Many bacterial species produce bacteriocins, which are proteineous compounds that are able to kill cells of members of the same or closely related species (
21). Pyocins, the bacteriocins produced by
Pseudomonas aeruginosa, can be classified into three different families: the soluble S-pyocins and the high-molecular-weight F- and R-pyocins. S-pyocins (
18) are similar to colicins of
Escherichia coli and cause cell death through their endonuclease or pore-forming activities (
16). In contrast, the flexible F-pyocins and the rod-shaped R-pyocins are genetically and morphologically related to lambda and P2 bacteriophages, respectively (
17). However, unlike bacteriophages, these pyocins lack a phage head structure, do not contain DNA, and are therefore not replicative. R-pyocins kill susceptible bacteria by binding to the cell surface, contracting their sheath, and inserting their core structure through the cell envelope, which results in target cell lysis due to depolarization of the cytoplasmic membrane (
26). R-pyocins kill with high efficiency (one pyocin molecule kills one bacterial cell), while for the flexible F-pyocins 100 to 200 molecules are required to kill one cell (
16).
Five different types of R-pyocins have been described based on their killing activities (
10) and, more recently, based on a comparison of the amino acid sequences of the tail fiber protein Prf15 (PA0621 of PAO1) (
29). While the amino acid sequences of the tail fiber proteins of the R2-, R3-, and R4-pyocins are nearly identical, the amino acid sequences of the R1- and R5-pyocins differ considerably in the C-terminal region of the Prf15 protein (
29).
It has been proposed that the lipopolysaccharide (LPS) core contains the R-pyocin-specific recognition sites (
15). Purified LPS molecules have also been shown to bind pyocin molecules. The pyocin-LPS interaction has been exploited as an epidemiological typing method to characterize clinical
P. aeruginosa strains (
3,
5). The precise molecular determinants responsible for the specific R-pyocin-LPS interactions, however, have not been characterized. In this study, we examined the R-pyocin profiles of
P. aeruginosa isolates obtained from tracheal aspirates of intubated patients hospitalized in European intensive care units. We compared these profiles with the O serotypes, as defined by the variable B-band oligosaccharide chain of the LPS. Based on the data obtained, we propose an R-pyocin type- and O-serotype-specific killing profile. We also suggest structural determinants required for R-pyocin type-specific pyocin recognition. Our data suggest that LPS plays an essential role both as a protective shield and as a receptor for R-pyocins.
DISCUSSION
In the present study we determined the R-pyocin types and susceptibilities of
P. aeruginosa isolates collected from 61 intubated patients throughout Europe. Our results reveal a surprising association between O serotypes and R-pyocin production. Pyocin and LPS biosynthesis genes are not genetically linked; thus, coevolution of these two types of genes seems unlikely. As observed for S-pyocin producers, each R-pyocin-producing isolate was resistant to at least its own R-pyocin. While in the case of S-pyocins the immunity is provided by a special chaperone protein, whose gene is genetically linked to the cognate S-pyocin gene (
16), there does not seem to be such an immunity protein for R-pyocins. Indeed, since R-pyocins cause cell lysis after attachment to the cell surface of susceptible bacteria, self-protection can be guaranteed only by extracellular factors. This shielding function could be provided by the long-chain oligosaccharides of the LPS. Note that the average length of an O-chain LPS in
P. aeruginosa is 30 to 40 nm (
12), while the average length of the main core of a pyocin molecule is 100 nm. This size of R-pyocin particles was the same for the R1-, R2-, and R5-pyocins according to our electron microscope observations (data not shown).
Furthermore, we also demonstrated that there is an association between the O serotype and the R-pyocin susceptibility pattern. Indeed, isolates that were susceptible to all three R-pyocins tested had a serotype O1, O3, or O6 B-band LPS, while the serotype O5, O10, O11, and O12 isolates were completely resistant. This correlation may reflect the packing density of the B-band LPS side chains, which is dictated by the physicochemical properties of the sugar constituents. Indeed, only a low percentage of core LPS units are capped (substituted) with A-band or B-band LPS (structures 1 and 2 in Fig.
2). We suggest that serotype O1, O3, and O6 isolates have a low proportion of capped LPS molecules (loose packing). This would provide comparatively unhindered access of R-pyocin molecules to their surface receptors. Interestingly, freeze substitution electron microscopy studies with
P. aeruginosa cells have shown that PAO1 (serotype O5, R-pyocin resistant) has a higher proportion of capped LPS than PAK (serotype O6, R2- and R5-pyocin susceptible) (
12). We would therefore expect that serotype O10, O11, and O12 strains, all of which are resistant to the three different R-pyocins tested, would also have dense LPS packing. Indeed, when PA14 (serotype O10) was grown at 45°C, a temperature which prevents expression of B-band LPS but not expression of A-band LPS in PAO1 (
13), the strain was susceptible to the R5-pyocin (data not shown). However, we cannot exclude other explanations, including R-pyocin type-specific interactions with the LPS O-side chains, which probably have different electrostatic properties depending on the sugar composition and additional chemical modifications.
The different types of R-pyocins recognize different receptor sites that were proposed to be located in the LPS core (
15). Our data obtained using LPS-specific mutants of PAO1 and PAK are in agreement with this proposal. Based on biochemical analysis of spontaneous LPS mutants of serotype O3 strain PAC1, Meadow and Wells proposed that R1-pyocin requires the
l-Rha sugar of the core LPS for lytic activity (
15). This sugar is the acceptor for both A-band and B-band LPS (
19). In the
wbpP (LPS A
+ LPS B
−) and
wbpL (LPS A
− LPS B
−) mutants of PAK, this
l-Rha residue is accessible, and this could explain the susceptibility of these mutants to R1-pyocin. In the
rmlC mutants of both PAO1 and PAK this
l-Rha residue is not present, which results in resistance to R1-pyocin. PAO1 has a β-Glc residue (filled circle in structure 3 in Fig.
2) in the uncapped glycoform, which should prevent access to the adjacent
l-Rha. This modification probably is not stoichiometric and leaves sufficient
l-Rha residues unmodified to confer susceptibility to R1-pyocin.
Our results also suggest that the α-Glc residues (filled diamond in structure 3 in Fig.
2) must be part of the recognition site for the R2-pyocin, while the terminal α-Glc residue (asterisk in structure 3 in Fig.
2) is part of the R5-pyocin receptor site. Unlike the β-Glc sugar (two asterisks in structure 3 in Fig.
2), the terminal α-Glc residue is accessible in all capped and uncapped forms and is therefore more likely to be the receptor of R5-pyocin. Whether the receptor sites consist solely of these LPS core sugar residues or require other structures (for instance, outer membrane proteins) remains to be determined.
In our clinical collection, we found similar percentages of R-pyocin-deficient strains (28%) and strains producing R1-pyocins (25%), R2-pyocins (17%), and R5-pyocins (29%). This could have resulted from the fact that most patients were colonized by a single genotype, limiting encounters and possible warfare between different clonal populations. However, in one patient colonized by two different genotypes, we observed that an initially dominant clone was outcompeted by a second clone that produced an R-pyocin to which the initial clone was susceptible. The killing behavior of these two clones was in agreement with the R-pyocin production and susceptibility profiles established during this study. The population dynamics in this patient therefore illustrate that biological warfare by R-pyocins may play an important role in shaping the structure of P. aeruginosa populations during host colonization.
Interestingly, the observed
in vitro killing of strain PAK (R1-type pyocin, serotype O6) by PA14 (R2-type pyocin, serotype O10) during growth in liquid culture (
7) is in agreement with the susceptibility profile established in this study. Pyocins also modulate bacterial population dynamics in biofilms, particularly under anaerobic growth conditions, which were shown to induce R- and F-pyocin genes, as well as S-pyocin genes (
27).
Thus, pyocins, particularly the potent R-pyocins, could provide a novel approach for specific targeting of otherwise difficult-to-treat infections caused by multi-drug-resistant strains of P. aeruginosa.