogenesis.
Diarrhea is a major cause of
mortality and morbidity worldwide, particularly among children. For all
diarrheal pathogens there is a sequence of mucosal interactions
requiring mucus attachment and penetration followed by interaction with
the tissue and elicitation of host damage (76). Virulence
determinants are produced by pathogens to allow them to breach the
barriers to infection and to execute this sequence. Adherence is a
critical first step in mucosal interactions. It has been suggested that
the mucus layer covering the epithelial surface may protect against
colonization of the intestinal tract by enteric pathogens by inhibiting
their access to enterocytes (20, 84).
Two of the most important enteric bacterial pathogens are
Shigella flexneri and diarrheagenic Escherichia
coli. Within the species E. coli, there are commensal
strains and a variety of pathogenic strains including enteropathogenic
E. coli (EPEC), enterotoxigenic E. coli (ETEC),
enteroinvasive E. coli (EIEC), enterohemorrhagic E. coli (EHEC), and enteroaggregative E. coli (EAEC). EAEC
has been implicated as an emerging cause of pediatric diarrhea in the
developing world (51, 56, 71) and as the causative organism
in a number of outbreaks in the developed world (13, 37, 49,
77). EAEC-mediated diarrhea is characterized by the formation of
a thick mucus gel on the intestinal mucosa and by mucosal damage. EAEC
diarrhea is predominantly secretory in nature; stools contain mucus and
often blood but generally no polymorphonuclear leukocytes (17,
50). Although enterotoxins have been described in EAEC (23,
74), the full picture of EAEC pathogenesis has not yet been described.
S. flexneri is closely related genetically to E. coli, and it has been suggested by a number of groups that
S. flexneri represents a subspecies of E. coli
(40, 64, 69). Nevertheless, S. flexneri elicits a
distinctive and complex disease, bacillary dysentery, caused by
invasion of the colonic epithelial cells and characterized by an
intense inflammatory response (57). Notably, however, many
cases of shigellosis are manifested as watery diarrhea, which may be
mediated by one or more enterotoxins.
Research on S. flexneri pathogenicity has focused mainly on
the plasmid-encoded genes necessary for penetration and intercellular dissemination (48, 72). Likewise, factors associated with EAEC-mediated diarrhea have been localized to a 65-MDa plasmid, which
is required for expression of aggregative adherence fimbriae (18) and several putative toxins (23, 73).
Nevertheless, evidence exists for chromosomal virulence factors in both
S. flexneri (54, 65) and EAEC (19). In
this article we report the cloning, nucleotide sequence analysis, and
expression of the gene encoding a 116-kDa secreted protein described by
Eslava et al. (24), which is located on the chromosome of
both EAEC and Shigella strains. We have termed this gene
pic and the gene product Pic (for "protein involved in
intestinal colonization"). This protein is an extracellular serine
protease which displays in vitro mucinolytic activity, serum
resistance, and hemagglutination. The protease is synthesized as a
large precursor, which is processed during secretion by the autotransporter secretion mechanism.
Bacterial strains and plasmids.
The bacterial strains and
plasmids used in this study are listed in Table
1. E. coli 042, a known
diarrheal pathogen, was isolated from a child with diarrhea during the
course of an epidemiological study in Peru (50). E. coli HB101 was used for genetic manipulations. Strains were passed
routinely on Luria-Bertani broth (L-broth) or agar with the following
antibiotic supplements where appropriate: ampicillin (100 µg/ml),
kanamycin (50 µg/ml), nalidixic acid (50 µg/ml), and tetracycline
(10 µg/ml). All strains were stored at
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Characterization of Pic, a Secreted Protease of
Shigella flexneri and Enteroaggregative
Escherichia coli
![]()
ABSTRACT
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
![]()
INTRODUCTION
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
![]()
MATERIALS AND METHODS
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
70°C in Trypticase soy
broth with 15% glycerol.
TABLE 1.
Bacterial strains and plasmids used in this study
Protein preparation and analysis.
Bacteria were harvested in
the late logarithmic phase of growth by centrifugation at
16,000 × g for 10 min at 4°C. Envelopes were
prepared by a modification of the method outlined by Caffrey and Owen
(10). Briefly, envelopes isolated following French pressure
lysis of bacterial cells were sedimented by centrifugation (48,000 × g for 60 min at 4°C) and washed twice in
30 ml of 10 mM Tris-HCl (pH 7.2) and once in 3 ml of the same buffer.
The standard conditions for sedimentation of envelope fractions were 48,000 × g for 60 min at 4°C. The envelopes were
finally resuspended in 1 ml of the same buffer and aliquoted for
storage at
70°C for further manipulations.
Preparation of antisera. Rabbit antiserum specific for Pic was raised by subcutaneous injection of Pic preparations in Freund's adjuvant as described previously (33). Preparations of immunoglobulins were adsorbed successively by incubation at 4°C for 24 h with an E. coli protein-agarose suspension (Sigma).
PCR procedures. Amplifications were performed with 500 ng of purified chromosomal DNA as templates and 0.2 mM each primer in a 100-µl reaction mixture containing 2 U of Taq DNA polymerase, 50 mM each deoxynucleoside triphosphate, 1.5 mM MgCl2, and 10 µl of the manufacturer's buffer (GIBCO BRL). Forty cycles of 1 min of denaturation at 94°C, 1 min of primer annealing at 60°C, and 1 min of extension by Taq polymerase at 72°C were carried out. PCR was performed with the following primers pairs: the forward and reverse primers 5'-GGTACCGGGNATHGTNCGNTCNGAYAT-3' and 5'-GAGCTCNGTRTCNGCYTGYTGRTT-3' (where N, H, Y, and R are standard nucleotide abbreviations), which corresponded to the amino acid sequences GIVRSD and NQQADT, respectively, and the forward and reverse primers 5'-CTGAATTCCTCCCCCTTACCGAAGACC-3' and 5'-TGCCATGTGGCAGCCTGAGTTCACAG-3', which are located, respectively, 183 bp upstream and 96 bp downstream of the pic gene.
Plasmid and strain construction. To create a minimal clone expressing Pic (pPic1), a 5.8-kb EcoRI-ScaI chromosomal fragment from E. coli 042 was cloned into the EcoRI-ScaI sites of pACYC184, giving rise to a clone conferring tetracycline resistance. This construction contains the complete Pic coding region, native promoter, and downstream termination motif with an additional 1,000 bp upstream of the ATG initiation codon and 750 bp downstream of the termination codon.
Site-directed mutagenesis was performed with the Quikchange mutagenesis kit (Stratagene) as specified by the manufacturer. The template used for construction of the site-directed mutant (pPicS258I) was pPic1. The oligonucleotides used for this purpose were 5'-GGAGCCCCTGGGGATATTGGTTCTCCTTTGTTTGCTTATG-3' and 5'-CATAAGCAAACAAAGGAGAACCAATATCCCCAGGGGCTCC-3'. Following mutagenesis, the S258I mutation was confirmed by double-strand sequencing of the area encompassing the serine protease active site.DNA sequence determination and analysis. DNA sequence determination was performed on an Applied Biosystems 373A automated sequencer by dye terminator cycle sequencing with Taq polymerase (Perkin-Elmer Corp.) as specified by the manufacturer; sequencing was performed in the Biopolymer Laboratory, Department of Microbiology and Immunology, University of Maryland School of Medicine. The nucleotide sequence was analyzed with the sequence analysis tools on the EXPASY molecular biology server (24a) and the Wisconsin GCG sequence analysis package available through the Center of Marine Biotechnology, University of Maryland. The predicted amino acid sequence of each open reading frame (ORF) was compared with proteins listed in EMBL/GenBank by using the GCG TFASTA program and the BLAST algorithm (National Center for Biotechnology Information). Secondary-structure predictions were performed by the Jähnig (39), Emini et al. (22), or Kyte and Doolittle (42) algorithms, which are available in the HUSAR program package of the Deutsches Krebsforschungszentrum (Heidelberg, Germany). DNA analysis and manipulations were performed by standard methods (3). Plasmid DNA was extracted with the Plasmid Midi Kit (Qiagen Inc.). Purification of DNA fragments and extraction from agarose gel slices were performed with the PCR Wizard Kit (Promega). Plasmid DNA was introduced into appropriate strains by transformation of competent cells by the method of Hanahan (32).
Hemagglutination. Erythrocytes (RBCs) were obtained as lyophilized preparations from Sigma. They were washed twice in phosphate-buffered saline (PBS) and resuspended to a final concentration of 3% (vol/vol) with 1% mannose (wt/vol). Preparations of Pic were serially diluted in 96-well plates to give a final volume of 100 µl. Subsequently, 100 µl of an RBC suspension was added; after gentle mixing, the reaction mixture was incubated for 20 min at room temperature. Only visible clumping of RBCs was considered to represent a positive result. Inhibition of hemagglutination was performed by the addition of anti-Pic antibodies (diluted 1:50 in PBS) to the serially diluted Pic protein and incubating at room temperature for 30 min prior to the addition of the erythrocytes. The reaction was continued as above.
Protease activity. Gelatinase and caesinase zymogram analyses were performed by electrophoresing concentrated supernatants of HB101(pPic1) in a precast zymogram gel (Novex). After electrophoresis, the gel was incubated for 30 min at room temperature in zymogram renaturing buffer (2.5% Triton X-100), equilibrated for 30 min with zymogram developing buffer (1.21 g of Tris base, 6.3 g of Tris-HCl, 11.7 g of NaCl, and 0.74 g of CaCl2 per liter), incubated at 37°C for 4 h with fresh developing buffer, and stained with Coomassie blue R-250 for 30 min. Proteolytic activity was easily identified as the presence of clear bands against a dark blue background of nonhydrolyzed proteins.
Mucinase determinations, with ovomucin as the substrate, were performed as described previously (28) with 100 mM Tris-buffered saline (pH 8.0) as the diluent and 1% aqueous cetyltrimethylammonium bromide (CTAB) to precipitate the undigested mucin. The ovomucin was prepared by adding 12 egg whites to 4 liters of ice-cold distilled water. The supernatant was decanted and lightly centrifuged, and the precipitate was dissolved in a minimal amount of 5% NaCl. The mucin was titrated to determine the lowest concentration which in 1 ml would form a clot on addition of 50 µl of the CTAB solution. In the ovomucinase assay, 500-µl preparations of the test substances were added to 500 µl of mucin, which was prepared so that when the mucin was diluted by 50% it would still form a clot. These test mixtures were incubated at 37°C for 30 min, and CTAB was added. The tubes were swirled to determine clot formation. A substance was determined to have mucinase activity if formation of a fibrous clot was absent upon addition of CTAB. Mucinolytic activity for hog gastric mucin (Sigma), bovine submaxillary mucin (Sigma), and crude mouse large-intestine mucin was detected and quantified by several methods. In the first method, Pic protein preparations were incubated for 24 h at 37°C on a medium containing 1.5% agarose, 1.0% glucose, and 0.5% mucin in L-broth. The plates were subsequently stained with 0.1% amido black in 3.5 M acetic acid. Zones of mucin lysis are observed as discolored halos around colonies or holes bored into the medium (15). In the second method, treated (37°C for 12 h) and untreated mucin specimens were electrophoresed on an SDS-7% polyacrylamide gel as previously described (75). The gel was then incubated in 0.2% periodic acid for 1 h and then in Schiff reagent (PAS) until a color change was evident. The reaction was stopped by the addition of 7.5% acetic acid. In the third method, crude mouse mucus preparations (see below) were treated with Pic protein preparations at 37°C for 12 h before being applied to a gel filtration column containing Sephacryl S400. The column was calibrated with blue dextran, and the position of the excluded void volume is indicated. Fractions (0.8 ml) were collected during chromatography. PAS staining was performed on 300-µl aliquots and measured at 555 nm as previously described (45), and the profiles were compared with those obtained for crude mucus.Isolation of mouse intestinal mucus glycoprotein. Mouse mucus glycoprotein was purified essentially as described previously (46). The large intestines of freshly sacrificed mice were dissected out and flushed with sterile saline, and the mucosal surface was exposed by longitudinal dissection. The intestines were placed in 0.2 M NaCl, and the tissue was homogenized for 30 s with a Tissue Tearor (Biospec Products Inc.). Soluble mucus was separated from tissue debris by centrifugation at 6,000 × g for 30 min. This preparation was then layered on a gel filtration column containing Sephacryl S400. Mucin is the predominant glycoprotein eluting in the void volume and was quantitated by a spectrophotometric PAS assay as described previously (45).
Complement inactivation assay.
Normal adult human serum and
C9-deficient sera were obtained from Sigma. Complement was inactivated
by heating the normal serum at 56°C for 30 min. Samples (20 µl) of
normal, C9-deficient, and heat-inactivated serum were incubated with
160 µl of PBS or 160 µl of a Pic preparation (200 µg
ml
1) for 30 min at 37°C. After the initial incubation,
20 µl of a DH5
culture, grown to mid-logarithmic phase (optical
density at 600 nm = 0.5) in L-broth, was added to the normal
serum, the heat-inactivated serum, and the serum pretreated with Pic.
Incubation was continued at 37°C. At 0, 15, and 30 min, 10-µl
aliquots were removed, spread onto prewarmed agar plates, and
incubated overnight at 37°C. In some experiments, organisms were
exposed to normal serum containing 10 mM EGTA and MgCl2 to
inactivate the alternative pathway (26).
| |
RESULTS |
|---|
|
|
|---|
Cloning and sequence analysis of the EAEC pic gene. We and others have found that many EAEC strains secrete a high-molecular-mass protein of ca. 116 kDa (23, 24, 52). We have previously determined the N-terminal sequence of this protein [GI(V/P)RSDI] and found that it was 100% identical to the predicted product of a S. flexneri gene in the database (accession no. U35656) (19). Of note is that this 4.1-kb gene was predicted to encode a 146-kDa protein on the coding strand and the enterotoxin ShET1 on the antisense strand (see below). We sought to clone and sequence the EAEC gene and to characterize its product. The N-terminal amino acid sequences of two internal peptides, generated by digestion of the 116-kDa EAEC supernatant protein with the endopeptidase Lys-C, were determined and identified as TGDGIVVLNQQADTAGNIQ and XLFVXXAX.
Mixtures of oligonucleotides, corresponding to the amino acid sequences GIVRSD and NQQADT derived from peptide sequencing, were used as primers in PCRs performed with EAEC 042 chromosomal DNA as the template. A 1,198-bp PCR product was obtained and sequenced by primer walking. DNA sequence analysis revealed that this stretch of DNA was 99.9% identical to an internal portion of the S. flexneri gene. In light of this observation, primers which corresponded to sequences positioned 183 bp upstream and 96 bp downstream of the 4.1-kb Shigella gene were designed. As expected, a PCR product of 4,395 bp was amplified. Rather than using PCR, a minimal clone of the gene (pPic1) was constructed by cloning a 5.8-kb native chromosomal segment (EcoRI-ScaI) from E. coli 042 into pACYC184. The sequence of the 5.8-kb EAEC chromosomal fragment was determined in its entirety (Fig. 1). The sequence contained a large ORF, designated the pic gene, of 4,116 nucleotides (accession no. AF097644). The insert of pPic1 spanned from 1,000 bp upstream of the pic gene to 750 bp downstream of the termination codon and included a predicted promoter and rho-independent termination motif. The predicted protein (Pic) contained the empirically determined N-terminal amino acid sequences. The overall G+C content of pic is 49.54%. The promoter region contained a
10 sequence (TGTAAA) which was
positioned 19 bp upstream of the predicted ATG start codon and a
35
region (TTTACT) which was separated by a further 17 bp. A
predicted Shine-Dalgarno site, with the sequence GGAG, was identified 9 bp upstream of the proposed start codon. A sequence similar to a
rho-independent transcriptional terminator was present beginning 11 nucleotides beyond the stop codon and contains interrupted inverted repeats with the potential for forming a hairpin structure containing a stem of 10 bases and a loop of 4 bases.
|
(58). Preceding this sequence is a stretch of sequence
identical to IS911 from S. dysenteriae
(60). In addition, 118 bp downstream of pic lies
a stretch of sequence homologous to the IS-like ORF perD
(30) (Fig. 1). Another 168 bp downstream is a sequence corresponding to an ORF from the cryptic prophage 933L, which delimits
the left-hand side of the EHEC O157:H7 locus of enterocyte effacement
(59). Although the equivalent flanking sequence in S. flexneri 2457T has not been determined, there is limited sequence upstream of the she gene corresponding to an
IS629 element. Rajakumar et al. (65)
determined the flanking sequence of the she gene in S. flexneri SBA1336 (a derivative of strain YSH6000T) and found a complete copy of the IS629 element upstream of
she. However, no sequence resembling an IS911
element or sequence similar to perD was identified.
Assuming that the first ATG is the start codon, the pic gene
encodes a primary translation product of 1,372 amino acids with a
molecular mass of 146,450 Da and a calculated isoelectric point of
6.24. In addition to the almost complete identity (99.7%) displayed between the gene from E. coli 042 and that from S. flexneri 2457T, the Pic polyprotein displayed significant
homology to a group of autotransporter proteins which we have termed
the SPATE subfamily (serine protease autotransporters of the
Enterobacteriaceae) and which includes Pet (an enterotoxin
of EAEC [23]), EspP (a cytotoxin of EHEC
[8]), EspC of EPEC (79), SepA (a putative
cytotoxin of S. flexneri [5]), and Tsh (a
hemagglutinin-haemoglobin protease from an avian-pathogenic strain of
E. coli [55, 63]). Notably, the
homologies displayed are not uniformly distributed over the sequences; the N-terminal passenger domain (the secreted protein) displays 49.6, 46.7, 34.6, 31.4, and 31.2% identity to the SepA, Tsh,
EspC, EspP, and Pet
-domains, respectively, whereas the C-terminal
-domain (the C-terminal
-barrel) exhibits 76.9, 62.5, 79.4, 80.1, and 79.8% identity, respectively.
The Pic polyprotein possesses several features characteristic
of the SPATE subfamily of the autotransporters. First, a consensus serine protease motif (GDSGSP) has been reported for all members of the
SPATE subfamily, in addition to the IgA1 proteases and the Hap protein
of Haemophilus influenzae (35). At the
corresponding site in the polyprotein, the sequence was
determined to be GDSGSP. In the IgA1 protease, this site acts as the
catalytic site (31); however, a definitive function has not
been determined for this motif in any member of the SPATE
subfamily. Second, the predicted N terminus possesses the
characteristics of an extended signal sequence, with an N-domain
possessing six positively charged amino acids
(R24RVIKKTCRR), a hydrophobic domain
spanning 16 neutral amino acids, and a C-domain which features a
sequence (SQA55) compatible with the consensus for a signal
peptidase recognition site (38). Indeed, computer-aided
analysis of the signal sequence predicts a cleavage site which agrees
exactly with the position indicated by N-terminal amino acid sequencing
of the secreted protein. Thus, assuming a correct prediction of the
start methionine, this signal sequence would be unusually long
for E. coli, but it is similar to those predicted
for all other members of the SPATE subfamily and a limited number of
other autotransporters (35).
Presence of the ShET1 toxin genes. Contained within the EAEC pic gene, on the complementary noncoding strand, are two consecutive ORFs (Fig. 1) of 186 and 534 nucleotides. These consecutive ORFs are positioned from nucleotides 2486 to 2301 and from 2297 to 1764 with respect to the first nucleotide of the large pic gene. Assuming that the first ATG of each of the consecutive ORFs is the start codon, these genes encode primary translation products of 61 and 177 amino acids, with molecular masses of 6,850 and 19,783 Da, respectively. Comparison of the nucleotide and deduced amino acid sequences with those listed in GenBank databases revealed 100% overall identity to the S. flexneri ShET1 enterotoxin subunits, Set1A and Set1B (25).
Processing of the secreted protein.
Processing of the Pic
protein in Shigella has not been described. By N-terminal
sequencing, the signal peptidase-processed EAEC Pic protein begins at
G56, is composed of 1,317 amino acids, and has a calculated
molecular mass of 140,403 Da. In view of the homology to other
autotransporters and since the secreted protein has an observed
molecular mass of 116 kDa, it seems likely that a further
posttranslational cleavage step is required for secretion of the mature
protein. Members of the autotransporter family of proteins are
exported through the outer membrane of the bacterium via a
characteristic C-terminal amphipathic region (
-domain) comprising an
even number of antiparallel
sheets; this region of the
protein forms a
-barrel structure in the outer membrane, through
which the passenger domain of the protein passes (35). The
high identity between the
-domains of Pic and other members of the
SPATE subfamily suggests that the
-domain functions as an outer
membrane translocator. In view of the highly conserved cleavage site
(EVN-NLN) between the passenger and
-domains of the SPATE subfamily,
the cleavage site was predicted to be between residues
N1095 and N1096. Such a cleavage event would
result in a secreted protein of 109.8 kDa, a mass which agrees well
with the mass of 116 kDa predicted for the secreted protein by SDS-PAGE analysis.
-domain remains as an integral membrane-bound protein with features characteristic of outer membrane proteins (35). To determine if this was the case for our protein, the outer membrane
-domain was visualized by SDS-PAGE analysis of envelopes from HB101(pPic1) extracted with Triton X-100 and compared with similar extracts of HB101(pACYC184). These analyses revealed a ca.
30-kDa species in the fractions obtained from HB101(pPic1) that was
absent from similar fractions of the control (Fig.
2A).
|
-domain from the
polyprotein, secondary-structure analyses were performed
from the putative N1096 cleavage site to the terminal
phenylalanine residue. Kyte and Doolittle (42)
hydrophobicity analyses did not reveal any linear stretches of
hydrophobic amino acids of the type associated with
-helical
transmembrane segments. However, predictions according to the
algorithm H
(i) = [h(i ± 4) + h(i ± 2) + h(i)]/5 of Jähnig (39)
indicate with good probability that the
-domain consists of at
least 10 membrane-spanning amphipathic
-strands. Four additional
-strands are predicted with lower probability. These
-sheets are
interrupted by large external loops and generally short periplasmic
loops spanning amino acids 1096 to 1372 of the precursor. Furthermore,
regions of high surface probability, predicted by Emini et al.
(22), are in good agreement with the positions of the
-strands, since such regions are always located between the
-strands.
The possible role of several membrane-associated enzymes in the
processing and export of the secreted protein was investigated. The
pPic1 clone was transformed into E. coli JCB517
(dsbA), UT5600 (ompP ompT), and KS474
(degP). The resulting constructions were screened for the
correct processing of the polyprotein by SDS-PAGE analysis of
concentrated culture supernatants. Each strain yielded a 109.4-kDa
species, suggesting that processing of the precursor occurs without the
interaction of the OmpP, OmpT, or DegP proteases and in the absence of
the DsbA isomerase (Fig. 2B).
We investigated the role of the serine protease motif in proteolytic
processing of the polyprotein. By using site-directed mutagenesis, the putative active-site serine residue at position 258 (S258) was changed to isoleucine, generating the construct pPicS258I.
Analysis of the proteins in culture supernatants revealed similar
levels of protein to those derived from the wild-type clone, pPic1
(Fig. 2B). No difference in the molecular weights of the secreted
proteins was observed. Comparison of envelope preparations from
HB101(pPic1) and HB101(pPicS258I) by SDS-PAGE revealed the presence of
-domains of similar size (Fig. 2A).
Regulation of Pic expression in EAEC.
Variations in
environmental parameters often affect the level of expression of
certain virulence determinants. To determine the parameters involved in
Pic expression, strain 042 was grown in L-broth under different
conditions to an optical density at 600 nm of 0.5 and concentrated
culture supernatants were analyzed for the Pic protein by Western
immunoblotting. As previously mentioned, on the antisense strand of
pic is encoded the ShET1 enterotoxin, which is iron
regulated (25). To determine if expression from the
pic gene is iron regulated as well, strain 042 was grown in L-broth supplemented with either 25 µg of
ethylenediamine-N,N'-bis(2-hydroxyphenylacetic acid) (EDDA) ml
1 (low iron) or 0.5 mM FeSO4
(high iron). Although 25 µg of EDDA ml
1 induced growth
retardation, no significant difference was observed in the levels of
protein apparent in preparations from high- or low-iron-containing
medium (Fig. 3, lanes 1 and 2).
|
Protease activity. The observed sequence similarities between the secreted Pic protein and other proteases, in addition to the fact that the polyprotein features a serine protease site, suggests that Pic has proteolytic activity. Consequently, the ability of Pic to act as a protease was tested by separating concentrated supernatants through casein or gelatin zymogram gels. Concentrated supernatants from strains HB101(pPic1) yielded zones of clearing on gelatin gels whereas HB101(pPicS258I) and HB101(pACYC184) did not exhibit proteolytic activity (data not shown). No activity was observed in the casein zymograms. In view of the similarity to the IgA1 proteases, Pic preparations were incubated with human IgA, IgM, and IgG preparations; however, no evidence of immunoglobulin degradation was observed.
Preliminary experiments had suggested that the 116-kDa protein from S. flexneri was able to cleave ovomucin (53). We observed ovomucinase activity with preparations of the Pic protein from EAEC (data not shown); this activity was inhibited by rabbit antiserum against the Pic protein. To determine whether the Pic protein cleaved mammalian mucin species, several experiments were performed with hog gastric mucin, bovine submaxillary mucin, and mouse crude mucin. First, E. coli 042 and S. flexneri 2457T were grown on agarose plates containing glucose and one of the mucin species listed above (see Materials and Methods). However, no clear zones of mucin lysis were apparent around any of the colonies. In contrast, zones of clearing were apparent when Pic protein was added to wells bored in the agar containing the bovine and murine mucin species (Fig. 4A). Such diffusible mucinolytic activity was absent on plates containing hog gastric mucin. Furthermore, the mutant Pic protein from the serine protease mutant (S258I) failed to produce zones of clearing on mucin species.
|
Effect of Pic on serum resistance.
Secreted proteases may
exhibit functions other than mucinase activity that promote the
intestinal survival of enteric pathogens. Other members of the
autotransporter family have been shown to confer serum resistance
(1, 26), adhesion (6, 80), and hemagglutination
(63). To examine the effect of Pic on serum resistance,
E. coli DH5
was tested in a serum bactericidal assay with
Pic protein preparations. As expected, DH5
was readily killed by
normal human serum (Fig. 5). However,
when the normal serum was pretreated with Pic for 30 min at 37°C
prior to the addition of DH5
, the bacteria were able to grow
normally. In contrast, pretreatment of the Pic protein with anti-Pic
antibodies prior to incubation with normal serum abolished the ability
of the protein to protect the DH5
bacteria from serum bactericidal
activity. To assess whether the serine protease domain of Pic was
involved in the serum resistance activity of Pic, the protein was
treated with 2 mM phenylmethylsulfonyl fluoride, and washed in 100 volumes of PBS before being incubated with normal serum. This treatment abolished the activity of Pic in the assay. Furthermore, pretreatment of serum with the Pic site-directed mutant S258I did not abolish the
antibacterial activity of normal human serum (Fig. 5A).
|
is complement (Fig. 5B). Furthermore,
the use of C9-deficient serum in place of normal serum also resulted in
loss of the killing effect. To test which of the complement pathways
was involved, DH5
was exposed to serum containing 10 mM EGTA and
MgCl2. This treatment inactivates the classical pathway by
chelating Ca2+ (67). As indicated in Fig. 5,
unlike for normal serum, the killing effect was abrogated in
Ca2+-depleted serum. Similarly, depletion of antibodies in
the serum by adsorption (for 18 h at 4°C) with heat-inactivated
DH5
(heated at 100°C for 5 min) eliminated the ability of this
serum to kill the bacteria (Fig. 5B). These data suggest that Pic acts
on the classical pathway or on a component essential for the early
steps of the complement cascade.
Hemagglutination.
Previous experiments by other
investigators have shown that Tsh, a close homologue of Pic, is a
hemagglutinin of chicken RBCs (63). Therefore, we tested
whether Pic was also a hemagglutinin. Protein preparations
derived from HB101(pPic1) were incubated with RBCs from different
species (as described in Materials and Methods). Preparations of the
proteins weakly agglutinated RBCs from rats, pigs, rabbits, horses, and
sheep; however, they did not agglutinate human or chicken RBCs (Table
2). Interestingly, the protein
preparation agglutinated the rat RBCs at a higher titer than any for
other species. Rabbit antiserum against Pic, adsorbed with whole cells,
failed to agglutinate RBCs. Preincubation of the protein preparations
with anti-Pic antibodies inhibited the hemagglutination of RBCs from
all species.
|
| |
DISCUSSION |
|---|
|
|
|---|
In this study, we have characterized the gene encoding a 109.8-kDa extracellular protein which is secreted by two enteric pathogens, S. flexneri 2a and EAEC. Analysis of nucleotide sequence data provides the basis for this distribution. A number of IS-like elements were found flanking the pic gene; of note is the presence of a fragment of an IS629 element and an IS911 element which have been found flanking other members of the SPATE family (35). The flanking sequence in EAEC differs from that of the identical pic gene in Shigella, suggesting that this gene has been acquired by horizontal transfer. The presence of the gene on a pathogenicity island in Shigella (65) suggests that the pic gene may also be located on an as yet uncharacterized pathogenicity island in E. coli 042. This hypothesis is supported by the presence of an ORF from the cryptic prophage 933L, which delimits the left-hand side of the EHEC O157:H7 locus of enterocyte effacement island. Additional evidence for differences in the organization of the chromosomal regions encoding Pic arises from the fact that EAEC 042 lacks the sigA gene, which is present on the Shigella pathogenicity island and encodes another autotransporter (19, 65).
Our analyses of the gene encoding the Pic protein show that Pic has a
high level of identity to proteins of the autotransporter family, a
rapidly growing group of virulence determinants from gram-negative
bacteria (35). The autotransporter family takes its name
from its unique secretion mechanism, for which it is hypothesized that
the N-terminal amino acid signal sequence directs secretion across the
inner membrane (presumably via a Sec-dependent mechanism) and
subsequently the C-terminal portion of the precursor forms a
-barrel
structure in the outer membrane. The N-terminal portion of the molecule
(the so-called passenger domain) is believed to be transported through
the
-barrel to the cell surface. Analysis of the C-terminal 277 amino acid residues of Pic suggested the presence of 14 amphipathic
-strands, typical for members of the autotransporter family. An even number of
-strands would place the
first and last segments in opposite orientations and would allow
closing of the
-barrel, a feature also observed for the trimeric
porins such as OmpF (16). In agreement with the postulate that the
-domain forms a
-barrel structure in the outer membrane, the amino acids at the extreme C terminus of Pic (YMF) fit the consensus profile previously derived for other outer membrane proteins
(35, 82).
Another feature common among members of the autotransporter family is the presence of an unusually long N-terminal signal peptide (35). For Pic, N-terminal sequencing of the secreted protein indicated cleavage of the precursor molecule at residue 55 (assuming a methionine start site), which agrees with the prediction of a signal peptidase cleavage site between residues 55 and 56 (SQA-GIV). The significance of this extended signal sequence has not been determined.
Based upon sequence comparison with other members of the
autotransporter family, the release of mature Pic apparently occurs by
proteolysis from the
-domain between residues N1095 and
N1096. To further characterize the processing step involved
in the maturation of Pic, secretion of the passenger domain was
investigated in various E. coli strains possessing
pic constructs. Expression of the pic gene in
E. coli strains lacking the OmpT and OmpP outer membrane
proteases, DsbA (the disulfide bond isomerase) and DegP (the
periplasmic protease) indicated that formation of the
-domain and
the secreted mature protein was independent of these four enzymes and
implied either that an unidentified protease is involved or that
autoprocessing may occur. For Hap from Haemophilus
influenzae and the IgA1 proteases from Neisseria, this
processing step seemed to be the result of autoproteolysis mediated by
the serine protease site (36). The presence in Pic of a
putative serine protease active site suggested that a similar step
could also occur for Pic. However, unlike Hap and the IgA1 protease,
site-directed mutagenesis of the active-site serine residue (S258) in
the putative serine protease motif did not abolish processing and
secretion of the protein.
Pic belongs to a subfamily of autotransporters that feature a serine protease motif in the N-terminal one-third of the passenger domain, including a growing number of SPATEs, the IgA proteases, and Hap. Although the precise role of these proteins in pathogenesis has not been determined, our data support the possibility that Pic and perhaps other secreted proteases of the SPATE class may mediate one or more steps in enteric pathogenesis. Indeed, there is ample evidence for roles (often multiple) of secreted proteases in pathogenesis, including in group A streptococci (44), Entamoeba histolytica (78), Porphyromonas gingivalis (83), and Vibrio cholerae (28).
Pic may play similar or different roles in EAEC and Shigella diarrhea. Clinical observations suggest that EAEC diarrhea is associated with mucosal damage, apparently via elaboration of a cytotoxin, and formation of a thick mucus gel on the intestinal mucosa. Eslava et al. (24) have described two EAEC proteins of 104 kDa and ca. 116 kDa that were isolated from outbreak strains and that, when injected into ileal loops, induced cytotoxic effects on the mucosa. Recent evidence suggests that the 104-kDa protein (Pet) is a plasmid-encoded enterotoxin of EAEC (52). Using molecular methods, we have found that the 116-kDa protein is Pic. Our in vitro studies suggest possible roles for Pic that may be responsible for its effects in both EAEC and Shigella. In vitro, Pic appears to possess more than one relevant phenotype. These functions include the degradation of mucin, serum resistance, and hemagglutination, which could be representative of mucosal binding. However, our data do not support a role for Pic as a cytotoxin (34, 52).
The ability to resist complement-mediated killing is not generally thought to be relevant to intestinal pathogens such as EAEC or S. flexneri. However, both of these organisms are associated with bloody diarrhea, often, in Shigella infections, together with mucosal ulceration. This phenomenon could expose the organisms to increased transudation of complement proteins, which could exert potent antibacterial and inflammatory effects. Even in the absence of mucosal ulceration, complement proteins have been identified in the intestinal tract (2), suggesting that complement resistance may be relevant to intestinal colonization. It is not yet clear how Pic mediates complement resistance, yet our data suggest that this effect is dependent on the protease activity of the protein. We must note, however, that the wild-type strains of our test organisms were not themselves highly susceptible to complement-mediated killing and that we have yet to demonstrate a role for this phenotype in vivo.
A more important role for Pic in pathogenesis may lie in its mucinolytic activity. The pathogenesis of both E. coli and S. flexneri infections requires contact with the mucosal cell surfaces. However, the mucus layer overlying the mucosal surface is considered to be a protective barrier against enteric infections (66). As a result, some enteric pathogens have developed various strategies for penetrating this gel-like layer, in some cases employing heightened flagellar motion and in others elaborating enzymes which degrade the mucus (14, 29). However, little is known about the mechanism by which Shigella and EAEC penetrate the mucus layer. Previous studies have noted that mucus is depleted on the colonic surface during S. flexneri infection (70) and that S. flexneri produces glycosidases or other enzymes which degrade either the peptide or oligosaccharide moieties of the mucin molecules (61, 62). It has also been suggested that these mucinolysins not only promote colonization but also promote Shigella penetration into the intestinal mucosa.
The phenotypes we have identified for Pic suggest that it is involved in the early stages of pathogenesis and most probably promotes intestinal colonization. Indeed, preliminary animal studies with both EAEC and Shigella pic mutants support this hypothesis (34). For this reason, we have adopted the designation Pic rather than the previously proposed she and ShMu; in addition, the designation she has been used previously in E. coli (68) and the she nomenclature suggests the presence of the gene in Shigella only.
S. flexneri 2a is the most common serotype causing bacillary dysentery worldwide (11, 27). In view of the distribution of pic and its putative role in S. flexneri pathogenicity, it is tempting to speculate that Pic contributes to the epidemiologic prevalence of serotype 2a by enhancing the clinical manifestations of the disease. The precise contribution of Pic to Shigella and EAEC pathogenesis and epidemiology requires further investigation.
| |
ACKNOWLEDGMENT |
|---|
This work was supported by U.S. Public Health Service grant AI33096 to J.P.N.
| |
FOOTNOTES |
|---|
* Corresponding author. Mailing address: Center for Vaccine Development, Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD 21201. Phone: (410) 706-7376. Fax: (410) 706-6205. E-mail: ihenders{at}umaryland.edu.
Editor: P. E. Orndorff
| |
REFERENCES |
|---|
|
|
|---|
| 1. |
Aebi, C.,
E. R. Lafontaine,
L. D. Cope,
J. L. Latimer,
S. L. Lumbley,
G. H. McCracken, Jr., and E. J. Hansen.
1998.
Phenotypic effect of isogenic uspA1 and uspA2 mutations on Moraxella catarrhalis 035E.
Infect. Immun.
66:3113-3119 |
| 2. | Andoh, A., Y. Fujiyama, H. Sakumoto, H. Uchihara, T. Kimura, S. Koyama, and T. Bamba. 1998. Detection of complement C3 and factor B gene expression in normal colorectal mucosa, adenomas and carcinomas. Clin. Exp. Immunol. 111:477-483[Medline]. |
| 3. | Ausubel, F. M., R. Brent, R. E. Kingston, D. D. Moore, J. G. Seidman, J. A. Smith, and K. Struhl (ed.). 1989. Current protocols in molecular biology. Greene Publishing Associates, New York, N.Y. |
| 4. | Bardwell, J. C., K. McGovern, and J. Beckwith. 1991. Identification of a protein required for disulfide bond formation in vivo. Cell. 67:581-589[Medline]. |
| 5. | Benjelloun-Touimi, Z., P. J. Sansonetti, and C. Parsot. 1995. SepA, the major extracellular protein of Shigella flexneri: autonomous secretion and involvement in tissue invasion. Mol. Microbiol. 17:123-135[Medline]. |
| 6. |
Benz, I., and M. A. Schmidt.
1989.
Cloning and expression of an adhesin (AIDA-I) involved in diffuse adherence of enteropathogenic Escherichia coli.
Infect. Immun.
57:1506-1511 |
| 7. | Boyer, H. W., and D. Roulland-Dussoix. 1969. A complementation analysis of the restriction and modification of DNA in Escherichia coli. J. Mol. Biol. 41:459-472[Medline]. |
| 8. | Brunder, W., H. Schmidt, and H. Karch. 1997. EspP, a novel extracellular serine protease of enterohaemorrhagic Escherichia coli O157:H7 cleaves human coagulation factor V. Mol. Microbiol. 24:767-778[Medline]. |
| 9. | Caffrey, P., T. McVeigh, and P. Owen. 1988. Western immunoblotting, p. 255-266. In P. Owen, and T. J. Foster (ed.), Immunochemical and molecular genetic analysis of bacterial pathogens. Elsevier Science Publishing, Amsterdam, The Netherlands. |
| 10. |
Caffrey, P., and P. Owen.
1989.
Purification and N-terminal sequence of the alpha subunit of antigen 43, a unique protein complex associated with the outer membrane of Escherichia coli.
J. Bacteriol.
171:3634-3640 |
| 11. | Casalino, M., M. W. Yusuf, M. Nicoletti, P. Bazzicalupo, A. Coppo, B. Colonna, C. Cappelli, C. Bianchini, V. Falbo, H. J. Ahmed, et al. 1988. A two-year study of enteric infections associated with diarrhoeal diseases in children in urban Somalia. Trans. R. Soc. Trop. Med. Hyg. 82:637-641[Medline]. |
| 12. |
Chang, A. C., and S. N. Cohen.
1978.
Construction and characterization of amplifiable multicopy DNA cloning vehicles derived from the P15A cryptic miniplasmid.
J. Bacteriol.
134:1141-1156 |
| 13. | Cobeljic, M., B. Miljkovic-Selimovic, D. Paunovic-Todosijevic, Z. Velickovic, Z. Lepsanovic, N. Zec, D. Savic, R. Ilic, S. Konstantinovic, B. Jovanovic, and V. Kostic. 1996. Enteroaggregative Escherichia coli associated with an outbreak of diarrhoea in a neonatal nursery ward. Epidemiol. Infect. 117:11-16[Medline]. |
| 14. | Cohen, P. S., and D. C. Laux. 1995. Bacterial adhesion to and penetration of intestinal mucus in vitro. Methods Enzymol. 253:309-314[Medline]. |
| 15. | Colina, A. R., F. Aumont, N. Deslauriers, P. Belhumeur, and L. de Repentigny. 1996. Evidence for degradation of gastrointestinal mucin by Candida albicans secretory aspartyl proteinase. Infect. Immun. 64:4514-4519[Abstract]. |
| 16. | Cowan, S. W., T. Schirmer, G. Rummel, M. Steiert, R. Ghosh, R. A. Pauptit, J. N. Jansonius, and J. P. Rosenbusch. 1992. Crystal structures explain functional properties of two E. coli porins. Nature 358:727-733[Medline]. |
| 17. | Cravioto, A., A. Tello, A. Navarro, J. Ruiz, H. Villafan, F. Uribe, and C. Eslava. 1991. Association of Escherichia coli HEp-2 adherence patterns with type and duration of diarrhoea. Lancet 337:262-264[Medline]. |
| 18. | Czeczulin, J. R., S. Balepur, S. Hicks, A. Phillips, R. Hall, M. H. Kothary, F. Navarro-Garcia, and J. P. Nataro. 1997. Aggregative adherence fimbria II, a second fimbrial antigen mediating aggregative adherence in enteroaggregative Escherichia coli. Infect. Immun. 65:4135-4145[Abstract]. |
| 19. |
Czeczulin, J. R.,
T. S. Whittam,
I. R. Henderson, and J. P. Nataro.
1999.
Phylogenetic analysis of enteroaggregative and diffusely adherent Escherichia coli.
Infect. Immun.
67:2692-2699 |
| 20. |
Drumm, B.,
A. M. Roberton, and P. M. Sherman.
1988.
Inhibition of attachment of Escherichia coli RDEC-1 to intestinal microvillus membranes by rabbit ileal mucus and mucin in vitro.
Infect. Immun.
56:2437-2442 |
| 21. | DuPont, H. L., R. B. Hornick, A. T. Dawkins, M. J. Snyder, and S. B. Formal. 1969. The response of man to virulent Shigella flexneri 2a. J. Infect. Dis. 119:296-299[Medline]. |
| 22. |
Emini, E. A.,
J. V. Hughes,
D. S. Perlow, and J. Boger.
1985.
Induction of hepatitis A virus-neutralizing antibody by a virus-specific synthetic peptide.
J. Virol.
55:836-839 |
| 23. |
Eslava, C.,
F. Navarro-Garcia,
J. R. Czeczulin,
I. R. Henderson,
A. Cravioto, and J. P. Nataro.
1998.
Pet, an autotransporter enterotoxin from enteroaggregative Escherichia coli.
Infect. Immun.
66:3155-3163 |
| 24. | Eslava, C., J. Villaseca, R. Morales, A. Navarro, and A. Cravioto. 1993. Identification of a protein with toxigenic activity produced by enteroaggregative Escherichia coli, abstr. B105, p. 44. In Abstracts of the 93rd General Meeting of the American Society for Microbiology 1993. American Society for Microbiology, Washington, D.C. |
| 24a. | EXPASY Molecular Biology Server.6 September 1999, revision date. [Online.] Tools and software packages. http://www.expasy.ch. [8 September 1999, last date accessed.] |
| 25. |
Fasano, A.,
F. R. Noriega,
F. M. Liao,
W. Wang, and M. M. Levine.
1997.
Effect of shigella enterotoxin 1 (ShET1) on rabbit intestine in vitro and in vivo.
Gut
40:505-511 |
| 26. |
Fernandez, R. C., and A. A. Weiss.
1994.
Cloning and sequencing of a Bordetella pertussis serum resistance locus.
Infect. Immun.
62:4727-4738 |
| 27. |
Ferreccio, C.,
V. Prado,
A. Ojeda,
M. Cayyazo,
P. Abrego,
L. Guers, and M. M. Levine.
1991.
Epidemiologic patterns of acute diarrhea and endemic Shigella infections in children in a poor periurban setting in Santiago, Chile.
Am. J. Epidemiol.
134:614-627 |
| 28. |
Finkelstein, R. A.,
M. Boesman-Finkelstein, and P. Holt.
1983.
Vibrio cholerae hemagglutinin/lectin/protease hydrolyzes fibronectin and ovomucin: F. M. Burnet revisited.
Proc. Natl. Acad. Sci. USA
80:1092-1095 |
| 29. |
Freter, R.,
B. Allweiss,
P. C. O'Brien,
S. A. Halstead, and M. S. Macsai.
1981.
Role of chemotaxis in the association of motile bacteria with intestinal mucosa: in vitro studies.
Infect. Immun.
34:241-249 |
| 30. | Gomez-Duarte, O. G., and J. B. Kaper. 1995. A plasmid-encoded regulatory region activates chromosomal eaeA expression in enteropathogenic Escherichia coli. Infect. Immun. 63:1767-1776[Abstract]. |
| 31. |
Grundy, F. J.,
A. G. Plaut, and A. Wright.
1990.
Localization of the cleavage site specificity determinant of Haemophilus influenzae immunoglobulin A1 protease genes.
Infect. Immun.
58:320-331 |
| 32. | Hanahan, D. 1983. Studies on transformation of Escherichia coli with plasmids. J. Mol. Biol. 166:557-580[Medline]. |
| 33. | Harlow, E., and D. Lane. 1988. Antibodies: a laboratory manual. Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y. |
| 34. | Henderson, I. R., and J. P. Nataro. Unpublished data. |
| 35. | Henderson, I. R., F. Navarro-Garcia, and J. P. Nataro. 1998. The great escape: structure and function of the autotransporter proteins. Trends Microbiol. 6:337-378[Medline]. |
| 36. | Hendrixson, D. R., M. L. de la Morena, C. Stathopoulos, and J. W. St. Geme, 3rd. 1997. Structural determinants of processing and secretion of the Haemophilus influenzae hap protein. Mol. Microbiol. 26:505-518[Medline]. |
| 37. | Itoh, Y., I. Nagano, M. Kunishima, and T. Ezaki. 1997. Laboratory investigation of enteroaggregative Escherichia coli O untypeable:H10 associated with a massive outbreak of gastrointestinal illness. J. Clin. Microbiol. 35:2546-2550[Abstract]. |
| 38. | Izard, J. W., and D. A. Kendall. 1994. Signal peptides: exquisitely designed transport promoters. Mol. Microbiol. 13:765-773[Medline]. |
| 39. | Jähnig, F. 1990. Structure predictions of membrane proteins are not that bad. Trends Biochem. Sci. 15:93-95[Medline]. |
| 40. |
Karaolis, D. K.,
R. Lan, and P. R. Reeves.
1994.
Sequence variation in Shigella sonnei (Sonnei), a pathogenic clone of Escherichia coli, over four continents and 41 years.
J. Clin. Microbiol.
32:796-802 |
| 41. |
Kaufmann, A.,
Y. D. Stierhof, and U. Henning.
1994.
New outer membrane-associated protease of Escherichia coli K-12.
J. Bacteriol.
176:359-367 |
| 42. | Kyte, J., and R. F. Doolittle. 1982. A simple method for displaying the hydropathic character of a protein. J. Mol. Biol. 157:105-132[Medline]. |
| 43. | Laemmli, U. K. 1970. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227:680-685[Medline]. |
| 44. |
Lukomski, S.,
C. A. Montgomery,
J. Rurangirwa,
R. S. Geske,
J. P. Barrish,
G. J. Adams, and J. M. Musser.
1999.
Extracellular cysteine protease produced by streptococcus pyogenes participates in the pathogenesis of invasive skin infection and dissemination in mice.
Infect. Immun.
67:1779-1788 |
| 45. | Mantle, M., and A. Allen. 1978. A colorimetric assay for glycoproteins based on the periodic acid/Schiff stain. Biochem. Soc. Trans. 6:607-609[Medline]. |
| 46. | Mantle, M., and A. Allen. 1981. Isolation and characterization of the native glycoprotein from pig small-intestinal mucus. Biochem. J. 195:267-275[Medline]. |
| 47. |
Matsutani, S., and E. Ohtsubo.
1990.
Complete sequence of IS629.
Nucleic Acids Res.
18:1899 |
| 48. | Menard, R., C. Dehio, and P. J. Sansonetti. 1996. Bacterial entry into epithelial cells: the paradigm of Shigella. Trends Microbiol. 4:220-226[Medline]. |
| 49. |
Morabito, S.,
H. Karch,
P. Mariani-Kurkdjian,
H. Schmidt,
F. Minelli,
E. Bingen, and A. Caprioli.
1998.
Enteroaggregative, Shiga toxin-producing Escherichia coli O111:H2 associated with an outbreak of hemolytic-uremic syndrome.
J. Clin. Microbiol.
36:840-842 |
| 50. | Nataro, J. P., Y. Deng, S. Cookson, A. Cravioto, S. J. Savarino, L. D. Guers, M. M. Levine, and C. O. Tacket. 1995. Heterogeneity of enteroaggregative Escherichia coli virulence demonstrated in volunteers. J. Infect. Dis. 171:465-468[Medline]. |
| 51. | Nataro, J. P., T. Steiner, and R. L. Guerrant. 1998. Enteroaggregative Escherichia coli. Emerg. Infect. Dis. 4:251-261[Medline]. |
| 52. |
Navarro-Garcia, F.,
C. Eslava,
J. M. Villaseca,
R. Lopez-Revilla,
J. R. Czeczulin,
S. Srinivas,
J. P. Nataro, and A. Cravioto.
1998.
In vitro effects of a high-molecular-weight heat-labile enterotoxin from enteroaggregative Escherichia coli.
Infect. Immun.
66:3149-3154 |
| 53. | Noriega, F., and S. Formal. Unpublished data. |
| 54. | Noriega, F. R., F. M. Liao, S. B. Formal, A. Fasano, and M. M. Levine. 1995. Prevalence of Shigella enterotoxin 1 among Shigella clinical isolates of diverse serotypes. J. Infect. Dis. 172:1408-1410[Medline]. |
| 55. |
Otto, B. R.,
S. J. M. van Dooren,
J. H. Nuijens,
J. Luirink, and B. Oudega.
1998.
Characterization of a hemoglobin protease secreted by the pathogenic Escherichia coli strain EB1.
J. Exp. Med.
188:1091-1103 |
| 56. | Pai, M., G. Kang, B. S. Ramakrishna, A. Venkataraman, and J. Muliyil. 1997. An epidemic of diarrhoea in south India caused by enteroaggregative Escherichia coli. Indian J. Med. Res. 106:7-12[Medline]. |
| 57. | Parsot, C., and P. J. Sansonetti. 1996. Invasion and the pathogenesis of Shigella infections. Curr. Top. Microbiol. Immunol. 209:25-42[Medline]. |
| 58. | Paton, A. W., and J. C. Paton. 1994. Characterization of IS1203, an insertion sequence in Escherichia coli O111:H. Gene 150:67-70[Medline]. |
| 59. |
Perna, N. T.,
G. F. Mayhew,
G. Posfai,
S. Elliott,
M. S. Donnenberg,
J. B. Kaper, and F. R. Blattner.
1998.
Molecular evolution of a pathogenicity island from enterohemorrhagic Escherichia coli O157:H7.
Infect. Immun.
66:3810-3817 |
| 60. |
Prere, M. F.,
M. Chandler, and O. Fayet.
1990.
Transposition in Shigella dysenteriae: isolation and analysis of IS911, a new member of the IS3 group of insertion sequences.
J. Bacteriol.
172:4090-4099 |
| 61. |
Prizont, R.
1982.
Degradation of intestinal glycoproteins by pathogenic Shigella flexneri.
Infect. Immun.
36:615-620 |
| 62. | Prizont, R., and W. P. Reed. 1991. Differences in blood group B-specific mucinase activity between virulent and avirulent Shigella flexneri 2a strains. Microb. Pathog. 11:129-135[Medline]. |