background image

540 

Journal of Basic Microbiology 2011, 51, 540 – 549 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

 

www.jbm-journal.com 

Research Paper 

Caenorhabditis elegans as a model for  
studying Cronobacter sakazakii
 ATCC BAA-894 pathogenesis 

Bhagavathi Sundaram Sivamaruthi

1

, Abhijit Ganguli

2

, Mukesh Kumar

2

, Sheker Bhaviya

1

Shunmugiah Karutha Pandian

1

 and Krishnaswamy Balamurugan

1

 

Department of Biotechnology, Alagappa University, Karaikudi, India 

Department of Biotechnology & Environmental sciences, Thapar University, Patiala, Punjab, India 

Cronobacter sakazakii is occasionally associated with food-borne illness seen in neonates and 
infants with weakened immune system. It can cause meningitis, local necrotizing enterocolitis 
and systemic bacteremia leading to infant mortality rates upto 33–80%. With the aim of 
investigating whether C. sakazakii is also a pathogen of the model organism C. elegans, we have 
performed killing assays and monitored the mortality of host fed with pathogen. C. elegans fed 
with C. sakazakii die over the course of several days, as a consequence of an accumulation of 
bacteria in the host intestine. Further, the rate of C. sakazakii mediated infection in C. elegans 
depends on the accumulation of the bacterial load inside the host. C. sakazakii killed C. elegans 
with an LT

50

 (time for half to die) of 134 ± 2.8 h in liquid assay conditions, whereas the mor-

tality of C. elegans infected with C. sakazakii was less pronounced during solid assays. We found 
that 24 h of C. sakazakii infection is enough to cause gametogenesis defects and increased cell 
damage in intestinal tract of host. To monitor the immune regulations during C. sakazakii 
infection in C. elegans at molecular level, total RNA was isolated and few candidate genes (lys-7
clec-60 and clec-87) were kinetically analyzed by using the semi-quantitative RT-PCR. The level of 
expression of lys-7clec-60 and clec-87 mRNAs isolated from C. elegans infected with C. sakazakii 
was significantly higher when compared to C. elegans exposed to E. coli OP50 control. This is the 
first report in which physiological changes and an induction of host immunity mediated 
antimicrobial genes by C. sakazakii are shown in C. elegans

Abbreviations:  NGM – Nematode growth medium; CFU – Colony Forming Unit, RT-PCR – Reverse 

transcriptase-Polymerase chain reaction; PCR – Polymerase Chain Reaction 

Keywords: Caenorhabditis elegans / Cronobacter sakazakii / Innate immune system 

Received: September 20, 2010; accepted: December 23, 2010 

DOI 10.1002/jobm.201000377 

Introduction

*

 

Cronobacter sakazakii, a Gram-negative motile bacillus, is 
an opportunistic pathogen that can cause infections in 
blood stream and central nervous system [1, 2]. It has 
been often associated with sporadic cases and is an 
important causative agent of life threatening meningi-
tis (complicated by ventriculitis, brain abscess, cerebral 
infraction and cyst formation), local necrotizing en-

                               
Correspondence: Dr. K. Balamurugan, Department of Biotechnology, 
Alagappa University, Karaikudi-630 003, India 
E-mail: bsuryar@yahoo.com 
Phone: 91-4565 225215 
Fax: 91-4565 225202 

terocolitis (NEC) and systemic bacteremia especially in 
neonates and infants particularly in prematures with 
weakened immune system [3–8]. C. sakazakii belongs to 
the family of Enterobacteriaceae and was initially re-
ferred to as Enterobacter cloacae. An infant mortality rate 
of 33–80% for C. sakazakii meningitis has been reported 
with severe outcome of seizures, brain abscess hydro-
cephalus, developmental delay and death. Up to 20% of 
the newborns developed serious neurological complica-
tions following infection [5, 6]. There are reports of 
C. sakazakii infection in adults, which is not usually life 
threatening [9]. One such report was vaginal infection 
by  C. sakazakii  leading to vulvovaginitis with mucous 

background image

Journal of Basic Microbiology 2011, 51, 540 – 549 

Caenorhabditis elegansCronobacter sakazakii and Innate 

541 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

www.jbm-journal.com 

discharge [10]. Until recently, little is known about the 
mechanisms involved in C. sakazakii  pathogenesis. The 
virulence study done by Mange et al. [6] observed no 
relationship between the adhesive capacities in C. saka-
zakii  
and the eventual production of specific fimbriae 
during the establishment of pathogenic infection. 
Townsend  et al. [22] demonstrated the influence of en-
dotoxin on increased translocation of intestinal bacte-
ria and C. sakazakii  in the neonatal rat. These studies 
further demonstrated the ability of C. sakazakii  to in-
vade brain capillary endothelial cells and in human 
macrophages. In mammalian cells, the organism can 
attach to intestinal cells and survive internally in 
macrophages [4]. However, the specific bacterial adhe-
sins and host cell receptors involved in these processes 
are largely unknown. Some strains of C. sakazakii  pro-
duce capsular material, and how this material contrib-
utes to macrophage evasion remains to be determined 
[4]. Furthermore, these capsules may also provide pro-
tection for the organism, facilitating its survival in 
dessicated environments [4]. A recent study by Kim et al
revealed that OmpX and OmpA are involved in baso-
lateral invasion by C. sakazakii [11]. 
 Caenorhabditis 

elegans is a free-living, non-parasitic ne-

matode, which is widely used as a model to study bac-
terial pathogenesis because of the fact that the genetic 
and molecular tools used for its manipulation are well 
developed. Furthermore, the simple growth conditions, 
rapid generation time with an invariant cell lineage and 
importantly, the known genome sequences made this 
animal model to study complicating processes at both 
the physiological and cellular levels [12, 13]. In this stu-
dy, pathogenicity of C. sakazakii using the model organ-
ism, C. elegans was investigated. C. elegans usually grinds 
the bacteria and extracts the nutrients from them. The 
phenomenon of bacterial cell escaping the pharyngeal 
pumping of C. elegans indicates the invasion capability 
of the bacteria [14]. Using both solid and liquid culture 
based killing assays and microscopic observations the 
host responses at the physiological levels were studied. 
Analysis of candidate antimicrobial genes at their 
mRNA levels revealed a substantial relation between C. 
sakazakii
-mediated innate immune gene responses in 
the host system. 

Materials and methods 

Bacterial strains, nematode and reagents 
The wild type strain Cronobacter sakazakii ATCC BAA-894 
was grown on tryptic soy agar (TSA) (Himedia, Mumbai, 
India).  Escherichia coli OP50 was, provided by the CGC 

(Caenorhabditis Genetic Centre), grown on Luria Ber-
tani (Himedia) agar plates. All bacterial strains were 
grown overnight at 37 °C in Luria broth (LB). C. elegans 
strain N2 Bristol was maintained on Nematode Growth 
Medium [NGM, minimal medium containing NaCl, 
agar, peptone, cholesterol, CaCl

2

, MgSO

4

, and potassium 

phosphate] [12] containing a lawn of E. coli OP50 (food 
source) at 20 °C. All experiments were carried out using 
age-synchronized L4 stage animals. Synchronous popu-
lations were acquired by bleaching the gravid adults. 
The bleached eggs were allowed to hatch and develop 
into L4 at 20 °C. Synchronized L4 stage worms were 
collected by using M9 solution and were washed several 
times and used for different assays. 

Liquid killing assay on C. elegans 
Unless otherwise specified, most of the assays were 
performed under liquid conditions. Briefly, 2 ml of LB 
was inoculated with a single colony of the appropriate 
bacterial strain and grown at 37 °C for 3 h. 100 μl of 3 h 
culture of C. sakazakii or E. coli OP50 (control) was added 
to 400 μl of M9 buffer containing known number of 
worms (~20 L4 stage hermaphrodites) in each well of 
micro titer well plate. Negative control is the well con-
taining M9 buffer and nematodes without any bacterial 
culture. The worms were monitored for every 1 h inter-
val to note the exact time required for its death on 
continuous exposure to pathogen. Worms were consid-
ered dead when they did not respond to touch with a 
platinum wire pick and without any pharyngeal 
movement for several hours. Each experimental condi-
tion was tested in triplicates. 

Solid killing assay with C. elegans 
For the assays performed on solid NGM-agar plates, 
bacterial lawns were grown for C. elegans killing assays 
as follows: Individual bacterial colonies were inoculated 
into 2 ml of LB and grown at 37 °C for 3 h; 100 μl of the 
culture of 0.5 OD was spread on 35-mm Petriplates 
containing NGM. The plates were incubated at room 
temperature for overnight. Approximately, twenty num-
bers of age-synchronized L4 stage hermaphrodites were 
transferred from a lawn of E. coli OP50 to a lawn of the 
bacterium to be tested, incubated at 20 °C, and exam-
ined at 24 h intervals with a dissecting microscope for 
viability. Worms were considered dead upon failure to 
respond to touch. Each experimental condition was 
tested in triplicates. 

Short-time exposure assays on C. elegans 
The age-synchronized L4 stage hermaphrodites were 
exposed to C. sakazakii liquid culture for different time 

background image

542 B. 

S. 

Sivamaruthi 

et al

Journal of Basic Microbiology 2011, 51, 540 – 549 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

www.jbm-journal.com 

intervals and washed with M9 buffer to remove the 
bacterial cells which is adhered on the surface of the 
worm and transferred to NGM plates (seeded/unseeded 
with  E. coli OP50) to monitor their behavioral changes 
and survival. 

Bacterial accumulation assay 
To correlate C. sakazakii killing of C. elegans with bacte-
rial load inside the exposed worm’s gut, bacterial ac-
cumulation assay was performed. To examine bacterial 
accumulation, L4 stage hermaphrodites were trans-
ferred to E. coli OP50 or C. sakazakii bacterial culture (as 
like liquid killing assay) and were incubated at 20 °C. 
After every 24 h of exposures, worms were serially 
washed with M9 buffer containing 1 mM sodium azide 
to inhibit expulsion of bacteria from their intestine. 
The nematodes were treated with antibiotic (1 mg/ml 
gentamicin) to wash the pathogen adhered on the outer 
surface, lysed in phosphate-buffered saline (PBS) con-
taining 400 mg of 1.0 mm silicon carbide particles 
(Himedia) and mechanically disrupted using a pestle. 
The worm lysates were diluted and plated on TSA 
plates. The plates were incubated overnight at 37 °C. 
Colonies were quantified and used to calculate the 
number of bacteria per nematode. 

Sytox staining 
By measuring the uptake of Sytox Green nucleic acid 
stain by the dead cells, the dead versus live C. elegans 
cells were determined. To study the cell damage, nema-
todes were exposed to E. coli OP50 or C. sakazakii bacte-
rial culture at 20 °C for 24 h. After washing with M9 
buffer, the worms were treated with 1 μM of Sytox 
stain for 5 min and remove excess dye on the surface of 
worm by washing with M9 buffer. The nematodes were 
then placed on a pad of 2% agarose in a 5 μl drop of 
30 mM NaN3 in M9 medium and observed under in-
verted fluorescent microscope (Nikon Eclipse Ti-S, Ja-
pan). 

Pharyngeal pumping assay 
To determine the pumping rate, worms were placed on 
NGM plates seeded with E. coli OP50 (control) and 
C. sakazakii. The pharyngeal pumping was observed 
using a stereomicroscope (Nikon SMZ1000, Japan) for 
thirty consecutive seconds. 

Chemotaxis assay 
The cultures (0.2 OD) of C. sakazakii and E. coli OP50 were 
spotted at a distance of 3 cm from the centre of NGM 
plates (90 mm) and denoted as zone A and zone B, re-
spectively. Twenty-five wild type C. elegans were thor-
oughly washed from E. coli OP50 lawn and placed at the 
center of the NGM plate. The number of worms in zone 
A and zone B were counted every 4 h. Similarly in con-
trol plates, both zone A and zone B were spotted with 
OP50 or C. sakazakii, respectively. 

Microscopic analysis 
Nematodes were exposed to C. sakazakii or  E. coli OP50 
for various time intervals and then placed on a pad of 
2% agarose (20 mg of Agarose was dissolved in 1 ml of 
distilled water by gentle heating and a drop of boiled 
agarose placed on a glass slide and flat surface made by 
placing another glass slide on the drop. After solidifica-
tion, the top glass slide were removed gently) in a 5 μl 
drop of 30 mM NaN

3

 in M9 medium. The worms were 

examined for their physiological changes under the 
microscope and Confocal Laser Scanning Microscope 
(Carl Zeiss, Germany). 

Preparation of worm total RNA and semi-quantitative 
RT-PCR 
Synchronized populations of wild-type L4 stage worms 
were generated at 20 °C on the standard food source 
from eggs. Worms were collected from E. coli  OP50 
lawns in M9 buffer at room temperature and washed 
twice with M9 buffer. Nematodes were exposed to 
C. sakazakii or E. coli OP50 for different time intervals at

 
 
 

Table 1.  Primer sequences used for the semi-quantitative RT-PCR analysis. 

Target 

Primer 

Sequence 

Amplicon size (in ~bp) 

Forward 5′-ATCGTCCTCGACTCTGGAGATG-3′ 

act-2 

Reverse 5′-TCACGTCCAGCCAAGTCAAG-3′ 

101 

Forward 5′-TTGCAGTACTCTGCCATTCG-3′  

lys-7 

Reverse 5′-GCACAATAACCCGCTTGTTT-3′ 

199 

Forward 5′-TGTCTGCATTCTTCCAGTCG-3′  

clec-60 

Reverse 5′-CCCATACCCAGACACCTTTG-3′ 

197 

Forward 5′-AATTCGTGTTCAAGCCAAGG-3′ 

clec-87 

Reverse 5′-AGCCAGTTGATTTTGGTTGG-3′ 

132 

 

background image

Journal of Basic Microbiology 2011, 51, 540 – 549 

Caenorhabditis elegansCronobacter sakazakii and Innate 

543 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

 

www.jbm-journal.com 

20 °C. The worms were washed and treated with TRIzol 
reagent. The total RNA from whole worms was ex-
tracted according to the protocol of R. D. Burdine and 
M. J. Stern (http://www.wormbase.org; WormBase re-
lease WS188, WBPaper00015272). Total RNA isolated 
from the infected L4 stage C. elegans and their respective 
control was reverse-transcribed using oligodT primer 
and Superscript III as per the manufactures instruc-
tions (Invitrogen). After first strand synthesis, PCR were 
carried out to analyze the expression pattern of candi-
date antimicrobial genes using gene specific primers 
(Table 1). 

Statistical analysis 
The data represented as mean survival time ± SD in 
hours for N2 worms infected during L4 stage at 20 °C. 
Post Hoc Tests was performed to evaluate the signifi-
cant differences (at 0.05 level) between the survival 
curve of C. elegans exposed to the pathogen C. sakazakii 
and the control E. coli OP50. 

Results 

C. sakazakii killing of C. elegans correlates  
with bacterial accumulation in the intestine 
C. sakazakii was capable of killing C. elegans. As shown in 
Fig. 1 wild type N2 nematodes died rapidly when fed on 
C. sakazakii  than on E. coli OP50 (the usual food source 
for propagating C. elegans  in the laboratory) under liq-
uid condition. The LT

50

 for C. sakazakii was calculated in 

three independent experiments (LT

50

 of 134 ± 2.8 h) and 

determined to be significantly shorter when compared 
to the nematodes feeding on E. coli OP50 (Fig. 1). In the 
negative control (bacteria-free media), the mortality of 
C. elegans occurred by internal hatching of progeny due 
to lack of food source

In addition, we examined 

whether C. sakazakii killing of C. elegans correlated with 
bacterial accumulation in the intestine (Fig. 2A). The 
profile of bacterial accumulation in the gut was exam-
ined by scoring the number of live bacteria in the gut 
and confirmed by direct observation under the micro-
scope (Fig. 2B and 2C) [15]. As shown in Fig. 2, the ac-
cumulation of C. sakazakii in the nematodes was in-
creased with time during the course of infections. 

Characterization of C. sakazakii mediated killing  
of C. elegans
 
According to Mylonakis and Aballay, short exposures to 
S. enterica, as little as 5 h resulted in a persistent and 
lethal infection of C. elegans that correlated with bacte-
rial replication in the intestinal lumen [16]. To deter-
mine whether C. sakazakii  was capable of persistently 
colonizing  C. elegans intestine, we exposed C. elegans to 
C. sakazakii for 2–24 h and then transferred the worms 
to NGM plate (seeded with E. coli OP50) and compared 
their survival rate to that of worms either continuously 
exposed to E. coli OP50 or C. sakazakiiC. elegans exposed 
to  C. sakazakii  for 2–12 h exhibited normal life span, 
like those fed with E. coli OP50 for the same duration of 
the assay (Table 2). However, worms exposed to C. saka-
zakii 
for 24 h were paralyzed, exhibited defects in game- 

 

 

Figure 1. Survival of C. elegans  fed on pathogenic C. sakazakii  strain (

), cell free C. sakazakii  supernatant (

), heat killed C. sakazakii 

(

E. coli OP50 control (

) and M9 control (

) in liquid condition. The differences between the life span of C. elegans exposed to E. coli 

OP50 (control) (

) and worms exposed to C. sakazakii (

) are significant (p < 0.001). The differences between the survival of C. elegans 

exposed to E. coli OP50 control and C. elegans  exposed to cell free C. sakazakii supernatant (

) or heat killed C. sakazakii (

) are not 

significant. P-values were generated by ANOVA (Dunnett’s T3 post hoc test). < 0.05 was considered to be significant. 

background image

544 B. 

S. 

Sivamaruthi 

et al

Journal of Basic Microbiology 2011, 51, 540 – 549 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

www.jbm-journal.com 

 

Figure 2. Bacterial accumulation in C. elegans: A) The representative image showing an increased colonization of C. sakazakii  at the 
intestinal region of the infected animal [at various time exposures as 48 (a), 96 (b), 144 (c), and 192 h (d), respectively] when compared to 
the worms fed with E. coli OP50 (f). Accumulation of pathogen inside the worms was indicated as circle and arrows. The status of eggs in 
control and infected worms were also indicated with arrows (e and f, respectively). B) The bacterial load (Colony Forming Unit; CFU) in 
C. elegans  exposed to C. sakazakii  (

) was analyzed as described in ‘Materials and methods’. C) Microscopic observations showing the 

increased colonization (circled) of C. sakazakii in the post pharyngeal region of C. elegans [at various time exposures as 144 (b), and 192 h 
(d), respectively] when compared to the control (a and c). 

 

togenesis (Fig. 3) and died at  120 h even in the presence 
of food source, suggesting that, C. sakazakii infection in 
C. elegans  requires at-least 24 h and 120 h of exposures 
for paralysis and mortality respectively. 
  In another experiment, C. elegans either exposed to 
E. coli OP50 or C. sakazakii for 24 h were then transferred 
back to E. coli OP50 and monitored for the internalized 
bacteria.  C. elegans  were  removed after every 24 h, col-
lected in a tube and mechanically disrupted to release 
the internalized bacteria, which were quantified using 
a plating assay. The numbers of internalized C. sakazakii 
increased over time (after 24 h) (Fig. 2B), indicating that 
C. sakazakii could persistently multiply and colonize the 
intestine of the exposed C. elegans. We examined whe-
ther C. sakazakii might kill C. elegans using a mechanism 
that involves diffusible toxins. Hence, we examined 

whether live C. sakazakii was required for C. elegans mor-
tality by feeding nematodes on either live or heat-killed 
C. sakazakii. Though the exposed C. elegans exhibited a 
significantly reduced life-span against live C. sakazakii
there was no related decrease in the nematode life-span 
by the heat-killed C. sakazakii  cultures (Fig. 1). In an-
other experiment, a group of L4 stage worms were ex-
posed to culture free supernatant of C. sakazakii  and 
analyzed for the changes in their life-span. As shown in 
Fig. 1, we did not observe decreased life-span of the 
nematodes treated with culture free supernatant of 
C. sakazakii, suggesting that C. sakazakii appeared to not 
kill  C. elegans  by producing any externally secreted 
toxin(s). The differences between C. elegans  exposed  to 
C. sakazakii  and  E. coli OP50 (p < 0.001)  are  significant. 
The differences between the survival of C. elegans ex- 

 

Table 2.  Status of pathogen exposed to C. elegans is in different conditions (seeded and unseeded NGM plates). 

Time of Exposure (hour) 

On Seeded NGM  

(with 

E. coli

 OP50)  

On unseeded NGM 

(without laboratory food source) 

  2 

Active & produced progeny on the third day 

Active & produced progeny after five days 

  4 

Active & produced progeny on the third day 

Active & produced progeny after five days 

  8 

Active & produced progeny 

Active & produced progeny 

12 

Active & produced progeny 

Active & produced progeny on the third day 

24 

Animals were paralyzed and died without  

progeny after five days 

Animals were paralyzed and dead after third day 

 

background image

Journal of Basic Microbiology 2011, 51, 540 – 549 

Caenorhabditis elegansCronobacter sakazakii and Innate 

545 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

 

www.jbm-journal.com 

 

Figure 3.  Improper development of eggs (indicated as circle) in 
C. sakazakii infected nematode (a), healthy development of eggs in 
E. coli
 OP50 fed nematode (b) and internal hatching in M9 control in 
liquid infection assay. 

 
posed to E. coli OP50 control and the cell free C. sakazakii 
supernatant or heat killed C. sakazakii exposed to C. ele-
gans
 are not significant. 
  The study by Shtonda and Avery confirmed that 
some bacterial species do not support the growth of the 
worm adequately [17] and hence chemotaxis assay was 
performed to analyze the olfactory response of C. ele-
gans  
against  C. sakazakii. The result of this assay con-
firmed that C. elegans didn’t show pathogen avoidance 
behaviour against C. sakazakii (Fig. 4). However, the data 
obtained from the pharyngeal pumping assay indicated 
that C. sakazakii have an impact on pharyngeal pumping 
rate of infected C. elegans (Fig. 5). 
  In order to observe the possibility of any cell damage 
in  C. elegans by the exposure with C. sakazakii, we ex-
posed C. elegans to C. sakazakii for 24 h and then stained 
with nucleic acid stain Sytox to observe the damaged or   

 

Figure 4.  Images showing Chemotaxis behaviour of C. elegans 
against  C. sakazakii. a) Worms in presence of food source, E. coli 
OP50 (marked as zone ‘b’) and pathogen source, C. sakazakii 
(marked as zone ‘a’). The worms moved freely towards both the 
zones. b). Worms crawling in the spots of C. sakazakii (at both zone 
A and zone B). The worms moved towards both the zones.  c) 
Worms in presence of food source, E. coli OP50 (marked as zone 
‘a’ and zone ‘b’). 

 
apoptotic cells within the nematode body (Fig. 6). The 
results indicated that the cells of intestinal lumen and 
other parts of nematode were deeply damaged by 
pathogenic infection when compared to E. coli OP50 
treated C. elegans, suggesting that C. sakazakii could kill 
C. elegans by inducing increased level of apoptosis and 
bacterial accumulation. 

 
 

 

Figure 5.  Pharyngeal pumping rate (number of flings per 30 seconds) of control (

) and C. sakazakii  infected  C. elegans  (

) during the 

exposures. 

background image

546 B. 

S. 

Sivamaruthi 

et al

Journal of Basic Microbiology 2011, 51, 540 – 549 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

 

www.jbm-journal.com 

 

Figure 6.  Sytox nucleic acid staining pattern of C. elegans infected 
with C. sakazakii.  Representative  C. elegans  exhibited a drastic 
damage in intestinal track (arrow indication) and other parts of the 
worm when fed with C. sakazakii (a, b, d and e) compared to 
C. elegans fed with E. coli OP50 (c and f). 

 

Role of candidate immune genes (lys-7, clec-60  
and clec-87) during C. sakazakii infections 
There are many putative antimicrobial effectors en-
coded in C. elegans  genome  and  were  shown  to  be  in-
duced by infections [18]. We assessed whether C. elegans 
respond to C. sakazakii  infection with a quantifiable 
defense response. Candidate genes (lys-7, clec-60 and 
clec 87) known to be associated with C. elegans  innate 
immune response to pathogenic infections was used as 
indicators to assess the transcriptional profile of worms 
exposed to C. sakazakii. The Semi-quantitative RT-PCR 
analyses clearly revealed the level of expression of lys-7, 
clec-60
 and clec-87 mRNAs during the pathogenesis of 
C. sakazakii on C. elegans. The data revealed that the ex-
pressions of these candidate genes are notably higher 
than their respective control(s). Particularly, the mRNA 
level of lys-7, a known antimicrobial effector gene ap-
peared to be upregulated during the initial phases of 
infection (till 72  h) and was down regulated during the 
latter hours of infections indicating the surrendering of 
host innate immune system during C. sakazakii patho-
genesis. However, the expression levels of both clec-60 
and  clec-87 appeared to be not-regulated during the 

pathogenesis of C. sakazakii, thus emphasizing their 
roles as pathogen recognizing factors for the externally 
interacting pathogens (Fig. 7a–c). The relative intensity 
of bands on the gel was measured using ImageJ sup-
ported these results. 

Discussion 

C. elegans are susceptible to a number of bacterial pa-
thogens, which kill the nematodes using a variety of 
mechanisms, such as Pseudomonas aeruginosa PA14 pro-
duces phenazines, which are toxic to the nematode [19, 
20] and S. enterica, establish a persistent infection 
within the gut of the nematode [15, 21]. The present 
study aims to investigate both physiology and the mo-
lecular responses of a host system (C. elegans)  exposed 
with  C. sakazakii. The virulence factors of C. sakazakii 
leading to pathogenesis in infants causing meningitis, 
necrotizing enterocolitis, sepsis still have to be deter-
mined, although few studies related to the invasiveness 
and adhesion done by Mange et al. [6] and Townsend  
et al. [2]. However, the actual mechanism behind the 
infection has not been explored. To evaluate whether 
C. elegans model will be useful for studying and identify-
ing  C. sakazakii virulence factors relevant to infant dis-
ease, we initially, analyzed the interaction of C. saka-
zakii 
with C. elegans at physiological and transcriptional 
level. We observed that C. sakazakii killed C. elegans with 
an LT

50

 of 134 ± 2.8 h and short time of pathogenic 

exposure, minimum of 24 h, is sufficient to infect and 
kill the nematode. The differences between the mortal-
ity of C. elegans exposed to C. sakazakii and control E. coli 
OP50 (p < 0.001) are significant. As shown in Fig. 5, 
C. sakazakii  infection has an impact on pharyngeal 
pumping rate of C. elegans. Pharyngeal pumping rate of 
C. elegans infected with C. sakazakii have been reduced in 
a time dependent manner i.e, when the duration of 
worm exposure to pathogen increased, the pumping 
rate was reduced gradually. Progress in pharyngeal 
damage was also observed, compared to control, during 
the in-fection course, which was imaged microscopi-
cally (Fig. 2C). 
 C. 

elegans infected with C. sakazakii produced drasti-

cally fewer progenies during liquid assay compared to 
worms fed on E. coli OP50 (Fig. 3). Though, C. elegans 
exposed to pathogen reproduced to some extent on full-
lawn (Solid NGM Plates) of C. sakazakii, the number of 
individuals in successive generations declined by more 
than 30% in solid assay (data not shown). As shown in 
Fig. 3, C. sakazakii infection could contribute to the de-
creased numbers of healthy egg production (28 ± 4)

background image

Journal of Basic Microbiology 2011, 51, 540 – 549 

Caenorhabditis elegansCronobacter sakazakii and Innate 

547 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

 

www.jbm-journal.com 

 

Figure 7.  Transcriptional profiles of clec-60, clec-87 and lys-7 during C. sakazakii exposures. The semi-quantitative RT-PCR of the candi-
date genes was performed as described in Materials and Methods. The PCR products were analyzed during the linear range of ampli-
fications on a 12% PAGE. The relative intensities were compared with internally amplified house keeping control gene, act-2. The inlet 
figure showed the amplicons on a 12% PAGE. a) The level of expression of clec-60 mRNA in C. sakazakii infected C. elegans of different 
time intervals as 12, 48, 72, 96 and 144 h, (Lane: 1, 3, 5, 8, 10 and 12) respectively, and C. elegans exposed to E. coli OP50 control for 12, 
48, 72, 96, 144 h, (Lane: 2, 4, 6, 9, 11 and 13) respectively. Lane 7 shows the 100 bp DNA ladder. b) The level of expression of clec-87 
mRNA in C. sakazakii infected C. elegans of different time intervals as 12, 48, 72, 96, 144 h, (Lane: 1, 3, 5, 7, 9 and 11) respectively and 
C. elegans exposed to E. coli OP50 control for 12, 48, 72, 96, 144 h, (Lane: 2, 4, 6, 8, 10 and 12) respectively. c) The level of expression of 
lys-7 mRNA in C. sakazakii infected C. elegans of different time intervals as 12, 48, 72, 96, 144 h, (Lane: 2, 4, 6, 8, 10 and 12) respectively 
and  C. elegans exposed to E. coli OP50 control for 12, 48, 72, 96, 144 h, (Lane: 3, 5, 7, 9, 11 and 13), respectively. Lane 1 shows the 
100 bp DNA ladder. *denotes the down regulation of the respective mRNAs over the house keeping gene. 

 
compare to control (283 ± 6).  Townsend  et al. showed 
that C. sakazakii are able to penetrate rat brain endothe-
lial cells and to survive inside macrophages [22]. Kim 
and Loessner [9] demonstrated that C. sakazakii are able 
to invade human intestinal epithelial cells. C. sakazakii 
has an invasion mechanism different from those em-
ployed by L. monocytogenes and Salmonella serovar Typhi-
murium [9]. In this study, we demonstrated that C. saka-
zakii 
infected C. elegans for 24 h displayed CFU of 3.25 × 
10

per worm and the gradual multiplication of C. saka-

zakii was observed during course of infection as shown 
in Fig. 2B (CFU expressed as log value of CFU ml

–1

) sug-

gesting that the pathogenicity exhibited by C. sakazakii 
was appeared to be mainly due to the bacterial accu- 
mulation and persistent infection inside the host sys-
tem. 

  It is known that the model organism, C. elegans en-
counters many strains of bacteria in its natural soil 
environment. The ability to find good food sources over 
potential pathogens is a significant advantage in using 
C. elegans for physiological studies pertaining to host-
pathogen interactions. It uses a sophisticated chemo-
sensory system to identify food and olfactory learning 
as a mechanism to avoid pathogens (23) Although, re-
cent studies have suggested that this conditioning be-
havior was analogous to mammalian taste aversion, a 
continuous exposure to pathogen might make C. elegans 
under stress to avoid pathogenic bacteria for long dura-
tion. To avoid such factors in understanding the mini-
mum time required for a pathogen to infect a host, we 
have performed short-time exposure assays under liq-
uid conditions. The worms exposed to C. sakazakii for 

background image

548 B. 

S. 

Sivamaruthi 

et al

Journal of Basic Microbiology 2011, 51, 540 – 549 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

www.jbm-journal.com 

24 h in the presence of food source, exhibited defects in 
gametogenesis, paralyzed, and died after 120 h (Fig. 3), 
suggesting that C. sakazakii infection in C. elegans  re-
quired at-least 24 h of exposures that resulted in worm 
mortality after 120 h even in the presence of E. coli 
OP50. Chemotaxis assay confirmed that the pathogen 
avoidance behaviour was not exhibited by C. elegans 
against C. sakazakii. In addition, the intake of C. sakazakii 
into the exposed worms was not as significant as been 
observed with liquid assays. The solid assay on NGM 
plates did not exhibit significant impact on the life 
span of exposed C. elegans (data not shown). The number 
of worms in both spots of E. coli OP50 and C. sakazakii 
were found to be even after 24 h, indicating that olfac-
tory system of C. elegans doesn’t response well against C. 
sakazakii  
(Fig. 4). These results also indicate that C. ele-
gans
 intakes the pathogen C. sakazakii and the mortality 
of worms are mainly due to the pathogenic impact of 
C. sakazakii and not due to starvation. 
  As shown in Fig. 6, the nematode infected with 
C. sakazakii exhibited drastic damage in intestinal region 
and other parts of the worms when compared to 
C. elegans fed with E. coli OP50, suggesting that C. saka-
zakii 
has induced apoptosis (cell death was confirmed by 
Sytox staining) in host system appeared as the major 
event during the pathogenesis of C. sakazakii. 
  To evaluate the transcriptional response of C. elegans 
infected with C. sakazakii at the immune level, the 
mRNAs of two C-type lectin genes (clec-60, clec-87) and a 
lysozyme gene (lys-7) was studied kinetically. The tran-
scriptional response of candidate genes clec-60, clec-87 
and lys-7 by semi-quantitative RT-PCR assessments were 
taken primarily as an indication of C. elegans exposed 
with  C. sakazakii and was considered as a result of 
pathogen induced host innate immune response(s). 
  In conclusion, we have confirmed that C. sakazakii 
causes infection and leads to the mortality of C. elegans 
by an active process that required live infection, which 
correlated with the cell damage, bacterial accumulation 
and persistent infection in the intestine. We trust that 
C. elegans  C. sakazakii ATCC BAA-894 pathogenesis sys-
tem may be useful for studying interactions between 
Cronobacter and invertebrates, besides the data gathered 
from the present study will be useful in developing 
intervention strategies to control C. sakazakii infection. 

References 

  [1] Iversen, C., Lehner, A., Mullane, N., Bidlas, E. et al., 2007. 

The taxonomy of Enterobacter sakazakii: proposal of a new 

genus Cronobacter gen. nov. and descriptions of Cronobacter 

sakazakii  comb. nov. Cronobacter sakazakii subsp.  sakazakii

comb. nov., Cronobacter sakazakii subsp. malonaticus subsp. 

nov.,  Cronobacter turicensis sp. nov., Cronobacter muytjensii 

sp. nov., Cronobacter dublinensis sp. nov. and Cronobacter 

genomospecies I. BMC Evol. Biol., 7, 64. 

 [2] Dumen, E., 2010. Cronobacter sakazakii  (Enterobacter saka-

zakii): only an infant problem? Kafkas Univ Vet Fak Derg., 

16, S171–S178. 

 [3] Bowen, A.B., Braden, C.R., 2006. Invasive Enterobacter 

sakazakii disease in infants. Emerg. Infect. Dis., 12, 1185–

1189. 

 [4] Drudy, D., Quinn, N.R., Wall, P.G., Fanning, S., 2006. 

Enterobacter sakazakii: an emergent pathogen in powdered 

infant formula. Clin. Infect. Dis., 42, 996–1002. 

  [5] Kim, J.B., Cho, S.H., Park, Y.B., Lee, J.B. et al., 2008.  Sur-

veillance of stool samples for the presence of Enterobacter 

sakazakii among Korean people. Yonser. Med. J., 49, 1017–

1022. 

 [6] Mange, J.P., Stephan, R., Borel, N., Wild, P. et al., 2006. 

Adhesive properties of Enterobacter sakazakii to human epi-

thelial and brain microvascular endothelial cells. BMC 

Microbiol., 6, 1–10. 

 [7] Mullane, N., Gaora, P.O., Nally, J.E., Iversen, C. et al.,  

2008. Molecular analysis of the Enterobacter sakazakii O – 

antigen gene locus. Appl. Environ. Microb., 74, 3783–

3794. 

  [8] Erickson, M.C., Kornacki, J.L., 2002. Enterobacter sakazakii

An emerging food pathogen.

 

Acedido. em. Fev.,

 

25, 2008. 

  [9] Kim, K.P., Loessner, M.J., 2008. Enterobacter sakazakii inva-

sion in human intestinal Caco – 2 cells requires the host 

cell cytoskeleton and is enhanced by disruption of tight 

junction. Infect. Immun., 76, 562–570. 

[10] Ongradi, J., 2002. Vaginal infection by Enterobacter sakaza-

kii. Sex. Transm. Infect., 78, 467–468. 

[11] Kim, K., Kim, K.P., Choi, J., Lim, J.A. et al., 2010. Outer 

membrane proteins A (OmpA) and X (OmpX) are essential 

for basolateral invasion of Cronobacter sakazakii. Appl. En-

viron. Microbiol., 76, 5188–5298. 

[12] Brenner, S., 1974. The genetics of Caenorhabditis elegans

Genetics, 77, 71–94. 

[13] Darby, C., 2005. Interactions with microbial pathogens. 

WormBook. pp. 1–15. 

[14] Tenor, J.L., Aballay, A., 2008. A conserved Toll-like recep-

tor is required for Caenorhabditis elegans innate immunity. 

EMBO Rep., 9, 103–109. 

[15] Aballay, A., Yorgey, P., Ausubel, F.M., 2000. Salmonella 

typhimurium proliferates and establishes a persistent in-

fection in the intestine of Caenorhabditis elegans. Curr. Biol., 

10, 1539–1542. 

[16] Mylonakis, E., Aballay, A., 2005. Worms and flies as gene-

tically tractable animal models to study host–pathogen 

interactions. Infect. Immun., 73, 3833–3841. 

[17] Shtonda, B.B., Avery L., 2005. Dietary choice behavior in 

Caenorhabditis elegans. J. Exp. Biol., 209, 89–102. 

[18] O’Rourke, D., Baban, D., Demidova, M., Mott, R. et al., 

2006. Genomic clusters, putative pathogen recognition 

molecules, and antimicrobial genes are induced by infec-

tion of C. elegans with M. nematophilum. Genome Res., 16, 

1005–1016. 

background image

Journal of Basic Microbiology 2011, 51, 540 – 549 

Caenorhabditis elegansCronobacter sakazakii and Innate 

549 

© 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim 

 

www.jbm-journal.com 

[19] Miklos, S.M., Tan, M.W., Rahme, L.G., Ausubel, F.M., 

1999. Molecular mechanisms of bacterial virulence eluci-

dated using a Pseudomonas aeruginosa –  Caenorhabditis ele-

gans pathogenesis model. Cell., 96, 47–56. 

[20] Tan, M., Miklos S.M., Ausubel, F.M., 1999. Killing of Cae-

norhabditis elegans by Pseudomonas aeruginosa used to model 

mammalian bacterial pathogenesis. Proc. Natl. Acad. Sci. 

USA., 96, 715–720. 

[21] Labrousse, A., Chauvet, S., Couillault, C., Kurz, C.L, Ew-

bank, J.J., 2000. Caenorhabditis elegans is a model host for 

Salmonella typhimurium. Curr. Biol., 10, 1543–1545. 

[22] Townsend, S., Hurrell, E., Forsythe, S., 2008. Virulence 

studies of Enterobacter sakazakii isolates associated with a 

neonatal intensive care unit outbreak. BMC Microbiol., 8

1–9. 

[23] Beale, E., Guigen, L.i., Tan M.W., Rumbaugh, K.P., 2006. 

Caenorhabditis elegans senses bacterial autoinducers. Appl. 

Envir. Microbiol., 72, 5135–5137.