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Journal of Bacteriology, March 2003, p. 1608-1615, Vol. 185, No. 5
0021-9193/03/$08.00+0 DOI: 10.1128/JB.185.5.1608-1615.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Edward Mallinckrodt Department of Pediatrics and Department of Molecular Microbiology, Washington University School of Medicine, and Division of Infectious Diseases, St. Louis Children's Hospital, St. Louis, Missouri 63110
Received 8 November 2002/ Accepted 25 November 2002
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Nontypeable Haemophilus influenzae is a nonencapsulated, gram-negative bacterium that commonly causes human respiratory tract disease, including otitis media, sinusitis, bronchitis, and pneumonia (19). Infection by nontypeable H. influenzae begins with colonization of the nasopharynx (10). In most individuals, colonization persists for weeks to months without symptoms. However, under certain circumstances bacteria spread contiguously to the middle ear, the sinuses, or the lungs, resulting in disease. Studies of tympanostomy tubes from patients with recurrent otitis media and examination of experimentally infected chinchillas suggest that biofilm formation may represent an important mechanism of persistence by nontypeable H. influenzae (3, 11).
To facilitate colonization, H. influenzae elaborates both pilus and nonpilus adhesins. The Hap protein is a nonpilus adhesin that was first identified based on its ability to promote intimate interaction with cultured epithelial cells (16). In addition, Hap facilitates adherence to fibronectin, laminin, and collagen IV (5) and mediates bacterial aggregation and microcolony formation, a possible precursor to biofilm formation (7). Hap is a member of the autotransporter family of proteins and consists of an amino-terminal signal sequence, a 110-kDa passenger domain called HapS, and a 45-kDa translocator domain called Hapß (6). As with other autotransporters, the translocator domain is believed to insert into the outer membrane and form a channel through which the passenger domain is extruded to reach the cell surface (6). The HapS passenger domain harbors all adhesive activity and is responsible for Hap-mediated adherence and aggregation (4, 7). In addition, HapS harbors serine protease activity, which directs autoproteolysis and release of the HapS domain into the culture supernatant (4, 6). Mutation of the active site serine residue at position 243 to an alanine (HapS243A) eliminates autoproteolysis and results in accumulation of HapS on the bacterial surface (6).
At first glance, Hap autoproteolysis and the resulting release of HapS from the bacterial surface seem counterproductive to successful colonization. However, in a recent study, we found that Hap autoproteolysis occurs by an intermolecular mechanism dependent on the density of Hap precursor present on the bacterial cell surface (4). Thus, in bacteria expressing low levels of Hap, it is possible that autoproteolysis is minimal and that the quantity of cell-associated HapS is sufficient to promote significant interaction with the host epithelium. In additional work, we discovered that autoproteolysis is inhibited by physiologic concentrations of secretory leukocyte protease inhibitor (SLPI), a component of respiratory secretions that is upregulated in the setting of inflammation. In experiments with bacteria expressing wild-type Hap from a multicopy plasmid, pretreatment with SLPI results in increased surface-associated HapS and increased Hap-mediated adherence and aggregation (7). Thus, during natural infection, H. influenzae may exploit local concentrations of SLPI to potentiate Hap adhesive activity and initiate formation of biofilms.
In the present study, we examined the relationship between chromosomal expression of Hap and Hap-mediated adherence and aggregation. We found that the level of Hap associated with a chromosomal allele is just above the threshold for intermolecular cleavage, resulting in minimal autoproteolysis and allowing significant adherence to epithelial cells and extracellular matrix. In addition, we discovered that inhibition of Hap autoproteolysis results in small increases in surface-associated Hap and substantial increases in Hap-mediated adherence. Finally, we established that the threshold for Hap-mediated aggregation is achieved only with inhibition of autoproteolysis. Together, these results demonstrate that two different threshold levels of Hap exist, one for autoproteolysis and low- to moderate-level adherence and a second for high-level adherence and aggregation. Transition from the first to the second threshold is achieved when SLPI is present.
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was grown on Luria-Bertani (LB) agar or in LB broth. E. coli strains were stored at -80°C in LB broth with 50% glycerol. Antibiotic concentrations for H. influenzae included tetracycline at 5 µg/ml, chloramphenicol at 2 µg/ml, and kanamycin at 25 µg/ml. E. coli strains were grown with chloramphenicol at 25 µg/ml, as appropriate. |
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TABLE 1. Bacterial strains and plasmids
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To create strain Rd/HapS243A, a 0.9-kb fragment containing a chloramphenicol resistance cassette was first amplified from pACYC184 with primers designed to introduce ClaI sites at each end. The fragment was digested with ClaI and ligated into ClaI-digested pDH101::HapS243A, inserting the chloramphenicol resistance cassette 600 bases upstream of an N187 hap allele possessing a point mutation at codon 243, resulting in conversion of serine to alanine at amino acid 243. The resulting plasmid, pDH101::HapS243A-Cam, was linearized by digestion with XmnI and used to transform H. influenzae strain Rd. Expression of HapS243A in chloramphenicol-resistant transformants was confirmed by immunoblot analysis of outer membrane and culture supernatant proteins with guinea pig antiserum GP74, which was raised against purified HapS. Allelic exchange in transformants was confirmed by PCR and nucleotide sequencing.
Recombinant DNA methods.
DNA ligations, restriction endonuclease digestions, and gel electrophoresis were performed according to standard techniques (14). Plasmids were introduced into E. coli strain DH5
by chemical transformation (14). H. influenzae strains DB117 and Rd were transformed by using the MIV method of Herriott et al. (8).
Analysis of bacterial culture supernatant and outer membrane fractions. Derivatives of strains DB117 and Rd were grown to an optical density at 600 nm (OD600) of 0.8. Sarkosyl-insoluble outer membrane proteins were isolated by the method of Carlone et al. (2), and extracellular proteins were precipitated from culture supernatants with 10% trichloroacetic acid as described previously (16). Outer membrane fractions were resuspended in 25 µl of 10 mM HEPES (pH 7.4) plus 25 µl of 2x Laemmli buffer, whereas precipitated extracellular proteins were resuspended in 10 µl of 1 M Tris (pH 9.0) plus 10 µl of 2x Laemmli buffer. Protein samples were resolved by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) on 7.5% polyacrylamide gels (9). To ensure that comparable amounts of protein were analyzed, similar volumes from cultures of similar density were loaded into each lane. Resolved proteins were electrotransferred to a nitrocellulose membrane and then detected by immunoblot analysis with antiserum Rab730 diluted 1:500 (6), antiserum RabK2 diluted 1:1,000 (7), antiserum N187B diluted 1:500 (6), or antiserum GP74 diluted 1:2,000, as indicated. An anti-rabbit or anti-guinea pig immunoglobulin G antiserum conjugated to horseradish peroxidase (Sigma) was used as the secondary antibody, and detection of antibody binding was accomplished by incubation of the membrane in a chemiluminescent substrate solution (Pierce) and exposure to film. Quantification of protein band intensities was accomplished by scanning densitometry as described previously (4), normalizing for the quantity of outer membranes loaded in each lane as assessed by determining the levels of major outer membrane protein P4.
Dot immunoblot analysis of Hap surface expression on intact whole bacteria. Bacteria were grown to late exponential phase, washed once in phosphate-buffered saline (PBS), and then fixed in PBS plus 4% paraformaldehyde for 30 min at room temperature. After one more wash in PBS, bacteria were resuspended in PBS to an OD600 of 1.0, and 50 µl of the suspensions were inoculated into wells of a 96-well dot blot manifold apparatus holding a nitrocellulose membrane. Samples were incubated for 30 min and then pulled through the filter by vacuum suction. After blocking for 1 h with Tris-buffered saline plus 5% skim milk, surface-exposed HapS was detected with guinea pig antiserum GP74. The signal intensity was quantified by using the NIH Image 1.62 program.
Quantitative adherence assays. Adherence assays with A549 respiratory epithelial cells (ATCC CCL 185) and Chang conjunctival epithelial cells (Wong-Kilbourne derivative, clone 1-5c-4) were performed as described previously (17). A549 cells were maintained in minimum essential medium (MEM-Eagle) with 10% heat-inactivated fetal calf serum. Chang cells were maintained in MEM-Eagle with 10% heat-inactivated fetal calf serum and 1% nonessential amino acids. In assays examining adherence to extracellular matrix proteins, wells of 24-well tissue culture plates precoated with human plasma fibronectin or murine collagen IV (BD Biosciences) were rehydrated in 0.5 ml of MEM (Sigma) at 37°C for 1 h in a tissue culture incubator infused with 5% CO2. Incubation of strains with 8.5 µM SLPI in assays examining inhibition of autoproteolysis was performed as described previously (7). The percent adherence was calculated by dividing the number of adherent CFU per monolayer by the number of inoculated CFU. Mean levels of adherence were compared for statistical significance by using a two-tailed Student t test, when appropriate.
Quantitative aggregation assays. Bacteria were grown to late exponential phase, and cultures were then set standing at room temperature for 4 h while taking OD600 readings at 30-min intervals.
IPTG induction of Hap expression. DB117/pJS106::Trc was resuspended into 50 ml of BHIs to an initial OD600 of 0.2. The culture was split equally into five tubes, which were incubated at 37°C to late exponential phase (ca. 2 h). IPTG (isopropyl-ß-D-thiogalactopyranoside; 0.1 mM final concentration) was added to successive culture tubes at 10, 20, 30, and 60 min prior to terminating the growth. No IPTG was added to the fifth culture tube. Completed cultures were split into fractions for analysis by dot immunoblot, quantitative aggregation in standing culture, quantitative adherence to Chang cells, and SDS-PAGE immunoblot of outer membrane and culture supernatant proteins, as described above.
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FIG. 1. Relationship between Hap expression levels and the rate of Hap autoproteolytic processing. (A) Analysis of outer membrane proteins (lanes 1 through 5) and culture supernatant proteins (lanes 6 through 10) from DB117/pJS106::Trc99 (containing wild-type Hap expressed under the control of an IPTG-inducible promoter). Cultures were grown to late exponential phase with induction by IPTG for 0 min (lanes 1 and 6), 10 min (lanes 2 and 7), 20 min (lanes 3 and 8), 30 min (lanes 4 and 9), or 60 min (lanes 5 and 10). Proteins were assessed by immunoblot with antiserum Rab730, which reacts with Hap precursor, HapS, and Hapß, and antiserum EPR5-2.1, which reacts with outer membrane protein P4. The dots indicate the 155-kDa Hap precursor protein and the 45-kDa Hapß species resulting from cleavage at the preferred site. The arrow indicates the 110-kDa secreted HapS protein. The asterisk indicates outer membrane protein P4, which was included as a loading control. (B) Kinetic analysis of Hap expression and autoproteolytic processing. The intensities of the protein bands shown in panel A were quantified by scanning densitometry to approximate the amounts of Hap precursor and Hapß present in outer membrane fractions and the amounts of HapS present in culture supernatants at each time point. The figure plots levels of Hap precursor ( ), Hapß ( ), and HapS ( ). Band intensities of Hap species were normalized by using the intensity of the P4 band at the corresponding time points.
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FIG. 2. Hap autoproteolysis in H. influenzae strains expressing Hap from a chromosomal allele or a multicopy plasmid. Outer membrane proteins (A) and culture supernatant proteins (B) from late-exponential-phase cultures of Rd/wt-Hap, Rd/HapS243A, DB117/pJS106, and DB117/pHapS243A are shown. Proteins were assessed by immunoblotting with antiserum Rab730, which reacts with Hap precursor, HapS, and Hapß. The gels in both panels were loaded as follows: lane 1, Rd/wt-Hap; lane 2, Rd/HapS243A; lane 3, DB117/pJS106 (wild-type Hap); lane 4, DB117/pHapS243A.
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A minimal quantity of Hap is sufficient for significant adherence. To address how the threshold for autoproteolysis may influence Hap function during H. influenzae infection, we examined our samples with various levels of Hap expression in adherence assays with Chang epithelial cells. Given that Hap-mediated adherence would be expected to depend on the amount of surface-exposed HapS, we initially analyzed intact whole bacteria from the IPTG induction experiment by dot immunoblot. Our goal was to quantify surface-exposed HapS. As shown in Fig. 3A, HapS was faintly detectable on the surface of uninduced DB117/pJS106::Trc, a finding consistent with the small amount of Hap precursor present in the outer membrane. Increasing induction with IPTG resulted in increasing HapS on the bacterial cell surface up to the 30-min time point, and then stable levels of HapS between 30 and 60 min. When these cultures were evaluated for binding to Chang cells, we observed a stepwise increase in adherence with increasing induction times (Fig. 4), correlating with the results obtained from immunoblots of outer membranes and intact whole bacteria. Adherence by uninduced bacteria expressing very low levels of Hap was increased threefold compared with DB117 harboring vector alone (P < 0.05), emphasizing the capacity for Hap-mediated adherence even with minimal amounts of surface-associated HapS.
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FIG. 3. Surface expression of HapS in H. influenzae strains expressing Hap from a chromosomal allele or a multicopy plasmid. (A) Dot immunoblot of intact whole bacteria of DB117 expressing wild-type Hap under control of an IPTG-inducible promoter. Samples were loaded as follows: well 1, DB117/pGJB103 (vector); wells 2 to 6, DB117/pJS106::Trc induced for 0, 10, 20, 30, and 60 min, respectively. (B) Dot immunoblot of intact whole bacteria of strains Rd or DB117 expressing wild-type Hap or HapS243A. Samples were loaded as follows: well 1, Rd; well 2, DB117/pGJB103 (vector); well 3, Rd/wt-Hap; well 4, Rd/HapS243A; well 5, DB117/pJS106 (wild-type Hap); well 6, DB117/pHapS243A. Immunoblot analysis was performed with antiserum GP74, which reacts with HapS. In both panels A and B, bacteria were fixed and washed before immunoblot analysis. The numbers under the wells represent relative signal intensity determined by using the NIH Image 1.62 program.
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FIG. 4. Adherence to Chang cells by H. influenzae strain DB117 expressing Hap under control of an IPTG-inducible promoter. Cultures of DB117/pJS106::Trc or DB117/pGJB103 (vector) were grown to late exponential phase with induction by IPTG for the indicated durations. Adherence to Chang cells was calculated by dividing the number of adherent bacteria by the number of inoculated bacteria. Bars represent the means ± the standard error of the means of measurements made in triplicate from a representative experiment. In all cases, adherence by samples of DB117/pJS106::Trc was statistically significantly different from adherence by DB117/pGJB103 (P < 0.05).
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15-fold, and adherence by DB117/pHapS243A was increased
35-fold (Fig. 5). Adherence assays with A549 cells and with extracellular matrix proteins fibronectin and collagen IV yielded similar results (Fig. 5). In all of these experiments, adherence by Rd/wt-Hap was 2- to 15-fold greater than background (P < 0.05). Adherence by Rd/wt-Hap was most striking in experiments with collagen IV.
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FIG. 5. Adherence to epithelial cell monolayers and extracellular matrix proteins by H. influenzae strains expressing wild-type Hap or HapS243A from a chromosomal allele or a multicopy plasmid. Adherence to Chang cells, A549 cells, fibronectin, and collagen IV was calculated by dividing the number of adherent bacteria by the number of inoculated bacteria. Bars represent the means ± the standard error of the means of measurements made in triplicate from representative experiments. Strains included Rd, DB117/pGJB103 (vector), Rd/wt-Hap, Rd/HapS243A, DB117/pJS106 (wild-type Hap), and DB117/pHapS243A. Adherence by Rd/wt-Hap, Rd/HapS243A, DB117/pJS106 (wild-type Hap), and DB117/pHapS243A was statistically significantly different from adherence by Rd and DB117/pGJB103 (P < 0.05).
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FIG. 6. Effect of SLPI on adherence to Chang cells by H. influenzae strain Rd/wt-Hap. Bacteria were inoculated onto monolayers either directly from broth cultures (no treatment) or after incubation in PBS with or without SLPI for 45 min at 37°C. Adherence to Chang cells was calculated by dividing the number of adherent bacteria by the number of inoculated bacteria. Bars represent the the means ± the standard errors of the means of measurements made in triplicate from a representative experiment. Adherence by Rd/wt-Hap and Rd/HapS243A, with or without SLPI, was statistically significantly different from adherence by Rd.
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FIG. 7. Settling of cultures of H. influenzae strains expressing Hap from a chromosomal allele or a multicopy plasmid. (A) Late-exponential-phase cultures of DB117/pGJB103 (vector), DB117/pHapS243A, or DB117 expressing IPTG-induced wild-type Hap were incubated standing at room temperature for 4 h, and bacterial aggregation was quantitated by measuring the absorbance at 600 nm. (B) Cultures of DB117 or Rd expressing wild-type Hap or HapS243A were incubated standing at room temperature for 4 h, and bacterial aggregation was quantitated by measuring absorbance at 600 nm. In the sample labeled "Rd/wt-Hap + SLPI," Rd/wt-Hap was incubated in PBS plus 8.5 µM SLPI, washed once with PBS, and then resuspended in BHI.
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In the present study, we confirmed that the rate of Hap autoproteolysis increases exponentially with increasing expression of Hap precursor, a finding consistent with an intermolecular mechanism. At high levels of Hap expression, autoproteolysis is limited solely by the catalytic rate of peptide bond cleavage. When the density of Hap precursor on the bacterial cell surface is low, as with background expression in uninduced DB117/pJS106::Trc, autoproteolysis likely depends not only on the catalytic rate but also on factors that limit interaction between precursor molecules, such as membrane diffusion. Efficient autoproteolysis therefore requires a minimum threshold of precursor expression. Comparison of bacteria expressing Hap from a chromosomal allele and bacteria expressing Hap from a multicopy plasmid highlights the dependence of autoproteolysis on precursor density. In DB117/pJS106, Hap undergoes efficient autoproteolysis and HapS is abundant in the culture supernatant; in contrast, in Rd/wt-Hap, most Hap precursor remains uncleaved, indicating that Hap expression barely exceeds the threshold for autoproteolysis.
Limited secretion of HapS from the bacterial cell surface in the context of chromosomal expression suggests that autoproteolysis may not undermine the potential contribution of Hap adhesive activity to H. influenzae colonization. Rd/wt-Hap and uninduced DB117/pJS106::Trc adhered to epithelial cells two- to fivefold more efficiently than background (Rd and DB117/vector), indicating that Hap-mediated bacterial adherence is significant even when Hap expression is low. These results are consistent with previous studies examining the contribution of Hap to interactions between nontypeable H. influenzae clinical isolate N187 and Chang cells (7). Adherence of Rd/wt-Hap to fibronectin and collagen IV was even more impressive than adherence to epithelial cells, suggesting that Hap may serve primarily to facilitate H. influenzae adherence to extracellular matrix proteins. Along these lines, it is noteworthy that H. influenzae associates preferentially with damaged epithelium and exposed basement membrane in experiments with nasopharyngeal tissue in organ culture (12).
In studies with chromosomal expression of Hap, inhibition of Hap autoproteolysis by mutation of the active site serine significantly enhanced bacterial adherence to both epithelial cells and extracellular matrix proteins. Compared to Rd/wt-Hap, Rd/HapS243A adhered approximately threefold more efficiently to Chang cells, fibronectin, and collagen IV and approximately ninefold more efficiently to A549 cells. Based on quantification of surface-associated HapS in Rd/HapS243A and Rd/wt-Hap, it appears that modest increases in the abundance of HapS on the bacterial surface lead to substantial increases in Hap-mediated bacterial adherence. Thus, inhibition of autoproteolysis may serve to tightly regulate Hap adhesive activity in wild-type strains of H. influenzae. In the context of respiratory tract infection by clinical isolates, inhibition of autoproteolysis would most likely occur due to SLPI or other host protease inhibitors. Consistent with this hypothesis, pretreatment of Rd/wt-Hap with a physiologic concentration of SLPI increased adherence by this strain to levels comparable to adherence by Rd/HapS243A.
In contrast to the situation with adherence to epithelial cells and extracellular matrix proteins, Hap-mediated bacterial aggregation was not appreciable in settling assays with Rd/wt-Hap. Inhibition of Hap autoproteolysis by mutation of S243 or treatment with SLPI resulted in a marked increase in aggregation in tube settling assays, suggesting that the minimum threshold of surface-associated HapS required for aggregation exceeds the level associated with chromosomal expression of wild-type Hap. Thus, inhibition of autoproteolysis may add yet another layer of complexity to the regulation of Hap adhesive activities by influencing not only the capacity for adherence by single organisms but also the number of organisms associating with a particular site on the respiratory mucosal surface.
The observation that Rd/HapS243A and SLPI-treated Rd/wt-Hap are capable of forming bacterial aggregates raises the possibility that Hap may contribute to biofilm formation by H. influenzae clinical isolates. H. influenzae biofilms have been observed with experimentally infected animals and tympanostomy tubes from children with recurrent otitis media and may contribute to persistence in the face of antimicrobial therapy and the host immune response (3, 11). When conditions become more favorable for survival, organisms may disperse from biofilms and spread to new sites of infection. Decreases in local SLPI concentrations as inflammation subsides may permit Hap autoproteolysis, ultimately allowing release of bacteria from aggregates. As an alternative, H. influenzae may actively control the efficiency of Hap autoproteolysis by regulating expression levels of Hap precursor. It is possible that Hap expression by H. influenzae clinical isolates varies in response to changes in growth phase, bacterial density, or local environment.
In considering how Hap-mediated bacterial adherence and aggregation may contribute to H. influenzae pathogenesis, we speculate that autoproteolysis may serve to regulate Hap adhesive activities throughout progressive stages of natural infection. Hap autoproteolysis may occur to a limited extent during initial colonization of the respiratory tract by wild-type strains. In this setting, low-level Hap-mediated adherence to epithelial cells may complement the binding activity of other adhesins as individual organisms search for favorable sites of attachment along the mucosal surface. High-affinity interactions between Hap and extracellular matrix proteins may direct bacteria to damaged epithelium and exposed basement membrane in preparation for invasion into the subepithelium. Once bacteria trigger an immune response or migrate into areas of preexisting inflammation, inhibition of Hap autoproteolysis by SLPI, which is upregulated by tumor necrosis factor alpha and interleukin-1ß (13), may facilitate persistence of H. influenzae by initiating biolfilm formation and strengthening existing interactions with epithelial cells and extracellular matrix.
In summary, the intermolecular mechanism of Hap autoproteolysis limits secretion of the adhesive HapS passenger domain in the context of low-level Hap expression, as occurs with H. influenzae clinical isolates. Chromosomal expression of wild-type Hap promotes low-level bacterial adherence to epithelial cells and moderate-level adherence to fibronectin and collagen IV but fails to mediate bacterial aggregation. With chromosomal expression of HapS243A, surface-associated HapS significantly enhances Hap-mediated adherence to epithelial cells and extracellular matrix proteins and exceeds the threshold required for Hap-mediated bacterial aggregation. Similar increases in adherence and aggregation occur with inhibition of Hap autoproteolysis by SLPI.
We thank Bruce Green for generous contribution of anti-P4 monoclonal antibody EPR5-2.1 and Amy Buscher for assistance in preparing figures.
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