Campylobacter jejuni Demonstrates Conserved Proteomic and Transcriptomic Responses When Co-cultured With Human INT 407 and Caco-2 Epithelial Cells

Major foodborne bacterial pathogens, such as Campylobacter jejuni, have devised complex strategies to establish and foster intestinal infections. For more than two decades, researchers have used immortalized cell lines derived from human intestinal tissue to dissect C. jejuni-host cell interactions. Known from these studies is that C. jejuni virulence is multifactorial, requiring a coordinated response to produce virulence factors that facilitate host cell interactions. This study was initiated to identify C. jejuni proteins that contribute to adaptation to the host cell environment and cellular invasion. We demonstrated that C. jejuni responds to INT 407 and Caco-2 cells in a similar fashion at the cellular and molecular levels. Active protein synthesis was found to be required for C. jejuni to maximally invade these host cells. Proteomic and transcriptomic approaches were then used to define the protein and gene expression profiles of C. jejuni co-cultured with cells. By focusing on those genes showing increased expression by C. jejuni when co-cultured with epithelial cells, we discovered that C. jejuni quickly adapts to co-culture with epithelial cells by synthesizing gene products that enable it to acquire specific amino acids for growth, scavenge for inorganic molecules including iron, resist reactive oxygen/nitrogen species, and promote host cell interactions. Based on these findings, we selected a subset of the genes involved in chemotaxis and the regulation of flagellar assembly and generated C. jejuni deletion mutants for phenotypic analysis. Binding and internalization assays revealed significant differences in the interaction of C. jejuni chemotaxis and flagellar regulatory mutants. The identification of genes involved in C. jejuni adaptation to culture with host cells provides new insights into the infection process.


INTRODUCTION
Pathogens must navigate a gauntlet of hostile host environments and defenses to eventually cause disease in the human intestine. The constantly changing host conditions encountered by bacteria when they are ingested and passed through the alimentary canal provide cues to alter their behavior. Pathogens employ strategies ranging from alteration of metabolic activity to differential expression of genes and gene products. Deciphering the molecular behavior of microbes within a host is key to understanding how disease progression occurs and informs strategies that could ultimately mitigate disease.
Campylobacter jejuni is one of the most common bacterial causes of foodborne illness worldwide and is estimated to be responsible for between 400 and 500 million cases of gastroenteritis each year (Ruiz-Palacios, 2007). Early in infection, C. jejuni colonize and invade the intestinal epithelial cells, resulting in symptoms ranging from fever and abdominal cramping to diarrhea containing blood and immune cells. Disease symptoms are more severe in populations such as the very young, elderly, and chronically ill. C. jejuni virulence is multifactorial, requiring motility, translocation of the intestinal barrier, host (target) cell adherence, host cell invasion, alteration of host cell signaling pathways, induction of host cell death, evasion of host immune defenses, iron acquisition, and drug/detergent resistance (Johanesen and Dwinell, 2006;Eucker and Konkel, 2012;Neal-McKinney and Konkel, 2012;Backert and Hofreuter, 2013). This list is not comprehensive, but rather, illustrates that C. jejuni disease occurs in a susceptible host from a combination of virulence attributes working in concert.
In vitro tissue culture models have been used extensively to assess the virulence potential of C. jejuni isolates recovered from both clinical and environmental sources. These studies have led to the identification of proteins that facilitate the binding and invasion of C. jejuni to host cells. Many of the proteins that promote the binding of C. jejuni to host cells, including CadF and FlpA, are synthesized constitutively (Konkel and Cieplak, 1992;Konkel et al., 2007). In contrast, cellular invasion requires de novo protein synthesis that occurs in response to a stimulatory signal (i.e., contact with host cells) (Konkel and Cieplak, 1992;Neal-McKinney and Konkel, 2012). Moreover, metabolic labeling and immunoblot analyses have revealed that co-culture of C. jejuni with human INT 407 cells results in changes in the synthesis of proteins compared with the proteins synthesized by C. jejuni cultured in the absence of the epithelial cells (Konkel and Cieplak, 1992;Konkel et al., 1993;Eucker et al., 2014). In a separate study, Panigrahi et al. (1992) found that C. jejuni synthesizes proteins in a rabbit ileal loop that are not expressed under standard laboratory culture conditions. A subset of the newly synthesized proteins reacted with convalescent sera from C. jejuni-infected individuals. Relevant to this study, C. jejuni also synthesizes a similar subset of unique proteins when co-cultured with human INT 407 epithelial cells (Konkel and Cieplak, 1992;Konkel et al., 1993). Despite these previous observations, a global account of the overall changes in gene expression and protein synthesis during C. jejuni co-culture with host cells is lacking.
The purpose of this study was to gain a better understanding of the response of C. jejuni to co-culture with human epithelial cells. By utilizing both proteomic and transcriptomic analyses of C. jejuni strain 81-176 co-cultured with human INT 407 cells and human colonic Caco-2 cells, we identified genes that encode products that promote the survival and interaction of C. jejuni with host cells. To assess the relevance of the findings, deletion mutants were created for genes involved in chemotaxis and flagellar assembly and tested for the contribution in cellular adherence and invasion. Our study has revealed that C. jejuni flagellar regulatory and structural mutants display a gross difference in host cell interactions when compared to chemotaxis mutants. The findings present a refined view of C. jejuni virulence factors that promote cell interactions.

Host Epithelial Cell Lines
INT 407 (ATCC CCL-6) and Caco-2 (ATCC HTB-37) cells were cultured in Minimal Essential Media (MEM; Gibco, Grand Island, NY, United States) supplemented with 10% fetal bovine serum (FBS; GE Healthcare Life Sciences, HyClone Characterized Fetal Bovine Serum US Origin cat. # SH30071) and 1 mM sodium pyruvate (Corning Inc., Manassas, VA, United States) at 37 • C with 5% CO 2 . Infection and metabolic labeling studies were done in a T-75 flask with either INT 407 or Caco-2 cells that were seeded at a density of 5 × 10 6 cells/flask (∼70% confluence) and grown for 24 h.

Metabolic Labeling Assays
Campylobacter jejuni were harvested from MHB agar plates in phosphate buffered saline (PBS). Bacteria were washed twice in Eagle's Minimal Essential Medium (EMEM) lacking L-methionine (labeling medium; MP Biomedicals LLC cat. # 1641454 supplemented with 0.1 mM L-cysteine and 2 mM L-glutamine) and suspended in medium to an optical density (OD 540 ) of 0.3 (∼1.5 × 10 9 cfu/mL). Metabolic labeling experiments were performed in 3 mL of labeling medium containing 75 µCi [ 35 S]-methionine (PerkinElmer, Boston, MA, United States) and 1% FBS. The FBS used in these experiments was albumin-depleted and dialyzed, as outlined by the manufacturer (Thermo Scientific, SwellGel Blue Albumin Removal Kit, Product # 89845). Emetine hydrochloride (2.5 µg/mL, Sigma-Aldrich, St. Louis, MO, United States) was added to the labeling medium 30 min prior to the addition of [ 35 S]-methionine in order to inhibit eukaryotic protein synthesis. Assays were also conducted with INT 407 cells that were fixed with 4.0% paraformaldehyde (Electron Microscopy Sciences, Hatfield, PA, United States) in PBS (pH 6.9) for 15 min at room temperature. The paraformaldehyde-fixed INT 407 cells were washed 5 times with labeling medium before the addition of the bacteria. Following metabolic labeling, the bacterial pellets were washed with PBS and the amount of [ 35 S]-methionine incorporation into proteins was determined by trichloroacetic acid (TCA; JT Baker Chemical Company, Center Valley, PA, United States) precipitation.

Adherence and Internalization Assays
Binding and internalization (gentamicin protection) assays were performed with INT 407 and Caco-2 cells as described previously (Christensen et al., 2009;Eucker and Konkel, 2012). Briefly, C. jejuni were suspended to an OD 540 of 0.03 and treated with medium alone or chloramphenicol at the indicated concentrations for 30 min prior to the addition of the C. jejuni to INT 407 cells. The epithelial cells were incubated at 37 • C for the indicated times with chloramphenicol. Following an incubation period to allow the bacteria to invade the cells, the epithelial cell monolayers were rinsed with PBS and incubated for an additional 3 h with 250 µg/mL gentamicin to kill the extracellular bacteria. The epithelial cells were lysed with a solution of 0.1% Triton X-100 in PBS. All assays were performed at a multiplicity of infection (MOI) ranging between 50 and 500, and repeated a minimum of three times to ensure reproducibility. The reported values represent the mean counts ± standard deviations derived from triplicate wells. Where indicated, chloramphenicol (GoldBio, St. Louis, MO, United States) was added to inhibit bacterial protein synthesis (the specific concentrations used are indicated in the text).

RNA-Seq Sample Preparation
Campylobacter jejuni were inoculated at an OD 540 of 0.05 and grown for 18-20 h in MH broth. The C. jejuni was then adjusted to an OD 540 of 0.3 in MEM supplemented with 1% FBS. INT 407 or Caco-2 cells were first rinsed with MEM 1% FBS, then 10 mL of the C. jejuni suspension was introduced and the host cells were incubated for 2.5 or 4 h at 37 • C with 5% CO 2 . The supernatant was then collected and bacteria were recovered by centrifugation. For RNA analysis, bacteria were collected in 1/10 volume of ice cold stop solution (5% phenol, 95% ethanol), flash frozen in liquid nitrogen within 5 min of sample collection, and stored at −80 • C until RNA extraction.

RNA Extraction, rRNA Depletion, and Sequencing
Total RNA was isolated and genomic DNA removed using the Ambion Ribopure Bacteria kit after thawing bacterial pellets in the included RNAwiz solution following manufacturers protocols (Thermo Fisher, Waltham, MA, United States). Ribosomal RNA was depleted as described elsewhere (Rey et al., 2010). Briefly, 3 biotinylated oligos with a tetraethylene glycol spacer were designed to hybridize to the C. jejuni 16S and 23S rRNAs. Two micrograms of each RNA sample was suspended in TES buffer (10 mM Tris, 1 mM EDTA, 1 M NaCl, pH 8.0) and mixed with 50 pmol of oligos. The samples were then incubated at 70 • C for 15 min followed by 37 • C for 15 min. TES equilibrated streptavidin coated agarose beads (GoldBio, Olivette, MO, United States) were used to capture depletion oligos and bound rRNA. rRNA depletion was assessed with an Advanced Analytical Fragment Analyzer (Ankeny, IA, United States). Illumina MiSeq libraries were prepared using the KAPA stranded RNAseq kit (Kapa Biosystems, Wilmington, MA, United States), following the manufacturer's instructions except for the following changes: 159-400 ng RNA was sheared for 6 min at 85 • C. Standard desalted TruSeq LT primers (Integrated DNA Technologies, Coralville, IA, United States) were used at 50-100 nM final concentration based on starting RNA amount. The PCR step was reduced to 6 cycles. Libraries were quantified using the KAPA Library Quantification Kit (Kapa Biosystems, Inc), except with 10 µL volume and 90 s annealing/extension PCR. Libraries were pooled and normalized to 4 nM. Pooled libraries were requantified by ddPCR on a QX200 system (Bio-Rad), using the Illumina TruSeq ddPCR Library Quantification Kit and following manufacturer's protocols. The libraries were sequenced in two 2 × 76 bp paired end v3 runs on a MiSeq instrument (Illumina) at 13.5 pM, following the manufacturer's protocols. FASTQ files were generated for each sample by the MiSeq Instrument Software and used for transcriptomic analysis.

Transcriptomic Analysis
Reads were mapped to the C. jejuni 81-176 genome (Genome: NC_008787, pTet: NC_008790, and pVir: NC_008770) using Bowtie2 (version 2.3.2) and counted with featureCounts (Subread package version 1.5.3). Differential expression was analyzed with DESeq2 (version 1.18.1) in R (version 3.4.2). Two biological replicates were analyzed for each experimental condition and compared against the transcriptome in MH broth from 18 h as the baseline.

Proteomic Sample Preparation and LC-MS/MS Analysis
Campylobacter jejuni strain 81-176 was grown in MH broth for 20 h and the culture was either inoculated in MH broth at OD 540 of 0.3 (negative sample) or suspended to an OD 540 of 0.3 in MEM with 1% FBS alone, with INT 407 cells, and with Caco-2 cells for 4 h. For each of the tested conditions, three biological replicates collected on different days were compared for proteomic analysis. Ten milliliters of each sample was harvested by centrifugation at 4 • C at 13,000 × g, rinsed twice with PBS, then frozen in liquid nitrogen and stored at −80 • C prior to further sample preparation. For each sample, the bacterial pellet was suspended in 100 mM ammonium bicarbonate and lysed by bead beating using 0.1 mm zirconia/silica beads for 5 vortexing periods of 1 min separated by rest periods of 30 s on ice. Eight molar urea and 5 mM DTT were added to the samples prior to incubation for 1 h at 37 • C. Samples were then diluted eight times prior to trypsin digestion for 3 h at 37 • C. Digested peptides were desalted using C18 SPE cartridges (Discovery C18, 1 mL, 50 mg, Supelco). The peptide concentrations were measured by BCA assay (Thermo Scientific).
Five microliters of 0.1 µg/µL were analyzed by reverse phase LC-MS/MS using a Waters nanoEquity TM UPLC system (Millford, MA, United States) coupled with a QExactive HF mass spectrometer from Thermo Fisher Scientific (San Jose, CA, United States). The LC was configured to load the sample first on a solid phase extraction (SPE) column followed by separation on an analytical column. Analytical columns were made inhouse by slurry packing 3-µm Jupiter C18 stationary phase (Phenomenex, Torrance, CA, United States) into 70-cm long, 360 µm OD × 75 µm ID fused silica capillary tubing (Polymicro Technologies Inc., Phoenix, AZ, United States). Samples were separated using a 200 min gradient. The effluents from the LC column were ionized by electrospray ionization and mass analyzed with a QExactive hybrid quadrupole/Orbitrap mass spectrometer operated in the data-dependent analysis mode. Top 12 ions from the survey scan were selected by a quadrupole mass filter for high energy collision dissociation (HCD) and mass analyzed by the Orbitrap. An isolation window of 2 daltons was used for the isolation of ions and collision energy of 28% was used for HCD with an AGC setting of 10 5 ions. Mass spectra were recorded for 200 min by repeating this process with a dynamic exclusion of previously selected ions for 45 s.

Proteomic Data Analysis
Raw mass spectrometry data were processed using the MaxQuant computational proteomics platform (Cox et al., 2014). The false discovery rate was set at 0.01 at the peptide and protein level. Proteins were identified with at least 2 peptides of a minimum length of 6 amino acids by searching against the RefSeq Campylobacter jejuni 81-176 database (Genome: NC_008787, pTet: NC_008790, and pVir: NC_008770; 1,680 sequences). MaxLFQ was used for quantification. The proteins only identified by site, reverse peptides, and potential contaminants were removed for further analysis. Only the proteins with a measured LFQ intensity in at least two out of the three samples of a given condition (i.e., >66% completeness) were used for quantification. The LFQ intensities were then log2 transformed and median normalized within each sample. Statistics (e.g., PCA, T-test, ANOVA and Tukey's HSD tests) were performed in R using the packages Stat, FactoMineR (Le et al., 2008), and Agricolae (Mendiburu and Simon, 2015).

COG Category Assignment
Genomic and associated plasmid sequences were obtained from RefSeq for C. jejuni strain 81-176 (Genome: NC_008787, pTet: NC_008790, and pVir: NC_008770). PSI-BLAST (version 2.2.31+) was used to identify proteins in the C. jejuni 81-176 genome that had similarity to proteins in the COG database (Galperin et al., 2015) using an e-value cutoff of 1 × 10 −3 . The top PSI-BLAST hit for each gene in C. jejuni 81-176 was used to assign the COG category. Genes with no match were given the assignment "Uncategorized." Testing for COG category enrichment was done using Fisher's exact test in R (version 3.4.2).

Generation of C. jejuni Deletion Mutants
To generate the C. jejuni 81-176 flgL, flhF, cetAB, cheB, and Cj0448c mutants, the upstream and downstream regions of flgL, flhF, cetAB, cheB, and Cj0448c were PCR-amplified from C. jejuni strain 81-176 using the CloneAmp TM HiFi PCR Premix (Clontech Laboratories, Inc.) and the primers listed in Table 1. To insert the chloramphenicol resistance gene between the upstream and downstream regions of the target genes, the chloramphenicol resistance cassette was PCR-amplified from the E. coli-C. jejuni shuttle vector pRY111 with primer pairs MEK4533 and MEK4534 (Yao et al., 1993). The C. jejuni suicide vector pBSK-Kan2 was used to create the recombinant plasmids for deleting flgL, flhF, cetAB, cheB, and Cj0448c. The final constructs were generated using the in-fusion cloning strategy with the In-Fusion HD Cloning Kit (Takara Bio USA Inc. Mountain View, CA, United States), as described previously . All constructs were confirmed by both restriction digestion and Sanger sequencing. The constructs were electroporated into the C. jejuni strain 81-176 to generate the desired mutants through homologous recombination. The transformants were selected on MHB agar supplemented with 8 µg/mL chloramphenicol and checked for gene deletion by PCR.

Generation of C. jejuni Complemented Isolates
The C. jejuni 81-176 flhF, flaAB, and flgL mutants were complemented using homologous recombination to insert genes into the rRNA gene cluster. Because aroQ is predicted to be the first gene in the operon that contains flhF 1 , the promoter sequence of aroQ was amplified and fused with the flhF ORF with a 3 × FLAG tag. To complement the flaAB mutant, a 3988bp DNA fragment containing the promoter and ORF of flaAB was PCR-amplified. To complement the flgL mutant, a 2459-bp DNA fragment containing the promoter and ORF of flgL with a 3 × FLAG tag was PCR-amplified. The PCR products were cloned into the C. jejuni suicide vector prRNA-Hygromycin using the In-Fusion cloning strategy, as described previously . All constructs were confirmed by restriction-digestion and Sanger-sequencing. All transformants were selected on MHB agar supplemented with 250 µg/mL hygromycin and confirmed by PCR. Antibodies specific for the FLAG tag and FlaAB were used to confirm protein synthesis in the complemented isolates.

Motility Assay and Flagellar Stain
Motility was assessed by spotting 3 µL of the relevant C. jejuni culture suspended at an OD 540 of 0.1 on a MH soft-agar plate (0.4% agar). Images were captured with a GE ImageQuant LAS-4000 mini and measured in ImageJ. Flagella were stained using Flagella Stain (Hardy Diagnostics) following the directions from the manufacturer. Images of the stained C. jejuni were acquired with a Nikon Eclipse TE2000-U microscope equipped with a Photometrics Coolsnap HQ camera. Flagella were measured and quantified in ImageJ. Only bacteria where both ends were clearly visible were measured.

Statistical Analysis
On charts, p-values were calculated using GraphPad Prism 6.0 g (GraphPad Software, La Jolla, CA, United States) using the statistical test indicated in the figure legends.

Accession Numbers
RNA-Seq data have been deposited in the NCBI Gene Expression Omnibus database with the identifier GSE114909. The mass spectrometry proteomics data have been deposited in the ProteomeXchange Consortium via the PRIDE (Vizcaino et al., 2016) partner repository with the dataset identifiers PXD009817 and 10.6019/PXD009817. Processed data (foldchanges and p-values) for the proteomics experiment is available in Supplementary Table S1, and data for the RNA-Seq experiment is available in Supplementary Table S2.

RESULTS
Protein Synthesis Is Required for Maximal Invasion of Host Cells by C. jejuni

C. jejuni Must Be Metabolically Active to Invade Host Cells
To account for possible phenotypic variation, this study compared two similar, but not identical (94% genomic identity), C. jejuni strains with demonstrated human virulence potential. C. jejuni strain 81-176 and strain F38011 were recovered from individuals with diarrhea containing blood and leukocytes in the stool. We assessed the metabolic activity of C. jejuni strains 81-176 and F38011 to determine if each strain elicits enhanced metabolic activity when cultured with epithelial cells (Figure 1).
In contrast to C. jejuni incubated in MEM or MEM supplemented with FBS, the metabolic activity of the two C. jejuni strains was significantly increased when each was co-cultivated with viable INT 407 epithelial cells (p < 0.05). Fixation of the epithelial cells with paraformaldehyde before performing the metabolic labeling assay failed to stimulate enhanced C. jejuni metabolic activity, indicating that the host cell-stimulatory molecule is sensitive to fixation. This result indicates that viable host cells are necessary to stimulate C. jejuni metabolic activity.
Temporal Kinetics of C. jejuni Internalization INT 407 cell monolayers were inoculated with C. jejuni strains 81-176 and F38011 to examine the kinetics of internalization. Consistent with previous work, no appreciable differences were detected in the total number of cell-associated (adherent) C. jejuni over the course of the 3 h assay (not shown) (Konkel et al., 1993). However, the number of internalized (gentamicinprotected) C. jejuni increased by about two orders of magnitude during the interval from 30 to 180 min (Figure 2). Moreover, a 12-fold increase in the number of C. jejuni internalized was observed from the 1 and the 2.5 h time points with both INT 407 and Caco-2 cells (p < 0.05, Supplementary Figure S1). The observed increase is not due to bacterial replication, as the doubling time of both C. jejuni strains is more than 2 h under ideal conditions (MH broth). These findings indicate that the kinetics of two C. jejuni clinical strains are similar to one another and that invasion potential of both strains is similar for human INT 407 and Caco-2 epithelial cells.
To determine if the increase observed in C. jejuni-cell invasion is dependent on de novo protein synthesis, the gentamicin-protection assay was performed in the presence of chloramphenicol. Chloramphenicol is a selective inhibitor of bacterial protein synthesis (Konkel and Cieplak, 1992). Chloramphenicol significantly reduced the number of C. jejuni internalized by the INT 407 cells in a dose-dependent manner (Figure 3). The chloramphenicol treatment had no detectable effect on the viability of the C. jejuni strains over the course of the invasion assay (not shown). Collectively, these data demonstrate C. jejuni is metabolically active and must be able to synthesize proteins to efficiently invade human epithelial cells.

Proteomic and Transcriptomic Analyses of C. jejuni Cultivated With Epithelial Cells Unmask Putative Virulence Genes/Proteins
The results of the invasion assays indicated that upon co-culture with epithelial cells, C. jejuni synthesizes proteins that promote host cell invasion. To identify the genes and proteins that either enhance or promote this phenotype, we analyzed the proteomic and transcriptomic profiles of C. jejuni co-cultured with human epithelial cells. C. jejuni strain 81-176 was selected for these studies because it is commonly used in other laboratories. Please note that the gene designation (locus tag) numbers listed in all tables are provided for both C. jejuni strains 81-176 and the NCTC 11168 homolog, but we have opted to list the gene designation using strain NCTC 11168 throughout the text given the frequency of usage in the literature.

Proteomic Analysis of C. jejuni Cultivated With Epithelial Cells
Proteomic analysis was performed using three biological replicates of C. jejuni strain 81-176 co-cultured with epithelial cells for 4 h, and the data were compared to C. jejuni growth in MH broth for 4 h. We chose to use the INT 407 and Caco-2 cells because these two cell lines have been used to study C. jejunihost cell interactions for more than two decades (McSweegan and Walker, 1986;Everest et al., 1992;Konkel and Cieplak, 1992;Friis et al., 2005). Comparisons were made between the responses to INT 407 cells and Caco-2 cells (see Figure 4A). Proteins that were significantly altered [log 2 (fold-change) > 0.6, p < 0.05] were compared between the two co-incubation conditions (INT 407 and Caco-2) and there was a high Pearson's correlation (r 2 = 0.873). Based on analysis of the proteomic data, C. jejuni responded to co-culture with INT 407 and Caco-2 cells in a similar fashion (Supplementary Figure S2 and Supplementary  Table S1). More specifically, only 15 of the 105 differentially abundant proteins (14.2%) had fold-changes that were more than 20% different between the INT 407 and Caco-2 cells. Noteworthy is that 14 of the 15 C. jejuni proteins whose abundance changed (increased or decreased) with the INT 407 cells, also increased or decreased in abundance with the Caco-2 cells. The one exception was Cj0062c, which was detected in C. jejuni co-cultured with Caco-2 cells but not detected in C. jejuni co-cultured with INT 407 cells. Cj0062c is annotated as a putative integral membrane protein and may be required for motility (Hendrixson et al., 2001). The total number of proteins found to be significantly altered in each cell type were similar: 63 increased and 25 Shown is the mean ± the standard deviations. Significant differences from the MEM alone at each time point were determined by one-way ANOVA followed by Sidak's multiple comparisons test ( * p < 0.05).
decreased in co-culture with INT 407 cells and 58 increased and 30 decreased in co-culture with Caco-2 cells (Supplementary Figure S2). Also apparent was that the proteins with the greatest fold change (>10-fold) were those increasing in abundance, rather than decreasing in abundance. Among these proteins that had the greatest change were the hemin uptake proteins ChuABC (17-21 fold increase).

Transcriptomic Analyses of C. jejuni Cultivated With Epithelial Cells Revealed Putative Virulence Genes
To gain further insight into the responses of C. jejuni to coculture with epithelial cells, we performed RNA-Seq on C. jejuni strain 81-176 co-cultured with INT 407 and Caco-2 cells. RNA was extracted from the C. jejuni used to inoculate the cell cultures (time = 0) and from C. jejuni co-cultured with epithelial cells for 2.5 and 4 h, which corresponds to the stage at which the bacteria are rapidly invading the cells (see Supplementary Figure S1). It is important to note that the number of the C. jejuni co-cultured with epithelial cells does not appreciably increase from 2.5 to 4 h. Genes that were differentially expressed during co-incubation with both cell types were compared at the 2.5 and 4 h time points and found to be similar to one another (Supplementary  Figures S3, S4 and Supplementary Table S2). More specifically, comparison of the differentially expressed genes during coculture with the INT 407 and Caco-2 cells revealed that only 37 of the 512 genes (7.2%) demonstrated fold-changes that were more than 20% different between them. Even though fold-changes were observed in the expression of these genes between INT 407 and Caco-2 cells, their expression levels changed in the same direction (i.e., the genes upregulated in response to the INT 407 cells were also upregulated in response to the Caco-2 cells, and vice versa). Throughout the remainder of this manuscript, we will use the terms upregulated gene expression and downregulated gene expression to refer to greater or fewer RNA sequencing FIGURE 3 | Chloramphenicol, a selective inhibitor of bacterial protein synthesis, significantly reduces the number of C. jejuni internalized by human INT 407 cells in a dose-dependent manner. The epithelial cells were inoculated with C. jejuni strain 81-176 (A) and C. jejuni strain F38011 (B) suspended in media with and without (untreated control) chloramphenicol to determine if C. jejuni-cell invasion is dependent on de novo protein synthesis. Following the 3 h incubation period to allow C. jejuni to adhere to and invade the epithelial cells, the cells were rinsed and gentamicin was added to kill the extracellular bacteria. Control experiments revealed that the concentrations of chloramphenicol used in these assays had no detectable quantitative or qualitative effect on INT 407 cell protein synthesis, as judged by determination of total [ 35 S]-methionine incorporation into protein and by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and fluorography, respectively. In addition, chloramphenicol had no detectable effect on bacterial viability. The number of gentamicin-protected bacteria/well of a 24-well tissue culture tray was determined by direct plate counts after lysing the monolayers with a solution of 0.1% Triton X-100. Values represent the percent relative invasion, where 100% is set to the invasion for the untreated control (number of gentamicin-protected bacteria/well of a 24-well tissue culture tray for the untreated control) ± the standard deviations. Significant differences from the non-treated control were determined by a Kruskal-Wallis test followed by Dunn's multiple comparisons test ( * p < 0.05).
reads detected for a specific transcript, without implying any mechanistic basis for gene regulation. In total, there were a total of 197 genes that were upregulated and 197 genes that were downregulated in both INT 407 and Caco-2 cells at the 4 h time point. In summary, the gene expression profiles of C. jejuni co-cultured with the INT 407 and Caco-2 cells were similar (r 2 = 0.982) (Figure 4B). A common theme shared among pathogenic bacteria is to modulate gene expression profiles in the host, resulting in an increased amount of virulence proteins during the course of an infection. Therefore, we examined the genes whose expression increases when C. jejuni are co-cultured with epithelial cells (Supplementary Table S2). Inspection of the list of upregulated genes clearly indicates that a subset of these genes encode products that coordinate pathogenesis-related phenotypes. We observed an upregulation of oxidative stress response genes (i.e., ahpC, katA, and sodB) that have previously been demonstrated to be important for chicken colonization (Palyada et al., 2009), adhesion and invasion-related genes (i.e., ciaB and peb3) that facilitate cellular invasion, and iron acquisition genes (cfbpABC, ceuBCDE, and chuABCD) that are critical for bacterial growth and host colonization. Furthermore, we observed an overlap with previous studies investigating the bile salt deoxycholate, particularly in the genes related to oxidative stress response . Collectively, the analysis revealed that C. jejuni upregulates genes encoding products that contribute to survival in the host cell environment and that facilitate host cell interactions.

Comparison of Proteomic and Transcriptomic Data
The proteomic and transcriptomic data generated from the C. jejuni co-cultured with INT 407 and Caco-2 cells were compared at the 4 h time point to identify trends ( Figure 4C). Similar increases and decreases were observed in protein levels and gene transcripts between the proteomic and transcriptomic data sets (Supplementary Table S3). Moreover, a relationship of increased protein and transcript levels was also apparent, where the proteins that were increased more than 10-fold in abundance had corresponding transcripts that were present in greater levels ( Figure 4C and Supplementary Table S3). For example, the uncharacterized genes Cj1383c and Cj1384c were among the ten with the highest transcript level (>4.5-fold) and protein level (>16-fold) changes. Thus, the correlation between proteomic and transcriptomic data sets provided confidence that the appropriate methodologies were being applied to dissect the bacterium's adaptation to co-culture with host cells.
Based on the premise that the genes encoding products that promote bacteria-host cell interactions increase over time, analyses were performed to identify the genes upregulated from 2.5 to 4 h in both INT 407 and Caco-2 cells. This list of differentially expressed genes were then compared with the list of proteins detected in greater abundance when C. jejuni was co-cultured with the INT 407 and Caco-2 cells for 4 h (Supplementary Table S4). Similar to the data generated from the 4 h time point, many proteins and genes were identified whose protein levels and transcript levels changed in a similar manner. Twenty seven genes were identified whose expression increased from 2.5 to 4 h in both INT 407 and Caco-2 cells and five genes were identified whose expression decreased from 2.5 to 4 h in both INT 407 and Caco-2 cells. This finding revealed C. jejuni responds to co-culture with epithelial cells by upregulating more genes than are downregulated.
We then analyzed the Clusters of Orthologous Groups (COG) categories of the differentially expressed genes in the RNA-Seq dataset (see Figure 4B) to gain further insight into C. jejunihost cell interactions. We propose this analysis is warranted based on the following observations: (1) similar trends were noted in the proteome and transcriptome analysis of C. jejuni cultured with the INT 407 and Caco-2 cells; and (2) genes were identified whose expression increased from 2.5 to 4 h in both INT 407 and Caco-2 cells. In total, 141 genes were identified that belonged to a variety of COG categories (Supplementary Table S5 and Figure 5). Many of the genes identified that were differentially expressed by C. jejuni in response to co-culture with epithelial cells are involved in inorganic ion transport, amino acid transport, and metabolism ( Figure 5). There were number of genes identified that either belonged to the 'uncategorized' or 'function unknown' categories ( Figure 5), which also may play a role in host cell interaction. Based on the data, it is evident that C. jejuni adapts to co-culture with epithelial cells by synthesizing proteins to acquire nutrients, scavenge for inorganic molecules, resist reactive oxygen/nitrogen species, and promote host cell interactions. Figure 6 shows a model for the actions of proteins involved in promoting C. jejuni survival and host cell interaction.

Motility and Flagella in Campylobacter Mutants
Among the genes that were upregulated in the presence of host cells included those involved in chemotaxis and in the regulation of flagellar assembly. Isogenic C. jejuni mutants in Cj0448c, cheBR, cetAB, flhF, flaAB, and flgL were created, and the motility of the isolates was evaluated. Please note that the strategy used for generating the cheB gene deletion resulted in a polar mutation on cheR, therefore we refer to this isolate as a cheBR mutant. In these assays, C. jejuni flaAB and flgL mutants were included as negative controls, as deletion of the FlaAB or FlgL proteins disrupts motility. The motility of the Cj0448c mutant was indistinguishable from the wild-type strain (p = 0.77), while the zone of motility of the cheBR and cetAB mutants was about half that of the wild-type strain (p < 0.05). The flhF, flaAB and flgL mutants were non-motile (p < 0.05, Figures 7A,B). Using flagella staining, we observed that the number and length of flagella in the wild-type strain, Cj0448c, cheBR, and cetAB, mutants were indistinguishable (i.e., >95% had bipolar flagella with an average length of 3.18 µm). In the flhF mutant, <5% of the C. jejuni had a single flagellum, and no bipolar flagella were observed. No flagella were observed in the flaAB and flgL mutants (Figure 7C).  Table S5) were categorized by performing a PSI-BLAST against proteins in the COG database, genes with no match in the database were described as "Uncategorized." Asterisk ( * ) indicates statistically significant enrichment in that category as determined by Fisher's exact test (Benjamani-Hochberg adjusted p < 0.05).
FIGURE 6 | Analysis of the responses of Campylobacter jejuni co-culture with epithelial cells using proteomic and transcriptomic approaches provides insight into C. jejuni-host cell interactions. Prominent upregulated genes and proteins included iron homeostasis proteins (purple), proteins related to nutrient acquisition and utilization (green), bacterial proteins involved with host-cell interaction (blue), and proteins related to oxygen/nitrogen species detoxification. Indicated in gray are two downregulated genes that are part of the RacRS regulon. Together, these findings indicate that C. jejuni responds to epithelial cells by producing products that contribute to its survival and that further promote host cell interactions.
FIGURE 7 | Motility of C. jejuni chemotaxis mutants was impaired, and the motility of flagellar biosynthesis mutants was abolished. Motility was tested by spotting a constant amount of C. jejuni onto soft agar plates (A) and measuring the diameter of the resulting bacterial swarm (B). Shown is the mean ± the standard deviations, with the dotted line indicating the zone of bacterial grown resulting from the spot. The presence and length of the flagellar filament was also determined by staining the flagellum (C). Each measurement is represented by a circle (n > 35 cells measured per isolate) with the mean represented by a bar. Significant differences from wild-type were determined by a Kruskal-Wallis test followed by Dunn's multiple comparisons test ( * p < 0.05).

Cellular Adherence and Invasion of Campylobacter Mutants
To test the hypothesis that the genes encoding proteins involved in chemotaxis and in the regulation of flagellar assembly promote the interaction of C. jejuni with host cells, adherence and internalization assays were performed with the C. jejuni mutants and INT 407 cells. The C. jejuni Cj0448c, cheBR, and cetAB gene deletion mutants did not show a defect in adherence or invasion when compared to a wild-type strain (Figures 8A,B). In fact, there was a small but measurable increase in the invasiveness of the Cj0448c and cheBR mutants. These findings indicate that these chemotaxis-related proteins are not required for the process of host cell invasion.
Analysis of the C. jejuni flhF, flaAB, and flgL mutants, in conjunction with the chemotaxis mutants, provided a unique view of the proteins necessary for host cell invasion. While the flhF, flaAB, and flgL mutants were minimally reduced in cellular adherence, significant reductions were observed in cell invasion compared to the wild-type strain. Similar to the C. jejuni flaAB and flgL mutants (invasion-negative controls), the flhF mutant exhibited more than a 2-log reduction in cell invasion compared to the wild-type strain (Figure 8B, p < 0.05). Although small differences in host cell adherence may influence an isolate's invasive potential, the I/A × 100 value [(number of internalized bacteria divided by the number of adherent bacteria) × 100] demonstrates that the flhF, flaAB, and flgL mutants are severely impaired in cell invasion ( Figure 8C). Collectively, the data demonstrate that the intact flagellum is required for maximal host cell invasion by C. jejuni.

Complementation of Invasion in Campylobacter Mutants
Campylobacter jejuni mutants with apparent phenotypic differences in cellular invasion compared to the wild-type strain were complemented by inserting the relevant gene(s) in the chromosome within the rRNA gene cluster. Complementation of the flhF, flaAB, and flgL mutants restored the motility and flagellar length of the isolates to a level indistinguishable from the wild-type strain (not shown). All isolates were similarly adherent to host cells (Figure 9A), and the complementation of the C. jejuni flhF, flaAB, and flgL isolates restored cellular invasiveness to a level similar to that of the wild-type strain ( Figure 9B).

DISCUSSION
A number of pathogenic bacteria, including Campylobacter, Salmonella, and Shigella, target the intestinal mucosa and invade gastrointestinal cells. C. jejuni is a highly motile pathogen that breaches the mucus layer and then penetrates the physical barrier of the intestinal epithelium by migrating between the cells (Backert and Hofreuter, 2013). In the process, cellular tight junctions are disrupted by the action of bacterial proteases, including a serine protease termed HtrA, which are delivered to the epithelial cells via OMVs (Elmi et al., 2016). C. jejuni then adheres to the basolateral surface of the cells via the CadF and FlpA fibronectin-binding proteins, setting the stage for cellular invasion (Konkel et al., 1997(Konkel et al., , 2010Larson et al., 2013). The binding of C. jejuni to extracellular matrix components allows for the bacteria to manipulate components of cellular focal adhesions, triggering cellular signaling cascades and stimulating cytoskeletal rearrangements. C. jejuni invasion of cells results in the production of pro-inflammatory chemokines and cytokines, FIGURE 8 | Deletion of chemotaxis genes in C. jejuni does not impair invasion of human INT 407 cells, whereas flagellar regulatory and structural mutants are severely attenuated when compared to the wild-type strain. Human INT 407 cells were infected with C. jejuni for 3 h, and the number of adherent (A) and internalized (B) bacteria were determined using the gentamicin-protection assay. Compared to the wild-type strain, the Cj0448c, cheBR, and cetAB mutants are not deficient in cell adherence or invasion. In fact, the Cj0448c and cheBR show a small but measurable increase in cellular invasion. In contrast, the flhF, flaAB, and flgL flagellar mutants are deficient in cellular adherence and severely impaired in cellular invasion. The number of internalized bacteria divided by the number of adherent bacteria was also calculated (C). Shown is the mean ± the standard deviations. Significant differences from wild-type were determined by a Kruskal-Wallis test followed by Dunn's multiple comparisons test ( * p < 0.05).
FIGURE 9 | Complementation of the C. jejuni flhF, flaAB, and flgL genes in cis restores cell invasion. Shown is the mean ± the standard deviations. Human INT 407 cells were infected with C. jejuni for 3 h, and the number of adherent (A) and internalized (B) bacteria were determined using the gentamicin-protection assay. Complementation of the flhF, flaAB, and flgL mutants restored the invasion of these isolates. Significant differences between a mutant and it's complemented isolate were determined by a Mann-Whitney U test ( * p < 0.05).
such as IL-8 (Eucker et al., 2014). While this proposed model of acute disease is supported by the published literature, the ability of C. jejuni to respond to epithelial cells is remarkably complex and still incompletely understood. Here we show that C. jejuni, a leading bacterial cause of human diarrheal illness worldwide, responds to host cells by altering global protein levels and gene transcription in a manner consistent with a strategy to engage this potentially stressful environment.
Bacteria have developed a remarkable set of systems to sense and appropriately respond to environmental conditions in order to survive (Candon et al., 2007;Sulaeman et al., 2012;Butcher et al., 2015;van der Stel et al., 2015). As such, epithelial cell co-cultures are increasingly being used to study the behavior of infectious microbes in response to host cells during infection. This study was initiated with the intent of identifying the genes expressed and proteins synthesized by C. jejuni upon co-culture with epithelial cells. We tried to mimic the host environment by co-culturing C. jejuni with human epithelial cells, namely INT 407 and Caco-2 cells. The use of INT 407 and Caco-2 cells was driven, in part, by a desire to understand if different host cells stimulate a conserved or different metabolic, gene expression, or proteosynthetic response from C. jejuni during cell culture infections. INT 407 cells were originally derived from the jejunum and ileum of a 2-month-old Caucasian embryo but were later contaminated with HeLa cells. Thus, INT 407 cells are considered to be a HeLa derivative. Caco-2 cells were originally derived from a human colon carcinoma. INT 407 cells grow rapidly and are easy to maintain and manipulate in culture, while Caco-2 cells grow slower and are less tractable for some experimental manipulations. Campylobacter researchers have extensively used both INT 407 and Caco-2 cells over the past two decades as cellular model systems to dissect bacteria-host cell interactions. The main advantage of the in vitro cell culture model system utilized herein resides in the ability to perform several key experiments to assess the pathogenic behavior of C. jejuni with each type of epithelial cell. These experiments defined the kinetics of C. jejuni-host cell invasion and verified that active protein synthesis is required for C. jejuni to maximally invade both INT 407 and Caco-2 cells. Relevant to the experimental approach taken herein is that the synthetic profile of the bacteria present in the supernatant (i.e., medium overlying the epithelial cell monolayers) is similar to that observed for cellassociated bacteria, indicating that either transient association of the bacteria with the epithelial cells or exposure to the culture environment is sufficient to constitutively induce the altered synthetic response (Konkel and Cieplak, 1992). After defining these parameters, proteomic and transcriptomic approaches were used to identify putative virulence genes.
The proteomic (LC-MS/MS) and transcriptomic (RNA-Seq) analysis of C. jejuni with the INT 407 and Caco-2 cells was highly reproducible and there was a strong correlation between the two data sets. This correlation provided confidence that the appropriate methodologies were applied to dissect the bacterium's adaptation to co-culture with host cells. Analysis of the data sets divided by cell type further revealed that C. jejuni responded to co-culture with the INT 407 in a similar manner to co-culture with Caco-2 cells. Relevant to this observation were the results of the phenotypic assays, where the temporal kinetics of C. jejuni internalization in INT 407 cells and Caco-2 cells were found to be indistinguishable. This observation demonstrates that C. jejuni, at least upon first interaction, does not distinguish between distinct cell lines with different cellular markers. Ultimately, kinetic RNA-Seq analysis allowed for global detection of transcripts, including those in low abundance, to identify genes whose expression increased and decreased from 2.5 to 4 h with both INT 407 and Caco-2 cells. This analysis led to the comprehensive lists of genes that are differentially expressed by C. jejuni in response to co-culture with two different human cell lines. This enabled identification of C. jejuni genes and gene products that are clearly important for the interaction of host cells.
The gene expression data provide insight into the environment encountered and metabolism of C. jejuni at a time when the bacteria are invading the epithelial cells. The growth conditions were clearly distinct from conditions at time 0, as evident by the number of upregulated (n = 23) and downregulated (n = 4) genes that belong to COG categories: 'inorganic ion transport and metabolism, ' 'amino acid transport and metabolism, ' and 'posttranslational modification.' Additionally, the downregulation of 70 genes associated with energy production and conversion (COG C) suggests that the bacteria are not rapidly growing during this time (Supplementary Table S2). Several of the genes upregulated during co-culture further suggest the environment has certain nutrients that are limiting, and that reactive oxygen/nitrogen species could be present. An increase was also observed in the expression of components that make up several iron acquisition systems, including transporters for ferri-transferins (e.g., Cj0175c and Cj0176c), ferri-enterochelin (e.g., ceuD), ferri-rhodotorulic acid (e.g., Cj1658), and hemin (e.g., chuA and chuD). While C. jejuni has an additional system to acquire soluble Fe 2+ ), the expression of the genes that comprise this system (e.g., feoAB) did not increase from 2.5 to 4 h. We also observed the upregulation of genes that encode proteins involved in mitigating oxygen/nitrogen species (e.g., ctb, katA, perR, sodB, and ahpC). It has been demonstrated in previous studies that the regulation of ion uptake and reactive oxygen/nitrogen detoxification is coordinated together by the Fur and PerR regulators (Butcher et al., 2015). Consistent with the increased protein synthesis and metabolic activity, the expression of 30 genes increased from 2.5 to 4 h. These genes belonged to the categories of 'amino acid transport and metabolism, ' and 'posttranslational modification.' The importance of this observation is that C. jejuni is an asaccharolytic organism, meaning that it utilizes amino acids as its primary energy source for growth. The top four preferentially used amino acids are serine, aspartate, glutamate and proline (Leach et al., 1997). Specifically, transporters and enzymes that utilize each of the four amino acids serine (sdaC), aspartate and glutamate [Cj0919c, Cj0920c, Cj0921c (Peb1A), and Cj0922c (PebC)] (Stahl et al., 2012) and proline (putA and putP) were seen to increase from 2.4 to 4 h (Hofreuter et al., 2012). Furthermore, ggt, which encodes the enzyme γ-glutamyltranspeptidase that catalyzes the hydrolysis of glutamine and glutathione to glutamate, was also increased (Thompson and Gaynor, 2008). While a deficiency in amino acid uptake is dispensable for survival in rich medium, it appears to be critical for in vivo colonization (Velayudhan et al., 2004). Also observed was an increase in proteins that assist with oxidative protein folding, including a dsbA homolog (Grabowska et al., 2014). It appears that phosphate is not limiting in this environment, based on the observation that the expression of the PhosS/PhosR regulon did not change (Wosten et al., 2006). In summary, we propose that the increase of genes related to amino acid uptake and posttranslational modification supports the increased metabolic rate observed in the presence of cells.
The transcriptomic data suggest that C. jejuni senses factors upon co-culture with epithelial cells that mimic an environment with oxygen limitation. The RacRS two-component regulatory system is responsive to limited oxygen when alternative electron acceptors are present, controlling the production of fumarate from aspartate, as well as its transport and reduction to succinate (van der Stel et al., 2015). Of the 11 RacRS activated genes previously identified by microarray analysis (van der Stel et al., 2015), eight genes were upregulated by C. jejuni when co-cultured with epithelial cells (green highlighted genes in Supplementary  Table S2). Conversely, there were several genes that are repressed by RacR, including Cj0358 and genes among the three putative operons aspA-dcuA, mfrXABE (formerly annotated as sdhABC, Guccione et al., 2010), and Cj0448c-Cj0449c (red-highlighted genes in Supplementary Table S2). We propose that there are additional molecules or signals present in this environment that the C. jejuni senses to prepare for metabolism in an oxygen limited environment. This further supports the usefulness of the in vitro model and the data presented in this study.
Among the genes that were upregulated in the presence of host cells from 2.5 to 4 h are genes involved in chemotaxis and in the regulation of flagellar assembly. We selected Cj0448c, cheBR, cetAB, flhF, and flgL to generate gene deletions to perform phenotypic characterization. Cj0448c, cheBR, and cetAB are proposed to encode chemotaxis-related proteins, flhF is proposed to be a flagellar biosynthesis regulator protein (Elliott et al., 2009;Kanungpean et al., 2011;Chandrashekhar et al., 2015), and flgL is the flagellar hook junction protein. The motility, filament length, and invasion potential of all of the C. jejuni deletion mutants were then assessed. Part of the reason for generating mutations in these genes, and especially in cetAB, is because discrepancies have been reported in the phenotypic properties of these mutants (Hendrixson and DiRita, 2004;Elliott et al., 2009). Moreover, we felt it necessary to compare the phenotypes of these mutants in a single genetic background to determine the relative importance of each protein in C. jejuni cell invasion. These studies revealed that the filament length in the Cj0448c, cheBR, and cetAB deletion mutants was indistinguishable from that of the wild-type strain, whereas more than 95% of the flhF gene deletion mutants were lacking an observable filament. Consistent with the published literature, a decrease was observed in the zone of motility with the cheBR and cetAB deletion mutants on the MH agar plates. The invasion assays provided the most insight in the contribution of each system in bacteria-host interactions. None of the chemotaxis mutants (Cj0448c, cheBR, cetAB) demonstrated any defect in host cell invasion. This finding was in contrast to a previous study where a decrease was reported in the invasion potential (I/A times 100) for the cetAB deletion mutant (Elliott and Dirita, 2008). Not clear from the previously published work was whether the invasion deficiency of the cetAB mutant was statistically significant, as statistics were not applied. Nor was it clear whether the adherence potential of the cetAB mutant contributed to the decrease in invasion potential [(the number of bacterial invaded divided by the number of adherent bacteria) × 100], as the number of adherent bacteria was not reported. To ensure the reproducibility of the results presented herein, we generated cetAB deletion mutants independent of one another (separate electroporations) and found that all isolates demonstrated indistinguishable phenotypes. In contrast to the Cj0448c, cheBR, cetAB deletion mutants, the flhF and flgL mutants were grossly impaired in cell adherence and cell invasion. Complementation of the flhF and flgL deletion mutants in cis restored the invasive phenotype. Although flhF is predicted to be in a multigene operon, others have shown that an insertion of an antibiotic resistance gene in flhF does not have a polar effect (Liang and Connerton, 2018;Ren et al., 2018). Noteworthy is that the invasiveness of the flhF and flgL deletion mutants were indistinguishable from the flaAB deletion mutant. In addition, the I/A ratio of the 81-176 flaAB mutant was similar to a C. jejuni strain 81116 flaAB deletion mutant (Konkel et al., 2004). This work provides clarity of the role of cetAB in the process of C. jejuni-cell invasion. Moreover, the data herein demonstrates that: (1) chemotaxis proteins do not directly facilitate (and are not required for) host cell invasion; (2) the zone of motility, as evidenced by the migration of bacteria from the place at which they were spotted on a plate, does not correlate with host cell invasion potential.
Campylobacter jejuni genes of known and putative function that were upregulated over the course of the infection included ciaB, katA, peb3A, and Cj1349c. CiaB is required for flagellar dependent secretion of Campylobacter invasion antigens and is upregulated by C. jejuni cultured in the presence of a physiological concentration of the bile acid deoxycholate (Rivera-Amill et al., 2001;Malik-Kale et al., 2008), KatA detoxifies hydrogen peroxide and contributes to the colonization of chickens (Bingham-Ramos and Hendrixson, 2008), and Peb3 is a highly immunogenic N-glycosylated surface protein that may play a role in cell adhesion and 3-phosphoglycerate transport (Rangarajan et al., 2007;Shoaf-Sweeney et al., 2008;Min et al., 2009). One upregulated gene that encodes a protein that merits further study is Cj1349c. Interesting properties of the Cj1349c gene/protein included the following: (1) the gene has been implicated in contributing to infection upon screening a C. jejuni Tn mutant library in the gnotobiotic piglet model of campylobacteriosis (de Vries et al., 2017); and 2) the deduced amino acid sequence harbors putative fibronectin and fibrinogen binding protein domains. Studies are in progress to dissect the function of Cj1349c. Another upregulated gene of interest is ppk (aka Cj1359 that encodes PPK1). Pina-Mimbela et al. (2015) found that polyphosphate kinase 1 and 2 (PPK1 and PPK2) mutants demonstrate altered outer membrane constituents and are reduced in the invasion of INT 407 compared to a C. jejuni wild-type strain. Moreover, 27 genes were observed to be upregulated and 12 genes were observed to be downregulated that belonged to the 'uncategorized' and 'function unknown' COG categories. Given that several of these C. jejuni genes have been implicated in colonization and/or disease [e.g., Cj0448c (Woodall et al., 2005), Cj0511 (Karlyshev et al., 2014), Cj1349c (de Vries et al., 2017, ciaB (Rivera-Amill et al., 2001;Raphael et al., 2005;Malik-Kale et al., 2008;Naz, 2014), mapA (Shoaf-Sweeney et al., 2008;Johnson et al., 2014), ppk , and peb3 (Rangarajan et al., 2007;Shoaf-Sweeney et al., 2008;Min et al., 2009)], future studies are warranted to dissect the function of the upregulated and downregulated genes that have previously not been categorized.
In summary, we have analyzed metabolic activity and used proteomic and transcriptomic approaches to investigate the response of a C. jejuni clinical strain to human INT 407 cells and human colonic Caco-2 cells. There was good correlation between the proteomic and transcriptomic data sets, providing confidence in the validity of the changes seen in the proteomic and transcriptomic data regarding C. jejuni-host cell interactions. Also striking was the finding that C. jejuni responds to INT 407 and Caco-2 cells in a similar fashion at both the cellular and molecular levels. The combined approach used in this study led to the identification of interesting genes/proteins whose expression and abundance changes in response to co-cultivation with human epithelial cells. Several observations demonstrated that C. jejuni rapidly adapted to co-culture with host cells, likely conferring a growth and/or survival advantage in this particular microenvironment. These observations included: (1) Co-culture of C. jejuni with epithelial cells stimulated the bacterial metabolic activity; (2) the number of internalized (gentamicin-protected) C. jejuni increased about two orders of magnitude during the interval from 30 to 180 min; (3) C. jejuni express gene products to acquire iron and amino acids and produce products to resist the toxic effects of reactive oxygen/nitrogen species; and (4) C. jejuni express gene products that specifically facilitate host cell interactions. Further characterization of the genes whose expression increases and decreases upon C. jejuni coculture with epithelial cells will provide new insights into the infection process.