The Campylobacter jejuni Type VI Secretion System Enhances the Oxidative Stress Response and Host Colonization

The role of the Type VI secretion system (T6SS) in Campylobacter jejuni is poorly understood despite an increasing prevalence of the T6SS in recent C. jejuni isolates in humans and chickens. The T6SS is a contractile secretion machinery capable of delivering effectors that can play a role in host colonization and niche establishment. During host colonization, C. jejuni is exposed to oxidative stress in the host gastrointestinal tract, and in other bacteria the T6SS has been linked with the oxidative stress response. In this study, comparisons of whole genome sequences of a novel human isolate 488 with previously sequenced strains revealed a single highly conserved T6SS cluster shared between strains isolated from humans and chickens. The presence of a functional T6SS in the 488 wild-type strain is indicated by expression of T6SS genes and secretion of the effector TssD. Increased expression of oxidative stress response genes katA, sodB, and ahpC, and increased oxidative stress resistance in 488 wild-type strain suggest T6SS is associated with oxidative stress response. The role of the T6SS in interactions with host cells is explored using in vitro and in vivo models, and the presence of the T6SS is shown to increase C. jejuni cytotoxicity in the Galleria mellonella infection model. In biologically relevant models, the T6SS enhances C. jejuni interactions with and invasion of chicken primary intestinal cells and enhances the ability of C. jejuni to colonize chickens. This study demonstrates that the C. jejuni T6SS provides defense against oxidative stress and enhances host colonization, and highlights the importance of the T6SS during in vivo survival of T6SS-positive C. jejuni strains.

The role of the Type VI secretion system (T6SS) in Campylobacter jejuni is poorly understood despite an increasing prevalence of the T6SS in recent C. jejuni isolates in humans and chickens. The T6SS is a contractile secretion machinery capable of delivering effectors that can play a role in host colonization and niche establishment. During host colonization, C. jejuni is exposed to oxidative stress in the host gastrointestinal tract, and in other bacteria the T6SS has been linked with the oxidative stress response. In this study, comparisons of whole genome sequences of a novel human isolate 488 with previously sequenced strains revealed a single highly conserved T6SS cluster shared between strains isolated from humans and chickens. The presence of a functional T6SS in the 488 wild-type strain is indicated by expression of T6SS genes and secretion of the effector TssD. Increased expression of oxidative stress response genes katA, sodB, and ahpC, and increased oxidative stress resistance in 488 wildtype strain suggest T6SS is associated with oxidative stress response. The role of the T6SS in interactions with host cells is explored using in vitro and in vivo models, and the presence of the T6SS is shown to increase C. jejuni cytotoxicity in the Galleria mellonella infection model. In biologically relevant models, the T6SS enhances C. jejuni interactions with and invasion of chicken primary intestinal cells and enhances the ability of C. jejuni to colonize chickens. This study demonstrates that the C. jejuni T6SS provides defense against oxidative stress and enhances host colonization, and highlights the importance of the T6SS during in vivo survival of T6SS-positive C. jejuni strains.

INTRODUCTION
Campylobacter jejuni, a Gram-negative microaerophilic bacteria, is the leading cause of bacterial foodborne gastroenteritis worldwide. C. jejuni infection in humans can lead to diarrhea, vomiting, abdominal pain, fever, with symptoms generally appearing 2-5 days following exposure to an infectious dose as low as 500-900 bacteria (Robinson, 1981;Kaakoush et al., 2015). Disease presentation can vary depending on geographical region, with infections in low-and middle-income countries typically presenting with watery, non-inflammatory diarrhea whilst infections in high income countries display more severe disease, presenting with bloody inflammatory diarrhea (Coker et al., 2002). Campylobacteriosis is generally self-limiting, however, around 1 in 1,000 cases can develop severe auto-immune complications such as Guillain-Barré syndrome or Miller Fisher syndrome (Ang et al., 2001).
Campylobacter jejuni is most commonly transmitted through the handling and consumption of raw or undercooked poultry, but can also be spread through unpasteurized milk, contaminated water and cross contamination with other foods (Young et al., 2007;Kaakoush et al., 2015). C. jejuni colonizes chickens and other avian species and an estimated 70% of raw chicken sold in supermarkets in the United Kingdom will be contaminated with C. jejuni (Kaakoush et al., 2015). C. jejuni was previously regarded as a harmless commensal in the digestive tract of chickens, but recent studies indicate that colonization by C. jejuni is not asymptomatic, resulting in weight loss and slow growth of the infected poultry (Hermans et al., 2012;Wigley, 2015). The spread of C. jejuni through chicken flocks in farms can have a vast economic impact on the poultry industry and an increased spread of C. jejuni in chickens can subsequently affect the rates of infection in humans (Newell and Fearnley, 2003;Skarp et al., 2016).
During host colonization and infection, C. jejuni is exposed to conditions in the host gastrointestinal tract that present as physical and chemical stresses, including oxidative stress (Kim et al., 2015;Flint et al., 2016). Oxidative stress involves the generation of reactive oxygen species (ROS) that cause damage to nucleic acids, membranes and proteins of bacteria. In order to survive in this hostile environment, C. jejuni must defend against oxidative stress with enzymes that degrade ROS, such as SodB (superoxide dismutase), KatA (catalase), and AhpC (hydroperoxide reductase) (Kim et al., 2015). Regulation of the C. jejuni oxidative stress response is controlled by multiple regulatory mechanisms involving PerR, Fur and CosR to respond to fluctuating levels of ROS. Two MarR-type transcriptional regulators, RrpA and RrpB, also play a role in oxidative stress response regulation .
The Type VI Secretion System (T6SS) is a contact-dependent secretion machinery capable of delivering effector proteins to both prokaryotic and eukaryotic cells. First identified in Vibrio cholerae and Pseudomonas aeruginosa, the T6SS has since been found to be present in 25% of Gram-negative bacterial species (Mougous et al., 2006;Pukatzki et al., 2006). The structure of the T6SS resembles an inverted bacteriophage tail with homologous components. The T6SS consists of 13 core components (TssA-TssM) and accessory proteins such as the T6SS-associated gene (Tag) proteins (see Table 1). A functioning T6SS complex requires essential components such as the baseplate (TssEFGK), a membrane-anchoring structure (TssJLM), a contractile sheath (TssBC) wrapped around a needlelike tube (TssD) and a puncture tip (TssI) further sharpened by a spike (TagD) (Cianfanelli et al., 2016). Composed of interlocking TssB and TssC components, the contractile sheath is responsible for producing enough energy to force the TssD needle-like structure through the inner membrane out into the extracellular space and puncture a host membrane to deliver effector proteins (Cianfanelli et al., 2016;Salih et al., 2018). The extended contractile sheath is broken down and the components recycled by the TssH ATPase for further sheath assembly (Kapitein et al., 2013). Delivery of effector proteins by the T6SS to target cells can exert a number of effects including colonization and niche establishment (Kapitein and Mogk, 2014;Ma et al., 2014;Drebes Dorr and Blokesch, 2018). T6SS effectors can target and eliminate bacterial and fungal competitors and also affect eukaryotic host cells (Murdoch et al., 2011;Trunk et al., 2018). To prevent self-intoxication by effector proteins, bacteria with the T6SS possess immunity proteins to neutralize the effects of the toxins (Kirchberger et al., 2017;Ringel et al., 2017;Fitzsimons et al., 2018). In competition with prokaryotic targets, T6SS can act either defensively or offensively; for example, the T6SS of V. cholerae and Serratia marcescens are offensive, apparently firing constantly and indiscriminately into the surrounding space, whilst the defensive T6SS of P. aeruginosa reacts only when fired upon in a "tit-for-tat" response (Gerc et al., 2015). T6SS effectors can subvert host cell processes by manipulating the host cytoskeleton, hindering host defense mechanisms, modulating the host inflammatory response and modifying host membrane structure (Hachani et al., 2016).
The T6SS can also defend against the production of ROS through secretion of effectors. For example, the T6SS-4 of Yersinia pseudotuberculosis secretes the effector YezP, which is able to bind to and sequester zinc ions and protect the bacteria from the effects of oxidative stress . The T6SS-4 of Burkholderia thailandensis also secretes effectors TseM for the uptake of manganese ions and TseZ for the uptake of zinc ions to mitigate the effects of oxidative stress. Similarly, enterohemorrhagic Escherichia coli secretes a T6SS effector, KatN, which facilitates survival of the bacteria in macrophages through decreasing the level of intracellular ROS (Wan et al., 2017).
Studies examining the prevalence of the T6SS in C. jejuni in Asia and Europe found a large variation in prevalence between regions. Harrison et al. (2014) observed in 2014 that up to 70% of isolates from chickens and humans in Vietnam were positive for the T6SS, whilst approximately only 3% of similar isolates from the United Kingdom were T6SS-positive. A further study in 2015 examining chicken isolates in Spain found a prevalence of 14%, whilst another study found that 28.8% of chicken isolates in Northern Ireland were T6SS-positive (Corcionivoschi et al., 2015;Ugarte-Ruiz et al., 2015). Other Campylobacter species can also carry the T6SS; the same study in Northern Ireland observed that 56.1% of C. coli found in retail chickens were T6SS-positive (Corcionivoschi et al., 2015). However, the large variation in prevalence may be due to differences in sample sizes, sample sources and in detection methods. Recent data suggests that the T6SS is becoming increasingly prevalent in C. jejuni strains, with indications that T6SS-positive strains are becoming more prevalent than T6SS-negative strains infecting chickens in farms, on raw poultry in supermarkets and even in hospital patients in the United Kingdom (Carmel Kelly, Agri-Food and Biosciences Institute, Personal Communication). A recent study in 2018 examining the presence of C. jejuni in wild birds of Finland observed that 49% of western jackdaw isolates and 72% of mallard duck isolates were T6SS-positive (Kovanen et al., 2018). This emphasizes the need to understand the role of the T6SS in C. jejuni and to develop intervention strategies to combat the rise of T6SS-positive C. jejuni strains (Sima et al., 2018).
In contrast to V. cholerae and P. aeruginosa, the role of the T6SS in C. jejuni is poorly understood. To date, only one C. jejuni T6SS cluster expressing a single TssD has been identified, compared to P. aeruginosa and Yersinia pseudotuberculosis which both possess multiple T6SS clusters exhibiting different functions (Lertpiriyapong et al., 2012). The structure of the C. jejuni T6SS is yet to be solved and TssD is thus far the only effector protein identified to be secreted by the C. jejuni T6SS (Lertpiriyapong et al., 2012;Bleumink-Pluym et al., 2013). Previous studies have demonstrated the C. jejuni T6SS may be important in host cell adherence and invasion, colonization, survival in bile salts and contact-dependent cytotoxicity toward red blood cells (Lertpiriyapong et al., 2012;Bleumink-Pluym et al., 2013). A recent study examined the structure of the TssD effector in C. jejuni and found that TssD is cytotoxic toward HepG2 human liver carcinoma cells (Noreen et al., 2018). However, whether the T6SS plays a role in the survival and infection of C. jejuni in poultry, a primary reservoir in humans is still unknown.
In this study, we investigated the role of the C. jejuni T6SS through whole genome sequencing of a T6SS-positive 488 wild-type strain (a recent human isolate from Brazil). We also sequenced the T6SS-positive 43431 wild-type strain (a human isolate from Canada) (Penner et al., 1983). We constructed defined isogenic mutants for genes encoding the contractile sheath components TssBC and needle structure TssD in the 488 wild-type strain and performed in vitro and in vivo characterization experiments in biologically relevant models. Our findings indicate that a functional T6SS is present in the C. jejuni 488 wild-type strain and the presence of the T6SS is important in defending against oxidative stress and enhancing in vivo survival, potentially thereby allowing strains harboring the T6SS to colonize and dominate in specific niches within a host.

RESULTS
Bioinformatic Analysis of T6SS Gene Clusters in C. jejuni 488 and Other T6SS-Positive Wild-Type Strains Reveals Synteny Whole genome sequencing of C. jejuni 488 wild-type strain (a recent human isolate from Brazil) and C. jejuni wildtype strain 43431 (a human isolate from Canada) (Penner et al., 1983) was performed. C. jejuni wild-type strain RC039 (a chicken isolate from Northern Ireland) was previously sequenced (Corcionivoschi et al., 2015). The presence of a single T6SS cluster was observed in all three strains. All T6SS core components were identified, however, the TssH (ClpV) ATPase responsible for disassembly of the contracted sheath components is absent from the T6SS cluster of all C. jejuni strains sequenced thus far. The genome coordinates of the T6SS cluster in the C. jejuni 488 strain is listed in Supplementary Table S1. Comparisons of the 488, 43431, and RC039 genome sequences with previously published sequences for other T6SS-positive C. jejuni strains (Lertpiriyapong et al., 2012;Bleumink-Pluym et al., 2013) revealed a T6SS cluster that is highly conserved, sharing synteny between strains and also with other Campylobacter species isolated from humans and chickens (Figure 1). The 414 strain, isolated from wild bank voles in the United Kingdom, has a different gene arrangement in the T6SS cluster, but the same core components are still present.

T6SS Genes tssB, tssC tssD Are Expressed in the 488 Wild-Type Strain
Composed of interlocking TssB and TssC proteins, the contractile sheath is responsible for producing enough energy to force the TssD needle-like structure through the inner membrane out into the extracellular space and across host membranes (Cianfanelli et al., 2016). To investigate whether the C. jejuni 488 wild-type strain has a functional T6SS, the expression of the contractile sheath genes tssB and tssC as well as the tssD gene was investigated using RT-PCR. tssB, tssC tssD were all found to be expressed when the 488 wild-type strain is grown both in broth culture for 16 h and on blood agar for 24 h, indicating that the C. jejuni T6SS contractile sheath is produced under different growth conditions (Figure 2).

C. jejuni 488 Wild-Type Strain Has a Functional T6SS That Secretes TssD
Previous studies have used the secretion of TssD as evidence that the T6SS is functional in C. jejuni (Lertpiriyapong et al., 2012;Bleumink-Pluym et al., 2013). In order to determine whether the T6SS in the 488 wild-type strain is functional, FIGURE 1 | Type VI secretion system gene clusters of C. jejuni strains. The C. jejuni 488 and 43431 wild-type strains were sequenced using whole genome sequencing in this study. The genome sequence of C. jejuni RC039 was published by Corcionivoschi et al. (2015). The genome sequences for C. jejuni 108 and C. coli RM2228 was published by Bleumink-Pluym et al. (2013). The genome sequence for C. jejuni 414 was published by Lertpiriyapong et al. (2012).
FIGURE 2 | Reverse transcription PCR analysis of T6SS gene expression in the 488 wild-type strain. RNA was isolated from 488 wild-type strain. Plate cultures were grown on blood agar plates and incubated for 24 h under microaerobic conditions. Broth cultures were grown in Brucella broth for 16 h at 37 • C with shaking at 75 rpm under microaerobic conditions. Extracted RNA was converted to cDNA. RT-PCR was performed using tssB, tssC, and tssD primers. The first and last lanes are the molecular weight marker (HyperLadder 1 kb, Bioline, United Kingdom). Lane 1: 488 cDNA (plate culture); Lane 2: negative control (488 cDNA from plate culture synthesized without reverse transcriptase); Lane 3: 488 cDNA (broth culture); Lane 4: negative control (488 cDNA from broth culture synthesized without reverse transcriptase); and Lane 5: positive control (488 gDNA). Expected sizes are 316 bp (tssB), 300 bp (tssC), and 287 bp (tssD).
Western blotting was performed using a TssD antibody to detect the secretion of TssD. TssD is an approximately 18 kD protein that makes up the needle-like structure of the T6SS and has been shown in other bacteria to be important in the secretion of effector proteins (Cianfanelli et al., 2016). TssD is present in the whole cell lysate ( Figure 3A) and also secreted into the supernatant of the 488 wild-type strain (Figure 3B), indicating that this strain has a functional T6SS. TssD is absent from both whole cell lysate and supernatant from the 488 tssD mutant.

Inactivation of Individual Contractile
Sheath Components Does Not Abolish C. jejuni T6SS Function 488 tssB and tssC single mutants were constructed to investigate whether knocking out a contractile sheath component would result in a non-functional T6SS. Inactivation of either tssB or tssC reduces but does not completely abolish secretion of TssD ( Figure 3B), indicating that the absence of one of the contractile sheath components does not result in a completely non-functional T6SS in C. jejuni. A 488 tssBC double mutant was also constructed to test the hypothesis that function of the C. jejuni T6SS is only abolished in the absence of both contractile sheath components. As hypothesized, TssD was present in the whole cell lysate but absent from the supernatant of the 488 tssBC double mutant, thereby demonstrating that the C. jejuni T6SS is not functional when the entire contractile sheath structure is missing.

T6SS in C. jejuni Is Associated With the Oxidative Stress Response
The T6SS has previously been linked with the oxidative stress response in Y. pseudotuberculosis, B. thailandensis, and enterohemorrhagic E. coli Si et al., 2017;Wan et al., 2017). To investigate whether the C. jejuni T6SS is also associated with the oxidative stress response, the 488 wild-type strain, 488 tssD mutant and 81-176 wild-type strain were exposed to hydrogen peroxide (H 2 O 2 ). Following 30 min exposure to 50 mM H 2 O 2 , the 488 wild-type strain exhibited significantly greater resistance to oxidative stress killing compared to the 488 tssD mutant and the 81-176 wild-type strain ( Figure 4A). In order to investigate whether the increased susceptibility of the 488 tssD mutant to H 2 O 2 is specific and not due to a potential membrane defect due to improper assembly of the T6SS in the bacterial membrane, antimicrobial susceptibility testing for the 488 wild-type strain, 488 tssD mutant and 488 tssD complement were performed. Disk diffusion assays were performed using ampicillin, amoxycillin/clavulanic acid, tetracycline and polymyxin B. A broth microdilution assay was performed using vancomycin. No differences in antimicrobial susceptibility were observed (Supplementary Table S2).
katA, sodB, and ahpC encode proteins involved directly in the breakdown of ROS. Expression of katA, sodB, and ahpC was investigated in the 488 wild-type strain and 488 tssD mutant using qRT-PCR. Expression of all three genes were significantly reduced in the 488 tssD mutant compared to the 488 wild-type strain. This data combined with the increased ability of the 488 wild-type strain to survive the effects of oxidative stress suggest that the T6SS is associated with the oxidative stress response in C. jejuni ( Figure 4B).

T6SS Increases C. jejuni Cytotoxicity in the Galleria mellonella Model of Infection
The larvae of G. mellonella (Greater wax moth) are an established model to study the pathogenesis of C. jejuni (Senior et al., 2011). In order to investigate whether the presence of a T6SS in C. jejuni enhances bacterial cytotoxicity, G. mellonella larvae were injected with C. jejuni strains and larvae survival examined over a duration of 5 days. Only the T6SS-positive 488 wild-type strain was cytotoxic to G. mellonella larvae after 24 h postinjection ( Figure 5). The T6SS-negative 81-176 wild-type strain also exhibited some cytotoxicity, but at a lower level compared to the 488 wild-type strain after 48 and 72 h. After 96 and 120 h, cytotoxicity of the 488 tssD mutant was also observed but at a significantly lower level than the 488 wild-type strain.

T6SS Enhances Both C. jejuni Interactions With and Invasion of Chicken Primary Intestinal Cells
Recent studies suggest that the prevalence of T6SS-positive C. jejuni strains is on the rise in high-income countries and there are indications that T6SS-positive strains are now prevalent over T6SS-negative strains infecting chickens in farms, on raw chicken in supermarkets and in hospital patients (Ugarte-Ruiz et al., 2015;Sima et al., 2018). To investigate whether the presence of the FIGURE 4 | Type VI secretion system of C. jejuni is involved in the oxidative stress response. (A) Survival of 488 wild-type strain, 488 tssD mutant, 488 tssD complement, and 81-176 wild-type strain following exposure to oxidative stress. The strains were exposed to 50 mM H 2 O 2 for 30 min, then serial dilutions were performed and CFUs/ml counted. Asterisks denote a statistically significant difference ( * p ≤ 0.05, * * p ≤ 0.01, * * * p ≤ 0.001).
(B) qRT-PCR analysis comparing expression of katA, sodB, and ahpC in the 488 wild-type strain and 488 tssD mutant. qRT-PCR analysis was performed using katA, sodB, and ahpC primers. Data was analyzed by the comparative CT method with gyrA housekeeping gene as the internal control. The relative expression of katA, sodB, and ahpC are shown. Asterisks denote a statistically significant difference ( * p ≤ 0.05, * * * p ≤ 0.001).
T6SS plays a role in the ability of C. jejuni to infect chickens, an in vitro model was used to examine the potential of C. jejuni to adhere to and invade chicken primary intestinal cells. The 488 wild-type strain exhibited significantly higher levels of adherence and invasion than the 488 tssD mutant. The T6SS-negative 81-176 wild-type strain also exhibited lower levels of adherence and invasion than the 488 wild-type strain, however, these differences were not significant (Figure 6).

T6SS Enhances the Ability of C. jejuni to Infect Chickens
To further investigate whether the presence of the T6SS plays a role in the ability of C. jejuni to infect chickens, chicken infection studies were performed. An identical pattern was observed after in vivo infection of 15-day old Ross 308 broiler chickens, where at 3 days post-infection the numbers of the 488 wild-type strain detected in the caeca were significantly higher than the numbers of the 488 tssD mutant or 81-176 wild-type strain (Figure 7). These results indicate that the presence of the T6SS is important in enhancing the ability of C. jejuni to colonize chickens.
FIGURE 5 | Infection of Galleria mellonella larvae with the 488 wild-type strain, 488 tssD mutant or 81-176 wild-type strain. Ten G. mellonella larvae were injected per bacterial strain with a syringe in the right foremost leg. Controls injected with PBS only were included along with uninoculated controls. Larvae were incubated at 37 • C with counts of dead larvae recorded every 24 h over a period of 5 days. Asterisks denote a statistically significant difference ( * p ≤ 0.05, * * p ≤ 0.01).

DISCUSSION
The C. jejuni T6SS is a functional secretory mechanism that appears distinct from the well-elucidated P. aeruginosa and V. cholerae T6SS model systems. Whole genome sequencing of a novel 488 strain and the T6SS-positive 43431 strain revealed a single T6SS cluster containing one copy of the tssD gene that encodes the needle-like tube of the T6SS, but the absence of tssH which encodes the ATPase that breaks down and recycles the TssBC contractile sheath. This is in contrast to the T6SS model systems of P. aeruginosa and V. cholerae where multiple T6SS clusters are present with differing functions. The absence of a tssH ortholog had previously been observed in other C. jejuni strains in other studies (Lertpiriyapong et al., 2012;Bleumink-Pluym et al., 2013). Burkholderia species, Helicobacter hepaticus, Francisella tularensis, and Salmonella enterica also appear to lack a TssH component. Despite the absence of TssH, the presence of a functional T6SS in all these organisms including C. jejuni suggests there may be alternate mechanisms for contractile sheath recycling. In V. cholerae a study demonstrated that whilst TssH is not essential, it is important in increasing the efficiency of the T6SS in inter-bacterial competition assays (Bachmann et al., 2015).
Comparison of the C. jejuni strains sequenced in this study with previously published sequences of other C. jejuni strains as well as other Campylobacter species revealed a T6SS cluster that is very closely conserved with all core genes present in the same arrangement. C. jejuni 488 (human isolate from Brazil), 43431 (human isolate from Canada), 108 (human isolate from the United States), RC039 (chicken isolate from the United Kingdom), and even C. coli RM2228 (chicken isolate from the United States) all share the same conserved T6SS cluster. Only C. jejuni 414 had a different gene arrangement in the T6SS cluster. 414 is an environmental strain, isolated from a wild bank vole in the United Kingdom (Williams et al., 2010). It is possible that agricultural intensification practices which readily facilitate passing of strains between chickens and humans could lead to these strains to share more of a conserved T6SS compared to the 414 environmental strain.
Further investigations indicated that the novel 488 strain has a functional T6SS capable of secreting the TssD effector, corroborating previous studies which have shown TssD to be secreted from 43431 and 108 strains (Lertpiriyapong et al., 2012;Bleumink-Pluym et al., 2013). However, the contractile sheath components TssBC and their function had not previously been studied in C. jejuni. In other bacteria, an intact contractile sheath structure is important for a fully functioning T6SS as removal FIGURE 7 | Infection of broiler chickens with the 488 wild-type strain, 488 tssD mutant or 81-176 wild-type strain. Ten 15-day old Ross 308 broiler chickens were inoculated with approximately 1 × 10 8 CFU/ml of either the 488 wild-type strain, the 488 tssD mutant or the 81-176 wild-type strain. Chickens were euthanized 3 days post-infection. Caecum contents were plated and counts of viable C. jejuni in the samples performed. Asterisks denote a statistically significant difference ( * * p ≤ 0.01).
of either TssB/VipA or TssC/VipB from the contractile sheaths described in V. cholerae result in a defective T6SS unable to secrete effectors (Basler et al., 2012;Kudryashev et al., 2015;Brackmann et al., 2018). In this study we have shown that both contractile sheath genes are expressed when the 488 strain is cultured in broth and on solid plates. Isogenic 488 tssB and tssC mutants were constructed and shown to still be able to secrete TssD at a reduced level compared to the wild-type strain. The observation that the C. jejuni T6SS does not require both TssB and TssC components to be present for the T6SS to be able to secrete TssD is unusual and differs from previous observations of the T6SS in V. cholerae. This suggests that in C. jejuni, as long as either TssB or TssC is present, the T6SS remains capable of secreting TssD at a reduced level. However, this does not suggest that the contractile sheath components in C. jejuni may differ from those in the T6SS model systems of P. aeruginosa and V. cholerae, rather that the contractile sheath components may be interchangeable or be able to compensate for the absence of the other component via a yet unknown process.
The importance of the T6SS in countering the effects of oxidative stress has previously been shown in Y. pseudotuberculosis, B. thailandensis, and enterohemorrhagic E. coli Si et al., 2017;Wan et al., 2017). In this study, we show that the C. jejuni T6SS also appears to play a role, with the genes that encode KatA, SodB, and AhpC that are involved directly in the breakdown of ROS all expressed at significantly higher levels in the 488 wild-type strain compared to the 488 tssD mutant. The 488 wild-type strain with an intact T6SS is also more resistant to the effects of oxidative stress compared to the 488 tssD mutant. We speculate that TssD positively regulates the expression of genes involved in the breakdown of ROS, and in turn this results in greater resistance to oxidative stress in strains harboring an intact T6SS cluster.
A MarR family transcriptional regulator TctR was recently shown to regulate the T6SS-2 gene cluster in B. pseudomallei (Losada et al., 2018). Previous studies have also shown that the MarR family transcriptional regulators RrpA and RrpB are important in regulating both oxidative and aerobic stress responses in C. jejuni and therefore play a role in enhancing bacterial survival both in the hosts and in the environment (Gundogdu et al., 2011(Gundogdu et al., , 2016. As our results indicate that the C. jejuni T6SS is also associated with the oxidative stress response, it is tempting to speculate that the RrpA and RrpB regulators may in some way be linked to the T6SS. Further studies will be required to investigate this hypothetical link. Based on our data we propose that presence of the T6SS cluster in C. jejuni strains also confers a competitive advantage to these strains within a host. The T6SS-positive 488 wild-type strain is more cytotoxic in the G. mellonella model than the T6SS-negative 81-176 wild-type strain and the 488 tssD mutant. This suggests that the presence of a T6SS increases the cytotoxicity of C. jejuni in the G. mellonella model of infection and secreted T6SS effectors may also be important in causing cytotoxicity to other organisms. The 81-176 strain was selected as a negative control in this study due to the absence of the T6SS in this strain. Despite lacking the T6SS, 81-176 is a hypervirulent strain capable of causing severe disease and harbors two plasmids, pTet and pVir, that play a role in increased virulence (Black et al., 1988;Bacon et al., 2000). Therefore, any differences observed between 488 and 81-176 could potentially be due to a diversity of virulence factors in these two strains rather than the presence or absence of the T6SS.
This study is the first to examine the role of T6SS of C. jejuni in a biologically relevant model. Lertpiriyapong et al. (2012) utilized a murine model and found that a T6SS-positive strain to be more interactive with and invasive in RAW 264.7 macrophage cells and have a higher colonization potential in IL-10-deficient mice. However, it has previously been shown that C. jejuni does not colonize mice in the same manner as in chickens, as C. jejuni colonizes mice at a significantly slower rate than chickens and some strains such as 81-176 do not appear to colonize mice at all (Wilson et al., 2010). The C. jejuni 488 wild-type strain exhibits higher levels of adherence to and invasion of chicken cells and is also able to infect chickens at a much higher rate that the tssD mutant. The results indicate that the ability of C. jejuni to infect chickens is enhanced by the presence of the T6SS and the T6SS may be important as a colonization factor in the natural host of C. jejuni. The increased ability of C. jejuni strains with the T6SS to infect and colonize chickens is a particular concern for the agricultural and food industries tasked with reducing C. jejuni load in both live chickens on farms and on raw chicken meat in the supermarket (Sima et al., 2018). From a public health perspective, the rise of T6SS in C. jejuni is also problematic as there are indications that strains with the T6SS may cause more severe disease in humans (Harrison et al., 2014).
In summary, in this study we confirmed the presence of a single T6SS cluster among several C. jejuni strains and confirmed that the functional T6SS is capable of secreting the TssD effector. Our results indicated that the C. jejuni T6SS is involved in the oxidative stress response. Using in vitro and in vivo models we demonstrated the increased ability of T6SS-positive C. jejuni to colonize the natural avian host. Our findings highlight the importance of further understanding the function of the T6SS present in an expanding population of C. jejuni, the potential importance of the T6SS in colonization and niche establishment in different hosts and the potential for T6SS-positive C. jejuni strains to cause more severe disease in both chickens and humans.

Bacterial Strains and Growth Conditions
Campylobacter jejuni strains used in this study are listed in Supplementary Table S3. C. jejuni strains were grown at 37 • C under microaerobic conditions (85% N 2 , 15% CO 2 5% O 2 ) in a variable atmosphere chamber (Don Whitley Scientific, United Kingdom). Unless otherwise stated, C. jejuni were grown either on Columbia agar with 7% (v/v) horse blood (TCS Biosciences, United Kingdom) with the addition of Skirrow Campylobacter selective supplement or in Brucella broth (BD Diagnostics, United Kingdom). E. coli strains listed in Supplementary Table S4 were grown on lysogeny broth (LB) agar plates or in LB broth at 37 • C. The appropriate antibiotics were added as required at concentrations of 50 µg/ml kanamycin, 100 µg/ml ampicillin or 10 µg/ml chloramphenicol for C. jejuni growth, with the concentration of chloramphenicol for E. coli growth increased to 50 µg/ml. All reagents were obtained from Oxoid (United Kingdom) unless otherwise stated.

Reverse Transcription PCR (RT-PCR) and Quantitative Real-Time PCR (qRT-PCR) Analyses
Total RNA was isolated using PureLink RNA Mini Kit (Thermo Fisher Scientific) from C. jejuni cultures grown for 16 h at 37 • C with shaking at 75 rpm under microaerobic conditions in Brucella broth. TURBO DNA-free kit (Thermo Fisher Scientific) was used to remove DNA contamination and RNA was converted to cDNA using the SuperScript III First-Strand Synthesis System (Thermo Fisher Scientific). Reverse transcription PCR (RT-PCR) was performed according to the manufacturer's instructions with primers listed in Supplementary Table S5. Quantitative real-time PCR (qRT-PCR) was performed using primers listed in Supplementary Table S5, with SYBR Green Master Mix (Applied Biosystems, United Kingdom) on the ABI 7500 Real-Time PCR System machine (Applied Biosystems). qRT-PCR data was analyzed by the comparative C T method with gyrA housekeeping gene as an internal control (Ritz et al., 2002;Schmittgen and Livak, 2008).

Construction of tssB, tssC, tssD Mutants and tssBC Double Mutant
Campylobacter jejuni mutants were constructed as previously described (Gundogdu et al., 2011). Briefly, the appropriate gene specific primers (see Supplementary Table S5) were used to amplify the gene of interest from C. jejuni genomic DNA. PCR products were cloned into a pGEM-T Easy vector (Promega, United Kingdom) and transformed into E. coli XL2-Blue if the unique restriction site was BamHI or BglII. E. coli SCS110 were used if the restriction site was BclI. If none of these sites were present, inverse PCR mutagenesis was used to introduce a BglII site . Plasmid DNA was digested with BamHI, BclI, or BglII, a kanamycin or chloramphenicol resistance cassette was inserted and the resulting construct transformed into E. coli. Successful constructs were transformed into C. jejuni by electroporation and positive clones were confirmed by PCR and Sanger sequencing. For construction of a C. jejuni tssBC double mutant, the plasmid DNA construct used for the C. jejuni tssC mutant was transformed into C. jejuni tssB mutant by electroporation.

Preparation of Whole Cell Lysates and Supernatants for Protein Secretion Assays
Campylobacter jejuni strains from 24 h plate cultures were inoculated to OD 600 0.1 in Brucella broth and incubated at 37 • C with shaking at 75 rpm under microaerobic conditions until late log phase. The broth cultures were centrifuged at 4,000 rpm at 4 • C for 30 min to separate the pellet and the supernatant.
To prepare a whole cell lysate sample, a pellet was resuspended in PBS and sonicated for 10 min on high setting using a Bioruptor (Diagenode, Belgium). Sonicated samples were centrifuged at 13,000 rpm for 5 min and the resulting supernatant was added to 2X Laemmli sample buffer (Sigma-Aldrich, United Kingdom) then boiled at 95 • C for 10 min, followed by centrifugation at 13,000 rpm for 5 min. To prepare a supernatant sample, supernatant was filtered through a 0.2 µm-pore-size filter (Millipore, United Kingdom) to remove remaining cells and the titrate was concentrated using an Amicon Ultra-15 centrifugal filter (10 kDa) (Millipore). Trichloroacetic acid (TCA) precipitation with acetone washes was performed to further concentrate the samples as described previously (Link and LaBaer, 2011). Following acetone washes, the pellet was resuspended in 2X Laemmli sample buffer and boiled at 95 • C for 10 min, followed by centrifugation at 13,000 rpm for 5 min.

SDS-PAGE and Western Blot Analysis
BCA assay was performed to determine protein concentration in samples. 13 µg of whole cell lysate samples and 30 µg of supernatant samples were loaded along with Pageruler Plus Pre-stained Protein Ladder (Thermo Fisher Scientific, United Kingdom) onto NuPAGE Bis-Tris gel (12%) (Thermo Fisher Scientific) with MOPS running buffer (Thermo Fisher Scientific). Membrane transfer was performed using the iBlot 2 Dry Blotting System (Thermo Fisher Scientific). The membrane was blocked with 2% (w/v) milk overnight at 4 • C, incubated with the TssD antibody in phosphate buffered saline with 0.1% (v/v) Tween-20 (PBS-T) for 1 h at room temperature, washed with PBS-T then incubated with the secondary goat anti-rabbit antibody in PBS-T for 1 h at room temperature. The membrane was washed twice with PBS-T, once with PBS scanned using the Odyssey Imaging System (LI-COR Biosciences, United Kingdom).

TssD Antibody Production
The polyclonal anti-TssD antibody was produced by Capra Science Antibodies AB (Sweden). The tssD gene cloned into an expression vector and recombinant TssD protein was isolated and purified. For production of the TssD antiserum, purified TssD was immunized into a rabbit. Two boosts with the antigen were performed, followed by the first bleed. A further boost with the antigen was performed followed by the second bleed; the process was repeated for a third bleed. Antiserum collected from the third bleed was affinity purified using a peptide-coupled column for the anti-TssD antibody.

Oxidative Stress Assay
Campylobacter jejuni from 24 h plate cultures were re-suspended in PBS, the OD 600 was measured and the suspension adjusted with PBS to OD 600 1.0. Bacterial suspensions were exposed to 50 mM H 2 O 2 for 30 min at 37 • C stationary under microaerobic conditions. Serial dilutions were performed and dilutions plated onto blood agar plates. Plates were incubated at 37 • C under microaerobic conditions and colonies counted after 48 h.

Antimicrobial Susceptibility Assays
The disk diffusion assays were performed with ampicillin (10 µg), amoxycillin/clavulanic acid (2:1, 30 µg), tetracycline (30 µg) or polymyxin B (300 units) disks (Oxoid) following the methodology published by the European Society of Clinical Microbiology (EUCAST) (EUCAST, 2019). Zones of growth inhibition were measured in millimeters and sensitivity (S) determined based on the EUCAST guidelines. Broth microdilution assays were performed with vancomycin (Sigma) and the minimum inhibitory concentration (MIC, µg/ml) was determined according to the methodology published by Wiegand et al. (2008).

Galleria mellonella Model of Infection
Galleria mellonella larvae were purchased from Livefoods Direct (United Kingdom). Bacterial cells harvested from 24 h plate cultures were re-suspended in PBS and OD 600 adjusted to 0.1. Ten G. mellonella larvae per bacterial strain were injected with 10 µl bacterial suspension with a micro syringe (Hamilton, Switzerland) in the right foremost leg. Controls injected with PBS or not injected were also prepared. Larvae were incubated at 37 • C, with counts of dead larvae recorded every 24 h for 5 days.

Chicken Cell Interaction and Invasion Assays
Isolation of chicken intestinal primary cells (Byrne et al., 2007) as well as interaction and invasion assays (Corcionivoschi et al., 2009) were performed as described previously. Briefly, biopsies from sections of small intestines from 6 to 12 week-old broiler chickens (Cobb 500) were placed in primary cell culture medium and primary cells were isolated. C. jejuni strains were grown for 24 h on Muller-Hinton agar under microaerobic conditions. Bacterial cells were washed and resuspended in tissue culture medium to an OD 600 of 0.4, then added to chicken intestinal primary cells grown in tissue culture plates to yield a multiplicity of infection of 1000:1. Plates were centrifuged and incubated for 3 h at 37 • C in a microaerophilic environment. For interaction assays, infected monolayers were washed with PBS and treated with 0.1% v/v Triton X-100. Serial dilutions were performed and the CFUs/ml were enumerated. For invasion assays, infected monolayers were washed with PBS and treated with gentamicin (400 µg/ml) for 2 h at 37 • C. Cells were then washed with PBS and treated with 0.1% v/v Triton X-100. Serial dilutions were performed and the CFUs/ml were enumerated.

Chicken Infection Assay
Thirty male broiler chickens (Ross 308) were housed in isolation units on wood shaving bedding. The temperature in the isolation unit was kept between 22-25 • C and thermostatically controlled. Broilers were fed ad libitum with a standard diet. C. jejuni strains were grown on Muller Hinton plates for 24 h under microaerobic conditions and resuspended in sterile distilled water. At 15 days old, ten broilers were inoculated with approximately 1 × 10 8 CFU/ml of either the 488 wild-type strain, the 488 tssD mutant or the 81-176 wild-type strain. The different batches of infected broilers were kept separated in sterile isolation units. After 3 days of infection, broilers were euthanized and C. jejuni was enumerated by analyzing the cecum content using the ISO17025 methodology for plate counting. All broilers were confirmed using cloacal swabs as being Campylobacter free at the time of infection. These experiments were performed in triplicate on three separate occasions.

Statistical Analysis
All experiments were performed with at least three biological replicates and three technical replicates, unless otherwise stated. Statistical analyses were performed using GraphPad Prism 7 (GraphPad Software, United States) and data were presented as mean ± SEM. Results were compared using unpaired t-test with * p ≤ 0.05, * * p ≤ 0.01, * * * p ≤ 0.001.

DATA AVAILABILITY STATEMENT
The genome sequence datasets generated for this study can be found in EBI ENA, PRJEB31331.

ETHICS STATEMENT
The experiments were performed according to the legislation in place (Law 471/2002 and government ordinance 437/2002) and under the supervision of National Sanitary Veterinary Agency. The Ethics Committee of Banat University of Agricultural Sciences and Veterinary Medicine -King Michael I of Romania approved this work.