Escherichia coli K1 is a versatile human and animal facultative pathogen that causes a variety of extraintestinal diseases including sepsis, meningitis, cystitis, pyelonephritis, cellulitis, pneumonia, and postoperative infections. The ability of
E. coli K1 to invade and traverse the mammalian epithelial cell barrier also may contribute to inflammatory bowel syndromes such as Crohn's disease. A primary virulence determinant in these diseases is the polysialic acid capsule or K1 antigen, a homopolymer of 2-keto-3-deoxy-5-acetamido-7,8,9-
d-
glycero-
d-
galacto-nonulosonic, or
N-acetylneuraminic acid (Neu5Ac, the most common sialic acid), residues connected by α2,8-glycoketosidic linkages (
36). The
kps and
neu genes needed for polysialic acid synthesis and export map to a 17-kb accretion domain inserted near
pheV (
7). Mutation of
neu (biosynthetic) genes generally results in no capsular polysaccharide produced while
kps mutations usually result in intracellular accumulation of unexported polysaccharides (
46,
47). Polysialic acid is also found on the mammalian neural cell adhesion molecule and comprises the group B meningococcal,
Pasteurella haemolytica A2, and
Moraxella nonliquefaciens capsular polysaccharides (
41). Mammalian polysialic acid regulates cell migration, axon pathfinding and targeting, and plasticity in the embryonic and adult nervous system (
6). Molecular mimicry of this antigen by the bacterial capsules is thought to account for the relatively low immunogenicity of microbial polysialic acid, which has limited the attempts to produce safe and effective capsule-based vaccines (
41). Known functions of the capsule include inhibition of phagocytosis and other innate immune responses to microbial infection, but despite our understanding of capsule function during extraintestinal disease, we know little about its role in colonization of the mammalian large intestine. Increased understanding of the colonization process may suggest new targets for therapeutic development.
Unlike the neural cell adhesion molecule or group B meningococcal polysialic acid, the
E. coli K1 capsule may exist in an alternate form in which the individual Neu5Ac residues are variably modified with
O-acetyl esters at carbon positions 7 or 9. The
O-acetyltransferase gene,
neuO, responsible for these modifications is carried on a K1-specific prophage designated CUS-3 (
13). In addition to lysogeny,
neuO expression is controlled by a translational switch involving slipped-strand DNA mispairing of heptanucleotide repeats located in the 5′ coding region. This switch is designated the polyΨ domain, where loss or gain of heptad repeats in any number other than a multiple of three results in frameshift mutation and synthesis of truncated (inactive)
neuO gene products. The
neuO contingency locus and its mobile phage delivery vehicle account for at least five capsule forms: (i) permanently acetylation “off” because the cell is not a CUS-3 lysogen, (ii) stochastic variation in the proportion of “on” and “off” forms caused by
neuO frameshifting, (iii) variation in the degree of acetylation, which may depend on the length of the polyΨ domain, (iv) variation in the positions of acetyl esters on individual Neu5Ac residues of the polysialic acid chains (carbon positions 7 or 9), resulting from nonenzymatic transesterification and (v) variation in the positioning of sialyl
O-acetyl esters along the chains resulting from incomplete acetylation. Variation in
neuO and its metabolic products thus has the capacity to alter capsule antigenicity and physiochemical properties of the K1 cell surface, with one locus accounting for potentially thousands of different capsular phenotypes (
48).
In addition to
neuO, the K1
neuD gene product annotates as an acyltransferase (
4), and the group B
Streptococcus (GBS) NeuD orthologue has been shown to be a monomeric sialic acid
O-acetyltransferase responsible for modification of the streptococcal capsular polysaccharide (
23,
24). Complementation of a GBS
neuD mutant with K1
neuD+ restores sialyl O acetylation, indicating that K1 NeuD is also a monomeric
O-acetyltransferase (
23). In GBS, where
O-acetyl esters are found at carbon positions 7, 8, or 9, the acetylated monomers are activated and transferred as terminal nonreducing residues of the capsule main chain. Therefore,
neuD in
E. coli K1 suggests there may be two acetylation pathways in this species, one involving
neuO for modification of polysialic acid and the other, involving
neuD, for acetylation of monomeric sialic acid. Furthermore,
neuA encodes a bifunctional enzyme including N-terminal cytidine 5′-monophospho-
N-acetylneuraminic acid (CMP-Neu5Ac synthetase) and C-terminal esterase in both the K1 and GBS systems (
26,
52), suggesting a mechanism for converting acetylated monomeric sialic acid to the de-O-acetylated forms. In this communication we describe separate pathways for the O acetylation of polymeric and monomeric sialic acids and provide the first demonstration of a new class of esterase with activity against O-acetylated sialic acids.