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Page 1: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

저 시-비 리- 경 지 2.0 한민

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것 허락규약(Legal Code) 해하 쉽게 약한 것 니다.

Disclaimer

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A Thesis for the Degree of Doctor of Philosophy

Genomic analysis of Cronobacter sakazakii

and molecular study of hfq and

CSK29544_02616 genes as virulence factors

Cronobacter sakazakii균 체 분 과 병원 인자

hfq CSK29544_02616 분자 연구

August, 2016

Seongok Kim

Department of Agricultural Biotechnology

College of Agriculture and Life Sciences

Seoul National University

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Genomic analysis of Cronobacter sakazakii

and molecular study of hfq and

CSK29544_02616 genes as virulence factors

Cronobacter sakazakii균 체 분 과 병원 인자

hfq CSK29544_02616 분자 연구

지도 상

이 논 농학 사학 논 출함

2016 8 월

울 학 학원

농생명공학부

사학 논 인 함

2016 8 월

원 장 ___________________(인)

부 원장 ___________________(인)

원 ___________________(인)

원 ___________________(인)

원 ___________________(인)

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I

Abstract

Kim, Seong-ok

Department of Agricultural Biotechnology

The Graduate School

Seoul National University

Cronobacter sakazakii is considered to be an opportunistic pathogen

causing life-threatening diseases, including necrotizing enterocolitis,

septicemia, and meningitis particularly to infants with high fatality. However,

the mechanisms of its pathogenicity and virulence-associated factors remain

largely unknown. To understand them, complete genome of C. sakazakii

ATCC 29544, a type strain, was sequenced and analyzed using bioinformatics.

The complete genome of C. sakazakii ATCC 29544 is composed of a circular

chromosome (Genbank accession No. CP011047) and three plasmids,

including pCSK29544_p1 (Genbank accession No. CP011048),

pCSK29544_p2 (Genbank accession No. CP011049), and pCSK29544_p3

(Genbank accession No. CP011050). It has been known that C.sakazakii

infection mainly occurs via contaminated reconstituted infant formula milk. In

this regard, I tried to identify several gene clusters, predicted to be responsible

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II

for the survival of C.sakazakii in harsh environments, including dried infant

formula. Three gene clusters were found on chromosome, which may confer

advantages on C.sakazakii survival against extremely dried conditions. These

gene clusters include biosynthesis of capsular proteins (CSK29544_00281-

00284) as protectants from osmotic shock, cellulose (CSK29544_01124-

01127) to form biofilms, and nanKTAR (CSK29544_00587-590) to utilize

sialic acid for energy production. Moreover, the strain ATCC 29544 may have

arsenic resistance activity for survival in formula milk powder

(CSK29544_3p0051-0055), on the plasmid 3p. These gene clusters, in part,

may contribute to C.sakazakii survival under dried infant formula.

On human infection, C. sakazakii has invasins, OmpA

(CSK29544_03699) for BMEC adhesion and the ibeB-homologous cusC

(pCSK29544_3p0028) for the penetration of BMECs. For survival within the

host, the strain ATCC 29544 has the privileged iron acquisition system,

including siderophore biosynthesis system (iucABCD/iutA;

CSK29544_1p0024- CSK29544_1p 0028) and an ABC-type iron transport

system (eitCBAD; CSK29544_1p0056- CSK29544_1p 0059). The analysis of

complete genome sequences would shed light on the understanding of

virulence mechanisms by C. sakazakii.

As hfq has been reported as a critical virulence factor in many

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III

pathogenic bacteria, it was chosen to see its effects on C. sakazakii virulence.

Hfq is a global regulator conversed in many pathogens, but its contributions to

virulence vary from one species to another. Therefore, the role of Hfq in C.

sakazakii virulence was investigated for the first time. In the absence of hfq, C.

sakazakii was highly attenuated in dissemination in vivo, showed defects in

invasion into animal cells and survival within host cells, and exhibited low

resistance to hydrogen peroxide. Remarkably, the loss of hfq led to hyper-

motility on soft agar, which is contrary to what has been observed in other

pathogenic bacteria. The hyper-flagellated bacteria were likely to be

attributable to the increased transcription of genes associated with flagella

biosynthesis in a strain lacking hfq. Together, these data strongly suggest that

hfq plays important roles in the virulence of C. sakazakii by participating in

the regulation of multiple genes.

To identify new virulence factors required for invasiveness of C.

sakazakii ATCC 29544, transposon-mediated random mutant library was

constructed and screened for detection of mutants with reduced invasion

ability into human intestine epithelial Caco-2 cells compared with wild type.

One of the mutants showing the most reduced invasion ability but a

comparable growth with WT was found to have transposon insertion in the

CSK29544_02616, which is highly conserved in only Cronobacter species

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IV

and encodes an unidentified protein. The deletion mutant of

CSK29544_02616 was constructed and various virulence-associated traits,

including invasion to intestinal Caco-2 cell, in vivo animal study,

survival/phagocytosis within/into cultured-macrophages, motility, and biofilm

formation, was characterized. The lack of CSK29544_02616 showed

attenuations in invasiveness, in vivo colonization and dissemination,

phagocytosis and survival into/within macrophage-like cells. Based on the

observations, I questioned the function of CSK29544_02616 of C.sakazakii

ATCC 29544 in terms of virulence. As it is an unidentified protein, I

determined to perform ligand fishing assay to screen players which help the

function of CSK29544_02616 to be unveiled. I found that LpxA, the first

enzyme involved in lipid A biosynthesis, was shown to specifically interact

with CSK29544_02616. The amount of lipid A-core was decreased in

CSK29544_02616 mutation, whereas that of phospholipids was increased.

This altered ratio between Lipid A and phospholipids in outer membrane

influenced outer membrane assembly and changed cell surface to be more

hydrophobic, resulting in increased cell autoaggregation and biofilm

formation. Interestingly, the mutant was non-motile although it had flagella

and torque generation, indicating loss of CSK295444_02616 caused paralyzed

flagella. Taken together, CSK29544_02616 plays critical roles in the virulence

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V

of C. sakazakii by modulating LPS production. CSK29544_02616 would be a

good target for biocontrol of C. sakazakii in the way that the deletion of

CSK29544_02616 does not affect C. sakazakii growth, but influence its

virulence as an antibacterial agent.

In conclusion, understanding the pathogenesis of C. sakazakii ATCC

29544 by both genomic analysis and molecular studies of virulence factors

would be the cornerstone for the development of a new strategy to control C.

sakazakii pathogenesis.

Keywords: Cronobacter sakazakii, Complete genome sequences,

Pathogenesis, hfq, CSK29544_02616, LpxA

Student Number: 2010 – 23444

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VI

Contents

Abstract ................................................................................................................. I

Contents ............................................................................................................. VI

List of Figures.................................................................................................. XIII

List of Tables .................................................................................................XIIIV

Chapter I. Introduction ........................................................................................ 1

I-1. Cronobacter sakazakii .......................................................................... 2

I-1-1. Clinical manifestations of C. sakazakii infections ..................... 4

I-1-2. Environmental reservior and mode of transmission .................. 5

I-2. Pathogenicity and virulence factors of C. sakazakii ................................. 7

I-2-1. Invasins ................................................................................... 7

I-2-2. Survival within host immune cells ........................................... 8

I-2-3. Stress tolerance ........................................................................ 9

I-3. Objectives of this study ......................................................................... 90

Chapter II. Complete genome sequence analysis of Cronobacter sakazakii .......... 12

II-1. Introduction ......................................................................................... 13

II-2. Materials and Methods......................................................................... 16

II-2-1. Bacterial strains, plasmids and growth conditions. ................ 16

II-2-2. Genome sequencing and assembly. ! 책갈피가 어 있지 습니다

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VII

II-2-3. Genome annotation . ! 책갈피가 어 있지 습니다.

II-2-4. Bioinformatics. ... ! 책갈피가 어 있지 습니다.

II-3. Results and Discussion ........................................................................ 19

II-3-1. Genome properties of C. sakazakii ATCC 29544T ................. 19

II-3-2. Pathogenicity and virulence factors. ...................................... 20

II-3-3. Comparative genome analysis............................................... 31

II-3-4. Comparative phylogenetic tree analysis ................................ 32

Chapter III. The hfq, a RNA chaperone, plays important roles in virulence and

stress adaptation in Cronobacter sakazakii ATCC 29544 ..................................... 36

III-1. Introduction ........................................................................................ 37

III-2. Materials and Methods ....................................................................... 41

III-2-1. Bacterial strains, plasmids, and culture conditions. ............... 41

III-2-2. Construction of a hfq deletion mutant using the Lambda-

Red recombination method.. ............................................................ 41

III-2-3. Complementation study ....................................................... 42

III-2-4. Gentamicin protection (invasion) assay ................................ 43

III-2-5. Motility assay.. .................................................................... 44

III-2-6. Bacterial survival assay in animal cells. ............................... 44

III-2-7. Bacterial resistance against hydrogen peroxide. ................... 45

III-2-8. qRT-PCR (quantitative real time) ......................................... 46

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VIII

III-2-9. Animal study in vivo............................................................ 46

III-2-10. TEM (transmission electron microscopy) analysis ............. 47

III-2-11. Western blot analysis ......................................................... 47

III-2-12. Primer extension analysis .................................................. 48

III-2-13. Statitical analysis............................................................... 50

III-3. Results ............................................................................................... 58

III-3-1. Construction and growth characteristics of the hfq mutant

in C. sakazakii. ................................................................................ 58

III-3-2. The loss of hfq attenuates colonization by C. sakazakii in

rat pups ........................................................................................... 63

III-3-3. Hfq is involved in the invasion of C. sakazakii into

human epithelial cells. ..................................................................... 67

III-3-4. Hfq is required for oxidative-stress resistance in C.

sakazakii ......................................................................................... 70

III-3-5. Loss of the hfq gene reduces intracellular survival of C.

sakazakii in macrophage-like cells. .................................................. 74

III-3-6. A C. sakazakii hfq strain is hypermotile due to higher

expression of flagella....................................................................... 77

III-4. Discussion .......................................................................................... 83

Chapter IV. CSK29544_02616, a newly identified protein, influences C.

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IX

sakazakii virulence by modulating LPS production.............................................. 91

IV-1. Introduction ........................................................................................ 92

IV-2. Materials and Methods ....................................................................... 96

IV-2-1. Strains, plasmids, and culture conditions.............................. 96

IV-2-2. Construction of random transposon mutant libraries and

screening. ........................................................................................ 96

IV-2-3. Determination of the transposon insertion sites. ................... 96

IV-2-4. Generation of ΔCSK29544_02616 deletion mutant by

using site-specific mutagenesis. ....................................................... 97

IV-2-5. Construction of plasmids. .................................................... 98

IV-2-6. Invasion assay. .................................................................... 98

IV-2-7. Survival assay...................................................................... 99

IV-2-8. In vivo animal study. .......................................................... 100

IV-2-9. Suspension-clearing and microscopic analysis.. ................. 101

IV-2-10. Overexpression and purification of the tagged-proteins .... 101

IV-2-11. Ligand fishing assay ........................................................ 102

IV-2-12. LC/MS/MS analysis ........................................................ 103

IV-2-13. Database search ............................................................... 104

IV-2-14. BACTH (Bacterial adenylate cyclase based two-hybrid

system) assay .............................................................................. 104

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X

IV-2-15. β-galactosidase assay ....................................................... 106

IV-2-16. In vitro GST pull-down assay .......................................... 106

IV-2-17. Western blot analysis ..................................................... 107

IV-2-18. LpxA enzyme assay ......................................................... 108

IV-2-18-1. Cell cultures ................................................................. 108

IV-2-18-2. Purification of LpxA .................................................... 109

IV-2-18-3. Purification of Holo-Acyl Carrier Protein ..................... 109

IV-2-18-4. Purification of V. harveyi AasS-Hisx6 ............................ 110

IV-2-18-5. Acylation of holo-ACP ................................................. 111

IV-2-18-6. Fluorescent enzyme assay for LpxA and AT.................. 111

IV-2-19. LPS extraction ................................................................. 112

IV-2-20. Outer membrane fraction . ............................................... 114

IV-2-21. Phospholipid quantitation . .............................................. 115

IV-2-22. Hydrophobicity assay . .................................................... 116

IV-2-23. Biofilm assay . ................................................................ 117

IV-2-24. RNA isolation and sequencing . ....................................... 117

IV-3. Results ............................................................................................. 128

IV-3-1. A gene discovered in an invasion-attenuated mutant.. ......... 128

IV-3-2. The CSK29544_02616 gene is required for C .sakazakii

invasion......................................................................................... 131

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IV-3-3. The CSK29544_02616 gene contributes to C .sakazakii

virulence.. ..................................................................................... 133

IV-3-4. CSK29544_02616 directly interacts with LpxA. ................ 137

IV-3-5. CSK29544_02616 helps LpxA enzyme activity in a

synergistic manner.. ....................................................................... 146

IV-3-6. CSK29544_02616 is involved in modulating the ratio of

lipid A and phospholipid.. .............................................................. 156

IV-3-7. The altered balance between Lipid A and phospholipids

in CSK29544_02616 mutation influenced outer membrane

assembly........................................................................................ 158

IV-3-8. Reduction of LPS production in ΔCSK29544_02616

increased cell surface hydrophobicity and biofilm formation... ....... 163

IV-3-9. CSK29544_02616 abrogated flagella-mediated motility.. ... 166

IV-4. Discussion ........................................................................................ 170

References .................................................................................................... 17678

국 .......................................................................................................... 215

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XII

List of Figures

Fig. II-1. Genome map of a circular chromosome (A) and three plasmids (B). .... 20

Fig. II-2. Phylogenetic tree analysis using different methods ............................... 34

Fig. III-1. hfq mutant showed defectiveness of growth, but had no polar

effects ................................................................................................................. 59

Fig. III-2. The promoter regions of hfq were identified by primer extension

analysis ............................................................................................................... 61

Fig. III-3. The virulence of C. sakazakii was diminished due to the absence of

hfq in vivo ........................................................................................................... 65

Fig. III-4. Loss of Hfq impairs the invasion of epithelial cells. ............................ 68

Fig. III-5. Stress tolerance is attenuated in C. sakazakii in the absence of Hfq ..... 72

Fig. III-6. Lack of Hfq results in reduced intracellular survival of C. sakazakii

in macrophage-like cells...................................................................................... 75

Fig. III-7. Loss of Hfq causes enhanced motility ................................................. 79

Fig. III-8. hfq homolog in C. sakazakii ATCC 29544. ......................................... 89

Fig. IV-1. PCR confirmation of several mutants from invasion-screening .......... 130

Fig. IV-2. CSK29544_02616 is required for C. sakazakii invasion into

intestinal epithelial cells .................................................................................... 132

Fig. IV-3. CSK29544_02616 is required for the pathogenesis of C. sakazakii .... 135

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XIII

Fig. IV-4. N-terminally Hisx6 –tagged CSK29544_02616 was successfully

purified with its functionality ............................................................................ 140

Fig. IV-5. CSK29544_02616 was shown to be a binding parter of LpxA from

ligand fishing assay ........................................................................................... 141

Fig. IV-6. CSK29544_02616 specifically binds with LpxA in vivo .................... 142

Fig. IV-7. CSK29544_02616 specifically binds to LpxA in vitro ....................... 144

Fig. IV-8. Each substrate used for LpxA enzymatic assay was well purified ...... 149

Fig. IV-9. CSK29544_02616 increases the enzymatic activity of LpxA ............. 152

Fig. IV-10. lpxA mutant having lpxA/lpxA::kan was constructed ....................... 154

Fig. IV-11. CSK29544_02616 modulate the production of lipid A, resulting in

alteration of outermembrane assembly .............................................................. 160

Fig. IV-12. Increased lipid amount in outer membrane elevated

hydrophobicity .................................................................................................. 164

Fig. IV-13. The loss of CSK29544_02616 caused paralyzed flagella ................. 168

Fig. IV-14. C. sakazakii in the absence of CSK29544_02616 overexpressed

gene clusters encoding hook-basal body structures ............................................ 176

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XIV

List of Tables

Table II-1. Genome statistics .............................................................................. 23

Table II-2. Summary of genome: one chromosome and 3 plasmids ..................... 24

Table II-3. Number of genes associated with general COG functional

categories............................................................................................................ 25

Table III-1. Bacterial strains and plasmids used in Chapter III ............................ 51

Table III-2. Oligonucleotides used for the construction of strains and

plasmids used in Chapter III ................................................................................ 54

Table III-3. Primers for qRT-PCR analysis in Chapter III.................................... 57

Table IV-1. Bacterial strains and plasmids used in Chapter IV .......................... 119

Table IV-2. Oligonucleotides used for the construction of strains and plasmids

in Chapter IV .................................................................................................... 123

Table IV-3. LPS and phospholipid contents of WT and ΔCSK29544_02616 ..... 161

Table IV-4. The expression level of membrane protein from RNA sequencing

data ................................................................................................................... 162

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Chapter I.

Introduction

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I-1. Cronobacter sakazakii

Cronobacter genus (formerly Enterobacter) is a Gram-negative, rod-

shaped, peritrichous and yellow-pigmented facultative anaerobe belonging to

the Enterobacteriaceae family. The organism, initially referred to as “yellow-

pigmented cloacae,” was reclassified as “Enterobacter sakazakii” in 1980 on

the basis of differences in several evaluations, including DNA-DNA

hybridization, and biochemical reactions compared with Enterobacter cloacae

(Farmer et al., 1980b). According to Farmer’s original 16 biogroups,

Enterobacter has been reclassified into several Cronobacter spp. based on

geno-and phenotypic evaluations in 2008 (Farmer et al., 1980a; Iversen et al.,

2007a; Iversen et al., 2007b; Iversen et al., 2008). Recently, Cronobacter

genus consists of 7 species: Cronobacter sakazakii, Cronobacter malonaticus,

Cronobacter muytjensii, Cronobacter turicensis, Cronobacter dublinensis,

Cronobacter universalis, and Cronobacter condimenti (Iversen et al., 2007a;

Iversen et al., 2008; Joseph et al., 2012a). To date, 45 genome sequences of

C.sakazakii are available in GenBank database (6 complete and 39 incomplete)

(http://www.ncbi.nlm.nih.gov/genome/genomes/1170). As C. sakazakii

CMCC 45402 is no longer C. sakazakii, but C. malonaticus, thus, the exact

number of total genome sequences of C. sakazakii is 44 and that of complete

ones is 5 at this time. Recently, the understanding of C. sakazakii ecology has

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been urgently required, so that whole genome sequencing analysis and

multilocus sequence typing (MLST) using 7 housekeeping genes has been

established to identify the diversity of the Cronobacter genus from various

sources for the evolutionary relationships and environmental fitness of

Cronobacter species (Baldwin et al., 2009; Joseph & Forsythe, 2012).

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4

I-1-1. Clinical manifestations of C. sakazakii infections

Among seven species, Cronobacter sakazakii is a well-known

opportunistic food-borne pathogen causing bacteremia, meningitis and

necrotizing enterocolitis, particularly in low-birth-weight neonatal infants.

Although its incidence rate is quite low, the mortality is high ranging from 40

to 80% particularly to premature infants (Drudy et al., 2006; Mullane et al.,

2007; Willis & Robinson, 1988). For example, one of the most severe

outbreaks of C. sakazakii infection occurred in France in 1994 in a Neonatal

intensive Care Unit (NICU). The vehicles of C. sakazakii infections in this

outbreak turned out to be the feeding practices used in NICU (Caubilla-

Barron et al., 2007). More recently, from 2000 to 2008, there have been 120-

150 C. sakazakii infections to neonates, leading to meningitis, bacteremia, and

NEC. The mortality from those symptoms was reported to be 41.9%, <10%,

and 19%, respectively (Friedemann, 2009). It has been suggested that the

severity of C. sakazakii infection is somewhat related with the status of host

immune system, delineating low birth-weight neonates (i.e.<2.5 kg) and

infants <28 days of age are at heightened risk compared with more mature

infants (Caubilla-Barron et al., 2007; Himelright et al., 2002; van Acker et al.,

2001). The annual occurrence rate among the premature and low-birth weight

infants was reported to be 8.7 per 100,000 in the USA (Singh et al., 2015),

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one Cronobacter infection per 10,660 very low birth-weight neonates, and

one Cronobacter infection per 100,000 infants (Stoll et al., 2004). Due to the

severe perils of C. sakazakii infection, regardless of its low incidence, the

International Commission on Microbiological Specification for Foods has

classified C. sakazakii as a ‘severe hazard for restricted populations, life-

threatening or with substantial chronic sequelae over long duration’ (Foods,

2002). In addition, the World Health Organization and Food and Agriculture

Organization in 2008 issued a request to the scientific community for more

data on this organism (WHO/FAO). In December of 2011, the Food and Drug

Administration reported a series of neonatal disease outbreaks in Florida,

Illinois, Missouri and Oklahoma (FDA, 2011)

I-1-2. Environmental reservoir and mode of transmission

Cronobacter spp. are ubiquitous and have been isolated from a wide

range of environments, including water, soil, processed foods, powdered

infant formula (PIF), and facilities(Baumgartner et al., 2009; Dong et al., 2013;

Mozrova et al., 2014; Muller et al., 2013; Siqueira Santos et al., 2013).

Moreover, they have also been reported from clinical specimens, including

cerebrospinal fluid, intestinal and respiratory tracts, and skin wounds

(Gallagher & Ball, 1991). However, the most associated vehicle for

transmission of C. sakazakii is reconstituted PIF, derived from either intrinsic

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or extrinsic contaminant including under poor good manufacturing (GMP) or

reconstitution of PIF (Singh et al., 2015).

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I-2. Pathogenicity and virulence factors of C. sakazakii

Although the fatality of C. sakazakii infection as high as 40-80%

particularly to premature infants, the mechanisms of its virulence remain

largely unknown. Many reports have previously investigated various

virulence factors and/or traits, including outer membrane proteins (OmpA and

OmpX), enterotoxin, outer membrane protease (Cpa), slialic utilization

(nanAKT), iron acquisition system, biofilm formation, metalloprotease (zpx),

LPS, and transcriptional global regulators (hfq and LTTR)

I-2-1. Invasins

Regarding that C. sakazakii is an oral pathogen it must translocate

from intestinal lumen into the blood stream to make successful systemic

infections. As C. sakazakii invades into host in a receptor-mediated manner,

outer membrane proteins have been regarded as key players. It has been

reported that outer membrane protein A of Cronobacter is important for the

invasion of human intestinal epithelial INT-407 cells and human brain

microvascular endothelial cells (HBMECs) (Nair et al., 2009; Singamsetty et

al., 2008). Furthermore, outer membrane protein (OmpX) was also needed for

invasion. It was also demonstrated that C. sakazakii invade not only the apical

side, also the basolateral side of intestinal epithelial cells via OmpA and

OmpX by disrupting tight junctions (Kim et al., 2010).

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Lipopolysaccharide (LPS) is an immune stimulator recognized by

toll-like receptor 4 (TLR 4) and play an important role in breaking tight

junctions, leading to improved invasion of C. sakazakii (Kim & Loessner,

2008; Moriez et al., 2005)

I-2-2. Survival within host immune cells

After successful invasion into host cells, pathogenic bacteira may

encounter many immune cells and/or substances produced by them, barriers

eliminating pathogens. To survive within them, pathogens have their own

strategy to protect themselves. It has been demonstrated that C. sakazakii can

persist within macrophage-like cells up to 96 h by modulating that the ratio

between IL-10 and IL12 is high after 24 h (Townsend et al., 2007b). An outer

membrane protease, encoded by cpa, plays a key role in rendering serum

resistance by the cleavage of complement components. In addition, as iron is

essential for the bacterial growth, C. sakazakii has iron acquisition systems,

including siderophore production (iucABCD/iutA) and an ABC-type

transport system (eitCBAD) in the plasmid pESA3 (Franco et al., 2011a;

Jaradat et al., 2014). C. sakazakii has also the privileged gene clusters,

which encode sialic acid utilization. This sialic acid is found in human milk

and in infant formula in the form of sialyloligosaccharide (Sprenger &

Duncan, 2012). It is undigestable, so remained at the intestinal microvilli of

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neonates and infants. This residual sialic acid would be energy source for C.

sakazakii to replicate, and make successful systemic infection. A cell-bound

zinc-containing metalloprotease, encoded by zpx, caused rounding of

Chinese hamster ovary (CHO) cells, which might be important in

dissemination of the pathogen into the systemic circulation (Kothary et

al., 2007).

I-2-3. Stress tolerance

PIF is not sterilized, but clean products must conform to specified

international microbiological criteria (Hunter & Bean, 2013). It is

manufactured in the process of high temperature heat treatment and

desiccation. Nevertheless, C. sakazakii has been isolated from milk powders

and desiccated products, substantiating that C. sakazakii has the privilege to

tolerate thermo-stress up to 60 °C for limited periods of time (Alvarez-

Ordonez et al., 2012; Arku et al., 2011). Moreover, C. sakazakii can survive

under desiccated environments for several weeks and gain resistance to

osmotic stresses, including powdered infant formula and the presence of

osmotic stress-causing agents; nisin and lactoferrin (Al-Nabulsi et al., 2009).

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I-3. Objectives of this study

Cronobacter sakazakii is an opportunistic pathogen leading to

bacteremia, meningitis and necrotizing enterocolitis, particularly in low-birth-

weight neonatal infants and/or immunocompromised patients. To control

C.sakazakii, the usage of antibiotics is prevalent. Originally, it is susceptible

to a wide range of antibiotics. However, unfortunately, a number of

Cronobacter isolates have exhibited the resistance to antibiotics (Kilonzo-

Nthenge et al., 2012). Additionally, several biocide compounds, including

essential oils and polyphenols, have turned out to be effective in mitigation of

C. sakazakii growth at laboratory level (Condell et al., 2012). However, these

are toxic to human beings. The addition of ultrasound or ultraviolet radiation

was used to sterilize PIF, but it led to the loss of nutrients and/or safety

(Adekunte et al., 2010; Arroyo et al., 2012). In this respect, a new paradigm

of alternatives to control C. sakazakii infection should be required. As neither

the mechanisms of pathogenicity nor identification of virulence factors remain

unveiled, it is urgently necessary to investigate them. To elucidate the

understanding of C. sakazakii pathogenesis, the genomic insights of complete

genome sequences of C. sakazakii ATCC 29544 and molecular studies of

virulence factors were performed.

The whole genomic analysis of C. sakazakii

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By sequencing of whole genomic DNA of C. sakazakii ATCC 29544,

the complete genome sequences were obtained and analyzed to reveal

virulence-associated factors and understand of its pathogenesis at genomic

level.

Characterization of the role of hfq in C.sakazakii

The impact of hfq on virulence of C. sakazakii ATCC 29544 was

investigated.

Discovery of a new target gene and investigation of its mechanism for

C.sakazakii virulence

A new target, highly conserved only in Cronobacter genus, was

discovered and its mechanism on C.sakazakii virulence was investigated.

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Chapter II.

Complete genome sequence analysis of

Cronobacter sakazakii ATCC 29544

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II-1. Introduction

Enterobacter sakazakii has been reclassified into seven species in the

genus Cronobacter according to biochemical and genetic evaluations

(Baldwin et al., 2009; Iversen et al., 2007a; Joseph et al., 2012a). Among

them, Cronobacter sakazakii is a well-known opportunistic food-borne

pathogen causing bacteremia, meningitis and necrotizing enterocolitis,

particularly in low-birth-weight neonatal infants. This species is a Gram-

negative, rod-shaped, peritrichous and yellow-pigmented facultative anaerobe

belonging to the Enterobacteriaceae family (Farmer et al., 1980b). Although

C. sakazakii food-borne outbreaks are quite low, the fatality to infants

generally ranges from 40 to 80% (Healy et al., 2010). Interestingly, C

sakazakii was reported to produce capsular or biofilm materials for its own

protection from extremely dry conditions, as in formula milk powder,

substantiating the high survival ability of C. sakazakii in the milk powder

(Hurrell et al., 2009). After human infection, C. sakazakii can invade the

intestinal epithelial cells and even the brain microvascular endothelial cells

(BMECs), demonstrating its potentials to cause meningitis (Giri et al., 2012).

Therefore, the biocontrol and regulation of C. sakazakii are urgently required.

However, C. sakazakii is resistant to some antibiotics, indicating a problem

with antibiotic therapies against C. sakazakii (Kilonzo-Nthenge et al., 2012;

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Xu et al., 2015), and its pathogenicity mechanism remains unknown. Recently,

to unveil the knowledge about the Cronobacter ecology, multilocus sequence

typing (MLST) using 7 housekeeping genes has been established to identify

the diversity of the Cronobacter genus from various sources, and its

application has facilitated understanding of the evolutionary relationships and

environmental fitness of Cronobacter species (Baldwin et al., 2009; Joseph

& Forsythe, 2012). To date, 45 genome sequences of Cronobacter sakazakii

are available in GenBank database (6 complete and 39 incomplete).

However, C. sakazakii CMCC 45402 is no longer C. sakazakii, but C.

malonaticus (Blazkova et al., 2015). Therefore, the exact number of total

genome sequences of C. sakazakii is 44 and that of complete ones is 5 at this

time. There have been two incomplete genome sequences of C. sakazakii

ATCC 29544, containing 100 and 280 contigs, respectively. To assemble and

complete these numerous contigs of C. sakazakii ATCC 29544T, I started to

sequence its genome for further understanding of this strain in genomic level.

In this study, to understand its infection and pathogenesis at the

molecular level, the genome of a representative C. sakazakii type strain,

ATCC 29544T, was completely sequenced and analyzed using bioinformatics.

This genome information would provide the researchers with genomic

insights into the virulence and pathogenicity mechanisms of this species for

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the further development of a rapid detection method and a novel biocontrol

strategy.

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II-2. Materials and Methods

II-2-1. Growth conditions and genomic DNA preparation

C. sakazakii ATCC 29544T was routinely cultivated using Luria-

Bertani (LB) or Tryptic Soy Broth (TSB) medium at 37˚C with shaking at 220

rpm. Bacterial cells were harvested in the mid-exponential growth phase using

centrifugation at 16,000 × g for 1 min and its genomic DNA was isolated

using G-spin™ Genomic DNA Extraction Kit for Bacteria (iNtRON

Biotechnology, Seongnam, South Korea). The concentration and purity of

extracted DNA were determined by NanoVue (GE healthcare, Little

Chalfont, United Kingdom).

II-2-2. Genome sequencing and assembly

The complete genome of C. sakazakii ATCC 29544T was generated

at Macrogen, Seoul, South Korea, using a hybrid of PacBio RS II (Pacific

Biosciences, Menlo Park, CA, USA) and Illumina HiSeq 2500 (San Diego,

CA, USA). An Illumina standard shotgun library, paired-end library and mate-

pair library were constructed and sequenced using the Illumina HiSeq 2500

platform. The filtered Illumina reads of 14,828,306 (paired end) and

12,583,144 (mate pair) were obtained and assembled using ALLPATHS-LG

(version r47449) (Gnerre et al., 2011). A PacBio SMRTbell library was

constructed using the P5 polymerase with C3 chemistry (P5-C3) and

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sequenced on the PacBio RS II platform. The total quality filtered reads were

93,528 and assembled using HGAP (version 2.0) and iCORN2 software (Otto

et al., 2010) with HiSeq 2500 paired-end sequence data. The total size of the

complete genome sequence is 4.6 Mb (a chromosome and three plasmids),

and the final genome coverages were on average 1,321 × Illumina and 73 ×

PacBio, respectively.

II-2-3. Genome annotation

The ORFs were predicted using Glimmer3 (Delcher et al., 1999),

FGENESB (Li, 2011), and GeneMark.hmm (Lukashin & Borodovsky, 1998).

The gene prediction results were confirmed by manual curation. The genes of

rRNA and tRNA were predicted using RNAmmer 1.2 (Lagesen et al., 2007)

and tRNAscan-SE (Lowe & Eddy, 1997), respectively. The genome

annotation was conducted using NCBI BLASTP (Altschul et al., 1990) and a

predicted protein analysis using InterProScan (Hunter et al., 2012) for the

prediction of protein functions.

II-2-4. Bioinformatics

Clusters of orthologous groups (COG) analysis was performed using

WebMGA (Wu et al., 2011). A circular genome map was generated by

GenVision (DNASTAR, Madison, WI, USA) based on the information

provided by the genome annotation. In addition, for comparative genomic

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analysis, average nucleotide identity (ANI) was performed by JSpecies based

on 12 complete genome sequences of Cronobacter. To calculate the ANI

among the complete genomes, each genome sequence was cut randomly into

1,020 base pairs, and each fragment was pairwise compared using BLASTN

algorithm. For multilocus sequence typing (MLST) analysis, seven house-

keeping genes were concatenated and ANI calculation was performed by

JSpecies.

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II-3. Results and Discussion

II-3-1. Genome properties of Cronobacter sakazakii ATCC 29544T.

The complete genome of C. sakazakii ATCC 29544T is composed of

a circular chromosome and three plasmids (Fig. II-1). The chromosome is

4,511,265 bps in DNA length with a GC content of 56.71%, 4,380 ORFs, 22

rRNA genes, and 83 tRNA genes, as listed in Table II-1. The plasmids,

designated pCSK29544_p1, pCSK29544_p2 and pCSK29544_p3, are 93,905,

4,938 and 53,457 bp in DNA length with GC contents of 57.02, 54.88 and

50.07%, respectively. The plasmids have predicted ORFs of 72, 6, and 57,

respectively, and no RNA gene in them. The genome annotation information

including a chromosome and three plasmids has been deposited under the

GenBank accession number, CP011047, CP011048, CP011049, and

CP011050, respectively, listed in Table II-2. The classification of ORFs into

functional categories based on COG (Clusters of Orthologous Groups)

(Tatusov et al., 1997) is summarized in Table II-3. In COG functional

categorization, 4,048 ORFs (89.64% of totally predicted ORFs) belonged to

COG functional categories.

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Fig. II-1. Genome map of a circular chromosome (A) and three plasmids (B).

The outer circle indicates the gene-coding regions by strand, and the genes are colored by COG categories. The blue and orange arrows

indicate rRNA and tRNA genes in the chromosome, respectively. The inner circle with a red line indicates the G+C content. The scale unit is a

base pair.

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Table II-1. Genome statistics

Attribute Value % of Totala

Genome size (bp) 4,663,565 100

DNA coding (bp) 4,116,350 88.27

DNA G+C (bp) 2,641,511 56.64

Total genes 4,620 100

Protein coding genes 4,515 97.72

RNA genes 105 2.27

rRNA operons 22 0.48

tRNA genes 83 1.8

Genes with function prediction 3,212 69.52

Genes assigned to COGs 4,048 87.21

Genes with Pfam domains 2,118 45.84

Genes with signal peptides 414 8.96

Genes with transmembrane helices 1,035 22.4

CRISPR repeats 2 0.04

a, The total is based on either the size of the genome (a chromosome and 3

plasmids) in base pairs or the total number of total genes in the annotated

genome.

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Table II-2. Summary of genome: one chromosome and 3 plasmids

Label Size (Mb) Topology Acession No.

Chromosome 4.51 Circular CP011047

Plasmid 1 0.093 Circular CP011048

Plasmid 2 0.005 Circular CP011049

Plasmid 3 0.053 Circular CP011050

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Table II-3. Number of genes associated with general COG functional categories

Code Value % of totala Description

J 187 4.14 Translation, ribosomal structure and biogenesis

A 1 0.02 RNA processing and modification

K 316 7.00 Transcription

L 248 5.49 Replication, recombination and repair

B 0 0 Chromatin structure and dynamics

D 41 0.91 Cell cycle control, Cell division, chromosome partitioning

V 46 1.02 Defense mechanisms

T 205 4.54 Signal transduction mechanisms

M 231 5.11 Cell wall/membrane biogenesis

N 119 2.63 Cell motility

U 107 2.37 Intracellular trafficking and secretion

O 157 3.48 Posttranslational modification, protein turnover, chaperones

C 225 4.98 Energy production and conversion

G 376 8.33 Carbohydrate transport and metabolism

E 338 7.49 Amino acid transport and metabolism

F 89 1.97 Nucleotide transport and metabolism

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H 161 3.56 Coenzyme transport and metabolism

I 96 2.13 Lipid transport and metabolism

P 216 4.78 Inorganic ion transport and metabolism

Q 66 1.46 Secondary metabolites biosynthesis, transport and catabolism

R 419 9.28 General function prediction only

S 404 8.95 Function unknown

- 467 10.34 Not in COGs

a, The total is based on the total number of ORFs in the genome.

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II-3-2. Pathogenesis and virulence factors

C. sakazakii infects human neonates and infants via mostly

contaminated reconstituted infant formula milk (Himelright et al., 2002),

causing serious human diseases, including bacteremia, necrotizing

enterocolitis, and even meningitis (Healy et al., 2010). The high survival rate

of C. sakazakii, even under extremely dried conditions, as in milk formula

powder, has not been investigated at the molecular level. To understand this

extraordinary property of C. sakazakii, molecular studies have been recently

performed. Interestingly, two gene clusters associated with biosynthesis of

capsular polysaccharides (CSK29544_00281-00284) and cellulose

(CSK29544_01124-01127) were detected. Recently, the biofilm formation and

cellulose (as a component of biofilm) production of C. sakazakii were

experimentally confirmed (Choi et al., 2015; Hu et al., 2015), suggesting that

these gene clusters may be involved in the biofilm formation. This biofilm

formation of C. sakazakii may contribute to the survival in the infant formula

conditions (Hu et al., 2015). However, exopolysaccharide (EPS) production

was not observed in C. sakazakii ATCC 29544 (Lehner et al., 2005),

suggesting that capsular protein gene cluster may be associated with biofilm

formation, not with EPS production. In particular, C. sakazakii is the only

Cronobacter species that has the nanKTAR gene cluster to utilize sialic acid

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(Joseph et al., 2013b). Interestingly, C. sakazakii ATCC 29544 has this gene

cluster (CSK29544_00587-590), indicating its ability to use sialic acid. This

unique ability may be involved in its adaptation to the milk conditions

because sialic acid is one of the components of milk (Wang et al., 2001).

Upon human infection, C. sakazakii invades brain microvascular

endothelial cells (BMECs), which are barriers to protect the brain from

infection of meningitic pathogens, including Escherichia coli K1 and

Neisseria meningitides, which cause meningitis in neonates and infants (Nair

et al., 2009; Nassif et al., 2002). Outer membrane protein A (OmpA) of C.

sakazakii is a critical determinant, contributing the in vitro invasion of human

BMECs by enhancing cell adhesion (Nair et al., 2009). In addition, a few

genes (ibeA, ibeB, and yijP) in meningitic E. coli were also suggested to be

associated with the invasion of human BMECs (Huang et al., 1999; Huang et

al., 2001; Wang et al., 1999). Interestingly, two genes, ompA

(CSK29544_03699) for BMEC adhesion and the ibeB-homolog cusC

(pCSK29544_3p0028) for the penetration of BMECs, were detected in the

genome of C. sakazakii ATCC 29544T, suggesting that this strain may invade

human BMECs. However, ibeA and yijP were not detected in the genome. It

is noteworthy that this ibeB-homolog cusC is located in the gene cluster of the

complete copper- and silver-resistance cation efflux system as encoded by

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cusABCF (CSK29544_3p0026-CSK29544_3p0031) in the plasmid

pCSK29544_3p, suggesting that this BMEC invasion ability may be

transferrable to other C. sakazakii or that the strain ATCC 29544T may have

been acquired from other C. sakazakii for human BMEC invasion. The

presence of a conjugational transfer protein encoded by traX

(CSK29544_3p0007) supports this hypothesis.

In addition, C. sakazakii ATCC 29544T harbors three plasmids,

pCSK29544_1p (1p), pCSK29544_2p (2p), and pCSK29544_3p (3p) (Fig. 4).

Interestingly, two large plasmids (1p and 3p) encode virulence-associated

genes that are related to iron uptake and BMEC invasion. Therefore, these two

plasmids may contribute to host dominance and pathogenesis, respectively.

Iron is an essential element for dominant survival and colonization via

bacterial competition for iron uptake because it plays an important role in the

electron transport system for energy production (Mietzner & Morse, 1994;

Neilands, 1995). To accomplish this dominant survival and colonization

against other bacteria, C. sakazakii has an iron acquisition system, including

siderophore production (iucABCD/iutA) and an ABC-type transport system

(eitCBAD) in the plasmid pESA3 (Franco et al., 2011a; Jaradat et al., 2014).

The strain ATCC 29544 also has this privileged iron acquisition system,

including siderophore biosynthesis (iucABCD/iutA; CSK29544_1p0024-

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CSK29544_1p 0028) and an ABC-type iron transport system (eitCBAD;

CSK29544_1p0056- CSK29544_1p 0059). However, this iron acquisition

system is present in the plasmid 1p but not in the chromosome, similar to

pESA3 of C. sakazakii BAA-894 (Franco et al., 2011a). Interestingly, C.

sakazakii BAA-894 has multiple copies of pESA3 plasmids, which is highly

homologous to the plasmid 1p, suggesting that the plasmid 1p may be multi

copied, too (Kucerova et al., 2010). These results indicate that C. sakazakii

ATCC 29544T may take advantage of better iron uptake ability in the given

environments, probably due to the presence of multiple copies of this iron

acquisition system encoded in the plasmid 1p.

Recent studies have revealed that milk formula contains an at least

six-times-higher arsenic concentration than that of breast milk, suggesting that

bacterial survival in milk formula may require arsenic resistance (Carignan et

al., 2015; Dakeishi M, 2006; Jackson et al., 2012). In addition to the

previously mentioned BMEC invasion ability of C. sakazakii ATCC 29544 via

the ibeB-homolog cusC gene in the cation efflux system, the plasmid 3p has

an arsenic resistance system as encoded by arsCBADR, suggesting that the

strain ATCC 29544 may have arsenic resistance activity for survival in

formula milk powder and that this ability may have been acquired via plasmid

conjugational transfer.

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II-3-3. Comparative genome analysis

To determine the unique features of C. sakazakii ATCC 29544, the

genome of this strain was compared using average nucleotide identity (ANI)

analysis with previously reported complete genome sequences of four C.

sakazakii strains and seven other Cronobacter strains (Kucerova et al., 2010;

Power et al., 2013; Shin et al., 2012a; Stephan et al., 2011; Zhao et al., 2014).

The ANI analysis of C. sakazakii genomes showed >98% ANI (average

nucleotide identity), suggesting that these sequences are highly homologous

(Fig. II-2). However, their sequence types (ST) are different, such as SP291

(ST4), NCTC 8155 (ST4), ATCC 29544 (ST8), ATCC BAA-894 (ST1), and

ES15 (ST125). ANI tree showed that SP291 is the closest to NCTC 8155

because they are ST4. In addition, ATCC 29544 (ST8) is very closely related

to ST4 strains, SP291 and NCTC 8155, but evolutionary distinct. Other

strains of ST1 and ST125 are a little bit far from them. They are in the same

group suggesting that all of them belong to C. sakazakii. However, C.

sakazakii CMCC 45402 was corrected to C. malonaticus CMCC 45402

(Blazkova et al., 2015). Indeed, the ANI tree revealed that the strain CMCC

45402 is much closer to C. malonaticus LMG 23826 rather than C. sakazakii

strains, substantiating that the strain CMCC 45402 belongs to C. malonaticus,

not to C. sakazakii.

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Interestingly, the strain ATCC 29544T contains three strain-specific prophages

(2,190,745-2,236,903, 2,248,908-2,269,664, and 2,360,824-2,368,684) with

no homology with other genomes. While these prophages are specific to only

ATCC 29544T, most of the encoded proteins are hypothetical proteins.

Therefore, we could not identify ATCC 29544-specific functions in the unique

prophages at this time, probably due to insufficient genome annotation

information of C. sakazakii or its prophages in the sequence databases.

II-3-4. Comparative phylogenetic tree analysis

To dissect evolutionary relationships of Cronobacter species, three

comparative phylogenetic tree analysis methods were used at the strain level,

including ANI, multilocus sequence typing (MLST), and 16S rRNA gene

sequencing. For the analysis, 11 complete genome sequences of Cronobacter

that are available in the NCBI Genbank database, including the strain ATCC

29544, were obtained and ANI values were calculated. A phylogenetic tree

was generated based on ANI values (Fig. II-2). The tree identified

Cronobacter sakazakii group. Within this group, the genome of Cronobacter

sakazakii ATCC 29544 is closely related with Cronobacter sakazakii NCTC

8155 and SP291, but evolutionarily distinct. The second phylogenetic tree was

generated by MLST using 7 house-keeping genes (Fig. 3B): atpD (ATP

synthase β chain), fusA (elongation factor), glnS (glutaminyl-tRNA synthase),

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gltB (glutamate synthase), gyrB (DNA gyrase B), infB (translation initiation

factor IF-2), and pps (phosphoenol-pyruvate synthase) (Baldwin et al., 2009).

In consistent with the previous report, MLST is a successful typing method to

discriminate Cronobacter genus between isolates (Joseph & Forsythe, 2012;

Joseph et al., 2012b; Joseph et al., 2013a). Contrary to the phylogenetic tree

by 16S rRNA gene, ANI and MLST showed higher resolution of

discrimination between Cronobacter genus (Fig. II-2)

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A

B

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C

Fig. II-2. Phylogenetic tree analysis using different methods.

(A) Phylogenetic tree analysis of C. sakazakii ATCC 29544T and other

Cronobacter strains. For the construction of the tree, MEGA6 with complete

16S rRNA sequences was used using the Neighbor-joining method (Tamura et

al., 2013). The percentage of trees in which the associated taxa clustered in

the bootstrap test (1,000 replicates) is shown nearby the branches (Sanderson

& Wojciechowski, 2000). The type strain is labeled with superscript T.

(B) ANI analysis of C. sakazakii ATCC 29544T and other Cronobacter strains

using average nucleotide identity (ANI), which was generated by JSpecies.

The type strain is labeled with superscript T.

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Chapter III.

The hfq, a RNA-binding protein, plays important

roles in virulence and stress adaptation in

Cronobacter sakazakii ATCC 29544

A part of this chapter was published in Infect. Immun. (2015) 83(5):2089-98.

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III-1. Introduction

Cronobacter genus (formerly Enterobacter sakazakii) is a Gram-

negative, rod-shaped, peritrichous and yellow-pigmented facultative anaerobe

belonging to the Enterobacteriaceae family. This family encompasses the

well-known enteric pathogens, Salmonella and pathogenic E. coli, but

Cronobacter are most closely related to the Enterobacter sakazakii and

Citrobacter genera. According to Farmer’s original 16 biogroups,

Enterobacter sakazakii has been reclassified into several Cronobacter spp.

based on geno- and phenotypic evaluations (Farmer et al., 1980a; Iversen et

al., 2007a; Iversen et al., 2007b; Iversen et al., 2008). Cronobacter spp. are

present in a wide range of environments, including water, soil, processed

foods, and facilities (Kandhai et al., 2004), and are composed of seven species:

Cronobacter sakazakii, Cronobacter malonaticus, Cronobacter muytjensii,

Cronobacter turicensis, Cronobacter dublinensis, Cronobacter universalis,

and Cronobacter condimenti (Iversen et al., 2007a; Iversen et al., 2008;

Joseph et al., 2012a)

C. sakazakii is a foodborne opportunistic pathogen that causes

bacteremia, meningitis, and necrotizing enterocolitis, particularly in premature

infants (Bar-Oz et al., 2001; Drudy et al., 2006; Joker et al., 1965). Although

the incidence rate is quite low, mortality is high, ranging from 40 to 80%

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(Drudy et al., 2006; Mullane et al., 2007; Willis & Robinson, 1988). Despite

the serious perils associated with C. sakazakii, little is known at the molecular

level about the mechanism of its pathogenicity and about its virulence factors.

A cell-bound zinc-containing metalloprotease, encoded by zpx, caused

rounding of Chinese hamster ovary (CHO) cells, which might be important in

dissemination of the pathogen into the systemic circulation (Kothary et al.,

2007). The outer membrane proteins A (OmpA) and OmpX are reported to be

essential for adhesion to/invasion of Caco-2 and INT-407 cells (Kim et al.,

2010; Kim & Loessner, 2008). Studies have shown that C. sakazakii can

invade and translocate efficiently across cultured human intestinal epithelial

cells, as well as endothelial cells, experimentally mimicking the potential path

of meningitis (Giri et al., 2012; Kim & Loessner, 2008). A plasmid-borne

outer membrane protease (Cpa) is reported to be involved in C. sakazakii

protection against complement-dependent serum killing and efficient invasion

by activating plasminogen into plasmin (Franco et al., 2011b). Furthermore,

plasmid-borne iron acquisition systems, such as an aerobactin-like

siderophore (cronobactin) and an ABC ferric-iron transporter (eitABCE),

might enable Cronobacter spp. to obtain iron in a highly iron-restricted

environment (Grim et al., 2012). Flagella from Cronobacter spp. can induce

an inflammatory response dependent on Toll-like receptor 5 (TLR5)

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recognition, so they could contribute to the pathogenesis of the bacteria (Cruz-

Cordova et al., 2012). As a global regulator, LysR-type transcriptional

regulator (LTTR) in C. sakazakii impacts pathogenesis, invasion, biofilm

formation, and in vivo challenge (Choi et al., 2012).

The Hfq protein, which was first discovered in E. coli nearly half a

century ago as a host bacterial factor required for the RNA synthesis of

bacteriophage Qβ (Franze de Fernandez et al., 1968), is widely conserved as

an RNA chaperone in many bacterial species (Kajitani & Ishihama, 1991). It

oligomerizes into a hexameric ring structure (Sauter et al., 2003), enhances

the formation of small RNA (sRNA)–mRNA duplexes, and contributes to

RNA regulation by interacting with RNA turnover enzymes, RNase E,

polynucleotide phosphorylase, and poly(A) polymerase (Vogel & Luisi, 2011).

Thus, Hfq is regarded as a posttranscriptional global regulator involved in the

biogenesis of outer membrane proteins (OMPs) (Guillier et al., 2006), quorum

sensing (Lenz et al., 2004), and various stress responses (Repoila et al., 2003).

In addition, recent studies have demonstrated the importance of Hfq in the

pathogenesis of various bacteria, including Listeria monocytogenes, Yersinia

pseudotuberculosis, Francisella tularensis, Salmonella enterica serovar

Typhimurium, and E. coli (Christiansen et al., 2004; Kulesus et al., 2008;

Meibom et al., 2009; Schiano et al., 2010; Sittka et al., 2007). For example, a

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lack of Hfq in S. Typhimurium caused attenuated virulence in vivo, reduced

host cell adhesion and invasion in vitro, defectiveness in secretion of effector

proteins, chronic envelope stress (accumulation of periplasmic and outer

membrane proteins), loss of motility, and reduced survival within cultured

macrophages (Sittka et al., 2007). Such pleiotropic functions of the hfq gene

product were also observed in other bacterial species (Chiang et al., 2011;

Schiano et al., 2010), but the effects of hfq deletion could be different from

one species to another; the deletion of hfq in S. Typhimurium and Brucella

abortus reduced bacterial growth and survival within the host cells, but not in

L. monocytogenes and F. tularensis (Christiansen et al., 2004; Meibom et al.,

2009; Robertson & Roop, 1999)

The aim of this study was to elucidate the function of the hfq

homolog of C. sakazakii in virulence or stress responses, such as motility,

invasion of host epithelial cells, intracellular survival in macrophages, and

resistance to hydrogen peroxide. Here, I demonstrate that Hfq is essential for

virulence and stress adaptation in C. sakazakii ATCC 29544.

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III-2. Materials and Methods

III-2-1. Bacterial strains, plasmids, and culture conditions.

The bacterial strains used in this study are listed in Table 1. C.

sakazakii and E. coli were routinely grown in Luria-Bertani (LB) medium at

37°C with constant shaking unless otherwise indicated. C. sakazakii strains

ATCC 29544 (SK001), Δhfq (SK005), and Δhfq harboring pHFQ (SK007)

were cultured overnight in LB medium at 37°C and subcultured with a 1%

overnight culture in 50 ml LB medium. The cultures were incubated with

shaking at 220 rpm in 250-ml Scott flasks at 37°C. Ampicilin,

chloramphenicol, and arabinose were used at 50 μg/ml, 25 μg/ml, 50 μg/ml,

and 1.33 mM, respectively.

III-2-2. Construction of a hfq deletion mutant using the Lambda-Red

recombination method.

The whole genome sequence of C. sakazakii BAA-894 was obtained

from GenBank (Grim et al., 2012) and adopted to manipulate the C. sakazakii

ATCC 29544 genome. Site-specific mutation of C. sakazakii ATCC 29544

was generated by the Lambda-Red recombination method, as described by

Kim et al. and Datsenko and Wanner (Datsenko & Wanner, 2000; Kim et al.,

2010). Briefly, the kanamycin resistance cassette from plasmid pKD13 was

amplified using the following primers (Table 2): for hfq deletion mutant

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construction, hfq-lamb-F (5’-ATG GCT AAG GGG CAA TCT TTG CAA

GAT CCG TTC CTC AAC GCG CTG CGT CGT GTA GGC TGG AGC TGC

TTC G-3’) and hfq-lamb-R (5’-TTA CTC GGC GTC TTC GCT ATC CTG

AGA GGC AGC GGA AGA TGG CTG TGC GTA TTC CGG GGA TCC

GTC GAC C-3’). (The nucleotide sequences originating from pKD13 are

underlined, and those from the C. sakazakii gene of interest are shown in

italics.) The PCR products were transformed into the wild-type (WT) strain, C.

sakazakii ATCC 29544, harboring the pKD46 plasmid, by electroporation, and

cells were selected for kanamycin-resistant transformants, hfq::kan. Finally,

the kanamycin resistance cassette was removed using the pCP20 plasmid, as

described previously (Choi et al., 2012)

IIII-2-3. Complementation study.

Two hfq complementation plasmids (a pACYC184 derivative, pHFQ,

with its own hfq promoter and a pBAD18 derivative, pHFQ-A, under an

arabinose-inducible promoter) were constructed. To make pHFQ, the entire

309-bp hfq coding sequence (accession number KC866358) and 782 bps of

upstream sequence comprising miaA (accession number KC866359), which

includes promoter regions of hfq, were amplified from C. sakazakii ATCC

29544 chromosomal DNA (Chiang et al., 2011) with primer sets hfq-

pACYC184-SphI-F (5’-AAA GCA TGC AGC GAT GGC GGA GAT TGT

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CG-3’) and hfq-pACYC184-SalI-R (5’-AAA GTC GAC GTA AAA TAG

ATG TGT ACC AG-3’) (the artificial restriction enzyme digestion site is

underlined) and cloned into pACYC184 (Hanahan, 1983). For pHFQ-A, hfq-

pBAD18-EcoRI-F (5’-AAA GAA TTC GGT TCA AGA GTA TAA ACA

AC-3’) and hfq-pACYC184-SalI-R (5’-AAA GTC GAC GTA AAA TAG

ATG TGT ACC AG-3’) were used to amplify the hfq coding region into the

pBAD18 vector (the underlined nucleotide sequences are artificially added

restriction recognition sites) (Guzman et al., 1995). The plasmids were used to

transform the mutant to generate hfq harboring pHFQ and hfq harboring

pHFQ-A.

III-2-4. Gentamicin protection (invasion) assay.

To determine bacterial invasion of mammalian Caco-2 cells, a

gentamicin protection assay was performed as described previously (Kim et

al., 2010). Briefly, bacteria were prepared by transferring a 1% inoculum from

overnight cultures into fresh LB medium, followed by incubation for 2.5 h at

37°C with constant shaking. C. sakazakii cells were collected by

centrifugation at 20,000 x g, washed with phosphate-buffered saline (PBS)

(pH 7.4), and resuspended in 1 ml of pre-warmed fresh Eagle’s minimum

essential medium (EMEM) (ATCC). Mammalian cells were seeded in EMEM

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supplemented with 20% fetal bovine serum (FBS) (Gibco, Invitrogen) in 24-

well tissue culture plates with a cell density of 2 x 105 per well. The cell

monolayers were incubated for 1 day, infected with bacteria at a multiplicity

of infection (MOI) of 100, and incubated for 1.5 h in the presence of 5% CO2.

After the cells were washed once with PBS, fresh medium containing

gentamicin (100 μg/ml; Sigma) was added, and the plates were further

incubated for 1.5 h, followed by three washes with PBS. Then, 500 μl of 1%

Triton X-100 was added, and the plates were incubated for a further 15 min

before the bacteria were collected and plated on tryptic soy agar (TSA).

III-2-5. Motility assay.

The C. sakazakii ATCC 29544 (SK002) and hfq (SK006) strains and

the complemented strain (SK008) were cultured overnight in LB medium at

37°C, which was used to subculture (1% inoculum) fresh LB medium.

Bacteria were grown to mid-exponential phase and then diluted to adjust the

OD600 to 1.5. Aliquots (2 μl) of each strain were injected onto soft-agar

motility plates (LB medium containing 0.3% agar) and incubated at 37°C for

7 h. A GelDoc EZ imager (Bio-Rad) was used to take a photograph.

III-2-6. Bacterial survival assay in animal cells.

A long-term survival assay was performed as described previously

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(Townsend et al., 2007b). Briefly, RAW264.7 murine macrophage-like cells

were seeded in Dulbecco’s modified Eagle medium (DMEM) (Gibco,

Invitrogen) supplemented with 10% FBS in 24-well plates at a density of 5 x

105 cells per well and incubated for 1 day at 37°C with 5% CO2. C. sakazakii

strains were prepared as described for the invasion assay, and cell monolayers

were infected with bacteria at an MOI of 100 for 45 min at 37°C. The medium

was replaced with DMEM (plus 10% FBS) supplemented with 100 μg/ml of

gentamicin, and the cells were incubated for an additional 45 min. The plates

were washed twice with PBS, and the cells were lysed with 1% Triton X-100,

followed by serial dilution and plating onto TSA to determine the numbers of

intracellular bacteria at various time points. For further study of bacterial

persistence (long-term survival), the cells were replenished daily with fresh

medium containing 10 μg/ml of gentamicin, and the numbers of intracellular

bacteria were determined at 3, 8, 24, 48, 72, and 96 h.

III-2-7. Bacterial resistance against hydrogen peroxide.

A hydrogen peroxide assay was performed as described previously

with minor modifications (Schiano et al., 2010). A C. sakazakii culture was

prepared as for the motility assay. Hydrogen peroxide (Sigma) was added to

the culture to a final concentration of 100 mM, and the culture was incubated

at 37°C for 10 min, followed by counting of viable cells on TSA. For

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quantitative real-time (qRT)-PCR analysis (see below), each sample was

exposed to 100 mM H2O2 for 5 min at 37°C.

III-2-8. qRT (quantitative)-PCR.

A C. sakazakii culture was prepared as for the motility assay. Five

hundred microliters of the culture was mixed with 1 ml of RNA Protect

Bacteria Reagent (Qiagen), and total RNA was isolated using an RNeasy mini

kit (Qiagen). The RNA sample was then treated with RNase-free DNase

(Ambion) to remove residual DNA. cDNA was synthesized using

Omnitranscript Reverse Transcription reagents (Qiagen) and random

hexamers (Invitrogen), and quantification of the cDNA was performed using

2x iQ SYBR green Supermix (Bio-Rad). The real-time amplification of the

PCR products was performed using the CFX Connect Real-Time PCR

Detection system (Bio-Rad). The mRNA level of each gene was divided by

the mRNA level of the 16S rRNA. The mRNA expression values in strains

SK005 and SK007 were further normalized to the transcription levels in the

wild-type strain. For mRNA stability, the samples were taken after the

addition of rifampicin (working conc. 250 μg). The following steps were the

same as stated above.

III-2-9. Animal study in vivo.

Three- to 4-day-old Sprague-Dawley (SD) rat pups were used to

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assess the virulence of the WT (SK001) and the hfq mutant (SK004) strains.

Mid exponential-phase bacteria were collected, washed, and resuspended in

PBS. For competitive assays, a mixed inoculum of 1 x 109 CFU/ml of the

fully virulent WT (SK001) and the hfq mutant (SK004) harboring a kan

cassette was orally administered to rat pups. To analyze bacterial colonization

in organs, all the rat pups were killed with CO2 at 20 h post-infection. The

spleens and livers were aseptically removed, homogenized, and serially

diluted. Bacterial loads were determined for the WT and mutant by plating

onto TSA in the presence or absence of kanamycin. The results are presented

as competitive-index (CI) values, which were calculated as follows:

(hfqoutput/hfqinput)/(WToutput/WTinput).

III-2-10. TEM (transmission electron microscopy) analysis.

Flagellar morphology was visualized by negative staining, followed

by transmission electron microscopy (TEM). After being negatively stained

with 2% uranyl acetate for 1 min on carbon-Formvar copper grids, flagella

were examined with an energy-filtering transmission microscope (EF-TEM;

Libra 120, Germany) at a voltage of 120 kV.

III-2-11. Western blot analysis.

C. sakazakii ATCC 29544 was cultured overnight in LB medium at

37°C, which was used to subculture (1% inoculum) fresh LB medium. The

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bacteria were grown to mid-exponential phase, collected, and disrupted in B-

PER (Thermo Scientific) according to the manufacturer’s instructions. The

protein samples were loaded on a 12% SDS-polyacrylamide gel. The

separated proteins on the gel were transferred to a polyvinylidene difluoride

(PVDF) membrane and blocked with 5% nonfat dry milk–1x Tris-buffered

saline–Tween 20 (TBST) buffer. The membrane was probed with anti-

OmpA/OmpX polyclonal antibody and anti-DnaK antibody (Enzo Life

Science) as primary antibodies and then treated with anti-mouse IgG

conjugated with peroxidase (Santa Cruz Biotechnology) as the secondary

antibody in all of the immunoblot experiments. The chemiluminescent signals

were developed with a West-Zol plus Western blot detection system (Intron

Biotechnology, South Korea).

III-2-12. Primer extension analysis.

Primer extension assays were performed as described previously with minor

modifications (Kim et al., 2011b). Briefly, C. sakazakii was grown to the mid-

exponential phase for about 3 h in LB broth with constant shaking and

harvested by centrifugation at 20,000 x g for 2 min at 4ºC. The total RNA was

purified with TRIzol (Invitrogen) according to the manufacturer’s instructions.

Purified RNA was resuspended in nuclease-free water and the RNA

concentration was determined by measuring the optical density of the solution

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at 260 and 280 nm using NanoVue (GE Healthcare). A portion (20 pmol) of

P1_R and P2_R primers was labeled with 32P at the 5’ end by 10U of T4

polynucleotide kinase (Invitrogen) and 40μCi of [γ-32P]ATP for 30min at 37ºC

in 40 μl, respectively. The labeling mixture was heated at 70ºC for 10 min and

purified with MicroSpin G-25 columns (GE healthcare). For annealing, the γ-

32P-end labeled primers (1 pmol each) were incubated with 30 μg of total

RNA in 20 μl of 250 mM KCl, 2 mM Tris (pH 7.9), and 0.2 mM EDTA. The

mixture was heated at 70ºC for 3 min and then was allowed to cool to room

temperature for 1 h. After annealing, 50 μl of extension reaction solution

containing 100 μg/ml of actinomycin D, 10 mM MgCl2, 5 mM dithiothreitol,

20 mM Tris-Cl (pH 7.6), 770 μm deoxynucleotide triphosphates and 100 U of

Superscript Ⅲ reverse transcriptase (Invitrogen) was added to the mixture.

The mixture was incubated at 42ºC for 70 min and treated with 100U of

RNase T1 (Roche) at 37ºC for 15min in the presence of 2 μl of 0.5M EDTA.

The respective samples were ethanol precipitated after addition of 1.4 μl of

5M NaCl with 2.5 volumes of absolute ethanol and then washed with 75%

ethanol. Each sample was resuspended with 6 μl of stop/loading buffer

(Epicentre) and 4 μl of Tris-EDTA (pH 8.0) buffer and then denatured at 90ºC

for 3 min. The samples were resolved on 6% polyacrylamide-8 M urea gels

and signals were analyzed by BAS 2500 (Fuji Film). The PE_1R and P2_R

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primers were used for sequencing the hfq promoter region with a SequiTherm

EXCELⅡ DNA sequencing system (Epicentre).

III-2-13. Statistical analysis.

Statistical analysis was conducted using the GraphPad Prism

program (version 5.01). All results were analyzed by Student’s unpaired t test.

The data are presented as means and standard deviations. A P value of 0.05

was considered statistically significant.

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Table III-1. Bacterial strains and plasmids used in this study

Strain or plasmid Genotype and/or characteristics Reference or source

C. sakazakii ATCC 29544 Wild-type strain (Kim et al., 2010)

ES1001 29544 harboring pKD46 (Kim et al., 2010)

SK001 29544 harboring pACYC184 This study

SK002 29544 harboring pBAD18 This study

SK003 Δhfq This study

SK004 hfq::kan harboring pACYC184 This study

SK005 Δhfq harboring pACYC184 This study

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SK006 Δhfq harboring pBAD18 This study

SK007 Δhfq harboring pHFQ This study

SK008 Δhfq harboring pHFQ-A This study

E.coli

DH5α λ- Φ80dlacZΔ(lacZYA-argF)U169 recA1 endA1 hsdR17(rK-

mK-) supE44 thi-1 gyrA relA1

(Hanahan, 1983)

Plasmids

pKD13 oriR6K AmpR FRT KanR FRT (Datsenko & Wanner, 2000)

pKD46 oriR101 repA101(Ts) AmpR ara BADpgam-bet-exo (Datsenko & Wanner, 2000)

pCP20 oripSC101(TS) AmpRCmR cΙ857λ PRflp (Datsenko & Wanner, 2000)

pACYC184 TetR CmR p15A ori (Chang & Cohen, 1978)

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pBAD18 AmpR, araC, PBAD, pBR322 ori, expression vector (Guzman et al., 1995)

pHFQ pACYC184-hfq This study

pHFQ-A pBAD18-hfq This study

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Table III-2. Oligonucleotides used for the construction of strains and plasmids in Chapter III

Oligonucleotide name Oligonucleotide sequence (5’ to 3’) Purpose

Mutant construction

hfq-lamb-F ATG GCT AAG GGG CAA TCT TTG CAA GAT CCG TTC CTC AAC

GCG CTG CGT CGT GTA GGC TGG AGC TGC TTC G

SK003 construction

hfq-lamb-R TTA CTC GGC GTC TTC GCT ATC CTG AGA GGC AGC GGA AGA

TGG CTG TGC GTA TTC CGG GGA TCC GTC GAC C

SK003 construction

hfq-lamb-conF GTA CAG CGA TGT GTT ACA GGT SK003 confirmation

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hfq-lamb-conR CCA ACA AAA TAC TTT GGG TGC G SK003 confirmation

Cloning

hfq- pACYC184-R-SalΙ AAA GTC GAC GTA AAA TAG ATG TGT ACC AG pHFQ construction

hfq-pACYC184-F-SphΙ AAA GCA TGC AGC GAT GGC GGA GAT TGT CG pHFQ construction

pACYC184-seq-F GGC TCA TGA GCG CTT GTT TC pHFQ confirmation

pACYC184-seq-R TGT CCT ACG AGT TGC ATG ATA pHFQ confirmation

hfq-pBAD18-F-EcoRΙ AAA GAA TTC GGT TCA AGA GTA TAA ACA AC pHFQ-A construction

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pBAD18-seq-F GTC CAC ATT GAT TAT TTG CAC G pHFQ-A confirmation

pBAD18-seq-R CAG GCT GAA AAT CTT CTC TCA T pHFQ-A confirmation

a Restriction enzyme sites are underlined.

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Table III-3. Primers for qRT-PCR analysis in Chapter III

Name Target genes Sequences (5’ to 3’)

Control-RT-F control GGG CCT CAT GCC ATC AGA T

Control-RT-R control TCT CAG ACC AGC TAG GGA TCG T

flhC-RT-F flhC GCA ACT TAG CCG CGG TAG AC

flhC-RT-R flhC TGA ACC AGT CCG TGG AAA AGG

fliA-RT-F fliA GCA GGA ACT GGG ACG TAA CG

fliA-RT-R fliA GTG TCG AGC AAC ATC TGA CGA T

flgK-RT-F flgK CGC TAT GAG CAG ATG TCG AAA AT

flgK-RT-R flgK GTC TGC AGG CTT TTG AAG AAA TC

fliC-RT-F fliC CGT ATC GCT GGT GGT GCT AA

fliC-RT-R fliC CAG CGC CAA CCT GAA TTT TC

miaA-RT-F miaA GAG CAG CGT TTT CAC CAG AT

miaA-RT-R miaA AGG CAT GTC CGT ATG CAA AT

hflX-RT-F hflX TGT CGA AGC ATT ACA GGT GAT T

hflX-RT-F hflX AAT CTC AAC GGC TTT ACC TTC A

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III-3. Results

III-3-1. hfq mutant in C. sakazakii was constructed and defective in

growth.

As numerous studies have demonstrated that Hfq contributes to the

pathogenesis of many bacteria differently (Christiansen et al., 2004; Meibom

et al., 2009; Robertson & Roop, 1999), I studied the effects of an Hfq-like

protein on the pathogenesis of C. sakazakii ATCC 29544. To understand the

roles of hfq in C. sakazakii ATCC 29544 pathogenesis, I generated an

unmarked mutant lacking the entire hfq gene using the Lambda Red-

recombination technique. The loss of hfq was verified by sequencing, and I

confirmed no polar effect on miaA and hflX, located upstream and

downstream of hfq, respectively, by qRT-PCR (Fig.III-1A). When I compared

the growth of the strains in LB medium with constant aeration at 37°C, the

deletion mutant showed a slightly lower growth rate than the wild type

(Fig.III-1B). The plasmid carrying the hfq gene with its cognate promoter

region, which was identified by primer extension analysis (Fig.III-2),

complemented the reduced growth of the hfq strain (Fig.III-1B).

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A

B

Fig. III-1. hfq mutant showed defectiveness of growth, but had no polar

effects.

(A) The expression level of miaA and hflX was checked by qRT-PCR to

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validate non-polar effects on hfq deletion in C. sakazakii.

(B) Growth of C. sakazakii hfq in LB medium. C. sakazakii wild-type and hfq

strains and hfq harboring pHFQ were cultured in LB broth at 37°C. The

OD600 value of each strain harboring the pACYC184 control plasmid or the

complementation plasmid pHFQ was measured hourly. The error bars

represent means and standard errors of the mean (SEM) from three

independent biological replicates.

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A

B

P1

C T A G C T A G

P2

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Fig. III-2. The promoter regions of hfq were identified by primer extension analysis.

The transcription start site was determined by primer extension of RNA derived from C. sakazakii ATCC 29544 grown to mid-exponential

phase in LB broth. Lanes G, A, T and C represent the nucleotide sequencing ladders of predicted promoter regions in C. sakazakii ATCC

29544. The transcription start site for P1 and P2 are indicated by triangles, respectively. (D) Schematic diagram showing the position of

proposed promoters (denoted as P1 and P2) of hfq in C .sakazakii ATCC 29544. Transcription start sites are indicated by boldface in bigger

font. Possible promoters (-10 and -35) are shown underlined and the hfq coding region is denoted as hfq start codon with an arrow.

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III-3-2. The loss of hfq attenuates colonization by C. sakazakii in rat

pups.

Hfq is a global regulator known to modulate physiological fitness

and pathogenesis at multiple levels in various bacteria (Chiang et al., 2011;

Ding et al., 2004; Schiano et al., 2010; Sittka et al., 2007). A Klebsiella

pneumoniae mutant lacking hfq was unable to disseminate into extraintestinal

organs (spleen and liver) and was attenuated in induction of a systemic

infection in a mouse model (Chiang et al., 2011). Similarly, Vibrio cholerae

hfq mutants were highly attenuated in virulence in the suckling mouse model

of cholera, showing 1,000-fold less efficacy than wild-type bacteria at

colonizing the murine small intestine (Ding et al., 2004).

To examine whether the hfq gene in C. sakazakii contributes to

pathogenesis, an in vivo challenge assay using newborn rats was conducted as

performed in other studies (Hunter et al., 2008; Townsend et al., 2007b). To

minimize individual variations between infant rats, competitive assays were

carried out by orally inoculating the bacterial mixture containing equal

numbers of hfq and wild-type strains. At 20 h post-infection, the hfq deletion

mutant was outcompeted by the wild type, with CIs of 0.05 0.06 and 0.08 0.09

in the spleen and liver, respectively (Fig.III-3). These results suggest that hfq

is critical for the ability of C. sakazakii to disseminate into deeper organs. The

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attenuated virulence of the hfq mutant might be attributable to multiple

defects during the infection processes, including decreased invasion into host

cells and impaired resistance against environmental stresses.

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Fig. III-3. The virulence of C. sakazakii was diminished due to the

absence of hfq in vivo.

Two- to 3-day-old rat pups were orally administered a mixture of wild-type C.

sakazakii harboring pACYC184 (SK001) and an hfq::kan strain (SK004), with

approximately 5 x 108 CFU/ml of each. To determine the bacterial loads in the

spleen and liver, the organs were removed aseptically, homogenized at 20 h

post-infection, and plated onto selective agar. The CI was calculated as

follows: (hfqoutput/hfqinput)/(WToutput/WTinput). A CI of < 1 indicates attenuation

of virulence. Each circle or square represents the CI for a single animal in the

spleen and liver of each group, respectively. The geometric means of the CIs

for all the rat pups are shown as solid lines, and the asterisks indicate

significant differences (**, P < 0.05; *, P < 0.1). CI values of less than 1

indicate that hfq::kan (SK004) strains were outcompeted by the wild type

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(SK001).

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III-3-3. Hfq is involved in the invasion of C. sakazakii into human

epithelial cells.

The loss of hfq caused a reduction in invasion ability in S.

Typhimurium and E. coli (Kulesus et al., 2008; Simonsen et al., 2011). To

explore whether hfq in C. sakazakii affects its invasion ability, a gentamicin

protection assay was performed using Caco-2 cells. As expected, the hfq strain

showed approximately 3-fold reduced invasion into these cells compared with

the WT. Complementation with the plasmid harboring the hfq fully restored

the invasion ability of the hfq strain to wild-type levels (Fig.III-4A).

Additionally, I checked the invasiveness of the strains in HepG2 cells, which

are derived from liver epithelia, and the result was comparable to that with

Caco-2 cells (Fig.III-4A), suggesting that impaired invasiveness may be

common for the epithelium-derived cell lines.

As outermembrane protein A (OmpA) and B (OmpX) are known to

be invasins in C. sakazakii (Kim et al., 2010), it was necessary to compare the

expression of OmpA and OmpX between WT and hfq mutant strains via

western-blot analysis. However, substantial differences in OmpA and OmpX

expression were observed neither total lysate nor outer membrane fraction

(Fig.III-4B).

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A

B

Anti-OmpX

Anti-DnaK

WT Δhfq

Anti-OmpA

Anti-DnaK

WT Δhfq

HepG2 Caco-2

Anti-OmpA

WT

Anti-OmpX

WT Δhfq

Total lysate Outer membrane

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Fig. III-4. Loss of Hfq impairs the invasion of epithelial cells.

(A) Confluent monolayers of eukaryotic cells were infected with C. sakazakii grown to the exponential phase and incubated for 1.5 h,

followed by gentamicin treatment (100 μg/ml) for a further 1.5 h. The Caco-2 (left) and HepG2 (right) cells were lysed with 1% Triton X-100

to recover the intracellular bacteria. The data are representative of 3 independent experiments. The bars represent the means and SEM from

independent experiments performed in triplicate. The asterisks indicate significant differences (***, P < 0.001).

(B) Levels of OmpA and OmpX from total lysate (left) and outer membrane (right) were assessed by immunoblotting in exponentially grown

cells. The blots are representative of 3 independent experiments. DnaK was used as a loading control.

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III-3-4. Hfq is required for oxidative-stress resistance in C. sakazakii.

In aerobic environments, many bacteria generate or encounter

reactive oxygen species (ROS) (superoxide anion, hydrogen peroxide, and

hydroxyl radicals), which damage lipids, proteins, and nucleic acids (Imlay,

2003). It is well known that pathogenic bacteria have the ability to cope with

oxidative stresses, which is essential for their pathogenesis (Hassett & Cohen,

1989). Here, I tested the role of Hfq in bacterial resistance to oxidative stress

by exposing wild type and hfq strains of C. sakazakii to H2O2. The hfq mutant

showed significantly (100-fold) lower survival than the WT in the presence of

100 mM H2O2 after 10 min of exposure (Fig.III-5A). In agreement with this

result, the hfq strain exhibited a reduction in bubble formation, which is

indicative of decomposition of H2O2 into water and oxygen (Fig.III-5B). katG

is one of the H2O2-inducible genes and encodes hydroperoxidase I or catalase,

a primary detoxifier of H2O2 in many bacteria, including C. sakazakii

(Alvarez-Ordonez et al., 2012; Storz et al., 1990b). As katG is positively

regulated by OxyR, which is a H2O2-inducible regulator in E. coli and S.

Typhimurium (Storz et al., 1990a; Storz et al., 1990b), both oxyR and katG

expression levels were monitored by qRT-PCR. As a result, the addition of

H2O2 significantly increased katG expression in wild-type bacteria, but the

absence of Hfq decreased its expression approximately 3-fold (Fig.III-5C),

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implying that Hfq plays an important role in inducing katG expression for

protection of C. sakazakii against oxidative stress. Complementation with a

plasmid containing hfq in trans restored the impaired resistance of the hfq

strain to H2O2 (Fig.III-5C). Interestingly, the expression of oxyR was not

induced even in the presence of H2O2 (Fig.III-5C).

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A B

C

1 : WT

2: Δhfq

3: Δhfq+pHFQ

1 3 2

H2O

2-treated

H2O

2-non-treated

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Fig. III-5. Stress tolerance is attenuated in C. sakazakii in the absence of Hfq.

(A) Survival of C. sakazakii strains harboring the pACYC184 control plasmid or a complementation plasmid, pHFQ, upon treatment with 100

mM H2O2 for 10 min.

(B) Indirect catalase activities of strains treated with H2O2. 1, wild type (SK001); 2, hfq (SK005); 3, hfq harboring pHFQ (SK007). The

bubbles indicate oxygen gas, produced by decomposition of H2O2.

(C) qRT-PCR analysis of oxyR and katG expression levels. To obtain the expression level relative to the WT on the y axis, the mRNA level of

each gene was divided by the mRNA level of the 16S rRNA. The mRNA expression values in strains SK005 and SK007 were further

normalized to the transcription levels of the wild type. The bars represent means and SEM from independent experiments performed in

triplicate. The data are representative of 3 independent experiments. The asterisks indicate significant differences (**, P < 0.05).

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III-3-5. Loss of the hfq gene reduces intracellular survival of C. sakazakii

in macrophage-like cells.

A previous study showed that Cronobacter spp. were able to persist

or replicate within macrophages (Townsend et al., 2007b), and Salmonella hfq

was shown to be critical for bacterial survival in cultured host macrophages

(Sittka et al., 2007). Thus, I examined the impact of hfq deletion on the

survival of C. sakazakii within cultured macrophages. Although the initial

uptake of Δhfq bacteria by macrophages was 5-fold lower than that of the WT,

clearance of the mutant (2-log-unit and 5-log-unit decreases in survival after

24 and 72 h, respectively) was significantly faster than for the WT (0.5 and

1.5 log units at the respective time points) on average (Fig.III-6A).

Furthermore, the hfq deletion mutants were cleared completely after 72 h

post-infection, whereas WT strains (approximately 4-log CFU/ml) were still

able to persist within macrophages at 96 h (Fig. 6A). A plasmid containing

hfq complemented the ability to survive within macrophages (Fig.III-6B).

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A

B

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Fig. III-6. Lack of Hfq results in reduced intracellular survival of C.

sakazakii in macrophage-like cells.

(A) Intracellular bacteria of the wild type and hfq mutant (SK003) were

evaluated for the number of CFU at uptake (1.5 h) and at 8, 24, 48, 72, and 96

-h post-infection.

(B) Intracellular bacteria of C. sakazakii strains harboring the pACYC184

control plasmid or a complementation plasmid, pHFQ, were evaluated for the

number of CFU at uptake (1.5 h) and at 8 and 24 h post-infection. The bars

represent means and SEM from independent experiments performed in

triplicate. The data are representative of 3 independent experiments. The

asterisks indicate significant differences (***, P < 0.001; **, P < 0.05).

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III-3-6. A C. sakazakii Δhfq strain is hypermotile due to higher expression

of flagella.

As motility is an important virulence determinant (Duan et al., 2013),

I examined the effect of Hfq on the swimming motility of C. sakazakii using

0.3% soft-agar plates. The absence of the hfq gene resulted in increased

motility (Fig.III-7A), and the transmission electron microscope image showed

that the hfq mutant was more flagellated than the WT (Fig.III-7B). These

results suggested the possibility of negative regulation of flagellar synthesis

by Hfq. Therefore, the expression of flagellum-associated genes was studied

in the hfq mutant by qRT-PCR (Fig.III-7C). The transcription of fliA, which

encodes an alternative sigma factor specific for the late operons of flagellar

regulons, including flgK and fliC (Ohnishi et al., 1990), was increased 30-fold

in the hfq mutant compared with the wild type. In accordance with the

increased fliA transcription, genes under the control of FliA, including flgK

and fliC, encoding a flagellar-hook-associated protein and a flagellin protein,

respectively, showed increases in transcription in the absence of Hfq. On the

other hand, the transcriptional level of flhDC, encoding a master regulator of

flagellar regulons, was not affected by the lack of Hfq. To see whether the

transcriptional expression of those genes resulted from different mRNA

stability between WT and Δhfq, mRNA stability of flagellar genes were

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measured by qRT-PCR after the addition of rifampicin (working conc. 250 μg).

No difference of mRNA stability between WT and Δhfq were detected, which

substantiated hfq may indirectly regulate flagellar genes (Fig. III-7D).

Interestingly, introducing a plasmid harboring hfq into the hfq mutant could

partially complement the transcription levels of fliA, flgK, and fliC (Fig.III-7C)

but could not recover the hypermotility (data not shown). However, when the

expression of hfq is tightly regulated by arabinose pBAD promoter (pHFQ-A),

the hypermotility phenotype of hfq mutant was reduced compared with wild

type (Fig.III-7A)

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WT

Δhfq

Δhfq+pHFQ-A

0.5 µm

WT

0.5 µm

Δhfq

A B

C

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D

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Fig. III-7. Loss of Hfq causes enhanced motility.

(A) Motility of the C. sakazakii strains harboring the pBAD18 control plasmid or the complementation plasmid pHFQ-A on semisolid agar

plates. The strains were cultured on semisolid agar plates containing 1.33 mM arabinose at 37°C, and motility was monitored. The image is

representative of several experiments.

(B) Morphology of wild-type and Δhfq (SK003) strains imaged by transmission electron microscopy.

(C) qRT-PCR of fliA, flgK, fliC, and flhC transcripts from WT (SK001) and Δhfq (SK005) strains and Δhfq harboring pHFQ (SK007). To

obtain the expression level relative to that of the WT on the y axis, the mRNA level of each gene was divided by the mRNA level of the 16S

rRNA. The mRNA expression values in strains SK005 and SK007 were further normalized to the transcription levels of the wild type. The

bars represent means and SEM from independent experiments performed in triplicate. The data are representative of 3 independent

experiments.

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(D) mRNA stability of flagellar genes (flhDC, fliA, fliC, and flgK) was estimated by qRT-PCR. Samples were taken after rifampicin (working

conc. 250 μg) at indicated time points. The transcripts were normalized by an endogenous control (16s rRNA).

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III-4. Discussion

The gene (KC866358) homologous to the hfq gene is located in a

clockwise orientation in the genome of C. sakazakii ATCC 29544, as shown in

Fig. III-8A and is also found in C. sakazakii ATCC BAA 894

(YP_001436319.1) and C. turicensis z3032 (YP_003212051.1) (Kucerova et

al., 2010; Stephan et al., 2011). The gene (KC866358) showed high protein

sequence similarity to the hfq genes of E. coli K-12 (89%), S. Typhimurium

(91%), and Y. pseudotuberculosis (84%) (Fig. III-8B).

In most bacteria, the N-terminal domain of Hfq is highly conserved

and is responsible for RNA binding and protein-protein interactions among

Sm (the core of small nuclear ribonucleoprotein particles [snRNPs]) and Sm-

like proteins (Kambach et al., 1999; Moller et al., 2002), whereas the C-

terminal fragments are variable in length and amino acid composition

(Arluison et al., 2004). The C-terminal domain of Hfq is reported to play roles

in gene regulation and protein stability (Arluison et al., 2004; Vecerek et al.,

2008), suggesting that the variable regions at the C termini may be

responsible for the differential gene regulation by Hfq observed in diverse

bacterial species.

To explore whether the hfq could contribute to C. sakazakii virulence,

I conducted invasion assay using human–derived epithelial cells (Caco-2 and

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HepG2 cells). In the assay, hfq affect invasion ability of C. sakazakii (Fig. III-

4). In Salmonella, Hfq controls Salmonella pathogenicity island I (SPI1),

which encodes a type III secretion system (T3SS) and several effector

proteins that are involved in the invasion of Salmonella into host cells (Sittka

et al., 2007). A secretion system equivalent to the T3SS has not been

identified in Cronobacter; rather, it invades host cells via a receptor-mediated

mechanism (Kim & Loessner, 2008). Previously, outer membrane proteins

(OmpA and OmpX) were reported to be involved in C. sakazakii invasion of

human intestinal Caco-2 cells as invasins (Kim et al., 2010). In this study, the

effect of Hfq on the expression of OmpA and OmpX was studied with

Western blot analysis using anti-OmpA and anti-OmpX polyclonal antibodies.

However, I did not observe any differences in OmpA and OmpX expression

between wild and the mutant strains (Fig. 5B), suggesting that Hfq might not

be associated with outer membrane protein expression. However, the

possibility that Hfq may regulate other, yet-unidentified invasins in C.

sakazakii ATCC 29544 cannot be ruled out.

In survival assay, the loss of hfq attenuated survival of C.sakazakii

within the murine-derived macrophages. These data suggest that hfq is

necessary for intracellular survival of C. sakazakii in host macrophages. F.

tularensis lacking katG caused increases in hydrogen peroxide production and

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tumor necrosis factor alpha (TNF-α) and interleukin 6 (IL-6) expression

within macrophages, leading to attenuation of bacterial survival inside host

cells (Melillo et al., 2010). In this regard, the accelerated clearance of the

Δhfq strain within host cells might be attributable, at least in part, to decreased

katG expression (Fig. III-5C), which causes H2O2 accumulation and

stimulates inflammatory cytokine production. Another probable explanation

for the attenuated Δhfq persistence inside the macrophage-like cells is that

flagellar synthesis is altered by the removal of hfq, as described below.

In Fig. III-5C, although the expression levels of katG were increased

under H2O2 treatment, those of oxyR were not induced, suggesting that OxyR-

independent katG induction may be possible, as has been reported in

Neisseria gonorrhea and Bradyrhizobium japonicum (Panek & O'Brian, 2004;

Tseng et al., 2003).

It is interesting that the C. sakazakii hfq mutant showed an increased

motility phenotype, unlike other bacteria, i.e., Salmonella and uropathogenic

E. coli (Kulesus et al., 2008; Sittka et al., 2007). One explanation for this

phenomenon might be the variable region at the C-terminus of Hfq, as shown

in Fig. III-8B. According to a previous report, an Hfq variant lacking its C

terminus was defective in autoregulation and riboregulation (Vecerek et al.,

2008). Therefore, C-terminal variation might enable differential gene

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regulation from species to species. Alternatively, the hypermotility of the hfq

strain may be associated with Hfq mediated RpoS regulation in flagellar

biosynthesis. It has been reported that Hfq is required for efficient translation

of the rpoS sigma factor (Brown & Elliott, 1996; Muffler et al., 1996), and

RpoS negatively regulates operons involved in flagellar biosynthesis and

functions in E. coli by decreasing the amount of RpoF, which competes with

RpoS in binding to the core RNA polymerase (Makinoshima et al., 2003;

Patten et al., 2004). In the absence of RpoS, the expression of RpoF (FliA)

and FliC was increased, and the surface of the bacteria was found to be more

flagellated than that of the WT strain. In this regard, it is plausible that the hfq

null mutation caused poor translation of rpoS in C. sakazakii and that the

lowered level of RpoS resulted in higher flagellar biosynthesis and formation.

Further study would be needed to shed light on the mechanisms of flagellar

regulation mediated by hfq.

An Acinetobacter baylyi Δhfq strain showing a retarded growth and

abnormal morphology was fully complemented with the introduction of hfq

and its cognate promoter region into the chromosome, while a low-copy-

number plasmid harboring hfq under a leaky inducible promoter could not

complement it, indicating that fine-tuning of hfq expression is important for

its tight regulation (Schilling & Gerischer, 2009). The failure of the pHFQ

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plasmid to complement the hypermotility of the hfq strain might be caused by

the imbalance of Hfq production from the low-copy-number plasmid

pACYC184 (Chang & Cohen, 1978). To rule out that possibility, the pHFQ-A

plasmid, in which hfq expression is under an arabinose-inducible promoter

(Guzman et al., 1995), was used to optimize Hfq expression and

accomplished partial restoration of motility with 1.33 mM arabinose (Fig. III-

7A). Taken together, these data suggest that hfq in C. sakazakii is involved in

the negative regulation of flagellar biosynthesis.

The ability of pathogenic microbes to survive within cultured

phagocytic cells is associated with the ability to escape or remodel an innate

immune response that employs antimicrobial defense mechanisms, such as

oxidative burst and acidic compartmentalization (Townsend et al., 2007b). To

establish a good niche within the host, bacteria should have the ability to

modulate immune system activation by harnessing cytokine production

(Cummings et al., 2005; Finlay & McFadden, 2006). It has been reported that

C. sakazakii flagella and flagellin proteins stimulate the production of

inflammatory cytokines (IL-8, TNF-α and IL-10) in a dose-dependent manner

(Cruz-Cordova et al., 2012). To dampen cytokine stimulation, pathogens, such

as Pseudomonas and Salmonella, reduce flagellar synthesis after entering host

cells (Bardoel et al., 2011; Cummings et al., 2005; Eriksson et al., 2003).

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Bacterial flagella activate the signaling pathway by binding to TLR5 during

infection (Hayashi et al., 2001). Indeed, secreted flagellin from Pseudomonas

triggered the expression of NF-κB and secretion of IL-8. To avoid the

activation of TLR5, the enzyme AprA, which cleaves flagellin, is produced

(Bardoel et al., 2011). Likewise, flagellin from Salmonella also stimulates the

activation of immune cells, leading to proinflammatory cytokine expression.

However, intracellular Salmonella represses flagellar expression to modulate

the immune response, whereas extracellular bacteria express flagella. Overall,

it is important for pathogenic bacteria to harness flagellar expression for

successful infection (Bardoel et al., 2011; Cummings et al., 2005). In this

regard, hyperflagellation of the hfq mutant (Fig. III-7B) might result in higher

production of inflammatory cytokines. Accordingly, the increase in cytokine

production might elicit an immune response, leading to accelerated clearance

of intracellular bacteria or causing local inflammation and necrosis (Slifka &

Whitton, 2000).

In the present study, I demonstrated that the loss of Hfq remarkably

attenuated C. sakazakii virulence in a rat pup model of infection due to defects

in growth, invasion ability, resistance to oxidative stress, and intracellular

survival. In addition, to our surprise, the Hfq-deficient strain showed

hypermotility, which is a distinctive phenotype among bacteria.

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Fig. III-8. hfq homolog in C. sakazakii ATCC 29544.

(A) Genomic organizations of hfq (KC866358), miaA (KC866359), and hflX (KJ577586) in C. sakazakii ATCC 29544. The promoter regions

of hfq are indicated as P1 and P2.

(B) Multiple-sequence alignment of hfq sequences in Gram-negative pathogens with a functionally identified hfq gene by Clustal Omega

(version 1.2.1) and Genedoc. The uppercase letters in the consensus sequence indicate conserved amino acids appearing in all the aligned

sequences, and the lowercase indicates conserved amino acids appearing in at least two sequences. Identical and conserved residues are in

black and shaded gray (dark gray, 70% conserved; light gray, 40% conserved), respectively. Every 10 amino acids are indicated by asterisks.

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Chapter IV.

CSK29544_02616, a newly identified protein,

influences C. sakazakii virulence by modulating

LPS production

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IV-1. Introduction

Lipopolysaccharides (LPS) are the major constituents of the outer

membrane of almost all Gram-negative bacteria and extremely heat-stable

amphiphilic substances (Holst et al., 1996). It has been reported that LPS

plays crucial roles in maintaining outer membrane integrity, eliciting immune

responses in humans and other animals, and protecting bacteria from

membrane disruptive agents (Klein et al., 2009; Miller et al., 2005)

The outer membrane of Gram negative bacteria is composed of an

asymmetric bilayer, containing phospholipids in the inner leaflet and lipid A

in the outer leaflet (Kamio & Nikaido, 1976). Phospholipids consist of a

glycerol molecule, a phosphate group, and two fatty acid moieties (except for

cardiolipin), whereas LPS is structurally composed of 3 distinct regions: lipid

A, a hydrophobic moiety anchored in outer membrane, core oligosaccharide

(inner- and outer-core), and O-antigen (Raetz, 1990). LPS roughly exists 106

copies in a single cell of E. coli, covering about 75% of the cell surface area

(Galloway & Raetz, 1990; Raetz, 1990). Lipid A, known as an endotoxin,

includes six hydrophobic acyl chains located in the outer leaflet of outer

membrane. They are connected to a glucosamine and phosphate head group.

The core oligosaccharides start with the addition of a pair of Kdo sugar

residues (3-deoxy-D-manno-oct-2-ulosonic acid) to lipid A moiety. This core

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then connects to the O-antigen, a polysaccharide and hyper-variable region

between bacterial species and different stains within the same species (Raetz

& Whitfield, 2002; Raetz et al., 2009). Of these three components, the lipid A

moiety is of interest because it is the only residue that is essential for bacterial

cell viability and is highly conserved (Raetz & Whitfield, 2002).

The lipid A biosynthesis pathway has been recently unveiled through

several decades of careful experimentations (Emiola et al., 2014). Its

biosynthesis initiates delivery of R-3-hydroxyacyl chain from R-3-

hydroxyacyl-acyl carrier protein (ACP) to the glucosamine 3-OH of UDP-N-

acetylglucosamine (GlcNAc), resulting in UDP-3-(R-3-hydroxyacyl)-GlcNAc

(Anderson et al., 1985; Anderson & Raetz, 1987; Anderson et al., 1993). This

reaction is mediated by lpxA encoding UDP-GlcNAc acyltransferase, which is

the very first step in the biosynthesis of lipid A (Raetz, 1990). It has been

reported that lipid A biosynthesis is regulated by several enzymes, including

lpxC, kdtA, lpxD, and lpxK. LpxC, UDP-3-(R-3-hydroxyacyl)-GlcNAc

deacetylase, and KdtA, a Kdo transferase, are regulated by the protease FtsH

degrading both enzyme substrates (Fuhrer et al., 2007; Katz & Ron, 2008). It

has been known that the catalytic activity of LpxK, encoding a

tetraacyldisaccharide 4’-kinase, is dependent on the concentration of

phospholids (Ray & Raetz, 1987). In particular, the activity of LpxD is

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modulated by NPr (encoded by ptsO) through a direct interaction (Kim et al.,

2011a)

Interestingly, the research of crosstalk between LPS and

phospholipid biosynthesis has been investigated for several decades. There are

a number of studies that indicate a strong relationship between both

biosynthetic pathways as they share the same precursor, β-OH-myristoyl-ACP

(Galloway & Raetz, 1990; Ogura et al., 1999; Zeng et al., 2013). As these

substances are the major components of outer membrane, the proper

equilibrium between them is important for bacterial cells to maintain outer

membrane integrity. The ratio of lipid A to glycerophospholips has been

reported to be 0.12 in E. coli (Galloway & Raetz, 1990). If the level of lipid A

biosynthesis is reduced by mutation of lpxC, the amount of phospholipid

production is increased, which results in unbalance between lipid A and

phospholipid. This altered ratio influences outer membrane protein assembly

in E. coli (Kloser et al., 1998). Furthermore, various studies have verified that

LPS is required for the correct assembly of OMPs (de Cock & Tommassen,

1996; de Cock et al., 1999; Koplow & Goldfine, 1974; Ried et al., 1990; Sen

& Nikaido, 1991).

Infectious diseases caused by Gram negative pathogenic bacteria

have been one of serious health concerns. Antibiotics, as a panacea, have been

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widely used to treat bacterial infections. However, unfortunately, many

pathogens, including strains of Pseudomanas aerusinosa in cystic fibrosis

patients, have emerged as being antibiotic-resistant to commercially available

antibiotics (Conway et al., 2003; Garau & Gomez, 2003; Sherrard et al.,

2014). In this regard, the attempts to develop new antibacterial agents have

been spotlighted for several decades. As a part of efforts, Lipid A biosynthetic

enzymes have been attractive targets for developing a new paradigm of

antibacterial agents because they are conserved enzymes within almost all

Gram negative bacteria (Jackman et al., 2000). Recently, a pentadecapeptide,

known as peptide 920, has been discovered and shown to have high affinity

for LpxA. The functionality of this peptide was proved by inhibiting E. coli

growth (Benson et al., 2003). It may be a promising agent to control

infections from gram negative pathogens as the structure of lipid A-kDO

moiety is highly conserved within them (Raetz & Whitfield, 2002).

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IV-2. Materials and Methods

IV-2-1. Strains, plasmids, and culture conditions.

Strains and plasmids used in the present study are listed in Table IV-

1. Bacteria cells were culture at 37°C with constant shaking (220 rpm), unless

otherwise stated.

IV-2-2. Construction of random transposon mutant libraries and

screening.

Random mutagenesis was performed using the EZ-Tn5TMpMOD-2<

MCS> transposon system (Epicentre, Madison, WI) as described previously.

Briefly, the transposon construct was released by restriction digestion with

PvuII and then electroporated (1.8 kV) (MicroPulser; Bio-Rad, Hercules, CA)

into competent C. sakazakii ATCC 29544. The transformants were selected on

tryptic soy agar (TSA; Difco) plates containing kanamycin (50 µg/ml). The

resulting colonies were individually cultured and stored at 80°C in TSB

containing 15% (vol/vol) glycerol. This work was performed by the aid of

colleague (Y.Choi).

IV-2-3. Determination of the transposon insertion sites.

To locate the transposon insertion site, genomic DNA was isolated

from candidate clones that were defective in invasion (see below for invasion

assay). After the self-ligation of restriction enzyme-digested DNA according

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to the manufacturer’s protocol (Epicentre), the ligation mixture was PCR

amplified and sequenced with Tn5-specific primers provided by the

manufacturer (pMOD<MCS> forward sequencing primer and pMOD <MCS>

reverse sequencing primer).

IV-2-4. Generation of ΔCSK29544_02616 deletion mutant by using site-

specific mutagenesis.

To design all PCR primers used in this study, partial sequences of C.

sakazakii ATCC 29544 were used. Site-specific mutagenesis of C. sakazakii

ATCC 29544 was performed by Dasenko and Wanner (Datsenko & Wanner,

2000). In short, the kanamycin resistance cassette from plasmid pKD13 was

amplified using the following primers: CSK29544_02616-lamb-F (CGC GTG

GTG GAT GCT ATC CGC GCG CAG GCC GCG CTC GGC CTT GCG

GAG AAA GTG GCA TGA TGT AGG CTG GAG CTG CTT CG) and

CSK29544_02616-lamb-R (CGT CAT TGA CTA CTG CCG CTC CCA TGC

CAA CGA TAG CGT CGT TAC CGA TGT GGA TTT GCT ATT CCG GGG

ATC CGT CGA CC). (The nucleotide sequences originating from pKD13 are

underlined, and those from C. sakazakii gene of interest are shown in italics.)

The PCR products were transformed into C. sakazakii ATCC 29544 harboring

pKD46 plasmid by electroporation and cells were selected for Km-resistant

transformants. Finally, the kanamycin resistance-cassette was removed using

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the pCP20 plasmid, as described by Datsenko and Wanner (Datsenko &

Wanner, 2000).

IV-2-5. Construction of plasmids.

The plasmids used in the study are listed in Table IV-I. To generate

the recombinant plasmid, primers pACYC184-CSK29544_02616-F-SphΙ and

pACYC184-CSK29544_02616-R-BamHΙ amplified the entire

CSK29544_02616 coding region of 639 bps and 616 bps of upstream

sequences, which might contain cognate promoter of CSK29544_02616. The

purified product was digested with restriction enzymes, SphΙ and BamHΙ and

ligated into pACYC184 vector cut with the same enzymes. The recombinant

vector was transformed into DH5α at 42ºC and selected on LB agar

containing chloramphenicol resistance. The selective clone was sequenced.

IV-2-6. Gentamicin protection (invasion) assay.

To determine bacterial invasion of mammalian Caco-2 cells, a

gentamicin protection assay was performed as described previously (Kim et

al., 2010). Briefly, bacteria were prepared by transferring a 1% inoculum from

overnight cultures into fresh LB medium, followed by incubation for 2.5 h at

37°C with constant shaking. C. sakazakii cells were collected by

centrifugation at 20,000 x g, washed with phosphate-buffered saline (PBS)

(pH 7.4), and resuspended in 1 ml of pre-warmed fresh Eagle’s minimum

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essential medium (EMEM) (ATCC). Mammalian cells were seeded in EMEM

supplemented with 20% fetal bovine serum (FBS) (Gibco, Invitrogen) in 24-

well tissue culture plates with a cell density of 2 x 105 per well. The cell

monolayers were incubated for 1 day, infected with bacteria at a multiplicity

of infection (MOI) of 100, and incubated for 1.5 h in the presence of 5% CO2.

After the cells were washed once with PBS, fresh medium containing

gentamicin (100 μg/ml; Sigma) was added, and the plates were further

incubated for 1.5 h, followed by three washes with PBS. Then, a five-hundred

μl of 1% Triton X-100 was added, and the plates were incubated for a further

15 min before the bacteria were collected and plated on tryptic soy agar

(TSA).

IV-2-7. Survival assay.

A long-term survival assay was performed as described previously

(Townsend et al., 2007b). Briefly, RAW264.7 murine macrophage-like cells

were seeded in Dulbecco’s modified Eagle medium (DMEM) (Gibco,

Invitrogen) supplemented with 10% FBS in 24-well plates at a density of 5 x

105 cells per well and incubated for 1 day at 37°C with 5% CO2. C. sakazakii

strains were prepared as described for the invasion assay, and cell monolayers

were infected with bacteria at an MOI of 100 for 45 min at 37°C. The medium

was replaced with DMEM (plus 10% FBS) supplemented with 100 μg/ml of

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gentamicin, and the cells were incubated for an additional 45 min. The plates

were washed twice with PBS, and the cells were lysed with 1% Triton X-100,

followed by serial dilution and plating onto TSA to determine the numbers of

intracellular bacteria at various time points. For further study of bacterial

persistence (long-term survival), the cells were replenished daily with fresh

medium containing 10 μg/ml of gentamicin, and the numbers of intracellular

bacteria were determined at 3, 8, 24, 48, 72, and 96 h.

IV-2-8. In vivo animal study.

Three- to four-day-old Sprague-Dawley (SD) rat pups were used to

assess the virulence of the WT and the at mutant (SK010) strains. Mid

exponential-phase bacteria were collected, washed, and resuspended in PBS.

For competitive assays, a mixed inoculum of 1 x 109 CFU/ml of the fully

virulent WT and the CSK29544_02616 mutant (SK010) harboring a kan

cassette was orally administered to rat pups. To analyze bacterial colonization

in organs, all the rat pups were killed with CO2 at 20 h post-infection. The

spleens and livers were aseptically removed, homogenized, and serially

diluted. Bacterial loads were determined for the WT and mutant by plating

onto LB agar in the presence or absence of kanamycin. The results are

presented as competitive-index (CI) values, which were calculated as follows:

(CSK29544_02616output/ CSK29544_02616input)/(WToutput/WTinput).

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IV-2-9. Autoaggregation (suspension-clearing) assay.

Assays were performed as described by previously with

modifications. Briefly, bacteria were prepared by transferring 1% inoculum

from overnight cultures into fresh LB medium, followed by incubation until

mid-exponential phase at 37ºC with constant shaking. Exponentially grown

cells were diluted to adjust the OD600 of 1.5 to 5 ml LB broth in 14 ml round-

bottom tube (BD) and left to sit at room temperature. The rate of suspension

clearance was measured over 7 h by carefully removing 100 µl from the top

of the suspension and measuring the OD600.

IV-2-10. Overexpression and purification of recombinant proteins.

Each open reading frame (ORF) of the genes encoding

CSK29544_02616 and lpxA was amplified by PCR using a pair of

oligonucleotide primers as listed in Table IV-2. The amplified PCR products

were cloned into a pBAD24, Hisx6 -tag expression vector, pETDuet 1, and

GST tag expression vector, pGST parallel 1 to result in pHis-

CSK29544_02616, pHis-lpxA, pGST-CSK29544_02616, pLpxA, and pACP

as described in Table IV-1. For the induction, 13.3 mM of arabinose and 0.5

mM of IPTG were added to the culture at OD600 of 0.5 at 37°C, otherwise

indicated. After additional 4 h induction at 37°C, cells were harvested. For

nickel chelated nitrilotriacetic acid (Ni-NTA) affinity chromatography

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(Qiagen, USA), the cells were resuspended in lysis buffer (20 mM Tris-Cl,

300 mM NaCl and 5 mM imidazole, adjusted to pH 8.0) and lysed by

sonication on ice, centrifuged at 21,130 x g and 4 °C for 1 h to remove cell

debris, and the supernatant was subjected to lysis buffer-equilibrated nickel

chelated nitrilotriacetic acid (Ni-NTA) affinity chromatography (Qiagen,

USA). After incubation with gentle end-over-end rotation at 17 rpm at 4°C for

1 h, protein-bound Ni-NTA resin was washed 10 times with 1 ml of washing

buffer (lysis buffer containing 20 mM imidazole) and twice with 1 ml of

washing buffer (lysis buffer containing 50 mM imidazole). The Hisx6-tagged

target proteins were eluted with elution buffer (20 mM Tris-Cl, 300 mM NaCl

and 250 mM imidazole, adjusted to pH 8.0) and concentrated with AmiconR

Ultra-4 (10,000 MWCO cellulose; Milipore, USA) according to the

manufacturer’s instructions. The buffer was changed to the storage buffer (20

mM Tris-Cl, 300 mM NaCl and 50% glycerol, adjusted to pH 8.0) using PD

midiTrapTM G-25 (GE healthcare, UK) according to the manufacturer’s

instructions, and then aliquots of protein were stored at - 20°C, until further

usages.

IV-2-11. Ligand fishing to search for proteins interacting with Hisx6-

tagged CSK29544_02616.

SK015, which expressing CSK29544_02616 with N-terminal six

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histidines was used for ligand fishing. One mg of N-terminally Hisx6-tagged

CSK29544_02616 was incubated cell lysate of WT and that of

ΔCSK29544_02616, respectively, in the Poly-Prep chromatography column

(Bio-Rad, Hercules, CA) that had been pre-equilibrated with Ni-NTA resin

(Qiagen, USA), then incubated for 1 h at 4°C with gentle end-over-end

rotation at 17 rpm. After incubation, each column was washed with 1 ml of

washing buffer 5 times (lysis buffer containing 10 mM imidazole), and the

proteins bound to the column were eluted with the elution buffer. Aliquots of

the eluted protein sample (15 μl each) were analyzed by SDS-PAGE and then

were stained with Coomassie brilliant blue R. The protein band specifically

bound to His-CSK29544_02616rom the gel, and in-gel digestion and peptide

mapping of tryptic digests were carried out by Yonsei Proteome Research

Center (Korea).

IV-2-12. LC-MS/MS.

Nano LC–MS/MS analysis was performed with a nano HPLC system

(Agilent, Wilmington, DE). The nano chip column (Agilent, Wilmington, DE,

150 mm × 0.075 mm) was used for peptide separation. The mobile phase A

for LC separation was 0.1% formic acid in deionized water and the mobile

phase B was 0.1% formic acid in acetonitrile. The chromatography gradient

was designed for a linear increase from 3% B to 50% B in 25 min, 90% B in 5

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min, and 3% B in 15 min. The flow rate was maintained at 300 nL/min.

Product ion spectra were collected in the information-dependent acquisition

(IDA) mode and were analyzed by Agilent 6530 Accurate-Mass Q-TOF using

continuous cycles of one full scan TOF MS from 350-1200 m/z (1.0 s) plus

two product ion scans from 100-1700 m/z (1 s each). Precursor m/z values

were selected starting with the most intense ion, using a selection isolation

width of ~4 Da. The rolling collision energy feature was used, which

determines collision energy based on the precursor value and charge state. The

dynamic exclusion time for precursor ion m/z values was 20 s.

IV-2-13. Database search.

The mascot algorithm (Matrixscience, USA) was used to identify

peptide sequences present in a protein sequence database. Database search

criteria were, taxonomy; Cronobacter sakazakii (NCBInr database

downloaded on Nov 8 2013) + BAA 894(Accession No.:

NC_009778.1)+ATCC 29544 (Accession No.: CP011047.1) fixed

modification ; carboxyamidomethylated at cysteine residues ; variable

modification ; oxidized at methionine residues, maximum allowed missed

cleavage; 2, MS tolerance; 100 ppm, MS/MS tolerance ; 0.1 Da. Only

peptides resulting from trypsin digests were considered.

IV-2-14. BACTH (bacterial adenylate cyclase based two-hybrid system)

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assay.

The protein-protein interaction was verified by the reconstitution of

adenylate cyclase (CyaA) in E. coli through heterodimerization of fusion

proteins (Battesti & Bouveret, 2012). The gene CSK29544_02616 was

PCR-amplified from the genomic DNA of C. sakazakii ATCC 29544 using a

pair of primers pKT25-CSK29544_02616-F-BamHI and pKT25-

CSK29544_02616-R-EcoRI. The resulting PCR product was digested with

BamHI and EcoRI, and ligated into pKT25 digested with the same restriction

enzymes to fuse CSK29544_02616 at the C-terminal end of T25 fragment,

generating pKT25-CSK29544_02616. The construction of pUT18C-lpxA was

conducted as stated above, except for a different pair of primers and a

backbone plasmid (pUT18C). E. coli BTH101 reporter strain (cyaA-) was co-

transformed with the recombinant plasmids (pKT25-CSK29544_02616 and

pUT18C-lpxA), and appropriate transformants were selected on LB agar

containing Kan, Amp, and X-gal. The BTH101 strain harboring pKT25-

zip/pUT18C-zip and pKT25/pUT18C was used as positive or negative control,

respectively. The positive transformants were streaked on LB agar

supplemented with Kan, Amp, and X-gal to determine the CSK29544_02616-

LpxA interaction by monitoring colony color. To quantify the interaction

between CSK29544_02616-LpxA, β-galactosidase assays were performed as

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previously described, and the results were expressed in Miller units (Miller,

1972)

IV-2-15. β-galactosidase assay.

β-galactosidase assays were performed in duplicates as described

previously (Miller, 1972). Briefly, 1 ml of culture was centrifuged at 16,000 x

g for 1 min and re-suspended in Z-buffer (60 mM Na2HPO4 40 mM

NaH2PO4, 10 mM KCl, 2 mM MgSO4 and 40 mM β-mercaptoethanol,

adjusted to pH 7.0), and OD600 was measured. Aliquots (0.1 ml) of the cell

suspensions were added to Pyrex tubes containing 20 μl of 0.1% SDS, 40μl of

chloroform and 0.9 ml of Z-buffer, followed by vortexing for 10 s. The

samples were incubated for 10 min, vortexed every 3 min at RT, and then 0.2

ml of 2-nitrophenyl β-D-galactopyranoside (ONPG; 4 mg/ml) to start the

reaction. As appropriate yellow color appeared, 0.5 ml of 1 M Na2HCO3 was

added. The samples were centrifuged at 16,000 x g for 1 min to sediment all

cell debris, then the optical density of the supernatants was measured at 420

nm or 550 nm. The β-galactosidase activity (arbitrary units) was calculated as

previously described and expressed in Miller units (Miller, 1972)

IV-2-16. In vivo GST pull-down assay.

Constructs comprising LpxA and CSK29544_02616 were cloned

into pETDuet 1 and pGST parallel-1 vectors in frame with an N-terminal 6x-

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histidine tag and an N-terminal glutathione S-transferase (GST) tag,

respectively. LpxA and CSK29544_02616 were expressed separately in E.

coli ER2566 and BL21(DE3) cells and induced with 0.5 mM isopropyl-β-D-

1-thiogalactopyranoside (IPTG). Cells were harvested by centrifugation at

16,000 x g and cell pellets were mixed in a 1:1 ratio. For cell lysis, the mixed

pellets were resuspended in IP150 buffer (50 mM Tris-HCl pH 7.4, 150 mM

NaCl, 2 mM MgCl2, and 0.1% NP-40) containing protease inhibitor cocktail

(P8849, Sigma, Korea). Cells were ultra-sonicated and centrifuged at 21,130 x

g and 4 °C for 1 h to remove cell debris. Concentration of the supernatant was

measured by Brad-ford assay and a sample at a concentration of 1 mg was

incubated with 20 μl of glutathione-agarose beads for 3 h at 4 °C using gentle

end-over-end rotation at 17 rpm. After incubation, the beads were washed

three times with IP150 buffer and the bound proteins were eluted by boiling in

Laemmli’s SDS-Sample buffer (GeneDEPOT, USA) for 10 min. The samples

were resolved by SDS-PAGE and proteins were detected by immunoblotting

with antibodies against GST and His epitope tag.

IV-2-17. Western blot analysis.

GST or His epitope-tagged proteins from the GST pull-down assay

were loaded into 12% SDS-polyacrylamide slab gel. After electrophoresis, the

separated proteins were electro-transferred to PVDF membrane. The

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membrane was blocked with TBST buffer (10 mM Tris-Cl, 150 mM NaCl, 0.1%

Tween 20, adjusted to pH 8.0) supplemented with 0.45% skim milk using a

SNAP i.d.TM Protein Detection System (Milipore), and then it was incubated

for 30 min with a TBST buffer supplemented with primary anti-GST or anti-

His antibodies. After 3 times washing with 20 ml TBST buffer, secondary

antibody solution [TBST buffer supplemented with 0.45% skim milk and the

goat anti-mouse IgG-HRP (Santa Cruz Biotechnology)] was applied onto the

membrane, and incubated for 20 min and another wash with TBST buffer was

performed. The chemiluminescence signals were developed with WEST-

ZOL○R plus Western Blot Detection System (iNtRON Biotechnology, South

Korea) according to the manufacturer’s instructions, and then X-ray film was

exposed to the light to detect the signals.

IV-2-18. LpxA enzyme assay

IV-2-18-1. Cell cultures

Strains of interests were used to inoculate LB broth containing the

proper antibiotics and incubated at 37 °C, 220 rpm until OD600 of 0.5 to 1 was

reached. The cultures were then induced with IPTG of 0.5 mM and incubated

at 37 °C for 4 h post-induction unless otherwise stated. Cells were harvested

by centrifugation at 10,000 x g, suspended in proper buffer with appropriate

amount of protease inhibitor cocktail (P8849, Sigma), and ultra-sonicated.

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Cellular debris were removed by centrifugation at 21,130 xg for 1 h at 4 °C,

and the resultant crude cytosol was used for further protein purifications

unless otherwise indicated.

IV-2-18-2. Purification of LpxA

Free tagged-LpxA was purified as described previously (Jenkins &

Dotson, 2012) with minor modifications. In brief, cell extracts in 20 mM

potassium phosphate (KPhos) buffer and 20% glycerol (buffer A) were

filtered, and applied to Green-SeparoporE○R4B-CL (20181099-2, bioWORLD,

USA) that had been pre-equilibrated in the same buffer. The column was

incubated at 4 °C for 18 h by end over and rotation (F1 mode, 18 rpm). The

column was washed 3 times with 0.5 ml of buffer A, and eluted with 0.5 ml of

buffer A containing 200, 300, and 1M NaCl, respectively. Eluted LpxA

fractions (1M NaCl for high purity) were used for further study.

IV-2-18-3. Purification of Holo-Acyl Carrier Protein

Holo-ACP was produced in cells expressing both apo-ACP, encoded

by acpP, and holo-ACP synthetase, encoded by acpS, according to a previous

study (Broadwater & Fox, 1999). Holo-ACP was purified as described

previously with slight modifications (Jenkins & Dotson, 2012). Protein was

expressed as described in III-2-19-1. Cell cultures section, except that cultures

were induced at 18 °C and incubated for 12 h. To the cellular lysate suspended

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in 10 ml of ACP buffer containing 20 mM HEPES and 1 mM TCEP (Tris(2-

carboxyethyl)phosphine hydrochloride) (pH 8.0), 10 ml of 2-propanol (Final

conc. 50%) was added slowly, and gently mixed by end-over-end rotation (F1

mode, 12 rmp) at 4°C for 1 h in 50 ml falcon tube. The resulting suspension

was centrifuged at 13,000 xg at 4°C for 30 min, and the supernatant was taken

and diluted with 20 ml of ACP bfr (to lower isopropanol conc.). This solution

was loaded onto a Source 15Q column (6 ml). A gradient of ACP buffer

containing 0-500 mM NaCl was carried out, and holo-ACP was eluted at 300

mM NaCl as judged by SDS-PAGE analysis. The eluted protein was desalted

on a PD midiTrapTM G-25 (GE healthcare, UK) in ACP buffer and stored at

4 °C. Protein concentrations were measured by Bio-Rad protein assay.

IV-2-18-4. Purification of V. harveyi AasS-Hisx6

Expression and purification of AasS-Hisx6 were performed as

described above (III-2-19-1. Cell cultures section). After washing and elution

steps from the Ni-NTA resin, the tagged-AasS was subsequently desalted on a

PD midiTrapTM G-25 (GE healthcare, UK) in 20 mM Tris-HCl (pH 7.5), 10%

glycerol, 1mM ethylenediaminetetraacetic acid (EDTA), 0.1 mM TCEP, and

0.002% Triton X-100 as reported earlier for optimal storage (Jiang et al.,

2006). The resulting protein was aliquoted into microcentrifuge tubes and

stored at deep-freezer. Protein concentrations were measured by Bio-Rad

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protein assay.

IV-2-18-5. Acylation of holo-ACP

Acylation of holo-ACP was performed as described previously with

slight modifications (Jiang et al., 2006). A forty μM of holo-ACP was first

reduced for 1 h at 25°C in the presence of two equivalents of TCEP (80 μM)

prior to addition of fatty acid. Acylation reaction containing 5 mM ATP, 5 mM

MgCl2, 100 µM TCEP, 0.01% Triton X-100, 100 µg of AasS, and 150 µM R-

3-hydroxymyristic acid in 100 mM Tris (pH 7.5) in total volume of 10 mL

was incubated at 30°C for 50 min, and another 50 µg of AasS was added.

After 20 min of additional incubation at 30°C, the reaction was loaded onto a

Source 15Q column (6 ml) equilibrated with 20 mM HEPES (pH 8.0). Acyl-

ACP was eluted at approximately 300 mM NaCl and subsequently desalted by

a PD midiTrapTM G-25 and stored at 4 °C.

IV-2-18-6. Fluorescent enzyme assay for LpxA and CSK29544_02616

Assays were performed as previously reported with a few

modifications (Jenkins & Dotson, 2012). All substrates used in the assay were

dissolved in 20 mM HEPES (pH 8.0) with a final volume of 100 μl. A

spectraMax i3 plate reader (Molecular Devices, California, USA) was used to

monitor fluorescence, with photomultiplier tube (PMT) sensitivity set to low

to prevent saturation and number of readings set to 40. Initially, ten μl of 100

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μM Thioglo○R3 (T-003, COVALENT associates Inc, USA) was added in 96

well optical bottom plates (165305, Thermo Fisher Scientific, USA), followed

by the addition of 3-hydroxymyristoyl-ACP at a final conc. of 8 μM and 4

mM of UDP-GlcNAc. This mixture was incubated in the dark at 30 °C for 40

min to allow any unacylated ACP to react with the ThioGlo solution. After

incubation, either 10 nM of LpxA solution or 300 nM of Hisx6-

CSK29544_02616 was added directly to the well and mixed gently before

measurement, and the plate was read continuously at λex =378 nm and λem

=446 nm for 2 h at 15s intervals. Negative control was set to include all

substrates without any enzymes (either LpxA or Hisx6-CSK29544_02616),

and positive control was set to all substrates, excluding Hisx6-

CSK29544_02616.

IV-2-19. LPS extraction

LPS extraction was performed as described previously with

modifications. In brief, LPS was extracted from overnight bacterial cultures

using hot phenol-water micro-extraction methods (Kim & Ryu, 2012; Wang et

al., 2010). One millilitre of bacterial cultures (ca. 2 x 109 cfu ml-1) was

harvested, washed once with 1 ml DPBS (Dulbecco’s PBS containing 0.15

mM CaCl2 and 0.5 mM MgCl2), and re-suspended in 100 µl of DPBS. After

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sonication, proteinase K was treated at a concentration of 100 µg ml-1 and

incubated for 1 hour at 37°C followed by addition of 200 µl of ddH2O. An

equal volume of preheated (68°C) phenol solution was added prior to

incubation at 68°C with vigorous vortex mixing every 5 min. The samples

were chilled on ice for 5 min, and the aqueous phases were separated by

centrifugation at 10 000 g, 4°C for 5 min. The LPS was extracted again from

the phenol phase with another 300 ml of ddH2O. After the addition of sodium

acetate to the pooled aqueous phases at a final concentration of 0.5 M, 10

volumes of 95% ethanol was added, and the mixture was incubated overnight

at -20°C. The crude LPS were sedimented by centrifugation at 16 000 g, 4°C

for 5 min, re-suspended in 100 ml ddH2O, and precipitated again with 95%

ethanol. Finally, the precipitated LPS was re-dissolved in 50 ml ddH2O and

stored at -20°C. The extracted LPS were analyzed by DOC-PAGE on a 15%

acrylamide gels (Reuhs et al., 1998). Briefly, the resolving gel (15%) was

prepared with 5 ml of monomer stock solution [30% (w/v) acrylamide, 0.8%

(w/v) N,N′-methylenebisacrylamide], 2 ml of resolving gel buffer solution

(1.875 M Tris base, adjust to pH 8.8), 3 ml of ddH2O, 17.5 ml of 10%

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ammonium persulphate and 8.75 ml of N,N,N′,N′-

tertramethylethylenediamine (TEMED). The stacking gel (4%) consisting of

0.33 ml of monomer stock solution, 0.5 ml of stacking gel buffer solution

(0.635 M Tris base, adjust to pH 6.8), 1.67 ml of ddH2O, 12.5 ml of 10%

ammonium persulphate and 6.25 ml of TEMED was laid onto the solidified

resolving gel. The gels were pre-run with a running buffer (290 mM glycine,

37 mM Tris base and 6 mM sodium deoxycholate) for 10 min at 15 mA using

Bio Rad Mini-PROTEAN® Tetra Cell. Four microlitres of extracted LPS was

mixed with equal volumes of sample buffer (containing 2 ml of stacking gel

buffer solution, 1 ml of glycerol and 2.5 mg of bromophenol blue, brought up

to 10 ml with ddH2O), and the mixtures were loaded onto the gels prior to

running each gel for ~ 60 min at 15 mA. The gels were fluorescently stained

using the Pro-Q® Emerald 300 Lipopolysaccharide Gel Stain Kit (Molecular

Probes, Cat. No. P20495; Eugene, OR, USA) according to the manufacturer’s

instructions. The samples were visualized under the 300 nm UV by Gel

DocTM EZ imager (BIO-RAD)

IV-2-20. Outer membrane fraction

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Strains of interest were cultured overnight at 37°C, which was used

to subculture (1% inoculum) fresh LB medium. Bacteria were grown to mid-

exponential phase and then collected by centrifugation at 10,000 xg for 5min,

followed by resuspended in 10 ml of HEPES buffer (10 mM, pH 7.4). the

resuspension was ultra-sonicated, centrifuged, and filterated using 0.22 μm

pore-size. The membranes were collected by ultracentrifugation at 100,000 xg

for 1h at 4°C. The pellet was resuspended in 2 ml of 10 mM HEPES, pH7.4,

washed in a total volume of 10 ml of 10 mM HEPES, pH7.4, and spun again

in the ultracentrifugation (100,000 xg for 1h at 4°C). The pellet was

resuspended in 10 ml of 10 mM HEPES, pH 7.4 containing 2 % N-

lauroylsarcosine (wt/vol) (Sarkosyl) (Sigma) and incubated at 37°C for 30

min with shaking. The Sarkosyl-treated membranes were centrifuged at

100,000 xg for 1h at 4°C and the pellet was resuspended in 50 mM Tris-cl

(pH 8.0) containing 1% (wt/vol) Zwittergent 3-14 (Calbiochem) and 10 mM

EDTA.

IV-2-21. Phospholipid quantitation

Phospholipids were quantified by methods described previously with

some modifications (Kloser et al., 1998; Mrsny et al., 1986). In brief,

overnight grown cells (500 mg wet weight) were centrifuged, resuspended in

1 ml of deionized water, and mixed with 2.5 ml of Methanol and 1.25 ml of

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chloroform according to a single phase Bligh and Dyer solvent mixture

(methanol-chloroform-water 2:1:0.8, v/v). This suspension was incubated at

25°C for 2 h with periodic vortexing (every 30 min). After centrifugation at

2800 xg for 15 min at 4°C, 3 ml of the extract from the top was taken, and

mixed with 1.25 ml of each chloroform and water. After thorough vortexing,

the mixture was centrifuged as above. A 1 ml of lower chloroform phase was

removed and the solvents were removed with N2. One ml of 70 % perchloric

acid was added to the sample-containing tubes as well as tube with no sample

as a negative control. The tubes were covered with Teflon tape and placed in

as multi-block heater preheated to 150°C for 2 h 30 min to completely digest

phospholipids. All tubes were heated for the same period until the sample that

required for the longest time to be digested. The tubes were cooled and

aliquots (100 μl) were taken to 600 μl of water, 200 μl of 2.5% ammonium

molybdate, and 200 μl of freshly prepared 10% ascorbic acid. The mixtures

were vortexed and phosphomolybdate color was developed for 1.5 h in a 37°C

water bath. Following reactions, samples were measured using

spectrophotometer at absorbance of 820 nm.

IV-2-22. Hydrophobicity assay

The surface hydrophobicity was measured as described previously

(Wang et al., 2012). In brief, bacterial cells grown overnight were harvested,

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washed twice with PBS, pH7.4, and resuspended in 2 ml of the same buffer to

OD600 around 1. The exact OD600 was measured and recorded as H0. A eight-

hundred μl of xylene was added to the bacterial suspension, mixed for 2 min

thoroughly, and incubated at room temperature for 1 h. The OD600 of the

aqueous phase was measured and recorded as H. The formula representing

bacterial hydrophobicity is as follows: [(H0-H)/H0]x 100, H0 : OD600of before

xylene extraction and H : OD600of after xylene extraction.

IV-2-23. Biofilm assay

The experiment was performed as previously described with slight

modifications (Choi et al., 2015). Briefly, bacteria were inoculated into 3 ml

of LB and incubated at 37°C for 3 h. The culture was diluted to 1.5 of OD600,

an aliquot of 500 μl was loaded in triplicate into a 24-well polystyrene plate,

and incubated at 37°C for 48 h in static condition. To fix the biofilm, 100 μl of

99% methanol was added for 15 min, the supernatant were removed, and the

plates were air-dried. Subsequently, a 500 μl of 0.1% crystal violet (CV)

solution was added. After 20 min, the excess CV was removed, washed with

PBS three times. Finally, the bound CV was released by addition of 250 μl of

95% ethanol. The absorbance was measured at 570 nm using SUNRISE-

BASIC TECAN micro plate reader (Tecan, Austria).

IV-2-24. RNA isolation and sequencing

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Bacteria cells (WT and ΔCSK29544_02616) were culture at 37°C

with constant shaking (220 rpm) until mid-exponential phase. Total RNA was

extracted by RNeasy mini kit (Qiagen, Germany) according to the

manufacturer’s instructions and treated with Ambion Turbo DNA-freeTM

(AM1907, USA) to remove residual DNA. RNA sequencing and alignment

processes were performed by Chunlab, Inc (Seoul, Korea). The RNA wa

subjected to a substractive hybridization/bead capture using Ribo-Zero kit

(Epicentre, USA) to get rid of rRNA. The purified RNA was used to construct

mRNA-seq library using Illumina TruSeq RNA Sample Preparation kit v2

(Illumina, USA). RNA sequencing was performed by Hiseq to generate

single-end-reads. Sequencing reads were mapped to C. sakazakii ATCC

29544 genome sequences using CLC Genomics Workbench (CLC bio,

Denmark). The results were visualized by CLRNAseq program (Chunlab)

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Table IV-1. Bacterial strains and plasmids used in Chapter IV

Strain or plasmid Genotype and/or characteristics Reference or source

C. sakazakii ATCC 29544 Wild-type strain (Kim et al., 2010)

ES1001 29544 harboring pKD46 (Kim et al., 2010)

SK001 29544 harboring pACYC184 (Kim et al., 2015)

SK009 29544 harboring pBAD24 This study

SK010 CSK29544_02616::kan This study

SK011 Δ CSK29544_02616 This study

SK012 Δ CSK29544_02616 harboring pACYC184 This study

SK013 Δ CSK29544_02616 harboring p CSK29544_02616 This study

SK014 Δ CSK29544_02616 harboring pBAD24 This study

SK015 Δ CSK29544_02616 harboring pHis- CSK29544_02616 This study

SK016 BTH101 harboring pKT25 and pUT18C-lpxA This study

SK017 BTH101 harboring pKT25-CSK29544_02616 and

pUT18C-lpxA

This study

SK018 BL21(DE3) harboring pGST- CSK29544_02616 This study

SK019 ER2566 harboring pHis-lpxA This study

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SK020 ER2566 harboring pLpxA This study

SK021 ER2566 harboring pACP This study

SK022 lpxA::KanR harboring pBAD33-CSK29544_02616 This study

E. coli

DH5α λ- Φ80dlacZΔ(lacZYA-argF)U169 recA1 endA1 hsdR17(rK-

mK-) supE44 thi-1 gyrA relA1

(Hanahan, 1983)

BTH101 F- cya-99 araD139 galE15 galK16 rpsL1(StrR) hsdR2

mcrA1 mcrB1; reporter strain in bacterial two-hybrid assay

(Karimova et al., 1998)

BL21 (DE3) F- ompT hsdS (rB- mB

-) gal (DE3); protein overexpression Laboratory collection

ER2566 F¯ λ¯ fhuA2 [lon] ompT lacZ::t7 gene1 gal sulA11 ∆(mcrC-

mrr)114::IS10 R(mcr-73::miniTn10-TetS )2 R(zgb-

210::Tn10--TetS ) endA1 [dcm]

(Lee et al., 2007)

Plasmids

pKD13 oriR6K AmpR FRT KanR FRT (Datsenko & Wanner, 2000)

pKD46 oriR101 repA101(Ts) AmpR ara BADpgam-bet-exo (Datsenko & Wanner, 2000)

pCP20 oripSC101(TS) AmpRCmR cΙ857λ PRflp (Datsenko & Wanner, 2000)

pACYC184 TetR CmR p15A ori (Chang & Cohen, 1978)

pBAD24 AmpR, araC, PBAD, pBR322 ori, expression vector (Guzman et al., 1995)

pKT25 ori p15A, Plac::cyaA 1–224, KanR (Karimova et al., 2001)

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pUT18C ColEI-ori, Plac::cyaA 225–399, MCS, AmpR (Karimova et al., 2001)

pKT25-zip ori p15A, Plac::cyaA 1–224ΦGCN4-zip, KanR (Karimova et al., 2001)

pUT18C-zip ColEI-ori, Plac::cyaA 225–399ΦGCN4-zip, AmpR (Karimova et al., 2001)

pKT25-CSK29544_02616 pKT25-based expression vector for CSK29544_02616 with

N-terminal T25 fragment of adenylate cyclase

This study

pUT18C-lpxA pUT18c-based expression vector for lpxA with N-terminal

T18 fragment of adenylate cyclase

This study

pETDuet 1 LacI, pBR322ori, pT7, two MCS, AmpR, expression vector Novagen

pGST parallel 1 LacI, tac promoter, AmpR,, expression vector (Sheffield et al., 1999)

pCSK29544_02616 pACYC184 with CSK29544_02616 This study

pHis- CSK29544_02616 pBAD24-based expression vector for CSK29544_02616

with N-terminal six histidines

This study

pHis-lpxA pETDuet 1-based expression vector for LpxA with N-

terminal six histidines, AmpR

This study

pGST- CSK29544_02616 pGST parallel 1-based expression vector for

CSK29544_02616 with N-terminal GST , AmpR

This study

pacpP pETDuet 1-based expression vector for AcpP This study

pacpS pETDuet 1-based expression vector for AcpS This study

pACP pETDuet 1-based expression vector for AcpP and AcpS This study

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pLpxA pETDuet 1-based expression vector for free tagged-LpxA This study

pAasS pET28a expression vector for AasS with C-terminal six

histidines

This study

plpxA pUHE21-lacIq-based expression vector for lpxA This study

pBAD33-CSK29544_02616 pBAD33-based expression vector for CSK29544_02616 This study

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Table IV-2. Oligonucleotides used for the construction of strains and plasmids in Chapter IV

Oligonucleotide name Oligonucleotide sequences (5’ to 3’) Purpose

CSK29544_02616-lamb-F CGC GTG GTG GAT GCT ATC CGC GCG CAG GCC

GCG CTC GGC CTT GCG GAG AAA GTG GCA TGA

TGT AGG CTG GAG CTG CTT CG

SK011 construction

CSK29544_02616-lamb-R CGT CAT TGA CTA CTG CCG CTC CCA TGC CAA

CGA TAG CGT CGT TAC CGA TGT GGA TTT GCT

ATT CCG GGG ATC CGT CGA CC

SK011 construction

motA-lamb-F GGC AAC GTT TTC TGC TCA CCT GAA CAT CCT

CGC CAT AGC CAA CAG CGG AAG GAT GAT GTC

TGT AGG CTG GAG CTG CTT CG

Mutant construction

motA-lamb-R GCG ACA CGA AGC CGT AAG CCA GCA GGA TGC

CGA GGA ATG TCC CCA CCA TCG CGT GAG CGA

ATT CCG GGG ATC CGT CGA CC

Mutant construction

flhD-lamb-F GGC AAC GTT TTC TGC TCA CCT GAA CAT CCT

CGC CAT AGC CAA CAG CGG AAG GAT GAT GTC

TGT AGG CTG GAG CTG CTT CG

Mutant construction

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flhD-lamb-R GCG ACA CGA AGC CGT AAG CCA GCA GGA TGC

CGA GGA ATG TCC CCA CCA TCG CGT GAG CGA

ATT CCG GGG ATC CGT CGA CC

Mutant construction

motA-con-F GAA TGC TTG AAT TAT CGC GCT G Mutant construction

motA-con-R GTC TTA CGA CCA AAC TCT ACG Mutant construction

flhD-con-F CAC TGT TCA CCG ACA AGT C

flhD-con-R CAC TTT CCA GCA TCT GTA AAC

pBAD24- Hisx6- CSK29544_02616-F AAA GAA TTC ATG CAT CAT CAT CAT CAT CAC GGC

AGC GGC AGC GGC AGC GGC AGC ATG AAG CTT

GGC ATT TAC GGC G

pHis- CSK29544_02616

construction

pBAD24- Hisx6- CSK29544_02616-R AAA GTC GAC CAT CTT CAA TAA CAG ACA CCG

CA

pHis- CSK29544_02616

construction

pBAD24-seq-F GGA TCC TAC CTG ACG CTT TT Cloning confirmation

pBAD24-seq-R TTA TCA GAC CGC TTC TGC GT Cloning confirmation

pACYC184-CSK29544_02616-F-

SphI

AAA GCA TGC GGG AAA CGA CCG TTG TGG C pCSK29544_02616

construction

pACYC184-CSK29544_02616-R-

BamHI

AAA GGA TCC CCG GCA CTT CAA AGG TTT CC pCSK29544_02616

construction

pACYC184-seq-F CTA CTT GGA GCC ACT ATC GAC T Cloning confirmation

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pACYC184-seq-R TGT CCT ACG AGT TGC ATG ATA Cloning confirmation

pKT25-CSK29544_02616-F-BamHI AAA GGA TCC TGG CAT GAA GCT TGG CAT TT pKT25-CSK29544_02616

and pGST-

CSK29544_02616

construction

pKT25-CSK29544_02616-R-EcoRI ATA GAA TTC CCA TCT TCA ATA ACA GAC ACC pKT25-CSK29544_02616

and pGST-CSK29544_02616

construction

pKT25-con-F GCC ATT ATG CCG CAT CTG Cloning confirmation

pKT25-con-R CTT CGC TAT TAC GCC AGC Cloning confirmation

pUT18C- lpxA-F-SalI AAA GTC GAC CGT GAT TGA TAA GAC CGC CT pUT18C- lpxA construction

pUT18C- lpxA-R-BamHI AAA GGA TCC CGA CAA AAC GCG CGT TCG pUT18C- lpxA construction

pUT18C-con-F CGT TCG AAG TTC TCG CCG pUT18C- lpxA confirmation

pUT18C-con-R CTG GCT TAA CTA TGC GGC AT pUT18C- lpxA confirmation

pGST parallel 1-con-F CCA GCA AGT ATA TAG CAT GG Cloning confirmation

pGST parallel 1-con-R CAG GCT CTA GAT TCG AAA G Cloning confirmation

pETDuet1-lpxA-F-BamHI GAG GCC GGA TCC AGT GAT TGA pLpxA construction

pETDuet1-lpxA-R-HindIII CGT TCG GCA AGC TTG CTT T pLpxA construction

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pETDuet1-acpS-F-NcoI AAA CCA TGG CGA TTC TGG GGC TCG GTA CC pacpS construction

pETDuet1-acpS-R-EcoRI GAT CCC CAA CAC GAA TTC TAA GGA pacpS construction

pETDuet1-acpP-F-NdeI AAA CAT ATG AGC ACT ATC GAA GAA pacpP construction

pETDuet1-acpP-R-XhoI AAA CTC GAG GTA GAT ACT TGT GGG ACT AAA A pacpP construction

pETDuet1-LpxA-F-NdeI AAA CAT ATG ATT GAT AAG ACC GCC TTT pLpxA construction

pETDuet1-LpxA-R-XhoI AAA CTC GAG GAC CGG CAC CAA GAA TAT C pLpxA construction

pETDuet1-con-F TCT CGA TCC CGC GAA ATT AA Cloning confirmation

pETDuet1-con-R GGC CGT GTA CAA TAC GAT TA Cloning confirmation

pET28a-AasS-F-NcoI TTT CCA TGG ATA TGA ACC AGT ATG TAA ATG A pAasS construction

pET28a-AasS-R-XhoI TTT CTC GAG CAG ATG AAG TTT ACG CAG TTC pAasS construction

pUHE21-lpxA-RBS-F-EcoRI AAA GAA TTC AGG AGG ATA CGT GAT TGA TAA

GAC C

plpxA construction

pBAD33-CSK29544_02616-F-EcoRI TTT GAA TTC AGG AGG GGC ATG AAG CTT GGC

ATT T

pBAD33-CSK29544_02616

construction

lpxA-lamb-F TTA ACG AAT CAG ACC ACG CGT GGA ACG GGC

GAA GAA ATC GTA GAA CGG CTG CAC TTC AGG

TGT AGG CTG GAG CTG CTT CG

SK022 construcution

lpxA-lamb-R GTG ATT GAT AAG ACC GCC TTT ATT CAT CCC

ACC GCC ATT GTG GAA GAG GGT GCC ATT ATC

SK022 construcution

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ATT CCG GGG ATC CGT CGA CC

pUHE21-con-F AGA TTC AAT TGT GAG CGG ATA AC Cloning confirmation

pUHE21-con-R GGT CAT TAC TGG ATC TAT CAA CA Cloning confirmation

a Restriction enzyme sites and Hisx6-tag coding sequences are underlined and itaclicized, respectively.

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IV-3. Results

IV-3-1. A gene discovered in an invasion-attenuated mutant.

To identify genes related to the virulence of C. sakazakii, a

transposon-mediated random mutant library in C. sakazakii was screened to

find out invasion-defective clones, which showed more than 5 folds compared

to wild type. Three hundred clones were screened with an invasion assay, and

four clones showing defective invasion ability were found (Tn10, 24, 28, and

54). However, among them, a clone showing the most defective invasiveness

(Tn 54) was selected and analyzed further. After the boundary region between

the transposon and the C. sakazakii genome cut with EcoRV restriction

enzyme was PCR-amplified (inverse PCR, Fig. IV-1A) and sequenced

according to the manufacturer’s instructions, I found that the clone most

defective in invasion had the transposon insertion in a CSK29544_02616

region of DNA through nucleotide blast search of the transposon-flanking

region.

To confirm the transposon insertion site in the clone, primers were

designed using the boundary sequence, and the size of PCR-amplified region

was compared to that of wild type: the clone showed bigger size (Fig. IV-1B)

However, the function of CSK29544_02616 gene product has not been

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identified on the database.

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A B

Fig. IV-1. PCR confirmation of several mutants from invasion-screening.

(A) PCR products of inverse PCR from each denoted mutants.

(B) Lane M, the nucleotide size marker; Lane 1, WT band from Tn10 primer sets; Lane 2, a mutant band from Tn10 primer sets; Lane 3, WT

band from Tn24 primer sets; Lane 4, a mutant band from Tn24 primer sets; Lane 5, WT band from Tn54 primer sets; Lane 6, a mutant band

from Tn54 primer sets.

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IV-3-2. The CSK29544_02616 gene is required for C .sakazakii invasion.

To understand the roles of CSK29544_02616 in C. sakazakii ATCC

29544 invasiveness, I generated an unmarked mutant lacking the entire

CSK29544_02616 gene using the Lambda Red recombination technique. The

loss of CSK29544_02616 was verified by sequencing. When I compared the

growth of the strains in LB medium with constant aeration at 37°C, the

deletion mutant showed the same growth rate as the wild type (data not

shown). The plasmid carrying the CSK29544_02616 gene with its probable

cognate promoter region was also constructed. Before studying on

CSK29544_02616, the confirmation of its effect on the reduced invasion

ability was carried out. The CSK29544_02616 mutant showed 1,000

folds attenuated invasion ability into human–derived epithelial Caco-2

cells compared with wild type strain (Fig. IV-2), in consistent with the

screening data. Complementation with the plasmid harboring the

CSK29544_02616 gene fully restored the invasion ability of the mutant strain

to wild-type levels, substantiating that the possibility of polar effects and

secondary site mutations are excluded (Fig. IV-2).

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Fig. IV-2. CSK29544_02616 is required for C. sakazakii invasion into

intestinal epithelial cells.

The absence of CSK29544_02616 gene disrupted invasion ability of C.

sakazakii. Confluent monolayers of eukaryotic cells were infected with C.

sakazakii grown to the exponential phase and incubated for 1.5 h, followed by

gentamicin treatment (100 μg/ml) for a further 1.5 h. The Caco-2 cells were

lysed with 1% Triton X-100 to recover the intracellular bacteria. The data are

representative of 3 independent experiments. The bars represent the means

and SEM from independent experiments performed in triplicate. The asterisks

indicate significant differences (***, P < 0.001).

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IV-3-3. The CSK29544_02616 gene contributes to C .sakazakii virulence.

To explore whether CSK29544_02616 gene could contribute to C.

sakazakii virulence, I initially performed an in vivo challenge assay using

newborn rats as performed in other studies (Hunter et al., 2008;

Townsend et al., 2007b). To minimize individual variations between infant

rats and compare the fitness of the mutant to compete with wild type for

survival in the host environment, competitive assays were carried out by

orally inoculating the bacterial mixture containing equal numbers of

CSK29544_02616 mutant and wild-type strains. At 20 h post-infection, the

CSK29544_02616 deletion mutant was outcompeted by the wild type, with

CIs of 0.002 and 0.001 in the spleen and liver, respectively (Fig. IV-3A).

These results suggest that CSK29544_02616 gene is responsible for the

ability of C. sakazakii to disseminate into deeper organs. The attenuated

virulence of the CSK29544_02616 mutant might be attributable to multiple

defects during the infection processes. To make successful systemic infection

for pathogenic bacteria into hosts, they should actively either invade or be

phagocytosed into/by immune cells, and then survive within them (Sansonetti,

2001). To see the impact of CSK29544_02616 on both phagocytosis and

survivals by/within macrophages, survival assay was performed using

RAW264.7 (murine-derived macrophages). At first, I could see that

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phagocytosis of the mutant was about 100 folds significantly reduced than

that of wild type (Fig. IV-3B, uptake). Moreover, the CSK29544_02616

deletion mutants were cleared completely after 72 h post-infection,

whereas WT strains (approximately 3-log CFU/ml) were still able to

survive within macrophages at 96 h. A plasmid containing

CSK29544_02616 complemented the ability to survive within

macrophages (Fig. IV-3B).

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A

B

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Fig IV-3. CSK29544_02616 is required for the pathogenesis of C.

sakazakii.

(A) in vivo animal study reveal that the virulence of C. sakazakii was

diminished in the absence of CSK29544_02616. Two to three days old rat

pups were administered orally by a mixture of wild type and

CSK29544_02616::kanR strains with about 4 x 109 and 3 x 109 CFU/ml

respectively. To determine bacterial loads in spleen and liver, respect organs

were removed aseptically, homogenized at 20 h post-infection and plated onto

selective agar plates. Competitive index (CI) was calculated as follows:

ΔCSK29544_02616output / wtoutput÷ΔCSK29544_02616input / wtinput.

(B) The survival assay using RAW264.7 demonstrate the lack of

CSK29544_02616 is important for both phagocytosis and survival with the

macrophage cells. The procedure is described in Materials and Methods.

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IV-3-4. CSK29544_02616 directly interacts with LpxA.

I have seen that CSK29544_02616 is involved in the pathogenesis of

C. sakazakii, however, the function of CSK29544_02616 remained unknown

due to lack of information. To search for its function, I chose to find out its

binding partner and used ligand fishing. N-terminally Hisx6–tagged form of

CSK29544_02616 was well purified and the functionality of Hisx6–tagged

CSK29544_02616 was verified by swimming motility in the

CSK29544_02616 mutant (Fig. IV-4). A crude cell-free extract from C.

sakazakii ATCC 29544 was mixed with N-terminally Hisx6–tagged form of

CSK29544_02616 or no addition of the protein or the tagged-

CSK29544_02616 without a crude cell extract, and subjected to pull-down

assays by using a metal-affinity chromatograpy. I found a protein band

(approximate molecular weight of 28 kDa) specifically eluting in a fraction

containing His-CSK29544_02616 (Fig. IV-5). Peptide mapping of the protein

band indicated that it corresponds to the UDP-N-acetyl glucosamine

acyltransferase, encoded by lpxA (Wyckoff & Raetz, 1999).

To verify whether CSK29544_02616 interacts specifically with

LpxA in vivo, I used bacterial adenylate cyclase based two-hybrid system

based on the complementation of β-galactosidase activity of E. coli cyaA

mutant strain BTH101 (Karimova et al., 1998). CSK29544_02616 and LpxA

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were fused with T25 and T18 fragments of the adenylate cyclase catalytic

domain from Bordetella pertussis, respectively as shown in Fig. IV-6A. The

reporter strain E. coli BTH 101, which expressed the combination of the

hybrid protein: T25- CSK29544_02616/T18-LpxA, produced blue color in

LB broth containing X-gal (Fig. IV-6B), indicating an interaction between

CSK29544_02616 and LpxA.

This functional restoration of adenylate cyclase activity was further

quantitatively measured through a β-galactosidase assay. As shown in Fig. IV-

6C, the β-galactosidase activity of BTH 101 strain expressing the combination

proteins (T25-CSK29544_02616/T18-LpxA) was 50-60 folds much higher

than that of negative control strain, which harbors the plain T-25 and T-18

fragments only. Furthermore, basal level of the β-galactosidase activity was

detected in the strain containing one fusion protein only, supporting that the

interaction between CSK29544_02616 and LpxA specifically complemented

the β-galactosidase activity.

To corroborate the direct interaction between CSK29544_02616 and

LpxA, in vitro GST pull-down assay was performed. For the assay, I set two

groups: C (control), which mixed a cell lysate from the strain overexpressing

N-Hisx6–LpxA with that of the strain expressing GST, and E (experimental

group), which mixed a cell lysate from the strain overexpressing N-GST-

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CSK29544_02616 with that of the strain overexpressing N-Hisx6–LpxA (Fig.

IV-7A). These proteins were well overexpressed and solubilized in the buffer

(data not shown). As shown in Fig. IV-7B, group E only showed the band

when immunoblotted with anti-His antibody after GST pull-down, whereas

group C was not detected as immunoblotted with anti-His antibody. Taken

together, CSK29544_02616 and LpxA directly bind with each other.

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A B

Fig. IV-4. N-terminally Hisx6 –tagged CSK29544_02616 was successfully purified with its functionality.

(A) A gel image of N-Hisx6-CSK29544_02616 from SDS-PAGE.

(B) The confirmation that N-Hisx6-CSK29544_02616 has it functionality by recovering motility as that of wild type.

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Fig. IV-5. CSK29544_02616 was shown to be a binding partner of LpxA

from ligand fishing assay.

Ligand fishing assay was performed to find out protein binding partner(s).

The procedure is described in Materials and Methods.

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A

B

C

T25 02616 pKT25::CSK29544_02616

T18 LpxA pUT18C::lpxA

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Fig. IV-6. CSK29544_02616 specifically binds with LpxA in vivo.

(A) The construction of tagging plasmids for bacterial two hybrid based on

adenylate cyclase reconstitution. CSK29544_02616 was N-terminally tagged

with T25 fragment and LpxA was N-terminally tagged with T18 fragment.

(B) A bacteria two hybrid assay reveal the direct binding of CSK29544_02616

with LpxA by color change, when the indicated strains were in the presence of

X-gal.

(C) A bacterial two hybrid assay reveals the direct interaction of

CSK29544_02616 with LpxA. E.coli BTH101 reporter strains harboring the

indicated plasmid pair were subjected to β-galactosidase assay to

quantitatively measure β-galactosidase activity, calculated as Miller units.

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A

B

IB : immunoblotting

GST

pull-down

IB : anti-GST

Lysate

C E C E

IB : anti-His

GST : glutathione-S-transferase

pETDuet::lpxA

PT7-1

lpxA

pGST parallel 1

GST

PTac

+

pGST parallel 1::at

02616 GST

PTac

+ pETDuet::lpxA

His

PT7-1

lpxA

C (GST+His-LpxA)

E (GST- CSK29544_02616+His-LpxA)

Hisx6

Hisx6

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Fig. IV-7. CSK29544_02616 specifically binds to LpxA in vitro.

(A) Construction of strains used in in vitro GST pull-down assay; C, a mixed lysate of pETDuet::N-Hisx6-lpxA plus pGST parallel 1,

respectively. E, a mixed lysate of pETDuet::N-Hisx6-lpxA plus pGST parallel 1::CSK29544_02616, respectively.

(B) The cell lysate from each group C and E were incubated with glutathione-agarose beads for 3 h at 4 °C. After GST pull-down experiment,

the samples were analyzed by immunoblotting (IB) with the indicated antibodies.

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IV-3-5. CSK29544_02616 increases LpxA enzyme activity.

It was verified that CSK29544_02616 specifically binds with LpxA.

Because LpxA is a first enzyme of LPS biosynthesis that transfers β-

hydroxymyristoyl group to UDP-N-acetylglucosamine to make UDP-3-(R-3-

hydroxyacyl)-GlcNAc, at first, I checked the presence or absence of LPS in

CSK29544_02616 mutant. As shown in Fig. IV-11A, the lack of

CSK29544_02616 could still produce LPS as the same as that of WT.

Likewise, CSK29544_02616 had nothing to do with expression of lpxA in

transcriptional level, revealed by RNA-seq data (data not shown).

CSK29544_02616 mutation did not affect either LPS structure or expression

of lpxA, so I speculated that CSK29544_02616 may bind with LpxA to

modulate the enzymatic activity of LpxA either positively or negatively. To

figure it out, enzyme assay for LpxA was established by using fluorescent dye

(Thioglo-3) as described previously (Jenkins & Dotson, 2012). Before

performing the enzyme assay, I prepared all the substrates required for the

assay (Fig. IV-8).

I set the standard reaction condition for LpxA activity, including the

concentration of substrates. After adjustment of the standard reaction, I

checked the concentration of CSK29544_02616, which did not show any

enzymatic activity because CSK29544_02616 has bacterial transferase

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hexapeptide repeat domain, which most of acyl transferases have. As shown

in Fig. IV-9-B, CSK29544_02616 helped LpxA enzyme activity by increasing

reaction velocity in vitro. To verify if the increment of LpxA enzymatic

activity was caused by specific interaction between CSK29544_02616 and

LpxA, BSA (bovine serum albumin) was used for negative control. As a result,

the enzymatic activity of LpxA with BSA did not increase LpxA activity as

CSK29544_02616 did (data not shown). To further check whether

CSK29544_02616 increase LpxA activity or not in vivo, I tried to construct

lpxA mutant, which has been only reported in Neisseria meninhitidis and E.

coli in a conditional temperature, nonpermissive temperature (Galloway &

Raetz, 1990; Steeghs et al., 1998). Fortunately, I got the mutant having

lpxA/lpxA::kan, in turn, the mutant still has wild type copy of lpxA (Fig. IV-

10), as previously reported in N. meningitides (Zarantonelli et al., 2003). In

consistent with the previous data (Galloway & Raetz, 1990), mutation of lpxA

in E. coli showed the retarded growth compared with wild type. Likewise,

lpxA mutation in C. sakazakii also caused severe growth defect, however, the

introduction of lpxA into the mutant fully recovered its growth as the same as

wild type (Fig. IV-10B), suggesting the success of lpxA mutant construction in

C. sakazakii. With this mutant, I transformed the pBAD33::CSK29544_02616

to check its effect on the reduced lpxA activity. As expected, the defective in

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growth was comparable with that of wild type when the plasmid was induced

by 13.3 mM of arabinose, substantiating that CSK29544_02616 is involved in

increasing LpxA activity via direct interaction each other (Fig. IV-9C). Taken

together, CSK29544_02616 helps LpxA enzyme activity, verified by in vitro

enzyme assay and in vivo.

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A B

28 kDa →

35 kDa →

W1-3 200 mM 300 mM S F 1M NaCl M : marker

1 : Holo-ACP (1 st FPLC, Q column-anion exchange chromatography)

2 : Acyl-ACP (2 nd FPLC, Q column-anion exchange chromatography)

Ø Acyl -ACP

M 1 2

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C D

Fig. IV-8. Each substrate used for LpxA enzymatic assay was well purified.

(A) AcpP and AcpS, encoding apo-ACP and holo-ACP, respectively, were coexpressed in E.coli ER2566 without any tags. The holo-ACP was

purified using anion-exchange chromatography, followed by acylated by AaaS, acyl-ACP synthetase. The acyl-ACP was purifited by anion-

exchange chromatography.

20 mM 50 mM 250 mM S F 20 mM 50 mM 250 mM S F

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(B) Free tagged-LpxA was purified by Green-SeparoporE○R4B-CL.

(C) AasS, N-terminally Hisx6-tagged, was purified.

(D) CSK29544_02616, N-terminally Hisx6-tagged, was purified.

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A

B C

+

SH

ACP

SH

+ Thioglo-3 Fluorescence

λex

=378 nm

λem

=446 nm

ACP

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Fig. IV-9. CSK29544_02616 increases the enzymatic activity of LpxA.

(A) A schematic representation of LpxA enzymatic assay. A generated Thioglo-3-ACP containing free thiol-group (-SH) conjugated was

excited at 378 nm and measured at 446 nm, respectively.

(B) in vitro LpxA enzymatic activity depending on the presence of CSK29544_02616 or absence of CSK29544_02616. The activities were

presented in RFU value.

(C) in vivo LpxA activity depending on the various concentration of CSK29544_02616, ranging from 0 to 13.3 mM.

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① ② ③

M 1 2 1 2 1 2

A B

Fig. IV-10. lpxA mutant having lpxA/lpxA::kan was constructed.

(A) PCR-confirmation of lpxA::kan by using various primer sets; ①: forward and reverse primer from external region of lpxA, ②: K1 primer,

annealing to interal region of kan cassette, and the reverse primer from external region of lpxA, ③: the forward primer from external region of

lpxA and K2, annealing to inter region of kan cassette.

1 2 3 4 5 6 7 8 9 100

2

4

6WT

lpxA::kan

plpxA/lpxA::kan (0 mM)

plpxA/lpxA::kan (50 mM)

plpxA/lpxA::kan (100 mM)

plpxA/lpxA::kan (500 mM)

hour

OD

60

0

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(B) The complementation of lpxA::kan mutant by introduction of lpxA. The mutant strain harboring pUHE21-lacIq::lpxA was induced by IPTG

ranging from 0 to 500 μM.

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IV-3-6. CSK29544_02616 is involved in modulating the ratio of lipid A

and phospholipid.

Outer membrane is an asymmetric structure, composed of two

different substances, including phospholipids in the inner leaflet and lipid A in

the outer leaflet, which serve as a physical barrier for gram negative bacteria

(Kamio & Nikaido, 1976). In order to maintain cell integrity, the ratio of

between phospholipids and lipid A should in balance. In E.coli, the ratio

between them is reported to be 0.12 (Galloway & Raetz, 1990). The disrupted

balance affect outer membrane biogenesis by altering the composition of outer

membrane proteins (de Cock & Tommassen, 1996; de Cock et al., 1999;

Koplow & Goldfine, 1974; Ried et al., 1990; Sen & Nikaido, 1991).

I have checked that CSK29544_02616 specifically binds with LpxA

to synergistically help its enzymatic activity (Fig. IV-9B and C). In this regard,

I speculated that the lack of CSK29544_02616 might cause the decreased

production of LPS. To verify the hypothesis, I extracted LPS using hot

phenol-water extraction method. As expected, the resultant in Fig. IV-11A

showed that CSK29544_02616 mutant had the reduced lipid A-core region,

approximately 50% as quantified by imageJ, compared with wild type. It has

been well-known that the biosynthetic pathways, including lipid A and

phospholipids, utilize the same precursors, β-OH-myristoyl-ACP (Galloway

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& Raetz, 1990; Ogura et al., 1999; Zeng et al., 2013). Thus, I hypothesized

that the low level of LPS production in CSK29544_02616 mutation may

elevate the production of phospholipids, as previously reported in E. coli

(Kloser et al., 1998), which finally results in the unbalanced ratio between

phospholipids and lipid A followed by changed outer membrane proteins. To

check the hypothesis, I extracted total lipids and quantitated the amount of

phospholipids by measuring lipid phosphorous. As my expectations, the level

of phospholipids in CSK29544_02616 mutant showed approximately 20%

increment on average compared with wild type as shown in Table IV-3.

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IV-3-7. The altered balance between Lipid A and phospholipids in

CSK29544_02616 mutation influenced outer membrane assembly.

To check whether the changed ratio between Lipid A and

phospholipids cause outer membrane assembly, outer membrane proteins

were purified and resolved on SDS-PAGE to compare any differences

between wild type and the mutant. Indeed, the result in Fig. showed that some

bands are missing in the mutant, and some bands are more abundant in the

mutant (Fig. IV-11B). For identification of protein bands, liquid

chromatography orbitrap mass spectrometry was performed. Interestingly, the

black triangle, an abundant band in wild type, identified proteins involved in

flagellar biosynthesis, including fliC, flgG, and flgF encoding flagellin,

flagellar basal protein, and flagellar basal body rod protein, respectively. In

the black triangle, there are more proteins, but I excluded proteins, not

matched with the size (about 28 kDa). In contrast, the red triangle, an

abundant band in CSK29544_02616 mutant, identified fecA and fhuA,

encoding for iron(III) dicitrate transport protein and ferric hydroxamate outer

membrane receptor, respectively, in consistent with that the transcriptional

expression of fecA and fhuA was overexpressed about 6 and 8 folds,

respectively in RNA sequencing data (Table IV-4). Furthermore, the

expression level of other outer membrane proteins was shown to be changed

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(Table IV-4). In conclusion, the decreased level of LPS production caused by

CSK29544_02616 disrupts the proper ratio between Lipid A and

phospholipids, leading to altered outer membrane profiles by changing their

expression level and/or assembly.

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1 2 3

LipidA-core

A B

Fig. IV-11. CSK29544_02616 modulate the production of lipid A,

resulting in alteration of outermembrane assembly.

(A) Lipopolysaccharide (LPS) analysis. LPS was extracted by hot phenol-

water method, separated on deoxycholate (DOC) PAGE and visualized by

Pro-Q Emerald 300 Lipopolysaccharide Gel Stain Kit (Molecular Probes).

(B) The profile of outer membrane proteins of wild type (lane 1) and

ΔCSK29544_02616 (lane 2), respectively; M: marker. Ten μg of outer

membrane protein was loaded.

M 1 2

70

56 43

35

28

17

kDa

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Table IV-3. LPS and phospholipid contents of WT and

ΔCSK29544_02616

Strain LPSa (%) Phospholipidsa (%)

WT 100±6.1 100±6

ΔCSK29544_02616 54.7±6.1 123±8

aLPS and phosphate analyses for phospholipid determination were carried out

in duplicate and from equal wet weights of cells. LPS was quantified using

ImageJ from the gel image. Values for the parental strains were adjusted to

100% and mutant values were normalized accordingly.

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Table IV-4. The expression level of membrane protein from RNA

sequencing data

a The number of reads, which was normalized by RLE (relative log expression)

method. The red letters indicate overexpression compared with wild type.

Filtration criteria are as follows: p value was less than 0.05

Gene WTa ΔCSK29544_02616a Fold change (log2)

Outer memebrane proteins

fhuA 792.2 4534.64 2.52

lamB 1916.2 429.16 2.16

fecA 1436.12 12714.74 3.15

ompW 2342.55 135488.42 5.85

Inner membrane proteins

fepD 13.48 85.83 2.67

ycjO 29.97 118.21 2.08

mglC 40369.12 3313.95 3.61

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IV-3-8. Reduction of LPS production in ΔCSK29544_02616 increased cell

surface hydrophobicity and biofilm formation.

It has been previously demonstrated that the loss of LPS in G(-)

bacteria may be replaced with phospholipids, which facilitates hydrophobicity

of cell surface (Nikaido & Nakae, 1979). Recently, the relationship between

the degree of LPS presence and hydrophobicity of cell surface has been

verified that the lost LPS resulted in increased hydrophobicity of cell surfaces

in Pseudomonas aeruginosa (Al-Tahhan et al., 2000). In this regard, I

questioned whether CSK29544_02616 mutation affected cell surface

hydrophobicity or not. To confirm it, I performed hydrophobicity assay using

xylene. As expected, the mutant showed about 3 folds rise in hydrophobicity

as compared with that of wild type (Fig. IV-12A). The microscopic image of

WT and ΔCSK29544_02616 demonstrated that the mutant showed the rapid

cell autoaggregation than WT, suggesting increased hydrophobicity, in part,

caused the rapid cell autoaggregation as shown in Fig. IV-12B. Interestingly,

C. sakazakii in the absence of CSK29544_02616 elevated the performance to

form biofilm by approximately 4 folds higher than WT on abiotic surfaces in

static conditions (Fig. IV-12C). The higher ability to form biofilms in the

mutant is attributable to the increased hydrophobicity of cell surface and

autoaggregation.

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A B

C

30 min

WT

60 min

ΔCSK29544_02616

30 min 60 min

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Fig. IV-12. Increased lipid amount in outer membrane elevated hydrophobicity.

(A) Hydrophobicity was measured using xylene extraction. The formula to calculate the hydrophobicity is as follows: [(H0-H)/H0]x 100.

(B) The image of wild type (upper panel and ΔCSK29544_02616 (lower panel), respectively, taken from optical microscope. The adjusted

OD600 of each cell was incubated in 1.5 ml e-tube for the indicated time, respectively. Then, the photos were taken at the indicated time point

from the samples.

(C) Biofilm formation. The assay using crystal violet was performed in both technical and biological triplicate. The biofilm formation is

quantitated by the absorbance at 570 nm from the WT, ΔCSK29544_02616, and ΔCSK29544_02616 harboring pCSK29544_02616 plasmid.

Each value was normalized to that of WT.

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IV-3-9. The loss of CSK29544_02616 abrogated flagella-mediated motility.

Previous reports have demonstrated that flagella formation and

motility/chemotaxis are dependent on composition of membrane

phospholipids, including cardiolipin (CL) and phosphoethanolamine (PE) in E.

coli (Inoue et al., 1997; Kitamura et al., 1994; Nishino et al., 1993; Shi et al.,

1993). In this regard, I speculated that the altered composition of lipid A and

phospholipids in outer membrane might cause flagellar formation and/or

motility. At first, I tested flagella-mediated motility using soft agar plate. An

aliquot of the strains (WT, ΔCSK29544_02616 ΔCSK29544_02616+p

CSK29544_02616) were injected onto 0.3% soft agar plate containing

chloramphenicol (25 μg/ml). The absence of CSK29544_02616 was shown to

be nonmotile, but the motility was fully restored upon complementation with

ΔCSK29544_02616+pCSK29544_02616 (Fig. IV-13A). To check whether the

loss of motility in the mutant was ascribed to a defect in flagellar assembly,

the photographs of the strains were taken by an energy-filtering transmission

microscope (EF-TEM; Libra 120, Germany) at a voltage of 120 kV. I found

out that the mutant had also flagella on its body as that of WT (Fig. IV-13B).

Interestingly, however, the flagella of the mutant seemed to be far thicker than

that of wild type. These abnormal flagella caused by CSK295444_02616

mutation may elicit paralyzed flagella, leading to nonmotility even the

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presence of flagella on its body surface. To further demonstrate the effect on

motility in the mutant, I performed suspension-clearing assays. As shown in

Fig. IV-13C, the wild type showed good stability in the suspension throughout

the time, whereas the mutant settled rapidly within 2 hour. However, the

complementing strain expressing CSK29544_02616 exhibited a better

stability in suspension than the mutant, but not as the same as wild type.

These data demonstrate that disruption of CSK29544_02616 resulted in the

loss of active movement to maintain bacteria in suspension. Taken all together,

CSK29544_02616 is involved in flagellar functionality.

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A B

1: WT

2: ΔCSK29544_02616

3: ΔCSK29544_02616+p02616

WT

1 μm 1 μm

ΔCSK29544_02616

1 μm

ΔCSK29544_02616 1

2 3

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C

Fig. IV-13. The loss of CSK29544_02616 caused paralyzed flagella.

(A) Motility on 0.3% agar plate.

(B) Confirmation of flagellar presence by transmission electron microscopy

(TEM).

(C) Suspension clearing assay. The rate of suspension clearance was measured

over 7 h by carefully removing 100 µl from the top of the suspension and

measuring the OD600.

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IV-4. Discussion

In this work, I sought to identify virulence factors associated with

invasion ability of C. sakazakii ATCC 29544. Among several targets from

screenings, One of the mutants showing the most reduced invasion ability was

found to have transposon insertion in the CSK29544_02661 encoding a

putative NeuD family acyltransferase. Due to the lack of information, I

decided to find out whom CSK29544_02616 plays with. Interestingly, LpxA,

encoding a very first enzyme involved in biosynthesis of LPS, was shown to

interact with CSK29544_02616. CSK29544_02616 did not affect expression

of lpxA, but modulate its enzymatic activity in a synergistic manner. In the

absence of CSK29544_02616, LpxA still has its activity at a slower velocity

than the presence of CSK29544_02616, which resulted in the reduction of

LPS production compared with wild type. When it comes to that LPS plays a

key role in disrupting tight junctions of intestinal epithelial cells, which

function as physical barriers from bacterial invasion (Kim & Loessner, 2008),

and C. sakazakii invades into host cells through either apical side or

basolateral side (Kim et al., 2010), the highly attenuated invasiveness in

CSK29544_02616 mutant may be, in part, attributable to the reduced LPS

production.

The loss of LPS was compensated by a concomitant increase in the

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amount of phospholipids as shown in Table IV-3. In N. meningitis, lpxA

mutant changed the composition of phospholipids, especially PE

(phosphoethanolamine), the most abundant species of phospholipids (ca.

75%). As the fatty acyl chains of lipid A are generally saturated and shorter,

the shorter and saturated fatty acyl chains of phospholipids were increased to

compensate for the membrane fluidity caused by LPS deficiency (Steeghs et

al., 2001). In this respect, the reduction in LPS production may alter the

composition of phospholipid species. Overall, the ratio between LPS and

phospholipids was shown to be about 1:2.5 as compared with that of wild type

(1:1), which made cell surface more hydrophobic. This elevated

hydrophobicity caused by CSK29544_02616 deletion facilitated cell

autoaggregation shown in Fig. IV-12B. It has been reported that macrophages,

required for both innate and humoral immune defense against pathogenic

bacteria, recognize their size and shape. In the case of rod-shaped bacteria, the

attachment of bacteria-mimic particles is decreased at 3 μm in diameter,

suggesting that the degree of phagocytosis from macrophages is dependent on

the bacteria size (Doshi & Mitragotri, 2010). The optical microscopic image

showed the occurrence of cell aggregation after 30 min (Fig. IV-12B). In

survival assay (Fig. IV3-B), CSK29544_02616 deletion mutant showed 100

folds impaired phagocytosis than wild type. The time for measuring

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phagocytosis was 45 min, indicating cell autoaggregation occurred. In this

respect, the decreased phagocytosis may be ascribed to increment in cell size

caused by cell autoaggregation. In addition, the mutant was shown to be more

rapidly cleared out compared with wild type. This may be, in part, resulted

from the impaired phagocytosis in CSK29544_02616 mutant. Alternately, it

has been reported that C. sakazakii can persist for 96 h within human-derived

macrophage cells by harnessing the expression of inflammatory cytokines,

including interlukin-10 (IL-10, an anti-inflammatory cytokine) and interlukin-

12 (IL-12, a pro-inflammatory cytokine). C. sakazakii induces type II immune

responses from macrophages, the state that macrophages decrease

inflammation, but encourage anti-inflammation presented by their metabolism

(Townsend et al., 2007b). Thus, ΔCSK29544_02616 may possibly fail to

harness the ratio between IL-10 and IL-12, which resulted in turning them

into type I state. Those attenuations in invasiveness, phagocytosis, and

survival ability contributed to the colonization and dissemination into the

deeper organs, including the spleen and the liver.

The knock-out mutant has thicker flagella on it body than wild type,

in turn, a paralyzed flagella, which may cause nonmotility. I hypothesized that

nonmotility of CSK29544_02616 mutation might be driven by torque

generation. To validate this hypothesis, I used CR3 bacteriophage, targeting

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flagella as a receptor for the infection (Shin et al., 2012b) and motA deletion

mutant. In E.coli, motA encoding an integral membrane protein is necessary

for flagella torque generation. It is not needed for flagellar assembly, but

required for motility by rotating flagella. (Braun et al., 1999). CR3 could not

infect flgK deletion mutant, lacking flagellin, and motA deletion mutant,

suggesting phage CR3 requires not only flagellin, but flagellar torque;

interestingly, it could infect CSK29544_02616 mutant, which suggests that

CSK29544_02616 does not affect flagellar assembly and torque generation

(data not shown). It is of interest to note that the whole gene clusters involved

in flagellar structure biosynthesis (hook-basal body) were shown to be

overexpressed compared with WT, which may be driven, in part, by

unbalanced membrane phospholipid compositions. In other words, the altered

balance between lipid A and phospholipids may possibly cause the changes of

phospholipid species, particularly cardiolipin, supported by overexpression of

gens involved in cardiolipin biosynthesis (data not shown). As the previous

data demonstrated the deficiency of acidic phospholipids repress flagellar

biosynthesis (Inoue et al., 1997; Kitamura et al., 1994), the increased

cardiolipin may affect flagellar formation.

Taken together, the lack of CSK29544_02616 had C. sakazakii

nonmotile even having intact flagellar structure and torque generation.

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Therefore, I reasoned that this phenomenon may possibly be caused by

biased-rotation, but further study needed to be performed.

LpxA catalyzes the transfer of R-3-OH-myristoyl group of R-3-OH-

myristoyl-ACP to UDP-GlcNAc to produce UDP-3-O-(R-3-

hydroxymyristoyl)-GlcNAc. In Fig. IV-9, CSK29544_02616 elevated the

enzymatic reaction of LpxA by directly binding to it. It has been demonstrated

that the enzymatic reaction of LpxA is thermodynamically unfavorable, in

turn, it is a reversible reaction. Although thioesters are energy-rich compounds

that S→O acyl transfer is normally thermodynamically favorable, LpxA

reaction is in contrary to this notion (Anderson et al., 1993). I hypothesized

that CSK29544_02616 helps LpxA activity to increase because the interaction

may elicit conformational change of LpxA structure, which may either gain

access to UDP-GlcNAC, one of substrates, with ease or prevent the forward

reactions from the reverse reactions. This mechanism further needs to be

elucidated to answer the question how CSK29544_02616 specifically binds to

LpxA and help its activity.

In Fig. IV-9, LpxA itself without CSK29544_02616 still has its

enzymatic activity. I questioned that why Cronobacter genus has highly

conserved CSK29544_02616 homologs, unidentified in other genus. As the

major transmission vehicle of Cronobacter genus is reconstituted PIF, derived

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from either intrinsic or extrinsic contaminant including under poor good

manufacturing (GMP) or reconstitution of PIF (Singh et al., 2015), I reasoned

that the LPS has something to do with the tolerance to osmotic stresses, such

as dried infant formula. A previous report investigated that the role of outer

membrane lipopolysaccharide, especially O-antigen, in the protection of

S.Typhimurium from desiccation stress (Garmiri et al., 2008). Given that

polysaccharides has the ability to retain water and/or to slow down both the

rate of cellular water loss and uptake, O-antigen may function as a osmotic

protectant (Dudman, 1977). For this reason, I postulated that to resist under

dried infant formula would be the plausible speculation. In addition,

endotoxin, LPS, was shown to be prevalent in powdered infant formula at

elevated levels, which enhanced the ability of C. sakazakii to invade into host

cells (Townsend et al., 2007a), substantiating that 10 folds higher incidence

rate of necrotizing enterocolitis (NEC) was observed in infants fed with PIF

than breast fed infants (Iversen & Forsythe, 2003)

In summary, these data indicate that CSK29544_02616 plays a

critical role in pathogenesis of C. sakazakii by modulating the enzymatic

activity of LpxA through the direct interaction.

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fliR fliQ

fliP

fliO

fliN fliM

fliL fliK

fliJ fliI

fliH fliG fliF

fliE flhB flhA

flhE flgJ

flgI flgH flgG

flgF

flgE flgD

flgC

flgB

flgA

A B

OM

IM

T3SS

Motor/switch C ring

MS ring

Proximal rod

L ring P ring

Distal rod Proximal rod

Basal

body

RLE

500 1000 5000

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Fig. IV-14. C. sakazakii in the absence of CSK29544_02616 overexpressed

gene clusters encoding hook-basal body structures.

(A) Heat-map analysis. Filtered genes were plotted by sequencing reads,

normalized by RLE, between WT and ΔCSK29544_02616. Genes encoding

flagellar hook-basal body structure were listed in the left with italics.

(B) A schematic illustration showing flagellar structures (Chevance & Hughes,

2008). The purple-colored stars indicate overexpressed genes in

ΔCSK29544_02616.

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References

Adekunte, A., Valdramidis, V. P., Tiwari, B. K., Slone, N., Cullen, P. J.,

Donnell, C. P. & Scannell, A. (2010). Resistance of Cronobacter sakazakii in

reconstituted powdered infant formula during ultrasound at controlled

temperatures: a quantitative approach on microbial responses. Int J Food

Microbiol 142, 53-59.

Al-Nabulsi, A. A., Osaili, T. M., Al-Holy, M. A., Shaker, R. R., Ayyash, M.

M., Olaimat, A. N. & Holley, R. A. (2009). Influence of desiccation on the

sensitivity of Cronobacter spp. to lactoferrin or nisin in broth and powdered

infant formula. Int J Food Microbiol 136, 221-226.

Al-Tahhan, R. A., Sandrin, T. R., Bodour, A. A. & Maier, R. M. (2000).

Rhamnolipid-induced removal of lipopolysaccharide from Pseudomonas

aeruginosa: effect on cell surface properties and interaction with hydrophobic

substrates. Appl Environ Microbiol 66, 3262-3268.

Altschul, S. F., Gish, W., Miller, W., Myers, E. W. & Lipman, D. J. (1990).

Basic local alignment search tool. J Mol Biol 215, 403-410.

Alvarez-Ordonez, A., Begley, M. & Hill, C. (2012). Polymorphisms in rpoS

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and stress tolerance heterogeneity in natural isolates of Cronobacter sakazakii.

Appl Environ Microbiol 78, 3975-3984.

Anderson, M. S., Bulawa, C. E. & Raetz, C. R. (1985). The biosynthesis of

gram-negative endotoxin. Formation of lipid A precursors from UDP-GlcNAc

in extracts of Escherichia coli. J Biol Chem 260, 15536-15541.

Anderson, M. S. & Raetz, C. R. (1987). Biosynthesis of lipid A precursors in

Escherichia coli. A cytoplasmic acyltransferase that converts UDP-N-

acetylglucosamine to UDP-3-O-(R-3-hydroxymyristoyl)-N-acetylglucosamine.

J Biol Chem 262, 5159-5169.

Anderson, M. S., Bull, H. G., Galloway, S. M., Kelly, T. M., Mohan, S.,

Radika, K. & Raetz, C. R. (1993). UDP-N-acetylglucosamine

acyltransferase of Escherichia coli. The first step of endotoxin biosynthesis is

thermodynamically unfavorable. J Biol Chem 268, 19858-19865.

Arku, B., Fanning, S. & Jordan, K. (2011). Heat adaptation and survival of

Cronobacter spp. (formerly Enterobacter sakazakii). Foodborne Pathog Dis 8,

975-981.

Arluison, V., Folichon, M., Marco, S., Derreumaux, P., Pellegrini, O.,

Seguin, J., Hajnsdorf, E. & Regnier, P. (2004). The C-terminal domain of

Page 197: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

180

Escherichia coli Hfq increases the stability of the hexamer. Eur J Biochem

271, 1258-1265.

Arroyo, C., Gayan, E., Pagan, R. & Condon, S. (2012). UV-C inactivation

of Cronobacter sakazakii. Foodborne Pathog Dis 9, 907-914.

Baldwin, A., Loughlin, M., Caubilla-Barron, J., Kucerova, E., Manning,

G., Dowson, C. & Forsythe, S. (2009). Multilocus sequence typing of

Cronobacter sakazakii and Cronobacter malonaticus reveals stable clonal

structures with clinical significance which do not correlate with biotypes.

BMC Microbiol 9, 223.

Bar-Oz, B., Preminger, A., Peleg, O., Block, C. & Arad, I. (2001).

Enterobacter sakazakii infection in the newborn. Acta Paediatr 90, 356-358.

Bardoel, B. W., van der Ent, S., Pel, M. J., Tommassen, J., Pieterse, C. M.,

van Kessel, K. P. & van Strijp, J. A. (2011). Pseudomonas evades immune

recognition of flagellin in both mammals and plants. PLoS Pathog 7,

e1002206.

Battesti, A. & Bouveret, E. (2012). The bacterial two-hybrid system based

on adenylate cyclase reconstitution in Escherichia coli. Methods 58, 325-334.

Page 198: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

181

Baumgartner, A., Grand, M., Liniger, M. & Iversen, C. (2009). Detection

and frequency of Cronobacter spp. (Enterobacter sakazakii) in different

categories of ready-to-eat foods other than infant formula. Int J Food

Microbiol 136, 189-192.

Benson, R. E., Gottlin, E. B., Christensen, D. J. & Hamilton, P. T. (2003).

Intracellular expression of peptide fusions for demonstration of protein

essentiality in bacteria. Antimicrob Agents Chemother 47, 2875-2881.

Blazkova, M., Javurkova, B., Vlach, J., Goselova, S., Karamonova, L.,

Ogrodzki, P., Forsythe, S. & Fukal, L. (2015). Diversity of O antigens

within the genus Cronobacter: from Disorder to Order. Appl Environ Microb

81, 5574-5582.

Braun, T. F., Poulson, S., Gully, J. B., Empey, J. C., Van Way, S., Putnam,

A. & Blair, D. F. (1999). Function of proline residues of MotA in torque

generation by the flagellar motor of Escherichia coli. J Bacteriol 181, 3542-

3551.

Broadwater, J. A. & Fox, B. G. (1999). Spinach holo-acyl carrier protein:

overproduction and phosphopantetheinylation in Escherichia coli BL21(DE3),

in vitro acylation, and enzymatic desaturation of histidine-tagged isoform I.

Protein Expr Purif 15, 314-326.

Page 199: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

182

Brown, L. & Elliott, T. (1996). Efficient translation of the RpoS sigma factor

in Salmonella typhimurium requires host factor I, an RNA-binding protein

encoded by the hfq gene. J Bacteriol 178, 3763-3770.

Carignan, C. C., Cottingham, K. L., Jackson, B. P., Farzan, S. F.,

Gandolfi, A. J., Punshon, T., Folt, C. L. & Karagas, M. R. (2015).

Estimated exposure to arsenic in breastfed and formula-fed infants in a United

States cohort. Environ Health Perspect 123, 500-506.

Caubilla-Barron, J., Hurrell, E., Townsend, S., Cheetham, P., Loc-

Carrillo, C., Fayet, O., Prere, M. F. & Forsythe, S. J. (2007). Genotypic

and phenotypic analysis of Enterobacter sakazakii strains from an outbreak

resulting in fatalities in a neonatal intensive care unit in France. J Clin

Microbiol 45, 3979-3985.

Chang, A. C. & Cohen, S. N. (1978). Construction and characterization of

amplifiable multicopy DNA cloning vehicles derived from the P15A cryptic

miniplasmid. J Bacteriol 134, 1141-1156.

Chevance, F. F. & Hughes, K. T. (2008). Coordinating assembly of a

bacterial macromolecular machine. Nat Rev Microbiol 6, 455-465.

Page 200: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

183

Chiang, M. K., Lu, M. C., Liu, L. C., Lin, C. T. & Lai, Y. C. (2011). Impact

of Hfq on global gene expression and virulence in Klebsiella pneumoniae.

PLoS One 6, e22248.

Choi, Y., Kim, K. P., Kim, K., Choi, J., Shin, H., Kang, D. H. & Ryu, S.

(2012). Possible roles of LysR-type transcriptional regulator (LTTR) homolog

as a global regulator in Cronobacter sakazakii ATCC 29544. Int J Med

Microbiol 302, 270-275.

Choi, Y., Kim, S., Hwang, H., Kim, K. P., Kang, D. H. & Ryu, S. (2015).

Plasmid-encoded MCP is involved in virulence, motility, and biofilm

formation of Cronobacter sakazakii ATCC 29544. Infect Immun 83, 197-204.

Christiansen, J. K., Larsen, M. H., Ingmer, H., Sogaard-Andersen, L. &

Kallipolitis, B. H. (2004). The RNA-binding protein Hfq of Listeria

monocytogenes: role in stress tolerance and virulence. J Bacteriol 186, 3355-

3362.

Condell, O., Iversen, C., Cooney, S., Power, K. A., Walsh, C., Burgess, C.

& Fanning, S. (2012). Efficacy of biocides used in the modern food industry

to control Salmonella enterica, and links between biocide tolerance and

resistance to clinically relevant antimicrobial compounds. Appl Environ

Microb 78, 3087-3097.

Page 201: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

184

Conway, S. P., Brownlee, K. G., Denton, M. & Peckham, D. G. (2003).

Antibiotic treatment of multidrug-resistant organisms in cystic fibrosis. Am J

Respir Med 2, 321-332.

Cruz-Cordova, A., Rocha-Ramirez, L. M., Ochoa, S. A. & other authors

(2012). Flagella from five Cronobacter species induce pro-inflammatory

cytokines in macrophage derivatives from human monocytes. PLoS One 7,

e52091.

Cummings, L. A., Barrett, S. L., Wilkerson, W. D., Fellnerova, I. &

Cookson, B. T. (2005). FliC-specific CD4+ T cell responses are restricted by

bacterial regulation of antigen expression. J Immunol 174, 7929-7938.

Dakeishi M, M. K., Grandjean P (2006). Long-term consequences of

arsenic poisoning during infancy due to contaminated milk powder. Environ

Health Perspect 5.

Datsenko, K. A. & Wanner, B. L. (2000). One-step inactivation of

chromosomal genes in Escherichia coli K-12 using PCR products. Proc Natl

Acad Sci U S A 97, 6640-6645.

de Cock, H. & Tommassen, J. (1996). Lipopolysaccharides and divalent

Page 202: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

185

cations are involved in the formation of an assembly-competent intermediate

of outer-membrane protein PhoE of E.coli. EMBO J 15, 5567-5573.

de Cock, H., Brandenburg, K., Wiese, A., Holst, O. & Seydel, U. (1999).

Non-lamellar structure and negative charges of lipopolysaccharides required

for efficient folding of outer membrane protein PhoE of Escherichia coli. J

Biol Chem 274, 5114-5119.

Delcher, A. L., Harmon, D., Kasif, S., White, O. & Salzberg, S. L. (1999).

Improved microbial gene identification with GLIMMER. Nucleic Acids Res

27, 4636-4641.

Ding, Y., Davis, B. M. & Waldor, M. K. (2004). Hfq is essential for Vibrio

cholerae virulence and downregulates sigma expression. Mol Microbiol 53,

345-354.

Dong, X., Li, C., Wu, Q., Zhang, J., Mo, S., Guo, W., Yang, X. & Xu, X.

(2013). Isolation and identification of Cronobacter (Enterobacter sakazakii)

strains from food. Wei Sheng Wu Xue Bao 53, 429-436.

Doshi, N. & Mitragotri, S. (2010). Macrophages recognize size and shape of

their targets. PLoS One 5.

Page 203: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

186

Drudy, D., Mullane, N. R., Quinn, T., Wall, P. G. & Fanning, S. (2006).

Enterobacter sakazakii: an emerging pathogen in powdered infant formula.

Clin Infect Dis 42, 996-1002.

Duan, Q., Zhou, M., Zhu, L. & Zhu, G. (2013). Flagella and bacterial

pathogenicity. J Basic Microbiol 53, 1-8.

Dudman, W. (1977). The role of surface polysaccharides in natural

environments. London: Academic Press Inc.

Emiola, A., George, J. & Andrews, S. S. (2014). A complete pathway model

for Lipid A biosynthesis in Escherichia coli. PLoS One 10, e0121216.

Eriksson, S., Lucchini, S., Thompson, A., Rhen, M. & Hinton, J. C. (2003).

Unravelling the biology of macrophage infection by gene expression profiling

of intracellular Salmonella enterica. Mol Microbiol 47, 103-118.

Farmer, J. J., Asbury, M. A., Hickman, F. W. & Brenner, D. J. (1980a).

Enterobacter-Sakazakii - a New Species of Enterobacteriaceae Isolated from

Clinical Specimens. Int J Syst Bacteriol 30, 569-584.

Farmer, J. J., Asbury, M. A., Hickman, F. W. & Brenner, D. J. (1980b).

Enterobacter sakazakii - a new species of Enterobacteriaceae isolated from

Page 204: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

187

clinical specimens. Int J Syst Bacteriol 30, 569-584.

FDA (2011). Investigation of Cronobacter Bacteria Illness in Infants [cited].

Available

"http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm285401.htm"

(Accessed:

Finlay, B. B. & McFadden, G. (2006). Anti-immunology: evasion of the host

immune system by bacterial and viral pathogens. Cell 124, 767-782.

Foods, I. C. f. t. M. S. o. (2002). Microorganisms in Foods 7.

Microbiological Testing in Food Safety Management: Kluwer

academic/Plenum.

Franco, A. A., Hu, L., Grim, C. J. & other authors (2011a).

Characterization of putative virulence genes on the related RepFIB plasmids

harbored by Cronobacter spp. Appl Environ Microbiol 77, 3255-3267.

Franco, A. A., Kothary, M. H., Gopinath, G., Jarvis, K. G., Grim, C. J.,

Hu, L., Datta, A. R., McCardell, B. A. & Tall, B. D. (2011b). Cpa, the outer

membrane protease of Cronobacter sakazakii, activates plasminogen and

mediates resistance to serum bactericidal activity. Infect Immun 79, 1578-

1587.

Page 205: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

188

Franze de Fernandez, M. T., Eoyang, L. & August, J. T. (1968). Factor

fraction required for the synthesis of bacteriophage Qbeta-RNA. Nature 219,

588-590.

Friedemann, M. (2009). Epidemiology of invasive neonatal Cronobacter

(Enterobacter sakazakii) infections. Eur J Clin Microbiol Infect Dis 28, 1297-

1304.

Fuhrer, F., Muller, A., Baumann, H., Langklotz, S., Kutscher, B. &

Narberhaus, F. (2007). Sequence and length recognition of the C-terminal

turnover element of LpxC, a soluble substrate of the membrane-bound FtsH

protease. J Mol Biol 372, 485-496.

Gallagher, P. G. & Ball, W. S. (1991). Cerebral infarctions due to CNS

Infection with Enterobacter sakazakii. Pediatr Radiol 21, 135-136.

Galloway, S. M. & Raetz, C. R. (1990). A mutant of Escherichia coli

defective in the first step of endotoxin biosynthesis. J Biol Chem 265, 6394-

6402.

Garau, J. & Gomez, L. (2003). Pseudomonas aeruginosa pneumonia. Curr

Opin Infect Dis 16, 135-143.

Page 206: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

189

Garmiri, P., Coles, K. E., Humphrey, T. J. & Cogan, T. A. (2008). Role of

outer membrane lipopolysaccharides in the protection of Salmonella enterica

serovar Typhimurium from desiccation damage. FEMS Microbiol Lett 281,

155-159.

Giri, C. P., Shima, K., Tall, B. D., Curtis, S., Sathyamoorthy, V., Hanisch,

B., Kim, K. S. & Kopecko, D. J. (2012). Cronobacter spp. (previously

Enterobacter sakazakii) invade and translocate across both cultured human

intestinal epithelial cells and human brain microvascular endothelial cells.

Microb Pathog 52, 140-147.

Gnerre, S., Maccallum, I., Przybylski, D. & other authors (2011). High-

quality draft assemblies of mammalian genomes from massively parallel

sequence data. Proc Natl Acad Sci U S A 108, 1513-1518.

Grim, C. J., Kothary, M. H., Gopinath, G., Jarvis, K. G., Beaubrun, J. J.,

McClelland, M., Tall, B. D. & Franco, A. A. (2012). Identification and

characterization of Cronobacter iron acquisition systems. Appl Environ

Microbiol 78, 6035-6050.

Guillier, M., Gottesman, S. & Storz, G. (2006). Modulating the outer

membrane with small RNAs. Genes Dev 20, 2338-2348.

Page 207: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

190

Guzman, L. M., Belin, D., Carson, M. J. & Beckwith, J. (1995). Tight

regulation, modulation, and high-level expression by vectors containing the

arabinose pBAD promoter. J Bacteriol 177, 4121-4130.

Hanahan, D. (1983). Studies on transformation of Escherichia coli with

plasmids. J Mol Biol 166, 557-580.

Hassett, D. J. & Cohen, M. S. (1989). Bacterial adaptation to oxidative stress:

implications for pathogenesis and interaction with phagocytic cells. FASEB J

3, 2574-2582.

Hayashi, F., Smith, K. D., Ozinsky, A. & other authors (2001). The innate

immune response to bacterial flagellin is mediated by Toll-like receptor 5.

Nature 410, 1099-1103.

Healy, B., Cooney, S., O'Brien, S., Iversen, C., Whyte, P., Nally, J.,

Callanan, J. J. & Fanning, S. (2010). Cronobacter (Enterobacter sakazakii):

an opportunistic foodborne pathogen. Foodborne Pathog Dis 7, 339-350.

Himelright, I., Harris, E., Lorch, V. & other authors (2002). Enterobacter

sakazakii infections associated with the use of powdered infant Formula -

Tennessee, 2001 (Reprinted from MMWR, vol 51, pg 297-300, 2002). Jama-J

Page 208: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

191

Am Med Assoc 287, 2204-2205.

Holst, O., Ulmer, A. J., Brade, H., Flad, H. D. & Rietschel, E. T. (1996).

Biochemistry and cell biology of bacterial endotoxins. FEMS Immunol Med

Microbiol 16, 83-104.

Hu, L., Grim, C. J., Franco, A. A., Jarvis, K. G., Sathyamoorthy, V.,

Kothary, M. H., McCardell, B. A. & Tall, B. (2015). Analysis of the

cellulose synthase operon genes, bcsA, bcsB, and bcsC in Cronobacter species:

Prevalence among species and their roles in biofilm formation and cell-cell

aggregation. Food Microbiol 52, 97-105.

Huang, S. H., Chen, Y. H., Fu, Q., Stins, M., Wang, Y., Wass, C. & Kim, K.

S. (1999). Identification and characterization of an Escherichia coli invasion

gene locus, ibeB, required for penetration of brain microvascular endothelial

cells. Infect Immun 67, 2103-2109.

Huang, S. H., Wan, Z. S., Chen, Y. H., Jong, A. Y. & Kim, K. S. (2001).

Further characterization of Escherichia coli brain microvascular endothelial

cell invasion gene ibeA by deletion, complementation, and protein expression.

J Infect Dis 183, 1071-1078.

Hunter, C. J., Singamsetty, V. K., Chokshi, N. K., Boyle, P., Camerini, V.,

Page 209: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

192

Grishin, A. V., Upperman, J. S., Ford, H. R. & Prasadarao, N. V. (2008).

Enterobacter sakazakii enhances epithelial cell injury by inducing apoptosis

in a rat model of necrotizing enterocolitis. J Infect Dis 198, 586-593.

Hunter, C. J. & Bean, J. F. (2013). Cronobacter: an emerging opportunistic

pathogen associated with neonatal meningitis, sepsis and necrotizing

enterocolitis. J Perinatol 33, 581-585.

Hunter, S., Jones, P., Mitchell, A. & other authors (2012). InterPro in 2011:

new developments in the family and domain prediction database. Nucleic

Acids Res 40, D306-312.

Hurrell, E., Kucerova, E., Loughlin, M., Caubilla-Barron, J. & Forsythe,

S. J. (2009). Biofilm formation on enteral feeding tubes by Cronobacter

sakazakii, Salmonella serovars and other Enterobacteriaceae. Int J Food

Microbiol 136, 227-231.

Imlay, J. A. (2003). Pathways of oxidative damage. Annu Rev Microbiol 57,

395-418.

Inoue, K., Matsuzaki, H., Matsumoto, K. & Shibuya, I. (1997).

Unbalanced membrane phospholipid compositions affect transcriptional

expression of certain regulatory genes in Escherichia coli. J Bacteriol 179,

Page 210: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

193

2872-2878.

Iversen, C. & Forsythe, S. (2003). Risk profile of Enterobacter sakazakii, an

emergent pathogen associated with infant milk formula. Trends Food Sci Tech

14, 443-454.

Iversen, C., Lehner, A., Mullane, N., Bidlas, E., Cleenwerck, I., Marugg,

J., Fanning, S., Stephan, R. & Joosten, H. (2007a). The taxonomy of

Enterobacter sakazakii: proposal of a new genus Cronobacter gen. nov. and

descriptions of Cronobacter sakazakii comb. nov. Cronobacter sakazakii

subsp. sakazakii, comb. nov., Cronobacter sakazakii subsp. malonaticus subsp.

nov., Cronobacter turicensis sp. nov., Cronobacter muytjensii sp. nov.,

Cronobacter dublinensis sp. nov. and Cronobacter genomospecies 1. BMC

Evol Biol 7, 64.

Iversen, C., Lehner, A., Mullane, N., Marugg, J., Fanning, S., Stephan, R.

& Joosten, H. (2007b). Identification of "Cronobacter" spp. (Enterobacter

sakazakii). J Clin Microbiol 45, 3814-3816.

Iversen, C., Mullane, N., McCardel, B., Tal, B. D., Lehner, A., Fannin, S.,

Stephan, R. & Joosten, H. (2008). Cronobacter gen nov, a new genus to

accommodate the biogroups of Enterobacter sakazakii, and proposal of

Cronobacter sakazakii gen nov, comb nov, Cronobacter malonaticus sp nov,

Page 211: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

194

Cronobacter turicensis sp nov, Cronobacter muytjensii sp nov, Cronobacter

dublinensis sp nov, Cronobacter genomospecies 1, and of three subspecies,

Cronobacter dublinensis subsp dublinensis subsp nov, Cronobacter

dublinensis subsp lausannensis subsp nov and Cronobacter dublinensis subsp

lactaridi subsp nov. Int J Syst Evol Micr 58, 1442-1447.

Jackman, J. E., Fierke, C. A., Tumey, L. N., Pirrung, M., Uchiyama, T.,

Tahir, S. H., Hindsgaul, O. & Raetz, C. R. H. (2000). Antibacterial agents

that target lipid A biosynthesis in Gram-negative bacteria - Inhibition of

diverse UDP-3-O-(R-3-hydroxymyristoyl)-N-acetyglucosamine deacetylases

by substrate analogs containing zinc binding motifs. J Biol Chem 275, 11002-

11009.

Jackson, B. P., Taylor, V. F., Karagas, M. R., Punshon, T. & Cottingham,

K. L. (2012). Arsenic, organic foods, and brown rice syrup. Environ Health

Perspect 120, 623-626.

Jaradat, Z. W., Al Mousa, W., Elbetieha, A., Al Nabulsi, A. & Tall, B. D.

(2014). Cronobacter spp. - opportunistic food-borne pathogens. A review of

their virulence and environmental-adaptive traits. J Med Microbiol 63, 1023-

1037.

Jenkins, R. J. & Dotson, G. D. (2012). A continuous fluorescent enzyme

Page 212: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

195

assay for early steps of lipid A biosynthesis. Anal Biochem 425, 21-27.

Jiang, Y., Chan, C. H. & Cronan, J. E. (2006). The soluble acyl-acyl carrier

protein synthetase of Vibrio harveyi B392 is a member of the medium chain

acyl-CoA synthetase family. Biochemistry 45, 10008-10019.

Joker, R. N., Norholm, T. & Siboni, K. E. (1965). A case of neonatal

meningitis caused by a yellow Enterobacter. Dan Med Bull 12, 128-130.

Joseph, S., Cetinkaya, E., Drahovska, H., Levican, A., Figueras, M. J. &

Forsythe, S. J. (2012a). Cronobacter condimenti sp. nov., isolated from

spiced meat, and Cronobacter universalis sp. nov., a species designation for

Cronobacter sp. genomospecies 1, recovered from a leg infection, water and

food ingredients. Int J Syst Evol Microbiol 62, 1277-1283.

Joseph, S. & Forsythe, S. J. (2012). Insights into the emergent bacterial

pathogen Cronobacter spp., generated by multilocus sequence typing and

analysis. Front Microbiol 3.

Joseph, S., Sonbol, H., Hariri, S., Desai, P., McClelland, M. & Forsythe, S.

J. (2012b). Diversity of the Cronobacter genus as revealed by multilocus

sequence typing. J Clin Microbiol 50, 3031-3039.

Page 213: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

196

Joseph, S., Hariri, S. & Forsythe, S. J. (2013a). Lack of continuity between

Cronobacter biotypes and species as determined using multilocus sequence

typing. Mol Cell Probe 27, 137-139.

Joseph, S., Hariri, S., Masood, N. & Forsythe, S. (2013b). Sialic acid

utilization by Cronobacter sakazakii. Microb Inform Exp 3, 3.

Kajitani, M. & Ishihama, A. (1991). Identification and sequence

determination of the host factor gene for bacteriophage Q beta. Nucleic Acids

Res 19, 1063-1066.

Kambach, C., Walke, S., Young, R., Avis, J. M., de la Fortelle, E., Raker, V.

A., Luhrmann, R., Li, J. & Nagai, K. (1999). Crystal structures of two Sm

protein complexes and their implications for the assembly of the spliceosomal

snRNPs. Cell 96, 375-387.

Kamio, Y. & Nikaido, H. (1976). Outer membrane of Salmonella

typhimurium: accessibility of phospholipid head groups to phospholipase c

and cyanogen bromide activated dextran in the external medium.

Biochemistry 15, 2561-2570.

Kandhai, M. C., Reij, M. W., Gorris, L. G., Guillaume-Gentil, O. & van

Schothorst, M. (2004). Occurrence of Enterobacter sakazakii in food

Page 214: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

197

production environments and households. Lancet 363, 39-40.

Karimova, G., Pidoux, J., Ullmann, A. & Ladant, D. (1998). A bacterial

two-hybrid system based on a reconstituted signal transduction pathway. Proc

Natl Acad Sci U S A 95, 5752-5756.

Karimova, G., Ullmann, A. & Ladant, D. (2001). Protein-protein interaction

between Bacillus stearothermophilus tyrosyl-tRNA synthetase subdomains

revealed by a bacterial two-hybrid system. J Mol Microb Biotech 3, 73-82.

Katz, C. & Ron, E. Z. (2008). Dual role of FtsH in regulating

lipopolysaccharide biosynthesis in Escherichia coli. J Bacteriol 190, 7117-

7122.

Kilonzo-Nthenge, A., Rotich, E., Godwin, S., Nahashon, S. & Chen, F.

(2012). Prevalence and antimicrobial resistance of Cronobacter sakazakii

isolated from domestic kitchens in middle Tennessee, United States. J Food

Prot 75, 1512-1517.

Kim, H. J., Lee, C. R., Kim, M., Peterkofsky, A. & Seok, Y. J. (2011a).

Dephosphorylated NPr of the nitrogen PTS regulates lipid A biosynthesis by

direct interaction with LpxD. Biochem Biophys Res Commun 409, 556-561.

Page 215: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

198

Kim, K., Kim, K. P., Choi, J., Lim, J. A., Lee, J., Hwang, S. & Ryu, S.

(2010). Outer membrane proteins A (OmpA) and X (OmpX) are essential for

basolateral invasion of Cronobacter sakazakii. Appl Environ Microbiol 76,

5188-5198.

Kim, K. P. & Loessner, M. J. (2008). Enterobacter sakazakii invasion in

human intestinal Caco-2 cells requires the host cell cytoskeleton and is

enhanced by disruption of tight junction. Infect Immun 76, 562-570.

Kim, M., Hwang, S., Ryu, S. & Jeon, B. (2011b). Regulation of perR

expression by iron and PerR in Campylobacter jejuni. J Bacteriol 193, 6171-

6178.

Kim, M. & Ryu, S. (2012). Spontaneous and transient defence against

bacteriophage by phase-variable glucosylation of O-antigen in Salmonella

enterica serovar Typhimurium. Mol Microbiol 86, 411-425.

Kim, S., Hwang, H., Kim, K. P., Yoon, H., Kang, D. H. & Ryu, S. (2015).

Hfq plays important roles in virulence and stress adaptation in Cronobacter

sakazakii ATCC 29544. Infect Immun 83, 2089-2098.

Kitamura, E., Nakayama, Y., Matsuzaki, H., Matsumoto, K. & Shibuya, I.

(1994). Acidic-phospholipid deficiency represses the flagellar master operon

Page 216: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

199

through a novel regulatory region in Escherichia coli. Biosci Biotechnol

Biochem 58, 2305-2307.

Klein, G., Lindner, B., Brabetz, W., Brade, H. & Raina, S. (2009).

Escherichia coli K-12 suppressor-free mutants lacking early

glycosyltransferases and late acyltransferases: minimal lipopolysaccharide

structure and induction of envelope stress response. J Biol Chem 284, 15369-

15389.

Kloser, A., Laird, M., Deng, M. & Misra, R. (1998). Modulations in lipid A

and phospholipid biosynthesis pathways influence outer membrane protein

assembly in Escherichia coli K-12. Mol Microbiol 27, 1003-1008.

Koplow, J. & Goldfine, H. (1974). Alterations in the outer membrane of the

cell envelope of heptose-deficient mutants of Escherichia coli. J Bacteriol 117,

527-543.

Kothary, M. H., McCardell, B. A., Frazar, C. D., Deer, D. & Tall, B. D.

(2007). Characterization of the zinc-containing metalloprotease encoded by

zpx and development of a species-specific detection method for Enterobacter

sakazakii. Appl Environ Microbiol 73, 4142-4151.

Kucerova, E., Clifton, S. W., Xia, X. Q. & other authors (2010). Genome

Page 217: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

200

sequence of Cronobacter sakazakii BAA-894 and comparative genomic

hybridization analysis with other Cronobacter species. PLoS One 5, e9556.

Kulesus, R. R., Diaz-Perez, K., Slechta, E. S., Eto, D. S. & Mulvey, M. A.

(2008). Impact of the RNA chaperone Hfq on the fitness and virulence

potential of uropathogenic Escherichia coli. Infect Immun 76, 3019-3026.

Lagesen, K., Hallin, P., Rodland, E. A., Staerfeldt, H. H., Rognes, T. &

Ussery, D. W. (2007). RNAmmer: consistent and rapid annotation of

ribosomal RNA genes. Nucleic Acids Res 35, 3100-3108.

Lee, C. R., Cho, S. H., Yoon, M. J., Peterkofsky, A. & Seok, Y. J. (2007).

Escherichia coli enzyme IIANtr regulates the K+ transporter TrkA. Proc Natl

Acad Sci U S A 104, 4124-4129.

Lehner, A., Riedel, K., Eberl, L., Breeuwer, P., Diep, B. & Stephan, R.

(2005). Biofilm formation, extracellular polysaccharide production, and cell-

to-cell signaling in various Enterobacter sakazakii strains: Aspects promoting

environmental persistence. J Food Protect 68, 2287-2294.

Lenz, D. H., Mok, K. C., Lilley, B. N., Kulkarni, R. V., Wingreen, N. S. &

Bassler, B. L. (2004). The small RNA chaperone Hfq and multiple small

RNAs control quorum sensing in Vibrio harveyi and Vibrio cholerae. Cell 118,

Page 218: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

201

69-82.

Li, R. W. (2011). Metagenomics and its applications in agriculture,

biomedicine, and environmental studies. Hauppauge, N.Y.: Nova Science

Publisher's.

Lowe, T. M. & Eddy, S. R. (1997). tRNAscan-SE: a program for improved

detection of transfer RNA genes in genomic sequence. Nucleic Acids Res 25,

955-964.

Lukashin, A. V. & Borodovsky, M. (1998). GeneMark.hmm: new solutions

for gene finding. Nucleic Acids Res 26, 1107-1115.

Makinoshima, H., Aizawa, S., Hayashi, H., Miki, T., Nishimura, A. &

Ishihama, A. (2003). Growth phase-coupled alterations in cell structure and

function of Escherichia coli. J Bacteriol 185, 1338-1345.

Meibom, K. L., Forslund, A. L., Kuoppa, K., Alkhuder, K., Dubail, I.,

Dupuis, M., Forsberg, A. & Charbit, A. (2009). Hfq, a novel pleiotropic

regulator of virulence-associated genes in Francisella tularensis. Infect

Immun 77, 1866-1880.

Melillo, A. A., Bakshi, C. S. & Melendez, J. A. (2010). Francisella

Page 219: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

202

tularensis antioxidants harness reactive oxygen species to restrict macrophage

signaling and cytokine production. J Biol Chem 285, 27553-27560.

Mietzner, T. A. & Morse, S. A. (1994). The role of iron-binding proteins in

the survival of pathogenic bacteria. Annu Rev Nutr 14, 471-493.

Miller, J. H. (1972). Assay of β-galactosidase. In Experiments in molecular

genetics, pp. 352-355. New York: Cold Spring Harbor Laboratory Press.

Miller, S. I., Ernst, R. K. & Bader, M. W. (2005). LPS, TLR4 and infectious

disease diversity. Nat Rev Microbiol 3, 36-46.

Moller, T., Franch, T., Hojrup, P., Keene, D. R., Bachinger, H. P., Brennan,

R. G. & Valentin-Hansen, P. (2002). Hfq: a bacterial Sm-like protein that

mediates RNA-RNA interaction. Mol Cell 9, 23-30.

Moriez, R., Salvador-Cartier, C., Theodorou, V., Fioramonti, J.,

Eutamene, H. & Bueno, L. (2005). Myosin light chain kinase is involved in

lipopolysaccharide-induced disruption of colonic epithelial barrier and

bacterial translocation in rats. Am J Pathol 167, 1071-1079.

Mozrova, V., Brenova, N., Mrazek, J., Lukesova, D. & Marounek, M.

(2014). Surveillance and characterisation of Cronobacter spp. in Czech retail

Page 220: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

203

food and environmental samples. Folia Microbiol 59, 63-68.

Mrsny, R. J., Volwerk, J. J. & Griffith, O. H. (1986). A simplified

procedure for lipid phosphorus analysis shows that digestion rates vary with

phospholipid structure. Chem Phys Lipids 39, 185-191.

Muffler, A., Fischer, D. & Hengge-Aronis, R. (1996). The RNA-binding

protein HF-I, known as a host factor for phage Qbeta RNA replication, is

essential for rpoS translation in Escherichia coli. Genes Dev 10, 1143-1151.

Mullane, N. R., Iversen, C., Healy, B., Walsh, C., Whyte, P., Wall, P. G.,

Quinn, T. & Fanning, S. (2007). Enterobacter sakazakii an emerging

bacterial pathogen with implications for infant health. Minerva Pediatr 59,

137-148.

Muller, A., Stephan, R., Fricker-Feer, C. & Lehner, A. (2013). Genetic

diversity of Cronobacter sakazakii isolates collected from a Swiss infant

formula production facility. J Food Prot 76, 883-887.

Nair, M. K., Venkitanarayanan, K., Silbart, L. K. & Kim, K. S. (2009).

Outer membrane protein A (OmpA) of Cronobacter sakazakii binds

fibronectin and contributes to invasion of human brain microvascular

endothelial cells. Foodborne Pathog Dis 6, 495-501.

Page 221: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

204

Nassif, X., Bourdoulous, S., Eugene, E. & Couraud, P. O. (2002). How do

extracellular pathogens cross the blood-brain barrier? Trends Microbiol 10,

227-232.

Neilands, J. B. (1995). Siderophores: structure and function of microbial iron

transport compounds. J Biol Chem 270, 26723-26726.

Nikaido, H. & Nakae, T. (1979). The outer membrane of Gram-negative

bacteria. Adv Microb Physiol 20, 163-250.

Nishino, T., Kitamura, E., Matsuzaki, H., Nishijima, S., Matsumoto, K. &

Shibuya, I. (1993). Flagellar formation depends on membrane acidic

phospholipids in Escherichia coli. Biosci Biotech Bioch 57, 1805-1808.

Ogura, T., Inoue, K., Tatsuta, T. & other authors (1999). Balanced

biosynthesis of major membrane components through regulated degradation

of the committed enzyme of lipid A biosynthesis by the AAA protease FtsH

(HflB) in Escherichia coli. Mol Microbiol 31, 833-844.

Ohnishi, K., Kutsukake, K., Suzuki, H. & Iino, T. (1990). Gene fliA

encodes an alternative sigma factor specific for flagellar operons in

Salmonella typhimurium. Mol Gen Genet 221, 139-147.

Page 222: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

205

Otto, T. D., Sanders, M., Berriman, M. & Newbold, C. (2010). Iterative

Correction of Reference Nucleotides (iCORN) using second generation

sequencing technology. Bioinformatics 26, 1704-1707.

Panek, H. R. & O'Brian, M. R. (2004). KatG is the primary detoxifier of

hydrogen peroxide produced by aerobic metabolism in Bradyrhizobium

japonicum. J Bacteriol 186, 7874-7880.

Patten, C. L., Kirchhof, M. G., Schertzberg, M. R., Morton, R. A. &

Schellhorn, H. E. (2004). Microarray analysis of RpoS-mediated gene

expression in Escherichia coli K-12. Mol Genet Genomics 272, 580-591.

Power, K. A., Yan, Q., Fox, E. M., Cooney, S. & Fanning, S. (2013).

Genome sequence of Cronobacter sakazakii SP291, a persistent

thermotolerant isolate derived from a factory producing powdered infant

formula. Genome Announc 1, e0008213.

Raetz, C. R. (1990). Biochemistry of endotoxins. Annu Rev Biochem 59, 129-

170.

Raetz, C. R. & Whitfield, C. (2002). Lipopolysaccharide endotoxins. Annu

Rev Biochem 71, 635-700.

Page 223: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

206

Raetz, C. R., Guan, Z., Ingram, B. O., Six, D. A., Song, F., Wang, X. &

Zhao, J. (2009). Discovery of new biosynthetic pathways: the lipid A story. J

Lipid Res 50 Suppl, S103-108.

Ray, B. L. & Raetz, C. R. (1987). The biosynthesis of gram-negative

endotoxin. A novel kinase in Escherichia coli membranes that incorporates

the 4'-phosphate of lipid A. J Biol Chem 262, 1122-1128.

Repoila, F., Majdalani, N. & Gottesman, S. (2003). Small non-coding

RNAs, co-ordinators of adaptation processes in Escherichia coli: the RpoS

paradigm. Mol Microbiol 48, 855-861.

Ried, G., Hindennach, I. & Henning, U. (1990). Role of lipopolysaccharide

in assembly of Escherichia coli outer membrane proteins OmpA, OmpC, and

OmpF. J Bacteriol 172, 6048-6053.

Robertson, G. T. & Roop, R. M., Jr. (1999). The Brucella abortus host

factor I (HF-I) protein contributes to stress resistance during stationary phase

and is a major determinant of virulence in mice. Mol Microbiol 34, 690-700.

Sanderson, M. J. & Wojciechowski, M. F. (2000). Improved bootstrap

confidence limits in large-scale phylogenies, with an example from Neo-

Page 224: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

207

Astragalus (Leguminosae). Syst Biol 49, 671-685.

Sansonetti, P. (2001). Phagocytosis of bacterial pathogens: implications in

the host response. Semin Immunol 13, 381-390.

Sauter, C., Basquin, J. & Suck, D. (2003). Sm-like proteins in Eubacteria:

the crystal structure of the Hfq protein from Escherichia coli. Nucleic Acids

Res 31, 4091-4098.

Schiano, C. A., Bellows, L. E. & Lathem, W. W. (2010). The Small RNA

Chaperone Hfq Is Required for the Virulence of Yersinia pseudotuberculosis.

Infect Immun 78, 2034-2044.

Schilling, D. & Gerischer, U. (2009). The Acinetobacter baylyi Hfq gene

encodes a large protein with an unusual C terminus. J Bacteriol 191, 5553-

5562.

Sen, K. & Nikaido, H. (1991). Lipopolysaccharide structure required for in

vitro trimerization of Escherichia coli OmpF porin. J Bacteriol 173, 926-928.

Sheffield, P., Garrard, S. & Derewenda, Z. (1999). Overcoming expression

and purification problems of RhoGDI using a family of "parallel" expression

vectors. Protein Expr Purif 15, 34-39.

Page 225: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

208

Sherrard, L. J., Schaible, B., Graham, K. A. & other authors (2014).

Mechanisms of reduced susceptibility and genotypic prediction of antibiotic

resistance in Prevotella isolated from cystic fibrosis (CF) and non-CF patients.

J Antimicrob Chemother 69, 2690-2698.

Shi, W., Bogdanov, M., Dowhan, W. & Zusman, D. R. (1993). The pss and

psd genes are required for motility and chemotaxis in Escherichia coli. J

Bacteriol 175, 7711-7714.

Shin, H., Lee, J. H., Choi, Y. & Ryu, S. (2012a). Complete genome

sequence of the opportunistic food-borne pathogen Cronobacter sakazakii

ES15. J Bacteriol 194, 4438-4439.

Shin, H., Lee, J. H., Kim, Y. & Ryu, S. (2012b). Complete genome sequence

of Cronobacter sakazakii bacteriophage CR3. J Virol 86, 6367-6368.

Simonsen, K. T., Nielsen, G., Bjerrum, J. V., Kruse, T., Kallipolitis, B. H.

& Moller-Jensen, J. (2011). A role for the RNA chaperone Hfq in controlling

adherent-invasive Escherichia coli colonization and virulence. PLoS One 6,

e16387.

Singamsetty, V. K., Wang, Y., Shimada, H. & Prasadarao, N. V. (2008).

Page 226: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

209

Outer membrane protein A expression in Enterobacter sakazakii is required to

induce microtubule condensation in human brain microvascular endothelial

cells for invasion. Microb Pathogenesis 45, 181-191.

Singh, N., Goel, G. & Raghav, M. (2015). Insights into virulence factors

determining the pathogenicity of Cronobacter sakazakii. Virulence 6, 433-440.

Siqueira Santos, R. F., da Silva, N., Amstalden Junqueira, V. C., Kajsik,

M., Forsythe, S. & Pereira, J. L. (2013). Screening for Cronobacter species

in powdered and reconstituted infant formulas and from equipment used in

formula preparation in maternity hospitals. Ann Nutr Metab 63, 62-68.

Sittka, A., Pfeiffer, V., Tedin, K. & Vogel, J. (2007). The RNA chaperone

Hfq is essential for the virulence of Salmonella typhimurium. Mol Microbiol

63, 193-217.

Slifka, M. K. & Whitton, J. L. (2000). Clinical implications of dysregulated

cytokine production. J Mol Med (Berl) 78, 74-80.

Sprenger, N. & Duncan, P. I. (2012). Sialic acid utilization. Adv Nutr 3,

392S-397S.

Steeghs, L., den Hartog, R., den Boer, A., Zomer, B., Roholl, P. & van der

Page 227: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

210

Ley, P. (1998). Meningitis bacterium is viable without endotoxin. Nature 392,

449-450.

Steeghs, L., de Cock, H., Evers, E., Zomer, B., Tommassen, J. & van der

Ley, P. (2001). Outer membrane composition of a lipopolysaccharide-

deficient Neisseria meningitidis mutant. EMBO J 20, 6937-6945.

Stephan, R., Lehner, A., Tischler, P. & Rattei, T. (2011). Complete genome

sequence of Cronobacter turicensis LMG 23827, a food-borne pathogen

causing deaths in neonates. J Bacteriol 193, 309-310.

Stoll, B. J., Hansen, N., Fanaroff, A. A., Lemons, J. A. & Neo, N. I. C. H.

H. D. (2004). Enterobacter sakazakii is a rare cause of neonatal septicemia or

meningitis in VLBW infants. J Pediatr-Us 144, 821-823.

Storz, G., Tartaglia, L. A. & Ames, B. N. (1990a). The OxyR regulon.

Antonie Van Leeuwenhoek 58, 157-161.

Storz, G., Tartaglia, L. A., Farr, S. B. & Ames, B. N. (1990b). Bacterial

defenses against oxidative stress. Trends Genet 6, 363-368.

Tamura, K., Stecher, G., Peterson, D., Filipski, A. & Kumar, S. (2013).

MEGA6: Molecular Evolutionary Genetics Analysis version 6.0. Mol Biol

Page 228: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

211

Evol 30, 2725-2729.

Tatusov, R. L., Koonin, E. V. & Lipman, D. J. (1997). A genomic

perspective on protein families. Science 278, 631-637.

Townsend, S., Caubilla Barron, J., Loc-Carrillo, C. & Forsythe, S.

(2007a). The presence of endotoxin in powdered infant formula milk and the

influence of endotoxin and Enterobacter sakazakii on bacterial translocation

in the infant rat. Food Microbiol 24, 67-74.

Townsend, S. M., Hurrell, E., Gonzalez-Gomez, I., Lowe, J., Frye, J. G.,

Forsythe, S. & Badger, J. L. (2007b). Enterobacter sakazakii invades brain

capillary endothelial cells, persists in human macrophages influencing

cytokine secretion and induces severe brain pathology in the neonatal rat.

Microbiology 153, 3538-3547.

Tseng, H. J., McEwan, A. G., Apicella, M. A. & Jennings, M. P. (2003).

OxyR acts as a repressor of catalase expression in Neisseria gonorrhoeae.

Infect Immun 71, 550-556.

van Acker, J., de Smet, F., Muyldermans, G., Bougatef, A., Naessens, A. &

Lauwers, S. (2001). Outbreak of necrotizing enterocolitis associated with

Enterobacter sakazakii in powdered milk formula. J Clin Microbiol 39, 293-

Page 229: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

212

297.

Vecerek, B., Rajkowitsch, L., Sonnleitner, E., Schroeder, R. & Blasi, U.

(2008). The C-terminal domain of Escherichia coli Hfq is required for

regulation. Nucleic Acids Research 36, 133-143.

Vogel, J. & Luisi, B. F. (2011). Hfq and its constellation of RNA. Nat Rev

Microbiol 9, 578-589.

Wang, B., Brand-Miller, J., McVeagh, P. & Petocz, P. (2001).

Concentration and distribution of sialic acid in human milk and infant

formulas. Am J Clin Nutr 74, 510-515.

Wang, L., Hu, X., Tao, G. & Wang, X. (2012). Outer membrane defect and

stronger biofilm formation caused by inactivation of a gene encoding for

heptosyltransferase I in Cronobacter sakazakii ATCC BAA-894. J Appl

Microbiol 112, 985-997.

Wang, X., Zhang, C., Shi, F. & Hu, X. (2010). Purification and

characterization of lipopolysaccharides. Subcell Biochem 53, 27-51.

Wang, Y., Huang, S. H., Wass, C. A., Stins, M. F. & Kim, K. S. (1999). The

gene locus yijP contributes to Escherichia coli K1 invasion of brain

Page 230: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

213

microvascular endothelial cells. Infect Immun 67, 4751-4756.

Willis, J. & Robinson, J. E. (1988). Enterobacter sakazakii meningitis in

neonates. Pediatr Infect Dis J 7, 196-199.

Wu, S. T., Zhu, Z. W., Fu, L. M., Niu, B. F. & Li, W. Z. (2011). WebMGA:

a customizable web server for fast metagenomic sequence analysis. BMC

Genomics 12.

Wyckoff, T. J. & Raetz, C. R. (1999). The active site of Escherichia coli

UDP-N-acetylglucosamine acyltransferase. Chemical modification and site-

directed mutagenesis. J Biol Chem 274, 27047-27055.

Xu, X., Li, C., Wu, Q., Zhang, J., Huang, J. & Yang, G. (2015). Prevalence,

molecular characterization, and antibiotic susceptibility of Cronobacter spp.

in Chinese ready-to-eat foods. Int J Food Microbiol 204, 17-23.

Zarantonelli, M. L., Carlier, J. P., Alonso, J. M. & Taha, M. K. (2003).

Insertional inactivation of the lpxA gene involved in the biosynthesis of lipid

A in Neisseria meningitidis resulted in lpxA/lpxA::aph-3' heterodiploids.

FEMS Microbiol Lett 226, 51-56.

Zeng, D., Zhao, J., Chung, H. S., Guan, Z., Raetz, C. R. & Zhou, P. (2013).

Page 231: Disclaimer - Seoul National Universitys-space.snu.ac.kr/bitstream/10371/119532/1/000000137239.pdf · Cronobacter sakazakii is considered to be an opportunistic pathogen causing life-threatening

`

214

Mutants resistant to LpxC inhibitors by rebalancing cellular homeostasis. J

Biol Chem 288, 5475-5486.

Zhao, Z., Wang, L., Wang, B., Liang, H., Ye, Q. & Zeng, M. (2014).

Complete Genome Sequence of Cronobacter sakazakii Strain CMCC 45402.

Genome Announc 2.

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Cronobacter sakazakii (크 노 사카자키)균 면역체계가 약한

신생 또는 면역 이 약한 · 를 주 하여 사 장염,

증, 뇌 막염 같 질병 일 키는 회 감염 병원 균 높

사 나타낸다. 이러한 명 병원 에도 불구하고 병원

커니즘과 병원 인자들에 한 연구는 미 한 실 이다. 라 ,

본 연구에 는 Cronobacter sakazakii 주인 C. sakazakii ATCC 29544

체 연구 병원 과 새 운 인자를 규명하고 그 조

커니즘에 한 연구를 행하고자 하 다.

체 게놈 시퀀싱 통해 C. sakazakii ATCC 29544는 4.6 M 규모

크 모좀 (chromosome) 하나 3 개 플라스미드 (plasmid)를

체 가지며 4,620 개 개 해독틀 (open reading frame, ORF)

가진다. 본 연구에 는 C. sakazakii 균 감염 매개 경 가 개

원우 (reconstituted milk)인 감 하여, C. sakazakii 균이 건조한

분 경 조건하에 생존에 여하는 자들 주 침입시

병원 일 키는데 요한 독 인자들에 해 분 하 다. 체

체 분 결과, C. sakazakii 는 삼 충격에 할 있는

막 다당 (capsular polysaccharide) 합 자, 생 막 (biofilm)

하는 구 요소인 cellulose 합 자들 가지며, 분 에

존재하는 시 산 에 지원 이용할 있는 nanKTAR 페

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(operon) 가진다. 또한, 분 에 존재하며 균에 독한 질인

산염 원시 산염 만드는 산염 항 페

(arsCBADR) 가진다. 이러한 특징 인 자들 C. sakazakii가

주 침입시 매개체 쓰이는 분 원우 (건조 경) 내

에 생존 능 에 여할 것 사료 다. 또한, C. sakazakii 는

외막 단 질인 ompA (장상피 포 침 ) ibeB-homolog cusC

(brain microvascular endothelial cell, BMEC 침 ) 자를 가지며, 이

는 공 인 병원 첫 단계인 주 포 침입에 여할 것

사료 다. 주 포 침입 후 주 내 경 C. sakazakii 생존

에 명 인데, 특히 생 학 지닌 철 (iron) 가용 생

장에 필 인 요소이다. 이러한 철 가용 높이 해 C.

sakazakii는 siderophore (iucABCD/iutA) ABC-type iron 송 시스

(eitCBAD) 가진다. 본 연구에 는 C. sakazakii ATCC 29544 주

체 게놈 시퀀스 분 통해 병원 인자 커니즘에 한 이

해를 높이는데 여했다.

다양한 병원 균주에 병원 자 진 hfq (RNA-

binding protein)를 타 하여 C. sakazakii 내 역할에 해

규명하 다. 이 자는 사 에 결합하여 사후 과 에

자 사 조 한다. hfq 자가 결여 균주

는 장 상피 포 침 능 식 포 내에 생존 능 이

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매우 감소하며 에 도 그 병원 이 히 감소 는 것 인

할 있었다. 또한 식 포가 생산하는 산소종 (ROS) 하

나이며 균에 산 스트 스를 가하는 하이드 퍼 사이드 (H2O2)

존재하에 생존 능 이 감소하는 것 인 하 다. 미롭게도,

다른 병원 hfq 결여 균주 는 다르게, C. sakazakii hfq 결여 균주는

편모 생합 자들 사 량 편모 생

(flagellation)이 히 증가 었고, 이는 과도한 운동 (hypermotility)

래하 다. 결 , hfq 자는 C. sakazakii 병원 에

요한 역할 하는 것 인 하 다.

주 포 침 에 여하는 새 운 인자 (invasion)를 찾

해, C. sakazakii random mutant libarary를 구축하 다. 스크리닝 통해

침 능이 가장 많이 감소한 클 (clone) 별하여 자 결여

를 인 결과, CSK29544_02616 자에 트랜스포존 (transposon)

삽입 인 하 다. 이 자는 연구 지 미지 단 질

이며 Cronobacter 속에 높 단 질 열 상동 보존 어 있

인 하 다. CSK29544_02616 자가 C. sakazakii 병원 에

미 는 향 인 하고자 CSK29544_02616 자 결여 균주를

구축하고 병원 스트 연구를 행하 다. CSK29544_02616

자 결여 균주는 장 상피 포 침 능, 식 포에 한 식균작

용 식 포 내 생존능, 편모 매개 운동 이 모 감소 었

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며, 에 도 그 병원 이 히 감소 었다. CSK29544_02616

자 분자 능 증명하 해 단 질 구 도 인 보를

토 능 추를 시도하 지만, 보 부재 인해 실 하 다.

라 , 본 연구에 는 CSK29544_02616 자 능 추하

해 ligand fishing 시도한 결과, LpxA (LPS lipid A를 생산 하는

데 여하는 효소)가 CSK29544_02616 단 질과 결합함 인하

다. CSK29544_02616 단 질 LpxA 결합하여 효소 높이는

것 있었다. CSK29544_02616 자 결여 균주에 는 LpxA

효소 이 감소 함에 라 LPS 생 량이 감소했고 이는 인지질

(phospholipid) 생 량 증가시 다. LPS 인지질 (phospholipid)이

외막 구 하는 요소임 감 하면, LPS 생 감소는 인지질 생

증가에 해 보 있었다. LPS는 다당체를 함 하고

있는 과 소 동시에 지닌 질이다. 외막에 감

소하고 인지질 증가 인해 C. sakazakii cell surface 소

(hydrophobicity)이 증가 어 autoaggregation이 일어났다. 이 게 증가

cell autoaggregation 생 막 (biofilm) 증가시킴 인 하

다. 또한, LPS 인지질 간 진 balance는 외막 단 질 구

에 향 미쳤다. 미롭게도, CSK29544_02616 자 결여 균주

는 편모를 가짐에도 불구하고 운동 이 없었다. 라 ,

CSK29544_02616 자는 LpxA 효소 조 함 써 C.

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sakazakii 생장 해 없이 병원 에 요한 역할 하는 병원

인자 써 항 균 써 가능 인하 다.

결 , 본 연구에 는 게놈 분 과 분자 연구를 통해 C.

sakazakii 병원 에 한 이해를 높이고 병원 자 특

과 커니즘 규명하여 C. sakazakii 감염 구축 한

다지는 연구를 행하 다.

주요어 : 크 노 사카자키 (Cronobacter sakazakii), 지놈 시

퀀싱 (genome sequencing), hfq (RNA-binding protein),

CSK29544_02616, 병원 , LpxA,

학 번 : 2010-23444