Staphylococcus aureus is a major human pathogen that causes an array of infections ranging from minor skin infections to more serious infections including osteomyelitis, endocarditis, necrotizing pneumonia and sepsis 1 . These more serious infections usually arise from an initial bloodstream infection and are frequently recalcitrant to antibiotic treatment 1 . Phagocytosis by macrophages and neutrophils is the primary mechanism by which S. aureus infection is controlled by the immune system 2 . Macrophages have been shown to be a major reservoir of S. aureus in vivo 3 but the role of macrophages in the induction of antibiotic tolerance has not been explored. Here we show that macrophages not only fail to efficiently kill phagocytosed S. aureus but also induce tolerance to multiple antibiotics. Reactive oxygen species (ROS) generated by respiratory burst attack iron-sulfur (Fe-S) cluster containing proteins, including TCA cycle enzymes, resulting in decreased respiration, lower ATP and increased antibiotic tolerance. We further show that during a murine systemic infection, respiratory burst induces antibiotic tolerance in the spleen. These Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:

Moraxella (Branhamella) catarrhalis is an important cause of disease in both the upper and lower respiratory tracts (35,48). This unencapsulated gram-negative coccobacillus has been shown to express a number of different outer membrane proteins on its cell surface, some of which are antigenically conserved (47, 49). At present, information about the M. catarrhalis gene products that are involved in the ability of this organism to colonize the mucosa of the nasopharynx and survive in this hostile environment is limited at best. Much effort has been expended recently on documenting the human immune response to selected M. catarrhalis surface-exposed proteins (6,12,25,53,65), providing evidence that these particular gene products are expressed in vivo during otitis media or infections of the bronchial tree. A few of these outer membrane proteins now have a function ascribed to them, mainly with respect to iron acquisition (7,9,10,15,42,43).In contrast, there is relatively little known about other surface proteins of M. catarrhalis that might be involved in the ability of this organism to colonize and survive in the nasopharynx (35). The CD outer membrane protein (33) has been shown to bind middle ear mucin in vitro (51), a function that could be involved in the colonization process or in the development of otitis media. The UspA1 protein has been shown to be an adhesin, at least in vitro (38), whereas both the UspA2 protein (38) and outer membrane protein E (50) have been implicated in serum resistance. Both UspA1 and UspA2, consistent with their functional activities, have been localized to the surface of M. catarrhalis, where they are accessible to antibodies (2, 45).Scott and colleagues (16, 17) correlated both hemagglutination activity and the expression of a 200-kDa protein by some M. catarrhalis isolates with the presence of a fibrillar surface array. In addition, Sasaki and colleagues reported that the 200-kDa protein expressed by M. catarrhalis was subject to phase variation in vitro (K. Sasaki, L. Myers, S. M. Loosmore, and M. H. Klein, Abstr. 99th Gen. Meet. Am. Soc. Microbiol., abstr. B/D-306, 1999) and determined the nucleotide sequence of the gene encoding this protein (54). In the present study, we used analysis of mutants to show that this protein, designated Hag (hemagglutinin), is involved not only in hemagglutination but also in autoagglutination and the binding of human immunoglobulin D (IgD) by M. catarrhalis strain O35E. In addition, we determined that the Hag protein, together with the UspA1 and UspA2 proteins (3), all form fibrillar projections on the M. catarrhalis cell surface.

The series of events that occurs immediately after pathogen entrance into the body is largely speculative. Key aspects of these events are pathogen dissemination and pathogen interactions with the immune response as the invader moves into deeper tissues. We sought to define major events that occur early during infection of a highly virulent pathogen. To this end, we tracked early dissemination of Yersinia pestis, a highly pathogenic bacterium that causes bubonic plague in mammals. Specifically, we addressed two fundamental questions: (1) do the bacteria encounter barriers in disseminating to draining lymph nodes (LN), and (2) what mechanism does this nonmotile bacterium use to reach the LN compartment, as the prevailing model predicts trafficking in association with host cells. Infection was followed through microscopy imaging in addition to assessing bacterial population dynamics during dissemination from the skin. We found and characterized an unexpected bottleneck that severely restricts bacterial dissemination to LNs. The bacteria that do not pass through this bottleneck are confined to the skin, where large numbers of neutrophils arrive and efficiently control bacterial proliferation. Notably, bottleneck formation is route dependent, as it is abrogated after subcutaneous inoculation. Using a combination of approaches, including microscopy imaging, we tested the prevailing model of bacterial dissemination from the skin into LNs and found no evidence of involvement of migrating phagocytes in dissemination. Thus, early stages of infection are defined by a bottleneck that restricts bacterial dissemination and by neutrophil-dependent control of bacterial proliferation in the skin. Furthermore, and as opposed to current models, our data indicate an intracellular stage is not required by Y. pestis to disseminate from the skin to draining LNs. Because our findings address events that occur during early encounters of pathogen with the immune response, this work can inform efforts to prevent or control infection.

Haemophilus ducreyi, the etiologic agent of chancroid, has been shown to form microcolonies when cultured in the presence of human foreskin fibroblasts. We identified a 15-gene cluster in H. ducreyi that encoded predicted protein products with significant homology to those encoded by the tad (for tight adhesion) locus in Actinobacillus actinomycetemcomitans that is involved in the production of fimbriae by this periodontal pathogen. The first three open reading frames in this H. ducreyi gene cluster encoded predicted proteins with a high degree of identity to the Flp (fimbria-like protein) encoded by the first open reading frame of the tad locus; this 15-gene cluster in H. ducreyi was designated flp. RT-PCR analysis indicated that the H. ducreyi flp gene cluster was likely to be a polycistronic operon. Mutations within the flp gene cluster resulted in an inability to form microcolonies in the presence of human foreskin fibroblasts. In addition, the same mutants were defective in the ability to attach to both plastic and human foreskin fibroblasts in vitro. An H. ducreyi mutant with an inactivated tadA gene exhibited a small decrease in virulence in the temperature-dependent rabbit model for experimental chancroid, whereas another H. ducreyi mutant with inactivated flp-1 and flp-2 genes was as virulent as the wild-type parent strain. These results indicate that the flp gene cluster is essential for microcolony formation by H. ducreyi, whereas this phenotypic trait is not linked to the virulence potential of the pathogen, at least in this animal model of infection.

In the present study, cell lysates prepared from individual colonies of several M. catarrhalis wild-type strains were analyzed by Western blot analysis using monoclonal antibodies (MAbs) specific for the UspA1 protein. Expression of UspA1 was shown to exhibit phase variation that was correlated with both adherence ability in vitro and the number of guanine (G) residues contained within a homopolymeric [poly(G)]tract located upstream of the uspA1 open reading frame (ORF). Nucleotide sequence analysis revealed that isolates expressing relatively high levels of UspA1 had 10 G residues in their uspA1 poly(G)tracts, whereas isolates that expressed much lower levels of UspA1 had 9 G residues. This poly(G) tract was located 30 nucleotides (nt) upstream of the uspA1 ORF and 168 nt downstream of the uspA1 transcriptional start site. Primer extension experiments, RNA slot blot analysis, and cat reporter constructs were used to demonstrate that M. catarrhalis isolates with 10 G residues in their uspA1 poly(G) tracts expressed two-to threefold more uspA1 mRNA than did isolates which had 9 G residues in their poly(G)tracts. Northern hybridization analysis revealed that an intact uspA1 mRNA was readily detectable in RNA from M. catarrhalis isolates that had 10 G residues in their uspA1 poly(G) tracts, whereas no full-length uspA1 mRNA was observed in isolates whose poly(G)tracts contained 9 G residues. M. catarrhalis strain O35E uspA1 genes that contained wild-type and mutated poly(G) tracts were expressed in Haemophilus influenzae to demonstrate that the length and composition of the poly(G)tract affected expression of UspA1.Moraxella (Branhamella) catarrhalis is an unencapsulated gram-negative bacterium that can cause both upper and lower respiratory tract infections (14, 33). It has been estimated that M. catarrhalis causes approximately 20% of cases of acute bacterial otitis media in infants and young children (5) and is associated with nearly 30% of infectious exacerbations of chronic obstructive pulmonary disease in adults (17). The significant morbidity associated with M. catarrhalis infections as well as the substantial health care costs of these infections have prompted recent interest in the development of an M. catarrhalis vaccine (37).Proteins present in or closely associated with the outer membrane of M. catarrhalis strains obtained from diverse geographic and clinical sources display highly similar patterns when analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) (4) and have received the most attention as potential vaccine candidates. Several of these cell surface-exposed proteins have been characterized in some detail, including UspA1, UspA2 (HMWP), and UspA2H (24,26,32); OMP CD (21, 34); the iron-regulated CopB protein (3, 8); the LbpA and LbpB proteins (6); and the TbpA and TbpB proteins (7,28,35).Little is known about the regulation of expression of M. catarrhalis outer membrane proteins. Campagnari et al. (8) were the first to show that the availability of iron in the growth ...