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MI67CH03-Greenberg ARI 4 May 2013 14:58 V I E W A N I N C E S R E D V A Acyl-Homoserine Lactone Quorum Sensing: From Evolution to Application Martin Schuster,1 D. Joseph Sexton,1 Stephen P. Diggle,2 and E. Peter Greenberg3 1 Department of Microbiology, Oregon State University, Corvallis, Oregon 97331; email: [email protected], [email protected] 2 School of Molecular Medical Sciences, University of Nottingham, Nottingham NG7 2RD, United Kingdom; email: [email protected] 3 Department of Microbiology, University of Washington, Seattle, Washington 98195; email: [email protected] Annu. Rev. Microbiol. 2013. 67:43–63 Keywords The Annual Review of Microbiology is online at micro.annualreviews.org Pseudomonas, cooperation, cheating, public good, QS inhibition This article’s doi: 10.1146/annurev-micro-092412-155635 Abstract c 2013 by Annual Reviews. Copyright All rights reserved Quorum sensing (QS) is a widespread process in bacteria that employs autoinducing chemical signals to coordinate diverse, often cooperative activities such as bioluminescence, biofilm formation, and exoenzyme secretion. Signaling via acyl-homoserine lactones is the paradigm for QS in Proteobacteria and is particularly well understood in the opportunistic pathogen Pseudomonas aeruginosa. Despite thirty years of mechanistic research, empirical studies have only recently addressed the benefits of QS and provided support for the traditional assumptions regarding its social nature and its role in optimizing cell-density-dependent group behaviors. QS-controlled public-goods production has served to investigate principles that explain the evolution and stability of cooperation, including kin selection, pleiotropic constraints, and metabolic prudence. With respect to medical application, appreciating social dynamics is pertinent to understanding the efficacy of QS-inhibiting drugs and the evolution of resistance. Future work will provide additional insight into the foundational assumptions of QS and relate laboratory discoveries to natural ecosystems. 43 MI67CH03-Greenberg ARI 4 May 2013 14:58 Contents INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MODEL SYSTEMS AND COMMON THEMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Vibrio fischeri Paradigm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pseudomonas aeruginosa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Common Themes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EVOLUTIONARY CONSIDERATIONS OF QUORUM SENSING . . . . . . . . . . . . . Foundational Assumptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sociality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Social Stability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Density Dependence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QS-Independent Cooperation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QUORUM SENSING AS AN ANTIVIRULENCE DRUG TARGET: SOCIAL INTERACTIONS AND RESISTANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Potential of Antivirulence Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QS-Inhibiting Compounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . How Likely Is the Evolution of Resistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QSI Resistance and the Quorum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 45 45 46 47 48 48 48 50 51 53 53 53 54 54 57 57 INTRODUCTION Quorum sensing (QS): a mechanism of chemical cell-cell communication that permits coordination of gene expression as a function of the local population density Cooperation: a behavior that benefits another individual (the recipient) and is maintained (at least partially) because of its beneficial effect on the recipient 44 Although bacteria were long thought to be individual cells acting alone, we now accept that they are social organisms capable of acting together to exhibit a range of cooperative activities (14, 116). Many of these activities are involved in virulence and for this reason have been studied in the context of pathogenesis, but microbial social behaviors are important in a variety of other contexts (24). One type of social trait that has been studied extensively at the molecular level is the ability of bacteria to communicate with one another by using chemical signals. Bacterial communication can coordinate a wide range of activities in different bacterial species as a function of population density (118). This type of communication is called quorum sensing (QS) (33). At least in some cases it is clear that QS controls social behaviors (24, 94, 120). If one strives to understand bacteria, and the wide variety of ecological and environmental niches they occupy, social aspects of their biology cannot be ignored. Although the field of sociomicrobiology is very young, we see two reasons why it is critical to study QS and the control of social activities in bacteria. (a) Bacteria have become powerful tools with which to study fundamental questions about the costs and benefits of cooperation, the selective pressures that lead to the evolution and maintenance of cooperative traits, and the advantages of controlling cooperative behaviors by cell-cell communication systems such as QS. With fast growth rates and ease of genetic manipulations, evolutionary questions that cannot possibly be addressed with higher organisms can be addressed with bacteria. (b) The central role QS plays in regulating many relevant microbial behaviors has not gone unnoticed. There is currently high interest in manipulating QS systems for diverse human applications such as ecological control in agriculture and antivirulence in medicine (4, 54, 77, 78). Schuster et al. MI67CH03-Greenberg ARI 4 May 2013 14:58 O O O C4-HSL N H O O O O 3OC6-HSL N H O O O O 3OC12-HSL N H O O O pC-HSL N H HO Figure 1 Some examples of AHL quorum-sensing signals. The structures and corresponding names are shown. The Pseudomonas aeruginosa signal synthase RhlI produces C4-HSL and LasI produces 3OC12-HSL. The Vibrio fischeri signal synthase LuxI produces 3OC6-HSL, and the Rhodopseudomonas palustris signal synthase RpaI produces pC-HSL. In all, dozens of different AHL signals have been described. Abbreviations: AHL, acyl-homoserine lactone; C4-HSL, butanoyl-homoserine lactone; 3OC12-HSL, 3-oxo-dodecanoylhomoserine lactone; 3OC6-HSL, 3-oxo-hexanoyl-homoserine lactone; pC-HSL, para-coumaroyl-homoserine lactone. MODEL SYSTEMS AND COMMON THEMES The Vibrio fischeri Paradigm In the late 1960s and early 1970s, there was a very modest literature describing pheromone production and activity in bacteria (26, 108). It was not until the early 1980s that work on gene regulation in marine luminescent bacteria led to some understanding of how an intercellular communication system could coordinate group activities. Only in the 1990s did we begin to understand the prevalence of QS in bacteria. Now we know there are many different types of bacterial QS systems. Our review focuses on acyl-homoserine lactone (AHL) QS systems, which are prevalent but not universal among the Proteobacteria and for which the term QS was first introduced (33). Generally, AHL signals are synthesized by LuxI family enzymes and detected by LuxR family signal receptor–transcriptional regulators. There are related but chemically distinct signals that are specific to particular systems (Figure 1). AHL signaling was first discovered in the marine bacterium Vibrio fischeri, which uses QS to control a small set of approximately 25 genes, including genes for light production, by LuxR and 3-oxo-hexanoyl-homoserine lactone (3OC6-HSL), which is produced by the luxI gene product (3, 27, 28) (Figure 2a). V. fischeri is a mutualistic symbiont of specific marine animals in which it colonizes the light organs and produces light. Like other AHLs, 3OC6-HSL moves in and out of www.annualreviews.org • Acyl-Homoserine Lactone Quorum Sensing AHL: acyl-homoserine lactone 45 MI67CH03-Greenberg ARI 4 May 2013 14:58 a b luxI luxR LuxI LuxR qscR lasI lasR rhIR rhII LasI LasR RhIR RhII LasR RhIR LasR regulon RhlR regulon QscR AHL AHL ACTIVE Lux regulon QscR regulon AHL Figure 2 AHL signaling in (a) Vibrio fischeri and (b) Pseudomonas aeruginosa. AHL signals are made by members of the LuxI family of signal synthases and specifically interact with LuxR family transcription factors. At high cell density, AHLs accumulate and interact with LuxR homologs. AHL binding controls activity of LuxR family members. (a) In V. fischeri, LuxI and LuxR produce and respond to 3OC6-HSL, respectively. (b) In P. aeruginosa, the LasIR system produces and responds to 3OC12-HSL, and the RhlR system produces and responds to C4-HSL. QscR is an orphan LuxR receptor that is not linked to a luxI synthase gene. QscR responds to 3OC12-HSL produced by LasI. Each quorum-sensing regulon is shown as a distinct entity, but in reality there is overlapping regulation among the controlled genes. Figure adapted from Reference 71. Abbreviations: AHL, acyl-homoserine lactone; 3OC6-HSL, 3-oxo-hexanoyl-homoserine lactone; 3OC12-HSL, 3-oxo-dodecanoyl-homoserine lactone; C4-HSL, butanoyl-homoserine lactone. cells by passive diffusion (55). In this way the environmental signal concentration is a reflection of cell density and the diffusion potential of the habitat. This QS system allows V. fischeri to discriminate between its free-living, low-density lifestyle in seawater and its high-density, hostassociated lifestyle in animal light organs. The luxI gene itself is controlled by QS; it is activated by 3OC6-HSL-bound LuxR (28). This positive autoregulation provides hysteresis to the system. The population density required to activate quorum-controlled genes is much higher than the density required to shut down an activated system. Furthermore, once the system is induced, it would require an enormous increase in diffusivity to shut the system off. Once the system is induced, the environmental AHL concentration increases very rapidly. Finally, we view luminescence as a cooperative activity. Single cells do not emit enough light for biological detection, but the light produced by groups of cells can easily be seen with the naked eye. This is in fact the basis for isolation of luminous marine bacteria. One can plate bacteria from a source enriched for luminous bacteria on a seawater-based medium and isolate colonies producing blue light in a dark room. The ease with which luminescence can be observed and measured has facilitated the use of V. fischeri as a model for understanding QS. Pseudomonas aeruginosa In addition to V. fischeri, the gammaproteobacterium Pseudomonas aeruginosa has also emerged as an important model organism for QS research. Equipped with a large genome, P. aeruginosa 46 Schuster et al. MI67CH03-Greenberg ARI 4 May 2013 14:58 is metabolically versatile and capable of occupying a range of different habitats (101). It is also an opportunistic pathogen capable of infecting different host species, including plants, insects, and mammals (69). Immunocompromised humans, including those with burn wounds or the genetic disorder cystic fibrosis (CF), are particularly vulnerable to infection with P. aeruginosa (69). The relative ease with which P. aeruginosa can be handled in the laboratory, along with its medical relevance, has led to an extensive body of work that includes a detailed picture of the complex P. aeruginosa QS network. There are two complete AHL circuits, LasR-LasI and RhlR-RhlI; each is composed of a LuxR-type receptor and a LuxI-type synthase (96, 121) (Figure 2b). LasI produces 3-oxo-dodecanoyl-homoserine lactone (3OC12-HSL), and RhlI produces butanoyl-homoserine lactone (C4-HSL). The LasRI circuit is hierarchically positioned to regulate the RhlRI circuit. Together both circuits control the activation of more than 300 genes (48, 97, 114). Genes coding for production of extracellular products such as exoenzymes and phenazine pigments are grossly overrepresented in the quorum-controlled regulon (36, 96). Many such extracellular products are considered virulence factors because they damage host tissue and promote infection. The importance of P. aeruginosa QS for establishing acute and chronic infections has been demonstrated in several animal models (83, 91, 122). In addition to the LasRI and RhlRI systems, there is a 3OC12HSL-responsive orphan receptor, QscR, which controls its own set of genes and also represses many LasRI- and RhlRI-dependent genes (65, 66). Another layer of complexity is added by the Pseudomonas quinolone signal (PQS) system, which is intertwined with the AHL signaling circuitry (44). CF: cystic fibrosis Regulon: the collection of genes controlled by an individual transcription factor EPS: extracellular polysaccharide Common Themes Despite the diverse applications and mechanisms of QS, common themes relate these systems. Many of the controlled factors fall into several general groups that are conserved. Some of the most common types are toxins (e.g., virulence factors and antimicrobials), exoenzymes (e.g., proteases), and biofilm components (e.g., extracellular polysaccharides, EPS). Such activities are interesting because they may represent forms of cooperation. For example, biofilms consist of heterogeneous bacterial groups that organize on surfaces (14). Bacteria in biofilms secrete EPS and other biofilm matrix components that surround and protect the group, but this may be a wasteful process for an isolated individual. The common thread of cooperation suggests the evolutionary forces shaping AHL-mediated QS in P. aeruginosa may also be pertinent to even phylogenetically distinct QS systems, such as the peptide signaling and response systems in gram-positive bacteria (57). That said, AHL QS systems are often required but not sufficient to activate a particular gene. In the current vernacular of synthetic biology, the QS circuit is often part of an AND logic gate. An excellent example can be drawn from the plant pathogen Agrobacterium tumefaciens, which uses AHL QS to regulate conjugal transfer of the Ti plasmid. The QS system itself requires activation by small molecules produced only by infected plants (113). Thus, a sufficient A. tumefaciens density is required and the bacteria must be in the plant host. Another example is the regulation of QS gene expression by starvation in P. aeruginosa. The stringent response, the hallmark response to slow growth in bacteria, can trigger increased signal synthesis and thus lower the quorum threshold for target gene induction (111). This feature may prove beneficial, for example, if QS-dependent exoenzymes are required for nutrient acquisition at relatively low cell density. The integration of environmentally specific cues into QS circuits is common. Therefore, although this review discusses the foundational and common evolutionary forces of QS systems, extrapolating these principles to other systems requires consideration of mechanistic and ecological peculiarities. www.annualreviews.org • Acyl-Homoserine Lactone Quorum Sensing 47 MI67CH03-Greenberg ARI 4 May 2013 14:58 WHAT MAKES A QUORUM-SENSING SIGNAL A SIGNAL? It is widely accepted among microbiologists that QS represents signaling within species, between species, and between prokaryotes and eukaryotes. Indeed, it is common in the literature to define any molecule produced by one individual that elicits a response in another to be a signal. Broad use of the term signal can be misleading, and this can obscure the true nature of the biological interaction between individuals. For example, QS molecules could also act as biological cues or be used for coercion or chemical manipulation of other individuals (23, 56). Specifically, signaling occurs when the production of substance X from individual A has evolved because of its effect on individual B and is effective because the response in individual B has also evolved. This is distinct from a cue, in which the production of substance X by individual A has not evolved because of its effect on individual B. Finally, a coercion or chemical manipulation is when the production of substance X by individual A forces a costly response from individual B. Here the production has evolved because of the benefit to the sender and not the receiver (73). This matters because determining whether bacterial cells are interacting via signal, cue, or coercion, allows us to make very different predictions as to how interactions within and between species evolve and are maintained in nature. Such distinctions will become increasingly important as microbiologists begin to unravel the nature of multispecies interactions. EVOLUTIONARY CONSIDERATIONS OF QUORUM SENSING Foundational Assumptions A large volume of literature describes QS at the molecular level, and this has unraveled the genetic mechanisms and pathways of QS systems. The molecular focus of this work has led to general assumptions about QS upon which the entire research field is based, namely that QS is a social trait performed by individual cells for the good of the group, and that QS is most beneficial at high cell densities. Not until recently has empirical work directly tested these ideas (described in detail below). A third assumption that QS represents signaling between individuals is briefly touched upon in the sidebar, What Makes a Quorum-Sensing Signal a Signal?, and has been discussed in detail elsewhere (23). Sociality Public good: a resource that is costly to produce and provides a benefit to all the individuals in the local group or population 48 In 2002, Redfield (87) challenged the notion that QS is social. She pointed out that the need for group action or the selective conditions required for its evolution had not been experimentally demonstrated (87). Redfield argued that the chief function of autoinducer signal molecules is to enable an individual cell to sense how rapidly secreted molecules diffuse away into the surrounding environment. By producing a metabolically inexpensive molecule such as an AHL, individual cells could first use this to assess the diffusive properties of their environment to determine whether it was beneficial to produce a more costly public good such as an extracellular protease. This idea was termed diffusion sensing (DS) and suggests QS need not be a social behavior but rather a nonsocial trait, which matters to an individual cell whether or not it is in a group (87). We note that DS and QS are not mutually exclusive. The efficiency sensing hypothesis made an attempt to formally unify the two ideas (45), although its utility has recently come under contention (117). Redfield’s work raises an important question: How can we know whether a bacterial behavior is social? Answering this question requires an experimental approach. It is key to determine whether benefits are shared with other cells or enjoyed only by the producer. In microbes, extracellular products may indeed be available to other members of the group once secreted from the cell. Schuster et al. MI67CH03-Greenberg ARI 4 May 2013 14:58 If they are costly for the individual but provide a benefit to the group, they can be classified as public goods (116). With QS, two levels of potential social behavior must be distinguished: first, the QS circuit, composed of a signal and cognate receptor, which enables communication and coordination of cooperative behaviors, and second, the actual, generally more costly cooperative behaviors controlled by QS. The first step in testing whether a microbial trait is social is to examine whether the relative costs and benefits of the trait vary with the social environment. Specifically, if exofactors are shared socially between cells, then one would predict that (a) populations of cells that do produce the exofactors should grow better than populations that do not. (b) When grown in mixed populations, nonproducing mutants should be able to exploit producing cells (i.e., they should be able to cheat) and hence increase in frequency. With respect to QS, we can further predict that signalblind (LuxR-type) mutants should be favored over signal-negative (LuxI-type) mutants, given the different costs associated with signal production and signal response. (c) If an exofactor is important for growth in natural environments, then one would be able to isolate natural cheats. If the benefit of exofactors flowed only to the cell that produced them and was not social, we would make the first prediction but not the second or third. Understanding this will then allow us to begin to determine how and why cooperative behaviors evolve and are maintained in natural populations. Empirical studies using P. aeruginosa have tested the first and second predictions and have shown that QS-controlled public-goods production is both costly and exploitable by cheats. Using a synthetic QS growth medium with a protein carbon source (casein or bovine serum albumin) that requires QS-dependent exoprotease secretion, researchers have demonstrated that wild-type populations grow well in monocultures whereas populations of QS mutants do not (24, 94, 120). However, crucially, in mixed culture, signal-blind (lasR-negative) cheats have a fitness advantage because they exploit the exoprotease production of wild-type cells, displaying a trend of negative-frequencydependent fitness (24, 120). Simply put, when there are fewer cheats in the population there are more cooperators to exploit, resulting in an increased cheat fitness (88). Signal-blind but not signalnegative cheats emerge when wild-type P. aeruginosa is grown in QS medium over a number of selection rounds (94). Signal-blind cheats invade cooperating populations to a greater extent when the cost of cooperation is increased by altering the nutritional composition of the QS medium (17). The studies cited above were performed with well-mixed cultures of planktonic bacteria, although similar results were obtained with laboratory biofilms of P. aeruginosa (84). This result is surprising as it contrasts with previous theory, which suggests that growth in structured environments such as biofilms should lead to a segregation of cooperators and cheats, reducing the ability of cheats to exploit cooperators (62, 124). If QS is social, our third prediction suggests that social cheats should be present in real-world microbial communities. It is now well established that QS-negative (primarily lasR-negative) mutants are common in certain human infections, including CF lung infections, and in other environments (10, 20, 41, 52, 53, 93, 95, 99, 100, 102, 105, 109, 119, 126, 127). Empirical evidence demonstrating why such QS mutants emerge during infection is sparse. One explanation for their emergence in the CF lung is that they are better adapted to this unique environment and therefore have a selective advantage. In support of this, it has been shown that lasR mutants have an intrinsic growth advantage on particular carbon and nitrogen sources that could contribute to selection in a CF lung environment (16). An alternative explanation is that lasR mutants behave as social cheats in a mixed population, exploiting the social behaviors of cooperating strains. To date, no experimental evidence has demonstrated social cheating in the CF lung. However, in a mouse infection model, QS cheats invade a burn wound within days, displaying negativefrequency-dependent fitness (89). By comparing monoculture and mixed infections, the study addressed and confirmed the first and second predictions. This finding suggests that during in vivo www.annualreviews.org • Acyl-Homoserine Lactone Quorum Sensing Cheat: an individual who does not cooperate (or cooperates less than his fair share) but can potentially gain the benefit from others cooperating; also called freeloader 49 MI67CH03-Greenberg ARI 4 May 2013 Pleiotropic constraint: prevents the origination of cheaters if the mutation conferring a cheater phenotype is linked to a cost of cheating Pleiotropy: the phenomenon of a single gene, e.g., a global regulatory gene, affecting multiple distinct phenotypic traits Private good: a resource that is costly to produce and provides a benefit only to the producer Metabolic constraint: a specific case of pleiotropy in which QS control of both public and private nutrient acquisition constrains cheating Metabolic prudence: mechanism that stabilizes public-goods cooperation by initiating their production only when the fitness cost is low 50 14:58 infections, QS cheats can exploit public goods and resources produced by a cooperating population in a manner similar to that seen in previous studies using planktonic cultures (89). Another study has demonstrated that during infections in human intubated patients, a mix of QS cooperating cells and QS cheats resulted in a milder infection (59). The overall implication is that the spread of cheats within a population can significantly reduce virulence due to a breakdown in cooperation. In summary, experiments performed in test tubes, biofilms, and infection models have begun to show that QS and at least some of the traits regulated by QS are social in nature. However, it is important that we do not automatically regard all QS-regulated traits as social. A key challenge for the future is to determine which traits are social and which are nonsocial. Empirically doing so will require identifying the distribution of fitness benefits with steps similar to those outlined above. Social Stability With the assumption of sociality strongly supported, the maintenance or evolutionary stability of QS must also be addressed. Explaining the stability of cooperative behaviors such as QS remains one of the greatest problems for evolutionary biologists (115). Why would an individual carry out a cooperative behavior that is costly to perform and primarily benefits other individuals or the local group? Doing so threatens the stability of cooperative behaviors because it is vulnerable to cheats that do not perform the cooperative act but reap the benefits from the cooperation of others (115, 116). This problem is well known in the fields of economics and human morality, where it is termed the tragedy of the commons (42). The tragedy is that in a group, individuals would do better to cooperate, but this is not stable because each individual gains by selfishly pursuing its own short-term interests (42). Yet cooperation clearly exists. In general, genes can be favored by natural selection if they increase the reproductive success of their bearer (direct fitness) and also increase the reproductive success of other related individuals that carry the same gene (indirect fitness) (39, 40). Strategies that stabilize cooperative behaviors can therefore be categorized on the basis of whether the benefits are direct or indirect. If there is a direct fitness benefit to the individual performing the behavior, cooperation can be maintained by processes that enforce cooperation and limit the spread of cheats by removing the advantage of cheating. This can involve mechanisms to repress cheating such as policing and sanctions (30, 110, 115). Empirical evidence demonstrating the existence of such processes in microbes is sparse; however, some recent studies highlight that they might be widespread. One described mechanism that may be pertinent to QS is pleiotropic constraint, in which behaviors with high individual fitness benefits are coregulated with cooperative behaviors (17, 31). Adopting a cheat strategy by mutation in a regulatory gene may therefore be accompanied by the loss of another important function. Pleiotropy may specifically contribute to the stability of the LasRI QS circuit in P. aeruginosa through the control of both public and private goods (17, 120). LasR controls not only public, extracellular products but also certain private, cell-associated factors, one of which is a periplasmic enzyme that metabolizes adenosine (50). During passage of wildtype cells in QS medium with casein and adenosine as carbon sources, LasR cheats do not invade when adenosine is in excess because they do not receive the direct fitness benefit associated with adenosine utilization (17). This mechanism has been termed metabolic constraint (17). Pleiotropy may also contribute to the evolutionary stability of the rhl QS circuit. In casein medium that solely favors QS-dependent public goods secretion, rhlR mutants do not invade wild-type populations, possibly because the derepression of PQS synthesis, which is negatively regulated by rhlR, imposes a metabolic burden (120). Another stabilizing mechanism that involves regulatory control is metabolic prudence (125). The concept has been derived from studying cooperative swarming motility in P. aeruginosa. Schuster et al. MI67CH03-Greenberg ARI 4 May 2013 14:58 Costly biosurfactant production is required for swarming, and theory suggests that this should be exploitable by cheats. However, metabolic prudence results in the inability of cheats to invade a swarm. Cooperators secrete QS-controlled biosurfactants only when the cost of production and the impact on individual fitness are low. This regulation prevents nonsecretors from gaining an evolutionary advantage. On the mechanistic level, this is achieved through the coregulation of biosurfactant production by nitrogen availability (21, 97). These carbon-rich polymers are only produced when active growth is limited or prevented by nitrogen starvation, and the cost of production is low because carbon is not limiting. A third property that affects the stability of public-goods cooperation is the durability of the good itself. This has been shown for bacterial siderophores, iron-scavenging molecules that are not only very stable but are also reused multiple times (63). Through facultative regulation, costly siderophore production can thus be restricted to a brief growth period during iron starvation, providing cheats with less opportunity to invade. In addition to strategies that increase direct fitness, the evolutionary stability of QS may also be supported by indirect fitness benefits, or kin selection (39, 40). The most common reason for two individuals to share genes is for them to be genealogical relatives (kin), and so this process is often termed kin selection, although it was originally called inclusive fitness (61). Kin selection is discussed in detail elsewhere (34). Briefly, relatedness (r) is a measure of genetic similarity (85). In microorganisms, r is measured at the locus or loci that control the social behavior being studied. Cooperative individuals carrying an intact locus are related (r = 1), whereas those carrying a mutation are unrelated to the cooperators (r = 0) (22, 116). Kin selection is likely to be highly important for behaviors such as QS because of clonal reproduction and relatively local interactions (116). Empirical tests of the kin selection hypothesis in culture and in an infection model revealed that QS is favored in conditions of high relatedness, whereas a lasR cheat is favored under conditions of low relatedness. This is because in high-relatedness conditions, the QS wild-type or the lasR mutant grew in separate test tubes or mice, and the greater fitness of the wild-type led to an increase in wild-type frequency, which resulted in maintenance of QS. In contrast, in low-relatedness populations, composed of mixtures of cooperators and cheats, the cheats are able to exploit cooperators and this does not favor QS (24, 92). Kin selection: a process by which traits are favored because of their beneficial effects on the fitness of relatives Density Dependence In addition to questioning the sociality of QS, DS as a hypothesis is important because it challenges a second major assumption of QS, namely that density matters. The general consensus in the literature describes QS as the production, release, and detection of signaling molecules by cells. Signal detection triggers the production of a range of extracellular factors, which are secreted from cells and have various uses, including nutrient scavenging for growth and toxin production for virulence. This regulatory mechanism results in an increase in the production of QS-controlled factors at high cell densities, which is generally further accelerated and stabilized by the positive autoregulation of signal production. This important assumption implies that the QS circuitry itself is a mechanism that optimizes cooperation by delaying expression of a social behavior until the cost balances the benefit. Despite the huge amount of research on QS, there is very little work testing the idea that QS provides a benefit at high density. It is therefore crucial to compare individual and population benefits of inducing QS at high and low densities (Figure 3). Two separate studies recently tested the idea that QS provides the greatest benefit at high cell densities. The first study focused on the enzymatic breakdown of public goods in the external environment and showed that QS can provide social benefits to other cells and that the fitness benefits of QS are greater at higher cell densities, when www.annualreviews.org • Acyl-Homoserine Lactone Quorum Sensing 51 4 May 2013 14:58 a b Public good External volume per cell ARI Cell density MI67CH03-Greenberg Private good Cell with fitness benefit Cell with no fitness benefit Figure 3 Density, microenvironment, and the fitness benefits of producing (a) public and (b) private goods. Assuming constitutive production, private goods, which are utilized within a cell, confer direct fitness benefits to individuals, thus allowing growth at both low and high cell densities. In contrast, public goods confer both direct and indirect fitness benefits to individuals and neighboring cells, but their production is most efficient at high cell densities. Therefore, QS optimizes the costs and benefits of public goods by restricting public goods production to high densities (18, 80). Costs and benefits are equivalent from the perspective of a single cell (81). As the microenvironment or external volume per cell decreases (depicted as a dark blue dashed circle in the bottom images), the benefit from public goods production increases, whereas the benefit from private goods production remains the same. cells are better able to interact (18) (Figure 3a). Here the authors independently manipulated population density and the induction of and response to a QS signal in P. aeruginosa. They found that the benefit of QS was greater at higher population densities because QS-dependent extracellular public goods were used more efficiently. The experimental design also considered QS-controlled private goods, in this case adenosine metabolism, in which benefits are retained by the individual and not shared with the population (Figure 3b). Here the benefits do not vary with cell density. The second, related study was conducted with a synthetic QS system engineered in Escherichia coli, which controls the synthesis of a costly but beneficial exoenzyme public good (80). By using this system, the authors demonstrated that exoenzyme production is beneficial at high cell densities but that the optimal benefit only occurs if QS is initiated at a sufficiently high density. Overall, these results support the assumption that QS improves the efficiency of cooperative behaviors through activation at high density. An analogous scenario in which metabolically cheap QS invades and helps stabilize more costly cooperative behaviors was modeled by Czaran & Hoekstra (15). Laboratory experiments on QS have traditionally been performed with high-volume planktonic batch cultures, in which cells can reach very high numbers. These include the aforementioned studies on the relationship between density and QS efficiency. There is an increasing body of work examining QS at low population sizes or even at the single-cell level. For example, the confinement of individual P. aeruginosa cells in small volumes using microfluidic devices initiates high-density QS target gene expression (7, 13), as does the confinement of individual Staphylococcus aureus cells inside the phagosome of eukaryotic cells (98). Similarly, the quorum size of Pseudomonas 52 Schuster et al. MI67CH03-Greenberg ARI 4 May 2013 14:58 syringae is very small when grown in non-water-saturated environments such as plant leaves (25). Ultrasensitive AHL QS circuits have also recently been described in two members of the genus Bradyrhizobium, which respond to signal levels at orders of magnitude lower than that described for model QS systems (68). Such examples refute the notion held by some that QS requires millions of cells (7), although the original definition of QS never discounted the possibility that even a single cell in a small-enough volume would constitute a quorum (43) (Figure 3). A useful quantitative concept in this context is the sensing potential, introduced by Pai & You (81). It quantifies the ability of a single cell to sense the dimensions of its microenvironment. The approach is similar to that of DS but does not consider diffusion limitations in the environment. The sensing potential therefore intuitively relates QS of an individual cell to the population-level phenotype (Figure 3). PVD: pyoverdine QS-Independent Cooperation Although the control of costly cooperative behaviors by QS is advantageous, the production of some public goods appears to be largely independent of QS. One such example is the production of the siderophore pyoverdine (PVD) in P. aeruginosa. A QS-negative strain still produces PVD with only an approximately twofold decrease under conditions of iron stringency (106). In contrast, pathways that directly sense iron starvation activate PVD biosynthetic genes ten- to several hundredfold (79). Why would PVD expression not be more strongly coregulated by QS? Insights into the molecular properties of PVD and mechanisms of regulation offer some clues. PVDs are structurally distinct between different species and sometimes even between closely related strains of the same species (75, 76). Such structural diversity provides specificity and hence excludability, as each distinct PVD type can only be utilized by a cell carrying a complementary receptor. This mechanism is referred to as kin discrimination, as it permits an individual to distinguish relatives from nonrelatives and preferentially direct aid toward relatives (39, 40). Importantly, the structural specificity of PVD is also exploited for signaling purposes. PVD expression is significantly augmented by the detection of PVD itself (64). Recognition of PVD, specifically Fe-bound PVD, by an outer membrane receptor initiates a transition from basal to high expression levels. In a fashion somewhat analogous to QS, PVD acts as an autoinducer and perhaps independently achieves the primary benefits QS has to offer. PVD signaling differs from QS in that it serves both as the signal and as the public good, and that it is more costly to produce than an AHL signal, which is used solely for the purpose of signaling. The specificity in PVD reception is exploited in a way not possible with most other public goods and directly conveys information about the utility of PVD production, namely the ability to chelate and deliver iron, as it is the Fe-bound form of PVD that is sensed (38). Therefore, further integration of PVD into a QS circuit seems redundant, although no studies have pursued this question from a social evolution perspective. Although we have made an attempt here to rationalize QS-dependent versus QS-independent production of a public good in an individual species, we note that specific public goods are not controlled identically in different species. Clearly, prevailing environmental conditions have a large role in the evolution of regulatory networks. Unfortunately, these conditions remain largely unknown, particularly for opportunistic pathogens with primarily nonparasitic life histories. QUORUM SENSING AS AN ANTIVIRULENCE DRUG TARGET: SOCIAL INTERACTIONS AND RESISTANCE The Potential of Antivirulence Drugs Antimicrobial agents, first discovered a century ago, have significantly eased the burden of infectious disease, but this achievement has been endangered by the emergence of antibiotic resistance. www.annualreviews.org • Acyl-Homoserine Lactone Quorum Sensing 53 MI67CH03-Greenberg ARI 4 May 2013 QSI: quorum sensing inhibitor 14:58 A promising new strategy is to target virulence (5, 11, 12, 86). Whereas conventional antibiotics target in vitro viability, antivirulence drugs target functions required for infection, thereby essentially disarming the bacteria. It is thought that this tips the balance in favor of the host, allowing the immune system to clear the infection. This approach potentially has several advantages, including exerting less selective pressure toward resistance, preserving the endogenous microflora, and of course expanding the repertoire of bacterial targets. In addition, antivirulence drugs could be administered in combination with conventional antibiotics to enhance their efficacy. QS-Inhibiting Compounds The regulatory mechanisms that govern virulence gene expression are thought to be an attractive target for antivirulence drugs, in particular small-molecule-mediated cell-cell communication. In principle, one could interfere with QS by inhibiting signal production, accelerating signal degradation, or inhibiting signal reception (Figure 4a). Most of the work to date has focused on inhibiting signal binding by QS receptors. A number of structural AHL analogs and other small molecules have been shown to inhibit the expression of QS-controlled genes and biofilm formation in P. aeruginosa (35, 78, 103). The halogenated furanones have been investigated in greatest detail (6, 46) (Figure 4b). Administration of halogenated furanones promotes clearance of P. aeruginosa from the lungs of infected mice (48, 123) and increases the survival time of mice in a lethal lung infection model (123). The initial halogenated furanone compound was isolated from the seaweed Delisea pulchra (37), although derivatives with more potent anti-QS activity have been synthesized (72). Work with V. fischeri LuxR protein suggests that halogenated furanones exert their inhibitory effect by accelerating receptor protein turnover (72). Analysis of LuxR mutants with substitutions at the AHL binding pocket indicates that halogenated furanones, in contrast to some signal analogs, inhibit in a nonagonist fashion (58). In P. aeruginosa, halogenated furanones inhibit production of numerous virulence factors and increase the susceptibility of biofilms to antibiotic treatment (47, 48). Microarray analysis showed that they inhibit 85% of all QS-induced genes (48). Despite initial promise, halogenated furanones are not optimally suited for therapeutic use because of their high reactivity. Other potentially more promising compounds have recently been identified (Figure 4b). One example is a structurally unrelated triphenyl mimic of P. aeruginosa 3OC12-HSL that is a potent, specific LasR agonist (77) and serves as a scaffold for the synthesis of more stable and less toxic QS inhibitors (QSIs). One antagonist that effectively inhibits P. aeruginosa AHL-QS, termed TP-5, has been derived from this compound (77). Another example is a compound with a phenyl group and a 12-carbon alkyl tail that broadly inhibits LasR-dependent gene expression (78). Neither TP-5 nor the phenyl compound has been tested in animal infection models. How Likely Is the Evolution of Resistance? Widespread bacterial resistance to virtually every clinically significant conventional antibiotic has evolved rapidly (12). The question is whether such rapid resistance to antivirulence drugs, specifically QSIs, might also evolve (19). In general, there are two prerequisites for the evolution of resistance to occur, namely mutability and selective pressure. Mutability is essentially already met by the natural mutation rate, permitting genetic change. In the case of QS, this is further augmented by considerable variation in the QS regulatory circuitry among different strains of the same species. This includes the presence of QS-deficient isolates in natural P. aeruginosa populations (10, 16, 32, 49, 51, 102, 107). QSI resistance can also easily be obtained through genetic engineering: A point mutation in the LuxR signal binding site, L42A, renders the receptor insensitive to 54 Schuster et al. MI67CH03-Greenberg ARI 4 May 2013 14:58 Enzymes Antibodies a Cl b Br O O O LuxI LuxR O Cl C-30 TP-5 Small-molecule inhibitors H N V-06-018 QSI targets cooperative behavior N H Br AHL c NH O O QSI targets noncooperative behavior QS-controlled enzyme Nutrient QSI-resistant cell QSI-sensitive cell Figure 4 QS as an antivirulence drug target. (a) Potential targets of QSI strategies within the AHL signaling circuitry. Small molecules may interact with receptor or synthase to inhibit signal binding or generation, respectively. Extracellular AHL may also be enzymatically degraded or be sequestered by antibodies. (b) Selected smallmolecule QSIs. (c) Social interactions and resistance evolution. Outcomes of two scenarios, QS inhibition of cooperative and noncooperative behaviors, are shown. The cooperative behavior is extracellular degradation of a complex nutrient (e.g., casein) by a secreted enzyme. The noncooperative behavior is intracellular degradation of a nutrient (e.g., adenosine) by a cell-associated enzyme. For clarity, details on nutrient utilization depicted in the top panels are omitted in the bottom images. Abbreviations: AHL, acyl-homoserine lactone; QS, quorum sensing; QSI, QS inhibitor. synthetic antagonist N-(propylsulfanylacetyl)-L-homoserine lactone while only modestly reducing sensitivity to activation by the natural signal, 3-oxo-C8-homoserine lactone (58). In addition, overexpression of the LuxR homolog TraR in A. tumefaciens overcomes inhibition by synthetic AHL analogs (128). Understanding the selective forces at work is a more complicated matter. Because QS disruption does not affect bacterial growth in standard laboratory media, it has generally been assumed that there is no selective pressure for the evolution of resistance. However, the situation is significantly different in vivo. Numerous animal infection studies have shown that P. aeruginosa QS is important for infection (67, 83, 91, 122). Reduced virulence is probably due to the decreased ability of QS mutants to colonize and disseminate in a given host, and to the increased clearance of QS mutants by the host immune system. It is also possible that the AHL signals themselves act as www.annualreviews.org • Acyl-Homoserine Lactone Quorum Sensing 55 MI67CH03-Greenberg ARI 4 May 2013 14:58 immunomodulators (90). In either case, our considerations thus far suggest that a strain resistant to QS inhibition would have a selective advantage over a sensitive strain during QSI treatment of an infection. As with opportunistic pathogens such as P. aeruginosa, the selective forces outside the host are less clear, and there is mounting evidence that virulence factors are maintained, at least in part, because of advantages in nonparasitic contexts (8). Bacterial social interactions add another layer of complexity. Theoretical work suggests that social conflict may prevent or at least slow the evolution of QSI resistance (1). Conceptually, a single cell or a small subpopulation of cells harboring QSI resistance will initially exist within a larger population of cells sensitive to the QSI. Treatment with a QSI will lead to a tragedy of the commons: The QSI-resistant cells will behave as cooperators capable of producing QS-controlled public goods. The QSI-sensitive majority, unable to produce these goods themselves, will benefit from this expenditure and effectively behave as cheats (Figure 4c). Given the growth advantage that cheats generally enjoy over cooperators, QSI resistance should not evolve. This prediction was experimentally tested in a lab microcosm with P. aeruginosa QSI-sensitive and QSI-resistant mimics, represented by signal receptor (lasR rhlR) mutant and wild-type strains, respectively (74). Two separate synthetic growth media were designed with either casein or adenosine as the sole carbon source to create environments where either QS-controlled public-goods production or QS-controlled private goods production was favored. Corroborating the theoretical work, QSI resistant mimics do not have a growth advantage when public-goods cooperation is favored. They do have a growth advantage when private goods production is favored because they do not share the good nor the benefit derived from it (Figure 4c). Of course, the use of mimics has its limitations, as QSI resistance may also occur via QSI degradation, limited uptake, or increased efflux, in addition to target modification. These in vitro studies also neglect several other factors pertinent to an infection, such as spatial structuring and selective pressures imposed by the host immune system. Nevertheless, results from experimental infection of mice with P. aeruginosa support the outcomes obtained from modeling QS-controlled public-goods cooperation. A mixed infection with wild-type and lasR mutant strains results in reduced virulence, compared with a wild-type-only infection (89). The two strains again act as a cooperator and cheat pair that can be considered QSI-resistant and QSI-sensitive mimics, respectively. Intriguingly, given their potential to attenuate infection, cheat strains themselves have also been proposed as antivirulence therapeutics (9). Although the evidence cited thus far suggests that QS-dependent cooperative behaviors represent a viable antivirulence drug target, one study cautions that this approach may also bear certain epidemiological risks. QSI treatment of a fully susceptible, QS-proficient P. aeruginosa population disfavors invasion by true QS-deficient cheats, thereby increasing the prevalence of the QS-proficient, virulent strain (60). As mentioned above, QSI resistance is expected to evolve when QS controls a noncooperative behavior, such as growth on adenosine as the sole carbon source. Wood and colleagues (70) provided further evidence for this with an in vitro evolution experiment in which P. aeruginosa was cultured in adenosine medium containing a halogenated furanone as a QSI. They isolated partially QSI-resistant mutants that exhibited increased efflux of the furanone compound, imparted by a loss-of-function mutation in a repressor of the MexAB-OprM multidrug resistance efflux pump. The ecological context of bacterial adenosine utilization is not entirely clear (49), although adenosine, in response to injury and inflammation, can reach high levels in certain host tissues (82). Nevertheless, bacterial consumption of this or other private nutrients in the natural environment is predicted to accelerate the evolution of QSI resistance. Although the aforementioned studies have identified social conflict as a major constraint to the emergence of QSI resistance, in vitro evolution experiments have also shown that this 56 Schuster et al. MI67CH03-Greenberg ARI 4 May 2013 14:58 constraint can be overcome under certain conditions. When P. aeruginosa lasR deletion mutants are starvation-selected in growth medium that requires las-dependent proteolysis, second-site mutants emerge that regain the ability to produce certain QS-controlled factors including exoproteases (112). These mutants appear to be resistant to exploitation by cheats, similar to the “Phoenix” variant of the fruiting bacterium Myxococcus xanthus (29), but it is not known whether they are also fully virulent. If they were fully virulent because of compensation by the rhl system, then a potent QSI that targets both las and rhl QS would be needed clinically to avoid the rapid development of resistance through this mechanism. It seems obvious that more fundamental knowledge about genetic regulatory circuits is needed if we hope to develop QSI therapeutics for P. aeruginosa. QSI Resistance and the Quorum If QSI resistance evolves from a single clone or at least from a small subpopulation, what about the quorum? Would QS-controlled traits in the presence of QSI be expressed at all? This complex question likely depends on a multitude of factors and relates to the fundamental issue of the infective dose. The dynamics of colonization and killing, and the role of QS in active growth versus preventing clearance by the immune system, is not well understood. If QS was strictly required for growth in vivo, it is unlikely that a single or a few QSI-resistant bacteria would constitute a quorum to express QS-controlled factors. However, if there was some growth in vivo in the presence of QSI, then a small cluster of QSI-resistant bacteria could possibly cross the quorum threshold and produce QS products to acquire nutrients or fight the immune system, which in turn would enhance their fitness. An increase in the colonization ability of QS-proficient strains, compared with deficient strains, is already seen for fairly small inocula (for example, 1,000 bacteria in an acute pneumonia mouse model) (2, 104). This finding suggests that a quorum can be achieved with a fairly small number of bacteria, presumably modulated by population structuring (limited diffusion) in the respective colonization site and by bacterial starvation, which can significantly lower the quorum threshold (111). CONCLUSIONS The past three decades have provided remarkable insight into the mechanisms of bacterial communication and cooperation, but the evolutionary and ecological assumptions about these behaviors have been empirically tested only in recent years. Here emphasis has shifted from merely confirming general evolutionary theory with microbes to actually understanding the evolution of microbial sociality in its own right. Various novel -omics tools in microbial ecology will further accelerate discovery. Research thus far strongly supports the notion that QS represents a social behavior and that it can offer density-dependent fitness advantages. QS-controlled cooperation is favored through kin selection and specific mechanisms that help constrain cheating, including pleiotropy and metabolic prudence. More specifically, QS signaling optimizes other, more costly cooperative behaviors and thereby helps stabilize these behaviors. As QS circuits often control virulence factors, there is high interest in interfering with QS. Preliminary evidence suggests that social interactions in bacterial populations can slow the evolution of resistance to QSIs. SUMMARY POINTS 1. Microbial social interactions are now known to be both common and important. www.annualreviews.org • Acyl-Homoserine Lactone Quorum Sensing 57 MI67CH03-Greenberg ARI 4 May 2013 14:58 2. A few key model systems in the Proteobacteria have been particularly useful in understanding the mechanisms and, more recently, the evolution of QS. 3. Recent empirical work supports the traditional assumptions of QS, namely that QS is a social behavior and that QS provides a cell-density-dependent benefit. 4. The assumption that QS is a social behavior is supported by the demonstration of social cheating in test tubes, biofilms, and infections and is consistent with the presence of QS-negative strains in natural populations. 5. QS-controlled public-goods cooperation is stabilized by several forces and mechanisms, including kin selection, pleiotropy (metabolic constraint), and metabolic prudence. 6. QS optimizes more costly cooperative behaviors by restricting their production to when they are beneficial. 7. QSIs are appealing alternatives to traditional antibiotics. Theory and proof-of-concept data from a lab microcosm and an infection model suggest that social conflict reduces the potential for QSI resistance to evolve. FUTURE ISSUES 1. An important task for the future will be to carry research from the laboratory to the natural environment. What are the roles, costs, and benefits of QS in these environments, and what is the spatiotemporal structure of natural QS populations? Are the selective forces that shape social behaviors identical to those in lab microcosms? 2. Additional questions concern the nature and stability of the various social behaviors in bacteria. Which behaviors are social and why? Why are some behaviors controlled by QS, whereas others are not? What mechanisms help stabilize these behaviors, and specifically, what is the role of accessory mechanisms that coregulate QS and QS-controlled behaviors? 3. Preliminary findings on the contribution of bacterial social interactions to the evolution of resistance to QSIs and to other antivirulence drugs require further testing in structured communities such as biofilms and in animal infection models. DISCLOSURE STATEMENT The authors are not aware of any affiliations, memberships, funding, or financial holdings that might be perceived as affecting the objectivity of this review. ACKNOWLEDGMENTS Work on this review was supported by the National Science Foundation (grant 1158553 to M.S.), the Royal Society (to S.D.), and the National Institutes of Health (grants GM-59026 and P30 DK 89507 to E.P.G.). LITERATURE CITED 1. André J-B, Godelle B. 2005. Multicellular organization in bacteria as a target for drug therapy. Ecol. 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