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Genetics, Vol. 174, 575-584, October 2006, Copyright © 2006
doi:10.1534/genetics.106.060889
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Departamento de Genética, Facultad de Biología, Universidad de Sevilla, Seville 41080, Spain
1 Corresponding author: Departamento de Genética, Facultad de Biología, Universidad de Sevilla, Apartado 1095, Sevilla 41080, Spain.
E-mail: casadesus{at}us.es
| ABSTRACT |
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AT transitions and induces the expression of genes belonging to the OxyR and SoxRS regulons, suggesting that bile salts may cause oxidative DNA damage. S. enterica mutants lacking both exonuclease III (XthA) and endonuclease IV (Nfo) are bile sensitive, indicating that S. enterica requires base excision repair (BER) to overcome DNA damage caused by bile salts. Bile resistance also requires DinB polymerase, suggesting the need of SOS-associated translesion DNA synthesis. Certain recombination functions are also required for bile resistance, and a key factor is the RecBCD enzyme. The extreme bile sensitivity of RecB, RecC, and RecA RecD mutants provides evidence that bile-induced damage may impair DNA replication.
Bile is a digestive secretion produced in the mammalian liver and stored in the gall bladder. The composition of bile is complex and includes bile salts, cholesterol, bilirubin, phospholipids, and a variety of proteins (HOFMANN 1998). Bile salts act as detergents and have strong antibacterial activity (GUNN 2000). A decrease in bile production, which can be caused either by malnourishment or by biliary pathological conditions, increases the susceptibility of the individual to a variety of bacterial pathogens (GUNN 2000). However, enteric bacteria are resistant to bile. Envelope structures act as barriers that reduce intake of bile salts (PICKEN and BEACHAM 1977; PROUTY et al. 2002; PUCCIARELLI et al. 2002; RAMOS-MORALES et al. 2003); in addition, efflux pumps transport bile salts outside the cell. One such pump, encoded by the acrAB operon of Escherichia coli (ROSENBERG et al. 2003), is also involved in resistance to multiple antibiotics and other antibacterial compounds (MA et al. 1994). Another E. coli efflux system involved in expulsion of both bile and antibiotics is EmrAB (LOMOVSKAYA and LEWIS 1992).
Bile is not merely an antibacterial secretion; certain enteric pathogens use bile as a signal for the control of virulence genes (POPE et al. 1995; PROUTY and GUNN 2000; PROUTY et al. 2004; HUNG and MEKALANOS 2005). An especially interesting case of bile/pathogen interaction is found in S. enterica, which encounters bile in two different situations: (i) in the lumen of the mammalian intestine, where concentrations of bile salts range from 0.2 to 2% (GUNN 2000), and (ii) in the gall bladder, where much higher concentrations of bile are found (HOFMANN 1998). The presence of S. enterica serovar Typhi in the gall bladder is characteristic of the asymptomatic "carrier state" of typhoid. Furthermore, hepatobiliar infections caused by S. enterica serovar Typhi and other Salmonella serovars cause acute cholecystitis (LALITHA and JOHN 1994).
An investigation of the causes of bile sensitivity in DNA adenine methylase (Dam) mutants of S. enterica serovar Typhimurium indicated that bile causes damage to Salmonella DNA and increases the rates of gene rearrangements and point mutations (PRIETO et al. 2004). Bile may have similar effects on E. coli DNA, as indicated by the observation that exposure to bile salts induces genes of the SOS network (H. BERNSTEIN et al. 1999). Evidence that bile salts likewise can be mutagenic in eukaryotic cells has existed for decades (COOK et al. 1940). A recent, comprehensive review on bile-induced mutagenesis in humans suggests that high levels of bile salts increase the frequencies of several types of cancer (BERNSTEIN et al. 2005). In turn, epidemiologic studies have shown a relationship between Salmonella-induced gallstone formation and the development of hepatobiliary carcinomas (DUTTA et al. 2000). Below we describe investigations aimed at identifying the DNA-damaging compounds contained in bile, the origin of nucleotide substitutions caused by bile exposure, and the DNA repair mechanisms that contribute to bile resistance in S. enterica.
| MATERIALS AND METHODS |
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Construction of S.enterica mutants by gene targeting:
Disruption of selected genes in the S. enterica chromosome was achieved by adapting to S. enterica a gene-targeting method previously described in E. coli (DATSENKO and WANNER 2000). Primers designed to eliminate specific DNA stretches, based on the LT2 nucleotide sequence (MCCLELLAND et al. 2001), are shown in supplemental Table 1 at http://www.genetics.org/supplemental/. When necessary, the kanamycin resistance cassette introduced by the gene-targeting procedure was eliminated by recombination with plasmid pCP20 (DATSENKO and WANNER 2000). Pairs of additional external PCR primers were used to verify the predicted gene deletions (supplemental Table 1 at http://www.genetics.org/supplemental/).
Construction of transcriptional lac fusions in the Salmonella chromosome:
FRT sites generated by excision of Kmr cassetes (DATSENKO and WANNER 2000) were used to integrate plasmid pCE37 (ELLERMEIER et al. 2002) to generate transcriptional fusions in the dps, katG, nfo, and fumC genes of S. enterica.
Minimal inhibitory concentrations of sodium deoxycholate and ox bile extract:
Exponential cultures in LB broth were prepared. Samples containing
3 x 102 colony-forming-units were transferred to polypropylene microtiter plates (Soria Genlab, Valdemoro, Spain) containing known amounts of sodium deoxycholate or ox bile extract. After 12 hr incubation at 37°, growth was monitored visually. Assays were carried out in triplicate. Student's t-test was used to analyze every minimal inhibitory concentration (MIC). The null hypothesis was that MICs were not significantly different from the MIC for the wild type. P-values of
0.01 were considered significant.
Estimation of mutation rates using lac alleles:
Aliquots containing
106 cells were added to tubes of LB containing 15% bile. The cultures were incubated at 37° until saturation (
109 cells/ml), washed twice with phosphate-buffered saline (PBS), and concentrated 25-fold. Aliquots were then spread on NCElactose plates. Lac+ revertants were scored after 48 hr incubation at 37°. Viable cell counts were carried out on NCEglucose plates. Mutation rates were calculated using the median method (LEA and COULSON 1949).
ß-Galactosidase assays:
Levels of ß-galactosidase activity were assayed using the CHCl3sodium dodecyl sulfate permeabilization procedure (MILLER 1972). Plate tests for monitoring ß-galactosidase activity were carried out as described elsewhere (PRIETO et al. 2004), using 5-bromo-4-chloro-3-indolyl-ß-D-galactopyranoside ("X-gal," Sigma Chemical) as indicator. To monitor the ß-galactosidase activities of dps::lac, katG::lac, nfo::lac, and fumC::lac fusions in response to sodium deoxycholate, exponential cultures in LB were washed with PBS buffer and resuspended in PBS containing 5% sodium deoxycholate. The bacterial suspensions were incubated with shaking at 37° for 3 hr and washed twice with PBS before measuring ß-galactosidase activities.
| RESULTS |
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These experiments indicated that exposure to bile induces GC
AT transitions, a pattern previously described for DNA-alkylating agents such as ethyl methanesulfonate and N-methyl-N'-nitro-N-nitrosoguanidine (CUPPLES and MILLER 1989) and also for DNA-oxidizing agents (KREUTZER and ESSIGMANN 1998). Although the detailed spectrum of a given mutagen ideally requires the use of multiple sites to monitor each specific mutagenic event, the occurrence of GC
AT transitions provided preliminary evidence that bile salts could be either alkylating agents or oxidizing agents.
Genetic evidence that bile salts cause DNA oxidative damage:
If bile caused oxidation of DNA, we reasoned, S. enterica mutants lacking functions involved in repair of DNA oxidation could be expected to be bile sensitive. The same rationale was applied to repair of DNA alkylation. On these grounds, appropriate mutants were constructed and tested for growth in the presence of sodium deoxycholate and ox bile. These surveys provided evidence that bile salts may cause DNA oxidation rather than DNA alkylation:
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CG transversions (FOWLER et al. 2003) while exposure to bile increases GC
AT transitions. Despite this evidence against the occurrence of 8-oxoG as a bile-induced lesion, we tested whether mutations in the GO system caused bile sensitivity. For this purpose, we estimated the MICs of sodium deoxycholate and ox bile extract for MutT, MutY, and MutM MutY mutants. None of them was bile sensitive (Table 2), providing further evidence that exposure to bile salts does not result in 8-oxoG formation. An alternative possibility is that bile salts may cause cytosine oxidation, which does increase GC
AT transitions (KREUTZER and ESSIGMANN 1998). Whatever the primary lesion(s), the observation that an Nth Nei mutant of S. enterica is resistant to bile salts (Table 2) may suggest that such lesions are not substrates for endonucleases III (Nth) and VIII (Nei), two BER enzymes with overlapping substrate specificities for oxidative damage products (PURMAL et al. 1998; DIZDAROGLU et al. 2001).
Induction of the S. enterica OxyR and SoxS regulons in the presence of bile:
In both E. coli and S. enterica, oxidative stress induces a variety of defense functions (DEMPLE 1999). Key factors in inducible oxidative stress responses are the OxyR and SoxR transcription factors that control expression of the OxyR and SoxRS regulons, respectively (STORZ and IMLAY 1999; VOLKERT and LANDINI 2001). If bile salts cause oxidative damage as suggested by the mutant analyses described in Genetic evidence that bile salts cause DNA oxidative damage, exposure of S. enterica to bile should induce the OxyR and SoxRS regulons. On these grounds, we monitored the expression of selected OxyR- and SoxRS-regulated genes in response to sodium deoxycholate. Transcriptional lac fusions were constructed in dps and katG, two genes of the OxyR regulon that undergo strong induction upon oxidative damage (ZHENG et al. 2001), and in nfo and fumC, two genes of the SoxRS regulon (LIOCHEV and FRIDOVICH 1992; LI and DEMPLE 1994). All the fusions increased their expression in the presence of sodium deoxycholate (Figure 2), indicating that exposure to bile does induce the OxyR and SoxRS regulons. These observations provide additional evidence that bile salts may be DNA-oxidizing agents. Deoxycholate-mediated activation of promoters that respond to oxidative stress has been also described in E. coli (C. BERNSTEIN et al. 1999) and in human cell lines (H. BERNSTEIN et al. 1999).
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140 mg/ml of ox bile and
70 mg/ml sodium deoxycholate (Table 2). Hence, none of the individual exonucleases involved (exonuclease III, endonuclease VIII, endonuclease III, and endonuclease IV) is essential for bile resistance.
Nucleotide excision repair is dispensable for bile resistance:
To investigate whether NER plays a role in bile resistance, we tested the effect of uvrB gene disruption. UvrB is a subunit of excision nuclease and is part of the UvrABC excision complex (BRAUN and GROSSMAN 1974; SEEBERG 1978). The MICs of bile and sodium deoxycholate were similar in a S. enterica UvrB mutant and in the wild type (Table 2), indicating that nucleotide excision repair is dispensable for bile resistance. NER is usually involved in repair of DNA distortions involving bulky base adducts (FRIEDBERG et al. 1995). Hence, the observation that NER is dispensable for bile resistance suggests that the DNA lesions caused by bile salts are nondistortive. Oxidized bases, as proposed above, would certainly fit in this category.
Role of SOS induction in bile resistance:
Exposure of S. enterica to bile triggers SOS induction in a dose-dependent manner (PRIETO et al. 2004). To examine whether SOS induction was required for bile resistance, we compared the minimal inhibitory concentration of bile in the wild type and in an isogenic LexA(Ind) mutant. The latter was found to be bile sensitive (Table 2), suggesting that SOS induction is indeed required to cope with bile-induced DNA damage. We also examined whether the SOS-induced DNA polymerases DinB (Pol IV) and UmuDC (Pol V) were involved in bile resistance. A DinB mutant was found to be bile sensitive while an UmuD mutant was bile resistant (Table 2). These observations suggest that DNA replication in the presence of bile salts requires Pol IV-mediated translesion synthesis, while Pol V is not involved. It is well known that UmuDC and DinB have distinct abilities to replicate over DNA templates, depending on the nature of the lesions produced (SUTTON et al. 2000; KOKUBO et al. 2005). Hence, our data suggest that lesions caused by bile may impair DNA replication and that translesion synthesis of bile-damaged DNA may occur via Pol IV. This view is consistent with the observation that exposure to bile increases 1 frameshifts in a LexA-dependent manner (PRIETO et al. 2004).
The involvement of the SOS response in bile resistance might also reflect the need of homologous recombination for survival after bile exposure (see below). In E. coli, certain recombination functions (e.g., RecA and RecN) are known to be part of the SOS regulon (KHIL and CAMERINI-OTERO 2002).
Role of homologous recombination in bile resistance:
To identify recombination functions of S. enterica required for bile resistance, strains carrying recA, recB, recC, recD, recF, and recJ mutations (individually or combined) were tested for sensitivity to ox bile extract and to sodium deoxycholate. The MICs obtained are shown in Table 3. Relevant observations are as follows:
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| DISCUSSION |
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AT transitions; (ii) sodium deoxycholate activates transcription of genes belonging to the oxidative-damage-responsive OxyR and SoxSR regulons; and (iii) S. enterica mutants lacking exonuclease III (XthA) and endonuclease IV (Nfo) are extremely sensitive to bile (Table 2). Evidence that bile salts cause base oxidative damage also has been obtained in eukaryotic cells (BERNSTEIN et al. 2005).
A common outcome of oxidative damage is the formation of 8-oxoG. However, the absence of transversions, especially GC
TA (FOWLER et al. 2003), among bile-induced mutations suggests that 8-oxoG is not the major primary lesion caused by bile. This hypothesis is further supported by the observation that S. enterica mutants lacking functions involved in removal of oxidized forms of guanine (MICHAELS and MILLER 1992; FOWLER et al. 2003) are not sensitive to bile. Hence, we tentatively propose that the GC
AT transitions induced by bile salts may result from the formation of oxidized forms of cytosine, as previously described for other oxidizing agents (KREUTZER and ESSIGMANN 1998).
Whatever the primary lesion caused by bile salts, S. enterica appears to require an ample repertoire of DNA repair functions to cope with the resulting DNA damage. The potential roles of such functions are accommodated in the tentative model in Figure 3. Primary lesions may trigger base excision repair, and the activity of either endonuclease III or exonuclease IV can be expected to produce DNA strand breaks as an intermediate step in the DNA repair process. These DNA strand breaks may impair progression of replication forks, inducing the SOS response; the latter may allow DinB-mediated translesion synthesis. It is also conceivable that bile-induced lesions could directly block DNA replication, thus inducing the SOS response in a direct fashion. In such a scenario, the need of homologous recombination mediated by the RecBCD enzyme might reflect the occurrence of stalled DNA replication forks (UZEST et al. 1995; MICHEL et al. 1997; SEIGNEUR et al. 1998). An alternative explanation for the need of RecA, RecBCD, and DinB polymerase is that exposure to bile might trigger stress-induced mutagenesis, a physiological condition that relies on the same repertoire of DNA repair functions (PONDER et al. 2005).
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During animal infection, S. enterica encounters bile salts in the gut, where bile concentrations are low and changing (HOFMANN 1998). Because bile is not a strong mutagen, it seems, a priori, unlikely that bile-induced DNA damage can be a significant source of genetic polymorphism during intestinal infection (PRIETO et al. 2004). However, Salmonella serovars that cause systemic and chronic infections colonize the gall bladder, where bile can reach a steady concentration of 15% or higher (GUNN 2000). Furthermore, the formation of biofilms on gallstones exposes Salmonella to even higher concentrations of bile salts (PROUTY et al. 2003). Thus, it seems conceivable that bile-induced DNA damage might play a role in the evolution of Salmonella populations in the gall bladder. For instance, the genome rearrangements commonly found in S. typhi strains (ECHEITA and USERA 1998; NG et al. 1999; KOTHAPALLI et al. 2005) might be favored by exposure to bile salts, whose ability to induce DNA rearrangements has been previously shown (PRIETO et al. 2004). Bile-induced mutagenesis might also increase the polymorphism of Salmonella populations in the harsh environment of the mammalian gall bladder, perhaps providing an example of stress-induced genetic variability (ROSENBERG and HASTINGS 2003; SAINT-RUF and MATIC 2006).
The mutagenic effect of bile salts in vivo may be relieved by the presence of bilirubin, which represents
0.3% of the bile composition of healthy humans (HOFMANN 1998) and has been shown to possess antioxidant activity (STOCKER et al. 1987). However, the protective effect of bilirubin may be only partial, as indicated by the observation that ox bile extract has DNA-damaging capacity (PRIETO et al. 2004). Furthermore, epidemiologic studies have unambiguously shown that increased levels of bile, associated either with cholecystitis or with other hepatobiliar disorders, increase the incidence of several types of cancer (BERNSTEIN et al. 2005). Salmonella can play a direct role in some such conditions, either by causing acute cholecystitis or by persisting in the gall bladder of chronic typhoid carriers. In fact, Salmonella-induced gallstone formation has been shown to favor the development of hepatobiliary carcinomas (DUTTA et al. 2000).
| ACKNOWLEDGEMENTS |
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