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Infection and Immunity, October 2005, p. 6736-6741, Vol. 73, No. 10
0019-9567/05/$08.00+0 doi:10.1128/IAI.73.10.6736-6741.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Chris DuPont,2
John F. Prescott,2 and
Wim G. Meijer1*
Department of Industrial Microbiology, Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin 4, Ireland,1 Department of Pathobiology, University of Guelph, Guelph, Ontario N1G 2W1, Canada2
Received 30 March 2005/ Returned for modification 16 May 2005/ Accepted 13 July 2005
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A major area of interest is the determination of what sources of carbon sustain bacterial or fungal pathogens following infection. It has been shown that in contrast to cells grown in liquid medium, Mycobacterium tuberculosis isolated from lungs of infected mice actively oxidizes fatty acids, indicating that these may be an important source of carbon for this pathogen (3). Fatty-acid metabolism proceeds via the dissimilation of these substrates via ß oxidation, followed by the assimilation of the resulting acetyl-coenzyme A (CoA) via the glyoxylate shunt. The latter pathway consists of the combined activities of isocitrate lyase and malate synthase, converting isocitrate and acetyl-CoA to succinate and malate. This pathway therefore circumvents the two decarboxylation steps of the citric acid cycle, allowing assimilation of two carbon (C2) substrates, such as acetate, ethanol, and fatty acids (20). A major breakthrough in the analysis of the physiology of intracellular pathogens was the detection of isocitrate lyase mRNA and protein in phagocytosed M. tuberculosis and Mycobacterium avium, followed by the observation that an isocitrate lyase-deficient mutant of M. tuberculosis is impaired in persistence in macrophages and mice (10, 14, 25). Interestingly, the requirement for isocitrate lyase was apparent largely in immunocompetent mice, and the mutant was markedly attenuated for survival in activated but not in resting macrophages. These observations lead to the suggestion that lipids, derived from either macrophage membranes or cell remnants in granulomas, are a major source of carbon for M. tuberculosis (25). Since then, the glyoxylate bypass has been shown to be important for virulence of Rhodococcus fascians and the fungal pathogens Candida albicans, Leptosphaeria maculans, and Magnaporthe grisea (17, 21, 38, 39). Interestingly, isocitrate lyase-deficient mutants of Cryptococcus neoformans and Saccharomyces cerevisiae are not affected in virulence (9). We recently characterized the gene encoding isocitrate lyase of R. equi (19). The aim of the current paper was to determine the role of isocitrate lyase in virulence of R. equi in foals.
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TABLE 1. Bacteria and plasmids used in this study
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DNA manipulations. Plasmid DNA was isolated with the alkaline lysis method (2) or by using the Wizard Plus SV miniprep (Promega). Chromosomal DNA was isolated as described previously (27). DNA-modifying enzymes were used according to the manufacturer's recommendations (Roche). Dideoxy sequencing reactions were done with the CEQ DCTS kit as described by the manufacturer (Beckman). The nucleotide sequence was determined using a Beckman CEQ 8000 automatic sequencer; nucleotide sequence data were compiled using the Staden package (32). PCR was carried out using Taq DNA polymerase (Promega) or Deep Vent DNA polymerase (New England Biolabs) as described by the manufacturer. Other DNA manipulations were done in accordance with standard protocol (31).
Detection of the virulence plasmid. To verify the presence of the virulence plasmid, two genes specific for this plasmid, virR (ORF4) and vapA (ORF12), were amplified by PCR using Taq DNA polymerase according to the manufacturer's (Promega) instructions. A 200-bp fragment of the virR gene was amplified using 004F (5'-CGGACGAGTTCGACTGGTAT-3) and 004R (5'-CAAAGACGATTTGGGGTACG-3'); a 200-bp fragment of vapA was amplified using 012F (5'-CAGTACGACGTTCACGGAGA-3') and 012R (5'-CACGGCGTTGTACTGGAAC-3').
Construction of disruption vector pAIP1. Plasmid pAP1 contains an origin of replication derived from the vector pBLUESCRIPT and the aacC4 gene specifying resistance to apramycin. This plasmid was digested with HindIII, treated with the Klenow fragment of DNA polymerase, and ligated to a 594-bp fragment of the aceA gene, which was amplified by PCR using the oligonucleotides Icl5 (5'-CAACGTCTACGAGCTGCAGA-3') and Icl10 (5'-TCGAACATGCCGTAGTTGAG-3'). The resulting plasmid, pAIP1, contains an internal fragment of the aceA gene.
Electroporation of R. equi. R. equi was made electrocompetent using the method described by Navas et al. (28); plasmids were introduced into R. equi by electroporation as previously described (24).
Enzyme assays. Cells were harvested in late-exponential-phase growth (optical density at 600 nm = 1). Cells were broken by three passages through a French pressure cell (Aminco) at 1,000 lb/in2, followed by centrifugation (10 min, 14,000 x g, 4°C) to remove cell debris. Isocitrate lyase (EC 4.1.3.1) activity was determined at 37°C by measuring the formation of glyoxylate phenylhydrazone in the presence of phenylhydrazine and isocitrate at 324 nm as described previously (7). Protein was determined according to the method of Bradford using bovine serum albumin as the standard (4).
Macrophage infection. Murine J774A.1 macrophages were grown in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% (vol/vol) fetal calf serum, 2 mM glutamine, and 10 µg/ml gentamicin. Plates were seeded at a concentration of 1 x 106 macrophages per well (final volume, 1 ml) and left for 48 h, feeding with growth medium after 24 h. Overnight LB broth cultures of R. equi 103P+, 103P, and Ace-21 were grown to a density of 108 CFU per ml. R. equi was washed twice with cation-free phosphate-buffered saline and resuspended in phagocytosis buffer (12). Monolayers were washed with warm DMEM, and phagocytosis buffer and normal mouse serum (5% [vol/vol]) were added. Macrophages were subsequently infected with wild-type and mutant strains at a multiplicity of infection of 15. Plates were incubated for 30 min at 37°C in 5% CO2. Monolayers were subsequently washed with phagocytosis buffer to remove unbound bacteria and incubated for a further 30 min to allow internalization of the bacteria. Phagocytosis buffer was replaced with DMEM supplemented with 10% (vol/vol) fetal calf serum, 2 mM glutamine, and 50 µg/ml gentamicin for 15 min. The medium was subsequently replaced with same containing 10 µg/ml gentamicin. Medium was removed and monolayers washed with phosphate-buffered saline. Macrophages were then lysed with 0.5% (wt/vol) sodium dodecyl sulfate (SDS). Exposure to SDS was brief (20 s), allowing lysis of the macrophage but not affecting subsequent growth of R. equi. R. equi was subsequently enumerated by plate counts on LB agar plates.
Mouse infection. Six groups of eight 6- to 8-week-old female CD1 mice were injected intravenously with 100 µl of 5 x 106 CFU/ml of R. equi 103P+, 103P, or Ace-21. The mice were euthanized 2 or 4 days after infection, and their livers were aseptically removed and ground in phosphate-buffered saline, pH 7.2. The suspended ground tissue was diluted in a 10-fold series and 50-µl aliquots plated on Trypticase soy agar (Difco). Bacterial colonies were counted after 48 h incubation at 37°C. Significant differences in bacterial numbers between mice infected with R. equi 103P+ and those infected with R. equi Ace-21 were determined by the two-tailed Student t test.
Foal infection. Infection and subsequent clinical assessment of foals was carried out as described previously (8). Briefly, four mixed-breed pony foals at 21 days of age were challenged with R. equi Ace-21 and four similarly aged foals were challenged with R. equi P+ by introducing 25 ml of cell suspension (5 x 108 cells/ml) into both main bronchi (total, 50 ml). Foals were clinically assessed based on daily complete physical examinations and twice-daily heart rate, respiratory rate, and temperature recordings. Foals were euthanized 14 days postinfection, and post-mortem examinations were performed to determine the lung-to-body-weight ratio, and to take lung samples to determine R. equi counts per gram of lung tissue from six preselected sites. Lesions, if any, in the lungs were examined for consistency with R. equi infection. The proportion of Ace-21 reverting to the wild type in foals infected with this mutant was determined by enumeration of R. equi on Trypticase soy agar plates with and without apramycin.
Nucleotide sequence accession number. The GenBank accession number of the sequence reported in this paper is AY738741.
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Construction of an isocitrate lyase-deficient R. equi mutant. To construct an R. equi mutant lacking isocitrate lyase activity, the 2.9-kb plasmid pAIP1 was created, which contains the aacC4 gene conferring apramycin resistance as a selectable marker and a 594-bp internal fragment of aceA. This plasmid was introduced into R. equi by electroporation, and the transformation mixture was subsequently plated onto LB agar plates containing apramycin. Because pAIP1 is unable to replicate in R. equi, apramycin-resistant colonies will contain pAIP1 integrated into the chromosome. To determine whether this was indeed the case, chromosomal DNA was isolated from two of the apramycin-resistant mutants, digested with BglII, and analyzed by Southern hybridization using the 594-bp internal aceA fragment as a probe. Since a BglII restriction site does not occur within either the aceA gene or pAIP1, insertion of pAIP1 will increase the size of the BglII fragment harboring aceA by 2.9 kb. Following hybridization of the aceA probe to BglII-digested chromosomal DNA of two apramycin-resistant mutants (R. equi Ace-20 and Ace-21) and the wild-type strain, a single 8-kb hybridizing band was observed in the two mutants, whereas a 5-kb BglII fragment was observed in the-wild type strain (Fig. 1). To further confirm that pAIP1 had inserted correctly into the aceA gene, chromosomal DNA of one of the mutants (R. equi Ace-21) was digested with BglII and subsequently ligated. The ligation mixture was used to transform E. coli, followed by selection for apramycin-resistant colonies, which contained an 8-kb plasmid harboring the disrupted aceA gene. Subsequent determination of the nucleotide sequence of the junction between the aceA gene and the point of insertion of pAIP1 showed that insertion had occurred via homologous recombination between aceA and the 594-bp internal aceA fragment (data not shown). Using virulence plasmid-specific primers amplifying the virR and vapA genes, it was shown that the aceA disruption mutant had retained the virulence plasmid (Fig. 1).
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FIG. 1. Strategy for disruption of the aceA gene of Rhodococcus equi. The suicide plasmid pAIP1 harboring the aacC4 gene conferring apramycin resistance and an internal fragment of aceA was introduced into R. equi by homologous recombination. Insert A shows the results of a PCR amplification of the virR and vapA genes of two apramycin-resistant R. equi strains (Ace-20 and Ace-21) and the wild-type strain (103). The molecular weight marker is a 100-bp marker. Insert B shows the result of a Southern blot of chromosomal DNA of two apramycin-resistant R. equi strains (Ace-20 and Ace-21) and the wild-type strain (103) digested with BglII using the aceA gene as probe.
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R. equi Ace-21 is unable to proliferate in macrophages. Intracellular survival and proliferation of R. equi Ace-21 in the murine macrophage-like cell line (J774A.1) was compared to those of the wild-type strain and its avirulent plasmid-free derivative. To this end, macrophages were incubated with R. equi and allowed to internalize, after which gentamicin was added to kill extracellular bacteria. Intracellular bacteria were subsequently enumerated by plate counts following SDS-induced macrophage lysis. The number of intracellular wild-type R. equi bacteria increased 11-fold over a 48-h period, whereas the avirulent plasmid-free strain failed to proliferate, as observed previously (8). In contrast, the number of intracellular R. equi Ace-21 bacteria increased after 12 h of infection but then declined by three orders of magnitude, indicating that isocitrate lyase and a functional glyoxylate bypass are essential for long-term survival and proliferation of R. equi in macrophages. The ability of R. equi Ace-21 to proliferate in macrophages was restored following the introduction of pKICLA, which contains an intact aceA gene, showing that the attenuated phenotype of this strain was due to disruption of the aceA gene (Fig. 2).
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FIG. 2. Survival and proliferation of isogenic R. equi strains in a murine macrophage-like cell line (J774A.1). Monolayers were infected with R. equi P+ (), R. equi P ( ), isocitrate lyase-deficient strain R. equi Ace-21 ( ), and R. equi Ace-21 containing pKICLA harboring an intact aceA gene ( ). Following a 30-min incubation to allow phagocytosis, monolayers were washed and treated with gentamicin to kill remaining extracellular bacteria. Intracellular bacteria were enumerated by plate counts following macrophage lysis. The data represent the averages for two independent experiments. Plate counts were carried out in duplicate. Values are expressed as means ± standard deviations (error bars).
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FIG. 3. Virulence of isogenic R. equi strains in mice. Mice were intravenously infected with R. equi P+ (black bar) and Ace-21 (white bar). Two and four days following infection, the numbers of R. equi bacteria present in the liver were determined. The avirulent strain R. equi P was completely cleared after 2 days (data not shown). Values are expressed as means ± standard deviations (error bars).
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FIG. 4. Heart rates (A), temperatures (B), and respiratory rates (C) of foals infected with R. equi P+ () or R. equi Ace-21 ( ). Values are shown as the means ± standard deviations (error bars) within each group.
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Virulence of the isocitrate lyase mutant was assessed in three ways: macrophage survival, clearance in mice after intravenous infection, and infection in foals. The data show that the three different methods of assessing virulence gave similar results. A comparison of the three approaches has not previously been done, although there appears to be an assumption that these are correlated (8, 18). Survival in macrophages (Fig. 2) and in mice (Fig. 3) measure the ability of the organism to survive the innate immunity provided by macrophages. The observed attenuation of R. equi Ace-21 in these models was supported by infection studies with 3-week-old foals, in which the aceA mutant was found to be completely attenuated, since clinical and pathological findings were similar to those associated with infection of foals with a virulence plasmid-negative and therefore avirulent isolate (8, 15).
The observed attenuation of isocitrate lyase-deficient R. equi is in agreement with the results from previous experiments, which showed that isocitrate lyase-negative M. tuberculosis and C. albicans strains are attenuated (21, 25). The dependence on the glyoxylate cycle for virulence strongly indicates that these intracellular pathogens utilize fatty acids derived from macrophage membrane lipids as a source of carbon. However, R. equi appears to be more dependent on the glyoxylate bypass than M. tuberculosis. In the mouse model, isocitrate lyase-deficient M. tuberculosis initially behaved like the wild-type strain, leading to comparable bacterial burdens in the lungs of infected mice 2 weeks following infection. Only in the subsequent weeks did the difference in virulence between the isocitrate lyase-deficient and wild strains become apparent, with the former being progressively cleared whereas the latter persisted. The lack of a functional isocitrate lyase did not seriously affect M. tuberculosis survival in resting macrophages, since only in activated macrophages was there a dramatic difference in survival between wild-type and mutant strains (21, 25). In contrast, the isocitrate lyase-deficient R. equi strain failed to induce disease in foals, and although R. equi could be recovered from lungs of foals infected with R. equi Ace-21, the number of bacteria was about six orders of magnitude lower than usually observed with the wild-type strain (9, 14). Furthermore, the isocitrate lyase-deficient strain failed to proliferate in resting macrophages, whereas the wild-type strain grew with a doubling time of approximately 8 h. It thus appears that R. equi is less versatile than M. tuberculosis with regard to the number of host-derived carbon sources it can metabolize.
R. equi is the latest addition to a growing number of pathogenic microorganisms that require the glyoxylate bypass for virulence (17, 21, 25, 38, 39). The dependence on this pathway for virulence appears to be a unifying factor; however, the underlying reasons for this requirement differ. M. tuberculosis, C. albicans, and R. equi are intracellular pathogens of mammalian phagocytic cells, which most likely require the glyoxylate cycle for assimilation of macrophage lipids (21, 25). Virulence of the plant pathogen R. fascians is dependent on malate synthase, which may be required for the assimilation of products of photorespiration, such as glycolate (38). The fungus Magnaporthe grisea appears to employ the glyoxylate bypass to metabolize fungal lipids for turgor generation and appressorium formation prior to infection (39).
The aceA gene is the second gene after vapA (18) to be shown to be essential for virulence of R. equi. In addition to being essential for assimilation of fatty acids, isocitrate lyase is also required for assimilation of acetate, which is present in significant amounts in the large intestine of horses. R. equi grows well on this substrate, and it has been shown previously that acetate stimulates growth of this pathogen in dung (16). It therefore is clear that although isocitrate lyase is not a true virulence factor like VapA, it plays a critical role in growth and survival of R. equi both within and outside the host environment.
We thank Vivian Nicholson for expert technical assistance and Laura Palumbo for care of the foals.
Present address: Department of Pediatric Gastroenterology and Nutrition, Massachusetts General Hospital, 114 16th St. (114-3503), Charlestown, MA 02129. ![]()
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