Skip to main content
Infection and Immunity logoLink to Infection and Immunity
. 2006 Jul;74(7):4237–4245. doi: 10.1128/IAI.02014-05

Identification of Pseudomonas aeruginosa Genes Involved in Virulence and Anaerobic Growth

Melanie J Filiatrault 1, Kristin F Picardo 1, Helen Ngai 1, Luciano Passador 1,, Barbara H Iglewski 1,*
PMCID: PMC1489737  PMID: 16790798

Abstract

Pseudomonas aeruginosa is a gram-negative, opportunistic pathogen and a significant cause of acute and chronic infections in patients with compromised host defenses. Evidence suggests that within infections P. aeruginosa encounters oxygen limitation and exists in microbial aggregates known as biofilms. However, there is little information that describes genes involved in anaerobic growth of P. aeruginosa and their association with virulence of this pathogen. To identify genes required for anaerobic growth, random transposon (Tn) mutagenesis was used to screen for mutants that demonstrated the inability to grow anaerobically using nitrate as a terminal electron acceptor. Of approximately 35,000 mutants screened, 57 mutants were found to exhibit no growth anaerobically using nitrate. Identification of the genes disrupted by the Tn revealed 24 distinct loci required for anaerobic growth on nitrate, including several genes not previously associated with anaerobic growth of P. aeruginosa. Several of these mutants were capable of growing anaerobically using nitrite and/or arginine, while five mutants were unable to grow anaerobically under any of the conditions tested. Three mutants were markedly attenuated in virulence in the lettuce model of P. aeruginosa infection. These studies have identified novel genes important for anaerobic growth and demonstrate that anaerobic metabolism influences virulence of P. aeruginosa.


Pseudomonas aeruginosa is a gram-negative, opportunistic pathogen that is responsible for numerous acute and chronic infections and presents a considerable problem for patients with severe burns, cystic fibrosis (CF), and other immunocompromising states (24). P. aeruginosa is the most common pathogen infecting CF patients and is the leading cause of morbidity and mortality in these individuals (25). Once acquired, it is difficult to eradicate P. aeruginosa due to several factors previously shown to contribute to the chronic infection observed with P. aeruginosa lung infections. The organism has an intrinsic ability to resist a variety of antimicrobial agents, making successful treatment very difficult. Furthermore, it has been demonstrated that within the infected host, the bacteria reside in biofilms, which are also highly resistant to antibiotic treatment (22, 41). For these reasons, identifying new targets for therapy has become exceedingly important.

In nature, P. aeruginosa frequently inhabits environments where anaerobic niches develop, such as water-logged soils, bogs, and sediments. Also, in their natural habitats, microorganisms, including P. aeruginosa, often grow as biofilms, which have been shown to contain oxygen gradients and anaerobic pockets (8, 50). In addition to other well-studied stresses encountered in the host (i.e., nutrient deprivation, changes in pH, and iron limitation), there is mounting evidence that P. aeruginosa encounters oxygen-limited environments in vivo which develop during the infections themselves or as a result of biofilm development (15, 48). Anaerobic and microaerobic conditions have been described for a number of P. aeruginosa infections, including various forms of otitis, wound injuries, and pulmonary infections, such as those seen in individuals with CF (5, 6, 24, 30, 36). In chronic CF lung infections, it has been shown that P. aeruginosa grows in low-oxygen environments present within the mucus plugs found in the lower airways of CF patients (48). As neutrophils infiltrate and mucus secretion increases, the metabolically active bacteria and CF epithelial cells consume the available oxygen and the environment quickly becomes anaerobic (48). The organisms become mucoid by secreting the exopolysaccharide alginate, which further restricts the diffusion of oxygen and contributes to the formation of microaerobic or anaerobic environments (16, 18). Furthermore, during a number of infections, P. aeruginosa resides in biofilms (9), where bacteria at the base and the center of the biofilm are encased by an anaerobic environment (50). It has been suggested that Pseudomonas prefers this oxygen-limited environment, displaying enhanced biofilm formation under anaerobic conditions (51).

When oxygen is not available, alternative external electron acceptors, including nitrate, nitrite, or nitrous oxide, can be utilized by P. aeruginosa (16). In the absence of nitrate or nitrite, arginine can be catabolized by substrate-level phosphorylation and serve as an energy source for anaerobic growth (28, 45). More recently it was shown that P. aeruginosa can use pyruvate to sustain long-term survival; however, pyruvate fermentation cannot support growth of the bacteria under hypoxic conditions (11). The major regulator controlling the physiological switch between aerobic and anaerobic growth conditions in Pseudomonas is the transcriptional regulator ANR (anaerobic regulation of arginine catabolism and nitrate reduction), which is an orthologue of the Escherichia coli qumarate and nitrate reductase regulator (FNR) (39). Anaerobic growth of P. aeruginosa on nitrate or arginine requires ANR, as mutants defective in ANR cannot grow anaerobically with nitrate or arginine (52). ANR has been demonstrated to influence expression of a limited number of genes in P. aeruginosa that are involved in arginine fermentation, cyanogenesis, and denitrification. More recently another transcriptional regulator, termed DNR (PA0527), was shown to control expression of several denitrification genes (2).

Although the denitrification pathways used during anaerobic growth have been well studied, research investigating the ability of P. aeruginosa to survive under strict anaerobic conditions is very limited, and only recently has this topic been explored more closely (7, 18, 21, 37, 51). While our recent microarray studies indicate that a large number of P. aeruginosa genes encoding proteins of unknown function are differentially expressed as a result of anaerobiosis, these studies do not indicate whether these genes are required for anaerobic growth (12). Thus, in this study, we used transposon (Tn) mutagenesis to identify P. aeruginosa genes essential for anaerobic growth on nitrate. The mutants were examined for the ability to grow anaerobically on the alternative electron acceptor nitrite and arginine. To determine if the genes are required for virulence, we also tested the mutants for their ability to cause disease in a plant model of P. aeruginosa infection.

(A portion of this work was presented at the 103rd General Meeting of the American Society for Microbiology, Washington, D.C., 18 to 22 May 2003.)

MATERIALS AND METHODS

Bacterial strains and growth conditions.

P. aeruginosa strain PAO1 was maintained at 37°C on NY (2.5% nutrient broth and 0.5% yeast extract) agar plates supplemented with 100 mM KNO3. Procedures for growing P. aeruginosa anaerobically are described elsewhere (46). Briefly, medium was prepared by dissolving dry ingredients into H2O which had been boiled to remove oxygen and then sparging the solution with N2 gas prior to autoclaving. Prior to inoculation, agar plates were prereduced by incubation in an anaerobic chamber (85% N2, 10% H2, and 5% CO2; Coy Laboratories Inc., Ann Arbor, MI) for 24 h. For anaerobic growth screening using various electron acceptors, Luria agar base medium was used with the electron acceptors KNO3 and KNO2 at 100 mM and 10 mM final concentrations, respectively, and arginine at a concentration of 40 mM (17). For broth studies, aerobic overnight cultures were used to inoculate 200-ml portions of medium in 500-ml Erlenmeyer flasks to obtain a starting optical density at 600 nm (OD600) of 0.05, and the resulting cultures were grown aerobically at 37°C with rotary shaking at 300 rpm. For anaerobic growth studies, aerobic overnight cultures were subcultured into 200 ml of prereduced NY containing KNO3 in 250-ml culture bottles, agitated with a magnetic stir bar, and grown in an anaerobic chamber. The bacterial cultures were monitored spectrophotometrically (OD600) at 1-h intervals for growth curve analysis. For growth analyses in minimal medium, strains which were grown overnight in LB medium or LB medium containing tetracycline were used to inoculate M9 medium (38) and growth was monitored spectrophotometrically (OD600) at 1-h intervals. Escherichia coli DH5α was grown on LB agar or in LB broth. When required, the medium was supplemented with ampicillin at 50 μg/ml for E. coli, carbenicillin (Cb) at 200 μg/ml for P. aeruginosa, or tetracycline at 12 μg/ml for E. coli and 100 μg/ml for P. aeruginosa.

Construction of P. aeruginosa Tn mutants.

P. aeruginosa strain PAO1 was subjected to insertional mutagenesis with the EZ:Tn tetracycline kit (Epicenter Technologies, Madison, WI) according to the manufacturer's instructions, and clones harboring the Tn were selected on NY medium supplemented with 100 mM KNO3 and 100 μg/ml of tetracycline (NY-KNO3Tet100). Tetracycline-resistant colonies were replica plated onto fresh NY-KNO3Tet100 plates and incubated at 37°C in the presence or absence of oxygen for 48 h to identify clones incapable of anaerobic growth. All mutants that were unable to grow anaerobically but able to grow aerobically were chosen and retested for their inability to grow anaerobically at least three independent times.

Southern Blot analysis.

Southern blotting was carried out by standard methods (38). Briefly, chromosomal DNA isolated from the anaerobic-growth-deficient mutants was digested with either EcoRI or XhoI and electrophoretically separated on 0.8% agarose gels. DNA was transferred to Hybond N+ membrane (Amersham Pharmacia Biotech, Piscataway, NJ) by capillary blotting overnight and fixed by UV cross-linking. A DNA fragment corresponding to the tetracycline resistance gene was biotinylated using the Psoralen-biotin kit (Ambion, Austin, TX) and used as a probe. Detection was performed with the BrightStar BioDetect kit (Ambion).

Determination of the Tn insertion site. (i) Complementation of Tn mutants.

Competent cells of the Tn mutants were prepared and transformed with the P. aeruginosa plasmid DNA library which was constructed in pUCP18 (40; M. J. Filiatrault, unpublished data). Cells were plated on NY-KNO3Tet100 supplemented with Cb (200 μg/ml) and incubated anaerobically. After 24 to 48 h of incubation, colonies which appeared to grow anaerobically were isolated, and reinoculated onto NY-KNO3Tet100 plates supplemented with Cb, and grown aerobically, and the plasmids were isolated (QIAGEN, Valencia, CA). Following reconfirmation of the ability of each plasmid to complement the anaerobic-growth defect, the plasmids were reisolated and sequenced. PCR using gene-specific primers and chromosomal DNA from the Tn mutant was then used to determine the Tn insertion site.

(ii) Inverse PCR.

DNA sequences adjacent to the site of Tn insertion were amplified using an inverse PCR procedure (27) with the following modifications. Briefly, EcoRI-digested mutant genomic DNA was self-ligated and a portion of this ligation mixture used as a template for an inverse PCR with Tn-specific primers provided in the EZ:Tn tetracycline kit. (Tn For, 5′-GGGTGCGCATGATGGTGTAGAGT-3′; Tn Rev, 5′-TAAATTGACTGAAATCTAGAAATA-3′). PCR was carried out using the GC-Rich kit (Roche, Indianapolis, IN) using the following conditions: denaturation at 95°C for 3 min, annealing at 55°C for 30 s, and elongation at 72°C for 2 to 4 min for a total of 35 cycles. Amplicons were separated by agarose gel electrophoresis and purified using the QIAGEN gel extraction kit (QIAGEN). DNA sequences of PCR products were obtained by using automated DNA sequencing (University of Rochester Sequencing Facility, Rochester, N.Y.) and primers to the Tn (described above).

(iii) Cloning of the Tn.

Fragments from EcoRI-digested mutant chromosomal DNA were ligated into EcoRI-digested pUCP18, and the ligation mixture was used to transform E. coli DH5α. Plasmids from transformants selected on LB containing tetracycline (15 μg/ml) were isolated, and their inserts were sequenced.

Genomic sequence analysis.

DNA sequences were obtained by using automated DNA sequencing (Functional Genomics Center, University of Rochester, Rochester, N.Y.). The sequences obtained were compared with the P. aeruginosa PAO1 genomic sequence (www.pseudomonas.com) by using BLAST analysis to identify Tn insertion sites.

Lettuce leaf model of infection.

The protocol for using romaine lettuce leaves in a model of P. aeruginosa infection was performed as described previously (32) with the noted modifications. Dole romaine hearts were purchased commercially, and infected leaves were incubated at 37°C in small plastic containers containing moistened Whatman paper (10 mM MgSO4). P. aeruginosa strains were grown aerobically overnight at 37°C in LB broth or LB broth containing tetracycline (100 μg/ml) when appropriate, washed twice with 10 mM MgSO4, and diluted in sterile MgSO4 to a bacterial density of 1 × 108 CFU/ml. Lettuce leaves were prepared by washing with distilled H2O and 0.1% bleach. Lettuce mid-ribs were inoculated with 10 μl of bacterial suspension at a density of 1 × 108 CFU/ml (corresponding to ∼1 × 106 bacteria) as previously described (32) and placed in plastic containers containing Whatman paper moistened with 10 mM MgSO4. Lettuce was incubated at 37°C, and symptoms were monitored daily over the course of 5 days. As a control, lettuce leaves were inoculated with 10 mM MgSO4. A separate lettuce leaf was used for each mutant. The experiments were repeated a minimum of three times on independent days.

RESULTS

Construction and screening of Pseudomonas aeruginosa Tn mutants deficient in anaerobic growth on nitrate.

To identify factors important for anaerobic growth, Tn mutants of P. aeruginosa were constructed and clones that demonstrated the inability to grow anaerobically after 48 h using nitrate as a terminal electron acceptor were selected for further study (see Materials and Methods). Southern analysis confirmed randomness of the insertions into the PAO1 genome and verified that a single copy of the Tn was present in each mutant (data not shown). Although PAO1 displayed anaerobic growth after 24 h, incubation was carried out for 48 h to minimize the selection of mutants which may exhibit slower growth. Of approximately 35,000 Tn mutants screened, 57 mutants failed to grow anaerobically with nitrate yet retained the ability to grow in the presence of oxygen.

Identification of genes essential for anaerobic growth of P. aeruginosa on nitrate.

Due to the difficulty encountered when directly sequencing chromosomal DNA from the Tn mutants, the insertion sites of the Tn in the 57 mutants were determined by inverse PCR, genetic complementation, or direct subcloning as described in Materials and Methods. The sequences obtained from each of these methods were compared with the P. aeruginosa PAO1 genomic sequence (www.pseudomonas.com).

Among the 57 mutants, 24 distinct open reading frames (ORFs) were disrupted (Table 1). While many of the genes identified encode proteins previously shown to be required for anaerobic growth (e.g., anr [52], nirQ [19], and norCB [10]), unique genes (PA1006, PA3912, PA3913, PA4049, and PA5497) which have not been previously associated with anaerobic growth were also identified. norCB have not been previously reported to be required for anaerobic growth of P. aeruginosa; however, studies by Yoon et al. showed poor anaerobic biofilm development with this mutant and suggested that this phenotype might be due to poor anaerobic growth (51). Also, PA0525 (putative norD), previously referred to as “ORF6,” has been reported to be required for anaerobic growth in the presence of nitrate, but this was referred to as “unpublished data” (1). In contrast to a previous report for P. aeruginosa (35), our screen identified hemN, a gene involved in heme biosynthesis in P. aeruginosa, which is in agreement with the requirement for this enzyme for anaerobic growth in other organisms (23, 44).

TABLE 1.

P. aeruginosa genes essential for anaerobic growth on nitrate

ORFa No. of mutantsb Gene name Descriptionc
PA0520 3 nirQ Regulatory protein NirQ
PA0523 2 norC Nitric oxide reductase subunit C
PA0524 5 norB Nitric oxide reductase subunit B
PA0525 4 norD Probable dinitrification protein NorD
PA1006 2 Conserved hypothetical protein
PA1544 7 anr Transcriptional regulator Anr
PA1546 6 hemN Oxygen-independent coproporphyrinogen III oxidase
PA1850 1 Probable transcriptional regulator
PA2637 1 nuoA NADH dehydrogenase I chain A
PA2638 2 nuoB NADH dehydrogenase I chain B
PA2639 2 nuoD NADH dehydrogenase I chain C,D
PA2641 1 nuoF NADH dehydrogenase I chain F
PA2642 4 nuoH NADH dehydrogenase I chain G
PA2644 2 nuoI NADH dehydrogenase I chain I
PA2645 1 nuoJ NADH dehydrogenase I chain J
PA2646 1 nuoK NADH dehydrogenase I chain K
PA2648 5 nuoM NADH dehydrogenase I chain M
PA2649 1 nuoN NADH dehydrogenase I chain N
PA3164 1 aroA 3-Phosphoshikimate 1-carboxyvinyltransferase prephenate dehydrogenase
PA3912 1 Conserved hypothetical protein
PA3913 1 Probable protease
PA3918 1 moaC Molybdopterin biosynthetic protein C
PA4049 1 Hypothetical protein
PA5497 2 Hypothetical protein
a

Pseudomonas genome database designation (www.pseudomonas.com).

b

Number of independent mutants isolated with insertion in designated gene.

c

Descriptions were taken from the Pseudomonas genome database (www.pseudomonas.com).

Characterization of the Tn mutants.

Both aerobic and anaerobic growth curves in liquid media were generated for each of the Tn mutants and compared to the growth of the wild-type strain PAO1. Since there were numerous insertions in the nuo operon, we randomly chose several representative strains to evaluate. Due to the inability of the mutants to grow anaerobically, an aerobically grown culture was used as a source of inoculum. Representative growth curves (Fig. 1) illustrate that aerobic growth was comparable between all of the mutants and the wild type. As expected, a majority of the Tn mutants failed to exhibit anaerobic growth after 10 h (Fig. 1B), with no growth evident even after 24 h (data not shown). However, one Tn mutant (disrupted in PA3912) demonstrated slight anaerobic growth, albeit significantly less than that of the wild type (Fig. 1B).

FIG. 1.

FIG. 1.

Representative growth curves of wild-type PAO1 and Tn mutants grown aerobically (A) or anaerobically (B).

Since P. aeruginosa can also use nitrite as a terminal electron acceptor and arginine for energy, we examined the ability of the mutants to use these substrates for anaerobic growth (Table 2). Only three mutants (those with disruptions in PA1006, PA1850, and PA3918) demonstrated anaerobic growth on nitrite and arginine. This is consistent with the role of PA3918 (moeC) in nitrate respiration and suggests a role for PA1006 and PA1850 in nitrate respiration. Sixteen mutants were able to grow anaerobically using arginine but not nitrate or nitrite, suggesting a role for these genes in denitrification and not arginine catabolism. The Tn mutants disrupted in anr, hemN, PA3912, PA3913, and PA5497 were unable to grow anaerobically using any of the substrates tested. These data are consistent with previous reports on growth characteristics of the anr mutant (52) and indicate a general requirement for hemN, PA3912, PA3913, and PA5497 in anaerobic growth and not exclusively in denitrification.

TABLE 2.

Growth of Tn mutants on various electron acceptors and arginine

ORFa Gene name Growth on:
KNO3b
KNO2c
Arginined
Anaerobic Rescuee Anaerobic Rescue Anaerobic Rescue
PA0520 nirQ + + + +
PA0523 norC + + + +
PA0524 norB + + + +
PA0525 norD + + + +
PA1006 + + + + +
PA1544 anr + + +
PA1546 hemN + + +
PA1850 + + + + +
PA2637 nuoA + + + +
PA2638 nuoB + + + +
PA2639 nuoD + + + +
PA2641 nuoF + + + +
PA2642 nuoH + + + +
PA2644 nuoI + + + +
PA2645 nuoJ + + + +
PA2646 nuoK + + + +
PA2648 nuoM + + + +
PA2649 nuoN + + + +
PA3164 aroA + + + +
PA3912 + + +
PA3913 + + +
PA3918 moaC + + + + +
PA4049 + + + +
PA5497 + + +
a

Pseudomonas genome database designation (www.pseudomonas.com).

b

Anaerobic growth of mutants on KNO3 was determined by plating on LB plates containing 100 mM KNO3 and incubating under anaerobic conditions for 48 h. The wild-type strain PAO1 grows on this medium after 24 h. +, growth; −, no growth.

c

Anaerobic growth of mutants on KNO2 was determined by plating strains on LB plates containing 10 mM KNO2 and incubating under anaerobic conditions for 72 h. Growth of the wild-type strain PAO1 appears after 72 h. +, growth; −, no growth.

d

Anaerobic growth of mutants on arginine was determined by plating on LB plates containing 40 mM l-arginine and incubating under anaerobic conditions for 5 days. Growth of the wild-type strain PAO1 appears after 5 days. +, growth; −, no growth.

e

After anaerobic incubation with either nitrate, nitrite, or arginine, plates were then transferred to aerobic growth conditions at 37°C for a period of 24 h to determine if growth could be restored. +, growth aerobically; −, no growth aerobically.

To determine if the Tn insertions were lethal under anaerobic conditions, mutants were tested for their ability to be rescued from anaerobic growth after the designated incubation time for each electron acceptor or arginine. All of the Tn mutants displayed visible growth when incubated aerobically, implying that all of the mutations were static rather than bactericidal (Table 2). However, the mutant with a disruption in hemN required 48 h to recover from exposure to anaerobic conditions, whereas all other mutants displayed aerobic growth within 24 h, suggesting that the hemN mutation was more detrimental than the others.

Anr, HemN, and PA1850 are required for full infection in the lettuce leaf.

While there have been numerous reports implicating genes involved in denitrification in the virulence of several bacteria, these studies have not been extended to P. aeruginosa (3, 4, 13, 14, 20, 47). Plants have been used as a fast, inexpensive, high-throughput screening tool to identify putative virulence determinants (32). Although no direct measurements of oxygen levels in plant-associated infections or biofilms have been reported, the biofilms on leaves or roots of plants are likely to experience conditions similar to those found in laboratory biofilms (29) and hence may develop anaerobic pockets. To determine if disruptions in genes required for anaerobic growth on nitrate would influence virulence of P. aeruginosa, the Tn mutants were tested for their ability to cause infection in a lettuce leaf model. As summarized in Table 3, most of the Tn mutants elicited moderate disease symptoms on the lettuce mid-ribs compared to the wild-type strain PAO1. The Tn mutants with disruptions in anr, hemN, and PA1850 displayed a significantly reduced infection potential in the lettuce leaf (Table 3 and Fig. 2), whereas severe maceration of the leaf was observed with the mutant disrupted in PA3912 (data not shown).

TABLE 3.

Virulence of PAO1 and Tn mutants in the lettuce leaf infection model of P. aeruginosa

Strain or ORFa Gene Descriptionb Virulence in lettucec
PAO1 Severe
PA0520 nirQ Regulatory protein NirQ Moderate
PA0523 norC Nitric oxide reductase subunit C Moderate
PA0524 norB Nitric oxide reductase subunit B Moderate
PA0525 norD Probable dinitrification protein NorD Moderate
PA1006 Conserved hypothetical protein Moderate
PA1544 anr Transcriptional regulator Anr Weak
PA1546 hemN Oxygen-independent coproporphyrinogen III oxidase Weak
PA1850 Probable transcriptional regulator Weak
PA2637 nuoA NADH dehydrogenase I chain A Moderate
PA2638 nuoB NADH dehydrogenase I chain B Moderate
PA2639 nuoD NADH dehydrogenase I chain C,D Moderate
PA2641 nuoF NADH dehydrogenase I chain F Severe
PA2642 nuoH NADH dehydrogenase I chain G Moderate
PA2644 nuoI NADH dehydrogenase I chain I Moderate
PA2645 nuoJ NADH dehydrogenase I chain J Moderate
PA2646 nuoK NADH dehydrogenase I chain K Moderate
PA2648 nuoM NADH dehydrogenase I chain M Moderate
PA2649 nuoN NADH dehydrogenase I chain N Severe
PA3164 aroA 3-Phosphoshikimate 1-carboxyvinyltransferase prephenate dehydrogenase Moderate
PA3912 Conserved hypothetical protein Severed
PA3913 Probable protease Severe
PA3918 moaC Molybdopterin biosynthetic protein C Moderate
PA4049 Hypothetical protein Severe
PA5497 Hypothetical protein Moderate
a

Pseudomonas genome database designation (www.pseudomonas.com). ORF represents the ORF that was disrupted by the transposon in the Tn mutant.

b

Descriptions were taken from the Pseudomonas genome database (www.pseudomonas.com).

c

Virulence was assayed in the lettuce model of infection and symptoms recorded after 5 days postinoculation. None, no signs of infection; weak, localized water soaking and chlorosis of tissue at injection site; moderate, moderate water soaking and chlorosis of tissue around injection site; severe, soft rotting of the entire leaf characterized by a water-soaked reaction zone and chlorosis around the injection site. PAO1 Iglewski is “severe” on this scale. Symptoms reported represent observations from three independent experiments.

d

Severe maceration of the leaf was observed after only 3 days, and therefore this mutant was considered to be “hypervirulent.”

FIG. 2.

FIG. 2.

Infection of lettuce mid-ribs. Photographs of lettuce mid-ribs after 5 days infection with 1 × 106 bacteria are shown. Infection by PAO1 shows necrosis and tissue maceration. The hemN, anr, and PA1850 mutants show weak signs of infection.

To exclude the possibility that the reduced virulence observed with the Tn mutants with disruptions in anr, hemN, and PA1850 was not due to growth defects, the ability of these mutants to grow in vitro in a minimal medium was tested. The Tn mutants with disruptions in anr, hemN, and PA1850 grew similarly to the wild-type strain PAO1 (Fig. 3), suggesting that the reduced virulence in the lettuce is not simply due to growth defects.

FIG. 3.

FIG. 3.

Representative growth curves of wild-type PAO1 (⧫), Tn:PA1850 (▪), Tn:anr (▴), and Tn:hemN (×) grown aerobically in M9 minimal medium.

DISCUSSION

Bacterial pathogens are exposed to various environments during infection. The elucidation of those genes essential to growth and survival in appropriate surroundings, such as oxygen limitation, not only will provide better insights into the anaerobic metabolism of P. aeruginosa but also may help to identify potential targets as possible candidates for antimicrobial therapy. Through the use of random Tn mutagenesis, we have identified genes required for anaerobic growth of P. aeruginosa with the terminal electron acceptor nitrate. Although 35,000 mutants were screened, a number which theoretically represents reasonable coverage of the genome, we recognize that there were some preferences of the Tn within certain regions of the chromosome (nuo operon), and it is likely that additional genes remain to be identified. By further evaluating the ability of the mutants to grow anaerobically on nitrite and arginine, we were able to identify genes required for anaerobic growth on all substrates tested, demonstrating that our approach was successful in identifying genes generally required for anaerobic growth. We also acknowledge that essential genes for both aerobic and anaerobic growth would have been eliminated based on the approach used. Although this is beyond the scope of our study, an alternative approach using DNA microarrays was used to identify genes conditionally essential for aerobic and anaerobic growth for E. coli (42). That study identified 319 genes potentially essential for both aerobic and anaerobic growth. However, a high ratio of false positives was seen, and the requirement of these genes for both aerobic and anaerobic growth was not confirmed. No homologues of the genes we identified as required for anaerobic growth of P. aeruginosa were found in this previous study.

Our studies identified genes previously associated with anaerobic growth of P. aeruginosa. Our screen revealed that the genes required for the NADH dehydrogenase (NDH) complex I are required for anaerobic growth on nitrate. This is not surprising, since NDH complex I is reported to be coupled to the denitrification pathway (34) and the bacteria contain a second NDH (ndh) which is fully capable of supplying electrons to the respiratory chain during aerobic growth.

The coproporphyrinogen III oxidases catalyze the last step in heme biosynthesis, which is the oxidative decarboxylation of coproporphyrinogen III to form protoporphyrinogen IX (35). For this step in heme biosynthesis, most bacteria possess at least two different coproporphyrinogen III oxidases, one which is an oxygen-dependent enzyme (HemF) for aerobic conditions and one which is oxygen independent (HemN) for anaerobic conditions. We found that hemN is required for anaerobic growth for P. aeruginosa. In addition, the Tn mutants disrupted in hemN were unable to grow on nitrite and arginine, suggesting that the inability of these mutants to grow anaerobically can be correlated to the absence of oxygen and not the utilization of a specific terminal electron acceptor or arginine. However, our results are in contrast to previous studies which reported that mutation of hemN or hemF did not abolish aerobic or anaerobic growth (35). This appears to be somewhat contradictory in that the authors of the previous study found that expression of both hemF and hemN was induced approximately 20-fold during anaerobic growth. In several other bacteria, hemN has been found to be essential for anaerobic growth on nitrate and nitrite and hemF is required for aerobic production of heme (23). We isolated several mutants with disruptions in hemN, supporting a role for hemN in anaerobic growth of P. aeruginosa. Polar effects can be excluded, since there is not a gene located downstream of hemN, further supporting a role for hemN in anaerobic growth of P. aeruginosa.

Importantly, our studies successfully identified several novel genes that currently have no known function and have not been previously associated with anaerobic growth of P. aeruginosa. One of the ORFs that we found to be required for anaerobic growth is PA1006. This ORF is classified as encoding a conserved protein with no known function. However, BLAST analysis revealed that this predicted protein contained a conserved domain homologous to disulfide bond redox regulators. Tn mutants with disruptions in PA1006 were able to grow anaerobically using nitrite and arginine. These data provide further insight as to a possible role for the protein in denitrification or, specifically, the utilization of nitrate.

Another cluster of genes found to be required for anaerobic growth on nitrate consisted of PA3913 and PA3912. PA3913 and PA3912 encode probable proteases (peptidase family U32 signature) and are 78% similar to a putative collagenase of E. coli. Since these genes are located in a potential operon with PA3911, it is possible that the Tn insertions had polar effects. PA3911 encodes a conserved hypothetical protein with homology to putative lipid carrier proteins belonging to the SCP-2 sterol transfer family. Additional studies are in progress to determine if all three genes of this operon are involved in anaerobic growth. Interestingly, these genes are located directly downstream of genes involved in molybdenum cofactor biosynthesis (PA3914 to PA3918). The fact that these mutants were unable to grow on nitrite and arginine suggests that the inability of these mutants to grow anaerobically can be correlated to the absence of oxygen and not the utilization of a specific terminal electron acceptor or arginine.

PA4049 encodes a hypothetical protein with homology to bacterial ABC-type periplasmic transport systems, which are a diverse group of periplasmic transport receptors for lysine/arginine/ornithine, glutamine, histidine, sulfate, phosphate, molybdate, and methanol. Also, the insertion in this gene may have had a downstream effect on PA4048, which appears to be in an operon with PA4049. Further studies are needed to confirm the role of PA4049 in anaerobic growth of P. aeruginosa.

PA1850 encodes a probable transcriptional regulator containing an amidase domain and an AraC-type DNA-binding helix-turn-helix domain. The AraC family contains highly versatile regulators which have been shown to regulate a number of bacterial functions, including sugar catabolism, responses to stress, and virulence factor expression (26). We are currently investigating what genes may be under control of this putative regulator. These studies will likely identify additional genes required for anaerobic growth on nitrate.

PA5497 was previously classified as a hypothetical protein but has been recently reported to encode the class II ribonucleotide reductase (43). Based on transcriptional studies and enzyme activities, those authors suggested that the two-component class II ribonucleotide reductase in P. aeruginosa is used primarily for DNA repair and/or possibly DNA replication at low oxygen tension. Our data show that this enzyme is required for anaerobic growth of P. aeruginosa.

We have recently determined the transcriptional response of P. aeruginosa to the presence of the electron acceptor nitrate and anaerobiosis (12). Very few of the novel genes we found to be required for anaerobic growth on nitrate demonstrate transcriptional regulation by oxygen or nitrate (12). PA1006, PA1850, and PA4049 are not differentially expressed in response to the presence of nitrate or anaerobiosis, suggesting that these transcripts are constitutively expressed between aerobic and anaerobic conditions, that they may be regulated posttranscriptionally, or that the microarray analyses were not sensitive enough to detect changes of these transcripts (12). Three of the five genes which encode conserved hypothetical proteins demonstrated differential gene expression in our previous experiments. Transcripts for PA3913 and PA3912 were promoted by nitrate but not by anaerobiosis, and the PA5497 transcript was promoted by anaerobiosis. In silico analysis shows putative DNA binding sequences for Anr in the putative promoter regions of PA3913 and PA5497 (data not shown), suggesting that these genes may be regulated by Anr. In a recent proteomic study (49), the proteins encoded by PA3913 and PA5497 were reported to be upregulated under anaerobiois, further demonstrating a role of these genes in anaerobic metabolism.

There is precedence for linking genes involved in anaerobic respiration to virulence of bacteria other than P. aeruginosa (3, 4, 13, 14, 20, 47). We chose to use the lettuce leaf model of infection to efficiently screen the mutants described to determine if they displayed reduced virulence. Plants have been used as an in vivo pathogenesis model for the identification of virulence factors of the human opportunistic pathogen P. aeruginosa (32), and there are supporting data that demonstrate that the virulence mechanisms between plant and animal models are conserved (31). Many of the mutants showed at least a slight decrease in virulence in the lettuce model (Table 3). Interestingly, the most dramatic decreases in virulence were observed with the mutants containing disruptions in anr, PA1850, and hemN. These genes have not previously been reported to be involved in virulence of P. aeruginosa. It is interesting that two of the genes encode known (Anr) or putative (PA1850) transcriptional regulators. Since not all of the genes required for anaerobic growth on all substrates tested (nitrate, nitrite, or arginine) were required for virulence in the lettuce model (PA3912, PA3913, and PA5497), this suggests that the lettuce model may not involve strict anaerobic growth of this pathogen or that in vivo P. aeruginosa can utilize alternative pathways for anaerobic growth. These data also suggest alternative explanations for the reduced virulence in the anr, hemN, and PA1850 mutants. One possibility is that these genes may directly or indirectly regulate or influence expression of other genes which affect virulence. In fact, it has been suggested that anr represses components of the aerobic respiratory pathway, such as the terminal cytochrome oxidases, while activating a number of genes under low-oxygen and anaerobic conditions (33). Therefore, it is likely that anr, as well as PA1850, may regulate genes that have yet to be identified which are involved in virulence.

One of the mutants, with a disruption in PA3912, demonstrated a “hypervirulent” phenotype; however, a mutation in PA3913 (the first gene of the putative gene cluster of PA3913 to -11) did not affect virulence. Although we have no direct evidence, one possible explanation for this result is that disruption of PA3912 results in an increase in expression of PA3913, which encodes a putative protease. Other proteases have been shown to be involved in virulence, lending support to this hypothesis. Further study of this gene cluster is under way to determine the function and regulation of the genes in this cluster. It will be interesting to determine if these genes are required for virulence in other models of P. aeruginosa infection, since virulence determinants have been shown to be conserved between plants and animals (31).

While this study identified mutants with disruptions in some genes previously associated with anaerobic growth, it also links several novel genes and the anaerobic physiology of P. aeruginosa. We are currently investigating the roles of these genes in the anaerobic growth of P. aeruginosa as well as their effects on virulence of this important pathogen. Further transcriptional characterization of the identified genes is under way to determine their inclusion in possible operons and if surrounding genes may also be required for anaerobic growth. Also, these mutants will be more thoroughly characterized using additional virulence models of P. aeruginosa pathogenesis. Our current and future studies of these genes will extend our knowledge of the anaerobic physiology of P. aeruginosa and the relationship to pathogenesis.

Acknowledgments

We thank Dan Bushnell, Olivia Tono, and Johanna Schwingel for technical assistance.

This work was supported by grants from Cystic Fibrosis Foundation Theraputics (IGLEWS00V0 and IGLEWS03FG0) to B.H.I. and L.P. and from the NIH (R37AI33713) to B.H.I. M.J.F. was supported by a National Institutes of Health NRSA postdoctoral fellowship (F32AI056825), and H.N. is supported by a training grant (T32AI07362) from the National Institutes of Health.

Editor: A. D. O'Brien

REFERENCES

  • 1.Arai, H., Y. Igarashi, and T. Kodama. 1995. Expression of the nir and nor genes for denitrification of Pseudomonas aeruginosa requires a novel CRP/FNR-related transcriptional regulator, DNR, in addition to ANR. FEBS Lett. 371:73-76. [DOI] [PubMed] [Google Scholar]
  • 2.Arai, H., T. Kodama, and Y. Igarashi. 1997. Cascade regulation of the two CRP/FNR-related transcriptional regulators (ANR and DNR) and the denitrification enzymes in Pseudomonas aeruginosa. Mol. Microbiol. 25:1141-1148. [DOI] [PubMed] [Google Scholar]
  • 3.Baek, S. H., G. Rajashekara, G. A. Splitter, and J. P. Shapleigh. 2004. Denitrification genes regulate Brucella virulence in mice. J. Bacteriol. 186:6025-6031. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Baltes, N., I. Hennig-Pauka, I. Jacobsen, A. D. Gruber, and G. F. Gerlach. 2003. Identification of dimethyl sulfoxide reductase in Actinobacillus pleuropneumoniae and its role in infection. Infect. Immun. 71:6784-6792. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Brook, I. 2002. Anaerobic bacteria in upper respiratory tract and other head and neck infections. Ann. Otol. Rhinol. Laryngol. 111:430-440. [DOI] [PubMed] [Google Scholar]
  • 6.Carenfelt, C., and C. Lundberg. 1977. Purulent and non-purulent maxillary sinus secretions with respect to pO2, pCO2 and pH. Acta Otolaryngol. 84:138-144. [DOI] [PubMed] [Google Scholar]
  • 7.Costerton, J. W. 2002. Anaerobic biofilm infections in cystic fibrosis. Mol. Cell 10:699-700. [DOI] [PubMed] [Google Scholar]
  • 8.Costerton, J. W., Z. Lewandowski, D. E. Caldwell, D. R. Korber, and H. M. Lappin-Scott. 1995. Microbial biofilms. Annu. Rev. Microbiol. 49:711-745. [DOI] [PubMed] [Google Scholar]
  • 9.Costerton, J. W., P. S. Stewart, and E. P. Greenberg. 1999. Bacterial biofilms: a common cause of persistent infections. Science 284:1318-1322. [DOI] [PubMed] [Google Scholar]
  • 10.de Boer, A. P., J. van der Oost, W. N. Reijnders, H. V. Westerhoff, A. H. Stouthamer, and R. J. van Spanning. 1996. Mutational analysis of the nor gene cluster which encodes nitric-oxide reductase from Paracoccus denitrificans. Eur. J. Biochem. 242:592-600. [DOI] [PubMed] [Google Scholar]
  • 11.Eschbach, M., K. Schreiber, K. Trunk, J. Buer, D. Jahn, and M. Schobert. 2004. Long-term anaerobic survival of the opportunistic pathogen Pseudomonas aeruginosa via pyruvate fermentation. J. Bacteriol. 186:4596-4604. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Filiatrault, M. J., V. E. Wagner, D. Bushnell, C. G. Haidaris, B. H. Iglewski, and L. Passador. 2005. Effect of anaerobiosis and nitrate on gene expression in Pseudomonas aeruginosa. Infect. Immun. 73:3764-3772. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Fritz, C., S. Maass, A. Kreft, and F. C. Bange. 2002. Dependence of Mycobacterium bovis BCG on anaerobic nitrate reductase for persistence is tissue specific. Infect. Immun. 70:286-291. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Ge, Z., Y. Feng, C. A. Dangler, S. Xu, N. S. Taylor, and J. G. Fox. 2000. Fumarate reductase is essential for Helicobacter pylori colonization of the mouse stomach. Microb. Pathog. 29:279-287. [DOI] [PubMed] [Google Scholar]
  • 15.Govan, J., and V. Deretic. 1996. Microbial pathogenesis in cystic fibrosis: mucoid Pseudomonas aeruginosa and Burkholderia cepacia. Microbiol. Rev. 60:539-574. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Hass, D., M. Gamper, and A. Zimmermann. 1992. Anaerobic control in Pseudomons aeruginosa, p. 177-187. In E. Galli, S. Silver, and B. Witholt (ed.), Pseudomonas: molecular biology and biotechnology. American Society for Microbiology, Washington, D.C.
  • 17.Hassett, D. J. 1996. Anaerobic production of alginate by Pseudomonas aeruginosa: alginate restricts diffusion of oxygen. J. Bacteriol. 178:7322-7325. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Hassett, D. J., J. Cuppoletti, B. Trapnell, S. V. Lymar, J. J. Rowe, S. S. Yoon, G. M. Hilliard, K. Parvatiyar, M. C. Kamani, D. J. Wozniak, S. H. Hwang, T. R. McDermott, and U. A. Ochsner. 2002. Anaerobic metabolism and quorum sensing by Pseudomonas aeruginosa biofilms in chronically infected cystic fibrosis airways: rethinking antibiotic treatment strategies and drug targets. Adv. Drug Deliv. Rev. 54:1425-1443. [DOI] [PubMed] [Google Scholar]
  • 19.Hayashi, N. R., H. Arai, T. Kodama, and Y. Igarashi. 1998. The nirQ gene, which is required for denitrification of Pseudomonas aeruginosa, can activate the RubisCO from Pseudomonas hydrogenothermophila. Biochim. Biophys. Acta 1381:347-350. [DOI] [PubMed] [Google Scholar]
  • 20.Jacobsen, I., I. Hennig-Pauka, N. Baltes, M. Trost, and G. F. Gerlach. 2005. Enzymes involved in anaerobic respiration appear to play a role in Actinobacillus pleuropneumoniae virulence. Infect. Immun. 73:226-234. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Kim, E. J., W. Sabra, and A. P. Zeng. 2003. Iron deficiency leads to inhibition of oxygen transfer and enhanced formation of virulence factors in cultures of Pseudomonas aeruginosa PAO1. Microbiology 149:2627-2634. [DOI] [PubMed] [Google Scholar]
  • 22.Lambert, P. A. 2002. Mechanisms of antibiotic resistance in Pseudomonas aeruginosa. J. R. Soc. Med. 95:22-26. [PMC free article] [PubMed] [Google Scholar]
  • 23.Lieb, C., R. A. Siddiqui, B. Hippler, D. Jahn, and B. Friedrich. 1998. The Alcaligenes eutrophus hemN gene encoding the oxygen-independent coproporphyrinogen III oxidase, is required for heme biosynthesis during anaerobic growth. Arch. Microbiol. 169:52-60. [DOI] [PubMed] [Google Scholar]
  • 24.Lyczak, J. B., C. L. Cannon, and G. B. Pier. 2000. Establishment of Pseudomonas aeruginosa infection: lessons from a versatile opportunist. Microbes Infect. 2:1051-1060. [DOI] [PubMed] [Google Scholar]
  • 25.Lyczak, J. B., C. L. Cannon, and G. B. Pier. 2002. Lung infections associated with cystic fibrosis. Clin. Microbiol. Rev. 15:194-222. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Martin, R. G., and J. L. Rosner. 2001. The AraC transcriptional activators. Curr. Opin. Microbiol. 4:132-137. [DOI] [PubMed] [Google Scholar]
  • 27.Martin, V. J., and W. W. Mohn. 1999. An alternative inverse PCR (IPCR) method to amplify DNA sequences flanking Tn5 transposon insertions. J. Microbiol. Methods 35:163-166. [DOI] [PubMed] [Google Scholar]
  • 28.Mercenier, A., J. P. Simon, C. Vander Wauven, D. Haas, and V. Stalon. 1980. Regulation of enzyme synthesis in the arginine deiminase pathway of Pseudomonas aeruginosa. J. Bacteriol. 144:159-163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Morris, C. E., and J. M. Monier. 2003. The ecological significance of biofilm formation by plant-associated bacteria. Annu. Rev. Phytopathol. 41:429-453. [DOI] [PubMed] [Google Scholar]
  • 30.Portier, F., T. van den Abbeele, E. Lecain, E. Sauvaget, B. Escoubet, P. T. Huy, and P. Herman. 1999. Oxygen modulates Na+ absorption in middle ear epithelium. Am. J. Physiol. 276:C312-C317. [DOI] [PubMed] [Google Scholar]
  • 31.Rahme, L. G., F. M. Ausubel, H. Cao, E. Drenkard, B. C. Goumnerov, G. W. Lau, S. Mahajan-Miklos, J. Plotnikova, M. W. Tan, J. Tsongalis, C. L. Walendziewicz, and R. G. Tompkins. 2000. Plants and animals share functionally common bacterial virulence factors. Proc. Natl. Acad. Sci. USA 97:8815-8821. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Rahme, L. G., M. W. Tan, L. Le, S. M. Wong, R. G. Tompkins, S. B. Calderwood, and F. M. Ausubel. 1997. Use of model plant hosts to identify Pseudomonas aeruginosa virulence factors. Proc. Natl. Acad. Sci. USA 94:13245-13250. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Ray, A., and H. D. Williams. 1997. The effects of mutation of the anr gene on the aerobic respiratory chain of Pseudomonas aeruginosa. FEMS Microbiol. Lett. 156:227-232. [DOI] [PubMed] [Google Scholar]
  • 34.Richardson, D. J. 2000. Bacterial respiration: a flexible process for a changing environment. Microbiology 146:551-571. [DOI] [PubMed] [Google Scholar]
  • 35.Rompf, A., C. Hungerer, T. Hoffmann, M. Lindenmeyer, U. Romling, U. Gross, M. O. Doss, H. Arai, Y. Igarashi, and D. Jahn. 1998. Regulation of Pseudomonas aeruginosa hemF and hemN by the dual action of the redox response regulators Anr and Dnr. Mol. Microbiol. 29:985-997. [DOI] [PubMed] [Google Scholar]
  • 36.Rumbaugh, K. P., J. A. Griswold, B. H. Iglewski, and A. N. Hamood. 1999. Contribution of quorum sensing to the virulence of Pseudomonas aeruginosa in burn wound infections. Infect. Immun. 67:5854-5862. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 37.Sabra, W., H. Lunsdorf, and A. P. Zeng. 2003. Alterations in the formation of lipopolysaccharide and membrane vesicles on the surface of Pseudomonas aeruginosa PAO1 under oxygen stress conditions. Microbiology 149:2789-2795. [DOI] [PubMed] [Google Scholar]
  • 38.Sambrook, J., E. F. Fritsch, and T. Maniatis. 1989. Molecular cloning: a laboratory manual, 2nd ed. Cold Spring Haror Laboratory Press, Cold Spring Harbor, N.Y.
  • 39.Sawers, R. G. 1991. Identification and molecular characterization of a transcriptional regulator from Pseudomonas aeruginosa PAO1 exhibiting structural and functional similarity to the FNR protein of Escherichia coli. Mol. Microbiol. 5:1469-1481. [DOI] [PubMed] [Google Scholar]
  • 40.Schweizer, H. P. 1991. Escherichia-Pseudomonas shuttle vectors derived from pUC18/19. Gene 97:109-121. [DOI] [PubMed] [Google Scholar]
  • 41.Stewart, P. S. 2002. Mechanisms of antibiotic resistance in bacterial biofilms. Int. J. Med. Microbiol. 292:107-113. [DOI] [PubMed] [Google Scholar]
  • 42.Tong, X., J. W. Campbell, G. Balazsi, K. A. Kay, B. L. Wanner, S. Y. Gerdes, and Z. N. Oltvai. 2004. Genome-scale identification of conditionally essential genes in E. coli by DNA microarrays. Biochem. Biophys. Res. Commun. 322:347-354. [DOI] [PubMed] [Google Scholar]
  • 43.Torrents, E., A. Poplawski, and B. M. Sjoberg. 2005. Two proteins mediate class II ribonucleotide reductase activity in Pseudomonas aeruginosa: expression and transcriptional analysis of the aerobic enzymes. J. Biol. Chem. 17:17. [DOI] [PubMed] [Google Scholar]
  • 44.Tyson, K., R. Metheringham, L. Griffiths, and J. Cole. 1997. Characterisation of Escherichia coli K-12 mutants defective in formate-dependent nitrite reduction: essential roles for hemN and the menFDBCE operon. Arch. Microbiol. 168:403-411. [DOI] [PubMed] [Google Scholar]
  • 45.Vander Wauven, C., A. Pierard, M. Kley-Raymann, and D. Haas. 1984. Pseudomonas aeruginosa mutants affected in anaerobic growth on arginine: evidence for a four-gene cluster encoding the arginine deiminase pathway. J. Bacteriol. 160:928-934. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Wagner, V. E., D. Bushnell, L. Passador, A. I. Brooks, and B. H. Iglewski. 2003. Microarray analysis of Pseudomonas aeruginosa quorum-sensing regulons: effects of growth phase and environment. J. Bacteriol. 185:2080-2095. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Weber, I., C. Fritz, S. Ruttkowski, A. Kreft, and F. C. Bange. 2000. Anaerobic nitrate reductase (narGHJI) activity of Mycobacterium bovis BCG in vitro and its contribution to virulence in immunodeficient mice. Mol. Microbiol. 35:1017-1025. [DOI] [PubMed] [Google Scholar]
  • 48.Worlitzsch, D., R. Tarran, M. Ulrich, U. Schwab, A. Cekici, K. C. Meyer, P. Birrer, G. Bellon, J. Berger, T. Weiss, K. Botzenhart, J. R. Yankaskas, S. Randell, R. C. Boucher, and G. Doring. 2002. Effects of reduced mucus oxygen concentration in airway Pseudomonas infections of cystic fibrosis patients. J. Clin. Invest. 109:317-325. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Wu, M., T. Guina, M. Brittnacher, H. Nguyen, J. Eng, and S. I. Miller. 2005. The Pseudomonas aeruginosa proteome during anaerobic growth. J. Bacteriol. 187:8185-8190. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 50.Xu, K. D., P. S. Stewart, F. Xia, C. T. Huang, and G. A. McFeters. 1998. Spatial physiological heterogeneity in Pseudomonas aeruginosa biofilm is determined by oxygen availability. Appl. Environ. Microbiol. 64:4035-4039. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 51.Yoon, S. S., R. F. Hennigan, G. M. Hilliard, U. A. Ochsner, K. Parvatiyar, M. C. Kamani, H. L. Allen, T. R. DeKievit, P. R. Gardner, U. Schwab, J. J. Rowe, B. H. Iglewski, T. R. McDermott, R. P. Mason, D. J. Wozniak, R. E. Hancock, M. R. Parsek, T. L. Noah, R. C. Boucher, and D. J. Hassett. 2002. Pseudomonas aeruginosa anaerobic respiration in biofilms: relationships to cystic fibrosis pathogenesis. Dev. Cell 3:593-603. [DOI] [PubMed] [Google Scholar]
  • 52.Zimmermann, A., C. Reimmann, M. Galimand, and D. Haas. 1991. Anaerobic growth and cyanide synthesis of Pseudomonas aeruginosa depend on anr, a regulatory gene homologous with fnr of Escherichia coli. Mol. Microbiol. 5:1483-1490. [DOI] [PubMed] [Google Scholar]

Articles from Infection and Immunity are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES