DipA, a pore-forming protein in the outer membrane of lyme disease spirochetes exhibits specificity for the permeation of dicarboxylate

Lyme disease Borreliae are highly dependent on the uptake of nutrients provided by their hosts. Our study describes the identification of a 36 kDa protein that functions as putative dicarboxylate-specific porin in the outer membrane of Lyme disease Borrelia. The protein was purified by hydroxyapatite chromatography from Borrelia burgdorferi B31 and designated as DipA, for dicarboxylate-specific porin A. DipA was partially sequenced, and corresponding genes were identified in the genomes of B. burgdorferi B31, Borrelia garinii PBi and Borrelia afzelii PKo. DipA exhibits high homology to the Oms38 porins of relapsing fever Borreliae. B. burgdorferi DipA was characterized using the black lipid bilayer assay. The protein has a singlechannel conductance of 50 pS in 1 M KCl, is slightly selective for anions with a permeability ratio for cations over anions of 0.57 in KCl and is not voltage-dependent. The channel could be partly blocked by different di- and tricarboxylic anions. Particular high stability constants up to about 28,000 l/mol (in 0.1 M KCl) were obtained among the 11 tested anions for oxaloacetate, 2-oxoglutarate and citrate. The results imply that DipA forms a porin specific for dicarboxylates which may play an important role for the uptake of specific nutrients in different Borrelia species

An RND-Type Efflux System in Borrelia burgdorferi Is Involved in Virulence and Resistance to Antimicrobial Compounds

Borrelia burgdorferi is remarkable for its ability to thrive in widely different environments due to its ability to infect various organisms. In comparison to enteric Gram-negative bacteria, these spirochetes have only a few transmembrane proteins some of which are thought to play a role in solute and nutrient uptake and excretion of toxic substances. Here, we have identified an outer membrane protein, BesC, which is part of a putative export system comprising the components BesA, BesB and BesC. We show that BesC, a TolC homolog, forms channels in planar lipid bilayers and is involved in antibiotic resistance. A besC knockout was unable to establish infection in mice, signifying the importance of this outer membrane channel in the mammalian host. The biophysical properties of BesC could be explained by a model based on the channel-tunnel structure. We have also generated a structural model of the efflux apparatus showing the putative spatial orientation of BesC with respect to the AcrAB homologs BesAB. We believe that our findings will be helpful in unraveling the pathogenic mechanisms of borreliae as well as in developing novel therapeutic agents aiming to block the function of this secretion apparatus

A time-resolved proteomic and prognostic map of COVID-19

COVID-19 is highly variable in its clinical presentation, ranging from asymptomatic infection to severe organ damage and death. We characterized the time-dependent progression of the disease in 139 COVID-19 inpatients by measuring 86 accredited diagnostic parameters, such as blood cell counts and enzyme activities, as well as untargeted plasma proteomes at 687 sampling points. We report an initial spike in a systemic inflammatory response, which is gradually alleviated and followed by a protein signature indicative of tissue repair, metabolic reconstitution, and immunomodulation. We identify prognostic marker signatures for devising risk-adapted treatment strategies and use machine learning to classify therapeutic needs. We show that the machine learning models based on the proteome are transferable to an independent cohort. Our study presents a map linking routinely used clinical diagnostic parameters to plasma proteomes and their dynamics in an infectious disease

Clinical and virological characteristics of hospitalised COVID-19 patients in a German tertiary care centre during the first wave of the SARS-CoV-2 pandemic: a prospective observational study

Purpose: Adequate patient allocation is pivotal for optimal resource management in strained healthcare systems, and requires detailed knowledge of clinical and virological disease trajectories. The purpose of this work was to identify risk factors associated with need for invasive mechanical ventilation (IMV), to analyse viral kinetics in patients with and without IMV and to provide a comprehensive description of clinical course. Methods: A cohort of 168 hospitalised adult COVID-19 patients enrolled in a prospective observational study at a large European tertiary care centre was analysed. Results: Forty-four per cent (71/161) of patients required invasive mechanical ventilation (IMV). Shorter duration of symptoms before admission (aOR 1.22 per day less, 95% CI 1.10-1.37, p < 0.01) and history of hypertension (aOR 5.55, 95% CI 2.00-16.82, p < 0.01) were associated with need for IMV. Patients on IMV had higher maximal concentrations, slower decline rates, and longer shedding of SARS-CoV-2 than non-IMV patients (33 days, IQR 26-46.75, vs 18 days, IQR 16-46.75, respectively, p < 0.01). Median duration of hospitalisation was 9 days (IQR 6-15.5) for non-IMV and 49.5 days (IQR 36.8-82.5) for IMV patients. Conclusions: Our results indicate a short duration of symptoms before admission as a risk factor for severe disease that merits further investigation and different viral load kinetics in severely affected patients. Median duration of hospitalisation of IMV patients was longer than described for acute respiratory distress syndrome unrelated to COVID-19

Isolierung und Charakterisierung porenformender Proteine in der Aussenmembran von E. coli und Borrelien

In this study pore forming proteins of the gram-negative bacteria B. burgdorferi, B. duttonii and E.coli were investigated. Therefore the study is subdivided into three parts. In the first part outer membrane preparation of three relapsing fever Borrelia were investigated. In the second part the putative TolC homologue BB0124 of B. burgdorferi, the Lyme borreliosis agent, was studied. In the last part the influence of point mutants within the greasy slide of the maltose specific porin (LamB) of E. coli were shown. In the first part of this study outer membrane preparations of three Borrelia relapsing fever strains have been studied for pore-forming activity in the black lipid bilayer assay. Histograms of conductance fluctuations were obtained from single-channel experiments with outer membrane preparations of B. hermsii, B. recurentis and B. duttonii. All strains had a different conductance fluctuation pattern with a broad range of single-channel conductance values varying from 0.5 nS – 11 nS. Common for all three strains was a high pore-forming activity at around 0.5 nS. Furthermore the proteins of the outer membrane of B. duttonii were separated by chromatographic methods. Some eluate fractions contained a channel-forming protein, which was forming stable channels with a single-channel conductance of 80 pS in 1 M KCl. Characterization of this channel showed that it is slightly anionic selective and voltage independent. The small single-channel conductance suggests that it is a specific pore. However, a substrate specificity could not be determined. In the second part, for the B. burgdorferi HB19 and p66 knock out strain HB19/K02, their outer membrane preparations were characterized in the black lipid bilayer assay. Comparing the histograms of single-channel conductions fluctuations of both strains showed no single-channel activity at 11.5 nS for the p66 knock out strain. This verifies earlier studies that P66 is a pore-forming protein in B. burgdorferi. Furthermore, one fraction obtained by anion exchange chromatography of the p66 knock out outer membrane protein preparation showed a uniform channel-forming activity with a single channel conductance of 300 pS. The electrophysically characterization of the 300 pS channel showed that it is not ionselective or voltage dependent. By mass spectrometry using peptide mass finger prints, BB0142 could be identified as the sole channel forming candidate in the active fraction. A BLAST search and a conserved domain search showed that BB0142 is a putative TolC homologue in B. burgdorferi. Furthermore the location of the bb0142 gene within the chromosome is in an operon encoding a multidrug efflux pump. In this study the expression of an outer membrane component of a putative drug efflux system of B. burgdorferi was shown for the first time. In the third part functional studies of the maltooligosaccharide-specific LamB channel were performed. The 3D-structure of LamB suggests that a number of aromatic residues (Y6, Y41, W74, F229, W358 and W420) within the channel lumen is involved in carbohydrate and ion transport. All aromatic residues were replaced by alanine (A) scanning mutagenesis. Furthermore, LamB mutants were created in which one, two, three, four and five aromatic residues were replaced to study their effects on ion and maltopentaose transport through LamB. The purified mutant proteins were reconstituted into lipid bilayer membranes and the single-channel conductance was studied. The results suggest that all aromatic residues provide some steric hindrance for ion transport through LamB. Highest impact is provided by Y6 and Y41, which are localized opposite to Y118, which forms the central constriction of the LamB channel. Stability constants for binding of maltopentaose to the mutant channels were measured using titration experiments with the carbohydrate. The mutation of one or several aromatic amino acids led to a substantial decrease of the stability constant of binding. The highest effect was observed when all aromatic amino acids were replaced by alanine because no binding of maltopentaose could be detected in this case. However, binding was again possible when Y118 was replaced by tryptophane (W). The carbohydrate-induced block of the channel function could also be used for the study of current noise through the different mutant LamB-channels. The analysis of the power density spectra of some of the mutants allowed the evaluation of the on- and off-rate constants (k1 and k-1) of carbohydrate binding to the binding-site inside the channels. The results suggest that both on- and off-rate constants were affected by the mutations. For most mutants k1 decreased and k-1 increased.In dieser Studie wurden porenformende Proteine der gram-negativen Bakterien B. burgdorferi, B. duttonii und E. coli untersucht. Daher wurde die Arbeit in drei Teile untergliedert. Im ersten Teil wurden zuerst die Außenmembranpräparationen von drei Rückfallfieber auslösenden Borrelien Stämmen untersucht. Der zweite Teil der Arbeit behandelt das TolC homologe Protein BB0142 des Erreger der Lyme Borreliose, B. burgdorferi. Im letzten Teil wurde der Einfluss von Punktmutationen innerhalb der „greasy slide“ auf die zuckerspezifische Pore (LamB) von E. coli untersucht. Die Außenmembranpräparationen der drei Rückfallfieber Borrelien wurden auf porenformende Aktivität im Black Lipid Bilayer untersucht. Leitfähigkeitshistograme wurden nach Einzelkanalmessungen der Außenmembranepräparation von B. hermsii, B. recurrentis und B. duttonii erstellt. Alle Stämme zeigten ein anderes Leitfähigkeitsfluktuationsmuster, wobei die Werte der Einzelleitfähigkeit von 0,5 nS bis 11 nS variierten. Auffällig war das alle drei Stämme eine hohe Aktivität um 0,5 nS gemeinsan hatten. Darauffolgend wurden die Proteine der Außenmembran von B. duttonii durch verschiedene chromatographische Methoden aufgetrennt. Einige Eluatfraktionen enthielten ein kanalformendes Protein, das stabile Kanäle mit einer Einzelleitfähigkeit von 80 pS in 1 M KCl formt. Die Bestimmung der Kanaleigenschaften zeigte, dass er leicht anionenselektive und spannungsunabhängig ist. Die geringe Einzelleitfähigkeit suggeriert, dass der Kanal zudem eine spezifische Pore sein könnte. Bisher konnte aber keine Substratespezifität festgestellt werden. Im zweiten Abschnitt erfolgte die Untersuchung von Außenmembranpräparationen von B. burgdorferi HB19 und dem p66 knock-out Stamm HB19/K02 mit Hilfe des Black Lipid Bilayers. Im Vergleich der beiden erhalten Einzelleitfähigkeitshistogramme konnte gezeigt werden, dass die Einzelleitfähigkeit von 11,5 nS nicht mehr im p66 knock out Stamm vorkam. Dies belegt frühere Studien, dass P66 ein poreformendes Protein von B. burgdorferi ist. Durch Anionenaustauscher-Chromatographie der Außenmembranpräparation des p66 knock out Stammes wurde zudem eine Proteinfraktion mit einer einheitlichen porenformenden Aktivität von 300 pS in 1 M KCl erhalten. Die elektrophysikalische Charakterisierung der 300 pS Pore zeigte, dass der Kanal nicht ionenselektiv oder spannungsabhängig ist. Mit Hilfe von Massenspektrometrie und Peptidemassenbestimmung, konnte BB0142 als einziger möglicher kanalformender Kandidat identifiziert werde. Eine BLAST Suche sowie eine „conserved domain“ Suche zeigten, dass BB0142 ein putatives TolC homologes Protein von B. burgdorferi ist. Darüber hinaus ist das bb0142 Gen in einem Operon lokalisiert, das eine putative Efflux Pumpe codiert. In der vorliegenden Arbeit konnte das erste Mal gezeigt weden, dass in B. burgdorferi die Außenmembrankomponente einer Efflux Pumpe expremiert wird. Im dritten Teil wurden Funktionsstudien an dem zuckerspezifischen Kanal LamB durchgeführt. Die 3D Struktur zeigte, dass einige aromatische Aminosäuren (Y6, Y41, W74, F229, W358 und W420) innerhalb des Kanallumen in den Kohlenhydrat- und Ionentransport involviert sind. Alle aromatischen Reste wurden bei Punktmutation durch Alanin ersetzt. Zudem wurden LamB Mutanten erzeugt in denen ein, zwei, drei, vier oder fünf aromatische Reste durch Alanin ersetzt. Die aufgereinigten LamB Mutanten wurden im Black Lipid Bilayer untersucht und ihre Einzelleitfähigkeit bestimmt. Die Ergebnisse zeigen, dass alle aromatischen Reste eine gewisse sterische Hinderung beim Ionentransport durch LamB bewirken. Den größten Einfluss haben die Reste Y6 und Y41, die gegenüber dem Rest Y188 liegen, der die zentrale Verengung des LamB Kanal darstellt. Stabilitätskonstanten der Zuckerbindung in den Mutanten wurde durch Titrationsexperimente mit Maltopentaose und -heptaose bestimmt. Mutation an einem oder mehreren aromatischen Resten führt zu einer deutlichen Abnahme der Bindungsstabilitätskonstanten. Den stärksten Effekt zeigte die Mutante, in der alle aromatischen Reste durch Alanin ersetzt wurden. Es konnte dort keine Zuckerbindung mehr festgestellt werden. Die Bindung wurde wieder hergestellt nachdem Y118 durch ein Tryptophan ersetzt wurde. Durch das zuckerinduzierte Öffnen und Schließen des Kanals ergiebt sich ein Stromrauschen. Die Analyse des Rausch Spektrum von einigen Mutanten erlaubte die Bestimmung der Dissoziations- (k-1) und der Assoziationskonstaten (k1) der Zuckerbindung an der Bindestelle innerhalb des Kanals. Die Ergebnisse zeigten, dass die Geschwindigkeitskonstanten durch die Mutationen beeinflusst wurden. Für die meisten Mutanten sank der k1 Wert während der k-1 Wert anstieg

The BBA01 Protein, a Member of Paralog Family 48 from Borrelia burgdorferi, Is Potentially Interchangeable with the Channel-Forming Protein P13

The Borrelia burgdorferi genome exhibits redundancy, with many plasmid-carried genes belonging to paralogous gene families. It has been suggested that certain paralogs may be necessary in various environments and that they are differentially expressed in response to different conditions. The chromosomally located p13 gene which codes for a channel-forming protein belongs to paralog family 48, which consists of eight additional genes. Of the paralogous genes from family 48, the BBA01 gene has the highest homology to p13. Herein, we have inactivated the BBA01 gene in B. burgdorferi strain B31-A. This mutant shows no apparent phenotypic difference compared to the wild type. However, analysis of BBA01 in a C-terminal protease A (CtpA)-deficient background revealed that like P13, BBA01 is posttranslationally processed at its C terminus. Elevated BBA01 expression was obtained in strains with the BBA01 gene introduced on the shuttle vector compared to the wild-type strain. We could further demonstrate that BBA01 is a channel-forming protein with properties surprisingly similar to those of P13. The single-channel conductance, of about 3.5 nS, formed by BBA01 is comparable to that of P13, which together with the high degree of sequence similarity suggests that the two proteins may have similar and interchangeable functions. This is further strengthened by the up-regulation of the BBA01 protein and its possible localization in the outer membrane in a p13 knockout strain, thus suggesting that P13 can be replaced by BBA01

Short-term azithromycin treatment promotes cornea allograft survival in the rat.

Any inflammatory response following corneal transplantation may induce rejection and irreversible graft failure. The purpose of this study is to analyze the anti-inflammatory effect of azithromycin (AZM) following experimental keratoplasty in rats.Corneal transplants were performed between Fisher-donor and Lewis-recipient rats. Recipients were postoperatively treated three times daily with AZM, miglyol, ofloxacin or dexamethasone eye drops. As an additional control, AZM was applied following syngeneic keratoplasty. Furthermore, short-term treatments with AZM for seven days perioperatively or with AZM only three days prior to the transplantation were compared to appropriate controls. All transplants were monitored clinically for opacity, edema, and vascularization. Infiltrating CD45(+), CD4(+), CD8(+), CD25(+), CD161(+) and CD163(+) cells were quantified via immunohistochemistry.AZM significantly promoted corneal graft survival compared with miglyol or ofloxacin treatment. This effect was comparable to topical dexamethasone. No adverse AZM effect was observed. Histology confirmed a significant reduction of infiltrating leukocytes. The short-term application of AZM for three days prior to transplantation or for seven days perioperatively reduced corneal graft rejection significantly compared with the controls.Along with antibiotic properties, topical AZM has a strong anti-inflammatory effect. Following keratoplasty, this effect is comparable to topical dexamethasone without the risk of steroid-induced adverse effects. Short-term treatment with AZM three days prior to the transplantation was sufficient to promote graft survival in the rat keratoplasty model. We therefore suggest further assessing the anti-inflammatory function of topical AZM following keratoplasty in humans

Immunohistological analysis of leukocytic infiltration.

<div><p>(A)Immunostainings on cryosections of miglyol-treated (group 4, black) and AZM-treated animals (group 2, light grey; group 3, dark grey) were performed on day 13. Infiltrating CD45⁺ leukocytes in group 2 were significantly reduced in comparison to group 4 (p<0.01). Red cells are positive for the antibody.</p> <p>(B)While no difference in the number of CD4⁺ T cells was seen in both groups, the infiltrating CD8⁺ T cells (p < 0.05) and CD25⁺ T cells (p < 0.05) were reduced significantly in the AZM-treated animals. </p> <p>(C)The number of infiltrating CD161⁺ NK cells (p < 0.05) and of CD163⁺ macrophages (p < 0.05) in the central corneal stroma was significant reduced.</p></div