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Journal of Bacteriology, May 2008, p. 3411-3416, Vol. 190, No. 9
0021-9193/08/$08.00+0 doi:10.1128/JB.01928-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Campylobacter jejuni CsrA Mediates Oxidative Stress Responses, Biofilm Formation, and Host Cell Invasion
Joshua A. Fields and
Stuart A. Thompson*
Department of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta, Georgia 30912
Received 12 December 2007/
Accepted 21 February 2008

ABSTRACT
The putative global posttranscriptional regulator
csrA was mutated
in
Campylobacter jejuni 81-176. The
csrA mutant was attenuated
in surviving oxidative stress. CsrA also contributed to biofilm
formation and adherence to and invasion of INT407 intestinal
epithelial cells, suggesting a regulatory role for CsrA in
C. jejuni pathogenesis.

TEXT
Diarrheal diseases represent an immense burden to both the developing
and the industrial world, and the gram-negative pathogen
Campylobacter jejuni is recognized around the world as a leading bacterial
cause of gastroenteritis (
3,
13,
16). Although
C. jejuni requires
very specific growth conditions in the laboratory, it persists
in the environment. As it passes from host (commonly avian species)
to human,
C. jejuni must survive a great range of hostile environmental
stresses, including limited carbon sources, suboptimal growth
temperatures, and exposure to atmospheric oxygen. During infection,
C. jejuni must withstand changes in pH and the host inflammatory
response. In order to survive these stresses,
C. jejuni must
be able to sense these changes and respond accordingly. However,
relatively little is known about the molecular mechanisms of
Campylobacter pathogenesis and even less is known about how
its virulence properties are regulated. While
C. jejuni possesses
several predicted global regulatory systems, including regulators
of flagellar assembly and function (
28,
67), iron homeostasis
(
58), heat shock (
33), cold shock (
45; W. A. Agee and S. A.
Thompson, unpublished data), and the stringent response (
19),
its complement of regulators is dramatically less than that
of enteric pathogens such as
Salmonella enterica. Furthermore,
C. jejuni has only three sigma factors (
70 [
rpoD],
54 [
rpoN],
and
28 [
fliA]), seven histidine kinases, and 10 response regulators
(
44,
45). The small number of sigma factors and other global
regulators in
C. jejuni suggests that there may be other uncharacterized
mechanisms of gene regulation.
C. jejuni genome sequences (18, 45) revealed orthologs of the Escherichia coli global posttranscriptional regulator csrA (carbon starvation regulator). In E. coli, CsrA was identified as a posttranscriptional regulator of translation (49, 50) responsible for repression or activation of many important processes. CsrA is a homodimeric RNA-binding protein that typically binds the 5' untranslated regions of target mRNAs at one or more sites that are often adjacent to or overlapping the ribosome binding site, thus inhibiting ribosome access to the ribosome binding site and inhibiting translation initiation, which can either increase or decrease mRNA half-life (5, 7, 15, 39, 40, 48, 61).
In E. coli, CsrA is involved in regulating stationary-phase metabolism, represses glycogen biosynthesis, gluconeogenesis, peptide transport, and biofilm formation (2, 15, 27, 37, 51, 52, 61), and activates glycolysis, acetate metabolism, and motility (52, 63, 64). Analysis of bacterial genomes has revealed widespread distribution of csrA throughout the eubacteria (65). Subsequently, the role of CsrA in the life cycles of several pathogenic bacteria has been studied, revealing that CsrA not only regulates stationary-phase metabolism but also is an important regulator of virulence determinants, including host cell invasion, quorum sensing, biofilm formation, iron acquisition, type III secretion systems, and outer membrane protein expression (4, 11, 12, 17, 25, 26, 34, 37, 38, 42, 43, 46, 47, 66). In the gastric pathogen Helicobacter pylori, a close relative of C. jejuni (21), CsrA is reported to play a role in the regulation of several virulence phenotypes, including motility, oxidative stress resistance, and mouse colonization (8).
Considering the limited contingent of regulatory effectors found in C. jejuni genomes, we suspected that CsrA might play a vital role in the regulation of stress responses and virulence determinants in this enteric pathogen. In this study, we sought to examine the role of CsrA in C. jejuni pathogenesis. We therefore constructed a C. jejuni 81-176 csrA mutant and complemented mutant strains for use in studies of survival and virulence-related phenotypes. We report that mutation of csrA reveals a potential role for CsrA in the regulation of C. jejuni genes required for survival of oxidative stress. Furthermore, CsrA plays a role in the activation of biofilm formation, motility, and adherence to host cells in vitro; however, it contributes to the repression of invasion of human cells.
Mutation of csrA in C. jejuni 81-176.
A nonpolar mutation in csrA was constructed by inverse-PCR mutagenesis (68). Briefly, by use of primers JAF44 and JAF45, Cj1103 (csrA) including 500 bp upstream and downstream was amplified using PCR and cloned into pCRII-TOPO (Invitrogen). The new construct, pJF06, was then subjected to inverse PCR using primers JAF50A and JAF51, digested with NheI, and self-ligated to yield pJF07. pJF07 was digested with NheI and XmaI and ligated with the chloramphenicol acetyltransferase (cat) cassette amplified from pRY111 (69) by use of primers JAF52 and JAF53 and digested with the same enzymes to generate the plasmid pJF09. This plasmid contained a deletion of 75% of the csrA gene (replaced with cat) while maintaining the translation initiation signals of the downstream Cj1104 gene to avoid polarity. This construct was then introduced into C. jejuni 81-176 by electroporation (62), and a chloramphenicol-resistant (20 µg/ml) csrA mutant was verified by PCR and DNA sequencing (data not shown).
Complementation of the csrA mutant in trans.
Complementation of the csrA mutant was accomplished by introducing the csrA gene under the control of its native promoter on the Campylobacter shuttle vector pRY107 (69). Briefly, csrA was amplified with primers JAF60 and JAF43 and cloned into pCRII-TOPO, producing pJF10A. Next, the csrA promoter (upstream of Cj1097) was amplified with primers JAF61 and JAF62, digested with XmaI and NdeI, and cloned upstream of csrA in pJF10A to create pJF10B. The csrA promoter cassette was then digested with EcoRI and subcloned into pRY107, giving the csrA complementation vector pJF11. pJF11 was then introduced into the csrA mutant by triparental mating (36). Transconjugants were recovered on chloramphenicol (15 µg/ml) and kanamycin (50 µg/ml), and the presence of pJF11 was confirmed by plasmid midi-prep (Qiagen) (data not shown).
Mutation of csrA decreases swarming ability.
The swarming ability of the csrA mutant was determined on Mueller-Hinton (MH) media containing 0.4% agar (22) and confirmed via light microscopy of wet mounts (data not shown). After inoculation, the strains were incubated at 37°C for 24 h (Fig. 1A) and 48 h (Fig. 1B). The swarming ability of the mutant was >30% less than that of the parent strain after 24 h (P = 0.009) and 48 h (P = 0.0007), despite highly similar growth characteristics in MH broth (Fig. 1C). This was consistent with reported observations for E. coli and H. pylori (8, 64) and suggests that C. jejuni CsrA contributes to the regulation of motility or chemotaxis, as either can affect swarming ability.
CsrA is required for resistance to oxidative stress.
Resistance of the 81-176, 81-176
csrA, and 81-176
csrA/pJF11
strains to oxidative stress was determined by assessing killing
by atmospheric oxygen (
19) and hydrogen peroxide (
60). Aerotolerance
was determined by transferring bacteria grown in MH broth to
early log phase (optical density at 600 nm [OD
600] of

0.1) from
a microaerobic environment to atmospheric and microaerobic growth
conditions and incubating the bacteria for 9 h at 37°C.
At 0, 3, 6, and 9 h, viable counts were measured by serial dilution
and plating on MH plates. This experiment (Fig.
2A) showed that
the
csrA mutant was highly sensitive to atmospheric oxygen,
resulting in greater than 99% loss of viability by 9 h (
P =
0.0005). The strains grown under microaerobic conditions remained
viable and grew to stationary phase (data not shown), indicating
that the loss of viability under atmospheric conditions was
specific to atmospheric oxygen exposure. For hydrogen peroxide
resistance, cells were grown on blood agar overnight at 37°C,
harvested in phosphate-buffered saline, and diluted to an OD
600 of

1.0. A 100-µl portion of each strain was spread on
MH agar, onto which filter discs (6 mm) inoculated with 10 µl
of 1 mM, 10 mM, 100 mM, or 1 M hydrogen peroxide were placed
and then incubated at 37°C under microaerobic conditions
for 48 h. These studies (Fig.
2B) revealed greater sensitivity
of the
csrA mutant to all doses tested (
P 
0.01). Taken together
these data suggest that, as in
H. pylori, CsrA contributes to
the regulation of oxidative stress responses in
C. jejuni.
CsrA is an activator of biofilm formation.
By use of previously described methods (
14), biofilms were quantitated
via crystal violet (CV) staining of static biofilm formation
in 24-well, flat-bottomed polystyrene tissue culture dishes
at 48 h. Briefly, strains were inoculated in MH broth at an
OD
600 of 0.05 and incubated statically at 37°C for 48 h.
Biofilms were visualized by staining with CV, washed with distilled
H
2O, and photographed, and CV binding was quantitated by determining
the OD
570 after solubilization in 80% dimethyl sulfoxide for
24 h (Fig.
3). The
csrA mutant formed a very sparse biofilm
on the bottoms and sides of the wells (Fig.
3A). Conversely,
both the wild type and the complement formed dense biofilms;
however, a great deal of the matrix formed by the complemented
mutant was present on the sides of the wells and is not represented
in the aspect shown. Quantification of CV staining (Fig.
3B)
revealed that the
csrA mutant formed nearly 50% less biofilm
than 81-176 (
P = 0.0001); however, the complemented mutant formed
twice as much biofilm as the wild type. It has been demonstrated
that flagellar function and responses to both general and oxidative
stress are critical to biofilm formation (
24,
30,
31,
57,
59).
These results suggest that CsrA is an activator of biofilm formation,
possibly via regulation of motility and oxidative stress responses
in
C. jejuni. This conclusion is noteworthy considering that
CsrA represses biofilm formation in several gammaproteobacteria
(
1,
2,
27,
54,
61). Biofilm formation in
C. jejuni is poorly
understood but is certainly complex and requires flagellar function
(
30). Therefore, reduced biofilm formation by the
C. jejuni CsrA mutant is consistent with the observation of reduced motility
(Fig.
1) and also suggests that CsrA-mediated control of biofilm
formation may be inherently different in
C. jejuni and
E. coli.
Adherence and invasion of intestinal epithelial cells.
The role of CsrA in adherence and invasion of host cells in
vitro was determined as previously described (
9,
41,
62). The
csrA mutant exhibited a 5.4-fold decrease in the ability to
adhere to INT407 cells (Fig.
4A) (
P = 0.002). This attenuation
of adherence was contrasted by a 20-fold increase in invasion
by adherent
C. jejuni csrA mutant cells (Fig.
4B) (
P = 0.01)
despite reduced motility, a factor known to influence invasion
(
20,
23,
29,
70). There was no difference in susceptibility
to gentamicin among the strains. This is the first report to
implicate CsrA in the regulation of host cell adherence. Previous
studies have reported that CsrA functions in both the activation
and the repression of invasion (
4,
17,
37). Our data suggest
that in
C. jejuni the role of CsrA in epithelial cell invasion
is primarily carried out via repression of invasion-specific
genes. This conclusion introduces a paradox because both motility
and adherence are important for host cell invasion in
C. jejuni (
20,
23,
29,
62,
70); however, the
csrA mutant displays defects
in both. However, while both motility and adherence are certainly
prerequisites for invasion, the adherence and invasion processes
involve different proteins. For example, molecules that are
involved uniquely in the invasion step but not in adherence
include the
Campylobacter invasion antigens, gamma-glutamyl
transpeptidase, and the polysaccharide capsule (
6,
9,
32). CsrA
may therefore directly or indirectly regulate these or other
invasion-specific
Campylobacter proteins, and changes in the
expression of these proteins may override any effect of the
decrease in motility and result in the observed increase in
invasion.
Conclusions.
Posttranscriptional regulation in
C. jejuni has not been studied
previously, and many questions remain to be considered in future
studies to address how CsrA works in
Campylobacter and other
epsilonproteobacteria. Presently, it is not known how CsrA is
regulated in
C. jejuni. In
E. coli and many other bacteria,
CsrA has been shown to be regulated by the small noncoding RNAs
csrB and
csrC (
5), which have not been identified in
Campylobacter (
35). Furthermore, regulation of
E. coli csrBC is directed by
the BarA/UvrY two-component regulatory system (
17,
53-
56), which
does not appear to have an ortholog in
C. jejuni (
45). These
data, therefore, represent an important first step in elucidating
the role of CsrA in
C. jejuni physiology and pathogenesis. In
summary, we have constructed a
C. jejuni mutant lacking the
predicted posttranscriptional regulator CsrA. The
csrA mutant
exhibits changes in several virulence-related properties, including
oxidative stress resistance, motility, adherence, and invasion.
These pleiotropic effects suggest that CsrA is an important
regulator involved in
C. jejuni pathogenesis.

ACKNOWLEDGMENTS
This study was supported by National Institutes of Health grants
AI055715 and AI058284 to S.A.T.
We thank Qijing Zhang (Iowa State University) for plasmid pRK212.1 and the Thompson laboratory for critical reading of the manuscript.

FOOTNOTES
* Corresponding author. Mailing address: Department of Biochemistry and Molecular Biology, Medical College of Georgia, 1459 Laney-Walker Blvd., Augusta, GA 30912. Phone: (706) 721-7277. Fax: (706) 721-6608. E-mail:
stthomps{at}mcg.edu 
Published ahead of print on 29 February 2008. 

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Journal of Bacteriology, May 2008, p. 3411-3416, Vol. 190, No. 9
0021-9193/08/$08.00+0 doi:10.1128/JB.01928-07
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