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Antimicrobial Agents and Chemotherapy, August 2003, p. 2545-2550, Vol. 47, No. 8
0066-4804/03/$08.00+0 DOI: 10.1128/AAC.47.8.2545-2550.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
The Phagocyte Research Laboratory, Department for Rheumatology and Inflammation Research, University of Göteborg, Göteborg, Sweden,1 British Columbia Research Institute for Children's and Women's Health, Vancouver, British Columbia V5Z 4H4, Canada2
Received 2 December 2002/ Returned for modification 10 March 2003/ Accepted 24 May 2003
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The fact that formylated peptides and proteins are specific signatures of bacterial metabolism also makes them attractive targets for our innate immune system, which has adopted a strategy by which to recognize a few highly conserved non-self molecules present on or in a large group of potentially pathogenic microbes (26). Accordingly, the professional phagocytes (granulocytes, monocytes, macrophages) that form our first line of defense against invading microbes (14) express such pattern recognition receptors, for which the N-formylated methionyl group is a critical determinant (35). Because the signals generated by the occupied formyl peptide receptors (FPR) induce chemotaxis, it has been widely held that these receptors evolved to mediate trafficking of phagocytes to sites of bacterial infection. This notion is supported by the fact that N-formyl peptides, in addition to being chemotactic, also possess other proinflammatory properties, such as the ability to activate phagocytes to release antimicrobial peptides and oxidants (30). The importance of proper recognition of formylated peptides is clearly illustrated by the fact that FPR deficiencies are associated with increased susceptibility to bacterial infections (15, 18).
Actinonin is a naturally occurring antibacterial agent (16) that was recently shown to be a potent PDF inhibitor exhibiting antibacterial activity against a wide range of different bacterial species (9). In this study, we have used actinonin to test the hypothesis that bacteria growing in subinhibitory (sublethal) concentrations of a PDF inhibitor release increased amounts of neutrophil-activating peptides with proinflammatory activities. We found that Escherichia coli growing in the presence of actinonin released larger amounts of substances mediating chemotactic migration of neutrophils than did bacteria growing in the absence of the drug. Furthermore, the substances in supernatants from bacteria grown in the presence of actinonin also activated neutrophils to produce larger amounts of superoxide anion than did those from control bacteria. The proinflammatory effects were found to be mediated via the neutrophil FPR, indicating that the neutrophil-activating substances are indeed formylated peptides. These findings indicate that PDF inhibitors, when used in vivo, could have two different effects with implications for bacterial growth, a direct bacteriostatic or bactericidal effect and an indirect proinflammatory effect, which could potentially be used as a new approach to antibacterial chemotherapy.
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Cultivation of bacteria. The model bacterial strain used in this study was E. coli MG1655 grown overnight in Luria broth. Bacteria (106 CFU) from such cultures were spread and allowed to grow overnight at 37°C on Luria agar plates with or without different concentrations of actinonin. Plates containing actinonin at a dose that has no effect on bacterial growth (routinely 20 µg/ml for strain MG1655) were used to collect bacterial growth products (GP) as previously described (22). Briefly, the soluble bacterial metabolites were collected by washing the plates with cold KRG. The bacteria were removed by centrifugation and filtration through a filter with a pore size of 0.45 µm. The bacterium-free supernatants were kept on ice until use. The six clinical isolates of E. coli (isolated from patients with urinary tract infections) used in this study were handled as described above, except for the actinonin concentrations used (625 µg/ml for five isolates and 62.5 µg/ml for one isolate).
Neutrophil chemotaxis. Neutrophil chemotaxis was determined with Chemo-Tx multiwell chambers (Neuroprobe Inc., Gaithersburg, Md.) in accordance with the instructions given by the manufacturer. Briefly, neutrophils and the bacterium-free supernatant (corresponding to 5 x 108 CFU/ml) were diluted as indicated in KRG supplemented with bovine serum albumin (0.3%, wt/vol), and 30 µl of the neutrophil suspension (106/ml) was placed on top of a polycarbonate filter with a pore size of 3 µm. The bacterium-free supernatants were applied to the lower compartment (below the filter), the neutrophils were allowed to migrate through the filter, and the accumulation of cells in the lower compartments was determined after 90 min of incubation at 37°C. For quantification, the myeloperoxidase content of the migrated cell lysates was determined by addition of a peroxidase substrate (o-phenylenediamine; Dako A/S, Glostrup, Denmark).
Neutrophil NADPH-oxidase activity. Neutrophil superoxide anion production was determined with an isoluminol-enhanced chemiluminescence (CL) system (12). CL activity was measured in a six-channel Biolumat LB 9505 (Berthold Co., Wildbad, Germany) with disposable 4-ml polypropylene tubes and a 0.5-ml reaction mixture. Tubes containing isoluminol (2 x 10-5 M), horseradish peroxidase (2 U), and neutrophils (106/ml) were allowed to equilibrated for 5 min at 37°C, after which 0.05 ml of GP (diluted in KRG as indicated) was added and the light emission was recorded continuously (details of the CL technique are given in reference 12). In some experiments, the FPR-specific antagonist butoxycarbonyl-Phe-Leu-Phe-Leu-Phe-Leu (Boc-PLPLPL) (final concentration, 10-5 M) or cyclosporine H (final concentration, 10-6 M) was coincubated with the reaction mixture for equilibration before the addition of GP. Lipopolysaccharide (LPS)-primed cells were obtained with LPS from E. coli serotype O111:B4. Cells (107/ml) were incubated in the presence or absence of LPS (10 µg/ml; this relatively high concentration is required to induce priming in the absence of serum) at 37°C for 30 min and then directly used for NADPH-oxidase activation studies.
Chemicals. Horseradish peroxidase was purchased from Boehringer-Mannheim (Mannheim, Germany). The deformylase inhibitor actinonin was obtained from Sigma Chemical Co. (St. Louis, Mo.), as were isoluminol, formylmethionyl-leucyl-phenylalanine (fMLF), LPS, and Boc-PLPLPL. Dextran and Ficoll-Paque were from Pharmacia (Uppsala, Sweden). The hexapeptide Trp-Lys-Tyr-Met-Val-Met (WKYMVM) was synthesized and purified by high-performance liquid chromatography by Alta Bioscience (University of Birmingham, Birmingham, United Kingdom), and cyclosporine H was kindly provided by Novartis Pharma (Basel, Switzerland).
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The bacterial GP harvested from our control E. coli grown overnight on plates in the absence of any antibiotics (GP-act) contain neutrophil chemoattractants, as illustrated by the ability to attract cells in a chemotaxis filter assay system (Fig. 1). This result is in agreement with data published earlier showing that a number of different bacteria, including E. coli, can produce and release neutrophil chemoattractants during growth (7, 24, 28). The presence of a subinhibitory concentration of the PDF inhibitor actinonin in the bacterial growth medium resulted in increased release of chemoattractants into the bacterium-free supernatant (GP+act). The maximal migration induced by GP+act was comparable to the maximal migration achieved with the positive control fMLF (final concentration, 10-8 M), and the GP+act attracted more cells than GP-act, even when diluted 10 times more (Fig. 1). Actinonin per se had no effect on neutrophil migration (data not shown).
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FIG. 1. Subinhibitory doses of actinonin affect the production and release of neutrophil chemoattractants. Transmigration of human neutrophils in response to bacterial GP is shown, where GP+act represents strain MG1655 bacteria (corresponding to 5 x 108 CFU/ml) grown in the presence of actinonin (dark gray) and GP-act represents control bacteria grown in the absence of any antibiotics (light gray). The material was further diluted as indicated. Transmigration in response to fMLF (10-8 M; black) and buffer (background; white) is also shown. Migration levels were measured after 90 min of incubation, and the mean plus the standard deviation of triplicate samples in a representative experiment is shown.
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FIG. 2. Actinonin increases bacterial production and release of neutrophil NADPH-oxidase activators in a dose-dependent manner. GP+act (corresponding to 5 x 108 CFU/ml) from strain MG1655 grown in the presence of the different subinhibitory concentrations of actinonin indicated was used to activate the neutrophil NADPH-oxidase. The amounts of neutrophil superoxide production (corresponding to the peak value of the response; see Fig. 3) were determined, and the results are presented as the mean ± the standard deviation from four independent experiments. Mcpm, 106 counts per minute.
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FIG. 3. Actinonin affects bacterial production and release of neutrophil NADPH-oxidase activators. GP (corresponding to 1.4 x 109 CFU/ml) from strain MG1655 grown in the absence (A) or presence (B) of actinonin (20 µg/ml) were diluted as indicated and used for stimulation of human neutrophils. The resulting superoxide anion production was recorded continuously by isoluminol-enhanced CL, and the results of a representative experiment are shown. Mcpm, 106 counts per minute.
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FIG. 4. Priming and inhibition of the neutrophil NADPH-oxidase response induced by GP+act. Cells were treated with LPS (dotted line), cyclosporine H (broken line), or buffer (solid line) for 30 min at 37°C before stimulation with GP+act (corresponding to 5 x 108 CFU/ml). The resulting superoxide anion production was recorded by isoluminol-enhanced CL, and the results of a representative experiment are shown. Mcpm, 106 counts per minute.
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FIG. 5. Desensitization of the neutrophil NADPH-oxidase response induced by GP+act. Neutrophils were either left untreated (solid lines) or pretreated (broken lines) with the FPR agonist fMLF (10-8 M) (A) or the FPRL1 agonist WKYMVM (10-7 M) (B) for 6 min before recording of superoxide anion production was started upon addition of GP+act (corresponding to 5 x 108 CFU/ml). The results of a representative experiment are shown. Mcpm, 106 counts per minute.
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Clinical isolates of E. coli growing in subinhibitory concentrations of actinonin release elevated levels of formylated peptides. To test if actinonin can also cause clinically relevant bacterial strains to produce and release higher levels of neutrophil-activating formylated peptides, six different clinical E. coli isolates from patients with urinary tract infections were investigated. The doses of actinonin required for total inhibition of growth were generally higher for the clinical isolates than for strain MG1655, but as described above for strain MG1655, the optimal subinhibitory concentrations for each of the clinical isolates were titrated and then used for further experiments. The GP+act from all six clinical isolates activated neutrophils to generate and release levels of superoxide anion more than 10-fold higher than the response activated by the corresponding GP-act control supernatants (Table 1). Up to 90% of the neutrophil oxidative responses induced by the GP+act from the clinical isolates were inhibited by the FPR-specific antagonist Boc-PLPLPL (Table 1).
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TABLE 1. Subinhibitory concentrations of actinonin enhance the production of neutrophil-activating substances from clinical E. coli isolatesa
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Actinonin, the naturally occurring antimicrobial substance used in this study, was described some 40 years ago, but it was not until recently that it was shown to be a PDF inhibitor (9). PDF catalyzes the removal of the N-formylated group from newly synthesized proteins before methionine aminopeptidase can remove the deformylated methionine. It is thus reasonable to hypothesize that bacteria growing in the presence of subinhibitory concentrations of PDF inhibitors increase their production and release of N-formylated peptides. Our data showing increased release of neutrophil-activating peptides from strain MG1655 cells grown in the presence of actinonin support this hypothesis. The suggestion that the increased level of neutrophil-activating peptides released from bacteria in the presence of actinonin really reflects the presence of formylated peptides is based on the following findings: (i) the kinetics of superoxide production resembles that induced by fMLF; (ii) upregulation of FPR to the cell surface by LPS results in an enhanced (primed) response to fMLF, as well as GP+act; (iii) desensitization of FPR, but not of FPRL1, abolished the GP+act-induced response; and (iv) FPR-specific antagonists inhibit the response.
The deformylation of microbial proteins, catalyzed by PDF, is an essential part of the synthesis machinery for bacteria, as illustrated by the fact that deletion of the pdf gene arrests bacterial growth (8, 33). PDF mutants (which are also resistant to formylase inhibitors) can survive only if the host bacterium also has a mutation in the gene coding for the transformylase. This is the enzyme required to formylate methionine and, as illustrated by the fact that a functional deficiency in this gene alone results in severely impaired bacterial growth, the whole formylation-deformylation process is vital for microbial survival and growth (11, 17). The system is by no means perfect, however, and it has been known for a long time that microbial metabolic activity is associated with a low level of N-formyl peptide release (7, 24, 28). This may be the result of a "leaky" metabolic system, but it has also been suggested that such peptides represent N-terminal signal peptides from newly synthesized bacterial proteins, which are cleaved by prokaryotic signal peptidases present in the bacterial cell wall (24). The efficiency and rate of deformylation are most probably also affected by the sequence of amino acids in the N terminus, as well as their susceptibility to oxidation (31).
It has been known for more than 20 years that formylated peptides are recognized by specific G-protein-linked, seven-transmembrane-spanning receptors on professional phagocytes such as neutrophils and monocytes/macrophages (29). Since N-formyl peptides are products of bacterial metabolism, and their binding to a specific phagocyte receptor (FPR) induces chemotaxis and activation of phagocytes that are critical effector cells in our innate immune system, it is reasonable to assume that the interaction between these two counterparts (formylated peptides and FPR) is important in the antimicrobial host defense. It is interesting that some bacteria, such as Staphylococcus aureus, can secrete molecules that inhibit the formylated-peptide-coupled response in neutrophils (34). Direct proof of the importance of these two counterparts in vivo has been obtained recently with mice lacking the orthologue of human FPR. These animals show increased susceptibility to Listeria infections, clearly illustrating that the functional repertoire induced by N-formyl peptides is of importance for a proper antibacterial host defense (15). It should be noted that the impaired antimicrobial host defense is manifested in FPR-/- animals although the murine orthologue of the human FPR requires 100-fold higher concentrations of N-formylated ligand to become activated (6). Additionally, neutrophils with dysfunctional FPR have been described in patients suffering from localized juvenile periodontitis (18, 32). Functionally intact FPR in human neutrophils is thus of importance for the host defense against Actinomyces actinomycetemcomitans, the microbe responsible for the localized juvenile periodontitis.
PDF belongs to one of the more extensively studied enzyme groups, the metalloproteases, and these enzymes are excellent precedents for a rational approach to drug design. Accordingly, the use of PDF as a potential target for antimicrobial drug design was introduced in the late 1990s (20), and an increasing number of different PDF inhibitors have been constructed and described during the last couple of years. Most of them have the same generic inhibitor structure as actinonin (36), but in contrast to actinonin, some of the newly described PDF inhibitors (11, 13, 19) are also active in vivo when administered both intravenously and orally. More studies are needed for successful development of PDF inhibitors as a new class of chemotherapeutic agents with a dual function as microbial growth inhibitors and amplifiers of the innate immune reaction. Such chemotherapeutic agents could be a valuable complement to the shrinking arsenal of antibiotics available for the treatment of infections caused by an increasing number of multidrug-resistant bacteria.
We are grateful to Christine Wennerås for providing the clinical E. coli isolates.
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