Abstract
Secretion of pertussis toxin (PT) is the preeminent virulence trait of the human pathogen Bordetella pertussis, causing whooping cough. Bordetella bronchiseptica, although it harbors an intact 12-kb ptx–ptl operon, does not express PT due to an inactive ptx promoter (Pptx), which contains 18 SNPs (single nucleotide polymorphisms) relative to B. pertussis Pptx. A systematic analysis of these SNPs was undertaken to define the degree of mutational divergence necessary to activate B. bronchiseptica Pptx. A single change (C−13T), which created a better − 10 element, was capable of activating B. bronchiseptica Pptx sufficiently to allow secretion of low but measureable levels of active PT. Three additional changes in the BvgA-binding region, only in the context of C−13T mutant, raised the expression of PT to B. pertussis levels. These results illuminate a logical evolutionary pathway for acquisition of this key virulence trait in the evolution of B. pertussis from a B. bronchiseptica-like common ancestor.
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Introduction
Bordetella pertussis is a strictly human pathogen and the etiological agent of the disease known as whooping cough or pertussis, a highly contagious acute respiratory infection, often perceived as a primarily childhood disease. While pertussis was clearly much more prevalent before the implementation of widespread childhood vaccination in the 1950s, and while infants and young children clearly have borne, and continue to bear, the brunt of the morbidity and mortality associated with pertussis, adolescent and adult infections are more common than previously believed1 and resurgence of pertussis, even in highly vaccinated populations, is a growing public health concern2,3. B. pertussis is closely related to two other species which together make up the ‘classical’ Bordetellae. B. bronchiseptica is primarily a veterinary pathogen and infects a wide range of mammals, resulting in milder or asymptomatic chronic respiratory infections4. B. parapertussis causes pertussis-like disease in humans, with a separate branch causing infections in sheep5,6. Independent phylogenetic studies indicate that these three pathogens evolved from a common ancestor that was more “bronchiseptica-like”7,8.
The majority of known or suspected Bordetellae virulence factors are produced by all of the ‘classical’ Bordetellae and include adhesins such as filamentous hemagglutinin (FHA), fimbriae (Fim), and pertactin (Prn) as well as toxins such as adenylate cyclase toxin (Cya), dermonecrotic toxin (Dnt), and tracheal cytotoxin (TCT) [9 and references therein]. However, pertussis toxin (PT), which is also a major antigen and vaccine component10, is produced exclusively by B. pertussis. PT is an A–B type toxin composed of the five subunits S1–S5, in a ratio of 1:1:1:2:1, which are encoded by the ptxABDEC genes11. The holotoxin contains one A subunit (S1), possessing ADP-ribosylase transferase enzymatic activity, with the B-oligomer formed by the remaining subunits12. Secretion of PT requires the type IV secretion system made up of nine Ptl proteins encoded by the ptlABCDIEFGH genes, located immediately downstream of the ptx genes. The ptx and ptl genes are co-transcribed under the control of the B. pertussis ptx promoter (Pptxper)13,14. Like other virulence gene promoters in the Bordetellae, Pptxper is positively regulated by the two-component system BvgAS, composed of the histidine-kinase sensor protein BvgS, and the response regulator protein BvgA. As a result, under modulating conditions, such as in the presence of MgSO4 or nicotinic acid, or at low temperatures, Pptxper is not activated, the ptx–ptl operon is not transcribed, and PT is not secreted15,16,17.
As a late gene promoter, the concentration of BvgA ~ P required for activation of Pptxper, is higher than that for early gene promoters, such as Pfha17,18, suggesting that BvgA ~ P binding to the ptx promoter is of lower affinity than that to Pfha. In addition, in vitro and in vivo studies have demonstrated that BvgA ~ P is both necessary and sufficient for Pptxper transcriptional activation19,20,21. Due to BvgA ~ P’s weaker interaction with the ptx promoter, details of its binding have been difficult to establish and methods that were used to investigate these aspects of higher affinity promoters have not been successful. Only recently has a detailed picture of BvgA ~ P binding to the ptx promoter emerged22. This study utilized a mutant BvgA protein that displayed increased affinity to Pptx and which was labelled with FeBABE22. Site specific cleavage patterns at Pptx revealed binding of six dimers of BvgA ~ P, as shown in Fig. 1A. The dimers are each formed of two monomers in a head-to-head configuration, and these dimers bind to DNA with a spacing of 22 bp on-center. This geometry of binding is similar to that observed at other BvgA-activated promoters such as Pfha23 and Pfim324, which bind three, and two, dimers of BvgA ~ P, respectively, with the most upstream binding site being of higher affinity. As at the fha promoter, the binding site of the most promoter-proximal BvgA molecule in Pptx abuts the − 35 sequence of the core ptx promoter which, in the context of this more precise picture of BvgA binding, can be seen to be the hexamer CCCCCC. This unusual − 35 sequence is spaced at the optimal 17 bp from the unmistakable − 10 sequence (TAAAAT) rather than the 21 bp spacing invoked in previous analyses to accommodate a putative − 35 hexamer displaying a better match to the consensus. However, the suboptimal nature of this actual − 35 sequence is necessary for regulation of Pptx by BvgA22. Apart from the number of binding sites, the other most salient difference of Pptx when compared to Pfha is the apparent affinity of those binding sites, which ranges from very poor to moderate, with only three of the binding sites actually contributing to BvgA-activation22.
Although they are incapable of expressing pertussis toxin, the other classical Bordetella species, B. bronchiseptica and B. parapertussis, may carry an entire, intact ptx–ptl operon8,25. For one typical B. bronchiseptica strain, this operon was demonstrated to be fully functional, leading to the secretion of active PT when an active promoter was supplied upstream26. The toxin produced was further shown to be neutralized by pertussis vaccine-induced antibody27. Lack of expression pertussis toxin is instead due to a number of single nucleotide polymorphisms (SNPs), relative to Pptxper, in the ptx promoters of these non-toxigenic species, B. bronchiseptica Pptx (Pptxbro) and B. parapertussis Pptx (Pptxpara). A total of 18 SNPs are present between the ptx promoters of B. pertussis Tohama I, and B. bronchiseptica RB50, as shown in Fig. 1A. Based on our current knowledge of the promoter architecture of B. pertussis Pptxper, these SNPs are found in both the BvgA ~ P binding region and the core promoter region. In order to have a more complete understanding of how the active, BvgA-regulated Pptxper could have evolved from the non-BvgA-activated Pptxbro, leading to the acquisition of in vivo pertussis toxin expression by an evolving human pathogen, we sought to determine how many, and which, of the 18 SNPs present in Pptxper actually contribute to this key phenotypic difference.
Results
The ‘silent’ ptx promoter of B. bronchiseptica directs minimal but detectable levels of transcription
Previous studies found that expression of ptx genes in B. bronchiseptica was not detectable either at the RNA level by mRNA dot blot hybridization, at the protein level by ELISA, or by biological activity in a CHO cell assay25,26. This functional silence of the ptx operon is apparently the result of an inefficient promoter25. At the outset of the current study, in order to establish a baseline of expression, we evaluated the activity of the ptx promoter from B. bronchiseptica (Pptxbro) through the use of transcriptional gene fusions to the luciferase operon (luxCDABE) of Photorhabdus luminescens. We have previously employed such fusions in gene expression studies and found them to be especially useful for detecting low levels of activity, due to their inherently low background. To introduce a Pptx-lux fusion into the B. bronchiseptica strain RB50, we cloned a Pptxbro-containing DNA fragment, which extended from nucleotides − 1170 to + 28 (relative to the transcriptional start site), into the previously described suicide plasmid vector pSS416228, upstream of the promoter-less lux operon (luxCDABE), thus creating pQC1526. Insertion of this plasmid into a Bordetella genome, via homologous recombination, places the lux operon downstream of the native ptx–ptl promoter in the correct orientation, with all upstream sequences intact. We designate this type of fusion, introduced at the native genomic location of a given promoter, as “in situ” to distinguish it from the “ectopic” type of fusion described next. An ectopic fusion was introduced by cloning a smaller, “stand-alone” Pptxbro fragment (− 290 to + 28) upstream of the promoter-less lux operon in the suicide plasmid vector pSS3967 described previously24,28 thus creating pQC1284. Insertion of pSS3967 derivatives also occurs by homologous recombination, but between a plasmid-borne segment of the Bordetella chromosome, and its counterpart at an arbitrary but fixed location in the bacterial genome. As shown in Fig. 2A, in both in situ (RB50::pQC1526) and ectopic (RB50::pQC1284) contexts, Pptxbro demonstrated low but detectable transcriptional activity. The promoter-less negative controls in both cases indicated clearly that this activity is due to Pptxbro and does not represent background activity of the fusion vector. Of note is the observation that the level of expression from the in situ fusion was approximately 15 times higher than that of the ectopic fusion. We have previously observed such differences in maximal activity between ectopic and in situ fusions22. The basis of these differences is not currently understood. As shown in Fig. 2B, in the in situ contexts, Pptxbro (pQC1526) was observed to have about 3% of the activity of Pcyabro (pQC1598) and could be modulated by the addition of MgSO4, indicating its regulation by bvgAS. Pcya is another Bvg-regulated late promoter that directs the synthesis of adenylate cyclase toxin. Although Pptxbro directs a detectable and reproducible amount of transcription, that amount is apparently not enough to lead to the synthesis and secretion of active PT (see below).
We also compared Pptxbro transcriptional activity to that of Pptxper, which is capable of directing the expression and secretion of large amounts of active PT. Because of the differences in genetic background, including SNPs in their bvgAS loci, we performed this comparison in both parental species. As shown in Fig. 3A,B, in either B. pertussis BP536 or B. bronchiseptica RB50, in an ectopic context, the B. pertussis ptx promoter (Pptxper in pQC1114) had more than 100-fold higher activity than its B. bronchiseptica counterpart (Pptxbro in pQC1284). Interestingly, the fold-difference between the two promoters was greater in B. bronchiseptica than in B. pertussis (588-fold vs. 178-fold). The very low levels of Pptxbro-directed transcription detected in both strains suggest that its functional silence is an intrinsic feature of the promoter and not dependent on other genetic factors in each host species. Transcriptional activity of Pptxbro is negligible compared to the fully functional Pptxper regardless of the Bordetella species.
Functional differences between Pptx per and Pptx bro reside in both the core promoter region and the BvgA-binding region
As shown in Fig. 1A, in the region from − 167 to + 4, there are 18 SNPs between the active Pptxper and the much less active Pptxbro8,25. Until recently, lack of information on ptx promoter architecture has made ascribing functional significance to these SNPs difficult. However, a recent study using FeBABE-labelled mutant BvgA revealed the geometry of BvgA-binding to this low affinity promoter22. The sites to which 6 dimers of BvgA ~ P bind are shown in Fig. 1A. We used this information to inform segment-swapping experiments to create hybrid promoters having differing extents of sequences of either Pptxper or Pptxbro, with the junction points lying between binding sites. These hybrid promoters, named PB1 to PB12, are diagrammed in Fig. 1B and their activities relative to Pptxper are shown in Fig. 1C. Examining PB1 to PB6, it can be seen that substituting Pptxbro, from the upstream boundary, with increasing extents of Pptxper, had little effect on activity unless all, as in PB6, or nearly all, as in PB5, of the BvgA binding region was substituted with that of Pptxper. PB6 achieved approximately 10% of the activity of Pptxper. Conversely, similarly substituting Pptxper with sequences from Pptxbro resulted in hybrid promoters that maintained significant activity, dropping to about 10% of Pptxper in the hybrids that juxtaposed the Pptxper core promoter region to the entire (PB12), or nearly entire, (PB11), Pptxbro BvgA binding region. These results indicate that the core promoter region, that harbors 4 SNPs, and the entire upstream BvgA-binding region, containing 14 SNPs, contributed to a similar degree to Pptxper activity. We therefore proceeded to dissect each of these regions separately.
A single nucleotide change in the core promoter region can significantly activate Pptx bro
The core region contains four SNPs, at positions − 13, − 3, + 2, and + 4, relative to the start of transcription. To determine which of these contributed to differences in promoter activity, we constructed variants of Pptxbro in which all possible combinations of the Pptxper versions of these SNPs (C−13T, G−3A, C+2T, and G+4A), were introduced. As shown in Fig. 4A for PB13–PB26, only those variants in which the − 13 SNP (C−13T) was incorporated showed measurable activity. That activity was comparable in all, indicating that the − 13 SNP alone was responsible for the increase. In a converse fashion, introducing all possible combinations of the Pptxbro versions of these nucleotides into Pptxper (T−13C, A−3G, T+2C, and A+4G) resulted in PB27–PB40. The activities of these hybrid promoters, shown in Fig. 4B, indicated that all of the variants that included the − 13 change (T−13C), and only those variants, were reduced to less than 10% of the activity of wild type Pptxper. As shown in Fig. 1A, the effect of the − 13 SNP is to create a better fit to the σ70-dependent consensus − 10 sequence (TATAAT) in Pptxper (TAAAAT) and a poorer one in Pptxbro (CAAAAT). In light of both the theoretical, and demonstrable functional, importance of the − 13 SNP, we reconstructed the hybrid promoters PB1–PB12 to contain a T at position − 13 in PB1–PB6, to create PB41–PB46, and a C at position − 13 in PB7–PB12 to create PB47–PB52. As shown for PB46 in Fig. 1D, with reference to PB6 in Fig. 1C, changing its C at position − 13 to a T allows the Pptxbro core region to function with the upstream sequences from Pptxper as effectively as in the Pptxper wild type promoter. Conversely changing the T at position − 13 in the Pptxper core region of PB12 to a C, as in PB52, destroys its ability to provide up to approximately 10% of wild type Pptxper activity in conjunction with the Pptxbro BvgA-binding region, reducing it to a level comparable to Pptxbro. Taken together, these data demonstrate that the − 13 SNP is the only SNP in the core region that makes a significant impact and furthermore that it is a key basepair in determining Pptx activity, as its substitution alone can increase Pptxbro activity to 10% that of Pptxper.
Several SNPs in the Pptx BvgA binding region contribute to the greater activity of Pptx per
To determine which of the 14 SNPs in the BvgA binding region dictate differences in activity between Pptxbro and Pptxper, we individually introduced each of the Pptxper versions of these SNPs into the Pptxbro C−13T promoter. As shown in Fig. 5A for PB53–PB66, seven of these resulted in observable increases in promoter activity, although only three reached statistical significance in this experiment. We selected five of the most active, i.e. those at − 39, − 70, − 126, − 148, − 154, in PB53, PB57, PB60, PB62, and PB63, respectively, for further study. When these five changes were added consecutively to Pptxbro in the order − 148, − 126, − 70, − 39, − 154 (Fig. 5B, PB67–PB71), activity increased only slightly. The maximal level that was obtained, in the quintuply substituted promoter PB71, was still less than 5% of Pptxper wild type levels. However, when these same five substitutions were added consecutively to Pptxbro in the context of the C−13T substitution (Fig. 5B, PB62, PB72–PB75), a different picture emerged. With only three additional substitutions (PB73), promoter activity was nearly that of wild type Pptxper. A fourth (PB74) and a fifth substitution (PB75) raised activity to levels higher than wild type Pptxper. These consecutive mutations demonstrate a theoretically possible mutational path whereby, with a limited number of mutations, Pptxbro could be altered to increase expression to a level comparable to that in B. pertussis.
A small number of mutational changes activate expression of PT in B. bronchiseptica
To more definitively demonstrate activation of pertussis toxin expression in B. bronchiseptica by the type of mutational pathway determined here, we used allelic exchange techniques to alter the nucleotide sequence of the ptx promoter of B. bronchiseptica RB50 in its native context. Production of PT was assessed by Western Blot, using a monoclonal antibody that recognizes the pertussis toxin S1 subunit. As shown in Fig. 6A, incorporation of the single basepair C−13T mutation into RB50 in strain QC2337 (Pptxbro, C−13T) resulted in production of detectable amounts of PT secreted into the culture supernatant, as compared to none in the wild type B. bronchiseptica RB50 and the ptx promoter deletion strain QC2335 (ΔPptxbro). The amount of PT production so detected by the Western blot (Fig. 6B, lanes 6–13) was quantitated densitometrically and converted to mass units using a standard curve (Fig, 6C) plotted using data from Fig. 6B, lanes 1–5 in which known quantities of pertussis toxin were analyzed. More pertinently, biological PT activity was also assessed by the standard CHO cell assay. As shown in Fig. 6A, a 100-fold dilution of culture supernatant from strain QC2337 (Pptxbro, C−13T) contained detectable PT activity, while none was detected using a tenfold dilution of culture supernatant of the wild type B. bronchiseptica RB50 or the ptx promoter deletion strain QC2335 (ΔPptxbro). Further incorporation of upstream mutations in strains QC2338 (Pptxbro, C−13T, C−148T), QC2339 (Pptxbro, C−13T, C−148T, C−126T), QC2340 (Pptxbro, C−13T, C−148T, C−126T, A−70G) and QC2341 (Pptxbro, C−13T, C−148T, C−126T, A−70G, C−39T), increased the level of PT expression to a level comparable to that resulting from introduction of the wild type B. pertussis ptx promoter in strain QC2336 (Pptxper, engineered), as determined by both Western blot and the CHO cell assay (Fig. 6A,B). Together, these results demonstrate that a small number of mutational changes are sufficient to render a non-toxigenic B. bronchiseptica toxigenic to a level comparable to B. pertussis.
Activation of Pptx during Bordetella evolution
The functional analysis presented here has focused on the ptx promoters of only one strain each of B. bronchiseptica and B. pertussis. To place these results in a larger context, we analyzed the presence and sequence of Pptx in additional strains and species. Because the ptx/ptl genes are absent in some species of Bordetella and some B. bronchiseptica strains7,29, we first queried the 957 complete Bordetella genomes in the BLAST database of NCBI (National Center for Biotechnology information) for the presence of sequences similar to a 1076 bp segment from B. bronchiseptica RB50 that comprises ptxA [the first gene in the ptx operon (810 bp)] and its upstream promoter sequences (266 bp). This was done to ensure that promoter sequences undergoing further analysis were actually found in the appropriate genetic context. Among 12 different Bordetella species represented in this set of 957 genomic sequences, 848 genome hits were obtained in only three Bordetella species, namely B. bronchiseptica (N = 17/23), B. parapertussis (N = 86/86), and B. pertussis (N = 745/748), contained sequences similar to the 1076 bp query. No hits were obtained for any of the other, “non-classical”, Bordetella species including B. holmesii (N = 0/68), B. hinzii (N = 0/13), B. petrii (N = 0/1), B. avium (N = 0/6), B. trematum (N = 0/5), B. pseudohinzii (N = 0/2), B. flabilis (N = 0/1), B. bronchialis (N = 0/2), and B. ansorpii (N = 0/2). Further sequence analysis of the ptx promoter region, from − 170 bp to + 9 relative to the Pptx + 1, revealed 14 different promoter sequences among the 848 collected promoter sequences and the strains containing them were termed G1–G14. These sequences, together with representative strains and the number of strains in each group are shown in the comparison presented in Fig. 7 and the identity of all of the strains sampled is found in Table S1. Pptxpro and Pptxper are represented by G1_Bb_RB50 and G14_Bp_Tohama_I, respectively. The 18 SNPs present in G14, relative to G1, are highlighted in either red or green in that sequence. Those highlighted in red, specifically those at positions − 154, − 148, − 126, − 70, − 39, and − 13, are the ones shown in this work to contribute to promoter strength, as shown in Fig. 5. The remaining twelve, highlighted in green, were not demonstrated to so contribute. If present in any of the other 12 Pptx sequences, they are similarly highlighted in those sequences. Highlighted in pink are all SNPs in all sequences, relative to G1. When presented in this way two major patterns are readily apparent. One is that eight of the SNPs shown in green, specifically those at positions − 167, − 142, − 96, − 55, − 48, − 44, − 3, and + 2, are found in at least one of the B. bronchiseptica or B. parapertussis sequence groups. This indicates a strong likelihood that at least some of these SNPs were present in the latest common ancestor of these modern classical Bordetellae species, in keeping with our current understanding of their evolutionary relationships. However, perhaps more striking is the observation that the SNPs shown in red in Fig. 7, and shown in this work to increase promoter activity, are found only in the B. pertussis sequence groups. Additionally, they are all found in all of those sequences with one exception. The SNP at position − 154 is not found in G9, represented by two strains, but is present in 743 of the remaining 745 B. pertussis sequences analyzed. Interestingly, G9 is represented by the strain 18323 which, although the ATCC type strain for B. pertussis, has been shown to be atypical and to group apart from the majority of B. pertussis strains in phylogenic analyses6. Although SNPs in the − 10 region were present in some B. bronchiseptica and one B. parapertussis strains, these differences do not represent a better match to the consensus σ70 − 10 element (CAAAAT to CACAAT and CAAAAT to CAAAAA) and are not predicted to increase transcription.
Discussion
Our knowledge of how human bacterial pathogens evolve has expanded tremendously in recent decades due to the advent of molecular biology, and in more recent years due to the development of high-throughput DNA sequencing technologies and the resulting explosion in available genomic DNA sequence data. These approaches have solidified our understanding of the evolution of bacteria, with human pathogens being of special interest, as a process driven significantly by horizontal transfer of genetic information. Such transfer can allow the acquisition of new traits in a single step. This can result from the genomic integration of one or a few genes, as for those encoding a particular toxin, such as diphtheria toxin or Shiga Toxin30 carried on temperate bacteriophages. It can also result from the incorporation of much larger DNA segments, such as the pathogenicity islands of Salmonella species, that encode a larger number of genes, whose products interact in highly sophisticated ways to form supramolecular machines such as type III secretion apparatus31. The acquisition of virulence plasmids is also commonly seen in pathogenic bacteria, as exemplified by Shigella and pathogenic E. coli32,33. Much less common are clear examples of “old-school” evolution, i.e. the acquisition of new traits through the accumulation of single base-pair changes that alter function. However, it stands to reason that, as humans have evolved from our simian relatives through the accumulation of a relatively small number of regulatory mutations, bacterial pathogens may evolve through the accumulation of mutations that affect the regulation of virulence genes. Such mutations might determine whether or not a trait is expressed, or might alter temporal, spatial, or environmental patterns of expression.
The expression of PT by the human pathogen Bordetella pertussis may represent such an example. PT is encoded by 5 genes, ptxABDEC. In addition, 9 more genes, ptlABCDIEFGH, make up the ptl operon, whose encoded proteins mediate the extracellular secretion of functional PT34. All genes are transcribed by Pptxper, the B. pertussis ptx promoter. Other pathogenic Bordetella species, such as B. bronchiseptica, and B. parapertussis, contain this approximately 12 kb ptx–ptl operon, but they do not synthesize PT, at least under typical laboratory growth conditions or in mammalian infection models. This appears to be due to differences in their ptx promoter regions. For example, between the sequenced strains B. bronchiseptica RB50 and B. pertussis Tohama I, there are 18 SNPs, shown in Fig. 1A. Although there are also a large number of SNPs in the coding regions of the ptx–ptl operon, none of these are predicted to disrupt open reading frames, and when an active promoter was supplied upstream of a B. bronchiseptica ptx–ptl operon, active PT was synthesized and secreted26. While these SNPs in the promoter regions of the non-toxigenic Bordetella species were originally thought to represent silencing mutations, more recent phylogenetic analyses support a model in which the latest common ancestor of B. pertussis, B. parapertussis and B. bronchiseptica was more akin to B. bronchiseptica6,7,29. In this scenario SNPs in the ptx promoter region of B. pertussis would instead represent mutations that activate this promoter and bring it under the control of the bvgAS global virulence regulatory locus, with the result that it is expressed during infection of mammalian hosts, most notably humans.
Such a scenario would be difficult to envision if all 18 SNPs were required for activation of the ancestral ptx promoter in the evolution of B. pertussis. Even the requirement for as few as three mutations would make the probability of such a triple variant arising spontaneously prohibitively low. Even though the combined selective advantage of such multiple changes might have been very high, it is unlikely that such a mutant could have arisen in a single step such that natural selection could then act upon it. To investigate this question, and to determine if an evolutionary path from Pptxbro to a more active variant by single steps was feasible, we sought first to determine which of the SNPs in this region contributed to the greater promoter activity of Pptxper relative to Pptxbro. Our results showed that a single mutation in the core promoter region of Pptxbro, C−13T, that improved the − 10 region, resulted in an increase in transcriptional activity of at least 100-fold, to a level approximately 10% that of Pptxper. Because this level of expression results in the secretion of detectable amounts of active pertussis toxin, it could be expected to provide a selective advantage in certain new environments, such as the human host, that a hypothetical evolutionary intermediate was in the process of adapting to. We can also reasonably infer that, for a hypothetical latest common ancestor, access to the human respiratory tract environment would be frequent, given the close association of our human ancestors and their domesticated livestock. Even today persons living and working in close contact with animals have been shown to be transiently colonized by B. bronchiseptica.
Once the initial C−13T change had occurred, the accumulation of additional mutations in the BvgA-binding region of the promoter could lead to further increases, and therefore could provide further, incremental, selective advantages. Our results here demonstrate that the effects of beneficial mutations in the upstream region are essentially undetectable in the absence of the C−13T mutation in the − 10 region. However, in the context of the C−13T mutation, a single additional mutation increased promoter activity to ~ 30% of Pptxper (PB62 in Fig. 5B) and as few as three additional upstream mutations increased the transcriptional activity of Pptxbro to levels near that of Pptxper (PB73 in Fig. 5B). We have also demonstrated that mutations that increased transcription of Pptxbro also resulted in the synthesis of detectable active PT, further demonstrating that transcriptional activity is the limiting step in PT synthesis and secretion in B. bronchiseptica.
It should be noted that of the 14 SNPs in the upstream BvgA-binding region, most resulted in no significant change in Pptxbro activity when examined in isolation in the context of the C−13T mutation (Fig. 5A). Of the four which did significantly affect activity three resulted in an increase and one resulted in a decrease. It is not unexpected that mutations occured that had no significant effect. This observation is consistent with the phenomenon of genetic drift, i.e. the fixation in a population, by random processes, of mutations that do not confer a meaningful phenotypic change. However, by examining the binding region mutations individually we were able to identify those that did confer a meaningful phenotype. It is also not surprising that one such mutation had a significant negative effect (G−142A). Such a mutation could have occurred, not in isolation, but in the context of other mutations that had a positive effect, so that its negative effect was offset. Such offsetting mutations could have predated the appearance of this negative mutation or could have arisen after and then become fixed due to selective pressure to maintain Pptx activity. The three isolated mutations that significantly increased activity in isolation (A−70G, C−126T, and C−148T), when combined, had additive effects that were sufficient, in the context of C−13T, to raise promoter activity to nearly that of Pptxper (PB73 in Fig. 5B). The addition of two additional mutations (C−39T, and C−154T) which, in the analysis shown in 5A, had conferred a smaller increase that did not achieve statistical significance, in this context incrementally increased promoter activity to a level greater than that of Pptxper (PB75 in Fig. 5B). With PB75, we have effectively created a derivative of Pptxper in which all SNPs conferring negative, neutral, or only weakly positive effects have been removed. Our ability to show such a dramatic effect by sequentially combining the effects of only beneficial mutations should not lead to the interpretation that this was the actual sequence of events. However, these results do demonstrate the feasibility of a mutational path in which a series of single basepair changes could have accumulated stepwise, because each could have conferred a selective advantage, leading eventually to high levels of regulated pertussis toxin expression.
A recent study has provided a more precise picture of how BvgA ~ P interacts with the ptx promoter22, presented in Fig. 1A in terms of the positions of BvgA-binding and their relative predicted affinity. In that study22, the positions of binding were revealed through the use of the affinity cleavage reagent FeBABE-BvgA, and the predicted affinity was assessed through the application of an algorithm based on a comprehensive mutational analysis of the high affinity primary binding site for BvgA in the fha promoter35. Of note, the five mutations analyzed as shown in Fig. 5B and shown to incrementally increase promoter activity, are all within BvgA binding sites. Three of those, at positions − 126, − 148 and − 154, are also predicted to increase binding affinity according to the algorithm previously described35. Of the three binding site mutations shown, in isolation, to significantly increase promoter activity, two, A−70G, and C−126T, are in weaker binding sites BS5 and BS2, respectively. We had previously found that these weaker binding sites could be removed by deletion from Pptxper without reducing promoter strength22. Therefore they would not appear to actively contribute to the overall strength of BvgA binding required for activation. However, when present, these two binding sites must be of a sufficient affinity to permit cooperative interactions of BvgA ~ P bound to them with BvgA ~ P bound to neighboring sites of higher affinity, essentially to bridge between those higher affinity sites. From this perspective it is not surprising that both A−70G and C−126T are also the sites of mutations beneficial to overall promoter activity. Interpretation of the beneficial effect of the C−148T mutation in BS1 is much more straightforward. This binding site apparently serves as a nucleation point for cooperative binding and oligomerization of BvgA ~ P dimers downstream. Thus, an increase in binding affinity of BS1 by the C−148T mutation, as predicted, would be expected to result in greater binding to BS1and thus greater occupation of downstream binding sites, including BS6, ultimately leading to increased activation of transcription.
A detailed genetic and functional analysis is by its nature typically confined to a small number of examples of a species or other biological grouping. In our case we limited our investigation specifically to understanding functional differences between the promoters of RB50, representing B. bronchiseptica, and Tohama I, representing B. pertussis. To expand our view of Pptx evolution we examined its presence and sequence in 957 complete Bordetella genomes in the GenBank database. This database encompasses 23 B. bronchiseptica, 86 B. parapertussis, and 748 B. pertussis genomes, as well as those of the more recently described, non-classical, Bordetellae, including B. holmesii (N = 68), B. hinzii (N = 13), B. petrii (N = 1), B. avium (N = 6), B. trematum (N = 5), B. pseudohinzii (N = 2), B. flabilis (N = 1), B. bronchialis (N = 2), B. ansorpii (N = 2). The ptx promoter, in the context of the first gene of the pertussis toxin operon, was not found in any of the non-classical Bordetella genomes but was found in 17 B. bronchiseptica, all 86 B. parapertussis, and 745 B. pertussis genomes. Of the 18 SNPs documented in Tohama I Pptxper, relative to RB50, eight occur in at least one of the sequence groups from B. bronchiseptica and B. parapertussis (G1–G8 in Fig. 7) and in some of these groups several are present. This observation is in keeping with previous evolutionary analyses indicating divergence, from a common, ancestral, B. bronchiseptica-like lineage, of the lineages leading to the toxigenic species B. pertussis, and to the closely related non-toxigenic species B. bronchiseptica and B. parapertussis. Some or all of these eight SNPs may therefore have predated this split. However, the most notable finding is that all six of the SNPs shown in the present study to result in increased pertussis toxin expression were found only in strains of B. pertussis. Additionally, they were found in nearly all of the B. pertussis genomes examined. One was not present in two of the 745 strains in Fig. 7. Thus, these SNPs are specific to the B. pertussis lineage and reflect the presumed selective pressure that the nascent B. pertussis species was experiencing as it was adapting to a new niche, the human host, a selective pressure not experienced by members of the lineages of the non-toxigenic classical strains.
While this study illuminates a general set of feasible mutational paths to activation of a “silent” set of genes, ultimately resulting in PT expression in the human host, they remind us of a more puzzling question. The ptx–ptl operon is never expressed by B. bronchiseptica during colonization of, and growth in, mammalian hosts. Therefore, what selective pressures led originally to its acquisition and then to its conservation during the long periods of time prior to the divergence of the lineage leading to B. pertussis? That it is not expressed under such conditions seems to be well established. Despite a great deal of effort, attempts to demonstrate PT expression by B. bronchiseptica have been unsuccessful. In vivo efforts have examined serological data in animal models for B. bronchiseptica infection. Some tantalizing observations have also come from large scale pertussis vaccine clinical trials, in which it was found that a very few individuals, reportedly infected with B. bronchiseptica, had measurable, although low, antibody titers against PT36. However, similar findings have not been reported elsewhere, and further investigation of the strains isolated from these patients did not provide evidence of PT expression. We can speculate, based on the ability of B. bronchiseptica to survive, and even replicate, in oligotrophic environments that it has a free-living life-style as part of its natural history37. Such an environment, for example in a natural watering hole, would provide ready opportunities for inoculation of the upper respiratory tract of the many different animal species using it. This scenario is also consistent with both the wide host-range of B. bronchiseptica and the fact that swimming motility is a trait of this species that is expressed in the Bvg− mode induced at typical environmental temperatures38. In such environments, pertussis toxin expression could represent a strategy for evading predation by protozoan eukaryotic cells. Following the evolutionary leap to become a strictly human and more acute pathogen, expression of pertussis toxin in this new mammalian environment could have provided a major selective advantage, countering not protozoan predators, but the human immune system in the form of lymphocytes.
The role of pertussis toxin in the natural history of B. bronchiseptica currently remains a mystery and hopefully future investigations will shed some light. The current study, however, provides an increased understanding of how its expression could have evolved to enable survival of B. pertussis in a new niche, that of the human host.
Materials and methods
Bacteria strains and growth media
Bacterial strains and plasmids used in this study are listed in Table 1. Escherichia coli strains were grown on Luria–Bertani (LB) agar or in LB broth39. Bordetella strains were grown on Bordet Gengou (BG) agar containing 15% defibrinated sheep blood and supplemented with 1% proteose peptone (Becton, Dickinson and Company). Unless otherwise indicated, concentrations of antibiotics used in LB agar or broth were: ampicillin, 200 μg/mL; gentamicin sulfate, 5 μg/mL; kanamycin sulfate, 10 μg/mL. Antibiotic concentrations in BG agar were: gentamicin sulfate, 5 μg/mL; streptomycin sulfate, 100 μg/mL; nalidixic acid, 100 μg/mL.
Plasmid construction, mutagenesis and sequencing
Primers used in this study are provided in Supplemental Table S3. To determine promoter activity in vivo we used plasmid vector pSS3967 (AmpR, GentR)24,28 which contains the luxCDABE operon of Photorhabdus luminescens, oriT from RK2, and a 1.8 kb chromosomal fragment conserved between B. pertussis and B. bronchiseptica. Short fragments containing promoters to be assayed were cloned between the EcoRI and SalI restriction sites upstream of the promoter-less lux genes and downstream of strong transcriptional terminators. Through homologous recombination, these promoter-lux fusion plasmids can be integrated into an ectopic location on the chromosome of either B. pertussis BP536 or B. bronchiseptica RB50. Both strains are streptomycin-resistant, allowing for selection of exconjugants with streptomycin and gentamicin. PCR fragments flanked by upstream EcoRI site and downstream SalI sites, were generated to include ptx promoters (− 290 to + 28 relative to the transcription start) from B. pertussis Tohama I genome sequence (NC_002929.2) 3,987,943 to 3,987,260, or from B. bronchiseptica RB50 genome sequence (NC_002927.3) 5,198,696 to 5,198,965, and were cloned into pSS3967 to create plasmids pQC1114 (Pptxper)22 and pQC1284 (Pptxbro), respectively. Derivatives of these promoters and plasmids were created using a site-directed mutagenesis scheme that takes advantage of the type IIS restriction enzyme BsaI, which cleaves asymmetrically to one side of its recognition sequence40 with modifications according to Chen et al.24. To measure the activity of Pptx at its native location in B. bronchiseptica, we used the promoter assay vector pSS416228. This plasmid is a derivative of pSS3967 from which the 1.8 kb chromosomal fragment has been deleted. An EcoRI-SalI PCR fragment, containing a longer upstream ptx promoter region, − 1170 to + 28 relative to the transcription start, encompassing nucleotides 5,197,773 to 5,198,965 from B. bronchiseptica RB50 genome sequence, was cloned into pSS4162 to create plasmid pQC1526 (Pptxbro). We cloned a similar fragment containing the cyaA promoter, from − 930 to + 37 relative to the transcriptional start, encompassing nucleotides 775,177 to 776,146 of the RB50 genome, between the EcoRI and SalI sites in pSS4162 to generate plasmid pQC1598 (Pcyabro) to be used as an active promoter control. Using the same procedures as for pSS3967-based plasmids, these two plasmids were integrated into the RB50 chromosome in order to assess ptx and cya promoter activity in situ.
To create an RB50 strain in which the Pptx promoter was that of B. pertussis we first constructed an allelic exchange plasmid containing Pptxbro flanking sequences, with Pptxbro deleted, in the vector pSS4661. Upstream and downstream flanking sequences encompassed nucleotides − 753 to − 167 and + 5 to + 586, respectively, relative to the Pptx start of transcription and were cloned as PCR fragments created using primers with BamHI, BsaI-SmaI, SmaI-BsaI, and NotI sites at the upstream boundary, deletion points (SmaI site), and downstream boundary, respectively, between the NotI and BamHI sites of pSS4661. The template for these PCR reactions was chromosomal DNA from RB50 and the primers used were Q1452 and Q1445 for the upstream flanking segment, and Q1453 and Q1446 for the downstream flanking segment. This resulted in the creation of pQC1540, which contained RB50 sequences from − 753 to + 586, relative to the Pptx transcriptional start site, with Pptxbro, from − 167 to + 4, replaced by the sequence 5′-gagacccccgggggtctc-3′ (BsaI-SmaI-BsaI). Digestion with BsaI results in cleavage within the flanking RB50 sequences, thereby creating unique cohesive ends. A Pptxper promoter fragment, was created by PCR with primers QC1454 and QC1455 which also contained BsaI sites situated such that their cleavage with BsaI would create cohesive ends that were complementary to those created by BsaI cleavage of pQC1540. Ligation resulted in addition of the Pptx promoter, with no scar at the ligation points, to create pQC1541. This plasmid was then used to perform allelic exchange with RB50 as a recipient to create the strain QC2336 in which in which Pptxbro was replaced by Pptxper. In a similar way pQC1540 itself was used in allelic exchange to create a strain in which Pptxbro was deleted.
To create RB50 strains in which specific SNPs were introduced into Pptxbro, we first created an allelic exchange plasmid containing RB50 sequences from − 753 to + 586, relative to the start of transcription, in which BsaI-based mutagenesis had been used to introduce the C−13T SNP in the − 10 region. The resulting plasmid pQC1542 (Pptxbro, C−13T) was then used as the basis for mutagenesis to introduce additional point mutations sequentially, thus creating the plasmids pQC1543 (Pptxbro, C−13T, C−148T), pQC1544 (Pptxbro, C−13T, C−148T, C−126T), pQC1545 (Pptxbro, C−13T, C−148T, C−126T, A−70G), and pQC1546 (Pptxbro, C−13T, C−148T, C−126T, A−70G, C−39T). To facilitate allelic exchange, we introduced the aacCI gene as a marker in the SmaI site of pQC1540 to generate pQC1561.
pSS4661 was created as follows. The previously reported allelic exchange plasmid pSS4245 comprises 8286 bp and contains a vegetative origin of replication (oriV) and ampicillin resistance gene (bla) from pBR322, an origin of transfer (oriT) from RK2, a segment of Tn5 containing kan, ble, and str genes encoding antibiotic resistance to kanamycin, bleomycin, and streptomycin, respectively, a module containing a gene encoding the intron-encoded homing endonuclease I-SceI, driven by Pptx of B. pertussis, multiple transcriptional terminators upstream of Pptx, an I-SceI cleavage site, and a multiple cloning site41. To create pSS4661 multiple deletions were introduced into pSS4245 to reduce the size of the segments containing oriT and oriV and to remove bla and ble. The resulting plasmid pSS4661 is 4663 bp in size but performs similarly to pSS4245.
DNA cloning procedures used E. coli DH5a as a transformation host. Plasmid constructs were verified by DNA sequencing (Macrogen, Rockville, MD).
Conjugation and allelic exchange
To permit conjugation into Bordetella, pSS3967 and pSS4162 derivatives were transformed into the E. coli donor strain SM10 with selection on LB agar plus ampicillin and gentamicin. Recipient Bordetella strains B. pertussis BP536 and B. bronchiseptica RB50 were grown on BG agar supplemented with streptomycin. Conjugation was performed by swabbing the E. coli donor strain together with the Bordetella recipient strain on BG agar. After incubation at 37 °C for 3 h, bacteria were recovered by swabbing and re-swabbed onto BG agar plus gentamicin and streptomycin. Exconjugants in which the plasmid had integrated by homologous recombination arose after incubation at 37 °C for 2 days in the case of RB50 and 3 days for BP536.
To perform allelic exchange, all pSS4661-based plasmids were transformed into the E. coli donor strain S17.1 with selection for kanamycin resistance. Gentamicin was also added in the case of plasmid pQC1561. To alleviate Pptxper-driven I-SceI expression from pSS4661 following transfer during the first conjugation step, BvgA phosphorylation by BvgS was abolished, and the Bvg− mode was induced, by pre-growth of the recipient B. bronchiseptica RB50 or its derivatives on BG agar containing 50 mM MgSO4.
The first step in allelic exchange was initiated by performing conjugative transfer of the pSS4661-based allelic exchange plasmid derivative to the Bvg− mode B. bronchiseptica recipient. Selection on BG agar containing kanamycin and streptomycin and 50 mM MgSO4 (gentamicin was also added in the case of pQC1561) led to isolation of exconjugants in which the plasmid had been integrated via a single crossover in the sequences flanking the mutation being introduced. Restreaking exconjugants on media lacking MgSO4 (including gentamicin in the case of pQC1561) caused the Bordetella recipient strain to grow in the Bvg+ mode in which phosphorylated BvgA activates expression of the homing endonuclease I-SceI encoded on the pSS4661 vector thus causing cleavage of the I-SceI restriction site. Repair of the resulting double stranded break occurs by recombination between the flanking cloned regions of homology such that either the wild-type sequence is reconstituted or the alteration of interest is incorporated. In the case of pQC1561, because Pptxbro had been replaced with the selectable gentamicin resistance gene aacCI, maintenance of selection for gentamicin resistance throughout the procedure ensured that only the desired change was obtained in this last step. This led to the creation of strain QC2331 in which aacCI was inserted in place of Pptxbro. This strain was used as the recipient for allelic exchange with the plasmids pQC1542–pQC1546. In these cases, incorporation of the desired SNP-containing Pptxbro alleles could be screened for in the final step by screening for loss of gentamicin resistance. In this way the following strains were created, QC2335 (RB50::ΔPptxbro), QC2336 (RB50::Pptxper), QC2337 (RB50::Pptxbro, C−13T), QC2338 (RB50::Pptxbro, C−13T, C−148T), QC2339 (RB50::Pptxbro, C−13T, C−148T, C−126T), QC2340 (RB50::Pptxbro, C−13T, C−148T, C−126T, A−70G), and QC 2341 (RB50::Pptxbro, C−13T, C−148T, C−126T, A−70G, C−39T ).
Luciferase activity assays
Imaging of luciferase activity of Bordetella strains was performed on an IVIS-50 instrument (Caliper Life Science) as has been described24. To accommodate the faster growth rate for B. bronchiseptica, RB50-derived strains were incubated for 24 h at 37 °C while BP536-derived strains were incubated for 48 h at 37 °C. Quantitative determination of luciferase activity was performed as has been described24. The average of at least four independent assays for each strain was reported.
PT production in B. bronchiseptica RB50 strains
B. bronchiseptica RB50 strains carrying Pptx variants directing the expression of PT were grown on BG agar plus streptomycin (50 μg/mL) at 37 °C for 24 h. To allow PT production and secretion into the culture supernatant, two plates of cells for each strain was collected by swabbing and resuspended in 50 mL LB plus streptomycin (50 μg/mL), in a 250 mL flask, to a starting OD600 of approximately 0.5. After 24 h of incubation at 37 °C, with continuous shaking at 200 rpm, the cultures reached an OD600 of between 3 and 4, and were further adjusted to an OD600/mL of 3 by the addition of phosphate-buffered saline (PBS). Following centrifugation at 2600 × g for 30 min at 4 °C culture supernatants were collected and assessed for PT production by Western blot and PT CHO cell cytotoxicity assay, as described below.
Western blot
To detect PT production by Western blot, to a 1.0 mL aliquot of culture supernatant, ¼ volume of 100% TCA was added, mixed, and the sample was held on ice for 1 h. Samples were centrifuged at 16,000 × g for 30 min at 4 °C and the supernatant was removed. The TCA-precipitated protein pellet was resuspended in 120 µL 1 × NuPAGE SDS Sample Buffer (Invitrogen) in the presence of 1 × NuPAGE Reducing Agent (Invitrogen) and denatured at 90 °C for 10 min. A 10 µL sample (equal to 0.25 OD600 units of cell culture supernatant) was fractionated on NuPAGE 4 ~ 12% Bis–Tris Gel (Invitrogen) in NuPAGE MES SDS Running Buffer (Invitrogen), alongside SeeBlue Plus2 Pre-Stained Standard (Invitrogen) and purified PT containing subunits S1–S5 (List Biological Laboratories, Inc.), loaded in the amounts indicated in Fig. 6. Separated proteins were transferred to PVDF filter paper (Invitrogen) according to the manufacturer’s instructions. Blocking of nonspecific antibody binding was performed in 5% non-fat milk for 1 h at room temperature. PT was detected by incubation of blots with monoclonal anti-PT subunit A (S1) antibody (3CX4-S1)42 at a dilution of 1:2,000 in 1% non-fat milk/PBS for 1 h, followed by washing three times for 10 min each with PBS plus 0.05% Tween-20, incubation with goat anti-mouse HRP-conjugated IgG (Santa Cruz Biotechnology) at 1:10,000 in 1% non-fat milk/PBS for 1 h, and washing three times for 10 min each with PBS plus 0.05% Tween-20. Antibody binding was detected by chemiluminescence using the ECL Plus Western Blotting Detection System (GE Healthcare), visualized using a G:Box Chemi-XT4 (SynGene). The magnitude of raw signals from specific bands were determined using GeneTools software (SynGene). For each sample on the Western blot, the amount of PT production (ng) was calculated based on the standard curve of PT established for each blot using a linear regression program in Prism 6 software, and converted to the amount of PT production (ng/OD600). PT production (ng/OD600) presented in Fig. 6A represent the average of duplicate samples independently prepared analyzed on a separate SDS-PAGE/Western blot. A representative Western blot was presented in Fig. 6B.
PT CHO cell cytotoxicity assay
The PT CHO cell toxicity assay, based on the clustering effect induced by PT in cultured Chinese hamster ovary (CHO) cells43, was performed according to a standard protocol44. CHO cells were plated in a 96-well tissue culture plates in F-12 media, supplied with 1% FBS, 100 units of penicillin and 100 μg/mL streptomycin, and allowed to attach and grow overnight at 37 °C in the presence of 5% CO2. One of the two sets of culture supernatants assessed by Western blot were serially diluted (tenfold) and added to CHO cells at final dilutions of 10−1 to 10−6, in duplicate. After incubation for 24 h at 37 °C in the presence of 5% CO2, growth media were removed, and the cells were fixed with methanol and treated with giemsa stain to visualize cell morphology. The assay was scored as follows: 2 + , CHO cells tightly clumped; 1 + , CHO cells loosely clumped, some not clumped at all; 0, no apparent clumping. When the sum of two duplicates is 3 + or greater, the dilution is considered positive; if the sum of the duplicates is 2 + or less, the dilution is considered negative. Control purified PT (List Biological Laboratories, Inc.) at a starting concentration of 100 μg/mL was positive at a 10−6 dilution. Stock LB used as growth media for PT production was negative at a 10−1 dilution and was used as a negative control. The CHO cell assay on the same set of samples was repeated, and the scores obtained are presented in Fig. 6A.
Sequence analysis of Bordetella Pptx
To collect sequences of Pptx from the different Bordetella species, a 1076 bp region spanning the ptxA coding region (810 bp) and its upstream sequence (266 bp) from the ancestor B. bronchiseptica lineage representative, B. bronchiseptica RB50 (genome sequence ID NC_002927.3, nucleotides 5,198,697 to 5,199,772), was used as a query to BLAST against 957 complete genomes of different Bordetella species in the BLAST database of NCBI (National Center for Biotechnology Information). By the MegaBLAST search, out of 957 complete genomes, a total of 848 hits (N = 848/957) containing sequences highly similar to the 1076 bp query were obtained, i.e., B. bronchiseptica (N = 17/23), B. pertussis (N = 745/748), B. parapertussis (N = 86/86), B. holmesii (N = 0/68), B. hinzii (N = 0/13), B. petrii (N = 0/1), B. avium (N = 0/6), B. trematum (N = 0/5), B. pseudohinzii (N = 0/2), B. flabilis (N = 0/1), B. bronchialis (N = 0/2), B. ansorpii (N = 0/2). The sequence fragments (~ 1 kb) obtained were further trimmed down to the ptx promoter region (~ 200 bp), equivalent to − 170 bp to + 9 relative to the Pptx + 1 of B. bronchiseptica RB50 (genome sequence ID NC_002927.3, nucleotides from 5,198,768 to 5,198,946). The collection (N = 848) of resulting regions for Pptx was organized into 14 groups (G1–G14), each containing a unique sequence of Pptx based on multiple sequence alignment using MUSCLE45. Identifying information for each of the 848 strains is provided in Table S1.
Statistical analysis
At least four assays were used in the calculation of means, standard deviations, and statistical analyses of ordinary one-way ANOVA Dunnett’s multiple comparison tests carried out using Prism 6 software. Outcomes of the statistical analyses are presented using the symbols: ns, P > 0.05; **P ≤ 0.01; ****P ≤ 0.0001.
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Acknowledgements
We thank Dr. Drusilla Burns for providing monoclonal anti-PT subunit A antibody 3CX4-S1 and Dr. Deborah Hinton for helpful discussions.
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Supported by Intramural Research Program of U.S. Food and Drug Administration.
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Q.C. prepared all figures and tables. Q.C. and S.S. wrote the main manuscript text. M.G. and E.H. prepared part of Fig. 6A and wrote the related methods. All authors reviewed the manuscript.
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Chen, Q., Gray, M.C., Hewlett, E. et al. Four single-basepair mutations in the ptx promoter of Bordetella bronchiseptica are sufficient to activate the expression of pertussis toxin. Sci Rep 11, 9373 (2021). https://doi.org/10.1038/s41598-021-88852-x
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DOI: https://doi.org/10.1038/s41598-021-88852-x
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