Campylobacter jejuni adhere to and invade chicken intestinal epithelial cells in vitro

The sialylated lipooligosaccharide outer core in Campylobacter jejuni is an important determinant for epithelial cell invasion

Campylobacter jejuni is a frequent cause of bacterial gastroenteritis worldwide. Lipooligosaccharide (LOS) has been identified as an important virulence factor that may play a role in microbial adhesion and invasion. Here we specifically address the question of whether LOS sialylation affects the interaction of C. jejuni with human epithelial cells. For this purpose, 14 strains associated with Guillain-Barré syndrome (GBS), 34 enteritis-associated strains, the 81-176 reference strain, and 6 Penner serotype strains were tested for invasion of two epithelial cell lines. C. jejuni strains expressing sialylated LOS (classes A, B, and C) invaded cells significantly more frequently than strains expressing nonsialylated LOS (classes D and E) (P < 0.0001). To further explore this observation, we inactivated the LOS sialyltransferase (Cst-II) via knockout mutagenesis in three GBS-associated C. jejuni strains expressing sialylated LOS (GB2, GB11, and GB19). All knockout strains displayed significantly lower levels of invasion than the respective wild types. Complementation of a Deltacst-II mutant strain restored LOS sialylation and reset the invasiveness to wild-type levels. Finally, formalin-fixed wild-type strains GB2, GB11 and GB19, but not the isogenic Deltacst-II mutants that lack sialic acid, were able to inhibit epithelial invasion by viable GB2, GB11, and GB19 strains. We conclude that sialylation of the LOS outer core contributes significantly to epithelial invasion by C. jejuni and may thus play a role in subsequent postinfectious pathologies.

Campylobacter jejuni-mediated disease pathogenesis: an update

Infection by Campylobacter jejuni is considered to be the most prevalent cause of bacterial-mediated diarrhoeal disease worldwide. Both in the developing and the developed world, young children remain most susceptible. Although disease is generally mild and self-limiting, severe post-infectious complications such as Gullain-Barré syndrome may occur. Despite the significant health burden caused by the organism, our current understanding of disease pathogenesis remains in its infancy. Elucidation of the genome sequences of many different C. jejuni strains in recent years has started to accelerate research in Campylobacter genetics, pathogenesis and host immunity in response to infection. Campylobacter jejuni is the first prokaryote shown to code for both O- and N-linked glycosylation systems, a feature that is likely to not only modulate bacterial virulence and survival, but also influence host-pathogen interactions and disease outcome. Here recent developments in C. jejuni research, with a particular focus on disease pathogenesis including early host immune responses, are highlighted.

Campylobacter jejuni: molecular biology and pathogenesis

Campylobacter jejuni is a foodborne bacterial pathogen that is common in the developed world. However, we know less about its biology and pathogenicity than we do about other less prevalent pathogens. Interest in C. jejuni has increased in recent years as a result of the growing appreciation of its importance as a pathogen and the availability of new model systems and genetic and genomic technologies. C. jejuni establishes persistent, benign infections in chickens and is rapidly cleared by many strains of laboratory mouse, but causes significant inflammation and enteritis in humans. Comparing the different host responses to C. jejuni colonization should increase our understanding of this organism.

The second century of Campylobacter research: recent advances, new opportunities and old problems

PURPOSE OF REVIEW

Despite the prevalence of Campylobacter jejuni and the importance of the disease, investigations into pathogenesis have been restricted because of the absence of a convenient animal model of disease. In particular it is still unclear how C. jejuni infection causes diarrhoea.

RECENT FINDINGS

Recent developments in improved models of infection and studies on the innate immune responses have provided a deeper understanding of host-pathogen interactions. From the organism's perspective, further genomics-based information including two new genome sequences has provided much basic information, particularly relating to cell surface glycostructures.

SUMMARY

Research over the last few years is starting to address the gaps in our knowledge of how this important human pathogen interacts with host cells and causes diarrhoeal disease. Further research is required for a detailed understanding of these interactions and also to develop intervention strategies to reduce the burden of C. jejuni-associated disease.