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Infection and Immunity, September 2004, p. 5298-5307, Vol. 72, No. 9
0019-9567/04/$08.00+0 DOI: 10.1128/IAI.72.9.5298-5307.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Artur Altenhöfer,1 A. Salam Khan,1 Neda Daryab,1,
Kwang Sik Kim,2,
Jörg Hacker,1 and Tobias A. Oelschlaeger1*
Institut für Molekulare Infektionsbiologie, University of Würzburg, Würzburg, Germany,1 Division of Infectious Diseases, Children's Hospital of Los Angeles and University of Southern California, Los Angeles, California2
Received 16 September 2003/ Returned for modification 13 November 2003/ Accepted 18 May 2004
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Most invasive bacteria encode specific invasion systems. These invasion systems may be presented by a single surface protein such as the invasin of Yersinia enterocolitica or Yersinia pseudotuberculosis or the internalin A of Listeria monocytogenes. Other invasion systems are encoded by several genes and determine a type III secretion system and effector proteins injected into the host cell to be invaded. This kind of invasion system is employed by Salmonella and Shigella. In contrast, some invasive bacteria employ adhesins as invasins. Certain E. coli strains causing either intestinal or urinary tract infections harbor the afa-3 adhesin gene cluster. One of the afa-3 gene products, AfaD, is obviously not just an adhesin but also mediates invasion (23). Another nonfimbrial adhesin of pyelonephritis-associated E. coli is Dr-II which has been shown to direct internalization into HeLa cells (36). Related fimbrial adhesins inducing internalization are the Dr fimbriae of uropathogenic E. coli strains (16). Even certain variants of type 1 fimbriae are able to provoke bacterial invasion. These pili are the most widespread fimbrial adhesins among enterobacteria but vary in the amino acid sequence of the adhesive protein subunit FimH, located at the tip of the pilus (46). Some uropathogenic E. coli strains were reported to express type 1 pili which are not only essential for efficient infection of the urinary bladder but also responsible for the invasion of macrophages in the absence of opsonic antibodies and subsequent intracellular survival (2). Furthermore, these type 1 pili of uropathogenic E. coli are also able to induce bacterial internalization into urothelial cells of the bladder in a murine cystitis model (31).
Here, we report the molecular cloning, sequencing, and analysis of an invasion determinant from a urinary tract C. freundii isolate. This invasion determinant shows high homology to the type 1 pilus determinant of Salmonella, which, in contrast, does not mediate invasion.
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50-kb chromosomal insert. After digestion of cosmid pTO21052 with PvuII, plasmid pTO3 was obtained, which consists of a 10.9-kb chromosomal insert and the 2.7-kb BamHI/PvuII part of cloning vector pBR322 (22). Plasmid pPH1 was constructed by inserting the 9.6-kb EcoRI/SalI fragment of pTO3 into the EcoRI/SalI site of cloning vector pSU19. Ligating the 7.8-kb BamHI fragment of pTO3 to the pSU19 BamHI site resulted in a plasmid named pAA8. Plasmid pPH19 was constructed by cloning the 6.2-kb PstI fragment of pTO3 into the PstI site of cloning vector pBluescript II KS(+). By ligating the 9-kb EcoRI/XhoI insert of pTO3 to EcoRI- and SalI-digested pT7-3 and pT7-6, respectively, plasmids pB7-3 and pB7-6 were obtained. Plasmid pPH4 is a truncated derivate of pPH1 achieved by deletion of the HpaI/SnaI fragment, containing part of fimDCf and genes fimHCf to fimZCf, and subsequent religation. Suicide plasmid pPH13 was designed by ligating the 4-kb SalI/KpnI fragment from pPH4 into the multiple cloning site of suicide vector pJP5603 (35) which was digested with the same restriction enzymes. The deletion mutant C. freundii 3009-dz was obtained by transfer of the suicide plasmid pPH13 via conjugation from donor strain E. coli S17-1
pir to C. freundii strain 3009 and subsequent double crossover, which led to the exchange of the wild-type allele with the in vitro construct missing part of fimDCf and genes fimHCf to fimZCf. Plasmid pPH23 was constructed by inserting the 5.7-kb SmaI/SnaI fragment of pPH1 into the broad-host-range vector pK19mob (39) which was linearized with SmaI. |
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TABLE 1. Bacterial strains and plasmids
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Cell lines, media, and culture conditions.
The human bladder epithelial cell line T24 was purchased from the American Type Culture Collection (Manassas, Va.). RT112, a human urinary bladder carcinoma cell line, was kindly provided by T. F. Meyer, Max-Planck-Institut für Infektionsbiologie, Berlin, Germany (8). The T24 cell line was cultivated in McCoy's 5A medium supplemented with 2 mM glutamine, nonessential amino acids, and 10% fetal calf serum. RT112 cells were grown in Waymouth MB 752/1 medium with 10% fetal calf serum. Both cell lines were cultivated in medium without antibiotics at 37°C in a 5% CO2-95% air atmosphere with
90% humidity and were split twice a week at a ratio of 1:5 to 1:10. All cell culture media and supplements were purchased from Gibco (Gaithersburg, Md.), except for McCoy's 5A, which was from C.C. Pro (Neustadt, Germany).
Invasion assay. For invasion assays, the human epithelial cells were seeded into 24-well plates (Falcon) and incubated in medium without antibiotics overnight at 37°C. Invasion assays were performed essentially as described by Elsinghorst (14). Briefly, a 5- to 50-µl volume of a bacterial overnight culture was added to 2 ml of fresh LB medium and incubated with shaking until it reached the early logarithmic growth phase (optical density at 600 nm of 0.4 to 0.6). Approximately 1 x 105 to 2 x 106 bacteria were added to a confluent monolayer of epithelial cells and incubated for up to 3 h at 37°C in a 5% CO2-95% air atmosphere (invasion period). The actual value for each inoculum was determined by a colony plate count. After the invasion period, the monolayer was washed twice with Earle's balanced salt solution, and fresh prewarmed medium containing 100 µg of gentamicin per ml was added to kill the extracellular bacteria. After another 1 h incubation the monolayer was washed three times with Earle's balanced salts solution and lysed with 0.2% sodium deoxycholate in distilled water for 4 min. The viability of all strains used in this study was not affected by the 0.2% sodium deoxycholate treatment. The released intracellular bacteria were enumerated by a quantitative plate count. Invasion ability was expressed as the percentage of the inoculum surviving the gentamicin treatment. Each assay was conducted in duplicate and was independently repeated at least three times. Results are expressed as the means from all replicate experiments. In control experiments, the gentamicin sensitivity of all strains included in this study was demonstrated in the absence of epithelial cells by using equivalent bacterial numbers and under the same conditions as in invasion assays. All bacteria were killed in those control studies after treatment with gentamicin (100 µg/ml) for 1 h. Epithelial cell viability and monolayer integrity were routinely monitored by addition of trypan blue (Hazleton Biologics, Lenexa, Kans.) and light microscopic analysis.
Invasion assays in the presence of carbohydrates. All of the carbohydrates used were directly dissolved in the appropriate cell culture medium at 100 mM, except for chitin hydrolysate (0.6 mg/ml). Chitin hydrolysate is a mixture of N-acetylglucosamine (GlcNAc) and oligomers of this carbohydrate (Vector Laboratories, Grünberg, Germany). In 24-well plates, the bacterial inoculum was added to 1 ml of cell culture medium with and without a particular carbohydrate and incubated with shaking at room temperature for 15 min. After removal of the tissue culture medium from the epithelial cell monolayer, the preincubated bacterial culture without and with carbohydrate was added to the monolayer and invasion assays were continued as described above. Carbohydrates were present during the invasion period. Inhibition of C. freundii 3009 internalization by chitin hydrolysate in a dose-dependent manner was analyzed at concentrations of 0.0375 to 0.6 mg/ml. Control studies under identical conditions but in the absence of human cells demonstrated that none of the carbohydrates used adversely affected bacterial viability. Trypan blue staining was performed to ensure human cell monolayer integrity under the assay conditions used.
Yeast cell agglutination. Prior to use, bacteria were routinely examined for type 1 fimbriae expression by mannose-sensitive yeast cell agglutination on glass slides (37). Type 1 fimbriae expression of bacteria was confirmed by agglutination after addition of an equal volume of baker's yeast suspension in phosphate-buffered saline (PBS) to the bacterial culture in the presence or absence of 2% D-mannose.
ELISA-based assay. In order to determine whether sfaI, sfaII, sfr, foc, and fim determinant-carrying recombinant bacteria and control strain HB101, harboring the plasmid vector pBR322, are fimbriated or not, enzyme-linked immunosorbent assays (ELISA) were performed (25). Overnight bacterial cultures were centrifuged, and bacterial pellets were resuspended in a carbonate buffer (pH 9.5) to a concentration of 109 CFU/ml. Flat-bottom 96-well ELISA plates (CML-CEB, Nemours, France) were coated with bacteria (200 µl/well) and left overnight at 4°C. After removal of the unbound bacteria, the wells were blocked with 3% bovine serum albumin (BSA)-PBS (pH 7.4) for 2 h at 37°C and washed three times with PBS. Subsequently, 100 µl of serially diluted fimbriae-specific rabbit polyclonal antibody solutions in PBS-0.5% BSA were added to each well and incubated at 37°C for 90 min. After another washing step, horseradish peroxidase-conjugated goat anti-rabbit immunoglobulin G (Dako, Hamburg, Germany) in PBS-1% BSA (1:2,000) was added and incubated for 1 h at 37°C (100 µl/well). Following a final wash, the bound enzyme was detected by the addition of substrate (100 µl/well; Pierce ImmunoPure TMB substrate kit) for 5 to 30 min. The reaction was stopped by adding 100 µl of 2 M H2SO4 per well. The A450 was measured with an ELISA reader.
Adherence assay.
Adherence was quantified by a modified invasion assay. For that assay, epithelial cells were seeded in wells of a 96-well plate and incubated for 24 h. To the confluent epithelial cell monolayer, 8 µl (i.e.,
108 bacteria) of a static overnight culture of the strain of interest was added and incubated under cell culture conditions for 2 h. The number of epithelial cell-associated bacteria was determined by plate count. After five washing steps, cell-associated bacteria were resuspended in 0.2% Triton X-100 for 20 min, and 100-µl volumes of appropriate dilutions were plated.
Heat extraction of fimbrial proteins. Type 1 fimbriae are heat extractable (26). For preparation of heat-extracted proteins, fimbriated bacteria were pelleted by centrifugation and suspended in 0.5 mM Tris-HCl (pH 7.4) containing 75 mM NaCl, followed by a 30-min incubation period at 60°C in a shaking water bath. After removal of bacteria by centrifugation, the crude fimbrial preparations were concentrated from the supernatant with a cellulose filter (Centricon YM-10; Millipore, Eschborn, Germany) by passing liquid and molecules smaller than 10 kDa through the filter.
Western blot analysis. Heat-extracted proteins were separated by electrophoresis (32 mA, 60 min) on a sodium dodecyl sulfate (SDS)-13% polyacrylamide gel (27) and were transferred to a nitrocellulose membrane by electrophoretic blotting (43). The blocked membranes were probed with various rabbit antisera. Following incubation of goat anti-rabbit immunoglobulin G conjugated with horseradish peroxidase (Dako), the membranes were developed by using an ECL kit (Amersham-Pharmacia) according to the manufacturer's instructions. Prestained full-range Rainbow marker (RPN 800; Amersham-Pharmacia) was used as a molecular weight standard. C. freundii-specific FimF and FimH polyclonal antisera were prepared by immunization of rabbits with synthesized peptides derived from FimF (LHDSDRTRLPLEQAS) and FimH (AGAGNRPEGINPQTK), respectively, conjugated to carrier molecule keyhole limpet hemocyanin (Eurogentec, Herstal, Belgium).
Autoradiography. To radiolabel FimCf proteins, plasmids which carry a T7 promoter were used for specific fimCf gene expression with T7 RNA polymerase (41). Briefly, 30 µl of BL21(pLysS) (harboring various expression plasmids) overnight cultures was grown in 1 ml of LB medium supplemented with 1% glucose, 50 µg of ampicillin per ml, and 20 µg of chloramphenicol per ml, at 37°C with shaking, to an optical density at 600 nm of 0.5 to 0.7. The bacterial pellet was washed with LB medium and was resuspended in 1 ml of LB medium containing the above-mentioned antibiotics and 2 mM IPTG (isopropyl-ß-D-thiogalactopyranoside). Following a 30-min incubation at 37°C with shaking, the bacteria were harvested, washed with M9 medium, and resolved in 1 ml of M9 medium without methionine and cysteine to be cultivated at 37°C for 1 h. Rifampin was added to a final concentration of 200 µg/ml, and after another 25-min incubation, the plasmid proteins were labeled with a mixture of [35S]methionine and [35S]cysteine (10 µCi) (Pro-Mix; Amersham-Pharmacia). Whole-cell extracts obtained from bacteria were separated by electrophoresis on an SDS-13% polyacrylamide gel (27). After electrophoresis, the gel was stabilized by incubation for 30 min in a solution of 10% acetic acid and 10% methanol, followed by another 30-min incubation in a solution consisting of 10% glycerol, 10% methanol, and 1 M salicylic acid (pH 7.2). A PhosphorImager, kindly provided by J. Köhrle, University of Würzburg, was used to visualize the radiolabeled proteins.
Transmission electron microscopy. Bacteria from repeated subcultures in static liquid LB broth were resuspended in saline. The presence of type 1 pili and type 1 pilus-like adhesins on the surfaces of bacteria was detected by mannose-sensitive yeast agglutination. A 30-µl aliquot of the bacterial suspension was placed on top of a Formvar-coated copper grid and left for 1 min. After sedimentation, the bacteria were stained with a 30-µl drop of 2% uranyl acetate for 30 s. The grids were blotted dry and examined in a Zeiss 10A transmission electron microscope at 60 kV.
Neonatal rat model. The ability of C. freundii 3009, recombinant E. coli HB101(pPH1), and control strain HB101(pSU19) to cross the blood-brain barrier was examined as described by Wang et al. (45). Briefly, outbred, specific-pathogen-free Sprague-Dawley rats with timed conception were purchased from Charles River Breeding Laboratories (Willington, Mass.). The rats delivered in our vivarium 5 to 7 days after they arrived. At 5 days of age, all members of each litter were randomly divided into three groups to receive via intracardiac injection 3.9 x 107, 8.2 x 108, and 5.4 x 108 CFU of C. freundii 3009, recombinant E. coli HB101(pPH1), and E. coli HB101(pSU19), respectively. Approximately 1 to 2 h after bacterial inoculation, blood and cerebrospinal fluid specimens were obtained for quantitative cultures.
Nucleotide sequence accession number. The nucleotide sequence of the C. freundii fim gene cluster has been deposited in the GenBank database and given accession number AJ508060.
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FIG. 1. Physical maps of plasmids containing the complete (pTO3) or parts of the type 1 fimbrial gene cluster from C. freundii strain 3009. The genes fimA to fimF on the plasmids are sufficient to enable recombinant E. coli HB101 or AAEC189 to agglutinate yeast cells and invade human bladder epithelial (T24) cells. B, BamHI; E, EcoRI; H, HindIII; Hp, HpaI; P, PstI; S, SalI; Sm, SmaI; Sn, SnaI; X, XhoI; YA, D-mannose-sensitive yeast agglutination; IA, invasion ability;
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TABLE 2. In vitro invasion efficiencies for different cell lines by C. freundii, S. enterica serovar Typhimurium, and recombinant E. coli carrying various plasmids or vector controls
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FIG. 2. Comparison of the genetic organization of the fim gene cluster from C. freundii strain 3009 to those from S. enterica serovar Typhimurium strain LT2 and E. coli K-12 strain MG1655, as well as to the sfm operon of E. coli MG1655 (an orthologue to the S. enterica serovar Typhimurium fimACDHF operon). The percent identity was determined by performing alignments by using CLUSTALW. n, number of nucleotides; aa, number of amino acids; *, percent identity either between S. enterica serovar Typhimurium and C. freundii or between E. coli and C. freundii.
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TABLE 3. Internalization efficiencies of C. freundii strain 3009 and recombinant E. coli HB101 strains expressing different adhesin determinants with human bladder epithelial cell lines T24 and RT112
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TABLE 4. Efficiencies of adherence of various recombinant E. coli strains and C. freundii to RT112 and T24 human bladder epithelial cells
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FIG. 3. Southern blot of HindIII (lanes H)- and PstI (lanes P)-digested chromosomal DNAs of wild-type strain C. freundii 3009, mutant 3009-dz (lacking part of fimDCf and genes fimHCf to fimZCf), and control strain E. coli AAEC189 (in which the complete fimEc operon is deleted [5]). The 6.2-kb PstI fragment from plasmid pPH1 (Fig. 1) carrying fimICf to fimFCf was used as a probe.
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TABLE 5. Effect of the fimCf determinant on the ability to reach the cerebrospinal fluid in the neonatal rat model
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10, resulting in plasmid pB7-3, and into pT7-6 antiparallel to the
10 promoter, creating pB7-6 (Fig. 1). These constructs as well as control plasmids were introduced into strain BL21DE3(pLysS). 35S-labeled proteins were detected by autoradiography after separation by SDS-polyacrylamide gel electrophoresis. The molecular masses of the observed proteins were 100, 35, 31, 29, 21, and 17 kDa (Fig. 4). These values were in good agreement with the molecular masses calculated by employing SWISS-PROT (http://www.expasy.ch/sprot) for FimDCf (95.5 kDa), FimHCf (36.3 kDa), FimFCf (17.2 kDa), and the proform and the mature form of the ß-lactamase encoded by pT7-3 (31 and 29 kDa), respectively. Only for the molecular mass of FimACf determined by autoradiography (21 kDa) and deduced from the DNA sequence (18.7 kDa) was a discrepancy observed. Protein bands representing proteins with the molecular masses of FimICf (18.1 kDa) and the chaperone FimCCf (25.1 kDa) could not be detected (Fig. 4).
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FIG. 4. Autoradiography after SDS-polyacrylamide gel electrophoresis of whole-cell lysates of E. coli BS21(pLysS) harboring recombinant plasmids. Proteins specifically expressed under control of the T7 promoter 10 were labeled with 35S (see Materials and Methods) and separated on a 13% polyacrylamide gel by electrophoresis. The plasmids employed are indicated above the lanes. Molecular masses are indicated on the left. The most likely identities of the proteins, estimated by the molecular mass closest to the one deduced from the nucleotide sequence, are indicated at the right.
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due to a sequence in FimHEc with 73% identity with the sequence of the peptide used to raise the antiserum (Fig. 5). The anti-FimFCf serum was not as specific, because it also recognized a few other protein bands representing proteins with molecular masses of >17 kDa from the control strains not expressing any Fim proteins (Fig. 5).
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FIG. 5. Western blots of heat-extracted proteins transferred to a nitrocellulose membrane and probed with anti-FimFCf (A) and anti-FimHCf (B) sera. In panel A the protein band representing FimF (17 kDa) is indicated by an arrow. In panel B the arrow designates a polypeptide of about 36 kDa (FimH). Molecular masses of standard proteins, in kilodaltons, are indicated at the left. Lanes: 1, E. coli BL21(pLysS)(pB7-3); 2, E. coli BL21(pLysS)(pT7-3); 3, E. coli DH5 ; 4, E. coli AAEC189(pPH1); 5, E. coli AAEC189.
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FIG. 6. Transmission electron microscopic images of C. freundii strain 3009 (A), E. coli strain AAEC189(pPH1) (B), and E. coli strain DH5 (C). The cultures of all strains used for the photographs presented here showed mannose-sensitive yeast agglutination.
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FIG. 7. Dose-dependent inhibition of C. freundii strain 3009 internalization into human bladder epithelial (T24) cells by chitin hydrolysate. S. enterica serovar Typhimurium strain C17 internalization was not inhibited. Results are presented as means ± standard deviations.
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As expected, the fimCf determinant was shown to be responsible for mannose-sensitive yeast agglutination. However, in spite of the high homology with the Salmonella fim gene cluster and the ability to mediate yeast agglutination, we were not able to demonstrate the presence of pili on C. freundii strain 3009 or any of the recombinant E. coli strains harboring the fimCf determinant. This resembles the situation of the Dr family of adhesins. This adhesin family consists of afimbrial and fimbrial members with high amino acid sequence homology for genes A to D, encoding the chaperon and usher as well as the subunit proteins constituting the adhesin. The cause for the assembly of some of them into fimbriae while others are afimbrial adhesins is unclear (48).
The presence of a fim gene cluster with identical gene order and high homology at the nucleotide level to that of Salmonella might reflect horizontal transfer of this unit either from Salmonella to Citrobacter or vice versa, or fim may be ancestral to Citrobacter, E. coli, and Salmonella (9). If the first hypothesis is correct, then after acquisition of the fim determinant by Citrobacter, it extended its function and the Fim subunit proteins were no longer assembled into a fimbrial structure. The new function was not just to direct adherence but also to direct invasion. Such a dual function of an adhesin, mediating adherence and invasion, is not a rare exception and is documented for a variety of adhesins, not just those of enterobacterial species (reviewed in reference 32).
The ability to invade host cells by expressing a Fim adhesin might well be employed by Citrobacter in vivo. As has been reported for uropathogenic E. coli in the mouse model, C. freundii might invade urothelial cells during a urinary tract infection (31). In addition, invasiveness could be used by C. freundii to initiate transcytosis and to cross the blood-brain barrier to cause neonatal meningitis. This can be hypothesized by taking into account that both C. freundii strain 3009 and a recombinant E. coli K-12 strain harboring the essential genes for invasiveness of the fimCf gene cluster were able to invade human epithelial and endothelial cells in vitro and crossed the blood-brain barrier in the rat pup model. These findings were also supported by a report by Badger et al. (1) demonstrating that C. freundii 3009 was able to invade, transcytose, and replicate inside human brain microvascular endothelial cells in vitro.
The mannose binding capacity of the FimHCf protein is essential for mediating efficient invasion by C. freundii as well as by the recombinant E. coli strains harboring the fimCf determinant. This was also reported for FimHEc of uropathogenic E. coli strain NU14, which is able to invade the human bladder epithelial cell line 5637 only in the absence of mannose (29). However, not every fimEc determinant is able to mediate invasion. The fimEc determinant, e.g., from E. coli 536 encoded by plasmid pGB30, did not mediate invasion. For fimH, single-nucleotide polymorphisms with adaptive advantage have been discovered in E. coli and Salmonella enterica serovar Typhimurium (6, 46). These polymorphisms are most likely responsible for the observed discrepancies between different fim determinants regarding the ability to mediate adherence with different efficiencies and for certain sequence variants in E. coli directing invasion (4, 47).
Besides mannose, there are several other carbohydrate residues that are frequently found as part of the glycocalyx of host cells, which might serve as receptors for bacterial adhesins. We tested fucose, galactose, GlcNAc, glucose, and N-acetylneuraminic acid for inhibitory effects on FimCf-conducted invasion. None of the tested carbohydrates except GlcNAc showed an adverse effect. An anti-invasion effect for GlcNAc has also been reported for invasive Klebsiella pneumoniae strains (15). As for Klebsiella, a mixture of GlcNAc oligomers (i.e., chitin hydrolysate) produced a more pronounced inhibition of invasion than did GlcNAc monomers. In contrast to C. freundii invasion, Klebsiella invasion was not inhibited by mannose. There are no reports about the role of GlcNAc in invasion mediated by E. coli type 1 fimbriae. However, GlcNAc is the receptor structure recognized by several E. coli adhesins as F17 and K88 fimbriae (13, 17). Studies are in progress to clarify whether inhibition by GlcNAc of C. freundii invasion is due to a second binding capacity of FimHCf or whether another FimCf subunit protein is involved in the invasion process by binding to GlcNAc.
We are thankful to M. Keller (University of Bielefeld), S. P. Kidd (University of Birmingham), and A. Bäumler (Texas A&M University) for plasmids pK19mob, pJP5603, and pISF101, respectively. We thank J. Sheperd for help with sequence annotation, A. Reisenauer for support with invasion assays in the presence of carbohydrates, and C. A. Wass for technical assistance with the animal experiments.
Present address: MPI für Biochemie, Abteilung Strukturforschung, 82152 Martinsried, Germany. ![]()
Present address: Klinik und Poliklinik für Hautkrankheiten der Universität Würzburg, D-97080 Würzburg, Germany. ![]()
Present address: Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD 21287. ![]()
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