Cent. Eur. J. Biol.• 6(5) • 2011 • 685-694
DOI: 10.2478/s11535-011-0067-z
Central European Journal of Biology
Microbial Endocrinology
Mini-Review
Fathima Sharaff, Primrose Freestone*
Department of Infection, Immunity and Inflammation, University of Leicester,
Leicester LE1 9HN, United Kingdom
Received 06 May 2011; Accepted 10 August 2011
Abstract: Microbial Endocrinology is a new microbiology research discipline that represents the intersection of microbiology and endocrinology with
neurophysiology. It has as its main tenet that through their long co-existence with animals and plants, micro-organisms have evolved sensory
systems for detecting host-associated hormones. These sensing systems allow the microbe to determine that they are within proximity
of a suitable host, and that is time to initiate expression of genes involved in host colonisation. Microbial Endocrinology therefore provides
a new paradigm with which to examine and understand the interactions of micro-organisms with their host under conditions present in
both health and disease. This article will focus on microbial interactions with the fight and flight family of catecholamine stress hormones.
Keywords: Bacteria • Hormones • Stress • Infection
© Versita Sp. z o.o.
1. Introduction:
Microbial endocrinology as a means of
understanding the dialogue between animals
and their microflora
Microbial Endocrinology is a recently recognised
interdisciplinary branch of research that represents
the intersection of microbiology, endocrinology with
neurophysiology [1-6]. Its objective is to provide a
paradigm with which to examine and understand
the interaction of micro-organisms with their host in
health and disease. Microbial Endocrinology has as its
foundation the tenet that through their long co-existence
with animals and plants, micro-organisms have evolved
detection systems for detecting host-associated
chemicals such as hormones. These hormone-sensors
enable the microbe to determine that they are within the
locality of a suitable host, and that it is time to initiate
expression of genes involved in host colonisation, or
in the case of pathogenic species, genes for virulence
determinants. This review cannot for space reasons
cover all the Microbial Endocrinology papers published,
and so the reader is directed towards reference [6]
which is a recently published book on the research area.
Most Microbial Endocrinology investigations
have concentrated on the interaction of bacteria with
the hormones released during stress, such as the
catecholamine fight and flight hormones adrenaline,
noradrenaline and dopamine [6]. This is in part because
of the interest in the long held observation that stress
in humans or animals increases their risk of developing
an infection [2,5,7]. While hormones released during
stress (principally adrenaline and noradrenaline) have
been shown to significantly reduce cell based immune
function [7], Microbial Endocrinology takes the broader
view and considers the impact of the stress event from
the perspective of the microbe causing the infection.
In the context of human and animal welfare, Microbial
Endocrinology therefore provides a useful platform on
which to develop a holistic understanding of the factors
that shape the interactions between microbes and their
animal host during episodes of stress [1-6].
2. The spectrum of stress hormone
responsive microbes
The biochemical pathway for the synthesis of
catecholamine stress hormones begins with L-dopa
(mostly derived from dietary sources) which is converted
→ dopamine → noradrenaline → adrenaline (Figure 1).
Noradrenaline- and dopamine- containing nerve
* E-mail: ppef1@le.ac.uk
685
Unauthenticated
Download Date | 9/22/17 4:26 AM
Microbial Endocrinology
Figure 1.
Catecholamine stress hormone biosynthesis. In mammals, catecholamines are synthesized from L-Dopa, obtained from dietary sources
(the amino acids tyrosine and phenylalanine). It should be noted that various co-factors needed in the pathway are not shown.)
Synthesis of catecholamines is to a degree tissue specific, and phenylethanolamine N-methyltransferase, required for adrenaline
synthesis, is not expressed in cells of the enteric nervous system [8].
Key: Catecholamine biosynthesis: TH – tyrosine hydroxylase; AAD – aromatic L-amino decarboxylase; DbH – dopamine b-hydroxylase;
PMT – phenylethanolamine N-methyltransferase.
terminals are distributed throughout the mammalian
body, including the gastrointestinal tract where they make
up part of the enteric nervous system (ENS) [8]. Indeed,
half of the noradrenaline present within mammals is
synthesised and utilised within the ENS. Within the
gut, noradrenaline is released from storage within
sympathetic nerve fibres within the prevertebral ganglia
that innervate the gut mucosa. Dopamine is produced
in a subpopulation of non-sympathetic enteric neurons
located within the intestinal wall [8]. Table 1 [9-28]
shows the microbes responsive to catecholamine stress
hormones. What is most apparent is that the spectrum
of hormone responsive microbes is weighted towards
bacteria inhabiting the gastrointestinal tract, particularly
species such as Escherichia coli, Salmonella, Listeria,
Campylobacter, and Yersinia [9,12,13,15-18,22]. This
may be related to the abundance of noradrenaline
and dopamine containing nerve terminals in the ENS
[8]. However, the catecholamines are physiologically
ubiquitous in terms of signalling functions and are found
in fluids and tissues throughout the mammalian body
[8]. Thus, it might expected that bacteria occupying a
variety of in vivo niches will at some point come into
contact with catecholamines, and so have cause to
similarly evolve sensory systems for monitoring the
stress hormone levels of their host. The fact that
microbes inhabiting nearly all the major regions of the
body are responsive (Table 1) [9-28] seems to support
this hypothesis.
As well as affecting the bacteria that colonise
the gut, catecholamine stress hormones have been
shown to be significant growth stimulators for a
number of microbes involved in respiratory infections.
In serum-based culture media, log-fold increases in
cell numbers of Pseudomonas aeruginosa [9,10],
Klebsiella pneumoniae, [9], Bordetella pertussis and
B. bronchiseptica [11], have been demonstrated. O’Neal
et al. used transcriptional profiling (microarrays) to
show up-regulation of genes required for host tissue
attachment in Mycoplasma hyponeumoniae exposed to
noradrenaline [25].
Stress is a recognised risk factor for development
of human periodontal disease, an oral health problem
that accounts for more tooth loss than dental caries.
Oral bacteria are implicated in causing periodontitis,
which is interesting as Roberts et al. [26,27] examined
686
Unauthenticated
Download Date | 9/22/17 4:26 AM
F. Sharaff, P. Freestone
Microbial species
Catecholamine
Reference
[19]
Aeromonas hydrophila
Noradrenaline
Acinetobacter lwoffii
Noradrenaline
Bordetella bronchiseptica, B. pertussis
Adrenaline, Dopamine, Noradrenaline
Burkholderia Spp.
Adrenaline, Dopamine, Noradrenaline
[9]
[11]
Balasingham and Freestone
(unpublished)
[29]
Borrelia burgdorferi
Noradrenaline
Campylobacter jejuni
Noradrenaline
[14]
Citrobacter freundii, Citrobacter rodentium
Noradrenaline
[9,24]
Enterobacter agglomerans, E. sakazaki
Noradrenaline
[9]
Enterococcus faecalis, E. cloacae
Noradrenaline
Escherichia coli
Adrenaline, Dobutamine
Noradrenaline
Hafnia alvei
Noradrenaline
[9]
Helicobacter pylori
Adrenaline, Dopamine, Noradrenaline
[16]
Klebsiella oxytoca, K. pneumoniae
Noradrenaline
Listeria monocytogenes
Adrenaline, Dopamine, Noradrenaline
Morganella morgani
Noradrenaline
[9]
Mycoplasma pneumoniae
Noradrenaline
[25]
Proteus mirabilis
Noradrenaline
[9]
Pseudomonas aeruginosa
Noradrenaline
[9,10]
Salmonella enterica
Adrenaline, Dopamine, Noradrenaline
[9]
Dopamine,
Isoprenaline,
[9,12,13,17,18,33,35,37,38,
40-42,46,49,51,52,64,65]
[9]
[9,15]
[9,36,43,44,50,52,64]
Shigella sonnei, S. flexneri
Noradrenaline
Staphylococcus aureus
Noradrenaline, Dopamine
Staphylococcus epidermidis, S. capitis,
S. saprophyticus, S. haemolyticus, S. hominis
Adrenaline, Dobutamine,
Noradrenaline
Streptococcus dysgalactica
Noradrenaline
Vibrio parahaemolyticus, V. mimicus, V. vulnificus
Adrenaline, Dopamine, Noradrenaline
Xanthomonas maltophila
Noradrenaline
[9]
Yersinia enterocolitica
Adrenaline, Dopamine, Noradrenaline
[9]
[24]
[9,30]
Dopamine,
Isoprenaline,
[9,21,23,24,30]
[9]
[20,22]
Oral bacteria
Actinomyces gerenscseriae,
A. naeslundii,
A. odontolyticus
Campylobacter gracilis
Capnocytophaga sputigena,
C. gingivalis
Eikenella corrodens
Eubacterium saburreum,
Fusobacterium periodonticum,
F. nucleatum subsp. Vincentii
Leptotrichia buccalis
Neisseria mucosa
Peptostreptococcus anaerobius,
P. micros
Prevotella denticola,
P. melaninogenica
Staphylococcus intermedius
Streptococcus gordonii,
S. constellatus,
S. mitis,
S. mutans,
S. sanguis
Table 1.
Adrenaline, Noradrenaline
[26,27]
Stress hormone responsive bacteria. The table shows the spectrum of catecholamine stress hormone responsive bacteria. The hormone(s)
shown are those used in the studies cited.
687
Unauthenticated
Download Date | 9/22/17 4:26 AM
Microbial Endocrinology
the response of 43 oral microbes to catecholamines and
found that those periodontal pathogens most closely
associated as being causative agents of gum disease
showed the greatest stress hormone responsiveness.
Mouth secretions such as saliva and mucus have been
shown to contain stress hormones [26,27,29].
Skin-associated bacteria, particularly the coagulasenegative staphylococci, are highly responsive to
catecholamine stress hormones [9,21,23]. As well as
noradrenaline, adrenaline, dopamine, the structurally
related inotropes dobutamine, isoprenaline, have all been
shown to increase staphylococcal growth by 5-log orders
or more [9,21,23]. The coagulase-negative staphylococci
are of low pathogenicity, but pose a significant infection
challenge for intensive care unit patients because
of to their ability to colonise and form biofilms within
intravenous catheters. Of particular relevance to the
human clinical setting is the finding that catecholamines,
which are administered via intravenous catheters,
massively stimulate staphylococcal biofilm formation
[21]. Later work from our laboratory also showed that
the same catecholamine inotropes can in less than a
day induce recovery of antibiotic-damaged staphylococci
which would otherwise appear to be dead [30].
Stress hormone responsiveness is not just a feature
of the microbes of mammalian hosts. Aeromonas
hydrophila, a pathogen of frogs (and occasionally
humans), is also stress hormone responsive [19].
Microbial Endocrinology concepts can even be
extended to non-vertebrates. Lacoste et al. showed that
stressing farmed oysters led to increased susceptibility
to infection with Vibrio species that was directly linked
to increased production of noradrenaline in the shell
fish; the injection of noradrenaline into unstressed
oysters also significantly increased oyster mortality to
subsequent Vibrio infection [20].
3. Catecholamine effects on bacterial
growth
An obvious question is what is the mechanism by which
catecholamines induce bacterial growth? So far, the
majority of analyses of stress hormone responsiveness
have been conducted in vitro and have used a serumor blood-based culture media to reflect the host
environment in which the microbe will encounter the
hormone [1-4]. As a consequence, such media is usually
bacteriostatic through Fe limitation caused by chelation
of free iron by high affinity iron binding proteins such as
transferrin [3]. Iron is essential for growth of all bacterial
pathogens, and its limitation in blood and mucosal
secretions via transferrin and lactoferrin represents one
of the most important innate immune defences against
infection [31,32]. Mechanistically, we have shown that
catecholamines form complexes with transferrin and
lactoferrin, weakening the normally high affinity ferric
iron complex to the point of iron loss [18,33]. This
enables bacteria that lack specific systems for acquiring
transferrin and lactoferrin sequestered iron to obtain
the Fe needed for growth in serum or blood [3]. Recent
work from our laboratory used electron paramagnetic
resonance spectroscopy and chemical analyses to
show that catecholamine complex formation with
transferrin and lactoferrin results in reduction of the iron,
from ferric to ferrous, a valency for which transferrin and
lactoferrin have a much lower affinity, resulting in rapid
Fe loss [34]. This iron theft process by catecholamines
is significant, as the growth stimulation of bacteria
resulting from addition of catecholamines to serum or
blood can be over 5 log orders [3,9,18,21,23].
In terms of the bacterial molecular machinery
required for catecholamine growth responsiveness,
siderophore synthesis and ferric iron transport are
essential elements for Gram negative bacteria such
as E. coli and Salmonella. Mutant strains containing
disruptions in genes for enterobactin synthesis (entA,
entF) or ferric-enterobactin transport (cir, IroN or tonB)
did not respond to catecholamines in iron-limited serum
[35,36]. It is proposed that the siderophore is required
to internalise the iron removed by the catecholamine.
Sandrini et al. [34] demonstrated that reduction of
transferrin and lactoferrin Fe(III) by the catecholamines
also allows incorporation of released Fe(II) by bacterial
ferrous uptake systems. Catecholamines therefore
enable bacterial pathogens that lack siderophores
or specific acquisition systems for transferrin and
lactoferrin- Fe to acquire the iron needed for growth
in vivo.
Another mechanism by which catecholamines can
induce growth of Gram-negative bacteria, particularly
enteric species, involves induction of a bacterial growth
stimulator [9,37]. This growth stimulator was termed
the NE-AI (noradrenaline-induced autoinducer) to
distinguish it from homoserine lactone type autoinducers
[9]. The NE-AI induces its own synthesis, is heat stable,
and has cross-species functionality, inducing increases
in bacterial growth to a magnitude similar to that seen
with the catecholamines [9]. The mechanism by which
the NE-AI stimulates growth is unsure but has been
shown to be independent of transferrin or lactoferrin
[35]. In terms of its production, investigations into the
induction of the E. coli NE-AI suggest only a transient
4-6 hour exposure to catecholamines is needed
[9,37] after which the activity induces its own synthesis.
This suggests that bacteria can retain a ‘memory’ of
688
Unauthenticated
Download Date | 9/22/17 4:26 AM
F. Sharaff, P. Freestone
their encounter with their host’s stress hormones, and
that catecholamine release during a short term acute
stress could have lasting and wide acting effects on the
bacterial microflora long after catecholamine levels in
their host have returned to normal.
4. Catecholamine effects on bacterial
virulence
Catecholamines such as noradrenaline have been
reported to increase the production of Shiga toxins by
E. coli O157:H7 [38]. Enhanced production of Shiga
toxins is significant in the context of enterohaemorrhagic
E. coli pathogenesis in humans, as the toxins may
cause acute renal and neurological complications
via damage to microvascular endothelial cells [39].
A number of in vitro reports have shown that stress
hormones enhance bacterial attachment to gut tissues.
Noradrenaline was shown to enhance expression of
the K99 pilus adhesin of enterotoxigenic E. coli and
type 1 fimbriae of commensal E. coli [40]. Vlisidou and
co-workers [41] used a bovine ligated ileal loop model
of infection to show that noradrenaline increased the
intestinal mucosa adherence and enteropathogenicity
of E. coli O157:H7. These workers also showed that
noradrenaline modulation of enteritis and adherence
was dependent on the ability of the E. coli O157:H7
to form attaching and effacing lesions. Similar studies
by Green et al. [42] and Chen et al. [12] have also
demonstrated that catecholamines can promote
adherence of enteropathogens to mammalian gut
tissues. Interestingly, in contrast to the Vlisidou study
[40], Chen et al. found that noradrenaline could also
enhance the caecal adherence of E. coli strains
possessing eae (intimin, host cell tight attachment
protein) and espA (type III translocator protein)
mutations which were thought to render the bacteria
incapable of intimate mucosal cell attachment. Research
by Bansal et al. [12] demonstrated that in addition to
host cell attachment, E. coli O157:H7 showed a positive
chemotactic response to noradrenaline and adrenaline.
Other enteric pathogens have been shown to respond
to catecholamine stress hormones. Cogan et al. [14]
showed that noradrenaline enhanced the growth and
virulence factor expression of Campylobacter jejuni,
a chicken commensal that can also infect humans.
Toscano et al. [43] used a porcine model of infection to
show that pre-treatment of Salmonella enterica serovar
Typhimurium with noradrenaline altered its tissue
dissemination. Chicks directly given noradrenaline
by crop instillation had elevated levels of S. enterica
serovar Enteritidis in the caeca and liver compared
to un-treated control animals [44]. In addition to the
catecholamines, glucocorticoid-type hormones are also
released during stress [7,45] which may be significant
as the adrenocorticotropic hormone has been shown to
significantly increase attachment of E. coli O157:H7 to
colonic mucosa [46].
A number of in vivo studies exist which show that stress
can directly affect the microflora of an animal. Physical
stress of mice caused by surgery (partial hepatectomy)
or a short-term period of starvation induced significant
increases in the number of E. coli adhering to the caecal
mucosa of stressed mice compared to control animals
[40]. Overgrowth of commensal E. coli, which can cause
serious systemic infection, has been shown to occur in
the intestines of mice exposed to psychological stressors
such as restraint [47]. Recently, Bailey et al. [48] showed
that psychologically stressing mice altered the microbial
diversity of the gut to such an extent that it directly
increased the capacity for an invading enteric pathogen
(Citrobacter rodentium) to establish an infection.
How is stress of the host linked to changes in
the behaviour of its gut microflora? Insight into the
molecular mechanisms that may be at work was first
presented by Lyte and Bailey [49]. These workers
used a mouse model of chemical stress involving the
selective neurotoxin 6-hydroxydopamine (6-OHDA),
which destroys the nerve terminals of sympathetic
neurons and causes the rapid release of stored
noradrenaline into the systemic circulation, including
the gut, and so mimics the hormonal changes that take
place during acute stress. Lyte and Bailey found that
numbers of bacteria in the gastrointestinal tract (caeca)
of the chemically stressed mice increased by up to 4
log-orders during the 24 hours following administration
of the neurotoxin, with commensal E. coli showing the
greatest increase. Binding of bacteria to the mouse
caecal wall and translocation to the mesenteric lymph
nodes (potentially the beginning of a gut-associated
infection) were similarly increased. Within two weeks,
the time required typically for regeneration of the affected
neurons, bacterial counts in the gut had returned to
normal. More recently, a related study by Pullinger
et al. [50] that 6-OHDA treatment of pigs following
post-oral inoculation with Salmonella Typhimurium
produced elevated plasma noradrenaline levels and
transiently but significantly, increased faecal excretion
of the bacteria. Oral administration of noradrenaline to
Salmonella-infected pigs also increased shedding of the
Salmonella, although in contrast to the Toscano study
[43], pre-treatment of the bacteria with noradrenaline
had no significant effect on the outcome of the infection.
Evidence for a connecting link between increased host
levels of stress hormones and changes in the commensal
689
Unauthenticated
Download Date | 9/22/17 4:26 AM
Microbial Endocrinology
microflora is suggested by the work of Freestone et al.
[18], who showed that growth of commensal E. coli
isolates increased by up to 5 log-orders following
exposure to noradrenaline, adrenaline, dopamine and
certain of their metabolites.
In an attempt to define the global transcriptional
response of bacteria to catecholamine exposure, a
number of microarray studies have been undertaken
[12,17,25,47]. Although variations in the methodologies
used for the transcriptional profiling make direct
comparisons between the studies difficult, overall the
gene expression profiles obtained support the view
that exposure to catecholamines enhances expression
of genes involved in bacterial pathogenicity (such as
motility, iron acquisition, and epithelial cell attachment)
[12,17,25,51]. Interestingly, a very recent paper by
Peterson et al. showed in vitro that stress hormone
exposure enhanced the horizontal gene transfer
efficiencies of a conjugative plasmid from a clinical host
strain of Salmonella Typhimurium to an E. coli recipient
[52]. This suggests that acute stress of the host could
be a factor that influences the evolution and adaptation
of their microflora, including any bacterial pathogens
that might also be resident.
5. Microbial interactions with other
hormones
So far we have considered the various mechanisms
by which catecholamine stress hormones influence
bacterial infectivity. However, evidence exists to suggest
that other mammalian hormones can directly influence
the course of a microbial infection. For example,
binding studies by Woods et al., involving the causative
agent of melioidosis, Pseudomonas (Burkholderia)
pseudomallei, revealed the presence of specific
high affinity binding sites for insulin [53]. This might
explain why for human patients with diabetes mellitus,
the progression of melioidosis has been shown to be
markedly influenced by serum insulin levels. Binding
proteins specific for thyrotropin have been isolated from
the enteric pathogen Y. enterocolitica [54]. Endogenous
opioids are among the first signals to be released by
mammalian tissues under stress, and it is noteworthy
that P. aeruginosa responds to the opioid dynorphin
with significantly increased infectivity [55]. A number of
studies have demonstrated the importance of ovarian
hormones on the pathogenicity of micro-organisms
involved in urinogenital infections [56-58]. Yeast can
respond to, and bind, steroid hormones [56], while
oestrogen can significantly enhance Candida infectivity,
inducing the morphological switch from yeast to the
invasive hyphal form [57]. The presence of high affinity
binding proteins for oestradiol in the pathogenic yeast
C. albicans [58] may provide some explanations for
the observed increase in the susceptibility of pregnant
women to fungal infections.
6. Why should microbes recognise
our stress hormones?
The evolution of microorganisms came before that
of vertebrates, and it has been demonstrated that
what were thought to be almost exclusively vertebrate
neurotransmitters are in fact widely dispersed
throughout nature. In plants, catecholamines have so
far been isolated from 28 species originating from 18
plant families where they are involved in fertilization
and fruit and seed development [59]. Dopamine has
been isolated from broad beans [60] and dopamine
and noradrenaline from bananas [61]. The L-DOPA
(precursor of dopamine) content of broad beans is so
high that 250 g of cooked broad beans per day has
successfully been used in humans to treat the symptoms
of Parkinson’s disease [60,62]. Dopamine has also been
detected in fungi such as Saccharomyces cerevisiae and
Penicillium chrysogenum [63]. Many of the compounds
isolated are not analogues of vertebrate hormones, they
are chemically identical. This ubiquitous distribution of
catecholamines throughout nature suggests that microorganisms in general have had ample time preceding
the evolution of plants and animals to come into contact
with catecholamine-like hormones, and to develop
mechanisms by which to recognize them as indicators
they are within proximity of a suitable host.
In animals, catecholamines exert their effects
by binding to specific adrenergic and dopaminergic
receptors; catecholamine binding can be prevented using
an antagonist specific to the catecholamine receptor [8].
Interestingly, antagonists of mammalian adrenergic and
dopaminergic receptors can also block catecholamine
effects in bacteria [64]. Addition of specific a- (but not
b-) adrenergic receptor antagonists blocked bacterial
growth responses to noradrenaline and adrenaline but
did not affect growth stimulation by dopamine [64].
Conversely, dopaminergic receptor antagonists could
block growth responses to dopamine but not to either
adrenaline or noradrenaline [64]. This suggests that
bacterial response systems exist for catecholamine
recognition that possess a degree of specificity similar
to that demonstrated for catecholamine receptors in
animals. In terms of a bacterial catecholamine receptor,
there is so far no genomic evidence for the existence
of adrenergic or dopaminergic receptors in bacterial
690
Unauthenticated
Download Date | 9/22/17 4:26 AM
F. Sharaff, P. Freestone
species. However, Clarke et al. [65] used in vitro
constructs to show that noradrenaline and adrenaline
were recognised by the E. coli O157:H7 two-component
regulator sensor kinase QseC, leading to the proposal
that this could be a bacterial receptor for these
catecholamines. However, mutation of the QseC genes
in Salmonella [66] did not affect bacterial responsiveness
to the catecholamines adrenaline, noradrenaline and
dopamine, suggesting that a different response system
for the initial recognition of catecholamines may exist in
this particular species.
How might sensing the stress hormone levels of their
host advantage a microbe? The sensitivity of gut bacteria
to catecholamines may provide insight into the answer.
The abundance of noradrenaline- and dopaminecontaining nerve terminals within the enteric nervous
system [8] suggests a microbe inhabiting the intestinal
tract is likely to come into contact with catecholamines.
Stress in animals, such as being chased by a predator,
will increase systemic catecholamine levels as part of
the ‘fight and flight’ response [2,8]; work from Bailey
et al. [47], Lyte and Bailey [49] and Pullinger et al. [50]
has showed that host stress directly affects the gut
microflora. Perhaps this is because enteric microbes
have evolved mechanisms to sense changes in fitness
of their host by monitoring its stress hormone levels?
Increasing concentrations of catecholamines may signal
to the bacteria that their host is less fit, and that it is
time to relocate to a new home. This the bacteria do
by increasing their numbers and expression of virulence
factors needed for host colonisation. If the old, stressed
host is not eaten after its predator chase, the capacity
of the catecholamine-stimulated bacteria to cause
diarrhoea and vomiting increases their chances of
gaining release into the environment, and finding a new
and maybe fitter host.
7. Future directions
This mini-review has shown that a dialogue is
continually taking place between the microflora and
their host, and that hormones are the language by
which this inter-kingdom communication is occurring
[1-6]. In terms of practical applications of Microbial
Endocrinology, it can help provide a more holistic
understanding of the impacts of stress hormone
release on infection susceptibility [2]. It has relevance
to human health, for example in terms of appreciating
stress hormone and related drug involvement in
biomaterials-related infections of acutely ill patients
[21,30]. Since evidence is accumulating that stress
experienced by farmed livestock can increase enteric
pathogen carriage and shedding, viewing animal
welfare through the lens of Microbial Endocrinology
could lead to improvements in animal husbandry
techniques that reduce stress and consequently
improve the microbiological safety of meat products
[5]. In conclusion, though this review has concentrated
on microbial interactions with stress-associated
hormones, given the wide variety of chemical
effectors that microbes inhabiting a mammalian host
will encounter, Microbial Endocrinology as a field is
likely to continue to evolve for many years to come.
References
[1] Lyte M., Microbial endocrinology and infectious
disease in the 21st century, Trends in Micro., 2004,
12, 14–20
[2] Freestone P.P., Sandrini S.M., Haigh R.D., Lyte
M., Microbial endocrinology: how stress influences
susceptibility to infection, Trends in Micro., 2008,
16, 55-64
[3] Freestone P.P.E., Lyte M., Microbial endocrinology:
experimental design issues in the study of
interkingdom signalling in infectious disease, Adv.
Appl. Micro., 2009, 64, 75-105
[4] Lyte M., Freestone P.P.E., Microbial Endocrinology
comes of age, Microbe, 2009, 4, 169-175
[5] Freestone P.P.E, Lyte M. Stress and microbial
endocrinology: prospects for ruminant nutrition,
Animal 2010,4, 1248-1257
[6] Lyte M., Freestone P.P.E., Microbial Endocrinology:
inter-kingdom signalling in health and infectious
disease, Springer Publishers, 2010, ISBN, 978-14419-5575-3
[7] Reiche E.M., Nunes S.O., Morimoto H.K., Stress,
depression, the immune system, and cancer,
Lancet Oncology, 2004, 5, 617-625
[8] Furness J.B., The Enteric Nervous System,
Blackwell Pub, 2006, Malden, MA
[9] Freestone P.P.E, Lyte M., Haigh R.D., Williams
P.H., Stimulation of bacterial growth by heat-stable
norepinephrine-induced
autoinducers,
FEMS
Micro. Letts., 1999, 172, 53-60
[10] Alverdy J., Holbrook C., Rocha F., Seiden L., Wu
R.L., Musch M., et al., Gut-derived sepsis occurs
when the right pathogen with the right virulence
691
Unauthenticated
Download Date | 9/22/17 4:26 AM
Microbial Endocrinology
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]
genes meets the right host: evidence for in vivo
virulence expression in Pseudomonas aeruginosa,
Ann. Surg., 2000, 232, 480-489
Anderson M., Armstrong S.K., The Bordetella Bfe
system: Growth and transcriptional response to
siderophores, catechols, and neuroendocrine
catecholamines, J. Bact., 2006, 188, 5731-5740
Bansal T., Englert D, Lee J., Hegde M., Wood T.K.,
Jayaraman A., Differential effects of epinephrine,
norepinephrine, and indole on Escherichia coli
O157:H7 chemotaxis, colonization and gene
expression, Infect. Immun., 2007, 75, 4597-4607
Chen C., Brown D.R., Xie Y., Green B.T., Lyte
M., Catecholamines modulate Escherichia coli
O157:H7 adherence to murine cecal mucosa,
Shock, 2003, 20, 183-188
Cogan T.A., Thomas A.O., Rees L.E., Taylor
A.H., Jepson M.A., Williams P.H., et al.,
Norepinephrine increases the pathogenic potential
of Campylobacter jejuni, Gut, 2007, 56, 1060-1065
Coulanges V., Andre P., Vidon D.J., Effect of
siderophores, catecholamines, and catechol
compounds on Listeria spp. growth in ironcomplexed medium, Biochem. Biophys. Res.
Commun., 1997, 249, 526-530
Doherty N.C., Tobias A., Watson S., Atherton J.C.,
The effect of the human gut-signalling hormone,
norepinephrine, on the growth of the gastric
pathogen Helicobacter pylori, Helicobacter, 2009,
14, 223-30
Dowd S.E., Escherichia coli O157:H7 gene
expression in the presence of catecholamine
norepinephrine,
FEMS
Micro.Letts.,
2007,
273, 214-223
Freestone P.P.E., Williams P.H., Haigh R.D.,
Maggs A.F., Neal C.P., Lyte, M., Growth stimulation
of intestinal commensal Escherichia coli by
catecholamines: a possible contributory factor in
trauma-induced sepsis, Shock, 2002, 18, 465-470
Kinney K.S., Austin C.E., Morton D.S., Sonnenfeld,
G., Catecholamine enhancement of Aeromonas
hydrophila growth, Micro. Pathogen., 1999, 26, 85-91
Lacoste A., Jalabert F., Malham S.K., Cueff
A., Poulet, S.A., Stress and stress-induced
neuroendocrine
changes
increase
the
susceptibility of juvenile oysters (Crassostrea
gigas) to Vibrio splendidus, Appl. Environ. Micro.
2001, 67, 2304-2309
Lyte M., Freestone P.P., Neal C.P., Olson B.A.,
Haigh R.D., Bayston R., et al., Stimulation of
Staphylococcus epidermidis growth and biofilm
formation by catecholamine inotropes, Lancet,
2003, 361, 130-135
[22] Nakano M., Takahashi A., Sakai Y., Nakaya Y.,
Modulation of pathogenicity with norepinephrine
related to the type III secretion system of Vibrio
parahaemolyticus, J. Inf. Dis. 2007, 195, 1353–1360
[23] Neal C.P., Freestone P.P., Maggs A.F., Haigh R.D.,
Williams P.H., Lyte M., Catecholamine inotropes as
growth factors for Staphylococcus epidermidis and
other coagulase-negative staphylococci, FEMS
Micro. Letts., 2001, 194, 163–169
[24] O’Donnell P.M., Aviles H., Lyte M., Sonnenfeld,
G., Enhancement of in vitro growth of pathogenic
bacteria by norepinephrine: importance of inoculum
density and role of transferrin, Appl. Environ. Micro.,
2006, 72, 5097-5099
[25] O’Neal M.J., Schafer E.R., Madsen M.L. Minion
F.C., Global transcriptional analysis of Mycoplasma
hyponeumoniae following exposure to norepinephrine,
Microbiology, 2008, 154, 2581-2588.
[26] Roberts, A., Matthews, J., Socransky, S,. Freestone,
P., Williams, P., and Chapple, I., Stress and the
periodontal diseases: effects of catecholamines
on the growth of periodontal bacteria in vitro, Oral
Micro. Immun., 2002, 17, 296-303
[27] Roberts A., Matthews J., Socransky S., Freestone P.,
Williams P., Chapple I., Stress and the periodontal
diseases: growth responses of periodontal bacteria
to Escherichia coli stress-associated autoinducer
and exogenous Fe, Oral Micro. Immun., 2005, 20,
147-153
[28] Scheckelhoff M.R., Telford S.R., Wesley M., Hu
L.T., Borrelia burgdorferi intercepts host hormonal
signals to regulate expression of outer surface
protein A, Proc. Natl. Acad. Sci. USA., 2007, 104,
7247-7252
[29] Lucero
M.T.,
Squires A.,
Catecholamine
concentrations in rat nasal mucus are modulated
by trigeminal stimulation of the nasal cavity, Brain
Research, 1998, 807, 234–236
[30] Freestone P.P.E., Haigh R.D., Lyte M.
Catecholamine inotrope resuscitation of antibioticdamaged staphylococci and its blockade by
specific receptor antagonists, J. Infect. Dis., 2008,
197, 2044–1052
[31] Ratledge C, Dover LG., Iron metabolism in
pathogenic bacteria, Ann. Rev. Micro., 2000, 54,
881-941
[32] Krewulak K.D., Vogel H.J., Structural biology of
bacterial iron uptake, Biochim. Biophys. Acta.,
2008, 1778, 1781-1804
[33] Freestone P.P., Lyte M., Neal C.P., Maggs A.F.,
Haigh R.D., Williams P.H., The mammalian
neuroendocrine
hormone
norepinephrine
supplies iron for bacterial growth in the presence
692
Unauthenticated
Download Date | 9/22/17 4:26 AM
F. Sharaff, P. Freestone
[34]
[35]
[36]
[37]
[38]
[39]
[40]
[41]
[42]
[43]
[44]
of transferrin or lactoferrin, J. Bact., 2000, 182,
6091-6098
Sandrini S.M., Shergill R., Woodward J., Muralikuttan
R., Haigh R.D., Lyte M., et al., Elucidation of
the mechanism by which catecholamine stress
hormones liberate iron from the innate immune
defense proteins transferrin and lactoferrin, J.
Bact., 2010, 192, 587-594
Freestone P.P., Haigh R.D., Williams P.H., Lyte
M., Involvement of enterobactin in norepinephrinemediated iron supply from transferrin to
enterohaemorrhagic Escherichia coli, FEMS Micro.
Letts., 2003, 222, 39-43
Williams P.H., Rabsch W., Methner U., Voigt W.,
Tschäpe H., Reissbrodt R., Catecholate receptor
proteins in Salmonella enterica: role in virulence
and implications for vaccine development, Vaccine,
2006, 24, 840-3844
Lyte M., Frank C.D., Green, B.T., Production
of an autoinducer of growth by norepinephrine
cultured Escherichia coli O157:H7, FEMS Micro.
Letts., 1996, 139, 155-159
Lyte M., Arulanandam B.P. Frank C.D., Production
of Shiga-like toxins by Escherichia coli O157:H7
can be influenced by the neuroendocrine hormone
norepinephrine, J. Lab. Clin. Med., 1996, 128,
392-398
Tarr P.I., Neill M.A., Escherichia coli O157:H7,
Gastroenterol. Clin. North Am., 2001. 30, 735-751
Hendrickson B.A., Guo J., Laughlin R., Chen Y.
Alverdy J.C., Increased type 1 fimbrial expression
among commensal Escherichia coli isolates in the
murine cecum following catabolic stress, Infect.
Immun., 1999, 67, 745-753
Vlisidou I., Lyte M., Van Diemen P.M., Hawes
P., Monaghan P., Wallis T.S., et al., The
neuroendocrine stress hormone norepinephrine
augments Escherichia coli O157:H7-induced
enteritis and adherence in a bovine ligated ileal
loop model of infection, Infect. Immun. 2004, 72,
5446-5451
Green B.T., Lyte M., Chen C., Xie Y., Casey
M.A., Kulkarni-Narla A., et al., Adrenergic
modulation of Escherichia coli O157:H7 adherence
to the colonic mucosa, Am. J. Phys. – Gastrointest.
Liver Physiol., 2004, 287, G1238-G1246
Toscano M.J, Stabel T.J., Bearson S.M,. Bearson
B.L., Lay Jr D.C., Cultivation of Salmonella
enterica serovar Typhimurium in a norepinephrinecontaining medium alters in vivo tissue prevalence
in swine, J. Exp. Animal Sci., 2007, 43, 329–338
Methner U., Rabsch W., Reissbrodt R., Williams
P.H., Effect of norepinephrine on colonisation
[45]
[46]
[47]
[48]
[49]
[50]
[51]
[52]
[53]
[54]
[55]
[56]
[57]
and systemic spread of Salmonella enterica in
infected animals: Role of catecholate siderophore
precursors and degradation products, Int. J. Med.
Microbiol., 2008, 298, 429-39
Mishra S.K, Segal E., Gunter E., Kurup V.P., Mishra
J., Murali P.S., et al., Stress, immunity and mycotic
diseases, J. Med.Vet. Mycol., 1994, 32, 379-406
Schreiber K.L., Brown, D.R., Adrenocorticotrophic
hormone modulates Escherichia coli O157:H7
adherence to porcine colonic mucosa, Stress,
2005, 8, 185-19.
Bailey M.T., Engler H., Sheridan J.F., Stress induces
the translocation of cutaneous and gastrointestinal
microflora to secondary lymphoid organs of
C57BL/6 mice, J.Neuroimmunol., 2006, 171, 29-37
Bailey M.T., Dowd S.E., Parry N.M., Galley J.D.,
Schauer D.B., Lyte, M., Stressor exposure disrupts
commensal microbial populations in the intestines
and leads to increased colonization by Citrobacter
rodentium, Infect. Immun., 2010, 78, 1509-1519
Lyte M., Bailey M.T., Neuroendocrine-bacterial
interactions in a neurotoxin-induced model of
trauma, J. Surg. Res., 1997, 70, 195-201
Pullinger G.D., van Diemen P.M., Carnell S.C., Davies
H., Lyte M., Stevens M.P., 6-hydroxydopaminemediated release of norepinephrine increases
faecal excretion of Salmonella enterica serovar
Typhimurium in pigs, Vet. Res., 2010, 41, 68
Kendall M., Rasko D., Sperandio V., Global
effects of the cell-to-cell signalling molecules
autoinducer-2, autoinducer-3, and epinephrine in a
luxS mutant of enterohemorrhagic Escherichia coli,
Infect. Immun., 2007, 75, 4875-4884
Peterson G., Kumar A., Gart E., Narayanan S.,
Catecholamines increase conjugative gene transfer
between enteric bacteria, Microb Pathog., 2011, 51,
1-8
Woods D.E., Jones A.L., Hill P.J., Interaction of
insulin with Pseudomonas pseudomallei, Infect.
Immun., 1993, 61, 4045-4050
Weiss M., Ingbar S.H., Winblad S. Kasper D.L.,
Demonstration of a saturable binding site for
thyrotropin in Yersinia enterocolitica, Science,
1983, 219, 1331-1333
Zaborina O., Lepine F., Xiao G., Valuckaite V., Chen
Y., Li T., et al., Dynorphin activates quorum sensing
quinolone signaling in Pseudomonas aeruginosa,
PLoS Pathog., 2007, 3, e35.
Das M., Datta A., Steroid binding protein(s) in
yeasts, Biochem. Int., 1985, 11, 171–176,
Sonnex C., Influence of ovarian hormones on
urogenital infection, Sex. Transm. Infect., 1998, 74,
11-19
693
Unauthenticated
Download Date | 9/22/17 4:26 AM
Microbial Endocrinology
[58] Madani N.D., Malloy P.J., Rodriguez-Pombo P.,
Krishnan A.V., Feldman, D., Candida albicans
estrogen-binding protein gene encodes an
oxidoreductase that is inhibited by estradiol, Proc.
Natl. Acad. Sci. USA,1994, 91, 922–926
[59] Roshchina V,V., Neurotransmitters in plant life,
Plymouth Science Publishers, 2001
[60] Waalkes T.P., Sjoerdsma A., Creveling C.R.,
Weissbach H., Udenfriend S., Serotonin,
norepinephrine, and related compounds in
bananas, Science, 1958, 127, 648-650
[61] Rabey J.M., Vered Y., Shabtai H, Graff E, Korczyn
A.D., Improvement of parkinsonian features
correlate with high plasma levodopa values after
broad bean (Vicia faba) consumption, J. Neuro.
Neurosurg Psych., 1992, 55, 725-727
[62] Apaydin H., Broad bean (Vicia faba)––a natural
source of L-DOPA––prolongs `on’ periods in
patients with Parkinson’s disease who have `on–off’
fluctuations, Mov. Disord., 2000, 15, 164–166
[63] Tsavkelova E.A., Klimova S.Y., Cherdyntseva
T.A., Netrusov, A.I., Hormones and hormone-like
substances of microorganisms: a review, Appl.
Biochem. Microbiol. (Russia), 2006, 42, 229–235
[64] Freestone P.P.E., Haigh R.D., Lyte, M., Blockade of
catecholamine-induced growth by adrenergic and
dopaminergic receptor antagonists in Escherichia
coli O157: H7, Salmonella enterica and Yersinia
enterocolitica, BMC Microbiology, 2007, 7, 8 (1-13).
[65] Clarke M.B., Hughes D.T., Zhu C., Boedeker E. C.,
Sperandio V., The QseC sensor kinase: a bacterial
adrenergic receptor, Proc. Natl. Acad. Sci. USA.,
2006, 103, 10420-10425
[66] Pullinger G, Carnell SC, Farveen F, van Diemen
P, Dziva F, Morgan E, Lyte, et al., Norepinephrine
augments Salmonella-induced bovine enteritis in a
manner associated with increased net replication
but independent of the putative adrenergic sensor
kinases QseC and QseE, Infect. Immun., 2010, 78,
372–380
694
Unauthenticated
Download Date | 9/22/17 4:26 AM