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Journal of Bacteriology, December 2002, p. 6700-6708, Vol. 184, No. 23
0021-9193/02/$04.00+0 DOI: 10.1128/JB.184.23.6700-6708.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Identification by RNA Profiling and Mutational Analysis of the Novel Copper Resistance Determinants CrdA (HP1326), CrdB (HP1327), and CzcB (HP1328) in Helicobacter pylori
Barbara Waidner,1 Klaus Melchers,2* Igor Ivanov,3 Hannes Loferer,3 Klaus W. Bensch,4 Manfred Kist,1 and Stefan Bereswill1*
Department of Microbiology and Hygiene, Institute of Medical Microbiology and Hygiene, University Hospital Freiburg, D-79104 Freiburg,1
GPC Biotech AG, D-82152 Martinsried/Munich,3
Department of Bioinformatics, ALTANA Pharma, D-78467 Konstanz, Germany,4
ALTANA Research Institute, Waltham, Massachusetts 024512
Received 3 June 2002/
Accepted 11 September 2002

ABSTRACT
Mechanisms involved in maintaining cytoplasmic metal ion homeostasis
play a central role in the adaptation of
Helicobacter pylori to the changing gastric environment. An investigation of the
global regulatory responses to copper ions by using RNA profiling
with a threshold factor of 4.0 revealed that copper induces
transcription of 19
H. pylori genes and that only the ferritin
gene
pfr is repressed. The 57-fold copper induction identified
the HP1326 gene encoding an
H. pylori-specific protein as a
candidate for a novel copper resistance determinant. The HP1326
gene is expressed as a monocistronic unit, and two small HP1326
mRNAs are copper induced. The HP1326 protein is secreted and
is required for copper resistance maintained by cytoplasmic
copper homeostasis, as
H. pylori HP1326 mutants were copper
sensitive and displayed increased copper induction of HP1326
transcription as well as elevated copper repression of ferritin
synthesis. The clear copper-sensitive phenotype displayed by
H. pylori HP1327 and HP1328 mutants provides strong evidence
that the HP1326 protein, together with the signal peptide site
of the
H. pylori-specific protein HP1327, whose gene is located
downstream from that encoding HP1326, and the CzcB and CzcA
metal efflux system component homologs HP1328 and HP1329, constitutes
a novel type of copper efflux pump, as discussed below. The
HP1329 gene could not be inactivated, but the 14-fold transcriptional
copper induction determined by RNA profiling points towards
a function of the encoded CzcA homolog in copper resistance.
In summary, results from RNA profiling identified the novel
H. pylori-specific copper resistance determinants CrdA (HP1326)
and CrdB (HP1327), which are required for adaptation to copper-rich
environmental conditions.

INTRODUCTION
The bacterial pathogen
Helicobacter pylori (
14) colonizes the
human gastric mucosa. Once
H. pylori infects a host, the organism
remains for the remainder of life and causes various disorders
of the upper gastrointestinal tract, including gastric adenocarcinoma
and lymphoma (
3). The persistence in the hostile gastric niche
necessitates molecular mechanisms which enable
H. pylori to
effectively adapt to changes in the environmental ionic composition
(
52). Recent investigations have shown that
H. pylori metal
ion homeostasis is of extraordinary importance for gastric adaptation
(
52), as proteins involved in iron uptake (
55) and iron storage
(
7,
56), as well as the iron-dependent superoxide dismutase
(
45), are required for the establishment of the
H. pylori infection
in animal models. Furthermore, CorA-mediated magnesium ion uptake
was recently shown to be essential for
H. pylori viability in
vitro (
39), and nickel homeostasis is required for maintaining
correct regulation (
53,
54) and activity of the central
H. pylori pathogenicity factor urease (
27,
52), which is required for
colonization of the gastric niche. Besides magnesium, iron,
and nickel, copper plays a substantial role in metabolism, as
it is a cofactor for electron transport, oxidases, and hydroxylases
(
26,
28). Under physiological conditions, copper ions participate
in electron transfer reactions and their importance for
H. pylori is underlined by the presence of copper in the
cb-type cytochrome
oxidase, the terminal oxidase in the respiratory chain (
33,
50). On the other hand, the copper-mediated generation of toxic
hydroxyl radicals, which is analogous to the iron-catalyzed
Fenton reaction (
21,
29), necessitates mechanisms that keep
the concentration of free copper ions in the cytoplasm below
toxic levels (
36).
H. pylori controls the cytoplasmic copper
concentration by efflux via the P-type ATPase CopA (
6,
18,
19)
and responds actively to changes in the external copper concentration,
as significant changes in gene expression have been reported
for the ferritin gene
pfr (encoding the major iron storage protein
of
H. pylori), which is repressed by the presence of copper
(
7). Pfr synthesis is also repressed by nickel and by zinc,
and this response is thought to secure the availability of free
iron ions in the cytoplasm when other metals are present at
increasing concentrations (
7). The absence of metal repression
of Pfr synthesis in an
H. pylori mutant lacking the ferric uptake
regulator Fur suggests that the Fur protein is substantially
involved in copper repression of Pfr synthesis (
7). At the present
time, other proteins involved in
H. pylori copper metabolism
have not been investigated in detail. The second
H. pylori P-type
ATPase, CadA (
23), exporting cobalt, cadmium, and zinc, and
the nickel-storage protein Hpn (
31) do not contribute to copper
resistance, as shown by mutational analysis. The annotation
of the
H. pylori genome sequence (
2,
48) revealed the presence
of additional open reading frames (ORFs) encoding the P-type
ATPase homolog HP1503 and two CzcA homologs (designated HP0969
and HP1329) which are possibly involved in metal efflux. In
Ralstonia sp. (formerly
Alcaligenes eutrophus), the Czc metal
efflux system is composed of the inner membrane, periplasmic,
and outer membrane proteins CzcA, CzcB, and CzcC, respectively,
which mediate heavy metal resistance via proton-driven export
of cobalt, zinc, and cadmium (
35,
36,
41). A CzcC homolog is
absent in the
H. pylori genome, whereas genes for two CzcB homologs
(annotated as HP0970 and HP1328) are located directly upstream
of the corresponding CzcA homologs (
48). Copper efflux by Czc
systems has been reported for the Cus (YbdE) copper-silver resistance
determinant of
Escherichia coli (
17,
38), which is encoded in
an copper-induced operon together with the neighboring
cusB,
ylcC, and
cusC genes (Fig.
1). Copper induction of
cus transcription,
starting from a promoter upstream of
cusC, is mediated by the
CusR/CusS two-component regulatory system (
32). In
H. pylori,
the multiplicity and the genetic organization of metal efflux
systems in distinct genomic loci underline the importance of
cytoplasmic ion homeostasis in the gastric environment and suggest
that
H. pylori is able to exactly modulate its cytoplasmic metal
ion content in response to a wide variety of environmental conditions
(
52). In the present study, we used whole-genome analysis for
identification of copper-regulated
H. pylori genes by using
RNA profiling. The ORF HP1326, encoding a methionine-rich 13.8-kDa
H. pylori-specific protein, was found to be strongly copper
induced at the transcriptional level. The HP1326 mutant displayed
increased copper sensitivity, elevated copper induction of HP1326
transcription, and copper repression of Pfr synthesis, indicating
that HP1326 is substantially involved in maintaining cytoplasmic
copper homeostasis. Similar phenotypes were observed when the
neighboring genes HP1327 and HP1328 (coding for an
H. pylori-specific
protein and a CzcB homolog, respectively) were inactivated.
Together with the protein's molecular properties, the copper
regulation of HP1326 and HP1329 expression, the phenotypes displayed
by
H. pylori HP1326, -27, and -28 mutants support the model
that HP1326 and HP1327, together with the CzcB and CzcA homologs,
constitute a novel type of copper efflux pump. According to
their role as copper resistance determinants, we propose the
designation of the
H. pylori HP1326 and HP1327 genes as
crdA and
crdB, respectively.

MATERIALS AND METHODS
Bacterial strains, media, and culture conditions.
The bacterial strains used in this study are listed in Table
1.
H. pylori was routinely cultivated on Dent blood agar in
a microaerobic atmosphere, as described previously (
53). Growth
inhibition experiments with copper were performed in brucella
broth with 5% fetal calf serum (BBF). The total copper content
of BBF medium is 0.5 µM, as determined previously by atomic
absorption mass spectrometry (
7). Metal-enriched conditions
were established by supplementation of BBF with copper chloride
(catalog no. C6641; Sigma). For growth inhibition experiments
with copper ions,
H. pylori wild-type (wt) and mutant strains
were precultured in BBF medium to an optical density at 600
nm (OD
600) of 1.0 and diluted 1:100 in test medium supplemented
with copper or sodium chloride. Subsequently, the influence
of metals on bacterial growth was determined after growth for
48 h by photometrical determination of the OD
600 values of the
cultures. The growth inhibition experiments were performed in
triplicate and were repeated at least three times. Control cultures
were supplemented with sodium chloride at the highest metal
concentrations to exclude the influence of osmotic stress and
chloride ions on copper regulation or resistance.
E. coli was
grown in Luria-Bertani medium. When appropriate, growth media
were supplemented with 20 mg of kanamycin (Km) or 20 mg of chloramphenicol
(Cm)/liter.
DNA techniques and mutagenesis of H. pylori.
Restriction and modifying enzymes (Roche Diagnostics, Mannheim,
Germany) were used according to the manufacturer's instructions.
DNA cloning was performed with
E. coli according to standard
protocols (
4). Plasmids were isolated by using a kit from Qiagen.
Sequences of the Cm-acetyl-transferase gene
cat with (
Pcat)
and without (
cat) its own promoter were amplified by PCR with
primers CATS1 and CATS2, respectively, in combination with the
primer CATAS1.
Pcat or
cat genes were fused to upstream and
downstream DNA regions of mutagenized genes (Fig.
2A) by using
a modified version of the megaprimer PCR protocol (
43), as described
previously (
39). Briefly, DNA regions flanking
cat or
Pcat were
amplified by PCR from DNA of
H. pylori strain 26695 by using
primers carrying 5' extensions complementary to the 5' and 3'
ends of the
Pcat and
cat cassettes, respectively (Table
2).
The resulting PCR products were purified with a kit from Qiagen
and subsequently mixed with PCR-amplified
Pcat or
cat cassettes
for use as megaprimers in a second PCR using only the flanking
primers. The resulting PCR products, carrying
cat or
Pcat inserted
into the HP1326, HP1327, HP1328, or HP1329 gene, were cloned
into plasmid pZERO-2 (Invitrogen). The resulting plasmids, pHP1326-CAT,
pHP1327-PCAT, pHP1328-PCAT, and pHP1329-PCAT (Table
1), were
used for mutagenesis of the corresponding genes in the
H. pylori chromosome (Fig.
2A). Correct construction of the plasmids was
confirmed by sequencing or by restriction analysis with appropriate
enzymes. Marker exchange mutagenesis of
H. pylori was performed
by using electroporation according to standard procedures (
20).
H. pylori mutants, carrying the
cat gene inserted into the chromosome,
were selected by growth on Dent blood agar containing Cm at
concentrations of 20 mg/liter. Correct insertion of
cat into
the HP1326, -27, and -28 genes (Fig.
2A) was verified by PCR
analysis with the appropriate primers (Table
2 and data not
shown).
Transcriptome analysis using DNA array hybridization.
For RNA profiling analysis,
H. pylori organisms were grown in
brain heart infusion (BHI) medium (supplemented with 10% fetal
calf serum at 37°C) with moderate shaking (120 rpm). Anaerocult
C kits (Merck) were used to generate microaerobic conditions.
In the main experiment, 24-h-old precultures of
H. pylori strain
P1 (Table
1) were diluted to an OD
600 of 0.1 in brain heart
infusion medium containing 500 µM copper chloride and
were further incubated for 3 h. Control cultures were treated
identically except for the addition of copper chloride. Cells
were collected by centrifugation and lysed using peqGold RNAPure
(PeqLab). Total RNA was isolated by using RNeasy Mini kits (Qiagen),
followed by DNase I (Roche) treatment for 60 min at 37°C
and an additional purification step with RNeasy Mini kits. The
array preparation and hybridization data are to be published
elsewhere (I. Ivanov et al., unpublished data). Briefly, ORFs
were prepared from 10 ng of genomic DNA by PCR amplification
in two rounds of amplification using 30 cycles (94°C for
10 s and 65°C for 5 min). The first round of amplification
was performed directly from genomic DNA, whereas in the second
round, DNA was reamplified from the product of the first round
(diluted 10,000-fold, according to a standard procedure [
42]).
After amplification, the PCR products were directly repipetted
to the polystyrene 384-well microtiter plates (Genetix, New
Milton, Hampshire, United Kingdom) and further used for spotting,
as described previously (
15). All
H. pylori ORFs were spotted
in duplicates on an array area of 7 by 10 cm. Total RNA, which
was isolated from exponentially growing
H. pylori cells with
and without treatment for 3 h with 1 mM copper chloride according
to standard protocols (
4), was labeled by using a random primer
protocol in the presence of 50 µCi of [
33P]dCTP (corresponding
to approximately 0.5 µM). The labeled probes were purified
by gel filtration, followed by denaturation in 0.5 M NaOH at
65°C for 20 min and neutralization with 1 M Na-phosphate
buffer at pH 7.5. For each hybridization, three arrays derived
from different batches of production were used. The arrays were
prehybridized for at least 2 h and then hybridized for 20 h
at 50°C in 10 ml of buffer containing 50% formamide, 6
x SSC (1
x SSC is 0.15 M NaCl plus 0.015 M sodium citrate), 7%
sodium dodecyl sulfate (SDS), and 50 mM Na-phosphate (pH 7.5)
and washed twice in 2
x SSC-0.5% SDS and 0.1
x SSC-0.5% SDS buffers.
Subsequently, the arrays were exposed for 100 h to Fuji BAS-IP
MS 2025 plates and scanned at 25-µm resolution on a Fuji
BAS-5000 Phosphorimager (Raytest, Straubenhardt, Germany). The
acquired images were then analyzed by using a BioChipExplorer
image analysis package from GPC Biotech (Munich, Germany), generating
expression values for each gene. After normalization and scaling,
the data were analyzed with an Expressionist software package
(GeneData, Basel, Switzerland). The RNA profiling experiments
were repeated a minimum of three times.
Northern blot hybridization.
Isolation of total RNA and detection of mRNA by hybridization with digoxigenin (DIG)-labeled antisense RNA probes were performed according to a standard protocol (4), as described previously (7, 16, 53). PCR products, carrying parts of the genes HP1326, HP1327, and HP1329 (Fig. 1 and 2A), were amplified with primers listed in Table 2 and were used for the production of antisense RNA probes labeled with DIG by in vitro transcription using T7 RNA polymerase (Roche). Northern hybridization and stringency washes were performed at 68°C, and the bound probe was visualized with the DIG Detection kit (Roche) by using the chemiluminescent substrate CPD-Star from Amersham Pharmacia. The sizes of the HP1326 mRNAs were determined by using the digoxigenylated RNA length standards from Roche (set 1; catalog no. 1526529).
Protein analysis.
H. pylori cultures grown in broth to an OD600 of 1.0 to 1.2 were harvested by centrifugation for 10 min at 4,000 x g at 4°C. Determination of protein concentrations, SDS-polyacrylamide gel electrophoresis (SDS-PAGE), and immunoblotting were performed as described previously (7). The H. pylori ferritin Pfr was detected with the specific antiserum AK198 (Max-von-Pettenkofer-Institute, LMU Munich, Germany). Bound rabbit antibodies were detected with a protein A-alkaline-phosphatase conjugate, followed by incubation with nitroblue tetrazolium as the substrate. The Cat protein was quantitated by enzyme-linked immunosorbent assay (ELISA) using a commercial system from Roche Diagnostics (CAT ELISA; catalog no. 1 363 727) according to the manufacturer's instructions as described previously (7). The amount of Cat protein was calculated from a standard curve prepared with purified E. coli Cat protein and normalized to the total protein content.
Bioinformatic analysis.
Genome sequence database searches were performed by using National Center for Biotechnology Information (NCBI) BLAST software (www.ncbi.nlm.nih.gov/BLAST/). Operon analysis was done with a Phylosopher program (Genedata, Basel, Switzerland; www.genedata.com). The current version (version 4) contains 67 completely sequenced bacterial genomes, as published at GenBank (NCBI; see above). The Phylosopher program allows identification of bacterial protein families by using a proprietary cluster algorithm. Putative transcription terminators behind the HP1326 gene were identified by using the Terminator program in a GCG software package (8), a computer algorithm for testing potential prokaryotic transcriptional terminator structures. For this identification procedure, the corresponding genomic nucleotide sequence, spanning ORFs HP1326 to HP1329, was extracted from the H. pylori 26695 genome (nucleotides [nt] 1385783 to 1392554) and analyzed using the default parameters. Database analysis and protein sequence alignments were performed by using the BLAST software of the NCBI server (http://www.ncbi.nlm.nih.gov/[last accessed August 2002]). Protein signal sequences and functional domain motifs were identified by using SMART (Simple Modular Architecture Research Tool; 44) as provided by the European Molecular Biology Laboratory (http://smart.embl-heidelberg.de/[last accessed August 2002]).

RESULTS
Identification of H. pylori genes differentially regulated upon copper treatment.
To identify new
H. pylori genes involved in copper resistance
or homeostasis, we performed a global survey of copper-regulated
genes, with cDNA populations generated from total RNA of
H. pylori with and without copper treatment, by using transcriptome
analysis and DNA array hybridization. Computer-assisted analysis
of the differentially expressed genes revealed that 20
H. pylori ORFs respond to copper, as indicated by results with induction
and repression values over the significance threshold of 4.0
(Table
3). While 19 ORFs were induced, only the ferritin gene
pfr (HP0653) was repressed. The ORFs HP1326 and HP1428, encoding
an
H. pylori-specific protein and a conserved hypothetical protein
whose function is thus far unknown, respectively, showed the
highest copper induction levels (approximately 57-fold) (Fig.
1; Table
3). ORF HP1329, encoding a CzcA metal efflux pump orthologue
and located downstream of the HP1326 gene (Fig.
1), was also
copper induced but at a lower level (14-fold; Table
3). The
strong copper induction of the HP1326 and HP1329 genes, as well
as their localization (Fig.
1) near the CzcB metal efflux system
homolog HP1328 (
48), provided strong evidence for a function
in copper metabolism. This was further supported by results
from database searches, which revealed that the C-terminal part
(amino acids 125 to 444) of the HP1326 amino acid sequence shares
30% identity and 47% similarity with the N-terminal part of
the
Aquifex aeolicus (
12) protein aq_1132 (TIGR locus name,
NT01AA0901), which is orthologous to those of the
H. pylori HP1328 protein and to other CzcB homologs (Fig.
1). ORF aq_1132
is part of an operon-like structure located downstream from
the HP1327 homolog aq_1133, which contains genes for homologs
of the putative copper exporter CopA (aq_1125) and CzcA (aq_1127)
further downstream (Fig.
1). In this context, it seems interesting
that the HP1327 protein shares some homologous regions with
the
E. coli CusC protein, which is encoded by a gene positioned
upstream from those of the HP1328/CzcB homolog CusB and the
E. coli copper-silver resistance determinant CusA (Fig.
1).
These properties highlighted HP1326 and the neighboring genes
as excellent candidates for a novel type of
H. pylori copper
resistance determinant. Thus, we studied these genes in more
detail.
Transcriptional analysis of the HP1326 gene region.
The expression values determined by RNA profiling provided strong
evidence that the HP1326 gene is separately transcribed from
the downstream genes HP1327, -28, and -29. The basal expression
levels, as well as the copper induction values, of the HP1326
and HP1329 genes differ considerably (Table
3). The enclosed
ORFs HP1327 and HP1328 displayed basal expression levels of
148 and 181 and were only threefold and twofold induced, respectively,
upon copper treatment. Transcriptional analysis by Northern
blot hybridization confirmed that the HP1326 gene is expressed
as a monocistronic unit (Fig.
2). Hybridization of total RNA
isolated from the
H. pylori strain 26695 with an HP1326-specific
antisense RNA probe (Fig.
2A) detected a single transcript (mRNA
1; Fig.
2B), which was associated with about 400 nt and was
thus not long enough to contain other genes besides HP1326.
The signal strength indicated that in the absence of copper,
the HP1326 mRNA levels are near the lower detection limit (Fig.
2B and C). Supplementation of the growth medium with 0.5 and
1 mM copper increased the HP1326 mRNA levels drastically, as
indicated by accumulation of the 400-nt transcript and by appearance
of a second transcript, which was approximately 500 nt in size
(mRNA 2; Fig.
2B). Lower copper concentrations (0.1 mM) did
not influence the HP1326 transcript levels (Fig.
2B). A time
kinetics of copper-induced HP1326 transcription revealed that
the copper regulation occurs within minutes (Fig.
2C). The transcript
levels showed a clear increase 10 min after copper treatment
and reached the levels detected in cells grown with copper for
48 h (Fig.
2B) 50 min later (Fig.
2C). To investigate the possibility
that longer transcripts occur as a result of copper-induced
readthrough, the transcription of the HP1326 downstream genes
was analyzed with antisense RNA probes specific for the ORFs
HP1327 and HP1329 (Fig.
2A). The results obtained by hybridizations
performed with a probe located at the beginning of the HP1327
gene (Fig.
2A; see also Fig.
5) were identical to those obtained
with the HP1326-specific probe (data not shown), confirming
that both HP1326 mRNA 1 and 2 (Fig.
2B and C) contain the N-terminal
part of the HP1327 gene (see Fig.
5). Hybridization experiments
performed with probes specific for HP1328 and HP1329 (Fig.
2A)
did not detect any transcript, even when the bacteria were grown
in the presence of 1 mM copper (data not shown). This demonstrated
that copper does not induce longer HP1326 transcripts and that
the HP1328 and HP1329 transcript levels are below the detection
limit of the hybridization approach. This is in agreement with
the expression values determined by RNA profiling (see above
and Table
3), which show that even in the presence of copper,
the levels of the HP1327, -28 (see above), and -29 (Table
3)
mRNAs only reach levels comparable to that of basal HP1326 expression,
which is near the lower detection limit for Northern blotting
(Fig.
2B and C). However, the smears observed near the 16S and
23S rRNA bands (Fig.
2B) as the result of the presence of copper
in the medium may have been caused by the accumulation of longer
transcripts covering the HP1326, -27, and -28 genes, which may
have been due to instability not detectable in separate bands.
The analysis of HP1326 transcription in the
H. pylori reference
strains 1061 and NCTC11638 (Table
1) gave comparable results,
demonstrating that the regulation by copper of HP1326 transcription
is not strain specific (data not shown).
Mutational analysis of the HP1326, -27, -28, and -29 genes and their role in copper homeostasis.
To study the functions of HP1326, -27, -28, and -29 in copper
resistance, we tried to inactivate the corresponding genes in
the chromosome of the
H. pylori reference strain 26695 (Table
1; Fig.
2A) by marker exchange mutagenesis. To minimize possible
polar effects on the downstream genes, the HP1326 gene was replaced
by a
cat resistance cassette with a ribosome binding site but
lacking both promoter and terminator sequences (Fig.
2A). To
secure expression of the downstream genes, HP1327 and HP1328
were inactivated by insertion of a
cat gene with a promoter
(Fig.
2A). Repeated transformation of the
H. pylori wt strain
26695 with a plasmid, pHP1326-CAT, pHP1327-PCAT, pHP1328-PCAT,
or pHP1329-PCAT (Table
1), carrying
cat insertions in the corresponding
genes (Fig.
2A), revealed that HP1326, -27, and -28, but not
HP1329, could be inactivated. This provides evidence that an
intact version of HP1329 is required for
H. pylori viability
in vitro, as even 10 repetitions of transformation of strain
26695 with plasmid pHP1329-PCAT (Table
1; Fig.
2A) did not result
in mutants. Subsequently, the copper resistance functions of
HP1326, -27, and -28 were investigated by growth inhibition
experiments with the mutants and the wt strain in BBF medium
supplemented with copper at increasing concentrations (Fig.
3). In unsupplemented BBF, growth of the strain 26695-1326,
-1327, and -1328 mutants was comparable to that of the wt strain,
indicating that the mutations do not generally limit bacterial
fitness (Fig.
3). The growth inhibition caused by copper (Fig.
3) showed that all three mutants were clearly copper sensitive
compared to the wt strain, indicating that all three genes are
required for copper resistance (Fig.
3). Sodium chloride at
the highest copper concentration had no influence on growth
(data not shown), indicating that the metal sensitivity of the
mutants was not caused by osmotic stress.
Influence of the HP1326, -27, and -28 mutations on cytoplasmic copper homeostasis.
To test whether the copper sensitivity of HP1326, -27, and -28
mutants is caused by increased cytoplasmic copper levels resulting
from a lack of copper efflux mediated by the corresponding proteins,
we studied copper induction of HP1326 transcription in the mutants.
The influence of the HP1326 mutation on copper induction of
the HP1326 gene was analyzed by using the transcriptional HP1326::
cat fusion in the 26695-1326 mutant (Fig.
2A; Table
1) as a reporter.
Therefore, strains 26695 and 26695-1326 were grown in BBF medium
without and with 0.1 mM copper and the Cat protein concentration
in the cells was determined with a commercial ELISA. The Cat
levels of 1.89 ± 0.87 and 51.7 ± 14 (in nanograms
of Cat per microgram of total protein), as detected in cells
grown without (
n = 4) and with (
n = 4), copper, respectively,
provided strong evidence that the HP1326 mutation results in
increased cytoplasmic copper availability, as a similar copper
concentration did not increase HP1326 transcript levels in the
H. pylori wt strain (Fig.
2B). The investigation of copper-induced
HP1326 transcription by using Northern blot analysis with the
HP1326-specific probe (Fig.
2A) in Hp1327 and HP1328 mutants
gave similar results (Fig.
4A). The accumulation of HP1326 mRNAs
in the HP1327 mutant grown with 0.05 mM copper and in the HP1328
mutant grown without additional copper (Fig.
4A) provides further
evidence for increased internal copper levels. To support these
findings, we used data resulting from the recent discovery of
copper- and Fur-mediated repression of Pfr synthesis (
7) to
design biosensor experiments to detect the increased cytoplasmic
copper availability in the HP1326 mutant. Because the Fur protein
senses the concentration of metals in the cytoplasm, an increase
in cytoplasmic copper availability should result in hyperrepression
of Pfr synthesis in the presence of copper. Immunoblot analysis
of Pfr in the wt strain and in the HP1326 mutant grown in the
absence and presence of copper with a Pfr-specific antiserum
(Fig.
4B) revealed that repression by copper of Pfr synthesis
is indeed strongly increased in the HP1326 mutant, confirming
that the HP1326 protein is required for maintaining cytoplasmic
copper homeostasis.

DISCUSSION
In the gastric mucosa, metal ions released from food by proteolytic
and acidic degradation can be complexed by the cation-chelating
activity of gastric mucus components (
40) and by binding to
host proteins such as lactoferrin (
34). Thus, metal starvation
as well as metal-rich conditions may occur in relatively short
time intervals. Given the average daily copper intake (in the
range of 1 mg) (
5), the copper content of drinking water (in
the range of 10 to 50 µM), and the copper content of copper-rich
foods like liver (up to 200 mg/kg of meat), the estimate that
H. pylori is exposed to copper ions in the micromolar range
is justified. Together with the important role of copper in
maintaining basic metabolic functions, this suggests that
H. pylori copper homeostasis plays a crucial role in gastric adaptation.
In the present study, we employed genome-wide RNA profiling
for the study of copper-mediated gene regulation and for the
identification of the novel
H. pylori copper resistance determinants
CrdA (HP1326), CrdB (HP1327), and HP1328 (CzcB). This approach
was validated by the clearly evident sevenfold repression of
pfr transcription (Table
3), which is well in agreement with
Fur-dependent copper repression of Pfr at the protein level
(
7). This response might secure cytoplasmic availability of
other biometal cofactors in the presence of increased copper
concentrations (see Fig.
6). The same might hold true for the
copper induction of the
H. pylori exbD and
moaA genes, which
are thought to be involved in iron uptake (
52) and molybdenum
cofactor synthesis (
48), respectively. The copper induction
of the
H. pylori nadC,
proC,
cysS, and
trpA genes (Table
3),
encoding homologs of NAD and amino-acid metabolism enzymes,
could be protective against copper-mediated enzyme inhibition
(
22,
49) and protein auto- oxidation (
24,
46). The copper induction
of the
H. pylori fliS gene, which is required for the production
of intact flagella (
1), might enable
H. pylori to escape from
copper toxicity by alterations in motility. Taken together,
these regulatory responses (see Fig.
6) indicate that for limitation
of copper toxicity,
H. pylori elicits a SOS-like stress response.
This idea is further supported by the copper induction of genes
for transposase TnpB and the DNA methylase HpyIIM (Table
3),
which might help to overcome copper-mediated DNA damage. Other
H. pylori metal export genes, namely, the P-type ATPases CadA
(HP0791), CopA (HP1072), and CopA2 (HP1503), as well as the
second CzcA homolog HP0969, did not appear to be significantly
copper regulated (data not shown). The rapid copper induction
of the two small monocistronic HP1326 mRNAs enables
H. pylori to respond rapidly to increased copper concentrations. The small
sizes of the HP1326 transcripts (Fig.
2A and B) and their cross-hybridization
with the HP1327-specific probe (Fig.
2A and
5) allow the calculation
that the transcriptional start site is located 50 bp in front
of the HP1326 start codon. This fits with the position of a
well-conserved consensus sequence for a RNA polymerase binding
site (Fig.
5). Two inverted repeats (IVRs) behind the HP1326
stop codon might be involved in mediating transcriptional termination
(Fig.
5). In view of the differential copper induction and the
mRNA sizes, this genetic arrangement suggests that in the absence
of copper, transcription terminates at IVR1, while copper exposure
causes a partial readthrough to IVR2 (Fig.
5). The protein(s)
involved in copper regulation remains to be identified in ongoing
studies. Homologs of known copper regulator proteins such as
E. coli CueR (
47),
Pseudomonas CopR/S (
30), and
Ralstonia CzcRS
(
51) are absent in the
H. pylori genome (
2,
48). The strong
copper induction of HP1326, and its genetic organization with
the
czcB and
czcA gene homologs, suggested that the whole HP1326
to -29 gene cluster might be involved in copper export. This
idea was supported by the copper sensitivity displayed by HP1326,
-27, and -28 mutants (Fig.
3) and by the copper induction of
the
czcA gene HP1329. However, the role of HP1329 in copper
resistance could not be experimentally confirmed, because it
was not possible to inactivate the gene. Copper export functions
of HP1326, -27, and -28 were demonstrated indirectly by the
accumulation of free copper ions in the corresponding mutants,
as indicated by increased copper induction of HP1326 mRNA levels
(Fig.
4A) and elevated copper repression of Pfr synthesis (Fig.
4B). In accordance with the
Ralstonia CzcABC architecture (
41),
the homologies and molecular properties of the corresponding
H. pylori proteins lead to the integrative model that HP1329
and HP1327 transport metal ions over the inner and outer membranes,
respectively, while HP1328 and HP1326 act as periplasmic binding
(and possibly storage) proteins (Fig.
6). In the changing gastric
environment, periplasmic copper sequestration would enable
H. pylori to store the essential copper ions under metal-rich conditions
for subsequent access if environmental copper were to become
scarce (Fig.
6). Analysis using SMART software (
44) confirmed
the presence of signal sequence cleavage sites in the deduced
HP1326, -27, -28, and -29 protein sequences. Secretion of the
HP1326 protein was experimentally confirmed by transposon TnBla
mutagenesis in an earlier study (
37). The corresponding clone
pMu72 carries TnBla inserted behind the predicted HP1326 signal
sequence (
44,
48) at codon 25 (S. Odenbreit and R. Haas, personal
communication). A methionine-rich motif (F
MMPE
MPG
MPA
MKE
MA) in
the HP1326 protein sequence could be involved in metal binding.
Such motifs are also present in the
A. aeolicus aq_1132 protein
(Fig.
1), in the
Pseudomonas periplasmic copper resistance protein
CopC (
QFSGAKL
MMTA
MPG
MAAHSP
MP
MPAKVS) (
11,
25), and in the
E. coli Pco copper efflux proteins (
9). The role of the HP1327
protein in copper export is further supported by the presence
of an outer membrane efflux protein family domain motif, which
is located in the C-terminal region (
48).
In summary, results from RNA profiling allowed us to study copper
regulation in
H. pylori and to identify the novel copper resistance
determinants CrdA (HP1326), CrdB (HP1327), and CzcB (HP1328),
which usefully complete copper resistance mediated by the
H. pylori metal export pump CopA (
6,
18,
19), especially under
copper-rich conditions. Finally, a possible interplay between
the
H. pylori-specific CrdA and CrdB proteins with the CzcB
and CzcA homologs provides evidence for a novel type of metal
efflux pump, which might effectively combine copper efflux and
sequestration in a manner similar to that of the
Pseudomonas Cop system (
36).

ACKNOWLEDGMENTS
This study was supported by a grant from ALTANA Pharma, Konstanz,
Germany, to S.B. Parts of this work were funded by a grant from
the Deutsche Forschungsgemeinschaft (Ki201/9-1) to M.K.
We thank S. Odenbreit and R. Haas (Max-von-Pettenkofer-Institute, LMU Munich, Germany) for providing the experimental data on TnBla mutagenesis of the HP1326 gene and for the Pfr antiserum AK198.

FOOTNOTES
* Corresponding author. Mailing address for Stefan Bereswill: Department of Microbiology and Hygiene, Institute of Medical Microbiology and Hygiene, University Hospital Freiburg, Hermann-Herder-Str. 11, D-79104 Freiburg, Germany. Phone: 49-761-203-6539. Fax: 49-761-203-6562. E-mail:
bereswil{at}ukl.uni-freiburg.de. Mailing address for Klaus Melchers: ALTANA Research Institute, 610 Lincoln St., Boston, MA 02451. Phone: (781) 890-4460, ext. 401. Fax: (781) 890-6480. E-mail:
klaus.melchers{at}altanapharma-us.com.


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Journal of Bacteriology, December 2002, p. 6700-6708, Vol. 184, No. 23
0021-9193/02/$04.00+0 DOI: 10.1128/JB.184.23.6700-6708.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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