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ROLE OF SURFACE MOLECULES IN Campylobacter jejuni COLONIZATION AND VIRULENCE IN CHICKENS By Lisbeth E. Echevarría-Núñez _____________________________ Copyright © Lisbeth E. Echevarría-Núñez 2012 A Dissertation Submitted to the Faculty of the DEPARTMENT OF VETERINARY SCIENCE AND MICROBIOLOGY In Partial Fulfillment of the Requirements For the Degree of DOCTOR OF PHILOSOPHY WITH A MAJOR IN MICROBIOLOGY In the Graduate College THE UNIVERSITY OF ARIZONA 2012 THE UNIVERSITY OF ARIZONA GRADUATE COLLEGE As members of the Dissertation Committee, we certify that we have read the dissertation prepared by Lisbeth E. Echevarría-Núñez entitled: Role of surface molecules in Campylobacter jejuni colonization and virulence in chickens and recommend that it be accepted as fulfilling the dissertation requirement for the Degree of Doctor of Philosophy _________________________________________________________Date: 4/27/2012 Lynn A. Joens, Ph.D. _________________________________________________________Date: 4/27/2012 V. K. Viswanathan, Ph.D. _________________________________________________________Date: 4/27/2012 Carlos Reggiardo, Ph.D. _________________________________________________________Date: 4/27/2012 Sadhana Ravishankar, Ph.D. Final approval and acceptance of this dissertation is contingent upon the candidate’s submission of the final copies of the dissertation to the Graduate College. I hereby certify that I have read this dissertation prepared under my direction and recommend that it be accepted as fulfilling the dissertation requirement. _________________________________________________________Date: 4/27/2012 Dissertation Director: Lynn A. Joens STATEMENT BY THE AUTHOR This dissertation has been submitted in partial fulfillment of requirements for an advanced degree at the University of Arizona and is deposited in the University Library to be made available to borrowers under rules of the Library. Brief quotations from this dissertation are allowable without special permission, provided that accurate acknowledgment of source is made. Requests for permission for extended quotation from or reproduction of this manuscript in whole or in part may be granted by the head of the major department or the Dean of the Graduate College when in his or her judgment the proposed use of the material is in the interests of scholarship. In all other instances, however, permission must be obtained from the copyright holder. SIGNED: Lisbeth E. Echevarría-Núñez ACKNOWLEDGEMENTS I would like to acknowledge my mentor Dr. Joens for given me the opportunity to become a member of his laboratory and his unconditional advice. Special thanks to my committee members: Dr. Gerba, Dr. Reggiardo, Dr. Ravishankar, and Dr. Viswanathan from whom I have received great and unconditional advice. Also I would like to acknowledge the person who believed in me and gave me a hand when I most needed it. Dr. María Teresa Velez, you have dedicated years of hard work and passion for education to this institution like no one else has, THANKS. Thanks to all current and past members of Joens Lab that in one way or another were involved during this process. Especially Dr. Kerry Cooper for all those months of molecular training, which have not been in vain, THANKS. Finally, I cannot thank enough my family and friends, especially Mom and Dad, for all the support you guys have given me during all these years I have been away from home, LOVE YOU both. Thanks to my grandparents for your unconditional love and support. To Lynette and family thanks for all these years of your unconditional support. To Yesi’s family (Angel, Derik and Lala) who joined me on this journey later on, but have been the greatest support here, your presence here has been a blessing. 5 DEDICATION To my role model, my Mom (Dr. Sonia E. Núñez), who has dedicated her life to educate others and does it with passion and love. You have shown me the importance of a good education. I know you had to make a stop in your life when you where in graduate school, but this year we both have finished one of our greatest accomplishments in life and this one I dedicate to you. 6 TABLE OF CONTENTS LIST OF TABLES……………………………………………………………………...11 LIST OF FIGURES…………………………………………………………………….12 DISSERTATION FORMAT…………………………………………………………...15 CHAPTER I: LITERATURE REVIEW……………………………………………...16 I. Introduction……………………………………………………………………..…16 II. Epidemiology of Campylobacter infections……………………..………...……. 17 III. Campylobacter spp. in the Poultry System…………………………..………....18 IV. Animal model……………………………………………………………………20 V. Pathogenesis of Campylobacter infections……………………………………...21 VI. Campylobacter Virulence factors………………………………….……………24 A. Cytolethal distending toxin (CDT)…………………………………………...24 B. Flagella and Motility………………………………………………………….25 C. Adhesion and Invasion………………………………………………………..26 VII. Pili in bacteria………………………………………………………………….28 CHAPTER II: MUTAGENESIS OF PUTATIVE pilA GENE IN C. JEJUNI (Cj1343c) AND ITS ROLE IN POULTRY COLONIZATION………………..……31 I. Abstract…………………………………………………………………………...31 II. Materials and Methods………………………………………………………….32 A. Culture of Bacterial Strains…………………………………………………...32 B. Biofilm formation……………………………………………………………..33 C. Scanning Electron Micrograph………………………………………..............33 7 TABLE OF CONTENTS – Continued D. Generation of C. jejuni Cj1343c suicide vector…………..…………………..34 E. Generation of C. jejuni Cj1343c mutant………………….…………………...35 F. Poultry colonization assays………….…………………….…………………..35 III. Results…………………………………………………………………………..36 A. Detection of pilus-like appendages via scanning electron microscopy………36 B. Cj1343c is not involved in production of pilus-like appendages in C. jejuni……………………………………………………………………………..36 C. Cj1343c is not required for poultry colonization…………………………….37 IV. Discussion………………………………………………………………………37 V. Chapter II Tables and Figures......................………………………………….41 CHAPTER III: CHAPTER III: PURIFICATION OF SURFACE-ASSOCIATED STRUCTURES FROM C. JEJUNI……………………………………………..….….45 I. Abstract………………………………………………………...............................45 II. Materials and Methods…………………………………………........................46 A. Culture of Bacterial Strains……………………..............................................46 B. Purification of fibers reminiscent of pili……………………………………...46 C. Transmission Electron Micrograph (TEM)…………….……………………..47 D. French pressure cell disruption……………………………………………….47 E. Tricine-SDS-PAGE…………………………………………………………...48 F. Trypsin Digestion……………………………………………………………..48 8 TABLE OF CONTENTS – Continued G. Mass spectrometry……………………………………………………………49 III. Results…………………………………………………………………………..49 A. TEM analysis of C. jejuni cells……………………………………………….49 B. SDS-PAGE of isolated pilus-like appendages in C. jejuni...............................49 C. Mass spectrometry analysis…………………………………………………...50 IV. Discussion……………………………………………………………………….50 V. Chapter III Tables and Figures......………………………………………..…..53 CHAPTER IV: MUTAGENESIS OF PUTATIVE GENES EXPRESSING SURFACE-ASSOCIATED STRUCTURES ISOLATED FROM C. JEJUNI AND THEIR ROLE IN C. JEJUNI PATHOGENESIS…………………………………….57 I. Abstract………………………………………………………...............................57 II. Materials and Methods………………………………………….........................58 A. Culture of Bacterial Strains……………………...............................................58 B. Generation of isogenic mutants……………….………………………………59 C. SEM of biofilms………………………………………………………………60 D. Poultry colonization assays…………………………………………………...61 E. Biofilm assay………………………………………………………………….62 F. Agglutination assays……………………………………………………….….62 G. Adhesion and invasion assays…………………………………………….…..63 H. Macrophage survival assays…………………………………………….…….64 9 TABLE OF CONTENTS – Continued III. Results…………………………………………………………………………..65 A. Mutation strategy……………………………………………………………..65 B. Scanning electron micrograph of C. jejuni ΔCj0248 and Cj1475c C. jejuni......................................................................................................................65 C. ΔCj0248 and ΔCj1475c mutants show reduced poultry colonization………………………………………………………………………65 D. Reduced biofilm formation was observed for ΔCj0248 but not for ΔCj1475c. Increased biofilm formation was observed for ΔCj1343c………...……………..66 E. ΔCj0248, ΔCj1475c and ΔCj1343c have no adverse effects in autoagglutination assays…………………………………………………………67 F. ΔCj0248 adheres better but invades less efficiently than wild type strain ΔCj1475c and ΔCj1343c have no adverse effects in adhesion and invasion assays…………………………………………………………………………….67 G ΔCj0248, ΔCj1475c and ΔCj1343c have no adverse effects in their ability to survive intracellularly within macrophages.……………………..........................67 IV. Discussion……………………………………………………………………….68 V. Chapter IV Tables and Figures.……………………….……………...………..76 CHAPTER V: ATTENUATED SALMONELLA AS VECTOR TO DELIVER VACCINE (Se:0248) AGAINST C. JEJUNI INFECTION……………………….....86 I. Abstract…………………………………………………………………………...86 10 TABLE OF CONTENTS – Continued II. Material and Methods..........................................................................................88 A. Culture of Bacterial Strains…………………………………………………..88 B. Construction of an S. enterica vaccine strain………………………………....88 C. Expression of Cj0248…………...…………………………………………….89 D. Challenge of Birds………...………...………………………………………..89 E. Vaccination using Salmonella enterica……………………………………….89 III. Results..................................................................................................................90 A. Construction of an S. enterica vaccine strain…………………………………90 B. Expression of C. jejuni 0248 gene in the Salmonella vaccine strain………....90 C. Oral Vaccination with Salmonella……………………………………………91 IV. Discussion………………………………………………….……………………92 V. Chapter V Tables and Figures..…………………..………...………………….94 REFERENCES…………………………………………………………………………99 11 LIST OF TABLES Table 1A. Cj1373c nucleotide sequence similarity to the pilT gene present in several bacterial genomes………………………………………………………………………...41 Table 2A. Strains and plasmids used in this study……………………………………….41 Table 3A. Oligonucleotides used in this study…………………………………………..41 Table 4B. Strains and plasmids used in this study………………………………………53 Table 5B. Identification of proteins involved in the production of surface-associated molecules identified by MS……………………………………………………………...53 Table 6C. Strains and plasmids used in this study……………………………………….76 Table 7C. Oligonucleotides used in this study…………………………………………...76 Table 8D. Strains and plasmids used in this study……………………………………….94 Table 9D. Oligonucleotides used in this study…………………………………………..94 Table 10D. First Oral Vaccination with Se:0248………………………………………..94 Table 11D. Second Oral Vaccination with Se:0248…………………………………….95 Table 12D. Third Oral Vaccination with Se:0248………………………………………95 12 LIST OF FIGURES Figure 1A. Sequence alingment of the conserved, highly hydrophobic amino-terminal domain consensus sequence commonly found in PilA proteins against Cj1343c signal peptide sequence…………………………………………………………………………42 Figure 2A. Scanning electron micrograph of putative pili disseminating from the cell of the C. jejuni strain NCTC 11168 flaAB mutant in different growth conditions. A.) Biofilm 24-hour. B.) Broth culture 24-hour. Arrows indicates putative pili……………………...43 Figure 3A. Scanning electron micrograph of Cj1343c. A.) Biofilms of C. jejuni ΔCj1343c. B). Biofilms of C. jejuniΔFlaAB……………………………………………43 Figure 4A. Effects of ΔCj1343c mutation on in vivo poultry colonization. Error bar indicates standard deviation……………………………………………………………...44 Figure 5B. Transmission electron micrograph of purified molecules from C. jejuni, A.) TEM showing long filamentous appendages extracted from C. jejuni FlaAB mutants. B.) TEM showing fragmented appendages extracted from C. jejuni FlaAB mutants. C.) TEM showing fragmented appendages extracted from C. jejuni FlaAB mutants and their sizes. D.) TEM showing extracted C. jejuni NCTC flagella and their sizes…………………...53 Figure 6B. Coomassie-stained SDS-PAGE gel containing pellet and supernatant of isolated pilus-like appendages isolated form C. jejuni FlaAB mutant. Arrows indicate bands that were excised for MS analysis………………………………………………...56 Figure. 7C. Analysis of the location of gene Cj1475c in the NCTC 11168 genome…….77 Figure 8C. Scanning electron micrograph of Cj2048 and Cj1475c mutants. A.) Biofilms of C. jejuni ΔCj0248. B). Biofilms of C. jejuni ΔCj1475c……………………………...78 Figure 9C. Effects of ΔCj0248 mutation on in vivo poultry colonization, first trial. Error bar indicates standard deviation………………………………………………………….78 Figure 10C. Effects of ΔCj0248 mutation on in vivo poultry colonization, second trial. Error bar indicates standard deviation…………………………………………………...79 Figure 11C. Effects of ΔCj0248 mutation on in vivo poultry colonization, third trial. Error bar indicates standard deviation…………………………………………………...79 Figure 12C. Effects of ΔCj1475c mutation on in vivo poultry colonization, first trial. Error bar indicates standard deviation…………………………………………………...80 13 Figure 13C. Effects of ΔCj1475c mutation on in vivo poultry colonization, second trial. Error bar indicates standard deviation…………………………………………………...80 Figure 14C. Effects of ΔCj1475c mutation on in vivo poultry colonization. Error bar indicates standard deviation, third trial…………………………………………………..81 Figure 15C. Effects of Cj0248, Cj1475c and Cj1343c mutation in biofilm formation, at 24 h. Error bar indicates standard deviation……………………………………………..81 Figure 16C. Effects of Cj0248, Cj1475c and Cj1343c mutation in biofilm formation, at 48 h. Error bar indicates standard deviation……………………………………………..82 Figure 17C. Effects of Cj0248, Cj1475c and Cj1343c mutation in biofilm formation, at 72 h. Error bar indicates standard deviation……………………………………………..82 Figure 18C. Effects of Cj0248, Cj1475c and Cj1343c mutation in agglutination assays. Error bar indicates standard deviation…………………………………………………...83 Figure 19C. Adherence assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in the ability to adhere to INT 407 cells………………………………………………………..83 Figure 20C. Invasion assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in the ability to invade to INT 407 cells………………………………………………………..84 Figure 21C. Macrophage survival assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in their ability to survive intracellularly within macrophages (24 h)…………84 Figure 22C. Macrophage survival assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in their ability to survive intracellularly within macrophages (48 h)…………85 Figure 23C. Macrophage survival assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in their ability to survive intracellularly within macrophages (72 h)…………85 Figure 24D. SDS-PAGE. 1.) Attenuated Salmonella without insert. 2.) Attenuated Salmonella vector expressing C. jejuni 0248 gene. 3.) Molecular weight. Arrow indicates band of appropriate molecular weight that might correspond to C. jejuni hypothetical protein encoded by Cj0248………………………………………………………………96 Figure 25D. First oral vaccination with S. enterica (pYA3494) expressing Cj0248 (Se:0248). Error bar indicates standard deviation, p > 0.05……………………………..97 Figure 26D. Second oral vaccination with S. enterica (pYA3494) expressing Cj0248 (Se:0248). Error bar indicates standard deviation. Error bar indicates standard deviation, p > 0.05…………………………………………………………………………………..97 14 Figure 27D. Third oral vaccination with S. enterica (pYA3494) expressing Cj0248 (Se:0248). Error bar indicates standard deviation, p > 0.05……………………………..98 Figure 28D. Plasmid map of cloning vector used in this study………………………….98 15 DISSERTATION FORMAT This dissertation contains five chapters: Chapter I contains a comprehensive literature review, Chapters II through V contains an abstract in which the project and research objectives are defined, description of material and methods, results and discussion. Each chapter contains an Appendix in which tables and figures referred in each chapter are included. The dissertation was written and prepared by the degree candidate, Lisbeth E. Echevarría-Núñez. 16 CHAPTER I: LITERATURE REVIEW I. Introduction Campylobacter spp. belongs to the epsilon class of proteobacteria, in the order Campylobacteriales; this order includes two other genera, Helicobacter and Wolinella. The genus Campylobacter includes 17 species, of which C. jejuni and C. coli are the most important human pathogens (Allos B. M., et al., 2001); however, most human illness is caused by one species C. jejuni. C. jejuni and C. coli have a genome of approximately 1.6-1.9 megabases (Mb), which is small compared to Escherichia coli, which have a genome of approximately 4.5 Mb (Chang N. and Taylor D. E., 1990., Nuijten, P. J. M., et al., 1990). Campylobacter spp. are small, curved to spiral, microaerophilic, Gramnegative rods with a polar flagellum at one or both ends of the cell. The cells are highly motile, with a characteristic corkscrew kind of movement. The range for growth of the thermophilic Campylobacter spp. is 34 ± 44°C, with an optimal temperature of 42ºC. Campylobacter spp., normally spiral-shaped, have been reported to change into coccoid forms on exposure to atmospheric oxygen levels or other stresses. These coccoid forms have been coined viable but non-culturable (VBNC), and this form has been suggested to be a dormant state required for survival under conditions not supporting growth of the bacteria, e.g. during transmission, transport or storage (Rollins D. M., and Colwell R. R., 1986). C. jejuni and related species are important human pathogens, causing acute human enterocolitis, and they are the most common cause of foodborne diarrhea in many industrialized countries. In industrialized countries the infection is often seasonal, more often during summer and winter times, and usually targets young adults and young 17 children. Despite all efforts and recognition of its importance as a human pathogen, relatively little is understood the mechanisms of C. jejuni-associated disease. II. Epidemiology of Campylobacter infections In the U. S. Campylobacter infections became reportable illnesses in many states in the early 1980s, when appropriate culture techniques for the isolation of Campylobacter spp. were developed. Today Campylobacter infections are recognized as one of the leading bacterial causes of gastroenteritis in humans. The greatest risk factor to the consumer is improper food-handling, which contributes to 40-60% of cases of foodborne illness (de Jong AE., et al, 2008). The Center for Disease Control and Prevention (CDC) estimates that approximately 124 persons with Campylobacter infections die each year. The FoodNet estimates 13 cases are diagnosed each year for each 100,000 persons in the population. However, many more cases are undiagnosed or unreported. It is estimated that Campylobacter diarrheal illness affects about 2.4 million persons every year with an estimated cost of treatment and loss of productivity exceeding $1 billion annually ( Tauxe R. V., 1992.). An estimated one case of Guillain-Barré syndrome (GBS) occurs for every 1,000 cases of campylobacteriosis. During 2007, the Foodborne Diseases Active Surveillance Network (FoodNet) of CDC's Emerging Infections Program conducts population-based surveillance in ten U.S. states for all laboratory-confirmed infections with select enteric pathogens transmitted commonly through food; among those are Campylobacter species. In 2007 the FoodNet surveillance program included 45.9 million persons, or 15.2% of the U.S. population. FoodNet sites identified 18,039 laboratoryconfirmed infections caused by the pathogens under surveillance. Of 16,801 bacterial 18 foodborne infections, most were caused by Salmonella (41%), followed by Campylobacter (35%). The number of infections reported varied by pathogen and month; 44% of Campylobacter infections occurred from June through August. The hospitalization status was determined for 95% of FoodNet cases. The percentage of persons hospitalized for Campylobacter was 14. Sixty-four persons with laboratoryconfirmed foodborne infections were reported to have died. Of those, 7 were infected with Campylobacter (FoodNet 2007). These numbers did not change significantly during surveillance in years 2008 and 2009 (FoodNet 2008 and 2009). III. Campylobacter spp. in the Poultry System Campylobacter spp. colonize the intestinal mucosa of most warm-blooded hosts, including all food-producing animals and humans. C. jejuni is found commonly in cattle, sheep, pigs, poultry, wild birds, rabbits, other wild mammals, household pets, and in natural water sources. C. jejuni establishes persistent, benign infections in chickens, but causes significant inflammation and enteritis in humans. In chickens, C. jejuni colonizes the mucus overlying the epithelial cells primarily in the ceca and the small intestine but may also be recovered from elsewhere in the gut and from the spleen and liver. Colonized chickens usually show no observable clinical symptoms of infection even when young chicks are exposed to high doses under experimental conditions. Poultry meat is considered to be an important source of infection (Friedman C.R., 2000). Factors surrounding commercial poultry production and infection with Campylobacter spp. are very diverse and poultry houses differ in the number of birds present as well as the overall design of the house and biosecurity measures. In addition, 19 different breeds of chickens have vastly different growth rates, immunological traits and genetics, further complicating research. Broiler houses remain uninfected for short periods of time, however, birds can become colonized sporadically and serve as a source of infection, resulting in rapid colonization of all birds in the house. Broiler chickens are often intestinal carriers of C. jejuni, as chickens are coprophagic, fecal shedding is an important factor in the dissemination of organisms around large broiler flocks once the first bird becomes colonized (Evans S., and A. R. Sayers. 2000). Once infected, birds can continue to shed the organism for over 42 weeks, well past the harvest age of 6-7 weeks for broilers and well into the productive life for layers (Lindblom et al., 1986). A chicken colonized with C. jejuni usually excretes large amounts of bacteria up to 108 CFU’s, leading to contamination of broiler carcasses during slaughter and processing (Ono K. and Yamamoto K., 1999., Shreeve, J. E., 2002, Uyttendaele M.R., 1999). It is estimated that up to 70% of Campylobacter infections are due to the compsumption of contaminated poultry meat (Harris NV, et al 1986, Adak G. K, et al 1995, Harris NV, et al., 1986). The duration of colonization and shedding in poultry has not been fully determined, however is generally accepted that colonization in chickens persists at least for the life span of a broiler; 47 days. A recently published study demonstrated that in a commercial poultry facility of 20,000 birds, 95% of the flock was colonized within four to seven days once a single bird on the farm became infected (van Gerwe et al., 2009). The major sources of contamination during the farm and at processing facilities are: broiler house cleansing and disinfection (Pattison, M. 2001), 20 particularly because litter is routinely left in the houses between crops. Carry of C. jejuni into the houses from the external environment via boots, external clothes, and equipment can occur. As well as from wild and domestic animals and insects particularly because studies have indicated the presence of C. jejuni isolated from the feces (Fernie, D., 1977, Pearson, A. D., 1996). One of many approaches to reduce Campylobacter infections in humans is to prevent C. jejuni colonization of broiler chickens. Despite all efforts to reduce the levels of bacteria during the farm and processing activities, the prevalence of C. jejuni on raw chicken in retail markets is still as high as 90 to 100% (Ruiz-Palacios et al 1983, Scherer K., et al., 2006, Stern, N. J., 2001). IV. Animal model Since poultry is considered the main source of campylobacteriosis in humans, researchers have worked to eliminate Campylobacter in the poultry system. Thus, many models of C. jejuni colonization of the chick intestinal tract have been described. These models significantly differ in the route of infection, age of the bird at the time of infection, and the breed of chicken used in the study. Generally, there are two routes of infections, by oral gavage, and infection via introduction of a carrier bird (Nachamkin and Blaser, 2000). Each model represents different aspects of the typical flock colonization and thus has roles in characterizing the disease. The oral gavage method mimics the fecal oral transmission of the organism as it establishes within a flock. Generally, birds 1 to 14 days of age are inoculated with a defined amount of Campylobacter, and then given several days to several weeks for the bacteria to establish colonization (Biswas et al., 2007; Nachamkin and Blaser, 2000). The age of the birds 21 when the bacteria is administered will affect the minimum infectious dose required, with 1-2 day old birds requiring about one log less viable Campylobacter than birds 14 days of age (Ringoir et al., 2007). However, the age of the bird at the time of infection does not affect the total bacterial load in the ceca, or the level of shedding of Campylobacter. This model provides a great tool for identifying factors involved in initial poultry colonization. The horizontal transmission model represents the passage from bird to bird within the flock. In this model, a small percentage of the total birds in a trial group (generally less than 20%) are infected with C. jejuni, and housed with the remaining uninfected birds (Biswas et al., 2006; Nachamkin and Blaser, 2000). This style of infection has the distinct advantage of identifying factors involved in the bird-to-bird transmission of C. jejuni in poultry houses. For both models outlined above, many other factors will affect the infection models. The type of diet can affect the load of Campylobacter in the ceca. Previous studies have shown that an all-plant diet can significantly reduce the bacterial load of C. jejuni in the ceca of the chicken, as compared to birds receiving an animalbased diet (Udayamputhoor et al., 2003). V. Pathogenesis of Campylobacter infections Infections with Campylobacter spp. lead to enteritis, an acute diarrheal disease, with clinical manifestations similar to those of other bacteria that infect the gastrointestinal tract, such as Salmonella spp. and Shigella spp. Therefore it is difficult to distinguish between Campylobacter infections from these caused by other enteric bacteria. In terms of diagnosis, Campylobacter infections can present a wide range of symptoms from general malaise, diarrhea, often accompanied by fever and severe 22 abdominal cramps; however, some individuals may present fever and abdominal pain without diarrhea. In most patients, the diarrhea is either loose and watery or grossly bloody with 8–10 bowel movements occurring per day at the peak of illness (Blaser M. J., et al., 1983). After ingestion of contaminated food with Campylobacter spp. in order for the infection to be established, Campylobacter spp. must survive the acidic environment in the stomach, and then colonize the jejunum and the ileum. The ability of the bacteria to colonize also relies on the rapid motility that Campylobacter spp. presents thus facilitating the migration and attachment to the mucosal surfaces. The infective dose of Campylobacter spp., is relatively low, doses as low as 500 microorganisms have been reported to establish an infection. However, infective doses ranges from 500 to 106 organisms (Black M. J., et al 1992, Black, R. E., et al., 1988). Variation in infectious dose is thought to be due to either individual susceptibility or to the relative virulence of the organism. The incubation period ranges from eight to eighteen days. However the disease is usually self-limiting, lasting from two to seven days, which may account for the high numbers of cases that are undiagnosed or unreported. However, it occasionally is fatal in infants and young adults (Skirrow, M., et al 1992, Allos B. M., 2001). There are at least three mechanisms by which Campylobacter may induce illness: intestinal adherence and production of toxins, bacterial invasion and proliferation within the intestinal mucosa, inducing cell damage and inflammatory responses, and extraintestinal translocation in which organisms can cross the intestinal mucosa and migrate via the lymphatic system to various 23 extraintestinal sites causing meningitis, cholecystitis, urinary tract infections (RuizPalacios, 1993). Upon infection, C. jejuni crosses the mucus layer covering the epithelial cells and adheres to these cells, and a subpopulation subsequently invades the epithelial cells. The invasion of epithelial cells can lead to the mucosal damage and inflammation. Electron and light microscopy studies have demonstrated the organism within epithelial cells lining the gut lumen as well as in granulocytes, parenchyma cells, and mononuclear cells located within the lamina propria. This intracellular existence provides this fastidious, slow-growing organism an unoccupied niche where microbial competition is reduced or non-existent. Additionally, the intracellular niche is thought to shelter organisms from immune surveillance. Gross lesions may include hemorrhage, edema, and catarrhal inflammation and are found in the colon and small intestine. Microscopically, lesions consist of villous erosion due to necrosis, and epithelial cell sloughing, with exudates containing inflammatory cells and fibrin (Wassenaar, T. M., 1999). Campylobacteriosis can cause life-threatening bloodstream infections in persons with compromised immune systems. Also, campylobacteriosis has been associated with a chronic sequela, Guillain-Barré Syndrome (GBS). GBS, is a demyelinating disorder resulting in acute neuromuscular paralysis. Up to 40% of patients with the syndrome have evidence of a recent Campylobacter infection. Approximately 20% of patients with GBS are left with some disability, and approximately 5% die despite advances in respiratory care. Campylobacteriosis is also associated with Reiter syndrome, a reactive arthropathy. In approximately 1% of patients with campylobacteriosis, the sterile postinfection 24 process occurs 7 to 10 days after onset of diarrhea. Multiple joints can be affected, particularly the knee joint. Pain and incapacitation can last for months or become chronic. Both GBS and Reiter syndrome are thought to be autoimmune responses stimulated by recurrent infections. However, the pathogenesis of GBS and Reiter syndrome is not completely understood. VI. Campylobacter Virulence factors Since the completion of the genome sequence of C. jejuni, many studies suggest that Campylobacter possess a substantial number of virulence factors. These genes have been shown to be associated with C. jejuni adherence (CadF, JlpA, LOS, MOMP, PEB1), invasion (CiaB), motility (flagella) (Wassenaar, T. M., et al., 1993), toxin production, extracellular matrix binding, internalization into enterocytes, and a Type IV secretion system. (Parkhill J, et al., 2000). A. Cytolethal distending toxin (CDT) CDT production has been described in several Gram-negative bacteria, including Escherichia coli (Pickett, C. L., 1994, Scott, D. A., et al 1994, Slutsker LA, et al, 1997), Haemophilus ducreyi (Cope, L. D., et al, 1997), Shigella dysenteriae (Okuda, J., et al 1995, Okuda, J., et al, 1997), and Helicobacter spp. (Young, V. et al, 2000). CDT production by Campylobacter was first discovered in 1988. The role of CDT in human campylobacteriosis is not well understood. Although, all C. jejuni strains tested to date appear to possess the CDT genes (Eyigor A., et al, 1999, Pickett, C. L., et al, 2002, Zeytin. 1996), the levels of toxin activity expressed are strain dependent. The C. jejuni CDT is encoded by a three-gene operon (cdtABC), and isogenic C. jejuni cdt mutants 25 lose all CDT activity (Purdy, D., et al 2000, Whitehouse, C.A., et al, 1998). Cytolethal distending toxin activity causes certain cell types (such as HeLa cells and Caco-2 cells) to become slowly distended, which progresses into cell death. CDT involvement in diarrhea is believed to be caused by distortion of crypt cells into functional villus epithelial cells, which causes a temporary erosion of the villus and a subsequent loss of absorptive functions (Whitehouse, C.A., et al, 1998). B. Flagella and Motility Several studies have indicated that intact flagella are an important colonization factor of C. jejuni (Nachmkin I., et al, 1993). C. jejuni contains polar flagella at one or both ends of the cell. The flagellar filament consists of multimers of the protein flagellin and is attached by the hook protein to a basal structure, embedded in the cell membrane, which serves as a motor for rotation. The flagellin locus contains two adjacent genes, flaA, encoding the major flagellin and flaB, encoding a minor flagellin. Both genes are independently transcribed, with the flaA gene regulated by a fliA gene (encoding sigma28) and the flaB gene regulated by an rpoN gene (encoding sigma-54) (Hendrixson DR., et al 2004, Nuijten PJ., et al, 1990). There are numerous conditions that affect flaA and flaB promoter activity, including temperature, pH, osmolality, and inorganic nutrients. Studies have shown that lower pH, bovine bile, deoxycholate, fructose, high osmolarity and chemotactic effectors such as aspartate, glutamate, citrate, fumarate, ketoglutarate and succinate all upregulate the flaA promoter (Alm RA, et al, 1993). The flaA gene seems to be highly conserved among Campylobacter isolates and transcription is usually higher in this gene than that of the flaB gene (Guerry P., et al, 1900). Transcription of 26 sigma-54 dependent genes, necessary for assembly of the hook-basal body filament structure, is regulated by a two-component system composed of the sensor kinase FlgS and the response regulator FlgR (Wosten MM., et al, 2004). Experiments with mutants have shown that flaA, but not flaB is essential for colonization of chickens, although probably both are needed for full motility. Other studies have shown differential expression patterns of flagella genes between strains of C. jejuni that colonized chickens. Flagella genes that were differentially expressed contained a modification in the hypervariable region of the C. jejuni genome (Hiett K.L., 2008). These findings further support the fact that flagella are an important colonization factor for C. jejuni. The flagellar apparatus also functions as a type III secretion apparatus for the Campylobacter invasion antigens (Cia proteins) (Konkel M., et al, 2004). These proteins are important for in vitro cell invasion and chick colonization, and their secretion is enhanced upon exposure to chicken mucus. Despite numerous studies, the role of motility in the colonization GI tract by C. jejuni is not fully understood. More likely motility is needed for initial colonization of its ideal niche, the mucus, but it is not known if motility is important for the persistence of C. jejuni in the intestinal tract, leading to long-term colonization (Beery JT., et al 1988, Hartley-Tassell LE., et al, 2010). Therefore, C. jejuni flagellum serves multiple functions in the adaptation of C. jejuni to the chicken GI tract. C. Adhesion and Invasion Successful establishment of infection by bacterial pathogens requires adhesion to host cells, colonization of tissues, and in certain cases, cellular invasion followed by intracellular multiplication, dissemination to other tissues, or persistence (Pizarro-Cerda 27 J., et al, 2006). The ability of C. jejuni to enter, invade and survive within mammalian cells has been studied extensively; however, it appears to be strain dependent. Other adhesion factors beside flagella may also play an important role in host colonization by C. jejuni. Despite the lack of identifiable adherence organelles such as pili, several proteins contribute to C. jejuni adherence to eukaryotic cells. The most studied adherence factors in C. jejuni are CadF and JlpA. CadF binding to fibronectin, which is localized basolaterally on epithelial cells, mediates adherence in C. jejuni, promotes bacteria–host cell interactions, and facilitates the colonization of chickens (Konkel ME., et al., 1997). Fibronectin is a 220 kDa glycoprotein that is present at regions of cell-to-cell contact in the gastrointestinal epithelium, thus providing a potential binding site for pathogens (Quaroni et al., 1978). The fibronectin-binding domain of CadF consists of amino acids 134–137 (FRLS), which represents a novel fibronectin-binding motif (Konkel, M. E., et al., 2005). CadF is required for maximal binding and invasion by C. jejuni in vitro, and cadF mutants are greatly reduced in chick colonization when compared to the wild type (Monteville, M. R., et al., 2003). CadF is similar to E. coli OmpA and forms membrane channels but its actual function have not been elucidated (Mamelli, L., et al., 2006). Another characterized adhesin, a surface lipoprotein, that has been shown to be essential in the binding to human epithelial cells, is JlpA. JlpA mediates adherence of the bacterium to epithelial cells by the interaction with heat shock protein 90∝ (Hsp90∝). Hsp are typically involved in signal transduction, cell cycle control and transcriptional regulation. Hsp90α interaction with JlpA initiates signaling pathways that lead to 28 activation of NF-κB and p38 MAP kinase, two central components in host proinflammatory responses. This indicates that some of the inflammation that is observed during C. jejuni pathogenesis might be related to JlpA-dependent adherence (Jin, S. et al 2001, Jin, S., et al., 2003). CapA, another lipoprotein, was implicated as a possible adhesin for C. jejuni. CapA is an autotransporter that is homologous to an autotransporter adhesin, and CapA-deficient mutants have decreased adherence to Caco‑2 cells and decreased colonization and persistence in the chick model (Ashgar, S. S. et al., 2007). Another putative adhesin is Peb1; which is located in the periplasm and shares homology to the periplasmic-binding proteins of amino acid ATP-binding cassette (ABC) transporters. Peb1 binds to both aspartate and glutamate with high affinity, and peb1deficient mutants cannot grow if these amino acids are the major carbon source (LeonKempis M., et al, 2006). Peb1 contains a predicted signal peptidase II recognition site, a common motif in surface-localized lipoproteins, and so there is a possibility that Peb1 is surface accessible. Mutants that lack peb1 colonize mice poorly, but this could be attributed to the loss of either the adhesion or the amino-acid-transport functions, or both (Pei, Z. et al., 1998). Another periplasmic protein, the glycoprotein Cj1496c, which has homology to a magnesium transporter, is also required for wild-type levels of adherence. The mechanism by which these periplasmic proteins contribute to host-cell adherence by C. jejuni is unclear (Kakuda, T. and DiRita 2006). VII. Pili in bacteria Many bacterial species possess long filamentous structures known as pili or fimbriae extending from their surfaces (Shreeve, J. E., et al, 2002). Pili are important 29 virulence factors for several diseases, in particular infections of the urinary, genital and gastrointestinal tract. Bacterial pili are defined as non-flagellar, proteinaceous, multisubunit surface appendages involved in adhesion to other bacteria, host cells or environmental surfaces (Fronzes, R., 2008, Ottow J. C., 1975). Pili have been implicated in crucial host–pathogen interactions such as colonization, biofilm formation, invasion and attachment, signaling events, phage transduction and DNA uptake. Pili in Gramnegative bacteria are typically formed by non-covalent homopolymerization of major pilus subunit proteins called pilins, which generates the pilus shaft. The pilus shaft is composed of several hundred (probably thousands) of small 15 – 25 kDa subunits or pilins. There are four distinct groups of pili in Gram-negative bacteria based on their assembly pathway: pili assembled by the chaperone-usher pathway, the Type IV pili, pili assembled by the extracellular nucleation/precipitation pathway (curli pili) and pili assembled by the alternative chaperone-usher pathway (CS1 pilus family). The most widespread class known in Gram-negative bacteria is the Type IV pili (Craig, L. and Li, J. 2008, Craig, L., et al., 2004). Type IV pili are present in a variety of pathogens such as E. coli, Salmonella enterica, Pseudomonas aeruginosa, Legionella pneumophila, Neisseria gonorrhoeae, and Vibrio cholerae. Type IV pili are thin usually 6-8 nm wide, flexible, several micrometers long, and aggregates the forming of bundles. The biogenesis of Type IV pili requires specific proteins, including: the major pilin subunit (PilA); a specific inner-membrane prepilin peptidase that cleavages the signal peptide (PilD); an ATPase that powers the assembly of the pilus (PilB); an inner-membrane 30 protein that recruits the ATPase from the cytoplasm (PilC); and an outer-membrane secretin that is needed for the pili to emerge on the surface of the bacterium (PilQ) (Mattick J. S., 2002., Proft T., et al., 2009, Strom, M. S. and Lory, S., 1993., Wolfgang, M., et al., 2000). Since it is commonly found on pathogenic bacteria, pili are important targets for vaccine development. Many pili vaccines have been developed and tested against various Gram-negative microorganisms and have been shown to be highly effective in reducing infection and disease ( Ellemant C. & Stewartd J. 1988). 31 CHAPTER II: MUTAGENESIS OF C. JEJUNI 1343C GENE AND ITS ROLE IN POULTRY COLONIZATION I. Abstract Campylobacter spp. is one of the two major causes of foodborne illness throughout the world. Campylobacter accounts for the most common causes of diarrheal illness caused by bacterial pathogens worldwide and in the United States. The FoodNet indicates that approximately 13 cases are diagnosed each year for each 100,000 persons in the population. However, many more cases are undiagnosed or unreported. It is estimated that Campylobacter diarrheal illness affects about 2.4 million persons every year with an estimated cost of treatment and loss of productivity exceeding $1 billion annually. Previous work in our laboratory on biofilms has demonstrated the presence of fibers (pili) disseminating from the cell wall of C. jejuni isolates not expressing flagella (flaAB mutants). To further investigate this finding, annotation analysis of C. jejuni strain was initiated and a gene (Cj1473c) with nucleotide sequence homology to the pilT gene present in several bacterial genomes was identified (Table 1A). In the structure of a type IV pilus, PilT is the retraction ATPase that aids removal of pilin subunits from the base and with the pilin subunits being transferred to the inner membrane. In addition another gene (Cj1343c) was identified having sequence homology to pilA gene in several bacterial genomes. These searches revealed that putative periplasmic protein encoded by the Cj1343c gene is homologous to several proteins involved in type II secretion systems, biogenesis of type IV pili, and competence for natural transformation in Gram-positive and Gram-negative species. Moreover Cj1343c contains homology to a conserved 32 consensus sequence found in PilA proteins, which forms the core of the pilus fiber in bacteria. Based on these findings we hypothesized that C. jejuni produces pili and that Cj1343c is involved in the production of pilus-like appendages of pili in C. jejuni. This chapter will cover the following aims: 1. Further analyze the production of pilus-like appendages in C. jejuni in various culture conditions (broth, and biofilms) through scanning electron microscopy (SEM) 2. Determine the role of Cj1343c gene in expression of pilus fibers 3. Characterize the role of Cj1343c in poultry colonization Results indicated that C. jejuni pilus-like appendages disseminating from the cell wall of the bacterium in various culture conditions. Upon mutation of Cj1343c, biofilms were analyzed through SEM, micrographs revealed the presence of pilus-like appendages disseminating from the cell wall of the mutant strain. Lastly, our results indicated that Cj1343c is not involved in poultry colonization. Further analysis needs to be performed in order to purified and identified putative genes involved in the production of the surface-associated structures seen in C. jejuni. II. Materials and Methods A. Culture of Bacterial Strains All C. jejuni strains used in this study were routinely grown on Mueller Hilton agar (Becton, Dickinson and Company, Franklin Lakes, NJ, USA). Plates were supplemented with 5% citrated bovine blood (MHB; Quad Five, Ryegate, MT, USA) at 37°C in an environment supplemented with 10% CO2. When needed media was 33 supplemented with antibiotics at the following concentrations: chloramphenicol 15 μg/ml, and kanamycin 50 μg/ml. All E. coli strains used in this study were grown on Luria-Bertani (LB) agar (BD, Sparks, MD) at 37°C; when needed, media was supplemented with antibiotics at the following concentrations: chloramphenicol 15 μg/ml, kanamycin 50μg/ml and ampicillin 100 μg/ml. All strains and plasmids as well as primers used in this study are listed in Table 2A and Table 3A respectively. B. Biofilm formation The flaAB mutant was grown overnight in Mueller-Hinton broth (MHB) with shaking at 37oC with 5% CO2 to an OD600 of 0.8-1.0. Sterile glass cover slips were mounted in a 12-well polystyrene plate in which each well contained 1 ml sterile MHB, which was inoculated with the overnight flaAB mutant culture with a starting OD600 of 0.05. The plate was incubated at 37oC with 10% CO2 for 24 hours. Cover slips coated with biofilm were removed and prepared for SEM by rinsing with water, fixing in phosphate buffered 2.5% glutaraldehyde for 3 hours and finally rinsing with phosphate buffer. The cover slips were reacted to an ethanol series followed by hexamethyldisilazane in order to dehydrate the sample. Then, the biofilms were coated with chromium, and observed using an Ultra-High Resolution Field Emission-SEM S4800 (University Spectroscopy and Imaging Facilities, University of Arizona). C. Scanning Electron Micrograph Cover slips coated with biofilm were removed and prepared for SEM by rinsing with water, fixing in phosphate buffered 2.5% glutaraldehyde for 3 hours and finally rinsing with phosphate buffer. The cover slips were reacted to an ethanol series followed 34 by hexamethyldisilazane in order to dehydrate the sample. Then, the biofilms were coated with chromium, and observed using an Ultra-High Resolution Field Emission-SEM S4800 (University Spectroscopy and Imaging Facilities, University of Arizona). D. Generation of C. jejuni Cj1343c suicide vector C. jejuni total DNA was extracted using the DNeasy Blood and Tissue (Qiagen, Valencia, CA). For the inactivation of the Cj1343c gene primers were designed to amplify approximately 1000-bp upstream and downstream regions of the target gene, such that the whole open reading frame was omitted. The target DNA was amplified via PCR, and the products were visualized by agarose gel electrophoresis. Bands of the correct size were excised from the gel and purified using a gel extraction kit (Qiagen, Valencia, CA) and confirmed by sequence analysis (University of Arizona Genetics Core). The PCR products were inserted separately into a pCR2.1-TOPO vector following the manufacturer’s instructions (Invitrogen, Carlsbad, CA). Thereafter, one fragment was cloned into the pCR2.1 vector harboring the other fragment, and a chloramphenicol resistance cassette was inserted between the two flanking regions at the primer built NheI site. The resulting plasmid contained upstream and downstream flanking regions of target gene. The presence and correct orientation of the inserts were confirmed by submitting the plasmid for sequencing analysis (University of Arizona Genetics Core). The chloramphenicol acetyltransferase gene (cat; chloramphenicol resistance, CmR) was amplified by PCR from the plasmid pUOA23 yielding a fragment of approximately 800bp. To confirm that the chloramphenicol cassette was inserted between the upstream and downstream regions of the target gene, a PCR assay was performed on the 35 chloramphenicol-resistant colonies. The insertion of the cat gene yielded a fragment that was 800-bp larger than that of the plasmid containing both upstream and downstream regions of the target gene alone. Primers used in this study are listed in Table 4. E. Generation of C. jejuni Cj1343c mutant Plasmid DNA containing flanking DNA and cat resistance cassette was electroporated into C. jejuni NCTC 11168. Electrocompetent cells and electroporation of C. jejuni NCTC 11168 were made as previously described (DiRita et al., 2008). F. Poultry colonization assays Chicken studies were performed in accordance with the Institutional Animal Care and Use Committee of the University of Arizona (IACUC). One-day old chicks were obtained from a commercial hatchery (Murray McMurray, Webster City, Iowa). To determine if the birds were free of C. jejuni, at arrival the chicks were swabbed and direct plated onto a MHB plates. The birds were housed in individual round ½” pegboard brooders; each brooder with enough space to provide ~1 ft2 per bird. Birds were housed on fine wood shaving litter, which were changed on a weekly basis or more frequently, if required. The studies were performed under controlled temperatures. All chickens were fed a commercial chick starter mash for the entire study; feed and water were placed in large automatic feeders allowing birds from each group to feed and drink ad libitum. Birds had the automatic feeders filled or topped off on a daily basis, and waterers were cleaned and filled on a daily basis. On the day of challenge, eight hours prior to challenging the chickens, feed was removed, and the feed was returned to the birds one hour after challenge. Chickens were orally challenged with C. jejuni mutant or NCTC 36 11168 wild-type strain (positive control) at 14 days of age; birds were challenged by gavage with 1 ml of a C. jejuni suspension (105 cfu/ml) in phosphate buffered saline (PBS). A negative control group was challenged with PBS only. Chickens were euthanized by carbon dioxide asphyxiation and necropsied at 25 days of age. Each cecum were collected, processed, the feces serially diluted, and direct plated to quantify the presence of C. jejuni in each bird. There were 15 chickens per group (n=10) and experiments were performed in triplicate to confirm the statistical significance of each designed study. III. Results: A. Detection of pilus-like appendages via scanning electron microscopy (SEM). The production of pilus-like appendages in C. jejuni in various culture conditions (broth, and biofilms) was investigated using scanning electron microscopy (SEM). By culturing C. jejuni on glass coverslips contained within a 24-well tissue culture plate it was possible to recover the biofilm growth for high-resolution SEM analysis. Using SEM it was found that the bacteria within the static culture (Figure 2A) produced numerous pilus-like appendages. To determine that the fibers disseminating from the cell wall of C. jejuni were not flagella, scanning electron microscopy studies were performed on biofilms and broth cultures from C. jejuni NCTC 11168 flaAB mutants. B. Cj1343c is not involved in production pilus-like of appendages in C. jejuni. Based on bioinformatics analysis we hypothesized that gene Cj1343c was involved in the production of the pilus-like appendages previously described. However, after generating a Cj1343c isogenic mutant, scanning electron microscopy still showed the 37 presence of pilus-like appendages disseminating from the cell wall of the mutant Figure 3A. C. Cj1343c is not required for poultry colonization. In this study we evaluated the role of Cj1343c gene in C. jejuni poultry colonization and found that the deletion of Cj1343c had no negative effect on the ability of C. jejuni to colonize poultry. Birds were divided in to groups of 10. At day 14 the birds were orally inoculated with C. jejuni NCTC 11168 and C. jejuni ΔCj1343c. The ability of both strains to colonize the chicks was assessed by enumeration of bacteria in the ceca 10 days post-inoculation. The NCTC 11168 parent strain used in our study was able to colonize chicks at a level of 1 x 108 CFU per g of cecal content with an inoculum of 105 CFU. The C. jejuni Cj1343c mutant exhibited no significant difference in colonization numbers when compared to the wild-type strain Figure 4A (p > 0.05). IV. Discussion Adhesion by bacterial pathogens is often mediated by fimbrial or pili structures. In this study we have found that C. jejuni flagella deficient strains express pilus-like appendages when grown in different culture conditions. C. jejuni was long thought to not produce fimbriae or pili, but one unconfirmed report described the production of fimbrial-like appendages by C. jejuni and C. coli when the bacteria were grown in the presence of bile salts (Doig, P., 1996). However, five years later it was reported that those appendages were not pili, but instead were a bacteria-independent morphological artifact of the growth medium (Gaynor E. C., 2001). As of today no data exists to support that C. 38 jejuni produces pili; here we provided evidence that C. jejuni produces pilus-like appendages disseminating from the cell wall of C. jejuni in various culture conditions. Subsequent BLAST searches found that a putative periplasmic protein encoded by the Cj1343c gene was homologous to several proteins involved in type II secretion systems, biogenesis of type IV pili, and competence for natural transformation in Grampositive and Gram-negative species. C. jejuni 1343c gene (Cj1343c) encodes a protein that is 171 amino acids in length; with a its predicted size of 18-kDa. BLAST searches indicate that Cj1343c appears to be conserved among different C. jejuni strains, including a C. jejuni RM1221 poultry isolate, a C. jejuni NCTC 11168 human isolate, and a C. jejuni S3 poultry isolate. Analysis of the location of this gene in the Campylobacter genome using the NCBI genome sequence tool revealed that Cj1343c is in a putative operon Cj1340c-Cj1347c. All of these genes are located in the negative strand. There is a 9bp gap between Cj1347c and Cj1348c. The SignalP online tool was used to predict the presence and location of putative signal peptide cleavage sites. A signal peptide was found by the Cj1343c sequence with a signal peptide cleavage site predicted to be located between amino acid positions 21-25 (LAAIAL). Based on this finding this particular gene was predicted to encode a putative periplasmic protein and was known to have some similarity to the N-terminus of secretion proteins, such as the E. coli putative general secretion pathway proteins. The Conserved Domain Database (CDD) was used to search for conserved domains within the putative periplasmic protein encoded by the Cj1343c gene; however, no conserved domains were found. 39 Further analysis of the Cj1343c signal peptide sequence revealed that it was homologous to signal peptides found in the PilA protein of various bacteria. These signal peptides are primarily composed of a single small protein subunit, usually termed PilA or pilin, which are arranged in a helical conformation with 5 subunits per turn and which may be glycosylated, and/or phosphorylated in different species. Pilins from different species are usually 145-160 amino acids in length and have a short positively charged leader sequence, and a conserved and hydrophobic amino-terminal domain with a consensus sequence (FTLIELMIVVAIIGILAAIALPAYQDYTARSQ), which forms the core of the pilus fiber (Mattick J. S., 2002). Sequence alignment revealed that Cj1343c signal peptide sequence has a 68% identity to the consensus sequence found in pilA. A diagram of the sequence alignment can be found in Figure 1A. Pili have been implicated in crucial host–pathogen interactions such as colonization, biofilm formation, invasion and attachment, signaling events, phage transduction and DNA uptake. These finding were very exciting because in a previous study, transposon-generated mutants were analyzed for identification of genes involved in natural transformation in C. jejuni (Wiesner R. S., et al., 2003). Briefly, a solo transposon mutant library of C. jejuni 81-176 was created. Eleven mutants were identified as having a reduction in the ability of C. jejuni to be transformed by 1,000-fold. Among those genes were Cj1343c and Cj1475c, including those in the putative operon (Cj1470c, Cj1471c, Cj1472c, Cj1473c, and Cj1474c) in which Cj1475 is located. Based on these findings, we hypothesized that Cj1343c was involved in the production of piluslike appendages seen in C. jejuni. 40 Despite the involvement in transformation, Cj1343c having homology to the pilA consensus sequence commonly found in bacteria that produces pili and been identified from purified fibers been produced by C. jejuni, Cj1343c is not involved in the production of those appendages observed previously as demonstrated by the presence of pilus-like appendages in the mutant strain. Many Gram-negative organisms have an absolute requirement for type IV pili and the type II secretion system, the fact that no type II secretion system have been describe in C. jejuni could explain the lack of a type IV pilus in the bacterium. In addition, we investigated whether the mutation of Cj1343c had a role in commensal colonization of broiler chickens. Cj1343c was found not to be involved in commensal chicken colonization, as demonstrated by the ability of the mutant strain to colonize broilers chickens to that of wild type levels. Further analysis of this mutant needs to be performed in order to determine what role it might have in other virulence assays such as biofilm, agglutination, attachment and invasion. To further investigate and identify which elements are involved in the production of pilus-like appendages in C. jejuni, we continued studies in order to find alternated approaches that will facilitate the purification of these appendages. These are described in the next chapter. 41 V. Chapter II Tables and Figures Table 1A. Cj1373c nucleotide sequence similarity to the pilT gene present in several bacterial genomes Bacterium Pseudomonas fluorescens Protein encoded by homologous gene Pilin biogenesis protein PilT Methylococcus capsulatus strain Bath Twitching motility protein PilT Synechoccus sp. RCC307 Type IV pili assembly protein, pilus retraction ATPase PilT Rubrobacter xylanophilus DSM 9941 Pilus retraction ATPase PilT Desulfovibrio vulgaris strain ‘Miyazaki F’ Twitching motility protein Table 2A. Strains and plasmids used in this study Strain or plasmid Bacteria C. jejuni NCTC 11168 TOP10 Plasmids pCR2.1-TOPO pCR1343c pUOA23 Characteristic Source Clinical isolate F- mcrA Δ(mrr-hsdRMSmcrBC) Φ80lacZΔM15 ΔlacΧ74 recA1 araD139 Δ(araleu) 7697 galU galK rpsL (StrR) endA1 nupG This study Invitrogen Cloning vector Contains both flanking regions and CmR marker Contains C. coli plasmid C-589 chloramphenicol acetyltransferase (cat) gene Invitrogen This study Dr. Van der Walls Table 3A. Oligonucleotides used in this study Primer Sequence Sequence (5’ > 3’) Restriction site Cj1343c-F1 Cj1343c-R1 Cj1343c-F2 Cj1343c-R2 Cat-F1 Cat-R acactgGAGCTCataaaaaaatttcccaagaa aaggatatagatgaaaaaagGCTAGCgaagga gttgtgGCTAGCggaatgtaatgatagtgagt cttgagaaacttggttttgaGTCGACattcct atGCTAGCtaacccattgctcggcggtgttcctttcca tcgcactgataaaaaccctttaggaaGCTAGCaa SacI NheI NheI SalI NheI NheI 42 Figure 1A. Sequence alingment of the conserved, highly hydrophobic amino-terminal domain consensus sequence commonly found in PilA proteins against Cj1343c signal peptide sequence. The asterisks represents the exact match between two amino acids (the identity). 43 Figure 2A. Scanning electron micrograph of putative pili disseminating from the cell of the C. jejuni strain NCTC 11168 flaAB mutant in different growth conditions. A.) Biofilm 24-hour. B.) Broth culture 24-hour. Arrows indicates putative pili. Figure 3A. Scanning electron micrograph of Cj1343c mutant. A.) Biofilms of C. jejuni ΔCj1343c. B). Biofilms of C. jejuniΔflaAB. 44 2.56E+09 1.71E+08 Log 10 CFU/g 1.14E+07 7.59E+05 5.06E+04 3.38E+03 2.25E+02 1.50E+01 1.00E+00 NCTC WT NCTC::Cj1343c Figure 4A. Effects of ΔCj1343c mutation on in vivo poultry colonization. Error bar indicates standard deviation, p > 0.05, n = 10 chickens per strain. 45 CHAPTER III: PURIFICATION OF SURFACE-ASSOCIATED MOLECULES FROM C. JEJUNI I. Abstract It is well known that bacteria first need to attach and later be internalized in order to establish an infection. C. jejuni’s ability to attach, and survive intracellularly has been studied. Campylobacter possess several virulence factors; however, only a few genes have been associated with C. jejuni virulence, such as those involved in adherence, invasion, and motility. We have previously shown pilus-like appendages disseminating from the cell wall of C. jejuni. Based on those results we initiated a bioinformatics analysis of the Campylobacter genome. We identified a gene, Cj1343c, with homology to pilA genes from several bacterial genomes. Upon mutation of the Cj1343c gene, we determined that it was not involved in the production of a pilus-like appendage previously shown by scanning electron micrograph of flagella deficient strains of C. jejuni growing on biofilms. This study was initiated in order to find alternate approaches that will allow us to purify and identified proteins involved in the production of surfaceassociated structures. We used transmission electron microscopy to examine the fine structure of purified cells grown in biofilms. Since pili range in diameter from 2-10 nm, transmission electron microscopy is the best approach to directly view theses structures. Negative staining and TEM is widely used to identify surface structures on bacterial cells, and allows physical characteristics such as size, and shape to be determined. This chapter will address the following aims: 1. Purification of fibers reminiscent of pili 46 2. Identify genes involved in the expression fibers reminiscent of pili We were able to isolate C. jejuni surface-associated structures from C. jejuni by using mechanical shearing and differential centrifugation and we were able to visualize them through TEM. Mass spectrometry assays resulted in the identification of two genes involved in the expression of surface-associated structures genes in C. jejuni. Here we provide data that supports the idea that C. jejuni produces pili, and this might have a significant role in understanding the pathogenesis of C. jejuni. Moreover, it will provide a new target for potential vaccine development against C. jejuni infection in poultry production system. Thus reduction of C. jejuni in chickens will directly impact the number of C. jejuni infection in humans. II. Materials and Methods: A. Culture of Bacterial Strains All C. jejuni strains used in this study were routinely grown on Mueller Hilton agar (Becton, Dickinson and Company, Franklin Lakes, NJ, USA). Plates were supplemented with 5% citrated bovine blood (MHB; Quad Five, Ryegate, MT, USA) at 37°C in an environment supplemented with 10% CO2. Selective media was supplemented with antibiotics at the following concentrations: kanamycin 50 μg/ml. All strains and plasmids used in this study are listed in Table. 4B. B. Purification of fibers reminiscent of pili Surface-associated molecules were purified as follows: in brief, C. jejuni strain NCTC 11168 flaAB mutant was grown overnight in one liter of Mueller-Hinton broth (MHB) with shaking at 42oC with 10% CO2. Surface structures were mechanically 47 sheared from the bacterial surface by vigorous vortexing for 5 min. After shearing, the bacterial suspensions were centrifuged at 10, 000 x g for 10 min, and both the supernatant and pellets were collected. Bacterial pellets were washed with 10ml of 10mM Hepes. Cells were lysed by French pressure cell disruption (as described below). Surface structures were collected by ultracentrifugation at 100, 000 x g for 1 h at 4°C (Beckman, SW40 rotor). The pellet and the supernatant were re-suspended in 2 ml of 10 mM HEPES, pH 7.4, using an 18- gauge needle. The pellet was washed in a total volume of 10 ml of 10 mM HEPES, pH 7.4, and spun again in the ultracentrifuge, using the conditions described above. The pellet and the supernatant were re-suspended in 5 ml 1 % (w/v) N- lauroylsarcosine (Sarkosyl) (Sigma) in 10 mM HEPES, pH 7.4, and incubated at 37°C for 30 min with shaking. The Sarkosyl-treated samples were spun at 100, 000 x g for 1 h at 4°C (Beckman, SW40 rotor) and the pellet washed with 10 ml of 10 mM HEPES, pH 7.4. Following the final ultracentrifugation, the pellet was resuspended in 500 μl 10 mM HEPES, pH 7.4. Samples were treated with a cocktail of proteases inhibitor to prevent protein degradation. C. Transmission Electron Micrograph (TEM) 10 μl of the resulting pellet containing isolated fibers reminiscent of pili were pippetted onto Formvar coated 200 mesh copper grids for 1 minute. The grids were then negatively stained using 1% phosphotungstic acid. Photographic images were made at various instrumental magnifications to resolve the details of filaments and relative diameter of fibers reminiscent of pili were measured for comparison. D. French pressure cell disruption 48 C. jejuni strain NCTC 11168 was lysed by passing the culture twice through a French press (Thermo Electron Corporation) at 1000 p.s.i. (6.9 MPa; 40K cell). The lysed cell preparation was centrifuged at 10, 000 x g for 10 min at 4°C to remove cell debris and unlysed cells (Hobb R. I. et al. 2009). E. Tricine-SDS-PAGE: Sample concentrations were adjusted so that a suitable amount of protein could be loaded onto the gel and meet the minimal staining concentration to view the proteins (Syrovy, L. and Hodny, Z., 1991). Pre-casted 10–20% resolving Tricine-SDS-PAGE gels were used for this analysis (Bio-Rad, Hercules, CA). Samples were mixed with sample buffer and boiled for 10 min. The gel was mounted in a vertical electrophoresis apparatus (Mini-Protean 3, Bio-Rad), and 1X running buffer was added. The running conditions were set as follows: initial voltage of 30V was used until the sample had completely entered into the stacking gel. Then the voltage was increased to 190V until the sample was at the end of the gel. The gel was then fixed for 15 minutes (50% Methyl Alcohol, 10% Acetic Acid, 100mM Ammonium acetate) and the proteins visualized by staining with Coomassie dye in 10% acetic acid for 30 minutes. The gel was then de-stained twice in 10% acetic acid for 1 hour. Finally, the gel was washed several times in D2H2O (Schagger H., 2006). F. Trypsin Digestion After washing the gel in double sterile water (dsH2O) for 15 minutes bands of interest were excised and placed in acetonitrile (ACN): dsH2O (50/50) for 15 minutes. After treatment with the ACN solution, 100mM of Ambic was added to the gel for 5 49 minutes, which was followed by a 1:1 solution of ACN for another 15 min. The solution was removed and samples were dried in a speed-vacuum for 15 min. Trypsin digestion was then initiated by adding trypsin (400 ng of trypsin per band) followed by an incubation step for 45 min on ice. The trypsin solution was removed and discarded and digestion buffer without trypsin was added to the samples and the band were added and incubated overnight. G. Mass spectrometry The mass spectrometry work was performed by the University of Arizona core facility (Arizona Proteomics Consortium, University of Arizona). III. Results A. TEM analysis of C. jejuni cells To ensure that structures observed through transmission electron microscopy were not flagella, the C. jejuni NCTC flaAB mutant was used for TEM analysis. First, flaAB mutants were grown in MH broth at 42°C with shaking for 24 h and subjected to mechanical shearing, pelled by centrifugation and later analyzed by TEM, Figure 5B. Experiments were repeated twice. B. SDS-PAGE of isolated surface molecules in C. jejuni In order to identify putative proteins that might be involved in the production of surface-associated molecules in C. jejuni, mechanically isolated fibers were separated by SDS-PAGE and stained. These experiments demonstrated the presence of proteins that ranged in size between 25-10 kDa in both the pellet and supernatant fractions, Figure 6B. The proteins of interest were excised from the gel and treated with a trypsin digest and 50 later analyzed using mass spectrometry. Experiments were repeated twice. C. Mass spectrometry analysis Bands of interest were excised from the gel and then trypsin digested for the generation of tryptic peptides. Samples were then analyzed by mass spectrometry. Generated peptides were analyzed by Scaffold 3 software, which identifies proteins by validating data from multiple search engines. Experiments were repeated twice. Proteins that were then identified through MS and their gene products, molecular weight, subcellular location, and predicted function summarized in Table 5B. IV. Discussion This study was initiated based on the previous findings in which C. jejuni flaAB mutants showed pilus-like surface-associated structures, when grown in both broth and biofilms. We decided to concentrate on methods that would allow us to purify and visualize pilus-like surface-associated structures observed in C. jejuni. Bacteria have to attach to specific host cells as a crucial step in establishing an infection. This process is necessary for colonization of host tissue and is mediated by surface-exposed adhesins. Basically bacteria face net repulsive forces during colonization caused by the negative charges of both the bacterium and the host cell. This can be overcome by a cell surface structures in which the adhesin is located at the tip of hair-like, peritrichous, nonflagellar, or filamentous surface appendages known as pili. Pili are important virulence factors for several diseases, in particular infections of the urinary, genital and gastrointestinal tracts (Proftac T. and Bakerb E., 2009). Pili are polymeric, hydrophobic, filamentous appendages, which extend several micrometers from the bacterial surface. 51 Pili are generally composed of a major repeating subunit called pilin and, in some cases, a minor tip-associated adhesin subunit. We isolated C. jejuni surface-associated structures by using mechanical shearing and differential centrifugation techniques commonly used to prepare pili from other microorganisms. Over the past five decades, several distinct pilus types have been identified, most of which were described and characterized in Gram-negative bacteria. The best characterized pilus structures include; type I pili (Olsen, A., 1989, Kikuchi, T., 2005) (expressed by enteropathogenic Escherichia coli), type IV pili (Hahn, E., et al., 2002, Craig, L., 2004) (expressed by E. coli, and Pseudomonas and Neisseria species) and curli pili (Craig, L., et al 2004, de Jong A. E., et al., 2008). Type I pili appear as peritrichous, rigid, rod-like structures of 1–2 μm in length, and they have a visible flexible tip that is known to be involved in bacterial interaction with receptors on the host-cell surface. Type IV pili are a similar length, but they appear to be more flexible and often form bundles at polar locations when compared to Type I pili. Curli pili are, as their name suggests, coiled structures. All three pilus types are formed through the noncovalent association of pilin subunits into regular, polymeric structures. The pilus-like surface-associated structures produced by C. jejuni range from 2-3 nm in diameter and appear to be flexible, long filaments that extend from the cell surface several micrometers. We included a C. jejuni strain expressing flagella and measurements revealed that flagella were about 10-12 nm wide, thus facilitating the identification of pilus-like surface-associated structures. Based on diameter, length, and morphology we hypothesized that indeed C. jejuni produces a type of pili. To further analyze these 52 structures, mechanically sheared fibers were subjected to SDS-PAGE analysis. Pili in Gram-negative bacteria are typically formed by non-covalent homopolymerization of major pilus subunit proteins called pilins, which generates the pilus shaft. The pilus shaft is composed of several hundred (probably thousands) of small 15 – 25 kDa subunits or pilins. After analysis by SDS-PAGE and Coomassie brilliant blue staining procedures, bands that were in the range typical for pilins, 10–25 kDa were observed. Bands were excised from the gel and analyzed by mass spectrometry. Four proteins were identified twice by MS analysis and are listed in Table 1. Bioinformatics analysis showed no sequence homology of proteins identified by MS to any known pili proteins. However, it is possible that C. jejuni produces a unique type of pili that have not have been previously described. Here we provide data that supports the idea that C. jejuni produces pili, and this might have a significant role in understanding the pathogenesis of C. jejuni. 53 V. Chapter III Tables and Figures Table 4B. Strains used in this study Strains Bacteria C. jejuni NCTC 11168 C. jejuni ΔflaAB Characteristic Source Clinical isolate C. jejuni strain not expressing genes flaA and flaB This study Joens Table 5B. Identification of proteins involved in the production of surface-associated molecules identified by MS Gene Cj0113 Predicted Function peptidoglycan associated lipoprotein (omp18) Cj0998c putative periplasmic protein Cj0091 putative lipoprotein Cj0248 hypothetical protein MW (kDa) 15 21 22 32 Signal Sequence Yes Lipoprotein signal peptide Yes Yes No Predicted cleavage site Predicted N-terminal sequence Fingerprint: Motif Helix Subcellular location MKKILFT SIAALAV VISGC NKVYFDFDK FNIRPDMQN VVST ADRIAVKSY GETNPVCTE KTKACD one transmembrane helix Outer Membrane LLA-SA MKKILVS VLSSCLL ASALS LASYLKGAK ATIKPSNAF MG ISAKITMDK KSTIVP one transmembrane helix Unknown AQT-AY MKKTKIL GTALIGA LLFSGC one transmembrane helix Unknown three transmembrane helices Unknown ALA-VV N/A MIGDMN ELLLKSV EVLPPLP N/A VSKLRKYVS EANSNIETM KVAEII LLGVGNIINI VMADSIRDN FKIDV A.) B). 54 55 C.) D.) Figure 5B. Transmission electron micrograph of purified surface molecules from C. 56 jejuni A.) TEM showing long filamentous appendages extracted from C. jejuni flaAB mutants. B.) TEM showing fragmented appendages extracted from C. jejuni flaAB mutants. C.) TEM showing fragmented appendages extracted from C. jejuni flaAB mutants and their sizes. D.) TEM showing extracted C. jejuni NCTC flagella and their sizes. Figure 6B. Coomassie-stained SDS-PAGE gel containing pellet and supernatant of isolated surface molecules isolated form C. jejuni flaAB mutant. Arrows indicate bands that were excised for MS analysis. 57 CHAPTER IV: MUTAGENESIS OF PUTATIVE GENES EXPRESSING SURFACE-ASSOCIATED STUCTURES ISOLATED FROM C. JEJUNI AND THEIR ROLE IN C. JEJUNI PATHOGENESIS I. Abstract Previously we have identified genes that might be involved in the production of pilus-like surface-associated structures previously shown in C. jejuni. TEM analysis revealed surface-associated structures appearing to be long and flexible filaments that extend from the cell surface forming a mesh-like structure. Fibers reminiscent of pili produced by C. jejuni range from 2-3 nm in diameter and several micrometers in length consistent with known pili that have previously described in the literature. Pili, as adhesive organelles, have been implicated in other functions, such as phage binding, DNA transfer, biofilm formation, cell aggregation, host cell invasion and twitching motility. This chapter addressed the following aims: 1. Determine the role of putative genes (Cj0248, Cj1475c and Cj0998c) in expression of fibers reminiscent of pili. Isogenic mutants were made and examined by scanning electron microscopy (SEM) to confirm the loss of pili. 2. Determine the role of isogenic mutants in the intestinal poultry colonization. 3. Determine the role of isogenic mutants in biofilm production, attachment and invasion assays, agglutination assays, and macrophage survival. Results indicated that genes Cj0248 and Cj1475c were not involved in the expression of surface-associated structures seen in C. jejuni. Poultry colonization studies revealed that Cj0248 and Cj1475c are important colonization factors of C. jejuni. Biofilms studies 58 revealed that Cj0248 is involved in initial biofilm formation; Cj1475c is not involved C. jejuni biofilm formation. Cj1343c showed an increased biofilm formation, thus Cj1343c either represent a global regulator of transcription of genes involved in biofilm formation or either represents the major constituent of the biofilm in C. jejuni. Attachment and invasion assays revealed that Cj0248 not require for attachment to INT407 cells but is require for internalization into cells. Here we have identified two genes required for cecal colonization, leading to commensalism in the chick gastrointestinal tract. Further analysis is needed in order to elucidate the exact role of Cj1343c in biofilm formation. These studies provide insight new colonization factors in pathogenesis of C. jejuni. Moreover, it provides new target for potential vaccine development against C. jejuni infection. Thus reduction of C. jejuni in chickens will directly impact the number of C. jejuni infection in humans. II. Materials and Methods A. Culture of Bacterial Strains All C. jejuni strains used in this study were routinely grown on Mueller Hilton agar (Becton, Dickinson and Company, Franklin Lakes, NJ, USA). Plates were supplemented with 5% citrated bovine blood (MHB; Quad Five, Ryegate, MT, USA) at 37°C in an environment supplemented with 10% CO2. Selective media was supplemented with antibiotics at the following concentrations: chloramphenicol 15 μg/ml, and kanamycin 50 μg/ml. All E. coli strains used in this study were grown on Luria-Bertani (LB) agar (BD, Sparks, MD) at 37°C; selective media was supplemented with antibiotics at the following concentrations: chloramphenicol 15 μg/ml, kanamycin 50 μg/ml and 59 ampicillin 100 μg/ml. All strain and plasmids used in this study are listed in Table 6C. Primers used in this study are listed in Table 7C. B. Generation of isogenic mutants C. jejuni total DNA was extracted using the DNeasy Blood and Tissue extraction kit (Qiagen, Valencia, CA). For the inactivation of the genes, primers were designed to amplify approximately 1000-bp upstream and downstream regions of the target gene, such that the whole open reading frame was omitted. The target DNA was amplified via PCR, and the products were visualized by agarose gel electrophoresis. Bands of the correct size were excised from the gel and purified using a gel extraction kit (Qiagen, Valencia, CA) and confirmed by sequence analysis (University of Arizona Genetics Core). The PCR products were inserted separately into pCR2.1-TOPO vector following the manufacturer’s instructions (Invitrogen, Carlsbad, CA). Cells were screened using pre-warmed selective ampicillin plates (50 μg/ml), supplemented with X-gal for blue/white screening. In order to build a pCR2.1 plasmid that contains both upstream and downstream sequences of the target gene we digested each plasmid separately. The pCR2.1 vector containing each separate gene fragment was digested with the same set of enzymes. Digests were separated by electrophoresis and the proper sized bands were excised from the gel and purified as previously describe. The DNA were then ligated and electroporated into E. coli DH5α (0.1-cm electroporation cuvette and pulsed 1. 8 kV, 50 μF, 200Ω) with a Gene Pulser (Bio-Rad). After recovery in 1mL of SOC media (1 h, 37°C, with shaking), the bacteria were harvested and plated onto pre-warmed selective LB agar plates containing ampicillin (50 μg/ml). The presence and correct orientation of 60 the gene inserts were confirmed by submitting the plasmid for sequencing analysis (University of Arizona Genetics Core). The chloramphenicol acetyltransferase gene (cat; chloramphenicol resistance, CmR) was amplified by PCR from the plasmid pUOA23 yielding a fragment of approximately 800-bp. For the inactivation of the target gene, the cat resistance cassette was cloned into the NheI restriction site of the plasmid containing the flanking regions of the target gene. After ligation, the plasmid was electroporated into electrocompetent E. coli INVαF’ as described above. Chloramphenicol-resistant colonies were screened on chloramphenicol LB agar plates (15 μg/ml). To confirm that the chloramphenicol cassette was inserted between the upstream and downstream regions of the target gene, a PCR assay was performed on the chloramphenicol-resistant colonies. The insertion of the cat gene yielded a fragment that was 800-bp larger than the plasmid containing both the upstream and downstream regions of the target gene alone. Plasmid DNA containing flanking DNA and cat resistance cassette was electroporated into C. jejuni NCTC 11168. Electrocompetent cells and electroporation of C. jejuni NCTC 11168 were made as previously described (DiRita et al., 2008). C. SEM of biofilms The Cj0248 and Cj1475c mutants were grown overnight in Mueller-Hinton broth (MHB) with shaking at 37oC with 5% CO2 to an OD600 of 0.8-1.0. Sterile glass cover slips were placed into a 12-well polystyrene plate in which each well-contained 1 ml sterile MHB, inoculated with an overnight C. jejuni flaAB mutant culture having an OD600 of 0.05. The plate was incubated at 37oC with 10% CO2 for 24 hours. Cover slips coated with biofilm were removed and prepared for SEM by rinsing with water, fixing in 61 phosphate buffered 2.5% glutaraldehyde for 3 hours and finally rinsing with phosphate buffer. The cover slips were reacted to an ethanol series followed by hexamethyldisilazane in order to dehydrate the sample. Then, the biofilms were coated with chromium, and observed using an Ultra-High Resolution Field Emission-SEM S4800 (University Spectroscopy and Imaging Facilities, University of Arizona). D. Poultry colonization assays Chicken studies were performed in accordance with the Institutional Animal Care and Use Committee of the University of Arizona (IACUC). One-day old chicks were obtained from a commercial hatchery (Murray McMurray, Webster City, Iowa). To determine if the birds were free of C. jejuni at arrival, the chicks were swabbed and the fecal sample direct plated onto a Cefex plate. The birds were housed in individual round ½” pegboard brooders; each brooder containing enough space to provide ~1 ft2 per bird. Birds were housed on fine wood shaving litter, which were changed on a weekly basis or more frequently if required. All chickens were fed a commercial chick starter mash for the entire study; feed and water were placed in large automatic feeders allowing birds from each group to feed and drink ad libitum. On the day of challenge, eight hours prior to challenging the chickens, feed was removed, and the feed returned to the birds one hour after challenge. Chickens were challenged at 15 days of age by gavage with 1-ml (105 CFU) if the C. jejuni mutant or wild-type strain. A negative control group received PBS only. Chickens were euthanized by carbon dioxide asphyxiation and necropsied at 25 days of age. The ceca for each bird was collected, processed, and the feces serially diluted for bacteriological culturing to quantify the presence of C. jejuni in each bird. 62 Experiments were performed in triplicate to confirm the statistical significance of each designed study. E. Biofilm assay The biofilm assays were performed as previously described (Reeser et al., 2007) with modifications. Briefly, Mueller Hilton broth in a 24-well polystyrene plates were inoculated with C. jejuni to a final concentration of OD600 of 0.05. Samples were incubated statically at 37°C under an atmosphere of 10% CO2. At desired time points (24, 48 and 72 hrs), planktonic cells and media were removed carefully without disturbing the biofilm. Each well was carefully washed twice with PBS and dried for 5 min at 55°C. Dried wells were stained with 0.1% crystal violet for 5 min, then rinsed three times with D2H2O. Wells were de-stained with 80% ethanol and 20% acetone for 5 min and a 100 μl of de-stained sample was collected and placed in a 96-well plate. The OD600 of the freefloating cells and the A570 of the de-stained sample were measured. Background values due to non-specific staining of the 24-well plate by crystal violet was accounted for by subtracting the values obtained from wells of the negative controls (no bacteria). F. Agglutination assays Autoagglutination assays were performed as described previously by (Misawa and Blaser 2000) with the modifications detailed below. Bacterial strains from glycerol stocks were grown on MHB plates supplemented with the appropriate antibiotics at 37°C for 48 h and then re-streaked onto fresh plates and grown overnight. Growth from these plates was re-suspended in phosphate-buffered saline (PBS) (Sigma-Aldrich, United Kingdom), and the optical density at 600nm (OD600) was measured and adjusted to 1.0 ± 63 0.2. Two milliliters of each bacterial suspension was then dispensed into a sterile glass tube (13 x 100 mm), and the tubes incubated at 37°C for 24 h. After incubation, 1 ml of the bacterial suspension from each glass tube was carefully removed and the OD600 was measured. Each strain was tested in triplicate. To account for the slight variations between the OD600s of the strains tested, the data were normalized by subtracting the OD600 measured after 24 h from the starting OD600, dividing by the starting OD600, and finally multiplying by 100 to give the percent autoagglutination. Results were considered to be statistically significant if P was <0.05. G. Adhesion and invasion assays The attachment assays were performed as previously described (Malik-Kale et al. 2007). In brief, a 24-well tissue culture tray were seeded with 1.0 x 105 INT 407 human intestinal cells per well, and cells were incubated for 18 hours at 37°C in a humidified, 5% CO2 incubator (MOI of 0.01). The cells were rinsed with Minimal Essential Medium (MEM)-10% fetal bovine serum (FBS) and inoculated with approximately 1x107 CFU of the mutant or wild-type strain. Tissue culture trays were incubated at 37°C in a humidified, 5% CO2 incubator. For bacterial attachment, the infected monolayers were incubated for 3 hours, rinsed three times with MEM-10% FBS, and re-incubated for an additional 3 hours. Then, the cells were rinsed three times with phosphate buffered saline (PBS), and the epithelial cells lysed with a solution of 0.1% TritonX-100. The suspensions were serially diluted and the number of viable, adherent bacteria was determined by counting the resultant colonies on MH blood plates. Experiments were completed in triplicates. To measure bacterial invasion cell monolayers were generated as 64 described above. The infected monolayers were incubated for 3 hours, rinsed three times with MEM-10% FBS, and incubated for an additional 3 hours in MEM-10% FBS containing gentamicin to a final concentration of 250 μg/ml. Then, the cells were rinsed three times with phosphate buffered saline (PBS), and cells were lysed with a solution of 0.1% TritonX-100. Then suspensions were serially diluted and the number of viable intracellular bacteria was determined by counting the resultant colonies on MH blood plates. Experiments were completed in triplicates. H. Macrophage survival assays Murine macrophage cells (J774A.1, ATCC) were routinely maintained in Dulbecco’s minimal essential media (DMEM) supplemented with 10% fetal bovine serum (FBS) in 75cm2 flasks at 37°C in a humidified, 5% CO2 incubator (2 x 105 cells per well). Each well of a 24-well tissue culture tray was seeded with approximately 1.0 x 107 CFU/ml of mutant and wild-type strains (MOI of 0.02). The monolayers were washed 3 times after a 3 hours uptake period and further incubated in DMEM-10%FBS. Three hours prior to each endpoint of 24 h, 48 h, and 72 h, wells were washed twice. To kill extracellular bacteria cells were incubated for an additional 3 hours in DMEM-10%FBS containing bactericidal gentamycin to a final concentration of 250 μg/ml. At each endpoint, cells were washed three times with sterile PBS, and the number of internalized C. jejuni were determined by lysis of the macrophage cells with 200 μg of deoxycholate (0.5%w/v) standardized to 1ml sterile PBS. The suspensions were serially diluted and the number of viable bacteria determined by counting the resultant colonies on MHB plates, as colony forming units (CFU). All assays were performed in duplicates. 65 III. Results: A. Mutational strategy For the inactivation of the genes, primers were designed to amplify upstream and downstream regions of the target gene, such that whole open reading frame was omitted. Genes Cj0248 and Cj1475c were successfully deleted from the C. jejuni genome. However, after unsuccessful multiple attempts to mutate Cj0998c, we hypothesized that Cj0998c might be an essential gene of C. jejuni. B. Scanning electron micrograph of C. jejuni ΔCj0248 and Cj1475c After mutation of genes Cj0248 and Cj1475c, mutants were grown on sterile glass cover slips to form biofilm and submitted for SEM analysis. After examining the scanning electron micrographs, long and flexible filaments about 2-4 μm in length were observed in the mutant strains, Figure 8C. C. C. jejuni ΔCj0248 and ΔCj1475c mutants show reduced poultry colonization To evaluate the role of Cj0248 and Cj1475c in host colonization, isogenic mutants were generated and the mutants assayed in their ability to colonize poultry. In brief, birds were divided into groups of 15, and on day 14, orally inoculated with either C. jejuni ΔCj0248, ΔCj1475c or C. jejuni NCTC 11168. The ability of both strains to colonize the chicks was assessed by enumeration of bacteria in the ceca 10 days post-inoculation. The NCTC 11168 strain used in our study was able to colonize chicks at a level of 1 x 108 CFU per g of cecal content with an initial inoculum of 105 CFU/ml. The C. jejuni Cj0248 mutant strain exhibited a significant reduction in chick colonization as compared to the wild-type strain. In the first trial, C. jejuni ΔCj0248 either, exhibited a complete 66 reduction of poultry colonization or bacterial levels were below the detection limit (102) of the assay (Figure 9C; p = 0.01). In the second trial C. jejuni ΔCj0248 exhibited a significant reduction in colonization when compared to the wild type strain. (Figure 10C; p = 0.01). In the last trial, C. jejuni ΔCj0248 exhibited a 4-log reduction in the chick colonization of chicks when compared to the wild type strain (Figure 11C). The C. jejuni Cj1475c mutant exhibited a difference in chick colonization when compared to the wildtype strain. In the first trial C. jejuni ΔCj1475c showed a 3-log reduction in chick colonization when compared to the wild type strain (Figure 12C; p = 0.05). In the second trial, the C. jejuni ΔCj1475c mutant strain exhibited a 3-log reduction in chick colonization when compared to the wild type strain (Figure 13C; p = 0.05). In the last trial, C. jejuni ΔCj1475c exhibited no significant difference in chick colonization when compared to the wild type strain (Figure 14C; p > 0.05). D. Reduced biofilm formation was observed for ΔCj0248 but not for ΔCj1475c. Increased biofilm formation was observed for ΔCj1343c The ability of mutant strains to form a biofilm was investigated using a crystal violet staining procedure. At 24 h C. jejuni ΔCj0248 showed decreased biofilm formation when compared to the wild type strain (Figure 15C; p = 0.04). In contrast, C. jejuni ΔCj1343c shows a dramatically increased ability to form a biofilm at 24, 48 and 72 h when compared to the wild type strain (Figure 136C; p = 0.01). At 48 h no significant difference is observed in the ability of the mutants to form a biofilm when compared to wild type strain, Figure 17C. No significant difference was observed in biofilm formation of ΔCj1475c when compared to the control. 67 E. ΔCj0248, ΔCj1475c and ΔCj1343c have no adverse effects in autoagglutination assays The role of auto agglutination in C. jejuni pathogenesis has not been determined. However, the importance of auto agglutination in virulence has been described for other pathogenic bacteria, including enteropathogenic Escherichia coli, and Vibrio cholerae (Chiang, S. L., et al., 1995, Knutton, S., et al., 1999, Roggenkamp, A., 1995). This activity has been associated with pilins and/or outer membrane proteins that have been demonstrated to be critical for pathogenesis. Thus we investigated the ability of C. jejuni Cj0248, Cj1475c and Cj1343c mutant strains to agglutinate. Our study indicates that the C. jejuni Cj0248, Cj1475c and Cj1343c agglutinated at the same levels as wild type strains (Figure 18C). Interestingly, Cj1343c mutant showed a significant difference in the ability to autoagglutinate (Figure 18C; p < 0.05). F. ΔCj0248 adheres better but invades less efficiently than wild type strain. ΔCj1475c and ΔCj1343c have no adverse effects in adhesion and invasion assays The ability of C. jejuni ΔCj0248, ΔCj1475c and ΔCj1343c to attach and to invade epithelial cells was examined using gentamicin protection assays. The ability to attach was significantly higher in ΔCj0248 when compared to the wild type strain, but not its ability to invade. ΔCj1475c and ΔCj1343c attached and invaded at levels comparable to the wild type strain (Figure 19C and Figure 20C). G. ΔCj0248, ΔCj1475c and ΔCj1343c have no adverse effects in their ability to survive intracellularly within macrophages 68 The ability of C. jejuni ΔCj0248, ΔCj1475c and ΔCj1343c to survive intracellularly within macrophages was examined using the gentamicin protection assays. C. jejuni ΔCj0248, Δ1475c and Δ1343c became internalized by macrophage in a less efficient manner than the wild type strain, however by 72 h, almost all bacteria were killed by macrophages (Figures 21C, 22C and 23C). IV. Discussion: Here we describe the findings of our mutational work and the role of Cj0248, Cj1474c and Cj1343c in C. jejuni pathogenesis, including commensal colonization, biofilm formation, agglutination, adherence and invasion, as well as intracellular survival within macrophages. Upon mutation of these genes (Cj0248, Cj1474c and Cj1343c), examination of the scanning electron micrographs shows that the ability of mutant to produce pilus-like appendages disseminating from the cell was not affected. Despite the involvement of Cj1343c and Cj1475c in transformation, Cj1343c having a 68% identity to the pilA consensus sequence commonly found in bacteria that produces pili and Cj1475c been in the same operon of a homolog to the PilQ protein (Cj1473c); Cj1343c and Cj1475c are not involved in the production of C. jejuni pilus-like surface-associated structures previously observed. C. jejuni 1475c gene (Cj1475c) encodes a protein that is 105 amino acids in length; its predicted size is 12-kDa. It is listed as a hypothetical protein with putative uncharacterized protein CtsR function. Using the online SignalP tool, no signal peptide was found on the Cj1475c sequence. Also, Cj1475c appears to be conserved among different C. jejuni strains, including C. jejuni RM1221 poultry, C. jejuni NCTC 11168 69 human isolate, C. jejuni S3 poultry isolate, and C. coli isolates. Cj1475c has been identified as being part of a Campylobacter transformation system (cts). In a previous study, a solo transposon mutant library of C. jejuni 81-176 was created (Wiesner R. S., et al 2003). Mutants had a reduction in the ability of C. jejuni to be transformed. Among those genes were Cj1475c including those in the putative operon in which Cj1475 is located (Cj1470c, Cj1471c, Cj1472c, Cj1473c, Cj1474c, and Cj1476) (Figure 7C). The type II cts homologues that were identified through transposon mutagenesis were termed as follows: CtsD (Cj1474c), CtsE (Cj1471c), and CtsF (Cj1470c). Cj1470c, Cj1471c, and Cj1474c genes were among the genes with homology to genes required for diverse macromolecular transport processes in a range of bacterial species. CtsD is homologous N. gonorrhoeae PilQ, which is thought to be an outer membrane pore involved in natural transformation and type IV pilus biogenesis. BLAST searches reveal CtsR are homologous to post-translational modification proteins found in Nitrosomonas sp., and phage proteins in Listeria monocytogenes. However, no significant homology to any proteins with known protein function in other bacterial species was found for CtsR. Commensal colonization studies revealed that the mutation of Cj1475c significantly decreased the commensal colonization of chicks in two of three trials. No differences were observed between the wild type and mutant strains in regards to biofilm and this particular mutant strain ability to agglutinate, adhere and invade as well as intracellular survival within macrophages. The ability of ΔCj1475c to attach and to become internalized was similar to the wild type strain, indicating that the reduced colonization we observed is not due to the 70 inability of the mutant to attach and invade epithelial cells. Based on this results we could speculate whether Cj1475c play a role in other steps during colonization prior to or after to attachment and invasion. Upon ingestion, the organism is exposed to numerous insults in the gastrointestinal tract, such as low stomach pH, and exposure to bile salts. The ability to survive these insults is essential for infection. Some C. jejuni strains are more sensitive to low pH than others, thus acid tolerance is strain dependent. In the small intestine, C. jejuni is exposed to bile salts, low oxygen levels, and iron availability is limited. We can hypothesize that Cj1475c is involved in bile tolerance in C. jejuni. Bile is composed of a mixture of bactericidal detergents, thus resistance to bile is an important determinant during infection. In a variety of enteric pathogens a correlation between reduced ability to tolerate bile and reduce colonization have been observed (Lacroix et al 1996, Bina and Mekalonaos 2001). Although a number of studies have highlighted the mechanism of resistance of Campylobacter to bile, little is known about the effect of bile on Campylobacter virulence determinants. Further review of the literature we found a study in which Cj1472c, Cj1473c and Cj1475c have been identified to be up regulated in the presence of bile (Malik-Kale P., et al., 2008). Bile has been shown to regulate virulence gene expression in several gastrointestinal pathogens; the ability of bile acid deoxycholate (DOC) was assessed in virulence gene expression in C. jejuni. Microarray analyses were developed with RNA extracted from C. jejuni cultured in the presence and absence of DOC. A total of 156 genes, including Cj1472c, Cj1473c and Cj1475c were up-regulated 2.3-fold, 1.7-fold and 2.2-fold, respectively in the presence of DOC. It is important to mention that in the 71 studies described above regarding Cj1475c mutation, results observed cannot exclusively be linked to the mutation of this particular gene, as Cj1474c is located in an operon and polar effects in downstream genes are not excluded. C. jejuni Cj0248 gene (Cj0248) encodes a protein that is 285 amino acids in length; its predicted size is 32-kDa. Using the online SignalP tool, no signal peptide was found on Cj0248 sequence. Analyses revealed that Campylobacter jejuni 0248 gene (Cj0248) does not appear to be in an operon; however there is a small gap between Cj0248 and Cj0249. Cj0248 is encoded in the positive strand. Cj0248 is also conserved among different C. jejuni strains including C. jejuni RM1221, C. jejuni NCTC 11168 human isolate, and C. jejuni S3 poultry isolate. The crystal structure of Cj0248 has been described (Xu Q. et. al. 2006). Cj0248 belongs to a large protein family that includes members such as hydrolases and signal-transduction proteins. The mutation of Cj0248 severely affected the ability of C. jejuni to colonize chicks. Mutation of Cj0248 also decreased biofilm formation for 24 h. This is consistent with our results in which mutation of Cj0248 affected its ability to colonize broilers chickens. The polar flagellum is the best-characterized virulence factor in C. jejuni; flagellar motility is required for efficient colonization of chickens and humans. In 2004, a transposon mutant library was generated to identify genes required for a virulence determinant, 28 mutants were identified to have reduced motility and Cj0248 was one among them (Hendrixson D. R., et al., 2001). Motility has been found to be involved in the early stages of biofilm formation. This finding might explain the reduced biofilm formation we observed in our study by this particular mutant. 72 In a different study a transposon mutant library was generated to identify genes involved in colonization of the chick gastrointestinal track (Hendrixson D. R., and DiRita V. J., 2004). Consistent with the previous study mutants showed reduce motility (Hendrixson D. R., et al., 2001). The transposon inserted itself in genes required for transcription, secretion or structural components of flagellar, chemotaxis proteins with no homology to proteins with known functions. Mutation of Cj0248 resulted in reduction in the bacterial loads in the chick ceca when compared to wild-type strain. Cj0248 represent a new potential virulence factor important in the poultry colonization. Following passage through the stomach, C. jejuni must interact with host mucosa in order to cause disease. Some of these interactions include attachment, invasion, and signal transduction events. Studies have shown that C. jejuni interacts very closely with host cells during an infection. Upon establishing an association with the human intestinal epithelial cells, Salmonella as well as E. coli secrete effector proteins into the host cell that initiates host signal transduction events that can lead to re-arrangements and/or internalization of the bacteria. In fact, invasion of epithelial cells is considered a virulence factor in many pathogenic bacteria including Salmonella, Shigella, E. coli and Listeria (Falkow et al 1992, Takeuchi et al 1967, Sansonetti 1991). Previous studies have showed that mutations in the major flagellum subunit gene, flaA, resulting in bacteria with truncated flagella, produce a mutant that has diminished motility and is unable to invade intestinal epithelial cells in vitro (Guerry, P., et al., 1991, Wassenaar, T. M., et al 1991). Furthermore, a mutation in pflA resulted in bacteria with paralyzed flagella; this mutant was still able to adhere but is not capable of invasion in 73 vitro (Yao, R., et al., 1994). We found that Cj0248 mutant adhered to INT407 cells to a greater degree when compared to the wild type strain, however, the level of invasion was reduced. Previous studies have showed that only 66% of intestinal epithelial monolayers are invaded (Hu, L., et al., 1999) suggesting that there are other factors besides adherence that influences the ability of the bacteria to invade. This indicates that reduce colonization observed upon mutation of Cj0248 gene is not due to the reduce motility or its inability to attach and but its inability to invade epithelial cells. Bacteria use the intestinal barrier as an entry site, exploiting the target host cell cytoskeletal machinery to trigger their uptake by non-phagocytic cells, thereby gaining access to the host. This might explain why no difference was observed between ΔCj0248 and wild type strain in their ability to survive intracellularly within macrophages. In fact only a small percentage of C. jejuni survives within professional phagocytic cells. Suggesting that C. jejuni is internalized in a similar manner as other pathogenic bacteria, by non-phagocytic cells. Lastly we also investigated the role of Cj1343c biofilm formation, agglutination, adherence and invasion as well as intracellular survival within macrophages. As previously describe in Chapter II, mutation of Cj1343c had no effect in the ability of the bacterium to commensally colonized chicks when compared to wild type strain. Our result indicates that ΔCj1343c can persist and multiply within epithelial cells in vitro and survive intracellularly within macrophages at levels similar to the wild type strain. However, biofilm formation was increased upon mutation of Cj1343c gene. We can 74 speculate whether Cj1343c is a regulator of transcription of genes involved in biofilm formation, thus when mutated uncontrolled biofilm growth is observed. Biofilms are composed of an extracellular material, which it is mostly produced by the bacteria, and consists of an accumulation of different types of biological molecules known as extracellular polymeric substances (EPS). The EPS contains polysaccharides, proteins, nucleic acids, lipids and other biopolymers. This matrix may aid in desiccation, oxidizing agents, form a protective barrier against some antibiotics, and ultraviolet radiation. The question to ask is whether Campylobacter produces extracellular polymeric substances and what constitutes C. jejuni biofilms. Polysaccharides are a major fraction of the EPS matrix (Frolund, B., et al., 1996, Wingender. J., et al., 2001). Several polysaccharides have been visualized by electron microscopy as fine strands that are attached to the cell surface and form complex networks. However, the genome sequence of C. jejuni does not show any obvious candidates for a biofilm polysaccharide. It is possible, that the constitution of the biofilm may be composed of capsular polysaccharides or poly-amino acid (Ornek et al., 2002). We can speculate that upon mutation of Cj1343c gene, C. jejuni overexpresses constituents of the biofilm thus reflecting an increase in biofilm formation. Thus further analysis of the dynamics and composition of C. jejuni biofilm must be performed in order to elucidate the exact role of Cj1343c in biofilm formation. A way to approach this is by confocal laser scanning microscopy (Lawrence, J. R., et al., 2007), which is a common tool for detection of components of the EPS in biofilms. Using fluorescently labeled lectins, exopolysaccharides are visualized according to their interaction with specific 75 targets. For example, extracellular DNA can be detected with dyes specific for nucleic acids, thus facilitating the identification of the major constituents of the EPS. Here we have identified two genes required for cecal colonization leading to commensalism in the chick gastrointestinal tract. However, it is unclear whether these genes are required for pathogenesis in other disease models of C. jejuni gastroenteritis, such as the ferret, and piglets in which C. jejuni inflammatory responses and pathology are evident. Little is known about the common features that C. jejuni uses during commensal colonization and pathogenic models of infection. 76 V. Chapter IV Tables and Figures Table 6C. Strains and plasmids used in this study Strain or plasmid Bacteria C. jejuni NCTC 11168 TOP10 C. jejuni ΔCj0248 C. jejuni ΔCj1475c Plasmids pCR2.1-TOPO pCR0248 pCR1475c pUOA23 Characteristic Source Clinical isolate F- mcrA Δ(mrr-hsdRMSmcrBC) Φ80lacZΔM15 ΔlacΧ74 recA1 araD139 Δ(araleu) 7697 galU galK rpsL (StrR) endA1 nupG Mutant strain carrying a deletion on gene Cj0248 This study Invitrogen Mutant strain carrying a deletion on gene Cj1475c This study Cloning vector Contains both flanking regions and CmR marker Contains both flanking regions and CmR marker Contains C. coli plasmid C589 chloramphenicol acetyltransferase (cat) gene Invitrogen This study This study This study Dr. Van der Walls Table 7C. Oligonucleotides used in this study Primer Sequence Cj0248-F1 Cj0248-R1 Cj0248-F2 Cj0248-R2 Cj1475c-F1 Cj1475c-R1 Cj1475c-F2 Cj1475c-R2 Cat-F Cat-R Sequence (5’ > 3’) tgacaaGGATCCgttcttcaaaagtgcagtta aaggataaattaaatatgatGCTAGCgatgct tatgacGCTAGCaggctctaaattgtagtgat ttaatttgaagtatttttgcGTCGACttcgtc caaataaagacaatggtgct aaagaaaatcgtataaatttGCTAGCgt ttGCTAGCtactaaagagattaaattcc tctattattaactttctttc atGCTAGCtaacccattgctcggcggtgttcctttcca tcgcactgataaaaaccctttaggaaGCTAGCaa Restriction site BamHI NheI NheI SalI N/A NheI NheI N/A NheI NheI 77 Cj1470c Cj1471c Cj1472c Cj1473c Cj1474c -‐29 -‐29 Cj1475c Cj1476c 24 24 Figure. 7C. Analysis of the location of gene Cj1475c in the NCTC 11168 genome. The query gene (Cj1475c) is shown in light blue. Nearby genes upstream and downstream of the Cj1475c are shown in white. The arrowhead indicates the transcription direction. The numbers appear below the genes indicate the intergenic distance between two adjacent genes. Negative numbers indicate overlapping genes. 78 Figure 8C. Scanning electron micrograph of mutants. A.) Biofilms of C. jejuni ΔCj0248. B). Biofilms of C. jejuni ΔCj1475c. 1.00E+09 1.00E+08 1.00E+07 Log10CFU/g 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative NCTC::Cj0248 NCTC WT Figure 9C. Effects of ΔCj0248 mutation on in vivo poultry colonization, first trial. Error bar indicates standard deviation, n = 15 chickens per group, p = 0.01. 79 1.00E+09 1.00E+08 Log10CFU/g 1.00E+07 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative NCTC::Cj0248 NCTC WT Figure 10C. Effects of ΔCj0248 mutation on in vivo poultry colonization, second trial. Error bar indicates standard deviation, n = 15 chickens per group, p = 0.02. 1.00E+08 1.00E+07 Log10CFU/g 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative NCTC::Cj0248 NCTC WT Figure 11C. Effects of ΔCj0248 mutation on in vivo poultry colonization, third trial. Error bar indicates standard deviation, n = 15 chickens per group, p = 0.01. 80 1.00E+09 1.00E+08 1.00E+07 Log10CFU/g 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative NCTC::Cj1475c NCTC WT Figure 12C. Effects of ΔCj1475c mutation on in vivo poultry colonization, first trial. Error bar indicates standard deviation, n = 15 chickens per group, p = 0.05. 1.00E+09 1.00E+08 Log10CFU/g 1.00E+07 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative NCTC::Cj1475c NCTC WT Figure 13C. Effects of ΔCj1475c mutation on in vivo poultry colonization, second trial. Error bar indicates standard deviation, n = 15 chickens per group, p = 0.05. 81 1.00E+09 1.00E+08 Log10CFU/g 1.00E+07 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative NCTC::Cj1475c NCTC WT Figure 14C. Effects of ΔCj1475c mutation on in vivo poultry colonization, third trial. Error bar indicates standard deviation, n = 15 chickens per group, p > 0.05. 0.200 0.180 0.160 0.140 A570 0.120 0.100 0.080 24hrs 0.060 0.040 0.020 0.000 Figure 15C. Effects of Cj0248, Cj1475c and Cj1343c mutation in biofilm formation, at 24 h. Error bar indicates standard deviation. 82 1.200 1.000 A570 0.800 0.600 0.400 48hr 0.200 0.000 Figure 16C. Effects of Cj0248, Cj1475c and Cj1343c mutation in biofilm formation, at 48 h. Error bar indicates standard deviation. 0.600 0.500 A570 0.400 0.300 0.200 72hrs 0.100 0.000 Figure 17C. Effects of Cj0248, Cj1475c and Cj1343c mutation in biofilm formation, at 72 h. Error bar indicates standard deviation. 83 1.00 % of agglutination cells 0.80 0.60 0.40 0.20 0.00 NCTC::Cj0248 NCTC::Cj1474c NCTC::Cj1343c NCTC WT Figure 18C. Effects of Cj0248, Cj1475c and Cj1343c mutation in agglutination assays. Error bar indicates standard deviation. 3.50 3.00 % adherent cells 2.50 2.00 1.50 1.00 0.50 0.00 Figure 19C. Adherence assays. Effects of Cj0248, Cj1475c and Cj1343c mutations on the ability to adhere to INT 407 cells. Error bar indicates standard deviation. 84 30.00 % invasive cells 25.00 20.00 15.00 10.00 5.00 0.00 Figure 20C. Invasion assays. Effects of Cj0248, Cj1475c and Cj1343c mutations on the ability to invade to INT 407 cells. Error bar indicates standard deviation. 3.50 % surviving cells 3.00 2.50 2.00 1.50 1.00 0.50 0.00 Figure 21C. Macrophage survival assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in their ability to survive intracellularly within macrophages (24 h). Graph 85 represent the percent of surviving cells. Error bar indicates standard deviation. 3.50 % surviving cells 3.00 2.50 2.00 1.50 1.00 0.50 0.00 Figure 22C. Macrophage survival assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in their ability to survive intracellularly within macrophages (48 h). Graph represent the percent of surviving cells. 3.50 % surviving cells 3.00 2.50 2.00 1.50 1.00 0.50 0.00 Figure 23C. Macrophage survival assays. Effects of Cj0248, Cj1475c and Cj1343c mutations in their ability to survive intracellularly within macrophages (72 h). Graph represents the percent of surviving cells. 86 CHAPTER V: ATTENUATED SALMONELLA AS VECTOR TO DELIVER VACCINE (Se:0248) AGAINST C. JEJUNI INFECTION I. Abstract The Gram-negative bacterium Campylobacter is the leading cause of bacterial gastroenteritis in humans and is associated with the occurrence of life-threatening autoimmune-based neurological disorders such as GBS and Reiter’s arthritis. Chickens, which are often heavily colonized with Campylobacter without signs of pathology, are considered the most important source for human infection. Chickens usually encounter Campylobacter at a young age and fecal shedding results in a rapid spread throughout the entire flock. Depending on the geographical region and season, the percentage of Campylobacter-positive flocks in Europe reaches up to 90% (Newell et al., 2003). The bacterium colonizes the caeca, and large intestine and cloaca of chicken in numbers up to 109 CFU per gram of feces (Beery et al., 1988, Dhillon et al., 2006) without apparent signs of pathology. Several strategies have been applied to reduce Campylobacter counts on chicken meat, including attempts to eliminate Campylobacter from the farms by increasing biosecurity and the separation of contaminated flocks, and by improving hygiene during the process of slaughtering. In addition, several experimental approaches like the reduction of colonization by competitive exclusion, antibacterial agents, or phage therapy are being investigated for their efficacy (Loc Carrillo et al., 2005; Wagenaar et al., 2005). Although these measures may or may not help in controlling shedding of Campylobacter by the poultry, vaccination of poultry against Campylobacter would be the most effective 87 means of reducing or eliminating Campylobacter infections and remains a major goal for researchers. The molecular basis for the apparent different pathology of Campylobacter in poultry and human host remains unclear. However, it has been demonstrated that effective colonization of the chicken gut require several bacterial proteins including flagellin, CadF and CiaB, as well as a functional protein N-glycosylation machinery. Based on our mutational analysis of Cj0248, there was a remarkable reduction in colonization as well as reduction of initial biofilm formation in C. jejuni. Therefore, we have hypothesized that Cj0248 represents a potential vaccine target for C. jejuni infection. For the construction of the vaccine, we used an attenuated Salmonella strain that has been previously shown to be an effective tool for vaccination. Attenuated Salmonella vaccines have been constructed by introduction of mutations in the genes required for virulence, including the cyclic AMP receptor protein gene (crp) (Curtiss, R., III et al., 1987). Also, attenuated Salmonella harbors a deletion of the asd gene, which is essential for synthesis of the bacterial cell wall component diaminopimelic acid (DAP). This Salmonella strain was used to develop a recombinant vaccine. Attenuated Salmonella vaccine strains have been genetically modified to express the antigens from pathogens by multicopy plasmids this allows the inducing of immunity to the pathogen whose gene is being expressed as well as to Salmonella. Previous studies performed in our lab showed that attenuated Salmonella is not detectable in the birds seven days after vaccination, thus reducing the concern of having Salmonella being shed by birds among commercial flocks. This chapter will address the following aims: 88 1. Construction of a vaccine using attenuated Salmonella strain as an expressing vector 2. Confirm expression of Cj0248 gene by Salmonella vector 3. Vaccinate chicks with generated vaccine and challenge with C. jejuni This study supports the potential used of live vaccines for control of Campylobacter in poultry, however, the protective effect differed remarkably between trials. Thus something occurred within the studies affected the outcome of these results. II. Material and Methods A. Culture of Bacterial Strains Escherichia coli χ6212 pYA3493 was maintained on Luria Bertani (LB) agar (BD) supplemented with 0.1% glucose (LB-G). E. coli χ6212 used in plasmid electroporation was grown on LB-G agar containing 50 μg/ml diaminopimelic acid (DAP) at 37°C. S. enterica strain χ9992 was routinely cultivated on LBG agar with DAP supplemented with 0.2% mannose and 0.05% arabinose and was grown at 37°C. Strains containing pYA3493 were grown on LB-G agar containing mannose and arabinose and were grown at 37°C. All strains were subcultured at 48 h intervals. All strain and plasmids used in this study are listed in Table 8D. B. Construction of an S. enterica serovar Typhimurium vaccine strain Plasmid construct was developed in the E. coli χ6212 strain and later introduce into the S. enterica strain. Salmonella enterica expression plasmid pYA3493 was used as the backbone for the gene expression. To construct the vaccine, DNA for Cj0248 was PCR amplified. The gene was inserted into the pYA3493 expression plasmid in the proper 89 reading frame; generating pYA3493+Cj0248. This construct was later introduced into S. enterica serovar Typhimurium strain χ9088. In-frame cloning was confirmed by nucleotide sequencing. Primers used in this study are listed in Table 9D. C. Expression of Cj0248 In brief protein samples were boiled for 10 min and then separated by discontinuous sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). The gel was mounted in a vertical electrophoresis apparatus (Mini-Protean 3, Bio-Rad), and 1X running buffer was added. The running conditions were set as follows: 150V until the sample was at the end of the gel. Protein bands were visualized by GelCode Blue (Sigma, St. Louis, Mo.) staining. Band corresponding to the Cj0248 protein size was excised from the gel and sent for mass spectrometry analysis (University of Arizona Genetics Core). D. Challenge of Birds Chicken studies were performed in accordance with the policies of the Institutional Animal Care and Use Committee of the University of Arizona (IACUC). One-day old chicks were obtained from a commercial hatchery (Murray McMurray, Webster City, Iowa). To determine if the birds were free of C. jejuni at arrival the chicks were swabbed and the fecal sample direct plated onto Cefex plates. Vaccinations were performed at 3, 10 and 16 days post hatching. E. Vaccination using Salmonella enterica The vaccine was prepared as follows: Salmonella strain χ9088 was grown in LBG broth overnight at 37°C with aeration (200 rpm). Following incubation, the overnight 90 culture was diluted 1:10 with fresh LB-G broth and grown at 37°C with aeration for 24 h. Cultures were centrifuge at 4000 rpm for 15 min, the supernatant removed and the pelleted cells re-suspended in 20 ml PBS. Serial dilutions were performed to determine the exact titer of the vaccine. On the day of vaccination, eight hours prior to the vaccination of the chickens, feed was removed, and the feed was returned to the birds one hour after vaccination. Chickens were orally vaccinated with 1 ml of vaccine. At day 26, birds were challenged by gavage with 1 ml of a C. jejuni suspension (105 CFU/ml) in phosphate buffered saline (PBS). A negative control group was challenged with PBS only. Ten days after challenge, chickens were euthanized by carbon dioxide asphyxiation. Ceca were collected, the contents were vortex and sampled (0.25 g per ceca into 4.5ml of PBS) and serially diluted and direct plated to quantify the C. jejuni in each bird. III. Results: A. Construction of an S. enterica vaccine strain To construct the Salmonella vaccine (Se:0248) the open reading frame of Cj0248 was amplified by PCR using primers listed in Table 9D. Each primer was developed with a built in cut site, and each cut site corresponded to the cut sites on the cloning vector so that cloning into the expressing vector could be achieved. The plasmid map of the cloning vector used in this study can be found in Figure 28D. B. Expression of C. jejuni 0248 gene in the Salmonella vaccine strain To ensure Salmonella expression of the C. jejuni 0248 gene, both Salmonella and the YA3493 plasmid (SalEV) were grown overnight and then passed into LB broth containing arabinose, mannose and glucose to allow expression of inserted gene 91 (Cj0248). Samples were later separated on a SDS-PAGE to see if Salmonella was expressing the protein of interest. Our results demonstrated a 37 kDa protein present in the Se:0248 vector and absent in the SalEV, Figure 24D. This band was excised and sent for mass spectrometry analysis to confirm the identity of the sample. C. Oral Vaccination with Salmonella To examine the ability of Salmonella-Cj0248 vaccine (Se:0248) to protect against C. jejuni infection, chicks at 3, 10 and 16 days of age were immunized orally with S. enterica pYA3493-0248 at a dose of 1.0 x109 CFU. Birds did not show any weakness or signs of disease after immunization, thus ensuring that use of attenuated Salmonella as a vector was a safe procedure. During the first oral vaccination trial for the Se:0248 birds our results indicated that 10 out of 15 birds were colonized with C. jejuni to wild type levels, Table10D. However, our control groups, both the SalEV (empty vector) and those that received no immunization, were colonized at levels lower than the vaccinates (Table 10D). During the second oral vaccination trial for the Se:0248 birds our results indicated that 15 out of 15 birds were colonized with C. jejuni to wild type levels, as well the other two control groups (Table 11D). During the third oral vaccination trial for the Se:0248 birds our results indicated that 9 out of 15 birds were colonized with lower levels of C. jejuni. However, our control groups, both the SalEV and those that received no immunization, were colonized at levels lower than the non-vaccinated controls (Table 12D). A summary of each vaccine trial in a graph format can be found in Appendix D (Figures 25D, 26D and 27D). 92 IV. Discussion In our previous work, it was shown that the C. jejuni 0248 gene, encoding a hypothetical protein with a putative signal transduction function was shown to have significant reduction in colonization when the gene was deleted from the genome. Also, a significant decrease in initial biofilm formation was observed at 24 h. In addition mutation of this gene causes a significant reduction in the mutant ability to invade and survive intracellularly. Thus, Cj0248 represents a new potential virulence factor important in the poultry colonization. Based on this information, this protein was selected for expression in a recombinant attenuated Salmonella Typhimurium vector for the vaccination of broiler chickens against C. jejuni challenge. The first and second oral vaccination trial results indicate that birds that received the vaccine were colonized with C. jejuni to wild type levels; however, it is important to note that in both SalEV group and those that received no immunization, birds were colonized at lower levels when infected with C. jejuni. In the third oral vaccination trial, 9 out of 15 birds were colonized with lower levels of C. jejuni. However, we cannot compare broilers chicks vaccinated with Se:0248 to unvaccinated groups because unvaccinated groups show colonization levels lower than the level seen in our wild type group. A chicken colonized with C. jejuni usually excretes large amounts of bacteria, up to 10^8, thus something occurred within the studies affected the outcome of the results. We can speculate whether the age of the birds at the time of challenge will affect the minimum infectious dose required. Generally, birds 1 to 14 days of age are inoculated with a defined amount of Campylobacter, and then given several days to weeks for the 93 bacteria to establish the colonization (Biswas et al., 2007; Nachamkin and Blaser, 2000). Potentially at the time of challenge day 26, chicks are indeed in need of higher doses thus affecting the final counts. Previously, it has been shown that the time of infection affects the shedding patterns observed. The older the chicken is at the time of infection, the shorter the duration of shedding and a higher dose is required for successful colonization (Kaino et al., 1988), however this holds true if all chickens were not to colonized at all. Further analysis needs to be performed in order to eliminate the possibility of getting lower colonization levels in the control groups. The results from broiler chickens vaccinated with Sal0248 are inconclusive. We suggest to perform a more comprehensive study in which loads of C. jejuni in the cecum of birds are monitored overtime, for example, fives day after each immunization. This would allow us to monitor the protective response in a real-time manner, including whether protective responses are present at the time of challenge. In addition, we suggest studying the Cj0248 expression under different promoters; this would allow us to determine whether the vaccine is been expressed efficiently and which conditions are more favorable for the expression of this particular gene. We also suggest studies prior first immunization, to detect whether birds at the time of hatch do have a protective immune response against Salmonella and Campylobacter. It is plausible that pre-existing antibody to the vector strain or to the C. jejuni antigen are affecting the outcome of the experiment. 94 V. Chapter V Tables and Figures Table 8D. Strains and plasmids used in this study Strain or plasmid Bacteria C. jejuni NCTC 11168 E. coli Χ6212 S. enterica Χ9992 Plasmids pYA3493 pCj0248 Characteristic Source Challenge strain φ80d lacZ ΔM15 deoR Δ(lacZYA-argF)U169 supE44 λ− gyrA96 recA1 relA1 endA1 Δasd Δzhf-2::Tn10 hsdR17 Δpmi-2426 Δ(gmd-fcl)-26 ΔPfur77::TT araC PBADfur ΔPcrp527::TT araC PBAD crp ΔasdA27::TT araC PBADc2 ΔaraE25 ΔaraBAD23 ΔrelA198::araC PBADlacI TT L.A. Joens R. Curtiss 3rd Asd+, β-lactamase signal sequence Asd+, β-lactamase signal sequence R. Curtiss 3rd R. Curtiss 3rd This study Table 9D. Oligonucleotides used in this study Primer Sequence SalCj0248-F1 Sequence (5’ > 3’) gactGAATTCtcataaaaaatgcaataag Restriction site EcoRI SalCj0248-R1 ttgtagtgatgaaaagtttaGTCGACcgg SalI Table 10D. First Oral Vaccination with Se:0248 Negatives* Se:0248* SalEV* C. jejuni NCTC* 1.00E+00 2.80E+08 2.20E+04 5.50E+03 1.00E+00 8.00E+04 5.30E+04 1.00E+00 1.00E+00 1.90E+06 5.00E+03 3.00E+04 1.00E+00 1.00E+03 2.00E+03 9.00E+02 1.00E+00 2.30E+05 6.00E+03 9.00E+02 1.00E+00 3.80E+08 7.00E+02 2.00E+03 8.20E+06 1.40E+04 1.00E+02 Average * = represent 95 8.80E+07 1.00E+06 3.00E+02 1.30E+09 6.00E+05 9.00E+03 4.00E+02 1.00E+04 4.00E+04 3.40E+04 9.00E+04 6.50E+08 1.90E+05 1.40E+05 1.90E+05 3.60E+08 1.10E+04 4.00E+08 3.00E+03 2.31E+08 1.46E+05 8.87E+03 the number of bacteria recovered 10 days after challenge of birds. Table 11D. Second Oral Vaccination with Se:0248 Negatives* Se:0248* SalEV* C. jejuni NCTC* 1.00E+00 3.70E+08 4.40E+07 3.60E+04 1.00E+00 8.00E+07 3.80E+05 6.00E+07 1.00E+00 8.00E+07 1.40E+05 2.00E+03 1.00E+00 5.00E+05 2.40E+03 8.10E+05 1.00E+00 7.10E+08 5.90E+06 5.50E+05 1.00E+00 1.20E+08 2.60E+08 7.00E+08 5.00E+06 2.80E+08 3.90E+07 2.00E+05 4.80E+06 6.90E+04 2.80E+08 1.40E+04 4.70E+04 4.20E+08 1.80E+07 5.30E+07 3.10E+06 1.40E+06 3.60E+08 2.20E+07 3.60E+08 9.30E+05 8.00E+07 1.00E+07 1.50E+06 1.10E+04 5.40E+07 2.40E+08 1.50E+06 8.16E+07 8.48E+07 Average * = Represent 1.67E+08 the number of bacteria recovered 10 days after challenge of birds. Table 12D. Third Oral Vaccination with Se:0248 Negatives* Se:0248* SalEV* C. jejuni NCTC* 1.00E+00 4.40E+04 3.00E+02 1.00E+00 1.00E+00 6.00E+02 2.10E+05 5.90E+03 1.00E+00 4.70E+06 2.90E+07 7.00E+02 1.00E+00 7.00E+07 1.40E+08 1.00E+00 96 1.00E+00 2.70E+04 1.60E+08 1.00E+00 1.00E+00 6.60E+06 3.80E+04 1.80E+04 3.50E+04 1.00E+00 2.00E+03 3.20E+04 1.00E+02 3.80E+05 2.70E+04 1.30E+05 6.50E+06 1.50E+08 2.70E+08 6.50E+04 2.00E+07 3.40E+08 4.00E+03 1.40E+03 2.30E+08 8.00E+02 7.00E+04 8.70E+07 7.00E+03 5.20E+05 5.00E+02 2.10E+03 4.30E+04 8.00E+07 9.00E+02 1.68E+07 8.91E+07 4.66E+05 Average * = Represent the number of bacteria recovered 10 days after challenge of birds. 1 2 3 kDa 250 37 25 Figure 24D. SDS-PAGE. 1.) Attenuated Salmonella without insert. 2.) Attenuated Salmonella vector expressing C. jejuni 0248 gene. 3.) Molecular weight. Arrow indicates 97 band of appropriate molecular weight that might correspond to C. jejuni hypothetical protein encoded by Cj0248. 1.00E+09 1.00E+08 Log10CFU/g 1.00E+07 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative SalCj0248 SalEV NCTC Figure 25D. First oral vaccination with S. enterica (pYA3494) expressing Cj0248 (Se:0248). Error bar indicates standard deviation, p > 0.05. 1.00E+09 1.00E+08 1.00E+07 Log10CFU/g 1.00E+06 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative SalCj0248 SalEV NCTC Figure 26D. Second oral vaccination with S. enterica (pYA3494) expressing Cj0248 98 (Se:0248). Error bar indicates standard deviation. Error bar indicates standard deviation, p > 0.05. 1.00E+09 1.00E+08 1.00E+07 1.00E+06 Log10CFU/g 1.00E+05 1.00E+04 1.00E+03 1.00E+02 1.00E+01 1.00E+00 Negative SalCj0248 SalEV NCTC Figure 27D. Third oral vaccination with S. enterica (pYA3494) expressing Cj0248 (Se:0248). Error bar indicates standard deviation, p > 0.05. 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