Title of Invention

"A VACCINE COMPRISING A SALMONELLA TYPHI Ty800 CELL"

Abstract The invention features a bacterial cell the virulence of which is attenuated by a deletion of a portion of the PhoQ gene and bacterial cells having a deletion of the PhoQ gene and a deletion of the PhoP gene. The invention also features vaccines comprising such bacteria.
Full Text SALMONELLA VACCINES
Background of the Invention
The invention relates to vaccines.
This invention was made with Government support
under Grant No. AI30479 and Grant No. 00917 awarded by
the National Institutes of Health. The Government has
certain rights in the invention.
Enteric fevers and diarrheal diseases, e.g.,
typhoid fever and cholera, are major causes of morbidity
and mortality throughout the developing world, Hook et
al., 1980, In Harrison's Principles of Internal Medicine,
9th Ed., 641-848, McGraw Hill, New York. Traditional
approaches to the development of vaccines for bacterial
diseases include the parenteral injection of purified
components or killed organisms. These parenterally
administered vaccines require technologically advanced
preparation, are relatively expensive, and are often,
because of dislike for needle-based injections, resisted
by patients. Live oral vaccine strains have several
advantages over parenteral vaccines: low cost, ease of
administration, and simple preparation.
The development of live vaccines has often been
limited by a lack of understanding of the pathogenesis of
the disease of interest on a molecular level. Candidate
live vaccine strains require nonrevertable genetic
alterations that affect the virulence of the organism,
but not its induction of an immune response. Work
defining the mechanisms of toxigenesis of Vibrio cholerae
has made it possible to create live vaccine strains based
on deletion of the toxin genes, Mekalanos et al., 1983,
Nature 306:551, Levine et al., 1988, Infect. Immun.
5_6:161.
Recent studies have begun to define the molecular
basis of Salmonella typhimurium macrophage survival and
virulence, Miller et al., 1989, Proc. Natl. Acad. Sci.
USA 8.6:5054, hereby incorporated by reference.
Salmonella typhimurium strains with mutations in the
positive regulatory regulon phoP are markedly attenuated
in virulence for BALB/c mice. The phoP regulon is
composed of two genes present in an operon, termed phoP
and phoQ. The phoP and phoQ gene products are highly
similar to other members of bacterial two-component
transcriptional regulators that respond to environmental
stimuli and control the expression of a large number of
other genes. A mutation at one of these phoP regulatory
region regulated genes, pagC, confers a virulence defect.
Strains with pagC, phoP, or phoQ mutations afford partial
protection to subsequent challenge by wild-type S.
typhimurium.
Salmonella species cause a spectrum of clinical
disease that includes enteric fevers and acute
gastroenteritis, Hook et al., 1980, supra. Infections
with Salmonella species are more common in
immunosuppressed persons, Celum et al., 1987, J. Infect.
Dis. 156:998. S. typhi, the bacterium that causes
typhoid fever, can only infect man, Hook et al., 1980,
supra. The narrow host specificity of S. typhi has
resulted in the extensive use of S. enteriditis
typhimurium infection of mice as a laboratory model of
typhoid fever, Carter et al., 1984 J. Exp. Med. 139:1189.
S. typhimurium infects a wider range of hosts, causing
acute gastroenteritis in man and a disease similar to
typhoid fever in the mouse and cow.
Salmonella infections are acquired by oral
ingestion. The organisms, after traversing the stomach,
replicate in the small bowel, Hornik et al., 1970, N.
Eng. J. Med. 283:686. Salmonella are capable of invasion
of the intestinal mucosal cells, and S. typhi can pass
through this mucosal barrier and spread via the Peyer's
patches to the lamina propria and regional lymph nodes.
Colonization of the reticuloendothelial cells of the host
then occurs after bacteremia. The ability of S. typhi to
survive and replicate within the cells of the human
reticuloendothelial system is essential to its
pathogenesis, Hook et al.,. 1980, supra, Hornick et al.,
1970, supra, and Carter et al., 1984, supra.
Immunity to Salmonella typhi involves humoral and
cell-mediated immunity, Murphy et al., 1987, J. Infect.
Dis. 156:1005, and is obtainable by vaccination, Edelman
et al., 1986, Rev. Inf. Dis. 8.:324. Recently, human
field trials demonstrated significant protective efficacy
against S. typhi infection after intramuscular
vaccination with partially purified Vi antigen, Lanata et
al., 1983, Lancet 2.M41. Antibody-dependent enhancement
of S. typhi killing by T cells has been demonstrated in
individuals who received a live S. typhi vaccine,
indicating that these antibodies may be necessary for the
host to generate a cell-mediated immune response, Levine
et al., 1987, J. Clin. Invest. 7_9:888. The cell-mediated
immune response is important in typhoid immunity since
killed vaccines that do not induce this immune response
are not protective in man, Collins et al., 1972, Infect.
Immun. 41:742.
Summary of the Invention
The invention features a bacterial cell having a
mutation in the PhoQ gene, wherein said mutation
attenuates virulence. In various preferred embodiments
the mutation is a deletion; the cell has a mutation in
the PhoP gene; and the bacterial cell is a Salmonella
cell.
In even more preferred embodiments the Salmonella
cell is a Salmonella typhimurium cell; the Salmonella
cell is a Salmonella enteriditis cell; the Salmonella
cell is a Salmonella pylorum cell; the Salmonella cell is
a Salmonella paratyphi A cell; the Salmonella cell is a
Salmonella paratyphi B cell; the Salmonella cell is a
Salmonella cholerasuis cell; the Salmonella cell is a
Salmonella typhi cell.
In other preferred embodiments the mutation in the
PhoP gene is a deletion. In another preferred embodiment
the mutation in the PhoP gene is a deletion of at least 5
nucleotides; is a deletion of at least 10 nucleotides; is
a deletion of at least 50 nucleotides; is a deletion of
at least 100 nucleotides; is a deletion of at least 750
nucleotides.
In another preferred embodiment the mutation in
the PhoQ gene is a deletion of at least 5 nucleotides; is
a deletion of at least 10 nucleotides; is a deletion of
at least 50 nucleotides; is a deletion of at least 100
nucleotides; is a deletion of at least 750 nucleotides.
In another preferred embodiment the deletion of
the PhoQ gene and the deletion of the PhoP gene comprise
a deletion of nucleotides 376 to 1322 of the PhoP/PhoQ
locus.
In another aspect, the invention features a
vaccine which includes the bacterial cell of having a
mutation in the PhoQ gene which mutation attenuates
virulence. In a preferred embodiment the bacterial cell
is TySOO.
In other preferred embodiments, the PhoQ mutation
is a null mutation and the PhoP mutation is a null
mutation.
The invention provides a Salmonella vaccine which
does not cause transient bacteremia. In general, the
invention features a bacterial cell, preferably a
Salmonella cell, e.g., a S. typhi, S. enteritidis
typhimurium, or S. cholerae-suis cell,' the virulence of
which is attenuated by a first mutation in a PhoP regulon
and a second mutation in an aromatic amino acid synthetic
gene. As used herein, PhoP regulon is defined as a DNA
which comprises a unit of Salmonella virulence gene
expression characterized by two regulatory genes, phoP
and phoQ, and structural genes, the expression of which
is regulated by phoP and phoQ, e.g., phoP regulatory
region repressed genes (prgr) or phoP regulatory region
activated genes (pag) . Such a bacterial cell can be used
as a vaccine to immunize a mammal against salmonellosis.
The Salmonella cell may be of any serotype, e.g.,
S. typhimurium, S. paratyphi A, S. paratyphi B, S.
paratyphi C, S. pylorum, S. dublin, S. heidelberg, S.
newport, S. Minnesota, S. infantis, S. virchov, or S.
panama.
The first mutation may be a non-revertable null
mutation in the PhoP/PhoQ locus. Preferably, the
mutation is a deletion of at least 100 nucleotides; more
preferably, the mutation is a deletion of at least 500
nucleotides; even more preferably, the mutation is a
deletion of at least 750 nucleotides; and, most
preferably, the mutation is a deletion of nucleotides 376
to 1322 of the PhoP/PhoQ regulatory locus.
The second mutation may be a non-revertable null
mutation in an aroA locus or a non-revertable null
mutation in an aroC/aroD locus, or another locus involved
in the biosynthesis of aromatic amino acids.
To further attenuate the virulence of the
bacterial cell of the invention, the cell may contain yet
another mutation, e.g., a deletion, in a non-aromatic
amino acid synthetic gene, e.g., a mutation which renders
the cell auxotrophic for a non-aromatic amino acid, e.g.,
histidine. In preferred embodiments, the bacterial cell
of the invention is a 5. typhi cell with the genotype
AroA~, His", PhoP/PhoQ~, e.g., TyLH445.
The invention may also include a Salmonella cell,
the virulence of which is attenuated by the constitutive
expression of a gene under the control of a two-component
regulatory system. In preferred embodiments the
constitutive expression is the result of a mutation at a
component of the two-component regulatory system. In
preferred embodiments the bacterial cell includes a
second mutation which attenuates virulence.
In yet other preferred embodiments of the vaccine
the two-component regulatory system is the phoP
regulatory region, and the gene under the control of the
two-component system is a phoP regulatory region
regulated gene, e.g., a prg gene, e.g., prgA, prgB, prgC,
prgE, or prgH, or pag gene, e.g., pagC. In preferred
embodiments constitutive expression is the result of a
change or mutation, e.g., a deletion, (preferably a nonrevertible
mutation) at the promoter of the regulated
gene or of the phoP regulatory region, e.g., a mutation
in the phoQ or the phoP gene, e.g., the PhoP0 mutation.
In another aspect, the invention features a
vaccine including a bacterial cell which is attenuated by
decrease of expression of a virulence gene under control
of a phoP regulatory region, e.g., a prg gene, e.g.,
prgA, prgB, prgC, prgE, or prgH.
In preferred embodiments of the vaccine the
Salmonella cell includes a first mutation, e.g., a
deletion, which attenuates virulence, e.g., a mutation in
a phoP regulatory region gene, e.g., a mutation in the
phoP or phoQ gene, e.g., PhoPc, or a mutation in a phoP
regulatory region regulated gene, and a second mutation
which attenuates virulence, e.g., a mutation in an
aromatic amino acid synthetic gene, e.g., an aro gene, a
mutation in a phoP regulatory region regulated gene,
e.g., a mutation in a prg gene, e.g., prgA, prgB, prgC,
prgE, or prgH, or pag locus, e.g., a pagC mutation.
In yet other preferred embodiments the bacterial
cell includes a first mutation in a phoP regulatory
region gene and a second mutation in an aromatic amino
acid synthetic gene, e.g, an aro gene.
In another aspect, the invention features a
vaccine, preferably a live vaccine, including a bacterial
cell, the virulence of which is attenuated by a mutation,
e.g., a deletion, in a gene under the control of a twocomponent
regulatory system. In preferred embodiments
the bacterial cell includes a virulence attenuating
mutation in a second gene, e.g., in an aromatic amino
acid synthetic gene, e.g., an aro gene.
In yet other preferred embodiments of the vaccine
the bacterial cell is a Salmonella cell, the twocomponent
regulatory system is the phoP regulatory
region, and the gene under its control is a prg gene,
e.g. prgA, prgB, prgC, prgE, or prgH, or a pag gene,
e.g., the page gene.
In another aspect the invention features a
vaccine, preferably a live vaccine, including a
Salmonella cell e.g., a 5. typhi, S. enteritidis
typhimurium, or S. cholerae-suis cell, including a first
virulence attenuating mutation in an aromatic amino acid
biosynthetic gene, e.g., an aro gene, and a second
virulence attenuating mutation in a phoP regulatory
region gene, e.g., a phoP~ mutation.
In another aspect the invention features a
bacterial cell, or a substantially purified preparation
thereof, preferably a Salmonella cell, e.g., a S. typhi,
S. enteritidis typhimurium, or S. cholerae-suis cell,
which constitutively expresses a gene under the control
of a two-component regulatory system and which includes a
virulence attenuating mutation, e.g., a deletion, which
does not result in constitutive expression of a gene
under the control of the two-component regulatory system.
In preferred embodiments the bacterial cell includes a
mutation in a component of the two-component regulatory
system.
In preferred embodiments the bacterial cell is a
Salmonella cell which expresses a phoP regulatory region
regulated gene constitutively (the constitutive
expression preferably caused by a mutation, preferably a
non-revertible mutation, e.g., a deletion in the phoP
regulatory region, e.g., a mutation in the phoQ or phoP
gene, e.g., phoPc), and which includes a virulence
attenuating mutation, preferably a non-revertible
mutation, e.g., a deletion, preferably in an aromatic
amino acid synthetic gene, e.g., an aro gene, or in a
phoP regulatory region regulated gene, e.g., a prg gene,
e.g., prgA, prgB, prgC, prgE, or prgH or pag gene, e.g.,
page which does not result in the constitutive expression
of a gene under the control of the phoP regulatory
region.
In another aspect, the invention features a
bacterial cell, or a substantially purified preparation
thereof, e.g., a Salmonella cell, e.g., a S. typhi cell,
an S. enteritidis typhimurium or a S. cholerae-suis cell,
including a virulence attenuating mutation in a gene
regulated by a two-component regulatory system. In
preferred embodiments the virulence attenuating mutation
is in a phoP regulatory region regulated gene, e.g., a
prg gene, e.g., prgA, prgB, prgC, prgE, or prgH or pag
gene, e.g. , pagC.
In preferred embodiments the bacterial cell
includes a second mutation, e.g., in an aromatic amino
acid synthetic gene, e.g., an aro gene, in a phoP
regulatory region gene, e.g., the phoP or phoQ genes, or
in a phoP regulating region regulated gene, e.g., a prg
gene, e.g., prgA, prgB, prgC, prgE, or prgH or a pag
gene, e.g., pagC, which attenuates virulence but which
does not result in constitutive expression of a phoP
regulatory region regulated gene.
The invention also features a live Salmonella
cell, or a substantially purified preparation thereof,
e.g., a S. typhi, S. enteriditis typhimurium, or
S. cholerae-suis cell, in which there is inserted into
virulence gene, e.g., a gene in the phoP regulating
region, or a phoP regulating region regulated gene, e.g.,
a prg gene, e.-g., prgA, prgB, prgC, prgE, or prgH or a
pag locus, e.g., pagC, a gene encoding a heterologous
protein, or a regulatory element thereof.
In preferred embodiments the live Salmonella cell
carries a second mutation, e.g., an aro mutation, e.g.,
an aroA mutation, e.g., aroA" or aroADEL407, that
attenuates virulence.
In preferred embodiments the DNA encoding a
heterologous protein is under the control of an
environmentally regulated promoter. In other preferred
embodiments the live Salmonella cell further includes a
DNA sequence encoding T7 polymerase under the control of
an environmentally regulated promoter and a T7
transcriptionally sensitive promoter, the TV
transcriptionally sensitive promoter controlling the
expression of the heterologous antigen.
The invention also features a vector capable of
integrating into the chromosome of Salmonella including:
a first DNA sequence encoding a heterologous protein; a
second (optional) DNA sequence encoding a marker e.g.,
selective marker, e.g., a gene that confers resistance
for a heavy metal resistance or a gene that complements
an auxotrophic mutation carried by the strain to be
transformed; and a third DNA sequence, e.g., a phoP
regulon encoded gene, e.g., a prg gene, e.g., prgA, prgB,
prgC, prgE, or prgH or a pag locus, e.g., pagC, encoding
a phoP regulatory region regulated gene product necessary
for virulence, the third DNA sequence being mutationally
inactivated.
In other preferred embodiments: the first DNA
sequence is disposed on the vector so as to mutationally
inactivate the third DNA sequence; the vector cannot
replicate in a wild-type Salmonella strain; the
heterologous protein is under the control of an
environmentally regulated promoter; and the vector
further includes a DNA sequence encoding TV polymerase
under the control of an environmentally regulated
promoter and a 11 transcriptionally sensitive promoter,
the T7 transcriptionally sensitive promoter controlling
the expression of the heterologous antigen.
In another aspect the invention includes a method
of vaccinating an animal, e.g., a mammal, e.g., a human,
against a disease caused by a bacterium, e.g.,
Salmonella, including administering a vaccine of the
invention.
The invention also includes a vector including DNA
which encodes the pagC gene product; a cell transformed
with the vector; a method of producing the pagC gene
product including culturing the transformed cell and
purifying the pagC gene product from the cell or culture
medium; and a purified preparation of the pagC gene
product.
In another aspect the invention includes a method
of detecting the presence of Salmonella in a sample
including contacting the sample with pagC encoding DNA
and detecting the hybridization of the pagC encoding DNA
to nucleic acid in the sample.
The invention also includes a vector including DNA
which encodes the prgH gene product; a cell transformed
with the vector; a method of producing the prgH gene
product including culturing the transformed cell and
purifying the prgH gene product from the cell or culture
medium; and a purified preparation of the prgH gene
product.
In another aspect the invention includes a method
of detecting the presence of Salmonella in a sample
including contacting the sample with prgH encoding DNA
and detecting the hybridization of the prgH encoding DNA
to nucleic acid in the sample.
In another aspect the invention features a method
of attenuating the virulence of a bacterium, the
bacterium including a two-component regulatory system,
including causing a gene under the control of the twocomponent
system to be expressed constitutively. In
preferred embodiments the bacterium is Salmonella, e.g.,
S. typhi, S. enteritidis typhimurium, or S. choleraesuis,
and the two-component system is the phoP regulatory
region.
In yet another aspect, the invention features a
substantially pure DNA which includes the sequence given
in SEQ ID NO:5 or a fragment thereof.
The invention also includes a substantially pure
DNA which includes a sequence encoding pagD, e.g.,
nucleotides 91 to 354 of SEQ ID NO:5 (pagD open reading
frame (ORF)) and degenerate variants thereof that encode
a product with essentially the amino acid sequence given
in SEQ ID NO:6, as well as the pagD ORF and its 5' noncoding
region, nucleotides 4 to 814 of SEQ ID NO:15)
which contains the pagD promoter. DNA in the region
between the page ORF and the pagD ORF (nucleotides 4 to
814 of SEQ ID NO:15), DNA which includes the page
promoter (nucleotides 562 to 814 of SEQ ID NO:15), and
DNA which includes the pagD promoter alone (nucleotides 4
to 776 of SEQ ID NO:15) are also within the claimed
invention.
The invention also includes a substantially pure
DNA which includes a sequence encoding envE, e.g.,
nucleotides 1114 to 1650 of SEQ ID NO:5 (envE ORF) and
degenerate variants thereof that encode a product with
essentially the amino acid sequence given in SEQ ID NO:7.
Another aspect of the invention features a
substantially pure DNA which includes a sequence encoding
msgA, e.g., nucleotides 1825 to 2064 of SEQ ID NO:5 (msgA
ORF) and degenerate variants thereof which encode a
product with essentially the amino acid sequence given in
SEQ ID NO:8, as well as the msgA ORF with its 5' noncoding
region, nucleotides 1510 to 1824 of SEQ ID NO:5
which contains the msgA promoter. Also within the
invention is a substantially pure DNA comprising the msgA
promoter alone (nucleotides 1510 to 1760 of SEQ ID NO:5).
In yet another aspect, the invention features a
substantially pure DNA which includes a sequence encoding
envF, e.g., nucleotides 2554 to 3294 of SEQ ID N0:5 (envF
ORF) and degenerate variants thereof which encode a
product with essentially the amino acid sequence given in
SEQ ID NO:9, as well as the envF ORF with its 5' noncoding
region, nucleotides 2304 to 2553 of SEQ ID NO:5
containing the envF promoter.
Also within the invention is a substantially pure
DNA which includes the sequence given in SEQ ID NO:10 or
a fragment thereof.
The invention also includes a substantially pure
DNA which includes a sequence encoding prgH, e.g.,
nucleotides 688 to 1866 of SEQ ID NO:10 (prgH ORF) and
degenerate variants thereof which encode a product with
essentially the amino acid sequence given in SEQ ID
NO:11, as well as the prgH ORF with its promoter region
(nucleotides 1 to 689 of SEQ ID NO:10).
The invention also includes a substantially pure
DNA which includes a sequence encoding prgl, e.g.,
nucleotides 1891 to 2133 of SEQ ID NO:10 (prgl ORF) and
degenerate variants thereof which encode a product with
essentially the amino acid sequence given in SEQ ID
NO:12, as well as the prgl ORF with its promoter region
(nucleotides 1 to 689 of SEQ ID NO:10.
In another aspect, the invention features a
substantially pure DNA which includes a sequence encoding
prgJ, e.g., nucleotides 2152 to 2457 of SEQ ID NO:10
(prgJ ORF) and degenerate variants thereof which encode a
product with essentially the aittino acid sequence given in
SEQ ID NO:13, as well as the prgJ ORF and its promoter
region (nucleotides 1 to 689 of SEQ ID NO:10.
In yet another aspect, the invention features a
substantially pure DNA which includes a sequence encoding
prgK, e.g., nucleotides 2456 to 3212 of SEQ ID NO:10
(prgK ORF) and degenerate variants thereof which encode a
product with essentially the amino acid sequence given in
SEQ ID NO:14, as well as the prgK ORF with its promoter
region (nucleotides 1 to 689 of SEQ ID NO:10.
The invention also encompasses a bacterial cell
the virulence of which is attenuated by a mutation, e.g.,
a deletion, in one or more genes selected from the group
consisting of pagD, pagE, pagF, pagG, pagH, pagl, pagj,
pagK, pagL, pagM, pagN, pagP, envE, and envF. Also
included is a bacterial cell which is attenuated by a
mutation, e.g., a deletion, in one or more genes selected
from the group consisting of page, pagD, pagJ, pagK,
pagM, and msgA. A bacterial cell, the virulence of
which is attenuated by a mutation, e.g., a deletion, in
one or more genes selected from the group consisting of
prgH, prgl, prgJ, and prgK is also within the claimed
invention.
Two-component regulatory system, as used herein,
refers to a bacterial regulatory system that controls the
expression of multiple proteins in response to
environmental signals. The two-components referred to in
the term are a sensor, which may, e.g., sense an
environmental parameter and in response thereto promote
the activation, e.g. by promoting the phosphorylation, of
the second component, the activator. The activator
affects the expression of genes under the control of the
two-component system. A two-component system can
include, e.g., a histidine protein kinase and a
phosphorylated response regulator, as is seen in both
gram positive and gram negative bacteria. In E. coli,
e.g., 10 kinases and 11 response regulators have been
identified. They control chemotaxis, nitrogen
regulation, phosphate regulation, osmoregulation,
sporulation, and many other cellular functions, Stock et
al., 1989 Microbiol. Rev. 5_3:450-490, hereby incorporated
by reference. A two-component system also controls the
virulence of Agrobacterium tumefasciens plant tumor
formation, Leroux et al. EMBO J 6_: 849-856, hereby
incorporated by reference). Similar virulence regulators
are involved in the virulence of Bordetella pertussis
Arico et al., 1989, Proc. Natl. Acad. Sci. USA 86;6671-
6675, hereby incorporated by reference, and Shigella
flexneri, Bernardini et al., 1990, J. Bact. 172:6274-
6281, hereby incorporated by reference.
Environmentally regulated, as used herein refers
to a pattern of expression wherein the expression of a
gene in a cell depends on the levels of some
characteristic or component of the environment in which
the cell resides. Examples include promoters in
biosynthetic pathways which are turned on or off by the
level of a specific component or components, e.g., iron,
temperature responsive promoters, or promoters which are
expressed more actively in specific cellular
compartments, e.g., in macrophages or vacuoles.
A vaccine, as used herein, is a preparation
including materials that evoke a desired biological
response, e.g., an immune response, in combination with a
suitable carrier. The vaccine may include live organism,
in which case it is usually administered orally, or
killed organisms or components thereof, in which case it
is usually administered parenterally. The cells used for
the vaccine of the invention are preferably alive and
thus capable of colonizing the intestines of the
inoculated animal.
A mutation, as used herein, is any change (in
comparison with the appropriate parental strain) in the
DNA sequence of an organism. These changes can arise
e.g., spontaneously, by chemical, energy e.g., X-ray, or
other forms of mutagenesis, by genetic engineering, or as
a result of mating or other forms of exchange of genetic
information. Mutations include e.g., base changes,
deletions, insertions, inversions, translocations or
duplications.
A mutation attenuates virulence if, as a result of
the mutation, the level of virulence of the mutant cell
is decreased in comparison with the level in a cell of
the parental strain, as measured by (a) a significant
(e.g., at least 50%) decrease in virulence in the mutant
strain compared to the parental strain, or (b) a
significant (e.g., at least 50%) decrease in the amount
of the polypeptide identified as the virulence factor in
the mutant strain compared to the parental strain.
A non-revertible mutation, as used herein, is a
mutation which cannot revert by a single base pair
change, e.g., deletion or insertion mutations and
mutations that include more than one lesion, e.g., a
mutation composed of two separate point mutations.
The phoP regulatory region, as used herein, is a
two-component regulatory system that controls the
expression of pag and prg genes. It includes the phoP
locus and the phoQ locus.
phoP regulatory region regulated genes, as used
herein, refer to genes such as pag and prg genes.
pag, as used herein, refers to a gene which is
positively regulated by the phoP regulatory region.
prg, as used herein, refers to a gene which is
negatively regulated by the phoP regulatory region.
An aromatic amino acid synthetic gene, as used
herein, is a gene which encodes an enzyme which catalyzes
a step in the synthesis of an aromatic amino acid. aroA,
aroC, and aroD are examples of such genes in Salmonella.
Mutations in these genes can attenuate virulence without
the total loss of immunogenicity.
Abnormal expressions, as used herein, means
expression which is higher or lower than that seen in
wild type.
Heterologous protein, as used herein, is a protein
that in wild type, is not expressed or is expressed from
a different chromosomal site, e.g., a heterologous
protein is one encoded by a gene that has been inserted
into a second gene.
Virulence gene, as used herein, is a gene the
inactivation of which results in a Salmonella cell with
less virulence than that of a similar Salmonella cell in
which the gene is not inactivated. Examples include the
phoP, pagC, prgH genes.
A marker, as used herein, is gene product the
presence of which is easily determined, e.g., a gene
product that confers resistance to a heavy metal or a
gene product which allows or inhibits growth under a
given set of conditions.
Purified preparation, as used herein, is a
preparation, e.g., of a protein, which is purified from
the proteins, lipids, and other material with which it is
associated. The preparation is preferably at least 2-10
fold purified.
Constitutive expression, as used herein, refers to
gene expression which is modulated or regulated to a
lesser extent than the expression of the same gene in an
appropriate control strain, e.g., a parental or in wildtype
strain. For example, if a gene is normally
repressed under a first set of conditions and derepressed
under a second set of conditions constitutive expression
would be expression at the same level, e.g., the
repressed level, the derepressed level, or an
intermediate level, regardless of conditions. Partial
constitutive expression is included within the definition
of constitutive expression and occurs when the difference
between two levels of expression is reduced in comparison
in what is seen in an appropriate control strain, e.g., a
wild-type or parental strain.
A substantially purified preparation of a
bacterial cell is a preparation of cells wherein
contaminating cells without the desired mutant genotype
constitute less than 10%, preferably less than 1%, and
more preferably less than 0.1% of the total number of
cells in the preparation.
The invention allows for the attenuation of
virulence of bacteria and of vaccines that include
bacteria, especially vaccines that include live bacteria,
by mutations in two-component regulatory systems and/or
in genes regulated by these systems. The vaccines of the
invention are highly attenuated for virulence but retain
immunogenicity, thus they are both safe and effective.
The vectors of the invention allow the rapid
construction of strains containing DNA encoding
heterologous proteins, e.g., antigens. The heterologous
protein encoding DNA is chromosomally integrated, and
thus stable, unlike plasmid systems which are dependent
on antibiotic resistance or other selection pressure for
stability. Live Salmonella cells of the invention in
which the expression of heterologous protein is under the
control of an environmentally responsive promoter do not
express the heterologous protein at times when such
expression would be undesirable e.g., during culture,
vaccine preparation, or storage, contributing to the
viability of the cells, but when administered to humans
or animals, express large amounts of the protein. This
is desirable because high expression of many heterologous
proteins in Salmonella can be associated with toxicity to
the bacterium. The use of only a single integrated copy
of the DNA encoding the heterologous protein also
contributes to minimal expression of the heterologous
protein at times when expression is not desired. In
embodiments where a virulence gene, e.g., the page gene
or the prgH gene, contains the site of integration for
the DNA encoding the heterologous protein the virulence
of the organism is attenuated.
A substantially pure DNA, as used herein, refers
to a nucleic acid sequence, segment, or fragment, which
has been purified from the sequences which flank it in a
naturally occurring state, e.g., a DNA which has been
removed from the sequences which are normally adjacent to
the fragment, e.g., the sequences adjacent to the
fragment in the genome in which it naturally occurs. The
term also applies to DNA which has been substantially
purified from other components which naturally accompany
the DNA, e.g., DNA which has been purified from proteins
which naturally accompany it in a cell.
Other features and advantages of the invention
will be apparent from the following description of the
preferred embodiments and from the claims.
Description of the Preferred Embodiments
The drawings will first be described.
Drawings
Fig. 1 is a graph of the survival of Salmonella
strains within macrophages.
Fig. 2 is a map of the restriction endonuclease
sites of the pagC locus.
Fig. 3 is a map of the DNA sequence of the pagC
region (SEQ ID N0:l ) .
Fig. 4 is a map of the location of prgH within the
hil locus. The arrows indicate the direction of
orientation of the neomycin promoter of Tn5B50 insertions
within the hil locus and the direction of transcription
of the prgHl::TnphoA fusion protein. Restriction
endonuclease sites are represented by B, BamUl; H,
HindiII; X, Xhol; S, Sad; V, £coRV.
Fig. 5 is a DNA sequence from the prgH gene
(plasmid pIBOl) (SEQ ID N0:3).
Fig. 6 is a bar graph showing a comparison of the
sensitivity of wild type (ATCC 14028), PhoP-null mutant
(CS015) , and pagr: rTnphoA mutant strains to NP-1 defensin.
The y-axis represents the Defensin Killing Index (OKI)
which is a measure of bacteria killed on exposure to NP-
1. The OKI is defined as the logarithmic function of the
ratio of control bacteria to surviving bacteria incubated
with NP-1 [DKI=log (CFU without NP-l/CFU with NP-1)].
The individual bars represent the mean and standard error
of five separate experiments. The x-axis indicates the
allele mutated. The mean DKI for each of the pag::TnphoA
strains tested was determined not be different from that
of wild type Salmonella. (P mutant was significantly different (P Fig. 7 is a diagram showing a partial physical map
of the restriction endonuclease sites of the pagC
chromosomal region. The mouse 50% lethal doses (LD50) for
strains with transposon insertions in pagD, envE, msgA,
and pagC are shown above each gene. Horizontal arrows
demonstrate the direction of transcription. Vertical
arrows denote TnphoA insertions and the hollow triangle
denotes a MudJ insertion. Below the chromosomal map is a
representation of the DNA Insert in plasmid pCAA9, which
was mutagenized with TnphoA and MudJ. Letter
designations: A, AccI; C, Clal; E, EcoRI; H, //pal; P,
PstI; and V, £coRV.
Fig. 8 is a DNA sequence of the region upstream of
pagC and the translation of each ORF. The Hpal and Clal
sites at the beginning and end of the region are
indicated. Shine-Delgarno regions are underlined and
stem loop structures (potential Rho-independent
terminators) are indicated with a line below and above
the sequence. Arrow heads denote the location of the
representative transposon insertion within each gene.
Horizontal arrows in the pagD and msgA promoter regions
mark the transcriptional start sites, and asterisks mark
the -10 and -35 sequences. The consensus lipid
attachment site in EnvF is enclosed in brackets. The
pagD ORF begins at nucleotide 91 and ends at nucleotide
354 of SEQ ID NO:5; the envE ORF begins at nucleotide
1114 and ends at nucleotide 1650 of SEQ ID NO:5; the msgA
ORF begins at nucleotid 1825 and ends at nucleotide 2064
of SEQ ID NO:5; and the envF ORF begins at nucleotide
2554 and ends at nucleotide 3294 of SEQ ID NO:5.
Fig. 9 is a DNA sequence containing the prgH,
prgl, prgJ, and prgK genes. The start codon (ATG) of
each gene is underlined, and the stop codon is indicated
with an asterisk. The prgH ORF begins at nucleotide 688
and ends at 1866 of SEQ ID NO: 10; the prgrl ORF begins at
nucleotide 1891 and ends at nucleotide 2133 of SEQ ID
NO:10; the prgJ ORF begins at nucleotide 2152 and ends at
nucleotide 2457 of SEQ ID NO:10; and the prgK ORF begins
at nucleotide 2454 and ends at nucleotide 3212 of SEQ ID
N0:10.
Fig. 10 is a line graph showing the growth rates
of the parent Salmonella strain (AroA-) and the vaccine
strain (AroA-, PhoP-).
Fig. 11 is a bar graph showing defensin
sensitivity of mouse vaccine strains (S. typhimurium).
Fig. 12 is a bar graph showing phoP activation as
measured by LacZ activity using the PagBiLacZ recorder
fusion construct.
Fig. 13 is a bar graph showing defensin
sensitivity of S. typhi vaccine strain TyLH445 compared
to the AroA" parent strain.
Fig. 14A is a graph showing the relative
expression of constitutive expression (610 and 617) and
phoP regulated (PagC and pagD) expression of AP fusion
proteins.
Fig. 14B is a graph showing the immune response to
lipopolysaccharide (LPS).
Fig. 14C is a graph showing the immune response to
the model heterologous antigen, AP.
Fig. 15 is a DNA sequence containing the pagC-pagD
intergenic region. pagC translational start site (ATG on
the opposite DNA strand) is underlined (nucleotides 1-3
of SEQ ID NO:15). The pagC transcriptional start
(nucleotide 562) is indicated with an arrow pointing
left. The pagD translational start (ATG) is underlined
(nucleotides 815-817 of SEQ ID NO:15). The pagD
transcriptional start is indicated with an arrow pointing
right (nucleotide 776).
Strain Deposit
Under the terms of the Budapest Treaty on the
International Recognition of the Deposit of
Microorganisms for the Purpose of Patent Procedure,
deposit of the following materials has been made with the
American Type Culture Collection (ATCC) of Rockville, MD,
USA.
Applicant's assignee, Massachusetts General
Hospital, represents that the ATCC is a depository
affording permanence of the deposit and ready
accessibility thereto by the public if a patent is
granted. All restrictions on the availability to the
public of the material so deposited will be irrevocably
removed upon the granting of a patent. The material will
be available during the pendency of the patent
application to one determined by the Commissioner to be
entitled thereto under 37 CFR 1.14 and 35 U.S.C. §122.
The deposited material will be maintained with all the
care necessary to keep it viable and uncontaminated for a
period of at least five years after the most recent
request for the furnishing of a sample of the deposited
plasmid, and in any case, for a period of at least thirty
(30) years after the date of deposit or for the
enforceable life of the patent, whichever period is
longer. Applicants' assignee acknowledges its duty to
replace the deposit should the depository be unable to
furnish a sample when requested due to the condition of
the deposit.
PhoPc strain CS022 (described below) has been
deposited with the American Type Culture Collection
(Rockville, MD) and has received ATCC designation 55130.
The plasmid, pIBOl, containing the prgH gene has
been deposited on July 9, 1993 with the American Type
Culture Collection (Rockville, MD) and has received ATCC
designation ATCC 75496.
Vaccine Having a phoP/phop Deletion
The phoP/phoQ virulence regulatory genes of
Salmonella typhimurium were deleted in Salmonella typhi
Ty2 and the resultant strain (TySOO) was tested as a
live, attenuated typhoid fever vaccine in human
volunteers. Groups of 2-3 volunteers received single
oral doses of 107, 108, 109, or 1010 colony forming units.
Two volunteers receiving the largest dose had
self-limited side effects; significantly, no bacteremias
were detected. Ten of 11 volunteers had evidence of
intestinal immune responses to the vaccine as measured by
increases in S. typhi lipopolysaccharide-specifc
IgA-secreting cells detected in peripheral blood samples.
Humoral inunune responses were measured and compared to
control vaccinees who received 4 oral doses of S. typhi
Ty21a. In the most sensitive assays, 9/11 volunteers and
5/8 Ty21a control vaccinees had evidence of IgG directed
against S. typhi antigens. These experiments demonstrate
that TySOO is safe and single oral doses are highly
immunogenic in human volunteers.
A major advantage of TySOO appears to be the large
doses which may be delivered orally without development
of bacteremias, suggesting that this strain may be
particularly well suited for engineering as a live vector
for delivery of heterologous antigens to the
gastrointestinal lymphoid tissue.
Typhoid fever remains a worldwide health problem
[1]. Ty21a is an FDA-approved, live attenuated oral
typhoid fever which confers approximately 60-70%
protective efficacy in endemic areas (for review see
Levine, Typhoid Fever Vaccines, in Vaccines, Plotkin et
al., eds. W.B. Sanders: Philadelphia, p. 597-633). At
least 3 doses of Ty21a are required to achieve such rates
of efficacy (Levine, supra), and protection may be lower
in naive populations (Hirschell et al., Eur. J. Clin.
Microbiol. 4:925, 1986; Schwartz et al., Arch. Intern.
Med. 150:349, 1990). Development of a live attenuated,
single dose, oral typhoid fever vaccine could
significantly improve public health.
Creation of a defined genetic deletion of the
phoP/phoQ genes in the aromatic amino acid auxotrophic S.
typhi 514Ty (Ty2 DaroA) resulted in strain Ty445. This
candidate vaccine strain was non-reactogenic in human
volunteers receiving 2 oral doses of 5 x 1010 colony
forming units (cfu) but poorly immunogenic, as only 2/14
volunteers receiving 2 maximal doses developed
significant serological responses to S. typhi antigens.
An S. typhi Ty2 strain deleted only for the phoP/phoQ
genes (TySOO) was constructed in an attempt to provide a
more effective vaccine.
Construction of TySOO
S. typhi Ty2 was used as the parent strain for
construction of TySOO. A defined chromosomal deletion of
956 base pairs in the contiguous phoP and phoQ genes was
created as previously described above (nucleotides
376-1332 of the published sequence: Miller et al., Proc.
Nat'l Acad. Sci. 86:5054, 1989). Briefly, a 2.2 kb
fragment of S. typhimurium DNA internally deleted for 956
base pairs (phoP/phoQ D956) was cloned into the suicide
vector pCVD442 (Blofield et al., Mol. Micro, 5:1447,
1991; Donnenberg et al., Infect. Immun. 59:4310, 19xx)
and maintained in the permissive host E. coli SM10 1 pir.
The resultant suicide vector was mobilized via conjugal
transfer to the chromosome of Ty2, using plasmid-encoded
ampicillin resistance and the leucine, threonine, and
thiamine auxotrophies of E. coli SM10 1 pir for
selection. Subsequently, selection against the
vector-encoded sacB gene on sucrose agar plates was used
as previously described (Donnenberg, supra) to identify
S. typhi clones which had eliminated plasmid sequences
via a second homologous recombination event,
reconstituting either a wild type or deleted phoP/phoQ
locus. Clones containing the phoP/phoQ D956 locus were
easily recognized as white colonies on indicator plates
containing the phosphatase substrate 5-bromo-4-choloro-3-
indolyl phosphate, or BCIP (the nonspecific acid
phosphatase of Salmonellae, encoded by the phoN gene, is
regulated by the phoP/phoQ loci and is responsible for
most of the blue coloration of S. typhi Ty2 on this
indicator plate; Kier et al., J. Bacteriol. 138:155,
1979) . Several white clones were characterized by
Southern blotting of chromosomal DNA to demonstrate the
anticipated chromosomal deletion in the phoP/phoQ genes
and one was designated TySOO.
Preparation of vaccine inocula
Stock cultures of TySOO were stored at -70°C in
20% glycerol and thawed for growth on Luria broth agar
plates for indentification and confirmation of species
(by agglutination with antisera) and phenotype on BCIP
plates prior to growth of inocula. Multiple colonies
identified as correct were subsequently inoculated into
Luria broth and grown for 16 hours at 37°C on a rotary
shaker. This culture was then suspended in 0.9% saline,
standardized spectophotometrically, and diluted as needed
in saline to attain the appropriate number of viable
colony forming units (cfu) in 35 ml. A sample of each
inoculum was diluted and plated for determination of the
exact cfu delivered at each log dose.
Human volunteers and study protocol
Healthy adult men and women ages 18-49 with no
prior history of typhoid fever vaccination were screened
for health status with a complete medical history and
physical exam. Laboratory screening tests included
complete blood counts, chemistry panel, HIV, hepatitis
and syphilis serologies, urinalysis, chest radiography
and stool culture and ova and parasite exam. Volunteers
were admitted to the General Clinical Research Center at
Massachusetts General Hospital between April and
September of 1995. Volunteers received a single oral
inoculum on the day of admission (study day 0) and were
followed in hospital for 14 subsequent days. Volunteers
were examined daily by a physician and vital signs were
taken every 6 hours. Blood was drawn for serologies at
the screening visit and study days 0, 7, 14, 21, and 28.
Blood was drawn routinely for peripheral blood
raononuclear cell (PBMC) isolations on study days 0 and 7,
and on days 4 and 10 for some individuals. Twelve
volunteers enrolled in the study and received vaccine. A
fourth volunteer in the highest dose group was excluded
from further study when Salmonella brandenberg was
isolated from two stool samples shortly after receiving
the experimental vaccine. This organism had not been
detected in a stool culture obtained at pre-study
screening visit 10 days prior to admission, nor on the
first 5 daily inpatient stool cultures. This volunteer
but was formally excluded from the study thereafter, as
evidence of active enteric infection was an exclusion
criterion. This individual completed the inpatient
observation period, felt completely well, but did not
return for serology collections. This volunteer denied
recent gastrointestinal illness but was presumably
asymptomatically infected with S. brandenburg at some
point in the past and intermittently excreting this
organism at very low levels. Ty21a vaccinees were a group
of microbiology laboratory workers. This group received
4 Ty21a capsules (Swiss Serum and Vaccine Institute,
Berne, Switzerland) on alternate days (1-6 x 109 cfu
viable organisms and 5-50 x 109 non viable bacterial
cells per capsule) as directed by the manufacturer.
Bacteriology
Bacteriology specimens were processed in the
Clinical Microbiology Laboratory of Massachusetts General
Hospital. A single daily stool culture was obtained from
each volunteer. Stools were planted both as primary
cultures and after overnight enrichment in selenite-F
broth on Hektoen enteric agar and MacConkey agar plates.
Quantitative stool cultures were performed on some
volunteers by dissolution and serial dilution of 0.5-1.0
g of stool in phosphate buffered saline and plating on
selective media. On study days 2, 4, 6, 8, and 10, two
sets of blood cultures were collected from each volunteer
and inoculated into Bactec (Becton Dickinson, Sparks MD)
aerobic and anaerobic blood culture bottles (5 ml
inoculum per bottle). Blood cultures were held for 7
days .
Immunological assays
ELISPOT analysis: Sterile ELISA plates with
nitrocellulose membrane bottoms (Millititer HA,
Millipore) were used in assays designed to enumerate the
number of peripheral blood IgA angtibody-secreting cells
(ASC) (Forrest et al., Lancet 1:81, 1988; Kantele et al.
J. Infect. Dis. 153:1126, 1986) directed against S. typhi
lipopolysaccharide (LPS). Membranes were incubated
overnight with either 50 mM sodium carbonate buffer (pH
10) alone, or buffer with LPS from S. typhi or Vibrio
cholerae, the latter as a control LPS antigen (both at 20
ug/ml, Sigma, St. Louis MO). Plates were then blocked
with phosphate buffered saline (PBS) containing 2% bovine
serum albumin (BSA) overnight and subsequently rinsed 3
times with PBS. Peripheral blood mononuclear cells
(PBMC) were isolated from 16 ml of citrated blood
utilizing Vacutainer Cell Preparation Tubes
(Becton-Dickinson, Franklin Lakes, NJ) as directed by the
manufacuturer; 1-2 x 107 PBMC were consistently obtained
per draw. PBMC were washed three times with PBS, counted,
and suspended at known concentrations in RPMI tissue
culture medium (Mediatech, Herndon, VA) containing 10%
fetal calf serum and 1% penicillin/streptomycin solution
(Sigma). Duplicate aliquots of 1 x 106 PBMC and serial
5-fold dilutions of these aliquots were applied to
membrane bottom wells treated with the various antigens
and incubated for 4 hours in a tissue culture incubator.
Non-adherent cells were removed by washing wells with PBS
(3 times) and PBS containing 0.05% Tween 20 (Sigma) (3
times). Goat anti-human IgA conjugated to peroxidase
(Kirkegaard and Perry Laboratories, Gaithersburg, MD) was
applied at a dilution of 1:2500 in PBS- 2% BSA, incubated
overnight at 4 °C, and plates were subsequently washed
with PBS/0.05% Tween 20 (5 times) and the with PBS (three
times). Membranes were developed for 15 minutes with
3-amino-9-ethyl-carbazole substrate (AEC, Sigma) in 0.1 M
acetate buffer at pH 5 as directed by the manufacturer.
Dry membranes were then punched out of the ELISA wells
using a cork borer and brown/red spots representing
IgA-bearing cells specifically bound to antigen-coated
membranes were counted at the most appropriate dilution
under 20x magnification. Numbers reported represent the
mean value for duplicate wells at an appropriate dilution
for counting.
Seroloqical analyses
ELISAs were used to measure increases in serum IgG
directed against either whole TySOO vaccine organisms or
S. typhi O antigen (DIFCO, Detroit, MI). The same
protocol was used to measure increases in serum IgA
directed against S. typhi LPS (coating solution 5/jg/ml
LPS) and serum. IgG directed against purified Vi antigen
(gift of Dr. Tim Barnett, CDC, Atlanta, GA; coating
solution 2 ug/ml). In each of these assays, a standard
serum dilution of 1:80 was used, and each diluted serum
sample was applied in parallel to wells containing either
buffer alone or buffer containing antigen. Affinity
purified, alkaline phosphatase-labelled goat antihuman
IgG or antihuman IgA secondary antibodies (Kirkegaard and
Perry Laboratories) were used. Specific optical density
(OD) was determined for each serum sample by subtracting
the OD value of the buffer well from the antigen well.
Increases in specific OD from preimraune to peak values
were obtained by subtracting the preimmune value from
values on subsequent days. Significant optical density
increases were those which exceed a statistically
derived significant OD threshold (0.22 OD units for the
whole cell IgG assay, 0.13 OD units for the O antigen IgG
assay, and 0.07 OD units for the LPS IgA assay). These
threshold values were determined by testing pre- and
post-immune paired sera from 15 volunteers receiving a
live attenuated cholera vaccine and are egual to the mean
net increase in OD plus 3 standard deviations of these
paired sera. To provide another measurement of
serological response, endpoint dilution studies were
performed using S. typhi LPS. In these studies, 5 /zg/ml
S. typhi LPS was used for coating antigen wells, and sera
were serially diluted 2-fold in PBS/2% BSA in a
microtiter plate beginning at 1:40. The endpoint titer
was defined as the highest serum dilution at which
specific optical density exceeded 0.15 OD units, and more
than a four fold increase in titer from preimmune to peak
was deemed significant. The Widal tube test using H
antigen was performed as directed by the manufacturer
(DIFCO). Fishers exact T-test was used to generate p
values for comparison between TySOO and Ty21a vaccinees.
In vitro characterization of TySOO
Chromosomal DNA of TySOO was demonstrated by
restriction endonuclease digestion and Southern blotting
to contain the anticipated chromosomal deletion in the
phoP and phoQ genes. TySOO had a growth rate in Luria
broth identical to that of the Ty2 parent strain as
measured by serial determinations of OD600 values for
cultures in logarithmic growth phase. TySOO was more
sensitive to rabbit defensin NP-1 than Ty2, a phenotype
of other PhoP/PhoQ null Salmonella strains (Miller et
al., Infect. Immunol. 68: , 1990).
Clinical response and side effects
Following vaccination 9/11 volunteers remained
completely well and had no temperature elevations or
other adverse effects. Two volunteers receiving the
highest dose of 4 x 1010 had transient side effects.
Volunteer number 9 had a single temperature elevation of
37.9°C approximately 20 hours after receiving the
vaccine, associated with one loose stool and myalgias.
He felt completely well within another 12 hours and had
no other adverse effects for the duration of the study.
Volunteer number 10 had a single temperature elevation to
38°C also at 20 hours after vaccination, and also had an
acute gastroenteritis-like picture with 10 loose to
liquid stoods (grade 3-4) during the time period of 12-36
hours following vaccination. Loose stools were
associated with cramping; there was no vomiting or bloody
stools. This syndrome resolved without therapy within 48
hours after vaccination and the volunteer felt well for
the remainder of the study. The excluded volunteer with
nontyphoidal felt completely well throughout the hospital
stay.
Bacteriology
No volunteer had blood cultures positive for the
vaccine organism at any time in the study (10
sets/volunteer). Limiting dilution studies using strain
TySOO and sterile human blood demonstrated that the blood
culture system utilized was very sensitive. Blood
culture bottles consistently turned positive within 48
hours after introduction of experimental inocula
calculated to deliver 1 organism as measured by parallel
plating on Luria broth agar plates.
The vaccine organism was detected in stool
cultures in 10/11 volunteers. Volunteer number 2 (1 of 2
receiving the lowest dose) had no positive stool
cultures. The duration of positive stool cultures ranged
from 1-3 days after vaccination in 9 volunteers.
Volunteer number 3 who received a dose of 6 x 108 cfu had
positive cultures on days 1, 2, and 3 and then
intermittently positive stool cultures only after

selenite enrichment until day 15 of the study. This
volunteer was completely asymptomatic during this time
and received a 7 day course of oral ciprofloxacin to
eradicate the vaccine organism, which was documented as
successful by multiple negative followup stool cultures
over the ensuing month. Quantitative stool cultures
performed only on volunteers receiving the highest 2
doses showed that vaccine organism burdens ranged from
102-105 cfu/gram of stool (8 x 109 cfu cohort) to 102-107
cfu/gram (4 x 1010 cfu cohort). The largest detectable
numbers of vaccine organisms occurred on days 1 and 2
after vaccination and decreased rapidly thereafter.
Vaccine organisms recovered from volunteers retained
their PhoP null phenotype on BCIP plates (see above).
Immunological analyses
All volunteers, except number 1, who received the
lowest dose, had signficant numbers of IgA-bearing cells
directed against S. typhi LPS detected in their
peripheral blood on day 7 after vaccination (Table 1A).
Control studies performed on day 0 and control wells
containing buffer alone or V. cholerae LPS on days 0 and
7 were negative in all cases ( highest inoculum of cells). Additional ELISPOT studies
performed on days 4 and 10 for the 2 lower dose groups
showed that IgA secreting cell numbers were maximal on
day 7 (data not shown), as previously demonstrated for
Ty21a (Kantele et al., J. Infect. Dis. 153:1126, 1986).
The excluded volunteer excluded with complicating
non-typhoidal salmonellosis had 9 IgA secreting cells
detected on day 0 and 1,325 on day 7 after vaccination.
Several serological studies were performed to
examine humoral immune responses to different
preparations of S. typhi antigens. ELISAs using standard
1:80 dilutions of serum samples to measure increases in
serum IgG against O antigen or whole vaccine organisms
were positive in 9/11 volunteers over the entire range of
doses in each assay. ELISA results for a control group
that received 4 doses of Ty21a were positive in 3/8 or
5/8 vaccinees, respectively in these assays. (Two
control vaccinees, numbers 13 and 14, had high background
OD values in these assays - one had been vaccinated with
a parenteral typhoid fever vaccine more than 30 year
ago). Peak IgG responses in these assays occurred on
study days 14 or 21 days for both TySOO and Ty21
vaccinees.
Five of 11 volunteers had evidence of
seroconversion by four-fold or greater increases in
endpoint titers utilizing S. typhi LPS as an antigen, and
6/11 seroconverted by four- fold or greater increases in
the Widal tube agglutination test using H antigen.
Considering seroconversion to either of these antigens
evidence of a systemic immune response, 7/11 volunteers
over the wide dose range given seroconverted after single
dose vaccinations. In comparison, only 3/8 volunteers
receiving 4 oral doses of Ty21a seroconverted by IgG
endpoint titer vs. LPS (vs. Ty800, p = 0.65), and none
had positive Widal tube agglutination tests (vs. TySOO,
p=0.018).
Serum IgA directed against S. typhi LPS has been
demonstrated to increase significantly in some
individuals after vaccination with live attenuated S.
typhi vaccines (Forrest et al., J. Infect. Dis. 163:336,
1991; Tacket et al., Vaccine :443, 1991). As
IgA-ELISPOT studies were not performed for the Ty21a
group, we measured serum IgA by ELISA to provide another
measure of comparison between these 2 groups. Eight of
11 experimental vaccinees and 4/8 Ty21a vaccines had
significant increases in OD values reflecting serum IgA
directed against S. typhi LPS (Table.1A; p = 0.38).
Three of 11 volunteers (numbers 6, 10, and 11)
also had measurable increases in serum IgG directed
against purified Vi antigen. In this assay, Ty21a
vaccinees were used as a control population, as Ty21 does
not express the Vi antigen. Volunteers 6, 8, and 10 had
peak specific OD increases of 0.56, 0.26 and 0.34 OD
units respectively at a 1:80 dilution of sera, while the
mean net increase +/- 3 SD for Ty21a vaccinees from day 0
to day 21 was 0.02 +/- 0.04 OD units.
The studies described above demonstrates that
Ty800, a genetically defined phoP/phoQ-deleted S. typhi
Ty2, is markedly attenuated in human volunteers and is a
very promising candidate vaccine and vector strain.
Importantly, no volunteer developed serious side effects,
or bacteremias even at very high doses. A dose level
which induced some toxicity was reached, but only one
volunteer had a self- limited gastroenteritis-like
adverse event, and lower doses were clearly still
immunogenic. One volunteer appeared to have become
colonized with the vaccine organism; others shed the
organism only transiently after vaccination.
Unfortunately, quantitative stool cultures were not
performed on the volunteer with prolonged shedding, and
because this volunteer received antibiotics to eliminate
the recombinant organism, the true duration of
colonization could not be assessed. This volunteer
received only 108 cfu and volunteers receiving much
larger doses did not have prolonged shedding, suggesting
that colonization patterns may be more dependent upon
host factors than vaccine-specific factors. It has been
previously suggested that the presence or absence of
secreted ABH carbohydrate determinants may modulate
adherence of S. typhi to epithelial cells.
After vaccination with Ty21a, .IgA production by
PBMC in vitro is a very sensitive measure of
inununological response which correlates more highly with
intestinal IgA production than serum measurement of IgG
or IgA (Forrest et al., Infect. Irmunol 60:2023, 1992).
Ten of 11 (91%) volunteers receiving any single dose of
TySOO had evidence of intestinal immune responses as
measured by significant numbers S. typhi LPS-specific
IgA-bearing peripheral blood mononuclear cells on day 7
after vaccination. In previous studies, 3 doses of Ty21a
have resulted in detection of IgA- bearing cells by
ELISPOT in 56% (Tacket et al., J. Infect. Dis. 163:901,
1991) to 80% (Kantele et al., J. Infect. Dis. 153:1126,
1986) of individuals. S. typhi-specific IgA production
by PBMC in vitro was detected in 93%-100% of volunteers
after vaccination with Ty21a (Forrest et al., Lancet
1:81, 1988; Forrest, Infect. Inununol. 60:2023, 1992).
CVD908, a single dose, aromatic amino auxotrophic vaccine
strain of S. typhi, induced S. typhi-specific antibody
secreting cells (ASC) or in vitro IgA production by PBMC
in 100% of volunteers (Gonzales et al., J. Infect. Dis.
169:927, 1994; Tacket et al, Vaccine :443, 1992) at doses
that resulted in bacteremias in some individuals. In our
study and those of other detection of ASC cells appears
to be an extremely sensitive measure of immunological
response to oral attenuated S. typhi vaccines. TySOO
induced more than 1000 ASC/106 PBMC in 6/11 volunteers
and more than 2000 ASC/106 PBMC in those receiving the
highest dose, larger numbers than previously reported in
studies of attenuated live typhoid vaccines in which ASC
numbers were specifically reported (Gonzales et al.,
supra; Kantele et al., J. Infect. Dis. 153:1126, 1986).
By the studies performed here, a single oral dose of
TySOO appeared to induce comparable, if not superior
increases in markers of intestinal immune responses to
multiple oral doses of Ty21a. These results suggest that
TySOO may be a particularly promising' vector strain for
antigens relevant to the gastrointestinal tract, or where
secretory IgA at other sites is important. Direct
measurement of intestinal IgA and IgA at other mucosal
sites would be useful in future studies of TySOO.
The relative importance of intestinal and systemic
serological responses in typhoid fever is debated (Levine
et al., Rev, Inf. Dis. 11S3:S552, 1989). Systemic
seroconversion has correlated with protection in endemic
areas (Levine.et al., supra), and parenteral vaccines
which do not generate intestinal immunity have been shown
to have some protective efficacy in both endemic areas
(Levine et al., supra) and presumed naive vaccinees
Schwartz et al., Arch. Intern. Med. 150:349, 1994).
Additionally, generation of systemic humoral immune
responses is relevant to other antigens potentially
engineered into a multivalent vector strain (e.g.
tetanus or pertussis toxin fragments). Systemic humoral
immune responses measured by a variety of techniques
after single doses of TySOO were equal, and in some
studies performed here, superior to those generated by 4
doses of Ty21a. 6/11 volunteers seroconverted by the
Widal test, compared with 0/8 Ty21a vaccinees. Lack of
seroconversion in the Widal test has been reported in
previous study of Ty21 (Tacket et al., J. Infect. Dis.
163:901, 1991) and approximately 50% serconversion by
Widal was seen in a recent study of volunteers receiving
two oral doses of CVD908 expressing a malarial
circumsporozoite antigen (Gonzales et al., supra).
We found that the most sensitive assays for
detecting increases in serum IgG were ELISAs against
whole vaccine organisms or S. typhi O antigen. We used
this technique because it had successfully documented
serological responses to attenuated S. typhi strains at
the Center for Vaccine Development (Gonzales et al.,
supra; Tacket et al., Infect. Immun. 60:536, 1992; Tacket
et al., Vaccine :443, 1992). Using these ELISAs, we
found that even controls and volunteers with high
baseline OD values in an endpoint dilution study
(volunteers 6 and 8, and controls 13 and 14) mounted
increases in specific OD units which exceeded by 3
standard deviations the mean net increase of the control
cholera-vaccinated population. For example, volunteer 8,
who had large increases in IgA-secreting cells.but
endpoint titers falling short of formally seroconverting
had relatively large increases in optical densities
ELISAs (0.6-0.8 OD units). This individual did not meet
criteria for seroconversion by the less sensitive but
presumably more specific endpoint dilution titer tests
against S. typhi LPS (Table 1A); nevertheless it is
likely that this volunteer had a true serological
response to S. typhi. Similarly, controls 13 and 14 had
high baseline titers in the LPS endpoint dilution study,
and no increase after vaccination; these 2 control
vaccinees did exceed the statistically significant
threshold in the ELISA studies. We presume that these 4
individuals with high baseline titers or OD values may
have unknowningly had prior typhoid fever vaccines or
exposure to cross-reacting bacterial antigens. Most
likely, nontyphoidal salmonellosis, which has been
demonstrated to impair response to Ty21a (Forrest et al.,
J. Infect. Dis. 166:210, 1992) may be responsible for the
high baseline values in serological tests and relatively
poor serological responses in these individuals.
In both groups there were individuals with very
low baseline serology results in all assays (volunteers 1
and 7 and controls 15 and 19) who were apparent
serological nonresponders, presumably as a result of
other unknown host factors. Volunteer 7 had no evidence
of serological response in any assay, but still generated
significant numbers of specific IgA-secreting cells,
confirming that this is a very sensitive measure of
immunological response to enteric vaccines. The results
of the excluded volunteer with coexisting S. brandenburg
infection are more difficult to interpret. Presumably
the low level positive ELISPOT study on day 0 represent
cells generated by the nontyphoidal infection which cross
reacted with 5. typhi LPS. It is not possible to say
what proportion of day 7 ELISPOT cells are attributable
to the experimental vaccine.
An unexpected finding in our study was the
apparent systemic immune response to orally administered
Vi antigen. There was no seroconversion to Vi antigen in
a previous trial of 9 volunteers who received 3 oral
doses of 5 x 109 cfu of Ty21a engineered to express this
antigen, despite expected rates of seroconversion to
other antigens (Tacket et al., J. Infect. Dis. 163:901,
1991). Serological studies of Vi antigen responses have
not been consistently reported in studies of other
attenuated S. typhi vaccines, but occasional unquantified
responses have been noted (Tacket et al., Infect. Immun.
60:536, 1992), suggesting that the more immunogenic live
oral vaccines may also engender responses to Vi. Two of
the volunteers (numbers 6 and 10) in our study who
responded to this antigen were not those with the most
vigorous serological responses in other assays,
suggesting that host factors may direct responses to
individual antigens. In summary, we have demonstrated
that TySOO is a promising new single-dose oral typhoid
vaccine candidate which appears safe and is highly
immunogenic. Although this study tested small numbers of
volunteers at each dose, several important features of
this vaccine strain are apparent. Large doses were
well-tolerated and lower doses were immunogenic. There
were no bacteremias in this study, making this vaccine
strain more widely applicable to large populations than
less attenuated strains. Very large numbers of vaccine
specific IgA-secreting cells were generated, suggesting
that this strain may be particularly useful in generating
mucosal immune responses. phoP- activated genes, which
; will be transcriptionally repressed in TySOO, have been
demonstrated in vitro in S. typhimurium to inhibit
antigen processing within murine macrophages (Wick et
al., Mol. Micro. 16:465, 1995). We conclude that TySOO
may be a particularly useful vaccine strain for both
development of a single oral dose typhoid fever vaccine
and for engineering an S. typhi vector capable of
delivering heterologous antigens to the gastrointestinal
immune system.
Constitutive Expression of the PhoP Requlon Attenuates
Salmonella Virulence and Survival within Macrophaqes
The phoP constitutive allele (PhoP0) , pho-24,
results in derepression of pag loci. Using diethyl
sulfate mutagenesis of S. typhimurium LT-2, Ames and coworkers
isolated strain TA2367 pho-24 (all strains,
materials, and methods referred to in this section are
described below), which contained a phoP locus mutation
that resulted in constitutive production of acid
phosphatase in rich media, Kier et al., 1979, J.
Bacteriol. 138:155, hereby incorporated by reference.
This phoP-regulated acid phosphatase is encoded by the
phoN gene, a pag locus, Kier et al., 1979, supra, Miller
et al., 1989, supra. To analyze whether the pho-24
allele increased the expression of other pag loci the
effect of the pho-24 allele on the expression of other
pag loci recently identified as transcriptional (e.g.,
pagA and pagB) and translational (e.g., pagC) fusion
proteins that required phoP and phoQ for expression,
Miller et al., 1989, supra, was determined. pag gene
fusion strains, isogenic except for the pho-24 allele,
were construpted and assayed for fusio^n protein activity.
PhoPc derivatives of the pagA: :Mu dJ and pagJ3::Mu dJ
strains produced 480 and 980 U, respectively, of /?-
galactosidase in rich medium, an increase of 9- to 10-
fold over values for the fusion strains with a wild-type
phoP locus, see Table 1.
(Table Removed)
The pagC::TnphoA gene fusion produced 350 U of
AP, an increase of three- to fourfold over that produced
in strain CS119, which is isogenic except for the pho-24
mutation, Miller et al., 1989, supra. These results
compare with a ninefold increase in the acid phosphatase
activity in strain CS022 on introduction of the pho-24
allele. Therefore, these available assays for pag gene
expression document that the pho-24 mutation causes
constitutive expression of pag loci other than phoN.
Identifications of protein species that are repressed as
well as activated in the PhoP° mutant strain
Whole-cell proteins of strain CS022 were analyzed
to estimate the number of protein species that could be
potentially regulated by the PhoP regulon. Remarkably,
analysis by one-dimensional polyacrylamide gel
electrophoresis of the proteins produced by strains with
the PhoPc phenotype indicated that some protein species
were decreased in expression when many presumptive pag
gene products were fully induced by the pho-24 mutation.
The proteins decreased in the PhoPc strain might
represent products of genes that are repressed by the
PhoP regulator. Genes encoding proteins decreased by the
pho-24 allele are designated prg loci, for phoP-repressed
genes. Comparison of wild-type, PhoP", and PhoPc mutant
strain proteins shows that growth in LB medium at 37°C
represents repressing conditions for pag gene products
and derepressing conditions for prg gene products.
To estimate the total number of potentially PhoPregulated
gene products, the total cell proteins of wildtype
and PhoPc mutant strains grown in LB were analyzed
by two-dimensional gel electrophoresis. At least 40
species underwent major fluctuation in expression in
response to the pho-24 mutation.
(Table Removed)

Remarkably, strains with the single pho-24
mutation were markedly attenuated for virulence in mice
(Table 2). The number of PhoPc organisms (2 x 105) that
killed 50% of BALB/c mice challenged (LD50) by the
intraperitoneal (i.p.) route was near that (6 x 105) of
PhoP~ bacteria, Miller et al., 1989, supra. The PhoPc
strains had growth comparable to wild-type organisms in
rich and minimal media. The PhoPc mutants were also
tested for alterations in lipopolysaccharide, which could
explain the virulence defect observed. Strain CS022 had
normal sensitivity to phage P22, normal group B
reactivity to antibody to O antigen, and a
lipopolysaccharide profile identical to that of the
parent strain, as determined by polyacrylamide gel
electrophoresis and staining.
Since the TA2367 pho-24 strain was constructed by
chemical mutagenesis and could have another linked
mutation responsible for its virulence defect revertants
of the PhoPc were isolated to determine whether the pho-
24 allele was responsible for the attenuation of
virulence observed. Phenotype PhoPc revertants,
identified by the normal levels of acid phosphatase in
rich medium, were isolated among the bacteria recovered
from the livers of mice infected with strain CS022. Six
separate phenotypic revertants, designated CS122 to
CS128, were found to be fully virulent (LD50 of less than
20 organisms for BALB/c mice). The locus responsible for
the reversion phenotype was mapped in all six revertants
tested for virulence by bacteriophage P22 cotransduction
and had linkage characteristics consistent with the phoP
locus (greater than 90% linkage to purB) . These data
indicate that these reversion mutations are not
extragenic suppressors but are intragenic suppressors or
true revertants of the pho-24 mutation. Thus, the
virulence defect of PhoPc mutants is probably the result
of a single revertible mutation in the phoP locus and not
the result of a second unrelated mutation acquired during
mutagenesis.
Reversion frequency of the PhoPc phenotype
The reversion frequency of the PhoP0 mutation in
vivo in mice was investigated to assess whether reversion
could reduce the LD50 of this strain. The presence of the
revertants of strain CS022 was tested for by
administering 105, 104, and 102 challenge organisms to
each of eight animals by i.p. injection. On day 7, three
animals died that received 106 PhoPc organisms. On that
day, the livers and spleens of all animals were harvested
and homogenized in saline. After appropriate dilution,
t
10% of the tissue was plated on LB plates containing the
chromogenic phosphatase substrate XP. Revertants were
identified by their lighter blue colonies compared with
PhoPc bacteria and were confirmed by quantitative acid
phosphatase assays. An estimated 107, 105, and 103
organisms per organ were recovered from animals at each
of the three respective challenge doses. Revertants were
identified only at the highest dose and comprised 0.5 to
1%, or. 105 organisms per organ, at the time of death. It
is likely that revertants are able to compete more
effectively for growth in these macrophage-containing
organs, since strain CS022 is deficient in survival
within macrophages (see below). However, revertants were
not identified if fewer than 105 organisms were
administered in the challenge dose, suggesting that the
reversion frequency must be approximately 10~5. The
reversion rate of the PhoPc phenotype for CS022 bacteria
grown in LB is in fact 6xlO~4 when scored by the same
colony phenotypes. The percentage of revertants
recovered from animals near death suggests that pressure
is applied in vivo that selects for revertants of the
PhoPc phenotype and implies that the virulence defect
observed could be much greater quantitatively for a
strain with a nonrevertible PhoP° mutation.
The PhoPc strain is deficient in survival within
macrophages Because of the importance of
survival within macrophages to Salmonella virulence
Fields et al., 1986, Proc. Natl. Acad. Sci. USA 83:5189,
hereby incorporated by reference, PhoPc bacteria were
tested for this property. Strain CS022 was defective in
.the ability to grow and persist in macrophages as
compared with wild-type organisms (Fig. 1). In Fig. 1
the survival of strain CS022 (PhoPc) (triangles) in
cultured macrophages is compared with that of wild-type
S. typhimurium ATCC 10428 (circles). The experiment
shown is a representative one. The difference between

the two strains at 4 and 24 hours is significant (P 0.05). PhoP~ bacteria seemed to have a macrophage
survival defect qualitatively similar to that of PhoPc
bacteria but survived consistently better by two- to
threefold in side-by-side experiments. The increased
recovery of organisms that reverted to PhoPc phenotype in
mouse organs rich in macrophage content is consistent
with the reduced macrophage survival of PhoP° mutants in
vitro.
Use of the PhoPc strain as a live vaccine
It has been previously reported that PhoP~ strains
are useful as live vaccines in protecting against mouse
typhoid, Miller et al., 1989, supra. The immunogenicity
of PhoP° when used as live attenuated vaccines in mice
was compared with the of PhoP~. This was done by
simultaneous determination of survival, after graded
challenge doses with the wild-type strain ATCC 10.428, in
mice previously immunized with graded doses of the two
live vaccine strains. CS015 phoP::TnlOd-Cam and CS022
pho-24, as well as a saline control. The results
obtained (Table 2) suggest the following conclusions: (i)
small i.p. doses of the PhoP0 strain (e.g., 15 organisms)
effectively protect mice from challenge doses as large as
5xl05 bacteria (a challenge dose that represents greater
than 104 i.p. LD50s) , (ii) large doses of PhoPc organisms
given orally completely protect mice from an oral
challenge consisting of 5xl07 wild-type bacteria (over
200 oral wild-type LD50s) and (iii) by comparison, a large
dose of PhoP" organisms (5xl05) does not provide similar
protection. The reversion of the PhoP0 mutation in vivo
somewhat complicates the analysis of the use of these
strains as vaccines, since revertants of the CS022 strain
(i.e., wild-type cells) could increase immunogenicity).
However, we were unable to identify revertants by
examining 10% of the available spleen and liver tissue
from those mice that received 104 or fewer organisms.
Strains. Materials and Methods
The strains,, materials, and methods used in the
PhoP regulon work described above are as follows.
American Type Culture Collection (ATCC) strain
14028, a smooth virulent strain of S. typhimurium, was
the parent strain for all virulence studies. Strain
TT13208 was a gift from Nang Zhu and John Roth. Strain
TA2367 was a generous gift of Gigi Stortz and Bruce Ames,
Kier et al., 1979, supra. Bacteriophage P22HT int was
used in transductional crosses to construct strains
isogenic except for phoP locus mutations, Davis et al.,
1980, Advanced Bacterial Genetics, p. 78, 87. Cold
Spring Harbor Laboratory, Cold Spring Harbor, NY, hereby
incorporated by reference. Luria broth was used as rich
medium, and minimal medium was M9, Davis et al., 1980,
supra. The chromogenic phosphatase substrate 5-bromo-4-
chloro-3indolyl phosphate (XP) was used to qualitatively
access acid and AP production in solid media.
Derivatives of S. typhimurium ATCC 10428 with the
pho-24 mutation were constructed by use of strain TA2367
as a donor of the purB gene in a P22 transductional cross
with strain CS003 AphoP ApurB, Miller et al., 1989,
supra. Colonies were then selected for the ability to
grow on minimal medium. A transductant designated CS022
(phenotype PhoPc) that synthesized 1,750 U of acid
phosphatase in rich medium (a ninefold increase over the
wild-type level in rich medium) was used in further
studies.
Derivatives of strains CS022 and CS023 pho-24
phoN2 zxx::6251TnlOd-Cam, and acid phosphatase-negative
derivative of CS02.2, containing pag gene fusions were
constructed by bacteriophage P22 transductional crosses,
using selection of TnphoA- or Mu dJ-encoded kanamycin
resistance. Strains were checked for'the intact pag gene
fusion by demonstration of appropriate loss of fusion
protein activity on introduction of a phoPlOS::Tnl0d or
phoP102::TnlOd-Cam allele.
Assays of acid phosphatase, AP, and (3-
galactosidase were performed as previously described,
Miller et al., 1989, supra and are reported in units as
defined in Miller, 1972, Experiments in molecular
genetics, p. 352-355, Cold Spring Harbor Laboratory, Cold
Spring Harbor, NY, hereby incorporated by reference.
In the mouse virulence and vaccination studies
bacteria grown overnight in Luria broth were washed and
diluted in normal saline. The wild-type parent strain of
CS022 (ATCC 10428) was used for all live vaccine
challenge studies. This strain has a 50% lethal dose
(LD50) for naive adult BALB/c mice of less than 20
organisms when administered by intraperitoneal (i.p.)
injection and 5xl04 when administered orally in NaHC03.
Mice were purchased from Charles River Breeding
Laboratories, Inc. (Wilmington, Mass.) and were 5 to 6
weeks of age at initial challenge. All i.p. inoculations
were performed as previously described, Miller et al.,
1989, supra. Oral challenge experiments were performed
with bacteria grown in LB broth and concentrated by
centrifugation. The bacteria were resuspended in 0.1 M
NaHCO3 to neutralize stomach acid, and administered as a
0.5-ml bolus to animals under ether anesthesia. Colony
counts were performed to accurately access the number of
organisms administered. All challenge experiments were
performed 1 month after i.p. inoculation and 6 weeks
after oral challenge. Challenge inocula were
administered by the same route as vaccinations. The care
of all animals was under institutional guidelines as set
by the animal are committees at the Massachusetts General
Hospital and Harvard Medical School.
Protein electrophoresis was performed as follows.
One-dimensional protein gel electrophoresis was performed
by the method of Laemrali, 1970, Nature 227 ;680, hereby
incorporated by reference, on whole-cell protein extracts
of stationary-phase cells grown overnight in Luria broth.
The gels were fixed and stained with Coomassie brilliant
blue R250 in 10% acetic acid-10% methanol. Twodimensional
protein gel electrophoresis was performed by
method of O'Farrell, 1975, J. Biol. Chem. .250:4007,
hereby incorporated by reference, on the same whole-cell
extracts. Isoelectric focusing using 1.5% pH 3.5 to 10
ampholines (LKB Instruments, Baltimore, Md.) was carried
out for 9,600 V h (700 V for 13 h 45 min). The final
tube gel pH gradient extended from pH 4.1 to pH 8.1 as
measured by a surface pH electrode (BioRad Laboratories,
Richmond, Calif.) and colored acetylated cytochrome pi
markers (Calbiochem-Behring, La Jolla, Calif.) run in an
adjacent tube. The slab gels were silver stained, Merril
et al., 1984, Methods Enzymol. 104:441. hereby
incorporated by reference.
In the macrophage survival assays experiments were
performed as previously described, Miller et al., 1989,
supra, by the method of Buchmeier et al., 1989, Infect.
Immun. 5_7:1, hereby incorporated by reference, as
modified from the method of Lissner et al, 1983, J.
Immunol. 131:3006, hereby incorporated by reference.
Stationary-phase cells were opsonized for 30 min in
normal mouse serum before exposure to the cultured bone
marrow-derived macrophages harvested from BALB/c mice.
One hour after infection, gentamicin sulfate (8 /ng/ml)
was added to kill extracellular bacteria. All time
points were done in triplicate and repeated on three
separate occasions.
PhoPc Mutant Strains Are More Effective as Live Vaccines
PhoPc mutant S. typhimurium are very effective
when used as a live vaccine against mouse typhoid fever
and are superior to PhoP~ bacteria. As few a 15 PhoPc
bacteria protect mice against 105 LD50 (lethal doses 50%)
of wild type organisms by the intraperitoneal route
(Table 3). This suggests that pag gene products are
important antigens for protective immunity against mouse
typhoid. Preliminary results have documented that
antigens recognized by serum of chronic typhoid carriers
recognizes some phoP-regulated gene products of S. typhi.
If protective antigens are only expressed within the
host, then dead vaccines only grown in rich media may not
induce an immune response against these proteins.
The use of different S. typhimurium dead vaccine
preparations containing different mutations in the phoP
regulon was evaluated. As can be seen in Table 3 no dead
cell preparations (even those containing mixtures of
PhoP~ and PhoPc bacteria) are as effective vaccines as are
live bacteria. This suggests that there are other
properties of live vaccines that increase immunogenicity
or that important non-PhoP-regulated antigens are not in
these preparations. The only protection observed in any
animals studied was at the lowest challenge dose for
those immunized with PhoPc bacteria. This further
suggests that phoP activated genes are important
protective antigens.
(Table Removed)
BALB/c mice were immunized twice, 7 days apart, with 5x10
formalin-killed bacteria. Three weeks after the second vaccination,
mice were challenged with wild-type organisms at the two doses
indicated. The numbers in parentheses indicate no survivors after
challenge and mean number of days until death (*) Ratio of survivors
to number challenged.
phoPc indicates the constitutive unregulated expression of
phoP-activated genes and lack of expression of phoP repressed genes.
phoP' indicates a lack of expression of p^oP-activated genes
and expression of phoP repressed genes.
aroA PhoP Requlon Double Mutant Strains
Recent efforts by Stocker, Levine, and colleagues
have focused on the use of strains with auxotrophic
mutations in aromatic amino acid and purine pathways as
live vaccines, Hoseith et al., 1981, Nature 291:238,
hereby incorporated by reference, Stocker, 1988, Vaccine
6.: 141, hereby incorporated by reference, and Levine et
al., 1987, J. Clin. Invest. 7__9:888, hereby incorporated
by reference. Purine mutations were found to be too
attenuating for immunogenicity, likely because purines
are not available to the organism within the mammalian
host, Sigwart et al., 1989, Infect. Immun. 57:1858.
hereby incorporated by reference. Because auxotrophic
mutations may be complemented by homologous recombination
events with wild type copies donated from environmental
organisms or by acquiring the needed metabolite within
the host, it would seem prudent for live vaccines to
contain a second attenuating mutation in a different
virulence mechanism, (i.e., not just a second mutation in
the same metabolic pathway). Additionally, in mice the
aroA mutants have some residual virulence. Various
strains with aroA mutations combined with phoP regulon
mutations were investigated for virulence attenuation and
immunogenicity. Table 4 demonstrates that a PhoP~ or
PhoPc mutation further attenuates aroA mutant S.
typhimurium by at least 100-fold and that, at least at
high levels of vaccinating organisms, immunogenicity is
retained. Strains with both a pagC~ and phoP0 phenotype
are also further attenuated than either mutation alone.
Therefore, phoP regulon mutations may increase the safety
of aroA live vaccine preparations.
(Table Removed)
Salmonella typhi phoP Requlon Mutations
The phoP regulon is at least partially conserved
/
in 5. typhi DNA hybridization studies as well as P22
bacteriophage transductional crosses have documented that
the phoP, phoQ, and page genes appear highly conserved
between S. typhi and S. typhimurium mutations in these
genes in S. typhi have been made.
Salmonella Live Vaccines as Delivery Systems for
Heterologous Antigens
The vector used in the vaccine delivery system is
a derivative of pJM703.1 described in Miller et al.,
1988, J. Bact. 170:2575, hereby incorporated by
reference. This vector is an R6K derivative with a
deletion in the pir gene. R6K derivatives require the
protein product of the pir gene to replicate. E. coli
that contain the pir gene present as a lambda
bacteriophage prophage can support the replication of
this vector. Cells that do not contain the pir gene will
not support the replication of the vector as a plasmid.
This vector also contains the mob region of RP4 which
will allow mobilization into other gram negative bacteria
by mating from E. coli strains such as SMIOlambda pir,
which can provide the mobilization function in trans.
The pagC region is shown in Figs. 2 and 3. Fig. 2
shows the restriction endonuclease sites of the pagC
locus. The heavy bar indicates pagC coding sequence.
The TnphoA insertion is indicated by a inverted triangle.
The direction of transcription is indicated by the arrow
and is left to right. The numbers indicate the location
of endonuclease sites, in number of base pairs, relative
to the start codon of predicted pagC translation with
positive numbers indicating location downstream of the
start codon and negative numbers indicating location
upstream of the start codon. A is AccI, B is Bgll, C is
Clal, D is Oral, E is EcoRI, H is //pal, N is Nrul, P is
PstI, S is Sspl, T is Stult U is PvuII, V is £coRV, and
II is Bgrlll. Fig. 3 shows the DNA sequence (Sequence
I.D. No. 1) and translation of page::TnphoA. The heavy
t
underlined sequence indicates a potential ribosomal
binding site. The single and double light underlines
indicate sequences in which primers were constructed
complementary to these nucleotides for primer extension
of RNA analysis. The asterisk indicates the approximate
start of transcription. The arrow indicates the
direction of transcription. The boxed sequences indicate
a region that may function in polymerase binding and
recognition. The inverted triangle is the site of the
sequenced TnphoA insertion junction. The arrow indicates
a potential site for single sequence cleavage.
3 kilobases of DNA containing the pagC gene (from
the PstI restriction endonuclease site 1500 nucleotides
5' to the start of page translation to the EcoRI
restriction endonuclease site 1585 nucleotides downstream
of pagC translation termination) were inserted into the
pJM703.1 derivative discussed above. The pagC sequence
from the Clal restriction endonuclease site 'was deleted
(490 nucleotides) and replaced with a synthetic
oligonucleotide polylinker that creates unique
restriction endonuclease sites. DNA encoding one or more
heterologous proteins, e.g., an antigen, can be inserted
into this site. This creates a vector which allows the
insertion of multiple foreign genes into the DNA
surrounding pagC.
The vector can be mobilized into Salmonella by
mating or any other delivery system, e.g., heat shock,
bacteriophage transduction or electroporation. Since it
can not replicate, the vector can only insert into
Salmonella by site specific recombination with the
homologous DNA on both sides of the pagC gene. This will
disrupt and inactivate the native pagC locus and replace
it with the disrupted pagC DNA carried on the vector.
Such recombination events can be identified by
marker exchange and selective media if the foreign DNA
inserted into the page locus confers a growth advantage.
The insertion of antibiotic resistance genes for
selection is less desirable as this could allow an
increase in antibiotic resistance in the natural
population of bacteria. Genes which confer resistance to
substances other than antibiotics e.g., to heavy metals
or arsenic (for mercury resistance, see Nucifora et al.,
1989, J. Bact., 171:4241-4247, hereby incorporated by
reference), can be used to identify transformants.
Alternatively, selection can be performed using a
Salmonella recipient strain that carries an auxotrophic
mutation in a metabolic pathway and a vector that carries
DNA that complements the auxotrophic mutation. Many
Salmonella live vaccine prototypes contain mutations in
histidine or purine pathways thus complementation of
these metabolic auxotrophies can be used to select for
integrants. (Purine mutations specifically have been
shown to be too attenuated for use in man.) Further
proof of marker exchange can be documented by loss of the
ampicillin resistance (carried on the plasmid backbone)
or by blot hybridization analysis.
A gene useful for selection can be cloned by
complementation of a vaccine strain with a metabolic
auxotrophy. Specific examples include the cloning of the
DNA encoding both purB and phoP by complementation of a
strain deleted for function of both these- genes.
Salmonella gene libraries have been constructed in a
pLAFR cosmid vector (Frindberg et al., 1984, Anal.
Biochem. 137:266-267, hereby incorporated by reference)
by methods known to those skilled in the art. pLAFR
cosmids are broad host range plasmids which can be
mobilized into Salmonella from E. coli. An entire bank
of such strains can be mobilized into' Salmonella vaccine

strains and selected for complementation of an
auxotrophic defect (e.g., in the case of purB growth on
media without adenine). The DNA able to complement this
defect is then identified and can be cloned into the
antigen delivery vector.
As discussed above heterologous genes can be
inserted into the polylinker that is inserted into the
page sequence of the vector. The heterologous genes can
be under the control of any of numerous environmentally
regulated promoter systems which can be expressed in the
host and shut off in the laboratory. Because the
expression of foreign proteins, especially membrane
proteins (as are most important antigens), is frequently
toxic to the bacterium, the use of environmentally
regulated promoters that would be expressed in mammalian
tissues at high levels but which could be grown in the
laboratory without expression of heterologous antigens
would be very desirable. Additionally, high expression
of antigens in host tissues may result in increased
attenuation of the organism by diverting the metabolic
fuel of the organism to the synthesis of heterologous
proteins. If foreign antigens are specifically expressed
in host phagocytic cells this may increase the immune
response to these proteins as these are the cells
responsible for processing antigens.
The promoter systems likely to be useful include
those nutritionally regulated promoter systems for which
it has been demonstrated that a specific nutrient is not
available to bacteria in mammalian hosts. Purines,
Sigwart et al., 1989, Infect. Immun., 5.7:1858 and iron,
Finklestein et al., 1983, Rev. Infect. Dis. 5:S759, e.g.,
are not available within the host. Promoters that are
iron regulated, such as the aerobactin gene promoter, as
well as promoters for biosynthetic genes in purine
pathways, are thus excellent candidates for testing as
promoters that can be shut down by growth in high
concentrations of these nutrients. Other useful
environmentally regulated Salmonella promoters include
promoters for genes which encode proteins which are
specifically expressed within macrophages, e.g., the DnaK
and GroEL proteins, which are increased by growth at high
temperature, as well as some phoP activated gene
products, Buchmeier et al., 1990, Science 248:730. hereby
incorporated by reference. Therefore, promoters such as
the pagC 5' controlling sequences and the better
characterized promoters for heat shock genes, e.g., GroEL
and DnaK, will be expected to be activated specifically
within the macrophage. The macrophage is the site of
antigen processing and the expression of heat shock genes
in macrophages and the wide conservation of heat shock
genes in nature may explain the immunodominance of these
proteins. A consensus heat shock promoter sequence is
known and can be used in the vectors (Cowling et al.,
1985, Proc. Natl. Acad. Sci. USA 82:2679, hereby
incorporated by reference).
The vectors can include an environmentally
regulated T7 polymerase amplification system to express
heterologous proteins. For example, the T7 polymerase
gene (cloned by Stan Tabor and Charles Richardson, See
Current Protocols in Molecular Biology ed. Ausubel et
al., 1989, (page 3.5.1.2) John Wiley and Sons, hereby
incorporated by reference) under control of an iron
regulated promoter, can be included on the vectors
described above. We have inserted the aerobactin gene
promoter of E. coli with the sequence
CATTTCTCATTGATAATGAGAATCATTATTGACATAATTGTTATTATTTTACG
(SEQ ID NO:2), Delorenzo et al. J. Bact. 169:2624, hereby
incorporated by reference, in front of the T7 polymerase
gene and demonstrated iron regulation of the gene
product. This version of the vector'will also include
one or more heterologous antigens under the control of T7
polymerase promoters. It is well known that RNA can be
synthesized from synthetic oligonucleotide T7 promoters
and purified T7 in vitro. When the organism encounters
low iron T7 polymerase will be synthesized and high
expression of genes with T7 promoters will be
facilitated.
page-fusion proteins in S. typhimurium
Expression of heterologous antigens within
macrophages under the control of phoP regulated promoters
can be used as an effective method of both attenuating
Salmonellae and enhancing immunogenicity of foreign
antigens. As discussed above, the expression of Page is
induced in antigen processing cell, i.e., a macrophage.
Thus, expression of a heterologous antigen under the
control of the page promoter is also likely to be
inducible in macrophages.
To evaluate the immune respone to a heterologous
antigen expressed under the control of inducible pag
promoters, mice were inoculated with bacteria which
expressed the antigen, AP, under the control of the page
or pagD regulatory sequences. Pagr-AP fusion proteins
were produced in these bacteria from a single chromosomal
copy of the gene encoding AP. The bacteria were
generated utilizing two methods: TnphoA mutagenesis, and
genetic engineering techniques using a suicide vector,
both of which are described above.
As a control, mice were innoculated with bacteria
which expressed an AP fusion protein under the control of
constitutive promoters. The constitutive promoter was
completely independent of regulation by genes in the PhoP
regulon. Two such strains of bacteria, Strain 610 and
Strain 617, were constructed using methods described
above. AP expression in Strain 610 was moderate, whereas
AP expression in Strain 617 was high (see Fig. 14C).
These strains were injected intraperitoneally into
BABL/C mice. Serum samples were taken three weeks after
inoculation. Normal mouse serum (MNS) was used as a
control. Standard ELISA assays were used to test the
sera for the presence of AP-specific antibodies. Sera
was also tested for LPS-specific antibodies using S.
typhimurium LPS. Antibodies directed to LPS were
detected in all the murine sera tested, but only those
strains in which AP was expressed as a Pag fusion protein
from a single chromosomal gene copy engendered an immune
response against the model heterologous antigen, AP (see
Figs. 14A and Fig. 14B).
Despite approximately 10-fold higher constitutive
expression of the AP fusion in strain 617, only a minimal
immune response to this antigen was noted after
immunization with strain 617. In contrast, a strong
response was observed in mice inoculated with strains
which expressed the Pagr-AP fusion protein. These data
indicate that phoP-regulation which results in in vivo
induction of protein expression within macrophages
increases the immunogenicity of heterologous antigens
expressed under the control of the pag promoters. Any
promoter which directs cell-specific, inducible
expression of a protein in macrophages or other antigen
presenting cells, e.g., pag described herein, can be used
to increase the immunogencity of an antigen expressed in
Salmonella.
The pagC gene and pagC Gene Product
Strains, materials, and methods
The following strains, materials, and methods were
used in the cloning of pagC and in the analysis of the
gene and its gene product.
Rich media was Luria broth (LB) and minimal media
was M9, Davis et al., 1980, supra. The construction of
S. typhimurium strain CS119 pagrCl: :TnphoA phoN2 zxx::6251
TnlOd-Cam was previously described, Miller et al., 1989,
supra. American Type Culture Collection (ATCC) S.
typhimurium strain 10428 included CS018 which is isogenic
/
to CS119 except for phoPlOS::TnlOd, Miller et al., 1989,
supra, CS022 pho-24, Miller et al., 1990, J. Bacteriol.
172;2485-2490, hereby incorporated by reference, and
CS015 phoP102::TnlOd-cam, Miller et al., 1989, supra.
Other wild type strains used for preparation of
chromosomal DNA included S. typhimurium LT2 (ATCC 15277),
S. typhimurium Ql and S. drypool (Dr. J. Peterson U.
Texas Medical Branch, Galveston), and Salmonella typhi
Ty2 (Dr. Caroline Hardegree, Food and Drug
Administration). pLAFR cosmids were mobilized from E.
coli to S. typhimurium using the E. coli strain MM294
containing pRK2013, Friedman et al., 1982, Gene 18:289-
296, hereby incorporated by reference. AP activity was
screened on solid media using the chromogenic phosphatase
substrate 5-bromo-4-chloro-3-indolyl phosphate (XP) . AP
assays were performed as previously described, Brickman
et al., 1975, J. Mol. Biol. 9.6:307-316, hereby
incorporated by reference, and are reported in units as
defined by Miller, Miller, 1972, supra, pp. 352-355.
One dimensional protein gel electrophoresis was
performed by the method of Laemmli, 1970, Nature,
227:680-685, hereby incorporated by reference, and blot
hybridization using antibody to AP was performed as
previously described, Peterson et al., 1988, Infect.
Immun. 5J5:2822-2829, hereby incorporated by reference.
Whole cell protein extracts were prepared, from saturated
cultures grown in LB at 37°C with aeration, by boiling
the cells in SDS-pagE sample buffer, Laemmli, 1970,
supra. Two dimensional gel electrophoresis was performed
by the method of O'Farrell, 1975, J. Biol, Chem.
250:4007, hereby incorporated by reference. Proteins in
the 10% polyacrylamide slab gels were visualized by
silver staining, Merril et al., 1984, Methods in

Enzymology, 104:441, hereby incorporated by reference.
Chromosomal DNA was prepared by the method of
Mekalanos, 1983, Cell, 3_5:253-263, hereby incorporated by
reference. DNA, size fractionated in agarose gels, was
transferred to nitrocellulose (for blot hybridization) by
the method of Southern, 1975, J. Mol. Biol. 98:503-517,
hereby incorporated by reference. DNA probes for
Southern hybridization analysis were radiolabeled by the
random primer method, Frinberg et al., 1984, supra.
Plasmid DNA was transformed into E. coli and Salmonella
by calcium chloride and heart shock, Mekalanos, 1983,
supra, or by electroporation using a Genepulser apparatus
(BioRad, Richmond, Ca.) as recommended by the
manufacturer, Dower et al., 1988, Nucl. Acids Res.
3J5: 6127-6145, hereby incorporated by reference. DNA
sequencing was performed by the dideoxy chain termination
method of Sanger et al., 1977, Proc. Natl. Acad. Sci.
USA, 7j4: 54 63-5467, hereby incorporated by reference, as
modified for use with SEQUENASE® (U.S. Biochemical,
Cleveland, Ohio). Oligonucleotides were synthesized on
an Applied Biosystems Machine and used as primers for
sequencing reactions and primer extension of RNA.
Specific primers unique to the two ends of TnphoA, one of
which corresponds to the AP coding sequence and the other
to the right IS50 sequence, were used to sequence the
junctions of the transposon insertion.
Construction of a S. typhimurium cosmid gene bank
in pLAFR3 and screening for clones containing the wild
type pagC DNA was performed as follows. DNA from S.
typhimurium strain ATCC 10428 was partially digested
using the restriction endonuclease Sau3A and then size
selected on 10-40% sucrose density gradient. T4 DNA
ligase was used to ligate chromosomal DNA of size 20-30
kilobases into the cosmid vector pLAFR3, a derivative of
pLAFRl, Friedman et al., 1982, Gene 18.:289-296, hereby
incorporated by reference, that was digested with the
restriction endonuclease BamEI. Cosmid DNA was packaged
and transfected into E. coli strain DH5-a using extracts
purchased from Stratagene, La Jolla, Ca. Colonies were
screened by blot hybridization analysis.
The analysis of proteins produced from cloned DNA
by in vitro transcription/translation assays was analyzed
as follows. These assays were performed with cell free
extracts, (Amersham, Arlington Heights, Illinois), and
were performed using conditions as described by the
manufacturer. The resultant radiolabeled proteins were
analyzed by SDS-pagE.
RNA was purified from early log and stationary
phase Salmonella cultures by the hot phenol method, Case
et al., 1988, Gene 7.2:219-236, hereby incorporated by
reference, and run in agarose-formaldehyde gels for blot
hybridization analysis, Thomas, 1980, Proc. Natl. Acad.
Sci. USA 22.' 5201, hereby incorporated by reference.
Primer extension analysis of RNA was performed as
previously described, Miller et al., 1986, Nuc. Acids.
Res. ^4:7341-7360, hereby incorporated by reference,
using AMV reverse transcriptase (Promega, Madison,
Wisconsin) and synthesized oligonucleotide primers
complementary to nucleotides 335-350 and 550-565 of the
page locus.
Identification of an 18 kDa protein missing in a page
mutant of S. typhimurium
page mutant strain CS119 was analyzed by two
dimensional protein electrophoresis to detect protein
species that might be absent as a result of the TnphoA
insertion. Only a single missing protein species, of
approximately 18 kD and pl-8.0, was observed when
strains, isogenic except for their transposon insertions,
were subjected to this analysis. This 18 kDa species was
also missing in similar analysis of Salmonella strains
with mutations phoP and phoQ. Though two-dimensional
protein gel analysis might not detect subtle changes of
protein expression in strain CS119, this suggested that a
single major prote'in species was absent as a result of
the pagC::TnphoA insertion.
Additional examination of the 2-dimensional gel
analysis revealed a new protein species of about 45 kDa
that is likely the pagrC-Ap fusion protein. The pagC-AP
fusion protein was also analyzed by Western blot analysis
using antisera to AP and found to be similar in size to
native AP (45 kDa) and not expressed in PhoP-S.
typhimurium.
Cloning of the pagC::TnphoA insertion
Chromosomal DNA was prepared from S. typhimurium
strain CS119 and a rough physical map of the restriction
endonuclease sites in the region of the pagC::TnphoA
fusion was determined by using a DNA fragment of TnphoA
as a probe in blot hybridization analysis. This work
indicated that digestion with the restriction
endonuclease ecoRV yielded a single DNA fragment that
included the pagC::TnphoA insertion in addition to
several kilobases of flanking DNA. Chromosomal DNA from
strain CS119 was digested with EcoRV (blunt end) and
ligated into the bacterial plasmid vector pUC19 (New
England Biolabs) that had been digested with the
restriction endonuclease Smal (blunt end). This DNA was
electroporated into the E. coli strain DH5-a (BRL) and
colonies were plated onto LB agar containing the
antibiotics kanamycin (TnphoA encoded and ampicillin
(pUC19 encoded). A single ampicillin and kanamycin
resistant clone containing a plasmid designated pSMlOO
was selected for further study.
A radiolabeled DNA probe from pSMlOO was
constructed and used in Southern hybridization analysis
of strain CS119 and its wild type parent ATCC 10428 to
prove that the pagC::TnphoA fusion had been cloned. The
probe contained sequences immediately adjacent to the
transposon at the opposite end of the AP gene [Hpal
endonuclease generated DNA fragment that included 186
bases of the right IS50 of the transposon and 1278 bases
of Salmonella DNA (Fig. 2) . As expected, the pSMlOO
derived probe hybridized to an 11-12 kb AccI endonuclease
digested DNA fragment from the strain containing the
transposon insertion, CS119. This was approximately
7.7kb (size of TnphoA) larger than the 3.9 kB AccJ
fragment present in the wild type strain that hybridizes
to the probe. In addition, a derivative of plasmid
pSMlOO, pSMlOl (which did not allow expression of the
pagC-PhoA gene fusion off the lac promoter), was
transformed into phoP- (strain CsOlS) and phoN- (strain
CS019) Salmonella strains and the cloned AP activity was
found to be dependent on phoP for expression. Therefore
we concluded that the cloned DNA contained the
pagC::TnphoA fusion.
The presence of the pagC gene was also
demonstrated in other strains of S. typhimurium, as well
as in S. typhi, and S. drypoo 1. All Salmonella strains
examined demonstrated similar strong hybridization to an
8.0 kb EcoRV and a 3.9 kb AccI restriction endonuclease
fragment suggesting that pagC is a virulence gene common
to Salmonella species.
The pagC gene probe from nucleotides -46 (with 1
as the first base of the methionine to 802 (PstI site to
the Bglll site) failed to cross hybridize to DNA from
Citrobacter freundii, Shigella flexneri, Shigella sonnei,
Shigella dysenterial, Escherichia coli, Vibrio cholerae,
Vibrio vulnificus, Yersenia entero colitica, and
Klebsiella pneumonia.
Cloning of the wild type pagC locus DNA and its
complementation of the virulence defect of a 5.
typhimurium pagC mutant
The same restriction endonuclease fragment
described above was used to screen a cosmid gene bank of
wild type strain ATCC 10428. A single clone, designated
pWPOGl, contained 18 kilobases of S. typhimurium DNA and
hybridized strongly to the pagC DNA probe. pWPOGl was
found to contain Salmonella DNA identical to that of
pSMlOO when analyzed by restriction endonuclease analysis
and DNA blot hybridization studies. Probes derived from
pWP061 were also used in blot hybridization analysis with
DNA from wild type and CS119 S. typhimurium. Identical
hybridization patterns were observed to those seen with
pSMlOO. pWP061 was also mobilized into strain CS119, a
pagC mutant strain. The resulting strain had wild type
virulence for BALB/c mice (a LD50 less than 20 organisms
when administered by IP injection). Therefore the cloned
DNA complements the virulence defect of a pagC mutant
strain.
Since, a wild type cosmid containing pagC locus
DNA was found to complement the virulence defect of a
pagC mutant S. typhimurium strain, it was concluded that
the pagC protein is an 188 amino acid (18 kDa) membrane
(see below) protein essential for survival within
macrophages and virulence of S. typhimurium.
Physical mapping of restriction endonuclease sites, DNA
sequencing, and determination of the pagC gene product
Restriction endonuclease analysis of plasmid pSMlOO and
pWP061 was performed to obtain a physical map of the pagC
locus, and, in the case of PSMlOO, to determine the
direction of transcription (Fig. 2). DNA subclones were
generated and the TnphoA fusion junctions were sequenced,
as well as the Salmonella DNA extending from the Hpal
site, 828 nucleotides 5' to the phoA fusion junction, to
the EcoRI site 1032 nucleotides 3' to the TnphoA

insertion (Fig. 2 and 3). The correct reading frame of
the DNA sequence was deduced from that required to
synthesize an active AP gene fusion. The deduced amino
acid sequence of this open reading frame was predicted to
encode a 188 amino acid protein with a predicted pI+8.2.
This data were consistent with the 2-D polyacrylamide gel
analysis of strain CS119 in which an 18 kDa protein of
approximate pI+8.0 was absent. No other open reading
frames, predicted to encode peptides larger than 30 amino
acids, were found.
The deduced amino acid sequence of the 188 amino
acid open reading frame contains a methionine start codon
33 amino acids from the fusion of page and AP (Fig. 3).
This 33 amino acid pagC contribution to the fusion
protein was consistent with the size observed in Western
blot analysis and contains a hydrophobic N-terminal
region, identified by the method of Kyle et al., 1982, J.
Mol. Biol. 157;105-132, hereby incorporated by reference,
that is a typical bacterial signal sequence, Von Heinje,
1985, J. Mol. Biol. 184:99-105, hereby incorporated by
reference. Specifically, amino acid 2 is a positively
charged lysine, followed by a hydrophobic domain and
amino acid 24 is a negatively charged aspartate residue.
A consensus cleavage site for this leader peptide is
predicted to be at an alanine residue at amino acid 23,
Von Heinje, 1984, J. Mol. Biol. 173:243-251, hereby
incorporated by reference. The DNA sequence also
revealed a typical ribosomal binding site, Shine et al.,
1974, Proc. Natl. Acad. Sci. USA 7JL: 1342-1346, hereby
incorporated by reference, at 6-2 nucleotides 5' to the
predicted start of translation (Fig. 3) nucleotides 717-
723). This suggested that the open reading frame was, in
fact, translated and further supported the assumption
that this was the deduced amino acid 'sequence of the pagC
protein interrupted by the TnphoA insertion (Fig. 3).
In vitro synthesis of proteins by the cloned page locus
To detect if other proteins were encoded by page
and to determine the approximate size of the page gene
product, an in vitro coupled transcription/translation
analysis was performed. A 5.3 kilobase EcoRI fragment of
pWP061 was inserted into pUC19 so that the page gene
would not be expressed off the lac promoter. This
plasmid was used in an in vitro coupled transcriptiontranslation
assay. A single protein of approximately 22
kilodaltons was synthesized by the cell free system. The
size was compatible with this being the precursor of the
pagC protein containing its leader peptide. These data
further support the conclusion the single and the single
pagC gene product had been identified.
Identification of the page encoded RNA
An approximately 1100 nucleotide RNA is encoded by
pagC. The pagC gene is highly expressed by cells with a
phoP constitutive phenotype of pag activation, as
compared to wild type and phoP constitutive phenotype of
pag activation, as compared to wild type and phoP~
bacteria. In these blot hybridization experiments pagC
is only detected in wild type cells grown in rich media
during stationary growth. This result, coupled with
previous work, Miller et al., 1989, supra, Miller et al.,
1990, supra, demonstrates that pagC is transcriptionally
regulated by the phoP gene products and is only expressed
during early logarithmic phase growth in rich media by
cells with a phoP constitutive phenotype.
The size of-the pagC transcript is approximately
500 nucleotides greater than that necessary to encode the
188 amino acid protein. Primer extension analysis of
Salmonella RNA using oligonucleotide primers specific for
pagC sequence was performed to determine the approximate
start site of transcription and to determine whether
these nucleotides might be transcribed 5' or 3' to the
188 amino acid page gene product. Primer extension
analysis with an oligonucleotide predicted to be
complementary to nucleotides 550-565 of pagC, 150
nucleotides 5' to the predicted start codon, resulted in
an approximately 300 nucleotide primer extension product.
Therefore a primer further upstream was constructed
complementary to nucleotides 335-350 of pagC and used in
a similar analysis. A primer extension product of 180
nucleotides was observed to be primer specific. This is
consistent with transcription starting at nucleotide 170
(Fig. 3). Upstream of the predicted transcriptional
start, at nucleotides 153-160, a classic RNA polymerase
binding site was observed with the sequence TATAAT at -12
nucleotides as well as the sequence TAATAT at -10
nucleotides. No complete matches were observed for the
consensus RNA polymerase recognition site (TTGACA) 15-21
nucleotides upstream from the -10 region. AT -39 (126-
131) nucleotides (TTGGAA), -38 (127-132) nucleotides
(TTGTGG), and -25 (135-140) nucleotides (TTGATT) are
sequences that have matches with the most frequently
conserved nucleotides of this sequence.
Based on the above results transcription was
predicted to terminate near the translational stop codon
of the 188 amino acid protein (nucleotide 1295, Fig. 3).
Indeed, a stem loop configuration was found at
nucleotides 1309-1330 that may function as a
transcription terminator. This was consistent with the
lack of evidence of open reading frames downstream of the
188 amino acid protein and the lack of synthesis of other
transcription/translation using the cloned pagC DNA.
This further suggests that the pagC::TnphoA insertion
inactivated the synthesis of only a single protein.
Similarity of page to Ail and Lorn
A computer analysis of protein similarity using
the National Biomedical Research Foundation/Protein
Identification Resource, George et al., 1986, Nucleic
Acids Res. 14.: 11-15, hereby incorporated by reference,
protein sequence base was conducted to identify other
proteins that had similarity to pagC in an attempt to
find clues to the molecular function of this protein.
Remarkably, page was found to be similar to a
bacteriophage lambda protein, Lorn, that has been
localized to the outer membrane in minicell analysis,
Court et al., 1983, Lambda II, Hendrix, R.W. et al. ed.
Cold Spring Harbor Laboratory (Cold Spring Harbor NY),
pp. 251-277, hereby incorporated by reference, and
demonstrated to be expressed by lambda lysogens of E.
coli, Barondess, et al., 1990, Nature 346:871-874. hereby
incorporated by reference. Recently, the deduced amino
acid sequence of the cloned ail gene product of Y.
enterocolitica was determined and found to also be
similar to Lorn, Miller et al.y 1990b, J. Bacteriol.
172;1062-1069. Therefore, a protein family sequence
alignment was performed using a computer algorithm that
establishes protein sequence families and consensus
sequences, Smith et al., 1990, Proc. Natl. Acad. Sci.
£2:118-122, hereby incorporated by reference. The
formation of this family is indicated by the internal
data base values of similarity between these proteins :
page and Lorn (107.8), pagC and Ail (104.7), and Ail and
Lorn (89.8). These same proteins were searched against
314 control sequences in the data base and mean values
and ranges were 39.3 (7.3-52.9) pagC, 37.4 (7.3-52.9)
Ail, and 42.1 (7.0-61.9) Lorn. The similarity values for
this protein family are all greater than 3.5 standard
deviations above the highest score obtained for
similarity to the 314 random sequences. No other
similarities or other family members were found in the
database. Regions of similarity are located not only in
the leader peptide transmembrane domains but throughout

the protein.
pag Mutant Strains. Are Attenuated For Virulence
Salmonella typhimurium strains of the invention
with a pagC mutation were attenuated for virulence by
least 1,000-fold.
In addition pagC, other pag genes described herein
may be useful in the development of live Salmonella
vaccines. Mutations in phoP-activated genes could be
used to construct attenuated, live Salmonella vaccines.
In constructing multivalent Salmonella vectored vaccines,
PhoP-activated promoters could increase immunogenecity by
targeting foreign protein expression to antigen
presenting macrophages.
Identification of novel phoP-activated genes.
To further analyze the role of phoP-activated
genes in bacterial virulence, a bank of strains with
active phoA gene fusions was generated by TnphoA
mutagenesis. Strain CS019 was the parent strain for
TnphoA mutagenesis because it has wild-type bacterial
virulence and carries the phoN2 allele, which results in
minimal background phosphatase activity. Strains with
active phoA gene fusions were identified by blue colony
phenotype after growth in agar containing XP. Such
strains were then screened for decreased fusion protein
activity on acquisition of the phoP12 allelle that
results in a PhoP-null phenotype.
Two thousand and sixty-four AP expressing strains
were isolated and colony purified from two hundred and
forty independent matings. Strains with AP activity were
isolated at a frequency of 0.8% from the total pool of
kanamycin resistant (TnphoA containing) bacteria. A
total of fifty-four candidate pag::TnphoA insertions were
isolated from the AP expressing strain bank, and fortynine
of these were determined to have-greater than sixfold
reduction in AP activity in the absence of

functional phoP/phoQ. Therefore, approximately 2% of the
colonies expressing AP were identified as pag-phoA gene
fusions.
Identification of thirteen unique pag loci.
Three methods were used to determine whether the
forty-nine TnphoA insertions defined unique pag loci.
First, physical maps of the JE7coRI and HindJ.II restriction
endonuclease sites 5' to the TnphoA insertions were
defined. Second, linkage analysis to transposon
insertions highly linked to known pag loci was performed.
Third, strains determined to be unique by the above
methods were screened for linkage to a bank of strains
with transposon insertions of known chromosomal location.
Blot hybridization analysis demonstrated that
thirteen of the forty-nine strains had unique restriction
endonuclease sites 5' to the TnphoA insertion. The
numbers of strains with similar physical maps 5' to the
TnphoA insertion ranged from 1-7. One of the thirteen
physical maps was similar to that expected for an
insertion in page and was noted in seven of the strains
isolated as containing candidate pag::TnphoA insertions.
Analysis of these seven strains indicated that only three
of these were pagC::TnphoA insertions, since blot
hybridization analysis with a fragment of pagrC as a probe
and linkage analysis to transposon insertions highly
linked to page indicated that four of these insertions
were not in pagC. Another of the pag::phoA fusions,
denoted pagP, had the physical 5' restrictionendonuclease
map that would be expected for phoN.
However, this insertion was determined not to be within
phoN by linkage analysis and blot hybridization. A
(Table Removed)
transductional cross was performed between wild type
bacteria and strain CS1247 containing pagP::TnphoA and
zxx: : 6215Tnl0d-cajn. These transductants were selected on
kanamycin, insuring the inheritance of the pagP::TnphoA
which encodes kanamycin resistance. These colonies were
then screened for choramphenicol resistance which would
indicate linkage of zxx: 6215TnlOd-cajn to pagP. No
linkage was found indicating that pagP was not linked to
phoN. Blot hybridization using a portion of phoN as a
probe was also performed on CS1247 and indicated that
this strain contained a wild type phoN locus. Thirteen
pag loci were defined and designated pagD-P.
To further define the PhoP regulation of the 13
pag::TnphoA fusion proteins, AP activity was assayed in
strains isogenic except for the phoP locus. AP activity
was assayed during bacterial growth in rich medium in
logarithmic and stationary growth phase (Table 13). The
dependence of an intact phoP locus for full expression
remained constant for the different stages of growth;
however, the relative amount of AP expression increased
as growth was limited. The difference in expression of
pag gene fusions varied from six to forty-eight fold when
isogenic strains with a wild type and null phoP locus
were compared.
Of the five previously identified pag loci, only
phoN, pagC, and pagA have known chromosomal locations.
Linkage analysis of the 13 newly identified pag loci was
performed using strains containing transposon insertions
linked to pagC (AK3233 and AK3140), and to pagA (AK3255).
Three pag::TnphoA insertions were foupd to be linked to
AK3140 which is in a region near pagC at 24-25 minutes on
the chromosome. These were designated pagD, pagE, and
pagF. PagD::TnphoA was similarly linked to the
transposon insertion of AK3233 (83%) and AK3140 (33%) as
was previously reported for pagC. The TnphoA insertion
of this strain has been further defined and is
divergently transcribed from page. pagE and pagF
exhibited different linkage to the insertions of AK3233
and AK3140 than pagC and pagD suggesting a significantly
different chromosomal location. The pagE::TnphoA
insertion is 39% linked to the transposon insertion of
AK3233 and 99.1% linked to that of AK3140, while
pagF::TnphoA is 31% linked to the insertion of AK3140 but
not to that of AK3233. These different linkages in
addition to the physical maps of the restriction
endonuclease sites 5' to the TnphoA insertion indicated
that these were new pagr loci. Therefore, three new pag
loci were found in the region of 25 minutes, one of which
is highly linked to the previously defined pagC.
Linkage analysis was then performed using a group
of defined random Tnl0Al6Al7 insertions on the ten
strains with TnphoA insertions of no known location. Of
these ten pag::TnphoA alleles only two demonstrated
linkage to the bank of TnlOAl6Al7 insertions. The
pagG::TnphoA insertion was demonstrated to have 97%
linkage to the transposon insertion of AK3258 located at
approximately 30 minutes. The pag::TnphoA insertion,
designated pagH, exhibited 23% linkage to the insertion
of AK3091. The linkage to the transposon insertion of
AK3091 was similar to linkage previously demonstrated for
prgj? (26%) . Therefore, this chromosomal region contains
both PhoP-activated and repressed genes. This TnAl6Al7
insertion was analyzed using pulse field gradient
electrophoresis of chomosomal DNA from AK3091 digested
with the restriction endonuclease Xbal and Blnl. These
data indicate that the transposon insertion of AK3091 was
located in the region of 20-25 minutes and that pagH and
prg£ are located in this region of the chromosome.

(Table Removed)
gtrains with pag:TnphoA insertions have wild type
sensitivity to the rabbit NP-1 defensin
S. Typhimurium strains with null mutations in the
phoP operon have increased sensitivity to a variety of
cationic antimicrobial peptides including defensins,
magainins, and protamine. The defensins are a family of
mammalian peptides present in the granules of
neutrophils, lung macrophages, and intestinal Paneth
cells. Resistance to these peptides may contribute to
bacterial virulence and the ability to colonize mucosal
surfaces. Strains with pag::TnphoA insertions were
tested for sensitivity to the highly active rabbit
defensin NP-1. None of the strains with single
pag::TnphoA insertions demonstrated increased sensitivity
to NP-1 defensin (see Fig. 6). Thus despite the
demonstrated sensitivity of PhoP-null mutants to rabbit
defensin NP-1, no defined mutations in pag loci were
associated with sensitivity to defensins.
Four strains with pag::TnphoA insertions demonstrate
marked attenuation for mouse virulence
To further define whether these new pag loci
contributed to mouse virulence, the 13 strains with pag
transposon insertions were screened in vivo. Mice were
injected intraperitoneally with approximately 100
organisms. Four strains with transposon insertions in
pagD, pagJ, pagK, and pagM demonstrated attenuated
virulence. Mice injected with these strains all survived
and showed no signs of systemic infections, such as
hepatosplenomegaly and scruffiness (piloerection due to
fever). These four strains were subjected to further
virulence testing by intraperitoneal injection of
multiple doses of organisms in a total of ten mice on two
separate occasions. The mean LD50 was determined from
these subsequent injections and is lasted in Table 14.
One of these strains, containing the pagD::TnphoA
insertion, has a LD50 10,000 fold greater than wild-type
S. typhimurium. The other three strains were also
markedly attenuated for mouse virulence with LD50 values
greater than 1000-10,000 times that of wild type
organisms. These data indicated that the PhoP-regulated
loci, pagD, pagJ, pagK, and pagM, when mutated, result in
attenuation of bacterial virulence.
pag::TnphoA strains attenuated for mouse virulence have
reduced survival within macrophages.
Since PhoP mutant Salmonella are deficient in
survival within macrophages, strains containing mutations
in pag genes that had attenuated mouse virulence were
tested for reduced viability within macrophages. As
shown Table 14, all strains with pag mutations
demonstrated significantly reduced survival within
macrophages. Decreased intracellular survival of pag
mutants was not observed until a time when pag are
predicted to be maximally expressed.
Four strains with mutations in the pagC, pagD,
pagJ, pagK and pagM loci were found to be attenuated for
mouse virulence and survival within macrophages. Strains
with mutations in these five pag all had varying degrees
of virulence attenuation. Strains with a mutation in
pagJ had a virulence defect comparable to that observed
for pagC mutants (greater than 1000 x the LD50 of wild
type organisms). The pagD: :Tr\phoA insertion resulted in
the greatest attenuation of virulence, comparable to that
of a PhoP null mutation (greater than 10,000 x the LD50 of
wild type organisms). pagK and pagM mutants had
virulence attenuation that was intermediate between the
pagJ and pagD mutants. The cumulative effect of deletion
of pagC, pagD, pagJ, pagK, and pagM, if additive and
similar to the
(Table Removed)

The 50% lechai dose was determined by incrapenconeal injection of :en mice per
dilucicn using che mechcd of Reed and Ntuer.ch ( 3 1 ) .
i h e Nfacrophage Surv'ivai Index (MSI) '.vas cecerrGir.ed bv dividing che mean
SaJcicr.si'z CFU recovered from rr.-acropnage culcures i'perfcrrned in t r i p l i c a t e )
hours after che addicion of gencamicin' by che mean Salmonella CPU recovered from
macrophages 1 hour after gencamicin was added.
!-6 -Cier ec al., L979, J- Bacceriol., 138:155-51
25 Miller ec al., 1989, Proc. JTacl. Acad. Sci. USA, 36:5054-53
attenuation observed with TnphoA insertions, may be much
greater than that observed by deletion of phoP alone.
The observation that many of these genes are somewhat
expressed in stationary phase in the absence of PhoP
suggests that functional Pag proteins could be produced
in vivo in the absence of PhoP. One virulence gene pagM
is significantly expressed in the absence of PhoP, though
it may still require PhoP/PhoQ for induction within
macrophage phagosomes. This data suggests that deletion
of pag gene products could lead to greater virulence
attenuation than deletion of the regulatory proteins.
Salmonella envelope proteins as virulence factors:
Defensin senstivity
Based on the methods used to identify pag loci,
i.e., translational gene fusions to phoA, and the
observation that the page gene fusions produce AP, it has
now been discovered that many pag encode bacterial
envelope proteins. No strains have been found with
single pag mutations that confer sensitivity to defensins
or other cationic peptides. The data suggest that an
alteration of the bacterial envelope as a result of the
change in synthesis of the entire aggregate of envelope
proteins mediated by PhoP/PhoQ may be important to S.
typhimurium virulence.
Defensins are small amphipathic cationic peptides
of approximately 30-35 amino acids in length whose antimicrobial
action involves penetration and disruption of
membranes, possibly by forming selective anionic
channels. Though defensins are largely found in
neutrophils and Paneth cells these or other related
molecules likely contribute to non-oxidative killing of
phagocytosed bacteria by macrophages. Though it remains
possible that a single unidentified pag encodes a protein
responsible for defensin resistance, it seems more likely
that a cumulative effect of expression of several pag
encoded envelope proteins could result in resistance to
defensins. An aggregate change in a large number of
bacterial envelope proteins could alter the membrane
charge, electrical potential, or lipid content such that
defensin interaction with bacterial membranes could be
changed.
Identification of transcriptional units linked to page.
To identify genes upstream of page, E. coli
carrying plasmid pWPL17 containing 2.8kb of DNA 5' to
pagC (Table 15 and Fig. 7) was mutagenized with the
transposons MudJ and TnphoA, and strains with AP or /3-
galactosidase activity were identified on chromogenic
substrates. In addition, as part of an effort to
identify additional PhoP-activated genes, random
mutagenesis of the Salmonella chromosome with TnphoA was
performed, and strains with AP activity were screened for
TnphoA insertions linked to the TnlOAl6Al7 of strain
AK3233, which is 75% linked to pagC. Several strains
that contained plasmids with active MudJ or TnphoA
generated gene fusions were identified. In addition, two
strains were identified that contained active chromosomal
TnphoA insertions closely linked to pagrC. Physical maps
of the restriction endonuclease sites surrounding the
transposon insertions in strains with active plasmid or
chromosomal lacZ and phoA gene fusions were performed to
determine the relationship of the transposon insertions
to pagC. This analysis revealed that several regions of
the DNA were transcribed oppositely to pagC (Fig. 7).
Several TnphoA insertions that resulted in active phoA
gene fusions were identified. These data indicated that
pagrC-linked genes encoded membrane or secreted proteins.
(Table Removed)
pBR322 containing a 2.8 Kb Hpal fragment from pWP061 This worx
pV/PL17 containing ^ InphoA insertion in envF Tnis work
pir-dependent suicide vector (34)
pGP704 containing the cloned envF::phoA gene fusion Tnis work
Cosrrud clone containing the pagC region (36)
a MSI (macrophage survival index) is calculated by dividing the number of surviving organisms ai 24
hours post-infecccn by the number of cell associated organisms present after the 30 minute infection.
D MGH, Massachusetts General Hospital. ATCC, American Type Culture Collection, FDA, Food and
Drug Administration: VRI. Virus Research Institute
2elden ec a.i., 1989, I n f e c t . Irroun., 5 7 : 1 - 7
Miller ec a i . , 1989, ?roc. Nad. Acad. Sci. USA, 86:5054-58
Miller ec a l . , 1988, J. Bacceriol., 170:2575-83
Pulkkinen ec a l . , 1991, J. B a c t e r i o l . , 173:86-93
Genes linked to page encode four novel proteins.
To further analyze the genes defined by transposon insertions, the DNA sequence of this region was determined (Fig. 8). DNA containing this region was cloned; 4 kb of DNA between the Hpal site 737bp upstream of the start codon of pagC to a ClaI site far upstream was sequenced. The DNA sequence of the fusion junctions of all TnphoA and MudJ gene fusions was also determined. Based on these data, the correct reading frame of each gene was determined. The DNA sequence data revealed four ORFs predicted to be transcribed and translated based on the data derived from the TnphoA and MudJ insertions. All ORFs revealed typical ribosome binding sites 6 to 11 bases from the predicted start of translation. The translation of the ORF immediately upstream and oppositely transcribed to pagC, pagD, indicates that a short envelope protein of 87 amino acids (unprocessed) is encoded. It is followed by a second ORF (envE) which encodes an envelope protein of 178 amino acids (unprocessed). This ORF is followed by a structure that could function as a Rho-independent transcriptional terminator (see Fig. 8) . The third ORF, msgA (macrophage survival gene), encodes a small protein similar in size to that of the first gene product (79 amino acids) and is also followed by a structure that could function as a Rho-independent transcriptional terminator (see Fig. 8). The DNA sequence predicts that this protein is composed of several charged residues with a large number of negatively charged amino acids residing at the carboxy terminus. The predicted protein product does not contain a structure resembling a signal sequence at its amino terminus nor any hydrophobic stretches; therefore, the third ORF is unlikely to encode an envelope protein. The final ORF (envF) encodes an envelope protein of 278 amino acids (unprocessed). A computer search of known protein

motifs revealed that EnvF contains a consensus
prokaryotic membrane lipid attachment site and,
therefore, is likely to be a lipoprotein (see Fig. 8 for
consensus site location).
The predicted proteins produced by pagD, envE, and
envF contain a typical bacterial signal sequence
structure. In addition, hydrophobic profiles confirmed
the hydrophobic nature of the amino-termini of these
proteins. The EnvE and EnvF proteins also contain
hydrophobic stretches that could function as membrane
spanning domains. The G+C content of the genes in this
region are: page, 43.4%; pagD, 42.1%; envE, 45.9%; msgA,
46.8%; and envF, 40.5%, which is considerably lower than
the average G+C content of S. typhimurium (52%). A
complete search of the database with the predicted
protein sequences of these four ORFs showed no
significant similarities. Strains containing three
distinct TnphoA insertions and one MudJ insertion, each
located in one of the four genes, were chosen for further
characterization.
A gene pagD, oppositely transcribed to page, is
positively regulated by PhoP/PhoQ
Representative strains with transposon insertions
were examined to evaluate whether genes transcribed
oppositely to pagC were increased in synthesis in the
presence of PhoP. To accurately determine if these genes
were PhoP regulated, it was necessary to recombine
plasmid insertions onto the Salmonella chromosome. Upon
replacement of the wildtype gene with the gene containing
the transposon insertion, P22HTint lysates made on these
strains-were transduced into a PhoP deleted (PhoP~)
strain and AP or /3-galactosidase levels were monitored.
One of these transposon generated gene fusions
demonstrated a significant increase in activity between
PhoP" and WT backgrounds, while the other insertions
showed no PhoP regulation (Table 16).
(Table Removed)
The pagD gene is adjacent to and divergently transcribed
from pagC.
The representative transposon insertion in envF
was unable to be recombined onto the chromosome, likely
due to an insufficient amount of homologous DNA
downstream of the transposon. In order to examine the
possibility of PhoP regulation of the envF gene, a region
upstream of this gene through and including the phoA gene
of the TnphoA transposon was cloned as a 3-kb Pvul
(blunt-ended)-Xhol fragment into the EcoRV-Sall sites of
the suicide vector pGP704. This clone was mated into
Salmonella strain CS019, and ampicillin-resistant
recombinants were selected (creating a strain designated
envF::pGPP2). A phoPlOS::TnlOd-Tet mutation was
transduced into this strain to create an isogenic pair
differing only in the ability to produce a functional
PhoP protein. As shown in Table 16, the introduction of
the phoPlOS::TnlOd-Tet had no effect on the AP levels of
these two strains, demonstrating that envF is not a PhoPactivated
gene.
Transposon insertions in pagC-linked genes attenuate
virulence and cause reduced survival within macrophaqes
Since transposon insertions in page significantly
increase the LD50 of S. typhimurium in BALB/c mice,
strains containing transposon insertions linked to page
were evaulated for attenuation of mouse virulence. As
shown in Fig. 7, while the transposon insertion in envE
had no affect on strain virulence, a TnphoA insertion in
pagD and the MudJ insertion 1.8 kb downstream in msgA
attenuate S. typhimurium virulence by greater than 300
fold as compared to wild-type organisms (LD50 organisms). These data suggested that these two loci are
essential to virulence.
To examine the survival capabilities of those
strains having a virulence defect, 5. typhimurium
containing insertions in either pagD or msgA were used to
infect bone marrow-derived macrophages. The results,
shown in Table 15, demonstrate a macrophage survival
defect for these two strains. The survival defect is
greater for the pagD insertion (MSI=0.002) compared with
the msgA insertion (MSI=0.01), and both defects are equal
to or greater than that of the PhoP~strain (MSI=0.01).
Transposon insertions in this gene could not be
recombined onto the chromosome. Thus, it was necessary
to demonstrate that the virulence and macrophage survival
defects of msgA was not due to a polar effect of the MudJ
insertion on envF transcription. Therefore, pGPP2 was
recombined into the msgA::MudJ strain and AP activity of
this strain was compared to that of CSO19 containing the
recombinant pGPP2. This data (shown in Table 16)
demonstrates that the transcription of the envF gene is
unaffected by the msgA::MudJ insertion and is transcribed
from its own promoter. However, it is possible that
under different environmental conditions, other promoters
may be activated that could place msgA and envF on the
same transcript.
Determination of the msgA and pagD transcriptional start
sites
The 5' regions of these genes were examined to
define the transcriptional start sites of msgA and pagD.
Oliogonucleotides complimentary to the 5' end of each ORF
or upstream region were used in a primer extension
analysis. The results of this analysis revealed that the
pagD transcript begins 39 bases upstream of the
translational start. The predicted -10 (TTCCAT) and -35
(TTGAAT) regions were found to be similar to the known
consensus sequences for E. coli promoters. The pagD
transcript was detected only in PhoPc Salmonella RNA and
not in PvNA from PhoP~ Salmonella. The msgA
transcriptional start was found to begin 58 bases
upstream of the translational start and contain predicted
-10 (CAAAAC) and -35 (TTACGT) sequences. These regions
do not conform well to consensus -10 and -35 sequences;
however, the cDNA from this transcript was easily
detected using various primers in primer extensions of
both PhoP° and PhoP~ RNA and appears to produce an
abundant RNA.
Distribution of pagD and msgA genes in the
Enterobacteriaceae and in two G+C content organisms
The G+C content of the pagC chromosomal region is
much lower than the average G+C content of Salmonella.
The gene encoding the PhoP-regulated acid phosphatase of
S. typhimurium (phoN) also has a low G+C content (39%),
and DNA homologous to phoN was found only in two low G+C
organisms of several genera tested. The DNAs of several
members of the Enterobacteriaceae and two low G+C
organisms were examined for similarity to pagD and msgA
by blot hybridization. PCR fragments highly specific to
each ORF were labeled and used as probes. This analysis
demonstrated hybridization at high stringency to all
Salmonella species examined as well as Shigella sonnei,
Shigella flexneri, Klebsiella pneumonias and Citrobacter
freundii. No hybridization was seen to the low G+C
organisms Morganella morganii or Providencia stuartii.
Identical hybridization patterns were seen with probes
specific for both genes indicating that these genes are
also linked in organisms other than Salmonella.
A virulence gene cluster required for Salmonells
typhimurium survival within macrophage macrophages
Four genes upstream and oppositely transcribed to
the pagC gene of Salmonella typhimurium have now been
identified. Three genes (pagD, envE and envF) are
predicted to be envelope proteins based on the isolation
of active TnphoA insertions in these loci and the
presence of a typical signal sequence at the amino-'
terminus of each protein. None of the four proteins
possess significant homology to any protein in the
database.
Only the gene immediately upstream of page and
oppositely transcribed (pagD) was determined to be PhoP
regulated. Transposon insertions in this gene greatly
attenuate virulence and the ability of the organism to
survive within murine macrophages. The transcription of
several pag (including page) has been shown to be induced
when Salmonella are within macrophage phagosome. In
addition, analysis of proteins produced by Salmonella
after infection of macrophage-derived cell lines indicate
that pag products are induced and that pagC may be among
the most abundant gene products induced upon macrophage
infection. Since pagD is required for macrophage
survival, it is likely that the transcription of this
gene also will be induced within macrophage phagosomes.
The pagD protein is small (87 amino acids, unprocessed)
and has no strong hydrophobic domains; therefore, it is
likely that it is a periplasraic or secreted protein.
Transposon insertions in the msgA gene were found
to have an effect on mouse virulence and macrophage
survival. It is likely that this gene may also be
induced within acidified macrophage phagosomes as are
other genes necessary for macrophage survival. If this
gene is induced by the macrophage environment, its
expression (as well as other genes necessary for
macrophage survival) may be controlled by a regulatory
system separate from the PhoP/PhoQ system.
These pagC-linked genes do not appear to form an
operon. Because none of the genes downstream of pagD are
PhoP regulated, they appear not be transcribed from the
pagD promoter. The presence of a potential
transcriptional terminator at the end of the envE gene
makes it unlikely that msgA is co-transcribed with envE.
The data suggest that the msgA: :Mud'J insertion is not
polar on envF, which suggests that envF has its own
promoter. Additionally, a potential transcriptional
terminator following msgA as well as a 493 bp intergenic
region makes it unlikely that these genes are cotranscribed.
Primer extension analysis of these genes
confirms that all four genes are transcribed from their
own promoter.
The other two genes identified in this region,
envE and envF, appear to produce membrane proteins that
contain characteristic membrane spanning regions. The
envF gene product is likely to be a lipoprotein based on
the presence of a consensus lipid attachment site, and is
likely to play a role in Salmonella virulence.
The low G+C content of the genes in the pagC
region suggests that they may have been acquired by
horizontal transmission. Southern blot analysis of low
G+C organisms probed with the msgA or pagD genes showed
no homology, but this does not eliminate the possibility
that they were acquired from another low G-l-C content
organism. The possibility also exists that these genes
reside on a mobile genetic element acquired from another
source. The msgA and pagD probes hybridized in identical
patterns to some members of the Enterobacteriaceae other
than Salmonella. However, the page gene has been shown
to be unique to Salmonella species. This may indicate
that the products of the genes upstream of page do not
form a "complex with PagC or that their functions do not
require PagC interaction. Alternatively, because
proteins that have homology to PagC exist in other
Enterobacteriaceae (in the absence of any DNA homology),
a PagC homolog may be linked to msgA and pagD in other
species which was not detected by the DNA hybridization
experiments.
pagC/pagD promoter region; expression of heterologous
proteins
pagC and pagD are divergently transcribed and are
both PhoP activated. Other divergently transcribed,
regulated genes are known in the art (Beck et al., 1988,
Microbiol. Rev. 52:318-326), e.g., the Klebsiella
pneumonias pulA-malX region (Chapon et al., 1985, J.
Bacteriol. 164:639-645). Transcription of most of such
genes require accessory proteins, such as CAP, in
addition to the regulator to activate transcription.
These two genes are divergently transcribed, and their
promoters are arranged back-to-back. A region of 134 bp
exists between transcriptional start sites of these
genes, which is similar to the intergenic region between
page and pagD. The pulA-malK promoter region is
predicted to contain two MalT (the regulatory protein of
this system) binding sites, one for each gene. Other
MalT-activated genes require the CAP protein for
expression, but the pulA and malX genes do not, possibly
because of the high local concentration of the MalT
regulator. Since the region between the transcriptional
start sites of pagC and pagD (the predicted -35
sequences) is only 137bp (nucleotides 562 to 776 of SEQ
ID NO:15), it is likely that only PhoP binding sites
exist in the intergenic region, and that binding of one
or more" phosphorylated PhoP molecules positively
regulates both genes. This pagC/pagD intergenic region
which contains the divergent promoters can be used to
construct vectors to express two heterologous proteins,
one in each direction.
prg genes
As discussed above, phoP/phoQ constitutive
mutations (phenotype PhoPc) increase the expression of
pag and repress the synthesis of apprdximately 20
proteins encoded by phoP-repressed genes (prg). PhoP0
bacteria are attenutated for mouse virulence suggesting
that prg are virulence genes.
By use of the transposon, TnphoA, five unlinked
prg loci were identified. In general, media conditions
(starvation) that activate pag expression repress prg
expression. One prg locus, prgH, was demonstrated to
contribute to mouse virulence by both the oral and the
intraperitoneal route. Both PrgH as well as PhoPc mutant
S. typhimurium were found to be defective in induction
of endocytosis by epithelial cells. Identification and
mutation of such virulence genes will be useful in
vaccine development.
Nucleotide sequence of the prg H, prgl, prgJ, and prgK
genes SEQ ID NO:10 represents the nucleotide sequence of
a 5100-bp Hindlll fragment that contains the
hyperinvasive hil locus. Four ORFS encoding four prg
genes are located within this DNA (see Fig. 9). The ATG
start codon is underlined; the asteriks indicate the
positions of the prgH, prgl, prgJ, and prgK stop codons.
These prg loci are required for bacterial invasion of
epithelial cells, full mouse virulence, and
transepithelial neutrophil migration. A bacteria
attenuated by a mutation in one or more of these loci can
be used to vaccinate individuals against infection by the
wild type pathogen.
Strains, materials and methods.
All bacterial strains used in the characterization
of prg genes are listed in Table 5.
Strain
genotype or description
(Table Removed)
SM10 (pRT291) contains plasmid pRT291 (Tnp^oA) derived from
pRK290 selecting for Tcr and Kmr.
KM294 (pPHlJI) contains Gmr plasmid pPHUI, which is
incompatible with pRK290
VV42(pWKSHS) contains plasmid pWKSHS, a derivative of
pSClOl that contains a 5.1 kb Hindlll
fragment of hil DNA including prgH
V.Bajaj and C.Lee
(49)
(51)
(19) Kukral et al., Journal of Bacteriology, 169:1787-
1793, 1987
(41) .Sanderson et al., Microbiological Reviews, 52:485-
532, 1988
(13) Galan et al., Infection and Immunity, 59:3116-
3121, 1990
(2) Aliabadi et al., Journal of Bacteriology, 165:780-
786, 1986
(45) Stone et al., Journal of Bacteriology, 174:3945-
3952, 1992
Bacteria were grown as follows: Luria-Bertani (LB)
broth was used as rich medium. Antibiotics were used in
the following concentrations in growth media or agar:
ampicillin 100 ^g/ml (Ap) , chloramphenicol 25 p.g/ml (Cm) ,
gentamicin 30 ng/ml (Gm) , kanamycin 45 ng/Tnl (Km) , and
tetracycline 25 /^g/ml (Tc) . The chromogenic substrate
5-bromo-4-chloro-3-indolyl-phosphate (p-toluidine salt)
(XP) was used to detect phosphatase activity on agar at a
final concentration of 40 /jg/ml. p-nitrophenyl
phosphate (p-NPP) was used as a substrate for
quantitative measurement of AP activity. Media was
buffered to various pH ranges with 1 M sodium citrate. E
media (Vogel-Bonner minimal) was prepared as described by
Davis et al., 1980, Advanced Bacterial Genetics: A
Manual for Genetic Engineering. Cold Spring Harbor
Laboratory, Cold Spring Harbor, N. Y. Nitrogen-, carbon-
, and phosphate free medium (N~C~P~) was prepared as
described by Kier et. al., 1977, J. Bacteriol. 130:399,
herein incorporated by reference.
This starvation medium was supplemented with 0.04%
(wt/vol) glucose as the carbon source, 10 mM NH4C1 as the
nitrogen source, and 1 mM NaH2PO4.H2O as the phosphate
source. The carbon concentration is one log less than
described by Kier et al., supra.
AP activity of strains isogenic except for
mutations in the phoP locus was measured in cultures
grown from a single colony inoculum under various oxygen
tensions with or without shaking at 37°C. Anaerobic
cultures were grown in an anaerobic chamber (Coy
Laboratories Products, Inc.) with a gas mixture of 80%
N2, 10% O2, and 10% CO2 at 37°C. For acid regulation,
aliquots of mid-logarithmic cultures were removed to
measure initial pH and AP activity. 1M sodium citrate
(pH >6.0) or 1M citric acid (pH 4.7) were added to
equivalent amounts of culture to a final concentration of
50 mM citrate. Cultures were grown aerobically for two
hours at 37°C and then pH and AP measurements were taken.
AP activity was measured as described previously
(Michaelis et al., 1983, J. Bacteriol. 154:366-374.
herein incorporated by reference). AP units were
calculated by the following formula: units = {OD420/[time
(minutes) x volume x OD600]} x 1000 as defined by Miller
for /3-galactosidase (Miller et al., 1972, Experiments in
molecular genetics, p. 352-355. Cold Spring Harbor
Laboratory, Cold Spring Harbor, NY.).
Standard bacterial genetic techniques were used to
study prg loci. Bacteriophage P22HTint-mediated
transduction was performed as according to methods known
in the art. TnphoA mutagenesis was performed using a
broad host range plasmid (pRT291) to deliver TnphoA
(Taylor et al., 1989, J. Bacteriol. 171:1870, herein
incorporated by reference). Transpositions of TnphoA
into Salmonella DNA were identified by use of the
incompatibility plasmid pPHlJI (Taylor et al., supra).
Screening for phoP-repressed genes was performed using
CS031, the donor strain of the pho-24 allele. CS031 was
constructed by a P22 bacteriophage transductional cross
between strains AD154 and CS022 which contains the
purB::TnlO allele and the pho-24 allele, respectively.
The linkage of pho-24 and purB::TnlO was 70%, similar to
the linkage of purB to other phoP alleles. Therefore,
when P22 bacteriophage transductional crosses were
performed between CS031 and the strains containing active
gene fusions to phoA, strains could be screened for loss
of fusion protein activity on acquisition of tetracycline
resistance. Initial screening involved detection of loss
of AP activity in approximately 70% of colonies that
acquired tetracycline resistance, as they were presumed
to contain the pho-24 allele. In addition, controls
were performed using strain AD154 that contains the same
purB::TnlO allele linked to a phoP null allele, phoP12.
Plasmid DNA was transformed into S. typhimurium strain
LB5010 by the calcium chloride and heat shock procedure
(Maclachlan et al., 1985, J. Bacteriol. 161:442) .
Isolation of strains with TnphoA insertions in phoPrepressed
genes
Constitutive mutations in the phoP locus
(phenotype PhoPc) that result in increased expression of
pag in an unregulated fashion also markedly attenuate S.
typhimurium virulence and survival within macrophages.
The virulence defect of PhoPc strains can be explained by
their decreased expression of approximately 20
polypeptides encoded by phoP-repressed genes (prg).
A PhoP~PhoN~ strain (IB001) was constructed by a
P22 transductional cross between CS019 and CS003. IB001
was then mutagenized with TnphoA (so that background acid
phosphatase, encoded by phoN, would not interfere with
the measurement of fusion protein activity on alteration
of the phoP locus) and 1800 individual blue colonies with
PhoA fusion protein activity were isolated on LB agar
plates containing XP. These colonies were the result of
18 separate matings with approximately 20 pools in each.
These strains were tested for reduction of fusion protein
activity on acquisition of the pho-24 allele (CS031),
which resulted in a PhoPc phenotype. AP assays were then
performed on strains isogenic except for the phoP locus.
The PhoPc phenotype was confirmed in these strains
by preparation of whole cell protein extracts and SDSPAGE
analysis. All strains with a PhoPc phenotype
demonstrated the expected distinctive pattern of protein
expression in PhoP0 strains, i.e. repressed protein
species of specific sizes.
Eight strains were identified with gene fusions to
phoP-repressed genes. As shown in Table 6, the synthesis
of most prg::TnphoA fusion proteins was fully repressed
by the pho-24 allele. While two loci had complete
repression of fusion protein activity, others
demonstrated only partial repression. The expression of
pag in PhoPc strains is 5-10 fold less than that observed
after bacteria are phagocytosed by macrophages suggesting
that the degree of repression of some prg loci may be
greater when pag are maximally activated within acidified
macrophage phagosomes.
Lower values for prgB -phoA fusions in strains
with a wildtype phoP locus (Table 7B) compared to PhoP~
strains (Table 7) may represent some degree of repression
in the presence of PhoP,
(Table Removed)
In Table 6, a comparison of the effect of phoP
locus mutations on Prg-PhoA fusion protein activity is
made. PhoP" indicates that the strain assayed contains
the phoP12 allele (CS030) and PhoPc indicates the strain
assayed contains the pho-24 allele (CS031). Values were
calculated from stationary phase cultures. The numbers
denote representative values of experiments performed on
three separate occasions and represent activity in units
of AP as defined above.
(Table Removed)

Table 7 demonstrates the effects of environmental
conditions on the in vitro regulation of prg loci.
Table 7A shows the effect of starvation on prg and
pag expression. Starvation medium (N~"C~P~) (17) contained
0.04% glucose, 10 mM NH4Cl, and 1 mM NaH2PO4.H2O. The
fusion protein activity for starvation media was measured
after 48 hours of growth (OD600 = 0.5) while that in rich
media (LB) was measured in late-logarithmic growth (OD600
= 1.0).* All cultures were grown aerobically.
. Table 7B shows the effect of oxygen tension on
expression of phoP-activated and phoP-repressed genes.
Expression in rich medium is compared under aerobic
conditions at stationary phase (OD60Q > 1.4),
microaerophilic (OD600 - °-8), and strict anaerobic
conditions with 80% N2, 10% O2, and 10% C02 (OD500 = 0.6)
after 24 hours of growth.*
Table 7C shows the effect of pH on the expression of
fusion protein activity of prg and pag loci. Expression
was measured from cultures grown to logarithmic growth
(OD600 =0.5) in LB media buffered to various pHs with

sodium citrate. All the numbers represent activity in
units of AP as defined above.
Chromosomal location of prg::TnphoA loci
prg::TnphoA linkage analysis was performed to a
bank of strains with randomly spaced TnloAl6Al7
insertions to determine chromosomal locations and
whether prg::TnphoA alleles were unlinked loci. The
prg::TnphoA insertions were in five distinct linkage
groups. Three alleles, prgEl-3: rTnphoA were identically
linked to the TnlOAl6Al7 insertion of AK3091(26%) and two
other alleles, prgBl-2::TnphoA were similarly linked to
the TnlOAl6Al7 insertion of AK3190 (94%), AK3249 (89%),
and AK3186 (50%). Another allele, prgH1::TnphoA, was
found to be 37% linked to the Tn!OAl6Al7 insertion of
strain AK3304. The other two prg alleles did not
demonstrate linkage to the bank of strains tested. The
chromosomal- DNA of these two strains was analyzed by
Southern hybridization analysis using a portion of TnphoA
as a probe, and a rough physical map of the sites located
adjacent to the TnphoA insertion was determined. These
alleles, prgA and prgC, had different restriction
endonuclease sites surrounding the TnphoA insertions. In
addition, the repression of prgA and prgC fusion protein
activity in strains with the pho-24 mutation was
different; prgC was completely repressed, while prgA was
only partially repressed indicating that these loci are
different. Thus, five unlinked loci encoding envelope
proteins repressed in the PhoPc phenotype were
identified.
Though three prg loci were identified that were
linked to transposon insertions, none of the TnlOAl6Al7
insertions had a known map location. The physical map
location of two of these transposon insertions, AK3249
and AK3304, was analyzed using Xjbal restriction
endonuclease digestion and pulse field gel
electrophoresis (PFGE). Since TnlOAl6Al7 contains a
single Xbal site, these TnlOAl6Al7 insertions can be
assigned to a specific Xbal fragment of known map
location (Liu et al., 1992, J. Bacteriol. 174:16622).
AK3249 was assigned to 28-32 min, while AK3304 was
assigned to either end of the 58-70 minute fragment.
Further P22 transduction to known markers in those
regions was performed. The TnlOAl6Al7 insertion of
strain AK3249 and prgBl::TnphoA were found not to be
linked to the TnlO insertion of strain TN3061 (6% linked
to dcp), which has a transposon insertion at 28 min, or
to the ompD::Tn5 insertion of strain SH7782 at 32 min.
prgHl::TnphoA was found to be very weakly linked to the
sr!202::TnlO insertion of strain TT520 ( minutes. These data indicate that prg are unlinked on
the Salmonella chromosome, consistent with the function
of PhoP/PhoQ as global regulators.
The chromosomal location of TnphoA insertions in
phoP-repressed genes (prg::TnphoA) was determined by
linkage analysis to a bank of strains with TnlOAl6Al7
insertions (Kukral et al., 1987, J. Bacteriol. 169:1787,
herein incorporated by reference). Cells with TnphoA
insertions were spread on LB agar plates containing 10
Mg/ml tetracycline and 40 /jg/ml XP. Then P22 lysates
grown on strains with TnlOAl6Al7 insertions were spotted
onto plates with a multiprong inoculator. After
overnight inoculation, plates were reviewed for linkage
by looking for mixed blue and white colonies. Linkage
was confirmed and quantitated by carrying out individual
transductional crosses between the TnlOAl6Al7 containing
strains and the strain with the TnphoA insertion. After
selection for the TnlOAl6Al7 encoded tetracycline
resistance, strains were scored for loss of blue color
and TnphoA encoded kanamycin resistance. Some TnphoA
strains were found to be linked to TnlOAl6Al7 strains
with no known map location. Two of these TniOAl6Al7
insertions were physically mapped using PFGE following
Xbal restriction endonuclease digestion. Based on
physical mapping, linkage analysis to other transposon
insertions by P22 bacteriophage transduction was
determined as necessary.
Chromosomal DNA was prepared as described by
Mekalanos, 1983, Cell 3.5:253, herein incorporated by
reference, using Proteinase K instead of Pronase.
Purification of plasmid DNA was performed by standard
methods. Restriction endonuclease digestion was
performed according to the recommendations of the
manufacturer (New England Biolabs). DNA, size
fractionated in agarose gels, was transferred to
Genescreen Plus membranes (New England Nuclear/Dupont,
Boston, MA) for blot hybridization by the method of
Southern well known in the art. DNA probes were purified
from agarose gels by the freeze-squeeze method (Tautz et
al., 1983, Anal. Biochem. 132:14) and radiolabelled with
[32P]dCTP by the random primer method (Feinberg et al.,
1983, Anal. Biochem. 132:6) .
Cloning genes from Tnpho A fusions
The gene encoding prgH has been cloned using
methods described below. The plasmid, pIBOl, containing
the prgH gene has been deposited with the American Type
Culture Collection on July 9, 1993 (Rockville, MD) and
has received ATCC designation ATCC 75496. Fig. 5 shows
the partial DNA sequence of prgH (SEQ ID NO: 3). Fig. 9
shows the location and sequence of the entire prgH gene.
The genes described herein which have been
identified by ThphoA insertion can be cloned using
methods known in the art (Beattie et al., 1990, J.
Bacteriol. 172:6997). Chromosomal For example, DNA of
each strain containing a prg::TnphoA -gene fusion is
digested with a restriction enzyme such as BamHl which
cuts at a single site in TnphoA maintaining the fusion
junction, phoA sequences and the neo gene. Similarly, a
plasmid such as pUC19 is digested with the same enzyme.
Digested chromosomal and plasmid DNA are ligated
overnight at 15°C and transformed into competent E. coli.
Transformations are plated on LB agar containing
ampicillin and kanamycin to select for the bla gene of
pUC19 and the neo gene of TnphoA. The chromosomal DNA
containing the prg::TnphoA gene fusion can then be
sequenced using standard methodology described above,
such as the SEQUENASE® (United States Biochemical) kit.
Universal primer (United States Biochemical)
corresponding to DNA sequences in the plasmid or TnphoA
primer (5'-AATATCGCCCTGAGCA-3') fSEO ID NO: 4)
corresponding to bases 71 to 86 of TnphoA can be used as
primers.
To clone the wild type gene, a fragment of
chromosomal DNA flanking TnphoA sequences can be used to
screen a cosmid gene bank of wild type Salmonella strain
ATCC 10428 using methods described above for cloning wild
type pagC.
Environmental regulation of prg loci
Since PhoP/PhoQ are environmentally responsive
regulators, the effects of different growth conditions on
prg::TnphoA expression were tested. The growth rate of
strains with prgr::TnphoA insertions was comparable to
wild-type organisms under all conditions. The expression
of all prgr loci was maximal in late logarithmic growth
phase when bacteria were grown in rich (LB) media. An
example of this is the comparison of values of
prg/f: : TnphoA expression in Table 7A (rich media and
stationary growth) and Table 7C (pH 7.0, log phase).
Since the expression of pag loci was maximal in
starvation (which only reaches a maxi'mal OD600 = 0.5) and
stationary growth phase, this was consistent with a
reciprocal relationship between the expression of pag and
prg. Further analysis of prg loci expression under
starvation conditions confirmed this reciprocal
relationship (Table 7A). prgH expression was repressed
(Table 7A) and other prg were minimally affected under
starvation conditions, in contrast to the induction of
pag expression when bacteria were starved (Table 7A).
Because of its role in bacterial-mediated
endocytosis (BME), the effect of oxygen tension in rich
medium on pag and prg expression was also tested (Table
7B). Different but not reciprocal regulation of pag and
prg loci was found on growth at different oxygen
tensions. Though pagA and pagB loci were minimally
affected by growth at different oxygen tensions, the pagC
virulence locus was approximately 5 fold repressed when
bacteria were grown anaerobically as compared to aerobic
growth (Table 7B). Variability was also noted in the
expression of prg loci in response to growth conditions
in the absence of oxygen. One loci, prgH, was repressed
three-fold in anaerobic growth, while another locus,
prgB, was induced almost 50-fold when grown anaerobically
(Table 7B). Other prg loci had minimal change in fusion
protein expression as a result of different oxygen
tensions in the growth media.
Low pH conditions also had a variable effect on
prg expression (Table 7C). The expression of pagC fusion
protein activity was induced under acid conditions as
previously known. When bacteria were grown to midlogarithmic
growth, no significant induction of the
relative repression of prgH expression was noted in
media of low pH, while prgB expression was induced on
exposure of bacteria to low pH (Table 7C). Hence, loci
maximally expressed under diverse environmental
conditions can all be repressed by the PhoP° phenotype.
Acid sensitivity was tested by the method of
Foster et. al., 1990, J. Bacteriol. 171:771, herein
incorporated by reference. Strains were grown
aerobically in E media and 0.4% glucose at 37°C to an
OD600 of 0.5. The pH of the bacterial culture was
decreased to near 3.3 by the addition of 1 M hydrochloric
acid. An aliquot was taken immediately (t0), the
remainder of the culture was incubated further at 37°C
with subsequent aliquots removed at 40 min (t40) and 80
min (tao> time-points. The pH of the cultures remained
near 3.3. The aliquots were diluted 1:10 in cold PBS,
washed and resuspended in normal saline prior to plating
serial dilutions for colony forming units.
prgH is a virulence locus for S. typhimurium
Since the PhoPc phenotype resulted in virulence
attenuation and repressed the synthesis of approximately
20 proteins, the virulence of strains with single
mutations in prg loci was tested (Table 8). Strains with
prg::TnphoA insertions were screened for virulence
defects by intraperitoneal injection of approximately 150
organisms into BALB/c mice. Controls were also performed
with wild-type bacteria. A significantly longer time
course of clinical disease progression was observed with
a prg mutant strain compared to wild type bacteria. Mice
injected intraperitoneally with strains containing the
prgHl::TnphoA insertion developed clinical signs of
typhoid fever, such as a "scruffy "phenotype (fever and
piloerection) and hepatosplenomegaly in approximately 10-
14 days, compared to approximately 24 hours for the wild
type bacteria. Despite the extended time course of
disease development, all the mice eventually died.
Disease progression of mice injected with other strains
containing prg: \1r\phoA insertions showed a similar
pattern of illness to that of wild type bacteria.
Table 8
(Table Removed)

Table 8 shows the effect of the prgHl::TnphoA
mutation on Salmonella mouse virulence. Strains were
isogenic and administered by intraperitoneal injection
and oral inoculation in 35 day old BALB/c mice. The
number of animals used at bacterial dilutions near the
LD50 for each allele is listed in parentheses. The LD50
determinations were repeated on three separate occasions.
Further testing of the LD50 of strains containing
prgH mutations was performed. pzgH mutants were
determined to have an LD50 of approximately 60 organisms
compared to a value or to the difficulty in accurately delivering organisms in
small doses to mice, a strain with a mutation in both
prgH and phoP was constructed. The PrgH~PhoP~ strain had
greater than a 10 fold increase in LD50 compared to CS015,
an isogenic PhoP" strain (Table 8). The combined effect
of the two mutations further documented that the
prgHl: rTnphoA mutation attenuated S. typhimurium
virulence and indicated that mutations which affected two
phases of PhoP/PhoQ regulated gene expression were
additive in their effect on virulence. Strains with
prgHl::TnphoA insertions were also tested for virulence
when administered by the oral route. A 10 fold decrease
in virulence (increase in LD50) was observed (Table 8).
Further analysis of the efficiency of strains with
prgHl::TnphoA insertions in crossing the mucosal barrier
was tested by competition experiments with wild-type
bacteria. During the first 72 hours after oral
inoculation with mutant bacteria, no prgH1::TnphoA
mutants were recovered from the bloodstream of mice
compared to control experiments in which organisms were
routinely isolated from the blood of mice inoculated with
wild type bacteria. Other strains with prg mutations
were also tested for virulence defects by the oral route,
but no significant change in virulence was observed.
Mouse virulence studies were carried out as
follows. Bacteria were grown aerobically at 37°C to
stationary phase, washed with LB, and diluted in normal
saline. 35 days old (16-18g) female BALB/c mice were
purchased from the Charles River Breeding Laboratories,
Inc. (Wilmington, MA). Diluted bacterial samples in
saline were injected intraperitoneally with an inoculum
of 0.1-0.15 ml. Bacteria were administered orally as a
0.5 ml bolus to mice fasted for 2 hours, via a 2 inch
straight, 18 gauge stainless steel animal oral feeding
needle (Harvard Apparatus, Inc., South Natick, MA) under
mild 2-bromo-2-chloro-l,1,1-trifluoroethane (Halothane)
anesthesia. The number of organisms administered was
guantitated by plating for cfu/ml on LB agar. Mouse 50%
lethal dose (LD50) values were determined by standard
methods (Reed and Muench, 1938, Amer. J. Hygiene 27:493).
The LD50 determinations were repeated on three separate
occasions. Competition assays were performed after
bacteria were administered orally to mice as above.
Bacteremia was assessed on days 1-4 from tail bleeds or
intracardiac punctures with 50 fil of blood plated
immediately and after growth in LB broth at 37°C
overnight. Spleen and intestinal harvests were performed
on days 1-6 with organs homogenized in 3 mis of 0.9%
sodium chloride. Samples and cultures were plated in
serial dilutions. S. typhimurium was confirmed by
characteristic growth (black colonies) on Hektoen-enteric
agar (Difco Laboratories) and by the macroscopic slide
agglutination test with Salmonella rabbit serum Group B
(Antigens 4, 5, 12) (Fisher Scientific).
Mutations in oxygen-induced genes do not affect mouse
virulence
Both prgH and pagC loci were shown to be repressed
by anaerobic growth and required for full virulence, thus
suggesting that a shift from anaerobic to aerobic
conditions might serve as a general signal for induction
of virulence genes. Strains with mutations in oxygeninducible
loci (Aliabadi et al., 1986, J. Bacteriol.
165:780) were constructed. ATCC14028S derivatives with
oxiA, oxiC, and oxiE mutations were made (termed CS032,
CS033, CS034, respectively). These strains were as
virulent as wild type bacteria. Though these gene
fusions could still mark operons containing virulence
genes, this data suggests that these loci are not
essential to full virulence and that oxygen induction is
mutants have normal survival within macrophages
Since the PhoPc phenotype resulted in a defect in
bacterial survival within macrophages, the effect of this
mutation on the synthesis of a prgtf-encoded protein was
tested. A strain with the prgHl::TnphoA insertion was
tested for intracellular survival within bone marrowderived
macrophages from BALB/c mice and J774.2 cells, a
macrophage derived cell line. No defect in intracellular
survival was observed. A strain with a prgBl::TnphoA
insertion was also tested and found not to have a defect
in survival within macrophages.
Assays to determine bacterial survival within
macrophages were performed as described by Buchmeier al.,
1989, Infect. Immun. 52:1, herein incorporated by
reference. Bacteria grown to stationary-phase were
opsonized for 30 minutes in normal mouse serum before
exposure to cultured bone marrow-derived macrophages
harvested from BALB/c mice. One hour after infection,
gentamicin 10 /ig/ml was added to kill extracellular
bacteria. All time points (1, 4, and 24 hr) were done in
triplicate and repeated on three separate occasions.
Cultured bone marrow macrophages were harvested
from BALB/c mice purchased from the Charles River
Breeding Laboratories. J774.2 macrophages were cultured
in Dulbecco's mirtimal essential medium with 10% fetal
bovine serum (DMEM/10%FBS).
prg::TnphoA insertions do not suppress the phenotypes of
PhoP mutants
Several phenotypes of phoP mutants, including
defensin and acid sensitivity as well as mouse virulence
attenuation, were tested for suppression on addition of a
prgr: : TnphoA mutation. To test the eibility of a phoP
mutation to suppress the synthesis of prg products, PhoP
mutant strains isogenic except for prg: :TnphoA mutations
were constructed and tested for mouse virulence, where
suppression would involve an increase in virulence, or
decreased acid and defensin sensitivity. prg::TnphoA
insertions had no effect on the virulence phenotypes of
PhoP~ bacteria. These results indicate that the
prg::TnphoA mutations tested did not suppress the PhoP
null phenotype as single mutations.
PrgH and PhoPc mutants are defective in bacterialmediated
endocytosis by cultured epithelial cells
The BME of prg::TnphoA and PhoPc S. typhimurium
strains was tested. The following observations
(described herein) suggested that prg genes may be
involved in bacterial-mediated uptake by eucaryotic
cells: prgHl::TnphoA was shown to be located at 59' on
the bacterial chromosome, a location where other genes
essential to invasion are clustered; prgH mutants were
shown to be defective in competition with wild type
organisms on reaching the bloodstream of mice in the
first 72 hours after oral ingestion; and the expression
of one prg locus, prgB, was dramatically induced under
anaerobic growth conditions. Strains with prgH and pho-
24 mutations had a significant reduction (p-value in their ability to induce uptake by Madin-Darby canine
kidney (MDCK) polarized epithelial cells compared to
wild-type bacteria. Other prg strains with TnphoA
insertions did not demonstrate a statistically
significant defect in BME by epithelial cells (Table 9).
The adherence of strains defective in BME was unaffected
by the prgH::TnphoA insertion when determined by cellassociated
cfu/ml before the administration of gentamicin
(Table 9) and by microscopy.
To assay bacterial adherence and uptake of
bacteria by epithelial cells, bacterial strains were
grown at 37°C without shaking (microaerophilie) to a
final density of approximately 2xl08 colony forming units
(cfu)/ml. Assays were performed by seeding 105 MDCK
cells/well in 24-multiwell tissue culture plates. Cells
were incubated overnight at 37°C in 5% CO2/95% air
atmosphere in DMEM/10%FBS without antibiotics until >80%
confluent. The adherence and invasion assays were
carried out according to the protocol of Lee and Falkow,
1990, Proc. Natl. Acad. Sci. USA ET7:4304, herein
incorporated by reference.
(Table Removed)
In Table 9, the effect of prg::TnphoA insertions
on Salmonella-mediated endocytosis by MDCK epithelial
cells is shown. Microaerophilically grown bacterial
strains were assessed for changes in adherence and
invasion. Adherence was determined as the percentage of
bacteria adhered to the cells after centrifugation and 30
minute 4°C incubation/ total number of bacteria added to
each well. Invasion was determined as the percentage of
bacteria that had invaded after a two hour incubation
with gentamicin/ total number of bacteria added to each
well. There was no difference between S. typhimurium
wildtype and S. enteritidis CDC5 wildtype strains with
respect to adherence and invasion freguency. The
asterisk (*) represents statistical significance by
variance analysis of the invasion data done in triplicate
compared to wild-type (p-value The confluent MDCK monolayers were washed three
times with PBS, then 0.9 ml of cold DMEM/10%FBS was added
to each well. Bacteria were washed in LB and resuspended
in an eguivalent volume of DMEM/10%FBS. Approximately
5xl07 bacteria were added/well. The plates were spun at
500 rpm at 4°C for 10 minutes, then incubated at 4°C for
30 minutes. Adherent bacteria were recovered by washing
the plates three times with phosphate-buffered saline
(PBS), lysing the epithelial cells in 0.5 ml of 1%
Triton-X-100/PBS, and plating for cfu/ml on LB agar. A
morphologic assessment of adherence was also performed by
staining bacterially infected epithelial cell monolayers
grown overnight on coverslips for 7 minutes in 1 /ig/ml 4'
6-diamidino-2-phenylindole (DAPI). These DAPI stained
coverslips were examined by both fluorescent and phase
contrast microscopy using a Leitz Laborlux 12 microscope.
Invasion or bacterial-mediated endocytosis (BME)
was assessed by allowing bacteria to adhere as described
above. Plates containing bacteria and epithelial cells
were incubated for two hours at 37°C in a 5% CO2/95% air
atmosphere. Each well was washed three times with PBS to
remove bacteria not associated with cells. DMEM/10%FBS
supplemented with 10 /ig/ml gentamicin was then added to
kill extracellular bacteria. After 90 minutes of
incubation, the cell monolayers were washed three times
with PBS and the viable intracellular bacteria were
released by vigorously pipetting with 0.5 ml of 1% Triton
X-100/PBS. An invasion deficient Salmonella enteritidis
mutant and an invasive clinical wild-type isolate of S.
enteritidis were used as controls for BME. Viable
bacteria were quantitated by plating for cfu/ml on LB
agar medium. All assays were done in triplicate and
repeated at least three times.
MDCK epithelial cells were used between passage
40-58 to maximize bacterial adherence and invasion.
Epithelial cell lines were cultured in DMEM/10% FBS and
1% penicillin/streptomycin solution at 37°C in a 5% C02
atmosphere.
To assay bacterial defensin sensitivity, NP-1
defensin was purified from rabbit peritoneal neutrophils
according to methods known in the art (Selsted et al.,
1985, J. Biol. Chem. 260:4579 ; Selsted et al., 1984,
Infect. Iromun. 4.5:655). Typically, 105 bacteria in 0.5%
tryptone in 100 /nl volume were exposed to 50-100 /ig of
defensin/ml at 37°C for 2 hours. The reactions were
stopped by diluting the reaction in 0.9% NaCl.
Appropriate dilutions were plated to determine the cfu/ml
of surviving bacteria. Assays were performed in
duplicate at least twice for each strain. Appropriate
assays with sensitive (PhoP~) and resistant (wild-type)
strains were performed as controls.
Mapping of prgH
The location of prgH relative to other invasion
loci at 59 minutes was determined using linkage analysis.
P22 transduction linkage analysis indicated that the
TnlOAl6Al7 of strain AK3304 had similar linkage to invA
(40%) and prgH- (37%) ; however, invA was not linked to
sorbital. The prgHl::TnphoA insertion was found to be
linked (99.6%) to the transposon insertion of EE517, a
strain with a 8.5 kilobase deletion adjacent to the Tn5B50-
378 insertion of hil.
A physical map of the restriction endonuclease
sites surrounding the TnphoA insertion of strain IB037
was made (Fig. 4) revealing no similarities to the known
restriction endonuclease map of the invA-E region.
Plasmids containing the cloned inv and hil DNA were then
used as probes in Southern hybridization analysis of
chromosomal DNA from wild type ATCC10428s and IB040
bacteria containing the prgHl::TnphoA insertion. When a
plasmid which contains other invasion loci highly linked
to invA-E (invH, invF, and part of invG) was used as a
probe, no differences in hybridization pattern was found
between wild type bacteria and strain IB040 indicating
that prgH was not located within the inv region.
However, when a plasmid containing a 5 kb region
immediately downstream of the Tn5B50-380 insertion of
hil was used as a probe, the prgHl::TnphoA insertion was
demonstrated to be located within this region. By use of
the known restriction map of the hil locus (Lee et al.,
1992, Proc. Natl. Acad. Sci. USA £9:1847) and the known
restriction endonuclease sites of TnphoA, the physical
map of this area and the relationship of prgHl::TnphoA
within it were further defined (Fig. 4). The
prgHl::TnphoA insertion was oriented so that the
direction of transcription of the phoA fusion protein was
opposite to that of the Tn5B50 insertions that confer the
hil phenotype and contain a constitutive neomycin
promoter that is transcribed out of the transposon (Fig.
4). Althought prgH was found to be located within the
hil locus, this gene is unique in that it is oppositely
transcribed and unlike any other genes identified within
the hil locus, prgH is regulated by the phoP regulon.
Since it was possible that a protein whose
expression was altered by the Tn5B50-380 insertion might
alter the expression of prgH, strains containing both
insertions were constructed and the prgH-phoA fusion
protein activity compared under different environmental
conditions. When bacteria were starved or grown
anaerobically, derepression of fusion protein activity
was observed. Table 11 shows the effect of the TnSBSO-
380 insertion on expression of prgH fusion protein
activity.
(Table Removed)
This data demonstrates that the Tn5B50-380
insertion increased prgH expression, even though prgH
transcription was opposite to that of the Tn5B50-380
encoded neomycin promoter. Starvation (repressing
conditions for prg) indicates that bacteria were grown
aerobically for 48 hours in starvation medium (N~C~P~)
containing 0.04% glucose, 10 mM NH4C1, and 1 mM
NaH2PO4.H2O. LB (aerobic) indicates that bacteria were
grown in Luria-Bertani broth (rich media) to late
logarithmic growth (nonrepressing conditions) (OD600 >1.0
). LB (anaerobic) indicates that bacteria were grown
under strict anaerobic conditions for 24 hours (OD600 =
0.6). All the numbers represent activity in units of AP
as described above.
To rule out the possibility that the BME defect of
the prgH mutant was an artifact of the PhoA fusion
protein produced, complementation analysis was performed
with a plasmid (pWKSHS) containing a 5.1 kb Hindlll
fragment which included the hil and prgH loci. The
plasmid was crossed into PrgH (IB040) and PhoPc (CS022)
mutant bacteria to create strains IB043 and IB044,
respectively. The BME phenotype of the PrgH mutant was
similar to wild-type with the same plasmid insertion.
The BME phenotype of the PhoPc mutant was not complemented
by this plasmid. These results indicate that a gene
product altered in synthesis as a result of the
prgH::TnphoA insertion was necessary for BME.
Using a strain with a phoP/phoQ locus mutation
that constitutively simulates the environmental
activation of pag (phenotype PhoP°), five unique phoPreprossed
loci encoding envelope proteins were defined.
phoP-repressed genes (prg) were found to be widely spaced
*
on the chromosome and the expression of prg loci was
repressed under starvation conditions, when pag loci
were induced (Table 10).
Table 10
(Table Removed)

PrgH was shown to lie between two Tn5B50
insertions that confer the hil phenotype. Since deletion
mutants in this region have been demonstrated to also

have defects of BME, and the BME defect of prgH mutants
can be complemented with a plasmid containing this locus,
it is possible that a protein not synthesized as a result
of the prgHl::TnphoA insertion promotes BME (Fig. 4).
Contrary to the expectation that genes essential
to the hil phenotype would be induced under
microaerophilic conditions similar to what was found for
prgB, prgH expression was maximal during aerobic growth
and the Tn5B50-380 insertion, which results in a hil
phenotype, derepressed expression of prgH. In addition,
the direction of transcription predicted by the
prgH1::TnphoA insertion is opposite to that of the
Tn5B50-380 encoded neomycin promoter associated with the
hil phenotype suggesting that a regulatory protein
interrupted by or transcribed from the Tn5B50-380
insertion affects the expression of prgH.
In view of the observation that pWKSHS, a plasmid
containing prgH (hil), did not complement PhoPc bacteria
for BME, it is possible that other invasion genes may
also be regulated by PhoP/PhoQ. If prgH was expressed
from pWKSH5, despite the presence of the pho-24 mutation,
this suggest that other genes repressed as part of the
PhoPc phenotype are necessary for BME.
The identification and characterization of prgH
has shown that PhoP/PhoQ oppositely regulate factors
necessary for bacteria to enter or to survive within
mammalian cells, further documenting the importance of
gene regulation to bacterial virulence. The
identification of prg loci can be used to study the
regulation of bacterial genes after infection of
mammalian cells. Understanding the regulation of
virulence genes, such as prgH can also be used to
attenuated pathogenic bacteria for the development of new
live vaccines for typhoid fever.
Role of prg genes in virulence
The prg locus, prgH, was found to contribute to
mouse virulence when S. typhimurium was administered by
both the oral and intraperitoneal routes. PrgH as well
as PhoPc mutants were further found to be defective in
bacterial-mediated uptake by epithelial cells suggesting
that an inability to cross epithelial barriers might
contribute to the attenuation of virulence observed.
Competition studies in mice after oral ingestion of
bacteria further supported that prgH mutants were
defective in transcytosis across the intestinal
epithelial barrier. Therefore, at least two phases of
PhoP/PhoQ regulated protein expression essential to
bacterial virulence have been defined. In one phase, prg
expression promotes bacterial mediated endocytosis by
epithelial cells (Table 10), while in another phase, pag
expression promotes survival within macrophages.
Systemic pathogens, such as Salmonella, may
encounter more complex and varied environments than may
be encountered by mucosal pathogens. The achievement of
intermediate states of pag and prg expression could be
essential to virulence at some stage of the infectious
cycle. Consistent with this concept was the lack of
uniformity observed in the expression of pag and prg on
growth at different oxygen tensions and pH conditions.
These data may also indicate that not all regulation of
pag and prg is mediated directly through PhoP and PhoQ.
Given the function of PhoP as a transcriptional
regulator, it is likely that prg loci repression occurs
at the level of transcription.
The approach of defining genes repressed by the
pho-24 mutation has led to the discovery of at least one
virulence locus, prgH, which can be mutated to attentuate
the bacteria for vaccine purposes.
Attenuation of Bacterial Virulence by Constitutive
Expression of Two-component Regulatory Systems
The virulence of a bacterium can be attenuated by
inducing a mutation which results in the constitutive
expression of genes under the control of a two-component
regulatory system or by inducing a mutation that
inactivates a gene under the control of the two-component
systems. A balance between the expression of the genes
under the control of the two-component system, e.g.,
between pag and prg gene expression, and possibly between
two-component system regulated genes and other genes, is
necessary for full virulence. Mutations that disrupt
this balance, e.g., mutations that cause the constitutive
expression of a gene under the control of the twocomponent
system, or a mutation that inactivates a gene
under the control of the two-component system, e.g., the
pag gene, reduce virulence.
Constitutive mutations in two-component
regulators can be identified by the use of a strain
containing a recorder gene fusion to a gene regulated by
the two-component system. Such gene fusions would most
typically include DNA encoding the lacZ gene or AP fused
to a gene under the control of the two-component system.
Strains containing fusions that are (as compared to wild
type or parental strains) highly expressed in an
unregulated fashion, i.e., constitutive, can be detected
by increased color on chromogenic substrates for the
enzymes. To detect constitutive mutations a cloned
virulence regulator could be mutagenized e.g., by passage
through an E. coli strain defective in DNA repair or by
chemical mutagenesis. The rautated DNA for the regulator
would then be transferred to the strain containing the
gene fusion and constitutive mutations identified by the
high gene fusion expression (blue color in the case of a
lacZ fusion grown on media containing X-gal).
Constitutive mutations in a component of a two-component
regulatory system could also be made by in vitro
mutagenesis after other constitutive mutations have been
sequenced and a specific amino acid change responsible
for the constitutive phenotype identified. Putting
several amino acid changes that all result in a PhoP
constitutive phenotype would result in a decreased
frequency of reversion by spontaneous base changes. A
constitutive mutation could also be constructed by
deletion of the portion of the amino terminus of the
phospho-accepting regulator which contains the
phosphoacceptor domain e.g., deletion of sequences
encoding amino acids amino terminal to amino acid 119 in
the phoP gene or deletion of analogous phospho accepting
sequences in genes of other two-component regulatory
systems. This could result in a conformational change
similar to that induced by phosphorylation and result in
increased DNA binding and transcriptional activation.
Attenuation of virulence: d_el_ejti_on in the phoP/phoQ
regulon As discussed above, the PhoP regulon is
essential to full virulence of Salmonella. This regulon
is composed of two genes, PhoP and PhoQ located in an
operon, and over 40 genes they positively and negatively
regulate (pag and prg, respectively).
PhoP null S. typhimurium mutants have been
demonstrated to be markedly attenuated and also effective
vaccine strains when studied in the BALB/c mouse model of
typhoid fever. This phenotype is likely the result of
multiple, phoP-activated virulence genes, as transposon
insertions in multiple different phoP-activated genes
have been independently demonstrated to decrease S.
typhimurium virulence. S. typhimurium mutants deleted
for genes essential to eiromatic amino acids (aroA null or
aroC/aroD null mutants) are also markedly attenuated in
the mouse model. However, testing of aroC/aroD mutants
in humans has shown that although these strains are
immunogenic, bacteremias and side effects such as fever
have been noted at doses as low as 105 to 107 organisms
administered as a single oral dose (Hone et al., J. Clin.
Invest. 90:412-420). It has now been found
that a large deletion in a global regulator of Salmonella
virulence, i.e., the PhoP/PhoQ operon, significantly
decreases the virulence of the bacteria. This mutation,
the result of a 1 kB deletion of DNA within the phoP/phoQ
locus, was initially made in S. typhimurium and
subsequently transferred via homologous recombination to
S. typhi. In order to confer an even greater margin of
safety in construction of this vaccine, it was created in
a strain background deleted for genes essential to
aromatic amino acids and carrying the histidine G46
mutation, a mutation rendering the organism auxotrophic
for histidine. The resulting strain, S. typhi TyLH445,
offers several advantages over existing vaccine
candidates, most, notably, imnunogenicity without
transient bactermia .
Use
The Salmonella cells of the invention are useful
as sources of immunological protection against diseases,
e.g., typhoid fever and related diseases, in an animal,
e.g., a mammal, e.g., a human, in particular as the basis
of a live-cell vaccine capable of colonizing the
inoculated animal's intestine and provoking a strong
immune reaction. Appropriate dosages and conditions of
administration of such a live, attenuated vaccine are
known in the art, e.g., as described in Holem et al.,
Acute Enteric Infections in Children, New Prospects for
Treatment and Prevention, (1981) Elsevier/North-Holland
biomedical Press, Ch. 26, pp. 443 et seg. (Levine et
al.), hereby incorporated by reference, and are described
in the examples below.
Advantages
One advantage of the invention is that the
bacterial cells are attenuated as a result of a
mutation(s), i.e., the phoP/phoQ operon, that directly
affect a virulence pathway. Another advantage is that
the bacterial cells have mutations in two completely
different attenuating genes, i.e., the aromatic amino
acid synthesis pathway (Aro), and in an operon important
to Salmonella virulence (PhoP/Q). As a result, the
bacteria appear to be extremely attenuated; doses as high
as 1 x io9 cfu appear to be very safe. Other vaccines
under development, such as CVD 908, have caused some
systemic symptoms, e.g., fever or bacteremia, at doses as
low as 1 x io7 cfu.
In addition to the phoP/phoQ deletion and the
AroA-mutation, the bacterial cells of the invention may
also contain a histidine mutation to further alternate
virulence, although absence of the histidine mutation may
improve immunogenicity. The bacterial cells of the
invention are the most promising vaccine candidates to
date because they are strongly immunogenic and safe,
i.e., extremely attenuated.
Construction of vaccine strain
The bacterial cells of the invention were made by
deleting approximately 1 kb of DNA in the phoP/phoQ
regulon.
PhoP/phoQ deleted suicide vectors were constructed
using methods known in the art. A DNA fragment
containing the phoP/phoQ locus was obtained by PCR using
wild type S. typhimurium chromosomal DNA as a template.
PCR primers flanking the phoP/phoQ locus were engineered
to contain terminal restriction enzyme recognition sites,
e.g., recognition site for EcoRI, to facilitate
subsequent cloning. Following amplification, the PCR
product was digested with £coRI and cloned into the EcoRI
site in the polylinker of a high copy vector. The
plasmid containing the phoP/phoQ DNA fragment was named
pLH356.
Sequence analysis and restriction mapping of the
phoP/phoQ locus revealed four Hpal sites within the
locus; no Hpal sites were found in the vector. To create
an internal deletion within the phoP/phoQ locus, pLH356
DNA was cut to completion with Hpal, and religated, to
yield with an internal deletion from nucleotides 376-1322
(pLH418). This deletion was confirmed by restriction
digestion of the plasmid.
A DNA fragment containing the internally deleted
phoP/phoQ locus was excised from pLH418 using the
SacI/SphI restriction sites within the polylinker region
of the vector. This fragment was cloned into compatible
sites in the plasmid CVD442, which carries the sacB gene
to allow positive selection for allelic exchange. The
resulting suicide vector was called pLH423.
pLH423 was transformed into E. coli lambda pir
SY327, and subsequently into E. coli lambda pir SM10
(strain LH425). E. coli strain LH425 was mated with
S. typhimurium strain CS019. Single recombinants
carrying plasmid sequences integrated onto the
S. typhimurium chromosome were selected by plating on
agar containing ampicillin and chloramphenicol (Strain
LH428) .- These strains were confirmed to be ampicillin
resistant and sucrose sensitive, i.e., death on 20%
sucrose plates containing no NaCl when incubated at 30°C.
These data confirm the integration of plasmid sequences
into the Salmonella chromosome.
A P22 bacteriophage lysate was made from strain
LH428; phage particles were concentrated 20x by high
speed centrifugation and transduced into S. typhi strain
522Ty2 (a strain with a deletion in the aroA gene, and
the G646 mutation which renders the organism auxotrophic
for histidine). Single recombinant S. typhi organisms
were selected by plating on LB plates supplemented with
aromatic amino acids, cystine, histidine, and ampicillin
(strain LH435).
Strain LH453 was grown with aromatic amino acids,
cystine, and histidine (but without ampicillin) to mid
logarithmic growth phase. Serial dilutions were plated
on LB 20% sucrose plates lacking NaCl, and on LB plates
lacking NaCl. The number of bacteria that grew on plates
without sucrose was greater than the number that grew on
sucrose-supplemented plates by a factor of three logs.
These data suggest that many colonies lost plasmid
sequences containing the sacB gene.
Multiple colonies from the sucrose selection were
picked and confirmed to be ampicillin sensitive and
sucrose resistant. Chromosomal DNA from approximately 10
colonies was purified and subjected to Southern blot
analysis, utilizing the 2.3 kb fragment of wild type
phoP/phoQ as a probe.
Southern blotting revealed the loss of two Hpal
sites and an XmnI site known to be within the 1 kb
deleted fragment of phoP/phoQ in several strains. One of
these strains was designated TyLH445.
In vitro evaluation of TyLH445
-TyLH445 was extensively characterized in vitro
using standard clinical microbiological tests. The
nutritional requirements of TyLH445 were evaluated.
TyLH445 did not grow on M-9 plates unless supplemented
with aromatic amino acid mix, cystine (S. typhi grows
better with cystine), and histidine. These data
confirmed that TyLH445 was AroA-, His-.
TyLH445 was found to agglutinate with polyclonal
serum against Salmonella and polyclonal serum against S.
typhi Vi antigen. Group D agglutination was found to be

variable, perhaps due to excess Vi antigen. TyLH445 was
also found to be indole negative (as are all
Salmonellae), and to produce very little hydrogen sulfide
(as do many S. typhi). Biochemical testing utilizing
both the VITEK system as well as the BBL Crystal Enteric
organism identification system was also carried out.
These data indicated that the TyLH445 strain was S.
typhi.
Growth characteristics of TyLH445 were also
evaluated. TyLH445 was found to grow just as quickly as
its parent, 522Ty2, (phoP/phoQ locus intact). Growth in
vitro was measured in aromatic amino
acid/histidine/cystine-supplemented Luria broth at 37°C.
Growth curves of the parent and vaccine strain were found
to be essentially identical (see Fig. 10).
Standardized clinical testing methods were use to
determine antibiotic sensitivity. TyLH445 and the parent
strain, 522Ty2, were found to be sensitive to ampicillin,
trimethoprim-sulfamethoxazole, ciprofloxacin,
aminoglycosides, and third generation cephalosporins. No
difference in zone sizes was detected between the parent
and vaccine strains, suggesting that no other antibiotic
resistance mechanisms, e.g., modification of antibiotic
transport systems, or modification of the cell wall of
the bacterium, were affected by introduction of the
mutated phoP/phoQ locus into S. typhi.
The phoP/phoQ Hpal deletion mutants were tested
for defensin sensitivity, a phenotype of PhoP null
mutants. Defensin sensitivity assays were performed as
follows.
Liquid cultures of strains to be tested were grown
overnight. Cultures were then diluted 1:200, and grown
to an optical density (OD600) of approximately 0.2, after
which the cells were diluted to concentration of
approximately 1 x 105 organisms per 0.05 ml.
Two reactions were carried out for each strain:
(1) vehicle alone (0.01% acetic acid in sterile water)
and (2) defensin NP-1 solution (70 ug/ml in 0.01% acetic
acid). An equal volume of bacterial suspension in
tryptone was added and the test tubes were incubated on a
roller at 37°C for 2 hours. The final volume in each
reaction tube was 0.1 ml, making the final concentration
of defensin 35 ug/ml.
Defensin is inactivated by the high salt and high
protein concentration present in bacterial growth media,
e.g. LB broth. Thus, defensin activity was stopped by
adding 900 ul of Luria broth to each tube. Serial
dilutions of each tube were plated and cfu/ml was
determined for both the control tube and treatment tube
for each strain. Results were expressed as log of
bacteria killed for each strain. Typically, 1.0-1.5 log
of wild type bacteria were killed. PhoP null mutants
generally exhibit 2-4 logs of killing. Since strains
with slower growth rates appear less susceptible to
defensin killing, the growth rate of each strain tested
in the defensin sensitivity assay was measured. Strains
with similar growth rates were compared in the defensin
sensitivity assay.
The Hpal deletion was evaluated both in an S.
typhimurium background and in the S. typhi background.
In both backgrounds, the deletion mutation conferred
sensitivity to rabbit defensin NP-1 at a concentration of
35 ug/ml. See Fig. 11 and Fig. 13. The difference
between PhoP+ and Hpal deleted PhoP null mutants was less
pronounced in the S. typhi strain, an effect that may
reflect the slower growth rate of the less hardy 5. typhi
strain compared to the S. typhimurium strain which lacks
the additional auxotrophies.
The state of phoP activation in bacteria with the
tfpal phoP/phoQ deletion was tested utilizing a LacZ
recorder gene fused to phoP-activated gene B (pagB).
Since the efficiency of transduction utilizing P22 in
5. typhi is low, these studies were performed in S.
typhimurium rather than S. typhi. PhoP activation was
found to be 40-60 Miller units (Miller et al., 1972,
Experiments in Molecular Genetics, Cold Spring Harbor
Laboratory, Cold Spring Harbor, N.Y., pp. 352-355) in the
presence of an intact phoP/phoQ locus, and just barely
detectable in strains with the Hpal deletion (3cfusee
Fig. 12) .
In vivo evaluation of S. typhimurium Hpa~L deleted strain
As S. typhi strains are not pathogenic for mice,
the Hpal phoP/phoQ deletion mutation was evaluated in
both wild type and aroA- S. typhimurium. Female BALB/c
mice were injected intraperitoneally with various
dilutions of S. typhimurium LH430, a wild type S.
typhimurium carrying the Hpal. deletion. The LD50 of this
strain was determined to be between 8.2 x 105 and 8.2 x
106. (All mice receiving 8.2 x 105 cfu survived, and all
receiving 8.2 x 106 died.) These data are consistent
with the LD50 data obtained with strains harboring
transposon insertions at the phoP/phoQ locus.
Immunogenicity of the Hpal phoP/phoQ deletion was
evaluated in S. typhimurium aroA::tet (LH481), a strain
comparable to the human vaccine strain. Mice were
inoculated intraperitoneally with 2.3 x 105 and 2.3 x 106
cfu of LH481 (4 mice per vaccine dose), and challenged 30
days later with 30 x the LD50 of wild type organisms. All
mice but one mouse survived. The mouse that died was in
the group that received the lower vaccine dose. No
animal receiving the higher vaccine dose became ill.
EXAMPLE 4: Phase I study human studies
The vaccine strain was administered to human
volunteers at doses of 1 x io5 to 1 x 1010 cfu/single oral
dose. Two volunteers received each dose; 3 volunteers
were given a dose of 1 x io8 cfu/ml. Volunteers were
evaluated at various time points following administration
of the vaccine.
Safety
To detect the presence of the vaccine strain in
patient blood, Bactec blood cultures were performed in
duplicate on days 4, 6, 8, 10, 12 after taking vaccine.
Bacteremia was not detected in any of the volunteers.
Thirteen adult human volunteers have received
escalating single oral doses of this new attenuated
typhoid fever vaccine. No individuals have had side
effects of any sort. Specifically, there have been no
fevers, no gastrointestinal symptoms, and no
constitutional symptoms. Volunteers have been subjected
to serial blood cultures on a preset schedule after
receiving the oral vaccine 2 sets of BACTEC blood
cultures performed on each of days 4, 6, 8, 10 and 12
after receiving the vaccine, and no positive blood
cultures have been noted. Volunteers have been followed
up at 2 months after receiving the vaccine, and no late
symptoms have been reported.
Colonization
Stool samples were tested for the presence of the
vaccine strain TyLH455 using methods known in the art.
Primary stool was evaluated for the presence of the
vaccine strain on culture plates. In some cases, it was
necessary to enrich stool samples for the vaccine strain
by incubating the stool overnight in BBL Selenite F broth
supplemented with Aro/His/Cystine in order to detect the
bacteria. This medium is somewhat inhibitory for E. coli
and but promotes Salmonella growth.
Volunteers have been colonized for various time
periods from 1-6 days after receiving the vaccine. With
the highest doses (109 or 1010) volunteers have had
positive primary culture plates in the initial 1-3 days
post vaccination, whereas at lower doses, only selenite
enrichment broth cultures (selective medium for
Salmonella which inhibits other enterics) have been
positive for the vaccine organism. No volunteer studied
thus far has had prolonged carriage of the vaccine
organism at 2 months of followup.
(Table Removed)
Measured by whole cell and LPS ELISAs and Widal
test vs. H flagellar antigen. Sera analyzed at 1:40 and
higher dilutions in all tests.
** One of these volunteers has received a booster dose
of 1010 organisms, given one month after the primary
inoculation (serologies pending).
Immunogenicity
Induction of an immune response to the vaccine
strain was measured by standard ELISA assays. Sera was
collected from volunteers 0, 7, 14, 21, and 28 days after
receiving a single oral dose of the vaccine. ELISA
assays were carried out using whole bacteria TyLH445 and
S. typhi LPS (SIGMA, St. Louis, MO) as antigens. Day 0
serum from each volunteer was used as an internal
negative control. Convalescent sera from patients
previously infected with wild type S. typhi (most from
Mexico) were used as positive controls.
Several volunteers had documented seroconversion
at 21 days after receiving the vaccine, as measured by
ELISA in which IgG antibodies directed against whole
vaccine organisms or against S. typhi LPS were detected.
Sera taken from patients prior to administration of the
vaccine (pre-immune sera) were tested and the data used
to establish a baseline. Patient sera taken at various
time points after vaccination were considered positive if
the test results were 0.2 ELISA OD units greater than
that of the preinunune serum.
Other Embodiments
Other embodiments, e.g., strains of Salmonella
which contain only a deletion in the phoP/phoQ regulatory
locus to attenuate virulence, and strains which, in
addition to a phoP related mutation or genetic
alteration, also contain an attenuating mutation in
another gene, e.g., cya gene (adenylate cyclase) or crp
gene (adenylate cyclase receptor), are also within the
claims."
(Table Removed)




WE CLAIM:

1. A vaccine comprising a Salmonella typhi Ty800 cell, said cell comprising a mutation in the PhoQ gene, wherein said mutation attenuates virulence and does not result in the insertion of an antibiotic resistance gene into said PhoQ gene.
2. A vaccine comprising a Salmonella typhi Ty800 cell substantially as hereinbefore described with reference to the foregoing examples.

Documents:

449-del-2000-abstract.pdf

449-DEL-2000-Claims-(04-09-2008).pdf

449-DEL-2000-Claims.pdf

449-DEL-2000-Correspondence-Others-(04-09-2008).pdf

449-DEL-2000-Correspondence-Others-(05-09-2008).pdf

449-DEL-2000-Correspondence-Others.pdf

449-del-2000-correspondence-po.pdf

449-DEL-2000-Description (Complete)-04-09-2008.pdf

449-DEL-2000-Description (Complete).pdf

449-DEL-2000-Drawings.pdf

449-DEL-2000-Form-1-(04-09-2008).pdf

449-DEL-2000-Form-1.pdf

449-del-2000-form-13-(04-09-2008).pdf

449-DEL-2000-Form-18.pdf

449-DEL-2000-Form-2-(04-09-2008).pdf

449-DEL-2000-Form-2.pdf

449-DEL-2000-Form-3-(04-09-2008).pdf

449-DEL-2000-Form-3.pdf

449-DEL-2000-Form-5.pdf

449-DEL-2000-GPA-(04-09-2008).pdf

449-del-2000-gpa.pdf

449-DEL-2000-Petition-138.pdf

449-DEL-2000-Petition-Others.pdf


Patent Number 223653
Indian Patent Application Number 449/DEL/2000
PG Journal Number 40/2008
Publication Date 03-Oct-2008
Grant Date 19-Sep-2008
Date of Filing 24-Apr-2000
Name of Patentee PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Applicant Address 17 QUINCY STREET, CAMBRIDGE, MASSACHUSETTS 02139, U.S.A.
Inventors:
# Inventor's Name Inventor's Address
1 JOHN J. MEKALANOS 78 FRESH POND PLACE, CAMBRIDGE, MASSACHUSETTS 02138, U.S.A.
2 SAMUEL I. MILLER HEALTH SCIENCES BUILDING, SEATTLE, WASHINGTON 98195, U.S.A.
PCT International Classification Number A61K35/74
PCT International Application Number N/A
PCT International Filing date
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 08/565,861 1995-12-01 U.S.A.