Several studies have indicated the vital role of toxin-antitoxin systems, including bacterial survival in stress conditions, quorum sensing, and biofilm formation. These systems also account for persister cell formation, making bacteria phenotypically resistant to many antibiotics (
21). Furthermore, Lon protease can degrade the antitoxin component of the TA system in stress conditions, facilitating the performance of the toxin component and the subsequent bacterial survival (
22). Overall, these systems can be considered a suitable target for finding novel approaches to combat bacterial persistence and infection recurrence. Although many studies have been conducted on TA systems in several pathogenic bacteria (
23), only a few have investigated these systems in
Shigella flexneri (
24,
25). Therefore, the goal of this study was to determine these systems in this bacterium and to investigate their expression following cell infection to determine their contribution to cell invasion and survival. For this purpose, we investigated four TA loci, including pfam13956/COG162, GNATlike/RHH-like,
yeeU/yeeV, and
mazF/mazE following Caco2 infection. These systems have not been previously reported in
S. flexneri in the literature.
Results indicated that 8 and 24 h after the infection of the Caco-2 cell line with
S. flexneri, GNAT expression showed 9.8 and 10.8-fold increase compared to the control, respectively (P < 0.05). The GNAT family has been attributed to the acetylation of a variety of substrates, including proteins, small metabolites, and antibiotics such as aminoglycosides (where aminoglycoside N‐acetyltransferases that is involved in antibiotic resistance were the primary GNAT family to be identified) (
26). A recent investigation on another GNAT toxin, GmvT, from a virulence plasmid of Shigella sonnei, only demonstrated its role in inhibiting mRNA translation in an acetyl‐CoA‐dependent manner (
25). The presence of this system and its significant expression levels following Caco-2 infection in our study may also suggest its role in bacterial survival within cells.
Another studied TA system was pfam13956/COG162. Here, we showed the increased expression of this system for 2.3 and 3.7 fold following cell infection after 8 h and 24 h, respectively. Although the elevation in the expression of these genes was not significant to that of GNAT, however, it may be attributed to
S. flexneri survival within cells. Pfam13957 is a putative toxin belonging to the YafO family toxin with the ability to inhibit protein synthesis by its ribosome-dependent mRNA activity. It has been indicated that the overexpression of YafQ can lead to mRNA cleavage preferably at 5’ between the second and third nucleotides in the codon. Although not greatly specific, YafQ has also indicated RNase activity against mRNA, tRNA, and 5S rRNA molecules in vitro (
27). Therefore, this system within
S. flexneri could also be a suitable target for future research on novel therapeutic agents.
YeeU/YeeV system was another system investigated. YeeU showed the least elevation in expression levels in
S. flexneri at both 8 h and 24 h post-infection (2.3 fold increase). This may indicate the least contribution of this system in cell infection and bacterial survival. YeeU-YeeV has been initially considered as one of the main TA systems in Escherichia coli, whose toxin component is involved in blocking the polymerization of bacterial cytoskeletal proteins. YeeU has been indicated to have a specific interaction with MreB and FtsZ, and improve the bundling of their filamentous polymers (
28). However, more studies should be conducted to determine the exact role of this system in
S. flexneri.
The mazEF system is one of the most well-studied TA systems in bacteria. Here, the expression of mazF showed the second highest increased level among the studied following cell infection with
S. flexneri as 5.4 and 4.8 fold increased expression level was observed at 8 h and 24 h post infection. This may also indicate the involvement of this system in bacterial survival. Many studies have shown the contribution of this system in bacterial survival. Sadeghi Kalani et al. showed the importance of this system in
L. monocytogenes survival in response as well as biofilm formation (
29,
30). Engelberg-Kulka et al. (
31) also showed the mRNA endonuclease activity of this system in response to stress conditions leading to the programmed cell death, which can subsequently protect a small population of bacteria in harsh conditions.
Moreover, 8 and 24 h after bacterial invasion of the Caco-2 cell line, the expression of the gene coding for Lon protease showed 13.8 and 16.7-fold increase, respectively, suggesting its importance in bacterial pathogenesis and survival through controlling TA systems. McVicker et al. investigated the role of regulatory proteases, including Lon and ClpP, in the activity of pINV TA systems and showed that Lon and not ClpP is necessary for the activity of TA systems during plasmid stability in this microorganism. In fact, they provided evidence that Lon is the regulatory enzyme for acetyltransferase family TA systems (
24).
Similar studies have been conducted on Lon protease in other bacteria. Rogers et al. (
32) found that the elimination of gene coding for Lon protease leads to deficiency in biofilm formation and colonization of
Vibrio cholera in mice. Niles et al. also investigated the role of Clp protease on type II TA systems in
Staphylococcus aureus. They showed that the inhibition of this system has a direct effect on type II TA systems (
33). These studies all demonstrate the importance of regulatory proteins Lon and ClpP in TA systems suggesting a possible target for novel antimicrobial therapeutics.
5.1. Conclusions
In general, the current study demonstrated the presence of TA system genes including GNAT-like/RHH-like, pfam13956/COG162, yeeU/yeeV, and mazF/mazE in S. flexneri ATCC 12022. We also showed the elevated expression level of these genes as well as the Lon protease gene following infection of Caco-2 cells, suggesting their possible role in bacterial survival within cells. In fact, genes coding for GNAT and Lon protease showed a significantly higher expression after invading the Caco-2 cell line. Therefore, targeting GNAT or Lon protease can be taken into consideration for future antimicrobial drug evolution. The exact functions and mechanisms of TA systems in S. flexneri isolates are suggested to be further experimentally determined.