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Infection and Immunity, February 2003, p. 676-681, Vol. 71, No. 2
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.2.676-681.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Applied Oral Sciences,1 Department of Dental Clinical Sciences, Faculty of Dentistry,3 Department of Microbiology and Immunology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada B3H 3J52
Received 11 September 2002/ Returned for modification 18 October 2002/ Accepted 6 November 2002
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In our previous studies, we have demonstrated the requirement of the C-terminal domains in P1 surface localization in S. mutans (10, 11). Site-directed mutagenesis analysis showed that the Thr residue within the LPXTGX motif plays a crucial role in enzymatic cleavage and anchoring of P1 to the cell wall (15).
A transpeptidase termed sortase (SrtA) was identified initially in Staphylococcus aureus (27) and recently in Streptococcus gordonii (5), Streptococcus suis (20), Streptococcus pyogenes (2), and Listeria monocytogenes (4, 9). The enzyme is responsible for covalently anchoring protein A to the cell wall (27) and plays a role the pathogenesis of S. aureus (12, 18). Recently, the role of SrtA in virulence was also implicated in L. monocytogenes (4, 9). In streptococci, although SrtA has been shown to anchor proteins to the cell surface, its role in pathogenesis has not been demonstrated. In this study, the gene coding for the sortase homologue was isolated from the oral pathogen S. mutans, and the biological function of SrtA including its role in cariogenicity was studied.
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Cloning and sequencing of the srtA gene from S. mutans NG8. A 1,035-bp DNA fragment carrying the srtA gene was amplified from the chromosome of S. mutans NG8 by PCR using Taq DNA polymerase and the primers SL177 (CCTCTAGATTAAAATGATATTTGATTATAGGACTG; XbaI site underlined) and SL189 (CTGAATTCTACCCGACTAAAGGACG; EcoRI site underlined). The primer sequences were derived from BLAST searching the S. mutans UAB159 genome at the University of Oklahoma (www.genome.ou.edu) using the S. aureus srtA gene as the query (GenBank accession no. AF162657). The forward primer SL189 was designed to include ca. 300 bp of upstream sequence from srtA. The reverse primer included the srtA sequence to the stop codon. The PCR conditions were as previously described (10). The PCR product was cloned into the dephosphorylated SmaI restricted pUC18. The resulting plasmid, pSrtA/18, was maintained in E. coli XL-1 Blue. The cloned DNA fragment was sequenced with M13 forward and reverse primers (Applied Biosystems/Dalhousie University-NRC Joint Laboratory Facilities).
Inactivation of srtA and complementation. The DNA coding for the mature sortase (741 bp) was amplified from the S. mutans NG8 genome by PCR using the primers SL177 and SL176 (CTGAATTCATGAAAAAAGAACGTCAATCTAGGA; EcoRI site underlined). The PCR product was initially cloned into the EcoRI and XbaI sites of pUC18 and was subsequently subcloned as an EcoRI-HincII fragment into the EcoRI-NruI sites of the suicide vector pVA981 (Tetr) (26). The resulting plasmid, pSrtA/981, was transformed into S. mutans NG8 via natural transformation as previously described (10). Transformants were selected on tetracycline-Todd-Hewitt agar.
To create a construct for complementation, the DNA coding for the srtA gene plus the upstream sequence from pSrtA/18 was subcloned into the E. coli-streptococcus shuttle vector pDL276 (Kanr) (8). This was achieved by ligating the 1.0-kb KpnI-HincII fragment from pSrtA/18 into the same sites of pDL276. The resulting plasmid, pSrtA/276, was introduced into the srtA mutant by natural transformation. Transformants were selected on Todd-Hewitt agar containing tetracycline and kanamycin. pSrtA/276 was reisolated from the complemented mutant by a method similar to that described previously (30). The reisolated plasmid was restricted with KpnI and HincII.
Southern hybridization. The isolation of chromosomal DNA from S. mutans and blotting of HindIII digested DNA onto nylon membranes were performed as described previously (30). DNA probes were prepared from pVA981 and the 736-bp sortase PCR product using the ECL direct labeling and detection system (Amersham Pharmacia Biotech. Inc., Baie d'Urfé, Quebec, Canada). Southern hybridization and signal detection were performed according to the manufacturer's instructions.
ELISA. Enzyme-linked immunosorbent assay (ELISA) was used to determine amounts of P1 in culture supernatants and intact cells and was performed as described previously (15). In brief, mid-exponential-phase cultures grown in the chemically defined FMC medium (25) were diluted to an optical density at 600 nm (OD600) of 0.5 and centrifuged. Cells were washed in phosphate-buffered saline (PBS) and twofold-diluted in PBS. Culture supernatants were similarly diluted. Cells and supernatants were assayed for P1 on microtiter plates using the anti-P1 monoclonal antibody 4-10A (1/5,000, [1]).
SDS-PAGE and Western immunoblotting. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) was performed on 7.5% gels as described by Laemmli (14). Western immunoblotting was performed according to the method of Towbin (28). The nitrocellulose blots were probed with the monoclonal anti-P1 antibody 4-10A (1/5,000) and a rabbit polyclonal antibody (1/100) raised against the C-terminal hydrophobic domain and charged tail of P1 (15).
Aggregation assays. Aggregation experiments were conducted as described previously (16). Saliva used was freshly prepared clarified unstimulated whole saliva. Salivary agglutinin was prepared by the affinity method of Rundegren and Arnold (21) with modifications as described previously (29). S. mutans cells grown for 16 h in Todd-Hewitt broth were washed twice with KPBS (2.7 mM KCl, 1.5 mM KH2PO4, 137 mM NaCl, 6.5 mM Na2HPO4, pH 7.2) and resuspended to an OD700 of approximately 1. Assay mixtures using whole saliva contained 800 µl of cells and 200 µl of fresh clarified saliva, while assays using agglutinin contained 800 µl of cells, 50 µl of agglutinin (2 µg/ml), 5 µl of 0.1 M CaCl2, and 145 µl of KPBS. The mixtures were mixed by inversions at time zero and incubated at room temperature without further mixing. The OD700s of the mixtures were measured with a spectrophotometer (model 8452A diode array; Hewlett-Packard, Waldbronn, Germany) at time intervals as indicated.
Adherence assays. The adherence of [methyl-3H]thymidine (specific activity, 6.7 Ci/mmol; NEN Life Science Products, Inc., Boston, Mass.)-labeled cells to hydroxylapatite coated with clarified whole saliva (1/10 diluted) and salivary agglutinin (1 µg/ml) was conducted as described previously (16). Briefly, radiolabeled S. mutans cells were washed once in adherence buffer (50 mM KCl, 1 mM CaCl2 · H2O, 38.3 mM MgCl2 · 6H2O, 0.78 mM KH2PO4, 1.22 mM K2HPO4, pH 7.2) and dechained to single or double cells by rapid passages through a 27-gauge needle. The cells were resuspended to an OD600 of 0.15. In the adherence assay, triplicates of 200 µl of cells (ca. 17,000 cpm) were incubated with saliva- or agglutinin-coated hydroxylapatite granules (type III; Sigma-Aldrich Canada Ltd., Oakville, Ontario, Canada) at 37°C. After 1 h, the hydroxylapatite was allowed to settle under gravity, and 150 µl of the liquid above the hydroxylapatite was removed for liquid scintillation counting. Percent adherence of cells adhered the hydroxylapatite was calculated as follows: [(control counts - test counts)/(control counts)] x 100, where control counts were counts from tubes from which hydroxylapatite was omitted.
Hydrophobicity. The absorption of cells to hexadecane was determined as described previously (16). Briefly, cells from late-exponential-phase cultures were washed once in PBS. The cells were resuspended in PBS and adjusted to an OD436 of ca. 0.6. Hexadecane (0.2 ml, Sigma-Aldrich) was added to 1 ml of cell suspensions. The mixtures, in triplicate, were vortexed for 60 s, and the aqueous phase was allowed to settle under gravity for 15 min. The cell density in the aqueous phase was then measured at 436 nm. The percentage of cells adsorbed to hexadecane was taken as 1 - (aqueous-phase cell density after adsorption/aqueous-phase cell density before adsorption).
Rat model of colonization and caries. Specific-pathogen-free Sprague-Dawley rats (19-day-old females) upon arrival from the supplier (Charles River Laboratories, St. Constant, Quebec, Canada) were fed kanamycin (500 µg/ml) water to lower the microbial load. At the same time the animals received a 5% (wt/vol) sucrose diet (diet D01122001; Research Diet, Inc., New Brunswick, N.J.). On day 3, a group of animals (n = 20) was inoculated with 1.2 x 108 CFU of S. mutans NG8(pDL276) by pipetting 100 µl of an overnight culture in Todd-Hewitt broth to the oral cavity and nostrils. A second group of animals (n = 21) was similarly inoculated with the same number of S. mutans srtA(pDL276) mutants. A third group of animals (n = 20) was given Todd-Hewitt broth as the uninfected control. Following the inoculation, the kanamycin in the drinking water was lowered to 250 µg/ml. On day 4, the animals received a second inoculation as described above. Immediately following the second inoculation, the animals received normal (kanamycin-free) water and the sucrose diet for the remainder of the experiment. After 6 weeks, the animals were euthanized and the mandible was removed from each rat and submerged in 95% ethanol for 48 h. Excess tissue around the teeth was then carefully removed and the teeth were stained in 0.4% (wt/vol) murexide for 24 h. Carious lesions were scored as described by Keyes (13), and the results were analyzed by Student's t test, with a P of <0.05 considered statistically significant.
To monitor S. mutans colonization, animals were inoculated as described above. At 6 h after the second inoculation, the oral mucosa and the tongue of five animals from each of the groups were swabbed with cotton swabs. Each swab was put in 3 ml of PBS and vortexed for 1 min. The broth was serially diluted and plated on to mitis salivarius agar (Becton Dickinson, Sparks, Md.) containing kanamycin (500 µg/ml). The plates were incubated for 48 h in candle jars. Typical colonies were Gram stained and verified to be S. mutans by biochemical tests (3). At 1 week after the second inoculation, the same five animals from each group were similarly swabbed, and the bacteria were inoculated onto plates. The mandibles from these animals were removed and briefly sonicated (20 s, 20% of maximum output; Vibra Cells, Sonics & Materials Inc., Danbury, Conn.) in 3 ml of PBS. The dislodged S. mutans cells were similarly inoculated onto plates. At 6 weeks, the S. mutans on the mandibles from 10 animals was similarly inoculated onto plates. In a parallel experiment of colonization, cohorts of rats were given a normal sucrose-free diet (Prolab RMH 3000) instead of a sucrose diet but were similarly inoculated with NG8 and the srtA mutant for comparison.
Nucleotide sequence accession number. The sequence described in this study can be obtained from GenBank under accession number AF542085.
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Characterization of an srtA mutant and a complemented mutant. An srtA mutant of S. mutans NG8 was constructed by the insertion of pVA981 through homologous recombination using pSrtA/981. Following transformation of S. mutans NG8 with pSrtA/981, seven tetracycline-resistant transformants were obtained. Western immunoblotting showed that the transformants elaborated the 185-kDa P1 into the culture supernatant (data not shown). One of the transformants was further assayed for the relative distribution of P1 in the extracellular and the cell surface-bound fractions by ELISA. As shown in Fig. 1, P1 from the srtA mutant was mainly found in the culture supernatant, and in contrast, the P1 from the wild-type NG8 was mainly cell surface bound.
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FIG. 1. Distribution of P1 in whole cells and culture supernatants (Sup) determined by ELISA using the anti-P1 monoclonal antibody 4-10A. Error bars, standard deviations.
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An srtA-complemented mutant was obtained by transforming pSrtA/276, which carries the srtA gene and the 300-bp upstream sequence, into the srtA mutant. Restriction analysis of the plasmid reisolated from the complemented mutant confirmed that the srtA gene was maintained as a 1-kb DNA fragment on pDL276 (data not shown). The srtA-complemented mutant produced mainly surface-localized P1, similar to the wild-type NG8 (Fig. 1).
P1 produced by NG8, the srtA mutant, and the srtA-complemented mutant was analyzed for the C-terminal hydrophobic domain and charged tail by Western blotting. As shown in Fig. 2B, P1 produced by the srtA mutant, but not the P1 from NG8 and the srtA-complemented mutant, reacted with the antibody directed against the C-terminal hydrophobic domain and charged tail. Duplicate samples from the three organisms showed a ca. 185-kDa protein reacted with the anti-P1 monoclonal antibody directed against the middle portion of P1 (Fig. 2A). Interestingly, the srtA mutant P1 migrated slightly more slowly than the wild-type and srtA-complemented P1.
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FIG. 2. Western immunoblots of P1 from S. mutans NG8, srtA mutant, and srtA-complemented mutant. P1 was extracted from cells with boiling SDS-PAGE buffer as described by Homonylo-McGavin and Lee (10). P1 was detected with the monoclonal anti-P1 antibody 4-10A (A) and a rabbit polyclonal antibody raised against the C-terminal hydrophobic domain and charged tail of P1 (B). Lane 1, wild-type NG8; lane 2, srtA mutant; lane 3, srtA-complemented mutant. The arrowhead indicates the ca. 185-kDa P1 protein.
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FIG. 3. Saliva (A)- and salivary agglutinin (B)-induced aggregation of S. mutans and mutants. NG8-buffer refers to the aggregation assay performed with S. mutans NG8 in the absence of saliva or salivary agglutinin.
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The srtA mutant was markedly less hydrophobic than NG8 and the srtA complemented mutant. The percentages of cells adsorbed to hexadecane (mean ± SD) for the srtA mutant, NG8, and the complemented mutant were 2.2% ± 6%, 59.4% ± 7%, and 53.2% ± 9%, respectively.
Roles of SrtA in a rat model of colonization and caries. Following inoculation, the presence of S. mutans on the oral mucosa and teeth was estimated on selective agar. S. mutans was detected from the animals inoculated with NG8 and the srtA mutant but not from the uninfected animals. The levels of S. mutans on the oral mucosa at 6 h and 1 week postinoculation were similar within the group but were about threefold less for the srtA than the NG8 group (Table 1). A 300- to 500-fold-higher S. mutans level was found on the teeth than on the mucosa. Again, a lower level of S. mutans was detected on the teeth from the srtA group than on those from the NG8 group. Within each group, a similar level of S. mutans was found on the mandible at 1 and 6 weeks postinoculation. In a parallel study in which the animals were fed a normal diet, the levels of S. mutans on the mucosa were similar to those of the sucrose-diet-fed animals. However, the number of S. mutans on the mandible was markedly lower for the srtA group than the NG8 group. Interestingly, the mandibles from the srtA group fed a normal diet contained markedly less S. mutans than those fed the sucrose diet.
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TABLE 1. Colonization of oral mucosa and teeth by S. mutans NG8 and srtA mutant in rats
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TABLE 2. Caries scores for S. mutans NG8 and SrtA- mutant in a rat model
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The role of SrtA in anchoring P1 to the bacterial cell surface was demonstrated through knockout and complementation studies. Results showed that the srtA mutant failed to retain P1 on the cell surface and complementing the mutant with the srtA gene restored the surface expression of P1. Western immunoblots showed that the srtA mutant P1 was recognized by the antibody generated against the C-terminal hydrophobic domain and charged tail, while the wild-type and complemented mutant P1 was not recognized. These results strongly suggest that the failure in the surface expression of P1 in the srtA mutant is due to the lack of enzymatic cleavage of the C-terminal hydrophobic domain and charged tail at the LPXTGX motif. It is noteworthy that the srtA mutant P1 has a slightly slower migration on SDS-polyacrylamide gels. The slower migration may be indicative of the slightly larger size of P1 because of the retention of the C-terminal domains.
The srtA mutant displayed major differences in surface-related properties compared to the wild type and the srtA-complemented mutant. The srtA mutant was markedly less hydrophobic than the wild type and the srtA-complemented mutant. In addition, the srtA mutant was nonadherent to hydroxylapatite and nonaggregating in the presence of saliva and salivary agglutinin. A decrease in hydrophobicity, adherence, and aggregation was previously observed, but to a lesser extent, for an isogenic P1-negative mutant of S. mutans NG8 (7). The fact that these phenotypes were more prominent in the srtA mutant may be due to the loss of other LPXTGX-containing surface proteins in addition to P1. Recent results by Bolken et al. (5), showed that the srtA mutant of S. gordonii has a decreased adherence to immobilized fibronectin. Collectively, these results suggest that sortase plays a very important role in these surface-related properties by modulating the bacterial cell surface in S. mutans, S. gordonii, and possibly other oral streptococci.
In rats, the srtA mutant showed a decreased ability to colonize the oral mucosa and the teeth. The colonization of the oral mucosa by the srtA mutant was about three times less than that by the wild type in mice with or without sucrose in their diet. The srtA mutant of S. gordonii also showed a similar decrease in colonization of the oral mucosa of mice (5). The most drastic effect of srtA inactivation in colonization was observed on the teeth in the absence of sucrose. The srtA mutant was almost incapable of colonizing the teeth. At 1 week postinoculation, the bacterium could only be recovered from one of five animals, and in this one animal the S. mutans count was 40 times less than that in the wild-type group. In contrast, the srtA mutant can colonize the teeth when sucrose is present but to a lesser extent (three times less) than the wild type. The inability to colonize teeth in the absence of sucrose relates well to the adherence results. The colonization of teeth by the srtA mutant in the presence of sucrose is most likely achieved through glucan-mediated processes (24). It is interesting that the P1-negative mutant of S. mutans was reported to colonize teeth to a lesser extent (ca. 1.8 times less) than the wild-type NG8 in gnotobiotic rats with a 5% sucrose diet (7).
The effect of srtA inactivation in the virulence of S. mutans was assessed in a rat model of caries. The gnotobiotic rat model developed by Michalek et al. (19) is probably ideal for the study. However, the model entails special requirements, such as specialized facilities and in-house breeding of animals, which are not accessible. In this study, we used the specific-pathogen-free rat model which was described by Bowen et al. (6). In the present study, a group of rats not infected with S. mutans was included as a control. The results showed that caries do develop in this control group. However, the S. mutans NG8-infected group developed a statistically higher degree of caries (P < 0.0274) than the control group. There was no significant difference in caries scores between the srtA and control group except the enamel and slight dentinal lesions on the smooth surface. The srtA mutant caused less caries than the wild-type NG8 in all lesion types except the slight dentinal lesion on the smooth surface. These results strongly suggest that the srtA mutant is less virulent than the wild type. These results are in general agreement with those of Crowley et al. (7), which showed that the P1-negative mutant causes less caries than the NG8 strain in gnotobiotic rats. The fundamental difference between our study and that of Crowley et al. (7) is that the reduction in caries in this case is due to srtA inactivation in stead of spaP knockout.
Although sortase has been identified in S. pyogenes (2), S. suis (20), and S. gordonii (5) its role in virulence has not been demonstrated. Our animal data provide the first evidence that SrtA plays a role in virulence in streptococci and adds S. mutans to the list of two other organisms, S. aureus and L. monocytogenes, for which SrtA has been implicated in virulence.
This study is supported by NSERC.
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