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Infection and Immunity, May 2006, p. 2894-2905, Vol. 74, No. 5
0019-9567/06/$08.00+0 doi:10.1128/IAI.74.5.2894-2905.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Department of Microbiology, Molecular Biology, and Biochemistry,1 Department of Statistics, University of Idaho, Moscow, Idaho 83844-30522
Received 22 December 2005/ Returned for modification 8 February 2006/ Accepted 22 February 2006
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80% of the isolates were wild type. Among steers given a rectal application of both strains, wild-type isolates were the majority of isolates recovered on all days. The regulatory mutant survived better than the wild type in both the rumen and duodenum. To test the role of motility, a filament mutant (
fliC) was constructed and similar cattle experiments were performed. On all days post-oral dose, the majority of isolates (64% to 98%) were the filament mutant. In contrast, both strains were recovered equally post-rectal application. Thus, the regulatory mutant survived passage through the bovine gastrointestinal tract better than the wild type but failed to efficiently colonize cattle, and the requirement of flhC for colonization was not dependent on a functional flagellum. |
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Motility processes in gram-negative bacteria are complex and require the coordinated transcription of more than 40 genes in 14 operons (13, 23). All genes involved in flagellum biosynthesis are transcriptionally regulated in three tiers of genes designated class I, class II, and class III. The flhDC operon (class I) is regulated by a variety of environmental and cell cycle signals (18, 37). Once expressed, FlhD/FlhC forms a regulatory tetramer required for transcription of class II genes. These class II genes encode the flagellar type III secretory apparatus, the hook basal/body structure, and FliA (
F), required for transcription of class III genes. Class III genes include the motor, chemotaxis, and flagellin or filament genes (23). While motility can be induced in many Stx-producing O157:H strains after passage through motility medium, it cannot be restored in the European variant O157:H strains due to the 12-bp deletion in flhC (26). Thus, mutations in the class I operon prevent transcription of the downstream class II and class III operons.
FlhD/FlhC has been shown to function as a global regulator of 29 operons not related to motility (29, 30); therefore, the effects of mutations in flhDC may not be confined to motility processes alone. Interestingly, mutations in flhDC have also been demonstrated for several other important pathogens, such as members of the genera Bordetella, Shigella, and Yersinia (1, 2, 9, 21, 38). Nonmotile members of these species contain cryptic flagellar systems, and all contain type III secretory systems as essential components of virulence (2, 15, 21, 38).
Healthy cattle are the major reservoir for the human pathogen E. coli O157:H7, and this serotype colonizes the bovine gastrointestinal tract (GIT) at the rectoanal junction (RAJ) mucosa (24) but is not associated with disease in ruminants (3, 11, 24, 32). Furthermore, undercooked ground beef contaminated with E. coli O157 accounts for most human infections, causing more than half of the outbreaks in the United States alone (39). Although no reservoir host has been established for the European variant E. coli O157:H strains, raw beef was implicated in a 1995 E. coli O157:H HUS outbreak in Germany and a single E. coli O157:H strain was isolated from a cow (14), suggesting that cattle are likely an important reservoir for the European variant E. coli O157:H strains.
In light of the correlation between the loss of motility and increased pathogenesis and the fact that cattle are the major reservoir for this pathogen, we studied the effects of motility on E. coli O157 survival through the bovine GIT and colonization of cattle. We explored the effects of specific flagellar gene mutations in the well-characterized E. coli O157:H7 ATCC 43894 strain on E. coli O157 colonization of cattle. This particular strain of E. coli O157:H7, known to cause human disease, was chosen because a substantial amount of previous in vivo work demonstrates this strain behaves in a manner typical of most natural bovine carriage of the O157 serotype (10, 17, 35, 41). E. coli O157:H7 ATCC 43894 (referred to throughout as the wild type) was used to make an isogenic flhC mutant (referred to throughout as the regulatory mutant). This regulatory mutant was missing the same 12 bp identified as the flhC defect in the European nonmotile E. coli O157:H isolate and was presumably defective in flagellar class II and class III gene expression (26). Growth rates and phenotype microarrays (PM) were used to compare the metabolic abilities of the regulatory mutant with those of the wild type. Mixtures of both strains were given orally or rectally to steers or administered directly into the rumen of cattle dually cannulated at the rumen and duodenum. Oral and ruminal administration of the bacteria were designed to assess bacterial survival in the upper bovine GIT and colonization at the RAJ mucosa. Rectal administration of the bacteria was used to assess bacterial colonization at the RAJ mucosa without the requirement of surviving passage through the GIT to arrive at this location. Standard culture techniques enumerated E. coli O157 in fecal, RAJ mucosa swab (RAMS), and/or digesta samples and were used to compare in vivo survival and colonization of the regulatory mutant and the wild type. To differentiate motility from other flhC-regulated processes, a nonmotile filament mutant (flhC+
fliC) defective in bacterial flagellin (referred to throughout as the filament mutant) was constructed, and similar cattle experiments were performed.
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fliC (filament) isogenic mutants. Site-directed mutagenesis was accomplished using the bacteriophage lambda recombinase system (
-red) as described by Datsenko and Wanner (8). Primers for deletion were designed containing 20-bp sequences homologous to the pKD3 template plasmid (8) and 40-bp sequences homologous to either a 12-bp region within the E. coli 493-89 flhC ORF at +374 to 385 (GenBank accession no. AY225162) as described previously (26) (forward, 5'-GACCGCTGCTGGCATTAACCCGTGCCTGGACATTGGTGCGGTGTAGGTGGAGCTGCTTC-3'; reverse, 5'-GTAATAAAATTGCCGCCGCAGCAGTTGCAGCTGGAAAGTTCATATGAATATCCTCCTTA-3') or conserved regions within the E. coli Y1-57 fliC ORF at +157 to 1597 (forward, 5'-CGTTTTACTTCTAACATTAAAGGCCTGACTCAGGCTGCGTGTAGGCTGGAGCTGCTTC-3'; reverse, 5'-GCCTGCTGAATGATCTGCGCTTTCGACATGTTGGACACCATATGAATATCCTCCTTA-3'). PCR was performed using an elongase enzyme mix as recommended by Invitrogen Co. (Carlsbad, Calif.), and PCR products were verified by 0.7% agarose gel electrophoresis.
Deletions were verified by PCR as described above using primers with homologous sequences flanking either flhC (GenBank accession no. AE005411) (forward, 5'-GGTTGACATAAGCTGCAGGCAAAG-3'; reverse, 5'-CGGGATATTCAGGTGGCAATGGAA-3') or fliC (GenBank accession no. AY337483) (forward, 5'-GCACAAGTCATTAATACCAAC-3'; reverse, 5'-CTAACCCTGCAGCAGAGACAG-3'), sequencing on a Perkin-Elmer thermocycler using ABI Big Dye sequencing mix per the manufacturer's instructions and an ABI no. 3730 genetic analyzer. In addition, mutation was confirmed by plating cells on 0.3% tryptone agar (motility agar) and analyzing for swarming.
Bacterial growth analysis. Growth of the wild type, the regulatory mutant, and the filament mutant was analyzed using a Bio-Tek Power Wave XS reader and KCjunior software for Windows analysis. Bacteria were grown for 24 h in three ml of Luria-Bertani (LB) broth at 37°C with aeration. Twelve wells of a 96-well plate were inoculated with the wild type, the regulatory mutant, or the filament mutant in LB broth. Empty wells were filled with deionized water and the plates covered with the lid to maintain humidity and prevent spillage. All plates were incubated at 37°C and mixed at low intensity prior to every read, and optical densities were measured every five min at 600 nm for 48 h.
PM. PM were performed by Biolog Co. (Hayward, Calif.) as previously described (7). Briefly, the wild type or the regulatory mutant was grown on blood agar plates and colonies inoculated into Biolog inoculating fluid, containing a redox dye, buffer, salts, detergent, and a gelling agent that dispersed the cells evenly throughout a well. A PM panel consisted of a half-area 96-well plate such that 48 wells contained the mutant and 48 wells contained the wild type, and each well measured the function of a different enzyme, pathway, or physiological property of a cell as a change in color or turbidity. Forty PM panels representing more than 2,000 phenotypes (5) were performed for both the wild type and the regulatory mutant, and signals from individual wells were read every 15 min for the duration of the experiment by an Omnilog reader. The average signal for a given well of the regulatory mutant or the wild type was calculated, and metabolic and chemical differences for both were expressed as the arithmetic difference of the average regulatory mutant signal minus the average wild-type signal from a given test well.
Experimental cattle infection. All E. coli O157 cultures used for animal infection were grown in Trypticase soy broth (TSB) (Difco Laboratories, Detroit, Mich.) overnight at 37°C with aeration. Aliquots of overnight cultures were removed and serially diluted in 0.9% saline and dilutions plated on LB agar, incubated at 37°C overnight, and counted. Optical densities at 600 nm were measured, and cultures were diluted to 0.6 in sterile TSB prior administration to cattle.
(i) Oral dose. Mature Holstein steers were given a single oral dose of either 1010 CFU of the wild type and the regulatory mutant or 1010 CFU of the wild type and the filament mutant.
(ii) Rectal application. Mature Holstein steers were dosed by rectal application as previously described (35) with a mixture of bacteria containing either 1010 CFU of the wild type and the regulatory mutant or 1010 CFU of the wild type and the filament mutant. Briefly, prior to bacterial application, steers were palpated to induce defecation and the appropriate E. coli O157 cultures were administered rectally in a total volume of ten ml with a sterile 10-cm- by 3.5-cm-diameter cylindrical sponge (Rubbermaid, St. Francis, Wis.) inserted rectally to swab the RAJ mucosa.
(iii) Rumen application. Two mature Jersey steers dually cannulated into the rumen and the duodenum received a dose of 1010 CFU of both the wild type and the regulatory mutant in a total volume of ten ml into the upper rumen directly through the cannula.
Sample culture. Samples from steers orally and rectally dosed with E. coli O157 were cultured as previously described (32). Briefly, feces and RAMS samples were collected from each steer 24, 48, and 72 h postinoculation and twice a week thereafter into Whirl-Pak bags (Nasco, Fort Atkinson, Wis.) and three ml of TSB, respectively. All samples were placed on ice until processing in the laboratory within two h. Ten grams of feces was diluted 1:5 in TSB, and aliquots of RAMS and fecal cultures were removed, serially diluted in 0.9% saline, cultured directly (quantitative data) by plating onto sorbitol MacConkey agar supplemented with 4-methylumbelliferyl-ß-D-glucuronide, cefixime, potassium tellurite, and vancomycin (SMAC-CTVM), and incubated at 37°C overnight. Subsets of sorbitol-negative, 4-methylumbelliferyl-ß-D-glucuronide-negative colonies were confirmed to be E. coli O157 colonies by latex agglutination (Pro-Lab Diagnostics, Toronto, Canada). Samples negative by direct culture were enriched (qualitative data) at 37°C with aeration for 18 h and analyzed as described above.
Among steers inoculated directly in the rumen, digesta, feces, and RAMS samples were collected aseptically and placed on ice until processing in the laboratory within 2 h. Ten grams of rumen digesta or feces was diluted 1:5 in TSB, and 10 ml of duodenal fluid was diluted 1:5 in TSB. All samples were cultured and analyzed as described above.
Motility assays. E. coli O157 positive colonies from either direct or enrichment culture of digesta, feces, or RAMS were assayed for motility as previously described (36). Sterile toothpicks were used to touch the tops of isolated colonies from SMAC-CTVM plates, stabbed vertically into motility agar plates, and incubated upright at 25°C for 4 to 6 h or at 37°C for 1 to 3 h.
Statistical analysis. Repeated measures analyses of variance were conducted using SAS Proc Mixed (22) software based on the differences between the transformed proportions of the two E. coli O157 groups within animals. For each experiment, a set of models was fitted in Proc Mixed to select the model with the best-fitting covariance structure among the transformed differences, according to the Bayesian information criterion (34). Tests for the differences between the motile and nonmotile proportions at each time and for the interaction between the differences and the times were performed.
To calculate the transformed proportions, the proportions of motile (wild type) and nonmotile (regulatory mutant or filament mutant) groups were obtained for each animal at each time point, and if the observed proportion was either 0 or 1, then they were adjusted to 1/4n and 1 1/4n, respectively, where n = 20 (28). The resulting proportions, p, were then transformed via the variance stabilizing transformation, y = arcsin [square root (p)] (28), and the differences between these transformed proportions, y(motile) y(nonmotile), were used in subsequent analysis.
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Characterization of the nonmotile E. coli O157 mutants.
Nonmotile E. coli O157 mutants were confirmed by sequence analysis to have either a 12-bp deletion within the flhC ORF +374 to 385 or a 1,441-bp deletion within the fliC ORF +157 to 1597 and a "scar" region of
80 bases within the deleted region of the target genes, as previously described (8). When grown on motility agar, the wild type showed swarms of
25 mm in diameter after 6 h at 37°C. The regulatory mutant and the filament mutant did not swarm when inoculated on motility agar. In addition, both mutants were negative for flagellin in whole-cell extracts immunoblotted with polyclonal or monoclonal antiflagellin antibody (data not shown).
Bacterial growth was indistinguishable among the wild type, the regulatory mutant, and the filament mutant, and phenotype differences were observed between the wild type and the regulatory mutant. The average growth of the wild type, the regulatory mutant, and the filament mutant was indistinguishable during all growth phases when cells were grown in LB broth at 37°C (Fig. 1).
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FIG. 1. Average growth of the wild type ( ), the regulatory mutant ( ), and the filament mutant ( ). Cells were suspended in LB broth and incubated with aeration for the duration of the experiment. Growth was measured spectrophotometrically (optical density at 600 nm [OD600]) in a Bio-Tek Power XS reader.
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TABLE 1. Comparison of wild-type E. coli O157:H7 and regulatory mutant E. coli O157:H by phenotype microarray
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28 days. A few steers displayed persistent carriage of the dosed bacteria through day 63 of the experiment (steers 1, 2, and 3; Fig. 2). On day 1 postinoculation, most of the E. coli O157 isolates recovered (59% to 96%) from seven of eight steers were the regulatory mutant (Fig. 2). However, by day 3 postinoculation, the majority of the E. coli O157 isolates among six of eight steers were the wild type (Fig. 2). The exceptions to this pattern were steers 2 and 7. These steers were positive by direct culture longer than any other animals in the experimental group, and the regulatory mutant was the predominant strain recovered on days 1 through 10 postinoculation (steer 97; Fig. 2) and on most days through day 28 postinoculation (steer 2; Fig. 2).
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FIG. 2. E. coli O157 colonization patterns at the RAJ mucosa among orally dosed cattle. Eight four- to nine-month-old Holstein steers were given a single oral dose containing 1010 CFU of both the wild type and the regulatory mutant on day zero. Colonization was assessed by direct (quantitative) and enrichment (qualitative) RAMS cultures. Bar heights represent total E. coli O157 CFU/swab. Samples positive only by enrichment culture had 2.8 x 101 CFU/swab and are shown as E+. No bar indicates an E. coli O157 culture-negative sample. For each positive sample, 20 to 100 isolates were subcultured on motility agar to determine the proportions that were mutant (checkered bar) or wild-type (filled bar) isolates recovered.
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FIG. 3. Average percent motile or nonmotile E. coli O157 isolates at the RAJ mucosa among orally dosed cattle. Eight four- to nine-month-old Holstein steers were given a single oral dose containing 1010 CFU of both the wild type and the regulatory mutant on day zero. From samples positive by direct RAMS culture, 20 to 200 isolates from each steer were subcultured on motility agar, and data from steers were compiled to show the average percent motile ( ) or nonmotile ( ) among seven steers.
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28 days. One steer displayed carriage of the dosed bacteria through the 63-day duration of the experiment (steer 1; Fig. 4), and another steer displayed persistent carriage through day 56 postinoculation (steer 2; Fig. 4). On day 1 postinoculation, 57% to 94% of the E. coli O157 isolates recovered from three of four steers were wild type (Fig. 4), and wild-type isolates were the majority of the E. coli O157 isolates recovered among all four steers through the end of the 63-day experiment with few exceptions (Fig. 4).
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FIG. 4. E. coli O157 colonization patterns at the RAJ mucosa among rectally dosed cattle. Four 12- to 13-month-old Holstein steers were given a single rectal application containing 1010 CFU of both the wild type and the regulatory mutant on day zero. Colonization was assessed by direct (quantitative) and enrichment (qualitative) RAMS cultures. Bar heights represent total E. coli O157 CFU/swab. Samples positive only by enrichment culture had 2.8 x 101 CFU/swab and are shown as E+. No bar indicates an E. coli O157 culture-negative sample. For each positive sample, 20 to 100 isolates were subcultured on motility agar to determine the proportions that were mutant (checkered bar) or wild-type (filled bar) isolates recovered.
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FIG. 5. Average percent motile or nonmotile E. coli O157 isolates at the RAJ mucosa among rectally dosed cattle. Four 12- to 13-month-old Holstein steers were given a single rectal dose containing 1010 CFU of both the wild type and the regulatory mutant on day zero. From samples positive by direct RAMS culture, 20 to 200 isolates from each steer were subcultured on motility agar, and data were compiled to show the average percent motile ( ) or nonmotile ( ) among four steers.
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FIG. 6. Average percent motile or nonmotile E. coli O157 isolates from the rumen, duodenum, and RAJ mucosa of cattle given the bacteria in the rumen. Two 5-year-old Jersey steers were previously dually cannulated in the rumen and the duodenum. On day zero, animals were given a single dose containing 1010 CFU of both the wild type and the regulatory mutant in the upper rumen. Bacterial persistence in each compartment was assessed by direct (quantitative) and enrichment (qualitative) digesta and RAMS cultures. Ruminal or duodenal samples positive only by enrichment culture had 5.0 x 101 CFU/g, and RAMS samples positive only by enrichment culture had 2.8 x 101 CFU/swab (all shown as E+). From each sample positive by direct culture, 20 to 200 isolates from each steer were subcultured on motility agar and data were compiled as the average percent motile ( ) or nonmotile ( ). E. coli O157 culture-negative samples are shown as C.
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After oral dosing, the filament mutant was recovered in higher numbers than the wild type at the RAJ mucosa. To test whether the reduced colonization ability of the regulatory mutant was due to the loss of filament production, we dosed cattle with an E. coli O157 filament mutant. Oral administration was used to assess survival of the wild type and the filament mutant in the upper bovine GIT and colonization of both strains at the RAJ mucosa in cattle. All four steers were culture positive 1 day after dosing, and two of four steers were culture positive for 28 days. On day 1 postinoculation, 59% to 76% of the E. coli O157 isolates recovered from all four steers were the filament mutant (Fig. 7), and filament mutant isolates were the majority of the E. coli O157 isolates recovered among all steers through the end of the 63-day experiment (Fig. 7). No exceptions to this pattern were observed.
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FIG. 7. E. coli O157 colonization patterns at the RAJ mucosa among orally dosed cattle. Four 4- to 9-month-old Holstein steers were given a single oral dose containing 1010 CFU of both the wild type and the filament mutant on day zero. Colonization was assessed by direct (quantitative) and enrichment (qualitative) RAMS cultures. Bar heights represent total E. coli O157 CFU/swab. Samples positive only by enrichment culture had 2.8 x 101 CFU/swab and are shown as E+. No bar indicates an E. coli O157 culture-negative sample. For each positive sample, 20 to 100 isolates were subcultured on motility agar to determine the proportions that were mutant (checkered bar) or wild-type (filled bar) isolates recovered.
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FIG. 8. Average percent motile or nonmotile E. coli O157 isolates at the RAJ mucosa among orally dosed cattle. Four 4- to 9-month-old Holstein steers were given a single oral dose containing 1010 CFU of both the wild type and the filament mutant on day zero. From samples positive by direct RAMS culture, 20 to 200 isolates from each steer were subcultured on motility agar, and data were compiled to show the average percent motile ( ) or nonmotile ( ) among four steers.
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FIG. 9. E. coli O157 colonization patterns at the RAJ mucosa among rectally dosed cattle. Four 4- to 9-month-old Holstein steers were given a single rectal dose containing 1010 CFU of both the wild type and the filament mutant on day zero. Colonization was assessed by direct (quantitative) and enrichment (qualitative) RAMS cultures. Bar heights represent total E. coli O157 CFU/swab. Samples positive only by enrichment culture had 2.8 x 101 CFU/swab and are shown as E+. No bar indicates an E. coli O157 culture-negative sample. For each positive sample, 20 to 100 isolates were subcultured on motility agar to determine the proportions that were mutant (checkered bar) or wild-type (filled bar) isolates recovered.
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FIG. 10. Average percent motile or nonmotile E. coli O157 isolates at the RAJ mucosa in rectally dosed cattle. Four 4- to 9-month-old Holstein steers were given a single rectal dose containing 1010 CFU of both the wild type and the filament mutant on day zero. From samples positive by direct RAMS culture, 20 to 200 isolates from each steer were subcultured on motility agar, and data were compiled to show the average percent motile ( ) or nonmotile ( ) among four steers.
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fliC filament mutant. The most important finding of this study was that both the regulatory mutant and the filament mutant had a distinct survival advantage in the upper bovine GIT compared to the wild type, but the regulatory mutant failed to efficiently colonize the bovine RAJ mucosa. The competitive disadvantage of the regulatory mutant to attach/survive at the RAJ mucosa was not due to the lack of the flagellar filament, since the filament mutant colonized the RAJ mucosa as well as the wild type. These results demonstrate the significance of the E. coli O157 flhDC operon in the colonization of the bovine host and suggest an important role of flhDC in functions not related to motility. We used three methods to introduce E. coli O157 into cattle. The oral dose measured the ability of the bacteria to survive in and pass through the GIT, reach the RAJ mucosa, and then attach to epithelial cells in order to persist for more than a few days. The rectal application of bacteria measured only the ability of the strain to attach/survive at the RAJ mucosa and did not measure effects at other GIT locations. Application of bacteria directly into the rumen of dually cannulated steers allowed access to digesta from the rumen and the duodenum for analysis of bacterial growth and survival in these upper GIT compartments. For the first 24 h after oral administration of bacteria, higher numbers of the regulatory or filament mutant were recovered than of the wild type. The common denominator in these experiments is that both mutants were not synthesizing flagella, resulting in significant energy conservation compared to the wild type. The filament comprises 95% of flagellum mass, and flagellar synthesis requires 2.1% of total cellular energy for production (25). A caveat to this argument is that it is not known if wild-type E. coli O157 synthesizes flagella in vivo. Additional explanations for the advantage displayed by these mutants may include shortened generation times, improved use of nutrients, better resistance to harsh conditions, evasion of the immune response, enhanced secretion of adhesins, and/or the ability to survive predators.
Although we did not assess all these possibilities, subtle phenotypic differences between the regulatory mutant and the wild type were revealed in a comprehensive (>2,000 substrates) Biolog PM. These metabolic differences may have reflected the better survival of the regulatory mutant in the upper bovine GIT than of the wild type. Relevant to the bovine GIT, the regulatory mutant was better able to utilize mucic acid, a component of mucus, than the wild type. Mucus bathes most of the GIT mucosa and would be a rich carbon source for bacterial growth. The PM tests are limited, however, because they are performed under a single environmental aerobic condition and are likely not a thorough measure of the various signals and metabolic differences impacting survival in the complex anaerobic ruminant GIT.
Although the regulatory mutant showed a competitive advantage in the upper GIT, it did not colonize the RAJ mucosa as well as the wild type. This suggests that the gene product(s) regulated by the FlhD/FlhC regulatory complex was required for such colonization. Recently, Leatham et al. reported that spontaneous flhDC operon mutants confer a competitive advantage to commensal E. coli colonizing the cecum of mice (20). When mice are fed wild-type E. coli MG1655, nonmotile flhDC operon deletion mutants are routinely isolated. One of these mutants grows up to 30% faster on several carbon sources available in the murine cecum (20). The loss of motility and improved intestinal growth of these deletion mutants are consistent with the findings we report here for cattle and provide another example of the selective advantage for some bacteria for survival in the mammalian host resulting from a class I flagellar gene mutation.
The inability of the regulatory mutant to efficiently colonize the RAJ mucosa was not due to the absence of filament for adhesion at the RAJ mucosa or chemotaxis to the site of colonization. The filament mutant appeared to colonize better than the wild type following oral dosing, but this observation may have been an artifact of higher numbers of the filament mutant generated from passage through the GIT. The filament mutant and the wild type colonized the RAJ mucosa equally, following rectal application. Although equal numbers of each strain were initially administered orally to cattle, significant differences in upper GIT survival led to significantly higher numbers of the filament mutant passing across the RAJ mucosa, and this effective "higher inoculum" favored colonization of the RAJ mucosa by the filament mutant. Therefore, while the flagellar flhDC master control operon is important in the colonization of the bovine host, motility, chemotaxis, or adhesive properties of the filament are surprisingly not essential for survival and persistence of E. coli O157 in cattle.
These observations fit a general trend emerging among a subset of important human pathogens, including Yersinia pestis, Shigella spp., Bordetella pertussis, and recently E. coli, which have lost motility by mutation in the class I flhDC operon; additionally, several other pathogens, such as Yersinia enterocolitica, Yersinia pseudotuberculosis, and Bordetella bronchiseptica, use temperature (37°C) as a key environmental cue to repress flagellum biosynthesis in the mammalian host (26). Notably, in B. bronchiseptica and Salmonella enterica serovar Typhimurium, artificial expression of flagella attenuates virulence in canine and murine models, respectively (1, 33). Thus, there appears to be a selective pressure against flagellar expression under host conditions for these organisms. Several factors may account for the repression of flagella within the host: flagellar biosynthesis and operation require 2.1% of the total cellular energy (25), flagellin is both a potent antigen and a cytokine inducer via the Toll-like 5 receptor (31), and flagellin secretion may interfere with the export of type III virulence proteins if the flagellum and type III secretion apparatuses are simultaneously expressed (42).
Our data in combination with past observations regarding the role of motility in pathogenesis may, in part, explain the increased association of the European variant E. coli O157:H strain with HUS and the failure to conclusively identify a reservoir host for these strains (4, 14). An E. coli O157 flhC regulatory mutant may be selected for within the human GIT, where it has both a growth advantage and an augmented association with mucosal epithelia due to the relief of competition between flagellar and type III virulence protein export. These effects may allow for both an increase in Shiga toxin production and morbidity in the human host. Conversely, in cattle, an E. coli O157 flhC regulatory mutant, although able to survive well as it passed through the GIT, would result in a low level of colonization at the RAJ mucosa. Thus, cattle naturally infected with E. coli O157 strains carrying a regulatory mutation, such as the European variant E. coli O157:H strains, may be culture positive only briefly and/or may retain bacteria at numbers below the level of conventional detection methods.
While many factors contribute to pathogenesis and colonization in the host, these results further illuminate the complexity of the host-parasite relationship and suggest a coordinated regulation of flagellum biosynthesis and pathogenic/colonization gene expression. Overall, the appearance of phenotypic variants illustrates the dynamic tension of a human pathogen with its reservoir host. Mutations conferring an advantage in one host may be a disadvantage in the other host. Experiments in this laboratory are under way to further dissect the role of flhDC in E. coli O157 colonization, including the determination of whether wild-type E. coli O157:H7 synthesizes flagella in the bovine host, and to analyze the role of type III secreted proteins in the colonization of the RAJ mucosa by the regulatory and filament mutant strains described here.
We thank Lonie Austin for animal care and Harold Rohde and Haiqing Sheng for technical expertise.
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