Abstract
Pseudomonas aeruginosa is an opportunist bacterium that causes acute and chronic infections. During acute infections, the type III secretion system (T3SS) plays a pivotal role in allowing the bacteria to translocate effectors such as ExoS, ExoT, and ExoY into host cells for colonization. Previous research on the involvement of quorum sensing systems Las and Rhl in controlling the T3SS gene expression produced ambiguous results. In this study, we determined the role of the Las and Rhl systems and the PqsE protein on T3SS expression. Our results show that in the wild-type PAO1 strain, the deletion of lasR or pqsE do not affect the secretion of ExoS. However, rhlI inactivation increases the expression of T3SS genes. In contrast to the rhlI deletion, rhlR inactivation decreases both T3SS genes expression and ExoS secreted protein levels, and this phenotype is restored when this mutant is complemented with the exsA gene, which codes for the master regulator of the T3SS. Additionally, cytotoxicity is affected in the rhlR mutant strain compared with its PAO1 parental strain. Overall, our results indicate that neither the Las system nor PqsE are involved in regulating the T3SS. Moreover, the Rhl system components have opposite effects, RhlI participates in negatively controlling the T3SS expression, while RhlR does it in a positive way, and this regulation is independent of C4 or PqsE. Finally, we show that rhlR, rhlI, or pqsE inactivation abolished pyocyanin production in T3SS-induction conditions. The ability of RhlR to act as a positive T3SS regulator in the absence of its cognate autoinducer and PqsE shows that it is a versatile regulator that controls different virulence traits allowing P. aeruginosa to compete for a niche.
Introduction
Pseudomonas aeruginosa is a human opportunist pathogen that causes acute and chronic infections. This bacterium possesses a vast arsenal of virulence factors including pyocyanin, rhamnolipids, and elastase, that allows it to compete for a favorable niche [1,2]. One of the main virulence determinants in P. aeruginosa acute infection is the type III secretion system (T3SS), involved in avoiding phagocytosis and inducing macrophage apoptosis, among others roles [3–5]. Mutants defective in the T3SS machinery are less virulent in a mouse model infection [6,7].
The T3SS resembles a molecular syringe, known as injectisome, which forms a channel that crosses the bacterial envelope and the host cell membrane, enabling bacteria to inject effectors such as ExoS, ExoT and ExoY into the host cell cytoplasm [5,8,9]. ExoS and ExoT share 76% of identity in amino acid sequence and inhibit phagocytosis by disrupting actin cytoskeletal arrangement and signal transduction cascades essential for phagocytic function [10]. ExoY possesses adenylate cyclase activity that increases cAMP intracellular levels damaging the cellular function [11]. The genes encoding the structural and regulatory elements of the injectisome are organized together in five operons, whereas the genes that encode for the effectors and associated chaperones are distributed in the chromosome [12]. Expression of the T3SS genes is tightly regulated and is induced when P. aeruginosa is in contact with host cells or when extracellular calcium concentrations are reduced (S1 Fig) [13,14]. In addition, all T3SS genes are regulated at the transcriptional level by the main activator ExsA, a member of the AraC family of transcriptional regulators [15,16]. Each of the five operon promoters and the promoters of the effectors contain an ExsA binding motif located ~45 bp upstream of the transcriptional start site [17]. exsA is expressed within exsCEBA operon, whose transcription is positively controlled by PsrA and negatively by MvaT [18,19]. Also, exsA contains an internal promoter that is transcriptionally activated by Vfr and negatively regulated by MvaT and MvaU [20,21]. Furthermore, it was recently reported that spermidine modulates the T3SS by affecting exsCEBA operon expression [22,23]. An additional layer of regulation includes a partner-switching mechanism that involves the antiactivator ExsD and the antiantiactivator ExsC, which together control ExsA activity [24].
In P. aeruginosa, the synthesis of several virulence factors is regulated at the transcriptional level by the quorum sensing (QS) response, which is a cellular communication process based on the production and secretion of signal molecules named autoinducers (AI) that when are extracellularly accumulated, enter into the bacterium and bind to a transcriptional regulator that turns on virulence genes expression [25]. This bacterium harbors three QS systems named Las, Rhl, and Pqs that, in certain conditions such as rich medium, are hierarchically organized with the Las system placed at the top of this regulatory network [26–28]. The first two QS systems are based on the synthesis and detection of N-acyl-homoserine lactones while the Pqs system is based on producing and detecting alkyl-quinolones molecules. In the Las system, LasR is the transcriptional regulator that binds to N-3-oxo-dodecanoyl-homoserine lactone (C12), which is synthesized by LasI, to activate the expression of some virulence factors, and also of rhlR and rhlI, which encode to the transcriptional factor RhlR and the N-butyryl-homoserine lactone (C4) synthase, RhlI [29,30]. RhlR binds to C4 and activates the expression of genes involved in pyocyanin and rhamnolipids synthesis, among others [31,32]. In the Pqs system, PqsR is the transcriptional regulator that binds to 2-heptyl-3-hydroxy-1H-quinolin-4-one (PQS) or 2-heptyl-1H-quinolin-4-one (HHQ) and controls pyocyanin production by turning on the expression of pqsE [28,33]. In this regard, it has been reported that in addition to C4, RhlR can work by forming a complex with PqsE to control the expression of a different subset of genes; therefore, there are RhlR regulons dependent and independent of C4 [32,34–36]. Moreover, it has been reported that RhlR can control the expression of genes in the absence of its autoinducer [37]. Thus, these characteristics make RhlR a more versatile regulator than LasR.
Since the Las and Rhl QS systems control about 6% of gene expression [30], it has been investigated whether these two systems also control the T3SS gene expression. The first report established that exoS expression increased when rhlI or rhlR were inactivated, suggesting that the Rhl system negatively controls the T3SS; while exoS transcription was not affected when lasI was inactivated [38]. In a second study, it was reported that rhlI inactivation increased the expression of some T3SS genes and ExoS was secreted in the early stages of growth. In this study, the authors reported that lasR inactivation did not affect the expression of the T3SS genes indicating that the Rhl system, but not the Las system, is a negative regulator of the T3SS. Moreover, it was also reported that the exsCEBA operon, which encodes for ExsA activator, was not up-regulated in the rhlI mutant strain, suggesting that the Rhl system individually controls each promoter of the T3SS genes [39]. On the other hand, in recent reports, it was documented that even though a lasR/rhlR double mutant strain abolishes the production of elastase, pyocyanin, and rhamnolipids, the T3SS was not affected [40]. Furthermore, when the PAO1, PA14 and two clinical isolates were treated with the AiiM lactonase, which can degrade C12 and C4, the virulence factors production such as elastase, pyocyanin, and HCN was reduced but the secretion of exotoxins ExoS and ExoU was similar to that of the wild-type strain [41]. These data suggested that the T3SS expression is not regulated by the QS response. Additionally, it has been reported that rhlI mutants display higher virulence compared with rhlR mutants, and in the latter, the virulence is attenuated [32,42]. Therefore, there are some discrepancies in the virulence and regulation of the T3SS by the QS systems.
Herein, we determine the effect of the QS systems on the expression of the T3SS. We found that neither lasR nor pqsE inactivation affects the ExoS protein levels. However, regarding the Rhl system, our results showed that the inactivation of rhlI up-regulates the expression of T3SS genes, while rhlR inactivation down-regulates it. Moreover, the rhlR mutant strain showed reduced cytotoxicity, which is in line with previous reports where virulence is affected when rhlR is inactivated. Also, here we show that constitutive expression of the PA2592 gene, which codes for a putative spermidine-binding protein, partially restores ExoS secretion in the rhlR mutant strain in the early stationary phase. Finally, we show that even though RhlR controls T3SS expression in the absence of C4 and PqsE, both are required for the positive control of RhlR on pyocyanin synthesis in T3SS-induction conditions.
Materials and methods
Bacterial strains and growth conditions
The bacterial strains and plasmids used in this study are listed in supplemental material S1 Table. Pseudomonas aeruginosa MPAO1 strain was used in all the experiments (referred to as PAO1) whereas Escherichia coli DH5a strain was used for standard techniques of cloning and propagation. Unless otherwise noted, P. aeruginosa and E. coli strains were grown in LB (Lysogenic- Broth) medium at 37°C and 225 rpm. For expression assays, LB medium was used as a non-induction medium, and LB medium supplemented with 5 mM EGTA and 20 mM MgCl2 was used for T3SS induction [43]. When necessary, antibiotics at the following final concentrations were used for P. aeruginosa: tetracycline (Tc) 120 μg/mL, streptomycin (Sm) 200 μg/mL, carbenicillin (Cb) 200 μg/mL, apramycin (Apc) 150 μg/mL, gentamicin (Gm) 100 μg/mL. For E. coli: tetracycline (Tc) 15 μg/mL, streptomycin (Sm) 30 μg/mL, ampicillin (Amp) 200 μg/mL and gentamicin (Gm) 15 μg/mL.
DNA manipulation techniques
The genomic DNA template was obtained from strain PAO1 using the GeneJET DNA purification system (Thermo Scientific). The high-fidelity DNA polymerase enzyme Phusion (Thermo Scientific) was used to amplify the DNA regions. DNA fragments were obtained from agarose gel bands and DNA was purified using the Wizard SV Gel and PCR Clean-Up System protocol (Promega). Restriction enzymes (New England Biolabs) and T4 DNA ligase enzyme (Promega) were used according to manufacturer instructions. Plasmids were purified using Wizard Plus SV Minipreps DNA Purification Systems (Promega) and manipulated according to standardized techniques [44]. Synthesis of oligonucleotide and DNA sequencing were performed at Unidad de Síntesis y Secuenciación de DNA (USSDNA) by Instituto de Biotecnología at Universidad Nacional Autónoma de México (UNAM). Oligonucleotide pairs used for the PCR reactions are listed in S2 Table.
Construction of transcriptional fusions
Mini-CTX-lux plasmid [45] was used to construct all transcriptional fusions. The promoter sequences were amplified at 60°C using PAO1 genomic DNA and specific oligonucleotides pair (S2 Table) that include the -35/-10 binding sites for RNA polymerase and the ExsA-binding motif (S2 Fig). PCR products were purified and cloned into the XhoI and HindIII sites in mini-CTX-lux. Also, the pCTX plasmid was used as a negative control for lux expression, which was constructed by cloning ~400 bp of the rhlR structural region, previously amplified with primers pair rt-rhlR-F3 and rt-rhlR-R2, into the SmaI site from mini-CTX-lux. Plasmids were mobilized into P. aeruginosa strains and chromosomal integration were confirmed by PCR reactions, using a forward primer, corresponding to the region of each cloned promoter, and a LuxRv reverse primer recognizing the luxC gene of mini-CTX-lux plasmid.
Construction of pExsA and pUC2592 plasmids
A 975 bp and 1,232 bp corresponding to the structural region of the transcriptional regulator exsA and the gene PA2592 were amplified using the primers pair ExsA_Fw/ExsA_Rv and 5UpEcIPA2592Fw/3DwBmIPA2592Rv, respectively (S2 Table). The corresponding products were purified and cloned into the BamHI-HindIII and EcoRI-BamHI sites in pUCP20 plasmid [46], obtaining pExsA and pUC2592 plasmids. Then, one μg of the purified pExsA or pUC2592 plasmid was introduced by electroporation into the PAOΔrhlR strain.
Generation of mutant strains
Gene deletions were performed by homologous recombination to the bacterial chromosome of plasmid-borne insertion-deletion as previously described [47] with minor modifications. Briefly, allele replacement of the lasR gene from PAO1 was achieved by constructing the pEX-lasR::Apc deletion plasmid as follows: a 487 bp fragment and a 644 bp fragment corresponding to the upstream and downstream region of the lasR gene were amplified from PAO1 genomic DNA with primers pair 6709–2015_H3lasRUp/8653-2015_lasR5Apra and 6514–2018_lasR3Apra/6710-2015_H3lasRDown, respectively. Also, an apramycin resistant cassette was amplified from the pIJ773 plasmid [48] with primers 9522–2014_F-Apra and 9523–2014_R-Apra. The three PCR products were purified and used as a template in a nested PCR. The PCR product was digested with HindIII and cloned into the HindIII site of the pEX18 plasmid [49], which is unable to replicate in P. aeruginosa, resulting in the pEX-lasR::Apc plasmid. This plasmid was mobilized into the wild-type PAO1 strain to replace the lasR gene with the apramycin resistance marker by double allelic exchange, thus obtaining the lasR single mutant PAOΔlasR strain. Also, the pEX-lasR::Apc plasmid was mobilized into the PAOΔrhlR strain [46] to obtain the double mutant strain PAOΔlasRΔrhlR. For rhlI deletion, the pEX-rhlI::Aa plasmid [46] was used to construct the PAOΔrhlIApc, and the resistance marker was subsequently removed using the pFLP2 plasmid, as previously reported [49], obtaining the PAOΔrhlI strain. To obtain the double mutant strain PAOΔrhlIΔpqsE, the pEX-pqsE::Gm plasmid [36] was mobilized into the PAOΔrhlI strain. Finally, the genes exsA, exsD, pscB and part of pscC were deleted in PAO1 strain using the plasmid pJET1.2_T3SS::Apc. This plasmid was constructed as follows: a 608 bp fragment and a 773 bp fragment corresponding to the upstream region of the exsA gene and downstream region of the pscB gene were amplified from PAO1 genomic DNA with primers pair 6767–2023_T3SSUp/6768-2023_T3SS3aaApra and 6769–2023_T3SS5aaApra/6770-2023_T3SSDown, respectively. Also, an apramycin resistant cassette was amplified as previously described. The three PCR products were purified and used as a template in a nested PCR and cloned into the pJET1.2 plasmid (Thermo-Fischer), resulting in the pJET1.2_T3SS::Apc plasmid, which was then mobilized into the PAO1 strain to obtain the double recombinant PAOΔT3SS Apc strain. The resistance marker was subsequently removed using the pFLP2 plasmid obtaining PAO1ΔT3SS strain. In each case, the candidate clones were positive selected on LB medium with the respective antibiotics and confirmed by PCR and sequencing of the modified region.
Luminescence assays
Bacterial overnight pre-cultures were diluted at an O.D.600 = 0.05 in 125 mL flasks with 15 mL of non-induction and/or induction medium, which were incubated until reaching the final cell density corresponding to the log phase (O.D.600 = 0.8) or early stationary phase (O.D.600 = 2.0). For each biological assay, 200 μL samples of each culture were collected at the desired cell density and loaded in triplicate into 96-well flat clear bottom black polystyrene plates (Costar). The ratio of relative units of luminescence (R.L.U.) produced was quantified using the Synergy HT Plate Reader (Biotek) and normalized over the O.D.600 value at the time of sample collection (R.L.U./O.D.600). The results represent the mean ±S.D. of three biological experiments.
Western blot assays
Bacterial overnight pre-cultures were diluted at an O.D.600 = 0.05 in 125 mL flasks with 15 mL of induction or non-induction medium, which were incubated at 37°C and 225 rpm, until the desired cell density was reached. Subsequently, 1 mL samples were collected and centrifuged at 4°C (14,000 rpm, 2 min), and proteins of the supernatant were precipitated with 100 μL of trichloroacetic acid (TCA) 100% at 4°C, overnight. Then, samples were centrifugated at 4°C (14,000 rpm, 30 min), and pellets were resuspended with the volume corresponding to 30 μL of SDS-PAGE loading buffer previously normalized to the cell density value at the time of sample collection. Resuspended samples were denatured at 90°C for 5 minutes. For electrophoresis separation, 5 μL of each sample was loaded in 12% SDS-PAGE gels following Bio-Rad protocols. Proteins were transferred to 0.2 μm nitrocellulose membranes and blocked with 5% BSA in Tris-HCl buffer pH 7.4 supplemented with 0.1% Tween-20 detergent (TBS-T) at 4°C, for 2 h. The membranes were washed for 15 min with 15 mL of TBS-T, three times. Subsequently, the first antibody anti-ExoS [40] diluted 1:10,000 was added and incubated at 4°C for 1 h. The membranes were washed, and then a second antibody was added: 1:10,000 anti-IgG-GAR (Jackson Immunoresearch) or 1:5000 anti-rabbit IgG conjugated to alkaline phosphatase (Abcam) and incubated at 4°C for 1 h. Finally, the membranes with anti-IgG-GAR were washed and a reaction 1:1 solution of HRP chemiluminescent Immobilon Western kit (Millipore) was added and the bands were developed on X-ray film (Carestream MXB-Blue film). Membranes with anti-rabbit IgG conjugated to alkaline phosphatase (anti-IgG-AP) were washed and developed using a 1-step NBT/BCIP solution (Thermo Scientific). GroEL was used as a loading control since it is constitutively expressed in the conditions used [50]. For GroEL detection the same membranes were washed with 15 mL of stripping buffer (25 mM glycine, 1% SDS, pH 2.0) at 4°C for 1 h with shaking and washing. The membranes were blocked and incubated for 12 h at 4°C, washed, and incubated with 1:10,000 anti-GroEL polyclonal antibody (Sigma). Finally, the membranes were washed with TBS-T and incubated with 1:10,000 anti-IgG-GAR or 1:5,000 anti-IgG-AP. Bands were revealed on an X-ray film or using a 1-step NBT/BCIP solution.
Cytotoxicity assays
Strains of P. aeruginosa were grown on in shaking, 180 rpm at 37°C in LB broth. The bacteria were adjusted at an MOI of 600 nm to infect 6x105 HeLa cells (ATCC® CCL-2TM). To synchronize the infection, the plates were centrifuged at 1,400 rpm for 2 min at room temperature, and incubated at 37°C, 5% CO2, and 5% humidity for 30 min. Next, the infected cells were washed and incubated for 24 hours at 37°C, 5% CO2, and 5% humidity. The supernatants of infected cells were collected and centrifuged at 14,000 rpm for 2 minutes. The clarified supernatants were used to quantify the cytosolic enzymatic activity of lactate dehydrogenase (Promega). For this, 50 μL of the supernatants were taken, and mixed with 50 μL of the substrate in 96-well flat-bottomed plates (Nunc). The mixture was incubated for 10–20 minutes at room temperature, and the enzymatic activity was quantified spectrophotometrically at 490 nm. Cytotoxicity was quantified using the following formula: % CTX = [(sample cytotoxicity-spontaneous cytotoxicity) / (total cytotoxicity-spontaneous cytotoxicity)] x 100% [51].
Pyocyanin quantification
Bacterial overnight pre-cultures were diluted at an O.D.600 = 0.05 and incubated in 125 mL flasks with 15 ml of induction medium for 24 h with continuous shaking (225 rpm) at 37°C. Pyocyanin production was quantified from cell- free supernatants at 695 nm and normalized by the O.D.600 at 24 h, as reported previously [32].
Densitometry analysis
Densitometry analysis of at least three Western blot assays was carried out using the ImageJ software [52]. Relative ExoS protein levels were normalized by the levels of GroEL, used as a loading control. ExoS protein levels of PAO1 strain were considered as 100% and ATCC 9027 as 0%.
Statistical analysis
Means and standard deviation from at least three biological replicates were analyzed using the Graph Prism 9.0 statistical software with a confidential level of 95% (α = 0.05%). Data were considered statistically significant if the difference value was p<0.05.
Results
RhlR, but not LasR, decreases ExoS secretion
In order to determine whether the QS regulators, LasR and RhlR, are able to control the expression of the T3SS, we measured ExoS secretion by Western blot using PAOΔlasR and PAOΔrhlR, and a double mutant PAOΔlasRΔrhlR strain, and compared it with the wild-type PAO1 strain. In addition, ATCC 9027 strain was used as a negative control since this strain has a natural deletion of the T3SS [40]. Western blot assays were carried out in induction conditions at an O.D.600 of 0.8 and 2.0 which correspond to the log phase and early stationary phase, respectively. As shown in Fig 1A, in the log phase, ExoS protein secretion levels were similar in the PAOΔlasR strain compared to the wild-type PAO1 strain, while in the PAOΔrhlR strain ExoS is barely detected. In addition, and similar to rhlR inactivation, ExoS secreted protein levels were almost abolished in the double mutant PAOΔlasRΔrhlR strain. These results were similar to those of the early stationary phase where ExoS protein secretion levels were not affected by lasR deletion but decrease in both the rhlR mutant strain and the double lasR/rhlR mutant strain (Fig 1B). Thus, since RhlR seems to have a positive effect on exoS expression, we verified that this phenotype was complemented with rhlR using pGMYC plasmid carrying this gene. As shown in Fig 1, the rhlR mutant strain with pGMYC plasmid fully restored the ExoS secretion, but not with the empty plasmid pUCP20 used as a negative control. With regard to the double mutant strain, rhlR expression restored the phenotype to that of the lasR mutant strain where ExoS is secreted (S3 Fig). Since these results contrast with the previous report where RhlR seemed to act as a negative regulator of exoS expression [38], we used another rhlR mutant strain with a different marker, PAO1ΔrhlRGm [53], and Western blot was carried out to detect ExoS protein, producing similar results as the assays using the initial strain PAO1ΔrhlR (Fig 2). Together, these results suggest that RhlR positively regulates the expression of the T3SS.
Fig 1. Effect of lasR and rhlR inactivation on ExoS secretion.
ExoS identification was performed by Western blot assay using anti-ExoS polyclonal antibody on supernatants of strains grown in induction conditions at log phase (a) and early stationary phase (b). PAO1 was used as a positive control, whereas ATCC 9027, lacking the T3SS, was used as a negative control. GroEL was detected using polyclonal antibody anti-GroEL and used as a loading control. The densitometry graphs show the mean ± S.D. of ExoS levels of at least three biological replicates. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparisons (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
Fig 2. Effect of exsA expression in the rhlR mutant strain on ExoS secretion.
ExoS identification was performed by Western blot assay using anti-ExoS polyclonal antibody on supernatants of strains grown in induction conditions at log phase (a) and early stationary phase (b). PAO1 was used as a positive control, whereas ATCC 9027, lacking the T3SS, was used as a negative control; also, PAOΔrhlRGm strain was included. GroEL was detected using polyclonal antibody anti-GroEL and used as a loading control. The densitometry graphs show the mean ± S.D. of ExoS levels of at least three biological replicates. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparisons analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
RhlR positively regulates the expression of exoS, spcS and the exsCEBA operon
Since rhlR inactivation almost abolishes ExoS secretion, we constructed an exoS transcriptional fusion (PexoS::lux) fusing the exoS promoter to the luxCDABE operon. Also, three additional transcriptional fusions were constructed using the promoter of the spcS gene which encodes for the ExoS chaperone (PspcS::lux), the promoter of the first gene of the exsCEBA operon (PexsC::lux), and the internal promoter of exsA (PexsA::lux). First, we tested whether these transcriptional fusions were activated in the T3SS-induction conditions as described in the methods section. As shown in S4 Fig, all fusions, except PexsA::lux, were activated when Ca+ concentrations were reduced with EGTA during induction conditions. Then, PexoS::lux, PspcS::lux, and PexsC::lux plasmids were mobilized into the rhlR mutant strain and its derivatives, and luminescence was measured at an O.D.600 of 0.8. As shown in Fig 3, the luminescence of the three transcriptional fusions was reduced in the rhlR mutant background compared to the wild-type strain, and the activity was restored when PAOΔrhlR strain was complemented with pGMYC but not with the empty plasmid. The above results suggest that RhlR activates the expression of the T3SS genes.
Fig 3. Effect of rhlR inactivation on transcription of T3SS genes and exsA expression in the rhlR mutant strain.
Expression of the exsCEBA operon (PexsC::lux), exoS (PexoS::lux) and spcS (PspcS::lux) genes were evaluated by lux-transcriptional fusions. Strains were incubated in 15 ml of induction medium at 37°C and 225 rpm. Relative luminescence units (R. L.U.) were quantified and normalized to the O.D.600 at the time of cell collection. Results represent the mean ± S.D. of three biological experiments performed in three replicates each time. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparisons analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
exsA expression restores ExoS secretion and the T3SS genes expression in the rhlR mutant strain
Since ExsA is the master regulator of the T3SS, we explored whether RhlR controls the T3SS expression via ExsA activity or whether it is an ExsA-independent regulation. In the first scenario, exsA expressed under a constitutive promoter must restore exoS transcription and also ExoS secretion in the rhlR mutant strain, but if this was not the case, then RhlR must control each operon or gene of the T3SS. Thus, we constructed a plasmid expressing exsA under a constitutive promoter, named pExsA, and it was mobilized into the PAOΔrhlR strain. Then, we carried out a Western blot assay to detect ExoS protein in this strain. As shown in Fig 2, exsA constitutive expression in the rhlR mutant strain resulted in the detection of ExoS protein at an O.D.600 of 0.8 and 2.0. Next, we measured the transcriptional activity of exoS, exsCEBA, and spcS in this background and compared it to the wild-type strain. As shown in Fig 3 the expression of the three transcriptional fusions was restored in the rhlR mutant strain when exsA is expressed and these levels are higher than in the wild-type strain. Since these results did not discard the possibility that RhlR and ExsA could act independently, we determined whether rhlR overexpression in a strain defective in the T3SS, named PAOΔT3SS, was able to restore exsCEBA and exoS expression in the log and early stationary phase. As shown in S5 Fig, the transcriptional activity of both fusions, PexsC::lux and PexoS::lux, in the PAOΔT3SS strain overexpressing rhlR was similar to those of the mutant strain and the mutant strain with the empty plasmid pUCP20, whereas in the wild-type strain, both transcriptional fusions were activated. These results show that RhlR is unable to activate the T3SS expression in the absence of the master regulator ExsA and indicate that RhlR controls the T3SS by controlling exsA expression from the exsCEBA operon.
Cytotoxicity is affected when rhlR is inactivated
PAO1 displays lower cytotoxicity compared to the PA14 strain due to its genome containing the exoS gene instead of exoU; however, ExoS is able to cause cell rounding and apoptosis in eukaryotic cells [5,54]. Thus, we carried out a cytotoxicity assay to determine whether rhlR inactivation, which reduces T3SS gene expression, also reduces cytotoxicity. Cell cultures from PAO1, PAOΔrhlR, and its derivates were used to infect the HeLa eukaryotic cell line, and cytotoxicity was measured as described in the methods. As shown in Fig 4, in the rhlR mutant strain and complemented with the empty plasmid cytotoxicity was reduced compared to PAO1 strain or PAOΔrhlR mutant strain complemented with rhlR. Moreover, exsA expression increased cytotoxicity in the rhlR mutant strain. These results are in agreement with our initial observations indicating that RhlR is a positive regulator of the T3SS and that this regulation is achieved by controlling exsA expression.
Fig 4. Effect of rhlR inactivation on cytotoxicity.
Selected strains at MOI of 100 were used to infect 6x105 HeLa cells (ATCC® CCL-2TM) in 24-well boxes. Infection conditions were synchronized and incubated at 37°C, 5% CO2 and 5% humidity for 24 hours. Clarified supernatants were used to quantify the enzymatic activity of lactate dehydrogenase in 96-well flat-bottomed plates at 490 nm. Results represent the mean ± S.D. of three biological experiments performed in duplicates each time. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparisons analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
RhlR regulates T3SS expression in the absence of C4 or PqsE
Since RhlR activity is usually dependent on binding to C4 and on the activity of PqsE [32], we carried out Western blot analysis at an O.D.600 of 0.8 and 2.0 to detect ExoS when rhlI, pqsE, or both genes are inactivated. As shown in Fig 5, ExoS secretion in the three mutant strains was similar to that in the wild-type strain at an O.D.600 of 0.8 and 2.0. We next measured the activity of the exsCEBA promoter in these three mutant strains at an O.D.600 of 0.8 using the PexsC::lux plasmid. As expected, the activity of exsCEBA promoter was similar in the three mutant strains compared to the wild-type PAO1 strain (S6 Fig). Since it has been reported that rhlI inactivation increases the expression of exoS and exoT at an O.D.600 >1 [38,39], we constructed an exoT transcriptional fusion (PexoT::lux). Then, PexoS::lux and PexoT::lux were mobilized into the rhlI mutant strain, and promoter activity of these two transcriptional fusions and the exsCEBA transcriptional fusion (PexsC::lux) were measured at an O.D.600 of 2.0. As shown in Fig 6, the expression of the three transcriptional fusions was higher in PAOΔrhlI than in the wild-type strain indicating that, as previously reported, RhlI seems to negatively regulate the expression of the T3SS. These results suggest that RhlR without C4 is a positive exsCEBA regulator, while RhlR coupled with C4 acts as a negative regulator of its transcription.
Fig 5. Effect of rhlI and pqsE inactivation on ExoS secretion.
ExoS identification was performed by Western blot assays using an anti-ExoS polyclonal antibody on supernatants of strains grown in induction conditions at log phase (a) and early stationary phase (b). PAO1 was used as a positive control whereas ATCC 9027, lacking the T3SS, was used as a negative control. GroEL was detected using polyclonal antibody anti-GroEL and used as a loading control. The densitometry graphs show the mean ± S.D. of ExoS levels of at least three biological replicates. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparisons analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
Fig 6. Effect of rhlI inactivation on transcription of T3SS genes during early stationary phase.
Expression of the exsCEBA operon (PexsC::lux), exoS (PexoS::lux) and exoT (PexoT::lux) genes was evaluated by lux-transcriptional fusions. Strains were incubated in 15 ml of induction medium at 37°C and 225 rpm until reaching an O.D.600 of 2.0. Relative luminescence units (R. L.U.) were quantified and normalized to the O.D.600 at the time of cell collection. Results represent the mean ± S.D. of three biological experiments performed in three replicates each time. Significant differences were obtained by multiple unpaired t-test and are indicated with asterisks (* p<0.05; ** p<0.01; *** p<0.001).
PA2592 expression partially restores ExoS secretion in the rhlR mutant strain
Our data indicates that RhlR positively regulates T3SS, probably by regulating exsA expression; however, we could not detect a las-rhl box in the exsCEBA promoter indicating that the regulation must be indirect. Previously it was reported that spermidine works as a signal that modulates T3SS expression [22,23]. Interestingly, PA2592 which codes for a putative spermidine-binding protein was downregulated when rhlR was inactivated, and the promoter region of this gene contains a las-rhl box that could be recognized by RhlR [55]. Therefore, we determined whether the expression of PA2592 from a constitutive promoter was able to restore ExoS secretion in the rhlR mutant strain. We constructed the plasmid pUC2592, as described in the methods section, and it was mobilized into PAOΔrhlR strain. Then, Western blot assay against ExoS was carried out at an O.D.600 of 0.8 and 2.0. Fig 7 shows that ExoS secretion was partially restored only in the early stationary phase. This result suggests that RhlR regulation of PA2592 is involved in T3SS expression but that an additional pathway is also involved.
Fig 7. Effect of PA2592 expression in the rhlR mutant strain.
ExoS identification was performed by Western blot assay using anti-ExoS polyclonal antibody on supernatants of strains grown in induction conditions at log phase (a) and early stationary phase (b). PAO1 was used as a positive control whereas ATCC 9027, lacking the T3SS, was used as a negative control. GroEL was detected using polyclonal antibody anti-GroEL and used as a loading control. The densitometry graphs show the mean ± S.D. of ExoS levels of at least three biological replicates. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparisons analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
Pyocyanin production is dependent on C4 and PqsE in T3SS-induction conditions
As shown above, T3SS expression is regulated by RhlR in the absence of C4 or PqsE. Thus, we explored whether pyocyanin, whose synthesis is positively controlled by QS systems and particularly by RhlR, requires C4 and PqsE in T3SS-inducing conditions as required in LB medium [40,56]. The strains, including the rhlR mutant strain overexpressing exsA, were grown in T3SS-inducing conditions, and pyocyanin production was measured. As shown in Fig 8, lasR inactivation slightly reduced pyocyanin synthesis compared with the PAO1 strain. As expected, rhlR inactivation abolished pyocyanin production and it was restored in the PAOΔrhlR strain when rhlR was expressed from pGMYC plasmid but not with the plasmid expressing exsA nor pUCP20 empty plasmid. Furthermore, rhlI and pqsE inactivation also abolishes pyocyanin synthesis since C4 and the PqsE protein have been reported to be necessary for the RhlR activity on pyocyanin production [56]. These results are similar to those previously reported in LB medium indicating that T3SS-inducing conditions do not affect pyocyanin regulation by the QS systems.
Fig 8. Pyocyanin production by PAO1 and its derivatives mutant strains in T3SS-induction conditions.
Results represent the mean ± S.D. of three biological experiments performed in duplicates each time. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparison analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
Discussion
One of the main virulence determinants in P. aeruginosa is the T3SS which allows translocating effector proteins into the host cell to avoid phagocytosis [3,24]. PAO1 strains code for three exotoxins ExoY, ExoT, and ExoS while PA14 strain contains ExoU instead of ExoS, which makes it more cytotoxic [57,58]. The master regulator of this system is ExsA whose activation is coupled to a cascade of three interacting proteins (ExsC, ExsD, and ExsE) (S1 Fig) [24]. In addition, exsA expression is regulated at the transcriptional and post-transcriptional levels. The latter includes the Gac-Rsm system where RsmA is a post-transcriptional regulator that positively controls the translation of exsA [59]. Furthermore, transcription of exsA involves the activation of the exsCEBA operon by PsrA and it is negatively controlled by MvaT [18,19], while the internal exsA promoter is activated by Vfr and VqsM, and negatively regulated by MvaT and MvaU [20,21,60]. In addition to the gene regulation of the T3SS, other factors such as spermidine concentrations affect exsCEBA operon expression and, therefore, the T3SS activation [22,23].
Since QS systems are involved in regulating several virulence traits such as pyocyanin, elastase, and rhamnolipids, among others, different research groups have tried to elucidate whether QS systems are involved in controlling T3SS expression as well. Early reports placed the Rhl system, and particularly RhlI, as a negative regulator for the T3SS [38,39]. However, in recent years it has been reported that the QS systems seem not to be involved in controlling this secretion system [40,41]. Thus, our objective was to define the role of the QS system elements in T3SS. First, we verified that the T3SS is not induced in LB medium and is activated when EGTA is added during induction conditions (S4 and S7 Figs). Therefore, all experiments were carried out under T3SS-inducing conditions. Our results showed that LasR is not involved in regulating the T3SS since ExoS protein levels in the PAOΔlasR mutant are similar to the ones in the wild-type strain. These results are in agreement with previous reports where expression of T3SS genes is not affected by lasI or lasR deletion [38,39]. Regarding the Rhl system, we found that the inactivation of rhlR almost abolishes ExoS secretion. Moreover, exoS, spcS, and exsCEBA expression are reduced when rhlR is inactivated, confirming that RhlR is able to regulate not only exoS expression but also other elements of the T3SS, including the master regulator ExsA. Since these results are in contrast to the negative role of RhlR previously proposed [38], we confirmed the positive role of RhlR using another rhlR mutant strain, obtaining similar results. This discrepancy on the role of RhlR could be related to the different culture conditions used to activate the T3SS. Moreover, cytotoxicity was affected when rhlR was inactivated which supports the positive regulation of RhlR on the T3SS.
Additionally, in this study, we used a PAOΔlasRΔrhlR double mutant strain and found that ExoS protein secretion levels are diminished compared to the wild-type strain. This phenotype is explained by the rhlR deletion, and this was confirmed when the mutant was complemented with rhlR and ExoS secretion was fully restored, resembling a lasR mutant strain. In our previous work, we reported that the ExoS secretion was not affected when lasR and rhlR were inactivated [40]. The mutant strain used in that previous work contained the markers tetracycline and streptomycin (PAOΔlasRTcΔrhlRSm), while the double mutant strain constructed in this work contains the markers apramycin and streptomycin; however, these changes do not explain the differences in the Western blot results. Therefore, we sequenced both genomes in order to find any mutation that could explain these discrepancies. We found that the PAOΔlasRTcΔrhlRSm strain possesses a single point mutation in the mvaT gene that lies in the DNA-binding motif [61] and changes the TGG codon for Trp119 to a TAG stop codon. This result was confirmed by sequencing the mvaT gene (S8 Fig). MvaT is a negative regulator for the T3SS that binds to the exsA internal promoter and also to the exsCEBA operon promoter [19,21], and it has been reported that mvaT inactivation derepresses exsA expression [21], explaining why in the previously reported PAOΔlasRTcΔrhlRSm strain ExoS is detected [40].
RhlR binds to its canonical AI C4 to control the expression of its target genes, however, in recent years it has been reported that RhlR is also able to regulate a set of genes independently of C4 and that this regulation is modulated by PqsE [32,34–36]. With regard to the T3SS, it was reported that rhlI inactivation up-regulates the expression of some T3SS genes, including exoS and exoT expression and ExoS is secreted earlier compared to the wild-type strain [38,39]. Here we showed that, as previously reported, rhlI inactivation up-regulates the expression of exoS and exoT and also the exsCEBA operon, indicating that RhlI is a negative regulator of the T3SS. However, our results show that even though the expression of T3SS is increased in the rhlI mutant strain, secretion of ExoS is similar to that of the wild-type strain suggesting an additional level of regulation for its secretion. On the other hand, ExoS protein levels in the pqsE mutant strain were similar to those of the wild-type strain, and exsCEBA transcription was not affected by pqsE inactivation, suggesting that PqsE has no role in regulating the T3SS. In addition, ExoS secreted protein levels in the PAOΔrhlIΔpqsE double mutant strain were similar to those of the wild-type strain at 0.8 and 2.0 O.D.600, indicating that RhlR is able to activate the T3SS in the absence of RhlI and PqsE. In this regard, it has been reported that RhlR is able to bind to the rhlAB promoter and repress its transcription in the absence of C4 [37], demonstrating that RhlR could act as a positive or negative regulator in the presence or the absence of C4 or PqsE. These results also explain why the virulence is reduced when rhlR is inactivated but maintained in a rhlI mutant strain [32,42].
Since the exsCEBA promoter region lacks a site for RhlR, which suggests that this regulation must be in an indirect way, we search for a las-rhl box in the previously reported T3SS regulators such as PsrA/RpoS, ArtR, or RetS (also known as RtsM) [5]. However, we could not identify a probable las-rhl box in the promoter regions of these regulators. In addition, it has been reported that rpoS expression is not regulated by RhlR [62]. Moreover, previous work showed that spermidine is a signal that modulates exsCEBA operon expression and, in this context, PA2592 was identified as a probable gene regulated by RhlR that codes for a putative spermidine-binding protein [22,23,55]. Here, we demonstrated that constitutive expression of PA2592 in the PAOΔrhlR mutant strain partially restored ExoS secretion only in the early stationary phase. This result indicates that PA2592 has a role in modulating intracellular spermidine concentrations and therefore in regulating the exsCEBA operon expression. However, since its expression was unable to fully restore ExoS secretion in the log phase or early stationary phase, it suggests that RhlR controls other elements involved in regulating exsA expression.
Finally, since RhlR can control the T3SS expression in the absence of C4 and PqsE, we determined whether C4 and PqsE were still required for pyocyanin production in T3SS-induction conditions as been reported in LB [40,56]. Our results showed that lasR inactivation slightly reduced pyocyanin production, but it was abolished in the rhlR, rhlI, and pqsE mutant strains indicating that regulation by the QS systems on pyocyanin synthesis is maintained in T3SS-induction conditions.
Overall, this work permits placing RhlR as a dual regulator, which negatively or positively controls T3SS expression depending upon binding to its C4 autoinducer. This can be related to turning on the T3SS that is necessary at the onset of an acute infection when C4 levels are low but turning it off when C4 levels increase, which also allows to activate the production of other virulence factors dependent on C4 and PqsE such as pyocyanin (Fig 9). These characteristics makes RhlR a very versatile protein that regulates different virulence traits promoting bacterial niche colonization.
Fig 9. Regulatory model by RhlR on T3SS-induction conditions.
RhlR with C4 and PqsE positively controls pyocyanin production. In addition, RhlR is a positive regulator of the T3SS; however, this positive regulation is exerted in the absence of C4 and PqsE.
Supporting information
ExsA is the main activator of the T3SS genes. Its activity is controlled by a partner-switching mechanism. During non-induction conditions, ExsD binds to ExsA preventing T3SS activation. Inducing conditions lead to ExsE secretion allowing ExsC to bind ExsD and releasing ExsA, which in turn activates the T3SS expression. Furthermore, exsA expression is controlled by additional transcriptional regulators including PsrA, Vfr, MvaT, VqsM, and the post-transcriptional RsmA regulator.
(TIFF)
DNA regions include -35 and -10 sequences, ExsA binding sites (BS) and/or sites for additional transcriptional regulators previously reported. Nucleotides in base pair (bp) are indicated according to the transcriptional start site (+1).
(TIFF)
ExoS identification was performed by Western blog assay using anti-ExoS polyclonal antibody on supernatants of strains grown in induction conditions. GroEL, detected using polyclonal antibody anti-GroEL, was used as a loading control.
(TIFF)
Transcriptional fusions activity in PAO1 strain were evaluated in non-induction (LB) and induction conditions (LB + 5 mM EGTA, 20 mM MgCl2). 200 μL of strains were incubated, in triplicate, at an initial O.D.600 of 0.05 directly into the wells of a clear-bottomed polystyrene plate, which was incubated at 37°C without shaking until log phase. Negative control (pCTX), exsCEBA operon (PexsC::lux), exsA (PexsA::lux), exoS (PexoS::lux), and spsC (PspcS::lux). Relative luminescence units (R. L.U.) were quantified and normalized to the O.D.600 at the time of data collection. Results represent the mean ± S.D. of three biological experiments performed in triplicate each time. Significant differences were obtained by two-way ANOVA and Šídák’s multiple comparisons analysis. Asterisks indicate statistical significance (n.s. = not significant, * p<0.05; ** p<0.01; *** p<0.001).
(TIFF)
The transcriptional activity of exsCEBA operon (PexsC::lux) and exoS (PexoS::lux) was evaluated in the PAOΔT3SS strain and its derivates with pGMYC or pUCP20 plasmid and in the wild-type PAO1 strain. Strains were incubated in 15 ml of induction medium at 37°C and 225 rpm until reaching an O.D.600 of 0.8 (a) and 2.0 (b). Relative luminescence units (R. L.U.) were quantified and normalized to the O.D.600 at the time of cell collection. Results represent the mean ± S.D. of three biological experiments performed in three replicates each time. Significant differences were obtained by two-way ANOVA and Tukey’s multiple comparison analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
(TIFF)
Strains were incubated in 15 ml of induction medium at 37°C and 225 rpm. Relative luminescence units (R. L.U.) were quantified and normalized to the O.D.600 at the time of cell collection. Results represent the mean ± S.D. of three biological experiments performed in three replicates each time. Significant differences were obtained by ordinary one-way ANOVA and Tukey’s multiple comparison analysis (α = 0.05%). Different letters indicate significant differences, while equal letters indicate no significant differences.
(TIFF)
ExoS identification was performed by Western blot assay using anti-ExoS polyclonal antibody on supernatants of strains grown in non-induction (a) and induction conditions (b). PAO1 was used as a positive control whereas ATCC 9027, lacking the T3SS, was used as a negative control. GroEL was detected using polyclonal antibody anti-GroEL and used as a loading control.
(TIFF)
Comparison of the alignment of nucleotide (a) and amino acid (b) sequences of strains PAO1 vs PAOΔlasRTcΔrhlRSm showing a point mutation G355A that generates a stop codon at position Trp119.
(TIFF)
(DOCX)
(DOCX)
(PDF)
(PDF)
Acknowledgments
LFM‐M is a doctoral student of Programa de Maestría y Doctorado en Ciencias Bioquímicas, Universidad Nacional Autónoma de Míxico (UNAM), and thanks CONAHCYT. VRF-V is a master student of Biomedicina Molecular, Centro de Investigación y de Estudios Avanzados del IPN (CINVESTAV-IPN), and thanks CONAHCYT. We thank Dr. Annia Rodríguez Hernández from the Cellular and Molecular Pharmacology Department of the University of California San Francisco (UCSF), for critical reading of the manuscript, and Abigail González Valdez and Norma Espinosa for technical support.
Data Availability
All relevant data are within the manuscript and its Supporting Information files.
Funding Statement
MC-Y research was supported by Consejo Nacional de Humanidades, Ciencias y Tecnologías (CONAHCYT) FORDECYT‐ PRONACES grant 53366 and Programa de Apoyo a Proyectos de Investigación e Innovación Tecnológica (PAPIIT) DGAPA, Universidad Nacional Autónoma de México (UNAM), grant number IA204221 and IA200823. GS-Ch and BG-P research were supported by DGAPA, PAPIIT UNAM grant IN201222 and IN229023, respectively. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
References
- 1.Diggle SP, Whiteley M. Microbe Profile: Pseudomonas aeruginosa: opportunistic pathogen and lab rat. Microbiology. 2020;166: 30–33. doi: 10.1099/mic.0.000860 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Gellatly SL, Hancock REW. Pseudomonas aeruginosa: new insights into pathogenesis and host defenses. Pathogens Disease. 2013;67: 159–173. doi: 10.1111/2049-632X.12033 [DOI] [PubMed] [Google Scholar]
- 3.Frithz‐Lindsten E, Du Y, Rosqvist R, Forsberg Å. Intracellular targeting of exoenzyme S of Pseudomonas aeruginosa via type III‐dependent translocation induces phagocytosis resistance, cytotoxicity and disruption of actin microfilaments. Molecular Microbiology. 1997;25: 1125–1139. doi: 10.1046/j.1365-2958.1997.5411905.x [DOI] [PubMed] [Google Scholar]
- 4.Mills SD, Boland A, Sory M-P, van der Smissen P, Kerbourch C, Finlay BB, et al. Yersinia enterocolitica induces apoptosis in macrophages by a process requiring functional type III secretion and translocation mechanisms and involving YopP, presumably acting as an effector protein. Proc Natl Acad Sci USA. 1997;94: 12638–12643. doi: 10.1073/pnas.94.23.12638 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Horna G, Ruiz J. Type 3 secretion system of Pseudomonas aeruginosa. Microbiological Research. 2021;246: 126719. doi: 10.1016/j.micres.2021.126719 [DOI] [PubMed] [Google Scholar]
- 6.Holder IA, Neely AN, Frank DW. Type III secretion/intoxication system important in virulence of Pseudomonas aeruginosa infections in burns. Burns. 2001;27: 129–130. doi: 10.1016/S0305-4179(00)00142-X [DOI] [PubMed] [Google Scholar]
- 7.Lee VT, Smith RS, Tümmler B, Lory S. Activities of Pseudomonas aeruginosa effectors secreted by the type III secretion system in vitro and during Infection. Infect Immun. 2005;73: 1695–1705. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Hauser AR. The type III secretion system of Pseudomonas aeruginosa: infection by injection. Nat Rev Microbiol. 2009;7: 654–665. doi: 10.1038/nrmicro2199 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Moraes TF, Spreter T, Strynadka NC. Piecing together the Type III injectisome of bacterial pathogens. Current Opinion in Structural Biology. 2008;18: 258–266. doi: 10.1016/j.sbi.2007.12.011 [DOI] [PubMed] [Google Scholar]
- 10.Barbieri JT, Sun J. Pseudomonas aeruginosa ExoS and ExoT. Reviews of Physiology, Biochemistry and Pharmacology. Berlin, Heidelberg: Springer Berlin Heidelberg; 2005. pp. 79–92. doi: 10.1007/s10254-004-0031-7 [DOI] [PubMed] [Google Scholar]
- 11.Yahr TL, Vallis AJ, Hancock MK, Barbieri JT, Frank DW. ExoY, an adenylate cyclase secreted by the Pseudomonas aeruginosa type III system. Proc Natl Acad Sci USA. 1998;95: 13899–13904. doi: 10.1073/pnas.95.23.13899 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Frank DW. The exoenzyme S regulon of Pseudomonas aeruginosa. Molecular Microbiology. 1997;26: 621–629. doi: 10.1046/j.1365-2958.1997.6251991.x [DOI] [PubMed] [Google Scholar]
- 13.Kim J, Ahn K, Min S, Jia J, Ha U, Wu D, et al. Factors triggering type III secretion in Pseudomonas aeruginosa. Microbiology. 2005;151: 3575–3587. doi: [DOI] [PubMed] [Google Scholar]
- 14.Vallis AJ, Yahr TL, Barbieri JT, Frank DW. Regulation of ExoS production and secretion by Pseudomonas aeruginosa in response to tissue culture conditions. Orndorff PE, editor. Infect Immun. 1999;67: 914–920. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Frank DW, Iglewski BH. Cloning and sequence analysis of a trans-regulatory locus required for exoenzyme S synthesis in Pseudomonas aeruginosa. J Bacteriol. 1991;173: 6460–6468. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Hovey AK, Frank DW. Analyses of the DNA-binding and transcriptional activation properties of ExsA, the transcriptional activator of the Pseudomonas aeruginosa exoenzyme S regulon. J Bacteriol. 1995;177: 4427–4436. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Brutinel ED, Vakulskas CA, Brady KM, Yahr TL. Characterization of ExsA and of ExsA-dependent promoters required for expression of the Pseudomonas aeruginosa type III secretion system. Mol Microbiol. 2008;68: 657–671. doi: 10.1111/j.1365-2958.2008.06179.x [DOI] [PubMed] [Google Scholar]
- 18.Shen DK, Filopon D, Kuhn L, Polack B, Toussaint B. PsrA Is a positive transcriptional regulator of the type III secretion system in Pseudomonas aeruginosa. Infect Immun. 2006;74: 1121–1129. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Yin L, Liu Q, Pan X, Lv C, Bai Y, Bai F, et al. MvaT binds to the PexsC promoter to repress the type III secretion system in Pseudomonas aeruginosa. Front Cell Infect Microbiol. 2023;13: 1267748. doi: 10.3389/fcimb.2023.1267748 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Marsden AE, Intile PJ, Schulmeyer KH, Simmons-Patterson ER, Urbanowski ML, Wolfgang MC, et al. Vfr directly activates exsA transcription to regulate expression of the Pseudomonas aeruginosa type III secretion system. O’Toole GA, editor. J Bacteriol. 2016;198: 1442–1450. doi: 10.1128/JB.00049-16 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Williams McMackin EA, Marsden AE, Yahr TL. H-NS family members MvaT and MvaU regulate the Pseudomonas aeruginosa type III secretion system. Silhavy TJ, editor. J Bacteriol. 2019;201. doi: 10.1128/JB.00054-19 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Zhou L, Wang J, Zhang L-H. Modulation of bacterial type III secretion system by a spermidine transporter dependent signaling pathway. Ratner A, editor. PLoS ONE. 2007;2: e1291. doi: 10.1371/journal.pone.0001291 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Lin Q, Wang H, Huang J, Liu Z, Chen Q, Yu G, et al. Spermidine is an intercellular signal modulating T3SS expression in Pseudomonas aeruginosa. Rather PN, editor. Microbiol Spectr. 2022;10: e00644–22. doi: 10.1128/spectrum.00644-22 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Williams McMackin EA, Djapgne L, Corley JM, Yahr TL. Fitting pieces into the puzzle of Pseudomonas aeruginosa type III secretion system gene expression. Margolin W, editor. J Bacteriol. 2019;201. doi: 10.1128/JB.00209-19 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Williams P, Winzer K, Chan WC, Cámara M. Look who’s talking: communication and quorum sensing in the bacterial world. Phil Trans R Soc B. 2007;362: 1119–1134. doi: 10.1098/rstb.2007.2039 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Brint JM, Ohman DE. Synthesis of multiple exoproducts in Pseudomonas aeruginosa is under the control of RhlR-RhlI, another set of regulators in strain PAO1 with homology to the autoinducer-responsive LuxR-LuxI family. J Bacteriol. 1995;177: 7155–7163. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Whiteley M, Greenberg EP. Promoter Specificity Elements in Pseudomonas aeruginosa Quorum-Sensing-Controlled Genes. J Bacteriol. 2001;183: 5529–5534. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Gallagher LA, McKnight SL, Kuznetsova MS, Pesci EC, Manoil C. Functions Required for Extracellular Quinolone Signaling by Pseudomonas aeruginosa. J Bacteriol. 2002;184: 6472–6480. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Pearson JP, Pesci EC, Iglewski BH. Roles of Pseudomonas aeruginosa las and rhl quorum-sensing systems in control of elastase and rhamnolipid biosynthesis genes. J Bacteriol. 1997;179: 5756–5767. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Schuster M, Lostroh CP, Ogi T, Greenberg EP. Identification, timing, and signal specificity of Pseudomonas aeruginosa quorum-controlled genes: a transcriptome analysis. J Bacteriol. 2003;185: 2066–2079. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Pesci EC, Pearson JP, Seed PC, Iglewski BH. Regulation of las and rhl quorum sensing in Pseudomonas aeruginosa. J Bacteriol. 1997;179: 3127–3132. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Mukherjee S, Moustafa D, Smith CD, Goldberg JB, Bassler BL. The RhlR quorum-sensing receptor controls Pseudomonas aeruginosa pathogenesis and biofilm development independently of its canonical homoserine lactone autoinducer. Lee VT, editor. PLoS Pathog. 2017;13: e1006504. doi: 10.1371/journal.ppat.1006504 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.García-Reyes S, Soberón-Chávez G, Cocotl-Yanez M. The third quorum-sensing system of Pseudomonas aeruginosa: Pseudomonas quinolone signal and the enigmatic PqsE protein. Journal of Medical Microbiology. 2020;69: 25–34. doi: 10.1099/jmm.0.001116 [DOI] [PubMed] [Google Scholar]
- 34.Simanek KA, Taylor IR, Richael EK, Lasek-Nesselquist E, Bassler BL, Paczkowski JE. The PqsE-RhlR Interaction Regulates RhlR DNA Binding to Control Virulence Factor Production in Pseudomonas aeruginosa. LaRock CN, editor. Microbiol Spectr. 2022;10: e02108–21. doi: 10.1128/spectrum.02108-21 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Letizia M, Mellini M, Fortuna A, Visca P, Imperi F, Leoni L, et al. PqsE expands and differentially modulates the RhlR quorum sensing regulon in Pseudomonas aeruginosa. Rather PN, editor. Microbiol Spectr. 2022;10: e00961–22. doi: 10.1128/spectrum.00961-22 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.García‐Reyes S, Cocotl‐Yañez M, Soto‐Aceves MP, González‐Valdez A, Servín‐González L, Soberón‐Chávez G. PqsR‐independent quorum‐sensing response of Pseudomonas aeruginosa ATCC 9027 outlier‐strain reveals new insights on the PqsE effect on RhlR activity. Mol Microbiol. 2021;116: 1113–1123. doi: 10.1111/mmi.14797 [DOI] [PubMed] [Google Scholar]
- 37.Medina G, Juárez K, Valderrama B, Soberón-Chávez G. Mechanism of Pseudomonas aeruginosa RhlR transcriptional regulation of the rhlAB promoter. J Bacteriol. 2003;185: 5976–5983. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Hogardt M, Roeder M, Schreff AM, Eberl L, Heesemann J. Expression of Pseudomonas aeruginosa exoS is controlled by quorum sensing and RpoS. Microbiology. 2004;150: 843–851. doi: [DOI] [PubMed] [Google Scholar]
- 39.Bleves S, Soscia C, Nogueira-Orlandi P, Lazdunski A, Filloux A. Quorum Sensing Negatively Controls Type III Secretion Regulon Expression in Pseudomonas aeruginosa PAO1. J Bacteriol. 2005;187: 3898–3902. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Soto-Aceves MP, Cocotl-Yañez M, Merino E, Castillo-Juárez I, Cortés-López H, González-Pedrajo B, et al. Inactivation of the quorum-sensing transcriptional regulators LasR or RhlR does not suppress the expression of virulence factors and the virulence of Pseudomonas aeruginosa PAO1. Microbiology. 2019;165: 425–432. doi: 10.1099/mic.0.000778 [DOI] [PubMed] [Google Scholar]
- 41.López-Jácome LE, Garza-Ramos G, Hernández-Durán M, Franco-Cendejas R, Loarca D, Romero-Martínez D, et al. AiiM lactonase strongly reduces quorum sensing controlled virulence factors in clinical strains of Pseudomonas aeruginosa isolated from burned patients. Front Microbiol. 2019;10: 2657. doi: 10.3389/fmicb.2019.02657 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Haller S, Franchet A, Hakkim A, Chen J, Drenkard E, Yu S, et al. Quorum‐sensing regulator RhlR but not its autoinducer RhlI enables Pseudomonas to evade opsonization. EMBO Reports. 2018;19: e44880. doi: 10.15252/embr.201744880 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Song Y, Yang C, Chen G, Zhang Y, Seng Z, Cai Z, et al. Molecular insights into the master regulator CysB‐mediated bacterial virulence in Pseudomonas aeruginosa. Mol Microbiol. 2019;111: 1195–1210. doi: 10.1111/mmi.14200 [DOI] [PubMed] [Google Scholar]
- 44.Green MR, Sambrook J, Sambrook J. Molecular cloning: a laboratory manual. 4th ed. Cold Spring Harbor, N.Y: Cold Spring Harbor Laboratory Press; 2012. [Google Scholar]
- 45.Becher A, Schweizer H. Integration-proficient Pseudomonas aeruginosa vectors for isolation of single-copy chromosomal lacZ and lux gene fusions. Biotechniques. 2000;29: 948–952. [DOI] [PubMed] [Google Scholar]
- 46.Morales E, González-Valdez A, Servín-González L, Soberón-Chávez G. Pseudomonas aeruginosa quorum-sensing response in the absence of functional LasR and LasI proteins: the case of strain 148, a virulent dolphin isolate. FEMS Microbiology Letters. 2017;364. doi: 10.1093/femsle/fnx119 [DOI] [PubMed] [Google Scholar]
- 47.Choi K-H, Schweizer HP. An improved method for rapid generation of unmarked Pseudomonas aeruginosa deletion mutants. BMC Microbiol. 2005;5: 30. doi: 10.1186/1471-2180-5-30 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Gust B, Challis GL, Fowler K, Kieser T, Chater KF. PCR-targeted Streptomyces gene replacement identifies a protein domain needed for biosynthesis of the sesquiterpene soil odor geosmin. Proc Natl Acad Sci USA. 2003;100: 1541–1546. doi: 10.1073/pnas.0337542100 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Hoang TT, Karkhoff-Schweizer RR, Kutchma AJ, Schweizer HP. A broad-host-range Flp-FRT recombination system for site-specific excision of chromosomally-located DNA sequences: application for isolation of unmarked Pseudomonas aeruginosa mutants. Gene. 1998;212: 77–86. doi: 10.1016/S0378-1119(98)00130-9 [DOI] [PubMed] [Google Scholar]
- 50.Fujita M, Amemura A, Aramaki H. Transcription of the groESL operon in Pseudomonas aeruginosa PAO1. FEMS Microbiology Letters. 1998;163: 237–242. doi: 10.1111/j.1574-6968.1998.tb13051.x [DOI] [PubMed] [Google Scholar]
- 51.Rosales-Reyes R, Esposito F, Fontana H, Lezana-Fernández JL, Lascurain R, De La Cruz MA, et al. Emergence of GES-19-producing Pseudomonas aeruginosa exoU+ belonging to the global high-risk clone ST235 in cystic fibrosis infection. Diagnostic Microbiology and Infectious Disease. 2021;101: 115454. doi: 10.1016/j.diagmicrobio.2021.115454 [DOI] [PubMed] [Google Scholar]
- 52.Schneider CA, Rasband WS, Eliceiri KW. NIH Image to ImageJ: 25 years of image analysis. Nat Methods. 2012;9: 671–675. doi: 10.1038/nmeth.2089 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Rahim R, Ochsner UA, Olvera C, Graninger M, Messner P, Lam JS, et al. Cloning and functional characterization of the Pseudomonas aeruginosa rhlC gene that encodes rhamnosyltransferase 2, an enzyme responsible for di-rhamnolipid biosynthesis: rhlC encodes di-rhamnolipid transferase. Molecular Microbiology. 2001;40: 708–718. doi: 10.1046/j.1365-2958.2001.02420.x [DOI] [PubMed] [Google Scholar]
- 54.Kaufman MR, Jia J, Zeng L, Ha U, Chow M, Jin S. Pseudomonas aeruginosa mediated apoptosis requires the ADP-ribosylating activity of ExoS. Microbiology. 2000;146: 2531–2541. doi: 10.1099/00221287-146-10-2531 [DOI] [PubMed] [Google Scholar]
- 55.Cruz RL, Asfahl KL, Van Den Bossche S, Coenye T, Crabbé A, Dandekar AA. RhlR-Regulated Acyl-Homoserine Lactone Quorum Sensing in a Cystic Fibrosis Isolate of Pseudomonas aeruginosa. Winans SC, editor. mBio. 2020;11: e00532–20. doi: 10.1128/mBio.00532-20 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Higgins S, Heeb S, Rampioni G, Fletcher MP, Williams P, Cámara M. Differential Regulation of the Phenazine Biosynthetic Operons by Quorum Sensing in Pseudomonas aeruginosa PAO1-N. Front Cell Infect Microbiol. 2018;8: 252. doi: 10.3389/fcimb.2018.00252 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 57.Shaver CM, Hauser AR. Relative contributions of Pseudomonas aeruginosa ExoU, ExoS, and ExoT to virulence in the lung. Infect Immun. 2004;72: 6969–6977. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Finck‐Barbançon V, Goranson J, Zhu L, Sawa T, Wiener‐Kronish JP, Fleiszig SMJ, et al. ExoU expression by Pseudomonas aeruginosa correlates with acute cytotoxicity and epithelial injury. Molecular Microbiology. 1997;25: 547–557. doi: 10.1046/j.1365-2958.1997.4891851.x [DOI] [PubMed] [Google Scholar]
- 59.Intile PJ, Diaz MR, Urbanowski ML, Wolfgang MC, Yahr TL. The AlgZR two-component system recalibrates the RsmAYZ posttranscriptional regulatory system to inhibit expression of the Pseudomonas aeruginosa type III secretion system. Journal of Bacteriology. 2014;196: 357–366. doi: 10.1128/JB.01199-13 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 60.Liang H, Deng X, Li X, Ye Y, Wu M. Molecular mechanisms of master regulator VqsM mediating quorum-sensing and antibiotic resistance in Pseudomonas aeruginosa. Nucleic Acids Research. 2014;42: 10307–10320. doi: 10.1093/nar/gku586 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Ding P, McFarland KA, Jin S, Tong G, Duan B, Yang A, et al. A novel AT-rich DNA recognition mechanism for bacterial xenogeneic silencer MvaT. Luo Z-Q, editor. PLoS Pathog. 2015;11: e1004967. doi: 10.1371/journal.ppat.1004967 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Whiteley M, Parsek MR, Greenberg EP. Regulation of Quorum Sensing by RpoS in Pseudomonas aeruginosa. J Bacteriol. 2000;182: 4356–4360. doi: [DOI] [PMC free article] [PubMed] [Google Scholar]









