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Infection and Immunity, July 2004, p. 4297-4301, Vol. 72, No. 7
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.7.4297-4301.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Oral Immunization with an rfaH Mutant Elicits Protection against Salmonellosis in Mice
Gábor Nagy,1 Ulrich Dobrindt,2 Jörg Hacker,2 and Levente Emödy1*
Institute of Medical Microbiology and Immunology, University of Pécs, 7624 Pécs, Hungary,1
Institut für Molekulare Infektionsbiologie, Universität Würzburg, 97070 Würzburg, Germany2
Received 4 October 2003/
Returned for modification 1 December 2003/
Accepted 23 March 2004

ABSTRACT
Loss of the transcriptional antiterminator RfaH results in virulence
attenuation (>10
4-fold increase in 50% lethal dose) of the
archetypal
Salmonella enterica serovar Typhimurium strain SL1344
by both orogastric and intraperitoneal routes of infection in
BALB/c mice. Oral immunization with the mutant efficiently protects
mice against a subsequent oral infection with the wild-type
strain. Interestingly, in vitro immunoreactivity is not confined
to strain SL1344; rather, it is directed also towards other
serovars of
S. enterica and even
Salmonella bongori strains.

TEXT
Salmonella enterica has over 2,300 serotypes, which were formerly
designated as distinct species but recently, however, have been
termed serovariants.
Salmonella can cause diseases in humans
and in a wide variety of animals. Development of a vaccine against
salmonellosis has long been of high concern (
13). There have
been several vaccination strategies against serovar Typhi; however,
none of them is optimal in all aspects. Typhoid fever can be
induced experimentally only by oral infection of humans or higher
primates.
Salmonella enterica serovar Typhimurium infection,
however, causes a typhoid fever-like disease in certain mutant
strains of mice. Intestinal and extraintestinal lesions in this
model highly resemble those observed in humans suffering from
typhoid fever; therefore, this model has been widely used to
mimic infection caused by
Salmonella enterica serovar Typhi
in humans (
27). Design of several new live attenuated vaccine
strains of serotype Typhi was based on experiments using the
mouse model of typhoid fever.
Regulatory protein RfaH is a transcriptional antiterminator (1) that reduces the polarity of long operons encoding cell components involved in the virulence of Escherichia coli (2). Originally, RfaH was discovered as a regulator of lipopolysaccharide (LPS) synthesis in S. enterica (17) and E. coli (5). Later RfaH was shown to be essential for the expression of other cell components encoded on long operons in E. coli. RfaH-affected operons include those encoding the F plasmid (26), different capsules (4, 23, 30), and hemin uptake receptor (18), as well as the toxins alpha-hemolysin (3, 16) and cytotoxic necrotizing factor 1 (CNF-1) (15). A global regulatory role of RfaH in the virulence of uropathogenic E. coli has recently been shown (19). As rfaH seems to be conserved among various enterobacteria, its role in the regulation of virulence of various gram-negative pathogens has been suggested.
Bacterial strains and culture conditions.
SL1344 is a fully mouse-virulent, invasive strain that has been described previously (8, 12, 32). Inactivation of rfaH in strain SL1344 was performed using the
Red recombinase method explained elsewhere (6) with primers S-rfaH-cm1 and S-rfaH-cm2 (S-rfaH-cm1, 5'-ATG CAA TCC TGG TAT TTA CTG TAC TGC AAA CGC GGG CAA CTT CAG CGT GCT CAG GAA CAC CTC GTG TAG GCT GGA GCT GCT T-3'; S-rfaH-cm2, 5'-TTG CGA AAA CCG GTG TTT TTT ACG CTC TGC TTC ACT TCT TTA TTG AGT AAA TTA AGC ATA TGA ATA TCC TCC TTA GTT CCT A-3'; italics indicate sequences complementary to the cat gene). The mutant strain in which rfaH was inactivated through disruption by a cat cassette has been termed SL1344-R1. Complementation of the mutant with rfaH was performed principally as described by Diederich et al. (7). The gene rfaHSL1344 together with its promoter region was amplified using primer pair rfaH-1 (5'-CAC GCA AAG TGC GGT CAG C-3') and rfaH-rev-X (5'-TTA TCT AGA CGC CGT ATC TGT TGC CTC GCG ATC T-3'; the restriction site for XbaI is indicated in italics) and was introduced into the chromosomal attB site by use of the
integrase system (7), giving rise to the trans-complemented strain SL1344-R2. Wild-type Salmonella strains were obtained from Zoltán Péterfi (Department of Medical Microbiology and Immunology, University of Pécs) and from the strain collection of the Institut für Molekulare Infektionsbiologie, University of Würzburg. Bacteria were grown routinely in Luria-Bertani (LB) broth or on LB broth plates. When appropriate, media were supplemented with the following concentrations of antibiotics: 100 µg of ampicillin/ml, 30 µg of chloramphenicol/ml, 20 µg of tetracycline/ml, and 30 µg of kanamycin/ml, respectively.
Loss of RfaH results in virulence attenuation of strain SL1344.
Animal experiments were conducted according to the principles set forth in the Guide for the Care and Use of Laboratory Animals in a laboratory accredited by the Hungarian government (decree no. XXVII, 1998) and according to the subsequent regulation (government order no. 243/1998). Six- to eight-week-old female BALB/c mice (Charles River, Budapest, Hungary) were used in all cases. Bacteria grown in LB broth were washed and resuspended in phosphate-buffered saline for the inoculum. Orogastric infections were performed using a sterile gavage without prior neutralization of gastric acid (9). Intraperitoneal injection was carried out by direct puncture through the abdominal wall with a 25-gauge needle (10).
Four groups of five BALB/c mice each were infected orally with 5 x 102 to 5 x 105 CFU of wild-type strain SL1344. In this experimental setup, a 50% lethal dose (LD50) of 2.1 x 103 CFU was calculated (data not shown) by the method of Reed and Muench (24). To assess virulence attenuation of SL1344-R1, groups of 10 mice (five mice in each of two independent experiments) were infected with 5 x 105 CFU (
200 LD50) and groups of five mice were infected with 5 x 107 CFU (
2 x 104 LD50) of either the wild-type strain SL1344 or its isogenic rfaH mutant (SL1344-R1). Infectious lethality rates are summarized in Table 1. Loss of RfaH in the mutant strain resulted in abolishment of virulence of strain SL1344 in oral infection of BALB/c mice. trans-complementation of the mutant strain with rfaH (in strain SL1344-R2) completely restored its virulence.
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TABLE 1. Death rates elicited by S. enterica serovar Typhimurium SL1344 and its isogenic rfaH mutant after oral infection
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Wild-type strain SL1344 is extremely virulent when administered
parenterally to mice. Determination of an accurate LD
50 in the
case of intraperitoneal infection is not possible, but the dose
was reported to be under 13 CFU (
28). To investigate whether
RfaH plays a role in parenteral virulence as well, groups of
four mice were challenged intraperitoneally with 10
2, 10
4, and
10
6 CFU of the
rfaH mutant strain SL1344-R1 and, as a control,
groups of four mice were infected with 10
2 CFU of either the
wild-type strain or the complemented mutant strain SL1344-R2.
Seventy-five percent of mice died between postinfection days
5 and 11 in the group infected with the highest dose (10
6 CFU)
of the mutant strain, while all mice survived in the other two
groups. The surviving mice exhibited signs of disease (scruffiness
and lethargy) between days 5 and 10, which completely ceased
afterwards. On the other hand, all four mice challenged with
10
2 CFU of the wild-type strain SL1344 or the
trans-complemented
mutant SL1344-R2 died on days 5 and 6 postinfection. Our study
shows for the first time that the presence of an intact
rfaH gene is obligatory for full virulence of
Salmonella. Inactivation
of
rfaH in a highly invasive strain severely attenuates mouse
virulence in both orogastric and parenteral models of infection.
Vaccination with SL1344-R1 elicits protective immunity.
Mice were immunized via the orogastric route with SL1344-R1 (5 x 107 CFU) three times at 2-week intervals. Test blood samples were obtained by retrobulbar puncture with heparinized capillary tubes in the 5th week (days 36 to 37) after the first immunization (day 0). On day 42 (2 weeks after the last booster immunization) groups of four immunized mice were orally challenged with 5 x 103 CFU (
2 LD50) or 5 x 107 CFU (
2 x 104 LD50) of wild-type strain SL1344. Postinfection survival rates of vaccinated and naïve mice are compared in Fig. 1A (5 x 103 CFU) and B (5 x 107 CFU). While 50 and 100% of control mice died after challenge with the wild-type strain, respectively, immunization fully protected mice regardless of the challenge dose. In the case of the higher challenge dose (Fig. 1B), the difference in survival was statistically significant (P = 0.0067) as calculated by the log rank test with GraphPad Prism software.
In order to prove that protection of mice was due to specific
immunity and not to a nonspecific cellular immune response mediated
by the presence of the vaccine strain in the host organs, the
same experiment with a longer time interval between the last
booster immunization and the challenge was repeated. In a pilot
study, SL1344-R1 (with a dose corresponding to that used for
the vaccination experiments) was shown to be cleared from the
organs (liver, spleen, and Peyer's patches) of mice within 2
weeks postinfection (data not shown). Groups of six mice vaccinated
as described above were orally challenged with 5
x 10
3 CFU (

2
LD
50) or 5
x 10
7 CFU (

2
x 10
4 LD
50) of wild-type strain SL1344
on day 84 (

6 weeks after the vaccine strain had been cleared
from the immunized mice). Immunization significantly increased
survival rates (depicted in Fig.
1C and D) with both the lower
(
P = 0.0387) and the higher (
P = 0.0024) challenge doses.
Test sera of immunized mice (from three independent vaccination experiments) were collected into three pools: pools 1, 2, and 3 were obtained from sera of 12, 8, and 9 mice, respectively. Control pools were made by mixing sera of corresponding numbers of age-matched naïve mice. Immunoreactivities of sera obtained from immunized mice were tested on different serovars of S. enterica as well as Salmonella bongori strains in vitro. Ninety-six-well plates were coated overnight with 0.1 ml of bacterial suspensions (109 CFU/ml), and immunoreactivities of pooled sera (diluted 1:50 in phosphate-buffered saline containing 0.25% bovine serum albumin) were determined in an enzyme-linked immunosorbent assay (ELISA) by standard protocols. Sera of immunized mice (in comparison to those of naïve mice) exhibited high reactivity to Salmonella strains (Fig. 2). Interestingly, sera of immunized mice showed in vitro immunoreactivity to not only the isogenic virulent strain but also other serovars of S. enterica as well as to S. bongori.
Isotype determination of the
Salmonella-specific antibodies
(with isotype-specific anti-mouse immunoglobulins [Sigma-Aldrich,
Budapest, Hungary]) revealed that the low background immunoreactivity
seen with the control sera originated from immunoglobulins of
the M (IgM) isotype. On the other hand, the vast majority of
specific antibodies raised during the immunization process were
of the IgG isotype, belonging mainly to the IgG1 and IgG2a subclasses
(Fig.
3), indicating a systemic Th1-directed immune response
in vaccinated mice.
Beside the fact that the
rfaH mutant is attenuated, evidence
has been shown that oral vaccination with this attenuated strain
elicits protective immunity against a subsequent challenge with
wild-type strain SL1344. Interestingly, high in vitro immunoreactivity
can be detected not only to the isogenic wild-type strain but
also to different serovar Typhimurium strains and to heterologous
serovariants of
S. enterica. Since the mutant strain used for
vaccination exhibits a rough phenotype (see below), immunity
is not based on antibodies raised against O antigens. Cross-immunity
comprises
S. bongori strains as well, suggesting that a conserved
antigen(s) shared among members of the genus
Salmonella serves
as an immunotarget on the surface of salmonellae. The major
immunogenic molecules on the surface of
S. enterica are the
LPS and flagella, antigenic variants of which serve as bases
for classification into serogroups. Cross-immunity among strains
belonging to different serogroups is normally not elicited or
is at a very low level (
11,
29). Humoral protection against
Salmonella is characterized by the bulk of antibodies being
directed against the O determinant. Therefore, we suggest that
using a vaccine strain with a rough LPS phenotype allows the
immune system to raise higher titers of antibodies against those
antigens that otherwise possess minor immunogenicity. Cross-immunity
between different serovars mediated by the LP fimbriae has been
recently shown elsewhere (
21). Another study has demonstrated
that outer membrane proteins from
S. enterica serovar Typhimurium
are capable of conferring protection against a lethal challenge
with homologous bacteria (
31). Developing an immunization strategy
by exploitation of a conserved
Salmonella surface antigen to
elicit protection against multiple serogroups is of high importance,
due to the huge number of serovars capable of colonizing farm
animals with a consequent danger of infecting humans.
Loss of RfaH results in a rough phenotype and serum sensitivity.
LPS originated from strain SL1344, and its derivatives were purified by the procedure of Hitchcock and Brown (10). Sodium dodecyl sulfate-polyacrylamide gel electrophoresis was performed on a 12.5% polyacrylamide gel according to the method of Laemmli (14). Gels were fixed overnight in a solution of 7% acetic acid and 25% 2-propanol and were silver stained as described by Nelson et al. (20). A deep rough phenotype could be seen in the case of the rfaH mutant (SL1344-R1), in contrast to the smooth LPS structures obtained from the wild-type strain (SL1344) or the trans-complemented mutant (SL1344-R2) (data not shown). In agreement with our observation on strain SL1344, loss of RfaH results in a rough phenotype of different Salmonella strains as well (17, 25). Smooth LPS is an important virulence factor of Salmonella that plays a role in resistance to the complement-mediated lytic effect of serum. Serum resistance of strain SL1344 and its derivatives was compared in sera originating from humans, mice, and guinea pigs by a previously described procedure (19). Briefly, bacteria grown in LB medium were washed in saline and diluted to 106 CFU/ml. One-hundred-microliter aliquots of bacterial suspensions were mixed with an equal volume of human serum and incubated at 37°C for 4 h in microtiter plates. Samples were taken at 0-, 0.5-, 1-, 2-, 3-, and 4-h time points. Viable cell counts were determined by plating aliquots onto LB broth plates and incubating them overnight at 37°C. Wild-type strain SL1344 proved to be resistant against the bactericidal effect of sera of all three investigated species (Fig. 4). On the other hand, the resistance of its isogenic rfaH mutant was dependent on the origin of the serum. Though the mutant strain was able to survive in mouse serum, it exhibited high susceptibility to the killing effect of human serum, and its resistance was intermediate in serum obtained from guinea pigs (Fig. 4). Complementation of the mutant with rfaH restored resistance to the lytic effect of sera originating from all three investigated species. Others have also reported that rough Salmonella mutants exhibit different levels of susceptibility towards sera of human and mouse origins (12). As mouse serum is not active against S. enterica serovar Typhimurium (22), attenuation of the rfaH mutant in the mouse model cannot to be explained by sensitivity to the killing effect of serum. The smooth phenotype, nevertheless, may be involved in other virulence properties, such as modifying host cell functions upon release of LPS from bacterial cells in intracellular compartments (9).
An ideal live vaccine strain combines efficient immunogenicity
with minimal adverse effects of the carrier. In this study,
we have shown that an isogenic
rfaH mutant of
S. enterica serovar
Typhimurium prototype strain SL1344 fulfills both of these criteria:
the mutant becomes attenuated and elicits protective immunity
against a subsequent challenge with the wild-type strain. Interestingly,
in vitro humoral immunoreactivity is not confined to the homologous
strain; rather, it is directed towards multiple serovariants
of
S. enterica and even
S. bongori. Further experiments are
needed, however, to determine whether cross-reactivity of sera
is concomitant with protection of mice from a challenge with
a heterologous serovariant. The nature of
Salmonella antigens
that are targeted by cross-reactive antibodies raised during
vaccination with the
rfaH mutant of strain SL1344 needs also
to be elucidated.

ACKNOWLEDGMENTS
This study was supported by grants OTKA T037833 and ETT 086/2001
to L.E.
We are grateful to Zoltán Péterfi (Department of Medical Microbiology and Immunology, University of Pécs, Pécs, Hungary) for providing S. enterica strains. We thank R. Lajkó, M. Pápa, and B. Plaschke for excellent technical assistance.

FOOTNOTES
* Corresponding author. Mailing address: Institute of Medical Microbiology and Immunology, University of Pécs, Szigeti út 12, 7624 Pécs, Hungary. Phone: 36 72 536252. Fax: 36 72 536253. E-mail:
levente.emody{at}aok.pte.hu.

Editor: A. D. O'Brien

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Infection and Immunity, July 2004, p. 4297-4301, Vol. 72, No. 7
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.7.4297-4301.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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