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Infection and Immunity, June 2004, p. 3106-3112, Vol. 72, No. 6
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.6.3106-3112.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Centro de Investigación y Desarrollo en Criotecnología de Alimentos, Cátedra de Microbiología, Facultad de Ciencias Exactas, Universidad Nacional de La Plata, La Plata 1900, Argentina,1 Institut National de la Santé et de la Recherche Médicale, Unité 510, Faculté de Pharmacie Paris XI, F-92296 ChÂtenay-Malabry, France2
Received 12 May 2003/ Returned for modification 10 July 2003/ Accepted 19 January 2004
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A cellular response triggered by the interaction between microorganisms and intestinal epithelial cells contributes to the virulence of several pathogens. These biological effects are related to the binding of bacterial surface structures and/or bacterial toxins to cell receptors coupled with cellular signaling pathways. Attack of the host cell cytoskeleton is the main mechanism by which pathogenic microorganisms structurally and functionally alter the host cells, particularly the intestinal epithelial barrier. This interference with the organization of the cytoskeleton can be mediated by enzymatic modification by soluble toxins (12) or by upregulation of depolimerization cascades by direct prokaryote-eucaryote interactions (11, 24, 39). The ability of microorganisms of the genus Bacillus to interact with Caco-2 and HeLa cells has been reported, but no further insight into the role of this interaction in the virulence of this microorganism is available (43). Recently, the effect of spent-culture supernatants of B. cereus on Caco-2 cells, suggesting the production of cytotoxic toxin by the bacteria, was reported. These types of cell damage ranged from microvillus effacement to cell detachment. In addition, translocation of phosphatidylserine from the inner to the outer leaflet of the plasmatic membrane has been reported (38).
Despite the importance of the adhesion and invasion phenomena in the virulence of different microorganisms, the direct interaction of B. cereus with intestinal epithelial cells has not been extensively studied, although the possible role of the adhesion of spores in virulence has been suggested (4). In the present work, we sought to gain knowledge about the ability of B. cereus to interact with enterocyte-like Caco-2 cells and about the structural effects of such interactions on the cells.
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TABLE 1. Nomenclature and origin of the strains used in this study
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Cell association assays. Bacterial cultures were centrifuged and the pellet was resuspended in DMEM containing 100 µg of cloramphenicol per ml. Under these conditions, no bacterial growth was observed during the experiment and the bacteria remained viable. After being determined in an hemocytometer, the number of bacterial was adjusted to the required level for cell infection. The bacterial concentration and multiplicity of infection used are indicated in the tables and figures. The cell monolayers were washed twice with PBS before the infection assays were performed, and bacterial suspensions were added to the monolayers and incubated for 2 or 3 h at 37°C in a 5% CO2-95% air atmosphere. The monolayers were then washed three times with PBS and incubated with 1 ml of distilled water per well to lyse the cells. Serial dilutions of the samples were plated onto nutrient agar (3 g of meat extract per liter, 5 g of meat peptone per liter) and incubated at 37° for 16 h.
Cell invasion assays. To assess the invasion of enterocytes, noninternalized bacteria were killed with the aminoglycoside antibiotic gentamicin as reported previously (25). Briefly, monolayers were washed three times with PBS and then 1 ml of gentamicin (100 µg/ml in PBS) was added per well. After being incubated for 1 h at 37°C, the monolayers were washed twice and lysed with 1 ml of distilled water for 1 h at 37°C. Serial dilutions of the suspensions were plated onto nutrient agar as indicated above.
Transmission electron microscopy. After the bacterial adhesion assay, cells were fixed and treated. Samples embedded in Epon were reembedded to make sections perpendicular to the bottom of the flask. The specimens were then examined under a JEOL electron microscope.
Immunofluorescence study. The F-actin cytoskeleton was labeled with fluorescein-labeled phalloidin (33). Briefly, monolayers of Caco-2 cells prepared on glass coverslips were infected with vegetative cells of B. cereus as indicated above. After the infection, the cells were washed with PBS and fixed with 3% paraformaldehyde in PBS for 15 min. Samples were then treated with 50 mM NH4Cl for 10 min to block aldehyde functions, permeabilized for 4 min with Triton X-100, and incubated for 45 min with fluorescein-labeled phalloidin (Sigma Chemical Co., St. Louis, Mo.). They were mounted in 50% (vol/vol) glycerol-0.1% (vol/vol) sodium azide in PBS.
The brush border-associated protein sucrase-isomaltase (SI) was stained by indirect-immunofluorescence labeling. Cells were incubated with anti-human SI antibody (8A9) (diluted 1:200 in 0.2% gelatin-PBS) for 45 min at room temperature (33). After three washes in PBS, incubation with a fluorescein isothiocyanate (FITC)-conjugated second antibody was performed for 45 min at room temperature. No fluorescent staining was observed when the primary antibody was omitted.
Labeling with FITC-annexin V and propidium iodide was performed by a modification of a previously published method (45). Briefly, after infection, cells were washed twice with binding buffer consisting of 25 mM HEPES, 125 mM NaCl, and 2.5 mM CaCl2 (pH 7.2). Then 5 µl of FITC-annexin V, 1 µg of propidium iodide per ml, and 100 µg of RNase per ml were added in 100 µl of binding buffer. The cells were incubated at room temperature for 15 min, and then samples were mounted in 50% glycerol in PBS.
B. cereus bacteria were labeled with a mixture of monoclonal antibodies (MAbs) 113D2b3 and 116A3b3 recognizing lipoteichoic acid (22). Rhodamine isothiocyanate (RITC)-labeled goat anti-mouse antibody (Molecular Probes) was used as secondary antibody. For observation of internalized bacteria by confocal laser-scanning microscopy (CLSM), the cells were permeabilized by incubation with 0.2% Triton X-100 in PBS for 4 min at room temperature. Cell monolayers were then incubated with MAbs 113D2b3 and 116A3b3 (diluted 1:100 in bovine serum albumin-PBS) for 45 min at 22°C and washed three times with PBS. The cells were then incubated with RITC-conjugated secondary antibodies for 60 min on ice and incubated for 30 min at 37°C. The F-actin cytoskeleton was labeled as described above.
Preparations were mounted in Vectashield antifade mounting medium (Biosys SA, Compiègne, France). Samples were examined by conventional epifluorescence microscopy using a DMLB microscope coupled to a DC 100 camera (Leica Microscopy Systems Ltd., Heerbrugg, Switzerland). Image analysis was performed by using Image-Pro Plus software (Media Cybernetics, Silver Spring, Md.). When specimens were examined by CLSM, analysis was performed using a confocal laser-scanning microscope (Zeiss model LSM 510, equipped with an air-cooled argon ion laser [488 nm] and a helium neon laser [543 nm]) configured with an Axiovert 100M microscope using a Plan Apochromat 63x/1.40 oil objective lens. Optical sectioning was used to collect en face images 0.40 µm apart. A reconstruction view was obtained by integration of images gathered at a step position of 1 on the x-y axis, using the accompanying Zeiss software with Windows NT. Photographic images were resized, organized, and labeled using Photoshop software (Adobe, San Jose, Calif.). The printed images are representative of the original data.
Statistical analysis. Statistical analysis of the variations was performed by analysis of variance (Systat, Inc.).
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TABLE 2. Cell association of B. cereus strains with Caco-2 cellsa
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FIG. 1. Association of vegetative cells of B. cereus with fully differentiated Caco-2 cells as a function of the bacterial concentration. B. cereus strains 2 and M2 were used. Error bars are not shown when they are smaller than the symbols.
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TABLE 3. Cell association and internalization of B. cereus in Caco-2 cellsa
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FIG. 2. Observation of internalized B. cereus bacteria within fully differentiated Caco-2 cells infected with B. cereus strain 2. (A and B) Examination by immunofluorescence labeling and CLSM analysis of internalized B. cereus bacteria. Bacteria were labeled with a mixture of MAbs 113D2b3 and 116A3b3 recognizing lipoteichoic acid (22) and RITC-labeled goat anti-mouse antibody as the secondary antibody. No fluorescent staining was observed when the primary antibody was omitted. CLSM analysis (horizontal x-y optical sections, one section every 0.40 µm) was conducted to collect 57 en face images (22.8 µm). Labeling of brush border-associated SI determining the apical domain was observed at 0.8 to 1.6 µm (data not shown). High-magnification micrographs (reconstructed images from 57 successive sections obtained by CLSM analysis) show red-labeled bacteria at 9.2 to 12.2 µm (A) and 1.2 to 5.6 µm (B). Note that the red-labeled bacteria were observed in cells in which no labeling of F-actin develops. Identical results have been obtained with strain T1 (data not shown). (C to E) Examination by transmission electron microscopy of cultured fully differentiated human Caco-2 cells infected with B. cereus strain 2. (C) A high-magnification micrograph shows a transverse ultrathin section of control cells. Note the well-ordered microvilli. (D) A high-magnification micrograph shows a B. cereus bacterium interacting with microvilli that are shortened and disorganized. (E) A low-magnification micrograph shows B. cereus bacteria residing within the Caco-2 cells; the microvilli are not well-ordered and are disorganized and enlarged. Identical results have been obtained with strain T1 (data not shown). The micrographs are representative of two experiments conducted with successive cell passages.
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FIG. 3. Effect of adhering B. cereus strains on the F-actin network of human enterocyte-like Caco-2 cells. Monolayers were infected with 108 CFU per well and incubated for 2 h in the presence of 100 µg of chloramphenicol per ml at 37°C. Fixed and permeabilized cells were labeled with FITC-phalloidin. (A) Control cells; (B) ATCC 10876; (C) 2; (D) T1; (E) B 10502; (F) M2. (A) An en face micrograph shows the typical mosaic pattern of the distribution of brush border-associated F-actin that results from the different patterns of microvilli on the apical surface of the cells, i.e., cells with well-ordered microvilli and cells with dense and packed microvilli (11, 33). (B to F) Cells infected by different B. cereus strains develop different patterns of F-actin alteration. Strains ATCC 10876 (B), 2 (C), T1 (D), and M2 (F) promote in place a dramatic disorganization of F-actin distribution, showing large translucent zones, whereas cells in other zones conserved the mosaic pattern of F-actin distribution. For strain B10502 (E), cells showed a marked rounding with a conserved punctuated F-actin expression in the center of the cells. Micrographs are representative of three experiments conducted with successive cell passages.
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FIG. 4. Effect of B. cereus strain 2 on the F-actin distribution in fully differentiated Caco-2 cells. (A) Effect of different concentrations of B. cereus strain 2 bacteria and culture supernatant on the F-actin distribution. En face micrographs of control uninfected cells (a), cells infected with 5 x 108 CFU/ml (b), cells infected with 1 x 107 CFU/ml (c), and culture medium of primarily infected monolayers (d) are shown. The culture medium was recovered from cells infected for 2 h with 1 x 108 CFU/ml, centrifuged, filtered, and added to a fresh cell monolayer. (B) Time course of F-actin disassembly shows the progressive decrease of F-actin immunofluorescence in cells infected with strain 2. (a) T0, (b) 15 min, (c) 1 h, (d) 2 h. Results are representative of three experiments conducted with successive cell passages.
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FIG. 5. Necrosis in fully differentiated Caco-2 cells infected with B. cereus strains. After 2 h of infection with 108 CFU/ml, cells were doubly labeled with FITC-annexin V and propidium iodide. (A) control cells; (B) ATCC 10876; (C) 2; (D) T1; (E) B 10502; (F) M2. Red labeling shows nuclei from necrotic cells, whereas green labeling is indicative of translocation of phosphatidylserine from the inner to the outer leaflet of the cells. apo, apoptotic cell; nec: necrotic cell. A necrotic cell showing double labeling is shown in panel D. Micrographs are representative of three experiments conducted with successive cell passages.
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The virulence of B. cereus has so far been ascribed to the production of extracellular factors (6, 8, 9, 15). However, the ability of this microorganism to attach to or invade enterocytes could significantly increase its pathogenic potential. We show here that vegetative cells of B. cereus can associate with differentiated enterocyte-like cells. Even though 100 µg of chloramphenicol per ml was used in all the assays performed and even though this concentration is sufficient to prevent bacterial growth of all strains under study (data not shown), some B. cereus strains completely detached monolayers after a 3-h incubation period. In addition, some B. cereus strains were able to enter the cells.
It is well known that expression and localization of surface molecules in eucaryotic cells depends on differentiation status (25, 28) and that the surface properties of microorganisms undergoing exponential growth are very different from those of spores or sporulating microorganisms (30, 42). In addition, the ability of microorganisms to interact with eucaryotic cells depends on the growth phase of the bacterial cultures (31). That is why our experimental conditions differed from those employed in previous studies (4, 43) in two main aspects. First, we used differentiated cultured enterocyte-like cells rather than undifferentiated cells from overnight cell culture (42). Second, we used bacterial cultures in the late exponential phase of growth instead of freeze-thawed 18-h-old cultures (43). The aminoglycoside antibiotic gentamicin assay can be used, as with other microorganisms (14, 29), to assess the invasion of enterocyte-like cells by spore-forming microorganisms. However, care must be taken to minimize the concentration of both spores and sporulating bacteria. Otherwise, spores surviving the antibiotic treatment may be considered internalized microorganisms. When 16-h-old cultures were used, the ratio of microorganisms surviving the gentamicin treatment was not significantly different from the ratio of heat-resistant microorganisms (data not shown). Study of the internalization of B. cereus by using fresh cultures harvested in the exponential growth phase constitutes a substantial improvement over methods previously employed (43).
Interestingly, in the present study we observed that the dose-dependent association of strains 2 and M2 of B. cereus with enterocyte-like Caco-2 cells shows a saturation around 2 x 107 CFU/well. These findings could indicate that sites for B. cereus adhesion are saturating on the apical domain of cells, suggesting the presence of a brush border-associated specific receptor(s) for B. cereus adhesins.
Concerning the effect of the association of B. cereus on the F-actin cytoskeleton, our results are the first to be reported that show the ability of this microorganism to disrupt the F-actin network of enterocyte-like cells. In addition, B. cereus induced severe damage in cell membrane permeability, as evidenced by double labeling with propidium iodide and FITC-annexin V. The extent of necrosis did not correlate with the ability of microorganisms to invade enterocytes. Both invasive and noninvasive strains produced necrosis of cells. Noninvasive strain B10502 elicited both necrosis and apoptosis, whereas its effect on the actin network was indistinguishable from that of the remaining strains (compare Fig. 2 and 4D). Although our experiments are not conclusive on whether adhesion and/or invasion of B. cereus can trigger cellular responses without the participation of secreted products, we could hypothetize that attachment of microorganisms to the apical domain of the enterocyte-like cells might facilitate the development of microenvironments with high concentrations of biologically active factors. In addition, when bacteria are in contact with a host cell, effectors could be translocated across the eucaryotic cell membrane by means of a series of secretion systems that have been well studied in gram-negative microorganisms (18, 29, 41, 44). However, some kind of secretion mechanism seems to be present in gram-positive bacteria. Indeed, streptolysin O can mediate the injection of effector proteins into host cells (36). This cytolysin belongs to the family of cholesterol-binding thiol-activated cytolytic toxins. It is well known that B. cereus is able to produce cereolysin O, a cytolysin belonging to the same group of pore-forming toxins (27). Thus, the contact between B. cereus and the eucaryotic cell could enhance the virulence of B. cereus through different mechanisms, (i) by inducing signaling cascades either by interaction with surface receptors on eucaryotic cells or by internalization into host cells, or (ii) by creating a microenvironment with a high concentration of toxic factors or by means of direct translocation of proteinaceous factors through pores in the cytoplasmic membrane.
Expression of genes related to the production of virulence factors in the B. cereus group is under the control of the plcR regulon, which, in turn, is activated at the onset of the stationary phase of growth (20, 32). It is worth nothing that the maximal biological activity found in our experimental system was observed with mid-log-phase cultures. These findings may indicate that release of exocellular factors to the external milieu is not sufficient to elicit biological responses in epithelial cells. Another possible hypothesis may be that cell-cell contact is necessary for the release or translocation of protein virulence factors. Interestingly, activation of the expression of the plcR regulon is related to a signaling peptide acting as a quorum-sensing effector (21). Adhesion of microorganisms to epithelial cells could contribute to the creation of zones of high bacterial concentrations that, in turn, facilitates events related to bacterium-bacterium interactions.
Summarizing, we show for the first time the relationship between B. cereus association with enterocyte-like cells and cytopathic effects. Our findings could support the role of adhesion-invasion events in the virulence of this microorganism. Further work is needed to gain further knowledge about the mechanisms involved in this interaction.
J. Minnaard is a fellow of the Universidad Nacional de La Plata, and P. F. Pérez is a member of the Carrera de Investigador Cientifico y Tecnológico del Consejo Nacional de Investigaciones Cientificas y Técnicas (CONICET). This work was partially financed by the International Foundation for Science, Sweden (E/2977-2), and the Agencia Nacional de Promoción Cientifica y Tecnológica, Argentina (PICT:09-08810).
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