Serratia marcescens is a soil-and water-derived bacterium that secretes several host-directed factors and causes hospital infections and community-acquired ocular infections. The putative two-component regulatory system composed of EepR and EepS regulates hemolysis and swarming motility through transcriptional control of the swrW gene and pigment production through control of the pigA-pigN operon. Here, we identify and characterize a role for EepR in regulation of exoenzyme production, stress survival, cytotoxicity to human epithelial cells, and virulence. Genetic analysis supports the model that EepR is in a common pathway with the widely conserved cyclic-AMP receptor protein that regulates protease production. Together, these data introduce a novel regulator of host-pathogen interactions and secreted-protein production.
Secreted enzymes such as proteases can act as immune system and physiology modulators and virulence factors during infection by a wide variety of pathogens (1-5). Serratia marcescens is a Gram-negative coccobacillus bacterium isolated from a variety of environmental niches and the human gut. It is an important opportunistic pathogen in hospitals (6-9), and isolates collected in intensive care units became more resistant to antibiotics between 2004 and 2009 (10). S. marcescens is also a leading contaminant of contact lens cases and contact lenses and can cause vision-threatening microbial keratitis and other ocular infections (11-13). S. marcescens synthesizes several secreted enzymes, including proteases, a potent nuclease, chitinases, and other enzymes that have been used for biotechnological applications or have been implicated in cytotoxicity to mammalian cells and pathogenesis (14-16). However, the regulation of these enzymes is poorly understood.Known regulators of S. marcescens proteolysis include the crp gene that encodes the cyclic-AMP (cAMP) receptor protein CRP. Mutation of crp yields bacteria with elevated production of the protease serralysin (PrtS; also known as PrtA) and a loss of secreted-chitinase and -lipase activities (17). Matsuyama and colleagues observed reduced expression of extracellular protease activity when the hexS gene, an lhrA homolog, was expressed from a multicopy plasmid, suggesting a negative regulatory role for this protein (63).Extracellular proteases, such as the S. marcescens PrtS metalloprotease, are considered important virulence factors. In vitro studies indicate that serralysin is cytotoxic to a variety of cell types (16,21,22). PrtS contributed to tissue damage in corneal infections using a rabbit model (23), altered immune cell interactions using a silkworm model (20,24), and enhanced secondary infections by a respiratory virus in mice (25). Those studies provided the impetus to determine regulators of S. marcescens protease production.A putative regulatory system that includes the response regulator-like protein EepR and a putative hybrid-histidine kinase, EepS, was recently identified for its role in controlling expression of swarming motility, pigme...