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Infection and Immunity, November 2001, p. 7074-7082, Vol. 69, No. 11
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.11.7074-7082.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
agr Expression Precedes Escape of Internalized
Staphylococcus aureus from the Host
Endosome
Saara N. A.
Qazi,1,2
Emilie
Counil,3
Julie
Morrissey,2
Catherine E. D.
Rees,1
Alan
Cockayne,2
Klaus
Winzer,2
Weng C.
Chan,4
Paul
Williams,2,4 and
Philip J.
Hill1,2,*
School of Biosciences, University of
Nottingham, Loughborough, Leicestershire LE12
5RD,1 Institute of Infections and
Immunity, Queens Medical Centre, University of Nottingham,
Nottingham NG7 2UH,2 and School
of Pharmaceutical Sciences, University of Nottingham, Nottingham NG7
2RD,4 United Kingdom, and Institut
National Agronomique, Paris-Grignon,
France3
Received 11 April 2001/Returned for modification 1 June
2001/Accepted 23 July 2001
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ABSTRACT |
Staphylococcus aureus is a versatile pathogen
capable of causing life-threatening infections. Many of its cell wall
and exoproduct virulence determinants are controlled via the accessory
gene regulator (agr). Although considered primarily as
an extracellular pathogen, it is now recognized that S.
aureus can be internalized by epithelial and endothelial cells.
Traditional experimental approaches to investigate bacterial
internalization are extremely time-consuming and notoriously
irreproducible. We present here a new reporter gene method to assess
intracellular growth of S. aureus in MAC-T cells that
utilizes a gfp-luxABCDE reporter operon
under the control of the Bacillus megaterium
xylA promoter, which in S. aureus is expressed in a growth-dependent manner. This facilitates
assessment of the growth of internalized bacteria in a nondestructive
assay. The dual gfp-lux reporter cassette was
also evaluated as a reporter of agr expression and used
to monitor the temporal induction of agr during the
MAC-T internalization process. The data obtained suggest that
agr induction occurs prior to endosomal lysis and that
agr-regulated exoproteins appear to be required prior to the release and replication of S. aureus within the
infected MAC-T cells.
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INTRODUCTION |
Staphylococcus aureus is
the etiologic agent of numerous infections in humans and domesticated
animals and has been implicated in a multitude of diseases, ranging
from minor wound infections to more serious diseases, including
endocarditis, osteomyelitis, and septic shock (reviewed by Projan and
Novick [34]). The expression of many S. aureus virulence factors is under the control of the accessory
gene regulator (agr) which, on entering post-exponential phase, downregulates the production of cell surface-associated proteins
and upregulates the expression of secreted toxins and extracellular
enzymes (28, 33, 38). The role of the agr regulon is supported by in vivo studies, which show that agr
mutants are greatly attenuated in several animal models, including
intramammary infections (13), arthritis in mice
(1), and endocarditis in rabbits (7). The
agr locus is a quorum-sensing-regulated system activated by
autoinducing peptide pheromone (AIP) (21, 25). The
agr locus consists of two divergent transcriptional units,
RNAII and RNAIII, which are under the control of the P2 and P3
promoters, respectively (reviewed by Novick and Muir
[30]). RNAII is a polycistronic mRNA that encodes the
agrB and agrD genes required for the synthesis of
the AIP and also the two component signal transduction proteins, AgrA
and AgrC, which are responsible for sensing and responding to the AIP.
RNAIII is the effector molecule in the agr regulon acting
primarily at the level of gene transcription. Different S. aureus strains produce AIPs with distinct structures, and strains
can be grouped on this basis since they will activate the
agr response of strains within the same group and inhibit
the agr response of strains from different groups by
competitive inhibition (21, 30). This inhibitory action of
AIPs has identified them as potential novel therapeutic and anti-infective agents for S. aureus.
S. aureus is primarily known as an extracellular pathogen;
however, it has been shown that endothelial cells can act as
nonprofessional phagocytes and promote the uptake of S. aureus (11, 15, 31). Other groups have shown that
S. aureus is able to internalize and survive in a wide
variety of mammalian cells (2, 5, 19, 45). S. aureus invades nonprofessional phagocytes via a mechanism that
requires a specific interaction between fibronectin-binding proteins
and the host cell. This subsequently leads to host cell signal
transduction through protein tyrosine kinases and cytoskeletal rearrangements (12, 24, 32, 41) and uptake of the bacteria into an endosome. Bayles et al. (5) have shown that
S. aureus is able to escape from this endosome, leaving the
bacterial cells to survive and possibly multiply within the
cytoplasm; however, the mechanism by which this endosomal membrane is
breached has not been elucidated. Internalization experiments using a
pulmonary epithelial cell line have demonstrated the ability of
internalized S. aureus to replicate intracellularly
(22). It is now believed that intracellular replication
plays an important role in the frequency and persistence of invasive
staphylococcal infections, perhaps by providing protection against both
host defenses and antibiotic treatment.
Based on observations that agr mutants and also cells in
exponential phase are internalized more efficiently, Wesson et al. (47) proposed a model for the function of
agr-mediated quorum sensing in staphylococcal invasion of
cells: in an extracellular environment, levels of AIP are low due to
dilution into surrounding fluids and S. aureus expresses the
cell wall-associated factors that promote binding to host cell surfaces
and subsequent internalization. The expression of these surface
proteins is known to be repressed by induction of the agr
regulon. Upon internalization, bacteria are surrounded by an endosomal
membrane, the presence of which may allow concentrations of AIP to
rapidly accumulate and trigger expression of agr and lead to
repression of the cell wall-associated proteins and the production of
agr-regulated exoproteins, such as the hemolysins, which
then facilitate bacterial release.
One way in which bacterial localization, movement, and gene expression
can be studied is through the use of reporter genes. There are a number
of reporters available for such investigations, e.g., green fluorescent
protein (GFP) and bacterial luciferase (lux), which have
their own particular advantages and disadvantages as reporter and/or
marker genes. The major disadvantages of lux are that it
uses reduced flavin mononucleotide as an energy source and
therefore requires live cells for signal generation (17, 27), so gene expression cannot be assessed on fixed samples and
spatial resolution by photon-counting microscopy is poor
(18). However, the short half-life of Lux proteins allows
gene expression and promoter kinetics to be monitored in "real
time," and signal can be detected with great sensitivity with little
background luminescence interfering with signal detection. GFP, on the
other hand, suffers from poor sensitivity and high-background
fluorescence problems and cannot give a real-time representation of
promoter kinetics. This is due both to the time taken for the
chromophore to fold and generate fluorescent protein (8,
16) and to the long half-life of the protein once it has
formed (44). Clearly, the utilization of both of these
reporters represents an opportunity to capitalize on the complementary
strengths of each so that gene expression can be assessed both in
"real-time" in vivo by luminometry and/or photonic imaging and
also "retrospectively" on fixed samples by fluorescence microscopy
or fluorometry.
In this study we describe the construction and evaluation of
lux-gfp dual operons expressed in S. aureus. The
use of a growth-phase-dependent promoter linked to
bioluminescence measurement has led to the development of a
novel, noninvasive technique for monitoring S. aureus internalization and subsequent replication inside
eukaryotic cells. Induction of the agr regulon in both broth
culture and during internalization by bovine mammary epithelial (MAC-T)
cells was also monitored and has facilitated determination of
agr expression during this process.
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MATERIALS AND METHODS |
Bacterial strains and plasmids.
The bacterial strains and
plasmids used or constructed during this study are listed in Table
1. Throughout this study a red-shifted gfp variant, gfp mutant 3 (gfp3
[10]) was utilized. Except where stated, Luria broth and
Luria plates (40) were used throughout for growth of
Escherichia coli and S. aureus. Chloramphenicol was used at 7 µg/ml and ampicillin was used at 50 µg/ml for plasmid selection, as appropriate. Unless otherwise stated, all cultures were
grown aerobically at 37°C, and growth in liquid culture was monitored
at 600 nm (Cecil 2000 series spectrophotometer).
Preparation, manipulation, and analysis of DNA.
Standard
methods were performed as described by Ausubel et al.
(4) using enzymes supplied by Boehringer-Mannheim in
accordance with the manufacturer's instructions. PCR primers (Table
2) were supplied by Genosys
Biotechnologies (Europe), Ltd. T4 DNA ligase (Promega) was used for
ligations. DNA fragments were isolated from low-melting-point agarose
(FMC Bioproducts) via a freeze-thaw extraction method
(37). PCR (39) was performed in a Techne Progene thermal cycler in 50-µl reaction volumes with Taq
DNA polymerase (Advanced Biotechnologies, Ltd.) in accordance with manufacturer's instructions. E. coli JM109 cells were
transformed by electroporation as described by Sambrook et al.
(40), S. aureus cells were transformed
according to the method of Augustin and Gotz (3).
Construction of dual reporter expression vectors.
The PCR
primers are described in Table 2, and the plasmid pBluelux (Table 1)
was used as a template; a luxAB amplicon was restricted with
EcoRI/KpnI and inserted into pHG327
(42) to give pSB2023. A luxCD amplicon was
restricted with KpnI/BamHI and a
luxE amplicon with BamHI/PstI.
These were ligated into pSB2023 restricted with
KpnI/PstI. Recombinant plasmids (pSB2024)
were selected by using ampicillin and screened for bioluminescence in
the absence of exogenous aldehyde by using a Hamamatsu VIM3 intensified
video camera (Hamamatsu Photonics United Kingdom, Ltd.). The modified
luxABCDE operon was then subcloned into the superlinker
plasmid pSL1190 (Pharmacia), which had been restricted with
MunI/PstI to give plasmid pSB2025. The
luxABCDE cassette was then placed downstream of
gfp in pSB2019 (36) as a
SalI/PstI fragment to generate the
growth-dependent reporter plasmid pSB2030. To generate the
agr P3::gfp,luxABCDE expression vector,
PCR primers 7 and 8 (Table 2) were used to amplify the P3 promoter from
S. aureus 8325-4 chromosomal DNA. The amplicon was
restricted with EcoRI/SmaI and ligated with
pSB2019 (36) that had been restricted with
EcoRI/SmaI to excise PxylA
to create plasmid pSB2031. The luxABCDE operon was
excised from pSB2025 (SalI/PstI) and inserted downstream of gfp in pSB2031, generating a dual
reporter designated pSB2035.
Gene expression measurement of bacterial cultures.
GFP was
detected using a Nightowl CCD camera system with integrated
fluorescence excitation (Perkin Elmer Instruments) or by eye using a
blue LED for excitation of GFP. For quantification of GFP, overnight
bacterial cultures were diluted 1/100 into prewarmed medium containing
the necessary antibiotics. A 1.5-ml sample was centrifuged at
13,000 × g for 2 min, washed twice in an equal volume
of phosphate-buffered saline (PBS), and then concentrated 10-fold in
PBS. Samples (150 µl) were transferred into microtiter plate wells,
and fluorescence was measured by using Victor 1420 multilabel
counter (Perkin-Elmer Instruments). A control sample of nontransformed
bacteria was included to allow correction for background fluorescence.
Bioluminescence was detected by using a Hamamatsu VIM3 camera. For
quantification of bioluminescence, overnight cultures were diluted
1/100 into prewarmed medium containing the necessary antibiotics. Samples (200 µl) of each dilution were separated into aliquots in
triplicate into clear-bottom 96-well microtiter plates and incubated
with shaking at 37°C in an Anthos Lucy 1 photoluminometer. Both the optical density at 590 nm (OD590) and
the bioluminescence were measured every 30 min.
Preparation of cells for agr induction
experiments.
Bacteria harboring agr P3 expression
vectors were grown overnight in broth containing chloramphenicol. Cells
were centrifuged (5,000 × g) and then washed with an
equal volume of fresh medium to remove accumulated AIPs. Bacteria were
diluted 1/20 into fresh medium and grown for 2 h before the
culture was again diluted 1/20 into fresh medium and grown for a
further 2 h. Finally, these bacterial cultures were diluted 1/50
into fresh medium to produce cells in the mid-exponential phase of
growth without significant accumulation of AIP. To investigate the
response of the agrP3 reporter to exogenous AIPs, a crude
preparation of the group I AIP was prepared as filtered spent overnight
culture supernatants of RN6390 and added to a final concentration of
10% (vol/vol). Alternatively, either the activating AIP (group I
peptide [21, 25]) or inhibitory AIP (S. lugdunensis) synthesized as described by McDowell et al.
(26) was added, and the reporter gene activity was
monitored (as described above) over a specific time period.
Cell invasion assays.
The bacterial inoculum was prepared as
described for the agr assay. For the final growth cycle,
bacterial cells were washed twice in an equal volume of Dulbecco
modified Eagle medium (DMEM; Sigma) and finally resuspended in 1/10
volume DMEM and inoculated at a 1/400 dilution into medium
(HEPES-buffered DMEM plus 10% [vol/vol] RPMI). These were then grown
for ca. 4 h until an OD600 value of 0.1 to
0.2 was reached.
MAC-T cells (an established bovine mammary epithelial cell line) were
routinely cultured as described by Hyunh et al. (20). These cells were seeded into a 24-well tissue culture plate (Costar), in DMEM (without antibiotic or fetal bovine serum). These were grown
overnight at 37°C in 5% CO2 to achieve
monolayers. The following morning the medium was removed and MAC-T
cells were first washed with 1 ml of DMEM and then resuspended in 1 ml
of DMEM. For inhibition of internalization, cytochalasin D (1 µg/ml;
Sigma) was added to MAC-T cells 30 min prior to the addition of
bacterial cells, and cytochalasin D was also present during the
infection process. The MAC-T cells were infected with 1 ml of the
prepared bacterial inoculum. The tissue culture plate was incubated in
a Victor 1420 Multilabel Counter (Perkin-Elmer Instruments), and
OD600, fluorescence, and luminescence
measurements were made every 10 min. For removal of external bacterial
cells from the invasion assay, the MAC-T cells were washed, after a 2-h
infection period, once with PBS beforehand and then with 1 ml of DMEM
containing lysostaphin (10 µg/ml; Sigma). After 20-min incubation at
37°C, wells were washed again with 1 ml of PBS, and 1 ml of
HEPES-buffered DMEM was added to each well. Readings were taken in a
Victor 1420 Multilabel Counter as described above.
Bacterial internalization assays for microscopic analysis.
MAC-T cells that had been seeded onto glass coverslips were incubated
at 37°C with 1 ml of the bacterial inoculum. After invasion, the
monolayer was washed three times with PBS and then incubated with
lysostaphin (10 µg/ml) in DMEM and incubated for 20 min at 37°C
before three washes with PBS. Immunostaining was carried out as
described by Sambrook et al. (40) with the modification that anti-
-tubulin Cy3 conjugate (1/25 in PBS; Sigma) was used to
visualize the microtubule network. During the last 10 min of the
staining procedure, DAPI (4',6'-diamidino-2-phenylindole; 50 µg/ml; Sigma) in PBS was added for visualization of the
GFP-negative bacteria and eukaryotic DNA. Epifluorescent microscopy
was carried out with a Zeiss Axiovert 135TV fluorescence microscope
equipped with a Prior motorized stepper stage. Excitation was done with a polychrome II monochromator (T. I. L. L. Photonics) with triple-pass dichroic filter and single-pass emission
filters (Omega Optical) mounted in a Biopoint filter wheel. Image
capture was done with a Hamamatsu ORCA-2 cooled CCD controlled by
Openlab software (Improvision). Images were captured as 1-µm Z-stacks
that were deconvolved by using the Openlab volume deconvolution
algorithms and merged for presentation. A minimum of 20 fields per
slide were examined for qualitative microscopic analysis.
 |
RESULTS |
Construction of gfp-lux dual operon and expression
in S. aureus
The native
luxCDABE operon of Photorhabdus
luminescens is expressed very poorly in S.
aureus when linked to a gram-positive promoter
(35). To modify the lux operon for high
expression in gram-positive bacteria, enhanced translational signals
(46) were introduced in front of luxA,
luxC, and luxE by using PCR primers
incorporating these sequences (Table 2). These primers were used to
amplify luxAB (primers 1 and 2), luxCD
(primers 3 and 4), and luxE (primers 5 and 6). The
purified amplicons were restricted using the restriction sites
introduced via the PCR primers (Table 2) and cloned into pSL1190
(Pharmacia) in the gene order luxABCDE (see Materials
and Methods for details). Recombinant plasmids were identified by their
bioluminescent property in the absence of exogenous aldehyde substrate
and designated pSB2025. To create a dual reporter operon, the
luxABCDE operon was excised from pSB2025 as a
SalI/PstI fragment and inserted into the
gram-positive gfp reporter plasmid SB2019
(36), downstream of the gfp gene and under
the control of the xylA promoter from
Bacillus megaterium to generate pSB2030.
This plasmid was introduced into S. aureus strains 8325-4 and RN6390, and transformed cells were both fluorescent and
bioluminescent when grown in liquid culture or on agar plates. When the
reporter output was monitored from S. aureus
RN6390(pSB2030) grown in liquid culture, the bioluminescence data
showed that the B. megaterium xylA promoter was only
expressed in actively growing (logarithmic-phase) cultures (Fig.
1A). In contrast, GFP fluorescence was
seen to induce later, and the signal was maintained at a maximal level for a longer period (Fig. 1B). These differences can be explained by
the time required for posttranslational modification of GFP necessary
before the functional fluorophore is formed and the extremely long
half-life of mature GFP (>24 h [36]). The GFP signal
generated, therefore, peaks later than the bioluminescence signal and
remains at a higher level. These data confirm the utility of
lux as a real-time reporter of promoter kinetics which, in contrast to GFP, allows the downregulation as well as the induction of
promoter activity to be assessed.

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FIG. 1.
Growth-dependent expression of the
gfp-luxABCDE dual reporter from
PxylA. S. aureus RN6390(pSB2030)
was grown in 1-ml volumes in a 24-well microtiter plate in DMEM
supplemented with 10% RPMI. Samples were incubated at 37°C in a
Victor 2 Multilabel Counter, and growth (OD600; ),
luminescence (counts/second, panel A; ), and fluorescence (panel B;
) were measured for 10 h.
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Expression of the dual gfp-lux operon from
agrP3.
To construct a dual expression vector to
study agr gene expression, PCR primers 7 and 8 (Table 2)
were used to amplify the P3 promoter from S. aureus 8325-4, and this was used to replace the xylA promoter in the
gram-positive gfp plasmid pSB2019 (35); luxABCDE was then inserted SalI/PstI
downstream of gfp, creating plasmid pSB2035. To confirm that
this new reporter construct accurately reflected P3 activity, pSB2035
was introduced into S. aureus 8325-4 (agr group
I). Cells were grown to mid-log phase after repeated subculture and
washing to remove naturally produced AIP from the culture supernatant.
Synthetic group I AIP (Fig. 2A) was added to these cells, and bioluminescence was measured as a reporter of P3
induction. The results of these experiments indicate that the
agrP3 promoter fusion is activated by the synthetic group I
AIP (Fig. 3A). The plasmid-encoded
agr-P3 promoter exhibits a dose-dependent response to the
activator molecule, with lower levels of the AIP activator leading to a
lower luminescent output. When no activator was added to the bacterial
culture, the levels of luminescence observed were ca. 10-fold lower
than the induction seen after addition of even the lowest
concentrations of AIP. Since S. aureus 8325-4 is not an
agr
mutant, it is able to produce its
natural group I AIP; hence, some expression of P3 is expected in the
absence of exogenous AIP. These data indicated that the bioluminescence
genes are effective reporters of agrP3 induction.

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FIG. 3.
S. aureus 8325-4(pSB2035) response to
activating and inhibitory AIPs. S. aureus
8325-4(pSB2035) was grown at 37°C in 96-well plates in an Anthos Lucy
1 photoluminometer. OD600 and luminescence readings (in
relative light units [RLU]) were taken over a period of 20 h.
These data are plotted as specific luminescence (RLU/OD) versus time to
normalize changes in cell density. (A) Cells were grown in Luria broth
alone ( ) or Luria broth supplemented with group I AIP at 5 µM
( ), 25 µM ( ), 50 µM ( ), 75 µM ( ), or 100 µM ( ).
(B) Cells were grown in Luria broth supplemented with 10% spent
culture supernatant ( ) or also supplemented with S.
lugdunensis AIP at 1 µM ( ), 5 µM (×), 10 µM ( ), or
50 µM (+).
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It has been shown that the AIP from S. lugdunensis (Fig. 2B)
can inhibit the agr response in other S. aureus
groups (21, 30). Since we showed that the P3
promoter induction could be measured by using the dual
gfp-lux operon, we then tested the competitive inhibition of
P3 induction by the addition of synthetic S. lugdunensis AIP. When S. aureus 8325-4(pSB2035)
was grown in the presence of S. lugdunensis AIP, the
expected inhibition of the P3 promoter was seen, and bioluminescence
levels were much lower than when S. lugdunensis AIP was not
added to the culture medium (Fig. 2B). The competitive nature of this
inhibition was demonstrated by adding S. lugdunensis AIP to
cells grown in the presence of their natural group I AIP activator
(added in the form of 10% [vol/vol] spent culture supernatant).
Levels of the S. lugdunensis AIP of
1 µM reduced
the luminescence output, suggesting a decrease in P3 activity (Fig.
3B). Concentrations of the S. lugdunensis AIP of between 5 to 10 µM completely blocked the induction of S. aureus group I agrP3 expression, as indicated by
bioluminescence readings.
Development of a staphylococcal internalization assay.
The
strain of S. aureus chosen for internalization assays
was RN6390 since it has previously been shown to be both virulent in several animal models (6, 7) and internalized
successfully by MAC-T cells (5, 47). To determine whether
we could use the reporter genes to monitor S. aureus
growth during the invasion of MAC-T cells, S. aureus RN6390(pSB2030) was used. Bioluminescence from all samples
peaks at 120 min, regardless of the presence of MAC-T cells, and then
decreases (Fig. 4). In the wells
containing MAC-T monolayers, bioluminescence increases again after 200 min. This is in marked contrast to the bacteria incubated in wells without MAC-T cells, where bioluminescence decreases to background levels (Fig. 4). The luminescence from the cultures seen over the first
120 min represents the growth of S. aureus in the tissue culture medium, followed by the expected decrease in bioluminescence when these bacteria enter stationary-phase growth and downregulate PxylA. The observed increase in
bioluminescence after 200 min when MAC-T cells are present is
believed to be due to replication of S. aureus on the
surface of, or within, MAC-T cells. To test this hypothesis,
cytochalasin D, which inhibits F-actin polymerization in the MAC-T
cells and compromises their ability to internalize S. aureus (5, 22), was added to the infected MAC-T cells
prior to and during infection. In this case, the level of
bioluminescence in the second peak is lower than that in wells with no
cytochalasin D, commensurate with a reduction in the number of
internalized bacteria (Fig. 4).

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FIG. 4.
Invasion of MAC-T cells by S. aureus
RN6390(pSB2030). S. aureus RN6390(pSB2030) were used to
inoculate a 24-well plate containing MAC-T monolayers, in DMEM
supplemented with 10% RPMI with (×) or without ( ) 1 µg of
cytochalasin D/ml. As controls, bacteria were also inoculated into
wells containing medium alone with ( ) or without ( ) 1 µg of
cytochalasin D/ml. All samples were incubated at 37°C, and
luminescence readings (in counts/second [cps]) taken over a 10-h
period in a Victor 2 Multilabel Counter.
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To validate this conclusion and to specifically measure the growth of
internalized S. aureus, similar experiments were performed with S. aureus RN6390(pSB2030) and MAC-T cells, but with the
incorporation of a lysostaphin treatment after 2 h of infection.
This removes extracellular and adherent bacteria, so reporter activity
measured must be due solely to intracellularly replicating bacteria.
Measurements of bioluminescence were not taken during the 2-h infection
period; hence, no initial peak of bioluminescence can be seen
(Fig. 5). In the lysostaphin-treated
wells containing MAC-T cells, a luminescent signal is detectable after
ca. 1 h, indicating that the signal is due to bacteria that are
replicating intracellularly. This is supported by the fact that the
luminescent signal generated by bacteria in the wells containing MAC-T
plus cytochalasin D is not above background levels (i.e., wells with no
MAC-T monolayer; Fig. 5). An additional conclusion from this study is
that the intracellular S. aureus were replicating since we
know that the PxylA is only expressed in
actively growing cells (Fig. 1A). This conclusion was confirmed by both
bacterial enumeration after MAC-T lysis (viable count assay) and also
by microscopic examination (cell enumeration) of samples taken at
t = 60, 180, 300, and 480 min (data not shown).

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FIG. 5.
Measurement of intracellular growth of S.
aureus RN6390(pSB2030). S. aureus
RN6390(pSB2030) were used to inoculate a 24-well plate containing
MAC-T monolayers, in DMEM supplemented with 10% RPMI with (×) or
without ( ) 1 µg of cytochalasin D/ml. As controls, bacteria were
also inoculated into wells containing medium alone with ( ) or
without ( ) 1 µg of cytochalasin D/ml. After a 2-h infection
period, all samples were treated with lysostaphin, and then the medium
was replaced with DMEM. The plate was incubated at 37°C, and
luminescence readings (in counts/second [cps]) were taken over a 10-h
period in a Victor 2 Multilabel Counter.
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These observations have allowed us to develop a simple, rapid, and
noninvasive assay of S. aureus internalization. The invasion assay is based on three principle observations: (i) only actively growing S. aureus(pSB2030) cells are luminescent, (ii) MAC-T
cells treated with cytochalasin D are compromised in their ability to internalize S. aureus, and (iii) lysostaphin treatment
effectively removes extracellular and adherent bacteria.
Therefore, the level of reporter activity from S. aureus(pSB2030) incubated with MAC-T cells in the
presence of cytochalasin-D and after lysostaphin treatment reflects
only the intracellular replication of the bacteria.
Analysis of patterns of agrP3 expression by
S. aureus upon MAC-T invasion.
To examine
agr expression in an intracellular environment, MAC-T cell
invasion assays were performed with the agrP3 reporter strain S. aureus RN6390(pSB2035). As above, MAC-T
monolayers were incubated with bacteria both in the presence and in the
absence of cytochalasin D with lysostaphin treatment after a 2-h
infection period. As controls, bacteria were incubated in assay wells
alone, with or without cytochalasin D. In these control experiments no induction of either promoter was seen (Fig.
6). In the MAC-T internalization assay,
bioluminescence from S. aureus RN6390(pSB2035) was at a maximum after 100 min (Fig. 6). In parallel infection experiments performed with S. aureus RN6390(pSB2030)
(PxylA), luminescence did not peak until ~370
min (Fig. 6), a finding which indicates bacterial replication (Fig. 1).
It is known that internalized S. aureus are surrounded by an
endosomal membrane (5, 19), from which they then escape by
lysis (5). Our data now suggest that agr is
induced to high levels while the bacteria are within the endosome (as
illustrated by high luminescence output during the first 100 min of
internalization) and is followed by replication on release into the
cytoplasm. Hence, it is likely that production of
agr-regulated exoproteins results in endosomal lysis.

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FIG. 6.
Growth and expression of agr by
S. aureus RN6390 in MAC-T cell invasion assay.
To measure agrP3 expression, S. aureus
RN6390(pSB2035) was inoculated into a 24-well plate
containing MAC-T monolayers, in DMEM supplemented with
10% RPMI with ( ) or without ( ) 1 µg of cytochalasin D/ml. As
controls, bacteria were also inoculated into wells containing medium
alone with ( ) or without ( ) 1 µg of cytochalasin D/ml. To
monitor staphylococcal replication, S. aureus
RN6390(pSB2030) was used to inoculate wells containing MAC-T
monolayers with (×) or without ( ) 1 µg of cytochalasin D/ml.
After a 2-h infection period, all wells were treated with lysostaphin
and then the medium was replaced with DMEM. The plate was incubated at
37°C, and luminescence readings were taken over a 10-h period in a
Victor 2 Multilabel Counter. The data are plotted as the percent
maximum luminescence for each reporter construct to compensate for
variations in promoter strength.
|
|
To confirm that the increase in bioluminescence was due to specific
induction of agr and not to an increase in staphylococcal numbers, a microscopic study was carried out utilizing GFP signal from
the pSB2035 reporter plasmid. MAC-T cells seeded onto
coverslips were incubated with S. aureus
RN6390(pSB2035). After various infection periods, lysostaphin
was applied to remove extracellular bacteria, and samples were
stained (as described in Materials and Methods) prior to analysis by
fluorescence microscopy. An anti-
-tubulin-Cy3 conjugate was used to
visualize microtubules for orientation within the cells to confirm that
the staphylococci imaged were indeed intracellular. After 2 h,
S. aureus RN6390(pSB2035) cells were clearly visible
within epithelial cells, although the numbers were low. At this time
most of the bacteria were not exhibiting a GFP+
phenotype (blue cells due to DAPI staining of the bacterial nucleoid; Fig. 7a and b). This is expected even if
agr P3 had been induced because of the time required for the
maturation of GFP. However, we have evidence that at this point
agr expression has not been induced since the red staining
seen around the individual staphylococcal cells is due to the binding
of the anti-
-tubulin-Cy3 conjugate to protein A in the cell wall.
Since protein A is downregulated upon agr induction, this
indicates that the agr regulon has not been induced in these
cells at this time point.

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|
FIG. 7.
Microscopic evaluation of growth and
agrP3 expression by S. aureus RN6390
invading MAC-T cells. MAC-T monolayers on coverslips were inoculated
with S. aureus RN6390(pSB2035) in DMEM supplemented
with 10% RPMI. The specimens were treated with lysostaphin after
2 h and stained with anti- -tubulin-Cy3 conjugate (red) and DAPI
(blue) at 2 h (a and b), 4 h (c), and 6 h (d)
postinfection. The specimens were visualized by fluorescence
microscopy.
|
|
As the infection process proceeds to 4 h (Fig. 7c), bacteria are
still seen to be internalized within the epithelial cells, but now more
of the bacteria are GFP+, suggesting that
agrP3 has now been induced within the MAC-T cells. This
coincides with the loss of the red staining of protein A as a
phenotypic indicator of agr induction. As the infection proceeds to 6 h (Fig. 7d), the number of internalized bacteria increases, as does the number of bacteria expressing GFP and, again, no
red halos are observed. The high level of GFP suggests that the
majority of the internalized bacteria have expressed agr. As
the infection proceeds through to the latter stages, the bacteria are
seen in pairs or tetrads, resulting from replication, throughout the
MAC-T cells (Fig. 7c and d). These cells stain primarily blue due to
DAPI staining of the nucleoid. The loss of GFP signal is probably due
to the downregulation of agrP3 on release of cells into the
cytoplasm and then dilution of accumulated GFP after bacterial cell division.
 |
DISCUSSION |
The lux operon from P. luminescens has been reconstructed to contain enhanced
translational signals for genes whose sequence analysis suggested might
be poorly translated. Three genes in this operon, luxA,
-C, and -E, were engineered to contain
optimized gram-positive translational initiation sequences. This was
combined with gfp that had been similarly modified
(36) to construct a dual reporter operon and expressed in
S. aureus to allow studies of bacterial growth and gene
expression during cell invasion.
The gfp-lux dual reporter downstream of the
B. megaterium xylA promoter, which is expressed in a
growth-dependent manner, has been used to investigate ex vivo the
intracellular replication of S. aureus in MAC-T cells. When
MAC-T monolayers were incubated with the bacteria for the duration of
the invasion assay, two peaks of bioluminescence were observed. The
first corresponds with luminescence emitted from bacteria incubated in
the absence of MAC-T cells and represents bacterial replication in the
cell culture medium. The second peak of bioluminescence was shown to be
due to replicating S. aureus both on and within the
eukaryotic cells. To measure the replication of intracellular S. aureus alone, the assay was further modified by the inclusion of a
lysostaphin treatment after a 2-h invasion period. In this improved
assay, only wells containing MAC-T monolayers inoculated with S. aureus in the absence of cytochalasin D exhibited a bioluminescent
output since cytochalasin D inhibits the uptake of S. aureus
by MAC-T cells (5). Thus, by using the new dual-reporter
operons, we have developed an assay to study intracellular replication
of S. aureus, monitoring the event in real time by
using the lux genes and in fixed samples by using the GFP
signal. When this latter reporter is used, time is needed to allow the
posttranslational modification required to produce the functional
chromophore; however, we have demonstrated its effectiveness in the
microscopic analysis of cell invasion.
For S. aureus to replicate within MAC-T cells, the bacteria
must first escape from the encapsulating endosomal membrane (5, 19). agr expression has previously been reported to
be important for S. aureus intracellular survival
(47), although the specific role of agr in
either endosomal escape or intracellular replication has not been
elucidated. The use of the new nondestructive dual reporters to measure
agr expression in our novel cell invasion assay system has
now allowed this question to be addressed. Previously, Wesson et al.
(47) demonstrated that the agr mutant, RN6911, was internalized at higher efficiencies in MAC-T cells than the wild-type strain RN6390. This was not unexpected, since the
agr mutants were known to produce increased levels of the
cell surface binding proteins such as the fibronectin-binding proteins.
However, although this agr mutant was internalized, it was
unable to replicate intracellularly; in fact, the numbers of
viable bacteria decreased over time. Wesson et al. hypothesized that
agr-regulated products are necessary for escape from the
endosome and further growth in the cytoplasm (47).
Furthermore, these authors suggested that, due to the confined space
within the endosome, the accumulation of AIP is rapid and lysis of the
endosome may be due to the induction of agr-regulated
exoproteins. This hypothesis has now been substantiated by our data
with the agrP3 dual reporter in which bioluminescence from
the agr reporter is induced within the first 100 min of
internalization prior to bacterial replication, as monitored by the
expression of PxylA, which is not induced until
the cells are released into the host cell cytoplasm. Recently, it has
been found that the S. aureus strains from the NCTC
8325 lineage (including RN6390 and 8325-4) are downregulated in
sigB expression due to a defect in rsbU
(14), which may in turn affect the level of agr
expression if internalization is perceived as a stress condition. To
address this, we carried out preliminary studies using a clinical
isolate (WCUH29) with an intact sigB locus, and in this
background the promoter kinetics are in agreement with those seen with RN6390.
The involvement of agr in internalization and subsequent
replication in MAC-T cells has also been demonstrated microscopically by utilizing the GFP protein in combination with fluorescent dyes. By
using the agr dual reporters, it has been shown that
agr expression is low upon internalization, as indicated by
low gfp expression. Cell surface-associated proteins are
highly expressed under these conditions, as illustrated by the binding
of the antitubulin conjugate to protein A in the bacterial cell wall,
which gives a phenotypic indicator of agr expression to
further validate the reporter data. At both 4 h and 6 h
postinfection, the number of GFP+ staphylococci
increases significantly. At these time points, no detectable levels of
protein A were observed by immunofluorescence, a finding again
indicative of upregulation of agr and a corresponding decrease in cell surface-associated proteins.
The data gathered during the course of this study show that the novel
dual-reporter gene system is a powerful, nondestructive tool for gene
expression studies ex vivo and potentially in vivo. For example,
lux expression coupled with low-light imaging can allow the
visualization of bacterial gene expression in complex environments such
as whole animals (9), providing information about the
temporal and spatial regulation of particular genes. Coupling this
approach with histologic studies using the GFP signal to give
a "retrospective" measure of which bacterial genes were expressed
in which tissues or cells would give a more detailed picture of
staphylococcal pathogenesis.
 |
ACKNOWLEDGMENTS |
We thank Stewart Wood for synthesis of the AIPs.
We are grateful to the Biotechnology and Biological Sciences Research
Council (96/A1/F/02414) and the Medical Research Council (G9219778) for funding.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: University
of Nottingham, School of Biosciences, Sutton Bonington Campus,
Loughborough, Leicestershire LE12 5RD, United Kingdom. Phone:
44-115-951-6169. Fax: 44-115-951-6162. E-mail:
phil.hill{at}nottingham.ac.uk.
Editor:
E. I. Tuomanen
 |
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Infection and Immunity, November 2001, p. 7074-7082, Vol. 69, No. 11
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.11.7074-7082.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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