The role of bacterial size, shape and surface in macrophage engulfment of uropathogenic E. coli cells

Abstract

Uropathogenic Escherichia coli (UPEC) can undergo extensive filamentation in the host during acute urinary tract infections (UTIs). It has been hypothesised that this morphological plasticity allows bacteria to avoid host immune responses such as macrophage engulfment. However, it is still unclear what properties of filaments are important in macrophage-bacteria interactions. The aim of this work was to investigate the contribution of bacterial biophysical parameters, such as cell size and shape, and physiological parameters, such as cell surface and the environment, to macrophage engulfment efficiency. Viable, reversible filaments of known lengths and volumes were produced in the UPEC strain UTI89 using a variety of methods, including exposure to cell-wall targeting antibiotics, genetic manipulation and isolation from an in vitro human bladder cell model. Quantification of the engulfment ability of macrophages using gentamicin-protection assays and fluorescence microscopy demonstrated that the ability of filaments to avoid macrophage engulfment is dependent on a combination of size (length and volume), shape, surface and external environmental factors. UTI89 filamentation was also found to occur independently of the SOS-inducible filamentation genes, sulA and ymfM, demonstrating the non-essential requirement of these genes for UTI89 filamentation and their ability to avoid macrophage engulfment. With several strains of UPEC now resistant to current antibiotics, our work identifies the importance of bacterial morphology during infection and may provide new ways to prevent or treat these infections via immune modulation or antimicrobials.

Competing Interest Statement

The authors have declared no competing interest.