Email updates

Keep up to date with the latest news and content from BMC Biology and BioMed Central.

Open Access Research article

Cooperation and virulence in acute Pseudomonas aeruginosa infections

Freya Harrison1*, Lucy E Browning12, Michiel Vos3 and Angus Buckling1

Author Affiliations

1 Department of Zoology, University of Oxford, South Parks Road, Oxford OX1 3PS, UK

2 Department of Zoology, University of Cambridge, Downing Street, Cambridge CB2 3EJ, UK

3 Max Planck Institute for Developmental Biology, Spemannstrasse 35, 72076 Tuebingen, Germany

For all author emails, please log on.

BMC Biology 2006, 4:21  doi:10.1186/1741-7007-4-21


The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1741-7007/4/21


Received:11 April 2006
Accepted:7 July 2006
Published:7 July 2006

© 2006 Harrison et al; licensee BioMed Central Ltd.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background

Efficient host exploitation by parasites is frequently likely to depend on cooperative behaviour. Under these conditions, mixed-strain infections are predicted to show lower virulence (host mortality) than are single-clone infections, due to competition favouring non-contributing social 'cheats' whose presence will reduce within-host growth. We tested this hypothesis using the cooperative production of iron-scavenging siderophores by the pathogenic bacterium Pseudomonas aeruginosa in an insect host.

Results

We found that infection by siderophore-producing bacteria (cooperators) results in more rapid host death than does infection by non-producers (cheats), and that mixtures of both result in intermediate levels of virulence. Within-host bacterial growth rates exhibited the same pattern. Crucially, cheats were more successful in mixed infections compared with single-clone infections, while the opposite was true of cooperators.

Conclusion

These data demonstrate that mixed clone infections can favour the evolution of social cheats, and thus decrease virulence when parasite growth is dependent on cooperative behaviours.

Background

Numerous models of parasite evolution predict that mixed infections have higher virulence (host mortality rate) than do single-genotype infections. This is attributed to increased competition for host resources, favouring more rapid host exploitation [1-5]. There is, however, little empirical support for this hypothesis. A possible explanation for this lack of support is the assumption in many models that interactions between co-infecting strains are limited to simple resource competition, ignoring other inter-pathogen interactions. For example, competition can be mediated by the effects of the pathogens on the host immune system [6], by the production of anti-competitor toxins [7], and by one strain exploiting resources produced by the other [6,8-10]. Different predictions have been made regarding the impact of within-host parasite relatedness under these other forms of competition [8-11]. Of particular interest is the extent to which cooperative behaviour [8,9] will influence the virulence of mixed infections. Here, we experimentally address how parasite relatedness affects virulence of a bacterial pathogen when competition can result in one strain exploiting resource-scavenging molecules produced by another.

A major factor limiting the in vivo growth of parasitic bacteria is iron availability [12,13]. Under aerobic conditions, iron exists in the largely insoluble ferric form, and many host species actively withhold iron from infecting bacteria using high-affinity iron binding proteins [13]. In response, bacteria have evolved numerous mechanisms to scavenge iron from their hosts. One common mechanism is the production and uptake of siderophores, iron-scavenging agents released into the environment in response to iron deficiency. The relationship between siderophore production and bacterial growth rates has led to the belief that siderophore production enhances bacterial virulence; a view supported by the reduced virulence of mutants deficient in siderophore production [14-16].

A crucial feature of siderophore production is that it is a form of cooperation: siderophores potentially benefit all bacteria within the locality that are capable of taking up the siderophore, but are metabolically costly to the producer [8]. This makes siderophore production open to invasion by non-producing 'cheats', who pay none of the costs of siderophore production, but can still take up siderophores produced by nearby cells [8,9,17]. Kin selection theory predicts that bacteria are likely to produce siderophores (cooperate) when relatedness is high (i.e. when an infection is established by a single clone) [8,9,18-20]. This is because single-clone infections of cooperators will grow better and lead to more new infections than would single-clone infections of cheats; growth in the latter case is limited by poor iron uptake. By contrast, in a low-relatedness infection (when a single host is infected by multiple clones), cheats will be able to exploit co-infecting cooperator clones. This may afford a selective advantage to cheating. The reduction in total bacterial population growth rate resulting from the presence of cheats suggests that mixed-clone infections will be less virulent than single-clone infections [8,9].

We used the opportunistic pathogen Pseudomonas aeruginosa to test the hypothesis that siderophore cheats will have a selective advantage in mixed-clone compared with single-clone infections, and that their presence will reduce virulence. The primary siderophore of P. aeruginosa is the yellow-green pigment pyoverdine [13], allowing pyoverdine-negative 'cheat' colonies to be readily distinguished from wild-type 'cooperators' by their lack of yellow-green pigmentation [20,21].

Results and discussion

We inoculated waxmoth larvae (Galleria mellonella) [22] with single clones of a wild-type, pyoverdine-producing strain of P. aeruginosa (cooperator), an isogenic mutant of this strain that does not produce pyoverdine (cheat) [14], or both. We found that insects were on average killed by cooperator infections after 12 hours, 2 hours sooner than for cheat infections, and that mixed infections resulted in an intermediate time to death (Figure 1; Kruskal-Wallis test; H = 42.76, P < 0.0001; pair-wise comparisons (Mann-Whitney) showed significant differences between all groups: P < 0.01 in all cases). In separate experiments, we measured the growth rate of single- and mixed-clone infections over 8 hours, and this showed the same pattern as for virulence: cooperators grew faster than cheats, and mixed infections showed an intermediate growth rate (Figure 2, ANOVA: F(2,55) = 5.76, P = 0.005; pairwise comparisons: P 2 0.055). These data demonstrate that the presence of siderophore cheats can reduce the growth rate of a bacterial population, and hence reduce virulence.

thumbnailFigure 1. Time to death in hours of waxmoth larvae inoculated with pure cooperator, pure cheat or mixed clone infections of P. aeruginosa. Mixed inocula contained cheats and cooperators in a 1:1 ratio. Error bars show ± one standard error.

thumbnailFigure 2. The effect of single versus mixed cooperator and cheat infections on the number of bacterial doublings (per gram fresh weight). Mixed inocula contained cheats and cooperators in a 1:1 ratio. Error bars show ± one standard error.

We next addressed whether cheats were more likely to be favoured in mixed versus single-clone infections. As predicted, cheat populations grew more rapidly in mixed as opposed to single-clone infections, while the opposite pattern was observed for cooperators (Figure 3; ANOVA on log-transformed data shows a significant interaction between number of infecting clones and cheat/cooperator fitness; F(1,75) = 4.97, P < 0.03; main effects: cheat/cooperator fitness F(1,75) = 11.22, P < 0.002; number of clones F(1,75) = 0.26, P = 0.610). Mixed-clone infections are therefore more likely to favour the evolution of siderophore cheats than are single-clone infections, a result consistent with previous in vitro [20] and theoretical [8] work.

thumbnailFigure 3. The number of doublings (per gram fresh weight) or cooperator (black) and cheat (white) clones in single and mixed infections. Mixed inocula contained cheats and cooperators in a 1:1 ratio. Error bars show ± one standard error.

We found that cheats had a slight selective disadvantage when in direct competition with cooperators at 1:1 ratios (Figure 3; relative fitness of cheats was less than 1: t = 2.30, P < 0.02). Both theory [19] and experiments on other microbial systems [23,24] suggest that the fitness of cheats should be a negative function of their frequency, as a rare cheat will have relatively more cooperators to exploit. To investigate frequency-dependent selection of siderophore cheats, we competed cooperators and cheats in caterpillars at a range of initial cheat frequencies (between 0.03 and 0.9). We found that the relative fitness of cheats increased as their initial frequency decreased (Figure 4; F(1,33) = 9.34, P < 0.005), such that the fitness of cheats and cooperators was not significantly different at cheat frequencies of 0.1 or lower (cheat relative fitness not significantly different from 1; t = 1.43, P = 0.19).

thumbnailFigure 4. The relative fitness of the cheat in mixed infections decreases as its frequency in the inoculum increases. Error bars show ± one standard error.

However, the relative fitness of cheats is noticeably lower in caterpillars than it is in vitro [20]; further in vitro assays carried out simultaneously with the in vivo work confirm this (data not shown). There are two likely explanations for this. The first is the greater spatial heterogeneity within a caterpillar compared with a media-filled tube. This is likely to increase the relatedness of immediate neighbours [19], reducing the chances for direct cooperator-cheat interactions and so bestowing a net benefit on cooperators. The second possible explanation is the longer periods of time bacteria spend at high densities in tubes compared with caterpillars; tube assays reached densities of approximately 108 cells/ml [20], while insect assays reached densities of approximately 107 cells/ml. The higher the population density of bacteria, the greater the likelihood that cheats will come into contact with cooperators [19,24]. Siderophore cheats have been observed at appreciable frequencies in chronic, clinical P. aeruginosa infections [17], and pyoverdine production has been known to decrease over the course of chronic infection [25]. These observations strongly suggest that cheats can enjoy a selective advantage in longer-term, high-density infections. The extent to which this apparent advantage is frequency dependent is not known. However, as most patients are initially colonised by a single, environmental clone [26-28], any cheats present will most likely have arisen within the patient and so must have invaded from an initially low frequency. We are currently carrying out studies investigating the de novo evolution of siderophore cheats over longer-term scales in this system to confirm this.

Conclusion

Here, we have shown that mixed-clone infections of parasites can exhibit reduced virulence as a result of the breakdown of cooperative host exploitation. How competition between co-infecting parasites affects virulence in other circumstances will depend on the extent and modes of competition, and how parasites respond to this competition. However, cooperative interactions seem to be crucial to a range of bacterial traits associated with virulence, such as nutrient scavenging [14-16], the toxin-mediated breakdown of host tissues [29] and persistence (e.g. the formation of biofilms [30,31]). It is likely that mixed-clone infections will often impose selection for cheats and so show lowered virulence when virulence depends upon cooperation (see for example West and Buckling [8] and references therein). Furthermore, the introduction of 'cheating' genotypes to existing infections may provide a novel avenue to combat parasitic infections. While cheats remain lethal in our acute insect infection model, their ability to reduce virulence in this system suggests that they may have the potential to ameliorate the symptoms of localised, chronic bacterial colonisation in humans. It is clear that an expansion in our understanding of microbial community ecology may greatly improve existing models of virulence, and perhaps eventually suggest new, practical methods of treating microbial infections.

Methods

Bacterial strains and insect host

Strain PAO1 (ATCC 15692) was used as the wild-type pyoverdine producer. Our pyoverdine-negative strain was PAO9, derived from strain PAO6049 [32], a methionine auxotroph mutant of PAO1, using UV mutagenesis. Although PAO6049 requires exogenous methionine to grow, it has previously been shown [14] that when methionine is present, the virulence of PAO6049 does not differ significantly from that of PAO1. Thus, any observed differences in virulence between PAO1 and PAO9 may be attributed to pyoverdine production and not methionine auxotrophy. Strains were grown overnight on a rotary shaker at 37°C in 6 ml King's B medium to provide cultures for injection. Fifth instar waxmoth (Galleria mellonella) larvae (Livefood UK; http://www.livefood.co.uk webcite) were used as the insect host.

In vivo virulence bioassay

Fresh overnight cultures of PAO1 and PAO9 were diluted in 0.8% NaCl solution. Larvae were randomly allocated to be inoculated with 102 colony-forming units (CFU) of PAO1, PAO9 or a 1:1 mixture of the two. Larvae were swabbed with 70% ethanol to prevent contamination of the injection site, and injected in the abdomen using a Hamilton syringe. The injection volume was 10 μl in all cases. Thirty larvae were assigned to each treatment. A further 30 larvae were injected with 10 μl of the NaCl solution as negative controls; their mortality rate was negligible. Larvae were incubated at 37°C and monitored for death at hourly intervals between 10 and 20 hours post-inoculation. Larvae were scored as dead if they failed to respond to mechanical stimulation of the head.

Growth rate assays and competition experiments

Fresh overnight cultures of PAO1 and PAO9 were diluted in 0.8% NaCl solution. Two groups of 20 larvae each were swabbed with 70% ethanol and injected with 50 μl culture containing 0.5–1 × 104 CFU of either PAO1 or PAO9. A further group of 20 larvae was swabbed and injected with 0.5–1 × 104 CFU of PAO1 and PAO9 in a 1:1 mixture. Larvae were incubated at 37°C for 8 hours. Larvae were then weighed, dipped in 70% ethanol to kill surface contaminants, and homogenised in 500 μl M9 minimal medium using a plastic pestle. Homogenates were centrifuged at 3000 rpm for 3 minutes to pellet the solid material, and aliquots of diluted homogenate plated onto KB agar. Agar plates were supplemented with 15 μg/ml ampicillin to select against growth of native larval-gut bacteria (this concentration of ampicillin does not affect the growth of P. aeruginosa). Plates were incubated overnight at 37°C and numbers of PAO1 (green) and PAO9 (white) colonies scored. The relative fitness of PAO9 in the competition experiments was calculated from Malthusian growth parameters as described previously [33]. In mixed infections, the relative fitness was calculated by comparing the number of PAO9 doublings in each larva with the number of PAO1 doublings in the same larva. The fitness of PAO9 in single infections was calculated by comparing the number of PAO9 doublings in each larva with the mean number of single-infection PAO1 doublings. The fitness of PAO1 relative to PAO9 was calculated in the same manner. To investigate frequency-dependent fitness, in vivo competition experiments were carried out. The methodology for these experiments was the similar to that of the growth-rate assays, with the following modifications: groups of 10 larvae were injected with approximately 1–1.5 × 104 CFU of PAO1, PAO9, or mixtures containing 3, 10, 33, 65 or 90% PAO9, and incubated at 37°C for 18 hours.

Authors' contributions

FH performed growth rate assays and competition experiments and drafted the manuscript; LEB carried out the in vivo virulence bioassay and contributed to the manuscript; MV and AB developed the use of waxmoth larvae as a model host for P. aeruginosa, optimised the assays used and advised during manuscript preparation. AB conceived of the study and helped to draft the manuscript. Statistical analyses were carried out by FH, LEB and AB.

Acknowledgements

We would like to thank Jean-Marie Meyer for providing P. aeruginosa strains and Stuart West, Michael Brockhurst, and two anonymous reviewers for comments on an early version of the manuscript. The work was funded by the Royal Society; FH was funded by the Newton-Abraham foundation; MV by a Marie Curie Training site grant and LEB by the BBSRC.

References

  1. Frank SA: A kin selection model for the evolution of virulence.

    Proc Biol Sci 1992, 250:195-197. PubMed Abstract OpenURL

  2. Frank SA: Kin selection and virulence in the evolution of protocells and parasites.

    Proc Biol Sci 1994, 258:153-161. PubMed Abstract OpenURL

  3. Frank SA: Models of parasite virulence.

    Q Rev Biol 1996, 71:37-78. PubMed Abstract | Publisher Full Text OpenURL

  4. Bremermann HJ, Pickering J: A game-theoretical model of parasite virulence.

    J Theor Biol 1983, 100:411-426. PubMed Abstract | Publisher Full Text OpenURL

  5. Nowak MA, May RM: Superinfection and the evolution of parasite virulence.

    Proc Biol Sci 1994, 255:81-89. PubMed Abstract OpenURL

  6. Read AF, Taylor LH: The ecology of genetically diverse infections.

    Science 2001, 292:1099-1102. PubMed Abstract | Publisher Full Text OpenURL

  7. Massey RC, Buckling A, ffrench-Constant R: Interference competition and parasite virulence.

    Proc R Soc Lond B Biol Sci 2004, 271:785-788. Publisher Full Text OpenURL

  8. West SA, Buckling A: Cooperation, virulence and siderophore production in bacterial parasites.

    Proc R Soc Lond B Biol Sci 2003, 270:37-44. Publisher Full Text OpenURL

  9. Brown SP, Hochberg ME, Grenfell BT: Does multiple infection select for raised virulence?

    Trends Microbiol 2002, 10:401-405. PubMed Abstract | Publisher Full Text OpenURL

  10. Chao L, Hanley KA, Burch CL, Dahlberg C, Turner PE: Kin selection and parasite evolution: higher and lower virulence with hard and soft selection.

    Q Rev Biol 2000, 75:261-275. PubMed Abstract | Publisher Full Text OpenURL

  11. Gardner A, West SA, Buckling A: Bacteriocins, spite and virulence.

    Proc Biol Sci 2004, 271:1529-1535. PubMed Abstract | Publisher Full Text OpenURL

  12. Guerinot ML: Microbial iron transport.

    Ann Rev Microbiol 1994, 48:743-772. Publisher Full Text OpenURL

  13. Ratledge C, Dover LG: Iron metabolism in pathogenic bacteria.

    Ann Rev Microbio 2000, 54:881-941. Publisher Full Text OpenURL

  14. Meyer JM, Neely A, Stintzi A, Georges C, Holder IA: Pyoverdin is essential for virulence of Pseudomonas aeruginosa.

    Infect Immun 1996, 64:518-523. PubMed Abstract | PubMed Central Full Text OpenURL

  15. Bearden SW, Fetherston JD, Perry RD: Genetic organization of the yersiniabactin biosynthetic region and construction of avirulent mutants in Yersinia pestis.

    Infect Immun 1997, 65:1659-1668. PubMed Abstract | PubMed Central Full Text OpenURL

  16. Litwin CM, Rayback TW, Skinner J: Role of catechol siderophore synthesis in Vibrio vulnificus virulence.

    Infect Immun 1996, 64:2834-2838. PubMed Abstract | PubMed Central Full Text OpenURL

  17. De Vos D, De Chial M, Cochez C, Jansen S, Tummler B, Meyer JM, Cornelis P: Study of pyoverdine type and production by Pseudomonas aeruginosa isolated from cystic fibrosis patients: prevalence of type II pyoverdine isolates and accumulation of pyoverdine-negative mutations.

    Arch Microbiol 2001, 175:384-388. PubMed Abstract | Publisher Full Text OpenURL

  18. Hamilton WD: The genetical evolution of social behaviour I & II.

    J Theor Biol 1964, 7:1-52. PubMed Abstract | Publisher Full Text OpenURL

  19. Frank SA: Foundations of social evolution. Princeton, NJ: Princeton University Press; 1998. OpenURL

  20. Griffin AS, West SA, Buckling A: Cooperation and competition in pathogenic bacteria.

    Nature 2004, 430:1024-1027. PubMed Abstract | Publisher Full Text OpenURL

  21. Harrison F, Buckling A: Hypermutability impedes cooperation in pathogenic bacteria.

    Curr Biol 2005, 15:1968-1971. PubMed Abstract | Publisher Full Text OpenURL

  22. Miyata S, Casey M, Frank DW, Ausubel FM, Drenkard E: Use of the Galleria mellonella caterpillar as a model host to study the role of the type III secretion system in Pseudomonas aeruginosa pathogenesis.

    Infect Immun 2003, 71:2404-2413. PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  23. Velicer GJ, Kroos L, Lenski RE: Developmental cheating in the social bacterium Myxococcus xanthus.

    Nature 2000, 404:598-601. PubMed Abstract | Publisher Full Text OpenURL

  24. Greig D, Travisano M: The Prisoner's Dilemma and polymorphism in yeast SUC genes.

    Proc Biol Sci 2004, 271(Suppl 3):S25-26. PubMed Abstract OpenURL

  25. Smith EE, Buckley DG, Wu Z, Saenphimmachak C, Hoffman LR, D'Argenio DA, Miller SI, Ramsey BW, Speert DP, Moskowitz SM, et al.: Genetic adaptation by Pseudomonas aeruginosa to the airways of cystic fibrosis patients.

    Proc Natl Acad Sci U S A 2006. OpenURL

  26. Finnan S, Morrissey JP, O'Gara F, Boyd EF: Genome diversity of Pseudomonas aeruginosa isolates from cystic fibrosis patients and the hospital environment.

    J Clin Microbiol 2004, 42:5783-5792. PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  27. Romling U, Wingender J, Muller H, Tummler B: A major Pseudomonas aeruginosa clone common to patients and aquatic habitats.

    Appl Environ Microbiol 1994, 60:1734-1738. PubMed Abstract | PubMed Central Full Text OpenURL

  28. Struelens MJ, Schwam V, Deplano A, Baran D: Genome macrorestriction analysis of diversity and variability of Pseudomonas aeruginosa strains infecting cystic fibrosis patients.

    J Clin Microbiol 1993, 31:2320-2326. PubMed Abstract | PubMed Central Full Text OpenURL

  29. O'Loughlin EV, Robins-Browne RM: Effect of Shiga toxin and Shiga-like toxins on eukaryotic cells.

    Microbes Infect 2001, 3:493-507. PubMed Abstract | Publisher Full Text OpenURL

  30. Costerton JW, Stewart PS, Greenberg EP: Bacterial biofilms: a common cause of persistent infections.

    Science 1999, 284:1318-1322. PubMed Abstract | Publisher Full Text OpenURL

  31. Hill D, Rose B, Pajkos A, Robinson M, Bye P, Bell S, Elkins M, Thompson B, MacLeod C, Aaron SD, Harbour C: Antibiotic susceptibilities of Pseudomonas aeruginosa isolates derived from patients with cystic fibrosis under aerobic, anaerobic, and biofilm conditions.

    J Clin Microbiol 2005, 43:5085-5090. PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  32. Rella M, Mercenier A, Haas D: Transposon insertion mutagenesis of Pseudomonas aeruginosa with a Tn5 derivative: application to physical mapping of the arc gene cluster.

    Gene 1985, 33:293-303. PubMed Abstract | Publisher Full Text OpenURL

  33. Lenski RE, Rose MR, Simpson SC, Tadler SC: Long-term experimental evolution in Escherichia coli. I. Adaptation and divergence during 2,000 generations.

    Am Nat 1991, 138:1315-1341. Publisher Full Text OpenURL