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Mycobacterium marinum mmar_2318 and mmar_2319 are Responsible for Lipooligosaccharide Biosynthesis and Virulence Toward Dictyostelium

Resistance to phagocyte killing is an important virulence factor in mycobacteria. Dictyostelium has been used to study the interaction between phagocytes and bacteria, given its similarity to the mammalian macrophage. Here, we investigated the genes responsible for virulence to Dictyostelium by screening 1728 transposon mutants of the Mycobacterium marinum NTUH-M6094 strain. A total of 30 mutants that permissive for Dictyostelium growth were identified. These mutants revealed interruptions in 20 distinct loci. Of the 20 loci, six genes (losA, mmar_2318, mmar_2319, wecE, mmar_2323 and mmar_2353) were located in the lipooligosaccharide (LOS) synthesis cluster. LOS are antigenic glycolipids and the core LOS structure from LOS-I to LOS-IV have been reported to exist in M. marinum. Two-dimensional thin-layer chromatography (2D-TLC) glycolipid profiles revealed that deletion of mmar_2318 or mmar_2319 resulted in the accumulation of LOS-III and deficiency of LOS-IV. Deletion and complementation of mmar_2318 or mmar_2319 confirmed that these genes both contributed to virulence toward Dictyostelium but not entry and replication inside Dictyostelium. Co-incubation with a murine macrophage cell line J774a.1 or PMA-induced human monocytic cell line THP-1 demonstrated that mmar_2318 or mmar_2319 deletion mutant could grow in macrophages, and their initial entry rate was not affected in J774a.1 but significantly increased in THP-1. In conclusion, although mmar_2319 has been reported to involve LOS biosynthesis in a previous study, we identified a new gene, mmar_2318 that is also involved in the biosynthesis of LOS. Deletion of mmar_2318 or mmar_2319 both exhibits reduction of virulence toward Dictyostelium and increased entry into THP-1 cells.


INTRODUCTION
Mycobacterium marinum can cause a systemic tuberculosis-like infection in fish and other ectotherms, a process that involves persistent growth within macrophages (Mehta et al., 2006;Tarigo et al., 2006;Adams et al., 2011;Dong et al., 2012;Hodgkinson et al., 2012;Yang et al., 2012). In humans, this pathogen typically causes only a localized granulomatous infection on cooler surfaces with rare dissemination (Davis and Ramakrishnan, 2009). Macrophages are a first line of defense against bacteria and play a key role in the host's innate immune response to bacterial infection. In addition, bacteria that have developed resistance to phagocytosis or intracellular killing should be more virulent and more likely to succeed at establishing infection. Mycobacteria that successfully infect macrophages survive and replicate in the phagosome by arresting phagosome maturation and acidification (Vergne et al., 2004;Wong et al., 2011) and damaging the phagosomal membrane to cause macrophage necrosis (Skeiky and Sadoff, 2006;Behar et al., 2010).
The mycobacterial possess a unique lipid-rich cell wall that is important in directing host-pathogen interactions and confers resistance to many therapeutic agents (Jarlier and Nikaido, 1990;Daffe and Draper, 1998). During the infection process, free cell wall lipids/glycolipids are contributing to modulation of the host immune system and condition the outcome of the infection (Karakousis et al., 2004;Neyrolles and Guilhot, 2011). Lipooligosaccharides (LOS) are cell surface glycolipids, and have been reported to exist in more than 10 mycobacterial species, including the M. canettii, M. marinum, M. kansasii, and M. gastri (Hunter et al., 1983(Hunter et al., , 1984McNeil et al., 1989;Daffe, 1991;Gilleron et al., 1993;Burguiere et al., 2005). All LOS are antigenic compounds containing a α, α'-trehalose unit, the length and composition of LOS are highly variable between different species by different speciesspecific glycan sequence manner. In M. marinum, produces under laboratory conditions, four major LOS structures of increasing size, named LOS-I to LOS-IV, has been previously identified (Burguiere et al., 2005). Loss of LOS results in a rough bacterial colony morphology (Ren et al., 2007;Sarkar et al., 2011), hyper-virulence in zebrafish (van der Woude et al., 2012), reduced biofilm formation, sliding motility, and affect entry rate into macrophages (Ren et al., 2007;Alibaud et al., 2014), inhibition of tumor necrosis factor alpha (TNF-α) secretion in macrophages (Rombouts et al., 2009); and decreased release of proline-glutamic acid_polymorphic guanine-cytosinerich sequence (PE_PGRS) proteins from the cell surface (van der Woude et al., 2012).
As we report here, we constructed a M. marinum mutant library by transposon mutagenesis and used a Dictyostelium screening model to identify genetic loci involved in M. marinum virulence. We identified a new gene, mmar_2318, which participates in LOS synthesis and virulence toward Dictyostelium.

Bacterial Strains, Cells, and Growth Conditions
Mycobacterium smegmatis mc 2 155 and M. marinum NTUH-M6094 (clinically isolated strain from National Taiwan University Hospital) strains were grown at 37 • C and 32 • C, respectively, in 7H9 medium supplemented with 10% oleic acid/albumin/dextrose/catalase (OADC) enrichment and 0.05% Tween-80. M. marinum is a biosafety level-2 microorganism. The experiments handling the bacteria should follow all appropriate guidelines and regulations. Escherichia coli and Klebsiella aerogenes were grown in Luria broth. Antibiotics were added at the following concentrations when required: kanamycin at 10 mg/L for M. marinum and 50 mg/L for E. coli; hygromycin at 50 mg/L for M. marinum and 100 mg/L for E. coli; and ampicillin at 100 mg/L for E. coli. D. discoideum AX-2 cells were grown at 20 • C in HL5 medium (Pan et al., 2011).

Dictyostelium Growth in a Mycobacteria-Phagocytosis Plaque Assay
The Dictyostelium phagocytosis plaque assay was performed as previously described (Bardarov et al., 1997;Alibaud et al., 2011) with some modifications (Figure 1A). A 1-mL volume of mid-log phase (OD 600 = 0.8-1.2) M. marinum culture was centrifuged and then resuspended with 800 μL of overnightcultured K. aerogenes (as a substrate for Dictyostelium when the amoebae were not inhibited by the bacteria) diluted 10 5fold in normal saline. The bacterial suspension was plated in six-well (350 μL/well) or 24-well (50 μL) plates containing SM agar (Pan et al., 2011) and then air-dried in a biosafety cabinet for 2 h. D. discoideum (400 cells /plate) was then spotted on top of the bacterial lawn. Phagocytosis plaques generated during D. discoideum growth became visible after 6-8 days of incubation at 20 • C.

Identification of Transposon Mutants by Semi-Random Polymerase Chain Reaction
The insertion site of Tn5367 was determined by semi-random PCR and DNA sequencing as previously described (Chun et al., 1997;Choi et al., 2001;Shin et al., 2006); the primers are listed in Table 1.

Construction of Deletion Mutant
The gene-deleted fragments ( 2318 and 2319) were generated by using the primer pairs listed in Table 1 and then cloned into a pGEM R -T easy (Promega) plasmid. The Hyg r -lacZ-sacB cassette of the pGOAL19 plasmid (Addgene Plasmid #20190; Parish and Stoker, 2000) was digested with PacI and cloned into the PacI site of the resulted plasmid. The vector for gene deletion was transformed into the M. marinum NTUH-M6094 strain according to the established procedures (Larsen et al., 2007), and the M. marinum deletion mutant was selected after two rounds of homologous recombination, as previously described (Parish and Stoker, 2000).

Construction of Complementation Strain
Mycobacterium marinum mmar_2318 (909 bp) and its predicted promoter region (260 bp upstream) were PCR-amplified from genomic DNA using the primer pair 2318-promoter-F/2318-R; mmar_2319 (1638 bp) and the M. bovis BCG hsp60 promoter region (250 bp) were PCR-amplified from genomic DNA and pMN402 (a kind gift from Dr. Michael Niederweis at the University of Alabama at Birmingham, USA; Scholz et al., 2000) using the primer pairs 2319-F-hsp60/2319-R and hsp60-F/hsp60-R-2319, respectively. The primer pair hsp60-F and 2319-R was then used to PCR amplify the mmar_2319 gene with the hsp60 promoter region (1872 bp). Those two PCR products were cloned into a blunted HindIII-site of pMN437 (a kind gift from Dr. Michael Niederweis at the University of Alabama at Birmingham, USA; Steinhauer et al., 2010) to create pMm2318::pMN437 and pMm2319::pMN437. The complementation strain ( 2318::2318 and 2319::2319) was created by transforming the pMm2318::pMN437 or pMm2319::pMN437 plasmid into the 2318 or 2319 strain.

Infection of Dictyostelium by M. marinum
Infection of Dictyostelium was performed as described previously (Arafah et al., 2013).

Infection of J774a.1 or THP-1 Cell Line by M. marinum
Infection of murine J774a.1 macrophage-like cells as well as human THP-1 monocytic cell line and enumeration of intracellular M. marinum CFU was performed as described previously (Ren et al., 2007). Briefly, a single-cell suspension of fresh cultured M. marinum (OD 600 = 0.8-1.0) was yield by passage through a 5-μm syringe filter. The day before experiment, cell were seeding into 24 well [J774a.1, 10 5 cells/well; THP-1, 10 6 cells/well, and pre-treatment of THP-1 cell with 50 ng/ml phorbol 12-myristate 13-acetate (PMA) for 48 h]. The cells were infected with bacteria at a multiplicity of infection (MOI) of 1 for growth assays or MOI of 10 for entry rate assays. A previous study indicated that the difference of entry rate between wild type and mutant will be more prominent under MOI of 10 (Alexander et al., 2004). The infection was allowed to proceed for 3 h at 32 • C in 5% CO 2 . The extracellular bacteria were removed by washing once with culture medium and incubation in fresh culture medium containing gentamicin (200 mg/L, Gibco R ) for 2 h at 32 • C. The cells were washed once and incubated with fresh culture medium containing 20 mg/L gentamicin at 32 • C in 5% CO 2 . On different time point, the infected macrophage monolayers were washed once with culture medium and lysed with 1 mL of 0.1% Triton X-100 (Sigma) for 5 min to release the intracellular mycobacteria. The intracellular bacteria were enumerated by plating serial dilutions on 7H11 agar plates.

Statistical Analysis
Data are presented as means ± standard error of the mean (SEM) form three independent experiments. Statistical significance was assessed by a two-tailed Student's t-test using Prism 5 (GraphPad Prism R ) software. P-values of <0.05 were considered significant.

Screening Mutants Permissive for Dictyostelium Growth
We constructed a transposon mutant library of the M. marinum strain NTUH-M6094. A total of 1728 mutants were collected. A Dictyostelium phagocytosis plaque assay ( Figure 1A) was used to investigate virulence genes in the M6094 mutant library (Alibaud et al., 2011). As shown in Figure 1B, wildtype M6094 did not allow Dictyostelium (400 cells) to form a phagocytotic plaque on a bacterial lawn. In contrast, a plaque was observed on a lawn containing M. smegmatis mc 2 155 (avirulent mycobacteria). Screening of the entire M6094 mutant library resulted in the identification of 30 transposon mutants that were permissive for Dictyostelium growth; examples of the sensitive isolates (two transposon mutants, 2-C10 and 4-B11) are presented in Figure 1B. This phenotype implied that the genes disrupted by the transposon are potentially involved in virulence. The genes interrupted by transposons were determined by semi-random PCR (Chun et al., 1997;Shin et al., 2006) and DNA sequencing ( Table 2). The results indicated that 20 genes were disrupted by the transposon, and the locations of the transposon insertion in the 30 mutants were unique.

Phenotypic Confirmation Using Deletion and Complementation Strains
First, deletion of mmar_2318 or mmar_2319 did not significantly affect the growth rate at 32 • C and 20 • C [Supplementary Figure S2 and (Solomon et al., 2003)], indicating that the attenuation of these two mutants were not due to in vitro growth defect. The mmar_2318 and mmar_2319 deletion and complementation strains exhibited the expected attenuation and virulence phenotypes in the Dictyostelium phagocytotic plaque assay (Figure 4A), confirming the results observed with the    transposon mutants. Meanwhile, a tesA transposon mutant with attenuation phenotype which has been reported previously (Alibaud et al., 2011) was generated and served as a control ( Figure 4A). Furthermore, we also used different cell numbers of Dictyostelium to quantify the virulence of the wild-type, deletion mutant, and complementation strains. In presence of  (2,12,16,21,26,37,43,48) post infection at MOI = 10 were determined. Data from three independent experiments are presented as the mean ± SEM of the fold of initial entering bacteria number. wild-type M. marinum, phagocytic plaque formation exhibited a dose-dependent response to the Dictyostelium cell number, with plaque formation detected in the presence of >400 amoeba ( Figure 4B). Deletion of mmar_2318 or mmar_2319 attenuated the virulence to Dictyostelium (with plaques observed with 50 amoeba cells and as few as 25 amoeba cells, respectively), whereas two complementation strains restored the virulence to Dictyostelium (>400 cells) to a level similar to that observed in wild type. The loss of LOS results in rough bacterial colony morphology (Ren et al., 2007;Sarkar et al., 2011;van der Woude et al., 2012). The 2318 and 2319 mutants showed a rough phenotype and bigger colonies size than wild type (Supplementary Figure  S3). Colonies morphology and size of complementation strains ( 2318::2318 and 2319::2319) were restored as those of wild type (Supplementary Figure S3).

Deletion of mmar_2318 or mmar_2319 did not Affect the Entry and Replication Inside Dictyostelium
Deletion and complementation confirmed mmar_2318 and mmar_2319 were contributed to virulence toward Dictyostelium. We further examined the ability of the 2318 and 2319 strains to enter and replicate inside cells of Dictyostelium. The results showed that the number of CFU recovered from Dictyostelium was not significantly different between wild type and mutants ( 2318 and 2319) (Figure 5A). The growth rate of 2318 or 2319 mutants inside Dictyostelium was subsequently monitored, as shown in Figure 5B, the growth rate of wild type and mutants were not significantly different, either. These results indicated that deletion of mmar_2318 or mmar_2319 did not affect the entry and replication inside Dictyostelium.

Increased Entry to THP-1 Macrophage Cells in the Deletion Mutants
Besides observations in Dictyostelium, the ability of the 2318 and 2319 strains to enter and replicate inside cells of macrophage cell line, J774a.1 (murine) and THP-1 (human), were examined. After incubation of bacteria and macrophage cell lines for 3 h at 32 • C, the cultures were then treated with gentamicin to remove extracellular bacteria, and intracellular bacteria were quantified by lysing the infected cultures and plating onto 7H11 agar plates. The results indicated that the entry abilities of 2318 and 2319 mutants were not affected in J774a.1 (Figure 6A), but the number of CFU recovered from THP-1 cell line infected with the 2318 or 2319 mutants was significantly higher than that infected with the wild-type strain ( Figure 6D). We also examined the subsequent growth of 2318 and 2319 mutants inside these two macrophage cell lines. The results demonstrated that the deletion mutants both exhibited growth rates similar to wild type and could replicate inside macrophages during the course of infection (Figures 6B,C,E). These data suggest that deletion of mmar_2318 or mmar_2319 did not affect the ability of the bacteria to replicate within macrophages.

DISCUSSION
The complete genome of the M. marinum M strain is approximately 6.6 Mb in size and is composed of 5568 open reading frames (ORFs) (accession number: CP000854.1). Our mutant library includes a collection of 1728 transposon insertions. The insertion sites of 30 Dictyostelium-permissive mutants (in the present work), as well as those of another 17 randomly selected mutants (Table 3), were unique, and the transposons of these 47 mutants were collectively located in 36 different loci (Tables 2 and 3). These results indicate that the library has good diversity. However, real coverage is difficult to estimate given that insertions close to an operon can cause phenotypic changes due to polar effects on gene expression. Additionally, essential genes (estimated as 5-20% of bacterial genomes) (Gerdes et al., 2003;Salama et al., 2004;Liberati et al., 2006), although less likely to be specific virulence genes, would not be identified by transposon mutagenesis. Therefore, we expect that our mutant library is not saturated with respect to candidate loci, and our screen and library are expected to have missed multiple loci. Alibaud et al. (2011) first used Dictyostelium as a screening model to identify virulent genes within M. marinum in 2011. These researchers screened only 275 transposon mutants of the M. marinum M strain (Alibaud et al., 2011). Our work adopted the same screening strategy, but we screened a larger number of mutants (1728 isolates, corresponding to our entire mutant library) and used a distinct strain of M. marinum. In this study, we used a clinical isolate, the M. marinum NTUH-M6094 strain, to construct the mutant library. When assessing the library diversity, we also found that 5/36 (13.8%) of the transposon interrupted loci were not obvious homologs of sequences from the sequenced M. marinum M strain ( Table 3). This result suggests that genetic heterogeneity exists in M. marinum isolates from different regions and/or sources.
In this study, we used a Dictyostelium phagocytotic plaque model system to screen a M. marinum transposon mutant library, identifying 20 genes with roles in virulence. Among these 20 genes, some loci [e.g., losA, wecE, transmembrane transporter protein and proline-proline-glutamic acid (PPE) family related genes] were previously reported to be associated with virulence, macrophage resistance, biofilm formation, or LOS synthesis in Mycobacterium spp. (Okkels et al., 2003;Burguiere et al., 2005;Domenech et al., 2005;McEvoy et al., 2009;Brodin et al., 2010;Alibaud et al., 2011;Dong et al., 2012;Wang et al., 2013). The results of our screen were therefore consistent with data from other studies. We also found several genes that were not previously identified as virulence genes in the literature, including 12 loci with homologs in M. tuberculosis ( Table 2). Our results implicate these loci in M. tuberculosis pathogenesis. However, the actual role of these genes in M. marinum and M. tuberculosis will require confirmation; characterization of these loci will be reported elsewhere.
In our study, six genes (losA, mmar_2318, mmar_2319, wecE, mmar_2323, and mmar_2353) located within the predicted LOS synthesis locus were identified. The effects on the polar lipid 2D-TLC profile after transposon knockout of losA, mmar_2319, wecE, and mmar_2353 were previously reported (van der Woude et al., 2012;Alibaud et al., 2014) and confirmed by this study (Figure 3B and Supplementary Figure S1). In this study, we focused on the role of mmar_2318 and mmar_2319 on LOS synthesis and virulence in Dictyostelium and macrophages. Although deletion of mmar_2318 or mmar_2319 both revealed deficiency of LOS-IV, prominent phagocytosis plaques and bigger colonies were observed in 2319 mutant compared with 2318 mutant. This may be due to different degrees of LOS-III accumulation or unknown effects other than impairment of LOS after deletion of mmar_2318 or mmar_2319.
Our result confirmed 2318 and 2319 mutants also reduced virulence toward Dictyostelium. To dissect the virulence toward amoebae contributed by mmar_2318 and mmar_2319, we also examined the ability of the 2318 and 2319 mutants to enter and replicate inside cells of Dictyostelium. As shown in Figure 5, no matter entry or replication inside Dictyostelium, there were no significant difference between wildtype and two deletion mutants. These results indicated that the reduced virulence toward Dictyostelium after deletion of mmar_2318 or mmar_2319 was not resulted from affecting the initial entry and survival inside cells. These two genes might be through other mechanisms to inhibit Dictyostelium growth.
In 2012, van der Woude et al. (2012) found that a M. marinum wecE transposon mutant was hyper-virulent to zebrafish, but our study demonstrated that a wecE::Tn mutant was permissive for Dictyostelium growth. This difference is potentially attributed to the facts that zebrafish and Dictyostelium are different species and zebrafish is a more complex model. These results suggested that the attenuation of mutants identified by using Dictyostelium screening should be confirmed in a more complex host. A recent study published by Alibaud et al. (2014) examined the phagocytosis of a mmar_2319 transposon mutant by murine macrophage J774a.1 cells. This study is consistent with our observation that the phagocytosis rate of the mmar_2319 deletion mutant was similar to that of the wild-type strain in J774a.1. But in this study, we observed the entry ability of deletion mutants ( 2318 or 2319) was significantly higher than that of wild type into another macrophage cell line, THP-1. This may be due to different host origins that these two cell lines were isolated from. The increased entry into THP-1 cell after deletion of mmar_2318 and mmar_2319 might explain the hyper-virulence to zebrafish of wecE mutant which also revealed accumulation of LOS-III and deficiency of LOS-IV. However, the virulence of 2318 and 2319 mutants to zebrafish or mammalian hosts requires more investigations.

CONCLUSION
We identified a new gene, mmar_2318, involved the LOS biosynthesis. M. marinum mmar_2318 and mmar_2319 were both responsible for virulence toward Dictyostelium; deletion of mmar_2318 and mmar_2319 increased entry ability into THP-1 cell but not affected the replication inside Dictyostelium and macrophages.

ACKNOWLEDGMENTS
We thank Dr. Mei-Yu Chen (Institute of Biochemistry and Molecular Biology, National Yang-Ming University, Taipei) for kindly providing a Dictyostelium strain. This study was supported by grants from the Ministry of Science and Technology, the National Taiwan University, the National Taiwan University Hospital and the Liver Disease Prevention and Treatment Research Foundation in Taiwan.

SUPPLEMENTARY MATERIAL
The Supplementary Material for this article can be found online at: http://journal.frontiersin.org/article/10.3389/fmicb. 2015.01458