Meningococcal adhesion suppresses pro-apoptotic gene expression and promotes expression of genes supporting early embryonic and cytoprotective signaling of human endothelial cells. Irena Linhartova1, Marek Basler1, Jeffrey Ichikawa2, Vladimir Pelicic3, Radim Osicka1, Stephen Lory2, Xavier Nassif3 and Peter Sebo1 1Laboratory of Molecular Biology of Bacterial Pathogens, Institute of Microbiology, Czech Academy of Sciences, Videnska 1083, 142 20 Prague 4, Czech Republic 2Department of Microbiology and Molecular Genetics, Harvard Medical School, Warren Alpert Building, Rm 363, 200 Longwood Avenue, Boston, MA 02115 3INSERM U570, Faculté de Médecine René Descartes, 156 rue de Vaugirard, 75015 Paris, France. Running title: Human gene expression influenced by meningococcal adhesion Keywords: Neisseria meningitidis, adherence, signaling, microarray *For correspondence. Dr. Irena Linhartova Laboratory of Molecular Biology of Bacterial Pathogens Czech Academy of Sciences Institute of Microbiology Videnska 1083; 142 20 Prague 4; Czech Republic Tel: (+420) 241 062 762 Fax: (+420) 241 062 152 E-mail: linhart@biomed.cas.cz 1 Abstract: Neisseria meningitidis colonizes human nasopharynx and occasionally causes lethal or damaging septicemia and meningitis. Here we examined the adherencemediated signaling of meningococci to human cells by comparing gene expression profiles of human umbilical vein endothelial cells (HUVEC) infected by adherent wildtype, frpC-deficient mutant, or the non-adherent (ΔpilD) N. meningitidis. Pili-mediated adhesion of meningococci resulted in alterations of expression levels of human genes known to regulate apoptosis, cell proliferation, inflammatory response, adhesion and genes for signaling pathway proteins such as TGF-β/Smad, Wnt/βcatenin, and Notch/Jagged. This reveals that adhering piliated meningocci manipulate host signaling pathways controlling cell proliferation while establishing a commensal relationship. 2 Introduction The Gram-negative bacterium Neisseria meningitidis is an obligately human commensal and at the same time it belongs to leading agents of sepsis and meningitis. Meningococcal infection starts by colonization of the nasopharyngeal and tonsillar mucosa, where the bacteria adhere by an active process. Microbial entry into the epitelium requires signaling from the invading pathogen to the host cell (Wilson, et al., 1996, Finlay & Cossart, 1997, Nakagawa, et al., 2004) and adhesion to human cells through type IV pili (Nassif, et al., 1994, Rudel, et al., 1995). Bacteria and viruses both utilize and manipulate infected cells and employ a variety of mechanisms to modulate innate cellular defense mechanism. For example, prevention of host cell apoptosis may represent a survival strategy in chronic infections by certain bacteria, such as Porphyromonas gingivalis (Nakhjiri, et al., 2001), Chlamydia pneumoniae (Fischer, et al., 2001) or Helicobacter pylori (Shirin, et al., 2000). For Neisseria species, infection of human urethral epithelium with Neisseria gonorrhoeae was shown to yield upregulation of several host anti-apoptotic factors (Binnicker, et al., 2003, Binnicker, et al., 2004). Similar results were recently obtained by analysis of expression of selected genes in human meningeal-derived cells, treated with meningococcal secreted proteins or infected with live meningococci (Robinson, et al., 2004). Bacterial toxins are key factors of virulence during infection and often modulate the most essential cellular processes. In contrast to a number of Gramnegative bacterial pathogens, however, no proteinaceous exotoxins have yet been implicated in the pathogenesis of invasive meningococcal disease. In 1993, Thompson and colleagues (Thompson, et al., 1993, Thompson, et al., 1993) discovered in meningococci two homologous secreted proteins, FrpC and FrpC-like (initially called FrpA), that belong to the repeat in toxin (RTX) family. A number of RTX proteins was already shown to be involved in virulence of other Gram-negative genera, such as Actinobacillus, Bordetella, Escherichia, Moraxella, Morganella, Pasteurella, Proteus, and Vibrio (Lally, et al., 1999, Welch, 2001). In a previous study, we have shown that genes encoding FrpC-like proteins of variable size are present in most of the clinical isolates of N. meningitidis and that sera of most patients who underwent invasive meningococcal disease contain antibodies specifically recognizing these proteins (Osicka, et al., 2001). The biological activity of FrpC-like proteins however remains unknown (Forman, et al., 2003). 3 Here we aimed to explore the specific effects of pilus-mediated adhesion and RTX-protein production on gene expression levels of HUVEC cells infected by meningococci. 4 Materials and Methods Bacterial strains and growth conditions. N. meningitidis strain MC58 was previosuly described (McGuinness, et al., 1991), as well as the following isogenic derivatives, pilD insertion-deletion mutant (MC58ΔpilD) (Carbonnelle, et al., 2005) and frpC-/frpC-like- insertion-deletion mutant (MC58ΔfrpC/frpC-like) (Forman, et al., 2003). Bacteria from frozen stocks were grown overnight at 37°C in atmosphere containing 5% CO2 on GCB agar (Difco) plates with Kellogg’s supplement (Kellogg, et al., 1963) modified as described elsewhere (Pelicic, et al., 2000). Prior to infection of HUVEC cells, meningococci were washed, resuspended in RPMI 1640 supplemented with glutamax I (GibcoBRL) and 10% heat-inactivated fetal calf serum (infection medium) to OD600=0.05 and grown for 2 hours at 37°C prior use for infection of HUVEC cells. Culture of primary human umbilical vein endothelial cells (HUVECs) HUVEC cells (PromoCell, Heidelberg, Germany) were used between passages 2 and 10 and were grown in 150 cm2 tissue-culture flasks in Human Endothelial Medium (GIBCO-Invitrogen Corporation) supplemented with 10% heat-inactivated fetal calf serum (FCS), 1 ng/ml β-FGF (Boehringer-Mannheim, Meylan, France), 2 mM Lglutamine (Life Technologies, Grand Island), 0.5 UI/ml heparin (Sigma, Saint Louis) and 1.25 mg/ml endothelial cell growth supplement (Sigma, Saint Louis). Cells were seeded at 8 x 103 cells/cm2 and grown at 37°C in a humidified 5% CO2 atmosphere for 3–4 days. Confluent cultures were used for all experiments. Infection of HUVEC cells with adhering bacteria. HUVEC cells were grown to confluence (approximately 3 x 104 cells/cm2) in 150 cm2 flasks in HUVEC culture medium. Three hours prior to infection by N. meningitidis cell cultures were incubated with infection medium. The initial multiplicity of infection was 10. Cell monolayers infected with adherent wild-type or ΔfrpC strains were washed every hours for 1, 4, or 6 hours with prewarmed fresh infection medium. This allowes the bacteria to initially adhere for one hour, further increase in the number of bacteria adhering with the monolayers was the consequence of a bacterial multiplicaton on the apical side of the monolayer. Monolayers infected with non adherent pilD strains 5 were not subjected to washing. Three independent experiments were performed for the 4 hours time points and two experiments for the 1 and 6 hours time points. Adherence Adhesion assays were performed in 24-well plates, using confluent HUVEC cultures and MOI of 200. Incubation was carried out for up to 5 h, the medium was replaced and cells were washed every hour to minimise monolayer reinfection by free-floating bacteria. Adherent bacteria were counted. RNA isolation Following infection, total RNA was extracted from infected and uninfected cells using Trizol reagent (Invitrogen Life Technologies) according to the manufacturer’s protocol. Total cell RNA (totRNA) was purified on RNeasy minicolumns (Qiagen) and by NaOAc/ethanol precipitation. Purified totRNA was transcribed into cDNA according to the Affymetrix protocol. Briefly: 40 g of totRNA was reverse-transcribed into single-stranded cDNA in a reaction mixture containing 5 μl (200 U/ μl) SuperScript II reverse transcriptase (Invitrogen Life Technologies), 1 μl (100 pmol/ μl) T7-(dT)24 primer (Generi Biotech) and each deoxynucleoside triphosphate (1 μl dNTP mix 10mmol/ml)(Invitrogen Life Technologies). The reaction mixture for second strand synthesis contained E.coli DNA ligase (1 μl, 10 U/ μl), E.coli DNA polymerase I (4 μl, 10 U/ μl), E.coli RNase H (1 μl, 2 U/ μl), T4 DNA polymerase (2 μl, 5 U/ μl) and each deoxynucleoside triphosphate (3 μl , 10 mM) (Invitrogen Life Technologies). Resulting cDNA samples were purified by phenol/chloroform/isoamylalcohol extraction and NH4OAc/ethanol precipitation. Microarray analysis cRNA Target Synthesis and GeneChip Hybridization cDNA was used for the in vitro transcription reaction performed by the MEGA Script T7 in vitro transcription kit (Ambion, Austin, TX, USA), including biotinylated ribonucleotides in the reaction mixture (biotinyl-11-CTP and biotinyl-16-UTP, Enzo New York, NY, USA). After purification of the in vitro transcription reaction products (RNeasy; Qiagen), 15 µg of the biotinylated cRNA were heat-fragmented (95 °C, 35 min) and hybridized overnight to the human HG-U133A oligonucleotide microarrays (Affymetrix, Santa Clara, CA, USA) at 45 °C in a rotary oven. The final washing, 6 staining and scanning steps were performed using the Affymetrix GeneChip fluidic station and Agilent GeneArray scanner (Agilent, Palo Alto, CA, USA), following manufacturer’s instructions. Data Analysis Cell Intensity Files (CEL) were analyzed using the Robust Multi-array Analysis algorithm implemented in the BioConductor package. Data were normalized using the quantile method and gene expression signal calculation was based on the Perfect Match values from each probe set, as described previously (Irizarry, et al., 2003). All data, including CEL files, are stored in MIAME compliant database Gene Expression Omnibus at the National Center for Biotechnology Information (Barrett, et al., 2005). The p-value below 0.05 and the ratio over 1.7 times were used as thresholds for inclusion into the list of differentially expressed genes. Genes flagged as Absent by MAS 5.0 algorithm in both compared experimental groups were excluded. 7 Results and Discussion Adherence-independent effects of meningococcal infection on gene expression in HUVEC cells Prior to analyzing the specific effects of adherence of meningococci, we first sought to identify alterations in HUVEC gene expression that were independent of bacterial adhesion and were due to presence of meningococcal lipopooligosaccharide, activity of secreted neisserial proteins and/or due to hypoxia caused by oxygen consumption by the growing bacteria. Towards this aim, we compared transcriptomes of noninfected HUVECs incubated in sterile medium, to the transcriptomes of HUVECs infected at an MOI=10 by either the adherent wild type N. meningitidis MC58, or its non-adherent ΔpilD mutant, unable to produce type IV pili (Nunn & Lory, 1991). In the first hour we did not find any changes in expressed genes. As shown in Table I, in comparison to non-infected control cells, a large number of genes exhibited an altered expression in time point 4 and 6 in cells infected by either of the two types of meningococcal strains, independently of whether the bacteria produced pili and adhered to cells or not. Indeed, upregulation of many of these genes, responding to bacterial presence in general, was previously observed in cells exposed to other Gram-negative pathogenic bacteria and/or to meningococci (Dixon, et al., 1999, Wells, et al., 2001, Zhao, et al., 2001, Christodoulides, et al., 2002). These genes could be grouped into several classes, such as genes involved in apoptosis, stress response, hypoxia, cytoskeletal protein reorganization, cell adhesion and cytokine, chemokine and other inflammatory mediator production (Table 1; All data including Affymetrix .CEL files are deposited in NCBI Gene Expression Omnibus (GEO, http://www.ncbi.nlm.nih.gov/geo/) and are accessible through GEO series accession number GSE4646). In particular, strong induction of genes involved in inflammatory processes, cell adhesion and motility was observed in infected HUVEC cells, such as upregulation of genes for IL-8 and monocyte chemotactic protein-1 (MCP-1). This is consistent with elevated levels of IL-8 and MCP-1 in the cerebrospinal fluid of patients with bacterial meningitis (Wells, et al., 2001). Infection by both piliated and non-piliated meningococci resulted also in upregulation of transcription of genes for chemokines with inflammatory and growth-regulatory properties, such as CXCL1, CXCL2, CXCL3, the endothelial adhesion molecule 1 selectin E (SELE) and 8 adhesion molecules ICAM-1 and VCAM-1. Also noteworthy is the observed strong upregulation of the gene encoding cyclooxygenase-2 (COX-2), the tumor necrosis factor alpha-induced protein 2 (TNFAIP2), superoxide dismutase 2 (SOD2, MnSOD) and IL-6. On the other hand, also genes involved in protection against excessive inflammatory processes were found to be upregulated in infected HUVECs, such as the gene for zinc finger protein A20 (TNFAIP3) (Lee, et al., 2000) and the A20binding inhibitor of NF-κB activation ABIN1 (TNIP1 or NAF1) (Heyninck, et al., 2003). Altogether, these results are consistent with previous observations pointing to an active participation of endothelial cells in immune response against Gramnegative bacteria. Endothelial cells appear, indeed, to be one of the first cell types responding to LPS of Gram-negative bacteria when this is liberated into circulation. Moreover, infection by N. meningitidis resulted in more than 10-fold enhanced transcription of the gene for CD69, which is a marker of activated leukocytes and lymphocytes and was not reported previously to be expressed by other cell types. Efect of FrpC/FrpA proteins on gene expresion in HUVEC cells To examine the role of the two homologous and secreted RTX proteins (FrpC and FrpC-like), we next specifically compared expression profiles of cells infected by either the wild-type N. meningitidis MC58 or its ΔfrpC/frpC-like double mutant, unable to produce any of the two proteins (Forman, et al., 2003). Independently of production FrpC and FrpC-like proteins by meningococci (data not shown) no statistically significant difference was observed between the transcriptomes of HUVECs infected by the two different strains, as documented at NCBI Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo/) GEO Series accession number GSE4646. Hence, this experiment failed to yield any hints on the potential activity of FrpC proteins on human endothelial cells, despite of infection times as long as 6 hours and despite of the proteins being naturally produced and immunogenic in meningococcal infections in humans. It should be pointed out that this negative result demonstrated the reproducibility of the performed experiments and the robustness of the data obtained. Specific alterations of HUVEC transcriptome due to adherent growth of meningococcal microcolonies on HUVEC cell surface 9 Type IV pili-mediated adherence of meningococci was previously shown to yield growth of meningococcal microcolonies on HUVEC cell surface under similar experimental conditions, as those used here for infection of HUVECs by the various strains (Pujol, et al., 1999). To unravel the specific transcriptome alterations caused by signaling of adherent meningococci growing on cell surface, we subtracted all gene expression alterations that were common to transcriptomes of HUVECs infected by both adherent and non-adherent bacteria, as compared to the transcriptome of uninfected cells. As summarized in Table 2, indeed, numerous genes were found that exhibited expression levels specifically and significantly altered only in HUVECs infected by the two adherent strains, the wild-type and the ΔfrpC/frpC-like double mutant bacteria. These genes could be grouped into several functional categories and comprised, in particular, cell proliferation, differentiation, apoptosis, cell adhesion and modulation of the inflammatory and immune response. The data discussed here have been deposited in NCBIs Gene Expression Omnibus (GEO, http://www.ncbi.nlm.nih.gov/geo/) and are accessible through GEO Series accession number GSE4646. Specific up-regulation was observed for genes involved in three important early embryonic signaling pathways: the TGF-β/Smad pathway, Notch - Delta/Jagged pathway and the Wnt/β-catenin pathway, respectively. Enhanced transcription was detected for genes of several other transcription factors belonging to various protein families, such as forkhead/winged helix family, Ets and MAF family. Up-regulation was also observed for kelch protein family, which was shown to be important in cytoskeletal organization. In particular, for the Notch - Delta/Jagged signaling pathway, the genes for ligand of Notch receptor Jagged1, as well as the basic helix–loop–helix (bHLH) transcriptional factor Hey1, were found to be upregulated upon adherent meningococci infection (Table 2). Previously, expression of Jagged1 was found to be significantly increased in injured vascular cells and Jagged/Notch activity was also observed to be involved in regulation of cell-cell and cell-matrix interactions (Lindner, et al., 2001). The transcriptional factor Hey1 was identified earlier as a link between Jagged1/Notch and the TGF-β/Smad3 signaling pathways and the potential of TGF-β to regulate and/or switch cellular differentiation programs was previously shown (Zavadil, et al., 2004). Coordinated activation of Notch, Wnt, and TGF-β signaling 10 pathways was found also in regulation of osteoblast differentiation/maturation (Zamurovic, et al., 2004). Furthermore, within the Wnt/β-catenin signaling pathway we found two upregulated proteins: the sex determining region Y-box 17 (Sox17) and dickkopf 1 (Dkk1), as shown in Table 2. Sox17 is a component of Wnt signaling pathway that was reported to physically interact with β-catenin and to potentiate its transcriptional activation of target genes (Sinner, et al., 2004). Secreted Dickkopf protein acts as a potent inhibitor of Wnt signaling (Mao, et al., 2001) but simultaneously high level of this protein allows the cells to re-enter the cell cycle (Gregory, et al., 2003). Within the TGF-β/Smad signaling pathway many up-regulated genes were found: an inhibitor Smad7, inhibitors of differentiation (Id1, Id2, Id3) and transmembrane glycoprotein BAMBI. TGF-β is an important member of a cytokine superfamily that control cell fates, including cell cycle arrest, differentiation, and apoptosis. The expression of the inhibitor of TGF-β pathway - Smad7- gene is induced by TGF-β itself (Nakao, et al., 1997) and by fluid shear stress acting on endothelial cells (Topper, et al., 1997). Moreover, data from colorectal cancers support the concept that Smad7 may be beneficial for tumorgenesis (Roberts, 2002). Forced expression of inhibitors of differentiation (Id) induces proliferative activity in HUVECs and overexpression of Id enhances expression of ICAM-1 and E-selectin and induces angiogenic processes (ten Dijke, et al., 2003). Here, Id1, Id2 and Id3 proteins were found to be up-regulated in HUVEC cells infected with piliated meningococci but were down-regulated in HUVEC cells infected with non-piliated meningococci. Further gene found upregulated here (Table 2), encodes the glycoprotein BAMBI. BAMBI is activated by Wnt/β-catenin signal transduction pathways implicated in regulating cell fate and cell proliferation. BAMBI expression is aberrantly elevated in most colorectal carcinomas (Sekiya, et al., 2004). The specific roles of TGF-β/Smad, Wnt/β-catenin and Notch - Delta/Jagged signaling pathways in regulating host response in infectious diseases and especially their cooperation are poorly understood and the results presented here suggest that these signaling pathways may play an important role in the crosstalk between meningococci and host cells. Adhesion of meningococci was further found to alter expression of genes for several other transcription factors (Table 2), such as GATA6, FoxC2, Fli-1, MAFB, CBFβ, which belong to various protein families, together with some other up11 regulated proteins, such as the RGC-32 having a role in cell cycle activation (Badea, et al., 1998) or ENC-1 important in cytoskeletal organization (Hernandez, et al., 1998). The roles of these genes are often found in cell differentiation, embryogenesis and vascular remodeling (Sokabe, et al., 2004) or associated with inflammatory/stress-like responses (Li, et al., 2002). Moreover, adherent meningococci promoted here down-regulation of MTSG1, which was identified as potential tumor suppressor (Seibold, et al., 2003). Significant differences in levels of gene expression between cells infected by adherent and non-adherent meningoccci were observed also for a whole group of pro-apoptotic genes. These were found to be specifically up-regulated by nonadhering meningococci and comprised genes for DNA-damage-inducible transcript 4 (DDIT4), zinc finger protein 36, C3H type-like 2 (ZFP36L2), BCL2/adenovirus E1B 19kDa interacting protein 3 (BNIP3) and caspase 7, apoptosis-related cysteine protease (CASP7). Further striking was the upregulation of transcription level of the gene for adrenomedullin (ADM) only by the non-adherent bacteria. ADM is a multifunctional peptide that has protective effects against vascular injury and apoptosis, regulates angiogenesis and was postulated to have an important protective role and antimicrobial activity against both pathogenic and commensal strains of Grampositive and Gram-negative bacteria. Reduced expression of this antimicrobial peptide was, in fact, previously reported to result in reduced control of infections by pathogenic and commensal organisms (Allaker & Kapas, 2003, Nagaya, et al., 2005). In line with this, upregulation of ADM expression was prevented by adhesion of meningococci to HUVEC cells. Concluding remarks. Large group of adherence-upregulated genes (ICAM-1, cyclooxygenase 2, Smad6, Smad7, TGFβ1, GADD45, Jagged1 or the transcription factors Id1, Id2, Id3 and HEY2) corresponded to endothelial flow-responsive genes which were identified before. As was shown recently for Neisseria gonorrhoeae, pilus retraction acts as a mechanical stimulus by activating mechanical stress–signaling pathways that alter epithelial cell gene expression and generate a cytoprotective environment within the 12 host cell (Howie, et al., 2005). These results are in line with a previous finding that biomechanical forces can modulate endothelial phenotype through changes in gene expression contributing to the atheroprotective effects (McCormick, et al., 2001, Wasserman, et al., 2002). Alltogether, the results presented here indicate that pilus-mediated adhesion and growth of meningococci in microcolonies on host cell surface results in signaling from the bacteria that manipulate the host cells and probably increase the ability of the cells to withstand apoptotic signals induced by infection and activate cytoprotective signaling to maintain their normal functions. The mechanisms of crosstalk between adherent N. meningitidis bacteria and host cells appear to play an important role in the establishment of a commensal relationship of meningococci with the host in the course of asymptomatic colonization of the nasopharynx. In turn, detailed investigation of the pro-inflammatory and pro-apoptotic signaling caused by freely proliferating, non-adherent meningococci, is than likely to shed more light on the mechanisms of human vascular cell damage that appears to play a key role in the pathogenesis of the invasive meningoccoal disease. 13 Acknowledgments This work was supported by a collaborative research agreement between the national Science Foundation of the Czech Republic and the INSERM (Institut National de la santé et de la recherche médicale). The laboratory of Peter Sebo is founded by National Science Foundation of the Czech Republic No. GACR 310/06/720, Institutional Research Concept AVOZ50200510. 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ID Affymetrix 211506_s_at 216598_s_at 204470_at 209774_x_at 207850_at 206211_at 202638_s_at 203868_s_at 210056_at 202023_at 202150_s_at 204748_at 205289_at 202531_at 202510_s_at 208394_x_at 209099_x_at 221477_s_at 205207_at 202644_s_at 207196_s_at 201631_s_at 210512_s_at 201170_s_at 218507_at 212977_at 221009_s_at 209795_at 201473_at 204194_at 201502_s_at 209239_at 202076_at gene IL8 MCP1 (CCL2) CXCL1 CXCL2 CXCL3 SELE ICAM1 VCAM1 RND1 EFNA1 NEDD9(HEF1) COX-2(PTGS2) BMP2 IRF1 TNFAIP2(B94) ESM1 JAG1 SOD2 IL6 TNFAIP3(A20) TNIP1(ABIN1) IER3 VEGF BHLHB2(DEC1) HIG2 CMKOR1(RDC1) ANGPTL4 CD69 JUNB BACH1 NFKBIA NFKB1 BIRC2(IAP-2) interleukin 8 chemokine (C-C motif) ligand 2 chemokine (C-X-C motif) ligand 1 (melanoma growth stimulating activity, alpha) chemokine (C-X-C motif) ligand 2 chemokine (C-X-C motif) ligand 3 Selectin E (endothelial adhesion molecule 1) intercellular adhesion molecule 1 (CD54), human rhinovirus receptor vascular cell adhesion molecule 1 Rho family GTPase 1 ephrin-A1 neural precursor cell expressed, developmentally down-regulated 9 prostaglandin-endoperoxide synthase 2 (prostaglandin G/H synthase and cyclooxygenase) bone morphogenetic protein 2 interferon regulatory factor 1 tumor necrosis factor, alpha-induced protein 2 endothelial cell-specific molecule 1 jagged 1 (Alagille syndrome) superoxide dismutase 2, mitochondrial interleukin 6 tumor necrosis factor, alpha-induced protein 3 TNFAIP3 interacting protein 1 immediate early response 3 vascular endothelial growth factor basic helix-loop-helix domain containing, class B, 2 hypoxia-inducible protein 2 chemokine orphan receptor 1 angiopoietin-like 4 CD69 antigen (p60, early T-cell activation antigen) jun B proto-oncogene BTB and CNC homology 1, basic leucine zipper transcription factor 1 nuclear factor of kappa light polypeptide gene enhancer in B-cells inhibitor, alpha nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105) baculoviral IAP repeat-containing 2 4 hours WT up-reg. 51.90x 6.83x 45.71x 62.60x 42.85x 63.05x 16.67x (11.17x)a 10.54x 4.00x Pil Dup-reg. 55.18x 7.29x 69.40x 97.45x 73.45x 65.65x 27.02x 41.15x 6.59x 4.54x (8.15x)a (3.90x)b 2.55x 4.46x (4.23x)a (3.46x)a 4.59x 8.24x 7.26x 3.12x 3.51x 2.96x 22.68x (2.85x)a 9.64x 2.54x (2.01x)a 2.09x (4.43x)b 3.18x 3.76x 3.72x 2.01x (5.49x)b 5.53x 5.00x 7.33x 4.95x 4.23x 2.49x 5.73x 2.43x 6 hours WT up-reg. 76.96x (10.13x)a 59.11x (154.23x)c (52.45x)a 117.25x (25.62x)b (9.33x)b (7.30x)a 8.08x 3.55x 42.28x 9.69x 1.97x (3.56x)a 4.41x 9.79x 1.94x (8.83x)a (18.11x)b 2.31x 6.80x (3.80x)b (8.98x)a 15.11x (13.75x)c (7.80x)c 2.44x 9.98x (3.66x)b 4.06x Pil Dup-reg. 76.72x (10.17x)a 80.75x (141.20x)c (88.07x)c 99.31x 59.89x 38.03x (4.17x)c 8.95x 2.90x 12.84x 6.32x (4.20x)c (8.56x)c 3.57x 4.85x 6.54x (3.34x)b (19.45x)a 4.28x (6.40x )a 3.56x 12.73x 5.21x 28.32x 5.04x (8.90x )c (6.31x)c 2.13x 10.17x 2.78x 3.29x 20 Table 2 Specific influence of type IV pili and promotion of meningococcal microcolonies on HUVEC cell surface - a comparison of transcriptome of HUVEC/MC58WT to HUVEC/MC58ΔpilD. 4 hours ID gene Affymetrix 6 hours WT/PilD- WT/PilD- up-reg. up-reg. transcriptional regulation and cell proliferation 209098_s_at JAG1 jagged 1 (Alagille syndrome) 2.33x 2.02x 44783_s_at HEY1 hairy/enhancer-of-split related with YRPW motif 1 4.94x 1.73x 219743_at HEY2 hairy/enhancer-of-split related with YRPW motif 2 3.53x 219993_at SOX17 SRY (sex determining region Y)-box 17 2.17x 204602_at DKK1 dickkopf homolog 1 (Xenopus laevis) 204790_at SMAD7 3.40x MAD, mothers against decapentaplegic homolog 7 (Drosophila) 6.17x 208937_s_at ID1 inhibitor of DNA binding 1, dominant negative helix-loop-helix protein 6.89x 4.03x 201565_s_at ID2 inhibitor of DNA binding 2, dominant negative helix-loop-helix protein 10.15x 2.07x 207826_s_at ID3 inhibitor of DNA binding 3, dominant negative helix-loop-helix protein 3.21x (2.83x)a 203304_at BAMBI BMP and activin membrane-bound inhibitor homolog (Xenopus laevis) 2.10x 210002_at GATA6 GATA binding protein 6 1.95x 214520_at FOXC2 forkhead box C2 (MFH-1, mesenchyme forkhead 1) 2.02x 204236_at FLI1 Friend leukemia virus integration 1 -3.56x 218559_s_at MAFB v-maf musculoaponeurotic fibrosarcoma oncogene homolog B (avian) 2.03x 218723_s_at RGC32 response gene to complement 32 2.54x 201730_s_at TPR translocated promoter region (to activated MET oncogene) (2.95x)d (1.93x)d 201341_at ectodermal-neural cortex (with BTB-like domain) 2.66x (2.27x)b ENC1 212096_s_at MTSG1 mitochondrial tumor suppressor gene 1 (1.94x) (3.83x)d 204094_s_at KIAA0669 KIAA0669 gene product 1.89x 3.45x 202370_s_at CBFB core-binding factor, beta subunit 201324_at epithelial membrane protein 1 EMP1 d 2.33x 1.81x 2.48x apoptosis, cell adhesion, inflammatory response, hypoxia and other groups of genes 205051_s_at KIT v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog (4.57x)d 209304_x_at GADD45B growth arrest and DNA-damage-inducible, beta 2.25x 202887_s_at DDIT4 DNA-damage-inducible transcript 4 -4.52x -2.96x 201368_at ZFP36L2 zinc finger protein 36, C3H type-like 2 -2.09x -2.47x 201849_at BNIP3 BCL2/adenovirus E1B 19kDa interacting protein 3 -6.93x 207181_s_at CASP7 caspase 7, apoptosis-related cysteine protease -2.22x 213844_at homeo box A5 (2.00x)d HOXA5 (2.11x)d 209288_s_at CDC42EP3 CDC42 effector protein (Rho GTPase binding) 3 -2.03x -(2.23x)b 206336_at chemokine (C-X-C motif) ligand 6 (granulocyte chemotactic protein 2) -4.51x -(4.38x)a 201865_x_at NR3C1 nuclear receptor subfamily 3, group C, member 1 (glucocorticoid receptor) 2.51x 222162_s_at ADAMTS1 3.32x 201695_s_at NP a disintegrin-like and metalloprotease (reprolysin type) with thrombospondin type 1 motif, 1 nucleoside phosphorylase 216841_s_at SOD2 superoxide dismutase 2, mitochondrial -2.09x 221841_s_at KLF4 Kruppel-like factor 4 (gut) 2.91x 218711_s_at SDPR serum deprivation response (phosphatidylserine binding protein) -(2.51x)a -3.51x 201739_at SGK serum/glucocorticoid regulated kinase 1.89x 3.68x 202912_at ADM adrenomedullin -5.14x -8.89x 221009_s_at ANGPTL4 angiopoietin-like 4 -3.07x -5.90x 218507_at HIG2 hypoxia-inducible protein 2 -2.05x -4.85x 202668_at EFNB2 ephrin-B2 2.67x CXCL6 207543_s_at P4HA1 204011_at SPRY2 procollagen-proline, 2-oxoglutarate 4-dioxygenase (proline 4-hydroxylase), alpha polypeptideI sprouty homolog 2 (Drosophila) (14.48x)a 2.23x -4.58x -2.12x 3.27x 6.67x 21 Table legends Table 1 In the first hour no significant changes in gene expression level was found. There was a large up-regulation in HUVEC gene expression in comparison between HUVECs infected with MC58 WT resp. MC58ΔpilD strains to noninfected HUVECs after 4 and 6 hour of incubation with meningococci. The p-value below 0.05 and a ratio over 1.7 times were used as thresholds for inclusion into the list. All data including Affymetrix .CEL files are available at NCBI Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo/) GEO Series accession number GSE4646 [ a p-val = 0,05-0,10; b p-val = 0,10-0,20; c low signal ] Table 2 In the first hour no significant changes in gene expression level was found. There were found alterations in HUVEC gene expression in comparison between MC58 WT and MC58ΔpilD strains after 4 and 6 hour of incubation with Neisseria meningitidis. Most of influenced genes were up-regulated, only a few of them were down-regulated in comparison to gene expression of noninfected HUVEC cells. The p-value below 0.05 and a ratio over 1.7 times were used as thresholds for inclusion into the list. All data including Affymetrix .CEL files are available at NCBI Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo/) GEO Series accession number GSE4646 [ a p-val = 0,05-0,10; b p-val = 0,10-0,20; d down-regulated gene] 22