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Background
Increasing bacterial resistance to antibiotics is a serious problem worldwide. We sought to record the acquisition of antibiotic-resistant Escherichia coli (E. coli) in healthy infants in Northern Thailand and investigated potential determinants.
Methods
Stool samples from 142 infants after birth, at ages 2wk, 2mo, 4 to 6mo, and 1y, and parent stool samples were screened for E. coli resistance to tetracycline, ampicillin, co-trimoxazole, and cefazoline by culture, and isolates were further investigated for multiresistance by disc diffusion method. Pulsed-field gel electrophoresis was performed to identify persistent and transmitted strains. Genetic comparison of resistant and transmitted strains was done by multilocus sequence typing (MLST) and strains were further investigated for extra- and intra-intestinal virulence factors by multiplex PCR.
Results
Forty-seven (33%) neonatal meconium samples contained resistant E. coli. Prevalence increased continuously: After 1y, resistance proportion (tetracycline 80%, ampicillin 72%, co-trimoxazole 66%, cefazoline 35%) almost matched those in parents. In 8 infants (6%), identical E. coli strains were found in at least 3 sampling time points (suggesting persistence). Transmission of resistant E. coli from parents to child was observed in only 8 families. MLST showed high diversity. We could not identify any virulence genes or factors associated with persistence, or transmission of resistant E. coli. Full-term, vaginal birth and birth in rural hospital were identified as risk factors for early childhood colonization with resistant E. coli.
Conclusion
One third of healthy Thai neonates harboured antibiotic-resistant E. coli in meconium. The proportion of resistant E. coli increased during the first year of life almost reaching the value in adults. We hypothesize that enhancement of infection control measures and cautious use of antibiotics may help to control further increase of resistance.
Study of Omp85 Family Proteins YaeT and YtfM and Multidrug Export Machineries in Escherichia coli
(2006)
In this study the Omp85 family proteins YaeT and YtfM of Escherichia coli were investigated by using biochemical and electrophysiological methods as well as bioinformatical and structural analysis. In addition, knock-out strains were constructed to further study the relevance of these proteins in vivo. The prediction that Omp85 proteins are composed of two domains, a periplasmic amino-terminal POTRA (polypeptide translocation associated) domain and a carboxy-terminal domain anchoring these proteins in the outer membrane, was confirmed by the construction of mutants. It could be shown that the carboxy-terminal part of the proteins is able to insert into the outer bacterial membrane, even if the POTRA domain is removed. Furthermore, pore-forming activity in the black-lipid bilayer was observed for both full-length proteins as well as their carboxy-terminal membrane located parts. The channels formed by both proteins in the black lipid bilayer showed variable single channel conductance states rather than a defined value for conductance. In 1M KCl, e.g. YaeT forms pores with a channel conductance of 100 to 600 pS containing a most abundant value at 400 pS. This variability is at least reasonable for YaeT due to a prerequisite flexibility of its channel for OMP insertion. YaeT was identified to form a cation selective, YtfM an anion selective channel, which is less pH dependent than YaeT. Another feature of the YaeT channel is that its selectivity and conductance is influenced by charged detergent molecules indicating an accumulation of these molecules in hydrophobic pockets inside the compact channel. YaeT revealed heat-modifiable mobility in SDS-PAGE which is characteristic for β-barrel OMPs, whereas YtfM did not show this behaviour. This result could be explained by sequence alignment and structural comparison of YaeT and YtfM via CD and FTIR spectra displaying much higher β-strand content for the carboxy-terminal part of YaeT compared to YtfM. Since the carboxy-terminal parts were shown to have pore forming ability and are inserted in the OM in vivo, the substitution of the essential protein YaeT by its carboxy-terminal mutant was attempted in a yaeT knock-out strain. The carboxy-terminal half of YaeT was not sufficient to compensate depletion of the full-length protein indicating an important role of the amino-terminus for cell viability. In contrary, YtfM is shown to be a non-essential protein and lack of YtfM had no effects on the composition and integrity of the OM. However, chromosomal deletion of ytfM remarkably reduced the growth rate of cells. This study provides the first detailed investigation of the structure of YaeT and describes its electrophysiological behaviour, which could be a basis for further studies of YaeT and its substrate proteins. Furthermore, YtfM was characterised and its in vivo function was investigated revealing YtfM as the second Omp85 family protein of importance in E. coli. In a second part of this study assembly and function of multidrug efflux pumps were investigated. Drug efflux pumps are tripartite export machineries in the cell envelope of Gram-negative bacteria conferring multidrug resistance and therefore causing severe problems for medical treatment of diseases. Protein structures of all three efflux pump components are solved, but the exact interaction sites are still unknown. Assembly of a hybrid exporter system composed of the Pseudomonas aeruginosa channel tunnel OprM, the E. coli adaptor protein AcrA and its associated transporter AcrB could be shown by chemical cross-linking, even though this efflux pump is not functional. Exchange of the hairpin domain of AcrA by the corresponding hairpin from the adaptor protein MexA of P. aeruginosa restored functionality tested by antibiotic sensitivity assays. This shows the importance of the MexA hairpin domain for functional interaction with the OprM channel tunnel. Interestingly, the hybrid protein was also able to assemble with TolC as outer membrane component to form a functional efflux pump indicating a higher flexibility of TolC compared to OprM concerning interaction partners. Based on these results, an interaction model of the hairpin domain and the channel tunnel on molecular level for AcrA and TolC as well as MexA and OprM, respectively, is presented. This model provides a basis for directed mutagenesis to reveal the exact contact sites of the hairpin of the adapter protein and the outer membrane component
In this study, the role of histone-like proteins in gene regulation in uropathogenic Escherichia coli isolate 536 was monitored. The histone-like nucleoid structuring protein H-NS is a global regulator in Escherichia coli that has been intensively studied in non-pathogenic strains. No comprehensive study on the role of H-NS and it’s homolog StpA on gene expression in a pathogenic E. coli strain has been carried out so far. Moreover, we identified a third, so far uncharacterized member of the H-NS-like protein family in uropathogenic E. coli isolate 536, which was designated Hlp (H-NS-like protein). Hlp is a 134-amino acid protein, which shares 58 % sequence identity with H-NS. The gene coding for the Hlp protein, hlp, is found in several uropathogenic E. coli variants, but not in non-pathogenic E. coli K-12. In UPEC strains 536 and CFT073, Hlp is encoded on a possibly horizontally acquired 23-kb genomic region inserted into the serU locus. Studies on hlp transcription revealed, that the gene is transcribed monocistronically from a single promoter and that expression is repressed by H-NS. Purified Hlp protein was binding to its own and to the hns promoter, thereby mediating negative auto- and crossregulation. Furthermore, Hlp and H-NS were directly interacting, resulting in the formation of stable heteromers. Complementation studies with hns mutant strains in a K-12 background revealed that the Hlp protein had in vivo activity, being able to complement the lack of H-NS in terms of motility, growth, and repression of the proU, bgl, and clyA genes. When analyzing the role of the histone-like proteins in expression of virulence-associated genes by using DNA arrays and classical phenotypic assays, most of the observed effects were mediated by the H-NS protein alone. Expression profiling revealed that transcript level of more than 500 genes was affected by an hns mutation, resulting in increased expression of alpha-hemolysin, fimbriae and iron-uptake systems, as well as genes involved in stress adaptation. Furthermore, several other putative virulence factors were found to be part of the H-NS regulon. On the other hand, no effect of StpA alone was observed. An hns stpA double mutant, however, exhibited a distinct gene expression pattern that differed in great parts from that of the hns single mutant. This suggests a direct interaction between the two homologs and the existence of distinct regulons of H-NS and an H-NS/StpA heteromeric complex. Although the H-NS protein has – either as homomer or in complex with StpA – a marked impact on gene expression in pathogenic E. coli strains, its effect on urovirulence is ambiguous. At a high infection dose, hns mutants accelerate lethality in murine UTI and sepsis models relative to the wild type, probably due to increased production of alpha-hemolysin. At lower infectious dose, however, mutants lacking H-NS are attenuated through their impaired growth rate, which can only partially be compensated by the higher expression of numerous virulence factors. As seen with StpA, an hlp single mutant did not exhibit a notable phenotype under standard growth conditions. A severe growth defect of hns hlp double mutants at low temperatures, however, suggests a biological relevance of H-NS/Hlp heteromers under certain circumstances. Furthermore, these mutants expressed more capsular polysaccharide and curli fimbriae, thereby indicating a distinct role of H-NS and Hlp in regulation of these surface structures. The H-NS paralogs Hlp and StpA also modulated H-NS-mediated regulation of fimbrial adhesins, and are oppositely required for normal growth at low or high temperatures, respectively. Finally, expression levels of the three histone-like proteins H-NS, StpA and Hlp itself varied with different temperatures, thereby suggesting a flexible composition of the nucleoid-associated protein pool. Hence, we propose that the biological role of Hlp and StpA does not rely on a distinct function of the single protein, but rather on their interaction with the global regulator H-NS.
The establishment of genomic approaches including the sequence determination of complete bacterial genomes started a new era in microbiological research. Since then more than two hundred prokaryotic and eukaryotic genomes have been completely sequenced, and there are additional complete genome projects including different bacterial species and strains in progress (http://www.tigr.org, http://www.sanger.ac.uk). The continously growing amount of bacterial DNA sequence information gives us also the possibility to gain deeper insight into bacterial pathogenesis. With the help of comparative genomics, microbiological research can focus on those DNA sequences that are present in pathogenic bacteria but are absent in non-pathogenic strains. With this knowledge and with the help of molecular biological methods such as PCR,DNA-chip technology, subtractive hybridisation, transcriptomics and proteomics we can analyse in detail what makes a particular bacterial strain pathogenic. This knowledge also gives us the possibility to develop new vaccines, therapeutic approaches or diagnostic tools. The aim of this work was the structural and functional analysis of DNA regions of uropathogenic Escherichia coli strain 536 that belong to the flexible E. coli gene pool. The first part of this thesis focused on the identification and structural characterisation of pathogenicity island V of strain 536 (PAI V536). PAI V536 is integrated at the pheV tRNA gene at 64 minutes of the E. coli K-12 chromosome. In addition to the intact pheV tRNA gene, a truncated copy ('pheV) that represents the last 22 bp of this gene’s 3'-end was identified 49 kb downstream of pheV on PAI V536. The analysis of the DNA sequence flanked by pheV and 'pheV revealed characteristics that are typical of PAIs. This DNA region exhibits homology to IS-elements and prophages and also comprises determinants coding for the Pix fimbriae, a phosphoglycerate transport system, an autotransporter, as well as for hypothetical proteins. Downstream of 'pheV, the K15 capsule determinant (kpsK15) of this strain is located. Structural analysis of the 20-kb kpsK15 locus revealed a so far unknown genetic organisation indicative of recombination events between a group 2 and group 3 capsule gene cluster. Downstream of the capsule determinant, the genes encoding a type II secretion system (general secretion pathway -GSP) are located on PAI V536. The K15 capsule locus was functionally characterized. Specific inactivation of each of the regions 1 to 3 of the kpsK15 gene cluster, and the use of a K15 capsule-specific antiserum demonstrated that this determinant is the functional K15 capsule locus of strain 536. It has been shown in an experimental murine model of ascending urinary tract infection with suckling mice that the K15 capsule contributes to urovirulence. Interestingly, the K15 capsule is not involved in serum resistance of strain 536. Inactivation of the PAI V536-encoded type II secretion system excluded a role of this general secretion pathway for capsule biosynthesis and virulence of strain 536 in the murine ascending urinary tract infection model. In the second part of the thesis, the transferability of PAIs was further investigated. Using PAI II536 as a model, mobilisation of this island from strain 536 into suitable recipient strains was investigated. For this purpose, an antibiotic resistance cassette, the R6K origin of replication as well as plasmid pGP704 carrying the mobilisation region of plasmid RP4 have been inserted into PAI II536. Transformation with the helper plasmid RP4, resulted a derivative of strain 536 that was used as a donor for conjugation experiments, while for recipient the pir + laboratory strain SY327 was used. After deletion the circularised PAI II536 was mobilised with the help of the conjugative helper plasmid (RP4) into the recipient laboratory strain SY327. The frequency of this event was about 10-8. It was also demonstrated that in the transconjugant strains the mobilized PAI II536 could be permanently present as a circular form and also can be integrated into the chromosome at the same chromosomal insertion site (leuX) as in the donor strain 536. Furthermore, after mobilisation and chromosomal integration of PAI II536 it was possible to remobilise this PAI back to a PAI II536-negative derivative of strain 536. The results obtained in this thesis increase our knowledge of the structure and function of a pathogenicity island of uropathogenic E. coli strain 536 and shed some light on the mechanisms contributing to genome plasticity and evolution of pathogenic E. coli variants.
Two lineages of Salmonella enterica serovar Typhimurium (S. Typhimurium) of multi-locus sequence type ST313 have been linked with the emergence of invasive Salmonella disease across sub-Saharan Africa. The expansion of these lineages has a temporal association with the HIV pandemic and antibiotic usage. We analysed the whole genome sequence of 129 ST313 isolates representative of the two lineages and found evidence of lineage-specific genome degradation, with some similarities to that observed in S. Typhi. Individual ST313 S. Typhimurium isolates exhibit a distinct metabolic signature and modified enteropathogenesis in both a murine and cattle model of colitis, compared to S. Typhimurium outside of the ST313 lineages. These data define phenotypes that distinguish ST313 isolates from other S. Typhimurium and may represent adaptation to a distinct pathogenesis and lifestyle linked to an-immuno-compromised human population.
Like all other Salmonella typhimurium strains examined, the smooth variants SF1397 (L T2) and 1366 and also their semi-rough and rough derivatives are non-haemolytic. Nevertheless, two haemolysin (Hly) plasmids of E. coli belonging to the inc groups incFllI,lv (pSU316) and incIz (pHly152) were able to be introduced into these strains by conjugation and stably maintained. A considerable percentage of the Hly+ transconjugants obtained had lost parts of their O-side chains, a result of selection for the better recipient capability of « semi-rough» variants rather than the direct influence of the Hly+ plasmids themselves. In contrast to the incF1lI1V plasmid pSU316, which exhibited higher conjugation rates with rough recipients, the incIz plasmid pHly152 was accepted best by smooth strains. Transformation with cloned E. coli haemolysin (hly) determinant was inefficient ( <10-8) for smooth strains, but 102-103 times higher for rough recipients, and was increased by the use of Salmonella-modified DNA. The transform ants and transconjugants were relatively stable and showed the same haemolytic activity as the E. coli donor strains. The virulence of the Hly+ smooth, semi-rough and rough S. typhimurium strains was tested in two mouse models, and neither the mortality rate nor the ability to multiply within the mouse spleen was influenced by the hly determinants.
Role of alpha-Hemolysin for the in vitro Phagocytosis and intracellular killing of Escherichia coli
(1989)
The_role of a-hemolysin for the elimination of Eschericbia coli by phagocyres in vitro was investigated using sets of isogenic strains which included wild-type a -hemolyric srrains, derived strains with a reduced production of a-hemolysin and derived nonhemolytic strains. Phagocyrosis and intracellular killing of the bacteria by human blood granulocytes or monocytes were measured using growth inhibition rechniques. a-hemolytic strains were phagocytosed and killed ro a Jesser extent than isogenic strains with a reduced production of o:hemoJysin and isogenic nonhemolytic strains. The results obrained with granulocyres were similar to rhose obtained with monocyres although the elimination of bacteria by monocytes was less than that by granulocytes. These resulcs strongJy suggest that production of ahemolysin is a means by which E. coli counteracrs the activity of phagocytes by injuring these cells with the toxin.
Escherichia coli 0139: K82: H1 strains originating from outbreaks and single cases of oedema disease in pigs were characterized by their genomic restriction fragment length polymorphism (RFLP), their virulence pattern, and by the occurrence as well as the genomic distribution of the determinants for hemolysin (hly) and verotoxins (shiga-like toxins; sltI, sltII). Whereas the RFLPs revealed considerable variation among the E. coli 0139: K82: H1 isolates depending the origin and epidemic source of the strains, the virulence gene slt II was found to be present in nearly all strains in a particular chromosomal region. Similar to RFLPs, the plasmid profiles are useful for epidemiological analysis.
S fimbriae are able to recognize receptor molecules containing sialic acid and are produced by pathogenic E. coli strains causing urinary tract infection and menigitis. In order to characterize the corresponding genetic determinant, termed S fimbrial adhesin ( sfa) gene duster, we have cloned the S-specific genes from a urinary pathogen and from a meningitis isolate. Nine genes are involved in the production of S fimbriae, two of these, sfaB and sfaC code for regulatory proteins being necessary for the expression of S fimbriae. Two promoters, PB and Pc, are located in front of these genes. Transcription of the sfa determinant is influenced by activation of the promotersvia SfaB and SfaC, the action of the H-NS protein and an RNaseE-specific mRNA processing. In addition, a third promoter, P A• located in front of the major subunit gene sfaA, can be activated under special circumstances. Four genes of the sfa determinant code for the subunit-specific proteins, SfaA (16 kda), SfaG (17 kda), SfaS (14 kda) and SfaH (29 kda). It was demonstrated that the protein SfaA is the major subunit protein while SfaS is identical to the sialic-acid-specific adhesin of S fimbriae. The introduction of specific mutations into sfaS revealed that a region of six amino acids of the adhesin which includes two lysine and one arginine residues is involved in the receptor specific interaction of S fimbriae. Additionally, it has been shown that SfaS is necessary for the induction of fimbriation while SfaH plays a role in the stringency of binding of S fimbriae to erythrocytes.
Cysteines play important roles in the biochemistry of many proteins. The high reactivity, redox properties, and ability of the free thiol group to coordinate metal ions designate cysteines as the amino acids of choice to form key catalytic components of many enzymes. Also, cysteines readily react with reactive oxygen and nitrogen species to form reversible oxidative thiol modifications. Over the last few years, an increasing number of proteins have been identified that use redox-mediated thiol modifications to modulate their function, activity, or localization. These redox-regulated proteins are central players in numerous important cellular processes. First aim of this study was to discover nitric oxide (NO) sensitive proteins in E. coli, whose redox-mediated functional changes might explain the physiological alterations observed in E. coli cells suffering from NO-stress. To identify E. coli proteins that undergo reversible thiol modifications upon NO-treatment in vivo, I applied a differential thiol trapping technique combined with two-dimensional gel analysis. 10 proteins were found to contain thiol groups sensitive to NO-treatment. Subsequent genetic studies revealed that the oxidative modifications of AceF & IlvC are, in part, responsible for the observed NO-induced growth inhibition. Noteworthy, the majority of identified protein targets turned out to be specifically sensitive towards reactive nitrogen species. This oxidant specificity was tested on one NO-sensitive protein, the small subunit of glutamate synthase. In vivo and in vitro activity studies demonstrated that glutamate synthase rapidly inactivates upon nitric oxide treatment but is resistant towards other oxidative stressors. These results imply that reactive oxygen and nitrogen species affect distinct physiological processes in bacteria. The second aim of my study was to identify redox-sensitive proteins in S. cerevisiae and to use their redox state as in vivo read-out to assess the role of oxidative stress during the eukaryotic aging process. I first determined the precise in vivo thiol status of almost 300 yeast proteins located in the cytosol and sub-cellular compartments of yeast cells using a highly quantitative mass spectrometry based thiol trapping technique, called OxICAT. The identified proteins can be clustered in four groups: 1) proteins, whose cysteine residues are oxidation resistant; 2) proteins with structurally or functionally important cysteine modifications 3) proteins with highly oxidation-sensitive active site cysteines, which are partially oxidized in exponentially growing yeast cells due to their exquisite sensitivity towards low amounts of ROS; 4) proteins that are reduced in exponentially growing cells but harbor redox-sensitive cysteine(s) that affect the catalytic function of the protein during oxidative stress. These oxidative stress sensitive proteins were identified by exposure of yeast cells to sublethal concentrations of H2O2 or superoxide. It was shown that the major targets of peroxide- and superoxide-mediated stress in the cell are proteins involved in translation, glycolysis, TCA cycle and amino acid biosynthesis. These targets indicate that cells rapidly redirect the metabolic flux and energy towards the pentose phosphate pathway in an attempt to ensure the production of the reducing equivalent NADPH to counterattack oxidative stress. These results reveal that the quantitative assessment of a protein’s oxidation state is a valuable tool to identify catalytically active and redox-sensitive cysteine residues. The OxICAT technology was then used to precisely determine extent and onset of oxidative stress in chronologically aging S. cerevisiae cells by utilizing the redox status of proteins as physiological read-out. I found that chronological aging yeast cells undergo a global collapse of the cellular redox homeostasis, which precedes cell death. The onset of this collapse appears to correlate with the yeast life span, as caloric restriction increases the life span and delays the redox collapse. These results suggest that maintenance of the redox balance might contribute to the life expanding benefits of regulating the caloric intake of yeast. Clustering analysis of all oxidatively modified proteins in chronological aging yeast revealed a subset of proteins whose oxidative thiol modifications significantly precede the general redox collapse. Oxidation of these early target proteins, which most likely results in a loss of their activity, might contribute to or even cause the observed loss of redox homeostasis (i.e., thioredoxin reductase) in chronologically aging yeast. These studies in aging yeast expand our understanding how changes in redox homeostasis affect the life span of yeast cells and confirm the importance of oxidative thiol modifications as key posttranslational modifications in pro- and eukaryotic organisms.