ABSTRACT
Virulence screens have indicated potential roles during Streptococcus pneumoniae infection for the one-carbon metabolism pathway component Fhs and proline synthesis mediated by ProABC. To define how these metabolic pathways affect S. pneumoniae virulence, we have investigated the phenotypes, transcription, and metabolic profiles of Δfhs and ΔproABC mutants. S. pneumoniae capsular serotype 6B BHN418 Δfhs and ΔproABC mutant strains had strongly reduced virulence in mouse sepsis and pneumonia models but could colonize the nasopharynx. Both mutant strains grew normally in complete media but had markedly impaired growth in chemically defined medium, human serum, and human cerebrospinal fluid. The BHN418 ΔproABC strain also had impaired growth under conditions of osmotic and oxidative stress. The virulence role of proABC was strain specific, as the D39 ΔproABC strain could still cause septicemia and grow in serum. Compared to culture in broth, in serum, the BHN418 Δfhs and ΔproABC strains showed considerable derangement in global gene transcription that affected multiple but different metabolic pathways for each mutant strain. Metabolic data suggested that Δfhs had an impaired stringent response, and when cultured in sera, BHN418 Δfhs and ΔproABC were under increased oxidative stress and had altered lipid profiles. Loss of proABC also affected carbohydrate metabolism and the accumulation of peptidoglycan synthesis precursors in the BHN418 but not the D39 background, linking this phenotype to the conditional virulence phenotype. These data identify the S. pneumoniae metabolic functions affected by S. pneumoniae one-carbon metabolism and proline biosynthesis, and the role of these genetic loci for establishing systemic infection.
IMPORTANCE
Rapid adaptation to grow within the physiological conditions found in the host environment is an essential but poorly understood virulence requirement for systemic pathogens such as Streptococcus pneumoniae. We have now demonstrated an essential role for the one-carbon metabolism pathway and a conditional role depending on strain background for proline biosynthesis for S. pneumoniae growth in serum or cerebrospinal fluid, and therefore for systemic virulence. RNAseq and metabolomic data demonstrated that the loss of one-carbon metabolism or proline biosynthesis has profound but differing effects on S. pneumoniae metabolism in human serum, identifying the metabolic processes dependent on each pathway during systemic infection. These data provide a more detailed understanding of the adaptations required by systemic bacterial pathogens in order to cause infection and demonstrate that the requirement for some of these adaptations varies between strains from the same species and could therefore underpin strain variations in virulence potential.
KEYWORDS: Streptococcus pneumoniae, proline synthesis, formate-tetrahydrofolate ligase, stringent response, virulence
INTRODUCTION
Streptococcus pneumoniae is a common upper respiratory tract commensal but frequently causes invasive infections responsible for approaching a million deaths a year in children (1–3). S. pneumoniae has multiple virulence factors (4), including the polysaccharide capsule required for immune evasion (5) and surface proteins also involved in immune evasion as well as adhesion to host cells (6–9). Another essential requirement for virulence is bacterial replication under host physiological conditions (10), and growth in serum differentiates S. pneumoniae from the less virulent streptococci (11). Host physiological conditions include a temperature of 37°C, a pH of 7.4, serum osmolality of around 285 mmol/kg, and restricted availability of multiple cations and micronutrients needed for bacterial replication (12, 13). As a consequence, the virulence of S. pneumoniae is dependent on cation, polyamine, and amino acid transporters (14–19); effective osmoregulation (18, 20); and synthesis of nutrients with limited availability in the host (21–23). However, our understanding of the S. pneumoniae factors required to replicate under physiological conditions remains incomplete.
We analyzed published transcriptome and transposon screen data to identify metabolic pathways involved during infection but yet to be characterized in detail (24–26). Two loci of interest were identified, the proABC (SP_0931–33) operon and fhs (SP_1229). ProA (Sp_0932) is a γ-glutamyl phosphate reductase, ProB (Sp_0931) a γ-glutamyl kinase, and ProC (Sp_0933) a pyrroline-5-carboxylate reductase responsible for proline synthesis from glutamate (27). Proline protects bacteria against osmostress (28–30), and proline synthesis or transport is important for Salmonella Typhimurium and Mycobacterium tuberculosis virulence (31, 32). Mutation of proABC operon reduced S. pneumoniae virulence in mice (24, 33, 34). fhs is predicted to encode a formate-tetrahydrofolate ligase that catalyzes the formation of 10-formyl-tetrahydrofolate from folate (as tetrahydrofolate [THF]) and formate. Fhs is part of the one-carbon metabolism pathway which provides cofactors for the synthesis of multiple products. THF donates carbon for the synthesis of amino acids and purines (35, 36), and may contribute to the synthesis of alarmones guanosine-pentaphosphate and -tetraphosphate [(p)ppGpp] that initiate the bacterial stringent response required for adaptation to nutritional and physiological stress (37). THF synthesis in most bacteria is catalyzed by FolD, but a minority of bacteria including S. pneumoniae use Fhs (38–41). The one-carbon metabolism pathway could be important for multiple metabolic pathways involved in adaptation to host physiological conditions, and S. pneumoniae increases fhs expression in media containing low levels of methionine and during mouse meningitis (26, 35). S. pneumoniae fhs is described as an essential gene for some strains (37). Mutation of fhs reduced S. pneumoniae virulence in mouse models of pneumonia or meningitis (24, 26), but its role during infection has not been investigated and could be relevant for other bacterial pathogens that contain fhs (41).
Previously we have used S. pneumoniae Δfhs and ΔproABC strains as live-attenuated S. pneumoniae vaccines, demonstrating their potential clinical utility (42, 43). In this study, we have characterized S. pneumoniae ∆proABC and ∆fhs strain phenotypes in detail to determine the roles of proline synthesis and the one-carbon metabolism pathway during disease pathogenesis.
RESULTS
Bioinformatic analysis of fhs and proABC
Analyzing 20,924 pneumococcal genomes demonstrated that the fhs and proABC genes were highly conserved; all four genes were present in almost all genomes. The exceptions were proA and proC, which were absent in one serotype 6A strain (GPS_NP_6691). Mean nucleotide similarity across S. pneumoniae strains was 99.4%, 98.6%, 96.2%, and 99.9%, respectively, for proB, proA, proC, and fhs. The amino acid identity of S. pneumoniae TIGR4 ProA, ProB, and ProC predicted proteins was 48%, 42%, and 28% to Bacillus subtilis (strain 168) and 46%, 38%, and 40% to Escherichia coli (strain K12) ProA, ProB, and ProC (44). The predicted amino acid sequence of S. pneumoniae Fhs contains the described active sites, including the ATP-binding domain (PTPAGEGKXT, X is S or T), a glycine-rich nucleotide binding consensus sequence, and folate (Trp412, Phe 385), para-aminobenzoic acid (Pro385, Leu408), or THF (95–103 EPSLGPX2G, aspartate at residue 29) binding residues (36, 45–47). PSI-blast based secondary structure prediction (PSIPRED) analysis (48) indicated that Fhs is intracellular. Mutants containing complete deletion of proABC or fhs were constructed in the serotype 6B strain BHN418 using overlap extension PCR and transferred to the capsular serotype 2 D39 strain using transformation with genomic DNA (Fig. S1). A ∆fhs + fhs 6B serotype complemented mutant was constructed by insertion of fhs into a neutral genome site using the integration vector pPEPY (49). The ΔproABC strain was not genetically complemented as the in vitro phenotype was linked to proline directly using growth supplementation (see below).
∆proABC and ∆fhs strain in vivo phenotypes
The BHN418 ΔproABC and Δfhs strains had similar invasive infection phenotypes to Δcps, failing to disseminate from the lungs to the blood (Fig. 1A) and with non-significant reductions in lung CFU in a pneumonia model (Fig. 1B) and showing large reductions in blood or spleen CFU in the sepsis model (Fig. 2A and B). Genetic complementation of BHN418 Δfhs with fhs restored virulence in both pneumonia and sepsis models (Fig. 1C and D; Fig. 2C and D), confirming the virulence defect was due to deletion of fhs. The D39 Δfhs had a similar virulence phenotype to BHN418 Δfhs in pneumonia (Fig. 1E and F) and sepsis models (Fig. 2E and F), and D39 ΔproABC strain had a similar phenotype to BHN418 ΔproABC in the pneumonia model (Fig. 1E and F). However, in the sepsis model, the D39 ΔproABC strain remained partially virulent with statistically non-significant reductions in blood and spleen CFU (Fig. 2E and F). In contrast to sepsis and pneumonia models and unlike Δcps, the BHN418 ΔproABC and Δfhs maintained nasopharyngeal colonization at similar levels to wild type at 7 days (Fig. 1G), and 12 days post-colonization still colonized the nasopharynx, although with reduced nasal wash CFU compared to wild type (Fig. 1H). To confirm the differences in target organ CFU-altered disease lethality, pneumonia development was monitored for 7 days after infection with BHN418 ΔproABC or Δfhs strains. Furthermore, 50% of the mice inoculated with wild-type 6B or the complemented ∆fhs mutant developed fatal infection (Fig. 2G), while 90% and 100% of mice infected with ∆proABC or Δfhs, respectively, survived. These data demonstrate that the loss of fhs has a profound effect on systemic virulence in both 6B and D39 backgrounds, whereas the effects on virulence of loss of proABC were partially strain dependent.
S. pneumoniae fhs and proABC were not required for immune evasion
Confocal microscopy provided no evidence that loss of proABC or Δfhs altered cell morphology or capsule thickness (Fig. S2A). Neither strain showed increased recognition by complement or antibody or reduced resistance to killing by human neutrophils (Fig. S2B through F). Furthermore, in a nematode infection model that reflects host toxicity caused by S. pneumoniae (50, 51), the Δfhs mutant strains killed Caenorhabditis elegans as rapidly as the wild type (Fig. S2G and H). The ΔproABC mutant showed some delay in killing, with 100% of the worms killed only after 24 hours (Fig. S2H). Overall, these data indicate the reduced virulence of the ΔproABC and Δfhs mutant strains was not related to increased susceptibility to immune effectors.
Growth of ∆proABC and ∆fhs in media and under stress conditions
In rich media (Todd-Hewitt broth [THY]), BHN418 ∆proABC and ∆fhs had identical growth to wild type. Induction of osmotic or oxidative stress by addition of NaCl or paraquat impaired growth of the ∆proABC strain (Fig. 3A and B) (44, 52, 53) but did not consistently affect ∆fhs growth (Fig. 3E and F). Cation depletion slightly impaired the growth of both ∆proABC and ∆fhs (Fig. 3C and G). Under conditions with restricted nutrient availability (growth in chemically defined medium, CDM), both ∆proABC and ∆fhs had severe growth defects compared to wild type (Fig. 3D and H). ∆proABC growth in CDM was restored by adding 1 mg mL−1 proline (Fig. 3D) but not by proline-containing peptides imported by AliA and AliB or an eight-proline residue oligopeptide (54) (Fig. S3A through C), indicating environmental proline compensated for loss of proline synthesis through proline-specific rather than oligopeptide transporters. Despite the probable role of Fhs in purine synthesis, the addition of purine, adenine, formate, or glycine (known to compensate for poor growth of E. coli ΔfolD/p-fhs) (39) did not restore ∆fhs growth in CDM (Fig. 3H, data not shown).
Poor growth of Δfhs and ΔproABC in physiological fluids
The above experiments suggested poor growth in host physiological conditions could cause the reduced virulence of Δfhs and ΔproABC. Hence, their growth was compared to wild type in ex vivo 100% human sera or cerebrospinal fluid (CSF). The BHN418 ΔproABC mutant was markedly attenuated in growth in sera and CSF (Fig. 4A and B), with growth improved by proline supplementation (Fig. 4A and B). Δfhs also had markedly impaired growth in sera and CSF, which was partially restored for the Δfhs + fhs complemented strain (Fig. 4C and D) or (in sera) by supplementation with purine (Fig. 4E). In a laboratory medium that mimics fluid nasal (55), only the Δfhs mutant had reduced growth compared to wild type (Fig. 4F). When incubated in serum, both mutant strains showed increased chain formation and variable bacterial cell sizes compared to the wild type (Fig. 5). To assess the potential effects of strain background, the growth of D39 ∆fhs and ΔproABC in serum was investigated. Similar to BHN418 ∆fhs, D39 ∆fhs had severely impaired growth in serum (Fig. 4G). In contrast, serum could sustain growth of D39 ΔproABC (although still impaired compared to wild type), a result compatible with this strain’s maintained ability to cause septicemia in mice. Overall, these data link impaired systemic virulence of the BHN418 and D39 ∆fhs and BHN418 ΔproABC strains to poor replication in serum and a strain-dependent role for proline synthesis during S. pneumoniae pathogenesis.
RNAseq in THY
To characterize how S. pneumoniae adaptations to growth under physiological conditions were affected by the ΔproABC and Δfhs mutations, RNAseq was performed on BHN418 wild-type, ΔproABC, and Δfhs 6B incubated in 100% human serum or THY for 60 min. Principal component analysis showed clear separation of serum RNAseq data between strains (Fig. S4), with 90% of the variability from the first two principal components (PC) and 66% from PC1. Selected operons showing changes in expression in serum compared to THY for the wild-type strain are shown in Table 1 and Table S2. In THY, the ΔproABC and Δfhs mutant strains showed increased or decreased expression of a similar number of genes compared to the wild-type strain (Fig. 6A and D). Differences in the ΔproABC transcriptome in THY to wild type were dominated by genes involved in carbohydrate utilization and biosynthesis (Fig. 6B; Table S3) (56), whereas the ∆fhs strain showed upregulation of operons affecting multiple biochemical functions, including amino acid metabolism and synthesis, iron uptake, and other aspects of metabolism (Fig. 6E; Table S3). In THY, both Δfhs and ΔproABC upregulated fatty acid synthesis genes and downregulated genes encoding the chaperon proteins GroEL, DnaJK, and the chaperon regulator HrcA (Fig. 6B and E). These data show that despite maintaining growth in THY, the ∆proABC and ∆fhs strains had significant changes in gene expression likely to reflect bacterial adaptation to the loss of biochemical functions related to each mutation.
TABLE 1.
Strain gene numbers and category | Gene namesa | Function | Log2 RNAseq ratio in sera vs THY | ||
---|---|---|---|---|---|
6B BHN418 | TIGR4 | D39 | |||
Amino acid uptake and metabolism | |||||
Spn_00425–29 | SP2116-20 | SPD1945-49 | CAAX amino terminal protease family protein | −2.13, –2.56, −3.14, –3.39, −3.06 | |
Spn_00434–36 | SP2125-2126 | SPD1954-56 | Branched-chain amino acid biosynthetic pathway | −2.79, –2.80, −4.01 | |
Spn_00659–60 | SP0112-13 | SPD0109-10 | artP1, argG | Arginino-succinate synthase | −3.11, –3.20 |
Spn_00839–44 | SP0275-80 | SPD0255-60 | ?, yafQ, _polC_2, pepS, ? rsuA1 | Cleavage of amino acid | −3.53, –3.11, −2.77, –3.1, −2.53, –1.6 |
Spn_01301–05 | Spn_0749–53 | SP0750-54 | livJ, livH, livM, lptB , livF | BCAA* ABC transporter | −3.38, –2.26, −2.03, –1.87, −2.19 |
Spn_01699 | SP1159 | SPD1023 | XERS | tyrosine recombinase | −3.48 |
Sugar uptake and metabolism | |||||
Spn_00150–52 | SP1882-84 | SPD1662-64 | treC, treP, treR | Sucrose metabolism | 4.55, 4.50, 2.20 |
Spn_01423–25 | SP0875-77 | SPD0771-3 | fruR, fruB, fruA | 5.28, 4.99, 4.69 | |
Other metabolism | |||||
Spn_00128 | SP1859 | SPD_1640 | pnuC | Nicotinamide mononucleotide transporter | −6.57 |
Spn_0136–39 | SP1869-72 | SPD1649-52 | feuB, fepD1, FHUc, yclQ | Iron transport | 1.78, 1.81, 1.77, 1.79 |
Spn_00311 | SP2016 | SPD_1826 | nadC | Nicotinate-nucleotide pyrophosphorylase | −4.44 |
Spn00603-7, 00609, 00611 | SP0044-48, 50, 53 | SPD0051-55, 0057, 0059 | purC, purl, purF, purM, purN, purH, purE | Purine/biotin/coenzyme A synthesis | −2.31, –3.44, −2.68, –2.71, −2.32, –2.26, −1.74 |
Spn_01501–02 | SP0963-64 | SPD0851-52 | pyurK, pyrDb | −4.46, –3.86 | |
Spn_01807–10 | SP1275-78 | SPD1131-34 | carB, carA, pyrB, pyrR | Pyrimidine synthesis | −3.50, –3.82, −3.63, –3.40 |
Spn_00482–85 | SP2173-76 | SPD_2002–6 | dltD, dltC, dltB, dltA | Cell wall synthesis | 3.18, 2.82, 2.95, 2.76 |
Other | |||||
Spn_00601–2 | SP0042-43 | SPD0049-50 | comA, comB | Competence factor transport proteinS | −1.99, –1.80 |
Spn_00698 | SP0141 | SPD_0144 | mutR | Positive transcriptional regulator of mutA | −4.15 |
Spn_00914 | SP0366 | SPD_0334 | aliA | Oligopeptide ABC transporter | −5.16 |
Spn_01082 | SP0517 | SPD0460 | dnaK3 | Molecular chaperone | −4.31 |
Spn_01631_pulA_2 | Sp1118 | SPD1002 | pulA2 | Pullulanse | 3.04 |
Spn_02064 | SP1161 | SPD1025 | lpd | Dihydrolipoamide dehydrogenase | 3.11 |
"?" represent genes that do not have a gene name.
Marked disruption of gene expression by the ΔproABC and Δfhs strains in serum
When cultured in serum, there was a marked increase in genes showing increased expression compared to wild type for both ∆proABC (133 in serum vs 36 in THY) and ∆fhs (116 in serum vs 51 in THY) (Fig. 6A and D), demonstrating the mutants underwent major compensatory gene expression changes under infection-related conditions. In serum ΔproABC, increased expression of 10 operons involved in sugar uptake and metabolism and 4 operons containing genes of unknown function (Fig. 6C; Table 2; Table S4). In contrast, in sera ∆fhs, upregulated operons involved in amino acid uptake or biosynthesis, teichoic acid and coenzyme A biosynthesis, and competence (Fig. 6F; Table 2; Table S4). Genes showing increased expression in serum for both ΔproABC and ∆fhs included ply (encodes pneumolysin), fatty acid and purine biosynthesis operons, and bacteriocin systems. Which pathways were enriched among the upregulated genes were identified using the KEGG biological pathway annotations for S. pneumoniae strain SP670-6B and over-representation analysis (57). ΔproABC showed significant enrichment for fatty acid biosynthesis, galactose metabolism, PTS systems, and amino acid and sugar metabolism pathways (Fig. 6G). The ∆fhs strain showed enriched expression of genes from multiple metabolic pathways, including biosynthesis of secondary metabolites, competence, and purine, pyruvate, propanoate, amino acid, and sugar metabolism (Fig. 6H). To provide a more detailed analysis, expression of all genes within six pathways selected from the above results was analyzed (Fig. S5). In THY, the ∆proABC and the ∆fhs strains had increased gene expression for two (Fig. S5C and F) and none, respectively, of the six pathways assessed. In contrast, in serum, both mutant strains showed significant increases in gene expression for all six pathways. This result further demonstrates that culture in serum triggered multiple compensatory metabolic responses by ∆proABC (Fig. S5A through F) and ∆fhs (Fig. S5G through L), which partially differed between the two strains, reflecting the specific roles of fhs or proABC for S. pneumoniae physiology during systemic infection.
TABLE 2.
Strain gene numbers and category | Gene names | Function | log2 RNAseq ratio vs wild type in serum | |||
---|---|---|---|---|---|---|
6B BHN418 | TIGR4 | D39 | Δfhs | ΔproABC | ||
Amino acid uptake and metabolism | ||||||
Spn_00085–91 | SP1811-17 | SPD1596-1602 | trpABFCD2GE | Tryptophan synthesis | nsb | 1.552, 1.940, 1.868, 2.629, 2.800, 2.058, 3.468 |
Sp_00156–59 | SP1887-90 | SPD1667-9, 1787 | amiFEDC | Oligopeptide ABC transporter | 2.153, 2.164, 1.953, 1.670 | ns |
Spn_00659–60 | SP0112-13 | SPD109-10 | artP1, argG | Arginino-succinate synthase | 2.164, 1.743 | ns |
Spn_01302–06 | SP0750-54 | SPD0653-57 | livHMGF, ? | BCAAa ABC transporter | 1.803, 1.992, 2.277, 2.262, 1.845 | ns |
Spn_02005–06 | SP1526-27 | SPD1354, 1357 | lmrA, aliB | Oligopeptide ABC transporter | 3.335, 2.835 | ns |
Sugar uptake and metabolism | ||||||
Spn_00121–22 | SP1852-53 | SPD1633-34 | galTK | Galactose metabolism | ns | 2.040, 2.112 |
Spn_00416–17 | SP2109-10 | SPD1935-36 | malFG | Maltodextrin ABC transporter | 1.968, 1.510 | ns |
Spn_00437–39 | SP2127-29 | SPD1957-59 | tktC | Transketolase, PTS transporter | ns | 1.547, 1.532, 1.554 |
Spn_00470–76 | SP2161-67 | SPD1989-95 | manZY, levE1, ?, fucUAK | PTS transporter, fucolose metabolism | ns | 1.655, 1.774, 1.838, 2.032, 2.251, 3.135, 3.457 |
Spn_00617–23 | SP0060-64 SP0265-66 |
SPD0065-71 | bgaC, PTS-EIIB, manZ, PTSII, agaS, mro | Beta-galactosidase, PTS transporter | ns | 6.648, 6.303, 5.690, 5.571, 5.226, 5.001, 3.978 |
Spn_00816–20 | SP0249-53 | SPD0233-37 | gmuB, C, hpdB, fsaA, gldA | PTS transporter | ns | 1.915, 2.724, 2.554, 2.110, 1.897 |
Spn_00879–83 | SP0321-25 | SPD0293-97 | manX, ugl, levE2, agaC, manZ | PTS transporter | ns | 2.104, 2.576, 2.120, 2.016, 2.035 |
Spn_01193–97 | SP0645-48 | SPD0559-62 | ?, ?, gatC2, ?, lacZ | PTS transporter, B-galactosidase | ns | 5.451, 5.173, 5.105, 4.106, 4.517 |
Spn_01634–36 | SP1122-24 | SPD1006-08 | glgCDA | Glucose metabolism | 1.851,1.864,1.692 | 2.915, 2.755, 2.447 |
Spn_01728–31 | SP1190-93 | SPD1050-53 | lacD2B2A | Tagatose and galactose metabolism | ns | 2.391, 2.987, 3.101, 3.097, 3.212 |
Spn_02152–058 | SP1681-85 | SPD1493-97 | ycjP4, ugpA, yesO, ptsG, nanE, ugpC | N-acetylmannosamine ABC transporter | 2.042, 2.288, 1.825, 1.679, 1.546 | 3.042, 3.678, 3.496, 4.381, 4.044 |
Competence | ||||||
Spn_00260–61 | SP1980-81 | SPD1777-78 | cbf1, ? | ?, Competence-induced protein | ns | 1.599, 1.573 |
Spn_00601–02 | SP0042-43 | SPD0049-50 | comAB | CSP ABC transporter permease | 1.874, 2.152 | ns |
Other metabolism | ||||||
Spn_00115–16 | ?, SP1847 | ?, SPD1628 | xpt, ygfU | Putative xanthine ABC transporter | 3.416, 3.398 | 2.101, 2.423 |
Spn_00236–37 | SP1956-57 | SPD1754-55 | ?, ftsE | Unknown substrate ABC transporter | ns | 2.415, 2.086 |
Spn_00266–67 | SP1986-87 | SPD1783-84 | ?, macB | Unknown substrate ABC transporter | 2.024, 2.414 | ns |
Spn_00494_95 | SP2185-86 | SPD2012-13 | glpOK | Glycerol metabolism | ns | 2.567, 2.805 |
Spn_00640–41 | SP0090-91 | SPD0088-89 | ugpA, ycjP2 | Unknown substrate ABC transporter | ns | 1.517,1.620 |
Spn_00851–52 | SP0287-88 | SPD026768 | pbuO | Xanthine/uracil ABC transporter | 2.173, 2.580 | ns |
Spn_01495–96 | SP0957 | SPD0845 | kpsT | Unknown substrate ABC transporter | ns | 3.604, 3.964 |
Spn_01799–03 | SP1267-71 | SPD1123-27 | licC, ?, idnD, tarI | Teichoic acid synthesis | 2.442, 2.537, 2.269, 2.256 | ns |
Spn00965-75 | SP0417-27 | SPD0380-90 | Fab operon | Fatty acid synthesis | ns, ns, 3.283, 3.180, 3.206, 2.728, 2.863, 3.002, 3.067, 2.890, 2.931 | 1.711, 1.570, 3.043, 3.142, 3.142, 2.781, 3.022, 3.107, 3.194, 3.019, 3.066 |
Miscellaneous | ||||||
Spn_01780–81 | SP1247-48 | SPD1104-05 | ybjI, smc | Chromosome segregation, ribonuclease | ns | 1.772, 1.765 |
Unknown function | ||||||
Spn_00663,65, 67,69 | SP0115 | SPD0123, 0118 | – | Hypothetical proteins | ns | 2.447, 1.600, 1.585, 1.550 |
Spn_01232–34 | SP0684-86 | SPD0596 | – | Hypothetical proteins | ns | 2.998, 1.778, 2.791 |
Spn_01242–45 | SP0703-06 | SPD0610-13 | – | Hypothetical proteins | ns | 2.067, 2.262, 1.669, 1.830 |
Spn_02148–51 | SP1677-80 | SPD1490, 1492 | – | Hypothetical proteins | 2.395, 2.332, 2.358, 2.418 | 2.780, 2.777, 3.005, 3.350 |
Spn_02181–82 | SP1707-08 | – | – | Hypothetical proteins | ns | 2.502, 2.488 |
Purine/biotin/coenzyme A synthesis | ||||||
Spn_00603–12 | SP0044-54 | SPD0051-59 | purCLFMN, ?, purHDEK | Purine synthesis | 3.518, 3.857, 3.442, 3.320, 3.039, 2.049, 2.588, 2.265, 2.102, 2.640 | 1.877, 2.879, 2.601, 2.503, 2.099, 2.055, 1.900, 2.477, 1.877, 2.879 |
Spn_01765–67 | SP1230-31 | SPD1088-89 | coaB1B2, panT | Coenzyme A synthesis | 4.255, 4.067, 4.049 | ns |
Spn_01957–58 | SP1470-71 | SPD1300-01 | apbE, azr_1 | Thiamine biosynthesis, | ns | 1.524, 1.533 |
Bacteriocins/toxins | ||||||
Spn_00213–16 | SP1923-26 | SPD1726-29 | Ply, ?, ?, ?, ? | Pneumolysin, unknown | 3.128, 3.311, 2.926, 2.590 | 2.507, 2.647, 2.245, 2.077 |
Spn_01094–102 | SP0529-33 | SPD0471-72 | lcnD1D2, lagD2, blpA2, ?, blpIN | Bacteriocin operon | ns, ns, ns, 2.380, ns, 2.814, 2.800 | 2.024, 1.677, 2.202, 3.702, 3.391, 4.556, 4.650 |
Spn_01108–11 | SP0544-47 | SPD0473-75 | blpX, pncO, blpZ, ? | Bacteriocin operon | 1.917, 3.024, 2.397, 2.448 | 3.826, 4.701, 4.284, 3.871 |
BCAA, branch-chained amino.
ns, not statistically significant.
"?" and "–" represent genes that do not have a gene name.
Metabolomic analysis of ΔproABC and Δfhs
To further explore the role of ProABC and Fhs for S. pneumoniae metabolism and during growth in sera, a metabolomic analysis was performed for BHN418 and D39 wild-type, ΔproABC and Δfhs strains incubated in THY or sera. Initially, we assessed the stringent response by incubating bacteria with mupirocin and measuring levels of the alarmones pGpp, ppGpp, and pppGpp. In THY, both the BHN418 and D39 Δfhs had reduced levels of pGpp compared to wild type, indicating a potentially impaired stringent response (Fig. 7A and B). In contrast, the BHN418 ΔproABC (but not D39 ΔproABC) had increased levels of pGpp and ppGpp, indicating an exaggerated stringent response. Significant artifact effects on alarmone levels prevented measuring the stringent response in serum (data not shown). Unexpectedly, there were only small differences in intracellular concentrations of proline and other amino acids between the corresponding wild type and BHN418 or D39 ΔproABC and Δfhs cultured in serum (Fig. 7C and D; Fig. S6). Instead, BHN418 ∆proABC (but not the D39 ΔproABC) had higher concentrations of intracellular 2- and 3-phosphoglycerate and phosphoenolpyruvate (PEP) (Fig. 7E and F), compatible with impaired metabolism through the Krebs cycle or pentose phosphate pathway and with the RNAseq data, indicating that sugar metabolism was affected by loss of proABC. Intracellular phosphorylated uracil nucleotides involved in peptidoglycan synthesis were increased in both the BHN418 ∆proABC (UMP, UDP) and Δfhs (UDP) strains but not the D39 ∆proABC (Fig. 7G and H), indicating this metabolic effect could be affecting differences in serum growth and morphology phenotypes between BHN418 and D39 ∆proABC (Fig. 4 and 5). In sera, both the BHN418 ∆proABC and Δfhs had raised intracellular oxidized glutathione, indicating they were under increased oxidative stress (Fig. 7I). Lastly, compatible with upregulation of the fatty acid synthesis operon, there was a significant shift in fatty acid mix for BHN418 ∆proABC and Δfhs (Fig. 8) from a mixture of di-saturated and mono- and di-unsaturated phosphatidylglycerol (PtdGro) species with predominant peaks of 28, 30, 32, and 34 total carbons for wild type to mostly mono- and di-unsaturated PtdGro species with an increase in the 36 total carbon peaks and a decrease in 28, 30, and 32 total carbon peaks.
DISCUSSION
We have investigated S. pneumoniae fhs and proABC, which are predicted to be important for different key aspects of bacterial metabolism, and shown both the BHN418 Δfhs and ΔproABC 6B strains were severely attenuated in virulence in mouse models to a similar level as the unencapsulated mutant. In vitro characterization demonstrated poor growth of the BHN418 Δfhs and ΔproABC strains in serum or CSF, phenotypes that will largely prevent S. pneumoniae from causing septicemia or meningitis, respectively, thereby explaining the loss virulence. Culture under specific stress conditions identified the ΔproABC but not Δfhs had increased sensitivity to osmotic and oxidative stress. Furthermore, we demonstrated there were major differences between the ΔproABC and Δfhs strains in their RNAseq and metabolomics response to culture in serum, representing different defects in metabolic pathways relevant for growth in serum.
The amino acid proline can be synthesized from glutamate or acquired from the environment (58, 59). The BHN418 ∆proABC strain only grew in CDM (contains 0.1 mg/mL of proline) supplemented with 1 mg/mL proline, linking its growth defect to loss of proline synthesis and demonstrating a central role for proline synthesis for S. pneumoniae growth that can only be bypassed by high levels of environmental proline. S. pneumoniae has no known equivalent to the high-affinity proline transporters of Bacillus subtilis (opuE) (58, 59) or S. aureus (putP and proP) (60). Proline concentrations in human serum (0.002 mg/mL) are far lower than in CDM (61), explaining why the BHN418 ΔproABC mutant was unable to grow in serum or CSF without proline supplementation. Why proline supplementation with 0.1 mg/mL partially restored ΔproABC growth in serum, but not CDM, is not clear; possibly, serum and CSF provide some proline from peptide sources or have higher concentrations of other nutrients that compensate for loss of proline. As the metabolomic data are not quantitative, we cannot state what the concentration of intracellular proline was in S. pneumoniae. Unexpectedly, the metabolomic data demonstrated that intracellular proline levels were not reduced in ΔproABC; potentially, the intracellular proline pool was maintained by restricting proline use for biosynthesis and secondary metabolism, thereby creating significant metabolic stress. We reasoned that genes showing increased expression by ΔproABC in serum represent compensatory metabolic pathways activated in response to loss of proline availability and, therefore, the metabolic stress placed on the organism by loss of proABC. Unexpectedly, these pathways were dominated by carbohydrate rather than amino acid uptake and metabolism genes, results which were reinforced by the metabolomic data showing significant increases in glycolytic pathway intermediates in BHN418 ΔproABC. These results suggest that proline deficiency adversely affects S. pneumoniae carbohydrate metabolism during growth in serum or CSF. Proline availability could also affect S. pneumoniae growth via its role in osmoregulation (29, 62–65), and the ΔproABC mutant was indeed more sensitive to osmotic stress. In addition, loss of proline synthesis could impair synthesis of proline-rich virulence proteins, such as PspC and PspA (66, 67).
Although fhs was identified by S. pneumoniae virulence screens (24, 26) and is required for Streptococcus suis infection (68), the role of Fhs during infection seems to be under-appreciated. S. pneumoniae growth in serum or CSF was totally dependent on fhs, demonstrating a central role for one-carbon metabolism (37, 41) for S. pneumoniae metabolism under physiological conditions. Several metabolic roles have been identified for Fhs in other bacteria, including anaerobic growth (39), purine synthesis (36), and folate homeostasis (41). Exogenous purines partially restored ∆fhs growth in serum, and ∆fhs upregulated purine pathways in serum. In addition, both D39 and BHN418 ∆fhs strains had impaired formation of alarmones in response to mupirocin. These data suggest S. pneumoniae purine metabolism and the stringent response are both dependent on Fhs. In addition, the RNAseq and metabolomic data indicated S. pneumoniae Fhs has multiple metabolic roles during growth in serum, with loss of fhs resulting in increased oxidative stress and altered lipid metabolism. Furthermore, the accumulation of UDP, increased expression of beta-lactam resistance genes, and changes in bacterial morphology in Δfhs indicated potential effects on peptidoglycan synthesis. In combination, these effects severely impaired growth in sera or CSF and rendered the ∆fhs strain incapable of systemic virulence.
Despite the severe attenuation of the 6B Δfhs and ΔproABC strains during invasive infection, these strains were still able to persist in the nasopharynx, a phenotype we exploited to make live-attenuated S. pneumoniae vaccines (42, 43). Why the physiological conditions in the respiratory tract result in reduced dependence on proline synthesis and one-carbon metabolism for S. pneumoniae growth is not clear. This could reflect different carbohydrate sources, with the nasopharynx containing several alternative carbohydrates to glucose known to support S. pneumoniae growth (glucose) (69) or the more rapid replication by S. pneumoniae in blood (increasing from 0 CFU to approximately 104/mL within 24 hours). S. pneumoniae essential genes can be divided into universal, core-strain-specific, and accessory essential gene categories (37). fhs was described as a core-strain-specific essential gene, but we and others (24, 26) have shown fhs is non-essential for growth in rich media but essential for growth in blood, CSF, or CDM, further illustrating that gene essentiality is dependent on growth conditions. Unlike the BHN418 ΔproABC strain, the D39 ΔproABC strain could replicate in blood ex vivo and caused a reduced level of septicemia in the sepsis model, demonstrating that the ProABC role during S. pneumoniae invasive infection is strain dependent. The effects of ΔproABC mutation in BHN418 on carbohydrate metabolism and phosphorylated uracil nucleotides were largely absent in D39 ΔproABC, indicating these metabolic effects may underpin the differences in serum growth rates between these strains.
In conclusion, we have demonstrated that Fhs and therefore one-carbon metabolism have multiple effects on the metabolic pathways required for S. pneumoniae growth in human serum or CSF and therefore virulence, data that are potentially relevant for multiple other pathogens that contain Fhs. In addition, we have identified a strain-dependent role for proline biosynthesis for S. pneumoniae virulence, showing that bacterial virulence genes can be divided into universal and core-strain-specific categories reflecting differences between strains in their growth requirements under physiological conditions. These differences in metabolic function could also be one mechanism why different strains of S. pneumoniae (and other pathogens) vary in their virulence potential.
MATERIALS AND METHODS
Strains and growth conditions
Bacteria were cultured in Todd-Hewitt broth (Sigma) supplemented with 0.5% yeast extract (Sigma) in 5% CO2 at 37°C or in Columbia agar supplemented with 5% horse blood (CBA) (Oxoid). Bacteria were stored as 0.5 mL single-use aliquots in THY broth at −80°C with 15% glycerol (OD595 0.4–0.5). Plasmids and mutant strains were selected using spectinomycin (Spec) 150 µg/mL or kanamycin (Kan) 250 µg/mL. S. pneumoniae growth in THY, CDM, 100% human sera, or cerebrospinal fluid was determined using a TECAN Spark plate reader (5 × 106 CFU/well in 200 µL volume measuring OD595). Stress conditions were generated by adding up to 5 mM paraquat (oxidative stress, Sigma-Aldrich), 200 µM ethylene diamine di-o-hydroxyphenylacetic (cation restriction, EDDA), or NaCl (increased osmolarity). When required, media were supplemented with proline, oligopeptides (pro8x PPPPPPPP, AliAPro FNEMQPIVDRQPPPP, AliBPro AIQSEKARKHNPPPP) (54), or purines, adenine, and/or glycine.
Construction of mutant S. pneumoniae strains
Plasmids and primers are described in Table S1. Mutant strains were constructed by overlap extension PCR as described (70), replacing the target gene with Spec or Kan cassette (71–73). Gene deletions were confirmed by PCR and sequencing. Mutation stability was confirmed by multiples rounds of growth in THY without antibiotics then plating onto blood agar plates with and without antibiotics (data not shown). The Δfhs strain was complemented by ectopic insertion of fhs using the promoterless integrative plasmid pPEPY (gift from Jan-Willem Veening) (Addgene plasmid # 122633) (49).
Mouse infection models
Mouse infection experimental procedures were approved by the local ethical review process and performed according to UK national guidelines under the UK Home Office project license PPL70/6510. Outbred CD1 female mice (Charles River Breeders) 4–6 weeks old were infected with S. pneumoniae by intraperitoneal injection (5 × 106 CFU in 100 µL, sepsis model), or by intranasal inoculation under isoflurane anesthesia for the pneumonia (1 × 107 CFU bacteria in 50 µL) or nasopharyngeal colonization (1 × 107 CFU bacteria in 10 µL) models. Target organs (nasal washes, lung and spleen homogenates, or blood) were recovered at pre-specified time points, and CFU concentrations calculated by plating serial dilutions onto blood agar plates (14, 74).
Microscopy
Bacterial cultures grown to OD595 0.2–0.3 were incubated with 1/500 dilution of serotype 6 antiserum (Statens Serum Institute, Denmark), then 1/500 dilution of an anti-rabbit Alexa Fluor 546 antibody (Abcam, UK) (75), and 1/10,000 dilution of DAPI (Biolegend, San Diego, CA, USA). For light microscopy, strain stocks grown in BHI were resuspended in 100% human serum or BHI and cultured for 3 hours, washed, and viewed using a compact confocal laser scanning microscope Zeiss LSM 800 with a 100× objective.
Flow cytometry C3b, IgG, and phosphocholine binding and neutrophil killing assays
Binding of complement C3b/iC3b or IgG in human sera to live S. pneumoniae was detected by flow cytometry as previously described (76). Killing assays using fresh human neutrophils at an MOI of 1:100 and 25% baby rabbit complement (BioRad) were performed as previously described (70), using plating onto blood agar plates to calculate surviving CFU.
Serum and CSF sources
Human serum from healthy volunteers unvaccinated against S. pneumoniae was obtained after obtaining informed consent according to institutional guidelines and stored as single-use aliquots at −80°C. CSF obtained from normal pressure hydrocephalus patients was a kind gift from Diederik van de Beek at UMC, The Netherlands.
Genome and RNA methods
SP_0931, SP_0932, SP_0933, and SP_1229 conservation among 20,924 pneumococcal genomes in the GPS database was detected using Abricate (version 0.8), using bowite2 version 2.5.3 to calculate coverage (defined as ≥80% identity to the reference genes). For RNAseq, triplicate S. pneumoniae OD595 of 0.4–0.5 THY cultures was centrifuged and resuspended in 100% fresh human sera or THY for 60 min, before centrifugation and resuspension in RNAprotect (Qiagen). RNA was extracted using Mirvana RNA Kit (Applied biosystems) with an additional lysis step using vigorous shaking with 0.1 mm glass beads (MP Biomedicals), then treated with Turbo DNAse (Applied biosystems). Ribosomal RNA was removed using MICROBExpress (Thermo scientific), and 100 ng was used to construct libraries using the KAPA RNA HyperPrep Kit (Roche Diagnostics, eight amplification cycles), which were single-end sequenced using the NextSeq 500 desktop sequencer (Illumina) and a 75-cycle High-Output Kit (UCL Pathogen Genomics Unit). Raw FASTQ reads were checked by FastQC v0.11.5, Babraham Bioinformatics, UK (77), visualized using multiQC v1.9 (78), trimmed using Trimmomatic v0.39 (79), checked by FastQC and multiQC before mapping to the KEGG annotated S. pneumoniae serotype 6B genome sequence (670-6B, accession: CP002176.1) using bowtie2 v2.4.4 with default settings (80). Conversion into BAM files was performed using SAMtools (81). Mapped reads were visualized in the Integrated Genome Browser (82). FeatureCounts v2.0.0 summarized read counts for each annotated feature in multimapping mode (-M) (83). The generated count matrix was imported into R-studio (R v3.4.2), normalized, and differential gene expression analyzed using DESeq2 (84) using log-transformed data for heatmaps and clustering. Differential gene expression was performed on raw counts, using a log2 fold change >1.5 and false discovery rate of <0.05 to categorize differentially expressed genes. KEGG pathway enrichment and module analysis were performed in R studio using clusterProfiler (85).
Lipid mass spectrometry and metabolomics analyses
Strains were grown in THY to an OD620 0.5, centrifuged, and washed twice with PBS before resuspension in human serum at 37°C for 1 hour. Mass spectrometry was performed as described previously (86, 87), with the lipids extracted from washed cells using the Bligh and Dyer method, resuspended in chloroform:methanol (1:1). PtdGro were analyzed using a Shimadzu Prominence Ultra-Fast Liquid Chromatograph (UFLC) attached to a QTrap 4500 operated in the Q1 negative mode and equipped with a Turbo V ion source (Sciex). Samples were injected onto an Acquity UPLC BEH HILIC, 1.7 µm, 2.1 × 150 mm column (Waters) at 45°C with a flow rate of 0.2 mL/min. Solvent A was acetonitrile, and solvent B was 15 mM ammonium formate. The HPLC program was starting solvent mixture 96% A/4% B, 0–2-min isocratic with 4% B; 2–20-min linear gradient to 80% B; 20–23-min isocratic with 80% B; 23–25-min linear gradient to 4% B; 25–30-min isocratic with 4% B. Ion source parameters were ion spray voltage, −4,500 V; curtain gas, 25 psi; temperature, 350°C; ion source gas 1, 40 psi; ion source gas 2, 60 psi; and declustering potential, −40 V. The system was controlled, and data analyzed by the Analyst software (Sciex). For metabolomic analyses, cell pellets were resuspended in 80% methanol containing 0.5 µM warfarin, incubated at −80°C for 1 hour, centrifuged, and the supernatant removed to a new glass tube and dried overnight using a Savant SP1010 SpeedVac. Metabolites were resuspended in 80% methanol and analyzed using UFLC as described above. Samples were injected into an XSelect HSS C18column (2.5 µm pore size, 3.0 by 150 mm) using a flow rate of 0.3 mL/min. Solvent A contained 100 mM ammonium formate (pH 5.0), 2% acetonitrile, and 0.1% t-butanol. Solvent B was composed of 95% acetonitrile, 50 mM ammonium formate (pH 6.3), and 0.1% t-butanol. The HPLC program was starting solvent mixture 0% solvent B, 0–2-min isocratic with 0% solvent B; 2–12-min linear gradient to 5% solvent B; 12–17-min linear gradient to 90% solvent B; 17–25-min isocratic with 90% solvent B; 25–27-min linear gradient to 0% solvent B; 27–30-min isocratic with 0% solvent B. The Sciex QTrap 4500 system was operated in positive (ion spray voltage, 5,500 V; curtain gas pressure, 20 psi; temperature, 400°C; collision gas setting, high; ion source gas 1 pressure, 25 psi; ion source gas 2 pressure, 40 psi) or negative (ion spray voltage 4,500 V; curtain gas pressure, 40 psi; temperature, 500°C; collision gas setting, high; ion source gas 1 pressure, 50 psi; ion source gas two pressure, 50 psi) mode, depending on the metabolite analyzed. The system was controlled by the Analyst software and analyzed with MultiQuant 3.0.2 software (Sciex, Inc.). Metabolites were quantified as normalized abundance to warfarin.
Statistical analysis
Statistical analyses were performed using GraphPad Prism 8 (GraphPad Software, La Jolla, CA, USA) or R (R v3.4.2). Quantitative results are expressed as median and interquartile range for animal experiments and analyzed using the Kruskal-Wallis non-parametric test. Dunn’s multiple comparisons test was used for post hoc analysis. P‐values <0.05 (95% confidence) were considered statistically significant.
ACKNOWLEDGMENTS
The authors would like to thank the Pathogens Genomic Unit, an initiative established by grants from the Medical Research Council and the UCL/UCLH, for carrying the RNA sequencing.
This work was supported by MRC grants R/N02687X/1 and MR/R001871/1 and undertaken at UCLH/UCL, who receive funding from the Department of Health’s NIHR Biomedical Research Centre’s funding scheme.
Contributor Information
Elisa Ramos-Sevillano, Email: e.ramos-sevillano@ucl.ac.uk.
Jeremy S. Brown, Email: jeremy.brown@ucl.ac.uk.
Justin A. Thornton, Mississippi State University, Mississippi State, Mississippi, USA
DATA AVAILABILITY
Raw RNAseq data have been deposited in the ArrayExpress database at EMBL-EBI (www.ebi.ac.uk/arrayexpress), under accession number E-MTAB-13289. Raw metabolomics data for the three analyzed strains are available in Data Sets S1 to S3.
SUPPLEMENTAL MATERIAL
The following material is available online at https://doi.org/10.1128/mbio.01758-24.
ASM does not own the copyrights to Supplemental Material that may be linked to, or accessed through, an article. The authors have granted ASM a non-exclusive, world-wide license to publish the Supplemental Material files. Please contact the corresponding author directly for reuse.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Raw RNAseq data have been deposited in the ArrayExpress database at EMBL-EBI (www.ebi.ac.uk/arrayexpress), under accession number E-MTAB-13289. Raw metabolomics data for the three analyzed strains are available in Data Sets S1 to S3.