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epidemic Listeria
monocytogenes strains that
targets the gut microbiota
cluster to theluxoperon ofPhotorhabdus luminescens:we detected
the production of bioluminescence specif-ically in the intestine of
orally-infected mice from7 hours post-infection (thefirst post-
infection mea-surement of bioluminescence in our
experimentalconditions). Upon dissection of animals at 96
hourspost-infection, bioluminescence was detected only inthe
intestine and not in other infected organs includ-ing the liver and the
spleen (although these organscontained higher bacterial counts),
suggesting a majorrole for LLS in the mouse intestine.15The
biosynthetic cluster encoding LLS is homolo-gous to the operon
encoding the microcin B17 fromenvironmentalE. coli, which is a
bacteriocin that killscompetitor soil bacteria. AsL.
monocytogenesencoun-ters diverse bacterial communities during
the intesti-nal phase of listeriosis, we decided to explore
thehypothesis that LLS could behave as a bacteriocin andinfluence
virulence by modulating the host gut micro-biota. First, we
investigatedin vitrothe capacity ofLLS to alter the growth of potential
target bacteria byincubating a F2365 lineage I strain constitutively
pro-ducing LLS with the 10403S and EGD lineage IIstrains which do
not possess the LLS biosynthetic clus-ter, and which therefore lack
the putative immunitygenellsP. Our results clearly indicate that the
produc-tion of LLS is associated with a decrease in the survivalof the
lineage II strains, suggesting that LLS displaysbacteriocin activity.
Moreover, a screen of a smalllibrary of Gram-positive and Gram-
negative bacteriaindicate that LLS is only active against
othertogeneshad been one of the most studied food-bornebacterial
pathogens, from an infection biology per-spective. However,
investigations focused on lineage IIstrains have prevented the
identification of novel viru-lence factors exclusively associated to
lineage I strains.Ourfindings pave the way to understand why
lineageIL. monocytogenesstrains are more often associatedto human
listeriosis outbreaks, and in particular theysuggest that modulation
of the host microbiota is criti-cal for the infection outcome. Whether
bacteriocinproduction by epidemic entero-pathogenic bacteria isa
common strategy to colonize the gastrointestinaltract, or whether it
is an exceptional mechanism usedonly by someL.
monocytogenesandEnterococcistrainsduring their infection
processes, remains to beelucidated.39Open questionsCellular
activitiesLLS is a member of the TOMM family which hasbeen
described previously as an hemolytic and cyto-toxic factor.36Now,
we report LLS behaving also asbacteriocin15This dual feature is not
specific to LLSas it has been previously observed in a
moleculesecreted byStaphylococcus pseudointermedius: indeed,the
peptide BacSp222 displays both features of acytotoxic factor against
eukaryotic cells and a bacteri-ocin toward Gram-positive
bacteria.40Our workclearly indicates that the bacteriocin activity of
LLSplays a crucial role during infection. Previous results
from Cotter et al. suggest that the cytotoxic activityof LLS also
contributes toL. monocytogenesviru-lence.36Using our
bioluminescent reporter, we werenot able to detect the activation of
the LLS promoterin other organs besides the intestine.15However,
wecannot exclude that activation of the LLS operontakes place at
levels which are not detected by ourreporter system. It remains to be
determined whichcellular populations are targeted by LLSin vivo(Fig.
2): it would be tempting to speculate that LLSmay either favor
vacuolar escape (in cooperationwith LLO, PlcA and PlcB) or that its
hemolytic rolemay favorL. monocytogenessurvival in the
blood.Bactericidal mechanismThe mechanism by which LLS
achieves bacterial kill-ing is unknown. Several lantibiotics use as
receptorsthe lipid II enzyme involved in the translocation
ofpeptidoglycan subunits from the bacterial cytoplasmto the cell
wall, and these lantibiotics inhibit thereforecell wall synthesis
(reviewed by13). Nisin is a particularbacteriocin that binds lipid II and
it blocks not onlylipid II activity but it can also insert into the
bacterialinner membrane inducing the formation of pores
andconsequently promoting bacterial killing by disruptingion
gradients.41On the other hand, the prototypicTOMM microcin B17
uses specific outer membraneand inner membrane transporters to
reach the cyto-plasm of Gram-negative bacteria, where it inhibits
theactivity of the DNA gyrase.12Whether LLS displays apore-
forming activity, an enzymatic/nuclease activityor both therefore
remains to be identified. Determina-tion of the mature structure of
LLS may provide clueson its bactericidal mechanism. The mature
structuresof Gram-negative TOMMs, including the microcinB17, have
been identified.12Interestingly, the struc-tures of TOMMs from
Gram-positive bacteria haveproven to be more difficult to solve:
despite more than100 y of investigation on SLS, the structure of
itsmature form is still unknown.42Recent advances inproteomic
approaches, coupled to targeted site muta-genesis studies, could
allow the identification of keyresidues in the LLS structure required
for its biologicactivities.Microbiota diversityOur results put forward
many crucial implications forthe study of listeriosis as a disease. The
status of thehost microbiota has never been assessed nor takeninto
account in animal studies uponL. monocytogenesinfection through
the oral route. It is unlikely thatL.monocytogenesor other enteric
pathogens bet on oneFigure 1.Functional activities of Listeriolysin S.
LLS has been initially described as an hemolytic factor (top left)
which contributes to thevirulence ofL. monocytogenes in vivo. Our
recent work now suggests that LLS is also a bacteriocin whichin
vitrois capable of killingS.aureus and L. lactis(top right), and whichin
vivomodulates the host intestinal microbiota (bottom right),
allowingL. monocytogenescol-onization of the intestine (bottom
left).GUT MICROBES387
single strategy tofight against intestinal microbiota:this idea makes
us think that other bacteriocins ordefense systems could be
produced by lineage I and bylineage II strains to colonize the
intestine and promoteinfection. We should mention also that
intestinalmicrobiota exhibit diurnal and seasonal oscillations
incomposition and function.43Important variabilityobserved inin vivo
L. monocytogenesinfection experi-ments could be explained by
variations in the hostmicrobiota of individual animals. Previous
homogeni-zation of the animal host microbiota now seems to bean
important methodological requirement to compareresults within
animals from a single experiment. Theuse of controlled microbiotas
in animal infectionmodels should allow to better understand the
inter-play betweenL. monocytogenesand resident bacteriain the
intestine.Target speciesIn our recent study, we observe a significant
decreasein the populationsAlloprevotellaandAllobaculumcorrelating
with the production of LLS.15These spe-cies are producers of acetic
and butyric acid, whichare small molecules previously shown to
either inhibitL. monocytogenesgrowth or transcriptional activ-
ity,44,45and therefore could be considered as‘protec-tive microbiota
species’. Whether these species are theonly significant producers of
acetic and butyric acidduringL. monocytogenesinfections remains to
be elu-cidated. Interestingly, another study reported
thatAllobaculumis protective during antibiotic-induceddisruption of
microbiota.46Additionally, it is possiblethatL.
monocytogenesproduces other bactericionsbesides LLS to target
other competing bacteria,expanding its capacity to control the host
gut micro-biota. It will be important to determine which mecha-
nisms are involved in the reduction
ofAlloprevotellaandAllobaculumrepresentatives: sinceAllobaculumisa
Gram-positive species (Tenericutes), it may be adirect target of
LLS.Alloprevotellaon the other handis a Gram-negative bacterium
(Bacteroidetes) and tak-ing into account the specificity of most
bacteriocins, itis highly probable that this species is not a direct
targetof LLS: the decrease inAlloprevotellawould thereforebe
indirect, as a result in the decrease of another spe-cies that probably
controlsAlloprevotellagrowth.Identifying the different interactions
betweenFigure 2.Perspectives on Listeriolysin (S) research. Many
functions of LLS remain to be elucidated. LLS has been described as
an hemo-lysin, but it remains to be directly demonstrated whether its
hemolytic activity contributes to virulencein vivo(top left). Which
other cel-lular populations may be also targeted by LLSin vivohas not
been determined yet (top center). The structure of the post-
translationalmodifications that characterize the mature LLS are not
known (top right), and the bactericidal mechanism on susceptible
species needsto be identified (bottom right). The signal that
activates the expression of the LLS cluster is unknown at this stage
(bottom center), andwhether LLS plays a role in the survival ofL.
monocytogenesin the environment remains an open question.388J.-
J. QUEREDA-TORRES ET AL.
microbiota species during lineage IL. monocytogenesinfection will be
crucial to understand the contribu-tion of LLS to
infection.Therapeutic usesWe still do not know which bacterial
species are con-trolled by LLS in humans, but our results and
datafrom other teams highlight that protective bacterialspecies
could be used as a strategical treatment to pre-ventL.
monocytogenesinfection in individuals at risk.The group of Colin Hill
and colleagues has elegantlyshown that bacteriocin production
byLactobacillussalivariusUCC118 allows mice protection against
oralL. monocytogenesinfection.47Moreover, they have alsoshown
that thuricin CD, a 2-peptide bacteriocin fromBacillus thuringiensis,
was found to display antimicro-bial activity comparable to the
activities of vancomycinand metronidazole in a model of human
distal coloninfection byClostridium difficile, without
changingdramatically the composition of the commensalmicrobiota
(which is observed during vancomycin andmetronidazole
treatment).48In the same line,engineering of LLS may potentially be
used to treatinfection caused by microorganisms such asS.
aureuswhich is already resistant to multiple antibiotics.Activation
signalWe tried to identify specific signals which triggerinvitrothe
expression of LLS, including mucin, gastricfluid, trypsin, pepsin,
NaHCO3, bile salts, detergents,succinic acid, propionic acid, valeric
acid, ethanol-amine, antibiotics, 6% 02or intestinal content addedex
vivo.However, no signal is able to activate the pro-moter of the LLS
operon.15As expression of severalbacteriocins is triggered precisely
by the presence ofother bacteria,49we hypothesized that the
intestinalmicrobiota could be precisely the signal recognized byL.
monocytogenesto induce LLS expression. Neverthe-less,
experiments in germ-free mice indicate that theLLS promoter may
be activated in the absence ofmicrobiota.15These results suggest
that LLS is proba-bly produced upon exposure to a pleiotropic set
ofconditions that may combine several parameters.Detection of the
LLS activation signals is therefore animportant research topic, not
only during host infec-tions but also in environmental conditions
(seebelow).Environmental roleIt has been observed that the LLS
cluster is present inseveral isolates of the non-pathogenic
speciesListeriainnocua: in some of them, the cluster presents
manymutations and it is not functional but in others, theproduced
LLS is fully hemolytic.50The significance ofthese results is not clear,
but may reveal a role for LLSin the environment. Several bacteriocins
are producedfor niche colonization, and it would not be surprisingto
discover such a role forL. innocuaand also forL.monocytogenesin the
environment. These results alsocall into attention the evolution of
other members ofthe LLS biosynthetic cluster inClostridium
botulinum,S. pyogenesandS. aureus, all of them pathogens
withdifferent lifestyles. How the regulation and function ofthis family
of TOMM evolved in these bacterial patho-gen remains an
attractivefield for futureinvestigations.Disclosure of potential
conflicts of interestNo potential conflicts of interest were
disclosed.AcknowledgmentsWe are thankful to members of the
Unit e des InteractionsBact eries-Cellules and of the C3BI
(Pasteur Institute) for help-ful discussions. We thank Servier Medical
Art (http://www.servier.com/Powerpoint-image-bank) for providing
drawingsused in Figures 1 and 2.FundingThis work was supported by
the Institut Pasteur, the InstitutNational de la Sant e et de la
Recherche M edicale (INSERMUnit e 604), the Institut National de
la Recherche Agronomique(INRA Unit e Sous Contrat 2020), the
Institut Pasteur‘Pro-grammes Transversaux de Recherche’(PTR521
to JPC),L’Agence Nationale de la Recherch e (ANR-15-
CE15–0017StopBugEntry to JPC), Fondation Le Roch Les
Mousquetaires,European Research Council Advanced Grant
(670823 BacCel-lEpi to PC) and R egion Ile-de-France (DIM-
MALINF to JMT).PC is an International Senior Research Scholar of
the HowardHughes Medical Institute. The authors declare no conflict
ofinterest.References[1] Zheng J, G€anzle MG, Lin XB, Ruan L, Sun
M. Diversityand dynamics of bacteriocins from human
microbiome.Environ Microbiol 2014; 17:2133-43;
PMID:25346017;https://doi.org/10.1111/1462-2920.12662GUT
MICROBES389