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Motility of the Zoonotic Spirochete Leptospira: Insight into Association with Pathogenicity

If a bacterium has motility, it will use the ability to survive and thrive. For many pathogenic species, their motilities are a crucial virulence factor. The form of motility varies among the species. Some use flagella for swimming in liquid, and others use the cell-surface machinery to move over solid surfaces. Spirochetes are distinguished from other bacterial species by their helical or flat wave morphology and periplasmic flagella (PFs). It is believed that the rotation of PFs beneath the outer membrane causes transformation or rolling of the cell body, propelling the spirochetes. Interestingly, some spirochetal species exhibit motility both in liquid and over surfaces, but it is not fully unveiled how the spirochete pathogenicity involves such amphibious motility. This review focuses on the causative agent of zoonosis leptospirosis and discusses the significance of their motility in liquid and on surfaces, called crawling, as a virulence factor.


Introduction
Many species of bacteria have motility operated with diverse mechanisms [1,2]. The flagellum is one of the major motility organs that are used by Escherichia coli, Salmonella spp., Helicobacter pylori, Pseudomonas aeruginosa, and others [3]. Mycoplasma spp. and Myxococcus xanthus move on surfaces, called gliding motility, and this is achieved via the molecular architecture on the cell surface [4,5]. P. aeruginosa and unicellular cyanobacteria also show motility on surfaces using extension and contraction of pili [6,7]. These bacteria rely on motility for navigation to explore preferred environments for growing, and pathogenic species utilize this ability for invading hosts [8,9].
Spirochetes are a group of Gram-negative bacteria and include pathogenic species, such as Treponema pallidum (syphilis), Treponema denticola (periodontal disease), Brachyspira hyodysenteriae (swine dysentery), Borrelia burgdorferi (Lyme disease), and Leptospira interrogans (leptospirosis). The spirochetes exhibit helical (e.g., Leptospira spp.) or flat-wave (e.g., Borrelia spp.) cell morphology and have multiple flagella within the periplasmic space. The spirochete flagella are called periplasmic flagella (PFs). The PF-dependent motility is known to be an essential virulence factor, but the mechanism of how spirochetes use the motility in the pathogenic process has not been fully understood. This review will focus on the two distinct modes of Leptospira motility and discuss their significance for pathogenicity.

Leptospirosis
Pathogenic leptospires colonize the proximal renal tubules of animals recovering from the disease, or reservoir hosts such as rodents. The bacteria are shed upon urination into environments, infecting animals in contact with the contaminated soil or water through injured skin. Diverse species of mammals have the potential to acquire Leptospira infection. Pathogenic Leptospira are classified into more than 300 serovars based on the structure of lipopolysaccharide (LPS), and the severity of the resultant symptom depends on the show three motion modes observed in the same cell with distinct cell-end morphologies. The cell rotates without net migration when exhibiting symmetric forms (Spiral-Spiral or Hook-Hook). Asymmetric form (Spiral-Hook) propels the cell in the direction indicated by the white arrow. Longitudinal and cross-sectional views of the asymmetric swimming mode are schematically depicted on the right. Thick black arrows indicate that the directions of cell-end gyration are defined by viewing the cellular tip from the cell exterior (see main text).

Swimming
Asymmetric configuration of the cell body propels the cell unidirectionally, and the anterior and posterior cell-body ends exhibit the spiral and hook shapes, respectively. The cell-end morphology frequently switches with the reversal of gyration, allowing the cell to change swimming direction. Leptospira often shows symmetric morphology (i.e., Spiral-Spiral or Hook-Hook), then rotating without net migration ( Figure 1) [15,16]. Though the PF rotation has not been observed directly, its counter-torque is thought to turn the entire protoplasmic cylinder (PC). The combination of PC rotation (~100 Hz) and the spiral-end gyration (~50 Hz) produces thrust for swimming [17]. Motility assays showed that the migration distance by one revolution of PC is ~30% of the wavelength of the PC in a water-based solution, indicating that the swimming of Leptospira is a slippery motion [18]. However, in gel-like viscoelastic fluids (e.g., methylcellulose solution), the motion efficiency of Leptospira is improved up to 100% [15], resulting in an increment of the swimming velocity [19]. Interestingly, the addition of viscous agent to medium increases the frequency of swimming reversal, as discussed later [16,20].

Swimming
Asymmetric configuration of the cell body propels the cell unidirectionally, and the anterior and posterior cell-body ends exhibit the spiral and hook shapes, respectively. The cell-end morphology frequently switches with the reversal of gyration, allowing the cell to change swimming direction. Leptospira often shows symmetric morphology (i.e., Spiral-Spiral or Hook-Hook), then rotating without net migration ( Figure 1) [15,16]. Though the PF rotation has not been observed directly, its counter-torque is thought to turn the entire protoplasmic cylinder (PC). The combination of PC rotation (∼100 Hz) and the spiral-end gyration (∼50 Hz) produces thrust for swimming [17]. Motility assays showed that the migration distance by one revolution of PC is ∼30% of the wavelength of the PC in a water-based solution, indicating that the swimming of Leptospira is a slippery motion [18]. However, in gel-like viscoelastic fluids (e.g., methylcellulose solution), the motion efficiency of Leptospira is improved up to 100% [15], resulting in an increment of the swimming velocity [19]. Interestingly, the addition of viscous agent to medium increases the frequency of swimming reversal, as discussed later [16,20].

Crawling
In 1975, Cox and Twigg showed a trail of the leptospiral movement on a smooth surface and called it "crawling" [21]. Charon et al. reported that unidentified outer membrane components have mobility along the cell body by observing the movement of microbeads attached to the cell surface via an anti-whole cell antibody [22]. Recently, Tahara et al. revealed that crawling is: (i) PF-dependent motility; (ii) conducted by only PC rotation without the direct contribution of the spiral end; (iii) mediated by adhesive mobile components residing in the outer membrane, such as lipopolysaccharide; and (iv) utterly slip-less motion [18]. Potential as a virulence factor of the Leptospira crawling will be discussed below.

Dependence on a Type of Polymer
The effect of viscosity on bacterial swimming has been investigated in many species [23], but we should note the type of polymers added to the media. For example, Ficoll, a highly branched polymer, makes a homogeneous viscous solution. In contrast, methylcellulose forms an elastic network in solution, and the bacterial movement in such a gel-like heterogeneous fluid depends on the size of the polymer network and bacteria [24,25]. Experiments and theoretical studies have shown that bacterial swimming in a gel-like fluid is accelerated monotonically or up to a certain point of the added polymer concentration, whereas the swimming speed decreases in Ficoll solutions [17,19,23,[25][26][27][28]. The heterogeneous, viscoelastic milieu is ubiquitous in the host body (e.g., mucus layers covering tissues and extracellular matrix), implying the significance of swimming in such unique environments for pathogenicity.

Back-and-Forth Motion
In polymer solutions, Leptospira shows the speed variation in swimming [17,19,29] and increases the transition frequency between swimming (Spiral-Hook) and rotation (Spiral-Spiral and Hook-Hook) modes [16]. The enhancement of the motion-mode switching is observed in Ficoll, methylcellulose, and mucin solutions [16]. In addition, we revealed that the swimming direction reverses more frequently in high viscosity ( Figure 2a) [16,20]. Enhancing "back and forth" movement suggests the limitation of the net migration, crowding bacteria within the mucus layer, and facilitating colonization over the tissues (Figure 2b).

Trial and Error?
The previous section describes the back-and-forth motion in viscous media, but the behavior is also observed at the liquid and gel interface ( Figure 3) [20]. The mechanism sensing viscosity remains unknown, but the fact indicates that penetration of not the entire but partial cell body to a gel-like milieu allows Leptospira to change the swimming pattern. The experimental setup of the liquid-gel interface resembles wound skin exposed to environments contaminated by Leptospira. A time record of the Leptospira movement in the liquid-gel interface showed that the bacteria repeatedly attacked the interface while reversing the swimming direction and finally invading the gel phase ( Figure 3). Swimming reversal induced in the liquid-gel interface could be interpreted as "trial-and-error" to search for an easier route for invasion.

Interaction between PFs
Leptospira switches swimming direction within <1 s [20]. Such a quick reversal suggests the coordination between two PFs mediated by unidentified signal transduction, but there is no definitive evidence so far. The most general signaling for the reversal of flagellar rotation involves the Che system: Sensing environmental stimuli via receptors induces phosphorylation (P) of the regulator protein CheY, and the binding of CheY-P to the flagellar motor reverses rotation. Noting that the diffusion constant (D) of CheY-P is ∼10 µm 2 /s [30], the theoretical estimation using the formula t = x 2 /2D, where t is the time for traveling the distance x with D, predicts the time gap of ∼50 ms between the reversals of two flagellar motors in the same E. coli cell ( x ∼1 µm). In contrast, since the distance between PFs of Leptospira is ∼20 µm, the reversal upon CheY-P binding at one PF delays ∼20 s from the other PF, indicating that the observed rapid reversal cannot be achieved only by the Che system. PFs of Bo. burgdorferi is so long that they overlap at the center of the cell body [31]. A theoretical study predicted that direct interaction between PFs is indispensable for propelling the Bo. burgdorferi smoothly [32]. In contrast, since PFs of Leptospira are too short for contact with each other directly, the cell body might mediate the interaction between PFs [17,33]. There remains the possibility that Leptospira switches the PF rotation and transforms the cell end (Spiral or Hook shape) at random, and the asymmetric swimming mode (Spiral-Hook) appears accidentally. However, the simple scenario will not explain the viscosity dependence of the swimming reversal [16,20]. Higher-resolution analysis focusing on the reversal timing of two PFs (cell-end gyration) may give a clue to unveil this long-term mystery.

Trial and Error?
The previous section describes the back-and-forth motion in viscous media, but th behavior is also observed at the liquid and gel interface (Figure 3) [20]. The mechanis sensing viscosity remains unknown, but the fact indicates that penetration of not the enti but partial cell body to a gel-like milieu allows Leptospira to change the swimming patter The experimental setup of the liquid-gel interface resembles wound skin exposed to e vironments contaminated by Leptospira. A time record of the Leptospira movement in th liquid-gel interface showed that the bacteria repeatedly attacked the interface while r versing the swimming direction and finally invading the gel phase (Figure 3). Swimmin reversal induced in the liquid-gel interface could be interpreted as "trial-and-error" search for an easier route for invasion. The experimental setup of the liquid-gel interface resembles wound skin exposed to environments contaminated by Leptospira. A time record of the Leptospira movement in the liquid-gel interface showed that the bacteria repeatedly attacked the interface while reversing the swimming direction and finally invading the gel phase ( Figure 3). Swimming reversal induced in the liquid-gel interface could be interpreted as "trial-and-error" to search for an easier route for invasion.

Swimming Force
There are many parameters to characterize bacterial motility. For example, swimming speed (v) and the rotation speed of flagella (f ) have been measured in various bacterial species. The theoretical estimation of drag coefficients for translation (γ T ) and rotation (γ R ) allows us to calculate swimming force (F = γ T v) and torque generated by the flagellar motor (N = γ R 2π f ). Direct measurement of force and torque is not as easy as speed, but some physical techniques, such as optical tweezers [34] and the electrorotation method [35], have achieved the experiment. Since adequate power seemed to be needed for Leptospira to invade the host body through the dermis, we measured the swimming force using optical tweezers. A focused laser can trap a micro-object at the focusing point, thereby manipulating the trapped object by moving the laser position. Moreover, when trapping mobile objects such as microorganisms, the optical tweezers impose the restoring force on the trapped object in a displacement-dependent manner. Therefore, the optical tweezers can be used as a spring scale (Figure 4). Trapping a microbead attached to the surface of the Leptospira cell revealed that the spirochete generates ∼17 pN by swimming [20], which is about 30 times the swimming force of E. coli [34]. Leptospira might be a powerful swimmer. The PFs of Leptospira are fueled by proton motive force [36], just like with the E. coli motor, and perhaps there is not be much difference in the amount between the species. Feasible explanations of the powerful swimming of Leptospira are as follows. First, cryo-electron microscopy revealed that the rotor ring of the Leptospira flagellar motor is larger than that of the E. coli motor, therefore generating higher torque [37]. Secondarily, drag coefficients for the Leptospira cell body are greater than the E. coli one due to its very long cell body [20].

Crawling on Cultured Kidney Cells
The swimming motility would be somehow associated with the pathogenicity of Leptospira, but the bacterial adhesion to, and movement over tissue surfaces could be related to manifestation more directly. Recently, we assessed the leptospiral dynamics on the cultured kidney cells derived from various mammalian species (Figure 5a) [38]. Comparison of the bacterial adhesion to kidney-cell sheets between pathogenic and non-pathogenic strains showed higher adhesivity of the pathogenic strains. There was no difference in crawling speed among the measured strains, but pathogens' crawling showed wider spreading over the kidney cells (Figure 5b). An in vitro infection assay using renal proximal tubule epithelial cells (RPTECs) showed that the adhesion and crawling populations of the pathogenic species L. interrogans on RPTECs increased with time (~24 h after infection). In contrast, those of non-pathogenic species Leptospira biflexa were smaller than L. interrogans without changing during the experiment [39]. The adhesivity and crawling could allow Leptospira to interact with the tissue surfaces, increasing the probability of reaching an intracellular tight junction, a transmigration route for Leptospira, and assisting disassembly of junction complexes (Figure 5c). (c) A hypothesis of crawling-dependent pathogenicity. This figure was made using some data reported in [38] with some modifications.

Leptospira Ligands Involved in Crawling
Anti-LPS antibody affects crawling on a glass surface, suggesting a potential role of LPS as an adhesin in surface motility [18]. Leptospira have abundant cell-surface proteins, and some of them are known to bind to components included in the extracellular matrix,

Crawling on Cultured Kidney Cells
The swimming motility would be somehow associated with the pathogenicity of Leptospira, but the bacterial adhesion to, and movement over tissue surfaces could be related to manifestation more directly. Recently, we assessed the leptospiral dynamics on the cultured kidney cells derived from various mammalian species (Figure 5a) [38]. Comparison of the bacterial adhesion to kidney-cell sheets between pathogenic and non-pathogenic strains showed higher adhesivity of the pathogenic strains. There was no difference in crawling speed among the measured strains, but pathogens' crawling showed wider spreading over the kidney cells (Figure 5b). An in vitro infection assay using renal proximal tubule epithelial cells (RPTECs) showed that the adhesion and crawling populations of the pathogenic species L. interrogans on RPTECs increased with time (∼24 h after infection). In contrast, those of non-pathogenic species Leptospira biflexa were smaller than L. interrogans without changing during the experiment [39]. The adhesivity and crawling could allow Leptospira to interact with the tissue surfaces, increasing the probability of reaching an intracellular tight junction, a transmigration route for Leptospira, and assisting disassembly of junction complexes (Figure 5c).

Crawling on Cultured Kidney Cells
The swimming motility would be somehow associated with the pathogenicity of Leptospira, but the bacterial adhesion to, and movement over tissue surfaces could be related to manifestation more directly. Recently, we assessed the leptospiral dynamics on the cultured kidney cells derived from various mammalian species (Figure 5a) [38]. Comparison of the bacterial adhesion to kidney-cell sheets between pathogenic and non-pathogenic strains showed higher adhesivity of the pathogenic strains. There was no difference in crawling speed among the measured strains, but pathogens' crawling showed wider spreading over the kidney cells (Figure 5b). An in vitro infection assay using renal proximal tubule epithelial cells (RPTECs) showed that the adhesion and crawling populations of the pathogenic species L. interrogans on RPTECs increased with time (~24 h after infection). In contrast, those of non-pathogenic species Leptospira biflexa were smaller than L. interrogans without changing during the experiment [39]. The adhesivity and crawling could allow Leptospira to interact with the tissue surfaces, increasing the probability of reaching an intracellular tight junction, a transmigration route for Leptospira, and assisting disassembly of junction complexes (Figure 5c). (c) A hypothesis of crawling-dependent pathogenicity. This figure was made using some data reported in [38] with some modifications.

Leptospira Ligands Involved in Crawling
Anti-LPS antibody affects crawling on a glass surface, suggesting a potential role of LPS as an adhesin in surface motility [18]. Leptospira have abundant cell-surface proteins, and some of them are known to bind to components included in the extracellular matrix, Figure 5. Crawling of Leptospira on the cultured kidney cells [38]: (a) Epi-fluorescence image of the L. interrogans serovar Icterohaemorrhagiae on the rat kidney cell line (NRK-52E). (b) A trajectory of a crawling L. interrogans; time courses in the order of red, orange, yellow, green, blue, and indigo. (c) A hypothesis of crawling-dependent pathogenicity. This figure was made using some data reported in [38] with some modifications.

Leptospira Ligands Involved in Crawling
Anti-LPS antibody affects crawling on a glass surface, suggesting a potential role of LPS as an adhesin in surface motility [18]. Leptospira have abundant cell-surface proteins, and some of them are known to bind to components included in the extracellular matrix, such as fibronectin and laminin [11,40]. For example, Lig (leptospiral immunoglobulinlike protein) has a binding affinity to fibronectin, laminin, and collagen [41,42]; LenA (leptospiral endostatin-like protein A) binds to the complement negative regulator Factor H and laminin [43][44][45]. Future studies will address the responsibility of these candidate proteins for the Leptospira dynamics on the host cells.

Host Preference
The severity of leptospirosis depends on the combination of the host species and the Leptospira serovars, but the link between the host-pathogen pairing and the outcome is ambiguous. Though it would be the consequence of a complicated host-pathogen interaction, such as an immunological attack and evasion [46], which might lead us to understand the mechanism from the Leptospira dynamics on the host tissues. The adhesivity and crawling-dependent spread investigated on kidney cells of various mammalian hosts show a positive correlation, and the typical maintenance host rat shows a lower score against pathogenic strains (i.e., low adhesivity and limited spread) [38]. In contrast, the pairs have a trend causing severe symptoms (e.g., L. interrogans serovar Manilae vs. human and Icterohaemorrhagiae vs. dogs), and show a higher score [38]. The tendency plausibly suggests the significance of the pathogens' motility on the host tissues for leptospirosis ( Figure 5c).

Conclusions
This review article summarized the current knowledge on Leptospira motility while focusing on its association with pathogenicity. It emphasized the significance of motility as a virulence factor; however, most proposals on motility-dependent pathogenicity remain a matter of speculation. If future works prove the role of motility more definitively, motility could be a novel target for medication and prevention of infection. For example, adhesive outer-membrane components, which could be involved in crawling [38], might be new antimicrobial targets. Recent results have highlighted the significance of motility over solid surfaces. T. denticola also shows crawling motility using some outer-membrane components such as the surface proteinase dentilisin, facilitating the surface spreading of the spirochete [47]. A study of Bo. burgdorferi reported multiple forms of motility on gelatin, which are perhaps different from crawling, and discussed their relevance to the spirochete dissemination on the host tissue [48]. Direct interaction with host cells would be crucial for the pathogenic process. Therefore, not limited to spirochetes, further intensive investigation of the pathogens' dynamics on the host cells is expected.