INTRODUCTION
The adhesion of pathogenic and commensal bacteria to host cells and tissues is considered an important step in the initiation of disease and in mediating beneficial effects for the host, respectively. In the gastrointestinal tract, adhesion is considered an essential colonization factor for both commensal and probiotic bacteria, and binding is known to be mediated by the surface proteins and structures of both bacterial and host cells. Human commensal and pathogenic bacteria may share some mechanisms of adhesion, and thus commensal bacteria may protect against pathogens by occupying adhesion sites (
1,
2). The adhesion mechanisms of commensal and probiotic bacteria are currently under intensive investigation; for example, the adhesion of probiotic strain
Lactobacillus rhamnosus GG was found to be mediated by a pilus, a structure known to mediate the adhesion of many pathogens (
2,
3). Furthermore, adhering commensals and probiotics have close contact with the host epithelium and are proposed to function in immune stimulation and gut maturation and to enhance epithelial integrity (
2,
4,
5). Bifidobacteria are commensal inhabitants of the human gastrointestinal tract, and they can constitute a considerable part of an individual's gut microbiota, especially in breast-fed infants (
6,
7). Many
Bifidobacterium species and strains adhere strongly to human intestinal epithelial cells
in vitro (
8,
9), but only a few adhesion molecules have been described thus far (
9–11). The expression of moonlighting proteins on the cell surface of
Bifidobacterium seems to be common, and under certain circumstances these proteins could facilitate colonization of the human gut (
12–14). Recently, moonlighting transaldolase was reported to play a role in the autoaggregation and adhesion of
Bifidobacterium bifidum to mucin (
10).
The proteins of tight adherence (Tad) pili have been shown to be essential for the efficient gut colonization of
Bifidobacterium breve in vivo in mice, and a role for these proteins favoring the adhesion of
B. breve to the intestinal epithelium has been suggested (
11). Gene clusters responsible for the biosynthesis of pili have been identified in the genomes of
B. bifidum (
15). Recently, it was demonstrated that the major subunit protein of the
pil3 locus of
B. bifidum PRL2010, coding for the sortase-dependent pili, is involved in the adhesion to Caco-2 cells and binding to extracellular matrix (ECM) proteins (
16). Pil3 seems to be partially, but not solely, responsible for the adhesion of
B. bifidum PRL2010 to Caco-2 cells via ECM proteins and autoaggregation (
16). The same genetic locus has been found in all sequenced
B. bifidum strain genomes and also in the genome of the probiotic strain
B. bifidum MIMBb75 (S. Guglielmetti, unpublished data).
In
B. bifidum, lipoprotein BopA (an outer surface lipoprotein) was the first surface protein described to be involved in the adhesion to intestinal epithelium. BopA purified from the cell wall of the probiotic strain
B. bifidum MIMBb75 partly inhibited the adhesion of
B. bifidum to Caco-2 cell line in a competitive adhesion assay (
9). However, the inhibition was successful only when BopA was used at a remarkably high concentration, indicating that this was a result of unspecific inhibition rather than a specific competition for the adhesion sites (
9). Recently, Gleinser and colleagues (
17) expressed BopA in a poorly adherent strain,
Bifidobacterium longum subsp.
infantis E18, and detected increased adhesion of the strain (
17). However, even with overexpression of BopA in the recipient strain, the adhesion was at a very low level compared with that of the parental
B. bifidum strain (source of the
bopA gene) (
17), and therefore, the role of BopA as a true adhesin is still questionable.
In this study, we readdressed the role of BopA in the adhesion of B. bifidum. We cloned and expressed BopA without its hydrophobic signal sequence and lipobox (and therefore without the thioacyl group) in Escherichia coli and produced an antiserum against the recombinant BopA. The role of BopA in the adhesion of B. bifidum to intestinal epithelium was reevaluated by using a number of functional assays with the cell lines Caco-2 and HT-29, four ECM proteins, and human intestinal mucus.
DISCUSSION
Commensal intestinal bacteria in the genus
Bifidobacterium are thought to balance the intestinal microbiota and to exert health-promoting effects on the host (
24–26), and some strains are also used as probiotics. Adhesion of probiotic and commensal bacteria to the intestinal epithelial cells, mucus, and ECM proteins could help these organisms to persist in the intestinal tract and enable close contact with the host. In healthy individuals, the gastrointestinal epithelium is covered with mucus, which forms a thick, continuous layer in the large intestine. However, in the small intestine, the mucus layer is thinner and discontinuous, allowing direct contact between epithelial cells and luminal bacteria. Also, under certain conditions, the mucus barrier is reduced, and bacteria can penetrate the layer and adhere to the underlying epithelial cells and ECM proteins (
27).
The bifidobacterial lipoprotein BopA, which has homology with the solute-binding protein of the ABC transport system in Gram-positive bacteria, has been described as an adhesive surface protein of
B. bifidum MIMBb75 (
9). The previous studies of the localization of BopA on the cell surface as well as its role in the adhesion were performed with a native BopA purified from the cell envelope of
B. bifidum (
9). In the present study, the role of BopA as a bifidobacterial adhesion molecule was readdressed by exploiting antiserum against His
6-BopA and by using a recombinant BopA without the membrane-spanning lipid moiety covalently linked to the cysteine residue in the lipobox and thus avoiding possible unspecific effects resulting from the hydrophobic nature of the N-terminal part of the native protein. The recombinant BopA was produced with a C-terminal His
6 tag, and it could not be ruled out that it had the same conformation as the native protein; consequently, the recombinant protein may have had altered binding properties compared to the native one. However, the antiserum raised against the recombinant protein also recognized the native BopA, and therefore, both His
6-BopA and the antiserum were considered suitable for the subsequent experiments.
By using the antiserum, it was evident that BopA is an abundantly expressed surface protein of
B. bifidum. It was found to be localized unevenly on the cell surface rather than being distributed uniformly around the cells. Asymmetric localization of the surface proteins, including the proteins involved in transporting of substrates across the cytoplasmic membrane, was described earlier and seems to be a common mechanism in Gram-positive bacteria (
28,
29). It has been speculated that the cell wall passage of proteins is restricted to a limited number of sites to maintain the cell wall rigidity and withstand the turgor pressure (
28). Alternatively, the cell surface of
B. bifidum is covered with an uneven layer of exopolysaccharides, which results in an uneven staining and consequently gives an image of patchy localization of BopA on the cell surface.
The human intestinal isolate
B. bifidum MIMBb75 and the type strain of
B. bifidum, DSM20456, display an adhesive phenotype on the epithelial cell lines Caco-2 and HT-29 depending on the age of the epithelial cell culture. The differentiation stage of the epithelial cells affects the expression of surface molecules (
30,
31), which affects the bacterial adhesion to the cells (
32). In accordance, our results show various levels of adhesion to the epithelial cells of different ages or at different stages of differentiation. Only minimal effects or no effect at all were caused by the BopA-specific antiserum (inhibitory experiments) or the recombinant His
6-BopA (competitive experiments) on the adhesion of
B. bifidum DSM20456 and MIMBb75 to Caco-2 or HT-29 cells. Furthermore, a reduction in the adhesion of
B. bifidum MIMBb75 to the 3-day-old, nondifferentiated Caco-2 cells was observed when bacteria were pretreated with the anti-BopA antiserum, but also, the preimmune serum inhibited the adhesion, indicating a non-BopA-based inhibition effect of the antisera.
In the competitive adhesion assays, only a moderate 28% reduction in the binding of B. bifidum MIMBb75, but not DSM20456, to the 3-day-old Caco-2 cells was observed when the epithelial cells were pretreated with the recombinant His6-BopA, suggesting that BopA may be a minor accessory adhesin. His6-BopA did not inhibit the adhesion of B. bifidum MIMBb75 to HT-29 or to older Caco-2 cells.
The previous reports on the role of BopA as an adhesin for Caco-2 cells were based on competitive binding experiments done with remarkably high concentrations (375 mg ml
−1) of BopA containing the hydrophobic lipid moiety, which likely consists of a diglyceride molecule covalently linked to the N-terminal cysteine of BopA (
9). In a more recent study, Gleinser and colleagues (
17) observed a reduction in the adhesion of
B. bifidum when the epithelial cells were pretreated with a recombinant His
6-BopA protein, which was prepared by cloning the complete
bopA gene. It includes a DNA sequence coding for an N-terminal hydrophobic signal peptide of 25 amino acids, which meets all of the requirements for a transmembrane helix, and contains the lipobox motif (
17). In this study, no inhibitory effect on the bifidobacterial binding to the epithelial cells could be confirmed by using a recombinant His
6-BopA devoid of the membrane-spanning lipid moiety and the 25-amino-acid hydrophobic signal sequence, or by blocking the bifidobacteria with the BopA-specific antiserum. The inhibition observed in the previous study may have resulted from an unspecific effect caused by the higher hydrophobicity of the BopA (lipo)proteins used in the study. Accordingly, the surface layer (S-layer) proteins of
Lactobacillus, which are rich in hydrophobic amino acids (
33), have been shown to inhibit the adhesion of
S. aureus to Caco-2 cells (
34). Furthermore, it has been shown that cell surface hydrophobicity indicates good adhesion potential for bacteria and that the high hydrophobicity of the cell surface of a probiotic strain correlates well with its capacity to inhibit pathogen adhesion through steric hindrance (
35). In other words, it seems that hydrophobic molecules bind efficiently to the epithelial cells and thereby block the bacterial binding sites by steric hindrance. Similarly, the competitive inhibition of bifidobacterial adhesion to the epithelial cells caused by a lipid- or signal peptide-containing hydrophobic BopA could have resulted from a steric hindrance to the adhesion sites following an aspecific hydrophobic interaction of BopA protein with Caco-2 cell surface.
Recently, Gleinser and colleagues (
17) also used bifidobacteria overexpressing BopA to address its role as an adhesin. The overexpression of BopA in
B. longum subsp.
infantis E18, a strain that does not contain the gene coding for BopA and shows only a very weak adhesion to the epithelial cells, increased the adhesion of the strain to T84, Caco-2, and HT-29 cells by 511, 180, and 209%, respectively (
17). However, the adhesion of E18 to Caco-2 was below 3%, and adhesion to T84 and HT-29 was even lower. Therefore, a 180% rise in the relative binding of the recombinant
B. longum subsp.
infantis E18 to Caco-2 cells would mean an absolute adhesion level of <5.4% (
17), which is still far from the adherence of the wild-type-BopA-bearing
B. bifidum strains, which show adherence above 30%. Thus, the increase in the adhesion obtained by overexpressing
bopA does not explain the high adherence of wild-type
B. bifidum observed here and by others (
9,
17). The slight increase in the adhesion of
B. longum subsp.
infantis E18 overexpressing
bopA indicates, however, that BopA may serve as a minor adhesin (
17).
In healthy individuals, the gastrointestinal tract is covered by two layers of mucus. The inner layer is firmly attached to the epithelium, and the outer layer is more loosely attached and colonized by bacteria (
36–38).
B. bifidum DSM20456 and MIMBb75 showed approximately 4 and 8% adhesion to human colonic mucus, respectively, whereas the recombinant His
6-BopA bound moderately to mucus. However, the antiserum produced against His
6-BopA failed to decrease the adhesion of
B. bifidum to mucus, indicating that BopA is not the major adhesin mediating the bifidobacterial adherence to mucus either. Previously, both DSM20456 and MIMBb75 were found to adhere to immobilized, commercially available mucus, and the surface-exposed proteins have been suggested to be involved in the binding (
10,
39). Transaldolase was reported to mediate the autoaggregation of the bifidobacterial cells at acidic pH, which was linked to the mucus-binding capacity of
B. bifidum (
10). However, as the autoaggregating phenotype of
B. bifidum is strictly dependent on acidic pH (
39), and since in this study all binding experiments were performed at neutral pH and autoaggregation was not observed, autoaggregation cannot explain the strong adhesion of
B. bifidum to mucus at neutral pH. The recombinant His
6-BopA bound, though moderately, to mucus, and therefore, it seems that BopA may serve as a minor moonlighting adhesin. It has been suggested that specific ABC transporter proteins are involved in host-bacterium interactions and act as moonlighting adhesins (
40–43), particularly in mucus binding (
40,
43). Similarly, BopA may serve as a minor moonlighting adhesin mediating bifidobacterial adhesion to mucus at neutral pH.
Next, the binding of His
6-BopA and adherence of
B. bifidum to ECM proteins was studied. The ECM is known to serve as a substrate for the attachment of colonizing microorganisms (
44). ECM is a highly structured network of four main components, collagens, laminin, fibronectin, and elastin (
45). Both
B. bifidum strains studied adhered to fibronectin, and
B. bifidum MIMBb75 adhered to laminin, but adherence to collagen I or IV was not observed. The adhesion to fibronectin was inhibited when bacterial cells were pretreated with anti-BopA antiserum but also when they were pretreated with preimmune serum, again suggesting an unspecific inhibitory effect of the antisera. The inhibitory effect of the antisera on the bacterial adhesion to fibronectin could have resulted from (i) the binding of antisera directly to the immobilized fibronectin or (ii) the serum itself containing fibronectin, which binds to fibronectin receptors on the bacterial surface. Similarly, the inhibitory effect of antisera on the adhesion of
B. bifidum MIMBb75 to 3-day-old Caco-2 cells may have resulted from antiserum binding to fibronectin, which can be produced by Caco-2 cells (
46). The recombinant BopA, however, did not bind to fibronectin and excluded the role of BopA in mediating the bifidobacterial adhesion to fibronectin. Instead of fibronectin, the recombinant BopA bound to laminin, indicating that BopA may act as a minor adhesin to ECM.
In conclusion, our results show, in contrast to previous studies, that BopA has a very limited role in adhesion and that the adherence of
B. bifidum to epithelial cells, mucus, or ECM proteins is BopA independent. However, BopA binds moderately to human colonic mucus and laminin and may act as a minor coadhesin of
B. bifidum. Very recently,
pil3 sortase-dependent pili were shown to be involved in the adhesion of
B. bifidum (
16). Further studies are needed to unambiguously demonstrate whether these pili or other bacterial structures are the main adhesion molecules mediating the adhesion of
B. bifidum to epithelial cells.