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Infection and Immunity, August 2001, p. 4891-4897, Vol. 69, No. 8
Department of Medical Microbiology, Faculty
of Medicine, Vrije Universiteit,1 and
Department of Gastroenterology, Vrije Universiteit Academic
Hospital,5 Amsterdam, and Department of
Gastroenterology and Hepatology, Academic Hospital Dijkzigt,
Rotterdam,2 The Netherlands; Department
of Microbiology, Institute of Medical Microbiology and Hygiene,
University of Freiburg, Freiburg, Germany3; and
School of Biosciences, University of Birmingham, Edgbaston,
Birmingham, United Kingdom4
Received 18 December 2000/Returned for modification 9 February
2001/Accepted 4 May 2001
The nickel-containing enzyme urease is an essential colonization
factor of the gastric pathogen Helicobacter pylori, as it allows the bacterium to survive the acidic conditions in the gastric mucosa. Although urease can represents up to 10% of the total protein
content of H. pylori, expression of urease genes is thought to be constitutive. Here it is demonstrated that H. pylori
regulates the expression and activity of its urease enzyme as a
function of the availability of the cofactor nickel. Supplementation of brucella growth medium with 1 or 100 µM NiCl2 resulted in
up to 3.5-fold-increased expression of the urease subunit proteins UreA and UreB and up to 12-fold-increased urease enzyme activity. The induction was specific for nickel, since the addition of cadmium, cobalt, copper, iron, manganese, or zinc did not affect the expression of urease. Both Northern hybridization studies and a transcriptional ureA::lacZ fusion demonstrated that
the observed nickel-responsive regulation of urease is mediated at the
transcriptional level. Mutation of the HP1027 gene, encoding the ferric
uptake regulator (Fur), did not affect the expression of urease in
unsupplemented medium but reduced the nickel induction of urease
expression to only twofold. This indicates that Fur is involved in the
modulation of urease expression in response to nickel. These data
demonstrate nickel-responsive regulation of H. pylori
urease, a phenomenon likely to be of importance during the colonization
and persistence of H. pylori in the gastric mucosa.
Helicobacter pylori is a gram-negative,
microaerophilic human pathogen, which colonizes the gastric mucosa.
Infection with H. pylori leads to gastritis and is
associated with the development of peptic ulcer disease and gastric
cancer (16, 33). Since approximately half of the world
population is infected with H. pylori (16), it
constitutes a major public health problem.
H. pylori expresses large quantities of the enzyme urease
(3), an essential colonization factor of H. pylori (17, 18, 56). This enzyme converts urea, which
is present in millimolar concentrations in the gastric mucosa, into
ammonia and bicarbonate. The ammonia protects H. pylori
against the acidic microenvironment (31, 44, 47, 58),
causes damage to the gastric epithelium (50), is essential
for chemotactic behavior (39), and serves as a nitrogen
source (23). The bicarbonate protects H. pylori against the bactericidal activity of peroxynitrite, a nitric oxide metabolite (34).
Urease is a multimeric, nickel-containing enzyme which consists of six
UreA and six UreB subunits (15, 25, 28). The UreA and UreB
subunits have molecular masses of 27 and 62 kDa, respectively, and are
encoded by the ureA and ureB genes which are
organized in an operon structure (35). The gene products of a second operon, containing the ureIEFGH genes and
located downstream of the ureAB genes, are required for
the production of active urease. The UreEFGH accessory proteins
probably function in subunit assembly and in the incorporation of
nickel in the active sites of urease (8, 11, 38). This
second operon also contains the ureI gene, which encodes a
putative acid-activated urea transporter (44, 46, 49, 58).
Transcription of the H. pylori urease gene cluster occurs
from two promoters: one upstream of the ureA gene
(PureA) (1, 48) and one in the intergenic region between ureB and ureI
(PureI) (1). Transcription from
these two promoters, followed by pH-dependent differential mRNA
decay, leads to the formation of mRNAs containing ureAB,
ureABIE', ureIE', and ureF'GH (1).
Urease is expressed by a wide variety of bacteria but not usually at
the very high levels found in H. pylori (8,
38). Urease activity in other bacteria is seldom constitutive
but is regulated in response to environmental changes, such as changes in pH, urea availability, nitrogen availability, or growth phase (8, 9, 12, 38, 40). H. pylori produces large
amounts of urease, and it has been estimated that up to 10% of the
total protein content of H. pylori consists of urease
(3). The production of such large amounts of urease must
constitute a heavy metabolic burden, and therefore it is likely that
H. pylori regulates the expression of urease. However, the
published H. pylori genome sequences lack homologs of the
urease regulators UreR and NtrC (2, 8, 40, 55), and urease
expression in H. pylori is not transcriptionally regulated
by urea availability or pH (3). The activity of urease is
increased at low pH, but expression of the UreA and UreB subunits is
unchanged (1, 44, 46, 49, 58). Several loci have been
demonstrated to affect either urease expression or activity: the nickel
transporter genes nixA and abcCD (4,
26), the heat shock gene hspA (30) and
the heat shock regulator gene hspR (51), the
heavy metal P-type ATPase gene cadA (27), the
RNA helicase gene deaD (7) and helicase genes
hp0511 and hp0548 (36), the
flagellar biosynthesis gene flbA (36), and the
hydrogenase subunit genes hypA and hypB (41). However, these loci have not been demonstrated to
directly regulate ureAB transcription.
Although urease is essential for gastric colonization (17, 18,
56) and plays a central role in the pathogenesis of H. pylori infection, the expression of urease has so far not been recognized to be regulated by environmental stimuli. In this study, nickel-responsive induction of expression and activity of H. pylori urease is described and is shown to be mediated at the
transcriptional level via the ureA promoter.
Bacterial strains, plasmids, media, and growth conditions.
The H. pylori and Escherichia coli strains and
the plasmids used in this study are listed in Table 1.
H. pylori was routinely cultured on Dent plates
(14), consisting of Columbia agar (Oxoid) supplemented
with 7% saponin-lysed defibrinated horse blood, 0.004% triphenyltetrazolium chloride (Sigma), and Dent Selective Supplement (Oxoid), at 37°C under microaerophilic conditions (10%
CO2, 5% O2, and 85% N2).
H. pylori was grown in broth cultures in brucella broth
(Oxoid) supplemented with 3% Newborn Calf Serum (BBN, Gibco). Metal
chlorides (ACS quality) were purchased from Sigma, dissolved in
distilled water, filter sterilized, and used at the indicated concentrations. The total nickel content of BBN was determined with
inductively coupled plasma-mass spectrometry (53) at the Chemische Landesuntersuchungsanstalt, Freiburg, Germany, and was approximately 0.2 µM. E. coli was grown aerobically in
Luria-Bertani medium (45) at 37°C. When appropriate,
growth media were supplemented with kanamycin or chloramphenicol to
final concentrations of 20 or 10 µg/ml, respectively.
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.8.4891-4897.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Nickel-Responsive Induction of Urease Expression in
Helicobacter pylori Is Mediated at the
Transcriptional Level

![]()
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
TABLE 1.
Bacterial strains and plasmids used in this study
Recombinant DNA techniques. Restriction enzymes and modifying enzymes were purchased from New England Biolabs and were used according to the manufacturer's instructions. Standard protocols were used for manipulation of DNA and the transformation of E. coli (45) and H. pylori (7). Plasmid DNA was prepared using Qiaprep spin columns (Qiagen).
Protein analysis. H. pylori cultures were grown in unsupplemented or NiCl2-supplemented BBN for 20 to 24 h with moderate shaking to an optical density at 600 nm (OD600) of 0.4 to 0.8, centrifuged for 10 min at 4,000 × g at 4°C, and resuspended in ice-cold phosphate-buffered saline to a final OD600 of 10. H. pylori cells were lysed by sonication for 15 s on ice with an MSE Soniprep 150 set at amplitude 10. Protein concentrations were determined with the bicinchoninic acid method (Pierce) using bovine serum albumin as the standard. Samples containing 15 µg of protein were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) on a 12% polyacrylamide gel (45) and stained with Coomassie brilliant blue or subjected to Western immunoblotting with a urease-specific antiserum (7). Protein gels were scanned at 300 dots per inch using a Microtek scanner and analyzed by densitometry using the Kodak 1D Image Analysis Software, version 3.5. Samples were normalized using a total protein content of between 35 and 60 kDa, and expression patterns of the urease subunits were compared to an internal control consisting of the 26-kDa H. pylori TsaA protein (29, 42) (indicated in Fig. 1).
Urease activity. Urease activity of fresh lysates was determined by measuring ammonia production from urea hydrolysis with the Berthelot reaction (11). Briefly, lysates of freshly sonicated cells (0.6 to 1.0 µg of protein) were incubated for 10 min at room temperature in 1 ml of PEB buffer (100 mM sodium phosphate, 10 mM EDTA; pH 7.5) containing 50 mM urea. Subsequently, 90-µl aliquots were mixed with 150 µl of phenol-nitroprusside (Sigma Diagnostics 640-1), 150 µl of alkaline hypochlorite (Sigma Diagnostics 640-3), and 750 µl of distilled water and then incubated for 10 min at 37°C. The ODs of the samples were determined at 570 nm. The amount of ammonia present in the 90-µl samples was then inferred from a standard NH4Cl concentration curve. Urease activity was expressed as micromoles of urea hydrolyzed per minute per milligram of protein.
RNA analysis.
Total RNA was isolated from 4 × 109 freshly grown bacteria with RNeasy spin columns
(Qiagen), according to the manufacturer's instructions. RNA was
separated on 2% formaldehyde-1.5% agarose gels in 20 mM sodium
phosphate buffer (pH 7), transferred to positively charged nylon
membranes (Roche Diagnostics), and covalently bound to the membrane by
cross-linking with 0.120 J of UV light of 254-nm wavelength per
cm2. RNA was visualized by methylene blue staining
(1), and RNA samples were normalized based on 16S and 23S
rRNA band intensities. The sizes of the hybridizing RNA species were
calculated from comparison with a digoxigenin-labeled RNA marker (RNA
Marker I; Roche Diagnostics). Internal fragments of the ureA,
ureI, and ureG genes were PCR amplified with the
primers listed in Table 2. The resulting PCR fragments
contained a T7 promoter sequence and were used for the production of
antisense RNA probes labeled with digoxigenin by in vitro transcription
using T7 RNA polymerase (Roche Diagnostics). Northern hybridization and
stringency washes were done at 68°C, and bound probe was visualized
with the DIG-Detection Kit (Roche Diagnostics) and the chemiluminescent
substrate CPD-Star (Amersham Pharmacia).
|
Construction and characterization of a H. pylori
ureA::lacZ transcriptional fusion.
Plasmid pBJD3.3 (Table 1) was constructed by PCR amplification of the
H. pylori 1061 ureA promoter with
primers BJD3.3-F1 and BJD3.3-R1 (Table 2), subsequent digestion with
BamHI, and cloning into the unique BglII site
upstream of the promoterless lacZ gene of vector pBW (Table
1). The ureA PCR fragment was sequenced to verify the
fidelity of the amplification. pBJD3.3 was transformed to H. pylori 1061 as described previously (7), resulting in
the kanamycin-resistant H. pylori strain AV433 (Table 1). The
-galactosidase activity in H. pylori AV433
grown in either unsupplemented or in nickel-supplemented BBN medium was determined in lysates from freshly sonicated cells. A portion (0.1 ml)
of lysate (corresponding to approximately 109 cells) was
mixed with 0.9 ml of Z-buffer (60 mM Na2HPO4,
40 mM NaH2PO4, 10 mM KCl, 1 mM
MgSO4, 50 mM 2-mercaptoethanol, 0.002% SDS) and warmed to
37°C. Reactions were started by the addition of 0.2 ml of
o-nitrophenyl-
-D-galactopyranoside (4 mg/ml),
and terminated by the addition of 0.5 ml of
Na2CO3 (1 M). The OD420, the
OD550, and the time required for the solution to become
yellow were recorded. The
-galactosidase activity was expressed in
Miller units (45).
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RESULTS |
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Nickel supplementation of growth medium increases urease expression
and activity.
We tested the effect of medium supplementation with
the urease cofactor nickel on protein expression patterns in one
clinical isolate and one reference strain of H. pylori
(1061 [7] and 26695 [55], respectively).
Strains were grown either in unsupplemented BBN or in BBN supplemented
with NiCl2 to final concentrations of 1 and 100 µM. These
NiCl2 concentrations represent a significant increase in
the total nickel content of BBN, which is approximately 0.2 µM, but
are well below the nickel toxicity levels for H. pylori, which are between 1 and 6 mM (27, 37, 57).
Supplementation of BBN with 1 or 100 µM NiCl2 did not
have a significant effect on the growth of H. pylori
(not shown) but did result in the increased expression of two proteins
with molecular masses of approximately 30 and 67 kDa, respectively
(Fig. 1A). The molecular mass, amount, and recognition
of these two proteins by antibodies to H. pylori urease
(Fig. 1B) verified that these proteins were the urease subunit proteins
UreA and UreB. BBN supplementation with 500 µM NiCl2 did
not give rise to higher levels of urease expression, and BBN
supplementation with 1 and 5 mM NiCl2 started to adversely affect growth of H. pylori 1061 and 26695 (not shown).
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|
Nickel induction of urease expression is mediated at the
transcriptional level.
The levels of the mRNA species coding
for urease subunit or accessory genes in H. pylori
strain 1061 were analyzed with probes specific for the ureA,
ureI, and ureG genes (Fig. 2A). The
ureA-specific probe hybridized with a
ureAB-containing mRNA of approximately 2.7 kb
(1) and a ureABIE'-containing mRNA of
3.4 kb (1). The amounts of both mRNAs were clearly
increased upon nickel supplementation of the medium (Fig. 2B). The
ureI-specific probe hybridized with mRNAs of
approximately 3.4 kb (ureABIE') and 0.9 kb
(ureIE') (1). The amount of the 3.4-kb mRNA
was clearly induced upon nickel supplementation, while the amount of
the 0.9-kb mRNA did not change significantly upon nickel
supplementation (Fig. 2B). Finally, the ureG-specific probe
hybridized with a single mRNA, with a length of approximately 1.7 kb (ureF'GH) (1), whose amount did not change
significantly upon nickel supplementation (Fig. 2B). In summary, only
transcripts originating from the promoter upstream of the
ureA gene were induced upon nickel supplementation.
|
Nickel induction of urease expression is mediated via the
ureA promoter.
A chromosomal
ureA::lacZ fusion was used to measure the
effect of nickel supplementation on ureAB transcription.
This transcriptional fusion would also allow us to determine whether
the increase in ureAB mRNA resulted from true
transcriptional induction (increased de novo mRNA synthesis) or
increased mRNA stability. To construct the chromosomal
ureA::lacZ fusion, plasmid pBJD3.3, which
contains the ureA promoter in front of a promoterless
lacZ gene (Table 1, Fig. 3A), was transformed
to H. pylori 1061. The integration of the pBJD3.3
vector into the H. pylori 1061 chromosome by single homologous recombination leads to kanamycin resistance
(7). The resulting transformant, named AV433, contains a
duplicated ureA promoter (Fig. 3A). One
ureA promoter is fused to the promoterless lacZ gene, whereas the other copy is still preceding the
intact urease operon (Fig. 3A). Correct chromosomal integration of
pBJD3.3 and the presence of the
ureA::lacZ and wild-type urease operons in H. pylori AV433 was confirmed by PCR, sequencing,
and Southern hybridization. The insertion of the pBW vector did not
have a major effect on the expression, activity, and nickel induction of urease, since there were no significant differences in urease activity between strain AV433 and its parent strain 1061 (Fig. 3B). The
-galactosidase activity in H. pylori AV433 increased approximately threefold when the growth medium was supplemented with
NiCl2 compared to unsupplemented growth medium (Fig. 3C).
|
The H. pylori Fur homolog modulates
nickel-responsive induction of urease.
The role of the
H. pylori metal-responsive regulator Fur (HP1027)
(6) in the nickel-responsive induction of urease was established by insertional mutagenesis of the fur gene in
H. pylori 1061. Mutation of fur did not
affect basal levels of urease expression (Fig. 4), nor
did it affect transcription of the different mRNA species of the
urease operon (not shown). However, nickel-responsive induction of
urease was clearly diminished in the H. pylori fur mutant. Where wild-type H. pylori 1061 showed up to
3.5-fold induction of UreA and UreB expression (Table 3), in the
fur mutant this was only to a maximum of 2-fold induction at
100 µM NiCl2 (Table 3). This difference was significant
(P < 0.05) at both 1 and 100 µM NiCl2.
Expression of the 26-kDa TsaA protein was again independent from the
NiCl2 supplementation or the fur mutation (Fig.
4, Table 3). Increasing the NiCl2 concentration to 500 µM
did not result in an additional induction of urease expression in the
fur mutant, indicating that maximum levels of expression of
UreA and UreB are lower in the H. pylori 1061 fur mutant than in wild-type H. pylori 1061.
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DISCUSSION |
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Urease activity is an essential factor in the colonization of the gastric mucosa by H. pylori (17, 18, 56). It is therefore not surprising that H. pylori expresses high levels of urease, up to 10% of its total protein content (3). This must constitute a heavy metabolic burden for this fastidious pathogen, but since none of the regulatory mechanisms described for other bacterial ureases apply to H. pylori urease, the expression of H. pylori urease was thought to be constitutive (3, 8, 38). As demonstrated here, H. pylori regulates urease transcription via the availability of the urease cofactor nickel, representing a novel type of transcriptional regulation for bacterial ureases.
Supplementation of growth media with nickel resulted in increased
expression of the urease subunit proteins UreA and UreB and increased
urease activity (Fig. 1). There were differences in the induction
levels quantified in the two strains tested, since H. pylori 26695 expressed lower amounts of urease subunits and had a
lower urease activity than strain 1061 but demonstrated much higher
levels of induction in response to nickel supplementation of the growth
medium (Fig. 1). The increase in urease expression and activity was
accompanied by increased amounts of mRNA species containing the
ureA and ureB genes (Fig. 2). The increase in
ureA- and ureB-containing mRNAs is likely
to be mediated exclusively through increased transcription from the
ureA promoter (Fig. 3), since the observed threefold
increase in
-galactosidase activity in H. pylori
AV433 (ureA::lacZ) upon nickel
supplementation seems to match the increase in the amounts of urease
proteins and transcripts. In contrast to our findings, Olson et al.
(41) did not find induction of urease activity when
H. pylori strain ATCC43504 was grown with medium
supplementation of 1 or 5 µM NiCl2. This is likely to be
due to differences in medium composition and growth conditions. Olson
et al. (41) used brucella agar plates supplemented with
10% blood, and agar and blood components are likely to chelate nickel.
Also, plate-grown cultures usually contain a mix of cells in different
growth phases, and this might also influence urease activity and nickel
availability. We have tested strain ATCC 43504 in BBN medium
supplemented with 100 µM NiCl2 and, under these conditions, it demonstrated a clear nickel-responsive induction of
urease expression, to similar levels as H. pylori 1061.
The increase in urease activity resulting from nickel supplementation is higher than the observed increase in UreA and UreB subunit proteins (Fig. 1A and C, Table 3). This suggests that not only the amount of urease protein but also the amount of the cofactor nickel is a limiting factor for urease activity of H. pylori. Apparently, when grown in unsupplemented growth medium, H. pylori contains inactive urease resulting from the limited availability of nickel. Assuming that in the natural niche of H. pylori (i) the bioavailability of nickel is limited and (ii) the availability of nickel is positively affected by a decrease in pH (32), as is, for example, the case for iron, then the increased availability of nickel at the low pH would provide a physiological mechanism for a rapid increase of urease activity. This would result in an instantaneous increase in acid resistance resulting from activation of inactive urease apoenzyme due to increased nickel availability, without the need for de novo synthesis of the urease apoenzyme. While the concentration of nickel in the gastric lumen or gastric mucosa is unknown, the daily nickel intake in industrialized countries averages 150 µg/day but can vary significantly since some food sources, such as coffee, tea, nuts, and chocolate, are rich in nickel (52).
The nickel-responsive induction of urease expression observed in this study seems to be mediated through more than one regulatory system. The iron-regulatory protein Fur is involved in the nickel-responsive regulation of urease expression, since urease expression is only induced to a maximum of twofold in H. pylori 1061fur, whereas in wild-type H. pylori 1061 it is induced more than threefold. Fur is not involved in the basal levels of urease expression, however, since urease expression in wild-type and fur mutant strains is very similar (Fig. 4, Table 3). Whether Fur exerts its regulatory function directly at the urease promoter or through other pathways is unknown. Although the ureA promoter region contains a stem-loop structure (48) that somewhat resembles the structure used by Fur (20), it does not contain significant sequence homology to the Fur binding sequence (20) and was not identified in screening of H. pylori DNA in the original and H. pylori-optimized Fur titration assays (21). This indicates that the Fur protein plays an important role in metal-responsive gene regulation in H. pylori, since it is also involved in metal-responsive repression of ferritin synthesis in H. pylori (5).
Nickel-responsive regulation has only been characterized at the molecular level in a few bacterial species (19). Nickel induces the cnr cobalt and nickel resistance determinant of Ralstonia sp. via the CnrY, CnrX, and CnrH proteins (24, 54), whereas it represses the E. coli nickel acquisition system nik via the NikR protein (10, 13). H. pylori does not contain clear homologs of the CnrY, CnrX, or CnrH proteins, but it does contain a NikR homolog, designated HP1338 (55). We are currently assessing the role of the HP1338 protein in metal-responsive regulation of H. pylori.
In conclusion, H. pylori regulates the transcription and production of its virulence factor urease in response to nickel, and the H. pylori Fur homolog is involved in this regulation. Since urease expression is essential for colonization by H. pylori, it might be of interest to investigate the effect of a low-nickel diet on the colonization ability of H. pylori in animal models. Nickel-responsive induction of urease levels may also play a role in other urease-producing bacteria. If so, this may allow the development of new or improved strategies to prevent or control infection with urease-positive bacteria.
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ACKNOWLEDGMENTS |
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We thank Jetta Bijlsma and Ben Appelmelk for helpful discussions.
This study was supported by grants from the Nederlandse Organisatie voor Wetenschappelijk Onderzoek (NWO 901-14-206) to A.H.M.V.V., the Universitair Stimulerings Fonds (USF) of the Vrije Universiteit to E.J.K., the Deutsche Forschungsgemeinschaft (Ki201/9-1) to M.K., and the Biotechnology and Biological Sciences Research Council (BBSRC) and National Institute for Biological Standards and Control (NIBSC) to B.J.D.
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FOOTNOTES |
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* Corresponding author. Mailing address: Department of Gastroenterology and Hepatology, L448, Academic Hospital Dijkzigt, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. Phone: 31-10-4635946. Fax: 31-10-4634682. E-mail: vanvliet{at}mdl.azr.nl.
Present address: Department of Gastroenterology and Hepatology,
Academic Hospital Dijkzigt, Rotterdam, The Netherlands.
Editor: R. N. Moore
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