Pseudomonas aeruginosa is a gram-negative bacterium of environmental and clinical importance that is capable of both aerobic and anaerobic respiration, the latter of which requires nitrate (NO
3−), nitrite (NO
2−), or nitrous oxide (N
2O) as an alternative electron acceptor (
24). The organism can also utilize arginine for anaerobic growth via substrate-level phosphorylation, although the final cell yield during this form of growth is abysmally low compared to that observed during anaerobic respiration (
55). The most facile means to obtain anaerobic energy, however, is via respiration by NO
3− reduction. The process of nitrate reduction can occur by two routes, the first of which is an assimilatory pathway where the nitrogen from NO
3− is incorporated into macromolecules via formation of NH
3. Assimilation can proceed under both aerobic and anaerobic conditions. In contrast, respiratory NO
3− reduction (denitrification) occurs only under anaerobic conditions and involves the sequential eight-electron reduction of NO
3− to nitrogen gas (N
2), with intermediates including NO
2−, nitric oxide (NO), and N
2O. The anaerobic process generates respiratory energy for the cell.
A hallmark of the inherited fatal disease cystic fibrosis (CF) is that patients eventually succumb to lung infection by
P. aeruginosa and die at an average age of 36.8 years (
www.cff.org). It is now becoming increasingly evident that the oxygen tension within the thickened CF airway mucus found in patients suffering from chronic CF airway disease is either significantly reduced (<2%) (
2,
35) or absent (anaerobic) (
62). In fact, macrocolonies of
P. aeruginosa growing in vitro as complex communities known as “biofilms” demonstrate complete oxygen depletion within the top 30 μm (
11). Recently, several laboratories confirmed our findings from 2002 (
62) showing that the anaerobic biofilm mode of growth can occur within pockets of the thick airway mucus of chronically infected CF patients. First, Beckmann et al. (
7) showed by using phage display that
narG, encoding the anaerobic respiratory nitrate reductase (NAR) α-chain, was detected in sera from CF patients within the first year of life. Palmer et al. (
42) then showed that NarG was essential for growth in a synthetic CF sputum. Most recently, Son et al. (
52) have shown by microarray analysis of CF sputum samples that there is abundant anaerobic gene expression, including the entire anaerobic respiratory pathway (
nar,
nir,
nor, and
arc genes), by
P. aeruginosa in the CF airways. Therefore, it appears that the synthesis of denitrifying enzymes can take place even in the presence of low concentrations of oxygen as long as the levels are below the biological oxygen demand of the culture (
1).
Because humans lack the enzymatic machinery for anaerobic sustenance, such enzymes and the associated processing machinery necessary for
P. aeruginosa to survive under such conditions represent potentially viable targets for therapeutic intervention. Toward this end, Yoon et al. (
62) revealed the following three major findings: (i)
P. aeruginosa forms more robust biofilms under anaerobic than under aerobic conditions; (ii) when
P. aeruginosa lacks the
rhl quorum-sensing circuit, the bacterium commits a metabolic suicide by overproduction of toxic levels of NO; and (iii) organisms lacking the outer membrane protein OprF grow very poorly during anaerobic respiration. Yoon et al. (
61) also found that NO
2−, at what was found to be the slightly acidified pH (~6.5) of CF airway mucus, effectively kills the antibiotic (
23)- and phagocyte (
14)-resistant mucoid form of
P. aeruginosa. Two transcriptomic studies, although elegantly done, were somewhat limited in their breadth in the sense that they did not specifically select to rigorously assess the true “anaerobiome” of
P. aeruginosa in the context of both NO
3−- and NO
2−-grown cells, but only with cells grown in NO
3−. Specifically, Wagner et al. (
57) and Filiatrault et al. (
18,
19) have investigated certain aspects of anaerobic gene expression by using GeneChip microarrays. However, many of the genes that are known to be expressed under anaerobic conditions do not require supplementation with NO
3− or NO
2− (
59). The genes that are known to be induced by strict anaerobiosis, as opposed to the simple addition of NO
3− or NO
2−, include
narI,
narK1 and -
2,
hemN,
arcABC, and
napABDFPQ, among others. However, Wagner et al. (
57) also showed that anaerobic growth actually downregulated
narK2,
narK1, and
akk as well as the
napABDF genes, encoding a periplasmic NAR, which have been reported to be constitutive and are not required for anaerobic growth using NO
3− (
48). Because of the often-ignored differences between wild-type strains of PAO1, the conditions of growth and cell manipulation, the parameters being elucidated experimentally, the necessity for a multifaceted approach, and above all, the importance of this research, there is justification for a more detailed and thorough study, which forms the body of this work. Thus, because
P. aeruginosa forms more robust biofilms during anaerobic growth and CF patients succumb to pulmonary insufficiency (
60-
62), again, the aforementioned anaerobic respiration pathway machinery represents plausible gene products for the development of novel therapeutic intervention. Thus, the identification of those gene products required for anaerobic growth is warranted, specifically at pH 6.5.
In this study, a collective (i) proteomic, (ii) transcriptional profiling, (iii) signature-tagged mutagenesis (STM), and (iv) targeted mutagenesis approach was initiated in order to identify P. aeruginosa gene products that are required for anaerobic NO3− and NO2− respiration at pH 6.5. Ultimately, this study represents a major step in unraveling the molecular machinery involved in P. aeruginosa anaerobic NO3− and NO2− respiration and offers clues as to how we might disrupt these pathways, which could ultimately limit the growth of this important pathogen in CF airway mucus.