Abstract
Bacillus cereus is a food-borne pathogen that causes diarrheal disease in humans. After ingestion, B. cereus experiences in the human gastro-intestinal tract abiotic physical variables encountered in food, such as acidic pH in the stomach and changing oxygen conditions in the human intestine. B. cereus responds to environmental changing conditions (stress) by reversibly adjusting its physiology to maximize resource utilization while maintaining structural and genetic integrity by repairing and minimizing damage to cellular infrastructure. As reviewed in this article, B. cereus adapts to acidic pH and changing oxygen conditions through diverse regulatory mechanisms and then exploits its metabolic flexibility to grow and produce enterotoxins. We then focus on the intricate link between metabolism, redox homeostasis, and enterotoxins, which are recognized as important contributors of food-borne disease.
Introduction
Micro-organisms display astonishing abilities to survive and grow in hostile environments. Some have adapted their life cycles to extreme conditions (thermophiles, psychrophiles, halophiles, acidophiles, etc.), but all can marshal temporary adaptation mechanisms to help them survive until conditions have become more favorable. When environmental conditions change, a cell must modify its physiology accordingly to cope with them and survive or reproduce. However, adaptation has limits, which depend on the microorganism and on the environmental variables that have become extreme, upset the cell’s equilibrium, and caused stress. Limits to adaptation depend on the micro-organism’s intrinsic capacity to cope; the physiological responses the cell can call on to address environmental variations include changes in metabolism and/or mechanisms of adaptation and resistance.
Bacillus cereus is a Gram-positive, facultative anaerobe, rod-shaped endospore-forming bacterium that is known to inhabit primarily the soil, where it can complete its saprophytic life cycle (Vilain et al., 2006). As a result of its saprophytic soil life cycle, B. cereus is found in water, vegetables, and many other food ingredients, resulting in the contamination of a wide variety of finished food products. Ingestion of contaminated foods by humans can lead to two types of gastrointestinal infections, both damaging the host epithelium. The emetic type of food poisoning is caused by the ingestion of food containing the toxin cereulide, whereas the diarrheal type depends on the ingestion of B. cereus cells followed by the production of virulence factors in the human small intestine (Stenfors Arnesen et al., 2008; Senesi and Ghelardi, 2010; ). B. cereus cells originate from ingested vegetative cells that survive gastric passage (Wijnands et al., 2009) and/or from ingested spores which first adhere to the intestinal mucosa and then germinate. Recent evidence suggests that B. cereus-induced diarrhea is not caused by massive B. cereus proliferation and virulence factor production in the intestinal lumen but by localized growth and virulence factor production at the hosts mucus layer or epithelial surface (). These virulence factors then damage the nearby epithelial cells by pore formation, resulting in microvilli damage and osmotic lysis of the host’s epithelial cells and eventually diarrhea (; Hardy et al., 2001; Minnaard et al., 2001; Lindback et al., 2004; Ramarao and Lereclus, 2006; Fagerlund et al., 2008). In the vicinity of the epithelial layer, B. cereus is exposed to different oxygen concentrations and different oxidoreduction potentials (ORP; Moriarty-Craige and Jones, 2004; Marteyn et al., 2010a,b) that induce compensatory metabolic pathways in an attempt to maintain the intracellular redox state. The cellular redox status governs the status of redox-sensitive macromolecules and protects against endogenous oxidative stress. Recent studies suggested that virulence factor production by B. cereus is dynamic and shaped by cellular oxidation (Madeira et al., 2015). Thus, there is an intricate link between metabolism, redox homeostasis, and virulence factor production. In the first part of this review, we focus on how microorganisms and B. cereus detect and respond to acid stress, and review the different behavioral, physiological and molecular mechanisms underpinning acid stress adaptation. In the second part, we will begin by describing the basics of B. cereus physiology and will then discuss how metabolism and redox global regulators influence the production of virulence factors under changing oxygen conditions.
Acid Stress Resistance
Acid resistance is especially important for B. cereus that must survive the acidic pH of the stomach – which is 1.5 in the fasting state (Van de Guchte et al., 2002) and rises to 3–5 after ingestion of food () – before entering and colonizing the small intestines or colon (Stenfors Arnesen et al., 2008). Acid stress is also frequently encountered naturally in many foods, as a result of the use of weak organic acids or short-chain (volatile) fatty acids (FA; e.g., acetic acid, citric acid, and propionic acids) as food preservatives (). Thus, the ability to adapt to an acidified environment is crucial to the virulence of a food-borne pathogen such as B. cereus.
Neutrophilic bacteria have evolved multiple tolerance or resistance mechanisms to prevent cell damage due to acid stress; these are generally referred to as acid tolerance responses (ATRs) and acid resistance mechanisms, respectively. Which system(s) plays the dominant role(s) depends on: (i) the phase of growth of the cells when the ATR is elicited [exponential phase- versus stationary phase- ATR]; and/or (ii) whether certain amino acids are present during exposure to the acidic pH; and/or (iii) whether acidification of the environment results from inorganic or organic acids (Van de Guchte et al., 2002; ). B. cereus vegetative cells, like many other bacteria, are able to induce an ATR (Jobin et al., 2002; Thomassin et al., 2006). In addition, it has been shown that B. cereus cells pre-adapted at pH 6.3 coped better with both ethanol stress (12%) and heat stress (49°C) (), suggesting that ATR and/or induction of acid-resistance mechanisms confer cross-protection for other stresses. In this article, we review some model acid-resistant and their related acid resistance mechanisms to understand how B. cereus can adapt to acid stress.
Common Mechanisms of Acid Resistance
Micro-organisms deploy various mechanisms and strategies to address the hostile conditions of low-pH environment, e.g., modification of the architecture and composition of the membrane, change in metabolism and production of alkaline substances, and homeostasis of internal pH (Figure 1).
FIGURE 1
Modification of the Membrane
The cell membrane of bacteria is in direct contact with external media. It is therefore the first one to be affected by harmful environmental conditions, e.g., an acidic medium. The fluidity of the membrane is important for cells, as it can affect membrane functions such as biochemical reactions, transport systems, and protein secretion. The membrane FA composition is responsible for the maintenance of membrane fluidity, and a number of studies have suggested a relationship between membrane fluidity and stress adaptation. Acid adaptation generally decreased membrane fluidity, and this is likely linked to the overall increase in short-chain saturated FA as observed in Escherichia coli. Salmonella, and Listeria (Kwon and Ricke, 1998a,b; Yuk and Marshall, 2004; Moorman et al., 2008;
Production of Alkali
Some bacteria produce alkaline compounds, and specifically ammonia, to neutralize internal pH when exposed to an acidic environment. Ammonia is generated by two systems, the urease and the arginine deiminase systems (ADI; Van de Guchte et al., 2002;
Homeostasis of Internal pH
Internal pH (pHi) is an important factor in bacterial physiology, and cells regulate its value precisely. The regulation of pHi implies a heightened control of membrane permeability to protons, which can take place via the ion transporters that facilitate proton entry. In general, growth studies have shown that pHi falls with culture pH (Russell, 1991; O’Sullivan and Condon, 1999; Siegumfeldt et al., 2000). In B. cereus, the pHi in continuously cultured cells sampled at equilibrium fell with growth rate, showing that growth rate has an effect on pHi (Thomassin et al., 2006). pHi is disturbed by two main factors: (i) passive movement of protons through the cytoplasmic membrane, and (ii) the production of acids and/or bases in the cytoplasm. Thus, in fermenting bacteria, the accumulation of acidic fermentation products in the cytoplasm can decrease pHi, despite continuous efflux of protons (Russell and Diez-Gonzalez, 1998). The organic acids present in the culture medium can also impede pHi homeostasis, especially when pHi > external pH (pHe). Bacteria that can allow their pHi to decrease, so as to keep a low ΔpH (pHi – pHe), may be more acid-resistant than those that keep their pHi neutral (Siegumfeldt et al., 2000). Non-dissociated organic acids freely cross the permeable membrane lipid bilayer, limiting their accumulation in the cell. In bacteria that maintain a higher pHi, organic acids dissociate in the more alkaline cytoplasm, and accumulate in the cell, halting growth (Mercade et al., 2000). Their dissociation depends on their pKa value, generally less than 5.0. The accumulation of these organic acids in anionic form depends on the pH gradient across the membrane (Russell, 1991). To keep pHi at a value that will conserve the cell’s physiological integrity, bacteria can use many different strategies to control proton flux. These include (i) active transport of protons across the membrane (via the F1F0-ATPase activity), (ii) decarboxylation systems [glutamate decarboxylase (GAD), arginine decarboxylase (AD), and lysine decarboxylase], and (iii) the buffering ability of their cytoplasm.
F1F0-ATPase
A number of studies have demonstrated a role for F1F0-H+ translocating ATPase in pHi homeostasis (Miwa et al., 1997; Kullen and Klaenhammer, 1999;
FIGURE 2

A simplified view of B. cereus central metabolism. This schematic shows our current understanding of how glycolysis (blue), the PPP (purple), the fermentation pathways (red), the TCA cycle (green) and aerobic respiratory chain (brown) are interconnected in growing B. cereus cells. The fermentation end products are shown in bold. The electron transport in the respiratory chain goes through dehydrogenation of NADH, as a first step. Electrons are transferred from NADH to menaquinone pool (Q), which serves as an electron carrier, and then, the pathway goes through two main branches. The first is one in which electrons go through the bc complex, cytochrome c and cytochrome oxidase caa3, in turn. The second contains only quinol oxidases (cytochromes bd or aa3). In each branch, electrons are finally accepted by oxygen molecules. The transfer of electrons is coupled to the formation of a proton gradient across the membrane which is tapped by F1F0-ATPase to generate ATP from ADP and Pi. ROS are generated as by-product from this process. Ldh, lactate dehydrogenase; Pdh, pyruvate dehydrogenase; Pfl, pyruvate formate lyase; NDH, NADH:menaquinone reductase; SDH, succinate:menaquinone oxidoreductase; GDH, glycerol-3-P:menaquinone reductase.
Decarboxylation of amino acids
The presence of amino acids (glutamate, lysine, and arginine) in food such as vegetables and dairy products can enhance the ability of bacteria to adapt to and survive acid stress. These amino acids can be decarboxylated by systems composed of one or more decarboxylases, which convert their substrates into amine derivatives and carbon dioxide or bicarbonate, and an antiporter that then exchanges each amino acid for its decarboxylated amine. Decarboxylation of amino acids controls bacterial pH by consuming hydrogen through the decarboxylation reaction. The lysine, arginine and GAD systems predominate in acid tolerance (
The system AD system is composed of a cytoplasmic arginine decarboxylase (AdiA) and an arginine/agmatine antiporter (AdiC). After proton-consuming decarboxylation of arginine by AD to give agmatine in the cell, the agmatine is carried out of the cell by the antiporter in exchange for arginine. The consumption of protons during decarboxylation reduces acidity in the cytoplasm. In E. coli, the presence of arginine during acid shock raised pHi from 3.7 to 4.7, showing that AD could enable pHi homeostasis during acid stress (Richard and Foster, 2004). In S. typhimurium, the AD system is active only under acid growth conditions (Kieboom and Abee, 2006;
The lysine decarboxylase system is composed of a decar-boxylase (CadA) and a lysine/cadaverine antiporter (CadB). After decarboxylation of lysine to cadaverine in the cell by proton-consuming lysine decarboxylase, the cadaverine is carried out of the cell by the antiporter in exchange for lysine. The consumption of protons during the decarboxylation reaction again lowers acidity in the cytoplasm, allowing the homeostasis of pHi during acid shock. In E. coli and Vibrio vulnificus, the lysine decarboxylase system is encoded by the cadBA operon. This operon is activated by CadC, and repressed by LysP (Neely and Olson, 1996; Rhee et al., 2005). In Vibrio parahaemolyticus, the expression of cadBA has been shown to increase in the presence of lysine. The mutation of the gene cadA also impaired survival in acid shock conditions relative to the wild-type strain, showing the role of this system in resistance to acid shock by maintenance of pHi (Tanaka et al., 2008). In B. cereus ATCC 14579, the gene encoding the enzyme lysine decarboxylase is yvdD (Ivanova et al., 2003), but the gene encoding the antiporter has not yet been identified. Like glutamate and arginine, the addition of lysine improves B. cereus resistance to acid stress, suggesting a role of the lysine decarboxylase system in this bacterium (Senouci-Rezkallah et al., 2011).
Buffering ability of cytoplasm
Independently of the involvement of the decarboxylation systems, the pHi of a cell can be stabilized by the relatively high buffering ability of the cytoplasm. When acid or alkaline compounds enter the cell, the buffering action of the cytoplasm tends to offset these variations and keep the pHi neutral. Rius and Loren (1998) compared the buffering ability of Bacillus alcalophilus, an alkaliphilic bacterium, with those of B. subtilis and S. aureus, both neutrophilic bacteria. They showed that the buffering ability of B. alcalophilus was influenced by the culture pH and other conditions. In addition, this buffering ability was greater in anaerobic growth conditions than in aerobic growth conditions, clearly showing that the cells have a significantly greater buffering activity in a fermenting medium. In B. cereus, a study showed that cells grown in unregulated batches at pHe 7.0 showed a pHi of 9.0, which fell to 7.9 and 6.2 when the cell growth at pH 7.0 was followed by 1 h incubation at pH 6.3 and 4.6, respectively. It has also been observed that the pHi of cells adapted at pH 6.3 was higher (pHi 6.6) than that of non-adapted cells (pHi 6.1) (
Cell Density
In addition to responses to several stresses, bacteria are known to regulate diverse physiological processes in a cell density-dependent manner. Cell density-dependent regulation appears to follow a common theme, in which a small, self-generated molecule is exported as the signal for intercellular communication, commonly called quorum sensing. Cell density was found to modulate acid adaptation in Streptococcus mutans log-phase cells, since pre-adapted cells at a higher cell density or from a dense biofilm displayed significantly higher resistance to the killing pH than the cells at a lower cell density (Li et al., 2001). The authors also showed that mutants defective in the comC. comD, or comE genes, which encode a quorum sensing system essential for cell density-dependent induction of genetic competence, had a diminished log-phase ATR. They concluded that optimal development of acid adaptation in S. mutans involves both low pH induction and cell–cell communication. Also in this strain, the gene luxS involved in the signal synthesis in quorum sensing plays a role in the regulation of tolerance to acid stress (Wen and Burne, 2004). The synthesis of LuxS is induced in E. coli on exposure to acetic acid, suggesting that its expression in this organism is induced at low pH (Frees et al., 2003b). Four quorum sensing systems operate in B. cereus and, one of them controls the oxidative stress response (Slamti et al., 2014). Exposure to acid stress induces secondary oxidative stress in B. cereus (Mols and Abee, 2011a). Therefore, the quorum sensing system that controls oxidative stress could be involved in acid adaptation.
Protection and Repair of Proteins and DNA
In an acid stress situation, proteins can undergo modifications, from changes in conformation to complete denaturing, all of which will significantly affect their activity. Denatured proteins are dealt with chaperone proteins, such as DnaK/DnaJ and GroES/EL (Susin et al., 2006). In L. lactis, these chaperones are induced at pH 4.5, and not at pH 5.5, and therefore respond at a certain level of acidity in the medium, or a certain concentration of denatured proteins in the cytoplasm (Frees et al., 2003b). In S. mutans, the expression of dnaK and the quantity of DnaK are higher in acid-adapted cells than in non-adapted cells, and increase in response to an acid shock (Jayaraman et al., 1997), suggesting that the regulation of dnaK by pH is transcriptional in this bacterium. In S. typhimurium DT104, an increase level of DnaK and GroEL was observed in acid-adapted cells (
When pHi becomes too acidic, DNA loses purine and pyrimidine units (
Concluding Remarks
Although much has been learned about other bacteria respond to acid stresses, there remains a great deal to discover, making B. cereus acid stress responses a fruitful and important area of future research. In addition, the majority of studies that have analyzed the response of food-borne pathogens to acid stress were performed in presence of oxygen. Anoxia may thus provide attractive condition to study the acid resistance mechanisms in B. cereus and other food-borne pathogens.
Oxygen Sensing and Adaptation to Anoxia
Bacillus cereus is a facultative anaerobic microorganism, i.e., it can survive at various levels of oxygenation. The common terminology to describe the various oxygen conditions, such encountered by B. cereus in food and GI tract is based on a comparison with the atmospheric level, which is 21% (v/v), a level referred to as normoxia. Hypoxia is a condition where oxygen concentration is lower than 21%. No free oxygen is available under anoxia.
B. cereus Central Metabolism and Redox Homeostasis
Whatever the oxygenation conditions, B. cereus catabolizes glucose through glycolysis and, to a lesser extend, through the pentose phosphate pathway (PPP; Zigha et al., 2006). Glycolysis and PPP are fuelled by the phosphoenolpyruvate (PEP)-dependent phosphotransferase system (PTS), a transport system that cells use to bring glucose into the cytoplasm using energy transferred by PEP (
In the presence of oxygen, pyruvate is converted to acetyl coenzyme A (Acetyl-CoA) by the pyruvate dehydrogenase complex (Pdh) (
). Within the respiratory chain, NADH: menaquinone oxidoreductase (complex I) and bc complex (complex III) are generally considered as the main producers of
(Figure 2). Dismutation of
(either spontaneously or through a reaction catalyzed by SODs) produces hydrogen peroxide (H2O2), which in turn may be fully reduced to water or partially reduced to hydroxyl radical (OH∙), one of the strongest oxidants in nature (Imlay, 2013). ROS production serves as a metabolic signal and under normal conditions are quenched by the antioxidant defense system to maintain them to non-toxic levels. However, when released in excess under certain stress conditions such as hypoxia and change in pH that abruptly affect the electron transport chain, ROS can also directly damage cells (Mols et al., 2009, 2010b, 2011).
When the oxygen concentration drops to a level at which oxygen becomes limiting as a substrate for cytochrome c oxidase, ATP production via oxidative phosphorylation is no longer able to meet cellular demands for ATP. This can be compensated by the activation of glycolytic activity to increase ATP production by substrate-level phosphorylation. However, compared with oxidative phosphorylation, the ATP production through glycolysis alone is much lower. Therefore, glycolytic activity must be strongly up-regulated under hypoxic conditions to generate sufficient ATP. This phenomenon, namely the Pasteur effect requires the efficient recycling of NAD+ from NADH, otherwise glycolysis will become limited by the availability of NAD+. Therefore, the fermentative pathways are induced by activating the expression of key enzymes.
Under anoxia and in absence of external electron acceptor, B. cereus carries out mixed acid-butanediol fermentation (Figure 2). Lactic acid is the major by-product of fermentation (more than 60% of total production) both at neutral and acidic pH (
Under anoxia, B. cereus can growth via nitrate ammonification (Zigha et al., 2006). Nitrate in the human intestine originates both from endogenous synthesis and dietary products rich in nitrate (Tannenbaum et al., 1978; Lidder and Webb, 2013). During nitrate respiration, nitrate is reduced by the respiratory nitrate reductase (NarGHI) to nitrite in B. cereus cells. Nitrite is further reduced to ammonia by a general nitrite reductase (NasDE). Nitrate reduction is coupled to ATP generation through proton motrice force (Rosenfeld et al., 2005). Due to the drastically different ATP yields of respiratory and fermentative processes, B. cereus uses a fine-tuned regulatory system to maintain the most efficient mode of ATP generation under anoxia (Zigha et al., 2006). Nitrate-respiring B. cereus cells produce nitric oxide (NO) as an intermediate product of nitrate reduction to N2O (Kalkowski and Conrad, 1991). The chemical properties of NO make this gas a good candidate for a signaling molecule (Gusarov and Nudler, 2012). Gram-positive bacteria, including B. cereus can also generate NO through a bacterial analog of mammalian NO synthase (bNOS) in presence of oxygen. It has been shown that bNOS from B. subtilis. B. anthracis displayed NO-forming activity dependent on arginine (
Exoproteins and Virulence Factors Supporting Pathogenesis
Bacillus cereus excretes high level of proteins into the extracellular medium. However, the level of excreted proteins is lower during anaerobic fermentative growth than under aerobic respiratory growth (Madeira et al., 2016a,b). Like transcription and translation, exportation of proteins is an energetically expensive process. Therefore, the decrease of protein excretion in fermentative cells may be attributed to decreased energy availability. Most exoproteins are secreted as precursors with a cleavable N-terminal signal sequence, but a significant fraction is secreted by non-classical pathways, i.e., without signaling peptides and sequence motifs for surface anchoring. Six signal peptide-dependent pathways are currently recognized in Gram-positive bacteria (Schneewind and Missiakas, 2014): the general secretory (Sec) pathway, the twin arginine targeting (Tat) pathway, the fimbrillin-protein exporter, the flagellar export apparatus, the holins, and the ESAT-6/WXG100 secretion system. The Sec pathway is considered the general housekeeping protein translocation system and is essential in B. cereus (Fagerlund et al., 2010; Senesi and Ghelardi, 2010; Senesi et al., 2010). The proteins arising from cellular secretion and other protein export mechanisms are components of the B. cereus exoproteome (
The toxin-related proteins found in B. cereus exoproteome include the lytic components (L1 and L2) and the binding component (B) of Hemolysin BL (Hbl). Hbl requires all three components for full activity (
Taken together, the 15 toxin-related proteins found in B. cereus exoproteome represent more than 30% of exoproteins during the exponential growth phase, suggesting that they may have an important cellular function for the producer bacterium (
The regulation of B. cereus toxin gene expression mobilizes a complex machinery (
Redox Regulators that Coordinate Central Metabolism and Production of Toxin-Related Proteins
A number of classical sensors/regulators are employed by various species of bacteria to sense oxygen changing conditions (
FIGURE 3

Redox-sensing mechanisms of transcriptional regulators in B. cereus. HoloFnr binds one [4Fe-4S]2+ cluster per monomer. This cluster is degraded upon exposition to oxygen. ApoFnr (clusterless) is active as a DNA binding protein under its reduced dimeric form. The oxidized ApoFnr form, which is stabilized by means of one or more SS bonds, is inactive. The thiol-based redox switch mediates a response to oxygen concentration or cellular oxidant (see text). Binding of ResD to DNA is not dependent on ResD phosphorylation status, which is regulated by the kinase and phosphatase activities of ResE. Rex senses the intracellular redox status through changes in the NADH/NAD+ ratio. Unlike the NAD+-bound Rex form, the NADH-bound Rex form is incapable of binding DNA. OhrR senses oxygen concentration or ROS through cysteine residues (see text). OhrR is a non-covalent dimer in its reduced form and a covalent dimer in its oxidized form. Dihydrolipoate (DHLA) and low molecular mass thiols (LMW) participate in the recovery of reduced OhrR from the oxidized form. B. cereus OhrR can bind DNA both under its reduced and oxidized form.
B. cereus Fnr
The B. cereus Fumarate and nitrate reductase regulator Fnr is a member of the Crp/Fnr (cyclic AMP-binding protein/fumarate nitrate reduction regulatory protein) family of helix-turn-helix transcriptional regulators (Korner et al., 2003). Like all the members of the Crp/Fnr family, B. cereus Fnr contains an N-terminal region made up of antiparallel β-strands able to accommodate a nucleotide, and a C-terminal extension with four cysteine residues that coordinate a [4Fe-4S]2+ cluster (
B. cereus ResDE
The ResDE two-component signal transduction system consists of a membrane-bound histidine sensor kinase (ResE) and a cytoplasmic response regulator (ResD). The resD and resE genes compose a transcriptional unit included into a larger operon that comprises resABC; these three genes encode proteins similar to those involved in cytochrome c biogenesis (
B. cereus Rex
Changes in oxygen availability and ORP influence the relative level of dinucleotides NAD+ and NADH in the cells, and such changes are sensed by the transcriptional regulator Rex. The crystal structure of Rex from Thermus aquaticus. Thermus thermophilus in complex with NADH and of B. subtilis Rex without cofactor has been determined (Sickmier et al., 2005; Wang et al., 2008). Rex is composed of two structural domains, an N-terminal domain that adopts a winged helix-turn-helix fold that most likely interacts with DNA, and a C-terminal NADH binding domain. In the complex with NADH, the N-terminal domains pack close to each other in a compact dimer. This conformation of Rex is unable to bind DNA. Rex is thus active as a repressor only when the NAD+/NADH ratio indicates adequate NAD+. By monitoring the NAD+/NADH ratio, Rex helps the cells to regulate pathways that regenerate NAD+. Typically, B. cereus Rex regulates the carbon flow distribution at the pyruvate node by favoring and limiting the carbon flow entry into the NADH-recycling lactate pathway under anoxic and oxic conditions, respectively (Laouami et al., 2014). By controlling this carbon flow, Rex also controls the availability of glycolytic intermediates for macromolecular synthesis as well as supporting NADPH production through different enzymes located in the TCA cycle, glycolysis and PPP (Laouami et al., 2014). In addition to fine-tune the levels of the prooxidant NADH and the antioxidant NADP, Rex regulates directly the synthesis of antioxidant systems like the OhrRA system (Laouami et al., 2014). Rex also regulates directly the expression of fnr. resD, and ldhA. LdhA activity is a critical factor in B. cereus virulence (Laouami et al., 2011).
B. cereus OhrRA
The B. cereus OhrRA (organic hydroperoxide resistance) system comprises a thiol-dependent peroxidase protein (OhrA), which functions as a low ORP sensor under anoxic conditions and a redox-sensing transcriptional regulator (OhrR), which belongs to the MarR family of winged helix-turn-helix DNA binding protein (Panmanee et al., 2006;
Interactions among the Redox Regulators
Although each of the global redox sensors senses different signals, they interact with each other and with operon-specific promoters. Transcriptional activation by Fnr is probably the first response to changing oxygen availability. Fnr regulates its own transcription and the transcription of resDE and rex, thereby making ResD and Rex more active/inactive as regulators of both catabolic pathways that supply the metabolic intermediates necessary to synthetize enterotoxins, and enterotoxin gene expression. Because Fnr and ResD interact with each other, the change of ResD level generated by Fnr accentuates or reduces this interaction. In addition, the changes of menaquinone redox state and NAD+/NADH ratio induced by changing oxygen concentrations also affect the activities of ResD and Rex, respectively; this impacts the expression of fnr and their own expression. By regulating the synthesis of the OhrRA system, which is indirectly stimulated by ROS under both normoxia and low-ORP anoxia, Rex also impacts indirectly carbon flow, and enterotoxin synthesis. In conclusion, the regulatory network involving redox sensors is undoubtedly complex but permits the microorganism to coordinate efficiently its central metabolism with enterotoxin production (Figure 4).
FIGURE 4

Adaptation to changing oxygen availability affects B. cereus pathogenicity at different levels. Oxygen acts directly on activity of Fnr and metabolism. Fnr, ResDE, Rex, and OhrR belong to a redox signaling pathway, which interconnects metabolism with expression of enterotoxins. In addition to its role in removing metabolism-generated ROS, antioxidant status modulates the oxidation status of Met residues in enterotoxins (Madeira et al., 2015). Metabolism also contributes directly to pathogenicity by supporting growth and stress resistance, and by modulating exoprotein synthesis.
Concluding Remarks
Maintaining an appropriate redox balance is essential for B. cereus adaptation to changing oxygen availability, and probably for resistance to acid stress (Liu et al., 2016). Redox homeostasis depends of the antioxidant system, which enables bacterial cells to maintain proteins and other cellular components in active state for metabolism. However, to date, we lack knowledge on the intracellular B. cereus environment, the behavior of redox couples under different environmental conditions, and the mechanisms of sustained redox homeostasis in B. cereus. In particular, a fundamental challenge is to understand how antioxidant-oxidant interactions modulate B. cereus pathogenesis.
Conclusion
Bacillus cereus adaptation to acid and low oxygen environments follows pathways that look quite similar to those that have been examined and described in great detail for other bacteria. However, there are also several clear differences that warrant the further examination of the adaptation mechanisms of B. cereus to its challenging environments from both a fundamental and industrial point of view.
What is clearly lagging in B. cereus research is knowledge of the possible roles that small RNAs (sRNAs) may play in stress responses. Indeed, it is now evident that sRNAs play an essential role in gene regulation under various stress conditions (
Statements
Author contributions
CD wrote the paper. MJ and PS contribute to the writing of the part one of the manuscript.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
Bacillus cereus, redox homeostasis, oxygen sensing, acidic pH, metabolism
Citation
Duport C, Jobin M and Schmitt P (2016) Adaptation in Bacillus cereus: From Stress to Disease. Front. Microbiol. 7:1550. doi: 10.3389/fmicb.2016.01550
Received
28 July 2016
Accepted
15 September 2016
Published
04 October 2016
Volume
7 - 2016
Edited by
Lorena Ruiz, Universidad Complutense de Madrid, Spain
Reviewed by
George-John Nychas, Agricultural University of Athens, Greece; Folarin Anthony Oguntoyinbo, University of Lagos, Nigeria
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© 2016 Duport, Jobin and Schmitt.
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*Correspondence: Catherine Duport, catherine.duport@univ-avignon.fr
This article was submitted to Food Microbiology, a section of the journal Frontiers in Microbiology
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