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The Journal of Immunology, 2001, 166: 6764-6770.
Copyright © 2001 by The American Association of Immunologists

A Novel Interaction Between Type IV Pili of Neisseria gonorrhoeae and the Human Complement Regulator C4b-Binding Protein1

Anna M. Blom2,*, Anne Rytkönen{dagger}, Paola Vasquez{dagger}, Gunnar Lindahl{ddagger}, Björn Dahlbäck* and Ann-Beth Jonsson{dagger}

* Department of Clinical Chemistry, Lund University, University Hospital Malmö, Malmö, Sweden; {dagger} Laboratory for Bacteriology, Microbiology and Tumor Biology Center, Karolinska Institute, Stockholm, Sweden; and {ddagger} Department of Laboratory Medicine, Lund University, Lund, Sweden


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
C4b-binding protein (C4BP) is an important plasma inhibitor of the classical pathway of complement activation. Several bacterial pathogens bind C4BP, which may contribute to their virulence. In the present report we demonstrate that isolated type IV pili from Neisseria gonorrhoeae bind human C4BP in a dose-dependent and saturable manner. C4BP consists of seven identical {alpha}-chains and one {beta}-chain linked together with disulfide bridges. We found that pili bind to the {alpha}-chain of C4BP, which is composed of eight homologous complement control protein (CCP) domains. From the results of an inhibition assay with C4b and a competition assay in which we tested mutants of C4BP lacking individual CCPs, we concluded that the binding area for pili is localized to CCP1 and CCP2 of the {alpha}-chain. The binding between pili and C4BP was abolished at 0.25 M NaCl, implying that it is based mostly on ionic interactions, similarly to what have been observed for C4b-C4BP binding. Furthermore, the N-terminal part of PilC, a structural component of pili, appeared to be responsible for binding of C4BP. Membrane cofactor protein, previously shown to be a receptor for pathogenic N. gonorrhoeae on the surface of epithelial cells, competed with C4BP for binding to pili only at high concentrations, suggesting that different parts of pili are involved in these two interactions. Accordingly, high concentrations of C4BP were required to inhibit binding of N. gonorrhoeae to Chang conjunctiva cells, and no inhibition of binding was observed with cervical epithelial cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Neisseria gonorrhoeae is a human-specific pathogen that causes the sexually transmitted disease gonorrhea. The bacteria colonize mucosal surfaces of the urethra, endocervix, conjunctiva, fallopian tube, rectum, and pharynx. Occasionally, gonococci disseminate systematically to cause severe diseases, including bacteremia, which may lead to purulent arthritis, pelvic inflammatory disease, and endocarditis. Early during the infection, the bacteria adhere to epithelial cells via a specific receptor, membrane cofactor protein (MCP;3 CD46) (1). The attachment is mediated by pili, extended protein polymers present on the surface of the bacteria (2). Type IV pili of pathogenic N. gonorrhoeae consist of a major pilus subunit protein, PilE, a minor pilus-associated protein, PilC, and possibly other as yet unidentified components (3, 4). Studies with human volunteers showed that nonpiliated variants of N. gonorrhoeae are avirulent (5, 6). Type IV pili from adhesive strains trigger mobilization of cytosolic free calcium in epithelial cells, which, in turn, is a signal known to control many intracellular processes (7). Following the initial pilus-mediated interaction, the bacteria adhere more tightly, invade epithelial cells, and disseminate into the bloodstream. The opacity proteins involved in this process belong to a family of invasion-associated outer membrane proteins that bind to receptors on human cells (8). The inflammatory potential of gonococci at the local site of infection seems to depend on the ability of the micro-organism to resist the complement-dependent bactericidal activity of human serum (9). Serum resistance is often displayed by isolates causing disseminated gonococcal infection and may enable these organisms to evade local defenses and enter the bloodstream. These isolates may persist locally without evoking clinically significant local inflammation, in contrast to serum-sensitive gonococci, which usually cause acute severe local inflammation and pelvic inflammatory disease (9, 10). Recently, the serum resistance of certain strains of N. gonorrhoeae has been attributed to binding of complement regulatory protein factor H to LPS or to a major outer membrane protein, Por1A (11, 12). Furthermore, porins bind another complement regulator, C4b-binding protein (C4BP) (13).

The cellular pilus receptor, MCP, is widely distributed on the surface of various human cells with the exception of erythrocytes and is involved in the protection of tissues from the attack that could result from activation of the complement system (14). MCP consists of four complement control protein (CCP) domains followed by an O-glycosylated Ser-Thr-Pro rich region, a transmembrane domain and a cytoplasmic tail (15). CCP domains are typically composed of ~60 aa forming five or more {beta} strands surrounding a compact hydrophobic core (16). They are present mainly, but not exclusively, in proteins involved in the activation and regulation of the complement system. One of these regulators is C4BP, a large plasma protein consisting of seven identical {alpha}-chains and one {beta}-chain held together by disulfide bonds (17, 18). The {alpha}- and {beta}-chains consist of eight and three CCP domains, respectively, and have C-terminal domains involved in the polymerization of the molecule (19). C4BP prevents the formation of the C3-convertase of the classical pathway of complement, accelerates the decay of this convertase (20), and serves as a cofactor to factor I in the degradation of C4b (21, 22). Interestingly, C4BP binds to two major human pathogens, the Gram-positive bacterium Streptococcus pyogenes (23) and the Gram-negative Bordetella pertussis (24), which may result in local down-regulation of the complement system, thereby increasing the pathogenicity of these bacteria. Both S. pyogenes and B. pertussis bind to a region of C4BP partially overlapping with the C4b binding site (24, 25, 26). Recently, it has been reported that C4BP also binds to certain nonpiliated strains of N. gonorrhoeae and that the binding is mediated by porins (13). Studies of these interactions between C4BP and bacterial pathogens are of general interest, because many pathogenic micro-organisms are now known to interact with human complement regulators (27). In the present study we describe and characterize a binding between type IV pili of N. gonorrhoeae and human C4BP.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Proteins

Human C4BP purified from plasma (28), C4 (29), and streptococcal IgA/C4BP-binding M protein (Arp4; equal to Emm4 in an alternative nomenclature (30)). Concentrations of C4BP and C4 were determined by measurement of absorbance at 280 nm; the extinction coefficients (1%, 1 cm) used were 14.1 for C4BP and 8.3 for C4. The concentration of Arp4 was determined after 24-h hydrolysis in 6 M HCl and analysis of amino acid content. C4 met (C4b-like molecules) were prepared by incubation of human plasma purified C4 with 100 mM methylamine, pH 7.6, for 1 h at 37°C and subsequent dialysis against TBS. Recombinant wild-type C4BP and mutant R39Q/R64Q/R66Q were expressed in human kidney cells after selection of stable clones (293, no. 1573-CRL, American Type Culture Collection, Manassas, VA) and purified by affinity chromatography using mAb104 directed against the {alpha}-chain of C4BP. The expression and characterization of the two proteins were described previously (31). C4BP mutants lacking single CCP domains were constructed by overlapping extension PCR, expressed in 293 cells, and purified by affinity chromatography (13). Proteins were labeled with 125I using the chloramine T method. The sp. act. was 20–25 MBq/µg of protein.

Recombinant MCP was obtained as described previously (1). Briefly, MCP was expressed in bacteria as a fusion protein together with maltose-binding protein (MBP). Bacterial lysates containing MBP or MBP-MCP were applied to an amylose column, and the proteins were eluted with 10 mM maltose. Similarly, two fusion proteins containing fragments of MS11 PilC1 were constructed and purified. PilC.A contains the N-terminal part of the PilC1 protein (aa 1–257), whereas PilC.C is composed of the C-terminal part of the PilC1 (aa 501-1016), both followed by the MBP fusion partner (32). Concentrations of fusion proteins were measured using the Bio-Rad protein assay (Hercules, CA). A polyclonal anti-PilC Ab was generated against a fusion protein containing the C-terminal half of MS11 PilC1 (32).

Binding of [125I]C4BP to bacteria

Bacteria were added to wells of microtiter plates (1.25 x 108 organisms/well) and incubated for 10 min at 37°C. They were then fixed with 0.3% glutaraldehyde for 15 min at room temperature and washed four times with PBS containing 0.05% Tween 20. [125I]C4BP was added (50 kcpm/well) in a volume of 50 µl and incubated for 60 min at 37°C. The wells were washed four times with PBS/0.05% Tween 20, and the amount of radioactivity was associated with immobilized bacteria was measured in a gamma counter.

Direct ligand binding assay

Microtiter plates were incubated overnight at 4°C with 50 µl of a solution containing 10 µg/ml of isolated pili in 75 mM sodium carbonate, pH 9.6. The wells were washed three times with washing buffer (50 mM Tris-HCl, 0.15 M NaCl, and 0.1% Tween 20, pH 7.5) and then incubated at room temperature with 200 µl of quenching solution (washing buffer supplemented with 3% fish gelatin). After another three washes, 50 µl of C4BP diluted in 100 mM HEPES-NaOH, 0.1% Tween 20, and 0.1% BSA, pH 7.2, was added to the wells. The samples were incubated overnight at 4°C and washed three times, and biotinylated mAb 67, directed against CCP4 of the C4BP {alpha}-chain, was added. After 2-h incubation at 4°C, the wells were washed three times and incubated with biotin-avidin-conjugated HRP. After another 2 h at 4°C and washing, the enzymatic activity was detected with a substrate according to a manufacturer’s instructions (Dakopatts, Glostrup, Denmark).

When binding of C4BP to PilC was tested, microtiter plates were incubated overnight at 4°C with 200 µl of solution containing 60 µg/ml of PilC.A or PilC.C in 75 mM sodium carbonate, pH 9.6. The wells were washed three times with PBS/0.05% Tween 20 and then incubated with incubation buffer (PBS, 0.1% BSA, and 0.05% Tween 20) for 1 h. Fifty microliters of C4BP (40 µg/ml) in incubation buffer was added for 1 h, and the plates were washed and incubated with C4BP Ab (1/5000) in incubation buffer for 1 h at 37°C. After another set of washing, HRP-conjugated anti-rabbit IgG in incubation buffer was added for 1 h at 37°C. The plates were washed for the last time, and enzymatic activity was detected by adding HRP substrate (Roche).

Competition assay

Microtiter plates were incubated overnight at 4°C with 50 µl of a solution containing 10 µg/ml of isolated pili in 75 mM sodium carbonate, pH 9.6. The wells were washed three times with the washing buffer and then incubated at room temperature with 200 µl of quenching solution. After another three washes, the 125I-labeled C4BP purified from plasma was added (50 kcpm/well, ~0.1 nM) together with various unlabeled proteins diluted in 100 mM HEPES-NaOH, 0.1% Tween 20, and 0.1% BSA, pH 7.2. The samples were incubated for 16–20 h at 4°C and washed four times, and the amount of radioactivity associated with each well was measured in a gamma counter. About 15–30% of the added 125I-labeled C4BP tracer bound to the immobilized pili, and the binding of radiolabeled tracer could be competed out by unlabeled C4BP.

C4BP overlay assay

Ten micrograms of purified pili were loaded in each well and subjected to electrophoresis in the presence of SDS in a 12% polyacrylamide gel. The gel was cut into three pieces. One piece was stained with Coomassie brilliant blue, and the remaining lanes were blotted onto a polyvinylidene difluoride membrane and blocked overnight with 5% milk powder. One membrane was incubated with PilC antiserum (1/5000). Another membrane was incubated in 10 ml of TBS supplemented with 0.2% Tween containing 100 µg of C4BP for 1 h and then with polyclonal anti-C4BP Ab (1/5000). A control membrane was incubated with C4BP Ab only. All filters were finally incubated with HRP-conjugated goat anti-rabbit Ab (1/10000; Sigma) and developed with an ECL kit (NEN Life Science Products, Boston, MA).

Plasmon surface resonance

The interaction between purified pili of N. gonorrhoeae and C4BP was analyzed using plasmon surface resonance (Biacore 2000, Biacore, Uppsala, Sweden). Two flow cells of a CM5 sensor chip were activated, each with 20 µl of a mixture of 0.2 M 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide and 0.05 M N-hydroxysulfosuccinimide at a flow rate of 5 µl/min, after which C4BP purified from plasma (0.01 mg/ml in 10 mM sodium acetate buffer, pH 4.5) was injected over one flow cell to reach ~3000 resonance units. Unreacted groups were blocked with 20 µl of 1 M ethanolamine, pH 8.5. A negative control was prepared by activating and subsequently blocking the surface of the second flow cell. The association kinetics were studied for various concentrations (12.5–200 µg/ml) of purified pili. The flow buffer was 10 mM HEPES-KOH, pH 7.4, supplemented with 150 mM NaCl, 0.005% Tween 20, and 3.4 mM EDTA. Aliquots of pili stock solution (0.7 mg/ml in PBS) were diluted in the flow buffer, and 90 µl were injected during the association phase at a constant flow rate of 30 µl/min. The sample was injected first over the negative control surface and then over immobilized C4BP. Signal from the control surface was subtracted. The dissociation was followed for 15 min at the same flow rate. In all experiments 20 µl of 100 mM HCl was used to remove bound ligands during a regeneration step. BiaEvaluation 3.0 software (Biacore) was used to analyze obtained sensograms and to calculate rate affinity constants.

Bacterial strains and growth conditions.

N. gonorrhoeae MS11 (P+) and MS11 (P-n) were gifts from M. Koomey (33). Piliated and nonpiliated variants were distinguished by colony morphology under a binocular microscope. Bacteria were grown on GCB-agar plates (Difco, Detroit, MI) containing Kellogg’s supplement at 37°C in 5% CO2 and passaged daily.

Wild-type pili were purified from N. gonorrhoeae strain MS11 by several cycles of crystallization and solubilization as previously described (3). The pili preparations used in this study contained <1% of contaminating proteins as judged from Coomassie Blue staining.

Cell lines and growth conditions

ME 180 (no. HTB33; American Type Culture Collection), an epithelial-like human cell line derived from a cervical carcinoma was cultured in McCoy’s 5A medium (Life Technologies, Grand Island, NY) supplemented with 10% FBS and 2 mM glutamine. The Wong-Kilbourne derivative of Chang conjunctiva (American Type Culture Collection, no. CCL 20.2) was grown in medium 199 with Earle’s salts supplemented with 10% FBS and glutamine. Cells were grown at 37°C in 5% CO2. Binding experiments were performed in a medium free of serum, antibiotics, and glutamine.

Binding of bacteria to epithelial cells

The cells were cultured in 24-well tissue culture plates for 2–3 days until they were 60–80% confluent. The monolayers were then washed with serum-free medium, and bacteria, previously grown for 18–20 h and suspended in serum-free culture medium, were mixed with different amounts of C4BP and incubated at 37°C in 5% CO2 for 30 min. The suspensions of bacteria preincubated with C4BP were added to the wells (1.25 x 107 bacteria/well), and additional cell culture medium was added. After incubation for 60 min at 37°C in 5% CO2, infected cell layers were washed three times for 5 min each time, treated with 1% saponin for 5 min, serially diluted, and spread on GCB plates. The bacteria were grown at 37°C in 5% CO2 overnight, and CFU were counted.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
C4BP purified from human plasma binds to type IV pili of N. gonorrhoeae

C4BP interacts with several bacterial pathogens, and it has been recently reported that some strains of N. gonorrhoeae bind human C4BP via outer membrane porins (13). Because of this observation and the fact that pili are responsible for attachment of N. gonorrhoeae to MCP, a complement regulator similar in structure and function to C4BP, we decided to test whether the interaction between N. gonorrhoeae and C4BP could also be mediated by pili. We found a significant difference (p < 0.05 in Student’s t test) in the binding of 125I-labeled human C4BP purified from plasma to piliated and nonpiliated strain MS11 of N. gonorrhoeae (Fig. 1GoA). There was a substantial binding of C4BP to a nonpiliated strain of Neisseria, probably mediated by porins (13). As a control, immobilized bacteria were detected with an Ab whose affinity for N. gonorrhoeae is not affected by the presence of pili (data not shown). By doing so we have ascertained that piliated bacteria were immobilized at the same level as the bacteria lacking pili.



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FIGURE 1. Interaction of C4BP with pili of N. gonorrhoeae. A, Piliated (P+) and nonpiliated (P-) forms of strain MS11 were immobilized in the wells of a microtiter plate, incubated with 125I-labeled C4BP, and washed, and the amount of radioactivity associated with bacteria was measured in a gamma counter. B, Direct binding assay. The walls were coated with purified pili ({circ}) or were blocked only with a solution of fish gelatin (•) and allowed to react with increasing concentrations of C4BP purified from plasma. Bound C4BP was detected with biotinylated mAb 67. Shown is the mean of three experiments performed in doublets; bars represent SD values.

 
Next, purified pili isolated from N. gonorrhoeae strain MS11 were immobilized in wells of a microtiter plate, and increasing concentrations of C4BP were added (Fig. 1GoB, {circ}). As a control, C4BP was added to wells that were only blocked with fish gelatin and did not contain pili proteins (Fig. 1GoB, •). Binding of C4BP was dose dependent and saturable at ~80 nM C4BP, while no binding was seen in control wells. The polymeric nature of C4BP did not allow calculation of affinity constants, but half-maximal binding of C4BP to pili was obtained at 20 nM protein.

Binding between pili and C4BP was also confirmed by an experiment using surface plasmon resonance technology (Biacore 2000). C4BP purified from plasma was covalently immobilized on the surface of the CM5 chip, and increasing concentrations of pili isolated from gonococcal strain MS11 were added. The flow buffer used was 10 mM HEPES-KOH, pH 7.4, supplemented with 150 mM NaCl, 0.005% Tween 20, and 3.4 mM EDTA. The association and dissociation reactions were recorded and confirmed a dose-dependent binding between pili and C4BP (Fig. 2Go). We found that binding of pili to C4BP was limited by a mass transfer at all flow rates tested, which is consistent with the fact that pili are very large structures (~5000 kDa). This together with a fact that polymeric C4BP contains multiple binding sites for most of its ligand, made it difficult to calculate rate affinity constants. However, the dissociation rate affinity constant (Kd, Koff) could be estimated as 4.8 x 10-4 s-1.



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FIGURE 2. Surface plasmon resonance analysis of pili binding to immobilized C4BP. Purified pili from N. gonorrhoeae in concentrations ranging from 12.5 to 200 µg/ml (indicated to the right) were injected over a chip with immobilized C4BP purified from plasma. Identical samples were injected over a control flow cell without C4BP, and unspecific binding to dextran matrix was subtracted. The amount of pili associated with C4BP was measured in resonance units.

 
C4BP binds to the N-terminal part of PilC

An overlay assay was used to identify the C4BP-binding subunit of pili, which are complex assemblies of several proteins. First, we found that Abs raised against gel-purified full-length PilC recognized a band with an apparent Mr of 110 kDa in the preparation of purified pili (Fig. 3GoA, lane 2). This Mr is consistent with properties of PilC. A protein showing a similar migration pattern upon SDS-PAGE also bound C4BP (Fig. 3GoA, lane 3), which suggested that C4BP interacts with the PilC subunit. Furthermore, we tested direct binding of C4BP to immobilized fusion proteins consisting of MBP and fragments of PilC. Using a microtiter plate-based binding assay, we found that C4BP bound to an N-terminal fragment of PilC encompassing aa 1–257 (PilC.A), whereas binding to the C-terminal part of PilC comprising aa 501-1016 was negligible (PilC.C; Fig. 3GoB). Furthermore, we tested whether PilC.A was able to inhibit binding between [125I]C4BP and immobilized pili. We found that 2 µM recombinant protein was needed to block the interaction by 50% (Fig. 3GoC), which further implies that binding for C4BP is localized to the N-terminal part of PilC. As a negative control we used recombinant MBP, which did not affect the interaction.



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FIGURE 3. C4BP binds to the N-terminal part of the PilC subunit. A, Purified pili of N. gonorrhoeae MS11 were separated on 12% SDS-PAGE. The gel was cut into three sections and stained with Coomassie (lane 1), blotted onto a polyvinylidene difluoride membrane and probed with PilC polyclonal antiserum (lane 2), or blotted onto polyvinylidene difluoride membrane and probed with purified C4BP. B, PilC.A and PilC.C are MBP fusion proteins. PilC.A includes the N-terminal part of PilC (aa 1–257), whereas PilC.C encompasses the C-terminal aa 501-1016. C4BP bound to immobilized fusion proteins was detected with an Ab. Values shown have been corrected for background binding to MBP. C, Competition assay. Increasing concentrations of PilC.A and MBP competed with trace amounts of 125I-labeled C4BP for binding to immobilized pili. The 100% binding value was estimated in the absence of fluid phase competitor. Shown is the mean of three experiments performed in doublets; bars represent SD values.

 
The binding site for pili is localized in the N-terminal part of the C4BP {alpha}-chain

Human C4BP consists of two types of subunits, seven identical {alpha}-chains involved in the regulation of complement activation, and a single {beta}-chain that interacts with anticoagulant, vitamin K-dependent protein S (18, 34). To assess which subunit is responsible for interaction with pili we tested whether C4BP purified from plasma (with {beta}-chain) and recombinant C4BP (polymerized {alpha}-chains, without {beta}-chain) have the same abilities to compete with 125I-labeled C4BP purified from plasma for binding to immobilized pili (Fig. 4GoA). We found that in both cases ~2 nM C4BP was needed to block binding by 50% (EC50), which suggests that binding is localized within the {alpha}-chain and that the {beta}-chain does not contribute to the interaction. The same result was obtained with C4BP carrying protein S bound to {beta}-chain (data not shown).



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FIGURE 4. Localization of the binding site for pili to the N-terminal part of the C4BP {alpha}-chain. A, Competition assay. Increasing concentrations of C4BP purified from plasma ({circ}), wild-type recombinant C4BP (•), and the R39Q/R64Q/R66Q mutant ({square}) competed with trace amounts of 125I-labeled C4BP for binding to immobilized pili. The 100% binding value was estimated in the absence of fluid phase competitor. Shown is the mean of two experiments performed in doublets; bars represent SD values. B, Inhibition of interaction between C4BP and pili by C4 met and Arp4. Increasing concentrations of C4 met ({circ}) or Arp4 (•) competed with trace amounts of 125I-labeled C4BP for binding to immobilized pili.

 
We have previously described a number of C4BP variants with mutated positively charged amino acids located on the interface between CCP1 and CCP2. These mutants showed impaired binding ability toward C4 met, implying that the electropositive region between CCP1 and CCP2 forms part of the binding site for C4 met/C4b (26, 31). We tested whether a triple mutant R39Q/R64Q/R66Q, which binds with 150-fold lower apparent affinity to C4 met, was able to compete with [125I]C4BP for binding to pili. Fig. 4GoA shows that the R39Q/R64Q/R66Q mutant had lower apparent affinity for pili, suggesting that the binding site for pili overlaps with the cluster of positively charged amino acids on the interface between CCP1 and CCP2. To further test this hypothesis, we tested whether C4 met and streptococcal protein Arp4, which bind to overlapping, but nonidentical, sites on C4BP (26), would compete for binding of C4BP to pili. Fig. 4GoB shows that ~0.8 nM C4 met was needed to decrease the interaction between C4BP and pili by 50%. About 5-fold (3.5 nM) more Arp4 was needed to obtain a similar effect, which suggests that the area of C4BP interacting with pili is more similar to the C4 met- than to the Arp4-binding site. We have further confirmed these results by using a competition assay in which we tested a series of recombinant C4BP molecules lacking single CCP domains. We found that the removal of CCP2 had a slight effect on the binding of C4BP to pili and that the mutant lacking both CCP1 and CCP2 entirely lost its ability to bind immobilized pili (Fig. 5Go). This finding strengthened the hypothesis that the binding site for pili is localized to CCP1 and CCP2 of the {alpha}-chain and therefore overlaps with a C4b-binding site. We have also observed that the mutant lacking CCP7 showed decreased apparent affinity for pili. This finding seems at first surprising, but there is some evidence implying that CCP7 or CCP8 may contain a secondary binding site for C3b/C4b (35).



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FIGURE 5. CCP1-CCP2 is required for binding of the {alpha}-chain to pili. C4BP mutants lacking CCP domains competed with 125I-labeled wild-type C4BP for binding to immobilized pili. The 100% binding was estimated in the absence of fluid phase competitor. Shown is the mean of two experiments performed in doublets.

 
Effect of salt on the interaction between C4BP and pili

To further characterize the binding site for pili we tested whether this interaction is inhibited in the presence of increasing salt concentrations. 125I-labeled recombinant wild-type C4BP was incubated with pili immobilized in wells of a microtiter plate. The buffer (50 mM HEPES-NaOH, pH 7.2) was supplemented with 0.1% BSA, 0.1% Tween 20, and various NaCl concentrations ranging from 5 mM to 1.0 M. After 16-h incubation at 4°C and washing with 50 mM Tris-HCl, pH 7.5, supplemented with 0.1% Tween 20, bound C4BP was measured in a gamma counter. Fig. 6Go shows that binding between C4BP and pili was sensitive to the salt concentration, because it was abolished at 0.25 M NaCl. These results are similar to those previously obtained for the C4b-C4BP interaction (26) and suggest that mechanisms of both interactions are based upon ionic interactions between amino acids.



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FIGURE 6. Influence of salt on the C4BP-pili interaction. Effect of salt concentration on the binding of C4BP to pili. 125I-labeled C4BP was added to microtiter plates covered with pili in buffer supplemented with increasing NaCl concentrations. After overnight incubation at 4°C, the plates were washed, and the amount of bound C4BP was measured in a gamma counter. Results are shown as the mean value of three separate experiments ± SD.

 
Inhibition of N. gonorrhoeae binding to epithelial cells by C4BP

Because MCP is a cellular receptor for pili and is similar in function and structure to C4BP, we tested whether recombinant MCP would block binding between C4BP and pili. MCP was expressed as a fusion protein with MBP and purified. We found that MCP-MBP was able to compete with the C4BP-pili interaction when MCP-MBP was present in sufficiently high concentration. About 300 nM MBP-MCP was needed to block binding by 50% (Fig. 7GoA). MBP alone could not inhibit binding of 125I-labeled C4BP to immobilized pili even at the highest concentration tested.



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FIGURE 7. MCP only weakly inhibits the binding between C4BP and pili. A, Increasing concentrations of MBP (•) or MCP-MBP fusion protein ({circ}) were added together with trace amounts of 125I-labeled C4BP to wells of a microtiter plate covered with pili. The 100% binding was estimated in the absence of fluid phase competitor. Shown is the mean of two experiments performed in doublets; bars represent SD values. B, Inhibition of MS11 binding to epithelial cells. ME 180 or Chang cells were incubated with bacteria in the presence of increasing concentrations of C4BP purified from plasma. Cells were then washed, and bound bacteria were released with 1% saponin and spread on GCB plates to count CFU.

 
Furthermore, we tested whether binding of N. gonorrhoeae to epithelial cells could be inhibited by C4BP. We found no or little inhibition of the interaction between N. gonorrhoeae and epithelial cells after preincubation of bacteria with different C4BP concentrations. Fig. 7GoB shows that C4BP even at a concentration of 900 nM did not inhibit binding of N. gonorrhoeae to the epithelial cervical ME 180 cell line. However, ~100 nM C4BP was required to block binding of N. gonorrhoeae to Chang conjunctiva cells by 50% when the cells were 60–70% confluent. No inhibition was observed when the cells reached higher density.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present report we describe a novel interaction between pathogenic gonococci and the human complement system. This subject is of particular interest because there is ample evidence that deficiencies of various complement factors correlate with the pathogenicity of N. gonorrhoeae. Patients with deficiencies of terminal components of the complement pathway (C5–C9) have highly increased incidence of recurrent gonococcal bacteremia (36). This suggests that complement activation is a crucial part of the human defense against N. gonorrhoeae and that the bacteria will benefit from any mechanism by which this activation could be prohibited. There are several ways in which N. gonorrhoeae may avoid attack from the complement system. For example, many strains bind complement factor H via LPS or one of the major outer membrane proteins, porin Por1A (11, 12). Moreover, C4BP binds to porins of some strains of N. gonorrhoeae (13). Factor H and C4BP have similar functions in the alternative and classical pathways of complement activation, respectively, where they serve as cofactors to a serine protease, factor I, in the degradation of C3b or C4b. Inhibiting C4BP binding to serum-resistant strains of N. gonorrhoeae in a serum bactericidal assay using an mAb resulted in complete killing of otherwise fully serum-resistant strains in only 10% normal serum, underscoring the importance of C4BP in mediating gonococcal serum resistance (13). The bacteria used in this experiment lacked pili.

Pili present on the surface of pathogenic N. gonorrhoeae are important virulence factors responsible for the adhesion of bacteria to epithelial cells. MCP, a membrane protein regulating activation of the complement system, was shown to be a receptor for pili (1). Therefore, it was interesting to investigate whether there is a detectable interaction between pili and C4BP, which is similar in structure and function to MCP. Indeed, using a microtiter plate-based assay and surface plasmon resonance technique (Biacore) we could demonstrate a direct, dose-dependent, and saturable binding between the two molecules. Half-maximal binding of C4BP to immobilized pili occurred at 20 nM. Taking into consideration that the serum concentration of C4BP is ~0.35 µM, the interaction is highly physiologically relevant in the blood environment.

Gonococcal pili undergo both phase and antigenic variations. Pilin, the major protein constituent of pili, is expressed from one active PilE locus, and there are also several silent loci of this gene. Structural variation in pili results mainly from recombination between silent and expressed pili gene sequences (37). We found that four pili variants containing different PilE sequences (38) bound C4BP with similar apparent affinities (not shown). PilC is a 110-kDa pilus biogenesis protein that seems to be involved in the interaction between pili and MCP, because it was possible to select or genetically construct adherence negative mutants that expressed pili without detectable amounts of PilC (39, 40). The results of an overlay assay suggested that C4BP interacts with the PilC subunit of pili. We then used fusion proteins containing N- and C-terminal fragments of PilC to further identify the binding site for C4BP, and we found that the N-terminal fragment of PilC is apparently required for the interaction.

We then attempted to localize the binding site for pili on the molecular surface of C4BP. First, we tested whether C4BP purified from plasma consisting of seven {alpha}-chains and one {beta}-chain will bind pili with the same apparent affinity as the recombinant C4BP that is composed exclusively of {alpha}-chains. {alpha}-Chains are known to bind C4b (17), heparin (41), Bordetella pertussis (24), Streptococcus pyogenes (23), and serum amyloid P component (42), whereas {beta}-chain binds anticoagulant protein S (18). We found that both forms of C4BP bound to pili with similar affinities, implying that {alpha}-chains confer the ability to bind gonococcal pili. To further localize the binding site on C4BP we tested whether C4 met and streptococcal surface M-protein Arp4 were able to block the interaction between C4BP and pili. We found that C4 met in particular was an efficient inhibitor; ~0.8 nM of the protein was needed to block binding by 50%. We also tested whether the R39Q/R64Q/R66Q mutant of C4BP, where three positively charged amino acids were replaced by Gln, would bind pili. That mutant was previously shown to have impaired binding ability for both C4 met and streptococcal Arp4 and Sir22 proteins (26, 31). We found that the R39Q/R64Q/R66Q mutant bound to pili with lower apparent affinity compared with the wild type. However, the effect of the mutation was not as dramatic as in the case of binding to C4 met (26, 31). We also tested a panel of mAbs directed against the {alpha}-chain of C4BP (26, 43). We found that several of these strongly inhibited binding of C4BP to pili. These Abs have previously been analyzed for their ability to block binding between C4BP and C4 met or Arp4 (26). The results obtained for pili were similar to those previously observed for the C4b-C4BP interaction. Thus, the interaction between C4BP and pili was inhibited in the presence of Abs directed against CCP1 and CCP2 of the {alpha}-chain (data not shown). Furthermore, we found that C4BP lacking both CCP1 and CCP2 was not able to compete with 125I-labeled wild-type C4BP for binding to pili. The influence of NaCl on the pili-C4BP interaction was also tested, and we found that the binding was entirely abolished at 0.25 M NaCl. Similar results were previously obtained for the C4 met-C4BP interaction and were in sharp contrast to the Arp4-C4BP interaction, which is almost insensitive to the presence of salt and governed mostly by hydrophobic forces (26). Taken together, these results suggest that binding site for pili overlaps with the interaction site for C4b/C4 met on CCP1-CCP2 and that the mechanism of pili-C4BP interaction resembles that of C4b-C4BP binding. Surprisingly, we found that a mutant lacking CCP7 showed decreased binding to pili. The surface of CCP7, predicted by homology-based computer modeling, displays a large patch of positively charged amino acids, similar to that present on the interface of CCP1 and CCP2 (19). It is unclear at this point whether this cluster of amino acids could be involved in binding of pili in a specific manner as a second binding site. The same mutant, but lacking CCP7, displayed decreased affinity for C4 met (not shown).

We tested whether recombinant MCP could inhibit binding between C4BP and pili, and we found that rather high concentrations of the protein (300 nM) were needed to reach 50% inhibition. This suggests that there are different binding sites for C4BP and MCP on pili. This suggestion is further strengthened by the fact that MCP interacts with the C-terminal part of PilC (our manuscript in preparation), whereas C4BP seems to bind the N terminus of the protein. These observations are consistent with the finding that binding of Neisseria to epithelial cells was inhibited only by high concentrations of C4BP or not at all. This together with the rest of our results suggest that the pili-C4BP interaction more likely plays a role in the later stages of the infection and may not be involved in the process of bacterial adhesion to epithelial cells.

In conclusion, gonococci have developed several mechanisms that allow binding of human complement regulators. Factor H binds to sialic acid to mediate unstable serum resistance (12), whereas nonsialylated gonococci can use porin molecules to bind regulatory molecules C4BP and factor H (11). In addition, binding of C4BP can be mediated by pili. It seems likely that these different interactions allow the bacteria to escape complement attack.


    Acknowledgments
 
We thank Astra Andersson for excellent technical support.


    Footnotes
 
1 This work was supported by grants from the Swedish Natural Science Research Council (to A.B.), the Swedish Medical Research Council (to B.D., G.L., and A.B.J.), a Senior Investigator Grants from the Strategic Foundation, Tore Nilson’s Trust, Greta and Johan Kock’s Trust, Österlunds Trust, the Crafoord Trust, the Royal Physiographic Society in Lund, the Swedish Cancer Society, the Swedish Society for Medicine, The Åke Wibergs Foundation, The Clas Groschinskys Foundation, and research grants from the Karolinska Institute and University Hospital Malmö. Back

2 Address correspondence and reprint requests to Dr. Anna M. Blom, Department of Clinical Chemistry, Lund University, The Wallenberg Laboratory, Floor 6, University Hospital Malmö, S-205 02 Malmö, Sweden. E-mail address: anna.blom{at}klkemi.mas.lu.se Back

3 Abbreviations used in this paper: MCP, membrane cofactor protein; Arp4, streptococcal IgA/C4BP-binding M protein; C4BP, C4b-binding protein; CCP, complement control protein (domain); MBP, maltose-binding protein; GCB, GC base medium with Kellogg’s supplement. Back

Received for publication February 2, 2001. Accepted for publication March 23, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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