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Journal of Bacteriology, December 2004, p. 8295-8300, Vol. 186, No. 24
0021-9193/04/$08.00+0 DOI: 10.1128/JB.186.24.8295-8300.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
MazF-Mediated Cell Death in Escherichia coli: a Point of No Return
Shahar Amitai,
Yussuf Yassin, and
Hanna Engelberg-Kulka*
Department of Molecular Biology, The Hebrew University-Hadassah Medical School, Jerusalem, Israel
Received 16 June 2004/
Accepted 18 August 2004

ABSTRACT
mazEF is a stress-induced toxin-antitoxin module, located on
the chromosome of
Escherichia coli, that we have previously
described to be responsible for programmed cell death in
E. coli. mazF specifies a stable toxin, and
mazE specifies a labile
antitoxin. Recently, it was reported that inhibition of translation
and cell growth by ectopic overexpression of the toxin MazF
can be reversed by the action of the antitoxin MazE ectopically
overexpressed at a later time. Based on these results, it was
suggested that rather than inducing cell death,
mazF induces
a state of reversible bacteriostasis (K. Pederson, S. K. Christensen,
and K. Gerdes, Mol. Microbiol. 45:501-510, 2002). Using a similar
ectopic overexpression system, we show here that overexpression
of MazE could reverse MazF lethality only over a short window
of time. The size of that window depended on the nature of the
medium in which MazF was overexpressed. Thus, we found "a point
of no return," which occurred sooner in minimal M9 medium than
it did in the rich Luria-Bertani medium. We also describe a
state in which the effect of MazF on translation could be separated
from its effect on cell death: MazE overproduction could completely
reverse the inhibitory effect of MazF on translation, while
not affecting the bacteriocidic effect of MazF at all. Our results
reported here support our view that the
mazEF module mediates
cell death and is part of a programmed cell death network.

INTRODUCTION
Toxin-antitoxin systems have been found on the chromosomes of
many bacteria (
1,
6,
10,
17-
19,
21). In
Escherichia coli such
systems include
mazEF (
1,
18,
19),
chpBIK (
18),
relBE (
2,
7,
10),
yefM-yoeB (
4,
5,
11), and
dinJ-yafQ (
13). Each toxin-antitoxin
system consists of a pair of genes, of which the downstream
gene encodes a stable toxin and the upstream gene encodes a
labile antitoxin. The first toxin-antitoxin system carried on
a bacterial chromosome that was described as regulatable and
responsible for programmed cell death was the
E. coli mazEF module (
1), located in the
relA operon (
19). The product of
mazF (MazF) is a stable toxin that inhibits translation by cleaving
mRNA at a specific site(s) (
6,
26). In light of contradictory
results from studies on this system, the mechanism of this cleavage
is not yet well understood (
6,
22,
26). The product of
mazE (MazE) counteracts the action of MazF. Because MazE is a labile
protein, degraded by the protease ClpAP (
1), prevention of MazF-mediated
death requires the continuous production of MazE. Thus, stressful
condition
s that prevent the expression of the chromosomally
borne
mazEF module should trigger cell death. Indeed, as predicted,
we found several stressful conditions to cause
mazEF-mediated
cell death: (i) extreme amino acid starvation leading to the
production of ppGpp (
1,
9); (ii) inhibition of transcription
and/or translation by antibiotics such as rifampin, chloramphenicol,
and spectinomycin under specific growth conditions (
25); (iii)
inhibition of translation by the Doc protein of prophage P1
(
15); (iv) DNA damage caused by thymine starvation (
24) as well
as by mitomycin C, nalidixic acid, and UV irradiation (
14);
and (v) oxidative stress (H
2O
2) (
14).
Recently, it has been suggested by Pedersen et al. (23) that rather than inducing programmed cell death, chromosomal toxin-antitoxin systems may induce a state of reversible bacteriostasis. They based their hypothesis on the results of their studies that included mazEF (chpAIK) and another chromosomal module, relBE, that is not homologous to mazEF (10). It was shown that ectopic overexpression of the toxins MazF (ChpAK) or RelE inhibits both translation and cell growth. In addition, both translation and cell growth resume if the cognate antitoxin, MazE (ChpAI) or RelB, is expressed at a later time (23). However, the experiments that show that the ectopic overexpression of the antitoxin MazE (or RelB) reverses MazF (or RelE) lethality were carried out over a short window of time, during only 5 hours after MazF (or RelE) induction (23).
Here, using a similar ectopic overexpression system of MazF and MazE, we found that as described previously (23), overexpression of MazE can resuscitate E. coli cells which overproduce MazF within a period of 6 h in liquid Luria-Bertani (LB) medium. When, however, we extended the period of MazF ectopic overproduction, the ability of MazE to resuscitate E. coli cells was drastically decreased. Moreover, the inability of MazE to reverse the bacteriocidic effect of MazF was even more dramatic when MazF was overexpressed in cells growing in liquid minimal M9 medium rather than in the rich LB medium. Thus, we found a "point of no return" which occurs sooner in minimal medium than in rich medium. In addition, we found that under the experimental conditions described previously (23), the effect of MazF on translation could be separated from its effect on cell death: MazE overproduction could completely reverse the inhibitory effect of MazF on translation, while not affecting the bacteriocidic effect of MazF at all. Our results reported here support our hypothesis that the mazEF module mediates a programmed cell death network in E. coli.

MATERIALS AND METHODS
Materials and media.
[
35S]methionine (1,175 Ci/mmol) was obtained from NEN (Boston,
Mass.). Ampicillin was obtained from Biochemie GmbH (Kundl,
Austria). Chloramphenicol,
L-arabinose, and IPTG (isopropyl-ß-
D-thiogalactopyranoside)
were obtained from Sigma (St. Louis, Mo.). Bacteria were grown
either in M9 liquid medium (
20) with 0.5% glycerol and a mixture
of amino acids (2 mg/ml each, without methionine) or in LB liquid
medium (
20). The media were supplemented with 100 µg of
ampicillin per ml and 50 µg of chloramphenicol per ml
(final concentrations). Cultures were spread on LB plates containing
100 µg of ampicillin per ml, 50 µg of chloramphenicol
per ml, and 0.2% glucose with or without IPTG (2 mM).
Bacterial strains and plasmids.
We used E. coli strain MC4100
mazEF relA1 lacIq::tet. We constructed this strain by using P1 phage to transduce lacIq from MC4100 relA1 lacIq::tet (kindly provided by Gad Glaser) into MC4100
mazEF relA1 (1).
Construction of pBAD-mazF.
mazF was PCR amplified from strain MC4100 relA1 (3). The PCR fragment was cut with HindIII and XbaI and ligated to HindIII-XbaI sites of pBAD33 carrying a chloramphenicol resistance gene (12) (kindly provided by Larry Snyder), downstream from the araBAD promoter.
Construction of pQE-
his-mazE.
mazE was PCR amplified from strain MC4100 relA1 (3). The PCR fragment was cut with HindIII and EcoRI and ligated to the HindIII-EcoRI sites of pQE30 (Qiagen) carrying an ampicillin resistance gene, downstream from the T5 promoter and the lac operator. Transformation of strain MC4100
mazEF relA1 lacIq with pQE-
his-mazE results in the repression of mazE expression; the addition of IPTG to this same strain results in the induction of mazE expression. Note that cutting out pQE30 at these restriction sites resulted in the removal of both the His6 and the ribosome binding sites. Because of this, in addition to the mazE sequence, we included the ribosome binding site sequence in our PCR fragment to compensate for its loss from the digested plasmid.
Assays for studies on the effect of MazE overproduction on the viability of E. coli cells that overproduce MazF over different periods.
E. coli strain MC4100
mazEF relA1 lacIq was cotransformed with pQE-
his-mazE, carrying mazE (without a His tag), and pBAD-mazF, carrying mazF. The transformed culture was grown in either LB or M9 medium at 37°C to mid-logarithmic phase (optical density at 600 nm [OD600], 0.5). At time zero, mazF expression was induced by the addition of 0.2% arabinose to the culture. The induced culture was incubated at 37°C without shaking. At various time points, samples were withdrawn and spread on LB-ampicillin-chloramphenicol plates containing either 0.2% glucose (to repress mazF expression) or 0.2% glucose and 2 mM IPTG (to induce mazE expression).
Assays for studies on the effect of MazE overproduction during growth in liquid medium on the ability of MazF-overproducing E. coli cells to form colonies and to synthesize proteins.
E. coli strain MC4100
mazEF relA1 lacIq, carrying pQE-
his-mazE and pBAD-mazF, was grown in M9 medium at 37°C to mid-logarithmic phase as described above. The culture was diluted 1:10 in the same medium, and mazF expression was induced by the addition of arabinose (0.2%). The induced culture was incubated at 37°C without shaking. At various time points, samples were withdrawn and split into two portions. To one, only 0.2% glucose was added, and to the other, both 0.2% glucose and 2 mM IPTG were added. The samples were further incubated at 37°C. At various times before and after the addition of glucose, we determined the levels of protein synthesis, viability (CFU), and OD600. To determine CFU, samples were spread on LB-ampicillin-chloramphenicol plates containing 0.2% glucose. Protein synthesis was determined by measuring the incorporation of [35S]methionine (10 µCi/ml) into a trichloroacetic acid (TCA)-insoluble fraction (final concentration of 5%). The TCA solutions contained 50 µg of nonradioactive methionine per ml. The precipitates were incubated on ice for 30 min, filtered on Schleicher & Schuell (Dassel, Germany) filters, and washed with TCA (5%). The filters were allowed to dry, and the TCA-insoluble counts per minute were determined by using a scintillation counter (BETAmatic I/II; Kontron). The amount of radioactivity per OD600 unit was determined. For any given time point, the relative percentage of protein synthesis was calculated compared to that at time zero.

RESULTS
Overproduced MazE did not resuscitate E. coli cells that had overproduced MazF over a prolonged period.
Here we carried out an experiment similar to the one described
previously by Pedersen et al. (
23). We used
E. coli strain MC4100
mazEF relA1 lacIq cotransformed with plasmids pQE-
his-
mazE,
regulated by the T5 promoter and the
lac operator, and pBAD-
mazF,
regulated by the
araBAD promoter. The cells were grown in LB
medium to mid-logarithmic phase.
mazF expression was then induced
by the addition of arabinose. At various times after
mazF induction,
samples were withdrawn and spread on LB plates containing either
only glucose (to repress
mazF expression) or glucose and IPTG
(to induce
mazE expression).
Our results confirmed those of Pedersen et al. (23) and showed that the overproduction of MazE could resuscitate E. coli cells overproducing MazF during a period of 6 h (Fig. 1A). We found, however, that extending the period of mazF induction led to a dramatic decrease in the ability of MazE to resuscitate the cells. By 8 h after the induction of mazF expression, only about 20% of the cells survived, and by 24 h, survival was reduced to only 8% (Fig. 1A).
Unlike Pedersen et al. (
23), we also examined the ability of
MazE to reverse the toxic effect of MazF by growing the transformed
cells in M9 medium rather than LB medium. In M9 medium, the
ability of MazE to reverse the effect of MazF on cell survival
was reduced even more significantly. As soon as 2 h after the
induction of ectopic MazF overexpression, we observed only about
50% survival (Fig.
1B). By 6 h, survival was reduced to 10%,
and by 24 h after
mazF induction, survival was only 0.3% (Fig.
1B).
There is a state in which MazE overproduction can reverse the inhibitory effect of MazF on translation but not its effect on colony formation.
Here, we again based our studies on the protocol used by Pedersen et al. (23), in which they studied the ability of MazE to reverse the effects of MazF on translation. However, we considered two new aspects. First, instead of studying the effect of MazE only after one specific period of MazF overproduction (3 h) (23), we explored the effect of MazE on cells in which MazF was previously overproduced for various periods (1 to 6 h). Second, we studied not only the ability of MazE to reverse the inhibitory effect of MazF on translation but also its ability to resuscitate cells from the same samples. We chose not to study the effect of MazF overproduction on replication, because the results of recent work by Christensen et al. (6) revealed that the effect of MazF on replication is secondary to its effect on translation.
As in our experiments described above, we used E. coli strain MC4100
mazEF relA1 lacIq cotransformed with plasmids pQE-
his-mazE and pBAD-mazF. The cells were grown in M9 minimal medium to mid-logarithmic phase, at which time the cultures were diluted in the same medium and 0.2% arabinose was added to induce mazF expression. At 1, 4, and 6 h after the induction of mazF expression, samples were withdrawn and split into two portions. To one portion, only glucose was added (to repress mazF expression), and to the other portion, glucose and IPTG were added (to induce mazE expression). The samples were further incubated, and the abilities to synthesize proteins (Fig. 2Aa to Ac) and to form colonies (Fig. 2Bc to Bc) were determined 1 and 3 h later (for details, see also Materials and Methods).
We found that at every point from 1 to 6 hours after the induction
of the overexpression of MazF, in the absence of MazE, the rate
of translation was drastically reduced. During this period,
the rate of translation was only 5 to 16% of that of untreated
cells (Fig.
2A). This inhibitory effect of MazF on translation
was completely reversed by overproduction of MazE. As soon as
1 h after the induction of MazE expression, the rate of translation
was restored to 100% regardless of the amount of time after
the induction of MazF overproduction (Fig.
2Aa to Ac). However,
in spite of the ability of MazE to reverse the inhibitory effect
of MazF on translation, it could not reverse the bacteriocidic
effect of MazF (Fig.
2Ba to Bc).

DISCUSSION
Pedersen et al. (
23) have previously reported that the artificial
overproduction of the toxin MazF (ChpAK) does not confer cell
death. Instead, they suggest that this toxin induces bacteriostatsis
that can be fully reversed by overexpression of the antitoxin
MazE (ChpAI). Here, we have confirmed their results by carrying
out similar experiments with a similar ectopic overexpression
system for MazF and MazE. We found that during the first 6 h
of MazF overproduction in liquid LB medium, there is indeed
almost a complete reversion of cell survival by a subsequent
overproduction of MazE during overnight incubation on LB plates
(Fig.
1A). However, when we extended the period of MazF overproduction
to 8 h, the ability of MazE to resuscitate
E. coli cells was
drastically decreased. Furthermore, when MazF was overproduced
in cells growing in the minimal M9 medium, the inability of
MazE to reverse the bacteriocidic effect of MazF was even more
dramatic (Fig.
1B). Thus, our results indicate that there is
a point of no return and that in the minimal M9 medium this
point occurs sooner than it does in the rich LB medium (compare
Fig.
1A and B). By the time that the cells reach this point
of no return, they have undergone so much MazF-induced damage
that their death is unavoidable and they can no longer be resuscitated
by the action of MazE. Since in M9 and LB media the abilities
of MazE to revive cells damaged by MazF were different, we understand
that this point of no return is variable and is a function of
growth conditions.
Pedersen et al. (23) also reported that ectopic overexpression of the toxin MazF inhibits translation, which can be resumed if the antitoxin MazE is expressed at a later time. Carrying out similar experiments, we confirmed their results. Here we even extended the period of MazF expression to 6 h. During this period, the inhibitory effect of MazF on translation was completely reversed after as little as 1 h of MazE overexpression (Fig. 2Aa to Ac). Although these cells were able to translate proteins, they were hardly able to form colonies (Fig. 2Ba to Bc). Thus, under these experimental conditions, the cells were in a state in which MazE overproduction could completely reverse the inhibitory effect of MazF on translation but could not reverse the effect of MazF on colony formation. In other words, the bacteriocidic effect of MazF and the effect of MazF on translation seem to be two separate functions that could be dissociated by the ectopic overexpression of MazE.
Our results reported here indicate on the one hand that in the bacteriocidic effect of MazF there is a point of no return (Fig. 1) and on the other hand that the effect of MazF on translation and its bacteriocidic effect (Fig. 2) may be separate functions. These results support our conclusions reported in our previous publications (8, 14, 15, 24, 25), in which we have suggested that mazEF is part of a programmed cell death network. In such a network, MazF would be seen as a mediator rather than as an executor. Other researchers have suggested that the inhibition of protein synthesis by MazF is due to its endoribonucleolytic effect on mRNAs (6, 22, 26) and tmRNA (16). Based on our results reported here, we have built a model (Fig. 3) in which this action of MazF (Fig. 3, step c) would be one of the initial steps in the programmed cell death pathway. In our model, this initial step can still be reversed by the antagonistic effect of MazE over MazF. Further cleavage of mRNAs and tmRNA by MazF would be prevented by MazE, and the previously truncated mRNAs could be released from the ribosomes through the action of de novo-synthesized uncleaved tmRNA (16). However, we suggest that MazE cannot reverse the downstream cascade already initiated by MazF (Fig. 3, steps e and f); thus, if the process is not stopped in time, eventually cell death would be unavoidable. How might the inhibition of translation by MazF induce such a downstream cascade leading to cell death? This might be caused by the unique mechanism through which MazF cleaves mRNAs at specific sites (6, 22, 26). In this way, the action of MazF could lead to the selective synthesis of proteins encoded by mRNAs that are resistant to the cleavage by MazF (Fig. 3, step e). We believe that these proteins may be a part of an elaborate pathway to cell death. The described model (Fig. 3) may be unique to the mazEF system; however, other E. coli chromosomal toxin-antitoxin systems may act in a similar way.
Based on their experimental results, Pedersen et al. (
23) concluded
that the toxin MazF does not mediate cell death but only induces
bacteriostasis that can be reversed by the antitoxin MazE. Our
results reported here contradict their conclusion. We suggest
that although intermediary stages in the
mazF-mediated cascade
may be reversible, the process as a whole leads to cell death.

ACKNOWLEDGMENTS
We thank Myriam Reches for her help. We thank F. R. Warshaw-Dadon
(Jerusalem, Israel) for her critical reading of the manuscript.
The research described here was supported by grant 938/04 from the Israel Science Foundation administrated by the Israel Academy of Science and Humanities.

FOOTNOTES
* Corresponding author. Mailing address: Department of Molecular Biology, The Hebrew University-Hadassah Medical School, P.O. Box 12272, Jerusalem 91120, Israel. Phone: 972-2-675-8250. Fax: 972-2-678-4010. E-mail:
hanita{at}cc.huji.ac.il.


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Journal of Bacteriology, December 2004, p. 8295-8300, Vol. 186, No. 24
0021-9193/04/$08.00+0 DOI: 10.1128/JB.186.24.8295-8300.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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