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Journal of Bacteriology, January 2007, p. 437-445, Vol. 189, No. 2
0021-9193/07/$08.00+0 doi:10.1128/JB.01109-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Borrelia burgdorferi Alters Its Gene Expression and Antigenic Profile in Response to CO2 Levels
Jenny A. Hyde,1
Jerome P. Trzeciakowski,2 and
Jonathan T. Skare1*
Department of Microbial and Molecular Pathogenesis,1
Department of Systems Biology and Translational Medicine, Texas A&M University Health Science Center, College Station, Texas 77843-11142
Received 25 July 2006/
Accepted 30 October 2006

ABSTRACT
The etiologic agent of Lyme disease,
Borrelia burgdorferi, must
adapt to the distinct environments of its arthropod vector and
mammalian host during its complex life cycle.
B. burgdorferi alters gene expression and protein synthesis in response to
temperature, pH, and other uncharacterized environmental factors.
The hypothesis tested in this study is that dissolved gases,
including CO
2, serve as a signal for
B. burgdorferi to alter
protein production and gene expression. In this study we focused
on characterization of in vitro anaerobic (5% CO
2, 3% H
2, 0.087
ppm O
2) and microaerophilic (1% CO
2, 3.48 ppm O
2) growth conditions
and how they modulate protein synthesis and gene expression
in
B. burgdorferi. Higher levels of several immunoreactive proteins,
including BosR, NapA, DbpA, OspC, BBK32, and RpoS, were synthesized
under anaerobic conditions. Previous studies demonstrated that
lower levels of NapA were produced when microaerophilic cultures
were purged with nitrogen gas to displace oxygen and CO
2. In
this study we identified CO
2 as a factor contributing to the
observed change in NapA synthesis. Specifically, a reduction
in the level of dissolved CO
2, independent of O
2 levels, resulted
in reduced NapA synthesis. BosR, DbpA, OspC, and RpoS synthesis
was also decreased with the displacement of CO
2. Quantitative
reverse transcription-PCR indicated that the levels of the
dbpA,
ospC, and BBK32 transcripts are increased in the presence of
CO
2, indicating that these putative borrelial virulence determinants
are regulated at the transcriptional level. Thus, dissolved
CO
2 may be an additional cue for borrelial host adaptation and
gene regulation.

INTRODUCTION
Lyme disease is a multisystemic, inflammatory disorder caused
by the pathogenic spirochetal bacterium
Borrelia burgdorferi (
32,
44). In 2002, the Centers for Disease Control and Prevention
reported 23,763 cases, indicating that Lyme disease is the leading
tick-borne disease in the United States and, based on the 40%
increase in reported cases, is a reemerging infectious disease
(
12). The reservoir for
B. burgdorferi is the white-footed mouse
(
Peromyscus spp.), and ticks become infected when larvae feed
on these mice. Humans can become infected when an
Ixodes scapularis nymph takes a blood meal prior to molting into an adult, resulting
in transmission of the spirochete from the tick midgut into
mammalian tissue (
32,
44). The disparate host milieus that
B. burgdorferi occupies (i.e., the tick vector and a mammalian
host) present a challenge for this spirochetal pathogen since
it must quickly adapt to these different environments in order
to establish an infection and avoid host clearance. Previous
studies have shown that temperature and pH modulate gene expression
in
B. burgdorferi (
7,
9,
10,
34,
36,
39,
45,
53). The best-characterized
loci involved in differences in expression between the arthropod
vector and mammalian host are the genes encoding the prominent
surface-exposed lipoproteins OspA and OspC (
3,
26,
34,
36,
40,
45,
55). OspA is expressed under conditions that model the tick
environment (pH 7.5 and 23°C) (
36,
40,
53,
56), and the
influx of a blood meal into the tick midgut changes the temperature
and pH to 35°C and 6.8, respectively, resulting in a switch
to
ospC expression (
53). The expression of
ospC (along with
other genes) requires the RpoN-RpoS system in conjunction with
the response regulator Rrp2 (
26,
54,
55). This adaptive response
enables the organism to traffic to the salivary glands prior
to entering the dermal tissue of the mammalian host (
21,
33,
35). Analyses of host-adapted
B. burgdorferi have indicated
that additional unidentified host factors may modulate gene
expression (
2,
7,
36).
Reactive oxygen species, oxygen, and CO2/bicarbonate are known to alter gene expression in several distinct pathogenic bacteria through differential regulatory mechanisms (15, 24, 25, 41, 46). For example, several Bacillus anthracis toxin genes and a gene involved in capsule biosynthesis, capB, are coregulated by the anthrax toxin activator, AtxA, together with CO2/bicarbonate levels (15, 17, 24, 25). Previous studies indicated that B. burgdorferi modulates gene expression in response to gas displacement, presumably via oxygen depletion (41). In this study we obtained data indicating that dissolved CO2 also contributes to this process. The results presented here indicate that dissolved CO2 levels affect expression of the genes examined previously (41), as well as several additional loci. Thus, the levels of dissolved CO2 may serve as an additional cue used by B. burgdorferi to modulate gene expression in a manner that has potential importance for host adaptation.

MATERIALS AND METHODS
Strains and growth conditions.
All strains of
B. burgdorferi used in this study were grown
in BSK-II medium supplemented with 6% normal rabbit serum (Pel-Freez
Biologicals, Rogers, AR), which is referred to as complete BSK-II
medium below. The CMRL-1066 medium (United States Biologicals,
Swampscott, MA) used in BSK-II medium lacked any added bicarbonate.
Low-passage, infectious, clonal B31 derivative MSK5 and clonal
297 derivatives AH130 (parent), AH210 (
rpoS mutant), AH212 (
rpoN mutant), and AH123 (
rpoN mutant complemented by wild-type
rpoN)
were used in this study (
26,
29). Microaerophilic cultures were
grown statically at 32°C and pH 7.8 with 1% atmospheric
CO
2 in complete BSK-II medium. The anaerobic culture conditions
consisted of 5% CO
2, 3% H
2, pH 7.3, and 32°C in complete
BSK-II medium. The level of oxygen was reduced 40-fold in the
anaerobic complete BSK-II medium (0.087 ppm) compared to the
microaerophilic medium (3.48 ppm), as determined using a DO-166
oxygen probe (Lazar Research Laboratories, Los Angeles, CA)
(
41). All cultures were inoculated at a density of 1
x 10
4 cells
per ml and grown to a density of 5
x 10
7 cells per ml to acquire
RNA or protein samples. For the pH study, microaerophilic cultures
were grown in complete BSK-II medium at pH 7.3, and the pHs
of anaerobic cultures with the same starting density were adjusted
to 7.8. CO
2 was displaced from anaerobically grown cultures
by treatment with nitrogen gas for 20 min at a pressure of 10
lb/in
2, which reduced the CO
2 level from 5,800 ppm to undetectable
levels. Dissolved CO
2 levels were measured using a CO-35 probe
(Lazar Research Laboratories, Los Angeles, CA). RNA and protein
samples were taken from anaerobic cultures and anaerobic cultures
lacking CO
2 at a density of 5
x 10
7 cells per ml. MSK5 was grown
under anaerobic and microaerophilic conditions in modified BSK-II
medium containing decreasing amounts of NaHCO
3, so that the
medium contained 25 mM, 15 mM, 5 mM, 1 mM, or no added NaHCO
3;
the highest concentration represented conventional BSK-II medium.
The NaHCO
3-modified medium was supplemented with NaCl to maintain
a constant osmotic balance. To examine the role of different
CO
2 levels with a constant O
2 content, AH130 and MSK5 were also
grown statically in the presence of atmospheric O
2 (3.48 ppm
dissolved O
2) and 5% atmospheric CO
2 at 32°C or 37°C.
SDS-PAGE and immunoblotting.
Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and Western blotting using infection-derived and monospecific antisera as primary antibodies were conducted as previously described (41).
RNA isolation.
Three independent cultures of B. burgdorferi strains MSK5 and AH130 were grown to the exponential growth phase (i.e., 5 x107 cells per ml), and total RNA was isolated from 1 x109 cells using a Versagene kit (Gentra Inc., Minneapolis, MN). RNA samples were treated with DNase I (Roche Inc., Indianapolis, IN) and Superase · In (Ambion Inc., Austin, TX) to eliminate contaminating DNA and inhibit RNase activity, respectively. Three independent RNA samples of each strain tested were pooled, and DNA contamination and crude RNA yield were examined by PCR and reverse transcription (RT)-PCR, respectively.
Quantitative RT-PCR.
A defined set of genes was subjected to quantitative RT-PCR to ascertain whether the antigenic production observed was due to regulation at the transcriptional level. Oligonucleotide primers (Table 1) were designed with the Primer Express software (Perkin-Elmer Biosystems, Foster City, CA). Selected primer pairs were tested to confirm that they amplified a single product with a known size using genomic B. burgdorferi DNA as the template. Reverse transcription reactions were performed by combining TaqMan reverse transcription reagents (Applied Biosystems, Foster City, CA) with purified B. burgdorferi total RNA. A control reaction with a mixture lacking reverse transcriptase was performed for each primer set using total RNA from each B. burgdorferi strain to confirm that DNA was not present. Subsequently, the products from the reverse transcription reaction were subjected to real-time PCRs using an Applied Biosystems 7500 real-time PCR system. SYBR green PCRs were performed in triplicate, and each experiment was repeated in triplicate, resulting in nine data points for each gene of interest and for each B. burgdorferi strain tested. A constitutively expressed gene, flaB, which was not affected by any treatment tested in this study, was used for normalization as previously described (41). The levels of induction of genes induced during anaerobiosis with CO2 compared to the levels observed during anaerobiosis without CO2 were determined by the 
Ct method as previously described (7, 41).
Statistical analyses.
The real-time RT-PCR data from three independent experiments
were analyzed using a resampling bootstrap procedure and the
permutation two-sample test. The bootstrap distribution provides
an accurate estimate of the lower and upper limits, respectively,
of a 95% confidence interval around the true mean. For the permutation
two-sample test, the distribution of the data tested the null
hypothesis that CO
2 had no influence on gene expression. A
P value of

0.01 was used. The data set for each gene was based
on

Ct values (relative to
flaB for
B. burgdorferi grown with
or without CO
2) to ensure that there were normal distributions
for accurate probability estimates. All statistical tests and
data resampling operations were performed with S-PLUS, version
7.02 (Insightful Corp., Seattle, WA).

RESULTS
Different antigenic compositions of B. burgdorferi under anaerobic and microaerophilic conditions.
As
B. burgdorferi moves through the disparate environments encountered
in the arthropod vector and mammalian host, changes in temperature,
pH, and other host factors modulate gene expression (
2,
3,
7,
10,
16,
40,
45,
53,
55). Previous studies indicated that the
redox environment of
B. burgdorferi alters gene expression and
protein synthesis in this spirochetal pathogen (
4,
41). To address
this question further, defined anaerobic and microaerophilic
conditions were imposed to determine how dissolved gases, including
CO
2, affect borrelial gene regulation and protein synthesis.
B. burgdorferi was grown statically in complete BSK-II medium
at 32°C for all conditions tested unless indicated otherwise.
Microaerophilic growth conditions were maintained with 1% atmospheric
CO
2, and the anaerobic environment was defined as 5% CO
2 and
3% H
2 atmospheric levels in a controlled anaerobic chamber.
An oxygen electrode was used to measure dissolved oxygen levels
in microaerophilic complete medium (3.48 ppm) and anaerobic
complete medium (0.087 ppm), and the results indicated that
the anaerobic culture conditions resulted in a 40-fold reduction
in the dissolved oxygen level compared to the level in microaerophilic
medium. All
B. burgdorferi cells tested exhibited normal motility
under both of the culture conditions mentioned above without
a significant difference in growth (data not shown). The antigenic
responses of
B. burgdorferi to anaerobic and microaerophilic
growth conditions were assessed by Western immunoblot analysis.
AH130 and MSK5 samples from cultures grown under each condition
were probed with serum from a patient with chronic Lyme disease
or with infection-derived mouse serum (Fig.
1). Major antigenic
differences for
B. burgdorferi AH130 and MSK5 were observed
throughout the immunoblot, and there was significantly greater
synthesis of the antigens in the anaerobically grown cultures
(Fig.
1).
The production of individual borrelial antigens was examined
under anaerobic and microaerophilic conditions (Fig.
2). FlaB
synthesis was unchanged under the experimental conditions employed
and was used as a control to demonstrate equivalent protein
levels in samples. Proteins associated with oxidative stress,
including BosR, a borrelial oxidative stress regulatory protein,
and NapA, a Dps/Dpr homolog, produced more of these specific
antigens during anaerobic growth than during microaerophilic
growth for both strains of
B. burgdorferi analyzed, AH130 and
MSK5 (Fig.
2). Previous studies demonstrated that NapA levels
decreased when the culture medium was pretreated with nitrogen
gas displacement and with Oxyrase to deplete all dissolved gases
and O
2, respectively (
41). The results obtained here using an
anaerobic chamber did not corroborate these findings, suggesting
that the different culture conditions utilized accounted for
the different NapA levels observed. The levels of the decorin
binding adhesin, DbpA, and OspC increased under anaerobic conditions,
similar to previously reported observations (
41). In addition,
the level of the borrelial RpoS sigma factor also increased
when
B. burgdorferi was grown under anaerobic conditions (Fig.
2).
Effect of pH on borrelial protein production.
Increased levels of CO
2/bicarbonate decreased the pH of complete
BSK-II medium, and since pH is known to affect
B. burgdorferi gene expression and protein production, the appropriate adjustments
were made to the medium to compensate for the difference (
9,
10). The pH values of anaerobic and microaerophilic complete
BSK-II media were 7.3 and 7.8, respectively. To assess if the
observed changes in specific borrelial protein production could
be attributed to the difference in pH values, MSK5 was also
grown anaerobically in medium whose pH was adjusted to 7.8 and
concurrently, the pH of microaerophilic medium was adjust to
7.3 to reflect the hydrogen ion concentration of the alternate
growth conditions (Fig.
3). Under these conditions, DbpA, NapA,
and BosR protein production did not change in response to pH
compared to the protein profiles observed for microaerophilically
or anaerobically grown
B. burgdorferi, as shown in Fig.
2. If
the induction was due to differences in pH, then one would expect
that the level of each antigen would be significantly induced
when organisms were grown microaerophilically at pH 7.3. Although
the level of DbpA increased somewhat in cells grown microaerophilically
at pH 7.3, the level never approached what was observed under
conventional anaerobic conditions (Fig.
2). Furthermore, the
levels of NapA and BosR were not affected by lowering the pH
under microaerophilic conditions (Fig.
3). Taken together, these
results suggest that the change in protein production previously
observed during anaerobic growth (Fig.
2) is independent of
pH.
Influence of CO2 and bicarbonate on B. burgdorferi.
The effect of CO
2 and bicarbonate levels on borrelial protein
synthesis was analyzed, as the atmospheric level of CO
2 was
4% higher under the defined anaerobic growth conditions than
under the microaerophilic growth conditions. Dissolved O
2 and
CO
2 are present under both in vivo and in vitro growth conditions,
and in this study nitrogen gas was used to indiscriminately
displace both dissolved O
2 and CO
2 from the growth medium. A
CO
2 probe was used to measure dissolved CO
2 levels in microaerophilic
(1,700 ppm), anaerobic (5,800 ppm), and nitrogen gas-purged
anaerobic (0 ppm) complete BSK-II media. To directly assess
the effect of CO
2 on gene expression and protein production,
anaerobic cultures were treated with nitrogen gas to completely
displace the dissolved CO
2 (Fig.
4). Protein samples from the
anaerobic, nitrogen gas-treated anaerobic, and microaerophilic
cultures were probed with monospecific antisera to several borrelial
proteins. As described above, constitutively synthesized FlaB
was used as a control between samples and for the different
treatments employed. The DbpA and OspC levels were greatly increased
when CO
2 was present, suggesting that in addition to O
2, CO
2 levels modulate gene expression and protein production in
B. burgdorferi (Fig.
4).
Dissolved CO
2 levels also affected the synthesis of borrelial
RpoS and BosR, an alternate sigma factor and redox regulatory
protein, respectively. Specifically, RpoS and BosR were induced
greatly when
B. burgdorferi was grown anaerobically in the presence
of 5% CO
2 compared to the synthesis in cells grown anaerobically
without CO
2 or in microaerophilically grown
B. burgdorferi (Fig.
4). Note that BosR, DbpA, and OspC, although not readily detectable
(Fig.
4), were synthesized in microaerophilically grown
B. burgdorferi if the exposure time of the blot was increased (data not shown).
This suggests that the production of some borrelial proteins
is influenced by dissolved CO
2 levels, as well as dissolved
oxygen levels. The enhanced production of DbpA and OspC is consistent
with the increased synthesis of RpoS since previous studies
have demonstrated that borrelial RpoS is required for expression
of
dbpA and
ospC (
26,
53). Taken together, these results suggest
that CO
2 is an additional signal that is integrated by
B. burgdorferi to modulate gene expression.
Since RpoS, OspC, and DbpA levels were increased by anaerobiosis, we examined whether the increases were dependent on the well-characterized borrelial RpoN-RpoS regulatory system (8, 19, 26, 53, 55). To assess this, a B. burgdorferi rpoN mutant, an rpoS mutant, and the complement of the rpoN mutant were grown under microaerophilic, anaerobic, and nitrogen-treated anaerobic conditions. In the presence of CO2, the synthesis of RpoS, DbpA, and OspC was significantly reduced in the absence of RpoN, but the levels reverted to wild-type levels in the rpoN complemented strain (data not shown), indicating that increased production of RpoS, OspC, and DbpA is dependent on a functional RpoN and apparently does not involve other regulatory loci, at least under these experimental conditions.
Previous results demonstrated that NapA levels were reduced when B. burgdorferi was grown in BSK-II medium purged with nitrogen gas compared to the levels in microaerophilically grown samples (41). In the previous study, the decrease in the NapA level was attributed to a decrease in the dissolved oxygen level. In this study, the levels of NapA were evaluated when cells were grown in an anaerobic chamber containing 5% CO2. Surprisingly, appreciably more NapA was produced by cells under these conditions than by cells grown anaerobically without CO2 (Fig. 5). Furthermore, the reduction in the NapA level was apparently dependent on a decrease in the CO2 level independent of oxygen since the levels of NapA produced anaerobically with CO2 were slightly greater than the levels found in microaerophilically grown B. burgdorferi (Fig. 2 and 5). In fact, the level of NapA production was maximal when O2 was missing and CO2 was present, followed by microaerophilic growth; anaerobic growth without CO2 resulted in the smallest amount of NapA for both strain MSK5 and strain AH130 (Fig. 5). This hierarchy of regulation is consistent with the amounts of dissolved CO2 available in the samples; that is, the larger the amount of CO2 in the sample, the larger the amount of NapA produced. These results indicate that CO2/bicarbonate levels dramatically influence NapA protein production in B. burgdorferi and suggest that dissolved oxygen plays a minor role in the regulation of napA.
Bacteria can sense CO
2/bicarbonate via adenylyl cyclase, which
results in increased cAMP levels that, in turn, modulate gene
expression (
22,
52). Conventional microaerophilic growth conditions
consist of atmospheric CO
2 and the 25 mM NaHCO
3 in BSK-II medium.
To examine the effect of bicarbonate levels in anaerobically
(5% CO
2) and microaerophilically (1% CO
2) grown
B. burgdorferi,
the concentration of sodium bicarbonate was decreased in the
borrelial growth medium while the overall salt content was controlled
(Fig.
6). MSK5 was grown anaerobically or microaerophilically
with additional NaHCO
3 added to the medium at a concentration
of 25 mM, 15 mM, 5 mM, or 1 mM or with no additional NaHCO
3 in addition to the equilibrium that was already present between
bicarbonate and dissolved CO
2. Under these conditions, changes
in antigen production were evaluated (Fig.
6). FlaB was not
affected by bicarbonate levels and served as a control for equal
protein loading (Fig.
6). Decreasing the concentration of sodium
bicarbonate did not influence the synthesis of BosR, DbpA, OspC,
RpoS, or NapA (Fig.
6). The synthesis of these antigens was
consistent with the synthesis observed for anaerobic and microaerophilic
growth conditions (Fig.
2,
4, and
5), and the results indicated
that the level of production observed is not appreciably affected
by the addition of bicarbonate (Fig.
6).
To confirm the finding that 5% CO
2 altered borrelial protein
synthesis and to examine the role of oxygen in this process,
AH130 and MSK5 were grown microaerophilically in the presence
of 5% CO
2 with atmospheric O
2 (3.48 ppm dissolved O
2) at 32°C
and 37°C (Fig.
7). Then protein production was evaluated
compared to the production under conventional microaerophilic
growth conditions (1% CO
2, atmospheric O
2, 32°C), and FlaB
antibody was used to control for equivalent protein loading.
As in previous experiments, there was increased synthesis of
BosR, NapA, DbpA, OspC, RpoS, and BBK32 in the presence of 5%
CO
2 compared to the synthesis in the presence of 1% CO
2 when
the oxygen levels remained constant. It is important to note
that BosR, NapA, DbpA, OspC, and BBK32 were detectable in the
samples grown in the presence of 1% CO
2 at 32°C when the
blot was exposed for a longer time, indicating that there was
a great difference in protein production when CO
2 was limiting
(Fig.
7). For RpoS, there was apparently more synthesis under
microaerophilic conditions than observed previously (Fig.
4)
due to the longer exposure times required to see antigen in
any of the samples tested. Regardless, the overall trend (i.e.,
more RpoS as the level of CO
2 increased) was consistent. These
results suggest that CO
2 levels modulate the production of borrelial
proteins that are believed to be important for adaptation in
the mammalian host environment.
To examine the effect of temperature on the response to CO
2,
cultures were grown at 32°C with 1% CO
2 or 5% CO
2 and compared
with borrelial cells grown at 37°C with 5% CO
2. In nearly
all cases, an increase in the CO
2 level resulted in enhanced
synthesis of borrelial proteins independent of the temperature
(Fig.
7). For strain MSK5 (a B31 derivative), an increase in
the temperature did not enhance synthesis of the antigens tested
(Fig.
7). A variable response was observed for strain AH130
(a 297 derivative) compared to MSK5, particularly for OspC and
BBK32, indicating that multiple factors affect certain strains
differently to alter the synthesis of the protein species.
CO2 regulated gene expression.
To determine the method of CO2 regulation, the results of quantitative real-time RT-PCR of total RNA were analyzed for select genes of B. burgdorferi strains AH130 and MSK5. Total RNA from these strains was isolated from three independent anaerobic and nitrogen-treated anaerobic cultures to allow a comparison of the effect of dissolved CO2 on gene expression independent of dissolved O2 (Fig. 8). An endogenous, constitutively expressed gene, flaB, was used as a normalization control. The results showed that there was a dramatic change at the transcriptional level for BBK32, dbpA, and ospC in the presence of CO2. Specifically, the BBK32, dbpA, and ospC transcript levels were 17.4-fold, 18-fold, and 93.2-fold greater, respectively, when AH130 was grown anaerobically in the presence of dissolved CO2 than when cells were grown anaerobically without detectable dissolved CO2. The MSK5 transcript levels of BBK32, dbpA, and ospC were increased 3.82-fold, 4.41-fold, and 8.48-fold, respectively, in anaerobic samples containing CO2. The increases in gene expression observed in strain AH130 (a strain 297 derivative) compared to strain MSK5 (a strain B31 derivative), particularly for ospC, are consistent with previously published observations for comparisons of expression in these strains (53) and suggest that while there are absolute expression differences between these strains, the trends observed are similar (Fig. 8).
The increased expression in the presence of CO
2 of lipoprotein
genes (i.e.,
ospC,
dbpA, and BBK32) involved in the adherence
of
B. burgdorferi to host structures suggests that CO
2 may serve
as a cue for mammalian adaptation and that the regulation observed
is at the transcriptional level. In addition to BBK32,
dbpA,
and
ospC, two genes associated with the oxidative stress response
(
bosR and
sodA) were also evaluated by RT-PCR, but the transcription
of neither was enhanced greatly when cells were grown anaerobically
with or without dissolved CO
2. Specifically, a less-than-twofold
change was observed for
bosR and
sodA, although for
bosR in
strain MSK5 and for
sodA in strain AH130 the increase in transcript
production observed when CO
2 was present was statistically significant
(Fig.
8). However, for
bosR, for which there was great induction
of protein production when CO
2 was present (Fig.
2,
4, and
7),
the regulation observed appeared to be not linked to transcript
production and instead may have been at the translational or
posttranslational level.

DISCUSSION
Pathogenic bacteria modulate gene expression and protein synthesis
in response to changing environmental conditions.
B. burgdorferi adapts to the unique environments of the arthropod vector and
mammalian hosts as infections are established during its complex
enzootic life cycle (
44). Previous studies have shown that changes
in temperature and pH alter borrelial gene expression and protein
synthesis (
2,
3,
7,
10,
16,
34,
36,
40,
45,
53,
55). In addition,
surgical implantation of dialysis membrane chambers containing
B. burgdorferi into the peritoneal cavity of rats results in
changes in gene expression and protein production that model
a mammalian host-adapted state (
2,
7,
36). Additional experimentation
indicated that the changes observed could not be explained by
altering the temperature and pH during in vitro cultivation,
thus suggesting that there are other unidentified environmental
signals that alter borrelial gene expression and protein synthesis
during infection (
2,
7,
36). The hypothesis presented here suggests
that dissolved O
2 and CO
2 levels serve as a cue for
B. burgdorferi to adapt to changing host environments, perhaps via the borrelial
RpoS sigma factor and/or BosR regulator. The working hypothesis
is that the midgut of
Ixodes ticks is essentially anaerobic
prior to a blood meal. Subsequently, in response to a blood
meal, there are increases in temperature and tick respiration,
resulting in higher levels of dissolved oxygen and potentially
different levels of dissolved CO
2 as a result of cellular respiration.
In addition, as
B. burgdorferi disseminates in a mammalian host,
the levels of dissolved O
2 and CO
2 in the various tissue locales
are likely to vary. Thus, differences in dissolved O
2 and CO
2 levels may serve as potential signals perceived by
B. burgdorferi to modulate gene expression in the mammalian host (
43,
50).
Consistent with this contention, several of the borrelial genes
(
ospC,
dbpA, and BBK32) and products of these genes that were
expressed or synthesized at higher levels when CO
2 and O
2 levels
were altered in this study are also synthesized at higher levels
in host-adapted spirochetes (
2,
7,
36) and are antigenic following
infection with
B. burgdorferi (
1,
11,
18,
23,
38,
51).
In addition to different levels of O2, the dissolved CO2 level fluctuates throughout the mammalian host, and the concentration is 1.5-fold higher in tissue than in arterial blood (49). Previous work demonstrated that there is a correlation between higher atmospheric CO2 levels and the maintenance of infection-associated plasmids of B. burgdorferi during in vitro cultivation, suggesting that CO2 imposes a selective pressure that preserves genome stability and thus infectivity (4). The ability to sense CO2, either as CO2 or as bicarbonate, influences the expression of virulence determinants in other pathogenic organisms, suggesting a potential role for CO2 sensing in borrelial virulence gene expression (5, 28, 31, 52). Interestingly, Bacillus anthracis responds to CO2/bicarbonate levels by inducing the toxin genes, cya, lef, and pag, as well as the capsule gene, capB, through the activity of the temperature-regulated anthrax toxin activator, AtxA (15, 17, 24, 25).
Another way in which living systems sense CO2 is via the well-characterized enzyme adenylyl cyclase (13, 28, 31, 52). Specifically, adenylyl cyclase is able to directly sense bicarbonate or CO2, which results in an increase in cAMP production by this enzyme (22, 47, 52). Accumulation of cAMP, a well-known secondary messenger signal in both eukaryotes and prokaryotes, affects the expression of a number of genes throughout these systems (13, 28, 31). Whether the B. burgdorferi lone adenylyl cyclase homolog functions in this capacity remains to be determined.
In previous work researchers assessed the effect of dissolved oxygen on microaerophilically grown B. burgdorferi by treating cultures with nitrogen gas or Oxyrase (41). In the current study, an anaerobic chamber was employed to grow cultures under oxygen-depleted conditions. Initially, the effect of anaerobiosis was assessed by looking at the synthesis of NapA inasmuch as previous studies had shown that NapA levels decreased when oxygen levels were reduced (41). In other organisms NapA has been shown to nonspecifically bind DNA in response to oxidative stress, and it is presumed to have a similar function in B. burgdorferi (14, 20, 30, 37). Surprisingly, in this study, higher levels of NapA were produced when B. burgdorferi was grown in the anaerobic chamber than when it was grown microaerophilically, suggesting that the regulatory cue for napA repression and induction observed previously was not limited to oxygen depletion alone. When nitrogen gas was used to indiscriminately displace all gases, including O2 and CO2, the levels of NapA were reduced compared to the levels both in microaerophilically grown B. burgdorferi, as described in a previous report (41), and in borrelial cells grown in an anaerobic chamber with CO2 (Fig. 2 and 5). Inasmuch as the level of oxygen (0.087 ppm) was the same when cells were grown in the anaerobic chamber, this result indicates that the absence of CO2 results in decreased synthesis of NapA (Fig. 5).
Previous studies demonstrated that pH alters gene expression in B. burgdorferi (9, 10, 36, 53). To examine the possibility that the differential synthesis of borrelial antigens was due to changes in pH as a result of alteration of the CO2 levels, the pHs of the anaerobic and microaerophilic media, determined to be 7.3 and 7.8, respectively, were adjusted so that the pH of the anaerobic medium was 7.8 and the pH of the microaerophilic medium was 7.3. Under these conditions, the synthesis of NapA, BosR, or DbpA was not altered compared to the synthesis in B. burgdorferi grown microaerophilically at pH 7.8 (Fig. 2), indicating that the regulation observed was not due to pH (Fig. 3). Subsequent comparisons indicated that the difference observed was due to CO2 levels (Fig. 4 and 5) and that, in addition to O2, CO2 serves an inducible signal that modulates a subset of genes in B. burgdorferi. Increasing CO2 levels in the presence of atmospheric oxygen confirmed the effect of CO2 on the synthesis of NapA and other borrelial antigens (Fig. 7).
The B. burgdorferi RpoN-RpoS two-component regulatory system responds to environmental stress by controlling the expression of lipoproteins associated with pathogenic mechanisms, specifically the decorin binding adhesin (encoded by dbpA), as well as the product of ospC (26, 53), which is involved in transmission of B. burgdorferi from the tick vector into the mammalian host (21, 35). To facilitate this response, a response regulatory protein, Rrp2, is activated by its cognate histidine kinase (encoded by BB0764), which contains a PAS domain. Together with the sigma factor RpoN, Rrp2 regulates the expression of rpoS (54). PAS domains detect numerous environmental signals, such as light, redox potential, oxygen, small ligands, and overall cell energy (48). Therefore, the borrelial PAS-containing histidine kinase may sense CO2 as well as the redox status of the cell to activate Rrp2 and, via RpoN/RpoS, dbpA and ospC. The observation that RpoS levels are enhanced most when CO2 is present supports this hypothesis (Fig. 4 and 7).
The borrelial oxidative stress regulator, BosR, is a member of the Fur family of regulatory proteins and has been associated with direct or indirect control of the expression of genes involved in combating oxidative stress and strategic host adaptation, including sodA, napA, dbpA, and BB0646, as well as having an autoregulatory effect (6, 27, 42). The fact that dbpA is regulated by RpoN/RpoS and apparently via BosR suggests that there is a possible cooperative effect between these distinct regulatory systems in response to various environmental cues, such as temperature, pH, and/or dissolved gases. Since in the study described here we focused on the effect of dissolved gases on borrelial gene expression, experiments were conducted to ascertain how bosR was regulated in response to dissolved O2 and CO2 levels. BosR synthesis increased under anaerobic conditions compared to the synthesis during microaerophilic growth independent of differences in pH or bicarbonate (Fig. 2, 3, and 6). When either the level of dissolved CO2 was reduced or dissolved CO2 was absent, BosR synthesis was dramatically decreased compared to the synthesis of BosR when the cells were grown either anaerobically or microaerophilically in 5% CO2 (Fig. 4 and 7). However, surprisingly, the quantitative RT-PCR analysis revealed no obvious transcriptional induction under the conditions employed (i.e., anaerobiosis with and without CO2) (Fig. 8). Thus, bosR is presumably regulated at the translational or posttranslational level rather than at the transcriptional level.
This study demonstrated that dissolved CO2 functions as an additional environmental signal that modulates gene expression and protein production by B. burgdorferi. Although all of the molecules involved in responding to dissolved CO2 have yet to be characterized, it is conceivable that the PAS domain of BB0764 senses CO2, as well as several other environmental cues, and initiates an Rrp2-dependent cascade that interfaces with the RpoN-RpoS regulatory pathway to increase the transcription of lipoprotein genes (i.e., ospC and dbpA). Interestingly, several adhesin genes purported to be important for mammalian infection (i.e., dbpA and BBK32) were also induced in the presence of CO2. There was also increased synthesis of BosR, the borrelial oxidative stress regulatory protein, and NapA in the presence of CO2, suggesting that in addition to the RpoN/RpoS inducible system, an additional multifactorial adaptive response by B. burgdorferi is employed. Further studies are necessary to elucidate the responses of these regulatory pathways to different dissolved oxygen and CO2 levels within the context of the pathogenic mechanisms operative during B. burgdorferi infection.

ACKNOWLEDGMENTS
We are grateful to Frank Gherardini and Kevin Lawrence for helpful
advice and assistance in setting up an anaerobic chamber. We
also thank Michael Norgard for providing strains AH130, AH210,
AH212, and AH213. We also gratefully acknowledge Magnus Höök,
Frank Gherardini, Richard Marconi, and Tom Schwan for providing
antibodies specific for DbpA, NapA, OspC, and FlaB, respectively.
This work was supported by a fellowship from the Life Sciences Task Force at Texas A&M University (to J.A.H.) and by Public Health Service grant AI-42345 from the National Institute of Allergy and Infectious Diseases (to J.T.S.).

FOOTNOTES
* Corresponding author. Mailing address: 407 Reynolds Medical Building, Department of Microbial and Molecular Pathogenesis, Texas A&M Health Science Center, College Station, TX 77843-1114. Phone: (979) 845-1376. Fax: (979) 845-3479. E-mail:
jskare{at}medicine.tamhsc.edu.

Published ahead of print on 10 November 2006. 

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