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Journal of Bacteriology, December 2007, p. 8818-8827, Vol. 189, No. 24
0021-9193/07/$08.00+0 doi:10.1128/JB.00601-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
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Molecular Biology Research Dept., Laboratory Research Branch, National Hansen's Disease Programs at LSU-SVM, Baton Rouge, Louisiana,1 Laboratory of Bacterial Pathogenesis and Immunology, The Rockefeller University, New York, New York,2 Dept. Veterinary Clinical Sciences, LSU School of Veterinary Medicine, Baton Rouge, Louisiana,3 TB Center, Public Health Research Institute, Newark, New Jersey,4 Division of Infectious Diseases, Children's Hospital, and Harvard Medical School, Boston, Massachusetts5
Received 18 April 2007/ Accepted 28 September 2007
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The heat stress response in Mycobacterium tuberculosis, a close relative of M. leprae, is an adaptive pathway involved in the survival of bacteria that are exposed to increased ambient temperature. It is characterized by genome-wide transcriptional changes, resulting in the induction of over 100 genes, including several sigma factors (sigB, sigE, and sigH), all of the major, highly conserved heat shock protein genes, and in particular, those genes in the HSP70 and HSP60 operons (28). SigH together with the RNA polymerase core enzyme (RNAP) orchestrates the initiation of this response (16, 18), and the heat shock regulators HspR and HrcA negatively regulate this response (18, 28). The resulting heat shock proteins ensure appropriate folding, translocation, and assembly of polypeptide structures and the degradation of protein aggregates that form at elevated temperatures.
In contrast to M. tuberculosis, virtually nothing is known about the heat stress response mechanism in M. leprae. This bacterium has lost >50% of its protein-coding capacity due to gene deletion or other mutational events, leaving its genome with only a limited repertoire of intact sigma factor genes (sigA, sigB, sigC, and sigE) (3, 4). However, functional studies have not been conducted to determine if sigB and sigE can transcriptionally respond to heat stress without a functional SigH or whether their gene products are capable of responding to heat stress. In addition, no comprehensive search of the M. leprae genome for the presence of the highly induced heat shock response genes found in M. tuberculosis has been conducted.
To begin to understand M. leprae's reduced ability to survive at elevated temperatures, we performed quantitative reverse transcription-PCR (qRT-PCR) to examine the transcriptional response of specific sigma factor genes and heat shock genes to defined heat stress. The capability of M. leprae's sigE to respond to heat stress was analyzed using an M. tuberculosis sigE knockout mutant. Bioinformatics tools were implemented to determine the presence of M. leprae homologs for the highly induced genes and regulatory components found in M. tuberculosis during heat shock.
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M. leprae heat stress conditions. The appropriate conditions to study heat stress in M. leprae were determined by adding 1 x 108 M. leprae Thai-53 cells to prewarmed 7H12 medium (BACTEC 12B medium; BD Diagnostic Systems) and held at 33°C or 37°C in 5% CO2 for up to 24 h or at 42°C for 2 h in 5% CO2. At 2, 4, 8, 16, and 24 h post-onset of heat stress, bacterial viability was determined using Buddemeyer radiorespirometry (6). The appropriate heat stress level was then determined as that which induces 10 to 15% loss of viability compared to that of bacteria held at 33°C for the same amount of time. M. leprae cells were then exposed to these heat stress conditions, immediately put on ice, pelleted at 10,000 x g for 10 min at 4°C, resuspended in 70% ethanol, and stored at –20°C to stop transcription and preserve bacterial RNA (31).
DNA manipulations and sequencing. All recombinant DNA techniques were performed according to standard procedures using E. coli as an initial host. DNA restriction and modifying enzymes were obtained from New England Biolabs (Ipswich, MA) and used according to the manufacturer's suggested protocols. PCR amplicons were generated from either M. leprae or M. tuberculosis genomic DNA or cDNA. To confirm the sequences of amplicons, the DNA sequence of each PCR product was determined using automated DNA sequencing (LSU Genelab, Baton Rouge, LA). These sequences were then aligned to those of the M. leprae TN strain (http://genolist.pasteur.fr/Leproma/) or M. tuberculosis H37Rv (http://www.sanger.ac.uk/Projects/M_tuberculosis/) using ClustalW (http://www.ebi.ac.uk/clustalw/).
Cloning M. leprae sigE into mycobacterial sigma factor knockout mutants.
A 2.9-kb fragment, including sigE (ML1076) and its putative anti-sigma factor rseA (ML1077), was amplified from M. leprae Thai-53 DNA using the GeneAmp XL-PCR kit (Applied Biosystems, Foster City, CA) and primers (see Table S3 in the supplemental material) by PCR and subcloned into the StuI-digested pSM316 vector. The resultant recombinant plasmid (pML7677) was transformed into E. coli XL-1 Blue cells. A clone containing the M. leprae sigE fragment was identified by PCR analysis and direct DNA sequencing, and plasmid DNA was amplified, purified, and electroporated into electrocompetent M. tuberculosis ST28 (Mtb
sigE) and M. smegmatis RH244 (Msmeg
sigE) single-knockout mutants and an M. smegmatis RH315 (Msmeg
sigE/
sigH) double-knockout mutant (Table 1) using previously described procedures (17, 33). After appropriate antibiotic selection, crude cell lysates were made of several positive clones, and these preparations were analyzed for the presence of M. leprae sigE using the M. leprae sigE-specific primer set and PCR. Positive M. tuberculosis clones were then analyzed for the presence of an interrupted (hph-containing) M. tuberculosis sigE gene by using an M. tuberculosis sigE-specific primer set and PCR (see Table S3 in the supplemental material), which was designed to span the hph gene in the Mtb
sigE mutant and Mtb
sigE/MlepsigE-complemented mutant. The entire M. leprae sigE insert was PCR amplified and sequenced from positive clones of the Mtb
sigE/MlepsigE-complemented mutant, Msmeg
sigE/MlepsigE-complemented mutant, and Msmeg
sigE/
sigH/MlepsigE-complemented mutant.
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TABLE 1. Bacterial strains and plasmids used in this study
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Killing curves of mycobacterial host strains and their derivatives. Mid-log-phase cultures of M. tuberculosis H37Rv and its derivatives were subjected to heat shock conditions (45°C) or sodium dodecyl sulfate (SDS) treatment (0.05%) as previously described (17). Mid-log-phase cultures of M. smegmatis were subjected to heat stress conditions (50°C) or SDS treatment (0.01%) as previously described (33). Dilutions of bacteria were plated on 7H11 agar plates and incubated at 37°C to determine the number of CFU prior to stress (T0), and 50-µl samples were diluted in 7H9 and plated to determine the number of CFU poststress. Results are expressed as the percentage of survivors with respect to T0.
Purification of mycobacterial RNA and reverse transcription of cDNA. Mycobacterial RNA was purified using a previously described protocol (31). DNA was removed from these preparations using the Turbo DNA-free kit (Ambion, Austin, TX). DNA-free RNA aliquots were then stored at –80°C until use. Total mycobacterial RNA (1 µg) was converted to cDNA using the Advantage RT-for-PCR kit (BD BioSciences, Clontech, Mountain View, CA), using random hexamers or gene-specific primers where appropriate (see Table S3 in the supplemental material). Controls for DNA contamination consisted of 1 µg RNA from each strain incubated with the reverse transcription reagents, excluding the reverse transcriptase. Template cDNA was also made from BALB/c mouse spleen total RNA (BD Biosciences, Clontech).
PCR and RT-PCR. PCR amplification of mycobacterial DNA or cDNA was performed by obtaining gene sequences from either Leproma (http://genolist.pasteur.fr/Leproma) or TubercuList (http://www.sanger.ac.uk/Projects/M_tuberculosis/), designing primers using Omiga 2.0 DNA and Protein Sequence Analysis (Primer Design) software (Oxford Molecular Ltd., Cambell, CA) (see Table S3 in the supplemental material) and using recommended primer annealing temperatures described by this software and 35 cycles of standard PCR. Mycobacterial DNAs were used as positive controls, and RT-negative reactions, buffer, and mouse cDNA were used as negative controls for each assay. Gene transcripts were observed in ethidium bromide-stained agarose gels using a GelDoc2000 gel analyzer (Bio-Rad).
Quantitative real-time RT-PCR assays for quantitative assessment of gene expression. Transcript levels of mycobacterial genes were determined using M. leprae cDNA and real-time qRT-PCR using a 7300 sequence detection system (Applied BioSystems) with specific primer sets and probes designed from gene sequences as defined by the Primer Express software (Applied BioSystems) (see Table S3 in the supplemental material). Quantitative analysis of data was accomplished using the standard curve comparative method. Data were normalized for potential template concentration variation by dividing each gene transcript value by that of the 16S rRNA value from the same template. Due to the limits of the TaqMan assay, only values that were at least twofold induced were considered different.
Bioinformatics and comparative genomics. Nucleic acid and deduced amino acid sequences for comparative analysis were obtained from Leproma (http://genolist.pasteur.fr/Leproma) or TubercuList (http://genolist.pasteur.fr/TubercuList/). Alignments were performed using ClustalW (http://www.ebi.ac.uk/clustalw/). NCBI Blastn (http://www.ncbi.nlm.nih.gov/BLAST/) was used to search for specific promoter and other regulatory sequences. The ExPASy Translate tool (http://au.expasy.org/tools/dna.html/) was used to translate M. leprae pseudogenes. Protein domains were identified using ExPASy Procite Database of Protein Families and Domains website (http://us.expasy.org/prosite/).
Statistical analysis of data. Statistical comparisons of the data for this study were made using three replicates from at least two separate experiments. Analysis was performed using InStat V.3 (GraphPad Software) using nonparametric analysis and the unpaired t test with Welch correction.
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5°C above the optimal temperature for short-term survival of this organism in vitro (30). However, some experiments were also conducted at 42°C for 2 h to ensure that the proper conditions for heat stress on protein folding would occur (10).
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FIG. 1. Viability analysis of M. leprae and real-time RT-PCR analysis of M. leprae genes using RNA from nude mouse-derived M. leprae held in prewarmed medium at 33°C or 37°C for 4 h or 42°C for 2 h. (a) Percent relative viability values were obtained from 7-day Buddemeyer radiorespirometry readings (counts per minute) from M. leprae held at 37°C or at 45°C divided by that of M. leprae held at 33°C for each time period and each temperature. Values represent the mean and standard deviation of at least six observations for each time. A single asterisk denotes that the percent relative viability values between the 2-h 37°C incubation and other indicated times are considered significantly different at P < 0.001; a double asterisk denotes that the percent relative viability values between the 2-h 37°C incubation and other indicated times are considered significantly different at P < 0.05. (b and c) The increases of mRNA levels for sigma factor gene transcripts (b) and heat shock gene transcripts (c) due to heat stress were obtained by normalizing each template for potential template concentration differences by dividing each of the mRNA values by that of the 16S rRNA value from a 1:10–5 dilution of the same cDNA template and dividing these values by those of those of M. leprae held at 33°C.
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Complementation of the Mtb
sigE mutant.
The lack of induction of the M. leprae sigE during heat shock suggests a defect in its regulation under these stress conditions. However, for the overall heat shock response to be initiated, SigE and SigB must be capable of recognizing and binding to specific heat shock promoters and inducing heat shock genes in response to elevated temperatures. To determine if the sigE gene product is functionally capable of responding to heat shock stress conditions, M. leprae's sigE and its putative anti-sigma factor (rseA) (Fig. 2a) were cloned into pSM316, a mycobacterial vector that integrates into the L5 attB site of the mycobacterial chromosome (12). This construct was electroporated into Mtb
sigE, which lacks a functional sigE but contains all the other functional sigma factor genes, including sigH (Table 1). The resultant strain (Mtb
sigE/MlepsigE-complemented mutant) had the expected disruption of the M. tuberculosis sigE gene (indicated by its hygromycin-resistant phenotype), possessed a chromosomal copy of the pML7677 plasmid (indicated by its kanamycin-streptomycin-resistant phenotype), and displayed similar growth characteristics as those of H37Rv (data not shown). PCR analysis of the M. tuberculosis and M. leprae sigE in both the Mtb
sigE mutant and the Mtb
sigE/MlepsigE-complemented mutant demonstrated the presence or absence of the appropriate sigE alleles (Fig. 2b).
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FIG. 2. M. leprae sigE fragment for complementation of Mtb sigE and Msmeg sigE and Msmeg sigE sigH mutants. (a) Map of the PCR amplicon containing the sigE and rseA genes of M. leprae. Large arrows indicate the direction of transcription of each gene; the 410-bp PCR amplicon for detection of M. leprae sigE is shown as a dotted line; small arrows indicate positions of primers. (b) Genotype analyses of M. tuberculosis H37Rv and derivatives were accomplished using M. tuberculosis sigE and M. leprae sigE PCR assays. The predicted sizes of PCR amplicons for M. tuberculosis sigE under these conditions were 605 bp for the intact M. tuberculosis sigE gene and 2.1 kb for the hygromycin-interrupted M. tuberculosis sigE gene. Lanes 1 to 4, results of PCR amplification of the M. tuberculosis sigE gene from M. tuberculosis H37Rv, Mtb sigE, Mtb sigE/MtbsigE-complemented mutant, and Mtb sigE/MlepsigE-complemented mutant, respectively; lane 5, negative buffer control; lane 6, 100-bp DNA ladder (Promega); lanes 7 to 10, results of PCR of the M. leprae sigE from M. tuberculosis H37Rv, Mtb sigE, Mtb sigE/MtbsigE-complemented mutant, and Mtb sigE/MlepsigE-complemented mutant, respectively; lane 11, negative buffer control.
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sigE mutant was the most sensitive to heat stress at each time interval (Fig. 3a). The sensitivity of the Mtb
sigE/MlepsigE-complemented mutant to heat was comparable to that of the H37Rv and Mtb
sigE/MtbsigE-complemented mutant. M. leprae sigE was also able to complement the Mtb
sigE mutant's growth defect in THP-1 macrophage-like cells and susceptibility to detergent stress (Fig. 3b and c, respectively). The data suggested that M. leprae's sigE could function as efficiently as that of M. tuberculosis in the Mtb
sigE mutant.
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FIG. 3. Survival curves of M. tuberculosis H37Rv and its derivatives after exposure to various environmental and intracellular stresses. Each experiment was performed using triplicate samples, and data for at least two experiments are shown. The values represent the mean and the standard deviation obtained for each point. (a) Bacteria were exposed to 45°C for up to 24 h, and results are expressed as the percentage of viable bacteria (CFU) with respect to T0 (prior to stress exposure). (b) Growth of M. tuberculosis H37Rv and its derivatives in human THP-1 macrophages expressed as CFU/well. (c) Growth of M. tuberculosis H37Rv and its derivatives exposed to 0.05% SDS for up to 3 h expressed as the percentage of CFU with respect to T0 (prior to stress exposure).
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sigE/
sigH mutant.
To determine whether the M. leprae sigE gene product was capable of responding to heat stress in the absence of a functional SigH, pML7677 was electroporated into and expressed in Msmeg
sigE and Msmeg
sigE/
sigH double mutants (Table 1). The resultant strains possessed a chromosomal copy of the pML7677 plasmid, as determined by PCR/direct DNA sequencing of the M. leprae sigE gene fragment, and displayed similar growth characteristics to that of the wild-type strain, M. smegmatis mc2155 (data not shown). The sensitivity of M. smegmatis mc2155 and its derivatives to heat shock (50°C) over time was then evaluated. Results indicated that the M. leprae sigE was unable to complement the heat stress defect of the Msmeg
sigE/
sigH double knockout mutant but was able to complement the heat stress defect of Msmeg
sigE containing a functional sigH (Fig. 4a). In addition, the M. leprae sigE was able to complement the lack of detergent stress response in this mutant (Fig. 4b).
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FIG. 4. Survival curves of M. smegmatis mc2155 and its derivatives after exposure to stress conditions. The results are expressed as the percentage of CFU with respect to T0 (prior to stress exposure). Each experiment was performed using triplicate samples, and reported results are from at least two experiments. The values represent the mean and the standard deviation obtained for each point. (a) Exposure to 50°C heat stress over time; (b) exposure to 0.01% SDS detergent stress for 2 h.
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sigE/MlepsigE-complemented mutant were comparable; however, levels in Mtb
sigE were significantly lower (P < 0.001) (Fig. 5a). In contrast, sigB levels in all strains were elevated to comparable levels following 45°C heat stress (Fig. 5b).
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FIG. 5. Comparison of sigB mRNA levels in M. tuberculosis H37Rv and its derivatives, Mtb sigE, and Mtb sigE/MtbsigE- and Mtb sigE/MlepsigE-complemented mutants, respectively, before and after heat stress. Data are expressed as normalized mRNA values detected by real time RT-PCR analysis using cDNA samples obtained from exponentially growing cultures at 37°C (a) and exposed to 45°C (b) for 2 h. Normalized mRNA values for gene transcripts were obtained by dividing the mRNA values by that of the 16S rRNA value (1:10–5 dilution) for the same template.
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M. leprae heat shock operons, promoters, and regulatory sequences. Even though the majority of the heat-induced genes were absent in M. leprae, the major heat shock operons HSP70 (dnaK-grpE-dnaJ1) and HSP60 (groES-groEL1) were conserved in M. leprae (see Table S2 in the supplemental material). The organization of these operons in M. leprae was identical to that of M. tuberculosis (http://www.sanger.ac.uk/Projects/M_tuberculosis/) (Fig. 6a and b). Using RT-PCR we determined that these two sets of genes are expressed as operons in M. leprae. The HSP70 operon appeared to be transcribed as a single mRNA containing a single dnaK-grpE-dnaJ1 transcript and the HSP60 operon as a single groES-groEL1 transcript (Fig. 6c and d).
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FIG. 6. HSP70 and HSP60 operons of M. leprae. (a) Map of the HSP70 operon of M. leprae and the predicted 953-bp PCR amplicon (dashed line), representing a partial fragment of this operon for detection of its polycistronic transcript by RT-PCR analysis. Small arrows indicate locations of primers (see Table S3 in the supplemental material). Large arrows indicate the direction of transcription. (b) Map of the HSP60 operon of M. leprae and the predicted 889-bp PCR amplicon (dashed line), representing a partial fragment of this operon for detection of its polycistronic transcript by RT-PCR analysis. Small arrows indicate locations of primers (MLHsp60op-F and MLHsp60op-R) (see Table S3). Large arrows indicate directions of transcription. (c and d) Photographs of PCR amplicons from M. leprae cDNA of HSP70 and HSP60 operons, respectively. Lane 1, 1-kb DNA ladder (Promega); lane 2, M. leprae cDNA; lane 3, RT-negative control M. leprae RNA; lane 4, mouse cDNA (Clontech); lane 5, positive M. leprae DNA control; lane 6, negative buffer control.
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FIG. 7. (a) Comparison of putative promoter sequences upstream of selected M. leprae and M. tuberculosis sigma factor and heat shock response genes. Nucleotides representing –10 and –35 element sequences are shown in bold capitalized letters. Numbers indicate the number of nucleotides that the promoter sequence is upstream of the translational start codon of the respective gene. (b) Nucleic acid sequence for the M. leprae sigE gene, representing the original 5' ATG translational start codon of the gene (18) and the newly identified putative –10 and –35 SigH binding regions as well as the newly identified 5' ATG start codon and gene encoding the truncated SigE protein sequence.
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In the present study, we attempted to identify the molecular basis of the reduced survival of M. leprae at elevated temperatures. Under heat stress conditions (37°C or 42°C), there was no significant induction of the sigB and sigE stress response sigma factor genes or their heat shock regulons in this organism. It was reasoned that this defective heat shock response may result from a lack of functional genes that play key roles in this response. Even though sigE was not significantly induced under heat shock conditions in M. leprae, the present study suggested that this gene appears to possess a functional SigH-dependent heat shock promoter and other regulatory components and was capable of complementing the heat stress defect when expressed in mycobacterial sigE knockout mutants containing a functional SigB, SigH, and a full repertoire of heat shock proteins. The M. leprae sigE gene product was also able to restore the basal levels of sigB gene transcripts in the M. tuberculosis sigE knockout strain to that of the wild-type strain. These data strongly suggested that the SigE of M. leprae should be functionally capable of activating a heat stress response. In addition, bioinformatics data from this study suggested that the annotated sigE initiation codon from both mycobacterial species may be wrong and that the sigE translation likely starts from a second methionine codon.
No significant increases in sigB gene transcripts were observed during heat shock in M. leprae even though this alternative sigma factor was found to be virtually identical (96%) to that of M. tuberculosis. It possesses all of the functional motifs of SigB found in M. tuberculosis and an identical SigE/SigH-dependent promoter upstream of its coding sequence. These data strongly suggested that M. leprae sigB should be inducible and activate a stress response regulon similar to that of the SigB of M. tuberculosis. The absence of such activation in M. leprae suggests that M. leprae lacks the signaling mechanism to induce sigB transcription in response to heat stress.
We also found that when M. leprae sigE was expressed in a mycobacterial sigE/sigH knockout mutant, there was no significant increase in M. leprae's sigE transcription (data not shown), and the defective heat stress response of this mutant was not complemented by sigE. In contrast, M. leprae sigE was able to complement both M. smegmatis and M. tuberculosis sigE mutants. These data suggested that the lack of a functional sigH plays a role in the unresponsiveness of M. leprae's sigE during heat stress.
Inducible expression of sigE and sigB in mycobacteria has been shown to be regulated by SigH, and basal and inducible expression of sigB was shown to be dependent on both SigE and SigH (18). M. tuberculosis and M. smegmatis mutants lacking a functional sigH gene were found to be more susceptible to heat shock as well as other stress conditions (18, 28). These data indicated that SigH plays a central role in a network that regulates the heat stress response, allowing this organism to survive fluctuations in temperature. However, sigH is a pseudogene in M. leprae containing (i) no detectible translational start site, (ii) multiple deletions, including a 168-bp deletion of the 5' region of the gene, (iii) no sequence similar to the consensus SigH promoter within 500 bp upstream of this pseudogene, and (iv) an in-frame stop codon, resulting from a frameshift mutation so that the encoded protein would lack both sigma 70 regions 2 and 4, which are required for promoter recognition (http://genolist.pasteur.fr/Leproma/). Our data and these sequence analyses thus strongly suggest that the absence of a functional SigH in M. leprae plays a role in the failure of sigE to be upregulated during certain stress responses and results in the unresponsiveness of M. leprae to heat stress. Unfortunately, this hypothesis could not be tested directly by introducing an intact mycobacterial sigH into M. leprae because of the lack of genetic tools and the inability to cultivate this bacterium axenically. Therefore, surrogate genetics were used to study the dependence of M. leprae SigE and SigB on a functional SigH to respond to heat stress conditions.
This study also demonstrated that the M. leprae genome lacks the majority of the heat-inducible genes found in M. tuberculosis. While the significance of this could not be directly studied, the large proportion of absent or nonfunctional heat shock-responsive genes suggested that the inability of M. leprae to survive at elevated temperatures may also be the result of inadequate effector mechanisms to respond to heat stress damage. For example, M. leprae lacks a functional hsp/acr2, the most highly induced heat stress response gene in M. tuberculosis and one that is essential for the protective heat stress response of this mycobacterial pathogen (25). In addition to hsp/acr2, the M. leprae genome lacks functional homologs for 4 others of the 10 most highly induced M. tuberculosis genes during heat stress. These data strongly suggested that M. leprae lacks a full repertoire of heat shock response genes.
M. leprae does possess HSP70 (dnaK) and HSP60 (groEL2) operons, which are among the most highly induced genes during heat shock in M. tuberculosis (28). In contrast, genes within these operons were not significantly induced in M. leprae during heat stress, even though they appeared to be intact. Both operons have candidate binding sequences for negative regulators (HAIR and CIRCE binding sequences for HspR and HrcA, respectively). In addition, HspR and HrcA appear to be expressed in M. leprae, suggesting that they are functional in this organism. Together, these data suggested that the HSP70 and HSP60 operons are intact and potentially regulated in response to stress. The lack of induction in M. leprae, however, indicates that signaling mechanisms for activating these regulons in response to heat stress are not functional in this organism. For the dnaK operon, this may result from the lack of sigH, as discussed above. For the groES-groEL operon (20), the differences in regulation between M. leprae and M. tuberculosis remain to be determined. Though our data indicate that the absence of SigH-dependent transcriptional activation of a heat stress response as well as the lack of heat shock effector genes are important in the inability of M. leprae to grow at high temperatures, other mechanisms may also play a role in temperature-restricted growth of this and other mycobacterial species.
In conclusion, the current study has provided insight into the molecular defects that likely contribute to M. leprae's reduced ability to survive at temperatures above 33°C. This defective heat stress response furthers our understanding of M. leprae's predilection for cooler peripheral regions of the human body, such as the dermal macrophages, macrophages infiltrating the aqueous humor and the iris of the eye, and Schwann cells of the peripheral nerves, where the temperature is more conducive to its survival and growth. The presence of M. leprae in these selected sites and the immunologic responses that this bacterium induces ultimately result in the characteristic pathology observed in leprosy.
This project was partially funded by NIH/NIAID RO1 AI044856 (awarded to I.S.), RO1 AI37901 (to R.N.H.), and NIH/NIAID contract Y1 AI-2646-01.
Published ahead of print on 12 October 2007. ![]()
Supplemental material for this article may be found at http://jb.asm.org/. ![]()
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H in Mycobacterium tuberculosis global gene expression. Mol. Microbiol. 45:366-374.
E: role in global gene expression and survival in macrophages. Mol. Microbiol. 41:423-437.[CrossRef][Medline]This article has been cited by other articles:
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