Abstract
33
34
Non-typhoidal Salmonella serovars, such as Salmonella enterica serovar Typhimurium 35
(STm), are a leading cause of inflammatory diarrhea in otherwise healthy individuals. 36
Among children, the elderly, and immunocompromised individuals, STm can spread to 37
systemic sites and cause potentially lethal bacteremia. Phagocytic cells and the immune 38
complement system are pivotal to preventing the dissemination of STm. PgtE, an STm 39
outer membrane protease, has been previously described to cleave over a dozen 40
mammalian protein substrates in vitro, including complement protein C3. However, these 41
activities have mostly been observed with mutant, avirulent strains with a truncated O-42
antigen that renders bacteria sensitive to complement killing. Here, we report that virulent 43
STm utilizes PgtE to evade complement-mediated killing in vivo. The wild-type pathogen 44
increases pgtE expression and PgtE proteolytic function within macrophages and in 45
macrophage-like in vitro growth conditions, concomitant with physiologic O -antigen 46
shortening in these environments. Furthermore, we found that wild-type STm’s resistance 47
to complement-mediated serum and neutrophil killing is PgtE -dependent. We propose 48
that PgtE promotes the systemic spread of STm by acting as a second line of defense 49
against complement when STm escapes from a macrophage. 50
51
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Introduction
52
53
Infections with non-typhoidal Salmonella (NTS) are among the leading causes of 54
gastrointestinal disease worldwide (1). Clinically, NTS infection presents with 55
inflammatory diarrhea (2), characterized by localized gastrointestinal inflammation and 56
neutrophil influx in the intestinal mucosa (3). In healthy individuals, NTS infection remains 57
localized to the gut (2). However, approximately 5% of patients infected with NTS develop 58
bacteremia, a serious and potentially fatal complication (2). Children and the elderly are 59
at risk for developing bacteremia (4), and additional risk factors include leukemia, 60
chemotherapy, and HIV infection prior to the advent of antiretroviral therapy (5–8). In 61
recent years, invasive non -typhoidal Salmonella (iNTS) strains have emerged as a 62
prominent cause of bloodstream infection in sub -Saharan Africa (9), with serovars 63
Typhimurium (STm) and Enteritidis implicated in 91% of iNTS cases (10). Important risk 64
factors for iNTS disease in Africa are HIV infection, malaria, and malnutrition (9). 65
Furthermore, complicated iNTS infections present a challenge for antibiotic treatment due 66
to increased multidrug resistance (2, 11). It is thus imperative to elucidate mechanisms 67
by which STm can evade host immune defenses to cause bacteremia. 68
69
Neutrophils are thought to play a crucial role in preventing NTS bacteremia through 70
limiting dissemination of the pathogen from the mucosa to systemic sites. Neutropenia in 71
patients with HIV (7) or cancer (6), as well as defective production of reactive oxygen 72
species (ROS) in patients with chronic granulomatous disease (12), heightens the risk of 73
NTS bacteremia. Experiments in mice, largely conducted with STm, corroborate these 74
clinical observations, as neutrophil depletion leads to increased pathogen dissemination 75
(13). Even with a fully functional immune system, macrophages are less effective at killing 76
STm due to the pathogen’s numerous strategies for survival and replication within these 77
cells. Within the macrophage phagosome, STm uses the two -component regulatory 78
system PhoPQ to sense acidification, Mg2+-limiting conditions, and cationic antimicrobial 79
peptides, which together induce the expression of Salmonella Pathogenicity Island 2 80
(SPI2) effector genes (14–18). The SPI2 -encoded type -3 secretion system delivers a 81
plethora of effector proteins that prevent the fusion of the phagosome with lysosomes, 82
allowing STm to persist in Salmonella-containing vacuoles (SCVs) within macrophages 83
(19–21). 84
85
Protected inside the macrophage compartment, STm can spread to the liver, 86
spleen, and blood while evading extracellular host defenses (22–25). In the extracellular 87
environment, Salmonella is more vulnerable to complement opsonization, which 88
contributes to host protection during bacteremia (26, 27) by mechanisms that are not 89
completely elucidated. Long O -antigen chains of lipopolysaccharide on Salmonella play 90
a crucial role in steric inhibition of complement, reducing effective membrane attack 91
complex (MAC) formation. Consequently, STm lacking O -antigen (rough mutants) are 92
susceptible to serum complement killing (28) and are avirulent (29, 30). Resistance to 93
complement is also mediated by the outer membrane proteins TraT and Rck (31–33). A 94
third outer membrane protein, PgtE, is a promiscuous protease described to cleave a 95
dozen different substrates in vitro (34–39), including complement -associated proteins. 96
Increased expression of pgtE has also been proposed to promote survival and 97
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dissemination of iNTS (39). Nevertheless, it is unknown whether the cleavage of 98
complement proteins promotes STm virulence in vivo. 99
100
All p revious studies investigating PgtE function in vitro used rough mutants, 101
because the long O-antigen in wild -type strains sterically inhibits PgtE function (35–37, 102
39, 40). We thus sought to unravel the in vivo role of PgtE in wild -type, virulent strains 103
with an intact O -antigen (smooth strains). Here we show that an STm pgtE mutant is 104
attenuated in wild -type mice, but is rescued in complement -deficient mice. 105
Mechanistically, we found that wild-type STm cleaves complement C3 in a PgtE -106
dependent manner when inside macrophages or cultured in media mimicking the SCV , 107
environments where STm expresses a shorter O-antigen. Unexpectedly, however, PgtE-108
mediated disruption of complement did not promote STm survival in macrophages, but 109
rather enhanced serum resistance and evasion of neutrophil killing, thereby contributing 110
to bacteremia. 111
112
113
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Materials and methods
114
115
Bacterial strains and culture conditions 116
Bacterial strains used in this study are listed in Supplementary Table 1. Plasmids used in 117
this study are listed in Supplementary Table 2. Most of the in vitro and all of the in vivo 118
work was performed with Salmonella enterica serovar Typhimurium (STm) strain IR715, 119
a fully virulent, nalidixic acid -resistant derivative of strain ATCC 14028s , as well as an 120
isogenic pgtE mutant of IR715 . For some in vitro experiments, we employed the 121
Salmonella enterica serovar Typhimurium sequence type ST313 strain D23580 and its 122
isogenic pgtE mutant (39). 123
124
IR715 and D23580 strains were cultured on LB agar plates that were supplemented with 125
50 µg/ml nalidixic acid or 30 µg/ml chloramphenicol, respectively. IR715 and E. coli XL1-126
Blue strains transformed with a low -copy plasmid (pWSK29) encoding wild -type pgtE 127
(pPgtE) or a pgtE inactive mutant (pPgtE -D206A) were grown on LB agar plates 128
supplemented with 100 µg/ml carbenicillin. For each inoculum, three colonies were 129
cultured overnight in 5ml of medium without antibiotic selection. All bacteria were cultured 130
with shaking/rolling, unless otherwise stated. For animal infections, all strains were 131
cultured in L broth (LB; 10 g/L tryptone, 5 g/L yeast extract, 10 g/ L NaCl) aerobically at 132
37 °C, overnight. For in vitro experiments, strains were cultured in either LB or SPI2 -133
inducing phosphate -carbon-nitrogen (PCN) liquid media supplemented with low 134
magnesium (InSPI2 LowMg2+) (41), aerobically at 37 °C, overnight. 135
136
Generation of bacterial mutants 137
Primers used in this study are listed in Supplementary Table 3. The STm pgtE mutant 138
was constructed by allelic exchange with the plasmid pGP704 containing a tetracycline 139
resistance cassette flanked by 1 kb regions upstream and downstream of the pgtE gene. 140
Primers were used to PCR amplify 1kb upstream (left border, LB) and downstream (right 141
border, RB) of the pgtE gene. The resulting products were fused in a fusion PCR and 142
cloned into vector pCR -Blunt II-TOPO (Invitrogen). The resulting plasmid, pCRII ::pgtE-143
LBRB, was sequenced and subsequently cut with SalI and EcoRV. The pgtE-LBRB 144
fragment was gel purified and cloned into the SalI and EcoRV digested vector pGP704 145
and transformed into E. coli CC118 𝛌pir. The resulting plasmid, pGP704::pgtE-LBRB, was 146
cut with XbaI, and an NheI-digested tetracycline resistance cassette (tetRA) from pSPN23 147
was ligated into the plasmid and again transformed into CC118 𝛌pir. The resulting plasmid, 148
pGP704::pgtE-LBRB::tetRA, was transformed into E. coli S17-1 𝛌pir, then the strain was 149
conjugated with STm IR715, generating strain IR715 ΔpgtE via after selecting and 150
screening for double-crossover events from homologous recombination. The integration 151
of the resistance cassette and the deletion of the pgtE gene were confirmed by Southern 152
blot using a probe for the 1kb region upstream of pgtE, and the North2South 153
Chemiluminescent Hybridization and Detection kit (Thermo Fisher). D23580 ΔpgtE was 154
constructed by transducing the pgtE deletion from IR715 to D23580 with P22 HT105/1 155
int-201. 156
157
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For constitutive expression of the mCherry fluorescent protein, STm strains were 158
transduced with a P22 lysate derived from STm SL1344 glmS::Ptrc-mCherryST::Cm (42), 159
followed by removal of the CmR cassette using pCP20 (43). 160
161
For clean insertion of the FLAG sequence at the C -terminus of the chromosomal pgtE 162
gene, primers for Gibson assembly were designed with the NEBuilder Assembly Tool 163
(https://nebuilder.neb.com/#!/). FLAG_Downstream_Fwd and FLAG_Upstream_Rev 164
primers respectively carried the FLAG sequence extension ( GAC TAC AAG GAC GAC 165
GAT GAC AAG) and the reverse complement of the FLAG sequence. Chromosomal 166
IR715 DNA was PCR-amplified with the primer pairs of FLAG_Upstream_Fwd and 167
FLAG_Upstream_Rev, and FLAG_Downstream_Fwd and FLAG_Downstream_Rev by 168
PCR with High-Fidelity PCR Master Mix with HF buffer (New England Biolabs #M0531S) 169
per manufacturer’s instructions. The plasmid pRDH10 was digested with the restriction 170
enzymes Nru I (New England Biolabs #R3192S) and SphI -HF (New England Biolabs 171
#R3182S) per manufacturer’s instructions. All three products were then run on a 1% 172
agarose gel, purified with a Zymoclean Gel DNA recovery kit (Zymo Research #D4001), 173
and assembled with NEBuilder Hifi DNA assembly master mix at a 2:1 molar ratio (New 174
England Biolabs #E5520S) following manufacturer’s instructions. 175
176
An aliquot of 100 µL of chemically competent CC118 𝛌pir was thawed on ice then 177
incubated with 2 µL of Gibson assembly product on ice for 30 minutes. Cells were then 178
incubated at 42 °C in a water bath for 45 seconds, incubated on ice for 5 minutes, diluted 179
with 1 mL of LB, and cultured for 1 hour aerobically at 37 °C. Cells were the n spread-180
plated on LB agar plates that were supplemented with 30 µg/ml chloramphenicol , 181
incubated overnight at 37 °C, then screened for tetracycline resistance the following day. 182
After confirming correct Gibson assembly via sequencing of the plasmid by Primordium 183
Labs, chemically competent S17 -1 𝛌pir cells were transformed as above with 184
pRDH10::pgtE-FLAG isolated via QIAprep Spin Miniprep kit (Qiagen #27106) from 185
CC118 𝛌pir pRDH10::pgtE-FLAG. The resulting strain was used to conjugate the plasmid 186
to STm IR715. Following conjugation, cells were incubated on LB agar plates to screen 187
for resistance to both nalidixic acid and chloramphenicol . Cells that had undergone 188
plasmid integration into the chromosome (single crossover events) were then counter -189
selected using Nutrient Broth with 7% sucrose (sacB gene residing in pRDH10) . Clean 190
insertion of chromosomal pgtE-FLAG was confirmed by PCR with primer pair 191
FLAG_Verification_Fwd and FLAG_Verification_Rev , followed by sequencing by 192
Primordium. 193
194
Complementation and reporter plasmids 195
To construct the PgtE complementation plasmid, the pgtE region was PCR-amplified from 196
STm genomic DNA. A 300 bp region upstream of the coding sequence was amplified to 197
include relevant regulatory elements. The PCR product was cloned into plasmid pCR -198
Blunt II -TOPO using the Zero Blunt TOPO PCR Cloning Kit (Invitrogen) following the 199
manufacturer’s protocol. The product was then subcloned into the multiple cloning site of 200
low-copy plasmid pWSK29 using XhoI and EcoRV to generate plasmid pWSK29:: pgtE 201
(pPgtE). A m issense point mutation was introduced into pWSK29:: pgtE using the 202
QuikChange Site -Directed Mutagenesis Kit (Agilent) to create pWSK29::pgtE-D206A. 203
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Sequences were confirmed by Sanger sequencing (Eton Bioscience) or Oxford Nanopore 204
Technology (Primordium Labs). 205
206
To construct the pgtE reporter plasmid, the pgtE promoter was amplified from STm 207
SL1344 genomic DNA with the oligos PpgtE -XbaI-F (engineered restriction sites are 208
underlined) and PpgtE-SmaI-R. The amplicon was digested with XbaI/SmaI and ligated 209
into XbaI/SmaI-digested pGFPmut3.1, then the pgtE-gfpmut3.1 cassette was excised by 210
XbaI/ApaI digestion, and ligated into the corresponding sites of pMPM-A3∆Plac. 211
212
Serum and serum treatments 213
Normal human serum (NHS; #NHS), C3 -depleted human serum (#A314), and cobra 214
venom factor (CVF ; #A150) were procured from Complement Technology. For mouse 215
serum, blood was collected from uninfected C3+/+ and C3-/- mice through cardiac puncture 216
with a 25-gauge needle. Mouse serum was subsequently recovered by centrifugation of 217
blood for 5 minutes at 10,000 x g using Serum Gel Polypropylene Microtubes (Sarstedt, 218
#41.1378.005). The serum was then pooled from several mice, aliquoted, and stored at -219
80 °C. Both human and mouse sera were used after thawing a maximum of one time. 220
221
Mice 222
The Institutional Animal Care and Use Committee (IACUC) at UC San Diego approved 223
all mouse experiments perfomed at the institution (protocol #S17107). The IACUC at 224
Washington State University approved mouse bone marrow collection for the generation 225
of bone marrow-derived macrophages (protocol #6785). Mice were housed under specific 226
pathogen-free conditions and were provided with an irradiated 2020X Teklad diet 227
(Envigo). Furthermore, mice were randomly grouped in cages, with a maximum of five 228
animals per cage. 229
230
The study utilized C57BL/6 wild-type mice, C3-/- mice (44), and Cybb-deficient mice (The 231
Jackson Laboratory #002365) (45). For in vivo experiments depleting complement with 232
CVF, six -to-eight-week-old female C57BL/6J mice (The Jackson Laboratory) were 233
intraperitoneally injected with 0.1ml of phosphate-buffered saline ( PBS) or 12.5 (one 234
experiment) or 25 (two experiments) µg/ml CVF one day before bacterial infection (46). 235
For all other experiments, six-to-ten-week-old female and male mice, bred and housed at 236
UC San Diego, were used in the experiments, with similar numbers of female and male 237
mice in each experimental group. For experiments with C3-/- mice, we used wild -type 238
littermate control mice from the same colony (C57BL/6 background). Cybb-deficient mice 239
were bred homozygous (CybbX-/X- females) or hemizygous (CybbX-/Y males). 240
241
For all in vivo experiments, STm strains were cultured aerobically in LB at 37 °C overnight. 242
Mice were intraperitoneally infected with 1x10 4 colony-forming units ( CFUs) of STm. 243
Blood was collected via cardiac puncture with a 25-gauge needle and syringe pre-coated 244
with 0.5M EDTA to prevent coagulation. Liver and spleen tissues were homogenized in 245
PBS, and samples were plated on LB agar supplemented with 50 µg/ml nalidixic acid. 246
247
Cell culture reagents 248
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For cell culture media, we primarily used RPMI 1640 medium with L -glutamine and 249
Phenol Red (Gibco #11875093). In luminol assays, we employed RPMI 1640 medium 250
with no glutamine and no phenol red (Gibco #32404014). As indicated in the respective 251
sections, RPMI was supplemented with the following components, depending on the 252
experiment: heat-inactivated Fetal Bovine Serum (HI -FBS) (Gibco #A3840001), 253
Antibiotic-Antimycotic solution (Gibco #15240062), Gentamicin (Gibco #15710064), 254
HEPES (Gibco #15630080), EDTA (Fisher Scientific #S311 -500). D ulbecco’s PBS 255
(DPBS; Gibco #14190) was used for dislodging bone marrow-derived macrophages and 256
for the neutrophil Enrichment Kit isolation medium. 257
258
Bone marrow isolation and bone marrow-derived macrophage culture conditions 259
Murine bone marrow-derived macrophages (BMDMs) were prepared by maturing freshly 260
isolated bone marrow cells from femurs and tibias. Bone marrow cells were isolated with 261
a 21-gauge needle, filtered through a 70 µm filter, then subjected to Ammonium-Chloride-262
Potassium (ACK) lysis (150 mM NH 4Cl, 10 mM KHCO 3, 0.1 mM Na 2EDTA) buffer to 263
remove excess red blood cells. For BMDMs used in fluorescent microscopy, cells were 264
cultured for 5 days in RPMI 1640 medium with L -glutamine supplemented with 20% 265
supernatant from L929 cells, and 10% HI-FBS. BMDMs were then re -seeded two days 266
prior to infection. For BMDMs used to assess Salmonella burden and PgtE function, cells 267
were then cultured for 7 days in RPMI 1640 medium with L-glutamine supplemented with 268
30% supernatant from L929 cells, 10% HI -FBS, and 1x Antibiotic -Antimycotic in Sigma 269
culture dishes (Z358762). 18 hours prior to infection, cold DPBS was used to dislodge the 270
cells, and BMDMs were seeded in RPMI 1640 medium with L -glutamine supplemented 271
with 10% HI-FBS in 24-well plates (Corning #3524) at a density of 5x10 5 cells/well or 6-272
well plates at a density of 2x106 cells/well (Corning #3516). 273
274
Murine macrophage infection for bacterial enumeration 275
For macrophage infection experiments, STm strains were grown statically in LB media in 276
an aerobic environment at 37 °C overnight. A concentration of 1.67x10 7 CFU/ml of STm 277
was incubated in 20% mouse serum (opsonized) or PBS (non-opsonized) for 30 minutes 278
at room temperature. Subsequently, STm was diluted 1:10 in RPMI 1640 medium with L-279
glutamine supplemented with 10% HI -FBS for an inoculum of 2% mouse serum with 280
1.67x106 CFU/ml STm. An aliquot of 300uL of this inoculum was added to BMDMs in a 281
24-well plate to reach an MOI of 1. The plate was centrifuged at 360 x g for 5 minutes at 282
room temperature then transferred to a 37 °C tissue culture incubator. After 30 minutes 283
of infection, BMDMs were washed with PBS then treated with RPMI 1640 medium with 284
L-glutamine supplemented with 10% HI-FBS and 100 µg/ml gentamicin for 30 min before 285
replacement with RPMI 1640 medium with L -glutamine supplemented with 10% HI-FBS 286
and 20 µg/ml gentamicin for the remainder of the assay. BMDMs were washed with PBS 287
then lysed with 1% Triton X -100 surfactant (EMD Millipore #EM -9400) in PBS at 30 288
minutes, 8 hours, and 24 hours post-infection. CFUs were enumerated by plating aliquots 289
of serially diluted lysates onto LB agar supplemented with 50 µg/ml nalidixic acid. 290
291
Western blot detection of PgtE-FLAG and PgtE-dependent C3 cleavage 292
To assess PgtE-dependent cleavage of C3 in vitro, strains of STm and E. coli XL1-Blue 293
were cultured overnight in LB or in InSPI2 LowMg 2+ media in an aerobic environment at 294
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37 °C. Bacteria were then incubated with 20% normal human serum (NHS) in PBS at 295
1.67x109 CFU/ml for 8 hours. Samples were subsequently centrifuged at 10,000 x g for 5 296
minutes, and supernatants were collected for Western blotting. 297
298
To assess PgtE-dependent cleavage of C3 by intracellular STm isolated from BMDMs, 299
STm strains were cultured by rotating in LB media in an aerobic environment at 37 °C 300
overnight. STm was incubated in 20% mouse serum in PBS for 30 minutes at 37 °C at a 301
concentration of 2x107 CFU/ml. STm was then diluted 1:40 in RPMI 1640 medium with L-302
glutamine supplemented with 10% HI-FBS, then added to BMDMs in a 6-well plate at an 303
MOI of 10. Plates were centrifuged at 360 x g for 5 minutes at room temperature and then 304
transferred to a 37 °C tissue culture incubator. After 30 minutes of infection, BMDMs were 305
washed with PBS then treated with RPMI 1640 medium with L -glutamine supplemented 306
with 10% HI -FBS and 100 µg/ml gentamicin for 30 min before replacement with RPMI 307
1640 medium with L-glutamine supplemented with 10% HI-FBS and 20 µg/ml gentamicin 308
for 7.5 hours. Infected BMDMs were then washed with PBS and lysed with water for 10 309
minutes at 37 °C. Six infected wells were pooled together for each group, washed, 310
resuspended in 100 µl of 20% NHS in PBS, then shaken at 300 rpm at 37 °C for 13 hours. 311
Samples were then centrifuged at 10,000 x g for 5 minutes , and supernatants were 312
collected for western blotting. 313
314
To assess PgtE protein production by in vitro cultures, STm WT and STm pgtE-FLAG 315
(strain ML27) were cultured overnight in LB or in InSPI2 LowMg 2+ media in an aerobic 316
environment at 37 °C. 5x108 CFUs were washed twice in PBS ; pellets were frozen at -317
80 °C for 30 minutes, then resuspended in 50 µl of lysis buffer (2% 2 -Mercaptoethanol, 318
2% SDS, 10% glycerol, and 0.1M TrizmaHCl in water adjusted to pH 6.8). Samples were 319
incubated at 95 °C for 20 minutes then spun down for 10 minutes at 10,000 x g. 320
321
For electrophoresis, samples were prepared with RunBlue LDS Sample Buffer (Expedeon 322
#NXB31010) and 5mM dithiothreitol (Thermo Scientific #R0861). Electrophoresis was 323
conducted using a Mini Gel Tank (Invitrogen #A25977), Novex Tris -Glycine Mini Protein 324
Gel 4 -12% (Invitrogen #XP04125BOX), WesternSure Pre -stained Chemiluminescent 325
Protein ladder (Li-Cor #926-98000) and MES SDS Running Buffer (Invitrogen #B0002) at 326
90 volts for 80 minutes. Semi-dry transfer was performed with a Trans-Blot SD Semi-Dry 327
Transfer Cell (Bio -Rad), Immun -Blot PVDF membrane (Bio -Rad #1620177), and 328
Whatman GB003 gel blotting papers (Whatman #10427806) at 20 volts for 1 hour. 329
330
Membranes were blocked with 5% (w/v) Nonfat dry milk (LabScientific #M0841) in Tris-331
buffered saline with 0.1% (w/v) Tween 20 (TBST) rocking for 2 hours at room temperature. 332
For PgtE -dependent complement cleavage, membranes were then incubated with 333
purified anti -complement C3/C3b/iC3b/C3d antibody (BioLegend #846302 clone 334
1H8/C3b) diluted to 1:5,000 in 5% milk in TBST rocking overnight at 4 °C. After 5 washes 335
with TBST, membranes were then incubated with HRP goat anti-mouse IgG (BioLegend 336
#405306) diluted to 1:20,000 in 5% milk in TBST rocking overnight at 4 °C. For detection, 337
membranes were washed 5 times with TBST, incubated for 10 minutes in the dark with 338
ECL Prime Western Blotting Detection Reagents (Amersham #RPN2232), and then 339
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imaged with an Azure 300 Chemiluminescent Western Blot Imager (Azure Biosystems 340
#AZ1300-01). 341
342
For PgtE-FLAG tag analysis, after semi -dry transfer, PVDF membranes were cut in half 343
at the 50 kDa protein ladder mark. The bottom half of the membrane was then incubated 344
with purified rat anti-DYKDDDDK Tag antibody (anti-FLAG tag; BioLegend #637319 clone 345
L5) diluted to 1:5,000 in 5% milk in TBST rocking overnight at 4 °C. After 5 washes with 346
TBST, membranes were then incubated with HRP goat anti-rat IgG (BioLegend #405405) 347
diluted to 1:5,000 in 5% milk in TBST rocking overnight at 4 °C. The top half of the 348
membrane was incubated with mouse anti-DnaK (E. coli) antibody (Enzo #ADI-SPA-880-349
D clone 8E2/2) diluted to 1:10,000 in 5% milk in TBST, rocking overnight at 4 °C. After 5 350
washes with TBST, membranes were then incubated with HRP goat anti -mouse IgG 351
antibody (BioLegend #405306) diluted to 1:10,000 in 5% milk in TBST rocking overnight 352
at 4 °C. For detection, membranes were washed 5 times with TBST, incubated for 10 353
minutes in the dark with ECL Prime Western Blotting Detection Reagents (Amersham 354
#RPN2232), and then imaged with a GeneGnome (Synoptics). 355
356
O-Antigen Staining 357
STm and E. coli XL1-Blue strains were cultured overnight in LB or in InSPI2 LowMg 2+ 358
media in an aerobic environment at 37 °C. 5x108 CFU was washed twice in PBS and then 359
resuspended in 100 µl of lysis buffer (2% 2-Mercaptoethanol, 2% SDS, 10% glycerol, and 360
0.1M TrizmaHCl in water adjusted to pH 6.8). Samples were incubated at 95 °C for 10 361
minutes and then incubated with 1.25 µl of Proteinase K ( 20mg/ml; Viagen #501-PK) 362
overnight at 55 °C. Lysates were prepared for electrophoresis with Laemmli Sample 363
Buffer (Bio-Rad #1610747) and 7.5% 2-Mercaptoethanol. Electrophoresis was conducted 364
using a Mini Gel Tank (Invitrogen #A25977), Novex Tris-Glycine Mini Protein Gel 4-12% 365
(Invitrogen #XP04125BOX), and MES SDS Running Buffer (Invitrogen #B0002) at 25 mA 366
for 2 hours. O -antigen staining was then performed with Pro -Q Emerald 300 367
Lipopolysaccharide Gel Stain Kit (Invitrogen #P20495) following the manufacturer’s 368
instructions. Gels were imaged with the 302 nm UV transilluminator of an Azure 200 369
(Azure Biosystems #AZ1200-01). 370
371
Mouse neutrophil isolation 372
Fresh femur- and tibia-isolated bone marrow cells were isolated with a 21-gauge needle 373
and filtered through a 70 µm filter. Neutrophils were isolated with the EasySep Mouse 374
Neutrophil Enrichment Kit (Stemcell Technologies #19762) following the manufacturer’s 375
instructions for the EasySep Magnet (Stemcell Technologies #18000). The isolation 376
medium consisted of DPBS supplemented with 2% HI-FBS and 1 mM EDTA. 377
378
Neutrophil killing assay 379
Murine bone marrow neutrophils were resuspended in RPMI 1640 medium with L -380
glutamine supplemented with 10% HI -FBS and 1mM HEPES, then plated at 5x10 5 381
cells/well in a 96 -well round bottom cell culture plate (Costar #3799). Neutrophils were 382
incubated in a 37 °C tissue culture incubator for 30 minutes prior to infection. 383
384
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STm strains were cultured overnight in LB or in InSPI2 LowMg 2+ media in an aerobic 385
environment at 37 °C. A concentration of 5x10 8 CFU/ml of STm was incubated in 20% 386
mouse serum from C3 +/+ and C3 -/- mice (opsonized) or PBS (non -opsonized) for 30 387
minutes at room temperature. STm was then diluted 1:10 in RPMI 1640 medium with L -388
glutamine supplemented with 10% HI-FBS and 1mM HEPES, resulting in an inoculum of 389
5x107 CFU/ml STm with 2% mouse serum. Subsequently, 100 µl of inoculum was added 390
to wells with 100 µl of medium or 100 µl of 5x10 5 neutrophils for an MOI of 10. After 2.5 391
hours in a 37 °C tissue culture incubator, 100 µl of 2% Triton X-100 surfactant in PBS was 392
added to 100 µl of culture. CFUs were enumerated by plating aliquots of serially diluted 393
lysates onto LB agar supplemented with 50 µg/ml nalidixic acid. 394
395
Luminol Assay 396
STm strains were grown aerobically overnight at 37 °C, then sub-cultured in LB (1:100 397
dilution) or in InSPI2 LowMg2+ media (1:10 dilution) and grown aerobically at 37 °C for 3 398
hours. A concentration of 1x108 CFU/ml of STm was then incubated in 20% mouse serum 399
from C3 +/+ and C3 -/- mice for 30 minutes at room temperature. Murine bone marrow 400
neutrophils were resuspended in RPMI 1640 medium with no glutamine and no phenol 401
red supplemented with 2% HI-FBS and 1mM Luminol (Millipore Sigma #123072-2.5g) at 402
1.11x106 neutrophils/ml. 90 µl of 1.11x106 neutrophils/ml were added to a white opaque 403
96-well microplate ( OptiPlate-96; Revvity #6005290). The plate was sealed with a 404
Breathe-Easy sealing membrane ( Diversified Biotek #BEM-1), and baseline 405
luminescence was measured with a Synergy HTX Multi-Mode Microplate Reader (Agilent, 406
formerly BioTek) at 37 °C. An aliquot of 10 µl of opsonized STm was then quickly added 407
to each well for a final concentration of 10 6 neutrophils/ml, an MOI of 10 , and a final 408
concentration of 2% mouse serum, then resealed with Breathe-Easy sealing membrane. 409
Luminescence was recorded every 2 minutes for 120 minutes. 410
411
Fluorescence Microscopy 412
Infected macrophages were fixed in 2.5% (w/v) paraformaldehyde at 37 °C for 10 min 413
then washed three times in PBS. Monolayers were permeabilized in 10% (v/v) normal 414
goat serum (Life Technologies), 0.2% (w/v) saponin in PBS for 20 min at room 415
temperature, incubated with primary antibodies for 45 min at room temperature, washed 416
three times with 0.2% (w/v) saponin in PBS, then incubated with secondary antibodies for 417
45 min at room temperature. Coverslips were washed in PBS, incubated with Hoechst 418
33342 (ThermoFisher Scientific) for 1 min to stain DNA, and then mounted onto glass 419
slides in Mowiol (Calbiochem). Samples were viewed with a Leica DM4000 420
epifluorescence upright microscope for quantitative analysis or a Leica SP8 confocal 421
laser-scanning microscope for image acquisition. Samples were blinded during the 422
experiment. Representative confocal micrographs of 1024x1024 pixels were acquired 423
and assembled using Adobe Photoshop CS6. 424
425
Statistical analysis of data 426
The experiments were not randomized. No statistical methods were used to predetermine 427
the sample size. Prism 10 software (GraphPad) was used for statistical analysis. For in 428
vivo experiments, outliers found by ROUT outlier analysis Q= 1% are removed. Data were 429
analyzed by Kruskal-Wallis test (non-parametric, no pairing) followed by Dunn’s multiple 430
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comparison test. Serum killing assays were analyzed with a Two-way ANOVA followed 431
by Sidak multiple comparison test. Neutrophil killing assays were analyzed with a One-432
way ANOVA Kruskal-Wallis test followed by Dunn’s comparison test. For luminol assays, 433
Two-way ANOVA analysis was performed; the source of variation for significance is the 434
Time x Column Factor. 435
436
437
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Results
438
439
PgtE promotes immune complement resistance in vivo. 440
441
Prior studies identified a potential role for PgtE in promoting STm colonization in mice 442
and chicken s (37, 39, 47) and described several potential proteolytic targets in vitro , 443
including complement factor B, complement factor H, C3, C3b, C4b, and C5 (36, 38, 39). 444
445
All three immune complement pathways converge at C3 (48). To elucidate whether PgtE 446
enables STm to evade immune complement in vivo, we infected C3-/- mice and their C3+/+ 447
littermates intraperitoneally with STm WT (strain IR715, a fully virulent NalR derivative of 448
ATCC 14028s) or an isogenic Δ pgtE mutant (Fig. 1A-E). After 24 hours, we assessed 449
bacterial burden in the blood ( Fig. 1B), liver (Fig. 1C), and spleen (Fig. 1D). The ΔpgtE 450
mutant was recovered at significantly lower levels than STm WT in the blood, but was 451
fully rescued in C3-/- mice (Fig. 1B). Similar differences between STm WT and the ΔpgtE 452
mutant were observed in the liver and spleen of C3+/+ mice, although they did not reach 453
statistical significance. In all cases, while STm WT equally infected C3+/+ and C3-/- mice, 454
the ΔpgtE mutant was recovered at much higher levels in the spleen and liver of C3-/- 455
mice when compared to C3+/+ littermates (Fig. 1C, D). Furthermore, C3-/- mice infected 456
with the Δ pgtE mutant exhibited significantly higher weight loss than the infected C3+/+ 457
mice (Fig. 1E). Thus, PgtE enables STm to evade immune complement defense in vivo, 458
particularly in the blood. 459
460
We further investigated PgtE-dependent evasion of complement by infecting mice treated 461
with cobra venom factor (CVF), a C3 convertase homolog which depletes complement 462
(46) (Fig. 1F -J). Mice treated with PBS (control) or CVF for 24 hours were infected 463
intraperitoneally with STm WT or the Δ pgtE mutant (Fig. 1F), and bacterial burden was 464
assessed in the blood (Fig. 1G), liver (Fig. 1H), and spleen (Fig. 1I) at 24 hours. Similar 465
to C3+/+ mice, the ΔpgtE mutant was recovered at significantly lower levels than STm WT 466
in the blood of control -treated mice but was rescued in CVF -treated mice (Fig. 1G). No 467
significant differences were observed in the liver (Fig. 1H) and spleen (Fig. 1I). To confirm 468
that CVF treatment effectively depleted complement C3, we determined serum C3 469
concentration by ELISA. As expected, mice treated with CVF had reduced serum C3 470
compared to control -treated mice ( Fig. 1J ). Within the control -treated group, mice 471
infected with STm WT had significantly less serum C3 compared to mice infected with the 472
ΔpgtE mutant (Fig. 1J), suggesting that PgtE reduced serum C3 concentrations. Thus, 473
PgtE enables STm to defend against immune complement in vivo. 474
475
Wild-type STm cleaves complement C3 in a PgtE -dependent manner when grown 476
in conditions that mimic the phagosome or grown in macrophages 477
478
Previous in vitro studies used strains with a defective O-antigen, and thus were avirulent, 479
to show PgtE-dependent cleavage of immune complement (36, 38, 39). As we identified 480
a potential role for PgtE in cleaving C3 in vivo, we hypothesized that PgtE act s by a 481
different mechanism in fully virulent STm. 482
483
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Transcriptome analysis has revealed that STm increases pgtE expression in infected 484
murine macrophages (49), indicating that PgtE may function in these cells. To elucidate 485
the time course of pgtE expression, we infected bone marrow -derived macrophages 486
(BMDMs) with a n STm strain carrying a chromosomally encoded P trc::mCherry, for 487
constitutive expression of mCherry fluorescent protein and a plasmid encoding a 488
PpgtE::gfp transcriptional reporter fusion ( Fig. 2A). Monitoring GFP fluorescence over 489
time by fluorescence microscopy revealed that 4.3% and 80% of bacteria were GFP -490
positive at 30 minutes and 8 hours post -infection, respectively ( Fig. 2B). These results 491
indicated a temporal induction of pgtE expression following STm infection of BMDMs. 492
493
The phagosome’s environment can be modeled in vitro using minimal phosphate-carbon-494
nitrogen (PCN) media supplemented with low magnesium. This medium induces SPI2 495
expression and is thus referred to as “InSPI2 LowMg 2+”. In alignment with the 496
macrophage results, pgtE expression is also increased in this medium (41). We thus 497
investigated whether PgtE activity in vitro was dependent on culture conditions. We grew 498
the following strains in standard LB or in InSPI2 LowMg 2+ media: STm WT, the Δ pgtE 499
mutant, and the ΔpgtE mutant complemented with a plasmid encoding pgtE (STm ΔpgtE 500
pPgtE). As controls, we used an O -antigen-deficient E. coli strain expressing either 501
functional pgtE (E. coli pPgtE) or nonfunctional pgtE with a missense point mutation ( E. 502
coli pPgtE D206A). Each culture was then incubated with normal human serum (NHS), 503
which contains complement, to investigate C3 cleavage by Western blot. 504
505
In line with previous studies (35, 36, 40), STm WT grown in LB was unable to cleave C3 506
in a PgtE-dependent manner (Fig. 2C, Left). The O-antigen-deficient E. coli cleaved C3 507
when expressing functional PgtE, consistent with the hypothesis that long O -antigen 508
sterically inhibits PgtE function ( Fig. 2C, Left). Strikingly, however, STm WT cultured in 509
InSPI2 LowMg2+ media cleaved C3 in a PgtE -dependent manner, as shown by two C3 510
cleavage products that were absent from sera incubated with STm Δ pgtE (Fig. 2C, 511
Right). Genetic complementation in trans recovered PgtE-dependent C3 cleavage, albeit 512
to a lesser extent than STm WT. 513
514
As InSPI2 LowMg2+ media models the intraphagosomal environment , we next 515
investigated whether STm WT could cleave C3 when grown inside macrophages. We 516
infected BMDMs with STm strains (WT, the ΔpgtE mutant, and the complemented strain) 517
for 8 hours, then lysed the infected cells to retrieve STm. Bacteria isolated from 518
macrophages were then incubated with NHS to detect their ability to cleave C3. We 519
detected a C3 fragment in serum incubated with STm WT isolated from macrophages, 520
but not in serum incubated with the ΔpgtE mutant (Fig. 2D). In this experimental setting, 521
genetic complementation did not restore detectable PgtE-dependent C3 cleavage. 522
Comparing these results with those generated with STm cultured in InSPI2 LowMg 2+ 523
media (Fig. 2C, Right), where also one additional fragment was detected, we speculate 524
that this discrepancy is attributable to the technical limitation of isolating substantially 525
fewer STm from infected BMDMs than from overnight cultures. Nevertheless, our results 526
demonstrate that PgtE is functional in STm with an intact O -antigen depending on the 527
growth conditions, enabling the pathogen to cleave C3 when cultured in InSPI2 LowMg2+ 528
media or when isolated from macrophages. 529
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530
Growth conditions that model the phagosome’s environment increase PgtE 531
expression and decrease O-antigen length 532
533
PgtE activity can be observed in vitro among strains with an intact O-antigen as long as 534
they are cultured in media that mimic s the intraphagosomal environment. As avirulent 535
mutants lacking an O-antigen have previously been shown to exhibit PgtE function, and 536
as in vitro culture conditions and growth in macrophages can alter O-antigen length in 537
wild-type strains (50, 51), we sought to determine whether the O -antigen length of our 538
virulent, smooth strains was being altered by these growth conditions. To this end, we 539
extracted and stained the O-antigen from STm strains cultured in LB or in InSPI2 LowMg2+ 540
media. All STm strains cultured in InSPI2 LowMg 2+ media had shorter O -antigen 541
compared to STm cultured in LB ( Fig. 2E). As expected, the rough E. coli strain that we 542
used to express PgtE lacked O-antigen polysaccharides. Consistent with the observation 543
that steric hindrance conferred by the presence of an O-antigen impacts PgtE function, 544
PgtE activity was greatest when the protease was expressed by the rough E. coli strain 545
(Fig. 2C). By contrast, although t he shorter O -antigen detected in smooth STm strains 546
cultured in InSPI2 LowMg 2+ media likely enable d PgtE’s ability to function at all , the 547
intermediary PgtE activity observed is likely the consequence of lingering steric hindrance 548
conferred by the still present, albeit shorter, O -antigen. Nevertheless, these results are 549
consistent with the idea that the shorter O-antigen induced by growth in InSPI2 LowMg2+ 550
media enables complement C3 cleavage by PgtE (Fig. 2C, E). 551
552
The absence of PgtE activity when wild-type STm is cultured in LB could be due to a lack 553
of PgtE expression or it could be solely explained by the steric hindrance caused by the 554
long O-antigen. To assess whether PgtE is expressed in LB , we constructed a n STm 555
strain with a chromosomal pgtE allele harboring a FLAG tag at the C-terminus (STm pgtE-556
FLAG). We found that the FLAG tag was detectable when STm pgtE-FLAG was cultured 557
in InSPI2 LowMg 2+ medium, but not in LB ( Fig. 2F ). As expected, no FLAG tag was 558
detected in STm WT in either condition. Thus, growth in InSPI2 LowMg 2+ media has a 559
two-pronged effect: 1) increasing PgtE expression; 2) shortening O-antigen length, which 560
enables PgtE function and cleavage of complement C3. 561
562
PgtE appears dispensable for STm survival in primary macrophages under tested 563
conditions 564
565
Our findings suggest a role for PgtE to enable Salmonella survival inside of macrophages. 566
Even though complement is generally known to opsonize and lyse pathogens in 567
extracellular spaces, recent studies have identified a role for complement in intracellular 568
compartments (52–54). We thus tested whether PgtE disrupts intracellular C3 signaling 569
and promotes STm survival within macrophages by infecting BMDMs with STm WT, the 570
ΔpgtE mutant, or the complemented ΔpgtE mutant. The strains were either nonopsonized 571
(Fig. 2G-I) or opsonized with normal mouse serum ( Fig. 2J-L). We recovered a similar 572
number of each STm strain at each of the time points analyzed, from 30 minutes post -573
infection (when pgtE is not highly expressed; Fig. 2A, B) to 8 hours (high pgtE induction) 574
and even 24 hours post -infection, in both the non -opsonized and the opsonized groups 575
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(Fig. 2G-I and Fig. 2 J -L). As such, PgtE did not enhance STm survival in BMDMs in 576
these conditions, even though it is highly produced and cleaves C3 in these cells. 577
578
PgtE increases STm serum resistance 579
580
To determine whether PgtE promotes STm resistance to serum killing, we cultured STm 581
WT, the Δ pgtE mutant, and the complemented Δ pgtE mutant in either LB or InSPI2 582
LowMg2+ media and exposed them to 20% normal human serum (NHS). When STm was 583
cultured overnight in LB ( Fig. 3A), all strains showed similar survival. However, when 584
STm was cultured overnight in InSPI2 LowMg 2+ media, STm WT survived significantly 585
more than the Δ pgtE mutant, with the complemented strain showing an intermediate 586
phenotype (Fig. 3B). To test whether the differences in serum resistance were dependent 587
on PgtE-mediated C3 cleavage, the strains were incubated with C3 -depleted human 588
serum after overnight culture in InSPI2 LowMg 2+ media. In the absence of C3, serum 589
survival of the PgtE mutant was fully restored, and no difference in survival was detected 590
between the three strains ( Fig. 3C). Thus, PgtE enhance d STm serum survival by 591
inhibiting the function of complement. 592
593
Many iNTS isolates display increased expression of pgtE (39). We next tested if PgtE 594
played a similar role in increasing serum survival of iNTS sequence type ST313, a 595
predominant etiologic agent of iNTS disease (55). Similar to what we observed with the 596
ATCC 14028s strain IR715 (sequence type ST19) , no significant difference in serum 597
survival was seen between the ST313 strain D23580 wild-type and an isogenic Δ pgtE 598
mutant when the strains were cultured overnight in LB (Fig. 4A). However, when cultured 599
overnight in InSPI2 LowMg 2+ media, D23580 WT survived significantly better than the 600
isogenic ΔpgtE mutant in normal human serum ( Fig. 4B) but not in C3-depleted human 601
serum ( Fig. 4C). Both D23580 WT and Δ pgtE strains exhibited shortened O -antigen 602
chains when cultured overnight in InSPI2 LowMg2+ media compared to growth in LB (Fig. 603
4D), whereas only WT was able to cleave C3 ( Fig. 4E). Thus, akin to the results with 604
ST19 strains (Fig. 2C, 3), when an ST313 strain is cultured in media mimicking the SCV, 605
PgtE-dependent inhibition of complement results in elevated serum survival (Fig. 4). 606
607
PgtE expression enables STm to evade complement-mediated neutrophil killing 608
609
An important function of complement is to enhance neutrophil killing (48). To test whether 610
PgtE-mediated complement cleavage enhance s STm resistance to neutrophils, we 611
cultured STm WT or the ΔpgtE mutant overnight in either LB (Fig. 5A) or InSPI2 LowMg2+ 612
media (Fig. 5B-C) and infected neutrophils isolated from murine bone marrow. There was 613
no difference in survival when the strains were grown in LB and either non -opsonized or 614
opsonized with normal mouse serum (NMS) prior to the neutrophil infection (Fig. 5A). In 615
contrast, when the strains were grown in InSPI2 LowMg2+ media and opsonized in NMS, 616
STm WT survived significantly better than the Δ pgtE mutant in neutrophil killing assays 617
(Fig. 5B). To assess if complement was the determinant factor in NMS for the difference 618
in survival between STm WT and the Δ pgtE mutant, we opsonized the strains (cultured 619
in InSPI2 LowMg2+ media) with serum from C3+/+ or C3-/- littermate mice. Here, the survival 620
defect of the ΔpgtE mutant in neutrophils was rescued to STm WT levels when the strains 621
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were opsonized in serum from C3-/- mice (Fig. 5C), indicating that PgtE enables STm to 622
evade complement-mediated neutrophil killing. 623
624
PgtE disrupts C3-induced neutrophil ROS production, helping STm to evade ROS-625
dependent neutrophil killing 626
627
Complement enhances the neutrophil respiratory burst in response to STm (56, 57). To 628
determine if PgtE disrupts C3 -mediated reactive oxygen species (ROS) production by 629
neutrophils, we performed a luminol assay with STm WT and the ΔpgtE mutant opsonized 630
with serum from C3+/+ or C3-/- mice (Fig. 5D). No differences were seen in neutrophil ROS 631
production when the strains were grown in LB prior to opsonization with serum from C3+/+ 632
mice ( Fig. 5D ). In contrast, neutrophils infected with the Δ pgtE mutant exhibited 633
prolonged ROS production compared to neutrophils infected with STm WT when the 634
strains were cultured in InSPI2 LowMg2+ media and were opsonized with serum from C3+/+ 635
mice (Fig. 5D). Strains opsonized with complement-deficient serum induced lower levels 636
of neutrophil ROS production, independent o f PgtE expression ( Fig. 5D ). Thus, PgtE 637
enables STm to evade the heightened ROS production that is triggered by C3 638
opsonization. 639
640
Next, we infected neutrophils isolated from wild -type or Cybb-deficient mice ( Fig. 5E), 641
which have defective ROS production (45). The Δ pgtE mutant exhibited comparable 642
survival as STm WT in neutrophils from Cybb-deficient mice, indicating that PgtE 643
promotes STm resistance to ROS -dependent neutrophil killing ( Fig. 5E ). When we 644
infected Cybb-deficient mice intraperitoneally with STm WT or the Δ pgtE mutant (Fig. 645
5F), we recovered approximately 1-2 log more bacteria in comparison to WT mice in the 646
blood, liver, and spleen (Fig 5; compare to Fig. 1). However, in Cybb-deficient mice, the 647
ΔpgtE mutant was recovered to a similar level as STm WT in the blood ( Fig. 5G), liver 648
(Fig. 5H ), and spleen ( Fig. 5I ). Thus, by disrupting C3 -induced neutrophil ROS 649
production, PgtE helps STm to evade ROS-dependent killing by neutrophils. 650
651
652
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Discussion
653
654
Bacteremia is a major complication of NTS infection, and the mechanisms by which the 655
pathogen evades host immune defenses are not fully understood. Here , we show that 656
PgtE is a virulence factor that helps STm to overcome complement -mediated host 657
defenses, survive in serum, and evade ROS-dependent neutrophil killing. 658
659
PgtE is an outer membrane protease that has been hypothesized to promote STm 660
virulence through multiple mechanisms. For instance, PgtE expressed in rough strains 661
of bacteria has previously been shown to promote adhesion to matrigel (35), suggesting 662
a role for PgtE in enhancing invasion. PgtE also inactivates α2 -antiplasmin while 663
activating plasmin (40) and mammalian matrix metalloproteinase -9 (MMP-9) (37). 664
Macrophages use plasmin and MMP-9 to migrate through tissues, and therefore PgtE 665
was hypothesized to promote the dissemination of STm within infected macrophages (37, 666
40). Furthermore, STm can cleave cationic antimicrobial peptides (34), and multiple 667
components of immune complement in a PgtE -dependent manner (36, 38, 39) . Using 668
immortalized human macrophage-like cells, a recent study showed increased localization 669
of human bactericidal/permeability-increasing protein to SCVs containing PgtE -deficient 670
STm, suggesting that PgtE promotes STm persistence in SCVs (47). 671
672
Collectively, studies with data generated mostly in vitro have proposed that PgtE enables 673
STm to evade antimicrobial peptides and immune complement while promoting an 674
intracellular lifestyle within macrophages. However, to our knowledge, no prior studies 675
have linked these observations to in vivo phenotypes and specific components of host 676
immunity, which requires the use of knock-out mice. Our results show that a STm ΔpgtE 677
mutant is attenuated in the blood of wild -type mice, but fully rescued in C3-/- mice (Fig. 678
1), in mice treated with CVF ( Fig. 1 ), and in Cybb-deficient mice ( Fig. 5 ), thus 679
demonstrating that PgtE promotes STm evasion of complement component C3 and ROS 680
in vivo. 681
682
Identifying where and how PgtE plays a role in vivo was not trivial, as virulent STm has 683
multiple virulence factors that modulate resistance to immune complement. For instance, 684
long O-antigen chains confer serum resistance , but also sterically inhibit PgtE function 685
(40, 58) . Therefore, prior studies used rough STm and rough E. coli mutants when 686
studying PgtE in vitro (36, 38, 39) . Additional mechanisms of STm serum resistance 687
include Rck and TraT, outer membrane proteins that confer serum resistance in vitro to 688
either smooth or rough E. coli and Salmonella (31, 32, 59) by disrupting the complement 689
membrane attack complex (MAC) (60). The many proposed functions of PgtE, by 690
contrast, were observed in rough, avirulent strains. 691
692
Our study indicates that PgtE in fact does function in vitro and in vivo with fully virulent, 693
smooth strains, albeit only after the physiologic O-antigen shortening that follows growth 694
inside the SCV (40, 50, 51) (Figs. 2, 4). A long O-antigen is a primary defense against an 695
array of environmental insults, including immune complement activity. In environments 696
where STm has a shortened O-antigen, such as in the SCV or having recently exited a 697
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phagocytic cell, PgtE likely represents a secondary line of defense to assist in protecting 698
the more susceptible outer membrane. 699
700
Expression of pgtE and PgtE’s proteolytic function are enhanced in macrophages as well 701
as in media that mimic the SCV lumen (40, 41, 49) (Figs. 2, 4). However, PgtE did not 702
enhance STm survival in primary murine macrophages (Fig. 2), but did protect STm from 703
C3-dependent serum killing (Figs. 3, 4). We obtained comparable results with the iNTS 704
strain D23580 (clade ST313). When cultured in InSPI2 LowMg 2+ media (mimicking the 705
SCV lumen), strain D23580 exhibited reduced O-antigen length, cleaved C3 in a PgtE -706
dependent manner, and surviv ed better in human serum ( Fig. 4). These results are in 707
agreement with a prior study that hypothesized that the increased expression of pgtE, 708
due to a SNP in its promoter region, could enhance iNTS survival and dissemination (39). 709
710
A different study showed that, in response to serum exposure, multiple ST313 strains 711
(including D23580 ), when cultured in LB, increased the expression of long O -antigen 712
regulators but not of pgtE, rck, and traT (61). This suggests that when long O-antigen is 713
present, STm continues to rely on the long O -antigen to resist complement killing. 714
However, when the O-antigen is shortened (Fig. 2, 4), we demonstrate that PgtE defends 715
against complement killing (Fig. 3, 4) and reduces neutrophil ROS production and killing 716
(Fig. 5), thereby promoting bacteremia. Future studies will reveal whether PgtE also has 717
other functions in vivo , and whether cleavage of other substrates contributes to STm 718
pathogenesis. 719
720
721
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Acknowledgements
722
723
This work was funded by the NIH grant AI145325. Additional support was provided by 724
AMED grant JP233fa627003, by the Chiba University-University of California-San Diego 725
(UCSD) Center for Mucosal Immunology, Allergy, and Vaccines, and by the UCSD 726
Department of Pediatrics. M.H.L. was supported by T32 DK007202 and F32 AI169989. 727
JC was supported by NIH grant AI129992. LAK was supported, in part, by a Burroughs 728
Wellcome PATH award. APL was supported by the NIAID Mucosal Immunology Studies 729
Team (MIST). GTW was supported by NIH training grant T32AI007036. We would like to 730
thank Ferric Fang for sending us the D23580 wild-type strain. 731
732
733
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734
735
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Figure 1. PgtE promotes smooth STm survival in vivo by evading complement C3. 736
(A-E) 6-10-week-old C3+/+ and C3-/- littermates were infected intraperitoneally (IP) with 737
104 CFU wild-type (WT) or isogenic PgtE-deficient (ΔpgtE) Salmonella strain IR715. Mice 738
were euthanized 24 hours after infection and bacterial burden in the ( B) blood, (C) liver, 739
and (D) spleen were quantified. (E) Weight loss = (weight at 24 hours / weight at time of 740
infection)*100%. (F-J) 6-8-week-old C57B6/J mice were IP -injected with PBS (Control) 741
or Cobra Venom Factor (CVF). 24 hours after treatment, mice were infected IP with 10 4 742
CFU of either IR715 WT or IR715 ΔpgtE. Mice were euthanized 24 hours after infection 743
and bacterial burden was assessed in the ( G) blood, ( H) liver, and ( I) spleen. ( J) 744
Concentration of complement C3 in plasma measured by ELISA : dotted line represents 745
average from 3 uninfected control mice. (B, G) Dotted line represents the limit of detection 746
of STm CFU in blood. (B-E) N = 16-17 per group pooled from 6 independent experiments. 747
(G-I) N = 15 per group pooled from 3 independent experiments. ( J) ELISA from 1 748
representative experiment. (B-E, G-I) Outliers found by ROUT outlier analysis Q= 1% are 749
removed. Data were analyzed by Kruskal -Wallis test (non -parametric, no n-paired) 750
followed by Dunn’s multiple comparison test. Adjusted p values from Dunn’s multiple 751
comparison test: * p < 0.05. ** p < 0.01. *** p < 0.001. ns = not significant. Symbols 752
represent data from individual mice. Bars represent the ( B-D, G-I) geometric means or 753
(E, J) mean. 754
755
756
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757
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(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprintthis version posted November 5, 2024. ; https://doi.org/10.1101/2024.11.05.622138doi: bioRxiv preprint
Figure 2. PgtE expression and function are increased in macrophages but do not 758
increase smooth STm survival in macrophages. 759
(A, B) Temporal and spatial distribution of PgtE-positive STm inside BMDMs. (A) BMDMs 760
were infected with mCherry -STm carrying a plasmid encoding for a P pgtE::gfp 761
transcriptional reporter fusion. Representative confocal microscopy images from 1 h and 762
8 h post-infection are displayed. GFP-positive bacteria (green), Salmonella (red), and the 763
cell nuclei (DAPI; blue) are shown. Inset panels show 2x enlarged regions; scale bars are 764
10 μm. ( B) Kinetics of intracellular pgtE expression in BMDMs. The number of GFP -765
positive bacteria at each timepoint was scored by fluorescence microscopy and reported 766
as a percentage of total (red) bacteria (n = 3 experiments). ( C, E) Smooth STm IR715 767
wild-type (WT) , isogenic PgtE -deficient ( ΔpgtE), and ΔpgtE complemented in trans 768
(ΔpgtE pPgtE) or rough E. coli with a pWSK29 plasmid containing a functional pgtE gene 769
(pPgtE) or a pgtE gene with a single point mutation PgtE (pPgtE D206A) were cultured 770
overnight in (Left) LB or (Right) InSPI2 LowMg2+ minimal media. (D) Alternatively, STm 771
was isolated from BMDMs 8 hours after infection. STm and E. coli were then incubated 772
with normal human serum for (C) 8 hours or (D) 13 hours. PgtE-dependent complement 773
cleavage in supernatants was assessed by western blot analysis with anti -complement 774
C3/C3b/iC3b/C3d antibody. ( E) Alternatively, after overnight culture, STm and E. coli 775
were lysed, run on a 4 -12% Tris -Glycine gel, and stained with Pro -Q Emerald 300 776
Lipopolysaccharide Gel Stain Kit to assess O -antigen chain length. ( F) Western blot 777
analysis of STm WT or STm pgtE-FLAG cultured overnight in LB or InSPI2 LowMg 2+ 778
minimal media. The bottom half of the membrane was stained with anti -FLAG tag 779
antibody. The top half of the membrane was stained with anti-DnaK as a loading control. 780
(G-L) BMDMs were infected at an MOI = 1 with IR715 WT, ΔpgtE, and ΔpgtE pPgtE that 781
were either (G-I) not opsonized or ( J-L) opsonized with normal mouse serum. ( G, J) 30 782
minutes after infection, BMDM were lysed with 1% Triton -X 100 and STm CFUs were 783
enumerated. Alternatively, BMDM were incubated with 100 µg/mL gentamicin for 30 784
minutes, followed by (H, K) 7 hours or (I, L) 23 hours with 20 µg/mL gentamicin then lysed 785
with 1% Triton-X 100. (G-L) N = 21 or 7 from 10 or 3 independent experiments. Symbols 786
represent data from BMDMs from individual mice, bars represent the geometric means. 787
788
789
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790
Figure 3. PgtE promotes survival of smooth, virulent STm in serum 791
(A-C) Serum killing assays were performed with smooth STm IR715 wild-type (WT) , 792
isogenic PgtE -deficient ( ΔpgtE), and ΔpgtE complemented in trans (ΔpgtE pPgtE). 793
Strains were cultured overnight ( A) in LB or ( B, C) in InSPI2 LowMg 2+ minimal media. 794
STm at 106 CFU/mL was then incubated with (A, B) 20% normal human serum (NHS) or 795
(C) 20% C3-depleted human serum at 37 °C shaking at 300 rpm. CFU were enumerated 796
at 0 minutes, 45 minutes, and 90 minutes. % survival = (CFU at 45 minutes or 90 minutes 797
/ CFU at 0 minutes)*100%. (A, C) n = 2, (B) n = 6 from 2-3 independent experiments. Bar 798
and error represent geometric mean and standard deviation. Data were analyzed by 2 -799
way ANOVA followed by Sidak multiple comparison test. Adjusted p values from Sidak 800
multiple comparison test: * p < 0.05. 801
802
803
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(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprintthis version posted November 5, 2024. ; https://doi.org/10.1101/2024.11.05.622138doi: bioRxiv preprint
804
805
Figure 4. PgtE promotes survival of iNTS strain D23580 in serum when cultured in 806
media mimicking the SCV luminal environment. 807
(A-C) Serum killing assays were performed with smooth STm D23580 wild-type (WT) and 808
an isogenic PgtE-deficient mutant (ΔpgtE). Strains were cultured overnight ( A) in LB or 809
(B, C) in InSPI2 LowMg2+ minimal media. STm at 10 6 CFU/mL was then incubated with 810
(A, B) 20% normal human serum (NHS) or (C) 20% C3-depleted human serum at 37 °C 811
shaking at 300 rpm. CFUs were enumerated at 0 minutes, 45 minutes, and 90 minutes. 812
% survival = (CFU at 45 minutes or 90 minutes / CFU at 0 minutes)*100%. ( A, C) n = 2-813
3, (B) n = 6. Bar and error represent geometric mean and standard deviation. Data were 814
analyzed by 2-way ANOVA followed by Sidak multiple comparison test. Adjusted p values 815
from Sidak multiple comparison test: * p < 0.05. ( D, E ) D23580 WT and ΔpgtE were 816
cultured overnight in ( Left) LB or ( Right) InSPI2 LowMg 2+ minimal media. ( D) After 817
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(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
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overnight culture, STm was lysed, supernatants were run on a 4 -12% Tris-Glycine gel, 818
and the gel was stained with Pro -Q Emerald 300 Lipopolysaccharide Gel Stain Kit to 819
assess O-antigen chain length. (E) Alternatively, STm was then incubated with NHS for 820
8 hours. PgtE -dependent complement cleavage in supernatants was assessed by 821
western blot analysis with anti-complement C3/C3b/iC3b/C3d antibody. 822
823
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The copyright holder for this preprintthis version posted November 5, 2024. ; https://doi.org/10.1101/2024.11.05.622138doi: bioRxiv preprint
824
825
826
827
828
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(which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprintthis version posted November 5, 2024. ; https://doi.org/10.1101/2024.11.05.622138doi: bioRxiv preprint
Figure 5. PgtE enhances STm survival in neutrophil killing assays and reduces 829
complement-mediated neutrophil ROS response. 830
Neutrophils were isolated (Stem Cell EasySep kit) from bone marrow of ( A-E) C57BL/6 831
mice and (E) Cybb-deficient mice. For neutrophil killing assays, smooth STm IR715 wild-832
type (WT) and an isogenic PgtE-deficient (ΔpgtE) strain were cultured overnight in (A) LB 833
or (B-C, E) InSPI2 LowMg2+ minimal media. STm was then (A-B: Left) not opsonized or 834
(A-B: Right, E) opsonized with normal mouse serum (NMS). (C) Alternatively, STm was 835
opsonized with serum from C3+/+ and C3-/- littermates. (A-C, E) Neutrophils were then 836
infected at an MOI = 10. STm CFU was enumerated 2.5 hours post-infection. % Survival 837
in neutrophils = (CFU in wells with neutrophils at 2.5 hours/ CFU in control wells at 2.5 838
hours)*100%. (D) To determine neutrophil reactive oxygen species production, luminol 839
assays were performed with STm cultured overnight in ( Left) LB or ( Right) InSPI2 840
LowMg2+ minimal media then opsonized with serum from (Top) C3+/+ and (Bottom) C3-/- 841
littermates. Neutrophils were infected at an MOI = 10. Relative Light Unit reads were 842
performed every 2 minutes with a BioTek Synergy HTX. Error bars represent mean + SD 843
from 3 biological replicates from 1 of 3 representative experiments. ( F-I) 8 -week-old 844
CybbX-/X- females or CybbX-/Y hemizygous males were infected IP with 104 CFU WT and 845
ΔpgtE STm. Mice were euthanized 24 hours after infection and bacterial burden in the 846
(G) blood, (H) liver, and (I) spleen was assessed. (A-C, E) N = 5-10 from 3-4 independent 847
experiments. Symbols represent data with neutrophils from individual mice, bars 848
represent the means. (A-C, E) Data were analyzed by One -way ANOVA Kruskal-Wallis 849
test followed by Dunn’s comparison test. Adjusted p values from Dunn’s multiple 850
comparison test: * p < 0.05, ** p < 0.01. (D) Data was analyzed by 2-way ANOVA. Time 851
x Column Factor: **** p < 0.0001. (D) bar and error represent mean + SD. (G-I) Symbols 852
represent data from individual mice, bars represent the geometric means. (G) Dotted line 853
represents the limit of detection. (G-I) N = 7-8 from 2 independent experiments. 854
855
856
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Supplementary Table 1 1044
1045
Designation Genotype Reference or Source
Salmonella enterica serovar Typhimurium
IR715 ATCC 14028s wild-type, spontaneous NalR Stojiljkovic et al, J. Bacteriol.
177(5):1357-1366 (1995)
JB10 IR715 DpgtE::tetRA (NalR, TetR) This study
ML27 IR715 pgtE-FLAG (NalR) This study
LAKglmS SL1344 glmS::Ptrc-mCherryST::FCF (StrepR, CmR) Knodler et al, Cell Host Microbe.
16(2):249-256 (2014)
LAKML2 IR715 glmS::Ptrc-mCherrryST::FRT (NalR) This study
D23580 D23580 wild-type Kingsley et al, Genome Research.
19:2279–2287 (2009)
SPN1113 D23580 ΔpgtE::tetRA This study
Escherichia
coli
CC118 lpir F- araD139 Δ(ara, leu)7697 ΔlacX74 phoAD20 galE
galK thi rpsE rpoB argEam recA1 lpir
Herrero et al, J Bacteriol.
172(11):6557-67 (1990)
S17-1 lpir F- recA thi pro rK- mK+ RP4:2-Tc::MuKm Tn7 lpir Herrero et al, J Bacteriol.
172(11):6557-67 (1990)
XL1-Blue recA1 endA1 gyrA96 thi-1 hsdR17 supE44 relA1 lac
[F proAB lacIqZΔM15 Tn10 (TetR)] Agilent
DH5aMCR
F- mcrA D(mrr-hsdRMS-mcrBC) f80dlacZDM15
D(lacZYA-argF)U169 deoR recA1 endA1 phoA
supE44l- thi-1 gyrA96 relA1
Gibco BRL
One Shot
TOP10
F- mcrA D(mrr-hsdRMS-mcrBC) f80lacZDM15
DlacX74 recA1 araD139 D(ara, leu)7697 galU galK
rpsL(StrR) endA1 nupG
Invitrogen
1046
1047
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Supplementary Table 2 1048
1049
Designation Relevant
characteristics Reference or Source
pCP20 ApR, temperature-sensitive,
FLP recombinase system
Datsenko et al, Proc. Natl. Acad. Sci. USA. 97,
6640-6645 (2000)
pWSK29 ApR, MCS, lacZa Wang et al, Gene. 100, 195-199 (1991)
pWSK29::pgtE ApR TetR, pWSK29::pgtE
(pgtE complementation) This study
pWSK29::pgtE-
D206A
ApR TetR,
pWSK29::pgtE(D206A)
(PgtE inactive allele)
This study
pRDH10
CmR TetR, SacB
(levansucrase: Sucrose
sensitivity)
Kingsley et al, Applied and Environmental
Microbiology, 1610-1618 (1999)
pRDH10::pgtE-
FLAG
CmR TetS, SacB,
pRDH10::pgtE-FLAG (pgtE-
FLAG Tag) This study
pCR-Blunt II-TOPO KanR, MCS Invitrogen
pGP704 ApR, MCS, oriR6K,
mobRP4
Miller et al, J. Bacteriology. 170(6):2575-2583
(1988)
pSPN23 ApR TetR, pBluescriptII
KS+::tetRA (tetRA cassette)
Raffatellu et al, Cell Host Microbe. 5(5):476-86
(2009)
pCRII::pgtE-LBRB
KanR, pCR-Blunt II-
TOPO::pgtE-LBRB (DpgtE
cassette)
This study
pGP704::pgtE-LBRB ApR, pGP704::pgtE-LBRB
(DpgtE cassette) This study
pGP704::pgtE-
LBRB::tetRA
ApR TetR,
pGP704_pgtE_LBRB::tetRA
(DpgtE::tetRA cassette)
This study
pPpgtE-gfp
ApR, PpgtE-gfpmut3.1 (pgtE
transcriptional reporter
plasmid)
This study
pMPM-A3∆Plac ApR, P15A ori Ibarra et al., Microbiology Apr;156(Pt 4):1120-
1133 (2010)
1050
1051
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The copyright holder for this preprintthis version posted November 5, 2024. ; https://doi.org/10.1101/2024.11.05.622138doi: bioRxiv preprint
Supplementary Table 3
1052
Designation Purpose Primer sequence (5' to 3')
Referen
ce or
Source
pgtE_LB_for Amplifying pgtE
upstream region ATCAGCAGAGATCATCATGG This study
pgtE_RB_rev
Amplifying pgtE
downstream
region
AATTGAAGACGCGCTACG This study
pgtE_LB_r_fus*
pCRII_pgtE_LBRB
fusion
TGACAAGATGGCTTCTAGACCACATCGG This study
pgtE_RB_f_fus * GTCTAGAAGCCATCTTGTCAAATCGTCGG This study
pgtE_LB_f_SalI*
pWSK29_pgtE_co
mpl
GTCGACAATCTCGGCTATACCTTTGG This study
pgtE_RB_r_EcoRO* GATTCCCGTTATCTCCATCAACTGG This study
pgtE_RB_r_seq pCRII_pgtE_LBRB
sequencing CGTTGAAGAGTATGAGCGAC This study
pgtE_pres_for
Colony PCR
screening
CACCGCTGGTTTTATCTATG This study
pgtE_pres_rev ACGTCTCTCCTGATAGCGTC This study
tetRA_pres_for PCR confirmation
of tetRA cassette
presence
TTCGGAAGATATCGCTAACC This study
tetRA_pres_rev TAAAGCACCTTGCTGATGAC This study
tetR_int_rev
tetRA cassette
presence
CAGAGCCAGCCTTCTTATTC This study
tetA_int_for GATGACCTTCATGTTAACCC This study
pgtE_for_compl
pgtE
complementation
TTATGACCGATGACATCCC This study
pgtE_rev_compl AATGCGTCAAGTTCTCTGG This study
PpgtE-XbaI-F* pgtE
transcriptional
reporter plasmid
GCTCTAGAACGAATTAATGAAAGTGGC This study
PpgtE-SmaI-R* TCCCCCGGGATCATCATTACTGCAATAGCA This study
FLAG_Upstream_Fwd*
*
Amplify upstream
of pgtE stop codon
gggcgccatctccttgcatgACAAGGCGGGCGTAAC
AG This study
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FLAG_Upstream_Rev*
**
for FLAG tag
Gibson assembly
cttgtcatcgtcgtccttgtagtcGAAGCGATACTG
CAACCCC This study
FLAG_Downstream_F
wd***
Amplify pgtE stop
codon and
downstream for
FLAG tag Gibson
assembly
gactacaaggacgacgatgacaagTAGACCACATCG
GGATGTC This study
FLAG_Downstream_R
ev**
ggccatccagcctcgcgtcgCCTGGAGCGACTTTCT
CTG This study
FLAG_Verification_Fwd Verify clean
insertion of FLAG
tag in pgtE
TTCCGGACGTCTCTCCTGAT This study
FLAG_Verification_Rev ACGCGATTATCTCTGGCTGG This study
* = restriction sites are underlined
** = engineered sequence for
pRDH10 homology are underlined
*** = engineered sequence for FLAG
Tag are underlined
1053
1054
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