Background
Cells use autophagy to eliminate waste products such as damaged organelles and proteins in order to enhance survival during periods of starvation. Autophagy dysregulation has been linked to many diseases including those of the eye [
1‐
7]. Therefore therapeutic control of autophagy has been suggested for treatment of cancer, metabolic diseases, neurodegenerative disorders, for management of cardiovascular aging, and even for treatment of corneal infections [
8‐
10].
The role of autophagy in the cornea is less well understood, but it is clear that autophagy plays a role in HSV-1 infection and keratoconus [
3,
5,
11]. A recent study measured activation of autophagy in mouse corneas following infection with the fungus
Aspergillus fumigatus and positively correlated autophagy with the severity of infectious pathology [
12]. Similarly, data from a study using the bacterium
Pseudomonas aeruginosa, suggest that it benefits from activating autophagy as a means of escaping extracellular killing in macrophages [
13]. However, in general, activation of autophagy is thought to protect cells from microbial infection [
14,
15]. It is known that a few bacterial proteins such as TlpE from
P. aeruginosa, bacterial macrolide, rapamycin, TLR-ligands, and proinflammatory cytokines can activate autophagy [
15‐
17], but knowledge of the scope of infectious components that activate autophagy is limited [
15].
Our previous work has demonstrated that sterile culture filtrates (secretomes) of a number of ocular pathogens can activate autophagy in a human corneal limbal epithelial cell line [
18], impede cell migration and wound closure [
19], and cause cellular death in a bacterial-strain dependent manner [
20,
21]. These included secretomes gram positive bacteria such as
Staphylococcus aureus and gram negative bacteria including
Serratia marcescens [
18]. The secreted or shed bacterial components detected by the corneal cells that activate autophagy were not determined. In this study we took advantage of our collection of
S. marcescens defined mutants to identify bacterial factors that induce autophagy in corneal cells.
Discussion
Several studies have explored the role of ocular autophagy with HSV-1,
Toxoplasma gondii, and fungal spp. [
2,
3,
5] However, the role of ocular autophagy in response to bacterial pathogens remains poorly understood.
This study demonstrated that two strains of
S. marcescens from different biotypes were capable of activating autophagy in a corneal cell line and identified bacterial factors capable of activating autophagy. Mutations in two different genes that confer major pleiotropic effects on
S. marcescens behavior,
eepR and
gumB, prevented bacterial activation of autophagy. The
eepR gene is a transcription factor that is required for wild-type levels bacterial proliferation in a rabbit keratitis model as well as positive regulation of secondary metabolites such as prodigiosin and serratamolide [
24,
25]. The
gumB gene codes for a stress response signal transmitting protein that positively regulates prodigiosin and serratamolide, and is necessary for production of the ShlA, ShlB, and flagellin [
20,
28]. We therefore tested individual genes controlled by EepR and GumB and identified several bacterial factors that activate autophagy.
Our genetic and biochemical results indicate that prodigiosin can activate autophagy in the tested human corneal cell line. Prodigiosin, 2-methyl-3-pentyl-6-methoxyprodiginine, is thought to contribute to bacterial competition, and has antitumor capabilities [
37,
40,
41]. Furthermore, prodigiosin was recently shown to activate autophagic cell death in a variety of cancer cell lines and to reduce tumor proliferation in mouse tracheas [
42‐
49]. Many clinical isolates of
S. marcescens do not synthesize prodigiosin [
50], and perhaps this benefits them by reducing activation of the host’s innate immune response.
Beyond prodigiosin, data from this study implicated the ShlA cytolysin in activation of autophagy in corneal cells. Similarly, in an elegant study by the Véscovi group, the pore forming cytolysin ShlA was demonstrated to induce autophagy in Chinese hamster ovary (CHO) cells [
51].
In contrast to our work that suggested a role for flagellin as an autophagy inducer, Di Venanzio showed that
S. marcescens with mutations in
fliA and
flhD, which should be defective in flagella production, were able to activate autophagy in CHO cells [
51]. These differences may be due to the specific bacterial strain background or use of CHO cells versus corneal cells. However, consistent with our finding, data from a recent papers using
Salmonella, implicated flagellin as an activator of autophagy in zebrafish and murine RAW cells [
52,
53]. To our knowledge there is no previous information on fimbriae / type I pili in activation of autophagy. It is also formally possible that some of the increase in LC3-GFP puncta results from a reduction in autophagic flux leading to the increase in overall autophagosomes. The impact of these bacterial factors on autophagic flux will be tested in subsequent studies.
Conclusions
We have identified S. marcescens activators of autophagy. Whereas prodigiosin and ShlA from S. marcescens have been previously implicated in activating autophagy, this report is the first to demonstrate this with ocular derived cells. The ability of flagellin and fimbria to induce autophagy will need to be further validated using biochemical means, but this report identifies these bacterial factors as potential microbial mediators of autophagy in corneal cells. Since S. marcescens is most commonly associated with the eye as a contact lens associated pathogen, it is possible that corneal cells prime themselves for microbial infection through sensing prodigiosin, flagellin, fimbriae, and ShlA toxins.
Acknowledgements
The authors would like to thank Grace Altimus, Marissa Aston, Jake Callaghan, Mitchell Meyer and Hazel Shanks for technical help or critical reading of the manuscript.
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