Escherichia coli mastitis strains: In vitro phenotypes and severity of infection in vivo

Mastitis remains a major infection of dairy cows and an important issue for dairy farmers and the dairy industry, in particular infections due to Escherichia coli strains. So far, properties specific to E. coli causing mastitis remain ill defined. In an attempt to better understand the properties required for E. coli to trigger mastitis, we used a range of in vitro assays to phenotypically characterize four E. coli strains, including the prototypical E. coli mastitis strain P4, possessing different relative abilities to cause mastitis in a mouse model. Our results indicate that a certain level of serum resistance might be required for colonization of the mammary gland. Resistance to neutrophil killing is also likely to contribute to a slower clearance of bacteria and higher chances to colonize the udder. In addition, we show that the four different strains do induce a pro-inflammatory response by mammary epithelial cells but with different intensities. Interestingly, the prototypical mastitis strain P4 actually induces the less intense response while it is responsible for the most severe infections in vivo. Altogether, our results suggest that different strategies can be used by E. coli strains to colonize the mammary gland and cause mastitis.


Introduction
In dairy cattle worldwide, mastitis remains a major issue. Clinical forms of mastitis are characterized by the inflammation of the udder, thus impairing mammary cell functions. As a consequence, it constitutes a threat for the health of cows. In addition, considering on the one hand the treatment costs to cure the disease, and on the other hand a shortfall in milk production, mastitis is also a major source of financial losses for the dairy farmers.
Mastitis results in most cases from the invasion of the udder by bacteria. Among responsible pathogens, Escherichia coli is of importance because of its prevalence and the damages this bacterium may induce. To the least, E. coli reduces milk production yields, at most it can cause severe dysfunction of the udder and can sometimes lead to the death of the animal [1].
The current dogma is that the severity of E. coli mastitis is mainly due to the host predispositions, in particular its health status, stage of lactation, parity and genetic background [2]. Indeed, only a few distinctive features of mastitis E. coli isolates have been unravelled. An PLOS ONE | https://doi.org/10.1371/journal.pone.0178285 July 20, 2017 1 / 20 a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 Funding: Dr P. Roussel was recipient of a grant from the "Microbiology and Food Chain" and "Animal Health" divisions of INRA. This work was supported by grants from the IFR136 "Agents Transmissibles et Infectiologie" and from the GISA metaprogram (RUMINFLAME project). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
increased proportion of mastitis isolates belong to phylogroup A compared to other E. coli strains [3]. Studies have shown a low prevalence in mastitis E. coli strains of different virulence determinants described in other E. coli pathovars, such as toxins, adhesins and invasins, secretion machineries or iron acquisition systems [4][5][6][7][8]. Mastitis E. coli strains are thus rather characterized by the lack of virulence genes than by the presence of a combination of virulence genes [8,9]. Regarding phenotypic characteristics of mastitis E. coli strains, the literature reports a number of potentially important phenotypes. The ability of bacteria to grow in milk seems to contribute to the colonisation of the udder: strains with the lowest growth in whole milk are found among fecal isolates but not isolates from mastitis cases [10] while ability to grow in mastitic milk is reduced in fecal isolates [5]. Interestingly, E. coli strains isolated from persistent mastitis cases showed increased adherence and persistence in a mammary epithelial cell line [4]. Yet, the genetic bases for these phenotypes remain unknown and their in vivo relevance needs clarification [11,12]. Because neutrophils are essential for the clearance of bacteria, an increased resistance to phagocytosis and killing by neutrophils is also likely to aggravate the infection [13][14][15][16][17].
Initiating the innate response that leads to this neutrophil recruitment is also a key event in eliminating the invading pathogen. Mammary epithelial cells have been shown to play a significant role in this response triggered upon recognition of bacterial motifs called MAMPs (Microbial-Associated Molecular Patterns), which can be recognized by specific and highly conserved Patterns Recognition Receptors (PRRs) [18]. The contribution of MEC to the host's response seems to be of the utmost importance as recently described [19]. Yet, although the pro-inflammatory response of MEC to purified compounds or to some bacterial strains or species has been investigated by us and others, the diversity of E. coli strains in terms of their capacity to trigger the innate immune system has not been thoroughly examined. The major MAMP implied in E. coli pathogenicity in mastitis has been shown to be the lipopolysaccharide (LPS), which covers the outer membrane of the bacterial wall [2]. LPS is recognized by soluble or membrane CD14, associated with LBP (LPS-binding protein), which leads the LPS to a toll-like receptor (TLR), TLR4. Other MAMPs include lipoproteins, recognized by TLR2, associated with TLR1 or TLR6, as well as peptidoglycans, recognized by cytoplasmic receptors NOD1 and NOD2 [20]. One could therefore hypothesize that a delay in the recognition of the pathogen induces a delayed response, promotes the multiplication of the pathogen and leads to more severe infections [13].
This study aimed at characterizing different phenotypic characteristics and compared them with the severity of mastitis caused by different E. coli strains in a mouse model. Based on multiple references in the literature, the murine model was used as a surrogate to measure the degree of severity of mastitis induced by different strains. Earlier studies have highlighted the value of this model in the study of the inflammatory response triggered by intra-mammary infection by E. coli [16,17,21,22] Indeed, murine mastitis recapitulates the most relevant characteristics of bovine mastitis: it is characterized by the production of pro-inflammatory mediators in milk; then, a strong recruitment of neutrophils occurs which allows the clearance of bacteria [16,17,21,22]. In addition, good similarities between results obtained in mice and cows were reported [11].
In particular, among the multiple in vitro phenotypes analysed, this study unravelled that different E. coli strains had different abilities to trigger the innate immune system.
To summarize, the ability of a strain to cause mastitis is likely to rely on a combination of properties that allow growth in milk, resistance to host defences, stimulation of the innate immune system and possibly adhesion to epithelia.

Murine mastitis model
E. coli strains were first seeded in 10 mL BHI medium for 8 h at 37˚C without agitation. The precultured bacterial suspensions were then diluted to 1/100 in BHI medium and incubated for 16 h at 37˚C without agitation. Bacterial cultures were centrifuged (15 min at 600 x g) and washed with sterile 0.9% NaCl (Cooper). Bacterial concentration was determined by optical density measurement at 600 nm. The bacterial inoculum was adjusted to 2.10 4 colony forming units (cfu)/mL in 0.9%NaCl. C57BL/6J pregnant mice were obtained from Janvier breeder, and raised at the Experimental Infectiology Unit (INRA Val de Loire). Experiments were done with mice at their 8th day of lactation, with 5 to 6 suckling pups. Suckling pups were disposed of 4 h before each experiment. The mice received intraperitoneally 250 μL of 0.9% NaCl, 15% ketamin (Imalgene 1000), 5% xylazine (Rompun). Each mouse received 50 μL of bacterial inoculum (10 3 cfu/ gland) in the 4th right mammary gland and 50 μL of sterile 0.9% NaCl in the 4th left mammary gland. The infections were done through the teat canal using a 33G blunt-end needle (World Precision Instruments). Mice were sacrificed 24 or 48 h.p.i by cervical dislocation by trained personnel. Lesions were scored as 0 (no lameness; normal size, consistency and vasculature of E. coli D6-117. 29 Clinical mastitis A (ST10) O42:H37 this study the udder; presence of milk with normal aspect in both infused mammary glands) to 4 (loss of motility; induration and general inflammation of the udder). The mammary glands were then isolated under sterile conditions, and transferred in DPBS (without Ca and Mg). Each mammary gland was weighed, and minced. On a part of the minced glands, the bacterial loads were determined after 10-fold serial dilutions in sterile PBS and plating on TSA plates.
The remaining supernatant was digested by collagenase III (4 200 U/g of tissue; Worthington) in RPMI 1640 for 30 min at 37˚C, under brisk shake. The cell pellet was separated by concentration gradients in Percoll (GE Healthcare) at 40 and 80%. The interface corresponding to the leukocytes was collected, and washed by DPBS, 5% SVF, and resuspended in FACS buffer (DPBS, 2% of goat serum (Gibco), 2 mM EDTA). Cells were counted by Trypan blue staining (Gibco). The cells were incubated with Fc block buffer (anti-CD13 and anti-CD32 diluted to 1/100 in FACS buffer) for 20 min at 4˚C in the dark. Cells were then incubated in presence of antibodies anti-CD45-APC and anti-Ly6G-PE (BioLegend), and finally fixed during 20 min 4˚C in the dark in FACS Lysing Solution (BD Biosciences), and conserved at 4˚C in the dark. Acquisitions were done using a FACSCalibur cell analyzer (BD Biosciences) and results were analyzed using FlowJo (TreeStar Inc.) software to quantify neutrophils (CD45+ Ly6G+ cells).
On the other part of the minced glands, anti-proteases (Sigma-Aldrich) were added and cytokine quantifications were done by ELISA (Duoset assays, R&D Systems) as described [25].
Each series of experiments were done on 4 to 8 mice per time point.

Growth in bovine milk
Fresh milk was obtained from the Experimental Unit of Animal Physiology (UE PAO, INRA Val de Loire). Samplings were performed under conditions as aseptic as possible on two primiparous cows between their 5th and 8th week of lactation, without any reported history of mastitis, and with somatic cell count (SSC) below 50 000 c/mL. Absence of infection in the sampled quarter was verified the day before and the day of each sampling by plating 100 μL of milk on blood agar. SSC were obtained using a Fossomatic 90 apparatus (A/S N. Foss, Denmark). The fresh whole milk was used untreated. Commercial microfiltered organic milk came from « La Marguerite » farm (Monnaie, France) and was stored at 4˚C until use. We first ensured that there was no aggregation of the different strains in milk (data not shown). E. coli strains were first seeded in DMEM-F12 (Gibco) medium for 8 h at 37˚C without agitation. The precultured bacterial suspensions were then diluted 100-fold in DMEM-F12 medium and incubated for 16 h at 37˚C without agitation. Bacterial cultures were then centrifuged (15 min at 600 x g) and washed with sterile HBSS. The bacteria concentration was determined by optic density measurement at 600 nm. To analyze growth in milk, 10 mL of milk were seeded with the bacterial suspension at a concentration of 10 4 cfu/mL. The inoculated milk was immediately dispensed in 1.5 mL microtubes (1.5 mL per tube). Microtubes were incubated at 37˚C without agitation. Every hour, CFUs from one microtube were counted by serial dilutions and plating on TSA plates and Doubling times were calculated.

Resistance to bovine serum
Serum was prepared from blood collected from 9 healthy dairy cows in commercially available 10 mL evacuated non-coated tubes (Venosafe™, Terumo 1 Europe). After coagulation, sera were collected, checked for sterility, pooled and stored at -80˚C in 1mL aliquots. E. coli strains were first seeded in DMEM-F12 (Gibco) medium for 8 h at 37˚C. The precultured bacterial suspensions were then diluted 100-fold in DMEM-F12 medium and incubated for 16 h at 37˚C. Before each experiment, bacterial cultures were centrifuged (15 min at 600 x g) and washed by sterile HBSS. The bacteria concentration was determined by optic density measurement at 600 nm. To analyze resistance to bovine serum, bacterial cultures were seeded (10 4 cfu/mL) in DPBS Ca2+, Mg2+ (Dulbecco's Phosphate Buffer Saline with Ca and Mg, Lonza), containing cow serum at different concentrations of serum (5, 10, 20, 40 or 50%). Heat inactivated serum (56˚C-30 min) was used as a control. Bacterial suspensions were incubated for 3 h at 37˚C. At the end of the incubation, since strain D6-117.29 was found to aggregate in bovine serum, the samples of this strain were sonicated (7 s, power 2, voltage 3; Vibra Cell sonicator; Sonics & Material, Connecticut). The bacterial loads were determined after dilutions of bacterial suspensions in sterile PBS and plating on TSA agar plates. Survival percentages at one serum concentration were determined by dividing the number of cells obtained after 3h in serum by the number of cells obtained after 3h in heat inactivated serum. Resistance tests to bovine serum were repeated three times.

Adhesion and invasion of MECs by E. coli
To evaluate the ability of E. coli to adhere to or to invade the PS cell line, the PS cells were infected by the different strains for 3 h at an MOI of 10. Incubation were performed either in stimulation medium [26] or fresh milk. At 3 h.p.i., the supernatants were collected and the bacterial loads, representing bacteria free in the medium (NUM), were determined after dilutions of bacterial suspensions in sterile PBS and numeration on TSA plates. Cells were then washed twice by DPBS and lysed by addition of 0.2% Triton X-100 diluted in DPBS and incubated at 37˚C for 10 min. The bacterial loads, representing adherent and invasive bacteria (ADH), were determined after dilutions of bacterial suspensions in sterile PBS and numeration on TSA. To determine the percentage of invasive bacteria, PS cells were washed three times by DPBS and medium containing 100 μg/mL of gentamicin was added for 30 min at 37˚C. After 30 min, cells were washed by DPBS, lysed by 0.2% de Triton X-100 diluted in DPBS and incubated at 37˚C for 10 min. The bacterial loads, representing invasive bacteria (INV), were determined after dilutions of bacterial suspensions in sterile PBS and numeration on TSA. Percentages of adhesion and invasion were determined by calculating the ratios (ADH-INV)/(NUM+ADH) Ã 100 and INV/(NUM+ADH) Ã 100 respectively.

Stimulation of cells with live bacteria or purified bacterial agonists
Stimulation assays were performed as described previously [26]. CXCL8 production by PS cells was quantified by sandwich ELISA with reference to standard as described previously [27]. Response was also analysed by quantitative real-time PCR as described before [28]. Recombinant bovine CD14 was purified from S2 cells transfected with plasmid pCG11. The CD14 cDNA was obtained by RT-PCR from RNA of bovine blood monocytes using primers GTTGAGATCTGACACAACAGAACCCTGCGA and AGTATTCGAACGCGAAGCCTCGGGCTCCTT and cloned downstream of a BiP signal sequence and upstream of a 6-His tag in the BglII/ BstBI sites of plasmid pMT-puro [29]. This plasmid was then transfected in S2 cells grown in InsectExpress medium (Lonza) without serum. After puromycin selection (1μg/ml) of transfected cells, expression of CD14 was induced by 500μM CuSo4. Purification from 1L of supernatant 6 days after induction was achieved by affinity chromatography on Ni-NTA resin (Qiagen). Purification was verified by SDS-PAGE and, after silver staining of gels, purity was estimated to be >99%. Sequence of the purified rbCD14 was confirmed by mass-spectrometry and comparison to the bovine CD14 sequence (139 peptides obtained yielding a coverage of 89%). No significant match to Drosophila melanogaster database was obtained.
Stimulation of HEK-TLR2 and HEK-TLR4 cells HEK cell lines transfected with hTLR2 or hTLR4 (InvivoGen) were used. These cells were cultivated in DMEM 4.5 μg/mL glucose (Gibco) containing 2 mM of glutamine, 20 mM of HEPES, 10% heat-inactivated FCS and 1x HEK-Blue Selection medium (InvivoGen). HEK cells were incubated for 3h at an MOI of 1 with live E. coli grown as previously described [26]. Bacteria were removed, cells were washed once with HBSS and stimulation medium containing gentamicin (100 μg/mL) was then added. Incubation was extended for 5h, then supernatants were collected.

Escherichia coli survival to exposure to bovine PMNs
Bovine PMNs were isolated in conditions minimizing their activation and with a maximum of aseptic conditions. Blood samples were collected from cows in Venosafe EDTA tubes (Veno-safe™, Terumo 1 Europe) and centrifuged at 1300 x g for 20 min at 20˚C. Two milliliters of the pellet containing the granulocytes were transferred in 5 mL of Red Blood lysing solution (Sigma) for 3 min at room temperature. The cells were then washed with DPBS (no calcium, no magnesium-Gibco), and centrifuged for 5 min at 200 g, 20˚C. The cell pellet was then resuspended in DPBS and centrifuged 5 min at 200 g, 20˚C. The cell pellet was then resuspended in DPBS-AH (DPBS Ca 2+ , Mg 2+ ; 10 mM HEPES; 0.1% bovine serum albumin (weigh/volume) (Sigma)). After numeration on a Malassez slide, the cell concentration was then adjusted to 2.10 6 /mL. E. coli strains were first seeded in BHI medium for 8 h at 37˚C without agitation. The precultured bacterial suspensions was then diluted 100-fold in BHI medium and incubated for 16 h at 37˚C without agitation. Before each experiment, bacterial cultures were centrifuged (15 min at 600 g) and washed with sterile DPBS. Bacteria concentrations were determined by optic density measurement at 600 nm, and adjusted to 2.10 7 cfu/mL in DPBS-AH-10% heat inactivated serum. Five hundred microliters of the bacteria suspension were placed in a 5 mL Falcon tube. After 15 minutes at 37˚C without agitation, PMNs were then added to bacteria in order to achieve a MOI of 10. A negative control was prepared using bacteria in the presence of heat-inactivated serum only. The suspensions were then incubated under slow rotation for 1 h at 37˚C.
At the end of the incubation, the suspensions were diluted 10-fold in 0.2% of Triton X-100 and bacterial loads were determined after further dilutions in sterile PBS and plating on TSA agar plates. The percentage of bacterial survival was obtained after dividing the number of bacteria counted after 1h in the presence of neutrophils by the number of bacteria counted after 1h in the absence of neutrophils.

Statistical analysis
Data were first compared using the Kruskal and Wallis test followed by exact permutation tests using StatXact software. A p-value < 0.05 was considered significant.

Mastitis induced by E. coli in mice
Strains tested included the non-pathogenic E. coli K-12 substr. MG1655, the prototypical mastitis isolate strain P4, one E. coli strain isolated from a case of acute clinical mastitis, D6-117.29, and strain B1171 selected from our collection based on its resistance to neutrophil phagocytosis (see below).
The inoculum corresponded to 10 3 cfu/gland. All mock infected glands appeared free of any infection. Mean bacterial concentrations remained low in mice infected by MG1655 and D6-117.29 (median of 8.06 x 10 3 and 2.31 x 10 4 cfu/gland, respectively- Fig 1A). Bacterial concentration did not vary for D6-117.29 at 48 h.p.i. (2.7 x 10 4 cfu/gland), but decreased for MG1655 (4.15 x 10 3 cfu/gland). On the contrary, bacterial counts in the mammary gland at both time points by P4 was significantly higher (3.81 x 10 6 and 4.14 x 10 8 respectively) than colonization by MG1655. Interestingly, at both time points, almost half of the mice infected with strain B1171 had high cfu/gland (above 10 8 cfu/gland) while the others had lower counts (approx. 10 4 cfu/gland).
In all infected glands, significant numbers of neutrophils were recruited compared to mock inoculated glands (Fig 1B).
Because the proinflammatory cytokine IL-6 and the chemokine MIP-2 contribute to the inflammatory reaction of the host, their production in infected glands was analyzed. MIP-2 production was significantly increased in mice infected with strains P4, B1171 and D6-117.29 ( Fig 1C). Significant production of IL-6 was observed in mice infected with strains P4 and B1171 compared to mock-infected glands, the highest levels being reached with P4 ( Fig 1D).
Taking into account these different parameters, the strains can tentatively be ranked in terms of infection severity: P4 induces the most severe infections while strain MG1655 triggers the least severe infections. Strain D6-117.29 also induces non severe infections (low bacterial load) yet with slightly higher pro-inflammatory response. Strain B1171 is intermediate between P4 and D6-117.29.

Growth of E. coli in fresh milk
Because the potential of E. coli to colonize the udder depends partially on its ability to multiply in milk, growth of the different E. coli strains was therefore evaluated in fresh whole milk. In fresh milk, strain MG1655 did not grow at all while the other three strains showed similar growth (Fig 2). Doubling times for strains D6-117.29, B1171 and P4 in fresh milk were 18.6 ±1.6 min, 19.1 ±2.8 min and 17.3 ±2.2 min, respectively, and were not statistically different. In commercial milk, all four strains grew with doubling times not significantly different and varying between 17 and 19 minutes (data not shown).

E. coli survival in serum
Milk contains significant amounts of complement that could impede the growth of colonizing E. coli [30]. Although the role that resistance to serum may play in mastitis is questioned [1], we deemed important to measure precisely, with a low initial inoculum, the resistance of the four strains to bovine serum. The impact of serum was thus tested after 3 h of incubation in the presence of heat-inactivated serum or non-heated serum at concentrations ranging from 5 to 50% (Fig 3). Whatever the concentration, MG1655 was unable to survive in the presence of non-heated serum. Strains D6-117.29 and B1171 were slightly resistant to serum while strain P4 retained 32% viability in the presence of 50% serum.

Interactions between E. coli and mammary epithelial cells
When E. coli enters the udder, and after having multiplied in milk, the bacteria are in contact with host cells, in particular mammary epithelial cells (MEC). We therefore took advantage of a recently described mammary epithelial cell line to analyze potential differences between strains in terms of ability to adhere to, to invade and to stimulate MECs [26]. Of note, this cell line is able to grow without serum.
We first characterized the ability of strains to adhere to and to invade PS cells in culture medium and in fresh milk. In culture medium, results showed that percentages of adhesion were not statistically different between strains. All four strains showed weak invasive properties in culture medium with strains P4 and D6-117. 29 showing slightly higher invasion rates (Fig 4A and 4B). In fresh milk, adhesion and invasion could not be quantified for strain MG1655, potentially due to its sensitivity to complement. For the other three strains, the adhesion rates were not statistically different in milk while strains P4 and D6-117.29 were slightly more invasive than strain B1171 (Fig 4A and 4B). It is worth mentioning that, although these three strains showed lower adhesion rates in milk than in culture medium, the invasion rates in milk were higher than in culture medium.
We then analyzed the pro-inflammatory response of PS cells triggered by these different strains. In the absence of serum, results clearly show that strains MG1655 and B1171 induce strong proinflammatory responses by PS cells as evidenced by high levels of CXCL8 secretion in the medium (Fig 5). On the contrary, stimulation by strain P4 was the lowest while secretion triggered by strain D6-117.29 was intermediate. Because our previous results had indicated that CD14 was important for the recognition of LPS by PS cells, we purified recombinant bovine CD14 (rbCD14) and used it in stimulation assays [26]. Secretion was slightly increased with medians and interquartile ranges indicated as vertical bars. * indicates statistical significance (P < 0.05). Pvalues were calculated using exact permutation tests after global comparison using a Kruskal and Wallis test. A: comparison against MG1655; B, C, D: comparison against 4th right mock-infected gland.
https://doi.org/10.1371/journal.pone.0178285.g001 by rbCD14 but, nevertheless, the low stimulation observed with strain P4 was still observed. When stimulations were performed in fresh milk, a pattern similar to that in medium was observed, showing that strain P4 was also stimulating PS cells weaker than strain MG1655 ( Fig  5B). As control experiments, we showed that cells potentially present in the milk were not responsible for the measured secretion of CXCL8 (bar "No PS-Milk+MG1655").
To get a more detailed view of the response of PS cells to E. coli strains, the expression of different genes controlling the expression of innate immunity receptors, cytokines, chemokines or defensins was also investigated (Fig 6). Regarding the expression of receptors (Fig 6A  and 6C), an increased expression of NOD2, TLR2 and CD14 was observed at 3 h p.i. with strain MG1655 and with all strains except P4 at 8 h p.i.. No changes in the expression of NOD1, TLR1, TLR4, TLR6 and MD2 were detected.
Concerning effector genes, an increased expression was detected at 3 h p.i. and 8 h p.i. Again, the response triggered by strain P4 was much lower than that observed for the other strains. On the opposite, the response initiated by MG1655 was higher than that obtained with the other strains, in particular at 3 h p.i.. As a summary, strain P4 was the least potent in the stimulation of the innate response of PS cells while MG1655 triggered the highest responses.

Repertoire of MAMPs expressed by E. coli strains
In order to analyze if the differences in PS cell stimulation were the consequences of expression of different MAMP repertoires by the four E. coli strains, we used HEK cells expressing either TLR2 or TLR4. Response was analyzed in terms of CXCL8 production. Interestingly, while HEK/TLR4 cells responded in a similar fashion to stimulation with all four strains, HEK/TLR2 cells showed a pattern of response similar to PS cells with a higher response with MG1655 and lower responses with the other three strains suggesting different stimulation of the TLR2   Experiments in stimulation medium were performed in the absence of rbCD14 (white bars) or in the presence of 0.5 μg/ml rbCD14 (black bars). Experiments in milk were done without the addition of rbCD14. Cells were then washed twice with HBSS and medium with gentamicin was added. Response was analysed by quantification of CXCL8 secretion by ELISA 24h after beginning of the experiment. Data presented are mean values and SD obtained from four (-CD14) or three (+ CD14) independent experiments with stimulations performed in duplicates. * indicates statistical significance (P < 0.05). p-values were calculated using exact permutation tests after global comparison using a Kruskal and Wallis test.
https://doi.org/10.1371/journal.pone.0178285.g005 Characteristics of E. coli strains responsible for mastitis pathway (Fig 7). These results suggested that agonists of PRRs produced by E. coli strains might differ quantitatively or qualitatively. However, these observations could not explain why P4 induced a lower response in bovine MECs.

Sensitivity of E. coli to phagocytosis and bactericidal activity of bovine PMNs
Once the innate immune response is triggered, neutrophils are massively recruited to the site of infection and are the main effectors that allow bacterial clearance. Another key determinant for the survival of strains to infection is therefore their ability to activate or to resist PMNs. Each strain was therefore incubated for 1 h in the presence of blood bovine PMNs (Fig 8).
Only strain B1171 showed significant survival to neutrophils, while all the other strains were significantly killed by neutrophils (approx. 10-20% survival after 1 hour).
Cytospin followed by MGG staining clearly showed that B1171 bacteria were rarely found intracellular and neutrophils hardly showed any shape changes. On the opposite, the other strains were taken up by neutrophils with important morphological changes of neutrophils (data not shown). The failure of neutrophils to phagocytose strain B1171 is likely to explain its high survival to neutrophil killing.

Discussion
The aim of the present report was to contribute to the identification of key phenotypes that contribute to the severity of mastitis.
Mice appeared as a useful in vivo model to evaluate the severity of infection induced by different E. coli strains. Indeed, comparable data were obtained in mice and cows using different strains [11]. The panel of strains tested was selected with the expectation that it would increase the diversity of responses to infection. We thus selected a well-known non-pathogenic E. coli strain, strain K-12 MG1655 [24]. We also selected the E. coli P4 strain used in a number of studies [32,33]. Strain D6-117.29 was isolated from a case of severe clinical mastitis [9]. Strain B1171 was chosen from our strain collection based on its documented properties to resist neutrophil killing.
Results from mouse experiments showed that strains MG1655 and D6-117.29 were associated with non-severe mastitis characterized by low clinical scores, low bacterial loads in infected glands and reduced secretion of pro-inflammatory mediators. On the contrary, P4 and B1171 strains induced more severe mastitis with higher bacterial loads, higher neutrophil counts and higher secretion of IL-6 and MIP2, especially for strain P4.
The ability of strain MG1655 to trigger neutrophil recruitment, albeit of limited intensity, was rather unexpected since this strain is considered in the literature as a non-pathogenic strain. Yet, our data clearly indicate that it is able to stimulate a proinflammatory reaction from MECs which would explain the low inflammation observed in vivo. The absence of an Oantigen [34] could facilitate interactions between LPS from MG1655 and the TLR4 receptor, leading to a stronger stimulating action [35]. It could also allow for a better interaction between the TLR2 receptor and outer membrane motifs. This could explain the higher Characteristics of E. coli strains responsible for mastitis stimulation of HEK-TLR2 cells observed with strain MG1655. Despite this efficient stimulation of the innate immune system, the other properties of this strain, in particular its failure to grow in milk, its serum susceptibility and its sensitivity to neutrophil mediated killing, are likely to explain the low severity of infection it induces.
When it comes to the role of serum resistance in mastitis, some reports do not support a significant contribution to the development mastitis while others suggest a link with ability to trigger mastitis [1,11,36]. Nevertheless, our data suggest that serum resistance might contribute, to some extent, to the severity of infection. Indeed, the two strains inducing the most severe infections, P4 and B1171, are the most serum resistant strains of our panel. However, the level of serum resistance is not strictly linked to severity: additional experiments with a strain as resistant to serum as P4 induced clinical signs similar to those induced with the serum sensitive strain D6-117.29 (data not shown). A high level of resistance does not therefore imply severe infection but some level of serum resistance could be necessary to trigger mastitis.
Growth in milk is a pre-requisite for development of bacteria in the udder but it is not sufficient to trigger mastitis [37]. Indeed, although we observed different severity in vivo, growth rate in milk of all strains, except MG1655, were comparable. Compared to classical media (BHI for instance), growth rate was reduced in milk as had already been observed by others [37]. This might be due to the presence of various inhibitory components such as lactoferrin, complement factors, antibodies or proteins (caseins for example).
As PMNs are key cells of the resolution of mastitis, their viability and efficiency play a critical role in the pathogenesis of coliforms mastitis [38]. B1171 was the only strain almost fully resistant to phagocytosis by bovine PMNs. Strain P4 was as susceptible to neutrophil killing as the other strains. Interestingly, strain B1171 is actually an O8 strain that carries a gene cluster to express a group 4 capsule (located between hisI and ugd) and, in addition, shows a mucoid colony morphology (data not shown). The capsule of B1171 might thus contribute to the better resistance to phagocytosis, because of its weak agglutination by antibodies [39]. Our finding is reminiscent to previous reports showing that O8 strains had higher survival than other strains [40,41].
Most interestingly, for the first time to our knowledge, the ability of different E. coli strains to stimulate mammary epithelial cells was compared to one another. These cells are important for the initiation of the innate immune response of the host as they have the ability to respond to a large range of bacterial components as well as to live bacteria [26,28,42]. We took advantage of a new mammary epithelial cell line to analyze how the different E. coli strains of this study stimulated the innate response [26].
Interestingly, the amplitude of response was not equal with all the strains: MG1655 and B1171 induced a stronger response than the other strains. Studies in terms of gene expression confirmed that strain MG1655 actually induced a higher response than all the other strains. Strikingly, P4 was the strain that stimulated MECs the least. This low response was observed both in the absence of CD14 and when CD14 was added to the medium indicating that it might not only be the presence of an O-antigen, which requires CD14 for signalling, that is responsible for this low stimulation.
These differences in activation of the innate immune system were not associated with differences in adhesion properties: adhesion to PS cells was similar for all strains. Whether invasion capacities could explain these different responses is not certain. Although strains P4 and D6-117.29 induce the lowest responses and have higher invasion abilities, the invasion rates are still very low (below 0.01%).
As an alternative explanation, it is possible that the repertoire of MAMPs produced by these different strains is responsible for the different pro-inflammatory responses. Our data obtained with HEK-TLR2 cells indeed suggest that strain MG1655 expresses more TLR2 agonists than the other three strains, or that TLR2 agonists are more readily accessible to the TLR2 receptor complex. Conversely, response of HEK-TLR4 cells did not unravel significant differences between strains.
In vivo, the mastitis induced by P4 shows a strong production of proinflammatory cytokines and chemokines, while this strain had a low stimulating power on MECs. An interesting hypothesis is therefore that this strain could divert the sensing capacity of the MECs, which would delay the triggering of the immune response of the udder. As a consequence, when the innate response is triggered, the inoculum has reached a significant level and the infection is more severe. To confirm this hypothesis, the genetic determinants responsible for the weak stimulation induced by P4 will need to be identified.
Altogether, the diversity of strain phenotypes observed in this report argues for multiple strategies that could be used by E. coli to cause mastitis. MG1655, B1171 and D6-117.29 are well recognized by MECs, and thus would induce a prompt and efficient immune response of the udder, contrary to P4. Yet, MG1655 and D6-117.29 being sensitive to milk complement factors, would be rapidly eliminated. The ability of P4 to resist certain components like milk complement would allow it to multiply in the udder without triggering any major inflammation in the first steps of colonization. When reaching a threshold of bacterial load, P4 would trigger an inflammation proportional to the bacterial load, thus recruiting massive amount of leukocytes. The peculiar case of B1171 would be attributed to its great resistance to PMNs and possibly by the presence in its genome of the estA1 gene encoding a heat-stable enterotoxin (unpublished data) that could be responsible for mammary tissue lesions as described by others [43].
To conclude, our results, combined with recent genomic and phenotypic studies performed by us and others [7,44,45], suggest that properties of E. coli strains able to cause mastitis are highly variable from one strain to another, explaining the difficulty to define a specific serotype or pathotype for E. coli mastitis.