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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2024.1375887</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Subversion of a family of antimicrobial proteins by <italic>Salmonella enterica</italic>
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gerlach</surname>
<given-names>Roman G.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Wittmann</surname>
<given-names>Irene</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Heinrich</surname>
<given-names>Lena</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Pinkenburg</surname>
<given-names>Olaf</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Meyer</surname>
<given-names>Torben</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Elpers</surname>
<given-names>Laura</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Schmidt</surname>
<given-names>Christiane</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Hensel</surname>
<given-names>Michael</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Schnare</surname>
<given-names>Markus</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
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<aff id="aff1">
<sup>1</sup>
<institution>Institute of Clinical Microbiology, Immunology and Hygiene, University Hospital of Erlangen and Friedrich-Alexander-University (FAU) Erlangen-Nuremberg</institution>, <addr-line>Erlangen</addr-line>, <country>Germany</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Robert Koch Institute</institution>, <addr-line>Wernigerode</addr-line>, <country>Germany</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Institute for Immunology, Philipps-University Marburg</institution>, <addr-line>Marburg</addr-line>, <country>Germany</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Division of Microbiology and CellNanOs &#x2013; Center of Cellular Nanoanalytics Osnabr&#xfc;ck, School of Biology/Chemistry, University Osnabr&#xfc;ck</institution>, <addr-line>Osnabr&#xfc;ck</addr-line>, <country>Germany</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Annette C. Vergunst, University of Montpellier, France</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Krzysztof Grzymaj&#x142;o, Wroc&#x142;aw University of Environmental and Life Sciences, Poland</p>
<p>William R. Schwan, University of Wisconsin&#x2013;La Crosse, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Markus Schnare, <email xlink:href="mailto:schnarem@staff.uni-marburg.de">schnarem@staff.uni-marburg.de</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>05</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>14</volume>
<elocation-id>1375887</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>01</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>02</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Gerlach, Wittmann, Heinrich, Pinkenburg, Meyer, Elpers, Schmidt, Hensel and Schnare</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Gerlach, Wittmann, Heinrich, Pinkenburg, Meyer, Elpers, Schmidt, Hensel and Schnare</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Salmonella enterica</italic> is a food-borne pathogen able to cause a wide spectrum of diseases ranging from mild gastroenteritis to systemic infections. During almost all stages of the infection process <italic>Salmonella</italic> is likely to be exposed to a wide variety of host-derived antimicrobial peptides (AMPs). AMPs are important components of the innate immune response which integrate within the bacterial membrane, thus forming pores which lead ultimately to bacterial killing. In contrast to other AMPs Bactericidal/Permeability-increasing Protein (BPI) displayed only weak bacteriostatic or bactericidal effects towards <italic>Salmonella enterica</italic> sv. Typhimurium (STM) cultures. Surprisingly, we found that sub-antimicrobial concentrations of BPI fold-containing (BPIF) superfamily members mediated adhesion of STM depending on pre-formed type 1 fimbriae. BPIF proteins directly bind to type 1 fimbriae through mannose-containing oligosaccharide modifications. Fimbriae decorated with BPIF proteins exhibit extended binding specificity, allowing for bacterial adhesion on a greater variety of abiotic and biotic surfaces likely promoting host colonization. Further, fimbriae significantly contributed to the resistance against BPI, probably through sequestration of the AMP before membrane interaction. In conclusion, functional subversion of innate immune proteins of the BPIF family through binding to fimbriae promotes <italic>Salmonella</italic> virulence by survival of host defense and promotion of host colonization.</p>
</abstract>
<kwd-group>
<kwd>antimicrobial proteins and peptides</kwd>
<kwd>type 1 fimbriae</kwd>
<kwd>
<italic>Salmonella</italic> Typhimurium</kwd>
<kwd>adhesion</kwd>
<kwd>antimicrobial resistance</kwd>
<kwd>bactericidal permeability increasing protein</kwd>
</kwd-group>
<counts>
<fig-count count="9"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="73"/>
<page-count count="19"/>
<word-count count="9924"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Microbes and Innate Immunity</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Antimicrobial peptides and proteins (AMPs) are key players of the innate immune response against bacterial infections. One of the most multifaceted AMPs known today is Bactericidal/Permeability-increasing Protein (BPI). The C-terminal portion of BPI was shown to opsonize bacteria whereas the N-terminus can act anti-angiogenetic, neutralizes LPS via direct binding to Lipid A and harbors the antimicrobial activity. Bactericidal activity against Gram negative bacteria could be narrowed down to a 27 amino acids (aa) peptide, including residues 82 to 108 of human BPI (<xref ref-type="bibr" rid="B1">Aichele et&#xa0;al., 2006</xref>). HuBPI binds to the bacterial outer membrane (OM) resulting in membrane rupture, change of transmembrane potential and increase in membrane current (<xref ref-type="bibr" rid="B71">Wiese et&#xa0;al., 1997</xref>). A mouse ortholog of BPI (mBPI) was identified (<xref ref-type="bibr" rid="B44">Lennartsson et&#xa0;al., 2005</xref>) and LPS-neutralizing activity of mBPI was demonstrated (<xref ref-type="bibr" rid="B72">Wittmann et&#xa0;al., 2008</xref>). Several other proteins share a similar 3-dimensional structure with BPI and are referred to as the BPI-fold (BPIF)-family. The most prominent BPIF family member is lipopolysaccharide-binding protein (LBP). LBP binds LPS at the same moieties as BPI, although with a lower affinity and is mainly thought to be involved into the recognition of LPS and other bacterial cell envelope components by the immune system to initiate an immune response (<xref ref-type="bibr" rid="B17">Eckert et&#xa0;al., 2013</xref>). Recently, the palate, lung, and nasal epithelium clone associated proteins (PLUNC) were added to the BPIF superfamily. The PLUNC-subfamily can be divided into short (S) PLUNC proteins, which share homology to the N-terminal part of BPI and long (L) PLUNC-proteins, which are homologous to the complete BPI protein (<xref ref-type="bibr" rid="B33">Holweg et&#xa0;al., 2011</xref>). Finally, two lipid transfer proteins, phospholipid transfer protein (PLTP) and cholesteryl ester transfer protein (CETP), belong to the BPIF-family. These proteins have their main function outside the principle immune response (<xref ref-type="bibr" rid="B19">Elsbach and Weiss, 1998</xref>).</p>
<p>Binding and activity of antimicrobial peptides and proteins can be sensed by bacteria through specialized signaling complexes within the bacterial membrane. The signal transduction works through two component signal transduction (TCS) or phosphorelay systems which involves the activation of a membrane-bound sensor kinase and final phosphorylation of a response regulator which acts as a transcriptional activator (<xref ref-type="bibr" rid="B51">Otto, 2009</xref>). So far, the ApsSR system of <italic>Staphylococcus epidermidis</italic> (<xref ref-type="bibr" rid="B45">Li et&#xa0;al., 2007</xref>), the CovRS (CsrRS) system of <italic>Streptococcus pyogenes</italic> (<xref ref-type="bibr" rid="B26">Gryllos et&#xa0;al., 2008</xref>) and PhoPQ (<xref ref-type="bibr" rid="B4">Bader et&#xa0;al., 2005</xref>; <xref ref-type="bibr" rid="B56">Richards et&#xa0;al., 2012</xref>), PmrAB (<xref ref-type="bibr" rid="B56">Richards et&#xa0;al., 2012</xref>), as well as RcsCDF (<xref ref-type="bibr" rid="B21">Farris et&#xa0;al., 2010</xref>) of <italic>Salmonella enterica</italic> sv. Typhimurium (<italic>S</italic>. Typhimurium, STM) were identified to be directly involved in sensing of AMPs. Binding and integration of AMPs within the bacterial membrane results in activation of the extracytoplasmic stress response (<xref ref-type="bibr" rid="B15">Crouch et&#xa0;al., 2005</xref>). Besides the alternative sigma factor &#x3c3;<sup>E</sup> and the RcsCDF phosphorelay, the CpxRA TCS was shown to be required for this adaptation in <italic>E. coli</italic> (<xref ref-type="bibr" rid="B3">Audrain et&#xa0;al., 2013</xref>). Although the systems differ in their downstream mechanisms, activation results generally in higher resistance against AMPs. Resistance is achieved by membrane modifications, lowering the binding affinity of AMPs, active export or proteolytic inactivation of AMPs (<xref ref-type="bibr" rid="B52">Peschel and Sahl, 2006</xref>). Results for <italic>Streptococcus</italic> indicate that virulence functions can be induced in response to AMP binding (<xref ref-type="bibr" rid="B26">Gryllos et&#xa0;al., 2008</xref>). Furthermore, PhoPQ and CpxRA of STM are involved in regulating bacterial virulence (<xref ref-type="bibr" rid="B25">Groisman, 2001</xref>; <xref ref-type="bibr" rid="B34">Humphreys et&#xa0;al., 2004</xref>).</p>
<p>
<italic>Salmonella enterica</italic> colonizes a broad range of different hosts and is one of the most prevalent causes of bacterial enteritis in humans. One reason of this broad host range is thought to be the vast set of adhesive surface structures encoded within their genomes. Sequencing of STM revealed the presence of at least five non-fimbrial adhesins and 13 fimbrial operons (<xref ref-type="bibr" rid="B46">McClelland et&#xa0;al., 2001</xref>; <xref ref-type="bibr" rid="B65">Wagner and Hensel, 2011</xref>). Type 1 fimbriae are the only fimbriae expressed under standard laboratory conditions and were shown to bind to mannose residues (<xref ref-type="bibr" rid="B35">Humphries et&#xa0;al., 2003</xref>). Adhesion to some epithelial cell lines depends on functional type 1 fimbriae (<xref ref-type="bibr" rid="B5">B&#xe4;umler et&#xa0;al., 1996</xref>) but in a mouse model of infection, alternative fimbrial structures can compensate for deficiency of type 1 fimbriae (<xref ref-type="bibr" rid="B64">van der Velden et&#xa0;al., 1998</xref>). This is in line with expression demonstrated for 9 of the 13 different fimbriae encoded by <italic>S</italic>. Typhimurium <italic>in vivo</italic> (<xref ref-type="bibr" rid="B35">Humphries et&#xa0;al., 2003</xref>). The environmental cues responsible for the induction of fimbriae expression in the intestine still need to be defined.</p>
<p>Type 1 fimbriae biogenesis follows the chaperone usher pathway, which was elucidated in great detail for <italic>E. coli</italic> (<xref ref-type="bibr" rid="B11">Capitani et&#xa0;al., 2006</xref>). FimD forms an outer membrane assembly platform, the usher. Individual subunits are transported in a Sec-dependent manner into the periplasmic space where they bind to cognate chaperones. The chaperone subunit complex is recognized by the usher which transports the fimbrial subunit to the bacterial surface thus polymerizing the pilus (<xref ref-type="bibr" rid="B11">Capitani et&#xa0;al., 2006</xref>). Polymerization is very stable and works by a strand complementation mechanism where an adjacent subunit completes a protein fold by donating a &#x3b2;-strand (<xref ref-type="bibr" rid="B54">Puorger et&#xa0;al., 2008</xref>). The pilus is assembled in a top-to-bottom order and for <italic>E. coli</italic> the requirement of the tip adhesin FimH for pilus biogenesis was experimentally shown (<xref ref-type="bibr" rid="B49">Munera et&#xa0;al., 2007</xref>). Adhesion mediated by surface structures like fimbriae is required for successful intestinal colonization of <italic>S.</italic> Typhimurium enabling subsequent steps of pathogenesis (<xref ref-type="bibr" rid="B35">Humphries et&#xa0;al., 2003</xref>).</p>
<p>We aimed to characterize the effect of BPI and other BPIF family-members on STM. Surprisingly, BPI exerted only a weak antibacterial activity against STM but at the same time stimulated <italic>Salmonella</italic> adhesion. By applying a comprehensive series of analyses, we found that BPIF family AMPs can trigger adhesion of <italic>Salmonella</italic> via direct interaction with type 1 fimbriae. Type 1 fimbriae also contributed significantly to the observed resistance against BPI, probably by preventing further interaction of the AMP with the bacterial OM. Here we identified a mechanism where antimicrobial host activities were not only neutralized, but rather used to promote virulence functions (adhesion) of the pathogen. Our findings exemplify that a previously characterized virulence factor with defined molecular interactions can exhibit additional functions in the complex setting of host immune defenses.</p>
</sec>
<sec id="s2" sec-type="results">
<title>Results</title>
<sec id="s2_1">
<title>BPI has only moderate bactericidal effects on <italic>Salmonella</italic> but can bind to the bacterial surface</title>
<p>The antimicrobial protein BPI has been shown to have a strong bactericidal effect on mucoid and multiresistant <italic>Pseudomonas aeruginosa</italic> strains in a time- and concentration-dependent manner (<xref ref-type="bibr" rid="B1">Aichele et&#xa0;al., 2006</xref>). Incubation of <italic>P. aeruginosa</italic> ATCC 27853 with 5 &#xb5;g/mL BPI purified from human neutrophils (huBPI) for 60 minutes reduced colony forming units (CFU) by ~95% in a microtiter-plate assay (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). When <italic>S</italic>. Typhimurium was exposed to huBPI in concentrations of 0.1, 1 and 5 &#xb5;g/mL, only moderate bactericidal effects were observed, resulting in survival of 95%, 81% and 67% of the bacteria compared to controls, respectively (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Impact of huBPI on bacterial survival and binding of huBPI to the <italic>Salmonella</italic> cell envelope. <bold>(A)</bold> Bacterial survival after one hour incubation with the indicated concentrations of huBPI was quantified by plating. <italic>P. aeruginosa</italic> (PSEAE) and of <italic>S</italic>. Typhimurium (STM). The results are presented as mean &#xb1; SD of 3 to 4 independent experiments. Statistical significance was calculated using one-way ANOVA and was defined as *** for adj. <italic>p</italic> &lt; 0.001. <bold>(B)</bold> STM was incubated for 2 h with 1 &#xb5;g/mL huBPI (&#x201c;+&#x201d;) or with buffer control (&#x201c;-&#x201d;) and subsequently fixed on glass coverslips. STM were labeled using an anti-LPS (&#x3b1;LPS, red) and anti-huBPI was used to detect huBPI (&#x3b1;BPI, green). STM were detected by confocal laser-scanning microscopy. Scale bars = 5 &#xb5;m.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g001.tif"/>
</fig>
<p>BPI showed varying antimicrobial activity against different strains of STM (<xref ref-type="bibr" rid="B69">Weiss et&#xa0;al., 1978</xref>). Since we observed only a weak antimicrobial activity of BPI against <italic>S</italic>. Typhimurium NCTC 12023, we analyzed whether BPI could associate with the surface of the strain. Therefore, we incubated STM with the AMP and detected the binding using a monoclonal antibody directed against huBPI. Confocal microscopy verified binding of huBPI to the bacterial surface and co-staining with an anti-LPS antibody revealed a complete colocalization of huBPI to the bacterial LPS (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Furthermore, we observed weaker LPS staining in the presence of huBPI, which might be indicative that BPI interferes with LPS antigen accessibility (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>).</p>
</sec>
<sec id="s2_2">
<title>BPIF family members promote adhesion of <italic>Salmonella</italic> Typhimurium</title>
<p>As shown above, huBPI readily bound to the surface of STM cells but had only a minor effect on the bacterial viability. Because surface-localized adhesive structures are key virulence factors of <italic>Salmonella</italic> (<xref ref-type="bibr" rid="B23">Gerlach and Hensel, 2007</xref>), we analyzed whether surface-binding of huBPI would interfere with the adhesion properties of <italic>Salmonella</italic>. Bacterial adhesion was assessed in a 96-well plate by staining the bound bacterial cells with crystal violet (CV) (<xref ref-type="bibr" rid="B38">Kai-Larsen et&#xa0;al., 2010</xref>). To our surprise, <italic>Salmonella</italic> started to adhere to the well surface shortly after addition of a non-bactericidal concentration of huBPI (1 &#xb5;g/mL). Addition of huBPI led to an increase of CV staining over time indicating an accumulation of bacteria at the well surface (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>BPI promotes adhesion to plastic surfaces independent of its capacity to form biofilms. <bold>(A)</bold> Binding of <italic>S</italic>. Typhimurium WT to plastic surfaces was quantified at the time points indicated after incubation in LB with addition of 1 &#xb5;g/mL huBPI (dark grey bar), BPI buffer (grey bar) or LB medium without bacteria (w/o, white bar). <bold>(B)</bold> Assay as described in <bold>(A)</bold> but carried out under biofilm-forming conditions (LB without salt, 28&#xb0;C) for 24h Bound bacteria were quantified using crystal violet. The results are presented as mean &#xb1; SD of 3 to 4 independent experiments. Statistical significance was calculated between controls (w/o, buffer) and treated or between groups as indicated using one-way ANOVA defined as ** for adj. <italic>p</italic> &lt; 0.01 and *** for adj. <italic>p</italic> &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g002.tif"/>
</fig>
<p>In order to determine whether the adhesion-inducing activity of BPI could also be seen in other BPIF family members, we recombinantly expressed short palate, lung, and nasal epithelium clone protein 1 (SPLUNC1 = BPIFA), long PLUNC 1 = BPIFB), as well as LBP in insect cells. All recombinant proteins carried a His epitope tag, which allowed for detection and purification. The purity of the recombinant proteins was estimated over 90% (data not shown). All of the tested BPIF proteins induced binding of STM to plastic surfaces (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figures&#xa0;1A, B</bold>
</xref>). To exclude an unspecific effect of the expression or purification system on bacterial adhesion, we expressed and purified a mouse procryptdin protein by the same means. As expected, the mouse procryptdin protein did not influence the adhesion of the bacteria (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1C</bold>
</xref>).</p>
<p>BPI, like many other AMPs, displays its antibacterial activity due to its cationic nature. Given the similar mode of action we were wondering whether other antimicrobial peptides would also induce adhesion of STM. Therefore, we tested human &#x3b1;-defensin 5 (HD5, as representative of &#x3b1;-defensins), human &#x3b2;-defensin 2 (HBD2, a representative of &#x3b2;-defensins) and LL-37 (cathelicidin). Although all three peptides showed their bactericidal activity when tested against <italic>P. aeruginosa</italic>, none of the peptides enhanced adhesion in <italic>Salmonella</italic> (data not shown).</p>
<p>In a next step, we tested whether huBPI could promote <italic>Salmonella</italic> biofilm formation because (1) biofilms are often observed on abiotic surfaces and (2) adhesion is required as an initial step of the biofilm formation process. <italic>S</italic>. Typhimurium can form biofilms <italic>in vitro</italic> under low temperature (28&#xb0;C) and low osmolarity (medium without salt) (<xref ref-type="bibr" rid="B58">R&#xf6;mling et&#xa0;al., 1998</xref>). With the addition of 1 &#xb5;g/mL huBPI, we observed a strong surface binding of bacteria after 24 h incubation under biofilm-promoting conditions (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1D</bold>
</xref>). Furthermore, higher concentrations of HD5 as well as HBD2 inhibited biofilm formation of <italic>S</italic>. Typhimurium most likely via their antimicrobial action at this concentration. Whereas LL-37 had no detectable impact on <italic>Salmonella</italic> biofilm formation (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1D</bold>
</xref>).</p>
<p>Because CV-based bacterial quantification is rather unspecific and cannot discriminate between bacterial adhesion and biofilm formation, an isogenic <italic>Salmonella</italic> mutant strain deficient for <italic>csgD</italic> was generated. The transcription factor CsgD is essential for the expression of the biofilm matrix components curli and cellulose (<xref ref-type="bibr" rid="B58">R&#xf6;mling et&#xa0;al., 1998</xref>). As expected, the <italic>csgD</italic> mutant did not produce a biofilm when grown on plates under biofilm-inducing conditions (data not shown). However, with addition of huBPI, STM &#x394;<italic>csgD</italic> started to adhere to the cell culture plate to almost the same extent as WT (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). Similar results were obtained using <italic>Salmonella</italic> mutants with defects in curli or cellulose structural genes (data not shown) speaking against a significant involvement of biofilm formation in the observed phenotype.</p>
</sec>
<sec id="s2_3">
<title>BPIF protein-induced adhesion is a post-translational process</title>
<p>We speculated that signal transduction from one or more of the known AMP-detecting signaling complexes of STM might be involved in BPIF protein-induced adhesion. To address this, isogenic mutants deficient for <italic>phoQ</italic>, <italic>pmrAB</italic>, <italic>rcsD</italic> and <italic>cpxRA</italic> or with constitutively active PhoPQ system (PhoP<sup>c</sup>) (<xref ref-type="bibr" rid="B27">Gunn et&#xa0;al., 1996</xref>) were tested. To exclude overlapping functions of the PhoPQ and PmrAB systems (<xref ref-type="bibr" rid="B56">Richards et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B37">Johnson et&#xa0;al., 2013</xref>), a mutant deficient for both TCSs was generated. None of these STM mutants showed a defect in the huBPI-induced adhesion (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Therefore, we concluded that huBPI induces adhesion of STM independent of known signal transduction systems involved in AMP sensing.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>BPIF-induced adhesion is a post-translational process. <bold>(A)</bold> A crystal violet (CV) assay was used to quantify binding of different isogenic <italic>S</italic>. Typhimurium mutants after 2h <bold>(B)</bold> Dot plot of RNA-seq results. Each dot corresponds to a gene for which RNA-seq data was obtained (n = 5,055). Log2 of relative expression of BPIFB (LPLUNC1)-treated bacteria vs. PBS controls was plotted against -log10 of the <italic>p</italic> value. Red dashed lines show the thresholds used for relative expression (&gt;2-fold). Labels and red dots represent significantly regulated genes. <bold>(C)</bold> Adhesion of &#x394;ProU (&#x394;<italic>proVWX</italic>) to plastic surface after treatment with huBPI (BPI; dark grey bars) or buffer (light grey bars) for 4 h was quantified by crystal violet staining. <bold>(D)</bold> Crystal violet assay after 2 h with or without block of protein <italic>de novo</italic> synthesis using chloramphenicol (Cm) where indicated. The results shown are presented as mean &#xb1; SD of three independent experiments done in triplicates. Statistical significance was calculated using one-way ANOVA <bold>(A, D)</bold> or a two-tailed unpaired Student&#x2019;s <italic>t</italic> test <bold>(C)</bold> and was defined as ** for <italic>p</italic> &lt; 0.01 and *** for <italic>p</italic> &lt; 0.001, ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g003.tif"/>
</fig>
<p>Next, we did differential transcriptome analysis using RNA-seq to elucidate the transcriptional changes which might be induced by BPIF family members on a genome-wide level. RNA of <italic>Salmonella</italic> cultures treated for 3 h with 10 &#xb5;g/mL of BPIFB was isolated and subjected to strand-specific sequencing. Bacteria exposed to the BPIFB buffer PBS served as control under identical conditions. To our surprise, only four genes exhibited a statistically significant, greater than 2-fold upregulation and two non-coding RNAs (ncRNA) showed significant downregulation in the BPIFB-treated samples (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref> and <xref ref-type="supplementary-material" rid="ST1">
<bold>Supplementary Table&#xa0;1</bold>
</xref>). The identified upregulated genes <italic>proV</italic>, <italic>proW</italic> and <italic>proX</italic> form the ProU (<italic>proVWX</italic>) operon encoding for a high-affinity glycine betaine transport system involved in osmoregulation (<xref ref-type="bibr" rid="B62">Stirling et&#xa0;al., 1989</xref>). STM14_1968 encodes for a putative S-(hydroxymethyl) glutathione dehydrogenase/class III alcohol dehydrogenase. The ncRNA STnc3740 (SLnc1015) is bound by ProQ and might act as a <italic>cis</italic>-antisense RNA (<xref ref-type="bibr" rid="B61">Smirnov et&#xa0;al., 2016</xref>) while the function of <italic>rydB</italic> (<italic>tpe7</italic>, IS082) is not known (<xref ref-type="bibr" rid="B67">Wassarman et&#xa0;al., 2001</xref>). We addressed the possible role of ProU for the observed phenomenon by generating a mutant. No impact of ProU on the ability of the cells to adhere after stimulation with 5 &#xb5;g/mL BPI could be observed (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>).</p>
<p>With no significant transcriptional changes detectable upon exposure to BPIF proteins, we opted to elucidate the role of protein <italic>de novo</italic> synthesis for the observed phenotype. While treatment of the bacteria with chloramphenicol during stimulation with BPI did completely inhibit bacterial growth (data not shown), it had only a minor effect on the adhesion of <italic>S</italic>. Typhimurium (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). From these experiments, we concluded that transcriptional reprogramming and protein <italic>de novo</italic> synthesis are not involved in BPIF protein-mediated bacterial adhesion.</p>
</sec>
<sec id="s2_4">
<title>BPIF protein-mediated adhesion depends on pre-formed type 1 fimbriae</title>
<p>Our previous results demonstrated that BPIF proteins bind to the bacterial surface and BPIF protein-induced adhesion is a post-translational process. Therefore, we reasoned that bacterial binding might rely on existing bacterial surface structures and performed transmission electron microscopy (TEM) in order to detect such structures. Under both conditions, untreated and huBPI-exposed, thin proteinaceous appendages were observed on the STM cell envelope (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Similar surface structures were observed using a strain with inducible expression of type 1 fimbriae (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Next, mutants deficient for <italic>fimA</italic> or <italic>lrp</italic> genes were generated. While <italic>fimA</italic> encodes for the major pilin subunit of type 1 fimbriae, Lrp activates the transcription of the <italic>fim</italic> operon (<xref ref-type="bibr" rid="B47">McFarland et&#xa0;al., 2008</xref>). Both mutants did not adhere in the presence of huBPI. However, complementation of the knockouts by plasmids harboring the deleted genes did restore the phenotype (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). Identical results were obtained using knockouts of the tip adhesin FimH and the usher FimD (data not shown).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>BPIF-induced adhesion is mediated by type 1 fimbriae. <bold>(A)</bold> Transmission electron microscopy (TEM) of <italic>S</italic>. Typhimurium wild type (STM WT) bacterial suspensions without <bold>(-)</bold> or with (+) addition of 10 &#xb5;g/mL rhuBPI. A strain with inducible expression of type 1 fimbriae (SR-11 &#x394;<italic>fim</italic> P<italic>
<sub>tet</sub>
</italic>::<italic>fim</italic>) was included as negative or positive control (+AHT). Arrows indicate type 1 fimbriae where arrowheads designate flagella. Scale bar = 500 nm. <bold>(B)</bold> Adhesion of different strains to plastic surface after treatment for 2 h with 1 &#xb5;g/mL huBPI (grey bars) or BPI buffer (white bar) was quantified by crystal violet staining. <bold>(C)</bold> <italic>FimA</italic> promoter activity in STM WT (squares) and &#x394;<italic>lrp</italic> (triangles) strains was quantified after addition of huBPI (solid line) or buffer (hatched line) using a luminescence reporter. Data normalized to bacterial density (OD<sub>600</sub>) is shown. <bold>(D)</bold> STM WT was grown O/N under the conditions as indicated. After treatment for 2 h with 1 &#xb5;g/mL huBPI (grey bars) or BPI buffer (white bar) adhering bacteria were quantified by crystal violet staining. <bold>(E)</bold> The STM WT (horizontal hatched) and the &#x394;<italic>lrp</italic> (diagonal hatched) reporter strains from <bold>(C)</bold> were grown under the same conditions as in <bold>(D)</bold> and luminescence activity was quantified. The results shown are presented as mean &#xb1; SD of one representative experiment out of three independent experiments done in triplicates. Statistical significance was calculated using a two-tailed unpaired Student&#x2019;s <italic>t</italic> test and was defined as ** for <italic>p</italic> &lt; 0.01, *** for <italic>p</italic> &lt; 0.001, ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g004.tif"/>
</fig>
<p>Next, we monitored the activity of the <italic>fimA</italic> promoter (P<italic>
<sub>fimA</sub>
</italic>) over time upon exposure to huBPI using a transcriptional fusion to a bacterial luciferase operon as reporter. Consistent with our transcriptome data, P<italic>
<sub>fimA</sub>
</italic> activity changed neither significantly over time nor upon addition of huBPI (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). As previously described (<xref ref-type="bibr" rid="B47">McFarland et&#xa0;al., 2008</xref>), <italic>fimA</italic> promoter activity was strongly reduced in a Lrp-deficient strain (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Because transcriptional regulation and protein <italic>de novo</italic> synthesis are not required for the adhesion phenotype, we concluded that fimbriae have to be pre-formed to enable the effect. To address this assumption experimentally, bacteria were cultured under conditions known to induce and to repress expression of fimbriae (<xref ref-type="bibr" rid="B59">Saini et&#xa0;al., 2010</xref>). Under static growth or mild aeration, both conditions known to induce <italic>fim</italic> gene expression, huBPI was able to induce bacterial adhesion. However, no adhesion was observed when <italic>Salmonella</italic> were grown fully aerated which represses Fim transcription (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). In line with that, repression of <italic>fim</italic> gene expression was observed for bacteria grown fully aerated using a luciferase reporter fusion. However, high luciferase activity was detected for statically grown or low aerated cultures (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). As expected, deletion of <italic>lrp</italic> reduced <italic>fimA</italic> promoter activity under inducing culture conditions (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>).</p>
</sec>
<sec id="s2_5">
<title>Modification of fimbrial adhesion specificity by BPIF proteins</title>
<p>In our experimental setting bacterial adhesion to plastic surfaces was depending on the presence of type 1 fimbriae in conjunction with a protein of the BPIF family. Therefore, we hypothesized that the BPIF proteins bind to the type 1 fimbriae that facilitates bacterial adhesion. Type 1 fimbriae exhibit a lectin-like activity through recognition of and subsequent binding to mannose moieties via the tip adhesin FimH (<xref ref-type="bibr" rid="B35">Humphries et&#xa0;al., 2003</xref>). This results in mannose sensitivity e.g. binding can be abrogated with excess of soluble ligand (<xref ref-type="bibr" rid="B50">Ofek et&#xa0;al., 1977</xref>). In order to test whether BPIF protein-induced adhesion of <italic>Salmonella</italic> is dependent on the interaction between type 1 fimbriae and mannose, wells were either coated with mannose-containing yeast mannan (YM) or bovine serum albumin (BSA) as a control. To increase the resolution and dynamic range of the bacterial adhesion assays, we quantified surface-bound bacteria based on virtual colony counts (VCC) (<xref ref-type="bibr" rid="B32">Hoffmann et&#xa0;al., 2018</xref>). As expected, strong bacterial binding was observed for STM SR-11 WT on YM-coated surfaces, but not on BSA-coated wells (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). However, with addition of the BPIF family member BPIFB (LPLUNC1), bacteria started to bind to the BSA-coated wells to a similar extent than to YM-coated wells. Addition of the non-metabolizable &#x3b1;-D-mannose derivative methyl &#x3b1;-D-mannopyranoside (&#x3b1;-MMP) (<xref ref-type="bibr" rid="B50">Ofek et&#xa0;al., 1977</xref>) abrogated bacterial adhesion independent of the well surface coating and addition of BPIFB (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). Similar results were obtained using a fimbriae-deficient background (&#x394;12) of <italic>S</italic>. Typhimurium SR-11 where expression of the <italic>fim</italic> operon was induced from a plasmid with addition of AHT (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). No adhesion was observed when AHT was omitted and the <italic>fim</italic> operon was left uninduced (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>FimH-mediated mannose binding is required for BPIF-induced adhesion. <bold>(A-D)</bold> <italic>S</italic>. Typhimurium SR-11 wild type (WT) <bold>(A)</bold>, &#x394;12 [P<italic>
<sub>tetA</sub>
</italic>::<italic>fim</italic>] <bold>(B, C)</bold> and &#x394;12 [P<italic>
<sub>tetA</sub>
</italic>::<italic>fim</italic>-<italic>fimH</italic>[T56I]] <bold>(D)</bold> were allowed to adhere to yeast mannan (YM) coated (grey bars) or BSA treated (open bars) wells in the presence of 10 &#xb5;g/mL BPIFB and/or 1% &#x3b1;-MMP (&#x3b1;-MMP) as indicated. Expression of WT fimbriae from P<italic>
<sub>tetA</sub>
</italic>::<italic>fim</italic> was either induced (+AHT) <bold>(B)</bold> or left uninduced <bold>(C)</bold>. In <bold>(D)</bold>, expression of fimbriae containing a T56I mutated FimH was induced. Bound bacteria were quantified using virtual colony counts (VCC) as described in material and methods. The results shown are mean &#xb1; SD of 6 independent experiment done in 4-fold replicates. Statistical significance was calculated using a two-tailed unpaired Student&#x2019;s <italic>t</italic> test and was defined as ** for <italic>p</italic> &lt; 0.01, *** for <italic>p</italic> &lt; 0.001, ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g005.tif"/>
</fig>
<p>Because BPIF protein-induced adhesion was mannose sensitive, the mannose binding capacity of FimH seems to play an essential role. To test this, we introduced a point mutation (T56I) into FimH of the <italic>fim</italic> expression plasmid which renders FimH unable to interact with mannose residues (<xref ref-type="bibr" rid="B39">Kisiela et&#xa0;al., 2012</xref>). Because FimH is required to initiate the top-to-bottom synthesis of type 1 fimbriae, deletion of the gene inhibits Fim biogenesis (<xref ref-type="bibr" rid="B49">Munera et&#xa0;al., 2007</xref>). Therefore, we checked proper expression of type 1 fimbriae through flow cytometric detection of surface-localized FimA. Here, no differences in FimA expression were observed for plasmids harboring either WT FimH or T56I FimH (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>). Induction of expression of the FimH T56I mutant operon neither resulted in binding to YM nor to BSA in the presence of BPIFB (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>).</p>
<p>Although we could demonstrate the functional expression of fimbriae containing the FimH mutant T56I on the bacterial surface, only fimbriae with functional FimH were able to bind to YM-coated surfaces and sustain the effects of BPIF proteins. The importance of mannose binding was illustrated by the fact that the soluble ligand &#x3b1;-MMP completely inhibited not only binding to YM but also BPIF protein-induced adhesion of STM. If the surface of the plate was covered with a mannose-containing fimbrial ligand (YM), adhesion of the bacteria was BPIF protein independent. In the absence of such surface ligands (BSA), addition of BPIF proteins promoted adhesion by altering the binding specificity of the bacteria depending on functional fimbriae.</p>
</sec>
<sec id="s2_6">
<title>Mannose-containing glycostructures are essential for interaction of BPIF proteins with fimbriae</title>
<p>It is known that members of the BPIF family are glycosylated (<xref ref-type="bibr" rid="B6">Bingle et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B24">Ghafouri et&#xa0;al., 2004</xref>; <xref ref-type="bibr" rid="B41">Kohlgraf et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B68">Weersink et&#xa0;al., 1993</xref>). Therefore, we reasoned that these proteins might directly bind to FimH due to their glycosylation patterns. We showed that indeed all our recombinantly expressed proteins (rhuBPI, rBPIFA, rBPIFB) as well as BPI isolated from human neutrophils (huBPI) are bound by rhodamine-labeled concanavalin A (Con A), a lectin with mannose binding specificity (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). Labeling of the proteins was mannose sensitive as demonstrated with addition of 1% &#x3b1;-MMP that abrogated lectin binding completely (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). In order to analyze the dependence of rBPIFB or rhuBPI sugar moieties for the interaction with FimH, we de-glycosylated the proteins via treatment with N-glycosidase F (PNGase F) which efficiently removes N-linked glycans from asparagine residues. With PNGase F treatment Con A rhodamine binding to BPIFB was reduced almost to background level (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). Furthermore, PNGase F-treated BPIFB migrated faster in gel electrophoresis compared to a mock-treated control (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). Similar results but to a somewhat lower extent were obtained using huBPI (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figures&#xa0;3A, B</bold>
</xref>). Further functional testing of deglycosylated BPIFB revealed that the protein completely lost its adhesion-inducing potential towards STM (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Mannosylation of BPIF proteins is required to mediate adhesion of <italic>S</italic>. Typhimurium. <bold>(A)</bold> Mannosylation of BPI isolated from human neutrophils (huBPI), recombinantly produced BPIF proteins or yeast mannan (YM) as indicated was tested through binding of the fluorescently labeled mannose-specific lectin concanavalin A (Con A rhodamine). Mannose sensitivity of Con A rhodamine binding was tested with addition of 1% &#x3b1;-MMP. <bold>(B)</bold> In a similar assay as shown in <bold>(A)</bold>, the effect of PNGase F-mediated deglycosylation of BPIFB is depicted. <bold>(C)</bold> Western blot analysis of PNGase F treated (+) or mock treated <bold>(-)</bold> BPIFB protein. <bold>(D)</bold> VCC-based quantification of bacteria adhering to YM-coated (grey bars) or BSA-treated (open bars) surfaces. The results shown are mean &#xb1; SD of 3 <bold>(A, B)</bold> or 6 <bold>(D)</bold> independent experiments done in 4-fold replicates. Statistical significance was calculated using a two-tailed unpaired Student&#x2019;s <italic>t</italic> test <bold>(A)</bold> or one-way ANOVA <bold>(B, D)</bold> and was defined as ** for <italic>p</italic> &lt; 0.01 and *** for <italic>p</italic> &lt; 0.001, ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g006.tif"/>
</fig>
<p>To identify the part of the BPI protein mediating FimH binding we produced an N-terminally truncated version of BPI as a recombinant protein. This C-terminal part of BPI which neither shows LPS neutralizing activity nor antimicrobial effects [(<xref ref-type="bibr" rid="B69">Weiss et&#xa0;al., 1978</xref>) and data not shown] was still able to induce <italic>Salmonella</italic> adhesion, albeit to a lesser extent than full length BPI (<xref ref-type="supplementary-material" rid="SF4">
<bold>Supplementary Figure&#xa0;4</bold>
</xref>). Therefore, the adhesion-inducing potential of BPI/BPIFB depends on mannose-containing glycostructures and is probably independent of the LPS binding capacity of the protein.</p>
</sec>
<sec id="s2_7">
<title>BPI can promote <italic>Salmonella</italic> adherence to cultured cells</title>
<p>It has been shown that type 1 fimbriae can mediate adhesion to mannosylated surface structures of M-cells (<xref ref-type="bibr" rid="B31">Hase et&#xa0;al., 2009</xref>) and some epithelial cell lines (<xref ref-type="bibr" rid="B5">B&#xe4;umler et&#xa0;al., 1996</xref>).Therefore, we were interested whether the altered adhesion specificity through fimbriae-bound BPIF proteins not only enables binding to abiotic surfaces but would also promote bacterial adhesion in a cellular assay. As a model, we used the human bronchial epithelial cell line BEAS-2B which can be readily infected by <italic>Salmonella</italic>, and releases IL-8 upon infection with <italic>Salmonella</italic> (data not shown and <xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>). BEAS-2B cells were infected with STM pre-incubated with or without rhuBPI for 1.5 h. The functionality of rhuBPI in this experimental setting could be demonstrated by the reduced amount of IL-8 released from the infected cells due to its LPS-neutralizing activity (<xref ref-type="bibr" rid="B72">Wittmann et&#xa0;al., 2008</xref>) (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>). Pre-incubation with rhuBPI led to an increase of adherence of STM WT bacteria in a dose-dependent manner (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). In contrast, STM &#x394;<italic>fimA</italic> pre-incubated with 50 &#xb5;g/mL rhuBPI was unresponsive to the treatment indicating that the effect is also depending on type 1 fimbriae function in this setting. Complementation of this mutant by a plasmid harboring the <italic>fimA</italic> gene let the strain regain its rhuBPI-dependent adhesion (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). To further interfere with fimbriae-dependent adhesion, &#x3b1;-MMP was added during the experiment. The incubation with &#x3b1;-MMP drastically reduced the rhuBPI-mediated enhanced adhesion of <italic>Salmonella</italic> in BEAS-2B cells (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>) suggesting a mechanism in this model similar to that observed for binding to abiotic surfaces.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>BPI promotes cellular adhesion of <italic>Salmonella</italic> to BEAS-2B cells. <bold>(A)</bold> Cells were infected for 1.5 h at a multiplicity of infection of one (MOI 1) with <italic>S.</italic> Typhimurium (STM) WT which was pre-incubated for 30 min. with 10, 30 or 50 &#xb5;g/mL recombinant human BPI (rhuBPI). The left panel shows the % adhered bacteria normalized to untreated controls. In the right panel, cells were infected as described above, but subsequently treated O/N with gentamicin and IL-8 was quantified from supernatants. As controls, uninfected (n.i.) cells were treated with similar amounts of rhuBPI as indicated or left untreated (none). <bold>(B)</bold> The experiments as explained in <bold>(A)</bold> were performed with STM WT, &#x394;<italic>fimA</italic> and p<italic>fimA</italic> (plasmid-complemented) with pre-incubation of the bacteria using 50 &#xb5;g/mL rhuBPI. <bold>(C)</bold> The experiments as explained in <bold>(A)</bold> were done with or without pre-incubation of STM WT with 50 &#xb5;g/mL rhuBPI and/or methyl &#x3b1;-D-mannopyranoside (&#x3b1;-MMP). The results shown are mean &#xb1; SD of one representative experiment out of three performed done in quadruplicates. Statistical significance was calculated using one-way ANOVA for the comparisons as indicated and using one sample t-test against the theoretical mean of 100 for left panels of <bold>(A, B)</bold>. Significance was defined as ** for <italic>p</italic> &lt; 0.01, *** for <italic>p</italic> &lt; 0.001 and ns, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g007.tif"/>
</fig>
</sec>
<sec id="s2_8">
<title>Fimbrial binding reduces bactericidal effects of BPI</title>
<p>We could show that BPIF family proteins are bound by <italic>Salmonella</italic> through type 1 fimbriae and this binding enhances adhesion capabilities of the bacteria. To exert its antimicrobial activity, BPI has to interact with the bacterial OM, presumably through LPS binding. Given the moderate antimicrobial activity of BPI against STM (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>) we speculated that fimbriae could sequester BPI to prevent its binding to the bacterial OM. Therefore, we exposed STM WT and bacteria deficient for <italic>fimA</italic> to increasing concentrations of rhuBPI. While both strains showed a dose-dependent killing, the effect was significantly stronger for the <italic>fimA</italic> mutant (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8A</bold>
</xref>). Interestingly, plasmid-based complementation using the native promoter (p<italic>fimA</italic>) completely abrogated the antimicrobial effect of rhuBPI (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8A</bold>
</xref>). When we tested the <italic>Salmonella</italic> WT strain SR-11 in a similar assay, we observed no antimicrobial effect up to 200 &#xb5;g/mL rhuBPI. In contrast, an isogenic strain lacking the <italic>fim</italic> operon showed significantly reduced bacterial survival. Similar results were obtained when a plasmid for inducible expression of the <italic>fim</italic> operon was left uninduced in strain SR-11 &#x394;<italic>fim</italic>. However, when expression of type 1 fimbriae was induced, survival under all concentrations of rhuBPI exceeded that of the buffer control (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8B</bold>
</xref>). In summary, we could demonstrate a protective effect of fimbriae against the antimicrobial action of BPI. Although strain-specific differences exist, isogenic mutants deficient for type 1 fimbriae were more susceptible compared to the respective WT strains.</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>The presence of type 1 fimbriae reduces antimicrobial activity of BPI. <bold>(A)</bold> Bacterial survival after one hour of incubation with the indicated concentrations of rhuBPI (grey bars) or buffer controls (open bars) was quantified for strains <italic>S</italic>. Typhimurium (STM) WT, &#x394;<italic>fimA</italic> and p<italic>fimA</italic> (plasmid-complemented) by plating. <bold>(B)</bold> Bacterial survival of <italic>S</italic>. Typhimurium strain SR-11 WT, &#x394;<italic>fim</italic> and &#x394;<italic>fim</italic> [P<italic>
<sub>tet</sub>
</italic>::<italic>fim</italic>] (inducible <italic>fimAICDHF</italic> expression) was quantified as described in <bold>(A)</bold>. The results are presented as mean &#xb1; SD of data normalized to buffer controls of five independent experiments. Samples were compared against the respective buffer controls or between test strains as indicated. Statistical significance was calculated using Mann Whitney test and was defined as * for <italic>p</italic> &lt; 0.05, ** for <italic>p</italic> &lt; 0.01.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g008.tif"/>
</fig>
</sec>
</sec>
<sec id="s3" sec-type="discussion">
<title>Discussion</title>
<p>
<italic>Salmonella</italic> is a versatile pathogen which has evolved multiple pathways to recognize and respond to the presence of AMPs. Antimicrobial peptides are host derived factors with cationic properties and are thought to interact with the mainly negatively charged bacterial cell wall. A common countermeasure to reduce the affinity of the bacterial cell envelope for AMPs is to lower the negative net charge through modifying LPS with positively charged moieties (<xref ref-type="bibr" rid="B52">Peschel and Sahl, 2006</xref>). For <italic>Salmonella</italic>, the PmrAB TCS was shown to induce such LPS modifications in the presence of BPI and other AMPs which in turn prevented binding of larger amounts of these peptides (<xref ref-type="bibr" rid="B20">Farley et&#xa0;al., 1988</xref>; <xref ref-type="bibr" rid="B28">Gunn et&#xa0;al., 2000</xref>). Moreover, Farlay et&#xa0;al. demonstrated that <italic>Salmonella</italic> expressing a smooth form of LPS were more resistant to the antimicrobial activity of BPI most likely due to a decreased binding affinity (<xref ref-type="bibr" rid="B20">Farley et&#xa0;al., 1988</xref>). This is in line with older data which showed differential susceptibility of <italic>Salmonella</italic> strains against BPI depending on the expression of LPS variants (<xref ref-type="bibr" rid="B69">Weiss et&#xa0;al., 1978</xref>). Our data suggest another resistance mechanism depending on type 1 fimbriae where mannosylated BPI is bound by the fimbrial tip adhesin thereby preventing further interaction with LPS of the outer membrane (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>). Here, the somewhat lower <italic>K<sub>D</sub>
</italic> of 1-2 &#xd7; 10<sup>-6</sup> M of the (high affinity) FimH-mannose interaction (<xref ref-type="bibr" rid="B2">Aprikian et&#xa0;al., 2007</xref>) compared to a <italic>K<sub>D</sub>
</italic> of 2-5 &#xd7; 10<sup>-6</sup> M for the BPI-LPS interaction (<xref ref-type="bibr" rid="B22">Gazzano-Santoro et&#xa0;al., 1992</xref>) could lead to AMP sequestration by fimbriae (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9A</bold>
</xref>). Additionally, AMP-decorated fimbriae could further sterically block access to LPS for larger molecules.</p>
<fig id="f9" position="float">
<label>Figure&#xa0;9</label>
<caption>
<p>Working models for consequences of the interaction between BPIF-proteins and type 1 fimbriae. <bold>(A)</bold> Model for the protective effect of type 1 fimbriae against the bactericidal activity of BPIF proteins. Left: In the presence of type 1 fimbriae the BPIF protein is sequestered through Fim-mediated binding of mannose residues (grey squares). Right: In the absence of fimbriae BPIF proteins interact with LPS on the OM which subsequently leads to membrane rupture. IM, inner membrane; OM, outer membrane. <bold>(B)</bold> <italic>Salmonella</italic> readily binds mannosylated (grey squares) surfaces via type 1 fimbriae (left panels). However, in the absence of surface-exposed mannose, glycosylated BPIF proteins can mediate bacterial binding as fimbrial ligands thereby expanding the binding specificity of <italic>Salmonella</italic> (lower right panel). <bold>(C)</bold> The interaction between fimbriae and BPIF proteins is mannose sensitive (left panel) and requires functional fimbriae (right panel).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1375887-g009.tif"/>
</fig>
<p>High concentrations of BPI are required to exert an antimicrobial effect on <italic>Salmonella</italic> as reported by this and other studies (<xref ref-type="bibr" rid="B69">Weiss et&#xa0;al., 1978</xref>; <xref ref-type="bibr" rid="B20">Farley et&#xa0;al., 1988</xref>; <xref ref-type="bibr" rid="B57">Roland et&#xa0;al., 1993</xref>). Because these concentrations might not always be reached <italic>in vivo</italic>, we also applied BPI well below its inhibitory concentration. Using this setup, we still observed significant binding of BPI to the bacterial surface. Interestingly, there was less intense LPS staining (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) for BPI-treated bacteria which could be due to steric hindrance or LPS modification (see above), both resulting in reduced anti-LPS antibody binding. Importantly, addition of sub-inhibitory concentrations of BPIF family members promoted <italic>Salmonella</italic> adhesion. Mechanistically, pre-formed type 1 fimbriae were sufficient to trigger adhesion with transcriptional reprogramming excluded by RNA-seq analysis. Hence, we propose that sub-antimicrobial concentrations of BPI do not trigger the AMP sensing systems which was supported by the dispensability of one or a combination of the PhoPQ-, PmrAB-, Rcs-, or CpxRA systems.</p>
<p>Type 1 fimbriae of <italic>Salmonella</italic> can bind mannose-containing, glycosylated moieties of BPIF family members BPI, LBP, BPIFA and BPIFB via their tip adhesin FimH. This resulted in altered binding specificity of the bacteria to additionally support adhesion to previously low-binding abiotic or cellular surfaces. While surfaces with exposed mannose residues were bound in a type 1 fimbriae-dependent but BPIF protein-independent manner, Fim-bound BPIF proteins can mediate binding to non- or low-mannosylated surfaces (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9B</bold>
</xref>). Depending on the binding affinities, it is also conceivable that the BPIF proteins bind the respective surface first with type 1 fimbriae-dependent bacterial binding to follow. However, independent of the order of binding the result will be similar. As expected, BPIF protein-dependent adhesion is mannose sensitive and requires functional type 1 fimbriae (<xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9C</bold>
</xref>). Besides increased adhesion to abiotic surfaces, we also observed elevated numbers of adhered bacteria pretreated with BPI to BEAS-2B cells (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>). For <italic>Shigella flexneri</italic>, binding of the &#x3b1;-defensin HD5 to membrane proteins enabled the bacteria to adhere to epithelial cells and to mediate pathogenicity. In contrast to our findings, the binding of HD5 to the bacterial membrane was independent of fimbriae expression since Con A failed to inhibit HD5-enhanced <italic>in vitro</italic> infection (<xref ref-type="bibr" rid="B73">Xu et&#xa0;al., 2018</xref>).</p>
<p>Our results with BEAS-2B cells suggested that there might be a limited availability of terminal mannose residues on the surface of these cells. Here, the bridging effect of rhuBPI was able to compensate for that in WT and plasmid-complemented &#x394;<italic>fimA</italic> bacteria (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Type 1 fimbriae are important players in the pathogenicity of <italic>Salmonella</italic> with their contribution to the bacteria host interaction likely depending on the amount of surface mannose available. For example, type 1 fimbriae foster the reversible binding of <italic>Salmonella</italic> to HeLa cells during the invasion process (<xref ref-type="bibr" rid="B48">Misselwitz et&#xa0;al., 2011</xref>) and the uptake of STM or <italic>E. coli</italic> by dendritic cells (<xref ref-type="bibr" rid="B29">Guo et&#xa0;al., 2007</xref>). Fim-mediated adhesion was also shown to promote biofilm formation (<xref ref-type="bibr" rid="B8">Boddicker et&#xa0;al., 2002</xref>). It is tempting to speculate that the increased binding affinity, especially for abiotic, non-mannosylated surfaces, of BPIF protein-decorated fimbriae could result in subsequent biofilm formation.</p>
<p>While demonstrating a positive effect of BPIF proteins on adhesion, surface binding of host-derived proteins could also have detrimental effects on the bacteria. For example, binding of uromodulin to uropathogenic <italic>E. coli</italic> inhibits bacterial adhesion to bladder epithelial cells (<xref ref-type="bibr" rid="B14">Conover et&#xa0;al., 2016</xref>). Previously, surface binding of BPI was shown to promote phagocytotic uptake of bacteria by neutrophils and monocytes which was attributed to the binding of BPI to LPS (<xref ref-type="bibr" rid="B36">Iovine et&#xa0;al., 1997</xref>). Besides LPS, additional ligands of BPI have been identified. It was demonstrated that BPI is able to interact with the surface of Influenza A virus. Although the exact ligand could not be determined it is clear that it will not be LPS (<xref ref-type="bibr" rid="B53">Pinkenburg et&#xa0;al., 2016</xref>). Furthermore, BPI was able to enhance the stimulating capacity of bacterial lipoproteins (<xref ref-type="bibr" rid="B10">B&#xfc;low et&#xa0;al., 2018</xref>). Here we add an additional ligand of BPI to the list since we show that BPI interacts with FimH.</p>
<p>Expression of type 1 fimbriae by bacterial pathogens can be a double-edged sword. Despite mediating adhesion to various host cells and thereby enabling further steps in the pathogenesis, fimbriae are structures recognized by the host immune system. Specifically, the fimbrial tip protein FimH has been implicated in sensing of bacterial pathogens by M-cells via direct binding to the GP2 protein (<xref ref-type="bibr" rid="B31">Hase et&#xa0;al., 2009</xref>). Lack of FimH reduced antigen-specific immune responses in Peyer&#x2019;s patches because of decreased transcytosis through M-cells (<xref ref-type="bibr" rid="B31">Hase et&#xa0;al., 2009</xref>). As a consequence, bacteria need to regulate expression of fimbrial operons tightly <italic>in vivo</italic> to balance between adhesion function and exposure of a target structure for the host adaptive immune system (<xref ref-type="bibr" rid="B35">Humphries et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B40">Klaffenbach et&#xa0;al., 2011</xref>). Our results suggest the presence of an additional layer to fine-tune the activity of type 1 fimbriae via interaction with host cell-derived glycosylated proteins. Here binding of certain proteins belonging to the innate immune system of the host to the bacterial fimbriae serves as a bridge to enable Fim-mediated adhesion to a broader range of (cellular) surfaces. In case of BPI we showed that fimbriae can act as scavengers thereby reducing the antimicrobial activity of the protein. Further experiments are needed to answer the question whether these results can be transferred to other <italic>Salmonella</italic> fimbrial operons or other fimbriated bacteria.</p>
</sec>
<sec id="s4" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s4_1">
<title>Bacterial strains and plasmids</title>
<p>Bacterial strains used in this study are listed in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. <italic>Salmonella enterica</italic> serovar Typhimurium (STM) NCTC 12023 was used as a wild type (WT) strain. Isogenic mutants from strain NCTC 12023 were generated by &#x3bb; Red-mediated recombination as described before (<xref ref-type="bibr" rid="B7">Blank et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B12">Chakravortty et&#xa0;al., 2002</xref>) using template plasmids pKD4 (<xref ref-type="bibr" rid="B16">Datsenko and Wanner, 2000</xref>) or pWRG100 (<xref ref-type="bibr" rid="B7">Blank et&#xa0;al., 2011</xref>) with primers as detailed in <xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table&#xa0;2</bold>
</xref>. The kanamycin resistance cassette was optionally removed by expression of Flp recombinase from plasmid pCP20 (<xref ref-type="bibr" rid="B13">Cherepanov and Wackernagel, 1995</xref>) or a second &#x3bb; Red recombination step with I-SceI selection (<xref ref-type="bibr" rid="B7">Blank et&#xa0;al., 2011</xref>). For complementation of <italic>fimA</italic> and <italic>lrp</italic> mutants, fragments containing the native promoter and the cognate coding sequence were PCR-amplified from <italic>S</italic>. Typhimurium genomic DNA using forward primers containing an EcoRI site and reverse primers with an XbaI-site. Fragments were cloned in pWSK29 using EcoRI and XbaI to generate pWRG79 (p<italic>fimA</italic>) and pWRG80 (p<italic>lrp</italic>). The transcriptional <italic>fimA</italic> luminescence reporter plasmid pWRG114 was constructed based on pGEN-luxCDABE (<xref ref-type="bibr" rid="B43">Lane et&#xa0;al., 2007</xref>). For that, the <italic>fimA</italic> promoter was amplified by PCR using primers Pro-FimA-EcoRI-for and Pro-FimA-SmaI-rev with genomic DNA as template and subsequently cloned in pGEN-luxCDABE via EcoRI/SmaI. All constructs were initially screened by colony PCR using suitable check primers and finally verified by restriction analysis and sequencing.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Bacterial strains and plasmids used in this study.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Strain or plasmid</th>
<th valign="top" align="left">Relevant characteristic(s)</th>
<th valign="top" align="left">Source or Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<italic>Pseudomonas aeruginosa</italic> ATCC 27853</td>
<td valign="top" align="left">wild type; reference strain</td>
<td valign="top" align="left">ATCC</td>
</tr>
<tr>
<th valign="top" colspan="3" align="left">
<italic>S. enterica</italic> serovar Typhimurium strains</th>
</tr>
<tr>
<td valign="top" align="left">NCTC 12023</td>
<td valign="top" align="left">wild type</td>
<td valign="top" align="left">NCTC, Colindale, UK</td>
</tr>
<tr>
<td valign="top" align="left">SR-11</td>
<td valign="top" align="left">wild type</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B60">Schneider and Zinder, 1956</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">SR-11 &#x394;<italic>fim</italic>
</td>
<td valign="top" align="left">&#x394;<italic>fimAICDHF</italic>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B18">Elpers et&#xa0;al., 2020</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">SR-11 &#x394;12</td>
<td valign="top" align="left">&#x394;<italic>fim</italic> &#x394;<italic>stb</italic> &#x394;<italic>sth</italic> &#x394;<italic>stf</italic> &#x394;<italic>sti</italic> &#x394;<italic>bcf</italic> &#x394;<italic>saf</italic> &#x394;<italic>pef</italic> &#x394;<italic>stc</italic> &#x394;<italic>stj</italic> &#x394;<italic>lpf</italic>::<italic>aph</italic>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B18">Elpers et&#xa0;al., 2020</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">MvP881</td>
<td valign="top" align="left">
<italic>csgD</italic>::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">MvP897</td>
<td valign="top" align="left">
<italic>csgD</italic> FRT</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG6</td>
<td valign="top" align="left">&#x394;<italic>phoQ</italic>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B7">Blank et&#xa0;al., 2011</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">WRG9</td>
<td valign="top" align="left">
<italic>lrp</italic>::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG10</td>
<td valign="top" align="left">
<italic>fimA</italic>::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG13</td>
<td valign="top" align="left">
<italic>lrp</italic> FRT</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG14</td>
<td valign="top" align="left">
<italic>fimA</italic> FRT</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG23</td>
<td valign="top" align="left">
<italic>phoQ</italic>-T48I, PhoP<sup>c</sup> phenotype</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B7">Blank et&#xa0;al., 2011</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">WRG46</td>
<td valign="top" align="left">
<italic>rcsD</italic>::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG110</td>
<td valign="top" align="left">
<italic>cpxRA</italic>::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG111</td>
<td valign="top" align="left">
<italic>pmrAB</italic>::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG116</td>
<td valign="top" align="left">
<italic>cpxRA</italic> FRT</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG117</td>
<td valign="top" align="left">
<italic>pmrAB</italic> FRT</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG123</td>
<td valign="top" align="left">&#x394;<italic>phoQ pmrAB</italic>::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG345</td>
<td valign="top" align="left">
<italic>proVWX</italic>::I-SceI::<italic>aph</italic>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">WRG349</td>
<td valign="top" align="left">&#x394;<italic>proVWX</italic> (&#x394;ProU)</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<th valign="top" colspan="3" align="left">Plasmids</th>
</tr>
<tr>
<td valign="top" align="left">P<italic>
<sub>tet</sub>
</italic>::<italic>fim</italic> (p4392)</td>
<td valign="top" align="left">
<italic>tetR</italic> P<italic>
<sub>tetA</sub>
</italic>::<italic>fimAICDHF</italic>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B30">Hansmeier et&#xa0;al., 2017</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pKD46</td>
<td valign="top" align="left">Red-expressing plasmid, temperature sensitive, Amp<sup>r</sup>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B16">Datsenko and Wanner, 2000</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pKD4</td>
<td valign="top" align="left">Red template plasmid, suicide vector (ori R6K), Amp<sup>r</sup>, Kan<sup>r</sup>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B16">Datsenko and Wanner, 2000</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pCP20</td>
<td valign="top" align="left">Flp recombinase expression plasmid, temperature sensitive, Amp<sup>r</sup>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B13">Cherepanov and Wackernagel, 1995</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pGEN-luxCDABE</td>
<td valign="top" align="left">P<sub>EM7</sub>::<italic>luxCDABE</italic>, Amp<sup>r</sup>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B43">Lane et&#xa0;al., 2007</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pWSK29</td>
<td valign="top" align="left">Low-copy number vector, Amp<sup>r</sup>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B66">Wang and Kushner, 1991</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pfimA (pWRG79)</td>
<td valign="top" align="left">P<italic>
<sub>fimA</sub>
</italic>::<italic>fimA</italic> in pWSK29, Amp<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">plrp (pWRG80)</td>
<td valign="top" align="left">P<italic>
<sub>lrp</sub>
</italic>::<italic>lrp</italic> in pWSK29, Amp<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pWRG99</td>
<td valign="top" align="left">pKD46 (<xref ref-type="bibr" rid="B16">Datsenko and Wanner, 2000</xref>) with tetracycline-inducible I-SceI, Amp<sup>r</sup>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B7">Blank et&#xa0;al., 2011</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pWRG100</td>
<td valign="top" align="left">pKD3 (<xref ref-type="bibr" rid="B16">Datsenko and Wanner, 2000</xref>) with I-SceI recognition site, Cm<sup>r</sup>
</td>
<td valign="top" align="left">(<xref ref-type="bibr" rid="B7">Blank et&#xa0;al., 2011</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">pWRG114</td>
<td valign="top" align="left">P<italic>
<sub>fimA</sub>
</italic>::<italic>luxCDABE</italic> in pGEN-luxCDABE, Amp<sup>r</sup>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">P<italic>
<sub>tet</sub>
</italic>::<italic>fim-fimH</italic>[T56I] (pWRG934)</td>
<td valign="top" align="left">
<italic>tetR</italic> P<italic>
<sub>tetA</sub>
</italic>::<italic>fimAICDH</italic>[T56I]<italic>F</italic>
</td>
<td valign="top" align="left">This study</td>
</tr>
<tr>
<td valign="top" align="left">pMT/BiP/V5-His A hygromycin B</td>
<td valign="top" align="left">Recombinant expression in D. mel-2 cells</td>
<td valign="top" align="left">This study</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s4_2">
<title>Expression of recombinant BPI, BPIFA, BPIFB, LBP, procryptdin</title>
<p>The coding sequence without the respective leader signal of these proteins and peptides was amplified by PCR with the primers listed in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. With the appropriate restriction enzymes the purified PCR fragments as well as the expression vector pMT/BiP/V5-His (Thermo Fisher Scientific) which we have altered that it harbored a hygromycin B resistance cassette in order to select in insect cells were digested and ligated thereafter. The expression plasmid will lead to a recombinant protein with a <italic>Drosophila</italic> leader for secretion and a V5-His tag for purification as well as detection purposes. The sequence verified vector was transfected into <italic>Drosophila melanogaster</italic> 2 (D. mel-2; Thermo Fisher Scientific) cells by Cellfectin (Thermo Fisher Scientific) and the transfected cells were propagated in SPODOPAN (PAN Biotech, Aidenbach, Germany). 72 h after the transfection cells carrying the plasmid were selected by the addition of hygromycin B. The expression of the recombinant protein was induced by the addition of 500 &#xb5;M CuSO<sub>4</sub> for 4 days and the supernatant was collected. The recombinant protein was purified from the supernatant on a HiTrapTM Chelating HP column (GE Deutschland) and eluted by an imidazole gradient using an &#xc4;kta FPLC (GE Deutschland). After the imidazole had been removed by dialysis against PBS pH 7.4 the purity and the specificity of the protein were analyzed by SDS-PAGE followed by Coomassie staining as well as Immunoblot. The purity of the proteins was always &gt; 90%.</p>
</sec>
<sec id="s4_3">
<title>Antimicrobial activity of BPI</title>
<p>Antimicrobial activity of BPI was determined in 3 to 5 independent experiments essentially as described before (<xref ref-type="bibr" rid="B1">Aichele et&#xa0;al., 2006</xref>). Briefly, <italic>S</italic>. Typhimurium and <italic>Pseudomonas aeruginosa</italic> were grown over night (O/N) in LB or TSB, respectively. After re-inoculating the strains 1:100 in fresh medium, cultures were allowed to grow to mid log phase (~2.5 h) and washed twice in PBS (PAA, Pasching, Austria). Assays were performed in 96-well microtiter plates (#655180, Greiner Bio-One, Frickenhausen, Germany) using 10,000 CFU/mL and the indicated amount of BPIF protein or buffer control in a total volume of 50 &#xb5;L PBS per well. The plates were incubated for the indicated time points swimming in a water bath at 37&#xb0;C. Thereafter, an aliquot of the bacteria was plated on LB-plates and enumerated the following day.</p>
</sec>
<sec id="s4_4">
<title>Adhesion assay</title>
<p>Bacteria were inoculated in 4 mL LB and grown O/N either static or with mild agitation at 37&#xb0;C. For crystal violet assays cultures were adjusted to an OD<sub>600</sub> of 1.2 in LB and 100 &#xb5;L of this inoculum was added to a cavity of a 96-well microtiter plate (Greiner Bio-One). For assays based on virtual colony counts (VCC), O/N cultures were washed twice in 1 mL PBS and finally adjusted to an OD<sub>600</sub> of 0.5 in PBS. To inhibit protein synthesis, bacteria were incubated for 30 minutes in LB containing 50 &#xb5;g/mL chloramphenicol prior addition of the AMP. Double-concentrated AMP or appropriate buffer was applied as described under biofilm assay except LB with 5 g/L NaCl was used. The plate was incubated in a humid chamber or in a water bath for various time points at 37&#xb0;C. Where indicated, chloramphenicol at a concentration of 50 &#xb5;g/mL was present during incubation. The absorbance at 600 nm (A<sub>600</sub>) was determined at the beginning and the end of an experiment using a M1000 plate reader (Tecan). Typically, 3 to 4 independent experiments were carried out.</p>
</sec>
<sec id="s4_5">
<title>Biofilm assay</title>
<p>Two to three colonies of the freshly streaked strains were resuspended in PBS to an OD<sub>600 =</sub> 0.15. The suspension was further diluted 1:100 in LB without salt and 100 &#xb5;L of this inoculum was added to a cavity of a 96 well tissue culture-treated microtiter plate (Greiner Bio-One). To this suspension 100 &#xb5;L of LB without NaCl containing double-concentrated recombinantly expressed AMP (see below), BPI isolated from human neutrophils (Athens Research &amp; Technology, Athens, GA, USA) or the appropriate amount of control buffer (PBS or 50 mM Tris-HCl pH 7.0, 80 mM citrate/phosphate, 800 mM NaCl) was added. The plate was incubated in a humid chamber or swimming in a water bath for various time points at 28&#xb0;C. The absorbance at 600 nm (A<sub>600</sub>) was determined at the beginning and at the end of an experiment using an Infinite M1000 plate reader (Tecan, Groedig, Austria). The biofilm data shown represents three independent experiments.</p>
</sec>
<sec id="s4_6">
<title>Crystal violet staining</title>
<p>After removal of bacterial suspensions, wells were rinsed three times with 300 &#xb5;L/well PBS. CV staining was carried out as described before (<xref ref-type="bibr" rid="B38">Kai-Larsen et&#xa0;al., 2010</xref>). Briefly, the plate was allowed to dry for at least 90 minutes and bound bacteria were stained by adding 200 &#xb5;L/well filtered 3% (w/v) CV solution in H<sub>2</sub>O for 5 minutes at room temperature under mild agitation. Unbound CV was removed by rinsing 3 times with 200 &#xb5;L/well H<sub>2</sub>O. The CV associated with bacteria was solubilized using 200 &#xb5;L/well 96% ethanol with slow shaking for 20 minutes. The bound CV was quantified by measuring absorbance at 550 or 590 nm (A<sub>550</sub> or A<sub>590</sub>) using an Infinite M1000 plate reader (Tecan).</p>
</sec>
<sec id="s4_7">
<title>Virtual colony counts</title>
<p>Wells of a 96-well plate (Nunc Edge 2.0, ThermoFisher Scientific) were coated O/N either with 100 &#xb5;L of 0.5 &#xb5;g/mL yeast mannan (YM) (M3640, Sigma-Aldrich, Germany) or 0.1% bovine albumin fraction V (BSA) (Carl Roth, Germany) in PBS at room temperature. After washing 2&#xd7; with 150 &#xb5;L PBS, the wells were blocked for 30 min. with 170 &#xb5;L 0.1% BSA in PBS at room temperature. After that, the wells were aspirated and 50 &#xb5;L of PBS containing 0.2% BSA, double-concentrated BPIF proteins and optionally 2% of methyl &#x3b1;-D-mannopyranoside (&#x3b1;-MMP) (#67770, Sigma-Aldrich) was added. Fifty &#xb5;L of the bacterial culture adjusted to OD<sub>600 =</sub> 0.5 in PBS was added and the plates were incubated in a humid chamber for 4 h at 37&#xb0;C. All wells were rinsed six times with 150 &#xb5;L PBS to remove unbound bacteria. Surface-bound bacteria were quantified with virtual colony counts (VCC) based on growth curves recorded after addition of 150 &#xb5;L brain heart infusion (BHI) medium supplemented with 1% &#x3b1;-MMP using a Multiskan Go or Sky plate reader (Thermo Fisher Scientific) with shaking and set to 37&#xb0;C as described before (<xref ref-type="bibr" rid="B32">Hoffmann et&#xa0;al., 2018</xref>). All VCC data originates from six independent experiments done in quadruplicates.</p>
</sec>
<sec id="s4_8">
<title>RNA-seq experiments</title>
<p>Bacterial O/N cultures were adjusted to an OD<sub>600</sub> of 1.2 in LB and 10 &#xb5;g/mL of recombinant murine BPIFB (rmLPLUNC1-His) in PBS or a similar amount of PBS only (buffer control) was added. After 3 h of incubation at 37&#xb0;C in a water bath bacterial RNA was stabilized using the RNAprotect Bacteria Reagent (Qiagen, Hilden, Germany) and subsequently purified using the Total RNA Isolation Mini Kit (Agilent Technologies, Waldbronn, Germany). Absence of DNA was checked by PCR and suitable genome-specific primers. Equal amounts of RNA from three independent biological replicates were pooled and subjected to strand-specific RNA-seq (GATC Biotech, Koblenz, Germany). Raw data have been deposited with links to BioProject accession number PRJNA348183 in the NCBI BioProject database (<ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/bioproject/">https://www.ncbi.nlm.nih.gov/bioproject/</ext-link>) and have been uploaded to the Sequence Read Archive (SRA, <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/sra">https://www.ncbi.nlm.nih.gov/sra</ext-link>), accessions numbers SRR4420363 and SRR4420365. Reads were trimmed based on quality using Trimmomatic (<xref ref-type="bibr" rid="B9">Bolger et&#xa0;al., 2014</xref>). Rockhopper 2 (<xref ref-type="bibr" rid="B63">Tjaden, 2015</xref>) was used for mapping the reads to the concatenated sequence of strain <italic>S</italic>. Typhimurium ATCC 14028S and plasmid pSLT (accessions: CP001362 + CP001363). Differential expression analysis was done within Rockhopper 2 on the basis of extended annotation data including a set of non-coding RNAs described before (<xref ref-type="bibr" rid="B42">Kr&#xf6;ger et&#xa0;al., 2013</xref>). Relative expression of the BPIFB- and PBS-treated samples was plotted using ggplot2 (<xref ref-type="bibr" rid="B70">Wickham, 2016</xref>) within R v3.5.1 (<xref ref-type="bibr" rid="B55">R Core Team, 2019</xref>).</p>
</sec>
<sec id="s4_9">
<title>Luminescence assay</title>
<p>Either 200 &#xb5;L/well as described under the adhesion assay or 100 &#xb5;L/well O/N culture were directly quantified for luminescence activity in white 96 well microtiter-plates (Nunc, Langenselbold, Germany) using the Infinite M1000 plate reader (Tecan) in photon counting mode. Signals were integrated for 1 s and weakened with an OD1 filter if exceeding the detection limit. Absorbance at 600 nm was measured in parallel to account for differences in microbial growth. All experiments were done three times in triplicates.</p>
</sec>
<sec id="s4_10">
<title>Test for mannosylation</title>
<p>Microtiter-plates (Nunc Maxisorp, ThermoFisher Scientific) were coated O/N at 4&#xb0;C in a humid chamber with 50 &#xb5;L of 5 &#xb5;g/mL BPIF protein or YM in PBS. The wells were blocked for 1 h at room temperature with 200 &#xb5;L/well 0.1% BSA in PBS. The wells were aspirated and 50 &#xb5;L of 20 &#xb5;g/mL rhodamine-ConA (Vector Labs, Peterborough, UK), optionally supplemented with 1% &#x3b1;-MMP, was added. After 1 h incubation in the dark at room temperature, the wells were washed 3&#xd7; with 100 &#xb5;L PBS + 0.05% Tween 20 (Sigma-Aldrich) and finally 50 &#xb5;L PBS was applied to each well. Bound rhodamine-ConA was quantified using an Infinite M1000 plate reader (Tecan) in bottom read fluorescence mode set to 555 nm excitation- and 580 nm emission wavelengths. All experiments were done three times in triplicates.</p>
</sec>
<sec id="s4_11">
<title>Fluorescence staining and confocal microscopy</title>
<p>Bacteria were bound to poly-L-lysine coated coverslips. <italic>Salmonella</italic> were stained using an anti-<italic>Salmonella</italic> group B antibody (BD Diagnostics, Heidelberg, Germany). BPI was detected using a monoclonal antibody (rat anti-Human BPI, obtained from HyCult, Leiden, The Netherlands). Primary antibodies were detected with AlexaFluor-coupled secondary antibodies (Invitrogen, Darmstadt, Germany). Images were acquired using a TCS NT (Leica Microsystems, Wetzlar, Germany) confocal laser-scanning microscope equipped with appropriate filter sets. Datasets were visualized using Imaris (Bitplane, Zurich, Switzerland) software package.</p>
</sec>
<sec id="s4_12">
<title>Flow cytometry</title>
<p>Bacterial surface presentation of type 1 fimbriae was analyzed by flow cytometry using an Attune NxT (ThermoFisher Scientific) instrument. Bacterial cultures were treated as described before (<xref ref-type="bibr" rid="B30">Hansmeier et&#xa0;al., 2017</xref>). Briefly, bacteria (ca. 6 &#xd7; 10<sup>8</sup> cells) were harvested, washed once in PBS, fixed in 3% paraformaldehyde for 20 min and blocked with 2% goat serum in PBS for 30 min. Specific antiserum against FimA (goat-&#x3b1; FimA) was used diluted 1:1,000 in 2% goat serum in PBS and labeled with secondary goat-&#x3b1;-rabbit IgG antibody coupled to Alexa-Fluor488 diluted 1:2,000 in 2% goat serum in PBS. A mutant strain lacking type 1 fimbriae was always included as negative control for gating. Data were analyzed and visualized using Attune NxT software version 2.5 and the package &#x201c;flowCore&#x201d; within R v3.5.1.</p>
</sec>
<sec id="s4_13">
<title>Transmission electron microscopy</title>
<p>Bacteria were treated as described above with 10 &#xb5;g/mL rhuBP or buffer (PBS) but in the presence of 2% &#x3b1;-MMP. After 4 h of incubation at 37&#xb0;C, bacteria were fixed with 2.5% glutaraldehyde in 0.1 M phosphate buffer, pH 7.2 for 30 min at RT. Afterwards, bacteria were concentrated by centrifugation at 1,000 &#xd7; g for 5 min. and further fixed for 1 h by 2.5% glutaraldehyde in 0.1 M Na-cacodylate buffer, pH 7.2. Pellets were washed twice with H<sub>2</sub>O<sub>dd</sub>. Formvar/carbon-coated EM grids (100 mesh) were glow discharged immediately before use by an easiGlow instrument (Pelco) for 10 s with 15 mA. Of bacterial suspensions, 5 &#xb5;L were dropped on EM grids and bacteria were negative-stained with 1% phosphotungstic acid at pH adjusted to 7.4. Visualization of type 1 fimbriae on bacterial surfaces was done by transmission electron microscopy (TEM) using a Zeiss Leo 902 system, operated at 80 keV. For more detailed information see (<xref ref-type="bibr" rid="B30">Hansmeier et&#xa0;al., 2017</xref>).</p>
</sec>
<sec id="s4_14">
<title>Adhesion of <italic>Salmonella</italic> to BEAS-2B cells</title>
<p>The adhesion of <italic>Salmonella</italic> Typhimurium was analyzed in the BEAS-2B cell line (ATCC, CRL-9609). Therefore, 2 &#xd7; 10<sup>4</sup> BEAS-2B cells were plated with RPMI 1640 (PAN Biotech) complete (10% FCS, 50 U/mL penicillin, 50 &#xb5;g/mL streptomycin, 2 mM glutamine, 0.25 mM 2-mercaptoethanol) in a 96-well plate and incubated O/N at 37&#xb0;C and 5% CO<sub>2</sub>. Prior to infection with <italic>Salmonella</italic> the media was removed and replaced by RPMI 1640 medium 10% FCS without antibiotics. In the meantime, stationary <italic>Salmonella</italic> in suspension were diluted corresponding to a multiplicity of infection (MOI) of one and pre-incubated for 30 minutes with or without 10, 30, 50 &#xb5;g/mL recombinant human BPI in RPMI 1640 medium 10% FCS without antibiotics. After that the BEAS-2B cells were infected with <italic>Salmonella</italic> for 1.5 h at 37&#xb0;C and 5% CO<sub>2</sub>, cells were washed in PBS pH 7.4 and subsequently lysed in lysis buffer (PBS/0.3% Triton X-100). Bacteria were enumerated by plating serial dilutions of lysates on LB agar plates and subsequent counting of colony-forming units (CFU). The amount of the percentage of adhered bacteria was calculated in relation to the number of bacteria in the supernatant during this time point. To control for equal bacterial numbers in the experimental settings samples were collected from the inoculum, after the initial incubation of bacteria with or without BPI, and after incubation of bacteria for 1.5 h with the cells and plated on LB-agar plates. To investigate the contribution of type 1 fimbriae, WT, <italic>fimA</italic> mutant and complemented <italic>Salmonella</italic> strains were pre-incubated with 50 &#xb5;g/mL recombinant BPI. Adhesion assay was carried out as described above either in the presence or absence of 2% &#x3b1;-MMP (<xref ref-type="bibr" rid="B50">Ofek et&#xa0;al., 1977</xref>). All infection assays were carried out three times in quadruplicates.</p>
</sec>
<sec id="s4_15">
<title>IL-8 quantification</title>
<p>After 1.5 h infection (see above) the medium of the BEAS-2B cells was replaced by RPMI complete containing 100 &#xb5;g/mL gentamicin and incubated for 1 h. Thereafter, the medium was replaced with RPMI complete containing 25 &#xb5;g/mL gentamicin and cells were incubated O/N. The supernatant of the infected BEAS-2B cells was harvested and the release of IL-8 was determined by enzyme-linked immunosorbent assay (ELISA) as described elsewhere (<xref ref-type="bibr" rid="B40">Klaffenbach et&#xa0;al., 2011</xref>). Briefly, a 96-well plate was coated with mouse anti-human IL-8 antibody (Pierce, Rockford, USA) at 4&#xb0;C O/N. The samples as well as the standard (recombinant IL-8, Peprotech, Rocky Hill, USA) were incubated for 2 h at room temperature. Bound IL-8 was detected by a mouse anti-human IL-8 biotin-coupled antibody (Pierce) followed by streptavidin-HRP (DAKO, Glostrup, Denmark). After addition of TMB substrate (BD) absorbance at 450 nm was measured using a microplate reader (Molecular Devices).</p>
</sec>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The datasets presented in this study are included in the article/<xref ref-type="supplementary-material" rid="s10">
<bold>Supplementary Material</bold>
</xref> or can be found in online repositories with accession numbers provided in the article. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author contributions</title>
<p>RG: Conceptualization, Formal analysis, Investigation, Methodology, Supervision, Writing &#x2013; original draft. IW: Writing &#x2013; original draft, Formal analysis, Methodology. LH: Formal analysis, Investigation, Writing &#x2013; original draft. OP: Formal analysis, Investigation, Writing &#x2013; original draft. TM: Formal analysis,&#xa0;Investigation, Writing &#x2013; original draft. LE: Formal analysis, Investigation, Methodology, Writing &#x2013; original draft. CS: Formal analysis, Investigation, Writing &#x2013; original draft. MH: Conceptualization, Supervision, Writing &#x2013; original draft. MS: Conceptualization, Investigation, Project administration, Supervision, Writing &#x2013; original draft.</p>
</sec>
</body>
<back>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. Work in the laboratory of MH was funded by the grants of the DFG in SFB 1557, subproject P8, and project HE1964/23-1 in priority program SPP 2225 &#x2018;Exit Strategies&#x2019;. Open access funding provided by the Open Access Publishing Fund of Philipps-Universit&#xe4;t Marburg.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank A. Brauner for useful tips for the crystal violet assay and Daniela D&#xf6;hler and Sandra Stein for excellent technical support. We gratefully acknowledge the contribution of the Core Facility &#x2018;Protein Spectroscopy&#x2019;, Institute for Cytobiology, Philipps-University Marburg.</p>
</ack>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>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.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcimb.2024.1375887/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcimb.2024.1375887/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image_1.tif" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>Effect of other antimicrobial peptides on <italic>Salmonella</italic> adhesion. <bold>(A)</bold> <italic>S.</italic> Typhimurium WT in LB with 5 g/L NaCl were exposed to 10 &#xb5;g/mL huBPI (BPI; dark grey bar) or the BPI family member proteins BPIFA (SPLUNC1, grey bars), <bold>(B)</bold> BPIFB (LPLUNC1) or LBP at the concentrations indicated. Bacteria bound to tissue culture-treated plastic surfaces were quantified after incubation at 37&#xb0;C for 4 h using crystal violet (CV) as described in the materials and methods section. <bold>(C)</bold> As a control 10 &#xb5;g/mL (10, 1, 0.1) of an unrelated mouse procryptdin (procryptdin; white bars) was used in the same assay. <bold>(D)</bold> Biofilm formation of <italic>S.</italic> Typhimurium WT bacteria after 48 h incubation in LB without salt at 28&#xb0;C was quantified using CV. During incubation either 5 &#xb5;g/mL huBPI (dark grey bar), an equivalent amount of BPI buffer (open bar) or 0.1 &#xb5;g/mL, 1 &#xb5;g/mL or 10 &#xb5;g/mL of human &#x3b1;-defensin 5 (HD5), human &#x3b2;-defensin 2 (HBD2) and LL-37 was present.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.tif" id="SF2" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>Equal surface expression of FimH wild type and FimH T56I-containing fimbriae. <bold>(A)</bold> Flow cytometry analysis of surface-localized FimA of SR-11 &#x394;12 (solid grey), SR-11 &#x394;12 [p4392] (FimH WT, upper panel) or SR-11 &#x394;12 [FimH T56I, pWRG934] (lower panel). Expression of fimbriae from plasmids was either left uninduced (blue) or was induced with 50 ng/mL AHT (red). <bold>(B)</bold> Percentage of FimA-positive bacteria as gated using appropriate controls after flow cytometry analysis from three independent experiments. After induction no statistically significant (ns) difference in FimA surface expression between both plasmids was observed using a two-tailed unpaired Student&#x2019;s <italic>t</italic> test.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.tif" id="SF3" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;3</label>
<caption>
<p>Mannosylation of BPI protein is important to mediate Con A binding <bold>(A)</bold>. Mannosylation of recombinantly produced huBPI protein or yeast mannan (YM) as indicated was tested through binding of the fluorescently labeled Man-specific lectin concanavalin A (Con A rhodamine). Mannose sensitivity of Con A rhodamine binding was tested with or without PNGase F-mediated deglycosylation of the recombinant protein. The results shown are mean &#xb1; SD of three independent experiments. Statistical significance was calculated using one-way ANOVA and was defined as ** for <italic>p</italic> &lt; 0.01 and *** for <italic>p</italic> &lt; 0.001. <bold>(B)</bold> Western blot analysis of PNGase F treated (+) or mock treated (-) rhuBPI protein.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_4.tif" id="SF4" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;4</label>
<caption>
<p>Adhesion stimulation is independent of LPS neutralizing and antimicrobial activity of huBPI. <italic>S.</italic> Typhimurium NCTC 12023 WT were allowed to adhere to BSA treated wells in the presence of 10 &#xb5;g/mL rhuBPI (BPI) or an N-terminally truncated rhuBPI (BPI (C-term)) variant, lacking LPS neutralizing and antimicrobial activity, with or without addition of 1% &#x3b1;-MMP (&#x3b1;-MMP) as indicated. Bound bacteria were quantified after 4 h using virtual colony counts (VCC) as described in material and methods. Mean &#xb1; SD of a representative experiment out of 3 similar independent experiments done in 3- to 5-fold replicates are shown. Statistical significance was calculated using one-way ANOVA and was defined as *** for adj. <italic>p</italic> &lt; 0.001.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Table_1.xlsx" id="ST1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet">
<label>Supplementary Table&#xa0;1</label>
<caption>
<p>Results of RNA-seq analysis.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Table_2.xlsx" id="ST2" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet">
<label>Supplementary Table&#xa0;2</label>
<caption>
<p>Oligonucleotides used in this study.</p>
</caption>
</supplementary-material>
</sec>
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