Vacuolar pathogens value membrane integrity.

B acteria commonly encode virulence determinants that mediate the disruption of host cell membranes; however, vacuole lysis and invasion of the host cell cytosol is a strategy used by only a select few bacterial pathogens for intracellular replication (1). Many bacterial pathogens replicate in specialized vacuoles that must be actively maintained to prevent these organelles from fusing with lysosomes and to regulate acquisition of new membrane for vacuole expansion during bacterial replication (2). However, why is this, when, in theory, it should be easier for a bacterium to lyse the vacuole and replicate in the cytosol? A study in PNAS provides new data that demonstrate that vacuole integrity is important for the intracellular survival of Legionella pneumophila and illustrate how invasion of the host cytosol can play a role in countering bacterial infection (3). L. pneumophila is found commonly in fresh water environments and soil. When Legionella are engulfed by parasitic protozoan hosts, the bacteria rapidly use a type IV secretion apparatus called Dot/ Icm to deliver a large number of effector proteins that promote intracellular survival and replication (4). Genomic analysis has revealed extensive plasticity in the repertoire of genes encoding these effectors among different species and serogroups of Legionella (5). It is thought that effector plasticity is driven in large part by the genetic diversity among the protozoan hosts that cohabitate the environments in nature where Legionella reside. For humans, serious health problems can result if aerosols are generated from an environmental source containing a high density of Legionella. Bacteria entering the lung are internalized and replicate within resident alveolar macrophages. This infection triggers a robust innate immune response that is very effective at activating macrophages and recruiting neutrophils that are able to internalize and kill Legionella (6). When high numbers of Legionella are present in the lung, this robust innate immune response and the resulting pulmonary infiltrate can manifest as a severe pneumonia called Legionnaires disease. Mouse macrophages are intrinsically more resistant to Legionella infection compared with human macrophages (7). This property has been exploited to identify bacterial factors that are sensed by macrophages to promote cell autonomous responses that restrict pathogen replication. The power of this system was illustrated when mouse macrophages were used to identify mutant Legionella that could escape host detection by displaying an enhanced intracellular replication phenotype (8, 9), which aided in the discovery of a cell death pathway in mouse macrophages that is activated when Legionella flagellin is sensed by the host receptor Naip5 (10, 11). In PNAS, Creasey and Isberg show that the robust ability of Legionella to activate host pathways that restrict bacterial replication in macrophages can be leveraged to better understand the function of effector proteins delivered by the Dot/Icm system (3). This study focused on an effector called SdhA, which gained notoriety among the estimated 275 different effectors because it is one of the only proteins that, when eliminated from the effector repertoire, results in a defect in the intracellular replication of Legionella (12). Although a measurable phenotype is observed in protozoan hosts and in human macrophage-like cells, the intracellular replication defect displayed by a ΔsdhA strain is extremely strong when using macrophages derived from an A/J strain of mouse that is unable to efficiently sense Legionella flagellin as a result of a defect in the gene encoding the Naip5 protein. However, why would the ΔsdhA phenotype be so severe in mouse macrophages? The authors found that infection of mouse macrophages with the ΔsdhA mutant resulted in enhanced induction of many cytosolic immune surveillance pathways, including pathways that lead to cell death and type-I IFN production (3). Surprisingly, an examination of macrophages infected with ΔsdhA mutants revealed vacuole instability that resulted in the appearance of Legionella in the host cytosol. Legionella in the cytosol were targeted for destruction, possibly by autophagydirected trafficking of bacteria to degradative organelles. Attempts to eliminate individual host cytosolic surveillance pathways were insufficient to complement the ΔsdhA replication defect in macrophages, indicating that cytosolic bacteria are potent agonists of multiple pathways that can independently restrict bacterial replication or perhaps the critical pathway induced by these cytosolic bacteria represents a new pathway. To better understand the interesting phenotype displayed by the ΔsdhA strain, macrophages were used to enrich for bacteria that could escape the robust growth restriction displayed by mammalian host cells, which led to the identification of suppressor mutations that resulted in enhanced intracellular replication of Fig. 1. Properties displayed by vacuoles containing Legionella. (A) Vacuoles containing wild type Legionella deliver the SdhA protein into the cytosol and the PlaA protein into the vacuole lumen. These vacuoles remain intact and infected macrophages do not display enhanced activation of cytosolic surveillance pathways. (B) Vacuoles containing the ΔsdhA mutant display a loss of membrane integrity and enhanced activation of cytosolic surveillance pathways is observed. (C) Vacuoles containing the ΔsdhA, ΔplaA double mutant are stable and macrophages do not show enhanced activation of cytosolic surveillance pathways.