The effector proteins of the type III secretion systems of many bacterial pathogens act in a coordinated manner to subvert host cells and facilitate the development and progression of disease. It is unclear whether interactions between the type-III-secreted proteins of Pseudomonas aeruginosa result in similar effects on the disease process. We have previously characterized the contributions to pathogenesis of the type-III-secreted proteins ExoS, ExoT and ExoU when secreted individually. In this study, we extend our prior work to determine whether these proteins have greater than expected effects on virulence when secreted in combination. In vitro cytotoxicity and anti-internalization activities were not enhanced when effector proteins were secreted in combinations rather than alone. Likewise in a mouse model of pneumonia, bacterial burden in the lungs, dissemination and mortality attributable to ExoS, ExoT and ExoU were not synergistically increased when combinations of these effector proteins were secreted. Because of the absence of an appreciable synergistic increase in virulence when multiple effector proteins were secreted in combination, we conclude that any cooperation between ExoS, ExoT and ExoU does not translate into a synergistically significant enhancement of disease severity as measured by these assays.
INTRODUCTIONAn emerging theme in bacterial type III secretion is that the multiple effector proteins transported by these systems cooperate to subvert specific host-cell processes, resulting in enhanced virulence. Each factor alone has a minor effect on the overall virulence process, but together they cooperate to dramatically enhance virulence. Often, individual effector proteins target different points within a single host-cell pathway to facilitate an essential step in pathogenesis. For example YopE, YopH, YopT and YopO, four type III effector proteins of Yersinia, impede neutrophil and macrophage phagocytosis by targeting the actin cytoskeleton of these cells in a coordinated manner (Cornelis, 2002). The net result is that Yersinia bacteria are able to persist in the presence of a robust host immune response. Similar cooperation occurs between Salmonella type III effector proteins to orchestrate bacterial entry into intestinal epithelial cells, an essential step in the development of enteritis. A large number of type III effector proteins working in concert are required to achieve maximal levels of Salmonella bacterial uptake (Raffatellu et al., 2005). These proteins cause a complex series of actin cytoskeletal changes, which result in the transient formation of localized host-cell surface membrane ruffles that engulf the invading bacteria. SopB, SopE and SopE2 activate the Rho family GTPases Cdc42 and Rac1, thereby facilitating actin recruitment and polymerization at the site of bacterial entry (Hardt et al., 1998;Zhou et al., 2001). Two other effector proteins, SipA and SipC, further enhance actin nucleation, polymerization and cross-linking by directly binding to actin (Zhou et al., 1999a,b). O...