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Infection and Immunity, February 2007, p. 886-891, Vol. 75, No. 2
0019-9567/07/$08.00+0 doi:10.1128/IAI.01215-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Differential Abilities of Capsulated and Noncapsulated Staphylococcus aureus Isolates from Diverse agr Groups To Invade Mammary Epithelial Cells
Fernanda R. Buzzola,1
Lucía P. Alvarez,1
Lorena P. N. Tuchscherr,1
María S. Barbagelata,1
Santiago M. Lattar,1
Luis Calvinho,2 and
Daniel O. Sordelli1*
Departamento de Microbiología, Parasitología e Inmunología, Facultad de Medicina, Universidad de Buenos Aires, C1121ABG Buenos Aires, Argentina,1
Estación Experimental Agropecuaria Rafaela, INTA, CP2300 Santa Fe, Argentina2
Received 1 August 2006/
Returned for modification 11 October 2006/
Accepted 20 November 2006

ABSTRACT
Staphylococcus aureus is the bacterium most frequently isolated
from milk of bovines with mastitis. Four allelic groups, which
interfere with the regulatory activities among the different
groups, have been identified in the accessory gene regulator
(
agr) system. The aim of this study was to ascertain the prevalence
of the different
agr groups in capsulated and noncapsulated
S. aureus bacteria isolated from mastitic bovines in Argentina
and whether a given
agr group was associated with MAC-T cell
invasion and in vivo persistence. Eighty-eight percent of the
bovine
S. aureus strains were classified in
agr group I. The
remainder belonged in
agr groups II, III, and IV (2, 8, and
2%, respectively). By restriction fragment length polymorphism
analysis after PCR amplification of the
agr locus variable region,
six
agr restriction types were identified. All
agr group I strains
presented a unique allele (A/1), whereas strains from groups
II, III, and IV exhibited more diversity. Bovine
S. aureus strains
defined as being in
agr group I (capsulated or noncapsulated)
showed significantly increased abilities to be internalized
within MAC-T cells, compared with isolates from
agr groups II,
III, and IV.
agr group II or IV
S. aureus strains were cleared
more efficiently than
agr group I strains from the murine mammary
gland. The results suggest that
agr group I
S. aureus strains
are more efficiently internalized within epithelial cells and
can persist in higher numbers in mammary gland tissue than
S. aureus strains classified in
agr group II, III, or IV.

INTRODUCTION
Staphylococcus aureus is an important animal and human pathogen
responsible for diverse types of severe infections. In animals,
S. aureus is the bacterium most frequently isolated from milk
of bovines with mastitis (
28). Subclinical mastitis represents
from 90 to 95% of all cases of bovine udder infection and is
usually refractory to antibiotic treatment (
21). The limited
success of antibiotic therapy may be due to the ability of
S. aureus to invade and survive within different cell types found
in the mammary gland (
1,
12,
29). Therefore,
S. aureus can persist
in the host for a long time without causing an apparent inflammation
and/or clinical infection.
The pathogenesis of S. aureus infection is very complex. The agr (accessory gene regulator) locus is a quorum-sensing system that controls the expression of a variety of genes involved in tissue colonization (e.g., surface proteins) and invasion (e.g., extracellular toxins). Among other virulence factors, capsular polysaccharide (CP) is an important surface component that is up-regulated by agr during the postexponential growth phase (22). The importance of CP to internalization within cells of the infected host is underscored by the finding that reduced or absent CP expression enhances the adherence of S. aureus bacteria to endothelial cells (24). S. aureus specificity agr groups were defined based upon the polymorphisms of agrC, agrD, and agrB (14). There is mutual cross-inhibition between S. aureus isolates from different groups of the agr system (15). Several authors have described distinct agr alleles in S. aureus, as defined by agr restriction fragment length polymorphism, within agr groups (6, 8, 10).
Since a limited number of clones have been found in bovines with mastitis in different regions of the world (4, 11, 33), this study was aimed at ascertaining the prevalence of the different agr groups in S. aureus bacteria isolated from bovines with mastitis in Argentina and whether a given agr group was associated with MAC-T cell invasion and in vivo persistence.

MATERIALS AND METHODS
Bacterial isolates and growth conditions.
One hundred twenty-six epidemiologically unrelated
S. aureus isolates were obtained from the milk of cows with mastitis from
herds located in different districts of Argentina (
31). The
genetic relationship among most of these isolates was assessed
previously by SmaI pulsed-field gel electrophoresis typing and
automated EcoRI ribotyping (
4). Analysis of 17 strains included
in internalization assays was performed by arbitrarily primed
PCR (AP-PCR) (
36) and STAR restriction profile (STAR-RP) analyses
(
26). Genotypes defined by AP-PCR were identified by a single
lowercase letter in order to simplify description of the results.
All strains investigated were susceptible to methicillin.
S. aureus was identified by a standard procedure of the bacteriology
laboratory (
2). All bacteria were stored in trypticase soy broth
(Difco, Detroit, MI) medium with 20% glycerol at 20°C
until use. For the experiments, bacterial cells were collected
by centrifugation, washed with sterile saline solution, and
suspended in invasion medium (see below) to a density of ca.
10
7 CFU/ml. Production of CP5 and CP8 by clinical strains and
their
agr-null mutants was assessed by a colony immunoblot assay
(
16) and confirmed by an immunodiffusion test (
33). None of
the
S. aureus strains utilized in this study produced mucoid
colonies on Columbia salt agar. Isolates not reactive with antibodies
to CP type 1, 2, 5, or 8 were defined as nontypeable (NT) (
5).
The
agr mutant (
agr::
tetM) was transduced using

11 lysates of
the original
agr mutant RN6911 into bovine strains RA19 and
RA8. Transductants did not show hemolysis on rabbit and sheep
blood agar and did not produce RNAIII, as assessed by reverse
transcription-PCR.
Genomic DNA extraction.
Chromosomal DNA was purified from bovine S. aureus isolates after bacterial lysis with lysostaphin (5 µg/ml) and lysozyme (10 µg/ml) (Sigma Chemical Co., St. Louis, MO) by the method of Pitcher et al. (23).
Multiplex PCR.
The agr groups were determined by a multiplex PCR described previously by Gilot et al. (7). Briefly, purified nucleic acids (1 ng/µl) were amplified in a 25-µl reaction mixture containing 0.25 U/µl of Taq DNA polymerase (Invitrogen Corp., CA), 200 µM deoxynucleoside triphosphates (Promega, Madison, WI), 5 mM MgCl2, and the following primers (0.3 µM): Pan (5'-ATG CAC ATG GTG CAC ATG C-3'), agr1 (5'-GTC ACA AGT ACT ATA AGC TGC GAT-3'), agr2 (5'-TAT TAC TAA TTG AAA AGT GGC CAT AGC-3'), agr3 (5'-GTA ATG TAA TAG CTT GTA TAA TAA TAC CCA G-3'), and agr4 (5'-CGA TAA TGC CGT AAT ACC CG-3'). Multiplex PCRs were performed in an Eppendorf thermal cycler (Mastercycler Gradient) for 1 cycle at 94°C for 1 min; 26 cycles at 94°C for 30 sec, 55°C for 30 sec, and 72°C for 1 min; and finally 1 cycle at 72°C for 10 min. Amplification products were subjected to electrophoresis in a 1.5% agarose gel containing ethidium bromide and visualized by transillumination under UV.
Restriction fragment length polymorphism of the agr variable region.
Amplification of the agr locus variable region by PCR was performed using primers B1 (5'-TAT GCT CCT GCA GCA ACT AA-3') and C2 (5'-CTT GCG CAT TTC GTT GTT GA-3') as described by van Leeuwen et al. (37). Genomic DNA was amplified in a 100-µl reaction mixture containing Taq DNA polymerase (2.5 U) (Invitrogen), 200 µM deoxynucleoside triphosphates, 0.5 µM primers, and 2.2 mM MgCl2. Reactions were performed for 1 cycle at 94°C for 4 min; 40 cycles at 94°C for 1 min, 50°C for 1 min, and 74°C for 2 min; and finally 1 cycle at 74°C for 3 min. Samples were stored at 20°C before restriction. Then, agr amplicons (1,070-bp variable region of the agr operon) were restricted with RsaI (Promega) and AluI (Invitrogen) according to the manufacturer's instructions. The restriction fragments were separated by electrophoresis on a 3% agarose gel stained with ethidium bromide and visualized by transillumination under UV. agr alleles were defined and recorded according to the restriction patterns obtained with RsaI (capital letters) and AluI (arabic numbers).
Cell culture.
The established bovine mammary epithelial cell line (MAC-T) (13) was generously provided by Nexia Biotechnologies (Quebec, Canada). MAC-T cells were grown in Dulbecco's modified Eagle's medium (Gibco BRL, Grand Island, NY) supplemented with 10% heat-inactivated fetal bovine serum (Gibco BRL), insulin (5 µg/ml), hydrocortisone (5 µg/ml), penicillin (100 U/ml), and streptomycin sulfate (100 µg/ml) (Sigma Chemical Co., St. Louis, MO). Prior to each experiment, MAC-T cells were seeded at 6 x 104 cells/well in 24-well tissue culture plates and grown for 3 days at 37°C with 6% CO2.
Internalization assays.
Confluent MAC-T cell monolayers (approximately 2 x 105 to 2.5 x 105 cells/well) were washed four times with sterile phosphate-buffered saline (PBS) and then inoculated with bacteria suspended in fresh growth medium without antibiotics (invasion medium) to produce multiplicities of infection of 10 to 40. After incubation for 1 h at 37°C under 6% CO2, the wells were washed with PBS and then 1 ml of invasion medium supplemented with 100 µg of gentamicin (Sigma) was added to each well to kill extracellular bacteria. Incubation of cocultures with gentamicin proceeded for an additional 2 h at 37°C with 6% CO2. Supernatants were then collected and plated on trypticase soy agar (TSA) to verify the killing by gentamicin. The monolayer was washed four times with sterile PBS, treated for 5 min at 37°C with 100 µl of 0.25% trypsin-0.1% EDTA (Gibco BRL), and lysed by the addition of 900 µl of 0.025% Triton X-100 (USB, Cleveland, OH) in sterile distilled water to release intracellular staphylococci. The CFU number was determined by quantitative plating on TSA. MAC-T cell viability was evaluated by trypan blue exclusion.
Mouse ima infection model.
Outbred CF1 mice were bred and kept in the vivarium of the Department of Microbiology, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina. Animals were maintained according to the guidelines set forth by the National Institutes of Health Research Council (20). Seven to 10 days after parturition, groups of lactating female mice were inoculated with 0.05 ml of the bacterial suspension in physiologic saline solution (1 x 106 CFU/gland) by the intramammary (ima) route, as described previously (34). After 1 and 4 days, the left and right fourth (L4 and R4) mammary glands were aseptically removed and homogenized. Viable counts were performed on these homogenates by plating the samples on TSA. The experimental mouse model utilized in this study was recently validated as an experimental approach to the study of bovine mastitis (3).
Statistical analysis.
Multiple comparisons of intracellular-CFU/ml counts between agr groups were performed by the Kruskal-Wallis test. Nonparametrical data were analyzed with the Mann-Whitney test using GraphPad software (version 2.2; PRISM). P values lower than 0.05 were considered significant.

RESULTS
agr group of interference and polymorphism.
Multiplex PCR was performed using primers specific for the
agrB,
agrD, and
agrC genes, as described in Materials and Methods.
One hundred twenty-six epidemiologically unrelated bovine
S. aureus strains were analyzed as clone representatives from Argentina.
Most strains isolated from bovines with mastitis belonged in
agr group I (88%). Eight percent of the strains were identified
as being in
agr group III, whereas the remainder was classified
in
agr groups II and IV (2 and 2%, respectively). All
S. aureus agr strains of types II, III, and IV expressed CP8, whereas
agr group I
S. aureus isolates were either CP5 or NT (Table
1). One hundred five of 111
agr group I isolates were representative
of subtypes (>80% similitude) from a single isolate cluster
found in Argentina (
4). The polymorphism of the
agr locus was
determined by restriction profile analysis after amplification
of the variable region (1,070 bp) of the
agr operon. Combination
of the AluI and RsaI restriction patterns permitted identification
of six
agr restriction types. All
agr group I strains belonged
in prevalent allele A/1, whereas the strains from group II (B/2
and B/3), group III (C/5 and D/5), and group IV (B/2 and D/4)
exhibited more diversity.
agr group and MAC-T cell invasion.
The influence of the
agr group on the ability of
S. aureus to
remain within host cells was evaluated by the epithelial MAC-T
cell invasion assay. Two hours after addition of gentamicin,
the numbers of intracellular CFU in
agr group I strains were
significantly higher than those in group II, III, and IV strains
(Fig.
1) . Molecular epidemiologic analysis of the 17 strains
mentioned in Fig.
1 revealed 13 genotypes with less than 80%
homology (ascertained as described in Materials and Methods)
and that no single
S. aureus clone was associated with any
agr or capsule serotype group. The
agr system was probably active
in 14 of the 17 strains tested since they were able to express
CP. One of the strains (RA17) expressing neither CP5 nor CP8
(NT) exhibited a total deletion of the
cap cluster and a concomitant
insertion of an IS
257 variant (
5). The other two strains (RA19
and RA20) exhibited positive amplification for
capH-J5. The
many reasons why
S. aureus isolates bearing apparently conserved
cap5 or
cap8 clusters fail to express capsules has been described
recently. In any event, production of the RNAIII transcript
was detected in these three strains (Fig.
1), as ascertained
by reverse transcription-PCR, suggesting that the
agr system
was also functional in strains RA17, RA19, and RA20. Therefore,
increased internalization may not be due to any functional deficiency
of the
agr system. It must be noted that more than one-half
of the
S. aureus NT isolates from Argentina carry the IS
257-mediated
deletion of the
cap gene cluster (
35). Overall,
agr group I
strains are more efficiently internalized than strains of any
other
agr type. The statistical significance of this phenomenon
is not affected by CP expression, since the internalization
of any
agr group I CP5
S. aureus isolate was significantly increased
compared to that of any isolate in any remaining
agr group (Fig.
1). Figure
1 shows data for isolates representative of the population
under scrutiny (
31), which exhibits the distinctive feature
of exhibiting neither CP5 isolates within
agr groups II, III,
and IV nor CP8 isolates within
agr group I. Furthermore, all
NT isolates in this population belong in
agr group I (Table
1).
Two pairs of isogenic
agr group I strains were included in the
experiments in order to test whether impairment of the
agr system
in a CP5 (RA8) or an NT (RA19) background affects the internalization
of
S. aureus bacteria into MAC-T cells. To this purpose,
agr-null
mutants of strains RA8 and RA19 were obtained as described in
Materials and Methods. As expected, the
agr mutant derived from
RA8 showed an NT phenotype. RA8 and its
agr-null derivative
showed a significant increase in the number of intracellular
agr-null
S. aureus mutants compared with the wild-type strain
(Fig.
2). This result may be partially attributed to loss of
capsule expression by the
agr-null mutant. However, a significant
increase in the number of intracellular CFU of the
agr-null
RA19 strain was also observed when this strain was compared
with the
agr group I parental strain RA19 (both NT) (Fig.
2).
Moreover, the
agr-null RA19 mutant was internalized into MAC-T
cells in significantly greater numbers than the
agr-null RA8
mutant. These results demonstrate that the increased internalization
of
agr group I strains may be due not only to loss of capsule
expression but also to particular features of the genetic background
which may contain other genes up- or down-regulated by the
agr group I system.
agr group and persistence in vivo.
To evaluate the influence of
agr types on persistence in vivo,
S. aureus strains from each
agr group were selected to be evaluated
in the mouse mastitis model. Groups of lactating mice were inoculated
with the bacterial suspension (1
x 10
6 CFU/gland) by the ima
route. At 1 and 4 days postinoculation, the mammary glands (L4
and R4) were removed and homogenized, and homogenates were plated
on TSA to assess the bacterial colonization of the tissue. By
days 1 and 4 after inoculation, the CFU total for
S. aureus RA19 (
agr group I, NT) was significantly higher than those for
S. aureus agr groups II and IV (Fig.
3). In order to establish
whether the observed differences were solely due to the lack
of CP expression by
S. aureus RA19,
S. aureus RA8 (which expresses
CP5 and is in
agr group I) was included as a control. Even though
there was an increased clearance of the
agr group I CP5
S. aureus strain compared with that of the NT
S. aureus strain, differences
between the capsulated
agr group I and the capsulated
agr group
II and IV strains remained significant (Fig.
3). Moreover, significantly
more
S. aureus RA19 bacteria (787 CFU/ml) were internalized
into MAC-T cells, as measured at 24 h postinfection, than
S. aureus RA4 (
agr group II, CP8) (14 CFU/ml) and RA10 (
agr group
IV, CP8) bacteria (3.5 CFU/ml) (
P < 0.01, Mann-Whitney test).

DISCUSSION
The
agr system is polymorphic and permits classification of
S. aureus strains in four groups. In the present study, it was
observed that most bovine
S. aureus isolates under scrutiny
belonged in
agr group I (88%) whereas the remaining strains
were evenly distributed among
agr groups II, III, and IV. This
finding agrees with a previous observation by Gilot and van
Leeuwen (
8), who reported that 69% of bovine isolates of
S. aureus from France (mainly), the United States, the United Kingdom,
and Japan belonged in
agr group I. Similarly, a study of human
S. aureus showed that
agr group I was prevalent among clinical
strains (
6). Several authors have reported the existence of
distinct
agr alleles within
agr groups in
S. aureus (
19,
32).
Amplification of the variable region of the
agr locus and subsequent
restriction fragment length polymorphism analysis with enzyme
RsaI or AluI allowed identification of four (A, B, C, and D)
or five (1, 2, 3, 4, and 5) different patterns, respectively.
Combination of both restriction profiles allowed definition
of six
agr alleles in Argentina. The highly prevalent
agr group
I allele defined in this report as A/1 coincided with the RIII-A1
pattern defined by Gilot et al. (
7), which was the most prevalent
agr allele and contained 56.3% of the 71 bovine isolates investigated
by this author. An investigation on the prevalence of
S. aureus from humans and bovines revealed that there is a small, reduced
number of prevalent clones of defined
agr groups and
agr alleles
causing disease (
8). The same study showed that whereas
agr group I
S. aureus was highly prevalent in both bovines and humans,
there was a distinct allele distribution within the same
agr group. The authors concluded that the human and the bovine
S. aureus populations are different and that certain alleles in
one or the other population became prevalent due to their possession
of unique genetic characteristics. In favor of this conclusion,
Robinson et al. underscored the importance of host-pathogen
interaction governed by
agr-mediated virulence gene expression
over pathogen-pathogen interactions affected by
agr-mediated
bacterial interference (
27).
The ability of S. aureus to invade and survive in different cell types may contribute to persistence of the bacteria in the bovine mammary gland. In the present study, the bovine S. aureus strains defined as being in agr group I showed increased abilities to invade MAC-T cells. Conversely, isolates of agr groups II, III and IV were internalized less efficiently. Mullarky et al. demonstrated that less frequently isolated S. aureus agr genotypes from bovines were also the genotypes more efficiently attacked by bovine neutrophils (19). In agreement with the authors, we suggest that bovine S. aureus strains defined as being in agr group II, III, or IV may be more susceptible to attack by the host immune response because they tend to remain in larger numbers in the extracellular environment. In fact, agr group II or IV S. aureus strains were cleared more efficiently than agr group I strains from the murine mammary gland. Previous studies have shown that inactivation of the agr system provokes an increased capacity for cell invasion (39). Other authors have found that the agr system is not active during chronic infections (9). As expected, abrogation of the agr system in bovine agr group I S. aureus strains resulted in the absence of CP expression. In addition, the agr-null mutant from capsulated strain RA8 exhibited an increased ability to invade MAC-T cells. Interestingly, the internalization of the acapsular RA19 strain was significantly increased when the strain was converted into an agr-null mutant, and the agr-null RA19 mutant was internalized more efficiently than the agr-null RA8 mutant. In the light of the observations made in the present study, we could speculate that the high capacity of S. aureus agr group I to invade MAC-T cells might be due to specifically suppressed action of the agr locus. However, the agr systems in all bovine S. aureus strains investigated in this study were functional in vitro. Therefore, differences in the degrees of internalization should be attributed to another factor(s). Pragman et al. (25) suggested that under low-oxygen conditions in the S. aureus-infected mammary gland (18), the srrAB system would be activated, inducing down-regulation of the agr system. Under such a condition, capsule production (as well as production of other active exoproducts) would be inhibited and internalization would be favored. Whether the activity of the agr system is relevant to the outcome of infection in the bovine clinical strains of S. aureus is not completely understood and deserves to be studied more exhaustively.
Previous studies addressing agr groups of S. aureus isolates are difficult to interpret because they were performed with samples of various sizes, encompassing dissimilar groups of isolates, i.e., methicillin-sensitive and -resistant S. aureus, from different hosts (humans, bovines), from different geographical regions, and suffering different diseases. One major advantage of our study is that it was conducted on an S. aureus population of increased homogeneity with regard to geographical region (Argentina), host involved (bovines), disease (mastitis), and antibiotic susceptibility (methicillin-sensitive S. aureus). Our results showed that a defined S. aureus lineage (agr group I, allele type A/1, mostly NT) was highly prevalent in bovines in Argentina, which lends support to the hypothesis that a few "specialized" S. aureus clones are responsible for most cases of bovine mastitis (38). This hypothesis is further supported by the study of Smith et al. (30), who described in that 87.4% of 262 bovine isolates (231 from the United States, 20 from Chile, and 11 from the United Kingdom) belonged in a single clonal complex, as defined by multilocus sequence typing. Whether the Argentine clone represented by agr group I S. aureus isolates has significant identity with the bovine clonal complex CC97 described by Smith et al. is not known and deserves further investigation. These S. aureus clones may bear a number of selected accessory elements, including individual virulence factors and pathogenicity islands, which would confer host specificity. Different hypotheses have been conceived to explain the underlying genetic basis of the evolution leading to the selection of such specialized clones (8, 17, 27, 40). The issue still remains a matter of controversy and becomes even more complicated by new insights into the plasticity of the S. aureus genome (9). Whether there are factors responsible for selective pressure leading to the emergence of noncapsulated agr group I S. aureus bacteria with increased capacities for internalization within epithelial cells remains undisclosed and merits further investigation.

ACKNOWLEDGMENTS
We are grateful to Lorena Medina and Sabrina Soldavini for their
expert technical assistance. We thank Ambrose L. Cheung (Darmouth
Medical School, Hanover, NH) for providing
S. aureus strain
RN6911. We also thank the anonymous reviewers whose comments
and constructive criticisms helped us to improve our manuscript.
This work was supported in part by grants from ANPCyT (PICT 08/11740 and PICT 05/10648), CONICET (PIP5933), and Universidad de Buenos Aires (UBACyT M-009), Buenos Aires, Argentina.

FOOTNOTES
* Corresponding author. Mailing address: Departamento de Microbiología, Parasitología e Inmunología, Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155 p12, C1121ABG Buenos Aires, Argentina. Phone: (5411) 5950 9500, ext. 2180. Fax: (5411) 4964 2554. E-mail:
sordelli{at}fmed.uba.ar.

Published ahead of print on 4 December 2006. 
Editor: V. J. DiRita

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Infection and Immunity, February 2007, p. 886-891, Vol. 75, No. 2
0019-9567/07/$08.00+0 doi:10.1128/IAI.01215-06
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