Research on the obligate intracellular bacterium Chlamydia trachomatis demands culture in cell-lines, but the adaptive process behind the in vivo to in vitro transition is not understood. We assessed the genomic and transcriptomic dynamics underlying C. trachomatis in vitro adaptation of strains representing the three disease groups (ocular, epithelial-genital and lymphogranuloma venereum) propagated in epithelial cells over multiple passages. We found genetic features potentially underlying phase variation mechanisms mediating the regulation of a lipid A biosynthesis enzyme (CT533/LpxC), and the functionality of the cytotoxin (CT166) through an ON/OFF mechanism. We detected inactivating mutations in CT713/porB, a scenario suggesting metabolic adaptation to the available carbon source. CT135 was inactivated in a tropism-specific manner, with CT135-negative clones emerging for all epithelial-genital populations (but not for LGV and ocular populations) and rapidly increasing in frequency (~23% mutants per 10 passages). RNA-sequencing analyses revealed that a deletion event involving CT135 impacted the expression of multiple virulence factors, namely effectors known to play a role in the C. trachomatis host-cell invasion or subversion (e.g., CT456/Tarp, CT694, CT875/TepP and CT868/ChlaDub1). This reflects a scenario of attenuation of C. trachomatis virulence in vitro, which may take place independently or in a cumulative fashion with the also observed down-regulation of plasmid-related virulence factors. This issue may be relevant on behalf of the recent advances in Chlamydia mutagenesis and transformation where culture propagation for selecting mutants/transformants is mandatory. Finally, there was an increase in the growth rate for all strains, reflecting gradual fitness enhancement over time. In general, these data shed light on the adaptive process underlying the C. trachomatis in vivo to in vitro transition, and indicates that it would be prudent to restrict culture propagation to minimal passages and check the status of the CT135 genotype in order to avoid the selection of CT135-negative mutants, likely originating less virulent strains.
Citation: Borges V, Pinheiro M, Antelo M, Sampaio DA, Vieira L, Ferreira R, et al. (2015) Chlamydia trachomatis In Vivo to In Vitro Transition Reveals Mechanisms of Phase Variation and Down-Regulation of Virulence Factors. PLoS ONE 10(7): e0133420. https://doi.org/10.1371/journal.pone.0133420
Editor: David M. Ojcius, University of the Pacific, UNITED STATES
Received: May 5, 2015; Accepted: June 25, 2015; Published: July 24, 2015
Copyright: © 2015 Borges 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
Data Availability: All relevant data are within the paper and its Supporting Information files.
Funding: VB was a recipient of Ph.D. fellowship (SFRH/BD/68527/2010) from Fundação para a Ciência e a Tecnologia (FCT). MP is funded by a Wellcome Trust ISSF grant (097831/Z/11/Z). RF and AN are recipients of a Ph.D. (SFRH/BD/68532/2010) and post-doctoral fellowships (SFRH/BPD/75295/2010) from FCT, respectively.
Competing interests: The authors have declared that no competing interests exist.
Experimental evolution studies have exploited several organisms’ traits to obtain a real-time window on evolutionary processes, to reveal new genetic targets of selection and, in general, to get insight on the genome-scale dynamics of natural selection within microbial populations, constituting a rare opportunity to deeply uncover the correlation (or lack of such) between genetic and phenotypic signatures [1–3]. In bacteria, common findings include the detection of genes or mutations underlying phenotypic alterations typically observed in laboratory evolving bacterial populations, such as: evolution of new (or loss of) metabolic capabilities, development of antibiotic resistance or sensitivity, or loss of virulence (namely, reduction of the infective capacity) [1, 3–9]. For the latter alteration, it has been also observed that: i) in vitro-cultured microorganisms are in general less virulent than the corresponding wild-types; ii) virulence decreases gradually during in vitro culture; and iii) virulence can eventually be restored by in vivo passage [10–14]. These features have consequently been explored by researchers in order to enlighten pathogenic mechanisms underlying the process of infection, and also uncover new virulence genes. Indeed, loss of function of virulence factors may be possibly related to their dispensability in the in vitro environment, reinforcing the assumption that these genes may play an essential and specific role in vivo.
Few studies have evaluated the impact of laboratory propagation on the population dynamics of obligate intracellular bacteria [15–19], wherein the evolutionary process is ruled by the interaction with the host. In this regard, the use of laboratory-passaged strains has been frequently questioned when studying Chlamydia, including the major human pathogen C. trachomatis [17, 19, 20–24], which are organisms displaying a highly specialized capacity of adaptation to the intracellular life-style. Indeed, these obligate intracellular bacteria have a unique biphasic developmental cycle alternating between an infectious form, the elementary body (EB), and a noninfectious replicating form, the reticulate body (RB). Shortly after entering the target eukaryotic cells, EBs differentiate into RBs, which replicate within a membrane-bound parasitophorous vacuole termed the “inclusion”, until the newly formed infectious EBs are released to infect neighboring cells. C. trachomatis exploits the host cell throughout all developmental cycle by subverting critical cellular functions (such as, cytokinesis, apoptosis, host cytoskeleton, nutrient transport, membrane trafficking pathways or immune responses) [25–28] essentially by effector proteins translocated into the host cytosol or localized into the inclusion membrane (Inc proteins) [29–31]. The majority of the C. trachomatis effectors and Incs described so far were found to be transported by using a type III secretion (T3S) system [29, 31–38]. Despite the high degree of genomic conservation in both the 1Mb chromosome and the virulence regulator 7.5 kb plasmid, strains from different C. trachomatis serovars typically present dissimilar tissue tropism, disease outcomes and clinical prevalence. In fact, serovars A-C are normally associated with ocular infections leading to blinding trachoma, strains from serovars D-K are the major cause of bacterial sexually transmitted infections (where serovar E is the most clinically prevalent followed by F), and strains from serovars L1-L3 are the causative agents of typical bubonic lymphogranuloma venereum (LGV) or the LGV-associated proctitis [39–41] (the latter is primarily caused by L2b strains ).
In a previous approach to study the in vitro population dynamics for this bacterium , we observed that culture propagation yielded discreet genomic changes in the absence of specific selective pressures. Despite the advance of culture-independent C. trachomatis genome sequencing [22, 43–45], our data suggest that the in vivo-derived genetic make-up is not strongly compromised during the classical culture procedures for propagating C. trachomatis. However, this discreet scenario of genomic alterations may strongly impact gene expression and virulence. Indeed, we detected that clones carrying an inactivated version of the recently identified virulence gene CT135 (which is believed to function in sustaining a more persistent or chronic infections in vivo [46, 47]), became 100% frequent in the population of an epithelial-genital strain . Furthermore, assessing the impact of introducing C. trachomatis in vitro gains special relevance in light of the recent rampant development of transformation and gene knockout experiments in C. trachomatis, which demand culture propagation [48–52]. Thus, it is crucial to well characterize the C. trachomatis in vivo to in vitro transition process in order to avoid bias in the interpretation of downstream mutagenesis-derived data and also because virulence of propagated strains may be attenuated. We now performed an experimental evolution study over C. trachomatis strains from serovars displaying dissimilar clinical prevalence and representing the three disease groups. We evaluated the dynamics by which mutations appear and their frequency in the evolving bacterial populations through whole-population sequencing at various time-points after C. trachomatis introduction in vitro. We also investigated transcriptome alterations throughout adaptation. Specifically, we aimed to answer the following questions concerning the in vitro adaptation of C. trachomatis: i) is the duration of bacterial developmental cycle affected?; ii) is the adaptive dynamics dependent on the tissue-specificity or disease outcomes of the infecting strains?; iii) which are the genomic and transcriptomic events underlying adaptation?; and iv) is there parallelism in the adaptive outcomes across strains?
Materials and Methods
Chlamydia trachomatis strains
Six C. trachomatis strains belonging to the three disease groups (one ocular strain, four epithelial-genital strains and one strain associated with LGV-proctitis) were used in the present study. The ompA genotype was verified for all strains, as previously described . The ocular strain C/TW-3 was isolated from the human conjunctiva and was obtained from the American Type Culture Collection (ATCC VR-1477). The remaining strains belong to the culture collection of the Portuguese National Institute of Health. The epithelial-genital clinical isolate Ia/CS190/96 was isolated from a male urethra, whereas the epithelial-genital D/CS637/11, F/CS847/08 and E/CS1025/11 were collected from swabs of the cervix of women with no symptoms, HPV-associated warts, and no available clinical data, respectively. Finally, the LGV strain L2b/CS19/08 was isolated from a anorectal swab of a 29-years old HIV(+) man with proctitis and syphilis.
C. trachomatis in vitro propagation and preparation for whole-population full-genome sequencing
Each clinical specimen (swabs) in transport medium (2 sucrose phosphate buffer supplemented with gentamicin, vancomycin and nistatin) or the ATCC inocula (for the C/TW-3 strain) was inoculated in HeLa229 confluent monolayers (cultured on 24-well plates in MEM containing 10% fetal bovine serum, 5 mM L-glutamic acid, 10 μg/ml gentamicin and 0.5 μg/ml fungizone at 37°C, 5% CO2) by centrifuging at 2110 rcf for 1h at 34°C . The cultures were then incubated for 1h at 37°C, 5% CO2, and the cell medium was subsequently replaced by fresh medium supplemented with vitamins (1x), non-essential aminoacids (1x), glucose (0.5%) and cycloheximide (0.5 μg/ml) (so called “enriched medium”). Cultures were allowed to grow at 37°C, 5% CO2. At the end of the bacterial developmental cycle, the infected cells were harvested using glass beads and disrupted through sonication (Vibra Cell, Bioblock Scientific), and further submitted to low-speed centrifugation (100 rcf for 7min). The bacterial-enriched supernatant was collected and re-inoculated by centrifugation (835 rcf for 1h) onto new HeLa229 confluent monolayers (first passage). Each chlamydial culture was continuously passaged in T25 cm2 flasks, so the passage numbers for the clinical isolates refer to the total number of passages after inoculating the content of the clinical swab. Inoculations were always preceded by sonication followed by low-speed centrifugation, so that the bacterial life-cycle was continuously synchronized. The volume of transferred inocula ranged from 1/10 to 1/2 of the total suspension of the previous passage (depending on the bacterial-enrichment), limiting drift and random selection of clones derived from bottlenecks. Strains D/CS637/11, E/CS1025/11, F/CS847/08 and L2b/CS19/08 were propagated over 30 in vitro passages, whereas strains Ia/CS190/96 and C/TW-3 were propagated until the passage 100. The propagation extension of these two strains relied on the need either to clarify the evolutionary scenario that was being observed (for the former) or to obtain a long-term adaptive landscape for an ocular strain (for the latter), mirroring previous data for one LGV and one epithelial-genital strain . Passages ~6, 20, 30, 50 and 100 were selected for whole-population full-genome sequencing (see below), where culture scale-up to obtain enough DNA for sequencing was performed two or three passages before each time-point. The contents of these flasks was harvested and further subjected to a discontinuous density gradient purification procedure, before proceeding with DNA extraction and quantification as previously described .
Whole-population full-genome sequencing
DNA samples were used to prepare Illumina paired-end libraries according to the manufacturer's instructions (Illumina Inc., San Diego, CA). Libraries were subsequently subjected to cluster generation and paired-end sequencing (2x250 bp) by using the next-generation sequencing platform Illumina MiSeq (Illumina Inc., San Diego, CA, USA), according to the manufacturer’s instructions. FastQC (http://www.bioinformatics.babraham.ac.uk/projects/fastqc/) and FASTX (http://hannonlab.cshl.edu/fastx_toolkit/) tools were applied to check and improve the quality of the raw sequence data, respectively. Reads were mapped to C. trachomatis chromosome and plasmid sequences available at GenBank using both Bowtie2 [version 2.1.0 (http://bowtie-bio.sourceforge.net/bowtie2/index.shtml)] . SAMtools/BCFtools (http://samtools.sourceforge.net/)  were applied to call single nucleotide polymorphism (SNPs) and insertions/deletions (indels), which were carefully confirmed through visual inspection using the Integrative Genomics Viewer [version 2.3.12; (http://www.broadinstitute.org/igv)] . The assembled chromosome and plasmid sequences obtained from the first time-point were used to map the reads generated from subsequent time-points. The frequency of the mutations in the population at the time of sampling were carefully scrutinized through IGV inspection. The mutations reported were supported by a depth of coverage above 150x, a score of quality above 20 for more than 90% of the bases sustaining each polymorphism and a relative percentage of reads mapping to either of the two DNA strands (strand bias) ranging from 40 to 60%. We also inferred the plasmid copy number per chromosome throughout the different time-points, based on the ratio plasmid/chromosome taken from the respective depth coverage. Chromosome and plasmid sequences obtained at the first time-point were annotated by the NCBI Prokaryotic Genomes Annotation Pipeline 2.3 and deposited in GenBank (see accession numbers in the S1 Table). For the global evaluation of the whole genomic backbone of the studied C. trachomatis genomes, we compared them with the ones from 52 previously sequenced C. trachomatis strains , as described elsewhere .
Impact of in vitro passaging on the C. trachomatis growth rate
The growth rate (and doubling times) of bacterial populations was measured at the initial and final stages of the evolution experiment in order to assess the impact of in vitro propagation on the bacterial fitness (i.e., the ratio of growth rates of evolved population relative to its ancestral). Briefly, for each bacterial population, HeLa229 confluent monolayers on 6-well plates were inoculated (by centrifuging at 2110 rcf for 1h at 34°C) at a multiplicity of infection of about 1 with fresh inocula obtained from the cultures (in T25 cm2 flasks) under passaging. Cells were harvested for DNA extraction at 4, 10, 20 hours post-infection and at the end of the bacterial life-cycle (ensuring that cell lysis had not occurred). DNA samples were then used to quantify the number of C. trachomatis genomes at each time-point through real-time quantitative PCR (qPCR), as previously described . The growth rate and doubling times (dt) were calculated using the standard formulas: growth rate = (ln N1 –ln N0) / t (1–0) and dt = (t1 –t0)/n, where (t1—t0) is the time elapsed during the period of higher growth and n is the number of bacterial generations. The n was calculated based on the formula: n = (log10N1/N0)/log102, where N1 and N0 are the genome copy numbers determined at the defined time-points.
Yield of infectious progeny of the serovar D CT135-positive and CT135-negative isolates in cell culture
In order to complement the data from growth rate assays and to obtain an alternative perspective of the impact of the in vitro propagation on the chlamydial replicating capacity, we further evaluated the yields of inclusion-forming units (IFUs) (as a measure of progeny) of the serovar D clinical isolate at beginning of the experiment (here designated as “CT135-positive”) and after CT135 loss (here designated solely as “CT135-negative”, although the two flanking genes were also partially deleted). We grew both the D/CS637/11 CT135-positive and CT135-negative strains in HeLa229 cells, and used serial dilution titration to determine the IFU per milliliter of the EB-enriched stocks. Briefly, serial dilutions were inoculated as above in HeLa229 monolayers seeded on 96-well plates, the cells were fixed at 22 h post-infection with methanol, stained with an anti–C. trachomatis lipopolysaccharide antibody (Pathfinder), and the inclusions were enumerated by immunofluorescence microscopy. Inocula of equivalent concentration (IFU per militer) for both the ancestral and the evolved strain were then applied to infect HeLa229 monolayers (on 6-well plates) at a MOI of 1. At the time-points 6, 12, 18, 24, 30, 36, 42 and 48 post-infection, the cultures were harvested and followed the same procedure of serial dilution titration for inclusion counting and further construction of one-step growth curves. These curves were also important to define the proper time-points to be used in transcriptome (RNA-seq) assays.
Evaluation of molecular stability of CT135 transcripts
The molecular stability of the bacterial transcripts is traditionally evaluated throughout the quantification of the mRNA half-life time after transcriptional blockage with the antibiotic rifampicin [60, 61], which inhibits the de novo synthesis of RNA. Since the quick degradation of mRNAs from genes that are deleterious in a given environment is believed to confer selective evolutionary advantage , we sought to evaluate the molecular stability of CT135 transcripts before and after the spread of CT135-negative clones. We performed this assay for the clinical isolates with emergent CT135-negative clones. After a preliminary optimization stage, we opted to use a final rifampicin concentration of 10 μg/ml (Sigma-Aldrich) since it allowed a maximum bacterial transcriptional arrest while causing no visible morphologic effects on HeLa229 cells (data not shown). This concentration is in agreement with the one used in a previous study aiming to assess the molecular stability of transcripts in other Chlamydia species . For the assays to determine CT135 mRNA half-life time, fresh EB-enriched inocula from each isolate under passaging (for both ancestral and evolved populations) were inoculated as above on 6-well plates, and cultures were allowed to grow until antibiotic treatment. Considering that higher levels of CT135 transcripts are detected at early stages of the C. trachomatis life-cycle [32, 63], we opted to evaluate the molecular stability of the CT135 transcripts at this stage. Hence, at 4h pi, the culture medium was replaced by fresh medium containing rifampicin and after 10 min cells were scraped with PBS and mechanically disrupted by sonication. The final suspension was rigorously divided into two identical aliquots and immediately frozen in liquid N2. Culture samples were similarly harvested before rifampicin addition (at 4h pi). The twin aliquots were submitted to independent DNA and RNA extraction using QIAamp DNA Mini Kit (Qiagen) and RNeasy Mini Kit (Qiagen), respectively, according to manufacturer's instructions. Purified RNA samples were further subjected to cDNA generation using TaqMan Reverse Transcription (RT) Reagents (Applied Biosystems, Life Technologies, Branchburg, NJ, USA), as previously described . cDNA samples were used to quantify the transcript’s level through qPCR before and after rifampicin treatment. In order to overcome putative bias associated with differential degradation along the operon, we applied two independent qPCRs targeting the two genes (CT134 and CT135) , and calculated a mean value. The mRNA levels were normalized against the number of C. trachomatis genomes quantified on the corresponding DNA samples, using a previously described qPCR . All quantifications were performed using a LightCycler 480 (LC480) Instrument (Roche). The reagents consisted of LightCycler 480 SYBR Green I Master (Roche), 400 nM of each primer and 5 μl of sample DNA or cDNA, in a final volume of 25 μl. The sequences of all primers used in this study are listed in the S2 Table. The mRNA half-life times (t ½) were calculated by using an adaptation of the “two-fold” decay step method  based on the fit of an exponential decay between values obtained at the first time-point (before rifampicin addition) (N0) and the values calculated t minutes (10 min) after the transcriptional arrest (N1), using the formula: t ½ = -ln2/k; where the rate of decay rate (k) was estimated as follows: k = ln(N1/N0)/ t.
Evaluation of the impact of a deletion event involving CT135 on C. trachomatis transcriptome
Analyses of global gene expression in C. trachomatis through microarrays or RNA-seq have been almost exclusively performed at mid-stage of the developmental cycle in order to ensure the detection of transcripts from a higher number of genes [51, 63, 67–69]. Here, we also focused on the bacterial mid-cycle, and chose the time-point for RNA-seq differential expression analysis according to the distinct growth dynamics observed for the D/CS637/11 CT135-positive and CT135-negative isolates (evaluated by IFU-based growth curves) (see Results section). Hence, HeLa229 confluent monolayers (cultured on T25 cm2 flasks) were infected with serovar D CT135-positive (passage 7) and CT135-negative (passage 20) isolates at a MOI of about 1 (as described above), and were grown for 30 h and 24 h post-infection, respectively. Subsequently, the culture medium was discarded, cells were harvested using 2:1 volumes of RNAprotect bacteria reagent (Qiagen, Valencia, CA), sonicated, and subsequently centrifuged at 100 rcf for 7 min. The supernatant was collected, pelleted by centrifugation (18500 rcf for 15 min) and further processed for RNA extraction using the RNeasy Mini Kit (Qiagen), according to manufacturer's instructions. Samples were treated on column with RNase-free DNase (Qiagen), and RNA samples were subjected to Agilent Bioanalyser (Agilent Technologies) analyses before and after the bacterial mRNA enrichment using MICROBEnrich (Ambion, Austin, Texas) and MICROBExpress (Ambion) protocols, according to manufacturer’s instructions. Bacterial mRNA-enriched samples were further subjected to library construction (TruSeq Stranded mRNA sample preparation kit, Illumina) and sequencing on an Illumina MiSeq sequencer using a paired-end (2x150bp) strategy (about 15M reads were dedicated per sample). The quality of the raw sequence data was assessed through FastQC analysis. The sequence reads were mapped (using Bowtie2) to the D/CS637/11 genome (sequenced in this study) and the expression of each chromosome and plasmid coding sequence (CDS) was normalized as fragments per kilobase of CDS per million mapped reads (FPKM) using the Cufflinks (version 2.1.1; http://cufflinks.cbcb.umd.edu/). In order to overcome the variable efficiency of the mRNA enrichment step across samples and to improve the overall robustness of transcript abundance estimates, reads from bacterial rRNA and tRNA were selectively masked in the analyses. Differential gene expression analyses between D/CT135-positive and D/CT135-negative strains were conducted using Cuffdiff, where FPKMs and fragment counts are scaled taking the median of the geometric means of fragment counts across all libraries (geometric normalization method). This rationale is identical to the one used by DEseq . The Benjamini–Hochberg procedure, which controls the false discovery rate (FDR), was applied to adjust raw P-values for multiple testing . Genes were considered to be differentially expressed when the fold change of expression exceeds the two-fold and the adjusted P-values were <0.05. RT-qPCR validation of the RNA-seq results was performed on a LC480 apparatus (as described above) using cDNA samples obtained from total RNA aliquots collected before depletion of rRNA and polyadenylated mRNAs. RT-qPCR data for each gene were normalized against the data obtained for the 16S rRNA transcript. Differential expression data are based on two biological replicates. In order to ensure that the observed expression differences were due specifically to the deletion event involving CT135 and not to other factors underlying laboratory propagation, we performed a control RNA-seq experiment by analysing the Ia/CS190/96 isolate within the same time frame as for the serovar D strain. This shows up as a suitable control, since this strain did not reveal any mutation in the entire genome throughout the same passaging period (i.e., until passage 20).
The genome make-up of studied strains represents the major branches of the species tree
We performed experimental evolution of C. trachomatis ocular (C/TW-3; an historical prototype strain), epithelial-genital (D/CS637/11, E/CS1025/11, F/CS847/08 and Ia/CS190/96; clinical isolates) and LGV (L2b/CS19/08; an anorectal isolate associated with LGV-proctitis) strains. Among these, we recently described the genomes of C/TW-3  and L2b/CS19/08 . To integrate the genetic backbone of all strains used in this work in the frame of the known species phylogeny and diversity , we first determined and analyzed the genome of the strains after minimal passages. We observed the phylogenetic segregation of each genome within the four major branches of the species tree, where each strain clustered with the other C. trachomatis strains sharing not only the tissue-specificity but also the clinical prevalence of the corresponding serovars (S1 Fig). Of note, two strains (Ia/CS190/96 and F/CS847/08) revealed clear traces of recombination involving epithelial-genital strains (S1 Fig), similarly to what has been extensively described [58, 73, 74]. Globally, the present study aiming to evaluate the dynamics underlying the in vivo to in vitro transition of C. trachomatis involves strains representing, not only the three disease groups (ocular, epithelial-genital and LGV), but also the four major genetic branches of the species tree.
Initial populations reveal some degree of allelic variation
Genomic analyses of the initial populations revealed phenomena associated with heterogeneity within DNA homopolymeric tracts located in the gene encoding the cytotoxin (CT166) and upstream from the gene CT533/lpxC, which encodes an essential enzyme [UDP-3-O-(R-3-hydroxymyristoyl)-GlcNAc deacetylase] in the biosynthesis of lipid A [75, 76]. Cytotoxin will be focused on the next section as the detected variability may underlie its functionality. Regarding the CT533/lpxC, for strain E/CS1025/11 we found a homopolymeric tract 36 bp upstream from the start codon (between the predicted -35 and -10 TATA boxes) with a string of 12 ‘A’ in 87% of the reads and 11 ‘A’ in 9% of the reads (4% for other ‘A’ counts) (Fig 1A and 1B). Although a similar scenario was also observed for initial populations of the other strains, we drew attention to E/CS1025/11, since we detected a progressive increment of the 11 poly(A) tract throughout bacterial propagation (Fig 1A and S3 Table). Besides homopolymeric tracts, strains Ia/CS190/96 and L2b/CS19/08 revealed no mixture of clones, whereas the D/CS637/11, F/CS847/08 and C/TW-3 revealed allelic mixtures (S3 Table). For the serovar D strain, the clones in the population are distinguished by two non-synonymous nucleotide polymorphisms (‘GC’ ↔ ‘AA’) affecting the same codon in the gene CT633/hemB, which encodes an enzyme (delta-aminolevulinic acid dehydratase) involved in the heme biosynthesis . A recent study showed that the heme metabolism is important for C. trachomatis infectivity , and, in Staphylococcus aureus, it is known that hemB mutants display increased ability to persist intracellularly . For the serovar F clinical isolate, the mixture of clones was found to involve a silent mutation in the CT682/pbpB gene. This gene codes for a penicillin binding protein that play a role in the final stages of the synthesis of peptidoglycan, which was recently discovered in Chlamydia . Corroborating the assumption that this mixture of clones comes from the in vivo population, there are C. trachomatis pbpB sequences in GenBank supporting both nucleotide variants. Finally, concerning the ocular prototype strain C/TW-3, the initial population contained a mixture of CT135-positive and CT135-negative clones, where the minor frequent clones carry one inactivating indel in the gene CT135 (S3 Table). Globally, allelic mixtures were sustained by depth of coverage ranging from ~180x to ~1100x (S1 Table).
Panel A. The graph shows the evolution throughout passaging of the percentage of sequence reads with different ‘A’ counts in the homopolymeric tract upstream from CT533/lpxC for the strain E/CS1025/11. The poly(A) tract corresponds to poly(T) in the annotated leading strand. Panel B. Schematic view of the putative promoter region of CT533/lpxC. The predicted transcription start site  is labeled by +1. The variable poly(A) tract (in bold) falls between the predicted -35 and -10 hexamers (underlined). BLAST analyses revealed the existence of variable number of ‘A’ counts in C. trachomatis genomes, and also that the nucleotide indicated with an arrow is deleted exclusively in all LGV strains. Panel C. The graph shows the percentage of sequence reads with different ‘G’ counts in the variable homopolymeric tract of CT166 found in the initial populations of the epithelial-genital strains. “G” counts of nine correspond to an “ON” protein. Panel D. Schematic view of the four positions (numbers 1 to 4) relative to a gene at which contingency loci (e.g., homopolymeric tracts) can cause phase variation (adapted from van der Woude MW and Bäumler AJ, Clin Microbiol Rev 17:581–611, 2004 ). Whereas positions 1 and 2 are associated with transcription initiation and position 4 with translation (ON/OFF), the mechanism regarding the position 3 is not completely disclosed. We found heterogeneity in length within homopolymeric tracts located in positions 2 (for CT533/lpxC) (blue), 3 (for CT043/slc1 and the operon CT134-CT135), and 4 (for CT166—cytotoxin) (red).
Phase variation may underlie functionality of C. trachomatis cytotoxin
The C. trachomatis cytotoxin is a putative effector protein believed to act on the rapid disassembly of cytoskeleton actin filaments during the bacterial internalization process and to cause a cytopathic effect in host cells [81–84]. Contrarily to epithelial-genital strains, LGV and oculotropic strains do not encode a functional cytotoxin [81, 85]. Intriguingly, we found clones in the initial populations of all epithelial-genital isolates displaying a potentially disrupted cytotoxin due to an inactivating variable ‘G’ count in a poly(G) tract at the 5’-end of CT166 (gene positions 29 to 37). In fact, although the predicted functional cytotoxin (“ON”) harbors a string of a 9 Gs, the majority of the sequence reads generated for three epithelial-genital isolates (>83% for D/CS637/11 and F/CS847/08, and >66% for Ia/CS190/96) carry a 10 ‘G’ homopolymeric tract that causes frameshift (“OFF”) (Fig 1C). This is supported by a high depth of coverage from 130x to 470x, and it is known that homopolymer-associated errors are highly reduced when using the Illumina technology [86, 87], which has been used, for instance, for resequencing the variable tracts of contingency loci in Campylobacter jejuni . We believe that this variability may underlie the regulation in vivo of the cytotoxin functionality through an ON/OFF mechanism of phase variation. In fact, we performed a BLAST search and found out that ‘G’ counts other than nine are present in several recently released culture-independent C. trachomatis genomes .
In vitro passage of C. trachomatis results in a tropism-specific loss of the virulence gene CT135
We evaluated the emergence and spread of adaptive mutations throughout C. trachomatis experimental evolution (Fig 2). No emergent mutations were detected for the LGV-proctitis strain (L2b/CS19/08) at any time-point. In contrast, we observed inactivating mutations in the virulence gene CT135 for all the epithelial-genital strains, which rapidly rose in frequency. We estimated that, in each 10 in vitro passages of epithelial-genital strains, a mean of 23.1% (SD ±11.9) of the emergent clones will carry inactivating mutations in this virulence gene. An extreme example stands for D/CS637/11, where CT135-negative clones reached a frequency of 100% at passage 20. For this strain, the inactivating mutation consisted of a 1452-bp deletion between direct repeats leading to the putative formation of a fusion gene involving the flanking genes CT134 and CT136 (Fig 3). Three major alternative mechanisms may have mediated this event: i) intermolecular crossing over between DNA direct repeats; ii) intramolecular pairing of repeats by looping out followed by homologous recombination; and iii) DNA polymerase slippage during DNA replication [89–91]. Of note, deletions between direct repeats have been proposed to have played a role in the genome reductive evolution of Chlamydia bacteria [85, 92, 93], namely in the cytotoxin loss in the ocular C. trachomatis serovars A, Ba and C . In support of the expression of the fusion protein CT134-CT136, we observed the existence of transcripts (in RNA-seq) compatible with this novel genomic structure. However, immunoblotting attempts to detect the protein (polyclonal antibody targeting CT136) in culture lysates obtained at mid-cycle were unsuccessful (data not shown).
Panel A. Chromosomal location of the genomic alterations observed during the in vitro passaging. The chromosomal position of each mutation (scale adjusted and given by the locus name) and the type of mutation event (inactivating events represented in red) are shown for each strain (see also S3 Table for details). Inactivating SNPs or indels refer to events leading to protein truncation (regardless the length of the resulting protein). For the strain D/CS637/11, the CT135 inactivating event involved the entire gene deletion between direct repeats (Fig 3). Panel B. Dynamics of the emergence and spread of mutations and their frequency in the evolving bacterial populations. For each time-point (passages 5–7, 10, 20, 30, 50 and 100), circular graphs show the frequency of the mutations in the bacterial population, where each color represents a different mutated locus. The number of bacterial generations was estimated taking into account the minimum and maximum values of the mean doubling time of the strains analyzed at each time-point, and assuming a conservative approach by considering 15 hours of exponential phase per bacterial life-cycle (i.e, per passage). Loci designations are based on genome annotation of the D/UW3 strain (GenBank accession number NC_000117).
The inactivating event of CT135 involved the complete gene deletion between direct repeats (in blue) and the putative formation of a fusion gene enrolling the two flanking genes (CT134 and CT136). The underlying mechanism likely relied in one of three major pathways: A—intermolecular crossing over between direct repeats followed by recombination (yielding both a tandem duplication and a deletion); B—looping out in between direct repeats followed by recombination; and C—DNA polymerase slippage during DNA replication [89–91]. The figure also shows the position of all CT135 frameshift mutations (labeled by Ψ) reported here and elsewhere [46, 48, 131, 149, 150, 164], demonstrating that the strains evolved towards CT135 inactivation regardless the “genetic pathway” that drove that inactivation The bilobal hydrophobic domains that putatively enable the insertion of the CT134 and CT135 proteins into the inclusion membrane  are highlighted in grey.
In a later point of the evolution experiment, a parallel scenario of gene inactivation occurred for CT713/porB gene for three out of four epithelial-genital strains (Fig 2 and S3 Table). Since this parallelism provides a strong signal of metabolic adaptation of C. trachomatis to the culture conditions, we will discuss it in detail in the next section. Some other adaptive mutations were fixed in the evolving populations, although no parallelism across strains was observed for the targeted genes. For the serovar E strain, we detected the emergence and evolution to predominance of clones carrying one inactivating SNP in the start codon of CT645, which encodes a predicted integral membrane protein with unknown function (YGGT family)  that shows homology to a protein (YlmG) potentially involved in cell division [94, 95]. Also, for the Ia/CS190/96 strain, two new adaptive mutations arose: an inactivating indel for CT257 and one non-synonymous SNP for CT205/pfkA_1, both reaching about 100% frequency. CT257 codes for a CBS domain-containing protein  that was suggested to display tropism for eukaryotic lipid-droplets  whereas CT205/pfkA_1 encodes a key enzyme (diphosphate-fructose-6-phosphate 1-phosphotransferase) involved in the carbohydrate metabolism .
Regarding the ocular strain C/TW-3, we verified that the minor frequent CT135-negative clones present in the initial population evolved to extinction, reflecting a completely opposite scenario to the one observed for the epithelial-genital strains. Additionally, we observed the further fixation of four adaptive mutations reaching 100% frequency at passage 100 (Fig 2 and S3 Table). These mutations targeted the following loci: the intergenic region (IGR) upstream from the gene CT043/slc1 (a 1-bp deletion in a poly(A) tract affecting the transcript sequence), the genes CT189/gyrA_1 and CT664/cdsD, and a putative ORF (CTW3_00885)  encoding a fragment of the ancestral Chlamydia cytotoxin. Of note, two of these mutations might have likely interfered with T3S-mediated bacterial functions, since the gene CT043/slc1 encodes a chaperone (Slc1) of several virulence-associated T3S effectors [98, 99], whereas the gene CT664 encodes a forkhead associated (FHA) domains-containing protein (CdsD/YscD) predicted to form the inner membrane ring of T3S apparatus [100, 101].
Globally, the observed mutations correspond to an empirical substitution rate (we used a conservative approach by considering minimal exponential phases) ranging from 9.86 x 10−9 to 1.89 x 10−8 mutations per base pair per generation (or 0.0103–0.0197 mutations per genome per generation), which fits data from adaptive evolution studies in bacteria, where evolving populations are expected to fix no more than ~2.5 mutations per 100 generations [4, 6, 102]. Of note, no mutations were observed in plasmid sequences, and the number of plasmids per chromosome did not significantly change throughout laboratory propagation (S1 Table).
Inactivating mutations in the gene CT713/porB may reflect metabolic adaptation to the available carbon source
Three out of the four epithelial-genital strains acquired putative inactivating mutations in CT713/porB that increased in frequency (Fig 2 and S3 Table). CT713/porB gene codes for a porin that specifically enables the uptake of dicarboxylates into the tricarboxylic acid (TCA) cycle . This cycle is incomplete in C. trachomatis, and requires either exogenous glutamate (transported by the major outer membrane protein—MOMP) or 2-oxoglutarate (transported by PorB) from the host cell [77, 103, 104]. Hence, as we supplemented the chamydial cultures with glutamate, the 2-oxoglutarate uptake pathway might become expendable, leading to both the inactivation of the porin-encoding gene CT713/porB and exclusive maintenance of the TCA feeding through the glutamate pathway. This hypothesis would rely on a typical scenario of metabolic adaptation to the available carbon source, and fits well with the postulation that the reduction of importance of the TCA cycle metabolic pathway throughout the adaptation of Chlamydiae to an intracellular lifestyle led to the pseudogenization of TCA cycle-related genes .
The growth rate of laboratory evolving populations increased relative to the ancestral populations leading to shorter life-cycles
In Chlamydia, fitness estimates essentially rely on evaluating the growth rates or IFU yield rather than on capturing the phenotype by which the adaptive advantage operates, as knock-out assays are not optimized yet for such purpose. Thus, we searched for changes in the fitness of the evolving populations by comparing the growth rates of the strains at the beginning and at the end of the study, a methodology largely applied in bacterial experimental evolution studies . Globally, the growth rate of all evolved populations relative to their ancestors increased from 18,3% (for E/CS1025/11) to 92,0% (for F/CS847811) (Fig 4A and 4B), reflecting the progressively shortening of the bacterial life-cycles observed through phase-contrast microscopy. In addition, we complemented this data by constructing a one step-growth curve (i.e., enumeration of IFUs over time) to assess the length of the life-cycle before and after the CT135 loss by the serovar D strain (Fig 4C). This assay revealed a shorter developmental cycle for the propagated strain, which was also sustained by the observation of a similar fold change in the genome copy number between 4h pi to 30h for the D/CT135-positive strain and 4h pi to 24h for the D/CT135-negative strain (data not shown).
Panels A and B. Comparison of the growth rates and doubling times between ancestral (grey) and evolved populations (black). The percentage values above the bars correspond to the growth rate increment of the evolved population relatively to the ancestral. Panel C. Comparison of the one-step growth curve between D/CS637/11 CT135-positive and CT135-negative strains. Cells grown in the same conditions were infected at a MOI of 1, and cell scrapings were collected over time after infection for analysis of inclusion-forming units (IFUs). The black line represents the evolved CT135-negative D/CS637/11 strain, whereas the grey line represents the ancestor CT135-positive strain. The shaded area indicates the time points chosen for RNA-seq differential expression comparative analyses.
The genomic inactivation of CT135 in the epithelial-genital strains is accompanied by a quick degradation of the mRNA
The mechanisms for controlling the mRNA processing and decay play an important role in the continuous adjustment of the levels of gene expression according to the protein needs, with bacterial mRNA half-life times ranging from seconds to hours [62, 106]. We evaluated whether the molecular stability of CT135 transcripts was affected after protein truncation. We observed that the mRNA half-life time decreased for the epithelial-genital isolates (Fig 5), whereas it remained unaltered for the LGV clinical isolate. These results are concordant with an adaptive scenario where both the genomic inactivation and mRNA processing mechanisms concomitantly act to increment the competitive fitness of the CT135-negative clones. Curiously, when looking at the mRNA half-life time of the ancestral strains, we observed that the CT135-transcript is more labile for the LGV strain.
Panel A shows the comparison of the relative amount of transcripts at 4 h post-infection (pi) and after 10 min of transcriptional blockage with rifampicin (10 μg/ml) between the ancestral (grey) and the evolved populations (black). The assay was performed for all strains with emergent CT135-negative clones (i.e., all epithelial-genital isolates) and for the strain L2b/CS19/08 (control). The number of transcripts was quantified by independent RT-qPCR targeting the two genes of the operon CT134-CT135 (see methods for details), except for serovar D strain as the evolved population lacks CT135. Data was normalized against the number of C. trachomatis genomes quantified on the corresponding DNA samples. In order to facilitate the comparative analysis, the normalized value before rifampicin treatment (4h pi) was arbitrarily set to 1. Panel B shows the mRNA half-life times calculated based on the fit of an exponential decay between the quantified values at 4h pi and the values calculated 10 minutes after the transcriptional arrest.
Genomic deletion involving CT135 affects the expression of multiple virulence-associated genes
The mechanism by which CT135 promotes C. trachomatis virulence is unknown. Taking into account the rapid and parallel loss of the CT135 in all epithelial-genital strains, we wonder if the in vitro inactivation of CT135 is beneficial likely because it reduces the expression of several genes, and hence the associated energetic costs of unused functions. We performed RNA-seq analyses to compare the global gene expression of the serovar D CT135-positive and CT135-negative strains. Here, we are assuming that potential changes in gene expression are essentially due to the CT135 loss, but the deletion of 1452-bp also partially involved the flanking genes CT134 (encodes a putative Inc protein) and CT136 (encodes a Lysophospholipase esterase) (Fig 3), so a synergistic effect cannot be ruled out. This particularly stands for CT134, as it is predicted to belong to the same operon as CT135 . By using a false discovery rate cutoff of 0.05 and a fold-change cutoff of >2.0, we identified 48 significantly differentially expressed genes and one non-coding RNA, all being down-regulated in the CT135-negative strain (Table 1 and Fig 6). To confirm these results, we used RT-qPCR to evaluate the expression of a set of the highlighted genes and found a good level of correlation (slope 1.01, Pearson correlation 0.958, N = 7) (S2 Fig). Remarkably, the pool of genes that are down-regulated after the occurrence of the deletion event involves multiple virulence-associated genes (some of them belonging to the same operon) (Table 1). We highlight genes coding for: i) the most prominent adhesins (e.g., CT443/OmcB) [107, 108] and T3S effectors (e.g., CT456/Tarp, CT694 and CT875/TepP) known to play a role in the C. trachomatis host-cell invasion process [109–112]; ii) multiple T3S-related proteins, such as substrates (e.g., CT082, CT619-20 and CT847-9) [38, 99, 113–115], a chaperone (CT576/Scc2)  and components of the translocation pore (e.g., CT578/CopB and CT579/CopD) ; iii) genes encoding proteins putatively related to the chlamydial protease/proteasome-like activity factor (CPAF), either potential substrates (e.g., CT005, CT288, CT443/OmcB, CT456/Tarp and CT694-5) [118–120] or other virulence proteases acting in the same pathways in the subversion of host-cellular functions (e.g., CT441/Tsp and CT868/ChlaDub1) [121–124]; and iv) virulence-associated proteins regulated by the plasmid-encoded Pgp4 (e.g., CT049-CT051, CT142-CT144 and CT798/GlgA) . Regarding the latter set of genes, we looked at the differential expression of their regulator-encoded gene (ORF6/pgp4) and observed a slight decrease of expression (~1.4-fold) in the CT135-negative strain. Thus, we hypothesize that the down-regulation of those genes might have been mediated by pgp4 underexpression. Of note, the down-regulated genes include all members (CT619, CT620, CT621, CT711, and CT712) except CT621 of a family of chlamydial T3S substrates characterized by a domain of unknown function (DUF582 proteins) that are believed to target nuclear cell functions [115, 125]. The highly down-regulated non-coding small RNA (sRNA) (located between CT080 and CT082, and previously designated ctrR0332 in the L2b/UCH-1 strain) (Table 1) was previously found to be overrepresented in EBs, which is consistent with the profile found for the majority of the affected transcripts . Noteworthy, we observed only one differentially expressed gene (CT377/ltuA) in the control experiment with the Ia/CS190/96 strain. This result suggests that the short-term laboratory propagation of C. trachomatis does not substantially change gene expression in absence of genomic alterations.
Panels A-B. Comparison of gene expression between biological replicates for the D/CT135-positive (A) and D/CT135-negative (B) populations. Pearson correlation coefficients are shown. Panel C. Comparison of gene expression between the D/CT135-negative and D/CT135-positive populations. The red points mark genes and the non-coding RNA for which the fold change of expression exceeds two-fold and the FDR-corrected P-values were below 0.05. For panels A to C, axes are log10-transformed normalized expression levels (FPKM). Panel D. Volcano plot of –log2 fold change (D/CT135-positive versus D/CT135-negative) versus –log10 adjusted P-values. In order to better fit the scale to data, corrected P-values ≤10−3 were set as 10−3. Points in red indicate genes and the non-coding RNA for which the fold change of expression exceeds two-fold and the FDR-corrected P-values were below 0.05.
It is known that pathogens adapt to laboratory culture conditions, whereby in vitro-maintained strains may no longer reflect the circulating isolates. On behalf of this, the use of laboratory-passaged strains has been frequently questioned in Chlamydia research [17, 20–24]. Although the adaptive process behind the in vivo to in vitro transition is not understood, cumulative data have pointed out that a deep characterization of this process is mandatory, since: i) mixed-clone populations have been found in multiple culture stocks from both C. trachomatis and C. muridarum strains, with clones displaying distinct in vivo virulence [23, 46, 127, 128]; ii) prototype strains have been suggested to display distinct phenotypic presentations when comparing with recent clinical isolates, such as distinct growth-rates and/or yielded progeny [21, 129] and in vivo infectivity capacities ; iii) in vitro passage selected for C. muridarum displaying severely attenuated in vivo pathogenicity ; iv) clones with frameshift mutations in the C. trachomatis virulence gene CT135 (or in the C. muridarum homolog TC_0412) have been detected in several cultured populations [15, 17, 23, 46, 48, 127, 128, 130, 131]; and v) the use of cell-culture propagation in Chlamydia research will expectedly be boosted due to the recent development of transformation and gene knockout experiments in Chlamydia [48–52, 132–135].
In the present study, we specifically aimed to assess the genomic and transcriptomic dynamics of C. trachomatis after its introduction in culture. As the experimental design of the present study mirrored the typical culture techniques, i.e., assisted bacterial entry and exit (by centrifugation and sonication, respectively), which discards the selective pressure underlying these steps, no discussion will be performed about evolutionary adaptation targeting specifically the bacterial attachment and host-cell lysis. This would require a study with different design and goals . We observed a dynamics of mutation fixation for this obligate intracellular bacterium that clearly fits the typical scenario of adaptive evolution seen in similar experiments in extracellular bacteria [1, 6]. The most frequently observed events were inactivating mutations followed by non-synonymous mutations (none of the emergent mutations in ORFs were synonymous), and the mutant clones progressively rose in frequency in the population, clearly supporting that mutations were beneficial (Fig 2). In general, our results show an adaptive scenario underlying the in vivo to in vitro transition for epithelial-genital strains that seems to be essentially marked by two major stages within different time-frames: i) a rapid and parallel evolutionary loss of the virulence gene CT135; and ii) a later inactivation of the porin PorB (encoded by the gene CT713/porB), which may be a result of a metabolic adaptation to the carbon source (glutamate instead of 2-oxoglutarate). Regarding the latter, it is intriguing why not all strains were affected, which we speculate to be a matter of time-scale. Future experiments involving the switch between glutamate and 2-oxoglutarate coupled with the analyses of the population dynamics will certainly dissect this hypothesis. These results provide an explanation to the enigmatic emergence of both CT135-null [15, 46, 48, 131] and porB-null mutants  in in vitro populations. Notably, CT135-negative clones rapidly outcompeted CT135-positive clones, suggesting a strong selective force against CT135 functionality. Although we cannot exclude that inter-clone recombination may have also contributed to this notable frequency increase, values of this magnitude were only previously observed under strong selective pressures with antichlamydial compounds .
CT135 encodes a putative Inc  that contains a T3S signal recognized by heterologous bacteria , but whose function is unknown. We found that CT135 may be a direct or indirect virulence regulator, as its genetic loss together with the partial deletion of the two flanking genes implicated a down-regulation of multiple genes, where more than 30 have been previously associated with C. trachomatis virulence properties (Table 1). We hypothesize that the down-regulation of virulence genes constitutes the mechanism behind the observation that CT135-null mutants showed attenuated in vivo infections in mice [46, 47]. In support of this, an interesting recent study from Ramsey’s group  showed that when mice were inoculated with C. muridarum population displaying a mixture of positive and negative clones of TC_0412 (CT135 homolog), the former shift to predominance. Although it is believed that CT135 is an Inc protein, its location in the inclusion membrane was never demonstrated by immunofluorescence microscopy. Yet, CT135 is most expressed at the beginning of C. trachomatis life-cycle [32, 63], coincident with the formation of the inclusion membrane, and belongs to the same operon and displays the same expression levels and profile as CT134, which also encodes a putative Inc protein [32, 33, 46]. As the C-terminal region of CT134 was also lost in the deletion event, we could also speculate the existence of a cooperative action involving CT134 and CT135, where the CT135 effect would be boosted by the upstream protein.
Almost all affected virulence factors seem to be coordinately expressed at late or immediately early stages of C. trachomatis life-cycle [32, 62, 66, 67, 114, 126], suggesting their packaging into EBs for subsequent rounds of infection. Curiously, some of them were previously shown to be transcriptionally regulated by the well-described EUO (e.g., CT443/omcB, CT080/ltuB, CT441/Tsp and CT576/scc2), which similarly to CT135 is also an early protein [138, 139], or by the plasmid Pgp4 (e.g., CT049-CT051, CT142-CT144, CT622 and CT798/glgA) . Whereas CT446/euo revealed no changes in expression, the slight lower expression of pgp4 may justify the detected down-regulation of Pgp4-targets. This latter observation leaves open the possibility that the attenuation of C. trachomatis virulence in vitro may occur by more than one mechanism (such as genomic inactivation of CT135 and/or down-regulation of the virulence regulator Pgp4), which potentially take place in a cumulative or differential fashion depending on the strain. Future transcriptional analyses of other in vitro passaged strains, namely CT135-unaltered strains and strain with an extent passaging time-scale, will certainly be important to confirm this hypothesis.
The most down-regulated locus (about 10-fold) was the previously described sRNA ctrR0332 . Although increasing data have shown that the expression of sRNAs may be determinant for virulence in both extracellular  and intracellular bacterial pathogens  and, in C. trachomatis, one sRNA (lhtA) was found to control the timing of RB to EB transition [142, 143], the specific role of the sRNA ctrR0332 on C. trachomatis virulence cannot be determined yet. However, it is tempting to hypothesize that it may regulate CT135 (for instance, by controlling its mRNA stability), whose loss would render the sRNA dispensability. Collectively, all these data indicate that the control of C. trachomatis virulence at the stage where EBs are loaded with virulence determinants is likely multi-factorial.
The scenario of the rapid loss of CT135 in the transition from in vivo to in vitro raises relevant issues concerning studies where intensive laboratory propagation is necessary, such as mutagenesis, transformation and/or drug testing. In fact, these may enhance the selection of CT135-negative mutants, where a single inactivating event may have a downstream strong impact on the virulence and pathogenicity of the strains, introducing bias when interpreting data on the course of their use. For example, the loss of virulence after in vitro propagation is well-documented for other important human pathogens, such as Mycobacterium tuberculosis , Staphylococcus aureus , Coxiella burnetii  and Campylobacter jejuni . Therefore, it seems important that researchers performing studies with laboratory-propagated C. trachomatis epithelial-genital strains confirm the integrity of CT135 in selected clones. This issue is also raised when working with C. muridarum, as the interpretation of the results from recent studies searching for targets of antibiotic resistance  or evaluating pathogenicity in vivo  was complicated by the presence of frameshift mutation in CT135-homolog. On the other hand, this issue can be overcome if complementation assays are applied to study the genetic linkage between a mutant allele and the expected phenotype.
One intriguing result was the observation that CT135 inactivation occurred for all epithelial-genital strains (regardless of both their genetic backbone and the clinical prevalence of their representative serovars), but not for strains with different tissue tropism (LGV and ocular strains). Considering that C. trachomatis is likely undergoing a directional evolution towards niche-specific adaptation to each infected tissue—ocular conjunctivae, genital mucosa and lymph nodes [58, 74, 145, 146], one might speculate that CT135 may be a direct or indirect determinant of tissue tropism, as suggested for other C. trachomatis loci (e.g., the cytotoxin gene and the tryptophan operon) [82, 147, 148]. Several lines of evidence sustain that the LGV strains evolve to retain the CT135 activity in vitro: i) the passaging of the LGV-proctitis associated clinical isolate do not lead to the CT135 disruption (Fig 2); ii) CT135-null mutants did not arise even when the historical LGV prototype strain (L2/434/Bu) was continuously propagated in HeLa cells during over one year ; and iii) no CT135 polymorphisms were found within the population of any prototype strain from different LGV serovars (L1, L2 and L3) . Regarding the ocular strain that we have used (C/TW-3), we observed a scenario where a sub-population of CT135-null clones evolved to extinction (Fig 2 and S3 Table), which is enigmatic since the CT135 was already found to be disrupted in several annotated genomes of ocular strains [48, 58, 149, 150]. Considering all these observations, and although the HeLa cell line is one of the most commonly used for culturing C. trachomatis, we wonder if a similar scenario is obtained by propagating LGV and ocular strains in tropism-related cell-lines, such as monocytic or conjunctival cell lines, respectively. CT135 transcripts have been found to be more labile for the LGV strain (Fig 5), but this does not directly mean that CT135 does not contribute to the ability of C. trachomatis LGV strains to infect macrophages and disseminate to lymph nodes. In fact, the CT135 protein sequence has five LGV-specific amino acids (data not shown), and was previously found to be among a pool of genes likely involved in phenotypic differences among LGV strains .
The growth rate of all laboratory evolving populations increased relative to the ancestral populations (leading to shorter life-cycles), reflecting a gradual Darwinian fitness improvement over time (Fig 4). Although we cannot attribute the life-cycle shortening to the inactivation of CT135 (since the ocular and the L2b strains also improved their fitness, and other mutations arose), it is noteworthy that in vivo studies also suggested that CT135 operates in sustaining a more persistent or chronic infections in the female mouse genital model . Other fixed mutations (Fig 2 and S3 Table) have also the potential for altering the bacterial fitness likely by affecting: i) the cell division (mutation in CT645); ii) the nutrient acquisition/processing (mutations in CT205/pfkA_1, CT257 and CT713/porB); or iii) global regulatory mechanisms, such as DNA supercoiling (mutation in CT189/gyrA_1). Finally, despite most gene targets showed no parallelism across strains (at least for the time-scale evaluated), we cannot discard that these mutational events may be related to the CT135 loss [either functionally or genetically (e.g., hitchhiking)].
In the present experimental evolution study, we also found genetic features potentially underlying phase variation mechanisms in C. trachomatis. Phase variation may be driven by reversible alterations in the genotype that causes either frameshift or mutations in non-coding regions impacting gene expression (Fig 1D), and has been associated with genes involved in host-pathogen interactions [151, 152]. Within Chlamydiaceae, to our knowledge, phase variation mediated by homopolymeric tracts was only hypothesized to occur in C. pneumoniae, affecting members of the paralogous gene families Pmps [153, 154] and Cpn 1054 . Here, we detected variable homopolymeric tracts that have the potential to modulate the functionality of genes encoding proteins likely involved in C. trachomatis pathogenesis: a poly(G) tract within CT166 (encodes the cytotoxin ) and a poly(A) tract in the promoter region of CT533/lpxC [encoding a critical enzyme in the biosynthesis of lipid A of lipopolysaccharide (LPS) ] (Fig 1). Regarding the cytotoxin, variable ‘G’ counts yielding an ON/OFF protein (also present in genomes obtained directly from clinical swabs) suggest the putative existence of cytotoxin-mediated phenotypic diversity within in vivo C. trachomatis populations of epithelial-genital strains. Still, we wondered if the frameshift mutation in the poly(G) tract could lead to the production of an alternative shorter protein (still including the UDP-glucose binding and glycosiltransferase domains), since the translation could eventually be reinitiated at an alternative putative start codon at position 93 (as frequently annotated in C. trachomatis genomes deposited in GenBank). However, RNA-seq analyses were not helpful to elucidate this subject as no transcripts were detected (data not shown), hampering the clarification of the two hypotheses. Besides its known activity as an effector in disassembling the host cytoskeleton upon bacterial invasion [81, 83, 84] and it is putative role in subversion of other cellular functions , the chlamydial cytotoxin was proposed to account for the resistance to the anti-bacterial effect of IFN-γ [94, 156–158]. In particular, the C. trachomatis cytotoxin was hypothesized to target human guanylate binding proteins (hGBPs) that are potentiators of the IFN-γ activity (i.e., depletion of the essential amino acid tryptophan) [159, 160]. Therefore, although epithelial-genital strains are capable of using indole for tryptophan biosynthesis , we hypothesize that this putative phase variation mechanism may contribute for the quick adaptation of C. trachomatis to changes in the tryptophan availability by targeting IFN-γ-inducible hGBPs. Concerning the poly(A) tract upstream from CT533/lpxC, we observed an increase in frequency of clones carrying dissimilar base counts (Fig 1A and S3 Table), supporting selective advantage. It affects the highly conserved length of the spacer region between the predicted -35 and -10 ‘TATA’ boxes (Fig 1B and 1D), which might alter the binding of the RNA polymerase to the promoter, and thus, the gene expression. We also found this polymorphism in GenBank annotated genomes. Curiously, in a pioneer study back to 1990s , it was proposed that the Chlamydia LPS is phase-variable, since LPS phenotypic variation was found within a population in tissue culture. In other bacteria, including intracellular organisms, phase variation mechanisms affecting the LPS biosynthesis are well-documented to be associated with antigenic variation . For instance, it was demonstrated that a phase variation-mediated antigenic shift of LPS modulates the ability of Francisella tularensis to grow within macrophages . In this regard, a phase variation mechanism targeting the CT533/lpxC in C. trachomatis may control the biosynthesis of lipid A, and ultimately LPS antigenic variation mechanisms for evading the host immune system. Although it was previously demonstrated that C. trachomatis fails to generate infectious EBs in the presence of LpxC inhibitors , putative alterations in the expression of CT533/lpxC mediated by the differential length of the promoter spacing did not seem to hamper the progression of chlamydial infection as the progeny of serovar E strain was not affected. Curiously, we noted that the CT134-CT135 transcript has also a poly(T) located between the TSS and the start codon of CT134 (Fig 1D). Although no assumption can be done on its phenotypic impact, a GenBank search revealed a rather intriguing profile of nine, eight and seven ‘T’ counts for most LGV strains, ocular and epithelial-genital strains, respectively. Globally, although the existence of heterogeneity within homopolymeric tracts in C. trachomatis populations seem to be more common than previously expected and to potentially modulate important bacterial functions, their role in mediating phase variable phenotypes with impact on pathogenesis still needs experimental confirmation. In this regard, phenotypic assays coupled with genetic reversibility of phase variation will soon be tested.
As concluding remarks, our study focused on the C. trachomatis in vivo to in vitro transition reveals not yet identified putative phase variation mechanisms targeting genes involved in pathogenesis, and also potentially contributes to the clarification of the molecular basis underlying the CT135-mediated virulence. CT135 may be a master player in pre-loading EBs with virulence effectors required for the invasion and subversion of epithelial cells. More, as the length of time in the in vitro culture is a predisposing factor that contributes to the loss of this virulence gene in epithelial-genital strains, this may constitute an issue as studies demanding culture propagation might enhance the selection of CT135-negative mutants, originating less virulent strains. Thus, restricting laboratory propagation to minimal passages, evaluating the status of the CT135 genotype and performing complementation of mutants might constitute good premises towards both a better interpretation of phenotypic data and inter-laboratory comparisons.
S1 Fig. Genome make-up of the studied C. trachomatis strains and evaluation of putative mosaic structures.
S2 Fig. Confirmation of the RNA-seq results with RT-qPCR.
S1 Table. Sequence data from the strains analyzed in this study.
S2 Table. Oligonucleotide primers used in PCR and qPCR assays.
VB was a recipient of a Ph.D. fellowship (SFRH/BD/68527/2010) from Fundação para a Ciência e a Tecnologia (FCT). MP is funded by a Wellcome Trust ISSF grant (097831/Z/11/Z). RF and FA are recipients of Ph.D. fellowships (SFRH/BD/68532/2010 and SFRH/BD/73545/2010, respectively). AN is a recipient of a post-doctoral fellowship (SFRH/BPD/75295/2010) from FCT.
Conceived and designed the experiments: VB JPG. Performed the experiments: VB MA DAS LV RF AN FA LJM MJB JPG. Analyzed the data: VB MP JPG. Contributed reagents/materials/analysis tools: MP LV LJM MJB JPG. Wrote the paper: VB JPG.
- 1. Barrick JE, Lenski RE. Genome dynamics during experimental evolution. Nat Rev Genet. 2013; 14:827–839. pmid:24166031
- 2. Conrad TM, Joyce AR, Applebee MK, Barrett CL, Xie B, Gao Y, et al. Whole-genome resequencing of Escherichia coli K-12 MG1655 undergoing short-term laboratory evolution in lactate minimal media reveals flexible selection of adaptive mutations. Genome Biol. 2009; 10:R118. pmid:19849850
- 3. Elena SF, Lenski RE. Evolution experiments with microorganisms: the dynamics and genetic bases of adaptation. Nat Rev Genet. 2003; 4:457–469. pmid:12776215
- 4. Conrad TM, Lewis NE, Palsson BØ. Microbial laboratory evolution in the era of genome scale science. Mol Syst Biol. 2011; 7:509. pmid:21734648
- 5. Cooper VS, Schneider D, Blot M, Lenski RE. Mechanisms causing rapid and parallel losses of ribose catabolism in evolving populations of Escherichia coli B. J Bacteriol. 2001; 183:2834–2841. pmid:11292803
- 6. Dettman JR, Rodrigue N, Melnyk AH, Wong A, Bailey SF, Kassen R. Evolutionary insight from whole-genome sequencing of experimentally evolved microbes. Mol Ecol. 2012; 21:2058–2077. pmid:22332770
- 7. Friedman L, Alder JD, Silverman JA. Genetic changes that correlate with reduced susceptibility to daptomycin in Staphylococcus aureus. Antimicrob Agents Chemother. 2006; 50:213721–213745.
- 8. Jansen G, Barbosa C, Schulenburg H. Experimental evolution as an efficient tool to dissect adaptive paths to antibiotic resistance. Drug Resist Updat. 2013; 16:96–107. pmid:24594007
- 9. Zinser ER, Schneider D, Blot M, Kolter R. Bacterial evolution through the selective loss of beneficial Genes. Trade-offs in expression involving two loci. Genetics. 2003; 164:1271–1277. pmid:12930738
- 10. Domenech P, Reed MB. Rapid and spontaneous loss of phthiocerol dimycocerosate (PDIM) from Mycobacterium tuberculosis grown in vitro: implications for virulence studies. Microbiology. 2009; 155:3532–3543. pmid:19661177
- 11. Kersh GJ, Oliver LD, Self JS, Fitzpatrick KA, Massung RF. Virulence of pathogenic Coxiella burnetii strains after growth in the absence of host cells. Vector Borne Zoonotic Dis. 2011; 11:1433–1438. pmid:21867419
- 12. Somerville GA, Beres SB, Fitzgerald JR, DeLeo FR, Cole RL, Hoff JS, et al. In vitro serial passage of Staphylococcus aureus: changes in physiology, virulence factor production, and agr nucleotide sequence. J Bacteriol. 2002; 184:1430–1437. pmid:11844774
- 13. Vannucci FA, Foster DN, Gebhart CJ. Comparative Transcriptional Analysis of Homologous Pathogenic and Non-Pathogenic Lawsonia intracellularis Isolates in Infected Porcine Cells. PLoS One. 2012; 7: e46708. pmid:23056413
- 14. Velicer GJ, Raddatz G, Keller H, Deiss S, Lanz C, Dinkelacker I, et al. Comprehensive mutation identification in an evolved bacterial cooperator and its cheating ancestor. Proc Natl Acad Sci USA. 2006; 103:8107–8112. pmid:16707573
- 15. Borges V, Ferreira R, Nunes A, Sousa-Uva M, Abreu M, Borrego MJ, et al. Effect of long-term laboratory propagation on Chlamydia trachomatis genome dynamics. Infect Genet Evol. 2013; 17:23–32. pmid:23542454
- 16. Chen C, Zhou Z, Conrad T, Yang Z, Dai J, Li Z, et al. In vitro passage selects for Chlamydia muridarum with enhanced infectivity in cultured cells but attenuated pathogenicity in mouse upper genital tract. Infect Immun. 2015; 83:1881–1892. pmid:25712926
- 17. Jasper DK, Sigar IM, Schripsema JH, Sainvil CK, Smith CL, Yeruva L, et al. Genomic variant representation in a Chlamydia population is dynamic and adaptive with dependence on in vitro and in vivo passage. Pathog Dis. 2015; 73:1–12.
- 18. Labiran C, Clarke IN, Cutcliffe LT, Wang Y, Skilton RJ, Persson K, et al. Genotyping markers used for multi locus VNTR analysis with ompA (MLVA-ompA) and multi sequence typing (MST) retain stability in Chlamydia trachomatis. Front Cell Infect Microbiol. 2012; 2:68. pmid:22919659
- 19. Stothard DR, Van Der Pol B, Smith NJ, Jones RB. Effect of serial passage in tissue culture on sequence of omp1 from Chlamydia trachomatis clinical isolates. J Clin Microbiol. 1998; 36:3686–3688. pmid:9817897
- 20. Carmichael JR, Tifrea D, Pal S, de la Maza LM. Differences in infectivity and induction of infertility: a comparative study of Chlamydia trachomatis strains in the murine model. Microbes Infect. 2013; 15:219–229. pmid:23287699
- 21. Joubert BC, Sturm AW. Differences in Chlamydia trachomatis growth rates in human keratinocytes among lymphogranuloma venereum reference strains and clinical isolates. J Med Microbiol. 2011; 60:1565–1569. pmid:21700742
- 22. Putman TE, Suchland RJ, Ivanovitch JD, Rockey DD. Culture-independent sequence analysis of Chlamydia trachomatis in urogenital specimens identifies regions of recombination and in-patient sequence mutations. Microbiology. 2013; 159:2109–2117. pmid:23842467
- 23. Ramsey KH, Sigar IM, Schripsema JH, Denman CJ, Bowlin AK, Myers GA, et al. Strain and virulence diversity in the mouse pathogen Chlamydia muridarum. Infect Immun. 2009; 77:3284–3293. pmid:19470744
- 24. Skinner MC, Stamm WE, Lampe ML. Chlamydia trachomatis laboratory strains versus recent clinical isolates: implications for routine microbicide testing. Antimicrob Agents Chemother. 2009; 53:1482–1489. pmid:19188383
- 25. Bastidas RJ, Elwell CA, Engel JN, Valdivia RH. Chlamydial intracellular survival strategies. Cold Spring Harb Perspect Med. 2013; 3:a010256. pmid:23637308
- 26. Cocchiaro JL, Valdivia RH. New insights into Chlamydia intracellular survival mechanisms. Cell Microbiol. 2009; 11:1571–1578.
- 27. Saka HA, Valdivia RH. Acquisition of nutrients by Chlamydiae: unique challenges of living in an intracellular compartment. Curr Opin Microbiol. 2010; 13:4–10. pmid:20006538
- 28. Scidmore MA. Recent advances in Chlamydia subversion of host cytoskeletal and membrane trafficking pathways. Microbes Infect. 2011; 13:527–535. pmid:21334451
- 29. Betts HJ, Wolf K, Fields KA. Effector protein modulation of host cells: examples in the Chlamydia spp. arsenal. Curr Opin Microbiol. 2009; 12:81–87. pmid:19138553
- 30. Moore ER, Ouellette SP. Reconceptualizing the chlamydial inclusion as a pathogen-specified parasitic organelle: an expanded role for Inc proteins. Front Cell Infect Microbiol. 2014; 4:157. pmid:25401095
- 31. Valdivia RH. Chlamydia effector proteins and new insights into chlamydial cellular microbiology. Curr Opin Microbiol. 2008; 11:53–59. pmid:18299248
- 32. Almeida F, Borges V, Ferreira R, Borrego MJ, Gomes JP, Mota LJ. Polymorphisms in inc proteins and differential expression of inc genes among Chlamydia trachomatis strains correlate with invasiveness and tropism of lymphogranuloma venereum isolates. J Bacteriol. 2012; 194:6574–6585. pmid:23042990
- 33. Dehoux P, Flores R, Dauga C, Zhong G, Subtil A. Multi-genome identification and characterization of chlamydiae-specific type III secretion substrates: the Inc proteins. BMC Genomics. 2011; 12:109. pmid:21324157
- 34. Fields KA, Mead DJ, Dooley CA, Hackstadt T. Chlamydia trachomatis type III secretion: evidence for a functional apparatus during early cycle development. Mol Microbiol. 2003; 48:671–683. pmid:12694613
- 35. Mueller KE, Plano GV, Fields KA. New frontiers in type III secretion biology: the Chlamydia perspective. Infect Immun. 2014; 82:2–9. pmid:24126521
- 36. Peters J, Wilson DP, Myers G, Timms P, Bavoil PM. Type III secretion à la Chlamydia. Trends Microbiol. 2007; 15:241–551. pmid:17482820
- 37. Rockey DD, Scidmore MA, Bannantine JP, Brown WJ. Proteins in the chlamydial inclusion membrane. Microbes Infect. 2002; 4:333–340. pmid:11909744
- 38. Subtil A, Delevoye C, Balañá ME, Tastevin L, Perrinet S, Dautry-Varsat A. A directed screen for chlamydial proteins secreted by a type III mechanism identifies a translocated protein and numerous other new candidates. Mol Microbiol. 2005; 56:1636–1647. pmid:15916612
- 39. Bébéar C, de Barbeyrac B. Genital Chlamydia trachomatis infections. Clin Microbiol Infect. 2009; 15:4–10.
- 40. White JA. Manifestations and management of lymphogranuloma venereum. Curr Opin Infect Dis. 2009; 22:57–66. pmid:19532081
- 41. Wright HR, Turner A, Taylor HR. Trachoma. Lancet. 2008; 371:1945–1954. pmid:18539226
- 42. Dal Conte I, Mistrangelo M, Cariti C, Chiriotto M, Lucchini A, Vigna M, et al. Lymphogranuloma venereum: an old, forgotten re-emerging systemic disease. Panminerva Med. 2014; 56:73–83. pmid:24518282
- 43. Andersson P, Klein M, Lilliebridge RA, Giffard PM. Sequences of multiple bacterial genomes and a Chlamydia trachomatis genotype from direct sequencing of DNA derived from a vaginal swab diagnostic specimen. Clin Microbiol Infect. 2013; 19:E405–408. pmid:23647919
- 44. Christiansen MT, Brown AC, Kundu S, Tutill HJ, Williams R, Brown JR, et al. Whole-genome enrichment and sequencing of Chlamydia trachomatis directly from clinical samples. BMC Infect Dis. 2014; 14:591. pmid:25388670
- 45. Seth-Smith HM, Harris SR, Skilton RJ, Radebe FM, Golparian D, Shipitsyna E, et al. Whole-genome sequences of Chlamydia trachomatis directly from clinical samples without culture. Genome Res. 2013; 23:855–866. pmid:23525359
- 46. Sturdevant GL, Kari L, Gardner DJ, Olivares-Zavaleta N, Randall LB, Whitmire WM, et al. Frameshift mutations in a single novel virulence factor alter the in vivo pathogenicity of Chlamydia trachomatis for the female murine genital tract. Infect Immun. 2010; 78:3660–3668. pmid:20547745
- 47. Sturdevant GL, Zhou B, Carlson JH, Whitmire WM, Song L, Caldwell HD. Infectivity of urogenital Chlamydia trachomatis plasmid-deficient, CT135-null, and double-deficient strains in female mice. Pathog Dis. 2014; 71:90–92. pmid:24376189
- 48. Kari L, Goheen MM, Randall LB, Taylor LD, Carlson JH, Whitmire WM, et al. Generation of targeted Chlamydia trachomatis null mutants. Proc Natl Acad Sci USA. 2011; 108:7189–7193. pmid:21482792
- 49. Mishra MK, Gérard HC, Whittum-Hudson JA, Hudson AP, Kannan RM. Dendrimer-enabled modulation of gene expression in Chlamydia trachomatis. Mol Pharm. 2012; 9:413–421. pmid:22263556
- 50. Nguyen BD, Valdivia RH. Virulence determinants in the obligate intracellular pathogen Chlamydia trachomatis revealed by forward genetic approaches. Proc Natl Acad Sci USA. 2012; 109:1263–1268. pmid:22232666
- 51. Song L, Carlson JH, Whitmire WM, Kari L, Virtaneva K, Sturdevant DE, et al. Chlamydia trachomatis plasmid-encoded Pgp4 is a transcriptional regulator of virulence-associated genes. Infect Immun. 2013; 81:636–644. pmid:23319558
- 52. Wang Y, Kahane S, Cutcliffe LT, Skilton RJ, Lambden PR, Clarke IN. Development of a transformation system for Chlamydia trachomatis: restoration of glycogen biosynthesis by acquisition of a plasmid shuttle vector. PLoS Pathog. 2011; 7:e1002258. pmid:21966270
- 53. Nunes A, Borrego MJ, Nunes B, Florindo C, Gomes JP. Evolutionary dynamics of ompA, the gene encoding the Chlamydia trachomatis key antigen. J Bacteriol. 2009; 191:7182–7192. pmid:19783629
- 54. Borges V, Gomes JP. Deep comparative genomics among Chlamydia trachomatis lymphogranuloma venereum isolates highlights genes potentially involved in pathoadaptation. Infect Genet Evol. 2015; 32:74–88. pmid:25745888
- 55. Langmead B, Salzberg SL. Fast gapped-read alignment with Bowtie 2. Nat Methods 2012; 9:357–359. pmid:22388286
- 56. Li H, Handsaker B, Wysoker A, Fennell T, Ruan J, Homer N, et al. The Sequence Alignment/map format and SAMtools. Bioinformatics. 2009; 25:2078–2079. pmid:19505943
- 57. Robinson JT, Thorvaldsdóttir H, Winckler W, Guttman M, Lander ES, Getz G, et al. Integrative genomics viewer. Nat Biotechnol. 2011; 29:24–26. pmid:21221095
- 58. Harris SR, Clarke IN, Seth-Smith HM, Solomon AW, Cutcliffe LT, Marsh P, et al. Whole-genome analysis of diverse Chlamydia trachomatis strains identifies phylogenetic relationships masked by current clinical typing. Nat Genet. 2012; 44:413–419, S1. pmid:22406642
- 59. Ferreira R, Antelo M, Nunes A, Borges V, Damião V, Borrego MJ, Gomes JP. In Silico Scrutiny of Genes Revealing Phylogenetic Congruence with Clinical Prevalence or Tropism Properties of Chlamydia trachomatis Strains. G3 (Bethesda). 2014; 5:9–19
- 60. Bernstein JA, Khodursky AB, Lin PH, Lin-Chao S, Cohen SN. Global analysis of mRNA decay and abundance in Escherichia coli at single-gene resolution using two-color fluorescent DNA microarrays. Proc Natl Acad Sci USA. 2002; 99:9697–9702. pmid:12119387
- 61. Engström P, Bailey L, Onskog T, Bergström S, Johansson J. A comparative study of RNA and DNA as internal gene expression controls early in the developmental cycle of Chlamydia pneumoniae. FEMS Immunol Med Microbiol. 2010; 58:244–253. pmid:20002746
- 62. Deana A, Belasco JG. Lost in translation: the influence of ribosomes on bacterial mRNA decay. Genes Dev. 2005; 19:2526–2533. pmid:16264189
- 63. Humphrys MS, Creasy T, Sun Y, Shetty AC, Chibucos MC, Drabek EF, et al. Simultaneous transcriptional profiling of bacteria and their host cells. PLoS One. 2013; 8:e80597. pmid:24324615
- 64. Gomes JP, Hsia RC, Mead S, Borrego MJ, Dean D. Immunoreactivity and differential developmental expression of known and putative Chlamydia trachomatis membrane proteins for biologically variant serovars representing distinct disease groups. Microbes Infect. 2005; 7:410–420. pmid:15784185
- 65. Borges V, Ferreira R, Nunes A, Nogueira P, Borrego MJ, Gomes JP. Normalization strategies for real-time expression data in Chlamydia trachomatis. J Microbiol Methods. 2010; 82:256–264. pmid:20619305
- 66. Selinger DW, Saxena RM, Cheung KJ, Church GM, Rosenow C. Global RNA half-life analysis in Escherichia coli reveals positional patterns of transcript degradation. Genome Res. 2003; 13:216–223. pmid:12566399
- 67. Belland RJ, Zhong G, Crane DD, Hogan D, Sturdevant D, Sharma J, et al. Genomic transcriptional profiling of the developmental cycle of Chlamydia trachomatis. Proc Natl Acad Sci USA. 2003; 100:8478–8483. pmid:12815105
- 68. Nicholson TL, Olinger L, Chong K, Schoolnik G, Stephens RS. Global stage-specific gene regulation during the developmental cycle of Chlamydia trachomatis. J Bacteriol. 2003; 185:3179–3189. pmid:12730178
- 69. O'Connell CM, AbdelRahman YM, Green E, Darville HK, Saira K, Smith B, et al. Toll-like receptor 2 activation by Chlamydia trachomatis is plasmid dependent, and plasmid-responsive chromosomal loci are coordinately regulated in response to glucose limitation by C. trachomatis but not by C. muridarum. Infect Immun. 2011; 79:1044–1056. pmid:21199910
- 70. Anders S, Huber W. Differential expression analysis for sequence count data. Genome Biol 2010; 11:R106. pmid:20979621
- 71. Benjamini Y, Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. JRStat Soc B StatMethodol. 1995; 57:289–300.
- 72. Borges V, Pinheiro M, Vieira L, Sampaio DA, Nunes A, Borrego MJ, et al. Complete Genome Sequence of Chlamydia trachomatis Ocular Serovar C Strain TW-3. Genome Announc 2014; 2.
- 73. Gomes JP, Bruno WJ, Nunes A, Santos N, Florindo C, Borrego MJ, et al. Evolution of Chlamydia trachomatis diversity occurs by widespread interstrain recombination involving hotspots. Genome Res. 2007; 17:50–60. pmid:17090662
- 74. Joseph SJ, Didelot X, Rothschild J, de Vries HJ, Morré SA, Read TD, et al. Population genomics of Chlamydia trachomatis: insights on drift, selection, recombination, and population structure. Mol Biol Evol. 2012; 29:3933–3946. pmid:22891032
- 75. Lee CJ, Liang X, Chen X, Zeng D, Joo SH, Chung HS, et al. Species-specific and inhibitor-dependent conformations of LpxC: implications for antibiotic design. Chem Biol. 2011; 18:38–47. pmid:21167751
- 76. Nguyen BD, Cunningham D, Liang X, Chen X, Toone EJ, Raetz CR, et al. Lipooligosaccharide is required for the generation of infectious elementary bodies in Chlamydia trachomatis. Proc Natl Acad Sci USA. 2011; 108:10284–10289. pmid:21628561
- 77. Stephens RS, Kalman S, Lammel C, Fan J, Marathe R, Aravind L, et al. Genome sequence of an obligate intracellular pathogen of humans: Chlamydia trachomatis. Science. 1998; 282:754–759. pmid:9784136
- 78. Engström P, Nguyen BD, Normark J, Nilsson I, Bastidas RJ, Gylfe A, et al. Mutations in hemG mediate resistance to salicylidene acylhydrazides, demonstrating a novel link between protoporphyrinogen oxidase (HemG) and Chlamydia trachomatis infectivity. J Bacteriol. 2013; 195:4221–4230. pmid:23852872
- 79. von Eiff C, Heilmann C, Proctor RA, Woltz C, Peters G, Götz F. A site-directed Staphylococcus aureus hemB mutant is a small-colony variant which persists intracellularly. J Bacteriol. 1997; 179:4706–4712. pmid:9244256
- 80. Liechti GW, Kuru E, Hall E, Kalinda A, Brun YV, VanNieuwenhze M, et al. A new metabolic cell-wall labelling method reveals peptidoglycan in Chlamydia trachomatis. Nature 2014; 506:507–510. pmid:24336210
- 81. Belland RJ, Scidmore MA, Crane DD, Hogan DM, Whitmire W, McClarty G, et al. Chlamydia trachomatis cytotoxicity associated with complete and partial cytotoxin genes. Proc Natl Acad Sci USA. 2001; 98:13984–13989. pmid:11707582
- 82. Bothe M, Dutow P, Pich A, Genth H, Klos A. DXD Motif-Dependent and -Independent Effects of the Chlamydia trachomatis Cytotoxin CT166. Toxins. (Basel) 2015; 7:621–637.
- 83. Carabeo R. Bacterial subversion of host actin dynamics at the plasma membrane. Cell Microbiol. 2011; 13:1460–1469. pmid:21790944
- 84. Thalmann J, Janik K, May M, Sommer K, Ebeling J, Hofmann F, et al. Actin re-organization induced by Chlamydia trachomatis serovar D—evidence for a critical role of the effector protein CT166 targeting Rac. PLoS One. 2010; 5:e9887. pmid:20360858
- 85. Carlson JH, Hughes S, Hogan D, Cieplak G, Sturdevant DE, McClarty G, et al. Polymorphisms in the Chlamydia trachomatis cytotoxin locus associated with ocular and genital isolates. Infect Immun. 2004; 72:7063–7072. pmid:15557630
- 86. Loman NJ, Misra RV, Dallman TJ, Constantinidou C, Gharbia SE, Wain J, et al. Performance comparison of benchtop high-throughput sequencing platforms. Nat Biotechnol. 2012; 30:434–439. pmid:22522955
- 87. Quail MA, Smith M, Coupland P, Otto TD, Harris SR, Connor TR, et al. A tale of three next generation sequencing platforms: comparison of Ion Torrent, Pacific Biosciences and Illumina MiSeq sequencers. BMC Genomics. 2012; 13:341. pmid:22827831
- 88. Jerome JP, Bell JA, Plovanich-Jones AE, Barrick JE, Brown CT, Mansfield LS. Standing genetic variation in contingency loci drives the rapid adaptation of Campylobacter jejuni to a novel host. PLoS One. 2011; 6:e16399. pmid:21283682
- 89. Lovett ST. Encoded errors: mutations and rearrangements mediated by misalignment at repetitive DNA sequences. Mol Microbiol. 2004; 52:1243–1253. pmid:15165229
- 90. Michel B. Replication fork arrest and DNA recombination. Trends Biochem Sci. 2000; 25:173–178. pmid:10754549
- 91. Weisberg RA. Illegitimate recombination in bacteria and bacteriophage. Ann Rev Gen 1977; 11:451–473.
- 92. Andersson SG, Kurland CG. Reductive evolution of resident genomes. Trends Microbiol. 1998; 6:263–268. pmid:9717214
- 93. Rocha EP. An appraisal of the potential for illegitimate recombination in bacterial genomes and its consequences: from duplications to genome reduction. Genome Res. 2003; 13:1123–1132. pmid:12743022
- 94. Bonner CA, Byrne GI, Jensen RA. Chlamydia exploit the mammalian tryptophan-depletion defense strategy as a counter-defensive cue to trigger a survival state of persistence. Front Cell Infect Microbiol. 2014; 4:17. pmid:24616884
- 95. Kabeya Y, Nakanishi H, Suzuki K, Ichikawa T, Kondou Y, Matsui M, et al. The YlmG protein has a conserved function related to the distribution of nucleoids in chloroplasts and cyanobacteria. BMC Plant Biol. 2010; 10:57. pmid:20359373
- 96. Iliopoulos I, Tsoka S, Andrade MA, Enright AJ, Carroll M, Poullet P, et al. Evaluation of annotation strategies using an entire genome sequence. Bioinformatics. 2003; 19:717–726. pmid:12691983
- 97. Kumar Y, Cocchiaro J, Valdivia RH. The obligate intracellular pathogen Chlamydia trachomatis targets host lipid droplets. Curr Biol. 2006; 16:1646–1651. pmid:16920627
- 98. Brinkworth AJ, Malcolm DS, Pedrosa AT, Roguska K, Shahbazian S, Graham JE, et al. Chlamydia trachomatis Slc1 is a type III secretion chaperone that enhances the translocation of its invasion effector substrate TARP. Mol Microbiol. 2011; 82:131–144. pmid:21883523
- 99. Pais SV, Milho C, Almeida F, Mota LJ. Identification of novel type III secretion chaperone-substrate complexes of Chlamydia trachomatis. PLoS One. 2013; 8:e56292. pmid:23431368
- 100. Betts-Hampikian HJ, Fields KA. The Chlamydial Type III Secretion Mechanism: Revealing Cracks in a Tough Nut. Front Microbiol. 2010; 1:114. pmid:21738522
- 101. Weiling H, Xiaowen Y, Chunmei L, Jianping X. Function and evolution of ubiquitous bacterial signaling adapter phosphopeptide recognition domain FHA. Cell Signal. 2013; 25:660–665. pmid:23200850
- 102. Barrick JE, Yu DS, Yoon SH, Jeong H, Oh TK, Schneider D, et al. Genome evolution and adaptation in a long-term experiment with Escherichia coli. Nature. 2009; 461:1243–1247. pmid:19838166
- 103. Kubo A, Stephens RS. Substrate-specific diffusion of select dicarboxylates through Chlamydia trachomatis PorB. Microbiology. 2001; 147:3135–3140. pmid:11700364
- 104. Jones HM, Kubo A, Stephens RS. Design, expression and functional characterization of a synthetic gene encoding the Chlamydia trachomatis major outer membrane protein. Gene. 2000; 258:173–181. pmid:11111055
- 105. Subtil A, Collingro A, Horn M. Tracing the primordial Chlamydiae: extinct parasites of plants? Trends Plant Sci. 2014; 19:36–43. pmid:24210739
- 106. Alifano P, Bruni CB, Carlomagno MS. Control of mRNA processing and decay in prokaryotes. Genetica. 1994; 94:157–172. pmid:7534739
- 107. Fadel S, Eley A. Chlamydia trachomatis OmcB protein is a surface-exposed glycosaminoglycan-dependent adhesin. J Med Microbiol. 2007; 56:15–22. pmid:17172511
- 108. Fechtner T, Stallmann S, Moelleken K, Meyer KL, Hegemann JH. Characterization of the interaction between the chlamydial adhesin OmcB and the human host cell. J Bacteriol. 2013; 195:5323–3533. pmid:24056107
- 109. Chen YS, Bastidas RJ, Saka HA, Carpenter VK, Richards KL, Plano GV, et al. The Chlamydia trachomatis type III secretion chaperone Slc1 engages multiple early effectors, including TepP, a tyrosine-phosphorylated protein required for the recruitment of CrkI-II to nascent inclusions and innate immune signaling. PLoS Pathog. 2014; 10:e1003954. pmid:24586162
- 110. Clifton DR, Fields KA, Grieshaber SS, Dooley CA, Fischer ER, Mead DJ, et al. A chlamydial type III translocated protein is tyrosine-phosphorylated at the site of entry and associated with recruitment of actin. Proc Natl Acad Sci USA. 2004; 101:10166–10171. pmid:15199184
- 111. Hower S, Wolf K, Fields KA. Evidence that CT694 is a novel Chlamydia trachomatis T3S substrate capable of functioning during invasion or early cycle development. Mol Microbiol. 2009; 72:1423–1437. pmid:19460098
- 112. Jewett TJ, Miller NJ, Dooley CA, Hackstadt T. The conserved Tarp actin binding domain is important for chlamydial invasion. PLoS Pathog. 2010; 6:e1000997. pmid:20657821
- 113. Chellas-Géry B, Linton CN, Fields KA. Human GCIP interacts with CT847, a novel Chlamydia trachomatis type III secretion substrate, and is degraded in a tissue-culture infection model. Cell Microbiol. 2007; 9:2417–2430. pmid:17532760
- 114. da Cunha M, Milho C, Almeida F, Pais SV, Borges V, Maurício R, et al. Identification of type III secretion substrates of Chlamydia trachomatis using Yersinia enterocolitica as a heterologous system. BMC Microbiol. 2014; 14:40. pmid:24533538
- 115. Muschiol S, Boncompain G, Vromman F, Dehoux P, Normark S, Henriques-Normark B, et al. Identification of a family of effectors secreted by the type III secretion system that are conserved in pathogenic Chlamydiae. Infect Immun. 2011; 79:571–580. pmid:21078856
- 116. Fields KA, Fischer ER, Mead DJ, Hackstadt T. Analysis of putative Chlamydia trachomatis chaperones Scc2 and Scc3 and their use in the identification of type III secretion substrates. J Bacteriol. 2005; 187:6466–6478. pmid:16159780
- 117. Spaeth KE, Chen YS, Valdivia RH. The Chlamydia type III secretion system C-ring engages a chaperone-effector protein complex. PLoS Pathog. 2009; 5:e1000579. pmid:19750218
- 118. Hou S, Lei L, Yang Z, Qi M, Liu Q, Zhong G. Chlamydia trachomatis outer membrane complex protein B (OmcB) is processed by the protease CPAF. J Bacteriol. 2013; 195:951–957. pmid:23222729
- 119. Jorgensen I, Bednar MM, Amin V, Davis BK, Ting JP, McCafferty DG, et al. The Chlamydia protease CPAF regulates host and bacterial proteins to maintain pathogen vacuole integrity and promote virulence. Cell Host Microbe. 2011; 10:21–32. pmid:21767809
- 120. Snavely EA, Kokes M, Dunn JD, Saka HA, Nguyen BD, Bastidas RJ, et al. Reassessing the role of the secreted protease CPAF in Chlamydia trachomatis infection through genetic approaches. Pathog Dis. 2014; 71:336–351. pmid:24838663
- 121. Lad SP, Li J, da Silva Correia J, Pan Q, Gadwal S, Ulevitch RJ, et al. Cleavage of p65/RelA of the NF-kappaB pathway by Chlamydia. Proc Natl Acad Sci USA. 2007; 104:2933–2938. pmid:17301240
- 122. Lad SP, Yang G, Scott DA, Wang G, Nair P, Mathison J, et al. Chlamydial CT441 is a PDZ domain-containing tail-specific protease that interferes with the NF-kappaB pathway of immune response. J Bacteriol. 2007; 189:6619–6625. pmid:17631635
- 123. Le Negrate G, Krieg A, Faustin B, Loeffler M, Godzik A, Krajewski S, et al. ChlaDub1 of Chlamydia trachomatis suppresses NF-kappaB activation and inhibits IkappaBalpha ubiquitination and degradation. Cell Microbiol. 2008; 10:1879–1892. pmid:18503636
- 124. Zhong G. Chlamydia trachomatis secretion of proteases for manipulating host signaling pathways. Front Microbiol. 2011; 2:14. pmid:21687409
- 125. Hobolt-Pedersen AS, Christiansen G, Timmerman E, Gevaert K, Birkelund S. Identification of Chlamydia trachomatis CT621, a protein delivered through the type III secretion system to the host cell cytoplasm and nucleus. FEMS Immunol Med Microbiol. 2009; 57:46–58. pmid:19682078
- 126. Albrecht M, Sharma CM, Reinhardt R, Vogel J, Rudel T. Deep sequencing-based discovery of the Chlamydia trachomatis transcriptome. Nucleic Acids Res. 2010; 38:868–877. pmid:19923228
- 127. Russell M, Darville T, Chandra-Kuntal K, Smith B, Andrews CW Jr, O'Connell CM. Infectivity acts as in vivo selection for maintenance of the chlamydial cryptic plasmid. Infect Immun. 2011; 79:98–107. pmid:20974819
- 128. Yeruva L, Myers GS, Spencer N, Creasy HH, Adams NE, Maurelli AT, et al. Early microRNA expression profile as a prognostic biomarker for the development of pelvic inflammatory disease in a mouse model of chlamydial genital infection. MBio. 2014; 5:e01241–14. pmid:24961692
- 129. Miyairi I, Mahdi OS, Ouellette SP, Belland RJ, Byrne GI. Different growth rates of Chlamydia trachomatis biovars reflect pathotype. J Infect Dis. 2006; 194:350–357. pmid:16826483
- 130. Bao X, Gylfe A, Sturdevant GL, Gong Z, Xu S, Caldwell HD, et al. Benzylidene acylhydrazides inhibit chlamydial growth in a type III secretion- and iron chelation-independent manner. J Bacteriol. 2014; 196:2989–3001. pmid:24914180
- 131. Suchland RJ, Jeffrey BM, Xia M, Bhatia A, Chu HG, Rockey DD, et al. Identification of concomitant infection with Chlamydia trachomatis IncA-negative mutant and wild-type strains by genomic, transcriptional, and biological characterizations. Infect Immun. 2008; 76:5438–5446. pmid:18852248
- 132. Ding H, Gong S, Tian Y, Yang Z, Brunham R, Zhong G. Transformation of sexually transmitted infection-causing serovars of Chlamydia trachomatis using Blasticidin for selection. PLoS One. 2013; 8:e80534. pmid:24303023
- 133. Gérard HC, Mishra MK, Mao G, Wang S, Hali M, Whittum-Hudson JA, et al. Dendrimer-enabled DNA delivery and transformation of Chlamydia pneumoniae. Nanomedicine. 2013; 9:996–1008. pmid:23639679
- 134. Johnson CM, Fisher DJ. Site-specific, insertional inactivation of incA in Chlamydia trachomatis using a group II intron. PLoS One. 2013; 8:e83989. pmid:24391860
- 135. Wickstrum J, Sammons LR, Restivo KN, Hefty PS. Conditional gene expression in Chlamydia trachomatis using the tet system. PLoS One 2013; 8:e76743. pmid:24116144
- 136. O'Neill CE, Seth-Smith HM, Van Der Pol B, Harris SR, Thomson NR, Cutcliffe LT, et al. Chlamydia trachomatis clinical isolates identified as tetracycline resistant do not exhibit resistance in vitro: whole-genome sequencing reveals a mutation in porB but no evidence for tetracycline resistance genes. Microbiology. 2013; 159:748–756. pmid:23378575
- 137. Engström P, Krishnan KS, Ngyuen BD, Chorell E, Normark J, Silver J, et al. A 2-Pyridone-Amide Inhibitor Targets the Glucose Metabolism Pathway of Chlamydia trachomatis. MBio. 2014; 6:e02304–14. pmid:25550323
- 138. Rosario CJ, Hanson BR, Tan M. The transcriptional repressor EUO regulates both subsets of Chlamydia late genes. Mol Microbiol. 2014; 94:888–897. pmid:25250726
- 139. Rosario CJ, Tan M. The early gene product EUO is a transcriptional repressor that selectively regulates promoters of Chlamydia late genes. Mol Microbiol. 2012; 84:1097–1107. pmid:22624851
- 140. Storz G, Vogel J, Wassarman KM. Regulation by small RNAs in bacteria: expanding frontiers. Mol Cell. 2011; 43:880–891. pmid:21925377
- 141. Ortega AD, Quereda JJ, Pucciarelli MG, García-del Portillo F. Non-coding RNA regulation in pathogenic bacteria located inside eukaryotic cells. Front Cell Infect Microbiol. 2014; 4:162. pmid:25429360
- 142. Grieshaber NA, Grieshaber SS, Fischer ER, Hackstadt T. A small RNA inhibits translation of the histone-like protein Hc1 in Chlamydia trachomatis. Mol Microbiol. 2006; 59:541–550. pmid:16390448
- 143. Tattersall J, Rao GV, Runac J, Hackstadt T, Grieshaber SS, Grieshaber NA. Translation inhibition of the developmental cycle protein HctA by the small RNA IhtA is conserved across Chlamydia. PLoS One. 2012; 7:e47439. pmid:23071807
- 144. Cooper KK, Cooper MA, Zuccolo A, Joens LA. Re-sequencing of a virulent strain of Campylobacter jejuni NCTC11168 reveals potential virulence factors. Res Microbiol. 2013; 164:6–11. pmid:23046762
- 145. Borges V, Nunes A, Ferreira R, Borrego MJ, Gomes JP. Directional evolution of Chlamydia trachomatis towards niche-specific adaptation. J Bacteriol. 2012; 194:6143–6153. pmid:22961851
- 146. Nunes A, Nogueira PJ, Borrego MJ, Gomes JP. Chlamydia trachomatis diversity viewed as a tissue-specific coevolutionary arms race. Genome Biol. 2008; 9:R153. pmid:18947394
- 147. Caldwell HD, Wood H, Crane D, Bailey R, Jones RB, Mabey D, et al. Polymorphisms in Chlamydia trachomatis tryptophan synthase genes differentiate between genital and ocular isolates. J Clin Invest. 2003; 111:1757–1769. pmid:12782678
- 148. Nunes A, Borrego MJ, Gomes JP. Genomic features beyond Chlamydia trachomatis phenotypes: what do we think we know? Infect Genet Evol. 2013; 16:392–400. pmid:23523596
- 149. Kari L, Whitmire WM, Carlson JH, Crane DD, Reveneau N, Nelson DE, et al. Pathogenic diversity among Chlamydia trachomatis ocular strains in nonhuman primates is affected by subtle genomic variations. J Infect Dis. 2008; 197:449–456. pmid:18199030
- 150. Seth-Smith HM, Harris SR, Persson K, Marsh P, Barron A, Bignell A, et al. Co-evolution of genomes and plasmids within Chlamydia trachomatis and the emergence in Sweden of a new variant strain. BMC Genomics. 2009; 10:239. pmid:19460133
- 151. Orsi RH, Bowen BM, Wiedmann M. Homopolymeric tracts represent a general regulatory mechanism in prokaryotes. BMC Genomics. 2010; 11:102. pmid:20144225
- 152. van der Woude MW, Bäumler AJ. Phase and antigenic variation in bacteria. Clin Microbiol Ver. 2004; 17:581–611.
- 153. Grimwood J, Olinger L, Stephens RS. Expression of Chlamydia pneumoniae polymorphic membrane protein family genes. Infect Immun. 2001; 69:2383–2389. pmid:11254597
- 154. Pedersen AS, Christiansen G, Birkelund S. Differential expression of Pmp10 in cell culture infected with Chlamydia pneumoniae CWL029. FEMS Microbiol Lett. 2001; 203:153–159. pmid:11583841
- 155. Viratyosin W, Campbell LA, Kuo CC, Rockey DD. Intrastrain and interstrain genetic variation within a paralogous gene family in Chlamydia pneumoniae. BMC Microbiol. 2002; 2:2–38. pmid:12460455
- 156. Lo CC, Xie G, Bonner CA, Jensen RA. The alternative translational profile that underlies the immune-evasive state of persistence in Chlamydiaceae exploits differential tryptophan contents of the protein repertoire. Microbiol Mol Biol Ver. 2012; 76:405–443.
- 157. Nelson DE, Taylor LD, Shannon JG, Whitmire WM, Crane DD, McClarty G, et al. Phenotypic rescue of Chlamydia trachomatis growth in IFN-gamma treated mouse cells by irradiated Chlamydia muridarum. Cell Microbiol. 2007; 9:2289–2298. pmid:17501981
- 158. Nelson DE, Virok DP, Wood H, Roshick C, Johnson RM, Whitmire WM, et al. Chlamydial IFN-gamma immune evasion is linked to host infection tropism. Proc Natl Acad Sci USA. 2005; 102:10658–10663. pmid:16020528
- 159. Al-Zeer MA, Al-Younes HM, Lauster D, Abu Lubad M, Meyer TF. Autophagy restricts Chlamydia trachomatis growth in human macrophages via IFNG-inducible guanylate binding proteins. Autophagy. 2013; 9:50–62. pmid:23086406
- 160. Tietzel I, El-Haibi C, Carabeo RA. Human guanylate binding proteins potentiate the anti-chlamydia effects of interferon-gamma. PLoS One. 2009; 4:e6499. pmid:19652711
- 161. Lukácová M, Baumann M, Brade L, Mamat U, Brade H. Lipopolysaccharide smooth-rough phase variation in bacteria of the genus Chlamydia. Infect Immun. 1994; 62:2270–2276. pmid:8188348
- 162. Moxon R, Bayliss C, Hood D. Bacterial contingency loci: the role of simple sequence DNA repeats in bacterial adaptation. Annu Rev Genet. 2006; 40:307–333. pmid:17094739
- 163. Cowley SC, Myltseva SV, Nano FE. Phase variation in Francisella tularensis affecting intracellular growth, lipopolysaccharide antigenicity and nitric oxide production. Mol Microbiol. 1996; 20:867–874. pmid:8793882
- 164. Carlson JH, Porcella SF, McClarty G, Caldwell HD. Comparative genomic analysis of Chlamydia trachomatis oculotropic and genitotropic strains. Infect Immun. 2005; 73:6407–6418. pmid:16177312
- 165. Hovis KM, Mojica S, McDermott JE, Pedersen L, Simhi C, Rank RG, et al. Genus-optimized strategy for the identification of chlamydial type III secretion substrates. Pathog Dis. 2013; 69:213–222. pmid:23873765
- 166. Sisko JL, Spaeth K, Kumar Y, Valdivia RH. Multifunctional analysis of Chlamydia-specific genes in a yeast expression system. Mol Microbiol. 2006; 60:51–66. pmid:16556220
- 167. Fahr MJ, Douglas AL, Xia W, Hatch TP. Characterization of late gene promoters of Chlamydia trachomatis. J Bacteriol. 1995; 177:4252–4260. pmid:7543468
- 168. Gong S, Lei L, Chang X, Belland R, Zhong G. Chlamydia trachomatis secretion of hypothetical protein CT622 into host cell cytoplasm via a secretion pathway that can be inhibited by the type III secretion system inhibitor compound 1. Microbiology. 2011; 157:1134–1144. pmid:21233161
- 169. Brickman TJ, Barry CE 3rd, Hackstadt T. Molecular cloning and expression of hctB encoding a strain-variant chlamydial histone-like protein with DNA-binding activity. J Bacteriol. 1993; 175:4274–4281. pmid:7687246
- 170. Lu C, Lei L, Peng B, Tang L, Ding H, Gong S, et al. Chlamydia trachomatis GlgA is secreted into host cell cytoplasm. PLoS One. 2013; 8:e68764. pmid:23894341
- 171. Jorgensen I, Valdivia RH. Pmp-like proteins Pls1 and Pls2 are secreted into the lumen of the Chlamydia trachomatis inclusion. Infect Immun. 2008; 76:3940–3950. pmid:18591235
- 172. Misaghi S, Balsara ZR, Catic A, Spooner E, Ploegh HL, Starnbach MN. Chlamydia trachomatis-derived deubiquitinating enzymes in mammalian cells during infection. Mol Microbiol. 2006; 61:142–150. pmid:16824101
- 173. Bannantine JP, Griffiths RS, Viratyosin W, Brown WJ, Rockey DD. A secondary structure motif predictive of protein localization to the chlamydial inclusion membrane. Cell Microbiol. 2000; 2:35–47. pmid:11207561
- 174. Carlson JH, Whitmire WM, Crane DD, Wicke L, Virtaneva K, Sturdevant DE, et al. The Chlamydia trachomatis plasmid is a transcriptional regulator of chromosomal genes and a virulence factor. Infect Immun. 2008; 76:2273–2283. pmid:18347045
- 175. Griffiths E, Ventresca MS, Gupta RS. BLAST screening of chlamydial genomes to identify signature proteins that are unique for the Chlamydiales, Chlamydiaceae, Chlamydophila and Chlamydia groups of species. BMC Genomics. 2006; 7:14. pmid:16436211
- 176. Birkelund S, Morgan-Fisher M, Timmerman E, Gevaert K, Shaw AC, Christiansen G. Analysis of proteins in Chlamydia trachomatis L2 outer membrane complex, COMC. FEMS Immunol Med Microbiol. 2009; 55:187–195. pmid:19187221
- 177. Fields KA, Hackstadt T. Evidence for the secretion of Chlamydia trachomatis CopN by a type III secretion mechanism. Mol Microbiol. 2000; 38:1048–1060. pmid:11123678