Abstract

Escherichia coli sequence type 131 (ST131) is a globally dominant multidrug resistant clone associated with urinary tract and bloodstream infections. Most ST131 strains exhibit resistance to multiple antibiotics and cause infections associated with limited treatment options. The largest sub-clonal ST131 lineage is resistant to fluoroquinolones, contains the type 1 fimbriae fimH30 allele and expresses an H4 flagella antigen. Flagella are motility organelles that contribute to UPEC colonisation of the upper urinary tract. In this study, we examined the specific role of H4 flagella in ST131 motility and interaction with host epithelial and immune cells. We show that the majority of H4-positive ST131 strains are motile and are enriched for flagella expression during static pellicle growth. We also tested the role of H4 flagella in ST131 through the construction of specific mutants, over-expression strains and isogenic mutants that expressed alternative H1 and H7 flagellar subtypes. Overall, our results revealed that H4, H1 and H7 flagella possess conserved phenotypes with regards to motility, epithelial cell adhesion, invasion and uptake by macrophages. In contrast, H4 flagella trigger enhanced induction of the anti-inflammatory cytokine IL-10 compared to H1 and H7 flagella, a property that may contribute to ST131 fitness in the urinary tract.

Highlights

  • The majority of E. coli ST131 strains, including those from clade C2, possess a flagellar antigen that belongs to the H4 serogroup

  • In order to determine the contribution of these two systems to ST131 motility, we generated a series of mutations in the prototype ST131 strain EC958

  • These results indicate that the Flag-2 system of EC958 is not expressed under the conditions tested in this study, and that the motility phenotype of EC958 is mediated by Flag-1 flagella

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Summary

Introduction

The majority of E. coli ST131 strains, including those from clade C2, possess a flagellar antigen that belongs to the H4 serogroup. We observed a significant increase in the expression of FliC flagellin following static growth of EC958 as determined by western blot analysis of whole cell lysates (Fig. 1a).

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