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Journal of Bacteriology, February 2006, p. 1245-1250, Vol. 188, No. 4
0021-9193/06/$08.00+0 doi:10.1128/JB.188.4.1245-1250.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Nickel Represses the Synthesis of the Nickel Permease NixA of Helicobacter pylori
Lutz Wolfram,1
Elvira Haas,2 and
Peter Bauerfeind1*
Department of Internal Medicine, Division of Gastroenterology,1
Medical Policlinic, University Hospital of Zurich, 8091 Zurich, Switzerland2
Received 18 August 2005/
Accepted 23 November 2005

ABSTRACT
Nickel acquisition is necessary for urease activity, a major
virulence factor of the human gastric pathogen
Helicobacter pylori. NixA was identified as a specific nickel uptake system
in this organism. Addition of small amounts of nickel to media
strongly stimulates urea hydrolysis. On the other hand, high
nickel concentrations are deleterious to cell growth. As a possible
protective reaction, nickel uptake seems to be reduced in
H. pylori grown in nickel-rich media. These observations led to
investigations of regulation of the expression of the nickel
permease NixA. We found that increasing the nickel concentration
in media reduced the amount of NixA. In order to address the
question of whether this phenomenon was subject to transcriptional
or translational regulation, we quantified
nixA mRNA from
H. pylori by real-time PCR. The amount of
nixA mRNA was gradually
reduced five- to sevenfold in a time- and concentration-dependent
manner. Repression could be measured as soon as 5 min after
nickel addition, and the maximum repression occurred after 20
to 30 min. The maximum repression was obtained with an external
nickel concentration of 100 µM. The observed nickel repression
of NixA was dependent on
nikR encoding the nickel-responsive
regulatory protein NikR. In conclusion, we demonstrated that
synthesis of the NixA nickel permease of
H. pylori shows nickel-responsive
regulation mediated by NikR to maintain the balance between
effective nickel acquisition and a toxic overload.

INTRODUCTION
Helicobacter pylori is a gram-negative, microaerophilic human
pathogen which colonizes the gastric mucosa of 50% of the world's
population (
17).
H. pylori causes gastritis and is associated
with the development of gastric and duodenal ulceration (
6,
15,
34,
35), mucosa-associated lymphoid tissue lymphoma, and
gastric cancer (
7,
21). In order to withstand the acidic stomach
environment,
H. pylori synthesizes large amounts of the nickel-dependent
enzyme urease (
3,
27), an essential virulence and colonization
factor for this organism (
18,
19,
49). Urease catalysis leads
to the formation of ammonia from the host's urea, which neutralizes
the acidity in the vicinity of
H. pylori. Nickel acquisition
is indispensable for active urease production and survival of
H. pylori in the human stomach. Since nickel is present at only
trace levels in the human body (
47) and low doses are obtained
from the diet (
2,
40), a specific uptake mechanism is needed.
NixA has been identified as a high-affinity, low-capacity nickel
permease in
H. pylori (
37). Another possibility for nickel entry,
which is nonspecific, is CorA, the single magnesium uptake system
present in
H. pylori (
42); however, nickel uptake via this system
is rather limited under physiological conditions in terms of
substrate affinities and the in situ concentration ratio (
39,
42). Besides nickel, CorA can also transport cobalt and maybe
ferrous iron (
39). It has been shown that
H. pylori is especially
sensitive to cobalt (
38), a metal which is not transported via
NixA (T. Eitinger, personal communication).
The uptake, toxicity, resistance, and regulatory capacities of transition metals, especially the roles of iron (4, 5, 52) and nickel (38, 51), have been the subjects of several investigations of H. pylori. Since the role of nickel is ambivalent (it is toxic at higher concentrations but it is essential for urease activity), a delicate equilibrium of nickel uptake, storage, and incorporation into target enzymes is therefore necessary. The genome of H. pylori contains only a limited number of regulatory genes, which seemed to be consistent with the previous belief that H. pylori lives under rather constant environmental conditions in the gastric mucosa.
In general, nickel has been implicated in the regulation of several genes in bacteria, either inducing expression of nickel-dependent enzymes (29, 30, 50) and nickel resistance proteins (9, 25, 26) or repressing genes that encode nickel uptake proteins (11, 14). Analysis of nickel regulation at a molecular level has been achieved only with the NikR protein of Escherichia coli, which has recently been crystallized (45). NikR controls expression of the nikABCDE operon encoding the nickel-specific multiple-component ABC transporter in E. coli; nikR forms part of the operon as a sixth gene downstream (14). The homotetrameric NikR protein works as a direct nickel sensor and is a modular protein; the C-terminal two-thirds are necessary for tetramerization and high-affinity nickel binding (45), while the residues of the N-terminal part are involved in binding the target operator sequence (10), which was identified in the promoter region upstream of nikA (14). Binding of nickel-loaded NikR leads to repression of the nik operon and a reduction in nickel uptake (11).
An orthologue (HP1338/JHP1257) of the E. coli nikR gene was identified in the genome of H. pylori (1, 48). Recently, nikR has been implicated in nickel-dependent induction of urease synthesis, indicating that it is involved in nickel-dependent regulation (51). Addition of low levels of nickel (e.g., 1 to 5 µM) to culture media stimulates urease activity, whereas moderate concentrations inhibit bacterial growth partially and high concentrations prevent proliferation completely (the MICs are up to 2 mM, depending on the medium and strain) (51). Starting from our observations of retarded growth and reduced nickel uptake by H. pylori cells cultivated under excess-nickel conditions, we wanted to investigate whether the first step in nickel metabolism, nickel uptake, might be controlled by the external nickel concentration in the culture medium and whether it is dependent on NikR.

MATERIALS AND METHODS
Materials.
Growth media and their components were obtained from Becton-Dickinson
(brucella broth [BB], Bacto tryptone, Soytone, and Gelysate
peptone), Merck (granulated yeast extract and sodium chloride),
and Sigma (
L-arginine, pyruvic acid [sodium salt], glucose,
and cyclodextrin). Biochemicals were purchased from Boehringer
Mannheim/Roche Molecular Biochemicals, Invitrogen, and QIAGEN.
For detection of NixA-NixA antibody complexes in Western immunoblots,
an alkaline phosphatase-coupled goat anti-rabbit antibody was
used (Sigma). Nitrocellulose blotting membranes and nitrocellulose
filters were obtained from Schleicher & Schuell.
Bacterial strains and growth determination.
H. pylori wild-type strains ATCC 43504 and 26695 (= ATCC 700392) and nikR mutants of these strains were grown in BB, Wilkins-Chalgren (WC) broth, and Trypticase soy (TS) broth supplemented with 0.2% (wt/vol) cyclodextrins and with nickel at concentrations ranging from 0 to 1 mM. By using atomic absorbance spectroscopy the intrinsic nickel contents of brucella broth and Wilkins-Chalgren broth were determined to be 0.2 µM, whereas Trypticase soy broth was found to contain 1.0 µM nickel (Medizinisch-Chemisches Laboratorium, Basel, Switzerland). Plates and liquid cultures were incubated under water-saturated conditions at 37°C in jars (GasPack 100; Becton-Dickinson). Microaerophilic conditions were generated with CampyPak Plus (Becton-Dickinson) envelopes. The jars containing the liquid cultures were incubated in a G25 incubation shaker (New Brunswick Scientific) at 150 rpm. Growth was determined with a Jenway 6305 spectrophotometer by determining the optical density at 600 nm (OD600). Overnight 1-ml liquid precultures (in BB) were used to inoculate the main cultures. At various times samples were withdrawn from the growing cultures and used for analysis of total RNA and/or measurement of the optical density. Care was taken that the time in air was as short as possible (usually 1 to 2 min).
Construction of a nikR mutant.
nikR was amplified from the genome of H. pylori strain 26695 by PCR with appropriate primers (the forward primer introduced an EcoRI site upstream, and the reverse primer introduced a BamHI site downstream) and inserted into the vector pBluescript KS+ (Stratagene). After digestion with BclI (which led to internal loss of 81 bp in nikR), a filling-in step, and ligation with the KSF cassette (13), a plasmid with a nonfunctional nikR gene was obtained. This nikR-KSF construct was transformed into H. pylori.
Nickel uptake.
Nickel transport measurements were carried out as described previously (53). In brief, cultures were inoculated with the same preculture using a dilution of 1:1,000 for the culture without added nickel and a dilution of 1:100 for the culture with 100 µM NiCl2 to compensate for the growth retardation. This ensured that the cultures were still in the logarithmic growth phase after overnight incubation. H. pylori cells were then washed in transport buffer (50 mM Tris-HCl [pH 7.5], 10 mM MgCl2) and concentrated 10-fold. For the assay the OD600 was adjusted to 0.3, and histidine (final concentration, 1 µg/ml) was added. Histidine is an effective nickel chelator and was used to reduce nonspecific uptake and binding in the assay. The suspension was incubated for 5 min at 37°C with shaking (G76 Gyrotory water bath shaker; speed 8; New Brunswick Scientific, Edison, NJ) prior to addition of 63NiCl2 (24.7 TBq/mol) to a final concentration of 50 nM. After 0.25, 1, 2, and 5 min 400 µl of the suspension was passed through a nitrocellulose filter with a pore size of 0.2 µm. After this the filter was washed twice with 4 ml of transport buffer. The radioactivity was determined by liquid scintillation counting with a Packard 1900 TR counter. Statistical analysis was carried out using the mixed-effect linear model described previously (43).
Western blot analysis.
Membrane proteins (30 µg) of H. pylori strains after 2 days of growth in liquid culture were separated by sodium dodecyl sulfate- polyacrylamide gel electrophoresis (10% polyacrylamide) and electroblotted (semidry procedure; 10 V, 10 min, and 2 A with a Power-Pac 200 power supply; Bio-Rad) on nitrocellulose membranes as previously described (53). NixA was detected by antibodies to NixA raised in rabbits (a gift from H. L. T. Mobley, University of Maryland, Baltimore).
RNA isolation and reverse transcription.
Total RNA was extracted from H. pylori treated with lysozyme (0.4 mg/ml for 5 min at 37°C) using the silica-based RNeasy method (QIAGEN, Hilden, Germany), including an additional clean-up step to remove residual DNA as described in the manual of the manufacturer. The purity of RNA was controlled by reverse transcription reactions (PCR with nontranscribed RNA). RNA was reverse transcribed with an Omniscript RT kit (QIAGEN, Hilden, Germany).
Real-time quantitative PCR.
Real-time quantitative PCR was used to determine the expression of genes encoding the NixA nickel permease (nixA; HP1077 locus according to Tomb et al. [48]) and the housekeeper glyceraldehyde-3-phosphate dehydrogenase (gap; HP0921 locus according to Tomb et al. [48]). For amplification of a gap-specific cDNA fragment 5'-TGCTAACGACCATTCATAG-3' was used as the forward primer and 5'-GATTGGGTAACACTTTATGC-3' was used as the reverse primer; and for amplification of a nixA-specific fragment 5'-ATGCGGCGGCGTCTATGG-3' was used as the forward primer and 5'-TTGCCTTGT TGGGTGAGCTTTC-3' was used as the reverse primer. A two-step PCR was performed with an iQ SYBR Supermix PCR kit (Bio-Rad) as follows: activation of the hot-start Taq polymerase for 3 min at 95°C, followed by 40 cycles of denaturation at 95°C for 15 s (step 1) and annealing and extension at 60°C for 1 min (step 2). Fluorescence was detected at the end of each extension step. The identities and specificities of amplicons were confirmed by agarose gel electrophoresis, melting curve analysis, and sequencing (Microsynth, Balgach, Switzerland). Gene expression was calculated using the 2
CT method (32).

RESULTS
Excessive nickel retards growth of H. pylori.
Under standard growth conditions without addition of nickel,
H. pylori grew in 36 to 40 h to the maximal density (OD
600,
1.5 to 2.3) when it was inoculated at a 1:1,000 dilution from
a fresh overnight preculture in BB. If 100 µM NiCl
2 was
added to standard BB, which intrinsically contains 0.2 µM
Ni
2+, the growth of the nickel-supplemented culture was retarded
for 5 h, as shown for strains ATCC43504 and 26695 in Fig.
1.
Cultures with and without added nickel grew with the same doubling
time (about 2.5 to 3 h) and to the same final density (Fig.
1); this indicated that the bacteria were fit in the presence
of nickel and just needed to adapt to a suddenly higher concentration.
A similar growth retardation effect with excess nickel was seen
in WC broth (intrinsically containing 0.2 µM Ni
2+) and
in TS broth, which had an intrinsic nickel content of 1.0 µM
Ni
2+.
H. pylori grown with excess nickel shows reduced nickel transport.
We assumed that excess nickel initiated some regulatory response
for nickel uptake besides other possible events in the observed
growth retardation. Therefore, we examined whether cells grown
in the presence of high nickel concentrations had reduced nickel
transport. The transport buffer contained 10 mM MgCl
2 and only
50 nM
63NiCl
2 to suppress nickel uptake via CorA and promote
nickel transport via specific systems. Figure
2 shows that transport
in cells that grew in the presence of 100 µM NiCl
2 was
reduced; a statistical analysis of the data from seven experiments
revealed that there was a significant difference (
P = 0.0002)
in the nickel transport rates between bacteria grown with added
nickel in BB and bacteria grown without added nickel in BB.
Increasing the nickel concentration in media reduces expression of NixA in H. pylori.
We investigated the amount of NixA protein in
H. pylori membranes
with a NixA-specific antibody. The results for
H. pylori strains
ATCC 43504 and 26695 grown for 2 days are shown in Fig.
3; a
reduction in the NixA signal to 20 to 50% (strain dependent)
of the level found in membranes of bacteria grown in unsupplemented
media was observed with 5 µM NiCl
2, whereas at higher
concentrations the NixA signal gradually became weaker, until
only traces of NixA were detected in the Western blot, starting
with 50 and 100 µM for strains 26695 and ATCC 43504, respectively
(Fig.
3). Still, NixA could be detected at low levels even with
high nickel concentrations. This expression control of NixA
could also be verified in membrane extracts of
H. pylori grown
in WC broth and TS broth (data not shown).
Nickel represses NixA synthesis at the transcriptional level.
In order to investigate whether the observed downregulation
of NixA in membranes of
H. pylori was regulated at the translational
or transcriptional level, we isolated total RNA from
H. pylori and examined whether the message of
nixA was reduced in cells
that grew in the presence of elevated nickel concentrations.
As an internal standard the housekeeping gene
gap encoding the
glycerolaldehyde-3-phosphate dehydrogenase (HP0921 [
48]) was
used. We investigated the repression of
nixA at NiCl
2 concentrations
ranging from 0 to 500 µM (Fig.
4) and found that at 5
µM NiCl
2 the copy number of transcripts decreased by about
one-half; at 100 µM NiCl
2 only 20% of the transcripts
were detectable, and there was no further reduction at higher
concentrations. Similar results were obtained with cells grown
in TS broth (data not shown).
Repression of nixA is fast, efficient, and mediated by NikR.
We then tried to determine how fast
H. pylori downregulates
the
nixA transcript in the presence of nickel. In the first
experiment we removed samples at 30, 60, 120, and 180 min after
addition of nickel (final concentration, 100 µM). After
30 min complete downregulation was observed (to about 20% of
the situation prior to nickel addition). In the subsequent experiments
we removed samples for RNA isolation and quantification of
nixA transcription after 5, 10, 20, 30, and 60 min (Fig.
5). It was
evident that after 20 min the cells seemed to have finished
adapting transcription of
nixA to the new, lower level. When
in parallel a culture was grown without nickel addition or when
nickel was added to a culture of a
nikR mutant, we did not observe
a reduction in the
nixA message at similar times. Accordingly,
when we performed a Western blot analysis with membrane proteins
and targeted NixA, a reduction in the amount of NixA in a
nikR mutant was not observed, in contrast to the results obtained
for the wild type (Fig.
6) after 2 days of growth.

DISCUSSION
The present work showed that externally supplied nickel negatively
regulates the synthesis of the nickel permease NixA in
H. pylori at the transcriptional level. With increasing nickel concentrations
in the media,
nixA mRNA is downregulated, and as a consequence,
the level of NixA is reduced to basal levels. In this study
nickel-dependent repression was observed with two different
H. pylori strains (ATCC 43504 and 26695) and three different
growth media (brucella broth, Wilkins-Chalgren broth, and Trypticase
soy broth). The concentration of environmental nickel plays
an important role in regulation of nickel uptake in
H. pylori.
The three media tested contain 0.2 µM nickel (brucella
broth and Wilkins-Chalgren broth) and 1.0 µM nickel (Trypticase
soy broth), and the bioavailabilities are different depending
on the complexing capacity of the components. The presence of
low nickel concentrations (e.g., 5 µM NiCl
2 in brucella
broth) in the environment leads to a considerable decrease in
transcription of
nixA. The true concentration of nickel in the
stomach or in the mucus of the stomach is unknown; it depends
on the nickel content of the ingested nutrients and may vary
widely during periods of fasting and food intake. The levels
of daily dietary nickel intake fluctuate between 1 µmol
(
40) and 4 µmol (
2), which should result in nickel concentrations
in the range where nickel-dependent regulation was observed.
NixA presumably should be able to ensure nickel uptake with
minimal external concentrations. Assuming that the reduced synthesis
of NixA is a protective measure against the toxic effect of
an increased intracellular nickel content, it is noteworthy
that downregulation of NixA starts at concentrations far below
the MIC for cell growth (between 1 and 2 mM) (
38).
The nixA message of cells grown in the presence of excess nickel (100 µM nickel chloride or more) does not seem to be reduced to less than 15 to 20% of the message under standard conditions (no nickel added in brucella broth). When nickel was added to cells in the logarithmic phase of growth, repression was measurable only 5 min later, demonstrating the velocity, effectiveness, and sensitivity of the process. In this context it is surprising that the growth of H. pylori was retarded for several hours when the cells were directly inoculated into nickel-containing media. This could be explained by (i) the ratio of nickel ions to cell number, which was about 500 to 1,000 times higher; (ii) the fact that the inoculated cells were taken from a fresh overnight culture and not from an exponentially growing culture; and (iii) the fact that overall adaptation is needed when a few cells are added to fresh medium instead of addition of a small amount of a substance to actively growing cells. Another possibility is that about 75% of the population died, since the 5-h shift roughly equals two doubling times. It may be that both explanations are true for the observed growth retardation. In a nikR background nickel-dependent repression did not occur, which shows that NikR is the responsible regulatory protein. This is in agreement with the finding that NikR is a nickel-sensing pleiotropic regulator in H. pylori involved in acid adaptation (8, 50). The inability to repress NixA in a nikR mutant is accompanied by nickel sensitivity (51).
By comparing the transcriptomes of the wild type and a nikR mutant, both grown under excess-nickel conditions (250 µM nickel in brain heart infusion broth supplemented with 10% fetal calf serum), Contreras et al. (12) identified a whole regulon of NikR-controlled genes. Using macroarrays, they found that under excess-nickel conditions genes coding for nickel-consuming (ureAB) (27, 31), nickel-binding (hpn and hpn-like) (12, 22, 24, 38), and metal resistance (copA2) (23) proteins, as well as nixA (37), were activated, while genes for ferric ion uptake and storage (20), hydrogenase (33), motility (28, 36), stress responses (16, 46), and porin function (44) were repressed (12). The exact expression ratio for the wild-type and nikR mutant strains was not given, and the dot blot for confirmation of nickel-dependent activation of nixA expression is unimpressive. Since Contreras et al. (12) did not present a second line of evidence, it could be that in this case the nickel-dependent activation of nixA expression was found to be a significant but in fact was a false-positive result (41) The array-based finding of nickel-dependent activation of nixA expression does not explain the nickel sensitivity of the nikR mutant that Contreras et al. also observed at nickel chloride concentrations of 500 µM or higher (12). In their review van Vliet et al. (50) related NikR-dependent regulation to acid adaptation. Under acidic conditions the greater availability of nickel leads to the formation of nickel-NikR complexes. Nickel-loaded NikR increases its own expression and urease expression, but leads, in accordance with our results, to repression of NixA-mediated nickel transport and the iron regulator Fur. This allows NikR to control directly ammonia production by urease and nickel entry and to control indirectly the expression of iron metabolism, amidase-mediated ammonia production, and hydrogenase-based energy production via repression of fur (50). NikR is the key regulator for preventing damage caused by acid and/or nickel overload in H. pylori (50). Altogether, the increased nickel sensitivity of the nikR mutant supports our experimental data for NikR-mediated repression of the nickel permease NixA under excess-nickel conditions. The fast, sensitive, and effective regulation by NixA might indicate that this protein has a significant role in nickel acquisition in H. pylori under the natural conditions found in the human stomach, where nickel concentrations are very low and may increase to bacteriotoxic levels during food intake.

ACKNOWLEDGMENTS
We thank Emerita Ammann for skilled technical assistance, Harry
L. T. Mobley for providing the NixA-specific antibody, and R.
Rappuoli for providing plasmid pKSF.
This work was supported by Swiss National Fund grant 32-66947.01.

FOOTNOTES
* Corresponding author. Mailing address: Department of Internal Medicine, Division of Gastroenterology, University Hospital of Zurich, Raemistr. 100, CH-8091 Zurich, Switzerland. Phone: 41-1-255 35 91. Fax: 41-1-255 45 03. E-mail:
peter.bauerfeind{at}usz.ch.


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Journal of Bacteriology, February 2006, p. 1245-1250, Vol. 188, No. 4
0021-9193/06/$08.00+0 doi:10.1128/JB.188.4.1245-1250.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
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