Introduction
The pathogenic Gram-positive bacterium
Listeria monocytogenes is the etiological agent of listeriosis, a disease with serious consequences for pregnant women, newborns, and immunocompromised persons. Healthy individuals who have ingested large amounts of
L. monocytogenes can suffer from gastroenteritis when the bacterium passes through the gastrointestinal barrier (
1- Lee E.-Y.
- Choi D.-Y.
- Kim D.-K.
- Kim J.-W.
- Park J.O.
- Kim S.
- Kim S.-H.
- Desiderio D.M.
- Kim Y.-K.
- Kim K.-P.
- Gho Y.S.
Gram-positive bacteria produce membrane vesicles: proteomics-based characterization of Staphylococcus aureus-derived membrane vesicles.
2Understanding how Listeria monocytogenes targets and crosses host barriers.
,
3- Thay B.
- Wai S.N.
- Oscarsson J.
Staphylococcus aureus α-toxin-dependent induction of host cell death by membrane-derived vesicles.
4- Olaya-Abril A.
- Prados-Rosales R.
- McConnell M.J.
- Martín-Peña R.
- González-Reyes J.A.
- Jiménez-Munguía I.
- Gómez-Gascón L.
- Fernández J.
- Luque-García J.L.
- García-Lidón C.
- Estévez H.
- Pachón J.
- Obando I.
- Casadevall A.
- Pirofski L.-A.
- Rodríguez-Ortega M.J.
Characterization of protective extracellular membrane-derived vesicles produced by Streptococcus pneumoniae.
).
L. monocytogenes can cause spontaneous abortions in pregnant women and meningoencephalitis by crossing the placental and blood-brain barriers, respectively (
5- Lecuit M.
- Ohayon H.
- Braun L.
- Mengaud J.
- Cossart P.
Internalin of Listeria monocytogenes with an intact leucine-rich repeat region is sufficient to promote internalization.
). To invade cells, cross these barriers, and evade the immune system,
L. monocytogenes has a sophisticated intracellular life cycle and pathogenic strategy (
6- Deatherage B.L.
- Cookson B.T.
Membrane vesicle release in bacteria, eukaryotes, and archaea: a conserved yet underappreciated aspect of microbial life.
,
7- Camejo A.
- Carvalho F.
- Reis O.
- Leitão E.
- Sousa S.
- Cabanes D.
The arsenal of virulence factors deployed by Listeria monocytogenes to promote its cell infection cycle.
).
Initially,
L. monocytogenes invades various cell types, including nonphagocytic cells, by utilizing two internalins, internalin A (InlA) and internalin B (InlB), with a minor contribution by the pore-forming toxin listeriolysin O (LLO),
7The abbreviations used are: LLO
listeriolysin O
PC
phosphatidylcholine
PLC
phospholipase
PI
phosphatidylinositol
ActA
Actin assembly–inducing protein
EV
extracellular vesicles
OMV
outer membrane vesicle
MPLEx
metabolite, protein, and lipid extraction
TEM
transmission electron microscopy
rLLO
recombinant LLO
RBC
red blood cells
MTT
3-(4,5-dimethylthiazol-2-yl)2,5-diphenyltetrazolium bromide
hpi
h post-infection
HK
heat killed
BHI
brain heart infusion
ER
endoplasmic reticulum
DMEM
Dulbecco's modified Eagle's medium
BisTris
2-[bis(2-hydroxyethyl)amino]-2-(hydroxymethyl)propane-1,3-diol
EM
electron microscopy
m.o.i.
multiplicity of infection.
to induce uptake of the bacterium (
1- Lee E.-Y.
- Choi D.-Y.
- Kim D.-K.
- Kim J.-W.
- Park J.O.
- Kim S.
- Kim S.-H.
- Desiderio D.M.
- Kim Y.-K.
- Kim K.-P.
- Gho Y.S.
Gram-positive bacteria produce membrane vesicles: proteomics-based characterization of Staphylococcus aureus-derived membrane vesicles.
,
5- Lecuit M.
- Ohayon H.
- Braun L.
- Mengaud J.
- Cossart P.
Internalin of Listeria monocytogenes with an intact leucine-rich repeat region is sufficient to promote internalization.
,
8- Hamon M.A.
- Ribet D.
- Stavru F.
- Cossart P.
Listeriolysin O: the Swiss army knife of Listeria.
9- Vadia S.
- Arnett E.
- Haghighat A.-C.
- Wilson-Kubalek E.M.
- Tweten R.K.
- Seveau S.
The pore-forming toxin listeriolysin O mediates a novel entry pathway of L. monocytogenes into human hepatocytes.
,
10- Sawyer R.T.
- Drevets D.A.
- Campbell P.A.
- Potter T.A.
Internalin A can mediate phagocytosis of Listeria monocytogenes by mouse macrophage cell lines.
11- Portnoy D.A.
- Jacks P.S.
- Hinrichs D.J.
Role of hemolysin for the intracellular growth of Listeria monocytogenes.
). Once internalized in the host vacuole,
L. monocytogenes employs LLO, phosphatidylcholine-specific phospholipase (PC-PLC), and phosphatidylinositol-specific phospholipase C (PI-PLC) to disrupt the single vacuolar membrane, releasing the bacterium into the cytoplasm (
12- Rivera R.J.
- Cordero R.J.B.
- Nakouzi A.S.
- Frases S.
- Nicola A.
- Casadevall A.
Bacillus anthracis produces membrane-derived vesicles containing biologically active toxins.
13- Poussin M.A.
- Leitges M.
- Goldfine H.
The ability of Listeria monocytogenes PI-PLC to facilitate escape from the macrophage phagosome is dependent on host PKCβ.
,
14- Camilli A.
- Goldfine H.
- Portnoy D.A.
Listeria monocytogenes mutants lacking phosphatidylinositol-specific phospholipase C are avirulent.
,
15- Smith G.A.
- Marquis H.
- Jones S.
- Johnston N.C.
- Portnoy D.A.
- Goldfine H.
The two distinct phospholipases C of Listeria monocytogenes have overlapping roles in escape from a vacuole and cell-to-cell spread.
16- Gaillard J.L.
- Berche P.
- Mounier J.
- Richard S.
- Sansonetti P.
In vitro model of penetration and intracellular growth of Listeria monocytogenes in the human enterocyte-like cell line Caco-2.
). In the cytoplasm,
L. monocytogenes replicates rapidly and produces the surface actin assembly-inducing (ActA) protein (
17- Lee J.H.
- Choi C.-W.
- Lee T.
- Kim S.I.
- Lee J.-C.
- Shin J.-H.
Transcription factor σB plays an important role in the production of extracellular membrane-derived vesicles in Listeria monocytogenes.
,
18- Kocks C.
- Gouin E.
- Tabouret M.
- Berche P.
- Ohayon H.
- Cossart P.
L. monocytogenes-induced actin assembly requires the actA gene product, a surface protein.
19Actin filaments and the growth, movement, and spread of the intracellular bacterial parasite, Listeria monocytogenes.
). ActA induces actin formation creating a comet tail, ultimately pushing the bacterium toward the host cell surface to invade neighboring cells. In this manner,
L. monocytogenes replicates and spread within the host avoiding the extracellular space and evading the immune system.
The use of extracellular vesicles (EVs) to secrete compounds to the extracellular space is established in mammals and is described in a variety of microorganisms, suggesting these structures are produced by all domains of life (
1- Lee E.-Y.
- Choi D.-Y.
- Kim D.-K.
- Kim J.-W.
- Park J.O.
- Kim S.
- Kim S.-H.
- Desiderio D.M.
- Kim Y.-K.
- Kim K.-P.
- Gho Y.S.
Gram-positive bacteria produce membrane vesicles: proteomics-based characterization of Staphylococcus aureus-derived membrane vesicles.
,
3- Thay B.
- Wai S.N.
- Oscarsson J.
Staphylococcus aureus α-toxin-dependent induction of host cell death by membrane-derived vesicles.
,
4- Olaya-Abril A.
- Prados-Rosales R.
- McConnell M.J.
- Martín-Peña R.
- González-Reyes J.A.
- Jiménez-Munguía I.
- Gómez-Gascón L.
- Fernández J.
- Luque-García J.L.
- García-Lidón C.
- Estévez H.
- Pachón J.
- Obando I.
- Casadevall A.
- Pirofski L.-A.
- Rodríguez-Ortega M.J.
Characterization of protective extracellular membrane-derived vesicles produced by Streptococcus pneumoniae.
,
6- Deatherage B.L.
- Cookson B.T.
Membrane vesicle release in bacteria, eukaryotes, and archaea: a conserved yet underappreciated aspect of microbial life.
,
12- Rivera R.J.
- Cordero R.J.B.
- Nakouzi A.S.
- Frases S.
- Nicola A.
- Casadevall A.
Bacillus anthracis produces membrane-derived vesicles containing biologically active toxins.
,
20- Jiang Y.
- Kong Q.
- Roland K.L.
- Curtiss 3rd, R.
Membrane vesicles of Clostridium perfringens type A strains induce innate and adaptive immunity.
21Structures of Gram-negative cell walls and their derived membrane vesicles.
,
22- MacDonald I.A.
- Kuehn M.J.
Offense and defense: microbial membrane vesicles play both ways.
,
23- Brown L.
- Kessler A.
- Cabezas-Sanchez P.
- Luque-Garcia J.L.
- Casadevall A.
Extracellular vesicles produced by the Gram-positive bacterium Bacillus subtilis are disrupted by the lipopeptide surfactin.
24- Rodrigues M.L.
- Nakayasu E.S.
- Oliveira D.L.
- Nimrichter L.
- Nosanchuk J.D.
- Almeida I.C.
- Casadevall A.
Extracellular vesicles produced by Cryptococcus neoformans contain protein components associated with virulence.
). EVs are small, lipid-bilayered spheres ranging in diameters from ∼20 to 500 nm. In Gram-negative bacteria, the outer membrane pinches off resulting in the formation of outer membrane vesicles (OMV). OMVs have been associated with, but not limited to, adhesion, immunosuppression, cytotoxicity, virulence, and stress response (
20- Jiang Y.
- Kong Q.
- Roland K.L.
- Curtiss 3rd, R.
Membrane vesicles of Clostridium perfringens type A strains induce innate and adaptive immunity.
,
21Structures of Gram-negative cell walls and their derived membrane vesicles.
22- MacDonald I.A.
- Kuehn M.J.
Offense and defense: microbial membrane vesicles play both ways.
,
25- Brown L.
- Wolf J.M.
- Prados-Rosales R.
- Casadevall A.
Through the wall: extracellular vesicles in Gram-positive bacteria, mycobacteria and fungi.
,
26Bacterial outer membrane vesicles and the host–pathogen interaction.
) and are postulated to be “virulence bags.” The study of EVs in cell-walled organisms such as Gram-positive bacteria, mycobacteria, and fungi was neglected due to the erroneous inference that the combination of a thick cell wall and lack of outer membrane would preclude release of such structures. However, the discovery that fungi produced EVs despite having cell walls (
24- Rodrigues M.L.
- Nakayasu E.S.
- Oliveira D.L.
- Nimrichter L.
- Nosanchuk J.D.
- Almeida I.C.
- Casadevall A.
Extracellular vesicles produced by Cryptococcus neoformans contain protein components associated with virulence.
,
25- Brown L.
- Wolf J.M.
- Prados-Rosales R.
- Casadevall A.
Through the wall: extracellular vesicles in Gram-positive bacteria, mycobacteria and fungi.
) stimulated the search for EV in cell-walled organisms. EVs were found in
Bacillus anthracis and, consistent with the idea of virulence bags, were implicated in the delivery of anthrax toxin to host cells (
12- Rivera R.J.
- Cordero R.J.B.
- Nakouzi A.S.
- Frases S.
- Nicola A.
- Casadevall A.
Bacillus anthracis produces membrane-derived vesicles containing biologically active toxins.
). Packaging of toxins in EVs is widespread: both pneumococcal pneumolysin and staphylococcal α-toxin are in EVs (
4- Olaya-Abril A.
- Prados-Rosales R.
- McConnell M.J.
- Martín-Peña R.
- González-Reyes J.A.
- Jiménez-Munguía I.
- Gómez-Gascón L.
- Fernández J.
- Luque-García J.L.
- García-Lidón C.
- Estévez H.
- Pachón J.
- Obando I.
- Casadevall A.
- Pirofski L.-A.
- Rodríguez-Ortega M.J.
Characterization of protective extracellular membrane-derived vesicles produced by Streptococcus pneumoniae.
,
27- Sun Y.
- Wilkinson B.J.
- Standiford T.J.
- Akinbi H.T.
- O'Riordan M.X.
Fatty acids regulate stress resistance and virulence factor production for Listeria monocytogenes.
,
28- Mastronicolis S.K.
- Arvanitis N.
- Karaliota A.
- Magiatis P.
- Heropoulos G.
- Litos C.
- Moustaka H.
- Tsakirakis A.
- Paramera E.
- Papastavrou P.
Coordinated regulation of cold-induced changes in fatty acids with cardiolipin and phosphatidylglycerol composition among phospholipid species for the food pathogen Listeria monocytogenes.
). In
Staphylococcus aureus and
Mycobacterium ulcerans, intact toxin-associated EVs are more cytotoxic than disrupted EVs or purified toxin alone, indicating that the EV structure is required for efficient delivery of the virulence “package” (
3- Thay B.
- Wai S.N.
- Oscarsson J.
Staphylococcus aureus α-toxin-dependent induction of host cell death by membrane-derived vesicles.
,
29- Frydrychowicz M.
- Kolecka-Bednarczyk A.
- Madejczyk M.
- Yasar S.
- Dworacki G.
Exosomes: structure, biogenesis and biological role in non-small-cell lung cancer.
,
30- Marsollier L.
- Brodin P.
- Jackson M.
- Korduláková J.
- Tafelmeyer P.
- Carbonnelle E.
- Aubry J.
- Milon G.
- Legras P.
- André J.-P. S.
- Leroy C.
- Cottin J.
- Guillou M.L.
- Reysset G.
- Cole S.T.
Impact of Mycobacterium ulcerans biofilm on transmissibility to ecological niches and Buruli ulcer pathogenesis.
).
There have been two prior published reports of EVs in
L. monocytogenes (
17- Lee J.H.
- Choi C.-W.
- Lee T.
- Kim S.I.
- Lee J.-C.
- Shin J.-H.
Transcription factor σB plays an important role in the production of extracellular membrane-derived vesicles in Listeria monocytogenes.
,
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
) associating LLO with vesicles but neither unequivocally establishes toxin transport in vesicles. In addition, vesicles from
L. monocytogenes have been reported to carry a variety of components including RNAs (
32Koutero, M., (2016) Identification of Listeria monocytogenes secreted RNAs in infected mammalian cells. Ph.D. thesis, Sorbonne, Paris Cité
). In this study, we apply a variety of techniques to establish that
L. monocytogenes packages virulence factors including LLO in EVs that are cytotoxic to mammalian cells due to packaging of LLO, characterized the secreted EVs using simultaneous
metabolite,
protein, and
lipid
extraction (MPLEx) multiomics approach (
33- Piercey M.J.
- Hingston P.A.
- Truelstrup Hansen L.
Genes involved in Listeria monocytogenes biofilm formation at a simulated food processing plant temperature of 15 °C.
,
34- Nakayasu E.S.
- Nicora C.D.
- Sims A.C.
- Burnum-Johnson K.E.
- Kim Y.-M.
- Kyle J.E.
- Matzke M.M.
- Shukla A.K.
- Chu R.K.
- Schepmoes A.A.
- Jacobs J.M.
- Baric R.S.
- Webb-Robertson B.-J.
- Smith R.D.
- Metz T.O.
MPLEx: a robust and universal protocol for single-sample integrative proteomic, metabolomic, and lipidomic analyses.
). Finally, using EM and high-resolution fluorescence imaging, we observed EVs secreted into the cytosol of mammalian cells by intracellular bacteria. Our findings, together with prior reports (
17- Lee J.H.
- Choi C.-W.
- Lee T.
- Kim S.I.
- Lee J.-C.
- Shin J.-H.
Transcription factor σB plays an important role in the production of extracellular membrane-derived vesicles in Listeria monocytogenes.
,
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
,
32Koutero, M., (2016) Identification of Listeria monocytogenes secreted RNAs in infected mammalian cells. Ph.D. thesis, Sorbonne, Paris Cité
), provide a compelling body of evidence that
L. monocytogenes, like other Gram-positive bacteria (
6- Deatherage B.L.
- Cookson B.T.
Membrane vesicle release in bacteria, eukaryotes, and archaea: a conserved yet underappreciated aspect of microbial life.
,
25- Brown L.
- Wolf J.M.
- Prados-Rosales R.
- Casadevall A.
Through the wall: extracellular vesicles in Gram-positive bacteria, mycobacteria and fungi.
) use vesicular transport to deliver a concentrated and varied toxin cargo to host cells.
Discussion
The production of EVs has now been described in all domains of life. OMVs from Gram-negative bacteria have been studied for over half a century, whereas only recently were EVs found in Gram-positive bacteria as diverse as
S. aureus (
1- Lee E.-Y.
- Choi D.-Y.
- Kim D.-K.
- Kim J.-W.
- Park J.O.
- Kim S.
- Kim S.-H.
- Desiderio D.M.
- Kim Y.-K.
- Kim K.-P.
- Gho Y.S.
Gram-positive bacteria produce membrane vesicles: proteomics-based characterization of Staphylococcus aureus-derived membrane vesicles.
),
B. anthracis (
12- Rivera R.J.
- Cordero R.J.B.
- Nakouzi A.S.
- Frases S.
- Nicola A.
- Casadevall A.
Bacillus anthracis produces membrane-derived vesicles containing biologically active toxins.
),
Bifidobacterium spp. and
Lactobacillus spp. (
41- van Bergenhenegouwen J.
- Kraneveld A.D.
- Rutten L.
- Kettelarij N.
- Garssen J.
- Vos A.P.
Extracellular vesicles modulate host-microbe responses by altering TLR2 activity and phagocytosis.
),
Bacillus subtilis (
23- Brown L.
- Kessler A.
- Cabezas-Sanchez P.
- Luque-Garcia J.L.
- Casadevall A.
Extracellular vesicles produced by the Gram-positive bacterium Bacillus subtilis are disrupted by the lipopeptide surfactin.
),
Pneumococcus pneumoniae (
4- Olaya-Abril A.
- Prados-Rosales R.
- McConnell M.J.
- Martín-Peña R.
- González-Reyes J.A.
- Jiménez-Munguía I.
- Gómez-Gascón L.
- Fernández J.
- Luque-García J.L.
- García-Lidón C.
- Estévez H.
- Pachón J.
- Obando I.
- Casadevall A.
- Pirofski L.-A.
- Rodríguez-Ortega M.J.
Characterization of protective extracellular membrane-derived vesicles produced by Streptococcus pneumoniae.
),
Streptomyces lividans (
42Extracellular Streptomyces lividans vesicles: composition, biogenesis and antimicrobial activity.
),
Clostridium perfringens (
20- Jiang Y.
- Kong Q.
- Roland K.L.
- Curtiss 3rd, R.
Membrane vesicles of Clostridium perfringens type A strains induce innate and adaptive immunity.
), and
L. monocytogenes (
17- Lee J.H.
- Choi C.-W.
- Lee T.
- Kim S.I.
- Lee J.-C.
- Shin J.-H.
Transcription factor σB plays an important role in the production of extracellular membrane-derived vesicles in Listeria monocytogenes.
,
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
,
32Koutero, M., (2016) Identification of Listeria monocytogenes secreted RNAs in infected mammalian cells. Ph.D. thesis, Sorbonne, Paris Cité
). One advantage for toxin packaging in EVs is that it allows their delivery as a concentrated warhead that is not diluted as a function of distance from the bacterial surface and the contents are protected from proteolytic attack and neutralization factors. The bacterial EV field has historically been plagued by controversy whether these structures were real cellular products or the result of lipid association following lysis of bacteria (
43- Toyofuku M.
- Nomura N.
- Eberl L.
Types and origins of bacterial membrane vesicles.
). For Gram-positive bacteria these questions are further complicated by concerns as to how EVs traverse the bacterial cell wall (
23- Brown L.
- Kessler A.
- Cabezas-Sanchez P.
- Luque-Garcia J.L.
- Casadevall A.
Extracellular vesicles produced by the Gram-positive bacterium Bacillus subtilis are disrupted by the lipopeptide surfactin.
). Raising additional suspicion for their existence was the absence of EV-null mutants, although recent work have identified genes modulating EV synthesis in Gram-positive bacteria (
44- Resch U.
- Tsatsaronis J.A.
- Le Rhun A.
- Stübiger G.
- Rohde M.
- Kasvandik S.
- Holzmeister S.
- Tinnefeld P.
- Wai S.N.
- Charpentier E.
A two-component regulatory system impacts extracellular membrane-derived vesicle production in group A Streptococcus.
) and mycobacteria (
43- Toyofuku M.
- Nomura N.
- Eberl L.
Types and origins of bacterial membrane vesicles.
), as well as gene deletions that alter morphology of EVs (
17- Lee J.H.
- Choi C.-W.
- Lee T.
- Kim S.I.
- Lee J.-C.
- Shin J.-H.
Transcription factor σB plays an important role in the production of extracellular membrane-derived vesicles in Listeria monocytogenes.
). In this study we establish that EVs are associated with LLO via biochemical purification approaches, functional detection, immuno-EM and fluorescence microscopy. We show that the hemolytic activity of
L. monocytogenes supernatants is maintained despite trypsin digestion consistent with protection of hemolysins in EVs. We provide evidence against their formation as by-products of cell autolysis by showing major differences in lipid and protein composition from parent bacteria. Critically, we provide the first microscopic evidence of real-time EV release from bacterial cells. These findings together with prior reports (
17- Lee J.H.
- Choi C.-W.
- Lee T.
- Kim S.I.
- Lee J.-C.
- Shin J.-H.
Transcription factor σB plays an important role in the production of extracellular membrane-derived vesicles in Listeria monocytogenes.
,
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
) are a strong and compelling narrative for the notion that
L. monocytogenes releases EVs packed with virulence factors. Incorporating EVs and their cargo into current views of
L. monocytogenes pathogenesis will provide new insights into the mechanisms for host cell subversion during infection.
Prior studies that recovered LLO from culture supernatant using protein purification techniques would have included the vesicular fraction and therefore those results are compatible with our findings (
45- Geoffroy C.
- Gaillard J.L.
- Alouf J.E.
- Berche P.
Purification, characterization, and toxicity of the sulfhydryl-activated hemolysin listeriolysin O from Listeria monocytogenes.
). Those procedures are likely to have disrupted EVs and thus LLO would have appeared to have been a soluble secretion product. Our data does not rule out release of LLO in soluble form but the protease protection studies imply that the majority of LLO in culture supernatants is protected within EVs, with soluble LLO being a consequence of vesicle disruption. This situation may be similar to that of
B. anthracis, the majority of anthrax toxin is EV associated, because anthrax toxin is present in the EV pellet and not the supernatant after ultracentrifugation (
12- Rivera R.J.
- Cordero R.J.B.
- Nakouzi A.S.
- Frases S.
- Nicola A.
- Casadevall A.
Bacillus anthracis produces membrane-derived vesicles containing biologically active toxins.
). It remains to be seen how toxin packaging into EV occurs and the conditions for toxin release from EVs. Particularly, detection of SecDF, PrsA2, and SipZ, components of secretory machinery for LLO, in EVs suggests that these components may be involved in EV-mediated secretion (
46- Bonnemain C.
- Raynaud C.
- Réglier-Poupet H.
- Dubail I.
- Frehel C.
- Lety M.-A.
- Berche P.
- Charbit A.
Differential roles of multiple signal peptidases in the virulence of Listeria monocytogenes.
),
i.e. the study of secretion of LLO via SecDF, PrsA2, and SipZ needs now to incorporate the existence of secretion of the vesicular form.
When establishing toxicity of EVs for nucleated mammalian cells we detected increased cytotoxicity in EVs from strains deleted in Δ
plcA (but not Δ
plcB deletion). These results are surprising because no alteration of hemolytic capacity was observed upon engineering the Δ
plcA DP-L1552 strain (
35- Camilli A.
- Tilney L.G.
- Portnoy D.A.
Dual roles of plcA in Listeria monocytogenes pathogenesis.
). One explanation is to attribute these discrepancies to different experimental models: source of toxins (EVs
versus supernatants) and assays (RBC lysis
versus cytotoxicity assays). However, we entertain other possibilities that could account for these findings. First, it is possible that Δ
plcA loss subtly affects EVs into more efficient vehicles of LLO delivery, because we could not detect gross EV structural abnormalities relative to WT strains. Second, the pattern of secreted proteins is not identical, implying different compositions of EVs for different strains that could affect toxicity in some yet to be determined manner. Third, it is possible that PI-PLC interacts with LLO to reduce its toxicity in some manner (
47- Huang Q.
- Gershenson A.
- Roberts M.F.
Recombinant broad-range phospholipase C from Listeria monocytogenes exhibits optimal activity at acidic pH.
). For example, it is possible that the mode of cellular death/lysis is affected by PI-PLC, but the mechanism by which this phenomenon occurs is unclear at this time or perhaps there is some molecular interaction between these two virulence factors. The cell death pathway triggered in mammalian cells by EV treatment, the comparison of EV-induced cell death
versus soluble LLO-cell death, and the observed interaction by PI-PLC is of paramount importance and should be addressed in future studies. Interestingly, Vdovikova
et al. (
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
) described autophagy alterations in mammalian cells exposed to EVs.
LLO secreted by
L. monocytogenes in the extracellular compartment or addition of recombinant LLO to mammalian cells affects the ER (
8- Hamon M.A.
- Ribet D.
- Stavru F.
- Cossart P.
Listeriolysin O: the Swiss army knife of Listeria.
) and the mitochondria (
48- Stavru F.
- Bouillaud F.
- Sartori A.
- Ricquier D.
- Cossart P.
Listeria monocytogenes transiently alters mitochondrial dynamics during infection.
). Interaction of LLO with cholesterol of these organelles causes small membrane perturbations
in situ and the damaged cellular compartments act as intracellular danger signals and trigger autophagy (
38- Meyer-Morse N.
- Robbins J.R.
- Rae C.S.
- Mochegova S.N.
- Swanson M.S.
- Zhao Z.
- Virgin H.W.
- Portnoy D.
Listeriolysin O is necessary and sufficient to induce autophagy during Listeria monocytogenes infection.
), such that tight control of toxin synthesis and activity is needed to avoid killing the host cell (
49- Villanueva M.S.
- Sijts A.J.
- Pamer E.G.
Listeriolysin is processed efficiently into an MHC class I-associated epitope in Listeria monocytogenes-infected cells.
). It remains to be determined how LLO delivery in EVs will be reconciled with current paradigms of its function in
L. monocytogenes intracellular pathogenesis (
50- Schnupf P.
- Zhou J.
- Varshavsky A.
- Portnoy D.A.
Listeriolysin O secreted by Listeria monocytogenes into the host cell cytosol is degraded by the N-end rule pathway.
). The fact that LLO is vesicle associated is a new consideration in evaluating the equilibrium between LLO oligomers and monomers and how they affect the toxin physical and virulence properties. It is tempting to hypothesize that packaging of LLO in EVs facilitates assembly of oligomers, simply due to the high concentration achieved by packaging monomers in the small volume of an EV. It is conceivable that the functions of intracellular EVs, and their LLO cargo, in the host simply recapitulate those of exogenous LLO, such that its actions are indistinguishable. Alternatively, the finding of delivery of LLO in EVs implies a new set of interactions for further study that could significantly alter our understanding of
L. monocytogenes pathogenesis.
Another intriguing aspect is how exogenously added EVs exert their toxicity. Possibilities include fusing with host plasma membrane and release of contents into the host cytosol or ingestion by target cell followed by trafficking in the endocytic/phagocytic compartments before toxin release (
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
). In other bacterial pathogens (
S. aureus and
Legionella pneumophila), EVs were found to fuse with host cells (
51- Gurung M.
- Moon D.C.
- Choi C.-W.
- Lee J.H.
- Bae Y.C.
- Kim J.
- Lee Y.C.
- Seol S.Y.
- Cho D.T.
- Kim S.I.
- Lee J.-C.
Staphylococcus aureus produces membrane-derived vesicles that induce host cell death.
) but it has been suggested that EVs from
L. monocytogenes are internalized in endosomes (
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
). An alternative possibility is that EVs are disrupted by host components and their associated proteins releasing vesicular contents in the immediate vicinity of the target cell. In this regard, we note that bacterial and fungal EVs are disrupted by some host proteins including albumin (
52- Wolf J.M.
- Rivera J.
- Casadevall A.
Serum albumin disrupts Cryptococcus neoformans and Bacillus anthracis extracellular vesicles.
). In the specific case of
L. monocytogenes, EVs may simply be internalized by endocytosis (
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
), or, given the invasive arsenal packaged in EVs it is equally probable that EVs induce their ingestion by host cells, either via internalin (InlA and InlB) interactions with lipid microdomains at the cell surface (
53- Seveau S.
- Bierne H.
- Giroux S.
- Prévost M.-C.
- Cossart P.
Role of lipid rafts in E-cadherin– and HGF-R/Met–mediated entry of Listeria monocytogenes into host cells.
), or by LLO pore-triggered entry mechanisms analogous to what has been observed for
L. monocytogenes cells invading human hepatocytes (
9- Vadia S.
- Arnett E.
- Haghighat A.-C.
- Wilson-Kubalek E.M.
- Tweten R.K.
- Seveau S.
The pore-forming toxin listeriolysin O mediates a novel entry pathway of L. monocytogenes into human hepatocytes.
).
Overall, our data show that EVs have distinct compositions from bacterial cells, a finding providing strong evidence that EVs are specialized structures. In mammalian cells, exosomes have a lipid composition that is distinct from the plasma membrane of the parent cell that is enriched in sphingomyelin and cholesterol (
29- Frydrychowicz M.
- Kolecka-Bednarczyk A.
- Madejczyk M.
- Yasar S.
- Dworacki G.
Exosomes: structure, biogenesis and biological role in non-small-cell lung cancer.
). Saturated lipids in
L. monocytogenes cells are necessary in low temperature conditions (
27- Sun Y.
- Wilkinson B.J.
- Standiford T.J.
- Akinbi H.T.
- O'Riordan M.X.
Fatty acids regulate stress resistance and virulence factor production for Listeria monocytogenes.
,
28- Mastronicolis S.K.
- Arvanitis N.
- Karaliota A.
- Magiatis P.
- Heropoulos G.
- Litos C.
- Moustaka H.
- Tsakirakis A.
- Paramera E.
- Papastavrou P.
Coordinated regulation of cold-induced changes in fatty acids with cardiolipin and phosphatidylglycerol composition among phospholipid species for the food pathogen Listeria monocytogenes.
). We found EVs are enriched in unsaturated branching, sphingolipids, and phosphatidylethanolamine, and that EV composition was distinct from other bacterial EVs: EVs from Group A
Streptococcus (
44- Resch U.
- Tsatsaronis J.A.
- Le Rhun A.
- Stübiger G.
- Rohde M.
- Kasvandik S.
- Holzmeister S.
- Tinnefeld P.
- Wai S.N.
- Charpentier E.
A two-component regulatory system impacts extracellular membrane-derived vesicle production in group A Streptococcus.
) displayed an enrichment in phosphatidylcholine and monoacylglycerol. Lipid composition of EVs may vary with the bacterial species and possibly is finely adapted for each survival niche. We note that our experimental approach is not suitable to detect steroid lipids, such as bacterial hopanoids or mammalian cholesterol, but the importance of steroids in lipid bilayer stability warrants a detailed study of the steroid lipid class in EVs. The same pattern emerged for detection of metabolites: EVs are strikingly different from bacterial cells. It is also likely that EV composition will dramatically change in response to the surrounding environment. EVs are enriched in proteins from peptidoglycan synthesis as well as carbohydrates, suggesting a function in the synthesis of the cell wall. It is conceivable that some of these enzymes may be involved in biofilm formation (
33- Piercey M.J.
- Hingston P.A.
- Truelstrup Hansen L.
Genes involved in Listeria monocytogenes biofilm formation at a simulated food processing plant temperature of 15 °C.
). However, we could not detect in our EV protein dataset any of the enzymes reported to be involved in biofilms of
L. monocytogenes. EVs were enriched in the classical virulence factors of
L. monocytogenes (
36- Carvalho F.
- Sousa S.
- Cabanes D.
How Listeria monocytogenes organizes its surface for virulence.
), greatly supporting the paradigm of EVs as virulence bags. The concentrated delivery would allow interactions between all the EV-associated virulence factors into the targeted host, a concerted attack.
We observed in mammalian cells infected with
L. monocytogenes that LLO associated with vesicular structures whose size was compatible with that of EVs. The observed size difference (150–250 nm in average diameter in infection
versus 90 nm average diameter by dynamic light scattering) could be due to different growth conditions, host
versus laboratory-rich broth. However, the origin of these EVs could not be ascertained and they could be either bacterial-derived or the result of host membrane sequester by LLO. LLO molecules could hijack mammalian lipid structures via interaction with cholesterol, the only known mammalian cell receptor for LLO (
54- Coconnier M.H.
- Lorrot M.
- Barbat A.
- Laboisse C.
- Servin A.L.
Listeriolysin O-induced stimulation of mucin exocytosis in polarized intestinal mucin-secreting cells: evidence for toxin recognition of membrane-associated lipids and subsequent toxin internalization through caveolae.
), which would explain the LLO-vesicular association observed. Regardless of the origin of EVs, the proximity of these EVs to host organelles suggests a vesicular delivery of LLO, preceding insertion into organelle membranes.
The majority of previous studies focused on exogenous addition of EVs and its effects on host cells (
31- Vdovikova S.
- Luhr M.
- Szalai P.
- Nygård Skalman L.
- Francis M.K.
- Lundmark R.
- Engedal N.
- Johansson J.
- Wai S.N.
A novel role of Listeria monocytogenes membrane vesicles in inhibition of autophagy and cell death.
), but unequivocal demonstration of EV secretion within infected host cells had not been shown. Two reports describe synthesis of EVs by
Mycobacterium tuberculosis (
55- Alvarez-Jiménez V.D.
- Leyva-Paredes K.
- García-Martínez M.
- Vázquez-Flores L.
- García-Paredes V.G.
- Campillo-Navarro M.
- Romo-Cruz I.
- Rosales-García V.H.
- Castañeda-Casimiro J.
- González-Pozos S.
- Hernández J.M.
- Wong-Baeza C.
- García-Pérez B.E.
- Ortiz-Navarrete V.
- Estrada-Parra S.
- et al.
Extracellular vesicles released from Mycobacterium tuberculosis-infected neutrophils promote macrophage autophagy and decrease intracellular mycobacterial survival.
) and
L. pneumophila (
56- Jung A.L.
- Herkt C.E.
- Schulz C.
- Bolte K.
- Seidel K.
- Scheller N.
- Sittka-Stark A.
- Bertrams W.
- Schmeck B.
Legionella pneumophila infection activates bystander cells differentially by bacterial and host cell vesicles.
), during intracellular residence in macrophages. The infected macrophage cells secreted disparate populations of EVs with one population carrying solely host proteins, whereas the second population carried mostly bacterial products. We developed a protocol to label and observe secretion of EVs into the host compartments. We demonstrated, for the first time, bacterial lipids distal to bacterial cells within the host cytosol indicative of EV release into the host cell, presumably carrying a cargo of virulence factors. Strategies akin to ours will greatly benefit from identification of a lipid species that is specific to bacterial EVs, facilitating a finer distinction between bacterial- and host-derived lipids. This proof-of-concept experiment paves the way for discoveries on the interactions of EVs with the host, for example, the molecular mechanism for EV uptake and how EVs release cargo.
In summary,
L. monocytogenes provides yet another example of a Gram-positive bacterium packaging its toxins into EVs (
17- Lee J.H.
- Choi C.-W.
- Lee T.
- Kim S.I.
- Lee J.-C.
- Shin J.-H.
Transcription factor σB plays an important role in the production of extracellular membrane-derived vesicles in Listeria monocytogenes.
,
24- Rodrigues M.L.
- Nakayasu E.S.
- Oliveira D.L.
- Nimrichter L.
- Nosanchuk J.D.
- Almeida I.C.
- Casadevall A.
Extracellular vesicles produced by Cryptococcus neoformans contain protein components associated with virulence.
,
41- van Bergenhenegouwen J.
- Kraneveld A.D.
- Rutten L.
- Kettelarij N.
- Garssen J.
- Vos A.P.
Extracellular vesicles modulate host-microbe responses by altering TLR2 activity and phagocytosis.
). LLO, “the Swiss army knife” (
8- Hamon M.A.
- Ribet D.
- Stavru F.
- Cossart P.
Listeriolysin O: the Swiss army knife of Listeria.
), is continuously produced to regulate multiple steps of the life cycle of
L. monocytogenes and we show vesicular LLO is a major component of LLO secreted. The fact that many Gram-positive and cell-walled microbes produce EVs raises fascinating questions in cell biology regarding the mechanisms for transit across cell walls and the packaging of the EV cargo. Our results establish that
L. monocytogenes release LLO and other virulence packaged in EVs, characterize composition of EVs, and establish production of EVs during mammalian infection. Overall these findings provide fertile ground for future investigations in this rapidly developing field.
Author contributions
C. C., L. C. B., M. C. B., J. E. K., H. M. H., R. P.-R., E. S. N., N. R. B., A. H.-B., I. C., and A. C. conceptualization; C. C., L. C. B., M. C. B., J. E. K., H. M. H., E. S. N., N. R. B., A. H.-B., I. C., and A. C. formal analysis; C. C., G. L., E. S. N., A. H.-B., and A. C. supervision; C. C., E. S. N., and N. R. B. validation; C. C., L. C. B., M. M., R. V., D. F. S., M. C. B., J. E. K., H. M. H., J. R., R. P.-R., E. S. N., N. R. B., A. H.-B., and I. C. investigation; C. C., L. C. B., R. V., D. F. S., M. C. B., J. E. K., H. M. H., R. P.-R., E. S. N., N. R. B., A. H.-B., and I. C. methodology; C. C., L. C. B., E. S. N., and A. C. writing-original draft; C. C., E. S.N., and A. C. project administration; C. C., L. C. B., E. S. N., N. R. B., A. H.-B., I. C., and A. C. writing-review and editing; L. C. B. data curation; M. C. B., J. E. K., H. M. H., E. S. N., N. R. B., A. H.-B., and I. C. visualization; G. L. resources; A. C. funding acquisition.
Article info
Publication history
Published online: November 30, 2018
Received in revised form:
November 28,
2018
Received:
October 31,
2018
Edited by Chris Whitfield
Footnotes
The authors declare that they have no conflicts of interest with the contents of this article. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
This article contains Movie S1, Tables S1–S4, and Figs. S1–S4.
Multiomics data were deposited in the MassIVE repository under accession numbers MSV000081402, MSV000081403, and MSV000081404.
Copyright
© 2019 Coelho et al.