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Applied and Environmental Microbiology, December 2005, p. 8008-8015, Vol. 71, No. 12
0099-2240/05/$08.00+0 doi:10.1128/AEM.71.12.8008-8015.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
and
Ann G. Matthysse2
Department of Microbiology and Immunology, Department of Pathology, and Sealy Center for Vaccine Development, University of Texas Medical Branch, Galveston, Texas 77555-1070,1 Department of Biology, University of North Carolina, Chapel Hill, North Carolina 27599-32802
Received 28 March 2005/ Accepted 15 August 2005
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E. coli O157:H7 is a human pathogen which was first identified during two independent outbreaks of hemorrhagic colitis in 1982 (23, 36). E. coli O157:H7 colonizes the intestine and can cause a diarrheal syndrome characterized by a copious bloody discharge. In pediatric and elderly patients, the diarrhea caused by this strain can be fatal due to acute kidney failure (hemolytic-uremic syndrome) (reviewed in reference 31). Although cattle are known to be a reservoir of E. coli O157:H7 (9, 51) and contaminated undercooked beef has been most frequently implicated as a vehicle for pathogen transmission (15), the organism has also been associated with unexpected vehicles of transmission, such as alfalfa sprouts (5), radish sprouts (20), lettuce (1), and unpasteurized apple juice (10). E. coli O157:H7 contamination of fruits and vegetables is a concern in the United States, and its presence in a variety of food products suggests that this pathogen has the ability to express one or more adhesive structures which allow binding to surfaces of many different types of food.
E. coli O157:H7 expresses multiple fimbrial and nonfimbrial adhesins which have no obvious role in pathogenesis and may be involved in adhesion to other surfaces (reviewed in reference 46). For example, curli-expressing thin aggregative fimbriae, which are rarely reported in E. coli O157:H7 compared with other pathogenic E. coli strains (47, 48), have been reported to bind eukaryotic extracellular matrix proteins as well as to enhance the formation of E. coli O157:H7 biofilms on inert surfaces (11, 38). Biofilm formation may increase E. coli O157:H7 survival and would likely result in protection against many environmental conditions. Recently, Cah (calcium binding antigen 43 homologue), a surface-expressed and heat-extractable protein that causes autoaggregation and changes in bacterial shape, was characterized in E. coli O157:H7 and found to participate in the formation of biofilms (45). Finally, multiple mediators of adherence were identified during the screening of an E. coli O157:H7 transposon-insertion mutant library for hyperadherent strains (44). This analysis involved the isolation of several transposon mutant strains which displayed different levels of adhesion to eukaryotic cells and allowed the identification of OmpA (outer membrane protein A) as a novel adhesin of E. coli O157:H7.
The adhesion of E. coli O157:H7 is a complex process, and it is unlikely that this organism relies on one mechanism for attachment to different surfaces (e.g., human or cattle intestinal cells, food products, or abiotic surfaces). In its most basic form, bacterial adhesion can be divided into the following two stages: the primary or docking stage and the secondary or locking phase (16). Primary adhesion results from a serendipitous meeting between a conditioned surface and a planktonic microorganism. This stage is reversible and is dictated by a number of physiochemical variables (electrostatic and hydrophobic interactions, temperature, hydrodynamic forces, etc.) that define the interaction between the bacterial cell surface and the conditioned surface of interest. Previous work has shown that E. coli O157:H7 expresses low surface hydrophobicity (24) and that the hydrophobic components on the surface can be masked by extracellular polymeric substances, such as the capsule, influencing the ability of E. coli O157:H7 to adhere to different surfaces (19). The second stage of adhesion employs molecularly mediated binding between specific adhesins and the surface. Once bacteria have irreversibly attached to a surface, the process of biofilm maturation begins (16). Since very little is known about the role of specific surface structures or regulatory proteins during binding of E. coli O157:H7 to food products, we tested whether a collection of E. coli O157:H7 strains carrying mutations in genes encoding proteins associated with binding to tissue culture cells also participate in the association with fresh produce. Furthermore, we determined the role of different mediators of adherence in the ability of E. coli O157:H7 to bind alfalfa sprouts and seed coats and attempted to correlate differences in adherence to plant surfaces with those observed on Caco-2 intestinal cells and during the formation of biofilms on plastic in vitro.
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TABLE 1. Bacterial strains and plasmids used for this study
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Binding to alfalfa sprouts and seed coat assays.
Measurements of bacterial binding to alfalfa sprouts were carried out as previously described (21). Briefly, alfalfa sprouts were obtained by germinating seeds. In order to ensure that the alfalfa sprouts were axenic, seeds were surface sterilized by being soaked briefly in 80% ethanol followed by 20 min in a 2.6% sodium hypochlorite solution containing Tween 80 as a wetting agent. The seeds were then washed three times with sterile deionized water and germinated. After 1 day of germination, sprouts were placed in plastic dishes in groups of four with 5 ml of sterile deionized water. Bacteria were diluted and added to the germinated seeds to a final concentration of approximately 5 x 103 bacteria per ml. The inoculated sprouts were incubated at room temperature for 3 days. Sprouts and open seed coats were analyzed separately. Each was washed twice by vigorous inversions in 5 ml sterile deionized water. The sprouts or seed coats were then homogenized in 5 ml of washing buffer (26) in a Teflon glass homogenizer and plated to determine viable cell counts. The numbers given are the mean log10 values of the numbers of viable bacteria recovered from the homogenates of washed sprouts or seed coats ± standard deviations and were calculated per sprout or seed coat from a minimum of three experiments (26). The average sprout weighed about 50 mg, and the average opened seed coat weighed about 5 mg. In all cases, the number of bacteria recovered from the wash water (second wash), as measured by viable counts, was <1% of the number recovered from the sprout or seed coat. The statistical methods used are given above.
Bacterial adhesion to epithelial cells.
Caco-2 cells were seeded with 1 x 105 cells/well and incubated for 48 h at 37°C with 5% CO2 in 24-well plates (Corning, Inc., Corning, NY). The cell monolayers were washed twice with phosphate-buffered saline (pH 7.4), and the infection was carried out with wild-type bacteria and isogenic mutants as described previously (43). Briefly, bacterial strains were grown in LB broth overnight at 37°C, the monolayers were infected with 1 x 107 bacteria for 3 h, and adherence was evaluated qualitatively by Giemsa staining and quantitatively by plating adherent bacteria on L agar plates with an appropriate antibiotic. The results were performed in triplicate and repeated at least twice. P values were calculated using a paired t test.
Isolation of EHEC 86-24 mutant strains.
Mutants in csgA are described elsewhere (21). Briefly, the csgA gene was obtained by PCR and cloned into pUTgfp
Xho (28). The resulting plasmid was introduced into the E. coli O157:H7 strain by transformation, and cointegrates were selected using Apr. Transposon mutants of EHEC strain 86-24 (insertions in cadA, csgD, tdcA, lpf-2, waaI, and yidE) were generated with the kanamycin resistance-encoding transposome EZ::TN <R6K
ori/KAN-2> Tnp (Epicenter, Madison, WI), as previously described (44). Furthermore, disruption of the ompA gene was performed in the chromosomes of EHEC strains 86-24 (41) and P9C8F2 (Table 1) by the marker exchange approach known as the lambda red system, as described previously (44).
Biofilm assay.
The growth of biofilms in LB and M63 minimal glucose media was analyzed by the method optimized by Torres et al. (45). Bacterial strains were grown in polyvinyl chloride (PVC) 96-well plates (Falcon; Becton Dickinson, San Jose, CA) without shaking for 24 h in LB broth at 30°C. Next, the cells were diluted 1:100 into PVC plates containing either LB or M63 medium supplemented with 0.8% glucose. Strains were grown statically for an additional 24 h at 30°C, and the strains in M63 medium were diluted (1:100) again in fresh M63-glucose and incubated for 24 h at 30°C without shaking. The biofilms formed in LB or M63 minimal glucose medium were rinsed and stained with a solution of 1% (wt/vol) crystal violet. Biofilm assays with E. coli strains DH5
and ER2267 were performed with LB medium only because the DH5
strain displayed a growth-defective phenotype in M63 medium. To quantify the formation of biofilms, the crystal violet-stained cells were solubilized in dimethyl sulfoxide, and the samples were removed and transferred to a 96-well polystyrene plate. The optical density (570 nm) of each crystal violet-stained sample was determined using a microtiter plate reader. The values of at least six independently grown biofilms were used to calculate the average of each sample. P values were calculated by a paired t test.
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pro and ER2267 expressing either Cah (pCAH100) or curli (pRMinv). After incubation, bacteria were recovered from washed sprouts and seed coats. We found that the expression of Cah or curli enhanced binding to alfalfa, regardless of the E. coli K-12 strain used in the assay. In contrast, we were unable to recover bacteria from alfalfa inoculated with the DH5
pro or ER2267 strain alone. The Cah protein belongs to a family of autotransporters associated with adherence which includes Ag43 and AidA-I. Since AidA-I mediates bacterial attachment to a broad variety of human and other mammalian cells, participates in biofilm formation, and is only associated with some diarrheagenic E. coli strains (39), we determined whether AidA-I mediates binding to alfalfa to the same extent as Cah. We found that pIB264 (aidA+) also mediates binding to alfalfa sprouts and seed coats, but not as well as pCAH100 (cah+). The plasmid gene products encoded in plasmids pBI264 and pRMinv have previously been shown to be expressed in and to mediate the adhesion of K-12 strains to mammalian cells (4, 17). The next experiment was designed to determine the effect of a combination of plasmids expressing the different surface structures on the binding phenotype. As shown in Table 2, there were no significant differences in the total numbers of bacteria on seeds or sprouts for E. coli K-12 expressing either one or two adhesins, indicating that their expression did not have an additive effect on alfalfa binding. Since our data suggest that multiple factors influence the binding of E. coli K-12 to alfalfa, we determined whether these and other factors had an impact on the binding phenotype of E. coli O157:H7. |
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TABLE 2. Binding to sprouts and seed coats of E. coli K-12 strains alone or with plasmids containing genes associated with adhesion and biofilm formation
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TABLE 3. Binding of E. coli O157:H7 strain 86-24 and its mutants to alfalfa sprouts and seed coats
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Role of hyperadherent mutants on binding of E. coli O157:H7 to Caco-2 cells.
It was previously shown that OmpA acts as an E. coli O157 surface protein mediating binding to different human-derived tissue culture cell lines (44). However, our previous studies to identify and characterize the other mediators of hyperadherence were performed with HeLa cells, an epithelial cell line obtained from a cervix adenocarcinoma that has been used extensively in the study of adherence patterns of E. coli strains, but which does not represent the actual epithelial cells that E. coli O157:H7 encounters during human infection. Since E. coli O157:H7 is a pathogen colonizing the large intestine, we were interested in determining whether these regulators play a role in adherence to intestinal epithelial cells. Therefore, we repeated the adherence experiments using Caco-2 cells, a colorectal adenocarcinomic cell line, and used this information to compare the abilities of these isogenic E. coli O157:H7 strains to mediate binding to alfalfa and to mammalian cells (Table 4). Our results confirmed our previous assays performed with HeLa cells indicating that transposon mutants with mutations in the mediators of adherence encoded by cadA, csgD, tdcA, yidE, waaI, and lpfD2 displayed an increase in adherence compared with the wild-type strain (the increase varied from 22% to 73% depending on the mutation; P < 0.05). In contrast, a slight reduction of adherence with no statistical significance was observed with the ompA and ompA tdcA mutants (the adherence of AGT601 was reduced 13.5% and that of AGT602 was reduced 17.3% compared with that of the wild-type strain; P > 0.05). Mutations in the cah genes did not have any effect on the adherence phenotype (P > 0.05). Our results are in accordance with our previous data for HeLa cells showing that E. coli O157:H7 carrying mutations in the mediators of adherence displayed increase adherence. The slight reduction in adherence of the ompA and ompA tdcA mutants during infections of Caco-2 cells did not reflect the striking reduction in binding of the E. coli O157:H7 ompA tdcA double mutant to alfalfa, which strongly suggests that OmpA acts as an accessory adhesin during binding to human-derived tissue culture cells but that OmpA and TdcA play an important role during binding to alfalfa sprouts and seed coats. Further experimentation is required to fully understand the role of OmpA and TdcA during binding to plant surfaces.
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TABLE 4. Binding of E. coli O157:H7 strain 86-24 and its mutants to Caco-2 cells
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FIG. 1. Quantification of crystal violet staining of biofilms formed by E. coli O157:H7 strain 86-24 and its isogenic mutants in minimal glucose medium. Strain 86-24 does not form biofilms in LB broth; therefore, this result was included as a negative control. *, P < 0.05; **, P < 0.01. OD, optical density.
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TABLE 5. Biofilm formation by DH5 pro and ER2267 strains grown in LB brotha
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Attachment and biofilm formation by E. coli O157:H7 on food products and containers are a public health concern, and since E. coli O157:H7 has been shown to form biofilms on inert surfaces (37, 38, 45), our current study was intended to target adhesion to these surfaces. Thus, mutations in specific E. coli O157:H7 adhesins and/or mediators of adherence were analyzed. We removed unbound bacteria from plants, animal cells, and plastic surfaces before measuring the numbers of adherent organisms and thus would not have detected reversibly or loosely bound bacteria (see Materials and Methods). Our present results are in accordance with our previously published data indicating that bacteria which bound tightly to the surface included both those bacteria bound directly to the surface (bacterium-surface interactions) and those bacteria bound to other bacteria in a biofilm (bacterium-bacterium interactions) (21, 44).
The surfaces used in the current study are quite distinct, e.g., in their hydrophobicity, surface charge, and types of molecules expressed. The surfaces of plants are generally covered with polysaccharides and glycoproteins such as cellulose, pectins, xylans, and arabinogalactans, are hydrophilic, and have a net negative charge due to the presence of pectin and of acetyl groups on some sugars. The surfaces of animal cells, particularly of Caco-2 cells, are hydrophobic in nature, exhibiting dome formation and electrical properties similar to those of the intestinal epithelium. This cell line forms a polarized monolayer with the presence of tight junctions and regular microvilli and the presence of glycoproteins and hydrolases. Finally, the surface of the plastic used in our experiments, polyvinyl chloride, is relatively hydrophobic in character, with acid properties, and it is known to minimize bacterial adhesion. Therefore, we did not try to find a unique and overall mechanism that explains adherence to the three surfaces. Instead, we examined specific mediators of adherence of E. coli O157:H7 to establish their role during binding to alfalfa sprouts and seed coats and then showed that some of the differences in adherence correlate with those observed on Caco-2 intestinal cells and during biofilm formation on plastic.
The individual analysis of specific E. coli O157:H7 genes or gene clusters in an E. coli K-12 background showed that some of these adhesins participate in attachment, e.g., during binding to alfalfa sprouts and seed coats. Although these studies demonstrated that K-12 strains of E. coli expressing these proteins can display an increase in adherence, a decrease in attachment was not observed when a mutation in the same gene(s) was introduced into E. coli O157:H7. Our data generated with K-12 suggest that individual adhesins are sufficient to promote binding but that they may exist in E. coli O157:H7 as redundant systems allowing bacteria to compensate for the loss of one or more of these systems and to retain the ability to bind to plant and animal surfaces. The binding of K-12 strains to plant and mammalian cells was promoted by the addition of the cah, aidA1, or csg gene to the bacteria, suggesting that all of their gene products can participate in binding to both types of surfaces. While E. coli K-12 strains possess the genes for curli biosynthesis and a cah homologue gene (agn-43), it has been shown that the expression of their protein products is repressed or the genes are inactivated (6, 17, 21, 45), which renders them unable to interfere with the phenotypes observed.
Mutation in ompA and the ompA tdcA double mutant reduced the binding of O157 to plant cells, although these mutations had little effect on binding to Caco-2 cells. It is known that TdcA is a transcriptional activator of the tdcABC operon involved in the transport and metabolism of threonine and serine during anaerobic growth (18). In contrast, the nature of the genes regulated by TdcA which are required for binding (or alternatively, inhibiting binding) to plant surfaces is unknown, and characterization of the TdcA regulatory network is a current interest of our laboratory. OmpA, one of the major proteins in the outer membrane of E. coli, which forms small, nonspecific diffusion channels with a low permeability, is required for the structural integrity of the outer membrane and the generation of a normal cell shape (25). It is also involved in cell-cell interactions in laboratory strains of E. coli (2) and in the invasion of pathogenic E. coli K-1 strains associated with neonatal meningitis (33, 34). We have recently demonstrated that OmpA displays adhesive properties in E. coli O157:H7 strains and participates in bacterial binding to intestinal epithelial cells (44). The attachment of E. coli directly or indirectly triggers reactions in the bacterial cell, which cause major changes in the compositions of outer membrane proteins (32). It is feasible to speculate that the expression of OmpA is altered upon contact with different surfaces, and in addition to playing a multifunctional role in the outer membrane of E. coli O157:H7, OmpA acts as a critical adhesin for binding to plant surfaces. Another possibility is that TdcA controls the expression of other adhesins in E. coli O157:H7 but that their functions or location in the outer membrane is impaired by ompA mutation. This hypothesis is supported by previous data indicating that the C-terminal end of OmpA displays binding to peptidoglycan (13) and to the Pal protein (in the Tol-Pal system), which has a critical role in outer membrane integrity (7). Studies in progress will determine more precisely the change in OmpA expression and the specific role played by this protein during the adhesion of E. coli O157:H7 to abiotic, plant, and animal surfaces.
We also examined the functions of some of these genes during the adherence of E. coli O157:H7 to a plastic surface. Several genes appeared to inhibit binding to both plant and animal cells; these included lpfD2, waaI, cadA, and tdcA (as single mutants). Since some of these genes are not required for binding to the relatively hydrophobic plastic surface (e.g., cadA and tdcA), it is possible that they mediate interactions with putative receptors found on animal and plant surfaces which are absent from the plastic surface. In addition, a mutation in yidE which caused increased binding to Caco-2 cells did not have an effect on binding to plant or plastic surfaces. It is unclear how these genes inhibit binding so that mutants bind better than the wild type when specific surface conditions are encountered. Furthermore, we also tested the effect of the addition of the cah, aidA1, and csg genes on the ability of K-12 strains to form biofilms on plastic. Only the addition of the aidA1 gene to the ER2267 strain caused the bacteria to bind to plastic, suggesting that AidA-I can stimulate biofilm formation by this strain and that either the DH5
strain requires more than one adhesin for the formation of a biofilm or the regulatory mechanisms for the expression of AidA-I are different in the two strains.
Another isogenic strain tested carried a mutation in the csgD gene, and this strain produced a hyperadherence phenotype in Caco-2 cells, was unable to form a stable biofilm on plastic, and did not seem to have a major impact on adherence to plant cells. We have previously shown that E. coli O157:H7 produces red colonies on Congo red plates, which is indicative of curli biosynthesis. CsgD is the regulator of curli biosynthesis: curli proteins are highly aggregated extracellular fibers expressed by E. coli and Salmonella spp. (40, 49). Both genera have curli genes; however, it has been reported that single-base-pair csgD promoter mutations leave
95% of E. coli O157:H7 cells unable to express curli (47). These mutations also cause E. coli O157:H7 to display increased virulence in mice and increased invasion of HEp-2 cells (48). We previously reported that E. coli O157:H7 is not an invasive organism and that a mutation in the csgD gene does not increase the invasion ability of the mutant compared to the E. coli O157:H7 wild-type strain (43). Although it has been reported that curli production by E. coli O157:H7 enhances biofilm formation on inert surfaces, i.e., stainless steel (37, 38), our data do not support these findings. In our hands, the csgD gene product of E. coli O157:H7 may be controlling the expression of an adhesive factor required for hyperadherence to tissue culture cells and/or a factor necessary for biofilm formation because the csgD mutant strain was unable to form biofilms on PVC plastic plates. These differences could be explained if we considered that bacteria are able to "sense" the surface structures and, through a regulatory mechanism, control the expression of specific adhesins. In the case of alfalfa sprouts and seed coats, curli may play a role in the attachment of those E. coli O157:H7 strains which are able to express these fimbriae, since curli fimbriae are induced in an environment similar to that in which sprouts are grown, i.e., a low temperature and low osmolarity (3). Current studies in the laboratory and our understanding of the biology of E. coli O157:H7 will allow us to examine the specificity of binding to the different surfaces and determine the specific roles of these putative redundant systems in the pathogenesis of this organism.
In summary, we were able to perform an initial analysis of multiple gene products associated, directly or indirectly, with the binding of E. coli O157:H7 to different surfaces and to demonstrate that only the absence of the ompA and tdcA genes had a significant effect on binding, particularly during plant-bacterium interactions. Furthermore, we showed that binding to the three types of surfaces appeared to be mediated by overlapping but distinct sets of genes. The definition and characterization of genes important in the adherence of E. coli O157:H7 will provide new and deeper insight into the colonization process of this pathogen on intestinal epithelial cells, plants, and inert surfaces and build up a foundation for developing novel approaches for the control of E. coli O157:H7 and potentially other pathogenic E. coli strains.
Present address: Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, GA 30322. ![]()
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