Claude Leclerc, Marc Monot, Priscille Brodin, Carlos Martin, Emmanuelle Josselin, Roland Brosch, Daria Bottai, Laleh Majlessi, Brigitte Gicquel, Stewart T. Cole, Thierry Garnier, Wafa Frigui, Pathogénomique mycobactérienne intégrée, Institut Pasteur [Paris] (IP), Génétique Moléculaire Bactérienne, Dipartimento di Patologia Sperimentale, Biotecnologie Mediche-Infettivologia ed Epidemiologia, Régulation Immunitaire et Vaccinologie, Institut Pasteur [Paris] (IP)-Institut National de la Santé et de la Recherche Médicale (INSERM), Génétique mycobactérienne - Mycobacterial genetics, Centro de Investigación Biomédica en Red Enfermedades Respiratorias (CIBERES), Grupo de Genetica de Micobacterias, University of Zaragoza - Universidad de Zaragoza [Zaragoza], Global Health Institute - Institut d'Infectiologie [Lausanne], Ecole Polytechnique Fédérale de Lausanne (EPFL), This work received support from the Institut Pasteur (GPH-5), the European Commission, contracts LHSP-CT-2005–018923, HEALTH-F3-2007-201762, and the Association Française Raoul Follereau., European Project: 201762,EC:FP7:HEALTH,FP7-HEALTH-2007-A,NOVSEC-TB(2008), European Project: LSHP-CT-2005-018923,NM4TB, Institut Pasteur [Paris], Institut Pasteur [Paris]-Institut National de la Santé et de la Recherche Médicale (INSERM), Monot, Marc, Novel secretion systems of Mycobacterium tuberculosis and their role in host-pathogen interaction - NOVSEC-TB - - EC:FP7:HEALTH2008-01-01 - 2011-06-30 - 201762 - VALID, and New Medicines for TB - NM4TB - LSHP-CT-2005-018923 - INCOMING
Analysis of mycobacterial strains that have lost their ability to cause disease is a powerful approach to identify yet unknown virulence determinants and pathways involved in tuberculosis pathogenesis. Two of the most widely used attenuated strains in the history of tuberculosis research are Mycobacterium bovis BCG (BCG) and Mycobacterium tuberculosis H37Ra (H37Ra), which both lost their virulence during in vitro serial passage. Whereas the attenuation of BCG is due mainly to loss of the ESAT-6 secretion system, ESX-1, the reason why H37Ra is attenuated remained unknown. However, here we show that a point mutation (S219L) in the predicted DNA binding region of the regulator PhoP is involved in the attenuation of H37Ra via a mechanism that impacts on the secretion of the major T cell antigen ESAT-6. Only H37Ra “knock-ins” that carried an integrated cosmid with the wild-type phoP gene from M. tuberculosis H37Rv showed changes in colony morphology, increased virulence, ESAT-6 secretion, and induction of specific T cell responses, whereas other H37Ra constructs did not. This finding established a link between the PhoP regulator and ESAT-6 secretion that opens exciting new perspectives for elucidating virulence regulation in M. tuberculosis., Author Summary Mycobacterium tuberculosis, the causative agent of human tuberculosis is an extremely successful human pathogen in spite of its lack of classical virulence factors, such as toxins. The pathogenesis of this bacterium is closely linked with its ability to circumvent destruction by the host cell, which depends on a large variety of mycobacterial lipids and secreted proteins. Genome comparison of fully virulent strains with closely related, but attenuated strains that have lost their ability to cause disease is a powerful approach to identify factors contributing to mycobacterial virulence. In this study we have compared the virulent paradigm strain of tuberculosis research M. tuberculosis H37Rv, with the widely used, attenuated laboratory variant, H37Ra. This analysis, combined with gene complementation studies, has identified a mutation in the two-component system regulator PhoP that impacts on the secretion and T cell recognition of the 6-kD early-secreted antigenic target ESAT-6. In previous studies, both PhoP and the ESAT-6 secretion system ESX-1 have been identified independently as major virulence determinants of M. tuberculosis, so the finding that their action is interconnected opens exciting new insights and perspectives into the virulence regulation of tubercle bacilli.