Abstract
- Top of page
- Abstract
- Introduction
- Results
- Discussion
- Experimental procedures
- Acknowledgements
- References
Restricted iron availability is a major obstacle to growth and survival of pathogenic bacteria during infection. In contrast to Gram-negative pathogens, little is known about how Gram-positive pathogens obtain this essential metal. We have identified two Streptococcus pneumoniae genetic loci, pit1 and pit2, encoding homologues of ABC iron transporters that are required for iron uptake by this organism. S. pneumoniae strains containing disrupted copies of either pit1 or pit2 had decreased sensitivity to the iron-dependent antibiotic streptonigrin, and a strain containing disrupted copies of both pit1 and pit2 was unable to use haemoglobin as an iron source and had a reduced rate of iron uptake. The pit2− strain was moderately and the pit1−/pit2− strain strongly attenuated in virulence in mouse models of pulmonary and systemic infection, showing that the pit loci play a critical role during in vivo growth of S. pneumoniae. The pit2 locus is contained within a 27 kb region of chromosomal DNA that has several features of Gram-negative bacterial pathogenicity islands. This probable pathogenicity island (PPI-1) is the first to be described for S. pneumoniae, and its acquisition is likely to have played a significant role in the evolution of this important human pathogen.
Introduction
- Top of page
- Abstract
- Introduction
- Results
- Discussion
- Experimental procedures
- Acknowledgements
- References
The availability of free iron in extracellular fluid and on mucosal surfaces of mammals is restricted as a result of chelation by iron-binding proteins (Wooldridge and Williams, 1993). This provides a major obstacle to the growth and survival of pathogenic bacteria, and high-affinity iron uptake mechanisms are essential for the virulence of several Gram-negative pathogens, including Neisseria spp. (Schryvers and Stojiljkovic, 1999), Salmonella typhimurium (Janakiraman and Slauch, 2000), Pseudomonas aeruginosa (Takase et al., 2000), Legionella pneumophila (Viswanathan et al., 2000), Yersinia pestis (Bearden and Perry, 1999) and Helicobacter pylori (Velayudhan et al., 2000). The mechanisms by which Gram-negative pathogens obtain iron from the host are, in general, relatively well understood. They include the secretion of low-molecular-weight iron chelators, called siderophores, which scavenge iron from host iron-binding proteins such as transferrin, and secreted haemophores, which acquire iron from haemoglobin and haemin (Wooldridge and Williams, 1993; Wandersman and Stojiljkovic, 2000). Alternatively, proteins containing iron or haem can bind to specific receptors on the bacterial outer membrane (Wooldridge and Williams, 1993; Cornelissen and Sparling, 1994). Independent of the source of the captured iron, transport into the bacterial cytoplasm is often dependent on cytoplasmic membrane ABC transporters (Fetherston et al., 1999).
Despite the wealth of data on iron uptake by Gram-negative pathogens, little is known about the mechanisms and importance during infection of iron acquisition by Gram-positive pathogens. Of the Gram-positive pathogens, Streptococcus pneumoniae is second only to Mycobacterium tuberculosis as a cause of mortality worldwide. S. pneumoniae frequently colonizes the nasopharynx, and invasive infection can develop in a variety of body compartments, including the middle ear, the lungs, the blood and cerebrospinal fluid. The organism must use iron sources in each of these environments but, at present, how S. pneumoniae acquires iron and from which substrate(s) is poorly understood. Potential iron sources in the respiratory tract include lactoferrin, transferrin, ferritin (released from dead cells shed from the mucosal epithelium) and possibly small amounts of haemoglobin and its breakdown products (LaForce et al., 1986; Thompson et al., 1990; Schryvers and Stojiljkovic, 1999). In addition, siderophores produced by other nasopharyngeal commensals may provide an alternative iron source. S. pneumoniae growth in iron-deficient medium can be supplemented by haemin, haemoglobin and FeSO4 (Tai et al., 1993). Although an S. pneumoniae protein, PspA, binds human lactoferrin (Hammerschmidt et al., 1999), in contrast to other mucosal pathogens, neither transferrin nor lactoferrin can support the growth of S. pneumoniae in iron-deficient medium (Tai et al., 1993; Cornelissen and Sparling, 1994; Schryvers and Stojiljkovic, 1999). Chemical and biological assays suggest that S. pneumoniae does not produce siderophores (Tai et al., 1993), but a haemin-binding polypeptide has been isolated, and an undefined mutant unable to use haemin as an iron source was reduced in virulence (Tai et al., 1993; 1997). However, the molecular basis for iron uptake by S. pneumoniae has yet to be characterized.
Virulence determinants of Gram-negative bacteria, including iron transporters, are frequently encoded in defined areas of chromosomal DNA thought to be acquired by horizontal transmission and termed pathogenicity islands (PAIs) (Hacker and Kaper, 2000). Characteristically, PAIs have a different G+C content from host chromosomal DNA, frequently have tRNA or insertion sequences at their boundaries, contain components of mobile genetic elements and are not present in less pathogenic but related strains of bacteria (Hacker et al., 1997). The acquisition of PAIs has probably been a major influence in the evolution of Gram-negative pathogens (Hacker and Kaper, 2000; Ochman et al., 2000). In contrast, only a few PAIs have been described for Gram-positive pathogens, and they rarely have the characteristic features of Gram-negative PAIs (Lindsay et al., 1998; Chakraborty et al., 2000). Furthermore, no PAIs have been identified in S. pneumoniae.
In this paper, we report the phenotypic characterization of S. pneumoniae strains containing defined mutations in two loci, pit1 and pit2, each consisting of four genes whose products have high degrees of identity to ABC transporters involved in iron uptake. Strains with mutations in either locus were less sensitive to the iron-dependent antibiotic, streptonigrin, and a pit2− mutant strain was attenuated in virulence in mouse models of pneumonia and systemic infection. A strain containing insertional mutations in both pit1 and pit2 was unable to use haemoglobin as an iron source and was highly attenuated in virulence. Furthermore, the pit2 locus is contained within a region of chromosomal DNA with many of the characteristics of a Gram-negative PAI. This is the first S. pneumoniae PAI to be described and provides further evidence that the acquisition of PAIs has influenced the evolution of Gram-positive as well as Gram-negative pathogens.
Discussion
- Top of page
- Abstract
- Introduction
- Results
- Discussion
- Experimental procedures
- Acknowledgements
- References
The mechanisms of iron acquisition by Gram-positive pathogens remain largely uncharacterized, and virtually nothing is known of the molecular basis of iron uptake by S. pneumoniae. We have identified two S. pneumoniae loci, pit1 and pit2, which encode ABC transporters involved in iron uptake. Mutations in both pit1 and pit2 had a markedly greater effect on growth in iron-depleted medium, streptonigrin sensitivity and 55FeCl3 uptake compared with single mutations. The effect of both mutations on attenuation of virulence was dramatic and greater than the predicted effects of combining the single mutations. The simplest explanation for these results is that both ABC transport systems operate independently in acquiring iron and that loss-of-function of one system can be partially compensated for by the other, but loss of both systems drastically reduces the ability of the organism to acquire exogenous iron and survive in vivo. We have not directly linked the loss of virulence of the pit1B−/pit2A− strain to a reduced ability to acquire iron in vivo. However, the synergistic effect of the double mutation on iron transport in vitro and on virulence strongly suggests that the attenuation of virulence is caused by a failure to acquire iron. The restoration of growth of the double mutant in cation-depleted medium by micromolar amounts of free iron suggests that S. pneumoniae may also have low-affinity uptake mechanism(s) distinct from Pit1 and Pit2.
Although Pit1A and Pit2A do not contain the conserved motifs present in Gram-negative outer membrane haem receptors (Bracken et al., 1999) and their highest degrees of similarity are to periplasmic iron-siderophore receptors, the data show that Pit1 and Pit2 can acquire iron from haemoglobin. Several mechanisms for acquiring iron from haemin and haemoglobin have been described and include haem capture by secreted haemophores, direct binding of host haem-containing proteins to bacterial cell surface receptors and degradation of host haem-containing proteins by extracellular proteases (Genco and Dixon, 2001). Whether Pit proteins bind haemoglobin directly, conforming to a proposed model for a C. diphtheriae haemin receptor (Drazek et al., 2000), or indirectly through an unidentified secreted or extracellular receptor is not known and requires further investigation. Our data suggest that the Pit iron transporters are required for high-affinity ferrous or ferric iron uptake as well as iron capture from haemoglobin, but which iron ligand is transported into the cytosol is unclear. Possibly, both iron and haem are transported into the cytosol by the Pit ABC transporters, or iron may be removed from haem at the bacterial surface by an unknown mechanism and transported into the cytosol as ferric or ferrous iron. As there is an influx of red blood cells into alveoli in the early phases of pneumonia, haemoglobin and/or haem will be available as iron sources for S. pneumoniae during invasive infection. Whether haemoglobin or haemin would be available in sufficient amounts to support growth of S. pneumoniae during nasopharyngeal colonization is unclear.
Many important virulence genes of Gram-negative pathogens are contained within distinct regions of chromosomal DNA termed PAIs that have been acquired by horizontal transmission (Hacker and Kaper, 2000; Ochman et al., 2000). In contrast, only a small number of Gram-positive PAIs have been identified, and most of the described virulence genes of Gram-positive pathogens do not appear to be within PAIs. The pit2 locus is in a chromosomal region designated PPI-1, which has most of the characteristic features of Gram-negative PAIs (Hacker et al., 1997), namely (i) a significantly different G+C content from the overall G+C content of the chromosome; (ii) contains genes encoding proteins likely to be associated with the transfer of DNA between bacteria (a recombinase, a relaxase and a transposase); (iii) is not present in less pathogenic but closely related species; and (iv) contains genes that encode a function essential for full virulence (as demonstrated by the mixed infection data for the pit2A− strain). Like many Gram-negative PAIs (Shea et al., 1996; Hacker et al., 1997), but unlike SaPI1 of S. aureus (Lindsay et al., 1998), PPI-1 seems to be integrated into the chromosome in a stable fashion, and pit2 is present in all the S. pneumoniae strains investigated. Genes encoding iron uptake systems are often associated with PAIs and are occasionally the only virulence determinants within the PAI (Buchrieser et al., 1998; Vokes et al., 1999; Hacker and Kaper, 2000). Whether other ORFs within PPI-1 are also involved in virulence is unknown at present. The low degree of identity between pit2 and its closest S. pneumoniae homologue pit1 makes gene duplication an unlikely explanation for the origin of pit2, and PPI-1 was probably acquired by horizontal transfer from a non-streptococcal species. The closest known homologue to pit2A is IRP1, an iron-regulated C. diphtheriae gene (Lee et al., 1997). C. diphtheriae is also a respiratory tract pathogen and could have acquired IRP1 from the same source as S. pneumoniae. PPI-1 contains two regions of higher G+C content, suggesting that it has a mosaic structure that may reflect multiple integration events at this locus.
PAIs are thought to have contributed significantly to the evolution of distinct species of Gram-negative pathogens (Hacker and Kaper, 2000; Ochman et al. 2000) but, as few PAIs have been identified in Gram-positive pathogens, their influence on Gram-positive bacterial evolution is much less apparent. S. pneumoniae is naturally transformable with partially homologous DNA, and the incorporation of DNA from related streptococci results in significant genetic variation in S. pneumoniae (Claverys et al., 2000). PPI-1 appears to be a PAI, the first to be described for S. pneumoniae, and this suggests that, in addition to homologous recombination, S. pneumoniae can also acquire large regions of heterologous DNA from unrelated species. PPI-1 may have inserted by transposition or possibly by homology-directed illegitimate recombination promoted by a short length of homology between PPI-1 and S. pneumoniae DNA (Claverys et al., 2000). The identification of PPI-1 shows that S. pneumoniae can obtain specific virulence functions through the acquisition of PAIs, and there may be additional PAIs of this type in S. pneumoniae and other Gram-positive pathogens. As S. pneumoniae strains with a functioning pit2 locus have a survival advantage during invasive infections, the acquisition of pit2 may be one reason why S. pneumoniae is a more virulent pathogen than the closely related viridans streptococci.