INTRODUCTION

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Intestinal epithelial cells are the first physical barrier that pathogens encounter in the gastrointestinal tract. As a consequence of constant exposure to such pathogens, the epithelium has evolved mechanisms to discriminate between pathogenic and nonpathogenic bacteria. In the case of infection, epithelial cells become activated to express and secrete proinflammatory and chemoattractant cytokines, including interleukin 8 (IL-8), GRO, GRO, monocyte chemoattractant protein 1, tumor necrosis factor alpha, granulocyte-macrophage colony-stimulating factor, or IL-1 (reviewed in reference 15). Moreover, activated epithelial cells play an important role in the initiation of inflammatory and immune responses by transmitting signals to underlying cells of the reticuloendothelial system. Bacterial lipopolysaccharide (LPS) induces the production of inflammatory cytokines by immune cells such as macrophages and monocytes. However, intestinal epithelial cells do not normally respond to LPS from extracellular pathogens to prevent exaggerated responses to the LPS of normal flora.

One of the best-studied extracellular intestinal pathogens is enteropathogenic Escherichia coli (EPEC). EPEC infects the human small intestinal epithelium and is a prominent cause of diarrhea in infants in developing countries. EPEC uses a type III secretion system to deliver bacterial effectors into host cells. Among the EPEC-secreted proteins (Esp), EspA, EspB, and EspD are constituents of the translocation machinery, with EspB and EspD being inserted in the host cell membrane. EPEC attaches to intestinal epithelial cells by the interaction of an outer membrane protein, intimin, and a type III secreted protein that is translocated into the host cell membrane, Tir. This interaction induces the polymerization of actin into characteristic pedestal-like structures (reviewed in reference 31). Two other type III secreted proteins have been described: EspF, a proline-rich protein recently shown to be translocated into the host cell cytoplasm and involved in disrupting epithelial barrier function (20), and open reading frame 19, which has recently been shown to be translocated to the host mitochondria (17). EPEC's secreted proteins induce signal transduction events within the host cell, including inositol phosphate fluxes and protein kinase C and phospholipase C activation (2, 10, 16). EPEC also triggers IL-8 secretion through NF-B activation in T84 epithelial cells and recruitment of polymorphonuclear cells in a coculture system (28, 29). These changes in signaling may contribute to disease. However, the molecular mechanisms by which EPEC causes diarrhea or induces pedestal formation are still unknown.

Recent studies have shown that some bacterial pathogens are able to activate mitogen-activated protein (MAP) kinase pathways in the host cell (13, 23, 32, 33) to alter processes such as cell differentiation, growth, and death. MAP kinase signaling pathways described thus far include the extracellular signal-regulated kinases (ERK), c-Jun N-terminal kinases (JNK) (also known as stress-activated protein kinases) and p38 MAP kinases. The activation of these pathways proceeds through a cascade of phosphorylation events leading to the phosphorylation of downstream kinases and to the transcriptional activation of several genes. MEK1 (MAPKK1) kinase activation leads to phosphorylation of ERK1 and ERK2, resulting in their translocation to the nucleus and phosphorylation of other proteins, including the transcription factor Elk-1. This event induces the transcription of genes like fos and egr-1. The early growth response factor 1 (Egr-1) is an 80- to 82-kDa zinc finger transcription factor that belongs to the early growth response gene family that participates in several cellular processes such as differentiation and proliferation. egr-1 is an immediate-early gene induced in response to changes in the local cell environment, including exposure to growth factors and cytokines, hypoxia, tissue damage, UV, or LPS (18, 19). egr-1 can also be induced by the p38 MAP kinase pathway.

The aims of this study were to use genomic arrays to determine if epithelial cells respond to EPEC infection by altering global gene expression and to identify novel factors and pathways involved in this process. Our findings show that EPEC infection of epithelial cells causes upregulation of expression of cytokines. We also demonstrate that EPEC activates the MEK/ERK signal transduction cascade that leads to the expression of the transcription factor Egr-1. In vivo studies of Citrobacter rodentium-infected mice confirmed egr-1 induction and suggest that the induction of egr-1 may play a role in disease.

	MATERIALS AND METHODS

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Bacterial strains, mammalian cell lines, and culture conditions. EPEC strain E2348/69 (6) and the mutants escC (see below) and espB (8) were grown overnight in Luria-Bertani (LB) broth at 37°C without shaking prior to infection. "Preactivated" bacteria were prepared by diluting LB overnight cultures 1:50 in Dulbecco's modified Eagle medium (DMEM) without serum and incubating at 37°C with 5% CO₂ for 3 h. C. rodentium (formerly Citrobacter freundii biotype 4280) strain DBS100 was grown overnight in LB prior to mouse infection.

Animal experiments. C57BL/6J mice (Jackson Laboratory, Bar Harbor, Maine) were infected by oral gavage with 0.1 ml of standing LB overnight cultures of C. rodentium (2.5 × 10⁸ CFU). Mice were killed at days 6 and 10 postinfection, and colons were dissected for RNA isolation.

Construction of a nonpolar escC deletion mutant. The oligonucleotides ESCC-01F (5'-GTTAACCTCGAGGCGGTTCCGATAG-3') (XhoI restriction site) and ESCC-02R (5'-GATGCGAGCTCTGTTGCTATCCAATG-5') (SacI restriction site) were used to amplify escC from chromosomal DNA from EPEC E2348/69. The amplification product was cloned into pCR2.1 TOPO (Invitrogen), generating pCR-escC. Primers ESCC-03R (5'-GGCGACGCGTGTATACCGCTGTTAAGCGACATTCC-3') and ESCC-04F (5'-GGCGACGCGTCATTACACAATTCGTCCTATATCAG-3') were used to create an in-frame deletion of 1,408 bp between bp 2 and bp 1410 of the escC gene in pCR-escC using inverse PCR amplification. Both oligonucleotides ESCC-03R and ESCC-04F introduced an MluI restriction site. The 2,049-bp SacI-XhoI escC deletion fragment was cloned into the positive-selection suicide vector pCVD442 (7), digested with SacI-SalI. The resulting plasmid, pCVD442-escC, was used to construct the escC deletion mutant in EPEC E2348/69 (streptomycin resistant) by allelic exchange as described (7), generating the EPEC escC strain.

RNA isolation. HeLa cells (1.5 × 10⁶) were seeded in 10-cm-diameter tissue culture plates in 10 ml of DMEM plus 10% FCS and cultured overnight. Culture medium was changed to DMEM without FCS, and cells were infected for 3 h with overnight bacterial cultures: EPEC wild type (wt) (30 µl), the espB mutant (100 µl), the escC mutant (30 µl), or EPEC exposed to LPS from E. coli O111:B4 (10 µg/ml; Sigma, St. Louis, Mo.). Cells were washed five times with diethyl pyrocarbonate-treated phosphate-buffered saline and scraped in 1 ml of diethyl pyrocarbonate-phosphate-buffered saline. Cells were pelleted and resuspended in 1 ml of Trizol (Life Technologies), and RNA was purified following the manufacturer's instructions. RNA was treated with DNase I (Clontech, Palo Alto, Calif.) to remove contaminant genomic DNA for 1.5 h in the presence of RNase inhibitor (Ambion, Austin, Tex.), and the reaction was stopped using 10× termination mix (0.1 M EDTA, pH 8; glycogen, 1 mg/ml). The enzyme was removed by phenol-chloroform extraction, and RNA was precipitated with 2 volumes of ethanol and a 1/10 volume of sodium acetate, pH 5.2. RNA was resuspended in 15 µl of H₂O containing the RNase inhibitor and stored at 70°C. RNA was tested for the presence of remaining DNA contamination by 35 cycles of PCR amplification using GAPDH (glyceraldehyde-3-phosphate dehydrogenase)-specific primers (Table 1).

Human cDNA expression arrays and image analysis. Atlas Human cDNA expression arrays 1.2 contain 1,176 partial human cDNAs (Clontech). ³²P-labeled cDNA probes were synthesized by RT (according to the manufacturer's instructions) using 5 µg of total RNA, [³²P]dATP (Amersham), and gene-specific primers. Array membranes were hybridized with 3 × 10⁶ to 5 × 10⁶ cpm of cDNA probe. Atlas Image 1.0 (Clontech) and Excel 5.0 (Microsoft) software was used for quantification and comparison of the hybridization signals. The intensity of the signals was corrected for background and normalized to the nonvariable genes coding for GAPDH, tubulin, and ubiquitin that are spotted on the membranes. Genes were considered to be induced when they gave a detectable signal and were induced by more than twofold in EPEC-infected cells in two independent experiments (9).

Northern blots. RNA (10 µg/lane) was resolved by electrophoresis on 1.5% agarose-formaldehyde gels and transferred to positively charged nylon membranes (Ambion), cross-linked with long-wave UV light, and baked at 80°C for 30 min. cDNA was synthesized with Superscript II reverse transcriptase (Life Technologies) using total RNA purified from EPEC-infected HeLa cells as the template, with oligo(dT) for the GAPDH probe and with the oligonucleotide egr for the egr-1 probe. Specific double-stranded DNA (dsDNA) fragments of GAPDH and egr-1 were PCR amplified from the cDNA using the primers listed in Table 1. Antisense cDNA was synthesized by PCR using the specific dsDNA fragments as templates, the appropriate 3' primer and modified nucleotides (Strip-EZ PCR; Ambion). The single-stranded DNA PCR products were column purified (Qiagen, Mississauga, Ontario, Canada) and labeled with biotin using psoralen-biotin (Ambion) and cross-linking with 365-nm UV light. Northern blotting was performed with the NorthernMax-Gly kit (Ambion). Hybridizations were performed in 5 ml of UltraHyb solution (Ambion)and incubated overnight at 45°C. The BrightStar nonisotopic detection kit (Ambion) was used for probe detection.

RT-PCR analysis of mRNA levels. RT was performed with Superscript II reverse transcriptase following the manufacturer's instructions. cDNA was synthesized in 20-µl reaction mixtures using oligo(dT) or specific reverse primers for Egr-1 and MIP-2 and 3 µg of total RNA as the template. PCR amplification was performed in 0.5 µl of cDNA using gene-specific primers and the number of cycles as listed in Table 1. For all PCRs, the following conditions were used: a 10-min denaturing step at 94°C; cycles of 40 s at 94°C, 40 s at 61°C (68°C for mouse Egr-1), and 50 s at 72°C; and 10 min at 72°C. The PCR cycle number was optimized for each gene to prevent saturation of the reaction. PCR products were analyzed by 1.5% ethidium bromide-agarose gel electrophoresis.

Preparation of protein extracts and Western blots. HeLa cells (3 × 10⁵) were seeded in 60-mm-diameter tissue culture plates and incubated overnight. The medium was changed to DMEM without serum 2 h prior to infection. Overnight standing LB bacterial cultures were diluted 1:50 in prewarmed DMEM without serum and incubated for 3 h in a 37°C, 5% CO₂ incubator. Aliquots (10 µl) of these cultures were used for infections. Infected cells were scraped in 100 µl of 1× boiling sodium dodecyl sulfate-polyacrylamide gel electrophoresis loading buffer. Total protein lysates were resolved by sodium dodecyl sulfate-10% polyacrylamide gel electrophoresis, electrotransferred to a nitrocellulose membrane, and blocked with 5% skim milk in Tris-buffered saline-0.1% Tween 20. The following antibodies were used at the indicated concentrations: rabbit anti-ERK1 (New England Biolabs, Beverly, Mass.), 1:2,000; monoclonal phosphospecific anti-p44/p42 (ERK1/2; New England Biolabs), 1:1,000; rabbit anti-Egr-1 (Santa Cruz Biotechnology, Santa Cruz, Calif.), 1:300; monoclonal anti-TirA2, 1:500 (4). Primary antibodies were incubated on blots overnight at 4°C.

	RESULTS

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EPEC induces changes in gene expression in epithelial cells. It is believed that EPEC infection of epithelial cells initiates a complex chain of events that ultimately result in disease. It is likely that many of these changes originate at the gene expression level. Therefore, we used DNA array technology to investigate transcriptional responses of epithelial cells to EPEC infection.

View larger version (82K): [in this window] [in a new window]   FIG. 1.   egr-1, IL-8, and MIP-2 gene expression in HeLa cells is increased by EPEC infection. Total RNA was purified from HeLa cells infected with wt EPEC for 3 h. Transcriptional levels of the indicated genes were analyzed by RT-PCR using the primers and cycle number shown in Table 1. GAPDH was used as a control for total RNA.

Confirmation of egr-1 induction by Northern blotting and RT-PCR. The early growth response factor egr-1 is an immediate-early-induced gene that is activated in most cell types in response to stress. The induction of egr-1 was assessed by Northern blot analysis and RT-PCR in two independent experiments: a time course infection in which HeLa cells were infected with wt EPEC for 3, 4 and 5 h and for 3 h with wt EPEC and the espB mutant. mRNA levels were normalized to GAPDH expression, which is unaffected by EPEC infection. EspB is a type III secreted protein that is inserted into the host cell membrane during infection. A mutant in this protein is unable to deliver type III effectors into the host cell (34). Similar results were obtained with both techniques (Fig. 2), showing that egr-1 mRNA increases after 3 h of infection with wt EPEC and is still induced after 4 h but decreases after 5 h. While egr-1 is induced after a 3-h infection with wt EPEC, the espB mutant stimulated a reduced transcription of this gene. These results show that egr-1 expression is induced over time, with high levels observed at 3 to 4 h after infection, and then decreases. EspB contributes to this induction, suggesting that the type III secretion system may be involved in this event. Since both Northern blotting and RT-PCR yielded similar results, only RT-PCR was used for further gene expression studies.

View larger version (40K): [in this window] [in a new window]   FIG. 2.   egr-1 induction in EPEC-infected HeLa cells follows a time course, and full induction depends on EspB. Total RNA was isolated from HeLa cells infected with wt EPEC or espB mutant for the indicated time. Levels of egr-1 mRNA were analyzed by Northern blotting (A) and RT-PCR (B) and compared to GAPDH as a control.

LPS does not trigger egr-1 or IL-8 gene expression in epithelial cells, but the type III secretion system is necessary for full induction. egr-1 is induced by several stimuli in a variety of cell lines, including bacterial LPS in macrophages. In order to investigate whether the induction of egr-1 and IL-8 genes is triggered by LPS or by some EPEC-specific factor, transcriptional levels of these genes were analyzed in cells exposed to LPS from E. coli (10 µg/ml). To test if the reduced transcription observed with the espB mutant is EspB or type III dependent, cells were infected with the type III secretion mutant escC. EscC is a structural component of the type III secretion system believed to be the outer membrane secretin, and a mutant in this gene is unable to secrete or translocate any of the Esp, while complementation of this mutant with escC on a plasmid restores translocation (data not shown). As shown in Fig. 3, egr-1 and IL-8 gene expression is not induced by exposure to E. coli LPS. Densitometric quantification of the RT-PCR products and normalization relative to GAPDH expression indicated a (4.2 ± 0.3)-fold induction of egr-1 and (2.5 ± 0.4)-fold induction of IL-8 by wt EPEC relative to uninfected cells (n = 3). By the same analysis, the type III secretion mutant caused no significant change in expression of egr-1 or IL-8 genes ([1.1 ± 0.4]- and [0.9 ± 0.2]-fold induction relative to uninfected cells, respectively). Therefore, in cells infected with the escC mutant, expression of these genes is significantly decreased compared to wt EPEC. The same result was obtained for MIP-2 expression (data not shown). These experiments show that a functional type III secretion system is needed for full induction of egr-1, IL-8, and MIP-2 genes.

View larger version (42K): [in this window] [in a new window]   FIG. 3.   Induction of egr-1 and IL-8 gene expression is LPS independent but requires the type III secretion system for full induction. Total RNA was extracted from HeLa cells infected with wt EPEC or the escC mutant or was treated with E. coli LPS (10 µg/ml) for 3 h. mRNA levels for egr-1 and IL-8 were analyzed by RT-PCR and compared to GAPDH levels.

EPEC infection induces egr-1 expression by activation of the MEK signal transduction pathway in HeLa cells. We focused our research on egr-1 expression because it is a previously undescribed host response to EPEC infection. Activation of MAP kinase signal transduction pathways mediates egr-1 induction in response to extracellular stimuli. Of the three MAP kinase cascades described (MEK/ERK, p38, and stress-activated protein kinase-Jun-N-terminal protein kinase), both MEK/ERK and p38 have been shown to upregulate egr-1 expression (5, 24). Therefore, we investigated which of these two signal transduction pathways is involved in EPEC-induced transcription of egr-1. HeLa cells were pretreated with specific inhibitors of these pathways prior to infection with EPEC. PD 98059 inhibits MEK activation by blocking its phosphorylation, and SB 203580 selectively inhibits p38-stress-activated protein kinase 2. The presence of PD 98059 abolished EPEC-mediated egr-1 induction, while SB 203580 only slightly decreased egr-1 mRNA levels (Fig. 4A). Both inhibitors decreased IL-8 expression partially, but neither abrogated it.

View larger version (51K): [in this window] [in a new window]   FIG. 4.   Effect of inhibition of MEK or p38 MAP kinases on egr-1- and IL-8 EPEC-mediated induction. (A) HeLa cells were treated with the MAP kinase inhibitors SB 203580 (SB) (20 µM) or PD 98059 (PD) (50 µM) for 30 min prior to infection for 3 h with wt EPEC. egr-1 and IL-8 mRNA levels were analyzed by RT-PCR. (B) HeLa cells pretreated for 30 min with the indicated concentrations of PD 98059 were infected with wt EPEC for 3 h. egr-1 and IL-8 gene expression was analyzed by RT-PCR.

EPEC-mediated ERK1/2 phosphorylation occurs before Egr-1 synthesis and is type III dependent. MEK mediates phosphorylation of ERK1/2 (p44/p42) kinases, which then phosphorylate other factors such as Elk-1, which ultimately activates egr-1 transcription. HeLa cells were infected with EPEC in a time course experiment in the presence or absence of 50 µM PD 98059. The role of the type III secretion system in this induction was also examined by infecting with the escC mutant. Because PD 98059 degrades over time, and to minimize the time that cells are exposed to this inhibitor, infection conditions were changed to the preactivation method (27). Overnight EPEC cultures were subcultured for 3 h at 37°C with 5% CO₂ in cell culture medium without shaking before being used to infect epithelial cells. Under these culture conditions EPEC becomes activated and attachment to cultured cells occurs faster. Total protein extracts prepared from infected cells at different time points were assayed by Western blotting and probed with antibodies recognizing phosphorylated ERK1/2. As shown in Fig. 5A, EPEC induces phosphorylation of ERK1/2 after 1 h of infection, peaking at 2 h and decreasing afterwards. Anti-Egr-1 antibodies detected this protein at 2.5 h after infection. When cells were pretreated with the inhibitor PD 98059, only a small amount of ERK1/2 was phosphorylated and no Egr-1 protein was detected (Fig. 5B). The type III mutant escC was also unable to induce ERK1/2 phosphorylation to wt levels, and Egr-1 was undetectable (Fig. 5C). To prove that the inhibitor does not impair type III secretion, the same protein extracts were probed with anti-Tir antibodies. The presence of PD 98059 did not interfere with Tir delivery into the host cell membrane as the phosphorylated 90-kDa form of Tir, which is only observed after Tir delivery into host cells, was present in both infections and follows the same time course. The 78-kDa form of Tir, which corresponds to the bacterial form of the protein before being translocated into the host cell membrane, is observed due to the bacteria attached to infected cells. The phosphorylated 90-kDa form of Tir is absent in cells infected with the escC mutant, as a result of the inability of this mutant to translocate Tir into the host cell, where it undergoes phosphorylation. Furthermore, the amount of total Tir protein appeared to be the same, indicating that PD 98059 does not affect attachment or bacterial growth. Samples were also probed with anti-ERK1 antibodies which cross-react with ERK2 to show that similar amounts of ERK1/2 were present in the different samples, suggesting that neither EPEC infection nor PD 98059 affects ERK expression. When the same experiment was performed with the normal infection method (where bacteria were not preactivated), ERK1/2 phosphorylation peaked at 3 h and Egr-1 synthesis was observed after 4 h (data not shown).

View larger version (32K): [in this window] [in a new window]   FIG. 5.   EPEC induces ERK1/2 phosphorylation prior to Egr-1 synthesis. HeLa cells were infected with preactivated wt EPEC (A and B) or the escC mutant (C) during the indicated times, in the presence of 50 µM PD 98059 (B). Total protein lysates were analyzed by Western blotting. Duplicate samples were probed with anti-Egr-1, anti-phospho-p44/p42 (-P-ERK1/2), anti-ERK1, and anti-Tir antibodies.

Egr-1 is induced in C. rodentium-infected mice. C. rodentium is an enteric bacterial pathogen of mice that causes attaching and effacing (A/E) lesions on the mouse intestinal epithelium, similar to those caused by EPEC on human cells. Although infected mice do not get diarrhea, they develop hyperplasia and inflammation in the colon. C. rodentium also uses a type III secretion system to deliver effectors into epithelial cells that share high homology with EPEC's virulence factors. C. rodentium-infected mice have been previously used as an in vivo model to study EPEC effectors (11).

View larger version (27K): [in this window] [in a new window]   FIG. 6.   C. rodentium induces egr-1 transcription in vivo. C57BL/6J mice were infected orally with 0.1 ml of LB overnight cultures of C. rodentium. At days 6 and 10 postinfection, total RNA was purified from dissected colons and mRNA levels for egr-1 were analyzed by RT-PCR. RNA isolated from three mice was pooled for each condition prior to RT-PCR analysis.

	DISCUSSION

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Gene array technology is increasingly being used to study host cell responses at the gene expression level to different kinds of stimuli, including bacterial infection (1, 9, 25). In this study, we have used array analysis to gain new insights into how epithelial cells respond to EPEC infection at the molecular level. Although EPEC infection does not induce as dramatic changes in gene expression in infected cells as have been described for the invasive pathogen Salmonella (9, 25), several genes showed increased transcription that could be confirmed by RT-PCR, including IL-8, MIP-2, and egr-1 genes. While LPS is a potent inducer of macrophages' transcriptional responses to gram-negative bacteria, it is not the principal inducer of the upregulation of these genes in epithelial cells, as shown by exposing cells to a high concentration (10 µg/ml) of purified E. coli LPS. Other groups have demonstrated that intestinal epithelial cells are not responsive to LPS from pathogenic and nonpathogenic bacteria under normal conditions (14), presumably to prevent chronic inflammation within the intestine.

IL-8 and MIP-2 participate in the initiation of immune responses by attracting neutrophils to the sites of infection. Both are induced by other pathogens such as Salmonella in epithelial cells, indicating that the initiation of an inflammatory process is a general response of epithelial cells to bacterial infections. Savkovic et al. have shown that EPEC infection of the intestinal epithelial cell line T84 induces NF-B activation, leading to IL-8 secretion and transmigration of polymorphonuclear leukocytes in a coculture system by an EspB-dependent mechanism (28, 29). The data presented here confirm those observations by showing that EPEC's type III secreted virulence factors contribute to the increase in IL-8 mRNA levels in infected HeLa cells, presumably through NF-B activation.

We have identified the transcription factor egr-1 as a novel gene that is highly induced by EPEC in epithelial cells. Increased egr-1 expression was observed in two independent array experiments and confirmed by Northern blot and RT-PCR. Immediate-early genes like egr-1 act as connectors between membrane-linked signal transduction pathways and downstream effectors, expanding and diversifying the response by inducing different genes. We hypothesize that in vivo egr-1 expression leads to the induction of other genes that participate in host defense. Egr-1 can regulate the expression of several genes in different cell lines, including those encoding platelet-derived growth factor, tumor necrosis factor alpha, transforming growth factor , intracellular adhesion molecule 1, CD44, macrophage colony-stimulating factor, C-ets2, tissue factor, urokinase-type plasminogen activator, and metalloproteinases (18). Among these genes, we have analyzed the expression of intracellular adhesion molecule 1, CD44, C-ets2, and tissue factor in HeLa cells after 5 h of infection. No significant changes were observed in their levels of transcription (data not shown). However, this result does not exclude these genes from being upregulated in vivo during infection or in vitro at other time points. Furthermore, promoters of many Egr-1-controlled genes have additional binding sites for other factors such as Sp1 that contribute to their transcription. The role of Egr-1 in the host response to infection is unclear. One must be cautious in directly translating in vitro findings into the in vivo situation as the increased expression of egr-1 seen in the infected colon may involve other cell types beyond just epithelial cells. However, the demonstration that EPEC infection in tissue culture and C. rodentium infection in mice both lead to increased egr-1 expression does suggest a potential role for this gene in the host response to infection by A/E pathogens.

The fact that these genes were expressed 3 h after infection suggests that IL-8 and MIP-2 may be involved in an early host response aimed at attracting neutrophils to the site of infection, while genes regulated by Egr-1 may be responsible for later events such as secretion of other cytokines or upregulation of adhesion molecules. Gene expression was analyzed at 3 h after infection, because at this time point bacteria are intimately attached to the host cell through the Tir-intimin interaction and type III effectors that could have some role in altering cellular processes have been delivered.

The use of MAP kinase cascade inhibitors revealed that the MEK/ERK pathway is involved in EPEC-mediated egr-1 induction. The inhibitor PD 98059 prevented egr-1 expression in a dose-dependent fashion, and Western blot analysis showed that Egr-1 is produced after ERK1/2 phosphorylation. However, it cannot be excluded that other signaling pathways, including the p38 kinase pathway, contribute to egr-1 activation. MAP kinases transmit signals from the cell surface to the nucleus to regulate cell survival, cytokine production, and cell responses to stress and growth factors. MAP kinases represent a conserved target for a variety of bacterial pathogens: ERK2 activation is required for Listeria monocytogenes invasion into HeLa cells (30); the Yersinia pseudotuberculosis effector YopJ inhibits the three MAP kinase pathways by targeting the superfamily of MAP kinase kinases and blocking their activation (22); Helicobacter pylori activates the ERK/MAP kinase cascade, which induces c-fos transcription, leading to epithelial hyperproliferation (21); and p38 MAP kinase is involved in IL-8 activation in Salmonella enterica serovar Typhimurium-infected intestinal cells (13) and Clostridium difficile toxin A-treated monocytes (32).

It is likely that EPEC activation of the MEK pathway leads to other cellular responses in addition to egr-1 induction that may also be relevant in infection. Blocking of the MEK or p38 kinase cascades did not abrogate EPEC-induced IL-8 expression, although it was slightly reduced. Furthermore, when cells were treated with increasing concentrations of the MEK inhibitor PD 98059, IL-8 expression was not significantly altered. Our results suggest that activation of NF-B leading to IL-8 induction occurs through alternate signal transduction pathways to egr-1 upregulation. A recently published report by Czerucka et al. (3) showed that EPEC infection of T84 cells induces activation of the MAP kinase pathways MEK/ERK, p38, and Jun N-terminal protein kinase in a type III-dependent fashion. The results presented here further characterize those observations using a different cell system by examining MEK activity at later time points. While Czerucka et al. show that ERK phosphorylation is completely type III dependent after 1 h of infection with preactivated bacteria, we see an attenuated yet reproducible phosphorylation of ERK1/2 that is maximal at 2 h in cells infected by the type III bacterial mutant. Furthermore, we show how the MEK/ERK and p38 kinase pathways activated by EPEC infection (3) diverge in their downstream targets, by providing evidence that MEK/ERK activation results in egr-1 induction.

The type III secretion system is required for many EPEC-induced signal transduction events. We present data to show that this system is also needed for MEK/ERK activation. At the gene expression level, escC- and espB-infected HeLa cells show markedly decreased egr-1 expression compared to the increased expression caused by wt EPEC infection. The fact that egr-1 expression was not abolished suggests that other bacterial factors may also participate in this process. When protein levels were analyzed, very low phosphorylation levels of ERK1/2 were detected in cells infected with the escC mutant, which could account for the lower egr-1 mRNA levels found. We also investigated whether the type III secreted proteins EspF and Tir are responsible for MEK activation, because, unlike the type III secretion mutants espB and escC, they are not involved in the translocation of other effectors. HeLa cells were infected with the mutants in espF and tir, and ERK1/2 phosphorylation was analyzed by Western blotting at different infection times. Both of these mutants were able to activate the MEK/ERK cascade (data not shown), suggesting that they are not crucial for the activation of this pathway and that another type III effector may be involved.

In conclusion, our observations provide evidence that EPEC activates MAP kinase signaling pathways in epithelial cells, which then leads to the upregulation of egr-1. Further studies are needed to address the functional consequences of egr-1 induction in infected cells, as well as in C. rodentium-infected mice.