Using Caenorhabditis elegans as an infection host model for Vibrio cholerae predator interactions, we discovered a bacterial cytotoxin, MakA, whose function as a virulence factor relies on secretion via the flagellum channel in a proton motive force-dependent manner. The MakA protein is expressed from the polycistronic makDCBA (motility-associated killing factor) operon. Bacteria expressing makDCBA induced dramatic changes in intestinal morphology leading to a defecation defect, starvation and death in C. elegans. The Mak proteins also promoted V. cholerae colonization of the zebrafish gut causing lethal infection. A structural model of purified MakA at 1.9 Å resolution indicated similarities to members of a superfamily of bacterial toxins with unknown biological roles. Our findings reveal an unrecognized role for V. cholerae flagella in cytotoxin export that may contribute both to environmental spread of the bacteria by promoting survival and proliferation in encounters with predators, and to pathophysiological effects during infections.

Vibrio cholerae is an inhabitant of aquatic systems and one of the causative agents of severe dehydrating diarrhea in humans. V. cholerae bacteria belonging to the O1 and O139 serogroups cause cholera epidemics in many developing countries (10, 23), whereas strains belonging to non-O1 non-O139 V. cholerae (NOVC) serogroups have been associated with endemic gastroenteritis and extraintestinal infections in humans (10, 23). Unlike the case for the O1 and O139 strains of V. cholerae, little is known about the virulence and pathogenicity of NOVC strains. Identification and characterization of the NOVC strains carrying virulence genes is important, as these serogroups may emerge as potential epidemic strains in the future. Recently, we found one of these strains, V:5/04, a clinical isolate that caused a severe sporadic outbreak in Sweden in 2004, to express virulence factors such as the type VI secretion system component Hcp (20). Here we further characterized this strain and found that it produced outer membrane vesicles with intrinsic inflammatory potential. Outer membrane vesicles (OMVs) are spherical fragments of bacterial membrane that are produced by a wide variety of Gram-negative bacteria during normal growth (5). These vesicles are formed by protrusions of bacterial outer membrane that are released into the environment. As these vesicles are released from the surface, they can also entrap parts of the underlying bacterial periplasm. OMVs have important functions in host-pathogen interactions, such as the delivery to host cells of active bacterial toxins, such as ClyA cytotoxin, ␣-hemolysin, and CNF1 of Escherichia coli (3,25,44) and hemolysin (Hly) of enterohemorrhagic E. coli (EHEC) (2). Moreover, biologically active H. pylori vacuolating cytotoxin A is associated with OMVs that bind to and are internalized by epithelial cells, as shown by the detection of OMVs in human gastric mucosa from Helicobacter pylori-infected individuals (11,24). Furthermore, different studies provided evidence that OMVs influence inflammation and disease in vivo. In one example, it was shown that epithelial cells produce interleukin-8 (IL-8), a cytokine that is pivotal for neutrophil and monocyte recruitment, in response to H. pyloriand Pseudomonas aeruginosa-derived OMVs (4, 21). It was recently revealed that this effect is, at least partly, dependent on the delivery of nucleotide-binding domain-containing protein 1 (NOD1) active peptidoglycan (PGN) (22). Moreover, during meningococcal septicemia, meningococci are known to release OMVs in the circulation, which contributes to the high endotoxin levels characteristic of these infections (34). OMVs are thus expected to contain several physiologically relevant pathogen-associated molecular patterns (PAMPs) that can be recog-

Staphylococcus aureus produces membrane-derived vesicles (MVs), which share functional properties to outer membrane vesicles. Atomic force microscopy revealed that S. aureus-derived MVs are associated with the bacterial surface or released into the surrounding environment depending on bacterial growth conditions. By using a comparative proteomic approach, a total of 131 and 617 proteins were identified in MVs isolated from S. aureus grown in Luria-Bertani and brain-heart infusion broth, respectively. Purified S. aureus MVs derived from the bacteria grown in either media induced comparable levels of cytotoxicity and neutrophil-activation. Administration of exogenous MVs increased the resistance of S. aureus to killing by whole blood or purified human neutrophils ex vivo and increased S. aureus survival in vivo. Finally, immunization of mice with S. aureus-derived MVs induced production of IgM, total IgG, IgG1, IgG2a, and IgG2b resulting in protection against subcutaneous and systemic S. aureus infection. Collectively, our results suggest S. aureus MVs can influence bacterial–host interactions during systemic infections and provide protective immunity in murine models of infection.

BackgroundOuter membrane vesicles (OMVs) released from Gram-negative bacteria can serve as vehicles for the translocation of virulence factors. Vibrio cholerae produce OMVs but their putative role in translocation of effectors involved in pathogenesis has not been well elucidated. The V. cholerae cytolysin (VCC), is a pore-forming toxin that lyses target eukaryotic cells by forming transmembrane oligomeric β-barrel channels. It is considered a potent toxin that contributes to V. cholerae pathogenesis. The mechanisms involved in the secretion and delivery of the VCC have not been extensively studied.Methodology/Principal FindingsOMVs from V. cholerae strains were isolated and purified using a differential centrifugation procedure and Optiprep centrifugation. The ultrastructure and the contents of OMVs were examined under the electron microscope and by immunoblot analyses respectively. We demonstrated that VCC from V. cholerae strain V:5/04 was secreted in association with OMVs and the release of VCC via OMVs is a common feature among V. cholerae strains. The biological activity of OMV-associated VCC was investigated using contact hemolytic assay and epithelial cell cytotoxicity test. It showed toxic activity on both red blood cells and epithelial cells. Our results indicate that the OMVs architecture might play a role in stability of VCC and thereby can enhance its biological activities in comparison with the free secreted VCC. Furthermore, we tested the role of OMV-associated VCC in host cell autophagy signalling using confocal microscopy and immunoblot analysis. We observed that OMV-associated VCC triggered an autophagy response in the target cell and our findings demonstrated for the first time that autophagy may operate as a cellular defence mechanism against an OMV-associated bacterial virulence factor.Conclusion/SignificanceBiological assays of OMVs from the V. cholerae strain V:5/04 demonstrated that OMV-associated VCC is indeed biologically active and induces toxicity on mammalian cells and furthermore can induce autophagy.

HapR has been recognized as a quorum-sensing master regulator in Vibrio cholerae. Because it controls a plethora of disparate cellular events, the absence of a functional HapR affects the physiology of V. cholerae to a great extent. In the current study, we pursued an understanding of an observation of a natural protease-deficient non-O1, non-O139 variant V. cholerae strain V2. Intriguingly, a nonfunctional HapR (henceforth designated as HapR V2 ) harboring a substitution of glycine to aspartate at position 39 of the N-terminal hinge region has been identified. An in vitro gel shift assay clearly suggested the inability of HapR V2 to interact with various cognate promoters. Reinstatement of glycine at position 39 restores DNA binding ability of HapR V2 (HapR V2G ), thereby rescuing the protease-negative phenotype of this strain. The elution profile of HapR V2 and HapR V2G proteins in size-exclusion chromatography and their circular dichroism spectra did not reflect any significant differences to explain the functional discrepancies between the two proteins. To gain insight into the structure-function relationship of these two proteins, we acquired small/wide angle x-ray scattering data from samples of the native and G39D mutant. Although Guinier analysis and indirect Fourier transformation of scattering indicated only a slight difference in the shape parameters, structure reconstruction using dummy amino acids concluded that although HapR adopts a "Y" shape similar to its crystal structure, the G39D mutation in hinge drastically altered the DNA binding domains by bringing them in close proximity. This altered spatial orientation of the helix-turn-helix domains in this natural variant provides the first structural evidence on the functional role of the hinge region in quorum sensing-related DNA-binding regulatory proteins of Vibrio spp.Studies on the quorum-sensing signal network of Vibrio cholerae have produced a rich harvest of data where the periodic appearance and performance of two regulatory proteins, namely LuxO and HapR, determine the fate of a plethora of disparate cellular events (1). Of these, HapR has been given the status of a master regulator because it controls a wide range of diverse physiological activities, thus exerting a profound influence on the survival and pathogenic potential of this bacterium. Collectively, it represses biofilm development and the production of primary virulence factors (2) while it stimulates the production of HA/protease (3), promotes chitin-induced competence (4), increases resistance to protozoan grazing (5), enhances the survival against oxidative stress (6), and controls the expression of the gene encoding Hcp (7). In a recent effort, Zhu and co-workers have elegantly characterized additional novel direct targets of HapR and illustrated two distinct binding motifs (motif 1 and motif 2) in all target promoters (8). Because it modulates a multitude of diverse cellular parameters, the absence of a functional HapR affects the physiology of V. cholerae to a great extent....