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Journal of Bacteriology, July 2007, p. 5041-5048, Vol. 189, No. 14
0021-9193/07/$08.00+0 doi:10.1128/JB.00290-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Department of Surgery, School of Medicine, University of California, Davis Medical Center, Sacramento, California
Received 24 February 2007/ Accepted 7 May 2007
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H. influenzae is acquired in the nasopharynx shortly after birth, and the organisms can exist as commensals or pathogens. Mucosal infections associated with NTHi include otitis media, conjunctivitis, sinusitis, epiglottitis, and pneumonia (24). NTHi is the leading cause of chronic bronchitis in adults and is implicated in exacerbations of chronic obstructive pulmonary disease (25). Otitis media is the second-most prevalent infection of young children worldwide. Hearing loss is the most common sequelae of otitis media, with behavioral, educational, and language development delays being additional consequences of early-onset otitis media with effusion. The estimated annual direct medical costs from otitis media range from $1.96 billion to $4.1 billion (33).
Invasive NTHi infections include bacteremia and meningitis; traversal of epithelial or endothelial cells by the bacterium is required for these infections to occur. Prior to 1985, most invasive H. influenzae infections were due to encapsulated type b strains. During that year, a polysaccharide conjugate vaccine against the type b polyribosylribitol phosphate capsule was licensed and distributed in the United States. Disease caused by type b has been drastically curtailed since. However, the vaccine is not protective against NTHi strains, since these strains lack the capsular antigen. Efforts to identify NTHi vaccine candidates are ongoing and include strategies using immunogenic surface-exposed loops of the P2 and P4 outer membrane proteins (15, 27), the C-terminal fragment of the Hap autotransporter (22), conjugate vaccines with outer membrane protein P6 as a carrier (37), and oral vaccines composed of killed bacterial extracts (2).
First identified in pathogenic strains of the gram-negative, strict anaerobe Dichelobacter nodosus, virulence-associated protein (vap) genes were found on a novel area of the chromosome that hybridized to nearly all virulent strains tested but to only 23% of the avirulent strains studied (16). The chromosomes of the NTHi strains Rd KW20 (11), R2866 (28), and 86-028NP (14) contain homologues of vapA, vapB, vapC, and vapD, with one gene pair, vapBC, in duplicate.
The genetic organization of the NTHi vap genes is similar to toxin-antitoxin (TA) loci. Characteristic features of TA loci are that the TA gene pair is an operon, consisting of an upstream antitoxin and a downstream toxin gene. The antitoxins prevent the effects of the toxins by forming tight complexes with them. The antitoxins are more labile than the toxins and under conditions of stress are quickly degraded by cellular proteases. This allows their cognate toxins to become active (13).
Seven TA gene families have been identified to date: relBE, parDE, higBA, vapBC, mazEF, phd-doc, and ccdAB (30). All except the vapBC and mazEF loci were originally discovered on plasmids. Although TA loci were first thought to be merely plasmid addiction modules, the discovery that these gene pairs were conserved in the chromosomes of numerous diverse prokaryotes (gram-negative and gram-positive as well as the Archaea) did not support that hypothesis and led to the notion that TA loci are important in the regulation of certain cellular functions. In a database-mining effort that included 126 completely sequenced prokaryotic genomes, 671 TA loci were identified (30). Of these, 285 (42%) were vapBC homologues.
The vapBC alleles in NTHi have been shown to be expressed by proteomic studies (12, 17, 19). As NTHi carries two chromosomal vapBC operons (HI0321-HI0322 and HI0948-HI0947), for clarity we shall refer to these as vapBC-1 and vapBC-2. Here, we describe the functional characteristics of NTHi vapBC-1 (HI0321-HI0322).
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View this table: [in a new window] |
TABLE 1. Bacteria and plasmids used in this study
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. For pET24b cloning, vapB-1 was amplified using the primers 2866B Sac forward (5'-GGAGGAGCTCTATGCTTACTAAAGTG-3') and 2866 B1 Xho reverse (5'-ATATCTCGAGTAAATTTTCTCGCTCC-3'), with engineered SacI and XhoI sites (underlined), respectively. Ligation of the amplicon into SacI/XhoI-cut pET24b resulted in the fusion of VapB-1 to the C-terminal polyhistidine tag in pDD690. Both vapBC genes were cloned in tandem into pET24b using the primers 2866B Sac forward (5'-GGAGGAGCTCTATGCTTACTAAAGTG-3') and VapC Xho reverse (5'-GAATCTCGAGTTTTGTCCAATCTTGCC-3'), and the amplicon was ligated into SacI/XhoI-cut pET24b, resulting in pDD686. This strategy resulted in the fusion of only VapC-1 to the C-terminal polyhistidine tag. The cat gene from pACYC184 was amplified using the primers CAT Sac forward (5'-AGGAGAGCTCTATGGAGAAAAAAATCACTGG-3') and CAT Xho reverse (5'-AAAACTCGAGCGCCCCGCCCTGCCACTC-3') and ligated to SacI/XhoI-cut pET24b, resulting in Cat with a polyhistidine-tag in pDD689. Each pET24b-based construct was expressed in E. coli BL21(DE3). Homodimerization assays. For these assays, vapB-1 was fused to the LexA DNA-binding domain (DBD) in the vector pSR658 (7), resulting in pDD687, and was expressed in the reporter strain SU101. This strain has a chromosomal construct that consists of a lacZ reporter gene controlled by the strong sulA promoter, which contains an LexA operator sequence. When there is no fusion to the LexA DBD, the strain constitutively expresses a high level of ß-galactosidase. However, if a protein fused to the LexA DBD in pSR658 can homodimerize, this results in a competent LexA dimer that can bind to the LexA operator and repress transcription of lacZ. Expression of the LexA fusion in pSR658 is induced by IPTG, and since ß-galactosidase is a very long-lived enzyme, the reporter strain is routinely grown overnight in the inducer, so that any enzyme that was transcribed prior to induction of the LexA chimera has the opportunity to degrade. This results in a more reliable and specific measurement of homodimerization.
Following overnight incubation in LB broth with 1 mM IPTG, the reporter strain carrying pDD687 was diluted and grown to log phase in LB broth with 1 mM IPTG. The amount of homodimerization was quantitated by ß-galactosidase activity assays and compared to the reporter strain carrying pSR658 (no fusion).
Protein purification and antibodies.
Proteins were purified from induced cultures using a MagneHis protein purification system (catalog no. V8500; Promega) according to the manufacturer's instructions. Briefly, E. coli strains DH5
or BL21(DE3) carrying the various fusions were grown to log phase in LB broth with appropriate antibiotics and induced for 2 h with 1 mM IPTG. The cells were pelleted, frozen at 80°C, and subjected to three freeze-thaw cycles prior to being processed using the MagneHis kit protocol for native purification. Protein concentration was quantitated using the micro bicinchoninic acid protein assay (catalog no. 23235; Pierce). Aliquots of purified protein were frozen at 80°C and thawed when needed, after which the thawed aliquot was held at 4°C until used in assays.
Antibodies used to probe immunoblots were monoclonal anti-Xpress-horseradish peroxidase (HRP) (R911-25; Invitrogen) for pTrcHis fusions and monoclonal anti-His (C-terminal)-HRP (R931-25; Invitrogen) for pET24b fusions. Immunoblots were developed using the SuperSignal West Pico substrate (34080; Pierce). Sodium dodecyl sulfate (SDS)-polyacrylamide gels were stained with Coomassie blue and destained with 10% acetic acid.
Total RNA isolation. Cultures of E. coli K-12 (ATCC 10798) and H. influenzae strains R2866 and 86-028NP were grown to log phase and processed using an SV total RNA isolation kit (Z3101; Promega) according to the manufacturer's instructions. The purified total RNA was then subjected to spectrophotometry at 260 and 280 nm to determine its purity and concentration. Aliquots were frozen at 80°C, and each aliquot was thawed only once before use in reverse transcriptase PCR or RNase activity assays.
Reverse transcriptase PCR. First-strand cDNA synthesis was performed using avian myeloblastosis virus (AMV) reverse transcriptase according to the manufacturer's instructions (M5101; Promega). Briefly, aliquots of purified total RNA corresponding to 250 nanograms from NTHi strain R2866 or 86-028NP were incubated at 70°C for 5 min with the primer RT BC1 reverse (5'-CAATGCGTGACAAGCGATCC-3'), which anneals to vapC-1. The mixtures were chilled on ice, centrifuged to collect, and then incubated at 37°C for 1 h with 1 µl (10 U) of AMV reverse transcriptase, 4 µl of 5x AMV buffer, 1 µl of 10 mM deoxynucleotide triphosphate mixture, and nuclease-free water to a final volume of 20 µl. Control reaction mixtures were identical but included no AMV reverse transcriptase. Following this incubation, a 2.5-µl aliquot of each cDNA synthesis reaction mixture was used as the template for conventional PCR with the primers RT BC1 forward (5'-CAAAAGTGGTAACAGCCAAGC-3'), which anneals to vapB-1, and RT BC1 reverse (5'-CAATGCGTGACAAGCGATCC-3'), which anneals to vapC-1.
Promoter-reporter gene fusion construction. A 340-bp sequence located upstream of the vapBC-1 allele in strains R2866 and 86-028NP that included the first seven amino acids of vapB-1 was amplified by PCR using the primers BC 1403 forward (5'-ACTAGAATTCATCATTTACTCATTGACTTGC-3') and BC 1403 reverse (5'-GTTAGGATCCTGAAACACTTTAGTAAGC-3'), which included engineered EcoRI and BamHI sites (underlined), respectively. These fragments were then ligated in frame with a promoterless lacZ reporter gene in the vector pMC1403 (5), creating pDD693 (R2866 vapBC-1 promoter fusion) and pDD694 (86-028NP vapBC-1 promoter fusion). ß-Galactosidase activity assays were performed in triplicate during lag phase and early, mid-, and late logarithmic phases.
RNase activity assays. Aliquots of purified VapC-1, VapB-1, or Cat proteins were incubated at 37°C for 15 min with approximately 400 nanograms of purified total RNA from E. coli or H. influenzae in a buffer consisting of 10 mM HEPES (pH 7.4)-15 mM NaCl in a final volume of 10 µl. Negative controls consisted of the MagneHis protein elution buffer alone. For some assays, VapB-1 and VapC-1 were preincubated together at room temperature for 30 min prior to the addition of total RNA substrate, after which the reactions were held at 37°C for 15 min. Each reaction was stopped by the addition of 2 µl of 6x loading buffer and separated on 1% Tris-borate-EDTA agarose gels with 0.8 µg/ml ethidium bromide. All solutions used were nuclease free or treated with diethyl pyrocarbonate. Spot density was measured using the FluorChem IS-8900 program (Alpha Innotech, San Leandro, CA) with automatic background determination.
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FIG. 1. NTHi strains R2866 and 86-028NP express vapBC-1 as an operon. Reverse transcriptase PCRs with a forward primer in vapB-1 and a reverse primer in vapC-1 electrophoresed on a 0.8% agarose gel. Lanes 1 and 4, 1-kb DNA ladder; lanes 2 and 5, R2866 and 86-028NP with reverse transcriptase (+RT); lanes 3 and 6, R2866 and 86-028NP without reverse transcriptase (RT).
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. Since there was a single-nucleotide polymorphism between strains R2866 and 86-028NP at a site located 10 bases into the predicted transcript, with five additional polymorphisms scattered upstream, we fused both promoter regions to the reporter gene and analyzed the activity of each at culture densities corresponding to lag phase and early, mid-, and late logarithmic phases (Fig. 2). We found that there was relatively greater ß-galactosidase activity in the strain carrying the R2866 promoter fusion during lag phase than in the strain carrying the 86-028NP promoter fusion, with an average, respectively, of 241 ± 15 versus 171 ± 10 Miller units (Fig. 2A and B, respectively). In both cases, the activity decreased with increasing culture density and approached identical levels during late growth phase (95 ± 2 versus 100 ± 15 Miller units, respectively). The negative control, pMC1403 with no promoter fusion, did not deliver detectable ß-galactosidase activity at any point during the growth cycle (data not shown).
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FIG. 2. Expression of vapBC-1 over the cell cycle. (A) The ß-galactosidase activity of the R2866 vapBC-1 promoter fusion (curve) is inversely related to culture density (bars). (B) The 86-028NP vapBC-1 promoter fusion (curve) displays lower initial ß-galactosidase activity than the R2866 fusion but mirrors the trend toward decreasing expression with increasing culture density (bars). OD, optical density.
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. Figure 3B is an identical immunoblot probed with the monoclonal anti-Xpress HRP-linked antibody. In this fusion, the calculated molecular mass of pTrc::VapB-1 is 13.2 kDa. Note that there is an enormous difference in sensitivity between Coomassie staining and chemiluminescent detection methods. Even after pTrc::VapB-1 is heated in SDS-polyacrylamide gel electrophoresis (PAGE) loading buffer with a reducing agent and separated on a gel, it is apparent that pTrc::VapB-1 is forming multimers.
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FIG. 3. VapB-1 forms multimers in vitro. (A) Coomassie-stained 12% SDS-PAGE separation of a typical purified pTrc::VapB-1 construct (2 µg) from DH5 . (B) An identical immunoblot probed with anti-Xpress-HRP monoclonal antibody. Note the multiple bands resulting from apparent homo-interactions.
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FIG. 4. VapB-1 homodimerizes in vivo. With no protein fused to the LexA DBD, the repressor cannot form a dimer, and transcription of the lacZ reporter gene is constitutive (gray bar). However, when the LexA DBD is fused to VapB-1, competent dimers are formed, and the chimeras can bind to the LexA operator sequence, repressing transcription of the reporter gene (black bar). This level of repression indicates strong VapB-1 homo-interaction.
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, making this construct unsuitable for protein purification. Figure 5 shows a representative growth curve of DH5
carrying either the pTrcHisA vector, the pTrc::vapB-1 fusion, or the pTrc::vapC-1 fusion in LB broth. We hypothesized that the observed attenuation of growth caused by pTrc::vapC-1 was due to the type of promoter used in the vector, which is leaky enough to allow some transcription of a cloned gene even in the absence of the inducer. The growth inhibition resulting from unintended protein expression indicated to us not only that the R2866 vapC-1 gene encoded a functional protein but also that it was toxic to E. coli cells in very small quantities.
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FIG. 5. VapC-1 causes growth inhibition in vivo. When grown in LB broth without IPTG, the pTrcHisA vector promoter allowed a small amount of transcription of pTrc::VapC-1, which conferred growth inhibition to the DH5 expression strain and made this construct unsuitable for protein isolation. No significant growth effects were observed with the pTrc::VapB-1 fusion or the vector alone. OD, optical density.
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FIG. 6. VapC-1 was successfully purified via tandem cloning into pET24b and expression in BL21(DE3). (A) The vapBC-1 operon was fused to pET24b such that vapB-1 was in frame with the vector's ATG start codon at the N terminus, and vapC-1 was in frame with the C-terminal polyhistidine tag, creating pDD686. Induction of the construct with IPTG resulted in no significant growth inhibition of the expression strain. (B) Coomassie-stained 12% SDS-PAGE separation of a typical purified pET::VapC-1 construct (3.5 µg). Two bands are visible: one at the calculated molecular mass of pET::VapC-1 (16.6 kDa) and one at the size of pET::VapB-1 (10.5 kDa). (C) Identical immunoblot probed with anti-His C-terminal HRP-linked monoclonal antibody. Note that only a single band is apparent.
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Figure 7A shows that the VapC-1 toxin can efficiently degrade both E. coli K-12 and H. influenzae strain 86-028NP total RNA in a concentration-dependent manner in vitro. Note the natural 23S rRNA cleavage pattern of strain 86-028NP. That Haemophilus species display 23S fragmentation heterogeneity is a previously reported phenomenon (34). Figure 7B shows that the VapC-1 RNase activity is specific, as incubating strain 86-028NP total RNA substrate with the same amount of the Cat proteinwhich had been cloned, overexpressed, and purified in an identical fashion as VapC-1results in no significant degradation as quantitated by densitometry.
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FIG. 7. VapC-1 is an RNase toxin. (A) Total RNA from E. coli K-12 or H. influenzae strain 86-028NP was used as the substrate in RNase activity assays with increasing amounts of the purified VapC-1 toxin. Lanes 1 and 4, MagneHis protein elution buffer control; lanes 2 and 5, 0.35 µg of VapC-1; lanes 3 and 6, 0.7 µg of VapC-1. (B) The Cat protein was cloned into pET24b and purified in the same manner as VapC-1 as a control for any copurifying RNase activity. Lane 1, MagneHis protein elution buffer control; lane 2, 0.35 µg of Cat protein; lane 3, 0.35 µg of VapC-1. Densitometry indicated that the observed RNase activity was specific to VapC-1. Ave, average.
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The VapB-1 antitoxin inhibits VapC-1 RNase activity. Following translation, canonical toxin and antitoxin proteins interact to form nontoxic complexes, and we observed the rescue of growth inhibition when VapB-1 and VapC-1 were expressed together in E. coli. To investigate whether these complexes could be reconstituted in vitro with purified proteins, we preincubated various ratios of the purified VapB-1 antitoxin and the VapC-1 toxin prior to adding the total RNA substrate. For these assays, we cloned VapB-1 into the pET24b vector as a single gene and purified it in an identical manner as the VapC-1 protein, so that both proteins would be expressed from the same vector in the same expression strain. Figure 8 shows that VapB-1 has no intrinsic RNase activity by itself and that preincubation with a 4:1 ratio of VapB-1 to VapC-1 abrogates the RNase activity of VapC-1. A 2:1 ratio of VapB-1 to VapC-1 partially inhibits the RNase activity of VapC-1. For these assays, we used both E. coli K-12 total RNA and NTHi strain R2866 total RNA as substrates. Note that the natural 23S rRNA fragmentation pattern of strain R2866 differs from that of strain 86-028NP.
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FIG. 8. VapB-1 forms nontoxic complexes with VapC-1 in vitro. The antitoxin VapB-1 was cloned into pET24b as a single gene and purified using the MagneHis native protein purification protocol. Various amounts of purified VapB-1 were incubated with a constant amount of VapC-1 for 30 min prior to the addition of the total RNA substrate in RNase activity assays. A 4:1 ratio of VapB-1 to VapC-1 abrogates the RNase activity of VapC-1. Lanes 1 and 6, MagneHis protein elution buffer control; lanes 2 and 7, 0.2 µg of VapB-1; lanes 3 and 8, 0.4 µg of VapB-1 plus 0.1 µg of VapC-1 (4:1 ratio); lanes 4 and 9, 0.2 µg of VapB-1 plus 0.1 µg of VapC-1 (2:1 ratio); lanes 5 and 10, 0.1 µg of VapC-1 alone. For these assays, H. influenzae strain R2866 total RNA was used. Note the natural 23S fragmentation pattern, which differs from that of strain 86-028NP.
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Although most organisms carry various TA loci in their genomes, the reason why these genes are so highly conserved as well as what their exact purpose might be remains controversial. Some investigators posit that free-living organisms carry more TA loci in their genomes than host-adapted organisms because the former encounter harsh environmental conditions, whereas adaptation to a host organism may require only a few TA operons to serve a similar function (30). One caveat to this view is that the prevalence of TA modules in a genome may not always correlate with their expression or activity. In E. coli, it was originally thought that the toxins RelE and MazF killed the cells, since investigators observed a dramatic loss of colony formation when these toxins were released from their antitoxins (13). It was later shown, however, that these toxins did not actually kill the cells but, instead, contributed to a reversible bacteriostatic state in which the cells were unable to form a colony; they were viable but nonreplicative. Expression of the cognate antitoxins rescued these cells and allowed colony formation (6, 31). It has been suggested that induction of a reversible viable but nonreplicative state is important for cells to survive in a competitive or harsh environment in nature or inside a host (24), and there is evidence that H. influenzae enters a bacteriostatic state in the middle ear during the course of otitis media with effusion (26). In addition to enhancing survival under suboptimal conditions, a strategy of reversible growth arrest could provide a mechanism for nonspecific antibiotic resistance (nongrowing cells are not susceptible to the cidal action of most antibiotics) as well as decrease each cell's metabolic burden and energy requirements.
A recent competing hypothesis put forward is that the mazEF TA locus can induce a programmed cell death (PCD) cycle that mimics the PCD observed in multicellular organisms (8). This line of reasoning is supported by the observation that, while the MazE antitoxin can rescue MazF toxin overexpression in the short term, there seems to be a "point of no return" after which no amount of MazE antitoxin will allow the culture to recover. However, there are three points to consider in this debate. First, the results of these in vitro PCD experiments seem to show that, even after 24 h, there is a very small (1 to 5%) portion of the culture that does survive (18). This could be enough to maintain a "founder" population that could resume replication after conditions improved, particularly in vivo (20). Second, a confounding element of life on human mucosal surfaces is that many organisms, including H. influenzae, form biofilms in this environment, and growth in biofilms has been shown to modulate the metabolic characteristics of a number of organisms compared to those grown in planktonic culture (21, 36). Further, even within an in vitro planktonic culture, there is an observable difference between the amount of bacterial cells that persist following antibiotic treatment, which depends upon whether the culture is in logarithmic or stationary phase at the time the antibiotic is added (35). Third, the aforementioned experiments were performed with one type of TA locus (mazEF), and the results observed regarding this particular module might not be generally applicable to the TA superfamily as a whole. Indeed, a recent study of one of the two higBA TA alleles carried in the superintegron of chromosome II of Vibrio cholerae suggested that the expression of the HigB toxin at endogenous levels for several hours was not bactericidal, but the function of the toxin was not elucidated (4). Therefore, at this point, it may be premature to accept either view as being entirely correct.
Our results indicate that the vapBC-1 allele in two clinical isolates of NTHi is expressed as a functional TA locus with VapB-1 as the antitoxin and VapC-1 as the RNase toxin. The gene pair is transcribed as an operon in both NTHi strains, and each promoter appears to be more active during lag phase, with expression displaying an inverse relation to culture density. VapC-1 is active on free RNA purified from two different genera in vitro but does not display general nuclease activity, as it did not degrade double- or single-stranded DNA under the same conditions. The homodimerization observed with VapB-1, coupled with the ratio of antitoxin to toxin protein required to abrogate VapC-1 activity, suggests that the nontoxic VapBC-1 complex consists of VapB-1 multimers interacting with VapC-1 moieties in vivo. This is reminiscent of the MazEF complex, which has been shown to form a heterohexamer (38). The degradation of the labile VapB-1 antitoxin under stress would allow the stable VapC-1 toxin to actively inhibit protein synthesis by cleaving mRNA. The entry of NTHi into a bacteriostatic state induced by suboptimal conditions could be involved in mucosal infections that recur following antibiotic treatment, such as otitis media and bronchitis. On the other hand, even if most of the infecting population were killed by toxin induction, a small surviving segment could be responsible for the reseeding of tissues observed in chronic disease.
Interestingly, TA loci are conserved (often in multiple copies) in the genomes of many organisms that can cause persistent infections and/or persist in the environment: Mycobacterium tuberculosis, Helicobacter pylori, Coxiella burnetii, Leptospira interrogans, V. cholerae, and Salmonella enterica serovars Typhi and Typhimurium, as well as H. influenzae (9, 23, 29, 30). It is intriguing that a human-adapted organism such as H. influenzae would maintain two vapBC alleles on its very small (
2.0 Mb) chromosome and suggests that both may be important for its lifestyle. Further studies are planned to investigate the in vivo function and synergy of the NTHi vap alleles.
This research was supported by NIH grants R01 HL061507 and R01 HL070752 (to S.Y.Y.) and R01 HL073324 (to M.H.W.).
Published ahead of print on 11 May 2007. ![]()
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