Keerthikka Ravi1,2, Nicole R Falkowski3, Brittan S Scales3, Volha D Akulava4,5, Leonid N Valentovich4,6, Gary B Huffnagle1,2,3,7. 1. Department of Molecular, Cellular & Developmental Biology, Ann Arbor, Michigan, USA. 2. Department of Microbiology & Immunology, University of Michigan, Ann Arbor, Michigan, USA. 3. Division of Pulmonary & Critical Care Medicine, University of Michigan, Ann Arbor, Michigan, USA. 4. Faculty of Biology, Belarusian State Universitygrid.17678.3f, Minsk, Belarus. 5. Faculty of Science and Technology, Norwegian University of Life Sciences, Ås, Norway. 6. Institute of Microbiology, National Academy of Sciences of Belarus, Minsk, Belarus. 7. Mary H. Weiser Food Allergy Center, University of Michigan, Ann Arbor, Michigan, USA.
Abstract
The type III secretion system (T3SS) is a needle-like structure found in Gram-negative pathogens that directly delivers virulence factors like toxins and effector molecules into eukaryotic cells. The T3SS is classified into different families according to the type of effector and host. Of these, the Ysc family T3SS, found in Yersinia species and Pseudomonas aeruginosa, confers high virulence to bacteria against eukaryotic hosts. Here, we present the first identification and transcriptional analyses of a Ysc T3SS in a non-aeruginosa Pseudomonas species, Pseudomonas lundensis, an environmental psychrotrophic bacterium and important agent of frozen food spoilage. We have identified and sequenced isolates of P. lundensis from three very distinct ecological niches (Antarctic temporary meltwater pond, U.S. supermarket 1% pasteurized milk, and cystic fibrosis lungs) and compared these to previously reported food spoilage isolates in Europe. In this paper, we show that strains of P. lundensis isolated from these diverse environments with ambient temperatures ranging from below freezing to 37°C all possess a Ysc family T3SS secretion system and a T3S effector, ExoU. Using in vitro and in vivo transcriptomics, we show that the T3SS in P. lundensis is transcriptionally active, is expressed more highly at mammalian body temperature (37°C) than 4°C, and has even higher expression levels when colonizing a host environment (mouse intestine). Thus, this Ysc T3SS-expressing psychrotrophic Pseudomonad has an even greater range of growth niches than previously appreciated, including diseased human airways. IMPORTANCE P. lundensis strains have been isolated from environments that are distinct and diverse in both nutrient availability and environmental pressures (cold food spoilage, Antarctic melt ponds, cystic fibrosis lungs). As a species, this bacterium can grow in diverse niches that markedly vary in available nutrients and temperature, and in our study, we show that these various strains share greater than 99% sequence similarity. In addition, all isolates studied here encoded complete homologs of the Ysc family T3SS seen in P. aeruginosa. Until recently, P. aeruginosa has remained as the only Pseudomonas species to have a characterized functional Ysc (Psc) family T3SS. With the identification of a complete Ysc T3SS in P. lundensis that is expressed at 37°C in vivo, it is intriguing to wonder whether this bacterium may indeed have some level of symbiotic activity, of yet unknown type, when consumed by a mammalian host.
The type III secretion system (T3SS) is a needle-like structure found in Gram-negative pathogens that directly delivers virulence factors like toxins and effector molecules into eukaryotic cells. The T3SS is classified into different families according to the type of effector and host. Of these, the Ysc family T3SS, found in Yersinia species and Pseudomonas aeruginosa, confers high virulence to bacteria against eukaryotic hosts. Here, we present the first identification and transcriptional analyses of a Ysc T3SS in a non-aeruginosa Pseudomonas species, Pseudomonas lundensis, an environmental psychrotrophic bacterium and important agent of frozen food spoilage. We have identified and sequenced isolates of P. lundensis from three very distinct ecological niches (Antarctic temporary meltwater pond, U.S. supermarket 1% pasteurized milk, and cystic fibrosis lungs) and compared these to previously reported food spoilage isolates in Europe. In this paper, we show that strains of P. lundensis isolated from these diverse environments with ambient temperatures ranging from below freezing to 37°C all possess a Ysc family T3SS secretion system and a T3S effector, ExoU. Using in vitro and in vivo transcriptomics, we show that the T3SS in P. lundensis is transcriptionally active, is expressed more highly at mammalian body temperature (37°C) than 4°C, and has even higher expression levels when colonizing a host environment (mouse intestine). Thus, this Ysc T3SS-expressing psychrotrophic Pseudomonad has an even greater range of growth niches than previously appreciated, including diseased human airways. IMPORTANCE P. lundensis strains have been isolated from environments that are distinct and diverse in both nutrient availability and environmental pressures (cold food spoilage, Antarctic melt ponds, cystic fibrosis lungs). As a species, this bacterium can grow in diverse niches that markedly vary in available nutrients and temperature, and in our study, we show that these various strains share greater than 99% sequence similarity. In addition, all isolates studied here encoded complete homologs of the Ysc family T3SS seen in P. aeruginosa. Until recently, P. aeruginosa has remained as the only Pseudomonas species to have a characterized functional Ysc (Psc) family T3SS. With the identification of a complete Ysc T3SS in P. lundensis that is expressed at 37°C in vivo, it is intriguing to wonder whether this bacterium may indeed have some level of symbiotic activity, of yet unknown type, when consumed by a mammalian host.
Pseudomonas lundensis is a psychrotrophic bacterium whose extent of distribution across diverse environments has not been fully appreciated. P. lundensis was first reported in 1986 as a prime spoilage bacterium in cold beef and pork (1) and has since been found growing in chilled meat, milk, and milk products (2–4). It has also been isolated from the feces of wild boar (5), Antarctic temporary meltwater ponds, and sputum samples in patients with cystic fibrosis (6), all of which demonstrate the wide diversity of environments in which this bacterium is able to persist and grow. P. lundensis has favorable growth temperatures between 0°C to 30°C, with optimal growth at 25°C (1). We can readily culture this bacterium at 37°C, indicating that the upper temperature limit for growth of this psychrotroph is at least 37°C. P. lundensis is a Gram-negative, polar flagellated bacterium belonging to the Pseudomonas fragi clade of the Pseudomonas fluorescens species complex (7). This bacterium exhibits surface-associated motility and is capable of forming stable biofilm structures across a wide temperature range (8). However, we report in this paper that P. lundensis also encodes a Ysc family type III secretion system (T3SS), similar to that seen in P. aeruginosa and Yersinia spp.T3SS is a molecular system that mediates cell-to-cell interactions between Gram-negative bacteria and eukaryotes. There are several families of T3SS, classified based on phylogenetic analysis, all varying in their effector and the hosts with which they interact (9). Depending on the bacterial species and host, the T3SS can sway the interaction outcomes from commensalism to symbiotic or mutualistic (e.g., Rsp family T3SS in P. fluorescens [10, 11]) or pathogenic (e.g, Ysc family, Inv-Mxi Spa family, and Hrc Hrp1/2 family T3SS in Gram-negative pathogens like P. aeruginosa, Salmonella enterica serovar Typhimurium, and Pseudomonas putida [9, 12, 13]).In P. aeruginosa, the Ysc (Psc) family T3SS is one of many virulence characteristics in its arsenal. Although it is not essential for causing infection, the T3SS plays a very important role in interacting with a host and establishing chronic infections by dampening host defense and activating inflammasome signaling (14, 15). P. aeruginosa encodes up to four T3SS effector proteins that have known toxic activities (ExoS, ExoT, ExoY, and ExoU) of which ExoU-mediated cytotoxicity is the most potent (16, 17). However, these potent virulence characteristics are not unique to clinical isolates and can also be found in environmental isolates of P. aeruginosa (17), where T3SS confers a fitness advantage to the bacterium (18). To date, P. aeruginosa is the only Pseudomonas species in which a functional Ysc T3SS and its effector proteins have been reported.In this current study, we have cultured, identified, and sequenced isolates of P. lundensis grown from three very distinct ecological niches (Antarctic temporary meltwater pond, U.S. supermarket pasteurized milk, and human cystic fibrosis lungs) and compared these to previously reported food spoilage isolates from Europe. The isolates described here all grow in very different environments in terms of nutritional availability, temperature, and environmental pressures, Yet strains with a complete genome assembly share >99% sequence similarity (draft genomes share >98% sequence identity). We report the identification of a complete Ysc T3SS complex in P. lundensis, as well as homologs of the ExoU effector protein and its chaperone SpcU. Like P. aeruginosa, all isolates of P. lundensis (environmental and clinical) encode a complete Ysc T3SS. The clinical isolate AU1044 expressed its T3SS in in vitro growth conditions at 37°C while having no expression at low temperature, 4°C. High T3SS expression is also seen in bacteria colonizing the intestinal tract of gnotobiotic mice, raising further questions about how this bacterium may interact with a mammalian host.
RESULTS
Isolation and characterization of P. lundensis strains from diverse environments.
Pseudomonas lundensis, commonly reported as a psychrotrophic food spoilage bacterium (for example, in cold storage spoilage of pasteurized milk), can colonize the lungs of cystic fibrosis (CF) patients (6). Strain AU1044, the strain studied in this paper, is one such clinical isolate of P. lundensis and was isolated from a sputum sample of a CF patient in Columbia, Missouri, United States (6). To test if this clinical isolate was able to grow in the known environmental niches of P. lundensis, AU1044 was cultured in milk and LB broth at ambient and cold temperatures, representing environments similar to that of spoiled foods. Under aerobic conditions, strain AU1044 was successfully grown in both milk media and LB broth and at temperatures ranging from 4°C to 37°C (data not shown). The generation times at room temperature through 37°C were similar, while the generation time at 4°C was significantly longer. Thus, the clinical isolate AU1044 can grow in cold storage food spoilage conditions similar to what has been reported for other isolates of P. lundensis (19). This was also true for the 11 other clinical isolates (AU11122, AU11136, AU11164, AU11235, AU7350, AU12597, AU12644, AU2390, AU10414, AU9518, and AU14641) that we reported earlier, which were isolated from cystic fibrosis patients from seven other sites across the United States (Ann Arbor, Michigan; Boston, Massachusetts; Chapel Hill, North Carolina; Cincinnati, Ohio; Hartford, Connecticut; Palo Alto, California, and St. Louis, Missouri) (6). Strain 2T.2.5.2 was isolated during the 5th Belarussian Antarctic Expedition (58th Russian Antarctic Expedition) in the area of the base Gora Vechernyaya from the temporary meltwater ponds (puddles) of the Lazurnaya Bay, Alasheev Bay, and Cosmonauts Sea. Strains M101 and M105 were isolated from 1% milkfat pasteurized milk, purchased from a grocery store in Ann Arbor, Michigan, in which the milk had been allowed to spoil after extended storage at 4°C. Strains 2T.2.5.2, M101, and M105 were all successfully cultured in milk media and LB broth and at temperatures ranging from 4°C to 37°C. Thus, the isolates from these extremely diverse environments (human lungs, spoiled milk, and Antarctic temporary meltwater ponds) all behaved similarly under a range of in vitro conditions.
Genetic organization of P. lundensis T3SS.
We screened the genome of strain AU1044 using the Virulence Factors of Pathogenic Bacteria (VFDB; http://www.mgc.ac.cn/VFs/) database as a reference and identified a set of genes that were identified as Ysc family T3SS genes. A phylogenetic analysis of T3SS structural proteins PscS, PscT, and PscU from P. lundensis strains and their respective homologs showed that the T3SS in P. lundensis is most homologous to that of P. aeruginosa and falls among other species that carry Ysc family T3SS (Fig. 1A). A protein BLAST analysis was performed with the putative T3SS genes identified in AU1044 and 2.T.2.5.2 (Fig. 1B; Table 1), setting the Psc family T3SS in P. aeruginosa PA14 as the reference. Results from this analysis further confirmed that P. lundensis has a Ysc family T3SS, and this system shares high protein sequence similarities with the Psc family T3SS in P. aeruginosa.
FIG 1
Ysc family T3SS in P. lundensis. (A) The T3SS of P. lundensis is most homologous to that of P. aeruginosa. Phylogenetic tree depicting the similarity between T3SS among Pseudomonas species discussed in this paper. The tree was built on the predicted amino acid sequences of the T3SS structural proteins PscS/Ysc, PscT/YscT, PscU/PscT, and their T3SS homologues in the other Pseudomonas species. Branch length is on the top side of branch and labeled in blue; confidence intervals based on 1,000 bootstraps of the tree are on the underside of the branch and are labeled in red. (B) pBLAST of T3SS protein from an environmental and clinical strain of P. lundensis, 2T.2.5.2 and AU1044, respectively. The BLAST analysis was done against the Psc family protein from P. aeruginosa strain PA14. (C) Gene maps of the type III secretion system from P. aeruginosa strain PA14 and P. lundensis strains DSM6252, AU104, AU11122, AU10414, M101, M105, MFPA15A1205, and 2T.2.5.2. DSM6252 is the type strain isolated from spoiled beef. AU1044, AU11122, and AU10414 are clinical isolates of P. lundensis from sputum samples of patients with cystic fibrosis. M101 and M105 are strains isolated from spoiled milk, MFPA15A1205 is a strain from a spoiled food source, and 2T.2.5.2 was isolated from an Antarctic temporary meltwater pond. In PA14, the exoU and spcU are not present immediately downstream to the core genes as seen in P. lundensis. The gene annotations seen for PA14 also apply to the P. lundensis strains.
TABLE 1
P. lundensis T3SS genes BLASTp analysis against Psc family T3SS in P. aeruginosa
Functional name
Sct namea
Psc nameb
Data for:
Alignment score (%)
Query cover (%)
E value
P. aeruginosa PA14
P. lundensis AU1044
UniProtKB ID
Protein sequence length (aa)
GenPept accession no.
Protein sequence length (aa)
Export apparatus switch protein
sctU
pscU
Q02KI1_PSEAB
349
AOZ12679
348
79.472
97
1.04E-177
Minor export apparatus protein
sctT
pscT
Q02KI2_PSEAB
262
AOZ12680
262
79.615
97
4.80E-127
Minor export apparatus protein
sctS
pscS
Q02KI3_PSEAB
88
AOZ15077
88
79.545
99
4.53E-37
Minor export apparatus protein
sctR
pscR
Q02KI4_PSEAB
217
AOZ12681
219
90.278
100
2.49E-137
C-ring protein
sctQ
pscQ
Q02KI5_PSEAB
309
AOZ12682
308
52.787
98
4.96E-85
Needle length determinant protein
sctP
pscP
WP_010895580 (GenPept)
369
AOZ15078
403
55.385
98
2.32E-23
Stalk
sctO
pscO
Q02KI7_PSEAB
158
AOZ12683
155
46
76
1.47E-31
ATPase
sctN
pscN
Q02KI8_PSEAB
440
AOZ15079
440
84.018
99
<1E-200
Gatekeeper
sctW
popN
Q02KI9_PSEAB
288
AOZ12684
219
68.198
97
6.53E-139
pcr1
Q02KJ0_PSEAB
92
AOZ12685
91
58.621
95
2.69E-38
pcr2
Q02KJ1_PSEAB
123
AOZ12686
123
61.475
99
1.35E-52
pcr3
Q02KJ2_PSEAB
121
AOZ12687
121
52.066
100
8.14E-36
pcr4
Q02KJ3_PSEAB
109
AOZ12688
110
56.19
84
1.52E-33
Major export apparatus protein
sctV
pcrD
Q02KJ4_PSEAB
706
AOZ12689
707
83.027
100
<1E-200
pcrR
Q02KJ5_PSEAB
144
prot_1660
144
60.67
61
1E-34
PcrV chaperone protein
pcrG
Q02KJ6_PSEAB
98
AOZ12690
94
49.425
92
3.09E-17
Tip protein
pcrV
Q02KJ7_PSEAB
294
AOZ12691
314
53.676
86
1.46E-85
Translocon chaperone protein
pcrH
Q02KJ8_PSEAB
164
AOZ12692
161
76.582
95
1.85E-84
Translocon protein
popB
Q02KJ9_PSEAB
390
AOZ12693
388
59.74
98
5.77E-141
Translocon protein
popD
Q02KK0_PSEAB
295
AOZ15080
295
52.881
100
5.69E-101
Regulatory protein
exsC
Q02KK1_PSEAB
145
AOZ12694
147
71.429
100
9.63E-65
Regulatory protein
exsE
Q02KK2_PSEAB
81
AOZ12695
81
46.914
97
1.62E-18
Regulatory protein
exsB
Q02KK3_PSEAB
137
AOZ12696
134
35.246
88
3.37E-20
Regulatory protein
exsA
Q02KK4_PSEAB
278
AOZ12697
270
75.646
100
1.40E-157
Regulatory protein
exsD
Q02KK5_PSEAB
276
AOZ12698
277
61.091
99
1.68E-121
pscB
Q02KK6_PSEAB
140
AOZ12699
140
54.93
100
4.09E-46
Secretin
sctC
pscC
Q02KK7_PSEAB
600
AOZ15081
597
69.631
95
<1E-200
Outer MS ring protein
sctD
pscD
Q02KK8_PSEAB
432
AOZ12700
422
57.109
99
6.31E-169
PscF-stabilizing protein
pscE
Q02KK9_PSEAB
67
AOZ12701
68
46.875
94
8.30E-15
Needle filament protein
sctF
pscF
Q02KL0_PSEAB
85
AOZ12702
84
69.412
100
4.55E-38
PscF chaperone protein
pscG
Q02KL1_PSEAB
115
AOZ15082
119
58.407
94
2.05E-40
Type III secretion protein
pscH
Q02KL2_PSEAB
143
AOZ12703
137
42.857
89
2.40E-10
Inner rod protein
sctI
pscI
Q02KL3_PSEAB
113
AOZ12704
112
71.681
100
4.22E-55
Inner MS ring protein
sctJ
pscJ
Q02KL4_PSEAB
248
prot_1679
237
87.437
83
7.45E-131
Accessory cytosolic protein
sctK
pscK
Q02KL5_PSEAB
206
AOZ12705
208
54.902
98
2.18E-60
Stator
sctL
pscL
Q02KL6_PSEAB
231
AOZ12706
205
66.832
98
5.80E-101
Effector
exoU
Q02IF1_PSEAB
687
QPD07247.1
681
61.919
97
<1E-200
Chaperone
spcU
Q02IF2_PSEAB
137
AOZ12707
136
55.085
86
3.07E-42
Unified nomenclature for conserved proteins of the type III secretion apparatus. Sct, secretion and cellular translocation (20, 21).
Type III secretion system genes in Pseudomonas.
Ysc family T3SS in P. lundensis. (A) The T3SS of P. lundensis is most homologous to that of P. aeruginosa. Phylogenetic tree depicting the similarity between T3SS among Pseudomonas species discussed in this paper. The tree was built on the predicted amino acid sequences of the T3SS structural proteins PscS/Ysc, PscT/YscT, PscU/PscT, and their T3SS homologues in the other Pseudomonas species. Branch length is on the top side of branch and labeled in blue; confidence intervals based on 1,000 bootstraps of the tree are on the underside of the branch and are labeled in red. (B) pBLAST of T3SS protein from an environmental and clinical strain of P. lundensis, 2T.2.5.2 and AU1044, respectively. The BLAST analysis was done against the Psc family protein from P. aeruginosa strain PA14. (C) Gene maps of the type III secretion system from P. aeruginosa strain PA14 and P. lundensis strains DSM6252, AU104, AU11122, AU10414, M101, M105, MFPA15A1205, and 2T.2.5.2. DSM6252 is the type strain isolated from spoiled beef. AU1044, AU11122, and AU10414 are clinical isolates of P. lundensis from sputum samples of patients with cystic fibrosis. M101 and M105 are strains isolated from spoiled milk, MFPA15A1205 is a strain from a spoiled food source, and 2T.2.5.2 was isolated from an Antarctic temporary meltwater pond. In PA14, the exoU and spcU are not present immediately downstream to the core genes as seen in P. lundensis. The gene annotations seen for PA14 also apply to the P. lundensis strains.P. lundensis T3SS genes BLASTp analysis against Psc family T3SS in P. aeruginosaUnified nomenclature for conserved proteins of the type III secretion apparatus. Sct, secretion and cellular translocation (20, 21).Type III secretion system genes in Pseudomonas.Our next step was to check if this T3SS gene locus is conserved across various strains of this bacterium or whether it is unique to clinical isolates or only this strain. To do this, we screened the genomes of several strains of P. lundensis, which were isolated from spoiled food sources (M101 and M105 from spoiled pasteurized milk in the United States; DSM6252 and MFPA15A12 from spoiled meat in Europe), cold environments (2T.2.5.2 from Antarctic temporary meltwater pond), and cystic fibrosis (AU10414 and AU11222). Strains AU1044, 2T.2.5.2, M101, and M105 are closed genomes that are annotated by the NCBI annotation pipeline, while the rest are present as draft genomes. Using the Psc family T3SS from PA14 as well as the newly identified T3SS genes from AU1044 as the reference, the 8 strains of P. lundensis were screened for similar genes, and BLAST results showed that all the strains of P. lundensis had a T3SS similar to strain AU1044. In all these clinical and environmental isolates, the identified T3SS genes were present as a single contiguous region and in the same order (Fig. 1C). Thus, we choose strain AU1044 as a representative strain of P. lundensis for the remainder of this study.The genome of P. lundensis contains 38 genes belonging to Ysc/Psc family T3SS, clustered together as 5 consecutive operons and an effector-chaperone pair on the chromosome. pscNOPQSTU, popNpcs1234DR, pcrGVH-popBD, excCEBA, and exsD-pscBCDEFGHIJKL operons are the core T3SS genes that code for structural, secretory, and regulatory proteins, while the effector-chaperone pair (exoUspcU) encodes a type III effector protein (ExoU) and its respective chaperone (SpcU). Because P. lundensis falls under the same genus as P. aeruginosa, we used the same nomenclature for the T3SS genes found in P. lundensis as the Psc family T3SS in P. aeruginosa as well as the corresponding unified Sct (secretion and cellular translocation) designation (20, 21) (Fig. 2; Table 1). The organization of the core T3SS genes in P. lundensis is clustered together as five consecutive operons and shares some similarities with the Psc family T3SS in P. aeruginosa.
FIG 2
Schematic representation of the structural components of the type III secretion system in P. lundensis. The component labels are color coded depending on the protein alignment with their homologs in P. aeruginosa PA14. Black indicates an alignment score >75%, blue indicates alignment score <75% but >50%, and red indicates <50% alignment score. The schematics are based on the current knowledge of the complex and also presumed localizations for components that have so far not been unambiguously localized. IM, inner membrane; OM, outer membrane. Created with BioRender.com.
Schematic representation of the structural components of the type III secretion system in P. lundensis. The component labels are color coded depending on the protein alignment with their homologs in P. aeruginosa PA14. Black indicates an alignment score >75%, blue indicates alignment score <75% but >50%, and red indicates <50% alignment score. The schematics are based on the current knowledge of the complex and also presumed localizations for components that have so far not been unambiguously localized. IM, inner membrane; OM, outer membrane. Created with BioRender.com.However, there are some striking differences, the key one being the presence of the type III effector exoU immediately downstream to the structural genes. In species such as Yersinia pestis and Aeromonas hydrophilia where the T3SS is carried on the plasmid, the type III effectors and their chaperones are clustered together in the same plasmid, interspersed with other genes (22). However, when carried on the chromosome, type III effectors are generally found scattered. In P. aeruginosa, the 4 cytotoxic effectors are randomly distributed across the genome. In fact, in PA14, the ExoU effector and its chaperone SpcU are present in a pathogenicity island, PAPI-II (23). Screening AU1044 using a pathogenicity island prediction tool suggests that T3SS genes do not fall in pathogenicity islands (Fig. 3A). Screening other strains of P. lundensis (2T.2.5.2, M101, and M105) showed similar results (Fig. 3B to D) in that T3SS genes are not present in pathogenicity islands.
FIG 3
Circular genome plot of AU1044 (A), 2T.2.5.2 (B), M101 (C), and M105 (D). Counting the tracks from outside to inside, tracks 1 and 2 show the coding genes in the positive and negative strands, respectively; track 3 shows the genomic islands (GI), predicted using Island4Viewer; track 4 shows predicted insertion sequence (IS) elements predicted made using ISEScan; and gene blocks in red in tracks 5 and 6 are the type III secretion system genes in the positive and negative strands, respectively. Track 7, generated using Alien_Hunter (https://www.sanger.ac.uk/tool/alien-hunter/), shows GI that are predicted to be acquired through horizontal gene transfer (HGT). Blue peaks correspond to the probability of an HGT phenomenon. Track 8 is the GC plot; purple peaks are a segment of genomes with GC% below average, and olive-green peaks are segments with GC% above average. The T3SS genes do not lie in any predicted region of HGT or genomic islands.
Circular genome plot of AU1044 (A), 2T.2.5.2 (B), M101 (C), and M105 (D). Counting the tracks from outside to inside, tracks 1 and 2 show the coding genes in the positive and negative strands, respectively; track 3 shows the genomic islands (GI), predicted using Island4Viewer; track 4 shows predicted insertion sequence (IS) elements predicted made using ISEScan; and gene blocks in red in tracks 5 and 6 are the type III secretion system genes in the positive and negative strands, respectively. Track 7, generated using Alien_Hunter (https://www.sanger.ac.uk/tool/alien-hunter/), shows GI that are predicted to be acquired through horizontal gene transfer (HGT). Blue peaks correspond to the probability of an HGT phenomenon. Track 8 is the GC plot; purple peaks are a segment of genomes with GC% below average, and olive-green peaks are segments with GC% above average. The T3SS genes do not lie in any predicted region of HGT or genomic islands.Another difference in T3SS gene organization in P. lundensis versus P. aeruginosa is the G+C content of this region. In P. aeruginosa, the G+C content of the T3SS is the same as that of the core genome (66.6%). In P. lundensis strains AU1044, 2T.2.5.2, M101. and M105, the G+C content of the T3SS is 61.75% ± 0.01% (standard deviation [SD]), which is different from the core genome of 58.67% ± 0.04% (SD). However, when using prediction tools (Alien_Hunter; https://www.sanger.ac.uk/tool/alien-hunter/), T3SS was not identified as a predicted region of horizontal gene transfer (HGT) (Fig. 3A). The distribution of insertion sequence (IS) elements in strain AU1044 also does not indicate any IS elements immediately upstream or downstream of the T3SS. A similar HGT prediction analysis was performed on the environmental and milk isolates of P. lundensis (Fig. 3B to D) and gave the same conclusion as for strain AU1044 in that T3SS genes do not appear in any predicted HGT regions.
In vitro transcriptomics of the T3SS.
Our next objective was to investigate the transcriptional activity of the T3SS in P. lundensis. To do this, we set up an in vitro transcriptomics experiment. In P. aeruginosa, it is seen that temperature can be a T3SS-inducing condition where expression is seen at a human body temperature of 37°C but not at a lower temperature of 28°C (24). Hence, to investigate the transcriptional activity of T3SS in P. lundensis AU1044, the expression profiles of cells grown at different temperatures were compared. At the early stationary phase, P. lundensis AU1044 was able to actively transcribe several of its T3SS genes at 37°C and 21°C (Fig. 4A; data not shown; Table 2). When looking at the transcriptome of the P. lundensis in the two temperatures, at 37°C, the T3SS is among the top highly expressed genes compared to their expression at 4°C (Fig. 4B). On the other hand, the expression of several of these genes was almost undetectable at 4°C (Fig. 4A).
FIG 4
P. lundensis expresses its T3SS under both in vitro and in vivo conditions. (A) Expression profile of T3SS genes at 4°C and 37°C under in vitro growth conditions. The expression is shown in terms of FPKM reads that were normalized using DSEeq2. Here, we see an upregulation or increased FPKM levels of all T3SS genes at 37°C. Interestingly, some basal structure components, like PscU PscT, PscI, and PscL, have very small significant upregulation. Each line represents individual replicates/mice in either of the three conditions. (B) Scatterplot showing genes that have a significant change in expression at 37°C compared to 4°C. Open circles represent genes with a significant change in expression. Closed circles represent T3SS genes. (C) Levels of P. lundensis AU1044 in the intestinal tract of mice after oral gavage. Germfree BALB/c mice (n = 6) were given an oral gavage of 2.75 × 109 CFU of AU1044 at day 0 and analyzed at 2 weeks postgavage. (D) Scatterplot showing genes that have a significant change in expression in vivo in the cecum of germfree mice compared to aerobic in vitro growth at 37°C. Genes were identified as differentially expressed if their adjusted P value (Padj) was less than 0.05 at a log2 fold change of >|0| for the 37°C versus 4°C in vitro experiment and >|1| for the in vivo versus 37°C in vitro experiment.
TABLE 2
Differential expression of T3SS genes in P. lundensis
Locus tag
Gene name
Gene expression data for:
37°C vs 4°C
In vivo vs in vitro 37°C
Log2 fold change
Padjc
Log2 fold change
Padj
AA042_08435
pscUa,b
1.00
6.21E-04
2.89
3.62E-03
AA042_08440
pscTa,b
1.47
4.17E-04
3.59
2.86E-05
AA042_08445
pscSa
4.36
8.98E-07
1.75
6.67E-01
AA042_08450
pscRa,b
2.32
5.00E-07
2.97
1.76E-02
AA042_08455
pscQa
4.78
3.02E-47
2.41
3.19E-01
AA042_08460
pscPa
3.87
2.02E-27
1.94
7.39E-01
AA042_08465
pscOa
4.78
7.56E-27
2.19
9.99E-02
AA042_08470
pscNa
6.51
1.35E-94
1.88
7.62E-01
AA042_08475
popNa
6.02
4.88E-132
0.40
1.00E+00
AA042_08480
pcr1a
6.39
5.32E-19
2.73
1.72E-01
AA042_08485
pcr2a
5.53
2.90E-53
1.02
1.00E+00
AA042_08490
pcr3a
4.28
5.85E-12
2.39
1.75E-01
AA042_08495
pcr4a,b
2.33
7.99E-07
2.64
5.00E-02
AA042_08500
pcrDa,b
1.68
8.56E-11
3.05
2.09E-03
AA042_08505
pcrRa,b
2.69
1.34E-11
3.18
1.31E-03
AA042_08510
pcrGa
6.39
9.49E-15
0.70
1.00E+00
AA042_08515
pcrVa
5.05
5.57E-91
1.60
1.00E+00
AA042_08520
pcrHa
4.16
7.19E-89
1.22
1.00E+00
AA042_08525
popBa
5.36
2.24E-159
2.80
1.93E-01
AA042_08530
popDa
4.94
1.05E-88
2.29
4.59E-01
AA042_08535
exsCa
5.89
2.29E-163
1.70
5.27E-01
AA042_08540
exsEa
6.59
4.70E-96
1.52
1.00E+00
AA042_08545
exsBa,b
6.07
3.92E-52
3.31
2.25E-02
AA042_08550
exsAa,b
1.66
4.00E-08
4.99
8.43E-06
AA042_08555
exsDa,b
3.74
3.53E-88
3.30
3.78E-02
AA042_08560
pscBa,b
3.21
5.01E-16
3.61
1.53E-02
AA042_08565
pscCa,b
2.65
2.86E-24
3.37
2.37E-02
AA042_08570
pscDa,b
2.21
4.38E-17
3.58
1.27E-02
AA042_08575
pscEa,b
2.54
4.98E-07
3.62
2.87E-05
AA042_08580
pscFa
2.08
1.03E-08
0.95
1.00E+00
AA042_08585
pscGa
2.49
1.69E-18
2.07
2.13E-01
AA042_08590
pscHa,b
1.66
2.47E-05
2.60
2.32E-02
AA042_08595
pscIa,b
1.32
7.35E-03
3.48
3.46E-05
AA042_08600
pscJa,b
1.34
1.49E-05
4.11
5.55E-08
AA042_08605
pscKa
2.16
7.36E-17
0.74
1.00E+00
AA042_08610
pscLa,b
0.92
2.49E-02
3.93
7.70E-05
AA042_08615
exoUa
4.94
8.66E-74
2.60
3.23E-01
AA042_08620
spcUa
6.32
2.66E-169
1.40
1.00E+00
Gene with significant change in expression at 37°C versus 4°C.
Gene with significant change in expression at in vivo versus in vitro 37°C.
Padj, adjusted P value, generated though DESeq2 differential gene expression analysis.
P. lundensis expresses its T3SS under both in vitro and in vivo conditions. (A) Expression profile of T3SS genes at 4°C and 37°C under in vitro growth conditions. The expression is shown in terms of FPKM reads that were normalized using DSEeq2. Here, we see an upregulation or increased FPKM levels of all T3SS genes at 37°C. Interestingly, some basal structure components, like PscU PscT, PscI, and PscL, have very small significant upregulation. Each line represents individual replicates/mice in either of the three conditions. (B) Scatterplot showing genes that have a significant change in expression at 37°C compared to 4°C. Open circles represent genes with a significant change in expression. Closed circles represent T3SS genes. (C) Levels of P. lundensis AU1044 in the intestinal tract of mice after oral gavage. Germfree BALB/c mice (n = 6) were given an oral gavage of 2.75 × 109 CFU of AU1044 at day 0 and analyzed at 2 weeks postgavage. (D) Scatterplot showing genes that have a significant change in expression in vivo in the cecum of germfree mice compared to aerobic in vitro growth at 37°C. Genes were identified as differentially expressed if their adjusted P value (Padj) was less than 0.05 at a log2 fold change of >|0| for the 37°C versus 4°C in vitro experiment and >|1| for the in vivo versus 37°C in vitro experiment.Differential expression of T3SS genes in P. lundensisGene with significant change in expression at 37°C versus 4°C.Gene with significant change in expression at in vivo versus in vitro 37°C.Padj, adjusted P value, generated though DESeq2 differential gene expression analysis.There is a significant upregulation of T3SS genes at 37°C compared to 4°C (Fig. 4A). Some T3SS genes have >5-log2 fold changes in expression, for example, the T3SS assembly regulatory gene exsB (25), ATPase pscN (26), chaperone and cytoplasmic regulator pcrG (27), effector exoU, T3SS negative regulator exsE (28), and negative regulators of exoenzyme secretion popN and pcr2 (29). A few genes have a <1.5-log2 fold change. These include ATPase regulator pscL (30), basal body component pscU, basal body rod component pscI (31), basal structure component pscJ (26), membrane component of the export apparatus pscT (32), secretion protein pscH, and inner membrane component pcrD (21). Different levels of upregulation were also seen in the expression of translocation proteins popB and popD, tip protein pcrV (33), and the needle protein pscF (34), all components of the injectosome necessary for exporting effectors into host cells. Thus, the in vitro transcriptomics data demonstrated that the T3SS in P. lundensis is transcriptionally active at 37°C.
In vivo transcriptomics of the T3SS.
Our next objective was to study whether the host environment has an effect on the expression profile of T3SS at 37°C. Since P. lundensis is a common milk contaminant, the most common route of exposure to this bacterium would be through the consumption of milk. Therefore, we decided to study the expression profile of P. lundensis in the intestinal tract (by employing monocolonization of germfree mice) and compare it to the expression of bacterial cells cultured in vitro. P. lundensis was able to successfully colonize the gut of all the germfree mice after a single oral gavage (Fig. 4C) without any histological or clinical signs of disease (data not shown). The cecum and feces, collected after 14 days of inoculation, had an average level of 105 CFU/g. Cecal content (CC) collected from the lumen of the cecum had the highest level of colonization, with an average of 106 CFU/g. The ileum had low-level colonization, while the remaining two samples had undetectable levels. Interestingly, no colonization was seen in the stomach, duodenum, and jejunum. We used the cecal contents of germfree mice colonized for 14 days with strain AU1044 as the samples for transcriptomics analysis. Compared to the expression profile seen in vitro at 37°C, several genes had higher expression in vivo, including T3SS genes (Fig. 4A and D). Several T3SS genes had either increased expression levels or no significant change in expression levels in vivo compared to their expression in vitro at 37°C. Some of the genes having higher expression in vivo include genes coding for export apparatus pscT, pscU, and pcrD; basal body components pscJ, pscI, and pscD; and outer membrane ring protein pscC. exsA also had significant upregulation of 4.9-log2 fold change (Fig. 4A; Table 2). Other regulatory genes, such as exsD and exsB, also had greater than 3-log2 fold change in expression. These data clearly indicate that P. lundensis can express its T3SS when colonizing a mammalian host.
DISCUSSION
In this paper, we have demonstrated the presence of a transcriptionally active Ysc family T3SS in a non-aeruginosa
Pseudomonas species (NAPS), P. lundensis. Isolates from clinical samples and various food spoilage sources, as well as an environmental isolate from an Antarctic temporary meltwater pond, carry the Ysc family T3SS. P. lundensis also encodes an ExoU type III effector protein and its respective chaperone (SpcU), and genes for these proteins are present immediately downstream to the core T3SS genes. Our transcriptomics analysis demonstrates that under in vitro aerobic growth conditions, the T3SS in the clinical isolate AU1044 is expressed at 37°C, while the expression of the system is negligible at 4°C. When in the cecal lumen of monocolonized germfree mice, P. lundensis also transcribes its T3SS, and several genes were more highly expressed than at 37°C in vitro.Most species in the Pseudomonas fluorescens species complex have an Hrp1 family T3SS. However, apart from the Hrp family, root-associated strains of P. fluorescens also carry an Rsp family T3SS (11), and P. fluorescens strain K113 has both the Hrp1 and SPI-1 family (Salmonella pathogenicity island) T3SS (35). Though P. aeruginosa is the only Pseudomonas species to have a well-characterized Ysc family T3SS, there have been previous reports of P. fluorescens complex species carrying individual genes that are highly homologues to those within the Ysc family; P. baetica has core Ysc family T3SS gene homologs (36); P. weihenstephanensis has ExoU homologs (37). A phylogenetic tree based on multilocus sequence analysis shows that the P. fluorescens group is distant from P. aeruginosa (7, 38). Though the functionality of the T3SS in these NAPS is not known, it raises interesting questions about the evolution of T3SS among the Pseudomonas species.Among the strains studied here, out of the four known cytotoxic type III effectors in P. aeruginosa, P. lundensis only carries a homologue of the exoU gene. The T3SS genes found in P. lundensis all have high sequence similarity with those in P. aeruginosa. The occurrence of all four cytotoxic effector proteins in a single strain of P. aeruginosa strain is very rare. Most clinical isolates of P. aeruginosa code for either ExoU/ExoT or ExoS/ExoT. Out of the 4 effectors (ExoU, ExoS, ExoT, and ExoY), ExoU has the greatest impact on disease severity in humans (39). ExoU is a potent cytotoxin with phospholipase A2 activity (16, 17, 39). Although only an exoU homologue was identified in P. lundensis, we also looked for genes with an upstream ExsA-activated promoter because all genes of the T3SS are regulated by the ExsA promoter, and the promoter-binding sequence is highly conserved across Ysc family T3SS (40). Preliminary analysis of scanning the genome for the conserved ExsA-binding motif (41) identified four putative type III effectors (DNA polymerase IV, TonB-dependent receptor, heme-binding protein, and response regulator transcription factor) (data not shown). However, it is important to note that ExsA has also been reported to regulate the expression of non-T3SS genes, including the metalloprotease impA and other secretory proteins in P. aeruginosa (42). Thus, it remains to be determined biochemically if there are additional T3SS effector proteins in P. lundensis, but there are some potential targets.P. lundensis grown aerobically at 4°C in LB broth was unable to express several T3SS genes. P. lundensis is primarily a psychrotrophic bacterium, and T3SS is conserved in all the strains studied here. Our in vitro growth set up at 4°C may not be an accurate representation of the various psychrotrophic niches that this bacterium inhabits. Though T3SS is a well-known virulence factor in P. aeruginosa, there are reports which show that P. aeruginosa uses T3SS to colonize and evade predation by protozoa by killing biofilm-associated amoebae. (18). Though it is unclear what role T3SS may play in the various niches that P. lundensis colonizes, it is intriguing to postulate that in P. lundensis, the T3SS may play a similar role in protecting the bacterium from environmental phagocytes.At human body temperature, P. lundensis expresses its T3SS. The translocation pore of the T3SS needle complex, PopB/PopD, which can cause host cell injury independent of the effectors (43, 44) as well as the cytotoxic effector, ExoU, is expressed at human body temperature. However, the various levels of expression seen across the system suggest that not all T3SS genes are transcribed at the same rate. The T3SS global transcription regulator exsA has a 1.6-log2 fold change increase in expression at 37°C compared to growth at 4°C. The activity of ExsA protein, the global regulator of T3SS, is controlled by levels of anti-activator ExsD, anti-anti-activator ExsC, and secreted protein ExsE (41, 45). Upon induction of T3SS, ExsE gets secreted, thereby decreasing the cytosolic levels of the protein. This leads to increased affinity of ExsC and ExsD, resulting in the release of ExsA from ExsD. Our data show that the upregulation of exsA at 37°C is less than the genes involved in its regulation (exsD, exsC, and exsE). The PcrG protein acts as both a chaperone for the tip protein PcrV as well as a negative regulator of the effector export. PcrG forms a complex with PcrN, Pcr1, and chaperon protein Pcr2, and this complex docks of PcrD, effectively blocking the export of effectors (27). At 37°C, the negative regulators of the system, pcrG, pcrV, pcr1, and pcr2, are among the highly expressed genes. Interestingly, a similar expression pattern of the T3SS regulatory genes is reported in Vibrio parahaemolyticus (46). In both, upon increased growth temperature for P. lundensis and increased cytotoxic activity in V. parahaemolyticus, upregulation in the expression of exsA is relatively low compared to exsD, exsC, and exsE. Similarly, in both instances, there is an upregulation of genes that are known to block the export of effectors.While direct studies remain to be performed with P. lundensis, the studies in V. parahaemolyticus provide support for the hypothesis that the T3SS of P. lundensis confers cytotoxic activity.From our transcriptomics data, we see that the T3SS is expressed at high levels both during in vivo and in vitro growth conditions at 37°C but not at 4°C in vitro. The T3SS is expressed in vitro at 21°C at levels slightly lower than at 37°C but much higher than at 4°C (data not shown), so it remains to be determined whether there is a temperature “switch” for the upregulation of the T3SS or whether it generally increases between 4°C and 37°C. P. lundensis AU1044 isolated from the sputum samples of CF patients can successfully colonize and grow in the anaerobic environment of the gut of germfree mice as well as aerobically in vitro in LB broth. These niches present various environmental pressures to the bacterium like micro- and macronutrients, pH, and oxygen conditions as well as carbon sources, all suggesting that P. lundensis AU1044 isolates exhibit metabolic diversity. Comparative analysis of P. lundensis strains shows that CF isolate AU1044 shares 99% sequence similarity with strains isolated from food samples as well as Antarctic temporary meltwater ponds. In other preliminary studies, we have also been able to identify 16S rRNA gene sequences that include P. lundensis in data sets from patients with chronic obstructive pulmonary disease and interstitial pulmonary fibrosis but not in healthy human lungs. As a potent hydrocarbon degrader, the ability of P. lundensis to degrade aromatic hydrocarbons (47) could facilitate its colonization of the lungs because pulmonary surfactant is largely composed of phospholipid. Despite the expression of a T3SS in vivo, it was intriguing that germfree mice inoculated with P. lundensis did not show any histological evidence of inflammation or disease in the ileum, cecum, or colon after 14 days of colonization (n = 6; histological score, 0.0 ± 0.0; 0 to 12 scale as described in Materials and Methods). We did not investigate whether there are changes in host mucosal gene expression in these mice. Thus, further investigation is merited on the nature of the symbiotic interaction of P. lundensis with a mammalian host. There is one report of the oral administration of P. lundensis to healthy humans (as a negative control in a probiotic bacteria study) (48). In this study, the subjects did not have ill effects on their health after 2 weeks of oral administration of P. lundensis (at a concentration proposed to mimic the levels in 1,000 mL of milk). With the identification of a complete Ysc T3SS in P. lundensis that is expressed at 37°C in vivo, we wonder whether this bacterium has some level of interaction with the gastrointestinal tract after consumption by a mammalian host. It remains to be determined what environmental/evolutionary pressures act to retain the T3SS in P. lundensis during growth in the environment since mammalian hosts are not a primary environment for this bacterium.
MATERIALS AND METHODS
Bacterial genomic sequences used for analysis.
Bacterial genomic sequences used include Pseudomonas aeruginosa UCBPP-PA14 (Assembly accession no. GCF_000014625.1) (reference strain), Pseudomonas lundensis AU1044 (GenBank accession no. CP017687) (reference strain), 2T.2.5.2 (GenBank accession no. NZ_CP062158.2), M101 (GenBank accession no. CP075177), M105 (GenBank accession no. CP075180), DSM6252 (GenBank accession no. NZ_JYKY00000000), AU11122 (GenBank accession no. LCYV00000000), AU10414 (GenBank accession no. LCYU00000000), and MFPA15A1205 (GenBank accession NZ_OBKZ00000000). AU1044 is deposited as DSM 103277 in the DSMZ culture collection in Germany.
In vitro growth.
The experiment was set up as shown in Fig. 5A using the AU1044 strain. Frozen overnight culture of AU1044 from frozen stock was set up in 20 mL of Luria Bertani (LB) broth (Thermo Fisher) at 37°C with shaking at 120 rpm. Twenty microliters of this culture were used to inoculate triplicates of 20 mL LB broth, incubated at 4°C, and 37°C with shaking at 120 rpm. Bacterial cells (average cell count of 5 × 106) were harvested once the culture reached an optical density (OD) of 2.1 at 600 nm. Cells were treated with Qiagen’s RNAprotect bacteria reagent at a 2:1 ratio of RNAprotect for every volume of sample and then stored at −80°C until RNA isolation.
FIG 5
Schematic representation showing the outline for the experiments set up for in vitro and in vivo RNA transcriptomics (A) and the bioinformatics pipeline used to analyze the data (B).
Schematic representation showing the outline for the experiments set up for in vitro and in vivo RNA transcriptomics (A) and the bioinformatics pipeline used to analyze the data (B).
Gnotobiotic animal colonization experiment.
The experiment was set up as shown in Fig. 5A. All germfree mouse experiments were handled at the germfree animal facility at the University of Michigan. Ten- to 12-week-old, female germfree BALB/c mice underwent gastric colonization through oral gavage of 2.75 × 109 CFU/mL of P. lundensis AU1044 (n = 6). At 14 days postcolonization, the stomach, small intestine proximal and distal ends, cecal content, cecum, colon, and feces were collected for CFU plating and cecal contents for RNA isolation.
RNA extraction and RNA sequencing.
In vitro samples from −80 were first thawed and then incubated with 200 μL of lysozyme (concentration of 1 mg/mL of Tris-EDTA [TE] buffer) for 10 min in a shaker. After cell lysis, RNA isolation was done using Qiagen’s RNeasy minikit. RNA isolation from the cecal contents of colonized mice was performed using phenol-chloroform extraction followed by clean-up using RNeasy minikit as previously described (49). Isolated RNA samples were given for sequencing at the DNA sequencing core at the University of Michigan. Ribosomal depletion and library preparation were done by the core using the NEBNext depletion kit and the NEBNext Ultra II RNA library prep kit, respectively. In vitro samples were sequenced using Illumina NextSeq 500 and in vivo samples using NovaSeq 6000 both at 300 cycles with mid-sequencing output.
RNA sequencing data analysis.
The schematic representation of the analysis pipeline is shown in Fig. 5B. Raw RNA sequencing reads were quality trimmed using Trimmomatic 0.39 with LEADING and TRAILING set at 20 and MINLEN set at 100. TrimGalore (version 0.6.5) and Fastx_trimmer (version 0.0.14) tools were used to remove and trim out adapter reads from the 3′ end, respectively. The reads were aligned to the P. lundensis strain AU1044 using Bowtie2 version 2.3.4.3 with default parameters for an end-to-end alignment. The resulting SAM files were converted to BAM files using SAMtools version 1.7. Count matrix was generated in Rstudio using the GenomicAlignments package. Fragments per kilobase of transcript per million mapped reads (FPKM) reads were generated, and differentially expressed genes were identified both using DESeq2. Genes were identified as differentially expressed if their adjusted P value (Padj) was less than 0.05 at a log2 fold change of >|0| for the 37°C versus 4°C in vitro experiment and >|1| for the in vivo versus 37°C in vitro experiment.
Genomic analysis.
GC island prediction and pathogenicity island prediction were done using Alien_Hunter (50) and IslandViewer4 (51) at default parameters. Scanning for insertion sequence elements was done using ISEScan (52). The T3SS genes in AU1044 were identified using BLAST with Pseudomonas aeruginosa UCBPP-PA14 strain as the reference. For generating the gene maps of T3SSs in different strains of P. lundensis, the GFF files from NCBI and RAST annotations were downloaded for completely assembly and draft genomes, respectively. The maps were generated in RStudio using genoPlotR (53). The direction of the T3SS operons differs between the strains; however, we speculate that this might be due to a difference in annotations as the difference in the positive- and negative-strand genes extend to the genes upstream and downstream to the T3SS for P. lundensis strains.
Histology and histological scoring.
Intestinal tissue was fixed in 10% formalin for at least 24 h and then transferred to 70% ethanol. Tissue was processed, paraffin embedded, sectioned, and used to prepare hematoxylin and eosin (H&E)-stained slides. All section were analyzed at ×4, ×20, and ×400 magnifications. Light microscopic evaluation of H&E-stained ileum, cecum, and colonic sections was performed using a previously established system (54). Slides were scored (0 [none] to 4 [extensive]) for mononuclear and neutrophilic inflammation, edema, and epithelial damage as defined below.
(i) Inflammation.
For inflammation, 0 represents no inflammation; 1 represents minimal, multifocal mononuclear, or neutrophilic infiltration; 2 represents moderate, multifocal mononuclear, or neutrophilic infiltration (greater submucosal involvement); 3 represents severe multifocal to coalescing mononuclear or neutrophilic infiltration (greater submucosal with or without mural involvement); and 4 is the same as 3 but with abscesses or extensive transmural involvement.
(ii) Edema.
For edema, 0 represents no edema; 1 represents mild, focal, or multifocal edema with minimal submucosal expansion (<2×); 2 represents moderate multifocal edema with moderate submucosal expansion (2 to 3×); 3 represents severe multifocal to coalescing edema with severe submucosal expansion (>3×); and 4 is the same as 3 but with diffuse submucosal expansion.
(iii) Epithelial damage.
For epithelial damage, 0 represents no epithelial damage; 1 represents mild multifocal, superficial damage (vacuolation, increased apoptosis, villus tip attenuation/necrosis); 2 represents moderate, multifocal superficial damage (same qualitative changes as above); 3 represents severe multifocal to coalescing mucosal damage with or without intraluminal aggregate of inflammatory cells and sloughed epithelium or ulcerated mucosa); and 4 is the same as 3 but with extensive epithelial destruction or ulcer formation.
Data availability.
In vitro and in vivo RNA sequencing (RNA-seq) data reported in this paper have been deposited in NCBI’s GEO repository under the BioProject identifier PRJNA733127 (accession numbers SAMN19367880 to SAMN19367893).
Authors: Claire Bertelli; Matthew R Laird; Kelly P Williams; Britney Y Lau; Gemma Hoad; Geoffrey L Winsor; Fiona S L Brinkman Journal: Nucleic Acids Res Date: 2017-07-03 Impact factor: 16.971