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Infection and Immunity, May 2006, p. 2925-2936, Vol. 74, No. 5
0019-9567/06/$08.00+0 doi:10.1128/IAI.74.5.2925-2936.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Department of Animal Health and Biomedical Sciences, University of WisconsinMadison, 1656 Linden Drive, Madison, Wisconsin 53706,1 Department of Bacteriology, Kimron Veterinary Institute, P.O. Box 12, Bet Dagan 50250, Israel,2 INSERM U431, UFR Médecine, CS83021, Avenue Kennedy, 30908 Nimes Cedex 02, France3
Received 19 January 2006/ Returned for modification 12 February 2006/ Accepted 20 February 2006
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Identifying Brucella virulence factors has been of great interest in understanding Brucella pathogenesis and immune evasion. Smooth lipopolysaccharide (LPS) was the first identified virulence factor (25). Brucella LPS has minimal endotoxic effect, blocks complement activation, and protects against bactericidal cationic peptides (28). The O-chain of LPS is also important for the entry of Brucella suis into macrophages through lipid rafts, which permits the Brucella-containing vacuole (BCV) to avoid interaction with the classical endocytic pathway (32, 39). After entry into macrophages, the BCV acidifies and then transiently interacts with EEA- and LAMP1-positive vesicles. After an endosome-like stage, the BCV enters a sustained interaction with the endoplasmic reticulum, forming the replication niche (8). Maturation of the BCV into the replication niche is dependent upon the VirB type IV secretion system (T4SS) (8, 9), and therefore, the VirB system constitutes an important virulence factor for intracellular survival of Brucella spp. (10, 15, 33). Recently, cyclic ß-1,2-glucan has been shown as an important factor required for intracellular survival of Brucella (3). Though T4SS, cyclic ß-1,2-glucan, and LPS are clear virulence factors for Brucella, the attenuated mutants with these factors are either considered not safe or not sufficiently studied as possible vaccines for animals and humans. This has necessitated identification of additional vaccine targets.
Several genetic loci have been identified that are required for Brucella replication in macrophages cultured in vitro (15, 23). In vitro conditions may not adequately reflect in vivo infection, and therefore, findings may have little or no in vivo relevance (45). In vivo screening methods have been used to identify Brucella genes required for survival and persistence (18, 26); however, these studies rely on determining the numbers of tissue-specific CFU from multiple animals at different times, which is labor-intensive and requires large numbers of animals. Because infection is a dynamic process and varies within individual mice, monitoring disease progression temporally within the same mouse would provide a more comprehensive picture of pathogenic events. Further, such real-time analysis may reveal virulence determinants responsible for tissue-specific replication of bacteria that would not be revealed using conventional CFU enumeration.
Bioluminescence imaging of mice allows direct visualization of the infection process and is highly useful for bacterial pathogenesis studies (11), because the intensity of bioluminescence strongly correlates with the number of bacteria in the infected organs (17, 40). Bioluminescence imaging is useful in analyzing subacute and chronic infections that are often difficult to appreciate using conventional approaches because of uncertain bacterial locations (17, 40). Here we report the pathogenicity associated with the three attenuated bioluminescent Brucella melitensis mutants, GR019 (virB4), GR024 (galE), and GR026 (BMEI1090-BMEI1091). Attenuated bacteria could be visualized in the later stages of infection in tissues that are not conventionally evaluated, thus providing an unabridged approach to understand brucellosis affecting multiple tissues. In addition, we describe the dynamics of virulent bioluminescent B. melitensis GR023 infection following vaccination with these attenuated mutants.
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(Invitrogen) and EC100Dpir+ (Epicenter, Madison, WI) were grown in LB broth (Difco). |
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TABLE 1. Bacterial strains and plasmids used in this study
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To construct plasmids pBBVirB4, pBBGalE, and pBBI1087-1090, DNA sequences encoding the respective open reading frames (ORFs) plus the ribosome binding site but lacking their promoter sequences were amplified using primers (for VirB4, forward primer, 5'agagagggtaccCATGTTCATATTGCCGCTGATCG, and reverse primer, 5'agagagggatccTGCTGGTTACA GTCAGGGCGAAT; for GalE, forward primer, 5'agagagggtaccAAAGCCCGGTAAAACGATTGATG, and reverse primer, 5' agagagggatccGTTCCGGCATTTTCTGGCAAA; for 1087-90, forward, 5'agagagactagtTGTGCCGTCGTTTCCACCTG, and reverse, 5'agagagctcgagAGGGACGGGGATCGGGTTAT). PCR products were digested and ligated with similarly digested pBBR-MCS4 to generate the complementation plasmids. The genes of interest were directionally cloned into pBBR1-MCS4 to ensure that these genes are being transcribed from the lac promoter present in the plasmid.
Mapping of the EZ::Tnlux transposon insertion site and Southern blot analysis. The site of transposon insertion in GR019 (virB4), GR024 (galE), and GR026 (BMEI1090-BMEI1091) was identified by rescue cloning as previously described (40). For Southern hybridization, 10 µg of genomic DNA was digested with ClaI and separated in a 0.7% agarose gel. The single-copy insertion of the transposon at the expected location was detected using the Kanr gene as a probe as previously described (40).
Inactivation of BMEI1090 and BMEI1091. To generate specific deletions, suicide vectors pGR026-90K and pGR026-91K were electroporated into B. melitensis 16M. Cells were plated on brucella agar containing kanamycin. To select for double recombinants, the Kanr colonies were checked for sensitivity to zeocin (Zeos). The resulting Kanr and Zeos clones were streak purified, and one such purified clone was used for further study.
Macrophage infection. The macrophage-like RAW 264.7 cells were cultured in RPMI supplemented with 10% heat-inactivated fetal calf serum. For macrophage growth assays, 24-well microtiter plates were seeded with 5 x 105 macrophages/well and infected with different B. melitensis strains at a multiplicity of infection of 1:50. Cells were incubated for 1 h at 37°C in 5% CO2, extracellular bacteria were removed with three washes of phosphate-buffered saline (PBS), followed by gentamicin treatment (25 µg/ml) for 30 min. Then the cells were maintained with medium containing 5 µg of gentamicin/ml. At specified times, cells were washed with PBS three times, lysed with 0.1% Triton X, and plated on brucella agar to determine intracellular bacterial counts. All experiments were performed in duplicate.
IRF-1/ mouse virulence assay. Groups of 6- to 9-week-old interferon regulatory factor 1-deficient (IRF-1/) mice (n = 4) were infected intraperitoneally (i.p.) with 1 x 107 CFU of virB4, galE, BMEI1090-BMEI1091, Rev-1, and BM710 strains. Infected mice were housed in a biosafety level 3 facility and monitored for survival. For imaging, mice were anesthetized with isoflurane, and bioluminescence was recorded with a 10-min integration time using a charge-coupled device camera (Xenogen, Alameda, CA). The livers and spleens were collected aseptically from the surviving mice, homogenized in PBS, and plated on brucella agar. Plates were incubated at 37°C for 4 days, and CFU counts were determined. For histology, portions of livers and spleens were collected, fixed in 10% formalin, and 5-µm sections were stained with hematoxylin and eosin.
Vaccination and challenge studies. IRF-1/ mice (6 to 9 weeks old) (nine mice/group) were vaccinated with 1 x 107 CFU i.p. with B. melitensis virB4, galE, BMEI1090-BMEI1091, or BM710 strain in 200 µl PBS. Strain Rev-1 was not included, because it is lethal for these mice. For a control, 10 mice were injected with 200 µl PBS. C57BL/6 mice (20 mice/group) were vaccinated i.p. with 5 x 107 CFU with each of the above strains and with Rev-1. Mice were imaged daily using a charge-coupled device camera until challenge. After 60 days, both IRF-1/ and C57BL/6 mice were challenged with 1 x 106 CFU of virulent bioluminescent B. melitensis GR023 i.p. Following challenge, mice were imaged with 10 min of integration, and dissemination of bioluminescent GR023 was monitored.
For IRF-1/ mice, the survival was recorded in different groups following virulent challenge. At 44 days postchallenge, livers and spleens from surviving mice were processed for CFU enumeration. For C57BL/6 mice, four mice from each group were killed at weekly intervals to determine CFU in livers and spleens. Portions of the livers and spleens were weighed, homogenates were serially diluted in PBS and plated on brucella agar with or without antibiotic, and colonies were counted after 72 h of incubation at 37°C. CFU were determined per gram of each tissue. To determine the histological changes at each time, portions of livers and spleens were collected and processed as described above.
Statistical analyses. All statistical analyses were performed using Minitab 13.31 statistical software (Minitab Inc., State College, PA). Association between each group at different times was evaluated using one-way analysis of variance. For all statistical analyses, P values of <0.05 were considered significant.
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TABLE 2. IRF-1/ mouse virulence assay
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FIG. 1. Replication kinetics of three bioluminescent B. melitensis strains, GR019 (virB4), GR024 (galE), and GR026 (BMEI1090-BMEI1091). A. Stationary-phase cultures (30 µl) were inoculated into 30 ml of brucella broth and grown at 37°C with shaking, and optical density at 600 nm (OD600) was determined. B. RAW 264.7 macrophages were inoculated with a standardized bacterial suspension of different strains, and growth was monitored at specified times (hours postinfection [Hrs PI]). CFU values are presented as geometric means ± standard errors (error bars) for data from two independent experiments. Values that are statistically significantly different (P < 0.05) from the value for strain 16M are indicated by asterisks.
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FIG. 2. Schematic representation of EZ::Tnlux transposon insertion in the three attenuated bioluminescent B. melitensis strains, GR019 (virB4), GR024 (galE), and GR026 (BMEI1090-BMEI1091). Only relevant features are shown, and the picture is not drawn to scale. The EZ::Tnlux transposon is indicated as a closed hexagon relative to the site of insertion. The relevant ORFs upstream and downstream of the insertion are shown in open boxes with arrows indicating the direction of transcription and numbers corresponding to the B. melitensis 16M genome sequence. The orientation of the arrow below the transposon in each strain represents the direction of Lux expression on the basis of our sequence data. The sites for ClaI restriction enzyme used in Southern hybridization experiment are shown by the letter C.
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and GR-BMEI1091
, were tested for virulence in IRF-1/ mice. IRF-1/ mice infected with GR-BMEI1091
died within 10 days similar to virulent strain16M; however, only two mice infected with GR-BMEI1090
died, and the remaining mice survived for at least 21 days (Table 2). The livers and spleens from the surviving mice had average CFU of 6.65E + 04 and 1.14E + 06, respectively. Therefore, inactivation of BMEI1090 resulted in partial attenuation, suggesting that the phenotype associated with BMEI1090-BMEI1091 is likely due to altered expression of BMEI1090 and downstream genes. To confirm that the attenuation of bioluminescent mutants is due to disruption of transposon insertion targets and not due to secondary mutations, we complemented virB4, galE, and BMEI1090-BMEI1091 mutations with corresponding ORFs. Since strain GR019 (virB4) has a growth defect in RAW 264.7 macrophages, GR019 (virB4) containing either pBBVirB4 or pBBVirB was tested for growth in these macrophages. Addition of pBBVirB4 in strain GR019 (virB4) resulted in partial restoration of growth, as suggested by an increase in intracellular bacteria at 24 h p.i. (Fig. 3A). However, addition of pBBVirB, containing the entire virB operon (33), into GR019 (virB4) resulted in complete restoration of growth (Fig. 3). In addition, virB4 complemented with pBBVirB, but not pBBVirB4, killed IRF-1/ mice and restored complete virulence (Fig. 3B). Consistent with the in vitro results, mice infected with GR019 (virB4)/pBBVirB4 did not die and contained more bacteria in livers and spleens than mice infected with GR019 (virB4) (Fig. 3C).
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FIG. 3. Complementation of strain GR019 (virB4) with the virB operon fully restored growth in macrophages (A) and virulence in IRF-1/ mice (B and C). RAW 264.7 macrophages were inoculated with a standardized bacterial suspension of complemented strains GR019/pBBVirB4 and GR019/pBBVirB, and growth was monitored at specified times (hours postinfection [Hrs PI]). The CFU counts were log transformed, and values are averages ± standard errors (error bars) for data from two independent experiments. IRF-1/ mice were inoculated i.p. with 1 x 107 CFU of complemented strains GR019/pBBVirB4 and GR019/pBBVirB, and mouse survival (B) and CFU from livers, spleens, and testes (C) were determined. The CFU counts from livers, spleens, and testes were presented as geometric means ± standard errors (error bars) for data for four mice.
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The galE and BMEI1090-BMEI1091 mutants protect IRF-1/ mice from virulent challenge. Although IRF-1/ mice are immunocompromised, they are protected against virulent Brucella following vaccination with attenuated strains (21). Therefore, we tested the attenuated bioluminescent mutants to determine if they protect IRF-1/ mice from virulent challenge. IRF-1/ mice vaccinated with attenuated bioluminescent mutants were challenged when no bioluminescent bacteria were detectable. To evaluate vaccine candidates, virulent strain GR023 was used to visualize dissemination and tissue localization of virulent Brucella by temporally imaging individual mice. All mice vaccinated with either strain GR024 (galE) or GR026 (BMEI1090-BMEI1091) survived at least 44 days, whereas only two mice vaccinated with GR019 (virB4) and three mice vaccinated with BM710 survived for 44 days following challenge (Fig. 4). Fifty percent of GR019 (virB4)-vaccinated mice died by day 12, whereas 50% of the BM710-vaccinated mice died by day 9 following challenge. As expected, all unvaccinated mice died within 2 weeks following challenge, with 50% mice dead after 7 days (Fig. 4).
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FIG. 4. GR024 (galE) and GR026 (BMEI1090-BMEI1091) protect IRF-1/ mice from virulent challenge. IRF-1/ mice (n = 9) immunized with the different attenuated B. melitensis strains (GRO19 (virB4), GR024 (galE), GR026 (BMEI1090-BMEI1091), and BM710 (1 x 107 i.p./mouse) were challenged with virulent B. melitensis GR023 (1 x 106) and monitored for survival.
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FIG. 5. A. Bioluminescent monitoring of virulent B. melitensis infection in vaccinated IRF-1/ mice. IRF-1/ mice vaccinated with GR019 (virB4), GR024 (galE), GR026 (BMEI1090-BMEI1091), and BM710 were imaged for 10 min following GR023 challenge. The numbers below the panels indicate the number of days postinfection, and images representing the same day postinfection from different groups are shown. The bioluminescent image of the same single mouse (n = 9) from each group at different times is shown. The rainbow scale represents approximate photon counts. B. Bioluminescence imaging of surviving IRF-1/ mice 44 days following challenge and the corresponding histological changes in livers and spleens. Livers were scored by the number of focal granulomas observed per field of view (fov) at a magnification of x4. The average numbers of granulomas from 8 fov are indicated as follows: +, 1 to 8; ++, 9 to 16; +++, 17 to 24. Spleens were scored on the loss of white and red pulp architecture at a magnification of x4 as follows: , normal spleen or no noticeable changes; +, enlarged follicles, increased cellularity, and white pulp; ++, hyperplasia, with a significant increase in follicle size, and white pulp; +++, increased red pulp and loss of white pulp architecture.
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FIG. 6. A. Real-time analysis of attenuated bioluminescent B. melitensis strains in C57BL/6 mice. C57BL/6 mice were infected with 5 x 107 CFU of B. melitensis strains GR019 (virB4), GR024 (galE), and GR026 (BMEI1090-BMEI1091) and imaged daily with a 10-min exposure. Numbers below the panels indicate the number of days postinfection, and images representing the same day postinfection from different groups are shown. The bioluminescent image of the same single mouse from each group is shown. B. Bioluminescent monitoring of the virulent B. melitensis infection in vaccinated C57BL/6 mice. C57BL/6 mice vaccinated with different attenuated strains were challenged with GR023 and imaged for 10 min. The rainbow scale represents approximate photon counts. The bioluminescent image of the same single mouse (n = 4 for each time point) at different time points from each group is shown.
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FIG. 7. CFU counts from livers (A) and spleens (B) of C57BL/6 mice vaccinated with GR019 (virB4), GR024 (galE), GR026 (BMEI1090-BMEI1091), BM710, or Rev-1 followed by virulent GR023 challenge. The number of CFU per gram of tissue was determined, and geometric means were derived from three or four mice at each time point (weeks postchallenge [Wks PC]). Error bars represent the range of CFU of the samples from each time point. Values that were statistically significantly different from the values for unvaccinated controls (P < 0.05 [*]) or from the values for BM710- and GR019 (virB4)-vaccinated groups (P < 0.05 [**]) are indicated.
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TABLE 3. Liver and spleen damage in C57BL/6 mice vaccinated with different Brucella strains following a virulent challenge
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FIG. 8. Large grossly visible focal calcified granulomas in the livers of C56BL/6 mice vaccinated with Rev-1. (A) Liver from an unvaccinated mouse. The livers from unvaccinated mice or mice vaccinated with other attenuated mutants had no visible focal calcified granulomas at any time point, unlike the mice from Rev-1-vaccinated group. (B to D) Livers from Rev-1 vaccinated mice containing large focal granulomas with secondary changes, including a central area of necrosis, neutrophil infiltration, and fibrosis with calcification (C and D).
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Both galE and BMEI1090-BMEI1091 mutants exhibited growth patterns in macrophages intermediate to smooth and rough strains of Brucella (41), suggesting that they may have an altered surface structure. Both strains produced very fine agglutination in the presence of acriflavin and were partially resistant to smooth-type-specific Tb phage (30). In strain GR024 (galE), the transposon insertion is in ORF BMEI0921, a NAD-dependent epimerase/dehydratase family member that is closely related to enterobacterial galE. In many gram-negative bacteria, galactose is converted to UDP-galactose and the galE gene product, UDP-galactose 4-epimerase, catalyzes reversible conversion of UDP-galactose to UDP-glucose. UDP-galactose serves as donor for both LPS core and O-antigen polysaccharide biosynthesis. Therefore, galE mutants are defective in LPS, and thus, the galE gene is an important virulence factor. The acriflavin agglutination and phage susceptibility tests suggest a defect in the GR024 (galE) LPS; however, GR024 (galE) was not sensitive to growth in galactose-containing medium (1, 37; data not shown). The galE mutants fed excess galactose accumulate UDP-galactose, which is toxic to the cell (1). The galE mutants of other bacteria display contrasting responses to galactose, with some being sensitive while others were not sensitive to galactose (16, 19, 29, 36). Strikingly, the galE mutants of Brucella abortus and B. melitensis have different responses to growth in galactose (35, 43). The B. melitensis galE mutant (Bm92) is not sensitive to galactose; however, a plasmid that encodes the B. melitensis galE ORF complemented a galE mutation in Salmonella enterica serovar Typhimurium LB5010, as shown by the restoration of smooth LPS, sensitivity to phage P22 infection, and restoration of UDP galactose-4-epimerase activity, suggesting a role for GalE in LPS biogenesis (35). Interestingly, LPS of B. melitensis mutant Bm92 has been reported to have no major differences compared to LPS from strain 16M (35). This implies that minor differences that were not readily discernible by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and Western blot analysis may exist, since extraction of smooth LPS from Brucella is difficult due to its peculiar composition (25). Analysis of the galE homolog of Yersinia enterocolitica indicates that although it can complement an E. coli galE mutant, its primary function in Y. enterocolitica is not in the production of UDP-galactose but, instead, some other nucleotide sugar required for LPS biosynthesis (36). However, without fine structural analysis of LPS, it is not known whether Y. enterocolitica LPS has galactose or whether galE catalyzes the formation of a closely related sugar in the LPS structure. Similarly, in Brucella GalE may modify a closely related sugar, but a detailed chemical analysis of the LPS composition will be required to identify the role of GalE in LPS biogenesis. Consistent with the above findings, our data also indicate minor changes in the GR024 (galE) LPS, as it was partially resistant to Tb phage and produced very fine agglutination particles instead of large particulate agglutination seen with rough mutants of Brucella (data not shown).
The GR026 strain has an insertion in the intergenic region of BMEI1090 and BMEI1091. Further, selective allelic replacement of these ORFs suggested that BMEI1090 and downstream genes are responsible for the attenuation of GR026 (BMEI1090-BMEI1091) (Table 1). Interrogation of the B. melitensis genome suggested that BMEI1090 and downstream genes (BMEI1087 to BMEI1090) likely form an operon. BMEI1087 encodes ß-hexosaminidase A, while BMEI1088 encodes soluble lytic murein transglycosylase, and these are involved in amino sugar metabolism and N-glycan biosynthesis (http://www.genome.ad.jp/kegg). Therefore, this operon may contribute to cell membrane biogenesis. Consistent with this observation, the acriflavin agglutination and Tb phage susceptibility tests suggested that GR026 (BMEI1090-BMEI1091) has a surface structure defect. Complementation of BMEI1090-BMEI1091 with a plasmid containing BMEI1087-BMEI1090 ORFs resulted in more pronounced agglutination and complete resistance to Tb phage, which suggests that the expression of these genes is under strict regulation.
Vaccination with both GR024 (galE) and GR026 (BMEI1090-BMEI1091) strains protected IRF-1/ mice from virulent B. melitensis challenge, whereas strains GR019 (virB4) and BM710 failed to protect these mice. In addition, GR024 (galE)- and GR026 (BMEI1090-BMEI1091)-vaccinated mice displayed minimal changes in livers and spleens, and no bioluminescence was observed at 44 days postchallenge. IRF-1/ mice are defective in multiple immune components, with reduced numbers of CD8+ T cells, functionally impaired natural killer cells, and dysregulation of interleukin-12 p40 and inducible nitric oxide synthase (44). Though these mice are severely immunocompromised, they mount an adaptive immune response sufficient to protect against virulent challenge, and the protection is vaccine strain dependent. Unlike GR019 (virB4), both GR024 (galE) and GR026 (BMEI1090-BMEI1091) produced a localized but persistent infection in these mice (40; data not shown) and induced a protective immune response against virulent Brucella. This result is consistent with Plommet's observation that survival of the vaccine strain in the host for a critical period determines the efficacy of Brucella vaccines (38). Similar results have been observed with two field vaccine strains, S19 and RB51 in that S19 has been shown to persist longer and is more protective than RB51 in mice and other models (22, 42). However, S19 still possesses residual virulence in domestic animals and in IRF-1/ mice (21, 31), whereas RB51 is highly attenuated (21). The galE and BMEI1090-BMEI1091 mutants are highly attenuated in IRF-1/ mice, similar to RB51, but cause no or very minimal pathological changes in livers and spleen and are protective. Consistent with the IRF-1/ mouse data, both GR024 (galE) and GR026 (BMEI1090-BMEI1091) provided greater protection to C57BL/6 mice than GR019 (virB4) or BM710 did, which suggests that IRF-1/ mice may serve as an important model to rapidly assess vaccine efficacy of Brucella strains. Interestingly, Rev-1-vaccinated mice had fewer CFU in both livers and spleens than GR024 (galE)- and GR026 (BMEI1090-BMEI1091)-vaccinated mice; however, Rev-1-vaccinated mice displayed severe liver damage with grossly visible lesions (Fig. 8) that was not observed in other groups. These lesions are likely vaccine induced, as they were apparent even at 1 week postchallenge. Rev-1 vaccine is used in domestic animals with various degrees of success in areas where B. melitensis is endemic (5). Although Rev-1 protected wild-type mice, Rev-1 was highly virulent to IRF-1/ mice (Table 2) and caused severe liver damage in wild-type mice. This is in line with the fact that Rev-1 strain can still cause clinical brucellosis (38). In summary, our study revealed the contribution of Brucella genes to in vivo pathogenesis and identified a new set of virulence genes (BMEI1090 and downstream genes). Further, the GalE-deficient GR024 strain has altered LPS, results in no detectable tissue damage, and protects against virulent B. melitensis challenge, making it an interesting vaccine candidate for brucellosis.
This work was supported by the NIH grant R01AI048490, NIH/NIAID RCE for Biodefense and Emerging Infectious Diseases Research Program grant 1-U54-AI-057153, and USDA grant 35204-14856.
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