Conclusions What are the substrates of the VirB/VirD4 T4SS of Bartonella henselae? Starting point for the first published report (“A bipartite signal mediates the transfer of type IV secreted substrates of Bartonella henselae into human cells”, Chapter 3.1) in my Ph.D. thesis was the finding that the VirB/VirD4 T4SS of B. tribocorum was essential for the pathogen to establish an intra-erythrocytic infection in an animal model (1). Additionally, at that time, unpublished data indicated that many phenotypes which were already known for B. henselae infecting HUVECs, as anti-apoptosis (2), cytoskeletal rearrangements (3) and pro-inflammatory activation (4), were dependent on a intact VirB/VirD4 T4SS (5). These findings were suggestive of substrates being translocated through the VirB/VirD4 T4SS of Bartonella into the host cells. Sequencing 23 kb downstream of the virB locus of B. henselae revealed a coupling protein (virD4), and seven genes encoding at least one common Cterminal domain. The proteins encoded by these seven genes were later termed Bartonella exported proteins (Beps), the common C-terminal domain they contain Bartonella intracellular delivery (BID). By constructing a Hidden Markov Model from these BID domains and querying protein databases, we found similar domains in the C-terminus of relaxases from conjugative plasmids in the α-proteobacteria. We showed exemplarily that the C-terminus of the TraA relaxase from the AvhB/TraG conjugation system in A. tumefaciens – one of the top hits in the database search - could still be translocated by the VirB/VirD4 T4SS of B. henselae. Both these findings support that the BID domain evolved from conjugative relaxases, in parallel with the T4SS of B. henselae. Full-length relaxases bind covalently to plasmid DNA and mediate its transfer through T4SSs. This allows the fascinating speculation that the VirB/VirD4 T4SS of Bartonella could be used to export DNA by those means in vivo into host cells. To demonstrate exemplarily the translocation of the Beps through the VirB/VirD4 T4SS, we fused a FLAG-tag to the N-terminus of BepD and could show that BepD is translocated into infected endothelial cells in a VirB/VirD4 T4SS-dependent manner, whereupon it localizes to the cytoplasm of these cells and is tyrosine-phosphorylated by host-cell kinases. The precise experimental delineation of the domain needed for translocation was made possible by the development of the Cre-recombinase reporter assay for translocation (CRAFT), which showed the translocation domain to be bipartite. In addition to the BID domain, a short, positively charged C-terminal amino acid sequence was needed for an effective delivery of proteins. Non-polar deletions of all the ORFs encoding the Beps abolished the ability of Bh to induce a variety of host-cell phenotypes, suggesting that these proteins elicit biological effects in their eukaryotic target cells. This finding was the fundament for the two Manuscripts presented in Chapter 3.3, "A translocated protein of the vascular-tumor inducing pathogen Bartonella protects human vascular endothelial cells from Apoptosis" and “Subversion of host cell cytoskeletal function during invasome-mediated uptake of Bartonella henselae into human endothelial cells”. In each of these two manuscripts, a major phenotype of the infection of HUVECs by B. henselae is shown to depend on a single Bep. While BepA inhibits the apoptosis of endothelial cells, BepG does induce massive cytoskeletal rearrangements. Interestingly, it is the BID domain of BepA which mediates the anti-apoptotic activity in the host cell as well as the localization of this protein to the plasma membrane. This involvement of the BID in localization and function in the host cell holds also true for BepE, as we showed that the two BID domains of this protein are crucial for its localization (Chapter 3.2), and to inhibit the fragmentation of infected endothelial cells (Chapter 3.4). Many interfaces for interactions over phosphotyrosines Of the seven Bep proteins, three contain putative tyrosine-phosphorylation motifs in their N-terminus. We showed that both BepD and BepE are tyrosinephoshorylated by the c-Src kinase. Because of their similar substrate specificities and their variable expression levels depending on the cell type, any member of the SFK could potentially be the kinase of BepD and BepE in vivo. Bioinformatics and preliminary experiments suggest c-Abl as the kinase of BepF. As Crk was shown to bind BepF, and one of the functions of Crk has been described to activate c-Abl, one might speculate that a positive activation loop takes place once BepF has been phosphorylated, which would bind and activate increasing amounts of the c-Abl kinase to BepF through Crk. Whereas c-Abl has been implicated in the invasion process of other pathogens (6), the exact function of BepF in Bartonella still remains to be uncovered. BepD localizes in immunofluorescence stainings to a cytoplasmic vesicular-like compartment. Additionally, it localizes upon its tyrosine-phosphorylation to a Triton X-1oo insoluble fraction, and binds SHP2 and Csk. Lipid rafts are prominently associated to Triton X-100 insoluble fractions, and future studies might show BepD interfering with the signaling in these rafts. I subsequently focused on BepE, for which bioinformatics revealed an intriguing similarity to inhibitory immune receptors of mammals. This resulted in the second manuscript “Molecular mimicry of inhibitory immune receptors by the bacterial pathogen Bartonella” (Chapter 3.2). BepE contains two C-terminal BID domains which mediate the localization of this protein to the plasma membrane of HELA cells and to the plasma membrane and cell-cell contacts in endothelial cells, as shown by a co-localizing immunofluorescence staining with VE-Cadherin in HUVECs. This peculiar localization is very intriguing, and might modulate the cell-cell contact strength or the contact inhibition which is crucial in endothelial cells. Recently, a publication demonstrated that VE-Cadherin contains in its intracellular domain a binding site for the SH2 domain of Csk, the binding of Csk to this site being crucial for the contact inhibition of cell growth (7). We identified a very similar motif in the N-terminus of BepE which did also bind Csk. The co-localization and a similar tyrosine-phosphorylation motif binding the same protein makes this finding a good starting point for investigating the functions of BepE in the endothelium. BepE contains in addition to this Csk-binding motif two immunotyrosine inhibitory motif – immunotyrosine-based switch motif (ITIM/ITSM) tandems. These motifs are commonly found in the intracellular domain of inhibitory immune receptors. In vitro phosphorylation with the c-Src kinase and subsequent mapping by mass spectrometry analysis indicated that c-Src tyrosine-phosphorylates the Csk-binding site and both ITIMs of BepE. No phosphorylation of an ITSM could be detected, which might be due to the fact that another kinase phosphorylates these motifs in vivo. Both the inhibitory immune receptors and BepE do contain ITIMs, ITSMs, Csk-binding sites, localize to the plasma membrane, are tyrosine-phosphorylated by Src family kinases and bind SHP2 and Csk. Additionally, BepE is constitutively tyrosine-phosphorylated in HEK293T cells as well as in the primary HUVECs (Chapter 3.2), in contrast to most inhibitory immune receptors, which are thought to only become phosphorylated upon engagement of their extracellular ligands. All these lines of evidence indicate BepE mimicking inhibitory immune receptors. Csk contains one SH2 domain, SHP2 two. To elucidate the binding sites of these two proteins, and also to be able to use mutants lacking these interactions, we generated a panel of tyrosine-to-phenylalanine exchange mutants in BepE. While Csk binds to one motif (the one with the similarity to the Csk-binding site of VE-Cadherin), SHP2 interacts with motifs in the two ITIM-ITSM tandems. While this interaction study was carried out in HEK293T cells, more potential ITIM/ITSM-binding proteins such as SHP-1 and SHIP, EAT-2 and SAP might increase the complexity of the picture in myeloid and lymphoid cells. The two adapter proteins SAP and EAT-2 have been shown to bind to ITSMs. While some cells such as NK express both adapters, other cells as for example T-cell do only express SAP, and other such as DCs only EAT-2. While SAP recruits Fyn and can lead to an increase in cell activation, EAT-2 recruits phosphatases and Csk, inhibiting the activity. For BepE, this opens the possibility of switching its mode of action, depending on the cell type it is translocated into. Collaborations have been initiated to assess the immunomodulatory potential of BepE and we are currently studying the impact of this protein in our HUVEC models. To summarize, my Ph.D. thesis aimed at investigating the VirB/VirD4 T4SS of Bartonella henselae for the presence of secreted substrates and signals mediating this secretion. Additionally, to describe the functions and interaction partners of these substrates in the host cell, with an emphasis on the putative tyrosinephosphorylated effectors. The core findings of this thesis are a.) The discovery of seven modular substrates secreted by the apparatus b.) Description of the BID domain mediating the secretion of proteins and protein-DNA complexes, c.) Csk and SHP2 being interaction partners for BepD and BepE on the host cell side d.) BepE mimicking inhibitory immune receptors.