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Infection and Immunity, October 2007, p. 4891-4899, Vol. 75, No. 10
0019-9567/07/$08.00+0 doi:10.1128/IAI.00484-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Advanced Center for Genome Technology, University of Oklahoma, Norman, Oklahoma 73019,1 Department of Cell and Molecular Biology, University of Rhode Island, Kingston, Rhode Island 028812
Received 3 April 2007/ Returned for modification 1 June 2007/ Accepted 30 July 2007
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Nutrients consumed for growth of the microflora are thought primarily to be fermentable carbohydrates, the bulk of which are in the form of polysaccharides (37). E. coli colonizes the mouse intestine by growing within the polysaccharide-rich mucus layer covering the epithelium but is unable to degrade polysaccharides. Apparently, E. coli consumes the mono- and disaccharides released during degradation of mucosal polysaccharides and dietary fiber (8) by polysaccharide hydrolase enzymes secreted by members of the anaerobic microflora (11) and, perhaps, host colonic epithelial cells (6). Recent studies from our laboratory demonstrate that seven mucus-derived sugars contribute to E. coli colonization of the mouse intestine, suggesting that biochemical flexibility is key to its competitiveness in vivo (8). E. coli is nearly equally flexible in its respiratory metabolism (17), but nothing is known about the role of bacterial respiration for coupling ATP generation to carbohydrate oxidation in vivo. Thus, it is important to test the hypothesis that respiration confers a competitive advantage to E. coli in the intestine.
Enterohemorrhagic E. coli (EHEC), has an infectious dose for humans as low as 10 microorganisms and, following ingestion, grows rapidly to a population approaching a billion bacteria per gram of feces (24). Since colonization is the first step in the infection process, it is crucial to understand how EHEC colonizes the intestine because low numbers can survive transport to consumers in foodstuffs such as leafy vegetables, which have caused recent outbreaks in the United States (36). It is not known how EHEC acquires nutrients and generates energy for growth in vivo. While respiration is not a virulence factor per se, our experiments seek to establish the fundamental importance of housekeeping functions, such as energy metabolism, for pathogenesis. Since most mucosal pathogens are facultative anaerobes, these studies of E. coli may be extended to include many diseases.
Here we report the results of a systematic mutational analysis designed to identify which respiratory pathways contribute to the ability of commensal and pathogenic E. coli to colonize the streptomycin-treated mouse intestine. Our findings lead us to conclude that respiration provides an enormous competitive advantage to E. coli in vivo. The results challenge the traditional view that the intestine is strictly anaerobic (4). Instead, we obtained evidence that E. coli colonization of the mouse intestine is maximized by the ability to respire oxygen.
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Phenotypic analysis. MOPS [3-(N-morpholino) propanesulfonic acid] defined medium was used to grow cultures for growth curves, as described previously (8). Anaerobic cultures were grown in culture tubes filled to the top with N2-sparged medium, sealed, and incubated in Balch tubes. To test for nitrate or fumarate reductase activity, mutant strains were grown anaerobically overnight in MOPS medium with glycerol (1.6%) as the carbon source and either 50 mM nitrate or fumarate as the electron acceptor. Cell growth was monitored spectrophotometrically by the optical density at 600 nm.
High-performance liquid chromatography analysis. A Dionex DX-500-Microbore system was used with an IonPac AS11 column for anion analysis of mucus. Standards and blanks were analyzed, and standard curves were developed for a 1-mg sample of cecal mucus. Mouse cecal mucus was isolated from the cecum of CD-1 male mice and lyophilized as described previously (50). Regression coefficients for standard curves were calculated and used to demonstrate the linearity of the peak area with respect to concentration.
Mouse colonization experiments.
The streptomycin-treated mouse model has been used extensively to study colonization of the mouse large intestine by E. coli and Salmonella enterica serovar Typhimurium (8, 12, 22, 50). Briefly, three CD-1 male mice, 6 weeks of age, were given drinking water containing streptomycin sulfate (5 g/liter) for 24 h to remove the existing resident facultative microflora and then starved for food and water for 18 to 24 h. The mice were then fed approximately 105 CFU of both the wild-type and mutant strains in 1 ml of 20% sucrose. The wild-type strains were E. coli MG1655 Strr Nalr (nalidixic acid resistance) (33) and E. coli EDL933 Strr Nalr (31); Nalr was used to distinguish the wild-type (reference strain) from the null allele mutants in fecal plate counts. After the bacterial suspension was ingested, food and streptomycin-water were restored and fecal plate counts were determined at 5 h, 24 h, and on every other day thereafter for 15 days. Fecal samples were homogenized and diluted in 1% tryptone broth and plated on MacConkey agar containing either streptomycin (100 µg/ml) and nalidixic acid (50 µg/ml) to count the wild type or streptomycin and kanamycin (40 µg/ml) or chloramphenicol (30 µg/ml) to count the null allele mutants. Each colonization experiment was repeated on separate occasions, and the plotted values (in figures) represent the average for six mice. The log10 mean number of CFU per gram of feces ± the standard error for each strain in the mice was calculated for each time point. In all experiments, a difference between two strains of
10 CFU/g feces was statistically significant (i.e., P < 0.005 in Student's t test [two tailed with unequal variance]). The limit of detection in fecal plate counts was 102 CFU/g feces. To determine the role of strains during the maintenance stage of colonization, mice were colonized for 10 days with a mutant strain of E. coli EDL933, starved for food and streptomycin-water overnight, and fed 1010 CFU of the wild-type strain E. coli EDL933 Strr Nalr, after which food and streptomycin-water were replaced.
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TABLE 1. Competitive colonization between respiratory mutants and wild-type E. coli strainsa
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(atpA-atpG)::cat and E. coli MG1655
(atpA-atpG)::cat mutants were eliminated from mice within 5 days (Table 1 and Fig. 1A). It is formally possible that mutations inadvertently introduced elsewhere on the genome caused the observed colonization phenotype. However, we would argue that this was not the case, for the following reasons. First, each of the allelic replacements described here and elsewhere (8, 28, 31, 33) was obtained with a frequency that varied less than 1 order of magnitude. Second, half of the mutants tested here and in similar studies (8) had no colonization defects. Third, the results were essentially identical in two different genetic backgrounds (EDL933 and MG1655). The failure of the
(atpA-atpG)::cat mutants to initiate colonization could be due to a general inability to grow in the intestine rather than an inability to compete with the wild type. To distinguish these possibilities, the mutants were fed alone to mice and found to colonize at wild-type levels (Fig. 1B) (data not shown). The ability of the respiratory-defective mutants to colonize alone indicates that fermentation is sufficient for growth of E. coli in the mouse intestine, but oxidative phosphorylation is essential for competition with respiratory-competent strains. This finding led us to consider whether one or more modes of respiration are crucial to occupation of intestinal niches formed by electron acceptor availability.
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FIG. 1. Respiratory mutants exhibited colonization defects in competitive colonization assays. E. coli EDL933 (atpA-atpG) (A) and E. coli EDL933 (cydA-cydB) (C) mutants were eliminated during competition with wild-type E. coli EDL933 but were able to colonize when fed alone to mice (B and D, respectively).
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(cydA-cydB)::cat mutant constructions deleted genes encoding both subunits (I and II) of cytochrome bd oxidase, as shown previously (19). The E. coli EDL933
(cydA-cydB)::cat and E. coli MG1655
(cydA-cydB)::cat strains were eliminated by day 11 during competition with their wild-type parents (Table 1 and Fig. 1C). The fitness defect observed for the
(cydA-cydB)::cat strains was not merely a growth defect, since the mutants colonized when fed alone to mice (Fig. 1D) (data not shown). To confirm the requirement for high-affinity oxygen respiration,
(cydD-cydC)::cat mutants, which cannot assemble cytochrome bd oxidase in the membrane (39), were tested and found to have similar colonization defects (Table 1 and Fig. 2A). The
(cydD-cydC)::cat mutants were able to colonize when fed to mice alone (Fig. 2B) (data not shown). We note that in addition to CydDC being required for cytochrome bd oxidase assembly and activity (39), cydDC encodes a glutathione transport system (38), which if relevant might also be required for colonization. Since the
(cydA-cydB)::cat and
(cydD-cydC)::cat mutants failed to initiate colonization (i.e., 24 h), it was necessary to determine if they were also defective in the maintenance stage (beyond 7 days). Therefore, mice were precolonized (for 10 days) with E. coli EDL933
(cydD-cydC)::cat and then challenged with the E. coli EDL933 wild type; the mutant was eliminated by the wild type in 7 days, confirming that functional cytochrome bd was important for maintenance of colonization (Fig. 2C).
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FIG. 2. Cytochrome bd oxidase assembly mutants of E. coli EDL933 exhibited colonization defects in competitive colonization assays. E. coli EDL933 (cydD-cydC) was defective in competition with wild-type E. coli EDL933 (A) but colonized at wild-type levels when fed alone (B). The (cydD-cydC) mutant exhibited a maintenance defect when mice were precolonized with E. coli EDL933 (cydD-cydC) and challenged with wild-type E. coli EDL933 at day 10 (C).
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(cyoA-cyoB)::cat mutants deleted the genes encoding subunits I and II of the cytochrome bo3 oxidase, as shown previously (2). The results showed that E. coli EDL933
(cyoA-cyoB)::cat and E. coli MG1655
(cyoA-cyoB)::cat strains cocolonized with their respective wild-type parents, indicating that respiration of high oxygen levels was not necessary for colonization (Table 1). In summary, the colonization defects of the cytochrome bd oxidase mutants challenge the traditional view that the intestine is anaerobic (4). Instead, the results support the hypothesis that a microaerobic niche is critical for both establishing and maintaining E. coli in the intestine. Thus, a competitive advantage in vivo is conferred on strains that respire oxygen.
Aerobic respiratory control is necessary for colonization.
E. coli governs respiratory flexibility via the global regulators ArcA and Fnr. ArcA is a two-component regulator of several hundred genes (30) that responds to the oxidation state of the quinone pool, which is sensed by ArcB (18). Under high oxygen tension, E. coli expresses the low-affinity oxidase cytochrome bo3 (encoded by cyoABCDE) and the high-affinity oxidase cytochrome bd (encoded by cydAB) is repressed. Under microaerobic conditions, where oxygen scavenging may play an important role for growth and survival, ArcB phosphorylates ArcA, which represses the cyoABCDE operon and activates the cydAB and cydDC operons (1). Since the experiments described above indicated the importance of cytochrome bd, we reasoned that arcA mutants would have colonization defects. The construction of E. coli EDL933
arcA::cat and E. coli MG1655
arcA::kan deleted the gene encoding the response regulator of the ArcAB two-component system, as previously described (23). Although
arcA mutants colonized when fed alone (Fig. 3B) (data not shown), they could not compete with their respective wild types and were eliminated from mice within 3 days (Table 1 and Fig. 3A). While it is tempting to speculate that the colonization defect of the
arcA mutants resulted solely from failure to induce cydAB, the pleiotropic phenotype of the
arcA strain makes a number of alternative explanations possible. What is clear from this experiment is that appropriate regulation of aerobic respiratory genes is necessary for E. coli to be competitive in vivo.
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FIG. 3. Aerobic respiratory and anaerobic global regulatory mutants exhibited colonization defects in competitive colonization assays. E. coli EDL933 arcA was eliminated during competition with wild-type E. coli EDL933 (A) but was able to colonize when fed alone (B). E. coli EDL933 fnr was eliminated during competition with wild-type E. coli EDL933 (C) but was able to colonize when fed alone (D).
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fnr::kan mutants to test the contribution of this global regulator during colonization. The E. coli EDL933
fnr::kan and E. coli MG1655
fnr::kan mutants were fed together with the respective wild types and found to initiate colonization (although not as well as the wild type), and then they were eliminated by day 5 (Table 1 and Fig. 3C). The defect was not an inability to grow in the intestine, since the
fnr::kan mutants colonized when fed alone to mice (Fig. 3D) (data not shown). Since the
fnr::kan mutants exhibit colonization defects in competition with the wild type, this implies that E. coli experiences conditions in the intestine that are required for Fnr function (7): i.e., anaerobic or nearly anaerobic conditions. Thus, we conclude that Fnr-dependent genes contribute to colonization success. While these results indicate that appropriate regulation of anaerobic respiration is important for colonization, the specific roles of the alternative pathways were unclear.
Nitrate reductase is necessary for colonization.
To determine which anaerobic respiratory pathways were used during colonization, we considered the in vivo role of nitrate reduction. Since E. coli has three systems for nitrate respiration, it was necessary to consider strains with mutations that eliminated each individually and in combination (17). Mutation of the primary nitrate reductase was accomplished by deleting narG (47) to create E. coli EDL933
narG::kan and E. coli MG1655
narG::kan. When
narG::kan strains were fed together with their respective parent strains, they initiated colonization but then declined numerically (2.3 logs; P < 0.003) (Table 1 and Fig. 4A). To test the involvement in colonization of the secondary nitrate reductase, mutants were constructed in which narZ was deleted, the phenotype of which was described previously (46). Likewise, the involvement of the periplasmic nitrate reductase was tested with a construction that deleted napD and napA, which encode the assembly protein and large subunit of the reductase, respectively (46). In colonization assays, E. coli EDL933
narZ::cat, E. coli MG1655
narZ::cat, E. coli EDL933
(napD-napA)::cat, and E. coli MG1655
(napD-napA)::cat cocolonized with their wild-type parents, indicating that strains with these individual mutations had no phenotype in the intestine (Table 1).
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FIG. 4. Anaerobic respiration mutants exhibited colonization defects in competitive colonization assays. E. coli EDL933 narG (A), E. coli EDL933 narG narZ (B), E. coli EDL933 narG narZ (napD-napA) (C), and E. coli EDL933 frdA (D) mutants were defective in competition with wild-type E. coli EDL933.
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narZ::cat and
(napD-napA)::cat mutants did not exhibit colonization defects, there is reason to believe these gene systems should be expressed in the wild types under the conditions present in the intestine. First, the intestine contains regions that are microaerobic and others that are anaerobic (20), yet apparently is sufficiently anaerobic overall for Fnr control to be a factor in success of the entire E. coli population (Fig. 3). Second, we measured a concentration of 2.62 ± 0.21 mM nitrate in mouse cecal mucus (data not shown), a concentration which is physiologically relevant for controlling expression of the two nitrate-inducible systems (52). Third, E. coli cells isolated from the intestine show both logarithmic and stationary-phase characteristics (26). The narZYWV operon that encodes the secondary nitrate reductase is not regulated by anaerobiosis or nitrate but instead is RpoS dependent and induced in stationary phase (9). The napFDAGHBC operon that encodes the periplasmic nitrate reductase is maximally induced at 1 mM nitrate and is expressed at one-half of the maximal level at 2.5 mM (52). Thus, it is reasonable to expect that both the periplasmic and secondary nitrate reductases are expressed in the intestine. To investigate the phenotypes of these nitrate reductase mutations in the absence of the primary nitrate reductase, we constructed
narG
narZ::cat and
narG
narZ
(napD-napA)::cat mutants. In colonization assays, E. coli EDL933
narG
narZ::cat and E. coli MG1655
narG
narZ::cat mutants declined 3.2 log units (P < 0.000006) relative to the wild-type strain by day 15 (Table 1 and Fig. 4B). Also, the E. coli EDL933
narG
narZ
(napD-napA)::cat and E. coli MG1655
narG
narZ
(napD-napA)::cat mutants declined by 5 log units (P < 9 x 10–15) to populations just above the limit of detection (<103 CFU/g feces) by the conclusion of the experiments (Table 1 and Fig. 4D). The additive effect of the sequential nitrate reductase mutations in competition with the wild-type E. coli EDL933 in these experiments is statistically significant between the
narG::kan and
narG
narZ::cat mutants (P < 0.003) and between the
narG
narZ::cat and
narG
narZ
(napD-napA)::cat mutants (P < 0.004). From these results, we conclude the primary nitrate reductase plays the larger role of the three systems in the mouse intestine. In contrast, the
narZ and
(napD-napA) mutations affected colonization only in the
narG background, suggesting a synergy, rather than mere redundancy, between the primary nitrate reductase and the other two systems. Apparently, conditions in the intestine signal induction of the three nitrate reductase gene systems, which together confer a competitive advantage to E. coli.
Fumarate reductase is necessary for colonization.
To test the importance of fumarate as an alternative electron acceptor in vivo, we constructed mutants with frdA, which are known to inactivate fumarate reductase (43). E. coli EDL933
frdA::kan and E. coli MG1655
frdA::kan mutants were fed together with their respective parent strains and found to initiate colonization but then declined by approximately 4 logs relative to the wild type (Table 1 and Fig. 4D). Thus, fumarate reductase mutants competed poorly, indicating that fumarate is used in the intestine as an alternative electron acceptor. Since fumarate was not detected in intestinal mucus (data not shown), it most likely was generated endogenously, giving rise to succinate as a fermentation product during anaerobiosis (41).
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FIG. 5. Model of E. coli respiratory pathways. Respiratory oxidases and reductases used by E. coli in vivo are shown in black. The oxidase not affecting colonization is shown in gray. The environmental conditions affecting the key regulators of the genes encoding the oxido-reductases are shown. Activation is shown with arrowheads, and repression is shown with diamond heads.
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The inference that oxygen availability fluctuates because it is consumed by bacterial respiration suggests the interesting possibility that facultative anaerobes may make the intestinal environment more anaerobic. Indeed, this conclusion is supported by previous studies of the effect of streptomycin treatment on the mouse anaerobic microflora, which selectively removes facultative anaerobes (i.e., E. coli, enterococci, streptococci, and lactobacilli). Following administration of streptomycin, populations of strict anaerobes (e.g., bifidobacteria and clostridia) decreased, while populations of so-called "nanaerobes" were unchanged (22): e.g., Bacteroides fragilis, which respires oxygen when available in low concentrations (5). Thus, comparisons of the populations of anaerobes in mice with or without facultative anaerobes present support the hypothesis that oxygen-scavenging facultative anaerobes (e.g., E. coli) promote the stability of the predominantly anaerobic microflora, exemplifying how a minor member can have a large impact on an ecosystem.
Despite the apparent competitive advantage gained by oxygen respiration, the E. coli population is limited to between 108 and 109 CFU/g feces: i.e., E. coli represents between 1 in 1,000 and 1 in 10,000 bacteria in the intestine. The nutrient-niche hypothesis states that to be successful each species of the intestinal microflora must use at least one carbon source better than all other species (16). Corollary to this hypothesis, the population size of any member of the microflora is determined by the concentration of its preferred nutrient(s). The available concentrations of the seven sugars that contribute to colonization by E. coli MG1655 are quite low (12, 37). Since E. coli does not secrete polysaccharide-degrading enzymes, its preferred substrates are most likely provided by anaerobes, which degrade mucosal polysaccharides and dietary fiber and are thought to release the breakdown products for use by the host and other microbes (11). These facts lead to the conclusion that E. coli maximizes its growth yield by coupling oxidation of low nutrient concentrations to respiration in the intestine. This may be a general strategy of facultative anaerobes, which generally grow well on simple sugars but do not secrete polysaccharide-degrading enzymes. Thus, high-efficiency respiration may ensure the success of facultative anaerobes in the intestine, albeit always in lower numbers, by allowing them to maximize cell yield on scarce resources.
Since most mucosal pathogens are facultative anaerobes, our conclusions may extend to other mucosal pathogens. In support of this idea, Mycobacterium tuberculosis genes encoding cytochrome bd oxidase and the nitrate transporter were induced during mouse lung infection; a cytochrome bd oxidase mutant was attenuated during transition to chronic infection in mice (42). Likewise, Shigella flexneri cytochrome bd mutants showed decreased intracellular survival and attenuated virulence in mouse infections (53). These examples demonstrate the importance of respiration during infection by particular mucosal pathogens and support the idea that oxygen stimulates infectious disease by providing a competitive advantage for pathogens. Since there appears to be no distinction between enterohemorrhagic and commensal E. coli with respect to the respiratory pathways used in vivo, we suggest caution in targeting respiratory metabolism for combating EHEC infections because of potential collateral damage to commensal facultative anaerobes and the resulting instability of the intestinal microbiota (16).
In summary, we have shown that E. coli uses both aerobic and anaerobic respiratory pathways during colonization. The results presented in this study support the conclusion that the intestine is microaerobic and that aerobic bacterial respiration in the intestine is essential for competition and therefore successful colonization. Apparently, E. coli respires oxygen to optimize its reproduction in animals despite the low availability of its preferred carbon sources, which maximizes its colonization efficiency.
This work was supported by grant AI48945 from the National Institutes of Health.
Published ahead of print on 13 August 2007. ![]()
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