25 Mar 2015: The PLOS Pathogens Staff (2015) Correction: SslE Elicits Functional Antibodies That Impair In Vitro Mucinase Activity and In Vivo Colonization by Both Intestinal and Extraintestinal Escherichia coli Strains. PLOS Pathogens 11(3): e1004773. https://doi.org/10.1371/journal.ppat.1004773 View correction
SslE, the Secreted and surface-associated lipoprotein from Escherichia coli, has recently been associated to the M60-like extracellular zinc-metalloprotease sub-family which is implicated in glycan recognition and processing. SslE can be divided into two main variants and we recently proposed it as a potential vaccine candidate. By applying a number of in vitro bioassays and comparing wild type, knockout mutant and complemented strains, we have now demonstrated that SslE specifically contributes to degradation of mucin substrates, typically present in the intestine and bladder. Mutation of the zinc metallopeptidase motif of SslE dramatically impaired E. coli mucinase activity, confirming the specificity of the phenotype observed. Moreover, antibodies raised against variant I SslE, cloned from strain IHE3034 (SslEIHE3034), are able to inhibit translocation of E. coli strains expressing different variants through a mucin-based matrix, suggesting that SslE induces cross-reactive functional antibodies that affect the metallopeptidase activity. To test this hypothesis, we used well-established animal models and demonstrated that immunization with SslEIHE3034 significantly reduced gut, kidney and spleen colonization by strains producing variant II SslE and belonging to different pathotypes. Taken together, these data strongly support the importance of SslE in E. coli colonization of mucosal surfaces and reinforce the use of this antigen as a component of a broadly protective vaccine against pathogenic E. coli species.
Escherichia coli are the predominant facultative anaerobe of the human colonic flora. Although intestinal and extraintestinal pathogenic E. coli are phylogenetically and epidemiologically distinct, we recently proposed a number of protective antigens conserved in most E. coli pathotypes. In this study, we have elucidated the function of the most promising of these antigens, SslE, which is characterized by the presence of a M60-like domain representative of a new extracellular zinc-metalloprotease sub-family. In particular, in vitro analysis of the ability of an sslE knockout mutant strain to transverse an agar-based mucin matrix revealed that SslE is essential to E. coli mucinase activity. Evidence showing that SslE induces functional antibodies, preventing both in vitro mucin degradation but also in vivo gut, kidney and spleen colonization, further support the hypothesis that SslE may facilitate E. coli colonization by favoring the penetration of the sterile inner mucus layer leading to interaction with host cells. Finally, the ability of SslE to also induce protective immunity against sepsis, linked to its presence among different pathotypes, supports the use of such an antigen as a broadly protective E. coli vaccine candidate.
Citation: Nesta B, Valeri M, Spagnuolo A, Rosini R, Mora M, Donato P, et al. (2014) SslE Elicits Functional Antibodies That Impair In Vitro Mucinase Activity and In Vivo Colonization by Both Intestinal and Extraintestinal Escherichia coli Strains. PLoS Pathog10(5): e1004124. https://doi.org/10.1371/journal.ppat.1004124
Editor: Vanessa Sperandio, University of Texas Southwestern Medical Center, United States of America
Received: September 19, 2013; Accepted: March 31, 2014; Published: May 8, 2014
Copyright: © 2014 Nesta et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This work was mainly supported by internal funding from Novartis Vaccines and Diagnostics. However, it was also partly supported by funding under both the grant PON01_00117 from the Italian “Ministero dell'Istruzione, dell'Università e della Ricerca” and the EMIDA ERA-NET “Coordination of European Research on Emerging and Major Infectious Diseases of Livestock” (financed by the European Commission's Seventh Framework Programme, project no. 219235) as part of the project “Combatting colibacillosis-a genomics-based approach.” This work was supported in part by Public Health Service grant NIH. R01 AI43363 from the National Institutes of Health. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: BN, MV, AS, RR, MM, PD, MDV, SB, AP, IB, LB, GT, MF, VR, GB, MRF, MP, LS and MS are employed by Novartis Vaccines s.r.l. (Siena, Italy). This does not alter our adherence to all PLOS Pathogens policies on sharing data and materials.
Pathogenic E. coli can be broadly classified as either extraintestinal pathogenic E. coli (ExPEC), the main cause of urinary tract infection (UTI), newborn meningitis and sepsis, or as intestinal pathogenic E. coli (InPEC) causing diarrhoeagenic infections. Among the intestinal pathogens there are at least six well-described groups: enteropathogenic E. coli (EPEC), enterohaemorrhagic E. coli (EHEC), enterotoxigenic E. coli (ETEC), enteroaggregative E. coli (EAEC), enteroinvasive E. coli (EIEC) and diffusely adherent E. coli (DAEC) . The plasticity of the E. coli genomes, due to the ability to gain or lose virulence attributes by horizontal gene transfer, allows these organisms to colonize different sites. Indeed, E. coli possesses an array of virulence factors which include various adhesins, capsule, iron-transporters, toxins and proteases (reviewed in ). However, recent studies have suggested that the pathogenesis of E. coli is considerably more complex than previously appreciated involving additional virulence factors , . The absence of a broadly protective vaccine against pathogenic E. coli is a major problem for modern society since diseases caused by these bacteria are associated with significant human suffering and high healthcare costs. The overall problem is exacerbated by the rising rates of multi-drug resistant strains and by the emergence of new sequence types and hypervirulent strains –. We have recently proposed ECOK1_3385 as a promising vaccine candidate able to confer protection in a murine model of sepsis , . This protein, described as SslE (for secreted and surface-associated lipoprotein from E. coli) and formerly known as YghJ , , appears to be required for biofilm formation and for virulence of EPEC strains , although more recent evidence indicates that SslE has no effect on adherence and biofilm formation in atypical EPEC strains . Thus, the function of SslE remains to be fully elucidated. However, it is known that SslE is secreted through a type II secretion system (T2SS), an exporting apparatus typically used by Gram-negative bacteria to secrete virulence determinants . Two T2SSs exist in E. coli, designated as alpha (T2SSα) and beta (T2SSβ) . The T2SSβ operon is composed of three genes (yghJ, pppA, and yghG) upstream of gspCβ. The first gene, yghJ, encodes for the SslE protein. A functional T2SSβ secreting a cognate SslE protein was recently studied in the non-pathogenic E. coli W strain . Recently, it was reported that SslE belongs to a new sub-family of extracellular zinc-metallopeptidases, characterized by a M60-like zinc-metalloprotease domain HEXXHX(8,24)E , that is distantly related to known viral enhancin zinc-metallopeptidases. The baculovirus enhancin protein Vef is able to digest intestinal mucins, facilitating the attachment and entry of the virus into epithelial cells .
Using biochemical and functional assays, we demonstrated that SslE is involved in E. coli degradation of mucin substrates. In addition, antibodies raised against SslE variant I from ExPEC strain IHE3034 were able to inhibit translocation of different E. coli pathotypes through a mucin-based matrix, suggesting a possible mechanism for in vivo protection. This hypothesis was corroborated by the fact that in mouse models of intestinal and urinary tract colonization, SslE variant I induced protective immunity also against E. coli strains expressing variant II. The widespread distribution and conservation of SslE, together with the ability to elicit functional antibodies, assessed both in vitro and in vivo, strongly support the potential of the SslE antigen to provide coverage against both intestinal and extraintestinal pathogenic E. coli strains.
SslE localizes on E. coli surface at distinct foci
It has been recently reported that although SslE is secreted by a T2SS, it is also found on the bacterial cell surface , . Confocal analysis of Z-stack images of an ExPEC strain IHE3034 stained for SslE and deconvoluted using Volocity Software, revealed that the antigen is translocated on the bacterial surface at specific foci (Fig. 1A). Of interest, we observed that only a small proportion of bacteria (3% of total number) expressed the antigen on the surface (Fig. 1A). We determined that this phenotype is attributable to the polysialic acid capsule (K1 antigen) that it responsible for masking SslE on the bacterial surface (Fig. S1). The sslE deletion mutant strain (IHE3034ΔsslE) did not show any surface labeling (Fig. 1B), confirming the specificity of the signal. Complementation of the mutant strain with a pET24b+ plasmid carrying the sslE gene (including the promoter region) restored antigen surface localization (Fig. 1C). To exclude the possibility that the SslE signal at the bacterial surface could be partially attributed to the re-association of the secreted form of the protein to the membrane, we co-cultured the IHE3034 wild-type (WT) strain with the IHE3034ΔsslE strain engineered to express the GFP fluorescent protein. Staining of bacteria using SslE antibodies conjugated to FITC, revealed that the antigen was exclusively detected on the surface of the WT strain and not on the fluorescent bacteria, indicating that no SslE re-association occurred (data not shown).
Confocal images of (A) IHE3034 wild-type, (B) IHE3034ΔsslE knockout mutant and (C) IHE3034ΔsslE::sslE_WT complemented strain. SslE was detected using specific anti- SslE antibodies raised in rabbits and visualized using a fluorescent secondary antibody (green). Antibodies to whole-IHE3034 bacteria and a fluorescent secondary antibody (red) and DAPI (blue) were used to visualize bacteria and chromosomal DNA, respectively. White arrows indicate bacteria negative for SslE staining. Bars, 1 µm.
SslE is involved in in vitro mucin degradation by IHE3034 strain
As recently reported by Nakjang and collaborators , HEXXHX(8,24)E is the full putative metalloprotease core motif of SslE (residues: 1304–1322; SslE accession number: YP_006102500), exclusively present in a recently characterized zinc metallopeptidase sub-family possessing mucinase activity . The pattern “HEXXHX(8,24)E” consists of a conserved glutamate residue localized 8 to 24 amino acids from the “HEXXH” motif. To investigate the putative mucinolytic activity of SslE, we have applied a number of in vitro assays previously reported to specifically detect mucinase activity in bacteria –. The first approach is based on the use of bacteria grown on agar plates containing 0.5% bovine submaxillary mucin followed by amido black-staining , . Plates containing the IHE3034 WT strain incubated for 24 h revealed clear zones of mucin lysis (Fig. 2A). However, no cleared areas were detected when the IHE3034ΔsslE knockout (KO) strain was added to the plates, indicating the specific contribution of SslE to the mucinase activity. Incubation of mucin-based plates with the complemented strain IHE3034ΔsslE::sslE_WT carrying the WT sslE gene fully restored the wild-type phenotype as assessed by the lack of amido black staining. To investigate the role of the M60-like core motif in mucin lysis, we transformed the IHE3034ΔsslE strain with the pET24b+ plasmid carrying a triple mutation in the putative metallopeptidase motif of SslE (YVVGY vs. HEVGH). In particular, we introduced hydrophobic elements in the HEXXH motif (Y and V), which by reducing the charge of the enzymatic task are likely to impair the mucinase activity. Testing of this mutant by the amido black assay revealed a phenotype comparable to the sslE KO strain (Fig. 2A). These data were further confirmed by the In Vivo Imaging System (IVIS-Perkin Elmer) technology which allowed the visualization of bacterial migration through the agar-mucin matrix at different time points, using IHE3034 strains engineered for constitutive expression of a luciferase operon (plux)  (Fig. 2B). Briefly, a mid-log bacterial culture of the bioluminescent strains was loaded in a well created at the center of a mucin-agar plate and bacterial distribution was detected after 24 h of incubation. IHE3034(plux) and IHE3034(plux)ΔsslE::sslE_WT strains, but not IHE3034(plux)ΔsslE and IHE3034(plux)ΔsslE::sslE_mut, were able to spread beyond the site of the initial inoculum (Fig. 2B), confirming that SslE-dependent mucin degradation enables diffusion of E. coli through the agar.
(A) Mucin lysis (clear plates) was assessed by amido black staining. IHE3034 wild-type, IHE3034ΔsslE knockout mutant, IHE3034ΔsslE::sslE_WT (complemented with the sslE wild-type gene), and IHE3034ΔsslE::sslE_mut (complemented with the sslE gene mutated in the putative metallopeptidase motif), were grown on plates containing 0.5% bovine submaxillary mucin (SIGMA) and stained with 0.1% (wt/vol) amido black in 3.5 M acetic acid for 30 min and destained with 1.2 M acetic acid. (B) The four strains were engineered for constitutive luciferase expression (plux operon) and mucinolytic activity was detected by the In Vivo Imaging System (IVIS) technology. Bacterial migration in the mucin-agar plates is shown, from the point of inoculum (time zero; t0) to growth at 24 hours (24 h).
Antibodies against SslE prevent the ability of IHE3034 to cross a mucin-based matrix in a dose-dependent manner
To test the hypothesis that anti-SslE antibodies may also inhibit mucinase activity in vitro, we developed an in vitro system to quantify the ability of strain IHE3034 WT to transverse a mucin-based gel matrix. An agar-based matrix gel containing 10% bovine submaxillary gland mucins was reconstituted in a 1 mL syringe and bacterial aliquots (108 CFU) were layered on top of the gel and statically incubated for 3 h at 37°C in a vertical position to allow bacterial translocation. At the end of the incubation period, gel fractions were eluted from the bottom of the syringe, diluted and plated for CFU determination. After confirming the impaired phenotype of the sslE KO strain in traversing the mucin matrix compared to the isogenic WT strain (∼2.5 Log reduction) (Fig. 3A), we tested the ability of polyclonal antibodies generated by sub-cutaneous immunization of rabbit with the full length recombinant SslE from ExPEC strain IHE3034 (anti-SslEIHE3034) to reduce bacterial translocation through the mucin agar-gel syringe. Anti-SslE IgGs and IgAs in the rabbit serum were measured by ELISA (Fig. S2A and B). A significant dose-dependent inhibition of bacterial translocation was observed when the mucin-gel matrix was polymerized together with anti-SslE antibodies (dose range 1∶50 to 1∶1350) (Fig. 3B). At a dilution of 1∶50 the inhibitory effect of SslE antibodies was evident in all fractions collected, while higher dilutions principally affected bacterial translocation in the first two fractions. A higher dilution of 1∶4050 did not show an inhibitory effect in any of the collected fractions (data not shown). The specificity of the inhibition was confirmed by the absence of an effect when using an antiserum against the unrelated ExPEC antigen c1275 , at the lowest dilution (Fig. 3B). On the other hand, since antibodies against a fragment of SslE, C-SslEIHE3034, lacking the M60-like motif (Fig. S3A), were still capable of impairing IHE3034 translocation through the mucin layer (Fig. S3B), it is not possible to establish whether polyclonal antibodies have a direct or an indirect effect on SslE activity.
(A) IHE3034 wild-type, the IHE3034ΔsslE knockout mutant, IHE3034ΔsslE::sslE_WT (complemented with the sslE gene wild-type) and IHE3034ΔsslE::sslE_mut (complemented with sslE gene mutated in the putative metallopeptidase motif), were loaded on the top of a mucin-gel matrix column polymerized in a 1 ml syringe. After 3 hours at 37°C, eluted fractions were collected and plated for CFU counting. The results were reported as percentage of CFU recovered in four different fractions, sequentially eluted from the bottom of the column, with respect to the initial inoculum. (B) Dose-dependent inhibition of IHE3034 translocation through a mucin-gel matrix by anti-SslE antibodies. Serial dilutions (range 1∶50–1∶1350) of antibodies were used for inhibition. Antibodies against the unrelated ExPEC c1275 were used as a negative control at the dilution 1∶50. Translocation was reported as the percentage of CFU recovered with respect to the initial inoculum for three sequentially eluted fractions. P values were determined using a two-tailed unpaired Student's significance test.
Antibodies against variant I SslE from IHE3034 inhibit E. coli mucin translocation in strains expressing variant II SslE
As previously reported, SslE can be divided into two main variants . Three hundred and eighteen E. coli sslE sequences were added to the 96 previously analyzed by Moriel et al.  (Table S1) and global amino acid sequence alignment revealed that sequence variability was present and distributed along the entire protein sequence. Overall, amino acid sequence identity ranged from 86–100%, with the HEXXHX(8,24)E core motif fully conserved in all sequences analysed. A total of 155 E. coli unique protein sequences were identified and used to construct a phylogenetic tree (Fig. 4 and Table S2). The two main branches denoted the presence of two SslE clades (encoding for two variants: I and II). To understand whether antibodies raised against variant I can cross-inhibit the mucinolytic activity of other SslE sub-variants, we selected a number of strains producing SslE variant II and belonging to different pathotypes. We tested the ability of an antiserum against SslE from strain IHE3034 (SslEIHE3034, belonging to variant I) to prevent the translocation of intestinal and extraintestinal strains expressing SslE belonging to variant II. In particular, we selected an EPEC strain (IC50), a SEPEC (septicemic-associated E. coli belonging to ExPEC) strain (IN1S), an ETEC strain (GL53) and the EAHEC strain (LB226692) recently identified to be responsible for the 2011 German E. coli outbreak. SslEIHE3034 antiserum inhibited the ability of all E. coli pathotypes tested (expressing SslE variant II) to traverse the mucin-based matrix (Fig. 5).
The phylogenetic tree of 155 unique E. coli SslE protein sequences was inferred using the neighbor-joining method. Two main SslE variants are highlighted with different colors: blue for variant I and red for variant II. Purple bullets refer to ExPEC and green triangles to InPEC isolates used in experiments. Black circles indicate SslE amino acid homologues of Vibrio cholerae and Escherichia albertii used as outgroup sequences. The tree also includes two sequences from Escherichia fergusonii (black square). The strains are designed with patterns made by a first number relative to the SslE main variant and a second number corresponding to the sub-variant (see table S1 and table S2 for immediate identification). Phylogenetic analysis were conducted by MEGA4 software .
EPEC IC50 (A), EAHEC LB226692 (B), ETEC GL53 (C), SEPEC IN1S (D) strains carrying variant II were loaded on top of the gel-mucin matrix column and bacterial translocation with or without anti-SslEIHE3034 antibodies was assessed in three sequentially collected fractions. For each strain, translocation was reported as the percentage of CFU recovered with respect to the initial inoculum.
SslE promoter is functional in a mouse model of intestinal colonization
The evidence that antibodies against SslEIHE3034 are functional and recognize different variants allows us to postulate that a vaccine containing this antigen may have the potential to protect against most pathogenic E. coli species. In order to test the protective efficacy of SslEIHE3034 (variant I), we set up a mouse model of intestinal colonization using the ETEC GL53 strain. Mice were intragastrically infected with the bioluminescent GL53-Pem7-luxCDABE strain  and consistent bioluminescent signals were detected in the abdominal region until to 72 hours post-infection by the In Vivo Imaging System (IVIS) (Fig. 6A). As observed for other intestinal E. coli pathotypes , , bacterial infection mainly occurs in the caecum tract (Fig. 6B). This is consistent with data obtained by both CFU counts from infected intestinal ileum and caecum tracts (Fig. 6C) and confocal imaging of tissues (Fig. 6D and E). After setting up the GL53 intestinal colonization, we evaluated the functionality of the sslE promoter in vivo. 2D bioluminescent signal in the abdominal region could be observed when the luciferase expression was driven by the sslE promoter (Fig. 7A), compared to the positive control GL53-Pem7-luxCDABE. As expected, GL53 transformed with the luciferase promoterless plasmid gave no signal (Fig. 7A) . In addition, 3D analysis confirmed that the signal was predominantly associated with the intestine (Fig. 7B). SslE transcription in GL53 colonizing bacteria was further evaluated by reverse transcriptase-polymerase chain reaction (RT-PCR), confirming that the sslE promoter is active in vivo (Fig. 7C).
(A) A group of 4 mice was infected with bioluminescent GL53 strain and monitored up to 7 days by IVIS System. The data displayed illustrate the results of a representative experiment. (B) Distribution of the bioluminescent GL53 strain in the intestinal tract of infected mice shows bacterial accumulation in the caecum. (C) Quantitative analysis of intestinal colonization by GL53. Briefly, ileum and caecum at 24 h, 48 h, 72 h and 7 days post infection were homogenized and plated for CFU counts. Symbols represent single mice and the median is shown as bars for each time point. (D) Confocal staining of uninfected (left panel) and GL53 infected (right panel) ileum and (E) images of uninfected (left panel) and infected caecum (right panel). Tissues were visualized with the red fluorescent Wheat Germ Agglutinin (Alexa Fluor 568-WGA, Life Technologies) and nuclei with the blue fluorescent DAPI. Bacteria were detected using polyclonal antibodies against GL53 and visualized by green Alexa Fluor 488-conjugated secondary antibody (Life Technologies). Bars: 10 µm.
(A) 2D in vivo imaging at 24 hours of mice intragastrically infected with GL53-Pneg-luxCDABE (promoterless control vector), with the bioluminescent derivative GL53-PsslE-luxCDABE and with the GL53-Pem7-luxCDABE (positive control). (B) 3D image reconstruction showing ssIE-promoter driven luciferase expression in E. coli localized in the intestinal tract. (C) RT-PCR of RNA purified from: in vitro lab-grown GL53 bacteria (lane 2, positive control); caecum tract of uninfected mice (lane 3, negative control); GL53 bacteria recovered from infected mice (lane 4); GL53 bacteria recovered from infected mice without the RT step (lane 5). 1 Kb Plus DNA Ladder (Life Technologies) is shown in lane 1.
Variant I SslE induces cross-protective immunity against variant II SslE expressing strains in intestinal colonization, UTI and sepsis mouse models
Cross-protective efficacy was evaluated by immunizing 30 mice intranasally with the recombinant variant I SslE and challenging them with the ETEC strain GL53 (expressing variant II SslE). Following immunizations with 30 µg of recombinant SslEIHE3034 at days 1, 21 and 35, mice were infected by oral gavage with 5×107 CFU of GL53 at day 49. Intestinal caecum tracts were collected at day 51, serial dilutions of the homogenized tissues were plated and the CFU numbers were enumerated. A statistically significant reduction (2.5 Log) in the mean value of GL53 bacterial counts in the caecum was observed in mice immunized with the SslEIHE3034 antigen versus those treated with saline (Fig. 8A). Anti-SslE responses in protected mice consisted of antibodies belonging to both IgG and IgA isotypes (Fig. S2C and D).
(A) Thirty CD1 mice were intranasally immunized with 30 µg of SslEIHE3034 at days 1, 21 and 35. Saline was used in the negative control groups. Challenge was done by oral gavage with 5×107 CFU of strain GL53 at day 49. Serial dilutions of the homogenized intestinal caecum tract were plated and the CFU number was enumerated. Statistical significance of protection was obtained using the Mann Whitney test. (B) SslEIHE3034 prevents the spread of the UPEC strain 536 into the kidneys and spleen in an ascending model of urinary tract infection. Thirty mice were immunized intranasally with 10 µg cholera toxin (CT) alone or with 100 µg of SslEIHE3034 at a 10∶1 ratio of antigen:CT (day 1). After two boosts of 25 µg antigen (10∶1 ratio of antigen to CT) or CT alone (day 7 and 14), mice were transurethrally challenged with 108 CFU of strain 536 at day 21. After 48 h, bladder, kidneys and spleen were harvested and homogenized. Bacteria in urine and in the tissue homogenates were enumerated by plating serial dilutions. Symbols represent CFU/g tissue or CFU/ml urine of individual mice, and bars indicate median values. P values were determined using the nonparametric Mann-Whitney significance test. (C) SslEIHE3034 protects against the SEPEC strain IN1S in a sepsis mouse model. CD1 out-bred mice were immunized by subcutaneous injections at day 1, 21, and 35 with 20 µg of recombinant SslEIHE3034 formulated with alum or alum alone. Immunized animals were challenged at day 49 with a sublethal dose of heterologous strain IN1S and survival was monitored for up to 4 days. The results are indicated as percentage of survival out of a total number of 40 mice. P values were determined using the nonparametric Mann-Whitney significance test.
To further support the observation that SslEIHE3034 (variant I) induces heterologous protection, we considered two alternative models: a murine model of ascending UTI and a murine sepsis model. In the UTI model, 30 mice were intranasally inoculated with either cholera toxin (CT) alone (as an adjuvant) or an SslEIHE3034-CT mixture. Following three immunizations (days 0, 7, 14), animals were transurethrally challenged on day 21 with the UPEC strain 536 (expressing SslE variant II) and protection was assessed at 48 h post infection by determining the CFUs in the urine, bladder, kidneys and spleen. SslEIHE3034 immunization led to a significant reduction in median CFU/g (P = 0.0394) in the kidneys and a more evident protection in the spleen with a 2.0 Log reduction in median CFU/g (P = 0.0006) (Fig. 8B). In the sepsis model, systemic E. coli infection was performed as recently reported . Active immunization with SslEIHE3034 followed by challenge with the SEPEC strain IN1S (expressing SslE variant II) provided significant protection from mortality (60% survival, P<0.0001) (Fig. 8C).
E. coli is a well-adapted human pathogen which uses the gut as a preferential niche and, as for other intestinal microorganisms, it persists in this region due to its ability to exploit a number of metabolic substrates and to stay in the outer mucus layer where commensal bacteria normally reside. Recent studies –, including those reported by our group , , have postulated that this microorganism has adapted to the human body by developing a sophisticated network of virulence and colonization factors. Among these adhesins, iron-uptake systems and IgA binding proteins may allow E. coli to out-compete the many species occupying an overcrowded environment such as the intestine. In this scenario, our finding that SslE contributes to E. coli mucinase activity suggests the involvement of this antigen in landscaping the E. coli territory allowing the establishment of a long lasting colonization. Indeed, shaping of the intestinal microbial community by the mucosa does not only depend on goblet cells secreting antimicrobial proteins, but also on a number of metabolic substrates vital to mucus-degrading bacteria –. In our study, the diminished capacity of the sslE mutant strain to translocate through a mucin-rich matrix in vitro suggests that SslE activity may facilitate bacterial penetration of the mucosal surface, including the inner mucus layer, to reach the underlying host epithelium. Although these data do not exclude that the catabolism of such glycoproteins may also contribute to an increased fitness of E. coli in the outer mucus layer, the pathogenic strains that are armed with immune evasion virulence factors may use SslE as a spearhead to penetrate the sterile inner mucus layer so as to intimately adhere to the epithelial cells of the host.
The core motif, HEXXH, present in SslE is conserved in all families of the Clan of peptidase named MA (M for metallo) although it might also be present by chance in proteins with no peptidase activity , . Using the full putative metalloprotease domain of the ExPEC variant of SslE (residues: 1082–1382) to search the Pfam-A protein families database, we confirmed that the entire top 100 hits (E-value<8e-35) were M60-like domains (Pfam ID: PF13402). This domain is exclusively present in a recently characterized zinc metallopeptidase sub-family that possesses mucinase activity . The multiple sequence alignment of the best hits showed the extended motif of the M60-like domain (Supporting information Fig. S4). These hits were mainly bacterial proteins from Gamma proteobacteria, and they have comparable sequence lengths to ExPEC SslE (∼1460–1520 a.a.). Interestingly, the majority of these proteins were predicted to be outer membrane lipoproteins that are N-terminally anchored to the outer membrane, which implies that these mucinases are dedicated to digestion of extracellular host glycoproteins. However, although our data support the hypothesis for the contribution of SslE to E. coli colonization by a mechanism likely to involve mucin degradation, we were not able to obtain direct evidence for such an enzymatic activity. Indeed, we observed that recombinant SslE binds to Zinc, but is unable to cleave a number of putative metalloprotease-target molecules including gelatin, casein, fibrinogen, and different collagens (data not shown). However, since bacterial metalloprotease activities are known to depend on different parameters (such as pH, temperature, salt concentration, etc.) , , further screenings for appropriate in vitro conditions will be required.
The large antigenic and genetic variability of pathogenic E. coli species has been a major obstacle to the development of a broadly protective vaccine. Indeed, the difficulty in predicting vaccine coverage and the lack of a correlate of protection, has led to numerous promising pre-clinical data not being confirmed by human studies –. By comparing the genome of an ExPEC strain causing neonatal meningitis to those of other ExPEC and nonpathogenic strains, we have recently proposed a number of well conserved protective antigens. Among them the most promising candidate was SslE, which due to its conservation in both intestinal and extraintestinal strains was proposed as a universal vaccine candidate. The anti-mucinase activity exerted by anti-SslE polyclonal antibodies in vitro, corroborated by a reduced colonization of caecum in mice immunized with recombinant SslE, further support the hypothesis that the impairment of mucin cleavage may account for the mechanisms of protection from E. coli infections in both the mucosal tissues of the gut and the urinary tract , . In addition, antibodies generated against SslE variant I showed cross-functional properties versus strains expressing variant II. Since polyclonal antibodies raised against full-length SslE are able to cross-inhibit antigen functional activity, we hypothesized that they may target conserved domains of SslE potentially involved in the metalloprotease activity. However, only a few strains were tested and further studies using a larger panel of clinically relevant strains would be needed to confirm such an assumption.
In conclusion, the contribution of SslE to E. coli mucinolytic activity in vitro, and SslE mediated protection against intestinal and urinary tract colonization in vivo, indicate the importance of SslE as a novel colonization factor and a valid target for intervention strategies against disease caused by this important human pathogen.
Materials and Methods
Animal studies regarding intestinal colonization and sepsis models were carried out in compliance with current Italian legislation on the care and use of animals in experimentation (Legislative Decree 116/92) and with the Novartis Animal Welfare Policy and Standards. Protocols were approved by the Italian Ministry of Health (authorization 236/2010-B) and by the local Novartis Vaccines and Diagnostics Animal Welfare Body (authorization AEC 201010). Animal studies for urinary tract infection experiments were conducted according to protocol #08999 approved by the University Committee on the Care and Use of Animals at the University of Michigan Medical School. The approved procedures are in compliance with University guidelines, State and Federal regulations, and the standards of the “Guide for the Care and Use of Laboratory Animals”.
Bacterial strains and culture conditions
Genomic DNA was isolated using the GenElute Bacterial Genomic DNA Kit (Sigma) according to the manufacturer's instructions. ExPEC strain IHE3034 (serotype O18:K1:H7) was isolated in Finland in 1976 from a case of human neonatal meningitis . Strains were cultured in Luria-Bertani (LB) broth at 37°C with agitation and aeration. E. coli DH5α-T1R (Invitrogen) was used for cloning purposes and E. coli BL21(DE3) (Invitrogen) was used for expression of His-tagged fusion proteins. The clones carrying a specific antibiotic resistance cassette were grown in the presence of kanamycin (50 µg/ml) or ampicillin (100 µg/ml).
Construction of sslE deletion mutant and complemented strains
The isogenic sslE knockout mutant strain was constructed by replacement of the entire gene by an antibiotic resistance cassette. The upstream and the downstream regions of the sslE gene were amplified by PCR with the primers 1–2 and 3–4 (Table S3), using IHE3034 chromosomal DNA as template, and cloned into the pBluescriptKS (Stratagene). The kanamycin resistance cassette was inserted between the two flanking regions in the plasmid. The resulting plasmid was used to electroporate the target strain. Single transformants were confirmed by PCR and Western blotting. Complemented strains were obtained by transformation of the sslE mutant with sslE_WT and sslE_mut recombinant plasmids, carrying the sslE wild-type gene or the gene mutated in the putative metallopeptidase motif. For amplification of the sslE gene, E. coli IHE3034 genomic DNA was used with the primers 5 and 6 (Table S3). The triple mutation (mut) (H1274Y+E1275V+H1278Y) was obtained by two overlapping PCRs performed with primers 7, 8 and 9 (Table S3). Finally, the psslE_WT and psslE_mut constructs were generated carrying the sslE predicted promoter region upstream of the sslE gene. The two clones harboring these plasmids were produced by a PIPE method  that is based on the transformation of HK100 E. coli cells with a mix of a vector/insert PCR. The vector PCR was performed using the sslE_WT and sslE_mut templates with primers 10 and 11 (Table S3), while the insert PCR was obtained with E. coli IHE3034 genomic DNA template and primers 12 and 13 (Table S3).
Confocal staining of pathogenic E. coli bacterial cells
E. coli strains were grown to exponential phase in LB medium and fixed in PFA 1% for 20 min on a poly-L-lysine-coated slide (Thermo scientific). After a blocking step in PBS+1% BSA, slides were incubated with anti-SslE rabbit serum and then with a donkey anti-rabbit IgG Rhodamine RedX-conjugated antibody (Jackson Immuno-Research Laboratories). IHE3034 bacteria were localized using mouse polyclonal antibodies raised against whole cell IHE3034, and the green fluorescent Alexa Fluor488 goat anti-mouse IgG. The samples were mounted using the Pro-Long Gold antifade reagent containing the blue-fluorescent nuclear counterstain DAPI (Invitrogen). Images were acquired using a 100× oil objective (1.4 n.a.) mounted on a Zeiss LSM710 confocal microscope. In the pictures the signal from SslE was pseudocoloured in green, while the signals from bacteria are shown in red. Z-stacks of images were deconvoluted using Volocity Software (Improvision).
In vitro mucinase activity assays
- Amido black assay. Pathogenic E. coli from mid-log culture phase were incubated on LB-agar plates containing 0.5% bovine submaxillary mucin (SIGMA), stained with 0.1% (wt/vol) amido black in 3.5 M acetic acid for 30 min and destained with 1.2 M acetic acid.
- Detection of mucinase activity by IVIS. IHE3034 wild-type, IHE3034ΔsslE knockout mutant, IHE3034ΔsslE::sslE_WT and IHE3034ΔsslE::sslE_mut were transformed by electroporation with the pGEN-luxCDABE plasmid (AmpR) expressing luciferase (plux strains). Plasmid stability was assessed in all strains by CFU counting on LB and LB-Amp100 plates. A soft gel mucin-based matrix was allowed to polymerize in round 5-ml plates. 5×107 CFU of mid-log E. coli plux strains were loaded into wells cut in the middle of the plates and incubated statically at 37°C. Starting inocula were plated to determine the loaded CFU. Pictures were acquired by IVIS 100 time 0 and at 24 h.
- Mucin gel degradation assay. 108 CFU of pathogenic E. coli strains from mid-log culture phase were layered on top of 1 ml soft gel-matrix polymerized together with 10% submaxillary gland mucin (SIGMA) in 1 ml syringes and incubated statically for 3 h at 37°C in a vertical position (starting inocula were determined as CFU at time 0). 100 µl fractions were sequentially collected from the bottom of the syringe, diluted and plated. The counts were calculated as % of recovered bacteria in each fraction, sequentially eluted from the column, with respect to the starting inoculum. Data presented are the mean of three independent experiments performed in duplicate. Antibody inhibition of mucin degradation was performed by adding different sera dilutions to the soft gel mucin-based matrix before the polymerization.
PCR amplification and sequence variability analysis of sslE gene
Amplification and sequencing of the sslE gene was performed as previously described . Assembly, alignment and comparison of the SslE deduced amino acid sequence was performed with GENEIOUS V6 software (Biomatters. Available from http://www.geneious.com/). In addition to the 96 sslE sequences used by Moriel et al. , 318 E. coli sslE sequences were included. The final dataset comprised 414 isolates which comprised EXPEC, InPEC and faecal isolates. Further, sequences relative to unknown E. coli pathotypes were extracted from the NCBI database (Table S1). 155 unique SslE protein sequences were selected using GENEIOUS V6 software. The phylogenetic tree was inferred from the alignments by the neighbor-joining distance-based method implemented on MEGA4 .
Cloning, expression and purification of SslE recombinant protein
The sslE gene was amplified by PCR from the IHE3034 genomic DNA template, cloned into the pET-21b vector (Novagen) and transformed into DH5α-T1R chemically competent cells for propagation. BL21(DE3) chemically competent cells were used for His-tagged protein expression. The protein was purified by nickel chelating affinity chromatography using a HisTrap HP column (GE Healthcare) followed by anionic exchange chromatography. The purified protein was finally dialyzed in phosphate-buffered saline (PBS) and stored at −20°C.
In vivo monitoring of sslE promoter activity
The PsslE-luxCDABE plasmid was obtained by replacing the constitutive Pem7 promoter of the pGEN-luxCDABE with the sslE putative promoter region. To obtain the predicted sslE promoter region, a 484-bp fragment was amplified from IHE3034 genomic DNA by PCR using the primers 14 and 15 (Table S3). Chemically competent DH5α cells (Life Technologies) were used for transformation and ampicillin (Amp100) was used as a marker of selection. The resulting PsslE-luxCDABE plasmid was confirmed by sequence analysis and used to transform the ETEC strain GL53 by electroporation, resulting in the GL53-PsslE-luxCDABE strain. Ten-week old CD1 female mice (Charles River) were infected intragastrically with 5×105 CFU of either the bioluminescent ETEC GL53-PsslE-luxCDABE strain or GL53-Pneg-luxCDABE (promoterless control vector). Imaging of mice anesthetized with isofluorane (4% initially, 1.5% during image acquisition) was performed with an IVIS Spectrum CT Imaging System (Perkin Elmer). Detection of 2D bioluminescent signals was carried out without filters (open), binning 8 and times of acquisition from 1 s to 1 min. 3D images were acquired with six filters (500, 520, 560, 580, 600 and 620 nm), using the same binning and acquisition times and reconstructed by the Living Image software (version 4.3.1).
The GL53 infected caecum was homogenized using gentleMACS Dissociator (MiltenyiBiotec) in 10 ml PBS. After filtration and centrifugation, the pellet was incubated for 5 minutes at room temperature in 3 ml of RNA protect Bacteria Reagent (Qiagen). After cell lysis, total RNA was purified using the RNeasy Mini kit (Qiagen) and an additional DNase treatment was done using the TURBO DNA-free kit (Applied Biosystem), according to the manufacturer's protocols. Purity of RNA was assessed by electrophoresis on agarose gels. Reverse transcription and amplification of an sslE fragment with the primers 16 and 17 (Table S3) from RNA were performed using the SuperScript III One-Step RT-PCR System with Platinum Taq DNA Polymerase kit (Invitrogen).
Mouse model of intestinal colonization
Five-week old CD1 mice were intranasally immunized with 30 µg of SslE antigen at days 1, 21 and 35. Saline was used as a negative control. Fourteen days after the last immunization mice were streptomycin-treated (for 2 days) to eradicate the resident flora and then they were infected by oral gavage with 5×107 CFU/400 µl of strain GL53/Ampr. Forty-eight hours after challenge, mice were euthanized and the intestinal caecum tract was recovered and homogenized. Serial dilutions of the suspension were plated on LB/Amp100 plates and the CFU were enumerated. Statistical significance of protection was determined using the Mann Whitney test.
Urinary tract infection model
Female CBA/J mice, 6 to 8 weeks old, were transurethrally inoculated as previously described . Purified antigen was mixed with cholera toxin (CT) (Sigma) at a ratio of 10∶1. The vaccine was administered intranasally in a total volume of 20 µl/animal (10 µl/nostril). Animals received a primary dose on day 0 of 100 µg antigen (containing 10 µg CT) or 10 µg CT alone. Two boosts of 25 µg antigen (mixed with 2.5 µg CT) or 2.5 µg CT alone were given on days 7 and 14, and mice were challenged on day 21. E. coli 536 suspensions in phosphate-buffered saline (PBS) (50 µl/mouse) were delivered transurethrally using a sterile 0.28-mm-inner-diameter polyethylene catheter connected to an infusion pump (Harvard Apparatus), with a total inoculum of 108 CFU/mouse. For determination of CFU, organs were aseptically removed from euthanized animals at 48 h post inoculation and homogenized in PBS with a GLH homogenizer (Omni International). Bacteria in tissue homogenates were enumerated by being plated on LB agar containing 0.5 g/liter NaCl using an Autoplate 4000 spiral plater (Spiral Biotech), and CFU were determined using a QCount automated plate counter (Spiral Biotech). Blood was collected as necessary from anesthetized mice by an infraorbital bleed using 1.1- to 1.2-mm Micro-Hematocrit capillary tubes (Fisher), and serum was separated using Microtainer serum separator tubes (Becton Dickinson). The animals were ≤15 weeks old at the conclusion of all experiments.
Sepsis mouse model
CD1 outbred mice were immunized by subcutaneous injections at day 1, 21, and 35 with 20 µg of recombinant SslEIHE3034 formulated with alum or alum alone. Immunized animals were challenged at day 49 with a sublethal dose of a heterologous strain and survival was monitored for up to 4 days. The results are indicated as the percentage of survival from a total number of 40 mice. P values were determined using the nonparametric Mann-Whitney significance test.
Polysialic acid capsule interferes with SslE detection on E. coli K1 IHE3034. (A) Flow cytometry detection of K1 capsule on wild-type strain IHE3034 (left panel) and acapsulated IHE3034Δkps strains (right panel) by anti-capsule monoclonal antibody SEAM12 (blue lanes). Serum from animals immunized with PBS was negative control (red). (B) SslE surface detection on wild-type IHE3034 (left panel) and its derivative lacking the capsule IHE3034Δkps (right panel) by anti-SslE immune sera (blue lines) compared to the PBS negative control (red). (C) Titration of binding by an anti-SslE rabbit serum on both IHE3034Δkps acapsulated (red) and IHE3034ΔkpsΔsslE (blue) strains. (D) Confocal microscopy images of SslE surface localization on IHE3034Δkps and (E) IHE3034ΔkpsΔsslE. Bacteria were visualized with both DAPI (DNA marker, blue) and FM4–64 Dye (membrane marker, red). SslE was detected using the anti-SslE rabbit serum and a fluorescent secondary antibody (green). Merged images are also displayed. Bars: 2 µm.
IgG and IgA antibody response following SslE immunization. Immunoglobulin levels were quantified by ELISA. Briefly, 100 ng/well of purified SslE was incubated with serial dilution of sera for 2 h at 37°C. Following detection with Alkaline Phosphatase (AP) conjugated secondary antibody, OD405 values were plotted in the titration curves. (A) IgG and (B) IgA response derived from serum of immunized rabbit (circles) compared to negative control (square). (C) IgG and (D) IgA response in pool of sera derived from immunized mice (circles) compared to the negative control (square). Each point represents the means ± standard deviations.
Polyclonal antibodies against the truncated C-SslE impair E. coli translocation through a mucin matrix. (A) Schematic representation of the C-SslE truncated form lacking the Zn-metalloprotease domain compared to the full-length SslE protein. (B) Inhibition of wild-type IHE3034 translocation through a mucin-gel matrix by anti-C-SslE antibodies compared to negative controls.
Comparison of the SslE core motif with other M60-like members. The figure reports a multiple sequence alignment of the SslE core motif of the zinc metallopeptidase M60-like domain versus the best hits that were found when searching the Pfam-A database. The extended core motif is shown by a dotted square and the conserved residues of the core motif are indicated with an asterisk. The species names are followed by the Uniprot accession codes in brackets.
List of strains used for global SslE amino acid sequence alignment.
Polysialic acid capsule interferes with SslE detection on E.coli K1 IHE3034. By comparing the SslE-specific signal between IHE3034 WT and the IHE3034Δkps deletion mutant by FACS and confocal imaging analysis, we demonstrated that the K1 capsule clearly interferes with the anti-SslE antibody accessibility and recognition of the protein on the bacterial surface.
IgG and IgA antibody response following SslE immunization. We observed that subcutaneous immunization of rabbit with recombinant SslE generated a high response in terms of IgG, while IgA values were low.
Polyclonal antibodies against the truncated C-SslE impair E. coli translocation through a mucin matrix. We postulated that antibodies against the N-terminal portion of the protein lacking the M60-like zinc-metalloprotease motif are still able to impair E. coli translocation through the mucin matrix, suggesting an indirect inhibitory activity.
We thank Marco Tortoli for animal experiments, Barbara Baudner for formulation and Paolo Ruggiero and Laura Pancotto for assistance in tissues analysis. We are grateful to Cecilia Brettoni for technical support in cloning and mutagenesis. We are indebted with gratitude to Marina Cerquetti (Istituto Superiore di Sanità, Rome, Italy) for kindly providing ExPEC clinical isolates and to Lothar H. Wieler (Freie Universität Berlin, Germany), Ulrich Dobrindt (Universität Würzburg, Germany), Ann-Mari Svennerholm (Gotheborg University, Sweden) and Gad Frankel (Imperial College, London, UK) for providing other E. coli isolates.
Conceived and designed the experiments: BN MV MS LS MRF HLTM MP. Performed the experiments: BN MV RR AP AS CJA PD LB SB. Analyzed the data: BN MV MS LS MRF GB MM YA SB. Contributed reagents/materials/analysis tools: MDV VR IB GT MF. Wrote the paper: MS LS BN MP KLS HLTM MRF PD.
- 1. Kaper JB, Nataro JP, Mobley HL (2004) Pathogenic Escherichia coli. Nat Rev Microbiol 2: 123–140.
- 2. Hartland EL, Leong JM (2013) Enteropathogenic and enterohemorrhagic E. coli: ecology, pathogenesis, and evolution. Front Cell Infect Microbiol 3: 15.
- 3. Croxen MA, Law RJ, Scholz R, Keeney KM, Wlodarska M, et al. (2013) Recent advances in understanding enteric pathogenic Escherichia coli. Clin Microbiol Rev 26: 822–880.
- 4. Gibson JS, Cobbold RN, Trott DJ (2010) Characterization of multidrug-resistant Escherichia coli isolated from extraintestinal clinical infections in animals. J Med Microbiol 59: 592–598.
- 5. van der Donk C, van de Bovenkamp J, Bamelis H, Driessen C, Feldhoff KH, et al. (2013) Prevalence and spread of multidrug-resistant Escherichia coli including ST131 in different patient populations in the Euroregion Meuse-Rhine. Future Microbiol 8: 1027–1037.
- 6. van der Donk CF, Schols JM, Driessen CJ, Hagenouw RG, Meulendijks A, et al. (2013) Prevalence and spread of multidrug resistant Escherichia coli isolates among nursing home residents in the southern part of The Netherlands. J Am Med Dir Assoc 14: 199–203.
- 7. Johnson JR, Tchesnokova V, Johnston B, Clabots C, Roberts PL, et al. (2013) Abrupt emergence of a single dominant multidrug-resistant strain of Escherichia coli. J Infect Dis 207: 919–928.
- 8. Papadimitriou M, Voulgari E, Ranellou K, Koemtzidou E, Lebessi E, et al. (2011) Emergence of VIM-1 metallo-beta-lactamase-producing Escherichia coli in a neonatal intensive care unit. Microb Drug Resist 17: 105–108.
- 9. Poirel L, Lagrutta E, Taylor P, Pham J, Nordmann P (2010) Emergence of metallo-beta-lactamase NDM-1-producing multidrug-resistant Escherichia coli in Australia. Antimicrob Agents Chemother 54: 4914–4916.
- 10. Moriel DG, Bertoldi I, Spagnuolo A, Marchi S, Rosini R, et al. (2010) Identification of protective and broadly conserved vaccine antigens from the genome of extraintestinal pathogenic Escherichia coli. Proc Natl Acad Sci U S A 107: 9072–9077.
- 11. Moriel DG, Rosini R, Seib KL, Serino L, Pizza M, et al. (2012) Escherichia coli: great diversity around a common core. MBio 3: 3 may/june 2012; doi:10.1128/mBio.00118-12.
- 12. Iguchi A, Thomson NR, Ogura Y, Saunders D, Ooka T, et al. (2009) Complete genome sequence and comparative genome analysis of enteropathogenic Escherichia coli O127:H6 strain E2348/69. J Bacteriol 191: 347–354.
- 13. Yang J, Baldi DL, Tauschek M, Strugnell RA, Robins-Browne RM (2007) Transcriptional regulation of the yghJ-pppA-yghG-gspCDEFGHIJKLM cluster, encoding the type II secretion pathway in enterotoxigenic Escherichia coli. J Bacteriol 189: 142–150.
- 14. Baldi DL, Higginson EE, Hocking DM, Praszkier J, Cavaliere R, et al. (2012) The type II secretion system and its ubiquitous lipoprotein substrate, SslE, are required for biofilm formation and virulence of enteropathogenic Escherichia coli. Infect Immun 80: 2042–2052.
- 15. Hernandes RT, De la Cruz MA, Yamamoto D, Giron JA, Gomes TA (2013) Dissection of the role of pili and the type 2 and 3 secretion systems in adherence and biofilm formation of an atypical enteropathogenic Escherichia coli strain. Infect Immun 81: 3793–802.
- 16. Korotkov KV, Sandkvist M, Hol WG (2012) The type II secretion system: biogenesis, molecular architecture and mechanism. Nat Rev Microbiol 10: 336–351.
- 17. Strozen TG, Li G, Howard SP (2012) YghG (GspSbeta) is a novel pilot protein required for localization of the GspSbeta type II secretion system secretin of enterotoxigenic Escherichia coli. Infect Immun 80: 2608–2622.
- 18. Decanio MS, Landick R, Haft RJ (2013) The non-pathogenic Escherichia coli strain W secretes SslE via the virulence-associated type II secretion system beta. BMC Microbiol 13: 130.
- 19. Nakjang S, Ndeh DA, Wipat A, Bolam DN, Hirt RP (2012) A novel extracellular metallopeptidase domain shared by animal host-associated mutualistic and pathogenic microbes. PLoS One 7: e30287.
- 20. Wang P, Granados RR (1997) An intestinal mucin is the target substrate for a baculovirus enhancin. Proc Natl Acad Sci U S A 94: 6977–6982.
- 21. Liu Z, Miyashiro T, Tsou A, Hsiao A, Goulian M, et al. (2008) Mucosal penetration primes Vibrio cholerae for host colonization by repressing quorum sensing. Proc Natl Acad Sci U S A 105: 9769–9774.
- 22. Silva AJ, Leitch GJ, Camilli A, Benitez JA (2006) Contribution of hemagglutinin/protease and motility to the pathogenesis of El Tor biotype cholera. Infect Immun 74: 2072–2079.
- 23. Sheikh J, Czeczulin JR, Harrington S, Hicks S, Henderson IR, et al. (2002) A novel dispersin protein in enteroaggregative Escherichia coli. J Clin Invest 110: 1329–1337.
- 24. Hsiao A, Liu Z, Joelsson A, Zhu J (2006) Vibrio cholerae virulence regulator-coordinated evasion of host immunity. Proc Natl Acad Sci U S A 103: 14542–14547.
- 25. Colina AR, Aumont F, Deslauriers N, Belhumeur P, de Repentigny L (1996) Evidence for degradation of gastrointestinal mucin by Candida albicans secretory aspartyl proteinase. Infect Immun 64: 4514–4519.
- 26. Zhou JS, Gopal PK, Gill HS (2001) Potential probiotic lactic acid bacteria Lactobacillus rhamnosus (HN001), Lactobacillus acidophilus (HN017) and Bifidobacterium lactis (HN019) do not degrade gastric mucin in vitro. Int J Food Microbiol 63: 81–90.
- 27. Lane MC, Alteri CJ, Smith SN, Mobley HL (2007) Expression of flagella is coincident with uropathogenic Escherichia coli ascension to the upper urinary tract. Proc Natl Acad Sci U S A 104: 16669–16674.
- 28. Rhee KJ, Cheng H, Harris A, Morin C, Kaper JB, et al. (2011) Determination of spatial and temporal colonization of enteropathogenic E. coli and enterohemorrhagic E. coli in mice using bioluminescent in vivo imaging. Gut Microbes 2: 34–41.
- 29. Torres AG, Cieza RJ, Rojas-Lopez M, Blumentritt CA, Souza CS, et al. (2012) In vivo bioluminescence imaging of Escherichia coli O104:H4 and role of aerobactin during colonization of a mouse model of infection. BMC Microbiol 12: 112.
- 30. Smith SN, Hagan EC, Lane MC, Mobley HL (2010) Dissemination and systemic colonization of uropathogenic Escherichia coli in a murine model of bacteremia. MBio 1(5): e00262–10
- 31. Nicklasson M, Sjoling A, von Mentzer A, Qadri F, Svennerholm AM (2012) Expression of colonization factor CS5 of enterotoxigenic Escherichia coli (ETEC) is enhanced in vivo and by the bile component Na glycocholate hydrate. PLoS One 7: e35827.
- 32. Bien J, Sokolova O, Bozko P (2012) Role of Uropathogenic Escherichia coli Virulence Factors in Development of Urinary Tract Infection and Kidney Damage. Int J Nephrol 2012: 681473.
- 33. Vigil PD, Stapleton AE, Johnson JR, Hooton TM, Hodges AP, et al. (2011) Presence of putative repeat-in-toxin gene tosA in Escherichia coli predicts successful colonization of the urinary tract. MBio 2: e00066-00011.
- 34. Pastorello I, Rossi Paccani S, Rosini R, Mattera R, Ferrer Navarro M, et al. (2013) EsiB, a Novel Pathogenic Escherichia coli Secretory Immunoglobulin A-Binding Protein Impairing Neutrophil Activation. MBio 4: 4 july/august 2013; doi:10.1128/mBio.00206-13.
- 35. Nesta B, Spraggon G, Alteri C, Moriel DG, Rosini R, et al. (2012) FdeC, a novel broadly conserved Escherichia coli adhesin eliciting protection against urinary tract infections. MBio 3: 2 march/april 2012; doi:10.1128/mBio.00010-12.
- 36. Schluter J, Foster KR (2012) The evolution of mutualism in gut microbiota via host epithelial selection. PLoS Biol 10: e1001424.
- 37. Hooper LV, Macpherson AJ (2010) Immune adaptations that maintain homeostasis with the intestinal microbiota. Nat Rev Immunol 10: 159–169.
- 38. Rol N, Favre L, Benyacoub J, Corthesy B (2012) The role of secretory immunoglobulin A in the natural sensing of commensal bacteria by mouse Peyer's patch dendritic cells. J Biol Chem 287: 40074–40082.
- 39. Jongeneel CV, Bouvier J, Bairoch A (1989) A unique signature identifies a family of zinc-dependent metallopeptidases. FEBS Lett 242: 211–214.
- 40. Lenart A, Dudkiewicz M, Grynberg M, Pawlowski K (2013) CLCAs - a family of metalloproteases of intriguing phylogenetic distribution and with cases of substituted catalytic sites. PLoS One 8: e62272.
- 41. Carrington SD, Irwin JA, Liu L, Rudd PM, Matthews E, et al. (2012) Analysing mucin degradation. Methods Mol Biol 842: 191–215.
- 42. Sheng YH, Hasnain SZ, Png CW, McGuckin MA, Linden SK (2012) Techniques for assessment of interactions of mucins with microbes and parasites in vitro and in vivo. Methods Mol Biol 842: 297–312.
- 43. Brumbaugh AR, Mobley HL (2012) Preventing urinary tract infection: progress toward an effective Escherichia coli vaccine. Expert Rev Vaccines 11: 663–676.
- 44. Wieser A, Romann E, Magistro G, Hoffmann C, Norenberg D, et al. (2010) A multiepitope subunit vaccine conveys protection against extraintestinal pathogenic Escherichia coli in mice. Infect Immun 78: 3432–3442.
- 45. Svennerholm AM, Tobias J (2008) Vaccines against enterotoxigenic Escherichia coli. Expert Rev Vaccines 7: 795–804.
- 46. Zhang W, Sack DA (2012) Progress and hurdles in the development of vaccines against enterotoxigenic Escherichia coli in humans. Expert Rev Vaccines 11: 677–694.
- 47. Ahmed T, Bhuiyan TR, Zaman K, Sinclair D, Qadri F (2013) Vaccines for preventing enterotoxigenic Escherichia coli (ETEC) diarrhoea. Cochrane Database Syst Rev 7: CD009029.
- 48. Linden SK, Sutton P, Karlsson NG, Korolik V, McGuckin MA (2008) Mucins in the mucosal barrier to infection. Mucosal Immunol 1: 183–197.
- 49. Grist M, Chakraborty J (1994) Identification of a mucin layer in the urinary bladder. Urology 44: 26–33.
- 50. Achtman M, Mercer A, Kusecek B, Pohl A, Heuzenroeder M, et al. (1983) Six widespread bacterial clones among Escherichia coli K1 isolates. Infect Immun 39: 315–335.
- 51. Klock HE, Lesley SA (2009) The Polymerase Incomplete Primer Extension (PIPE) method applied to high-throughput cloning and site-directed mutagenesis. Methods Mol Biol 498: 91–103.
- 52. Tamura K, Dudley J, Nei M, Kumar S (2007) MEGA4: Molecular Evolutionary Genetics Analysis (MEGA) software version 4.0. Mol Biol Evol 24: 1596–1599.
- 53. Hagberg L, Engberg I, Freter R, Lam J, Olling S, et al. (1983) Ascending, unobstructed urinary tract infection in mice caused by pyelonephritogenic Escherichia coli of human origin. Infect Immun 40: 273–283.