Chlamydia trachomatis GlgA Is Secreted into Host Cell Cytoplasm

Glycogen has been localized both inside and outside Chlamydia trachomatis organisms. We now report that C. trachomatis glycogen synthase (GlgA) was detected in both chlamydial organism-associated and -free forms. The organism-free GlgA molecules were localized both in the lumen of chlamydial inclusions and in the cytosol of host cells. The cytosolic GlgA displayed a distribution pattern similar to that of a known C. trachomatis-secreted protease, CPAF. The detection of GlgA was specific since the anti-GlgA antibody labeling was only removed by preabsorption with GlgA but not CPAF fusion proteins. GlgA was detectable at 12h and its localization into host cell cytosol only became apparent at 24h after infection. The cytosolic localization of GlgA was conserved among all C. trachomatis serovars. However, the significance of the GlgA secretion into host cell cytoplasm remains unclear since, while expression of chlamydial GlgA in HeLa cells increased glycogen stores, it did not affect a subsequent infection with C. trachomatis. Similar to several other C. trachomatis-secreted proteins, GlgA is immunogenic in women urogenitally infected with C. trachomatis, suggesting that GlgA is expressed and may be secreted into host cell cytosol during C. trachomatis infection in humans. These findings have provided important information for further understanding C. trachomatis pathogenic mechanisms.


Introduction
Urogenital tract infection with Chlamydia trachomatis is a leading cause of sexually transmitted bacterial diseases [1][2][3]. However, the molecular mechanisms of C. trachomatis pathogenicity remain unclear. Nevertheless, the intracellular survival and replication of C. trachomatis organisms are thought to contribute significantly to inflammatory pathologies induced by C. trachomatis infection [4][5][6][7]. The C. trachomatis organisms have evolved a unique intracellular growth cycle with distinct biphasic stages [8]. The organisms invade epithelial cells via induced endocytosis in the form of elementary bodies (EBs). An endocytosed EB rapidly develops into a noninfectious but metabolically active reticulate body (RB) that is able to undergo biosynthesis and multiplication within the initially established cytoplasmic vacuole called chlamydial inclusion. The accumulation of progeny RBs in the inclusions triggers the differentiation of RBs back into EBs for exiting infected cells and spreading to new cells. The question is how chlamydial organisms are able to establish and maintain such a successful intracellular infection. The C. trachomatis organisms have evolved the ability to secrete proteins into both the inclusion membranes and host cell cytosol and the secreted proteins have been hypothesized to play important roles in modifying host cellular processes for facilitating chlamydial invasion, intracellular survival/replication and spreading to new cells [5,[9][10][11][12][13][14][15][16][17][18][19][20][21][22]. Thus, searching for new Chlamydia trachomatis-secreted proteins (CtSPs) has been a most promising/productive approach for understanding chlamydial pathogenic mechanisms.
The C. trachomatis inclusions are known to contain glycogen that is detectable with iodine [23,24], which is consistent with the fact that the C. trachomatis genome encodes all necessary open reading frames (ORFs) required for both glycogen biosynthesis and catabolism [25]. Thus, the C. trachomatis organisms can both synthesize and utilize glycogen, which seems to be important in chlamydial pathogenesis since the plasmidless chlamydial organisms that are unable to produce a large amount of glycogen are no longer able to induce pathology in mouse oviduct [26]. Surprisingly, under electron microscopy, most glycogen particles were observed in the lumen of chlamydial inclusion [27,28], suggesting that most chlamydial glycogens are released out of the chlamydial organisms after/during synthesis or even synthesized outside of the organisms. It will be interesting to know whether the glycogen metabolism enzymes are also released into the inclusion lumen.
In the current study, we found that of the 6 glycogen metabolism-related enzymes investigated in the current study, only GlgA was detected outside of chlamydial organisms. An anti-GlgA antibody detected signals both inside and outside of chlamydial inclusions. Confocal microscopic analyses revealed that some intra-inclusion GlgA signals were completely independent of chlamydial organisms, suggesting that a portion of GlgA is secreted out of the organisms into the inclusion lumen. The extra-inclusion GlgA signal displayed a pattern similar to that of the C. trachomatis-secreted protease CPAF, suggesting that GlgA is also secreted into host cell cytosol. Efforts were made to ensure the antibody labeling specificities. GlgA secretion into host cell cytosol is highly conserved among all C. trachomatis serovars tested and may take place during infection in humans since GlgA is immunogenic in women urogenitally infected with C. trachomatis but not in rabbits immunized with dead C. trachomatis organisms, which is consistent with the concept that secretion of chlamydial proteins into host cell cytosol is often accompanied with enhanced immunogenicity. The above observations together have provided new information and tool for mapping the molecular basis of C. trachomatis pathogenesis.

3: Enzyme-linked immunosorbent assay (ELISA)
The fusion protein microplate ELISA was carried out as described previously [31]. Briefly, the GST-fusion proteins in the form of bacterial lysates were applied to glutathione-coated 96-well microplates (catalog number 15140B; Pierce, Rockford, IL) and used to assay antibody reactivities. All primary antibodies were preabsorbed with a bacterial lysate containing GST alone before they were assayed on the ELISA plates. The human and rabbit antisera were obtained and produced as described previously [30][31][32]. The goat anti-human IgA-IgG-IgM or donkey anti-rabbit IgG secondary antibodies conjugated with horseradish peroxidase (HRP) (catalog numbers 109-035-064 and 711-035-152, respectively; Jackson ImmunoResearch Laboratories, Inc., West Grove, PA) were used to probe the primary antibody binding. The soluble substrate 2,2′-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) diammonium salt (ABTS; catalog number A1888-5G; Sigma) was used to visualize the reactions, and the reactivity was recorded as the absorbance (optical density [OD]) at 405 nm. A GST-alone bacterial lysate-coated well in each plate was used as a negative control. Any wells with an OD equal to or greater than the mean plus 2 standard deviations were considered positive.

4: Immunofluorescence assay
The immunofluorescence assay was carried out as described previously [33,34]. HeLa cells with or without C. trachomatis infection grown on coverslips were processed for immunofluorescence assay. For some experiments, HeLa cells were transfected with the mammalian expression vector pFLAG-CMV4 (cat#E7158, Sigma) alone or recombinant pFLAG plasmid that encodes chlamydial GlgA gene. The GlgA gene from C. trachomatis serovar D was cloned into pFLAG-   (green; Jackson ImmunoResearch Laboratories, Inc) was used to visualize chlamydial organisms. The various mouse antibodies plus a goat anti-mouse IgG conjugated with Cy3 (red; Jackson ImmunoResearch) were used to visualize the corresponding antigens. The mouse antibodies included: polyclonal antibodies (pAbs) made against GST-GlgA, mAb 100a against CPAF [22], mAb clone 2H4 against Pgp3 [18] and mAb M1 against FLAG tag. All primary antibodies were preabsorbed with a bacterial lysate containing GST alone before use. In addition, for some experiments, the primary antibodies were further absorbed with either the corresponding or heterologous fusion proteins immobilized onto glutathioneconjugated agarose beads prior to staining, which was meant to prove the antibody binding specificities. The absorption was carried out by incubating the antibodies with bead-immobilized antigens for 1h at room temperature (RT) or overnight at 4 o C followed by pelleting the beads. The remaining supernatants were used for immunostaining. The immunofluorescence images were acquired using an Olympus AX-70 fluorescence  microscope equipped with multiple filter sets and Simple PCI imaging software (Olympus, Melville, NY) as described previously [22]. For some experiments, the immunostaining was analyzed with confocal microscopy at UTHSCSA imaging core facility. The images were processed using Adobe Photoshop (Adobe Systems, San Jose, CA).

5: Western blot assay
The Western blot assay was carried out as described elsewhere [30]. Briefly, HeLa cells with or without C. trachomatis infection and with or without fractionation along with GST fusion proteins were resolved in SDS-polyacrylamide gels. The resolved protein bands were transferred to nitrocellulose membranes for antibody detection. The primary antibodies were: mouse polyclonal antiserum against GlgA (current study), mAb 100a against CPAF [22], mAb MC22 against chlamydial major outer membrane protein (MOMP; ref: [22]), mAb AF1 against the chlamydial inclusion membrane protein CT813 [29] and mAb W27 against host cell HSP70 (cat#Sc-24, Santa Cruz Biotechnology, CA), The anti-MOMP antibody was used to ensure that all lanes with chlamydial organism-containing samples had equivalent amounts of the organisms loaded while the lanes without chlamydial organism samples should be negative for MOMP. The anti-HSP70 antibody was used to make sure that an equal amount of normal HeLa and chlamydia-infected HeLa samples were loaded. The primary antibody binding was probed with an HRP (horse radish peroxidase)-conjugated goat anti-mouse IgG secondary antibody (Jackson ImmunoResearch) and visualized with an enhanced chemiluminescence (ECL) kit (Santa Cruz Biotech).

6: Glycogen quantification
Glycogen was quantified using the EnzyChrom TM Glycogen Assay kit (cat#: E2GN-100, BioAssay systems, Hayward, CA) following a protocol recommended by the manufacturer. Briefly, HeLa cells grown in 6-well plates were infected with C. trachomatis L2 or transfected with pFLAG-CMV4 vector alone or recombinant pFLAG-CMV4-GlgA. 40h after infection or 24h after transfection, the cells were washed with ice-cold PBS and harvested in 0.5ml 10% KOH in 1.5ml microcentrifuge tube. After boiled at 100°C for 20 minutes and cooled to room temperature, Tricholoroacetic acid (TCA) was added to a final concentration of 10%. After centrifuging at 10,000g for 10min, the supernatant was transferred to a new tube and mix with 1ml ethanol and centrifuge at 4,000 g for 15min. The pellet was washed with 70% ethanol and air-dried. The precipitate was resuspended in 100 µl of distilled water. The concentration of glycogen in suspension was determined using the Glycogen Assay Kit. The final results were expressed as the total amount of glycogen per sample or well.

1: GlgA is detected in both chlamydial inclusion lumen and host cell cytosol
Mouse antisera made against 6 glycogen metabolism enzyme GST fusion proteins were used to label C. trachomatisinfected HeLa cells in an immunofluorescence assay. We found that only the endogenous GlgA was detected both inside and outside of chlamydial inclusions when the infected cultures were observed either 24h or 40h after infection ( Figure 1A), suggesting that a portion of GlgA is secreted into host cell cytosol. When the anti-GST-GlgA antiserum was carefully titrated (B) and analyzed using confocal microscopy (C), we found that GlgA detected inside chlamydial inclusions displayed two distinct patterns with or without overlapping with chlamydial organisms, suggesting that a portion of GlgA is secreted out of chlamydial organisms into the lumen of chlamydial inclusions prior to accessing to host cell cytosol. The host cytosolic labeling pattern of GlgA was similar to those of CPAF, a known Chlamydia-secreted protease, and Pgp3, a known Chlamydia-secreted plasmid protein, respectively (Figure 2A).
Both the granular staining inside inclusion and the diffused staining in host cell cytosol by anti-GlgA antibody were removed by pre-absorption with GST-GlgA but not GST-CPAF or Pgp3 fusion proteins (Figure 2A). The same were true for anti-CPAF and Pgp3 stainings, demonstrating that the anti-GlgA, anti-CPAF and anti-Pgp3 antibodies specifically labeled the corresponding endogenous proteins without cross-reacting with each other. On a Western blot ( Figure 2B), the mouse anti-GlgA antiserum only reacted with the endogenous GlgA and the GST-GlgA fusion protein without cross-reacting with any other proteins from C. trachomatis-infected cells or unrelated fusion proteins. The anti-CPAF mAb 100a detected both the GST-CPAF fusion protein and the C-terminal fragment of activated CPAF (CPAFc) in Chlamydia-infected cells as demonstrated previously [22]. As loading controls, the antibody specifically recognizing the chlamydial major outer membrane protein (MOMP) detected MOMP in the infected cell sample while the anti-human HSP70 antibody recognized HSP70 in both normal and infected HeLa samples. These results further confirmed that both anti-GlgA and anti-CPAF antibodies only specifically detected the corresponding endogenous proteins without cross-reacting with each other or any unrelated chlamydial or host cell proteins. Thus, we can conclude that the signals labeled by the anti-GlgA and anti-CPAF antibodies revealed under immunofluorescence microscope represent the corresponding endogenous proteins.
The intracellular distribution of GlgA is also confirmed using a cell fractionation plus Western blot detection approach (Figure 3). CPAF was only detected in either the C.  trachomatis-infected whole cell lysate (Ct-HeLa) or cytosolic fraction (Ct-HeLa S100) samples but not other samples including the purified C. trachomatis RB and EB organisms (pane b), which is consistent with what has been described previously [22]. However, GlgA was detected in all but normal HeLa cell samples (panel a), which is consistent with the observation that GlgA is associated with chlamydial organisms and secreted into both the inclusion lumen and host cell cytosol. To monitor the quality of the fractionation, the anti-CT813 (a known inclusion membrane protein; ref [29]:) and anti-MOMP antibodies were used to indicate the pellet fraction containing the chlamydial inclusions while an anti-human HSP70 antibody was used to indicate the host cell cytosolic fraction containing the C. trachomatis-secreted proteins. Detection with these antibodies revealed no cross contamination between the pellet and cytosolic fractions. In addition, detection with the anti-MOMP antibody showed that the amounts of chlamydial organisms in the C. trachomatisinfected HeLa whole cell lysate, the pellet fraction and purified EB and RB samples were equivalent. These results together have independently confirmed that chlamydial GlgA has a wide distribution in the infected cells.

2: Characterization of GlgA secretion
We further used the specific anti-GlgA antibody to monitor biosynthesis and secretion of GlgA at single cell level ( Figure  4). As shown in panel A, GlgA was first detected 12h post infection. Clear secretion into host cell cytosol was detected 24h after infection. These expression and distribution patterns were similar to those of CPAF with the exception that some GlgA molecules were obviously accumulated in organism-free granules in the lumen of chlamydial inclusions throughout the Figure 7. Reactivity of GlgA with antisera from women infected and rabbits immunized with Chlamydia trachomatis organisms. (A) Chlamydial GST fusion proteins or GST alone were resolved in a SDS polyacrylamide gel and stained with a Coomassie blue dye. All GST fusion proteins along with their gene names/ORF numbers and fusion protein molecular weights were listed on top of the gel image. Note that besides the GST-containing degradation fragments, the major bands are full length fusion proteins (marked with circles) for all GST fusion proteins. (B) The above fusion proteins listed along the X-axis were reacted with antisera from women diagnosed with acute Chlamydia trachomatis infection (STI patients, n=20, panel a) or tubal factor infertility (TFI patients, n=24, b) or from normal women without C. trachomatis infection (n=10, c) or from rabbits intramuscularly immunized with dead Chlamydia trachomatis organisms (Rabbits, n=7, c) in ELISA assays. The OD values obtained at the wavelength of 405nm in the format of mean plus/minus standard deviation were displayed along the Y-axis. Any reactivity with an OD value equal to or above the mean plus 2 standard deviations is defined as positive (+ve), which is noted on top of each bar. Note that 12 of the 20 STI, 7 of the 24 TFI and 0 of the 10 normal women or 7 rabbit antisera positively reacted with GlgA. doi: 10.1371/journal.pone.0068764.g007 infection course. CPAF secretion into host cell cytosol was more complete without any significant accumulation in the lumen of inclusions. We further found that about 75% of the infected cells secreted GlgA or CPAF ( Figure 4B & C). Secretion of GlgA into the chlamydial inclusion lumen and host cell cytosol was detected in all C. trachomatis biovar-infected cells ( Figure 5), suggesting that GlgA secretion may represent an essential process required by all C. trachomatis organisms. To test whether GlgA secretion into host cell cytosol can impact chlamydial intracellular infection, we expressed GlgA via a transgene in HeLa cells and examined the effect of the preexisting GlgA in the host cell cytosol on subsequent chlamydial infection ( Figure 6). Expression of chlamydial GlgA in HeLa cells (A) resulted in elevated levels of glycogen while the vector plasmid alone transfection failed to do so (B), suggesting that chlamydial GlgA expressed in the host cell cytosol is functional. However, HeLa cells with or without GlgA expression were similarly susceptible to the subsequent chlamydial infection (C), suggesting that neither the expressed GlgA nor the elevated level of glycogen in HeLa cells has any impact on chlamydial infection.

3: Chlamydial GlgA is immunogenic during chlamydial infection in women
Since it is known that C. trachomatis-secreted proteins such as CPAF [30,35], Pgp3 [18] and CT795 [20] are highly immunogenic during chlamydial infection, we compared the immunogenicity of GlgA and other glycogen metabolismrelated chlamydial proteins along with various control chlamydial proteins in both women urogenitally infected with C. trachomatis and rabbits intramuscularly immunized with dead C. trachomatis organisms (Figure 7). These fusion proteins were monitored for quality on a Coomassie blue-staining gel (A) prior to reacting with serum samples (B). GlgA was recognized by antisera from women diagnosed with either acute C. trachomatis infection (STI patients) or tubal factor infertility (TFI patients) with a recognition frequency of 60% or 29% respectively, suggesting that anti-GlgA antibodies are associated with acute C. trachomatis infection. However, the secreted proteins CPAF, Pgp3 and CT795 did not display such a preference with a recognition frequency of 100%, 95% & 35% by STI antisera and 92%, 96% & 50% by TFI antisera respectively. None of the 10 normal women reacted significantly with any of the chlamydial fusion proteins. When the chlamydial fusion proteins were reacted with 7 rabbits antisera, 100% recognition frequency was detected for chlamydial HSP60, MOMP and Pgp3 while no reactivity was detected for GlgA, CPAF or CT795. Since Pgp3 is also localized in chlamydial outer membrane, it is not surprising that Pgp3, like MOMP, is highly immunogenic when the dead EBs were used to immunize rabbits. However, GlgA is also associated with the chlamydial organisms but it failed to induce any antibody responses in rabbits. The observation that none of the other glycogen metabolism-related proteins were immunogenic following either chlamydial infection in humans or immunization in rabbits suggests that the organism-associated glycogen metabolism proteins are not immunogenic.

Discussion
Chlamydia trachomatis has evolved strategies for secreting proteins into host cell cytosol, which may benefit chlamydial intracellular living. Identifying C. trachomatis-secreted proteins (CtSPs) represent an essential first step for uncovering the mysteries of the chlamydial intracellular life and understanding the molecular mechanisms of C. trachomatis pathogenesis. Here, we have presented evidence that the chlamydial glycogen synthase GlgA is secreted into host cell cytosol during C. trachomatis infection. First, the anti-GlgA antiserum detected GlgA outside of the chlamydial inclusions in C. trachomatis-infected cells. The extra-inclusion GlgA molecules displayed a cytosolic distribution pattern similar to that of CPAF, a known Chlamydia-secreted protease. Second, the detection of the endogenous GlgA was specific as demonstrated both in fluorescence microscopy and Western blot assays. Third, GlgA secretion into inclusion lumen and host cell cytosol was also confirmed using a cell fractionation plus Western blot detection approach. Finally, like CPAF and CT795, GlgA also contains a N-terminal signal sequence. Although we have not characterized the functionality of the signal sequence, its presence suggests that GlgA, like many other CtSPs that contain N-terminal secretion sequence, may use a sec-dependent pathway to gain access to both inclusion lumen and host cell cytosol.
Although C. trachomatis GlgA and other glycogen-related enzymes are expected to carry out glycogen biosynthesis and metabolism in the chlamydial organisms, the role of GlgA secreted out of the organisms remains unknown. Glycogen is abundantly detected in the lumen of chlamydial inclusion under electron microscopy [27,28]. Our current finding that GlgA is also localized in the lumen suggests that either chlamydial glycogen along with its synthase is transported into the lumen from the organisms or a portion of glycogen is synthesized in the lumen. More careful studies are required for accurately identifying the sites of glycogen biosynthesis. The next question is the role of GlgA secreted into host cytosol. Transient expression of chlamydial GlgA in the host cells resulted in an elevated level of glycogen. However, neither the preexisting GlgA nor the elevated glycogen in the host cell cytosol affected the subsequent chlamydial infection (see Figure 6), suggesting that Chlamydia-enhanced biosynthesis of glycogen in host cell cytosol serves no apparent advantage for chlamydial intracellular life. Efforts are underway to further elucidate the biological significance of GlgA secretion into host cell cytosol.
Among all the glycogen-related enzymes analyzed, only GlgA is immunogenic during chlamydial infection in humans, correlating the unique localization of GlgA in host cell cytosol since secretion of chlamydial proteins into host cell cytosol is known to enhance the immunogenicity of the secreted proteins [14,18,20,30,31,35,36]. The lack of immunogenicity of all analyzed chlamydial glycogen-related enzymes in rabbits when inactivated chlamydial organisms were used as immunogens suggests that the chlamydial organism-associated glycogen enzymes are immune recessive, which may be due to their inaccessibility to immune system when configured in the organisms. However, we previously showed that the glycogen metabolism enzymes were immunogenic when injected into mice [37]. Immunization with C. muridarum glycogen phosphorylase (GlgP) but not with the other glycogen metabolism enzymes induced a significant protection against intravaginal infection with C. muridarum organisms, suggesting that GlgP is immunogenic both during immunization and C. muridarum infection. However, it is not known whether C. trachomatis GlgP is immunogenic in mice. Nevertheless, the immunogenicity of C. trachomatis GlgA in women urogenitally infected with C. trachomatis indicates that GlgA is expressed and possibly secreted into host cell cytosol during chlamydial infection. Plasmid-free chlamydial organisms with a significantly reduced level of GlgA and lack of glycogen synthesis are highly attenuated in animal models [26,28], suggesting that the secreted C. trachomatis GlgA may contribute to C. trachomatis pathogenesis in humans.