Cora Kooi,2 Pamela A. Sokol,2 and Miguel A. Valvano1,3*
Departments of Microbiology and Immunology,1 Medicine, University of Western Ontario, London, Ontario N6A 5C1,3 Department of Microbiology and Infectious Diseases, University of Calgary Health Sciences Centre, Calgary, Alberta T2N 4N1, Canada2
Received 11 February 2004/ Returned for modification 10 March 2004/ Accepted 18 March 2004
| ABSTRACT |
|---|
|
|
|---|
| INTRODUCTION |
|---|
|
|
|---|
Isolates of the B. cepacia complex are inherently resistant to many antimicrobial agents (49, 54, 55). The widespread antibiotic resistance of these microorganisms has proven extremely problematic for the treatment of infections. Furthermore, the lack of sensitivity to antibiotics commonly used for genetic selection complicates genetic studies in this pathogen by drastically limiting the choice of antibiotic resistance gene markers for mutagenesis and complementation experiments (38).
Several bacterial factors may play a role in the infections caused by isolates of the B. cepacia complex. Some isolates have the ability to survive intracellularly within eukaryotic cells such as macrophages, respiratory epithelial cells, and amoebae (6, 34, 44, 46, 56). Other potential virulence factors that have been described include cable pili (57), flagella (65), a type III secretion system (50, 64), surface exopolysaccharide (7, 9), production of melanin (71), catalase (37), up to four types of iron-chelating siderophores (16), proteases and other secreted enzymes (12, 29, 47, 68), quorum-sensing systems (40, 42), and the ability to form biofilms (66). Not all strains produce each of the proposed virulence factors and, to date, none of these individual factors has been clearly demonstrated to be a major contributor to human disease.
Signature-tagged mutagenesis (STM) was originally developed to facilitate the detection of Salmonella enterica serovar Typhimurium genes required for in vivo survival (28). STM has since been applied to several different bacteria and fungal pathogens (for a recent review, see reference 48). STM is a comparative hybridization technique that employs a collection of transposons, each modified by the incorporation of a unique DNA sequence tag (28). These transposons are introduced into the pathogen to be studied and, following random transposition, insertional mutants are isolated. Mutants containing a transposon insertion in a gene which codes for a function required for in vivo growth or survival will fail to pass through the in vivo selection. Individual mutants can be distinguished from each other based on unique tags carried by the transposon insertions of each strain. By comparing the tags present in the input pool of mutants initially inoculated into the animal model with those unique tags present in the bacteria recovered after infection, it is possible to identify mutants that fail to grow exclusively in vivo. Subsequently, the DNA sequence surrounding the insertion can be analyzed to identify the gene or genes required for virulence. Traditional STM involves using randomly generated tags that can be detected by conventional hybridization techniques (28), which may result in cross-hybridization signals and high background, increasing the proportion of false positives (53). This was a significant concern in the case of B. cenocepacia due to the high moles percent G+C content of the genome. A PCR-based modification of STM can potentially eliminate pitfalls inherent to hybridization and increase the specificity during the PCR screening step (39).
In this study, we describe a modified STM procedure to isolate and identify candidate genes of B. cenocepacia required for the in vivo survival in 102 transposon mutants that could not be recovered from intratracheal lung infections in rats. The modifications to the STM strategy included the use of a real-time PCR-based screening step for the detection of each transposon mutant within a pool. In addition, we used a plasposon backbone instead of a classical transposon to facilitate the identification of flanking chromosomal regions once the element is integrated onto the chromosome, since the transposable element within the plasposon contains an Escherichia coli plasmid replication origin (18). Inherent problems of STM such as cross-amplifying tags were removed prior to preparing the pools for the in vivo passage, thereby making these modifications useful as a general screening method to identify genes required for survival in vivo.
| MATERIALS AND METHODS |
|---|
|
|
|---|
[F
80 lacZ
M15 endA1 recA1 hsdR17(rK mK+) supE44 thi-1
gyrA96 (
lacZYA-argF)U169 relA1] was used as a host for the plasposon constructs and for the helper plasmid pRK2013 (see below). Transposon mutants were grown in Typticase soy agar, Vogel-Bonner minimal medium (VBM) (69), or LB medium as required, all of which were supplemented with trimethoprim at a final concentration of 100 µg/ml. E. coli strains were grown in LB medium supplemented with 50 µg of trimethoprim/ml or 40 µg of kanamycin/ml, as appropriate. All chemicals were purchased from Sigma Chemical Co., St. Louis, Mo., unless otherwise indicated. Construction of a library of plasposons carrying unique oligonucleotide tags. Forty-one plasposons (designated pTnMod-OTp-tag1 to pTnMod-OTp-tag41) were constructed as depicted in Fig. 1. The plasposon backbone was from pTnMod-OTp' (18). Forty-one different oligonucleotides of 21 bp (Table 1) were annealed to complementary molecules to yield double-stranded oligonucleotides. The ends of the double-stranded oligonucleotides were phosphorylated and separately ligated into the blunted KpnI site of pTnMod-OTp' to produce 41 different plasposons pTnMod-OTp-tagn, where n is the oligonucleotide tag number 1 to 41. Ligations were verified by PCR using each of the 21-bp oligonucleotides (Table 1) as one primer and primer STM-common (5'-TCGATTTCGTTCCACTGAGCG-3') as the second primer. PCR amplifications were performed in a PTC-0200 DNA engine (MJ Research, Incline Village, Nev.) by using Taq polymerase (Roche Diagnostics, Laval, Quebec, Canada). The 811-bp product was amplified as follows: 7 min at 95°C, two cycles of 95°C for 1 min, 65°C for 2 s (followed by decreases of 0.2°C per second up to 55°C), and 72°C for 1 min; and then 10 cycles of 95°C for 1 min, 55°C for 1 min, and 72°C for 1 min. The product was visualized on a 0.7% (wt/vol) agarose gel.
|
|
(pRK2013) as a helper strain (21). After transposition, insertion mutants were plated on minimal VBM media supplemented with trimethoprim to prevent the recovery of auxotrophic mutants, and finally the individual mutants were stored in 96-well plates. Animal infections. Infections were done using the agar bead model of chronic lung infection in rats as previously described (61). Two Sprague-Dawley male rats (150 to 160 g; Charles River Canada) were used for each infection pool of 37 B. cenocepacia transposon mutants containing 105 viable bacteria embedded in agar beads. The lungs were removed 10 days following intratracheal instillation into the left pulmonary lobe and homogenized using a Polytron homogenizer (Brinkman Instruments, Westbury, N.Y.). Serial dilutions in phosphate-buffered saline were plated on tryptic soy agar and on B. cepacia selective agar (BCSA) (27) containing 100 µg of trimethoprim/ml. The CFU were counted and bacteria collected for further analysis following incubation at 37°C overnight.
CI. To determine the competitive index (CI) of selected STM mutants, mutant and wild-type bacteria were grown overnight and adjusted to the same optical density at 600 nm. Agar beads prepared from a mixture of parent and mutant combined to give approximately equal numbers (5 x 105 CFU of each strain) were used to inoculate groups of five rats. The ratio of mutant to wild-type bacteria in the inoculum was verified by plating agar beads containing bacteria on BCSA medium with and without trimethoprim to determine viable counts. At 10 days postinfection the lungs were removed, homogenized, diluted, and plated in triplicate on BCSA and BCSA containing 100 µg of trimethoprim/ml. The CI was calculated as the mean output ratio of mutant to wild type divided by the input ratio of mutant to wild-type organisms.
Screening of mutants by real-time PCR. Real-time PCR was performed on B. cenocepacia transposon mutants recovered from lung homogenates using the Light Cycler (Roche Diagnostics). Chromosomal DNA was extracted from the bacterial pools and used as a template for real-time PCR using a Faststart DNA Master SYBR Green I kit for DNA amplification and detection (Roche Diagnostics). The forward primers used are listed in Table 1, and the reverse primer was STM-LC (5'-AAGGGAGAAAGGCGGACAGGTA-3'). The conditions used for real-time PCR to amplify the 342-bp product were as follows: activation for 10 min at 95°C, followed by 35 cycles of 95°C for 15 s, 55°C for 5 s, and 72°C for 11 s. A melting curve was generated by decreasing the temperature to 65°C, followed by a 0.2°C per second increase in the temperature up to 95°C. Quantitation curves and melting curves were generated for each 35-sample PCR run and analyzed using the Light Cycler software version 3.5 (Roche Diagnostics). Real-time PCR screening for the second screen was performed exactly the same as for the initial screen.
Identification and analysis of transposon insertion sites. The chromosomal sequences surrounding the transposon insertions were identified using the self-cloning strategy as described previously (18). Briefly, chromosomal DNA from the B. cenocepacia transposon mutants that passed through the second screen was isolated and subjected to restriction endonuclease digestion by either SalI or NotI (Roche Diagnostics). The digests were ligated under dilute conditions to favor intramolecular ligations with T4 DNA ligase (Roche Diagnostics) and transformed into competent E. coli JM109 (70). Transformants were selected on LB agar supplemented with trimethoprim (50 µg/ml). Plasmid DNA was isolated using a High Pure plasmid isolation kit (Roche Diagnostics) and sequenced at the Core Molecular Biology Facility (York University, Ontario, Canada) using primers OTp-3' (5'-TGTGGCTGCACTTGAACG-3') or pTnMod (5'-TTCCTGGTACCGTCGACA-3'). The sequences obtained were compared to the GenBank database by BLAST to identify homologous sequences and to data from the B. cenocepacia sequencing group at the Sanger Institute for B. cenocepacia strain J2315 (http://www.sanger.ac.uk/Projects/B_cenocepacia/).
Analysis of B. cenocepacia proteins by two-dimensional gel electrophoresis. Cytosolic proteins were obtained for two-dimensional gel electrophoresis by two passages in a French press (American Instrument Co., Inc., Silver Spring, Md.) at 20,000 lb/in2, and the protein concentration was estimated by Bradford assays (4) using Bio-Rad protein assay dye reagent concentrate. Protein from cell lysates (300 µg) was precipitated with 10% trichloroacetic acid, and the pellet was washed first with 5% trichloroacetic acid and then with acetone (25). Precipitated proteins were then subjected to rehydration on Immobiline DryStrip (pH 3 to 10, 13 cm; Amersham Biosciences, Uppsala, Sweden) for 10 h in rehydration solution (8 M urea, 2% 3-[(3-cholamidopropyl)-dimethylammonio]-1-propanesulfonate [CHAPS] and IPG buffer [Amersham Biosciences], pH 3 to 10) containing dithiothreitol, followed by isoelectric focusing for 1 h at 500 V, 1 h at 1,000 V, 5 h at 5,000 V, and 6.25 h at 8,000 V (IPGphor; Amersham Biosciences). After isoelectric focusing, IPG strips were equilibrated in equilibration buffer (50 mM Tris-HCl, pH 8.8, 6 M urea, 30% (vol/vol) glycerol, 2% (wt/vol) SDS, trace bromophenol blue) and applied to a 1-mm thick 12.5% polyacrylamide gel to resolve the second dimension. The gel was overlaid with 0.125% (wt/vol) agarose in SDS electrophoresis buffer containing bromophenol blue (3.02 g of Tris base/liter, 14.42 g of glycine/liter, 1% (wt/vol) SDS in distilled water). Gels were run at 10 mA per gel for 15 min followed by 20 mA for 5 h in SDS electrophoresis buffer. Proteins were visualized by SYPRO orange (Bio-Rad Laboratories) according to the manufacturer's instructions and then stained with Coomassie brilliant blue (0.25% Coomassie brilliant blue, 45% methanol, 10% glacial acetic acid; distained with 45% methanol and 10% glacial acetic acid). Gels were dried using a Bio-Rad gel dryer model 583 (Bio-Rad Laboratories). To assess reproducibility and standardize the preparation of extracts and the conditions for running the two-dimensional gel electrophoresis, gels with samples from the wild-type strain K56-2 were run four times, and those with samples from the mutants strains were run twice. Spots were analyzed using ImageMaster 2D Elite software (NonLinear Dynamics, Durham, N.C.).
| RESULTS AND DISCUSSION |
|---|
|
|
|---|
|
Identification of survival-defective mutants by real-time PCR screening. The 37 plasposons were then separately mobilized into B. cenocepacia K56-2 by triparental conjugation to produce 96 transposon mutants for each of the tags. The 37 banks of B. cenocepacia transposon mutants were next arranged into pools such that any individual pool contained one of each of the tag-specific transposon mutants. Thus, each pool contained 37 distinct transposon mutants which could be individually distinguished from one another by the presence of the unique 21-bp oligonucleotide tag within the integrated transposon. The pools of transposon mutants were separately incorporated into agar beads, and the beads were used for intratracheal lung infection in rats. Each infection was performed in duplicate and allowed to proceed for 10 days, an interval which results in chronic lung infection (C. Kooi and P. A. Sokol, unpublished data). After the 10-day infection, the lungs were removed and the recovered bacteria were collected for DNA preparation and PCR screening to identify the surviving mutants in each original pool.
The 21-bp oligonucleotide tags containing unique sequences within each transposon enabled differentiation of mutants that were present from those mutants which were absent from each of the output pools. DNA from the B. cenocepacia mutants that were recovered from the lung infections served as templates for PCR amplification. Because infections with each pool of mutants were carried out in duplicate, screening of mutants was done with the infection that exhibited the highest bacterial yield, as this would result in the lowest probability of false negatives. We used real-time PCR amplification with primer sets similar to those employed to test cross-reactivity (STM-LC and each specific tag oligonucleotide). Quantitation and melting curves were generated for each of the PCR amplifications. Figure 3 illustrates the data analysis of one PCR run. For each run, a positive and a negative control were included together with 33 sample reactions. The product quantitation curve (Fig. 3A) indicated the amount of double-stranded PCR product generated following each cycle. In the case of DNA prepared from bacteria recovered from rat lungs, we observed quantitation curves ranging from no product to more product than with the positive control. After each round of PCR amplification, a melting curve was generated for each run of 35 samples (Fig. 3B). This demonstrated whether a PCR product generated was specific, by comparing it with the product from the positive control reaction, which consistently had a peak at about 88°C. The melting curve was more informative than the quantitation curve because it indicated whether or not the observed amplification was specific. Figure 3C shows a subset of the melting curves in Fig. 3B, including the positive and negative control plus three sample reactions. In this example, the tag7 mutant in pools F4b and H8b did not amplify with the tag7-specific primer, and therefore these mutants were not present in the pool and would pass through this screening procedure. Seventy-one pools of B. cenocepacia transposon mutant chromosomes were screened in this manner with the 37 tag primers. One important limitation of STM for in vivo screening is that the inoculated pool must have a dose such that each mutant is well represented and is able to establish an infection. To determine if this was the case with our pools, the input pools were randomly examined by real-time PCR, and the amplified DNA from the mutants in these pools gave similar quantitation curves, suggesting that the individual mutants were present at similar concentrations (data not shown). Mutants attenuated for survival in the animal model were scored as those whose genomic DNA did not reveal any PCR amplification after 28 cycles on the quantitation curve or, alternatively, had low or nonspecific melting peaks (peaks not at about 88°C) on the melting curve. According to these criteria, 260 of the 2,627 mutants that we assayed were putatively identified as having a survival defect in the animal model.
|
Identification of genes required for survival in vivo and confirmation of the predictive value of the STM screen. The nucleotide sequence of the DNA flanking the site of transposon insertion obtained for each of the 102 attenuated mutants was used to search the GenBank databases for homologous genes. The results of this analysis are shown in Table 2, located within a putative replication region. We speculate that these insertions may result in the instability of the 90-kb plasmid in vivo. It is possible that the instability or even loss of the plasmid in vivo may impair the survival of the plasmid-free bacterial cells by mechanisms involving killing or growth reduction of these cells (for a recent review, see reference 26). Further research is currently under way in our laboratory to explore this possibility. In addition, four survival-attenuated mutants had insertions within two rRNA clusters. While the role of rRNA clusters in virulence is not known at this time, others have found that five of the seven rRNA operons present in E. coli are necessary to support near-optimal growth on complex media, while all seven operons are necessary for rapid adaptation to nutrient and temperature changes (11). Therefore, it is conceivable that a similar situation occurs for B. cenocepacia, and adaptation to the environmental conditions found in vivo may require a full complement of rRNA operons.
|
54 homologue), 38C6 and 39H4 (cold shock family of transcriptional regulator), and 40H2 (Tet-repressor regulator homologue) were compared to that of the wild-type K56-2. The mutant 40H2, containing an insertion in the TetR family repressor homologue, revealed additional protein spots not observed in the parental K56-2 lysate, whereas mutants containing insertions in positive regulators lacked several protein spots that are present in the lysate from the parental K56-2 strain (Fig. 5). These results are consistent with the predicted roles for these regulatory proteins. Ongoing research is underway to confirm that these regulators are indeed involved in the different protein expression profiles observed, to characterize the regulated proteins from the proteome of K56-2, and to determine the components of each regulon.
|
Mutant 6E3 has an insertion interrupting a gene that encodes a homologue of the MgtC protein. This protein is required in S. enterica and Mycobacterium tuberculosis for growth under Mg2+-limiting environments, as well as for survival within macrophages and virulence in vivo (2, 5). Preliminary experiments indicate that, unlike the wild-type strain K56-2, the growth of this mutant is drastically reduced at Mg2+ concentrations of 25 µM or lower (K. Maloney and M. A. Valvano, unpublished data). Since B. cepacia complex strains can survive intracellularly within amoebae and macrophages (44, 56), we speculate that the MgtC protein homologue may be required for survival in vivo during lung infection in the rat model.
Additional mutants within this category had insertions in genes encoding enzymes required for the synthesis of O-antigen LPS (mutants 32D2, 33H3, 34D8, and 38C2). The isolation of genes involved in LPS synthesis for survival in vivo is not unexpected, as nearly all STM studies of gram-negative pathogens have reported similar findings (8, 17, 28, 33, 63). The detailed characterization of the O-antigen LPS biosynthesis cluster in K56-2 and J2315 strains will be described in detail elsewhere (X. Ortega, T. A. Hunt, and M. A. Valvano, manuscript in preparation).
Conclusion. The majority of the genes identified in our STM screen do not correspond to classical virulence factors proposed by others for B. cenocepacia. Given the large size of the B. cenocepacia genome (8.056 Mbp), it is possible that our screen has not uncovered all the genes required for in vivo survival. Also, it is important to point out that our screen was specifically designed to detect factors involved with in vivo survival and persistence in the lungs from our rat model. Early colonization steps are bypassed in our lung infection model, as bacteria instilled intratracheally are previously encased in agar beads. Thus, we did not expect to find mutants in genes involved with mucosal colonization. Also, STM screens do not usually detect extracellular factors that may be required for infection, since these factors may be provided by other mutants in the pool. The real-time PCR screening described in this study greatly reduced the time required for the screening step while increasing the sensitivity and specificity by allowing quantification of the PCR products produced. In addition, the plasposons and the bank of transposon mutants we generated will permit us to screen for bacterial genes required for survival in other in vivo models. An important limitation of STM screens is that the insertions may cause polar effects on the expression of downstream genes, which is especially true for those insertions in genes that are part of operons and those located upstream of coding regions, which may affect promoter elements or other regulatory elements. Therefore, our results should not be overinterpreted, as they provide a list of genes that are prime candidates as survival genes but that requires a gene-by-gene detailed analysis. We are currently investigating the survival of B. cenocepacia mutants in various infection models including alfalfa (1), amoebae (44), and the nematode Caenorhabditis elegans (35), which represent different habitats that can all be potentially encountered by B. cepacia complex isolates. Elucidation of the genes required for B. cepacia survival in these models will provide us with a more complete picture of requirements for infection of this opportunistic pathogen.
|
| ACKNOWLEDGMENTS |
|---|
This work was supported by the Thompson Family Fund (to M.A.V.) from the Canadian Cystic Fibrosis Foundation and by the Special Program Grant Initiative "In Memory of Michael O'Reilly" funded by the Canadian Cystic Fibrosis Foundation and the Cardiovascular and Respiratory Health Institute of the Canadian Institutes of Health Research (to M.A.V. and P.A.S.). T.A.H. was supported by a fellowship from the Canadian Cystic Fibrosis Foundation. M.A.V. holds a Canada Research Chair in Infectious Diseases and Microbial Pathogenesis.
| FOOTNOTES |
|---|
Present address: Department of Cell Biology, University of Alberta, Edmonton, Alberta T6G 2H7, Canada. ![]()
| REFERENCES |
|---|
|
|
|---|
| 1. | Bernier, S. P., L. Silo-Suh, D. E. Woods, D. E. Ohman, and P. A. Sokol. 2003. Comparative analysis of plant and animal models for characterization of Burkholderia cepacia virulence. Infect. Immun. 71:5306-5313. |
| 2. | Blanc-Potard, A. B., and E. A. Groisman. 1997. The Salmonella selC locus contains a pathogenicity island mediating intramacrophage survival. EMBO J. 16:5376-5385.[CrossRef][Medline] |
| 3. | Bottone, E. J., S. D. Douglas, A. R. Rausen, and G. T. Keusch. 1975. Association of Pseudomonas cepacia with chronic granulomatous disease. J. Clin. Microbiol. 1:425-428. |
| 4. | Bradford, M. M. 1976. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal. Biochem. 72:248-254.[CrossRef][Medline] |
| 5. | Buchmeier, N., A. Blanc-Potard, S. Ehrt, D. Piddington, L. Riley, and E. A. Groisman. 2000. A parallel intraphagosomal survival strategy shared by Mycobacterium tuberculosis and Salmonella enterica. Mol. Microbiol. 35:1375-1382.[CrossRef][Medline] |
| 6. | Burns, J. L., M. Jonas, E. Y. Chi, D. K. Clark, A. Berger, and A. Griffith. 1996. Invasion of respiratory epithelial cells by Burkholderia (Pseudomonas) cepacia. Infect. Immun. 64:4054-4059.[Abstract] |
| 7. | Cerantola, S., J. Bounery, C. Segonds, N. Marty, and H. Montrozier. 2000. Exopolysaccharide production by mucoid and non-mucoid strains of Burkholderia cepacia. FEMS Microbiol. Lett. 185:243-246.[Medline] |
| 8. | Chiang, S. L., and J. J. Mekalanos. 1998. Use of signature-tagged transposon mutagenesis to identify Vibrio cholerae genes critical for colonization. Mol. Microbiol. 27:797-805.[CrossRef][Medline] |
| 9. | Chung, J. W., E. Altman, T. J. Beveridge, and D. P. Speert. 2003. Colonial morphology of Burkholderia cepacia complex genomovar III: implications in exopolysaccharide production, pilus expression, and persistence in the mouse. Infect. Immun. 71:904-909. |
| 10. | Coenye, T., and P. Vandamme. 2003. Diversity and significance of Burkholderia species occupying diverse ecological niches. Environ. Microbiol. 5:719-729.[CrossRef][Medline] |
| 11. | Condon, C., D. Liveris, C. Squires, I. Schwartz, and C. L. Squires. 1995. rRNA operon multiplicity in Escherichia coli and the physiological implications of rrn inactivation. J. Bacteriol. 177:4152-4156. |
| 12. | Corbett, C. R., M. N. Burtnick, C. Kooi, D. E. Woods, and P. Sokol. 2003. An extracellular zinc metalloprotease gene of Burkholderia cepacia. Microbiology 149:2263-2271. |
| 13. | Corey, M., and V. Farewell. 1996. Determinants of mortality from cystic fibrosis in Canada, 1970-1989. Am. J. Epidemiol. 143:1007-1017. |
| 14. | Coulter, S. N., W. R. Schwan, E. Y. Ng, M. H. Langhorne, H. D. Ritchie, S. Westbrock-Wadman, W. O. Hufnagle, K. R. Folger, A. S. Bayer, and C. K. Stover. 1998. Staphylococcus aureus genetic loci impacting growth and survival in multiple infection environments. Mol. Microbiol. 30:393-404.[CrossRef][Medline] |
| 15. | Craig, F. F., J. G. Coote, R. Parton, J. H. Freer, and N. J. Gilmour. 1989. A plasmid which can be transferred between Escherichia coli and Pasteurella haemolytica by electroporation and conjugation. J. Gen. Microbiol. 135:2885-2890.[Medline] |
| 16. | Darling, P., M. Chan, A. D. Cox, and P. A. Sokol. 1998. Siderophore production by cystic fibrosis isolates of Burkholderia cepacia. Infect. Immun. 66:874-877. |
| 17. | Darwin, A. J., and V. L. Miller. 1999. Identification of Yersinia enterocolitica genes affecting survival in an animal host using signature-tagged transposon mutagenesis. Mol. Microbiol. 32:51-62.[CrossRef][Medline] |
| 18. | Dennis, J. J., and G. J. Zylstra. 1998. Plasposons: modular self-cloning minitransposon derivatives for rapid genetic analysis of gram-negative bacterial genomes. Appl. Environ. Microbiol. 64:2710-2715. |
| 19. | Fehlner-Gardiner, C. C., T. M. Hopkins, and M. A. Valvano. 2002. Identification of a general secretory pathway in a human isolate of Burkholderia vietnamiensis (formerly B. cepacia complex genomovar V) that is required for the secretion of hemolysin and phospholipase C activities. Microb. Pathog. 32:249-254.[CrossRef][Medline] |
| 20. | Fehlner-Gardiner, C. C., and M. A. Valvano. 2002. Cloning and characterization of the Burkholderia vietnamiensis norM gene encoding a multi-drug efflux protein. FEMS Microbiol. Lett. 215:279-283.[CrossRef][Medline] |
| 21. | Figurski, D. H., and D. R. Helinski. 1979. Replication of an origin-containing derivative of plasmid RK2 dependent on a plasmid function provided in trans. Proc. Natl. Acad. Sci. USA 76:1648-1652. |
| 22. | Govan, J. R., P. H. Brown, J. Maddison, C. J. Doherty, J. W. Nelson, M. Dodd, A. P. Greening, and A. K. Webb. 1993. Evidence for transmission of Pseudomonas cepacia by social contact in cystic fibrosis. Lancet 342:15-19.[CrossRef][Medline] |
| 23. | Govan, J. R., and V. Deretic. 1996. Microbial pathogenesis in cystic fibrosis: mucoid Pseudomonas aeruginosa and Burkholderia cepacia. Microbiol. Rev. 60:539-574. |
| 24. | Govan, J. R., J. E. Hughes, and P. Vandamme. 1996. Burkholderia cepacia: medical, taxonomic and ecological issues. J. Med. Microbiol. 45:395-407.[Abstract] |
| 25. | Guy, G. R., R. Philip, and Y. H. Tan. 1994. Analysis of cellular phosphoproteins by two-dimensional gel electrophoresis: applications for cell signaling in normal and cancer cells. Electrophoresis 15:417-440.[CrossRef][Medline] |
| 26. | Hayes, F. 2003. Toxins-antitoxins: plasmid maintenance, programmed cell death, and cell cycle arrest. Science 301:1496-1499. |
| 27. | Henry, D. A., M. E. Campbell, J. J. LiPuma, and D. P. Speert. 1997. Identification of Burkholderia cepacia isolates from patients with cystic fibrosis and use of a simple new selective medium. J. Clin. Microbiol. 35:614-619.[Abstract] |
| 28. | Hensel, M., J. E. Shea, C. Gleeson, M. D. Jones, E. Dalton, and D. W. Holden. 1995. Simultaneous identification of bacterial virulence genes by negative selection. Science 269:400-403. |
| 29. | Hutchison, M. L., I. R. Poxton, and J. R. Govan. 1998. Burkholderia cepacia produces a hemolysin that is capable of inducing apoptosis and degranulation of mammalian phagocytes. Infect. Immun. 66:2033-2039. |
| 30. | Isles, A., I. Maclusky, M. Corey, R. Gold, C. Prober, P. Fleming, and H. Levison. 1984. Pseudomonas cepacia infection in cystic fibrosis: an emerging problem. J. Pediatr. 104:206-210.[Medline] |
| 31. | Jarvis, W. R., D. Olson, O. Tablan, and W. J. Martone. 1987. The epidemiology of nosocomial Pseudomonas cepacia infections: endemic infections. Eur. J. Epidemiol. 3:233-236.[CrossRef][Medline] |
| 32. | Johnson, W. M. 1994. Intercontinental spread of a highly transmissible clone of Pseudomonas cepacia proved by multilocus enzyme electrophoresis and ribotyping. Can. J. Infect. Dis. 5:86-88. |
| 33. | Karlyshev, A. V., P. C. Oyston, K. Williams, G. C. Clark, R. W. Titball, E. A. Winzeler, and B. W. Wren. 2001. Application of high-density array-based signature-tagged mutagenesis to discover novel Yersinia virulence-associated genes. Infect. Immun. 69:7810-7819. |
| 34. | Keig, P. M., E. Ingham, and K. G. Kerr. 2001. Invasion of human type II pneumocytes by Burkholderia cepacia. Microb. Pathog. 30:167-170.[CrossRef][Medline] |
| 35. | Köthe, M., M. Antl, B. Huber, K. Stoecker, D. Ebrecht, I. Steinmetz, and L. Eberl. 2003. Killing of Caenorhabditis elegans by Burkholderia cepacia is controlled by the cep quorum-sensing system. Cell. Microbiol. 5:343-351.[CrossRef][Medline] |
| 36. | Lee, B. C. 1995. Quelling the red menace: haem capture by bacteria. Mol. Microbiol. 18:383-390.[CrossRef][Medline] |
| 37. | Lefebre, M., and M. Valvano. 2001. In vitro resistance of Burkholderia cepacia complex isolates to reactive oxygen species in relation to catalase and superoxide dismutase production. Microbiology 147:97-109. |
| 38. | Lefebre, M. D., and M. A. Valvano. 2002. Construction and evaluation of plasmid vectors optimized for constitutive and regulated gene expression in Burkholderia cepacia complex isolates. Appl. Environ. Microbiol. 68:5956-5964. |
| 39. | Lehoux, D. E., F. Sanschagrin, and R. C. Levesque. 1999. Defined oligonucleotide tag pools and PCR screening in signature-tagged mutagenesis of essential genes from bacteria. BioTechniques 26:473-478, 480.[Medline] |
| 40. | Lewenza, S., B. Conway, E. P. Greenberg, and P. A. Sokol. 1999. Quorum sensing in Burkholderia cepacia: identification of the LuxRI homologs CepRI. J. Bacteriol. 181:748-756. |
| 41. | LiPuma, J. J., S. E. Dasen, D. W. Nielson, R. C. Stern, and T. L. Stull. 1990. Person-to-person transmission of Pseudomonas cepacia between patients with cystic fibrosis. Lancet 336:1094-1096.[CrossRef][Medline] |
| 42. | Lutter, E., S. Lewenza, J. J. Dennis, M. B. Visser, and P. A. Sokol. 2001. Distribution of quorum-sensing genes in the Burkholderia cepacia complex. Infect. Immun. 69:4661-4666. |
| 43. | Mahenthiralingam, E., T. Coenye, J. W. Chung, D. P. Speert, J. R. Govan, P. Taylor, and P. Vandamme. 2000. Diagnostically and experimentally useful panel of strains from the Burkholderia cepacia complex. J. Clin. Microbiol. 38:910-913. |
| 44. | Marolda, C. L., B. Hauröder, M. A. John, R. Michel, and M. A. Valvano. 1999. Intracellular survival and saprophytic growth of isolates from the Burkholderia cepacia complex in free-living amoebae. Microbiology 145:1509-1517.[Abstract] |
| 45. | Maroncle, N., D. Balestrino, C. Rich, and C. Forestier. 2002. Identification of Klebsiella pneumoniae genes involved in intestinal colonization and adhesion using signature-tagged mutagenesis. Infect. Immun. 70:4729-4734. |
| 46. | Martin, D. W., and C. D. Mohr. 2000. Invasion and intracellular survival of Burkholderia cepacia. Infect. Immun. 68:24-29. |
| 47. | McKevitt, A. I., S. Bajaksouzian, J. D. Klinger, and D. E. Woods. 1989. Purification and characterization of an extracellular protease from Pseudomonas cepacia. Infect. Immun. 57:771-778. |
| 48. | Mecsas, J. 2002. Use of signature-tagged mutagenesis in pathogenesis studies. Curr. Opin. Microbiol. 5:33-37.[CrossRef][Medline] |
| 49. | Nzula, S., P. Vandamme, and J. R. Govan. 2002. Influence of taxonomic status on the in vitro antimicrobial susceptibility of the Burkholderia cepacia complex. J. Antimicrob. Chemother. 50:265-269. |
| 50. | Parsons, Y. N., K. J. Glendinning, V. Thornton, B. A. Hales, C. A. Hart, and C. Winstanley. 2001. A putative type III secretion gene cluster is widely distributed in the Burkholderia cepacia complex but absent from genomovar I. FEMS Microbiol. Lett. 203:103-108.[CrossRef][Medline] |
| 51. | Pegues, C. F., D. A. Pegues, D. S. Ford, P. L. Hibberd, L. A. Carson, C. M. Raine, and D. C. Hooper. 1996. Burkholderia cepacia respiratory tract acquisition: epidemiology and molecular characterization of a large nosocomial outbreak. Epidemiol. Infect. 116:309-317.[Medline] |
| 52. | Pegues, D. A., L. A. Carson, O. C. Tablan, S. C. FitzSimmons, S. B. Roman, J. M. Miller, W. R. Jarvis, et al. 1994. Acquisition of Pseudomonas cepacia at summer camps for patients with cystic fibrosis. J. Pediatr. 124:694-702.[CrossRef][Medline] |
| 53. | Perry, R. D. 1999. Signature-tagged mutagenesis and the hunt for virulence factors. Trends Microbiol. 7:385-389.[CrossRef][Medline] |
| 54. | Poole, K. 2001. Multidrug efflux pumps and antimicrobial resistance in Pseudomonas aeruginosa and related organisms. J. Mol. Microbiol. Biotechnol. 3:255-264.[Medline] |
| 55. | Prince, A. 1986. Antibiotic resistance of Pseudomonas species. J. Pediatr. 108:830-834.[CrossRef][Medline] |
| 56. | Saini, L. S., S. B. Galsworthy, M. A. John, and M. A. Valvano. 1999. Intracellular survival of Burkholderia cepacia complex isolates in the presence of macrophage cell activation. Microbiology 145:3465-3475. |
| 57. | Sajjan, U. S., L. Sun, R. Goldstein, and J. F. Forstner. 1995. Cable (Cbl) type II pili of cystic fibrosis-associated Burkholderia (Pseudomonas) cepacia: nucleotide sequence of the cblA major subunit pilin gene and novel morphology of the assembled appendage fibers. J. Bacteriol. 177:1030-1038. |
| 58. | Sha, J., E. V. Kozlova, A. A. Fadl, J. P. Olano, C. W. Houston, J. W. Peterson, and A. K. Chopra. 2004. Molecular characterization of a glucose-inhibited division gene, gidA, that regulates cytotoxic enterotoxin of Aeromonas hydrophila. Infect. Immun. 72:1084-1095. |
| 59. | Smalley, J. W., A. J. Birss, and J. Silver. 2000. The periodontal pathogen Porphyromonas gingivalis harnesses the chemistry of the µ-oxo bishaem of iron protoporphyrin IX to protect against hydrogen peroxide. FEMS Microbiol. Lett. 183:159-164.[Medline] |
| 60. | Smalley, J. W., P. Charalabous, A. J. Birss, and C. A. Hart. 2001. Detection of heme-binding proteins in epidemic strains of Burkholderia cepacia. Clin. Diagn. Lab. Immunol. 8:509-514. |
| 61. | Sokol, P. A., P. Darling, D. E. Woods, E. Mahenthiralingam, and C. Kooi. 1999. Role of ornibactin biosynthesis in the virulence of Burkholderia cepacia: characterization of pvdA, the gene encoding L-ornithine N5-oxygenase. Infect. Immun. 67:4443-4455. |
| 62. | Speert, D. P., D. Henry, P. Vandamme, M. Corey, and E. Mahenthiralingam. 2002. Epidemiology of Burkholderia cepacia complex in patients with cystic fibrosis, Canada. Emerg. Infect. Dis. 8:181-187.[Medline] |
| 63. | Struve, C., C. Forestier, and K. A. Krogfelt. 2003. Application of a novel multi-screening signature-tagged mutagenesis assay for identification of Klebsiella pneumoniae genes essential in colonization and infection. Microbiology 149:167-176. |
| 64. | Tomich, M., A. Griffith, C. A. Herfst, J. L. Burns, and C. D. Mohr. 2003. Attenuated virulence of a Burkholderia cepacia type III secretion mutant in a murine model of infection. Infect. Immun. 71:1405-1415. |
| 65. | Tomich, M., C. A. Herfst, J. W. Golden, and C. D. Mohr. 2002. Role of flagella in host cell invasion by Burkholderia cepacia. Infect. Immun. 70:1799-1806. |
| 66. | Tomlin, K. L., O. P. Coll, and H. Ceri. 2001. Interspecies biofilms of Pseudomonas aeruginosa and Burkholderia cepacia. Can. J. Microbiol. 47:949-954.[CrossRef][Medline] |
| 67. | Vandamme, P., B. Holmes, M. Vancanneyt, T. Coenye, B. Hoste, R. Coopman, H. Revets, S. Lauwers, M. Gillis, K. Kersters, and J. R. Govan. 1997. Occurrence of multiple genomovars of Burkholderia cepacia in cystic fibrosis patients and proposal of Burkholderia multivorans sp. nov. Int. J. Syst. Bacteriol. 47:1188-1200.[Abstract] |
| 68. | Vasil, M. L., D. P. Krieg, J. S. Kuhns, J. W. Ogle, V. D. Shortridge, R. M. Ostroff, and A. I. Vasil. 1990. Molecular analysis of hemolytic and phospholipase C activities of Pseudomonas cepacia. Infect. Immun. 58:4020-4029. |
| 69. | Vogel, H. J., and D. M. Bonner. 1956. Acetylornithase of Escherichia coli: partial purification and some properties. J. Biol. Chem. 218:97-106. |
| 70. | Yanisch-Perron, C., J. Vieira, and J. Messing. 1985. Improved M13 phage cloning vectors and host strains: nucleotide sequences of the M13mp18 and pUC19 vectors. Gene 33:103-119.[CrossRef][Medline] |
| 71. | Zughaier, S. M., H. C. Ryley, and S. K. Jackson. 1999. A melanin pigment purified from an epidemic strain of Burkholderia cepacia attenuates monocyte respiratory burst activity by scavenging superoxide anion. Infect. Immun. 67:908-913. |
This article has been cited by other articles:
| |||||||||||||||||||||||||||||||||||||||||||||||||||||