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Infection and Immunity, May 2006, p. 3065-3067, Vol. 74, No. 5
0019-9567/06/$08.00+0     doi:10.1128/IAI.74.5.3065-3067.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

The Iron Efflux Protein Ferroportin Regulates the Intracellular Growth of Salmonella enterica

Sabine Chlosta,1,3 Douglas S. Fishman,2,4 Lynne Harrington,1 Erin E. Johnson,2 Mitchell D. Knutson,5 Marianne Wessling-Resnick,2 and Bobby J. Cherayil1*

Pediatric Gastroenterology Unit, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts;,1 Department of Genetics and Complex Diseases, Harvard School of Public Health, Boston, Massachusetts,2 Department of Medical Microbiology and Immunology of Infection, Charité Medical School, Berlin, Germany,3 Division of Pediatric Gastroenterology and Nutrition, Children's Hospital, Boston, Massachusetts,4 Food Science and Human Nutrition Department, University of Florida, Gainesville, Florida5

Received 7 December 2005/ Returned for modification 31 January 2006/ Accepted 15 February 2006


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ABSTRACT
 
We investigated the influence of the macrophage iron exporter ferroportin and its ligand hepcidin on intracellular Salmonella growth. Elevated ferroportin expression inhibited bacterial multiplication; hepcidin-induced ferroportin down-regulation enhanced it. Expression analysis of iron-responsive Salmonella genes indicated ferroportin-mediated iron deprivation. These results demonstrate a role for ferroportin in antimicrobial resistance.


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TEXT
 
Iron has a significant impact on infectious disease. Variations in dietary iron have been shown to influence the incidence and course of malaria, brucellosis, and tuberculosis (9, 21). Iron overload states such as sickle cell anemia and ß-thalassemia increase the risk of infection with Salmonella and other pathogens (23, 28). Allelic variations in the macrophage metal transporter Nramp1 (Slc11a1) affect resistance to Salmonella, Leishmania, and mycobacteria, probably by influencing intraphagosomal iron concentrations (8). Some forms of hemochromatosis, an inherited disorder of iron metabolism, are also linked to susceptibility to intracellular pathogens, an association that has not been explained at a molecular level (11, 20). Since mutation or abnormal expression of the macrophage iron efflux protein ferroportin (FPN; Slc40a1) is a key feature of hemochromatosis (3, 10, 24), we examined the effect of FPN on the intracellular growth of Salmonella.

(Experiments carried out by S. Chlosta constituted part of a doctoral thesis submitted to the Charité Medical School of Berlin.)

We used the gentamicin protection assay to compare the growth of Salmonella (Salmonella enterica serovar Typhimurium strain SL1344) in stable, retrovirally transduced clones of J774, a murine macrophage line that carries the susceptible allele of Nramp1 (25). The J774-FPN1.RV2 clone, which expresses murine FPN and green fluorescent protein (GFP) from an integrated bicistronic vector, has two- to threefold-higher levels of FPN than the control J774-GFP.RV clone (16) (Fig. 1), a difference that is similar to the changes in FPN expression observed in both human hemochromatosis and mouse models of this disease (2, 15, 27, 29). As shown by the representative experiment whose data are presented in Fig. 1, the number of intracellular bacteria at 20 h postinfection was significantly lower in the J774-FPN1.RV2 cells. Similar data were obtained from four separate experiments, with the number of intracellular salmonellae in the J774-FPN1.RV2 cells being 2- to 25-fold less than in the J774-GFP.RV cells. Since the numbers of bacteria in the two cell lines were similar at 2 h postinfection, these results suggest that the intracellular multiplication of Salmonella was inhibited by the higher levels of FPN in the J774-FPN1.RV2 cells. FPN-dependent inhibition of Salmonella growth was also observed in transiently transfected HeLa cells, with the number of intracellular salmonellae at the 20-h time point being 5- to 18-fold lower in FPN-expressing cells in multiple experiments (Fig. 2). We found that the Q182H mutation of FPN, which is associated with hemochromatosis (14), also inhibited the growth of Salmonella in HeLa cells (Fig. 2), consistent with its wild-type iron export function (18). It is pertinent that the inhibitory effect of FPN on Salmonella growth is similar to that observed with Nramp1 (12, 17), which has an established in vivo role in regulating susceptibility to intracellular pathogens in mice and humans (8).


Figure 1
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  		FIG. 1. Effect of FPN on intracellular survival of Salmonella in J774 macrophages. J774-GFP.RV (G) or J774-FPN1.RV2 (F) cells were infected with Salmonella, and the number of intracellular bacteria surviving at 2 or 20 h postinfection was determined. Means (plus standard deviations; n = 3) from a single experiment are shown. The results are representative of four such experiments. The upper part of the figure shows FPN expression in the two J774 clones. The numbers below the Western blots show the relative intensities of the FPN bands based on densitometry (normalized to actin).


Figure 2
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  		FIG. 2. Effect of FPN expression on survival of Salmonella in HeLa cells. HeLa cells were transiently transfected with expression plasmids encoding GFP (G), wild-type FPN (F), or the Q182H mutant of FPN (Q). The results of Western blotting for FPN and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) expression are shown at the top. The lower part shows the number of intracellular Salmonella surviving at 2 or 20 h postinfection. Means (plus standard deviations; n = 3) from a single experiment are shown. The results are representative of two such experiments for the GFP expression construct and at least five such experiments for the FPN and Q182H mutant constructs.

Hepcidin is a hepatic peptide that is produced in response to inflammation and systemic iron overload (24). It binds FPN and induces its degradation, thus decreasing the export of iron from FPN-expressing cells such as macrophages and enterocytes (22). Abnormally low hepcidin levels are associated with at least two forms of hemochromatosis (24). To determine how hepcidin affects FPN bacteriostatic function, transiently transfected HeLa cells were treated with the peptide and infected with Salmonella. As shown previously (6, 22), hepcidin treatment reduced the level of wild-type FPN (Fig. 3). Correspondingly, FPN effects on intracellular Salmonella growth were reversed by hepcidin in both HeLa cells (Fig. 3) and the J774-FPN1.RV2 clone, although less dramatically in the latter (data not shown). Hepcidin did not affect Salmonella growth when added directly to bacterial cultures. The Q182H mutant was partially resistant to hepcidin-induced degradation, in agreement with other reports (18), and correspondingly, we found that unlike wild-type FPN, the mutant continued to inhibit bacterial growth in the presence of hepcidin (Fig. 3).


Figure 3
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  		FIG. 3. Effect of hepcidin on wild-type and Q182H FPN. HeLa cells were transfected to express either wild-type FPN or the Q182H mutant. Eighteen to 24 h later, hepcidin was added to the cells at 700 nM. For the Western blot, hepcidin was added for the indicated times after pretreatment of the cells for 60 min with 100 µM cycloheximide. The numbers below the blots indicate FPN band intensity, normalized to actin and expressed as a percentage of the control. For the gentamicin protection assay, the cells were infected with Salmonella about 18 h after the start of hepcidin treatment, and the number of intracellular bacteria surviving at 20 h postinfection was determined. Means (plus standard deviations; n = 3) from a single experiment are shown. The results are representative of three such experiments.

Two potential mechanisms could explain the FPN-mediated inhibition of Salmonella growth. FPN localizes to the plasma membrane and intracellular vesicles in primary macrophages (1, 4, 6) and J774 cells (F. Aydemir and M. Knutson, unpublished observations). Thus, it could inhibit bacterial growth by either iron deprivation or iron toxicity, depending on whether its iron export activity functions predominantly at the plasma membrane or the membrane of the Salmonella-containing vacuole. To distinguish between these mechanisms, we used reporter assays to examine the influence of FPN on expression of the Salmonella genes entF and iviXVII, which are induced by low and high iron concentrations, respectively (13). Salmonella strains containing ß-galactosidase reporters controlled by either the entF or the iviXVII promoter were used to infect the J774-GFP.RV and J774-FPN1.RV2 cells. Four hours later, ß-galactosidase expression was determined by a colorimetric assay (19). As shown in Fig. 4, entF-driven ß-galactosidase expression (measured by absorbance at 420 nm and corrected for intracellular bacterial number) was reproducibly and significantly higher in the J774-FPN1.RV2 cells than in the J774-GFP.RV cells. The expression of the iviXVII reporter was slightly lower in the J774-FPN1.RV2 cells, and although this difference was not statistically significant, the trend was consistent with the behavior of the entF reporter. These results suggest that increased FPN expression inhibits Salmonella growth by decreasing the iron concentration in the intracellular microenvironment of the bacteria (although indirect effects on bacterial multiplication and reporter gene expression, possibly mediated by other iron transporters, could also contribute).


Figure 4
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  		FIG. 4. Effect of FPN on entF and iviXVII reporter gene expression. J774-GFP.RV (G) or J774-FPN1.RV2 (F) cells were infected with Salmonella strains carrying either the entF or iviXVII ß-galactosidase reporters. ß-Galactosidase expression was determined at 4 h postinfection and corrected for the number of intracellular bacteria. Means (plus standard deviations) from the results of three separate experiments are shown.

Our findings indicate an important role for FPN in controlling the growth of Salmonella inside cells and suggest that altered FPN expression and function in hemochromatosis, and possibly other iron overload states, may explain the susceptibility to intracellular pathogens in these conditions (11, 20, 23, 28). While up-regulation of hepcidin in response to infection is generally considered to be protective, our observations indicate that the opposite is true for intracellular pathogens. Hepcidin-resistant FPN mutations like Q182H may thus confer an advantage to the infected host by preserving resistance to intracellular pathogens even in the presence of elevated hepcidin. Several types of FPN mutations that differ in function and hepcidin sensitivity have been identified in patients with hemochromatosis (5, 7, 26). Determining how these mutations affect FPN's ability to inhibit bacterial growth will help to identify individuals who are most susceptible to intracellular infection.


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ACKNOWLEDGMENTS
 
This work was supported by Public Health Service grants AI065619 (to B.J.C.) and DK05610 and DK064750 (to M.W.-R.).

We thank David Haile, South Texas Veterans Health Care System, for anti-FPN antibody and Michael Mahan, University of California, Santa Barbara, for entF and iviXVII Salmonella reporter strains. The technical assistance of Joan Lee is also gratefully acknowledged.


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FOOTNOTES
 
* Corresponding author. Mailing address: Pediatric Gastroenterology Unit, Massachusetts General Hospital, Building 114, 16th Street, Charlestown, MA 02129. Phone: (617) 726-4170. Fax: (617) 726-4172. E-mail: cherayil{at}helix.mgh.harvard.edu. Back

Editor: F. C. Fang


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Infection and Immunity, May 2006, p. 3065-3067, Vol. 74, No. 5
0019-9567/06/$08.00+0     doi:10.1128/IAI.74.5.3065-3067.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.



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