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Applied and Environmental Microbiology, September 2004, p. 5274-5282, Vol. 70, No. 9
0099-2240/04/$08.00+0 DOI: 10.1128/AEM.70.9.5274-5282.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Comparative Proteomic Analysis of Extracellular Proteins of Enterohemorrhagic and Enteropathogenic Escherichia coli Strains and Their ihf and ler Mutants
M. Li,1 I. Rosenshine,2 S. L. Tung,1 X. H. Wang,1 D. Friedberg,2 C. L. Hew,1 and K. Y. Leung1*
Department of Biological Sciences, Faculty of Science, National University of Singapore, Singapore,1
Department of Molecular Genetics and Biotechnology, Faculty of Medicine, The Hebrew University, Jerusalem, Israel2
Received 21 January 2004/
Accepted 10 May 2004

ABSTRACT
Enterohemorrhagic and enteropathogenic
Escherichia coli (EHEC
and EPEC, respectively) strains are closely related human pathogens
that are responsible for food-borne epidemics in many countries.
Integration host factor (IHF) and the locus of enterocyte effacement-encoded
regulator (Ler) are needed for the expression of virulence genes
in EHEC and EPEC, including the elicitation of actin rearrangements
for attaching and effacing lesions. We applied a proteomic approach,
using two-dimensional polyacrylamide gel electrophoresis in
combination with matrix-assisted laser desorption ionization-time
of flight mass spectrometry and a protein database search, to
analyze the extracellular protein profiles of EHEC EDL933, EPEC
E2348/69, and their
ihf and
ler mutants. Fifty-nine major protein
spots from the extracellular proteomes were identified, including
six proteins of unknown function. Twenty-six of them were conserved
between EHEC EDL933 and EPEC E2348/69, while some of them were
strain-specific proteins. Four common extracellular proteins
(EspA, EspB, EspD, and Tir) were regulated by both IHF and Ler
in EHEC EDL933 and EPEC E2348/69. TagA in EHEC EDL933 and EspC
and EspF in EPEC E2348/69 were present in the wild-type strains
but absent from their respective
ler and
ihf mutants, while
FliC was overexpressed in the
ihf mutant of EPEC E2348/69. Two
dominant forms of EspB were found in EHEC EDL933 and EPEC E2348/69,
but the significance of this is unknown. These results show
that proteomics is a powerful platform technology for accelerating
the understanding of EPEC and EHEC pathogenesis and identifying
markers for laboratory diagnoses of these pathogens.

INTRODUCTION
Enterohemorrhagic and enteropathogenic
Escherichia coli (EHEC
and EPEC, respectively) strains are closely related human pathogens
(
7). EHEC strains, especially those of serotype O157:H7, which
produce Shiga-like toxin (Stx), are a common cause of diarrhea,
hemorrhagic colitis, and hemolytic uremic syndrome, while EPEC
is the most common bacterial cause of infant diarrhea (
29).
Both have been implicated in food-borne outbreaks in many countries
and cause diarrhea by colonizing the intestinal mucosa (
29,
30). EHEC and EPEC strains are distinguished from other pathogenic
E. coli strains by their ability to produce a characteristic
histopathological feature known as attaching and effacing (AE)
lesions on the mucosa (
12,
29). AE lesions are characterized
by the destruction of the microvilli and the induction of actin-based
pedestal formation underneath the eukaryotic membrane at the
site of attachment (
6). EHEC and EPEC secrete many extracellular
proteins (ECPs), and the type III secretion system (TTSS) is
a major secretion apparatus for secreting virulence factors
which interact directly with the host (
20,
25). The TTSS is
located within a chromosomal pathogenicity island designated
the locus of enterocyte effacement (LEE) which is necessary
for the formation of AE lesions (
18,
19). The LEE-encoded regulator
(Ler) activates most of the genes within the LEE region and
is central to the process of AE lesion formation (
26). Integration
host factor (IHF) is a histone-like protein which can bind to
specific DNA consensus sites and bend the DNA to form a nucleoprotein
complex (
28,
34). IHF is involved in a wide variety of cellular
processes, including directly activating expression of the
ler transcriptional unit, and Ler in turn mediates the expression
of the other LEE genes (
13,
14). The expression of both IHF
and Ler is needed to elicit the actin rearrangement associated
with AE lesions.
Proteomics offers a powerful platform technology for the study of protein expression and identification. It is a useful tool for analyses of the disease process and of bacterium-host interactions at the protein level. The DNA sequences of two EHEC genomes were determined recently (15, 32), and the EPEC genome sequence will be completed soon (see the Sanger Institute web site for details [http://www.sanger.ac.uk/Projects/Microbes]). Therefore, EHEC and EPEC are ideal organisms for proteomic analysis.
For this study, we used a proteomic approach to analyze the extracellular proteomes of EHEC and EPEC in order to give further insight into the pathogenesis and divergence of these two emerging pathogens. A comparative proteomic analysis among the wild-type strains and the ler and ihf mutants revealed an integrated view of ECPs of EHEC and EPEC and also identified various virulence factors that are regulated by IHF and Ler. These proteomes are useful references for comparative analysis, laboratory diagnosis, and further molecular and functional studies, which will lead to a better understanding of EHEC and EPEC pathogenesis.

MATERIALS AND METHODS
Bacterial strains and culture conditions.
The wild-type strains of EHEC and EPEC and the mutants that
were used for this study are listed in Table
1. EHEC
ler and
ihf mutants were constructed with the Lambda Rad system as described
earlier (
13,
44).
E. coli strains were routinely cultured at
37°C in Luria-Bertani broth without shaking. When required,
the medium was supplemented with ampicillin (100 µg/ml),
kanamycin (50 µg/ml), and streptomycin (100 µg/ml).
Protein isolation and assay.
For the preparation of ECPs of EHEC and EPEC, overnight cultures
in Luria-Bertani broth were diluted 1:50 in Dulbecco's modified
Eagle's medium (DMEM) and were incubated for 9 and 6 h, respectively,
at 37°C in a 5% (vol/vol) CO
2 atmosphere. Bacterial cells
were removed from the culture by centrifugation (5,500
x g,
10 min, 4°C), and the supernatant was filtered through a
0.22-µm-pore-size small-protein binding filter (Millex;
Millipore). The ECP fraction was isolated by trichloroacetic
acid precipitation (
38), and the protein pellet was washed thrice
with 20°C acetone and then air dried. The protein
pellet was solubilized in ReadyPrep reagent 3 (5 M urea, 2 M
thiourea, 2% [wt/vol] CHAPS, 2% [wt/vol] SB 3-10, 40 mM Tris,
and 0.2% [wt/vol] Bio-Lyte 3/10 ampholyte; Bio-Rad) and was
stored at 20°C until analysis. The protein concentration
was determined by use of a Bio-Rad protein assay kit, with bovine
serum albumin as a standard.
1- and 2-DE.
ECPs in amounts of 10 to 30 µg that gave similar profiles to those of the background proteins were used to generate the extracellular proteomes of different strains for a comparative analysis. One-dimensional sodium dodecyl sulfate-polyacrylamide gel electrophoresis (1-DE) was performed according to a standard protocol (36). 2-DE was performed by use of the Ettan IPGphor isoelectric focusing system (Amersham) according to the manufacturer's instructions. Dry gel strips were rehydrated for 12 h at room temperature with a mixture containing 8 M urea, 2% (wt/vol) CHAPS, 0.5% immobilized pH gradient (IPG) buffer, 50 mM dithiothreitol, and a trace amount of bromophenol blue. For the first dimension, the ECP samples were separated on 18-cm-long rehydrated Immobiline DryStrips with a nonlinear gradient from pH 3 to 10 (Amersham) by use of a cup-loading system and were focused at 500 V for 1.5 h, 4,000 V for 2 h, and 8,000 V for 40,000 Vh. After isoelectric focusing, the IPG strips were reduced, alkylated, and exchanged with detergent. 2-DE was carried out in sodium dodecyl sulfate-12.5% polyacrylamide gels (20 by 20 cm), and the proteins were visualized by silver staining. Computer-assisted gel analysis with PD-QUEST, version 7.1.0 (Bio-Rad), was performed on images captured with a Molecular Dynamics personal densitometer (Bio-Rad). ECP samples were isolated from at least three independent cultures. More than three separate gels were analyzed for each sample. Protein spots that displayed dominant and consistent patterns were selected for further identification.
Tryptic in-gel digestion and MALDI-TOF MS analysis.
The protein spots of interest were excised from the 2-DE gels and digested with porcine sequencing-grade modified trypsin (Promega) according to a procedure described by Shevchenko and coworkers (37). The extracted peptides were resuspended in 0.1% (vol/vol) trifluoroacetic acid and 50% (vol/vol) acetonitrile. The peptide mixture (0.5 µl) was spotted onto a matrix-assisted laser desorption ionization (MALDI) target plate simultaneously with 0.5 µl of matrix solution (a saturated solution of
-cyano-4-hydroxycinnamic acid dissolved in 0.1% [vol/vol] trifluoroacetic acid and 50% [vol/vol] acetonitrile). Peptide mass fingerprint maps of tryptic peptides were generated by MALDI-time of flight mass spectrometry (MALDI-TOF MS) with a Voyager DE-STR Biospectrometry work station mass spectrometer (Applied Biosystems). All of the spectra were obtained in reflectron mode, with an accelerating voltage of 20 kV and a delayed extraction of 150 ns. Mass calibration was performed with a peptide mixture (angiotensin I) (1,296.6853 [M + H]+) and adrenocorticotropin (18-39 clip) (2,465.1989 [M + H]+) as an external standard. Internal calibration with two peptides arising from trypsin autoproteolysis of 842.51[M + H]+ and 2,211.10 [M + H]+ was performed whenever possible. Peptide masses were searched against the NCBInr database by use of the MS-Fit program (http://prospector.ucsf.edu) and Mascot software (Matrix Science), with the mass tolerance set to 50 ppm (internal calibration) or 200 ppm (external calibration). Proteins with a minimum of four matching peptides and with sequence coverage exceeding 20% with the matched proteins were considered positive.

RESULTS AND DISCUSSION
ECP production.
The wild-type strains EHEC EDL933 and EPEC E2348/69 and their
respective
ler mutants (DF1291 for EHEC and DF2 for EPEC) and
ihf mutants (DF1292 for EHEC and DF1 for EPEC) were grown in
DMEM for the production of ECPs. EPEC E2348/69 grew slightly
faster during the early log phase and produced larger amounts
of ECPs in DMEM than EHEC EDL933 (Fig.
1). The ECP production
of the wild-type strains EHEC EDL933 and EPEC E2348/69 at 6
h was higher than that of their respective
ihf and
ler mutants
(Fig.
2), suggesting that the wild-type strains produced more
ECPs in the supernatants. Nine-hour cultures for EHEC strains
and 6-h cultures for EPEC strains were used for the optimum
production of ECPs for the construction of extracellular proteomes.
Extracellular proteomes of EHEC and EPEC.
ECPs from EHEC EDL933 and EPEC E2348/69 were subjected to 2-DE,
and consistent and dominant ECP spots were excised for tryptic
in-gel digestion, MALDI-TOF MS analysis, and a protein database
search. Fifty-nine spots were identified (Tables
2 and
3), which
covered most of the prominent proteins. A total of 29 and 30
proteins were identified for EHEC EDL933 and EPEC E2348/69,
respectively (Fig.
3 and
4). Peptide mass fingerprints generated
from the EHEC EDL933 protein spots were assigned to the complete
genome database of EHEC EDL933 for protein identification. Since
the genome sequence of EPEC E2348/69 is not available, peptide
mass fingerprints generated from the EPEC E2348/69 protein spots
were then compared to a limited library of open reading frames
of EPEC E2348/69 and other
E. coli genome databases, such as
those for EHEC EDL933, K-12, and CFT073 (Tables
2 and
3).
Of these 59 proteins in the EHEC EDL933 and EPEC E2348/69 extracellular
proteomes, 26 were produced in both strains (Table
2). Three
of the Esp proteins (EspA, EspB, and EspD) appeared as the most
prominent protein spots distributed from the acidic to the neutral
pH range (pH 3 to 6) in both the EHEC EDL933 and EPEC E2348/69
extracellular proteomes. EspB and EspD are components of the
TTSS translocon and are required for the delivery of the translocated
intimin receptor (Tir) via the TTSS needle complex with a filamentous
extension formed by EspA (
9,
21,
22,
42). The high-molecular-weight
heat shock proteins Hsp60 (GroEL) and Hsp70 (DnaK), which may
function as chaperons in the type II and type IV secretion systems
with less specificity for the target preprotein (
4), accumulated
in the acidic region in the EHEC EDL933 and EPEC E2348/69 extracellular
proteomes. For
Legionella pneumophila and
Helicobacter pylori,
Hsp60 and Hsp70 were reported to be involved in colonization,
attachment, and invasion (
17). The identification of similar
heat shock proteins in the extracellular proteomes of EHEC and
EPEC may suggest their participation in pathogenesis. One protein
from EHEC EDL933 and EPEC E2348/69, with a high level of similarity
to an unknown protein encoded by prophage CP-933K in EHEC, and
another protein from EPEC E2348/69 which is homologous to the
putative superinfection exclusion protein B of prophage CP-933V
in EHEC were identified in the respective proteomes. Many phage
proteins have been reported to be virulence factors (
2), which
implicates that these two putative prophage-encoded proteins
may play important roles in EHEC and EPEC pathogenesis.
Several enzymes that are involved in different metabolic processes were found in the extracellular proteomes of EHEC EDL933 and EPEC E2348/69. These were nucleotide metabolic enzymes such as phosphoribosylaminoimidazole-succinocarboxamide synthase; enzymes in the glycolytic pathway such as glyceraldehyde-3-phosphate dehydrogenase, phosphoglycerate kinase, triosephosphate isomerase, phosphoglycerate mutase, and enolase; some amino acid metabolism enzymes such as serine hydroxymethyltransferase; and one detoxification enzyme, alkyl hydroperoxide reductase C22. Furthermore, some outer membrane, periplasmic, and cytosolic proteins were also detected in the extracellular proteomes.
The uncommon ECPs EspP and TagA (also called StcE [24]) and a hypothetical protein were found only in EHEC EDL933. EspP is a secreted serine protease that cleaves pepsin and human coagulation factor V and was proposed to be a contributing factor in mucosal hemorrhaging in patients (3). TagA is an extracellular metalloprotease and was recently reported to be a protease that specifically cleaves the C1 esterase inhibitor (24). These two proteases are encoded by the EHEC large plasmid pO157 and are regarded as the virulence factors of EHEC. EspC, EspF, a hypothetical protein, and the putative superinfection exclusion protein B of prophage CP-933V were found in EPEC E2348/69. EspC is a secreted immunoglobulin A protease-like protein encoded within a second pathogenicity island in the EPEC chromosome and is regarded as an enterotoxin (27). For EPEC E2348/69, we also identified EspF, which induces epithelial cell death but whose mechanism remains unknown (5). The genome of EHEC EDL933 also contains the espF gene, and the encoded protein shares 93.4% identity at the amino acid level with EspF of EPEC E2348/69. The reason that we did not detect EspF in the ECPs of EHEC EDL933 may be due to the low level of secretion of EspF and its extremely basic pI.
EHEC and EPEC are very similar pathogens. They colonize the intestinal mucosa, subvert intestinal epithelial cell function, and produce the characteristic AE lesion via their secreted and membrane proteins (18, 19). From the ECP proteomic profiles, 26 of these proteins, or 90 and 87%, respectively, of the total identified proteins, are common in EHEC EDL933 and EPEC E2348/69, which demonstrates the close relationship between these two pathogens. At the same time, there are several proteins (such as TagA, EspP, and EspC) that are exclusively produced by EHEC EDL933 or by EPEC E2348/69. This shows that there are variations between these two E. coli strains. Our proteome profiles of EHEC EDL933 and EPEC E2348/69 have demonstrated both the similarity and the divergence of these two pathogens. The variability in proteins that may interact with the host suggests that these variable proteins may be subject to natural selection for evasion of the host immune system or may serve to spread a particular strain in a given population (7).
The most prominent proteins in the EHEC EDL933 and EPEC E2348/69 extracellular proteomes are mainly secreted proteins, such as EspA, EspB, EspC, EspD, EspF, EspP, TagA, and Tir. The heat shock proteins (such as Hsp60 and Hsp70), which help with protein refolding and prevent protein degradation, were reported earlier to be released into the extracellular fraction (33). Though some outer membrane, periplasmic, and cytosolic proteins were detected in our extracellular proteome profiles, this was probably due to lysis of the bacteria in the culture or to the formation of blebs (43). Some protein spots could not be identified, possibly due to their low molecular weights, which would not produce enough peptides for fingerprint analysis. Despite these limitations, our results show that the coupling of silver staining and MALDI-TOF analysis is a sensitive method for protein detection, and the extracellular proteomes that we generated are reliable and reproducible.
Identification of Ler- and IHF-regulated proteins.
The extracellular proteomes of EHEC EDL933 and EPEC E2348/69 give an integrated overview of their ECP profiles and can be used as a reference for global analyses of protein expression in pathogenic E. coli strains (such as EHEC and EPEC) under various culture conditions and for comparisons between wild types and mutant strains. A comparison of the extracellular proteomes of the wild-type strains and their ler and ihf mutants revealed that four common protein spots, namely, EspA, EspB, EspD, and Tir, were present only in the wild-type strains of both EHEC EDL933 and EPEC E2348/69 and were absent from the ler and ihf mutants (Fig. 5 and 6). These four proteins are TTSS secretion proteins that are highly conserved in EHEC EDL933 and EPEC E2348/69, with a small degree of divergence, as follows: espB (74.01% identity), espA (84.63% identity), espD (80.36% identity), and tir (66.48% identity) (31). They are regulated by Ler and IHF at the transcription level (1, 13, 26), and their expression is dependent upon culture conditions, the growth phase, and host contact (8, 16, 35). EspF is also cotranscribed with espADB and regulated by Ler (10). However, EspF was identified only in EPEC E2348/69, not in EHEC EDL933.
The differences in the protein profiles of the wild-type strains
and the
ler and
ihf mutants could be attributed to the lost
functions of Ler and IHF, which resulted in decreased protein
secretion by the
ler and
ihf mutants. On the other hand, there
are other Ler- and IHF-regulated TTSS proteins that have not
been identified here. This may be due to their higher translocation
levels than secretion levels, such as the case for EspH (
41),
or to their extreme acidic or basic isoelectric points, which
would allow them to migrate beyond the normal IPG gel strip
range and thus not be visualized by 2-DE.
We also identified one flagellar component protein, FliC, that is solely present in EPEC 2348/69 ihf mutants (Fig. 6). This proteomic result indicates that ihf depresses the expression of FliC, which is consistent with a report that IHF mediates the repression of flagella in EPEC (44).
A comparison of 1-DE profiles of ECPs of EHEC EDL933 and EPEC E2348/69 and their ler and ihf mutants showed that a protein band of about 110 kDa was regulated by Ler and IHF (Fig. 7). Elliott and coworkers (10) also reported that Ler regulated a 110-kDa protein in both EPEC E2348/69 and EHEC EDL933. This protein was identified as EspC in EPEC by use of an anti-EspC antibody, while the identity of the equivalent 110-kDa protein in EHEC remained unclear. In the extracellular proteome of EHEC EDL933, TagA, which has a similar molecular weight but a different isoelectric point than EspC (ca. 110 kDa), was found to be regulated by Ler (Fig. 5 and 7). The expression level of TagA was much lower in the ler mutant than in the wild type, indicating that TagA was regulated by Ler. By using a proteomic approach, we have identified the cryptic 110-kDa protein in EHEC EDL933, which could not be identified by Elliott and coworkers by use of an anti-EspC antibody (10), as TagA.
Using the proteomic approach, we found two dominant EspB spots
in both the EHEC EDL933 and EPEC E2348/69 extracellular proteomes
(Fig.
3 and
4). N-terminal sequencing of these two EspB proteins
revealed that the first 10 residues of their N-terminal sequences
were intact and identical (data not shown). EspB is one of the
dominant proteins in the ECPs of EHEC EDL933 and EPEC E2348/69
and is central to EPEC and EHEC interactions with host cells
in vitro (
11,
23,
39,
40). In addition to being translocated,
EspB is needed to facilitate translocation (
21,
42). Thus, it
is possible that EspB exists in different forms via modifications
for different functions. EspB has serine- and threonine-rich
domains, which may be phosphorylated to produce two forms in
the supernatant. However, an alkaline phosphatase analysis showed
no detectable phosphorylation (data not shown). Further characterization
of EspB to determine the possible functions of these two EspB
proteins is ongoing.
Applications and conclusions.
The ability of pathogenic bacteria to cause disease in a susceptible host is determined by multiple factors acting individually or together at different stages of infection. Proteomics can provide an integrated view of the gene products of certain bacteria for global analyses. The secretion of virulence factors is a common feature of many pathogenic bacteria, and thus it is important to generate extracellular proteomes to facilitate studies of bacterial pathogenesis. For the first time, we have provided the extracellular proteomes of EHEC EDL933 and EPEC E2348/69 and used a proteomic approach to analyze the ECPs of these two closely related human pathogens. These proteome profiles can help us to link virulence determinants in an integrated manner and also can facilitate the characterization of changes in mutants. In this study, we confirmed several virulence proteins that are regulated by Ler and IHF and also found some interesting features for further investigation.
EHEC serotypes other than O157:H7 and EPEC are not routinely identified in most clinical microbiology laboratories. Thus, the characteristic proteins of EHEC and EPEC, as identified in their extracellular proteomes, could also be used as new diagnostic markers of these pathogens. For example, EspA, EspB, EspD, and Tir are common in EHEC EDL933 and EPEC E2348/69, while EspP and TagA are specific to EHEC EDL933 and EspC is specific to EPEC E2348/69. In addition, many other diarrhea-causing strains of E. coli cannot be easily isolated in the clinical microbiology laboratory, and a proteomic analysis of these strains may reveal biomarkers that could be used for their diagnosis.

ACKNOWLEDGMENTS
We are grateful to the National University of Singapore for
providing a research grant for this work.
We acknowledge Y. Yamada, S. Joshi, and Q. Lin for their technical assistance with running 2-DE gels and their suggestions for the proteomic work. We thank P. Tang for a critical reading of the manuscript.

FOOTNOTES
* Corresponding author. Mailing address: Department of Biological Sciences, Faculty of Science, National University of Singapore, Science Dr. 4, Singapore 117543. Phone: (65) 6874 7835. Fax: (65) 6779 2486. E-mail:
dbslky{at}nus.edu.sg.


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Applied and Environmental Microbiology, September 2004, p. 5274-5282, Vol. 70, No. 9
0099-2240/04/$08.00+0 DOI: 10.1128/AEM.70.9.5274-5282.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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