Abstract
Francisella tularensis is a highly virulent intracellular human pathogen that is capable of rapid proliferation in the infected host. Mutants affected in intracellular survival and growth are highly attenuated which highlights the importance of the intracellular phase of the infection. Genomic analysis has revealed that Francisella encodes all genes required for expression of functional type IV pili (Tfp), and in this focused review we summarize recent findings regarding this system in the pathogenesis of tularemia. Tfp are dynamic adhesive structures that have been identified as major virulence determinants in several human pathogens, but it is not obvious what role these structures could have in an intracellular pathogen like Francisella. In the human pathogenic strains, genes required for secretion and assembly of Tfp and one pilin, PilA, have shown to be required for full virulence. Importantly, specific genetic differences have been identified between the different Francisella subspecies where in the most pathogenic type A variants all genes are intact while several Tfp genes are pseudogenes in the less pathogenic type B strains. This suggests that there has been a selection for expression of Tfp with different properties in the different subspecies. There is also a possibility that the genetic differences reflect adaptation to different environmental niches of the subspecies and plays a role in transmission of tularemia. This is also in line with recent findings where Tfp pilins are found to be glycosylated which could reflect a role for Tfp in the environment to promote survival and transmission. We are still far from understanding the role of Tfp in virulence and transmission of tularemia, but with the genomic information and genetic tools available we are in a good position to address these issues in the future.
Introduction
Francisella tularensis, the causative agent of tularemia, has attracted significant attention over the years. A major reason is that the most pathogenic variant, subspecies tularensis also known as type A, causes severe infections that without rapid therapeutic intervention shows high mortality rates. These strains have also been recognized to have potential for development of biological weapons. Type A strains are found exclusively in North America while the less pathogenic subspecies holarctica, also known as type B strains, is more broadly distributed in the Northern hemisphere (Petersen and Schriefer, ). Still, Francisella remained an understudied pathogen and this did not really change until the first genome sequence became available and genetic systems were developed (Golovliov et al., ; Larsson et al., ). When the first genome sequence became accessible it was somewhat of a disappointment to note that the number of genes with homology to known virulence determinants in other pathogens were relatively few (Larsson et al., ). One of the exceptions was the gene clusters predicted to encode a type IV pili (Tfp) system. Tfp have been identified as a major virulence determinant in many different pathogens even if it was not obvious what role a pilus adhesin could have for an intracellular pathogen like Francisella. In this focused review we summarize and discuss the main findings regarding the biological role of genes encoding the Tfp system in F. tularensis and the significance of the distinct differences seen for specific Tfp genes between different subspecies.
Type IV Pili – Dynamic Adhesive Surface Structures
Type IV pili are multifunctional, flexible filamentous appendages that have been assigned specific virulence traits in several important pathogens. These properties include adhesion, twitching motility, biofilm formation, and competence for DNA transformation and are important for host colonization and virulence in pathogens like Pseudomonas aeruginosa, Neisseria spp, Vibrio cholerae, and Moraxella catarrhalis (Mathis and Scocca, ; Bergström et al., ; Taylor et al., ; Sato et al., ; Catlin, ; Marrs and Weir, ; O'Toole and Kolter, ). The nomenclature of the Tfp gene clusters have not been harmonized between systems and pathogens (Craig and Li, ), and also for F. tularensis different research groups use different nomenclature. Here we have chosen to mainly use the nomenclature adapted for P. aeruginosa. In Table 1 the nomenclature used for the Tfp genes discussed in this review are listed.
Table 1
| Gene name | Alternative gene name | Putative function | Type A/F. Novicida strains | Type B strains | Type B LVS |
|---|---|---|---|---|---|
| pilA, FTT0890 | pilE, pilE1 | Type IVa pilus subunit | +1 | + | − |
| pilE, FTT0889 | pilE2 | Type IVa pilus subunit | + | − | − |
| pilV, FTT0888 | pilE3 | Type IVa pilus subunit | + | − | − |
| FTT0861 | pilE4 | Type IVb pilus subunit | +2 | +2 | +2 |
| FTT0230 | pilE5 | Type IVa pilus subunit | + | + | + |
| FTT1314 | Type IVa pilus subunit | + | + | + | |
| pilD | Peptidase | + | + | + | |
| pilQ | Secretin | + | + | + | |
| pilB | pilF | ATPase, pilus extension | + | + | + |
| pilT | ATPase, pilus retraction | + | −3 | −3 | |
| pilC | pilG | Transmembrane protein | + | + | + |
Nomenclature and presence of functional Tfp genes in different strains.
1pilA differs in the 3′-end in F. novicida.
2FTT0861 encodes a mutation in the stop codon resulting in a longer gene in F. novicida and type B strains.
3pilT is truncated due to a non-sense mutation.
Type IV pili biogenesis is a process whereby a single protein subunit, the so called major pilin, is processed and translocated across the inner membrane where it forms a dynamic multimeric filament. Multiple proteins sharing structural similarities with this major pilin subunit, known as minor pilins, are also required for proper Tfp function and/or assembly, but their exact role is not completely understood (Alm and Mattick, ; Winther-Larsen et al., ; Helaine et al., ). Tfp are further divided into two subclasses, type IVa and type IVb pilins, based on the presence of specific conserved motifs (Strom and Lory, ; Kachlany et al., ; Craig et al., ). Type IVb pili are commonly found in pathogens colonizing the human intestine like V. cholerae, Salmonella typhi, and enteropathogenic Escherichia coli (EPEC) (Faast et al., ; Girón et al., ; Zhang et al., ).
The major pilin, PilA, is processed by a specific peptidase, PilD, and thereafter translocated across the inner membrane, followed by assembly into a multimeric pilus fiber on the periplasmic side of the inner membrane. The pilus fiber is then secreted across the outer membrane via the secretin pore PilQ (Figure 1; Strom and Lory, ; Drake and Koomey, ). The assembly and extension of Tfp is facilitated by the PilB ATPase and pilB mutants are negative for Tfp (Turner et al., ). In several of the bacteria expressing Tfp a second ATPase PilT promotes disassembly and retraction of Tfp and in this case pilT mutants are hyperpiliated (Wolfgang et al., ). PilT is also required for motility on solid surfaces – a phenomenon denoted twitching motility seen in several bacteria expressing PilT (Whitchurch et al., ; Maier et al., ). Another key component of the Tfp biogenesis is PilC, an inner membrane protein of unknown function (Nunn et al., ). Several F. tularensis Tfp related genes also show homology to genes involved in type II secretion system (T2SS) (Peabody et al., ). These include the inner membrane associated proteins PilB and PilC, the secretin PilQ, and the pilin peptidase PilD (Nunn and Lory, ). In addition, Tfp pilins show homology to T2SS pseudopilins (Peabody et al., ). It has been shown that the Tfp subunit PilA of P. aeruginosa is also required for efficient secretion of T2S substrates (Lu et al., ). In addition, there is evidence that Tfp in some cases can promote protein secretion by a mechanism similar to T2SS (Kennan et al., ; Kirn et al., ; Han et al., ).
Figure 1
F. Tularensis Subspecies Show Distinct Genetic Differences in Tfp Genes
The genomes of the different F. tularensis subspecies; tularensis (type A), holarctica (type B), and novicida, all encode Tfp clusters including six putative pilin genes; pilA, pilE, pilV, FTT0861, FTT0230, and FTT1314 (Gil et al.,
Genomic analysis early revealed the presence of several regions of difference (RDs), flanked with direct repeat sequences that could mediate deletions of certain genes or regions (Broekhuijsen et al.,
Tfp Genes are Required for Virulence of F. Tularensis
Among the different pilin genes only pilA has been found to be required for virulence in both type A and type B strains. The above-mentioned hare type B isolate possessing the spontaneous pilA deletion showed reduced virulence at levels comparable to that of the LVS strain, which also lacks pilA and several pilus assembly genes (Table 1; Forslund et al.,
Table 2
| Strain | pilA | CFU lethal doses – single infection | CI |
|---|---|---|---|
| Type B LVS cis-complemented | pilA+ | 5 × 103 | |
| Type B LVS (wt) | pilA− | 1 × 106 | |
| Type B FSC200 (wt) | pilA+ | <5 | |
| Type B FSC200 ΔpilA | pilA− | 1.8 × 102 | 0.004* |
| Type A SCHU S4 (wt) | pilA+ | <10 | |
| Type A SCHU S4 ΔpilA | pilA− | <10 | 0.14* |
Comparison in infection doses and CI values for pilA positive and pilA negative strains.
*Competitive index (CI) is the ratio between the pilA mutant and the isogenic wildtype strain for bacteria isolated from spleens of mice simultaneously infected with the two strains.
Regarding F. novicida, the Tfp encoding genes are, overall very similar to type A strains and therefore it is interesting to note that virulence data between these subspecies are so diverse. There are also conflicting results between different F. novicida studies. In one study a F. novicida pilA mutant was found to be even more virulent than the wildtype strain (Hager et al.,
So far, FTT0861 is the only pilin besides PilA that has been reported to be virulence associated. Zogaj et al. (
Several genes are involved in secretion and assembly of Tfp and there are evidence supporting that some of these genes are also associated with virulence of F. tularensis. The Tfp biogenesis genes pilC and pilQ both contribute to virulence in the highly virulent type A strain SCHU S4 (Forslund et al.,
Even if it has been established that pilA contributes to virulence in F. tularensis, the overall picture is that the pilin is not required for intracellular survival or replication in type A or type B strains (Forslund et al.,
Physical Evidence for Tfp
In a study published by Gil et al. (
Figure 2

The live vaccine strain was demonstrated to express Tfp-like structures on the bacterial surface with negative stained electron microscopy (Gil et al.,
In a different study, F. novicida was also confirmed to assemble filamentous structures on the bacterial surface (Zogaj et al.,
Indeed, even if Tfp-like structures have been identified on the surface of LVS and F. novicida, these structures have still not been verified to be composed of one of the Tfp pilins. In one of our studies the PilA protein was FLAG-tagged in the C-terminus and analyzed with electron microscopy in order to facilitate detection on the surface of type B strains (Forslund et al.,
Figure 3

Expression of FLAG-tagged PilA on the bacterial surface of a type B strain visualized by immunogold electron microscopy (Forslund et al.,
Figure 4

Piliation of a gonococcal strain expressing F. novicida derived PilA visualized by immunogold electron microscopy (Salomonsson et al.,
In conclusion, there are physical evidence for Tfp-like structures in Francisella, still, conclusive evidence as to which protein constitutes the major structural subunit has yet to be presented.
Posttranslational Modification of Tfp
In our first study of Tfp in Francisella, where we showed that loss of pilA also resulted in virulence attenuation, we also presented evidence for posttranslational modification of PilA (Forslund et al.,
Prospects
The F. tularensis subspecies show great diversity with respect to virulence in humans from the highly pathogenic subsp. tularensis (type A) to the essentially non-pathogenic subspecies novicida. This is intriguing as the genome sequences have revealed that they are highly homologous with >97% identity at DNA level between the most and least virulent subspecies (Larsson et al.,
One interesting functional difference between the subspecies is that Tfp can promote secretion of a subset of proteins in F. novicida (Hager et al.,
When it comes to functional analysis and virulence, PilA has been found to be required for virulence in the human pathogenic subspecies (Forslund et al.,
PilA has been shown to localize to the bacterial surface and there is also evidence that export/assembly is important for the role of PilA in virulence as mutants in the assembly/secretion genes pilC and pilQ, similar to pilA mutants, were attenuated in a mouse infection model (Forslund et al.,
Another significant finding regarding the role of PilA in virulence is that the attenuation of pilA mutants in the mouse infection model for tularemia is less pronounced the more virulent the strain is (Forslund et al.,
Our recent finding, that PilA and also other pilin proteins are glycosylated, opens other possibilities and raises new questions regarding the role of Tfp in tularemia. Glycosylation is known to influence the properties of Tfp by lowering hydrophobicity, increasing stability and motility. In addition to its role in virulence it is possible that Tfp glycosylation is important for survival and transmission of tularemia.
We are still far from understanding the role of Tfp in virulence and transmission of tularemia, but the identified highly conserved differences strongly suggest that the different subspecies may express Tfp with different properties with respect to filament subunits as well as ability to promote motility. Future work to resolve the role of Tfp in tularemia, need to include both infection models which better reflect the human infection as well as studies on how Tfp genes affect survival and transmission in different natural environments.
Statements
Conflict of interest
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.
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Summary
Keywords
Francisella tularensis, type IV pili, virulence, type II secretion
Citation
Salomonsson EN, Forslund A-L and Forsberg Å (2011) Type IV Pili in Francisella – A Virulence Trait in an Intracellular Pathogen. Front. Microbio. 2:29. doi: 10.3389/fmicb.2011.00029
Received
02 December 2010
Accepted
04 February 2011
Published
15 February 2011
Volume
2 - 2011
Edited by
Anders Sjostedt, Umeå University, Sweden
Reviewed by
David Thanassi, Stony Brook University, USA; Lisa Craig, Simon Fraser University, Canada
Copyright
© 2011 Näslund Salomonsson, Forslund and Forsberg.
This is an open-access article subject to an exclusive license agreement between the authors and Frontiers Media SA, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited.
*Correspondence: Åke Forsberg, Department of Molecular Biology, Umeå University, 901 87 Umeå, Sweden.e-mail: ake.forsberg@molbiol.umu.se
This article was submitted to Frontiers in Cellular and Infection Microbiology, a specialty of Frontiers in Microbiology.
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