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18
0021-9193/11/$12.00 doi:10.1128/JB.05132-11
Copyright © 2011, American Society for Microbiology. All Rights Reserved.
During the colonization of hosts, bacterial pathogens are presented with many challenges that must be
overcome for colonization to occur successfully. This requires the bacterial sensing of the surroundings and
adaptation to the conditions encountered. One of the major impediments to the pathogen colonization of the
mammalian gastrointestinal tract is the antibacterial action of bile. Salmonella enterica serovar Typhimurium
has specific mechanisms involved in resistance to bile. Additionally, Salmonella can successfully multiply in
bile, using it as a source of nutrients. This accomplishment is highly relevant to pathogenesis, as Salmonella
colonizes the gallbladder of hosts, where it can be carried asymptomatically and promote further host spread and
transmission. To gain insights into the mechanisms used by Salmonella to grow in bile, we studied the changes
elicited by Salmonella in the chemical composition of bile during growth in vitro and in vivo through a metabolomics
approach. Our data suggest that phospholipids are an important source of carbon and energy for Salmonella during
growth in the laboratory as well as during gallbladder infections of mice. Further studies in this area will generate
a better understanding of how Salmonella exploits this generally hostile environment for its own benefit.
To successfully colonize their hosts, bacterial pathogens achieved in rich culture medium in the laboratory. Some of the
must be able to survive and adapt to the harsh conditions mechanisms used by Salmonella to resist the antibacterial ac-
encountered in some host environments. These include some tion of bile have been studied previously (3, 14, 16–21). How-
of the inherent physicochemical properties of host tissues as ever, most studies to date have focused on resistance to defined
well as specific host defenses. For intestinal pathogens, one of mixtures of bile salts/acids and have not yet addressed the
the major barriers to overcome is the antibacterial action of interactions between Salmonella and “physiological” bile. Ad-
bile (5). Bile is produced in the liver, stored and concentrated ditionally, the mechanisms used by Salmonella to successfully
in the gallbladder, and excreted into the lumen of the small grow using bile components as energy and carbon sources still
intestine, where it aids in the digestion of dietary fat (4). The are unknown. To shed light on this issue, we performed a
antibacterial properties of bile are well documented, and some metabolomic analysis of Salmonella growth in physiological
organisms have adapted mechanisms to resist its action (8). murine bile with the aim of identifying potential nutrient
Salmonella enterica serovar Typhimurium is a bacterial patho- sources used by this organism during the infection of the gall-
gen with an intricate interaction with bile. Salmonella can bladder. Our studies indicate that several host membrane lip-
thrive in the gastrointestinal tract, liver, and gallbladder, all of ids are involved in Salmonella growth in this environment.
which are sites where bile is encountered in high concentra- Specifically, the concentrations of multiple glycerophospholip-
tions (4). The colonization of the gallbladder, the site with the ids, such as phosphatidylcholine (PC), phosphatidylethano-
highest concentrations of bile, by Salmonella has important lamine (PE), lysophosphatidylcholine (lyso-PC), and lysophos-
implications not only for the pathogenesis of the disease but phatidylethanolamine (lyso-PE), were significantly decreased
also for carriage and transmission. Gallbladder colonization upon Salmonella growth in bile, both in vitro and in vivo,
during typhoid fever in asymptomatic individuals is a source of suggesting that these molecules can be used as growth sub-
bacterial shedding that aids in the transmission of this organ- strates by Salmonella. Our in vitro studies revealed that Salmo-
ism to new hosts (7). nella can readily use lyso-PC as the sole carbon source during
Our group recently has shown that Salmonella can survive in growth in minimal medium, supporting the notion that this
the lumen of the gallbladder, where it is exposed to a high phospholipid can be used as a carbon source during growth in
concentration of bile (15). Salmonella not only can survive the the gallbladder. Further investigations of the nutritional re-
antibacterial properties of bile but also can thrive in this harsh quirements for bacterial growth in bile will generate a better
environment, producing growth rates comparable to those understanding of how Salmonella exploits this normally anti-
bacterial host environment.
4719
4720 ANTUNES ET AL. J. BACTERIOL.
Acids were obtained from Beckton, Dickinson, and Co. (Sparks, MD). An biochemical component masses together with their peak intensities. The peak
electrospray (ES) tuning mix standard solution was purchased from Agilent intensities of all the monoisotopic neutral masses subsequently were normalized
Technologies (Santa Clara, CA). to the total ion intensity calculated from a mass spectrum. Masses observed in
Salmonella growth in bile in vitro. Bile was extracted from eight C57BL/6 mice both samples of at least one of the sample groups (uninfected or infected) were
(approximately 18 weeks old; The Jackson Laboratory, Bar Harbor, ME) and aligned and combined into unique metabolite features from the masses that
used immediately. Salmonella enterica serovar Typhimurium SL1344 (23) was matched within 2 ppm across all data. Finally, a two-dimensional data matrix
grown overnight in Luria-Bertani (LB) broth containing 100 g/ml of strepto- (mass versus relative intensity) was generated for each sample group and saved
mycin at 37°C with shaking. Cells were washed and resuspended in Dulbecco’s in a format amenable to further data analysis. To identify differences in metab-
phosphate-buffered saline (HyClone, Logan, UT), and 10 l of bile was inocu- olite composition between uninfected and infected samples, we first selected
lated with this solution at an approximate density of 5 ⫻ 106 cells/ml. The metabolites that were present on one set of samples (uninfected or infected) but
experiment was performed in duplicate, and a total of two uninfected and two not the other. Additionally, we averaged the intensities of the remaining masses
infected bile samples were studied. Samples were incubated for 24 h at 37°C with in each group, calculated the ratios between averaged intensities of metabolites
shaking. After incubation, aliquots were removed, diluted, and plated on LB agar from uninfected and infected mice, and selected those showing changes of at
plates containing 100 g/ml of streptomycin and incubated at 37°C overnight for least 2-fold. To assign possible metabolite identities to the masses selected as
bacterial enumeration. described above, the monoisotopic neutral masses of interest were queried
Salmonella growth in bile in vivo. Salmonella was grown overnight in LB broth against the human metabolome database (HMDB; http://www.hmdb.ca) (22)
containing 100 g/ml of streptomycin at 37°C with shaking. Cells were washed with a tolerance of 0.001 Da.
and resuspended in Dulbecco’s phosphate-buffered saline (HyClone). Age- and Salmonella growth on lysophosphatidylcholine. For growth studies, we used
gender-matched C57BL/6 mice (approximately 20 weeks old; The Jackson Lab- M9 medium (0.1 mM CaCl2, 2 mM MgSO4, 22 mM KH2PO4, 42 mM Na2HPO4,
oratory) were infected with approximately 108 bacterial cells from this solution 8.6 mM NaCl, and 18.7 mM NH4Cl) containing either 0.1% (wt/vol) Casamino
by oral gavage. To investigate the impact of Salmonella infection on the chemical Acids or 200 mM histidine. L-␣-lysophosphatidylcholine was suspended in di-
composition of bile, four groups of three to four mice each either were infected methyl sulfoxide at 100 mg/ml and added to culture media at a final concentra-
with Salmonella or kept uninfected (a total of 11 mice per treatment group). Five tion of 1 mg/ml. Salmonella was grown overnight in LB broth containing 100
days after infection, all mice were sacrificed and bile was collected. To ameliorate g/ml of streptomycin at 37°C with shaking. Cells were washed with Dulbecco’s
the intrinsic issue of intersubject variability in our experiments, samples were phosphate-buffered saline (HyClone) and diluted 1:100 in the appropriate cul-
prepared by mixing equal volumes of bile from three to four mice, generating ture medium. Samples were incubated at 37°C with shaking, and growth was
three samples per treatment (uninfected and infected), which were used in the assessed through measurements of culture optical density at 600 nm.
subsequent steps. This also avoids the chance that any potential differences in Statistical analysis. Data were analyzed by unpaired t tests with 95% confi-
metabolite levels are masked by differences in bacterial loads in bile from dif- dence intervals using GraphPad Prism, version 4.0 (GraphPad Software Inc., San
ferent animals. Samples then were processed for bacterial enumeration by plat- Diego, CA).
ing serial dilutions on LB agar plates containing 100 g/ml of streptomycin and Mass spectrometry data accession number. Data have been deposited in the
incubated at 37°C overnight. GEO database (http://www.ncbi.nlm.nih.gov/geo) under accession number
Sample preparation. After appropriate incubation, bile samples were centri- GSE-30404.
fuged for 5 to 10 min at 13,000 ⫻ g and 7 l of the supernatant was removed, Ethics statement. Animal experiments were approved by the Animal Care
dried at room temperature in a centrifuge equipped with a vacuum pump, and Committee of the University of British Columbia and performed in accordance
frozen at ⫺80°C until used. with institutional guidelines.
Direct infusion (DI)-FT-ICR-MS. For metabolic fingerprinting, the dried ex-
tracts were suspended in a mixture of acetonitrile and water (200 l of 50%
acetonitrile for in vitro samples and 400 l of 75% acetonitrile for in vivo RESULTS
samples), vortexed, and cleared by centrifugation. To reduce ionization suppres-
sion or enhancement effects, extracts were further diluted 1:20 (in vitro) or 1:6 (in To study the effect of Salmonella in vitro growth on the
vivo) with 50% acetonitrile containing either 0.2% formic acid (for positive-ion
mode) or 0.5% ammonium hydroxide (for negative-ion mode) and spiked with
chemical composition of bile, we extracted fresh bile from
predefined amounts of the ES tuning mix solution as the internal standard for mice, inoculated it with Salmonella, and compared the chem-
mass calibration. The solutions then were infused through a syringe pump (KDS ical composition of uninfected and infected samples through
Scientific, Holliston, MA) at a flow rate of 2.5 l/min into a 12-T Apex-Qe hybrid DI-FT-ICR-MS. During the 24 h of incubation, Salmonella
quadrupole Fourier transform ion cyclotron mass spectrometer (FT-ICR-MS)
replicated extensively in bile, reaching a density of 8.4 ⫻ 109
(Bruker Daltonics, Billerica, MA) equipped with an Apollo II electrospray ion-
ization (ESI) source, a quadrupole mass filter, and a hexapole collision cell. Data cells/ml (standard error of the mean of 1.87 ⫻ 109) from an
were recorded in both positive- and negative-ion modes using broadband detec- initial inoculum of 5 ⫻ 106 cells/ml, in accordance with our
tion with a data acquisition size of 1,024 kb/s and within m/z 150 to 1,000. Typical previous report (15). DI-FT-ICR-MS analysis of uninfected
ESI-MS parameters were a capillary electrospray voltage of 3,600 to 3,750 V, and infected samples enabled us to detect 1,244 metabolites
spray shield voltage of 3,300 to 3,450 V, source ion accumulation time of 0.1 s,
with distinct masses (Table 1). To identify metabolites showing
and collision cell ion accumulation time of 0.2 s. Survey scan mass spectra in each
ion mode were averaged from the accumulation of 200 scans per spectrum, and differences in intensities between uninfected and infected sam-
duplicate acquisitions per sample were performed. ples, we screened our data set for masses that were present in
Data processing. Raw mass spectrometry data were processed using a custom- only one of the sample groups (uninfected or infected). Addi-
developed software package as described elsewhere (10). First, raw mass spectra tionally, we calculated average intensities and fold changes
acquired from each sample group were batch processed using a home-written
VBA script within the instrument vendor’s data analysis software, DataAnalysis,
between the two data sets and identified masses displaying
to do automatic internal mass calibration with the reference masses of the spiked differences of 2-fold or more. Of the 1,244 total masses de-
calibration standards and a known contaminant, N-butylbenzensulfonamide. tected, 447 masses (35.9%) were affected, according to the
Monoisotopic peaks corresponding to the isotopic pattern distributions then criteria described above (Table 1). These masses then were
were automatically determined, and those with a signal-to-noise ratio of at least
used to query the HMDB to predict putative metabolite iden-
3 were picked. Their m/z values were converted to neutral masses by subtracting
or adding 1.007276 for positive- or negative-ion mode, respectively. The resulting tities. Of the 447 masses that were changed upon Salmonella
mass lists from all of the mass spectra within each set of uninfected/infected growth, 49 (11%) had hits in the HMDB; 36 were decreased
groups detected in positive- or negative-ion modes were further processed with upon Salmonella growth, whereas 13 were increased (Tables 1
another customized software program developed with LabVIEW (National In- and 2). Because our aim was to study potential carbon and
struments, Austin, TX). The first step of this software is to remove the masses
corresponding to adduct ions (M⫹Na)⫹ and (M⫹K)⫹ for the positive-ion mode
energy sources used by Salmonella, we focused our analysis on
and (M⫹Cl)⫺ for the negative-ion mode from the mass lists based on the the masses whose levels were decreased upon bacterial growth.
expected mass differences for these ions within 2 ppm to yield a list of unique Table 2 shows the signal intensities for all metabolites whose
VOL. 193, 2011 METABOLOMICS OF SALMONELLA GROWTH IN BILE 4721
levels were decreased after Salmonella growth in bile. As can mino Acids as histidine sources. Figure 1A shows that lyso-PC
be seen from these data, glycerophospholipids were the most enhanced Salmonella growth when medium containing
overrepresented metabolite category (15 out of 25 significantly Casamino Acids was used. In these experiments, Casamino Acids
affected masses [P ⬍ 0.05]; 60%), with many masses being as- function not only as a source of histidine but also as the source
signed to phosphatidylcholine (PC), phosphatidylethanolamine of other amino acids that can be used by Salmonella as carbon
(PE), lysophosphatidylcholine (lyso-PC), and lysophosphatidyl- and energy sources. Although Salmonella was able to grow in
ethanolamine (lyso-PE). PC and lyso-PC were the most this medium without the addition of lyso-PC, this phospholipid
overrepresented metabolites among the metabolites affected; clearly enhanced bacterial growth (Fig. 1A). In medium con-
of the 25 metabolites significantly affected, 11 were assigned as taining histidine but with no other amino acids that could be
one of these compounds. used as carbon and energy sources, no growth was observed in
The data presented above suggested that Salmonella uses the absence of lyso-PC. However, when lyso-PC was added to
phospholipids, mainly PC and lyso-PC, as sources of carbon these cultures, Salmonella exhibited robust growth, confirming
and energy during growth in bile in vitro. However, whether or that lyso-PC and potentially other glycerophospholipids pres-
not this was relevant for Salmonella growth during gallbladder ent in bile can be used as the sole carbon and energy sources.
infections remained to be determined. To investigate this pos- To obtain a relative measure of how well Salmonella grows on
sibility, we analyzed the composition of bile from uninfected lyso-PC, we performed growth curves using either lyso-PC or
mice and compared it to bile from mice that had been infected glucose as the sole carbon and energy source. Figure 1B shows
with Salmonella. After 5 days of infection, Salmonella was that Salmonella grows significantly better on lyso-PC than on
present at various levels in the three samples analyzed (from glucose, even though the glucose concentration used (10 mg/
1.6 ⫻ 103 to 9.2 ⫻ 108 cells per ml). DI-FT-ICR-MS analysis ml) was 10 times higher than that of lyso-PC (1 mg/ml). Ex-
allowed the detection of 544 metabolites (Table 1). We then ponential growth in lyso-PC began after 6 h of incubation,
analyzed this data set as described above to identify metabo- whereas the same occurred only after approximately 12 h of
lites showing differences in intensities between uninfected and incubation in glucose. Taken together, our data show that
infected samples. This revealed that 318 metabolites (58.5%) phospholipids are rich carbon and energy sources that can be
had their levels changed by infection (Table 1). Again, we used for Salmonella growth, and that these likely are important
queried the HMDB to determine putative metabolite identi- growth substrates for Salmonella in bile.
ties. Sixty-two out of the 318 masses affected by Salmonella
were putatively identified (19.5%), with 23 being decreased DISCUSSION
and 39 being increased upon infection (Tables 1 and 3). Table
3 shows signal intensities of the metabolites that were de- Bile is an important body fluid whose most widely recog-
creased after Salmonella infection. Once again, we found that nized function is aiding in the digestion of dietary fats.
glycerophospholipids were the most overrepresented category Although this is an important function of bile, this complex
of metabolites decreased by Salmonella growth (11 out of 21 mixture of organic molecules is involved in many other
significantly affected masses [P ⬍ 0.05]; 52.4%). PC and physiological processes. Bile is important for the elimination of
lyso-PC were abundant within our data set, with 10 out of the cholesterol, regulation of gene expression, induction of mucin
21 metabolites significantly affected being putatively identified secretion, control of electrolyte absorption, and other func-
as one of these compounds. These results suggest that Salmo- tions (11). Of relevance to this study, bile shows strong anti-
nella degrades PC and lyso-PC during growth in gallbladder bacterial activity and is involved in the control of commensal
infections, and that our in vitro results do not represent a microbial growth in the gastrointestinal tract as well as defense
phenomenon restricted to growth in the laboratory. against invading pathogens. Some microbes, however, have
The metabolomics data described above suggest that glyc- evolved mechanisms to cope with the deleterious effects of bile
erophospholipids are used as substrates by Salmonella during (5, 8). This is true for both intestinal commensals and patho-
growth in bile. To obtain further evidence that Salmonella can gens.
grow on these compounds, we performed in vitro growth stud- Salmonella enterica serovar Typhimurium is an intestinal
ies in minimal medium using lyso-PC as the sole carbon source pathogen with specific mechanisms that allow it to resist bile
or in addition to other carbon sources. To do so, we monitored (3, 14, 16–21). The induction of drug efflux pumps by bile salts
the optical density (at 600 nm) of Salmonella cultures growing has been shown to play a role in Salmonella resistance to both
in M9 minimal medium in the absence or presence of lyso-PC. bile and antibiotics (18). DNA repair also is critical for bile salt
Because the Salmonella strain used in our studies is a histidine resistance in Salmonella (17). Lastly, the major virulence reg-
auxotroph, we added either 200 mM L-histidine or 0.1% Casa- ulator PhoPQ in Salmonella also is critical for resistance to bile
4722 ANTUNES ET AL. J. BACTERIOL.
salts (21). It is important to note that all of these studies have growth rates in physiological bile are the same as, if not higher
been performed using defined mixtures of bile salt and acids. than, those in rich culture medium (15). Because Salmonella
Therefore, although these findings are important to our un- can colonize the gallbladder of hosts, both resistance to bile
derstanding of the mechanisms allowing Salmonella to resist and its use as a growth substrate have important implications
the antibacterial action of bile, these studies provide limited for Salmonella pathogenicity. However, the mechanisms used
knowledge of the interactions that occur between Salmonella by Salmonella to grow in bile remain unidentified. To identify
and physiological bile during infection. potential growth substrates in bile, we set out to detect organic
Besides resisting the deleterious effects of bile, Salmonella molecules whose levels in bile were decreased after Salmonella
can use bile components as growth substrates; Salmonella growth. Bile is a complex mixture of molecules, and identifying
4724 ANTUNES ET AL. J. BACTERIOL.
field Fourier transform ion cyclotron resonance mass spectrometry. Metabo- resistance and virulence in Salmonella enterica serovar Typhimurium. J.
lomics 4:128–140. Bacteriol. 189:8496–8502.
11. Hofmann, A. F., and L. R. Hagey. 2008. Bile acids: chemistry, pathochem- 17. Prieto, A. I., F. Ramos-Morales, and J. Casadesus. 2006. Repair of DNA
istry, biology, pathobiology, and therapeutics. Cell Mol. Life Sci. 65:2461– damage induced by bile salts in Salmonella enterica. Genetics 174:575–584.
2483. 18. Prouty, A. M., I. E. Brodsky, S. Falkow, and J. S. Gunn. 2004. Bile-salt-
12. Krivan, H. C., D. P. Franklin, W. Wang, D. C. Laux, and P. S. Cohen. 1992. mediated induction of antimicrobial and bile resistance in Salmonella typhi-
Phosphatidylserine found in intestinal mucus serves as a sole source of murium. Microbiology 150:775–783.
carbon and nitrogen for salmonellae and Escherichia coli. Infect. Immun. 19. Prouty, A. M., J. C. Van Velkinburgh, and J. S. Gunn. 2002. Salmonella
60:3943–3946. enterica serovar typhimurium resistance to bile: identification and character-
ization of the tolQRA cluster. J. Bacteriol. 184:1270–1276.
13. Linkous, A., and E. Yazlovitskaya. 2010. Cytosolic phospholipase A2 as a
20. Ramos-Morales, F., A. I. Prieto, C. R. Beuzon, D. W. Holden, and J. Casa-
mediator of disease pathogenesis. Cell Microbiol. 12:1369–1377.
desus. 2003. Role for Salmonella enterica enterobacterial common antigen in
14. López-Garrido, J., N. Cheng, F. Garcia-Quintanilla, F. Garcia-del Portillo, bile resistance and virulence. J. Bacteriol. 185:5328–5332.
and J. Casadesus. 2010. Identification of the Salmonella enterica damX gene 21. van Velkinburgh, J. C., and J. S. Gunn. 1999. PhoP-PhoQ-regulated loci are
product, an inner membrane protein involved in bile resistance. J. Bacteriol. required for enhanced bile resistance in Salmonella spp. Infect. Immun.
192:893–895. 67:1614–1622.
15. Menendez, A., et al. 2009. Salmonella infection of gallbladder epithelial cells 22. Wishart, D. S., et al. 2009. HMDB: a knowledgebase for the human metabo-
drives local inflammation and injury in a model of acute typhoid fever. J. lome. Nucleic Acids Res. 37:D603–610.
Infect. Dis. 200:1703–1713. 23. Wray, C., and W. J. Sojka. 1978. Experimental Salmonella typhimurium
16. Prieto, A. I., et al. 2007. The GATC-binding protein SeqA is required for bile infection in calves. Res. Vet. Sci. 25:139–143.