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Abstract 


To successfully infect a host and cause the diarrheal disease cholera, Vibrio cholerae must penetrate the intestinal mucosal layer and express virulence genes. Previous studies have demonstrated that the transcriptional regulator HapR, which is part of the quorum sensing network in V. cholerae, represses the expression of virulence genes. Here, we show that hapR expression is also modulated by the regulatory network that governs flagellar assembly. Specifically, FliA, which is the alternative sigma-factor (sigma(28)) that activates late-class flagellin genes in V. cholerae, represses hapR expression. In addition, we show that mucin penetration by V. cholerae is sufficient to break flagella and so cause the secretion of FlgM, the anti-sigma factor that inhibits FliA activity. During initial colonization of host intestinal tissue, hapR expression is repressed because of low cell density. However, full repression of hapR expression does not occur in fliA mutants, which results in attenuated colonization. Our results suggest that V. cholerae uses flagellar machinery to sense particular intestinal signals before colonization and enhance the expression of virulence genes by modulating the output of quorum sensing signaling.

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Proc Natl Acad Sci U S A. 2008 Jul 15; 105(28): 9769–9774.
Published online 2008 Jul 7. https://doi.org/10.1073/pnas.0802241105
PMCID: PMC2474479
PMID: 18606988

Mucosal penetration primes Vibrio cholerae for host colonization by repressing quorum sensing

Associated Data

Supplementary Materials
Abstract

To successfully infect a host and cause the diarrheal disease cholera, Vibrio cholerae must penetrate the intestinal mucosal layer and express virulence genes. Previous studies have demonstrated that the transcriptional regulator HapR, which is part of the quorum sensing network in V. cholerae, represses the expression of virulence genes. Here, we show that hapR expression is also modulated by the regulatory network that governs flagellar assembly. Specifically, FliA, which is the alternative σ-factor (σ28) that activates late-class flagellin genes in V. cholerae, represses hapR expression. In addition, we show that mucin penetration by V. cholerae is sufficient to break flagella and so cause the secretion of FlgM, the anti-σ factor that inhibits FliA activity. During initial colonization of host intestinal tissue, hapR expression is repressed because of low cell density. However, full repression of hapR expression does not occur in fliA mutants, which results in attenuated colonization. Our results suggest that V. cholerae uses flagellar machinery to sense particular intestinal signals before colonization and enhance the expression of virulence genes by modulating the output of quorum sensing signaling.

The Gram-negative bacterium Vibrio cholerae is the causative agent of cholera, an acute dehydrating diarrheal disease that is still endemic in many developing countries (1). To survive in its various habitats, V. cholerae must be able to sense and respond to changing environmental signals (2). One such signal is the local V. cholerae cell density, which is sensed through a process known as quorum sensing (3). V. cholerae measures its population density by producing, secreting, and monitoring the concentration of at least two autoinducers (4). The sensory information provided by autoinducer concentration is channeled through the response regulator LuxO. In its phosphorylated state, LuxO represses hapR transcription by activating the expression of several small regulatory RNAs (5, 6). At high cell density, LuxO is not phosphorylated, so production of HapR increases. HapR controls a number of cellular functions and indirectly regulates the expression of multiple virulence genes (6, 7). As V. cholerae colonizes the small intestine and multiplies, it activates a cascade of regulatory proteins that leads to the production of an array of virulence factors [supporting information (SI) Fig. S1]. The membrane-localized ToxRS and TcpPH regulatory complexes respond to host environmental signals to initiate this cascade, which culminates in the production of ToxT, which directly up-regulates virulence genes encoding Cholera Toxin and the Toxin Coregulated Pilus (TCP) (8). Expression of tcpPH requires the transcriptional regulator AphA (9). Quorum sensing and pathogenesis are coupled through the action of HapR, which represses the transcription of aphA and thus inhibits optimal virulence factor production (10) (see Fig. S1). Because high cell densities are common during the late stage of infection, HapR-mediated repression of colonization and virulence genes is thought to help V. cholerae to detach to find a new site of infection or exit the host and initiate a new infectious cycle (7, 11). Although the action of HapR links quorum sensing and virulence gene regulation, the pathways by which quorum sensing is regulated in the host and the exact roles played by quorum sensing during V. cholerae infection have not been elucidated.

In addition to the production of virulence factors, for V. cholerae to colonize the villus epithelial cells within the small intestine, bacteria must swim through a protective mucus glycocalyx (12). It has been proposed that the motility conferred on V. cholerae by its single polar flagellum is necessary for this process (12, 13). Flagellar biogenesis is complex and involves a combination of transcriptional, translational, and posttranslational regulation (14). Flagellar biosynthesis genes can be categorized into three classes (early, middle, and late) based on their order of activation. In V. cholerae, FlrA and the σ54-holoenzyme transcribe early genes, including those that encode the Motor/Switch ring and export components. The middle genes, encoding structural and assembly proteins that form the hook-basal-body (HBB) of the flagellum, are activated by FlrC and the σ54-holoenzyme. After formation of the HBB, the anti-σ28 factor (FlgM) is secreted from the cell, allowing σ28 (FliA) to activate transcription of late genes, which encode the flagellin proteins and motor components (15, 16).

In this study, we identify components of flagellar biosynthesis that also control quorum sensing via regulation of hapR expression, suggesting a link between regulation of motility and regulation of quorum sensing in V. cholerae. This combination efficiently prepares bacteria for accessing colonization sites and, at the same time, allows for the maximal production of virulence genes.

Results

Identification of Additional Regulatory Factors Involved in Quorum Sensing.

To identify factors that regulate virulence genes through the quorum sensing pathway in V. cholerae, we designed an antibiotic-coupled transposon screen. We fused the zeocin-resistance gene sh ble (17) to the ToxT-activated promoter of the TCP subunit gene tcpA and integrated the resulting cassette into the lacZ locus of wild-type, luxO and hapR strains. Wild-type and hapR strains containing this cassette are resistant to zeocin after growth in AKI medium, which induces the expression of virulence genes (18). However, the corresponding luxO mutant is sensitive to zeocin when grown in AKI medium (Table S1). The latter result is consistent with low-virulence gene expression caused by the high levels of HapR in a luxO mutant (7, 10) (Fig. S1). We performed transposon mutagenesis in this luxO lacZ::PtcpA-sh ble strain (LZV8) using the mariner transposon TnAraOut (pNJ17), which contains araC and a PBAD promoter that transcribes away from the transposon (19). The addition of arabinose derepresses the PBAD promoter by removing AraC repression, leading to the transcription of any downstream genes. We reasoned that if the transposon disrupts a gene required for HapR function, virulence gene expression would be derepressed, and PtcpA-sh ble will be induced and confer zeocin resistance. Similarly, if the transposon inserts into the promoter region of a gene that either represses hapR expression or bypasses the HapR repression of aphA, then zeocin resistance will arise in the presence of arabinose. To distinguish between mutations that affect HapR directly and those that affect regulation downstream of HapR, we included the Vibrio harveyi luxCDABE reporter construct, which is activated directly by HapR (6).

From 10 transposon libraries each containing ≈109 cells, we obtained ≈500 zeocin-resistant colonies. Table S1 summarizes the locations of the transposon insertions and their related phenotypes. More than 50% of these mutants have transposons inserted in the hapR locus and exhibited the rugose-colony phenotype associated with a mutation in hapR (20, 21). Because disruption of hapR relieves the repression of the aphA promoter by HapR, strains containing transposon insertions within hapR are zeocin-resistant. Many transposon insertions occurred upstream of the PtcpA-sh ble construct resulting in overexpression of the zeocin-resistance gene in the presence of arabinose. We obtained mutants with insertions upstream of aphA, tcpP, or toxT that are resistant to zeocin in the presence of arabinose, further confirming that HapR inhibits the expression of virulence genes by repressing aphA. Disruption of the H-NS-like DNA-binding protein VicH (VC1130) also resulted in zeocin resistance; studies have shown that deletion of vicH results in high expression of the genes encoding cholera toxin, TCP, and ToxT (22). However, the lux expression pattern of vicH mutants was the same as that of the parental luxO mutant, indicating that the increased tcpA expression was not due to a regulatory defect in quorum sensing. Similarly, mutations that disrupt either VC2305 (ompK) or VC2271 (ribD) restore both cholera toxin and TCP production in the luxO mutant without changing lux expression. The mechanism that enables these two mutants to increase the expression of virulence genes independent of quorum sensing is the subject of another study.

Interestingly, we obtained a high number of mutants with transposon insertions in genes involved in flagellar biosynthesis (Table S1). Disruption of the flgBCD genes, which encode flagellar rod proteins (23), activated PtcpA-sh ble in the luxO mutant. We also obtained a number of arabinose-dependent, zeocin-resistant mutants with transposon insertions located upstream of fliA, which encodes the σ-factor required for activation of certain flagellin genes by RNA polymerase (RNAP) (16). All of these flagellar mutants produce CT and TCP (Table S1). In addition, luxO mutants that harbor such flagellar mutations exhibit reduced lux expression (Table S1), suggesting that quorum sensing regulation is affected. We selected these mutants for further study.

Deletion of flgD Enhances the Expression of Virulence Genes Through hapR.

To investigate how flagellar synthesis affects the expression of virulence genes, we constructed strains with an in-frame deletion of flgD, which encodes one of the flagellar rod proteins. As expected, flgD mutants are nonmotile ((Fig. S4A). Although TcpA and CT production was abolished in the luxO mutant, wild-type levels of TcpA and CT were detected in both flgD and flgD luxO mutants (Fig. S2A). To determine whether the deletion of flgD alters aphA expression in the luxO mutant, we measured the corresponding activity levels of an aphA-lacZ transcriptional reporter. As expected, deletion of luxO results in repression of aphA (Fig. S2B). However, mutation of flgD not only results in wild-type levels of aphA transcription but also restores aphA expression in the luxO mutant. This explains why the inhibition of the virulence regulon in the luxO mutant was restored in the flagellar mutants. To further characterize the role of flgD in quorum sensing, we transformed wild-type and flgD strains with pBB1, which contains the luxCDABE operon from V. harveyi that can be regulated directly by HapR (6). Although lux expression depends on cell density in both cases, overall expression is lower in the flgD strain than in the wild-type strain (Fig. S2C). We attribute this reduction in lux expression to lower levels of HapR because the expression of a hapR-lacZ transcriptional reporter was also inhibited in the flgD mutant (Fig. S2D). Taken together, these results indicate that flagellar synthesis modulates the quorum sensing output, including the expression of virulence factors, by regulating hapR transcription.

The Alternative σ-Factor FliA (σ28) Represses hapR Expression.

The regulatory hierarchy that determines the order for expressing flagellar genes in V. cholerae ends with the σ28-dependent activation of particular flagellar genes (e.g., flaBCD) (16). Because constitutive expression of fliA, which encodes σ28, inhibits regulation by quorum sensing (Table S1), we hypothesized that the repression of hapR observed in flgB, flgC, and flgD mutants is due to increased activity of FliA (Fig. 1A). The activity of FliA increases upon secretion of the anti-σ28 factor FlgM through the flagellar export apparatus (15, 16). To determine whether this process plays a role in the altered hapR regulation of the flgD mutant, we compared the level of FlgM in supernatants of wild-type and flgD cultures. The level of FlgM present in the supernatant of the flgD mutant is higher than that of wild-type V. cholerae (Fig. 1B), suggesting that disrupting flagellar rod assembly leads to higher FliA activity by increasing FlgM secretion. Consistent with this hypothesis, the expression of the FliA-activated gene flaD was enhanced in a flgD mutant (Fig. S3). To further investigate the relationship between FliA–FlgM interaction and hapR expression, we measured hapR transcription and HapR production in various mutants grown to midlog phase. Whereas hapR expression is inhibited in the flgM and flgD mutants, hapR is overexpressed in the fliA mutant (Fig. 1C). More importantly, deletion of fliA in the flgD mutant restores HapR production, indicating that the effect of hapR repression in flgD mutants is mediated through FliA. Furthermore, a fliA mutant complemented by a plasmid that constitutively expresses fliA restores the repression of hapR. Mutations in flaD and motY, which are known to be regulated by FliA (16), did not affect FlgM secretion or hapR expression (data not shown). Taken together, these results suggest that the high activity of FliA in either flgM or flgD mutants inhibits hapR expression. At this time, we do not know whether FliA regulates hapR directly or through another regulatory mechanism. The alternative σ-factor σ28 could activate the expression of unknown repressor to repress the hapR expression or activate small RNAs to regulate hapR mRNA. In fact, hapR has been shown to be regulated by RNA-binding protein Hfq and a set of sRNAs activated by LuxO and σ54 (5). However, if sRNAs are involved in σ28-mediated hapR repression, they are different from those sRNAs induced by LuxO because σ28 represses hapR in a luxO mutant (Fig. S2). Furthermore, because σ28 also represses hapR in an hfq mutant, this regulation is independent of Hfq (data not shown).

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FliA represses quorum sensing in flgD mutants. (A) Proposed model for repression of the hapR promoter by secretion of FlgM. (B) FlgM secretion is increased in the flgD mutant. Strains containing a plasmid expressing a functional flgM-his6 were grown to midlog. Culture pellets (P) and TCA-precipitated supernatants (S) were isolated and subjected to Western blot analysis using anti-His-6 antiserum. All samples were normalized to contain 109 bacterial cells. (C) Reduced production of HapR is due to hapR repression by FliA. Strains harboring hapR-lacZ transcriptional fusions were grown to midlog in LB and harvested to measure β-galactosidase activity (Upper). Results, reported in Miller units, are means of three experiments ± standard deviations. Whole-cell extracts were subjected to Western blot analysis using anti-HapR antiserum (Lower). All samples were normalized to contain 109 bacterial cells.

Repression of Quorum Sensing by FliA Is Important for Proper Intestinal Colonization.

Flagella are thought to help V. cholerae swim through mucosal layers to colonize the intestinal surface (13). Consistent with this hypothesis, flgD, fliA, and flgM mutants, which have reduced motility (15) (Fig. S4A), do not colonize the intestines of infant mice as well as motile wild-type cells (Fig. 2A). The observation that a fliA mutant displays a severe colonization defect was intriguing because FliA represses hapR expression (see Fig. 1). Colonization efficiency was significantly increased in a fliA hapR mutant (Fig. 2A) as compared with the fliA single mutant (P value <0.01). Consistent with previous reports (7), the hapR mutant colonized mice as well as wild-type. In addition, an in vivo colonization competition assay with a fliA single mutant and a fliA hapR double mutant demonstrated that the double-mutant colonizes ≈6-fold better than the fliA mutant (Fig. S4B). These results suggest that the colonization defect of the fliA mutant is partially due to insufficient repression of hapR.

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The expression of hapR is repressed by FliA during the colonization of infant mice. (A) In vivo competition assays. Infant CD-1 mice were orally inoculated with ≈106 wild-type and mutant bacteria. For each mutant, the competitive index is defined as the number of colony-forming units (CFU) for the mutant compared with the corresponding CFU number for a wild-type strain recovered from the intestines 18 h after inoculation. (B) Expression of hapR during colonization. Infant CD-1 mice were orally inoculated with ≈106 bacteria that contain a hapR-Kmr reporter. At each time point, mouse intestines were homogenized, treated with or without kanamycin (500 μg/ml) for 10 min, and plated on LB plates. The number of colonized bacteria per mouse (above each bar) was calculated based on the number of CFU recovered from samples not treated with kanamycin. Expression of hapR is defined as the percentage of Km-resistant CFU of the total CFU. Results are means from experiments with three to five mice, and the bars represent the corresponding standard deviations.

To provide further in vivo evidence that hapR expression is higher in fliA mutants, we colonized infant mice using strains that contain a hapR-Kmr transcriptional fusion, which confers kanamycin resistance to cells expressing hapR (24). At 4 h, hapR expression in wild-type cells was low, presumably because of the small number of cells that had colonized the small intestine (Fig. 2B). However, by 18 h, the number of cells in the small intestine had increased, and hapR expression was high. The hapR expression patterns of flgD, fliA, and flgM mutants in vivo were similar to those in vitro (compare Figs. 1C and and22B), with significantly higher hapR expression in fliA mutants early in colonization (Fig. 2B). Taken together, these results suggest that the repression of hapR by FliA is required for proper colonization of host intestines.

V. cholerae Loses Its Flagellum and Represses Regulation by Quorum Sensing During Mucosal Penetration.

The results described above strongly suggest a link between the regulatory networks of quorum sensing and flagellar assembly during intestinal colonization by V. cholerae. We hypothesized that the cross-regulation may occur while colonizing bacteria cross the mucosal layer of the intestinal surface, because flagella are thought to be important for mucus penetration. To approximate this stage of infection, we used an in vitro assay based on the migration of cells through a column of mucin (25, 26). Wild-type cells migrated through the mucin column significantly faster than nonmotile strains (i.e., flgD and flaA mutants) (Fig. 3A and data not shown). In addition, antibiotic-killed bacteria failed to penetrate the mucin column (data not shown). These data suggest that flagella may help V. cholerae swim through mucosal layers. Surprisingly, both flagellar staining and electron microscopy revealed that the majority of wild-type cells (>80%) had lost their flagella while migrating through a column containing 1% mucin (Fig. 3B). It should be noted that the absence of flagellar structures observed in these experiments is not due to the interference of mucin with flagellar staining or microscopy, because flagellar structures are apparent when mucin and bacteria are mixed and then stained for flagella (data not shown). To determine whether bacteria are motile after penetrating mucin, we deposited a suspension of cells onto a transwell containing a thin layer of mucin on top of a 3-μm filter and monitored the motility of the cells that passed through the filter. Consistent with our electron microscopy results, we found that bacteria that passed through the mucin layer and reached the outer chamber were not motile (see MovieS1 and MovieS2).

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V. cholerae cells lose flagella during mucin penetration. (A) Flagellar mutants swim more slowly through mucin than do wild-type cells. Midlog cultures (100 μl) of wild-type V. cholerae, the flgD mutant (white bars), or cultures premixed with 100 μl of 1% mucin were loaded into a column containing 1 ml of 1% mucin. After incubation for 30 min at 37°C, 500 μl were collected from the bottom of the column and plated on LB medium. (B) Images of V. cholerae during mucin column penetration. Flagellar staining (Upper) and transmission electron microscopy (Lower) of V. cholerae cells in the presence or absence of mucin. [Scale bars : 2 μm (Upper) and 500 nm (Lower).]

The above experiments indicate that V. cholerae cells use flagella to penetrate mucin layers but lose them during the process. Because we did not observe intact flagella on cells within mucin, we hypothesized that V. cholerae uses an alternative mechanism to translocate through the mucin. To test this, we compared the rates of migration through a 1% mucin column for wild-type and flgD mutant cells that had been premixed with mucin. Consistent with our hypothesis, we found that the cells migrated through the mucin column at similar rates (Fig. 3A Right). Based on these data, we speculate that V. cholerae flagella are important for intestinal colonization only during the initial penetration of mucin. The exact mechanism used by V. cholerae to cross mucosal layers is currently unknown and may involve flagellum-independent motility used by V. cholerae (27) and other bacteria (28).

To determine whether the loss of flagella from the exposure of cells to mucin leads to increased FlgM secretion, we measured FlgM levels in the cytoplasmic and extracellular fractions of cells grown in the presence of mucin. The level of FlgM in the supernatant of cultures supplemented with mucin was higher than that of cultures without mucin (Fig. 4A), suggesting that FliA activity increases during interaction between V. cholerae and mucin. Consistent with our observation of hapR repression by FliA (Figs. 1C and and22B), we also found that hapR expression is repressed when V. cholerae penetrates mucin (Fig. 4B). Importantly, this repression depends on FliA because hapR is not repressed in a fliA mutant as well as in a fliF mutants, which is required for FlgM secretion (15) (data not shown). Furthermore, transcription of the FliA-activated gene flaD increased when V. cholerae penetrates mucin (Fig. 4B). Taken together, these results suggest that exposure to mucin is sufficient to activate FliA, which inhibits regulation of quorum sensing by repressing hapR expression.

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Quorum sensing is repressed when V. cholerae penetrate mucin. (A) Secretion of FlgM increases during mucin penetration. Midlog cultures of wild-type bacteria expressing flgM-his6 were incubated for 30 min in LB medium with or without 1% mucin. Cytoplasmic and cell-free supernatant fractions were subjected to Western blot analysis. All samples were normalized to contain 108 bacterial cells. (B) Real-time RT-PCR analysis of hapR expression. Mucin penetration assays were performed as described above. RNA was extracted, and real-time RT-PCR was performed for hapR and flaD transcripts. Transcript levels were normalized by 16S RNA. Results for each promoter are reported as the ratio of transcript level in the presence of mucin to the transcript level in the absence of mucin. (C) Expression of hapR in V. cholerae cells on the surface of HEp-2 cells. Confluent HEp-2 cell monolayers were submerged in 1 ml of 1% mucin or LB. Midlog cultures of wild-type (wt) and fliA-overexpressing (fliAC) strains of V. cholerae that contain the hapR-Kmr reporter were inoculated onto HEp-2 cell cultures. After 2-hr incubation, the bacteria bound to HEp-2 cells were collected, treated with or without kanamycin (500 μg/ml) for 10 min, and plated onto LB agar. The hapR-Kmr expression was defined as the percentage of CFU that survive treatment with kanamycin of the total CFU. All results are means of three experiments ± standard deviations.

To further test the in vivo effect of the repression of hapR by exposure of cells to mucin, we turned to a cell-culture infection model. HEp-2 cells were grown to confluence and either covered with a layer of 1% mucin or left untreated. The expression of hapR was lower in those HEp-2-bound V. cholerae that had to pass through mucin to reach the epithelial cell monolayer (Fig. 4C). However, for strains overexpressing fliA, hapR expression remained low whether or not mucin was present. Consistent with the colonization assays and mucin-penetration assays described above, these results indicate that regulation of quorum sensing is repressed through σ28 during mucosal penetration.

Discussion

The facultative human pathogen V. cholerae must rapidly adapt to different environments, such as from its natural aquatic habitats to the human digestive system, during its life cycle. To do this, V. cholerae uses complex signal transduction pathways that modulate its gene expression in response to various environmental cues. The quorum sensing regulatory network monitors the level of small autoinducer molecules as a measure of cell density; however, other components also regulate quorum sensing by modulating transcription of the regulator HapR (2931). In this study, we discovered that flagellar components also regulate hapR expression. Specifically, we show that hapR transcription is repressed by fliA, which encodes the alternative σ-factor involved in flagellar synthesis (σ28). Similarly, removal of flagellar rod proteins, which results in high levels of active σ28 because of increased secretion of the anti-σ28 protein FlgM, inhibits hapR transcription.

Why does V. cholerae integrate motility and quorum sensing regulatory pathways? One possibility is to further derepress the virulence genes that are repressed by quorum sensing. Unlike some enteric pathogens, which successfully infect hosts with a low starting dose [e.g., Shigella (32)], V. cholerae requires ≈106 cells to induce symptomatic cholera (33). However, the number of V. cholerae cells that reach the small intestine is reduced by the hostile compounds found in host environments, such as gastric acid and bile salts (2). This reduction in cell number decreases the concentration of autoinducer, which, in conjunction with a HapR negative-feedback loop (34), represses hapR transcription. Our results suggest that this reduction in cell number may not be sufficient to completely inhibit HapR-mediated repression of virulence gene expression.

At their sites of colonization at mucosa, V. cholerae must penetrate the thick glycocalyx of mucins that cover and protect the intestinal epithelium. However, in penetrating this barrier, FlgM is secreted (Fig. 4). This leads to derepression of FliA and further repression of hapR through the activation of FliA. Through hapR repression, V. cholerae cells are primed for intestinal colonization, which is an important step leading to the onset of cholera. This model is illustrated in Fig. S5. Consistent with this model is our observation that a fliA hapR double mutant colonizes infant mice better than a fliA single mutant (Fig. 2). Furthermore, the higher hapR expression (as compared with wild-type levels) observed early in infection associated with a fliA mutant also supports this model. Interestingly, a recent report suggests that Salmonella can sense the wetness of its surrounding environment by controlling the amount of FlgM secreted through its flagellar apparatus (35). Similarly, our model implies that V. cholerae uses flagella to sense host mucosal signals to regulate genes that allow the cell to adapt to host intestinal environment.

Previous studies suggest that the ability of the current pandemic V. cholerae strains to swim into the mucosal layer is important for colonizing the intestinal surface (13, 36). Consistent with these reports, we found that nonmotile strains colonize 10–25 times less efficiently than wild-type strains (Fig. 2A). Furthermore, using mucin column-penetration assays, we found that nonmotile strains penetrate mucin layers more slowly than wild-type V. cholerae (Fig. 3A). However, many V. cholerae cells lose their flagella while penetrating mucin layers (Fig. 3B), suggesting that intact flagella are not required for the cells to migrate through mucin once they have passed the initial interface. One possibility is that flagella initially help V. cholerae swim through mucin, but once flagella are lost in this process, other processes assist in the passage of bacteria through the glycocalyx to the epithelium. Indeed, when flagellar mutants were premixed with mucin, they migrated as fast as wild-type cells (Fig. 3A Right). Another possibility is that bacteria continuously regenerate flagella to replace those lost while penetrating mucus layers. In fact, cells that encounter mucin secrete FlgM and so begin to express FliA-regulated genes such as flaD (Fig. 4 A and B). However, a recent study reported that FlgM/σ28-dependent gene expression in Salmonella enterica remains unchanged by flagellar shearing despite the rapid regeneration of flagella (37). Whether the cellular response to mechanically sheared flagella is similar to that of breaking flagella during mucus penetration is not clear.

The ability of V. cholerae to colonize and cause disease requires tight control over the expression of multiple virulence factors. However, pathogenesis and the associated genetic regulatory events in the host are not a series of disconnected cascades nor do they depend only on the activation of virulence regulators. Instead, the complex infection cycle of this pathogen depends on a variety of genetic regulatory strategies, including the repression of genes that inhibit colonization. It has already been shown that V. cholerae reciprocally regulates the transcription and biogenesis of virulence determinants and that of the type IV MSHA pili to evade host immune defenses (26, 38). In this study, we show that another reciprocal regulatory mechanism serves to allow this pathogen to maximize virulence during early colonization. V. cholerae cells use their flagella to penetrate the mucosal barrier protecting the cells of the small-intestinal epithelium. In the process, the flagella are lost, which leads to repression of hapR, which encodes a negative regulator of virulence genes. Thus, V. cholerae is capable of “dual use” of necessary virulence processes such as flagellar motility and TCP biogenesis to position and equip itself for colonization while simultaneously inhibiting anticolonization factors such as HapR and MSHA. This enables V. cholerae to access efficiently its preferred colonization niches during the critical early phase of infection, where a small number of bacterial cells must attach to and establish themselves at the epithelium. It is this regulatory flexibility that has made V. cholerae a potent human pathogen, and a striking example of the complexities possible in bacterial virulence regulation in disparate environments.

Methods

Strains, Plasmids, and Culture Conditions.

All V. cholerae strains used in this study were derived from E1 Tor C6706 (39). Strain and plasmid constructions are described in SI Text.

Transposon Screen for hapR Repression.

LZV8 (lacZ::tcpA-sh ble, ΔluxO) was mutagenized with the TnAraOut mariner transposon (19). The resulting libraries were inoculated into AKI medium containing 0.05% arabinose and incubated without shaking at 37°C for 4 h until the OD600 was ≈0.1. Cultures were treated with zeocin (25 μg/ml) for 30 min at 37°C and plated on LB agar without zeocin. Arbitrary PCR (19) and DNA sequencing were performed to identify transposon insertion sites.

hapR Transcription Measurements.

The hapR-lacZ transcriptional reporter was integrated into the chromosomes of various flagellar mutants. β-Galactosidase assays were performed as described (7).

In the mouse colonization and mucin-penetration assays, hapR expression was measured by using strains harboring the hapR-Kmr reporter, which is at the hapR locus and maintains an intact copy of hapR (24). Bacteria isolated from mouse intestines or mucin columns were added to fresh LB in the presence or absence of 500 μg/ml kanamycin and incubated for 10 min at 37°C. This treatment is sufficient to kill 100% of V. cholerae cells that do not carry any Kmr gene or that contain the hapR-Kmr construct and a constitutively active LuxO (40). After treatment, the samples were plated onto LB. Expression of hapR was defined as the number of kanamycin-resistant CFU normalized by the number of total CFU.

For the mucin-penetration assays, hapR transcription was measured by quantitative real-time PCR. Total RNA was isolated from column samples by using TRIzol reagent (Invitrogen) and cleaned with the RNeasy kit (Qiagen). RNA reverse transcription was performed by using the SuperScript II kit (Invitrogen) with 200 ng of RNA sample. Quantitative real-time PCR using primers specific for hapR was performed on an Opticon 2 system (MJ Research). The 16S ribosomal RNA was used for an internal control in all reactions.

Infant Mouse Colonization Assay.

The infant mouse colonization assay was performed as described (41). Briefly, 106 V. cholerae cells were inoculated into 6-day-old CD-1 suckling mice. At different time points, intestines were homogenized, serially diluted, and plated onto LB agar. Bacterial numbers were determined from the number of CFU.

Mucin-Penetration Assay and Flagella Visualization.

Mucin columns were prepared by adding different concentrations of bovine submaxillary mucin (Sigma) to 1-ml syringes. Midlog bacterial cultures (100 μl)or 100 μl of cells premixed with 1% mucin were loaded on the top of the mucin columns and allowed to settle for 30 min at 37°C. Fractions (500 μl) were collected from the bottom of the mucin columns. Bacteria numbers were measured by serially diluting samples, plating onto LB agar, and counting CFU. A drop of the collected fractions was placed on slides to detect flagella by using the flagella stain kit (Remel, Lenexa) or by transmission electron microscopy (University of Pennsylvania Bioimaging Core).

FlgM Detection.

To detect FlgM protein, a plasmid containing the PBAD-flgM-his6 was introduced into various strains of V. cholerae. All samples were normalized to contain 109 (or 108 in the case of samples treated with mucin) bacterial cells. Supernatants were concentrated by using TCA precipitation (10% trichloroacetic acid). Both extracellular and cytoplasmic proteins were separated by SDS/PAGE, transferred to a nitrocellulose membrane, and immunoblotted with affinity purified anti-6× His rabbit antiserum (Rockland).

Measurement of hapR Expression in Bacteria Bound to HEp-2 Cells.

HEp-2 human epithelial cells were propagated in DMEM supplemented with 10% FBS (Sigma) in <5% CO2 at 37°C. Before infection, the cell cultures were overlaid with 1 ml of LB with or without 1% mucin. Midlog cultures of wild-type and fliA-overexpressing strains of V. cholerae that contain the hapR-Kmr reporter were then inoculated onto HEp-2 cell cultures at moi = 100. After incubation for 2 h at 37°C with 5% CO2, the medium was removed, and epithelial cells were washed three times with PBS buffer to remove unbound bacteria. HEp-2 cells were lysed by using 0.1% Triton X-100. Bound bacterial cells were collected and subjected to the kanamycin treatment described above.

Supplementary Material
Supporting Information:
Acknowledgments.

This work was supported by National Institutes of Health (NIH) Grant R01AI072479 (to J.Z.), National Science Foundation Grant MCB0615957 (to M.G.), an American Heart Association predoctoral fellowship (to T.M.) and a NIH T32 Bacteriology training grant (to A.T.).

Footnotes

The authors declare no conflict of interest.

This article is a PNAS Direct Submission.

This article contains supporting information online at www.pnas.org/cgi/content/full/0802241105/DCSupplemental.

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