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Journal of Bacteriology, July 2004, p. 4740-4747, Vol. 186, No. 14
0021-9193/04/$08.00+0 DOI: 10.1128/JB.186.14.4740-4747.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Andrew G. Allen,2,
Duncan J. Maskell,2 Christopher G. Dowson,1 and Adrian M. Whatmore1*
Infectious Disease Research Group, Department of Biological Sciences, University of Warwick, Coventry CV4 7AL,1 Centre for Veterinary Science, Department of Clinical Veterinary Medicine, University of Cambridge, Cambridge CB3 0ES, United Kingdom2
Received 12 January 2004/ Accepted 6 April 2004
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The hyaluronate lyase or hyaluronidase of S. suis is a secreted protein (A. G. Allen, unpublished data) that progresively degrades hyaluronic acid (HA) into unsaturated disaccharides. HA is a high-molecular-weight polysaccharide consisting of repeating disaccharide units [ß-1,4-D-glucuronic acid-ß-1,3-N-acetyl-ß-D-glucosamine]n. HA is a major component of the extracellular matrix of body tissues and a major or sole component of the capsular material of certain microorganisms (23). Human tissues known to contain HA include blood, plasma, brain, articular cartilage, liver, synovial fluid, umbilical tissue, amniotic fluid, and skin. Hyaluronate lyases are produced by a variety of gram-positive organisms and are also associated with some gram-negative organisms (19). These enzymes are variously proposed to have roles in providing nutrients for the cell and in pathogenesis. Many members of gram-positive genera capable of elaborating hyaluronidase are able to cause infections initiated at mucosal or skin surfaces of humans or animals. It is proposed that the decrease in viscosity due to depolymerization of HA results in increased permeability of the connective tissues, increasing the ability to spread and hence the virulence of these microorganisms. In addition, hyaluronidases may degrade HA cell surface coatings, thereby allowing direct contact between the bacterium and specific receptors on the cell surface.
Members of several streptococcal species (including Streptococcus pneumoniae and Streptococcus agalactiae that, like S. suis, can cause meningitis and septicemia) are known to produce a cell surface-associated hyaluronate lyase (32, 37) and various lines of evidence have indicated potential importance in pathogenesis. Virulent S. agalactiae isolates associated with invasive disease produce higher levels of extracellular hyaluronate lyase than isolates carried asymptomatically (28, 34). In addition, whereas all strains of group B streptococci examined contained the gene encoding hyaluronate lyase, in some isolates it is interrupted by an IS element abolishing activity (14, 34). The possession of an intact hyaluronidase gene is a feature of the group B streptococcus III-3 lineage responsible for most neonatal invasive disease (6). Studies with S. pneumoniae have shown that addition of hyaluronidase increases pathogenicity in a mouse model of meningitis when intranasal inoculation is used (43). Furthermore, signature-tagged mutagenesis studies have provided evidence that hyaluronidase is important in pneumococcal pneumonia, although it apparently has little role in septicemia (30). Expression of hyaluronidase in the group of streptococci previously known as "Streptococcus milleri" has also been strongly associated with isolates obtained from internal abscesses rather than those obtained as normal flora from uninfected sites (39).
The hyaluronate lyase-encoding gene (hyl) was recently identified in and cloned from S. suis. The DNA sequence of this gene was deposited in GenBank under accession number AJ308330. The gene apparently encodes a classic gram-positive signal peptide and cell wall-associated LPXTG motif, but hyl from this strain (P1/7) had a premature stop codon resulting in a truncated protein of 522 amino acids lacking hyaluronidase activity. In contrast, a serotype 7 isolate, 1307, harbored full-length hyl (3,495 bp, AJ308328) and possessed hyaluronidase activity in vitro. Any role for S. suis hyaluronate lyase or the truncated protein in virulence is unknown. Although hyaluronidase may contribute to virulence and may therefore be a useful vaccine component, there is a clear need to understand more about the relationship of this protein to virulence, its genetic stability, and the extent of genetic diversity. In order to address these issues, the aims of the present study were to examine the presence of hyl and hyaluronidase activity in a large sample of field isolates, to relate these findings to the clinical background of the isolates and phenotypic characteristics such as serotype, and to examine the nature and extent of hyl genetic diversity.
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Preparation of chromosomal DNA. Chromosomal DNA was prepared from all isolates as described previously (42).
PCR analysis. PCR was performed under standard conditions with 30 cycles of 95°C for 1 min, 50°C for 1 min, and 72°C for 1 min per kb of predicted product. Products were visualized by agarose gel electrophoresis on 1.0% agarose in the presence of 1 µg of ethidium bromide ml1. Details of all oligonucleotides used in the present study are given in Table 1.
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TABLE 1. PCR Primers utilized in this study
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TABLE 2. EMBL accession numbers assigned to sequences determined in this study
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Hyaluronidase assays. Hyaluronidase assays were performed by using the method of Smith and Willett (35). Plates were prepared by using sterile brain heart infusion broth containing 1% (wt/vol) agar cooled to 46°C. An aqueous 2-mg ml1 solution of filter-sterilized (0.22-µm pore size) HA was added to a final concentration of 400 µg ml1. A 5% (wt/vol) filter-sterilized solution of bovine serum albumin fraction V was then added with constant stirring to give a final concentration of 1% (wt/vol) in the medium. A single colony of isolates to be tested was subcultured to a postage stamp-sized square on an assay plate. After overnight incubation at 37°C, the plate was flooded with 2 M acetic acid and allowed to stand for 10 min. Hyaluronidase activity was detected as a zone of clearing around the patch in a cloudy background, resulting from acetic acid precipitation of an albumin-nondegraded HA complex.
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3.6 kb (as predicted on the basis of sequence AJ308330) was amplified from 156 of 171 isolates. However, PCR products from 60 of these 156 isolates were deemed too weak for RFLP analysis. A second primer pair designed to amplify the entire hyl locus was tested by using a range of annealing temperatures and magnesium chloride concentrations but did not improve the PCR product yield (data not shown). A limited RFLP study of the 96 hyl PCR products obtained with primers 1 and 2 and deemed suitable for analysis was performed. Use of the enzymes HinfI, BslI, Hsp92II, HaeIII/DdeI, Tsp509I, and MwoI indicated that there is substantial genetic diversity between isolates and identified nine distinct alleles (data not shown). In order to examine the nature of this diversity hyl, PCR products representative of six of the RFLP variants were cloned and sequenced in full. Analysis of nucleotide sequences obtained from these six representatives (isolates 3, 6, 21, 34, 100, and 256) and the three previously identified allelic variants (P1/7, 1307, and P5/11/88) demonstrates that the majority of sequence variation occurs within the 5' region of hyl. A summary of the main features is presented in Fig. 1. Much of the diversity apparent in this region reflects deletions and/or insertions and an increasing frequency of point mutations toward the 5' end of hyl. Although no structural studies of S. suis hyaluronidase have been carried out, a number of residues identified as forming the active site in S. pneumoniae hyaluronidase (24) can be identified in S. suis. The S. suis residues equivalent to the proposed active site residues Asn349, His399, and Tyr408 are all present and completely conserved in all of the S. suis sequences. Despite the occurrence of deletions and insertions, all nine alleles for which sequence is available remained in frame until the residue (523 within the sequence from strain P1/7) previously identified as the termination codon responsible for an inactive, truncated hyaluronidase protein. Of the six full-length sequences examined in the present study, only one (isolate 21) possesses the early termination codon corresponding to 523 within P1/7, resulting from the identical 2-bp duplication some 12 bp upstream. The remaining five sequences are predicted to encode uninterrupted peptide sequences ranging from 1,140 to 1,172 residues. Nucleotide diversity between the alleles varies from 0.03 to 5.09%, and amino acid diversity of the seven alleles encoding full-length hyaluronidase ranges from 0.09% to 5.43% (considering only residues present in all alleles). In some cases, deletion or insertion events appear to be mediated by short direct repeats. For example, as demonstrated in Fig. 2, isolate 21 contains a deletion of 138 bp, the first 8 bp of which are identical to those immediately distal to the deletion. A 21-bp insertion previously identified within P1/7 was also identified within the hyl sequence of isolate 6, and this insert includes a direct repeat of a 13-bp sequence present immediately proximal to the insertion. However, in other cases, such as a 74-bp deletion in isolate 256 and a 13-bp insertion in isolate 21 hyl, no obvious mechanism could be identified.
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FIG. 1. Schematic illustration of hyl diversity based on the virtually complete sequence from nine distinct isolates. The areas shaded at the extreme 5' and 3' parts of the gene represent the location of PCR primer binding sites and were therefore not sequenced in the present study. The dashed arrow represents the location of the putative signal peptide cleavage site.
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FIG. 2. Examples of duplication or deletion events generating diversity in the 5' regions of hyl shown relative to the 1307 (serotype 7) reference sequence AJ308328. Repeated sequences that may be associated with these events are underlined and in boldface.
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TABLE 3. Distribution of hyaluronidase alleles identified by RFLP of hyl 5' PCR products by country of origin and enzyme activity
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FIG. 3. The upper panel shows a comparison of the 5' sequences of a representative of each of the 21 RFLP types defined in the present study. Only sites variable (not absent) relative to the P1307 sequence are shown. Three arbitrary sequence groups have been identified based on the sequences of hyl1307 (blue), hyl20 (pink), and hyl21 (red). Below is a schematic illustration of the mosaic nature of a number of the hyl sequences, reflecting a history of recombination in the evolution of this locus. The lack of diversity in some regions makes unequivocal differentiation of sequences corresponding to blue and pink groups impossible, and where this is the case, the sequence is shown in black and illustrated as dappled on the schematic.
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Determination of hyaluronate lyase activity. Plate assays were performed to determine the proportion of the 309 isolates that produce active hyaluronate lyase (Table 3). In the case of the vast majority of the 309 S. suis isolates, the results were unequivocal, with 91 isolates giving a distinct zone of clearing in the assay indicative of active hyaluronidase, whereas 215 isolates displayed no zone of clearing. The remaining three isolates, scored as "+/," displayed a weak zone of clearing in three independent tests. Of the 34 different serotype reference strains screened, activity was visualized for serotypes 2, 3, 4, 7, 8, 11, 12, 15, 27, and 30. In addition, a weak (i.e., +/) response was visualized for the serotype 33 reference strain. In the majority of cases the presence or absence of hyaluronidase activity was consistent within an RFLP type, and isolates shown to contain interrupted hyl sequences, such as hyl14, hyl18, and hyl9, lacked hyaluronidase activity as would be predicted. However, 4 of the 21 RFLP profiles contained different isolates that had either positive or negative enzyme activity (Table 3). In most cases an overwhelming majority of isolates showed one state of activity, whereas a small proportion of isolates represented the other. This finding supports the idea that some of the RFLP profiles identified contain some isolates that harbor alterations not detected by our limited RFLP study.
Confirmation of the presence of a hyl homologue in isolates negative by hyl PCR and hyaluronate lyase activity. The attempted amplification of hyl from 38 of 309 isolates with primers 3 and 4 failed to generate a PCR product. These isolates included the reference strains for serotypes 6, 9, 10, 13, 16, 17, 18, 19, 20, 22, 23, 24, 25, 26, 28, 29, 31, 32, 33, and 34. Of these 38 isolates, 37 also failed to produce detectable hyaluronidase activity by the plate assay, and the remaining isolate (type strain 33) gave only a weak zone of clearing. To determine whether these isolates contain at least part of the hyl locus, a dot blot was performed that included 16 field isolates and 20 reference strains that lack hyaluronidase activity and are hyl PCR negative. A probe was constructed by labeling a PCR product of 1,292 bp amplified from strain P1/7 by using primers 5 and 6. This probe hybridized to chromosomal DNA from P1/7 used as a positive control, and no hybridization was detected with an E. coli negative control. Strong hybridization of the probe was detected for all test isolates, with the exception of the reference strains for serotypes 32 and 34, which are known to be phylogenetically distantly related to most S. suis isolates (data not shown). A control probe consisting of the 16S rRNA gene of P1/7 hybridized to all of the chromosomal DNA samples, including the serotype 32 and 34 isolates. Thus, hyl or a fragment thereof does appear to be present in all bona fide S. suis isolates, although in many cases it possesses inactivating mutations and/or no activity could be detected under the conditions examined in the present study.
Relationship between hyaluronidase activity and serotype or disease state. Table 4 shows the distribution of hyaluronidase activity detected by plate assay from field isolates from both asymptomatic carriage and different disease states. Hyaluronidase activity was not strongly associated with classic S. suis invasive disease isolates from cases of septicemia, meningitis, and arthritis being present in only between 0 and 29.6% of isolates associated with these conditions. In contrast, although numbers of isolates are much smaller, about 50% of the isolates obtained from pneumonia possessed hyaluronidase activity. The relationship between hyaluronidase activity and serotype was also investigated when sufficient numbers of strains from individual serotypes had been examined. Within the study there were nine serotypes that had eight or more representatives, and the distribution of hyaluronidase positives varied among these groups. Activity was detected in 75% (9 of 12) of serotype 3 isolates and 77% (10 of 13) of serotype 7 isolates, whereas only 12.5% of serotype 9 isolates, 14.3% (2 of 14) of serotype 1 isolates, 21% (8 of 30) of serotype 14 isolates, and none of the 11 isolates cross-reactive to antisera for both serotypes 1 and 14 gave a positive result. Serotype 2 accounted for 136 of the 309 isolates, and only 26.5% possessed detectable hyaluronidase activity. The other two serotypes contained similar numbers of isolates in which hyaluronidase activity was or was not detected; 50% (4 of 8) serotype 1/2 isolates and 66% (6 of 9) serotype 15 isolates yielded positive results on the plate assay. Hyaluronidase activity was not detected in any representatives of serotypes 6, 13, 17, 18, 19, 20, 22, 23, 24, 25, 26, 29, 31, 32, and 34 (one isolate screened from each).
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TABLE 4. Numbers of strains from carriage and different disease states that are positive and negative for hyaluronidase activity
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In contrast to the apparent widespread distribution of hyl in S. suis, hyaluronate lyase activity was detected in vitro in fewer than 30% of the corresponding isolates. In many cases the lack of activity of particular alleles correlates with mutations present in the gene; thus, for example, a duplication in hyl9 interrupting the reading frame and a point mutation introducing a stop codon in hyl14 are reflected in the lack of hyaluronidase activity in the parent strain. In other cases, the lack of activity was not associated with any obvious mutation. However, since only the most 5' 20% of the hyl sequence was obtained from a large proportion of isolates lack of activity may reflect uncharacterized mutations further downstream or outside the gene, as well as the influence of regulatory elements on expression. In the majority of cases, the presence or absence of activity was consistent with an RFLP type, but four restriction profiles contained small numbers of isolates giving contradictory assay results. This is likely to be a consequence of the relatively low resolution of the 5' RFLP, with the contradictory isolates representing closely related but distinct sequence variants. An alternative possibility, that some isolates contain another gene with hyaluronate lyase activity, cannot be discounted, particularly since some other streptococcal species can possess multiple hyaluronidases (17, 18).
The lack of detectable hyaluronate lyase activity in the majority of strains (ca. 75%) isolated from invasive human and porcine disease indicates that hyaluronidase is not an essential virulence determinant. Interestingly, hyaluronidase activity is present in a higher proportion of pneumonia-associated isolates. This might suggest a role for hyaluronidase in lung disease, although any extrapolations need to be treated with caution since, although the proportion of isolates possessing hyaluronidase activity is much higher than with meningitis, septicemia, or arthritis isolates, only 50% of pneumonia-associated isolates still possess activity. In addition, there is continued debate about whether S. suis is a primary cause of pneumonia as many isolations of S. suis are made in conjunction with organisms considered to be more significant respiratory pathogens, such as Actinobacillus pleuropneumoniae, Haemophilus parasuis, Pasteurella multocida, and swine influenza virus (15, 26, 33). However, there are reports of isolation of S. suis in pure culture from swine with acute respiratory distress or pneumonia, suggesting a potential causative role of this organism in respiratory disease (3, 15). Interestingly, signature-tagged mutagenesis studies have provided evidence that S. pneumoniae hyaluronidase is important in a model of pneumococcal pneumonia but a septicemia model suggested no major role once the organism has entered the bloodstream (30). In spite of any potential role of S. suis hyaluronidase in lung disease, it is the classic invasive diseases (meningitis and septicemia) and not localized pneumonia that present the major animal welfare and economic problems associated with S. suis, and the evidence presented here overwhelmingly suggests that hyaluronidase is not a major virulence factor of S. suis. Thus, in contrast to the situation with Streptococcus pneumoniae, where the use of hyaluronidase as a vaccine target (5) or as a target for inhibitory compounds (2) has been suggested, S. suis hyaluronidase appears not to be a relevant target for prophylactic or therapeutic approaches.
One caveat in the argument against a role of hyaluronidase in virulence is the observation that many of the attenuating mutations involve the duplication of short tandem repeats. Thus, the hyl9 isolate possesses a 4-bp duplication, whereas the hyl1 representative sequenced possesses a 2-bp duplication and an additional A in a poly(A) tract. Such direct sequence duplications are likely to be intrinsically unstable and readily reversible. Indeed, the generation and excision of similar short sequence duplications in various capsular biosynthetic genes of S. pneumoniae has recently been associated with capsule phase variation (40, 41). Thus, the possibility that hyaluronidase is regulated by the generation and excision of these repeats cannot be formally ruled out, although at least two observations argue against this. First, the overwhelming majority (>95%) of isolates possessing hyl1 lack hyaluronidase activity; if the gain and loss of sequence repeats was a common occurrence and the expression of hyaluronidase was important for virulence one might expect more isolates to possess hyaluronidase activity. Second, hyl1 isolates have two frameshift mutations and a further point mutation downstream, and all of these would need to revert to restore a fully coding open reading frame. Although the reversion of multiple changes could occur under appropriate selective pressures, this would presumably be much less likely than the reversion of the single duplications seen in pneumococcal capsular genes. A further possibility that could explain the apparent maintenance of the 5' region of the truncated hyl is that this gene encodes a multifunctional protein and that the 5' region encodes other currently unrecognized activities.
In summary, the present study shows that although the hyl locus is present in virtually all S. suis isolates tested, only 29.4% of isolates express an active protein. The gene, in common with many encoding streptococcal surface proteins, has a variable 5' end evolving by the generation of point mutations, insertions or deletions, and recombination events and a more conserved 3' end. Despite these observations suggesting the corresponding protein is subject to host immune surveillance, the lack of activity in many virulent field isolates, often associated with the disruption of the hyaluronidase open reading frame, suggests that hyaluronidase is not an important virulence factor of S. suis. Thus, the search for the crucial virulence factors of this pathogen and suitable targets for prophylactic and therapeutic intervention continues.
We gratefully acknowledge all colleagues listed in Materials and Methods who provided strains from their respective collections, and we thank Peter Heath (Veterinary Laboratories Agency, Bury St. Edmunds, United Kingdom) for helpful discussions.
Present address: Department of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104. ![]()
Present address: Arrow Therapeutics, Ltd., London SE1 1DA, United Kingdom. ![]()
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