Inactivation of [Fe-S] Metalloproteins Mediates Nitric Oxide-Dependent Killing of Burkholderia mallei

Background Much remains to be known about the mechanisms by which O2-dependent host defenses mediate broad antimicrobial activity. Methodology/Principal Findings We show herein that reactive nitrogen species (RNS) generated by inducible nitric oxide (NO) synthase (iNOS) account for the anti-Burkholderia mallei activity of IFNγ-primed macrophages. Inducible NOS-mediated intracellular killing may represent direct bactericidal activity, because B. mallei showed an exquisite sensitivity to NO generated chemically. Exposure of B. mallei to sublethal concentrations of NO upregulated transcription of [Fe-S] cluster repair genes, while damaging the enzymatic activity of the [Fe-S] protein aconitase. To test whether [Fe-S] clusters are critical targets for RNS-dependent killing of B. mallei, a mutation was constructed in the NO-induced, [Fe-S] cluster repair regulator iscR. Not only was the iscR mutant hypersusceptible to iNOS-mediated killing, but its aconitase pool was readily oxidized by NO donors as compared to wild-type controls. Although killed by authentic H2O2, which also oxidizes [Fe-S] clusters, B. mallei appear to be resilient to NADPH oxidase-mediated cytotoxicity. The poor respiratory burst elicited by this bacterium likely explains why the NADPH oxidase is nonessential to the killing of B. mallei while it is still confined within phagosomes. Conclusions/Significance Collectively, these findings have revealed a disparate role for NADPH oxidase and iNOS in the innate macrophage response against the strict aerobe B. mallei. To the best of our knowledge, this is the first instance in which disruption of [Fe-S] clusters is demonstrated as cause of the bactericidal activity of NO congeners.


Introduction
The gram negative, nonmotile B. mallei bacillus is the causative agent of glanders, a disease that can be transmitted to humans upon cutaneous, mucosal or aerosol exposure to mucopurulent discharge from the eyes, nose and lips of infected solipeds [1]. The clinical presentation of glanders is characterized by an acute or chronic suppurative syndrome involving the upper and lower respiratory tract. If untreated, the local signs of glanders often evolve into full-blown sepsis, multiorgan system failure and shock. The poor understanding of the pathogenesis of glanders, the severity and clinical diversity of the infection and a lack of vaccines make B. mallei a desirable bioterrorist agent as has been demonstrated empirically in humans and animals in both World War I and II [2].
Pathogens adapted to an intracellular lifestyle avoid competition with other microbes that colonize host surfaces, while taking advantage of the nutritional resources provided by the cell. The cost of intracellular parasitism is the potential exposure to a variety of host defenses. For example, intracellular pathogens may encounter the O 2 -dependent antimicrobial mechanisms that are coupled to NADPH oxidase and iNOS enzymatic activities. The NADPH phagocyte oxidase is assembled on endocytic or plasma cell membranes, whereupon it catalyzes the NADPH-dependent univalent reduction of O 2 to superoxide (O 2 N2 ). This radical serves as precursor to a variety of reactive oxygen species (ROS) endowed with widespread antimicrobial activity [3]. The electrogenic nature of the NADPH oxidase may also contribute to the host cell arsenal by promoting the release of cationic proteases from the proteoglycan matrix into the phagosomal lumen [4]. Professional phagocytes independently use O 2 and NADPH in the oxidation of L-arginine with the consequent generation of Lcitrulline and NO [5]. Similar to ROS, products of the reaction of NO with O 2 , O 2 N2 and metals are endowed with antimicrobial activity against phylogenetically diverse microorganisms [6].
Recent investigations have demonstrated that members of the genus Burkholderia survive within mononuclear phagocytes [7], prompting an interest in the role of ROS and RNS in defense against these bacteria [8][9][10][11][12]. The importance that the NADPH oxidase plays in resistance to some Burkholderia spp. is made evident by the fact that B. cepacia is the second most lethal infection in chronic granulomatous disease patients carrying mutations in membrane-bound or cytosolic components of the NADPH oxidase [13]. The clinical importance of NADPH oxidase in resistance to B. cepacia has been recreated in p47phox-deficient mice [14]. The NADPH oxidase has also been linked to the anti-B. pseudomallei arsenal of macrophages [12]. In contrast to ROS, current investigations on NO-related anti-Burkholderia activity have been rather controversial. Experimental animal models and macrophage cell cultures have shown that iNOS is dispensable for innate host defense against B. cepacia and B. pseudomallei [12,14]. Moreover, others have shown that the greatest Burkholderia growth occurs during maximal NO synthesis [8]. Inhibition of iNOS mRNA transcription appears to underlie the lack of a role of RNS against B. pseudomallei [9,10]. On the other hand, IFNc can enhance NO-mediated intracellular killing of B. pseudomallei [11]. Recently, it has been reported that B. mallei is susceptible to NO generated by macrophages [15], although the mechanisms of antimicrobial activity remain unclear. Similarly, it remains unclear whether the NADPH oxidase plays a role in resistance to the intracellular pathogen B. mallei. The major goal of this study was to characterize the contribution of NADPH oxidase and iNOS hemoproteins to the macrophage antimicrobial arsenal against B. mallei.

Bacterial Strains and genetic manipulations
B. mallei strain ATCC 23344 was used in these studies (table 1). Bacteria grown overnight in 10 ml of Luria Bertani broth supplemented with 4% glycerol (LBG) at 37uC in a 315 RPM shaking incubator were sub-cultured into pre-warmed LBG and grown to an OD 600 of 0.6. The B. mallie iscR homologue, locus BMA1709, was disrupted by inserting a 400 bp internal region of the BMA 1709 using homologous recombination. The 400 bp internal region was amplified by PCR using an iscR forward primer containing a BamHI restriction site (59-tgactacggatccgcccggtgacgcttgcaggcatcag-39) and the iscR reverse primer containing an SphI restriction site (59-aagcccgtcgcatgcgcgacgggctccggcttgcgcttg-39). After double digestion with BamHI and SphI, the PCR product was directionally cloned into the suicide vector pMO90, creating the disruption plasmid pMO126. pMO126 was introduced into B. mallei using triparental mating [16] in the presence of the helper E. coli DH5a pRK2013 strain [17]. Mating reactions were plated on LB agar plates supplemented with 30 mg/ml kanamycin to select for transconjugants, and 20 mg/ml polymyxin B to select against the helper and donor E. coli strains. The resulting colonies were re-streaked for isolation on LB plates supplemented with 30 mg/ml kanamycin and 20 mg/ ml polymyxin B. Insertion of pMO126 into the B. mallei genome and the disruption of BMA 1709 was confirmed by PCR. The replicative plasmid pMO79 encoding a green fluorescence protein was conjugated into B. mallei strain ATCC 23344 by triparental mating as described above. The presence of pMO79 in B. mallei was confirmed by fluorescence microscopy.

Macrophages
C57BL/6 and congenic iNOS 2/2 [18] or gp91phox 2/2 [19] mice were bred in our animal facility according to Institutional Animal Care and Use Committee guidelines. Peritoneal macrophages were harvested from mice 4 days after intraperitoneal inoculation of 1 mg/ml sodium periodate as described [20]. The peritoneal exudate cells were resuspended in RPMI 1640 medium (Sigma-Aldrich, St. Louis, MO) supplemented with 10% heatinactivated fetal bovine serum (BioWhittaker, Walkersville, MD), 15 mM Hepes, 2 mM L-glutamine, 1 mM sodium pyruvate (Sigma-Aldrich), and 100 U ml 21 /100 mg ml 21 of penicillin/ streptomycin (Cellgro) (RPMI + medium). The RPMI + medium used to culture the THP-1 cell line was supplemented with 50 mM 2-mercaptethanol. The peritoneal exudate cells were seeded in flat-bottom 96-well plates for macrophage killing assays at a density of 2610 5 cells per well. The macrophages were selected by adherence after 24 h of culture at 37uC in a 5% CO 2 incubator. Murine J774 (clone ATCC TIB-67) and AMJ2-C11 (clone ATCC CRL-2456) and human U937 (clone ATCC CRL-1593.2) and THP1 (clone ATCC TIB-202) macrophage-like cells grown in RPMI + medium supplemented as described above were used as additional sources of mononuclear phagocytes. Selected groups of macrophages were treated with 200 U/ml of IFNc (Life Technologies, St. Paul, MN) overnight prior to Burkholderia infection. Just prior to infection the macrophages were washed with pre-warmed RPMI without antibiotics.

Macrophage killing assays
The macrophage killing capacity was quantified by a gentamicin protection assay following a modified protocol described for Salmonella [21]. B. mallei were grown overnight in LBG broth and sub-cultured to OD 600 of 0.6 as described above. The bacteria were spun down for 5 min at 1500 RPM onto the macrophages at an MOI of 200 after opsonization in 10% normal mouse serum in RPMI + medium. Unless specified, extracellular bacteria were removed from the monolayers after a 2 h incubation by washing with pre-warmed RPMI + medium containing 6 mg/ml of gentamicin (Sigma-Aldrich). After washing the noninternalized bacteria, the MOI was determined to be 10. Burkholderia-infected macrophages were lysed with 1% Triton X-100 in phosphate buffered saline (PBS) at the indicated times after challenge. The intracellular bacteria recovered at various points after infection were enumerated on LB agar plates. The % survival was calculated as (cfu t n /cfu t 0 )6100.

Superoxide anion determination
was quantified by the superoxide dismutase-inhibitable reduction of ferricytochrome c [22]. The macrophages were infected at an MOI of 40 with Burkholderia resuspended in phenol red-free Earle's balanced salt solution containing 60 mM ferricytochrome c. Because B. mallei is aflagellated, a strain of Salmonella enterica serovar Typhimurium deficient in fliC fljB was used as a positive control. After 1 h incubation in 5% CO 2 at 37uC, the OD of the supernatants was determined spectrophotometrically at 550 nm. The concentration of O 2 N2 was calculated by using an e 550 of 2.1610 3 M 21 cm 21 . All reagents were purchased from Sigma-Aldrich.

Nitrite measurement
The concentration of nitrite (NO 2 2 ) produced by Burkholderiainfected macrophages 6 h post-challenge was estimated spectrophotometrically at 550 nm in a Biotek Synergy HT-2 reader after mixing culture supernatants with an equal volume of Griess reagent (0.5% sulfanilamide and 0.05% N-1-naphthylethylenediamide hydrochloride in 2.5% phosphoric acid). The NO 2 2 concentration was calculated by regression analysis using a NaNO 2 standard curve.

Susceptibility to RNS and ROS in vitro
Overnight cultures of B. mallei diluted 1:100 in LBG broth were grown at 37uC with shaking to OD 600 of 0.6. Bacteria were concentrated by centrifugation and the pellets resuspended in PBS. The bacteria were diluted 1:100 in PBS and incubated with spermine NONOate ( Microarrays RNA from B. mallei was isolated in Triazol reagent from cultures grown to an OD 600 of 0.1 in LB medium. Selected cultures were treated with 1 mM DEANO for 30 min before the isolation of the RNA. Synthesized cDNA was labeled as previously described for Mycobacterium tuberculosis [23] with the following changes. An additional phenol/chloroform extraction was added to clean the RNA after isolation. The resulting RNA was further purified using a Qiagen RNeasy kit. 5 mg RNA were used for cDNA synthesis. After cDNA synthesis, the samples were further purified by phenol/chloroform extraction followed by concentration using a microcon YM-30 column (Millipore, Bedford, MA). Hybridization reactions contained 5 ml cDNA, 1 ml yeast tRNA (Sigma), and 15 ml hybridization solution (400 ml formamide, 239 ml H 2 O, 250 ml 206 SSC, 10 ml 10% SDS 10 ml). Samples were heated at 98uC for 2 min, cooled 5 min at 25uC and placed on prehybridized Burkholderia array slides (Colorado State University RM-RCE Genomics Core). Hybridization was conducted in standard hybridization chambers overnight in a 42uC water bath and washed with 16 SSC and 0.05% SDS, followed by two washes in 0.066 SSC. The slides were scanned using a Genepix Axon 4000B scanner. Initial data analysis was conducted using Genepix Pro software, followed by analysis using Microsoft Excel as described [23].
Aconitase enzymatic assay 3 mL of stationary phase B. mallei grown in LBG medium were pelleted by centrifugation and resuspended in an equal volume of LB medium. Selected cultures containing 36 OD were treated with either 500 mM or 1 mM spermine NONOate for 30 min. The cultures were pelleted by centrifugation at 4uC, washed with 50 mM Tris-HCl buffer, pH 7.6 and the cytoplasmic proteins extracted in 400 mL B-PER (Pierce, Rockford IL) after vortexing for 30 sec. The samples were diluted 1:2 in 50 mM Tris-HCL buffer, pH 7.6. After removing the insoluble fraction by centrifugation, the supernatants were filter-sterilized. Aconitase activity in the soluble fractions was estimated spectrophotometrically at 240 nm by following the formation of cis-aconitate in 50 mM Tris-HCl buffer pH 7.4 containing 30 mM isocitrate. Aconitase activity is expressed as DOD 240 /min/mg protein.

Electron microscopy
The phagocytes were plated as described above for killing assays at a density of 4610 5 per chamber of a 8-well Permanox Labtek chamber slide system (Nalgene Nunc International, Rochester, NY). The macrophages were challenged with B. mallei at an MOI of 10 as described above. Between 2 and 3.5 h after infection, the cells were fixed in 2.5% glutaraldehyde in phosphate buffer, pH 7.4. The specimens were postfixed in 1% osmium tetraoxide, treated with uranyl acetate, dehydrated in ascending ethanol series, and infiltrated with Embed 812. Ultrathin sections were examined in a FEI Technai 62 electron microscope operated at 80 kV.

Fluorescence microscopy
Macrophages plated on 13 mm glass coverslips in a 24-well plate at a density of 2.5610 5 cells/well were infected as described above with GFP-expressing B. mallei. The specimens were washed in PBS 3 h after infection and fixed overnight at 4uC in 2% paraformaldehyde (Electron Microscopy Sciences, Hatfield, PA) diluted in PBS. After fixation, the coverslips were washed in PBS and the cells were permeablized for 5 min with 0.1% Triton X-100 in PBS. After washing, F-actin was visualized by labeling the infected macrophages with Alexa Fluor 568 phalloidin (Invitrogen). The coverslips were washed with PBS and mounted onto glass slides prepped with Vectashield mounting medium containing DAPI nucleic acid stain (Vectashield Laboratory, Burlingame, CA). The specimens were examined with a Zeiss Axiophot fluorescence microscope equipped with a charge-coupled-device camera controlled by the SlideBook deconvolution image-processing software (Intelligent Imaging Innovations, Denver, CO).

Statistical analysis
Data are presented as mean 6 SEM or in box-and-whiskers plots as median, intraquartile and total ranges. A two-tailed, Student's t-test was used for statistical analysis and the data considered statistically significant when p,0.05.

Survival of B. mallei in human and murine cell lines
The number of log phase B. mallei internalized by J774 cells increased as a function of time, reaching approximately 10 6 CFU/ 10 5 macrophages 2 h after infection. Because of this delay phagocytosis, all subsequent Burkholderia infections, unless indicated, were carried out for 2 h before gentamicin was added to the medium. Mice offer a wide variety of genetic reagents that facilitate investigations of O 2 -dependent host defenses in hostpathogen interactions. Therefore, we deemed it important to compare the intracellular growth of B. mallei in a number of murine (J774 and alveolar AMJ-C11 macrophages) and human (i.e., THP1 and U937) cell lines ( fig. 1). Remarkably, all murine and human macrophage-like cell lines tested killed B. mallei with very similar kinetics. These findings indicate that murine macrophages are a relevant model in which to study B. malleiphagocyte interactions.

IFNc enhances killing of B. mallei by macrophages
It has been shown that IFNc enhances the antimicrobial activity of macrophages against the opportunistic pathogen B. pseudomallei. However, to our knowledge, no data are available on the role that IFNc plays in intracellular resistance to B. mallei. Because IFNc has recently been shown to be critical for resistance of mice to B. mallei [24], we tested the effect of IFNc treatment on the anti-Burkholderia activity of J774 cells ( fig. 2). IFNc-primed macrophages were significantly (p,0.01) more efficient at killing B. mallei than unstimulated controls. The number of B. mallei recovered from IFNc-treated macrophages was at least 10-fold lower than controls ( fig. 2). In some cases, IFNc-primed J774 cells completely eliminated the bacteria from the cell cultures. These data demonstrate that IFNc enhances the innate resistance of murine macrophages to B. mallei.
Reactive oxygen and nitrogen species differentially contribute to the anti-B. mallei activity of IFNc-primed macrophages ROS and RNS are key components of the antimicrobial arsenal of the innate and the activated response of macrophages against a variety of intracellular pathogens [25]. To test the importance of ROS and RNS in the killing of B. mallei, macrophages were obtained from C57BL/6 mice and their congenic gp91phox 2/2 , iNOS 2/2 and gp91phox 2/2 /iNOS 2/2 immunodeficient strains. Unstimulated macrophages isolated from C57BL/6 mice killed over 99% of B. mallei within 5 h of infection ( fig. 3A). Strikingly, singly or doubly immunodeficient macrophages lacking gp91phox and/or iNOS hemoproteins exhibited similar bactericidal activity as that of unstimulated wild-type controls. These findings suggest that neither ROS nor RNS appear to play a significant role in the early killing of B. mallei by unstimulated macrophages. Similar to the improved killing seen in the J774 cell line, IFNc increased (p,0.001) the anti-B. mallei activity of primary macrophages isolated from C57BL/6 mice. It should be noted that some of the IFNc-primed macrophages completely eliminated B. mallei from the cultures, a phenomenon that was seen in all of the IFNcprimed, gp91phox-deficient macrophages (fig. 3B). These findings suggest that ROS are dispensable for the anti-B. mallei activity of IFNc-primed macrophages. Conversely, RNS contributed to the anti-B. mallei arsenal of IFNc-activated macrophages ( fig. 3B). In fact, this intracellular pathogen was recovered in significantly higher numbers from both IFNc-primed, iNOS 2/2 and iNOS 2/2 /gp91phox 2/2 macrophages than from wild-type or gp91phox 2/2 controls. The killing activity of IFNc-treated, iNOS-or iNOS/ gp91phox-deficient macrophages was similar to that of unstimulated wild-type controls. Collectively, these data indicate that RNS but not ROS mediate the anti-Burkholderia activity of IFNc-primed

B. mallei is susceptible to RNS
The poor anti-Burkholderia activity of IFNc-primed macrophages lacking iNOS suggest that RNS generated by activated phagocytes exert early antimicrobial activity against B. mallei. Consequently, the ability of macrophages to produce NO in response to B. mallei infection was tested by measuring the accumulation of NO 2 2 . Supernatants of B. mallei-infected J774 cells contained about 200 mM NO 2 2 after 5 h of infection ( fig. 4A). The concentration of NO 2 2 seen in B. mallei-infected cells closely paralleled the NO 3 2 levels contained in RPMI medium, raising the possibility that a bacterial nitrate reductase activity is responsible for the observed NO 2 2 burst. This idea was substantiated by the fact that the putative B. mallei nitrate reductase activity could be inhibited by the flavoprotein inhibitor diphenyleneiodonium (fig. 4A). To determine whether host cell iNOS activity can be stimulated upon B. mallei challenge, the capacity of macrophages to generate NO 2 2 was therefore estimated in NO 3 2 -free medium. As shown in figure 4B, IFNc-primed macrophages, but not unstimulated controls, generated copious amounts of NO congeners in response to B. mallei. Accumulation of NO 2 2 in the supernatants reflects a functional iNOS enzymatic complex, since the amount of NO 2 2 generated by iNOS-deficient macrophages was negligible. Figure 4C shows 5B). We next tested whether the iscR mutant is susceptible to NO produced by activated macrophages. Because wild-type B. mallei is already highly susceptible to the iNOS-mediated antibacterial activity of IFNc-primed macrophages after 5 h of infection ( fig. 3B), the survival of wild-type and iscR-deficient B. mallei was compared after 2 h of challenge. As anticipated ( fig. 5B), at this early time the iscR mutant was more susceptible than wild-type controls to the antimicrobial activity of IFNc-primed macrophages ( fig. 5C). The difference in intracellular survival of wild-type and iscR-deficient bacteria was not as great in IFNc-primed macrophages lacking iNOS compared to those containing iNOS (fig. 5C). These data suggest that iscR mutant bacteria are hypersusceptible to the RNS generated by the host cells. The aconitase activity of the iscR mutant grown overnight in LBG medium was similar to that of wild-type controls ( fig. 5D). However, the enzymatic activity of aconitase was more vulnerable to RNS-mediated inactivation in the absence of a functional iscR. Together, these findings are consistent with the notion that [Fe-S] clusters are key targets of the RNS-dependent bactericidal activity against B. mallei.  B. mallei is resistant to the oxidative burst of macrophages despite its marked susceptibility to ROS

NO enhances transcription of genes associated with [Fe-S] cluster assembly
We investigated the possible mechanism for the apparent dispensability of the NADPH oxidase in the intracellular killing of B. mallei. B. mallei was found to be susceptible to authentic H 2 O 2 ( fig. 6A). As little as 100 mM H 2 O 2 killed over 90% of B. mallei after 2 h. A kinetic study revealed that the viability of B. mallei was markedly reduced 90 min upon exposure to 200 mM H 2 O 2 , declining further thereafter (fig. 6B). These findings demonstrate that B. mallei are extraordinarily susceptible to ROS-mediated killing. The ability of Burkholderia to escape into the cytosol [26,27] could rationalize the apparent dispensability of NADPH oxidase in the anti-B. mallei arsenal of macrophages. To test the intracellular localization of B. mallei, the ability of the bacterium to form actintails was evaluated by fluorescence microscopy. As shown in figure 6C-E, B. mallei do not appear to polymerize actin tails at the early times examined here, although polymerization of actin was evident in about 10% of the B. mallei-containing phagosomes ( figure 6E). Electron microscopy studies revealed that the totality of B. mallei were found within phagosomes in both unstimulated and IFNc-primed macrophages ( fig. 6F and G). Collectively, the fluorescence and electron microscopy studies indicate that B. mallei remain within the confines of phagosomal membranes during the early stages of infection studied herein, irrespective of whether the phagocytes are stimulated with IFNc ( fig. 6F & G). We tested whether the seeming dispensability of the NADPH oxidase in the anti-B. mallei activity of macrophages was due to a poor respiratory burst. Estimates of O 2 N2 production by the superoxide dismutaseinhibitable reduction of cytochrome c revealed that B. mallei was a poor stimulant of the respiratory burst as compared to an aflagellated fliC fljB Salmonella control ( fig. 6H).

Discussion
O 2 -dependent host defenses are the best-characterized components of the antimicrobial arsenal of professional phagocytes. O 2 is used by NADPH oxidase and iNOS hemoproteins for the generation of O 2 N2 and NO, which are the precursors of a plethora of ROS and RNS. Pathogenic microorganisms show a spectrum of susceptibilities to the antimicrobial actions of RNS. For example, RNS are essential for resistance to Mycobacterium tuberculosis and Leishmania major [12,28], but appear to be dispensable in host defense against Legionella pneumophila and Pseudomonas aeruginosa [25]. Similar to Mycobacterium and Leishmania, our investigations have shown that the intracellular pathogen B. mallei is highly susceptible to RNS-mediated host defenses. We find Poor killing of B. mallei by IFNc-treated macrophages lacking iNOS, irrespective of the NADPH oxidase status of the cell, suggests that the RNS-mediated killing of B. mallei does not depend on host-derived ONOO 2 synthesis. NO itself, nitrogen oxides derived from the autooxidation of NO in the presence of O 2 , or ONOO 2 generated in the bacterial cytoplasm from the reaction of NO with endogenous O 2 N2 represent a few of the RNS that may be responsible for the iNOS-dependent killing of B. mallei. B. mallei are extraordinarily susceptible to RNS as shown by the profound killing seen after treatment with 10 mM spermine NONOate. NO donors also exert antimicrobial activity against phylogenetically diverse microbes such as Candida albicans, Salmonella enterica and Escherichia coli [29][30][31]. However, NO donors, even when used at high micromolar or low millimolar concentrations, are cytostatic for these microbial pathogens. Therefore, our studies identify B. mallei as one of the few pathogens for which host-derived RNS are microbicidal.
Aconitase is inactivated upon incubation of B. mallei with NO congeners, possibly reflecting the RNS-dependent oxidation of the solvent exposed Fe a in the [Fe-S] cluster [32,33]. It is therefore not surprising that genes encoding for iron-sulfur cluster assembly are highly transcribed in NO-treated B. mallei. RNS-mediated oxidation of [Fe-S] clusters of dehydratases [33][34][35][36] has for a long time been seen as a concomitant event of cytotoxic, NOproducing macrophages [32]. However, a causative relationship between the oxidation of [Fe-S] clusters and killing by RNS has not been previously demonstrated. The rapid loss in viability and aconitase activity of an iscR mutant exposed to sublethal NO concentrations demonstrate a direct relationship between [Fe-S] cluster damage and the bactericidal activity of RNS against B. mallei. Oxidation of [Fe-S] prosthetic groups of dehydratases critical for intermediate metabolism may explain the bactericidal activity of RNS against the obligate aerobe B. mallei. According to our model, the overt resistance of facultative anaerobes to NO reflects the ability of these microbes to generate energy by switching from oxidative phosphorylation heavily dependent on RNS-modifiable dehydratases to fermentative pathways resilient to nitrosative stress. Future experiments will be needed to test this hypothesis.
Our data indicate that the NADPH oxidase is dispensable for intracellular killing of B. mallei. These findings might seem striking since B. mallei are readily killed upon exposure to H 2 O 2 . Microbes have devised an assortment of strategies to avoid NADPH oxidasedependent cytotoxicity. For example, detoxification of oxyradicals by superoxide dismutases, catalases and hydroperoxydases or scavengers such as low molecular weight thiols are efficient ways to diminish oxidative stress [6]. The antimicrobial activity of the NADPH oxidase is best manifested against intracellular pathogens confined within endocytic membranes [37,38]. At the early times examined here, B. mallei do not escape into the cytosol as has been shown for various Burkholderia spp. at later time points after infection [27,39]. The poor respiratory burst elicited by B. mallei represents a mechanism for minimizing exposure to the NADPH oxidase during the time that this intracellular pathogen remains in the phagosome. Analogous to other microorganisms [40], the putative polysaccharide extracellular capsule [41] may help B. mallei avoid signaling cascades that stimulate a productive respiratory burst. The resistance of B. mallei to the NADPH oxidase-mediated antimicrobial activity of macrophages does not, however, eliminate the possibility that this hemoprotein may play a role in the purulent phase of the host response as has been shown for B. cepacia and B. pseudomallei [12,14]. O 2 -independent mechanisms are a significant component of the innate killing of B. mallei as indicated by the fact that macrophages from doubly immunodeficient mice lacking both NADPH oxidase and iNOS hemoproteins efficiently kill this bacterium. Innate activation of the autophagic pathway as described for the respiratory pathogen Legionella pneumophila [42][43][44] is one possible mechanism for the O 2 -independent killing of B. mallei seen in macrophages lacking both gp91phox and iNOS. Recent studies have shown that small GTPases induced in response to IFNc stimulate killing of M. tuberculosis by promoting autophagosome formation [45,46]. Most of the enhanced antimicrobial activity stimulated by IFNc against M. tuberculosis and Salmonella enterica is nonetheless associated with the production of RNS [21]. In contrast to these two intracellular pathogens, the enhanced killing of B. mallei by IFNc-primed macrophages is exclusively dependent on the expression of functional iNOS. This role for RNS in the bactericidal activity of IFNc-primed macrophages against B. mallei contrasts with the apparent dispensability of iNOS to the early innate host defenses of unstimulated macrophages. The short time course of the infection studied herein likely prevented innate production of nitrogen oxides in B. mallei-infected macrophages. Given the extraordinary susceptibility of B. mallei to RNS (studies herein) and the stimulation of TLR4 signaling by LPS purified from B. mallei [47], it is not surprising that NO produced at later times of the innate response contributes to the killing of this intracellular pathogen [15].
In summary, our studies indicate that despite its susceptibility to ROS and RNS, B. mallei are selectively killed by RNS generated by IFNc-activated macrophages. These investigations place B. mallei among the limited number of microorganisms for which NO congeners are microbicidal. Our biochemical and genetic studies indicate that [Fe-S] clusters are critical targets of RNS-mediated killing of B. mallei. The extraordinary hypersusceptibility of B. mallei to RNS raises the intriguing possibility that NO donors could be explored as antibiotics to treat glanders, as shown in the experimental treatment of cutaneous mycosis and leishmaniasis [48,49]. However, analogous to herpes simplex virus and toxoplasma (reviewed in 49), the possibility exists that despite exerting potent antimicrobial activity, NO could still exacerbate pathology. Future experiments will be needed to determine the value of NO donors in the treatment of glanders.