Abstract
Shigella flexneri is a leading cause of diarrheal disease worldwide, yet bacterial factors required within distinct host niches remain poorly understood. Here, we used genome-wide transposon sequencing in an infant rabbit model of shigellosis to identify genes promoting bacterial fitness in vivo. The screen identified virulence factors on the large virulence plasmid and novel chromosomal fitness factors. Characterization of zitB, encoding a cation diffusion facilitator family Zn transporter, revealed a niche-specific fitness contribution. The ΔzitB mutant showed no growth defect in vitro in rich media or in vivo during the early infection phase (8 hpi) in epithelial cells. However, bacterial burden was reduced during the late infection phase (24 hpi) in vivo, when bacteria interact with immune cells, in both competitive and mono-infection assays. Reduced bacterial burden was associated with increased MARCO-specific macrophages, suggesting impaired colonization and killing by the ΔzitB mutant. Consistently, ΔzitB fitness was impaired in THP-1-derived macrophages. Metal chelation increased bacterial burden, indicating a role for macrophage-mediated metal toxicity. The ΔzitB mutant also showed increased sensitivity to zinc and copper. Finally, macrophage depletion in vivo restored bacterial burden to wild-type levels. Together, these findings identify ZitB as a niche-specific bacterial factor promoting S. flexneri fitness during macrophage-associated metal stress.
Introduction
For decades, shigellosis, an infection of the intestinal tract caused by Shigella spp., has remained a leading cause of diarrheal disease and mortality worldwide in children younger than 5 years1,2. Shigellosis disproportionately burdens low-income and mid-income countries where water quality and sanitation are poor are poor3, while in high-income countries, infection is typically associated with travel to high-risk regions and sporadic foodborne outbreaks4. Shigella flexneri and Shigella sonnei are the two most common etiologic agents of shigellosis3. S. flexneri has an extremely low infectious dose (~100 cells) required for transmission5 via person-to-person contact. Antibiotics are the standard treatment for S. flexneri infection. In recent years, however, antimicrobial resistance has continued to rise, including the emergence of multidrug-resistant strains, underscoring the need for a better understanding of its pathogenesis6–8.
Foundational studies in non-human primates demonstrated that S. flexneri infection is marked by invasion of the intestinal epithelium, resulting in acute colitis in the mucosa and hemorrhage in the colon9. Subsequent seminal studies in tissue cultures defined a detailed framework for how S. flexneri invades epithelial cells and spreads from cell to cell10–13. Notably, the type III secretion system (T3SS), encoded by the large “invasion plasmid” (pINV)14, plays a critical role in pathogenesis, including manipulation of the host cellular processes to achieve actin-based motility and cell-to-cell spread15,16, modulation of signaling pathways such as inhibition of NF-κB activation, and suppression of innate immune responses including the induction of macrophage cell death17,18.
Despite numerous advances, after decades of efforts, there are still no effective small molecule drugs or licensed vaccines against Shigella. The lack of a reliable in vivo model was one of the major hindrances. Historically, animal models have been limited in their ability to recapitulate the full spectrum of shigellosis. Mice do not naturally develop diarrhea or ulcerative colitis19,20, and the Sereny test in the guinea pig’s eye assesses only localized inflammation at a non-physiological site21. Recently, work conducted in an Nlrc4−/− mouse model revealed that disruption of the NAIP–NLRC4 inflammasome confers susceptibility22. Concurrently, infant rabbit models of shigellosis that are naturally susceptible to S. flexneri infection were developed23,24. These new models recapitulate key features of human shigellosis, including bloody diarrhea, mucosal ulceration, and immune cell infiltration, and thus provide systems in which the broader course of S. flexneri infection can be studied. Notably, in the infant rabbit model, shigellosis consist in a two-stage disease whereby bacteria first invade epithelial cells and spread from cell to cell. This early phase of infection (8 hpi) leads to epithelial fenestration and vascular lesions. During the late phase of infection (24 hpi), bacteria gain access to the lamina propria where they encounter immune cells, including neutrophils and macrophages25. S. flexneri must adapt to this challenging environment and the need for specific S. flexneri fitness factors might arise.
Genome-wide approaches such as transposon insertion sequencing (Tn-seq)26,27 allow systematic identification of bacterial genes that contribute to virulence and fitness under defined conditions28–32. To our knowledge, Tn-seq has not been applied to a model that recapitulates the full pathological features of shigellosis. Here, we applied high-density Tn-seq to an established infant rabbit model to identify bacterial factors required for S. flexneri infection in vivo. The screen identified canonical plasmid-encoded virulence genes associated with epithelial invasion, cell-to-cell spread, and immune evasion, while also revealing chromosomal genes with roles that could not be detected in epithelial cell assays. A mutant lacking one such chromosomal gene, zitB, encoding a Zn efflux transporter, showed no detectable phenotype in epithelial cell infection but was attenuated in vivo, prompting further investigation into its function in interactions with innate immune responses. These findings provide a foundation for understanding bacterial requirements at specific stages of shigellosis and highlight zinc efflux as a previously underappreciated survival strategy employed by S. flexneri in vivo.
Results
Tn-seq in the infant rabbit model of shigellosis identifies plasmid-encoded and chromosomal virulence and fitness factors
To identify bacterial factors required for shigellosis in vivo, we constructed a high-density transposon insertion library and performed Tn-seq using the infant rabbit model23. The library contained approximately 230,000 unique insertion sites, corresponding to an average density of approximately one insertion every 21 bp. Output populations recovered from four independently infected rabbits were compared with the input library. Analysis of the input library predicted 546 essential chromosomal genes and no essential genes on the invasion plasmid (pINV) (Supplementary Data 1), largely consistent with a previous Tn-seq analysis of S. flexneri 2457T that identified 481 ORFs required for robust growth in rich medium30. Complete processed input and output values and statistical results are provided in Supplementary Data 2.
The screen identified 47 pINV-encoded genes for which transposon insertions were significantly depleted in the output relative to the input library (Fig. 1a and Supplementary Data 1). These include spa and mxi structural genes encoding the type III secretion system (T3SS) within the pINV entry region14,33 as well as genes located outside this region, including virulence regulators virF and virB; and icsA required for cell-to-cell spread12,34. Of note, 33 of the 37 genes within the entry region were confirmed hits in the Tn-seq, highlighting the importance of this pathogenicity island (Fig. 1c). Because two entry region genes orf131a and orf131b35 were not annotated as features in the pINV reference annotation used for the automated workflow, these two open reading frames (ORFs) were analyzed separately and included manually in the entry-region analysis. Although found within the entry region defined by low GC-content, orf131a and orf131b located on the high-coordinate end, together with ipaJ and acp on the low-coordinate end were not identified as significant hits (Supplementary Fig. 1 and Supplementary Data 2).
Fig. 1: Tn-seq analysis identifies S. flexneri virulence and fitness factors encoded on pINV and the chromosome.

a–b Volcano plots showing the relationship between log2 mean output/input ratio (fold change) and −log10 Holm-adjusted P value for pINV genes (a) and chromosomal genes (b) identified in the Tn-seq screen. For each gene, output/input ratios were calculated for four independently infected rabbits (n = 4). Selected genes are labeled. In a, genes within the pINV entry region are highlighted in blue. Genes with mean output/input ratios below 1/3 or above 3 were tested against a null ratio of 1 using one-sample, one-tailed t-tests, followed by Holm correction for multiple comparisons. Vertical dashed lines indicate ratio cutoffs of 1/3 and 3, and the horizontal dashed line indicates an adjusted P value of 0.05. c Gene map of the pINV entry region on plasmid NC_004851.1, with genomic coordinates shown. Genes are colored according to the output/input ratio (fold change) categories indicated. d COG functional-category assignments of significant chromosomal hits, colored by broad functional group. Genes assigned to multiple COG categories were counted in each applicable category.
In addition to pINV-encoded genes, the screen identified 110 chromosomal genes that showed statistically significant reductions in output abundance relative to the input (Fig. 1b and Supplementary Data 1). Clusters of Orthologous Genes (COG) annotation designated these genes across diverse cellular functions, with the largest categories comprising cell wall, membrane and envelope biogenesis; proteins of unknown function; translation and ribosome structure and biogenesis; and post-translational modification, protein turnover and chaperones (Fig. 1d). To examine functional associations among the chromosomal hits, we analyzed the corresponding proteins using the Search Tool for the Retrieval of Interacting Genes/Proteins (STRING). STRING recognized 109 of the 110 submitted proteins. After disconnected proteins were omitted, 59 proteins formed a network of 64 functional associations. The Markov cluster algorithm (MCL) grouped the 59 proteins into 20 non-overlapping clusters based on network connectivity. These included clusters associated with lipopolysaccharide biosynthesis (waaI, waaY, waaQ, waaP, waaL, waaJ, and waaD), outer-membrane lipid homeostasis (vacJ, vpsA, vpsB, vpsC, and yrbC), sulfur metabolism (cysC, cysJ, cysQ, and cysH), stress responses and protein quality control (dnaJ, lon, hslU, and hslV), homologous recombination (ybaB, recR, ruvA, and recF), and cell division (minC, minD, and minE) (Supplementary Fig. 2 and Supplementary Data 3).
Disruption of selected Tn-seq candidate genes differentially affects epithelial cell-to-cell spread
Cell-to-cell spread is a central step in S. flexneri pathogenesis and is known to depend on pINV-encoded genes34,36,37, many of which were also identified as significant hits in our Tn-seq screen, such as ipgB1, ipgD, and icsA (Fig. 1a). To explore whether chromosomal genes could likewise influence this process, we examined bacterial dissemination in HT-29 cell monolayers using selected chromosomal candidates representing diverse functions: cpxR, a regulator of virF expression38; amiA and waaY, involved in peptidoglycan remodeling and lipopolysaccharide core phosphorylation, respectively39,40; zitB, encoding a zinc exporter41; hslV, encoding the protease component of the HslUV complex42; and hha, encoding an H-NS-interacting transcriptional modulator43. All six genes had mean output/input ratios below 0.33 (i.e. log2 fold change < −1.585); cpxR, amiA, zitB, hslV, and waaY were significantly depleted after correction for multiple comparisons, whereas hha did not meet the significance threshold (Holm-adjusted P = 0.067). The mutants for all six genes showed similar growth kinetics to WT in lysogeny broth (LB), although ΔcpxR and Δhha showed modest but statistically significant reductions in area under the curve (AUC) of growth curves (Supplementary Fig. 4a–b).
In HT-29 cells, ΔcpxR, as expected of a virF regulator, produced no detectable foci (Fig. 2a, c and Supplementary Fig. 3b). ΔamiA formed significantly smaller foci than WT, with a mean focus area of 3371 px2 versus 4187 px2 for WT, corresponding to an approximately 20% reduction (Fig. 2a, c). Elongated bacterial structures were observed within ΔamiA foci, suggestive of cell chaining (Fig. 2b). Δhha also showed a significant but more modest reduction in focus area (Fig. 2c and Supplementary Fig. 3a–b). By contrast, ΔzitB, ΔhslV, and ΔwaaY showed no detectable differences in focus area compared to WT (Fig. 2a, c and Supplementary Fig. 3a–b). Thus, disruption of the selected chromosomal candidates resulted in phenotypes ranging from complete loss of focus formation in ΔcpxR, to partial defects in ΔamiA and Δhha, to no detectable phenotype in ΔzitB, ΔhslV, and ΔwaaY.
Fig. 2: Assessment of selected Tn-seq candidate mutants during HT-29 cell-to-cell spread.

a Representative images of infection foci formed by WT and the indicated mutants in HT-29 cell monolayers at 8 hpi. S. flexneri is shown in white in the single-channel images and green in the merged images; nuclei are shown in blue. b Additional representative image of ΔamiA infection foci. Arrows indicate elongated bacterial structures suggestive of cell chaining. a–b Scale bars, 50 μm. c Quantification of mean focus area for WT and the indicated mutants. Each dot represents one independent experiment (n = 3). Boxes show the median and interquartile range (IQR); whiskers extend to the smallest and largest observations within 1.5 × IQR of the lower and upper quartiles, respectively. ΔcpxR produced no detectable foci. Statistical analysis was performed using linear regression followed by Dunnett-adjusted comparisons with WT. **P < 0.01; ****P < 0.0001; ns, not significant.
zitB is a fitness factor for sustained bacterial burden in vivo
Although ΔzitB, ΔhslV, and ΔwaaY were identified as hits in the screen, none showed a detectable defect in cell-to-cell spread in HT-29 cells, suggesting that they may contribute to infection through mechanisms independent of dissemination. Given the role of ZitB in zinc efflux44,45, we prioritized zitB for further study as a candidate fitness factor that may be specifically required in vivo. To validate the competitive defect identified by Tn-seq using an independent readout, we performed 1:1 competitive infection with WT and ΔzitB in infant rabbits. WT and ΔzitB showed comparable growth in tryptic soy broth (TSB), the medium used for infection inoculum preparation, with no significant difference in growth as assessed by AUC (Supplementary Fig. 4c–d). At 24 hpi, ΔzitB was outcompeted by WT, with a competitive index of 0.156, corresponding to an approximately 6.4-fold competitive disadvantage relative to WT (Fig. 3a).
Fig. 3: ZitB promotes sustained S. flexneri burden during infant rabbit infection.

a Log10 competitive index of ΔzitB relative to WT at 24 hpi following 1:1 mixed infection. Each dot represents one rabbit (n = 9); the dashed line indicates a neutral competitive index. The mean log10 competitive index was compared with 0 using a linear model. b Representative images of colonic tissue from rabbits infected with WT or ΔzitB at 8 hpi. c Representative images of colonic tissue from rabbits infected with WT, ΔzitB, or ΔzitB-comp at 24 hpi. In b–c, S. flexneri is shown in red, E-cadherin in green, and white lines delineate the boundary between the mucosa and submucosa. Scale bars, 100 μm. d Quantification of bacterial burden at 8 hpi. Each dot represents the model-predicted mean for one rabbit (n = 6 per strain). e Quantification of bacterial burden at 24 hpi. Each dot represents the model-predicted mean for one rabbit (WT, n = 9; ΔzitB, n = 8; ΔzitB-comp, n = 5). For d–e, data were analyzed using linear mixed-effects models with strain as a fixed effect and rabbit as a random intercept. Pairwise comparisons in e were Tukey-adjusted. In a, d, and e, boxes show the median and IQR; whiskers extend to the smallest and largest observations within 1.5 × IQR of the lower and upper quartiles, respectively. **P < 0.01; ***P < 0.001; ns, not significant.
Because competitive index does not necessarily match bacterial burden difference during mono-infection, we next examined WT and ΔzitB in mono-infected infant rabbits. To determine when the ΔzitB defect emerged, colon tissues were analyzed at 8 and 24 hpi by S. flexneri immunostaining and imaging-based quantification of tissue-associated bacterial burden (Supplementary Fig. 5). At 8 hpi, bacterial signal in tissues infected with WT or ΔzitB was largely associated with E-cadherin-positive epithelial cells near the luminal surface of the mucosa (Fig. 3b). ΔzitB exhibited bacterial burden comparable to that of WT (Fig. 3d), consistent with its preserved epithelial dissemination phenotype in HT-29 cells (Fig. 2a, c). By 24 hpi, bacterial signal was more broadly distributed throughout the mucosa, including within E-cadherin-negative regions (Fig. 3c); ΔzitB exhibited decreased bacterial burden compared with WT, with estimated marginal means of 437 and 927, respectively (Fig. 3e). To determine whether this defect resulted from the loss of zitB, we complemented ΔzitB in trans with zitB expressed under its native promoter, hereafter referred to as ΔzitB-comp. Complementation restored bacterial burden to levels comparable to WT: the estimated marginal mean for ΔzitB-comp was 1248, significantly higher than that of ΔzitB and not significantly different from WT (Fig. 3d, e).
Despite its lower bacterial burden at 24 hpi, infection with ΔzitB did not show detectable attenuation of overall pathology. Infant rabbits infected with WT or ΔzitB showed similar diarrhea and blood scores at both 8 and 24 hpi (Supplementary Fig. 6a, b, e, f). Histopathological analysis revealed progressive tissue pathology in both WT and ΔzitB infected rabbits: At 8 hpi, infection by both strains produced sporadic epithelial fenestration and focal hemorrhagic lesions within the mucosa. By 24 hpi, epithelial fenestration was widespread in both WT and ΔzitB infected tissues, accompanied by more prominent hemorrhage (Supplementary Fig. 6c, d, g, h). Quantification of epithelial fenestration showed no significant difference between the two strains at 24 hpi (Supplementary Fig. 6i). The preservation of epithelial fenestration in ΔzitB-infected tissues is consistent with its efficient epithelial dissemination in HT-29 cells (Fig. 2c) and bacterial burden comparable to WT at 8 hpi (Fig. 3d). Together, these findings indicate that zitB is not required during the initial epithelial phase of infection but is required to sustain bacterial burden during later infection.
ΔzitB infection is associated with higher MARCO signal in vivo
The delayed emergence of the ΔzitB fitness defect suggested that ZitB might support bacterial fitness during interactions with host immune cells. To investigate the immune responses in step with the emergence of the ΔzitB burden defect, we examined neutrophil and macrophage responses at both 8 and 24 hpi using RNA in situ hybridization (RNAscope) and the imaging-analysis workflow described in Supplementary Fig. 5.
Neutrophils are major innate immune cells recruited during Shigella infection46. To assess neutrophil responses, we quantified LCN2, which is tightly associated with neutrophils during acute infection25,47. At 8 hpi, when bacterial burdens were comparable between WT and ΔzitB, normalized mucosal LCN2 signal did not differ between the two groups (Supplementary Fig. 7a). At 24 hpi, both WT and ΔzitB infections elicited robust LCN2 signal. In both strains, the mucosa accounted for more than 80% of the estimated compartmental distribution of LCN2-positive signal, with approximately 10% in the submucosa and less than 5% in the muscle (Fig. 4c). Normalized LCN2 signal in the mucosa, submucosa and muscle did not differ significantly between rabbits infected with WT or ΔzitB (Fig. 4a–b and Supplementary Fig. 7c–d).
Fig. 4: WT and ΔzitB infections exhibit differential mucosal MARCO signal in vivo.

a Representative images of colonic tissue from rabbits infected with WT or ΔzitB at 24 hpi showing LCN2 and E-cadherin. b Quantification of normalized mucosal LCN2-positive area. Each dot represents the model-predicted mean for one rabbit (WT, n = 9; ΔzitB, n = 8). c Estimated compartmental distribution of LCN2-positive area among the mucosa, submucosa, and muscle. d Representative images of colonic tissue from rabbits infected with WT, ΔzitB, or ΔzitB-comp at 24 hpi showing MARCO and E-cadherin. e Quantification of normalized mucosal MARCO-positive area. Each dot represents the model-predicted mean for one rabbit (WT, n = 9; ΔzitB, n = 8; ΔzitB-comp, n = 5). f Estimated compartmental distribution of MARCO-positive area among the mucosa, submucosa, and muscle. In a and d, LCN2 or MARCO is shown in blue, E-cadherin in green, and white lines delineate the boundary between the mucosa and submucosa. Scale bars, 100 μm. For b and e, data were analyzed using linear mixed-effects models with strain as a fixed effect and rabbit as a random intercept. Pairwise comparisons in e were Tukey-adjusted. Boxes show the median and IQR; whiskers extend to the smallest and largest observations within 1.5 × IQR of the lower and upper quartiles, respectively. **P < 0.01; ns, not significant.
We next examined macrophage-associated responses in infected colons. Previous work showed that MARCO is a specific representative marker of the macrophage population25. MARCO is a macrophage-expressed class A scavenger receptor that contributes to pathogen recognition and opsonin-independent phagocytosis of bacteria48,49. At 8 hpi, normalized mucosal MARCO did not differ between WT and ΔzitB infections. At 24 hpi, however, normalized mucosal MARCO signal was higher in tissues infected with ΔzitB than in those infected with WT, with estimated marginal means of 150.1 and 29.8, respectively. Complementation of ΔzitB reduced MARCO signal toward WT levels, with ΔzitB-comp exhibiting an estimated marginal mean of 41.8. While the comparison between ΔzitB and ΔzitB-comp did not reach statistical significance (Tukey-adjusted P = 0.086), ΔzitB-comp was not significantly different from WT (Fig. 4d–e). Normalized MARCO signal was also higher during ΔzitB infection in the submucosa and muscle compared to WT, whereas ΔzitB-comp did not differ significantly from WT or ΔzitB in either compartment (Supplementary Fig. 7e–f). In all three strains, MARCO signal was localized primarily to the mucosa, which accounted for approximately 70% of its estimated compartmental distribution; the submucosa and muscle accounted for more than 15% and 10%, respectively (Fig. 4f). Together, these data show that LCN2- and MARCO-associated signals were concentrated primarily in the mucosa. While WT and ΔzitB elicited comparable LCN2 responses, ΔzitB infection was associated with higher mucosal MARCO signal, suggesting a differential interaction with macrophages.
ZitB supports survival in macrophages and resistance to zinc and copper stress
Next, we asked whether loss of zitB altered the direct interaction of S. flexneri with macrophages. THP-1-derived macrophages were infected with WT, ΔzitB or ΔzitB-comp, and bacterial CFU were quantified at 2 and 4 hpi. Fewer CFU were recovered from ΔzitB than from WT at both time points (Supplementary Fig. 8g). Because CFU recovery varied among experimental batches, values were normalized to WT within the corresponding batch. Following normalization, ΔzitB CFU recovery was significantly lower than WT at both 2 and 4 hpi, whereas ΔzitB-comp did not differ significantly from WT (Fig. 5a). These findings indicate that ZitB may promote bacterial survival during macrophage infection.
Fig. 5: ZitB promotes S. flexneri survival in THP-1-derived macrophages.

a THP-1-derived macrophages were infected with WT, ΔzitB, or ΔzitB-comp, and CFU were recovered at 2 and 4 hpi. ΔzitB and ΔzitB-comp values were expressed as percentages of the batch-matched WT value. Each dot represents one independent infection. At 2 and 4 hpi, respectively, n = 8 and 9 for WT, 6 and 7 for ΔzitB, and 3 and 4 for ΔzitB-comp. The dashed line indicates the WT reference value of 100%. b The assay in a was repeated with 10 μM TPEN added at the start of infection; CFU were recovered and normalized to batch-matched WT as in a. At 2 and 4 hpi, respectively, n = 3 and 4 for WT, 3 and 4 for ΔzitB, and 3 and 3 for ΔzitB-comp. c Representative images of macrophages infected with WT or ΔzitB at 4 hpi. SF denotes S. flexneri. Nuclei are shown in blue, total SF detected by anti-Shigella immunostaining in green, and CFP+ SF in red. Scale bars, 100 μm. d–e Frequency of CFP-expressing (CFP+) S. flexneri detection at 2 hpi (d) and 4 hpi (e). Each dot represents one independent infection (n = 4 per strain). f–g Cytotoxicity following infection with WT, ΔzitB, or ΔzitB-comp without (f) or with 10 μM TPEN (g), measured by LDH release at 2 and 4 hpi. Each dot represents one independent infection (n = 6 in f and n = 3 in g per strain at each time point). Cytotoxicity was calculated relative to spontaneous and maximum-release controls. For a–b and f–g, data were analyzed separately by time point and TPEN condition using linear models followed by Tukey-adjusted pairwise comparisons of estimated marginal means; only comparisons with WT are shown in a–b. For d–e, strains were compared separately at each time point using linear models. For a–b and d–g, boxes show the median and IQR; whiskers extend to the smallest and largest observations within 1.5 × IQR of the lower and upper quartiles, respectively. *P < 0.05; **P < 0.01; ****P < 0.0001; ns, not significant.
Because ZitB is a predicted zinc exporter and disruption of bacterial zinc efflux can increase susceptibility to zinc intoxication44,45,50,51, we next examined the growth of WT, ΔzitB, and ΔzitB-comp under defined metal conditions. All three strains reached comparable endpoint CFU in M9 medium with no added metal (Supplementary Fig. 8a). Addition of 25 μM Zn2+ reduced ΔzitB CFU compared to WT, and complementation restored CFU to levels comparable to WT (Supplementary Fig. 8b). This difference was no longer detected when the chelator N,N,N′,N′-Tetrakis(2-pyridylmethyl)ethylenediamine (TPEN) was added together with Zn2+ in equimolar amounts (Supplementary Fig. 8c). Because cation diffusion facilitator (CDF)-family transporters may exhibit broad specificity for divalent metals52, we also examined susceptibility to other transition metals. ΔzitB growth was also impaired in M9 supplemented with 25 μM Cu2+, and this phenotype was also restored by complementation (Supplementary Fig. 8d). By contrast, WT and ΔzitB showed comparable growth following supplementation with Fe2+ or Mn2+ (Supplementary Fig. 8e–f). Thus, loss of zitB increased susceptibility to zinc and copper stress under minimal medium conditions.
Because macrophages can deploy transition metals, including zinc and copper, as antimicrobial agents53,54, we then tested whether metal chelation altered the ΔzitB phenotype in THP-1 macrophages. In the presence of TPEN, the normalized CFU recovered for ΔzitB and ΔzitB-comp did not differ significantly from WT at either 2 or 4 hpi (Fig. 5b and Supplementary Fig. 8h), suggesting that TPEN-chelatable transition metals, including zinc and copper, contribute to the ΔzitB phenotype in THP-1-derived macrophages.
Because CFP fluorescence delineated intact rod-shaped bacteria and was used as an indicator of active bacteria in previous studies37,55, we used CFP positivity as a proxy for viable bacteria, and anti-S. flexneri immunostaining for the total Shigella population to measure an imaging-based readout complementary to CFU recovery. At 2 hpi, the frequency of infected macrophages containing CFP-positive viable bacteria was comparable between WT and ΔzitB. At 4 hpi, this frequency was lower for ΔzitB than for WT (Fig. 5c–e). The reduced occurrence of viable ΔzitB was consistent with reduced fitness of ΔzitB during macrophage infection.
Finally, we tested whether reduced ΔzitB recovery was accompanied by altered macrophage cytotoxicity. Lactate dehydrogenase (LDH) release did not differ significantly among macrophages infected with WT, ΔzitB, or ΔzitB-comp at either 2 or 4 hpi, with or without TPEN treatment (Fig. 5f–g). Together, these findings indicate that ZitB supports S. flexneri survival within THP-1-derived macrophages and implicate chelatable transition metals in macrophage-associated ΔzitB fitness defect.
Macrophage depletion abrogates the ΔzitB bacterial burden defect in vivo
We next asked whether macrophages contribute to the impaired ΔzitB fitness in vivo. Given the reduced ΔzitB survival within THP-1-derived macrophages and the inversely related bacterial burden and mucosal MARCO differences between WT and ΔzitB in infant rabbits, we hypothesized that macrophage depletion would rescue the zitB fitness defect and abrogate the difference in bacterial burden in vivo. To test this hypothesis, infant rabbits were treated with clodronate liposomes prior to infection, which are taken up by phagocytic cells and are widely used for depleting macrophages in vivo56. Rabbits treated with control liposomes were analyzed in parallel. In the control group, as previously shown in the absence of liposomes, bacterial burden was decreased in animals infected with the ΔzitB mutant at 24 hpi (Fig. 6a–b). This bacterial burden difference was abrogated in the clodronate group (Fig. 6a–b). The higher mucosal MARCO signal in ΔzitB infection was likewise preserved in the control group (Fig. 6a, c). Following clodronate liposome treatment, mucosal MARCO signal was low in both groups and did not differ between WT and ΔzitB, with estimated marginal means of 5.6 and 6.9, respectively (Fig. 6a, c). Mucosal LCN2 signal remained robust after clodronate liposome treatment and did not differ significantly between WT and ΔzitB infections (Supplementary Fig. 9), indicating that the treatment did not diminish the LCN2-associated neutrophil response. Together, these findings support the notion that MARCO-expressing macrophages are necessary to mediate the observed defect in ΔzitB fitness in vivo at 24 hpi.
Fig. 6: Clodronate liposome treatment abrogates WT–ΔzitB differences in bacterial burden and mucosal MARCO signal.

a Representative merged and single-channel images of colonic tissue from rabbits treated intravenously with control or clodronate liposomes 48 h before infection with WT or ΔzitB and collected at 24 hpi. S. flexneri is shown in red, MARCO in blue, and E-cadherin in green. White lines delineate the boundary between the mucosa and submucosa. b Quantification of tissue-associated bacterial burden following control or clodronate liposome treatment. c Quantification of normalized mucosal MARCO-positive area following control or clodronate liposome treatment. For b–c, each dot represents the model-predicted mean for one rabbit on the untransformed scale. Sample sizes were n = 9 per strain following control liposome treatment and n = 9 for WT and n = 7 for ΔzitB following clodronate liposome treatment. Statistical analyses were performed using linear mixed-effects models fitted to log10-transformed values, with strain, treatment, and their interaction as fixed effects and rabbit as a random intercept. Boxes show the median and IQR; whiskers extend to the smallest and largest observations within 1.5 × IQR of the lower and upper quartiles, respectively. ***P < 0.001; ns, not significant.
Discussion
This study identifies bacterial factors important during S. flexneri infection in vivo and shows that their requirements are shaped by the tissue and temporal contexts. The Tn-seq screen identified 47 canonical pINV-encoded virulence factors while also revealing a broad set of 110 chromosomal fitness factors, whose functions extend beyond the known pINV-centric virulence mechanisms. Experimental analyses of selected candidates cpxR, amiA, and zitB further showed that chromosomal genes can influence distinct stages of infection, from dissemination in epithelial cells to fitness during interactions with host immune cells. The characterization of the role of zitB provides a clear example of this contextual fitness dependence: its loss produced no detectable defect during culture media growth, epithelial cell-to-cell spread or early infection in vivo, yet the ΔzitB mutant showed reduced bacterial burden at 24 hpi in a MARCO-expressing macrophage-dependent manner. These findings demonstrate that the importance of a given bacterial gene depends on where and when bacteria encounter particular host pressures.
The extensive identification of pINV gene hits demonstrates both the validity of the screen and the importance of plasmid-dependent virulence mechanisms during intestinal infection. pINV-encoded virulence determinants have been characterized extensively through epithelial culture systems and other experimentally tractable models55,57,58. Their depletion in the infant rabbit model confirms that these processes are central during infection of the colonic mucosa in vivo. The identification of most genes within the pINV entry region further emphasizes the concerted contribution of this pathogenicity island. The four genes (ipaJ, acp, orf131a, and orf131b) at both ends of the entry region were not identified as hits. The functions of Orf131a and Orf131b are poorly understood and may not be required under the condition tested; IpaJ-mediated blockage of intracellular trafficking pathways can be partially compensated by VirA59, and the essential chromosomal AcpP (Supplementary Data 1) might provide minimally required compensation for the pINV-encoded Acp. Interestingly, these four genes are conserved in representative plasmid sequences from two major pINV forms, suggesting that their presence may not be completely trivial60. In addition, other known pINV virulence factors were also absent from the significant hit set: Serine Protease A (SepA) is known to enhance S. flexneri invasion of the intestinal epithelium by disrupting the epithelial barrier61. Since SepA acts extracellularly, its activity may benefit neighboring sepA mutants during pooled infection in the Tn-seq screen and partially mask the effect of its loss. None of the osp or ipaH genes was identified as a hit. Subsets of these effectors target overlapping processes such as NF-κB/MAPK signaling and cell death34,62. Disruption of an individual gene may therefore be buffered by the remaining effector repertoire. Nevertheless, the extensive recovery of established pINV virulence genes provides a benchmark for interpreting the less well-characterized chromosomal hits.
The chromosomal hits broaden the framework of S. flexneri pathogenesis beyond pINV and demonstrate the importance of preserving both physical and informational integrity: envelope biogenesis and membrane homeostasis maintain the physical structure of the cell, while genome maintenance and translation and protein quality control preserve the transmission and execution of biological information (Fig. 1d). Stress from the host may render defects in either form of integrity consequential for bacterial fitness. Evidently, several hits also have integrity-preserving roles in other pathogens: DsbA-dependent periplasmic protein folding contributes to Haemophilus influenzae pathogenesis63; HtrA-mediated extracytoplasmic protein quality control maintains the surface and secreted proteome of group B Streptococcus; and MnmG–MnmE-dependent tRNA modification supports Salmonella Typhimurium virulence64. The COG “function unknown” class was the second largest category among the chromosomal hits (Fig. 1d). Upon manual review, the functions of some proteins in this category could be reasonably inferred from the literature, such as the LPS-core kinase WaaY, the cell-shape protein RodZ and the ribosome-splitting factor HflX40,65,66. Conversely, the functions of YeeT, the lipoprotein YgdR, and the membrane protein YhdT remain mysterious. A common feature among these proteins is a short, less than 100 predicted amino-acid sequence. Similarly, yjjY, one of the strongest hits (log2 fold change, −9.63; Holm-adjusted P = 9.52 × 10−8), received no COG assignment and encodes a predicted protein of 46 amino-acids with unknown functions. Its proximity to the essential arcA locus (Supplementary Data 1) raises the question of whether this discovery reflects a requirement for YjjY itself or a local genetic effect on arcA.
The phenotypes of cpxR and amiA illustrate two modes in which chromosomal genes can influence epithelial dissemination. CpxR links chromosomal regulation to the pINV virulence factors through activation of the master regulator virF and consequently the downstream cascade in S. sonnei38. AmiA, by contrast, executes a cell wall peptidoglycan degradation and remodeling function whose importance is selectively revealed in the host cell environment. In organisms that encode a single septal peptidoglycan amidase, such as Helicobacter pylori, disruption of amiA produces pronounced chaining and defective daughter cell separation67. S. flexneri and Escherichia coli encode three septal peptidoglycan amidases, AmiA, AmiB, and AmiC. In E. coli, their activities are partially redundant: loss of a single amidase yields no or mild and low frequency chaining; whereas disruption of all three amidases gives rise to long chaining and pronounced cell separation defect39. Consistent with this pattern, phase-contrast microscopy revealed no discernable chaining in either WT or ΔamiA S. flexneri during logarithmic or stationary phase growth in LB. Nevertheless, the three amidases differ in their activation and localization. For instance, in E. coli, AmiA is diffusely distributed in the periplasm, while AmiB and AmiC are recruited to the division site68. In our screen, amiB and amiC were reduced in the output population but did not meet the output/input ratio threshold of log2 fold change −1.585 (amiB, locus tag S4592, log2 fold change = −0.96; amiC, locus tag S3025, log2 fold change = −1.54). amiA was reduced to a greater extent in the screen (log2 fold change = −4.66) and the loss of amiA alone resulted in elongated, chain-like structures during bacterial spread in HT-29 cells. Perhaps the epithelial dissemination process imposes demands on cell separation for AmiA that do not inhere in culture media growth. Because cell-to-cell spread involves actin-based motility, membrane protrusion formation and resolution, and escape from double-membrane vacuoles13, inefficient separation could interfere with these steps, although the exact mechanism remains to be explored.
The zitB phenotype provides insight into how innate immunity curbs S. flexneri. Macrophage depletion eliminated the burden difference between WT and ΔzitB, even when the LCN2-expressing neutrophil response remained robust. Together with the impaired survival of ΔzitB in THP-1-derived macrophages, these findings support a model in which ZitB helps S. flexneri withstand a macrophage-induced pressure (Fig. 7). This conclusion complements a recent study in a Nlrc4−/−Casp11−/− murine model showing that while neutrophils were dispensable for controlling Shigella, macrophages resolved infection indirectly through TLR-induced IL-12 production and downstream IFN-γ-mediated control of bacteria in intestinal epithelial cells69. Our findings suggest that macrophages may also impose pressures directly, resulting in specific requirement for bacterial fitness factors in non-epithelial niches.
Fig. 7: Proposed model for contribution of ZitB to S. flexneri fitness in vivo.

By 8 hpi, S. flexneri invades and disseminates within the colonic epithelium. By 24 hpi, bacteria persist within the mucosa and encounter macrophage-associated stress. The data support a model in which ZitB promotes S. flexneri fitness by detoxifying Zn/Cu-associated stress imposed by macrophages. Neutrophil responses remain prominent but does not explain the ZitB-dependent bacterial burden difference. Blue and green bacteria denote the earlier and later stages of infection, respectively. This model is schematic and does not represent the relative sizes or numbers of bacteria, neutrophils, or macrophages.
Metal intoxication provides a plausible link between ZitB and resistance to macrophage-induced stress. Loss of zitB increased susceptibility to zinc and copper in minimal medium, and complementation restored full growth, while TPEN eliminated the detectable difference between WT and ΔzitB during infection of THP-1-derived macrophages. Both zinc and copper have been implicated as antimicrobial agents against bacterial pathogens deployed by macrophages53,54. Thus, the sensitivity of ΔzitB to both metals and the rescue of its macrophage-associated defect following TPEN treatment point to zinc, copper, or a combination of both. Why ZitB was required despite the presence of the additional main zinc and copper exporters ZntA and CopA remains unclear. Loss of zitB alone sufficiently increased sensitivity to both zinc and copper in M9 media; zitB alone, and not zntA or copA, was identified as a hit in the Tn-seq screen (zitB, locus tag S0560, log2 fold change = −5.17; zntA, locus tag S4276, log2 fold change = 0.68; copA, locus tag S0436, log2 fold change = 0.23) (Supplementary Data 1 and Supplementary Data 2). ZitB, being a CDF family transporter, differs from these ATP-dependent exporters in both transport mechanism and regulation70–72, which may allow it to operate over different dynamic range and temporal pattern in response to excessive metal ions. Additionally, disruption of ZitB may perturb both zinc and copper homeostasis and cause synergistic intoxication.
Despite advancing the understanding of S. flexneri pathogenesis, this study has several limitations. Tn-seq is limited by population bottlenecks that can cause stochastic loss. Intrarectal inoculation alleviated this problem by focusing the screen on direct colonic infection. But this design was accompanied by a tradeoff for a limitation in scope, wherein genes required for survival and dissemination through the upper gastrointestinal tract, transient colonization or expansion in intermediate niches, biofilm formation73, or interactions with the microbiota would not be identified. This study can also be furthered by expanding the temporal and immunological perspectives of infection. The 8 and 24-hpi time points do not capture the later resolution phase, and MARCO and LCN2 RNAscope analysis provides an incomplete picture that does not fully depict immune cell populations, their activation states, or cytokine responses. Future work in transcriptome and metabolome analyses could provide systemic perspectives of the host environment.
Shigella is a highly human-adapted pathogen. Through its convergent evolutionary history, it has diverged from commensal E. coli in both gain and loss of gene functions, such as the acquisitions of the pINV and O antigen gene clusters and the losses of flagellar system and metabolic flexibility74,75. Consistent with this highly developed adaptation, our screen did not identify insertions whose disruption significantly increased fitness in vivo (Supplementary Data 2). Because humans are the only known natural reservoir for Shigella, transmission, colonization, infection and sustaining infection in humans must be vital for Shigella to maintain its biomass in the biosphere. As a result, such a lifestyle would require adaptation to the distinct physiological niches encountered within the human host. zitB represents a chromosomal fitness factor whose contribution emerges only during interaction with immune cells, particularly macrophages. ZitB most plausibly promotes fitness by helping S. flexneri withstand metal intoxication stresses imposed within or by the macrophage niche (Fig. 7). More broadly, this study signified the utility of a framework for mapping bacterial fitness determinants to the temporal stages of infection, and spatial and cellular niches. Such a “fitness-factor atlas” can refine pathogenies understanding and guide rational drug design.
Methods
Bacterial strains and culture conditions
The wild-type (WT) strain used in this study was Shigella flexneri serotype 2a strain 2457T10. The ΔzitB, ΔcpxR, ΔamiA, ΔwaaY, ΔhslV, and Δhha allelic-exchange mutants were generated by replacing each corresponding coding sequence with a kanamycin-resistance cassette through homologous recombination using the suicide vector pSB890, as previously described73. The ΔzitB complementation strain (ΔzitB-comp) was generated by expressing zitB under its native promoter in the pBAD18 vector (ATCC 87393). CFP-expressing WT and ΔzitB strains were generated by introducing pMMB207, a chloramphenicol-resistance plasmid carrying the gene encoding cyan fluorescent protein (CFP) under the control of an isopropyl β-D-1-thiogalactopyranoside (IPTG)-inducible promoter. pBAD18 and pMMB207 were introduced by electroporation. Unless otherwise indicated, bacteria were first cultured on LB agar containing 100 μg/ml Congo red. Bacterial strains were then cultured in lysogeny broth (LB) at 37 °C with aeration. For preparation of exponential phase cultures for HT-29 and THP-1 macrophage infection experiments, the preceding overnight cultures were grown in LB at 30 °C with aeration. For infant rabbit infections, bacterial strains were cultured in tryptic soy broth (TSB) at 37 °C for 12.5 h with aeration. For growth curve experiments in rich media, overnight cultures grown at 30 °C were washed in Dulbecco’s phosphate-buffered saline (DPBS) and diluted into the indicated medium to a starting optical density at 600 nm (OD600) of 0.01. For growth measurements in LB, 5 ml cultures were incubated in standard culture tubes at 37 °C with aeration, and OD600 was measured manually at the indicated time points using a GENESYS 20 spectrophotometer (Thermo Scientific). For growth measurements in TSB, bacteria were cultured in 96-well microplates at 37 °C with orbital shaking, and OD600 was measured every 10 min using a SpectraMax iD3s (Molecular Devices). The volume in each well was 200 μl. For growth experiments in M9 minimal medium, M9 medium was prepared by diluting a 5× M9 salts solution (Sigma-Aldrich) with water and supplementing with glucose, nicotinic acid, methionine, and tryptophan to final concentrations of 0.4% (w/v), 12.5 μg/ml, 45 μg/ml, 20 μg/ml, respectively. Individual colony from LB agar was suspended in DPBS and inoculated into M9 medium alone or M9 medium supplemented with the indicated metal salts. Cultures were incubated at 37 °C for 16 h with aeration. Metal salts and supplier were: zinc sulfate heptahydrate (BioReagent grade), copper(II) sulfate pentahydrate (99.999% trace metals basis), iron(II) sulfate heptahydrate (BioReagent grade), manganese(II) sulfate monohydrate (ReagentPlus grade), all from Sigma-Aldrich. E. coli strains SM10λpir, Δnic35 and DH5α were used for cloning purposes. 2,6-diaminopimelic acid (DAP) was supplemented (100 μg/ml) for the growth of E. coli strain Δnic35. Primers used in this study are listed in Supplementary Table 1. Antibiotics were added as required for strain selection or plasmid maintenance at the following concentrations: ampicillin (100 μg/ml), chloramphenicol (10 μg/ml), kanamycin (30 μg/ml) or tetracycline (10 μg/ml).
Transposon sequencing screen and data analysis
A saturated mini-Tn10 (mTn10) insertion library was generated essentially as described76. Briefly, transposition plasmid pDL1093 was moved into S. flexneri 2457T by mating and propagated in LB or LB agar supplemented with 5 μg/ml chloramphenicol and 50 μg/ml kanamycin sulfate at the permissive temperature for plasmid replication, 30 °C. In duplicate, 20 fresh colonies were pooled and used to inoculate 30 ml of LB broth supplemented with the same antibiotics in 50-ml Erlenmeyer flasks and incubated overnight at 30 °C with aeration. The next morning, 20 μl of each overnight culture was added to 100 ml of LB broth supplemented with 100 μg/ml kanamycin sulfate in 250-ml Erlenmeyer flasks and incubated for 8 h at 40 °C with aeration to induce transposition and halt plasmid replication. The resulting early stationary-phase cultures were used to seed a second passage by adding 0.25 ml of each culture to new flasks containing 100 ml LB supplemented with kanamycin sulfate and incubating overnight at 40 °C with aeration. This second passage ensured the elimination of cells lacking mTn10 insertions. The two final cultures were pooled and cryopreserved in multiple single-use 1-ml aliquots after addition of glycerol to 20% (v/v). For in vivo Tn-seq, four aliquots of the transposon library were thawed and grown in TSB for 12.5 h. The overnight cultures were collected and resuspended in 200 μl PBS per animal and used to infect four infant rabbits. At 24 hpi, colons were collected, homogenized in 10 ml PBS, and homogenates were inoculated into 500 ml LB with 200 μg/ml kanamycin for outgrowth before DNA extraction. Transposon junction sequencing was performed essentially as described76. Briefly, total DNA was isolated from the input and each output using the DNeasy Blood & Tissue Kit (Qiagen) according to the manufacturer’s instructions for Gram-negative bacteria, including Proteinase K treatment. Next, the mTn10 junctions were amplified from the input library and each output library by HTML-PCR followed by sequencing on the Illumina platform. Reads were trimmed based on quality and poly-C or poly-G sequence at the 3′ ends were removed. The trimmed reads were mapped separately to the S. flexneri chromosome and pINV, and DvalGenome values were calculated for each gene using the custom Python script Hopcount76. Only uniquely mapping reads were analyzed; therefore, repeated sequences, such as ribosomal operons or natural transposons, lack mapped reads. Essential genes were defined as non-repeated genes with DvalGenome values <0.01 in the input library and were manually confirmed by visually examining the pattern of insertions in and surrounding each gene using a genome browser as described76.
COG annotation and STRING network analysis
Protein sequences corresponding to the 110 significant chromosomal hits were retrieved from KEGG77 using the KEGGREST package in R and analyzed with eggNOG-mapper (version 5.0.2)78 on usegalaxy.eu. COG assignments were extracted from the annotation output and matched to COG2024 functional categories79. Genes assigned to multiple categories were counted in each category. The chromosomal hits were also analyzed using STRING80. Interactions with a minimum interaction score of 0.7 were retained, and network clusters were identified using the Markov Cluster Algorithm with an inflation parameter of 3. Gene level annotations, category definitions, STRING mappings, interactions and cluster assignments are provided in Supplementary Data 3.
HT-29 cell culture and dissemination assays
HT-29 (ATCC) epithelial dissemination assays were performed as previously described37. Confluent HT-29 monolayers in 96-well plates in 100 μl McCoy’s 5A medium with 10% heat-inactivated fetal bovine serum (HI-FBS) per well were infected with exponential phase S. flexneri. Equal volume dose was used for all strains by diluting 75 μl exponential phase bacterial culture into 6 ml McCoy’s 5A medium with FBS, and from which 50 μl was subsequently added to each well. Plates were centrifuged at 130 × g for 5 min at room temperature and incubated for 1 h at 37 °C with 5% CO2. The plates were then supplemented with 50 μl McCoy’s 5A medium with 10% HI-FBS containing gentamicin (50 μg/ml) and IPTG (10 mM) for each well to eliminate extracellular bacteria and induce CFP expression, respectively. At 8 hpi, cells were fixed with 4% paraformaldehyde, and infection foci were detected and quantified using an ImageXpress Micro imaging system and MetaXpress software (Molecular Devices).
Animal procedures
Infant rabbit infections were performed as previously described23. Pregnant New Zealand White rabbits were obtained from Charles River Laboratories. Newborn rabbits were either housed with the dam until experimental procedures or isolated after birth and maintained in a 30 °C incubator. For infection, 10–15-day-old infant rabbits were infected intrarectally using 20-gauge sterile feeding tubes (Instech Labs) under anesthesia with 5% isoflurane in 5 l/min oxygen. 5 ml culture was collected and resuspended in 200 μl PBS for each infant rabbit (~109 CFU per animal). At the indicated time points, animals were euthanized according to approved procedures, and colons were collected for histological analysis, or homogenized in sterile PBS, diluted and subsequently plated on selective agar media to determine CFU and competitive index. Clinical signs of blood and diarrhea were scored blindly at the time of tissue harvest based on the color, wetness and anatomical extent of staining on the hindlimb fur using the following scale: 0, no detectable signs; 1, staining restricted to the genital region; 2, staining extending to the genital region and abdomen; and 3, staining extending to the genital region, abdomen and legs. For macrophage depletion experiments, Clodrosome (500 μl per animal) containing active clodronate was administered through the lateral saphenous vein 48 h before infection, with Encapsome used as the corresponding control (Encapsula NanoSciences). All BSL2 and animal procedures were reviewed and approved by the University of Virginia Institutional Biosafety Committee and the Institutional Animal Care and Use Committee under protocols 3923–15 and 4161, respectively.
Tissue processing, staining and quantitative image analysis
Following euthanasia, a 10-cm segment of the distal colon was harvested and processed for paraffin embedding. Colons were rinsed with PBS, flushed with modified Bouin’s fixative (50% ethanol, 5% glacial acetic acid, and 45% distilled water), opened longitudinally, and arranged as Swiss rolls in tissue cassettes. Cassettes were immersed in neutral-buffered formalin for 48 h, after which tissues were transferred to 70% ethanol and processed for dehydration and paraffin infiltration. Tissues were manually embedded in paraffin, and 5-μm sections were cut using a Leica microtome. Paraffin sections were stained with hematoxylin and eosin (H&E) and imaged using an Aperio ScanScope whole-slide scanner (Leica Biosystems). Epithelial fenestration was measured along the evaluable colon section using Aperio ImageScope. The percentage of epithelial fenestration was calculated for each colon as the length of mucosa exhibiting epithelial fenestration divided by the total evaluated mucosal length, multiplied by 100. Immunofluorescence staining of paraffin-embedded sections was performed as previously described36 with modifications. Sections were deparaffinized in xylene and rehydrated through graded ethanol solutions into water. Heat-induced antigen retrieval was performed in citrate-based antigen-retrieval buffer (Vector Laboratories, H-3300) using an electric pressure cooker (Instant Pot) at high pressure for 1 min, followed by rapid depressurization. Sections were permeabilized with 0.1% Triton X-100, blocked in PBS containing 5% bovine serum albumin and 2% normal goat serum, and incubated overnight at 4 °C with antibodies against E-cadherin (1:100; BD Biosciences, 610181) and Shigella spp. (1:100; ViroStat, 0901). After washing with PBS, sections were incubated with goat anti-mouse IgG and goat anti-rabbit IgG secondary antibodies (1:500; Thermo Fisher Scientific) conjugated to Alexa Fluor 568 (A-11004) and 488 (A-11034), respectively, or Alexa Fluor 594 (A-11032) and 514 (A-31558), respectively, depending on channel assignment. After incubation with secondary antibodies for 2 h at room temperature, sections were mounted using ProLong Gold Antifade Mountant (Thermo Fisher Scientific). RNAscope was performed on paraffin-embedded sections using the RNAscope Multiplex Fluorescent Reagent Kit v2 (Advanced Cell Diagnostics) according to the manufacturer’s instructions. Briefly, following deparaffinization, hydrogen peroxide treatment, target retrieval, and protease treatment, sections were hybridized with probes targeting rabbit MARCO (Advanced Cell Diagnostics, 847591) or LCN2 (Advanced Cell Diagnostics, 857241). Each probe was assigned to channel C1; channels C2 and C3 were not used. Signals were amplified and developed using the C1 channel with Opal 690 fluorophore (1:1000; Akoya Biosciences, FP1497001KT). If applicable, sections were subsequently immunostained as described above. All sections were then counterstained with DAPI and mounted using ProLong Gold Antifade Mountant. Immunofluorescence and RNAscope stained sections were imaged using either an ImageXpress Micro imaging system or a Nikon TE2000 microscope equipped with a Hamamatsu ORCA-ER CCD camera, and images were analyzed using MetaXpress software (Molecular Devices). The image acquisition and quantification workflow is summarized in Supplementary Fig. 5. Signal positive area was identified by image thresholding, and the relevant anatomical region was delineated within each acquired image. S. flexneri positive area was normalized to mucosal area, whereas MARCO and LCN2 positive areas were normalized to the corresponding analyzed area of the mucosa, submucosa or muscle. Normalized measurements were reported per 10,000 px2 of anatomical area. To assess whether positive area provided a representative measure of marker abundance, normalized MARCO positive area was compared with normalized MARCO object count in a validation subset of images (Supplementary Fig. 5f). Multiple regions were quantified from each rabbit and analyzed as nested observations using linear mixed-effects models.
THP-1-derived macrophage infection and cytotoxicity assays
THP-1 cells (ATCC) were cultured in RPMI 1640 containing 10% HI-FBS. Differentiation was induced by 200 nM phorbol-12-myristate-13-acetate (PMA, Sigma-Aldrich) for 48 hours, followed by an additional 48-hour rest period in fresh medium in 24-well plates with coverslips added. For infection, each well was seeded with 500 μl medium containing 4 × 105 cells/ml THP-1 cells. For inoculation, fresh media containing bacteria were added. Exponential phase cultures of S. flexneri were washed by DPBS and diluted to RPMI 1640 medium with 10% HI-FBS for a multiplicity of infection (MOI) of 2. When applicable, N,N,N′,N′-Tetrakis(2-pyridylmethyl)ethylenediamine (TPEN, Sigma-Aldrich) was added to a final concentration of 10 μM. Plates were centrifuged at 130 × g for 10 min at room temperature and incubated for 1 h at 37 °C with 5% CO2, after which gentamicin (50 μg/ml) was added to eliminate extracellular bacteria. IPTG (10 mM) was added to induce CFP expression for infection with CFP-expressing bacteria and imaging-based analysis. At indicated time points, coverslips were fixed in 4% paraformaldehyde in a separate plate, and immunostaining was performed for S. flexneri as follows: coverslips were permeabilized with 0.1% Triton X-100, blocked in PBS containing 5% bovine serum albumin and 2% normal goat serum, and incubated overnight at 4 °C with anti-Shigella spp. antibody (1:100; ViroStat, 0901). After PBS washing, coverslips were incubated with goat anti-rabbit IgG Alexa Fluor 514 or 647 (1:500; Thermo Fisher Scientific, A-31558/A-21244) secondary antibody for 2 h at room temperature and mounted using DABCO-based antifade mounting medium. For CFU enumeration, coverslips were permeabilized with 0.1% Triton X-100 for 10 min, mechanically scraped with a P1000 pipette tip, and the lysates were plated on selective agar media. For quantification of CFP-expressing S. flexneri associated with macrophages, images were acquired using an ImageXpress Micro imaging system or a Nikon TE2000 microscope equipped with a Hamamatsu ORCA-ER CCD camera and quantified using the Multi-Wavelength Cell Scoring function in MetaXpress software (Molecular Devices). CFP-positive signal was expressed as a percentage of the total Shigella signal identified by immunostaining. Lactate dehydrogenase (LDH) release was measured using the CytoTox 96 Non-Radioactive Cytotoxicity Assay (Promega, G1780) according to the manufacturer’s instructions. Culture supernatants (30 μl) were transferred to a clear 96-well plate, incubated with an equal volume of CytoTox 96 reagent for 30 min at room temperature protected from light, and the reaction was stopped using the supplied Stop Solution. Absorbance was measured at 490 nm using a microplate reader (PerkinElmer VICTOR3 1420). Percent cytotoxicity was calculated after correction for spontaneous release from uninfected cells (Supplementary Fig. 8i) and normalization to maximum LDH release by cell lysis.
Statistical analysis and data visualization
Statistical analyses and data visualization were performed in R (4.6.1)81 using RStudio (2026.7.0.139). Data processing was performed using the tidyverse package82. Unless otherwise specified, continuous outcomes were analyzed using linear models. Estimated marginal means and post hoc contrasts were obtained using the emmeans package83, with Tukey adjustment for pairwise comparisons and Dunnett adjustment for comparisons to WT. Model predicted values displayed in the figures were generated using the ggeffects package84. Colonic bacterial burden and RNAscope marker measurements obtained from multiple quantified regions within each rabbit were analyzed using linear mixed-effects models fitted with lme4 and lmerTest85,86. Unless otherwise specified, strain was included as a fixed effect and rabbit as a random intercept. For experiments involving both strain and treatment, additive models were compared with models containing the strain × treatment interaction term. Likelihood-ratio test, Akaike information criterion (AIC) and Bayesian information criterion (BIC) were used to evaluate model fit. The interaction term was retained when supported by the model comparisons. Model assumptions were evaluated by inspection of residual-versus-fitted and normal quantile–quantile plots. Outcomes were log10-transformed when necessary to improve normality. Unless otherwise stated, statistical tests were two-sided, and P < 0.05 was considered statistically significant. Data were visualized using ggplot287, ggprism, and ggbeeswarm. Fig. 7 was created with BioRender.com.
Supplementary Material
Acknowledgments
We thank all the members of the Agaisse laboratory for the discussions on the manuscript. We thank Jeremy Gatesman and Deanna Zielinski for veterinary and technical assistance with clodronate liposome administration. We thank Healy Rosenberg, Hannah Collier, Todd Kirks, Alice Kweon, Zackary Lifschin, Liam Myers and Aaron Tang for assistance with the care and nursing of infant rabbits. We also thank Sheri Vanhoose and the UVA Research Histology Core for preparing paraffin sections. This work was supported by the National Institutes of Health grants R01AI073904, R01AI179778 (H.A.) and R21AI178051 (H.A. and A.C.).
Footnotes
Ethics declarations
Competing interests
The authors declare no competing interests.
Data availability
The sequencing data generated in this study will be deposited in the NCBI Sequence Read Archive (SRA), and the accession number will be provided upon availability. All remaining data from this study are provided in the Supplementary Information and Source Data file.
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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
The sequencing data generated in this study will be deposited in the NCBI Sequence Read Archive (SRA), and the accession number will be provided upon availability. All remaining data from this study are provided in the Supplementary Information and Source Data file.
