Figures
Abstract
The mechanisms used by human adapted commensal Neisseria to shape and maintain a niche in their host are poorly defined. These organisms are common members of the mucosal microbiota and share many putative host interaction factors with Neisseria meningitidis and Neisseria gonorrhoeae. Evaluating the role of these shared factors during host carriage may provide insight into bacterial mechanisms driving both commensalism and asymptomatic infection across the genus. We identified host interaction factors required for niche development and maintenance through in vivo screening of a transposon mutant library of Neisseria musculi, a commensal of wild-caught mice which persistently and asymptomatically colonizes the oral cavity and gut of CAST/EiJ and A/J mice. Approximately 500 candidate genes involved in long-term host interaction were identified. These included homologs of putative N. meningitidis and N. gonorrhoeae virulence factors which have been shown to modulate host interactions in vitro. Importantly, many candidate genes have no assigned function, illustrating how much remains to be learned about Neisseria persistence. Many genes of unknown function are conserved in human adapted Neisseria species; they are likely to provide a gateway for understanding the mechanisms allowing pathogenic and commensal Neisseria to establish and maintain a niche in their natural hosts. Validation of a subset of candidate genes confirmed a role for a polysaccharide capsule in N. musculi persistence but not colonization. Our findings highlight the potential utility of the Neisseria musculi-mouse model as a tool for studying the pathogenic Neisseria; our work represents a first step towards the identification of novel host interaction factors conserved across the genus.
Author summary
The Neisseria genus contains many genetically related commensals of animals and humans, and two human pathogens, Neisseria gonorrhoeae and Neisseria meningitidis. The mechanisms allowing commensal Neisseria to maintain a niche in their host is little understood. To identify genes required for persistence, we screened a library of transposon mutants of Neisseria musculi, a commensal of wild-caught mice, in CAST/EiJ mice, which persistently and asymptomatically colonizes. Approximately 500 candidate host interaction genes were identified. A subset of these are homologs of N. meningitidis and N. gonorrhoeae genes known to modulate pathogen-host interactions in vitro. Many candidate genes have no known function, demonstrating how much remains to be learned about N. musculi niche maintenance. As many genes of unknown function are conserved in human adapted Neisseria, they provide a gateway for understanding Neisseria persistence mechanisms in general.
Citation: Rhodes KA, Ma MC, Rendón MA, So M (2022) Neisseria genes required for persistence identified via in vivo screening of a transposon mutant library. PLoS Pathog 18(5): e1010497. https://doi.org/10.1371/journal.ppat.1010497
Editor: Mathieu Coureuil, INSERM, FRANCE
Received: November 17, 2021; Accepted: April 4, 2022; Published: May 17, 2022
Copyright: © 2022 Rhodes et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: Sequencing data is available in the NCBI Gene expression omnibus under accession GSE188969.
Funding: This research was supported by a National Institutes of Allergy and Infectious Disease R21AI144763 and a University of Arizona Accelerate for Success grant awarded to M. S. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. https://www.niaid.nih.gov https://research.arizona.edu.
Competing interests: The authors have declared that no competing interests exist.
Introduction
The microbiota is well documented to play a key role in human immune system development and maintenance, nutrient acquisition, and hormone production, among other processes [1]. How microbes/commensals engage the host to shape and maintain their own ecological niche is still not well understood. Dissecting the contribution of individual species to these processes faces considerable hurdles. Most members of the microbiota are not yet culturable, and of those that are, many are genetically intractable [2,3]. The tropism of some species for humans limits the ability of small animal models to accurately recapitulate microbe-human interactions, especially in the context of long-term carriage. To identify the mechanisms used by commensals to interact with their natural host, novel approaches are required.
The Neisseria genus provides this opportunity. This large group of Gram-negative β-Proteobacteria are commonly found in humans and animals [4]. Neisseria sicca, N. subflava, N. flavescens and N. lactamica, among others, inhabit the human oropharynx, establishing their niche early in human development [5–7]. Neisseria spp. have also been identified in a wide array of wild and domesticated animals [8].
The recent isolation of Neisseria musculi from a wild-caught mouse and its subsequent characterization opened an avenue of approach for studying commensal colonization [9–11]. N. musculi establishes long-term (at least one year) residence in the oral cavity and gut of susceptible strains of lab mice (see [9]) which do not naturally harbor Neisseria; the animals are healthy throughout. The N. musculi genome has been sequenced and annotated, and, like the other Neisseria spp. examined, the bacterium can be manipulated genetically [10,12]. The pairing of N. musculi with the mouse, its natural host, makes it possible to study commensal Neisseria niche development and maintenance, from the standpoint of both bacterium and host.
The N. musculi-mouse model can potentially inform on Neisseria pathogenesis as well. Two members of this genus have high pathogenic potential: N. meningitidis and N. gonorrhoeae, which respectively causes meningococcal meningitis and septicemia, and gonorrhea [13,14]. These species infect humans exclusively, and their tropism is dictated in part by their interactions specifically with human isoforms of transferrin, lactoferrin, IgA1 and immunoregulators CD46 and CEACAM [15–20]. Infection does not necessarily result in disease. N. meningitidis is a common inhabitant of the oropharynx; in healthy adult populations, N. meningitidis carriage rates can exceed 30% and asymptomatic colonization may last for many months [21]. Similarly, exposure of the urogenital tract, oropharynx, and rectum to N. gonorrhoeae does not automatically lead to symptomatic disease [13]. Between 50–70% of women with N. gonorrhoeae infections have no symptoms [22].
N. meningitidis and N. gonorrhoeae descended from a commensal Neisseria ancestor and are genetically related to present day commensal Neisseria spp. [23]. This shared ancestry with commensals suggests that their tendency to cause persistent asymptomatic infection may be governed by a shared repertoire of host interaction factors. Indeed, of the approximately 177 N. gonorrhoeae and N. meningitidis genes previously reported to encode host interaction factors, 69 are conserved in all 19 other Neisseria spp. evaluated [24]. While genes unique to N. gonorrhoeae and N. meningitidis undoubtedly contribute to pathogenesis, the importance of the shared host interaction factors to infection cannot be discounted. Moreover, these shared host interaction factors may also contribute to the ability of commensal Neisseria to sporadically cause disease [25].
Studies of N. gonorrhoeae and N. meningitidis host interaction factors largely rely on in vitro systems, and studies of inflammatory responses to infection depend on the use of genetically, surgically and/or chemically modified mice [26–28]. While these experimental systems have provided invaluable insight into early events in pathogen-host interactions, they cannot be used for studies of long-term carriage. The N. musculi-mouse model system answers this need.
To identify N. musculi genes putatively required for long-term colonization, we created a library of Tn5 transposon mutants and screened the library in CAST/EiJ mice for mutants that fail to persist in the oral cavity and gut. By comparing the inoculum library with those recovered from the two sites at various times after inoculation, we identified a list of N. musculi genes that are (presumed) required for long-term carriage in these niches. Several N. gonorrhoeae and N. meningitidis host interaction genes are on this list, confirming the in vivo importance of these pathogen homologues. Also on the list are genes for the biosynthesis of a capsular polysaccharide (cps), which is widely considered a virulence attribute of N. meningitidis and other pathogens. In vivo testing of a genetically defined cps deficient mutant confirmed a role for this "virulence" factor in long-term colonization by N. musculi.
Materials and methods
Ethics statement
Animal experiments were conducted in accordance with recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. All experiments were approved by the University of Arizona Institutional Animal Care and Use Committee (PHS Animal Welfare assurance number A-3248-01) under protocol 10–203.
Bacterial culture
N. musculi strain AP2365 was used for all experiments in this study (S1 Table) [10]. Bacteria were struck for single colony isolation on GCB plates containing Kellogg’s Supplement I & II and Rifampicin (Rif) (40 μg/mL) for maintenance, and Kanamycin (Km) (50 μg/mL) for selection of Tn5-containing clones. All Neisseria cells were grown at 37°C, 5% CO2.
DNA extraction
Eighteen-hour lawns of N. musculi were collected into TES buffer (50 mM Tris pH 8, 20 mM EDTA, 50 mM NaCl) with 1% SDS and thoroughly resuspended by vortexing [29]. DNA was extracted from the suspension using two rounds of 25:24:1 phenol/chloroform/isoamyl alcohol purification followed by ethanol precipitation in sodium acetate (0.3M final concentration). RNA was removed with RNAseA (Qiagen) and DNA integrity was confirmed by gel electrophoresis.
Construction of Tn5 library
DNA purified from N. musculi was modified using the EZ-TN5-KAN-2 Transposon Kit (Lucigen) with modifications to the manufacturer’s instructions [30]. 1.5 μg of DNA was incubated 2 hours at 37° C with 0.15 pmole of EZ-TN5 KAN-2 transposon, 1.5 units of Tn5 transposase and 1X reaction buffer (0.05 M Tris-acetate pH 7.5, 1.5 M potassium acetate, 10 mM magnesium acetate, 4 mM spermidine). The reaction was stopped with 0.1% SDS and heated for 20 minutes at 72° C prior to column purification (Clean and Concentrate Kit, Zymo). 1 unit of T4 DNA polymerase (Thermofisher) and 2 nmol of DNTPs (Thermofisher) were added to the heat-killed reactions and incubated another 20 minutes at 11° C to repair transposon-DNA junctions prior to column purification (Clean and Concentrate Kit, Zymo). Samples were eluted in Tris (5 mM, pH 8), and stored at -20° C until transformation. This procedure was repeated three times.
For transformation, 18-hour lawns of N. musculi were collected in pre-warmed GCB with 10 mM MgSO4 and incubated 30 minutes with 1 μg of the in vitro-transposed DNA, spotted on a GCB plate and incubated an additional 8 hours at 37° C 5% CO2. Colonies were then harvested and selected on GCB agar containing Km (50 μg/mL) for 48 hours 37° C 5% CO2. This procedure was repeated 3 times to collect approximately 100,000 KmR CFUs. Each plate was replicated 5 times onto supplemented GCB agar containing Km (50 μg/mL) and incubated until colonies were visible (~24–36 hours). Cells from replicate plates were pooled into single tubes containing 5 ml of GC broth with 20% glycerol to create single library copies, and frozen at -80°C. A summary of the transposon library construction and screening approach is found in Fig 1A.
A. Genomic DNA was extracted from N. musculi and transposed in vitro using a Tn5EZ-KM kit prior to transformation into Wt N. musculi and selection on Kanamycin. Mutagenesis and transformation were repeated until a total of approximately 100,000 CFU were isolated, at which point the libraries were replicated and frozen. For inoculation, a single library replicate per cohort of mice (n = 5) was cultured on selective media, and resuspended bacteria were introduced into the oral cavity of CAST/EiJ mice. Each cohort of mice was sampled weekly for the duration of the study, and bacteria were cultured from fecal pellets and oral swabs on selective media. Genomic DNA was isolated from the library replicate passage and the inoculum, and from bacteria recovered in fecal and oral samples. These samples were submitted to the University of Arizona Genetics Core for Tn5 junction enrichment, library preparation, and sequencing on an Illumina MiSeq instrument. B. Total bacterial burden recovered from library 1 and 2 cohorts. Data are expressed as per mouse CFU/ml total sample volume for oral isolates, CFU/gm fecal pellet for gut samples. Points appearing below the LOD indicate a mouse without a detectable burden; they are plotted to illustrate mouse group size. Nmus; Neisseria musculi.
Animal inoculation and sample collection
All mice used in the study were obtained from the Jackson laboratory (Bar Harbor ME). Three days prior to inoculation of the mutant library into mice, one replicate of the library was thawed and plated onto supplemented GCB agar containing Km (50 μg/mL). After a 36-hour incubation, each plate was replicated onto a fresh agar plate, to ensure only viable bacteria were collected for inoculation, and incubated another 36 hours. On the day of inoculation, the replicated plates were collected in Dulbecco’s PBS, thoroughly vortexed and the OD600 was measured in a spectrophotometer. An aliquot of the stock was corrected to an OD600 = 2 or OD600 = 4 in sterile DPBS for inoculation; the remainder was processed for DNA extraction. The inoculum was introduced orally into 5 CAST/EiJ mice pre-screened for the absence of Neisseria, following established procedures [11]. An aliquot of the inoculum was plated on supplemented GCB agar to establish the dose, and the remainder was processed for DNA extraction. Every week for 10 weeks post-inoculation, the mice were sampled for CFU enumeration. Oral swabs were collected as previously described [11]. For each mouse, fecal samples were collected over a 30-minute period in a pre-sterilized canister lined with a sterile paper towel. Pellets from each mouse were collected in a single tube, weighed, then suspended in unsupplemented GC broth with 20% glycerol. A 100 μl aliquot of each sample was plated on supplemented GCB agar containing Rif (40 μg/mL) to assess bacterial burden; the remainder was banked at -80° C. To prepare samples for sequencing, the remainder of the sample was plated on supplemented GCB agar containing Rif (40 μg/mL) and Km (50 μg/mL) to select for Tn5-containing bacteria from each timepoint. The colonies on Rif/Kan plates were pooled by dose, cohort, and experiment, and DNA from each pool was extracted. This process was repeated using a second library replicate in 5 additional CAST/EiJ mice.
For validation of Tn5 mutants, Wt, Δcps228 and complemented strains were harvested in PBS as 18-hour lawns, and adjusted to an OD600 = 2 prior to oral inoculation in 6–8 week old A/J mice, which are also permissive for N. musculi colonization, according to established procedures [11]. Oral swabs and fecal pellets were collected each week for 8 weeks in GC broth with 20% glycerol for storage at -80° C, and aliquots were plated on supplemented GCB Rif (40 μg/mL). CFUs were enumerated, and bacterial burden normalized to total sample volume or CFU/gm fecal pellet for each strain.
Next generation sequencing
Sequencing was performed at the University of Arizona Genetics Core following previously described methods [31]. Briefly, 2 μg of DNA was sheared to 500 bp by ultrasonication on a Covaris S2. Samples were end-repaired, A tailed and ligated to adaptors Ind_Ad_T and Ind_Ad_B by NEBnext DNA library prep kit. PCR enrichment of TN5 junctions was performed with primers Tn-FO and Adapt-RO using Kapa HotStart HiFi (Roche) using thermocycling conditions as follows; 95° C for 5 minutes, 94° C for 45 seconds, 56° C for 1 minute, 72° C for 1 minute for 22 cycles, and a final extension at 72° C for 10 minutes. Samples were purified using a MagBio HighPrep PCR cleanup kit (MagBio Genomics) and amplicons from 100 to 600 bp were captured using a 2% agarose cassette on a Blue Pippin instrument (Sage Science). Amplicons were indexed using a Nextera V2 dual index kit (Illumina) and purified by MagBio HighPrep PCR cleanup. Purified, indexed amplicons were then quantified on a Qbit fluorometer, and sequenced on an Illumina MiSeq instrument as 75 bp paired end reads. Sequencing was repeated on these libraries in 3 separate runs to generate enough reads for analysis, and the reads were merged by sample after initial demultiplexing.
Transposon insertion sequencing analysis
Cutadapt was used to filter and trim adaptors and Tn5 sequences from reads, and pairs lacking Tn5 sequences or failing minimum length filters were discarded [32]. The remaining reads were aligned to the N. musculi reference genome, (accession CP06414.1 and CP06415.1, strain NW831/AP2031) with BWA-MEM [12,33]. The resulting files were further analyzed using tools from the Bio-Tradis pipeline [34]. Insertion plots were generated as described using the tradis_plot script. To remove multimapping reads, reads with a mapping quality less than 30 were discarded. Gene insertions, i.e., genes interrupted by Tn5, were identified using the tradis_gene_insert_sites script, and insertions in the 3’ 10% of the open reading frame (ORF) were ignored. Analysis was performed on samples merged by replicate, time point and sample site. Putative housekeeping genes were identified using the tradis_essentiality.R tool as previously described [34–36]. Briefly, insertion index thresholds were determined by log-odds ratios calculated on fits of gamma distributions of insertion indices in each sample. Putative housekeeping genes were identified as those with insertion indices below the calculated essentiality threshold in both replicates of the passage samples. Host interaction candidates were identified using tradis_comparison.R, comparing Tn5 derived reads in the inoculum to mouse output samples. An ORF was classified as a host interaction candidate gene using a cutoff of log2-fold change > [1] output vs. inoculum, and false discovery rate adjusted p value (q) < 0.05 according to previously described methods [37]. Repetitive transposase elements were removed from the analysis to preclude false positive assignment of essentiality, as these are present in multiple copies in the genome and as such any reads originating from these sites would have been marked as multi-mapping. Genes appearing in the housekeeping gene set were ignored in further analysis of host interaction candidate genes due to their low initial saturation in an effort to improve the stringency of our screen. To identify pathways involved in host interaction, pathway enrichment analysis of fold-change ranked significant hits with the enrichKEGG tool from clusterProfiler Bioconductor package implemented in R [38]. To expand the number of genes mapped to pathways, analyses were conducted using a minimum gene set size of 1, and a Benjamin-Hochberg adjusted p value cutoff of 1.0. An adjusted p value of 0.1 was used to assign significance. The N. musculi functional annotation hosted on KEGG was used as the reference for these analyses [39]. COG assignments were made using eggnog-mapper V2 with protein sequences from the AP2031 reference [40]. Phage annotation was performed using the PHASTER server on the N. musculi reference genome [41]. Comparisons of N. musculi host interaction candidates to genes encoded by the rest of the Neisseria genus were performed using KEGG Sequence Similarity Database (SSDB) Gene Function Identification Tool (GFIT) Smith-Waterman searches, blastP, and blastN [39]. Heatmap clustering and visualization was performed using the complexHeatmap Bioconductor package [42].
Validation of capsular polysaccharide mutants
The noncoding 228 bp DNA segment between the capsular synthesis and transport regions in N. musculi was deleted and replaced with a Kanamycin (Km) cassette [43]. A DNA fragment (IM132, S1 Table) containing a neomycin phosphotransferase gene and sequences flanking csiA/A1 and ctrA was ligated into pGEM-T (Promega) and the ligation product was confirmed by restriction digestion and sequencing. The recombinant plasmid was transformed into Wt N. musculi AP2365 and transformants were selected on supplemented GCB agar containing Km (50 μg/ml). Km resistant mutants were confirmed by Sanger sequencing of PCR amplicons generated by primers IM059 and IM060 (S1 Table). To construct the complemented strain, the intergenic region of one capsule nonproducing mutant, Δcps228, was transformed with a PCR product generated from Wt DNA using primers IM133 and IM134 (S1 Table).
Analysis of cps transcripts
Wt N. musculi AP2365, Δcps228 and complement strains were grown to mid-log phase in supplemented GC broth at 37° C 5% CO2 without shaking. Total RNA was extracted using TriZol (Invitrogen) according to the manufacturer’s recommendations, and treated with DNase (DNA-free, Ambion) to remove chromosomal DNA. RNA was quantified using a Nanodrop (Thermo Scientific), and 1 μg of RNA was used in first strand synthesis using M-MLV reverse transcriptase (Promega) according to the manufacturer’s instructions. PCR to characterize transcripts was conducted using GoTaq green master mix (Promega) with primers to amplify transport, translocation and capsule synthesis transcripts and junctions between each putative transcript (S1 Table). 16S and genomic DNA (gDNA) controls were amplified from total RNA.
Growth curves
Wt AP2365, Δcps228 and complemented strains were harvested from 16-hour lawns grown on supplemented GCB agar and adjusted to an OD600 = 0.05 in 2 ml GC broth with 1% Kellogg’s supplement 1 and 0.1% supplement II in 50 mm dishes. Samples were incubated at 37° C 5% CO2 for 8 hours, and OD600 was measured every 2 hours on a Beckman coulter spectrophotometer. The absorbance at each time point was normalized to the density of that sample at t = 0.
Capsule extraction and staining
To examine capsule production, 16-hour lawns of Wt N. musculi and capsule mutant strains, N. gonorrhoeae MS11 and N. meningitidis FAM18 cells were harvested in PBS and adjusted to an OD600 = 1.0. Cell suspensions were incubated at 55° C for 30 minutes and pelleted. Supernates were filtered using an Amicon Ultra 10k NNWL centrifugal filter device (Millipore) and concentrated 10x. 30 μl of concentrate was run on a 7.5% SDS PAGE gel and stained overnight with 0.125% Alcian blue (Sigma). The gel was destained in 40% ethanol 5% glacial acetic acid until all background was removed and imaged on a LiCor Odyssey instrument.
Statistical analysis
Normalization and statistical analysis of transposon insertion data was completed using methods implemented by the Bio-Tradis tool set. These methods have been extensively described elsewhere [34–36]. Pathway enrichment statistical analysis was conducted in R using the clusterProfiler package. Multiple testing was corrected using the Benjamin Hochberg correction for both Bio-Tradis and clusterProfiler analyses. Pearson correlation analysis was used to compare gene insertion indices and read counts from each host- passage sample replicate. Comparison of COGs between the housekeeping candidate pool and host interaction candidate pool was performed by Two-sided Fisher’s exact test. Mouse burdens were tested for normality using the Kolmogorov-Smirnov and Shapiro-Wilks tests, and analyzed using Kruskal-Wallis tests with Dunn’s comparison to Wt controls for each strain. Correlation analysis, COG comparisons, and mouse data analysis was conducted in GraphPad Prism V9. All in vitro experiments were performed in 3 biological and 3 technical replicates.
Results
Screening of a library of Tn5 N. musculi mutants in mice for genes required for long-term colonization
We constructed and screened a library of Tn5 mutants of N. musculi in CAST/EiJ mice to identify mutants in the inoculum that were absent or underrepresented in oral cavity and gut samples at various times post-inoculation. Each of 2 replicates of this library was inoculated into 5 CAST/EiJ mice (approximately 1x10^7 mutants per inoculum) (Fig 1A and 1B). N. musculi burden in the oral cavity and gut were determined weekly for 10 weeks. At week 4, N. musculi CFUs were recovered in large numbers from the oral cavity and gut of 50% and 80% of the mice, respectively. By 6 and 8 weeks, N. musculi was recovered from 70% of the mice. The number of mice with detectable N. musculi CFUs in the oral cavity increased over time, while N. musculi CFUs recovered from fecal samples remained relatively stable between 4 and 6 weeks.
N. musculi DNA was isolated from the inoculum generated from each library as well as from the initial culture from which the inoculum was derived. Tn5 junction enrichment and high throughput sequencing of Tn5 insertion sites was performed at the University of Arizona Genetics Core. A total of ~62 million Tn5-directed reads were synthesized from all samples; over 90% of mate 1 reads contained the Tn5 adaptor. An average of 75% of the Tn5-containing read pairs in each sample mapped to the N. musculi chromosome and plasmid. These reads were derived from 327633 unique Tn5 insertions in the library 1 inoculum and 304165 in the library 2 inoculum. This represents a transposon insertion every 9 bp, allowing for identification of host interaction candidates after passage through the mouse. Identification and analysis of Tn5 insertions was performed using tools from the Bio-Tradis pipeline.
To identify housekeeping genes and genes with low Tn5 saturation, the Bio-Tradis essentiality.R tool was used to analyze sequences from library 1 and 2 initial culture samples. Analysis of distributions of gene insertion indices of these samples initially identified ~1100 candidates as possibly required for in vitro growth with agreement between libraries (S1A Fig). These genes were further curated to remove repetitive transposable elements; this avoids genes being erroneously classified as essential due to a lack of insertions as multimapping reads were discarded during the analysis step. The curation yielded a final set of 776 putative housekeeping genes with a lower than anticipated gene insertion index and 192 genes without detectable insertions in library passage and inoculum samples (S1 Data). Annotation, pathway mapping and over representation analysis revealed their functions were predominately associated with central and secondary metabolism, ribosomal structure and biogenesis, cell envelope biosynthesis, cell division, and nutrient acquisition and transport (S1B and S1C Fig). The prevalence of genes associated with vital physiologic processes, including those known to be essential in other organisms, (e.g., signal peptidase 1, ribosomal proteins, NrdB, elongation factor Tu) supports our notion that insertions in these open reading frames convey a defect in in vitro growth [44].
Identification of N. musculi genes required for long-term colonization
To focus on genes important for persistence in the mouse, gut samples from week 6 and gut and oral samples from week 8 were further analyzed. We recovered a total of ~2.6 x 10^6 N. musculi CFU/gm fecal pellet in week 6, while week 8 gut and oral samples contained a total of ~2.7 x10^5 CFU/gm fecal pellet and ~4.7 x 10^4 CFU/ml sample, respectively. Bacteria isolated from these samples were pooled by library replicate, dose, time point and sample site, and DNA was extracted and sent for Tn5 insertion sequencing.
To identify host interaction genes, defined as insertion mutants in the inoculum that are underrepresented in the mouse-passed samples, Tn-directed reads from oral and gut samples were compared to those from the inoculum, using tools from the Bio-Tradis pipeline. This identified a total of 592 ORFs which met our criteria for significance in the mouse-passaged samples (q < 0.05 and an absolute Log2 Fold Change of >1 compared to inoculum; Fig 2A and 2C). Seventy-seven ORFs from week 6 and 8 samples were also present in the housekeeping candidate pool. These were removed from further analysis, as were repetitive transposable elements (Fig 2D).
Volcano plots depict the results of EdgeR analysis of Tn5 directed read counts in Oral Week 8 samples vs. Inoculum (A), Gut Week 6 samples vs. Inoculum (B), and Gut Week 8 samples vs. Inoculum (C). Each ORF is plotted to show log2 Fold Change (FC) vs. the false discovery rate adjusted P value (q). Significance cutoffs (q = 0.05 and Log2 FC = 1 & -1) are depicted with solid lines. Dashed lines represent Log2 FC = 2 & -2 for comparison. Genes passing fold change and q value significance cutoffs are shown in blue. A total of 592 genes met these significance criteria. D. Comparison of genes in host interaction and housekeeping candidate pools meeting significance criteria. Candidate host interaction genes overlapping with the candidate housekeeping gene set fall within the blue ellipse. A total of 77 genes appearing in this pool were excluded from analysis of host interaction candidates.
Of the remaining 515 candidates with significantly altered abundance in comparison to the inoculum, insertion mutants in 473 of these ORFs were depleted, while 42 were enriched. Insertions in 325 ORFs had significantly altered abundance in all 3 host output samples, 79 had altered abundances in the oral cavity and one gut sample, 48 were unique to the oral cavity, and 64 were unique to the gut (Fig 2D and S2 Data). On average, insertions in 70% of these genes displayed an absolute fold-change of 2 compared to the inoculum.
Based on COG annotation, a large proportion of candidate host interaction genes functioned in cell envelope biogenesis, motility, amino acid transport and signal transduction (Fig 3). Enrichment analysis of 325 candidate genes required at each sample site and time point corroborated the COG functional annotation; pathways associated with amino acid and secondary metabolite biosynthesis and bacterial chemotaxis were over-represented in this category (S2A and S2B Fig). Of note, a large number of candidates are predicted to function in branched chain amino acid degradation, the citrate cycle and gluconeogenesis. This may suggest that mutants lacking the ability to utilize host amino acids are unable to overcome glucose limitation in the host, as observed in other organisms [45].
COG category classification and frequency of candidate genes identified either as required for in vitro growth (housekeeping) or significantly altered in abundance in host passage samples (Gut, Gut and Oral, Oral). Two-sided Fisher’s exact test was used to compare frequency of COGs in the housekeeping pool to their total host site frequency. COG category J was significantly more prevalent in the housekeeping pool, while categories Q,P,F,E,C,O,NU, M,T and K were more prevalent in host sites. Classification was conducted using eggNOG mapper v-2. Bar color indicates sample type. * = p < 0.05, ** = p < 0.01, *** = p < 0.001, **** = p < 0.0001. Category definitions are based on the Database of Clusters of Orthologous Genes as follows: J, Translation, Ribosomal Structure and Biogenesis; K, Transcription; L, Replication, Recombination and Repair; B, Chromatin Structure and Dynamics; D, Cell cycle control, cell division and chromosome partitioning; V, Defense Mechanisms; T, Signal Transduction Mechanisms; M, Cell Wall/Membrane/Envelope Biogenesis; N, Cell Motility; W, Extracellular Structures; U, Intracellular Trafficking, Secretion, and Vesicular Transport; O, Posttranslational Modification, Protein Turnover, Chaperones; C, Energy Production and Conversion; G, Carbohydrate Transport and Metabolism; E, Amino Acid Transport and Metabolism; F, Nucleotide Transport and Metabolism; H, Coenzyme Transport and Metabolism; I, Lipid Transport and Metabolism; P, Inorganic Ion Transport and Metabolism; Q, Secondary Metabolite Biosynthesis, Transport and Catabolism. Genes without an assigned COG or in category S (function unknown) were omitted from this analysis.
Of potential interest, a large proportion of the candidate genes have no assigned function, and 20% were annotated as encoding hypothetical proteins or encoding a protein with a domain of unknown function.
N. musculi genes required for long-term colonization are conserved in human adapted Neisseria
A large collection of genes, termed virulence genes, has been shown to influence the interactions of pathogens N. gonorrhoeae and N. meningitidis with human tissues and cells [23,46–53]. Many of these were subsequently discovered in commensal Neisseria [24,54]. Curation of 186 virulence genes and 50 genes with significant changes in expression during in vitro infection identified 160 N. musculi homologs; of these, 45 were identified by our Tn5 screen as required for long-term mouse colonization (Fig 4 and S3 Data). They function in LOS synthesis (rfaCDEF, kdsA), iron acquisition and detoxification (bfrAB, hemolysin III, bcp), efflux (macA, farA), transcriptional regulation (farR,), and cell wall recycling, synthesis and repair (ltgD/mltB, dacC), among others [55–65]. At least three ORFs, (mip, nspA, cbf), encode homologs of surface expressed immunomodulatory proteins [60,66–68]. A transporter of surface associated proteins (slam1) was also required for persistence [69,70].
Relative abundance of N. musculi homologs of Neisseria host interaction factors identified in the in vivo screen. Heatmap depicts ORF Tn5 directed log2 fold change vs inoculum in N. musculi oral and gut samples. Genes are grouped by k-means clustering after calculation of Euclidian distances by complexHeatmap suite default settings. Correlation of gene name to N. musculi locus tag, protein similarity to human adapted Neisseria, and fold change data is found in S3 Data.
Our screen also identified many Type IV pilus (Tfp) genes. They encode the pilin assembly ATPase (pilF), minor pilins (pilH, I, J, K and comP), the Tfp assembly complex (pilM, N, G) and pilin glycosylation enzymes (pglB, pglC) [71–79]. pilZ, whose role in Tfp biogenesis/function has yet to be fully characterized [80], was significantly underrepresented only in the week 8 mouse-passaged gut sample. Proper elongation of the Tfp fiber requires peptidoglycan remodeling. In this context, it is interesting to note that a homolog of dacC, encoding a serine type D-ala-D-ala carboxypeptidase, was identified in our screen [65].
In vivo screen identifies novel Neisseria host interaction factors
A closer examination of candidate genes not previously identified as Neisseria host interaction factors reveals a high degree of amino acid similarity of their protein products to those in human-adapted Neisseria spp. (S2 Table). These genes cover a broad range of functional categories, including cell envelope synthesis and modification, transcriptional regulation, signal transduction and transport. The prevalence of transport genes in this group highlights the need for agile metabolic adaption in response to nutrient limitation imposed by the host. Of interest are cstA (H7A79_RS05505) and gluP (H7A79_RS03010), both of which are encoded by human- and animal-adapted Neisseria and implicated in colonization and virulence in zoonotic bacteria. cstA encodes peptide transporter carbon starvation protein A, similar to Campylobacter jejunii CstA (62% identity over 688 amino acids). In this pathogen, the transporter is required for utilization of di- and tri-peptides as nitrogen sources under energy limiting conditions, implicating amino acid utilization as a requirement for host colonization [81]. gluP encodes a glucose/galactose MFS family transporter with similarity to Brucella abortus GluP (54.5% identity over 400 amino acids). While gluP has been identified as differentially expressed in N. meningitidis in vitro infection studies, its exact contribution to persistent carriage remains unknown in this context [44,82]. B. abortus gluP is essential for glucose uptake in host environments, as mutants display reduced survival in alternatively activated macrophages and cannot persist in a chronic mouse infection model [83,84]. These observations suggests that N. musculi gluP and cstA may function in a similar manner to allow long-term colonization.
Many host interaction candidates identified by our screen are phage related. Analysis of the N. musculi genome using the PHASTER annotation server identified 11 different phage-associated loci, 5 of which were considered complete prophages (Fig 5 and S4 Data). Twenty-two genes in these regions were depleted in host passage samples. Notably, ORFs in prophage region 7 in the host interaction candidate pool tended to be associated with nucleotide modification (when function could be assigned). These included H7A79_RS08530, encoding a DNA-methyltransferase; H7A79_RS08575, encoding an HNH endonuclease; and H7A79_RS08695, encoding putative dCTP deaminase similar to NMB0849 encoded by N. meningitidis MC58. The remaining phage-associated host essential candidates were located within regions 3, 5, 6, 9 and 11. Of interest in these clusters are homologs encoding the cold shock protein (cspA) and SsrA binding protein (smpB), which may be involved in post-transcriptional regulation of stress responses, in region 11; and a GpeE family phage tail chaperone protein, in region 3. Half of the phage associated host interaction candidates we identified have high similarity to ORFs encoded by pathogenic Neisseria (S4A Data). However, comparison of the candidate pool to genes encoded within Neisseria Nf1-4 prophages and MuMenB did not identify any candidates with high similarity to these ORFs (S4D Data) [85–87]. Common to all phage regions containing host interaction candidates were the prevalence of hypothetical ORFs that were likely bacterial in origin. Nine of 22 host interaction candidates in these regions had no assigned function and 8 lacked similarity to a phage gene product. This underscores the potential role of phage-mediated horizontal gene transfer in transporting host interaction factors between bacteria occupying a similar niche.
PHASTER annotation of the N. musculi genome identified 11 regions associated with phage or phage like elements. Purple boxes indicate intact prophage regions while orange boxes indicate incomplete prophage regions as designated by PHASTER scoring algorithms. Arrows indicate abundance of insertion mutants after host passage in comparison to the inoculum. ORFs passing significance cutoffs after analysis are listed in green boxes for each prophage region.
Abolishing capsular polysaccharide (cps) expression negatively affects N. musculi persistence
Four genes annotated as cps components were underrepresented in our mouse-passaged samples compared to the inoculum. Although the capsule is widely considered a virulence factor, cps loci were recently reported in commensal Neisseria including N. musculi [9,88]. The identification of N. musculi cps genes in our Tn5 screen provides an opportunity to test the importance of this extracellular component to commensal colonization.
N. musculi cps genes (Fig 6A) are analogous to those in N. meningitidis with assigned functions in capsule synthesis (Region A), transport (Region B), and translocation (Region C) [89]. The organization and gene content of Region C and B are identical to that of other capsule expressing Neisseria species. In contrast, Region A is more divergent, although the annotated functions of the genes in this locus are similar to those in the analogous region in N. meningitidis serogroup I and other animal Neisseria [88,89].
Validation of the candidate genes implicated in capsule biosynthesis and transport. A. Arrangement of the N. musculi capsule biosynthesis and transport genes. Shaded boxes indicate Neisseria genus capsule locus. Genes in Region C (transport), Region A (biosynthesis) and Region B (translocation) are given the name of the closest N. meningitidis homolog or functional analog, and the N. musculi GenBank refseq locus tag. Orange lines indicate the position of the upstream activator sequences (UAS1, tgtttttttgcacggcaca, and UAS2, tgtcaatgtcagagcact) in csiA/A1. The sequence of the 228 bp intergenic region between ctrA and A1 is highlighted by a dashed line. Sigma 70 binding sites are highlighted by a blue line, and Sigma 54 binding site is indicated by the pink line. The 17 bp direct repeat (DR, acaaatagccaaaaaca) is marked by a purple line. The grey line shows the location of the poly A tract. To test the hypothesis that the intergenic region between A1 and ctrA control capsulation, the 228 bp segment of DNA was replaced with a Kanamycin cassette (blue arrow). B-D. Deletion of the capsule locus intergenic region ablates transcription of all capsule biosynthetic and transport genes. cDNA was generated from Wt (B), cps mutant (C) and the complemented strain (D), and primers specific to each gene were used to amplify transcript co-transcribed from the promoter located in the 228 bp intergenic region. No difference was observed in Wt or Δcps228::Wt strains in comparison to genomic DNA controls and -RT controls. E. Loss of the capsule locus intergenic region results in loss of capsule production. SDS PAGE gel of capsule extracts isolated from N. musculi Wt, capsule mutant and complemented strains, compared to the N. gonorrhoeae MS11 and N. meningitidis FAM18 negative and positive controls, respectively. Alcian blue staining shows a reduction in polysaccharide content between the Wt and capsule deletion mutant extracts. M, molecular weight marker.
The 4 N. musculi cps genes underrepresented in mouse-passaged samples are situated in Region C (H7A79_RS9610, encoding an ABC transporter permease homolog of CtrC) and Region A (H7A79_RS9625, encoding a CsiA homolog annotated as a UDP-N-acetylglucosamine epimerase (A1); H7A79_RS09645, encoding a putative rhamnosyl transferase (A5), and H7A79_RS09655, encoding a putative glycosyltransferase (A7) (S2 Table).
In Region C and A, start and stop codons of adjacent ORFs are often close together and in some cases overlap. The regulatory sequences for Regions C and A are likely located in a 228 bp segment of DNA between the two gene clusters; this intergenic region contains putative Sigma54 and Sigma70 consensus sequences, an Npa upstream activator sequence, as well as a 17-bp direct repeat and a 20-bp poly-Thymine tract, either or both of which may also serve as regulatory sequences (Fig 6A).
To determine whether the 228 bp intergenic region regulates expression of the capsule clusters, RT-PCR was performed on RNA isolated from N. musculi AP2365, using different combinations of primers spanning the junctions of consecutive ORFs. The genes in Region A (csiA/A1-A7) and Region B (ctrE, ctrF) are transcribed as a single mRNA. Genes in Region C (ctrA,B,C,D) are divergently transcribed, also as a single mRNA. This strongly suggest that transcription of the two operons is likely to be controlled from the 228 bp csiA/A1-ctrA intergenic region (S3 Fig).
To validate the requirement for capsule during long-term mouse colonization, the 228 bp intergenic region in Wt N. musculi was replaced with a Kanamycin cassette, generating Δcps228. As predicted, deletion of this putative promoter region resulted in loss of capsule production in the mutant (Fig 6B–6D). RT-PCR experiments using RNA from Wt N. musculi, Δcps228 and complemented strains demonstrated that loss of the csiA/A1-ctrA intergenic region ablated transcription of all genes in Regions A, B and C. Compared to Wt, complement and N. meningitidis FAM18 controls, extracts from Δcps228 did not react with the capsule stain Alcian Blue (Fig 6E). Loss of capsule did not affect the in vitro growth rate of the mutant in comparison to Wt and complemented controls (S4 Fig).
To test the role of cps in host interaction, Wt N. musculi, Δcps228, and complemented strains were inoculated into A/J mice. This mouse strain was used to ensure that the cps mutant phenotype was independent of any factor(s) associated with mouse strain background. N. musculi burdens from oral and fecal samples were assessed weekly for 8 weeks (Fig 7). Initially, no difference in absolute colonization frequency was observed between Wt, mutant and complemented control groups. However, starting 5 weeks post-inoculation, oral cavity burdens of Δcps228 began to decline in comparison to the Wt and complemented strains. Mutant oral cavity burden remained lower than Wt, resulting in a significant difference in Δcps228 oral burden in comparison to Wt controls over the entire study (p = 0.0178, Kruskal-Wallis test with Dunn’s comparison). This trend was replicated in gut burdens, although there was no significant difference in total gut burden between Wt and Δcps228. Together, these results strongly suggest that unencapsulated N. musculi is able to colonize the oral cavity of mice, but is at a significant disadvantage in long-term colonization.
A/J mice were orally inoculated with either Wt, Δ228cps or complemented strains (n = 5 per group). Oral swabs and fecal pellets were plated on selective agar at weekly intervals post inoculation to recover viable N. musculi. Total oral bacterial burden is significantly decreased in animals inoculated with the Δ228cps mutant in comparison to Wt controls (Kruskal Wallis test with Dunn’s comparison, * p = 0.0178, comparisons denoted by brackets in the legend), while no significant difference is observed in samples isolated from the gut. Bacterial burden is normalized to CFU/ml total sample volume for oral samples, and CFU/gm fecal pellet for gut samples. Points indicate mean burden by group with bars representing SEM.
Discussion
It is well established that commensal Neisseria are abundant members of the human microbiome, that Neisseria species are genetically related, and that pathogens N. meningitidis and N. gonorrhoeae establish asymptomatic infections in humans. Little, however, is known about how members of this genus maintain a long-term relationship with the host. Small animal models and ex vivo systems for characterizing N. meningitidis- and N. gonorrhoeae-host interactions limit studies to early events in infection and are unsuitable for examining a key facet of Neisseria behavior: persistence. Here, we report on the identification of genes in the mouse commensal Neisseria musculi that are critical for its ability to establish long-term colonization in its natural host.
We identified ~500 candidates involved in N. musculi colonization of CAST/EiJ mice for up to 8 weeks post-inoculation. Approximately 65% of these are required for persistence in both the oral cavity and gut. They span almost every functional category of cellular processes according to COG annotation and curated KEGG pathway analysis, although cell envelope biogenesis, amino acid metabolism, energy conversion, and motility are most common. Twenty-two candidates encode transcriptional regulators, suggesting tight control of expression of multiple pathways is required for niche maintenance in host environments. Of particular interest is the site specificity shown by some essential gene candidates: 48 were significant only in the oral cavity, while 63 were significant only in gut samples (S2 Data). No significant difference was seen in COG category frequency between these two sites (S5 Fig), however, it should be noted that the functions of many of these genes may be niche specific. For example, mutants in H7A79_RS01980, encoding a homolog of bacterioferritin comigratory protein (Bcp) were significantly depleted in oral samples but not the gut. Bcp functions as a hydroxyperoxide peroxidase involved in oxidative stress resistance [64,90]. Inactivation of H7A79_RS01980 may impede resistance to reactive oxygen species generation by phagocytes encountered on the oral epithelium. Likewise, H7A79_RS09130, encoding a homolog of PglC showed different abundance patterns between gut and oral sites. In N. gonorrhoeae and N. meningitidis, pilin glycosylation, in which PglC plays a part, facilitates adherence of the pilus fiber to receptors on the epithelial cell surface [91]. That PglC is required for persistence in the oral cavity but not the gut may reflect a similar function for N. musculi pilin glycosylation, in which close interaction with the epithelial surface is modulated in part by post-translational modification of the Tfp fiber. Future work will provide a better understanding of the reasons for these site specificities.
A repertoire of pathogenic Neisseria genes, defined as modulating interactions of the bacteria with various host components, have been identified previously [24,48,52, 54–56,67,82,92]. Forty-five of these are identified in our in vivo screen, confirming their involvement in Neisseria-host relationships. As predicted by in vitro experimentation and our own work developing the N. musculi-mouse model system, Tfp mutants are underrepresented in oral and gut samples at weeks 6 and 8 post-inoculation, compared to the inoculum. Thirteen Tfp genes appear to be required for long-term colonization of at least one mucosal site. Mutants encoding Tfp structural proteins PilM, PilG, PilN, are underrepresented in both oral cavity and gut samples, as predicted by the model of Tfp core biogenesis [78]. Also underrepresented are mutants of dacC, which has been implicated in peptidoglycan remodeling during Tfp fiber extension [65].
Modification of the pilus appears equally important for niche maintenance. pglB and pglC mutants, which likely cannot glycosylate PilE, the major Tfp subunit, are unable to colonize the oral cavity and gut, although populations of pglC mutants rebounded in gut samples at weeks 6 and 8. Mutants of minor pilin genes comP, pilH,I,J, and pilK are also defective in long-term colonization of both host sites. Mutants of pilZ, which encodes a protein with a cyclic-di-GMP binding domain, were significantly depleted in gut samples only at week 8. This may indicate a previously undescribed role for pilZ in host interaction.
Extension and retraction of the Tfp fiber are the basis of Neisseria twitching motility, microcolony/biofilm formation, and activation of mechanosensitive host cell pathways [47,93–96]. These processes are carried out by 4 ATP-hydrolyzing motor proteins: PilF for fiber extension, and PilT, PilU and PilT2 for fiber retraction [71,97,98]. PilT, PilU and PilT2 are thought to work in concert to retract the pilus in an environment-dependent context, but to date little is known about their roles in persistent carriage [98,99]. pilF and pilT2 mutants are underrepresented in oral cavity and gut samples, strongly suggesting that modulation of pilus movement is vital to host interactions. Notably, pilF has a more profound defect than pilT2. This may indicate a hierarchy of essentiality among these motor proteins: Tn5 insertion into pilF likely creates a non-piliated cell, ablating the dynamic action of Tfp entirely. Conversely, the apparent redundancy of the pilT, pilU and pilT2 retraction motor genes suggests that multiple avenues exist for Tfp retraction. In the absence of one motor, the remaining motors may be able to compensate under specific host conditions. We were surprised by the absence of pilE (H7A79_RS10130) in our host essential candidate pool as prior work has demonstrated a requirement for the major pilin subunit in colonization [9]. However, in that study loss of pilE did not completely abrogate colonization in CAST/EiJ mice, which may explain our results. Further work is required to examine the interplay of major and minor pilins during host persistence.
The polysaccharide capsule is widely considered a primary determinant of bacterial pathogenicity. Many commensal bacteria are now known to produce a capsule, and this structure is important for survival in polymicrobial host environments [100–103]. Gene clusters encoding cps biosynthesis, transport, and translocation enzymes analogous to the N. meningitidis locus have been identified in 13 commensal Neisseria species, including N. musculi [88]. As the N. meningitidis cps provides resistance to antimicrobial peptides and evasion of opsonophagocytosis and complement, it likely provides a fitness advantage to the bacterium on mucosal surfaces regardless of the ability of the clinical isolate to invade the host [104–106]. This idea is supported by our findings. N. musculi cps Tn5 mutants are significantly underrepresented in gut and oral samples compared to the inoculum; this finding was validated by the defective behavior of an engineered cps promoter deletion mutant in long-term oral cavity colonization of A/J mice.
The structure and function of the N. musculi cps is not yet known. The divergence and rearrangement of cps biosynthesis and modification genes across the genus suggests that Neisseria species produce a wide range of capsule types, possibly with niche-specific functions. The N. musculi cps mutants identified in our screen are disrupted in capsule biosynthesis and transport (Regions A and C). While the transport locus is similar in other animal- and human-adapted Neisseria, we do not yet know what unique modifications may be caused by the uncharacterized genes in N. musculi Region A, or what impact these modifications may have on host interaction.
In N. musculi, the noncoding DNA segment between the divergently transcribed cps Region A and C contains several potential regulatory sites. The presence of putative Npa and Sigma54 recognition sequences strongly suggests that N. musculi capsule expression is dependent on environmental cues [107,108]. This idea is further supported by the presence of a 17 bp direct repeat upstream of the capsule transport region. In N. meningitidis, an 8 bp direct repeat in the 5’ UTR of cssA serves as a post-transcriptional thermo-controller [109,110]. It is tempting to theorize that a similar mechanism may regulate cps expression in N. musculi as well.
Among Neisseria species, N. meningitidis and N. gonorrhoeae have been shown to produce phage, and the function of these phages is not entirely defined [111–113]. Perhaps one of the most intriguing findings from our study is that phage related genes may influence N. musculi long-term carriage. Forty-seven genes identified by our screen are phage related; 29 of these cluster in a single region annotated as a prophage genome. Under-represented phage associated ORFs were identified from 3 intact putative prophage regions. Several of these genes may normally function in phage immunity, a vital defense in a phage-rich polymicrobial environment; however, many of these candidates have no annotated function. A substantial body of work has shown that phages play a role in genetic exchange between bacteria, including in Neisseria [87,111,112,114]. In these scenarios, phages may coincidentally transfer adaptation mechanisms and regulatory elements that have a fitness benefit for the new host in a wide range of environmental conditions. Studies have shown that temperate phage may increase the competitiveness of host bacteria in the niche by killing or lysogenizing unrelated bacteria lacking immunity, by the production of bacteriocins, and by mutualistic mechanisms that enhance biofilm formation [115,116]. The role these phages play in Neisseria long-term colonization remains to be elucidated.
Importantly, genes with unknown or predicted function comprise most of our mutant pool. Approximately 20% of candidate host interaction genes are annotated as encoding hypothetical proteins or proteins containing a domain of unknown function (DUF). A large proportion of these proteins display high similarity to those produced by human commensal and pathogenic Neisseria. Of 94 hypotheticals and 18 DUFs identified by our screen, 54 were highly similar to proteins produced by human adapted species, with half of these genes also encoded by N. meningitidis and/or N. gonorrhoeae (S5 Data). Despite the possibility of false positives due to the moderate saturation of our library, and potential bottlenecks presented by the screen itself, the prevalence of genes of unknown function in our candidate pool underlines how little we know of the processes needed by Neisseria to maintain a stable niche in its host.
The high degree of genetic similarity across the Neisseria genus suggests that commensals can offer key insights into how N. meningitidis and N. gonorrhoeae cause asymptomatic and persistent carriage. While certain N. meningitidis strains cause outbreaks of meningitis and septicemia, many others exist in the oropharynx of healthy adults and rarely if ever cause disease [21]. N. gonorrhoeae can also persist in women and men without eliciting symptoms [22]. As asymptomatic infection contributes to transmission, defining the commensal Neisseria-host relationship may reveal untapped strategies for preventing or treating N. meningitidis and N. gonorrhoeae infections. Novel host interaction factors common in this genus may represent new drug targets and potential vaccine antigens. Likewise, bacterial competition mechanisms and behaviors can be subverted or mimicked as treatment strategies.
While our screen was used to identify genes required for persistence, it could easily be adapted to examine the loci driving initial interactions, as well as the repertoire required by the bacterium to compete with the extant microbiota in the early phase of colonization. We note that our system has certain limitations: extra care must be taken to avoid over interpretation of results without validation of these mutants with clean deletions. While we attempted to address potential bottlenecks at the initial point of colonization through replicative experimentation, dose variation, and normalization and analysis of pooled samples from multiple mice, the possibility of false positives remains. Comparisons of library replicate gene insertion indices and read counts in both the inoculum and host passage samples shows a high degree of similarity by Pearson correlation analysis with r values ranging from 0.868–0.996 (S3 Table), suggesting that while a mild bottleneck may exist it may not drastically impact our results. Moreover, the moderate saturation of the library may mean that we have missed some genes that play a vital role in bacteria-host interactions, by assigning them to the housekeeping gene set. Despite these drawbacks, the results presented here still represent an important first step in identifying the repertoire of Neisseria genes essential for niche maintenance.
Finally, our finding that many N. musculi genes required for long-term colonization are homologs of N. meningitidis and N. gonorrhoeae virulence genes argues for a more nuanced definition of the term "virulence factor". We and others have in the past used "host-interaction factor" in its stead, and our findings here argue in favor of taking this approach. The conservation of these "virulence gene" homologs across multiple animal and human adapted Neisseria species, and their importance in vivo, suggest that differential regulation of gene expression during colonization and niche maintenance may influence infection outcome more than the presence or absence of a gene. Understanding the function of these genes during commensal carriage will give insight into Neisseria pathogenesis and shed light on the transition from commensal to pathogen and back.
Supporting information
S1 Fig. Housekeeping gene analysis of N. musculi.
A. Bio-Tradis tradis_essentiality.R analysis of library passage 1 (top panel) and 2 (bottom panel) identified approximately 1100 genes with a lower than anticipated insertion index, suggesting a potential in vitro fitness defect. Insertion index thresholds were determined by log-odds ratios calculated on fits of gamma distributions of insertion indices in each sample. Histogram depicts the distribution of gene insertion indices from each replicate, and their calculated essentiality designation threshold. A gene insertion index of 0 indicates the gene may be required for growth, while an insertion index of 1 indicates full transposon saturation. Only genes below the calculated essential changepoint in both library passage samples were considered part of the housekeeping gene set, after repetitive elements were removed from further analysis. This resulted in 968 genes designated as putative housekeeping candidates with a potential fitness defect in vitro. 192 genes had no insertions, while 776 had fewer insertions than expected. Candidates in this gene set were excluded from analysis of host passage samples to prevent false positives due to in vitro fitness defects and/or low initial saturation. B-C. Pathway identification of housekeeping candidates. Candidate genes appearing in both library passage samples were analyzed using the clusterProfiler enrichKEGG tool using the N. musculi AP2031 KEGG annotation. B. Barplot provides an overview of genes mapping to a subset of 20 pathways. Bar color corresponds to Benjamin-Hochberg adjusted p-value of clusterProfiler gene enrichment results. Components of the ribosome and bacterial secretion systems were significantly over-represented in the housekeeping candidate pool. The remaining genes mapped to pathways associated with other central physiologic processes, including oxidative phosphorylation, lipid metabolism, and homologous recombination and repair, although these pathways were not significantly enriched. C. Gene concept network plot depicts pathway association from (B) at the gene level for a subset of putative housekeeping genes. Nodes (tan dots) represent pathways labeled by edge color, while dot size corresponds to the number of candidate genes mapping to that pathway. Genes are labeled with their Genbank locus tag corresponding to the KEGG annotation.
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S2 Fig. Pathway enrichment analysis of host interaction candidate genes.
To identify pathways involved in host niche maintenance, 325 candidate genes with significantly altered abundance in all host passage samples were analyzed using the clusterProfiler enrichKEGG tool and the N. musculi AP2031 KEGG annotation. A. Bar plot depicts pathways whose genes are overrepresented in host samples. Bar color corresponds to Benjamin-Hochberg (BH) adjusted p-value of clusterProfiler enrichKegg over-representation analysis results. A BH adjusted p < 0.1 was considered significant. Metabolic processes, including biosynthesis of amino acids and secondary metabolites, and chemotaxis, were significantly over-represented, suggesting these pathways are important for host adaptation. B. Gene network plot depicts clustering of host enriched pathways to identify functionally related processes. Nodes represent pathways identified in (A) and node size indicates gene count. Node color indicates BH adjusted p value from pathway overrepresentation results. Edges indicate genes shared between pathways. Similarity between nodes was calculated using Jaccard’s similarity coefficient method in clusterProfiler. Cluster formation around amino acid degradation, gluconeogenesis and the TCA cycle suggests interconnection between these pathways from a highly overlapping gene set.
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S3 Fig. The capsule locus of N. musculi is regulated by the ctrA-A1/csiA intergenic region.
cDNA was generated from Wt N. musculi total RNA, and primers flanking 5’ and 3’ ends of consecutive genes were used to amplify transcripts transcribed from the 228 bp intergenic region. While multi-gene transcripts (e.g., A5-A7) were not reliably generated, PCR products were routinely generated using primers spanning junctions of adjacent genes in the locus ctrA-D (Region C) and A1-ctrF (Region A, B), indicating these genes are co-transcribed. Top panel: Wt genomic DNA (gDNA) control; middle panel: RT-PCR of wt cDNA; bottom panel: -RT controls. M, 1 kb plus DNA marker.
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S4 Fig. Deletion of the capsule locus intergenic sequence does not affect growth rate.
Bacteria were suspended in supplemented GC broth to an initial OD600 = 0.05 and optical density was measured for 8 hours. No significant differences in growth was observed between Wt, Δcps228 mutants and the complemented strain over this time.
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S5 Fig. Comparison of COG frequency between ORFs unique to gut and oral samples.
48 host interaction candidate genes were unique to oral samples while 63 were unique to the gut. However, no significant difference in COG frequency of annotated ORFs was observed between Oral and Gut host interaction candidates by Two-sided Fisher’s exact test. Category definitions based on the Database of Clusters of Orthologous Genes as follows: J, Translation, Ribosomal Structure and Biogenesis; K, Transcription; L, Replication, Recombination and Repair; B, Chromatin Structure and Dynamics; D, Cell cycle control, cell division and chromosome partitioning; V, Defense Mechanisms; T, Signal Transduction Mechanisms; M, Cell Wall/Membrane/Envelope Biogenesis; N, Cell Motility; W, Extracellular Structures; U, Intracellular Trafficking, Secretion, and Vesicular Transport; O, Posttranslational Modification, Protein Turnover, Chaperones; C, Energy Production and Conversion; G, Carbohydrate Transport and Metabolism; E, Amino Acid Transport and Metabolism; F, Nucleotide Transport and Metabolism; H, Coenzyme Transport and Metabolism; I, Lipid Transport and Metabolism; P, Inorganic Ion Transport and Metabolism; Q, Secondary Metabolite Biosynthesis, Transport and Catabolism.
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S1 Table. Primers, synthetic sequences, and strains utilized in this study.
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S2 Table. A selection of genes identified as candidate host interaction factors.
Genes are grouped by putative pathway association identified by KEGG functional annotation. Amino acid sequence comparisons were computed from KEGG Ortholog Gene Function Identification (GFIT) Sequence similarity database tables using the N. musculi Genbank ID. 1Sequence analyzed by BLASTP to identify any similarity with human adapted Neisseria. Query coverage is reported for BLASTP comparisons. Species abbreviations are shown according to KEGG nomenclature for strain designation. Nme, Neisseria meningitidis MC58; Nm*, Neisseria meningitidis serogroup I/93004; Nel, Neisseria elongata sups. glycolitica ATCC29315; Ngo, Neisseria gonorrhoeae FA1090; Nla, Neisseria lactamica 02–06; Nsi, Neisseria mucosa FDAARGOS; Nfv, Neisseria flavescens ATCC 13120; Ncz, Neisseria cinerea NCTC10294; Nci, Neisseria canis NCTC10296; Nbc, Neisseria baciliformis DSM 233383; Nmj, Neisseria mucosa ATCC 19696; Nani, Neisseria animaloris NCTC12227; Nsf, Neisseria subflava ATCC 49275; Nzo, Neisseria zoodegmatis NCTC12230; Nsg, Neisseria shayeganii DSM22244; Nsc, Neisseria sicca NS20201025; Nwd, Neisseria wadsworthii DSM22245; Nwe, Neisseria weaver NCTC13585.
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S3 Table. Correlation of read counts and insertion indexes by replicate.
Comparisons between library replicates 1 and 2 in each sample type, and between sample types in each replicate, were performed by Pearson r correlation analysis in GraphPad Prism V9.
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S1 Data. Candidates with predicted in vitro fitness defects and/or lower than expected gene insertion indices by tradis_essentiality testing.
Calculations for determining a fitness defect were made by tradis_essentiality.R analysis of library 1 and 2 passage samples. Repetitive transposable elements were removed from this data set, as multi-mapped reads were ignored during the insertion quantification step, giving these open reading frames an insertion index of 0. Gene insertion index distribution changepoints were calculated at 0.0149 for passage 1 and 0.0087 for passage 2 samples. Only genes failing to pass the calculated thresholds in both samples were included in the putative housekeeping gene pool. A description of analysis methods can be found in the Materials and Methods section. Pathway and COG prediction was performed by eggNOGmapper-V2 analysis and comparisons to the KEGG database using the N. musculi reference genome. Transposon insertions for each ORF are listed for each sample output. Gene insertion indices (Tn5 insertions normalized to gene length) are listed for passage 1 and 2 samples. Insertion counts are listed for all samples.
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S2 Data. Comparison of Tn5 directed reads from library replicate 1 and 2 host samples to inoculum.
Tn5 directed reads from library replicate 1 and 2 host samples were compared to the inoculum by EdgeR analysis implemented in the Bio-Tradis pipeline. Genes listed met significance criteria (logFC < -1, > 1, q < 0.05) in; A. all three host samples; B., oral and week 6 gut samples; C., oral and week 8 gut samples; D., week 6 and week 8 gut samples; E., only oral samples; F., week 8 gut samples alone; and G., week 6 gut samples alone. Candidates with a potential in vitro fitness defect (those ORFs with lower than anticipated gene insertion indices by tradis_essentiality.R analysis) were removed to reduce potential false positives. KEGG pathway and COG category was predicted by analysis of the N.musculi Genbank annotation using eggNOG Mapper-v2.
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S3 Data. Neisseria host interaction homologs meeting significance criteria in analysis of mouse passage samples.
A. Host interaction candidates with high similarity to N. gonorrhoeae and N. meningitidis virulence genes. Genes were identified based on analysis of host-microbe interaction genes listed in B. N. gonorrhoeae and N meningitidis comparisons are listed for MC58 and FA1090. H7A79_1831 comparison is based on blastp comparison to CCP19763 from N. meningitidis serogroup K strain ST-8742, BIGSDB alt. ID NEIS2179. Fold changes in red did not meet fold change or q value significance criteria. B. Identification of N. musculi genes sharing high similarity to loci associated with host interaction in N. gonorrhoeae and N. meningitidis. Comparisons shown are pulled from KEGG Sequence Similarity Database (SSDB) Gene Function Identification tool (GFIT) tables, computed by Smith-Waterman similarity search. If high similarity to N. gonorrhoeae or N. meningitidis for a particular locus was not identified, data is displayed for the top hit from any human adapted Neisseria species.
https://doi.org/10.1371/journal.ppat.1010497.s011
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S4 Data. Summary of phage related genes identified in host interaction candidate pool.
A. Host interaction candidate genes found within putative prophage regions identified in PHASTER analysis. Similar N. meningitidis and N. gonorrhoeae genes reported from KEGG database GFIT SSDB Tables or (*) blastp Searches. Genes are listed with Tn5 directed read fold change from BioTradis analysis. B. Overview of PHASTER prophage analysis performed on N. musculi reference sequence. 11 regions were identified as putatively intact prophages or incomplete regions based on comparison to known phage genomes. C. Per Region breakdown of N. musculi ORFs. Log2FC of significant hits in host passage samples is listed when applicable. * Fold change and/or Refseq ID in red text indicates gene was identified in putative fitness defect set and was ignored in final analysis of host interaction candidates. ns = not significant. D. Identification of N. musculi genes with similarity to Neisseria filamentous and Mu-type prophages. N. gonorrhoeae and N meningitidis ORFs encoded in prophage regions were searched against the N. musculi genome using KEGG GFIT SSDB searches and blastp.
https://doi.org/10.1371/journal.ppat.1010497.s012
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S5 Data. Host interaction candidate genes with unknown function.
Genes annotated as hypothetical (A) or encoding a domain of unknown function (B) meeting significance criteria in at least one host site were analyzed to identify similarities with other Neisseria species. ORFs are listed with results of tradis.comparison.R analysis. Genes with similarity to those encoded by either human commensal, pathogen, or animal commensal species are color coded according to similarity key. Percent identity is reported from KEGG database GFIT SSDB searches by N. musculi Genbank locus tag. Species abbreviations are shown according to KEGG nomenclature for strain designation. Nme, Neisseria meningitidis MC58; Nel, Neisseria elongata sups. glycolitica ATCC29315; Ngo, Neisseria gonorrhoeae FA1090; Nla, Neisseria lactamica 02–06; Nsi, Neisseria mucosa FDAARGOS; Nfv, Neisseria flavescens ATCC 13120; Ncz, Neisseria cinerea NCTC10294; Nci, Neisseria canis NCTC10296; Nbc, Neisseria baciliformis DSM 233383; Nmj, Neisseria mucosa ATCC 19696; Nani, Neisseria animaloris NCTC12227; Nsf, Neisseria subflava ATCC 49275; Nzo, Neisseria zoodegmatis NCTC12230; Nsg, Neisseria shayeganii DSM22244; Nsc, Neisseria sicca NS20201025; Nwd, Neisseria wadsworthii DSM22245; Nwe, Neisseria weaveri NCTC13585.
https://doi.org/10.1371/journal.ppat.1010497.s013
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Acknowledgments
We thank Bentley Fane and Koenraad Van Doorslaer for helpful discussions, and Rodrigo Arana for his assistance in capsule extraction. We thank Jon Galina-Mehlman and the University of Arizona Genetics Core for their invaluable assistance in library preparation and sequencing.
References
- 1. Sommer F, Backhed F. The gut microbiota—masters of host development and physiology. Nat Rev Microbiol. 2013;11(4):227–38. pmid:23435359.
- 2. Browne HP, Forster SC, Anonye BO, Kumar N, Neville BA, Stares MD, et al. Culturing of ’unculturable’ human microbiota reveals novel taxa and extensive sporulation. Nature. 2016;533(7604):543–6. pmid:27144353; PubMed Central PMCID: PMC4890681.
- 3. Walker AW, Duncan SH, Louis P, Flint HJ. Phylogeny, culturing, and metagenomics of the human gut microbiota. Trends Microbiol. 2014;22(5):267–74. pmid:24698744.
- 4.
Bennett JS, Bratcher HB, Brehony C, Harrison OB, Maiden CJ. The Genus Neisseria. 4th edition ed. Rosenberg E, editor. Berlin Heidelberg: Springer-Verlag; 2014.
- 5. Sulyanto RM, Thompson ZA, Beall CJ, Leys EJ, Griffen AL. The Predominant Oral Microbiota Is Acquired Early in an Organized Pattern. Sci Rep. 2019;9(1):10550. Epub 2019/07/25. pmid:31332213; PubMed Central PMCID: PMC6646312.
- 6. Donati C, Zolfo M, Albanese D, Tin Truong D, Asnicar F, Iebba V, et al. Uncovering oral Neisseria tropism and persistence using metagenomic sequencing. Nat Microbiol. 2016;1(7):16070. Epub 2016/08/31. pmid:27572971.
- 7. Dorey RB, Theodosiou AA, Read RC, Jones CE. The nonpathogenic commensal Neisseria: friends and foes in infectious disease. Curr Opin Infect Dis. 2019;32(5):490–6. Epub 2019/07/30. pmid:31356239.
- 8. Liu G, Tang CM, Exley RM. Non-pathogenic Neisseria: members of an abundant, multi-habitat, diverse genus. Microbiology. 2015;161(7):1297–312. Epub 2015/03/31. pmid:25814039.
- 9. Ma M, Powell DA, Weyand NJ, Rhodes KA, Rendon MA, Frelinger JA, et al. A Natural Mouse Model for Neisseria Colonization. Infect Immun. 2018;86(5). Epub 2018/02/15. pmid:29440372; PubMed Central PMCID: PMC5913851.
- 10. Weyand NJ, Ma M, Phifer-Rixey M, Taku NA, Rendon MA, Hockenberry AM, et al. Isolation and characterization of Neisseria musculi sp. nov., from the wild house mouse. Int J Syst Evol Microbiol. 2016;66(9):3585–93. Epub 2016/06/15. pmid:27298306; PubMed Central PMCID: PMC5880574.
- 11. Rhodes K, Ma M, So M. A Natural Mouse Model for Neisseria Persistent Colonization. Methods Mol Biol. 2019;1997:403–12. Epub 2019/05/24. pmid:31119636; PubMed Central PMCID: PMC6878645.
- 12. Thapa E, Aluvathingal J, Nadendla S, Mehta A, Tettelin H, Weyand NJ. Complete Genome Sequence of Neisseria musculi Using Illumina and PacBio Sequencing. Microbiol Resour Announc. 2021;10(23):e0045221. Epub 2021/06/11. pmid:34110239; PubMed Central PMCID: PMC8354546.
- 13. Lovett A, Duncan JA. Human Immune Responses and the Natural History of Neisseria gonorrhoeae Infection. Front Immunol. 2018;9:3187. Epub 2019/03/07. pmid:30838004; PubMed Central PMCID: PMC6389650.
- 14. Caugant DA, Brynildsrud OB. Neisseria meningitidis: using genomics to understand diversity, evolution and pathogenesis. Nat Rev Microbiol. 2020;18(2):84–96. Epub 2019/11/11. pmid:31705134.
- 15. Kallstrom H, Liszewski MK, Atkinson JP, Jonsson AB. Membrane cofactor protein (MCP or CD46) is a cellular pilus receptor for pathogenic Neisseria. Mol Microbiol. 1997;25(4):639–47. pmid:9379894.
- 16. Mickelsen PA, Blackman E, Sparling PF. Ability of Neisseria gonorrhoeae, Neisseria meningitidis, and commensal Neisseria species to obtain iron from lactoferrin. Infect Immun. 1982;35(3):915–20. pmid:6121757.
- 17. Schryvers AB, Morris LJ. Identification and characterization of the human lactoferrin-binding protein from Neisseria meningitidis. Infect Immun. 1988;56(5):1144–9. Epub 1988/05/01. pmid:3128478; PubMed Central PMCID: PMC259775.
- 18. Schryvers AB, Morris LJ. Identification and characterization of the transferrin receptor from Neisseria meningitidis. Mol Microbiol. 1988;2(2):281–8. Epub 1988/03/01. pmid:3132585.
- 19. Plaut AG, Gilbert JV, Artenstein MS, Capra JD. Neisseria gonorrhoeae and Neisseria meningitidis: extracellular enzyme cleaves human immunoglobulin A. Science. 1975;190:1103–5. pmid:810892
- 20. Chen T, Gotschlich EC. CGM1a antigen of neutrophils, a receptor of gonococcal opacity proteins. Proc Natl Acad Sci U S A. 1996;93(25):14851–6. pmid:8962144
- 21. Caugant DA, Maiden MC. Meningococcal carriage and disease—population biology and evolution. Vaccine. 2009;27 Suppl 2:B64–70. Epub 2009/05/26. S0264-410X(09)00615-X [pii] pmid:19464092; PubMed Central PMCID: PMC2719693.
- 22. Detels R, Green AM, Klausner JD, Katzenstein D, Gaydos C, Handsfield H, et al. The incidence and correlates of symptomatic and asymptomatic Chlamydia trachomatis and Neisseria gonorrhoeae infections in selected populations in five countries. Sex Transm Dis. 2011;38(6):503–9. Epub 2012/01/19. pmid:22256336; PubMed Central PMCID: PMC3408314.
- 23. Quillin SJ, Seifert HS. Neisseria gonorrhoeae host adaptation and pathogenesis. Nat Rev Microbiol. 2018;16(4):226–40. Epub 2018/02/13. pmid:29430011; PubMed Central PMCID: PMC6329377.
- 24. Marri PR, Paniscus M, Weyand NJ, Rendon MA, Calton CM, Hernandez DR, et al. Genome sequencing reveals widespread virulence gene exchange among human Neisseria species. PLoS One. 2010;5(7):e11835. Epub 2010/08/03. pmid:20676376; PubMed Central PMCID: PMC2911385.
- 25. Humbert MV, Christodoulides M. Atypical, Yet Not Infrequent, Infections with Neisseria Species. Pathogens. 2019;9(1). Epub 2019/12/22. pmid:31861867; PubMed Central PMCID: PMC7168603.
- 26. Jerse AE, Wu H, Packiam M, Vonck RA, Begum AA, Garvin LE. Estradiol-Treated Female Mice as Surrogate Hosts for Neisseria gonorrhoeae Genital Tract Infections. Front Microbiol. 2011;2:107. Epub 2011/07/13. pmid:21747807; PubMed Central PMCID: PMC3129519.
- 27. Johansson L, Rytkonen A, Wan H, Bergman P, Plant L, Agerberth B, et al. Human-like immune responses in CD46 transgenic mice. J Immunol. 2005;175(1):433–40. Epub 2005/06/24. 175/1/433 [pii]. pmid:15972677.
- 28. Yi K, Stephens DS, Stojiljkovic I. Development and evaluation of an improved mouse model of meningococcal colonization. Infect Immun. 2003;71(4):1849–55. Epub 2003/03/26. pmid:12654800; PubMed Central PMCID: PMC152098.
- 29. Dillard JP. Genetic Manipulation of Neisseria gonorrhoeae. Curr Protoc Microbiol. 2011;Chapter 4:Unit4A 2. Epub 2011/11/03. pmid:22045584; PubMed Central PMCID: PMC4549065.
- 30. Remmele CW, Xian Y, Albrecht M, Faulstich M, Fraunholz M, Heinrichs E, et al. Transcriptional landscape and essential genes of Neisseria gonorrhoeae. Nucleic Acids Res. 2014;42(16):10579–95. pmid:25143534; PubMed Central PMCID: PMC4176332.
- 31. McCarthy AJ, Stabler RA, Taylor PW. Genome-Wide Identification by Transposon Insertion Sequencing of Escherichia coli K1 Genes Essential for In Vitro Growth, Gastrointestinal Colonizing Capacity, and Survival in Serum. J Bacteriol. 2018;200(7). Epub 2018/01/18. pmid:29339415; PubMed Central PMCID: PMC5847654.
- 32. Martin M. Cutadapt Removes Adapter Sequences From High-Througput Sequencing Reads. EMBnet. 2011;17(1):10–2.
- 33. Li H, Durbin R. Fast and accurate short read alignment with Burrows-Wheeler transform. Bioinformatics. 2009;25(14):1754–60. Epub 2009/05/20. pmid:19451168; PubMed Central PMCID: PMC2705234.
- 34. Barquist L, Mayho M, Cummins C, Cain AK, Boinett CJ, Page AJ, et al. The TraDIS toolkit: sequencing and analysis for dense transposon mutant libraries. Bioinformatics. 2016;32(7):1109–11. Epub 2016/01/23. pmid:26794317; PubMed Central PMCID: PMC4896371.
- 35. Barquist L, Boinett CJ, Cain AK. Approaches to querying bacterial genomes with transposon-insertion sequencing. RNA Biol. 2013;10(7):1161–9. Epub 2013/05/03. pmid:23635712; PubMed Central PMCID: PMC3849164.
- 36. Langridge GC, Phan MD, Turner DJ, Perkins TT, Parts L, Haase J, et al. Simultaneous assay of every Salmonella Typhi gene using one million transposon mutants. Genome Res. 2009;19(12):2308–16. Epub 2009/10/15. pmid:19826075; PubMed Central PMCID: PMC2792183.
- 37. Bruchmann S, Feltwell T, Parkhill J, Short FL. Identifying virulence determinants of multidrug-resistant Klebsiella pneumoniae in Galleria mellonella. Pathog Dis. 2021;79(3). Epub 2021/01/30. pmid:33512418; PubMed Central PMCID: PMC7981267.
- 38. Yu G, Wang LG, Han Y, He QY. clusterProfiler: an R package for comparing biological themes among gene clusters. OMICS. 2012;16(5):284–7. Epub 2012/03/30. pmid:22455463; PubMed Central PMCID: PMC3339379.
- 39. Kanehisa M, Goto S. KEGG: kyoto encyclopedia of genes and genomes. Nucleic Acids Res. 2000;28(1):27–30. Epub 1999/12/11. pmid:10592173; PubMed Central PMCID: PMC102409.
- 40. Cantalapiedra CP, Hernandez-Plaza A, Letunic I, Bork P, Huerta-Cepas J. eggNOG-mapper v2: Functional Annotation, Orthology Assignments, and Domain Prediction at the Metagenomic Scale. Mol Biol Evol. 2021. Epub 2021/10/02. pmid:34597405
- 41. Arndt D, Grant JR, Marcu A, Sajed T, Pon A, Liang Y, et al. PHASTER: a better, faster version of the PHAST phage search tool. Nucleic Acids Res. 2016;44(W1):W16–21. Epub 2016/05/05. pmid:27141966; PubMed Central PMCID: PMC4987931.
- 42. Gu Z, Eils R, Schlesner M. Complex heatmaps reveal patterns and correlations in multidimensional genomic data. Bioinformatics. 2016;32(18):2847–9. Epub 2016/05/22. pmid:27207943.
- 43.
Ma MC. Studies of Neisseria musculi Type IV Pilus and Capsule Using the Natural Mouse Model of Colonization and Persistence. The University of Arizona.; 2019.
- 44. Muir A, Gurung I, Cehovin A, Bazin A, Vallenet D, Pelicic V. Construction of a complete set of Neisseria meningitidis mutants and its use for the phenotypic profiling of this human pathogen. Nat Commun. 2020;11(1):5541. Epub 2020/11/04. pmid:33139723; PubMed Central PMCID: PMC7606547.
- 45. Brissac T, Ziveri J, Ramond E, Tros F, Kock S, Dupuis M, et al. Gluconeogenesis, an essential metabolic pathway for pathogenic Francisella. Mol Microbiol. 2015;98(3):518–34. Epub 2015/07/21. pmid:26192619.
- 46. Humbert MV, Awanye AM, Lian LY, Derrick JP, Christodoulides M. Structure of the Neisseria Adhesin Complex Protein (ACP) and its role as a novel lysozyme inhibitor. PLoS Pathog. 2017;13(6):e1006448. Epub 2017/07/01. pmid:28662181; PubMed Central PMCID: PMC5507604.
- 47. Eriksson J, Eriksson OS, Maudsdotter L, Palm O, Engman J, Sarkissian T, et al. Characterization of motility and piliation in pathogenic Neisseria. BMC Microbiol. 2015;15:92. Epub 2015/05/01. pmid:25925502; PubMed Central PMCID: PMC4449605.
- 48. Exley RM, Sim R, Goodwin L, Winterbotham M, Schneider MC, Read RC, et al. Identification of meningococcal genes necessary for colonization of human upper airway tissue. Infect Immun. 2009;77(1):45–51. Epub 2008/10/22. pmid:18936183; PubMed Central PMCID: PMC2612245.
- 49. Winther-Larsen HC, Hegge FT, Wolfgang M, Hayes SF, van Putten JP, Koomey M. Neisseria gonorrhoeae PilV, a type IV pilus-associated protein essential to human epithelial cell adherence. Proc Natl Acad Sci U S A. 2001;98(26):15276–81. Epub 2001/12/26. pmid:11752467; PubMed Central PMCID: PMC65020.
- 50. Echenique-Rivera H, Muzzi A, Del Tordello E, Seib KL, Francois P, Rappuoli R, et al. Transcriptome analysis of Neisseria meningitidis in human whole blood and mutagenesis studies identify virulence factors involved in blood survival. PLoS Pathog. 2011;7(5):e1002027. Epub 2011/05/19. PPATHOGENS-D-10-00142 [pii]. pmid:21589640; PubMed Central PMCID: PMC3088726.
- 51. Maiden MC, Harrison OB. Population and Functional Genomics of Neisseria Revealed with Gene-by-Gene Approaches. J Clin Microbiol. 2016;54(8):1949–55. Epub 2016/04/22. pmid:27098959; PubMed Central PMCID: PMC4963508.
- 52. Hey A, Li MS, Hudson MJ, Langford PR, Kroll JS. Transcriptional profiling of Neisseria meningitidis interacting with human epithelial cells in a long-term in vitro colonization model. Infect Immun. 2013;81(11):4149–59. Epub 2013/08/28. pmid:23980104; PubMed Central PMCID: PMC3811814.
- 53. Sun YH, Bakshi S, Chalmers R, Tang CM. Functional genomics of Neisseria meningitidis pathogenesis. Nat Med. 2000;6(11):1269–73. Epub 2000/11/04. pmid:11062540.
- 54. Snyder LA, Saunders NJ. The majority of genes in the pathogenic Neisseria species are present in non-pathogenic Neisseria lactamica, including those designated as ’virulence genes’. BMC Genomics. 2006;7:128. Epub 2006/06/01. pmid:16734888; PubMed Central PMCID: PMC1538595.
- 55. Knilans KJ, Hackett KT, Anderson JE, Weng C, Dillard JP, Duncan JA. Neisseria gonorrhoeae Lytic Transglycosylases LtgA and LtgD Reduce Host Innate Immune Signaling through TLR2 and NOD2. ACS Infect Dis. 2017;3(9):624–33. Epub 2017/06/07. pmid:28585815; PubMed Central PMCID: PMC5839173.
- 56. Schaub RE, Dillard JP. The Pathogenic Neisseria Use a Streamlined Set of Peptidoglycan Degradation Proteins for Peptidoglycan Remodeling, Recycling, and Toxic Fragment Release. Front Microbiol. 2019;10:73. Epub 2019/02/16. pmid:30766523; PubMed Central PMCID: PMC6365954.
- 57. Lee EH, Rouquette-Loughlin C, Folster JP, Shafer WM. FarR regulates the farAB-encoded efflux pump of Neisseria gonorrhoeae via an MtrR regulatory mechanism. J Bacteriol. 2003;185(24):7145–52. pmid:14645274; PubMed Central PMCID: PMC296254.
- 58. McNeil G, Virji M, Moxon ER. Interactions of Neisseria meningitidis with human monocytes. Microb Pathog. 1994;16(2):153–63. pmid:7913984
- 59. Moore J, Bailey SE, Benmechernene Z, Tzitzilonis C, Griffiths NJ, Virji M, et al. Recognition of saccharides by the OpcA, OpaD, and OpaB outer membrane proteins from Neisseria meningitidis. J Biol Chem. 2005;280(36):31489–97. pmid:16006553.
- 60. Virji M, Makepeace K, Ferguson DJ, Achtman M, Moxon ER. Meningococcal Opa and Opc proteins: their role in colonization and invasion of human epithelial and endothelial cells. Mol Microbiol. 1993;10(3):499–510. pmid:7968528
- 61. John CM, Phillips NJ, Din R, Liu M, Rosenqvist E, Hoiby EA, et al. Lipooligosaccharide Structures of Invasive and Carrier Isolates of Neisseria meningitidis Are Correlated with Pathogenicity and Carriage. J Biol Chem. 2016;291(7):3224–38. Epub 2015/12/15. pmid:26655715; PubMed Central PMCID: PMC4751370.
- 62. Gisin J, Schneider A, Nagele B, Borisova M, Mayer C. A cell wall recycling shortcut that bypasses peptidoglycan de novo biosynthesis. Nat Chem Biol. 2013;9(8):491–3. Epub 2013/07/09. pmid:23831760.
- 63. Chen CY, Morse SA. Neisseria gonorrhoeae bacterioferritin: structural heterogeneity, involvement in iron storage and protection against oxidative stress. Microbiology. 1999;145 (Pt 10):2967–75. Epub 1999/10/28. pmid:10537219.
- 64. Seib KL, Wu HJ, Kidd SP, Apicella MA, Jennings MP, McEwan AG. Defenses against oxidative stress in Neisseria gonorrhoeae: a system tailored for a challenging environment. Microbiol Mol Biol Rev. 2006;70(2):344–61. pmid:16760307; PubMed Central PMCID: PMC1489540.
- 65. Obergfell KP, Schaub RE, Priniski LL, Dillard JP, Seifert HS. The low-molecular-mass, penicillin-binding proteins DacB and DacC combine to modify peptidoglycan cross-linking and allow stable Type IV pilus expression in Neisseria gonorrhoeae. Mol Microbiol. 2018. Epub 2018/03/25. pmid:29573486; PubMed Central PMCID: PMC6153085.
- 66. Shaik YB, Grogan S, Davey M, Sebastian S, Goswami S, Szmigielski B, et al. Expression of the iron-activated nspA and secY genes in Neisseria meningitidis group B by Fur-dependent and -independent mechanisms. J Bacteriol. 2007;189(2):663–9. Epub 2006/11/07. JB.01638-06 [pii] pmid:17085550; PubMed Central PMCID: PMC1797404.
- 67. Leuzzi R, Serino L, Scarselli M, Savino S, Fontana MR, Monaci E, et al. Ng-MIP, a surface-exposed lipoprotein of Neisseria gonorrhoeae, has a peptidyl-prolyl cis/trans isomerase (PPIase) activity and is involved in persistence in macrophages. Mol Microbiol. 2005;58(3):669–81. Epub 2005/10/22. pmid:16238618.
- 68. Humbert MV, Hung MC, Phillips R, Akoto C, Hill A, Tan WM, et al. Vaccine Potential and Diversity of the Putative Cell Binding Factor (CBF, NMB0345/NEIS1825) Protein of Neisseria meningitidis. PLoS One. 2016;11(8):e0160403. Epub 2016/08/10. pmid:27505005; PubMed Central PMCID: PMC4978444.
- 69. Grossman AS, Mauer TJ, Forest KT, Goodrich-Blair H. A Widespread Bacterial Secretion System with Diverse Substrates. mBio. 2021;12(4):e0195621. Epub 2021/08/18. pmid:34399622; PubMed Central PMCID: PMC8406197.
- 70. Hooda Y, Lai CC, Judd A, Buckwalter CM, Shin HE, Gray-Owen SD, et al. Slam is an outer membrane protein that is required for the surface display of lipidated virulence factors in Neisseria. Nat Microbiol. 2016;1:16009. Epub 2016/08/31. pmid:27572441.
- 71. Freitag NE, Seifert HS, Koomey M. Characterization of the pilF-pilD pilus-assembly locus of Neisseria gonorrhoeae. Mol Microbiol. 1995;16(3):575–86. pmid:7565116
- 72. Lauer P, Albertson NH, Koomey M. Conservation of genes encoding components of a type IV pilus assembly/two-step protein export pathway in Neisseria gonorrhoeae. Mol Microbiol. 1993;8(2):357–68. pmid:8100347.
- 73. Carbonnelle E, Helaine S, Nassif X, Pelicic V. A systematic genetic analysis in Neisseria meningitidis defines the Pil proteins required for assembly, functionality, stabilization and export of type IV pili. Mol Microbiol. 2006;61(6):1510–22. Epub 2006/09/14. MMI5341 [pii] pmid:16968224.
- 74. Winther-Larsen HC, Wolfgang M, Dunham S, van Putten JP, Dorward D, Lovold C, et al. A conserved set of pilin-like molecules controls type IV pilus dynamics and organelle-associated functions in Neisseria gonorrhoeae. Mol Microbiol. 2005;56(4):903–17. Epub 2005/04/28. MMI4591 [pii] pmid:15853879.
- 75. Berry JL, Cehovin A, McDowell MA, Lea SM, Pelicic V. Functional analysis of the interdependence between DNA uptake sequence and its cognate ComP receptor during natural transformation in Neisseria species. PLoS Genet. 2013;9(12):e1004014. Epub 2014/01/05. PGENETICS-D-13-00964 [pii]. pmid:24385921; PubMed Central PMCID: PMC3868556.
- 76. Marceau M, Nassif X. Role of glycosylation at Ser63 in production of soluble pilin in pathogenic Neisseria. J Bacteriol. 1999;181(2):656–61. pmid:9882683
- 77. Power PM, Roddam LF, Dieckelmann M, Srikhanta YN, Tan YC, Berrington AW, et al. Genetic characterization of pilin glycosylation in Neisseria meningitidis. Microbiology. 2000;146 (Pt 4):967–79. pmid:10784055.
- 78. Goosens VJ, Busch A, Georgiadou M, Castagnini M, Forest KT, Waksman G, et al. Reconstitution of a minimal machinery capable of assembling periplasmic type IV pili. Proc Natl Acad Sci U S A. 2017;114(25):E4978–E86. Epub 2017/06/08. pmid:28588140; PubMed Central PMCID: PMC5488919.
- 79. Craig L, Forest KT, Maier B. Type IV pili: dynamics, biophysics and functional consequences. Nat Rev Microbiol. 2019;17(7):429–40. Epub 2019/04/17. pmid:30988511.
- 80. Brown DR, Helaine S, Carbonnelle E, Pelicic V. Systematic functional analysis reveals that a set of seven genes is involved in fine-tuning of the multiple functions mediated by type IV pili in Neisseria meningitidis. Infect Immun. 2010;78(7):3053–63. pmid:20439474; PubMed Central PMCID: PMC2897404.
- 81. Rasmussen JJ, Vegge CS, Frokiaer H, Howlett RM, Krogfelt KA, Kelly DJ, et al. Campylobacter jejuni carbon starvation protein A (CstA) is involved in peptide utilization, motility and agglutination, and has a role in stimulation of dendritic cells. J Med Microbiol. 2013;62(Pt 8):1135–43. Epub 2013/05/18. pmid:23682166.
- 82. Schoen C, Kischkies L, Elias J, Ampattu BJ. Metabolism and virulence in Neisseria meningitidis. Front Cell Infect Microbiol. 2014;4:114. Epub 2014/09/06. pmid:25191646; PubMed Central PMCID: PMC4138514.
- 83. Xavier MN, Winter MG, Spees AM, den Hartigh AB, Nguyen K, Roux CM, et al. PPARgamma-mediated increase in glucose availability sustains chronic Brucella abortus infection in alternatively activated macrophages. Cell Host Microbe. 2013;14(2):159–70. Epub 2013/08/21. pmid:23954155; PubMed Central PMCID: PMC3777723.
- 84. Hong PC, Tsolis RM, Ficht TA. Identification of genes required for chronic persistence of Brucella abortus in mice. Infect Immun. 2000;68(7):4102–7. Epub 2000/06/17. pmid:10858227; PubMed Central PMCID: PMC101704.
- 85. Masignani V, Giuliani MM, Tettelin H, Comanducci M, Rappuoli R, Scarlato V. Mu-like Prophage in serogroup B Neisseria meningitidis coding for surface-exposed antigens. Infect Immun. 2001;69(4):2580–8. Epub 2001/03/20. pmid:11254622; PubMed Central PMCID: PMC98194.
- 86. Kawai M, Uchiyama I, Kobayashi I. Genome comparison in silico in Neisseria suggests integration of filamentous bacteriophages by their own transposase. DNA Res. 2005;12(6):389–401. Epub 2006/06/14. dsi021 [pii] pmid:16769696.
- 87. Bille E, Zahar JR, Perrin A, Morelle S, Kriz P, Jolley KA, et al. A chromosomally integrated bacteriophage in invasive meningococci. J Exp Med. 2005;201(12):1905–13. Epub 2005/06/22. jem.20050112 [pii] pmid:15967821.
- 88. Clemence MEA, Maiden MCJ, Harrison OB. Characterization of capsule genes in non-pathogenic Neisseria species. Microb Genom. 2018;4(9). Epub 2018/08/04. pmid:30074474; PubMed Central PMCID: PMC6202450.
- 89. Harrison OB, Claus H, Jiang Y, Bennett JS, Bratcher HB, Jolley KA, et al. Description and nomenclature of Neisseria meningitidis capsule locus. Emerg Infect Dis. 2013;19(4):566–73. Epub 2013/05/01. pmid:23628376; PubMed Central PMCID: PMC3647402.
- 90. Wang G, Olczak AA, Walton JP, Maier RJ. Contribution of the Helicobacter pylori thiol peroxidase bacterioferritin comigratory protein to oxidative stress resistance and host colonization. Infect Immun. 2005;73(1):378–84. Epub 2004/12/25. pmid:15618175; PubMed Central PMCID: PMC538961.
- 91. Mubaiwa TD, Semchenko EA, Hartley-Tassell LE, Day CJ, Jennings MP, Seib KL. The sweet side of the pathogenic Neisseria: the role of glycan interactions in colonisation and disease. Pathog Dis. 2017;75(5). Epub 2017/06/22. pmid:28633281; PubMed Central PMCID: PMC5808653.
- 92. Siena E, Bodini M, Medini D. Interplay Between Virulence and Variability Factors as a Potential Driver of Invasive Meningococcal Disease. Comput Struct Biotechnol J. 2018;16:61–9. Epub 2018/04/25. pmid:29686800; PubMed Central PMCID: PMC5910500.
- 93. Howie HL, Glogauer M, So M. The N. gonorrhoeae type IV pilus stimulates mechanosensitive pathways and cytoprotection through a pilT-dependent mechanism. PLoS Biol. 2005;3(4):e100. pmid:15769184.
- 94. Calton CM, Wade LK, So M. Upregulation of ATF3 inhibits expression of the pro-inflammatory cytokine IL-6 during Neisseria gonorrhoeae infection. Cell Microbiol. 2013;15(11):1837–50. pmid:23648135; PubMed Central PMCID: PMC3796059.
- 95. Higashi DL, Lee SW, Snyder A, Weyand NJ, Bakke A, So M. Dynamics of Neisseria gonorrhoeae attachment: microcolony development, cortical plaque formation, and cytoprotection. Infect Immun. 2007;75(10):4743–53. Epub 2007/08/08. IAI.00687-07 [pii] pmid:17682045; PubMed Central PMCID: PMC2044525.
- 96. Merz AJ, So M, Sheetz MP. Pilus retraction powers bacterial twitching motility. Nature. 2000;407(6800):98–102. pmid:10993081
- 97. Wolfgang M, Lauer P, Park HS, Brossay L, Hebert J, Koomey M. PilT mutations lead to simultaneous defects in competence for natural transformation and twitching motility in piliated Neisseria gonorrhoeae. Mol Microbiol. 1998;29(1):321–30. pmid:9701824
- 98. Kurre R, Hone A, Clausen M, Meel C, Maier B. PilT2 enhances the speed of gonococcal type IV pilus retraction and of twitching motility. Mol Microbiol. 2012. Epub 2012/10/06. pmid:23035839.
- 99. Eriksson J, Eriksson OS, Jonsson AB. Loss of meningococcal PilU delays microcolony formation and attenuates virulence in vivo. Infect Immun. 2012;80(7):2538–47. pmid:22508857; PubMed Central PMCID: PMC3416451.
- 100. Flaugnatti N, Isaac S, Lemos Rocha LF, Stutzmann S, Rendueles O, Stoudmann C, et al. Human commensal gut Proteobacteria withstand type VI secretion attacks through immunity protein-independent mechanisms. Nat Commun. 2021;12(1):5751. Epub 2021/10/03. pmid:34599171.
- 101. Henke MT, Brown EM, Cassilly CD, Vlamakis H, Xavier RJ, Clardy J. Capsular polysaccharide correlates with immune response to the human gut microbe Ruminococcus gnavus. Proc Natl Acad Sci U S A. 2021;118(20). Epub 2021/05/12. pmid:33972416; PubMed Central PMCID: PMC8157926.
- 102. Rendueles O, Garcia-Garcera M, Neron B, Touchon M, Rocha EPC. Abundance and co-occurrence of extracellular capsules increase environmental breadth: Implications for the emergence of pathogens. PLoS Pathog. 2017;13(7):e1006525. Epub 2017/07/26. pmid:28742161; PubMed Central PMCID: PMC5542703.
- 103. Skov Sorensen UB, Yao K, Yang Y, Tettelin H, Kilian M. Capsular Polysaccharide Expression in Commensal Streptococcus Species: Genetic and Antigenic Similarities to Streptococcus pneumoniae. MBio. 2016;7(6). pmid:27935839; PubMed Central PMCID: PMC5111408.
- 104. Jones A, Georg M, Maudsdotter L, Jonsson AB. Endotoxin, capsule, and bacterial attachment contribute to Neisseria meningitidis resistance to the human antimicrobial peptide LL-37. J Bacteriol. 2009;191(12):3861–8. Epub 2009/04/21. pmid:19376861; PubMed Central PMCID: PMC2698406.
- 105. Spinosa MR, Progida C, Tala A, Cogli L, Alifano P, Bucci C. The Neisseria meningitidis capsule is important for intracellular survival in human cells. Infect Immun. 2007;75(7):3594–603. Epub 2007/05/02. pmid:17470547; PubMed Central PMCID: PMC1932921.
- 106. Agarwal S, Vasudhev S, DeOliveira RB, Ram S. Inhibition of the classical pathway of complement by meningococcal capsular polysaccharides. J Immunol. 2014;193(4):1855–63. Epub 2014/07/13. pmid:25015832; PubMed Central PMCID: PMC4119509.
- 107. Rendon MA, Lona B, Ma M, So M. RpoN and the Nps and Npa two-component regulatory system control pilE transcription in commensal Neisseria. Microbiologyopen. 2019;8(5):e00713. Epub 2018/08/07. pmid:30079633; PubMed Central PMCID: PMC6528607.
- 108. Tzeng YL, Thomas J, Stephens DS. Regulation of capsule in Neisseria meningitidis. Crit Rev Microbiol. 2016;42(5):759–72. Epub 2015/06/20. pmid:26089023; PubMed Central PMCID: PMC4893341.
- 109. Barnwal RP, Loh E, Godin KS, Yip J, Lavender H, Tang CM, et al. Structure and mechanism of a molecular rheostat, an RNA thermometer that modulates immune evasion by Neisseria meningitidis. Nucleic Acids Res. 2016;44(19):9426–37. Epub 2016/11/02. pmid:27369378; PubMed Central PMCID: PMC5100586.
- 110. Loh E, Kugelberg E, Tracy A, Zhang Q, Gollan B, Ewles H, et al. Temperature triggers immune evasion by Neisseria meningitidis. Nature. 2013;502(7470):237–40. Epub 2013/09/27. pmid:24067614; PubMed Central PMCID: PMC3836223.
- 111. Al Suwayyid BA, Rankine-Wilson L, Speers DJ, Wise MJ, Coombs GW, Kahler CM. Meningococcal Disease-Associated Prophage-Like Elements Are Present in Neisseria gonorrhoeae and Some Commensal Neisseria Species. Genome Biol Evol. 2020;12(2):3938–50. Epub 2020/02/08. pmid:32031617; PubMed Central PMCID: PMC7058167.
- 112. Meyer J, Brissac T, Frapy E, Omer H, Euphrasie D, Bonavita A, et al. Characterization of MDAPhi, a temperate filamentous bacteriophage of Neisseria meningitidis. Microbiology (Reading). 2016;162(2):268–82. Epub 2015/11/26. pmid:26602366.
- 113. Piekarowicz A, Klyz A, Majchrzak M, Adamczyk-Poplawska M, Maugel TK, Stein DC. Characterization of the dsDNA prophage sequences in the genome of Neisseria gonorrhoeae and visualization of productive bacteriophage. BMC Microbiol. 2007;7:66. Epub 2007/07/07. pmid:17615066; PubMed Central PMCID: PMC1931599.
- 114.
Schneider CL. Bacteriophage-Mediated Horizontal Gene Transfer: Transduction. In: Harper D, Abedon S., Burrowes B., McConville M., editor. Bacteriophages: Springer; 2017.
- 115. Keen EC, Dantas G. Close Encounters of Three Kinds: Bacteriophages, Commensal Bacteria, and Host Immunity. Trends Microbiol. 2018;26(11):943–54. Epub 2018/06/18. pmid:29909042; PubMed Central PMCID: PMC6436384.
- 116. Davies EV, James CE, Kukavica-Ibrulj I, Levesque RC, Brockhurst MA, Winstanley C. Temperate phages enhance pathogen fitness in chronic lung infection. ISME J. 2016;10(10):2553–5. Epub 2016/04/14. pmid:27070941; PubMed Central PMCID: PMC4950967.