Abstract
Mounting evidence suggests that Type 3 Secretions Systems (T3SS) are widespread among Vibrio species, and are present in strains isolated from diverse sources such as human clinical infections, environmental reservoirs, and diseased marine life. Experiments evaluating V. parahaemolyticus and V. cholerae T3SS mediated virulence suggest that Vibrio T3SS pathogenicity islands have a tripartite composition. A conserved “core” region encodes functions essential for colonization and disease in vivo, including modulation of innate immune signaling pathways and actin dynamics, whereas regions flanking core sequences are variable among strains and encode effector proteins performing a diverse array of activities. Characterizing novel functions associated with Vibrio-specific effectors is therefore essential for understanding how vibrios employ T3SS mechanisms to cause disease in a broad range of hosts and how T3SS island composition potentially defines species specific disease.
INTRODUCTION
Vibrio T3SS identification.
Despite widespread identification in many bacterial genera that began in the mid-1980’s with studies on pathogenic Yersinia species, Type 3 Secretion Systems (T3SSs) were not recognized as virulence mechanisms in pathogenic Vibrio species until the completed genome sequence of an O3:K6 serotype V. parahaemolyticus strain, RIMD 2210633, was reported in 2003 [1]. Rapid identification of T3SSs in other Vibrio species followed, and in 2005, genomic sequencing identified the first V. cholerae T3SS in AM-19226, a clinically isolated non-O1/non-O139 serogroup, cholera toxin negative strain that causes non-epidemic cholera [2]. More recently, molecular methods combined with annotation of genomic sequence data expanded the list of T3SS-positive Vibrio species [3-10]. T3SS association with pathogenic Vibrio species is easily explained within the context of a virulence mechanism, but knowing that Vibrio species often interact with multiple hosts (and not always as pathogens) raises the question of whether T3SSs can promote a more symbiotic relationship or alternatively, an advantage in the environmental niche. In either case, researchers now face the challenge of identifying and characterizing novel, often Vibrio-specific effector proteins in an effort to mechanistically understand T3SS mediated interactions with a wide variety of eukaryotic hosts.
Two T3SSs.
Most Vibrio spp. encode one T3SS, but V. parahaemolyticus strains can carry one on each chromosome, respectively termed T3SS1 and T3SS2 [1]. T3SS1 and 2 gene organization and content differs; each T3SS is assembled from distinct proteins and functions independently [3]. T3SS1 is nearly ubiquitous among V. parahaemolyticus strains, is most similar to the Yersinia Ysc T3SS in sequence and synteny, and is associated with mammalian cell cytotoxicity in vitro [1]. Multiple lines of evidence support an ancestral origin, and Vibrio species pathogenic for non-human hosts (e.g. V. alginolyticus, V. campbellii, V. caribbenthicus, V. harveyi, and V. tubiashii) typically encode T3SS1 [1,3,11,12].
In contrast, V. parahaemolyticus T3SS2 is encoded on a genomic pathogenicity island and appears restricted to pandemic O3:K6 serotype isolates and related, pathogenic serovariant strains. Historically, pathogenic strains were identified by a hemolytic property known as the Kanagawa phenomenon, encoded by tdh or trh genes. We now know that the tdh and trh loci are typically found within the T3SS2 genomic island, although the protein products are secreted by another mechanism and are not T3SS substrates [1,3,13].
A subset of V. cholerae non-O1/non-O139 serogroup strains, which can cause sporadic cholera but do not cause epidemic disease, encode T3SS2. The vast majority of T3SS-positive strains lack the major, canonical virulence factors associated with epidemic strains (i.e. toxin co-regulated pilus and cholera toxin), employing the T3SS mediated pathogenic mechanisms instead [2,14-16]. For both V. cholerae and V. parahaemolyticus, experimental evidence using animal models of infection indicates that T3SS2 is required for colonization and disease [17-20].
V. mimicus and V. anguillarum strains pathogenic for humans can also encode a T3SS2 [6,7]. Regarding other species, the use of increasingly sophisticated phylogenetic methods to redefine evolutionary relationships combined with our expanding knowledge of pangenomes results in a fluid understanding of pathogenic mechanisms associated with a particular species [10,21-23]. What follows next therefore summarizes our current knowledge of T3SS effector protein functions and species associations, based largely on experiments in V. parahaemolyticus and V. cholerae.
TYPE THREE SECRETION SYSTEM 1 (T3SS1)
Based on genetic content and organization, the ~40 kb V. parahaemolyticus T3SS1 locus is similar to that found in other Vibrio species. Effector proteins characterized thus far appear to functionally converge at the level of the host membrane, and in some cases, with multiple activities attributed to single effectors. For example, VopQ (also known as VepA) reported activities include induction of autophagy in vitro, activation of the p38, JNK, and ERK Mitogen-Activated Protein Kinase (MAPK) pathways, and host cell lysosome rupture via interaction with the V0 domain of the V-ATPase that forms gated channels [24-26]. VopS encodes a bacterial phosphoinositide-binding (PIB) domain, and PIP2 ligand binding directs effector folding and targeting to the host plasma membrane where VopS mediates actin reorganization by AMPylation of Rho family GTPases, resulting in cytoskeletal collapse and cell rounding [27-29]. VopR also encodes a PIB domain and is localized to the plasma membrane, although its functions remain to be fully elucidated [29]. Interestingly, an effector encoded outside the T3SS1 island displays phosphatidylinositol phosphatase activity, leading Orth and colleagues to propose that other effector activities are influenced by depleting PIP2 from the host cell membrane [30,31].
Although primarily a pathogen of marine life, V. alginolyticus causes T3SS1 dependent cytotoxicity in both fish and mammalian cell lines [32,33]. Interestingly, apoptotic features were present in fish cell lines, whereas mammalian cells appeared to undergo autophagy. Two identified effectors, Val1686 and Val1680, are VopS and VopQ orthologues. Like VopS, Val1686 induces cell rounding, but is also sufficient to trigger apoptosis in infected fish cells. Unlike VopQ, Val1680 does not induce autophagy in fish cells, but it does contribute to T3SS-induced LDH release by an unidentified mechanism [34].
Speculation that T3SS1 is important for survival in the aquatic environment is supported by its presence in both environmental and clinical strains of V. parahaemolyticus and evidence indicating an ancestral origin, consistent with the theory proposed by Zhang et al. that T3SS1-mediated cytotoxicity provides a mechanism to supply nutrients in a nutrient-poor environmental reservoir [35]. Additionally, T3SS1 is not ubiquitously found in V. harveyi strains, and T3SS1 presence was not associated with pathogenicity in a shrimp model even though V. harveyi is documented as a significant marine pathogen, particularly of shrimp [10,36]. A definitive association between T3SS1-mediated phenotypes and human/marine-life infection thus awaits additional molecular characterizations in model systems.
TYPE THREE SECRETION SYSTEM 2 (T3SS2)
T3SS2 clade classification and defining the core region.
The V. cholerae and V. parahaemolyticus T3SS2 gene clusters are more similar to each other in content and synteny than they are to T3SSs from other species. In addition, the Vibrio T3SS structural machinery components do not collectively align with a single T3SS family classification [37]. Rather, structural protein orthologues from each of the three families (Inv-Mxi-Spa, Ysc, and Ssa-Esc) are represented in the Vibrio gene clusters, although some components await definitive identification (Table 1). Given that the T3SS2 has been experimentally shown to function in both V. cholerae and V. parahaemolyticus, the prevailing opinion is that such proteins exist, but are encoded by novel sequences [2,3,17,23].
Table 1.
Predicted Function |
Yersinia spp. | Salmonella SPI-1 |
V. parahaemolyticus T3SS2 |
V. cholerae T3SS2 |
---|---|---|---|---|
IM ring | LcrD/YscV | InvA | VscV2 | VcsV2 |
IM ring | YscU | SpaS | VscU2 | VcsU2 |
IM ring | YscR | InvL/SpaP | VscR2 | VcsR2 |
IM ring | YscT | InvN/SpaR | VscT2 | VcsT2 |
IM ring | YscS | SpaQ | VscS2 | VcsS2 |
IM ring | YscD | PrgH | - | VopH? |
Periplasmic ring | YscJ | PrgK | VscJ2 | VcsJ2 |
Inner Rod | YscI | PrgJ | - | - |
ATPase | YscN | InvC/SpaL | VscN2 | VcsN2 |
Cytoplasmic ring | YscQ | InvK/SpaO | VscQ2 | VcsQ2 |
Complex with ATPase | YscL | - | - | - |
Secretin (OM ring) | YscC | MxiD | VscC2 | VcsC2 |
Pilotin | YscW | MxiM | - | - |
Needle | YscF | PrgI | - | - |
Needle length determinant | YscP | InvJ | - | - |
Hydrophilic translocator | LcrV | SipD | VopW | VopW |
Translocon | YopB | SipB | VopB2 | VspD2 |
Translocon | YopD | SipC | VopD2 | VspB2 |
SPI-1, Salmonella pathogenicity island 1; IM, inner membrane OM, outer membrane
Despite lacking sequence similarity to other known T3SS hydrophilic translocators, VopW was experimentally identified by Zhou et al. as a third translocon component essential for effector translocation in V. parahaemolyticus [38,39]. vopW sequences are present in all V. cholerae and V. parahaemolyticus T3SS2 islands, although gene location, number, and sequence identity are variable. Somewhat paradoxically, VopW was identified as a translocated effector protein in both V. parahaemolyticus and V. cholerae [38,40]. However, the collective results are consistent with reports from other systems of effector proteins having dual structural/effector function or T3SS-independent entry [41,42].
T3SS2 has been categorized into two clades, alpha (α) and beta (β), based on the sequences of genes encoding structural components and collective observations suggesting independent acquisition events by ancestral clones [23,43,44]. T3SS2 sequence comparisons that also combine genomic island organization indicate that V. parahaemolyticus and V. cholerae T3SS2α (e.g. RIMD 2210633 and AM-19226) are more similar to each other than T3SS2α and T3SS2β of the same species (e.g. V. cholerae strains AM-19226 and 1587). V. anguillarum and V. mimicus T3SS2 clade classifications have remained elusive, largely due to insufficient sequence data and/or hybrid characteristics [6].
Seven proteins identified as V. cholerae effectors are encoded within and immediately adjacent to the cluster of operons encoding structural apparatus proteins (Vops, Figure 1). Based on sequence similarity, synteny and/or evidence of translocation, each has a V. parahaemolyticus ortholog. For both species, experiments demonstrated that effectors encoded within the structural apparatus cluster are essential in vivo for colonization or disease related phenotypes (described below). Effector proteins are also encoded within mosaic “flanking regions” that lie 5’ and 3’ adjacent to the structural gene operon cluster, but associated phenotypes are less dramatic or remain unknown.
We thus conclude that a Vibrio-specific “core” region can be defined within the T3SS pathogenicity island, having the following properties: 1) gene content and position well conserved between species, 2) encoding proteins essential for T3SS structural apparatus function, 3) including effector functions necessary and potentially sufficient for pathogenic mechanisms, such as colonization, and 4) encoding transcriptional regulatory proteins required for T3SS expression. Based on such criteria, the core region (using strain AM-19226 as a reference) is bounded 5’ by vttRa, encoding one of two essential, ToxR-like transmembrane transcriptional regulators, and 3’ by vopF [45]. Shared features between V. cholerae and V. parahaemolyticus thus raises the interesting possibility of a common T3SS mediated mechanism of Vibrio colonization orchestrated by orthologous, core encoded effector proteins.
The clinical spectrum of Vibrio T3SS2-associated human disease
V. parahaemolyticus and V. cholerae primarily cause gastroenteritis, though clinical manifestations of disease are host variable and are also influenced by species and serogroup differences: V. parahaemolyticus typically induces an inflammatory diarrhea, whereas epidemic, O1/O139 serogroup V. cholerae infection is characterized by secretory diarrhea with no damage to the intestinal epithelium [46,47]. Infection by cholera toxin negative, non-O1/non-O139 serogroup V. cholerae strains is historically considered clinically indistinguishable from epidemic strains, but a subset of cases presents with a mild inflammatory component [47,48]. V. mimicus can cause acute gastroenteritis and otitis media after exposure to seawater or contaminated seafood. V. anguillarum is largely a pathogen of crustaceans and bivalves, but along with V. hollisae, is associated with wound infections and can cause severe illness in immunocompromised individuals [21].
It is therefore interesting to note that the inflammatory component of Vibrio spp. associated gastroenteritis has been linked to T3SS2 presence and the causality borne out by experiments recapitulating disease using an orogastrically inoculated infant rabbit model [18]. The intestinal epithelium remains intact during infection by cholera toxin-positive O1 serogroup strains, but infection by T3SS2α-positive strains results in both diarrhea and an altered epithelial cell architecture, with V. parahaemolyticus infection causing increased inflammation and disruption compared to less dramatic damage observed by T3SS-positive V. cholerae strain infection [18,49,50]. One interpretation of the differing T3SS-related pathologies is that common effector proteins and mechanisms are used to colonize and establish an infection, but that clinical variations result from a combination of host factors and species-specific effector proteins or effector alleles.
Core encoded effectors.
The prototype T3SS2α V. cholerae strain, AM-19226, encodes at least 13 translocated proteins. Seven are found within the core region of V. cholerae and are shared with V. parahaemolyticus (differing nomenclature is indicated in parentheses): VopZZ(VopZ), VopH, VopA, VopM (VopV), VopI, VopW, and VopF, (VopN/ VopL) (Figure 1) [40] (Dziejman laboratory, unpublished data). Variable amino acid sequence conservation (28-49% identity and 42-65% similarity) suggests that Vops have strain/species specific attributes while retaining structural conservation to carry out a subset of conserved functions. Whether all proteins detected as present in host cells and translocated in a T3SS-dependent manner function solely as effectors remains to be determined, since bioinformatic and experimental data suggest functions consistent with “missing” secretory apparatus components [19,51].
VopF/N/L all possess Wiscott-Aldrich homology 2 (WH2) domains, which promote mammalian cell actin rearrangement [17,52-55]. All three proteins nucleate actin in vitro, but the phenotypes associated with infection or transfection of mammalian cells differ in that VopF induces actin-rich protrusions, whereas VopN and VopL form actin stress fibers/non-functional actin filaments. V. cholerae vopF is required for wild-type levels of colonization in the infant mouse model, consistent with a role for modulating host cell cytoskeletal dynamics during the early stages of infection. A recent report documented an association between VopL actin dysregulation and limited ROS production resulting from halted assembly of the NADPH oxidase complex at the plasma membrane during V. parahaemolyticus infection [56].
VopV/VopM also display actin reorganization activities, and are essential for in vivo colonization. Biophysical analyses and in vivo results demonstrate that VopV binds actin via ~400bp repeated sequences and interacts with filamin via C-terminal sequences. The resulting cytoskeletal rearrangements play a critical role in brush border effacement and remodel the epithelial cell surface to promote attachment [57-59]. Thus, modulation of actin dynamics clearly plays an important role in Vibrio T3SS pathogenesis, although it is often challenging to determine the pathogenic outcome of cytoskeletal alterations and direct activities vs. global effects resulting from rearrangements, and the precise mechanisms of bacterial adherence to host tissues remain unclear.
The V. parahaemolyticus VopZ effector protein (not to be confused with the V. cholerae effector VopZ, function unknown) is a bifunctional protein important for colonization and intestinal fluid accumulation in the infant rabbit model [60]. Investigators also identified N-terminal domain sequences required for inhibiting TAK1 kinase activation and thus interfering with the NFκB and MAPK signaling pathways. The results thus suggest that like other T3SS positive bacteria, vibrios can modulate the immune response during infection. In V. cholerae strain AM-19226, the VopZZ effector (a VopZ homolog) is absolutely required to cause cytotoxicity in vitro and colonization in vivo, although molecular activities remain to be uncovered and are difficult to reliably predict based on sequence similarity (Dziejman laboratory, unpublished data).
Regions flanking the structural core are mosaic and encode diverse proteins.
Notable T3SS2 genomic island diversity in terms of size (~47kb-~100kb) and genetic content is conferred by 5’ and 3’ flanking regions, which carry sequence remnants consistent with lateral acquisition events [1,2]. The V. cholerae 5’ genomic island flanking sequences encode the VopE and VopX effector proteins [40]. Although VopE is not required for infant mouse colonization, a conserved Rho GTPase-activating domain is responsible for an activity that interferes with mitochondrial dynamics and innate immune responses that utilize mitochondria as a signaling platform [18,40,61-63]. VopX is dispensable for colonization in the infant mouse model, but mediates a cell growth defect in S. cerevisiae by interacting with components of the cell wall integrity (CWI) MAPK pathway, similar to results observed when VopE is expressed in yeast [64,65]. In place of VopX, some strains encode an effector similar to Shigella OspB, which has been shown to modulate the host inflammatory response [66].
The 5’ and 3’ flanking regions in V. parahaemolyticus are more variable and can encode VopO, VopT, VopC, VopA/P and/or VopG, although vopT is not present in T3SS2 stains. The unique VopO effector has no known homologues, but is critical for host cell stress fiber formation and epithelial barrier disruption in vitro [67]. VopT functions as an ADP-ribosyltransferase that targets the mammalian small G protein, Ras, and plays a role in in vitro cytotoxicity of Caco2 and HCT-8 cells [68]. VopA/P (a YopJ homolog, independent from the VopA encoded within the core region) is an acetyltransferase that inactivates MAP Kinase proteins through acetylation [69,70]. Although widely distributed in V. cholerae and V. parahaemolyticus, VopG (function unknown) is not required for V. cholerae infant mouse colonization and combined with the variable location, led to exclusion as a core cluster effector.
The ability of V. parahaemolyticus strain RIMD 2210633 (T3SS2α) to invade HeLa and Caco2 cells as well as HeLa cell invasion by T3SS2β V. cholerae strain 1587 has been attributed to VopC effector protein activity [71-73]. Limited Vibrio species invasion was documented more than 30 years ago prior to T3SS identification, and although the T3SS status of all strains in earlier studies is unknown, it is interesting to note that strain 1587 was among the strains analyzed [74-78]. However, current data indicate that the presence of a T3SS cannot be strictly correlated with an invasive phenotype, and VopC is not required for V. parahaemolyticus colonization or fluid accumulation in the infant rabbit model, nor is it present in V. cholerae T3SSα clade strains [73]. Furthermore, in vivo imaging data from infant rabbit model studies and recently published evidence of intracellular K+ levels in target cells serving as a signal to switch secretion from middle (translocator) to late (effector) substrates strongly support the predominantly extracellular nature of the vibrio-host relationship during gastrointestinal infection [49,50,79].
The V. cholerae mosaic 3’ region (~6.4 kb-17 kb) is comprised of sequences that lie downstream of VopF/N/L. Most V. cholerae strains encode four effector proteins in the 3’ region: VopG , VopK , VopY , and VopZ (which is not a V. parahaemolyticus homolog despite the same name) [40], although VopY is annotated in a limited number of strains. In AM-19226, no 3’ encoded effector is required for infant mouse colonization, but in an infant rabbit model of infection, moderate reductions in the incidence and severity of diarrhea as well as a slight decrease in colonization is observed during infection with VopK or VopY deletion strains [18]. In yeast, VopK toxicity is dependent on residues in the C-terminal domain postulated to comprise an MCF1-SHE serine peptidase domain, although peptidase activity was not detected and motif conservation is imprecise [80].
Conclusions
As we continue to recognize and catalog both similarities and differences, we begin to uncover how Vibrios have diversified T3SS functions to suit specific roles, adaptations, or environments. Thus, it seems likely that effector proteins present in the conserved core region of all T3SS2 islands dictate common mechanisms employed during infection, such as colonization, whereas the mosaic regions encode unique sets of effector proteins that may dictate specific characteristics of infection. Although T3SS1 has been difficult to definitively associate with disease in non-human pathogens, discovering T3SS1 encoded effector associated phenotypes has provided insight into how Vibrio encoded effectors interface with host proteins and pathways. As both V. cholerae and V. parahaemolyticus are considered to be environmental organisms that can act as human pathogens, we must consider whether the T3SS2 provides beneficial phenotypes in the natural aquatic reservoir. Matz et al. demonstrated that T3SS2 promotes V. parahaemolyticus survival during co-culture with a marine flagellate, which correlates with flagellate killing, and ciliates and amoeba were also susceptible to T3SS2-mediated killing [81]. Further studies examining the molecular mechanisms of effector protein function will help to elucidate how these proteins collectively or individually contribute to bacterial fitness and survival in the environment. Indeed, many challenges remain: to identify which effectors are both necessary and sufficient for colonization, to identify effectors specific for activity in the human host during disease, to determine whether effectors are required for a particular niche or lifestyle, and to elucidate effector protein functions, be they unique or redundant within a strain or across T3SS clades and species.
Highlights.
Vibrio spp. can encode one or two unique T3SSs
An environmental role for the T3SS remains largely unknown
Type 3 Secretion System 2 genomic islands in Vibrio species have conserved features
Effectors encoded in the conserved, core gene cluster are critical for colonization
Variable sequence flanking regions encoded effectors are clade and species-specific
ACKNOWLEDGEMENTS
We are grateful to the members of the Dziejman Lab and to Marty Pavelka for critically reading the manuscript, and especially to Chris Seward for his expert assistance with the figure. The Dziejman Lab acknowledges current funding from NIH/NIAID AI126005-01A1 to M.D.
Footnotes
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