The major phospholipid constituents of Moraxella catarrhalis membranes are phosphatidylglycerol, phosphatidylethanolamine, and cardiolipin (CL). However, very little is known regarding the synthesis and function of these phospholipids in M. catarrhalis. In this study, we discovered that M. catarrhalis expresses a cardiolipin synthase (CLS), termed MclS, that is responsible for the synthesis of CL within the bacterium. The nucleotide sequence of mclS is highly conserved among M. catarrhalis isolates and is predicted to encode a protein with significant amino acid similarity to the recently characterized YmdC/ClsC protein of Escherichia coli. Isogenic mclS mutant strains were generated in M. catarrhalis isolates O35E, O12E, and McGHS1 and contained no observable levels of CL. Site-directed mutagenesis of a highly conserved HKD motif of MclS also resulted in a CL-deficient strain. Moraxella catarrhalis, which depends on adherence to epithelial cells for colonization of the human host, displays significantly reduced levels of adherence to HEp-2 and A549 cell lines in the mclS mutant strains compared to wild-type bacteria. The reduction in adherence appears to be attributed to the absence of CL. These findings mark the first instance in which a CLS has been related to a virulence-associated trait.
Moraxella catarrhalis is a human-specific pathogen of the mucosa and the causative agent of otitis media in children and respiratory infections in adults. After only nontypeable Haemophilus influenzae (NTHi) (ϳ26%) and Streptococcus pneumoniae (ϳ23%), M. catarrhalis is a leading bacterial cause of otitis media in children, being responsible for up to 20% of cases (1-4). Nearly 70% of infants are colonized by M. catarrhalis within their first 12 months of life (5). Moraxella catarrhalis is also the second leading cause of bacterial exacerbations of chronic obstructive pulmonary disease (COPD), being responsible for approximately 10% of cases (6). In the United States, COPD currently stands as the fourth leading cause of death (7). Exacerbations of COPD due to M. catarrhalis are responsible for an estimated $2 billion in medical costs and health care each year (8).Currently, there is no licensed vaccine available to prevent M. catarrhalis infection. A vaccine is desirable, however, due to the high prevalence, antibiotic resistance, and financial burden associated with M. catarrhalis infection. The vast majority of clinical isolates of M. catarrhalis (Ͼ95%) are now resistant to the -lactamase family of antibiotics that was once considered a front-line treatment for the disease (9). This antibiotic resistance was acquired rapidly over a 10-to 15-year period in which the resistance spread from a few isolates to the majority (10-12). In addition, the incidence and prevalence of disease due to M. catarrhalis infection are expected to increase in the United States following the introduction of vaccines against the upper respiratory tract pathogens S. pneumoniae and NTHi (13). Finally, a vaccine to protect against the top three cau...