Nontyphoidal Salmonella are important causes of enteric diseases in all vertebrates. Salmonellosis in humans is among the top bacterial food-borne diseases1. Characterization of the molecular mechanisms that underpin the interactions of Salmonella with their animal hosts is mainly achieved through the study of Salmonella enterica serotype Typhimurium (STM) in tissue culture and animal models of infection. Gaining insights in STM-host interactions will help us understand how Salmonella survive and grow inside host cells. The first challenge in studying these interactions is to identify as many participating factors as possible from both host and pathogen, but these endeavors are largely obstructed by the significant difficulties of dealing with two independent complex biological systems simultaneously, i.e., host and Salmonella, under physiological conditions. Additionally, the large repertoire of Salmonella and host genes potentially encoding factors involved in host interactions require high-throughput biological platform to tackle this challenge.
A modified, standardized assay to phenotype Salmonella association, invasion and replication in macrophages with high-throughput capacity was developed to examine a large set of genes likely engaging in Salmonella-host interactions. The Gentamicin protection assay was developed in 19732, but was first thoroughly described by Elsinghorst in 19943,4. It has now become a standard tool for studying many intracellular bacterial pathogens ex vivo, including Salmonella5,6. Internalized bacteria avoid being killed by some antibiotics, like Gentamicin, that cannot penetrate eukaryotic cells3. By taking advantage of this phenomenon, the Gentamicin protection assay measures the survival and growth of intracellular bacterial pathogens. Three events during the infection, i.e., association with eukaryotic cells, invasion and replication, can be evaluated for intracellular bacterial pathogens based on the time interval between infection, Gentamicin treatment, and further incubation (Figure 1). Eukaryotic cell lines provide a physiological environment that is less complex than relevant animal models for host-pathogen interaction studies.
The Gentamicin protection assay is an appropriate platform to study STM-host interactions, but the standard assay in a 24-well culture dish has low-throughput capacity. Computational analysis of in vivo datasets identified 149 Salmonella gene products that are predicted to interact with approximately 300 host gene products (unpublished data). The standard Gentamicin protection assay does not have the capacity to phenotype this number of mutants efficiently.
In addition, the Gentamicin protection assay can theoretically detect the invasion of even a single bacterium. Because of this inherent sensitivity, the raw data are susceptible to technical variances when repeated at different times. The internal controls and relative data presentation after normalization are essential for meaningful interpretation of the results. Given these considerations, a modified, standardized Gentamicin protection assay was developed to enhance testing capacity and increase precision.
The following protocol is detailed and illustrated to perform the modified Gentamicin protection assay using 96-well culture dishes and the murine macrophage RAW264.7 cell line. Compared to the standard protocol in 24-well culture dishes, the modified protocol has the following advantages: 1) Using 96-well culture dishes allows up to 10 different mutant strains to be phenotyped including internal positive and negative controls with sufficient statistical power; 2) The variance of results is significantly reduced, because the mutant strains are tested in the same culture dish and at the same time; 3) The use of multichannel pipettes increases throughput while reducing operator fatigue. Lastly, comparing to 24-well culture dishes, concerns of less host cells per well in 96-well culture dish were addressed through protocol optimization and standardization.
In summary, the modified, standardized assay to in vitro phenotype Salmonella or other bacterial association, invasion and replication in phagocytic cells increases precision and achieves high-throughput capacity while reducing operator fatigue.