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Applied and Environmental Microbiology, April 2008, p. 2037-2042, Vol. 74, No. 7
0099-2240/08/$08.00+0 doi:10.1128/AEM.02346-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Markerless Multiple-Gene-Deletion System for Streptococcus mutans
Anirban Banerjee and
Indranil Biswas*
Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota 57069
Received 17 October 2007/
Accepted 1 February 2008

ABSTRACT
Inactivation or selective modification is essential to elucidate
the putative function of a gene. The present study describes
an improved Cre-
loxP-based method for markerless multiple gene
deletion in
Streptococcus mutans, the principal etiological
agent of dental caries. This modified method uses two mutant
loxP sites, which after recombination creates a double-mutant
loxP site that is poorly recognized by Cre recombinase, facilitating
multiple gene deletions in a single genetic background. The
effectiveness of this modified strategy was demonstrated by
the construction of both single and double gene deletions at
the
htrA and
clpP loci on the chromosome of
Streptococcus mutans.
HtrA and ClpP play key roles in the processing and maturation
of several important proteins, including many virulence factors.
Deletion of these genes resulted in reducing the organism's
ability to withstand exposure to low pH and oxidative agents.
The method described here is simple and efficient and can be
easily implemented for multiple gene deletions with
S. mutans and other streptococci.

INTRODUCTION
The availability of ever-increasing numbers of genome sequences
from pathogenic microorganisms has greatly facilitated the genetic
dissection of the factors that determine their fitness and pathogenic
potential. Genetic analysis of many oral streptococci, including
Streptococcus mutans, which is considered the principal etiological
agent of dental caries (
29), has thus far been limited due to
a lack of advanced genetic tools. Typically, the function of
a gene is assessed by either inactivation or selective modification.
Classic strategies used to obtain gene deletions from
S. mutans include single-crossover insertion duplication mutagenesis (
45)
or allelic exchange with antibiotic cassettes via double-crossover
recombination (
22,
27). In addition, various transposon (
16,
23,
39) and random insertional mutagenesis (
25,
46,
47) strategies
are employed for obtaining gene deletions in
S. mutans. Generally,
these strategies result in the introduction of a suitable marker
into the genome, facilitating the selection of mutants. However,
when multiple gene deletions are required, the limited number
of convenient, selectable markers makes the adoption of these
strategies less feasible.
The use of the Cre-lox recombination system to remove selectable markers from the genome is an efficient way of circumventing this problem. The versatility of Cre recombinase makes it ideal for use in various gene manipulation strategies involving plants (15), Saccharomyces cerevisiae (40), mice (41, 49), human cell lines (32), and various microorganisms (12, 37, 44). The Cre recombinase of bacteriophage P1 is a 38-kDa protein that belongs to the integrase family of site-specific recombinases (42). It catalyzes cofactor-independent recombination between two of its recognition sites, known as loxP, which also originates from Escherichia coli phage P1 (1). The 34-bp consensus sequence for the loxP site consists of an asymmetrical core spacer of 8 bp, defining the orientation of the loxP site, and two 13-bp palindromic flanking sequences (19). A DNA sequence flanked by the loxP sites is excised when the loxP sites are convergently oriented, whereas the sequence is inverted when the loxP sites are divergently oriented (33). Cre recombinase is able to act on both inter- and intramolecular loxP sites, although recombination of the intramolecular lox sites is kinetically favorable (26). However, wild-type loxP sites may cause problems during multiple gene deletions. This is because the integration of multiple loxP sites into the genome can cause genomic instability, due to potential recombination between loxP sites from different cassettes.
In this study, we demonstrate the use of an improved Cre-loxP-based system for the simultaneous inactivation of multiple genes in S. mutans. HtrA and ClpP, two important serine proteases, were selected for analysis, since they are associated with the virulence of this pathogen and because of their uniquely detectable phenotypes. Using the modified Cre-loxP method, we successfully deleted htrA and clpP from S. mutans. Mutant strains lacking clpP and/or htrA exhibited a wide range of stress-sensitive phenotypes, such as reduced tolerance to low pH and to oxidative stress-inducing agents.

MATERIALS AND METHODS
Bacterial strains and growth conditions.
E. coli strain DH5

was grown in Luria-Bertani medium supplemented,
when necessary, with ampicillin (100 µg·ml
–1),
kanamycin (Km; 50 µg·ml
–1), and spectinomycin
(Sp; 100 µg·ml
–1).
S. mutans strains were
routinely grown in Todd-Hewitt medium (BBL; Becton Dickinson)
supplemented with 0.2% yeast extract (THY) and, when necessary,
Km (300 µg·ml
–1), Sp (300 µg·ml
–1),
or erythromycin (Em; 10 µg·ml
–1). The strains
used in this study are available upon request.
Construction of Cre-loxP-mediated gene replacement mutants.
Based on an analysis of the S. mutans strain UA159 genome (accession no. AE015037) (3), 1.9- and 1.7-kb DNA fragments containing htrA and clpP, respectively, were PCR amplified using the primer pairs Smu-HtrA-F1/Smu-HtrA-R1 and Smu-ClpP-F1/Smu-ClpP-R1 (Table 1). The PCR products were cloned into the pGEM-T-Easy TA cloning vector (Promega) (pIB102 and pIB143 for htrA and clpP, respectively) and were confirmed by using restriction digestion. A Km resistance cassette amplified from pUC4
Km2 (34), using two different sets of primers (loxP-Km-F/loxP-Km-R and lox71-Km-F/lox66-Km-R), was cloned into BaeI-PflMI-digested/T4 DNA polymerase-blunted htrA in pIB102, yielding pIB501, containing wild-type loxP sites (htrA::loxP-Km-loxP), and pIB506, containing mutant loxP sites (htrA::lox71-Km-lox66); both products were verified by restriction digestion. An Sp resistance cassette was amplified from pUC-Spec (20), using the primers lox71-Sp-F and lox66-Sp-R (Table 1), and inserted into the BbsI-ClaI-digested and blunt-ended clpP gene in pIB143, yielding pIB507. The plasmids pIB501, pIB506, and pIB507 were linearized with NotI and used for the transformation of S. mutans UA159 as previously described (9), with transformants selected on THY plates containing Km or Sp. For the simultaneous inactivation of htrA and clpP, S. mutans UA159 was cotransformed with NotI-linearized pIB506 and pIB507, and transformants were selected on THY plates containing Km and Sp. Deletion of the htrA (IBS501 and IBS508) and clpP (IBS509) genes by double crossover was verified by PCR using the primer pairs Smu-HtrA-F2/Smu-HtrA-R2 and Smu-ClpP-F2/Smu-ClpP-R2, respectively.
Cre-mediated mutant locus resolution.
The pCrePA plasmid (kindly provided by S. H. Leppla, NIH) contains
the
cre gene under the promoter of
Bacillus anthracis protective
antigen (
pagA) gene isolated from pAE5 (
35,
36), an Em
r gene
as a selectable marker, and a temperature-sensitive replicon
(pWV01) from pHY304 (
30,
38). To excise the
loxP/
P*-Km
r (where
P* indicates the mutant
loxP sites) resistance cassette or the
loxP*-Sp
r resistance cassette from the chromosome, IBS501, IBS508,
IBS509, and IBS510 were transformed with pCrePA. Transformants
were grown at 30°C on THY-Em plates, and selected colonies
were then grown at 30°C in THY-Em broth and plated on THY-Em
plates. Approximately 500 colonies from THY-Em plates were patched
onto THY plates containing either Km or Sp. Colonies that were
Em resistant and Km sensitive (Em
r Km
s), Em resistant and Sp
sensitive (Em
r Sp
s), or Em resistant and Km and Sp sensitive
(Em
r Km
s Sp
s) were transferred into antibiotic-free THY plates
by patching. The plates were incubated overnight at 37°C
to cure pCrePA (
30,
38), generating Em
s cells, which were selected
for further analysis. Deletions of the
htrA and
clpP genes and
the proper resolution of
loxP (both native and mutant) sites
were verified by PCR analysis and DNA sequencing.
Evaluation of stress-sensitive phenotypes.
Cultures grown overnight were washed and resuspended in 0.85% saline to an optical density at 600 nm of 5.0. The cultures were serially diluted 10-fold in 0.85% saline, and 7.5 µl of each dilution was spotted onto THY plates containing puromycin (4.0 to 6.0 µg/ml; Sigma-Aldrich) or methyl viologen (MV; 5.0 to 10.0 mM; Sigma-Aldrich). Plates were incubated at 37°C under microaerophilic conditions, and the bacterial growth was evaluated as described previously (8).
For experiments involving pH changes of the growth medium, the initial pH of the THY broth was adjusted to pH 5.5 or pH 7.0 with HCl prior to sterilization. A citrate-phosphate buffer (50 mM) with the desired pH was then added to the medium after sterilization. The buffered THY medium was inoculated with S. mutans cultures (3% [vol/vol]) grown overnight and incubated at 37°C. Growth of the various cultures was monitored as described previously (8).

RESULTS
A strategy for markerless gene deletion using the Cre-loxP system.
The genetic events involved in Cre-
loxP-based gene deletion
are presented in Fig.
1A. Although this method has been used
with many microorganisms, it has never been applied to streptococci.
Using this technique, we attempted to delete the
htrA gene in
S. mutans. The
htrA gene was first cloned into a plasmid vector
(pIB102) and then inactivated via the insertion of a Km
r cassette
flanked by wild-type
loxP sequences (
loxP-Km
r-
loxP, pIB501).
Following the transformation of pIB501 in
S. mutans, double-crossover
events were selected on the basis of Km resistance. The double-crossover
recombination frequency was found to be 2.3
x 10
–3 with
respect to the number of viable cells, and the allelic exchange
event was verified by PCR (Fig.
2). One such mutant, designated
IBS501, was transformed with pCrePA. The chromosomally integrated
loxP-Km
r-
loxP cassette was then excised by the transient expression
of Cre recombinase. After overnight growth at 30°C, approximately
13% of the colonies were Km
s, indicating the loss of the Km
r marker, which was also confirmed by PCR (Fig.
2). Longer periods
of incubation at 30°C in THY-Em increased the yield of colonies
with the successful excision of the
loxP-Km
r-
loxP cassette.
Em
r Km
s colonies were selected and grown in THY broth at 37°C.
As pCrePA has a temperature-sensitive replicon (
30,
38), the
elevation of the growth temperature to 37°C without the
selection pressure (Em) resulted in rapid curing of the plasmid.
After colonies were incubated overnight, 99.9% of the
S. mutans colonies (500 colonies tested) were cured of pCrePA, resulting
in a mutant strain containing a deletion of the
htrA gene (IBS502).
This result is similar to the gene deletion results with
B. anthracis, where a single passage at 37°C completely cured
the cells of pCrePA (
37). These results clearly demonstrate
that the Cre-
loxP system can be efficiently employed for gene
deletions in
S. mutans; the entire protocol takes less than
a week to obtain a particular mutant.
Single and multiple deletions using the Cre-loxP mutant.
As described above, the use of wild-type
loxP sites is not ideal
for multiple gene deletions due to potential Cre-mediated recombination
between two
loxP sites from different
loxP-Ab
r-
loxP cassettes.
This limitation can be circumvented by employing
loxP* sites,
as described by Araki et al. (
5). Two mutant sites,
lox71 and
lox66, were selected based on the following properties. The
loxP site is composed of an 8-bp spacer flanked by 13-bp inverted
repeats (
19). In
lox71, the left 13-bp repeat element has five
mutated bases, whereas in
lox66, the right 13-bp repeat element
has five mutated bases. Recombination between the
lox71 and
the
lox66 mutant creates the
loxP double mutant site
lox72,
which contains mutations in both of the repeats (Fig.
1B) and
therefore has a dramatically reduced affinity for Cre recombinase
(
4). To demonstrate the successful deletions of multiple genes
by using the
loxP*-Ab
r cassettes, the
htrA and
clpP loci were
selected for analysis; both of these genes were successfully
inactivated in
S. mutans, either individually or simultaneously.
The recombination frequencies were found to be 1.7
x 10
–3,
0.4
x 10
–3, and 0.2
x 10
–3 for
htrA, clpP, and the
simultaneous inactivation of both loci, respectively. In each
case, single colonies were chosen and designated IBS508, IBS509,
and IBS510, respectively (Table
2). To excise the
lox66-Ab
r-
lox71 cassette from the mutant locus, the double-crossover mutants
IBS508, IBS509, and IBS510 were transformed with pCrePA. The
excision efficiencies of the Ab
r cassettes from the
htrA, clpP,
and simultaneously knocked-out loci were 31, 14, and 11% (500
colonies were tested), respectively. As described before, pCrePA
was cured from these mutant strains after cultures were incubated
at 37°C. Single-colony isolates, designated IBS511 (
htrA),
IBS512 (
clpP), and IBS513 (
htrA
clpP), were selected. Deletion
of the target loci was verified by PCR and by DNA sequencing,
to confirm excision of the
loxP*-Ab
r cassettes (Fig.
2).
Successful generation of multiple gene deletions via Cre-
lox recombination depends on the correct resolution events in the
presence of the resident integrated
lox72 sites. Therefore,
we attempted to delete
clpP from a
htrA strain (IBS511), where
the resident
lox72 site and the newly introduced
lox66/
lox71 sites were well separated from each other; thus, the possibility
of a recombination event between
lox72 and the
lox66/
lox71 sites
was remote. However, studies with
Lactobacillus plantarum demonstrate
that when
lox66 or
lox71 sites are in close proximity to a
lox72 site, Cre-mediated recombination between
lox66 and
lox71 sites
occurs correctly in 99.4% of cases (
24). Preferred Cre-mediated
resolution between
lox66 and
lox71 sites occurs almost exclusively,
whether the sites are distant or within close proximity to a
lox72 site, underscoring the selectivity of the Cre enzyme and
the advantage of this system relative to methods that employ
native
loxP sites.
Stress-sensitive phenotype of the mutant strains.
To verify the biological effects of the mutations using the Cre-loxP* method, the phenotypes arising from the deletions of htrA and/or clpP were analyzed. The serine proteases HtrA and ClpP are involved in regulating the growth of S. mutans under various stress conditions (2, 11, 13, 28). The mutant strains were tested for their abilities to withstand superoxide stress generated by MV and thermal stress generated by puromycin (14, 48). We observed that IBS511 (
htrA) was highly sensitive to MV, while IBS512 (
clpP) was more sensitive to puromycin treatment (Fig. 3).
S. mutans rapidly adapts to an acidic environment by escalating
a strong acid tolerance response (
7,
17,
18). To determine the
role of HtrA or ClpP in the acid tolerance response, mutant
strains were grown in buffered THY broth at pHs 7.0 and 5.5.
At pH 7.0, the
clpP and
htrA
clpP mutants grew more slowly than
the wild type or the
htrA strain (Fig.
4A), but during incubation
at pH 5.5, the growth rates of the
htrA and
htrA
clpP mutants
were severely impaired (Fig.
4B). This suggests that HtrA and
ClpP are essential for the survival of
S. mutans under a variety
of stress conditions, including high temperature, oxidative
stress, and acid tolerance.

DISCUSSION
Several markerless-gene-deletion mutagenesis methods have been
developed for the construction of mutants of different bacterial
species. In streptococci, markerless in-frame deletions have
been constructed previously by using overlapping extension PCR
(
21,
27) or by employing temperature-sensitive suicide vectors,
such as pG+host (
6,
10). In both approaches, mutants have been
reported to occur at very low frequencies (1 to 2.5%). This
is attributed to the low frequency of the recombination events
that lead to excision. Moreover, there is an equal possibility
for the formation of an in-frame deletion mutation or a reversion
to the wild-type genotype (
6,
10). Because of this, counter-selection
strategies are integrated with these approaches to facilitate
the screening process. One such method, which involves a galactokinase
(
galK)-based negative selection system, resulted in a markerless
in-frame deletion of the
lacG gene from
S. mutans (
31). In this
case, 50% of the screened isolates contained the desired deletion;
however, the plasmid excision occurred at a very low frequency
(1/3,000). The main limitation of this method is the nature
of the starting strain, which should be devoid of the galactose
utilization operon; therefore, this method is very difficult
to adapt to different
S. mutans strains or to other bacteria.
Two other methods, the cotransformation strategy with a thermosensitive
plasmid (
9) and the Janus cassette allele-exchange method (
rpsL)
(
43), allow for markerless deletions and point mutations to
be constructed. However, application of the
rpsL method is limited
to
S. pneumoniae, which develops higher competency than
S. mutans.
In addition, a low rate of excision of the integrated plasmid
would hinder the adaptation of this method for markerless gene
deletion with
S. mutans (
6). With the cotransformation strategy,
the efficiency of gene deletion was found to be approximately
10% (
9), and therefore it is cumbersome to apply this method
for multiple gene deletions.
To our knowledge, this is the first report of the Cre-loxP system being used for gene deletion analysis in a streptococcal species. The Cre-loxP* system described here offers several advantages compared to the methods described above. The Cre-loxP-based method does not require any host cofactors or accessory proteins, exhibits high recombination efficiency, and is independent of the length of DNA located between the two loxP sites. The temperature-sensitive replicon in pCrePA is derived from the broad-host-range plasmid pWV01, which can replicate efficiently in streptococci and other gram-positive bacteria (30). It is a very powerful tool that can be used for functional genomics study. The efficiency of the process can be further improved if Cre is expressed from, or within, a cassette flanked by loxP* sites, conferring antibiotic resistance. Recombination between the loxP* sites in that case would lead to the removal of the antibiotic resistance marker and cre, such that the extra step of pCrePA removal could be avoided.
The efficiency of the Cre-loxP* recombination system for multiple gene deletions was demonstrated by the deletion of htrA and clpP, which encode serine proteases essential to the virulence of S. mutans. Deletion of these genes resulted in the appearance of stress-dependent phenotypes when the mutant strains were exposed to stress induced by extremes of temperature and pH, as well as oxidative stress. In conclusion, Cre-loxP* facilitates rapid genetic analysis of S. mutans in order to elucidate the molecular mechanisms of virulence in this pathogen and can be extended toward the study of other streptococci.

ACKNOWLEDGMENTS
We thank Stephen Leppla (NIH) for providing the pCrePA plasmid.
We also thank Patrick Chong for critically reading the manuscript.
This study was made possible in part by NIDCR grants DE016056 and DE016686 to I.B.

FOOTNOTES
* Corresponding author. Present address: Department of Microbiology, Molecular Genetics and Immunology, University of Kansas Medical Center, 3025 Wahl Hall West-MS 3029, 3901 Rainbow Boulevard, Kansas City, KS 66160. Phone: (913) 588-7019. Fax: (913) 588-7295. E-mail:
ibiswas{at}kumc.edu 
Published ahead of print on 8 February 2008. 

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Applied and Environmental Microbiology, April 2008, p. 2037-2042, Vol. 74, No. 7
0099-2240/08/$08.00+0 doi:10.1128/AEM.02346-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
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