Investigation of LuxS-mediated quorum sensing in Klebsiella pneumoniae

Introduction Autoinducer-2 (AI-2) quorum sensing is a bacterial communication system that responds to cell density. The system requires luxS activity to produce AI-2, which can regulate gene expression and processes such as biofilm formation. Aim To investigate the role of luxS in biofilm formation and gene expression in the nosocomial pathogen Klebsiella pneumoniae . Methodology A ΔluxS gene deletion was made in K. pneumoniae KP563, an extensively drug-resistant isolate. AI-2 production was assessed in wild-type and ΔluxS strains grown in media supplemented with different carbohydrates. Potential roles of luxS in biofilm formation were investigated using a microtiter plate biofilm assay and scanning electron microscopy. Quantitative RT-PCR evaluated the expression of lipopolysaccharide (wzm and wbbM), polysaccharide (pgaA), and type 3 fimbriae (mrkA) synthesis genes in wild-type and ΔluxS mutant biofilm extracts. Results AI-2 production was dependent on the presence of luxS. AI-2 accumulation was highest during early stationary phase in media supplemented with glucose, sucrose or glycerol. Changes in biofilm architecture were observed in the ΔluxS mutant, with less surface coverage and reduced macrocolony formation; however, no differences in biofilm formation between the wild-type and ΔluxS mutant using a microtiter plate assay were observed. In ΔluxS mutant biofilm extracts, the expression of wzm was down-regulated, and the expression of pgaA, which encodes a porin for poly-β−1,6-N-acetyl-d-glucosamine (PNAG) polysaccharide secretion, was upregulated. Conclusion Relationships among AI-2-mediated quorum sensing, biofilm formation and gene expression of outer-membrane components were identified in K. pneumoniae . These inter-connected processes could be important for bacterial group behaviour and persistence.


InTRoduCTIon
Quorum sensing (QS) is a cell-to-cell communication system that allows bacteria to regulate biological functions in response to changes in population density, thus acting as a mechanism for environmental adaptation [1,2]. The system is controlled by the production, secretion and detection of extracellular signalling molecules called autoinducers. Two main classes of autoinducers are defined by two systems, termed Type I QS and Type II QS. In Type I QS, the autoinducer-1 molecules are N-acyl homoserine lactone (AHL) derivatives. In Type II QS, the signalling molecules are known as autoinducer-2 (AI-2) [3,4]. Unlike Type I QS, which is a highly specific system used for intraspecies communication, Type II QS is believed to function for interspecies communication, allowing bacteria to respond not only to their own AI-2, but to the AI-2 produced by other species.
AI-2 is produced by the enzyme LuxS and converts S-ribosylhomocysteine (SRH) to 4,5-dihydroxy-2,3-pentanedione (DPD) [5]. The DPD form is unstable and undergoes spontaneous cyclization to form a furanosyl borate diester (the AI-2 molecule). In Escherichia coli, AI-2 is exported via the transmembrane protein TqsA and imported by the ABC transporter LsrACDB [6,7]. Once internalised into the cytoplasm, AI-2 is phosphorylated by LsrK, and phospho-AI-2 acts to inhibit LsrR repression of the lsr operon, thereby leading to increased AI-2 uptake. As the bacterial cell density increases, and once a critical threshold level of extracellular AI-2 is reached for detection by cognate receptors, a signal transduction cascade is triggered. This signalling results in populationwide expression of target genes and alterations in bacterial physiology relating to virulence, protein secretion, extracellular polysaccharide production, iron acquisition, motility and biofilm formation [4,8].
The Gram-negative bacterium Klebsiella pneumoniae has emerged as a multidrug-resistant pathogen that has spread globally and is acknowledged as a cause of invasive blood-borne infections, as well as pneumonia and urinary tract infections, particularly in healthcare settings [9,10]. K. pneumoniae characteristically produces a thick and often mucoid polysaccharide capsule and an assortment of adherence factors, which assist bacteria to persist in diverse environments, particularly via their attachment to surfaces within biofilm communities [11,12]. Biofilms provide conditions that physically protect cells from hostile environmental factors, antimicrobials or components of the immune system, and are the cause of many chronic infections, particularly those associated with indwelling medical devices [13][14][15]. These sessile communities, where bacteria can reside in close proximity with each other, also creates increased opportunities for chemical signalling and gene transfer to occur between bacterial cells of the same or different species [16,17]. This is an especially important genetic mechanism that is largely responsible for the continually increasing incidence of antibiotic-resistant phenotypes and related infections [18]. Recent efforts to develop alternative strategies to combat bacterial infections have led to the identification of novel compounds that target bacterial processes, including quorum sensing and biofilm formation [19][20][21]. For instance, a 'quorum quenching' enzyme that inactivates AI-2 molecules has been discovered that inhibits K. pneumoniae biofilm formation [22].
A functional Type II QS system was previously identified in K. pneumoniae, where luxS was shown to be critical for AI-2 synthesis [5,23], and mutations in quorum sensingrelated genes induced changes in biofilm formation and LPS synthesis [5,24]. However, other biological processes and genetic targets regulated by QS in K. pneumoniae have yet to be identified. This study aimed to assess whether a ΔluxS mutant of an extensively drug-resistant K. pneumoniae clinical isolate demonstrated changes in biofilm formation and gene expression. The study also examined how environmental cues, in the form of various carbon sources, regulate the production of AI-2 by K. pneumoniae.

Construction of K. pneumoniae ΔluxS mutant
A K. pneumoniae KP563 luxS-deficient (ΔluxS) mutant was constructed by allelic replacement with a kanamycin resistance-encoding gene (Km) following the 'gene gorging' method, as described previously [27]. The required primers were designed using the reference K. pneumoniae MGH78578 genome and listed in Table 2. The 'donor plasmid' containing the desired mutation was constructed as follows. A 1478 bp Km cassette with flanking fragment length polymorphism (FLP) recombinase target (FRT) sites was amplified from pKD4 using primers KanF and KanR [28]. The 492 and 699 bp fragments flanking the upstream and downstream luxS gene sequence, respectively, were amplified from K. pneumoniae KP563 genomic DNA. Overlapping extension PCR [29] was used to connect the three fragments to yield a ~2.7 kb ISce-I-flanked product, which was cloned into pGEM-T Easy (Promega) to create the donor plasmid. The construct was confirmed by DNA sequencing.
The mutagenesis was conducted by electroporating the donor plasmid and pACBSR (which contains I-SceI endonuclease and lambda Red recombinase genes under inducible control by l-arabinose) into competent K. pneumoniae cells [27]. Transformants were selected on LB agar plates containing kanamycin and chloramphenicol. One transformant was inoculated into 1 ml LB supplemented with 0.2 % (w/v) l-arabinose and chloramphenicol and cultured at 37 °C for 16 h. Cell dilutions were grown on LB agar containing kanamycin, and mutants were confirmed by colony PCR using luxS(BspHI)F/luxS(BamHI)R and luxS(BspHI)F/ KanR2 primers. The loss of pACBSR was induced by 0.2 % l-arabinose without selection.

Creation of complementation constructs
The K. pneumoniae KP563 luxS gene and native promoter region was amplified by PCR using luxS(BspHI)F and luxS(BamHI)R primers and cloned into pACYC184 [30] via the unique BamHI/BspHI restriction sites within the tetracycline resistance-encoding gene. Complementation constructs were maintained in cells with chloramphenicol resistance selection. The empty vector (pACYC184) was introduced into K. pneumoniae wild-type and ΔluxS mutant strains as controls.

AI-2 production assay
Detection of AI-2 in the K. pneumoniae culture supernatants was assessed using the reporter strain V. harveyi BB170 [31], as described previously [26]. Briefly, K. pneumoniae strains were grown in LB or LB containing 1 % glucose, 1 % sucrose or 1 % glycerol, with shaking at 37 °C. Cell-free supernatant (CFS) samples were prepared every 2 h by centrifugation (10 min at 8000 g) of 1 ml aliquots, followed by passing through 0.2 µm membrane filters. CFS samples were stored at −20 °C until assayed. A 180 µl aliquot of an overnight culture of V. harveyi BB170 was mixed with 20 µl CFS sample and diluted 1 : 5000 in AB medium. Samples were then transferred to black 96-well microtiter plates with flat transparent bottom (Corning) and incubated at 30 °C for 3 h with shaking. AI-2 levels were measured in an Infinite M200 plate reader (Tecan) at OD 490 and data were represented as the fold change relative to the negative control (AB medium replaced CFS).

Growth curve measurement
Stationary K. pneumoniae cultures were diluted 1 : 1000 in LB, or LB supplemented with 1 % glucose, 1 % sucrose, or 1 % glycerol, and incubated at 37 °C with shaking. Growth was measured every 2 h at OD 600 using an Infinite M200 plate reader. Experiments were conducted in triplicate.

Biofilm formation assay
Biofilm formation assays were performed as previously described with minor modifications [32]. Strains were initially grown in LB overnight at 37 °C before diluting 1 : 100 in LB, or LB supplemented with 1 % glucose, 1 % sucrose, or 1 % glycerol, and aliquoting 100 µl into 96-well, flat bottom, non-tissue culture treated polystyrene plates (Corning). Wells containing media alone were used as negative controls. Following incubation for 24 h at 37 °C, planktonic cells were removed and the wells were washed twice with dH 2 O. Biofilms were stained with 150 µl 0.1 % (w/v) crystal violet for 15 min and wells were rinsed twice with dH 2 O. Stained biofilms were solubilised with 95 % ethanol and quantified by measuring the OD 600 using an Infinite M200 plate reader.

Scanning electron microscopy (SEM)
Stainless steel pieces were incubated with K. pneumoniae in LB for 24 h at 37 °C, as described elsewhere [33]. Samples were fixed in 2.5 % glutaraldehyde for 2 h and then exposed to increasing concentrations of ethanol (50 %, 70 %, 80 %, 90 %, 100 %) for 10 min each. Biofilms were then dried with hexamethyldisilazane and coated with gold. The biofilms on stainless steel were examined with an SEM (Hitachi S-3000N, Japan). Images were captured at ×2000 magnification.

Quantitative reverse transcription (RT)-PCR
The expression levels of mrkA, wzm, wbbM and pgaA genes in K. pneumoniae KP563 wild-type and ΔluxS were determined from biofilm-grown cells using quantitative RT-PCR (qRT-PCR). Briefly, bacteria were grown in RPMI 1640 at 37 °C in 6-well microtiter plates and, after 8-or 24 h, wells were gently washed and biofilm cells were removed from the well surface using a cell scraper and resuspended in saline solution. Total RNA was extracted from K. pneumoniae using an RNeasy Mini Kit (Qiagen) and cDNA was synthesised using the RevertAid First Strand cDNA Synthesis Kit (Thermo Scientific) according to the manufacturers' instructions. qRT-PCR was performed with an Applied Biosystems 7500 RT-PCR System using a SYBR Green RT-PCR Kit (Qiagen) and the primer pairs listed in Table 2. The relative expression levels of tested genes were normalised to the expression of the rpoB housekeeping gene. Each sample was run in triplicate and the means of Ct values were obtained for analysis. The relative gene expression was represented as fold change between the K. pneumoniae KP563 wild-type and ΔluxS mutant strains. Data were analysed using the 2 -ΔΔCt method.

Statistical analysis
The Student's t-test was used to analyse the difference in biofilm formation ability and gene expression levels. P values of<0.05 were considered statistically significant. Statistical analysis was performed with GraphPad Prism 7.01 software.

Construction of a K. pneumoniae ΔluxS mutant
To analyse the function of luxS-dependent signalling in K. pneumoniae KP563, we first constructed an isogenic ΔluxS mutant in this strain by replacing the luxS gene with a kanamycin resistance cassette via allelic exchange (Fig. 1a).
The mutant strain was verified by PCR ( Fig. 1b and c) and sequencing.

Effect of carbon source on AI-2 production by K. pneumoniae
A bioluminescence assay was used to monitor the kinetics of AI-2 production in K. pneumoniae. Comparisons were made for K. pneumoniae KP563 wild-type, ΔluxS mutant and the ΔluxS mutant complemented with pACYC184 carrying the KP563 luxS gene (pluxS). At various time-points during growth, the cell-free supernatant was collected and tested for luminescence activation in a V. harveyi BB170 reporter strain, which is known to respond to AI-2 [31,34]. The AI-2 levels reported in the assay reflect the net production and degradation rates of the autoinducer.
As shown in Figs 2a, AI-2 production by K. pneumoniae cultured in LB media was detected between 2-6 h growth and reached peak production at the mid-log growth phase (~4 h). In contrast, the ΔluxS mutant failed to produce detectable levels of AI-2 over 24 h. Complementation of the ΔluxS mutant with the pluxS plasmid restored AI-2 production to near wild-type levels. To identify media conditions that promoted AI-2 production in K. pneumoniae KP563, 1 % glucose, sucrose or glycerol were supplemented to LB media. The exogenous carbon sources caused significant changes in the rates of AI-2 accumulation by K. pneumoniae (Fig. 2b-e). LB media containing any of these carbohydrates also resulted in K. pneumoniae reaching stationary growth phase at an earlier time (~6 h) compared to LB without supplementation (>10 h) (Fig. 3). In the presence of the supplemented sugars, AI-2 levels gradually accumulated after 2 h and reached a maximum level during early stationary growth phase (~8-10 h) before falling to barely detectable levels by 24 h. As observed previously, AI-2 production was not detected in the ΔluxS mutant, however partial or complete AI-2 production was observed upon pluxS complementation. There were no observable differences in growth rate between the wild-type, ΔluxS mutant and complemented ΔluxS+pluxS mutant in all conditions tested (Fig. 3).

Investigation of the contribution of LuxS to biofilm formation
To explore what influence a ΔluxS mutation had on the biofilmforming ability of K. pneumoniae KP563, a crystal violet stainbased biofilm assay using 96-well polystyrene plates as the substrate was employed. No difference was observed between the wild-type and ΔluxS mutant strains when cultured in LB for 24 h (Fig. 4a). The addition of different carbon sources to the growth media, whilst significantly reducing the amount of biofilm formation for all strains tested, did not cause a difference in biofilm formation between the wild-type and ΔluxS mutant.
Scanning electron microscopy (SEM) was then used to examine more closely the structure of the biofilm architecture. The imaging revealed that the biofilms of K. pneumoniae KP563 wild-type and complemented ΔluxS+pluxS mutant strains appeared dense and aggregated with evidence of large regions of macrocolony formation. In contrast, the ΔluxS mutant cells were more sparsely localised within the biofilm mass (Fig. 4b).

LuxS-mediated alteration in biofilm-related gene expression
Given the differences observed in macrocolony formation observed above, we quantified the expression of four genes in the wild-type and ΔluxS mutant that are involved in the production of prominent outer-membrane structures. These included genes required for lipopolysaccharide (LPS) biosynthesis (wzm and wbbM), poly-β−1,6-N-acetyl-d-glucosamine (PNAG) polysaccharide secretion (pgaA) and type 3 fimbriae biosynthesis (mrkA). Quantitative RT-PCR was performed on RNA extracted from K. pneumoniae wild-type and ΔluxS mutant biofilm extracts following 8-and 24 h growth, and the relative gene expression was determined. Compared to their expression in the wild-type strain, there were no significant differences in the expression of mrkA and wbbM genes in the ΔluxS mutant after 8-or 24 h biofilm growth (Fig. 5). However, a significant decrease in the expression of wzm (2.7-fold) and an increase in the expression of pgaA (2.9-fold) in the ΔluxS mutant compared to the wild-type strain were observed after 8 h biofilm growth.

Influence of growth conditions on AI-2 production
Using a V. harveyi reporter system that responds to AI-2 molecules, we showed that K. pneumoniae KP563 grown in LB without supplemented carbon produced maximum AI-2 levels during the mid-exponential phase. In addition, AI-2 production was abolished in the ΔluxS mutant when tested in all media conditions, which supports other studies suggesting that Type II QS is luxS-dependent in K. pneumoniae [5,35]. We also showed that the K. pneumoniae KP563 luxS gene under the control of its native promoter could trans-complement the ΔluxS mutation. These results are also consistent with other studies showing that maximum AI-2 production is detected during the exponential phase, which is also the period of greatest luxS gene expression levels [5,23,35]. However, AI-2 levels returned quickly to basal levels in the late-exponential phase, before cell density had reached its maximum. This is  in contrast with other K. pneumoniae strains that show AI-2 accumulation into the early stationary phase when the bacterial density reaches its highest [5,23]. In E. coli and S. enterica serovar Typhimurium, only low levels of AI-2 were detected in the culture supernatant when grown in LB in the absence of glucose, due primarily to the rapid internalisation of AI-2 into cells by the Lsr transporter [7,36]. Thus, in the absence of an exogenous carbon source, extracellular AI-2 exists only transiently.
It has been shown in E. coli and other species that AI-2 production and uptake are controlled by catabolite repression through the cyclic AMP (cAMP)-cAMP receptor protein (CRP) complex [7,37,38]. In the presence of glucose or other phosphotransferase system (PTS) sugars, low levels of intracellular cAMP and CRP results in reduced transcription of the lsr operon. This indirectly causes luxS upregulation and enhances AI-2 production and accumulation in the extracellular medium until all available sugars are depleted, after which AI-2 levels fall significantly [7,[38][39][40]. We assessed the influence of exogenous carbon sources on AI-2 levels and found that the addition of glucose, sucrose and glycerol to LB all significantly increased AI-2 accumulation in the extracellular medium between the mid-exponential and early stationary growth phases. Similar AI-2 detection profiles were observed for the three carbohydrate conditions tested. This was in contrast to Zhu et al., who reported distinct AI-2 activity profiles [35]. Specifically, they showed that glucose stimulated K. pneumoniae to accumulate up to four-fold more AI-2 than sucrose and glycerol, with peak levels seen at lateexponential growth. In addition, maximum AI-2 levels from glycerol and sucrose supplementation were observed at midexponential and early-stationary growth phases, respectively [35]. Genetic variations between the strains used in these studies may account for the differences in AI-2 profiles. For instance, differences in the presence, expression or activity of PTS proteins between bacterial strains to import and utilise certain saccharides could influence catabolite repression systems, and hence QS signalling [38,41]. Our results, combined with other studies described above, suggest that a relationship between QS and catabolite repression through a cAMP-CRP mechanism may exist in K. pneumoniae -further investigation is required to determine this.

Assessment of biofilm formation by a K. pneumoniae ΔluxS mutant
Many bacterial species build surface-attached, multi-cellular communities known as biofilms. These biofilms are associated with increased resistance to antimicrobial agents compared to planktonic cells. Previous research has shown an interplay between quorum sensing and biofilm formation [42,43]. For instance, AI-2 production or uptake has been shown to influence E. coli biofilm formation via an effect on flagellar motion and motility [44], as well as biofilm formation by Pseudomonas aeruginosa [45] and S. enterica serovar Typhimurium [46]. K. pneumoniae forms biofilms on various surfaces, where cell attachment is dependent on the production of exopolysaccharides and adhesive proteins such as type 3 fimbriae [47][48][49][50]. There have been limited studies describing a relationship between QS systems and biofilm formation by K. pneumoniae. One study demonstrated that although a K. pneumoniae LM21 ΔluxS mutant did not show major differences in a microtiter plate biofilm assay, the mutant exhibited reduced microcolony development following growth in continuous-flow chambers [5]. In another study, De Araujo et al. showed that K. pneumoniae LM21 strains deficient in either AI-2 export (ΔtqsA) or import (ΔlsrCD) machinery demonstrated reduced biofilm thickness but increased surface coverage following growth in a dynamic microfermentor [24]. In addition, luxS was shown to be upregulated in biofilmgrown XDR K. pneumoniae isolates [51].
In the present study, we imaged K. pneumoniae KP563 using SEM and observed evidence of reduced spatial distribution and microcolony formation by the ΔluxS mutant. As such, we speculate that AI-2-signalling may have more influence on biofilm architecture than biomass, which was also proposed by others [5,24]. No major differences in biofilm formation between the wild-type and ΔluxS mutant were observed when using a microtiter plate assay, even in carbohydrate-rich media shown to significantly promote AI-2 accumulation. In part, this observation was consistent with the qRT-PCR comparison of wild-type and ΔluxS mutant biofilm extracts, which showed no significant differences in the relative expression of mrkA, which encodes the major subunit of type 3 fimbriae and known to be an important factor for initial-stage biofilm formation [52,53]. Therefore, we found no evidence that type 3 fimbriae were regulated by AI-2-mediated QS for the bacterial isolate and assay conditions tested.
We speculate that the reduced biofilm formation of K. pneumoniae in the presence of carbohydrate supplementation was the result of enhanced exopolysaccharide synthesis, which could potentially mask the exposure and function of underlying adhesive factors such as fimbriae. Alternatively, a nutrient excess could result in regulatory changes to promote planktonic growth while limiting biofilm growth, the latter of which might instead be favoured in nutrientpoor environments [54]. Carbohydrate supplementation to the growth media is known to significantly increase capsule polysaccharide (cps) gene expression and CPS biosynthesis in K. pneumoniae [55,56]. Moreover, CPS biosynthesis by K. pneumoniae was shown to be upregulated in response to glucose by cAMP-dependent carbon catabolite repression (CCR) [56]. Therefore, it is possible that a complex regulatory system involving catabolite repression may influence both CPS biosynthesis and AI-2 signalling in K. pneumoniae.
Our results are in agreement with other studies showing that biofilm formation by K. pneumoniae and E. coli could be inhibited by high concentrations of sugars such as glucose [57,58]. The interference of bacterial capsulation with underlying adhesins to cause reduced bacterial attachment or biofilm formation is a well-recognised observation in K. pneumoniae. For instance, capsule expression was shown to block the activity of Antigen 43 [59], and defects in exopolysaccharide synthesis promoted increased bacterial adherence, possibly as a result of more opportunities for cell-surface and/ or intercellular interactions [47,[60][61][62][63].

LuxS-mediated gene expression in K. pneumoniae biofilms
The polysaccharides comprise a component of the extracellular polymeric substances (EPS) that bacteria within a biofilm are embedded within. The properties of EPS provide stability and architecture to the biofilm, as well as trapping nutrients, preventing desiccation, and preventing antimicrobial access to bacteria [64]. In other bacteria, QS systems have been shown to regulate the expression of polysaccharide production [65][66][67]. However, in K. pneumoniae, the expression of capsule polysaccharide biosynthesis genes (wza, wzi and wzx) were unaltered in Δlsr, Δtqs and ΔluxS mutants during biofilm growth, suggesting that the capsule was not regulated via AI-2 signalling [24].
We observed that the expression of pgaA, which encodes the outer-membrane PgaA porin that facilitates PNAG translocation to the cell surface, was upregulated in the ΔluxS mutant. PNAG is a common bacterial surface polysaccharide and is an important component of the EPS of biofilms [68][69][70][71][72]. In K. pneumoniae, PNAG was shown to be a virulence factor in a murine model of peritonitis and can mediate opsonophagocytosis [73,74]. Furthermore, pgaA was shown to be upregulated in biofilm-grown K. pneumoniae [51], and a K. pneumoniaeΔpgaC mutant that lacked the β-glycosyltransferase needed to polymerise PNAG showed reduced biofilm formation in the presence of 1 % bile salts [73]. Here, we suggest that K. pneumoniae might use AI-2mediated QS to regulate the expression of PNAG. It is possible that PNAG production is downregulated by bacteria to avoid detection in situations where the extracellular exposure of the antigen would trigger opsonophagocytosis, especially in biofilm communities where the cell density might be high. Another possibility, which is not mutually exclusive depending on the environmental niche, is that AI-2-mediated signalling regulates PNAG expression to alter the opportunities for K. pneumoniae to engage in cell-cell and/or cell-surface interactions. We believe this is the first description of a possible relationship between the regulation of PNAG expression and a QS system; however, further experiments are required to characterise the molecular mechanisms involved, including any involvement with the activated methyl cycle.
The LPS is a macromolecule attached to the outer membrane of Gram-negative bacteria and can influence biofilm formation and structure in K. pneumoniae and other species through various mechanisms, such as modulating surface hydrophobicity and surface charge [60,[75][76][77][78]. The wbbM and wzm LPS synthesis genes were previously shown to be upregulated in the biofilms of K. pneumoniae isolates compared to planktonic growth [51]. Our results showed that luxS could have a role in regulating LPS synthesis in the early stages of biofilm formation, because the wzm gene, which encodes a membrane protein involved in translocation of the O-antigen, was downregulated in ΔluxS mutant 8 h biofilm extracts. Our results are in contrast to the study by De Araujo et al., which instead showed upregulation of both the wbbM and wzm genes in K. pneumoniae LM21 ΔluxS mutant biofilm extracts compared to wild-type cell extracts [24]. The differences between the two studies could be due to genetic variations in the bacterial isolates and/or the assay conditions used.
In summary, this study established a functional AI-2 QS system in an extensively drug-resistant K. pneumoniae clinical isolate and found a relationship between luxS and the expression of LPS and PNAG biosynthesis genes, as well as biofilm architecture. Biofilm formation, polysaccharide production and metabolic pathways are influenced by nutrient availability and other environmental conditions. Further investigations of how K. pneumoniae coordinates these processes within the QS signalling network, as well as characterising other genes and processes regulated by AI-2, could provide new avenues directed towards reducing the spread and burden of disease caused by this pathogen.
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