Fluorescent reporter proteins have proven useful for imaging techniques in many organisms. We constructed optimized expression systems for several fluorescent proteins from the far-red region of the spectrum and analyzed their utility in several mycobacterial species. Plasmids expressing variants of the Discosoma Red fluorescent protein (DsRed) from the Mycobacterium bovis hsp60 promoter were unstable; in contrast expression from the Mycobacterium smegmatis rpsA promoter was stable. In Mycobacterium tuberculosis expression of several of the far-red reporters was readily visualised by eye and three reporters (mCherry, tdTomato, and Turbo-635) fluoresced at a high intensity. Strains expressing mCherry showed no fitness defects in vitro or in macrophages. Treatment of cells with antibiotics demonstrated that mCherry could also be used as a reporter for cell death, since fluorescence decreased in the presence of a bactericidal compound, but remained stable in the presence of a bacteriostatic compound. mCherry was functional under hypoxic conditions; using mCherry we demonstrated that the PmtbB is expressed early in hypoxia and progressively down-regulated. mCherry and other far-red fluorescent proteins will have multiple uses in investigating the biology of mycobacteria, particularly under non-replicating, or low cell density conditions, as well as providing a novel means of detecting cell death rapidly.
Citation: Carroll P, Schreuder LJ, Muwanguzi-Karugaba J, Wiles S, Robertson BD, Ripoll J, et al. (2010) Sensitive Detection of Gene Expression in Mycobacteria under Replicating and Non-Replicating Conditions Using Optimized Far-Red Reporters. PLoS ONE 5(3): e9823. https://doi.org/10.1371/journal.pone.0009823
Editor: Olivier Neyrolles, Institut de Pharmacologie et de Biologie Structurale, France
Received: January 26, 2010; Accepted: March 1, 2010; Published: March 23, 2010
Copyright: © 2010 Carroll 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 supported by the Bill and Melinda Gates Foundation TB Drug Accelerator Programme. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
The mycobacteria include a number of pathogens of global importance such as Mycobacterium tuberculosis, Mycobacterium leprae, Mycobacterium bovis and Mycobacterium avium. M. tuberculosis, the causative agent of tuberculosis in humans, is one of the leading causes of mortality in the world accounting for approximately two million deaths per year. The bovine pathogen, M. bovis, also causes disease in humans but has a greater economic impact on farming and trade. The M. tuberculosis complex species, which include M. tuberculosis and M. bovis, are slow-growing organisms which require specialized biosafety facilities, possess a characteristic lipid-rich cell wall and a GC-rich genome, all of which have made studies difficult and time-consuming. Much research has focused on the generation of novel molecular techniques to aid in the study and combat of the pathogenic mycobacteria, especially M. tuberculosis.
Since the 1940s when antibodies were tagged with fluorescein isocyanate to aid detection in histopathological sections , fluorescence has been a valuable tool in biological research. Fluorescent reporters have been used to investigate transcriptional activity, for protein localisation, to screen microbial population dynamics in situ, and for comparative genomic, transcriptomic, and proteomic studies. Green fluorescent protein (GFP) was first isolated in 1960 from Aequorea victoria, but it was not until 1994 that GFP was first utilised to report gene expression in prokaryotes and eukaryotes . GFP has excitation and emission maxima of 395nm and 509nm respectively, and has been extensively used in mycobacteria for quantifying bacilli and plasmid numbers , localisation of bacteria in the granuloma and macrophage ,  and measuring promoter activity , , , . Another commonly used fluorescent reporter, with homology to GFP, is DsRed, originally cloned from the coral Discosoma striata . One of the main benefits of using DsRed rather than GFP is its red-shifted excitation and emission maxima (558nm and 583nm respectively). This allows for long-term excitation, since live cells are less sensitive to these wavelengths, as well as a reduction in auto-fluorescence and scattering by extending the range of resonance energy transfer . However, DsRed excitation and most of its emission spectrum also lies at one of the absorbing peaks of hemoglobin and is therefore not an ideal candidate for in-vivo imaging in small animals due to the lower depths that can be probed. Additionally, native DsRed is not an ideal reporter due to the formation of tetramers which can cause toxic aggregates, and a slow maturation time via a green intermediate , , . Mutant derivatives of DsRed have been generated to overcome these problems, these include mCherry , mKate , mPlum , tdKatushka , tdTomato  and Turbo-635 . These reporters have been extensively used in living eukaryotic systems and variants of the Clonetech DsRed2 have been used in several mycobacterial species , , , .
Since what happens in vitro is not always the same as that in vivo , a recent focus has been on developing fluorescent reporter strains for use in non-invasive techniques to study host-pathogen interactions. In cancer research, the disease can be visualised in vivo using both bioluminescence , ,  and fluorescence , , , ,  in the murine model. However, the main reason that imaging infectious diseases lag behind is due to the inherent properties of the cells under investigation; eukaryotic cells are much larger in size and volume than prokaryotic cells. In prokaryotic models, M. bovis BCG expressing a fluorescent reporter has been visualised in exteriorized murine livers , , . Similarly, fluorescent probes have been shown to traffic cellular function in exteriorized murine kidneys and also as a marker for pathogenesis  and leukocyte recruitment in the mouse footpad using YFP . EGFP has been used as a marker for pathogenesis of the obligate intracellular protozoa Leishmania to study neutrophil recruitment  and both GFP and DsRed have been used to visualise Pseudomonas aeruginosa colonisation of the gastrointestinal tract in Zebra fish .
We investigated the utility of far-red fluorescent proteins in several mycobacterial hosts. We demonstrated that mCherry, mPlum, tdTomato and Turbo-635, are all useful fluorescent reporters, which can be easily detected when expressed from mycobacterial promoters. In M. tuberculosis, no adverse effects on fitness were seen. We also investigated the utility of mCherry as a reporter of cell viability and density, as well as of promoter activity in replicating and non-replicating (hypoxic environments). We discuss the impact these far-red reporters will have on the future of mycobacterial research.
We wanted to develop bright fluorescent reporters to aid in our understanding of M. tuberculosis host interactions in vitro and, ultimately, in vivo. A large number of fluorescent reporter proteins are available, although only GFP and DsRed have been applied to mycobacteria , , , , , , , , , , , . Factors affecting the applicability of a particular fluorescent protein in a given setting include the ability to express the protein efficiently, lack of toxicity to the cells, brightness in comparison to auto-fluorescence of the sample, photostability, insensitivity to environmental conditions and minimal crosstalk with other fluorescent proteins if dual labelling is required . In addition, the correct folding and oligomerisation of the protein is critical, since obligate oligomerisation of some variants can be toxic or disruptive to the cell or organism, while tandem dimerisation can enhance brightness. In order to address some of these issues, we selected several variants for evaluation. Since one of the potential applications of fluorescent reporters is for in vivo imaging, we focussed on the far-red reporters, where tissue penetration would be optimal.
We selected a range of far-red fluorescent reporters (FPs) for evaluation, namely mCherry , mKat, mPlum , tdTomato  and Turbo-635 . All are derived from DsRed and emit at higher wavelengths than background auto-fluorescence from tissue ; tdTomato is expressed as a tandem dimer; all other reporters are monomers (Figure 1).
mCherry, mPlum, mKat and Turbo635 are all expressed as monomers, tdTomato is expressed as a tandem dimer. Identical residues are marked with *, similar residues are marked with : and .
Expression of reporters using Phsp60 results in plasmid instability in M. smegmatis
Each reporter gene was optimised for M. tuberculosis codon usage, synthesised and cloned under the control of the strong, constitutive promoter Phsp60 . Two expression vectors were used, differing only in their copy number; pSMT3 is a low copy number vector and we also engineered a higher copy number variant (pSMT3-M), with approximately 5–7-fold higher copy number than the wild-type plasmid by removal of an arginine residue at position 364 in the pAL5000 replicon (ΔA364) .
Since the hsp60 promoter is functional in E. coli as well as in mycobacteria, constructs were tested in E. coli for fluorescence (Figure 2). Expression of all FPs resulted in coloured colonies; fluorescence measurements confirmed that mCherry, tdTomato and Turbo-635 were measurable, whereas mKat and mPlum were not.
E. coli transformants were cultured and diluted (from left to right) to an OD580 of 0.25, 0.10, 0.05 and 0.01, representing cell densities of 5.5×106, 1.5×106, 7.7×105 and 1.1.×105 per mL respectively. Fluorescence was quantified at the following wavelengths: mCherry 587/610 nm, mKat 588/635 nm, mPlum 590/649 nm, tdTomato 554/581 nm, Turbo-635 588/635 nm. Data are the averages and standard deviations from three independent transformants. A value of 1015 corresponds to saturation of the machine. The reporter, promoter and vector backbone are indicated. WT = wild-type oriM; ΔHC – high copy number derivative oriM.
Similarly, in M. smegmatis, all of the fluorescent reporters, except mKat and mPlum, gave rise to a proportion of coloured colonies indicating successful expression in a subset of cells. For each reporter, liquid cultures were prepared from coloured colonies. A fluorescence scan to determine the optimal excitation and emission wavelengths was carried out and fluorescence was measured at the optimum wavelengths for varying cell densities (Figure 3). Low background fluorescence was seen from the cells. Strong signals were seen from mCherry, tdTomato and Turbo; fluorescence was still measurable above background at cell densities as low as 1×106 per mL (OD580 = 0.01). No signal above background was seen with either mPlum or mKat. Contrary to expectations, fluorescence from the increased copy number plasmids was not higher than for the low copy number plasmid and in fact for two reporters (mCherry and Turbo) was lower. On further inspection of these strains, two populations of cells were found - coloured and non-coloured. The increased copy number plasmid yielded fewer coloured colonies than the wild-type plasmid. This indicated that there was a stability issue originating from the ΔA364 mutation. Using fluorescent microscopy to visualise the fluorescent strains confirmed that only a proportion of the bacilli expressed the fluorescent reporter (Figure 4). Plasmids recovered from non-fluorescent colonies had deletions in the promoter-FP region, whereas plasmids recovered from the coloured colonies appeared intact (data not shown), confirming that loss of expression was due to the acquisition of deletions in the plasmids.
Fluorescent reporters were expressed from Phps60 or Psmyc in M. smegmatis and assayed in liquid culture. Cultures were diluted (from left to right) to an OD580 of 0.25, 0.10, 0.05 and 0.01, representing cell densities of 7.8×107, 2.3×107, 9.2×106 and 1.8×106 per mL respectively. Fluorescence was quantified at the following wavelengths: mCherry 587/610 nm, mKat 588/635 nm, mPlum 590/649 nm, tdTomato 554/581 nm, Turbo-635 588/635 nm. Data are the mean and standard deviation from three independent transformants. A value of 1015 corresponds to saturation of the machine. The reporter, promoter and vector backbone are indicated. WT = wild-type oriM; ΔHC – high copy number derivative oriM.
M. smegmatis transformants were grown in liquid for microscopy. Cells were visualised by differential interference contrast and fluorescence microscopy. Panel A - transformants carrying Phsp60-mCherry. Panel B - transformants carrying Psmyc-mCherry. 1 - Differential interference contrast; 2 - Texas Red filter; 3 - overlaid image. Scale bar is equal to 10 µm.
Expression of reporters using Psmyc is stable in M. smegmatis
Since expression from Phsp60 was unstable, we used an alternative promoter. M. smegmatis PrpsA is a strong promoter, which results in high-level expression . Since high-level expression could give rise to selection pressure due to toxicity, we used a version of this promoter engineered to contain the TetO operator (Psmyc), such that expression could be regulated by the addition of the TetR repressor . This would give us the flexibility to down-regulate expression if it compromised strain fitness. Vectors were constructed to express all reporters from Psmyc in the same plasmid background as for Phsp60, either using the low copy number vector, or the increased copy number version (Figure 3).
As before, transformation of E. coli and M. smegmatis resulted in coloured colonies for mCherry, tdTomato and Turbo; mPlum also gave rise to coloured colonies. Expression of mCherry from Psmyc in liquid culture was comparable to expression from Phsp60 in M. smegmatis, whilst expression of tdTomato and Turbo was slightly lower for Psmyc. Expression of mPlum was seen from the Psmyc promoter, although in comparison to the other reporters, mPlum was not as bright. mKat fluorescence could not be detected from Psmyc. Microscopy confirmed that all of the bacilli expressed the FP driven by Psmyc (Figure 4).
Fluorescent reporters are functional in M. marinum
Having demonstrated high-level fluorescence using far-red reporters in E. coli and M. smegmatis, we wanted to determine if the same reporters functioned in other mycobacteria. M. marinum is a pathogen of ectothermic organisms adapted to growth at lower temperatures (25–35°C). It has been used as a pathogenicity model for M. tuberculosis and fluorescent reporters have been previously used in this species , , . Since M. marinum produces a yellow photochromogenic pigment in the presence of light, we grew recombinant strains at 32°C in the dark and in the light.
We tested mCherry and Turbo and found that both were highly fluorescent in M. marinum (Figure 5). No difference in background fluorescence was seen between cultures grown in the light or in the dark. In addition, there was no difference in the fluorescence emitted from either mCherry or Turbo in cultures grown in the dark or light. Both reporters gave sensitive detection of bacterial numbers, being able to detect a minimum of 6.4×104 CFU/ml, comparable to that seen with M. smegmatis.
Fluorescent reporters were expressed from Psmyc in M. marinum and assayed in liquid culture grown either in the dark or in the light. Cultures were diluted (from left to right) to an OD580 of 0.25, 0.10, 0.05 and 0.01, representing cell densities of 9.8×105, 4.2×105, 1.9×105 and 6.5×104 CFU/ml respectively. Fluorescence was quantified at the following wavelengths: mCherry 587/610 nm, Turbo-635 588/635 nm. Data are the mean and standard deviation from three independent transformants. A value of 1015 corresponds to saturation of the machine. The reporter and promoter backbone are indicated.
High-level fluorescence of reporters was detected in M. tuberculosis
Since we had demonstrated stable, high level expression of FPs in both M. smegmatis and M. tuberculosis, we decided to test the same plasmids in M. tuberculosis. Reporter plasmids were transformed into M. tuberculosis and assessed for fluorescence. We tested expression of Turbo, tdTomato, mCherry, mKat and mPlum expressed from Phsp60 or Psmyc. For mCherry we also compared the low and increased copy number plasmids. All of the fluorescent reporters expressed from Psmyc, except mKat generated coloured colonies in M. tuberculosis H37Rv (Figure 6). Transformants containing tdTomato were bright pink, whereas mCherry, Turbo-635 and mPlum were varying intensities of purple. For each of these vectors, 100% of the transformants were coloured. Microscopy confirmed that all of the bacterial cells in the population were expressing mCherry from Psmyc (Figure 6). In contrast, only a small proportion of transformants were coloured when the reporter was expressed from Phsp60; less than 1% of the transformants for tdTomato, Turbo and 5% for mCherry. Again, this suggests that stability is an issue using the hsp60 promoter for expression. In addition, the use of the increased copy number vector caused a further reduction in the number of coloured transformants. For example, using mCherry, 5% of the transformants were coloured with Phsp60, 1% with Phsp60 in pSMT3-M, 100% with Psmyc, and 26% with Psmyc in pSMT-3M.
FP expression plasmids were transformed into M. tuberculosis and colonies isolated on hygromycin-containing plates. (A) Expression of several fluorescent reporters gave rise to coloured colonies. (B) Microscopy of fluorescent mCherry reporter driven by either Phsp60 or Psmyc. Scale bar is equal to 10 µm.
Fluorescence was measured in M. tuberculosis in liquid culture (Figure 7). For all of the reporters tested, Psmyc gave the highest fluorescent signal. Expression levels from Phsp60 were much lower for all reporters, and in fact a signal over background could only be seen for Turbo and mCherry at high cell densities (OD580 = 0.25, 4.8×107 CFU/ml). Microscopy indicated that all the bacilli in which FP expression was driven by Psmyc were fluorescent (Figure 6). In contrast, only a fraction of the bacilli expressed FPs under the control of Phsp60 (Figure 6). This is in agreement with the data generated in M. smegmatis, demonstrating that plasmid instability was mediated by Phsp60.
Fluorescent reporters were expressed from Phps60 or Psmyc in M. tuberculosis and assayed in liquid culture. Cultures were diluted (from left to right) to an OD580 of 0.25, 0.10, 0.05 and 0.01, representing cell densities of 4.8×107, 1.7×107, 9.1×106 and 1.7×106 CFU/ml respectively. Fluorescence was quantified at the following wavelengths: mCherry 587/610 nm, mKat 588/635 nm, mPlum 590/649 nm, tdTomato 554/581 nm, Turbo-635 588/635 nm. Data are the mean and standard deviation from three independent transformants. A value of 1015 corresponds to saturation of the machine. The reporter, promoter and vector backbone are indicated. WT = wild-type oriM; ΔHC – high copy number derivative oriM.
Psmyc-reporter plasmids are stable in M. smegmatis and M. tuberculosis
High-level expression of heterologous genes can be detrimental to bacterial fitness and has been posed to be the reason for plasmid instability . In addition, the expression of fluorescent proteins themselves has been linked to loss of virulence or stress tolerance . Since we had seen plasmid instability using Phsp60 for expression, but not Psmyc expression, we reasoned it was unlikely that expression of the fluorescent reporters per se was the selection pressure driving plasmid rearrangements. In order to investigate this, we looked at plasmid stability and bacterial strain fitness during a number of growth conditions.
M. smegmatis and M. tuberculosis transformants carrying the three brightest reporters (mCherry, tdTomato and Turbo) expressed from Phsp60 or Psmyc in the low copy number vector were cultured in liquid medium and serially passaged. Fluorescence was measured in liquid cultures (Figure 8) over three passages. In M. tuberculosis, there was no diminution of the fluorescence signal in Psmyc-reporter plasmids, all of which retained high signals. In contrast, for Phsp60-driven expression, in the only vector in which expression could be detected (Turbo), expression decreased over time, suggesting accumulation of deletions or mutations in the plasmid. Fluorescence intensity from the M. smegmatis strains followed a similar trend (data not shown). These data confirmed that expression from Phsp60 was unstable and that expression decreased over time. This appears to be an inherent property of Phsp60, since it was not related to the level of expression of fluorescence and the use of Psmyc allowed stable long-term expression.
Transformants were grown in liquid medium and passaged every 5 days into fresh medium. Fluorescence was quantified at wavelengths associated with optimum reporter expression and emission at cultures normalised to OD580 of 0.25, 0.10, 0.05 and 0.01 (from left to right). Fluorescence was quantified at the following wavelengths: mCherry 587/610 nm, tdTomato 554/581 nm, Turbo-635 588/635 nm. Data are the averages and standard deviations from three independent transformants. A value of 1015 corresponds to saturation of the machine. The reporter, promoter and vector backbone are indicated. P0 = initial culture; P1 = passage 1; P2 = passage 2.
High-level expression of reporters does not compromise growth in M. tuberculosis
We examined the fitness of strains expressing high levels of FPs. Growth in liquid medium was unaffected (Figure 9), confirming that there was no detrimental effect on fitness. Expression of FPs has been linked to a loss of virulence , so we looked at the ability of strains to replicate and survive inside macrophages (Figure 10). Strains expressing mCherry, tdTomato or Turbo were compared to wild-type in resting J774 murine monocytes. All strains showed a similar ability to survive and replace over the time of the assay (up to 7 days), increasing in numbers over time. Thus expression of FPs did not affect virulence of the strains in this assay. All colonies derived from the macrophage-passaged bacteria were coloured, confirming that the plasmid and FP expression was stably maintained over 7 days in the absence of antibiotic selection.
M. tuberculosis transformants were grown in liquid medium in the (A) presence or (B) absence of hygromycin. ◊ pSMT3 empty vector control; □ tdTomato expressed from Psmyc; Δ Turbo expressed from Psmyc; ▪ mCherry expressed from Phsp60 and ♦ mCherry expressed from Psmyc. Data are the averages from three independent transformants.
Murine macrophages were infected at an MOI of 1∶1 with recombinant strains expressing the indicated reporter from Psmyc. Bacterial counts were measured over a period of 7 days. Data are the mean and standard deviation from three independent infections. Time points for each reporter strain, from left to right are day 1, day 3 and day 7.
Fluorescent reporters as markers of cell viability
Fluorescence can be susceptible to photobleaching after repeated or extended periods of exposure to the excitation wavelength. To determine if this might be a problem when serially exciting FPs we looked at fluorescence after long exposure times to the excitation wavelength. M. tuberculosis strains expressing mCherry, tdTomato and Turbo were exposed to excitation at their optimal excitation wavelength for over 2,000 seconds. No decrease in fluorescence was displayed by any of the reporter tested after long-term excitation (Figure 11).
M. tuberculosis transformants expressing FPs from Psmyc were grown in liquid medium and the OD580 adjusted to 0.01. Fluorescence was quantified after excitation over a period of 20 min. (▴) mCherry, (▪)Turbo-635 and (□) tdTomato.
Once we had determined that repeated measurement of FPs would not lead to a decrease in the signal from photo-bleaching, we looked at the stability of the protein in live and killed cells. We were interested to see if fluorescence could be correlated with cell viability. This would allow us to use it as a rapid readout of bacterial numbers as an alternative to the lengthy colony counts (taking 3–4 weeks). To assess this we compared the effect of bacterostatic and bactericidal compounds on fluorescence.
Chloramphenicol inhibits protein synthesis in bacteria via inhibition of peptidyl transferase and has a static effect on bacterial cultures . We treated M. tuberculosis expressing mCherry, tdTomato, or Turbo, with chloramphenicol and measured fluorescence over time. Chloramphenicol exerted a bacteriostatic effect, preventing further bacterial replication, as evidenced by the lack of increase in OD580 (Figure 12). Fluorescent signals mirrored the OD580, and no decrease in intensity was seen over 12 days. In contrast treatment with kanamycin, a bactericidal aminoglycoside, resulted in a rapid decrease in both OD580 and fluorescence. These data demonstrate that in dead cells, the FPs are degraded over time and are not stable enough to persist, whereas in live cells, FPs are stable over time, even in the absence of de novo protein synthesis. Thus, live cells could rapidly be quantitated and distinguished from dead cells in a population without the need to determine CFUs on agar plates.
Transformants expressing FPs from Psmyc were grown in liquid and treated with the bactericidal antibiotic kanamycin (grey line) or the static antibiotic chloramphenicol (black line). Fluorescence intensity (solid squares) and OD580 (open squares) were measured. A. mCherry, B. tdTomato and C. Turbo-635.
Effects of hypoxia on fluorescence in M. smegmatis
One of the limitations of FPs is that they require molecular oxygen for maturation of the fluorophore and therefore may not function under anaerobic conditions. M. tuberculosis is found in granulomas during infection, which are thought to be predominantly hypoxic, thus it would be useful to have a FP that functioned under these conditions. We evaluated the functionality of our FPs using an in vitro mode of hypoxia – the Wayne model. M. smegmatis strains expressing FPs were cultured in sealed tubes in conditions designed to generate aerobic or hypoxic conditions. For aerobic cultures, the head space ratio was 1.0 (v/v) and for hypoxic cultures it was 0.5 (v/v). Methylene blue was used as a reporter of oxygen depletion. Growth and fluorescence were measured over time.
As expected, limited growth was seen in all M. smegmatis cultures strains with reduced oxygen over the eight-day time-course (final OD580<0.6) as compared to aerobic growth (final OD580>1.0). Methylene blue fading and decolourisation occurred at day 3 and day 6 indicating depletion and exhaustion of oxygen respectively. Fluorescence was measured over time in both culture conditions; fluorescence intensity increased in proportion to the OD580 of the cultures, so that relative intensity per unit OD580 was the same for both aerobic and hypoxic cultures. No decrease in fluorescent signal was seen in the hypoxic cultures when compared to aerobic cultures and the signal continued to increase even after oxygen depletion occurred at day 3, confirming that continued maturation of fluorophores was occuring (Figure 13). To determine if immature FPs were present, we also measured fluorescence after the introduction of oxygen into the anaerobic tubes; no increase in fluorescence was seen, confirming that there was not a significant population of inactive fluorophores present (data not shown).
M. smegmatis (A to C) transformants expressing FPs from Psmyc were cultured aerobically (black lines) or under limiting oxygen (grey lines) conditions. Fluorescence intensity (solid squares) and OD580 (open squares) were measured. A - M. smegmatis expressing mCherry. B -M. smegmatis expressing tdTomato. C - M. smegmatis expressing Turbo-635. D - M. tuberculosis expressing mCherry under hypoxic conditions. M. tuberculosis transformants expressing FPs from Psmyc were cultured under limiting oxygen conditions. Fluorescence intensity (open squares) and OD580 (solid squares) were measured.
A similar experiment was conducted with M. tuberculosis expressing mCherry grown under hypoxic conditions (Figure 13). An increase in fluorescence during growth and shift into the non-replicating state was observed. Fluorescence increased even after the optical density stopped increasing, confirming that it was not being affected by oxygen depletion in the medium. This demonstrated that the far-red FPs could be used in hypoxia models as markers of gene expression, even during oxygen depletion.
mCherry as a sensitive reporter of promoter activity during hypoxia in M. tuberculosis
Our data using M. smegmatis showed that FPs were functional during hypoxic culture, thus affording the possibility that they could be used as sensitive reporters of promoter activity in this model. In order to investigate this possibility we compared the use of LacZ and mCherry as reporters for mbtB promoter activity. Previous work has suggested that mycobactin genes might be up-regulated early in hypoxia , . MbtB is part of the mycobactin biosynthesis cluster, producing a siderophore. The upstream region of mbtB was cloned upstream of LacZ or mCherry and transformed into M. tuberculosis. LacZ activity was measured in cell-free extracts and normalised to total protein; mCherry fluorescence was measured in whole cells and normalised to OD580.
LacZ expression was not detected at the earliest time points (Day 3), but was readily detected at Day 7, followed by a decrease in activity after Day 10 (Figure 14). These data suggested there could be transient induction of promoter activity occurring in response to hypoxia. However, the number of cells and therefore the protein concentrations at the earliest time point was very low, which could lead to a false negative result. This was confirmed when looking at mCherry expression, where fluorescence could be detected in the Day 3 cultures (OD580 = 0.08). Once fluorescent values were normalised for the number of cells (using OD580), the expression of mCherry decreased steadily from a high initial level (at Day 3) over the time course, indicating that there was no transient up-regulation, but that it was probably an artefact of our inability to measure LacZ activity at the earliest timepoint. Our comparison confirmed that mCherry is a more sensitive reporter than LacZ and is more suitable to conditions in which low cell densities are used. In addition, the method was non-invasive and could be performed serially on the same cultures without the need for substrate addition, simplifying measurements over time courses.
Promoter activity was assayed in the hypoxia model using (A) LacZ and (B) mCherry as a reporter. Activity of LacZ is reported in Miller units (units activity per mg total protein in cell-free extracts). Activity from mCherry is reported in relative fluorescence units (fluorescence after background subtraction per OD580 in whole cells). (A) ▪ PmbtB activity; □ control vector pSM128 activity. (B) ♦ PmbtB activity.
We have demonstrated that far-red fluorescent reporters are functional in three mycobacterial species. Fluorescence from mCherry, mPlum, tdTomato and Turbo-635 was detected at their optimum wavelengths in M. smegmatis, M. marinum and M. tuberculosis. The expression of these FPs from Psmyc resulted in colonies that were naturally coloured and did not require a substrate or specific equipment to be visualised. Of the reporters, mPlum was the dimmest, but has the advantage of the longest Em/Ex wavelengths, so that it could be used in conjunction with other far-red reporters and could be of use for visualisation in deeper tissues enabling the use of optical tomography approaches. mCherry, tdTomato and Turbo-635 all gave high levels of fluorescence allowing detection of approximately 106 CFU/ml in liquid culture using a spectrofluorimeter, and providing greater sensitivity in detecting growth than turbidity.
mCherry, tdTomato and Turbo-635 were all very bright reporters and showed no photobleaching, being stable during continuous excitation. The optimal combination of FP, promoter and plasmid backbone resulted in stable, high-level expression of mCherry, tdTomato and Turbo-635. Although we incorporated the ability to regulate expression of the reporters, we found that this was not necessary. Plasmids expressing FPs from Psmyc gave high-level expression in M. smegmatis, M. marinum and M tuberculosis. Expression of mCherry from PrpsA without the TetO operator gave the same high levels of fluorescence in vitro (data not shown), confirming that the operator does not affect promoter strength in the absence of the TetR repressor.
Promoter-induced vector instability has been described previously in M. tuberculosis , , , . Phsp60 has been linked to frameshift mutations  and large deletions in either the promoter or coding region in M. tuberculosis at a frequency of 2×10−3, although it was reported to be stable in M. smegmatis , . However, plasmid stability appears to be dependent on the specific heterologous gene being expressed , . We confirmed that Phsp60 induced stability problems leading to a significant proportion of the population having deletions in the promoter-reporter loci, making this promoter unsuitable for use in these conditions.
The deletion of an alanine residue in the C-terminal of the RepA replication protein (ΔA364) increases the copy number of pAL5000-derived vectors approximately seven-fold . Increasing the plasmid copy number had a detrimental effect on fluorescence from some of the strains leading to fewer transformants expressing the FPs. This effect was not promoter-associated, since it occurred with both Phsp60 and Psmyc. We hypothesise that the increased plasmid instability results from negative selection against increased expression levels of FPs and a strong selective pressure for deletion plasmids. Bacilli with mutations in the promoter region or the reporter gene which reduce or abolish expression could have a competitive growth advantage. Alternatively, it is possible that the mutation in the plasmid affects correct partitioning and increases instability.
We demonstrated that fluorescence was detectable under hypoxic conditions in vitro in non-replicating cells, presumably since sufficient molecular oxygen is present in the bacterial cells to allow for fluorophore maturation. Previously, it was assumed that FPs would not function under these conditions. The ability to use optimized FPs as sensitive markers of gene expression in these conditions is of great utility since this is a non-invasive method i.e. fluorescence can be measured in whole cells under anaerobic condition without the need for addition of substrate or oxygen. Use of FPs also has the advantage of increased sensitivity at low cell densities, where other reporters may be below the limit of detection. Expression studies often use reporters of promoter activity, such as LacZ . We have shown that LacZ assays using a colorimetric assay cannot be used in situations where there are low cell densities. In contrast, use of mCherry as a reporter allowed the sensitive detection of promoter activity in low cell densities without the need for cell disruption. Fluorescent reporters offer the advantages of increased sensitivity as well as the ability to measure activity sequentially in live cells. It is therefore plausible that these reporters will allow detection of bacterial gene expression profiles during long-term persistence.
Many expression studies have focussed on identifying those genes up-regulated under conditions relevant to infection. Several studies using microarrays have profiled the transcriptome in hypoxia or low oxygen conditions . Under these conditions there is very little mRNA being produced since the cells transition into a non-replicating state , , . Using mCherry as a reporter we showed that PmbtB expression progressively decreases during hypoxia, in contrast to LacZ reporter which suggested transient up-regulation. After the earliest time points, both reporters showed that mtbB expression was shut off during hypoxic culture.
Fluorescence was not diminished when protein synthesis was inhibited by chloramphenicol, indicating that the FPs are stable proteins, which are not subject to high turnover rates by endogenous proteases. In addition, we were able to correlate loss of fluorescent signal with bacterial viability after exposure to a bactericidal agent. M. tuberculosis is a slow growing bacillus which has to be contained and manipulated in specialised facilities meaning that working on this pathogen is time consuming. The standard methodology for quantifying bacterial numbers is to determine CFUs which takes four weeks. Growth can be measured by OD, but this cannot distinguish between live and dead bacteria if cell lysis does not occur. The FP reporter strains could be used as sensitive and rapid readouts in growth studies and to identify novel anti-tubercular agents with bactericidal activity.
We demonstrated that fluorescence signal from the reporters was very stable, even after long-term excitation, allowing for serial imaging. Fitness assays demonstrated that high-level expression of FPs was not detrimental to growth in any species. Expression of these reporters did not cause any detrimental effect on the growth or virulence of M. tuberculosis in vitro. This suggests that optimized FPs would be suitable for in vivo imaging during infection studies, where repeated imaging of a virulent strain would be required. Therefore these far-red reporters may allow us to develop non-invasive tools to analyse the pathogenic events of M. tuberculosis in real-time and pharmacological monitoring.
We have optimized the expression of several far-red fluorescent reporters in M. tuberculosis by combining codon-biased synthetic genes with optimal promoters and replicons to produce reporter strains that can be detected with great sensitivity in vitro. mCherry was functional during hypoxia and we demonstrated that the promoter for the mycobactin operon was progressively down-regulated during hypoxia. Drug treatments confirmed that only viable cells retained the fluorescent signal, and that the signal was detectable during drug- or hypoxia-induced stasis. This should pave the way for in vivo studies, where sensitive detection of live bacilli in tissues is required, as well as provide novel reporters for in vitro studies.
Materials and Methods
Bacterial strains and culture conditions
E. coli DH5α was cultured in LB medium. M. smegmatis mc2-155 was grown in Lemco medium (10 g L−1 peptone, 5 g L−1 Lemco powder, 5 g L−1 NaCl) containing 0.05% w/v Tween 80 for liquid cultures or 15 g L−1 agar for agar plates, minimal medium as described previously  or Dubos-Tween Albumin (DTA) medium (Dubos medium, 0.05% w/v Tween 80, 10% v/v Dubos Albumin supplement (Becton Dickinson)). M. tuberculosis H37Rv (ATCC 25618) and M. marinum (ATCC BAA-535 /strain M) strains were grown in Middlebrook 7H9 medium plus 10% v/v OADC (oleic acid, albumin, dextrose, catalase) supplement (Becton Dickinson) and 0.05% w/v Tween 80 or on Middlebrook 7H10 agar (Becton Dickinson) plus 10% v/v OADC. Chloramphenicol was used at 8 µg/ml, hygromycin at 100 µg/ml and kanamycin at 20 µg/ml where required.
An increased copy number version of the plasmid pSMT3  was constructed using site-directed mutagenesis with the primers PAL-M1 (GGC CAT CTC GCG GAA GGG AGC GCG CAC GGC GGC) and PAL-M2 (CCG GCC GTG CGC GCT GCT CCC TTC CGC GAG ATG CCG), to generate pSMT3-M. The strong promoter Psmyc (M. smegmatis rpsA promoter with tetO operator) was amplified from pSE100  using Psmyc-F (TCT AGA GGA TCG TCG GCA CCG TCA C) and Psmyc-R (GGA TCC GGA TCG TGC TCA TTT CGC G) and cloned as BamHI/XbaI fragment into pSMT3 and pSMT3M (replacing Phsp60) to generate pSMT3-S and pSMT3-SM. mCherry, mKat, mPlum, tdTomato and Turbo-363 sequences were codon-optimised for M. tuberculosis codon preferences, synthesised (GenScript USA Inc.) and cloned into pSMT3, pSMT3-M, pSMT3-S and pSMT3-SM as BamHI/HindIII fragments. A complete list of plasmids used in this study is in Table 1.
For the low iron inducible reporter, the upstream promoter region of mbtB was amplified from M. tuberculosis genomic DNA using Lippy3F (GAG TAC TGG TAC AAA GCC ACC CAG) and Lippy3R (GAG TAC TCG GAC ACC GAG CAA CTC T) and cloned into pSM128 upstream of the lacZ reporter  as a ScaI fragment to generate pLippy3. To generate the mCherry version, the upstream promoter region of mbtB was amplified using primers pHIC-6 F (CCC TCT AGA GCC GTT TGG CAG CTG GAG CAG) and pHIC-6 R (CCC GGA TCC GCC GTG CTC GGA CAT TCG C) and cloned as BamHI/XbaI fragment into pCHERRY1, replacing Phsp60, to generate pHIC-6.
Electroporation of M. tuberculosis
Electrocompetent M. smegmatis, M. marinum and M. tuberculosis cells were prepared as described previously , electroporated with 1 µg plasmid DNA and transformants selected with hygromycin and kanamycin where appropriate.
Quantification of fluorescence and beta-galactosidase in liquid cultures
E. coli, M. smegmatis, M. marinum and M. tuberculosis strains were grown to stationary phase, harvested, washed twice in sterile 10 mM Tris-Cl pH 8.0 and resuspended in Middlebrook 7H9 medium plus 10% v/v OADC supplement at OD580 of 0.25, 0.10, 0.05 and 0.01 in 12×100 mm glass culture tubes. Fluorescence was measured on a Shimadzu RF-1501 spectrofluorimeter (Shimadzu) with a detection range of 0–1015 relative fluorescent units at the specific emission and excitation wavelengths for each fluorescent reporter; mCherry 587/610 nm, mKat 588/635 nm, mPlum 590/649 nm, tdTomato 554/581 nm and Turbo-635 588/635 nm.
M. smegmatis strains were grown in a modified version of the Wayne model . Briefly, M. smegmatis was grown to an OD580 of 0.4 in DTA medium (Becton Dickinson). For hypoxic cultures, 12×100 mm glass culture tubes containing 5 ml DTA were inoculated to an OD580 of 0.004 and incubated at 37°C with 6mm magnetic stirrer bars stirring at 120 rpm. For aerobic cultures 12×100mm glass cultures tubes containing 3 ml DTA were inoculated to an OD580 of 0.004 and incubated as above. Methylene blue (0.1%) (Sigma) was added to one culture per strain as an indicator of oxygen depletion. Fluorescence was read directly in tubes. Beta-galactosidase activity was performed as described .
We would like to thank Nuria Andreu, Andrea Zelmer and Dimitris Kioussis for helpful discussion. We thank Jeff Cirillo (Texas A&M) and Kevin Francis (Caliper Life Sciences) for plasmids containing codon-optimised Turbo635 and tdTomato.
Conceived and designed the experiments: PC LS SW BDR JR THW GJB UES TP. Performed the experiments: PC LS JMK. Analyzed the data: PC LS SW BDR JR THW GJB UES TP. Contributed reagents/materials/analysis tools: PC LS JMK SW UES TP. Wrote the paper: PC LS TP.
- 1. Coons AH, Creech HJ, Jones RN, Berliner E (1942) The demonstration of pneumococcal antigen in tissues by the use of fluorescent antibody. J Immunol 45: 159–170.
- 2. Chalfie M, Tu Y, Euskirchen G, Ward WW, Prasher DC (1994) Green fluorescent protein as a marker for gene expression. Science 263: 802–805.
- 3. Carroll P, James J (2009) Assaying promoter activity using LacZ and GFP as reporters. In: Parish T, Brown AC, editors. Mycobacteria Protocols: Humana Press. pp. 265–278.
- 4. Dhandayuthapani S, Via LE, Thomas CA, Horowitz PM, Deretic D, et al. (1995) Green fluorescent protein as a marker for gene expression and cell biology of mycobacterial interactions with macrophages. Mol Microbiol 17: 901–912.
- 5. McKinney JD, Honer zu Bentrup K, Munoz-Elias EJ, Miczak A, Chen B, et al. (2000) Persistence of Mycobacterium tuberculosis in macrophages and mice requires the glyoxylate shunt enzyme isocitrate lyase. Nature 406: 735–738.
- 6. Barker LP, Brooks DM, Small PL (1998) The identification of Mycobacterium marinum genes differentially expressed in macrophage phagosomes using promoter fusions to green fluorescent protein. Mol Microbiol 29: 1167–1177.
- 7. Gall K, Barker LP (2006) Differential green fluorescent protein expression from mycobacterial promoter constructs in Escherichia coli and Mycobacterium marinum. FEMS Microbiol Lett 255: 301–307.
- 8. Kremer L, Baulard A, Estaquier J, Poulain-Godefroy O, Locht C (1995) Green fluorescent protein as a new expression marker in mycobacteria. Mol Microbiol 17: 913–922.
- 9. Srivastava R, Kumar D, Subramaniam P, Srivastava BS (1997) b-Galactosidase reporter system in mycobacteria and its application in rapid antimycobacterial drug screening. Biochem Biophys Res Commun 235: 602–605.
- 10. Gross LA, Baird GS, Hoffman RC, Baldridge KK, Tsien RY (2000) The structure of the chromophore within DsRed, a red fluorescent protein from coral. Proc Natl Acad Sci U S A 97: 11990–11995.
- 11. Tsien RY (1998) The green fluorescent protein. Annu Rev Biochem 67: 509–544.
- 12. Chiti F, Stefani M, Taddei N, Ramponi G, Dobson CM (2003) Rationalization of the effects of mutations on peptide and protein aggregation rates. Nature 424: 805–808.
- 13. Link CD, Fonte V, Hiester B, Yerg J, Ferguson J, et al. (2006) Conversion of green fluorescent protein into a toxic, aggregation-prone protein by C-terminal addition of a short peptide. J Biol Chem 281: 1808–1816.
- 14. Muller-Taubenberger A, Anderson KI (2007) Recent advances using green and red fluorescent protein variants. Appl Microbiol Biotechnol 77: 1–12.
- 15. Shaner NC, Campbell RE, Steinbach PA, Giepmans BN, Palmer AE, et al. (2004) Improved monomeric red, orange and yellow fluorescent proteins derived from Discosoma sp. red fluorescent protein. Nat Biotechnol 22: 1567–1572.
- 16. Scherbo D, Murphy CS, Ermakova GV, Solovieva EA, Chepurnykh TV, et al. (2009) Far-red fluorescent tags for protein imaging in living tissues. Biochem J 418: 567–574.
- 17. Wang L, Jackson WC, Steinbach PA, Tsien RY (2004) Evolution of new nonantibody proteins via iterative somatic hypermutation. Proc Natl Acad Sci U S A 101: 16745–16749.
- 18. Cosma CL, Humbert O, Ramakrishnan L (2004) Superinfecting mycobacteria home to established tuberculous granulomas. Nat Immunol 5: 828–835.
- 19. Cosma CL, Humbert O, Sherman DR, Ramakrishnan L (2008) Trafficking of superinfecting Mycobacterium organisms into established granulomas occurs in mammals and is independent of the Erp and ESX-1 mycobacterial virulence loci. J Infect Dis 198: 1851–1855.
- 20. Kaps I, Ehrt S, Seeber S, Schnappinger D, Martin C, et al. (2001) Energy transfer between fluorescent proteins using a co-expression system in Mycobacterium smegmatis. Gene 278: 115–124.
- 21. Sun J, Deghmane AE, Soualhine H, Hong T, Bucci C, et al. (2007) Mycobacterium bovis BCG disrupts the interaction of Rab7 with RILP contributing to inhibition of phagosome maturation. J Leukoc Biol 82: 1437–1445.
- 22. Lucas RL, Lee CA (2000) Unravelling the mysteries of virulence gene regulation in Salmonella typhimurium. Mol Microbiol 36: 1024–1033.
- 23. Jenkins DE, Hornig YS, Oei Y, Dusich J, Purchio T (2005) Bioluminescent human breast cancer cell lines that permit rapid and sensitive in vivo detection of mammary tumors and multiple metastases in immune deficient mice. Breast Cancer Research 7: R444–454.
- 24. Jenkins DE, Oei Y, Hornig YS, Yu SF, Dusich J, et al. (2003) Bioluminescent imaging (BLI) to improve and refine traditional murine models of tumor growth and metastasis. Clin Exp Metastasis 20: 733–744.
- 25. Lim CR, Kimata Y, Oka M, Nomaguchi K, Kohno K (1995) Thermosensitivity of green fluorescent protein fluorescence utilized to reveal novel nuclear-like compartments in a mutant nucleoporin NSP1. J Biochem (Tokyo) 118: 13–17.
- 26. Katz MH, Takimoto S, Spivack D, Moossa AR, Hoffman RM, et al. (2003) A novel red fluorescent protein orthotopic pancreatic cancer model for the preclinical evaluation of chemotherapeutics. J Surg Res 113:
- 27. Schmitt CA, Fridman JS, Yang M, Baranov E, Hoffman RM, et al. (2002) Dissecting p53 tumor suppressor functions in vivo. Cancer Cell 1: 289–298.
- 28. Yamamoto N, Jiang NP, Yang M, Xu M, Yamauchi K, et al. (2004) Cellular dynamics visualized in live cells in vitro and in vivo by differential dual-color nuclear-cytoplasmic fluorescent-protein expression. Cancer Res 64: 4251–4256.
- 29. Yamamoto N, Yang M, Jiang P, Xu M, Tsuchiya H, et al. (2003) Determination of clonality of metastasis by cell-specific color-coded fluorescent-protein imaging. Cancer Res 63: 7785–7790.
- 30. Yang M, Li L, Jiang P, Moossa AR, Penman S, et al. (2003) Dual-color fluorescence imaging distinguishes tumor cells from induced host angiogenic vessels and stromal cells. Proc Natl Acad Sci U S A 100: 14259–14262.
- 31. Egen JG, Rothfuchs AG, Feng CG, Winter N, Sher A, et al. (2008) Macrophage and T cell dynamics during the development and disintegration of mycobacterial granulomas. Immunity 28: 271–284.
- 32. Mansson LE, Melican K, Boekel J, Sandoval RM, Hautefort I, et al. (2007) Real-time studies of the progression of bacterial infections and immediate tissue responses in live animals. Cell Microbiol 9: 413–424.
- 33. Mansson LE, Melican K, Molitoris BA, Richter-Dahlfors A (2007) Progression of bacterial infections studied in real time–novel perspectives provided by multiphoton microscopy. Cell Microbiol 9: 2334–2343.
- 34. Dunn KW, Sandoval RM, Kelly KJ, Dagher PC, Tanner GA, et al. (2002) Functional studies of the kidney of living animals using multicolor two-photon microscopy. Am J Physiol Cell Physiol 283: C905–916.
- 35. Zinselmeyer BH, Lynch JN, Zhang X, Aoshi T, Miller MJ (2008) Video-rate two-photon imaging of mouse footpad - a promising model for studying leukocyte recruitment dynamics during inflammation. Inflamm Res 57: 93–96.
- 36. Peters NC, Egen JG, Secundino N, Debrabant A, Kimblin N, et al. (2008) In vivo imaging reveals an essential role for neutrophils in leishmaniasis transmitted by sand flies. Science 321: 970–974.
- 37. Rawls JF, Mahowald MA, Goodman AL, Trent CM, Gordon JI (2007) In vivo imaging and genetic analysis link bacterial motility and symbiosis in the zebrafish gut. Proc Natl Acad Sci U S A 104: 7622–7627.
- 38. O'Gaora P (1998) Expression of genes in mycobacteria. In: Parish T, Stoker NG, editors. Mycobacteria Protocols. Totowa: Humana Press. pp. 261–273.
- 39. Bourn WR, Jansen Y, Stutz H, Warren RM, Williamson AL, et al. (2007) Creation and characterisation of a high-copy-number version of the pAL5000 mycobacterial replicon. Tuberculosis (Edinb) 87: 481–488.
- 40. Guo XV, Monteleone M, Klotzsche M, Kamionka A, Hillen W, et al. (2007) Silencing Mycobacterium smegmatis by using tetracycline repressors. J Bacteriol 189: 4614–4623.
- 41. Gao LY, Groger R, Cox JS, Beverley SM, Lawson EH, et al. (2003) Transposon mutagenesis of Mycobacterium marinum identifies a locus linking pigmentation and intracellular survival. Infect Immun 71: 922–929.
- 42. Ramakrishnan L, Federspiel NA, Falkow S (2000) Granuloma-specific expression of Mycobacterium virulence proteins from the glycine-rich PE-PGRS family. Science 288: 1436–1439.
- 43. Stamm LM, Morisaki JH, Gao LY, Jeng RL, McDonald KL, et al. (2003) Mycobacterium marinum escapes from phagosomes and is propelled by actin-based motility. J Exp Med 198: 1361–1368.
- 44. Bumann D (2002) Examination of Salmonella gene expression in an infected mammalian host using the green fluorescent protein and two-colour flow cytometry. Mol Microbiol 43: 1269–1283.
- 45. Morris RP, Nguyen L, Gatfield J, Visconti K, Nguyen K, et al. (2005) Ancestral antibiotic resistance in Mycobacterium tuberculosis. Proc Natl Acad Sci U S A 102: 12200–12205.
- 46. Muttucumaru DG, Roberts G, Hinds J, Stabler RA, Parish T (2004) Gene expression profile of Mycobacterium tuberculosis in a non-replicating state. Tuberculosis (Edinb) 84: 239–246.
- 47. Rustad TR, Roberts DM, Liao RP, Sherman DR (2008) Isolation of Mycobacterial RNA. In: Parish T, Brown AC, editors. Mycobacteria Protocols. Second ed: Humana. pp. 13–22.
- 48. Al-Zarouni M, Dale JW (2002) Expression of foreign genes in Mycobacterium bovis BCG strains using different promoters reveals instability of the hsp60 promoter for expression of foreign genes in Mycobacterium bovis BCG strains. Tuberculosis (Edinb) 82: 283–291.
- 49. Anilkumar G, Chauhan MM, Ajitkumar P (1998) Cloning and expression of the gene coding for FtsH protease from Mycobacterium tuberculosis H37Rv. Gene 214: 7–11.
- 50. Brown AC, Parish T (2006) Instability of the acetamide-inducible expression vector pJAM2 in Mycobacterium tuberculosis. Plasmid 55: 81–86.
- 51. De Smet KA, Kempsell KE, Gallagher A, Duncan K, Young DB (1999) Alteration of a single amino acid residue reverses fosfomycin resistance of recombinant MurA from Mycobacterium tuberculosis. Microbiology 145: 3177–3184.
- 52. Serganova I, Ponomarev V, Blasberg R (2007) Human reporter genes: potential use in clinical studies. Nucl Med Biol 34: 791–807.
- 53. Sohaskey CD (2008) Nitrate enhances the survival of Mycobacterium tuberculosis during inhibition of respiration. J Bacteriol 190: 2981–2986.
- 54. Wayne LG (2001) In vitro model of hypoxically induced non-replicating persistence of Mycobacterium tuberculosis. In: Parish T, Stoker NG, editors. Mycobacterium tuberculosis. Protocols: Humana Press. pp. 247–270.
- 55. Wayne LG, Hayes LG (1996) An in vitro model for sequential study of shiftdown of Mycobacterium tuberculosis through two stages of nonreplicating persistence. Infect Immun 64: 2062–2069.
- 56. Dussurget O, Timm J, Gomez M, Gold B, Yu SW, et al. (1999) Transcriptional control of the iron-responsive fxbA gene by the mycobacterial regulator IdeR. Journal of Bacteriology 181: 3402–3408.
- 57. Parish T, Stoker NG (1998) Electroporation of mycobacteria. In: Parish T, Stoker NG, editors. Mycobacteria Protocols. Totowa: Humana Press. pp. 129–144.
- 58. Lukey PT, Hooker EU (2001) Macrophage Virulence Assays. In: Parish T, Stoker NG, editors. Mycobacterium tuberculosis. Protocols: Humana Press. pp. 271–280.
- 59. Ralph P, Prichard J, Cohn M (1975) Reticulum cell sarcoma: an effector cell in antibody-dependent cell-mediated immunity. J Immunol 114: 898–905.