The function of the YopM protein has remained elusive. Depending upon the strain examined, the protein contains between 13 and 21 LRRs. The crystal structure of the
Y. pestis YopM protein was determined using X-ray crystallography, which showed that the protein has two N-terminal α helices that serve as a folding scaffold for the LRRs, which themselves take on a horseshoe-shaped structure. The C-terminal tail of the protein was unresolved in this structure, and it is therefore assumed to be disordered (
17).
The YopM protein forms a complex with two host kinases, PRK2 and RSK1 (
29).
In vitro kinase reactions demonstrate that the formation of the YopM-PRK2-RSK1 complex results in increased phosphorylation of both PRK2 and RSK1 and therefore activates their kinase activity. This increased activation results in increased phosphorylation of a heterologous kinase substrate, myelin basic protein (MBP). Expression of a kinase-dead version of either PRK2 or RSK1 resulted in dramatically reduced phosphorylation of MBP. This produced a model whereby the YopM protein recruits PRK2 and RSK1 to a novel signaling complex that results in altered signaling that serves to promote bacterial virulence.
In order to determine the contribution of each of these protein interactions to virulence, we constructed a series of mutant YopM proteins that lack defined LRR regions and looked at whether or not these proteins were able to retain the ability to interact with PRK2 and/or RSK1. As shown in Fig. , deletion of the entire structure from LRR1 to LRR15 (residues 74 to 379 of Y. pestis YopM) resulted in complete loss of GST-YopM binding to PRK2. A smaller deletion, removing the 10 LRRs from LRR6 to LRR15 also abrogated the binding of this protein. In spite of the loss of PRK2 interaction, these versions of YopM still exhibited robust binding to RSK1. In contrast, a truncation of the C terminus of the YopM protein through LRR12 eliminated the binding of the RSK1 protein to YopM while still maintaining near-normal levels of PRK2 binding (Fig. ). These results illustrate that different regions of the YopM protein are involved in the interaction with each of these signaling proteins.
The contribution of the YopM protein to virulence is fairly well established, although there are still many open questions as to its function. Loss of the
yopM gene from
Y. pestis has been reported to result in a 4-log-order increase in the LD
50 for BALB/c and Swiss Webster mice (
22,
27). Recently, Kerschen et al. also demonstrated a loss of virulence associated with the deletion of
yopM in C57BL/6J mice as well (
25). There does, however, appear to be some variation in the degree of attenuation of virulence in the
Y. pestis Δ
yopM mutant strains, as another publication reported seeing no attenuation of virulence in this strain (
33). In accord with the latter result, we did not observe a defect in the virulence of a
Y. pestis KIM5Δ
yopM mutant following intravenous infection (Fig. ). However, significant attenuation of virulence was observed when
Y. pseudotuberculosis 32777Δ
yopM mutants were used to infect C57BL/6J mice via an intravenous model of infection (Fig. ) or via an orogastric model of infection (Fig. ). We then used the orogastric model to determine whether or not RSK1 and PRK2 binding is required for virulence.
The YopM protein exhibits a significant amount of sequence heterogeneity (
8). Sequence analysis has demonstrated that, depending on the strain examined,
Y. pestis expresses YopM proteins with either 13 or 15 LRRs, whereas the enteropathogens
Y. enterocolitica and
Y. pseudotuberculosis exhibit even more diversity, expressing versions with up to 21 LRRs. The consequence of this diversity is unknown; however, we demonstrate here that the
Y. pestis 15-LRR YopM protein is able to restore wild-type levels of virulence to a
Y. pseudotuberculosis Δ
yopM mutant strain (Fig. ), suggesting that, at least under the conditions examined here, there is no difference between the abilities of these alleles to contribute to disease progression. A previous publication suggested that at least some of the internal LRRs are necessary for YopM to promote
Y. pestis virulence. In a study of YopM proteins lacking LRR4 to LRR7 or LRR7 to LRR10, Hines et al. demonstrated that these mutant versions are incapable of complementing the virulence defect of
Y. pestis Δ
yopM; however, the reason for the virulence defect associated with these
yopM alleles is unclear (
22). Consistent with this result, we demonstrate that the loss of the PRK2 interaction domain in LRR6 to LRR15 also results in complete attenuation of virulence. In addition to this, the deletion of the RSK1 interaction domain in the C terminus of the
Y. pestis YopM protein results in a complete attenuation of virulence when that allele is introduced into
Y. pseudotuberculosis.
A number of publications have noted that the YopM protein traffics to the nuclei of both yeast and HeLa cells (
4,
40,
41). This trafficking depends on the microtubule system of the cell, as the inhibitors colchicine and nocodazole both prevent YopM from accumulating in the nucleus, leading to a model whereby YopM either directly or indirectly interacts with a component of the endosomal pathway before entering the nucleus (
40). This interaction appears to utilize multiple regions of the YopM protein, as either the N-terminal or the C-terminal half of the protein is capable of nuclear localization (
41). Interestingly, although YopM is clearly found in the nucleus, there is a large proportion that is also located in the cytoplasmic fraction, a distribution pattern that also correlates with the activation state of RSK1 (
11,
12).
Although virulence was clearly affected by the absence of the YopM protein in Y. pseudotuberculosis via either the orogastric or the intravenous route, there were small differences in the organ burdens at 4 days following intravenous infection with the 32777 or 32777ΔyopM strain. There were also significant differences in the recruitment of inflammatory monocytes to the spleens of 32777-infected mice compared to those of ΔyopM-infected mice (Fig. ). This led us to examine the cytokine levels in the serum of the infected mice, reasoning that any differences in cytokine levels would reflect alterations due to YopM activity rather than to altered colonization levels.
The IL-18 protein is involved in the upregulation of IFN-γ during bacterial infection, leading to the activation of macrophages and neutrophils and increased phagocytosis and antigen-presenting activity of these cell types. It has also been reported to increase NK cell activity (
1).
Yersinia-resistant strains of mice (C57BL/6J) express ~4-fold higher levels of IL-18 mRNA than
Yersinia-sensitive mice (BALB/c) (
7), although there are clearly other potential factors involved in the differences in susceptibility between these two strains of mouse. Treatment of mice with anti-IL-18 antibodies led to 100- to 1,000-fold increases in splenic colonization following
Y. enterocolitica infection of both mouse strains, indicating that IL-18 is an important part of the innate immune response to this pathogen (
7). A previous report stated that the transcription of IL-18 and IFN-γ messages is increased in mice during infection with a
yopM mutant strain of
Y. pestis compared to infection with the wild-type strain (
25), although actual serum cytokine levels were not determined in that study. In
Y. enterocolitica-infected mice, antibody-mediated ablation of IFN-γ resulted in increased bacterial colonization of the spleen and increased death (
3), further demonstrating the importance of this cytokine for host control of
Yersinia infection.
Regulation of IL-18 production is subject to control at the transcriptional, translational, and posttranslational levels (
42). Generally, during bacterial infection, the levels of IL-18 and IFN-γ form a positive feedback loop in which IL-12 and IL-18 produced by macrophages and dendritic cells are able to induce the production of IFN-γ by CD8
+ T cells, NKT cells, and NK cells. In accord with this, we observed higher recruitment of inflammatory monocytes to the spleens of mice infected with the wild-type
Y. pseudotuberculosis strain. This is also likely the reason for the elevated levels of IL-18 observed in wild-type-infected mice. Normally, increased IL-18 would lead to increased IFN-γ production, which in turn serves to activate antigen-presenting cells and increases their antibacterial effector function. Our results suggest that the YopM protein somehow disrupts this positive feedback loop by interfering with the ability of the host to increase IFN-γ production. We observed substantially higher levels of IFN-γ in the mice infected with
Y. pseudotuberculosis 32777Δ
yopM. This higher level of IFN-γ would be expected to lead to better control of the bacterial load and be manifested in better survival following infection with these strains, as was observed by us (Fig. ) and has been previously reported for
yopM mutants of
Y. pestis and
Y. enterocolitica (
27,
45). Previous work has suggested that neutrophils are critical for the control of
Y. pestis KIM5Δ
yopM in a model of septicemic plague (
49), although we did not observe any difference in neutrophil recruitment to the spleens of the infected mice (Fig. ).
IFN-γ is released by a number of cell types, including NK cells, NKT cells, and CD8
+ T cells following exposure to IL-12 and IL-18 (
10). Previous reports have suggested that both CD8
+ T cells and NK1.1+ cells are differentially localized to the spleens of mice infected with
Y. pestis Δ
yopM mutant strains (
25), although we did not observe increased recruitment of NK1.1+ splenocytes to the spleens of mice infected with the 32777Δ
yopM strain of
Y. pseudotuberculosis (Fig. ). Although these cells may be a source of IFN-γ, they are likely not the only source, as depletion of NK1.1+ cells from mice did not restore the ability of the 32777Δ
yopM strain to disseminate to the spleens of infected mice (data not shown). This result is consistent with previous work whereby depletion of NK1.1+ cells did not restore the virulence of the
Y. pestis Δ
yopM mutant strain used (
49).
An attractive explanation for this YopM-mediated suppression of IFN-γ production is the increased levels of IL-10 observed in the
Y. pseudotuberculosis 32777-infected mice. IL-10 is an antiinflammatory cytokine that is involved in dampening the production of both TNF-α and IFN-γ (
16,
44). In previous studies, the induction of IL-10 has been associated with the presence of the
Yersinia T3SS-secreted protein LcrV (
9,
14). LcrV-mediated IL-10 production also caused suppression of TNF-α production (
39). Changes in IL-10 production have also been associated with
Y. pseudotuberculosis infection in BALB/c mice (
43). A recent publication has demonstrated that IL-10 production is a host response to systemic infection with
Y. pestis (
35). This is a somewhat controversial area of research, as an independent study found no evidence for increased IL-10 levels in mice infected with
Y. pseudotuberculosis (
2). The dramatically increased IL-10 production we observed during
Y. pseudotuberculosis 32777 infection (Fig. ) could lead to damping of the IFN-γ release by NK1.1+ cells and T cells in infected animals. This loss of IL-10 production observed in the absence of YopM would thus explain the increased IFN-γ levels observed in the serum of 32777Δ
yopM-infected mice (Fig. ).
YopM-induced IL-10 production could explain the finding that YopM is not required for virulence in a pneumonic plague infection model (
49). Numerous studies have demonstrated that the lung is an immunosuppressive environment, with high levels of IL-10 being produced by both alveolar macrophages and the alveolar epithelium (
24). This constitutive IL-10 production would mitigate the necessity of
Yersinia-induced immunosuppressive IL-10 production. Although it is clear that IL-10 does have an inhibitory effect on the release of proinflammatory cytokines, several studies have suggested that the proinflammatory cytokine IL-12 is necessary for IL-10 production by NK cells or NKT cells (
20,
35). This demonstrates that a complex network of positive and negative feedback loops is induced in the host to control the pathogen load but also to limit damage by the inflammatory response.
The data presented here suggest that YopM functions by recruiting the RSK1 and PRK2 kinases to a signaling complex involved in modulating the innate immune response to Y. pseudotuberculosis. Previous in vitro work demonstrated that both RSK1 and PRK2 contribute to the ability of the signaling complex to phosphorylate a heterologous substrate, but as we show here, deletion of domains of the YopM protein that mediate interaction with RSK1 (C terminus) or PRK2 (LRR6 to LRR15) completely abrogates virulence in the orogastric infection model (Fig. ). This demonstrates for the first time that the ability to interact with these kinases involves different regions of the YopM protein and that both of these activities are critical for virulence. Further work is required to determine the nature of the signaling pathway affected, as well as the relative contribution of each kinase to this signaling pathway.