Haemophilus influenzae has no identified natural niche outside of the human host where it primarily colonizes the nasopharyngeal mucosa. It can disseminate to other anatomical sites making it a common cause of otitis media, upper and lower respiratory tract infections, septicaemia and meningitis in children (
Klein, 1997;
Moxon and Murphy, 2000).
H. influenzae also frequently colonizes the respiratory tract of individuals with chronic obstructive pulmonary disease (
Sethi and Murphy, 2001;
Murphy and Sethi, 2002;
Murphy et al., 2004) and cystic fibrosis (
Gilligan, 1991;
Moller et al., 1995). The incidence of
H. influenzae meningitis has dramatically declined in populations immunized with an effective vaccine against the type b capsular polysaccharide [
Centers for Disease Control and Prevetion (CDC), 2002], a major factor promoting bloodstream survival by strains of this serotype. However, the vaccine has not affected the incidence of infection with non-typeable strains (NTHi), which lack the capsule. Although NTHi predominantly cause respiratory tract infections and otitis media, they have been isolated from patients with invasive disease such as meningitis in rare cases, raising the possibility that genes conferring varying degrees of bloodstream persistence could be distributed among NTHi strains (
Nizet et al., 1996;
Cuthill et al., 1999;
O'Neill et al., 2003;
Erwin et al., 2005).
We postulate that modulation of gene expression in response to environmental conditions is required by
H. influenzae to express the repertoire of genes needed for survival during pathogenesis.
H. influenzae likely encounters varying oxygen levels in diverse environments in the host such as growth in biofilm structures on mucosal surfaces or after invasion into the bloodstream. Signal transduction in response to varied oxygen levels represents a mechanism by which
H. influenzae could co-ordinate gene expression profiles needed for efficient colonization and pathogenesis in different environments encountered within the host. In
Escherichia coli, a two-component signal transduction system designated ArcAB (for
anoxic
redox
control) responds to respiratory conditions of growth to modulate expression of genes/operons of the tricarboxylic acid (TCA) cycle and genes involved in other aspects of respiratory or fermentative metabolism (
Lynch and Lin, 1996a). The ArcB sensor kinase autophosphorylates and transfers a phosphoryl group to ArcA, a DNA binding protein that can act as either repressor or activator depending on the configuration of the target promoter (
Lynch and Lin, 1996a,
b). The ArcAB system is most active under low oxygen conditions and least active under high oxygen conditions. Recent evidence indicates that this response is likely not via direct sensing of oxygen but that ArcB senses the oxidation or reduction (redox) status of the membrane-bound quinones, central electron carriers of respiration (
Georgellis et al., 2001a;
Malpica et al., 2004). The ArcAB system of
H. influenzae possesses similar biochemical and regulatory functions to those of its counterpart in
E. coli in modulating gene expression in response to redox conditions of growth. Of note, expression of
H. influenzae ArcB in an
E. coli arcB mutant can restore the response of at least two ArcAB-regulated promoters,
sdh (succinate dehydrogenase) and
lldP (
l-lactate permease), to respiratory conditions of growth (
Manukhov et al., 2000;
Georgellis et al., 2001b). Several genes or proteins that are repressed by ArcA in
E. coli have been identified as ArcA-regulated in
H. influenzae, including
lldD (
l-lactate dehydrogenase) and certain subunits of formate dehydrogenase and fumarate reductase (
Georgellis et al., 2001b;
De Souza-Hart et al., 2003). ArcA is a global regulator in
E. coli, however, the extent of the ArcA regulon of
H. influenzae is unknown.
ArcA has been implicated in pathogenesis as
arcA mutants of both
H. influenzae and
Vibrio cholerae, a diarrhoeal pathogen, exhibit reduced lethality compared with wild type in mouse mortality studies (
De Souza-Hart et al., 2003;
Sengupta et al., 2003). Despite extensive information concerning ArcA-mediated control of genes of respiratory pathways and enzymes of the TCA cycle in
E. coli, the mechanism by which this gene regulation could alter virulence in
H. influenzae is not well understood. ArcA mutants of
H. influenzae type b were more sensitive than wild type to killing by human serum, however, ArcA-regulated genes encoding cell-surface structures as potential targets of humoral immune components in serum, such as complement, have yet to be identified.
V. cholerae ArcA influences production of cholera toxin which is essential for virulence, yet
H. influenzae produces no exotoxins implicated in pathogenesis. In
Salmonella enterica serovar Enteritidis, ArcA has been implicated in resistance to reactive oxygen and nitrogen intermediates (ROI/RNI) (
Lu et al., 2002). A role in oxidative stress resistance for a regulator such as ArcA, which is active under low oxygen conditions, appears to be paradoxical, and the mechanism and role of ArcA-regulated genes in this resistance profile has not been determined.
In the current study, we have extended our analysis of the H. influenzae ArcAB system to understand mechanisms by which this signalling system can influence H. influenzae pathogenesis. We analysed the global expression profile of the H. influenzae arcA mutant grown under anaerobic conditions to identify genes comprising the ArcA regulon in this organism. By microarray analysis, we identified a set of genes whose expression pattern was influenced by the arcA mutation and restored by complementation. Northern hybridizations confirmed ArcA-mediated control of all of the genes that were evaluated by this method. In addition to detecting genes encoding respiratory metabolic enzymes known to be ArcA-regulated in E. coli, this analysis identified and validated ArcA-dependent modulation of genes not previously recognized to be within the ArcA regulon. One of these genes is a putative homologue of Dps proteins in other species that participate in oxidative stress resistance yet have not been previously linked to ArcA-mediated phenotypes. Thus, the microarray results gave us insight into physiological characteristics of the H. influenzae arcA mutant that can account for its oxidative stress sensitivity. Mutational analysis of ArcA controlled genes including dps provided insight into the mechanism of ArcA-mediated resistance to hydrogen peroxide, and provides support for a model in which ArcA promotes survival of cells shifted from low oxygen conditions to oxidative stress exposure, a transition H. influenzae is likely to experience in the host.