L4 - Metals and microbes in the context of infection Flashcards

1
Q

What is the importance of iron?

A
  • Iron is an essential co-factor for numerous basic metabolic pathways in both the mammalian host and the microorganism
  • Iron is a critical component of cytochromes and iron-sulfur proteins that function in electron transport reactions
  • The competition for iron between pathogens and host is of critical importance for pathogenesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The dominant oxidation state of iron (Fe3+)

A

The dominant oxidation state of iron (Fe3+) is highly insoluble.
Iron is essential for all life-forms, and can exist in two oxidation states:
Fe3+ (ferric) dominates under oxygenated environments & at neutral pH
Fe2+ (ferrous) dominates in anaerobic environments & at low pH

However, solubility of ferric iron is extremely low compared to ferrous
0.1M for Fe2+ compared to 10-17M for Fe3+ (at pH 7)
Presents a problem for microorganisms with an aerobic lifestyle

Bacteria typically require iron concentrations of 10-5-10-7 M, and so they either:
reduce ferric iron to the more soluble ferrous form
employ ferric iron chelators as solubilising agents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Iron sequestration

A

Iron sequestration as an innate immune defence.

A first line of defence against infection is the withholding of nutrients to prevent pathogen growth

The majority of iron in the mammalian host is intracellular, either:
sequestered by the iron storage protein, ferritin
complexed with the porphyrin ring of haem as a cofactor of haemoglobin or myoglobin. Myoglobin is an iron- and oxygen-binding protein found in the muscle tissue of vertebrates in general and in almost all mammals. It is related to haemoglobin, which is the iron- and oxygen-binding protein in blood, specifically in the red blood cells. Myoglobin is only found in the bloodstream after muscle injury.

Extracellular iron (e.g. in serum) is typically in the insoluble ferric form due to the aerobic environment & neutral pH
Iron limitation in the extracellular environment is further enhanced by high affinity iron-binding proteins (e.g. transferrin, lactoferrin).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Microbicidal activity of the phagosome

A

Acidification of the phagosome
V-ATPase complex translocates H+ across the membrane
Reactive oxygen & nitrogen species
NADPH oxidase & iNOS create ROS and RNS respectively
Antimicrobial peptides
Cationic peptides that bind to the negatively-charged bacterial cell
Sequestration of essential nutrients
e.g. action of metal transporters and metal binding proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Microbicidal activity of the phagosome (More extensive information)

A

The phagosome is the vesicle within phagocytic cells in which the ingested material (e.g. bacterial cell) is found following phagocytosis. The phagosome contains numerous bactericidal activities that aim to kill the ingested bacterium.

The V-ATPase complex used energy derived from hydrolysis of ATP to translocate protons (H+) across the membrane into the phagosome, resulting in acidification. The acidic pH is damaging to the microbe, as well as boosting the activity of enzymes within the phagosome whose function is optimal at acidic pH.

A major killing mechanism is through reactive oxygen species (ROS) that are generated directly or indirectly by the NADPH oxidase complex. The oxidase releases O2(-) into the lumen, which can dismutate to hydrogen peroxide. This can then react with O2(-) to generate hydroxyl radicals, and can also be converted into hypochlorous acid by myeloperoxidase (MPO). Collectively, these ROS are highly toxic, and effectively kill microorganisms.

Reactive nitrogen species are also produced, largely by inducible nitric oxide synthase (iNOS). Nitric oxide is produced by iNOS on the cytoplasmic side of the phagosome, and then diffuses across the membrane into the phagosome. The nitric oxide can then undergo spontaneous or catalytic conversion to a range of RNS including nitrogen dioxide and peroxynitrite. ROS and RNS synergize to exert highly toxic effects.

Antimicrobial peptides are small (12-50 amino acids) peptides with potent antimicrobial activity. They are positively-charged (cationic) and interact with the negatively-charged bacterial membrane. They disrupt the membrane, causing cell death.

All organisms require metal for growth and survival, as metals are essential cofactors for numerous enzymes. The phagosome attempts to starve the ingested bacterium of such metals by either pumping the metals out of the phagosome or by sequestering the metals within the phagosome. The diagram above shows this process for iron, but certain other metals are similarly treated, including manganese.

(Picture in notes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does iron sequestration also protects against?

A

Iron sequestration also protects against toxicity.
Under aerobic conditions, iron can be extremely toxic through its interaction with reactive oxygen species

Iron reduction:		O2- + Fe3+ → Fe2+ + O2
 	Fenton reaction:		Fe2+ + H2O2 + H+ → Fe3+ + HO˙ + H2O

The hydroxyl radical (HO˙) is highly reactive, resulting in protein denaturation, DNA breaks & lipid peroxidation

Therefore, all aspects of iron homeostasis are tightly coordinated to protect against toxicity.

Superoxide and hydrogen peroxide are only mildly reactive. In contrast, the hydroxyl radical (HO˙) generated through interaction with iron in the Fenton reaction is highly damaging and toxic to cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define the antimicrobial activity of host iron-binding proteins

A

Lactoferrin is an iron-binding protein that is abundant in various secretions, including breast milk, saliva, tears and airway secretions
Present in the mg/ml concentration range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name the iron uptake strategies of Pseudomonas aeruginosa

A

Numerous strategies exist by which P. aeruginosa can acquire iron:

  • Via the production of extracellular Fe3+ chelating molecules termed siderophores
  • Via the uptake of haem from host haemoproteins
  • Via the extracellular reduction of Fe3+ to Fe2+ and the subsequent uptake of Fe2+ via the Feo system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Critical components for ferric iron uptake

A

The TonB complex consists of three proteins – TonB, ExbB & ExbD. Together, ExbB & ExbD couple the activity of TonB to the proton gradient of the cytoplasmic membrane. The periplasmic C-terminal domain of TonB interacts with both the outer membrane receptor and the PBP

(Picture in notes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The critical role of the TonB complex

A

In bacterial cells, energy is generated via the proton gradient across the cytoplasmic membrane
However, the outer membrane of Gram-negative bacteria lacks such a proton gradient and thus energy (ATP)

Iron transport is energy dependent
The TonB complex couples the proton motive force of the cytoplasmic membrane to the outer membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Siderophores of Pseudomonas aeruginosa

A

P. aeruginosa produces two siderophores:
1. Pyoverdines
Considered the primary siderophore
Very high affinity for iron; able to displace iron from transferrin
Three types of pyoverdines identified in P. aeruginosa, differing in their peptide side chains.

  1. Pyochelin
    Lower affinity than pyoverdines, but considered metabolically less costly
    Possibly produced first, with a switch to pyoverdines only when iron concentrations are really low
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the fate of iron-siderophore complexes?

A

“Ferrisiderophore” is used to describe the iron-siderophore complex

Although poorly defined, evidence suggests three distinct mechanisms by which iron is extracted from ferrisiderophores:

  1. Hydrolysis of the siderophore
  2. Modification of the siderophore scaffold
  3. Reduction of the bound iron from Fe3+ to Fe2+

The above processes can occur in the cytoplasm or in the periplasm

In P. aeruginosa:

  • Ferripyochelin is transported into the cytoplasm
  • Evidence suggests that iron is released from ferripyoverdines via Fe3+ reduction in the periplasm.

The affinity of siderophores is much lower for Fe2+, thus reduction of the iron centre results in liberation of the iron from the siderophore complex. Evidence suggests that iron is released from ferripyoverdines by reduction in the periplasm. The intact pyoverdine is then pumped out from the periplasm to the extracellular environment to chelate further iron.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Haem uptake by Pseudomonas aeruginosa

A

Two distinct mechanisms exist for haem uptake in P. aeruginosa:

  1. Has system
    P. aeruginosa secretes a haemophore
    Haemophore extract haem
    Haemophore-haem complex is recognised by a TBDR
  2. Phu system
    Haem is directly extracted by a TBDR from the host haemoprotein within the cytoplasm, haem oxygenase degrades the molecule, liberating the iron.

TBDR = TonB-dependent receptor

Following transport across the outer membrane, haem is bound by a periplasmic binding protein & transported into cytoplasm by an ABC transporter. There, haem is bound by a haem chaperone (PhuS) that delivers the haem to a haem oxygenase.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Uptake of Fe2+ by the Feo system of P. aeruginosa

A

Fe2+ is soluble and present under anaerobic conditions or in microaerobic conditions at low pH

When Fe2+ is present, it can be taken up directly by the Feo system:
Fe2+ diffuses through the outer membrane
Transported across the cytoplasmic membrane by FeoABC
FeoB is the major component, acting as a permease across the membrane.
Permeases are membrane transport proteins that facilitate the diffusion of a specific molecule in or out of a cell by passive transport.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Exoproducts of P. aeruginosa can aid iron uptake

A

Proteases:

  • Protease secreted by P. aeruginosa can degrade host iron-binding proteins such as lactoferrin & transferrin
  • Iron is released and subsequently bound by siderophores.

Haemolysins:
- Haemolysins promote access to host haemoproteins

Phenazines:

  • Phenazines are redox-active secondary metabolites
  • Phenazine-1-carboxylic acid (PCA) is precursor of pyocyanin
  • PCA (and to a lesser extent pyocyanin) reduces Fe3+ to Fe2+, promoting uptake by the Feo system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tailoring iron uptake strategies to environmental conditions by salmonella and Pseudomonas

A

Salmonella: Activation of PhoPQ system by acidic pH results in expression of genes encoding the Feo system

Pseudomonas: PhoPQ system is also activated by acidic pH
In P. aeruginosa, PhoPQ activation results in increased expression of genes encoding the phenazine pathway and the Feo system
Coordinated response to acidic pH optimizes iron uptake strategies

17
Q

Contribution of iron uptake to virulence

A

Virulence of iron uptake mutants of Pseudomonas aeruginosa in a mouse model of pulmonary infection

18
Q

What iron uptake mechanisms are used in vivo?

A

Cumulative evidence supports the fact that all iron uptake mechanisms are employed in vivo.

  • Siderophores can be detected and quantified within sputum from Pseudomonas aeruginosa-infected CF patients
    Martin et al. (2011). Biometals. 24, 1059-1067.
  • Ferrous iron is abundant within CF sputum, consistent with the fact that CF airways are microaerobic and reportedly acidified
    Hunter et al. (2013). mBio. 4(4), e00557-13.
  • Using RT-PCR, expression of genes encoding pyoverdine, pyochelin, Has, Phu and Feo systems was detected in the majority of sputa studied
    Konings et al. (2013). Infect. Immun. 81, 2697-2704.
19
Q

Implications for novel therapeutics

A

Iron acquisition pathways are a putative antimicrobial target

Strategies to date have primarily focused on ferric iron:

  • Fe3+ mimetics (e.g. Gallium, Ga3+)
  • Fe3+ chelators (biological or synthetic)

The coexistence of multiple iron uptake pathways and the fact that strategies can evolve in vivo may dictate investigation of wider strategies

20
Q

Therapeutic efficacy of gallium

A

Gallium has a similar ionic radius to ferric iron and can be mistaken for Fe(3+) in many biological systems. However, as Gallium lacks the redox activity of iron, it competitively inhibits iron-dependent processes.

21
Q

Novel therapeutics - Exploiting iron uptake mechanisms

A

The outer membrane of Gram-negatives is an effective permeability barrier, limiting antibiotic efficacy
There is considerable interest in synthetic siderophore-antibiotic conjugates (“Trojan horse” strategy)

Resistance to siderophore-antibiotic conjugates can obviously still arise, particularly due to redundancy in iron uptake strategies. Also, some siderophore-antibiotic conjugates can have lower antimicrobial efficacy than the parent antibiotics alone.

22
Q

Bactericidal activity of copper & zinc

A

Both copper and zinc are required for normal cellular function, but both show toxicity at high levels

Copper toxicity is primarily due to its redox activity, particularly when combined with ROS & RNS

Copper is also known to exert direct effect on bacterial cells by out-competing other metals from metalloproteins

Zinc is considered less toxic than copper
May antagonize uptake of other key trace metal nutrients and/or inhibit enzymatic activities by binding non-specifically to proteins.

Copper & zinc accumulate within infected macrophages

23
Q

Bacterial strategies for resisting heavy metal stress

A

Regulators & effectors of heavy metal resistance have been widely studied, but only relatively recently implicated in virulence
Exceptions may reflect redundancy and/or differing virulence strategies.

Two broad mechanisms of metal resistance in bacteria:
RND efflux systems pump ions out of the cell, straight into the extracellular environment. These are typically regulated by two-component systems that sense the presence of metal ions in the periplasm.

In contrast, P-type ATPases remove metal ions only as far as the periplasm. In doing so, they may increase the periplasmic concentration of metal ions and thus further stimulate the metal-responsive two-component systems. These P-type ATPases are regulated by repressor proteins. Ordinarily their expression is repressed by these repressor proteins. However, when metal ions bind to these repressors, they dissociate from the promoter, facilitating expression.

Recently, such systems have been implicated in virulence, although not perhaps in all cases. Exceptions may reflect redundancy between multiple metal resistance mechanisms, and/or differences in virulence strategies.

24
Q

Role of metals in macrophage activity

A

Metal-related defences of macrophages:

Starve bacteria of essential metals (e.g. iron)

Intoxicate bacteria with toxic metals (copper & zinc)
Pumps/transporters
Metal-loaded vesicles.

CTR1 translocates Cu+ from the extracellular space to the cytoplasm of infected macrophages, and the ATP7A pump then transports the copper into the phagosome, resulting in copper accumulation. The SLC39A family of zinc transporters are believed to result in the uptake of zinc. Copper and zinc can be found within vesicles that can fuse with the maturing phagosome.

NRAMP1 exports Fe2+ and Mn2+ out of the phagosome (where Fe2+ will be bound by intracellular ferritin). Similarly, ferroportin plays a role in removing Fe2+.

NOTE. In the original version of this figure (within the published article) I believe that the arrow for the ferroportin transporter was pointing in the wrong direction (it was pointing into the macrophage). I have reversed it in the slide above, as I believe it should be shown removing iron from the macrophage.

25
Q

Metal-responsive TCSs in Burkholderia cenocepacia

A

CzcS-CzcR regulates a zinc efflux system, whilst we believe that IrlS-IrlR confers copper resistance. CzcS-CzcR of B. cenocepacia is required for intracellular survival

26
Q

Conclusions

A

Metals play a critical role in innate immunity and the host-pathogen interaction

Complex mechanisms exist to ensure bacteria acquire sufficient essential metals

Simultaneously, bacteria must defend against toxic levels of metals that can form part of the mammalian innate defence mechanisms