e Campylobacter jejuni is a natural commensal of the avian intestinal tract. However, the bacterium is also the leading cause of acute bacterial diarrhea worldwide and is implicated in development of Guillain-Barré syndrome. Like many bacterial pathogens, C. jejuni assembles complex surface structures that interface with the surrounding environment and are involved in pathogenesis. Recent work in C. jejuni identified a gene encoding a novel phosphoethanolamine (pEtN) transferase, EptC (Cj0256), that plays a promiscuous role in modifying the flagellar rod protein, FlgG; the lipid A domain of lipooligosaccharide (LOS); and several N-linked glycans. In this work, we report that EptC catalyzes the addition of pEtN to the first heptose sugar of the inner core oligosaccharide of LOS, a fourth enzymatic target. We also examine the role pEtN modification plays in circumventing detection and/or killing by host defenses. Specifically, we show that modification of C. jejuni lipid A with pEtN results in increased recognition by the human Toll-like receptor 4 -myeloid differentiation factor 2 (hTLR4-MD2) complex, along with providing resistance to relevant mammalian and avian antimicrobial peptides (i.e., defensins). We also confirm the inability of aberrant forms of LOS to activate Toll-like receptor 2 (TLR2). Most exciting, we demonstrate that strains lacking eptC show decreased commensal colonization of chick ceca and reduced colonization of BALB/cByJ mice compared to wild-type strains. Our results indicate that modification of surface structures with pEtN by EptC is key to its ability to promote commensalism in an avian host and to survive in the mammalian gastrointestinal environment.
Campylobacter jejuni is a major cause of bacterial diarrhea worldwide (1). Infection with the pathogen results in significant acute illness, as well as serious life-threatening consequences, such as Guillain-Barré syndrome (2). Like many bacterial pathogens, C. jejuni assembles complex surface structures critical for long-term commensal colonization of the avian host, as well as pathogenesis in humans. Two major surface structures, the glycolipid lipooligosaccharide (LOS) and flagella, both important for pathogenesis, are often targets for modification and/or phase variation, providing the bacteria with antigenic diversity and adaptability in inhospitable environments. For example, variation of surface-exposed LOS results in a form of molecular mimicry between bacterial surface and host peripheral nerve gangliosides, implicating them in postinfectious neuropathies (2, 3). Another example is posttranslational modification of membrane-and surface-exposed proteins targeted by the C. jejuni Pse and Pgl family of proteins responsible for O-and N-linked glycosylation, respectively. O-linked glycosylation of the flagellar filament proteins, FlaA/B, is thought to provide antigenic diversity but the role Nlinked glycosylation plays in cellular processes is undetermined (4-6). Considering the importance of LOS in host-pathogen interactions, the requ...