Literature DB >> 36084158

Lipopolysaccharide -mediated resistance to host antimicrobial peptides and hemocyte-derived reactive-oxygen species are the major Providencia alcalifaciens virulence factors in Drosophila melanogaster.

Maria Shaka1, Aranzazu Arias-Rojas1, Alexandra Hrdina1, Dagmar Frahm1, Igor Iatsenko1.   

Abstract

Bacteria from the genus Providencia are ubiquitous Gram-negative opportunistic pathogens, causing "travelers' diarrhea", urinary tract, and other nosocomial infections in humans. Some Providencia strains have also been isolated as natural pathogens of Drosophila melanogaster. Despite clinical relevance and extensive use in Drosophila immunity research, little is known about Providencia virulence mechanisms and the corresponding insect host defenses. To close this knowledge gap, we investigated the virulence factors of a representative Providencia species-P. alcalifaciens which is highly virulent to fruit flies and amenable to genetic manipulations. We generated a P. alcalifaciens transposon mutant library and performed an unbiased forward genetics screen in vivo for attenuated mutants. Our screen uncovered 23 mutants with reduced virulence. The vast majority of them had disrupted genes linked to lipopolysaccharide (LPS) synthesis or modifications. These LPS mutants were sensitive to cationic antimicrobial peptides (AMPs) in vitro and their virulence was restored in Drosophila mutants lacking most AMPs. Thus, LPS-mediated resistance to host AMPs is one of the virulence strategies of P. alcalifaciens. Another subset of P. alcalifaciens attenuated mutants exhibited increased susceptibility to reactive oxygen species (ROS) in vitro and their virulence was rescued by chemical scavenging of ROS in flies prior to infection. Using genetic analysis, we found that the enzyme Duox specifically in hemocytes is the source of bactericidal ROS targeting P. alcalifaciens. Consistently, the virulence of ROS-sensitive P. alcalifaciens mutants was rescued in flies with Duox knockdown in hemocytes. Therefore, these genes function as virulence factors by helping bacteria to counteract the ROS immune response. Our reciprocal analysis of host-pathogen interactions between D. melanogaster and P. alcalifaciens identified that AMPs and hemocyte-derived ROS are the major defense mechanisms against P. alcalifaciens, while the ability of the pathogen to resist these host immune responses is its major virulence mechanism. Thus, our work revealed a host-pathogen conflict mediated by ROS and AMPs.

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Year:  2022        PMID: 36084158      PMCID: PMC9491580          DOI: 10.1371/journal.ppat.1010825

Source DB:  PubMed          Journal:  PLoS Pathog        ISSN: 1553-7366            Impact factor:   7.464


Introduction

Host-pathogen conflict is a fundamental biological phenomenon where the success of each interacting organism is dictated by its ability to overcome the other. Consequently, both the host and the microbe [1] contribute to the outcome of any infection, whether it is the death of the host, clearance of the pathogen, or the establishment of a persistent infection. Microbes are equipped with an arsenal of virulence factors that allow them to colonize and survive within the host while causing pathology. In response, hosts have evolved surveillance and defense mechanisms to combat the invading microorganisms. These immune defenses aim not only to clear the pathogen, but also to increase tolerance to a subsequent infection [2,3]. Accordingly, in addition to colonization and invasion factors, microbes must be equipped with strategies that allow them to counteract the host immune responses [4]. Frequently, a subset of the virulence factors expressed by microbes serves this purpose. Exploring the complex interplay between the host immune defenses and counteracting pathogen virulence strategies can help us to comprehend the mechanisms of bacterial pathogenesis and define the role of the host immune defenses in the evolution of pathogen virulence. One way to explore how the complex interplay between host immune defenses and microbial virulence factors contributes to the outcome of infection is to use in vivo model systems amenable to genetic manipulation of both sides of host-pathogen interactions simultaneously [5]. The fruit fly Drosophila melanogaster has been extensively used in recent years as a powerful model to study host-microbe interactions. Forward and reverse genetics approaches identified and characterized multiple defense reactions in fruit flies that are conserved throughout evolution [6,7]. The immune system of fruit flies consists of both cellular immune responses, which eliminate foreign invaders via phagocytosis and encapsulation by specialized hemocytes [8], and humoral immune responses leading to the inducible production of antimicrobial peptides (AMPs) and other effector molecules [6,9,10]. Moreover, cuticle injury and recognition of microbial ligands trigger a serine protease cascade resulting in the activation of phenol oxidases and the melanisation reaction. This reaction helps in wound healing and pathogen sequestration via de novo production and deposition of melanin and is assumed to kill pathogens via toxic reactive oxygen species intermediates (ROS) generated during melanisation [11-13]. Additionally, infection-induced iron sequestration by Transferrin 1 was recently shown to be an essential defense mechanism against certain pathogens [14-16]. Both Tsf1 and the humoral AMP response are regulated by two nuclear factor-kB (NF-κB) pathways: Toll and immune deficiency (Imd) [17]. The Toll pathway is mainly stimulated by Gram-positive bacteria and fungi and is required for the defense against these pathogens [18]. The Toll pathway regulates the expression of antifungal peptides, Drosomycin (Drs) and IM10-like (Baramicins) via the NF-κB Dif and Dorsal [19]. Secreted peptides, the Bomanins, are also under the control of the Toll pathway but their function remains to be understood [20,21]. In contrast, the Imd pathway preferentially responds to Gram-negative bacterial infections, and regulates the expression of different AMPs, like Diptericin (Dpt) or Drosocin (Dro), via the activation of the NF-κB Relish [22]. Previous studies using fruit flies as a model for studying pathogen virulence have shown that the same virulence factors that a pathogen requires to establish infection in a vertebrate host are often also required for pathogenesis in the fly [23-25]. Such observation led to the extensive use of Drosophila as a model to study human and animal pathogens [26-29]. The primary aim of such studies was to establish conservation between fly and vertebrate defenses or to dissect the function of known virulence factors. While being fruitful, such vertebrate-centric studies very likely miss new virulence factors, especially those that are insect-specific. The vertebrate-centric use of Drosophila as an infection model was also driven by the lack of natural fruit fly pathogens, particularly those that infect flies systemically. Providencia are ubiquitous Gram-negative opportunistic pathogens that have been found in a wide variety of organisms and environments ranging from insects and humans to shark mouths [30-33]. Providencia rettgeri, Providencia alcalifaciens, and Providencia stuartii are considered part of the natural human gut flora but can also be the cause of “travelers’ diarrhea” [34-37]. P. alcalifaciens, P. rettgeri, and P. stuartii are the most common clinical isolates, causing urinary tract and other nosocomial infections in humans [30,34,38,39]. Some P. alcalifaciens strains, but no currently described strains of the other Providencia, can intracellularly invade human cell lines [35,40]. Bacteria of the genus Providencia have been isolated as natural infections in wild-caught D. melanogaster [41] and in the guts and external environment of D. melanogaster [42,43] but they have also been found in various other insects such as medicinal maggots [44], stable flies [45], Mexican fruit flies [46], house flies [47], mediterranean fruit fly [48], Nasonia wasps [49], black soldier fly [50], olive fly [51]. The Providencia strains that were isolated as pathogens of D. melanogaster showed differential potency in virulence [41,52]. P. sneebia and P. alcalifaciens were highly virulent, killing 90–100% of infected flies, while only 30–40% of infected flies succumbed to the infection with P. rettgeri and P. burhodogranariea [41]. A comparative genomic analysis of different Drosophila-isolated Providencia identified isolate-specific genes which might contribute to the variable virulence phenotypes [53]. A similar comparative genomic analysis of clinical Providencia isolates revealed a potential genetic basis underlying diversity in pathogenicity, antibiotic resistance and environmental adaptation of Providencia [54]. Bacteria from the genus Providencia have been widely used to study the mechanisms of Drosophila immunity, particularly the specificity of AMPs [55-58], individual variability in infection outcome [59], sexual dimorphism in immunity [60], chronic infections [61], host response to infection [62], and intestinal pathologies during aging [63,64]. Strikingly, despite clinical relevance and extensive use in Drosophila immunity research, we know little about Providencia virulence mechanisms. To close this knowledge gap, we decided to perform an unbiased genetic screen for Providencia virulence factors. We decided to focus specifically on P. alcalifaciens because it is highly virulent in fruit flies and has the best amenability to genetic manipulations among the species that we tested. Given that P. alcalifaciens is both a natural human and fly pathogen, the Drosophila model system is particularly useful to study both general P. alcalifaciens host-pathogen interactions and insect-specific factors. In this study, we examined the host-pathogen interactions of P. alcalifaciens with the insect host, D. melanogaster, and identified fly immune mechanisms that are most important for fighting infections with P. alcalifaciens as well as the bacterial virulence factors that interact with each of these specific immune responses.

Results

P. alcalifaciens rapidly kills flies in spite of active immune responses

First, to study P. alcalifaciens (Pa) virulence we decided to better characterize an infection model and define the experimental conditions, like infectious dose, time points, temperature, etc. We infected w DrosDel isogenic (w iso) males by needle pricking with different doses and found that Pa rapidly kills flies at all tested doses, while there was no mortality from needle injury alone (Fig 1A). Although, there is clear dose-dependent increase in fly mortality, most of the flies did not survive beyond 48h post infection and at OD10 they were all killed within 20h. This is consistent with the previously published high mortality caused by a low dose Pa infection [41]. For all further experiments, we chose an infection dose of OD2 (this corresponds to 8.1×108 CFUs/ml in solution and approximately 1500 bacteria per fly) which gives the most optimal resolution in survival between different mutants. Using this dose, we found that different wild-type fly genotypes (Canton S, Oregon R) succumb quickly to Pa infection (Fig 1B), suggesting that high virulence of Pa is not restricted to w iso flies. Considering non-significant differences in survival that we observed between different wild-type genetic backgrounds, we decided to use w iso for the experiments since most of the fly mutants that we are using are in this background. Consistent with the high mortality of flies, we found that Pa proliferates rapidly inside flies and reaches up to 108 CFUs per fly as early as 20h post infection (Fig 1C). Next, we wondered whether the host does not recognize Pa and therefore fails to mount an appropriate immune response, resulting in rapid proliferation of bacteria and death of the host. We measured Dpt expression as a read out of Imd pathway activation and found that Pa potently induced Dpt expression at 6 and 20h post infection in wild-type but not in Relish flies (Fig 1D). We also, found that Pa induces another two humoral immune pathways: Toll and JAK-STAT, as illustrated by Drs and Turandot M (TotM) expression (Fig 1E and 1F). Additionally, we detected induced expression of Transferrin 1 (Tsf1) (Fig 1G)–a major player in infection-induced iron sequestration. Taken together, these results show that flies recognize Pa infection and trigger several immune pathways, but these responses are not sufficient to protect the flies from infection.
Fig 1

P. alcalifaciens rapidly kills flies despite triggering immune response.

(A) Dose-dependent effect of Pa on w iso survival. (B) Pa is equally virulent to different wild-type fly genotypes. (C) Pa load significantly increases in WT and Relish flies over time. (D-G) RT-qPCR showing that Pa significantly induces expression of Dpt (D), Drs (E), TotM (F), Tsf1 (G) in Imd (D, G) or Toll-dependent (E) manner. Results (C-G) are shown as mean ± SD of at least three independent samples.

P. alcalifaciens rapidly kills flies despite triggering immune response.

(A) Dose-dependent effect of Pa on w iso survival. (B) Pa is equally virulent to different wild-type fly genotypes. (C) Pa load significantly increases in WT and Relish flies over time. (D-G) RT-qPCR showing that Pa significantly induces expression of Dpt (D), Drs (E), TotM (F), Tsf1 (G) in Imd (D, G) or Toll-dependent (E) manner. Results (C-G) are shown as mean ± SD of at least three independent samples.

D. melanogaster transcriptional response to Pa infection

Next, we used RNA-seq to obtain a system-wide view of transcriptional responses triggered by Pa infection in D. melanogaster. The aim of this approach was to test the possibility that flies fail to trigger timely immune response against Pa, thus rapidly dying from uncontrolled bacterial infection. For this experiment, we used w iso female flies at early (6 h) and late (20 h) timepoints after infection. The lists of differentially expressed genes are shown in S1 Table. At 6 h post infection, we detected 72 differentially-expressed genes, with 65 being induced and 7 repressed (Fig 2A). Long non-coding RNA IBIN (Induced by Infection) previously shown to link metabolism and immune response was the most upregulated transcript [65]. The top induced genes are dominated by the antimicrobial peptides regulated by the IMD pathway, like DptA, DptB, AttB, CecA1, CecC, CecB, Dro, consistent with a role of the Imd pathway in the defense against Gram-negative bacteria. AMPs and other genes regulated by the Toll pathway, namely Drs, SPE, Bomanins, Daishos [21] were also induced by Pa. This result suggests that the Toll pathway, typically induced by Gram-positive bacteria, is also induced by Pa, confirming the previous observation [62] that the differences in Toll and Imd pathway activation are quantitative and not qualitative or binary. Tsf1 transcripts, which are regulated by both the Toll and the Imd pathways, [15] was also induced, suggesting that iron sequestration is triggered by Pa infection. At 20h post infection, 1019 genes were differentially expressed, with almost equal numbers of induced and repressed genes (Fig 2B). At this time point, again IBIN and Imd-regulated AMPs showed the strongest induction. We found that almost all genes (58 out 65) induced at 6h were also induced at 20h (Fig 2C). The overlapping genes (S1 Table) were mostly represented by AMPs, PGRPs, and signalling molecules of immune pathways. Gene ontology analysis of the upregulated genes showed enrichment of GO terms related to defense response, immune response, and antimicrobial humoral response, suggesting that most of the genes induced by Pa infection are involved in these processes (Fig 2D and 2E). Downregulated genes were associated with GO terms related to proteolysis, transmembrane transport and oxidation-reduction process, indicating the enrichment of metabolism-related genes (Fig 2F). Our transcriptomic analysis shows that Drosophila activates broad defense responses against Pa infection that are mainly regulated by Imd, Toll, and JAK-Stat signaling pathways, suggesting that flies fail to control infection despite induced immune responses.
Fig 2

Transcriptional changes after Pa infection.

MA plot of the Drosophila transcriptome showing log2 Fold change expression in wild-type flies (w iso) infected with Providencia alcalifaciens/ unchallenged, (x-axis) and (y-axis) after 6h (A) and 20h (B). Red and blue dots indicated differentially upregulated and down-regulated transcripts, respectively. (C) Venn diagram showing overlap between upregulated genes at 6h and 20h post infection. (D-F) Bar plots showing the enrichment of GO terms of global biological properties with significant gene counts upregulated at 6h (D) and 20h (E). (F) blue bar plots showing GO terms with down-regulated gene counts at 20h. P-adjusted values next to the bars.

Transcriptional changes after Pa infection.

MA plot of the Drosophila transcriptome showing log2 Fold change expression in wild-type flies (w iso) infected with Providencia alcalifaciens/ unchallenged, (x-axis) and (y-axis) after 6h (A) and 20h (B). Red and blue dots indicated differentially upregulated and down-regulated transcripts, respectively. (C) Venn diagram showing overlap between upregulated genes at 6h and 20h post infection. (D-F) Bar plots showing the enrichment of GO terms of global biological properties with significant gene counts upregulated at 6h (D) and 20h (E). (F) blue bar plots showing GO terms with down-regulated gene counts at 20h. P-adjusted values next to the bars.

Imd pathway and iron sequestration play a role in the defense against Pa infection

Considering that we detected activation of major immune pathways after Pa infection, we asked whether they contribute to host protection. We assessed the survival of the respective mutants to Pa infection and found that flies lacking pattern recognition receptors of the Toll pathway, PGRP-SA and GNBP1, and a ligand of the Toll receptor, spaetzle, had similar survival (Figs 3A and S1A) and pathogen load (S1B Fig) to genetic background controls. In a similar way we could exclude the contribution of melanisation and the JAK-STAT pathway to fly protection from Pa, as flies lacking melanisation (PPO1,2,3) and cytokines of the Jak-Stat pathway (Δupd2-3) survived Pa infection at the same rate as wild-type flies (Fig 3B) and carried the same pathogen load as wild type flies (S1C Fig). Flies lacking Relish, which are deficient in Imd pathway activation, were significantly more susceptible to Pa (Fig 3C) and had a higher pathogen load compared to wild-type flies (Fig 1C). This is consistent with a general role of the Imd pathway in the defense against Gram-negative bacteria. These results lead to the conclusion that although several immune pathways were induced after infection, only Imd appeared to have a relevant role, indicating that the genes that are transcriptionally responsive to a treatment are not necessarily the genes that are driving the physiological response to the treatment. Flies lacking Tsf1 and thus infection-induced iron sequestration were also highly susceptible to Pa infection and died significantly faster than wild-type flies (Fig 3D). Consistent with previous findings with different pathogens [15], we observed a significant reduction in hemolymph iron level in wild-type flies but not in Tsf1 mutant flies after Pa infection (Fig 3E). This excess of iron in Tsf1 mutant flies, likely boosts Pa growth and consequently leads to fly death. Indeed, Pa reached higher loads in Tsf1 mutant flies as illustrated by CFU estimation (Fig 3F). Altogether, our mutant survival analysis showed that the Imd pathway and iron sequestration contribute to the defense of Drosophila against Pa infection. However, these responses are not sufficient to control the pathogen, which likely has ways to evade them.
Fig 3

Effect of major defense pathways on susceptibility to Pa infection.

(A-D) Survival rates of mutants in the following pathways: Toll (A), melanisation and Jak-Stat (B), Imd (C), iron sequestration (D) after infection with Pa. (E) Iron content assessed using ferrozine assay in the hemolymph of WT and Tsf1 mutant flies 16h after Pa infection. (F) Pa reaches higher load in Tsf1 mutant compared to WT flies 20h post infection. Results (E-F) are shown as mean ± SD of at least three independent samples.

Effect of major defense pathways on susceptibility to Pa infection.

(A-D) Survival rates of mutants in the following pathways: Toll (A), melanisation and Jak-Stat (B), Imd (C), iron sequestration (D) after infection with Pa. (E) Iron content assessed using ferrozine assay in the hemolymph of WT and Tsf1 mutant flies 16h after Pa infection. (F) Pa reaches higher load in Tsf1 mutant compared to WT flies 20h post infection. Results (E-F) are shown as mean ± SD of at least three independent samples.

Screen for attenuated Pa mutants

After characterizing the host responses to Pa infection, we turned our attention to the virulence mechanisms of the pathogen in hopes of understanding how Pa kills flies and evades the host defenses. Considering the limited prior knowledge on Providencia virulence, we decided to take an unbiased forward genetics approach. For this purpose, we generated a transposon mutant library consisting of around 3000 Pa mutants with random insertions. We screened this library for attenuated mutants by infecting flies with each individual mutant. We used 15 flies per Pa mutant and scored survivals for five days. Our initial screen identified 75 mutants with reduced virulence. After testing these mutants a second time and filtering out those affecting the same gene, we obtained 23 confirmed mutants attenuated in wild-type flies (Table 1). As shown in the survival graphs (Fig 4A–4W), they have different degrees of virulence: avirulent (PL1C4, PL14C2), strongly attenuated (PL11H9, PL2D4), and moderately virulent (PL13C10, PL1A3, PL4H7). The fitness of these mutants was not generally affected, as the vast majority showed similar growth in LB broth (S2A Fig). Only a few of these mutants (PL2D4, PL4B5, PL13H10) showed significantly reduced growth compared to wild-type bacteria (S2B Fig). When we examined the identity of the attenuated mutants, the vast majority of them (15 out of 23) were found to have the transposon insertions in genes associated with LPS synthesis or modifications (Table 1).
Table 1

Summary of the phenotypes of 23 attenuated Pa mutants.

Mutant nameMutant identitySensitive to polymyxinSensitive to H2O2Rescued in Relish mutantRescued in ΔAMP mutantRel mutant rescued by Drosocin oeRescued by NACRescued in Duox RNAiRescued in Sod1 oe
PL1 C4ADP-heptose—LPS heptosyltransferase, RfaF+0++-NANANA
PL2 D4Tol-Pal system protein, TolB+++++NANANA
PL3 H8WxcM-like domain-containing protein, O-Antigen gene cluster+0+++NANANA
PL4 B5peptidoglycan-associated lipoprotein, pal+0+++NANANA
PL4 E6hypothetical protein+0+++NANANA
PL4 H7Proline-specific permease, ProY+++++NANANA
PL4 G7glucose-1-phosphate-thymidylyltransferase, rlmA, O-antigen gene cluster+0+++NANANA
PL5 A4YbaY family lipoprotein+++++NANANA
PL5 D5UDP-N-acetylglucosamine diphosphorylase, O-antigen biosynthesis gene cluster+-+++NANANA
PL7 D11Lipoprotein NlpI+++++NANANA
PL8 A10O-antigen ligase, rfaL+0+++NANANA
PL8 A11aminotransferase, fdtC, O-antigen biosynthesis gene cluster+0+++NANANA
PL 10 C8dTDP-3-amino-3,6-dideoxy-alpha-D-galactopyranose transaminase, fdtB (O-antigen biosynthesis gene cluster)+0+++NANANA
PL 11 B8lipopolysaccharide 1,3-galactosyltransferase, rfaJ+++++NANANA
PL 11 H8hypothetical protein+0++-NANANA
PL 11 H9Bifunctional polymyxin resistance protein, ArnA+0+++NANANA
PL 13 H10porin OmpA+++++NANANA
PL 13 C10Sigma-E factor regulatory protein, rseB

0

0++-NANANA
PL1 A3cytochrome o ubiquinol oxidase subunit III, cyoC

0

+--NA+++
PL4 F11Dihydrolipoyl dehydrogenase, lpdA++--NA+++
PL6 B7GTP-binding protein TypA/BipA

0

+--NA+++
PL6 D10hypothetical protein

0

+--NA+++
PL 14 C2ATPase RavA stimulator ViaA

0

+--NANDNDND

This table list 23 Pa mutants that are significantly less virulent to wild-type flies (see Fig 4 for survival comparisons).

In polymyxin B and H2O2 sensitivity columns the following is shown:

+–mutant is more sensitive

–mutant is more resistant

0 –no change compared to wild-type Pa

In the other columns the following is applicable:

+–rescue (the virulence of this Pa mutant is significantly increased under this condition)

–no rescue (the virulence of this Pa mutant doesn’t change under this condition)

ND–not done for this mutant

NA–not applicable to this mutant since other assays suggest a different mechanism

Fig 4

Pa attenuated mutants differ in the virulence levels.

(A-W) Survival rates of 23 attenuated Pa mutants in WT and Relish flies. Vast majority of attenuated mutants retain their virulence in Relish flies. Mutants in (A, G, L, M, W) remain attenuated in Relish flies. See S3 Table for statistical comparisons.

Pa attenuated mutants differ in the virulence levels.

(A-W) Survival rates of 23 attenuated Pa mutants in WT and Relish flies. Vast majority of attenuated mutants retain their virulence in Relish flies. Mutants in (A, G, L, M, W) remain attenuated in Relish flies. See S3 Table for statistical comparisons. 0 0 0 0 0 This table list 23 Pa mutants that are significantly less virulent to wild-type flies (see Fig 4 for survival comparisons). In polymyxin B and H2O2 sensitivity columns the following is shown: +–mutant is more sensitive –mutant is more resistant 0 –no change compared to wild-type Pa In the other columns the following is applicable: +–rescue (the virulence of this Pa mutant is significantly increased under this condition) –no rescue (the virulence of this Pa mutant doesn’t change under this condition) ND–not done for this mutant NA–not applicable to this mutant since other assays suggest a different mechanism Since this group of mutants was the most common, we decided to focus further on them. First, we analyzed the LPS profile of some of the mutants by SDS-PAGE to see if we could detect differences compared to wild-type bacteria. Indeed, we found that mutants PL5D5 (UDP-N-acetylglucosamine diphosphorylase), PL3H8 (WxcM-like domain-containing protein), PL8A10 (O-antigen ligase), and PL8A11 (aminotransferase) displayed similar profiles with only two intense bands in the lipid A-core region instead of the four found in the WT strain (Fig 5). These mutants also displayed reduced O-chain signals, which is consistent with the annotated function of these genes in O-chain biosynthesis. Mutants PL11B8 and PL1C4 showed lipid A-core bands with lower molecular weight compared to the WT (Fig 5). This suggests that in both of these mutants the core region is affected which could have lost some sugar moieties and/or lipid A components. Indeed, both PL11B8 (lipopolysaccharide 1,3-galactosyltransferase) and PL1C4 (ADP-heptose—LPS heptosyltransferase) are involved in the LPS core biosynthesis based on studies in other bacteria [66]. Mutants P13H10 (OmpA), PL5A4 (YbaY family lipoprotein), P4G7 (glucose-1-phosphate-thymidylyltransferase) displayed similar profiles at both the core region and O-chain level compared to WT (Fig 5). This could imply that these mutations either do not affect LPS structure or they target very discreet modifications that cannot be detected with the method we used.
Fig 5

SDS-PAGE profile of LPS from whole-cell samples.

LPS profile of WT Pa and of 9 attenuated Pa mutants is shown. Mutants PL5D5, PL3H8, PL8A10, and PL8A11 display only 2 intense bands in the lipid A-core region instead of 4 for the WT. These mutants also display reduced O-chain signals. Mutants PL11B8 and PL1C4 show lipid A-core bands at lower molecular weight compared to the WT. Mutants P13H10, PL5A4, P4G7 display similar profiles compared to WT both at the core and O-chain level.

SDS-PAGE profile of LPS from whole-cell samples.

LPS profile of WT Pa and of 9 attenuated Pa mutants is shown. Mutants PL5D5, PL3H8, PL8A10, and PL8A11 display only 2 intense bands in the lipid A-core region instead of 4 for the WT. These mutants also display reduced O-chain signals. Mutants PL11B8 and PL1C4 show lipid A-core bands at lower molecular weight compared to the WT. Mutants P13H10, PL5A4, P4G7 display similar profiles compared to WT both at the core and O-chain level. Next, we investigated how the identified mutations lead to reduced pathogen virulence. We hypothesized that altered LPS makes the bacteria more visible to the flies’ immune system, so that they are better recognized by PRRs, elicit a stronger immune response, and are cleared fast after infection. To test this hypothesis, we measured Dpt expression as a readout of Imd pathway activity in wild-type flies after infections with Pa mutants. The vast majority of the mutants (14/23) triggered the same level of Imd activity as wild-type bacteria, 4 out 23 mutants showed lower Dpt expression, while only 5 out 23 mutants induced a stronger Imd activation (S3 Fig). Overall, the majority of attenuated mutants were as immunogenic as wild-type bacteria, suggesting that their reduced virulence was not due to the induction of a stronger immune response. Alternatively, LPS modifications could interact with immune effectors of flies, like AMPs. Indeed, there is plenty of evidence that LPS is involved in such interactions by making bacteria more sensitive to AMPs [67]. Four families of Drosophila AMPs have been implicated in killing Gram-negative microbes—Attacin, Cecropin, Diptericin, and Drosocin [68]. Since it is not possible to reproduce in vitro the full range of AMPs produced in vivo in response to an infection, we tested several individual AMPs for their effects on Pa. We used commercially available Cecropin A, Cecropin B, and synthesized on our request Diptericin B. However, none of the tested AMPs showed activity against Pa in a standard MIC assay. Bacterial growth was not inhibited even at the highest concentration (1mg/ml) that could be tested (S2 Table), while kanamycin used as a positive control effectively suppressed the growth at 12.5 μg/ml. Therefore, we decided to test the cationic antimicrobial peptide polymyxin B, which is frequently used to model AMP sensitivity [69,70]. We grew all Pa LPS mutants in the presence of polymyxin B and evaluated their growth by measuring OD600 over time. Both growth kinetics (Fig 6A) and the endpoint OD600 (Fig 6B) showed that 14 out of 15 tested mutants are more sensitive to polymyxin B compared to wild-type Pa. Next, we investigated whether this increased susceptibility to polymyxin B in vitro also leads to increased susceptibility to Drosophila AMPs produced in vivo. For this purpose, we tested the virulence of the polymyxin B-sensitive mutants on Relish mutant flies lacking Imd-dependent inducible AMPs expression. Survival showed that the virulence of all 15 Pa mutants was rescued in the Relish mutant background almost to the level of wild-type Pa (Fig 4B–4E, 4H, 4J, 4K, 4N, 4O, 4P, 4Q, 4R, 4T, 4W and 4U). Similarly, the growth of these mutants within the host was restored in Relish mutant flies when measured at 20h post infection (Fig 6C). Additionally, we compared the within host growth kinetics of wild-type Pa and 2 representative LPS mutants, PL10C8 and PL11H9, in wild-type and Relish mutant flies. While wild-type Pa proliferated monotonically in both wild-type and Relish mutant flies (S4A Fig), the burdens of PL10C8 and PL11H9 mutants did not increase and stayed rather stable in wild-type flies (S4B and S4C Fig), indicative of pathogen control by the host. However, both PL10C8 and PL11H9 mutants proliferated with similar kinetics to wild-type Pa in Relish mutant flies (S4B and S4C Fig), proving that the IMD pathway restricts these mutants in wild-type flies. Taken together, these results suggest that LPS mutants do not proliferate in wild-type flies because they are sensitive to the immune response mediated by the host IMD pathway, rather than because growth in the fly is impaired or there is a general fitness defect (consistent with in vitro results). Consequently, we wanted to identify the individual AMPs that were involved. We found that the ΔAMP mutant lacking 10 AMP genes [57] is more susceptible to wild-type Pa compared to wild-type flies (Fig 6D). Accordingly, the virulence of most LPS Pa mutants in the AMP mutant background was rescued (S5A–S5O Fig). Next, we utilized the group approach used by Hanson et al [57] to identify individual AMPs or a combination of AMPs that are essential for the defense against Pa. To this end, we infected three groups of combined mutants with wild-type Pa: A) flies lacking Defensin (Group A); B) Flies lacking three antibacterial and structurally related AMP families: the Proline-rich Drosocin and the Proline- and Glycine-rich Diptericins and Attacins (Group B) and C) Flies lacking the two antifungal peptide genes Metchnikowin and Drosomycin (Group C). Group A and group C flies survived Pa infection similar to wild-type flies, while group B flies showed increased susceptibility similar to the ΔAMP mutant (Fig 6D). In the next step, we infected single group B AMP mutants and found that only flies lacking Drosocin are more sensitive to Pa infection (Fig 6E). Considering these results, we explored if overexpression of Drosocin in Relish flies would be sufficient to improve the resistance against Pa infection. In line with this, overexpression of Drosocin significantly increased the survival of Relish mutant flies after infection with a number of Pa LPS mutants, except PL13C10 and PL1C4 (S6A–S6O Fig). In contrast, overexpression of Drosomycin (S6P Fig) did not enhance the survival of Relish mutant flies. These results indicate that Drosocin particularly and not any AMP is important against Pa infection and that intact LPS is essential for bacteria to resist the action of this AMP.
Fig 6

Pa LPS mutants are sensitive to AMPs in vitro and in vivo.

(A, B) Sensitivity to polymyxin B of 15 Pa LPS mutants shown as growth kinetics (A) and as OD600 at the end of incubation (B) in LB containing polymyxin B. Asterisks indicate significance relative to Pa WT. All mutants but one (PL13C10) are more sensitive to polymyxin B compared to Pa WT. (C) Pa LPS mutants load in WT and Relish flies 20 h post infection. All mutants reached significantly higher load in Relish compared to WT flies. nd-not detected (likely below detection limit). (D) Flies lacking group B AMPs are as sensitive to Pa as ΔAMP flies. (E) Drosocin-deficient flies are hyper-sensitive to Pa infection. (F, G) Sensitivity to polymyxin B of 8 remaining Pa mutants with no known role in LPS shown as growth kinetics (F) and as OD600 at the end of incubation (G) in LB containing polymyxin B. Asterisks indicate significance relative to Pa WT.

Pa LPS mutants are sensitive to AMPs in vitro and in vivo.

(A, B) Sensitivity to polymyxin B of 15 Pa LPS mutants shown as growth kinetics (A) and as OD600 at the end of incubation (B) in LB containing polymyxin B. Asterisks indicate significance relative to Pa WT. All mutants but one (PL13C10) are more sensitive to polymyxin B compared to Pa WT. (C) Pa LPS mutants load in WT and Relish flies 20 h post infection. All mutants reached significantly higher load in Relish compared to WT flies. nd-not detected (likely below detection limit). (D) Flies lacking group B AMPs are as sensitive to Pa as ΔAMP flies. (E) Drosocin-deficient flies are hyper-sensitive to Pa infection. (F, G) Sensitivity to polymyxin B of 8 remaining Pa mutants with no known role in LPS shown as growth kinetics (F) and as OD600 at the end of incubation (G) in LB containing polymyxin B. Asterisks indicate significance relative to Pa WT. Next, we decided to investigate whether the other attenuated mutants from our list, for example those, where hypothetical proteins are affected, might also be hyper sensitive to host AMPs. Indeed, for 4 out of 8 mutants we detected higher susceptibility to polymyxin B (Fig 6F and 6G) and 3 of them (PL4E6, PL4H7, PL11H8) could be rescued in Relish (Fig 4F, 4I and 4S) and ΔAMP (S5Q, S5S and S5V Fig) backgrounds, suggesting that these genes are required for resistance to host AMPs similar to the LPS mutants. Interestingly, mutant PL4F11 showed increased sensitivity to polymyxin B (Fig 6F and 6G), however its virulence was not rescued in Relish (Fig 4G) or ΔAMP mutants (S5R Fig), indicating that the reduced virulence of PL4F11 is not due to increased sensitivity to AMPs.

Sensitizing Pa to host AMPs improves host survival

Our results identified LPS-mediated resistance to host AMPs as a prominent mechanism of Pa pathogenesis. We decided to exploit this mechanism for potential therapeutic applications. Namely, we tested if fly exposure to chemicals affecting LPS, like polymyxin B, could sensitize pathogens to host AMPs and improve the outcome of infection. For this purpose, we prefed flies with either sucrose (control) or a sucrose/polymyxin B mixture prior to Pa infection. Our survival analysis showed that flies that were preexposed to polymyxin survived Pa infection better compared to control flies (Fig 7). Importantly, this improved survival was not due to the direct antimicrobial activity of polymyxin B, as we used a concentration that was lower than what would be microbicidal and the Relish mutant flies did not show any improved survival after preexposure to polymyxin (Fig 7). This finding together with our other results suggests that polymyxin increases pathogen susceptibility to Imd-dependent AMPs likely by disrupting LPS of Pa, and is thus helping the host to eliminate the pathogen.
Fig 7

Sensitizing Pa to AMPs by perturbing LPS improves host survival in Imd-dependent manner.

WT but not Relish flies that were fed on sucrose supplemented with LPS-targeting AMP polymyxin 24h prior to infection showed significantly improved survival after Pa infection.

Sensitizing Pa to AMPs by perturbing LPS improves host survival in Imd-dependent manner.

WT but not Relish flies that were fed on sucrose supplemented with LPS-targeting AMP polymyxin 24h prior to infection showed significantly improved survival after Pa infection.

ROS resistance as a virulence mechanism

Next, we decided to have a closer look at the remaining five mutants (PL1A3, PL4F11, PL6B7, PL6D10, PL14C2) that did not show increased susceptibility to polymyxin B (Fig 6F and 6G) (except PL4F11) and were not rescued in Relish (Fig 4A, 4G, 4L, 4M and 4W) and ΔAMP (S5P, S5R, S5T, S5U and S5W Fig) mutant background. Interestingly, some of the genes disrupted in these mutants (PL1A3, PL4F11, PL6B7) were previously linked to the reactive oxygen species (ROS) response [71]. Therefore, we tested the sensitivity of all attenuated mutants to ROS by using an H2O2 disk diffusion assay (S7 Fig). Indeed, PL1A3, PL4F11, PL6B7 and PL6D10, PL14C2 mutants were more susceptible to ROS (Fig 8A). Notably, some of the LPS mutants also showed increased susceptibility to ROS although to a lower degree, and one mutant PL5D5 was completely resistant (Fig 8A). To further investigate the relationship between ROS and Pa virulence, we decided to use the four mutants which are highly sensitive to ROS (PL1A3, PL4F11, PL6B7, PL6D10). We excluded PL14C2 from the further analysis since the low virulence of this mutant did not allow for a conclusive comparison between the treatments. ROS are immune effectors [7], so susceptibility to them might impair the ability of bacteria to survive inside the fly and consequently their virulence. Indeed, we could detect lower CFUs for two Pa ROS-sensitive mutants (PL6B7, PL6D10) in wild-type flies (Fig 8B). The growth within the host of the ROS-sensitive mutants in contrast to the LPS mutants was not rescued in Relish flies (Fig 8B), suggesting that a mechanism other than Imd activation restricts the proliferation of ROS-sensitive Pa mutants. To prove that ROS-sensitive Pa mutants are attenuated because of increased susceptibility to host ROS, we prefed flies with the ROS scavenger NAC prior to infection, and observed that ROS-susceptible mutants but not wild-type Pa were more virulent in NAC-treated flies (Fig 8C–8F). Thus, ROS scavenging can rescue the attenuated phenotype of the mutants. Next, we investigated the source of ROS during Pa systemic infection. The melanization reaction has been proposed to trigger oxidative stress in the case of Drosophila infection with Francisella novicida [70]. Therefore, we tested the survival of ROS sensitive Pa mutants in PPO1,2 flies lacking melanisation. However, we could not see any rescue of Pa virulence in flies lacking melanisation, suggesting that melanisation is not the source of ROS during Pa infection (S8A–S8D Fig). Next, we tested whether hemocyte-derived ROS contributes to the defense against Pa [72]. Indeed, genetic ablation of hemocytes made flies susceptible to ROS-sensitive Pa mutants (S8E–S8I Fig). To prove that hemocyte-deficient flies are more susceptible due to the lack of ROS rather than phagocytosis, we knocked-down Duox—a major ROS generating enzyme in hemocytes [72]. Genetic ablation of Duox specifically in hemocytes had a small but non-significant effect on the susceptibility of flies to wild-type Pa, however markedly increased susceptibility to ROS-sensitive Pa mutants (Fig 8G–8K). Additionally, we tested the overexpression of ROS scavengers—extracellular Sod1 and intracellular mitochondrial superoxide dismutase Sod2 [73]. Flies overexpressing Sod1 but not Sod2 displayed increased susceptibility to ROS-sensitive Pa mutants (Fig 8G–8K). Overall, these data suggest that hemocyte-derived, Duox-mediated ROS are important defense molecules against Pa infection in flies. The ability of Pa to resist these ROS is an essential virulence strategy.
Fig 8

Resistance to hemocyte-produced ROS is part of Pa virulence mechanism.

(A) Sensitivity to H2O2 of 23 attenuated Pa mutants measured by disc-diffusion assay shows that 5 Pa mutants (in red) are particularly sensitive to ROS. These mutants are not sensitive to polymyxin and not rescued in Relish mutant, suggesting that their phenotype is independent of host Imd pathway. (B) Pa mutants load in WT and Relish flies 20 h post infection. Two mutants reached lower load in WT flies, while none of the mutants grew better in Relish flies. Asterisks or ns above blue bars indicate significance relative to Pa WT in WT flies. (C-F) Virulence of ROS-sensitive Pa mutants is significantly increased in flies fed sucrose/NAC mixture prior to infection to scavenge ROS. (G-K) Knock-down of ROS-producing enzyme Duox and overexpression of ROS-scavenging enzyme Sod1 specifically in hemocytes increases susceptibility to ROS-sensitive Pa mutants.

Resistance to hemocyte-produced ROS is part of Pa virulence mechanism.

(A) Sensitivity to H2O2 of 23 attenuated Pa mutants measured by disc-diffusion assay shows that 5 Pa mutants (in red) are particularly sensitive to ROS. These mutants are not sensitive to polymyxin and not rescued in Relish mutant, suggesting that their phenotype is independent of host Imd pathway. (B) Pa mutants load in WT and Relish flies 20 h post infection. Two mutants reached lower load in WT flies, while none of the mutants grew better in Relish flies. Asterisks or ns above blue bars indicate significance relative to Pa WT in WT flies. (C-F) Virulence of ROS-sensitive Pa mutants is significantly increased in flies fed sucrose/NAC mixture prior to infection to scavenge ROS. (G-K) Knock-down of ROS-producing enzyme Duox and overexpression of ROS-scavenging enzyme Sod1 specifically in hemocytes increases susceptibility to ROS-sensitive Pa mutants.

Discussion

The aim of our study was to dissect the host-pathogen interactions between Providencia and D. melanogaster. To achieve this aim, we utilized various genetic approaches that enabled us to determine the contributions of both pathogen and host to the outcome of the infection. First, we characterized the responses of the fruit fly to Pa infection and, using mutant analysis, identified the Imd pathway and iron sequestration as prominent defense mechanisms against Pa. Second, we performed an unbiased forward genetics screen using a transposon mutant library that we generated for this purpose and identified Pa virulence factors necessary to infect the fly. This mutant library has the potential to serve as a valuable resource for exploring the genetic basis for all Pa traits. Third, we used mutants of the major immune pathways in Drosophila and infected them with attenuated Pa mutants to identify pathogen virulence factors that allow the bacteria to respond to specific immune defenses and evade immune clearance. Thereby, we dissected both sides of host-pathogen relationship in a Drosophila-Providencia model and provided the first insights into the molecular mechanisms of Pa virulence. To identify Pa virulence factors, we performed an in vivo screen which yielded 23 attenuated mutants. The majority of these mutants (15/23) had transposon insertions in genes involved in LPS biosynthesis and LPS modifications, pointing towards a vital role of intact LPS in Pa pathogenesis. This finding is consistent with a well-known role of LPS in host-pathogen interactions [67,74]. At the mechanistic level, LPS protects Pa from Drosophila Imd pathway-dependent AMPs, particularly Drosocin. Consistent with this, Pa LPS mutants showed increased susceptibility in vitro to the cationic AMP polymyxin B and their virulence was restored in Relish and ΔAMP mutant flies deficient for Imd-dependent AMPs. Our finding that Pa LPS mediates resistance to host AMPs complements numerous previous studies in diverse pathogens that reported a similar protective function of LPS against host innate defenses [67,75-78]. Several studies that used Drosophila as an infection model also discovered LPS as an essential protective barrier against insect AMPs. For example, Nehme et al found that LPS O-antigen-deficient Serratia marcescens mutants were attenuated in wild-type flies but not in an Imd pathway mutant [29]. A similar phenotype was reported for F. novicida mutants with affected LPS [70,79]. These data demonstrate that a major determinant of virulence in several pathogens is the LPS-mediated ability to resist the systemic immune response. Additionally, LPS was shown to facilitate microbiota-host interactions. For instance, LPS biosynthesis mutants of Acetobacter fabarum, a Drosophila commensal, had a reduced ability to colonize the fruit fly intestine [80]. While the mechanism behind this phenotype has not been investigated yet, increased sensitivity to intestinal AMPs is a likely reason, as shown for the human commensal Bacteroides thetaiotaomicron [81]. Among our LPS mutants, we found ArnA (pmrA) (PL11H9) which encodes an enzyme that catalyzes the formation of modified arabinose UDP-L-4-formamido-arabinose (UDP-L-Ara4FN). The modified arabinose reduces the negative charge of lipid A and the binding of cationic AMPs [69]. This is the most commonly observed LPS modification implicated in cationic AMP resistance. This modification is also crucial for Yersinia pestis resistance to the insect cecropin-like AMP cheopin [82]. In addition to mutations affecting LPS, we uncovered several that disrupt lipoproteins, like OmpA (PL13H10), NlpI (PL7D10), and YbaY (PL5A4). While YbaY is poorly characterized, OmpA and NlpI were previously implicated in the virulence of different pathogens [83,84]. Whereas OmpA contributes to virulence in various ways ranging from facilitating adhesion and invasion to conferring resistance to serum [83], NlpI function in virulence is less clear. Our results suggest that all three lipoproteins mutants behave like LPS mutants–they are susceptible to polymyxin B and their virulence is rescued in an AMP mutant, indicating that their reduced virulence is due to an increased susceptibility to host AMPs. The mechanism behind this phenotype requires further investigation, however NlpI was shown to be essential for cell envelop integrity [85], which might contribute to increased sensitivity to AMPs. Our screen uncovered two additional peptidoglycan-associated lipoproteins, TolB (PL2D4) and Pal (PL4B5), that are part of a multiprotein complex, the Tol-Pal system. It bridges between the peptidoglycan and the outer membrane and is important for proper structure and function of the outer membrane [86]. Importantly, TolA and Pal are necessary for correct surface polymerization of O-antigen chains, likely explaining the sensitivity of tol and pal mutants to detergents and several antibiotics [87]. Similar to our Pa tol and pal mutants, F. novicida mutants in these genes were attenuated in Drosophila infection and more sensitive to host AMPs [79]. The second largest group of mutants with reduced virulence that we identified constitutes ROS-sensitive mutants. Since we could rescue the virulence of these mutants by chemical or genetic ROS scavenging, their attenuated virulence is likely due to an inability to resist host ROS produced in response to infection. Among such ROS-sensitive mutants, only the one lacking cytochrome oxidase (PL1A3) was previously shown to be required for virulence in other bacteria by enhancing the tolerance to oxidative stress [71]. Some other genes, like dihydrolipoyl dehydrogenase (PL4F11) and typA (PL6B7), were also linked to virulence but not necessarily via ROS sensitivity [88,89]. We could not find any previous evidence of the role of ATPase RavA stimulator ViaA (PL14C2) in virulence, however there seems to be a link to ROS response in E. coli [90]. Therefore, further investigation of the identified genes is required to clarify their role in bacterial virulence and ROS sensitivity. While previous studies identified several sources of ROS in flies, including melanisation [70,91], hemocytes [72,92], Nox [93,94] and, Duox [95], our results showed that Duox specifically in hemocytes is the major producer of ROS in case of Pa infection. Notably, in case of F. novicida melanisation played a prominent role as a source of ROS [70]. An interesting avenue for future studies would be to understand the differences between Duox- and melanisation-derived ROS and their preferential activity against specific pathogens. Our screen also identified several hypothetical proteins. Using ROS and polymyxin B sensitivity assays and rescue in AMP- and ROS-deficient flies, we showed that PL4E6 and PL11H8 contribute to bacterial resistance to host AMPs, while PL6D10 is necessary to survive ROS exposure. Thus, with our approach we could assign a mechanism of virulence to hypothetical proteins with unknown function. However, how those protein contribute to ROS or AMP sensitivity remains unknown. We identified one Pa mutant (Sigma-E factor regulatory protein rseB, PL13C10), that was not sensitive to ROS and polymyxin in vitro. However, the virulence of this mutant was rescued in Relish and AMP-deficient flies. Very likely the rescue phenotype could be due to sensitivity to additional antimicrobial peptides produced by flies. Such increased sensitivity to AMPs is possible given the role of Sigma-E factor in cell envelope integrity [96]. Among all AMPs tested, Drosocin proved to be particularly important in controlling Pa infection. Consistent with our Pa LPS mutants, F. novicida mutants in LPS were particularly sensitive to Drosocin [79]. Considering that Drosocin is known to bind bacterial LPS [97], alterations in LPS might promote Drosocin interactions with LPS and bacterial killing or make intracellular targets more accessible. A previous in vivo analysis of AMP specificity has shown that Drosocin plays a critical role in controlling Enterobacter cloacae infection [57]. A recent study confirmed this finding [56], however additionally reported that the Drosocin gene encodes not one, but two AMPs: Drosocin and IM7 (newly named as Buletin). Buletin but not Drosocin contributes to host defense against Providencia burhodogranariea infection. Since the Drosocin mutant we used lacked both Drosocin and Buletin and the Drosocin overexpression line similarly produced both peptides, it remains to be tested whether Drosocin or Buletin or both peptides together are involved in the defense against Pa. While our in vivo experiments demonstrate that AMPs are the major Relish-regulated molecules controlling Pa LPS mutants, in vitro assays with synthesized Drosophila AMPs were not conclusive. None of the three Drosophila AMPs that we tested, Cecropin A, Cecropin B, and Diptericin B, showed activity against Pa. Considering the high specificity of some AMP-microbe interactions, it could be that the peptides we tested have no effect on Pa. Indeed, based on in vivo results, Drosocin, which was not available for an in vitro test, is the primary AMP controlling Pa infection. Additionally, in vitro effects of AMPs can be different than in vivo effects of mutants or knockdowns for the same AMPs [98], suggesting that physiological context or interaction among peptides is important. Also, there are a number of technical reasons why in vitro assays may not reflect in vivo activities, including AMPs adhering to plastic assay plates, differences in salt concentrations or pH, stress on microbes, interactions among AMPs and between AMPs and other components of the immune system. These potential issues have to be considered when interpreting the results of in vitro antimicrobial tests performed with AMPs. Contrary to our expectations, in our screen we did not hit any bacterial effectors, like toxins, that might be responsible for damaging the host. Since toxins are likely to be redundant, disruption of an individual toxin gene may not give a phenotype. Similarly, we did not identify any mutants in secretion systems, suggesting that Pa does not require effector translocation to infect Drosophila. The only toxin that was so far implicated in Pa pathogenesis is cytolethal distending toxin which blocks eukaryotic cell proliferation [99]. Interestingly, Pa LPS was shown to cause epithelial barrier dysfunction by reducing occludin levels in Caco-2 cell monolayers and induced apoptosis in calf pulmonary artery endothelial cells [100]. Thus, LPS might not only mediate resistance to host AMPs but also act as an effector-like molecule. By discovering the mechanisms of Pa resistance to host AMPs and ROS, our study opens the doors to potential strategies to exploit such Pa mechanisms and sensitize the pathogen to host defenses to improve infection treatment. To illustrate the feasibility of such an approach, we used polymyxin B treatment to disrupt Pa LPS in vivo and found that it was sufficient to improve Drosophila survival after infection. Such beneficial effect of polymyxin B required functional Imd pathway signalling and was independent of direct bactericidal activity, suggesting that disruption of the major barrier against AMPs sensitizes the pathogen to host defenses. Our results suggest that affecting LPS function might be a useful strategy to treat Providencia infections, particularly those resistant to antibiotics. Sensitizing Pa to host ROS also appears to be an attractive anti-virulence strategy [101], considering that resistance to host ROS is one of the key Pa virulence mechanisms that we identified. Some compounds were shown to sensitize the pathogens to oxidative stress and immune clearance but in a species-specific manner. For example, 2-[2-nitro-4-(trifluoromethyl) benzoyl]-1,3-cyclohexanedione (NTBC) treatment inhibits production of pyomelanin pigment and increases sensitivity of pyomelanogenic Pseudomonas aeruginosa strains to oxidative stress [102]. Similarly, BPH-642 –cholesterol biosynthesis inhibitor, blocked biosynthesis of staphyloxanthin antioxidant pigment in S. aureus, resulting in increased immune clearance in a mouse infection model [103]. However, to date there are no known compounds that would predispose Pa or generally any pathogen to ROS without being toxic to the host, thus limiting the development of ROS-potentiating anti-infectives. In summary, our reciprocal analysis of interactions between D. melanogaster and P. alcalifaciens revealed that the host relies on Imd-dependent AMPs and hemocyte-derived ROS as major branches of immunity that are important for fighting infection with P. alcalifaciens. On the pathogen side, we have found that the ability to resist these host immune responses is the major virulence mechanism of P. alcalifaciens. Leveraging this knowledge has great potential to improve P. alcalifaciens infection treatment either by potentiating the host defenses or disrupting pathogen virulence.

Materials and methods

Drosophila stocks and rearing

The following Drosophila stocks used in this study were kindly provided by Bruno Lemaitre: DrosDel w iso; Oregon R; Canton S; Relish iso; Relish, spz iso; y,w, P{Dpt-lacZ, ry+}, P{Drs-GFP, w+} (y,w,DD); ywDD;;GNBP1; ywDD, PGRP-SA; PPO1,2,3; upd2,upd3; Tsf1 iso; ΔAMP; group A; group B; group C; AttD; Dpt; Dro; UAS-bax; c564-GAL4; UAS-Drosocin, spatzle. The following stocks were obtained from the Bloomington Drosophila Stock Center: hml-GAL4, UAS-GFP (30140); Duox RNAi (33975); UAS-Sod1 (24750); UAS-Sod2 (24494). The stocks were routinely maintained at 25°C with 12/12 h dark/light cycles on a standard cornmeal-agar medium: 3.72g agar, 35.28g cornmeal, 35.28g inactivated dried yeast, 16 ml of a 10% solution of methyl- para- ben in 85% ethanol, 36 ml fruit juice, 2.9 ml 99% propionic acid for 600 ml. Fresh food was prepared weekly to avoid desiccation. Female flies were used in RNA-seq and qPCR experiments due to higher RNA yield, male flies were used in all other experiments.

Bacterial strain, survival, and bacterial load

In this study, we used Providencia alcalifaciens DSM30120 obtained from German Collection of Microorganisms and Cell Cultures (DSMZ). The strain was routinely grown in LB media overnight at 37°C with shaking. The culture was pelleted by centrifugation to concentrate microbes and diluted to the desired optical density (OD600 = 1, 2, 5, 10) with sterile PBS. To infect flies, a 0.15 mm minuten pin (Fine Science Tools) mounted on a metal holder was dipped into the diluted overnight culture and poked into the thorax of a CO2 anesthetized fly. Sterilely wounded flies were pricked with a needle that was sterilized in 95% ethanol. Infected flies were maintained in vials with food at 25°C and surviving flies were counted at regular intervals (every hour from 18 to 24h post infection and every 24h after that) for 5 days after infection. Typically, 20 male flies per vial with 2–3 replicate experiments were performed. Survival experiments that involved prefeeding flies with chemical compounds involved overnight feeding of control group on 2.5% sucrose solution applied on top of a filter disk covering the fly food and experimental group feeding on a mix of sucrose+100 mM NAC or sucrose+10mg/ml polymyxin B. For bacterial counts, flies were infected with Pa as described above, and the number of bacteria was determined as follows at 6 h and 20 h post-infection. Flies were surface sterilized in 95% ethanol for 1 min, and then 5 flies were homogenized in 500 μl of sterile PBS for 30 s at 6000 rpm using a Precellys 24 instrument (Bertin Technologies, France). Serial 10-fold dilutions were made and plated on LB culture medium using an automatic diluter and plater easySpiral Dilute (Interscience, France). The plates were left to dry and incubated overnight at 37°C. Colonies were counted using an automatic colony counter Scan 1200 (Interscience, France) and its accompanying software.

Generation of transposon mutant library

Commercially available EZ-Tn5 Tnp Transposome Kit (Lucigen) was used to generate a transposon library of P. alcalifaciens mutants. For this, electrocompetent cells of P. alcalifaciens were prepared by collecting the cells when they reached OD 0.5 and washing them 3 times with cold 10% glycerol. 100 μl of electrocompetent cells were mixed with 1 μl of transposome complex and placed in 0.2 mm electroporation cuvette (Biorad). The cells were electroporated using Gene Pulser Xcell System (Biorad) with the following settings 2.5 kv, 200 ohms and 25 μF. Cell were recovered immediately following the pulse with 1 ml of LB media and incubated for 1 h at 37°C before plating on LB agar plates with 50 μg/ml kanamycin. Following overnight incubation at 37°C, individual colonies were picked into the wells of 96 deep-well plates containing 1 ml of LB+kanamycin per well. The plates were covered with air-permeable sealing films and incubated at 37°C overnight. Next day, 750 μl of 50% glycerol were added to each well and the plates were placed at -80°C freezer for storage.

Transposon screen and identification of insertion sites

Mutants were grown in 96 well plates under stationary conditions in LB+kan overnight. Next day, 15 w iso males were pricked per mutant using bacterial culture directly from the growth plate and survival was monitored for 2 days. Those mutants that killed flies at below average level were retested second time. For second retest, mutants were cultured in LB broth overnight with shaking, OD-adjusted (final OD 2), and compared to wild-type Pa. Those mutants that were confirmed to have reduced virulence in second retest were retained for transposon insertion site identification. To identify transposon insertion sites, we used “rescue cloning” technique which is possible due to the R6Kγori present in the transposon. R6Kγori allows circular DNA to behave as a plasmid. Briefly, genomic DNA was extracted from Pa mutants of interests using Monarch Genomic DNA Purification Kit (NEB). This DNA was randomly fragmented with NEBNext dsDNA Fragmentase (NEB). Fragmented DNA was end-repaired (made blunt-ended) and 5′-phosphorylated using the End-It DNA End-Repair Kit (Lucigen). Finally, it was self-circulized using T4 DNA-Ligase (Thermofisher) and transformed into TransforMax EC100D pir+ E. coli (Lucigen) that expresses the pir gene product (the “pi” protein). When selected on kanamycin-containing plates, only the cells containing the Transposon can grow. Plasmids were extracted from the colonies using Monarch Plasmid Miniprep Kit (NEB) and used for sequencing of transposon-flanking DNA with transposon-specific primers supplied with the kit. Blast search of the obtained sequences was performed to determine the identity of the transposon-disrupted genes.

RT-qPCR

For quantification of mRNA, 10 whole flies per sample were collected at indicated time points post infection into 1.5 ml screwcap tubes with 100 μl of glass beads. Total RNA was isolated using TRIzol reagent according to manufacturer’s protocol and dissolved in RNase-free water. Quality of the RNA was determined using a NanoDrop ND-1000 spectrophotometer. Five hundred nanogram of total RNA was then reverse-transcribed in 10 μl reaction volume using PrimeScript RT (TAKARA) and random hexamer primers. Quantitative PCR was performed on a LightCycler 480 (Roche) in 384-well plates using the SYBR Select Master Mix from Applied Biosystems. Expression values were normalized to RP49. Primer sequences were published previously [104].

RNA-seq and GO analysis

Total RNA was extracted from 10 whole flies per sample using TRIzol reagent. Total RNA was dissolved in nuclease-free water and RNA concentration was measured using a Nanodrop (Thermo Scientific). RNA integrity and quality were estimated using a Bioanalyzer (Agilent Technologies). Separate libraries for the three experimental conditions (flies infected with Pa 6h, 20h as well as uninfected controls) belonging to three independent experiments were prepared with the TruSeq RNA Sample Prep kit (Illumina, San Diego, CA) according to the manufacturer’s protocol. Adapters containing seven nucleotide indexes were ligated to the double-stranded complementary DNA (cDNA). The DNA was purified between enzymatic reactions and the size selection of the library was performed with AMPure XT beads (Beckman Coulter Genomics, Danvers, MA). The libraries were pooled and sequenced using Illumina HiSeq 3000 instrument (75-bp paired-end sequencing) at the Max Planck-Genome-centre Cologne, Germany (https://mpgc.mpipz.mpg.de/home/). RNA-seq data from this study (PRJNA833403) were analyzed with CLG Genomics Workbench (version 12.0 & CLC Genomics Server Version 11.0); Using the functions “Trim Reads” [105] and “RNA-Seq Analysis.” BDGP6.28 from the Ensembl was used for mapping and read counting as the reference genome. Differential expression analysis was done using DESeq2 [106]. Gene Ontology Analysis: Go term enrichment for gene group lists was conducted using FlyMine [107]. As background, the list of 12319 reproducibly measured genes was chosen. Results were filtered using a corrected p-value of <0.05 (Bonferroni). Data Visualization The R packages ggplot2, dplyr, org.Dm.eg.db, were used for data visualization.

Hemolymph extraction and Ferrozine-based colorimetric assay

Approximately 50 flies were infected with P. alcalifaciens (OD600 = 2) and incubated for 16 ½ hours at 29°C. Hemolymph was extracted using Mobicol “Classic” spin columns (MoBiTec) in which two filters (large and small, 10 μm pore size) were inserted. Flies were added to the columns, which were then placed in collection tubes (containing 50μl protease inhibitor cocktail (Sigma Aldrich, one tablet in 4 ml PBS)), and glass beads were added to fill the column. The samples were then spun at 5000g for 10 min (at 4°C). Protocol adapted from [104]. Iron in the hemolymph of flies was quantified using a ferrozine-based colorimetric assay as described in [108] with minor modifications. The protein concentration in the hemolymph was measured using the Pierce BCA Protein Assay (Thermo Fisher Scientific) according to the manufacturer’s protocol. A total of 120 μg protein was used for each condition and samples were adjusted to 50μl with the protease inhibitor cocktail. Samples were then treated as described in [108] and absorbance was measured at 562 nm using an infinite 200 Pro plate reader (Tecan). Quantification was performed using a standard curve generated with serial dilutions of a 10mM FAC stock dilution. The experiment was repeated three times.

LPS analysis

Whole-cell samples were used for LPS analysis following previously published protocol [109]. The samples were resolved on 15% polyacrylamide gels with a 4% stacking gel. The LPS were stained using the Tsai and Frash method [110].

Polymyxin B and ROS sensitivity

Sensitivity to polymyxin B was determined by assessing the growth of bacteria in LB medium containing 12.5 mg/ml of polymyxin B. This concentration, empirically-chosen, worked best to compare the sensitivities of different mutants. To set the assay, the optical density of all test strains was set to 0.1 in LB media containing polymyxin B. 150 μl of this suspension was pipetted in triplicates in wells of 96-well plate. The plate was incubated at 37°C in the plate reader Tecan Infinite 200 PRO which measured the optical density of each well every 20 minutes for 23 hours. To determine the sensitivity of various Pa mutants to oxidative stress, disk diffusion assay was performed using protocol adapted from [70]. Briefly, 50μL of overnight cultures of bacteria were plated onto LB agar plates to create a lawn of bacteria. Plates were allowed to dry for 10 minutes, and then 6mm Whatman filter paper disks (Fisher Scientific) were placed onto each plate and inoculated with 10μL of 100mM freshly diluted hydrogen peroxide (Sigma). Plates were incubated overnight and the diameter of the zone of inhibition was measured for each sample. Three zones were measured for each mutant and each experiment was repeated three times.

Statistical analysis

Data representation and statistical analysis were performed using GraphPad Prism 9 software. Survival curves were compared using log-rank tests, with Bonferroni corrections for p values where multiple comparisons were necessary. All survival graphs show one representative experiment out of three independent repeats with 2–3 cohorts of 20 male flies per genotype. One-way ANOVA was used to analyze data in Figs 1F, 6B, 6G, 8A and S1B and S2. Two-way ANOVA was used to analyze data in Figs 1C, 1D, 1E, 1G, 3E-3F, 6C and 8B. Where multiple comparisons were necessary, appropriate Tukey, Dunnett, or Sidak post hoc tests were applied. Other details on statistical analysis can be found in Figure legends. Statistical significance was set at p≤0.05. Asterisks indicate *p≤0.05, **p≤0.01, ***p≤0.001, ****p≤0.0001, ns-non-significant, p>0.05.

Toll and Jak-Stat pathways have no role in controlling Pa infection.

(A) Survival rates of spaetzle mutants and wild-type flies after infection with Pa are similar. (B, C) Pa reaches the same load in GNBP1 (B) and upd2,upd3 (C) mutants as in background control flies. Results (B-C) are shown as mean ± SD of at least 10 samples. Dots represent samples. Each sample included 5 flies and CFUs in each sample were normalized to the number of flies to obtain CFUs per single fly. (TIF) Click here for additional data file.

General fitness of attenuated Pa mutants in LB media.

(A, B) Growth kinetics of 23 Pa mutants in LB medium (A) and OD600 at the end of incubation (B) show that only mutants PL2D4, PL4B5, and PL13H10 have significantly lower growth and potentially altered fitness. (TIF) Click here for additional data file.

Immunogenicity of attenuated Pa mutants.

RT-qPCR showing Dpt expression 20 h post infection with attenuated Pa mutants. Asterisks indicate significance relative to Pa WT. (TIF) Click here for additional data file.

Within host growth of representative Pa LPS mutants.

(A-C) Proliferation of wild-type Pa (A), PL10C8 (B), and PL11H9 (C) mutants in wild-type and Relish mutant flies. Wild-type Pa proliferated monotonically in both wild-type and Relish mutant flies (A). The loads of PL10C8 and PL11H9 mutants remained stable in wild-type flies but increased in Relish mutant. Results are shown as mean ± SD of 5 samples (individual flies depicted with dots). (TIF) Click here for additional data file.

Pa attenuated mutants are virulent to flies lacking AMPs.

(A-W) Survival rates of 23 attenuated Pa mutants in WT and ΔAMP flies. Vast majority of attenuated mutants retain their virulence in ΔAMP flies. See S3 Table for statistical comparisons. (TIF) Click here for additional data file.

Drosocin overexpression improves survival of Relish flies after infection with Pa LPS mutants.

(A-O) Survival rates of Relish control line and Relish line overexpressing Drosocin in fat body after infection with 15 Pa LPS mutants. Only mutants PL1C4 (A) and PL13C10 (O) were not affected by Drosocin overexpression. The other mutants cause significantly lower mortality in overexpression line. (P) Survival rates of Relish control line and Relish line overexpressing Drosomycin in fat body after infection with PL2D4 mutant. No significant improvement of survival was observed in contrast to Drosocin overexpression in panel B. (TIF) Click here for additional data file.

Disk diffusion assay with H2O2.

Representative pictures of agar plates showing the size of inhibition zones for WT Pa, ROS-sensitive mutant PL1A3, ROS-resistant mutant PL5D5. (TIF) Click here for additional data file.

Hemocytes but not melanisation contribute to the defense against Pa infection.

(A-D) ROS sensitive Pa mutants remain less virulent to melanisation-deficient PPO1,2 flies, suggesting that melanisation has no major role in the defense against Pa and is unlikely source of ROS. (E-I) Genetic ablation of hemocytes significantly increases susceptibility to infection with ROS-sensitive Pa mutants. (TIF) Click here for additional data file.

Lists of differentially-expressed genes detected by RNA-seq 6h and 20h post Pa infection.

(XLSX) Click here for additional data file.

Minimal inhibitory concentrations for AMPs and antibiotics determined using WT Pa.

(XLSX) Click here for additional data file.

Summary statistics for survivals shown in Figs 4 and S3.

(XLSX) Click here for additional data file. 30 Jun 2022 Dear Dr Iatsenko, Thank you very much for submitting your manuscript "Lipopolysaccharide-mediated resistance to host antimicrobial peptides and hemocyte-derived reactive-oxygen species are the major Providencia alcalifaciens virulence factors in Drosophila melanogaster" for consideration at PLOS Pathogens. As with all papers reviewed by the journal, your manuscript was reviewed by members of the editorial board and by several independent reviewers. In light of the reviews (below this email), we would like to invite the resubmission of a significantly-revised version that takes into account the reviewers' comments. Your work has been reviewed by experts in both the field of Drosopphila and bacteria. They recognized the quality of the work and in particular the study of the response of the model host used in this study. Two of the experts ask for a more detailed analysis of the bacterial mutants used and if possible a more directed mutagenesis approach with the possibility to complement these mutants. One of the reviewers also asked that the originality of this work be put into perspective in the discussion, knowing that the role of LPS has been widely studied in the virulence of Gram-negative pathogenic bacteria. Other comments are more suggestions were provided to improve the manuscript. We cannot make any decision about publication until we have seen the revised manuscript and your response to the reviewers' comments. Your revised manuscript is also likely to be sent to reviewers for further evaluation. When you are ready to resubmit, please upload the following: [1] A letter containing a detailed list of your responses to the review comments and a description of the changes you have made in the manuscript. Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out. [2] Two versions of the revised manuscript: one with either highlights or tracked changes denoting where the text has been changed; the other a clean version (uploaded as the manuscript file). Important additional instructions are given below your reviewer comments. Please prepare and submit your revised manuscript within 60 days. If you anticipate any delay, please let us know the expected resubmission date by replying to this email. Please note that revised manuscripts received after the 60-day due date may require evaluation and peer review similar to newly submitted manuscripts. Thank you again for your submission. We hope that our editorial process has been constructive so far, and we welcome your feedback at any time. Please don't hesitate to contact us if you have any questions or comments. Sincerely, Eric Oswald, Ph.D., D.V.M. Associate Editor PLOS Pathogens Brian Coombes Section Editor PLOS Pathogens Kasturi Haldar Editor-in-Chief PLOS Pathogens ​orcid.org/0000-0001-5065-158X Michael Malim Editor-in-Chief PLOS Pathogens orcid.org/0000-0002-7699-2064 *********************** Your work has been reviewed by experts in both the field of Drosopphila and bacteria. If they recognize the quality of the work and in particular the study of the response of the model host used in this study, two of the experts ask for a more detailed analysis of the bacterial mutants used and if possible a more directed mutagenesis approach with the possibility to complement these mutants. One of the reviewers also asked that the originality of this work be put into perspective in the discussion, knowing that the role of LPS has been widely studied in the virulence of Gram- pathogenic bacteria. Other comments are more suggestions to improve the manuscript. Reviewer's Responses to Questions Part I - Summary Please use this section to discuss strengths/weaknesses of study, novelty/significance, general execution and scholarship. Reviewer #1: In their publication, Shaka and collaborators showed by “forward” and “reverse” approaches that LPS-mediated resistance to host antimicrobial peptides and hemocyte-derived reactive-oxygen species are the major Providencia alcalifaciens virulence factors in Drosophila melanogaster. The paper is very-well written and the hypothesis are well-driven. However, I have major points that are concerning for this paper to be published in PLoS Pathogens. Reviewer #2: In this manuscript, Shaka and colleagues describe virulence mechanisms of Providencia alcalifaciens in a Drosophila melanogaster infection model. P. alcalifaciens is an opportunistic pathogen of humans and other Providencia species are frequently used in the study of Drosophila immunity. The authors use genetic manipulation of both bacteria and host to demonstrate that P. alcalifaciens uses LPS modification to evade AMP-mediated host defenses and ROS detoxification as an anti-immune mechanism, arguing that these mechanisms of negating host defenses constitute major virulence mechanisms of P. alcalifaciens in D. melanogaster. The authors also find that host sequestration of iron also plays a major role in controlling P. alcalifaciens infection, and I wonder why they do not emphasize that more in the in Abstract. The work presented is thorough and makes elegant use of reciprocal genetic manipulation in host and pathogen. The findings are novel and interesting, and the article is very well written. Reviewer #3: This MS by Shaka et al. exploits the power of Drosophila as a model to study host-pathogen interactions. The authors study Providencia alcalifaciens virulence and the host immune responses essential to control this pathogen. The strengths of the work are the unbiased and exhaustive functional approaches deployed by the authors and the robustness, clarity and span of the phenotypes observed. I only have very minor comments listed below. This work is of the highest standard in the host-pathogen field and illustrate another time the power of the fly model to probe in unbiased ways the key mechanisms shaping host-pathogen interactions outcomes both in the host and in the pathogen. ********** Part II – Major Issues: Key Experiments Required for Acceptance Please use this section to detail the key new experiments or modifications of existing experiments that should be absolutely required to validate study conclusions. Generally, there should be no more than 3 such required experiments or major modifications for a "Major Revision" recommendation. If more than 3 experiments are necessary to validate the study conclusions, then you are encouraged to recommend "Reject". Reviewer #1: The main message is the demonstration that LPS and ROS resistance are crucial for virulence of Providencia alcalifaciens. However, LPS and ROS resistance are always associated with the pathogenicity of Gram negative pathogens and this has been highlighted by the paper of Yuan et al., (https://doi.org/10.3389/fmicb.2020.572642) in their comparative genomic analysis. To go further and publish in PLoS Pathogens, this story needs to be decipher with at least the demonstration with isogenic mutants of Pa corresponding to their transposon and the respective complementation. It was already known that Polymyxin B targets LPS (e.g. https://doi.org/10.1039/D1FD00036E). Then I don’t get the point of the authors to use Polymyxin B as a AMP to show that LPS is linked to AMP resistance? Does Drosophila produce an AMP that shows a similar mode of action than Polymyxin B? Reviewer #2: The authors use RNAseq to document activation of host immune responses to infection. The RNAseq data are not described in much detail and therefore do not give much insight beyond what was shown with the qPCR data. However, the presented analysis is sufficient for supporting the authors’ main claim that the host immune system is activated by P. alcalifaciens infection, and deposit of the RNAseq data into public databases will allow subsequent researchers to make more thorough use of them. The authors use synthetic or purified AMPs to test whether the Pa mutants they recover from their screen are more susceptible to AMPs but find that the AMPs do not restrict bacterial growth in in vitro assays. This was disappointing, I am sure, and I can think of a few possible reasons for it. One is that the tested peptides may indeed have no effect on this bacterium, following the logic of papers like that of Hanson et al (cited ref 57) showing that AMP effects on particular bacteria can be quite specific (indeed, the authors eventually suggest that Drosocin is the primary AMP controlling Pa infection, and Drosocin is not tested in the in vitro assays). Additionally, other authors have shown that in vitro effects of AMPs can be different than in vivo effects of mutants or knockdowns for those same AMPs (see papers from Jens Rolff’s group), suggesting that physiological context or interaction among peptides is important. Furthermore, several investigators from multiple teams informally discuss having had quite a bit of trouble getting in vitro AMP assays to work effectively for a variety of technical reasons (AMPs adhering to plastic assay wells instead of distributing in solution, effects of pH and other chemistry, etc) but this is unfortunately not citable because it is largely unpublished. The authors of the present study do find that the LPS-mutant bacteria are susceptible to polymyxin B, although this AMP is not produced by Drosophila. They also find that Relish mutant hosts are highly susceptible to infection by the mutant Pa, which implies that they are rescued from AMP control in the mutants, but of course Relish also regulates other defense genes in addition to AMPs. The cleanest test of the hypothesis that the LPS-defective mutants are susceptible to AMPs comes from the observation that the Hanson strain of D. melanogaster lacking 10 AMPs and the strain lacking Drosocin specifically are more susceptible to infection by the mutant bacteria. Since these are the definitive experiments, my suggestion would be to move that experiment to the top of the paragraph that begins on Line 298. The authors could subsequently describe the other experiments, including a direct comparison of death rates between Relish and AMP-deletion mutants to demonstrate the AMPs are the major Relish-regulated mechanism of defense. The manuscript could also include some discussion of the limitations of the in vitro assays. These comments are all for the authors to consider and incorporate at their discretion – I am not trying to force a change to the content of the manuscript here, only sharing my perspective on these experiments and my understanding of how they work (or fail to work) in other labs. The authors do an overexpression rescue with Drosocin and conclude that the rescue means that Drosocin is “particularly important against Pa infection”. A valuable control here would be to test overexpression of other AMPs and show that they do not rescue. It is possible that overexpression of any AMP above physiological levels will control Pa infection and that this effect is not specific to Drosocin. On the other hand, finding that the effect is specific to Drosocin would be a very compelling result that would complement the observation of susceptibility of the specific Drosocin deficiency. The experiments documenting the contributions of ROS to host defense and the susceptibility of the Pa mutants to host ROS are nicely performed and I am convinced by them. I appreciate the multiple approaches, including biochemical interventions, the Duox and SOD mutations, and the use of the flies with ablated hemocytes. On line 393, the authors should explicitly state that “hemoless” refers to those flies or eliminate the word from the manuscript since it is not a standard genetic notation. The authors do a forward genetic screen in P. alcalifaciens to identify mutants that show reduced infectivity and virulence. As a control, the document that the mutants do now show compromised growth in LB. This is an essential control, especially because mutants with altered LPS may well have altered rates of cell division, but the authors should also note bacterial growth inside of a fly might be quite different that growth in LB (different nutrient availability, etc). The ideal experiment would be to measure rate of proliferation inside of a fly, similarly to what was done in cited ref 59 in the study, particularly because small variations in growth rate could have large effects or host survival time. I understand that it would be difficult to separate growth defects from variation in sensitivity to host immune defense in such an experiment, but perhaps it could be approximated by using Drosophila mutants. I recognize that this would be a large effort and I would not recommend doing it for all mutants recovered from the screen. However, at the authors’ discretion, it may be worth doing so for one or two key bacterial mutants representing the processes that they believe are driving resistance to host defenses. The forward screen did not reveal any effectors such as bacterial toxins, which the authors found surprising (line 503). However, it seems possible that no such mutants were recovered from the screen because toxins are likely to be redundant so individual mutants may not have much phenotype. Nevertheless, one might have expected mutations in secretion systems to have emerged from the screen, particularly since P. alcalifaciens should have an intact Type III Secretion System. The absence of T3SS mutants in the screen could imply that translocation of effectors is not a mechanism that Pa uses to infect Drosophila. There is no change for the authors to make in the present study, but the use of the w[1118] strain of Drosophila melanogaster as a nominal wildtype is disappointing. They have done so because many of the host mutants they use in this study are generated in the w[1118] background, so from a genetic perspective, the experiments are done correctly. However, the white mutation is known to be massively pleiotropic and the w[1118] strain is susceptible to infection relative to other Drosophila genotypes. Especially because the mutations studied in this work on not on the X chromosome, the better way to have done this experiment would have been to cross the white-mutant X out of the stocks and conduct the study in a wildtype background. I emphasize that I am not asking the authors to do this now or to repeat this study, and this comment is in no way intended to be a block on publication of the current work. I am only asking the authors to consider avoiding this weak genotype in future studies. Reviewer #3: NA ********** Part III – Minor Issues: Editorial and Data Presentation Modifications Please use this section for editorial suggestions as well as relatively minor modifications of existing data that would enhance clarity. Reviewer #1: 1- line 168 “at OD10 they were all killed within 20h” – This OD should appear in the mat and met 2- line 214 to 217 “Our transcriptomic analysis shows that Drosophila…implying that the high virulence of Pa is not due to the inability of the host to recognize or respond to infection”. Did the author compare with a less “highly virulent” strain? 3- Figure 5: O-antigen. Which band is it? 4- line 354 “prefed”: nothing is written about that in the mat and met. How do the authors perform this experiment? 5- line 558-559 “surviving flies were counted at regular intervals for 5 days after infection”: the authors should specify more precisely what are “regular intervals”. Reviewer #2: The introduction and discussion are very nicely written. They are clear, comprehensive, scholarly, and easy to read. Line 131 states that no strains of other Providencia species are intracellularly invasive. This should probably say “no currently described strains” since it is possible that some unstudied strains possess this ability. Line 173, replace “fast” with “quickly” Although I understand the argument the authors are making, there is some logical inconsistency in the paragraph that begins on line 219. They show that infected flies have activated Toll and JAK-Stat pathways, but that mutants of these pathways are not more susceptible to infection. Thus, the infection activates the pathway but activation does not contribute to defense. However, Imd pathway mutants are more susceptible to infection so the authors conclude “this is consistent with the upregulation of imd-responsive genes by Pa”. It is internally inconsistent to conclude that the activation does not necessarily imply effect with Toll and JAK-Stat, but that activation is consistent with an expectation of effect in Imd. The more natural conclusion from these results is that transcriptional activation is not, by itself, a good predictor of effect. This would be a valuable point to emphasize for the entire community: the genes that are transcriptionally responsive to a treatment are not necessarily the genes that are driving the physiological response to the treatment. An experimental manipulation is required to demonstrate effect, inference from transcript levels is not sufficient. The references will need to be formatted prior to publication, including correction of a number of the URLs in the reference list. Reviewer #3: Minor comments: -The authors start by using males and then mention females at some point, I guess clarifying from the beginning if the traits under study are sex-biased or not is important. Then the authors may choose to focus on only one sex. -In Fig3 it would have been nice to test spz mutants for survival assays and I am wondering if the pathogen load is impacted in Toll or Jak/stat pathway mutants. -Also in some key fly loss of function conditions where survival to Pa is impacted (Fig6D-E, Fig8G) maybe the authors shall use diluted concentration of the pathogens or its mutants in order to better see the phenotypical windows. -On a more general and semantic note I am wondering is mechanisms allowing better tolerance/resistance of the pathogen to host AMP and ROS activities can be qualified as bona fide bacterial virulence factors…? These mechanisms clearly do contribute to the virulence of the pathogen but I feel they may not be qualified as « virulence factors » per se. Maybe the other shall expend on this semantic issue in their discussion. ********** PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: Yes: Brian Lazzaro Reviewer #3: Yes: François Leulier Figure Files: While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, . PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email us at . Data Requirements: Please note that, as a condition of publication, PLOS' data policy requires that you make available all data used to draw the conclusions outlined in your manuscript. Data must be deposited in an appropriate repository, included within the body of the manuscript, or uploaded as supporting information. This includes all numerical values that were used to generate graphs, histograms etc.. For an example see here on PLOS Biology: http://www.plosbiology.org/article/info%3Adoi%2F10.1371%2Fjournal.pbio.1001908#s5. Reproducibility: To enhance the reproducibility of your results, we recommend that you deposit your laboratory protocols in protocols.io, where a protocol can be assigned its own identifier (DOI) such that it can be cited independently in the future. Additionally, PLOS ONE offers an option to publish peer-reviewed clinical study protocols. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols 19 Aug 2022 Submitted filename: Point by point responses to the referees comments.docx Click here for additional data file. 23 Aug 2022 Dear Dr Iatsenko, We are pleased to inform you that your manuscript 'Lipopolysaccharide-mediated resistance to host antimicrobial peptides and hemocyte-derived reactive-oxygen species are the major Providencia alcalifaciens virulence factors in Drosophila melanogaster' has been provisionally accepted for publication in PLOS Pathogens. Before your manuscript can be formally accepted you will need to complete some formatting changes, which you will receive in a follow up email. A member of our team will be in touch with a set of requests. Please note that your manuscript will not be scheduled for publication until you have made the required changes, so a swift response is appreciated. IMPORTANT: The editorial review process is now complete. PLOS will only permit corrections to spelling, formatting or significant scientific errors from this point onwards. Requests for major changes, or any which affect the scientific understanding of your work, will cause delays to the publication date of your manuscript. Should you, your institution's press office or the journal office choose to press release your paper, you will automatically be opted out of early publication. We ask that you notify us now if you or your institution is planning to press release the article. All press must be co-ordinated with PLOS. Thank you again for supporting Open Access publishing; we are looking forward to publishing your work in PLOS Pathogens. Best regards, Eric Oswald, Ph.D., D.V.M. Associate Editor PLOS Pathogens Brian Coombes Section Editor PLOS Pathogens Kasturi Haldar Editor-in-Chief PLOS Pathogens ​orcid.org/0000-0001-5065-158X Michael Malim Editor-in-Chief PLOS Pathogens orcid.org/0000-0002-7699-2064 *********************************************************** Reviewer Comments (if any, and for reference): 3 Sep 2022 Dear Dr Iatsenko, We are delighted to inform you that your manuscript, "Lipopolysaccharide-mediated resistance to host antimicrobial peptides and hemocyte-derived reactive-oxygen species are the major Providencia alcalifaciens virulence factors in Drosophila melanogaster," has been formally accepted for publication in PLOS Pathogens. We have now passed your article onto the PLOS Production Department who will complete the rest of the pre-publication process. All authors will receive a confirmation email upon publication. The corresponding author will soon be receiving a typeset proof for review, to ensure errors have not been introduced during production. Please review the PDF proof of your manuscript carefully, as this is the last chance to correct any scientific or type-setting errors. Please note that major changes, or those which affect the scientific understanding of the work, will likely cause delays to the publication date of your manuscript. Note: Proofs for Front Matter articles (Pearls, Reviews, Opinions, etc...) are generated on a different schedule and may not be made available as quickly. Soon after your final files are uploaded, the early version of your manuscript, if you opted to have an early version of your article, will be published online. The date of the early version will be your article's publication date. The final article will be published to the same URL, and all versions of the paper will be accessible to readers. Thank you again for supporting open-access publishing; we are looking forward to publishing your work in PLOS Pathogens. Best regards, Kasturi Haldar Editor-in-Chief PLOS Pathogens ​orcid.org/0000-0001-5065-158X Michael Malim Editor-in-Chief PLOS Pathogens orcid.org/0000-0002-7699-2064
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