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Journal of Bacteriology, August 2006, p. 5731-5740, Vol. 188, No. 16
0021-9193/06/$08.00+0 doi:10.1128/JB.00495-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Department of Microbiology, University of Minnesota Medical School, Minneapolis, Minnesota 55455-0312
Received 7 April 2006/ Accepted 30 May 2006
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Microbial iron transport is tightly controlled, in part because excess iron can participate in reactions leading to the production of toxic oxygen species (34). Under iron-replete growth conditions, bacterial iron uptake genes are transcriptionally repressed by regulators such as Fur that require iron as a corepressor (25, 35). Some bacterial species have evolved positive regulatory mechanisms to activate transcription of iron acquisition genes. In general, these positive regulators are repressed at the transcriptional level by Fur and iron, and their function often requires the presence of the iron source itself, acting as an inducer. Known positive regulators of iron transport genes belong to one of four mechanistic classes: classical two-component sensory transduction systems, extracytoplasmic function sigma factors, AraC/XylS family transcriptional regulators, and LysR-type regulators. For example, Pseudomonas aeruginosa uses the PfeR and PfeS two-component signal transduction proteins to elevate expression of the pfeA ferric enterobactin receptor gene when grown in the presence of enterobactin (23, 24). The Escherichia coli ferric citrate transport genes are transcriptionally activated by the FecI extracytoplasmic function sigma factor when ferric citrate becomes bound to its outer membrane receptor (73). Examples of the iron subfamily of the AraC family regulators include PchR and YbtA, which activate transcription of P. aeruginosa pyochelin (37, 38) and Yersinia pestis yersiniabactin (26) biosynthesis and transport genes, respectively, when the cognate siderophore is present. These regulators are hypothesized to require direct interaction with their iron source inducers, similar to AraC binding its arabinose effector (29). Lastly, the Vibrio cholerae IrgB protein is a LysR family transcriptional activator of the irgA enterobactin receptor gene; however, its function does not require induction by enterobactin (30, 49).
Bordetella bronchiseptica causes respiratory infections in a variety of mammalian hosts (31). Recent phylogenetic analyses suggest that a B. bronchiseptica-like organism was the progenitor of the human-adapted species Bordetella pertussis (57), the causative agent of the respiratory disease whooping cough (10). To date, there are three known Bordetella iron acquisition systems, and each is positively regulated at the transcriptional level in response to its cognate iron source. Transcription of the bhuRSTUV genes, encoding heme uptake and utilization functions, is heme inducible by a mechanism involving the extracytoplasmic function sigma factor HurI (72). These Bordetella species also produce the dihydroxamate siderophore alcaligin. The alcaligin biosynthesis and transport genes are transcriptionally activated in the presence of the siderophore by the AraC family regulator AlcR (12, 15). The third known Bordetella iron transport system utilizes the catechol xenosiderophore enterobactin (7). The AraC family regulator BfeR activates transcription of the bfeA enterobactin receptor gene in the presence of enterobactin (1). Although growth stimulation by ferric enterobactin is dependent on the BfeA receptor, transcriptional activation of the bfeA gene by BfeR and enterobactin does not require BfeA, suggesting that the inducing form of enterobactin enters the cell by another route.
The host upper respiratory tract is the natural colonization site for B. pertussis and B. bronchiseptica, yet both can use enterobactin, which is produced primarily by bacterial inhabitants of the intestinal tract such as E. coli. Enterobactin is also used as a xenosiderophore by a variety of other organisms, including Neisseria gonorrhoeae (20), Neisseria meningitidis (64), and respiratory Haemophilus species (76). Although E. coli and other enteric bacteria are not considered upper respiratory tract commensals of mammals, they can transiently colonize this anatomic site and, in the process, potentially excrete enterobactin (6, 71). Since the ferric ion stability constant of enterobactin (1049) is higher than that of virtually all other known siderophores (62), a microbe that can utilize this powerful siderophore may gain a significant growth advantage via iron piracy in the iron-restricted host environment.
It is also possible that respiratory tract commensals produce siderophores that are structurally similar to enterobactin, and these ferric siderophores may be transported by the ferric enterobactin uptake systems of other respiratory inhabitants or pathogens such as Bordetella species. In the present study, we identified other catechol siderophores transported by the B. bronchiseptica BfeA enterobactin receptor and assessed their capacity to induce bfeA transcription. In addition, several compounds, including the neuroendocrine catecholamines epinephrine, norepinephrine, and dopamine, were demonstrated to induce transcription of bfeA. These findings expand the functional classes of compounds that can activate the BfeR regulator and suggest that Bordetella cells may respond to these compounds while growing in the host.
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(Invitrogen, Carlsbad, CA) was used for routine cloning purposes and as a donor in triparental matings. Bacillus subtilis strain ATCC 21332 was provided by Kenneth Raymond and was used for the production of corynebactin.
Plasmid pGEM3Z (Promega, Madison, WI) and the broad-host-range plasmid pBBR1MCS-1 (40) were used in the construction of recombinant plasmids. pMP220 carries a promoterless lacZ gene (67) and was used in the construction of bfeA-lacZ transcriptional reporter fusions. For conjugations, plasmid pRK2013 provided DNA mobilization functions to E. coli DH5
donor cells (27).
Culture conditions. Luria-Bertani agar and broth (65) were used for routine cultivation of E. coli and B. bronchiseptica strains. B. subtilis was grown in a glucose mineral-salt medium that was depleted of iron by treatment with Chelex 100 (Bio-Rad, Richmond, CA) (70). Stainer-Scholte (SS) medium (69), modified as described previously (66), was used as a chemically defined growth medium for B. bronchiseptica. SS basal medium was treated with Chelex 100 prior to addition of nutritional supplements; iron-replete medium contained 36 µM iron, and iron-restricted medium contained no added iron (3). Media were supplemented with antibiotics at the following concentrations: ampicillin, 100 µg/ml; chloramphenicol, 30 µg/ml; gentamicin, 10 µg/ml; tetracycline, 15 µg/ml. Bacterial growth in liquid culture was measured densitometrically at a wavelength of 600 nm.
Siderophores and catechol compounds.
Enterobactin was purified from culture supernatants of E. coli AN102 [araC14 leuB6(Am) secA206 (Azir) fhuA23 lacY1 proC14 tsx-67 fep-104 glnV44(As)
trpE38 rpsL109 (Strr) xylA5 mtl-1 thi-1] (22) by using a method derived from Neilands and Nakamura (54) as described previously (1). Corynebactin was purified from culture supernatants of B. subtilis 21332 by organic solvent extraction. Briefly, the B. subtilis biosurfactant surfactin was removed by adjusting the supernatant to pH 2 with concentrated HCl, according to the method of Arima et al. (2). The surfactin-containing precipitate was removed by centrifugation, and corynebactin was purified from the resulting supernatant by using the method for enterobactin purification (1). Corynebactin concentrations were determined using the Arnow assay (5) and 2,3-dihydroxybenzoic acid as the standard. Salmochelin S4 was provided by Klaus Hantke. N,N',N"-[tris-(2,3-dihydroxybenzoyl)-2-aminoethyl]-amine (TRENCAM) (63) and 1,3,5-N,N',N"-tris(2,3-dihydroxybenzoyl)triaminomethylbenzene (MECAM) (74, 75) were provided by Kenneth Raymond. Monomeric 2,3-dihydroxybenzoylserine (DHBS) was purchased from EMC Microcollections (Tuebingen, Germany). All other catechol compounds were purchased from Sigma-Aldrich (St. Louis, MO). Nonsiderophore solutions were prepared immediately prior to use.
Growth stimulation assays. Iron-restricted agar bioassays were used to test the ability of catechol compounds to function as Bordetella iron sources. Luria-Bertani agar for bioassays contained the nonutilizable iron chelator ethylenediaminedi-(o-hydroxyphenyl)acetic acid (EDDA) and was seeded with B. bronchiseptica cells as described previously (14). Iron source test solutions were provided in 50-µl volumes placed in 6-mm-diameter wells cut into the agar; Bordetella growth zones around the wells were measured in millimeters. Results are means of triplicate assays and are representative of at least two experiments; the standard deviation from the mean was less than ±2 mm.
The effect of norepinephrine on the growth of B. bronchiseptica was assayed by measuring the bacterial growth yield in liquid cultures. The alcaligin-deficient strain BRM26 was grown in iron-replete SS medium, washed with SS basal medium lacking iron, and used to inoculate (1:2,000 dilution) parallel 10-ml cultures containing iron-depleted SS medium containing or lacking 30% (vol/vol) heat-treated fetal bovine serum (FBS) (Gibco Cell Culture, Carlsbad, CA). One culture from each of the two sets was supplemented with 6.5 µM enterobactin, 50 µM norepinephrine, or both compounds; control cultures were unsupplemented. After 20 h of growth at 37°C in a shaking incubator (250 rpm), the optical density at 600 nm (OD600) of each culture was measured. Results shown are representative of the growth trends from three independent experiments.
Genetic methods. Recombinant plasmids were constructed by standard genetic methods (65). Plasmid pBB37 carries the B. pertussis bfeA gene and has been described previously (1). The 2.4-kb SmaI tonB+ exbBD+ fragment of B. bronchiseptica 19385 was subcloned from plasmid pRKTon (55) to pBBR1MCS-1 to create pBB41. Plasmid DNA was transferred to Bordetella cells by conjugation (11) or electroporation. B. bronchiseptica RB50 and B. pertussis Tohama I genomic DNA sequences were obtained from the Wellcome Trust Sanger Institute (http://www.sanger.ac.uk). DNA sequences that were determined for this laboratory were provided by the Advanced Genetic Analysis Center at the University of Minnesota. Oligonucleotide primers were purchased from Integrated DNA Technologies, Inc. (Coralville, IA). Analysis of genetic sequences was aided by the use of the Lasergene suite of sequence analysis software (DNASTAR, Madison, WI).
To construct the lacZ fusion plasmid pMP4, primers bfeR-A'EcoRI (5'-GCGCGAATTCGCTGGAAGACATGGTCAAGG-3') and bfe1Bam (5'-GGCCGGATCCTCTCCTCGGCGGTGATGAC-3') were used to PCR amplify from the B. bronchiseptica B013N genomic DNA template a 1.5-kb product that contained the bfeR gene and the first 199 bp of the bfeA coding sequence. This primer pair was also used in the construction of pMP3 to PCR amplify the same genetic region from B. bronchiseptica bfeR mutant BRM24, resulting in a product containing the 594-bp in-frame
bfeR deletion allele. The bfeR+-bfeA' and
bfeR-bfeA' fragments were ligated to pGEM3Z to create p3Z129 and p3Z130, respectively. The DNA regions were then subcloned from those plasmids as EcoRI-SphI fragments into the promoterless lacZ plasmid pMP220, resulting in transcriptional reporter fusion plasmids pMP3 (
bfeR bfeA'-lacZ) and pMP4 (bfeR+ bfeA'-lacZ). The correct fusion junctions were verified by nucleotide sequencing.
ß-Galactosidase assays. Transcription of bfeA was analyzed using B. bronchiseptica strains carrying bfeA-lacZ reporter plasmids. Bacteria were grown for 24 h in iron-replete SS medium, washed with SS basal medium, and subcultured at a 1:50 dilution to iron-replete medium or iron-depleted medium in the presence or absence of an inducer. After 18 h of incubation at 37°C, bacteria were assayed for ß-galactosidase activity using the method of Miller (51) as modified by Brickman et al. (16). Results are means for triplicate cultures ± 1 standard deviation and are representative of at least two experiments.
Immunoblot analysis. B. bronchiseptica strains were grown in iron-replete SS medium for 24 h, washed, and used to inoculate (1:200 dilution) parallel iron-depleted cultures containing or lacking 50 µM norepinephrine. After 24 h of growth, bacteria were harvested and solubilized, and proteins from approximately 0.02 OD600 unit of cells were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis as described previously (1). Proteins were transferred to nitrocellulose membranes and probed using a mouse antiserum raised to the FepA enterobactin receptor of E. coli (4) that cross-reacts with the BfeA protein (1).
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FIG. 1. TonB-independent induction of bfeA transcription in B. bronchiseptica. Wild-type B013N and BRM31 (tonB::pSSt2) cells harboring the bfeA-lacZ reporter fusion plasmid pMP3 or the promoterless lacZ vector control plasmid pMP220 were grown in SS medium and assayed for ß-galactosidase activity as described in Materials and Methods. Genetic complementation of BRM31 was accomplished using the tonB+ exbBD+ plasmid pBB41, and pBBR1MCS-1 served as the vector control. Error bars, ±1 standard deviation from the means of triplicate cultures. Culture conditions were as follows: iron replete (solid bars), iron depleted (shaded bars), and iron depleted and supplemented with 3.3 µM enterobactin (open bars).
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FIG. 2. Molecular structures of catechol compounds (A) and of catecholamine synthesis pathway molecules and sympathetic nervous system agonists and antagonists (B).
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FIG. 3. Growth stimulation of B. bronchiseptica cells by natural and synthetic catechol siderophores. Wild-type B013N cells were seeded into iron-restricted agar as described in Materials and Methods and were provided with siderophores at 25 µM (solid bars), 12.5 µM (shaded bars), or 6.3 µM (open bars). Growth stimulation zones represent the means of triplicate bioassays and include the 6-mm diameter of the sample wells.
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TABLE 1. Transcriptional activation of bfeA and BfeA-dependent growth stimulation by catechol compounds
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Norepinephrine induction of bfeA transcription. Burton and colleagues noted that exposure of a pathogenic strain of E. coli to the catecholamine neurotransmitter norepinephrine resulted in increased production of a protein reported to be the FepA enterobactin receptor (19). Given these experimental observations and the structural relatedness of norepinephrine to enterobactin, we hypothesized that norepinephrine may induce transcription of the Bordetella enterobactin receptor gene. The effect of norepinephrine on BfeA production was examined by immunoblot analysis using an anti-FepA antiserum that cross-reacts with the Bordetella BfeA protein (1). Iron-depleted B. bronchiseptica cells supplemented with norepinephrine produced an immunoreactive high-molecular-weight protein, presumed to be BfeA, and its putative precursor, whereas those grown in the absence of the catecholamine produced negligible levels of the protein (Fig. 4). Production of the norepinephrine-induced protein was absent in bfeA mutant strain BRM25 and was restored upon genetic complementation by bfeA in trans (data not shown), confirming its identity as BfeA.
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FIG. 4. Norepinephrine-induced production of BfeA in B. bronchiseptica. Bacterial lysates from wild-type B013N cells grown in iron-depleted SS medium (Fe) or in iron-depleted medium supplemented with 50 µM norepinephrine (Fe+NE) were subjected to immunoblot analysis using a FepA-specific antiserum. The sizes of molecular mass standards (in kilodaltons) are shown on the left. Arrowhead indicates the immunoreactive BfeA protein.
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28-fold induction of bfeA transcription in response to 50 µM norepinephrine. To determine whether bfeA transcriptional activation by norepinephrine was dependent on the BfeR regulatory protein, bfeA-lacZ expression was assayed in the B. bronchiseptica bfeR mutant strain BRM24(pMP3). In contrast to bfeA transcription levels in the iron-starved wild-type strain exposed to norepinephrine, expression of bfeA in similarly cultured BRM24(pMP3) cells was negligible (Fig. 5). Norepinephrine-induced expression was restored to wild-type levels in BRM24 cells genetically complemented with the wild-type bfeR gene (pMP4). BRM24(pMP4) cultured under iron-depleted conditions exhibited norepinephrine-induced bfeA expression levels that were approximately 1.5-fold higher than those of the wild-type strain; increased transcription in the absence of norepinephrine was also observed in these cells, suggesting bfeR multicopy effects. Upstream of bfeA is a DNA region that contains predicted Fur-binding sites (7) and exhibits in vivo Fur binding activity (1). Norepinephrine-induced bfeA expression was absent in bacteria cultured under iron-replete conditions (Fig. 5), consistent with Fur-mediated repression. Norepinephrine-inducible transcription of bfeA requires BfeR and an iron-depleted physiologic state. |
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TABLE 2. Transcriptional activation of bfeA by catecholamines
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FIG. 5. Norepinephrine-induced bfeA transcription. Strains B013N (wild type) and BRM24 ( bfeR) carried the bfeA-lacZ reporter plasmid pMP3 or the vector control plasmid pMP220. Strain BRM24 was complemented by using the bfeR+ bfeA-lacZ plasmid pMP4. Bacteria were assayed for ß-galactosidase activity after growth in SS medium under the following conditions: iron replete (solid bars), iron replete and supplemented with 50 µM norepinephrine (shaded bars), iron depleted (striped bars), or iron depleted and supplemented with 50 µM norepinephrine (open bars). Error bars, ±1 standard deviation from the means of triplicate cultures.
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FIG. 6. Growth stimulation by norepinephrine. B. bronchiseptica cells were cultured in iron-depleted SS medium (SS) or iron-depleted SS medium containing 30% FBS (SS+FBS), and the growth yield after 20 h was measured densitometrically at a wavelength of 600 nm. Cultures either had no supplementation (solid bars) or were supplemented with either enterobactin (shaded bars), norepinephrine (striped bars), or both enterobactin and norepinephrine (open bars).
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FIG. 7. Analysis of bfeA transcriptional activation by catecholamines. B. bronchiseptica B013N carrying the bfeA-lacZ reporter plasmid pMP3 was assayed for ß-galactosidase activity as described in Materials and Methods. Bacteria were grown in iron-depleted SS medium and supplemented with one of the following catechol compounds: enterobactin (solid squares), norepinephrine (open squares), epinephrine (solid triangles), dopamine (open circles), L-DOPA (open triangles), and tyrosine (solid circles). Values represent means of triplicate cultures ± 1 standard deviation. Error bars representing less than ±50 Miller units are not shown.
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-adrenergic receptor antagonist phenylephrine differs from epinephrine due to the lack of a hydroxyl substituent at carbon 4 of its aromatic ring. This difference accounted for the inability of phenylephrine to induce bfeA transcription (Table 2), since epinephrine, which contains a complete catechol structure, was a potent inducer (Fig. 7). Tyramine was also unable to induce bfeA transcription due to the absence of a hydroxyl on carbon 3 of the benzene ring, compared to dopamine (dihydroxylated), which acts as an inducer. Together, these results indicate that a complete catechol structure is required for induction of bfeA transcription. |
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In iron-depleted Bordetella cells, transcription of bfeA is enterobactin inducible by a process requiring BfeR, an AraC-type regulator. Based on the mechanism of transcriptional activation by the AraC protein of E. coli, the AraC/XylS family regulators are generally predicted to bind small molecule inducers (29). Within this regulator family exists a subset of proteins that control transcription of genes that encode siderophore biosynthesis and utilization functions. The B. pertussis and B. bronchiseptica BfeR (1) and AlcR (12, 15) proteins, as well as the P. aeruginosa PchR (37, 38), Yersinia pestis YbtA (26), and Sinorhizobium meliloti RhrA (44) proteins, are among the members of this iron acquisition subclass of AraC-type regulators. With the exception of RhrA, which has not yet been fully characterized, all of these regulators are activated by their cognate siderophores when the bacteria are starved for iron. BfeR (1) (Fig. 1), AlcR (T. J. Brickman and S. K. Armstrong, unpublished data), and YbtA (26, 58) can perceive their siderophore inducers in the absence of their cognate outer membrane siderophore receptors and TonB. The mechanism by which these inducers are internalized in the absence of TonB-dependent receptor function remains unknown. However in P. aeruginosa, PchR requires the FptA pyochelin receptor for maximal fptA induction by pyochelin (38). PchR was recently demonstrated to bind target gene promoter sequences in a pyochelin-dependent manner (50), strongly supporting the hypothesis that the regulators of this iron acquisition subclass interact directly with their cognate siderophore inducers to activate transcription.
The results from this study showed that transcription of bfeA was induced significantly by the MECAM synthetic siderophore and by pyrocatechol, whereas salmochelin had moderate inducing activity. TRENCAM, which elicited the best growth enhancement response in B. bronchiseptica, showed negligible induction ability, as did the siderophore corynebactin. Pyrocatechol was a strong inducer but lacked growth-promoting function. These results indicate that the ability to promote Bordetella growth does not necessarily correlate with the ability to induce bfeA transcription, and they support the concept of distinct cell entry pathways for inducers and iron sources. Although nonutilizable monomeric catecholates could potentially form bidentate ferric iron complexes and thus cause iron restriction, increased bfeA expression resulted from induction rather than Fur derepression, since Bordetella cells in iron-depleted SS medium are iron starved in the absence of exogenous chelators.
Since B. bronchiseptica is an obligate pathogen, it is possible that catechols of host origin may be perceived and potentially used by the Bfe system. The ability of norepinephrine to enhance in vitro growth has been reported for several bacterial species including E. coli (45), Listeria species (21), Staphylococcus epidermidis (53), Aeromonas hydrophila, and Klebsiella pneumoniae (39). Internalization of norepinephrine has also been observed in some bacteria (28, 39). Previous studies reported that growth of pathogenic E. coli strains was stimulated by catecholamine neurotransmitters in serum-containing growth medium (46), and increased production of the ferric enterobactin receptor in response to norepinephrine was observed (19). Our studies demonstrated that Bordetella growth was stimulated in serum-supplemented SS medium by addition of either enterobactin or norepinephrine. The addition of serum to the SS medium also caused enhanced Bordetella growth; this effect may be due to the reported presence of epinephrine in FBS (68). The fact that growth stimulation by norepinephrine occurred in the absence of the alcaligin or enterobactin siderophores is intriguing, since norepinephrine is not known to have iron-chelating activity similar to that of siderophores. One previous report implicated transferrin as the component of serum responsible for norepinephrine-mediated growth stimulation of E. coli, and norepinephrine was demonstrated to cause the release of transferrin- and lactoferrin-bound iron in vitro (28). For B. bronchiseptica, acquisition of the iron released from transferrin by norepinephrine may occur by a siderophore-independent mechanism, possibly involving putative transporters such as annotated asATP-dependent permease complexes having iron binding components (locus tags BB2946 and BB4774). Ongoing studies in our laboratory are aimed at identifying other Bordetella genes whose expression is inducible by catecholamines and determining whether transferrin is involved in norepinephrine-mediated growth stimulation of Bordetella cells.
In enterohemorrhagic E. coli, expression of the locus of enterocyte effacement pathogenicity island and flagellar genes is activated by a signaling system that uses the autoinducer AI-3, epinephrine, and norepinephrine (68). In this way, pathogenic E. coli strains can intercept and respond to host hormone signals. In mammals, the main adrenergic catecholamines are epinephrine, norepinephrine, and dopamine, all of which strongly induced Bordetella bfeA transcription at biologically relevant concentrations. A metabolite of norepinephrine, 3,4-dihydroxymandelic acid, exhibited low inducer activity and did not promote the growth of B. bronchiseptica (Table 1). Nanomolar concentrations of epinephrine and norepinephrine are found in the plasma of mammals, and in tissues the concentration of norepinephrine is dependent on the degree of sympathetic innervation at that site (78). Tissue injury is known to result in the release of norepinephrine from neurons (77), and high levels of circulating catecholamines and their metabolites have been correlated with severe bacterial infection (32) and onset of acute respiratory illness (33).
Bordetella responsiveness to catecholamine hormones may fulfill a nutritional need, such as iron acquisition, or impart some other benefit to the organism that improves its fitness in the host environment. It is also possible that these neuroendocrine hormones do not function in iron acquisition per se but may serve as a host environmental cue. Surprisingly little is known of the catecholamine concentrations that may be found on healthy respiratory mucosal surfaces. Airway tone and reflexes such as coughing, bronchodilation, mucociliary function, and plasma leakage are regulated primarily by the sympathetic (adrenergic) and parasympathetic (cholinergic) branches of the autonomic nervous system (47, 52). Human tracheal gland cells (48) and rabbit tracheal epithelial cells (42) respond to exogenous epinephrine and norepinephrine, and inhaled epinephrine is an effective bronchodilator that has been widely used clinically (52). Rat nasal mucus contains nanomolar concentrations of catecholamines, including norepinephrine and dopamine (43). Therefore, catecholamines may be present on the host respiratory epithelium and detectable by Bordetella cells.
Bordetella species may not only have the ability to sense and respond to the iron-depleted host environment to obtain nutritional iron but may also be able to perceive important host signaling molecules. Transiently colonizing bacteria or commensals of the respiratory tract may produce catechol xenosiderophores that can be used by Bordetella via the Bfe system. Host catecholamines may be present at the initial site of mucosal infection or liberated by transudation in significant concentrations later during infection, after Bordetella-mediated damage to the epithelium has occurred. The ability of the Bordetella BfeR protein to activate transcription in response to a variety of catechol compounds, including those of microbial and host origin, illustrates the potential flexibility of this iron acquisition system.
Support for this study was provided by University of Minnesota grant-in-aid 19473 and Public Health Service grant AI-31088 from the National Institute of Allergy and Infectious Diseases. M.A. was supported by Public Health Service grant T32 AI-07421 from the National Institute of Allergy and Infectious Diseases.
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