# Interactions of NeuropathogenicEscherichia coli K1 (RS218) and Its Derivatives Lacking Genomic Islands with Phagocytic Acanthamoeba castellanii and Nonphagocytic Brain Endothelial Cells

Authors: Farzana Abubakar Yousuf; Zuhair Yousuf; Junaid Iqbal; Ruqaiyyah Siddiqui; Hafsa Khan; Naveed Ahmed Khan
Journal: BioMed Research International
 (2014)

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## Abstract

Here we determined the role of various genomic islands inE. coli K1 interactions with phagocytic A. castellanii and nonphagocytic brain microvascular endothelial cells. The findings revealed that the genomic islands deletion mutants of RS218 related to toxins (peptide toxin, α-hemolysin), adhesins (P fimbriae, F17-like fimbriae, nonfimbrial adhesins, Hek, and hemagglutinin), protein secretion system (T1SS for hemolysin), invasins (IbeA, CNF1), metabolism (D-serine catabolism, dihydroxyacetone, glycerol, and glyoxylate metabolism) showed reduced interactions with both A. castellanii and brain microvascular endothelial cells. Interestingly, the deletion of RS218-derived genomic island 21 containing adhesins (P fimbriae, F17-like fimbriae, nonfimbrial adhesins, Hek, and hemagglutinin), protein secretion system (T1SS for hemolysin), invasins (CNF1), metabolism (D-serine catabolism) abolished E. coli K1-mediated HBMEC cytotoxicity in a CNF1-independent manner. Therefore, the characterization of these genomic islands should reveal mechanisms of evolutionary gain for E. coli K1 pathogenicity.


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## Body

## 1. Introduction

The incidence of bacterial meningitis has increased in recent years, despite improvement in the antimicrobial chemotherapy.Escherichia coli is the second leading cause of bacterial meningitis, behind group B streptococcus (GBS), and contributes significantly to morbidity and mortality [1–5]. The pathogenesis ofE. coli meningitis involves a series of steps: (i) bacterial entry of the intestinal tract, following accumulation from the mother’s flora during delivery or from the environment, but this may also occur via the urinary tract (20% of cases), orin utero following maternal bacteraemia, (ii) bacterial colonization of the mucosa and invasion of the intravascular space, (iii) survival and multiplication in the bloodstream resulting in bacteraemia, (iv) bacterial crossing of the blood-brain barrier and invasion of the central nervous system resulting in inflammation, pleocytosis, and neuronal injury that ultimately leads to death; however, there are a few survivors with neurological sequelae [2, 6–9]. Each of the aforementioned steps is highly complex that requires specific pathogen-host interactions involving a plethora of molecules associated with different stages of meningitis development. For example,E. coli crossing of the brain microvascular endothelial cells (BMEC) that constitute the blood-brain barrier can be divided into four steps: (i)E. coli binding to the BMEC using a variety of adhesins, (ii)E. coli invading the BMEC using a variety of invasins, (iii)E. coli-containing vacuole intracellular trafficking across the cell, that is, from the apical side to the basolateral side, and (iv)E. coli exiting on the central nervous system side [7]. Evolutionarily, it is not clear howE. coli has developed such a sophisticated mechanism(s) resulting in virulence to produce human and animal infection. In this regard, amoebae have been suggested as the “training ground” during evolution of intracellular bacterial pathogens [10]. Thus, it is hypothesized that the fragility of non-spore-forming bacteria to survive hostile conditions and inability to disperse to favorable environments may have led to their evolutionary need to associate with a hardy host and/or a biological reservoir such asAcanthamoeba to remain viable intracellularly in the face of harsh conditions, whereas bacteria useAcanthamoeba to enhance their pathogenicity. In such harsh environmental conditions, it is plausible thatAcanthamoeba harbor bacteria and transmit them to the susceptible hosts. Once in the gut, amoebae may lyse resulting in bacterial colonization. Thus it is important to understand interactions of pathogenic bacteria withAcanthamoeba that may have influenced evolutionary gain ofE. coli K1 pathogenicity and their potential role in the transmission.Research over the last few decades has identified bacterial virulence determinants that are associated withE. coli K1 meningitis including fimbrial protein, FimH, outer membrane protein A (OmpA), cytotoxic necrotizing factor 1 (Cnf-1), Ibe proteins, AslA and TraJ, and the K1 capsular polysaccharide [7, 11]. TheE. coli K1 genome has been sequenced (http://www.genome.wisc.edu) and 22 genomic islands consisting of ~793 kb have been identified that are present in meningitis-causingE. coli RS218 but absent in the nonpathogenicE. coli MG1655 [12]. Thus it is reasonable to suspect the presence of several additional virulence determinants involved in neuropathogenicE. coli K1 pathogenesis. In the present study, we determined the role of various genomic islands inE. coli K1 interactions with an environmental phagocyte,Acanthamoeba castellanii, and nonphagocytic brain endothelial cells.


## 2. Methods

A clinical isolate ofA. castellanii belonging to T4 genotype, originally isolated from a keratitis patient (American Type Culture Collection, ATCC 50492) was used in the present study.A. castellanii was cultured in the PYG medium containing (0.75% (w/v) proteose peptone, 0.75% (w/v) yeast extract and 1.5% (w/v) glucose)) [13].E. coli K1 strain E44, used in the present study, is a rifampicin-resistant mutant of strain RS218 (serotype O18:K1:H7). This strain is a clinical isolate from the cerebrospinal fluid of a neonate with meningitis. A series of seventeen strains ofE. coli RS218-derived genomic islands (RDIs), using a comparative genome analysis of meningitis-causingE. coli K1 strain RS218 (O18:K1:H7), together with a plasmid-curedE. coli K1 strain RS218 were obtained from the laboratory of Kwang S. Kim (Johns Hopkins University) as previously described [12, 14, 15] (Figure 1 and Table 1). To this end, a 20 kb K-12 specific DNA (genomic deletion in K1) was inserted into K1 genome using P1 transduction. Briefly, island boundaries were identified using genetic mapping, followed by insertion of antibiotic tag in the corresponding region of either K1 strain E44 or K-12 strain MG1655 using λRed recombinase. P1 ϕ transduction from MG1655 toE. coliK1 results in the deletion of K1-specific genes, replaced with K-12 genes (Figure 1 and Table 1) as previously described [12, 14]. All bacterial strains were aerobically grown for approximately 14 h in Luria-Bertani (LB) broth at 37°C.Table 1
Summary ofE. coli K1 RS218 derived islands (RDI’s) and its genomic islands mutants tested in the present study.
E. coli K1
Identity
Function and potential virulence factor
K1 (RS218)
Isolate from a meningitis patient.
Plasmid cured RS218
Plasmid-free strain
RS218 complemented with HB101 DNA
Strain, in which genomic deletion (black hole) observed in RS218 was filled with respective DNA from HB101
RDI 1
Invasins(IcmF and IcmH).
RDI 2
Prophage genes.
RDI 4
Adhesins (S fimbriae, antigen 43). Protein secretion system (T5SS for antigen 43). Iron uptake system(Iro system and hmu system).
RDI 9
Iron uptake system(Ybt system).
RDI 10
Toxins(peptide toxin).
RDI 12
Other virulence factors (sia operon). Prophage genes.
RDI 14
Prophage genes.
RDI 15
Metabolism(sugar metabolism).
RDI 16
Protein secretion system (T2SS). Other virulence factors (K1 capsule biosynthesis).
RDI 17
Metabolism(phosphor-sugar metabolism).
RDI 18
Prophage genes.
RDI 21
Adhesins (P fimbriae, F17-like fimbriae, non-fimbrial adhesins, Hek and hemagglutinin). Protein secretion system (T1SS for hemolysin). Invasins(CNF1). Metabolism(D-serine catabolism).
RDI 22
Invasins(IbeA). Toxins(α-hemolysin). Metabolism(dihydroxyacetone, glycerol, and glyoxylate metabolism).Figure 1
Comparative genomes ofE. coliK1 andE. coliK-12. Common DNA: large circle represents the commonE. colibackbone. K1-specific elements: 22 (numbered) islands of K1-specific DNA are represented as smaller circles and a plasmid. K-12-specific elements: 20 kb K-12 specific DNA is indicated in grey (referred to as a “black hole” in K1 genome). Adopted from Xie et al. [12].Primary brain microvascular endothelial cells (BMEC) were isolated from seizure patient who had undergone cerebral cortex resection as previously described [16]. The BMECs were grown in T-75 tissue culture flasks in RPMI-1640 containing 10% heat inactivated fetal bovine serum, 10% Nu-serum, 2 mM glutamine, 1 mM Na-pyruvate, 100 U/mL penicillin, 100 μg/mL streptomycin, nonessential amino acids, and vitamins as previously described [16, 17].For cytotoxicity assays, 1× 105 BMECs per well per 0.5 mL were cultured in 24-well plates and incubated at 37°C in a 5% CO2. Under these conditions, BMECs formed complete monolayers within 48 h.E. coli K1 and its derivative mutants were grown in LB for overnight and the optical density was adjusted to 0.22 absorbance at wavelength of 595 nm (equivalent to approximately 108 colony forming units (c.f.u.) per mL) [15]. Next, 10 μL containing 106 c.f.u. were transferred to 490 μL RPMI 1640, supplemented with 10% heat-inactivated fetal bovine serum, and inoculated in each well of a 24-well plate containing BMEC monolayers. Plates were incubated at 37°C in a 5% CO2 incubator and monitored for monolayer disruptions over the period of 24 h. Next, the supernatants were collected and centrifuged at 12000 ×g for 5 min to remove cellular debris. Cytotoxic effects were determined by estimating the release of cytosolic lactate dehydrogenase release in the medium (Cytotoxicity Detection kit; Roche Applied Sciences). The percent cytotoxicity was calculated as follows: % cytotoxicity = (sample value−control value)/(total LDH release−control value) × 100. Control values were obtained by incubating BMEC monolayers with 500 μL RPMI-1640 alone and total LDH was released from BMEC by completely lysing them in 500 μL 1% Triton X-100.Assays were performed to determineE. coli K1 and its derivative mutant association withA. castellanii and human BMEC. ForA. castellanii, amoebae were maintained in the trophozoite stage in tissue culture flasks in the PYG medium. Upon confluency, the unbound amoebae were aspirated and growing trophozoites were rinsed with phosphate buffer saline (PBS) pH 7.4. Next, 5 mL of PYG medium was added to the flask and trophozoites were chilled on ice for 20 min and pelleted by centrifugation at 900 ×g for 5 min. The cell pellet was resuspended in 1 mL of PBS and the number of amoebae was counted using a haemocytometer.E. coli K1 and its derivative mutants (107 c.f.u.) were incubated withA. castellanii(106 cells) at 30°C for 1 h. Following 1 h of incubation, amoebae were centrifuged at 2000 ×g for 5 min. The supernatants were aspirated and pellet resuspended in 0.5 mL of PBS. This process was repeated 3× to remove nonadherent bacteria. The amoebae were counted using a haemocytometer and then lysed by adding SDS (0.5% final concentration) for 10 min at room temperature, which does not affectE. coli viability [18]. The lysates containing bacteria were plated on nutrient agar plates and colonies enumerated the next day [18]. The bacterial colony forming units associated withA. castellanii were calculated as follows: (number of bacterial c.f.u./number of amoebae) × 100 = bacterial association ofA. castellanii (percentage). To studyE. coliinteractions with human cells, BMECs were grown to confluent monolayers in 24-well plates. Next,E. coli K1 and its derivative mutants were incubated with human BMEC (107 c.f.u. per well in 0.5 mL) and plates were incubated at 37°C in 5% CO2 incubator. After 60 min of incubation, the monolayers were washed with PBS and BMECs were lysed by adding 500 μL of distilled water for 30 min together with gentle scraping of the well. The lysate was plated on nutrient agar and the colonies were counted the next day. The bacterial colony forming units associated with BMEC for the wild typeE. coli K1 was arbitrarily set at 100% and the results of the mutants strains are expressed as the relative change.Assays were performed to determineE. coli K1 and its derivative mutant uptake/invasion byA. castellanii and human BMEC. Briefly, amoebae were incubated withE. coli and its derivative mutants as described for association assays. After washing for 3×, the extracellular bacteria were killed by adding gentamicin (100 μg per mL in PBS for 60 min. Finally, amoebae and bacteria were enumerated as described above. The bacterial colony forming units invadingA. castellanii were calculated as follows: (number of bacterial c.f.u./number of amoebae) × 100 = bacterial invasion ofA. castellanii. For human BMEC,E. coli K1 and its derivative mutants were incubated with BMEC. After 60 min of incubation, the monolayers were washed with PBS and incubated with gentamicin (100 μg per mL in RPMI-1640) for 60 min to kill extracellular bacteria. The wells were then washed twice with RPMI-1640 and bacterial colony forming units were determined as described above.Assays were performed to determineE. coli K1 and its derivative mutant intracellular survival ofA. castellanii and human BMEC. Briefly, following invasion assays,A. castellaniiwas washed 3× with PBS and incubated in 0.5 mL of PBS for 24 h at 30°C. Finally, amoebae and bacteria were enumerated. The bacterial colony forming units surviving insideA. castellanii were calculated as follows: (number of bacterial c.f.u./number of amoebae) × 100 = bacterial survival ofA. castellanii. For human BMEC, following invasion assay, the monolayers were washed twice with RPMI-1640 and BMECs were incubated in 0.5 mL of RPMI-1640 for 4 h at 37°C in a 5% CO2 incubator. Finally, bacterial colony forming units were determined.Encystment assays were performed to evaluate the ability ofE. coli K1 and its derivative mutants to survive insideA. castellaniicysts. In brief, following invasion assays, the mixtures were transferred onto nonnutrient agar plates (prepared using 3% (w/v) purified agar). The plates were incubated at room temperature for up to 10 days. This allowed a complete encystment ofA. castellaniitrophozoites into the cyst form, as observed visually under a phase-contrast microscope. Cysts were then gently scraped off the agar surface using a cell scraper by adding 5 mL of dH2O and collected by centrifugation at 2000 ×g for 10 min and resuspended in 0.5 mL of dH2O and counted using a haemocytometer. The cysts were treated with SDS (0.5% final concentration) and the bacterial colony forming units were determined by plating on nutrient agar plates. The bacterial colony forming units surviving intracellular ofA. castellanii cysts were calculated as follows: (number of bacterial c.f.u./number of amoebae cysts) × 100 = bacterial survival ofA. castellanii cysts. Statistical significance for differences was evaluated using Student’st-test in Excel. A critical value of P<0.05 was used for all analysis using pairedt-test, one-tailed distribution. Data are presented as the mean ± standard error.


## 3. Results

Plasmids, bacteriophages, and pathogenicity islands are genomic additions that contribute to the evolution of bacterial pathogens. In addition to acquired virulence genes on a plasmid, chromosomal genes are also lost via deletions. The formation of these “black holes,” that is, deletions of genes that are detrimental to a pathogenic lifestyle, provides an evolutionary pathway that enables a pathogen to enhance virulence [14]. ForE. coli interactions withA. castellanii, the findings revealed that the deletion of RDIs 2, 9, 10, 15, and 17 resulted in significantly reduced association, while RDI 21 exhibited increased association withA. castellanii (P<0.05 using pairedt-test, one-tailed distribution) (Table 2). For invasion ofA. castellanii, plasmid cured RS218, the wild typeE. coli K1 in which black hole (region of genomic deletion in K1 but present in K-12) was filled with K-12 HB101 DNA, deletions of RDIs 2, 9, 10, 12, 15, 18, 21, and 22 caused significantly reduced invasion ofA. castellanii compared with the wild typeE. coli K1 (P<0.05) (Table 2), while the deletion of RDI 4 resulted in increased invasion. In survival assays, plasmid cured RS218, deletions of RDIs 9, 10, 18, 21, and 22 lead to significantly reduced survival ofA. castellanii compared with the wild typeE. coli K1 (P<0.05) (Table 2), whileA. castellanii remained intact and viable after survival prior to lysing with the SDS. When tested for their ability to survive transformation ofA. castellaniitrophozoite into cyst forms, the findings revealed that plasmid cured RS218, deletions of RDIs 2, 4, 9, 10, 16, 18, 21, and 22 caused significantly reduced recovery fromA. castellanii cysts compared with the wild typeE. coli K1 (P<0.05) (Table 2). In contrast, the wild typeE. coli K1 in which black hole was filled with K-12 HB101 DNA and the deletion of RDI 17 showed increased recovery fromA. castellanii cysts compared with the wild typeE. coli K1 (P<0.05) (Table 2).Table 2
RS218-derived islands (RDI’s) mutants and their interactions withAcanthamoeba castellanii. The number of E. coli K1 c.f.u. interacting with A. castellanii was considered as 100% and the results of mutants strains are expressed as the relative change.
Identity
A. castellanii
Association
Invasion
Survival
Cyst survival
K1 (RS218)
100
100
100
100
Plasmid cured RS218
130.49 ± 25
26.19 ± 2*
75.19 ± 10*
25 ± 5*
RS218 in which black hole was filled with respective DNA from HB101
143.8 ± 19
32.74 ± 7*
147.84 ± 23
227.5 ± 23*
RDI 1
111 ± 12
96.42 ± 9
132.8 ± 14
93.75 ± 16
RDI 2
68.53 ± 7*
36.90 ± 3*
132.8 ± 11
63.75 ± 8*
RDI 4
246.53 ± 31
143.44 ± 20*
108.58 ± 15
55 ± 5*
RDI 9
52 ± 3*
76.19 ± 6*
65 ± 8*
10 ± 2*
RDI 10
45.9 ± 6*
51.78 ± 5*
63.66 ± 6*
8.75 ± 3*
RDI 12
83.62 ± 10
69 ± 11*
92.18 ± 10
158.75 ± 9
RDI 14
88.92 ± 15
81.54 ± 11
97.26 ± 9
165 ± 5
RDI 15
60.19 ± 8*
73.8 ± 12*
110.34 ± 18
136.25 ± 13
RDI 16
124.7 ± 18
116 ± 11
93.35 ± 7
60 ± 9*
RDI 17
49.95 ± 6*
83.92 ± 9
108.39 ± 16
172.5 ± 12*
RDI 18
117.97 ± 16
28.57 ± 2*
25.38 ± 3*
8.12 ± 1*
RDI 21
157 ± 14*
39.28 ± 4*
70.89 ± 6*
45 ± 3*
RDI 22
109.62 ± 9
38.69 ± 6*
9.76 ± 1*
16.25 ± 3*
(i) Association was calculated as follows: (number of bacterial c.f.u./number of amoebae) × 100 = bacterial association ofA. castellanii.
(ii) Invasion was calculated as follows: (number of bacterial c.f.u./number of amoebae) × 100 = bacterial invasion ofA. castellanii.
(iii) Survival was calculated as follows: (number of bacterial c.f.u./number of amoebae) × 100 = bacterial survival ofA. castellanii.
(iv) Cyst survival was calculated as follows: (number of bacterial c.f.u./number of amoebae cysts) × 100 = bacterial survival ofA. castellanii cysts.
*indicates a significant difference (P < 0.05 using paired t-test, one-tailed distribution) when data of mutant strains were compared with the wild type E. coli K1 data.ForE. coli interactions with BMEC, the plasmid cured RS218, the wild typeE. coli K1 in which black hole was filled with K-12 HB101 DNA and deletions of RDIs 10, 12, 15, 16, 21, and 22 resulted in significantly reduced association with BMEC (P<0.05) (Table 3). For invasion of BMEC, plasmid cured RS218, the wild typeE. coli K1 in which black hole was filled with K-12 HB101 DNA and deletions of RDIs 2, 10, 17, 21, and 22 lead to significantly reduced invasion of BMEC compared with the wild typeE. coli K1 (P<0.05) (Table 2), while the deletion of RDI 18 showed increased invasion. In survival assays, plasmid cured RS218, deletions of RDIs 10, 17, 21, and 22 caused significantly reduced survival inside BMEC compared with the wild typeE. coli K1 (P<0.05) (Table 2). In contrast, the wild typeE. coli K1 in which black hole was filled with K-12 HB101 DNA and the deletion of RDI 16 showed increased recovery fromA. castellanii cysts compared with the wild typeE. coli K1 (P<0.05) (Table 2).Table 3
RS218-derived islands (RDI’s) mutants and their interactions with human brain microvascular endothelial cells (HBMEC). For associated, invasion, and survival assays, the number ofE. coli K1 c.f.u. interacting with HBMEC was considered as 100% and the results of mutant strains are expressed as the relative change. For cytotoxicity assays, E. coli K1-mediated HBMEC death was considered as 100% and the results of mutant strains are expressed as the relative change.
E. coli
HBMEC
Association
Invasion
Survival
Cytotoxicity
K1 (RS218)
100
100
100
100
Plasmid cured RS218
27.41 ± 4.5*
92.52 ± 5.6*
70.86 ± 6*
104 ± 7.8
Black hole filled with HB101 DNA
31 ± 1.6*
62.86 ± 13*
163.5 ± 28*
87 ± 10
RDI 1
89.97 ± 1.2
112.8 ± 10.6
96.56 ± 8
97 ± 13
RDI 2
98.42 ± 2.6
72.5 ± 8.7*
91.6 ± 9.1
108 ± 14
RDI 4
93.6 ± 3.52
98.37 ± 0.8
96.76 ± 1.8
124 ± 2.3
RDI 9
101.47 ± 2.6
109.6 ± 4.4
106.5 ± 3.4
110 ± 12
RDI 10
61.12 ± 1.4*
58.5 ± 6.1*
55.47 ± 6*
92.8 ± 3
RDI 12
70.7 ± 8.3*
88.3 ± 7.1
107.5 ± 11
89.9 ± 9
RDI 14
105.84 ± 4.1
133.7 ± 22
96.7 ± 11
103 ± 4
RDI 15
53.97 ± 7.5*
115.9 ± 5.5
113.6 ± 3.1
118 ± 7
RDI 16
67.78 ± 3*
111 ± 13
156.1 ± 19*
127 ± 5.4
RDI 17
104 ± 1
69.77 ± 7.4*
60.4 ± 3.4*
105 ± 2
RDI 18
107.52 ± 1.6
159.2 ± 18*
108.6 ± 8.8
88 ± 1.8
RDI 21
32.82 ± 4.6*
25 ± 3.6*
17.95 ± 3*
14.5 ± 1.1*
RDI 22
77.9 ± 8.9*
61.53 ± 8*
50.45 ± 7*
127 ± 3.4
(i) Association was calculated as follows: (number of bacterial c.f.u. recovered/original inoculum) × 100 = bacterial association of HBMEC.
(ii) Invasion was calculated as follows: (number of bacterial c.f.u. recovered/original inoculum) × 100 = bacterial invasion of HBMEC.
(iii) Survival was calculated as follows: (number of bacterial c.f.u. recovered/original inoculum) × 100 = bacterial survival of HBMEC.
(iv) Cytotoxicity was calculated as follows: (sample value − negative control value)/(total LDH release − negative control value) × 100 = HBMEC cytoxicity.
*indicates a significant difference (P < 0.05 using paired t-test, one-tailed distribution) when data of mutant strains were compared with the wild type E. coli K1 data.For BMEC cytotoxicity, all mutants tested except RDI 21 showed BMEC death at levels similar to the wild typeE. coli K1 RS218. The wild typeE. coli K1 RS218 lacking RDI 21 showed significantly reduced levels of BMEC cytotoxicity (P<0.05) (Table 3). Among other virulence factors encoded by the genomic island, previously our studies have identified cytotoxic necrotizing factor-1 (CNF-1) as an important toxin encoded by this genomic island that is required forE. coliK1 invasion of BMECin vitro and demonstrated its role in producing meningitis in newborn ratsin vivo[15]. To determine whether abrogation of cytotoxicity in RDI 21 is due tocnf1deletion, we used isogeniccnf1 mutant tested in cytotoxicity assays. The results revealed thatΔcnf1 produced BMEC death at levels similar to the wild typeE. coli K1 RS218 (Figure 2) suggesting that RDI 21 gene(s)/factors other than CNF-1 are involved inE. coli K1-mediated cytotoxicity of BMEC.Figure 2
Escherichia coli K1-mediated human brain microvascular endothelial cell cytotoxicity was abolished with the deletion of RS218-derived genomic island 21.E. coliK1 strain E44 (106 c.f.u.) was added to confluent cultures of primary human brain microvascular endothelial cells (HBMEC) grown in 24-well plates. Plates were incubated in a CO2 incubator for 24 h. At the end of the incubation, supernatants were tested for LDH release and converted to percentage cell death as described in Section 2. Data represent the mean ± standard error of three independent experiments. Note that the deletion of RS218-derived genomic island 21 (RDI 21) abolishedE. coli K1-mediated cytotoxicity.


## 4. Discussion

Acanthamoebais a Trojan horse of the microbial world. It acts as reservoir for many bacterial pathogens such asLegionella pneumophila, Pseudomonas aeruginosa, Coxiella burnetii, Vibrio cholera, and many others [19]. These bacterial pathogens survive and multiply insideAcanthamoeba under harsh environmental conditions and are transmitted to susceptible hosts. For instance, residing within amoeba has been suggested as the “training ground” during evolution of bacteria to become human pathogens [10, 20]. The evolution of one species to house inside another is a remarkable adaptation and consistent with the fundamental principle of natural selection to favour cooperation. In a landmark observation of Rowbotham [21], it was shown thatLegionella pneumophila can survive intracellular ofAcanthamoeba. The ability ofL. pneumophila to resist grazing byAcanthamoeba suggested their long coevolutionary history combined with a series of adjustments ensuring bacterial survival and that grazing resistance may have influenced evolutionary gain of bacterial pathogenicity [20, 22]. Thus it is important to study interactions of bacteria that are human pathogens with the environmentalAcanthamoeba to identify potential virulence determinants. Previous studies have shown that RDIs 12 (siaoperon; prophage genes) and 22 (invasins (IbeA); toxins (alpha-hemolysin), metabolism) are crucial inE. coli K1 RS218 association with BMEC [12]. In contrast, our findings revealed that deletion of neither RDI 12 nor 22 had any effect on the wild typeE. coli K1 association withA. castellanii keratitis isolate belonging to the T4 genotype. A likely explanation may be thatE. coli K1 association with a nonphagocytic BMEC is driven by bacterial determinants. Thus the deletion of the genomic island containing adhesins would result in reduced association as observed by Xie et al., 2006 [12]. However, phagocytic nature ofAcanthamoeba would result in bacterial uptake mediated by host amoeba, in addition to the presence of specific bacterial adhesins. Notably, when tested for their association with BMEC, both RDIs 12 and 22 showed significantly reduced levels of BMEC association which is consistent with previous findings of Xie et al. [12]. The ability ofE. coli to survive withinA. castellanii trophozoite stage as well as withstand transformation of the trophozoite form into the cyst form is a remarkable property. We believe that the genomic islands required for this process are of particular interest in our search for potentialE. coli K1 virulence determinants. It was interesting to note that strains including plasmid cured RS218, the wild typeE. coli K1 in which black hole was filled with K-12 HB101 DNA, RDIs 2 (prophage genes), 4 [adhesins (S fimbriae, antigen 43), protein secretion system (T5SS), iron uptake system], 9 (iron uptake system), 10 [toxins (peptide toxins)], 16 [protein secretion system (T2SS), K1 capsule biosynthesis], 18 (prophage genes), 21 [adhesins (P fimbriae, nonfimbrial adhesins), protein secretion system (T1SS)], and 22 [invasins (IbeA); toxins (alpha-hemolysin), metabolism] showed recovery from cysts at reduced levels compared with the wild typeE. coli K1 RS218. Our previous findings revealed that type III secretion system (within the RDI 7) andneuDB genes cluster (within the RDI 16) is important forE. coli K1 interactions withA. castellanii [23, 24]. While being consistent with previous data, RDI 16 showed reduced recovery ofE. coli K1 from cysts; however, there is a need to determine the role of RDI 7 inE. coli K1 interactions withA. castellanii as well as HBMEC and this will be addressed in future studies.For BMEC, the results revealed that the deletion of RDIs 10 [toxins (peptide toxins)], 21 [adhesins (P fimbriae, nonfimbrial adhesins), protein secretion system (T1SS)], and 22 [invasins (IbeA); toxins (alpha-hemolysin), metabolism] reduced the ability ofE. coli K1 to associate, invade, and survive BMEC. When comparing with the intracellular cyst survival assays, three RDIs, 10, 21, and 22, were important in their interactions with both BMEC as well asA. castellanii. Future studies are needed to precisely determine the role of specific virulence determinant(s) within each genomic island required forE. coli K1 interactions withA. castellanii and BMEC.Consistent with previous findings [12], it was observed that RDI 12 deletion resulted in reducedE. coli K1 association with BMEC but had no effect on its invasion of BMEC. Similarly, it was observed that RDI 22 deletion resulted in reducedE. coli K1 invasion of BMEC but had no effect on its association of BMEC. In contrast, RDI 1 deletion affected neither association nor invasion of BMEC, while Xie et al. [12] showed reduced levels of invasion. This could be due to assay conditions such as 90 min [12] versus 60 min incubations in our assays. Given that assays are performed under static conditions in the absence of any immune factors, compared with thein vivo situation and under dynamic blood flow, it is believed that 60 min incubations provide ample opportunity for bacteria to interact with the host cells. Additionally, a reduced duration of incubation will limit the effects of extracellular factors that are shed during bacterial growth (e.g., LPS), as the generation time forE. coli under laboratory conditions is 15 to 20 min. Apart from this anomaly, the findings regardingE. coli K1 interactions HBMEC observed in this study are consistent with those observed by Xie et al. [12] and further suggest the need to identify virulence determinant(s) within these genomic islands.In addition to meningitis,E. coli K1 sepsis is a serious complication with a mortality rate of >50%. It is the result of a high level of bacteremia and characterized by capillary leak, hypotension, and organ dysfunction [2]. Both lipopolysaccharide (LPS) [24] and non-LPS factors are involved in disease pathogenesis [20]. To identify potential determinants, variousE. coli RS218-derived genomic islands (RDIs) deletion mutants ofE. coli K1 were tested for their ability to produce BMEC death. The deletion of RDI 21 significantly reduced the level of BMEC death (P<0.05) suggesting the presence of putative virulence determinants in this genomic island. As CNF-1 has been identified as an important toxin encoded by this genomic island that is required forE. coliK1 meningitis [15], it was tempting to test its role in BMEC death. Notably, Δcnf1 exhibited BMEC death at levels similar to the wild typeE. coli K1 RS218 suggesting that RDI 21 gene(s)/factors other than CNF-1 are involved inE. coli K1-mediated BMEC death. This is not surprising as distinct bacterial determinants are likely required for sepsis and the blood-brain barrier crossing leading to meningitis. Findings observed in this study may lead to future discovery of potential targets for therapy against sepsis as well as to the identification of determinants required for bacterial survival in the environmental phagocyte.



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*Source: 265424-2014-04-10.xml*