Bacterial infections are again becoming difficult to treat because the microbes are growing increasingly resistant to the antibiotics in use today. The need for novel antimicrobial compounds is urgent and to achieve this new targets are crucial. In this thesis we present a strategy for identification of such targets via a bioinformatics approach. In our first study we compared proteins with unknown and hypothetical function of the spirochete Treponema pallidum to five other pathogens also causing chronic or persistent infections in humans (Yersinia pestis, Neisseria gonorrhoeae, Helicobacter pylori, Borrelia burgdorferi and Streptococcus pneumoniae). T. pallidum was used as a starting point for the comparisons since this organism has a condensed genome (1.1 Mb). As we aimed at identifying conserved proteins important for in vivo survival or virulence of the pathogens we reasoned that T. pallidum would have deleted genes not important in the human host. This comparison yielded 17 ORFs conserved in all six pathogens, these were deleted in our model organism, Yersinia pseudotuberculosis, and the virulence of these mutant strains was evaluated in a mouse model of infection. Five genes were found to be essential for virulence and thus constitute possible antimicrobial drug targets. We have studied one of these virulence associated genes (vags), vagH, in more detail. Functional and phenotypic analysis revealed that VagH is an S-adenosyl-methionine dependent methyltransferase targeting Release factor 1 and 2 (RF1 and RF2). The analysis also showed that very few genes and proteins were differentially expressed in the vagH mutant compared to wild-type Yersinia. One major finding was that expression of the Type III secretion system effectors, the Yops, were down regulated in a vagH mutant. We dissected this phenotype further and found that the down regulation was due to lowered amounts of the positive regulator LcrF. This can be suppressed either by a deletion of yopD or by over expression of the Ribosomal Recycling Factor (RRF). These results indicate that YopD in addition to its role in translational regulation of the Yops also plays a part in the regulation of LcrF translation. We suggest also that the translation of LcrF is particularly sensitive to the amount of translation competent ribosomes and that one effect of a vagH mutation in Y. pseudotuberculosis is that the number of free ribosomes is reduced; this in turn reduces the amount of LcrF produced thereby causing a down regulation of the T3SS. This down regulation is likely the cause of the attenuated virulence of the vagH mutant. Finally, we set up a high throughput screening assay to screen a library of small molecules for compounds with inhibiting the VagH methyltransferase activity. Five such compounds were identified and two were found to inhibit VagH also in bacterial culture. Furthermore, analogues to one of the compounds showed improved inhibitory properties and inhibited the T3SS-dependent cytotoxic response induced by Y. pseudotuberculosis on HeLa cells. We have successfully identified five novel targets for antimicrobial compounds and in addition we have discovered a new class of molecules with antimicrobial properties.

Escherichia (E.) coli ist als kommensales Bakterium ein wichtiger Bestandteil des Mikrobioms von Säugern, jedoch zudem der häufigste Infektionserreger des Menschen. Entsprechend des Infektionsortes werden intestinal (InPEC) und extraintestinal pathogene E. coli (ExPEC) unterschieden. Die Pathogenese von E. coli-Infektionen ist durch Virulenzfaktoren determiniert, welche von jeweils spezifischen virulenzassoziierten Genen (inVAGs und exVAGs) kodiert werden. Häufig werden exVAGs auch in E. coli-Isolaten aus dem Darm gesunder Wirte nachgewiesen. Dies führte zu der Vermutung, dass exVAGs die intestinale Kolonisierung des Wirtes durch E. coli unterstützen. Das Hauptziel dieser Arbeit bestand darin, das Wissen über den Einfluss von exVAGs auf die Besiedlung und damit die Adhäsion von E. coli an Epithelzellen des Darmtraktes zu erweitern. Die Durchführung einer solch umfassenden E. coli-Populationsstudie erforderte die Etablierung neuer Screeningmethoden. Für die genotypische Charakterisierung wurden mikropartikelbasierte Multiplex-PCR-Assays zum Nachweis von 44 VAGs und der Phylogenie etabliert. Für die phänotypische Charakterisierung wurden Adhäsions- und Zytotoxizitätsassays etabliert. Die Screeningmethoden basieren auf der VideoScan-Technologie, einem automatisierten bildbasierten Multifluoreszenzdetektionssystem. Es wurden 398 E. coli-Isolate aus 13 Wildsäugerarten und 5 Wildvogelarten sowie aus gesunden und harnwegserkrankten Menschen und Hausschweinen charakterisiert. Die Adhäsionsassays hatten zum Ziel, sowohl die Adhäsionsraten als auch die Adhäsionsmuster der 317 nicht hämolytischen Isolate auf 5 Epithelzelllinien zu bestimmen. Die Zytotoxizität der 81 hämolytischen Isolate wurde in Abhängigkeit der Inkubationszeit auf 4 Epithelzelllinien geprüft. In den E. coli-Isolaten wurde eine Reihe von VAGs nachgewiesen. Potentielle InPEC, insbesondere shigatoxinproduzierende und enteropathogene E. coli wurden aus Menschen, Hausschweinen und Wildtieren, vor allem aus Rehen und Feldhasen isoliert. exVAGs wurden mit stark variierender Prävalenz in Isolaten aus allen Arten detektiert. Die größte Anzahl und das breiteste Spektrum an exVAGs wurde in Isolaten aus Urin harnwegserkrankter Menschen, gefolgt von Isolaten aus Dachsen und Rehen nachgewiesen. In Isolaten der phylogenetischen Gruppe B2 wurden mehr exVAGs detektiert als in den Isolaten der phylogenetischen Gruppen A, B1 und D. Die Ergebnisse der Adhäsionsassays zeigten, dass die meisten Isolate zelllinien-, gewebe- oder wirtsspezifisch adhärierten. Ein Drittel der Isolate adhärierte an keiner Zelllinie und nur zwei Isolate adhärierten stark an allen Zelllinien. Grundsätzlich adhärierten mehr Isolate an humanen sowie an intestinalen Zelllinien. Besonders Isolate aus Eichhörnchen und Amseln sowie aus Urin harnwegserkrankter Menschen und Hausschweine waren in der Lage, stark zu adhärieren. Hierbei bildeten die Isolate als Adhäsionsmuster diffuse Adhäsion, Mikrokolonien, Ketten und Agglomerationen. Mittels statistischer Analysen wurden Assoziationen zwischen exVAGs und einer hohen Adhäsionsrate ersichtlich. So war beispielsweise das Vorkommen von afa/dra mit einer höheren Adhäsionsrate auf Caco-2- und 5637-Zellen und von sfa/foc auf IPEC-J2-Zellen assoziiert. Die Ergebnisse der Zytotoxizitätsassays zeigten eine sehr starke und zeitabhängige Zerstörung der Monolayer aller Epithelzelllinien durch die α-Hämolysin-positiven Isolate. Auffallend war die hohe Toxizität hämolytischer Isolate aus Wildtieren gegenüber den humanen Zelllinien. Mit den innerhalb dieser Arbeit entwickelten Screeningmethoden war es möglich, große Mengen an Bakterien zu charakterisieren. Es konnte ein Überblick über die Verbreitung von VAGs in E. coli aus unterschiedlichen Wirten gewonnen werden. Besonders Wildtiere wurden sowohl durch den Nachweis von VAGs in den entsprechenden Isolaten, verbunden mit deren Adhäsionsfähigkeit und ausgeprägter Zytotoxizität als Reservoire pathogener E. coli identifiziert. Ebenso wurde eine zelllinienspezifische Adhäsion von Isolaten mit bestimmten exVAGs deutlich. Damit konnte der mögliche Einfluss von exVAGs auf die intestinale Kolonisierung bestätigt werden. In weiterführenden Arbeiten sind jedoch Expressions- und Funktionsanalysen der entsprechenden Proteine unerlässlich. Es wird anhand der Mikrokoloniebildung durch kommensale E. coli vermutet, dass Adhäsionsmuster und demzufolge Kolonisierungsstrategien, die bisher pathogenen E. coli zugeschrieben wurden, eher als generelle Kolonisierungsstrategien zu betrachten sind. Das E. coli-α-Hämolysin wirkt im Allgemeinen zytotoxisch auf Epithelzellen. Ein in der Fachliteratur diskutierter adhäsionsunterstützender Mechanismus dieses Toxins ist demnach fragwürdig. Innerhalb dieser Arbeit konnte gezeigt werden, dass die entwickelten Screeningmethoden umfassende Analysen einer großen Anzahl an E. coli-Isolaten ermöglichen. / Escherichia (E.) coli is as commensal bacterium an important component of the microbiome of humans and animals, but also the most common infectious agent of human. According to the site of infection intestinal pathogenic (InPEC) and extraintestinal pathogenic E. coli (ExPEC) are differentiated. The pathogenesis of E. coli infections is determined by virulence factors encoded by specific virulence-associated genes (inVAGs and exVAGs). Frequently, exVAGs also be detected in E. coli isolates from the intestine of clinically healthy hosts. This led to the assumption that exVAGs support the intestinal colonization of the host by E. coli. The main objective of this work was to extend the knowledge about the influence of exVAGs on the settlement and adhesion of E. coli to epithelial cells of the intestinal tract. The implementation of such a comprehensive E. coli population study required the establishment of new screening methods. For the genotypic characterization novel microbead-based multiplex PCR assays were established to detect 44 VAGs and phylogeny. For the phenotypic characterization novel in vitro adhesion and cytotoxicity assays were established. These screening methods based on the VideoScan technology, which is an automated image-based multi-fluorescence detection system. There have been characterized 398 E. coli isolates from 13 wild mammal species and 5 species of wild birds as well as from healthy and urinary diseased humans and domestic pigs. The adhesion assays were aimed at both the adhesion rates and the adhesion patterns of the 317 non-hemolytic isolates on intestinal human Caco-2 and porcine IPEC-J2 cells and on human urinary bladder 5637, porcine kidney PK-15 epithelial and HEp-2 cells. The cytotoxicity of 81 hemolytic isolates was compared on the human intestinal epithelium LoVo, and on 5637, IPEC-J2 and PK-15 according to the incubation period. The E. coli isolates showed a series of VAGs. Potential InPEC, especially shigatoxin-producing and enteropathogenic E. coli were isolated from humans, domestic pigs and wild animals, especially from deers (Capreolus capreolus) and hares (Lepus europaeus). exVAGs were detected with widely varying prevalence in E. coli isolates from all species studied. The largest number and the widest range of exVAGs were shown in isolates from urine of urinary diseased patients, followed by isolates from badgers (Meles meles) and deer. Within the isolates of the phylogenetic group B2 more exVAGs were detected as within the isolates of the phylogenetic groups A, B1, and D. Adhesion of the E. coli isolates was specific to cells, host, and tissue, though it was also unspecific. A third of the isolates adhered to any cell line and only two isolates adhered strongly to all cell lines. Basically, more bacteria adhered to human as well as to intestinal cell lines. Especially isolates from squirrels (Sciurus vulgaris) and blackbirds (Turdus merula) and from the urine of urinary diseased humans and domestic pigs were able to strongly adhere. Commensal and pathogenic isolates can adhere in various forms, including diffuse distribution, microcolonies, chains and clumps. Using statistical analyzes associations between the occurrence of some VAGs and a high adhesion rates were seen. Several known adhesins were associated with host cell specific adhesion. Other new potential adhesion genes were described. The results of the cytotoxicity assays showed a very strong and time-dependent degradation of the epithelial cell monolayer of all the α-hemolysin-positive E. coli isolates. The high toxicity of hemolytic isolates from wild animals against the human cell lines was striking. The screening methods enabled both, the genotypic and phenotypic characterisation of large amounts of bacterial isolates. An overview of the distribution of VAGs in E. coli from different hosts was obtained. Especially wild animals were either by the detection of VAGs in the corresponding E. coli isolates, combined with the adhesion and marked cytotoxicity identified as reservoirs of pathogenic E. coli. As well, a cell-line specific adhesion of E. coli isolates with certain exVAGs became clear. Thus, the possible influence on the intestinal colonization of exVAGs could be confirmed. In further work, however, expression and functional analysis of the corresponding proteins are essential. It is suspected on the basis of microcolony formation by commensal E. coli that adhesion patterns and consequently colonization strategies that were previously attributed to pathogenic E. coli, are to be regarded rather as a general colonization strategy. The E. coli α-hemolysin acts generally cytotoxic to epithelial cells. An in the literature discussed adhesion supporting mechanism of this toxin is therefore questionable. Within this work it was shown that the developed screening methods enable comprehensive analyzes of a large number of E. coli isolates.

Neste estudo, objetivou-se caracterizar ao nível molecular os vibrios isolados de amostras de água do mar, plâncton e bivalves do Canal de São Sebastião (n=78), Baixada Santista (n=37) e Ubatuba (n=17), analisar a susceptibilidade aos antibióticos e os principais genes associados à virulência. Observou-se sensibilidade à ciprofloxaxina, meropenem e ácido nalidíxico, resistência à ampicilina e à cefalotina, e alta porcentagem de múltipla resistência (Ubatuba: 64,7%; Baixada Santista:48,6%; Canal de São Sebastião: 43%) aos antimicrobianos. Quatro isolados foram positivos para o gene de virulência stn/sto. Por MLSA, foi possível identificar V.alginolyticus, V.fluvialis, V.campbellii e V.harveyi em Ubatuba; V.fluvialis, V.alginolyticus, V.campbellii, V.rotiferianus, V.harveyi, V.diabolicus, V.atypicus, V.coralliilyticus, V.maritimus, V.parahaemolyticus e V.tubiashii no Canal de São Sebastião; e, V.alginolyticus, V.parahaemolyticus, V.rotiferianus, V.campbellii, V.harveyi, V.communis, V.maritimus, V.fluvialis, V.fortis, V.natriegens e V.navarrensis na Baixada Santista. / The aim of this study was to characterize at the molecular level Vibrio species isolated from seawater, plankton, bivalves samples from Canal de São Sebastião (n=78), Baixada Santista (n=37) and Ubatuba (n=17), to analyze antimicrobial susceptibility and the major virulence-associated genes. The results showed ciprofloxacin, meropenem, nalidixic acid sensitivity, ampicillin, and cephalothin resistance, and a significant percentage of multidrug resistance (Ubatuba: 64.7%; Baixada Santista: 48.6%; Canal de São Sebastião: 43%). Four seawater isolates were found positive for the stn/sto virulence gene. MLSA allowed the identification of V.alginolyticus, V.fluvialis, V.campbellii, V.harveyi in Ubatuba; V.fluvialis, V.alginolyticus, V.campbellii, V.rotiferianus, V.harveyi, V.diabolicus, V.atypicus, V.coralliilyticus, V.maritimus, V.parahaemolyticus and V.tubiashii in Canal de São Sebastião, and V.alginolyticus, V.parahaemolyticus, V.rotiferianus, V.campbellii, V.harveyi, V.communis, V.maritimus, V.fluvialis, V.fortis, V.natriegens, and V.navarrensis in Baixada Santista.

Neste estudo, objetivou-se caracterizar ao nível molecular os vibrios isolados de amostras de água do mar, plâncton e bivalves do Canal de São Sebastião (n=78), Baixada Santista (n=37) e Ubatuba (n=17), analisar a susceptibilidade aos antibióticos e os principais genes associados à virulência. Observou-se sensibilidade à ciprofloxaxina, meropenem e ácido nalidíxico, resistência à ampicilina e à cefalotina, e alta porcentagem de múltipla resistência (Ubatuba: 64,7%; Baixada Santista:48,6%; Canal de São Sebastião: 43%) aos antimicrobianos. Quatro isolados foram positivos para o gene de virulência stn/sto. Por MLSA, foi possível identificar V.alginolyticus, V.fluvialis, V.campbellii e V.harveyi em Ubatuba; V.fluvialis, V.alginolyticus, V.campbellii, V.rotiferianus, V.harveyi, V.diabolicus, V.atypicus, V.coralliilyticus, V.maritimus, V.parahaemolyticus e V.tubiashii no Canal de São Sebastião; e, V.alginolyticus, V.parahaemolyticus, V.rotiferianus, V.campbellii, V.harveyi, V.communis, V.maritimus, V.fluvialis, V.fortis, V.natriegens e V.navarrensis na Baixada Santista. / The aim of this study was to characterize at the molecular level Vibrio species isolated from seawater, plankton, bivalves samples from Canal de São Sebastião (n=78), Baixada Santista (n=37) and Ubatuba (n=17), to analyze antimicrobial susceptibility and the major virulence-associated genes. The results showed ciprofloxacin, meropenem, nalidixic acid sensitivity, ampicillin, and cephalothin resistance, and a significant percentage of multidrug resistance (Ubatuba: 64.7%; Baixada Santista: 48.6%; Canal de São Sebastião: 43%). Four seawater isolates were found positive for the stn/sto virulence gene. MLSA allowed the identification of V.alginolyticus, V.fluvialis, V.campbellii, V.harveyi in Ubatuba; V.fluvialis, V.alginolyticus, V.campbellii, V.rotiferianus, V.harveyi, V.diabolicus, V.atypicus, V.coralliilyticus, V.maritimus, V.parahaemolyticus and V.tubiashii in Canal de São Sebastião, and V.alginolyticus, V.parahaemolyticus, V.rotiferianus, V.campbellii, V.harveyi, V.communis, V.maritimus, V.fluvialis, V.fortis, V.natriegens, and V.navarrensis in Baixada Santista.