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High-throughput fitness screening and transcriptomics identify a role for a type IV secretion system in the pathogenesis of Crohn’s disease-associated Escherichia coli

Wael Elhenawy, Sarah Hordienko, Steven Gould, Alexander M. Oberc, Caressa N. Tsai, Troy P. Hubbard, Matthew K. Waldor and Brian K. Coombes ()
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Wael Elhenawy: McMaster University
Sarah Hordienko: McMaster University
Steven Gould: McMaster University
Alexander M. Oberc: McMaster University
Caressa N. Tsai: McMaster University
Troy P. Hubbard: Division of Infectious Diseases, Brigham & Women’s Hospital
Matthew K. Waldor: Division of Infectious Diseases, Brigham & Women’s Hospital
Brian K. Coombes: McMaster University

Nature Communications, 2021, vol. 12, issue 1, 1-13

Abstract: Abstract Adherent-invasive Escherichia coli (AIEC) are pathogenic bacteria frequently isolated from patients who have Crohn’s disease (CD). Despite the phenotypic differences between AIEC and commensal E. coli, comparative genomic approaches have been unable to differentiate these two groups, making the identification of key virulence factors a challenge. Here, we conduct a high-resolution, in vivo genetic screen to map AIEC genes required for intestinal colonization of mice. In addition, we use in vivo RNA-sequencing to define the host-associated AIEC transcriptome. We identify diverse metabolic pathways required for efficient gut colonization by AIEC and show that a type IV secretion system (T4SS) is required to form biofilms on the surface of epithelial cells, thereby promoting AIEC persistence in the gut. E. coli isolated from CD patients are enriched for a T4SS, suggesting a possible connection to disease activity. Our findings establish the T4SS as a principal AIEC colonization factor and highlight the use of genome-wide screens in decoding the infection biology of CD-associated bacteria that otherwise lack a defined genetic signature.

Date: 2021
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DOI: 10.1038/s41467-021-22306-w

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