1471-2180-12-120 1471-2180 Research article <p>Variation in endogenous oxidative stress in <it>Escherichia coli</it> natural isolates during growth in urine</p> AubronCecilececile.aubron@monash.edu GlodtJeremyjeremy.glodt@inserm.fr MatarCorinecorine.matar@inserm.fr HuetOlivierolivier.huet@bct.aphp.fr BorderieDidierdidier.borderie@cch.aphp.fr DobrindtUlrichulrich.dobrindt@ukmuenster.de DuranteauJacquesjacques.duranteau@bct.aphp.fr DenamurErickerick.denamur@inserm.fr ContiMarcmarc.conti@bct.aphp.fr BouvetOdileodile.bouvet@inserm.fr

UMR 722 INSERM and Université Paris Diderot, Sorbonne Paris Cité, Faculté de Médecine, Site Xavier Bichat, Paris, France

Laboratoire de Biochimie A, Assistance Publique - Hôpitaux de Paris and Université Paris Sud, Hôpital Bicêtre, Le Kremlin-Bicêtre, France

Département d’Anesthésie Réanimation, Assistance Publique - Hôpitaux de Paris and Université Paris Sud, Hôpital Bicêtre, Le Kremlin-Bicêtre, France

Laboratoire de Biochimie, Assistance Publique - Hôpitaux de Paris and Université Paris Descartes, Hôpital Cochin, Paris, France

Institute for Hygiene, University of Münster, Münster, Germany

Bioquanta, Mitoxis, France

Université Paris-Est, INSERM U955 EQ07, Créteil, France

BMC Microbiology 1471-2180 2012 12 1 120 http://www.biomedcentral.com/1471-2180/12/120 10.1186/1471-2180-12-12022727065
30120124620122262012 2012Aubron et al.; licensee BioMed Central Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Escherichia coli Urine Oxidative stress Adaptation Diversity

Abstract

Background

Uropathogenic strains of Escherichia coli cause symptomatic infections whereas asymptomatic bacteriuria (ABU) strains are well adapted for growth in the human urinary tract, where they establish long-term bacteriuria. Human urine is a very complex growth medium that could be perceived by certain bacteria as a stressful environment. To investigate a possible imbalance between endogenous oxidative response and antioxidant mechanisms, lipid oxidative damage estimated as thiobarbituric acid reactive substances (TBARS) content was evaluated in twenty-one E. coli belonging to various pathovars and phylogenetic groups. Antioxidant defense mechanisms were also analysed.

Results

During exponential growth in urine, TBARS level differs between strains, without correlation with the ability to grow in urine which was similarly limited for commensal, ABU and uropathogenic strains. In addition, no correlation between TBARS level and the phylogroup or pathogenic group is apparent. The growth of ABU strain 83972 was associated with a high level of TBARS and more active antioxidant defenses that reduce the imbalance.

Conclusions

Our results indicate that growth capacity in urine is not a property of ABU strains. However, E. coli isolates respond very differently to this stressful environment. In strain ABU 83972, on one hand, the increased level of endogenous reactive oxygen species may be responsible for adaptive mutations. On the other hand, a more active antioxidant defense system could increase the capacity to colonize the bladder.

Background

Escherichia coli is a highly versatile bacterial species. Commensal E. coli strains are normal inhabitants of the human colon 1 , but pathogenic strains of E. coli can cause intestinal and extraintestinal diseases of which urinary tract infections (UTIs) rank first 2 . Population genetic studies based on both multi-locus enzyme electrophoresis and various DNA markers have identified four major phylogenetic groups A, B1, B2, and D and a potential fifth group E, among E. coli strains 3 4 5 . Several studies have demonstrated a relationship between pathogenicity and phylogenetic groups. Clones responsible for human extraintestinal infections frequently belong to B2, and to a lesser extent D, phylogenetic groups, whereas commensal population strains are most common in groups A and B1 6 7 .

UTIs are the most common human infectious diseases and are a major cause of morbidity. It is estimated that there are about 150 million cases in the world per year 8 . Uropathogenic strains of E. coli (UPEC) are responsible for more than 80% of all UTIs 9 . Virulence factors, such as adhesins, toxins and siderophores enhance the ability of UPEC to cause UTIs 10 . The ability to grow in human urine is certainly also a necessary criterion for the colonization of the bladder 11 . Indeed, the ability of E. coli strains to survive and use resources available in urine efficiently is an important adaptation to the urinary tract 12 . This is illustrated by the asymptomatic bacteriuria (ABU) strains that colonise the urinary tract but do not cause disease. E. coli 83972, the ABU strain prototype, which is unable to express functional type 1, P and F1C fimbriae, grows extremely well in urine. Its growth rate is high enough to overcome the losses due to micturition 11 .

Endogenous reactive oxygen species (ROS), such as hydrogen peroxide, superoxide anion radical and hydroxyl radicals are generated continuously in cells grown aerobically. They are responsible for damages on nucleic acids (RNA and DNA), as well as proteins and lipids, leading to cell death 13 14 (Figure 1a). Defense mechanisms against the damaging effects of oxidative stress involve both enzymatic components, such as catalases and superoxide dismutases (SOD), and nonenzymatic components, such as glutathione-dependant reduction systems (Figure 1b).

<p>Figure 1 </p>

Scheme illustrating the effects of reactive oxygen species (ROS) into the cell (a) and antioxidant defense mechanisms (b) evaluated in this work.

Scheme illustrating the effects of reactive oxygen species (ROS) into the cell (a) and antioxidant defense mechanisms (b) evaluated in this work. (a) Growth in the presence of reactive oxygen species (ROS): superoxide radical [O2.-], hydrogen peroxide [H2O2], hydroxyl radical [OH-] and hydroperoxyl radical [HOO-]. These ROS can damage nucleic acids (RNA and DNA) as well as proteins and lipids, leading to cell death. (b) The superoxide dismutases (SOD), which are cytosolic (Mn-SOD and Fe-SOD) and periplasmic (Cu-SOD) allow O2.- detoxification. The catalase activity responsible for the reduction of H2O2 to H2O is effected by two hydroperoxydases [hydroperoxydase I (HPI) and hydroperoxydase II (HPII)], and the alkyl hydroperoxydase (AhpC). The glutathione is synthetised from glutamate, cysteine and glycine, by 2 unrelated ligases: the γ-glutamylcysteine synthetase (GshA) and the glutathione synthetase (GshB). The glutathione oxidoreductase (Gor) reduces glutathione disulfide (GSSG), which is formed upon oxidation. The glucose 6-phosphate dehydrogenase (G6PDH) allows indirectly the reduction of NADP to NADPH. The Fenton reaction is the result of electron transfer from donor to H2O2 catalyzed by iron Fe3+. The stars show dosages effected in this study.

It has been demonstrated that growth under starvation conditions generates oxidative stress and significant changes in glutathione homeostasis 15 16 17 . The increased level of ROS comes from the imbalance between production and antioxidant mechanisms. Human urine is a high-osmolarity, moderately oxygenated, iron and nutrient-limited environment 18 19 20 21 . Therefore, growth in urine could be perceived as a stressful environment. In order to evaluate the importance of endogenous oxidative stress of growing cells in urine, oxidative damages to lipids were assayed in a range of E. coli strains representative of various pathovars and phylogenetic groups. Antioxidant defense mechanisms in four representatives of these E. coli strains were also analysed.

Methods

Strains

The twenty-one E. coli strains used in this study are described in Table 1; nine were pathogenic, three were commensal and nine ABU. The archetypal UPEC strain CFT073 was originally isolated from the blood and urine of a woman admitted to the University of Maryland Medical System 22 . Seven other UPEC prototypes, E. coli UTI 89, J96, UMN026, IAI39, IAI74, IH11128 and 536, were also studied 23 24 25 . E. coli ABU 83972, the archetypal ABU strain, is a clinical isolate capable of long-term bladder colonization 26 . Eight other ABU strains were also included 27 . E. coli K-12 MG 1655, a commensal, laboratory derived strain, was originally isolated from the faeces of a convalescent diphtheria patient in Palo Alto in 1922 28 . E. coli IAI1 is a commensal strain isolated from faeces of a young, healthy, military conscript in the 1980s in France 6 . E. coli ED1a, isolated in the 2000s from faeces of a healthy man in France, belongs to a human-specific, widespread, commensal clone that is increasing in frequency 29 . Finally, an enterohaemorrhagic E. coli (EHEC) O157:H7 Sakai strain isolated during an outbreak in Sakai City, Japan, in 1996 was studied 30 .

<p>Table 1</p>

Urine

LB broth

Urine vs LB

Strains

Phylo-groups

Virulence groups

TBARS*

p**

TBARS

p

p

* TBARS values are expressed in micromoles per 1011 cells. The data shown are means (mean ± SD) of three independent experiments in different batches of urine and LB broth. Differences between means were evaluated for statistical significance using the Tukey's HSD (Honestly Significant Difference) test.

**p values of < 0.05 were considered significant. compared to ABU83972 under the same conditions.

ABU 57

A

ABU

9.0 ± 1.7

p = 0.835

7.1 ± 0.7

p = 1.000

p = 0.995

ABU83972

B2

ABU

7.3 ± 1.0

6.4 ± 0.1

p = 1.000

ABU 5

D

ABU

7.2 ± 1.1

p = 1.000

6.3 ± 1.1

p = 1.000

p = 1.000

IH11128

B2

UPEC

6.7 ± 2.0

p = 1.000

6.1 ± 0.4

p = 1.000

p = 1.000

IAI 74

B2

UPEC

6.6 ± 0.9

p = 1.000

6.1 ± 0.7

p = 1.000

p = 1.000

ABU 63

B2

ABU

6.6 ± 1.2

p = 1.000

5.8 ± 0.9

p = 1.000

p = 1.000

IAI 39

D

UPEC

6.6 ± 1.5

p = 1.000

7.1 ± 0.7

p = 1.000

p = 1.000

CFT073

B2

UPEC

6.3 ± 0.9

p = 0.999

5.9 ± 0.7

p = 1.000

p = 1.000

ABU 27

B2

ABU

5.6 ± 0.9

p = 0.905

4.9 ± 0.5

p = 0.976

p = 1.000

ABU 64

B2

ABU

5.6 ± 0.4

p = 0.866

6.8 ± 0.2

p = 1.000

p = 1.000

UMN 026

D

UPEC

5.2 ± 1.1

p = 0.458

6.2 ± 0.6

p = 1.000

p = 1.000

ED1a

B2

commensal

5.2 ± 1.1

p = 0.542

4.9 ± 0.2

p = 0.979

p = 1.000

536

B2

UPEC

5.1 ± 1.0

p = 0.458

6.3 ± 1.7

p = 1.000

p = 1.000

J96

B2

UPEC

5.0 ± 1.1

p = 0.653

5.3 ± 1.4

p = 0.998

p = 1.000

ABU 20

B2

ABU

4.9 ± 0.9

p = 0.307

4.3 ± 1.2

p = 0.743

p = 1.000

IAI1

B1

commensal

4.3 ± 0.7

p = 0.075

4.4 ± 0.3

p = 0.789

p = 1.000

Sakai

E

EHEC

3.9 ± 0.4

p = 0.016

4.6 ± 0.7

p = 0.900

p = 1.000

UTI 89

B2

UPEC

3.8 ± 0.6

p = 0.015

5.1 ± 0.1

p = 0.996

p = 1.000

ABU 38

B1

ABU

3.8 ± 0.8

p = 0.012

4.5 ± 0.1

p = 0.838

p = 1.000

ABU 62

B1

ABU

3.5 ± 0.9

p = 0.005

6.1 ± 0.8

p = 1.000

p = 0.560

MG1655

A

K-12 laboratory strain

2.6 ± 0.5

p = 0.0001

6.3 ± 1.4

p = 1.000

p = 0.546

Comparison of TBARS content of twenty-one E. coli belonging to different pathovars and phylogenetic groups during exponential growth in pooled human urine and LB broth

Growth conditions, dissolved oxygen saturation and cell extracts

The study was performed in Luria Bertani (LB) broth, a nutritionally rich medium and in human urine. Three independent batches of urine from healthy volunteers were used. Midstream urine was collected over 24 hours from healthy male volunteers, with no history of UTI or antibiotic use in the last two months. The urine was pooled, centrifuged, filtered (filter size 0.22μm) and stored at −20°C. The growth experiments were assayed using 96 well plates and OD600 was measured with a Tecan Infinite M200 plate reader. For the preparation of cell extracts, aliquots of 40 ml of pooled urine or LB broth in 50 ml vials were inoculated with the appropriate volume of the overnight culture to obtain 2 x 105 bacteria/ml. Each experiment was performed in triplicate and repeated in 3 different batches of urine or LB broth. Cells were grown at 37°C under microaerobic conditions (1% O2). Dissolved oxygen saturation was measured by luminescence with a measure probe (Hach Lange GmbH) in the different media during the exponential growth phase. The measure was repeated at least four times. Cultures were sampled in mid-exponential growth phase and 30 min after the beginning of stationary phase. Aliquots of 40 ml of culture were centrifuged at 4500 rpm at +4°C for 15 min. The bacteria were washed twice with 0.9% NaCl, pelleted and stored at −20°C until used. The cells resuspended in appropriate sonicating buffers (see below) were disrupted by sonication on ice for 3 min (30 s disrupt with 30 s rest) with an ultrasonic disrupter (Sonics & Materials Inc.).

Antioxidant enzyme and glutathione assays

The pellets were sonicated in phosphate buffer, pH 7.8. All assays, except catalase activity, were performed on a Roche Diagnostics/Hitachi 912. Catalase activity was determined using the Catalase Assay kit (Sigma). The Cu-SOD activity, which corresponds to the periplasmic SOD, was assayed using the SOD assay kit (Randox laboratories) based on the method of Mc Cord and Fridovich 31 . The cytosolic SOD activity, which is effected by the Mn- and the Fe-SODs, was calculated as the difference between the total SOD activity measured at pH 7.8 and the Cu-SOD activity measured at pH 10.2. The glutathione oxidoreductase was assayed by the method of Bleuter 32 . Oxidized glutathione (GSSG) was added and the disappearance of NADPH was monitored at a wavelength of 340 nm. The assay of glucose-6-phosphate-dehydrogenase (G6PDH) was based on Bleuter’s method 33 , where glucose-6-phosphate was added and the reduction of NADP to NADPH was monitored at a wavelength of 340 nm. The γ-glutamylcysteine synthetase (GshA) and the glutathione synthetase (GshB) were assayed as described previously 34 . Briefly, ADP generated by both enzymes in the presence of their substrates was determined using a coupled assay with pyruvate kinase, and lactate dehydrogenase. Oxidized and reduced glutathione concentrations were assayed by high-performance liquid chromatography (HPLC) equipped with a colorimetric detection system, using N-acetyl cysteine as an internal control 35 . Each experiment was performed in triplicate and repeated in 3 different batches of urine. The activities of the enzymes and the glutathione content in each sample were normalized with total proteins assayed by the method of Bradford 36 .

Measurement of thiobarbituric acid reactive substances (TBARS)

Lipid peroxidation was estimated as TBARS content. TBARS were measured by the standard procedure using the protocol according to the manufacturer’s instructions (OxiSelectTM TBARS Assay kit, Cells Biolabs). When cells were either in exponential growth phase or in stationary phase, OD600 of the cultures and TBARS concentrations were determined. The pellets were sonicated in PBS buffer containing 1% Triton X-100 and 0.05% antioxidant butylated hydroxytoluene to prevent further oxidation of lipid. Each experiment was performed in duplicate and repeated in 3 different batches of human urine and LB broth.

Statistical analysis

Differences between means of at least 3 to 9 experiments were evaluated for statistical significance using the Tukey's HSD (Honestly Significant Difference) test. Non-parametric data were analysed using a Mann–Whitney U-test. P values of < 0.05 were considered significant. Data are presented as mean ± standard deviation or as box-plots based on medians and quartiles.

Results

Growth in human urine is limiting

The growth capacity of twenty-one E. coli strains (8 UPEC, 1 EHEC, 9 ABU, 3 commensal strains) was studied (Figure 2). As expected, growth in pooled human urine was significantly less than in LB medium, for all strains and supplementation of urine with casaminoacids improved growth (data not shown). Unlike LB broth, urine limits cell growth. Moreover, in LB broth as in urine, it was found that all strains produced similar growth curves. Only both strains ABU 83972 and IAI1 grew slightly faster than four ABU strains (57, 64, 27 and 5) during the exponential phase in urine (p < 0.0001). Surprisingly, the growth capacity of ABU in the urine is not better than that of UPEC and commensal strains.

<p>Figure 2 </p>

Growth of twenty-one E. coli belonging to different pathovars and phylogenetic groups.

Growth of twenty-one E. coli belonging to different pathovars and phylogenetic groups. Growth in LB broth (dashed line) and in pooled human urine (complete line). The plotted values are means of 3 independent experiments. OD600, optical density at 600 nm. Strains with exponential phase in urine significantly different are specifically labeled.

The TBARS content differs between strains grown in urine

The content of TBARS, corresponding to the accumulation of membrane lipid peroxidation products was measured during exponential growth in both culture media, pooled human urine and LB broth (Table 1). The levels of damage products accumulated have been used to assess oxidative stress induced by intracellular ROS 16 37 . In all cases, p values were versus ABU 83972 strain. No significant difference was observed in TBARS content of twenty-one strains grown in LB broth while differences occurred during growth in urine. Similar amounts of TBARS were produced by ABU 83872 and fourteen other strains. These amounts were significantly higher than those produced by five other E. coli strains (Sakai, UTI89, MG1655 and ABU 38 and 62). IAI1 with a p value at 0.075 was at an intermediate position. These data show that during exponential growth in urine, the intracellular ROS level differs between strains. Furthermore, the ROS level is not linked to the phylogenetic groups. Strains belonging to different phylogenetic groups were found in both groups with high and low TBARS content, respectively. In the same way, no clear delineation between virulence categories was apparent (Table 1). Interestingly, it also appeared that strains which grew slightly faster or slower in urine e.g. ABU strains 83972 and 64 respectively, exhibited similar levels of TBARS.

ABU 83972 strain more effectively controls the level of TBARS in urine

Changes in ROS levels produced in the exponential and stationary growth in both pooled human urine and LB broth were studied using a representative panel of strains [three UPEC strains (CFT073, UTI89, 536), all belonging to the phylogenetic B2 group, three commensal strains (ED1a, IAI1, MG1655) belonging to various phylogenetic groups, the ABU 83972 from phylogenetic group B2 and Sakai from phylogenetic group E] (Table 2). Due to the sampling procedure, data obtained were subject to a new analysis of variance. The statistical analysis performed on a limited number of strains showed results quite similar to the first analysis. Similar amounts of TBARS were produced by ABU 83972 and CFT073 during exponential growth in urine. These amounts were significantly higher than those produced by the four strains IAI1, Sakai, UTI89 and MG1655. ED1a and 536 with a p value at 0.070 and 0.048 respectively were now at an intermediate position. No significant changes were observed in the stationary phase of growth. As a consequence, similar amounts of TBARS were produced during the two phases of growth except for ABU 83972 in urine. In strain ABU 83972, the level of TBARS was higher in the exponential phase and decreased significantly in the stationary phase showing the ability of strain ABU 83972 to control the endogenous oxidative stress during growth in urine. In contrast, all isolates grown in LB medium exhibited similar levels of ROS regardless of the growth phase.

<p>Table 2</p>

Urine exponential phase

Urine stationary phase

Urine exponential phase vs stationary phase

Strains

TBARS*

p**

TBARS

p

p

* TBARS values are expressed in micromoles per 1011 cells. The data shown are means (mean ± SD) of three independent experiments in different batches of urine and LB broth. Differences between means were evaluated for statistical significance using the Tukey's HSD (Honestly Significant Difference) test.

** p values of < 0.05 were considered significant. compared to ABU83972 under the same conditions.

ABU83972

7.3 ± 1.0

4.4 ± 0.4

p = 0.014

CFT073

6.3 ± 0.8

p = 0.902

4.7 ± 0.8

p = 1.000

p = 0.450

ED1a

5.2 ± 1.1

p = 0.070

5.2 ± 0.8

p = 0.927

p = 1.000

536

5.1 ± 1.0

p = 0.048

4.1 ± 0.6

p = 1.000

p = 0.993

IAI1

4.3 ± 0.7

p = 0.002

4.6 ± 0.7

p = 1.000

p = 1.000

Sakai

3.9 ± 0.4

p = 0.001

4.2 ± 0.3

p = 1.000

p = 1.000

UIT89

3.8 ± 0.6

p = 0.001

3.9 ± 0.1

p = 0.997

p = 1.000

MG1655

2.6 ± 0.5

p < 0.0001

4.0 ± 1.0

p = 0.999

p = 0.880

LB broth exponential phase

LB broth stationary phase

LB broth exponential phase vs stationary phase

Strains

TBARS

p

TBARS

p

p

ABU83972

6.4 ± 0.1

8.9 ± 1.6

p = 0.394

CFT073

5.9 ± 0.6

p = 0.993

6.5 ± 0.4

p = 0.458

p = 1.000

ED1a

4.9 ± 0.2

p = 0.492

6.8 ± 1.2

p = 0.581

p = 0.763

536

6.3 ± 1.7

p = 1.000

5.4 ± 1.9

p = 0.135

p = 0.998

IAI1

4.4 ± 0.3

p = 0.219

6.8 ± 0.1

p = 0.571

p = 0.465

Sakai

4.6 ± 0.7

p = 0.316

6.7 ± 1.1

p = 0.543

p = 0.635

UIT89

5.1 ± 0.1

p = 0.656

7.4 ± 0.4

p = 0.844

p = 0.540

MG1655

5.5 ± 0.1

p = 0.907

7.0 ± 0.1

p = 0.680

p = 0.942

Comparison of TBARS content of eight E. coli at both phases (exponential and stationary) of growth in pooled human urine and LB broth

The behavior of the commensal strains and UPEC in urine was also compared. As expected, no significant difference was observed in the amount of TBARS produced (data not shown). E. coli is a diverse species, both in terms of gene content and sequence divergence 24 38 , so we then analysed strains from the phylogenetic B2 group only, which includes both commensal and pathogenic strains. No difference was observed between the UPEC and the ED1a intestinal commensal strains (p = 0.968). However, clear differences were demonstrated in urine between the three UPEC strains selected (5.19 ± 1.31) and the ABU strain 83972 (7.26 ± 1.03) with a p value = 0.009.

ABU strain 83972 has better antioxidant defense capacity than UPEC strains

The non-enzymatic and enzymatic components involved in antioxidant defense systems (Figure 1b) were studied during growth in pooled human urine in a subset of four B2 UPEC and ABU strains selected from the previous panel (CFT073, UTI89, 536 and ABU 83972) (Additional file 1: Table S1 and Additional file 2: Table S2). To increase the statistical power of our analysis, antioxidant defense mechanisms of the three UPEC were compared with those of ABU 83972. The results are presented Figure 3. We also compared antioxidant defense systems between ABU 83972 and CFT073 alone. Similar results to those obtained for ABU 83972 and the three UPEC were obtained, however, the p values were less significant (between 0.03 and 0.15) (data not shown).

<p>Additional file 1: Table S1</p>

Comparison of the antioxidant defense systems in three UPEC (CFT073, UTI89, 536) and ABU 83972 strains during the mid-logarithmic growth phase in urine.

Click here for file

<p>Additional file 2: Table S2</p>

Comparison of the antioxidant defense systems of three UPEC (CFT073, UTI89, 536) and ABU 83972 strains during the stationary growth phase in urine.

Click here for file

<p>Figure 3 </p>

Comparison of antioxidant defense mechanisms between UPEC (CFT073, UTI 89 and 536) and ABU 83972 strains at both phases of growth.

Comparison of antioxidant defense mechanisms between UPEC (CFT073, UTI 89 and 536) and ABU 83972 strains at both phases of growth. (a) Content of glutathione (GSH), (b) Glutathione oxidoreductase (Gor) activity, (c) Activity of glucose 6 phosphate deshydrogenase (G6PDH), (d) Catalase activity, (e) Activity of superoxide dismutase activity cooper-dependent (Cu-SOD), (f) Activity of cytosolic superoxide dismutases (cytosolic SODs) (Mn-dependent and Fe-dependent). White square: mid-logarithmic phase; grey square: stationary phase.

Glutathione system

The E. coli redox buffer in the cytoplasm is mostly composed of the tripeptide glutathione. The intracellular concentration is approximately 5 mM, and it is kept almost completely reduced (GSH). Glutathione oxidoreductase (Gor) reduces glutathione disulphide (GSSG), which is formed upon oxidation, at the expense of NADPH 14 .

In urine, GSH content was low in the mid-exponential phase and then increased in all strains (Figure 3a, Additional file 1: Table S1 and Additional file 2: Table S2). However, GSH content was significantly higher for ABU 83972 than for the UPEC in the stationary phase. No significant difference was observed in enzyme-synthesised GSH [γ-glutamylcysteine synthetase (GshA) and glutathione synthetase (GshB)] or GSSG content between UPEC and strain ABU 83972 or between growth phases (Additional file 1: Table S1 and Additional file 2: Table S2). Gor activity was significantly higher for strain ABU 83972 than that of UPEC for all measurements and varied significantly between mid-exponential phase and the stationary phase (Figure 3b, Additional file 1: Table S1 and Additional file 2: Table S2).

Enzymes responsible for the detoxification of superoxide radicals and hydrogen peroxide

Strain ABU 83972 growth in urine was associated with higher activity of the H2O2 detoxification system. Catalase activity represents the peroxidase activity of several enzymes (Figure 1b), such as hydroperoxydase I (HPI), hydroperoxydase II (HPII) and the alkyl hydroperoxydase (AhpC) 39 40 . Catalase activity of strain ABU 83972 was significantly higher in mid-exponential phase and stayed the same in stationary phase, for both groups (Figure 3d, Additional file 1: Table S1 and Additional file 2: Table S2). Enzymes responsible for superoxide radical O2 .- detoxification were induced more during growth and were also more active in this strain. All superoxide dismutases, periplasmic and cytosolic activity increased significantly during growth, becoming significantly greater in the stationary phase for strain ABU 83972 only (Figure 3e3f). Moreover, glucose-6 phosphate dehydrogenase (G6PDH) activity of strain ABU 83972 was significantly greater in the mid-exponential phase, and decreased to levels similar to those of UPEC in the stationary phase (Figure 3c). This more active G6PDH could contribute to the synthesis of antioxydants (NADPH, GSH).

As shown above, ABU 83972 growth in urine was related to a significantly higher level of TBARS in the mid-exponential phase. The high level of antioxidant defenses of strain ABU 83972 resulted in a decrease of TBARS, so there was no difference in the levels of TBARS in the stationary phase between ABU strain 83972 and CFT073 or three UPEC.

Discussion

Our studies demonstrate that growth in urine may be associated with endogenous oxidative stress. It is well known that urine supports bacterial growth. Several studies have shown that UPEC strains grow well in human urine, whereas faecal isolates tended to grow more poorly 19 41 . Other studies have also reported that ABU isolates grow faster than UPEC strains 11 . However, Alteri and Mobley have recently shown that growth in urine is not restricted to UPEC bacteria or ABU strains. Commensal and enteropathogen E. coli strains produced growth curves indistinguishable from those of UPEC 42 . In agreement with their work, we found that the ability to grow of twenty-one E. coli belonging to different pathovars and phylogenetic groups was nearly similar in pooled human urine. The slow growth of a few isolates could reflect the RpoS polymorphism in E. coli population 43 44 .

Cultures were grown in microaerophilic conditions (see Methods), where oxygen levels are similar to those in the human urinary tract 18 45 . This reduction in oxygen content leads to a redistribution of metabolic fluxes between fermentation and respiration 46 . Such a shift may decrease the respiratory chain-mediated generation of ROS. Moreover, in our culture conditions, autoxidizable enzymes such as L-aspartate oxidase and fumarate reductase should not contribute significantly to the formation of H2O2. However, metabolic reactions that generate nearly two-thirds of H2O2 are not yet identified 47 . Therefore, we can expect that changes in metabolic fluxes generate different ROS levels. Analysis of metabolic capabilities in a collection of 153 E. coli natural isolates 48 and of gene expression in strains ABU 83972 and CFT073 grown exponentially in urine 49 revealed significant differences in their metabolic capacities. These metabolic changes could therefore generate different ROS levels in our isolates.

Urine is a complex growth medium and E. coli must adapt to stress imposed by this tough environment. The high osmolality, high urea concentration, low pH and the limitation of certain components could provoke an oxidative response. To protect from these highly reactive intermediates, cells possess a defense system consisting of both enzymatic and non- enzymatic antioxidants that scavenge them. Nevertheless, under several situations, the rate of generation of ROS exceeds that of their removal and oxidative stress occurs. The levels of damage products accumulated (estimated as TBARS concentration) mirror the intensity of oxidative stress. Our results demonstrate that E. coli strains can respond very differently to stress imposed by urine. TBARS measurements revealed that many E. coli are exposed to ROS during exponential growth in urine. Surprisingly, this is the case of ABU strain 83972 that is very well adapted to growth in the urinary tract 11 . In contrast, two other ABU strains 38 and 62, as UTI89, Sakai and MG1655 showed a lower oxidative damage to lipid. No clear correlation between ROS level and the phylogroups or pathogenic group was apparent.

ABU isolates form a heterogenous group. Individual ABU strains display many differences between them in their genome contents and in virulence-associated genes such as LPS, microcin, aerobactin, and mobility 11 27 . Interestingly, our study shows that the two ABU strains (38 and 62) belonging to the group B1, differ from other by the low ROS production in urine.

The commensal-like ABU 83972 strain and the pathogenic strain CFT073 are very closely related and belong to the same B2 subgroup II 25 , or to the same sequence type 73 clonal group 4 . These both strains are genetically very similar and differ only by a few hundred genes 50 . However, strain ABU 83972 is able to outcompete CFT073 strain in urine 51 . The results presented herein indicate that both strains undergo an oxidative stress during the exponential growth. Nonetheless, ABU 83972 strain displays more active antioxidant defenses which led to a significant decrease in ROS level in stationary phase. Our results agree with the gene expression profiling in strains ABU 83972 and CFT073 in urine, which showed that sodA, encoding superoxide dismutase and ahpC, encoding hydroperoxide reductase are significantly up-regulated 49 52 . Interestingly the highest expression values were obtained in ABU 83972 strain 49 . To further explore the oxidative response, other studies will be performed to examine the contribution of each factor involved in this response and the importance of metabolic changes in these isolates.

The UPEC strains CFT073 (urosepsis/pyelonephritis isolate), 536 (pyelonephritis, B2 subgroup III) and UTI89 (cystitis, B2 subgroup IX) 25 are very well adapted for growth in the human urinary tract and present similar antioxidant defense systems. However, a clear distinction can be drawn between them. Strains CFT073 and 536 behave similarly with respect to ROS formation in exponential phase in contrast to UTI89 (p = 0.016). The metabolic fluxes could be distributed differently in UTI89, which may decrease the endogenous production of ROS.

The more efficient antioxidant metabolism related to greater exposure to endogenous oxidative stress may be responsible for the difference in lifestyle between ABU 83972 and CFT073 strains. ABU 83972 strain exploits urine more efficiently than UPEC strains 11 . Previous study has shown that a more active antioxidant defense system increases the capacity to colonize the bladder 53 . Thus, a high level of antioxidant defenses associated to fast growth in the urine (this work), low abundance of fimbriae, and possible biofilm formation 54 could explain why ABU83972 strain is able to establish a long-term bacteriuria. Additionally, ROS are implicated in DNA mutagenesis which may be adaptive as reported in biofilm for antibiotic-resistance 55 , or more generally, during starvation 56 . The high levels of ROS in ABU strain 83972 may explain the genetic alterations described 27 .

Conclusions

We showed that growth in human urine of many E. coli strains belonging to different phylogenetic groups and pathovars was associated with an endogenous oxidative stress. The growth of ABU strain 83972 was associated with a high level of ROS and more active antioxidant defenses. The increased level of ROS may be responsible for adaptive mutations. A more active antioxidant defense system could increase the capacity to colonize the bladder.

Authors’ contributions

CA, JG, CM, MC performed the research. CA, OH, MC, OB analysed the data. DB, JD, UD, ED participed to the coordination of the study. OB wrote the paper. All authors read and approved the final manuscript.

Acknowledgements

We thank Bioquanta for making the Mitoxis platform available. CA was supported by an INSERM fellowship. This work is supported by a grant from the French National Research and Agency (ANR) to the Metacoli project (contract number ANR-08-SYSC-011).

<p>The population genetics of commensal Escherichia coli</p>TenaillonOSkurnikDPicardBDenamurENat Rev Microbiol20108320721710.1038/nrmicro229820157339<p>Medical and economic impact of extraintestinal infections due to Escherichia coli: focus on an increasingly important endemic problem</p>RussoTAJohnsonJRMicrobes Infect20035544945610.1016/S1286-4579(03)00049-212738001<p>Assigning Escherichia coli strains to phylogenetic groups: multi-locus sequence typing versus the PCR triplex method</p>GordonDMClermontOTolleyHDenamurEEnviron Microbiol200810102484249610.1111/j.1462-2920.2008.01669.x18518895<p>Sex and virulence in Escherichia coli: an evolutionary perspective</p>WirthTFalushDLanRCollesFMensaPWielerLHKarchHReevesPRMaidenMCOchmanHMol Microbiol20066051136115110.1111/j.1365-2958.2006.05172.x155746516689791<p>Sex in Escherichia coli does not disrupt the clonal structure of the population: evidence from random amplified polymorphic DNA and restriction-fragment-length polymorphism</p>DesjardinsPPicardBKaltenböckBElionJDenamurEJ Mol Evol199541444044810.1007/BF001603157563131<p>The link between phylogeny and virulence in Escherichia coli extraintestinal infection</p>PicardBGarciaJSGouriouSDuriezPBrahimiNBingenEElionJDenamurEInfect Immun1999672546553963539916057<p>Commensal Escherichia coli isolates are phylogenetically distributed among geographically distinct human populations</p>DuriezPClermontOBonacorsiSBingenEChaventreAElionJPicardBDenamurEMicrobiology200114761671167611390698<p>Urinary tract infections: disease panorama and challenges</p>StammWENorrbySRJ Infect Dis2001183Suppl 1S1S411171002<p>Bacterial virulence in urinary tract infection</p>SvanborgCGodalyGInfect Dis Clin North Am199711351352910.1016/S0891-5520(05)70371-89378921<p>Virulence factors of uropathogenic Escherichia coli</p>EmodyLKerenyiMNagyGInt J Antimicrob Agents200322Suppl 2293314527768<p>The asymptomatic bacteriuria Escherichia coli strain 83972 outcompetes uropathogenic E. coli strains in human urine</p>RoosVUlettGCSchembriMAKlemmPInfect Immun200674161562410.1128/IAI.74.1.615-624.2006134664916369018<p>Roles of serine accumulation and catabolism in the colonization of the murine urinary tract by Escherichia coli CFT073</p>AnforaATHaugenBJRoeschPRedfordPWelchRAInfect Immun200775115298530410.1128/IAI.00652-07216830317785472<p>Oxidative stress responses in Escherichia coli and Salmonella typhimurium</p>FarrSBKogomaTMicrobiol Rev1991555615853728381779927<p>Roles of the glutathione- and thioredoxin-dependent reduction systems in the Escherichia coli and Saccharomyces cerevisiae responses to oxidative stress</p>Carmel-HarelOStorzGAnnu Rev Microbiol20005443946110.1146/annurev.micro.54.1.43911018134<p>Starvation-induced cross protection against heat or H2O2 challenge in Escherichia coli</p>JenkinsDESchultzJEMatinAJ Bacteriol19881709391039142113893045081<p>Diversion of the metabolic flux from pyruvate dehydrogenase to pyruvate oxidase decreases oxidative stress during glucose metabolism in nongrowing Escherichia coli cells incubated under aerobic, phosphate starvation conditions</p>MoreauPLJ Bacteriol20041867364736810.1128/JB.186.21.7364-7368.200452319915489448<p>Escherichia coli resistance to chlorine and glutathione synthesis in response to oxygenation and starvation</p>SabySLeroyPBlockJCAppl Environ Microbiol19996512560056039176510584025<p>Transcriptome of uropathogenic Escherichia coli during urinary tract infection</p>SnyderJAHaugenBJBucklesELLockatellCVJohnsonDEDonnenbergMSWelchRAMobleyHLInfect Immun200472116373638110.1128/IAI.72.11.6373-6381.200452305715501767<p>A theoretical and experimental analysis of bacterial growth in the bladder</p>GordonDMRileyMAMol Microbiol19926455556210.1111/j.1365-2958.1992.tb01500.x1560784<p>Nutritional requirements for growth of uropathogenic Escherichia coli in human urine</p>HullRAHullSIInfect Immun1997655196019611752529125589<p>Identification of genes in an extraintestinal isolate of Escherichia coli with increased expression after exposure to human urine</p>RussoTACarlinoUBMongAJodushSTInfect Immun19996710530653149688510496910<p>Pyelonephritogenic Escherichia coli and killing of cultured human renal proximal tubular epithelial cells: role of hemolysin in some strains</p>MobleyHLGreenDMTrifillisALJohnsonDEChippendaleGRLockatellCVJonesBDWarrenJWInfect Immun1990585128112892586212182540<p>Identification of genes subject to positive selection in uropathogenic strains of Escherichia coli: a comparative genomics approach</p>ChenSLHungCSXuJReigstadCSMagriniVSaboABlasiarDBieriTMeyerRROzerskyPProc Natl Acad Sci USA2006103155977598210.1073/pnas.0600938103142466116585510<p>Organised genome dynamics in the Escherichia coli species results in highly diverse adaptive paths</p>TouchonMHoedeCTenaillonOBarbeVBaeriswylSBidetPBingenEBonacorsiSBouchierCBouvetOPLoS Genet200951e100034410.1371/journal.pgen.1000344261778219165319<p>Extraintestinal virulence is a coincidental by-product of commensalism in B2 phylogenetic group Escherichia coli strains</p>Le GallTClermontOGouriouSPicardBNassifXDenamurETenaillonOMol Biol Evol200724112373238410.1093/molbev/msm17217709333<p>Persistence of Escherichia coli bacteriuria is not determined by bacterial adherence</p>AnderssonPEngbergILidin-JansonGLincolnKHullRHullSSvanborgCInfect Immun1991599291529212581131879917<p>Molecular basis of commensalism in the urinary tract: low virulence or virulence attenuation?</p>ZdziarskiJSvanborgCWulltBHackerJDobrindtUInfect Immun200876269570310.1128/IAI.01215-07222346018039831<p>The complete genome sequence of Escherichia coli K-12</p>BlattnerFRPlunkettGBlochCAPernaNTBurlandVRileyMCollado-VidesJGlasnerJDRodeCKMayhewGFScience199727753311453147410.1126/science.277.5331.14539278503<p>Evidence for a human-specific Escherichia coli clone</p>ClermontOLescatMO'BrienCLGordonDMTenaillonODenamurEEnviron Microbiol20081041000100610.1111/j.1462-2920.2007.01520.x18177373<p>Outbreaks of enterohaemorrhagic Escherichia coli O157:H7 infection by two different genotype strains in Japan. 1996</p>WatanabeHWadaAInagakiYItohKTamuraKLancet1996348903083183210.1016/S0140-6736(05)65257-98814014<p>Superoxide dismutase. An enzymic function for erythrocuprein (hemocuprein)</p>McCordJMFridovichIJ Biol Chem196924422604960555389100BleuterEIn Red Cell Metabolism: A Manual of Biochemical MethodsNew York, NY: Grune and Startton19756769BleuterEIn Red cell Metabolism: A Manual of Biochemical MethodsNew York, NY: Grune and Startton1984105106<p>Catalytic and regulatory properties of the heavy subunit of rat kidney gamma-glutamylcysteine synthetase</p>HuangCSChangLSAndersonMEMeisterAJ Biol Chem19932682619675196808103521<p>Electrochemical determination of femtomole amounts of free reduced and oxidized glutathione. Application to human hair follicles</p>KrienPMMargouVKermiciMJ Chromatogr1992576225526110.1016/0378-4347(92)80199-Z1400713<p>A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding</p>BradfordMMAnal Biochem19767224825410.1016/0003-2697(76)90527-3942051<p>Homeostatic regulation of intracellular hydrogen peroxide concentration in aerobically growing Escherichia coli</p>Gonzalez-FlechaBDempleBJ Bacteriol199717923823881787078990289<p>The pangenome structure of Escherichia coli: comparative genomic analysis of E. coli commensal and pathogenic isolates</p>RaskoDARosovitzMJMyersGSMongodinEFFrickeWFGajerPCrabtreeJSebaihiaMThomsonNRChaudhuriRJ Bacteriol2008190206881689310.1128/JB.00619-08256622118676672<p>Regulation of hydroperoxidase (catalase) expression in Escherichia coli</p>SchellhornHEFEMS Microbiol Lett1995131211311910.1111/j.1574-6968.1995.tb07764.x7557318<p>Escherichia coli periplasmic thiol peroxidase acts as lipid hydroperoxide peroxidase and the principal antioxidative function during anaerobic growth</p>ChaMKKimWCLimCJKimKKimIHJ Biol Chem2004279108769877810.1074/jbc.M31238820014676195<p>Observations on the growth of urethral and vaginal bacteria in sterile urine</p>StameyTAMiharaGJ Urol198012444614637420586<p>Quantitative profile of the uropathogenic Escherichia coli outer membrane proteome during growth in human urine</p>AlteriCJMobleyHLInfect Immun200775626792688193288417513849<p>rpoS mutations and loss of general stress resistance in Escherichia coli populations as a consequence of conflict between competing stress responses</p>Notley-McRobbLKingTFerenciTJ Bacteriol2002184380681110.1128/JB.184.3.806-811.200213952611790751<p>Molecular and evolutionary bases of within-patient genotypic and phenotypic diversity in Escherichia coli extraintestinal infections</p>LevertMZamfirOClermontOBouvetOLespinatsSHipeauxMCBrangerCPicardBSaint-RufCNorelFBalliauTZivyMLe NagardHCruveillerSChane-Woon-MingBNilssonSGudeljIPhanKFerenciTTenaillonODenamurEPLoS Pathog201069e100112510.1371/journal.ppat.1001125294799520941353<p>Global gene expression profiling of the asymptomatic bacteriuria Escherichia coli strain 83972 in the human urinary tract</p>RoosVKlemmPInfect Immun20067463565357510.1128/IAI.01959-05147925816714589<p>Effects of limited aeration and of the ArcAB system on intermediary pyruvate catabolism in Escherichia coli</p>AlexeevaSde KortBSawersGHellingwerfKJde MattosMJJ Bacteriol2000182174934494010.1128/JB.182.17.4934-4940.200011137410940038<p>Two sources of endogenous hydrogen peroxide in Escherichia coli</p>KorshunovSImlayJAMol Microbiol20107561389140110.1111/j.1365-2958.2010.07059.x304999720149100<p>The decoupling between genetic structure and metabolic phenotypes in Escherichia coli leads to continuous phenotypic diversity</p>SabarlyVBouvetOGlodtJClermontOSkurnikDDiancourtLde VienneDDenamurEDillmannCJ Evol Biol20112471559157110.1111/j.1420-9101.2011.02287.x314705621569155<p>Functional genomics of probiotic Escherichia coli Nissle 1917 and 83972, and UPEC strain CFT073: comparison of transcriptomes, growth and biofilm formation</p>HancockVVejborgRMKlemmPMol Genet Genomics2010284643745410.1007/s00438-010-0578-820886356<p>Comparative genomics of Escherichia coli strains causing urinary tract infections</p>VejborgRMHancockVSchembriMAKlemmPAppl Environ Microbiol201177103268327810.1128/AEM.02970-10312644621421782<p>Asymptomatic bacteriuria Escherichia coli strains: adhesins, growth and competition</p>RoosVNielsenEMKlemmPFEMS Microbiol Lett20062621223010.1111/j.1574-6968.2006.00355.x16907735<p>Transcriptomics and adaptive genomics of the asymptomatic bacteriuria Escherichia coli strain 83972</p>HancockVSeshasayeeASUsseryDWLuscombeNMKlemmPMol Genet Genomics2008279552353410.1007/s00438-008-0330-9232972618317809<p>Effect of inactivation of the global oxidative stress regulator oxyR on the colonization ability of Escherichia coli O1:K1:H7 in a mouse model of ascending urinary tract infection</p>JohnsonJRClabotsCRosenHInfect Immun200674146146810.1128/IAI.74.1.461-468.2006134667916369002<p>Mellowing out: adaptation to commensalism by Escherichia coli asymptomatic bacteriuria strain 83972</p>KlemmPHancockVSchembriMAInfect Immun20077583688369510.1128/IAI.01730-06195198817502385<p>Endogenous oxidative stress produces diversity and adaptability in biofilm communities</p>BolesBRSinghPKProc Natl Acad Sci USA200810534125031250810.1073/pnas.0801499105252794118719125<p>Stress-induced mutagenesis in bacteria</p>BjedovITenaillonOGerardBSouzaVDenamurERadmanMTaddeiFMaticIScience200330056241404140910.1126/science.108224012775833