Microbiology & Immunology - Research Publications

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    Farewell Stan Stanley Falkow: 1934-2018.
    Cabello, FC ; Cohen, SN ; Curtiss, R ; Dougan, G ; van Embden, J ; Finlay, BB ; Heffron, F ; Helinski, D ; Hull, R ; Hull, S ; Isberg, R ; Kopecko, DJ ; Levy, S ; Mekalanos, J ; Ortiz, JM ; Rappuoli, R ; Roberts, MC ; So, M ; Timmis, KN (Wiley, 2018-07)
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    An investigation into the Omp85 protein BamK in hypervirulent Klebsiella pneumoniae, and its role in outer membrane biogenesis
    Torres, VVL ; Heinz, E ; Stubenrauch, CJ ; Wilksch, JJ ; Cao, H ; Yang, J ; Clements, A ; Dunstan, RA ; Alcock, F ; Webb, CT ; Dougan, G ; Strugnell, RA ; Hay, ID ; Lithgow, T (WILEY, 2018-09)
    Members of the Omp85 protein superfamily have important roles in Gram-negative bacteria, with the archetypal protein BamA being ubiquitous given its essential function in the assembly of outer membrane proteins. In some bacterial lineages, additional members of the family exist and, in most of these cases, the function of the protein is unknown. We detected one of these Omp85 proteins in the pathogen Klebsiella pneumoniae B5055, and refer to the protein as BamK. Here, we show that bamK is a conserved element in the core genome of Klebsiella, and its expression rescues a loss-of-function ∆bamA mutant. We developed an E. coli model system to measure and compare the specific activity of BamA and BamK in the assembly reaction for the critical substrate LptD, and find that BamK is as efficient as BamA in assembling the native LptDE complex. Comparative structural analysis revealed that the major distinction between BamK and BamA is in the external facing surface of the protein, and we discuss how such changes may contribute to a mechanism for resistance against infection by bacteriophage.
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    Interleukin-22 promotes phagolysosomal fusion to induce protection against Salmonella enterica Typhimurium in human epithelial cells
    Forbester, JL ; Lees, EA ; Goulding, D ; Forrest, S ; Yeung, A ; Speak, A ; Clare, S ; Coomber, EL ; Mukhopadhyay, S ; Kraiczy, J ; Schreiber, F ; Lawley, TD ; Hancock, REW ; Uhlig, HH ; Zilbauer, M ; Powrie, F ; Dougan, G (NATL ACAD SCIENCES, 2018-10-02)
    Intestinal epithelial cells (IECs) play a key role in regulating immune responses and controlling infection. However, the direct role of IECs in restricting pathogens remains incompletely understood. Here, we provide evidence that IL-22 primed intestinal organoids derived from healthy human induced pluripotent stem cells (hIPSCs) to restrict Salmonella enterica serovar Typhimurium SL1344 infection. A combination of transcriptomics, bacterial invasion assays, and imaging suggests that IL-22-induced antimicrobial activity is driven by increased phagolysosomal fusion in IL-22-pretreated cells. The antimicrobial phenotype was absent in hIPSCs derived from a patient harboring a homozygous mutation in the IL10RB gene that inactivates the IL-22 receptor but was restored by genetically complementing the IL10RB deficiency. This study highlights a mechanism through which the IL-22 pathway facilitates the human intestinal epithelium to control microbial infection.
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    New Variant of Multidrug-Resistant Salmonella enterica Serovar Typhimurium Associated with Invasive Disease in Immunocompromised Patients in Vietnam
    Mather, AE ; Tu, LTP ; Gao, Y ; Clare, S ; Mukhopadhyay, S ; Goulding, DA ; Nhu, TDH ; Ha, TT ; Nguyen, PHL ; Thompson, CN ; Nguyen, HTT ; Carrique-Mas, J ; Ngo, TT ; Campbell, JI ; Rabaa, MA ; Duy, PT ; Harcourt, K ; Ngo, TH ; Nguyen, VT ; Schultsz, C ; Perron, GG ; Coia, JE ; Brown, DJ ; Okoro, C ; Parkhill, J ; Thomson, NR ; Nguyen, VVC ; Thwaites, GE ; Maskell, DJ ; Dougan, G ; Kenney, LJ ; Baker, S ; Sansonetti, PJ (AMER SOC MICROBIOLOGY, 2018-09-04)
    Nontyphoidal Salmonella (NTS), particularly Salmonella enterica serovar Typhimurium, is among the leading etiologic agents of bacterial enterocolitis globally and a well-characterized cause of invasive disease (iNTS) in sub-Saharan Africa. In contrast, S Typhimurium is poorly defined in Southeast Asia, a known hot spot for zoonotic disease with a recently described burden of iNTS disease. Here, we aimed to add insight into the epidemiology and potential impact of zoonotic transfer and antimicrobial resistance (AMR) in S Typhimurium associated with iNTS and enterocolitis in Vietnam. We performed whole-genome sequencing and phylogenetic reconstruction on 85 human (enterocolitis, carriage, and iNTS) and 113 animal S Typhimurium isolates isolated in Vietnam. We found limited evidence for the zoonotic transmission of S Typhimurium. However, we describe a chain of events where a pandemic monophasic variant of S Typhimurium (serovar I:4,[5],12:i:- sequence type 34 [ST34]) has been introduced into Vietnam, reacquired a phase 2 flagellum, and acquired an IncHI2 multidrug-resistant plasmid. Notably, these novel biphasic ST34 S Typhimurium variants were significantly associated with iNTS in Vietnamese HIV-infected patients. Our study represents the first characterization of novel iNTS organisms isolated outside sub-Saharan Africa and outlines a new pathway for the emergence of alternative Salmonella variants into susceptible human populations.IMPORTANCESalmonella Typhimurium is a major diarrheal pathogen and associated with invasive nontyphoid Salmonella (iNTS) disease in vulnerable populations. We present the first characterization of iNTS organisms in Southeast Asia and describe a different evolutionary trajectory from that of organisms causing iNTS in sub-Saharan Africa. In Vietnam, the globally distributed monophasic variant of Salmonella Typhimurium, the serovar I:4,[5],12:i:- ST34 clone, has reacquired a phase 2 flagellum and gained a multidrug-resistant plasmid to become associated with iNTS disease in HIV-infected patients. We document distinct communities of S Typhimurium and I:4,[5],12:i:- in animals and humans in Vietnam, despite the greater mixing of these host populations here. These data highlight the importance of whole-genome sequencing surveillance in a One Health context in understanding the evolution and spread of resistant bacterial infections.
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    Induction of Cell Cycle and NK Cell Responses by Live-Attenuated Oral Vaccines against Typhoid Fever
    Blohmke, CJ ; Hill, J ; Darton, TC ; Carvalho-Burger, M ; Eustace, A ; Jones, C ; Schreiber, F ; Goodier, MR ; Dougan, G ; Nakaya, HI ; Pollard, AJ (FRONTIERS MEDIA SA, 2017-10-12)
    The mechanisms by which oral, live-attenuated vaccines protect against typhoid fever are poorly understood. Here, we analyze transcriptional responses after vaccination with Ty21a or vaccine candidate, M01ZH09. Alterations in response profiles were related to vaccine-induced immune responses and subsequent outcome after wild-type Salmonella Typhi challenge. Despite broad genetic similarity, we detected differences in transcriptional responses to each vaccine. Seven days after M01ZH09 vaccination, marked cell cycle activation was identified and associated with humoral immunogenicity. By contrast, vaccination with Ty21a was associated with NK cell activity and validated in peripheral blood mononuclear cell stimulation assays confirming superior induction of an NK cell response. Moreover, transcriptional signatures of amino acid metabolism in Ty21a recipients were associated with protection against infection, including increased incubation time and decreased severity. Our data provide detailed insight into molecular immune responses to typhoid vaccines, which could aid the rational design of improved oral, live-attenuated vaccines against enteric pathogens.
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    Genome Sequence of Porcine Escherichia coli Strain IMT8073, an Atypical Enteropathogenic E. coli Strain Isolated from a Piglet with Diarrhea.
    Semmler, T ; Eichhorn, I ; Bethe, A ; Bauerfeind, R ; Pickard, D ; Kingsley, RA ; Dougan, G ; Wieler, LH (American Society for Microbiology, 2013-08-01)
    Escherichia coli is a highly diverse bacterial species, with atypical enteropathogenic E. coli (aEPEC) causing intestinal disease in both human and animal hosts. Here, we report the first complete genome sequence of an aEPEC strain of sequence type ST794 and serotype Ont:H7, isolated from a diseased piglet.
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    Correction: Signatures of Adaptation in Human Invasive Salmonella Typhimurium ST313 Populations from Sub-Saharan Africa.
    Okoro, CK ; Barquist, L ; Connor, TR ; Harris, SR ; Clare, S ; Stevens, MP ; Arends, MJ ; Hale, C ; Kane, L ; Pickard, DJ ; Hill, J ; Harcourt, K ; Parkhill, J ; Dougan, G ; Kingsley, RA (Public Library of Science (PLoS), 2015-06)
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    Phylogenetic Analysis of Klebsiella pneumoniae from Hospitalized Children, Pakistan
    Ejaz, H ; Wang, N ; Wilksch, JJ ; Page, AJ ; Cao, H ; Gujaran, S ; Keane, JA ; Lithgow, T ; ul-Haq, I ; Dougan, G ; Strugnell, RA ; Heinz, E (CENTERS DISEASE CONTROL & PREVENTION, 2017-11)
    Klebsiella pneumoniae shows increasing emergence of multidrug-resistant lineages, including strains resistant to all available antimicrobial drugs. We conducted whole-genome sequencing of 178 highly drug-resistant isolates from a tertiary hospital in Lahore, Pakistan. Phylogenetic analyses to place these isolates into global context demonstrate the expansion of multiple independent lineages, including K. quasipneumoniae.
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    Sequence-Based Analysis Uncovers an Abundance of Non-Coding RNA in the Total Transcriptome of Mycobacterium tuberculosis
    Arnvig, KB ; Comas, I ; Thomson, NR ; Houghton, J ; Boshoff, HI ; Croucher, NJ ; Rose, G ; Perkins, TT ; Parkhill, J ; Dougan, G ; Young, DB ; Bishai, WR (PUBLIC LIBRARY SCIENCE, 2011-11)
    RNA sequencing provides a new perspective on the genome of Mycobacterium tuberculosis by revealing an extensive presence of non-coding RNA, including long 5' and 3' untranslated regions, antisense transcripts, and intergenic small RNA (sRNA) molecules. More than a quarter of all sequence reads mapping outside of ribosomal RNA genes represent non-coding RNA, and the density of reads mapping to intergenic regions was more than two-fold higher than that mapping to annotated coding sequences. Selected sRNAs were found at increased abundance in stationary phase cultures and accumulated to remarkably high levels in the lungs of chronically infected mice, indicating a potential contribution to pathogenesis. The ability of tubercle bacilli to adapt to changing environments within the host is critical to their ability to cause disease and to persist during drug treatment; it is likely that novel post-transcriptional regulatory networks will play an important role in these adaptive responses.
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    Multilocus Sequence Typing as a Replacement for Serotyping in Salmonella enterica
    Achtman, M ; Wain, J ; Weill, F-X ; Nair, S ; Zhou, Z ; Sangal, V ; Krauland, MG ; Hale, JL ; Harbottle, H ; Uesbeck, A ; Dougan, G ; Harrison, LH ; Brisse, S ; Bessen, DE (PUBLIC LIBRARY SCIENCE, 2012-06)
    Salmonella enterica subspecies enterica is traditionally subdivided into serovars by serological and nutritional characteristics. We used Multilocus Sequence Typing (MLST) to assign 4,257 isolates from 554 serovars to 1092 sequence types (STs). The majority of the isolates and many STs were grouped into 138 genetically closely related clusters called eBurstGroups (eBGs). Many eBGs correspond to a serovar, for example most Typhimurium are in eBG1 and most Enteritidis are in eBG4, but many eBGs contained more than one serovar. Furthermore, most serovars were polyphyletic and are distributed across multiple unrelated eBGs. Thus, serovar designations confounded genetically unrelated isolates and failed to recognize natural evolutionary groupings. An inability of serotyping to correctly group isolates was most apparent for Paratyphi B and its variant Java. Most Paratyphi B were included within a sub-cluster of STs belonging to eBG5, which also encompasses a separate sub-cluster of Java STs. However, diphasic Java variants were also found in two other eBGs and monophasic Java variants were in four other eBGs or STs, one of which is in subspecies salamae and a second of which includes isolates assigned to Enteritidis, Dublin and monophasic Paratyphi B. Similarly, Choleraesuis was found in eBG6 and is closely related to Paratyphi C, which is in eBG20. However, Choleraesuis var. Decatur consists of isolates from seven other, unrelated eBGs or STs. The serological assignment of these Decatur isolates to Choleraesuis likely reflects lateral gene transfer of flagellar genes between unrelated bacteria plus purifying selection. By confounding multiple evolutionary groups, serotyping can be misleading about the disease potential of S. enterica. Unlike serotyping, MLST recognizes evolutionary groupings and we recommend that Salmonella classification by serotyping should be replaced by MLST or its equivalents.