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Infection and Immunity, July 2002, p. 3371-3381, Vol. 70, No. 7
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.7.3371-3381.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
ideR, an Essential Gene in Mycobacterium tuberculosis: Role of IdeR in Iron-Dependent Gene Expression, Iron Metabolism, and Oxidative Stress Response
G. Marcela Rodriguez,1 Martin I. Voskuil,2 Benjamin Gold,1,3 Gary K. Schoolnik,2 and Issar Smith1*
TB Center, The Public Health Research Institute, Newark, New Jersey 07103,1
Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, California 94305,2
Department of Microbiology, New York University Medical Center, New York, New York 100163
Received 16 November 2001/
Returned for modification 14 January 2002/
Accepted 25 March 2002

ABSTRACT
The mycobacterial IdeR protein is a metal-dependent regulator
of the DtxR (diphtheria toxin repressor) family. In the presence
of iron, it binds to a specific DNA sequence in the promoter
regions of the genes that it regulates, thus controlling their
transcription. In this study, we provide evidence that
ideR is an essential gene in
Mycobacterium tuberculosis. ideR cannot
normally be disrupted in this mycobacterium in the absence of
a second functional copy of the gene. However, a rare
ideR mutant
was obtained in which the lethal effects of
ideR inactivation
were alleviated by a second-site suppressor mutation and which
exhibited restricted iron assimilation capacity. Studies of
this strain and a derivative in which IdeR expression was restored
allowed us to identify phenotypic effects resulting from
ideR inactivation. Using DNA microarrays, the iron-dependent transcriptional
profiles of the wild-type,
ideR mutant, and
ideR-complemented
mutant strains were analyzed, and the genes regulated by iron
and IdeR were identified. These genes encode a variety of proteins,
including putative transporters, proteins involved in siderophore
synthesis and iron storage, members of the PE/PPE family, a
membrane protein involved in virulence, transcriptional regulators,
and enzymes involved in lipid metabolism.

INTRODUCTION
Mycobacterium tuberculosis is an important human pathogen that
causes serious infection in immunocompetent hosts but is particularly
virulent in immunocompromised patients. Improved knowledge of
mycobacterial pathogenesis is required to provide novel targets
for intervention and to generate new vaccines.
One physiological condition known to be important in M. tuberculosis infection is the availability of iron. As is the case for most organisms, M. tuberculosis uses iron as a cofactor for enzymes that are involved in redox reactions and other essential functions, and it fails to grow in the absence of this metal (35). Free iron, however, is not readily available in the mammalian host, as it is mainly bound to high-affinity iron-binding proteins. Human serum is tuberculostatic, and this effect can be reversed by the addition of iron (23). On the other hand, abnormally high iron levels in M. tuberculosis-infected humans are associated with exacerbation of the disease (8, 14). In response to iron limitation, M. tuberculosis, like many other bacteria, produces high-affinity iron chelators, i.e., siderophores, which in mycobacteria are defined as mycobactins. One type of mycobactin remains cell associated, while the second (referred to as water-soluble mycobactin, carboxymycobactin, or exochelin [9, 15, 33]) has a shorter alkyl substitution, is more hydrophilic, and is released in the extracellular medium (15, 32). Supporting the concept that iron acquisition in the host is essential for virulence, failure to produce mycobactin results in defective bacillary multiplication in macrophages (9).
In addition to possessing the ability to acquire iron in the host, successful pathogens and essentially all aerobic organisms must carefully control the levels of intracellular iron. Failure to regulate this amount of iron in the cell could be lethal due to the ability of this metal to catalyze the production of toxic oxygen radicals in the presence of oxygen (21). Prokaryotes largely regulate intracellular iron levels by controlling its uptake (20). This is done by modifying the transcription of genes involved in iron acquisition, depending on the iron levels in the cell. Proteins that sense the levels of intracellular iron respond accordingly by modulating gene expression. M. tuberculosis contains four potential iron-dependent regulators belonging to two different families of metalloregulatory proteins. Two genes, furA and furB, encode proteins of the Fur (ferric uptake regulator) family, while IdeR and SirR are members of the DtxR (diphtheria toxin repressor) family (18, 26, 36). IdeR is the only one of these mycobacterial proteins that has been well characterized as to structure and function. It is a metal and DNA binding protein (11, 12, 30, 36). Like Fur and DtxR, IdeR binds iron and then interacts with a specific sequence in the operator regions of iron-regulated genes to control their transcription (10, 16, 34). The role of IdeR in iron regulation was first demonstrated in the nonvirulent mycobacterium Mycobacterium smegmatis, in which IdeR was found to be responsible for iron-dependent siderophore repression (11). The present study investigates the function of IdeR in M. tuberculosis and provides evidence that ideR is an essential gene in this mycobacterium. We analyzed the role of IdeR in iron-dependent gene expression and examined the requirement for IdeR in iron-dependent siderophore production and oxidative stress response.

MATERIALS AND METHODS
Bacterial strains and media.
Escherichia coli JM109 (
43) was routinely used in DNA-cloning
procedures.
M. tuberculosis strain H37Rv (American Type Culture
Collection) was maintained in Middlebrook 7H9 broth or on 7H10
agar (Difco) supplemented with 0.2% glycerol, 0.05% Tween 80,
and 10% albumin-dextrose-NaCl complex (ADN) (
22). When media
with defined amounts of iron were needed, 7H9 and 7H10 were
prepared omitting ferric ammonium citrate. We refer to these
media as reconstituted 7H9 (r7H9) or r7H10. These media were
subsequently supplemented with the desired amount of iron in
the form of FeCl
3. Minimal medium (MM) was also used to grow
cultures under defined iron conditions for the determination
of mycobactin, growth curves (MM agar), and RNA extraction (MM
broth). This medium contained 0.5% (wt/vol) asparagine, 0.5%
(wt/vol) KH
2PO
4, 2% glycerol, 0.5 mg of ZnCl
2 liter
-1, 0.1 mg
of MnSO
4 liter
-1, and 40 mg of MgSO
4 liter
-1. It was supplemented
with the desired concentrations of FeCl
3, and in the case of
the broth, 0.05% Tween 80 and 10% ADN were included. Where indicated,
antibiotics were included at the following concentrations: kanamycin,
20 µg/ml; streptomycin, 20 µg/ml; and hygromycin,
150 µg/ml.
Construction of plasmids.
The M. tuberculosis cosmid T144 was a kind gift of Stewart Cole of the Pasteur Institute (Paris, France). T144 was digested, and a 6.7-kb AgeI fragment containing ideR was ligated to XbaI-digested pSM270, a suicide vector that carries sacB and a streptomycin resistance cassette in the plasmid backbone (24). A kanamycin resistance (Kanr) cassette (aph) was then introduced at the unique ApaI site of ideR to generate pSM283. A 1.2-kb PCR fragment containing ideR and its promoter region was cloned into pMV306 to create pSM305. pMV306 carries a hygromycin resistance marker and the L5 integrase attachment site (attP) (38). DNA manipulations were performed by standard procedures.
Microarray analysis.
DNA microarray analysis was used to measure the relative mRNA levels during growth of M. tuberculosis strains under low-iron and high-iron conditions. M. tuberculosis strains were grown in MM broth depleted of iron by treatment with Chelex 100 (Bio-Rad) or in the same medium supplemented with 50 µM FeCl3. RNA extraction was performed as described previously (24).
Steps in M. tuberculosis DNA microarray gene expression analysis were performed as described by Schoolnik et al. (37). Briefly, each gene in M. tuberculosis H37Rv was amplified by PCR, and the DNA amplicons were printed onto poly-L-lysine-coated glass microscope slides to make the DNA microarray. cDNAs, made from two RNA samples labeled with either Cy3 or Cy5 (Amershan Pharmacia Biotech) fluorochrome, were hybridized to the microarray. The microarray was washed and then scanned using the GenePix 4000A (Axon Instruments). The intensities of the two dyes at each spot were quantified using SCANALYZE, written by M. Eisen at Stanford University and available at http://rana.stanford.edu/software. The overall reproducibility, both biological and technical, of the microarray experiments was evaluated using the Significance Analysis of Microarrays (SAM) program (37). Six DNA microarray experiments, which compared identical RNAs on the same array, were compared to six microarray experiments on three biological sample sets for each condition. The SAM algorithm was set for two-class unpaired analysis with 500 permutations and K-nearest imputer for missing data. Significantly regulated genes were selected by adjusting the delta value to give a false discovery rate below 1%. In each data set, all genes regulated 1.5-fold and greater were determined to be significant with a false discovery rate of less than 1%, indicating a high degree of reproducibility. Additional details of microarray methods are available as supplementary material at http://schoolniklab.stanford.edu/projects/tb.html.
Mycobactin determination.
Mycobacterial strains were grown to mid-logarithmic phase in 7H9 medium, and 0.7 ml of culture was spread on MM agar containing the indicated concentrations of FeCl3. After incubation at 37°C for 10 days, the bacteria were scraped from the plate. Subsequently, mycobactin was extracted in ethanol and chloroform and quantified as previously described (19).
Oxidative stress sensitivity assays.
Growth inhibition by H2O2 and the superoxide generator plumbagin was tested in zone inhibition assays as previously described (24). Briefly, M. tuberculosis strains were grown to logarithmic phase (an optical density at 595 nm of 0.4) in 7H9 medium, and approximately 3 x 107 bacteria were plated on 7H10 medium and spread evenly. A 6.5-mm-diameter paper disk saturated with 10 µl of a solution of 600 mM hydrogen peroxide or 5 mM plumbagin was placed in the center of the plate. After incubation for 10 days, the bactericidal effect of each component was determined by measuring the diameter of the halo of growth inhibition. Triplicate platings were done in each experiment, and the experiment was repeated at least three times.

RESULTS
ideR is essential in M. tuberculosis.
To assess the role of IdeR in
M. tuberculosis, we decided to
inactivate
ideR by allelic exchange. The system used for gene
inactivation involves two steps of recombination and the use
of the
Bacillus subtilis levansucrase (
sacB) as a counterselectable
marker (
29). In our modification of this system, a copy of the
gene to be inactivated is disrupted by insertion of a kanamycin
resistance cassette (
aph) and cloned in pSM270, a suicide vector
carrying
sacB and a streptomycin resistance (Sm
r) marker (
24)
(Fig.
1A). A single-crossover event creates a Kan
r Sm
r intermediate
that is sucrose sensitive (Suc
s) (Fig.
1B). Growth of the strain
carrying the single crossover in nonselective medium allows
a second recombination event between the wild-type gene in the
chromosome and the mutated version on the integrated plasmid
(Fig.
1B). This results in excision of intervening vector sequences
including both
sacB and the Sm
r marker. Therefore, the resulting
colonies are Suc
r and Sm
s. Depending on which side of the kanamycin
cassette the second crossover occurs on, the colonies obtained
will have a wild-type or a mutated copy of the target gene and
a Kan
s or Kan
r phenotype, respectively (Fig.
1C). If the sequences
flanking the kanamycin cassette are of similar lengths, the
second crossover should occur at similar frequencies on both
sides.
The
ideR gene disrupted by the
aph cassette was cloned into
the vector pSM270, generating pSM283, which was electroporated
into
M. tuberculosis H37Rv. Insertion of pSM283 by a single
crossover at the
ideR locus occurred in 100% (11 out of 11)
of the Kan
r Sm
r colonies obtained, as determined by Southern
blot analysis. However, after the second crossover, Suc
r Kan
r Sm
s mutant colonies were not obtained. This result suggested
that inactivation of
ideR could be lethal in
M. tuberculosis.
Since essential genes can be disrupted only in the presence
of a second functional copy of the gene (
17,
27,
28), we attempted
to inactivate
ideR by homologous recombination in a merodiploid
as well as in a haploid strain. One strain (ST9) in which pSM283
had been inserted at the
ideR locus by a single crossover (see
above) was selected as the haploid strain. A merodiploid strain
(ST17) was created by transformation of ST9 with an integrative
plasmid (pSM305) carrying an intact
ideR gene. Selection was
made for hygromycin-resistant colonies, and insertion of pSM305
at the
attB site of ST9 was confirmed by Southern blot analysis
(data not shown). To select for double crossovers, ST9 and ST17
were grown to logarithmic phase in liquid medium and plated
on sucrose-containing plates. No kanamycin was included so that
both wild-type and
ideR mutant colonies could be obtained. We
reasoned that if IdeR had a role in regulating iron uptake in
M. tuberculosis, as it does in
M. smegmatis (
11), an
ideR mutant
strain could be nonviable because it would face toxic iron overload.
Therefore, reducing the amount of iron available in the medium
might allow survival of an
ideR mutant. For this reason, growth
of the recombinant cultures and selection in sucrose were done
under two conditions: in r7H9 medium with a high iron content
(50 µM) or in the same medium with 10 µM FeCl
3 (previously
shown to be the minimum concentration necessary to obtain normal-size
colonies of
M. tuberculosis on solid medium [data not shown]).
In two independent experiments, 100 Suc
r colonies derived from
the haploid or merodiploid strain were analyzed for kanamycin
and streptomycin resistance. Recombinants without the disrupted
ideR gene (Kan
s Sm
s) and
ideR mutants (Kan
r Sm
s) resulting from
double crossovers were obtained at similar frequencies in the
Suc
r clones derived from the merodiploid strain (Table
1). However
Suc
r Kan
r Sm
s clones were clearly selected against in the case
of the haploid strain under both low- and high-iron conditions.
Out of the total of 379 recombinants obtained in these experiments,
only 3 had this phenotype (Table
1). The significant difference
(
P < 0.0001) observed between the frequencies of Kan
r Sm
s colonies isolated from strains that were haploid and merodiploid
for
ideR shows that the replacement of
ideR with
ideR::
aph is
essentially observed only when a second functional copy of the
gene is present. These results strongly suggest that
ideR is
an essential gene in
M. tuberculosis. The three Suc
r Kan
r Sm
s colonies derived from the haploid strain in these experiments
(Table
1) were further analyzed. Replacement of the wild-type
ideR by
ideR::
aph in these colonies was confirmed by Southern
blot analysis (Fig.
2A). In agreement with this result, no IdeR
protein was detected by Western blot analysis in protein extracts
obtained from one of the recombinants, ST22 (Fig.
2B). We postulated
that these rare mutants survived the lethal effects of
ideR inactivation by acquisition of a suppressor mutation. In order
to investigate the nature of this postulated mutation, ST22
was complemented with a single copy of
ideR under the control
of its own promoter, generating the strain ST52. Wild-type expression
of the IdeR protein was restored in this strain (Fig.
2B). No
significant difference was observed in the growth properties
of H37Rv, ST22, and ST52 under standard culture conditions (Middlebrook
7H9 or 7H10 medium) (Fig.
3), except that cultures of ST22 showed
a characteristic orange pigment (data not shown), the reasons
for which will be discussed below. However, a significant difference
was observed when the strains were tested for the ability to
grow under low-iron conditions. The wild-type strain grew in
low-iron medium at a growth rate that was comparable to that
in iron-rich medium (Fig.
4A). In contrast, growth of the
ideR mutant (Fig.
4B) and the complemented strain ST52 (Fig.
4C)
was drastically affected by reducing the iron concentration
in the medium. ST19, a Suc
r Kan
r Sm
s strain derived from the
merodiploid strain in the previous experiment, was also tested.
This strain has the original
ideR inactivated by insertion of
the
aph cassette and a second copy of
ideR at the
attB site.
ST19 is equivalent to ST52 but differs from it in that the recombination
event resulting in inactivation of
ideR was carried out in the
presence of a second copy of
ideR, thus avoiding selection for
a possible suppressor mutation. As shown in Fig.
4D, ST19 was
not deficient for growth under low-iron conditions and had the
same capacity for iron assimilation under iron-limiting conditions
as the wild-type strain. From these results, we conclude that
strain ST22, in which the
ideR mutation occurred in the absence
of a second copy of
ideR, was only able to survive due to a
suppressor mutation associated with reduced availability of
intracellular iron. This mutation was still present in the complemented
strain, ST52, which shows the same phenotype of poor growth
under low-iron conditions.
IdeR and regulation of iron-dependent gene expression.
In previous studies, we have demonstrated that IdeR is a metal-dependent
DNA binding protein that recognizes a specific promoter sequence,
or "iron box" (
10,
16,
34). We have also demonstrated deregulated
expression of some
M. tuberculosis promoters containing iron
boxes in an
M. smegmatis ideR mutant (
34). A better knowledge
of the regulatory function of IdeR would help us understand
the essential role of this protein in
M. tuberculosis. Thus,
we reasoned that the
ideR mutant strain ST22 could provide valuable
information about IdeR-regulated genes even though it contained
a suppressor mutation. IdeR-dependent genes could be identified
as those whose regulation in response to iron was altered in
the
ideR mutant in respect to the wild type and whose normal
regulation was restored by the presence of IdeR in the complemented
strain. For this purpose, we did global expression profiling
with DNA microarrays comparing wild-type H37Rv with ST22 and
ST52 strains. Genes whose expression was modulated by iron were
identified by comparing the transcriptional profile of the wild-type
strain grown under low- versus high-iron conditions. Genes that
required iron and IdeR for regulation were identified by comparing
the wild-type strain's high-iron expression profile with the
expression profiles of mutant and complemented strains. Only
high-iron RNA samples from the mutant and complemented strains
were analyzed, since under high-iron conditions, the three strains
have comparable growth rates and changes in gene expression
would not be affected by growth rate differences. A total of
153 genes were found to be regulated by iron, and almost a third
of them (51) were dependent on IdeR for regulation. For reasons
of space, we tabulated genes that were affected (2.0-fold or
more in Tables
2, 3, and 4 and 1.6 or more in Table
5). A list
of all genes regulated at least 1.5-fold under the conditions
assayed can be obtained at
http://schoolniklab.stanford.edu/projects/tb.html,
and complete data sets are available upon request. Table
2 shows
genes that required IdeR for iron-dependent repression, as they
were no longer repressed in the IdeR mutant under high-iron
conditions. IdeR was also necessary for high levels of expression
of some genes under high-iron conditions (Table
3). There were
genes whose regulation was altered in both the
ideR mutant and
the complemented strain. These included Rv0116c and Rv0587,
whose normally repressed levels under high-iron conditions were
high in ST22 and ST52, as well as
bfrB, which was not expressed
in ST22 or ST52 under high-iron conditions at the same level
as in the wild type. Regulation of these genes was probably
affected by the suppressor mutation present in both of the strains.
Iron-dependent but IdeR-independent genes are listed in Tables
4 and 5. This group of genes was negatively (Table
4) or positively
(Table
5) regulated by iron in H37Rv, but its regulation was
not affected by the
ideR mutation, as none of the genes were
found to be deregulated in the
ideR mutant strain (data not
shown).
All the IdeR-regulated genes identified in the microarray analysis
listed in Table
2 have sequences resembling DtxR/IdeR binding
sites (iron boxes) in their upstream regions. In several cases,
one or two iron boxes are found in the intergenic region between
two divergently transcribed genes or preceding two or more open
reading frames (ORFs) which appear to be organized as an operon.
These sequences were identified previously in computer analyses.
IdeR was shown to bind to nine of the iron boxes, which are
operator sites for the following genes: Rv2122c (
hisE/irg-1),
Rv2123 (
irg-2), Rv3402, Rv1876 (
bfrA),
bfd, Rv 2386c (
mbtI),
Rv2384 (
mbtA), Rv2383c (
mbtB), Rv2382c (
mbtC), Rv 3281c (
mbtD),
Rv2380c (
mbtE), Rv2379c (
mbtF), Rv2378c (
mbtG), Rv 2377c (
mbtH),
and Rv2385 (
lipK) (
16,
34). Therefore, the results obtained
in the microarray assays presented here and our previous biochemical
studies of the interaction of IdeR with these iron boxes support
each other and allow us now to better define the consensus binding
site for IdeR. Figure
5 shows a comparison of all the iron boxes
found in the regulatory regions of the IdeR-controlled genes
that we have identified and the consensus sequence deduced for
the 19-bp core region of the IdeR binding site.
Iron-dependent siderophore production is dependent on IdeR.
Our laboratory has previously demonstrated that
mbtB and
mbtI,
two of the 10 genes in the mycobactin synthesis gene cluster,
are induced in
M. tuberculosis under iron-restrictive conditions
and during infection of macrophages (
16). In addition, we have
shown the presence of two IdeR operators in this gene cluster:
one upstream of
mbtI and one in the promoter region of the divergently
transcribed
mbtA and
mbtB to
-H (
16). Expression of each of
the 10 genes present in the mycobactin synthesis gene cluster
is deregulated in the absence of IdeR (Table
2). The induction
of
mbtB and
mbtI observed here was less than that observed by
Gold et al. This could be due to the fact that cultures were
starved for iron for a longer time in the latter work. To validate
the observations from the DNA microarray analysis, iron-dependent
regulation of mycobactin production was tested by determining
the amounts of cell-associated mycobactin produced by the wild-type,
ST22 (
ideR), and ST52 (
ideR-complemented) strains when grown
under low- and high-iron conditions. The wild-type and complemented
strains repressed mycobactin production under high-iron conditions,
while the
ideR mutant strain failed to repress mycobactin synthesis
and accumulated this siderophore in an iron-independent manner
(Fig.
6). Accumulated ferric mycobactin is likely to account
for the orange pigment showed by this strain when grown in iron-rich
medium. From these results, we conclude that IdeR is the main
regulator of mycobactin production in
M. tuberculosis.
The repression of mycobactin genes and mycobactin production
by high levels of iron in the complemented strain is contradictory
to the postulated action of the suppressor mutation in iron
assimilation. If this mutation affects iron assimilation, the
available iron in the complemented strain should be reduced
and expression of iron-regulated genes should be affected. It
is possible that 50 µM FeCl
3, used in these experiments
as high-iron conditions, was sufficient to allow efficient iron
uptake despite the suppressor mutation. As shown in Fig.
4,
this concentration was sufficient to allow normal growth of
the IdeR mutant and complemented strains. However, an effect
of iron deficiency in repression of mycobactin biosynthetic
genes, as well as other iron-dependent genes, could be manifested
under lower iron concentrations. For this reason, we compared
repression of mycobactin production in the wild-type and the
complemented strain over a range of iron concentrations (Fig.
7). Even though the concentration of iron required to achieve
total repression of mycobactin varied from experiment to experiment,
probably due to variations in the intracellular iron contents
of plated cells and the agar medium, we consistently observed
that more FeCl
3 was required to repress mycobactin production
in the complemented strain than in the wild-type strain. Maximum
repression of mycobactin in the wild-type strain required 20
to 25 µM FeCl
3, whereas the same effect in the complemented
strain required 50 to 100 µM FeCl
3. A representative experiment
is presented in Fig.
7. This result agrees with the iron deficiency
phenotype of strains ST22 and ST52 and supports the interpretation
that a suppressor mutation associated with lower iron assimilation
alleviated the effect of the IdeR mutation.
IdeR is necessary for an efficient response to oxidative stress.
Inactivation of IdeR in
M. smegmatis results in increased sensitivity
to oxidative stress, apparently resulting from reduced levels
of catalase-peroxidase and superoxide dismutase in the mutant
strain (
11). Therefore, we compared the sensitivities of the
wild type, the
M. tuberculosis ideR mutant, and the complemented
mutant strain to H
2O
2 and the superoxide generator plumbagin.
The
ideR mutant strain was found to be significantly more sensitive
to both H
2O
2 and plumbagin than the wild-type strain (Fig.
8).
This phenotype was due to inactivation of
ideR, since resistance
to oxidative stress was restored to wild-type levels in the
complemented strain. However, in contrast to previous findings
with
M. smegmatis, neither expression of
katG and
sodA nor the
activity of the enzymes they encode is affected by IdeR inactivation
(data not shown).

DISCUSSION
In this study, we have investigated the role of IdeR, a regulator
of genes responding to iron, in
M. tuberculosis. Initial unsuccessful
attempts to create an
ideR mutant by allelic exchange using
a two-step homologous-recombination strategy suggested that
this gene was essential. However, construction of a merodiploid
strain containing an integrated copy of
ideR allowed inactivation
of the gene, providing formal proof for its essentiality. The
requirement for a major iron regulator like
ideR is not unique
to
M. tuberculosis, since null mutations in
fur, a functional
homologue of
ideR, are known to be lethal in several species
of
Pseudomonas (
40),
Vibrio (
39), and
Neisseria (
2).
ideR is
not essential in all mycobacteria, as we previously inactivated
this gene in the saprophyte
M. smegmatis (
11). It will be interesting
to determine whether the requirement for IdeR is a feature shared
by other pathogenic mycobacteria. The functions of IdeR that
make it an essential protein in
M. tuberculosis are unknown.
In this study, we isolated a rare recombinant (ST22) rescued
from the lethal effects of
ideR inactivation by a suppressor
mutation. This strain exhibits restricted intracellular iron
availability (Fig.
4B and
7). This suggests that the essential
role of IdeR is related to regulation of intracellular levels
of iron. If the
ideR mutation results in unregulated iron uptake
leading to iron toxicity, a suppressor mutation which lowers
iron availability could prevent cell death.
Restoring IdeR expression in ST22 by complementation with an integrative copy of ideR allowed us to identify phenotypes resulting directly from ideR inactivation. We identified iron-modulated genes that were deregulated in the mutant strain but not in the complemented strain by comparing the levels of mRNA of all M. tuberculosis ORFs in the wild-type, mutant, and complemented mutant strains using DNA microarray technology. This is the first study that addresses the global genetic response of M. tuberculosis to different iron levels. In previous studies, several M. tuberculosis iron-regulated proteins were identified by one- (4) or two-dimensional (42) gel electrophoresis combined with N-terminal sequencing or mass spectrometry, respectively. Our results confirmed iron-induced transcription of ppiA, encoding a peptidyl-prolyl transisomerase previously found to be reduced under low-iron conditions (42). Genes encoding the other proteins found in those studies to be modulated by iron did not come up in our array assay. It is possible that iron-dependent expression of those proteins is controlled posttranscriptionally.
The IdeR-controlled genes identified in this study encode proteins with diverse putative functions, including transporters (Rv0282, Rv0283, and Rv0284), enzymes involved in lipid metabolism (Rv1344, Rv1345, and Rv1347), members of the glycine-rich PE/PPE protein family (Rv0285, Rv0286, and Rv2123), and MmpL4 and MmpS4, which belong to a group of conserved membrane proteins in M. tuberculosis sharing sequence and structural similarities (6). MmpL4 was identified by signature-tagged transposon mutagenesis as a potential virulence factor of M. tuberculosis (5). However, as expected, the largest group of genes regulated by IdeR encode proteins that have or could have a function in iron metabolism. Included in this group are the 10 mbt genes encoding the enzymes for mycobactin synthesis (31); bfrA, encoding a putative bacterioferritin; Rv1348 and Rv1349, encoding homologs of YbtP and YbtQ, which are ABC transporters required for iron uptake in Yersinia pestis (13); Rv1347, encoding a protein similar (29% identity in a 161-amino-acid overlap) to the aerobactin synthesis protein IucB of Shigella boydii; and several membrane proteins which might have roles in iron transport. As a validation of the results of the DNA microarray assays, we measured mycobactin production and showed that the repression of mycobactin production under high-iron conditions is indeed dependent on IdeR (Fig. 6). These results are consistent with our previous observations demonstrating functional IdeR binding sites in the promoter regions of mbt genes and induction of these genes under low-iron conditions (16). We also demonstrated binding of IdeR to the regulatory region of bfrA and showed that under high-iron conditions bfrA is transcribed from a promoter that is activated in vitro by iron and binding of IdeR (16). The induction of bfrA by high-iron conditions in the wild-type and complemented strains but not in the ideR mutant confirms the role of IdeR as a positive regulator of bfrA expression.
Genes regulated by iron but independent of IdeR were also identified (Tables 4 and 5). Genes encoding proteins involved in intermediate metabolism, aerobic growth, transcriptional regulation, iron utilization, and transporters are part of this group. Notably, 10 out of the 14 genes encoding the polypeptide components of the NADH dehydrogenase were modestly induced by high-iron conditions. Since [Fe-S] clusters are evolutionarily conserved prosthetic groups in NADH dehydrogenases (41), iron available for incorporation into these groups might serve as a signal for increased synthesis of NADH dehydrogenase polypeptides. Interestingly, ethA, encoding a monooxygenase that has been postulated to activate the antituberculosis agent ethionamide (1, 7), was found to be induced under low-iron conditions. In view of this result, it will be important to examine the relative sensitivities of M. tuberculosis to ethionamide under different iron conditions. mtrA, encoding the response regulator of the two-component system MtrA-MtrB, which has been shown to be essential in M. tuberculosis (44), was induced twofold under high-iron conditions. Also noteworthy was the induction of icl under iron deficiency. icl, also known as aceA, encoding isocitrate lyase, is important for the survival of M. tuberculosis during the persistence phase of infection in mice (25). Since icl is also necessary for survival in activated macrophages, this gene has been postulated to be required once a cell-mediated immune response is induced (25). One of the responses of mononuclear phagocytes to activation by gamma interferon is downregulation of the transferrin receptor, the major source of iron for the cell, a response that could cause iron deficiency for the infecting bacteria (3). Furthermore, we find that genes that are upregulated in vitro under iron deficiency are also induced during macrophage infection, indicating that the macrophage is an iron-limiting environment (16). Based on these observations, it is tempting to postulate that iron deprivation during macrophage infection can be a signal for induction of icl and possibly other genes required for the persistence of M. tuberculosis.
Examining the promoter regions of the group of iron-regulated IdeR-independent genes did not reveal obvious conserved sequences. Since the sequences recognized by other putative iron regulators, such as FurA/B and SirA, are unknown, it is not possible to predict whether these genes would be regulated by one of these proteins. Future studies should address the mechanisms for their iron-dependent control.
IdeR was found to be necessary for M. tuberculosis to respond effectively to oxidative stress. Since expression of katG or sodA was not affected by the ideR mutation, we believe that the requirement for IdeR is indirect. It is possible that in the absence of IdeR, the amount of redox-reactive iron is enhanced. Further studies are required to understand how IdeR specifically contributes to oxidative-stress defense in this mycobacterium.
In this study, we have extended our knowledge of the role of IdeR in M. tuberculosis and the response of this mycobacterium to iron levels. Our results indicate that IdeR is an essential regulator with a major role in controlling iron metabolism through its roles as a repressor of siderophore production and as a positive modulator of iron storage. The essential nature of IdeR makes it a potential candidate for chemotherapy, although as shown in this study, mutations that overcome the lethal effect of inactivating IdeR might arise under certain conditions. Finally, investigating the role of IdeR-regulated genes in iron acquisition will allow a better understanding of the mechanisms used by M. tuberculosis to survive low-iron environments encountered during infection and should provide additional potential targets for therapeutic intervention.

ACKNOWLEDGMENTS
We thank Jeanie Dubnau, Patricia Fontan, Shawn Walters, Riccardo
Manganelli, Barun Mathema, and Manuel Gomez for valuable discussions.
This work was supported by NIH grant AI-44856 (awarded to I.S.), The UNCF-Parke Davis and the Parker B. Francis postdoctoral fellowships (awarded to G.M.R.), the Walter V. and Idun Y. Berry Foundation postdoctoral fellowship (awarded to M.I.V.), and by NIH grant AI-44826 (awarded to G.K.S.).

FOOTNOTES
* Corresponding author. Mailing address: TB Center, The Public Health Research Institute, 225 Warren St., Newark, NJ 07103. Phone: (212) 578-0867. Fax: (212) 578-0804. E-mail:
smitty{at}phri.org.

Publication no. 78 from the TB Center, The Public Health Research Institute, Newark, NJ 07103. 
Editor: S. H. E. Kaufmann

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Infection and Immunity, July 2002, p. 3371-3381, Vol. 70, No. 7
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.7.3371-3381.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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