Key Points
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Bacteria can act in a concerted manner by coordinating the gene expression of populations above a certain cell density through the production and sensing of small diffusible signalling molecules called autoinducers, in a process referred to as quorum sensing.
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LuxS produces the precursor of autoinducer-2 (AI-2), 4,5,-dihydroxy-2,3-pentanedione (DPD), whilst converting S-ribosylhomocysteine to homocysteine. These and subsequent chemical transformations plus molecular mechanisms of this reaction are described in this review.
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The realization that more than one active chemical structure ((2R,4S)-2-methyl-2,3,3,4-tetrahydroxytetrahydrofuran, 3A-methyl-5,6-dihydro-furo(2,3-D)(1,3,2)dioxaborole-2,2,6,6A-tetraol, and 4-hydroxy-5-methyl-3(2H)-furanone names) can result from cyclization of DPD has led to the use of AI-2 as a collective term.
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Many bacteria use LuxS and the enzyme Pfs to close the activated methyl cycle that is necessary to recycle the metabolite methionine, whilst others achieve this in a single step, using the enzyme S-adenosylhomocysteine hydrolase. The distribution of these alternative pathways is presented, and correlated with phylogeny.
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Two pathways responding to AI-2 have been described, one in Vibrio spp. involving two component signal regulators, and one in Salmonella enterica serovar Typhimurium, using an ABC transporter. These are described alongside their possible evolutionary origins and alternative functions.
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Many pathogens inhabiting different niches possess LuxS. The phenotypic effects of LuxS/AI-2 are discussed in relation to the disparate environments of their hosts (oral cavity, gastrointestinal tract, bloodstream, blood–brain barrier, cutaneous and soft tissue), and correlated with current knowledge to deduce their influence on pathogenesis.
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Throughout the review, reference is made to the likely contribution of LuxS to either quorum sensing or central metabolism as the basis of observed phenotypic changes.
Abstract
Bacteria exploit many mechanisms to communicate with each other and their surroundings. Mechanisms using small diffusible signals to coordinate behaviour with cell density (quorum sensing) frequently contribute to pathogenicity. However, pathogens must also be able to acquire nutrients and replicate to successfully invade their host. One quorum-sensing system, based on the possession of LuxS, bears the unique feature of contributing directly to metabolism, and therefore has the potential to influence both gene regulation and bacterial fitness. Here, we discuss the influence that LuxS and its product, autoinducer-2, have on virulence, relating the current evidence to the preferred niche of the pathogen and the underlying mechanisms involved.
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Main
In most environmental niches, bacteria exist in complex communities of single or multiple species that develop on abiotic (for example, rocks) or biotic (for example, host mucosal tissues) surfaces1,2,3 rather than as single, planktonic cells suspended in liquid. As such niches are diverse, microorganisms depend on their capacity to sense the local environmental conditions and adapt by regulating the expression of specific genes. This is particularly vital for pathogenic bacteria, which encounter a range of habitats in a host. Consequently, bacteria have developed several highly sophisticated mechanisms to gather, process and transduce environmental information such as pH, temperature, nutrient availability, osmolarity and cell population density. Many different signal transduction mechanisms in bacteria control the synthesis of colonization factors, toxins and tissue-degrading enzymes, which might only be necessary in specific host compartments and detrimental to the bacterium in others4.
Many bacteria secrete small, diffusible, signalling molecules. It is generally assumed that these molecules are used for a process termed 'quorum sensing', the phenomenon whereby the accumulation of specific, diffusible, low-molecular-weight signal molecules (or 'autoinducers') enables bacteria to sense when the minimal number, or 'quorum', of bacteria has been achieved for a concerted response to be initiated5,6,7. Both Gram-negative and Gram-positive pathogens are known to use autoinducer molecules to coordinate expression of genes crucial for virulence and survival. Delaying virulence factor production until a certain population density is reached might allow for a host to be overwhelmed before its innate immune response is fully activated. In addition, this process might enable bacteria to function in concert with the characteristics of a multicellular organism by acquiring an organization such as a BIOFILM, which can aid either pathogenesis or the establishment of specific symbiotic associations with eukaryotic hosts8. The production of autoinducers might also facilitate the detection of a diffusion barrier or compartment boundary9,10.
Among the many different mechanisms for quorum sensing that have evolved7, the most-characterized quorum-sensing systems involve the production of N-acyl-L-homoserine lactones (AHLs) by Gram-negative bacteria6,11,12. AHLs are usually produced by a protein homologous to LuxI, but can be generated by other enzymes13,14,15,16. Signalling through the production of post-translationally modified peptides is confined to Gram-positive bacteria17.
The only quorum-sensing mechanism shared by both Gram-positive and Gram-negative bacteria involves the production of autoinducer 2 (AI-2) by the enzyme LuxS8,18. This pathway is found in over 55 species, leading to the suggestion that AI-2 is a universal language for interspecies communication18. However, LuxS has an alternative role in the cell, in which it functions as an integral component of the ACTIVATED METHYL CYCLE (AMC)19. This link could also provide an explanation for the widespread conservation of luxS, although further investigation is required to confirm this possibility.
Here, we discuss the physiology of AI-2 production and sensing by bacteria, and the relationship between LuxS and the AMC. Furthermore, we review the recent data on the impact of LuxS on the pathogenesis of human infections.
LuxS and AI-2
Formation of AI-2. AI-2 is a byproduct of the AMC (Fig. 1), which recycles S-ADENOSYL-L-METHIONINE (SAM), the main methyl donor in eubacterial, archaebacterial and eukaryotic cells. As part of the AMC, SAM is converted to S-ADENOSYL-L-HOMOCYSTEINE (SAH), which is subsequently detoxified by the Pfs enzyme (also called 5′-methylthioadenosine/S-adenosylhomocysteine nucleosidase) to generate adenine and the sole intracellular source of the substrate of LuxS, S-RIBOSYLHOMOCYSTEINE (SRH). LuxS then produces the precursor of AI-2, 4,5-DIHYDROXY-2,3-PENTANEDIONE (DPD), during the conversion of SRH to HOMOCYSTEINE (HCY)8,20. Many organisms, in particular eukaryotes, replace this two-step process with a single enzyme, SAH hydrolase (SahH), which converts SAH to homocysteine without producing AI-2 (Refs 20,21).
Biochemistry of the reaction catalysed by LuxS. The available crystal structures of LuxS homologues22,23,24 depict a homodimer with a fold that is unique to a small family of enzymes with related functions. Two identical active sites are formed at the dimer interface by residues from both subunits contained within the invariant HXXEH motif, where an Fe2+ ion is tetrahedrally coordinated. To achieve the predicted chemical conversion, it is proposed that a series of proton-transfer reactions occurs, catalysed by the Fe2+ ion25 and two residues of LuxS26. These properties identify LuxS as the previously described ribosylhomocysteine-cleavage enzyme27,28 shown to be responsible for DPD formation in Escherichia coli (for more detailed overviews of LuxS structure and catalysis see Refs 19,29).
The chemical nature of AI-2. Although DPD is the molecule synthesized alongside HCY by LuxS, AI-2 activity is associated with cyclic derivatives of this molecule that can be generated spontaneously30,31. The chemical structures first attributed to AI-2 activity were furanone derivatives (particularly 4-HYDROXY-5-METHYL-3(2H)-FURANONE, MHF), by virtue of their ability to induce bioluminescence in the Vibrio harveyi bioassay20,32. Although it can activate the V. harveyi biosensor and is the main product present in methanol extracts of the in vitro AI-2 synthetic reaction mixture, MHF (which can be derived from DPD, see Fig. 1) showed lower activity than AI-2, which indicates that there is at least one other molecule in LuxS in vitro reaction mixtures with a higher activity than MHF19,20,32. The finding that more than one molecule can behave as AI-2 initiated the use of 'AI-2' as a collective term, a practise that was required after the discovery of further DPD-derived molecules found in complex with two AI-2-binding proteins following co-crystalization.
First, crystallographic analysis of the AI-2-binding protein of V. harveyi, LuxP (which clearly has a role in cell–cell communication), revealed that the protein was complexed to a FURANOSYL-BORATE-DIESTER33 (3A-methyl-5,6-dihydro-furo(2,3-D)(1,3,2)dioxaborole-2,2,6, 6A-tetraol; S-THMF-borate) (Figs 1,2). This molecule was suggested to arise by cyclization of DPD followed by reaction with borate (Fig. 1). However, AI-2 activity is not always associated with boron, as the Salmonella enterica serovar Typhimurium (S. typhimurium) AI-2-binding protein LsrB (LuxS-regulated protein B) (Fig. 2), interacts with (2R,4S)-2-methyl-2,3,3,4-tetrahydroxytetrahydrofuran (R-THMF), which lacks boron34.
Despite low sequence identity between LsrB and LuxP, they have the same fold, although LsrB shows strong structural homology with several other sugar-binding proteins and repressors of the LacI/RsbB family34. Moreover, the AI-2 binding sites are distinct: the polar residues in LuxP are replaced with non-polar residues in LsrB, which generates a different net charge and orientation in the binding sites. Despite the differing nature of molecules interacting with AI-2-binding proteins, Miller et al.34 demonstrated their capacity for interconversion, and the influence that boric acid has on the equilibrium between them34. It is probable that, depending on the niche of a bacterium, a chemically different form of AI-2 might be active (for example, in the marine environment where borate is plentiful, the predominant form of AI-2 is the furanosyl-borate-diester). Alternatively, the different molecular structures might reflect variation in the function of AI-2 (quorum sensing versus metabolic).
Schemes for the potential interconversions of all the molecules implicated with AI-2 activity are shown in Fig. 1. However, the alternative (non-LuxS-dependent) intracellular sources of DPD which can be generated from spontaneous degradation of sugar phosphates35,36 are not displayed.
Functions of AI-2
In the light of the intriguing possibility that the different AI-2-binding proteins could participate in the mediating of distinctly different responses to AI-2, we now consider the two possible functions of AI-2 — as an autoinducer or as a metabolite — in the context of these responses.
Response to AI-2 by V. harveyi. The clearest evidence that demonstrates that AI-2 can control gene expression through quorum sensing comes from studies of Vibrio spp., in particular the organism in which it was first identified, V. harveyi. AI-2 is one of three quorum-sensing signal molecules produced by V. harveyi that control bioluminescence (Box 1). AI-2 can gain access to the periplasm of V. harveyi, where it interacts with the periplasmic binding protein LuxP, which in turn interacts with a membrane-bound histidine protein kinase, LuxQ33,37. In the absence of AI-2, LuxQ autophosphorylates38,39,40 and transfers a phosphate to LuxU, which subsequently passes it to the response regulator, LuxO. Phospho-LuxO, with σ54, activates expression of small regulatory RNA (sRNA), which, with the help of the chaperone Hfq, destabilizes the mRNA that encodes the activator protein LuxRVh. As LuxRVh is required for transcription of the luciferase-encoding genes, no light is generated. At high AI-2 concentrations (indicating high cell density), LuxQ functions as a phosphatase, reversing the flow of phosphates and turning on light production (Fig. 2). The sensors of the other two autoinducers (AI-1 and CAI-1 (cholerae AI-1), see Box 1) feed into the same pathway at the level of LuxU. The components of the AI-2 response network are shared by other Vibrio species (including Vibrio cholerae, Vibrio parahaemolyticus, Vibrio vulnificus and Vibrio fischeri, as well as the renamed Listonella anguillarum41,42).
This mechanism integrates the sensory inputs from all the autoinducers; however, V. harveyi can distinguish between conditions in which all autoinducers are present (the 'coincidence state', characterized by complete dephosphorylation of LuxO) and all other variations41,43. So, in V. harveyi, the individual presence of an autoinducer initiates a phosphatase activity that exceeds the remaining kinase activity, but is not sufficient to deplete phospho-LuxO completely. Therefore, the simultaneous presence of all three autoinducers will result in a more dramatic effect on gene regulation. The sensitivity of this system might even enable V. harveyi to respond to changes in the ratio between AI-1 and AI-2 (Ref. 43). The involvement of sRNAs in this system might impart the ability to behave as a sensitive, definitive on/off switch leading to an all-or-nothing response42. Moreover, it is not dedicated to the control of bioluminescence, but can modulate other phenotypes in V. harveyi43,44.
Uptake of AI-2 by S. typhimurium and E. coli. In S. typhimurium45,46 and E. coli (K.W. and K.R.H., unpublished results and Ref. 47), instead of initiating a phosphorylation cascade, AI-2 seems to be taken up by an ABC TRANSPORTER. As observed with other bacteria, AI-2 is only transiently found in culture supernatants19. Although AI-2 might undergo inactivation or degradation in the supernatant or on the cell surface (either spontaneously or enzymatically), some bacterial cells can actively take up AI-2, and the genes encoding an ABC transporter were identified as an operon that is differentially expressed in a S. typhimurium luxS mutant (the luxS-regulated lsr operon)45. Immediately upstream of this lsrACDBFGE operon are the divergently transcribed lsrR gene (encoding a repressor for the lsr operon), and lsrK (encoding a kinase responsible for AI-2 phosphorylation). Deletion of lsrR results in rapid and complete removal of AI-2 from the supernatant, presumably because the lsr operon is maximally expressed and the encoded proteins transport all the AI-2 into the cell45. The combined effect of the ABC transporter and adjacent genes is to phosphorylate AI-2 and then further convert it to currently uncharacterized product(s) (Fig. 2). Recently, the E. coli genes homologous to lsr have been shown to have similar functions47.
As lsr transporter mutants retain the ability to slowly internalize AI-2, it appears that there is a second, inefficient AI-2 transporter. Given the structure of AI-2 and the similarity of the lsr operon with ribose-uptake systems (rbs), it is possible that the latter could function in this regard. However, the rbs operon of E. coli does not seem to have this function48. An alternative transporter normally used to transport other molecules with a similar structure to AI-2 (including MHF, see Box 2) could perform this role (unpublished data, see below). Although also described as a quorum-sensing-related response46, the similarity (both by sequence homology and function, that is, uptake followed by phosphorylation) of the Lsr transporter with the uptake mechanisms of other sugars strongly indicates a primarily metabolic role for AI-2.
Linkage of luxS to methionine synthesis genes
It has been suggested that the role of luxS is unlikely to be metabolic, as pfs is present in some bacteria even though luxS is not, which indicates that Pfs itself is sufficient for detoxification of SAH18 (see Supplementary information S1 (figure)). The ease of construction of luxS mutants also argues against an essential role, as does the lack of growth defects of a S. typhimurium luxS mutant, and its inability to grow in minimal media containing AI-2 as the sole carbon source46. However, a long-term selective advantage is probably conferred by the ability to recycle metabolic building blocks. Interestingly, luxS and pfs have been found adjacent to other genes involved in metabolic reactions linked to the AMC, in particular those involved in the metabolism of sulphur-containing amino acids, such as cysK, metB, and metE/H, which are required for cysteine and methionine biosynthesis respectively (Ref. 19) (Fig. 1).
There is speculation about the possible evolutionary steps that have resulted in the genetic linkages described above. Hypotheses to explain the possession of one or more of the alternative MET recycling routes are also developing — why do some bacteria harbour luxS and pfs genes together, whereas others bear the gene encoding SahH (the enzyme capable of converting SAH to homocysteine without concomitant production of DPD)? Lerat and Moran49 examined the phylogeny of luxS homologues and, based on the close similarity of their luxS genes, concluded that horizontal transfer had probably occurred from the Firmicutes to distantly related bacteria, such as the ε-proteobacterium Helicobacter pylori , the actinobacterium Bifidobacterium longum , and the spirochaete Borrelia burgdorferi . Generally, within genera or higher order groups, there is conservation of one particular pathway (see Supplementary information S1 (figure)), and the first impression is that many pathogenic species possess LuxS, whereas many non-pathogenic species harbour SahH. However, given the current bias in sequenced strains it is too early to generalize.
The roles of LuxS/AI-2 in pathogenesis
With such a wide distribution, it is not surprising that the LuxS protein has an important role in infection, and in support of this assertion, experimental studies (which tend to focus on the mechanisms that underlie virulence) have highlighted a role for LuxS in pathogenesis. The remainder of this review focuses on our understanding of the LuxS-dependent phenotypes of pathogens that inhabit certain niches within the host.
With LuxS and AI-2 having two potential roles (metabolic and quorum sensing), disruption of either could cause the observed phenotypic changes. Efforts have been made to highlight what might be the more plausible situation in each bacterium; however, it is clear that more careful analysis is required to precisely delineate the mechanism behind the phenotypic alterations. Additionally, many bacteria harbour complex regulatory circuits, as illustrated by the enterics50,51,52,53 which can be indirectly influenced through altered metabolism. Therefore, this article has focused on regulatory aspects relating to AI-2 and AHL signalling only.
Oral pathogens
The oral cavity contains many bacteria, including over 300 different species that colonize the three principal surfaces available in the oropharynx54. Teeth and mucosal epithelial cells are populated by microorganisms that form plaque, which itself provides a further niche for colonization, leading to mixed species communities. These polymicrobial aggregations are crucial for the pathogenesis of oral disease. Gram-positive (for example, Actinomyces spp.) and Gram-negative (for example, Fusobacterium spp.) bacteria together promote biofilm and dental plaque formation, which lead to inflammation of gums (gingivitis) and tooth decay54. Therefore, the oral cavity is an ideal ecological niche where bacteria could interact and communicate with each other. Previous studies have shown that peptides secreted by staphylococci can change the behaviour of enterococci, acting like endogenously produced pheromones55. However, a shared AI-2 quorum-sensing system has the potential to offer a broader scope for communication between bacterial species.
Several oral pathogens produce AI-2. A survey of 33 strains (including 16 different species) from the oral cavity found that about half could induce bioluminescence of the V. harveyi biosensor56; however, these strains represented only three genera, Fusobacterium, Prevotella and Porphyromonas56. Additional evidence for widespread AI-2 production comes from the identification of luxS homologues among various oral pathogens, including Prevotella intermedia strains, Porphyromonas gingivalis and Actinobacillus actinomycetemcomitans , although it is intriguing that the sequenced Fusobacterium nucleatum strains apparently lack a luxS homologue (see Supplementary information S1 (figure)).
A P. gingivalis luxS mutant showed reduced expression of a TonB homologue, an excinuclease and a haemin-regulated receptor57. TonB is a component of a periplasmic complex that is responsible for the transport of iron from outer-membrane receptors into the cytoplasm. LuxS also influenced production of two extracellular cysteine proteases and a haemagglutinin58. Despite these reductions in expression of potential virulence determinants, the P. gingivalis luxS mutant retained its virulence in mice after subcutaneous inoculation58. However, although the P. gingivalis luxS mutant retained its ability to form biofilms with wild-type Streptococcus gordonii 57, it failed to do so with a luxS mutant of S. gordonii59.
Several genes in A. actinomycetemcomitans are regulated in an AI-2-dependent fashion60, including afuA (A. actinomycetemcomitans ferric uptake protein A, which encodes a periplasmic protein involved in iron transport), and a gene encoding leukotoxin (a member of the RTX (repeats in toxin) family of toxins). The reduced expression of AfuA has important functional consequences, as strains lacking luxS have a growth defect in iron-restricted conditions which is probably crucial in vivo61. The regulation of genes involved in iron metabolism in both A. actinomycetemcomitans and P. gingivalis suggests that AI-2 might function as a signal to bacteria that indicates nutrient limitation57,61.
Two of the main components of dental plaque biofilm, S. gordonii and Streptococcus mutans , harbour a luxS homologue59,62. Disruption of either of these luxS homologues leads to strains that form biofilms with altered architecture62,63. As S. gordonii is an initial colonizer of freshly cleaned enamel, the alteration in biofilm formation over the 4-hour period studied might adversely affect its ability to initiate infection. The aggregates formed by LuxS-negative S. mutans were more resistant to antibiotics and detergents than the wild type, which indicates that the virulence of this microorganism could also be altered. This suggestion is supported by gene expression changes in the luxS mutant of S. mutans, including downregulation of the virulence determinant fructanase by more than 50% (Ref. 64). It is probable that many other bacteria in the oropharynx produce AI-2-like molecules, and further understanding of the complex interactions between organisms will require more work using mixtures of bacterial species.
Gastrointestinal pathogens
Helicobacter pylori. H. pylori is the leading cause of peptic ulceration and inhabits the mucous layer that lines the gastric lumen. Initially, no phenotype, not even proteomic variations, could be attributed to a H. pylori luxS mutant, apart from the defect in AI-2 production65,66. More recently, it was demonstrated that a luxS mutant of H. pylori formed biofilms more efficiently than the parent strain67, and no longer displayed growth-phase-dependent expression of one of the flagellin-encoding genes, flaA . However, it is not known whether this particular phenotype affects motility of the mutant strain68.
Several enteric pathogens inhabit the lower gastrointestinal tract and cause localized disease following their acquisition through the faecal–oral route. As hundreds of different bacterial species are present in the intestine, there are ample opportunities for the microbial community to interact with each other. Many enteric pathogens produce and respond to AI-2, but whereas the biosynthetic pathway of AI-2 formation is identical in E. coli, S. typhimurium and V. cholerae32,34,69, the genes and phenotypes regulated by the LuxS/AI-2 system are distinct.
Enteropathogenic and enterohaemorrhagic E. coli. Strains of pathogenic E. coli colonize the intestine, and several produce potent enterotoxins that cause life-threatening diarrhoeal disease or urinary tract infections70. Enteropathogenic E. coli (EPEC) colonizes the mucosa of the small intestine and causes diarrhoea in infants and small children, without invading host cells or producing toxins. On the other hand, enterohaemorrhagic E. coli (EHEC) colonizes the large intestine and secretes a Shiga-like toxin, which is largely responsible for haemorrhagic colitis and haemolytic uraemic syndrome that sometimes occur following infection70,71. Both EPEC and EHEC subvert intestinal epithelial cell function to produce a characteristic histopathological feature known as the 'attaching and effacing' (A/E) lesion70.
The genes required for formation of A/E lesions by EHEC and EPEC are encoded in a pathogenicity island called the locus of enterocyte effacement (LEE). In EPEC, the LEE contains 41 genes, which encode: a TYPE III SECRETION SYSTEM (TTSS), which is an important mechanism for delivery of bacterial proteins directly into host cells; proteins secreted by the TTSS, which are essential for signal transduction in host cells and to A/E lesion formation; and the adhesin intimin together with its receptor, Tir70,72.
The transcriptional regulation of genes in the LEE is complex (Fig. 3). Two transcriptional regulators (QseA (quorum-sensing E.coli regulator A), a LysR-like regulator73 and the LEE-encoded regulator, Ler) participate in LEE operon regulation in EPEC and EHEC, with EPEC having an additional influence through Per (plasmid-encoded regulator). Ler is encoded by the lee1 operon and influences expression of LEE2, LEE3 and tir operons in EHEC. In EPEC, Ler also modulates LEE4 expression74. Quorum sensing was initially proposed to directly affect LEE1 and LEE2 expression in EPEC, and to indirectly influence expression of other LEE operons through Ler75. Recently, this model has been refined, and luxS-mediated quorum sensing is now suggested to function through QseA, and possibly other factors73. In EPEC, luxS and qseA mutants show decreased adhesion to epithelial cells, decreased TTSS gene expression, and display either increased (qseA mutant) or decreased (luxS mutant) flagellin production and motility76. In EHEC, mutation of luxS altered flagellation and motility. However, although QseA influenced TTSS, it had no effect on the flagellar regulon73. Instead, it has been suggested that a novel two-component system (QseBC) regulates flagellar biogenesis and motility in EHEC77. It seems that QseBC is inhibited by QseA in EPEC, and that quorum sensing can also function through Per76.
Why do EHEC and EPEC show differences in the regulation by quorum sensing? Given that multiple bacterial species reside in the intestine and that EHEC has a remarkably low infectious dose (around 10 bacteria), intestinal colonization could be induced by quorum-sensing signals produced by the normal intestinal flora75. As EPEC colonizes the proximal small intestine, where there are fewer resident bacteria, Per might provide compensation for the lack of exogenous signals, leading to the suggestion that EPEC uses quorum sensing for intraspecies signalling, whereas EHEC exploits AI-2 for interspecies signalling. The difference between flagella regulation of EHEC and EPEC through QseA might reflect different roles of flagella in EPEC and EHEC during pathogenesis. In EPEC, flagella have an involvement in adherence and microcolony formation not shared by EHEC strains76.
As preliminary microarray analysis indicated that around 10% of all genes are differentially expressed in a luxS mutant of EHEC78, it was suggested that quorum sensing was a global regulatory mechanism for basic physiological functions of E. coli as well as for the production of virulence factors. However, despite a reliance on LuxS function, in vitro-synthesized AI-2 did not modulate the TTSS of EHEC79. Instead, it was proposed that another molecule (AI-3) could be produced by LuxS. AI-3 remains chemically uncharacterized, and is proposed to interface with the host adrenaline signalling system79, so AI-3 might be responsible for the effects described above instead of AI-2. However, as the nature of AI-3 remains unknown, its effects have not been rigorously investigated, and it remains to be proven whether AI-3 production is linked to the presence of LuxS in other bacteria, and if it is a direct product of the synthetic reaction catalysed by LuxS instead of a consequence of physiological changes associated with the AMC80.
Salmonella. Over 1,400 serotypes of various Salmonella species can cause foodborne gastroenteritis, resulting from colonization of the small and large intestine, and marked acute inflammatory responses in the gastrointestinal tract81. In S. typhimurium, AI-2 production is tightly correlated with pfs transcription82. This could be explained by an increased need for SAH detoxification, leading to raised levels of Pfs, which in turn result in elevated SRH levels and LuxS activity. This generates higher levels of AI-2 and indicates a metabolic function instead of a quorum-sensing-related function. In support of this, the only genes currently known to be regulated by AI-2 in S. typhimurium are the seven-gene lsr operon, which promotes internalization of AI-2 (Refs 45,46,83). This finding is consistent with the Lsr ABC transporter acting to take up AI-2 and its use as a metabolite, and indicates that metabolic changes in luxS mutants can have consequences in gene regulation. For example, the genetic screen used by Taga et al.45 identified metE, which encodes an enzyme integral to de novo methionine synthesis, as a gene with altered expression in a luxS mutant when compared with the parental strain. This indicates that the AMC influences metabolite levels and therefore gene expression, and provides an illustration of how luxS phenotypes can be misinterpreted. There are no other descriptions of AI-2-mediated signalling in Salmonella.
Vibrio cholerae. Intestinal infection with V. cholerae results in the severe diarrhoeal disease cholera through the action of the cholera toxin, a potent stimulator of adenylate cyclase. V. cholerae contains a complex quorum-sensing system similar to that of V. harveyi, which is used to regulate a wide range of phenotypes. Indeed, to some extent, the Vibrio spp. systems are interchangeable42. Much of the phenotypic characterization has centred around comparison of parental strains with mutants in the response cascade (including LuxU, LuxO and HapR) that follows both AI-2 and CAI-1 (Box 1) stimulation. Analysis of these mutant strains revealed phenotypic alterations in the transcriptional regulator AphA (activator for tcpP and tcpH expression protein A), biofilm formation84, cholera toxin, the toxin co-regulated pilus (TCP), haemagglutinin protease, colonization of infant mice, and perhaps other virulence factors (although the latter requires verification of preliminary microarray data)26,69. Direct evidence for virulence-factor regulation by AI-2 has also been presented69, and as people infected with V. cholerae produce antibodies against the AI-2 binding protein LuxP, signalling might be active in vivo85.
Campylobacter jejuni. C. jejuni , a common cause of enteritis, also produces AI-2 activity. The luxS mutant is unaltered in its growth characteristics, invasiveness of Caco2 cells and resistance to oxidative stress induced by paraquat and H2O2. However, there seems to be a reduction in the agglutination properties and the motility of a luxS mutant, although no controls were used to rule out phase-variable modulation of motility in the luxS mutants86,87,88.
Shigella flexneri. The invasive enteric pathogen Shigella flexneri is a primary agent of bacillary dysentery (an acute inflammatory disease of human colonic epithelia that results from focal invasion and subsequent radial dissemination). The S. flexneri virulence plasmid contains the ipa (invasion plasmid antigens), mxi (membrane expression of invasion plasmid antigens) and spa (surface presentation of Ipa antigen) operons, which encode exported factors and a TTSS, as well as the transcription factors VirF (virulence transcriptional activator) and VirB89. The ability of culture supernatants containing AI-2 to mildly increase virB expression was interpreted as quorum-sensing modulation. However, although VirB is essential for expression of ipa, the culture supernatants had no influence on this, and luxS was not required for S. flexneri virulence. Possible explanations for this are that maximal expression of virB is not required for virulence, and that there are AI-2 responsive elements epistatic to virB90.
Bacteraemia and meningitis
Neisseria meningitidis and Streptococcus pneumoniae are both important causes of bacteraemia and meningitis. These organisms are usually found colonizing the upper airway, and occasionally result in disseminated, bloodstream infection. In most individuals, spread to the central nervous system occurs through the bloodstream; S. pneumoniae can also cause fatal pneumonia. Both these bacteria have AI-2 activity that is dependent on luxS homologues, which are required for full virulence during disseminated infection91,92,93. A S. pneumoniae strain that lacks luxS could establish successful colonization of the murine nasopharynx, but did not spread to the lungs or cause bloodstream infection. The latter was probably due to an inability to replicate within the bloodstream instead of a failure to translocate from the nasopharynx, as the luxS mutant was also attenuated after intraperitoneal challenge; within 48 hours after challenge the luxS mutant could not be recovered in the spleen or bloodstream, whereas the level of wild-type bacteria was at least five orders of magnitude higher. In S. pneumoniae, disruption of luxS has pleiotropic effects on gene expression in vitro93, reflected by detectable changes in at least ten uncharacterized proteins92. It is not known if these or any other changes are responsible for the attenuation.
The attenuation of a N. meningitidis luxS mutant was far less dramatic than for S. pneumoniae, as the luxS mutant was recovered at 20% of the level of the parental strain in the bloodstream following intraperitoneal administration91. This relatively minor attenuation might reflect the short time (22 hours) after infection when the bacteria were recovered. The model of meningococcal bacteraemia is abrupt, with maximal bacteraemia at 22–24 hours, after which animals either succumb or recover. There is no reliable animal model that faithfully reflects nasopharyngeal colonization by N. meningitidis, although a luxS mutant was found to be fully capable of adhering to human epithelial cells94. Microarray analysis of the transcriptional profile of the N. meningitidis luxS mutant was remarkably similar to that of the wild type when grown in the laboratory94. Independent proteomic analysis of a N. meningitidis luxS mutant grown both in the presence and absence of AI-2 also failed to demonstrate a global response95. It is therefore probable that, for N. meningitidis at least, the principle function of luxS is not the production of a signalling molecule but rather metabolism. If so, it is possible that the luxS mutant might have a modified transcriptome or proteome when grown in nutritional conditions that require luxS function.
Cutaneous and soft tissue infections
Streptococcus pyogenes. In Streptococcus pyogenes , which causes acute pharyngitis and infections of the skin and soft tissue (ranging from impetigo through to necrotizing fasciitis), LuxS contributes to the control of virulence gene expression96. A secreted cysteine protease, SpeB, and the haemolysin streptolysin are produced by the bacterium in a population-density-dependent fashion, and are each required for pathogenesis of skin infections. In a S. pyogenes luxS mutant, levels of SpeB are reduced, whereas those of streptolysin S are increased, which indicates the presence of two or more distinct regulatory pathways96. Whether the effect upon speB is manifest at the transcriptional or post-transcriptional level is unclear96,97. Several other phenotypes have also been detected in a luxS mutant, including an enhanced ability to enter epithelial cells97 and a media-dependent growth defect96. The mechanism(s) for these phenotypes remains unexplained, in part because of the contradictory findings of the two published studies96,97. It is possible that the observed differences resulted from strain-specific effects or variant growth conditions.
Clostridium perfringens. Clostridium perfringens is an anaerobic Gram-positive bacterium that causes gas gangrene. The pathogenesis of infection is mediated by the production of multiple extracellular toxins and extracellular proteases, and luxS is co-transcribed with the metabolically linked genes metB and cysK (Fig. 1). Transcription of genes that encode three toxins, α-toxin, θ-toxin and κ-toxin, is reduced in a luxS mutant98. These toxins are produced at mid-exponential phase, although the initial transcription of the θ-toxin gene occurs before AI-2 is detectable, which indicates that a distinct mechanism governs early transcription of this gene. The production of toxins is restored in a luxS mutant by exposing the bacterium to culture supernatants from either E. coli harbouring a functional copy of luxSCp or wild-type C. perfringens but not the corresponding luxS mutant98. The toxins are controlled by the two-component regulator, VirR/VirS99, and examining the effect of loss of luxS in a VirR/VirS-negative background indicated that the Vir system is required for LuxS-mediated regulation. The in vivo importance of these findings has not been assessed.
Vibrio vulnificus. V. vulnificus is closely related to V. harveyi, in which AI-2 was originally characterized, and contains a similar regulatory cascade100. The bacterium can cause necrotizing wound infections and fatal septicaemia in individuals exposed to contaminated fresh or salt water. Whereas protease production was delayed, there was increased haemolysin production by the luxS mutant, and both were at least partially restored by complementation100. Furthermore, the mutant was less cytotoxic (measured by LDH (lactate dehydrogenase) release) to human epithelial cells than the wild type, and the LD50 of the mutant was markedly reduced in murine models following intraperitoneal challenge100,101.
Other pathogens
Proteus mirabilis. Proteus mirabilis is a motile Gram-negative bacterium that causes ascending urinary tract infection. Production of AI-2 by the bacterium coincides with initiation of swarming migration of colonies on agar plates, and the activity is maximal at the leading edge of the motile bacteria. However, despite careful phenotypic analysis of a luxS mutant, no biological function could be attributed to luxS or AI-2 production; the mutant showed normal swarming, colonial morphology and production of virulence factors such as proteases and urease. Furthermore, no attenuation could be identified in the murine model, either during colonization of the bladder or ascending infection of the kidneys102.
Borrelia burgdorferi. B. burgdorferi is a spirochaete that causes Lyme disease, a chronic relapsing multi-system disease. In nature, the bacterium is maintained by cycles of infection between warm-blooded vertebrates and Ixodes spp. ticks, and is acquired by humans when an infected tick feeds on an individual. B. burgdorferi possesses a luxS gene which can functionally complement a luxS-deficient strain of E. coli, making it probable that B. burgdorferi produces AI-2 activity103, though this has yet to be confirmed. The addition of conditioned media from the luxS-complemented E. coli strain to Borrelia burgdorferi cultures leads to marked changes in protein profiles. Some of these proteins have been identified, and include several outer membrane lipoproteins that bind Factor H, the inhibitor of the complement pathway, and could therefore affect resistance against innate immune killing in mammalian hosts104. LuxS does not contribute to the virulence of B. burgdorferi in a murine model following intradermal inoculation through tick or needle105,106, which indicates that AI-2 signalling has no function in the mammalian host. However, B. burgdorferi might still require LuxS during its natural infectious cycle to regulate protein synthesis, potentially enabling a population of bacteria to coordinate the expression of virulence determinants during its lifecycle in ticks and/or transmission to the mammalian host.
Serratia marcescens. Serratia marcescens is an opportunistic human enteric pathogen that is responsible for many nosocomial infections and also causes disease in plants and invertebrates. Comparison of phenotypes revealed that mutation of luxS leads to decreased carbapenem antibiotic production in one S. marcescens strain, whereas it reduced levels of the antibiotic prodigiosin, haemolysin and virulence in a Caenorhabditis elegans model in another strain. The prodigiosin production could be complemented by the addition of spent culture supernatants; however, as discussed by the authors107, this observation is not conclusive proof for a signalling role of AI-2 in this situation. This study is the most convincing evidence of strain-dependent effects of luxS mutation107.
Concluding remarks
Many pathogens produce the LuxS protein and can produce AI-2, which, in some bacteria, regulates control over important virulence factors. Other microorganisms might use LuxS to complete important metabolic pathways linked either to methionine synthesis or furanone production. In the latter case, disruption of luxS could also result in decreased virulence owing to perturbations in general fitness. Therefore, whatever the primary function of LuxS is in a bacterium, it can contribute at several levels to the pathogenesis of infection, and further studies are required to elucidate these (Tables 1a,b). One fascinating aspect is the strain-specific manifestation of some effects (for example, in S. marcescens, S. pyogenes and C. jejuni) — perhaps a metabolic drain induces secondary compensatory mutations. This possibility awaits experimental analysis through the performance of complementation experiments (genetic or with pure, synthetic AI-2) in many of the bacteria studied to date.
LuxS also represents an interesting subject for evolutionary studies. Generally, in the absence of LuxS and Pfs, the alternative enzyme, SahH, is present. However, both LuxS/Pfs and SahH can be absent (although this occurs predominantly in obligately host-associated species such as symbionts or parasites), and there is only one example (Bifidobacterium) in which all three proteins (LuxS, Pfs and SahH) are present. The linkage of luxS to other genes involved in the AMC and methionine synthesis indicates that LuxS arose through its role in metabolism, and further clues that relate to AI-2 function will probably be obtained from establishing the signal transduction/uptake pathways present in different bacteria (Box 2).
Construction of strains that do not have a mechanism to sense or respond to exogenous AI-2 will permit dissection of the metabolic and signalling roles of LuxS. Results from the use of purified culture filtrates might have been misleading, as they contain a complex mixture of other signals to which bacteria could respond. Although strains that are deficient in an AI-2 response can currently be built in some organisms, further study of AI-2 export and inactivation mechanisms is required to reveal the processes involved. Deciphering the true identity of DPD derivatives (that is, specific furanones), their pattern of production, functionality and relative abundance in different environments will provide evidence for the most physiologically relevant forms, and facilitate application of individual signalling molecules to discern their effects.
As explained, in silico analysis has unearthed alternative routes to achieve a complete AMC, and understanding the basis for this segregation will shed light on their roles. Moreover, genetic exchanges will enable formerly LuxS-bearing bacteria to harbour an entire AMC, although lacking the propensity to produce AI-2, or confer AI-2-producing ability upon organisms that would not normally do so. To fully appreciate the influence of LuxS, AI-2 and the AMC, a complete understanding of their effect on bacterial physiology, and the long-term effects of the absence of luxS on the survival of pathogens is needed.
The ultimate goal of such studies is the development of effective anti-microbial strategies, and there is already interest in the potential of anti-quorum sensing agents5,108,109. The propensity for quorum sensing to regulate virulence factors that are not essential for bacterial survival in the environment offers the attractive possibility that drugs directed to this mechanism will not exert a selective pressure and therefore resistance is less likely to emerge. Potential strategies include the use of molecules with a similar structure to autoinducers which interfere with signalling (such as furanones), and development of autoinducer degradation pathways5,109. Whereas the widespread distribution of AI-2 potentially offers the possibility to develop effective broad-range antimicrobials, both synthetic and natural molecules have been reported to interfere with AI-2 signalling110,111, and there are mechanisms to take up and degrade AI-2 (Refs 46,47). Therefore, LuxS and AI-2 do not necessarily represent an ideal target for antimicrobials. Despite the dramatic phenotypic changes associated with AI-2 absence in Vibrio spp., other organisms do not show such pronounced effects, and in many cases those reported might be strain-specific. Perhaps the search could be more profitably focused on Pfs, which has been described as “an excellent target for broad-spectrum antimicrobial drug design”112. The inactivation of this gene causes more generally observed growth defects owing to its function in various prokaryotic cellular processes, including biological methylation, polyamine biosynthesis, methionine recycling, as well as bacterial quorum sensing113.
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Acknowledgements
We are grateful for the genomic information available from databases at the Sanger Centre, TIGR, and NCBI (on which Supplementary figure S1 was based, and also for funding from The Wellcome Trust and BBSRC.
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DATABASES
Entrez
Actinobacillus actinomycetemcomitans
Salmonella enterica serovar Typhimurium
SwissProt
FURTHER INFORMATION
Agnès Vendeville and Christoph Tang's laboratory
Glossary
- BIOFILM
-
Complex population of organisms on a surface.
- ACTIVATED METHYL CYCLE
-
Metabolic cycle which generates the methyl donor S-adenosyl-L-methionine and recycles methionine through S-adenosyl homocysteine and homocysteine. S-adenosyl-L-methionine provides activated methyl groups for use in the methylation of proteins, RNA, DNA and certain metabolites.
- S-ADENOSYL-L-METHIONINE
-
Important methyl donor in the cell.
- S-ADENOSYL-L-HOMOCYSTEINE
-
Produced from S-adenosyl-L-methionine following the release of methyl groups by methyltransferases.
- S-RIBOSYLHOMOCYSTEINE
-
Substrate of LuxS, product of action of Pfs on S-adenosyl-L-homocysteine.
- 4,5,-DIHYDROXY-2,3-PENTANEDIONE
-
Product of LuxS reaction.
- HOMOCYSTEINE
-
Sulphur-containing precursor of methionine in activated methyl cycle.
- 4-HYDROXY-5-METHYL-3(2H)-FURANONE
-
Volatile, naturally occurring furanone derivative.
- FURANOSYL-BORATE-DIESTER
-
Molecule bound to LuxP.
- R-THMF
-
Molecule bound to LsrB.
- σ54
-
Alternative sigma (σ) transcription factor, also called RpoN, which promotes the RNA core-enzyme activity in response to nitrogen and carbon environmental signals.
- ABC TRANSPORTER
-
Transporter protein containing an ATP-binding cassette.
- TYPE III SECRETION SYSTEM
-
A syringe-like proteinaceous machinery that can transport bacterial proteins directly into a eukaryotic cell by injection.
- LD50
-
Dose lethal to 50% of animals tested.
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Vendeville, A., Winzer, K., Heurlier, K. et al. Making 'sense' of metabolism: autoinducer-2, LUXS and pathogenic bacteria. Nat Rev Microbiol 3, 383–396 (2005). https://doi.org/10.1038/nrmicro1146
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DOI: https://doi.org/10.1038/nrmicro1146
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