INTRODUCTION
The lipopolysaccharide (LPS) in the Gram-negative bacterial outer membrane is an important virulence factor of many pathogens. By virtue of its localization, this glycolipid interacts with the surrounding environment and plays a role in protecting the bacterium from external stresses. The structure of LPS is comprised of up to three domains. Lipid A is the anchor that holds the macromolecule in the outer membrane and is the endotoxic component of LPS. This is covalently linked to a core oligosaccharide (OS) that can then be substituted, or “capped,” with a long polymer of sugars termed the O antigen. The O antigen is heterogeneous in both the chemical makeup and the lengths of the polysaccharides that are displayed on the surface of various bacterial species. Functionally, O antigens of specific lengths confer protection to Gram-negative bacteria against the killing effects of phage (
1), bacteriocins (
2), complement (
3,
4), and bile acid (
5,
6). The length of the polysaccharide is also an important factor when designing effective glycoconjugate vaccines against bacterial pathogens (
7–12).
In the literature, the synthesis of O antigens generally follows one of two working models: the ABC transporter-dependent or Wzx/Wzy-dependent pathway. These model pathways differ in both the site of polymer synthesis and the molecular machinery used to regulate the O antigen chain length. The ABC transporter-dependent pathway begins at the cytoplasmic face of the inner membrane (IM), where synthesis is initiated by the addition of a short sugar adapter to the lipid carrier, undecaprenyl phosphate (Und-P). Glycosyltransferases (GTs) then polymerize the long polysaccharide, which is exported to the periplasmic face of the IM by the concerted action of Wzm and Wzt, the membrane and cytosolic components of the O antigen ABC transporter, respectively (
13). In contrast, O antigen that follows the Wzx/Wzy route of synthesis is polymerized from a pool of undecaprenyl-linked oligosaccharides termed O-units. The O-units are synthesized in the cytoplasm but flipped to the periplasmic face of the IM by Wzx, where Wzy then polymerizes them into long chains (
14). After the synthesis of O antigen by either route, the polysaccharide follows common steps that ligate it to lipid A-core and export the completed molecule to the outer membrane (
15–17). Importantly, the synthesis of O antigen via the Wzx/Wzy-dependent system can also yield a so-called “core+1” moiety, which is the consequence of an O-unit bypassing polymerization and proceeding directly to ligation. Two other less common models of O antigen biosynthesis are the synthase-dependent pathway and the Wzk-dependent pathway, but to date, they have been identified only in
Salmonella enterica serovar Borreze and
Helicobacter pylori, respectively (
18,
19).
The ABC transporter and Wzx/Wzy pathways have evolved separate strategies for controlling the length of the polysaccharide polymer. During the synthesis of O antigen by ABC transporter-dependent pathways, the chain length of the polysaccharide may be determined by several means. One approach is to establish equilibrium between the glycosyltransferases that extend the polymer and the ABC transporter that exports it. In such systems, the experimental overexpression of glycosyltransferases results in longer polysaccharides, while the overexpression of the ABC transporter results in shorter chains due to the premature export of the polymer (
20). The second strategy is to terminate synthesis after a specific chain length has been achieved. The
Escherichia coli O8/O9/O9a and
Klebsiella pneumoniae O12 O antigen systems are well-studied prototypes for this particular strategy. A termination protein or domain is generally separated from the membrane and growing polymer by a coiled-coil domain, ensuring that synthesis is halted only when the polysaccharide achieves a given length (
21,
22). The termination moiety is specifically recognized by the carbohydrate-binding module (CBM) of Wzt and signals its export (
23). Since the length of the coiled-coil domain determines the chain length, these proteins effectively measure the polysaccharide, and hence, they are described as “molecular rulers” (
21,
22). In
E. coli O8/O9/O9a and
K. pneumoniae O12, polymerization is terminated at the nonreducing end by the addition of a methyl group (O8) (
24), methylphosphate (O9/O9a) (
24,
25), or a β-3-deoxy-
d-manno-octulosonic acid (β-Kdo) moiety (O12) (
26,
27). WbdD is a terminator protein that has methyltransferase (MT) and dual kinase/methyltransferase activities in O8 and O9a, respectively, and is encoded separately from the chain-extending glycosyltransferase WbdA (
24,
28). In contrast,
K. pneumoniae O12 encodes a unique multidomain protein, WbbB, which is a fusion of the two glycosyltransferases that extend the polymer, a coiled coil, and the terminating β-Kdo transferase. This integrated approach to polymerization, chain length determination, and termination appears to be used by many bacterial species that utilize molecular rulers (
22). In the Wzx/Wzy-dependent pathway, polysaccharide copolymerase class 1a (PCP1a) proteins, which are more commonly known as Wzz, are the dedicated chain length regulators of the O antigen. These proteins form a large bell-shaped oligomer that determines polymer length via an unknown mechanism but is likely dependent on the stability of Wzz and interactions with both Wzy and the polysaccharide (
29–31). We point the reader to a recent review by Whitfield et al. for excellent diagrammatic representations of these two pathways (
32).
The opportunistic pathogen
Pseudomonas aeruginosa is known to be remarkably drug resistant and can cause acute or chronic infections in individuals with compromised host defenses, such as those suffering from cystic fibrosis. The need for new antibiotics targeting this organism has been classified as “critical” by the Centers for Disease Control and Prevention.
P. aeruginosa uses both the ABC transporter- and Wzx/Wzy-dependent systems for the synthesis of two distinct chemotypes of O antigen that may be simultaneously produced on the cell surface: common polysaccharide antigen (CPA) and O-specific antigen (OSA). CPA is a homopolymer of
d-rhamnose that is produced through an ABC transporter-dependent pathway that is encoded by a conserved gene cluster (
33,
34). In contrast, OSA is a heteropolymer of O-units that follows a Wzx/Wzy-dependent pathway. The sugar identities and specific linkages of the O-units, and, thus, the genes in the biosynthesis clusters, are highly variable (
35). This diversity forms the basis of categorizing
P. aeruginosa into 20 unique serotypes (O1 to O20) according to the International Antigen Typing Scheme (IATS) (
34). The OSA biosynthesis clusters of 18 of these serotypes have been identified, which has facilitated the systematic identification of genes essential for OSA production and their function and, recently, the advent of an
in silico method to rapidly determine the serotype of
P. aeruginosa isolates from whole-genome sequencing data (
36). The chromosomal locus of each of the clusters of these 18 serotypes is characteristically localized to a region that is flanked by
himD (also known as
ihfB [integration host factor subunit beta]) at the 5′ end and by
wbpM at the 3′ end of the
P. aeruginosa chromosome (
34,
35). The biosynthesis clusters of O15 and O17 have yet to be identified due to genetic anomalies at this usual OSA locus. In IATS O17, an O11 cluster with two inactivating insertions is found between
himD and
wbpM (
35,
37). Similarly, two O15 strains investigated previously by Raymond et al. contained either an inactivated O3 cluster or a nearly complete deletion of an O11 cluster (
35). The O3 and O11 OSA structures are unrelated to those of O15 and O17, and therefore, genes from these clusters are not likely to contribute to the synthesis of these O antigens (
38). Taken together, these observations led to the assumption that the O15 and O17 clusters are found elsewhere in the genome and may have been acquired by horizontal gene transfer (HGT) (
35,
37). The identification of these clusters would facilitate the discovery of new OSA biosynthesis proteins and allow the accurate serotyping of isolates by
in silico methods. In this work, we took advantage of the data generated from one of our recent whole-genome sequencing studies of IATS O1 to O20 to identify the O15 and O17 OSA biosynthesis clusters (
39). We found that unlike the other serotypes studied to date, O15 and O17 follow an ABC transporter-dependent pathway. We then set out to characterize the chain length-determining strategies in these serotypes. We provide evidence that O17 utilizes a modular, three-domain protein that is distinct from WbbB for the synthesis and termination of OSA, while O15 chain length is controlled by a WbdD-like putative methyltransferase. The dissemination of these clusters in the
P. aeruginosa population and their various genomic contexts were also investigated, which confirmed that they have undergone extensive horizontal gene transfer.
DISCUSSION
Prior to this study, the gene clusters responsible for the biosynthesis of
P. aeruginosa O17 and O15 OSAs were unknown. Here, we used a bioinformatics approach to identify genetic loci containing homologs of LPS biosynthesis genes and designed experiments to provide evidence that they are involved in the synthesis of O17 and O15 OSAs. These OSA clusters appear to be relatively self-contained and possess most of the genes that would be required for the synthesis and transport of the polysaccharide (
Tables 1 and
2). However, we cannot rule out that genes outside these clusters may also be necessary for the synthesis of OSA in these serotypes. For instance, a knockout mutation of
wbpM in IATS O17 generated in our laboratory significantly reduced OSA production (
58), whereas a study by Dean and Goldberg found that a similar knockout abrogated OSA biosynthesis (
37). Although the discrepancy in these two results has not been resolved, both studies suggested that WbpM played a role in the synthesis of O17 OSA, but this role is difficult to discern. Biochemical evidence reported by our group has shown that WbpM catalyzes the conversion of UDP-
d-GlcNAc to UDP-4-keto-
d-QuiNAc, a precursor of UDP-
d-FucNAc and UDP-
d-QuiNAc; however, all of these
N-acetylated sugar structures are absent from the O17 OSA repeat structure (
59).
This study has revealed that both the ABC transporter-dependent and Wzx/Wzy-dependent pathways are used for the production of OSA in
P. aeruginosa. In the O17 Δ
wzm Δ
wzt knockout, OSA was barely detected by silver staining but was easily visualized by Western blotting. Furthermore, OSA was not detected on the cell surface of this mutant when assayed by immunofluorescence. These results confirmed that Wzm and Wzt are involved in the synthesis of OSA in O17 and are consistent with the hypothesis that they transport the Und-P-linked polymer across the inner membrane. Attempts to make similar mutations in O15 proved to be difficult, suggesting an inability of this strain to deal with the stress of blocked O antigen synthesis. Since peptidoglycan is also synthesized on Und-P, sequestering of this lipid in an unusable state can be lethal to bacteria and exerts strong selective pressure for mutations that alleviate the buildup of these intermediates (
60). Consistent with our observation was a report by Cuthbertson et al. that
E. coli carrying a knockout mutation of
wzm and
wzt rapidly accumulated compensatory mutations in other genes (
61). For
P. aeruginosa serotype O5, our group reported that during the construction of
wzx knockout strains, some mutants acquired secondary-site mutations in
wbpL (
62). Furthermore, in serotype O11, knockout mutations made in
wbpM resulted in some strains that also exhibited defects in the core oligosaccharide region of LPS (
63). Similar to these previous studies, we isolated O15 strains where secondary mutations had occurred; a clear truncation of the core oligosaccharide and no detectable OSA were observed when the LPS of these strains was analyzed by silver staining, and neither LPS species was restored by supplying the respective gene in
trans (see Fig. S5 in the supplemental material). The underlying mechanisms that allow mutations to be made in the O17 OSA cluster but not that of O15 could be numerous but require further study. Overall, the apparent lethality of mutating
wzm and
wzt in O15, the presence of other predicted LPS biosynthesis genes in this cluster, and the sequence similarity of
wzmO15 and
wztO15 to other O antigen transporters imply a role in OSA translocation. Providing direct evidence for their function in OSA biosynthesis will require more complex strategies.
In the literature,
E. coli and
K. pneumoniae are the prototype species for the ABC transporter-dependent assembly of O antigen, and significant advances in our understanding of this process have come from studies of these organisms. However, variations of these schemes inevitably exist in other bacteria, as we have demonstrated with Orf8
O17 and Orf4
O15. Based on our results, Orf8
O17 can be conceptually described as a hybrid of the previously characterized WbdD and WbbB proteins; Orf8
O17 contains a putative methyltransferase domain (similar to WbdD) separated from two chain-extending glycosyltransferase domains (similar to WbbB). A similar domain architecture was observed in
Franconibacter pulveris G3872 for a putative WbbB-like protein, which has a predicted methyltransferase domain separated from two GT2 domains by a coiled coil (
47). Another protein, WsaE of
Geobacillus stearothermophilus, polymerizes/terminates the S-layer glycan and possesses two rhamnosyltransferase domains and a methyltransferase domain separated by a coiled coil (
64). However, a distinct feature of Orf8
O17 is the presence of a long alpha helix between its domains that lacks any appreciable coiled coils. This helix and the coiled-coil domain of Orf4 are likely the “rulers” that separate the terminating domain from the membrane, allowing the proteins to measure the polysaccharide. This is supported by the observation that overexpressing recombinant proteins lacking these domains perturbs the normal chain length modality (
Fig. 3). Previous reports indicated that there is a positive correlation between the length of the ruler and the length of the O antigen chain (
21,
22). Therefore, our observation that Orf4 and Orf8 have variable numbers of amino acid repeats in their ruler domain indicates that these proteins may drive OSA diversity by producing different lengths of the polysaccharide in different isolates. We speculate that this may be an evolutionary adaptation to increase bacterial fitness under certain environmental conditions. Finally, we note that confirming the activities of these proteins will require
in vitro biochemical assays that were outside the scope of this study.
We also observed that the expression levels of
orf8 affected the chain length of the O17 OSA (
Fig. 3A). Basal expression of
orf8 in the Δ
orf8 mutant background resulted in an increased production of shorter chains, as determined by both silver staining and Western blotting. Therefore, the production and export of shorter chains might depend on the relative ratio of Orf8 to other proteins in the OSA assembly system. Indeed, the determination of chain length in some ABC transporter-dependent systems can depend on complex relationships between multiple proteins. For instance, the chain length profile of the
E. coli O9a O antigen is mostly determined by the size of the WbdD coiled-coil domain but is also a factor of the relative amounts of WbdA (chain-extending glycosyltransferase) (
21,
24,
65–67). Further characterization of O17 OSA biosynthesis is required to deduce the precise reason for this phenotype.
With the sequences of the O15 and O17 clusters in hand,
in silico serotyping from whole-genome sequencing data will be more accurate and subsequently provide a better estimate of
P. aeruginosa strains containing these OSA structures. This is particularly important because some O15 and O17 serotype strains are associated with clinically relevant genotypes. For instance, O15 strains have been found to contain the metallocarbapenemase VIM-10 and the metallo-β-lactamase VEB-1 (
68,
69), while studies by Ouellet et al. (
53) and Vincent et al. (
54) revealed that environmental O17 isolates had the characteristics of strains adapted to a chronic infection lifestyle, such as inactivating mutations in
lasR and
gacS and increased biofilm production. Our finding that the identity of the OSA cluster at the
himD-wbpM locus is highly varied between strains carrying the O15 cluster indicates that inferring an O15 serotype from this locus alone may result in inaccurate predictions and necessitates the inclusion of the clusters identified in this study in future analyses. Variation at the
himD-wbpM locus inevitably exists between O17 strains as well but was not observed here, which was likely a factor of the low number of sequenced strains available.
The acquisition of OSA clusters by horizontal gene transfer (HGT) and recombination at the
himD-wbpM locus has been described previously (
39). Here, we have provided evidence that OSA clusters have also integrated into the tRNA
Ser gene upstream of
rmlB, resulting in a novel genomic island. The presence of the same predicted phage integrase within this genomic island in both MRSN20176/NCTC11839 (O15) and PPF-1 (O17) suggests a common bacteriophage origin. In MRSN20176, the genomic island contains a 50-kb region encoding predicted phage proteins, which further supports this hypothesis. The finding that the O15 cluster is localized to a plasmid in some strains was another surprising insight into the HGT of OSA clusters since this has not been previously demonstrated in
P. aeruginosa. Plasmids have been found to carry genes for the full or partial biosynthesis of O antigens in other bacteria (
70–73). This finding explains why the O15 cluster was found in strains occupying diverse branches of our constructed phylogenetic tree. This also raises questions regarding the possible dissemination of this plasmid/cluster to other bacterial species; megaplasmids in the same family as that from strain AR439 were shown to transfer between
Pseudomonas species (
74). The movement of O15 and O17 by HGT and the accumulation of insertions and deletions at the
himD-wbpM locus (
Table 3) point to a constant remodeling of O antigen in
P. aeruginosa. Overall, these observations expand our understanding of the evolution of
P. aeruginosa OSA diversity.
In summary, we have identified the elusive OSA biosynthesis clusters of P. aeruginosa serotypes O15 and O17, which will allow better tracking of serotypes in the global population. The initial characterization of the genes in these clusters reveals variations in the prototypic ABC transporter pathways of E. coli and K. pneumoniae. Further genetic and biochemical characterization is warranted to provide a comprehensive understanding of this important polysaccharide assembly system.