The Tol-Pal System of Uropathogenic Escherichia coli Is Responsible for Optimal Internalization Into and Aggregation Within Bladder Epithelial Cells, Colonization of the Urinary Tract of Mice, and Bacterial Motility

Urinary tracts infection (UTI) caused by uropathogenic Escherichia coli (UPEC) is a common infectious disease. With the shortage of new antimicrobial agents, the increase in UPEC resistance to commonly used drugs, such as fluoroquinolones and β-lactams including carbapenems is a critical issue. UPEC invades urinary tract cells, where it aggregates, and subsequently, forms biofilm-like multicellular colonies termed intracellular bacterial communities (IBCs). This process allows the bacteria to establish infections and so may be a good potential target for new drugs to treat infections. Here, we show that deletion of the tolB gene, encoding a protein of the Tol-Pal system that was originally characterized as a protein complex for colicin uptake and maintenance of the outer membrane, decreases the level of bacterial internalization into and aggregation within cultured bladder epithelial cells and also inhibits the colonization of mice urinary tracts. The tolB mutant also exhibited defective motility because of impaired flagellum syntheses. The fliC and motA mutants, which are non-motile strains, also exhibited lower levels of bacterial internalization and aggregation than their wild-type parent. Additional deletion of tolB in the fliC mutant did not further decrease these, suggesting that the attenuated virulence of the tolB mutant is a result of defective motility. The tolA, tolQ, tolR, and pal mutants that lack other members of the Tol-Pal system also exhibited lower levels of motility and aggregation within bladder epithelial cells compared to their wild-type parent. These combined results suggest another role of the Tol-Pal system, i.e., that it is responsible for optimal internalization, aggregation followed by IBC formation within urinary tract cells, and bacterial motility.

Introduction

Urinary tract infection (UTI) is one of the most common infectious diseases. Uropathogenic Escherichia coli (UPEC) is a major pathogen that is estimated to cause over 80% of uncomplicated UTIs (Ronald, 2003; Zhang and Foxman, 2003).

When UPEC initially enters a urinary tract, the bacteria adhere to and invade the host bladder epithelial cells, where they aggregate and form biofilm-like multicellular microbial colonies termed intracellular bacterial communities (IBCs). IBCs protect UPEC from antimicrobial agents and the host immune system (Mulvey et al., 1998; Anderson et al., 2003). Therefore, bacterial adherence to, internalization into and aggregation within bladder epithelial cells followed by IBCs formation are key processes in determining whether infection becomes refractory to treatment.

Type 1 fimbriae are encoded by fim genes and are major fimbriae of this bacterium. They are required for initial attachment to and internalization into bladder epithelial cells, while motility contributes to bacterial fitness and migration to infection sites as the bacteria colonize the bladder (Martinez et al., 2000; Lane et al., 2005; Wright et al., 2005; Wright et al., 2007).

UPEC strains that have developed resistance to commonly used antimicrobials such as fluoroquinolones and β-lactams including carbapenems have been commonly isolated (Mediavilla et al., 2016; Zowawi et al., 2015). Therefore, new approaches are needed for the treatment of refractory infections, such as drugs that target proteins that are required for bacterial pathogenicity.

We have been interested in identifying genes that are responsible for adherence to, internalization into, and aggregation and/or IBCs formation within bladder epithelial cells. We carried out a genetic screen previously using a transposon library to identify genes that are required for bacterial adhesion and aggregation in a 96-well polystyrene plate. This assay termed static biofilm assay, is often used to evaluate adhesion and aggregation that may be associated with IBCs formation (O’Toole, 2011). During this process, we identified the fur gene as a repressor of adhesion to, internalization into and aggregation within bladder epithelial cells because the fur mutant exhibited a higher degree of adhesion and aggregation in a 96-well polystyrene plate (Kurabayashi et al., 2016). The mutant constitutively produced large numbers of both of type 1 fimbriae and flagella, which resulted in a higher rate of adhesion to, internalization into and aggregation within bladder epithelial cells than the wild-type parent. In contrast to fur, we also identified a strain that exhibited a lower level of adhesion and aggregation on a 96-well plate than the wild-type parent and found that in this case the transposon had been inserted into the tolB gene.

The tolB gene product is localized to the periplasmic space, where it interacts with TolA, TolQ, TolR, and Pal, forming two protein complexes that constitute the Tol-Pal system (Lazzaroni et al., 1999; Walburger et al., 2002). These proteins were originally characterized by their involvement in the uptake of group A colicins (Nagel de Zwaig, 1969; Webster, 1991). Additionally, these proteins contribute to outer-membrane stability by interacting with some outer-membrane localized proteins such as OmpA (Clavel et al., 1998). The tolQ, tolR, tolA, and tolB genes are transcribed with ybgC, which is the first gene composing the operon, while the pal gene is located downstream of tolB and is transcribed with ybgF as part of another operon (Vianney et al., 1996; Muller and Webster, 1997). Interestingly, the ybgC and ybgF gene products are not part of the Tol-Pal system.

In this study, we initially focused on the tolB gene, and characterized its role in adhesion to, internalization into and aggregation within the bladder epithelial cells. We found that the tolB mutant is internalized into and aggregates within the bladder epithelial cells with low efficiency, although it still adheres to the bladder epithelial cells at similar level to the wild-type parent. Viable cell numbers of the mutant in the bladder of mice were much lower than those of the wild-type parent. In addition to the tolB gene, we also investigated the role of other tol-pal genes together with the uncharacterized ybgC and ybgF genes. We found that tolA, tolQ, tolR, and pal mutants, but not ybgC and ybgF mutants, were moderately internalized into and aggregated within bladder epithelial cells similarly to the tolB mutant. We also show that the tol-pal genes are also required for optimal motility of UPEC, and that motility is responsible for bacterial internalization into, and aggregation within bladder epithelial cells.

Materials and Methods

Bacterial Strains, Host Cells and Culture Conditions

Table 1 lists the bacterial strains and plasmids used in this study. UPEC CFT073 (Welch et al., 2002) and its derivative strains were grown in Luria-Bertani (LB), RPMI1640 (Sigma-Aldrich, St. Louis, MO, United States) or artificial urine medium (AUM) (Brooks and Keevil, 1997). Cell growth was monitored at OD_600. Antibiotics were added to growth media for marker selection and maintaining plasmids at the following concentrations; ampicillin (150 μg/mL), chloramphenicol (45 μg/mL) and kanamycin (50 μg/mL). To heterologously express tolB, fliC, and motA from plasmids using isopropyl-β-D-thiogalactopyranoside (IPTG)-inducible promoter, 0.01 mM of IPTG were added in the culture media. In our preliminary complementation experiments with the bladder epithelial cells, bacterial internalization of the tolB mutant was complemented by introducing the tolB expression plasmid in the presence of 0.01 mM IPTG. On the other hand, no complementation was observed in the absence of IPTG while moderate growth defect was observed when 0.1 mM IPTG was added due to overexpression of its gene product. Therefore, we expected that 0.01 mM IPTG addition makes bacteria produce gene products at appropriate level in our system. HTB-9 bladder epithelial cells (Fogh, 1978) were cultured in RPMI1640 medium containing 10% HyClone FetalClone III serum (HyClone Laboratories, Inc., Logan, UT, United States) at 37°C and in an atmosphere of 5% CO₂.

TABLE 1

Table 1. Strains and plasmids used in this study.

General DNA Manipulations

Polymerase chain reaction (PCR) was run using KOD FX Neo DNA polymerase by following the manufacturer’s instructions (TOYOBO, Osaka, Japan). Plasmids were introduced into E. coli by electroporation on MicroPulser (Bio-Rad Laboratories, Hercules, CA, United States). For DNA purification, we used PureLink Quick PCR purification kit and Wizard Plus SV Minipreps DNA Purification System by following the manufacturer’s instructions (Thermo Fisher Scientific, Waltham, MA, and Promega Corp., Madison, WI, United States, respectively). DNA sequencing was performed by a customer service of Eurofins Genomics (Tokyo, Japan).

Cloning and Mutant Construction

To design primers, CFT073 genome sequence was obtained from a database in National Center for Biotechnology Information (NCBI) (Reference Sequence: NC_004431.1). In-frame gene deletions were produced by sequence overlap extension PCR using a strategy described previously (Link et al., 1997), and using the primer pairs, delta1/delta2 and delta3/delta4 primers, as shown in Table 2. The upstream flanking DNA included 450 bp and the first 2 amino acid codons of tolB, the first 3 amino acid codons of pal, tolA, tolQ, tolR, ybgC, fliC, motA, and ompA, and the first 4 amino acid codons of ybgF. The downstream flanking DNA included, the last 1 amino acid codon (CTG) of tolB, the last 5 amino acid codons of pal, the last 2 amino acid codons of tolA, ybgF, fliC, and ompA, the last 7 amino acid codons of tolQ and ybgC, the last 3 amino acid codons of tolR, the last 16 amino acid codons of motA, the stop codon, and 450 bp of DNA. These deletion constructs were ligated into the temperature sensitive vector pKO3 (Link et al., 1997) using BamHI and SalI digestion for tolA, tolQ, tolR motA, ybgC, ybgF, and ompA, NotI and Sal digestion for tolB and pal, or BamHI and SmaI digestion for fliC, and introduced into CFT073, the wild-type parent strain. We selected sucrose-resistant/chloramphenicol-sensitive colonies at 30°C and confirmed the resulting deletion mutant strains using PCR analysis and DNA sequencing.

TABLE 2

Table 2. Primers used in this study.

To construct the IPTG-inducible tolB, fliC, and motA expression plasmids pTrc99KtolB pTrc99KfliC and pTrc99KmotA, we, respectively, PCR-amplified these genes with the primer pairs shown in Table 2. These products were digested with NcoI and SalI for pTrc99KtolB and pTrc99KfliC construction or NcoI and BamHI for pTrc99KmotA construction and ligated into similarly digested pTrc99K plasmids (Hirakawa et al., 2003). All constructs were confirmed by DNA sequencing.

Static Biofilm Assays

Bacterial adhesion and aggregation on a 96-well polystyrene plate was assessed by a static biofilm assay using crystal violet as described elsewhere, with slight modifications (O’Toole, 2011). Bacteria were cultured for 24 h at 37°C in LB medium without shaking. Each culture was diluted into RPMI1640 medium at a 1:100 ratio, and 2.4 × 10⁴ cells/well were seeded into a 96-well polystyrene plate in triplicate. The plate was then incubated at 37°C under an atmosphere of 5% CO₂. Cells attached to the plate were stained with crystal violet and absorbance at 595 nm (A₅₉₅) was measured for each. The capability for adhesion and aggregation was determined as the A₅₉₅ normalized to an OD₆₀₀ of 1.

Bacterial Cell Imaging by Confocal Microscopy

Imaging of bacterial cells attached to glass coverslips using the SYTO-9 staining method was performed as described previously (Kurabayashi et al., 2016). Bacteria were cultured on glass coverslips in 6-well polystyrene plates at 37°C under an atmosphere of 5% CO₂ in RPMI1640 medium. After removal of planktonic cells by washing with phosphate-buffered saline (PBS), bacterial cells were stained with 5 μM of SYTO-9 (Life technologies, Carlsbad, CA, United States). Fluorescent images were acquired using the Alexa Fluor 488 laser module on an Olympus FV1200 IX81 microscope using a 60× objective and captured with a CCD camera.

Infection of Bladder Epithelial Cells

Bacterial cell adhesion to, and internalized into the host epithelial cells were assessed by gentamicin protection assays as described previously (Kurabayashi et al., 2016). HTB-9 cells were cultured to confluence in 24-well plates and then inoculated with a multiplicity of infection (m.o.i) of 10 bacteria per host cell in triplicate wells. After infection for 2 h, the total number of bacteria was determined from a first set of triplicate wells. The number of adhered/internalized bacteria was determined by counting the number of bacteria present in a second set of wells after washing five times with PBS + (PBS containing 0.5 mM MgCl₂ and 1 mM CaCl₂). The number of internalized bacteria only was determined by counting the number of bacteria present in a third set of wells after gentamicin treatment for further 2 h. Numbers of adhered/internalized and internalized bacterial cells are represented as relative CFUs (colony forming units) by their ratios (%) to total cell CFUs.

We also imaged bacterial cells in HTB-9 cells using confocal microscopy as described previously (Kurabayashi et al., 2016). A UPEC strain carrying a green fluorescence protein (GFP) expression plasmid, pTurboGFP-B (Evrogen, Moscow, Russia) was inoculated with a multiplicity of infection (m.o.i) of 10 bacteria per host cell into cultured HTB-9 cells on glass coverslips in a 6-well plate and incubated for 2 h at 37°C under an atmosphere of 5% CO₂. Non-internalized bacteria were washed out by gentamicin and PBS+. The HTB-9 cells were stained with rhodamine-phalloidin (Life technologies, Carlsbad, CA, United States). Fluorescent images were acquired using an Olympus FV1200 IX81 microscope with 60x objective and a CCD camera.

Urinary Tract Infections in Mice

Six- to seven- week old C3H/HeN female mice were obtained from Japan SLC, Inc., (Hamamatsu, Japan). The mice were fed up to eight-week old and then deprived of water for 18 h before infection to minimize the possibility that bacteria being flushed out with urine. Twenty-four-hour static cultures of the UPEC were harvested and re-suspended in PBS at a concentration of 2 × 10⁹ CFU/mL. Mice were anesthetized and infected via transurethral catheterization using polyethylene tubing (inner diameter 0.28 mm and outer diameter 0.61 mm) (Becton Dickinson, Franklin Lakes, NJ, United States) using 50 μL of the bacterial suspension (1 × 10⁸ CFU). Water deprivation was continued for another 4 h following bacterial injection. Mice were euthanized 48 h post-infection and their bladders and kidneys were aseptically removed and homogenized in PBS. Diluted suspensions were plated on LB agar to determine bacterial CFUs. Data were analyzed using GraphPad Prism version 6.00, with statistical significance, considered a P value of <0.05, being determined using Mann-Whitney tests. All animal studies were approved by the Animal Research Committee of Gunma University.

Hemagglutination (HA) Assays

To estimate the activity of type 1 fimbria, we tested the hemagglutination of guinea pig red blood cells (RBCs). Bacteria were statically cultured in RPMI1640 medium at 37°C under an atmosphere of 5% CO₂ and, then harvested in duplicate tubes. The cell pellets in a first tube were re-suspended in PBS while those in the other tube were re-suspended in PBS containing 1% of mannose. Then, both tubes were incubated for 10 min at room temperature. These suspensions were serially diluted in 96-well round bottom plates containing PBS and an equal volume of 1% RBC suspension was then added. We also measured the activity of P-type fimbriae by testing the hemagglutination of RBCs extracted from human O-type blood. After incubation for 4 h at 4°C, HA titers were determined. The titers are presented as the reciprocal of the dilution of the last well before erythrocyte buttons were formed.

Motility Assays

RPMI1640 medium containing 0.3% agar were spotted with 2 μL of bacteria grown for 24 h at 37°C in LB medium. Bacterial motility was evaluated by measuring the motility diameters after 10 h at 37°C under an atmosphere of 5% CO₂.

Flagellum Staining

Bacteria were cultured for 24 h at 30°C in heart infusion (HI) medium containing 0.3% agar. Two colonies were re-suspended in PBS, and streaked on a slide glass. After flame fixation, flagella were stained with Victoria blue/Tannic acid solution (0.2 g Victoria blue B, 9.1 g Tannic acid, 2.3 g potassium alum sulfate, 2.3 mL phenol, 6.9 mL 2-propanol and 90 mL distilled water) for 7 min.

RNA Extraction and Quantitative Real-Time PCR Analyses

Bacteria were cultured for 24 h at 37°C in LB medium without shaking. Each culture was diluted into RPMI1640 medium at a 1:100 ratio and incubated for 4 h (to late-logarithmic growth phase; OD₆₀₀∼0.5). Total RNA extraction and cDNA synthesis were carried out using an SV Total-RNA Isolation System and GoScript^TM Reverse Transcription System by following the manufacturer’s instructions (Promega Corp., Madison, WI, United States). Real-time PCR included 2.5 ng cDNA and 200 nM primers (listed in Table 2) in SYBR Select Master Mix (Applied Biosystems, Foster City, CA, United States) and were run on an ABI Prism 7900HT Fast Real Time PCR System. The constitutively expressed rrsA and rpoD genes were used as internal controls.

Analysis of Outer Membrane Proteins

Bacteria were grown to late-logarithmic growth phase at 37°C. Cells were harvested and stored at −80°C overnight. The cell pellet was suspended in phosphate buffer (50 mM sodium phosphate [pH 7.0]) and lysed by sonication on QSonica sonicator by following the manufacturer’s instructions (Qsonica L.L.C, Newtown, CT, United States). The lysates were centrifuged for 5 min at 12,000 g to remove unbroken cells. The supernatant fractions were centrifuged for 40 min at 210,000 g. To solubilize inner membranes, the pellets were re-suspended in phosphate buffer (20 mM sodium phosphate [pH 7.0]) containing 2% N-lauroylsarcosine, and incubated with rolling for 60 min (Beis et al., 2006). The extracts were centrifuged again for 60 min at 210,000 g. The resulting pellets contain enriched outer membranes, and were solubilized in Laemmli sample buffer (Bio-Rad Laboratories, Hercules, CA, United States). The proteins localized in outer membrane were separated by SDS-PAGE on a 10% acrylamide gel, and stained with Coomassie brilliant blue.

Results

Deletion of the tolB Gene Decreases Attachment and/or Aggregation to Polystyrene and Glass Surfaces

We identified a clone in a transposon library that we constructed in our previous work, that had a transposon inserted into its tolB gene and that exhibited a lower degree of attachment to 96-well polystyrene plates than the wild-type parent when cultured in LB medium. We confirmed this effect by testing an in-frame deletion mutant of the tolB gene (CFT073ΔtolB). This strain also attached to plates less effectively than its wild-type parent. We also tested the mutant after culture in RPMI1640 medium that is used for growing bladder epithelial cells. Similarly to when cultured in LB medium, the mutant adhered less than its wild-type parent (Figure 1A). Cell attachment of CFT073ΔtolB was restored to approximately 70% of the wild-type level by the introduction of pTrc99KtolB, an IPTG-inducible heterologous tolB expression plasmid (Figure 1A).

FIGURE 1

Figure 1. Bacterial adhesion and aggregation on 96-well polystyrene plates in the wild-type parent and the tolB mutant, or the wild-type parent and the tolB mutant carrying pTrc99K (empty vector) or pTrc99KtolB (tolB expression plasmid) (A). Bacterial adhesion and aggregation were represented as A₅₉₅ values normalized to OD₆₀₀ of 1. Data plotted are the means of three biological replicates, error bars indicate the ranges, ^*P < 0.01. Asterisks denote significance for values relative to the wild-type control. Attachment of the wild-type parent and the tolB mutant on cover glasses. Bacteria stained with SYTO-9 were imaged as a green fluorescent color on the microscopy using 60× objective. Overlooking (B) and cross sectional (C) images were acquired for each sample. The experiment was repeated twice and similar results were obtained.

In addition to assays using 96-well polystyrene plates, tolB mutant or the wild-type bacterial cells was attached to glass coverslips and imaged by fluorescence confocal microscopy after staining with SYTO-9. The CFT073ΔtolB cells attached to a lower extent compared with the wild-type (Figures 1B,C). These observations suggest that the tolB gene contributes to attachment and/or aggregation of UPEC.

The tolB Gene Is Required for Optimal Internalization Into and Aggregation Within Bladder Epithelial Cells, but Not for Adhesion

The reduced bacterial mass on polystyrene and glass surfaces induced by tolB gene deletion may reflect a reduction of adhesion to, internalization into, and aggregation within bladder epithelial cells. To test this hypothesis, we compared levels of UPEC cell adherence and internalization between the tolB mutant and its wild-type parent after inoculation onto bladder epithelial cells using a gentamicin protection assay. The total adherence/internalization of the tolB mutant was essentially the same as for the wild-type parent (3.80 ± 0.16% for the wild-type parent and 3.45 ± 0.43% for the tolB mutant). However, the tolB mutant exhibited an approximately 4-fold reduced degree of internalization alone (0.051 ± 0.011% for the wild-type parent and 0.013 ± 0.002% for the tolB mutant) (Figure 2A). We also confirmed that the internalization of the tolB mutant was significantly elevated by introducing the pTrc99KtolB plasmid (internalization rate; 0.13 ± 0.02% for the wild-type parent carrying the pTrc99K, empty vector, 0.015 ± 0.002% for the tolB mutant carrying pTrc99K and 0.083 ± 0.004% for the tolB mutant carrying pTrc99KtolB) (Figure 2B).

FIGURE 2

Figure 2. Adhesion to and internalization of bladder epithelial cells (HTB-9) for the wild-type parent and the tolB mutant (A) or the wild-type parent and the tolB mutant carrying pTrc99K (empty vector) or pTrc99KtolB (tolB expression plasmid) (B). Y-axis on the graphs shows percent (%) of CFU (colony forming units) values of adhered and internalized bacteria relative to total bacterial cell numbers. Data plotted are the means from three independent experiments; error bars indicate the standard deviations, ^*P < 0.01. Asterisks denote significance for values relative to the wild-type control.

To compare colonies of the tolB mutant with the wild-type parent inside bladder epithelial cells, we infected host cells with the wild-type parent or tolB mutant (both containing a GFP expression plasmid), and then imaged the bacteria and cellular actin. The wild-type parent produced bacterial colonies inside the epithelial cells while those formed by the tolB mutant were relatively small and less frequent (Figures 3A,B). We note that a complementation test by introducing pTrc99KtolB into the mutant was not performed in this case. Unfortunately, the pTrc99K plasmid is not compatible with the pTurbo-GFP-B plasmid because both plasmids have same replicon. However, results of this microscopy experiment were supported by gentamicin protection assays. In addition, we repeated this experiment, then results were highly reproducible.

FIGURE 3

Figure 3. Fluorescent images of aggregated UPEC cells within bladder epithelial cells (HTB-9). Bacteria carrying a Green fluorescence protein (GFP) expression plasmid, pTurboGFP-B and HTB-9 stained with rhodamine- phalloidin were imaged as, respectively, green and red fluorescent colors on the microscopy using 60× objective. Overlooking images (A) and cross sectional images in the white box indicated in panel A (B) were acquired for each sample. The experiment was repeated twice and similar results were obtained.

Considering results of these bladder epithelial cells experiments, the reduced bacterial mass on polystyrene and glass surfaces in tolB mutant could be due to a defect in bacterial aggregation but not adhesion. Thus, tolB gene is not required for adhesion, but is for optimal internalization into, and aggregation within bladder epithelial cells.

The tolB Gene Is Responsible for Colonization of UPEC in the Murine Urinary Tract

To investigate the role of tolB in the pathogenesis of UPEC in the murine urinary tract, 1 × 10⁸ CFU of either the tolB mutant or the wild-type parent were inoculated into C3H/HeN mice via a urethral catheter, and the number of bacteria in the bladder and kidneys were determined 48 h after inoculation. There were fewer tolB mutant in these organs than those of the wild-type parent (median of CFU values; bladder: 1.2 × 10⁵ for the wild-type parent and 3.7 × 10² for the tolB mutant, left kidney: 3.1 × 10⁴ for the wild-type parent and <1.0 × 10² for the tolB mutant, right kidney: 2.9 × 10⁴ for the wild-type parent and <1.0 × 10² for the tolB mutant) (Figure 4). As with the case of our microscopy experiment, the complementation test was not performed in this mice experiment because it is still unclear whether the pTrc99K plasmid works in mice although this system worked well for in vitro experiments by exogenously adding IPTG inducer into media. To confirm the phenotype of the tolB mutant in the murine UTI model, we repeated this experiment, then we obtained similar result.

FIGURE 4

Figure 4. Colonization of the wild-type and tolB mutant in bladder and kidneys of UTI mice. At 48 h of post infection, bladder, left kidney (kidney-L) and right kidney (kidney-R) were aseptically and separately removed. Each cell number of bacteria isolated from these organs was represented by CFU (colony forming unit). Each data point represents a sample from an individual mouse. Horizontal bars indicate the median values. The tolB mutant was colonized in both bladder and kidneys in significantly lower degree than the wild-type parent (P < 0.01). Asterisks denote significance for values.

We also note that there was no significant difference in the growth of these strains when cultured in AUM or RPMI1640 (data not shown) therefore, the reduction of bacterial numbers in the mouse bladder and kidneys in the tolB mutant was unlikely to be solely due to a growth defect.

Deletion of the tolB Gene Affects Neither Activity nor Expression of Type 1 and P-Type Fimbriae

Type 1 fimbriae are the most major bacterial components required for development of UTIs following adhesion and internalization (Lillington et al., 2014). FimH, the fimbrial-tip adhesin, mediates interaction with highly mannosylated transmembrane proteins such as uroplakins on urothelium cells (Hultgren et al., 1986). It also mediates agglutination of guinea pig erythrocytes, however, the agglutination is inhibited by the addition of mannose, blocking the interaction between FimH and the mannosylated receptor on the erythrocytes (Hagberg et al., 1981). Therefore, we examined the effect of tolB deletion on type 1 fimbrial activity by agglutination titers between the wild-type parent and tolB mutant using guinea pig erythrocytes. Unexpectedly, the mutant cells exhibited a two-fold higher agglutination titer than the wild-type parent did when they were re-suspended in mannose-free PBS (Titers: 32 for the wild type parent and 64 for the tolB mutant), while in the presence of mannose, the titers for both strains were only 1 (Table 3).

TABLE 3

Table 3. HA titers of the wild-type parent and the tolB mutant.

We also estimated the activities of P-type fimbriae by comparing agglutination titers between the wild-type parent and tolB mutant using human type O erythrocytes, because P-type fimbriae are the second-most common fimbriae that UPEC CFT073 produces, and play a role in the pathogenesis of ascending UTIs and pyelonephritis in humans (Hagberg et al., 1981; Lane and Mobley, 2007). The agglutination titers of human type O erythrocytes were same between the wild-type parent and tolB mutant cells (16 for both strains) (Table 3).

Deletion of the tolB Gene Decreases Mature Flagellar Production, Resulting in a Reduction in Motility

Flagella are necessary for migration of UPEC toward epithelial cell surfaces in the urinary tract, and also provide fitness at urinary infection sites (Lane et al., 2005; Wright et al., 2005). Decreased internalization and aggregation in the tolB mutant may be due to a defect in motility and/or flagellar production. To test this possibility, we compared the motilities of the wild-type parent and tolB mutant on soft agar pates and found that the mutant exhibited a lower motility than the wild-type parent (Diameters: 34 ± 1 mm for the wild type parent and 3 ± 1 mm for the tolB mutant) (Figures 5A,B). The data of flagellum stain experiment suggested the impaired flagellar production in tolB mutant although mRNA levels of flhD (which encodes the activator for flagellar expression), fliC (which encodes a major flagellar component) and fliA (which encodes a flagellar biosynthesis sigma factor) in the tolB mutant were similar to those in the wild-type parent (Figures 5C,D). We also found that deletion of tolB does not affect the expression of motA (which encodes a motor protein for flagellar rotation) (Figure 5D). When a plasmid containing the tolB gene was introduced into the mutant, its motility increased to the level of the wild-type parent (Diameters: 34 ± 1 mm for the wild type parent carrying pTrc99K, 3 ± 1 mm for the tolB mutant carrying pTrc99K and 28 ± 1 mm for the tolB mutant carrying pTrc99KtolB) (Figures 5A,B). Additionally, the flagella of the mutant carrying pTrc99KtolB were similar to the wild-type (Figure 5C). We confirmed that UPEC motility is indeed important for internalization and aggregation by using fliC and motA mutants. The fliC and motA genes encode flagellin and motor protein for flagellar rotation, respectively. These mutants exhibited lower rates of bacterial internalization into, and aggregation within bladder epithelial cells compared to the wild-type parent (0.051 ± 0.011% for the wild-type parent, 0.0034 ± 0.0007% for the fliC mutant and 0.0037 ± 0.0024% for the motA mutant), while their adhesion were similar to the wild-type parent (Figures 6A–C). We also constructed a tolB/fliC double-mutant and found that its internalization was similar to that of the fliC single mutant (0.0021 ± 0.0011 for the tolB/fliC double-mutant and 0.0034 ± 0.0007% for the fliC single-mutant). We also confirmed that bacterial internalization in fliC and motA mutants was promoted by introducing the complementary expression plasmids, pTrc99KfliC and pTrc99KmotA, respectively (0.0046 ± 0.0008% for the fliC mutant carrying pTrc99K and 0.022 ± 0.003% for the fliC mutant carrying pTrc99KfliC, and 0.0040 ± 0.0002% for the motA mutant carrying pTrc99K and 0.043 ± 0.002% for the motA mutant carrying pTrc99KmotA) (Figure 6D). We confirmed that the motA mutant produces flagella at similar level to the wild-type parent (Figures 6E,F). These results suggest that defective motility of the tolB mutant is involved in the decreased levels of bacterial internalization and aggregation.

FIGURE 5

Figure 5. Motilities of the wild-type parent and tolB mutant, or wild-type parent and tolB mutant carrying pTrc99K (empty vector) or pTrc99KtolB (tolB expression plasmid). (A) Bacterial migrations on RPMI1640 medium containing 0.3% agar after 10 h at 37°C under 5% of CO₂ were pictured. (B) Bacterial migrations on the agar were represented as diameters. Data plotted are the means from three independent experiments; error bars indicate the standard deviations ^*P < 0.01. Asterisks denote significance for values relative to the wild-type control. (C) Flagella and bacteria cells stained with Victoria blue/Tannic acid were pictured on the microscopy using 100× objective. (D) Transcript levels of motility-related genes in the wild-type parent and the tolB mutant. Transcript levels were described as relative values to that of rpoD (housekeeping gene). Data plotted are the means of two biological replicates, error bars indicate the ranges.

FIGURE 6

Figure 6. Adhesion to, internalization of and aggregation within bladder epithelial cells (HTB-9) for the wild-type parent, and the tolB, fliC, and motA mutants, or wild-type parent and mutants carrying pTrc99K (empty vector), pTrc99KfliC (fliC expression plasmid) or pTrc99KmotA (motA expression plasmid). Y-axis on the graphs shows percent (%) of CFU (colony forming units) values of adhered and internalized bacteria relative to total bacterial cell numbers (A,D). Data plotted are the means from three independent experiments; error bars indicate the standard deviations ^*P < 0.01. Asterisks denote significance for values relative to the wild-type control. Fluorescent images of aggregated UPEC cells within bladder epithelial cells (HTB-9). Bacteria carrying a Green fluorescence protein (GFP) expression plasmid, pTurboGFP-B and HTB-9 stained with rhodamine-phalloidin were imaged as, respectively, green and red fluorescent colors on the microscopy using 60× objective. Overlooking images (B) and cross sectional images in the white box indicated in panel B (C) were acquired for each sample. The experiment was repeated twice and similar results were obtained. Transcript levels of fliC gene in the wild-type parent and the tolB mutant (E). Transcript levels were described as relative values to that of rpoD (housekeeping gene). Data plotted are the means of two biological replicates, error bars indicate the ranges. Flagella and bacteria cells stained with Victoria blue/Tannic acid were pictured on the microscopy using 100× objective (F).

Deletion of tolA, tolQ, tolR, and pal, but Not ybgC and ybgF, Which Encode Proteins That Together Work With TolB in the Tol-Pal System Decreases Motility and Levels of Bacterial Aggregation Within Bladder Epithelial Cells

The tolB gene product forms protein complexes with the TolA, TolQ, TolR, and Pal proteins, and together these constitute the Tol-Pal system (Walburger et al., 2002). Other genes, ybgC and ybgF are transcribed with tolQ, tolR, tolA, and tolB, and pal, from two separate operons although their roles have not been fully elucidated (Vianney et al., 1996; Muller and Webster, 1997). We tested whether these genes are also involved in motility-associated internalization and aggregation. Static biofilm assays showed that the levels of bacteria attached to 96-well polystyrene plates in the tolQ, tolR, tolA and pal mutants were similar of those for the tolB mutant, while the ybgF mutant attached at the same levels as the wild-type parent (Figure 7A). The attachment level of the ybgC mutant was approximately 50% lower than that of the wild-type parent and the ybgF mutant, however, it is still significantly higher than that of the tolB mutant (Figure 7A). We compared bacterial colonies of these strains carrying a GFP expression plasmid after inoculation into bladder epithelial cells. As with the tolB mutant, bacterial colonies formed by the tolQ, tolR, tolA, and pal mutants were smaller and less frequent than the wild-type parent (Figure 7B). In contrast, the ybgC and ybgF mutants produced colonies that were indistinguishable from the wild-type parent (Figure 7B). Consistent with colony formation, the tolQ, tolR, tolA, and pal mutants were less motile than the wild-type parent and the ybgC and ybgF mutants (Diameters: 34 ± 1 mm for the wild type parent, 11 ± 2 mm for the tolA mutant, 6 ± 1 mm for the tolQ mutant, 5 ± 1 mm for the tolR mutant, 9 ± 1 mm for the pal mutant, 37 ± 2 mm for the ybgC mutant and 24 ± 1 mm for the ybgF mutant) (Figures 8A,B). These results indicate that a subset of genes required for the Tol-Pal system contribute to UPEC motility and its aggregation within bladder epithelial cells.

FIGURE 7

Figure 7. Bacterial adhesion and aggregation on 96-well polystyrene plates in the wild-type parent, and the tol-pal, ybgC, ybgF, and ompA mutants (A). Bacterial adhesion and aggregation were represented as A₅₉₅ values normalized to OD₆₀₀ of 1. Data plotted are the means of three biological replicates, error bars indicate the ranges, ^*P < 0.01. Asterisks denote significance for values relative to the wild-type control. Fluorescent images of aggregated UPEC cells within bladder epithelial cells (HTB-9) (B). Bacteria carrying a Green fluorescence protein (GFP) expression plasmid, pTurboGFP-B and HTB-9 stained with rhodamine-phalloidin were imaged as, respectively, green and red fluorescent colors on the microscopy using 60× objective. The experiment was repeated twice and similar results were obtained.

FIGURE 8

Figure 8. Motilities of the wild-type parent, and the tol-pal and ybgC, ybgF, and ompA mutants. (A) Bacterial migrations on RPMI1640 medium containing 0.3% agar after 10 h at 37°C under 5% of CO₂ were pictured. (B) Bacterial migrations on the agar were represented as diameters. Data plotted are the means from three independent experiments; error bars indicate the standard deviations ^*P < 0.01. Asterisks denote significance for values relative to the wild-type control.

The ompA Gene Is Not Required for Optimal Motility or Internalization Into, and Aggregation Within Bladder Epithelial Cells

The tolB gene product interacts with OmpA, an outer-membrane localized protein, therefore deletion of the tolB gene might perturb the localization and function of OmpA and, therefore, outer membrane integrity (Clavel et al., 1998). One study showed that deletion of ompA impairs chronic colony formation in UTI mice, but does not affect internalization of ex vivo-cultured bladder epithelium which is used as a model of the initial stage of UTI (Nicholson et al., 2009). Therefore, we tested whether defective motility, internalization and aggregation in the tolB mutant is associated with the perturbation of OmpA. Rather, the ompA mutant exhibited a moderate higher motility compared to the wild-type parent (Figures 8A,B) while it formed bacterial colonies at similar levels to the wild-type parent (Figure 7B). These observations suggest that OmpA does not participate in the defective motility or internalization into, and aggregation within ex vivo bladder epithelial cells observed in the tolB mutant.

The tolB Mutant Exhibits a Different Protein Profile in Outer Membrane Pool From the Wild-Type Parent

TolB contributes to maintenance of the outer membrane, therefore deletion of the tolB gene alter the outer membrane architecture, which might globally impact expression and localization of outer membrane proteins. We analyzed a profile of outer membrane proteins in the wild-type parent and the tolB mutant by SDS-PAGE. We found two uncharacterized proteins corresponding to approximately 60 kilodalton (kDa) and 42 kDa which levels were remarkably lower in the tolB mutant than the wild-type parent (Figure 9). Thus, profile of outer membrane proteins is different between the wild-type parent and its tolB mutant.

FIGURE 9

Figure 9. SDS-PAGE of outer membrane proteins from the wild-type parent and the tolB mutant. Proteins were separated on a 10% acrylamide gel, and stained with Coomassie brilliant blue. Locations of molecular mass standards (in kilodaltons) are indicated on the left. Asterisks indicate protein bands which levels are remarkably low in the tolB mutant compared to the wild-type parent.

Discussion

The tolB gene product was originally characterized as a member of the Tol-Pal system, involved in outer membrane maintenance and uptake of colicin and filamentous phage DNA in Gram-negative bacteria (Nagel de Zwaig, 1969; Clavel et al., 1998; Webster, 1991). There are also reports that some of tol-pal genes are involved in bacterial pathogenesis. The tolB gene contributes to survival within macrophages and fatal infection of mice by Salmonella enterica serovar Typhimurium and the rot of plant leaves by the plant pathogen, Erwinia chrysanthemi while the pal gene and its product in E. coli and Haemophilus ducreyi aid in the induction of inflammation resulting in death by sepsis in mice, and pustule formation in humans, respectively (Bowe et al., 1998; Fortney et al., 2000; Hellman et al., 2002; Dubuisson et al., 2005). In this study, we showed that the tol-pal genes, including tolB are involved in pathogenesis by UPEC that causes UTIs. These genes are required for optimal internalization into, and aggregation within, bladder epithelial cells (Figures 1–3, 7). We also found that mutants in these genes are less motile relative to the wild-type parent (Figures 5, 8). Decreased levels of internalization into, and aggregation within, ex vivo-cultured bladder epithelial cells were observed in the tolB mutant and were associated with defective motility because ΔfliC and ΔmotA, non-motile strains also exhibited low levels of internalization and aggregation (Figure 6). Bacterial internalization into, and aggregation within, ex vivo-cultured bladder epithelial cells is commonly used as a model of the initial stage UTI. The tolB gene is also required for optimal colonization within both the bladder and kidneys (Figure 4). In other studies, a fliC mutant exhibited growth disadvantage when it competed with the intact-fliC parent strain in the urinary tracts of mice, however, the mutant still colonized at a similar rate to the parent strain in solo infection experiments (Lane et al., 2005; Wright et al., 2005). On the other hand, it has also been reported that the ompA gene contributes to optimal colonization in UTI mice (Nicholson et al., 2009). Tol-Pal proteins maintain the stability of OmpA, which is localized on outer membrane, therefore, deletion of the tol-pal genes, including tolB, presumably decreases OmpA activity. Thus, the Tol-pal proteins may be also responsible for the progression of UTI sustained by OmpA, and so the decrease in colonization of the mouse urinary tract by the tolB gene deletion may also involve a defect of OmpA activity. In this study, we also found two proteins from outer membrane extract of the wild-type strain although we have not yet characterized them (Figure 9). These levels were very low in the tolB mutant. In addition to OmpA, a possibility that any of these proteins may also contribute to UPEC pathogenicity is not excluded, therefore we try to characterize some of our interest proteins in a future project.

The defect of motility observed in tol-pal gene mutants was attributed to impaired flagellar syntheses although there was no significant difference between the wild-type parent and tolB mutant in the transcript levels of a gene that encodes a protein component of flagellar subunits (Figures 5, 8). In addition to UPEC, tol-pal gene mutants in E. chrysanthemi exhibited a reduced flagellar phenotype although it is still unknown how the tol-pal gene product aid in the synthesis of flagella (Dubuisson et al., 2005). In flagellum complex, “L-ring” is composed of FlgH embedded in the outer membrane while “rod” assembly consists of FlgB, FlgC, FlgF, and FlgG and traverses the periplasmic space and outer membrane (Schoenhals and Macnab, 1996; Zhao et al., 2013). Disturbance in the outer membrane by deletion of tol-pal genes may impair the precise localization and stabilization of the L-ring and rod assemblies, which would presumably lead to the disassembly of the flagellar basal body and/or interruption of flagellin polymerization following formation of the basal body complex containing the L-ring and rod. It is also possible that the Tol-Pal protein complex contributes to the assembly of the flagellum basal body via protein-protein interactions, and that tol-pal mutants might therefore fail to form functional flagella.

According to previous studies, the ybgC and ybgF gene products do not participate in the Tol-Pal system although they are transcribed together with the tol-pal genes (Vianney et al., 1996; Muller and Webster, 1997). Consistent with these reports, the ybgC and ybgF are also not required for internalization, aggregation and motility, which supports the contention that the Tol-Pal system, but not YbgC and YbgF, contributes to pathogenicity of UPEC during UTIs.

Flagella and motility are also involved in the virulence of not only UPEC but also other pathogenic E. coli species including enterohaemorrhagic E. coli, causing infectious diseases in the intestines. Furthermore, the Tol-Pal system is highly conserved and it has been shown that it serves multiple purposes associated with virulence in E. coli species (Giron et al., 2002; Haiko and Westerlund-Wikstrom, 2013). Therefore, this system could be an effective target for the treatment of infectious diseases caused by pathogenic E. coli species.

Data Availability

All datasets generated for this study are included in the manuscript and/or the supplementary files.

Ethics Statement

All animal studies were approved by the Animal Research Committee of the Gunma University.

Author Contributions

HH, KS, and HT designed the research, analyzed the data, and wrote the manuscript. HH, KS, and KK performed the research.

Funding

This study was kindly supported by the JSPS KAKENHI Grant-in-Aid for Young Scientists (B) (grant 17K17631, JST program), the program “Improvement of Research Environment for Young Researchers,” Japanese Ministry of Education, Culture, Sport, Science and Technology (Gunma University operation grants), a GlaxoSmithKline (GSK) research grant, the Takeda Science Foundation, and the Research Program on Emerging and Re-Emerging Infectious Diseases from the Japan Agency of Research and Development (AMED).

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

Anderson, G. G., Palermo, J. J., Schilling, J. D., Roth, R., Heuser, J., and Hultgren, S. J. (2003). Intracellular bacterial biofilm-like pods in urinary tract infections. Science 301, 105–107. doi: 10.1126/science.1084550

PubMed Abstract | CrossRef Full Text | Google Scholar

Beis, K., Whitfield, C., Booth, I., and Naismith, J. H. (2006). Two-step purification of outer membrane proteins. Int. J. Biol. Macromol. 39, 10–14. doi: 10.1016/j.ijbiomac.2005.12.008

PubMed Abstract | CrossRef Full Text | Google Scholar

Bowe, F., Lipps, C. J., Tsolis, R. M., Groisman, E., Heffron, F., and Kusters, J. G. (1998). At least four percent of the Salmonella typhimurium genome is required for fatal infection of mice. Infect. Immun. 66, 3372–3377.

PubMed Abstract | Google Scholar

Brooks, T., and Keevil, C. W. (1997). A simple artificial urine for the growth of urinary pathogens. Lett. Appl. Microbiol. 24, 203–206. doi: 10.1046/j.1472-765x.1997.00378.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Clavel, T., Germon, P., Vianney, A., Portalier, R., and Lazzaroni, J. C. (1998). TolB protein of Escherichia coli K-12 interacts with the outer membrane peptidoglycan-associated proteins Pal, Lpp and OmpA. Mol. Microbiol. 29, 359–367. doi: 10.1046/j.1365-2958.1998.00945.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Dubuisson, J. F., Vianney, A., Hugouvieux-Cotte-Pattat, N., and Lazzaroni, J. C. (2005). Tol-Pal proteins are critical cell envelope components of Erwinia chrysanthemi affecting cell morphology and virulence. Microbiology 151, 3337–3347. doi: 10.1099/mic.0.28237-0

PubMed Abstract | CrossRef Full Text | Google Scholar

Fogh, J. (1978). Cultivation, characterization, and identification of human tumor cells with emphasis on kidney, testis, and bladder tumors. Natl. Cancer Inst. Monogr. 49, 5–9.

Google Scholar

Fortney, K. R., Young, R. S., Bauer, M. E., Katz, B. P., Hood, A. F., and Munson, R. S. Jr., et al. (2000). Expression of peptidoglycan-associated lipoprotein is required for virulence in the human model of Haemophilus ducreyi infection. Infect. Immun. 68, 6441–6448. doi: 10.1128/iai.68.11.6441-6448.2000

PubMed Abstract | CrossRef Full Text | Google Scholar

Giron, J. A., Torres, A. G., Freer, E., and Kaper, J. B. (2002). The flagella of enteropathogenic Escherichia coli mediate adherence to epithelial cells. Mol. Microbiol. 44, 361–379. doi: 10.1046/j.1365-2958.2002.02899.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Hagberg, L., Jodal, U., Korhonen, T. K., Lidin-Janson, G., Lindberg, U., and Svanborg Eden, C. (1981). Adhesion, hemagglutination, and virulence of Escherichia coli causing urinary tract infections. Infect. Immun. 31, 564–570.

PubMed Abstract | Google Scholar

Haiko, J., and Westerlund-Wikstrom, B. (2013). The role of the bacterial flagellum in adhesion and virulence. Biology 2, 1242–1267. doi: 10.3390/biology2041242

PubMed Abstract | CrossRef Full Text | Google Scholar

Hellman, J., Roberts, J. D. Jr., Tehan, M. M., Allaire, J. E., and Warren, H. S. (2002). Bacterial peptidoglycan-associated lipoprotein is released into the bloodstream in gram-negative sepsis and causes inflammation and death in mice. J. Biol. Chem. 277, 14274–14280. doi: 10.1074/jbc.m109696200

PubMed Abstract | CrossRef Full Text | Google Scholar

Hirakawa, H., Nishino, K., Yamada, J., Hirata, T., and Yamaguchi, A. (2003). Beta-lactam resistance modulated by the overexpression of response regulators of two-component signal transduction systems in Escherichia coli. J. Antimicrob. Chemother. 52, 576–582. doi: 10.1093/jac/dkg406

PubMed Abstract | CrossRef Full Text | Google Scholar

Hultgren, S. J., Schwan, W. R., Schaeffer, A. J., and Duncan, J. L. (1986). Regulation of production of type 1 pili among urinary tract isolates of Escherichia coli. Infect. Immun. 54, 613–620.

PubMed Abstract | Google Scholar

Kurabayashi, K., Agata, T., Asano, H., Tomita, H., and Hirakawa, H. (2016). Fur represses adhesion to, invasion of, and intracellular bacterial community formation within bladder epithelial cells and motility in uropathogenic Escherichia coli. Infect. Immun. 84, 3220–3231. doi: 10.1128/iai.00369-16

PubMed Abstract | CrossRef Full Text | Google Scholar

Lane, M. C., Lockatell, V., Monterosso, G., Lamphier, D., Weinert, J., Hebel, J. R., et al. (2005). Role of motility in the colonization of uropathogenic Escherichia coli in the urinary tract. Infect. Immun. 73, 7644–7656. doi: 10.1128/iai.73.11.7644-7656.2005

PubMed Abstract | CrossRef Full Text | Google Scholar

Lane, M. C., and Mobley, H. L. (2007). Role of P-fimbrial-mediated adherence in pyelonephritis and persistence of uropathogenic Escherichia coli (UPEC) in the mammalian kidney. Kidney Int. 72, 19–25. doi: 10.1038/sj.ki.5002230

PubMed Abstract | CrossRef Full Text | Google Scholar

Lazzaroni, J. C., Germon, P., Ray, M. C., and Vianney, A. (1999). The Tol proteins of Escherichia coli and their involvement in the uptake of biomolecules and outer membrane stability. FEMS Microbiol. Lett. 177, 191–197. doi: 10.1016/s0378-1097(99)00293-1

PubMed Abstract | CrossRef Full Text | Google Scholar

Lillington, J., Geibel, S., and Waksman, G. (2014). Biogenesis and adhesion of type 1 and P pili. Biochim. Biophys. Acta 1840, 2783–2793. doi: 10.1016/j.bbagen.2014.04.021

PubMed Abstract | CrossRef Full Text | Google Scholar

Link, A. J., Phillips, D., and Church, G. M. (1997). Methods for generating precise deletions and insertions in the genome of wild-type Escherichia coli: application to open reading frame characterization. J. Bacteriol. 179, 6228–6237. doi: 10.1128/jb.179.20.6228-6237.1997

PubMed Abstract | CrossRef Full Text | Google Scholar

Martinez, J. J., Mulvey, M. A., Schilling, J. D., Pinkner, J. S., and Hultgren, S. J. (2000). Type 1 pilus-mediated bacterial invasion of bladder epithelial cells. EMBO J. 19, 2803–2812. doi: 10.1093/emboj/19.12.2803

PubMed Abstract | CrossRef Full Text | Google Scholar

Mediavilla, J. R., Patrawalla, A., Chen, L., Chavda, K. D., Mathema, B., Vinnard, C., et al. (2016). Colistin- and carbapenem-resistant Escherichia coli harboring mcr-1 and blaNDM-5, causing a complicated urinary tract infection in a patient from the United States. mBio 7:e1191-16. doi: 10.1128/mBio.01191-16

PubMed Abstract | CrossRef Full Text | Google Scholar

Muller, M. M., and Webster, R. E. (1997). Characterization of the tol-pal and cyd region of Escherichia coli K-12: transcript analysis and identification of two new proteins encoded by the cyd operon. J. Bacteriol. 179, 2077–2080. doi: 10.1128/jb.179.6.2077-2080.1997

PubMed Abstract | CrossRef Full Text | Google Scholar

Mulvey, M. A., Lopez-Boado, Y. S., Wilson, C. L., Roth, R., Parks, W. C., Heuser, J., et al. (1998). Induction and evasion of host defenses by type 1-piliated uropathogenic Escherichia coli. Science 282, 1494–1497. doi: 10.1126/science.282.5393.1494

PubMed Abstract | CrossRef Full Text | Google Scholar

Nagel de Zwaig, R. (1969). New class of conditional colicin-tolerant mutants. J. Bacteriol. 99, 78–84.

PubMed Abstract | Google Scholar

Nicholson, T. F., Watts, K. M., and Hunstad, D. A. (2009). OmpA of uropathogenic Escherichia coli promotes postinvasion pathogenesis of cystitis. Infect. Immun. 77, 5245–5251. doi: 10.1128/IAI.00670-09

PubMed Abstract | CrossRef Full Text | Google Scholar

O’Toole, G. A. (2011). Microtiter dish biofilm formation assay. J. Vis. Exp. 47:2437. doi: 10.3791/2437

PubMed Abstract | CrossRef Full Text | Google Scholar

Ronald, A. (2003). The etiology of urinary tract infection: traditional and emerging pathogens. Dis. Mon. 49, 71–82. doi: 10.1067/mda.2003.8

PubMed Abstract | CrossRef Full Text | Google Scholar

Schoenhals, G. J., and Macnab, R. M. (1996). Physiological and biochemical analyses of FlgH, a lipoprotein forming the outer membrane L ring of the flagellar basal body of Salmonella typhimurium. J. Bacteriol. 178, 4200–4207. doi: 10.1128/jb.178.14.4200-4207.1996

PubMed Abstract | CrossRef Full Text | Google Scholar

Vianney, A., Muller, M. M., Clavel, T., Lazzaroni, J. C., Portalier, R., and Webster, R. E. (1996). Characterization of the tol-pal region of Escherichia coli K-12: translational control of tolR expression by TolQ and identification of a new open reading frame downstream of pal encoding a periplasmic protein. J. Bacteriol. 178, 4031–4038. doi: 10.1128/jb.178.14.4031-4038.1996

PubMed Abstract | CrossRef Full Text | Google Scholar

Walburger, A., Lazdunski, C., and Corda, Y. (2002). The Tol/Pal system function requires an interaction between the C-terminal domain of TolA and the N-terminal domain of TolB. Mol. Microbiol. 44, 695–708. doi: 10.1046/j.1365-2958.2002.02895.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Webster, R. E. (1991). The tol gene products and the import of macromolecules into Escherichia coli. Mol. Microbiol. 5, 1005–1011. doi: 10.1111/j.1365-2958.1991.tb01873.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Welch, R. A., Burland, V., Plunkett, G. III, Redford, P., Roesch, P., Rasko, D., et al. (2002). Extensive mosaic structure revealed by the complete genome sequence of uropathogenic Escherichia coli. Proc. Natl. Acad. Sci. U.S.A. 99, 17020–17024.

PubMed Abstract | Google Scholar

Wright, K. J., Seed, P. C., and Hultgren, S. J. (2005). Uropathogenic Escherichia coli flagella aid in efficient urinary tract colonization. Infect. Immun. 73, 7657–7668. doi: 10.1128/iai.73.11.7657-7668.2005

PubMed Abstract | CrossRef Full Text | Google Scholar

Wright, K. J., Seed, P. C., and Hultgren, S. J. (2007). Development of intracellular bacterial communities of uropathogenic Escherichia coli depends on type 1 pili. Cell. Microbiol. 9, 2230–2241.

PubMed Abstract | Google Scholar

Zhang, L., and Foxman, B. (2003). Molecular epidemiology of Escherichia coli mediated urinary tract infections. Front. Biosci. 8:e235-244. doi: 10.2741/1007

PubMed Abstract | CrossRef Full Text | Google Scholar

Zhao, X., Zhang, K., Boquoi, T., Hu, B., Motaleb, M. A., Miller, K. A., et al. (2013). Cryoelectron tomography reveals the sequential assembly of bacterial flagella in Borrelia burgdorferi. Proc. Natl. Acad. Sci. U.S.A. 110, 14390–14395. doi: 10.1073/pnas.1308306110

PubMed Abstract | CrossRef Full Text | Google Scholar

Zowawi, H. M., Harris, P. N., Roberts, M. J., Tambyah, P. A., Schembri, M. A., Pezzani, M. D., et al. (2015). The emerging threat of multidrug-resistant gram-negative bacteria in urology. Nat. Rev. Urol. 12, 570–584. doi: 10.1038/nrurol.2015.199

PubMed Abstract | CrossRef Full Text | Google Scholar