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Journal of Bacteriology, May 2007, p. 3902-3908, Vol. 189, No. 10
0021-9193/07/$08.00+0 doi:10.1128/JB.01651-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Quinone Reduction by the Na+-Translocating NADH Dehydrogenase Promotes Extracellular Superoxide Production in Vibrio cholerae
,
Po-Chi Lin,1
Karin Türk,2
Claudia C. Häse,3
Günter Fritz,4 and
Julia Steuber1*
Biochemisches Institut, Universität Zürich, CH-8057 Zürich, Switzerland,1
School of Engineering and Science, International University Bremen, D-28759 Bremen, Germany,2
Department of Biomedical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, Oregon 97331,3
Fachbereich Biologie, Universität Konstanz, D-78457 Konstanz, Germany4
Received 25 October 2006/
Accepted 13 February 2007

ABSTRACT
The pathogenicity of
Vibrio cholerae is influenced by sodium
ions which are actively extruded from the cell by the Na
+-translocating
NADH:quinone oxidoreductase (Na
+-NQR). To study the function
of the Na
+-NQR in the respiratory chain of
V. cholerae, we examined
the formation of organic radicals and superoxide in a wild-type
strain and a mutant strain lacking the Na
+-NQR. Upon reduction
with NADH, an organic radical was detected in native membranes
by electron paramagnetic resonance spectroscopy which was assigned
to ubisemiquinones generated by the Na
+-NQR. The radical concentration
increased from 0.2 mM at 0.08 mM Na
+ to 0.4 mM at 14.7 mM Na
+,
indicating that the concentration of the coupling cation influences
the redox state of the quinone pool in
V. cholerae membranes.
During respiration,
V. cholerae cells produced extracellular
superoxide with a specific activity of 10.2 nmol min
1 mg
1 in the wild type compared to 3.1 nmol min
1 mg
1 in the NQR deletion strain. Raising the Na
+ concentration
from 0.1 to 5 mM increased the rate of superoxide formation
in the wild-type
V. cholerae strain by at least 70%. Rates of
respiratory H
2O
2 formation by wild-type
V. cholerae cells (30.9
nmol min
1 mg
1) were threefold higher than rates
observed with the mutant strain lacking the Na
+-NQR (9.7 nmol
min
1 mg
1). Our study shows that environmental
Na
+ could stimulate ubisemiquinone formation by the Na
+-NQR
and hereby enhance the production of reactive oxygen species
formed during the autoxidation of reduced quinones.

INTRODUCTION
The gram-negative bacterium
Vibrio cholerae naturally inhabits
aquatic ecosystems, but some strains are able to colonize the
human intestine, where they can cause the severe diarrheal disease
cholera (
10). As an adaptation for growth at high NaCl concentrations,
V. cholerae expels sodium ions from the cytoplasm during respiration
and establishes a sodium motive force across its inner membrane
(
12). This respiratory Na
+ transport is catalyzed by the Na
+-translocating
NADH:quinone oxidoreductase (Na
+-NQR), which consists of six
subunits, NqrA to -F, and contains one Fe-S center, two covalently
bound flavin mononucleotides, one non-covalently bound flavin
adenine dinucleotide (FAD), one riboflavin, and ubiquinone-8
as prosthetic groups (
5,
17,
41). Genome comparisons reveal
that a Na
+-NQR is present in many pathogenic bacteria, indicating
that pathogens may benefit from a sodium cycle for nutrient
uptake or motility (
13). The sodium motive force which is maintained
by the Na
+-NQR strongly influences the production of virulence
factors in
Vibrio cholerae (
14), and environmental Na
+ is likely
to be an important parameter during infection both as stimulus
and as respiratory coupling ion (
12). Loss of the Na
+-NQR, either
by mutation or by chemical inhibition, results in altered virulence
gene regulation in
V. cholerae (
14), but the putative link between
sodium membrane energetics and virulence has not been identified
yet.
Superoxide (O2) is an anionic free radical produced by the oxidation of reduced cofactors of redox enzymes with O2 (21). As a charged species, it cannot cross membranes at physiological pH and therefore is constrained to the compartment where it originated, e.g., the cytoplasm or periplasm of a bacterial cell (23). Respiratory NADH dehydrogenases may directly produce superoxide from the reaction of their reduced flavin cofactors with O2 (24, 27), or they may indirectly contribute to superoxide formation in a bacterial cell by producing reduced quinones which are reoxidized by O2 (22). Here we investigate the function of the Na+-NQR in V. cholerae using native membranes and whole cells. It is shown that the Na+-NQR represents a major source for extracellular superoxide produced by respiring V. cholerae cells.

MATERIALS AND METHODS
Growth of Vibrio cholerae.
The parent strain
V. cholerae O395 N1 (
29) and
V. cholerae O395
N1 (
nqrC::Tn
bla) (
14) with a Tn
5 transposon in the
nqrC gene
were cultivated aerobically in Luria-Bertani medium supplemented
with 10 mM glucose in the presence of 50 µg ml
1 streptomycin at 37°C. For maintenance of the Tn
bla cassette
insertion in
nqrC in
V. cholerae O395 N1 (
nqrC::Tn
bla) 100 µg
ml
1 ampicillin was added to the medium.
V. cholerae cells
were grown for 6 to 8 h to the late exponential phase and harvested
by centrifugation. The cells were resuspended in 10 mM HEPES-KOH,
pH 7.5, 0.2 M K
2SO
4, 10% glycerol; frozen in liquid nitrogen;
and stored at 80°C until use.
Preparation of membranes.
Cells were disrupted under exclusion of O2. Prior to use all solutions were degassed and purged with N2 followed by equilibration in a Coy glove box (95% N2-5% H2) at least overnight (O2 concentration of <0.3 µM in buffers). Cells (8 to 11 g, wet weight) were resuspended in 25 ml buffer (10 mM HEPES-KOH, pH 7.5, 0.2 M K2SO4) containing 5 mM MgCl2 and traces of DNase I (Roche Diagnostics). The cell suspension was passed once through a French pressure cell at 83 MPa, and the eluate was collected under a stream of N2. Unbroken cells and large debris were removed by centrifugation at 35,000 x g for 20 min. To the supernatant containing the membrane vesicles, 50 mM K2-EDTA was added as a chelator for Mn2+ and Cu2+, which perturb electron paramagnetic resonance (EPR) spectra. If not indicated otherwise, all subsequent manipulations were performed in the glove box at room temperature. The reddish-brown membranes were collected by ultracentrifugation (150,000 x g, 1 h, 4°C) and were washed once with 60 ml buffer containing 10 mM K2EDTA. Two additional washing steps in 60 ml buffer without K2-EDTA were performed to further decrease the concentrations of Na+, Mn2+, and Cu2+. Membranes were thoroughly mixed with buffer to yield suspensions containing 40 ± 10 mg protein ml1 and <0.1 mM Na+.
EPR spectroscopy.
EPR samples were prepared in the anaerobe chamber. Membranes (0.27 ml in a reaction tube) were mixed with 0.03 ml substrate (NADH or succinate) in the presence of Na+ or inhibitors as indicated in the legends to the figures. The viscous suspension was transferred to an EPR quartz tube using plastic tubing fitted to a syringe. The time between mixing with substrate and complete freezing of the membranes in liquid N2 was 5 to 8 min. The EPR spectra were recorded as described elsewhere (40) and simulated using the program EPR (30). The concentration of a paramagnetic species was calculated by comparing the total intensity of its simulated EPR spectrum with the intensity of the EPR spectrum of a CuSO4 standard (31) (see also Fig. S1 in the supplemental material).
Analytical methods.
Oxidation of NADH (0.1 mM) by membrane vesicles was followed in 20 mM Tris-H2SO4, pH 7.5, containing 50 mM Na2SO4, 50 µg/ml bovine serum albumin, and 0.1 mM ubiquinone-1 as an electron acceptor (41). Protein was determined by the microbiuret method (8) using bovine serum albumin as standard. Na+ was determined by atomic absorption spectroscopy with a Shimadzu AA-646 spectrometer.
The formation of superoxide was followed according to the procedure in reference 19, modified as follows. To prepare cell suspensions, anoxic buffers with K+ salts replacing the corresponding Na+ salts were used, and cells were kept in the anaerobe chamber until the reactions were started. The residual Na+ concentration in cell suspensions was <0.1 mM. Fifty milliliters of V. cholerae O395 N1 or V. cholerae O395 N1 (nqrC::Tnbla) was grown as described above and harvested at an approximate optical density at 550 nm of 1.2 to 1.4. Cells were washed twice with phosphate-buffered saline (4.3 mM K2HPO4, 1.4 mM KH2PO4, 140 mM KCl, pH 7.5) and resuspended in ice-cold Hanks balanced salt solution (5.6 mM glucose, 142 mM KCl, 0.3 mM K2HPO4, 0.4 mM KH2PO4, 4.2 mM KHCO3, 1.3 mM CaCl2, 0.5 mM MgCl2, 0.6 mM MgSO4, pH 7.5) to an optical density at 550 nm of 0.2. The reaction was started by adding 0.99 ml anoxic, prewarmed cell suspension (25°C) to 10 µl cytochrome c (from beef heart; Sigma; final concentration, 20 µM) in a cuvette under magnetic stirring to aerate the cells. The reduction of cytochrome c by superoxide was followed with a UV-visible-light spectrometer (HP 8452A) at 550 nm. If indicated, 0.5 mg superoxide dismutase (SOD; Fluka; 3,231 U mg1) or NADH (0.7 mM) was added. Rates of cytochrome c reduction were calculated using an extinction coefficient of 21.5 mM1 cm1 (28).
Hydrogen peroxide was determined using horseradish peroxidase according to the method in reference 9. The reaction was started by adding 0.97 ml anoxic, prewarmed cell suspension to 30 µl Hanks solution containing 4-aminoantipyrine (0.49 mM), phenol (1.06 mM), and 4 U horseradish peroxidase from Sigma (final concentrations in the assay). The H2O2-dependent formation of the quinoneimine dye (37) was followed at 550 nm in a cuvette under magnetic stirring to aerate the cells. The extinction coefficient (
550 = 4.3 mM1 cm1) was determined from standards of 44 to 440 µM hydrogen peroxide in 970 µl Hanks solution in the absence of cells. Rates of H2O2 formation were corrected by subtracting the residual activity (0.28 to 0.30 nmol min1) of the cell-free supernatant obtained by centrifugation of the cell suspension. Superoxide and H2O2 formation activities from three to four experiments are presented. The protein content of V. cholerae cell suspensions was estimated from the optical density, assuming that 1 unit of absorbance at 550 nm corresponds to 0.33 g total dry weight liter1 (42) and that 55% of the total dry weight represents protein (32).
Inhibition studies.
Inhibitors were added in the anaerobe chamber 10 min prior to the start of the reaction. 2-n-Heptyl-4-hydroxyquinoline-N-oxide (HQNO) was added from a stock solution in ethanol to V. cholerae cells or membranes. KCN was added from a buffered stock solution to membranes (final concentration, 29 mM). Note that cyanide interferes with the detection of extracellular superoxide since it acts as a ligand to the heme iron of cytochrome c (38).

RESULTS
Respiratory chain complexes in wild-type V. cholerae and a mutant devoid of a functional Na+-NQR.
We compared the EPR spectra of membranes from wild-type
V. cholerae and a mutant carrying an insertion in the
nqrC gene with the
aim of assigning organic radicals to the Na
+-NQR in its membrane-bound
state. The NqrF subunit of the Na
+-NQR complex harbors a [2Fe-2S]
cluster which accepts electrons from the FAD cofactor located
in close proximity. Upon addition of NADH, a resonance at
g = 1.94 appeared in the EPR spectrum of membranes from the wild-type
V. cholerae strain but not in membranes from the mutant carrying
a transposon in the
nqrC gene (Fig.
1). In a previous study
using the isolated NqrF subunit, the
g = 1.94 resonance was
assigned to the
gx,
y component of a nearly axial signal of the
one-electron reduced [2Fe-2S] cluster in NqrF (
41). Thus, the
disruption of the
nqrC gene encoding the membrane-bound NqrC
subunit prevented the synthesis or assembly of the NqrF subunit.
We could not detect the
gz component of the [2Fe-2S] from NqrF
in membranes from the parent strain since the
g > 2 region
of the EPR spectrum was dominated by unassigned resonances (Fig.
1). The NADH dehydrogenase activities of membranes (0.4 to 0.5
µmol min
1 mg
1) did not differ significantly
in the mutant and the wild-type strains, suggesting that the
lack of a functional Na
+-NQR complex in the mutant was compensated
for by a nonelectrogenic NADH dehydrogenase encoded on the genome
of
V. cholerae. On the two chromosomes of
V. cholerae El Tor,
four open reading frames encoding NADH dehydrogenases of the
membrane-bound, nonelectrogenic type were identified: VC1581,
VCA0155, VCA0157, and VC1890 (only the last is annotated
ndh)
(
18). We also considered the possibility that NADH was oxidized
by a subcomplex of Na
+-NQR assembled in the mutant strain even
in the absence of the NqrC subunit. Ag
+ is a specific inhibitor
of the Na
+-NQR which promotes the dissociation of the non-covalently
bound FAD from the NqrF subunit and thereby prevents the initial
oxidation of NADH (
39). In the presence of Ag
+, rates of NADH
oxidation by membranes from the parent
V. cholerae strain decreased
to 50% (0.1 µM Ag
+) or 14% (1 µM Ag
+) of the activity
observed in the absence of the inhibitor. In contrast, no inhibition
of NADH oxidation by Ag
+ was observed with membranes from the
mutant strain under identical conditions (data not shown). These
results further corroborate our assumption that the mutant strain
lacks a functional Na
+-NQR and oxidizes NADH via an alternative
NADH dehydrogenase.
The wild-type and the mutant strains contained similar amounts
of succinate dehydrogenase or fumarate reductase as judged from
the intensities of the succinate-induced EPR signal at
gx,
y = 1.93 and 1.92 (Fig.
2). These resonances arise from the one-electron
reduced [2Fe-2S] center I of succinate dehydrogenase-fumarate
reductase (
1). Center I was also observed in NADH-treated membranes
from the mutant strain, demonstrating that electrons were delivered
from NADH to the quinone pool even in the absence of a functional
Na
+-NQR (Fig.
1). We conclude that the disruption of the
nqrC gene had no significant effect on the respiratory chain complexes
located downstream of the succinate:quinone segment. By comparing
the EPR spectra of membranes from the wild-type and the mutant
V. cholerae strains, we could assign NADH-induced organic radicals
to the Na
+-NQR in its membrane-bound state, as described below.
Na+ stimulates radical formation by the Na+-NQR.
The NqrF subunit acts as a converter between the two-electron
donor NADH and subsequent one-electron transfer steps in the
Na
+-NQR complex which could result in the formation of organic
radicals like flavo- or ubisemiquinones. Membranes from the
wild type and the mutant strain devoid of a functional Na
+-NQR
complex were inspected by EPR under conditions which are optimal
for the detection of organic radicals. Essentially identical
amounts of organic radicals centered at
g = 2.00 were detected
in the membranes after incubation with 36.4 mM succinate for
at least 6 min in the absence of O
2 (Fig.
3). We conclude that
the two
V. cholerae strains contained very similar amounts of
organic radicals in the succinate:O
2 segment of the respiratory
chain. Using NADH (7.3 mM) as an electron donor, approximately
twice the amount of organic radicals detected in the mutant
strain was detected in membranes from the parent strain (Fig.
3), suggesting that the Na
+-NQR promoted the one-electron reduction
of organic redox carriers in
V. cholerae membrane vesicles.
These vesicles obtained by French press cell rupture were presumed
to be predominantly oriented inside-out (
35), hereby exposing
the cytoplasmic aspect of the inner membrane and the NADH-oxidizing
domain of the Na
+-NQR complex. We asked whether NADH-induced
radical formation by the Na
+-NQR was influenced by the coupling
cation and added Na
+ to the external buffer which represents
the cytoplasmic aspect of the membrane vesicles. Increasing
the Na
+ concentration from 0.08 to 14.7 mM led to a significant
increase of NADH-induced organic radicals in membranes from
the wild-type strain compared to the mutant lacking a functional
Na
+-NQR (Fig.
4). Spin quantification of the radical signal
at low Na
+ concentrations (0.08 mM) gave an approximate radical
concentration of 200 µM in 0.3 ml membrane suspension,
or 5 nmol mg
1 protein. In the presence of 14.7 mM Na
+,
the radical concentration increased to approximately 400 µM,
or 10 nmol mg
1 protein (see Fig. S1 in the supplemental
material). This twofold increase in radical concentration can
be assigned to a Na
+-dependent redox reaction catalyzed by the
Na
+-NQR if one takes into account that increasing the Na
+ concentration
from below 0.1 mM to 25 mM resulted in a threefold stimulation
of NADH:quinone oxidoreduction activity of the purified enzyme
(
2) and that the organic radicals detected in NADH-reduced membranes
from wild-type
V. cholerae did not exclusively arise from the
Na
+-NQR. Organic radicals associated with the succinate dehydrogenase/fumarate
reductase (Fig.
2) or with other respiratory complexes in the
quinol:O
2 segment of the respiratory chain will contribute to
the EPR spectrum of NADH-reduced membranes but will not be affected
by a rise in the Na
+ concentration.
The inhibition by Ag
+ indicated that at least 86% of the NADH
dehydrogenase activity of membranes from the parent
V. cholerae strain was catalyzed by the Na
+-NQR, corresponding to 0.43 µmol
NADH min
1 mg
1. We estimated the content of Na
+-NQR
in the membranes by dividing the total Na
+-NQR activity in 1
mg membrane protein (0.43 µmol NADH min
1) by the
turnover number determined for purified Na
+-NQR (16,000 µmol
NADH µmol
1 Na
+-NQR min
1) (
2). Comparing
the content of Na
+-NQR in the membranes (0.03 nmol mg
1 protein) with the amount of NADH-induced organic radicals (5
to 10 nmol mg
1 protein) revealed that radical formation
by native membrane vesicles from
V. cholerae was clearly overstoichiometric
compared to the Na
+-NQR, with a [radical]/[Na
+-NQR] ratio of
170:1 at 0.08 mM Na
+ or 340:1 at 14.7 mM Na
+, respectively.
The NADH-induced organic radicals cannot exclusively result
from the flavin cofactors of the Na
+-NQR, and we conclude that
a significant fraction of membrane-bound quinones in
V. cholerae is converted to the one-electron reduced state during oxidation
of NADH by the Na
+-NQR. The isolated Na
+-NQR from
Vibrio alginolyticus produced ubisemiquinone radicals which were reoxidized by O
2 under formation of superoxide (
16,
34,
40). We asked whether
the Na
+-NQR could also contribute to superoxide formation in
vivo and studied the formation of reactive oxygen species by
intact
V. cholerae cells.
Extracellular superoxide production by V. cholerae.
With a standard redox potential O2/O2 of 0.16 V (21), the superoxide anion acts as a one-electron donor for ferricytochrome c with E0' = +0.24 mV. As a 12-kDa protein, cytochrome c does not diffuse across intact cellular membranes and can therefore be used to monitor extracellular superoxide production by V. cholerae cells. Using late-exponential V. cholerae cells and glucose as substrate, superoxide formation was initiated by rapid mixing of the cells with air (Fig. 5). Cytochrome c reduction rates were highest in the wild-type strain containing the Na+-NQR (15.7 nmol min1 mg1) compared to 8.9 nmol min1 mg1 in the nqrC deletion mutant, indicating that the Na+-NQR represents a major source for superoxide in respiring V. cholerae cells (Table 1). Raising the Na+ concentration from 0.1 to 5 mM increased the cytochrome c reduction rates in the wild-type V. cholerae by at least 70% but showed no significant effect in the mutant strain (data not shown). In both strains, rates of cytochrome c reduction decreased to 5 to 6 nmol min1 mg1 upon addition of SOD, indicating that O2 produced in the periplasm of V. cholerae represented the major electron donor for cytochrome c reduction (Table 1; Fig. 5). The residual activity observed in the presence of SOD could result from the reduction of cytochrome c by an unknown low-molecular-weight compound excreted by V. cholerae, as proposed for Escherichia coli cells which also exhibited SOD-insensitive cytochrome c reduction activity (22). By subtracting the SOD-insensitive rate, superoxide formation activities of 10.2 nmol min1 mg1 for the wild-type V. cholerae and 3.1 nmol min1 mg1 for the NQR deletion strain were calculated (Table 1). To exclude the possibility that superoxide was produced by lysed cells, we followed the reduction of cytochrome c in the presence of NADH (15). Like the superoxide anion (23), NADH does not readily permeate through the inner bacterial membrane of intact cells but will react exclusively with cytoplasmic redox enzymes from broken cells, thereby increasing the overall amount of superoxide formed. Rates of superoxide formation were essentially identical with or without added NADH (Table 1), indicating that the V. cholerae cells were intact.
In
E. coli, superoxide is disproportionated to H
2O
2 and O
2 by
SODs found in the cytoplasm and periplasm (
22).
V. cholerae possesses a periplasmic SOD (
7) which could contribute to the
overall formation of H
2O
2 by converting the superoxide generated
in the periplasm. We followed H
2O
2 formation by respiring
V. cholerae cells and observed approximately threefold-higher rates
in the wild-type strain (30.9 nmol H
2O
2 min
1 mg
1)
than in the mutant lacking the Na
+-NQR (9.7 H
2O
2 nmol min
1 mg
1), indicating that the Na
+-NQR represents a major
source for reactive oxygen species in
V. cholerae. Since H
2O
2 in contrast to the superoxide anion is membrane permeable, these
rates reflect both cytoplasmic and periplasmic H
2O
2 production
activities and therefore are expected to be higher than the
rates of extracellular superoxide formation. The source for
intracellular H
2O
2 in
V. cholerae remains to be identified.
Effect of respiratory chain inhibitors on radical formation and superoxide production.
The Na+-NQR contains several redox-active flavins which participate in electron transfer from NADH to quinone (3, 41). Hence, reduced flavin(s) in the Na+-NQR rather than ubisemiquinones formed by the Na+-NQR could act as an electron donor for extracellular superoxide formation in V. cholerae. We addressed this question by studying the production of superoxide and the formation of radicals in the presence of HQNO. HQNO interacts with quinone-binding sites of respiratory complexes (36) and also effectively inhibits the Na+-NQR (2, 34). HQNO (0.3 mM) inhibited extracellular superoxide formation of wild-type V. cholerae cells by 60 to 80% (data not shown). At the same time, the NADH-induced radical signal in wild-type V. cholerae membranes was decreased by approximately 50% in the presence of 0.5 mM HQNO (Fig. 6).
The genome of
V. cholerae encodes heme-containing respiratory
complexes like the
bc1 complex (VC0573 to VC0575) and the quinol
oxidase (VC1570 and VC1571) which could accept electrons from
reduced quinones formed during NADH oxidation (
18). Cyanide
inhibits electron transfer to these complexes, and as a consequence,
the ratio of reduced to oxidized quinones in the Q pool will
increase. The signal intensity of the organic radical detected
in NADH-reduced membranes from wild-type
V. cholerae increased
by approximately 60% upon addition of KCN (Fig.
6). These results
further corroborate our notion that the organic radicals produced
during NADH oxidation by the Na
+-NQR represent ubisemiquinones
which act as electron donors for superoxide formation.

DISCUSSION
The rates of extracellular superoxide production of the gram-negative
V. cholerae (10 nmol min
1 mg
1 protein) were lower
than activities observed with the gram-positive
Enterococcus faecalis (26 nmol min
1 mg
1 protein) (
19) but significantly
exceeded the rates observed with the gram-negative
E. coli (1
nmol min
1 mg
1 protein) (
22). Like
E. coli,
V. cholerae possesses a periplasmic SOD (
7) which should scavenge
superoxide formed in the periplasm. A possible explanation for
the increased production of superoxide in
V. cholerae compared
to
E. coli is that disproportionation to H
2O
2 is less efficient
in
V. cholerae or that
V. cholerae produces significantly higher
amounts of superoxide than does
E. coli. In support of the latter
hypothesis, our study identifies the Na
+-NQR which is not present
in
E. coli as a major source for extracellular superoxide.
The electron transfer pathway in the Na+-NQR starts by a hydride transfer from the substrate NADH to the non-covalently bound FAD on the flavin domain of the NqrF subunit (41), followed by one-electron transfer to the vertebrate-type [2Fe-2S] cluster in the N-terminal domain of NqrF (25). How electron transport from this FeS center to other flavin and ubiquinone cofactors in the complex and to the substrate quinone proceeds and how this overall exergonic reaction is coupled to Na+ transport are still enigmatic. Compared to other respiratory NADH dehydrogenases, the Na+-NQR is unique as it stabilizes the one-electron reduced state of flavin cofactors which are covalently attached to the membrane-bound NqrB and NqrC subunits, respectively (3). These flavins in their one- or two-electron reduced state could reduce O2 (24, 27). Alternatively, superoxide could be formed during the autoxidation of reduced ubiquinones generated by the Na+-NQR. In E. faecalis and E. coli, extracellular superoxide was proposed to result from the reaction of molecular oxygen with reduced quinones produced by the respiratory chain. Both two-electron reduced quinones (quinols) and one-electron reduced quinones (semiquinones) were considered as possible electron donors (20, 22). Similarly, quinones reduced by the Na+-NQR could act as electron donors for O2 reduction in V. cholerae.
We favor ubisemiquinones generated by the Na+-NQR as a source for in vivo superoxide formation, since this reaction was also observed with the isolated Na+-NQR (16, 34). Moreover, Na+ which stimulated quinone reduction by the isolated Na+-NQR (2) also promoted ubisemiquinone formation and extracellular superoxide production by the Na+-NQR in its native membrane environment. Further support comes from the finding that superoxide formation by V. cholerae cells was greatly diminished in the presence of the quinone-type inhibitor HQNO. Reduced flavins are unlikely electron donors for extracellular superoxide production since all flavin cofactors of the Na+-NQR with known locations are bound to cytoplasmic domains of the complex (6).
The question arises whether superoxide formation by the Na+-NQR takes place in the general membrane milieu or whether it occurs at a quinone-binding site of the enzyme. EPR studies of ubisemiquinones associated with the proton-pumping mitochondrial NADH dehydrogenase (complex I) revealed two distinct ubiquinone-binding sites within the membrane-embedded part of the complex (26). One of these ubisemiquinones is stabilized by applying an electrochemical proton potential and is proposed to play a central role in the coupling of electron transfer and proton transport by complex I (33). At least 1 mole of ubiquinone-8 per mole is found in the Na+-NQR from V. cholerae (2), suggesting that like complex I, the Na+-NQR comprises one or several binding sites which may accommodate quinone(s) in its different redox states. Although we cannot exclude the possibility that O2 reduction by a protein-bound ubisemiquinone contributes to NADH-dependent superoxide formation by the Na+-NQR, the overstoichiometric amount of ubisemiquinones in membranes compared to the Na+-NQR suggests that ubisemiquinones in the lipid bilayer represent the major reductant for superoxide formation by V. cholerae cells.
The superoxide anion and secondary reactive oxygen species like H2O2 and the hydroxyl radical are highly toxic compounds which may severely damage proteins, lipids, and DNA (21). In E. faecalis, extracellular O2 formation was associated with invasiveness, and superoxide was considered to be a virulence factor (19). The Na+ concentration in the small intestine and in stool from cholera patients is in the range from 90 to 150 mM (4, 11). In the human host, respiratory electron transfer by the Na+-NQR in V. cholerae, therefore, is not expected to be limited by Na+. Our study opens the possibility that the NQR-dependent production of superoxide might augment the pathogenicity of V. cholerae.

ACKNOWLEDGMENTS
This work was supported by the Roche Research Foundation (K.T.);
Deutsche Forschungsgemeinschaft (G.F.); the Ellison Medical
Foundation (C.C.H.); and grants from the Swiss National Science
Foundation, Vontobel Stiftung, and Parkinson Schweiz (J.S.).

FOOTNOTES
* Corresponding author. Mailing address: Biochemisches Institut, Universität Zürich, CH-8057 Zürich, Switzerland. Phone: (41) 44 635 5567. Fax: (41) 44 635 5907. E-mail:
steuber{at}bioc.unizh.ch 
Published ahead of print on 23 February 2007. 
Supplemental material for this article may be found at http://jb.asm.org/. 

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Journal of Bacteriology, May 2007, p. 3902-3908, Vol. 189, No. 10
0021-9193/07/$08.00+0 doi:10.1128/JB.01651-06
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