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Flagellin hypervariable region determines symbiotic properties of commensal Escherichia coli strains

Escherichia coli represents a classical intestinal gram-negative commensal. Despite this commensalism, different E. coli strains can mediate disparate immunogenic properties in a given host. Symbiotic E. coli strains such as E. coli Nissle 1917 (EcN) are attributed beneficial properties, e.g., promotion of intestinal homeostasis. Therefore, we aimed to identify molecular features derived from symbiotic bacteria that might help to develop innovative therapeutic alternatives for the treatment of intestinal immune disorders. This study was performed using the dextran sodium sulphate (DSS)-induced colitis mouse model, which is routinely used to evaluate potential therapeutics for the treatment of Inflammatory Bowel Diseases (IBDs). We focused on the analysis of flagellin structures of different E. coli strains. EcN flagellin was found to harbor a substantially longer hypervariable region (HVR) compared to other commensal E. coli strains, and this longer HVR mediated symbiotic properties through stronger activation of Toll-like receptor (TLR)5, thereby resulting in interleukin (IL)-22–mediated protection of mice against DSS-induced colitis. Furthermore, using bone-marrow–chimeric mice (BMCM), CD11c+ cells of the colonic lamina propria (LP) were identified as the main mediators of these flagellin-induced symbiotic effects. We propose flagellin from symbiotic E. coli strains as a potential therapeutic to restore intestinal immune homeostasis, e.g., for the treatment of IBD patients.

Introduction E. coli belongs to the phylum of gram-negative Proteobacteria. Besides certain pathogenic strains, E. coli represents a commensal member of the intestinal microbiota. However, distinct commensal E. coli strains can mediate substantially different immunological host responses. On the one hand, so-called "pathobionts" may induce severe pathological inflammatory reactions in a certain genetically predisposed or environmentally challenged host. On the other hand, "symbionts" generally provide beneficial effects and do not induce inflammatory responses at intestinal mucosal interfaces [1]. Although Escherichia is usually not among the most abundant bacterial genera within a healthy, balanced, and diversified intestinal microbiota [2,3], the impact of enhanced proportions of Proteobacteria in general and E. coli strains in particular on inflammatory processes in Inflammatory Bowel Disease (IBD) patients has widely been reported [4][5][6][7]. This observation leads to questions concerning mechanistic and structural differences between symbiotic and nonsymbiotic commensal E. coli strains and their subsequent impact on IBD pathology. One of the most intensely studied symbiotic E. coli strains is E. coli Nissle 1917 (EcN). EcN is generally classified as a probiotic and is the only bacterial symbiont that is successfully used to extend remission phases in IBD patients in clinical routine [8]. In this context, EcN mediates similar therapeutic effects as mesalamine, the gold standard therapeutic to extend remission time in ulcerative colitis (UC) patients [9][10][11]. EcN provides different beneficial properties such as (1) the formation of biofilms [12] leading to the production of defensins [12,13], (2) strengthening of tight junctions within the intestinal epithelium [14], (3) direct antimicrobial effects via secretion of bacteriocins and microcins [15], and (4) direct interaction with the host immune system [16].
However, most of these effects are thought to require viable EcN bacteria, and the recommended therapeutic EcN dose comprises extremely high numbers of vital cells [2]. In general, administration of viable bacteria involves the risk of proactive bacterial translocation across the epithelial barrier, particularly in inflamed intestinal tissue, which provides a disturbed barrier integrity. Thus, use of live bacteria for the treatment of ongoing inflammatory reactions bears considerable risks. Therefore, it appears desirable to identify bacterial factors that distinguish symbiotic from nonsymbiotic E. coli strains. Such identified symbiotic factors could then be used as novel therapeutic approaches to restore gut immune homeostasis and could offer a wide range of potential clinical applications.
The investigation of commensal bacteria-mediated symbiotic properties requires the use of adequate mouse models. One of these mouse models involves the application of dextran sodium sulphate (DSS). Administration of DSS leads to an IBD-resembling phenotype in mice of almost all genetic backgrounds [17]. The similarities between IBD in humans and DSSinduced colitis in mice include a similar inflammatory gene expression pattern [18], T-cell accumulation in the colon [19], and the development of a chronic pathology after initial acute inflammation involving a T helper (Th)1/Th2 cytokine secretion pattern [20]. As in IBD patients, DSS-induced colitis in mice leads to influx and transepithelial migration of neutrophils into the mucosal epithelium and lumen, leading to the formation of crypt abscesses [21][22][23][24]. Furthermore, DSS-induced colitis in mice provides comparable sensitivity toward therapeutics as in IBD [25], making this model appropriate for preclinical studies involving the evaluation of new potential treatments for IBD patients [26], e.g., commensal-derived molecular features such as surface-associated structures.
Various bacterial surface structures serve as so-called microbe-associated molecular patterns (MAMPs), molecules that are recognized by host pattern-recognition receptors (PRRs), e.g., Toll-like receptors (TLRs) [27]. PRR sensing leads to activation of the innate and modulation of the adaptive immune system. One of these MAMPs is flagellin, the constitutive protein building up bacterial flagella. Flagellin typically consists of different structural domains: all flagellins contain N-terminal and C-terminal D0 and D1 domains that form the structurally highly homogenous so-called "conserved region" [28][29][30]. Some flagellins, such as most E. coli flagellins, additionally contain a "hypervariable region" (HVR) made up of C-and N-terminal D2 domains as well as of a central D3 domain [28]. Extracellular flagellin is recognized only as a monomer [29] by host TLR5 [30], leading to myeloid differentiation primary response (MyD)88-dependent activation of nuclear factor "kappa-light-chain-enhancer" of activated Bcells (NFκB) [31,32]. Interestingly, flagellin represents a major target antigen in human IBD patients as well as in experimental mouse models for colitis [33]. Additionally, certain TLR5 SNPs are associated with higher incidence of UC [34] and colon cancer [35]. Furthermore, TLR5-deficient mice are prone to develop spontaneous intestinal inflammation [36], and intestinal TLR5 signaling was demonstrated to be crucial for preventing gut inflammation and metabolic syndrome in mice [37].
Taking these data together, flagellin recognition by intestinal TLR5-expressing host cells seems to be crucially involved in shaping host immunity, leading to maintenance of intestinal immune homeostasis. Therefore, we hypothesized that the precise flagellin structure could be a decisive factor that allows for a distinction between symbiotic and nonsymbiotic E. coli strains. Here, we demonstrate that EcN flagellin is sufficient to mediate a crucial part of EcN's symbiotic properties via TLR5 on intestinal CD11c + cells within the lamina propria (LP). Furthermore, we provide evidence that the structure of the flagellin HVR is a decisive factor that classifies EcN as a symbiont. In consequence, symbiotic HVR containing flagellin structures might be used as innovative therapeutic approaches for the treatment of IBD.

Interaction of EcN flagella with host TLR5 is crucial for the beneficial effects of EcN during DSS-induced colitis
EcN is the only symbiont with verified symbiotic effects on the outcome and progression of UC in humans [8] as well as in DSS-induced colitis in mice [38][39][40]. For these reasons, we decided to use the DSS-induced colitis model for the elucidation of E. coli-mediated effects on colitis pathology. Administration of 3.5% DSS in the drinking water led to strong loss of body weight in wild-type (WT) C57BL/6 mice (Fig 1A), accompanied by severe tissue changes and leukocyte influx, as indicated by high histological colitis scores (HCSs) (Fig 1B). In agreement with previous studies [38][39][40], administration of viable symbiotic EcN provided beneficial effects on the outcome of DSS-induced colitis in WT BL/6 mice, characterized by drastically reduced weight loss and HCS (Fig 1A and 1B). Therefore, we were interested in how other commensal E. coli strains influence the progress and outcome of DSS-induced colitis and which structural features of these strains might mediate potentially observed differences. Therefore, we administered two additional E. coli strains in the same concentration as EcN, which resulted in comparable E. coli colony-forming units (CFUs) in the feces of all groups (S1 Fig), and monitored disease progression and outcome compared to DSS-only-treated WT mice; specifically, the well-known commensal strains (1) E. coli K12 MG1655 (MG1655) and (2) E. coli mpk (MPK) [41][42][43][44] were used. Importantly, these strains do not mediate symbiotic properties in various mouse models for microbiota-influenced pathologies [41,43,45], and in contrast to treatment with EcN, administration of MPK and MG1655 did not provide any beneficial effects on the outcome of DSS-induced colitis since the HCS of both groups was comparable to the DSS-only control group (Fig 1B), and weight loss was only slightly reduced.
Given the direct effect of flagellin on TLR5-signaling and its impact on intestinal immune homeostasis [36,37], we hypothesized that the protective effect of EcN was at least partially   Fig  1C), absence of flagellin in this strain completely abrogated the positive effect on histological damage observed for flagellin-expressing EcN and was comparable to DSS-only-treated control mice, providing strong signs of intestinal inflammation (Fig 1D). This indicated that the presence of flagella is crucial for mediation of protective properties of EcN in this mouse model. Since the flagellum and its constituent protein flagellin are recognized by host TLR5, we performed DSS-induced colitis experiments using TLR5-deficient (Tlr5 −/− ) mice.
Dependent on the housing conditions, Tlr5 −/− mice either spontaneously develop a chronic form of colitis and/or metabolic syndrome [37,47,48] or not [49]. Our specific-pathogen-free (SPF) housing conditions did not lead to spontaneous intestinal disorders and did not differently affect the outcome of DSS-induced colitis in Tlr5 −/− mice compared to their equally treated WT counterparts (Fig 1E), though Tlr5 −/− mice treated with EcN showed significantly increased histological damage compared to EcN-treated WT mice, resembling the disease phenotype that was observed in DSS-only-treated WT and Tlr5 −/− mice ( Fig 1E). Administration of EcNΔfliC to DSS-treated Tlr5 −/− mice did not positively affect the outcome of experimental colitis, as demonstrated by HCSs comparable to EcNΔfliC-treated WT mice and to DSS-onlytreated mice of both genotypes (Fig 1E; see also S1 Table for detailed statistical analysis). Importantly, fecal E. coli CFUs in all bacteria-treated groups in Tlr5 −/− mice were comparable (S1B Fig). Therefore, we concluded that the beneficial effects of symbiotic EcN on the progress and outcome of DSS-induced colitis is mainly mediated by the interaction of host TLR5 with EcN flagella.

Flagella-mediated inflammation-suppressing effects are specific for EcN flagella-enriched preparations and are not mediated by preparations from other commensal E. coli strains
Since all three E. coli strains used-EcN, MPK, and MG1655-expressed a functional flagellum, we hypothesized that the different effects on DSS-induced colitis mediated by distinct E. coli strains were not caused by the presence of a flagellum per se but rather were rooted in structural differences in their flagellin protein structures. To test this and to exclude the contribution of factors requiring viable bacteria, we generated flagella-enriched preparations (FEPs) from symbiotic EcN and nonsymbiotic MG1655 and MPK as described in the experimental procedures, and these FEPs were devoid of any viable bacteria. Fig 2A demonstrates that the EcN FEP recapitulated the protective effects on the outcome of DSS-induced colitis in WT mice observed for viable EcN. This effect was dose dependent, with the FEP obtained from 10 10 EcN per mL drinking water providing the strongest inflammation-reducing effects, as indicated by absent weight loss (Fig 2A) and low HCS of DSS-treated animals ( Fig 2B).
According to the results shown in Fig 2A and 2B, we performed all further experiments by default with the FEP obtained from 10 10 bacteria per mL drinking water, which was thought to induce a strong TLR5-mediating signaling. Next, we compared the FEP from EcN with the FEPs obtained from MPK (MPK FEP) and MG1655 (MG1655 FEP). We verified that FEPs generated from each of the tested strains contained similar concentrations of endotoxin, overall protein, and flagellin (S4A- S4E Fig). Thus, DSS-treated WT mice were administered MPK FEP as well as MG1655 FEP and compared to DSS-treated WT mice, which were administered EcN FEP. As demonstrated in Fig 2C and 2D, neither MPK FEP nor MG1655 FEP provided Resulting IL-8 secretion into cell supernatant as a result of TLR5 receptor activation was detected by ELISA. (g + h) SPF C57BL/6 WT mice aged 6 to 8 weeks were administered 3.5% DSS in drinking water at day 0. Mice were additionally treated with 10 10 viable bacteria of the indicated any beneficial effects concerning DSS-induced colitis in WT mice, indicating that the molecular nature of flagellin impacted on this process.
To assess whether this was reflected at the level of TLR5 activation, we used human embryonic kidney cells overexpressing mouse TLR5 (mTLR5-HEK293), stimulated them with either viable bacteria or FEPs, and measured the resulting interleukin (IL)-8 secretion to quantify TLR5-dependent NFκB activation. When comparing EcN FEP, MG1655 FEP, and MPK FEP, the latter FEPs from nonsymbiotic bacteria completely failed to activate the mouse TLR5 receptor in any tested concentration, while EcN FEP provided a concentration-dependent signaling intensity, as demonstrated by differential NFκB-activation-dependent IL-8 secretion from mTLR5-HEK293 cells ( Fig 2E). Of note, a strong effect on NFκB activation was also observed for viable EcN but not EcNΔfliC ( Fig 2F). Thus, we assumed that flagellin of symbiotic EcN might feature a distinct property that is absent in nonsymbiotic E. coli strains. To explore this in detail, different complementation mutants were generated: (1) an MG1655ΔfliC mutant was complemented with the fliC gene from EcN (MG1655ΔfliC::fliC(EcN)), and (2)  indicating that the exchange mutation did not negatively affect flagellum expression and function. Both complemented viable strains were administered to DSS-treated mice, and the disease outcome was monitored as before ( Fig 2G and 2H). Although a slight reduction in body weight was observed in DSS-treated animals that were administered MG1655ΔfliC::fliC(EcN) (Fig 2G), the damage of colonic tissue was significantly lower compared to DSS-treated mice without additional bacterial administration ( Fig 2H). However, administration of EcNΔfliC::fliC(MPK) did not provide any beneficial effects on DSS-induced colitis, as indicated by strong weight loss and increased HCS (Fig 2G and 2H). Therefore, we concluded that the inflammation-reducing features of the EcN flagella are specific for this strain and are not present in the flagella of MG1655 or MPK. However, this raises the question of which structural features might account for the differences of the EcN FliC protein compared to FliC from nonsymbiotic E. coli strains.

Insertions within the HVR of flagellin account for the symbiotic effects of EcN compared to nonsymbiotic E. coli strains
FliC proteins consist of a constant region comprising one N-and one C-terminal D0 and D1 domain (NTD0, NTD1, CTD0, and CTD1). Some bacteria-e.g., Escherichia and Salmonella strains-additionally contain an HVR composed of a C-and N-terminal D2 (NTD2, CTD2) domain as well as a central D3 domain ( Fig 3A). As expected, sequence alignment comparisons between FliC of EcN, MG1655, and MPK revealed that in the constant region, the sequence similarity of the 4 domains exceeds 95% (Fig 3B and 3C). This constant region is thought to be the primary mediator of TLR5 activation [30,28], However, sequence similarity of the N-and C-terminal D2 domains within the HVR is 65% (NTD2) and 64% (CTD2) between EcN FliC and MG1655 FliC, as well as 61% (NTD2) and 64% (CTD2) in the case of  [50,51]. D0 comparing EcN FliC with MPK FliC. The differences between D3 domain sequences is even lower than 50% sequence similarity for both comparisons (Fig 3B and 3C). These low numbers in relative sequence similarity are mainly due to the presence of numerous sets of amino-acid inserts within the HVR of EcN flagellin compared to the corresponding regions of MG1655 flagellin and MPK flagellin (Fig 3D), thus rendering the NTD2, D3, and CTD3 domains of EcN substantially longer. However, not only the length but also the amino-acid sequence of the HVR is highly different, both in comparison between EcN and MG1655 or EcN and MPK and also between MG1655 and MPK.

Deletions within the HVR of FliC leads to loss of EcN inflammationreducing properties
In order to check whether the different HVR structure is causative for the observed disparities in influencing the progress of DSS-induced colitis, we deleted large parts of the EcN fliC HVR, namely a short part of the NTD2 domain as well as large parts of D3 and the entire CTD2 domain (EcNΔfliC(HVR)) ( Fig 4A). This deletion resulted in a significantly shorter assembled flagellum compared to WT EcN, providing only about 10% of the length of WT EcN flagella (S7 Fig). We administered EcNΔfliC(HVR) as a viable bacterium to DSS-treated mice and checked for changes in body weight, followed by histological analysis of the colonic tissue 7 days after the start of DSS treatment. As demonstrated in Fig 4B and 4C, there were no detectable inflammation-preventing effects when the EcNΔfliC(HVR) deletion mutant was used, as indicated by strong weight loss ( Fig 4B) and high HCSs (Fig 4C), which was in sharp contrast to WT EcN (Fig 1A-1D). In conclusion, these experiments show that insertions within the flagellin HVR are responsible for the disease-ameliorating properties of EcN flagellin. To gain insight into the effect of HVR modulation on systemic inflammation, we determined serum concentrations of 13 pro-and anti-inflammatory cytokines in DSS + EcN-treated, DSS + EcNΔfliC(HVR)-treated, and DSS-only-treated mice to characterize the influence of the flagellin HVR on the cytokine-associated protective properties of EcN in this mouse model. Consistent with reports showing that DSS-treated mice provide increased serum levels of, e.g., tumor necrosis factor (TNF)α, IL-6, IL-1β, and IL-17 compared to healthy non-DSS-treated controls [52,53], colonic inflammation led to a systemic increase of proinflammatory cytokines, which translated into elevated serum concentrations. Fig 4E depicts a heat map of all detected cytokines in each mouse of the three respective groups. We detected significantly higher serum levels of the proinflammatory cytokines IL-1β, IL-1α, TNFα, IL-6, and IL-17A as well as of the anti-inflammatory cytokines IL-27, IL-10, and interferon (IFN)β in DSS-onlyand DSS + EcNΔfliC(HVR)-treated mice compared to DSS + EcN-treated mice (Fig 4E, see also S1 Table for detailed statistical analysis). Therefore, we concluded that the presence of the full HVR is a precondition for the EcN-mediated symbiotic effects during DSSinduced colitis in WT mice, and its deletion results in loss of protection against intestinal inflammation. and D1 comprise conserved N-and C-termini of fliC, packed into α-helical structures in the filament core. The NTD2/CTD2-and D3-domaincontaining HVR is attached adjacent to the D2 domains, located at the outer surface of the filament. (b) Quantification of amino-acid sequence similarities of all 6 flagellin domains. Computation was performed using similarity indices depicted in 3c. (c) The alignment was generated using MAFFT. Amino acids were colored by overall conservation (white: fully conserved, light blue to dark blue: high to low conservation Flagellin structure determines immunogenicity of E. coli strains

EcN-flagellin-induced protective effects are mediated by host TLR5 + CD11c + cells in the colonic LP
So far, we have demonstrated that symbiotic EcN mediated at least a remarkable part of its symbiotic properties through its flagellin HVR. This effect was dependent on TLR5 expression in the host. Therefore, we wanted to further elucidate which TLR5-expressing host cell population was pivotal for the mediation of the EcN-flagellin-induced effects. The crucial contribution of TLR5 expression on intestinal epithelial cells (IECs) for maintenance of intestinal homeostasis has already been reported [37]. Colonic IECs do not only express TLR5 on their basolateral side [54]. A recent publication demonstrated that colonic IECs also express TLR5 on the luminal side, thus secreting antimicrobial peptides and cytokines in response to flagellin recognition [55]. However, TLR5-expressing intestinal LP dendritic cells (DCs) also contribute to flagellin-mediated immune responses [37,56]. Therefore, we were interested in which intestinal cell population mediated the observed symbiotic flagellin-induced inflammation-silencing properties. Since IECs belong to the group of stromal cells and antigen-presenting cells such as DCs are derived from hematopoietic stem cells, one can investigate the distinct influence of these two differentially originated cell types by using bone-marrow-chimeric mice (BMCM) (Fig 5A). Therefore, we generated different groups of BMCM: (1) WT BL/6 recipient mice transplanted with bone marrow from Tlr5 −/− donor mice (Tlr5 −/− ! WT), (2) Tlr5 −/− recipient mice transplanted with bone marrow from WT BL/6 donor mice (WT ! Tlr5 −/− ), and (3) as controls, WT BL/6 recipient mice transplanted with bone marrow from WT BL/6 donor mice (WT ! WT). All these animals were SPF-housed and treated with DSS and EcN, DSS and EcNΔfliC, or DSS only. As demonstrated in Fig 5B, WT ! Tlr5 −/− mice that were administered EcN provided low HCS, indicating low colonic inflammation, while the protective effect of EcN was completely abolished using Tlr5 −/− ! WT mice ( Fig 5B). As seen in WT BL/6 mice (Fig 1), both groups of BMCM developed severe colitis symptoms when administered DSS and the EcNΔfliC deletion mutant. Therefore, we concluded that the protective effect of EcN flagellin is mainly mediated by cells of hematopoietic origin. CD11c + cells such as DCs are one major cell type from the hematopoietic cell lineage mediating microbiotaderived anti-inflammatory processes in the intestine [41,57]. Therefore, we had a closer look at CD11c + cells in the colonic LP (cLP) and their relevance for EcN-mediated symbiotic effects during DSS-induced colitis.
We generated BMCM restricting TLR5 deficiency largely to CD11c + cells with a substantial amount of other hematopoietic cells still expressing TLR5 (Tlr5 −/− + ΔCD11c ! WT). By using Tlr5 −/− and ΔCD11c donor mice for bone marrow transplantation, we ensured that at least half of hematopoietic cells other than CD11c + cells do express TLR5. Generation of these BMCM was strictly validated (S8 Fig). As demonstrated in Fig 5C, this group provided significantly higher inflammation when treated with DSS and EcN compared to WT ! WT control animals that were treated equally. This finding strongly supports the idea that TLR5 + CD11c + cells in the cLP are the main mediators of the symbiotic effects caused by EcN flagellin.

Administration of symbiotic recombinant flagellin prevents intestinal inflammation
According to our results, we proposed flagellin from a symbiotic E. coli strain to be a suitable agent in order to prevent pathological intestinal inflammation that was supposed to be rooted in its increased TLR5 activation capacity. To finally provide evidence for this hypothesis, we aimed to administer recombinant flagellin from symbiotic and nonsymbiotic E. coli strains to DSS-treated WT mice. Therefore, we used recombinant flagellin from symbiotic EcN (rfliC (EcN)) and from nonsymbiotic MG1655 (rfliC(K12)). While rfliC(K12) was commercially available, rfliC(EcN) was generated and quality-checked as described in the supplementary material (S9 and S10 Figs). First, we checked for their ability to induce TLR5 receptor activation. As seen in Fig 6A, both recombinant flagellins induced IL-8 secretion in mTLR5-HEK293 cells in a concentration-dependent manner. However, rfliC(EcN) induced higher IL-8 secretion compared to rfliC(K12) at a medium-range concentration of 100 ng mL −1 , thus indicating stronger TLR5 receptor activation. Next, we aimed to test the inflammation-preventing properties of both recombinant flagellins during DSS-induced colitis in mice. Therefore, we used Flagellin structure determines immunogenicity of E. coli strains WT SPF C57BL/6 mice and started daily intragastral gavage of 2 μg recombinant flagellin 3 days prior to start of DSS administration. DSS was administered as 3.5% solution in drinking water, and flagellin administration was continued daily until the end of the experiment, 7 days after initial DSS exposure (Fig 6B). The non-flagellin-administered DSS-only-treated control group was gavaged daily with 100 μL sterile PBS, the solvent flagellin was reconstituted in. As demonstrated in Fig 6C, administration of rfliC(EcN) resulted in significantly lower tissue damage in the colon compared to rfliC(K12)-treated and DSS-only-treated mice, therefore indicating prevention of intestinal inflammation. Lower HCSs in rfliC(EcN)-treated mice were associated with decreased concentrations of various proinflammatory cytokines in the blood serum. However, we detected increased serum levels of IL-22 in rfliC(EcN)-treated mice compared to both other groups (Fig 6D). Since IL-22 contributes to maintenance of intestinal immune homeostasis by strengthening the intestinal epithelial barrier, we assumed that EcNflagellin-induced stronger TLR5-activation was associated with increased IL-22 expression. The main sources of intestinal IL-22 are reported to be innate lymphoid cells (ILC3s) and CD4 + T cells, which secrete IL-22 in response to IL-23 [58,59]. Since CD11c is expressed on various different cell types in the mouse intestine, we further focused on intestinal DCs. Intestinal DCs (intDCs) were defined as being Ly6G/Ly6C neg , CD45R/B220 neg , CD64 neg , CD45 pos , and CD11c pos (Fig 6E). Focusing on intDCs in the cLP, however, did not reveal any differences in IL-23 expression between all compared groups ( Fig 6F). This prompted us to check whether intDCs themselves might be the source of IL-22. In fact, we detected significantly increased proportions of IL-22 + cells in rfliC(EcN)-treated mice compared to both other groups (Fig 6F), which correlated with a lower HCS (Fig 6C). Therefore, we assumed that enhanced IL-22 expression by these cells contributed to symbiotic-flagellin-mediated intestinal immune homeostasis maintenance in DSS-induced colitis.

Discussion
E. coli represents one of the most intensely studied intestinal commensals. Colonization of the human gut with E. coli starts early after birth even before colonization with anaerobes, which usually make up the largest part of the human intestinal microbiota [60]. However, distinct commensal E. coli strains can provide completely different immunogenic properties in a certain host's intestine. While pathobiotic commensal E. coli strains may mediate pathophysiological immunological processes in a predisposed host, symbiotic commensal E. coli strains may exhibit even strong probiotic features. Symbionts with beneficial features are widely used to restore gut homeostasis in human patients and animal models [61]. One of the most prominent and therefore most extensively studied symbiotic E. coli strains is EcN. However, its symbiotic properties have not yet been linked to a certain molecular or structural feature. Interestingly, studies using outer-membrane vesicles from EcN have revealed that these vesicles are able to mimic the properties of viable EcN, thus indicating that any surface-associated component might be crucial for the mediation of its symbiotic capacities [62]. An important surface-associated molecule of EcN is flagellin, the constitutive protein of the bacterial flagellum. Most clinically relevant E. coli strains express flagella on the cell surface [63], thus rendering bacteria motile and facilitating bacterial attachment to the intestinal mucus [46]. Since flagellin represents one of the most important antigens in IBD patients [33], we assumed that the definite flagellin structure might contribute to the symbiotic properties of certain E. coli strains and is therefore involved in modulation of IBD pathogenesis.
With this study, we found the HVR of flagellin to strongly influence the immunogenic properties of the tested commensal E. coli strains. Unexpectedly, we observed that symbiotic EcN harbors a substantially longer HVR, comprised of various small inserts, compared to nonsymbiotic commensal E. coli strains. Previous work on structure-function relationship for flagellin-TLR5 interactions have focused on the so-called N-and C-terminal D0 and D1 domains of flagellin that make up the protein's constant region and that are highly conserved among all flagellins across different bacterial phyla [50,51]. This constant region was also characterized as being crucial for interaction with TLR5 and therefore for TLR5-mediated intracellular signaling in host cells [29,30]. Given the high similarity of EcN, MPK, and MG1655 in this region, it was therefore surprising to detect a significant difference between symbiotic and nonsymbiotic strains in the ability to induce TLR5-mediated signaling. Flagellin of EcN, harboring the substantially longer HVR, induced significantly stronger TLR5-mediated signaling compared to the tested nonsymbiotic E. coli strains. This indicated an unexpected contribution of the HVR D2 and D3 domains to TLR5 activation.
Andersen-Niessen and colleagues reported that flagellin's N-terminal D1 domain predominantly determined its TLR5-stimulatory activity. However, this required additional contribution from the HVR D2/D3 and the CD1 domain [64]. This might indicate that HVR domains generally have a stronger impact on TLR5 activation than could have been gleaned from only the crystal structure of TLR5 and flagellin [30]. This structure shows zebrafish TLR5 in complex with Salmonella FliC, out of which 100 amino acids in the HVR of Salmonella are not structurally resolved. This indicates that parts of the HVR might be highly flexible and/or do not stably interact with TLR5, at least with zebrafish TLR5. The situation may be different for the murine TLR5 that was investigated here.
Since the D3 domain of Salmonella flagellin contributes to the stability of flagellin monomers [65], which is a prerequisite for TLR5 receptor activation, it might be possible that the HVR of symbiotic E. coli strains also positively regulates monomer stability, whereas mucus attachment, another function of flagellin, has been shown to be independent of the D3 region [46] and thus probably not relevant here. Although the precise molecular mechanism by which the HVR modulates TLR5 signaling thus remains to be established, our functional data warrant a more thorough exploration of this region, both functionally and structurally.
While extracellular flagellin is sensed by TLR5, leading to MyD88-dependent NFκB activation, flagellin present in the cytosol results in activation of the NLR Family CARD Domain Containing 4 (NLRC4) inflammasome [32]. NLRC4 activation leads to IL-1β and IL-18 secretion, and the NLRC4 inflammasome helps to discriminate harmful pathogens from beneficial commensals [66]. However, we assume that potential NLRC4-inflammasome-mediated effects play a neglectable role concerning the discrimination of symbiotic from nonsymbiotic E. coli strains because of two reasons: first, flagellin recognition by the NLRC4 inflammasome component NLR family, apoptosis inhibitory protein 5 (NAIP5) is crucially mediated by 35 amino acids within the flagellin CD0 domain [67], which is identical in all tested strains. Secondly, we demonstrated that flagellin-HVR-mediated symbiotic effects were completely abolished in TLR5-deficient mice and FEPs were sufficient to mediate symbiotic properties, therefore indicating that TLR5-dependent sensing of extracellular flagellin is far more important than a potential intracellular NLRC4 inflammasome activation in our system. But how can it be explained that a stronger intestinal TLR5 signaling, induced by a symbiotic commensal, correlates with beneficial effects during DSS-induced colitis accompanied by lower systemic cytokine levels? Systemic loss of TLR5 signaling was shown to entail an overgrowth of flagellated members of the intestinal microbiota, promoting inflammatory conditions [48,56]. Furthermore, certain SNPs in the human TLR5 gene are associated with higher incidence of IBDs [68,69]. Therefore, TLR5 expression and signaling seem to be necessary to maintain a balanced homeostatic microbiota composition and intestinal immune homeostasis. This effect has been mostly traced back to TLR5 signaling in IECs, which is suspected to lead to immune cell recruitment, which mediates clearance from bacteria breaching the mucus barrier [37]. However, using BMCM, we have identified intestinal LP CD11c + cells as crucially contributing to the EcN-flagellin-mediated symbiotic effects. This observation is in line with findings that TLR5 on hematopoietic cells is involved in flagellin sensing [70] and flagellindependent activation of Th17 cells [56]. Furthermore, SNP-mediated differences in TLR5 signaling were observed to affect immune cells rather than epithelial cells.
Besides IECs, CD11c + cells such as DCs are the most important TLR5-expressing cells at intestinal mucosal interfaces [71]. We demonstrated that symbiotic-flagellin-mediated beneficial effects on the progress of DSS-induced colitis was associated with increased serum levels of IL-22 as well as with a higher proportion of IL-22 + intDCs. In general, IL-22 contributes to restoration of intestinal homeostasis, promotes regeneration of damaged intestinal epithelium [72], modulates epithelial cell fucosylation [73], and induces the secretion of antimicrobial peptides [74,75] and mucins [76]. Therefore, it represents a pivotal cytokine in modulation of intestinal tissue responses during inflammatory processes. In intestinal tissue, IL-22 is mainly produced by ILC3 cells [59], CD4 + T cells [77], and, to a lesser extent, CD8 + T cells, T-cell receptor (TCR)γδ T cells, neutrophils, and natural killer (NK) cells [78,79]. ILC3 and CD4 + T cells secrete IL-22 mainly in response to IL-23 [58,59,77]. In this connection, intDCs play a decisive role in shaping the LP cytokine milieu in response to intestinal microbiota sensing. However, even intDCs themselves emerged as sources of gastrointestinal IL-22 [75,80,81] which is in line with our observations. Therefore, we hypothesize that symbiotic flagellin, bearing a longer HVR, leads to stronger TLR5 signaling in intDCs, resulting in enhanced IL-22 expression and thus contributing to maintenance of the intestinal barrier. Since disruption of the intestinal barrier provides a characteristic of DSS-induced colitis, IL-22 was demonstrated to play a pivotal role in counteracting inflammatory processes in this disease model [81][82][83]. However, and to date, we cannot completely exclude a merely indirect contribution of intDCs by modulating IL-22 secretion through ILC3 cells or T cells. This indirect influence might occur via secretion of ILC3-and T-cell-activating cytokines by CD11c + cells other than intDCs. Nevertheless, our results indicate intDCs to be, at least partially, direct sources of IL-22 in response to different flagellins, which, in turn, might account for the observed distinct DSS-induced colitis phenotypes mediated by administration of different flagellins. Thus, paradoxically, a symbiotic-flagellin-mediated stronger TLR5 signaling based on its flagellin HVR structure might contribute to the observed lower inflammatory status of symbiotic-flagellinadministered DSS-treated mice.
Interestingly, flagellin-dependent TLR5 signaling was also demonstrated to be involved in the mediation of symbiotic properties of another gut commensal, Roseburia hominis [84], and may thus be a more common phenomenon than previously thought. However, the role of certain cell subtypes within the intestinal tissue mediating the decisive beneficial effects in response to flagellin still remains to be further elucidated. While we propose intDCs from the cLP to be the most important cell type to promote inflammation-preventing events during DSS-induced colitis, Uematsu and colleagues demonstrated CD11c + cells from Peyer's Patches (PPs) in the small intestine to be responsible for flagellin-induced IL-10 secretion, which might, in turn, contribute to homeostasis, while LP CD11c + cells instead promote secretion of proinflammatory cytokines [85]. Therefore, both studies accentuate the contribution of intestinal CD11c + cells on host immune homeostasis by sensing flagellin from luminal microbes, even though different CD11c + cell populations emerged as crucial. Since our study focused on DSS-induced colitis, we did not further investigate cells from noncolonic gastrointestinal tissues. Uematsu and colleagues, on the other hand, did not investigate homeostasis-promoting mechanisms other than IL-10 secretion. Thus, both results are not necessarily contradictory. Nevertheless, more studies have to be conducted to uncover the role of CD11c+ cells all across the gastrointestinal tract in terms of flagellin-mediated immunological reactions.
In addition to local intestinal effects, the E. coli-flagellin-HVR-mediated impact on the progress of DSS-induced colitis in mice was accompanied by regulation of systemic expression of various pro-and anti-inflammatory cytokines. The most important pathology-promoting cytokines in IBD patients are IL-1β, IL-6, TNFα, IFNγ, and IL-17 [86]. We demonstrated that the EcN-administration-associated decrease of IL-1β, IL-17, IL-6, and TNFα serum levels in DSS-treated mice is abolished when an EcN deletion mutant is used that lacks large parts of its flagellin HVR. Therefore, the E. coli flagellin HVR seems to be involved in the regulation of systemic expression of such IBD-promoting cytokines. However, we think that this is instead a secondary effect, probably rooted in IL-22-mediated increased epithelial barrier integrity, thus preventing inflammation-driving translocation of luminal content.
Interestingly, Rakoff-Nahoum and colleagues demonstrated in 2004 that proper TLR2-and TLR4-signaling protects from DSS-induced mortality in microbiota-depleted mice, which is assumed to be necessary for ligand-dependent steady-state induction of protective factors [87]. Our data indicate that intestinal TLR5 signaling might also contribute to these fundamental homeostasis-preserving mechanisms.
Taken together, we propose the flagellin HVR structure may be a distinguishing marker for the classification of E. coli strains as either nonsymbiotic or symbiotic. Furthermore, we demonstrated that flagellin-mediated symbiotic effects were originated in the structure of the flagellin HVR, which, in turn, influences TLR5-mediated intracellular signaling in intestinal CD11c + cells, accompanied by regulation of IBD-promoting cytokines. These insights might therefore offer new possibilities for drug development involving existing or custom-designed flagellin structures, especially for intestinal inflammatory disorders such as IBD.

Ethics statement
In this study, we use WT C57BL/6 and TLR5-deficient animals as well as BMCM as described in the manuscript. This study was carried out in accordance with the principles of the Basel Declaration. Protocols and experiments involving mice were reviewed and approved by the responsible Institutional Review Committee and the local authorities (permit numbers: H3/18, H9/11, H5/10). All mice used in the experiments were killed by CO 2 fumigation, as demanded by the responsible authorities. Mice were weighed daily, and a general checkup of the animals' constitution was performed daily. A weight loss of more than 20% compared to the start of the experiment is an indicator for unacceptable suffering, leading to immediate euthanization of the respective animal. Additionally, the general constitution of the mouse was evaluated according to a score sheet that was approved by the responsible authorities. Exceeding a certain score requires immediate euthanization of the mouse. However, no mouse used for the experiments in the submitted manuscript was required to be euthanized before the projected end of each experiment.

Mice
C57BL/6N (WT) and Tlr5 −/− mice were bred and raised under SPF conditions in the animal facility at the University of Tübingen, Germany and did not provide any signs of spontaneous colitis. CD11cCre/R-DTA (ΔCD11c) [88] mice were bred under SPF conditions at the animal facility of the University of Erlangen. All animal experiments were reviewed and approved by the responsible authorities.

Generation of BMCM
Mice were irradiated in a gamma cell (GammaCell 1000 Elite; Nordion International, Ottawa, ON, Canada) with 900 cGy (female) or 950 cGy (male). Six hours after irradiation, mice were injected intravenously with freshly isolated bone marrow cells (1 × 10 7 cells/100 μL PBS) from donor mice. Bone marrow cells were isolated as described previously [41] with minor modifications. Mice were administered Cotrim E (26 mg/100 mL sterile drinking water, purchased from Ratiopharm, Ulm, Germany) for the first two weeks after irradiation. Six weeks after irradiation, blood was analyzed for successful reconstitution of the transplanted bone marrow by flow cytometry. BMCM were used for induction of DSS-induced colitis as described below.

Generation of FEPs
Bacteria were grown in LB broth as described above. Bacteria were centrifuged at 4,000 rpm, and the cell pellet was resuspended in proteinase inhibitor cocktail (Roche, Basel, Switzerland) and shaken vigorously for 10 min. The suspension was centrifuged for 15 min (4,000 rpm, 4˚C), and the supernatant was used as an FEP.

Administration of live bacteria, FEPs, or recombinant flagellin to mice
We observed the progress of DSS-induced colitis in mice in response to treatment with viable bacteria, FEPs, or recombinant flagellin. Treatment with viable bacteria started 3 days prior to start of DSS administration by one-time intragastral gavage of a total of 10 8 bacteria. Simultaneously, autoclaved drinking water was supplemented with viable bacteria at a final concentration of 10 8 mL −1 . 3 days after initial intragastral gavage, DSS was added to drinking water suspensions at a final concentration of 3.5% (w/v). Drinking water containing bacteria and DSS were renewed every 2 days until the end of the experiment. Colonization with viable bacteria was assessed by determination of CFUs, as described in the supplementary material. Administration of FEPs to DSS-treated mice was comparable: FEPs obtained from 10 7 or 10 10 bacteria were resuspended in 100 μL autoclaved drinking water and administered once by intragastral gavage 3 days prior to the start of DSS administration. Subsequent treatment with FEPs for the next 10 days was performed by generating drinking water suspensions containing FEPs from 10 7 or 10 10 in 100 mL drinking water. DSS was added to the drinking water suspension 3 days after initial FEP administration, and suspensions were renewed every 2 days. Recombinant flagellin was also started to be administered 3 d before start of DSS treatment. A total of 2 μg recombinant flagellin was administered daily by intragastral gavage for a total of 10 d. DSS treatment started 3 d after initial flagellin administration, and DSS solutions were renewed every 2 d.

Generation of pure recombinant EcN flagellin preparations
Chemocompetent NiCo BL21 (D3) E. coli were transformed by heatshock with a pET19-b expression vector harboring the His-tagged sequence for EcN flagellin (FliC(EcN)). After recovery time, transformed bacteria were inoculated into ampicillin-containing LB medium and incubated at 37˚C O/N. An aliquot of the O/N culture was grown until OD = 0.6. 200 μM. IPTG was added to induce lac-operon controlled protein expression of rfliC(EcN). Bacterial culture was grown O/N at 18˚C and 90 rpm, and cells were harvested by centrifugation at 17,000 rpm and 4˚C. The pellet was lysed for 15 min on ice using protease-inhibitor-and benzonase-containing lysis buffer (300 mM NaCl, 50 mM Tris-HCl [pH 8.0], 5 mM imidazole) at a ratio of 10 mL buffer per gram pellet followed by sonification on a Branson 250 sonifier (Branson Ultrasonics, Danbury, CT, USA). Lysates were centrifuged at 35,000 rpm for 45 min at 4˚C. The 1 mL HisTrap Column (GE Healthcare Life Sciences, Marlborough, MA, USA) was equilibrated with equilibration buffer (300 mM NaCl, 50 mM Tris-HCl [pH 8.0]), and bacterial lysate was loaded on the column afterwards. Protein binding to the HisTrap Column was performed O/N. Next, columns were washed with various concentrations of elution buffer (300 mM NaCl, 50 mM Tris-HCl [pH 8.0], 500 mM imidazole), ranging from 3% to 100%. At 20% elution buffer, His-tagged rfliC(EcN) started to be eluted, and elute fractions were collected. Fractions were analyzed via SDS-PAGE and α-fliC western blotting as demonstrated in the supplementary material (S9 and S10 Figs).

DSS-induced colitis
Mice were administered live bacteria, recombinant flagellin, or FEP 3 days prior to challenging with 3.5% (w/v) DSS in drinking water and during the whole course of the experiment as described above. Body weight was determined on day 0 (start of DSS administration) as well as on days 3 to 7.

Statistical analysis
For comparisons of two groups, a parametric Student t test was used for normally distributed values and nonparametric Mann-Whitney test elsewhere. For multiple comparison of more than two groups, one-way ANOVA was used for normally distributed values, and nonparametric Kruskal-Wallis test was used elsewhere. p-values are indicated in the figures. pvalues < 0.05 were considered to be significant.