ABSTRACT
Helicobacter pylori is a bacterial pathogen that can cause many gastrointestinal diseases, including ulcers and gastric cancer. A unique chemotaxis-mediated motility is critical for H. pylori to colonize in the human stomach and to establish chronic infection, but the underlying molecular mechanisms are not well understood. Here, we employ cryo-electron tomography (cryo-ET) to reveal detailed structures of the H. pylori cell envelope, including the sheathed flagella and chemotaxis arrays. Notably, H. pylori possesses a distinctive periplasmic cage-like structure with 18-fold symmetry. We propose that this structure forms a robust platform for recruiting 18 torque generators, which likely provide the higher torque needed for swimming in high-viscosity environments. We also reveal a series of key flagellar assembly intermediates, providing structural evidence that flagellar assembly is tightly coupled with the biogenesis of the membrane sheath. Finally, we determine the structure of putative chemotaxis arrays at the flagellar pole, which have implications for how the direction of flagellar rotation is regulated. Together, our pilot cryo-ET studies provide novel structural insights into the unipolar flagella of H. pylori and lay a foundation for a better understanding of the unique motility of this organism.
IMPORTANCE Helicobacter pylori is a highly motile bacterial pathogen that colonizes approximately 50% of the world's population. H. pylori can move readily within the viscous mucosal layer of the stomach. It has become increasingly clear that its unique flagella-driven motility is essential for successful gastric colonization and pathogenesis. Here, we use advanced imaging techniques to visualize novel in situ structures with unprecedented detail in intact H. pylori cells. Remarkably, H. pylori possesses multiple unipolar flagella, which are driven by one of the largest flagellar motors found in bacteria. These large motors presumably provide the higher torque needed by the bacterial pathogens to navigate in the viscous environment of the human stomach.
KEYWORDS: chemotaxis, electron microscopy, flagellar motility, nanomachine
INTRODUCTION
Helicobacter pylori is a Gram-negative bacterium that colonizes the human gastric mucosa and infects approximately 50% of the world's population (1). One of most unique characteristics of H. pylori is its capacity to colonize and thrive in the gastric environment of high acidity, where few other bacterial pathogens can survive. Persistent colonization by this pathogen can cause many gastrointestinal diseases, including ulcers and gastric cancer (2, 3).
H. pylori has a unique helical cell shape and fine-tuned flagellar motility (4). Compared to other motile bacteria, H. pylori cells have the unique ability to swim rapidly within the viscous mucosal layer of the stomach (5, 6). It has become increasingly clear that this unique motility is essential for its successful gastric colonization and pathogenesis (7, 8). The motility of H. pylori is driven by multiple unipolar flagella, which are enveloped within a membrane sheath. The overall organization of the H. pylori flagellum is similar to those of the model organisms Escherichia coli and Salmonella, which have been extensively studied and comprehensively reviewed (9–13). The H. pylori flagellum is composed of the following three major parts: a rotary motor embedded in the cell envelope, a filament that functions as a helical propeller, and a hook serving as a flexible joint between motor and filament. At least several dozen different proteins are involved in the assembly and function of the polar flagellum (4).
The rotary motor is the most complex part of the flagellum and can be divided into the following morphological domains: the MS ring (the base for the flagellar motor), the C ring (the switch complex regulating motor rotation), the export apparatus (multiple-protein complex located at the cytoplasmic side of the MS ring), the rod (connecting the MS ring and the hook), and the stator (membrane protein complex of MotA and MotB). The stator functions as the torque generator and is powered by proton motive force (9). A motB mutant lacking the stator complex is flagellated but nonmotile (8). The crystal structure of the cell wall anchor domain of MotB has provided molecular insights into stator-peptidoglycan interactions (14). However, the exact location and structure of the stator are not well understood, despite its essential roles in flagellar rotation and motility in H. pylori.
The C ring is the major cytoplasmic component and is important for flagellar rotation and assembly (4). The H. pylori genome encodes four flagellar switch proteins (FliG, FliM, FliN, and FliY) (15) compared to the three switch proteins (FliG, FliM, and FliN) in Salmonella and E. coli. It has been shown that each of the four switch proteins is required for wild-type levels of flagellation and function. High-resolution structures revealed the molecular details of FliM-FliG interactions (16). Presumably, multiple copies of these four proteins are involved in the assembly of the C ring, but the exact role and location of each protein remain to be defined in the context of functional flagella.
The motility of H. pylori is mediated by a chemotactic signaling system, which senses the environment to help bacteria direct their movement (17, 18). The signaling system of H. pylori is crucial for its unique ability to move away from a low-pH environment and successfully colonize the mucosal layer (4). The core components of the H. pylori chemotactic signaling system are comparable with those of E. coli (4) and include multiple chemoreceptors, a CheA kinase, a CheW coupling protein, and a CheY response regulator. Additionally, H. pylori possesses three different coupling proteins (CheV1, CheV2, and CheV3). Upon activation, the CheA histidine kinase domain undergoes autophosphorylation, which then phosphorylates the response regulator CheY. The interaction between the response regulator and the C ring proteins ultimately alters the direction of motor rotation. H. pylori has three integral membrane chemoreceptors, TlpA, TlpB, and TlpC, and one soluble chemoreceptor, TlpD. Together, they can sense arginine, bicarbonate (19), pH (20, 21), the quorum sensing molecule, autoinducer-2 (22), and energy (23). These chemotactic signaling proteins form clusters found at the cell pole of many bacterial species (24–27), and they form clusters at the flagellar pole of H. pylori as well (5, 28). However, the structure of the H. pylori clusters has not been extensively studied.
Recently, cryo-electron tomography (cryo-ET) has emerged as a powerful tool to visualize intact flagella and chemoreceptor clusters from different bacterial species, such as E. coli, Salmonella, Campylobacter jejuni, Vibrio cholerae, Borrelia burgdorferi, Leptospira interrogans, and Treponema primitia (29–36). Notably, Chen et al. imaged flagellar motors from 11 different bacteria and revealed divergent features as well as conserved core components (32). Although the basic architecture and the core components of flagellar motors from different bacterial species are highly conserved, it is becoming increasingly clear that there are significant species-specific differences (32, 35). Despite its significance for understanding the unique motility of H. pylori, the structure of its flagellar motor has not yet been reported. As a step toward understanding the flagellar assembly and unique motility of H. pylori, we employed cryo-ET to visualize intact wild-type H. pylori cells, with particular focus on flagella and chemoreceptor arrays. We were able to resolve novel features of H. pylori and, therefore, provide new insights into the cell biology of this important bacterial pathogen.
RESULTS
Ultrastructures of H. pylori cells revealed by cryo-EM.
To visualize intact H. pylori cells in near-native states, we prepared frozen-hydrated specimens from a freshly grown wild-type H. pylori culture (see Materials and Methods). At low magnification (×2,200), whole cells and the sheath flagella attached at cell poles were readily visible (Fig. 1A and B). However, most cells were too large for high-resolution cryo-electron microscopy (cryo-EM) studies, so it was necessary to only visualize bacteria embedded in thin ice, which is often less than 0.5 μm thick.
High-magnification images of H. pylori cells revealed detailed structures of the cell envelope, including the inner and the outer membranes (Fig. 1; see also Fig. S2 in the supplemental material). The outer membrane is covered with a layer of fine filamentous features (Fig. 1E and F; Fig. S2). This layer is probably the bacterial lipopolysaccharide (LPS), which has an important role in H. pylori pathogenesis (25). The outer membrane also forms the sheath covering the flagella. Membrane blebs were commonly found along the filaments as previously described (37, 38). Unsheathed flagella were rarely seen in our reconstructions, suggesting that the membrane sheath biosynthesis is coupled with flagellar assembly.
Chemoreceptor arrays in H. pylori.
Chemotaxis signaling proteins of H. pylori form clusters at the flagellar pole (5). Here, we directly observe clusters at the flagellar poles by cryo-ET for the first time (Fig. 2). At higher magnification, the clusters appear as arrays of pillar-like densities that extend from the cytoplasmic membrane and connect with a layer of dark density at the membrane-distal ends (Fig. 2B). They share similar features with the chemoreceptor arrays reported in E. coli and many other bacterial species (24, 26). Therefore, the highly ordered array is presumably formed by the chemoreceptors together with CheA and CheW.
To investigate the detailed organization of the arrays in intact H. pylori cells, subtomogram averaging was utilized to analyze the arrays as previously described (39). The hexagonal structure of the array emerges after multiple cycles of alignment and classification (Fig. 2F). The overall structure of the array is consistent with the universal architecture of bacterial chemoreceptor arrays (24). Specifically, there are six triangular densities in a hexagonal unit, and each of these is likely formed by a trimer of a chemoreceptor dimer. The distance between two adjacent triangular densities is 7.5 nm. The receptor trimers extend from the periplasm to the cytoplasm with a total length of 37 nm. The periplasmic domain and the transmembrane domain of the chemoreceptor trimers appear to be flexible as indicated by the less-defined densities. Similar to the chemoreceptor arrays in E. coli (39), two receptor trimers are connected at the distal end by a continuous layer of density likely formed by CheA and CheW (Fig. 2E and G). They are likely responsible for the ultrastability of the chemoreceptor arrays as shown in E. coli and other bacterial species (39, 40).
Architecture of the unipolar flagellum.
Our tomographic data from over 100 cells show that the flagella appear to cluster at cell poles. The closest distance between two adjacent flagella is ∼100 nm (see Fig. S3 in the supplemental material). The flagella are located at the cell poles where the receptor arrays are commonly observed (Fig. 2 and 3), which is consistent with the observation of their colocalization (5).
To determine the H. pylori motor structure in detail, we selected 365 subtomograms of motors from over 100 reconstructions of intact cells and then analyzed them by subtomogram averaging and classification (see Materials and Methods). The resulting motor structure is striking as shown in Fig. 3. First, this is one of the largest bacterial motors observed by far. It is ∼86 nm in diameter and ∼81 nm in height (from the export apparatus to the outer membrane). Second, the C ring is 57 nm in diameter, and it is considerably larger than the C ring of Salmonella (45 nm) (41). Third, there is a distinctive periplasmic feature that is ∼86 nm in diameter and at least 25 nm in height. More importantly, the 18-fold symmetry of the periplasmic feature is evident in the cross sections (Fig. 3; see also Movie S1 in the supplemental material), which has not been reported previously in any flagellar system (Fig. 3). Our symmetry analysis further confirms that the 18-fold symmetric features are present predominately in the periplasmic region but not for the C ring and other flagellar components (see Fig. S1 in the supplemental material).
Guided by recent findings on conserved cores and diverse features of bacterial flagellar motors among a wide range of bacterial species (32, 35), we divided the density map into different segments for better visualization of the H. pylori motor in three dimensions (3D) (Fig. 4; see also Movie S2 in the supplemental material). The H. pylori motor is composed of several major conserved components: the C ring, the export apparatus, the MS ring, and the rod. Around the rod, there is a large disk in a similar location of the P ring and the L ring in the Salmonella motor (32, 41) that we named the P disk. In addition, there is another smaller disk sandwiched between the P disk and the outer membrane sheath. The outer membrane covers the top portion of the motor, the hook, and the filament.
Our intact motor structure reveals three concentric rings at the top of the C ring (Fig. 3G). The outermost ring and the middle ring are the top portion of the C ring. They are likely formed by the C-terminal domain (FliGC) and the N-terminal domain (FliGN) of FliG, respectively, as recently proposed in other flagellar systems (35). The inner ring appears to be an extension of the MS ring, which is highly conserved and is formed by multiple copies of the membrane protein FliF. As FliGN has been shown to interact with the C terminus (FliFC) of FliF (42), the inner ring is likely formed by FliFC, which directly interacts with FliGN. A similar interconnection between the C ring and the MS ring was previously shown in a spirochete flagellar motor (30), suggesting that the FliG-FliF interaction may be conserved among different bacterial species.
The export apparatus is a large multiprotein complex that is responsible for flagellar assembly and substrate export (11, 12, 35). The centrally located export apparatus is visible on the cytoplasmic side of the MS ring (Fig. 4). The export apparatus consists of at least five integral membrane proteins (FlhA, FlhB, FliP, FliQ, and FliR) and three cytoplasmic proteins (FliH, FliI, and FliJ) (11), all of which are highly conserved. The membrane proteins form a large export gate for substrate secretion, whereas the cytoplasmic proteins form a hexagonal ATPase complex promoting the export process (11). The ATPase complex appears to be linked to the bottom of the C ring. Together, our results provide direct evidence that the export apparatus in H. pylori is similar to those in other bacterial species (32, 35).
A cage-like structure in the periplasm displays 18-fold symmetry.
The central section of the H. pylori motor appears to be similar to some previously published motor structures from other species (32). However, our structure reveals, for the first time, a unique cage-like periplasmic structure with 18-fold symmetry, ∼86 nm in diameter and 25 nm in height. The cage structure completely surrounds the periplasmic portion of the motor, including the MS ring, the rod, and the P-disk. It appears to be anchored to the inner membrane and extends to the disk underneath the outer membrane. There is an additional ring between the MS ring and the cage (Fig. 3C and F and 4B and D). It is apparently embedded in the cytoplasmic membrane, presumably interacting with the MS ring (Fig. 4B). The location and structure of the additional ring are similar to those of the FliL ring found in B. burgdorferi (43, 44). FliL has been shown to play important but diverse roles in many bacterial species (43, 45–47). The exact structure and function of FliL in H. pylori remain to be elucidated.
Another striking finding is that there are 18 stud-like densities immediately underneath the cytoplasmic membrane. They form a larger ring that is ∼81 nm in diameter as shown in the bottom view (viewed from the bottom of the C ring; Fig. 4C). Each stud-like density is about 4 nm in diameter and is comparable to the stator structure observed previously with freeze fracture microscopy (48) and electron microscopy (49). Therefore, we hypothesize that the stud-like density corresponds to the cytoplasmic domain of the stator. The putative stator complex appears to interact with the C ring in the cytoplasm, and it also links to the cage-like structure in the periplasm. Based on the configuration, we propose that the cage-like structures provide binding sites to recruit 18 stator complexes, which otherwise would be dynamic and difficult to visualize (50).
Visualization of flagellar assembly intermediates.
Most of the flagellar motors that we observed seem to be associated with a long sheathed filament, while some flagellar motors lack a visible hook and filament. Presumably, the latter motors are in an early stage of assembly. To gain a better understanding of this early stage, we generated a specific class average of the H. pylori motor at this stage. As shown in Fig. 5, the motor lacks the hook and the filament. Notably, the outer membrane remains intact; however, it appears that the rod assembly pushes the outer membrane outward and induces significant deformation of the outer membrane. At this particular stage, the intact rod has been assembled without the hook, potentially representing a key assembly intermediate. Interestingly, the cage and other motor components remain similar to those observed in the intact motor. In addition, the putative stator units interconnect with the cage, suggesting that both cage and stator can assemble in the periplasm independently from the assembly of the hook and filament, which is mediated by the export apparatus (11).
Flagellar assembly is a highly ordered process, which is believed to proceed in a linear fashion from the rod and hook to the distal filament (11, 12, 51). However, this sequential assembly process has not been visualized in wild-type bacteria partly because of the transient and dynamic nature of the process. The use of high-throughput cryo-ET enabled us to visualize over 300 flagella. Consequently, we were able to capture a series of intermediate structures during flagellar assembly (Fig. 6; see also Fig. S4 in the supplemental material). For example, we visualized a flagellar intermediate lacking the hook and filament, while the outer membrane appeared to be flat (Fig. 6A). We also found a motor in which the outer membrane undergoes extensive remodeling during hook assembly (Fig. 6B). In addition, some motors appear to possess an intact hook (Fig. 6C) or short filament (Fig. 6D). This series of snapshots of the dynamic process of flagellar assembly provides evidence that the assembly of the flagella is tightly coupled with the biogenesis of the outer membrane sheath.
DISCUSSION
H. pylori is a highly successful bacterial pathogen that infects over 50% of the world's population and has coevolved with the human host for tens of thousands of years (52). H. pylori has evolved sophisticated motility and chemotaxis strategies to colonize and survive within the hostile environment of the acidic stomach and navigate toward neutral gastric mucosa (53). To advance our understanding of these strategies, we deployed cryo-ET to visualize intact frozen-hydrated H. pylori cells and revealed novel structural features that heretofore were not visualized by any other techniques.
H. pylori possesses four different chemoreceptors that respond to different chemotactic signals (4, 54) and are known to form clusters at flagellar cell poles (5, 28). We provide direct evidence that the overall structure of the receptor array is similar to that observed in other bacteria, supporting the universal architecture of bacterial chemoreceptor arrays (24). Presumably, the conserved architecture of the arrays provides the basis for the high sensitivity and large dynamic range of chemotaxis in responding to complex chemical cues in the host environment.
Our most striking finding was the unique periplasmic cage displaying 18-fold symmetry. Periplasmic collar structures around the MS ring have been observed in many spirochete flagellar motors (29, 30, 32, 55). It was recently shown that the collar not only plays important roles for the assembly of many flagellar proteins but also has profound impacts on the cell morphology and motility of B. burgdorferi (44). In Vibrio alginolyticus, MotX and MotY form a T ring (56). While the exact function of the T ring remains to be determined, the T ring was proposed to be involved in the incorporation and/or stabilization of the stator complexes in the Vibrio motor (49). In C. jejuni, multiple proteins are responsible for the assembly of the periplasmic disk complex, and recent studies indicate that it is required for bacterial motility and stator assembly (57). The cage structure in H. pylori is strikingly different from the periplasmic features in other bacteria, yet it does have a similar location relative to the C ring and the stator. Therefore, we postulate that by virtue of its size and structure, the periplasmic cage likely provides a stable platform to recruit and stabilize more stators for higher torque generation. The precise function and protein components of the cage remain to be determined.
The stator complex consists of two conserved membrane proteins and is important for generating torque. The stator is not static as its name implies but instead is dynamic within the membrane (50). In E. coli and Salmonella, the stator is driven by proton motive force and is composed of four MotA and two MotB proteins (58). A conserved aspartic acid residue in the transmembrane segment of MotB is predicted to be the proton-binding site and plays a crucial role for torque generation and bacterial motility (59). In V. alginolyticus and Shewanella spp., the MotA/MotB homologs PomA and PomB form the stator complex, which is driven by sodium motive force (60). The stoichiometry of the stator varies significantly among different species. In E. coli, the number of stator units was reported to be 11 by using total internal reflection fluorescence microscopy (50, 61). Spirochete species, such as T. primitia and B. burgdorferi, have 16 putative stator units as visualized by cryo-ET (29, 30). Recent data have suggested that the C. jejuni motor can possess 17 stator units while Vibrio fischeri has 13 stator units (57). Our data indicate that the H. pylori motor can assemble 18 stator units, potentially allowing for the generation of higher torque than other bacterial species. This provides a plausible explanation for how H. pylori is able to move through the viscous mucus layers to establish chronic infection.
MATERIALS AND METHODS
Bacterial culture and cryo-EM sample preparation.
H. pylori strain 7.13 was derived via in vivo adaptation of clinical strain B128 (62). The strain was grown for 24 h on tryptic soy agar plates with 5% sheep blood (BD Biosciences) under microaerobic conditions. Bacterial samples were collected from plates by gently washing plates with 500 μl of sterile phosphate-buffered saline (PBS). Samples were concentrated by gently precipitating by centrifugation with a benchtop mini microcentrifuge (Corning) for 1 min and were resuspended in 100 to 300 μl of sterile PBS. Resuspended bacterial cultures were gently mixed with aliquots of 15-nm gold particles, which were used as fiducial markers later for tomogram alignment by IMOD (63). A 4-μl sample was deposited onto a freshly grow-discharged holey carbon grid. The grid was blotted with filter paper and rapidly plunged into liquid ethane using a homemade gravity-driven plunger apparatus as previously described (30). The preparation not only preserves high-resolution cellular features but also minimizes possible artifacts during conventional EM preparation, such as dehydration, fixation, and staining. However, compared to conventionally dehydrated and stained specimens, frozen-hydrated cells are extremely sensitive to the electron beam.
Cryo-ET data collection and reconstruction.
Detailed information on data collection and reconstruction has been previously described (64). Briefly, the frozen-hydrated specimens were imaged at −170°C in a cryo-electron microscope (FEI Polara) equipped with a field emission gun and a direct detection device (K2 Summit; Gatan). The microscope was initially operated at 300 kV with a magnification of ×2,200 for taking low-magnification images. The montage of those images gave an overview of bacterial cell distribution and size. More importantly, we are able to estimate the thickness of the cells based on the low-magnification overviews. To capture cryo-EM data at higher contrast and resolution, we only select cells embedded in very thin ice for further tomographic data collection at a magnification of ×9,400.
The tomographic package SerialEM (65) was utilized to collect a low-dose single-axis tilt series at ∼8 μm defocus with cumulative does of ∼100 e−/Å2 spread over 41 stacks at a range of −60° and +60° with 3° increments. Each stack contains about eight images, which were first aligned using MotionCorr (66) and were assembled into the drift-corrected stacks. TOMOAUTO was used to facilitate the alignment in IMOD (63, 67). All aligned tilt series were reconstructed into tomograms using TOMO3D (68). In total, we reconstructed 187 tomograms from the cell poles of H. pylori. Each tomographic reconstruction was 3,710 by 3,838 by 1,800 pixels and ∼100 Gb in size. The effective pixel size is 4.5 Å in original tomograms. To enhance the contrast, we also generated a reconstruction from the binned by 4 aligned tilt series using the simultaneous iterative reconstruction technique (SIRT) implemented in TOMO3D (68). Each tomogram was 928 by 960 by 450 pixels.
Subtomogram classification and averaging.
Tomography package i3 (69, 70) was utilized for subtomogram picking and averaging. The subtomogram analysis of the arrays was carried out as follows. First, we selected 30 tomograms in which the receptor arrays are reasonably large and visible. Second, we built an ellipsoid model based on the curvature of the bacterial inner membrane. A uniform distributed mesh was made on the surface of the ellipsoid model, and each point on the mesh has a coordinate and normal vector (surface normal), which were used to estimate the initial Euler angles. Third, we visually selected the arrays around the cell envelope. Only those near the marked position of the receptor arrays were selected. In total, about 3,000 subtomograms of arrays were extracted from tomograms. Fourth, the subtomograms were analyzed through multiple iterations of alignment. The final structure was derived from 677 independent subtomograms.
To determine the flagellar motor structure, we first manually select motors from tomograms. The orientation of the flagellar motor was estimated based on the coordinates of the two points on each motor (the center of the C ring and the rod). The coordinates and Euler angles of all motor subtomograms were refined through iterations of transitional, polar, and spin alignment. To identify the rotation symmetry of the cage and the stators, the subtomograms of the flagellar motor were first aligned and then classified on the stator part with a cylinder mask. The rotational symmetry of the class averages was estimated. The average structure was rotated 360° with a step size of 1° and was compared with the original image by cross correlation. The rotational cross correlation shows peaks every 20° (see Fig. S1A in the supplemental material). The Fourier transform of the cross correlation shows a peak at 18 (Fig. S1B).
Visualization of the flagellar motor.
We used UCSF Chimera (71) to generate surface rendering of the 3D maps. Watershed segmentation (72) was used to separate the major components of the motor: the disk, the MS ring, the periplasmic cage, the stator, the C-ring, and the export apparatus. The segmentation was mainly guided by prior knowledge of various bacterial flagellar motors (4, 32, 35).
Accession number(s).
The final subtomogram structure was deposited in the Electron Microscopy Data Bank under accession number EMD-8460. The motor structures were deposited in the Electron Microscopy Data Bank under accession number EMD-8459.
Supplementary Material
ACKNOWLEDGMENTS
We thank William Margolin and James Stoops for careful reading and helpful suggestions.
This work was supported by grants from the National Institute of Allergy and Infectious Diseases (R01AI087946), the National Institute of General Medical Sciences (R01GM107629), the NIH Center for Microbial Pathogenesis and Host Inflammatory Responses project at the University of Arkansas for Medical Sciences (COBRE grant 1P20GM103625-02), and the Welch Foundation (AU-1714) and by the McGovern Scholar Award.
Footnotes
Supplemental material for this article may be found at https://doi.org/10.1128/JB.00695-16.
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