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J Bacteriol. Feb 1999; 181(3): 799–807.

Coordinate Intracellular Expression of Salmonella Genes Induced during Infection


Salmonella typhimurium in vivo-induced (ivi) genes were grouped by their coordinate behavior in response to a wide variety of environmental and genetic signals, including pH, Mg2+, Fe2+, and PhoPQ. All of the seven ivi fusions that are induced by both low pH and low Mg2+ (e.g., iviVI-A) are activated by the PhoPQ regulatory system. Iron-responsive ivi fusions include those induced under iron limitation (e.g., entF) as well as one induced by iron excess but only in the absence of PhoP (pdu). Intracellular expression studies showed that each of the pH- and Mg2+-responsive fusions is induced upon entry into and growth within three distinct mammalian cell lines: RAW 264.7 murine macrophages and two cultured human epithelial cell lines: HEp-2 and Henle-407. Each ivi fusion has a characteristic level of induction consistent within all three cell types, suggesting that this class of coordinately expressed ivi genes responds to general intracellular signals that are present both in initial and in progressive stages of infection and may reflect their responses to similar vacuolar microenvironments in these cell types. Investigation of ivi expression patterns reveals not only the inherent versatility of pathogens to express a given gene(s) at various host sites but also the ability to modify their expression within the context of different animal hosts, tissues, cell types, or subcellular compartments.

We have implemented a genetic system, termed IVET (in vivo expression technology), to identify bacterial genes that are induced during infection (26, 27). Such in vivo-induced (ivi) genes are expressed poorly on rich laboratory media (i.e., Luria broth [LB] or lactose MacConkey) but undergo elevated levels of expression in host tissues. Using this system, we previously identified over 100 different Salmonella typhimurium genes that are induced during infection of BALB/c mice and/or RAW 264.7 cultured murine macrophages (23). The functions of 25% of these ivi genes are unknown: they show no significant homology to entries in the DNA databases (8, 24). Many ivi genes reside in Salmonella-specific regions of atypical base composition that encode predicted adhesin and invasin-like functions required for full virulence. Several of these Salmonella-specific regions are inherited in a serovar-specific fashion (9).

Many virulence genes shown to be coordinately regulated in vitro are presumed to function at the same anatomical site during infection. For example, the production of cholera toxin in vitro is coordinately regulated by the same environmental (pH, temperature, and osmolarity) and genetic (e.g., ToxR) signals as production of the toxin-coregulated pilus, both of which function in the small intestine (28, 42). Thus, independent of the actual (often unknown) in vivo signals, classification of bacterial genes based on regulatory patterns in vitro may reflect coordinate expression at a given anatomical site as well as a possible functional relationship (i.e., in the same biochemical pathway or in a broader context, such as phagosome survival).

Here, we have implemented the lac fusion technology of the IVET approach to classify ivi genes isolated from different host tissues (spleen, liver, intestine) based on their coordinate expression patterns in response to environmental (pH, Mg2+, and Fe2+) and regulatory (PhoPQ) conditions known to control virulence gene expression in vitro (2830). Low pH and low Mg2+ have been associated with Salmonella-containing vacuoles (15) and have been shown to be relevant signals for bacterial genes presumed to function in the macrophage (16, 39, 40). Low Mg2+ is the inducing signal for the activation of the PhoPQ regulatory system (16) which controls Salmonella virulence (18), including functions required for survival within (31) and during acidification of (2) the macrophage phagosome. Additionally, iron limitation is a well-characterized barrier to infection and thus may serve as an important environmental signal influencing bacterial gene expression in the animal (11, 28).

Here we demonstrate that ivi genes which are coordinately induced in response to low pH and low Mg2+ also displayed coordinate induction upon entry into cultured murine macrophages and cultured human epithelial cells. These data suggest this coordinately expressed class of ivi genes responds to general intracellular signals present during both early and late stages of infection.



Laboratory media used in these studies included LB (10) and MOPS [3-(N-morpholino)propanesulfonic acid] minimal medium (33) with 0.4% glycerol as a carbon source to avoid catabolite repression effects. When necessary, the pH was adjusted to pH 7.6, 7.0, 6.6, or 5.5. To buffer media to pH 5.5, MOPS was replaced with MES [2-(N-morpholino)ethanesulfonic acid] at the same concentration. MOPS medium contains 10 μM iron. Medium stocks were prepared iron or Mg2+ free when required, and FeSO4 or MgCl2 was added at the desired concentration. Unless specified otherwise, final concentrations of antibiotics (Sigma) in LB and minimal medium were as follows: ampicillin, 50 and 15 μg/ml; tetracycline, 20 and 10 μg/ml; and chloramphenicol, 20 and 5 μg/ml.

Bacterial strains and phage.

All S. typhimurium strains used in this study were derived from strain ATCC 14028 (CDC 6516-60). The high-frequency generalized transducing bacteriophage P22 mutant HT 105/1, int-201 was used for all transductional crosses (36), and phage-free, phage-sensitive transductants were isolated as previously described (7). Strains used for PhoPQ regulation studies were constructed by transduction of the IVET-selected fusion into ATCC 14028 (wild type) and isogenic phoPQ derivatives MT1657 (phoP102::Tn10d-Cm [32]) and MT1658 (phoQ24 [31]), kindly provided by Karl Klose (University of Texas, San Antonio).

Cell culture.

The murine macrophage cell line RAW 264.7 and human epithelial cell lines HEp-2 (larynx carcinoma) and Henle-407 (embryonic small intestine) (ATCC TIB-71, CCL-23, and CCL-6, respectively) were obtained from the American Type Culture Collection, Rockville, Md., and maintained in minimum essential medium (MEM) supplemented with Earle’s salts, l-glutamine, and 10% heat-inactivated fetal calf serum (FCS) (Life Technologies, Rockville, Md.). Cells were grown in a humidified atmosphere of 5% carbon dioxide and 95% air at 37°C in 75-cm2 plastic flasks (Corning Glass Works, Corning, N.Y.). Cultured macrophages were harvested by scraping with a rubber policeman, or in the case of epithelial cells, by trypsinization using 0.25% trypsin–0.02% EDTA, and plated at a density of 2.5 × 105 to 5 × 105 cells/ml in 4 ml of culture medium in 35-mm-diameter, six-well dishes (Corning) and grown for 24 h to approximately 80 to 90% confluence (1 × 106 to 5 × 106 cells/well) (14).

Cultured macrophage and epithelial cell infections.

S. typhimurium was grown overnight without shaking in LB containing ampicillin. Cultured cells were inoculated with S. typhimurium at a bacterium/host cell ratio of 10:1. Fifty microliters of an overnight culture of bacteria (5 × 107) was added to 5 × 106 cultured macrophages in six-well cell culture plates (Corning); 107 bacteria were added to 106 cultured epithelial cells. The bacteria were centrifuged onto cultured monolayers at 1,000 × g for 10 min at room temperature, after which they were incubated at 37°C for 30 min in a 5% CO2 incubator. The coculture was washed twice with cell culture medium and incubated for 2 h in the presence of 100 μg of gentamicin per ml to kill extracellular bacteria (17). Cells were washed twice with cell culture medium and incubated for the time specified in cell culture medium containing 10 μg of gentamicin per ml. The coculture was then washed three times with ice-cold 1× phosphate-buffered saline (PBS), the host cells were lysed with 1% Triton X-100, and the surviving intracellular bacteria were recovered in 1× PBS. β-Galactosidase assays were performed on the recovered bacterial cells, which were also plated for single colonies to determine bacterial cell number.

β-Galactosidase assays.

β-Galactosidase activities were assayed by the method of Slauch and Silhavy (37). Unless otherwise specified, activities are given as 103 units per A600 unit per milliliter of cell suspension, where units are micromoles of o-nitrophenol (ONP) formed per minute (n = 3 trials, standard deviation < 10% of the mean).

Mg2+ and pH assays.

Bacterial strains were used to inoculate 1 ml of minimal medium at the given pH (7.6, 6.6, or 5.5) and Mg2+ concentration (10, 1, 0.05, or 0 mM). When Mg2+ was omitted from the incubation medium, sufficient growth was obtained to reach a final optical density at 600 nm (OD600) of at least 0.2 for the phoP+ strains; phoP and phoQ24 strains failed to grow under these conditions. The cultures were shaken at 37°C, and β-galactosidase assays were performed after 16 h. To assay cells grown in exponential phase, growth curves were determined for each environmental condition. Overnight cultures grown in the 12 assay conditions tested were diluted (typically 12- to 30-fold) to an OD600 of 0.1 in the same medium (cells were not tested in the absence of Mg2+ since the strains do not grow well in this medium after dilution). The subcultures were grown at 37°C and assayed at an OD600 of 0.4 to 0.6.

Iron assays.

Bacterial strains were used to inoculate 1 ml of MOPS minimal medium at the designated pH and Mg2+ concentration with the addition of the given concentration of FeSO4. Medium conditions without iron added also contained the iron-chelating agent 2,2′-dipyridyl (0.03 mM). The cultures were shaken at 37°C, and β-galactosidase assays were performed after 16 h of incubation.

Cell culture assays.

Bacterial cells were recovered from infected cultured macrophages or epithelial cells lysed with 1% Triton X-100 in 1× PBS. β-Galactosidase activities typically were assayed on 0.5 ml of the 1 ml coculture lysate. The activity was determined as described by Slauch and Silhavy (37), with the modification that the number of bacteria was determined by direct colony count; units were expressed as micromoles of ONP formed per minute per CFU. For comparison, bacteria were also grown in 1 ml of LB and cell culture medium containing 10% FCS without shaking; assays performed on the recovered bacteria (typically 0.1 ml) were determined as in the cell culture assay. β-Galactosidase activities for experiments were determined in triplicate on at least two different days.


pH and Mg2+ regulation of ivi genes.

We have tested the effects of the environmental signals pH and Mg2+ on the expression patterns of 74 IVET-selected bacterial gene fusions recovered from infected BALB/c mice (intestine, spleen, and liver) and/or from cultured RAW 264.7 murine macrophages (23). These environmental signals have been associated with Salmonella-containing vacuoles (15) and are presumed to be relevant signals in the macrophage environment (16, 39, 40). The strains used in this study are shown in Table Table1,1, and the environmental and genetic parameters governing their expression are summarized in Table Table2.2. The strains presented in Table Table22 exhibited a greater than twofold response to the signals tested. Figure Figure11 shows the responses of eight ivi fusions following 16 h of growth under a wide variety of Mg2+ and pH conditions. Fusions in strains that are wild type with respect to phoPQ were also assayed in exponential phase; both the actual values of β-galactosidase activity and the expression pattern of each fusion were similar to those observed after 16 h of growth (data not shown).

S. typhimurium strains used in this study.
Environmental and genetic regulation of S. typhimurium ivi genes
FIG. 1FIG. 1
Expression profiles of ivi fusions in response to pH and Mg2+ concentration. pH values are represented on the x axis, β-galactosidase activities [(micromoles of ONP formed per minute per A600 unit per milliliter of cell suspension] ...

Figure Figure11 shows a set of eight ivi fusions that respond to pH and Mg2+ in the media; each fusion displays a characteristic response to these signals. Examples include five known ivi genes and three unknown ivi genes, some of which were shown previously to respond to these environmental conditions (referenced in Table Table2).2). Known genes include mgtA and mgtB which encode two high-affinity Mg2+ transport systems; mgtB, part of an operon with a gene (mgtC) residing on Salmonella pathogenicity island 3 and required for intramacrophage survival (4); spvB, which resides on the Salmonella virulence plasmid and facilitates growth at systemic sites of infection (19); and phoP and pmrAB, which encode two-component regulatory systems that affect the expression of Salmonella virulence genes (18). Unknown genes include iviVI-A (23), which encodes a predicted product that shows extensive sequence similarity to enterotoxigenic Escherichia coli Tia, an outer membrane protein involved in attachment to and invasion of gut epithelial cells (14). We have mapped iviXVI to between min 30 and 37 on the Salmonella chromosome (35), and its predicted amino acid sequence (using 262 bp from the fusion joint) shows similarity (57 to 62% identity) to several aldehyde dehydrogenases of E. coli. We have recently identified iviXVII as a member of the pdu operon (9), involved in vitamin B12-dependent 1,2-propanediol utilization (34).

Figure Figure1A1A shows that seven of eight ivi fusions recovered from the spleen and/or cultured macrophages are induced by both low pH and low Mg2+, an environment likely to be found within Salmonella-containing vacuoles (15). However, although iviXVII (pdu) was also recovered from the spleen, Fig. Fig.1B1B shows that it exhibits a reciprocal pattern of expression with regard to pH and Mg2+: it is induced when grown under high-Mg2+ and mild alkaline conditions but repressed when grown under low-pH and low-Mg2+ conditions. Thus, although pdu is capable of responding to signals in a different fashion than the other ivi fusions, the data in Fig. Fig.1B1B and and22 show that under conditions presumed to exist in vacuolar environments, pdu expression may have been sufficient for IVET selection in the spleen.

FIG. 2
iviXVII (pdu) and entF expression as a function of iron concentration in the medium. Cultures were grown overnight in iron-free MOPS minimal medium at pH 7.0. The cultures were diluted to OD600 of 0.1 in the same medium grown to an OD600 of 0.4 (mid-log ...

Regulation of ivi genes by PhoPQ.

To determine if the environmental regulation was mediated through the PhoPQ regulatory system, the expression patterns of ivi fusions found in the wild type were compared to those observed in a PhoP (phoP102::Tn10d-Cm) genetic background. Figure Figure1A1A (second column) shows that all of the eight ivi genes that respond to both pH and Mg2+ are also PhoP-regulated genes (the responses are summarized in Table Table2).2). Seven of these (mgtA, mgtB, spvB, phoP, pmrB, iviVI-A, and iviXVI) are PhoP-activated genes (pags [16, 21, 23, 3840]), since their expression is dependent on the presence of a functional PhoP regulatory protein. Note that there is suboptimal expression of pmrB in the absence of PhoP under several environmental conditions (e.g., pH 6.6 and 1 mM Mg2+). Conversely, Fig. Fig.1B1B shows that the expression levels of iviXVII (pdu) are increased under several conditions in the absence of PhoP, and thus iviXVII is defined as a PhoP-repressed gene (prg).

The conformation of the PhoQ sensor protein has been shown to respond to levels of Mg2+ in the medium (16). The phoQ24 mutation renders the PhoQ protein less sensitive to its known inhibitory signal, Mg2+ (16), resulting in enhanced phosphorylation of PhoP (20). Such enhanced PhoP phosphorylation causes increased expression of pags and reduced expression of prgs (31). As expected, the effect of phoQ24 is to amplify the expression of the PhoP-activated genes spvB, phoP, pmrB, iviVI-A, and iviXVI compared to that found in the wild type over a wide range of conditions (Fig. (Fig.1A,1A, third column). Figure Figure1B1B shows that phoQ24 abolishes the expression of iviXVII (pdu) under most conditions tested, as expected for a prg.

Iron regulation of ivi genes.

The 74 IVET-selected fusions that were tested for their response to Mg2+ and pH were also screened for their response to iron. Three ivi fusions, fhuA, cirA, and entF, are induced 5-, 8-, and 22-fold, respectively, by iron limitation (no iron added, 0.03 mM 2,2′-dipyridyl) compared to growth in iron excess (0.01 mM iron), as shown previously for E. coli (reference 11 and data not shown). Each of these ivi genes is presumed to play a role in iron transport: fhuA encodes a siderophore uptake system; cirA encodes the colicin 1 receptor, which also shows extensive homology to siderophore uptake systems; and entF encodes enterobactin synthetase component F (11). Conversely, iviXVII (pdu) expression increased 13-fold when cells were grown under high versus low iron conditions in minimal medium but not in the high-iron conditions present in LB (10 μM [reference 17 and data not shown]). Thus, all iron-responsive ivi fusions are repressed when grown in LB but must be expressed in the animal in response to the IVET selection.

To resolve the apparent paradox that reciprocally regulated fusions (with respect to iron) are repressed in LB and expressed in the animal (and in cultured mammalian cells [see below]), the effect of iron concentration on entF and iviXVII expression was quantitated. Figure Figure22 shows that in 1 μM iron (the concentration indirectly estimated for Salmonella-containing vacuoles [15]), both entF and iviXVII are expressed at high levels, presumably sufficient for both to respond to the IVET selection.

Table Table33 shows the effects of phoPQ, medium composition (pH and Mg2+), and iron on expression of iviXVII (pdu) in vitro. The data indicate that the ability of iviXVII to respond to high iron is dependent on the absence of the PhoP regulatory protein. This can be achieved by either growth condition or mutation. For example, iviXVII is induced by iron under growth conditions where PhoP is not expressed (pH 7.0 to 7.6 and 0.5 to 10 mM Mg2+ [Fig. 1B]) or in a PhoP background.

Effects of phoPQ, medium composition, and iron on expression of a iviXVII::lac (pdu) fusion

Intracellular expression of ivi genes.

The eight ivi genes that respond to pH, Mg2+, and PhoP in vitro were tested for expression upon entry into and growth within three cultured host cell lines: RAW 264.7 (murine macrophage) and HEp-2 and Henle-407 (human epithelium). Preselected Lac and Lac+ strains were obtained from the initial nonselected pool of integrated IVET fusions. Figure Figure33 indicates that these strains showed no significant intracellular induction relative to the PhoP-regulated ivi genes which were induced at 4 h following infection of all three cell lines. While each ivi fusion has a characteristic level of intracellular induction, that level is relatively consistent within all three cell lines tested, as shown previously for spvB in several cell lines (13).

FIG. 3
Intracellular expression of ivi genes in cultured macrophages and cultured epithelial cells. Individual ivi fusions were incubated with cultured RAW 264.7 murine macrophages and cultured human epithelial cell lines HEp-2 (larynx carcinoma) and Henle-407 ...

Effects of PhoPQ on intracellular ivi gene expression.

To determine whether the regulatory behavior of ivi genes mediated by PhoPQ in vitro mimics what is observed intracellularly, we assayed the effect of PhoPQ on strains containing either PhoP-activated or PhoP-repressed ivi genes in cultured macrophages. Figure Figure44 shows that introduction of a PhoP mutation into either pag strain (iviVI-A and spvB), resulted in reduced intracellular expression in cultured RAW 264.7 macrophages, indicating that PhoP is a major regulatory protein involved in the expression of these ivi genes in vitro and in cultured cells. In contrast, the intracellular expression of the PhoP-repressed gene iviXVII (pdu) was not enhanced after introduction of a PhoP mutation. This finding suggests that intracellular PhoP is not phosphorylated sufficiently to repress the low-level intracellular expression of iviXVII and/or other factors contribute to iviXVII expression 4 h postinfection. Additionally, phoP and iviXVII show significant levels of expression under some common conditions in vitro (Fig. (Fig.1)1) and during growth within cultured mammalian cells (Fig. (Fig.3).3). Taken together, these data suggest that although pags and prgs are capable of responding differently to a similar set of signals, this does not preclude their concomitant expression within the same cell type (see Discussion).

FIG. 4
Intracellular expression of ivi genes in PhoP+ and PhoP (phoP102::Tn10d-Cm) backgrounds in cultured macrophages. Individual ivi fusions were incubated with cultured RAW 264.7 murine macrophages. The coculture was incubated for 30 min, ...


Here we have grouped several ivi genes based on their coordinate behavior in response to environmental and genetic signals known to control virulence gene expression in vitro. Such in vitro expression was shown to parallel their intracellular induction both in cultured murine macrophages and in human epithelial cells. Moreover, the ivi fusions are each induced to similar levels in both cell types, suggesting that they respond to environmental and genetic signals that are present at both early and late stages of infection. These coordinately expressed ivi genes reside in three different types of DNA sequences, including native chromosomal sequence (mgtA), plasmid sequence (spvB), and acquired sequence of atypical base composition (iviVI-A). Thus, acquired sequences either have evolved to respond to the regulatory circuitry of the recipient Salmonella genome or were responsive to similar regulatory controls in the donor organism.

All known ivi genes analyzed in this study have been shown to be required for, or have been implicated in, virulence (9, 23). Additionally, two genes, iviVI-A and iviXVII (pdu), reside in regions of atypical base composition whose removal confers virulence defects (9). There is a strong correlation between the expression of ivi genes in response to a given set of environmental and genetic signals in vitro and their intracellular expression in mammalian cells. All ivi fusions that were induced by low pH and low Mg2+ were activated by PhoPQ. These genes were also induced upon entry into and growth within mammalian cells; moreover, spvB and iviVI-A were also shown to be activated by PhoPQ in cultured macrophages. Not all pags require PhoP for their induction under all environmental conditions. Notably, pmrB showed significant expression in the absence of PhoP (e.g., pH 6.6 and 1 mM Mg2+), which may be important under conditions found in the host. Coordinate intracellular expression of genes that respond similarly in vitro (e.g., low pH and low Mg2+) may reflect their response to similar vacuolar environments in these cell types. Defining the bacterial genes that are expressed in Salmonella-containing vacuoles in macrophages and/or epithelial cells will identify both general and specific functions that may be required for survival in these intracellular microenvironments as has been shown recently (6).

It is not implied that ivi genes used in this study are expressed only in the cell types tested or that other ivi genes are not expressed in the same cell types or subcellular compartments. For example, previously we have shown that phoP is induced after both intragastric and intraperitoneal inoculation (23), indicating that phoP is expressed at early and late stages of infection presumably in several cell types. Indeed, it has been recently shown that PhoPQ is a component of the acid tolerance response (3), which is presumed to contribute to bacterial survival at many anatomical sites. Additionally, most ivi genes isolated from the same infected tissue (e.g., spleen) do not respond to any of the signals tested here (e.g., iron, Mg2+, pH, and PhoP), suggesting that other signals may govern their expression in these tissues.

PhoP-activated and PhoP-repressed genes are capable of responding to the same set of signals in diverse and robust fashion. However, both classes show significant levels of expression under the same conditions in vitro (Fig. (Fig.1)1) and during growth within cultured mammalian cells (Fig. (Fig.3).3). Thus, pags and prgs may be induced within the same cell type and subcellular compartment (e.g., macrophage phagosome). The low level induction of iviXVII (pdu) observed within cultured macrophages may make a significant contribution to the intracellular fitness of the bacterium within the host. Indeed, the extent to which an individual gene is induced relative to another gene is not necessarily an indication of how important a particular gene is to a particular downstream event; it is simply a measurable factor. Correspondingly, removal of the pdu region confers a defect in systemic survival (9).

The expression pattern of spvB presented here differs from results of previous studies using alternatively constructed fusions. SpvB translational fusions from a low-copy-number plasmid containing S. dublin sequences have been reported to be induced in a PhoP-independent manner (12); moreover, the fusion protein and native mRNA levels are induced in stationary phase (12, 25). The spvB transcriptional fusion in this study resides at its native site on the S. typhimurium virulence plasmid, is expressed in LB at very low levels, is activated by PhoP, and is subject to coordinate environmental and genetic regulation with other PhoP-activated genes both in vitro and in cultured mammalian cells. One explanation for this disparity may lie in the structure of the spvB ivi fusion construct. Although the integrated spvB::lac fusion contains all spv wild-type sequences and their native control regions, two types of messages are produced since the promoter region is duplicated in this construct (covering 3 kb of sequence upstream of the spvB fusion join). Thus, the spvB::lac fusion-bearing message does not contain sequences that may be relevant to production and/or stability of full-length message in stationary phase, allowing the observation of subtle but significant aspects of spv regulation whose biological role is yet to be determined.

Given the intracellular induction of a subset of ivi genes, we now can ask how these genes contribute to bacterial survival during infection. One intracellularly expressed fusion, iviVI-A, resembles an enterotoxigenic E. coli adhesin and the Opa adherence and invasion proteins of Neisseria gonorrhoeae. The intracellular expression of an adhesin/invasin-like protein may seem puzzling. However, bacterial proteins often play roles other than those for which they were first defined. Indeed, the Opa adherence proteins have an additional function once the gonococci are intracellular: these outer membrane proteins bind host pyruvate kinase at the bacterial surface, leading to an environment encompassing the bacterium that is rich in pyruvate, which is one of few known carbon sources utilized by N. gonorrhoeae in vitro. (43). Thus, the adhesin-like IviVI-A protein may contribute other capabilities to S. typhimurium within host vacuoles.

Determination of the genetic and environmental factors that regulate ivi expression and the host site(s) in which they are expressed provides clues to both the intracellular environment and possible functions of ivi genes at these specific host sites. This complex and overlapping regulatory circuitry offers a pathogen tremendous flexibility to express different sets of genes at various sites. The functions of some of these genes may change dependent on the context of the animal (chicken versus cow), tissue (intestine versus spleen), cell type (macrophage versus hepatocyte), or subcellular compartment (phagosome versus phagolysosome).


We thank Bob Sinsheimer for critically reading the manuscript.

This work was supported by NIH grant AI36373, Beckman Young Investigator Award, and University of California-Lawrence Livermore National Laboratory Collaboration (M.J.M.) and by NIH grant AI08649, ACS grant IRG 158K, and the Duke University Medical Center (P.C.H.).


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