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Infection and Immunity, May 2003, p. 2656-2664, Vol. 71, No. 5
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.5.2656-2664.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
MtsABC Is Important for Manganese and Iron Transport, Oxidative Stress Resistance, and Virulence of Streptococcus pyogenes
Robert Janulczyk,* Susanna Ricci,
and Lars Björck
Section for Molecular Pathogenesis, Department of Cell and Molecular Biology, BMC, University of Lund, 221 84 Lund, Sweden
Received 12 July 2002/
Returned for modification 23 September 2002/
Accepted 19 December 2002

ABSTRACT
MtsABC is a
Streptococcus pyogenes ABC transporter which was
previously shown to be involved in iron and zinc accumulation.
In this study, we showed that an
mtsABC mutant has impaired
growth, particularly in a metal-depleted medium and an aerobic
environment. In metal-depleted medium, growth was restored by
the addition of 10 µM MnCl
2, whereas other metals had
modest or no effect. A characterization of metal radioisotope
accumulation showed that manganese competes with iron accumulation
in a dose-dependent manner. Conversely, iron competes with manganese
accumulation but to a lesser extent. The mutant showed a pronounced
reduction (>90%) of
54Mn accumulation, showing that MtsABC
is also involved in Mn transport. Using paraquat and hydrogen
peroxide to induce oxidative stress, we show that the mutant
has an increased susceptibility to reactive oxygen species.
Moreover, activity of the manganese-cofactored superoxide dismutase
in the mutant is reduced, probably as a consequence of reduced
intracellular availability of manganese. The enzyme functionality
was restored by manganese supplementation during growth. The
mutant was also attenuated in virulence, as shown in animal
experiments. These results emphasize the role of MtsABC and
trace metals, especially manganese, for
S. pyogenes growth,
susceptibility to oxidative stress, and virulence.

INTRODUCTION
Streptococci, pneumococci, and enterococci form a group of important
pathogens with the ability to cause both superficial and invasive
disease. During the establishment of an infection, bacteria
must acquire many essential nutrients, some of which are scarcely
available and/or safeguarded. A very important group of proteins
in this process is the ATP binding cassette (ABC) transporters
(
21). In gram-positive bacteria, the prototypical ABC transporter
consists of a lipoprotein, a hydrophobic membrane protein, and
an ATPase, with the two latter present as homo- or heterodimers.
The lipoprotein is tethered to the outer side of the cell membrane
by means of a lipid modification of the N-terminal cysteine
residue (
52) and functions as a ligand binding protein. Metal
ions such as manganese, copper, iron, cobalt, and zinc are essential
trace elements but are also potentially harmful, which necessitates
careful regulation of metal homeostasis (
39). In recent years,
a family of streptococcal ABC metal transporters has attracted
considerable interest. Initially, before it was understood that
the proteins were involved in metal transport, a lipoprotein
family designated LraI was described (
26). The family was later
extended and renamed (cluster 9) and now includes members from
at least 10 species of streptococci and enterococci (
10,
12).
Studies of
Streptococcus pneumoniae and
Streptococcus gordonii have suggested that manganese ion is transported by PsaBCA and
ScaCBA, respectively (
12,
31). PsaA (the lipoprotein component
of the transporter) is also a virulence factor (
3) and an interesting
vaccine candidate (
53). In
Streptococcus mutans, the orthologous
transporter Slo (also called Fim) was suggested to be involved
in iron accumulation (
29,
50).
Streptococcus parasanguis contains
another member of the family, FimA, which may be involved in
the development of endocarditis (
6). Immunization with the lipoprotein
conferred protective immunity in an endocarditis model (
54)
and also offered protection against endocarditis caused by other
viridans streptococci (
30). The orthologous EfaA from
Enterococcus faecalis has also been suggested to affect virulence (
35,
48).
The Streptococcus pyogenes member of this family, MtsABC, has been described previously (25). In that study, the authors focused on the metal-binding properties of recombinantly expressed MtsA (lipoprotein). Support was found for iron and zinc as ligands of MtsA. The transporter was consequently deemed to have multiple specificities for metals. In addition, it was demonstrated that an MtsABC-deficient mutant had reduced accumulations of 55Fe and 65Zn. The mtsABC operon is polycistronic, but attenuation of the transcription by a stem-loop structure results in an abundance of monocistronic mtsA transcript. Recently, a review of the phylogeny of 47 metal-binding receptors was presented, including MtsA (10). These proteins can be divided into two paralogous subclusters, with a specificity for either zinc or manganese (12). For example, the Adc permease in S. pneumoniae transports Zn and is paralogous to the Psa permease, which transports Mn (12). A related publication stresses the importance of manganese homeostasis in bacteria and provides an interesting discussion of the metal specificity of transporters that may be involved (23). Relatively little is known about metal transport and the metal requirements of the important human pathogen S. pyogenes, although a few studies have described the effects of iron starvation on the growth and production of known or putative virulence factors (13, 19, 34, 37, 49). A recent review of iron uptake systems in gram-positive bacteria lists (at least) three separate systems in S. pyogenes (4). In this work, we investigated the role of metal transport in S. pyogenes by radioactive metal ion incorporation assays and the growth characteristics of an mtsABC mutant under different environmental conditions. We also describe an interesting connection between defective manganese transport and reduced functionality of superoxide dismutase (SOD), a crucial enzyme for defense against reactive oxygen species (ROS) in S. pyogenes (17). Details on the mechanisms of aerotolerance have begun to emerge, with the identification of two peroxidases, an NADH oxidase, and the peroxide stress response regulator PerR (18, 28, 46). Also, an early report suggested that the hyaluronic acid capsule may be important for oxygen resistance (11) in S. pyogenes. Our results provide evidence for a complex interplay between metal homeostasis, response to oxidative stress, and virulence.

MATERIALS AND METHODS
Bacterial strains and growth conditions.
The
S. pyogenes strain AP1 is of serotype M1 and originates
from the World Health Organization Collaborating Center for
references and research on streptococci, Institute of Hygiene
and Epidemiology, Prague, Czech Republic. The RJ1 strain is
a previously described isogenic mutant constructed by insertion-duplication
mutagenesis (
25). In brief, the RJ1 chromosome contains a truncated
mtsA gene followed by plasmid pFW13 (
42) containing a Km
r cassette
and several transcriptional terminators. A promoterless
mtsABC operon is located immediately downstream of the plasmid.
S. pyogenes was grown in Todd-Hewitt broth (Difco) supplemented
with 0.25% yeast extract (THY) in 5% CO
2 at 37°C or in metal
ion-depleted THY medium (Cx-THY). Cx-THY was obtained by overnight
(ON) treatment of THY medium with 5% Chelex-100 resin (Bio-Rad),
sterile filtration, and addition of 100 µM CaCl
2 and 2
mM MgCl
2. Aerobic growth was performed at 37°C in rotating
Erlenmeyer flasks with ambient air. The medium was preequilibrated
under these conditions for at least 1 h prior to the inoculation
of bacteria. For growth curves, precultures were grown ON in
THY medium, washed once in fresh THY or Cx-THY medium, resuspended
at a concentration of 2
x 10
8 CFU ml
-1, and inoculated 1:100
in fresh medium in duplicate samples. RJ1 was grown in the presence
of 150 µg of kanamycin (Sigma) ml
-1. Sterile filtered
metal salt solutions were used for metal supplementation. FeSO
4 was always prepared fresh in order to minimize the effects of
oxidation.
Metal accumulation.
Precultures were prepared as described above and inoculated 1:100 in 1 ml of fresh Cx-THY medium containing 120 pmol (0.25 µCi) of 55FeCl3 (Amersham Pharmacia Biotech) or 150 pmol (1 µCi) of 54MnCl2 (NEN). When the cultures reached an A620 of 0.6, bacteria were pelleted by centrifugation at 10,000 x g for 3 min. Supernatants were collected, and bacteria were resuspended in 1 ml of fresh Cx-THY. Pilot experiments were performed in which viable counts were made on sample tubes to ensure that the procedure resulted in comparable amounts of bacteria. Cells were recentrifuged and resuspended as described above for a total of three washes. Bacteria were finally resuspended in 200 µl of Cx-THY and mixed with 5 ml of Ready Safe scintillation cocktail (Beckman). The culture supernatants collected initially were likewise mixed with scintillation cocktail. Radioactivity was then measured in a ß-counter by using the 32P window for 54Mn and a calibrated window for 55Fe. The fraction of radioisotope associated with the bacterial pellet was calculated by dividing the counts per minute of the pellet by the sum of the counts per minute of the pellet and the counts per minute of the supernatant. Experiments were performed at least three times in duplicate or triplicate samples.
Oxidative stress.
Bacteria were grown ON in THY medium and reinoculated 1:200 in fresh THY. When cells reached an A620 of 0.5, an aliquot of 100 µl was removed (time zero), and 5 mM H2O2 was added to the tubes. Samples were collected at various time points (5, 10, 15, 30, and 60 min), 5 mg of catalase (Sigma)/ml was added, and tubes were put on ice. Appropriate bacterial dilutions were performed and plated onto THY agar plates. Cells were counted, and the results were expressed as the percentage of survival by dividing the number of CFU at different time points with the initial number of CFU before the H2O2 challenge (time zero). For growth in the presence of paraquat (Sigma), ON cultures of wild-type (WT) and mutant strains were inoculated in fresh THY at a concentration of 3 x 105 CFU ml-1. Paraquat was added at concentrations of 2 and 10 mM, and MnCl2 and ferric citrate were used at concentrations of 30 µM. After 15 h of incubation at 37°C with 5% CO2, the A620 was recorded.
SOD activity assay.
The preparation of streptococcal cell extracts was performed essentially as described previously (7). Bacteria were grown on THY plates in ambient air. Colonies were scraped off the plates into extraction buffer (0.1 M Tris-HCl [pH 7.6]) and pelleted by centrifugation, and the supernatant was removed. Bacterial pellets were frozen for 10 min at -80°C and thawed at 37°C for 5 min. The freeze-thaw cycle was repeated three times. Pellets were resuspended in 500 µl of extraction buffer and sonicated 8 times for 15 s, with 30 s on ice between each round of sonication. Samples were centrifuged (14,000 x g) at 4°C for 15 min, and the supernatants were transferred into fresh tubes, aliquoted, and immediately frozen. The protein concentration was determined according to the Bradford method with the Coomassie protein assay reagent (Pierce). Twenty micrograms of protein per sample was separated by 8% native polyacrylamide gel electrophoresis (PAGE). The SOD activity assay was performed as previously described (2). In brief, the gel was immersed in 2.5 mM nitroblue tetrazolium (Sigma) for 20 min and in activation solution for 15 min (36 mM KH2PO4 [pH 7.8], 28 µM riboflavin [ Sigma], 28 mM N,N,N',N'-tetramethylethylenediamine [Bio-Rad]). After rapid rinsing in distilled H2O, the gel was exposed to visible light on a transilluminator until adequate contrast was achieved (5 to 10 min). SOD activity inhibits the photoinduced coloration of the gel and results in clear, uncolored zones.
RNA methods.
To prepare total RNA from S. pyogenes, AP1 and RJ1 bacteria were cultured in 20 ml of THY and harvested in the exponential phase of growth (A620
0.5). Cells were centrifuged (5,000 x g, 10 min, 4°C); resuspended in 125 µl of 100 mM Tris-HCl (pH 8) containing 15 mg of lysozyme (Sigma) ml-1, 100 U of mutanolysin (Sigma), and 20 mM ribonucleoside vanadyl complexes (Sigma); and incubated for 30 min at 37°C. Then 2.5 ml of Tri reagent (Sigma) was added to each sample, and samples were incubated for 5 min at room temperature before the addition of 0.5 ml of chloroform. Following extraction and precipitation, RNA was resuspended in 50 µl of 0.1% (vol/vol) diethylpyrocarbonate-treated H2O, spectrophotometrically quantified, and immediately frozen at -70°C.
For Northern blot experiments, 10 µg of total RNA was separated on a 1% agarose gel in HEPES buffer (20 mM Na-HEPES [pH 7], 5 mM sodium acetate, 1 mM EDTA) and 17% (vol/vol) formaldehyde. RNA was transferred onto Hybond-N filters (Amersham Pharmacia Biotech), cross-linked, and hybridized with different probes produced by PCR with chromosomal DNA from strain AP1 as the template. A 487-bp mtsA-specific probe was obtained with the primers mtsA-forward (5'-TAC GAA CCA TTA CCA GAA GAT-3') and mtsA-reverse (5'-CTT CTT CTT CGG TGT TAA TTT CCC AG-3'). The 470-bp spy0385-specific probe was generated with the primers spy0385-forward (5'-ATA GCG GGC TGA AAG ATT GAG GTC-3') and spy0385-reverse (5'-CAA GAT TAT TAC CAC CAA AAC AGG G-3'), and primers sodA-forward (5'-TTT ACC AGA ACT TCC ATA CGC G-3') and sodA-reverse (5'-TCT TTT TGA GAT TGG AAA CCC-3') were used to generate a 620-bp fragment specific for sodA. PCR products were purified on MicroSpin S-200 HR columns (Amersham Pharmacia Biotech) and labeled with [
-32P]dATP by using Megaprime (Amersham Pharmacia Biotech). Hybridization was performed at 46 to 50°C ON in a rotating hybridization oven. Membranes were washed extensively with 0.1x SSC (1x SSC is 0.15 M NaCl plus 0.015 M sodium citrate) buffer and 0.1% sodium dodecyl sulfate and dried. Membranes were then exposed on a BAS-III Imaging plate and scanned with a Bio-Imaging Analyzer BAS-2000 (Fuji Photo Films, Tokyo, Japan).
Animal experiments.
Bacteria were grown in THY medium until the A620 was 0.4, washed three times in sterile phosphate-buffered saline, and diluted in phosphate-buffered saline to final concentrations of 108, 107, and 106 CFU ml-1. Viable counts were performed to verify the accuracy of the dilutions. Seven- to nine-week-old inbred BALB/c mice were used. Mice received a subcutaneous injection of 900 µl of air together with 100 µl of bacterial solution. A total of three experiments were performed. In the first (n = 3 per group) and second (n = 5 per group) experiments, 4 groups were inoculated with 106 and 105 CFU of the WT or mutant ml-1. The third experiment comprised 6 groups (n = 5) of mice infected with 107, 106, and 105 CFU of AP1 and RJ1 bacteria ml-1. Animals were checked at regular intervals three times per day. Moribund mice (ruffled fur, inactive, and unresponsive to painful stimuli) were euthanized and recorded as dead (a total of 5 animals distributed among the groups were euthanized). Animals were observed for at least 1 week after the last casualty. Statistical analysis (Fisher's exact test) was performed with InStat (Graphpad software).
Homology modeling.
The mature MtsA polypeptide sequence from S. pyogenes strain SF370 was submitted to the internet-based server SWISS-MODEL, which uses ProMODII for modeling (47). Automated selection of templates resulted in the use of PsaA (1PSZ) and TroA (1TOA). The model built was visualized and analyzed with SwissPdbViewer for Macintosh (20).

RESULTS
The mtsABC mutant shows impaired growth in metal-depleted and aerobic environments.
We observed that the
mtsABC mutant exhibited abnormal colony
morphology when grown on plates, especially in ambient air.
The RJ1 mutant strain colonies were consistently smaller than
those of the WT (data not shown). Closer scrutiny of RJ1 growth
(at 5% CO
2 atmosphere) in liquid medium indicated a discrete
difference in growth between the WT and mutant, unlike what
was initially reported (
25). We therefore examined growth also
under aerobic conditions in THY medium, and the mutant strain
showed a pronounced growth defect (Fig.
1A), with a doubling
time of 142 min compared to 73 min for the WT. To investigate
a possible metal-dependent growth defect, THY medium was depleted
of metals by treatment with Chelex-100 resin and then supplemented
with CaCl
2 (100 µM) and MgSO
4 (2 mM), resulting in Cx-THY.
When grown in Cx-THY in a 5% CO
2 atmosphere, the mutant strain
showed a clear impairment of growth (Fig.
1B) compared to the
WT strain, which had a modest or no growth deficit (doubling
times of 67 and 43 min, respectively). Cx-THY was also used
under aerobic conditions, but there was no growth of bacteria
during the time span used (data not shown). Cx-THY medium was
then supplemented with 50 µM concentrations of various
metal cations (Fig.
1C). The only metal ion giving a pronounced
and reproducible improvement of mutant growth was manganese.
Ferric and ferrous iron also enhanced mutant growth, but the
finding was not always reproducible. When grown in the presence
of MnCl
2, the RJ1 growth rate was similar to or higher than
that of the WT. The WT was also grown with metal supplementation,
and manganese showed some stimulatory effect in metal ion-depleted
THY (Fig.
1C). The impact of manganese on RJ1 growth was further
investigated by decreasing the concentration (50 to 2 µM)
of supplementary Mn (Fig.
1D). In these experiments, a certain
reconstitution of growth was seen even with 2 µM MnCl
2.
Full reconstitution was seen with 10 µM of MnCl
2. Supplementation
with 50 µM manganese ion also increased the growth of
the WT strain, but similar levels of growth were seen for RJ1
with 50 µM MnCl
2.
MtsABC transports both iron and manganese.
A previous study of the
mtsABC system showed that an
mtsABC mutant had a 50% reduced accumulation of
55Fe and
65Zn compared
to the WT, in ON cultures. In similar experiments, we arrested
growth towards the end of the exponential phase (
A620 = 0.6),
and under those conditions, accumulation of
55Fe in the mutant
was reduced to less than 10% of WT levels (data not shown).
Two additional ABC transporters have been suggested to contribute
to iron uptake in
S. pyogenes. The polycistronically transcribed
and iron-regulated genes
spy0383 to
spy0386 (gene numbers are
according to the
S. pyogenes genome project [
14]) encode putative
proteins with similarity to siderophore-dependent iron transporters
(
49). All three principal components of an ABC transporter are
present in the operon. A recent publication describes Shp, a
heme-associated surface protein (
34). The
shp gene is cotranscribed
with
spy1795 to
spy1793, encoding a putative ABC transporter
which may be involved in heme uptake. The transcription of
shp and adjacent genes mainly occurs during the stationary phase.
We investigated the expression of
spy0385 (encoding a putative
iron-binding lipoprotein) by total RNA extraction from log-phase
bacteria and subsequent Northern blotting experiments. However,
we failed to detect any transcript hybridizing with the probe,
whereas strong hybridization occurred with the same membranes
by using an
mtsA probe (data not shown). We also searched for
additional iron transporters in the streptococcal genome by
using known or suggested binding proteins of ABC transporters
as queries (
Escherichia coli, FhuD, FepB, FeoB, and FecB [loci
b0152, b0592, b3409, and b4290 in the
E. coli K-12 MG1655 genome];
Staphylococcus aureus, FhuD1 and FhuD2 [accession numbers
AF325854 and
AF3258555];
S. pneumoniae, PitA, PiuA, and PiaA [SP0243,
SP1032, and SP1872 in The Institute for Genomic Research serotype
4
S. pneumoniae genome]) and examining chromosomal regions where
hits occurred for the presence of genes encoding putative ABC
transporters. No putative iron transporters other than the three
mentioned above were identified.
A problem with studies of metal accumulation in a complex medium such as THY is that only a very minor fraction (<1%) of the added radioisotope is taken up, which makes competition experiments difficult. In order to reduce the effects of competition from nonradioactive metals in the medium, we repeated the 55Fe accumulation experiments by using exponential-phase bacteria grown in Cx-THY. Under these conditions, the ratio between WT and mutant uptake was similar to that in experiments performed with normal THY medium (90% reduction of 55Fe accumulation in the mutant), but the accumulation of 55Fe was more than 10 times higher than in THY medium, rising to 10% of the added radioisotope for the WT strain. In control experiments, ferric citrate or 2,2-dipyrridyl (an iron chelator) was added during washes, at a concentration (1 mM) which was in large excess compared to the radioisotope. This did not significantly affect the amount of radioactivity found in the bacterial pellet, making it unlikely that nonspecific binding to the bacterial surface affected the results (data not shown). Competing metal salts were included in the experiments at a concentration of 10 µM (Fig. 2A). Ferric and ferrous ions reduced accumulation by 75 to 90%, and manganese was equally efficient. Zinc competed with 55Fe accumulation to a lesser extent, whereas copper did not compete. Dose-dependent manganese competition was also examined (Fig. 2B), indicating that Mn is equally or more effective than ferric iron in competing with 55Fe accumulation of the WT strain. The accumulation of manganese was then directly examined by using 54Mn. During log-phase growth in Cx-THY, WT bacteria incorporated 29.3% ± 1.6% of the added 54Mn while the mtsABC mutant incorporated only 3% ± 1.2%, which represents a 90% reduction of 54Mn accumulation (data not shown). Dose-dependent competition experiments with WT bacteria showed that ferric iron competes with 54Mn accumulation but to a lesser extent than manganese (Fig. 2C). Interestingly, a significant proportion of the total Mn accumulation remained at the highest dose (10 µM) of ferric citrate competition. In conclusion, MtsABC is capable of transporting not only iron and zinc but also manganese. Taken together with the metal supplementation results above, it is reasonable to assume that the impaired growth of the mtsABC mutant is caused by reduced intracellular availability of manganese, as a consequence of reduced transport.
The mtsABC mutant has increased susceptibility to ROS.
The reduced growth rate of the
mtsABC mutant in an aerobic environment
suggested that this strain has increased sensitivity to oxidative
stress. The susceptibility to lethal hydrogen peroxide challenge
was investigated in a time course study. Bacteria were grown
to mid-exponential phase, and then 5 mM hydrogen peroxide was
added. Samples were collected at various time points, and a
viable count was performed (Fig.
3A). The mutant strain was
killed more rapidly than the WT. At 5 min after the challenge,
9% of the mutant bacteria were still alive compared to 34% of
the WT bacteria. The difference was statistically significant
(
P < 0.05) and reproducible. In a different assay, methyl
viologen (paraquat) was used to induce oxidative stress (Fig.
3B). Cultures were grown ON in the presence of 0, 2, or 10 mM
paraquat. The WT strain was moderately affected by the presence
of paraquat, whereas the
mtsABC mutant was unable to grow even
at the lower concentration. To investigate whether this pronounced
difference between the WT and mutant was due to decreased availability
of manganese in the mutant, bacterial cultures were supplemented
with 30 µM MnCl
2 and grown in the presence of paraquat.
Interestingly, this completely restored the capacity to grow
under oxidative stress conditions. Ferric citrate was also used
for supplementation but did not restore growth of the mutant.
Some authors have reported that Mn has antioxidant properties
per se (
8), but under these conditions, such an effect seems
unlikely since the WT strain did not benefit from the presence
of additional manganese. It thus seems that the sensitivity
to ROS in the mutant is at least partly dependent upon the deficiency
in manganese accumulation. A recent paper described a thiol-specific
antioxidant in
S. parasanguis (
51), carried immediately downstream
of the
fimA locus, which encodes proteins orthologous to MtsABC.
A BLAST search of the entire
S. pyogenes genome and scrutiny
of open reading frames in the vicinity of the
mtsABC locus showed
that no putative protein similar to the
S. parasanguis antioxidant
is encoded by
S. pyogenes.
Reduced activity of SOD.
SODs are crucial in the defense against oxidative stress (
15).
The
S. pyogenes genome encodes one SOD, which is Mn dependent
(
14,
17). The increased sensitivity to ROS in the
mtsABC mutant
was reversed by adding Mn, and it therefore seemed possible
that SOD activity might be affected as a consequence of reduced
intracellular availability of the cofactor. We prepared whole-cell
lysates of bacteria grown aerobically. Total protein preparations
were separated by native PAGE, and a SOD activity assay was
performed (Fig.
4A). Equal amounts of total protein were applied
by utilizing protein concentration measurements according to
the Bradford method. Also, as a control, a second native PAGE
was always performed in parallel and stained with Coomassie
brilliant blue. As previously reported, only one zone of clearance
was seen per sample, confirming the presence of a single SOD
(
17). The mutant consistently showed fainter, sometimes barely
detectable, bands than did the WT. When bacteria were grown
on THY plates supplemented with 50 µM MnCl
2, the subsequent
SOD activity assays no longer showed any difference between
the WT and mutant. It was not possible to increase SOD activity
by simply adding MnCl
2 to the total protein extracts prior to
loading the PAGE (data not shown). To investigate a possible
downregulation of
sodA transcription, we performed Northern
blot analysis of WT and mutant bacteria by using a
sodA probe
(Fig.
4B). The probe hybridized with a single transcript, and
there was no apparent difference in intensity between the WT
and mutant. Therefore, it seems likely that the reduced SOD
activity in the
mtsABC mutant is a consequence of decreased
cofactor availability within the bacteria.
MtsABC is required for full virulence.
There are several reports indicating that the homologues of
MtsABC in
S. pneumoniae (PsaBCA),
S. parasanguis (FimCBA), and
E. faecalis (EfaA) are relevant for virulence (
3,
6,
48). Therefore,
in order to examine whether the
mtsABC mutant was attenuated
in virulence, we infected BALB/c mice with WT and mutant bacteria
by using the established air sac model (
44). Three sets of animal
experiments were performed, with three different bacterial doses:
10
7, 10
6, and 10
5 CFU. With the highest inoculum (10
7), none
of the animals infected with the WT strain survived while 40%
of the mice injected with the mutant strain survived. Using
10
6 and 10
5 CFU, all animals inoculated with the mutant strain
survived while the groups injected with WT bacteria contained
38 and 62% survivors, respectively. The results (Table
1) showed
a significantly reduced virulence of the
mtsABC mutant. Fisher's
exact test was used for the larger groups (10
6- and 10
5-CFU
inocula) while the remaining group (10
7-CFU inoculum) was too
small for reliable statistical evaluation. The statistical significance
was a
P value of <0.001 with 10
6 bacteria and a
P value of
<0.05 with 10
5 bacteria. The calculated dose at which 50%
of animals die (or become moribund) was 2.4
x 10
5 CFU for the
WT and 6.8
x 10
6 CFU for the mutant. There is thus an approximate
30-fold reduction in virulence of the mutant.
Homology modeling of MtsA.
The crystal structure of PsaA, the
S. pneumoniae equivalent
of MtsA, has been solved (
32). We performed homology modeling
of MtsA by using PsaA and TroA as templates (
33). The mature
MtsA polypeptide has 79% sequence identity with the corresponding
PsaA sequence. TroA, a zinc-binding protein, shares a similar
overall structure with PsaA and has some sequence similarity
to MtsA (29% identity). A model encompassing most of the mature
MtsA polypeptide (Asp32 to Lys308) was created. The root mean
square deviation from the PsaA reference was 0.43 Å. The
metal-binding site described for PsaA was completely conserved
and consisted of His68, His140, Glu206, and Asp282. The overall
fold of MtsA is a pair of ß/

sandwich domains against
a backbone helix (Fig.
5). The topology is a 2-1-3-4-linked
parallel (ß/

)
4. MtsA thus represents another example
of the atypical ligand binding protein fold recently described
(
9).

DISCUSSION
Recent contributions to the understanding of bacterial metal
transport have included the extension and subdivision of a family
of ABC metal permeases (
10,
12) and an overview of the role
of manganese in bacterial physiology (
23). The subdivision is
based upon phylogenetic analysis of a large number of putative
metal-binding receptors and proposes the existence of two subclusters
dedicated to either manganese or zinc transport.
In a previous work, the identification and partial characterization of S. pyogenes MtsABC, an ABC metal permease now included in the Mn subcluster, was described. The observation that an mtsABC mutant had a growth deficiency prompted us to further investigate the role of MtsABC in S. pyogenes. Metal deprivation of THY medium accentuated the growth deficiency of the mutant, whereas the WT was modestly affected. In comparison, a previous report of S. pneumoniae showed that this bacterium has a growth deficiency in identical metal-depleted medium even without inactivation of genes encoding metal transporters (5). This suggests that the metal requirements of S. pyogenes are different and possibly less demanding. Growth of the mtsABC mutant was completely restored by manganese supplementation, and partial restoration was achieved with as little as 2 µM manganese. Iron also alleviated the growth deficiency somewhat, but these results were less convincing. Analogous studies of metal transport-deficient mutants in S. gordonii (scaCBA, Mn) and S. pneumoniae (psaBCA, Mn, and the paralogue adcCBA, Zn) (12, 31) showed that (i) Mn restored growth of scaCBA and psaBCA mutants and (ii) Zn restored growth of the adcCBA mutant. Interestingly, the addition of both Mn and Zn abolished rescue of growth in the adcCBA mutant, and 54Mn accumulation in WT S. gordonii was inhibited by Zn. The modeling of PsaA from crystallographic data was successful only when using Zn in the metal-binding site (32). However, another report discusses the geometry of the metal-binding site in PsaA, TroA, and related proteins (33). The authors implicate a correlation between the presence of a Glu residue in the metal-binding site (as in PsaA and MtsA) and coordination of Fe2+ or Mn2+ rather than Zn2+, which coordinates with His instead of Glu. In our initial report, we showed that recombinant MtsA had the capacity to bind both iron and zinc. We failed to show a direct interaction between Mn and MtsA, although there was some inhibition of zinc binding when competing with Mn. In light of the data presented here, it would seem that MtsABC is indeed involved in Mn transport. The inability to show a direct interaction may have been a result of nonoptimal conditions (i.e., buffer composition or pH), whereas the metal content analysis of recombinant MtsA is prone to be influenced by the intracellular availability of metal ions in E. coli. The homology between MtsA and PsaA is striking, and our attempt to model the tertiary structure of MtsA suggests that the overall fold is very similar and preserves the metal-binding site. If MtsABC and homologues have similar specificities, one interpretation is that several ligands can be bound and transported. PsaBCA and ScaCBA, for instance, may transport both Mn and Zn. In that case, the proposed subclusters (although phylogenetically correct) might not directly correspond to a devoted metal specificity.
Iron acquisition in bacteria has been widely studied and is of pronounced significance for microbial pathogenesis (45). We therefore initially focused on a characterization of the iron accumulation of S. pyogenes. When iron accumulation assays were performed during the exponential phase of growth, the difference between the WT and mutant was larger (90% reduction in the mutant) than in ON cultures (50% reduction). It is thus possible that MtsABC has a prominent role in iron accumulation during this phase but is later partly supplanted by other uptake systems, such as the iron-regulated proteins Spy0383 to Spy386 (49). Competition for iron accumulation was seen with iron (ferric and ferrous), manganese, and zinc. Manganese was equally or more effective than iron itself in competing with 55Fe accumulation. The accumulation of 54Mn was also examined, and the mtsABC mutant showed a 90% reduction of accumulation. It thus seems clear that MtsABC is also a manganese transporter. Competition for 54Mn accumulation was achieved with both ferric citrate and ferrous sulfate. It is difficult to distinguish between the effects of divalent and trivalent iron in the systems used. Ferrous iron is unstable and prone to oxidation. On the other hand, the S. pyogenes genome encodes a ferredoxin (14), which may push the equilibrium towards divalent iron. Ferric iron is essentially insoluble at neutral pH, and the role of putative siderophores remains to be investigated.
Under the presumption that MtsABC dominates both iron and manganese accumulation under the conditions used, it may be difficult to reconcile the fact that Mn competition of 55Fe accumulation is very efficient (Fig. 2B), whereas Fe competition of 54Mn accumulation reaches a plateau where approximately half of the accumulation remains (Fig. 2C). A speculation would be that the specificity of the metal-binding receptor may be different from that of the permease. The permease is likely the rate-limiting step in transport. For instance, Mn may have a low affinity for the lipoprotein but a high affinity for the permease. If receptor-independent accumulation may occur to some extent, complete competition at the level of the receptor may still allow significant Mn accumulation through the permease. Alternatively, there might be a second transporter contributing to Mn uptake, as suggested by the fact that growth of the mtsABC mutant was rescued by Mn supplementation. For example, the paralogous AdcCBA transporter discussed above is encoded by the genome of S. pyogenes (spy0093, spy0094, and spy0714) but differs from its S. pneumoniae counterpart in that the gene encoding the lipoprotein (adcA) is not found in the same locus as the other components. In addition to ABC transporters, the NRAMP family transporters are also known to mediate Mn translocation across cell membranes. We searched the S. pyogenes genome for putative proteins homologous to MntH (41) of E. coli and a Lactococcus lactis protein (L91569), both of which are members of an NRAMP cluster of proteins (cluster of orthologous groups 1914). However, no putative NRAMP proteins were found.
The role of oxidants in microbial pathophysiology is well documented (38). As a facultative anaerobe, S. pyogenes has the capacity to withstand growth under aerobic conditions. The mtsABC mutant showed a pronounced growth deficit under aerobic conditions, suggesting that the lack of certain metals increased the susceptibility to ROS. Experiments with paraquat as an inducer of oxidative stress showed that the mutant was unable to grow unless supplemented with 30 µM Mn. In comparison, aeration and paraquat stress had no inhibitory effect on the scaCBA mutant in S. gordonii (31). Several species of streptococci can grow in the absence of iron (24, 40), and it has been proposed that Mn can replace iron (1). A connection between Mn homeostasis and sensitivity to oxidative stress has been reported (27, 36). S. pyogenes lacks catalase but produces an Mn-dependent SOD (16, 17). In contrast to many other species which have several SODs, with different cofactors (Mn, Fe, and Cu/Zn), it has been suggested that Bacillus subtilis and most streptococci and enterococci mainly utilize the Mn SOD (22, 40). The present study shows that the activity of SOD in the mutant was reduced compared to that of the WT but could be restored by growth under Mn-supplemented conditions. The reduced SOD activity is unlikely the result of general downregulation of sodA transcription, as shown by Northern blot analysis. Formally, however, it cannot be excluded that there is a downregulation of sodA transcription at some point during growth. We interpret the reduced SOD activity as a consequence of low intracellular Mn availability, resulting in the degradation of misfolded SOD and/or disturbed function of noncofactored SOD.
ROS play an important role in host defense against bacterial infection (38), and there are examples of streptococci showing attenuated virulence as a consequence of disturbed SOD activity (43, 55). The
30-fold reduction in virulence seen in the mtsABC mutant may be partly attributed to such an effect. At the same time, the growth deficiency of the mutant may also contribute to virulence attenuation, depending on Mn availability in vivo. The metal accumulation studies and growth experiments suggest that Mn may be a crucial metal for S. pyogenes. The drastic reduction in iron accumulation of the mutant does not seem to have profound effects on growth, whereas Mn does. In conclusion, our study further details the contribution of MtsABC to iron transport and provides evidence for manganese as an additional ligand. Our data also point to an interesting connection between Mn transport, oxidative stress responses, and virulence in S. pyogenes. MtsABC is likely to have an important role in this complex interplay.

ACKNOWLEDGMENTS
This work was supported by the Swedish Research Council (project
7480) and the Foundations of Kock and Österlund.
We thank Ingbritt Gustavsson and Andrea Stuart for expert technical assistance.

FOOTNOTES
* Corresponding author. Mailing address: Section for Molecular Pathogenesis, Department of Cell and Molecular Biology, BMC, University of Lund, Tornavägen 10, 221 84 Lund, Sweden. Phone: 46 46 224489. Fax: 46 46 157756. E-mail:
Robert.Janulczyk{at}medkem.lu.se.

Editor: V. J. DiRita
Present address: Laboratory of Molecular Microbiology and Biotechnology, Section of Microbiology, Department of Molecular Biology, University of Siena, 53100 Siena, Italy. 

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Infection and Immunity, May 2003, p. 2656-2664, Vol. 71, No. 5
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.5.2656-2664.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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