Point mutations in FimH adhesin of Crohn's disease-associated adherent-invasive Escherichia coli enhance intestinal inflammatory response

PLoS Pathog. 2013 Jan;9(1):e1003141. doi: 10.1371/journal.ppat.1003141. Epub 2013 Jan 24.

Abstract

Adherent-invasive Escherichia coli (AIEC) are abnormally predominant on Crohn's disease (CD) ileal mucosa. AIEC reference strain LF82 adheres to ileal enterocytes via the common type 1 pili adhesin FimH and recognizes CEACAM6 receptors abnormally expressed on CD ileal epithelial cells. The fimH genes of 45 AIEC and 47 non-AIEC strains were sequenced. The phylogenetic tree based on fimH DNA sequences indicated that AIEC strains predominantly express FimH with amino acid mutations of a recent evolutionary origin - a typical signature of pathoadaptive changes of bacterial pathogens. Point mutations in FimH, some of a unique AIEC-associated nature, confer AIEC bacteria a significantly higher ability to adhere to CEACAM-expressing T84 intestinal epithelial cells. Moreover, in the LF82 strain, the replacement of fimH(LF82) (expressing FimH with an AIEC-associated mutation) with fimH(K12) (expressing FimH of commensal E. coli K12) decreased the ability of bacteria to persist and to induce severe colitis and gut inflammation in infected CEABAC10 transgenic mice expressing human CEACAM receptors. Our results highlight a mechanism of AIEC virulence evolution that involves selection of amino acid mutations in the common bacterial traits, such as FimH protein, and leads to the development of chronic inflammatory bowel disease (IBD) in a genetically susceptible host. The analysis of fimH SNPs may be a useful method to predict the potential virulence of E. coli isolated from IBD patients for diagnostic or epidemiological studies and to identify new strategies for therapeutic intervention to block the interaction between AIEC and gut mucosa in the early stages of IBD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adhesins, Escherichia coli / genetics*
  • Adhesins, Escherichia coli / metabolism
  • Animals
  • Antigens, CD / metabolism
  • Bacterial Adhesion
  • Cell Adhesion Molecules / metabolism
  • Cell Line, Tumor
  • Colitis / metabolism
  • Colitis / pathology
  • Crohn Disease / metabolism
  • Crohn Disease / microbiology*
  • Enterocytes / metabolism
  • Enterocytes / microbiology
  • Enterocytes / pathology
  • Escherichia coli / genetics
  • Escherichia coli / metabolism
  • Escherichia coli / pathogenicity*
  • Escherichia coli Infections / metabolism
  • Escherichia coli Infections / microbiology*
  • Fimbriae Proteins / genetics*
  • Fimbriae Proteins / metabolism
  • GPI-Linked Proteins / metabolism
  • Genes, Bacterial / genetics
  • Humans
  • Ileum / metabolism
  • Ileum / microbiology
  • Ileum / pathology
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / pathology
  • Male
  • Mice
  • Mice, Transgenic
  • Point Mutation*
  • Virulence Factors

Substances

  • Adhesins, Escherichia coli
  • Antigens, CD
  • Cell Adhesion Molecules
  • GPI-Linked Proteins
  • Gm5893 protein, mouse
  • Virulence Factors
  • fimH protein, E coli
  • Fimbriae Proteins

Grants and funding

This study was supported by INSERM (UMR1071), INRA (USC-2018) and by grants from the Association F. Aupetit (AFA), European Commission through FP7 IBDase project and from ANR in the frame of ERA-NET PathoGenomics and by the ERA-NET PathoGenomics no. 0315443. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.