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Immunogenetics DOI 10.1007/s00251-007-0248-0 REVIEW Genetics-squared: combining host and pathogen genetics in the analysis of innate immunity and bacterial virulence Jenny Persson & Russell E. Vance Received: 16 August 2007 / Accepted: 20 August 2007 # Springer-Verlag 2007 Abstract The interaction of bacterial pathogens with their hosts’ innate immune systems can be extremely complex and is often difficult to disentangle experimentally. Using mouse models of bacterial infections, several laboratories have successfully applied genetic approaches to identify novel host genes required for innate immune defense. In addition, a variety of creative bacterial genetic schemes have been developed to identify key bacterial genes involved in triggering or evading host immunity. In cases where both the host and pathogen are amenable to genetic manipulation, a combination of host and pathogen genetic approaches can be used. Focusing on bacterial infections of mice, this review summarizes the benefits and limitations of applying genetic analysis to the study of host–pathogen interactions. In particular, we consider how prokaryotic and eukaryotic genetic strategies can be combined, or “squared,” to yield new insights in host–pathogen biology. Keywords Genetics . Mutagenesis . Host resistance . Mice . Bacteria Introduction It could be argued that infection is an intrinsic and unavoidable feature of life. Certainly, infectious disease continues to pose a great burden on humanity, accounting for approximately a quarter of deaths worldwide each year, with the bulk of these occurring in developing countries (World Health Organization). The advantages pathogens J. Persson : R. E. Vance (*) 415 Life Science Addition, University of California, Berkeley, CA 94720, USA e-mail: [email protected] have over their hosts are numerous, including the general ability of pathogens to replicate much faster than their hosts. Thus, in the face of natural selective pressures—or even in the face of unnatural selective pressures applied by humans, such as antibiotics—pathogens exhibit a virtually unlimited capacity to adapt, infect, and (too often) cause disease. There is no single defining structural characteristic of a pathogen; indeed, the variety of pathogens is impressive. Yet, the difference between a pathogen and a commensal organism is often simply a matter of a few genes on a virulence plasmid. It is against this backdrop that the remarkable capacity of vertebrate immune systems becomes evident. Many, if not most, infections do not cause significant morbidity or mortality and are limited by the host. Whether, in fact, reduced host pathology is merely yet another way that pathogens manipulate their hosts to maximize replication is still an interesting question (Brown et al. 2006; Portnoy 2005). Regardless, it is clear that host immune systems are adaptable and sophisticated enough that their interactions with pathogens are often highly complex and interwoven. In this paper, we consider what the complexity of host– pathogen interactions might mean for the geneticist trying to dissect these interactions. Genetic strategies have been proven time and again to provide powerful experimental insight into complex biological processes, and the immune response is no exception. However, as is widely acknowledged and discussed further below, genetic redundancy and pleiotropy can often obscure the power of genetics to determine roles for bacterial or host genes in infections. In cases where both the host and pathogen are genetically amenable, one idea that recurs in the literature is that it might be possible to gain further insight into infectious disease processes by developing genetic strategies in which host and pathogen genetic approaches are combined in a single experimental system. We refer to this idea as Immunogenetics “genetics-squared.” Here, focusing on bacterial infections of mice, we first discuss examples of host- and pathogenbased genetic strategies that have been applied, and then consider the potential of “genetics-squared” as an additional strategy in the study of host–pathogen interactions. Genetic approaches in the mouse A wide variety of genetic approaches have been applied in the mouse to dissect host–pathogen interactions. The ability to generate targeted “gene knockout” mutations in the mouse genome has been an incredibly valuable “reverse genetic” tool for obtaining valuable information about the role of particular (known) host genes in the response to pathogens (Buer and Balling 2003). Here, we focus on forward genetic strategies aimed at determining novel host genes involved in resistance to bacterial pathogens. Traditionally, the most popular strategy has been to identify natural genetic variants among inbred mouse strains involved in resistance to pathogens. A contrasting approach that we also consider is the generation of novel mutations affecting susceptibility to pathogens using the potent mutagen N-ethyl-N-nitrosourea (ENU). Identification of natural polymorphisms The development of a large number of inbred mouse strains that exhibit considerable genetic and phenotypic diversity (Wade and Daly 2005) has permitted the discovery of several naturally occurring mutations in novel genes that control susceptibility to bacterial pathogens. The following examples illustrate both the power and limitations of using naturally occurring variation as a way to dissect host– pathogen interactions. Nramp1 (Slc11a1) The contrasting susceptibility of different inbred mouse strains to the intracellular pathogens Mycobacterium bovis (BCG), Salmonella typhimurium, and Leishmania donovani was mapped to the same locus on chromosome 1, denoted Bcg, Ity, or Lsh in each respective case (Bradley 1974; Gros et al. 1981; Plant and Glynn 1974). Subsequent genetic analysis indicated that the phenotype was controlled by a single dominant gene within the Bcg (Ity, Lsh) locus (Bradley and Kirkley 1977; Gros et al. 1981; Plant and Glynn 1976; Skamene et al. 1982), and after narrowing the locus to an ~1-Mb region, the gene responsible for the phenotype was defined by positional cloning (Vidal et al. 1993). Analysis of the expression pattern of the candidate gene revealed a high association with reticuloendothelial organs (spleen and liver), and in particular, macrophages from these tissues. Thus, the gene was named Nramp1 for Natural resistance-associated macrophage protein 1. Subsequently, Nramp1 has been renamed Solute carrier family 11a member 1 (Slc11a1). Sequence analysis defined Nramp1 as a previously unidentified protein, structurally similar to membrane-spanning proteins, and containing a motif conserved in prokaryotic and eukaryotic transport proteins (Vidal et al. 1993). Analysis of Nramp1 allelic variants uncovered a strong correlation between the susceptible phenotype and a single amino acid substitution in a transmembrane domain (Malo et al. 1994; Vidal et al. 1993). Notably, the Nramp1 mutation has little or no effect on mouse susceptibility to M. tuberculosis (Kramnik et al. 2000; North et al. 1999). The formal confirmation of Nramp1 as the responsible gene in differing susceptibility phenotypes was obtained by the demonstration that a mouse carrying a null allele at Nramp1 exhibited increased susceptibility to M. bovis, S. typhimurium, and L. donovani (Vidal et al. 1995). With the discovery that Nramp homologs function in transport of divalent cations (Fleming et al. 1997; Gunshin et al. 1997; Supek et al. 1996), it was suggested that Nramp1 might also function as a divalent cation pump. Indeed, subsequent studies showed that Nramp1 is a pH-dependent transporter of divalent cations and that Nramp1 transports Mn2+ more efficiently than Fe2+ (Forbes and Gros 2003; Jabado et al. 2000). It has been proposed that Nramp1 functions in antimicrobial resistance by limiting the phagosomal availability of critical metals and/or by modulating the phagosomal environment (Fortier et al. 2005). The increasing number of studies on Nramp1 in diverse contexts underlines the pleiotropic effects of this gene. Thus far, Nramp1 has been ascribed distinct roles in different bacterial infections, such as in infections with Mycobacteria (acidification of mycobacterial phagosome; Hackam et al. 1998) or Salmonella (maturation of Salmonella- containing vacuole; Cuellar-Mata et al. 2002). Additional roles have also been suggested, e.g., in Th polarization, MHC class II expression, and antigen presentation (Caron et al. 2006; Kaye and Blackwell 1989; Lang et al. 1997; Stober et al. 2007; Zwilling et al. 1987). The identification of Nramp1 is an impressive accomplishment that illustrates several themes that recur in the forward genetic identification of pathogen-susceptibility genes. First, forward genetics permits the identification of novel genes that are not likely to have been otherwise discovered. Second, the forward genetic identification of naturally occurring polymorphisms affecting a phenotype is often slow and difficult. Although this process will undoubtedly be facilitated by the availability of whole genome sequences for several mouse strains, an underlying problem is that multiple polymorphisms are often linked to a phenotype of interest. Even with whole genome sequences, it remains an extremely difficult problem to identify the critical, causative polymorphism. As discussed below, this problem does not arise as significantly for ENU-induced Immunogenetics mutations and is in fact one major advantage of ENU mutagenesis over the identification of naturally occurring polymorphisms. The third lesson is that the identification of a gene influencing susceptibility to pathogens—while time consuming and difficult—often turns out to be only the beginning. Even if the phenotype is controlled by a single gene, that single gene can have pleiotropic effects. Indeed, understanding the function of pathogen-susceptibility genes often turns out to be more difficult than mapping them in the first place. Naip5 The intracellular bacterium Legionella pneumophila exhibits little growth in mouse macrophages from the B6 mouse strain but replicates 3–4 logs in macrophages from the A/J strain (Yamamoto et al. 1988; Yoshida et al. 1991). Studies of crosses of restrictive and permissive mice showed that restriction of L. pneumophila is dominant and segregates in a Mendelian fashion to a single autosomal locus on mouse chromosome 13, denoted Lgn1 (Beckers et al. 1995; Dietrich et al. 1995). The Lgn1 locus was found to contain a tandemly repeated family of genes called neural apoptosis-inducing protein (Naip) genes (also sometimes called Birc1 genes). Early genetic mapping of the Naip (Birc1) genes implicated either Naip2 (Birc1b) or Naip5 (Birc1e) in controlling permissiveness for Legionella growth in mouse macrophages (Growney and Dietrich 2000; Growney et al. 2000). Ultimately, evidence obtained by positional cloning and functional complementation (Diez et al. 2003; Wright et al. 2003) suggested that the Naip5 gene was solely responsible for the Lgn1 phenotype. The presence of 14 polymorphisms in the A/J allele of Naip5, and/or the observed lower expression of the Naip5 gene in A/J macrophages, may be responsible for the permissive phenotype (Wright et al. 2003). However, again illustrating the confounding difficulties of multiple linked polymorphisms, the precise polymorphism(s) responsible for the Lgn1 phenotype has not been identified. The role of Naip5 in restriction of Legionella growth is still unclear but has, together with the homologous protein Ipaf, been suggested to be involved in intracellular sensing of bacterial flagellin and subsequent activation of a rapid, caspase-1dependent macrophage cell death (see below; Molofsky et al. 2006; Ren et al. 2006; Zamboni et al. 2006). This rapid cell death may act to limit bacterial spread to new host cells. Alternatively, Naip5 may promote rapid maturation of the bacteria-containing vacuole, thereby inhibiting the formation of the specialized compartment in which Legionella replicates (Amer and Swanson 2005; Fortier et al. 2007; Watarai et al. 2001). Again, the identification of the mechanism by which Naip5 protects cells from Legionella has been almost as challenging as mapping and cloning the gene in the first place. As yet, a Naip5 knockout mouse has not been reported. Tlr4 One of the most celebrated successes of the application of forward genetics to innate immunity has been the discovery that the unresponsiveness of certain mouse strains to bacterial lipopolysaccaride (LPS) is controlled by Toll-like receptor 4 (TLR4; Poltorak et al. 1998). The story began in the 1970s with the identification of the Lps locus on chromosome 4. In C3H/HeJ mice, this locus appeared to be linked to defective LPS responses (Watson et al. 1977, 1978) and extreme susceptibility to infection with Salmonella (O’Brien et al. 1980; Robson and Vas 1972; von Jeney et al. 1977). Early backcross analysis of responsive C57BL/6J and unresponsive C3H/HeJ mice suggested that a single gene was responsible for the Lps phenotype (Watson et al. 1977, 1978), and genetic analysis in C3H/HeJ and C57BL/10ScCr mice, both unresponsive to LPS (Coutinho and Meo 1978; Watson et al. 1977, 1978), indicated that this gene was the Tlr4 gene (Poltorak et al. 1998). The generation of a Tlr4 knock out mouse provided confirmatory evidence that LPS unresponsiveness is indeed due to lack of expression of Tlr4, and it was shown that peritoneal macrophages from Tlr4−/− mouse were as unresponsive to LPS as macrophages from C3H/HeJ mice (Hoshino et al. 1999). Interestingly, and in contrast to the relatively slow progress seen in identifying the function of other pathogenresistance genes identified by forward genetics, we have learned a tremendous amount about the role of Tlr4 in immune defense since its discovery. Rapid progress was likely possible because prior data had already indicated that Toll-like receptors were crucial in the response to pathogens, and there was already wide acceptance of the idea that innate recognition of conserved microbial substances was critical for immunity (Janeway 1989; Medzhitov and Janeway 1997). One influential finding was the demonstration that Drosophila Toll is critical for resistance to fungal infections (Lemaitre et al. 1996). In addition, the year before the LPS-responsive phenotype was linked to the Tlr4 gene, Medzithov et al. had cloned the human TLR4 homologue (hToll). By fusing the cytosolic region of human Toll to the extracellular region of CD4, a TLR that could signal in the absence of an activating ligand was created and analyzed. Importantly, hToll exhibited several characteristics of a receptor involved in innate immune responses, such as induction of NF-κB, costimulatory molecules, and proinflammatory cytokines such as IL-1, IL-6, and IL-8 (Medzhitov et al. 1997). One lesson may be that the power of genetics is often maximal when combined with other approaches. Nalp1b The lethal toxin (LeTx) of Bacillus anthracis induces a very rapid necrotic-like death in macrophages of certain mouse strains (e.g., C3H, 129; Friedlander et al. 1993; Roberts et al. 1998) but has only delayed or relatively Immunogenetics mild effects on macrophages from other mouse strains (e.g., C57BL/6). Differing susceptibility to LeTx was predicted to be due to a single gene that mapped to a locus, Ltx1, on mouse chromosome 11 (Roberts et al. 1998). Initially, the gene Kif1c was proposed to be the gene responsible within the Ltx1 locus (Watters et al. 2001). However, because the “susceptible” allele of Kif1c did not always correlate with a susceptible cell phenotype, this finding was later reevaluated, leading to the discovery that one of three tandem Nalp (NACHT-, LRR-, and PYD-containing protein; Martinon et al. 2002) paralogs, Nalp1b, is actually the gene responsible for the Ltx1 phenotype (Boyden and Dietrich 2006). Although Nalp1b is closely linked to Kif1c, Nalp1b was originally not thought to cause the Ltx1 phenotype because expression of Nalp1 genes had not been detected (Watters et al. 2001). Improved polymerase chain reaction (PCR) and sequencing analysis of Nalp1b cDNA from mouse strains with different susceptibility to LeTx revealed that Nalp1b alleles are highly polymorphic and that expression of specific alleles correlates with resistant or susceptible phenotypes (Boyden and Dietrich 2006), again illustrating the potential pitfalls of forward genetic approaches. The data suggested that a functional Nalp1b protein correlates with LeTx-induced macrophage susceptibility. This was confirmed with the generation of a transgenic mouse, in which expression of the susceptible Nalp1b129S1 allele rendered previously LeTx-resistant B6 macrophages fully sensitive (Boyden and Dietrich 2006). In accordance with previous data showing that human NALP1 activates caspase-1 (Martinon et al. 2002) and that caspase-1 is activated in LeTx-susceptible murine macrophage cell lines (Cordoba-Rodriguez et al. 2004), it was demonstrated that LeTx activated caspase-1 in primary macrophages from susceptible, but not resistant, mice (Boyden and Dietrich 2006). Moreover, Caspase-1−/− macrophages carrying a “susceptible” allele of Nalp1b were virtually unresponsive to LeTx treatment (Boyden and Dietrich 2006). Together, the available data suggest that the LeTx-sensitive phenotype depends on Nalp1b-mediated activation of caspase-1, which induces macrophage cell death. This finding has received a lot of attention in light of several studies demonstrating that Nalp-like genes are critical components of a multiprotein complex called the “inflammasome” that appears essential for activation of caspase-1, leading to secretion of important cytokines such as IL-1β and IL-18 (Meylan et al. 2006). Thus, forward genetic analysis of even a relatively restricted phenotype such as susceptibility to anthrax LeTx can result in the discovery of biological pathways of fundamental importance. The genetic analysis of the Ltx1 locus was greatly facilitated by a rapid, robust, and easily assayed celldeath phenotype. Nevertheless, the studies again illustrate how difficult and time consuming forward genetic analysis can be when confronted with the problem of multiple linked polymorphisms. If this lesson is true of monogenic traits, such as those discussed above, then it is even more apparent for polygenic or quantitative traits, such as the Sst1 or Ctrq loci discussed below. Ipr1 and Mycobacterium tuberculosis Inbred mouse strains exhibit major differences in susceptibility to M. tuberculosis (MTB). Early work using crosses between resistant and susceptible strains demonstrated that MTB susceptibility was a complex non-Mendelian, i.e., quantitative, trait (Lurie et al. 1952; Lynch et al. 1965). Among the most resistant mouse strains is B6, while C3HeB/FeJ inbred mice are extremely susceptible. Notably, other C3H strains (C3H/HeJ, C3H/ HeSnJ, and C3H/HeOuJ) are relatively resistant to MTB infection. In spite of the complex nature of the genetic traits that regulate MTB infection, a major locus regulating MTB susceptibility was recently mapped to mouse chromosome 1 and was named Sst1 for Supersusceptibility to tuberculosis 1 (Kramnik et al. 2000). This locus was shown to function independently of infection route (respiratory or i.v.) and appears to play a role in the lung-specific control of infection, resulting in the differential development of necrotic lesions and the ability to control bacterial replication. However, Sst1 function did not confer full protection against virulent MTB, underlining the multifactorial nature of the fully resistant phenotype (Kramnik et al. 2000; Pan et al. 2005). Among the 22 genes comprising the Sst1 locus, a candidate gene involved in regulating MTB infection, intracellular pathogen resistance 1 (Ipr1), was identified by positional cloning (Pan et al. 2005). Macrophage susceptibility correlates with lack of Ipr1 expression, and the ability to limit bacterial replication in lung tissue and resist infection is partially restored by expression of a fulllength Ipr1 transgene. Interestingly, upon infection, macrophages carrying the resistant Sst1 locus succumb to apoptosis, while Sst1-sensitive macrophages undergo necrotic cell death, which may be reverted to apoptosis by expression of the Ipr1 transgene (Pan et al. 2005). Importantly, the human homologue of Ipr1, SP110, has been shown to exhibit polymorphisms associated with susceptibility to MTB in West Africa (Tosh et al. 2006). In a recent study by Yan et al., congenic mice carrying the resistant B6 Sst1 locus on a sensitive C3HeB/FeJ background were intercrossed with B6 mice, and F2 progeny were analyzed. Infection of these mice generated a wide range of survival times (10% died within 70 days, ~25% survived more than 140 days), strongly indicating that there are loci, other than Sst1, that determine sensitivity to MTB infection. Indeed, whole genome scans of individual mice showing radical survival phenotypes indicated resistance linkage to chromosomes 7, 12, 15, and 17. In contrast, in an intercross where all mice carried the Immunogenetics sensitive Sst1 locus, 80% of the mice died within 30 days, suggesting that, although there are other loci contributing to sensitivity, they do not exhibit phenotypes powerful enough to penetrate the Sst1-sensitive phenotype (Yan et al. 2006). This study highlights one of the difficulties of quantitative trait loci (QTL) mapping, namely, that dominance of one locus might mask effects of less prominent, but not necessarily unimportant, loci. Ipr1 and Listeria Resistance to Listeria monocytogenes is also a complex quantitative trait (Boyartchuk et al. 2001), and the Sst1 locus and the Ipr1 gene have also been shown to control susceptibility to Listeria infection in mice (Boyartchuk et al. 2004; Pan et al. 2005). C3Heb/FeJ mice carrying the resistant (B6) allele of Sst1 are somewhat more efficient in controlling replication of Listeria in spleen and liver than wild-type C3Heb/FeJ mice. To test the role of the Sst1 locus in innate immunity more sensitively, Listeria infection was monitored in mice that also carried the Scid mutation, in which the role of Sst1 is more pronounced because of defective adaptive immune responses. IFNγproducing NK-cells and phagocytic cells such as macrophages have previously been shown to contribute to control of Listeria infection in Scid mice (Bancroft and Kelly 1994; Dunn and North 1991; Huang et al. 1993; Tripp et al. 1994), yet neither NK-cell activation nor the production of inflammatory cytokines or the ability to recruit phagocytic cells differ significantly between C3Heb/FeJ-Scid mice carrying susceptible or resistant Sst1 alleles (Boyartchuk et al. 2004). However, at early time points of infection, macrophages from resistant animals show increased levels of reactive oxygen intermediates (ROI), indicating a more efficient activation of these cells. Accordingly, differential killing of Listeria in bone marrow-derived macrophages depended on IFNγ-dependent production of ROI (Boyartchuk et al. 2004). As for macrophages infected with MTB, resistance to Listeria is associated with expression of the Ipr1 gene, and shift of Listeria-induced necrosis (Barsig and Kaufmann 1997) to apoptosis (Pan et al. 2005). In view of available data, it is an attractive suggestion that the Ipr1 gene may be part of a general pathway protecting against intracellular pathogens that induce necrotic cell death. It should be noted that, in crosses of resistant B6/ByJ and sensitive BALB/cByJ mice (Boyartchuk et al. 2001), Ipr1, or Sst1, were not identified as major contributors to the genetic control of Listeria infection. Infected B6/ByJ × BALB/cByJ F2 mice did not display normally distributed survival rates or lengths (required for traditional QTL mapping; Lander and Botstein 1989), and thus, analysis was performed using a novel statistical “single-QTL” model. Using this model, the authors defined two loci on chromosomes 5 and 13, respectively, while a locus on chromosome 1, i.e., possibly the Sst1 locus, was observed as a locus with minor influence on Listeria infection (Boyartchuk et al. 2001). Taken together, the Listeria and MTB studies illustrate the point that analysis of quantitative traits is considerably more challenging than monogenic traits. In addition, it is important to bear in mind the obvious point that different strain backgrounds or experimental approaches can lead to differing conclusions on the role of given genes in the response to pathogen. For instance, B6/ByJ mice are themselves more resistant to Listeria than are the more commonly employed B6/J mice, owing to a polymorphism that affects splicing of the transcription factor IRF-3 (Garifulin et al. 2007). Ctrq-3 (Igtp, Irgb10) Chlamydia trachomatis is a leading cause of preventable blindness and infertility in the world. This obligate intracellular bacterium is currently not amenable to genetic manipulation, which limits its accessibility for genetic studies. Dietrich and colleagues developed a mouse model of systemic Chlamydia infection, which allowed them to map QTL that segregated with bacterial load in the spleen during acute infection of B6 × C3H/HeJ F2 generation mice. Linkage was found to three loci on chromosomes 2, 3, and 11, respectively, and these loci were denoted Ctrq-1, Ctrq-2, and Ctrq-3 for C. trachomatis resistance QTL (Bernstein-Hanley et al. 2006a). A congenic mouse strain carrying the susceptible Ctrq-3 allele on a resistant B6 background exhibited defective IFNγ-dependent susceptibility to Chlamydia in fibroblasts (Bernstein-Hanley et al. 2006a). Fine structure mapping of Ctrq-3 identified Igtp and Irgb10, two members of the p47 family of IFNγ-inducible GTPases, a family of genes believed to play important roles in resistance to several intracellular pathogens (MacMicking 2005). Overexpression of the susceptible or the resistant allele of Irgb10 suggested that the difference in susceptibility is related to a difference in expression levels rather than coding polymorphisms. The role of Igtp in resistance to Chlamydia infection is less clear because overexpression of either the B6 or C3H allele rendered cells more susceptible to Chylamydia, as does lack of Igtp expression (BernsteinHanley et al. 2006b). In a new study by Miyairi et al. (2007), genetic analysis of crosses between B6 and DBA/2J mice identified Iigp2, yet another p47 GTPase, as a player in infection with C. psittaci. Iigp2 is located in the same gene cluster as the previously identified Irgb10 and Igtp loci. Identification of novel induced mutations It is interesting to note that many pathogen-susceptibility/ resistance genes are often members of small multigene families. This is true of the Naip5, Tlr4, Nalp1b, and p47 GTPase genes discussed above, as well as of even more Immunogenetics classic immune loci such as Mhc. Immune-related multigene families often exhibit considerable genetic variation, likely driven by evolutionary interactions with pathogens. The significant variation is what permits genetic analysis in inbred strains, but as discussed above, when multiple polymorphisms in multiple paralogous genes are linked to a given phenotype, genetic variation can also severely complicate the identification of the key, causative genetic variant. Several investigators have therefore realized that generation of novel mutations in a uniform genetic background may afford several advantages. First, one is not limited to naturally occurring variation, and one may therefore characterize alleles affecting highly conserved genes as well as variable genes. But perhaps more importantly, identification of an induced mutation is usually much more straightforward than identification of a naturally occurring variant. Under mutagenesis schemes using the highly efficient point mutagen ENU, the frequency of base changes is approximately 1 per megabase, or approximately 3,000 per haploid genome. The frequency of loss-offunction mutations is orders of magnitude lower and has been estimated to be approximately 20 per haploid genome (Concepcion et al. 2004; Hitotsumachi et al. 1985). Thus, if an ENU-induced loss-of-function basepair change is identified in even a crudely mapped (megabase) interval, it is highly likely to be causing the phenotype of interest. With the availability of whole genome sequence and the decreasing costs of resequencing, most groups have been able to identify causative ENU-induced mutations rapidly and at reasonable expense (Caspary and Anderson 2006). Several groups have been applying ENU mutagenesis to the study of immunity (Papathanasiou and Goodnow 2005). Bruce Beutler’s group, in particular, has focused on innate immunity (Beutler et al. 2006). Beutler’s most productive screen to date has been to identify defects in macrophage responses to TLR ligands. Several novel genes have been identified, and many of these affect the response to bacterial pathogens. As contrasting examples, here, we consider two such mutations, Oblivious (Hoebe et al. 2005) and 3d (Tabeta et al. 2006). The Oblivious phenotype turned out to be due to mutations in a previously known gene (Cd36), whereas the 3d phenotype turned out to be due to mutations in a previously unstudied gene (Unc93b1). These examples illustrate the potential of ENU mutagenesis to uncover “new” genes, as well as to uncover new functions for previously “known” genes. Although both genes affect susceptibility to bacterial pathogens, it is interesting that neither gene was identified in a screen specifically testing for susceptibility to bacterial pathogens. Oblivious (Cd36) The Oblivious phenotype was identified in a mouse strain that exhibited defective responses to bacterially derived diacylated lipopeptides, such as lip- oteichoic acid (LTA), a major cell wall constituent of Grampositive bacteria. The Oblivious phenotype was found to be due to a nonsense mutation in the previously identified scavenger receptor gene, Cd36 (Hoebe et al. 2005). Thus, CD36 appears to act as an essential coreceptor with TLR2/6 heterodimers in the recognition of diacylated lipopeptides. Mice homozygous for the Cd36Obl allele exhibit increased sensitivity to infection with Staphylococcus aureus, likely because of defective signaling though TLR2/6, resulting in reduced levels of TNFα. The in vivo Oblivious phenotype is intermediate between wild-type mice and TLR2 knock outs, suggesting that CD36 is not absolutely required for full TLR2/6 response to LTA. 3d (Unc93b1) The 3d, or “triple D,” mutation was identified in a mouse strain defective in signaling through the intracellular TLRs 3, 7, and 9 (Tabeta et al. 2006). The phenotype was due to a point mutation in the gene Unc93b1, encoding a previously uncharacterized transmembrane protein located in the endoplasmic reticulum. Interestingly, 3d mutants also exhibited reduced MHC I and II presentation of exogenous antigens. Macrophages from mice homozygous for the 3d mutation demonstrated reduced production of TNFα and IL-12p40 mRNA in response to infection with L. monocytogenens. In addition, 3d mice fail to control S. aureus infection (Tabeta et al. 2006). It has been suggested that the Unc-93b protein directly interacts with the membrane-spanning domain of TLRs and that this interaction is abolished by the point mutation causing the 3d phenotype (Brinkmann et al. 2007). The reason that Unc93b1 mutant cells are defective in antigen presentation remains to be understood. Bacterial genetic strategies Although bacteria are generally thought to be more genetically approachable than mice, not all bacterial pathogens are genetically tractable. Several important bacterial pathogens, e.g., Chlamydia, continue to resist genetic approaches. But for many bacteria, a few simple genetic strategies open whole worlds of possibilities. The essential toolkit of bacterial genetics includes the ability to make targeted gene knockouts (often termed “allelic replacement”), the ability to generate random mutations (usually by use of a transposon), the ability to map or identify these mutations, and lastly, the ability to complement these mutations. These essential tools are now available for many bacterial pathogens. A more recent addition to the bacterial geneticist’s toolbox is the availability of whole genome sequences. More than 400 bacterial genomes have been sequenced, including the Immunogenetics genomes of multiple strains for most pathogenic bacterial species. Whole genome sequences have not only made traditional genetic approaches more efficient but have also facilitated new comprehensive approaches to the identification of bacterial virulence factors (Burrack and Higgins 2007). Comprehensive approaches to the identification of bacterial virulence factors The first whole-genome approaches to the identification of novel bacterial virulence factors predate the availability of whole genome sequences. Because many of these techniques have been reviewed extensively elsewhere (Chiang et al. 1999), they will be covered only briefly here. Although each of the following techniques differs considerably from the others, they share a common purpose, which is to allow screening of many mutants in a single host animal. This purpose is borne of necessity, as screening individual mutants in individual host animals is time consuming and prohibitively expensive. The drawbacks of screening multiple mutants in a single host animal are discussed below. IVET IVET, or in vivo expression technology, is the name given to a group of strategies to identify virulence genes based on the assumption that such genes are likely to be expressed preferentially in the host, but not in vitro (e.g., on agar plates). A variety of technical approaches to the identification of in vivo induced genes have been described, including brute-force screens (Klarsfeld et al. 1994) and more elegant genetic or fluorescence-based selections (Camilli and Mekalanos 1995; Mahan et al. 1993; Mahan et al. 1995; Osorio et al. 2005; Rietsch et al. 2004; Valdivia and Falkow 1997). In general, a reporter gene (e.g., encoding for antibiotic resistance or GFP) is fused to random promoters. Bacterial strains carrying individual promoter–reporter fusions are then tested or selected in vitro and in vivo for expression of the fusion. Strains carrying a reporter selectively induced in vivo are selected for further study. One advantage of IVET is that the fusion need not disrupt the wild-type copy of the gene, thus permitting identification of virulence genes that are essential in vitro. A technical disadvantage is that genes identified by IVET must generally be confirmed by making clean deletions, a process that can be fairly laborious and can be problematic if the gene is essential. A more significant technical disadvantage of IVET is that it requires the establishment of arbitrary cutoffs that determine when a gene is considered “expressed” or not. Thus, a gene that is moderately expressed in vitro and highly expressed in vivo might not be isolated by IVET if a stringent cutoff is applied in which even genes weakly expressed in vitro are eliminated from consideration. Modified genetic systems overcoming some of these problems have been reported, including systems to identify in vivo repressed genes (Hsiao et al. 2006; Osorio et al. 2005). In general, the experience with IVET has been mixed. One reason may be that an underlying assumption of IVET— namely, that virulence genes are preferentially expressed in vivo—is not likely to be correct for all virulence genes or for all bacterial species (Rengarajan et al. 2005). For example, there may be genes important for virulence that are expressed in vitro. Alternatively, there may be genes that are induced in vivo that are not required for virulence. The latter category of genes may include genes that are induced in vivo for purely spurious reasons, but may also include genes that play important roles in virulence but which are not strictly required for growth in vivo because of redundancy or other reasons. The biological significance of these genes might be difficult to establish. It might however be considered an advantage of IVET that it potentially permits identification of virulence genes that would not be identified by methods (such as signature-tagged mutagenesis, see below) which require that the virulence gene confer a selective in vivo growth defect when mutated. Thus, IVET-based schemes are a valuable complement to other approaches. Microarrays It might be thought that, with the increased availability of microarrays, classical IVET techniques would be supplanted by microarray analysis. Unlike IVET-based techniques, microarrays have the advantage of being able to provide quantitative information about gene expression levels in vitro and in vivo, allowing identification of in vivo induced or repressed genes regardless of their basal level of expression in vitro (Graham et al. 2006; Lawson et al. 2006; Revel et al. 2002; Snyder et al. 2004; Talaat et al. 2004; Xu et al. 2003). While microarrays are likely to be increasingly used to identify in vivo induced genes, there are technical limitations of microarrays that have thus far limited their widespread application. Chief among these limitations is the need to obtain sufficient amounts of high-quality bacterial RNA from the infected host. This problem is particularly difficult to overcome for infection models in which relatively few bacteria colonize the host or cause disease, but has been circumvented in some cases by the use of procedures to specifically amplify bacterial RNA (Francois et al. 2007; Talaat et al. 2004). Another potential difficulty for microarray analysis of in vivo grown bacteria arises when not all bacteria in a host occupy equivalent niches. For example, in cholera, Vibrio cholerae bacteria adhering to the intestinal epithelium may be the relevant disease-causing population, but they may be relatively outnumbered by bacteria in the intestinal lumen. Gene expression profiling might not easily detect gene expression in the relevant disease-causing population. Nevertheless, the comprehensiveness of microarrays is unmatched by other techniques, and is likely to become more widely applied. Immunogenetics Signature-tagged mutagenesis STM, or signature-tagged mutagenesis, is a strategy to identify genes required for growth in one condition (e.g., in vivo) as compared to another (e.g., in vitro; Hensel et al. 1995). Of all bacterial genetic strategies to screen for virulence factors, STM has probably been the most widely employed. In STM, pools of random mutants are generated in which each mutant in the pool is marked with a specific, rapidly assayable tag. The pools of mutants are usually generated by transposon mutagenesis. In the original STM scheme (Hensel et al. 1995), the tag was a short oligonucleotide that was present on the transposon and that could be amplified by PCR and detected by Southern blotting. If each pool is to contain 96 mutants, then 96 different transposons, each with a uniquely assayable (non-cross hybridizing) tag, need to be generated before generating the mutant pools. Thus STM requires considerable upfront effort. Once the pools of mutants have been generated, however, they can be relatively easily assayed in multiple different conditions. For example, the pool of mutants can be passed through in vivo and in vitro growth conditions. Of particular interest might be mutants that are able to grow in vitro (e.g., in broth) but that are unable to replicate in vivo. Several important virulence factors have been found with this method (reviewed by Mecsas 2002). The original STM paper (Hensel et al. 1995), for example, identified the SPI-2 locus of S. typhimurium, which encodes an important type III secretion system. An important limitation of STM that has been recognized is that in vivo competition for niches of limited size or in vivo “bottlenecks” can sometimes lead to the spontaneous and random loss of mutants from the pool (Chiang et al. 1999; Hensel et al. 1995). Thus, the number of mutants that can be screened by STM per infected animal may be limited in some infection models. Transposon-site hybridization Transposon-site hybridization, or TraSH, is an elegant variant of STM that takes advantage of the availability of microarrays (Badarinarayana et al. 2001; Sassetti et al. 2001). In TraSH, as in STM, a library of transposon mutants (the “input” pool) is used to infect a host. However, instead of tagging each mutant with a unique “signature tag” or “barcode,” the transposon site itself serves as a unique tag in TraSH. After a period of growth in the host, the pool of mutants is recovered (the “output” pool), and an RNA probe corresponding to the sequences flanking the transposon insertion sites is transcribed using an outward-facing T7 promoter built into the transposon. For comparison, a similar RNA probe is generated from the input pool. The two probes are then labeled with different fluorescent dyes and competitively hybridized to spotted microarrays. Genes on the microarray that hybridize to the input probe but not the output probe are deemed to be genes in which transposon insertions are detrimental to in vivo growth. The chief advantages of TraSH over STM are that many more mutants can potentially be tested in parallel, and in addition, there is no need to pre-array a library of uniquely tagged transposon mutants. Conversely, one advantage of STM is that the mutants of interest are necessarily archived before the screen and can therefore be retested easily to confirm their phenotype. In cases where the complexity of the input pool is limited by the size of the in vivo niche, STM may be preferred to TraSH. TraSH has been applied by several labs, working with diverse bacterial genera such as Bacillus, Francisella, Mycobacterium, and Salmonella (Chan et al. 2005; Day et al. 2007; Sassetti et al. 2001; Sassetti and Rubin 2003; Weiss et al. 2007). Ultimately, comprehensive arrayed libraries of mutants carrying defined loss-of-function mutations in each nonessential gene may be available for many bacterial pathogens (Salama and Manoil 2006). Such libraries require considerable effort in construction and validation, but will certainly facilitate efficient wholegenome screening. Transcomplementation: problems and possibilities STM and TraSH rely on infection of a single host with a pool of mutants. However, many of the mutants in the pool will be wild-type, and therefore, the virulence defect of a particular mutant might be concealed by functions provided in trans by wild-type bacteria infecting the same host. This “transcomplementation” might be particularly expected to prevent isolation of mutants defective in secreted virulence factors such as toxins, as secreted factors should exhibit function in trans. Interestingly, however, many secreted virulence factors have been shown to generate phenotypes particularly during competitive infections. This seems to be especially true of type III-secreted effectors (Logsdon and Mecsas 2006). It has been proposed that one important benefit of coinfecting wild-type along with mutants is that the wild-type bacteria will provoke a vigorous immune response that sharpens the selection against immuneevasion-defective mutants. Another interesting example of this phenomenon was reported by Joshi et al. (2006), who found that M. tuberculosis strains mutated in the Mce1 secretion system were defective for in vivo growth in competitive infections, whereas previous work had found that Mce1 mutants were hypervirulent in single infections (Shimono et al. 2003). It is likely that, in the context of the immune response triggered by wild-type M. tuberculosis, Mce1 is required for in vivo growth; but in addition, Mce1 triggers inflammatory responses that help restrain the infection. Thus, transcomplementation may be an issue in some screens, but competitive infections also provide insights that might not otherwise be observed in infections with single mutants. Immunogenetics The “characterization” bottleneck IVET, STM, TraSH, and other similar approaches have made possible the comprehensive identification of bacterial virulence factors. These techniques are still difficult and are often time consuming, but the fact remains that lists of putative virulence factors abound, whereas the mechanistic understanding of these virulence factors lags far behind. In other words, there is a “characterization” bottleneck. The bottleneck arises because comprehensive approaches are designed to identify genes that affect a function (for example, intracellular growth) but shed little light on how they affect that function. For example, IVET identifies bacterial genes expressed in vivo but does not tell us which of the genes expressed are virulence factors. STM and TraSH identify genes required for growth of a pathogen under given conditions (e.g., in vivo) but does not often provide much insight into why a given gene would be required. The realization that there is a severe characterization bottleneck first became strikingly evident after the sequencing of the first bacterial genome, that of Haemophilus influenzae, revealed that 42% of annotated genes had no known function (Fleischmann et al. 1995). Twelve years later, the most current annotation of the Haemophilus genome reveals that 27% of annotated protein-coding genes still have no known function (http://cmr.tigr.org). In bacteria with larger genomes, the situation is more dire. For example, ~48% of the proteincoding genes in the genome of even the highly studied pathogen, Pseudomonas aeruginosa, are of unknown function. Although the enzymatic or cell-biological activity of many virulence factors has been determined, the in vivo functions of very few virulence factors are actually understood, except in the vaguest terms. A key question is, therefore, whether there are systematic ways to ameliorate the characterization bottleneck? Or are the days of comprehensive strategies waning in favor of the triedand-true approach of conducting detailed studies of individual genes? One reason why many investigators have been attracted to whole genome approaches is that it has seemed risky to focus all of one’s efforts on characterization of a single putative virulence factor, when there is the possibility (or likelihood!) it will turn out to be of little significance or interest. Comprehensive approaches also afford the opportunity to put individual mutants in context. For example, it can be asked whether mutations in other genes in the same genetic pathway are also obtained, and if not, why not? It can also be asked whether similar screens in other bacterial species identify similar or unique virulence factors—and of course, either category might be of interest. Part of the value of comprehensive approaches is therefore likely to be that they will provide guidance on which of the many uncharacterized virulence factors are most important to focus individual efforts on. Camilli and Merrell proposed that one solution to the characterization bottleneck is simply to perform secondary screens (Merrell and Camilli 2002; Merrell et al. 2002). The authors screened 9,600 V. cholerae mutants by STM in an infant mouse model, and obtained 164 colonizationdefective mutants. These mutants were then reassembled into “virulence-attenuated pools” and rescreened in vitro for defects in acid tolerance (Merrell et al. 2002). Several of the STM-identified mutants also exhibited defects in acid tolerance, thus providing clues as to why they might have scored as attenuated in the initial STM screen. Acid tolerance was previously proposed to be an important virulence trait of V. cholerae. In cases where an educated guess about the nature of the relevant in vivo selective pressure cannot be made (or tested for), additional in vitro screening may not be particularly useful to alleviate the characterization bottleneck. The genetic structure of host–pathogen interactions: the awesome power of genetics-squared? A potentially powerful idea is the following: for host– pathogen interactions in which genetics of the host and pathogen are both possible, could a combination of host and pathogen genetics provide new insights into the host– pathogen relationship? We call this idea “genetics-squared.” There are several examples in the literature in which investigators have combined host and pathogen genetics to address the in vivo function of a bacterial virulence factor, but the assumptions and genetic structure underlying such strategies have not always been explicitly addressed. Therefore, we begin our discussion by systematically describing the logical structure of combined host–pathogen genetic strategies. There are several distinct modes in which host and pathogen genomes can interact (Table 1). In one scenario (Table 1, Scenario A), a bacterial virulence factor is specifically required to counteract a particular host defense. We call this the “Immune Evasion” mode of host–pathogen interactions. In this case, mutant 1, defective in the virulence factor, is unable to counteract a particular host defense (host defense A). Thus, mutant 1 would be attenuated in wild-type hosts, but would be restored to normal virulence in a host animal deficient in this defense (Knockout A). The interpretation of such experiments is complicated by the possibility that Knockout A might be so severely deficient in host defense that it would be permissive to virtually any bacterial mutant; therefore, this experimental strategy ideally requires two important controls. First, a second, equally attenuated bacterial mutant (mutant 2) should not have its virulence restored in Immunogenetics Knockout A, and second, mutant 1 should not be restored to normal virulence in a host deficient in a second, unrelated aspect of host defense (Knockout B). As discussed below, such evidence is often difficult to obtain, or the effects of knockouts are either incomplete or pleiotropic. A second scenario (Table 1, Scenario B) occurs in the case when a bacterially encoded factor triggers a host defense that limits pathogen virulence or replication. We call this the “Immune Triggering” mode of host–pathogen interactions. In the most simplistic version of this scenario, a bacterial mutant (e.g., mutant 1 in Table 1, Scenario B) lacking an immunologically sensed factor will evade detection and exhibit increased virulence as compared to wild-type bacteria. Conversely, host knockout A, unable to detect wild-type bacteria, should exhibit increased susceptibility to wild-type bacteria, but importantly, should not exhibit increased susceptibility to the mutant 1. A complication arises when a particular bacterial mutant not only evades host detection but is defective in virulence (e.g., mutant 2, Table 1, Scenario B). This can occur when the host senses a bacterial product required for virulence (e.g., LPS). Mutant 2 may evade immune detection but may not exhibit increased virulence in wild-type mice. In addition, the genetic experiments in Scenario B will not be able to determine readily whether Knockout A is defective in detection of bacteria, or in the downstream antimicrobial response. The “B” scenario in Table 1 is essentially a restatement of the classic “Gene-for-Gene” resistance scenario that has been described to occur frequently in the interaction of pathogens with plant hosts (Chisholm et al. 2006; Jones and Dangl 2006). In the terminology of the Gene-for-Gene model in plants, the host factor that senses the pathogen is called a resistance (R) gene, and the particular bacterial product sensed by the R protein is encoded by an “avirulence” (avr) gene. Although Gene-for-Gene resistance is a common mode of host–pathogen interactions in plants, it appears to be somewhat less common in animals, although some specific examples are discussed below. A third scenario occurs when a pathogen requires a host function for growth or virulence (Table 1, Scenario C). We call this mode of host–pathogen interaction “parasitism.” For example, the host might provide a particular nutrient required by the pathogen, or, the host might provide a particular cellular niche that supports pathogen spread or virulence. A host knockout defective in the production of this nutrient or niche would exhibit increased resistance to the pathogen, and a pathogen mutant (e.g., mutant 1, Table 1, Scenario C) unable to take advantage of the niche would exhibit decreased virulence. To demonstrate that mutant 1 is specifically defective in taking advantage of the niche/nutrient provided by host function A, an important control is to show that mutant 1 is not more attenuated than wild-type in knockout A, but is more attenuated than wildtype bacteria in wild-type hosts or in hosts defective in an unrelated function (e.g., knockout B). In all three scenarios, interpretation of the genetic relationship between bacterial and host genes is greatly facilitated by the presence of multiple bacterial and host mutants and by the demonstration that interactions between the host and bacterial genomes are specific. Table 1 Genetics of host–pathogen interactions Bacterial genotype Growth or virulence of bacteria in host of genotype Wild type Knockout A Notes Knockout B Scenario A: Immune Evasion: bacterial virulence factor required to counteract specific host defenses Wild-type + ++ ++ Mutant 1 − + − Mutant 1 is unable to counteract host defense A Mutant 2 − − + Mutant 2 is unable to counteract host defense B Scenario B: Immune Triggering: bacterial virulence factor triggers a host defense (Gene-for-Gene resistance model) Wild-type − + + Mutant 1 + + ++ Mutant 1 is not sensed by host sensor A Mutant 2 − − + Mutant 2 is not sensed by host sensor A, but mutant 2 is also attenuated for virulence Mutant 3 + ++ + Mutant 3 is not sensed by host sensor B Scenario C: Parasitism: bacterial virulence factor requires host factor for function Wild-type ++ + + Knockouts A and B are deficient in separate host functions required for bacterial growth/virulence Mutant 1 + + − Mutant 1 is unable to take advantage of host function A Mutant 2 + − + Mutant 2 is unable to take advantage of host function B Immunogenetics Examples of host–pathogen genetic interactions It is not possible to review here all the instances in which host and pathogen genetics have been combined in a “geneticssquared” approach. We have therefore selected a few illustrative examples of each of the scenarios identified above. Scenario A: “Immune Evasion” In mammals, the most commonly described form of host–pathogen genetic interaction analysis is Scenario A (Table 1), in which a particular virulence factor is shown to be required to evade a particular host defense. One early example (Harvill et al. 1999) studied the in vivo function of Bordetella bronchiseptica adenylate cyclase toxin (CyaA). It was found that CyaA-deficient mutants were attenuated in growth/colonization of the trachea and lungs of mice. The attenuation of CyaA mutants was reversed in infections of neutropenic (cyclophosphamidetreated, or Gcsf−/−) mice. CyaA mutants were still attenuated as compared to wild-type in infections of lymphocytedeficient (Scid-beige or Rag1−/−) animals. Thus, it was inferred that a specific function of CyaA is to counteract immune defense provided by neutrophils. Because neutropenic mice are in general extremely susceptible to bacterial infections, an important control was the demonstration that neutropenia did not reverse the attenuation of ΔbvgS mutants of B. bronchiseptica, which are deficient in an unrelated virulence pathway. Another example of the potential power of combining host and pathogen genetics concerns a series of experiments suggesting links between virulence factors of M. tuberculosis (MTB) and host production of antimicrobial reactive nitrogen and reactive oxygen. These studies took advantage of mice deficient in the production of reactive nitrogen (Nos2−/−) or reactive oxygen (gp91phox−/−). In one study (Ng et al. 2004), katG MTB mutants were found to be attenuated in B6 and Nos2−/− mice. KatG is a catalase– peroxidase–peroxynitritase, so it was suspected that perhaps it was playing a critical role in detoxifying peroxides produced by oxidative burst. This idea was supported by the finding that katG mutants exhibited full virulence in gp91phox−/− mice and in gp91phox−/−Nos2−/− double knockouts. The work of Ng et al. is particularly striking because it was reported that gp91phox−/− mice do not exhibit increased susceptibility to wild-type MTB, thus allaying any worries that the rescue of the katG mutants by host mutations in gp91Phox was due to a nonspecific weakening of the immune response. A similar reversal of attenuation was also demonstrated for infections of superoxide-susceptible mutants of Salmonella (van Diepen et al. 2002; VazquezTorres et al. 2000) or Aspergillus (Chang et al. 1998) in Phox−/− mice. In addition, a second study on M. tuberculosis (Darwin et al. 2003), complementary to the work of Ng et al., found bacterial mutants that were particularly susceptible to reactive nitrogen. Three such mutants were deficient in Rv2115c, an ATPase component of the bacterial proteasome. However, unlike the katG mutants, whose phenotype was fully reversed in gp91Phox−/− mice, the Rv2115c mutants were only partially restored to virulence in Nos2−/− mice. It seems likely that proteasome mutations are pleiotropic, illustrating the key point that genetic interaction studies of host–pathogen relationships can be complicated by the lack of a simple one-to-one relationship between bacterial virulence factors and host resistance genes. Nevertheless, taken together, the studies on MTB can be compiled quite nicely into a matrix of the form shown in Table 1 (scenario A), in which Mutant 1 is a katG mutant, Mutant 2 is proteasome mutant, Knockout A is a gp91Phox−/− mouse, and Knockout B is a Nos2−/− mouse. The in vivo genetic data strongly supports the conclusion that KatG specifically counteracts reactive oxygen and that the proteasome counteracts reactive nitrogen (in addition to other in vivo stresses). Another beautiful example of a “scenario A”-type host– pathogen interaction was reported by Hsiao et al. (2006) in their studies of V. cholerae. In this case, however, evasion of host defenses was not mediated by expression of a virulence factor, but was instead mediated by transcriptional repression of a bacterial type IV pilus, the mannose-sensitive hemagglutinin (MSHA) pilus. The authors demonstrated that the MSHA pilus is normally targeted by host immunoglobulins (IgA), leading to agglutination that prevented V. cholerae from penetrating intestinal mucus. Enforced expression of the MSHA pilus reduced the ability of V. cholerae to colonize infant suckling mice by 3 logs, but had no adverse effects on colonization of suckling IgA−/− mice or on colonization of wild-type mice that were not allowed to suckle. Thus, genetic and behavioral manipulation of the host permitted the authors to identify a specific function for MSHA repression in evasion of milk-derived IgA. Another elegant example of the “Immune Evasion” mode of host–pathogen interaction, conceptually identical to the MSHA-IgA example, has been presented by Montminy et al. (2006) in their studies of TLR4 recognition of Yersinia pestis, the causative agent of plague. It was previously known that the tetra-acetylated LPS of Y. pestis was not well recognized by TLR4. To illuminate the biological significance of this observation, the authors engineered a strain of Y. pestis that constitutively produced a highly stimulatory hexa-acetylated LPS. The modified Y. pestis strain was at least 1,000-fold less virulent in a mouse model of plague, despite expression of all other known virulence factors. Although Y. pestis normally produces a hexa-acetylated LPS during its life cycle in the flea, it was important to demonstrate that the virulence defect of the constitutive-hexa-acetylated strain was due to immune recognition rather than to a nonspecific disruption of Y. Immunogenetics pestis metabolism or virulence factor function. This is where the combined application of host and bacterial genetics proved valuable: Tlr4−/− mice were shown to be highly susceptible to the constitutive-hexa-acetylated strain, thus proving that the virulence defect of the strain in wildtype mice was due to TLR4 recognition. Genetic interaction studies may also be useful for determining the in vivo functions of bacterial effectors (toxins) secreted into the cytosol of host cells via specialized type III secretion systems. Although type III secretion systems are clearly critical for the virulence of numerous bacterial pathogens, and although the in vitro activities of numerous type III-secreted effectors have been described in detail, it has been significantly more challenging to ascribe in vivo roles to such effectors. This may be in part because type III secreted effectors tend to have broad effects on host cells—for example, disruption of actin polymerization or of MAP kinase signaling. One group has utilized knockout mice to illuminate the in vivo function of the type III secreted effectors (Yops) of Y. pseudotuberculosis (Logsdon and Mecsas 2003; Logsdon and Mecsas 2006). In vitro work had previously established the biochemical activities of YopH, a tyrosine phosphatase, and YopE, a Rac-GTPase-activating protein, and suggested their function may be to counteract phagocytosis (Viboud and Bliska 2005). Whether phagocytosis is the relevant in vivo target of YopH/E was less clear. Interestingly, in vivo colonization experiments demonstrated that IFN-γ deficiency could largely or entirely reverse the colonization defects of YopE (but not YopH) mutants previously observed in wild-type mice (Logsdon and Mecsas 2006). Thus, YopE appears to function in evading IFN-γ-mediated host defenses. A limitation of these kinds of studies is that IFNγ deficiency results in multiple immunological defects, and therefore, despite the important contribution of these studies, the “mechanism” of YopE and YopH function in vivo remains somewhat unclear. Presumably, experiments with other knockout mice will help refine the in vivo functions of these and other secreted effectors. On the other hand, it may well be that some virulence factors exhibit broad functions that will not “map” well onto specific host immune functions. Scenario B: “Immune Triggering” The mode of host– pathogen interaction in which a bacterial virulence factor triggers a specific host response is commonly uncovered in plants, but appears to be considerably more rare in bacterial interactions with mammalian hosts. One recent example from mice pertains to the Naip5 locus, discussed above, that mediates resistance of C57BL/6 macrophages to L. pneumophila. Naip5 was found to encode a protein containing nucleotide-binding domain (NBD) and leucinerich repeat (LRR) motifs. Similar NBD–LRR proteins were found in plants and animals to be involved in sensing molecular structures associated with a variety of pathogens. To identify what Naip5 might sense, a genetic selection was performed to identify Legionella mutants that evaded Naip5-mediated resistance. Twenty-nine independent mutants selected were all defective in expression of bacterial flagellin (Ren et al. 2006). Targeted deletion of flagellin, but not of other genes required for assembly or function of the flagellum, was also found to permit evasion of Naip5-mediated defenses (Molofsky et al. 2006; Ren et al. 2006). It was therefore proposed that flagellin itself might be sensed by Naip5. For reasons outlined above, an important control experiment demonstrated that flagellin mutants did not replicate better than wild-type Legionella in Naip5-defective (A/J) macrophages. This result suggested that deficiency in flagellin permits specific evasion of the Naip5 pathway, rather than of some other, unrelated host defense. However, flagellin mutants exhibited greater replication in TNF-deficient macrophages than in Naip5defective (A/J) macrophages. This result implies that flagellin deficiency synergizes with host mutations in TNF signaling pathways, and suggests that TNF and flagellinsensing are separable components of host defense (Coers et al. 2007). The above results fit the logical structure outlined in Table 1 (Scenario B), where bacterial mutant 1 is a flagellin mutant, knockout A is a Naip5 knockout, and knockout B is a TNF knockout. The genetic screen that identified flagellin as a target of the Naip5 pathway would never had worked if it had turned out that flagellin was required for virulence of Legionella in macrophages (flagellin and motility, while not essential for virulence in macrophages, is still likely to play an essential role for Legionella survival in the environment). In fact, because vertebrate immune systems tend to sense essential and conserved targets in bacteria (Janeway 1989), the Naip5flagellin story may be fairly unique. Further evidence strongly suggests that sensing of Legionella flagellin occurs in the cytosol and is independent of the cell-surface flagellin sensor TLR5 (Franchi et al. 2006; Miao et al. 2006; Molofsky et al. 2006; Ren et al. 2006). However, it is important to note that genetic experiments have not established a definitive connection between Naip5-mediated host defense and flagellin-sensing. Indeed, there are data that another Naip5-related protein, Ipaf, is required for flagellin-sensing by host cells (Amer et al. 2006; Franchi et al. 2006; Lamkanfi et al. 2007; Miao et al. 2006; Zamboni et al. 2006). Future work will need to focus on establishing the biochemical basis of flagellinsensing by host cells. Thus, the Naip5-flagellin story illustrates the potential power—and the limitations—of genetics in dissection of host–pathogen interactions. A particularly interesting example of the “Immune Triggering” mode of host–pathogen interactions was provided by Balachandran et al. (2007). The authors studied Immunogenetics the phenotype of P. aeruginosa strains lacking the type III-secreted toxin ExoT. They found that mice lacking the ubiquitin ligase Cbl-b were particularly susceptible to ExoT+ but not ExoT-deficient P. aeruginosa. The combination of host and bacterial genetics to demonstrate the specificity of the immunodeficiency of Cbl-b−/− mice is one feature that makes this story particularly compelling. Another compelling feature is that the genetics in the paper were reinforced with biochemical evidence that Cbl-b associates with ExoT, resulting in Cbl-b-dependent degradation of ExoT. Specific host recognition and ubiquitinmediated degradation of a bacterial toxin may turn out to be a fundamental and novel form of immune defense. Unlike the case of flagellin, where the host senses a bacterial protein that is not required for bacterial virulence, Cbl-b detects and specifically eliminates a virulence factor. Thus, the role of ExoT is not particularly apparent in wild-type hosts, and can only be revealed in Cbl-b−/− mice. In the scheme portrayed in Table 1 (Scenario B), ExoT can be represented by Mutant 2, and Cbl-b−/− can be represented by Knockout A. Why are there relatively few examples in which genetic approaches have been able to dissect the “Immune Triggering” mode of host–bacterial interactions? There are certainly no shortage of bacterial products that trigger host responses, e.g., LPS, lipopeptides, flagellin, muramyl dipeptide, CpG DNA, and various bacterial toxins. In fact, the multiple redundant pathways for recognition of bacteria might be one reason that individual mutants (of the host or pathogen) rarely provide a phenotype. Another factor is that— with the notable exception of flagellin—many of the bacterial products that trigger host defenses are essential for bacterial viability. Thus, it would not be expected to obtain bacterial mutants defective in production of these products. Thus, the “Immune Triggering” mode of host–pathogen interactions is not in fact rare; but useful genetic systems, in which mutants can be generated and provide phenotypes, seem to be the exception rather than the rule. Scenario C: parasitism The last mode of genetic interaction that we consider here is the case in which bacteria require a particular host gene for virulence functions. Unlike the first two scenarios, in this scenario, host knockouts exhibit increased resistance to the pathogen (Table 1, Scenario C). Several such instances have been reported (for example, Auerbuch et al. 2004; Carrero et al. 2004; O’Connell et al. 2004; Saleh et al. 2006; VazquezTorres et al. 1999), but it appears that this mode of interaction is relatively rare. There are undoubtedly many host functions that are co-opted by bacteria (Portnoy 2005), but these host functions may be essential for the host as well, and thus, host knockouts affecting these functions may not be viable. Nevertheless, further exploration of “parasitic”-type host–pathogen interactions will likely be an area of opportunity for the future. Squaring genetic screens The above discussion illustrates the potential power, and the limitations, of “genetics-squared” in the analysis of host– pathogen interactions. However, the above examples all examine genetic systems in which a single known host gene or bacterial gene are tested for phenotypic interactions. It is interesting to consider whether combined host–pathogen genetic approaches could also be applied to high throughput screens. A few such screens have been performed. For example, Hisert et al. (2005) performed “differential” STM to identify bacterial mutants of Salmonella that were specifically attenuated in wild-type mice, but whose attenuation was reversed in gp91phox−/− mice. One such mutant was identified, harboring a transposon insertion in cdgR, a regulator of cyclic-di-GMP signaling. The attenuation of the cdgR mutant was not reversed in iNOS−/− mice. Thus, it appears that the cdgR is relatively specifically required for defense against reactive oxygen as opposed to reactive nitrogen. Interestingly, cdgR did not appear to regulate other genes known to provide defense against reactive oxygen (e.g., catalase or hydroperoxide reductase), and so the mechanism of action remains to be understood. Hisert et al. (2004) also applied differential STM to identify M. tuberculosis “counter-immune” genes specifically involved in resistance to IFN-γ-mediated host defenses. “Genetics-squared” has also been applied in screens aimed at identifying genes required for bacterial evasion of innate immune defenses in the lung. In two separate studies, Zhang et al. (2005, 2007) passaged a signature-tagged library of P. aeruginosa mutants through wild-type mice as well as through mice deficient in lung surfactant protein-A (SP-A). SP-A deficient mice exhibit increased susceptibility to P. aeruginosa; thus, the goal was to identify bacterial mutants that are specifically attenuated in wild-type but not in SP-A−/− mice. In the first study, two such mutants were reported. One mutant harbored a transposon insertion in pch, a gene required for salicylate biosynthesis, and the other mutant was defective in ptsP, encoding phosphoenolpyruvate-protein-phosphotransferase (Zhang et al. 2005). In the second study, flgE (flagellar hook) mutants were also found to be specifically attenuated in SP-A−/− mice (Zhang et al. 2007). All three mutants exhibited increased sensitivity to SP-A-mediated permeabilization, thus providing valuable insights into the mechanisms by which bacteria evade innate immune defenses in the lung. TraSH has also been applied in a differential screening strategy (Rengarajan et al. 2005). In this study, the authors identified genes required for growth of MTB in unstimulated macrophages as compared to macrophages activated by IFN- Immunogenetics γ pre- or postinfection. Transposon insertions in one gene, glnB, appeared to be particularly underrepresented in bacteria obtained from the IFN-γ pre-infection condition, suggesting that glnB might be important for resisting IFN-γ-mediated host defense. However, the effect was not large, and the result was not validated by an independent method. What is perhaps more striking was that TraSH did not identify more bacterial genes specifically required for replication in IFN-γtreated (as opposed to untreated) macrophages. It may be that —because of redundancy or essentiality—M. tuberculosis simply does not encode many genes that can be mutated to confer increased susceptibility to IFN-γ. In addition, bacterial genes required for resistance to the effects of IFNγ may also be important for resistance to other stresses encountered in macrophages in the absence of IFN-γ; such genes would not be uncovered in a differential screen of IFN-γ-treated vs untreated macrophages. As discussed above, the lack of a clear one-to-one correspondence between host defense genes and bacterial immune evasion genes is one reason why “genetics-squared” strategies may sometimes not generate the desired results. The TraSH study also did not reveal the genes previously suggested by others to be required for evasion of IFN-γ in vivo (Darwin et al. 2003; Hisert et al. 2004). This may reflect technical differences between the screens, or possibly, it may be that in vitro vs in vivo exposure to IFN-γ is distinct in important ways. Conclusion The power of forward genetics is derived in part from its ability to generate novel insight into complex biological systems in a relatively unbiased manner. Significant advances in understanding host–pathogen interactions have been discerned by the use of host and pathogen genetic systems. However, the interactions between pathogens and their hosts are highly complex and can be most successfully understood only by the application of multiple experimental strategies. “Genetics-squared” is an increasingly applied approach, in which host and pathogen genetics are combined in a single experimental system. When successful, genetics-squared can provide novel insights into the relationships between host immune genes and pathogen virulence genes that would be difficult to discern by other methods. As with conventional genetic approaches, geneticssquared can be limited by genetic redundancy and pleiotropy. Nevertheless, as technical advances continue to increase the power of host and pathogen genetics systems, it is likely that the power of genetics-squared will also increase accordingly. 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