article: Enteropathogenic and enterohemorrhagic Escherichia coli (EPEC and EHEC) are closely-related pathogens that attach tightly to intestinal epithelial cells, efface microvilli, and promote cytoskeletal rearrangements into protrusions called actin pedestals. To trigger pedestal formation, EPEC employs the tyrosine phosphorylated transmembrane receptor Tir, while EHEC relies on the multivalent scaffolding protein EspFU. The ability to generate these structures correlates with bacterial colonization in several animal models, but the precise function of pedestals in infection remains unclear. To address this uncertainty, we characterized the colonization properties of EPEC and EHEC during infection of polarized epithelial cells. We found that EPEC and EHEC both formed distinct bacterial communities, or “macrocolonies, ” that encompassed multiple host cells. Tir and EspFU, as well as the host Arp2/3 complex, were all critical for the expansion of macrocolonies over time. Unexpectedly, EspFU accelerated the formation of larger macrocolonies compared to EPEC Tir, as EspFU-mediated actin assembly drove faster bacterial motility to cell junctions, where bacteria formed a secondary pedestal on a neighboring cell and divided, allowing one of the daughters to disengage and infect the second cell. Collectively, these data reveal that EspFU enhances epithelial colonization by increasing actin-based motility and promoting an efficient method of cell-to-cell transmission.
  Many pathogens reorganize the cytoskeleton of their host cells during the course of infection. These include the intracellular bacteria Listeria monocytogenes and Shigella flexneri, which generate filamentous actin “comet tails” that propel the bacteria through the cytosol, drive the formation of membrane protrusions, and ultimately spread the infection to neighboring cells [1–3]. Enterohemorrhagic and enteropathogenic Escherichia coli (EHEC and EPEC) are also capable of reorganizing actin, but these pathogens remain extracellular and signal across the plasma membrane to create structures called attaching and effacing (A/E) lesions [4]. A/E lesions are characterized by intimate attachment of the bacteria to the host cell membrane, a loss of microvilli, and assembly of filamentous actin “pedestals” beneath the bacteria [5,6]. The ability to form these lesions correlates with pathogenesis, because EHEC and EPEC mutants that are unable to adhere intimately to host cells fail to colonize or cause disease in animal models [7–11], intestinal explants [12], and human volunteers [13,14]. Since the discovery of pedestals nearly three decades ago [6], the mechanisms of actin assembly within these structures have been fairly well characterized. However, the function of pedestals in the cellular basis of disease remains relatively unclear. To generate actin pedestals, EHEC and EPEC each use a type three secretion system (T3SS) for injecting effector proteins into mammalian host cells [15]. Among the numerous effectors is the translocated intimin receptor, Tir, which is inserted into the plasma membrane and binds to the adhesin intimin expressed on the bacterial surface, thereby forming a tight attachment to the host cell [16,17]. The EPEC version of Tir becomes tyrosine phosphorylated at residue 474 by host cell kinases [18–20] and binds to the adaptor proteins Nck1 and Nck2 [21,22], which recruit N-WASP [23], an activator of the Arp2/3 complex that promotes actin nucleation to form a pedestal [24]. The EHEC version of Tir does not become tyrosine phosphorylated [17], but recruits the host proteins IRTKS [25] and IRSp53 [26] which interact with the EHEC effector protein EspFU, a multivalent and potent activator of N-WASP [27–31]. Although EPEC and EHEC pedestals are triggered by different signaling mechanisms, they are morphologically indistinguishable and contain many of the same host factors [32,33], leading to the widespread belief that their pathogenic functions are similar or equivalent [33]. Early studies suggested that intimate attachment to the plasma membrane by EPEC may play a role in evading phagocytosis [34] or that the intimin-Tir-actin interactions function to anchor the bacteria to the host cell by linking them to the cytoskeleton [35]. However, additional work demonstrated that actin pedestals are dynamic and drive a form of actin-based motility that allows the bacteria to “surf” on top of cultured cells [36,37]. More recent studies implied that actin assembly enhances effector entry either directly or indirectly [38,39], while another has indicated that Tir tyrosine signaling is important for colonization in vivo [40]. Furthermore, actin pedestals appear to promote more stable attachments to cultured cells or to the intestinal mucosa in animal models [39,41,42]. For example, an EHEC strain capable of intimate adherence but deficient in EspFU-mediated actin pedestal assembly was less abundant in the intestines of experimentally infected infant rabbits and gnotobiotic piglets than wild type EHEC [42]. Most strikingly, the use of Citrobacter rodentium strains to model EPEC/EHEC infections revealed that intestinal N-WASP knock-out mice were resistant to infection, and that bacteria harboring a tyrosine-to-phenylalanine Tir mutant colonized the colon in wild type mice less efficiently [41]. Despite this progress, the precise cellular basis for how pedestals promote or enhance colonization has yet to be clearly defined. The current study focused on characterizing the roles of pedestals in anti-phagocytosis, bacterial motility, and epithelial cell colonization. Our findings indicate that EHEC and EPEC pedestals serve similar functions with respect to resisting phagocytosis by macrophages and enabling actin-based motility on non-polarized cells. However, on polarized epithelial cells, EHEC pedestals confer a colonization advantage, allowing for the formation of large “macrocolonies” that encompass several host cells. This EHEC-specific advantage stems from faster EspFU-driven motility and a previously unrecognized mechanism of cell-to-cell bacterial transfer.
  EPEC is able to infect cultured cells better than EHEC in vitro [43,44], and EHEC has a more extensive repertoire of effector proteins than EPEC [15]. Therefore, to study phenotypic differences stemming specifically from the divergent pedestal assembly pathways, we used EPEC strains engineered to express epitope-tagged versions of Tir or EspFU that generate pedestals by either the EPEC or EHEC mechanism. Actin pedestal assembly driven by EPEC Tir relies heavily upon the phosphorylation of tyrosine 474, so to enable immunostaining of EPEC Tir variants capable or incapable of Y474 phosphorylation, we employed two strains of EPEC engineered with chromosomal deletions of tir that harbor low copy number plasmids encoding HA-tagged wild type Tir or a Y474F point mutant [22]. In agreement with previous results showing that Y474 is required for >95% of actin pedestal formation [21,45,46], these two strains, referred to as EPEC Y474* and EPEC Y474F (Fig 1A), were each capable of translocating HA-Tir into HeLa cells, but only EPEC Y474* triggered actin polymerization into intensely-staining pedestals (Fig 1B). In contrast to EPEC, the EHEC pathway of actin polymerization is largely dependent on clustering of the multivalent effector protein, EspFU [31]. To directly compare bacteria proficient for the EspFU-driven mechanism of pedestal assembly to bacteria utilizing EPEC Tir, we employed an EPEC strain encoding HA-tagged EHEC Tir and EHEC intimin in place of the endogenous chromosomal copies of the EPEC genes for Tir and intimin [22]. Referred to as KC12, this strain was transformed with a low copy number plasmid encoding myc-tagged EspFU (KC12+EspFU) to enable pedestal formation (Fig 1A). KC12 harboring an empty vector (KC12+vector) was used as a pedestal-deficient control strain [27]. As expected, both KC12 derivatives translocated HA-Tir into HeLa cells, but intense actin pedestals were only assembled by the EspFU-expressing bacteria (Fig 1B). These strains, isogenic with the exception of the pedestal effectors, were well suited to characterize the functions of the different actin assembly pathways on multiple cell types. Intestinal macrophages serve as an initial line of innate defense in the gut, as they phagocytose bacteria and help maintain tissue homeostasis [47]. Macrophages are also known to rely on N-WASP and the Arp2/3 complex to form protrusions used to engulf bacteria [48]. To test whether the direct manipulation of the actin nucleation machinery by EHEC or EPEC might prevent phagocytosis, human THP-1 monocytes were activated to a macrophage-like state and infected with the strains of KC12 or EPEC that could or could not form pedestals. KC12+EspFU and EPEC Y474* both retained the capacity to translocate Tir and form pedestals on this cell type, while KC12+vector and EPEC Y474F were only capable of Tir translocation (S1A Fig). To differentiate external bacteria from total bacteria, outside-inside staining was performed. These experiments revealed that some bacteria were internalized by THP-1 cells (S1B Fig). LAMP-1 staining of cells infected in parallel confirmed that internalized bacteria were associated with lysosomes (S1C Fig), suggesting that the intracellular bacteria were indeed phagocytosed and targeted for degradation. To determine if there was a discernable difference in phagocytosis of the KC12 and EPEC strains, differential outside-inside staining of infected cells was used to quantify the proportions of extracellular versus intracellular bacteria at various time points (S1D Fig). Extracellular KC12+EspFU and EPEC Y474* were both found in greater quantities than their pedestal deficient counterparts between 30 and 150 min post infection (S1D Fig). Despite recruiting the actin assembly machinery by different mechanisms, resistance to internalization by KC12+EspFU and EPEC Y474* was nearly identical, as approximately 75% of each strain remained extracellular at 90 min. In contrast, the pedestal-deficient strains KC12+vector and EPEC Y474F were internalized in amounts equivalent to a strain that completely lacked the type 3 secretion system (EPECΔT3SS) (S1D Fig). Thus, the ability to form pedestals by either the EHEC or EPEC pathway of actin assembly allows for increased resistance to phagocytosis. EPEC and EHEC actin pedestals were shown to enable bacterial movement, or “surfing” on host cells many years ago, and EPEC was initially found to move at a maximum speed of 4. 2 μm/min [36]. A follow-up study determined that actin polymerization rates within pedestals ranged between 0. 2 and 1. 0 μm/min [37]. However, aside from those preliminary measurements, the properties of EPEC and EHEC movement have not been directly compared. To explore the similarities and differences in motility among bacteria forming EPEC Tir-dependent pedestals versus EspFU-dependent pedestals, NIH3T3 fibroblasts stably expressing mCherry-actin were infected with EPEC or KC12 derivatives, and examined live (Fig 2A, S1 Video). The general movements of actin pedestals that we observed were consistent with previous descriptions [36], as some pedestals remained fairly stationary, while others translocated along the cell surface (Fig 2A). We next tracked the movements of individual bacteria and plotted them so that the starting point at time = 0 was placed at the graph origin (Fig 2B). These experiments illustrated that pedestal proficient bacteria explored the cell surface to a greater extent than pedestal deficient strains, with KC12+EspFU and EPEC Y474* typically traveling through areas with radii of 6–7 μm over an 18 min period, compared to radii of <4 μm for the pedestal deficient KC12+vector and EPEC Y474F bacteria (Fig 2B). Measurements of the speeds of each strain further demonstrated that KC12+EspFU and EPEC Y474* moved at very similar average rates (0. 36 and 0. 39 μm/min, respectively) and maximum rates (4. 14 and 4. 20 μm/min, respectively), and were each twice as fast as their pedestal deficient counterparts KC12+vector and EPEC Y474F (average rates of 0. 17 and 0. 19 μm/min, respectively), whose limited movements could be largely attributed to the fluidity of the plasma membrane or host cell stretching (Fig 2C). Additionally, KC12 and EPEC derivatives completely lacking Tir showed restricted movements similar to those of KC12+vector and EPEC Y474F, (Fig 2B and 2C), indicating that intimate adherence by the latter strains in the absence of a pedestal does not provide a measurable motility advantage. However, strains lacking Tir were still faster than the T3SS mutant, suggesting that the T3SS mutant did not interact with the plasma membrane extensively enough to be influenced by the movement of the underlying cell. (Fig 2B and 2C). To assess potential motility differences between the pedestals of KC12+EspFU and EPEC Y474*, live imaging data was subjected to further quantitative analyses. Based on pedestal tracking, and using the average speeds of pedestal deficient bacteria as background values for defining movement, the fraction of pedestals classified as moving was calculated. By these criteria, equivalent fractions of KC12+EspFU and EPEC Y474* pedestals were scored as moving (Fig 2D), indicating that both the EPEC Tir-dependent and the EspFU-dependent mechanism of actin polymerization promote similar frequencies of motility. Additionally, directional persistence was measured by dividing the displacement of each pedestal by the total path length, making a value of 1 a directly linear route. Both sets of pedestals had values just over 0. 4, indicating that KC12+EspFU and EPEC Y474* display comparable degrees of directional persistence (Fig 2E). Finally, to ensure that the same trend of pedestal-associated motility that we observed for KC12+EspFU was exhibited by bona fide EHEC, movements of WT EHEC, as well as EHECΔespFU mutant strains harboring either the EspFU-myc plasmid or an empty vector control were examined. As expected, the presence of EspFU allowed for significantly faster motility than the pedestal deficient strain (Fig 2F). Collectively, these data highlight numerous similarities between the EHEC and EPEC pedestal assembly pathways in motility and exploration of the surface of non-polarized cells. While our macrophage and fibroblast infections revealed many parallels in function between EspFU- and phospho-Tir-mediated pedestals on these cell types, the ultimate target host cells for EPEC and EHEC are polarized intestinal epithelial cells. To explore potential pedestal-related similarities and differences on epithelial monolayers, we infected polarized JEG-3 (human placental epithelial) and Caco-2 (human colonic epithelial) cells. Staining with antibodies to Ezrin and ZO-1 confirmed that, in contrast to nonpolarized HeLa epithelial cells, JEG-3 and Caco-2 cells contained microvilli and formed tight junctions (S2A Fig). As expected, 6 h of infection resulted in a loss of microvilli, especially in cells with high bacterial burdens (S2B Fig). However, ZO-1 staining was not extensively disrupted at this time point (S2A Fig), and disruption did not correlate with bacterial load (S2B Fig). Immunostaining of adherent bacteria and imaging at high magnification confirmed the presence of actin pedestals (Fig 3A). Interestingly, imaging at low magnification revealed an unexpected colonization phenotype. KC12+EspFU and EPEC Y474* formed discrete infection foci, or “macrocolonies, ” on the polarized cell monolayers (Fig 3B). These were reminiscent of colonies formed on an agar plate or plaques generated by intracellular pathogens. We chose the term macrocolonies to distinguish these structures from the definition of microcolonies as multiple loci of infection on a single cell, or localized adherence patterns driven by bundle-forming pili [49,50], because they were larger and spanned several host cells. To obtain a higher resolution view of KC12+EspFU macrocolonies, electron microscopy was conducted on uninfected and infected polarized Caco-2 cells. Scanning electron micrographs confirmed the immunostaining results, in that the uninfected cells were extensively microvilliated. But, after infection, patches lacking microvilli became apparent while some microvilli had coalesced towards bacteria (Fig 3C), as demonstrated previously for EPEC infections [51]. Similar to our fluorescence microscopy results, bacteria were found in distinct macrocolonies on the monolayer (Fig 3C). Transmission electron microscopy of samples prepared in parallel allowed for sectioning through a macrocolony, and revealed that bacteria generated pedestals (Fig 3D). Collectively, these findings indicate that EPEC and KC12 strains colonize polarized monolayers by forming discrete infection foci, or macrocolonies, which encompass multiple host cells. To further characterize macrocolony biogenesis on Caco-2 cells, we fixed cells at various time points after infection (Fig 3E). At 3 h, colonies were small and were often restricted to one host cell. By 5 h, colonies had increased in size, and a striking difference in colony growth between strains began to emerge, with KC12+EspFU macrocolonies growing significantly larger than EPEC Y474* macrocolonies (Fig 3F). By 7 h, this difference was exacerbated, as the average size of KC12+EspFU colonies was nearly three-fold larger than those formed by EPEC Y474* (Fig 3E and 3F). Although macrocolonies of both strains grew over time, the faster expansion kinetics exhibited by KC12+EspFU highlights a significant and unexpected colonization difference arising from the two different pedestal assembly pathways. To further investigate the difference in macrocolony size between KC12+EspFU and EPEC Y474*, polarized Caco-2 monolayers were infected with these strains, and subjected to frequent washes and media changes to remove unbound bacteria and promote the development of macrocolonies exclusively from bacteria that adhered within the first hour of infection. After 6 h, monolayers were fixed and analyzed by fluorescence microscopy, and the area of each macrocolony over 100 μm2 was measured. In agreement with the time course data, quantification and histogram analysis revealed that KC12+EspFU colonies were notably larger than EPEC Y474* colonies (Fig 4A–4D). This difference was especially apparent when considering structures over 1000 μm2, because these made up 16% of all colonies for KC12+EspFU, but <4% of those for EPEC Y474* (Fig 4B and 4C). After 7 h of infection, this difference in colony size translated to a larger infected area of the monolayer (Fig 4E), and a greater number of infected cells per macrocolony (Fig 4F), despite indistinguishable bacterial multiplication rates under these culture conditions (S3 Fig). To examine if pedestals play a role in determining macrocolony size, cells were also infected with KC12+vector and EPEC Y474F. KC12+vector macrocolonies were significantly smaller than those of their pedestal proficient counterpart (Fig 4A–4D), and while KC12+EspFU had approximately equal numbers of macrocolonies of all size ranges, KC12+vector had many more colonies in the small 100–250 μm2 range than in categories above 500 μm2 (Fig 4A and 4B). Furthermore, KC12+vector infected a smaller percentage of the monolayer, and fewer host cells per macrocolony (Fig 4E and 4F), indicating that EspFU enhances colony size. In contrast, EPEC Y474* did not have any colony size advantage over EPEC Y474F. The size distributions for these two strains were very similar (Fig 4B), and there was no significant difference in average size, area infected, or the number of cells infected per macrocolony (Fig 4D–4F). Surprisingly, KC12+vector infected a larger area of the monolayer and more cells per colony than any of the EPEC Tir-expressing strains, suggesting an important role for the EHEC version of Tir in enhancing macrocolony size. As expected, the T3SS mutant yielded very petite colonies, with 70% falling into the small 100–250 μm2 range (Fig 4A–4C). Collectively, these data suggest that the EHEC mechanism of pedestal assembly provides a colonization advantage over the EPEC pathway of actin polymerization in infections of polarized intestinal epithelia. To further characterize the role of EHEC Tir in colonization, KC12 and KC12Δtir strains harboring EspFU-myc or control plasmids were used to infect Caco-2 monolayers. These variants allowed for an assessment of the individual and combined contributions of Tir and EspFU to colonization. Again, KC12+EspFU formed larger macrocolonies and infected a greater fraction of the epithelial tissue than KC12+vector (Fig 5A–5C). In addition, both strains with tir deletions formed smaller colonies than the Tir-expressing strains (Fig 5A and 5B). EspFU was unable to rescue this defect of KC12Δtir (Fig 5A and 5B), suggesting that EspFU requires Tir to contribute to colonization. Collectively, these results show that EHEC Tir can promote the development of macrocolonies and that its effects are enhanced by EspFU. To ensure that EspFU plays an equally important role in colonization by EHEC, Caco-2 monolayers were infected with WT EHEC, as well as an EspFU deletion strain and a complemented strain expressing EspFU-myc. Macrocolonies of EHECΔespFU+vector were significantly smaller than WT EHEC, and this deficiency was rescued by the EspFU-myc plasmid (Fig 5D–5E). Since EspFU is capable of interacting with the EPEC version of Tir to promote Nck-independent actin polymerization [52], we further hypothesized that adding EspFU to EPEC might enhance EPEC macrocolony size. In fact, infection of polarized Caco-2 monolayers with EPEC+EspFU confirmed that EspFU localized to EPEC pedestals (S4A Fig), and revealed that EPEC+EspFU macrocolonies were 25% larger than those formed by WT EPEC (Fig 5F–5G). However, KC12+EspFU still produced the largest macrocolonies, underscoring the importance of EHEC Tir (Fig 5G). These data indicate that EspFU is able to enhance macrocolony size using either the EHEC or EPEC version of Tir. Because EHEC Tir and EspFU trigger pedestal assembly and increase macrocolony size, we speculated that disrupting pedestal formation on the host side by inhibiting the Arp2/3 complex could diminish colonization in a way that resembled what was seen with the EHEC effector mutants. To test this, we examined the effects of treating Caco-2 cells with the Arp2/3 complex inhibitors CK666 and CK869 during infection with KC12+EspFU. The inhibitors did not alter the morphology of tight junctions or microvilli on Caco-2 cells, but did interfere with pedestal assembly as expected (S5A–S5F Fig). In addition, the Arp2/3 complex inhibitors restricted the size of KC12+EspFU macrocolonies compared to DMSO-treated controls (Fig 6A and 6B). To determine if this inhibition could be caused by limiting actin based motility, mCherry-actin expressing NIH3T3 cells were treated with DMSO or CK666/CK869, and motility was measured. As expected, KC12+EspFU moved at less than half the speed on CK666/CK869 treated cells as on DMSO treated cells (Fig 6C). Taken together with the smaller macrocolony size and slower motility exhibited by EspFU-deficient bacteria, these data are consistent with the idea that actin-based motility driven by EHEC Tir and EspFU plays a key role in the extent of tissue colonization. Although our data implicate Tir and EspFU in spreading infection across a cell monolayer, this process has never been directly visualized. To better understand the mechanism of colony growth, we performed live cell imaging to monitor macrocolony development over time. JEG-3 cells were utilized as host cells because they polarize more rapidly than Caco-2 cells and are easier to image by phase-contrast microscopy. Tracking macrocolony growth over time revealed that colony expansion is partially driven by bacterial replication and spreading outwards towards cell junctions, thereby promoting infection of neighboring cells (Fig 7A, S2 Video). Further time lapse analyses (S2 Video) revealed that KC12+EspFU bacteria often migrated out of colonies and eventually reached cell junctions. Bacteria moving on pedestals appeared to pause at these junctions, where they replicated to cause infection of the neighboring cell (Fig 7B). To visualize this process in more detail, and verify that EHEC employs the same mechanism of transmission, NIH3T3 fibroblasts expressing mCherry-actin were infected with WT EHEC and imaged live (Fig 7C). A bacterium moving on a pedestal containing mCherry-actin (Fig 7C, red arrowhead) contacted a nearby cell that was not expressing mCherry-actin. This difference in mCherry-actin expression allowed us to distinguish the pedestals between the two host cells, as phase-contrast microscopy revealed that the bacterium with an mCherry-labeled pedestal formed a phase-dense pedestal on the second cell (Fig 7C, top arrow) and divided, while maintaining the original pedestal. After division, one bacterium had two pedestals on the two different cells, while the other daughter was only associated with the second cell via a phase-dense pedestal (Fig 7C, bottom arrow). These observations provide the first evidence for how extracellular EPEC/EHEC spread beyond initially infected cells while remaining intimately attached to the plasma membrane. In the course of these studies, we noticed that adherent bacteria exhibited different movement behaviors based on their associations with colonies or junctions, so we quantified motility of KC12+EspFU within macrocolonies, at cell-cell junctions, or “free, ” (not in colonies or at junctions). Free bacteria moved significantly faster than bacteria in tightly-packed colonies or at junctions (Fig 7D). In an attempt to uncover why EPEC colonies do not grow as large on polarized cells as KC12 macrocolonies, EPEC movement was also assessed. While KC12+EspFU and EPEC Y474* bacteria in macrocolonies displayed similar speeds (Fig 7D), the frequency of EPEC Y474* reaching junctions and replicating between 6 and 8 h of infection was too low to be quantified (S3 Video). Surprisingly, and in contrast to fibroblast data (Fig 2), the population of free EPEC Y474* moved significantly slower than free KC12+EspFU (Fig 7D). The faster speed of KC12+EspFU provides one explanation for why these bacteria are better able to migrate out of bacterial clusters, move to junctions, and infect more cells than EPEC Y474*. Thus, EHEC Tir and EspFU confer an advantage over EPEC Tir in motility and cell-to-cell spreading that is specific to polarized epithelia. To better elucidate how cell-to-cell spreading occurs when KC12+EspFU pauses at a cell junction, we fixed infected JEG-3 cells and stained for bacteria, F-actin, and HA-Tir. Additionally, we infected, fixed, and stained a highly susceptible HeLa cell line that was seeded at an optimal density for easily distinguishing the boundaries between cells. These experiments allowed us to outline a straightforward pathway for cell-to-cell transmission. We detected (1) bacteria on pedestals protruding towards neighboring cells, (2) bacteria with a pedestal on one cell and Tir in a neighboring cell, (3) bacteria with two pedestals on two different cells, and (4) bacteria that had divided and maintained pedestals on two different cells (Fig 8A). Ordering these events, and pairing them with live imaging data, we infer that the bacteria use actin-based surfing motility to escape densely-packed bacterial communities, move towards junctions with uninfected cells, contact and inject effectors into the adjacent cell, polymerize a second pedestal, divide, and eventually disengage from the first cell to complete the infection cycle by moving onto a new cell (Fig 8B).
  EPEC and EHEC pedestals were discovered decades ago, but our understanding of their cellular functions has remained elusive. Early on, it was hypothesized that pedestals act as an anchor to maintain attachment to the host cell via direct cytoskeletal linkage [35], or that intimate adherence via Tir and intimin prevents phagocytosis [34]. More recent studies have focused on the importance of Tir signaling in intestinal colonization [40], or of actin polymerization in maintaining cell attachment and thereby enhancing type three translocation [39,41]. It has also been speculated that surfing on pedestals could aid in the spreading of infection and the development of bacterial niches [33]. However, live examinations of EPEC and EHEC infections are limited [36,37,51], so how actin-based surfing motility could contribute to pathogenesis was not clear. The studies and speculations thus far have also not directly considered functional differences between the EHEC and EPEC mechanisms of pedestal assembly, so it was unknown if either of the two actin polymerization pathways have distinct advantages. In the current work, we defined similar roles for EHEC and EPEC pedestals in resisting phagocytosis and promoting motility on fibroblasts. Most importantly, we uncovered differences in colonization of polarized epithelial cells and delineated a pedestal-based mechanism of cell-to-cell transmission by EHEC. It is well established that EPEC and EHEC are able to resist phagocytosis, and several effector proteins such as EspF, EspB, EspH, and EspJ have been implicated directly or indirectly in this capacity [34,53–58]. EPEC strains lacking only Tir were previously shown to be phagocytosed less than a T3SS mutant, supporting a pedestal-independent mechanism of phagocytotic evasion [53]. In contrast to these results, we found that the capacity to polymerize actin into pedestals positively correlates with resistance to phagocytosis, and that pedestal deficient strains were phagocytosed at the same level as a T3SS mutant, suggesting that translocated effectors previously proposed to play an anti-phagocytic role may not be able to exert their effects in the absence of a pedestal. Our results also indicate that both the EspFU-mediated and phospho-Tir-mediated pathways of actin polymerization confer the same level of resistance to phagocytosis, agreeing with the common belief that similar form yields similar function for pedestals. Pathogen motility assays on fibroblasts also revealed conserved pedestal functions, as both KC12+EspFU and EPEC Y474* were capable of undergoing surfing motility at average speeds of approximately 0. 35 μm/min, and maximum speeds of 4. 2 μm/min. Although these are much slower than the actin-based motility rates of intracellular pathogens such as Listeria and Shigella, which average 12–36 μm/min depending on the experimental system [1,59,60], the surfing motility of KC12+EspFU and EPEC Y474* allows for an exploration of the cell surface that surpasses that of pedestal deficient strains. Surprisingly, motility on polarized epithelial cells differed between EspFU-driven and phospho-Tir-driven actin polymerization, with KC12+EspFU moving significantly faster than EPEC Y474*. Therefore, it is tempting to speculate that the EspFU mechanism of pedestal assembly may somehow produce more force to enable better movement, specifically on polarized cells. Studying colonization kinetics on polarized epithelial cells exposed another significantly different outcome of the EHEC and EPEC pedestal assembly pathways, as we were able to characterize the phenomenon of macrocolony formation. These extracellular infection foci are reminiscent of the plaques formed by intracellular Listeria and Shigella [61,62]. For the E. coli strains, discrete macrocolonies grew over time and encompassed more cells. However, KC12+EspFU colonies grew significantly faster and larger, covering more host cells than EPEC Y474*. Additionally, our data show that the introduction of EspFU into WT EPEC can enable those bacteria to also form larger colonies. Interestingly, the size of macrocolonies is positively correlated with the speed of surfing motility on polarized cells, with a faster strain able to produce larger colonies. This is the first evidence that speed may be related to cell-to-cell spreading for pathogenic E. coli. Intracellular pathogens that manipulate the actin cytoskeleton derive a clear advantage from actin based motility, as it promotes cell-to-cell transmission without exposure to the extracellular immune system [1,2]. However, whether surface-associated EPEC and EHEC could benefit from surfing had never been explored, and no mechanisms for cell-to-cell spread have been proposed. How EHEC infect the intestine so efficiently has been a long-standing question, and our data provide new insight into colonization by describing how EHEC solves the complex problem of cell-to-cell transmission. Live imaging and fluorescence microscopy revealed that KC12+EspFU use faster surfing motility to leave macrocolonies and reach cell junctions, where they contact a neighboring cell, translocate effectors, polymerize a second pedestal, and divide. This mechanism of stepwise cellular spread across the host intestinal tissue allows the bacteria to remain attached to the epithelial surface at all times, which would effectively reduce the risk of washing away during intestinal contractions and diarrhea. Consistent with these results, disease models using infant rabbits and gnotobiotic piglets have demonstrated that EHEC which express EspFU expand to greater numbers in the intestine than EHEC lacking EspFU [42]. Intriguingly, the discrete colonization patterns of EHEC that were observed in piglet intestines in vivo [42] closely resemble the macrocolonies that we visualized on polarized monolayers in vitro. These observations, combined with the finding that KC12+EspFU forms larger colonies than EPEC Y474*, raises the question of whether the advantage conferred by EspFU would manifest in an in vivo competition assay. However, EspFU from WT EHEC is able to trans-complement EspFU-deficient bacteria during co-infection in rabbits and on HeLa cells [42]. Similarly, we found that EspFU injected by EHEC can incorporate into EPEC pedestals during co-infections of polarized monolayers in vitro (S4 Fig). Thus, deciphering the distinct benefits of EHEC EspFU in vivo will require more innovative approaches in the future. Finally, our findings prompt the question of how EHEC Tir and EspFU cause faster motility and macrocolony expansion than EPEC Tir. It is plausible that EspFU is a more potent activator of N-WASP than Nck1 and Nck2 because it is better at multimerizing N-WASP. Canonical EspFU has six 47-residue repeats, each with the potential to recruit the N-WASP-WIP complex via a short α-helix that activates N-WASP through binding its autoinhibitory region [29–31]. Each repeat also possesses proline-rich motifs that bind the SH3 domains of IRTKS, IRSp53, and TOCA-1 to allow recruitment to Tir or enhanced N-WASP activation [25,26,63]. In vitro, each individual repeat can contribute to faster polymerization, although only two are required for efficient pedestal formation in cells [29,31,64]. In contrast, the Nck adaptor proteins recruited by EPEC Tir each possess three SH3 domains, all of which are able to bind the proline rich domain of N-WASP [21,65], and include one that can bind to WIP [66]. These differences in ability to multimerize N-WASP may impact the structure or function of the pedestal, as multivalency has been shown to promote phase separation both in cells and using purified proteins [67–69]. Since increasing valency within a system results in phase separation at lower concentrations [68], EspFU may promote phase transitions at lower concentrations than would be necessary for Nck1/2, leading to more efficient signaling to the Arp2/3 complex. It also remains possible that the differential recruitment of several host proteins by EHEC Tir and EspFU versus EPEC Tir significantly affects motility and cell-to-cell spreading. Future work will likely shed light on how EHEC’s mechanism of pedestal formation provides motility, colonization, and transmission advantages over EPEC’s signaling pathway, and whether EPEC Tir provides its own set of benefits.
  All bacterial strains are described in S1 Table [22,27,70–72]. In each pedestal-proficient bacterium, the main pedestal-driving effector is encoded behind the effector’s own promoter on a low copy number plasmid [22,27]. 24 h prior to all infections, bacterial cultures were inoculated from single colonies into LB broth with appropriate antibiotics and grown shaking at 37°C for 8–9 h. Cultures were then diluted 1: 500 in DMEM + 100 mM HEPES, pH 7. 4, and grown standing overnight at 37°C + 5% CO2 to enhance the production of the T3SS and its effectors. HeLa (University of Massachusetts Medical School) [27] and JEG-3 cells (American Type Culture Collection: ATCC) were each maintained as subconfluent monolayers in DMEM supplemented with 10% fetal bovine serum (FBS) and antibiotic/antimycotic. HeLa cells were seeded at approximately 5x105 cells/ml onto glass coverslips 24 h before infections, while JEG-3 cells were seeded at approximately 5x105 cells/ml either onto glass coverslips or into 35 mm glass-bottom dishes (MatTek) and allowed to grow for 24–48 h post confluency. THP-1 monocytes (ATCC) were grown in suspension in RPMI 1640 supplemented with 10% FBS, antibiotic/antimycotic, and 0. 05 mM 2-mercaptoethanol. Cells seeded at a density 2x105 cells/ml were activated to a macrophage-like state by adding 40 ng/ml phorbol 12-myristate 13-acetate (PMA) to the media, and allowing the cells to adhere to glass coverslips in 24-well plates for approximately 72 h [73] before infections. NIH3T3 cells (University of California Berkeley, cell culture facility) stably expressing mCherry-βactin [74] were maintained in DMEM supplemented with 10% FBS, antibiotic/antimycotic, and 500 μg/ml G418. 48 h before infection, cells were seeded at approximately 5x105 cells/ml onto 35 mm glass-bottom dishes in media lacking G418, and 16 h prior to infection were induced to express mCherry-actin with 7. 6 mM sodium butyrate. C2BBe1 (referred to as Caco-2) cells (ATCC) were maintained in subconfluent monolayers in DMEM supplemented with 10% FBS, antibiotic/antimycotic, and 0. 01 mg/ml human transferrin. To create polarized monolayers [75], cells were grown to confluency on glass coverslips or aclar (for EM) in 24-well plates, and given half media changes every 1–2 days for at least 2 weeks prior to infections. All cells were grown at 37°C + 5% CO2. For phagocytosis assays, activated THP-1 cells were washed twice with warm phosphate buffered saline (PBS) and infected with bacteria diluted 1: 1000 in RPMI + 3. 5% FBS + 20mM HEPES to achieve a multiplicity of infection (MOI) of ~3. Plates were centrifuged at 172 x g for 5 min to synchronize infections. Infected cells were incubated at 37°C + 5% CO2 for 15–150 min. At various time points, cells were washed 3 times with warm PBS and fixed for 20 min using 2. 5% paraformaldehyde (PFA) prior to performing outside-inside staining, or fixed for 5 min in methanol prior to performing LAMP-1 staining. For bacterial motility assays, NIH3T3 cells were washed twice with PBS and infected with bacteria diluted 1: 200 into DMEM + 3. 5% FBS + 20 mM HEPES to achieve an MOI of ~6. Infected cells were rotated for 5 min to disperse the bacteria before incubation for 3–5 h. Cells were then washed twice with PBS, given fresh media, and imaged for 2–3 h at 26°C in an environmental chamber (Okolab). Live imaging with Arp2/3 complex inhibitors [76] was performed by adding 50 μM CK666 + 50 μM CK869 (Calbiochem) or equivalent doses of DMSO. The addition of DMSO or Arp2/3 complex inhibitors did not restrict bacterial growth compared to media alone. JEG-3 cells were imaged at 37°C between 3 and 8 h post infection. For colonization assays, polarized Caco-2 monolayers were washed twice and infected with overnight cultures diluted 1: 33 in DMEM + 3. 5% FBS + 20 mM HEPES for an MOI of ~10. CFU counts were performed to verify equal input for all bacterial strains. Plates were centrifuged and subjected to PBS washes and media changes every 1 h to remove unbound bacteria. After 6 h, cells were washed 3 times with PBS, and fixed with 3. 7% PFA for 30 min. Colonization assays using EHEC strains were infected as described above, but PBS washes and media changes were performed every 2 h, and the total infection was carried out for 8 h. Experiments involving Arp2/3 inhibitors were completed by pretreating monolayers for 15 min with 50 μM CK666 + 50 μM CK869 and using fresh media with inhibitors throughout the infection process. For standard immunofluorescence, fixed cells were washed 3 times with PBS, permeabilized for 2 min with 0. 1% TritonX-100, washed 3 times with PBS, and blocked using 1% FBS + 1% bovine serum albumin (BSA) in PBS + 0. 02% NaN3 for a minimum of 30 min. Cells were probed with primary antibodies diluted in blocking buffer at concentrations listed in S2 Table for 35–40 min. Cells were then washed 3 times with PBS and treated with secondary antibodies and/or DAPI and phalloidin for 35 min, at concentrations listed in S2 Table. Cells were then washed 3 times with PBS, and mounted in Prolong Gold anti-fade. For outside-inside staining, fixed THP-1 cells were blocked in 1% BSA + 1% FBS + 1% normal goat serum (NGS) + 0. 02% NaN3 in PBS for 30 min. Cells were incubated in mouse anti-LPS for 40 min, followed by 3 PBS washes, and Alexa 555 anti-mouse antibodies for 40 min, followed by 3 PBS washes. Cells were then permeabilized with 0. 1% Triton X-100 for 2 min, washed 3 times, and re-blocked for 30 min. The same primary antibody was used again for 40 min, but Alexa488 anti-mouse was used as a secondary antibody for 40 min, and cells were also stained with DAPI, similar to previous experiments [53]. After washing, coverslips were mounted in Prolong Gold anti-fade. All fixed and live cells were imaged using a Nikon Eclipse Ti microscope equipped with a Plan Apoλ 100x 1. 45 NA objective, a Plan Fluor 20x 0. 5 NA objective, an Andor Clara-E camera, and a computer running NIS Elements software. Image analyses were performed using ImageJ. Live phase-contrast imaging as well as mCherry and GFP fluorescence of infected NIH3T3 cells was performed using the 100x objective, and images were captured at 30 s intervals. Live imaging of JEG-3 cells was performed using a 20x phase-contrast objective, and images were acquired at 30 or 45 s intervals. Caco-2 cells were fixed in 2% glutaraldehyde + 2. 5% paraformaldehyde in 0. 1 M Na cacodylate buffer [51] + 1. 5 mM CaCl2 + 1. 5 mM MgCl2, pH 7. 4 with 0. 2% tannic acid [77]. The primary fixation was carried out for 15 min at room temperature, followed by replacement with fresh fixative and incubation for 1 h at room temperature. Monolayers were washed in 0. 1 M Na cacodylate buffer + 1. 5 mM CaCl2 + 1. 5 mM MgCl2, pH 7. 4 twice for 20 min, and a third time overnight at 4°. Osmium postfixation was performed on all samples using 1% Osmium tetroxide [51] and 0. 8% K3Fe (CN) 6 in 0. 1 M Na cacodylate buffer + 1. 5 mM CaCl2 + 1. 5 mM MgCl2, pH 7. 4. Samples were rinsed twice with distilled water for 15 min, and transmission electron microscopy (TEM) samples were subjected to en bloc fixation in 1% aqueous uranyl acetate [51] for 80 min, followed by two 10 min washes. All samples were dehydrated through a graded ethanol series (30%, 50%, 70%, 95%, 100%, 100%) using 10 min wash times, and scanning electron microscopy (SEM) samples were then pulled for critical point drying. TEM samples continued on to 2 10 min acetone washes and were embedded in Embed 812 + Araldite 506 + DDSA + 1. 5% DMP-30 by using 1: 1 resin: acetone for 90 min, 3: 1 resin: acetone for ~15 h and 100% resin twice in 2 h incubation steps. Resin was polymerized in a 60°C oven for 49 h. Aclar was removed from the resin, and the tissue was reembedded in resin for 49 h. 100 nm ultrathin sections were cut using a diamond knife on a Leica microtome. Sections were lifted onto 200-mesh copper grids, and stained for 8 min with 2% aqueous uranyl acetate, followed by 2 min in 2. 5% lead citrate. TEM was carried out using a Technai Spirit electon microscope, operated at 80 kV. SEM was performed using a FEI Nova NanoSEM 450 microscope. Motility assays were quantified using ImageJ software. Movement was tracked with the MTrackJ plugin, and tracking plots were generated using the chemotaxis tool plugin. Colony sizes were measured using the threshold feature followed by the analyze particles feature. In most cases, the lower limit of colony sizes was set to 100 μm2. Exceptions included time courses with short time points, the use of inhibitors, or experiments which included strains that were severely deficient at colony formation (KC12Δtir strains), which required lowering the limit to 50 or 25 μm2. Statistics on data sets with 3 or more conditions were performed using one-way ANOVAs followed by Tukey’s post-hoc test unless otherwise indicated. P-values for data sets including 2 conditions were determined using unpaired t tests unless otherwise noted. For phagocytosis assays (S1D Fig), SE was calculated based on the number of coverslips examined. For motility quantifications in which all pedestals on a single cell were averaged (Fig 2C and 2F), SE was calculated based on the number of cells examined. For motility assays in which the mean of all pedestals was calculated (Figs 6C and 7D), SE was calculated based on the number of pedestals examined. SE values for the fraction of cells moving (Fig 2D) and for the directional persistence (Fig 2E) were calculated from the total number of pedestals, and the total number of moving pedestals, respectively. The SEs for colony size in Figs 3F and 5B were calculated based on the number of coverslips, while SDs and SEs in Fig 4B–4D were based on the number of experiments. For smaller sample sizes (Fig 4F and Fig 6B), and for Fig 5E and 5G, the number of colonies was used to generate SD and SE. Finally, quantifications of the % area covered (Fig 4E and Fig 5C) were averaged by field of view (FOV), and the total number of FOVs was used for SD and SE determination.
summary: Enterohemorrhagic Escherichia coli (EHEC) and enteropathogenic E. coli (EPEC) are closely-related bacterial pathogens. EHEC infection causes bloody diarrhea and hemolytic uremic syndrome in developed nations, while EPEC is responsible for pediatric diarrhea in developing countries. Upon entry into the intestine, these pathogens form tight attachments to host cells and manipulate the cytoskeleton to create protrusions called actin pedestals. EHEC and EPEC use different mechanisms to generate actin pedestals, which are important for colonization in animal models, but it is unknown how these structures confer a colonization advantage. Our study focused on determining how hijacking the host actin cytoskeleton to form a pedestal promotes infection. We found that the EHEC pathway of pedestal formation allows for more efficient colonization of intestinal epithelial cells than the EPEC pathway. Additionally, we directly show how actin pedestals allow the bacteria to spread from one infected cell to a neighboring healthy cell. These findings advance our understanding of the molecular and cellular basis of EPEC and EHEC colonization, which is important for developing new ways to combat infections with these bacteria.
keywords: cell motility
  medicine and health sciences
  pathology and laboratory medicine
  viral transmission and infection
  pathogens
  microbiology
  epithelial cells
  bacterial diseases
  enterohaemorrhagic escherichia coli
  digestive system
  research and analysis methods
  contractile proteins
  infectious diseases
  actins
  specimen preparation and treatment
  staining
  escherichia coli infections
  proteins
  animal cells
  biological tissue
  pathogen motility
  gastrointestinal tract
  biochemistry
  cytoskeletal proteins
  cell staining
  host cells
  cell biology
  anatomy
  virulence factors
  virology
  epithelium
  biology and life sciences
  cellular types
title: Extracellular motility and cell-to-cell transmission of enterohemorrhagic E. coli is driven by EspFU-mediated actin assembly