Abstract
Phase variation in the Gram-negative human pathogen Vibrio vulnificus involves three colonial morphotypes- smooth opaque colonies due to production of capsular polysaccharide (CPS), smooth translucent colonies as the result of little or no CPS expression, and rugose colonies due to production of a separate extracellular polysaccharide (EPS), which greatly enhances biofilm formation. Previously, it was shown that the brp locus, which consists of nine genes arranged as an operon, is up-regulated in rugose strains in a c-di-GMP-dependent manner, and that plasmid insertions into the locus resulted in loss of rugosity and efficient biofilm production. Here, we have used non-polar mutagenesis to assess the involvement of individual brp genes in production of EPS and related phenotypes. Inactivation of genes predicted to be involved in various stages of EPS biosynthesis eliminated both the rugose colonial appearance and production of EPS, while knockout of a predicted flippase function involved in EPS transport resulted in a dry, lightly striated phenotype, which was associated with a reduction of brp-encoded EPS on the cell surface. All brp mutants retained the reduced motility characteristic of rugose strains. Lastly, we provide evidence that the brp locus is highly prevalent among strains of V. vulnificus.
Introduction
Vibrio vulnificus is a Gram-negative bacterium found in estuarine and marine waters, and is commonly associated with human disease caused by ingestion of raw oysters or contact of the organism with an open wound. The mortality rate of V. vulnificus is the highest among food-borne pathogens, ranging from 50–75% [1], and pathogenesis is directly related to the presence of capsular polysaccharide (CPS), which protects the bacteria from the host immune system [2]–[5]. Encapsulated strains exhibit a smooth opaque colony phenotype on agar plates and kill an iron-overloaded mouse at lower doses than attenuated unencapsulated strains, which exhibit a smooth translucent phenotype [3]. A third colony type called rugose has been isolated from both opaque and translucent parental strains, and it is characterized by dry, wrinkled colonies, decreased motility, and robust biofilm formation caused by production of extracellular polysaccharide (EPS) [6], [7].
V. vulnificus can spontaneously switch among opaque, translucent and rugose phases in response to certain environmental conditions [8], [9]. Genetic loci relevant to these switching events include the group I CPS operon, involved in CPS biosynthesis and transport [10], [11], and the brp locus, which was shown to be involved in EPS production [7], [12]. The brp cluster (renamed from wcr) was originally identified by RT-PCR analysis as being more highly expressed in rugose variants when compared to opaque or translucent ones [7]. The translucent phenotype of a transposon mutant (TDB3[T]), which contains an insertion in the brp gene cluster, raised the possibility that one or more brp genes may also be required for CPS production [7], [13].
The brp locus is regulated by bacterial second messenger c-di-GMP, though the mechanism remains undetermined [12]. The importance of c-di-GMP as a regulator of EPS production, and biofilm formation has been established previously in several bacterial species [14], [15]. Recently, an additional exopolysaccharide locus, rbd, was characterized in V. vulnificus, and it was found to enhance biofilm and cell aggregation phenotypes, though its polysaccharide did not appear to be required for either development or maintenance of the rugose phenotype [16].
In this study, we used a non-polar mutagenesis approach to assess the involvement of individual brp genes in exopolysaccharide production and related phenotypes. Four brp genes were disrupted, and two phenotypes with respect to colony morphology and EPS production were observed. All non-polar brp mutants showed greatly reduced biofilm capability and also remained less motile than opaque or translucent variants. Through a combined PCR and Southern blotting approach, we also found the brp locus to be widespread within this species.
Materials and Methods
Bacterial strains & growth conditions
All V. vulnificus strains were grown in heart infusion broth (Difco) supplemented to 2% NaCl (HI) and on HI agar plates containing 18 g/l of agar (Difco). Broth cultures were incubated at 30°C and 200 rpm; plates were incubated overnight (ON) for 16–24 h at 30°C. Phase switching assays in HI and growth curves were all performed as previously described [8]. Escherichia coli strains were grown in LB broth (Difco), broth cultures were incubated at 37°C and 250 rpm, and plates were incubated ON for 16–24 h at 37°C. Antibiotics (Sigma) were used at the following concentrations: 150 µg/ml kanamycin, 50 µg/ml ampicillin, and 2 µg/ml chloramphenicol for V. vulnificus and 50 µg/ml kanamycin, 50 µg/ml ampicillin, and 10 µg/ml chloramphenicol for E. coli. Arabinose (Sigma) was typically added to a final concentration of 0.2% when needed. E. coli and V. vulnificus strains used or created in this study are listed in Table 1.
Table 1. Strains used in this study.
Strain | Genotype/Description | Source or Reference | |
E. coli | |||
BRL2288 | F− araD139 Δ(ara-leu)7679 Δ(lac)X74 galU galK hsdR2 (rκ − mκ −) mcrB1 rpsL recA56 (Strr) | [36] | |
S17.1 | thi pro hsdR hdsM+ recA RP4-2-Tc::Mu-Km-Tn7 | [37] | |
SY327λpir | Δ(lac pro) argE(Am) rif malA recA56 λpir | [38] | |
S17.1λpir | thi pro hsdR hdsM+ recA RP4-2-Tc::Mu-Km-Tn7 λpir | [37] | |
V. vulnificus | |||
1003(O) | formerly 1003; wound isolate from Louisiana, opaque | [39] | |
BG(R) | spontaneous rugose isolate of 1003(O) | [6] | |
AZ(T) | spontaneous translucent isolate of 1003(O) | [32] | |
ABZ1(T) | transposon mutant of 1003(O) (wcvA::mini-Tn10), TrS | [32] | |
ABZ1(R) | spontaneous rugose isolate of ABZ1(T) | [6] | |
TDB3(T) | transposon mutant of 1003(O) (brpI::mini-Tn10), TrS | [13] | |
YJ016 | clinical isolate from Taiwan, opaque | [40] | |
KG3(R) | spontaneous rugose isolate of YJ016 | This study | |
KG4(T) | spontaneous translucent isolate of YJ016 | This study | |
KG3-17 | non-polar brpI mutant of KG3(R), KmR | This study | |
KG3-01 | non-polar brpA mutant of KG3(R), KmR | This study | |
KG3-02 | non-polar brpD mutant of KG3(R), KmR | This study | |
KG3-03 | non-polar brpJ mutant of KG3(R), KmR | This study | |
KG3-17C | KG3-17 complemented with brpI gene on pVV40, KmR, ChlR | This study | |
KG3-01C | KG3-01, complemented with brpA gene on pVV43, KmR, ChlR | This study | |
KG3-02C | KG3-02, complemented with brpD gene on pVV41, KmR, ChlR | This study | |
KG3-03C | KG3-03, complemented with brpJ gene on pVV45, KmR, ChlR | This study | |
TDB3(T)C1 | TDB3(T), complemented with brpI gene on pVV40, KmR, ChlR | This study | |
TDB3(T)C2 | TDB3(T), complemented with brpIJK genes on pVV53, KmR, ChlR | This study | |
YJ-10 | non-polar brpJ mutant of YJ016, KmR | This study | |
1001 | blood isolate, opaque | [39] | |
1004 | stool isolate, opaque | [39] | |
1005 | blood isolate, opaque | [39] | |
1007 | blood isolate, opaque | [39] | |
1009 | blood isolate, opaque | [39] | |
1014 | blood isolate, opaque | [39] | |
1456(O) | unknown origin, opaque | Lab collection | |
1456(T) | spontaneous translucent variant of 1456(O) | Lab collection | |
1657(O) | unknown origin, opaque | Lab collection | |
1657(T) | spontaneous translucent variant of 1657(O) | Lab collection | |
95-10-15 | unknown origin, opaque | Lab collection | |
96-7-155 | eel isolate, opaque | Lab collection | |
ATCC27562 | clinical isolate, opaque | [41] | |
C7184 | clinical isolate, opaque | [42] | |
CMCP6 | clinical isolate, opaque | [43] | |
CP-Clam-2 | oyster isolate, opaque | Lab collection | |
CP-Mussel-10 | oyster isolate, opaque | Lab collection | |
CP-Sed-5 | sediment isolate, opaque | [8] | |
F8Oyster11(O) | oyster isolate, opaque | Lab collection | |
F8Oyster11(T) | spontaneous translucent variant of F8Oyster11(O) | Lab collection | |
MLT124 | oyster isolate, opaque | [8] | |
MLT136(O) | formerly MLT136; oyster isolate, opaque | [8] | |
MLT136(T) | spontaneous translucent isolate of MLT136(O) | Lab collection | |
MLT141 | oyster isolate, opaque | Lab collection | |
MLT198 | sediment isolate, translucent | Lab collection | |
132a1 | environmental isolate, opaque | M.E. Janes | |
132z2 | environmental isolate, opaque | M.E. Janes | |
212b6 | environmental isolate, opaque | M.E. Janes | |
212f12 | environmental isolate, opaque | M.E. Janes | |
212s7 | environmental isolate, opaque | M.E. Janes | |
342e9 | environmental isolate, opaque | M.E. Janes | |
342s6 | environmental isolate, opaque | M.E. Janes | |
NOLA18 | environmental isolate, New Orleans, LA, opaque | Lab collection | |
212f18 | environmental isolate, opaque | M.E. Janes |
Molecular genetic and recombinant DNA techniques
DNA manipulations were carried out using standard molecular techniques [17]. Restriction enzymes, calf intestinal alkaline phosphatase (CIP), T4 polynucleotide kinase, and Klenow polymerase were obtained from New England Biolabs, Pfu polymerase from Stratagene, AmpliTaq polymerase from Applied Biosystems, and primers from Sigma Genosys. Plasmids used or created in this study are listed in Table 2, while primers are listed in Tables 3 and 4. Genomic DNA was isolated and PCRs for brp gene linkage analysis were completed as described [7], [8]. For Southern blotting, fragments specific for the brpC or brpI genes were generated via PCR with primer pairs RUG17/RUG18, and CAP27/CAP28, respectively. Production of radiolabeled probes and hybridizations were performed as described [7] using ca. 108 cpm/ml of probe per hybridization.
Table 2. Plasmids used in this study.
Plasmid | Description | Reference/source |
Vectors | ||
pSP72 | cloning vector, ApR | Promega |
pGP704sacB28 | suicide vector, ApR | [19] |
pBBR1MCS | broad host range cloning vector, ChlR | [21] |
pACW29 | contains the 840bp nonpolar KmR cassette inserted in wza Vv, KmR | [11] |
pKan2 | contains the 840bp nonpolar KmR cassette of pACW29 cloned into pSP72, KmR | This study |
pBAD/His A | expression vector containing the araC gene and PBAD promoter, ApR | Invitrogen |
pBBRBAD1 | PBAD promoter and araC gene cloned into pBBR1MCS, ChlR | This study |
pBBRBAD2 | PBAD promoter and araC gene in the opposite orientation of pBBRBAD1, ChlR | This study |
Non-polar mutagenesis clones | ||
pVV4 | brpI fragment cloned into pSP72, ApR | This study |
pVV8 | nonpolar KmR cassette inserted in the brpI fragment of pVV4, ApR, KmR | This study |
pVV18 | brpI-KmR cassette fusion from pVV8 cloned into pGP704sacB28, ApR, KmR | This study |
pVV1 | brpD fragment cloned into pSP72, ApR | This study |
pVV2 | nonpolar KmR cassette inserted in the brpD fragment of pVV1, ApR, KmR | This study |
pVV21 | brpD-KmR cassette fusion from pVV2 cloned into pGP704sacB28, ApR, KmR | This study |
pVV27 | brpA deletion (ΔbrpA) fragment cloned into pSP72, ApR | This study |
pVV28 | nonpolar KmR cassette inserted in the ΔbrpA fragment of pVV27, ApR, KmR | This study |
pVV29 | ΔbrpA-KmR cassette fusion from pVV28 cloned into pGP704sacB28, ApR, KmR | This study |
pVV42 | brpJ deletion (ΔbrpJ) fragment cloned into pSP72, ApR | This study |
pVV44 | nonpolar KmR cassette inserted in the ΔbrpJ fragment of pVV42, ApR, KmR | This study |
pVV46 | ΔbrpJ-KmR cassette fusion from pVV44 cloned into pGP704sacB28, ApR, KmR | This study |
Complementation/overexpression clones | ||
pVV40 | brpI gene cloned into pBBRBAD2, ChlR | This study |
pVV41 | brpD gene cloned into pBBRBAD2, ChlR | This study |
pVV43 | brpA gene cloned into pBBRBAD1, ChlR | This study |
pVV45 | brpJ gene cloned into pBBRBAD2, ChlR | This study |
pVV53 | brpIJK genes cloned into pBBRBAD2, ChlR | This study |
ApR, ampicillin resistant; KmR, kanamycin resistant, ChlR, chloramphenicol resistant.
Table 3. Primers used for non-polar mutagenesis & complementation experiments.
Primer | Sequence (5′→3′)1 |
Npm01 | AAAAAGAATTCCGACGAGGCCTTCTGTGGTG |
Npm02 | AAAAAGATATCCGAAGTGAGGCGTCCCGGTAG |
Npm03 | AAAAACTCGAGGTAAGAGGCATACCTTCC |
Npm04 | AAAAAGAATTCTACGATCTGCCACTCTAC |
Del_brpA_A | AAAGAATTCACGCCACTTTGGTAGGAG |
Del_brpA_B | GTCCATTTA CCCGGG ACAAGCCCGTGTTTAAAGGCTTTACTGG |
Del_brpA_C | GCTTGT CCCGGG TAAATGGACTCATGTGAGCGAATCAATCC |
Del_brpA_D | AAAGGATCCCAGATGCGTGCCCAGATTAC |
Del_brpJ_A | AAAGAATTCGCGCCAATTTCAGGCAAGGTAG |
Del_brpJ_B | CTTCAAT CCCGGG GATCCAGCTTAGGCTTTGTACCCATCG |
Del_brpJ_C | CTGGATC CCCGGG ATTGAAGCTCATGGGATAACCCAGAC |
Del_brpJ_D | AAATCTAGAAAGCATTTGGCGGTGGTGTAC |
brpA-For | AAACTCGAGCCCACCCACACGGGTAACAAAC |
brpA-Rev | AAAAAGCTTAACGACACTCAAGGGCGGTAGC |
Npm11 | AAAAATCTAGATGATTAAGCACGCTGAGC |
Npm12 | AAAAACTGCAGCAGAAAAGGAGAGAGCTC |
Npm132 | AAAAAGGATCCCTTCGCCAGTAACGAGGTCG |
brpJ-For | AAACCCGGGAAGATTGGCGCTCAGCAGCC |
brpJ-Rev | AAATCTAGAACTGTCATGACGCAAATGAC |
brpK-For | AAAAATCTAGAGCAATGGCGATGTCTTGCTG |
brpIJK-Rev | AAAAACCCGGGCTAAAGACACCAGGGACGAG |
Restriction enzyme sites are underlined. Homologous sequence used in SOE is italicized. SmaI sites are in bold.
From Grau, et al. 2008 [7].
Table 4. Primers used for brp distribution analysis.
Primer | Sequence (5′→3′) | Description |
RUG131 | CGAGAGAGATGAGAGCAATG | Used to demonstrate brpA-brpB linkage |
RUG161 | TTCCTCTCGCAATACGCCAC | Used to demonstrate brpA-brpB linkage |
RUG151 | CAAGAGCATACGACCTGGAC | Used to demonstrate brpB-brpC linkage |
RUG181 | TGGCGAGGATGACTTATCAA | Used to demonstrate brpB-brpC linkage |
RUG191 | ACGCAGACCTCCACTAGAGA | Used to demonstrate brpD-brpF linkage |
RUG341 | GAAGGTGCAGGAAGAGTTGA | Used to demonstrate brpD-brpF linkage |
CAP251 | GTAGAGTGGCAGATCGTACA | Used to demonstrate brpH-brpI linkage |
CAP281 | TGTCACGCAACTGCTGTTCT | Used to demonstrate brpH-brpI linkage |
CAP271 | TACCAATCTAACGCCGGCAA | Used to demonstrate brpI-brpJ linkage (also used with CAP28 to generate brpI probe) |
RUG451 | AATCCAATGAGCAGCGAAGTCC | Used to demonstrate brpI-brpJ linkage |
RUG43 | AGCCAGAAGATAGCCTGTC | Used to demonstrate brpJ-brpK linkage |
RUG461 | AGCGATACGCCATGTTACTCC | Used to demonstrate brpJ-brpK linkage |
RUG331 | GAAGGTGCAGGAAGAGTTGA | Used to generate brpF probe (with RUG34) |
RUG44 | GGAGTCGAGCTCTTCATTCC | Used to generate brpK probe (with RUG43) |
RUG17 | CGGAACTTATTAATCGAGAC | Used with RUG18 to generate brpC probe |
wza-For2 | GGTGCTCTACGCGTTAAAACG | Used to amplify wzb gene |
wzc-Rev2 | GAGTTATCAACGGAAGATCGG | Used to amplify wzb gene |
Generation of in-frame brpD and brpI insertion mutants
Mutants of brpD and brpI were generated from the rugose parental strain KG3(R) as follows. Using PCR, ∼1-kb fragments of brpD and brpI were amplified using primer pairs Npm1/Npm2 and Npm3/Npm4, respectively. Each 50-µl PCR reaction mixture contained 5 µl of 10× buffer, 4 µl of a 10 mM dNTP mixture (each dNTP at 2.5 mM), 1 µl of each primer (20 µM), 1 µl of Pfu polymerase (2.5 U/µl), 100 ng of YJ016 genomic DNA, and nuclease-free H2O. The PCRs were performed using an initial temperature of 95°C for 2 min, followed by 30 cycles of 95°C for 45 sec, 55°C for 45 sec, and 72°C for 1.5 min; these cycles were then followed by a final extension at 72°C for 10 min and holding at 4°C. PCR mixtures were examined by gel electrophoresis, and, upon relevant restriction enzyme digestion, the 1-kb products were cloned into the EcoRI and EcoRV sites and the EcoRI and XhoI sites of vector pSP72 (Promega) to create pVV1 (brpD) and pVV4 (brpI), respectively. An 840-bp nonpolar kanamycin-resistance cassette [18], which was generated by digestion of plasmid pKan2 with SmaI, was cloned in the correct orientation into the ClaI site (which had been blunt ended using Klenow) of pVV1 or the MscI site of pVV4 to create pVV2 and pVV8, respectively. To confirm the cassette was inserted in frame with the downstream portion of brpD and brpI, sequencing reactions were performed using BigDye v3.1 (Applied Biosystems) [8]. The 1.88-kb HpaI-SmaI fragment of pVV2 and the 1.75-kb EcoRI-XhoI fragment (whose ends were filled in using Klenow) of pVV8 were then cloned into the blunt-ended XbaI site of suicide vector pGP704sacB28 [19] to create pVV21 (brpD) and pVV18 (brpI). Matings between V. vulnificus KG3(R) and S17.1λpir harboring the respective insertion plasmids were carried out on filter membranes; kanamycin-resistant, ampicillin-sensitive transconjugants that had undergone double homologous recombination were selected, and PCRs using AmpliTaq polymerase and primer pairs Npm1/Npm2 (brpD) and Npm3/Npm4 (brpI) were performed as described [7] to check for proper integration of the cassette. Southern blot hybridizations were used to confirm the mutant strains KG3-02 (brpD::aphA-3) and KG3-17 (brpI::aphA-3).
Generation of in-frame brpA and brpJ deletion mutants
Deletions of brpA and brpJ were generated from the rugose strain KG3(R) as follows. Using Pfu polymerase and PCR conditions as described above, primers A and B amplified a 1-kb fragment at the 3′ end of the target gene (AB), while primers C and D amplified a 1-kb fragment at the 5′ end (CD). The resulting 1-kb AB & CD fragments for a given gene were joined using splice overlap extension with primers A and D as previously described [20] to create a 2-kb deletion fragment. The fragment specific for brpA was digested with EcoRI and BamHI and cloned into these sites on pSP72, creating pVV27, while the brpJ-specific fragment was digested with EcoRI and XbaI and cloned into these sites on pSP72 to create pVV42. The 840-bp nonpolar kanamycin cassette was then cloned as a SmaI fragment in the correct orientation into the SmaI site of each deletion clone to create pVV28 (brpA) and pVV44 (brpJ). Following sequencing as described earlier, the brpA deletion construct containing the non-polar cassette was cloned as a 3-kb EcoRI-HindIII fragment (made blunt ended with Klenow) into the blunt-ended XbaI site of pGP704sacB28 to create pVV29, while the same construct for brpJ was cloned as a 3-kb ClaI-XhoI fragment (with ends filled) into the blunt-ended XbaI site of pGP704sacB28 to create pVV46. Intergeneric matings, selection of transconjugants and subsequent PCR analysis of potential mutants were performed as described in the previous section, except that primer pairs Del_wcrA_A/Del_wcrA_D (brpA) and Del_wcrJ_A/Del_wcrJ_D (brpJ) were used for the latter step. Southern blot hybridizations were used to confirm the mutant strains KG3-01 (ΔbrpA::aphA-3) and KG3-03 (ΔbrpJ::aphA-3).
Complementation of brp mutants
Complementation vectors pBBRBAD1 and pBBRBAD2 were created by cloning the NcoI-SphI fragment of pBAD1/His (Invitrogen), which contains the araC gene and arabinose-inducible promoter PBAD, in either orientation into the broad-host-range vector pBBR1MCS [21]. The brpA, brpD, brpI, brpJ, and brpIJK genes were each amplified from YJ016 via PCR with primer pairs wrcA-for/wcrA-Rev, Npm2/Npm13, Npm11/Npm12, wcrJ-For/wcrJ-Rev, and wcrK-For/wcrIJK-Rev, respectively. Following relevant restriction enzyme digestion, the amplified products were cloned into the XhoI and HindIII, EcoRV and BamHI, XbaI and PstI, SmaI and XbaI, and SmaI and XbaI sites of pBBRBAD1 or pBBRBAD2 to create the respective plasmids pVV43 (brpA), pVV41 (brpD), pVV40(brpI), pVV45(brpJ), and pVV53 (brpIJK). Matings between the mutant strains and S17.1 harboring the respective complementation plasmids were carried out as described earlier, and transconjugants were selected with chloramphenicol. Complementation was typically assessed by adding 0.2% arabinose to the growth media.
Microscopy
Whole colony images were taken using a Leica MZ7.5 stereomicroscope and a SPOT Insight camera (Diagnostic Instruments, Inc.). Scanning electron microscopy (SEM) analysis of colony surfaces was performed as previously described [7].
EPS isolation and visualization
EPS was isolated as previously described [22] with modifications. Two related protocols were performed with similar results. In the first protocol, a single colony was used to inoculate an entire plate of HI (with necessary antibiotics), which was incubated at room temperature (RT) for 2 days (2 plates were used for strain KG3-03 due to its relatively slow growth). Each lawn was collected by scraping with a glass pipette in the presence of PBS, and the resulting suspension was stirred briskly for 1-2 h at RT and then vigorously vortexed for 30 sec. Cells were harvested by centrifugation at 8,000 rpm for 1 h at 4°C, and a 5-ml aliquot of the supernatant was treated with 50 µg/ml RNase A (Qiagen) and 50 µg/ml DNase (Promega) in the presence of 10 mM MgCl2 at 37°C for 8 h, followed by treatment with 200 µg/ml protease (Sigma) at 37°C for 17.5 h. The supernatant was then extracted twice with an equal volume of phenol:chloroform (50∶50), and EPS was precipitated by the addition of 2 volumes of 100% ethanol. EPS was pelleted in a microfuge at 10,000 rpm for 30 min at 4°C, and the pellet was washed with 70% ethanol, dried and finally resuspended in 100 µl dH2O. An equal volume of each sample was then analyzed by SDS-polyacrylamide gel electrophoresis (PAGE) (100 V, 2–3 h) using 4% stacking/10% resolving gels. Finished gels were stained with Stains-All as previously described [23]. In the second protocol, a single colony was used to inoculate plates as before, except that 3 plates were used per strain. Following incubation, the lawns for a given strain were collected by scraping, the resulting suspension was vortexed vigorously for 1 min, and a 20-µl aliquot was used to create serial dilutions, which were plated on HI (with necessary antibiotics) to calculate CFU/ml of the cell suspension. The suspension was then shaken at 30°C for 90 min, and the vortexing and shaking was repeated a second time. Cells were harvested by centrifugation at 5,000 rpm for 15 min at 25°C, and the supernatant was re-centrifuged using the same parameters. The resulting supernatant was treated with RNaseA, DNase and protease, extracted twice with phenol:chloroform (50∶50) and polysaccharide was precipitated with 100% ethanol, all as in the first protocol. SDS-PAGE and staining were performed also as before, except that sample volumes were adjusted for differences in CFU/ml of the original cell suspensions.
Pellicle and biofilm assays
Pellicle formation was observed after ON growth at 30°C in 3 ml HI (with necessary antibiotics and/or arabinose) with shaking at 200 rpm. Pellicle thickness was scored qualitatively as — (no pellicle), + (thin pellicle), ++ (pellicle), or +++ (thick pellicle). Three pellicles for each strain were scored. Biofilm assays were conducted as previously described [8], except static cultures were incubated for 18 h. At least two independent assays with six replicates of each strain were completed.
Motility assays
Motility assays were conducted as previously described [6]. At least two independent assays with four replicates of each strain were completed.
Statistical Analysis
All data were analyzed using a non-paired Student's t-test.
Results
Phenotypic characterization of individual brp mutants
Given the possibility of co-transcription of the brp gene cluster (Figure 1A), a mutagenesis approach involving insertion of a non-polar kanamycin resistance cassette [18] was used in a rugose background to assess the contribution of select brp genes to rugosity, biofilm formation, exopolysaccharide production and motility. As shown previously, the presence of conserved domains revealed putative function for some of the brp genes while, for others, no conserved domains were apparent [7]; here, we chose to mutate four genes for which putative functions had been identified (Figure 1A). For the first two mutants, the kanamycin-resistant cassette was inserted between encoded functional domains of the brpD and brpI genes. Though, as detailed below, this approach yielded clear mutant phenotypes consistent with previous plasmid insertions into the locus [12], we were concerned that continued use of such a strategy would leave open the possibility of creating a truncated product which retained activity; thus, for the brpA and brpJ mutants, a different approach was employed which resulted in nearly the entire gene being replaced by the cassette (Figure 1A).
The brpA [KG3-01], brpD [KG3-02], and brpI [KG3-17] mutants lost the dry, wrinkled colony morphology of the KG3(R) parent, but appeared opaque, indicating they retained the ability to make CPS (Figure 1B–C). Meanwhile, the brpJ mutant (KG3-03) also lost its wrinkled look, though it remained dry in appearance with faint striations that became more pronounced upon extended incubation; thus, it possessed an intermediate phenotype which did not match any of the typical opaque, translucent or rugose colony types (Figure 1B–C). KG3-03 also grew detectably slower (by ∼50%) relative to the parent and other mutants (data not shown). It is unknown to what extent, if any, this defect contributed to the unique colonial phenotype of this mutant. Each mutant was then complemented using a cloned arabinose-inducible promoter construct which could induce expression of a wild type copy of each gene. The rugose colony phenotype was restored for each complemented mutant, although the degree of rugosity was clearly greater for KG3-02 containing the brpD complementation vector pVV41 (Figure 1B).
The complementation shown in Figure 1B was performed on plates containing 0.2% arabinose. When the concentration of arabinose was titrated (i.e., 0.02% and 0.002%), the strongest complementation was still always seen for KG3-02 (pVV41) (data not shown). Despite this effect, when pVV41 was introduced into strain KG3(R), rugosity of the parental strain did not appear to be increased relative to KG3(R) itself or KG3(R) containing the brpI complementation vector pVV40 (data not shown).
The opaque phenotype of the brpI mutant KG3-17 was consistent with a previous plasmid insertion into that gene [12] but not with the translucent phenotype of mutant TDB3(T) [13]. This mutant was derived from an opaque strain and contains a mini-Tn10 insertion in the brpI gene. Upon further analysis of TDB3(T), we found here that it could not be complemented back to opacity with either the brpI gene alone (plasmid pVV40), or with brpI and the downstream brpJ and brpK genes (plasmid pVV53) all together (data not shown). Thus, it was unlikely that brp gene disruption was the cause of the translucent phenotype of TDB3(T). To further explore the genetic basis of this mutant, PCR was used to assess its wzb gene. It has been shown that deletions in the wzabc region of the group I CPS operon can cause an irreversible switch from the opaque to the translucent phenotype [10]. The wzb gene was still present with no mutations (data not shown), suggesting the translucent phenotype of TDB3(T) is the result of a separate genetic or epigenetic change somewhere in the genome.
Since rugose isolates form robust biofilms [6], we expected that the brp mutants isolated here would produce less biofilm. Biofilm formation was assessed both qualitatively (pellicle formation) and quantitatively (biofilm assays). All four brp mutants lost the ability to form a pellicle, and pellicle formation was partially or fully restored upon complementation (Figure 2A). In quantitative biofilm assays, all four mutants formed significantly less biofilm than their rugose parent KG3(R) (max p<0.001), and biofilm formation was again partially or fully restored upon complementation (Figure 2B).
We hypothesized that the intermediate phenotype of the brpJ mutant KG3-03 may be associated with a partial reduction, rather than complete loss, of brp-encoded EPS on the cell surface. Consistent with this view, a non-polar brpJ mutant of the opaque strain YJ016 (YJ-10) remained opaque (Figure 1D), indicating that deletion of brpJ per se does not appear to affect CPS production. To assess relative EPS production of KG3-03 directly, we compared the amount of EPS isolated from rugose strain KG3(R) and its four brp mutant derivatives. The data in Figure 3 show that much less EPS was recovered from KG3-03 cells than KG3(R), but reproducibly more than the other brp mutants, which did not yield detectable amounts of EPS in this analysis.
To obtain further evidence consistent with EPS production by KG3-03, colonies of this strain, as well as several others, were subjected to SEM analysis. Previous SEM studies indicated that opaque and translucent variants of V. vulnificus have smooth colony surfaces with flat architecture, while EPS-producing rugose variants have wrinkled surfaces and dramatic three-dimensional architectures consisting of pillars and channels [7]. Here, we found that while the smooth flat colony surfaces of the brpI mutant KG3-17 (Figure 4, panel D) appeared indistinguishable from those of KG4(T) and YJ016 (panels B and C, respectively), the surface of KG3-03 colonies showed evidence of striations even at relatively low magnification (panel E); upon higher magnification, the striated areas corresponded to partial three-dimensional structuring, which is consistent with production of EPS (panel F). While the EPS isolation results and SEM data support the notion that the brpJ gene product was not absolutely required for brp-encoded EPS production to occur in strain KG3-03, it was nevertheless found to be necessary for production of a pellicle and robust biofilm formation under the conditions tested (Figure 2A–B).
As rugose isolates of V. vulnificus are less motile than their opaque or translucent counterparts [6], we measured the motility of each brp mutant described here and found that their motilities remained at low levels similar to the rugose parental strain (Figure 5A–B). The motility of KG3-03 was significantly less than KG3(R) (and the other mutants), but we attribute this to its slower growth rate (data not shown). The observation that KG3 mutants retained the reduced motility of KG3(R) suggests that elimination or reduction of EPS production does not appear to affect (i.e., increase) motility in this species.
Evidence of the brp locus being widespread among strains of V. vulnificus
Since the brp locus is required for rugosity and efficient biofilm formation, it may provide a survival advantage in the environment, and, as such, it would be predicted to be well-conserved among strains of this species. This possibility was tested by screening for the presence of the brp cluster in a number of clinical and environmental strains. Linkage PCR was used as previously described [7] to determine that 41 of the 42 V. vulnificus strains in our collection contained the brp locus (Table 5). The lone exception was the environmental isolate MLT198, which was locked in the translucent phase based on switching assay results (data not shown). To further characterize the brp genes in the 41 brp+ strains, Southern blot hybridization was performed, and it showed that 20 of the strains were of a single 10.5 kb PstI restriction fragment length polymorphism (RFLP) profile while 6 others were of a single 2.7-kb PstI profile (Table 5). The exact profile of the other 15 could not be determined from the available data. All representatives of each RFLP profile group tested showed the ability to switch to the rugose colony type and produce pellicles in culture (data not shown).
Table 5. Distribution of the brp cluster among V. vulnificus strains.
Strain | Linkage PCR1 | Southern2 |
1001 | + | 10.5 |
1003(O) | + | 10.5 |
1004 | + | 10.5 |
1005 | + | 10.5 |
1007 | + | – |
1009 | + | – |
1014 | + | – |
1456(O) | + | 10.5 |
1456(T) | + | – |
1657(O) | + | – |
1657(T) | + | – |
95-10-15 | + | 10.5 |
96-7-155 | + | – |
ABZ1(R) | + | – |
ABZ1(T) | + | – |
ATCC 27562 | + | 10.5 |
AZ(T) | + | – |
BG(R) | + | – |
C7184 | + | – |
CMCP6 | + | – |
CP Clam 2 | + | 10.5 |
CP Mussel 10 | + | – |
CP Sed 5 | + | 10.5 |
F8 Oyster 11(O) | + | 10.5 |
F8 Oyster 11(T) | + | 10.5 |
KG3(R) | + | 10.5 |
KG4(T) | + | 10.5 |
MLT 124 | + | 10.5 |
MLT 136(O) | + | 10.5 |
MLT 136(T) | + | 10.5 |
MLT 141 | + | 10.5 |
MLT 198 | – | – |
YJ016 | + | 10.5 |
132a1 | + | 10.5 |
132z2 | + | 2.7 |
212b6 | + | 2.7 |
212f15 | + | 2.7 |
212s7 | + | 2.7 |
342e9 | + | 10.5 |
342s6 | + | 2.7 |
NOLA18 | + | – |
212f18 | + | 2.7 |
+ or – indicates the presence or absence, respectively, of all genes in the brp cluster.
Indicates the size of the band hybridized to a radiolabeled probe specific for brpC or brpI. A – indicates that either no bands were present or that band size could not be determined.
Discussion
Here we assessed individual genes within the brp cluster for their contribution to rugose colony morphology, biofilm formation, EPS production, and motility. The apparent lack of brp-encoded EPS production for the brpA, brpD, and brpI mutants suggests these genes designate required functions. Consistent with this interpretation, the brpA and brpI genes are predicted to encode glycosyltransferases, which are enzymes that catalyze the sequential transfer of specific individual sugars to an undecaprenyl phosphate carrier lipid during the early steps of polysaccharide synthesis [24]. The brpD gene product also appears to be involved in polysaccharide biosynthesis and may play a role in EPS production similar to Wzc, a tyrosine autokinase which is required for assembly of high-molecular-weight CPS and EPS polymers on the bacterial cell surface [7], [24]. The finding here that brpD is required for EPS production is consistent with the results for capsule but not KLPS synthesis in E. coli K30 wzc mutants [24].
On the other hand, the brpJ gene appears to be involved in polysaccharide transport as its product has homology to Wzx flippases [7], which are transmembrane proteins that have been proposed to translocate undecaprenyl-phosphate-linked sugar precursors across the cytoplasmic membrane during synthesis of various polysaccharides including certain forms of CPS, EPS and O-antigens of LPS [24], [25]. The reduction, but not elimination, of EPS production in the KG3(R)-derived brpJ mutant is reminiscent of the results seen previously for knockout of the wzxE flippase gene, which is involved in synthesis of phosphoglyceride-linked and cyclic forms of enterobacterial common antigen in E. coli [26], and the production of EPS here suggests a couple of possible explanations. As complementation among Wzx proteins has been demonstrated [27], albeit often at much reduced efficiency [28], it is possible that loss of brpJ function can be partially compensated for (either naturally or via suppressor mutation) by a separate Wzx protein encoded by V. vulnificus. In this case, a potential candidate may be the wzx gene found in the Group I CPS operon [7]. Alternatively, it is known that transport of polysaccharides across the inner membrane of Gram-negatives actually involves two different pathways: one requiring Wzx, which may use an antiport mechanism to flip substrates [29], and the other requiring an ABC transporter [24], [30]. Such movement of individual polysaccharides has long been considered to occur exclusively by one or the other of these pathways; however, using an artificially constructed genetic system, there is now evidence that translocation of at least some lipid-linked oligosaccharides across the inner membrane can be accomplished using either Wzx or ABC transporter function [31]. Therefore another possibility is that an undetermined ABC transporter may also be capable of translocating brp-encoded EPS polymers across the inner membrane in V. vulnificus.
Based on the results of the EPS isolation for mutants KG3-01, KG3-02 and KG3-17 (Figure 3), we found no evidence of rbd-encoded EPS production under the experimental conditions used here. Our results were not surprising given the previous data showing that the rbd locus is poorly transcribed under standard lab conditions and is under the control of a two-component sensor kinase/response regulator whose environmental induction signal(s) remains unknown [16]. In any event, the finding that rbd polysaccharide does not contribute to rugosity [16] supports the conclusion that the EPS found here on the surface of the brpJ mutant KG3-03 is brp-encoded.
We also found no evidence that CPS expression is controlled by the brp locus, which is in agreement with the previous results of Guo and Rowe-Magnus [12]. Additionally, our results point to another potential mechanism for the creation of phase-locked translucent variants. The transposon mutant TDB3(T), which is derived from the clinical isolate 1003(O), could not be complemented with the brpIJK genes and its wzb gene remained intact, indicating its translucent phenotype is due to an uncharacterized genetic or epigenetic change. Previous transposon mutagenesis of 1003(O) revealed additional genes that appear to be involved in CPS production in that strain [13], [32]. A mutation in any of these genes or in an additional unidentified gene that affects CPS expression could explain the translucent phenotype of TDB3(T).
Biofilm development occurs in an ordered series of events which begins with initial attachment of planktonic cells to a surface, colonization of that surface, and then development of a three-dimensional architecture [33]. Biofilm formation provides a distinct survival advantage for microbes, because it not only allows them to bind to surfaces that may provide nutrients, but also makes them more resistant to environmental stresses [34], [35]. Consistent with such an advantage we found the brp locus to be highly prevalent among V. vulnificus strains tested. Further elucidation of the loci that play roles in EPS production in V. vulnificus will continue to provide important insights regarding the genetic and physiological bases for biofilm formation by this marine inhabitant and occasional human pathogen.
Acknowledgments
We thank the following people for sending strains and/or plasmids used in this study: Dr. Huangen Ding (Louisiana State University), Dr. Michael Donnenberg (University of Maryland), Dr. Paul Gulig (University of Florida), Dr. Marlene Janes (Louisiana State University), Dr. Anita Wright (University of Florida), and Dr. Fitnat Yildiz (University of California, Santa Cruz). We are very grateful to Ying Xiao and Cindy Henk for assistance with SEM experiments. We also thank Brett Olivier and Shelby Simar for assistance with certain other experiments.
Funding Statement
This work was supported by the Louisiana Sea Grant College Program (http://www.laseagrant.org/) with funds from the National Oceanic and Atmospheric Administration Office of Sea Grant, Department of Commerce, under grant no. NA06OAR4170022, project no. R/PMO-21 and Louisiana State University. Statements, findings, conclusions, and recommendations are those of the author(s) and do not necessarily reflect the views of either the Louisiana Sea Grant College Program or the U.S. Department of Commerce. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
References
- 1.Gulig PA, Bourdage KL, Starks AM (2005) Molecular Pathogenesis of Vibrio vulnificus. J Microbiol 43 Spec No: 118–131. [PubMed]
- 2. Yoshida S, Ogawa M, Mizuguchi Y (1985) Relation of capsular materials and colony opacity to virulence of Vibrio vulnificus . Infect Immun 47: 446–451. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Simpson LM, White VK, Zane SF, Oliver JD (1987) Correlation between virulence and colony morphology in Vibrio vulnificus . Infect Immun 55: 269–272. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Linkous DA, Oliver JD (1999) Pathogenesis of Vibrio vulnificus . FEMS Microbiol Lett 174: 207–214. [DOI] [PubMed] [Google Scholar]
- 5. Strom MS, Paranjpye RN (2000) Epidemiology and pathogenesis of Vibrio vulnificus . Microbes Infect 2: 177–188. [DOI] [PubMed] [Google Scholar]
- 6. Grau BL, Henk MC, Pettis GS (2005) High-frequency phase variation of Vibrio vulnificus 1003: isolation and characterization of a rugose phenotypic variant. J Bacteriol 187: 2519–2525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7. Grau BL, Henk MC, Garrison KL, Olivier BJ, Schulz RM, et al. (2008) Further characterization of Vibrio vulnificus rugose variants and identification of a capsular and rugose exopolysaccharide gene cluster. Infect Immun 76: 1485–1497. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8. Garrison-Schilling KL, Grau BL, McCarter KS, Olivier BJ, Comeaux NE, et al. (2011) Calcium promotes exopolysaccharide phase variation and biofilm formation of the resulting phase variants in the human pathogen Vibrio vulnificus . Environ Microbiol 13: 643–654. [DOI] [PubMed] [Google Scholar]
- 9. Hilton T, Rosche T, Froelich B, Smith B, Oliver J (2006) Capsular polysaccharide phase variation in Vibrio vulnificus . Appl Environ Microbiol 72: 6986–6993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10. Chatzidaki-Livanis M, Jones MK, Wright AC (2006) Genetic variation in the Vibrio vulnificus group 1 capsular polysaccharide operon. J Bacteriol 188: 1987–1998. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11. Wright AC, Powell JL, Kaper JB, Morris JG Jr (2001) Identification of a group 1-like capsular polysaccharide operon for Vibrio vulnificus . Infect Immun 69: 6893–6901. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12. Guo Y, Rowe-Magnus DA (2010) Identification of a c-di-GMP-regulated polysaccharide locus governing stress resistance and biofilm and rugose colony formation in Vibrio vulnificus . Infect Immun 78: 1390–1402. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13. Smith AB, Siebeling RJ (2003) Identification of genetic loci required for capsular expression in Vibrio vulnificus . Infect Immun 71: 1091–1097. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14. Jenal U, Malone J (2006) Mechanisms of cyclic-di-GMP signaling in bacteria. Annu Rev Genet 40: 385–407. [DOI] [PubMed] [Google Scholar]
- 15. Sondermann H, Shikuma NJ, Yildiz FH (2012) You've come a long way: c-di-GMP signaling. Curr Opin Microbiol 15: 140–146. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16. Guo Y, Rowe-Magnus DA (2011) Overlapping and unique contributions of two conserved polysaccharide loci in governing distinct survival phenotypes in Vibrio vulnificus . Environ Microbiol. 13: 2888–2900. [DOI] [PubMed] [Google Scholar]
- 17.Sambrook J, Fritsch EF, Maniatis T (1989)Molecular cloning: a laboratory manual, 2nd ed. Cold Spring Harbor, N. Y.: Cold Spring Harbor Laboratory Press.
- 18. Menard R, Sansonetti PJ, Parsot C (1993) Nonpolar mutagenesis of the ipa genes defines IpaB, IpaC, and IpaD as effectors of Shigella flexneri entry into epithelial cells. J Bacteriol 175: 5899–5906. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19. Fong JC, Karplus K (2006) Schoolnik GK, Yildiz FH (2006) Identification and characterization of RbmA, a novel protein required for the development of rugose colony morphology and biofilm structure in Vibrio cholerae . J Bacteriol 188: 1049–1059. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20. Horton RM, Ho SN, Pullen JK, Hunt HD, Cai Z, et al. (1993) Gene splicing by overlap extension. Methods Enzymol 217: 270–279. [DOI] [PubMed] [Google Scholar]
- 21. Kovach ME, Phillips RW, Elzer PH, Roop RMII, Peterson KM (1994) pBBR1MCS: a broad-host-range cloning vector. Biotechniques 16: 800–802. [PubMed] [Google Scholar]
- 22. Brown RN, Gulig PA (2009) Roles of RseB, sigmaE, and DegP in virulence and phase variation of colony morphotype of Vibrio vulnificus . Infect Immun 77: 3768–3781. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23. Kelley JT, Parker CD (1981) Identification and preliminary characterization of Vibrio cholerae outer membrane proteins. J Bacteriol 145: 1018–1024. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24. Whitfield C (2006) Biosynthesis and assembly of capsular polysaccharides in Escherichia coli . Annu Rev Biochem 75: 39–68. [DOI] [PubMed] [Google Scholar]
- 25. Whitfield C, Paiment A (2003) Biosynthesis and assembly of Group 1 capsular polysaccharides in Escherichia coli and related extracellular polysaccharides in other bacteria. Carbohydr Res 338: 2491–2502. [DOI] [PubMed] [Google Scholar]
- 26. Kajimura J, Rahman A, Rick PD (2005) Assembly of cyclic enterobacterial common antigen in Escherichia coli K-12. J Bacteriol 187: 6917–6927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27. Islam ST, Lam JS (2013) Wzx flippase-mediated membrane translocation of sugar polymer precursors in bacteria. Environ Microbiol 15: 1001–1015. [DOI] [PubMed] [Google Scholar]
- 28. Hong Y, Reeves PR (2014) Diversity of o-antigen repeat unit structures can account for the substantial sequence variation of wzx translocases. J Bacteriol 196: 1713–1722. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29. Islam ST, Eckford PD, Jones ML, Nugent T, Bear CE, et al. (2013) Proton-dependent gating and proton uptake by Wzx support O-antigen-subunit antiport across the bacterial inner membrane. MBio 4: e00678–00613. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30. Raetz CR, Whitfield C (2002) Lipopolysaccharide endotoxins. Annu Rev Biochem 71: 635–700. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31. Alaimo C, Catrein I, Morf L, Marolda CL, Callewaert N, et al. (2006) Two distinct but interchangeable mechanisms for flipping of lipid-linked oligosaccharides. EMBO J 25: 967–976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32. Zuppardo AB, Siebeling RJ (1998) An epimerase gene essential for capsule synthesis in Vibrio vulnificus . Infect Immun 66: 2601–2606. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33. Stoodley P, Sauer K, Davies DG, Costerton JW (2002) Biofilms as complex differentiated communities. Annu Rev Microbiol 56: 187–209. [DOI] [PubMed] [Google Scholar]
- 34. Donlan RM (2002) Biofilms: microbial life on surfaces. Emerg Infect Dis 8: 881–890. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35. Donlan RM, Costerton JW (2002) Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev 15: 167–193. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36. Brasch MA, Pettis GS, Lee SC, Cohen SN (1993) Localization and nucleotide sequences of genes mediating site-specific recombination of the SLP1 element in Streptomyces lividans . J Bacteriol 175: 3067–3074. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37. Simon R, Priefer U, Puhler A (1983) A broad host range mobilisation system for in vivo genetic engineering: transposon mutagenesis in Gram-negative bacteria. Bio/Technology 1: 784–791. [Google Scholar]
- 38. Miller VL, Mekalanos JJ (1988) A novel suicide vector and its use in construction of insertion mutations: osmoregulation of outer membrane proteins and virulence determinants in Vibrio cholerae requires toxR . J Bacteriol 170: 2575–2583. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39. Martin SJ, Siebeling RJ (1991) Identification of Vibrio vulnificus O serovars with antilipopolysaccharide monoclonal antibody. J Clin Microbiol 29: 1684–1688. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40. Chen CY, Wu KM, Chang YC, Chang CH, Tsai HC, et al. (2003) Comparative genome analysis of Vibrio vulnificus, a marine pathogen. Genome Res 13: 2577–2587. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41. Sanjuan E, Amaro C (2004) Protocol for specific isolation of virulent strains of Vibrio vulnificus serovar E (biotype 2) from environmental samples. Appl Environ Microbiol 70: 7024–7032. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42. Zakaria-Meehan Z, Massad G, Simpson LM, Travis JC, Oliver JD (1988) Ability of Vibrio vulnificus to obtain iron from hemoglobin-haptoglobin complexes. Infect Immun 56: 275–277. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43. Kim YR, Lee SE, Kim CM, Kim SY, Shin EK, et al. (2003) Characterization and pathogenic significance of Vibrio vulnificus antigens preferentially expressed in septicemic patients. Infect Immun 71: 5461–5471. [DOI] [PMC free article] [PubMed] [Google Scholar]