With regard to bacteria that utilize quorum sensing as part of their pathogenic lifestyle,
P. aeruginosa is perhaps the best understood in terms of the virulence factors regulated and the role quorum sensing plays in pathogenicity. Classified as an opportunistic pathogen,
P. aeruginosa primarily infects individuals who are immunocompromised, such as patients with cancer or AIDS (
33,
68) or those having breaches in normal barriers caused by burns, indwelling medical devices, or prolonged use of broad-spectrum antibiotics (
11,
23).
P. aeruginosa has an impressive armament of both cell-associated and extracellular virulence factors. Expression of many of the extracellular factors is not constitutive but rather cell-density dependent with maximum protease production occurring during the late logarithmic and early stationary phases of growth (
123,
124). The genetic basis for this growth-phase regulation was uncovered with the discovery that
P. aeruginosa contains genes, called
lasR and
lasI, with significant homology to the
luxR and
luxI genes of
Vibrio fischeri (
42,
76). In
Vand cyanide (
12,
60,
61,
73,
79,
126).
With the finding that
P. aeruginosa has two separate quorum-sensing circuits came the question of whether the two were capable of interaction. In spite of the predicted structural similarities between LasR and RhlR and the similarities between the two AHLs, there is little interchangeability between the two systems. The R-proteins are not significantly activated by their noncognate AHLs; LasR is not activated by C
4-HSL and 3-oxo-C
12-HSL is capable of only low-level RhlR activation (
80). Thus it appears that the R proteins show high specificity with regard to the AHL required for their activation. Similarly, genes that are primarily activated by one system are only minimally activated by the other (
80), indicating that specific recognition sequences must be a review, see reference
37); however, the autoinducer synthase molecules examined to date have been found to use
S-adenosylmethionine and the appropriate fatty acid conjugated to acyl carrier protein (ACL) as substrates. In
P. aeruginosa, in vitro studies of AHL synthesis have revealed that the majority, if not all, of the 3-oxo-HSLs found in culture supernatants are synthesized by LasI (H. Schweizer, personal communication). Furthermore, when one of the enzymatic steps of the fatty acid biosynthetic pathway becomes rate limiting, 3-oxo-C
12-HSL is no longer produced at detectable levels; instead, the shorter-chain-length HSLs 3-oxo-C
10-HSL, 3-oxo-C
8-HSL and 3-oxo-C
6-HSL are preferentially generated (H. Schweizer, personal communication). These findings indicate that the acyl chain lengths of the HSL products are at least in part regulated by the availability of the 3-oxo-acyl-ACP substrate precursors.
To date, the biological function of these noncognate AHLs remains an enigma. One possible role for these minor AHL molecules is to activate additional LuxR-type proteins. In
P. aeruginosa, two genes encoding proteins with significant homology to LasR and RhlR have been identified; however, at this time it is unclear whether the minor signal molecules present in
P. aeruginosa culture supernatants can activate either of these R proteins. A second possible role for noncognate AHLs arises from the fact that these molecules can frequently activate a given R protein, albeit at lower induction levels than for the cognate AHL. In this manner, minor AHLs may function as competitive inhibitors of autoinduction. An example of this is seen in
P. aeruginosa where the
las signal molecule 3-oxo-C
12-HSL can efficiently compete with C
4-HSL for RhlR binding (
83). Similarly in
V. fischeri, a second AHL synthase, AinS, directs the synthesis of
N-octanoyl-
l-HSL (C
8-HSL) (
59). Despite the fact that C
8-HSL can activate LuxR to some degree, it appears that this molecule functions as a competitive inhibitor of
V. fischeri bioluminescence. In
ainS mutants, induction of bioluminescence occurs at a lower cell density than in the parental strain (
59). Furthermore, addition of C
8-HSL to cultures of either the wild-type strain or
ainS mutants results in delayed onset of bioluminescence (
59). Thus, in both
P. aeruginosa and
V. fischeri, the inhibitory effect of noncognate AHLs may represent a means of “fine tuning” these quorum-sensing systems to precisely control expression of target genes.
Recently, a third autoinducer molecule was identified in
P. aeruginosa (
82). This molecule is structurally very different from the other two
P. aeruginosa autoinducers in that it is a 2-heptyl-3-hydroxy-4-quinolone, designated PQS. Preliminary studies have revealed that PQS is involved in
lasB expression and that although expression of PQS is under control of the
las system, RhlR is required for PQS activity. At present, many aspects of PQS have yet to be uncovered, including the role it plays in
P. aeruginosa quorum sensing and virulence and the R protein with which it reacts. The structural similarity between PQS and antimicrobial quinolones is quite intriguing, although preliminary studies have not shown any antimicrobial activity associated with PQS (
82). The discovery of PQS reveals yet another layer in the increasingly complex system used by this organism to maintain tight control of its virulence factors. This tight regulation is a common theme in
P. aeruginosa quorum sensing, evidenced by the fact that the
xcp genes involved in type II secretion are under control of both the
las and
rhl quorum-sensing systems (
14). This pathway is utilized in secretion of quorum-sensing controlled enzymes, such as elastase and proteases, indicating that
P. aeruginosa is extremely vigilant about regulating these factors at both the levels of production and export.
P. aeruginosa is intrinsically resistant to numerous antimicrobial agents, including antibiotics, organic solvents, and detergents. Low outer membrane permeability together with the presence of multidrug efflux pumps that export a wide range of antimicrobial agents is thought to contribute to this intrinsic resistance. Three well-studied
P. aeruginosa pumps have been described: MexAB-OprM, MexCD-OprJ, and MexEF-OprN encoded by the
mexAB-oprM,
mexCD-oprJ, and
mexEF-oprN operons, respectively (
58,
89,
90). During a study to investigate whether AIs freely diffuse in and out of
P. aeruginosa cells, it was discovered that in addition to its slow diffusion, 3-oxo-C
12-HSL is actively pumped from cells by the MexAB-OprM pump (
81). In contrast, C
4-HSL diffuses rapidly across the cell membranes and is not actively transported (
81). Presumably, the difference in the length of the acyl chains accounts for the differences in cellular accumulation of the two AIs, with the more hydrophobic 3-oxo-C
12-HSL partitioning into the cytoplasmic membrane, thereby facilitating its export by the MexAB-OprM pump. These findings are intriguing because they suggest that antimicrobial therapy designed to interfere with MexAB-OprM drug efflux will also affect
las-controlled gene expression. In cells lacking a functional MexAB-OprM pump, a higher accumulation of 3-oxo-C
12-HSL would be expected to occur sooner, which should result in earlier expression of target genes. It has been theorized that bacteria employ quorum sensing for regulation of virulence to ensure that toxic immune response-activating factors are elicited only after a sufficient number of bacteria have been amassed to overwhelm host defenses. If the bacteria are forced to prematurely produce virulence factors, the host may recognize the invading bacteria sooner and eradicate the infection. Thus, antimicrobial strategies designed to disarm efflux pumps and increase the antibiotic susceptibility of
P. aeruginosa may prove even more effective if they cause premature expression of virulence products.
Quorum sensing in
P. aeruginosa is involved in regulating expression of a number of virulence factors, and as such, this regulation is believed to play an important role in the pathogenicity of this organism. Using a number of different animal models, this presumption has been confirmed. In the neonatal mouse model of pneumonia, a
lasR-deficient strain of
P. aeruginosa was found to have significantly decreased virulence compared to that in the parent (
117). Analysis of a
lasI mutant, a
rhlI mutant, and a
lasI rhlI double mutant in the same model revealed markedly decreased virulence, with the most notable reduction seen in the double I mutant (
77). In a burned mouse model, strains deficient in
lasR,
lasI,
rhlI, or both
lasI and
rhlI were found to be less virulent in vivo than in the parental strain (
101,
102). In addition, the total number of bacteria recovered from the spleens, livers, and skin of mice infected with the different mutants were significantly lower than those for the parent strain (
102). These findings indicate that quorum sensing plays an important role in the dissemination of
P. aeruginosa throughout the body of burned mice. In the double I mutant, which was the least virulent strain, complementation with
lasI,
rhlI, or both
lasI and
rhlI on multicopy plasmid significantly increased both in vivo virulence and the ability to spread within the burned skin of the infected animals (
102).
In a study employing three different models of infection, namely
Caenorhabditis elegans (nematode),
Arabidopsis thaliana (plant), and a burned mouse model, a
lasR-deficient mutant generated through random mutagenesis exhibited greatly reduced virulence in all three models (
116). Intriguingly, a
gacA mutant and a
toxA mutant also exhibited decreased virulence in the three models (
93,
94,
116). GacA is a global activator in
P. aeruginosa that has previously been shown to regulate expression of
lasR and
rhlR and production of the
rhl AHL, C
4-HSL (
97);
toxA encodes exotoxin A, which is regulated by the
las quorum-sensing system (
43). These studies are extremely exciting because they suggest that the three aforementioned genes, which are all linked to quorum sensing, contribute to the trans-kindom virulence of
P. aeruginosa. Moreover, using the less costly and simpler plant or nematode model of infection enables identification of genes required for infection of other species. In the future, it will be intriguing to see if other bacteria that infect multiple species. In the future, it will be intriguing to see if other bacteria that infect multiple species and employ quorum sensing as part of their pathogenic lifestyles have genes that contribute to virulence in such diverse hosts.
In a study designed to assess the role of
P. aeruginosa quorum sensing in human infections, sputum samples from the lungs of cystic fibrosis (CF) patients infected with
P. aeruginosa were assayed for
lasR,
lasA,
lasB, and
toxA expression (
111). A correlation was observed between
lasA,
lasB, and
toxA transcript accumulation, suggesting coordinated regulation of these genes. Moreover, accumulation of the
lasR transcript correlated with that of the other genes; thus, it appears that LasR–3-oxo-C
12-HSL actively regulates gene expression during chronic lung infection.