Characterization of a Glutamate Transporter Operon,glnQHMP, in Streptococcus mutans and Its Role in Acid Tolerance

Glutamate contributes to the acid tolerance response (ATR) of many Gram-negative and Gram-positive bacteria, but its role in the ATR of the oral bacterium Streptococcus mutans is unknown. This study describes the discovery and characterization of a glutamate transporter operon designated glnQHMP (Smu.1519 to Smu.1522) and investigates its potential role in acid tolerance. Deletion of glnQHMP resulted in a 95% reduction in transport of radiolabeled glutamate compared to the wild-type UA159 strain. The addition of glutamate to metabolizing UA159 cells resulted in an increased production of acidic end products, whereas the glnQHMP mutant produced less lactic acid than UA159, suggesting a link between glutamate metabolism and acid production and possible acid tolerance. To investigate this possibility, we conducted a microarray analysis with glutamate and under pH 5.5 and pH 7.5 conditions which showed that expression of the glnQHMP operon was downregulated by both glutamate and mild acid. We also measured the growth kinetics of UA159 and its glnQHMP-negative derivative at pH 5.5 and found that the mutant doubled at a much slower rate than the parent strain but survived at pH 3.5 significantly better than the wild type. Taken together, these findings support the involvement of the glutamate transporter operon glnQHMP in the acid tolerance response in S. mutans.Streptococcus mutans is 1 of over 700 bacterial species commonly found in the oral environment (1). Its ability to rapidly metabolize dietary carbohydrates to acid end products causes demineralization of the tooth enamel, leading to caries formation (19). Acidogenicity (the ability to produce acid end products via glycolysis) and aciduricity (the ability to survive and grow in acidic environments) are two important virulence factors of S. mutans. Maintenance of a pH gradient across the cell membrane by increasing intracellular pH by 0.5 to 1.0 relative to the extracellular pH (ΔpH) when exposed to a low pH environment is critical for the survival of S. mutans at low pH. This is primarily accomplished by acid-induced mechanisms that facilitate proton extrusion via the proton-translocating ATPase (5, 20) and by acid end product efflux (8, 12). S. mutans also possesses an acid tolerance response (ATR) mechanism, whereby preexposure to sublethal pH environments (e.g., pH 5.5) affords protection from killing under lethal pH values as low as pH 3.0 (7). This adaptive process is characterized by increased acid resistance (4), increased glycolytic capacities (20), and increased proton-translocating enzyme F₁F₀-ATPase activity (44). The ATR is enhanced by sugar starvation and the addition of amino acids (48), the addition of potassium ions (12), growth in biofilms, and activity of multiple two-component signal transduction systems that include the ComDE, HK11/RR11 (also designated LiaS/LiaR), VicKR, CiaHR, LevSR, ScnKR, and HK1037/RR1038 (6, 17, 31, 32, 46).Previously, Noji et al. and Sato et al. described a glutamate/aspartate transporter in S. mutans (38, 45). Those researchers showed that the presence of potassium ions was required for transport and that, in environments of pH 6.0 or below, the activity of the H⁺-ATPase system was required (38, 45). Potassium ions are the main cations in plaque (50), and potassium uptake is associated with intracellular pH homeostasis in S. mutans (24, 35). In addition, expression of several genes involved in the glutamate synthesis pathway (icd, citZ, and acn) are downregulated under low pH (10), suggesting a link between glutamate metabolism, potassium levels, and aciduricity in S. mutans. Since acid tolerance is an important virulence property of S. mutans, we aimed to investigate a possible link between glutamate uptake and acid resistance in this oral pathogen. In bacteria, intracellular glutamate and glutamine levels are closely linked with nitrogen metabolism of the cell. Glutamine is synthesized from glutamate and ammonium, which is a major way for cells to assimilate the nitrogen required for biosynthesis of all amino acids, thus affecting protein synthesis and the structural and functional integrity of the cell. Notably, nitrogen metabolism, especially glutamine metabolism, has been linked to virulence in a number of microorganisms, including Streptococcus pneumoniae (26, 42), Staphylococcus aureus (41), Candida albicans (33), and Pseudomonas aeruginosa (51). Glutamate uptake and metabolism are known to be involved in the ATR of Gram-negative bacteria such as Escherichia coli via the use of glutamate decarboxylase and the glutamate/gamma-amino butyrate (glutamate/GABA) antiporter (9). Similarly, the homologous proteins of these systems in Lactococcus lactis, encoded by the gadBC genes, were shown to assist in a glutamate-dependent acid-resistance mechanism in that Gram-positive bacterium (44).In this study, we searched the S. mutans UA159 genome for potential glutamine transporter operons. We constructed a deletion mutant (SmuGLT) of the glnQHMP operon (Smu.1519 to Smu.1522) and confirmed its role as a glutamate transporter. The inability of SmuGLT to take up glutamate resulted in a general growth deficiency, especially at pH 5.5, as well as an increased tolerance to acid. Results from this study provide insight into the ATR of S. mutans, including a potential link between glutamate metabolism and acid resistance in S. mutans.     

Alignment of the c-Type Cytochrome OmcS along Pili of Geobacter sulfurreducens

Immunogold localization revealed that OmcS, a cytochrome that is required for Fe(III) oxide reduction by Geobacter sulfurreducens, was localized along the pili. The apparent spacing between OmcS molecules suggests that OmcS facilitates electron transfer from pili to Fe(III) oxides rather than promoting electron conduction along the length of the pili.There are multiple competing/complementary models for extracellular electron transfer in Fe(III)- and electrode-reducing microorganisms (8, 18, 20, 44). Which mechanisms prevail in different microorganisms or environmental conditions may greatly influence which microorganisms compete most successfully in sedimentary environments or on the surfaces of electrodes and can impact practical decisions on the best strategies to promote Fe(III) reduction for bioremediation applications (18, 19) or to enhance the power output of microbial fuel cells (18, 21).The three most commonly considered mechanisms for electron transfer to extracellular electron acceptors are (i) direct contact between redox-active proteins on the outer surfaces of the cells and the electron acceptor, (ii) electron transfer via soluble electron shuttling molecules, and (iii) the conduction of electrons along pili or other filamentous structures. Evidence for the first mechanism includes the necessity for direct cell-Fe(III) oxide contact in Geobacter species (34) and the finding that intensively studied Fe(III)- and electrode-reducing microorganisms, such as Geobacter sulfurreducens and Shewanella oneidensis MR-1, display redox-active proteins on their outer cell surfaces that could have access to extracellular electron acceptors (1, 2, 12, 15, 27, 28, 31-33). Deletion of the genes for these proteins often inhibits Fe(III) reduction (1, 4, 7, 15, 17, 28, 40) and electron transfer to electrodes (5, 7, 11, 33). In some instances, these proteins have been purified and shown to have the capacity to reduce Fe(III) and other potential electron acceptors in vitro (10, 13, 29, 38, 42, 43, 48, 49).Evidence for the second mechanism includes the ability of some microorganisms to reduce Fe(III) that they cannot directly contact, which can be associated with the accumulation of soluble substances that can promote electron shuttling (17, 22, 26, 35, 36, 47). In microbial fuel cell studies, an abundance of planktonic cells and/or the loss of current-producing capacity when the medium is replaced is consistent with the presence of an electron shuttle (3, 14, 26). Furthermore, a soluble electron shuttle is the most likely explanation for the electrochemical signatures of some microorganisms growing on an electrode surface (26, 46).Evidence for the third mechanism is more circumstantial (19). Filaments that have conductive properties have been identified in Shewanella (7) and Geobacter (41) species. To date, conductance has been measured only across the diameter of the filaments, not along the length. The evidence that the conductive filaments were involved in extracellular electron transfer in Shewanella was the finding that deletion of the genes for the c-type cytochromes OmcA and MtrC, which are necessary for extracellular electron transfer, resulted in nonconductive filaments, suggesting that the cytochromes were associated with the filaments (7). However, subsequent studies specifically designed to localize these cytochromes revealed that, although the cytochromes were extracellular, they were attached to the cells or in the exopolymeric matrix and not aligned along the pili (24, 25, 30, 40, 43). Subsequent reviews of electron transfer to Fe(III) in Shewanella oneidensis (44, 45) appear to have dropped the nanowire concept and focused on the first and second mechanisms.Geobacter sulfurreducens has a number of c-type cytochromes (15, 28) and multicopper proteins (12, 27) that have been demonstrated or proposed to be on the outer cell surface and are essential for extracellular electron transfer. Immunolocalization and proteolysis studies demonstrated that the cytochrome OmcB, which is essential for optimal Fe(III) reduction (15) and highly expressed during growth on electrodes (33), is embedded in the outer membrane (39), whereas the multicopper protein OmpB, which is also required for Fe(III) oxide reduction (27), is exposed on the outer cell surface (39).OmcS is one of the most abundant cytochromes that can readily be sheared from the outer surfaces of G. sulfurreducens cells (28). It is essential for the reduction of Fe(III) oxide (28) and for electron transfer to electrodes under some conditions (11). Therefore, the localization of this important protein was further investigated.     

A New Borrelia Species Defined by Multilocus Sequence Analysis of Housekeeping Genes

Analysis of Lyme borreliosis (LB) spirochetes, using a novel multilocus sequence analysis scheme, revealed that OspA serotype 4 strains (a rodent-associated ecotype) of Borrelia garinii were sufficiently genetically distinct from bird-associated B. garinii strains to deserve species status. We suggest that OspA serotype 4 strains be raised to species status and named Borrelia bavariensis sp. nov. The rooted phylogenetic trees provide novel insights into the evolutionary history of LB spirochetes.Multilocus sequence typing (MLST) and multilocus sequence analysis (MLSA) have been shown to be powerful and pragmatic molecular methods for typing large numbers of microbial strains for population genetics studies, delineation of species, and assignment of strains to defined bacterial species (4, 13, 27, 40, 44). To date, MLST/MLSA schemes have been applied only to a few vector-borne microbial populations (1, 6, 30, 37, 40, 41, 47).Lyme borreliosis (LB) spirochetes comprise a diverse group of zoonotic bacteria which are transmitted among vertebrate hosts by ixodid (hard) ticks. The most common agents of human LB are Borrelia burgdorferi (sensu stricto), Borrelia afzelii, Borrelia garinii, Borrelia lusitaniae, and Borrelia spielmanii (7, 8, 12, 35). To date, 15 species have been named within the group of LB spirochetes (6, 31, 32, 37, 38, 41). While several of these LB species have been delineated using whole DNA-DNA hybridization (3, 20, 33), most ecological or epidemiological studies have been using single loci (5, 9-11, 29, 34, 36, 38, 42, 51, 53). Although some of these loci have been convenient for species assignment of strains or to address particular epidemiological questions, they may be unsuitable to resolve evolutionary relationships among LB species, because it is not possible to define any outgroup. For example, both the 5S-23S intergenic spacer (5S-23S IGS) and the gene encoding the outer surface protein A (ospA) are present only in LB spirochete genomes (36, 43). The advantage of using appropriate housekeeping genes of LB group spirochetes is that phylogenetic trees can be rooted with sequences of relapsing fever spirochetes. This renders the data amenable to detailed evolutionary studies of LB spirochetes.LB group spirochetes differ remarkably in their patterns and levels of host association, which are likely to affect their population structures (22, 24, 46, 48). Of the three main Eurasian Borrelia species, B. afzelii is adapted to rodents, whereas B. valaisiana and most strains of B. garinii are maintained by birds (12, 15, 16, 23, 26, 45). However, B. garinii OspA serotype 4 strains in Europe have been shown to be transmitted by rodents (17, 18) and, therefore, constitute a distinct ecotype within B. garinii. These strains have also been associated with high pathogenicity in humans, and their finer-scale geographical distribution seems highly focal (10, 34, 52, 53).In this study, we analyzed the intra- and interspecific phylogenetic relationships of B. burgdorferi, B. afzelii, B. garinii, B. valaisiana, B. lusitaniae, B. bissettii, and B. spielmanii by means of a novel MLSA scheme based on chromosomal housekeeping genes (30, 48).     

Inhibitory Effects of Low-Energy Pulsed Ultrasonic Stimulation on Cell Surface Protein Antigen C through Heat Shock Proteins GroEL and DnaK in Streptococcus mutans

This study concerns the use of low-energy pulsed ultrasound as nondestructive photodynamic antimicrobial therapy for controlling dental plaque. We examined the antibacterial and bactericidal effects of low-energy pulsed ultrasound on mutans streptococci and its inhibitory effects on bacterial cell adhesion of Streptococcus mutans. The results indicated weak antibacterial and bactericidal effects. However, ultrasonic stimulation for less than 20 min markedly decreased bacterial cell adhesion. To analyze the mechanism underlying the inhibitory effect, we examined cell surface protein antigen C (PAc) and glucosyltransferase I (GTF-I) expression in S. mutans. The levels of PAc gene and protein expression were markedly decreased by ultrasonic stimulation for 20 min. However, no change in GTF-I expression was observed. The expression of stress response heat shock proteins GroEL and DnaK was also examined. GroEL and DnaK levels were significantly decreased by ultrasonic stimulation, and the expression of the PAc protein was also diminished upon the addition of GroEL or DnaK inhibitors without ultrasonic stimulation. These observations suggest that the expression of the PAc protein in S. mutans may be dependent on heat shock proteins. Thus, low-energy pulsed ultrasound decreases bacterial adhesion by the inhibitory effect on the PAc protein and heat shock protein expression and may be useful as photodynamic antimicrobial chemotherapy in controlling dental plaque.The mutans streptococci Streptococcus mutans and Streptococcus sobrinus are believed to be the primary etiological agents of human dental caries, as many studies have demonstrated correlations between the presence of caries and elevated numbers of these organisms in dental plaque (25). In addition, experimental studies of animals have indicated the extreme cariogenic nature of these organisms (43, 47). Therefore, both species are believed to be highly cariogenic in dental plaque. Colonization of tooth surfaces by these microorganisms is the first step in the induction of dental caries. The colonization process is mediated by sucrose-independent and sucrose-dependent mechanisms (18, 19). The former mechanisms involve an interaction between bacterial cells and acquired pellicles on the tooth surfaces via the cell surface protein antigen C (PAc) or protein antigen G (PAg) in S. mutans and S. sobrinus, respectively (19, 30). The latter mechanisms are attributable to the synthesis of water-insoluble glucan from sucrose, catalyzed by glucosyltransferase (GTF) (22). To prevent dental caries, one must remove plaque containing mutans streptococci. However, it is difficult to remove plaque completely using conventional methods. Novel methods, such as the use of some chemical agents, laser irradiation, and both sonic and ultrasonic treatments, may be useful for controlling plaque (1, 2, 3, 20, 45, 46).Therapeutic ultrasound, which has a long history of use as a therapeutic, diagnostic, and surgical tool (4, 5, 7, 38), uses sound waves to transfer mechanical energy to tissues and cells. The application of therapeutic and surgical ultrasound (1 to 300 W/cm²) generates considerable heat in living tissue and can homogenize tissues. In addition, the cells in the tissues are destroyed, proteins are denatured, and random fragmentation of DNA and RNA may occur (39). Low-intensity pulsed ultrasound (<100 mW/cm²), which is nonthermogenic and nondestructive, is widely used to accelerate bone growth during fracture healing and distraction osteogenesis (9, 33). Low-intensity pulsed ultrasound can accelerate osteogenic differentiation and the differentiation from progenitor cells of myoblasts to osteoblasts (12, 26, 40, 41, 42). The possible effects of low- and high-intensity ultrasound on tissues and cells include mechanical stress or production of free radicals due to ultrasound irradiation, which may be recognized as oxidative stress (14, 15, 32). Recently, the inactivation of pathogens through the production of the free radicals, termed photodynamic therapy, has been used in anticancer therapy (10, 29). Photodynamic antimicrobial chemotherapy on pathogenic microbes has also been reported (13, 21), and ultrasonic stimulation may be considered an appropriate photosensitizer (27). However, the appropriate parameters for ultrasonic stimulation in terms of power and applicable devices have not been determined.Living microorganisms can adapt to diverse environmental conditions, such as carbon starvation or pH, mechanical, osmotic, oxidative, or heat shock stress, enabling survival under physiological stress. Heat shock proteins (HSPs), which act as stress proteins, are among the most highly conserved proteins in nature. First discovered in studies of thermal stress, HSPs can respond to other types of stress and have a number of important biological roles, e.g., as molecular chaperones and in protein homeostasis. HSPs are divided into families: HSP60 (approximately 60 kDa; GroEL) and HSP70 (approximately 70 kDa; DnaK) are identified mainly in bacteria (8, 11, 17). Ultrasonic stimulation is a form of environmental stress and may influence HSPs in photodynamic antimicrobial chemotherapy. However, there have been no reports to date on the association between ultrasonic stimulation and HSP expression.To develop the use of low-energy ultrasound as nondestructive photodynamic antimicrobial chemotherapy for controlling dental plaque (28, 35), we tested the antibacterial effects of ultrasonic stimulation and inhibitory effects on bacterial adhesion and the colonization process. Furthermore, inhibitory effects on HSPs were also determined in mutans streptococci.     

Exopolysaccharides Produced by Streptococcus mutans Glucosyltransferases Modulate the Establishment of Microcolonies within Multispecies Biofilms

Streptococcus mutans is a key contributor to the formation of the extracellular polysaccharide (EPS) matrix in dental biofilms. The exopolysaccharides, which are mostly glucans synthesized by streptococcal glucosyltransferases (Gtfs), provide binding sites that promote accumulation of microorganisms on the tooth surface and further establishment of pathogenic biofilms. This study explored (i) the role of S. mutans Gtfs in the development of the EPS matrix and microcolonies in biofilms, (ii) the influence of exopolysaccharides on formation of microcolonies, and (iii) establishment of S. mutans in a multispecies biofilm in vitro using a novel fluorescence labeling technique. Our data show that the ability of S. mutans strains defective in the gtfB gene or the gtfB and gtfC genes to form microcolonies on saliva-coated hydroxyapatite surfaces was markedly disrupted. However, deletion of both gtfB (associated with insoluble glucan synthesis) and gtfC (associated with insoluble and soluble glucan synthesis) is required for the maximum reduction in EPS matrix and biofilm formation. S. mutans grown with sucrose in the presence of Streptococcus oralis and Actinomyces naeslundii steadily formed exopolysaccharides, which allowed the initial clustering of bacterial cells and further development into highly structured microcolonies. Concomitantly, S. mutans became the major species in the mature biofilm. Neither the EPS matrix nor microcolonies were formed in the presence of glucose in the multispecies biofilm. Our data show that GtfB and GtfC are essential for establishment of the EPS matrix, but GtfB appears to be responsible for formation of microcolonies by S. mutans; these Gtf-mediated processes may enhance the competitiveness of S. mutans in the multispecies environment in biofilms on tooth surfaces.Oral diseases related to dental biofilms afflict the majority of the world''s population, and dental caries is still the single most prevalent and costly oral infectious disease (12, 32). Dental caries results from the interaction of specific bacteria with constituents of the diet within a biofilm formed on the tooth surface known as plaque (5, 36). Streptococcus mutans is a key contributor to the formation of biofilms associated with dental caries disease, although other microorganisms may also be involved (3); S. mutans (i) effectively utilizes dietary sucrose (and possibly starch) to rapidly synthesize exopolysaccharides (EPS) using glucosyltransferases and a fructosyltransferase that adsorb to surfaces, (ii) adheres tenaciously to glucan-coated surfaces, and (iii) is acidogenic and acid tolerant (5, 30).In general, biofilms develop after initial attachment of microbes to a surface, followed by formation of highly structured cell clusters (or microcolonies) and further development and stabilization of the microcolonies, which are in a complex extracellular matrix (6, 49). The majority of biofilm matrices contain exopolysaccharides, and dental biofilms are no exception; up to 40% of the dry weight of dental plaque is composed of polysaccharides (depending on the type of carbohydrate consumption and the time of plaque collection), which are mostly glucans synthesized by microbial glucosyltransferases (Gtfs) (for a review, see reference 36). S. mutans plays a major role in the development and establishment of the EPS matrix in dental biofilms. This bacterium produces at least three Gtfs, which are products of the gtfB, gtfC, and gtfD genes; GtfB synthesizes mostly insoluble glucans containing elevated amounts of α-1,3-linked glucose, GtfC synthesizes a mixture of insoluble and soluble glucans (rich in α-1,6-linked glucose), and GtfD synthesizes predominantly soluble glucans (for reviews, see references 30 and 36). The Gtfs secreted by S. mutans bind avidly to the pellicle formed on the tooth surface and to bacterial surfaces and are enzymatically active; when they are exposed to sucrose, glucans are formed in situ within minutes (17, 33, 38, 40, 46). It is noteworthy that most nonstreptococcal oral bacteria (e.g., Actinomyces and Veillonella spp.) do not produce glucans unless Gtfs are adsorbed on their surfaces (33, 46). The glucans synthesized in situ provide binding sites for colonization and accumulation of S. mutans on the apatitic surface and for binding to each other through interactions with several membrane-associated glucan-binding proteins and surface glucans (8, 39, 47). The exopolymers also contribute to the bulk and physical integrity and stability of the biofilm matrix (for a review, see reference 36). The glucan-mediated processes promote tight adherence and coherence of bacterial cells bound to each other and to the apatitic surface, which leads to the formation of microcolonies by S. mutans and thereby modulates the initial steps of cariogenic biofilm development.When dietary sucrose is consumed frequently, S. mutans, as a member of the oral biofilm community, continues to synthesize polysaccharides and metabolize this sugar to form organic acids. The elevated amounts of EPS, which may involve upregulation of gtf genes in response to pH and carbohydrate availability (29), increase the virulence of the biofilms (42, 51). In addition, the ability of S. mutans to utilize some extra- and intracellular polysaccharides as short-term storage compounds provides an additional ecological benefit and simultaneously increases the amount of acid produced and the extent of acidification within the biofilm (5, 7). The persistence of this aciduric environment leads to selection and dominance of highly acid-tolerant (and acidogenic) organisms, such as S. mutans (32, 37); the low-pH environment in the biofilm matrix results in dissolution of enamel, thus initiating the pathogenesis of dental caries (32, 36).Recently, we have shown that EPS produced by S. mutans Gtfs modulate the initial formation, sequence of assembly, and structural organization of microcolonies by this bacterium on apatitic surfaces (50). However, it was unclear which of the Gtf enzymes were associated with these processes. Furthermore, the polysaccharides may also modulate the formation of microcolonies by complex ecological interactions in a multispecies system. In this study, we investigated (i) the role of each of the S. mutans gtf genes in EPS matrix and microcolony development on a saliva-coated hydroxyapatite (sHA) surface and (ii) the influence of exopolysaccharides on establishment of microcolonies at distinct developmental phases during formation of biofilms by S. mutans in the presence of Streptococcus oralis and Actinomyces naeslundii.(This study was presented at 5th ASM Conference on Biofilms, Cancun, Mexico, 15 to 19 November 2009.)     

Population Structure of the Lyme Borreliosis Spirochete Borrelia burgdorferi in the Western Black-Legged Tick (Ixodes pacificus) in Northern California

Factors potentially contributing to the lower incidence of Lyme borreliosis (LB) in the far-western than in the northeastern United States include tick host-seeking behavior resulting in fewer human tick encounters, lower densities of Borrelia burgdorferi-infected vector ticks in peridomestic environments, and genetic variation among B. burgdorferi spirochetes to which humans are exposed. We determined the population structure of B. burgdorferi in over 200 infected nymphs of the primary bridging vector to humans, Ixodes pacificus, collected in Mendocino County, CA. This was accomplished by sequence typing the spirochete lipoprotein ospC and the 16S-23S rRNA intergenic spacer (IGS). Thirteen ospC alleles belonging to 12 genotypes were found in California, and the two most abundant, ospC genotypes H3 and E3, have not been detected in ticks in the Northeast. The most prevalent ospC and IGS biallelic profile in the population, found in about 22% of ticks, was a new B. burgdorferi strain defined by ospC genotype H3. Eight of the most common ospC genotypes in the northeastern United States, including genotypes I and K that are associated with disseminated human infections, were absent in Mendocino County nymphs. ospC H3 was associated with hardwood-dominated habitats where western gray squirrels, the reservoir host, are commonly infected with LB spirochetes. The differences in B. burgdorferi population structure in California ticks compared to the Northeast emphasize the need for a greater understanding of the genetic diversity of spirochetes infecting California LB patients.In the United States, Lyme borreliosis (LB) is the most commonly reported vector-borne illness and is caused by infection with the spirochete Borrelia burgdorferi (3, 9, 52). The signs and symptoms of LB can include a rash, erythema migrans, fever, fatigue, arthritis, carditis, and neurological manifestations (50, 51). The black-legged tick, Ixodes scapularis, and the western black-legged tick, Ixodes pacificus, are the primary vectors of B. burgdorferi to humans in the United States, with the former in the northeastern and north-central parts of the country and the latter in the Far West (9, 10). These ticks perpetuate enzootic transmission cycles together with a vertebrate reservoir host such as the white-footed mouse, Peromyscus leucopus, in the Northeast and Midwest (24, 35), or the western gray squirrel, Sciurus griseus, in California (31, 46).B. burgdorferi is a spirochete species with a largely clonal population structure (14, 16) comprising several different strains or lineages (8). The polymorphic ospC gene of B. burgdorferi encodes a surface lipoprotein that increases expression within the tick during blood feeding (47) and is required for initial infection of mammalian hosts (25, 55). To date, approximately 20 North American ospC genotypes have been described (40, 45, 49, 56). At least four, and possibly up to nine, of these genotypes are associated with B. burgdorferi invasiveness in humans (1, 15, 17, 49, 57). Restriction fragment length polymorphism (RFLP) and, subsequently, sequence analysis of the 16S-23S rRNA intergenic spacer (IGS) are used as molecular typing tools to investigate genotypic variation in B. burgdorferi (2, 36, 38, 44, 44, 57). The locus maintains a high level of variation between related species, and this variation reflects the heterogeneity found at the genomic level of the organism (37). The IGS and ospC loci appear to be linked (2, 8, 26, 45, 57), but the studies to date have not been representative of the full range of diversity of B. burgdorferi in North America.Previous studies in the northeastern and midwestern United States have utilized IGS and ospC genotyping to elucidate B. burgdorferi evolution, host strain specificity, vector-reservoir associations, and disease risk to humans. In California, only six ospC and five IGS genotypes have been described heretofore in samples from LB patients or I. pacificus ticks (40, 49, 56) compared to approximately 20 ospC and IGS genotypes identified in ticks, vertebrate hosts, or humans from the Northeast and Midwest (8, 40, 45, 49, 56). Here, we employ sequence analysis of both the ospC gene and IGS region to describe the population structure of B. burgdorferi in more than 200 infected I. pacificus nymphs from Mendocino County, CA, where the incidence of LB is among the highest in the state (11). Further, we compare the Mendocino County spirochete population to populations found in the Northeast.     

Preinfection Human Immunodeficiency Virus (HIV)-Specific Cytotoxic T Lymphocytes Failed To Prevent HIV Type 1 Infection from Strains Genetically Unrelated to Viruses in Long-Term Exposed Partners

Understanding the mechanisms underlying potential altered susceptibility to human immunodeficiency virus type 1 (HIV-1) infection in highly exposed seronegative (ES) individuals and the later clinical consequences of breakthrough infection can provide insight into strategies to control HIV-1 with an effective vaccine. From our Seattle ES cohort, we identified one individual (LSC63) who seroconverted after over 2 years of repeated unprotected sexual contact with his HIV-1-infected partner (P63) and other sexual partners of unknown HIV-1 serostatus. The HIV-1 variants infecting LSC63 were genetically unrelated to those sequenced from P63. This may not be surprising, since viral load measurements in P63 were repeatedly below 50 copies/ml, making him an unlikely transmitter. However, broad HIV-1-specific cytotoxic T-lymphocyte (CTL) responses were detected in LSC63 before seroconversion. Compared to those detected after seroconversion, these responses were of lower magnitude and half of them targeted different regions of the viral proteome. Strong HLA-B27-restricted CTLs, which have been associated with disease control, were detected in LSC63 after but not before seroconversion. Furthermore, for the majority of the protein-coding regions of the HIV-1 variants in LSC63 (except gp41, nef, and the 3′ half of pol), the genetic distances between the infecting viruses and the viruses to which he was exposed through P63 (termed the exposed virus) were comparable to the distances between random subtype B HIV-1 sequences and the exposed viruses. These results suggest that broad preinfection immune responses were not able to prevent the acquisition of HIV-1 infection in LSC63, even though the infecting viruses were not particularly distant from the viruses that may have elicited these responses.Understanding the mechanisms of altered susceptibility or control of human immunodeficiency virus type 1 (HIV-1) infection in highly exposed seronegative (ES) persons may provide invaluable information aiding the design of HIV-1 vaccines and therapy (9, 14, 15, 33, 45, 57, 58). In a cohort of female commercial sex workers in Nairobi, Kenya, a small proportion of individuals remained seronegative for over 3 years despite the continued practice of unprotected sex (12, 28, 55, 56). Similarly, resistance to HIV-1 infection has been reported in homosexual men who frequently practiced unprotected sex with infected partners (1, 15, 17, 21, 61). Multiple factors have been associated with the resistance to HIV-1 infection in ES individuals (32), including host genetic factors (8, 16, 20, 37-39, 44, 46, 47, 49, 59, 63), such as certain HLA class I and II alleles (41), as well as cellular (1, 15, 26, 55, 56), humoral (25, 29), and innate immune responses (22, 35).Seroconversion in previously HIV-resistant Nairobi female commercial sex workers, despite preexisting HIV-specific cytotoxic T-lymphocyte (CTL) responses, has been reported (27). Similarly, 13 of 125 ES enrollees in our Seattle ES cohort (1, 15, 17) have become late seroconverters (H. Zhu, T. Andrus, Y. Liu, and T. Zhu, unpublished observations). Here, we analyze the virology, genetics, and immune responses of HIV-1 infection in one of the later seroconverting subjects, LSC63, who had developed broad CTL responses before seroconversion.