Adaptation by phase variation in pathogenic bacteria.

Publisher Summary This chapter focuses on the transitions that are facilitated by the switching of phase-variable genes, thereby focusing on pathogenic bacteria. The ability to adapt to changing environments is essential for the survival, development, and evolution of bacterial species. Often, this takes the form of programmed responses to environmental stimuli. Such adaptability can also be generated through diversity within the population, which serves to increase the chances of survival of a portion of the population if not the whole. Although diversity mediated by mutational processes is at times generated randomly, some species have developed a means of programming which genes will undergo mutations, within hypermutable loci and, through this mechanism, generate frequent and reversible changes in phenotypes that result in a mixed population. The process is referred to as “phase variation” and involves predictable and predetermined changes in the structure of the bacterial DNA mediating the reversible expression of phenotypes that confer adaptive advantage in various environments.

[1]  L. Baron,et al.  Specific insertion and deletion of insertion sequence 1-like DNA element causes the reversible expression of the virulence capsular antigen Vi of Citrobacter freundii in Escherichia coli. , 1988, Proceedings of the National Academy of Sciences of the United States of America.

[2]  J. Griffiss,et al.  Investigation of the structural heterogeneity of lipooligosaccharides from pathogenic Haemophilus and Neisseria species and of R-type lipopolysaccharides from Salmonella typhimurium by electrospray mass spectrometry , 1993, Journal of bacteriology.

[3]  L. Björck,et al.  Unique regulation of SclB – a novel collagen‐like surface protein of Streptococcus pyogenes , 2001, Molecular microbiology.

[4]  F. Andrewes Studies in group-agglutination I. The salmonella group and its antigenic structure† , 1922 .

[5]  L. Serino,et al.  Genetic and functional analysis of the phosphorylcholine moiety of commensal Neisseria lipopolysaccharide , 2002, Molecular microbiology.

[6]  J. Peden,et al.  Simple sequence repeats in the Helicobacter pylori genome , 1998, Molecular microbiology.

[7]  A. Steven,et al.  Purification and characterization of fimbriae isolated from Bordetella pertussis , 1985, Infection and immunity.

[8]  B. Robertson,et al.  Molecular mechanisms and implications for infection of lipopolysaccharide variation in Neisseria , 1995, Molecular microbiology.

[9]  E. Hewlett,et al.  ADP-ribosylation of adenylate cyclase by pertussis toxin. Effects on inhibitory agonist binding. , 1984, The Journal of biological chemistry.

[10]  D. Musher,et al.  Phosphorylcholine on the Lipopolysaccharide of Haemophilus influenzae Contributes to Persistence in the Respiratory Tract and Sensitivity to Serum Killing Mediated by C-reactive Protein , 1998, The Journal of experimental medicine.

[11]  A. Pain,et al.  Spontaneous duplication of a 661 bp element within a two‐component sensor regulator gene causes phenotypic switching in colonies of Pseudomonas tolaasii, cause of brown blotch disease of mushrooms , 1997, Molecular microbiology.

[12]  D. Maskell,et al.  Structural studies of the saccharide part of the cell envelope lipopolysaccharide from Haemophilus influenzae strain AH1-3 (lic3+). , 1993, Carbohydrate research.

[13]  G. Schoolnik,et al.  Cloning and sequencing of a Moraxella bovis pilin gene , 1985, Journal of bacteriology.

[14]  K. O'Neill,et al.  The ner Gene of Photorhabdus: Effects on Primary-Form-Specific Phenotypes and Outer Membrane Protein Composition , 2002, Journal of Bacteriology.

[15]  C. Szymanski,et al.  Phase Variation of Campylobacter jejuni 81-176 Lipooligosaccharide Affects Ganglioside Mimicry and Invasiveness In Vitro , 2002, Infection and Immunity.

[16]  J. Griffiss,et al.  Effect of exogenous sialylation of the lipooligosaccharide of Neisseria gonorrhoeae on opsonophagocytosis , 1992, Infection and immunity.

[17]  S. Knapp,et al.  Two trans-acting regulatory genes (vir and mod) control antigenic modulation in Bordetella pertussis , 1988, Journal of bacteriology.

[18]  D. Stephens,et al.  The (α2→8)-Linked Polysialic Acid Capsule and Lipooligosaccharide Structure Both Contribute to the Ability of Serogroup B Neisseria meningitidis To Resist the Bactericidal Activity of Normal Human Serum , 1998, Infection and Immunity.

[19]  L. Serino,et al.  Phosphorylcholine decoration of lipopolysaccharide differentiates commensal Neisseriae from pathogenic strains: identification of licA‐type genes in commensal Neisseriae , 2000, Molecular microbiology.

[20]  E. Hansen,et al.  Expression of the Moraxella catarrhalisUspA1 Protein Undergoes Phase Variation and Is Regulated at the Transcriptional Level , 2001, Journal of bacteriology.

[21]  A. van Belkum,et al.  Outbreak of amoxicillin-resistant Haemophilus influenzae type b: variable number of tandem repeats as novel molecular markers , 1997, Journal of clinical microbiology.

[22]  M. Achtman,et al.  Microevolution within a clonal population of pathogenic bacteria: recombination, gene duplication and horizontal genetic exchange in the opa gene family of Neisseria meningitidis , 1994, Molecular microbiology.

[23]  I. W. Devoe The meningococcus and mechanisms of pathogenicity. , 1982, Microbiological reviews.

[24]  J. Weiser,et al.  Decoration of lipopolysaccharide with phosphorylcholine: a phase-variable characteristic of Haemophilus influenzae , 1997, Infection and immunity.

[25]  S. Falkow,et al.  Bartonella henselae and Bartonella quintana adherence to and entry into cultured human epithelial cells , 1995, Infection and immunity.

[26]  A. Bäumler,et al.  Phase variation of the lpf operon is a mechanism to evade cross-immunity between Salmonella serotypes. , 1999, Proceedings of the National Academy of Sciences of the United States of America.

[27]  H. Masure,et al.  Phase variation in pneumococcal opacity: relationship between colonial morphology and nasopharyngeal colonization , 1994, Infection and immunity.

[28]  B. Knapp,et al.  Conservation, localization and expression of HopZ, a protein involved in adhesion of Helicobacter pylori. , 1999, Nucleic acids research.

[29]  S. Hammerschmidt,et al.  Capsule phase variation in Neisseria meningitidis serogroup B by slipped‐strand mispairing in the polysialyltransferase gene (siaD): correlation with bacterial invasion and the outbreak of meningococcal disease , 1996, Molecular microbiology.

[30]  R. Rosengarten,et al.  Phenotypic switching of variable surface lipoproteins in Mycoplasma bovis involves high-frequency chromosomal rearrangements , 1996, Journal of bacteriology.

[31]  M. Blaser,et al.  Nested DNA inversion as a paradigm of programmed gene rearrangement. , 1997, Proceedings of the National Academy of Sciences of the United States of America.

[32]  E. Idigbe,et al.  Rapidity of antigenic modulation of Bordetella pertussis in modified Hornibrook medium. , 1981, Journal of medical microbiology.

[33]  M. Achtman,et al.  Variable expression of the Opc outer membrane protein in Neisseria meningitidis is caused by size variation of a promoter containing poly‐cytidine , 1994, Molecular microbiology.

[34]  A. Schaeffer Potential role of phase variation of type 1 pili in urinary tract infection and bacterial prostatitis , 1991, Infection.

[35]  F. Nano,et al.  Phase variation in Francisella tularensis affecting intracellular growth, lipopolysaccharide antigenicity and nitric oxide production , 1996, Molecular microbiology.

[36]  C. Burch,et al.  Genetic basis of Neisseria gonorrhoeae lipooligosaccharide antigenic variation , 1995, Journal of bacteriology.

[37]  T. Meyer,et al.  Common mechanism controlling phase and antigenic variation in pathogenic Neisseriae , 1987, Molecular microbiology.

[38]  R. Fleischmann,et al.  DNA repeats identify novel virulence genes in Haemophilus influenzae. , 1996, Proceedings of the National Academy of Sciences of the United States of America.

[39]  A. Urisu,et al.  Filamentous hemagglutinin has a major role in mediating adherence of Bordetella pertussis to human WiDr cells , 1986, Infection and immunity.

[40]  A. Athamna,et al.  Adherence of Mycoplasma gallisepticum involves variable surface membrane proteins , 1997, Infection and immunity.

[41]  E. Moxon,et al.  Interactions of Neisseria meningitidis with human monocytes. , 1994, Microbial pathogenesis.

[42]  J. Ernst,et al.  The (alpha2-->8)-linked polysialic acid capsule of group B Neisseria meningitidis modifies multiple steps during interaction with human macrophages , 1996, Infection and immunity.

[43]  M. Peppler,et al.  Two physically and serologically distinct lipopolysaccharide profiles in strains of Bordetella pertussis and their phenotype variants , 1984, Infection and immunity.

[44]  S. Norris,et al.  Antigenic Variation in Lyme Disease Borreliae by Promiscuous Recombination of VMP-like Sequence Cassettes , 1997, Cell.

[45]  R. Rosengarten,et al.  Increased structural and combinatorial diversity in an extended family of genes encoding Vlp surface proteins of Mycoplasma hyorhinis , 1995, Journal of bacteriology.

[46]  C. Szymanski,et al.  A phase‐variable capsule is involved in virulence of Campylobacter jejuni 81‐176 , 2001, Molecular microbiology.

[47]  D. C. Krause,et al.  Mycoplasma pneumoniae cytadherence phase-variable protein HMW3 is a component of the attachment organelle , 1992, Journal of bacteriology.

[48]  M. Gravenor,et al.  Mutation rates: estimating phase variation rates when fitness differences are present and their impact on population structure. , 2003, Microbiology.

[49]  F. Mooi,et al.  Fimbrial phase variation in Bordetella pertussis: a novel mechanism for transcriptional regulation. , 1990, The EMBO journal.

[50]  R. Rappuoli,et al.  Promoter of the pertussis toxin operon and production of pertussis toxin , 1987, Journal of bacteriology.

[51]  A. Mesika,et al.  Surfactant Protein D Enhances Phagocytosis and Killing of Unencapsulated Phase Variants of Klebsiella pneumoniae , 2001, Infection and Immunity.

[52]  K. Sachse,et al.  Antigen heterogeneity among isolates of Mycoplasma bovis is generated by high-frequency variation of diverse membrane surface proteins , 1994, Infection and immunity.

[53]  D. D. Thomas,et al.  Variability of a bacterial surface protein and disease expression in a possible mouse model of systemic Lyme borreliosis , 1994, The Journal of experimental medicine.

[54]  L. Irons,et al.  Release and purification of fimbriae from Bordetella pertussis. , 1985, Developments in biological standardization.

[55]  D. Clewell,et al.  Multiple phase variation in haemolytic, adhesive and antigenic properties of Streptococcus gordonii. , 1996, Microbiology.

[56]  T. Katada,et al.  Direct modification of the membrane adenylate cyclase system by islet-activating protein due to ADP-ribosylation of a membrane protein. , 1982, Proceedings of the National Academy of Sciences of the United States of America.

[57]  H. Jin,et al.  Characterization of hgpA, a gene encoding a haemoglobin/haemoglobin-haptoglobin-binding protein of Haemophilus influenzae. , 1999, Microbiology.

[58]  A. Barbour,et al.  Variable major proteins of Borrellia hermsii , 1982, The Journal of experimental medicine.

[59]  R. Gross,et al.  The Lipopolysaccharide of Bordetella bronchiseptica Acts as a Protective Shield against Antimicrobial Peptides , 1998, Infection and Immunity.

[60]  S. Boyle,et al.  Phase Variation and Conservation of Lipooligosaccharide Epitopes in Haemophilus somnus , 1998, Infection and Immunity.

[61]  S. Abraham,et al.  Inability of encapsulated Klebsiella pneumoniae to assemble functional type 1 fimbriae on their surface. , 1999, FEMS microbiology letters.

[62]  K. Wise,et al.  Elongated versions of Vlp surface lipoproteins protect Mycoplasma hyorhinis escape variants from growth-inhibiting host antibodies , 1997, Infection and immunity.

[63]  F. Neidhart Escherichia coli and Salmonella. , 1996 .

[64]  R. Rappuoli,et al.  Dissecting human T cell responses against Bordetella species , 1988, The Journal of experimental medicine.

[65]  H. Stoenner,et al.  Antigenic variation of Borrelia hermsii , 1982, The Journal of experimental medicine.

[66]  C. Locht,et al.  The filamentous haemagglutinin, a multifaceted adhesin produced by virulent Bordetella spp. , 1993, Molecular microbiology.

[67]  E. Hansen,et al.  Antigenic and phenotypic variations of Haemophilus influenzae type b lipopolysaccharide and their relationship to virulence , 1986, Infection and immunity.

[68]  L. Irons,et al.  Immune responses in humans and animals to meningococcal transferrin-binding proteins: implications for vaccine design , 1994, Infection and immunity.

[69]  A. C. Glasgow,et al.  Excision of IS492 Requires Flanking Target Sequences and Results in Circle Formation in Pseudoalteromonas atlantica , 1999, Journal of bacteriology.

[70]  E. Hansen,et al.  Detection of Phase Variation in Expression of Proteins Involved in Hemoglobin and Hemoglobin-Haptoglobin Binding by Nontypeable Haemophilus influenzae , 2000, Infection and Immunity.

[71]  D. Clewell,et al.  Spontaneous switching of the sucrose-promoted colony phenotype in Streptococcus sanguis , 1989, Infection and immunity.

[72]  S. Hazell,et al.  Pathogenicity of Helicobacter pylori: a perspective , 1993, Infection and immunity.

[73]  R. K. Bergman,et al.  Biological activities of crystalline pertussigen from Bordetella pertussis , 1981, Infection and immunity.

[74]  F. Rozsa,et al.  Identification, cloning, and sequencing of piv, a new gene involved in inverting the pilin genes of Moraxella lacunata , 1990, Journal of bacteriology.

[75]  S. J. Billington,et al.  A multiple site‐specific DNA‐inversion model for the control of Ompi phase and antigenic variation in Dichelobacter nodosus , 1995, Molecular microbiology.

[76]  J. Griffiss,et al.  Phenotypic variation in epitope expression of the Neisseria gonorrhoeae lipooligosaccharide , 1987, Infection and immunity.

[77]  R. Chaby,et al.  Variations in the carbohydrate regions of Bordetella pertussis lipopolysaccharides: electrophoretic, serological, and structural features , 1990, Journal of bacteriology.

[78]  P. Hitchen,et al.  Phase variation of a β‐1,3 galactosyltransferase involved in generation of the ganglioside GM1‐like lipo‐oligosaccharide of Campylobacter jejuni , 2000, Molecular microbiology.

[79]  S. Hammerschmidt,et al.  Contribution of genes from the capsule gene complex (cps) to lipooligosaccharide biosynthesis and serum resistance in Neisseria meningitidis , 1994, Molecular microbiology.

[80]  R. Curtiss,et al.  Isolation and characterization of Bordetella avium phase variants , 1991, Infection and immunity.

[81]  L. Stryer,et al.  ADP-ribosylation of transducin by pertussis toxin blocks the light-stimulated hydrolysis of GTP and cGMP in retinal photoreceptors. , 1984, The Journal of biological chemistry.

[82]  A. Givaudan,et al.  Cloning and nucleotide sequence of a flagellin encoding genetic locus from Xenorhabdus nematophilus: phase variation leads to differential transcription of two flagellar genes (fliCD). , 1996, Gene.

[83]  R. Rosengarten,et al.  A family of phase- and size-variant membrane surface lipoprotein antigens (Vsps) of Mycoplasma bovis , 1994, Infection and Immunity.

[84]  Distribution of a family of Haemophilus influenzae genes containing CCAA nucleotide repeating units. , 1999, FEMS microbiology letters.

[85]  K. Dybvig,et al.  Variations in the surface proteins and restriction enzyme systems of Mycoplasma pulmonis in the respiratory tract of infected rats , 2001, Molecular microbiology.

[86]  J. Köhl,et al.  Phase-variable Expression of Lipopolysaccharide Contributes to the Virulence of Legionella pneumophila , 1998, The Journal of experimental medicine.

[87]  K. Wise Adaptive surface variation in mycoplasmas , 1993, Trends in Microbiology.

[88]  M. Brennan,et al.  Lectin-like binding of pertussis toxin to a 165-kilodalton Chinese hamster ovary cell glycoprotein. , 1988, The Journal of biological chemistry.

[89]  E. Hewlett,et al.  Induction of a novel morphological response in Chinese hamster ovary cells by pertussis toxin , 1983, Infection and immunity.

[90]  G. Schoolnik,et al.  Pilin-gene phase variation of Moraxella bovis is caused by an inversion of the pilin genes , 1988, Journal of bacteriology.

[91]  W. C. Eveland,et al.  Experimental relapsing fever initiated by Borrelia hermsi. II. Sequential appearance of major serotypes in the rat. , 1967, The Journal of infectious diseases.

[92]  M. Rohde,et al.  Chromosomal insertion and excision of a 30 kb unstable genetic element is responsible for phase variation of lipopolysaccharide and other virulence determinants in Legionella pneumophila , 2001 .

[93]  S. Makino,et al.  Phase variation of the opacity outer membrane protein controls invasion by Neisseria gonorrhoeae into human epithelial cells. , 1991, The EMBO journal.

[94]  D. Tobiason,et al.  Multiple DNA Binding Activities of the Novel Site-specific Recombinase, Piv, from Moraxella lacunata * , 1999, The Journal of Biological Chemistry.

[95]  A. Givaudan,et al.  flhDC, the Flagellar Master Operon ofXenorhabdus nematophilus: Requirement for Motility, Lipolysis, Extracellular Hemolysis, and Full Virulence in Insects , 2000, Journal of bacteriology.

[96]  M. Bunting The Production of Stable Populations of Color Variants of Serratia marcescens, # 274 in Rapidly Growing Cultures , 1940, Journal of bacteriology.

[97]  T. Trust,et al.  Antigenic variation of Campylobacter flagella , 1987, Journal of bacteriology.

[98]  W. Aaronson,et al.  Phase variation in Bordetella pertussis by frameshift mutation in a gene for a novel two-component system , 1989, Nature.

[99]  M. Blaser,et al.  Molecular mechanisms of Campylobacter fetus surface layer protein expression , 1997, Molecular microbiology.

[100]  J. Goldberg,et al.  The Phosphorylcholine Epitope Undergoes Phase Variation on a 43-Kilodalton Protein in Pseudomonas aeruginosa and on Pili of Neisseria meningitidis and Neisseria gonorrhoeae , 1998, Infection and Immunity.

[101]  J. Hacker,et al.  A novel mechanism of phase variation of virulence in Staphylococcus epidermidis: evidence for control of the polysaccharide intercellular adhesin synthesis by alternating insertion and excision of the insertion sequence element IS256 , 1999, Molecular microbiology.

[102]  E. Hansen,et al.  Identification of a chromosomal locus for expression of lipopolysaccharide epitopes in Haemophilus influenzae , 1989, Infection and immunity.

[103]  P. Borst,et al.  Molecular genetics of antigenic variation. , 1991, Immunology today.

[104]  T. Uchida,et al.  Isolation of the L-phase variant from toxigenic Corynebacterium diphtheriae C7(beta) , 1978, Infection and immunity.

[105]  J. Weiser,et al.  Association of intrastrain phase variation in quantity of capsular polysaccharide and teichoic acid with the virulence of Streptococcus pneumoniae. , 1998, The Journal of infectious diseases.

[106]  L. McCarter,et al.  Relation of Capsular Polysaccharide Production and Colonial Cell Organization to Colony Morphology in Vibrio parahaemolyticus , 2000, Journal of bacteriology.

[107]  P. Jansson,et al.  Phenotypic variation in molecular mimicry between Helicobacter pylori lipopolysaccharides and human gastric epithelial cell surface glycoforms. Acid-induced phase variation in Lewis(x) and Lewis(y) expression by H. Pylori lipopolysaccharides. , 2002, The Journal of biological chemistry.

[108]  R. Mandrell,et al.  Opa (protein II) influences gonococcal organization in colonies, surface appearance, size and attachment to human fallopian tube tissues. , 1990, Microbial pathogenesis.

[109]  D. Relman,et al.  Filamentous Hemagglutinin of Bordetella bronchiseptica Is Required for Efficient Establishment of Tracheal Colonization , 1998, Infection and Immunity.

[110]  R. Rappuoli,et al.  Filamentous hemagglutinin of Bordetella pertussis: nucleotide sequence and crucial role in adherence. , 1989, Proceedings of the National Academy of Sciences of the United States of America.

[111]  M. Achtman,et al.  Recombinational reassortment among opa genes from ET-37 complex Neisseria meningitidis isolates of diverse geographical origins. , 1998, Microbiology.

[112]  C. Elkins,et al.  Phase Variation of Hemoglobin Utilization inNeisseria gonorrhoeae , 1998, Infection and Immunity.

[113]  B. Lacey Antigenic modulation of Bordetella pertussis , 1960, Journal of Hygiene.

[114]  P. Jansson,et al.  Structural studies of the cell-envelope oligosaccharide from the lipopolysaccharide of Haemophilus influenzae strain RM.118-28. , 1997, European journal of biochemistry.

[115]  R. Harshey,et al.  Flagellar variation in Serratia marcescens is associated with color variation , 1987, Journal of Bacteriology.

[116]  K. Wise,et al.  Localized frameshift mutation generates selective, high-frequency phase variation of a surface lipoprotein encoded by a mycoplasma ABC transporter operon , 1997, Journal of bacteriology.

[117]  Yuji Sato,et al.  Bordetella pertussis infection in mice: correlation of specific antibodies against two antigens, pertussis toxin, and filamentous hemagglutinin with mouse protectivity in an intracerebral or aerosol challenge system , 1984, Infection and immunity.

[118]  S. Carson,et al.  Phase variation of the gonococcal siderophore receptor FetA , 2000, Molecular microbiology.

[119]  P. Markham,et al.  A novel mechanism for control of antigenic variation in the haemagglutinin gene family of Mycoplasma synoviae , 2000, Molecular microbiology.

[120]  W. M. R. Akker Lipopolysaccharide expression within the genus Bordetella: influence of temperature and phase variation , 1998 .

[121]  S. Salzberg,et al.  Genome sequences of Chlamydia trachomatis MoPn and Chlamydia pneumoniae AR39. , 2000, Nucleic acids research.

[122]  Y Comeau,et al.  Initiation of Biofilm Formation byPseudomonas aeruginosa 57RP Correlates with Emergence of Hyperpiliated and Highly Adherent Phenotypic Variants Deficient in Swimming, Swarming, and Twitching Motilities , 2001, Journal of bacteriology.

[123]  H. E. Meleney RELAPSE PHENOMENA OF SPIRONEMA RECURRENTIS , 1928, The Journal of experimental medicine.

[124]  B. Barrell,et al.  The genome sequence of the food-borne pathogen Campylobacter jejuni reveals hypervariable sequences , 2000, Nature.

[125]  K. Dybvig,et al.  A family of phase-variable restriction enzymes with differing specificities generated by high-frequency gene rearrangements. , 1998, Proceedings of the National Academy of Sciences of the United States of America.

[126]  J. Tommassen,et al.  Phase-Variable Expression of an Operon Encoding Extracellular Alkaline Protease, a Serine Protease Homolog, and Lipase in Pseudomonas brassicacearum , 2001, Journal of bacteriology.

[127]  J. Weiser,et al.  Differential Protein Expression in Phenotypic Variants of Streptococcus pneumoniae , 2000, Infection and Immunity.

[128]  D. Hood,et al.  Tetrameric repeat units associated with virulence factor phase variation in Haemophilus also occur in Neisseria spp. and Moraxella catarrhalis. , 1996, FEMS microbiology letters.

[129]  E. Stackebrandt,et al.  Xenorhabdus and Photorhabdus spp.: bugs that kill bugs. , 1997, Annual review of microbiology.

[130]  M. Gill,et al.  Functional characterization of a sialyltransferase-deficient mutant of Neisseria gonorrhoeae , 1996, Infection and immunity.

[131]  W. Shafer,et al.  Phase variable changes in genes lgtA and lgtC within the lgtABCDE operon of Neisseria gonorrhoeae can modulate gonococcal susceptibility to normal human serum , 2002, Journal of endotoxin research.

[132]  K. Weaver,et al.  Phase variation of Enterococcus faecalis pAD1 conjugation functions relates to changes in iteron sequence region , 1995, Journal of bacteriology.

[133]  K. Dybvig,et al.  Mechanism of antigenic variation in Mycoplasma pulmonis: interwoven, site‐specific DNA inversions , 1995, Molecular microbiology.

[134]  S. Falkow,et al.  The vir locus and phase-variation in Bordetella pertussis. , 1988, The Tokai Journal of Experimental and Clinical Medicine.

[135]  A. Richardson,et al.  HmbR, a Hemoglobin-Binding Outer Membrane Protein of Neisseria meningitidis, Undergoes Phase Variation , 1999, Journal of bacteriology.

[136]  L. Irons,et al.  Synergistic effect of Bordetella pertussis lymphocytosis-promoting factor on protective activities of isolated Bordetella antigens in mice , 1983, Infection and immunity.

[137]  K. Wise,et al.  Phenotypic switching in mycoplasmas: phase variation of diverse surface lipoproteins. , 1990, Science.

[138]  K. Wise,et al.  The Vlp system of Mycoplasma hyorhinis: combinatorial expression of distinct size variant lipoproteins generating high-frequency surface antigenic variation , 1991, Journal of bacteriology.

[139]  P. Whitby,et al.  Role of CCAA Nucleotide Repeats in Regulation of Hemoglobin and Hemoglobin-Haptoglobin Binding Protein Genes ofHaemophilus influenzae , 1999, Journal of bacteriology.

[140]  L. Engstrand,et al.  Helicobacter pylori adhesin binding fucosylated histo-blood group antigens revealed by retagging. , 1998, Science.

[141]  H. Towbin,et al.  Receptor analogs and monoclonal antibodies that inhibit adherence of Bordetella pertussis to human ciliated respiratory epithelial cells , 1988, The Journal of experimental medicine.

[142]  L. van der Fits,et al.  A site-specific recombinase is required for competitive root colonization by Pseudomonas fluorescens WCS365. , 1998, Proceedings of the National Academy of Sciences of the United States of America.

[143]  C. Dowson,et al.  Spontaneous sequence duplication within an open reading frame of the pneumococcal type 3 capsule locus causes high‐frequency phase variation , 2001, Molecular microbiology.

[144]  L. Wong,et al.  Change in degree of type 1 piliation of Escherichia coli during experimental peritonitis in the mouse , 1986, Infection and immunity.

[145]  Ende,et al.  Variable expression of class 1 outer membrane protein in Neisseria meningitidis is caused by variation in the spacing between the -10 and -35 regions of the promoter , 1995, Journal of bacteriology.

[146]  S. Ladefoged MOLECULAR DISSECTION OF MYCOPLASMA HOMINIS , 2000, APMIS : acta pathologica, microbiologica, et immunologica Scandinavica.

[147]  Benjamin L. King,et al.  Genomic-sequence comparison of two unrelated isolates of the human gastric pathogen Helicobacter pylori , 1999, Nature.

[148]  J. Heckels,et al.  Effect of sialylation of lipopolysaccharide of Neisseria gonorrhoeae on recognition and complement-mediated killing by monoclonal antibodies directed against different outer-membrane antigens. , 1995, Microbiology.

[149]  M. Blaser,et al.  Nested DNA inversion of Campylobacter fetus S-layer genes is recA dependent , 1997, Journal of bacteriology.

[150]  J. Weiser,et al.  Adaptation of Haemophilus influenzae to acquired and innate humoral immunity based on phase variation of lipopolysaccharide , 1998, Molecular microbiology.

[151]  B. Dowds,et al.  Phase variation in Xenorhabdus luminescens: cloning and sequencing of the lipase gene and analysis of its expression in primary and secondary phases of the bacterium , 1993, Journal of bacteriology.

[152]  M. Achtman,et al.  Meningococcal Opa and Opc proteins: their role in colonization and invasion of human epithelial and endothelial cells , 1993, Molecular microbiology.

[153]  H. Tettelin,et al.  Repeat‐associated phase variable genes in the complete genome sequence of Neisseria meningitidis strain MC58 , 2000, Molecular microbiology.

[154]  E. Hewlett,et al.  Tn5-induced mutations affecting virulence factors of Bordetella pertussis , 1983, Infection and immunity.

[155]  R. Kingsley,et al.  Expression and transcriptional control of the Salmonella typhimurium lpf fimbrial operon by phase variation , 1998, Molecular microbiology.

[156]  N. Saunders Bacterial phase variation associated with repetitive DNA , 1999 .

[157]  S. Norris,et al.  Genetic Variation of the Borrelia burgdorferi Gene vlsE Involves Cassette-Specific, Segmental Gene Conversion , 1998, Infection and Immunity.

[158]  L. Corbeil,et al.  Phenotypic phase variation in Haemophilus somnus lipooligosaccharide during bovine pneumonia and after in vitro passage , 1992, Infection and immunity.

[159]  T. Moench,et al.  Growth of Neisseria gonorrhoeae in the Female Mouse Genital Tract Does Not Require the Gonococcal Transferrin or Hemoglobin Receptors and May Be Enhanced by Commensal Lactobacilli , 2002, Infection and Immunity.

[160]  R. Kahn,et al.  ADP-ribosylation of transducin by islet-activation protein. Identification of asparagine as the site of ADP-ribosylation. , 1984, The Journal of biological chemistry.

[161]  Sarah K. Highlander,et al.  A putative leucine zipper activator of Pasteurella haemolytica leukotoxin transcription and the potential for modulation of its synthesis by slipped-strand mispairing , 1997, Infection and immunity.

[162]  J. Putten,et al.  Phase variation of lipopolysaccharide directs interconversion of invasive and immuno‐resistant phenotypes of Neisseria gonorrhoeae. , 1993 .

[163]  M. A. De la Cruz,et al.  Phase variation of slime production in Staphylococcus aureus: implications in colonization and virulence , 1993, Infection and immunity.

[164]  M. Gipson,et al.  Phase variation of HpuAB and HmbR, two distinct haemoglobin receptors of Neisseria meningitidis DNM2 , 1999, Molecular microbiology.

[165]  R. Rest,et al.  Growth of Neisseria gonorrhoeae in CMP-N-acetylneuraminic acid inhibits nonopsonic (opacity-associated outer membrane protein-mediated) interactions with human neutrophils , 1992, Infection and immunity.

[166]  J. Morris,et al.  Identification of a Group 1-Like Capsular Polysaccharide Operon for Vibrio vulnificus , 2001, Infection and Immunity.

[167]  R. Rappuoli,et al.  Sequences required for expression of Bordetella pertussis virulence factors share homology with prokaryotic signal transduction proteins. , 1989, Proceedings of the National Academy of Sciences of the United States of America.

[168]  A. Stern,et al.  Identification and characterization of specific sequences encoding pathogenicity associated proteins in the genome of commensal Neisseria species. , 1995, FEMS microbiology letters.

[169]  E. Tuomanen,et al.  Characterization of two adhesins of Bordetella pertussis for human ciliated respiratory-epithelial cells. , 1985, The Journal of infectious diseases.

[170]  J. V. van Putten,et al.  In situ expression and localization of Neisseria gonorrhoeae opacity proteins in infected epithelial cells: apparent role of Opa proteins in cellular invasion , 1991, The Journal of experimental medicine.

[171]  H. Mobley,et al.  Identification of MrpI as the sole recombinase that regulates the phase variation of MR/P fimbria, a bladder colonization factor of uropathogenic Proteus mirabilis , 2002, Molecular microbiology.

[172]  Mark Borodovsky,et al.  The complete genome sequence of the gastric pathogen Helicobacter pylori , 1997, Nature.

[173]  N. Preston,et al.  Experimental pertussis infection in the rabbit: similarities with infection in primates. , 1980, The Journal of infection.

[174]  S. Normark,et al.  Phase variation of gonococcal pili by frameshift mutation in pilC, a novel gene for pilus assembly. , 1991, The EMBO journal.

[175]  J. Munoz,et al.  Mouse-protecting and histamine-sensitizing activities of pertussigen and fimbrial hemagglutinin from Bordetella pertussis , 1981, Infection and immunity.

[176]  M. Blaser,et al.  Generation of Campylobacter fetus S‐layer protein diversity utilizes a single promoter on an invertible DNA segment , 1996, Molecular microbiology.

[177]  E. Tuomanen,et al.  Streptococcus pneumoniae anchor to activated human cells by the receptor for platelet-activating factor , 1995, Nature.

[178]  W. Shafer,et al.  Topographical alterations in proteins I of Neisseria gonorrhoeae correlated with lipooligosaccharide variation , 1989, Molecular microbiology.

[179]  M. Virji,et al.  Expression of pathogen‐like Opa adhesins in commensal Neisseria: genetic and functional analysis , 2001, Cellular microbiology.

[180]  M. Silverman,et al.  Variable expression of extracellular polysaccharide in the marine bacterium Pseudomonas atlantica is controlled by genome rearrangement. , 1988, Proceedings of the National Academy of Sciences of the United States of America.

[181]  R. Rappuoli,et al.  Cloning and sequencing of the pertussis toxin genes: operon structure and gene duplication. , 1986, Proceedings of the National Academy of Sciences of the United States of America.

[182]  M. Graham,et al.  A putative iron-regulated TonB-dependent receptor of Mannheimia (Pasteurella) haemolytica A1: possible mechanism for phase variation. , 2002, Veterinary microbiology.

[183]  L. Irons,et al.  Antigenic Relationship Between Serotype-Specific Agglutinogen and Fimbriae of Bordetella pertussis , 1982, Infection and immunity.

[184]  C. O'Morain,et al.  Genotyping of cagA and vacA, Lewis antigen status, and analysis of the poly-(C) tract in the alpha(1,3)-fucosyltransferase gene of Irish Helicobacter pylori isolates. , 2000, FEMS immunology and medical microbiology.

[185]  C. Locht,et al.  Pertussis toxin gene: nucleotide sequence and genetic organization. , 1986, Science.

[186]  J. Morris,et al.  Differential Expression of Vibrio vulnificus Capsular Polysaccharide , 1999, Infection and Immunity.

[187]  T. Meyer,et al.  Opacity genes in Neisseria gonorrhoeae: Control of phase and antigenic variation , 1986, Cell.

[188]  R. Gross,et al.  Phase variation affects long-term survival of Bordetella bronchiseptica in professional phagocytes , 1997, Infection and immunity.

[189]  L. Hammarström,et al.  Helicobacter pylori SabA Adhesin in Persistent Infection and Chronic Inflammation , 2002, Science.

[190]  J. R. Andrade,et al.  Sialylation of lipopolysaccharide and loss of absorption of bactericidal antibody during conversion of gonococci to serum resistance by cytidine 5'-monophospho-N-acetyl neuraminic acid. , 1989, Microbial pathogenesis.

[191]  A. van Belkum,et al.  UvA-DARE ( Digital Academic Repository ) Variable number of tandem repeats in clinical strains of Haemophilus influenzae , 1997 .

[192]  K. Wise,et al.  Identification and Functional Mapping of the Mycoplasma fermentans P29 Adhesin , 2002, Infection and Immunity.

[193]  A. Schaeffer,et al.  Role of type 1 pili and effects of phase variation on lower urinary tract infections produced by Escherichia coli , 1985, Infection and immunity.

[194]  F. O'Gara,et al.  Phenotypic Selection and Phase Variation Occur during Alfalfa Root Colonization by Pseudomonas fluorescens F113 , 2002, Journal of bacteriology.

[195]  V. DiRita,et al.  Phase variation in tcpH modulates expression of the ToxR regulon in Vibrio cholerae , 1997, Molecular microbiology.

[196]  C. Hutchison,et al.  Characterization of repetitive DNA in the Mycoplasma genitalium genome: possible role in the generation of antigenic variation. , 1995, Proceedings of the National Academy of Sciences of the United States of America.

[197]  R. Gross,et al.  A phase variant of Bordetella pertussis with a mutation in a new locus involved in the regulation of pertussis toxin and adenylate cyclase toxin expression , 1993, Journal of bacteriology.

[198]  Ende,et al.  Invasion of primary nasopharyngeal epithelial cells by Neisseria meningitidis is controlled by phase variation of multiple surface antigens , 1996, Infection and immunity.

[199]  M. Brennan,et al.  Characterization of the protective capacity and immunogenicity of the 69-kD outer membrane protein of Bordetella pertussis , 1990, The Journal of experimental medicine.

[200]  I. Charles,et al.  Pertactin, an Arg-Gly-Asp-containing Bordetella pertussis surface protein that promotes adherence of mammalian cells. , 1991, Proceedings of the National Academy of Sciences of the United States of America.

[201]  D. C. Krause,et al.  Disulfide-linked protein associated with Mycoplasma pneumoniae cytadherence phase variation , 1990, Infection and immunity.

[202]  R. Isaacson,et al.  Adhesion of Salmonella typhimurium to porcine intestinal epithelial surfaces: identification and characterization of two phenotypes , 1992, Infection and immunity.

[203]  I. Blomfield,et al.  In vivo phase variation of MR/P fimbrial gene expression in Proteus mirabilis infecting the urinary tract , 1997, Molecular microbiology.

[204]  Lori A. S. Snyder,et al.  Comparative whole-genome analyses reveal over 100 putative phase-variable genes in the pathogenic Neisseria spp. , 2001, Microbiology.

[205]  J. Gilsdorf,et al.  Susceptibility of phenotypic variants of Haemophilus influenzae type b to serum bactericidal activity: relation to surface lipopolysaccharide. , 1986, The Journal of infectious diseases.

[206]  V. M. Young,et al.  Phase variation in the genus Serratia. , 1980, Journal of medical microbiology.

[207]  É. Carniel,et al.  Silencing and Reactivation of Urease inYersinia pestis Is Determined by One G Residue at a Specific Position in the ureD Gene , 2001, Infection and Immunity.

[208]  D. Morgan,et al.  Essential role of urease in pathogenesis of gastritis induced by Helicobacter pylori in gnotobiotic piglets , 1991, Infection and immunity.

[209]  M. Prevost,et al.  Phase Variations of the Mycoplasma penetrans Main Surface Lipoprotein Increase Antigenic Diversity , 1999, Infection and Immunity.

[210]  C. Thomas,et al.  Xenorhabdus bovienii T228 phase variation and virulence are independent of RecA function. , 2000, Microbiology.

[211]  Simon F. Park,et al.  Localized Reversible Frameshift Mutation in theflhA Gene Confers Phase Variability to Flagellin Gene Expression in Campylobacter coli , 2000, Journal of bacteriology.

[212]  J. Cole,et al.  Resistance to human serum of gonococci in urethral exudates is reduced by neuraminidase , 1990, Proceedings of the Royal Society of London. Series B: Biological Sciences.

[213]  E. Akporiaye,et al.  Uptake and intracellular survival of Bordetella pertussis in human macrophages , 1992, Infection and immunity.

[214]  I. Henderson,et al.  Antigen 43, a phase-variable bipartite outer membrane protein, determines colony morphology and autoaggregation in Escherichia coli K-12. , 1997, FEMS microbiology letters.

[215]  M. E. Schrumpf,et al.  Phenotypic variation and modulation in Bordetella bronchiseptica , 1984, Infection and immunity.

[216]  A. Zychlinsky,et al.  Bordetella pertussis induces apoptosis in macrophages: role of adenylate cyclase-hemolysin , 1993, Infection and immunity.

[217]  R. Rosengarten,et al.  Characterization of a Multigene Family Undergoing High-Frequency DNA Rearrangements and Coding for Abundant Variable Surface Proteins in Mycoplasma agalactiae , 2000, Infection and Immunity.

[218]  T. Hovig,et al.  Colony variation of Helicobacter pylori: pathogenic potential is correlated to cell wall lipid composition. , 1997, Scandinavian journal of gastroenterology.