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Infection and Immunity, October 2006, p. 5445-5455, Vol. 74, No. 10
0019-9567/06/$08.00+0 doi:10.1128/IAI.00099-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Department of Microbiology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9048
Received 19 January 2006/ Returned for modification 7 April 2006/ Accepted 11 July 2006
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The LEE is composed of 41 genes, the majority of which are organized into five polycistronic operons (LEE1 to LEE5) (10, 11, 29). The first gene of LEE1 encodes a transcriptional activator, Ler, that is required for expression of the LEE genes (6, 10, 13, 17, 29, 35, 41). The majority of the remaining genes in LEE1, as well as the LEE2 and LEE3 operons, encode structural and secondary proteins required for the formation of the type III secretion system (TTSS) (20). LEE5 contains genes encoding an adhesin (intimin) and its cognate receptor that is translocated through the TTSS into the host cell (Tir) (21, 24). LEE4 encodes several E. coli secreted proteins (Esp proteins) that make up the translocon portion of the TTSS (11, 27). The TTSS in EHEC facilitates the translocation of the LEE-encoded effector proteins Tir, EspH, EspG, EspF, SepZ, and Map (22, 24, 25, 28, 46) as well as several non-LEE-encoded (Nle) effectors such as NleA, NleB, NleC, NleD, NleE, NleF, NleG, and EspFU (7, 8, 16, 30) into eukaryotic target cells.
Regulation of the LEE involves the luxS quorum-sensing system (42, 44). This system is involved in the synthesis of autoinducer 2 (AI-2) and is present in both gram-negative and gram-positive bacteria (45). LuxS is an enzyme that metabolizes S-adenosylmethionine to yield the AI-2 precursor 4,5-dihydroxy-2,3-pentanedione (36). A luxS mutation also affects the production of another autoinducer, termed AI-3, which activates transcription of the LEE and motility genes in EHEC (44). AI-2 is a furanosyl-borate diester with a molecular mass of 192.9 Da (36); it is a very polar compound that does not bind to C18 columns. AI-3 binds to C18 columns and can be eluted with methanol only (44). Electrospray mass spectrometry analysis of the AI-3 fraction showed a major peak with a mass of 213.1 Da and minor peaks at 109.1, 164.9, 176.1, 196.1, 211.1, 214.1, and 222.9 Da (44). All of these are different from AI-2 (192.9 Da) (44), suggesting that AI-3 is a novel compound. Preconditioned (PC) supernatants from a luxS-deficient strain do not induce LEE transcription in an E. coli K-12 reporter system, and the luxS mutation leads to decreased protein secretion in EHEC (44). The addition of AI-3 to culture supernatants, but not AI-2, restores these phenotypes in the luxS mutant (44). Two eukaryotic hormones (epinephrine and norepinephrine) cross talk with the EHEC AI-3 quorum-sensing system and restore virulence phenotypes to the luxS mutant (44).
Regulation of the LEE involves factors present in both E. coli K-12 and EHEC as well as several EHEC-specific regulators. An overview of LEE regulation is shown in Fig. 1. H-NS is a global regulator involved in the thermoregulation of the LEE, repressing the transcription of LEE1 at 27°C but not at 37°C (47). It also represses the transcription of the LEE2, LEE3, and LEE5 operons by binding to the target promoter and preventing promoter recognition by the transcription machinery (6, 17, 29, 35, 41). Integration host factor, another global regulatory factor, binds to the LEE1 promoter and activates the transcription of ler (13). The nucleoid-associated protein Fis has been shown to modulate LEE expression in EPEC (14), but its role in EHEC LEE expression remains to be examined. Hha and its homologues are environment-dependent regulators of gene expression that act as a negative regulator by either binding to a specific DNA sequence in the target promoter (12) or oligomerizing with H-NS and then binding the target DNA (32). Hha is a negative regulator of ler and, consequently, the entire LEE (38). QseA is a member of the LysR family of transcription factors and activates the transcription of ler, thereby promoting the expression of the other LEE genes (40). The ClpXP protease degrades damaged and incomplete proteins and also affects LEE expression (18). ClpXP is thought to regulate the LEE through interactions with RpoS and an EHEC-specific regulatory factor, GrlR (18). RpoS is a stationary-phase sigma factor and has been shown to positively regulate transcription of the LEE3 operon in an E. coli K-12 background (42).
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FIG. 1. Model of LEE regulation. Factors shown in gray are present in both E. coli K-12 and EHEC, while regulators shown in black are specific to EHEC. Solid lines represent regulators whose direct interactions with the target promoter have been biochemically defined, and dashed lines represent interactions that occur indirectly or that have not been shown to bind biochemically to the target. H-NS is a global regulator that binds to the promoters of the LEE1, LEE2, LEE3, and LEE5 operons and represses transcription. Ler activates grlR/A, LEE2, LEE3, and LEE5 by binding to their promoters, displacing H-NS and allowing for the transcription of these operons. Integration host factor (IHF) also activates the transcription of LEE1. Hha represses LEE1 by either oligomerizing with H-NS or binding directly to the promoter sequence. The ClpXP protease regulates LEE expression through interactions with RpoS and GrlR. Fis has been shown to activate the LEE in EPEC, but its role in EHEC has not been examined. AI-3 and epinephrine/norepinephrine signal through unknown receptors to activate the transcription of the LEE1 operon and ler. GrlR and GrlA, two LEE-encoded regulators, repress and promote, respectively, the transcription of the LEE1 operon. EtrA and EivF are two regulators encoded on a second nonfunctional TTSS in EHEC that negatively influence the expression of LEE1. The pch genes are another set of EHEC-specific regulators that activate the transcription of LEE1 and consequently the entire LEE.
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The numerous factors that control gene expression suggest that LEE regulation is highly complex. In the current study, we sought to examine a possible role for AI-3 and epinephrine/norepinephrine in the activation of the LEE in wild-type (WT) EHEC and an isogenic EHEC luxS mutant (defective in AI-3 synthesis). Previous work has examined transcription of the LEE genes only in an E. coli K-12 background using PC media from EHEC cultures. Herein, we directly examined the effects of AI-3/epinephrine on LEE transcription in WT EHEC and a luxS mutant. We found that the kinetics of LEE expression were different from those previously observed with the E. coli K-12 reporter strain, highlighting the importance of examining LEE regulation in a native EHEC background. Moreover, the results from these studies indicate a synergistic effect between AI-3 and epinephrine. This relationship may allow EHEC to mount a more efficient infection than responding to one signal alone.
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RNA extraction and real-time RT-PCR studies. Cultures of strains 86-24, VS94, and MW90 grown aerobically in LB medium at 37°C overnight, conditions known not to induce LEE expression (2, 5), were diluted 1:100 in DMEM and grown aerobically at 37°C. For the epinephrine studies, a stock epinephrine solution of 50 mM in water was made and diluted 103 in cultures grown overnight that were diluted 1:100 in DMEM for a final concentration of 50 µM. RNA from three biological replicate cultures of each strain was extracted at the early exponential growth phase (optical density at 600 nm [OD600] of 0.2), mid-exponential growth phase (OD600 of 0.5), and late exponential growth phase (OD600 of 1.0) using the RiboPure Bacteria RNA isolation kit (Ambion) according to the manufacturer's guidelines. The primers used in the real-time assays were designed using Primer Express v1.5 (Applied Biosystems) (Table 1). Real-time reverse transcription-PCR (RT-PCR) was performed in a one-step reaction using an ABI 7500 sequence detection system (Applied Biosystems).
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TABLE 1. Oligonucleotides used for real-time RT-PCR
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Detection, quantification, and statistical analysis.
Data collection was performed using ABI Sequence Detection 1.3 software (Applied Biosystems). Data were normalized to levels of rpoA and analyzed using the comparative critical threshold (CT) method described previously (3). The expression level of the target genes at the different growth phases was compared using the relative quantification method (3). Real-time data are presented as the change (n-fold) in expression levels compared to WT levels at the early exponential growth phase. Error bars represent the standard deviations of the 
CT value (3). Statistical significance was determined by Student's t test. A P value of <0.05 was considered significant.
SDS-PAGE and immunoblotting. For blots using whole-cell lysates (WCLs), total proteins were extracted from strains 86-24, VS94, and MW90 grown in DMEM to OD600 of 0.2, 0.5, and 1.0. Briefly, 3 ml of culture was pelleted (13,000 rpm for 5 min at 4°C) and resuspended in 300 µl lysis buffer (50 mM Tris-HCl [pH 7.5], 50 mM NaCl, 5% glycerol, 1 mM dithiothreitol, and 30 mM phenylmethylsulfonyl fluoride), lysozyme was added to a final concentration of 300 µg/ml, the culture was incubated at 4°C for 4 h and DNase I treated for 45 min at 4°C, cell debris was pelleted (13,000 rpm for 10 min at 4°C), and the supernatant containing whole-cell protein was removed. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and immunoblotting procedures were performed as previously described (34), and blots were probed with polyclonal antisera against either EscJ (kindly provided by Gad Frankel, Imperial College London), EspA, EspB, or Tir (kindly provided by James Kaper). Proteins were detected using enhanced chemiluminescence (ECL; Bio-Rad). Equal amounts of whole-cell lysate protein were determined using the Lowry assay (34) and verified by probing blots with a monoclonal antibody against RpoA (Neoclone).
Preparation of secreted proteins. Secreted proteins from strains 86-24, VS94, and MW90 were harvested as previously described by Jarvis et al. (20). Briefly, bacteria were grown aerobically in DMEM at 37°C and collected at early exponential (OD600 of 0.2), mid-exponential (OD600 of 0.5), and late exponential (OD600 of 1.0) phases of growth. Total secreted protein from culture supernatants was separated by removing bacteria using centrifugation and filtration and then precipitating the secreted proteins present in the supernatant with trichloroacetic acid. The samples were then subjected to immunoblotting with rabbit polyclonal antisera to EspA and EspB (kindly provided by James Kaper) and visualized with enhanced chemiluminescence.
FAS test. Fluorescence actin staining (FAS) assays were performed as previously described by Knutton et al. (26). In brief, bacterial cultures grown aerobically overnight in LB medium at 37°C were diluted 1:100 and used to infect confluent monolayers of HeLa cells grown on glass coverslips at 37°C in 5% CO2. Cells were grown for 6 h at 37°C in 5% CO2, with samples being removed each hour. At the specified time points, the coverslips were washed, permeabilized with 0.2% Triton X-100, and treated with fluorescein isothiocyanate (FITC)-phalloidin to visualize actin accumulation, and propidium iodide was added to stain bacteria. Samples were visualized by immunofluorescence using a Zeiss Axiovert microscope. The entire field of two coverslips from each time point per strain was examined, and images of AE lesions were taken.
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Given the array of regulatory factors specific to EHEC (Fig. 1), we sought to examine LEE transcription in the WT and a luxS mutant in native EHEC backgrounds. For this purpose, we used real-time RT-PCR. Real-time RT-PCR avoids many of the drawbacks of plasmid-based reporter systems, such as copy number issues and coiling effects, and quantifies the amount of target transcripts. Real-time RT-PCR is also more sensitive than plasmid-based reporter systems, allowing for subtle changes in gene transcription to be detected.
The amount of ler (LEE1), escC (LEE2), escV (LEE3), eae (LEE5), and espA (LEE4) transcription was measured at early exponential (OD600 of 0.2), mid-exponential (OD600 of 0.5), and late exponential (OD600 of 1.0) growth points for the WT, an isogenic luxS mutant, and a luxS-complemented strain grown aerobically in DMEM, conditions known to activate LEE expression. All values are represented as expression levels (n-fold) with respect to strain 86-24 (WT) at the early exponential growth phase. Transcription of ler in the luxS mutant was not significantly different than that of the WT at the early exponential growth (Fig. 2A). Expression of the LEE at the early exponential growth phase is likely to be low because autoinducer levels are not sufficient to activate the LEE. In the luxS-complemented strain, transcription of ler was increased during early exponential growth almost 10-fold over that of the WT, implying that IPTG-induced expression of LuxS from a plasmid during early exponential growth leads to higher AI-3 levels. During mid-exponential growth, transcription of ler in the WT increased fourfold compared to that during early exponential growth. Transcription of ler at the mid-exponential growth phase in the luxS mutant was reduced 2.2-fold compared to the WT at the same growth phase (P < 0.025). The mutant's inability to synthesize sufficient amounts of AI-3 most likely led to the reduced amounts of ler transcript. Transcription of ler was restored in the luxS-complemented strain during mid-exponential growth. At the late exponential growth phase, ler transcription was the same in both the WT and the luxS mutant. These results suggest that AI-3-dependent regulation of ler occurs during mid-exponential growth. AI-3-dependent regulation does not appear to play as important a role in ler transcription during early and late exponential growth. There was not a significant difference in the transcription of genes within the LEE between the WT and the luxS mutant at these growth phases, suggesting that other factors are controlling LEE expression. When LuxS is expressed from a plasmid, transcription of ler is increased. The greater amounts of LuxS seem to enhance the production of AI-3 through an unknown pathway, resulting in the earlier activation of the LEE.
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FIG. 2. Transcriptional profiles of LEE expression during early, mid-, and late exponential growth for WT EHEC, an isogenic luxS mutant, and a luxS-complemented strain (pluxS). Shown are transcriptional profiles of ler from the LEE1 operon (A), escC from the LEE2 operon (B), escV from the LEE3 operon (C), eae from the LEE5 operon (D), and espA from the LEE4 operon (E) as measured by real-time RT-PCR. Relative fold expression represents the change (n-fold) in transcription compared to the 86-24 (WT) early exponential sample for each gene (black bar, value of 1.0). Results are means and standard deviations from triplicate experiments. The levels of rpoA transcript were used to normalize the CT values to account for variations in bacterial numbers.
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IPTG-induced expression of LuxS led to an earlier activation of genes within each of the five LEE operons at the early exponential growth phase. Normalization with the constitutively transcribed rpoA revealed that transcription of all genes tested increased with growth of the WT strain (Fig. 2A to E). This trend was not observed in the luxS mutant. We consistently observed significantly lower levels of transcription by the luxS mutant during mid-exponential growth, suggesting that AI-3-dependent regulation plays a major role in LEE transcription during mid-exponential growth (when bacteria are rapidly dividing). Growth curves did not reveal any difference in growth among the three strains (data not shown), indicating that these results are not due to differences in growth kinetics.
TTSS protein expression is decreased in a luxS mutant. To establish a relationship between our transcript results and LEE protein expression, we isolated bacterial whole-cell lysates of WT, luxS mutant, and luxS-complemented strains from early, mid-, and late exponential growth stages. We examined the major components of the TTSS by performing immunoblot analysis using rabbit polyclonal antisera directed against a structural component of the TTSS (EscJ), a translocated effector protein (Tir), and the outer filament of the TTSS (EspA). Hence, we were able to examine the expression of proteins that compose three distinct portions of the TTSS machinery (Fig. 3A). A mouse monoclonal antibody to the constitutively expressed E. coli RNA polymerase alpha subunit (RpoA) was used to verify that equal amounts of proteins were loaded.
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FIG. 3. Immunoblot analysis of WCLs of the wild type, an isogenic luxS mutant, and luxS complement (luxS+). (A) Schematic of the proteins examined and their role in the formation of the TTSS. (B to D) Protein expression in WCL during early, mid-, and late exponential growth using antibodies against EscJ encoded by the LEE2 operon (B), Tir encoded by the LEE5 operon (C), and EspA encoded by the LEE4 operon (D). Each blot was stripped after probing with the EscJ, Tir, and EspA antibodies and reprobed with an antibody against RpoA to verify that equal amounts of protein were loaded.
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Similar results were observed when the expression of Tir (LEE5) in bacterial whole-cell lysates was examined. Our transcription data showed a significant decrease in the amount of LEE5 transcription (Fig. 2D) during mid-exponential growth in the luxS mutant compared to either the WT or the complemented strain. Indeed, the levels of Tir in the WCL were decreased during mid-exponential growth (Fig. 3C). Although the levels of tir transcription were high during late exponential growth, we observed a decrease in the amount of Tir present in whole-cell lysates during the same growth phase. The difference between transcript and protein levels may have resulted from the secretion of Tir into the culture medium by the TTSS. Hence, lower amounts of Tir would be present within the bacterial whole-cell lysates used for immunoblot analysis. In accordance with this finding, we have previously reported significant secretion of Tir during late exponential growth (44).
EspA protein expression was decreased in the luxS mutant during both mid- and late exponential growth (Fig. 3D). Interestingly, despite there being no significant difference in the transcription of espA between the WT and the luxS mutant at the late exponential growth phase (Fig. 2E), there was less EspA protein produced by the luxS mutant during this phase of growth (Fig. 3D). This may be a result of differences in the posttranscriptional regulation of espA in the WT and the luxS mutant. Roe et al. previously demonstrated that EspA secretion is phase variable and controlled at the posttranscriptional level through an uncharacterized mechanism (33). A constraint seems to be placed on the espADB transcript so that it is translated only when the appropriate signals are present. The luxS mutant may not be capable of producing these signals to allow for the espADB transcript to be translated, causing the observed decrease in the levels of EspA protein present in the whole-cell lysate. Transcription of espA was much higher at the late exponential growth phase than during the mid-exponential growth phase (Fig. 2E), but a comparable increase in EspA expression was not observed in whole-cell lysates (Fig. 3D). Cellular levels of EspA were also influenced by its secretion, similar to Tir. Indeed, we found that the greatest amount of EspA and EspB secretion occurred during late exponential growth in WT, luxS mutant, and complemented strains (see Fig. 5A). Transcription of LEE5 (tir) and LEE4 (espA) were also up-regulated in the complemented strain during early exponential growth. However, the levels of Tir and EspA in WCLs in this strain were comparable to those of the WT at this growth phase (Fig. 3B and C). Since the complemented strain is already secreting these proteins through the TTSS during early exponential growth (see Fig. 5A), our inability to observe an increase in the levels of Tir and EspA in the complemented strain's WCL was again due to the fact that they have been secreted into the media.
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FIG. 5. Total protein secreted in equal culture volumes was trichloroacetic acid precipitated and examined by SDS-PAGE and immunoblot. Shown are immunoblots of secreted EspB and EspA proteins from WT EHEC and luxS mutant culture supernatants without epinephrine (A) and with the addition of 50 µM epinephrine (B).
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FIG. 4. Addition of epinephrine to the growth media increased transcription of the LEE1, LEE2, and LEE3 operons. Shown are transcriptional profiles of ler from the LEE1 operon ± 50 µM epinephrine (A), escC from the LEE2 operon ± 50 µM epinephrine (B), and escV from the LEE3 operon ± 50 µM epinephrine (C) for WT EHEC and an isogenic luxS mutant during early, mid-, and late exponential growth as measured by real-time RT-PCR. Relative fold expression represents the change (n-fold) in transcription compared to the 86-24 (WT) sample for each gene during the early exponential phase (black bar, value of 1.0). Results are means and standard deviations from triplicate experiments. The levels of rpoA transcript were used to normalize the CT values to account for variations in bacterial numbers.
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The escV gene (LEE3) revealed a transcriptional pattern similar to that of the escC gene of LEE2 (Fig. 2C). During early exponential growth, the addition of epinephrine resulted in a decrease in the amount of escV being transcribed in both the WT and the luxS mutant. By the mid-exponential phase of growth, the addition of epinephrine resulted in an increase of two- and sevenfold for the WT and the luxS mutant, respectively (compared to the WT and the luxS mutant with no epinephrine at the same growth phase). The WT displayed significantly higher transcription than the luxS mutant in response to epinephrine during mid-exponential growth (P < 0.02). This result is similar to those for transcription without epinephrine and further suggests that AI-3 is responsible for the increased transcription observed in the WT during mid-exponential growth. The addition of epinephrine resulted in over a 100-fold increase of escV transcription during late exponential growth for both the WT and the luxS mutant compared to the WT and the luxS mutant with no epinephrine at the same growth phase. There was no significant difference in the transcription of escV between the WT with epinephrine and the luxS mutant with epinephrine during late exponential growth.
The luxS mutation reduces TTSS-dependent phenotypes. To examine the function of the LEE-encoded TTSS as a whole in the WT and the luxS mutant, we assessed the amounts of EspA and EspB actively secreted from cultures grown in the presence and absence of epinephrine. EspA composes the filament of the TTSS (27), while EspB helps to form a pore in the eukaryotic membrane that is necessary to translocate effector proteins into the eukaryotic cell (37, 39, 48) (Fig. 3A). Both of these proteins are required for virulence and the formation of AE lesions on the intestinal epithelium (1). Previous studies examining EspA and EspB secretion in the WT and the luxS mutant used a primary antiserum against total secreted proteins (44). Protein secretion in the luxS mutant could not be detected with these antisera against total secreted proteins. The studies presented here employ a specific anti-EspA antibody and a specific anti-EspB antibody. The specific antisera allow for more sensitive detection of secreted EspA and EspB in culture supernatants, resulting in the detection of secreted proteins from the luxS mutant.
Secretion of EspA and EspB occurred in the early growth phase in the luxS-complemented strain when expression of luxS was induced with 1 mM IPTG (Fig. 5A), linking the early increase in transcription of the five LEE operons observed by real-time RT-PCR (Fig. 2A to E) with earlier TTSS activity. At the mid-exponential growth phase, the WT strain secreted more EspA and EspB protein than the luxS mutant. A more pronounced difference was observed at the late exponential growth phase. Despite transcription of the LEE being significantly lower in the luxS mutant only during mid-exponential growth, a defect in TTSS activity was most prominently observed during late exponential growth.
The addition of epinephrine increased the amount of EspA and EspB secreted by the WT and the luxS mutant (Fig. 5B), in agreement with previous findings (44). The WT secreted more EspA and EspB than the luxS mutant did in response to epinephrine. The greater amount of protein secreted by the WT again suggests that there may be a synergistic relationship between epinephrine and AI-3 since the luxS mutant is deficient in AI-3 production. Epinephrine did not appear to result in increased EspA and EspB secretion during mid-exponential growth, consistent with the transcription data from the LEE2 and LEE3 operons in response to epinephrine.
EHEC is able to produce AE lesions on eukaryotic epithelial cells. The LEE encodes the factors necessary to induce the formation of these AE lesions. To assess the entire production and expression of the LEE, the abilities of the WT, an isogenic luxS mutant, and the complemented luxS strain to form AE lesions were observed using FAS assays (Fig. 6). EHEC cells (red) were stained with propidium iodide, while actin (green) was visualized with FITC-phalloidin. WT and luxS-complemented bacteria formed AE lesions at 3 h postinfection, between the early and mid-exponential growth phases. The luxS mutant was delayed 2 h in AE lesion formation in this tissue culture model and did not display the AE phenotype until 5 h postinfection, corresponding to a time between the mid- and late exponential growth phases used in the transcriptional studies. In previous studies using these strains, only the late exponential (6 h) growth phase was examined for the presence of AE lesions, and no difference between the WT and the luxS mutant was detected (44). This work provides the first phenotypic difference in AE lesion formation between the WT and a luxS mutant.
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FIG. 6. FAS to measure AE lesion formation of the WT, an isogenic luxS mutant, and the luxS complement in a HeLa cell infection model. Two hours postinfection corresponds with early exponential growth, 4 h corresponds with mid-exponential growth, and 6 h corresponds with late exponential growth. EHEC is stained red with propidium iodide, and the actin cytoskeleton is stained green with FITC-phalloidin. AE lesions are indicated by arrows.
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When the WT and the luxS mutant were grown in the presence of epinephrine, transcription of LEE1, LEE2, and LEE3 increased. The ler gene is the only gene examined that shows a direct increase in transcription at the early exponential growth phase in response to the addition of epinephrine. WT bacteria exhibited a greater increase in the transcription of ler (LEE1) at the mid-exponential growth phase, presumably because of the ability of the WT to produce the AI-3 signal. Epinephrine and AI-3 seemed to signal in a synergistic fashion to activate the transcription of ler. We did not observe AI-3-dependent regulation during early and late exponential growth (Fig. 2A), and the effect of epinephrine appeared to be comparable for both the WT and the luxS mutant during these growth phases (Fig. 4A).
Both escC and escV transcription levels increased during late exponential growth in response to epinephrine (Fig. 4B and C). Interestingly, the addition of epinephrine to the WT only resulted in a larger increase of escC transcription (compared to the luxS mutant plus epinephrine) during late exponential growth. There was not a significant difference in the transcription of escV between these two strains at this growth phase. AI-3 may influence the expression of another repressor that diminishes the transcription of the LEE3 operon but not the LEE2 operon at this growth phase. The addition of epinephrine also increased EspA and EspB protein secretion in the WT and the luxS mutant, in agreement with previous data (44). Epinephrine and AI-3 increased the secretion of these proteins to a larger extent in the WT than was observed for the luxS mutant, again suggesting a synergistic relationship between these signals. The result of the decreased transcription and expression of the LEE was a delay in the formation of AE lesions by the luxS mutant on cultured epithelial cells.
It is important that the luxS mutation does not abolish LEE expression, and the mutant is still able to respond to exogenous activating signals such as epinephrine. AI-3 and epinephrine/norepinephrine appear to play a large role in the proper expression and possibly the coordinated production of the LEE to yield a functional TTSS. The work presented here reveals for the first time the effects of the luxS mutation on the transcription of the LEE in a native EHEC background (containing all regulators of LEE expression). The disruption of luxS leads to a defect in the production of AI-3 (44) and to lower levels of transcription of the LEE operons in EHEC.
EHEC infects the colon and has a very low infectious dose, estimated to be as few as 10 to 100 organisms. Because so few organisms are able to cause an infection, it is unlikely that EHEC relies on the small amount of self-produced AI-3 early during infection to activate the expression of the LEE. The more likely scenario is that EHEC uses both the AI-3 produced by the normal flora of the colon (44) and epinephrine/norepinephrine naturally present in the intestine (9) to recognize that it is within the host. The precise epinephrine/norepinephrine concentrations in the gastrointestinal tract are not known, although substantial amounts of both epinephrine and norepinephrine have been shown to be present in the intestine (9). Epinephrine from the bloodstream may spill out from enterocytes or may reach the lumen after the first round of infection and the resultant disruption of the intestinal epithelium and blood entering the colon. Norepinephrine is produced in the gastrointestinal tract by adrenergic neurons in enteric nervous systems. The concentration of norepinephrine in the lumen may also increase after destruction of the intestinal epithelium.
The data from this study suggest that there is a synergistic effect between AI-3 and epinephrine. Such combined signals would then likely activate LEE expression in the same manner. This relationship would allow for a more efficient infection than responding to one signal alone. During the initial infection, the first wave of EHEC would sense the AI-3 produced by the normal flora as well as any epinephrine/norepinephrine that may be present in the intestinal lumen, resulting in the activation of the LEE. As the intestinal epithelium becomes more disrupted, more epinephrine/norepinephrine would be released into the gastrointestinal tract. This increased amount of epinephrine/norepinephrine, as well as the AI-3 synthesized by the escalating EHEC population, would be detected by EHEC, leading to increased activation of the LEE and another wave of infection.
In summary, this study further characterizes the effects of the luxS mutation by examining LEE transcription in an EHEC background and also for the first time provides evidence of a synergistic relationship between AI-3 and epinephrine/norepinephrine. A better understanding of the signals that activate EHEC pathogenesis will help to direct new therapeutic approaches.
This work was supported by NIH grants AI54468 and AI053067 and an Ellison Foundation award. M. Walters was supported through NIH training grant 5-T32-AI007520.
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