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Structural biology of bacterial pathogenesis Han Remaut1,2,3 and Gabriel Waksman1,2,3,4, Recent years have seen a rapid increase in structural information on proteins implicated in bacterial pathogenesis. The different modes by which bacteria establish contact with their host tissues are exemplified by the structures of bacterial adhesins in complex with their cognate host receptor. A more detailed structural understanding of the various Gram-negative secretion systems has emerged with the determination of the structures of type I and type IV secretion system components, and with the elucidation of the mechanism of fibre formation in the chaperone-usher pathway of pilus biogenesis. Finally, the structures of complexes of secreted virulence factors bound to their host targets have unravelled the mechanisms by which bacterial pathogens exploit cellular processes to their advantage. Addresses 1 Institute of Structural Molecular Biology, 2School of Crystallography, Birkbeck College, Malet Street, London WC1E 7HX, UK 3 Department of Biochemistry and Molecular Biology, University College London, Gower Street, London WC1E 6BT, UK 4 Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, 660 South Euclid Avenue, Saint Louis, MO 63110, USA e-mail: [email protected] ment to their target tissues for successful infection. Surface-exposed adhesion molecules, termed ‘adhesins’, establish initial attachment to the host, often in a specific manner. First-line attachment through adhesins is sufficient to trigger host responses such as cytoskeleton reorganisation or to enable virulence mechanisms mediated by the various secretion systems to come into action [1,2]. These secretion systems secrete toxins and effector proteins into the extracellular milieu or directly into the host cells. This review seeks to give an overview of the current understanding of pathogenesis from a structural point of view, focusing on adhesins, and the secretion systems used to present adhesins to the bacterial cell surface and to secrete virulence factors. For reasons of clarity and given the limited space, Gram-positive bacterial adhesion and secretion systems will not be addressed. Recently determined Gram-positive adhesin structures not discussed here include the internalin isologues InlA, InlB and InlH, and the InlA–human E-cadherin (hEC1) complex [3–5,6], the Staphylococcus fibronectin-binding adhesins ClfA and SdrG [7,8], and collagen-binding adhesins Cbd19 and Cna [9,10]. Current Opinion in Structural Biology 2004, 14:161–170 This review comes from a themed issue on Macromolecular assemblages Edited by R Anthony Crowther and BV Venkataram Prasad 0959-440X/$ – see front matter ß 2004 Elsevier Ltd. All rights reserved. DOI 10.1016/j.sbi.2004.03.004 Abbreviations AAD all-a-helical domain ABC ATP-binding cassette CTD C-terminal domain GAP GTPase-activating protein GEF guanine exchange factor GlcNAc N-acetyl-D-glucosamine OM outer membrane NBD nucleotide-binding domain NTD N-terminal domain Nte N-terminal extension PRR proline-rich repeat T3SS type III secretion system T4SS type IV secretion system Introduction Pathogenic bacteria apply a versatile and flexible repertoire of mechanisms by which they exert influence over their hosts. Yet, studies have unravelled common themes. In the first instance, most bacteria need to initiate attachwww.sciencedirect.com Bacterial adhesins A common way for bacteria to accomplish adhesion is through the use of pili — fibrous protein organelles produced on the surface of bacteria. In the case of type I and P pili, prototypical pili produced by the chaperoneusher pathway (Figure 1), a single two-domain adhesin is present at the distal end of the multisubunit pilus [11,12]. Structures of the uropathogenic and enterotoxic Escherichia coli adhesins FimH, PapG (uropathogenic) and GafD/F17-G (enterotoxic) show that, despite their lack of sequence similarity, their receptor-binding domains share a similar b-barrel jellyroll fold [13–18]. However, the receptor-binding sites of these adhesins differ markedly and occupy different parts of the structure (Figure 2a). Mannose-specific FimH binds its sugar receptor in a deep, negatively charged pocket formed by the loops at the tip of its receptor-binding domain [13]. PapG, on the other hand, binds globoside series of glycopeptides presented on the kidney surface; the sugar is bound in a shallow binding pocket formed by three strands and a loop, and located along the side of the molecule [15]. Isologous GafD and F17-G (in F17 and G fimbriae) bind the terminal N-acetyl-D-glucosamine (GlcNAc) residues of glycoproteins. Structures of GafD and F17-G in complex with GlcNAc reveal a shallow sugar-binding site along the side of the molecule that is unrelated to those of PapG or FimH [16,17]. Together, Current Opinion in Structural Biology 2004, 14:161–170 162 Macromolecular assemblages Figure 1 Type I Type III GSP Chaperone-usher PapG Type IV Precipitation-nucleator Type V (autotransporter) CsgA Type II PrgI,(J) PapA E OM TolC CsgB NalP PapC CsgG HlyD IM C HlyB ATP ADP C InvG,H PulD PulS B7 Vir B9, B10 PulC PulF-O PapD P B8 C N B2 B5 B6 SecYEG SecA ATP N ADP SP PrgH,K PulE SecB B11 C ATP ADP N Sic ATP ADP C ATP ADP D4 N Current Opinion in Structural Biology Schematic overview of the major protein secretion systems in Gram-negative bacteria. The secretion systems are represented by the following pathway models: hemolysin secretion for type I secretion; P pili assembly for the chaperone-usher pathway; NalP for the type V pathway (autotransporters); Csg curli for the precipitation-nucleator pathway; pullulanase secretion for type II secretion; and Salmonella and Agrobacterium annotation for the type III and type IV pathways, respectively. Type I, type III and type IV secretion systems secrete proteins in an energized step without a periplasmic intermediate. The chaperone-usher, autotransporter, precipitation-nucleator and type II pathways have periplasmic intermediates that are transported through the general secretory pathway (GSP). The N- or C-terminal signal peptides of the exported proteins are indicated by green rectangles (removed only in the GSP by a signal peptidase [SP]). C, cytoplasmic space; E, extracellular space; IM, inner membrane; OM, outer membrane; P, periplasm. these structures underline the flexibility with which different bacterial strains can establish tropism in infection through the use of a common scaffold for receptor binding. Type IV pili subunits (type IV pilins) show a different mode of receptor binding [19–21,22]. The common scaffold of the type IV pilins, assembled by a type-IIrelated secretion machinery (Figure 1), is composed of an elongated a helix packed against an a/b domain at its C-terminal end. The packing architecture of these pilus subunits differs between species, but in each case involves helical packing of the a/b domains, so that the hydrophobic extended a helices are aligned along the helical axis and form the inner core of the pilus [19,22]. Although each subunit has a receptor-binding site, the variation in subunit structure and helical packing gives rise to differences in their exposure. In Pseudomonas PAK pili, only the subunits at the distal end of the pilus have their binding pockets exposed, whereas in TCP pili in Vibrio they have their functional residues exposed all along the pilus [22]. In Neisseria MS11 pili, the receptor-binding site is housed in separate subunits at the tip of the pilus [19]. Current Opinion in Structural Biology 2004, 14:161–170 Both the chaperone-usher and type IV pilin secretion pathways are dedicated to the secretion of adhesins. However, other secretion pathways are also known to participate in adhesin assembly. Bordetella pertussis P.69 pertactin is an example of an autotransporter adhesin [23]. The structure of its N-terminal, functional domain (residues 1–539) consists of an elongated 16-stranded parallel b helix from which several loops protrude laterally. These loops contain a proline-rich repeat (PRR) of sequence (GGXXP)5 following an Arg-Gly-Asp (RGD) sequence, both known to form the cell-attachment sites of various mammalian adhesion proteins. Another PRR is present in the C-terminal, immunodominant region of the protein. Invasin and intimin are structurally related adhesins anchored to the outer membrane and assembled by the Sec-dependent system (Figure 1). Whereas invasin targets host receptors of the b1 integrin family, intimin binds Tir, a bacterial receptor inserted into the host cell membrane by a type III secretion system. In both Yersinia pseudotuberculosis invasin and enteropathogenic E. coli intimin, a C-type lectin-like receptor-binding domain is separated from a membrane-embedded N-terminal domain by several tandem Ig-like repeats, four in invasin www.sciencedirect.com Bacterial pathogenesis Remaut and Waksman 163 Figure 2 of the lectin-like domain (Figure 2b) [24,26]. Similar to the picture revealed for the chaperone-usher pili adhesins (above), the invasin and intimin structures demonstrate the use of a common scaffold to mediate different modes of adhesion. (a) Yet another mode of host–pathogen interaction is demonstrated by Neisseria meningitides OpcA. OpcA is an integral outer membrane protein that mediates adhesion to epithelial and endothelial cells by binding to vitronectin and proteoglycans. OpcA consists mainly of a tenstranded transmembrane b barrel [27]. A positively charged receptor-binding site is formed by loops protruding from the outer surface of the barrel. FimH GafD PapG (b) D1 D2 D3 D4 D5 Secretion systems in Gram-negative bacteria Figure 1 summarizes the major secretion pathways in Gram-negative bacteria and structural information on the various systems is discussed below. For recent reviews on bacterial secretion systems, the reader is directed to [1,2,28,29]. Type I secretion D3 D0 D1 D2 Tir IBD Current Opinion in Structural Biology Structures of bacterial adhesion molecules. (a) Comparison of the N-terminal receptor-binding domains of the E. coli chaperone-usher adhesins FimH, GafD and PapG (from left to right) in complex with their ligands D-mannose, GlcNAc and GbO4, respectively (shown as ball-and-stick models). Despite the low sequence similarity (22–27% identity), the receptor-binding domains adopt a similar Ig-like jellyroll motif. The labelled strands are structural elements of the Ig core. The receptor-binding sites of the different proteins are formed by unrelated structural elements of the similar scaffold. Strands and helices are coloured red and blue, respectively. (b) Comparison of the structurally related adhesins Yersinia pseudotuberculosis invasin (upper panel) and E. coli intimin (lower panel). The C-terminal lectin-like domain (D5 and D3 in invasin and intimin, respectively, represented by blue strands and red helices) is preceded by several Ig repeats (light blue; D1–D4 and D0–D2, respectively), which are attached to an Nterminal membrane-spanning domain. The receptor-binding sites of invasin and intimin are indicated in green. Both molecules use unrelated parts of the lectin-like fold for receptor binding. (The D0 domain of intimin is homology modelled and is absent from the determined structure.) Tir IBD indicates the location of the Tir-intimin binding domain. (D1–D4) and three in intimin (D0–D2) (Figure 2b) [24– 26]. The distal Ig-like repeat (D4 and D2 in invasin and intimin, respectively) maintains close interactions with the terminal lectin-like domain. The receptor-binding interfaces of intimin and invasin map to opposite sides www.sciencedirect.com Type I or ABC (ATP-binding cassette) protein-mediated secretion systems, involved in multidrug efflux and toxin export, comprise three components: an inner membrane ABC protein, an outer membrane (OM) protein and a membrane fusion protein that connects the two during protein translocation [30,31]. Type I protein secretion proceeds without a periplasmic intermediate. The OM component, visualized in the E. coli TolC structure, forms a transperiplasmic channel-tunnel composed of a 40 Å transmembrane b-barrel (the channel) and a 100 Å periplasmic a-helical barrel (the tunnel) (Figure 3) [32]. In contrast to other OM-spanning b-barrels, which are formed by a single polypeptide, the TolC channel is trimeric, each TolC subunit contributing four strands. The TolC channel-tunnel has an internal diameter of 35 Å, is open to the cell exterior and decreases in diameter to a nearly closed gate at the periplasmic end of the abarrel. The a-helices associate in a coiled-coil ‘knobsinto-holes’ interaction and mutagenesis studies provide a model for the widening of the aperture of the tunnel entrance through an iris-like realignment of the helices during recruitment by substrate-engaged inner membrane complexes [33]. Chaperone-usher pathway The chaperone-usher pathway is used to produce pili on the surface of bacteria. It requires a periplasmic chaperone that stabilizes pilus subunits (or pilins) in the periplasm and primes them for fibre formation at the OM usher [12,34,35]. A recent series of structures of the PapD, FimC and Caf1M chaperones in complex with the PapK, PapE, FimH and Caf1 pilins reveals details of how the chaperone is able to facilitate pilin folding and stabilization, and cap the pilin–pilin interaction surfaces, avoiding Current Opinion in Structural Biology 2004, 14:161–170 164 Macromolecular assemblages Caf1M–Caf1–Caf1 complex (Figure 4) [37,38]. In addition, these complexes rationalize how pilus subunits are primed for fibre formation in the absence of an NTPdriven energy step. The chaperones trap the pilus subunits in a high-energy folding intermediate that relaxes to its ground state only upon donor-strand exchange (Figure 4). Figure 3 (a) (b) OM Type III secretion and effectors P At present, high-resolution structures of components of the injectosome, the type III secretion system (T3SS) machinery (Figure 1), are lacking. Electron microscopy imaging, however, reveals a modular architecture reminiscent of the flagellar basal body, in which the hook is replaced by an extracellular needle that is involved in protein secretion and direct injection into eukaryotic host cells via pore-forming components at its distal end [39–42]. Current Opinion in Structural Biology Ribbon representation of the TolC outer membrane component of the type I secretion pathway (a) viewed sideways and (b) viewed from the closed periplasmic tunnel end. A single monomer in the trimer is differentiated by colour: blue strands and red helices in the transmembrane b-barrel and the periplasmic tunnel, and green helices and dark-blue strands in the small domain on the side of the periplasmic tunnel. OM, outer membrane; P, periplasm. untimely polymerisation [13,36,37,38]. The chaperone consists of two Ig-fold domains that form an L-shaped molecule. The pilus subunit comprises an incomplete Ig fold, lacking the seventh G b-strand (Figure 4). As a result, a deep hydrophobic groove is formed on the pilin surface. In the chaperone–pilus subunit complexes, the missing strand in the pilin fold is ‘donated’ by the chaperone, which inserts its G1 b-strand (i.e. the G strand of the N-terminal Ig-fold domain of the chaperone) into the pilin groove in a mechanism termed ‘donor-strand complementation’ (Figure 4). Pilus subunits have an approximately 11-residue N-terminal peptide (named N-terminal extension [Nte]) that is not part of the pilin fold and contains a conserved motif of alternating hydrophobic residues, required for fibre formation. These observations led to a model for pilin–pilin interaction in which the chaperone is replaced by an incoming pilin through exchange of the chaperone G1 complementing strand for the Nte of the pilin next in the assembly line. This mechanism of ‘donor-strand exchange’ was caught in action in the structure of PapENtd (i.e. a PapE subunit in which the Nte had been deleted to prevent self-polymerisation) in complex with the 11-residue PapK Nte peptide, and the structure of a Current Opinion in Structural Biology 2004, 14:161–170 By contrast, the structural biology of type III effectors has made rapid progress in recent years and has revealed a mechanism of functional mimicry whereby several components interact with key cellular regulators, thereby hijacking host cell processes to their advantage [43]. Secretion through the T3SS requires specific chaperones that recognize an N-terminal chaperone-binding domain in the effector protein. Remarkably, structures of the chaperone-binding domains of the Salmonella and Yersinia effectors SptP and YopE bound to their respective chaperones, SicP and SycE, show a rather unconventional chaperone–effector interaction [44,45]. The chaperone-binding domains bind in an extended, unfolded form by inserting two distinct portions of their sequence in equivalent hydrophobic grooves on both molecules of a chaperone dimer (Figure 5a). In analogy with the related flagellar system, this non-globular state may be relevant for travel through the T3SS, given the limited diameter of the needle complex (25 Å) [46]. Structures of CesT, SigE and SycE confirm a general fold for T3SS chaperones, despite the low degree of sequence similarity [47–49]. The way in which effector molecules interact with host metabolism is demonstrated by the co-crystal structures of the Salmonella and Pseudomonas guanine exchange factor (GEF) SopE, and GTPase-activating proteins (GAPs) SptP and ExoS with their human Rho GTPase targets, Cdc42 and Rac1 (Figure 5) [50,51,52]. The SopE78–420 effector domain binds the regulatory switch I and II regions of Cdc42, leaving the nucleotide-binding pocket open to the solvent (Figure 5b). A loop connecting the two a-helical bundles in SopE inserts between both switch regions and pushes switch I into a distorted conformation. Furthermore, the SopE–switch II interaction induces a peptide flip that disrupts the Cdc42 magnesium-binding site. In concert, these actions displace GDP from inactive GDP-bound Cdc42, leaving it free for www.sciencedirect.com Bacterial pathogenesis Remaut and Waksman 165 Figure 4 (a) (c) Caf1’’ Caf1’Nte Caf1M (b) Caf1’ Current Opinion in Structural Biology Donor-strand exchange in chaperone-usher pilus assembly. (a) Ribbon representation and (b) topology diagram of the PapENtd (cyan)—PapD chaperone complex (at left; for PapD, only the G1 donor strand is depicted, in yellow) and the PapENtd (cyan)—PapK Nte peptide (purple) complex (at right). Upon exchange, the G1 strand of the chaperone, running parallel to the pilin F strand, is replaced by the Nte of a preceding pilin, now running antiparallel to the F strand. The structures demonstrate the repacking of residues in the pilin core and highlight how the collapse of the pilin domain to its final folded state drives fibre formation. (c) Structure of the Caf1M–Caf1–Caf1 complex capturing both donor-strand complementation and donor-strand exchange in action. The two-domain Caf1M chaperone is coloured cyan, with the exception of the A1 and G1 strands, which are involved in donor-strand complementation (shown in dark blue). The donor-strand complemented Caf1 subunit (Caf10 ) is coloured dark green, whereas the donor-strand exchanged Caf1 subunit (Caf100 ) is coloured green. The Nte of the Caf10 subunit, exchanged with the Caf100 subunit, is coloured red. Isolation of the Caf1M–Caf1–Caf1 complex was made possible through mutating Ala9 to arginine, which prevents further polymerisation of Caf1 subunits. activation by the cytoplasmic GTP pool. In contrast, the GAPs activate the intrinsic GTPase activity of Rho GTPases. Structures of ExoS, SptP, YopE, and the ExoS–Rac1 and SptP–Rac1 complexes show a four-helix bundle for the bacterial GAP domain [51–54]. In the GAP–Rac1 complexes, two of the helices interact with Rac1, inserting a catalytically essential arginine (146 and 209 in ExoS and SptP, respectively) into the active site of the GTPase, where it interacts with the b-phosphate oxygen and the fluoride of the aluminium trifluoride g-phosphate equivalent. By doing so, ExoS and SptP are able to stabilize the negative charge that develops on the phosphoryl leaving group. Other GAP–Rac1 interactions include the ordering of switch I, and the positioning of Gln61 in switch II so that it can hydrogen bond with and activate an attacking water molecule. Through these interactions, GAPs are able to increase GTPase activity many-fold. Recently determined structures of T3SS effectors not discussed here include the N-terminal domain of the protein tyrosine phosphatase (PTP) YopH, known to bind www.sciencedirect.com phosphate in conjunction with its role as a chaperonebinding domain [55–57]; the leucine-rich repeat protein YopM [58]; and SipA, which directly interacts with host actin [59]. Type IV secretion Type IV secretion systems (T4SSs) are ubiquitous in bacterial pathogens. They are ancestrally related to bacterial conjugation systems and consist of at least 12 proteins, named VirB1–11 and VirD4 [60]. The T4SS machinery is powered by three ATPases or nucleotidebinding proteins: VirB4, VirB11 and VirD4 (Figures 1 and 6). The core components of the system include VirB6–10. An extracellular appendage or pilus consisting of a major component, VirB2, and a minor component, VirB5, appears to be attached to the core machinery through VirB7. The pilus may serve as an attachment device. Recently determined structures of free and nucleotidebound HP0525, the VirB11 homologue from Helicobacter pylori, yield a complete view of its inner workings [61,62] (Figure 6). The HP0525 monomer contains Current Opinion in Structural Biology 2004, 14:161–170 166 Macromolecular assemblages Figure 5 (a) the HP0525ADP or HP0525ATPgS complex structures. While the CTD rings remain unaffected, the NTDs undergo rigid-body rotations. Based on the structural and functional evidence, a four-step cycling mechanism was proposed for the VirB11 ATPases [62]. The only significant structural similarity HP0525 has with other proteins in the Protein Data Bank is with the p97 AAA ATPase, a protein involved in homotypic membrane fusion and organelle biogenesis, suggesting that VirB11 ATPases are perhaps involved in similar functions in the assembly and disassembly of the T4SS machinery. SycE N (b) YopE dimer Cdc42 Switch II C TrwB, the VirD4 homologue from the conjugative plasmid R388, is also a hexameric T4SS component, but with a very different assembly [63,64] (Figure 6). The TrwB71–507 monomer has an orange-segment shape and consists of two domains: a cytosol-oriented all-ahelical domain (AAD) and a membrane-proximal nucleotide-binding domain (NBD). The assembly of TrwB is similar to that of hexameric helicases. A central channel runs from the cytosolic pole (formed by the AADs) to the membrane pole (formed by the NBDs), ending at the putative transmembrane pore. SopE Switch I Switch II SptP GAP domain Rac1 SptP PTP domain Switch I Current Opinion in Structural Biology Structures of type III effectors bound to their cognate chaperone or cellular targets. (a) Structure of the Yersinia SycE chaperone dimer (cyan) in complex with the YopE recognition domain (red). The chaperone-binding domain is bound to the chaperone dimer in an extended, unfolded state. (b) Ribbon representations of the Salmonella type III effectors (colour ramped from blue to green from N to C terminus) SopE78–420 (upper panel) and SptP (lower panel) bound to their human Rho GTPase targets Cdc42 and Rac1 (gold), respectively. Both SopE78–420 and the SptP N-terminal GAP domain (blue) interact with the switch I and switch II regions (coloured magenta) of the Rho GTPases. The C-terminal domain (green) of SptP is a protein tyrosine phosphatase (PTP) domain, the function of which is not discussed in this review. two contiguous domains that form a nucleotide-binding site at their interface. In the functional hexamer, the Nand C-terminal domains (NTD and CTD) form two rings, which together form a dome-like chamber open on one side (the NTD ring) and closed on the other (the CTD ring). The structure of apo-HP0525 reveals an asymmetric hexameric assembly that is significantly different from Current Opinion in Structural Biology 2004, 14:161–170 The interactions of VirD4 proteins with other proteins and their location strongly suggest that these proteins do indeed act as a coupling factor between the relaxosome (see below) and the T4SS machinery. The ability of VirD4 proteins to bind DNA and the possibility that they may be able to harness the energy derived from NTP binding and hydrolysis (perhaps cofactor aided) suggest that they may play a direct role in DNA transport, and help thread the DNA towards a transmembrane T4SS pore and/or drive the DNA through it. A main drawback of this model is that the hole (8 Å) on the cytoplasmic side is too narrow for single-stranded DNA to pass through it. Also, ATP binding does not appear to be sufficient to trigger conformational changes. Conformational changes may, however, be induced by interaction with relaxosome components or other cellular proteins. The structure of TraC, the VirB5 orthologue from the E. coli conjugative plasmid pKM101, reveals a single-domain protein with a mostly a-helical elongated structure [65] (Figure 6). Three long a-helices form the backbone of the structure. This backbone supports an a-helical, loose appendage formed by four short helices. Recent efforts to assign the TraC function from its structure provided functional evidence suggesting that VirB5 proteins mediate some of the pilus functions, such as phage attachment and cell adhesion [65]. The structural biology of T4SS effectors is still relatively new, except for the structure of the pertussis toxin, which has been known for some time [66–68]. More recently, the structure of the catalytic moiety of a relaxase has been www.sciencedirect.com Bacterial pathogenesis Remaut and Waksman 167 Figure 6 C B5 Surface structures B2 OM N B7 B9 B10 P Core complex B8 B6 IM B4 B11 D4 ATP ADP Current Opinion in Structural Biology Schematic representation of a model of the T4SS machinery, annotated according to the Agrobacterium VirB nomenclature. The pop-up diagrams show the type IV components that have been structurally characterized (clockwise from upper right): the E. coli VirB5 orthologue TraC, the H. pylori VirB11 homologue HP0525 and the E. coli VirD4 homologue TrwB. In the latter two structures, monomers have been differentiated by colour. Secondary structures in TraC are indicated. IM, inner membrane; OM, outer membrane; P, periplasm. determined [69]. The relaxase is part of the relaxosome, a multiprotein complex that nicks and reacts covalently with conjugative plasmid DNA, thereby initiating its transport by the conjugative T4SS. This structure sheds light on the enzymatic activity of the relaxase, but, as for pertussis toxin, molecular details of effector transport remain elusive. Conclusions The past three years have seen exciting developments in our understanding of the molecular basis of bacterial pathogenesis. Not only are the modes of action of bacterwww.sciencedirect.com ial toxins and effectors being unravelled, but also our understanding of the complex architecture and function of bacterial secretion systems is increasing. Future efforts will no doubt be directed towards the visualization of entire secretion machineries using cryo-electron microscopy and image reconstruction. This will require the development of sophisticated biochemical tools. Purification of the entire type III system has already been achieved and efforts are being deployed to unravel its molecular architecture at high resolution. Future developments will include similar work on other secretion systems. Current Opinion in Structural Biology 2004, 14:161–170 168 Macromolecular assemblages Update The recent structure of the in vitro folded translocator domain of Neisseria meningitidis NalP [71] provides the first structural insight into the mechanism of type V or autotransporter assembly. Adding to this break-through in our understanding of bacterial autotransporters, the recent structures of the collagen-binding domain of Yersinia adhesin YadA [72] and the high-affinity receptor-binding domain (HiaBD1) of Haemophilus influenza adhesin Hia [73] provide structural information on the details of pathogen–host interactions mediated by type V autotransported adhesins. Acknowledgements conformational change upon complex formation. In addition, the complex rationalizes how SdrG can inhibit the release of chemotactic fibrinopeptide B, reducing the influx of phagocytic neutrophils. 9. 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Ribbon diagrams were generated with MolScript [70]. 13. Choudhury D, Thompson A, Stojanoff V, Langermann S, Pinkner J, Hultgren SJ, Knight SD: X-ray structure of the FimC-FimH chaperone-adhesin complex from uropathogenic Escherichia coli. Science 1999, 285:1061-1066. References and recommended reading 14. Hung CS, Bouckaert J, Hung D, Pinkner J, Widberg C, DeFusco A, Auguste CG, Strouse R, Langermann S, Waksman G, Hultgren SJ: Structural basis of tropism of Escherichia coli to the bladder during urinary tract infection. Mol Microbiol 2002, 44:903-915. Papers of particular interest, published within the annual period of review, have been highlighted as: of special interest of outstanding interest 1. Stathopoulos C, Hendrixson DR, Thanassi DG, Hultgren SJ, St Geme JW III, Curtiss R III: Secretion of virulence determinants by the general secretory pathway in gram-negative pathogens: an evolving story. Microbes Infect 2000, 2:1061-1072. 2. 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