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Host cell surfaces induce a Type IV pili-dependent alteration of bacterial swimming

For most pathogenic bacteria, flagellar motility is recognized as a virulence factor. Here, we analysed the swimming behaviour of bacteria close to eukaryotic cellular surfaces, using the major opportunistic pathogen Pseudomonas aeruginosa as a model. We delineated three classes of swimming trajectories on both cellular surfaces and glass that could be differentiated by their speeds and local curvatures, resulting from different levels of hydrodynamic interactions with the surface. Segmentation of the trajectories into linear and curved sections or pause allowed us to precisely describe the corresponding swimming patterns near the two surfaces. We concluded that (i) the trajectory classes were of same nature on cells and glass, however the trajectory distribution was strikingly different between surface types, (ii) on cell monolayers, a larger fraction of bacteria adopted a swimming mode with stronger bacteria-surface interaction mostly dependent upon Type IV pili. Thus, bacteria swim near boundaries with diverse patterns and importantly, Type IV pili differentially influence swimming near cellular and abiotic surfaces.

The early steps of pathogenic dissemination or colonization of a host involve bacteria swimming near cell surfaces. In the human body, bacteria can swim near the barriers of different body fluids, including urine, blood, lung oedema, or along the surfaces of implanted medical devices, such as blood and urinary catheters 1,2 . Swimming motility provides a way to travel near surfaces at much faster (~1,000-fold) rates than pili-dependent motility, and thus to cover large distances in short times. A major role of bacterial motility near surfaces is to search for nutrients through directional responses to chemical or physical cues. For pathogens, swimming also increases their chances of reaching a permissive site from where they can disseminate or form surface-attached colonies, to cause systemic or local infections, respectively. It is thus essential to investigate motion of flagellated bacteria close to host surfaces if we wish to understand the early steps of pathogenic dissemination in or colonization of a host. For this article, we studied the properties of Pseudomonas aeruginosa swimming near host-cell surfaces.
P. aeruginosa is an opportunistic Gram-negative pathogen, capable of crossing the body's barriers in acute infections and of inducing bacteraemia. It can also form colonies on mucosae in chronic infections, such as those observed in the lungs of cystic fibrosis patients [3][4][5] . P. aeruginosa is a monotrichous bacterium (i.e., with a single flagellum); its polar flagellum is facultative, being present in planktonic bacteria but lost when bacteria form colonies or biofilms on surfaces 6 . The pathogenic role of P. aeruginosa's flagellum has been investigated in mice using wild-type bacteria compared to mutants lacking a flagellum [7][8][9] . All these reports indicated that the flagellum is a major determinant of infection, as bacteria lacking a flagellum were much less virulent [7][8][9] . More recently, Turner et al. 10 showed that flagellar motility is required for fitness and virulence in acute infection of burn wounds.
In swimming P. aeruginosa, the left-handed flagellar filament 11 is powered by a reversible motor to propel the bacteria along a linear trajectory in the medium. The activity of the flagellum pushes the bacterial body forward or backward depending on the sense of rotation. The motor rotates at the same rate and speed in both directions 12 and may be interrupted by pauses after a reverse stage, during which bacteria may abruptly change direction due to Brownian motion 13 . Hence, the bacterium can move in all directions with a "run-reverse-turn" motility pattern quite similar to the "run-reverse-flick" pattern reported for other monotrichous bacteria 14 .
As first observed for E. coli 15 , the motion properties of swimming bacteria are drastically modified by the vicinity of solid surfaces. One of the major changes is the increased circularity of the trajectories generated by a rotating flagellum, due to the hydrodynamic interaction experienced by the rotating body and flagellum with no-slip boundaries 16 . In parallel, the speed of swimming motion in close proximity to a glass surface was shown to be significantly reduced. In these conditions, a mean radius of the circular path of around 14.6 μ m was reported for P. aeruginosa 17 . Differences between forward and backward motions were first observed for Vibrio alginolyticus 18 , and have since been reported for a range of monotrichous species 12 . Hydrodynamics predicts that the trajectory of P. aeruginosa forward and backward swimming near a solid surface could curve in both clockwise (CW) and counter clockwise (CCW) directions. Given bulk pattern studies previously reported 19 , the simplest extrapolated pattern of swimming near a surface is a "CW run-CCW reverse-turn" pattern.
The motion properties of swimming bacteria near complex solid surfaces, such as host-cell surfaces during infection, need to be investigated experimentally. The only observations of bacterial swimming properties on cellular monolayers, reported for peritrichous bacteria, showed no speed differences and few variations in curvature between glass and cell surfaces 20 . Conversely, experiments carried out with chemically modified glass-culture medium interfaces showed drastic modifications of the curvature of the paths 21,22 . These modifications could be accounted for by the modification of the hydrodynamic interactions due to partially slippery surfaces 16 . However, other bacterial structures may be involved, such as Type IV pili (hereafter pili), appendages that may influence its swimming properties close to a surface. The broad range of non-negligible biological and physico-chemical parameters and factors influencing bacterial swimming near cell surfaces prompted us to experimentally investigate the properties of P. aeruginosa swimming near cellular surfaces.

Results
P. aeruginosa swims more slowly on cell monolayers. To investigate bacterial swimming at the surface of cells, we chose cell monolayers with few topological obstacles at their apical surface to prevent steric interference with the swimming bacteria. Thus, we used primary cultures of human endothelial cells (HUVECs) grown to confluence on coverslips. HUVEC monolayers are relatively flat with shallow membrane protuberances above their nuclei (Fig. 1a). In addition, proliferation of HUVECs is limited by contact inhibition, thus protrusions owing to cell divisions are rare in this type of monolayer. For the bacterial component, we used a clinically-relevant P. aeruginosa strain with swimming properties, labelled with GFP to facilitate microscopic observation. Bacteria were added to the top of cell monolayers or naked glass coverslips, and microscopy images from above were recorded at 28 frames.s −1 for 10 s, after bleaching immobile bacteria. We used short contact times to limit as much as possible modifications of bacteria and host cells during the record. An example of bacterial trajectories close to the cell monolayer is shown Fig. 1b. It is noteworthy that bacteria swam above the HUVEC nuclei without deviation, indicating that the membrane elevation at these locations did not alter the direction of the trajectories. Trajectories of in-focus bacteria were analysed for their speed profiles. The overall speeds of bacteria swimming close to cells were significantly decreased compared to those measured for bacteria swimming close to glass (median speed values given to first decimal place: 37.8 and 45.4 μ m.s −1 , respectively; Fig. 2a). This result suggests differential interaction between bacteria and these two surfaces.
A trimodal speed distribution. Closer inspection showed a trimodal speed distribution in both conditions ( Fig. 2b,c). This finding indicates that a clonal population of swimming bacteria near a surface can follow three types of trajectories, called Classes 1-3 hereafter. It is noteworthy that the limits between classes were similar on cellular and abiotic surfaces (Fig. 2b,c), and thus the same classes can be defined for the two conditions. Class 1 was defined as trajectories with median speeds below 20 μ m.s −1 , Class 2 covered speeds between 20 and  50 μ m.s −1 , and Class 3 corresponded to speeds above 50 μ m.s −1 . Importantly, the median speeds for each class were similar between cell and glass conditions, further suggesting that these speed classes may be similar in nature on the two surface types. Compared to the applied partition, the same trajectory proportions per class were obtained using a "three-component Gaussian mixture" model (see Supplementary Table 1).
The proportion of low-speed trajectories is higher for bacteria swimming above cell surfaces. Notwithstanding these similarities, the proportion of trajectories in each class was significantly different between cell and glass conditions, with a net increase of Class 1 at the expense of Class 3 tracks on cells compared to glass (Fig. 2b,c). Thus, the variations observed in overall speeds on glass and cells were caused by different proportions of bacteria engaged in the different classes of motility, rather than a general reduction in bacterial speeds on cell monolayers.
Curvature correlates inversely with speed. We next investigated whether the circularity of trajectories was different between classes. The overall trajectory circularity for each class, < |K|> (Fig. 2d), was calculated by averaging the absolute curvature values for each point, < |K|> . The circularity distributions exhibited striking differences, with the highest < |K|> in Class 1 and the lowest < |K|> in Class 3, correlating inversely with the average speeds. The differences between trajectory curvature on glass and cells in each class were not significant (not shown), confirming that the decrease in average speed on cells vs. glass was caused by a redistribution of the trajectories between classes, rather than by modifications of the motion characteristics of each class.

The proportion of linear versus curved motions is highly variable between classes.
Representative examples of the three trajectory classes are reported in Fig. 3a. These trajectories show curved (CW and CCW) and linear sections, as well as pauses (see Materials and Methods for the physical definitions of section types). A rapid examination of the trajectories indicated that the three speed classes corresponded to three different swimming patterns. In Class 1, alternating short and highly curved CW and CCW sections predominated, forming tight zigzag paths. In Class 3, sections were much more extended, with a majority of low-curvature CCW and linear sections. In Class 2, zigzag portions were scarce, but the pattern was more complex than in Class 3 as it also involved CW sections. Interestingly, the radii of curvature were higher for the curved sections of Class 1 tracks than for those of Class 2 and 3 tracks (see Supplementary Table 2), indicating that bacteria engaged in Class 1 trajectories turned sharper in the curved sections than in the two other classes.
The duration and sequence of the sections were specific to each of the three patterns. Indeed, the relative times spent in each section type (Fig. 3b) showed a striking increase in the proportions of linear sections as we progressed from Class 1 to Class 3 (4 to 36%, respectively). This increase in linear trajectory was at the expense of circular sections: CCW for Class 2 and CW for Class 3. The pauses were also shorter in Class 3 compared to Class 2 and Class 1, while transitions were more frequent in Class 1 than in Classes 2 and 3 (Fig. 3c). The probability of transition between section types has been summarized in a diagram for the three classes of swimming behaviour (Fig. 3d). In Class 1, the most probable transitions were between CW and CCW circular motions. In Class 2, transitions were more balanced between the four motion types. In Class 3, transitions tended to favour linear motion. In conclusion, bacteria used similar motion types (curved or linear) and pauses, but in different proportions and at different frequencies, to generate the three trajectory classes.
Type IV pili are involved in Class 1 swimming patterns on cell surfaces. To determine whether bacterial pili influenced P. aeruginosa swimming near a surface, we used a pili-deficient strain (Δ pili) and examined its swimming properties on glass and cell monolayers. Overall speeds were much higher with the Δ pili strain than with the wild-type (WT) strain (with median speeds of 52.1 vs. 45.0 μ m.s −1 on glass and 50.2 vs. 37.8 μ m.s −1 on cells; Fig. 4a). This alteration of speed resulted at least in part from a striking increase in Class 3 and a decrease in Class 2 trajectories in the absence of pili (Fig. 4b,c). These observations suggest that pili contributed to how bacteria produce Class 2 swimming trajectories, i.e., bacteria subjected to intermediate interaction with the surface.
Significantly, unlike with the WT strain (Fig. 2b,c), the proportion of Class 1 trajectories for the Δ pili strain was similar on both surface types (13 and 12% on glass and cells, respectively; Fig. 4b,c). This observation indicates that the dramatic increase in the percentage of Class 1 trajectories with WT P. aeruginosa on cells vs. glass was pili-dependent. As a result, the overall speeds for the Δ pili strain were not significantly affected by the surface type (Fig. 4a).
Altogether, we show that the major effect of pili deficiency was to modify the distribution of trajectories between classes, increasing the proportion of bacteria interacting least with the surface.

Discussion
Swimming is a highly powerful motion through which bacteria can explore biological tissues. In this article, we show for the first time that not all swimming bacteria in a clonal population of P. aeruginosa respond in the same way to the presence of a surface. Three classes of P. aeruginosa swimming could be defined near a surface, primarily based on the mean speed of trajectories. These speeds were associated with specific swimming patterns (Table 1). Bacteria in Class 1 swim slowly and take frequent pauses. The trajectory pattern involves frequent alternation of short and curved CW and CCW motions. Class 3 encompasses bacteria that swim rapidly with rare pauses; the trajectory is more linear and uniform, and shows a significant CW-CCW asymmetry. The Class 2 pattern is quite similar to that of Class 3, but with a greater number of pauses and CW sections.
The three patterns were observed for bacteria swimming near glass and cells, with and without pili. Thus, pattern formation was not exclusively triggered by pili, or by a specific surface type. However, the proportion of bacteria adopting one of the three patterns was altered in different experimental conditions. Only the distribution Scientific RepoRts | 6:38950 | DOI: 10.1038/srep38950 between the three patterns was specific to surface-bacteria interactions. Hence, patterns must result from different types of interaction prevailing near the surface.
Hydrodynamic wall effects on bacteria swimming near a solid surface 16 predict a decrease in the curvature (< K> ) and an increase in the speed (< V> ) as the distance between the bacterium and the surface grows. Thus,   Fig. 2 (b,c) The proportions for each class are shown above the curves.
Scientific RepoRts | 6:38950 | DOI: 10.1038/srep38950 cannot fully explain the Class 1 pattern. In our study, an additional friction was at least partially related to the presence of pili (see below).
In terms of host-bacteria interaction, four major conclusions can be drawn from the results presented in this paper (Fig. 5). Firstly, bacteria swam more slowly on cells because there was a higher proportion of Class 1 trajectories (13 to 30%) and fewer Class 3 trajectories (44 to 30%). Thus, bacteria interacted more closely with cells than with glass surfaces. This increased interaction on cells was exclusively mediated by pili, as the Δ pili strain exhibited no significant variation in the proportion of bacteria engaging in Class 1 swimming on the two surfaces (12 and 13% on glass and cells, respectively). It is therefore tempting to speculate that pili close to cell membranes transiently interact with specific receptors, such as N-glycans, asialo-gangliosides and integrins, as previously described [23][24][25] . This reversible interaction may lead to extended pauses and a greater number of directional changes, and in general it will keep the bacterium close to the surface. Alternatively, it cannot be excluded that cell surface contact activated pili production within minutes, which would increase the global adhesive activity of bacteria. Secondly, as previously reported 17,26,27 , pili may also promote interaction with glass surfaces, as the proportion of bacteria engaging in Class 2 trajectories decreased on glass (43 to 27%) in the absence of pili. Alternatively, pili may bias flagellar rotation through direct interaction between the two organelles or by their potential alteration of bacterium hydrodynamics, which would alter speed and rotation. Thirdly, interaction of bacteria with cells is to some degree independent of pili, as the proportion of Class 2 swimmers remained higher on cells than on glass in the absence of pili (35 to 27%). This interaction could be due to receptors for the flagellum, several of which have been described on host cells 25,28,29 . The flagellum is thus another adhesive appendage potentially allowing increased interaction with cellular surfaces compared to glass. Fourthly, in the absence of pili and cellular receptors (i.e., on glass), some bacteria still adopted Class 1 and Class 2 trajectories (12 and 27%, respectively), suggesting that physical and chemical interactions with this surface are possible and promote strong or intermediate attractions. Earlier reports indicated that the flagellum efficiently interacts with glass and plastic 17,26,27 and can be used as a surface sensor by other bacterial strains 30 . More work will be needed to determine whether this interaction is due only to the hydrodynamic forces exerted by the glass surface on the bacteria and its flagellum, or whether some chemical interaction between the surface and bacterial appendages other than pili (e.g. the flagellum) causes Class 1 or Class 2 trajectories.
In conclusion, not all swimming bacteria in a clonal population respond in the same way to a surface. Class 1 trajectories are probably helpful for local scanning of surfaces, while Class 3 trajectories are useful for large-scale investigations. Moreover, the presence of pili and the surface type both influence swimming behaviour. Recently, Persat et al. 31 reported that pili are mechanical sensors that regulate virulence factor upregulation in a substrate-dependent manner. Furthermore, pili may be able to sense the local viscoelasticity of the surface 32 . Brief pili-dependent surface-bacteria interaction during swimming may thus provide the bacteria with information on the surface type, and could possibly initiate the transcription of major virulence factors.
The next step will be to understand the fate of bacteria from each class at longer time points. It will be important to determine which motion type leads to attachment, colony formation or epithelial penetration. We recently showed that the bacteria which cross the epithelial layer swim individually, patrolling above the surface, and are not those present in immobile aggregates on the surface of the cellular monolayer 33 . The pathogenic behaviour of bacteria may thus be a direct consequence of their swimming behaviour near the cellular surface.

Materials and Methods
Cell culture. The use of umbilical cords for scientific purposes is authorized by the L1211-2 act from the French Public Health Code. Written, informed consent was obtained from each woman who donated an umbilical cord. The privacy of the donor's personal health information was protected. Human umbilical vein endothelial cells (HUVECs) were isolated according to previously described protocols 34 . HUVECs were cultured in Endothelial-Basal-Medium (EBM-2, Lonza) supplemented as recommended by the manufacturer. In all experiments, cells were grown until confluence and left for 2 additional days in Labtek 4-chambers (Fisher Scientific). Medium was replaced with fresh medium 16 h before infection, and with fresh non-supplemented medium 1 h before infection.
The CHAΔ pilY1 strain was checked for defective twitching motility 33 . The P. aeruginosa strains used in this study were transformed with pIApX2-EGFP plasmid to allow fluorescence imaging. Clonal bacteria were grown in liquid LB medium at 37 °C under agitation until the cultures reached an optical density of 1.0, ensuring that they were in the exponential growth phase. Fifteen minutes prior to performing experiments, bacteria were diluted in non-supplemented EBM-2 at 37 °C.
Videomicroscopy. Clean  Acquisition parameters. To observe P. aeruginosa motility on abiotic surfaces, a drop of culture medium (15 μ L) containing bacteria was deposited on a microscope slide. To observe P. aeruginosa motility on cells, bacteria were added to the cell culture medium in Labtek chambers. The focus was set on the immobile bacteria attached to the surface. In both cases, non-motile bacteria were photobleached by a 5-min illumination before the start of filming. Swimming bacteria were then filmed at a rate of 28 images per second for 10 seconds. Then, Hoechst 33342 was added to the medium to allow imaging of nuclei in eukaryotic cells.
Data analysis. The trajectories of bacteria were determined by following the centroid of the cell body as determined with half-pixel precision by the multi-particle tracking feature in SimplePCI and ImageJ softwares. Tracks from at least triplicate experiments were pooled. A 3-point central moving average filter was applied to smooth trajectories and reduce position noise. Only trajectories faster than 7 μ m s −1 and showing a full straight-line distance longer than 4 μ m, lasting 0.857 s (≥ 24 data points) were retained. This filtering allowed non-swimming and stuck bacteria to be rejected. A positive (negative) sign was assigned to CW (CCW) trajectory curvature, as viewed from the culture medium toward the cell surface. Each trajectory was characterized by K and V, the mean and median values of the temporal distributions of curvature (k) and speed (v), and termed CW or CCW according to the sign of K. Each trajectory was then segmented into sections if the instantaneous values of k and v for at least three consecutive points met the criteria defining one of the four types of section. The adjacent isolated points were assigned to the closest section. The section was called linear (L) when abs (θ ), the change of angle (or turning speed) between two consecutive speed vectors, was ≤ 40 deg.s −1 and |K | was ≤ 0.025 μ m −1 ; pauses (P) were defined when v/V was ≤ 0.66; curved clockwise (CW) sections, when 0 < K and |K | > 0.025 μ m −1 ; and counter-clockwise (CCW) sections, when K < 0 and |K | > 0.025 μ m −1 . The frequencies of transitions were determined by calculating the number of sections of a given type per time unit.