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Infection and Immunity, June 2002, p. 3264-3270, Vol. 70, No. 6
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.6.3264-3270.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Disruption of the Salmonella-Containing Vacuole Leads to Increased Replication of Salmonella enterica Serovar Typhimurium in the Cytosol of Epithelial Cells
John H. Brumell, Patrick Tang, Michelle L. Zaharik, and B. Brett Finlay*
Biotechnology Laboratory and Departments of Biochemistry and Molecular Biology, Microbiology and Immunology, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada
Received 11 October 2001/
Returned for modification 5 January 2002/
Accepted 10 March 2002

ABSTRACT
Salmonella enterica serovar Typhimurium is a facultative intracellular
pathogen that inhabits a vacuolar compartment, called the
Salmonella-containing
vacuole (SCV), in infected host cells. Maintenance of the SCV
is accomplished by SifA, and mutants of this
Salmonella pathogenicity
island 2 type III effector replicate more efficiently in epithelial
cells. Here we demonstrate that enhanced replication of
sifA mutants occurs in the cytosol of these cells. Increased replication
of wild-type bacteria was also observed in cells treated with
wortmannin or expressing Rab5 Q79L or Rab7 N125I, all of which
caused a loss of SCV integrity. Our findings demonstrate the
requirement of the host cell endosomal system for maintenance
of the SCV and that loss of this compartment allows increased
replication of serovar Typhimurium in the cytosol of epithelial
cells.

TEXT
Salmonella enterica serovar Typhimurium can cause a number of
diseases, including gastroenteritis in humans and a systemic
disease in mice that resembles typhoid fever (
23,
41). Both
in vitro (
10) and in vivo (
32,
33) evidence suggests that this
pathogen inhabits a vacuolar compartment in infected cells,
called the
Salmonella-containing vacuole (SCV), during the course
of these infections. Modulation of SCV interaction with the
host endocytic system is thought to represent a major virulence
strategy of serovar Typhimurium, a strategy shared by other
intracellular pathogens (
9). Principally implicated in altering
SCV maturation are two different type III secretion systems
(TTSS). The
Salmonella pathogenicity island 1 (SPI-1)-encoded
TTSS mediates invasion of nonphagocytic epithelial cells via
a ruffling mechanism that is distinct from phagocytosis (
6,
11). This uptake mechanism may dictate maturation of the SCV,
since early events include the avoidance of lysosomes (
13).
A second TTSS, encoded on SPI-2, is induced inside cells and
is essential for survival and replication in macrophages (
28,
34). This system blocks delivery of the NADPH oxidase (
12,
44,
45) in macrophages and may also play a role in avoiding lysosomes
in this cell type (
42).
Recent data have shown that the SPI-2 TTSS promotes integrity of the SCV through the actions of SifA, a translocated effector of this system (3, 5, 21). Deletion of sifA leads to loss of the vacuole surrounding intracellular bacteria at late times (10 h) following infection of murine macrophages in vitro. At this time, sifA mutants are predominantly located in the macrophage cytosol and are unable to replicate (3). Recent confocal analysis of the spleens of infected mice has confirmed a role for SifA in maintaining the SCV in macrophages in vivo (33). In epithelial cells, SifA mediates a unique phenotype characterized by extensive tubulation of the SCV, known as Salmonella-induced filaments (Sifs [16]). Deletion of sifA blocks Sif formation in epithelial cells (39). Surprisingly, the effect of this mutation on intracellular replication is the opposite of that in macrophages: sifA mutants replicate more efficiently than wild-type bacteria in epithelial cells, and the basis for this difference is unknown (39).
To examine this phenotype, we infected HeLa epithelial cells with serovar Typhimurium SL1344 for 10 h and examined the location of intracellular bacteria by confocal microscopy (5). As shown in Fig. 1A (upper panels), wild-type bacteria were localized within lysosomal-associated membrane protein 1 (LAMP-1+) vacuoles, and Sif formation was witnessed in approximately 50% of infected cells. This is consistent with previous studies demonstrating rapid LAMP-1 acquisition by the SCV following invasion and retention of this marker throughout the course of infection in this cell type (16, 26, 38). In a minority of wild-type infected cells (previously estimated to be 1 to 5% of the total number of intracellular bacteria under similar conditions [15]), intracellular bacteria lacking LAMP-1 were observed (Fig. 1, middle panels), indicating rupture of the SCV. In these cells, loss of LAMP-1 coincided with an increase in shed lipopolysaccharides (LPS) throughout the cytosol and a change in bacterial morphology. As shown, loss of the SCV led to a pronounced elongation of cytosolic bacteria when compared to those within vacuoles (Fig. 1).
To confirm that loss of LAMP-1 indicates rupture of the SCV
and is not the result of altered SCV trafficking, we infected
cells with bacteria expressing a destabilized mutant of green
fluorescent protein (GFP) (Clontech) driven by the
phoP promoter
(to be described elsewhere). Consistent with previous reports,
expression of
phoP was induced in the SCV in response to low
Mg
2+ levels (estimated to be 10 to 50 µM [
14]) in this
compartment (
17,
20), with 51% ± 10% (average ±
standard deviation;
n = 3) of LAMP-1
+ wild-type bacteria expressing
GFP. In contrast, only 11% ± 6% (
n = 3) of LAMP-1
- serovar
Typhimurium expressed detectable amounts of GFP, indicative
of high Mg
2+ concentrations in the cytosol and downregulation
of the
phoP promoter. Similar results were seen with
sifA mutants,
although a higher percentage of LAMP-1
- bacteria were observed
(Fig.
1B). These findings demonstrate that loss of LAMP-1 coincides
with disruption of the
Salmonella-containing vacuole and release
of the bacteria into the cytosol.
While cytosolic replication of wild-type serovar Typhimurium was observed, the majority of these bacteria were located within LAMP-1+ SCV and appeared to be undergoing extensive replication in this compartment (Fig. 1A, upper panels). In contrast, deletion of sifA appeared to block intravacuolar replication, as only small clusters (one to four bacteria per vacuole) of LAMP-1+ bacteria were observed (Fig. 1A, lower panels). Consistent with the results of Beuzón et al. (3), large numbers of LAMP-1- bacteria were observed in these cells, indicating that cytosolic replication of the sifA mutant was also occurring. To directly visualize replication of sifA mutants of serovar Typhimurium in HeLa cells, we performed time lapse confocal imaging of infected cells (Fig. 2). For these experiments, infected cells were loaded with Lysotracker DND-99 to label acidic compartments (in red), which include the SCV (1, 30). This provides a convenient method of determining which bacteria (identified by constitutive expression of GFP) are present in vacuoles or the cytosol. As shown in Fig. 2 (left-hand series), sifA mutants were observed to move freely in the cytosol and underwent rapid replication in this compartment. By contrast, sifA mutants present in acidified vacuoles (arrows) did not replicate over the 2-h imaging period. Wild-type bacteria were observed predominantly in acidified vacuoles (right-hand panels) and were capable of replicating in these compartments, albeit with a lower replication rate.
Based on these observations, we conclude that the previously
observed enhanced replication of
sifA bacteria in both HeLa
and MDCK epithelial cells (
39) occurs in the cytosol of these
cell types. Thus, in contrast to the nonpermissive cytosolic
environment of the macrophage (
3), serovar Typhimurium can survive
and replicate in the cytosol of epithelial cells. During the
course of our studies, Goetz and colleagues demonstrated that
serovar Typhimurium 14028s does not replicate in the epithelial
cell line Caco-2 following direct delivery to the cytosol by
microinjection (
19). The discrepancy between their results and
our own suggests that serovar Typhimurium requires expression
of specific virulence factors which are induced following invasion
and vacuolar adaptation (
29) prior to release in the cytosol
in order to replicate in this compartment.
In previous studies we have demonstrated that transfection of HeLa cells with an N-terminal fusion of SifA to GFP causes swelling and aggregation of endocytic compartments bearing lysosomal glycoproteins (5) and the late endosome marker lysobisphosphatidic acid (4). These observations suggest that SifA directs membrane fusion events for the purpose of maintaining vacuole integrity and for Sif formation. To examine a possible role for the host cell endocytic pathway in SCV maintenance, we treated cells with 100 nM wortmannin, a potent phosphatidylinositol 3-kinase inhibitor that impairs many endocytic and secretory processes (7, 8, 24, 27, 31, 35). Cells were then infected with wild-type serovar Typhimurium and examined by immunofluorescence microscopy. Treatment with wortmannin led to a significant increase in the number of cytosolic bacteria (as determined by loss of LAMP-1 [Fig. 3B ] and altered bacterial morphology) at 6 h postinvasion. Interestingly, Sif formation was not impaired by treatment with wortmannin (Fig. 3A), suggesting that the formation of Sif tubules (a process involving aggregation and fusion of late endocytic compartments [4]) and maintenance of the SCV are separable functions of SifA. The gentamicin resistance assay (38) was used to quantify intracellular replication under these conditions. Pretreatment for 30 min with wortmannin did not affect invasion (as previously demonstrated [25]) but consistently led to a two- to threefold increase in intracellular replication at 6 h postinvasion over that of untreated cells (37). Thus, pharmacologic inhibition of the host endosomal system can affect the intracellular location and replication efficiency of serovar Typhimurium in epithelial cell lines.
We also examined the role of the host endosomal system in SCV
maintenance by expression of Rab GTPases, key regulators of
many endocytic trafficking events (
36). To test a role for early
endosomes in SCV maintenance, HeLa cells were transfected (
5)
with a vector encoding the Q79L (constitutively active) GTPase
mutant of Rab5 fused to the C terminus of GFP (generously provided
by C. Roy, Yale University). As previously demonstrated (
40),
expression of Rab5 Q79L caused extensive swelling of endosomes
(Fig.
4A). Sifs were seen in only 11% ± 2% of Rab5 Q79L-transfected
cells compared with 49% ± 5% of wild-type Rab5-GFP-transfected
cells (
n = 3). Expression of Rab5 Q79L also led to an increase
in the number of transfected cells that contained cytosolic
bacteria compared to the number of wild-type cells transfected
with Rab5-GFP or GFP alone, indicating a loss of SCV integrity
(Fig.
4B). This is consistent with a recent report demonstrating
that expression of Rab5Q79L leads to an increase in intracellular
replication by serovar Typhimurium in HeLa epithelial cells
at 5.5 h postinvasion (
2). The authors of that study concluded
that intracellular replication can be uncoupled from normal
maturation of the SCV. In light of our findings, we propose
instead that the increase in replication observed by Baldeón
et al. occurs in the cytosol of infected cells as a result of
altering Rab5 activity. However, our results and those of Baldeón
et al. (
2) demonstrate a role for membrane traffic involving
early endosomes for maintenance of the SCV and for Sif formation.
To test a role for late endocytic compartments in maintenance
of the SCV, HeLa cells were transfected with a vector encoding
the N125I (dominant-negative) mutant of Rab7 fused to the C
terminus of GFP (generously provided by A. Wandinger-Ness, University
of New Mexico Health Sciences Center). Expression of this construct
inhibits Sif formation (
4) and also led to an increase in the
number of transfected cells with cytosolic bacteria (Fig.
4B).
Thus, interruption of both early (Rab5-mediated) and late (Rab7-mediated)
stages of the endocytic pathway lead to interruption of the
normal membrane traffic events that allow Sif formation and
preservation of the SCV.
Many studies utilize epithelial cell lines to examine intracellular replication by serovar Typhimurium. Here we demonstrate that genetic, pharmacologic, or molecular interference with this model of infection can lead to an alteration in the subcellular localization of intracellular bacteria. Since we have shown that serovar Typhimurium can replicate efficiently in the cytosol of epithelial cells, suitable care must be taken to ensure that vacuolar replication is not confused with cytosolic replication. It is interesting that serovar Typhimurium actively maintains the SCV (through the actions of SifA) in epithelial cells when clearly it could benefit by escaping this compartment. Indeed, vacuolar escape and cytosolic replication constitute the pathogenic strategy of such pathogens as Listeria monocytogenes and Shigella flexneri. Maintenance of the SCV in epithelial cells may have important implications for host immune responses, including TAP (transporter associated with antigen presentation)-dependent presentation of antigens via major histocompatibility complex class I molecules and activation of proinflammatory signaling cascades in response to intracellular LPS (18). In macrophages, maintenance of the SCV also allows serovar Typhimurium to avoid cytosolic host defense proteins such as ubiquicidin, which has the ability to restrict bacterial growth in vitro (22). Future studies will address how serovar Typhimurium modifies its vacuolar compartment to allow replication within this intracellular niche.

ACKNOWLEDGMENTS
We thank members of the Finlay lab and Olivia Steele-Mortimer
for careful reading of the manuscript. We also thank Elaine
Humphrey of the Electron Microscopy Lab, University of British
Columbia, for her assistance with confocal microscopy. Special
thanks to C. Roy and A. Wandinger-Ness for providing necessary
reagents and helpful advice and to R. Valdivia, S. Falkow, and
D. Holden for providing plasmid pFPV25.1.
This work was supported by grants (to B.B.F.), a postdoctoral fellowship (to J.H.B.), and a doctoral research award (to M.L.Z.) from the Canadian Institute of Health Research. B.B.F. is an International Research Scholar of the Howard Hughes Medical Institute and a Distinguished Investigator of the Canadian Institute for Health Research. J.H.B. is an honorary fellow of the Izaac Walton Killam Memorial Foundation. M.L.Z. is the recipient of a War Memorial Scholarship from the National Chapter of Canada Imperial Order of the Daughters of the Empire.

FOOTNOTES
* Corresponding author. Mailing address: Biotechnology Laboratory, University of British Columbia, Room 237, Wesbrook Building, 6174 University Blvd., Vancouver, BC, Canada V6T 1Z3. Phone: (604) 822-2210. Fax: (604) 822-9830. E-mail:
bfinlay{at}interchange.ubc.ca.

Editor: A. D. O'Brien

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Infection and Immunity, June 2002, p. 3264-3270, Vol. 70, No. 6
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.6.3264-3270.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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