Abstract
Listeria monocytogenes hijacks host actin to promote its intracellular motility and intercellular spread. While L. monocytogenes virulence hinges on celltocell spread, little is known about the dynamics of bacterial spread in epithelia at a population level. Here, we use live microscopy and statistical modeling to demonstrate that L. monocytogenes celltocell spread proceeds anisotropically in an epithelial monolayer in culture. We show that boundaries of infection foci are irregular and dominated by rare pioneer bacteria that spread farther than the rest. We extend our quantitative model for bacterial spread to show that heterogeneous spreading behavior can improve the chances of creating a persistent L. monocytogenes infection in an actively extruding epithelium. Thus, our results indicate that L. monocytogenes celltocell spread is heterogeneous, and that rare pioneer bacteria determine the frontier of infection foci and may promote bacterial infection persistence in dynamic epithelia.
Editorial note: This article has been through an editorial process in which the authors decide how to respond to the issues raised during peer review. The Reviewing Editor's assessment is that all the issues have been addressed (see decision letter).
https://doi.org/10.7554/eLife.40032.001eLife digest
Eating food that has been contaminated with bacteria called Listeria monocytogenes can result in lifethreatening infections. The bacteria first invade the epithelial cells that line the small intestine. After this, L. monocytogenes can move from one host cell to another, which allows the infection to reach other organs.
Most studies into how L. monocytogenes infections spread have focused either on how single bacterial cells move from one host cell to the next, or on how millions of bacteria damage host tissues. Little was known about the intermediate steps of an infection, where the bacteria start to colonize the small intestine.
To investigate, Ortega et al. recorded videos of L. monocytogenes spreading between epithelial cells grown on a glass coverslip, and developed computer simulations to try to reproduce how the bacteria spread. This revealed that the bacteria do not all move in the same way. Instead, less than 1% of the bacteria move in ‘steps’ that are up to 10 times longer than those taken by the others. Ortega et al. named these bacteria ‘pioneers’.
Ortega et al. propose that the pioneers form long protrusions that allow them to spread directly from an infected cell to a nonneighboring cell. By taking these large steps, the pioneers may increase the chances that the bacteria will cause a longlasting infection.
Future research will be needed to answer further questions about the pioneers. For example, how do the pioneer bacteria differ from the majority of bacterial cells? Would targeting antibacterial treatments at pioneers make it easier to treat infections? It also remains to be seen if other types of bacteria also show this pioneer behavior.
https://doi.org/10.7554/eLife.40032.002Introduction
The widely studied foodborne pathogen Listeria monocytogenes has served as a model system to study cytoskeletal dynamics (Theriot et al., 1992; Welch, 1998), epithelial cell biology (Pentecost et al., 2010), and hostpathogen interactions (Kocks et al., 1995; Mengaud et al., 1996). This ubiquitous Grampositive bacterium can invade and replicate within nonphagocytic cells and, importantly, use a form of actinbased motility to spread directly from the cytoplasm of an infected host cell into the cytoplasm of another host cell without exposure to the extracellular milieu (Tilney and Portnoy, 1989). This process, known as celltocell spread, enables L. monocytogenes to breach and colonize the intestinal epithelium and to subsequently reach distant organs including the liver and brain in immunocompromised patients (Ghosh et al., 2018) and the placenta in pregnant women (Faralla et al., 2016). Indeed, compared to wildtype L. monocytogenes, mutant strains incapable of undergoing celltocell spread are three orders of magnitude less virulent in murine models (Domann et al., 1992).
L. monocytogenes infections begin in the intestinal epithelium, a tissue made up of polarized epithelial cells connected to each other by cellcell junctions (Hartsock and Nelson, 2008). L. monocytogenes preferentially adheres to and invades an epithelium at the tips of intestinal villi (Pentecost et al., 2006), where epithelial cells are actively extruded and shed (Sancho et al., 2004). Upon bacterial invasion, L. monocytogenes spreads to neighboring host cells, which can allow bacteria to move away from the tip of a villus before the next host cell extrusion event terminates the infection. Therefore, understanding L. monocytogenes virulence requires a quantitative grasp of the spatiotemporal dynamics of celltocell spread.
To initiate celltocell spread, L. monocytogenes uses the protein ActA to polymerize actin at its surface and create an actin comet tail (Pistor et al., 1994). Actin polymerization generates a propulsive force that allows the bacterium to move within the host cytoplasm. Upon contact with the donor host cell membrane, the intracellular bacterium creates a protrusion that can extend into the cytoplasm of a recipient host cell (Robbins et al., 1999). Although celltocell spread has been primarily studied as a mechanism of bacterial dissemination between adjacent host cells, it is well established that L. monocytogenes can create protrusions more than ten microns long (Pust et al., 2005), which could, in principle, mediate bacterial spread between two nonadjacent host cells. To complete celltocell spread, the recipient cell engulfs the bacteriumcontaining protrusion, thus giving L. monocytogenes access to the recipient host cell’s cytoplasm. After escaping the doublemembrane vacuole, L. monocytogenes rebuilds the actin comet tail and restarts intracellular motility (Gedde et al., 2000).
Particular attention has been paid to bacterial and host cell proteins that mediate celltocell spread. The bacterial protein internalin C helps L. monocytogenes to relax cortical tension and increase the rate of bacterialmediated protrusion formation to promote spread (Rajabian et al., 2009). From the perspective of the host cell, it has been shown that TIM4 allows the host to sense bacterialmediated membrane damage, which then triggers a repair mechanism that L. monocytogenes exploits to promote spread (Czuczman et al., 2014). The diaphanousrelated formins (Fattouh et al., 2015) and members of the ERM protein family (Pust et al., 2005) have been shown to localize to bacteriacontaining protrusions and inhibition of their activity decreases the efficiency of celltocell spread. This cell biological approach has been useful in creating a mechanistic understanding of how individual spreading events occur. However, our larger scale understanding of how a population of bacteria spreads through tissue remains poorly developed.
Here, we combine live microscopy and statistical modeling to study the dynamics of a population of L. monocytogenes as it spreads through a polarized epithelial monolayer. We simulate celltocell spread as an isotropic random walk because the movement of L. monocytogenes is directionally persistent over short distances but shows no preferred orientation over long distances. Our experimental and computational results indicate that L. monocytogenes celltocell spread includes a majority of localspreading bacteria but is dominated by rare pioneers, which determine the shape of infection foci. Importantly, we find that pioneers alter the kinetics of spread in a way that might promote bacterial persistence in a dynamic epithelium where cells are actively extruded, as at the tip of an intestinal villus.
Results
L. monocytogenes spreads anisotropically through a polarized, confluent MDCK cell monolayer
To explore the dynamics of L. monocytogenes celltocell spread in an epithelial monolayer, we developed a live video microscopy assay to track the progression of a bacterial infection over tens of hours. As a model host cell, we chose MadinDarby canine kidney (MDCK) epithelial cells because they form polarized and homogeneous monolayers in culture (Mays et al., 1995) and have been widely used to study L. monocytogenes infection (Robbins et al., 1999; Pentecost et al., 2006; Pentecost et al., 2010). We infected confluent MDCK monolayers with a wildtype 10403 S L. monocytogenes strain that contains an mTagRFP open reading frame under the actA promoter, which becomes transcriptionally active when the bacterium enters the host cell cytosol (Moors et al., 1999; Zeldovich et al., 2011). We then imaged the progression of the infection as described in Materials and Methods. The presence of gentamicin, a bacteriostatic antibiotic that cannot cross the host cell plasma membrane (Portnoy et al., 1988), during live imaging ensured that only intracellular bacteria contributed to the growth and spread of the infection focus. Starting at approximately 6 hr postinfection, the earliest time point at which we could detect mTagRFP protein expression, we imaged bacterial foci for up to 22 hr postinfection (first three panels of Figure 1A, and Video 1).

Figure 1—source data 1
 https://doi.org/10.7554/eLife.40032.005
Given that bacterial invasion of a polarized MDCK monolayer is a rare event (Pentecost et al., 2006), each infection focus most likely began with a single bacterium entering a host cell’s cytosol. Due to the clonal nature of the replicating bacteria, and the homogeneity of the host monolayer, we were surprised to find behavioral heterogeneity within the bacterial population; the edges of the boundary of the infection focus, determined by the smallest boundary that completely encloses all bacteria, were dominated by a small number of bacteria that spread farther than the rest (Figure 1A, white arrows in third panel). Indeed, this was a common phenomenon that could be observed in most infection foci. Although each focus may have started out roughly circular, farspreading bacteria, which we refer to as ‘pioneers’, nearly always created irregular boundaries by the end of the experiment (Figure 1B).
Despite boundary irregularity, intracellular bacterial replication was approximately exponential (Figure 1C), and the growth rate could be modeled with a oneterm exponential function (Figure 1—figure supplement 1A) with an average doubling time of approximately 180 min (Figure 1—figure supplement 1C). This doubling time is comparable to what has been previously reported in other epithelial host cell types using gentamicin protection assays (Gaillard et al., 1987). Between 360 and 960 min postinfection, the mean squared displacement (MSD) of the bacterial positions (defined here as the second moment of the fluorescence intensity distribution) appeared linear (Figure 1C), which is consistent with a random walk (Berg, 1993). However, the slope of the MSD was not always constant, but instead increased with time (Figure 1—figure supplement 1B), which is consistent with the appearance of fastspreading organisms within a migrating population (Shigesada et al., 1995). We found no correlation between bacterial growth rate and MSD (Figure 1—figure supplement 1C), enabling us to treat these two parameters as independent in the quantitative model described below.
Stochastic simulations of celltocell spread via random walks are inconsistent with observed shapes of infection foci
What then is the expected range of shapes resulting from the random movement and exponential growth seen in L. monocytogenes celltocell spread? From the literature, it is expected that, when starting from a point source, random movement and growth should yield isotropic shapes (Holmes et al., 1994). To formalize this null hypothesis, we solved the reactiondiffusion equation (Equation 1):
where Φ represents the bacterial concentration as a function of position and time, t refers to time, r refers to the position of the bacteria in polar coordinates, D is the effective diffusion coefficient, and k is the exponential growth rate. Variations of this partial differential equation have been used to model dynamic biological processes such as morphogen pattern formation (Gordon et al., 2011) and animal migration (Skellam, 1951). Because Equation 1 is radially isotropic, its solutions correspond to circular infection foci that grow in size and intensity over time (Figure 2A and Video 2). Such a continuum model cannot account for the experimentally observed heterogeneous focus shapes.

Figure 2—source data 1
 https://doi.org/10.7554/eLife.40032.012
It is important to note that treating the bacterial concentration Φ as a continuous variable constitutes a meanfield approximation, which is valid only in the limit of high bacterial counts, and which neglects correlations in the positions of individual bacteria. However, because each bacterium behaves as a discrete entity and because the number of bacteria at the start of each infection focus is very small, the meanfield model breaks down in describing the shape of individual foci. Stochastic variation in the trajectories of individual bacteria, amplified by exponential growth, could in principle lead to more irregular focus shapes such as those observed in Figure 1A–B. We thus turned to simulations with finite numbers of discrete bacterial agents to examine the effect of such stochastic fluctuations.
Agentbased simulations have been used to study discrete biological phenomena such as the spread of infectious endemic agents throughout populations (Juher et al., 2009) and the diversification of lymphocyte antigenreceptor repertoires (Castiglione, 2011). The benefit of using this method to model L. monocytogenes celltocell spread is that it allows simulation of individual bacteria as discrete particles and avoids the continuum assumption imposed by Equation 1. We match the simulation run time to experimental conditions, proceeding until 10^{5} bacteria are accumulated. The primary goal was to determine whether fluctuations arising from random trajectory sampling were sufficient to account for the observed boundary anisotropy.
In these simulations, individual bacteria execute an isotropic random walk in two dimensions (Video 3), with the step in each dimension selected from a normal distribution with mean zero and variance 2D∆t where ∆t is the simulation timestep. Each bacterium replicates at a preset time interval after its initial birth, resulting in an overall replication rate k (Figure 2B and Video 4). The MSD and total counts of simulated bacteria accurately reflect the input parameters of diffusivity D and replication rate k (Figure 2—figure supplement 1). As expected, the speed of the infection focus boundary, defined as the square root of the area of the boundary, approaches the theoretical limit of 2 times the square root of Dk (Liebhold and Tobin, 2008) at long times (Materials and Methods; Figure 2—figure supplement 2).
While not perfectly isotropic, the stochastic simulations generated foci that were approximately circular and thus differed significantly from the experimental foci (Figure 2C). To quantify the circularity of the experimental and simulated foci, we calculated the ratio of the area of a focus over the area of the smallest circle that fully encloses the focus (Figure 2D). For a perfect circle, this metric would be equal to 1, and for a square, this metric would be equal to 2/π (Zheng and Hryciw, 2015). Importantly, this metric is not dependent on the focus size (Figure 2—figure supplement 3). For all measurements, simulated foci were convolved with the point spread function of individual bacterial cells to match the empirically determined resolution of our microscope system, so that simulation outputs could be directly compared to experimental observations (Materials and Methods). The data showed that simulated foci are substantially more circular than experimental foci (Figure 2E).
It is known that intracellular L. monocytogenes does not undergo truly uncorrelated random walks as was assumed in our simulations. Instead, intracellular L. monocytogenes motility, aided by ActAdependent actin comet tails, exhibits directional persistence over timescales of a few minutes (Lacayo and Theriot, 2004; Soo and Theriot, 2005). In addition, our initial simulations ignored the presence of host cell boundaries, which L. monocytogenes encounters as they spread from cell to cell. In fact, it has been shown that L. monocytogenes can ricochet off MDCK host cell boundaries at a frequency dependent on monolayer age (Robbins et al., 1999). To test the possibility that bacterial motility persistence and the presence of host cell boundaries could affect the circularity of the simulated foci, we updated our simulations to include both of these effects (Materials and Methods, and Video 5). We found that neither of these two conditions affects circularity significantly; specifically, foci simulated with these features are only about 3% less circular than foci simulated by a random walk alone (Figure 2—figure supplement 4A). Overall, changing the probability with which the bacteria cross host cell boundaries had a minimal effect on the circularity of the simulated foci (Figure 2—figure supplement 4B).
Taken together, our experimental and simulated data show that L. monocytogenes celltocell spread cannot be modeled with only a random walk and exponential growth, and that the presence of host cell boundaries and the persistence of bacterial motility do not have a significant effect on the circularity of infection foci. We therefore decided to look more closely at the influence and significance of pioneer bacteria.
Allowing simulated bacteria to interconvert between pioneer and nonpioneer behavior recapitulates the noncircular phenotype of experimental foci
Pioneer bacteria, which spread unusually far compared to the overall bacterial population (Figure 3A and Video 6), have the potential to substantially alter the shape and isotropy of infection foci. For our experiments performed in the presence of extracellular gentamicin, L. monocytogenes only replicates in a host cell’s cytoplasm. We also know from direct observation that at least one round of division must take place before bacteria can resume actinbased motility in the recipient cell (Robbins et al., 1999). Therefore, the simplest explanation consistent with our direct observation of events such as the one shown in Figure 3A, is that the bacterium travels from a donor cell directly to a nonadjacent recipient through a long protrusion (approximately 15–20 µm in the example shown). Once inside the cytoplasm of this nonadjacent recipient cell, the bacterium replicates. Importantly, this bacterium can reach a nonadjacent recipient host cell in less than 30 min even though it takes an MDCK cell approximately 45 min to complete the process of taking up a bacteriumcontaining protrusion (Robbins et al., 1999). In contrast, nonpioneer bacteria typically move about 1–2 µm in 5min intervals in our assay (Video 6).

Figure 3—source data 1
 https://doi.org/10.7554/eLife.40032.020
For a few of these pioneer events, the pioneer bacterium went transiently out of focus in our widefield imaging setup, consistent with the possibility that this long protrusion extended above the apical surface of the monolayer (Video 7). However, such long protrusions reaching nonadjacent cells could in principle also extend beneath the basal surface of the monolayer or indeed even between cellcell junctions. For MDCK cells, the tight junctions which presumably would occlude lateral extension of long protrusions between neighboring cells only comprise the top 5–10% of the lateral face of the cells in culture (Nelson and Veshnock, 1986), so there is ample space for long protrusions to extend between cells in the monolayer prior to protrusion uptake by a nonadjacent recipient host.
Pioneers, which appear to determine the frontier of the infection focus boundary (Figure 1A–B), can be incorporated into the stochastic simulation by allowing bacteria to sample from an alternate distribution of step sizes. For simplicity, we thus include pioneers in our model by allowing all bacteria to move in a purely diffusive fashion, with either a slow (nonpioneer) diffusivity D_{slow} or a fast (pioneer) diffusivity D_{fast}. Pioneer behavior in the simulations is then characterized by the ratio of D_{fast}/D_{slow} (i.e. how much further pioneers spread as compared to nonpioneers) and the probability with which a bacterium becomes a pioneer. When a bacterium replicates, each daughter has a probability P of spreading according to D_{fast} and probability 1–P of spreading according to D_{slow} (Video 8). We assume the assignment of each individual bacterium as either a pioneer or nonpioneer persists until a bacterium’s next replication event.
We first simulated celltocell spread by setting the probability of becoming a pioneer to 0.10 and the D_{fast}/D_{slow} ratio to 100. These are reasonable parameters because (1) a relatively small number of bacteria spread much farther than the rest throughout a live microscopy assay, and (2) an effective diffusion coefficient ratio of 100 translates to pioneer steps that are an order of magnitude longer than nonpioneer steps, which is consistent with what we observe experimentally (Figure 3A). As expected, the presence of pioneers caused the simulated boundaries to become anisotropic, particularly in the early steps of the simulation (Figure 3B). Additionally, these simulations recapitulated the increase in the MSD slope during the later time points of the experimental data (Figure 3—figure supplement 1A). The transition to a larger MSD occurs at a time when the bacterial population stabilizes to contain a larger fraction of pioneers. A probability of 0.10 allowed, on average, approximately 75% of bacteria to have a pioneer ancestor or be pioneers themselves by the end of the simulation (Figure 3—figure supplement 1B). It is likely that the approach towards a pioneer majority explains why simulated foci boundaries tended to be more anisotropic during earlier steps of the simulation, and why they became more circular as simulation time increased (Figure 3—figure supplement 1C). Circularity of simulated foci would sometimes drop precipitously if the probability of becoming a pioneer was less than 0.001 (Figure 3—figure supplement 2A). We also observed a general timedependent increase in infection focus circularity in experimental data, which also sometimes exhibited rapid decreases in infection focus circularity (Figure 3—figure supplement 2B). The observed kinetics of changes in circularity over time for both the experimental data and the simulations are consistent with the proposition that the overall focus size and shape become more strongly dominated by the pioneers at later time points, as also illustrated by the transition in MSD slope described above. Overall, less circular foci shapes were observed when the pioneer probability was low enough so that only a few bacteria in each focus exhibited pioneer behavior (Figure 3C).
We confirmed these findings quantitatively and showed that experimental circularity is equivalent to the circularity seen for simulations with pioneer probabilities of 10^{−3} and 10^{−2} (Figure 3D), which suggests that during our celltocell spread experimental assay, approximately 1.4% to 12% of bacteria have pioneer ancestors or are pioneers themselves (Figure 3—figure supplement 1B). We note that these results are dependent on the total simulation time, as higher overall bacterial counts (longer simulation times) result in more circular foci for the same value of pioneer probability. We also tested the effect on circularity of changing the ratio of D_{fast}/D_{slow}. As expected, a larger ratio, that is pioneers taking longer steps than nonpioneers, decreases circularity significantly more than a smaller ratio (Figure 3E).
Together our findings suggest that L. monocytogenes celltocell spread is consistent with individual bacteria having a low but nonzero probability of becoming pioneers, while the majority of the bacteria spread locally. We refer to this form of L. monocytogenes dissemination as heterogeneous celltocell spread following terminology from the ecological study of animal dispersion (Shigesada et al., 1986). We next investigated whether L. monocytogenes entering straight long protrusions could form the basis of heterogeneous spread.
Decreasing the persistence of bacterial motility leads to more circular infection foci
During L. monocytogenes celltocell spread, it is known that intracellular bacteria create protrusions that can be taken up by a recipient cell directly adjacent to the donor cell. In this case, donor and recipient cells are connected to one another by the proteinprotein interactions of constituents of adherens and tight junctions (Hartsock and Nelson, 2008). However, to explain the pioneer phenomenon, we propose that a few bacteria will create longer protrusions that will allow them to reach a more distant recipient cell that is not adjacent to the donor cell. In other words, this spreading event takes place between two cells that do not form junctions directly with each other (Figure 4A). This is a reasonable hypothesis because L. monocytogenes can form long protrusions that are tens of microns in length, sufficient to allow them to reach nonadjacent host cells (Pust et al., 2005). L. monocytogenes’ ability to create long, pioneercontaining protrusions thus would be critical for the complex, noncircular boundaries observed in experimental data.

Figure 4—source data 1
 https://doi.org/10.7554/eLife.40032.026
To test this model, we infected confluent MDCK cell monolayers with either wildtype L. monocytogenes or an L. monocytogenes strain where the proline residues in three prolinerich regions of the ActA protein have been mutated to glycine (Skoble et al., 2001). This mutant, known as the glycinerich repeat (GRR) mutant, is less persistent than wildtype bacteria, which means that it loses its original direction more quickly than wildtype bacteria. The GRR mutant is also characterized by twofold shorter actin comet tails (Auerbuch et al., 2003). These characteristics make the GRR mutant likely to enter protrusions at a lower frequency than wildtype bacteria and to form protrusions that are less straight. Upon quantifying the circularity of GRR foci, we found that they were significantly more circular than foci created by wildtype L. monocytogenes (Figure 4B). This was likely a consequence of a decrease in the probability of forming long, straight protrusions, which then decreased the probability of bacteria exhibiting pioneer behavior. Indeed, changing the directional persistence in simulations including pioneers had little effect in circularity (Figure 4—figure supplement 1), thus supporting the idea that pioneer behavior, that is making long straight protrusions, has a stronger effect in circularity than intracellular directional persistence. Because pioneer behavior in wildtype bacteria is expected to occur quite rarely, decreasing the pioneer probability still further should result in more circular infection foci as very few pioneering events occur over the observation period (Figure 3D).
Our findings suggest that L. monocytogenes celltocell spread is heterogeneous as it proceeds via local nonpioneers and farspreading pioneers, each of which can be modeled with a random walk. In addition, we have shown that pioneer behavior is probably based on L. monocytogenes’ ability to spread directly to nonadjacent host cells via long extracellular protrusions. However, because of the intrinsic limitations of our widefield imaging methodology, we cannot tell whether these long, straight protrusions extend above, below, or between host cells as they are reaching their destination.
Simulations predict that heterogeneous spread increases the chance of a persistent Listeria monocytogenes infection in the intestinal epithelium
In considering the possible biological significance of pioneer behavior, we next asked whether heterogeneous celltocell spread would promote L. monocytogenes intracellular survival and growth in a more physiological setting. To answer this question, we updated our simulations to more closely mimic the physiology of the tip of an intestinal villus by including host cell extrusion events, which could terminate bacterial infections in vivo (Figure 5A). Given L. monocytogenes’ ability to spread away from an actively extruding villus tip, the rate of host cell extrusion and the rate of L. monocytogenes celltocell spread together determine the fate of an intestinal infection. In the updated simulations, after a predetermined period of time, a circular host cell at the center of the simulated monolayer is removed (extruded), taking with it the bacteria found inside. The monolayer then contracts to replace the extruded host cell and moves all other bacteria radially inward (Figure 5B). As before, simulated bacteria spread via a random walk and replicate exponentially. The simulation keeps track of both the number of bacteria in the monolayer and the number of bacteria that have been extruded.

Figure 5—source data 1
 https://doi.org/10.7554/eLife.40032.030
Unlike previous simulations, which we terminated at the point at which 10^{5} total bacteria had accumulated, we ended host cell extrusion simulations in one of three ways: (1) no bacteria left in the monolayer, called bacterial clearance (Video 9, left); (2) too many bacteria, for example 10^{5}, have accumulated in the monolayer, called uncontrolled growth (Video 9, right); (3) the number of bacteria extruded from the monolayer has reached a predetermined threshold, for example 2 × 10^{5}, without accumulating too many bacteria in the monolayer. This third outcome, which we term a stable steady state, is equivalent to a persistent infection that allows L. monocytogenes to actively replicate and spread in the epithelium while being kept in check by the animal’s host cell extrusion (Video 9, center). Stable steady state does not harm the host, and it allows L. monocytogenes to exit the animal via feces and infect other animals, which benefits the pathogen (Begley et al., 2005; Roldgaard et al., 2009).
To learn about the relationship between the rate of L. monocytogenes celltocell spread and the rate of host cell extrusion, we ran random walk simulations and varied both the effective diffusion coefficient (D) and the host cell extrusion period (E). Specifically, we ran 100 independent simulations for each combination of D and E and quantified the outcomes. We found that small values of E, indicative of an actively extruding monolayer, favored bacterial clearance, and that large values of E, indicative of a more quiescent monolayer, favored uncontrolled growth, as expected. Similarly, small values of D favored bacterial clearance and large values of D favored uncontrolled growth. Stable steady state, on the other hand, was only reached by a narrow set of intermediate values of D and E (Figure 5C), corresponding to parameters where the rate of bacterial removal by extrusion was precisely balanced by the rate of replication (as derived in Materials and Methods).
We were next interested in asking whether heterogeneous celltocell spread would increase the chances that L. monocytogenes could attain a stable steady state in an actively extruding epithelium. We first chose conditions that produced 100% bacterial clearance outcomes in the case of a random walk, by setting D = 2 and E = 0.15 (Figure 5—figure supplement 1). Next, to simulate heterogeneous spread, we set D_{slow} = D, kept E the same, varied the value of D_{fast}, and set P = 0.01, where p is the probability of becoming a pioneer at the time of birth. Interestingly, values of D_{fast} that were 60 to 90fold higher than D_{slow} allowed L. monocytogenes to reach a stable steady state (Figure 5D). A D_{fast}/D_{slow} ratio in this range translates to pioneer bacteria taking steps 7.4 to 9.5fold longer as compared to nonpioneer bacteria, which is consistent with our experimental observations (Figure 3A). In addition, many D_{fast}/D_{slow} ratios, for several host cell extrusion periods, allowed L. monocytogenes to attain a stable steady state (Figure 5—figure supplement 2).
Together, our findings argue that L. monocytogenes heterogeneous celltocell spread improves the chances of the pathogen reaching a stable steady state in vivo as compared to bacteria spreading via a random walk alone. The combination of these outcomes would prevent damage to the host animal tissue, facilitate bacterial dissemination to other host animals, and allow L. monocytogenes to thrive in the actively extruding and everchanging intestinal epithelium.
Discussion
Listeria monocytogenes celltocell spread has been primarily studied in two ways. First, plaque assays have been used to study late stages of infection where a few millions of bacteria have created plaques—sites of host cell death in cultured epithelial monolayers. The size of the plaque correlates to the efficiency of spread (Van Langendonck et al., 1998). Second, individual bacteria have been carefully observed by light and electron microscopy to provide information about the kinetics of protrusion formation and uptake (Robbins et al., 1999). In both cases, the identification of host and bacterial proteins has helped elucidate possible molecular mechanisms that facilitate L. monocytogenes spread (Rajabian et al., 2009; Chong et al., 2011; Czuczman et al., 2014). We were interested in bridging the gap between millions of bacteria creating millimetersized plaques and single bacteria creating micronsized protrusions by studying celltocell spread at a population level, while tracking individual bacteria at the frontier of the infection focus, with the goal of learning about both the collective and singlecell intercellular spreading behavior of L. monocytogenes.
We initially predicted that the spatial distribution of bacteria as a function of time would follow that of a random walk, a model characterized by isotropic, uncorrelated directions and normally distributed displacements (Berg, 1993). We developed this null hypothesis because (1) there is no evidence in the literature to suggest that intracellular L. monocytogenes motility has directionality, (2) late stages of L. monocytogenes celltocell spread create circular plaques (Van Langendonck et al., 1998), and (3) MDCK cells form compact and relatively homogeneous monolayers in culture (Mays et al., 1995). Our highresolution video microscopy assay, however, showed that a small number of bacteria spread farther than the rest and caused the infection focus boundary to become irregular. We propose that these pioneer bacteria spread by creating extracellular protrusions (Pust et al., 2005), that can reach and be taken up by recipient host cells that are not in direct contact with the donor cell.
Through simulations, we have found that allowing each bacterium to choose between two behaviors, farreaching pioneer and local nonpioneer, approximated the shape of the experimental data better than simulating a single behavior of spreading bacteria (Figure 3). Simulated foci became less circular when the ratio D_{fast}/D_{slow} was high and the total number of pioneer bacteria in the infection focus was very small (yet nonzero). While high numbers of pioneers are expected to increase the overall spreading rate of an infection, the anisotropic noncircular shapes of observed foci imply that the infection boundary is determined by rare events. Because pioneer bacteria themselves are assumed to not have a preferred spreading direction, small absolute numbers of pioneers are required in order to generate noncircular foci shapes as a result of stochastic fluctuations.
While we cannot rule out the possibility that infection focus anisotropy can also be attributed in part to host cell heterogeneity, the L. monocytogenes GRR mutant data suggest that properties of the bacteria themselves contribute significantly to this phenomenon. L. monocytogenes GRR mutants produce infection foci that are more circular than those produced by wildtype bacteria. Given that changing directional persistence in our simulations had little to no effect on circularity, but that changing D_{fast}/D_{slow} did, it is likely that the GRR mutant L. monocytogenes creates shorter extracellular protrusions, that is GRR pioneers take shorter steps than wildtype pioneers. However, with our current experimental setup, we cannot determine whether these long protrusions seen in cultured cells (Pust et al., 2005) occur in the apical side of the monolayer, the basal side, or between cellcell junctions in MDCK monolayers. Whereas at least a few of the pioneer events that we directly observed in MDCK cells appear to involve long apical protrusions, in the intestinal epithelium, which is characterized by a dense and highly organized apical brush border (Crawley et al., 2014), it is probably more likely that pioneers would spread either laterally between cells in the epithelium or basally at the junction between the enterocytes and the subjacent basement membrane. Indeed, L. monocytogenes’ ability to cross the basal membrane of an epithelium via an actindependent process has been wellcharacterized (Faralla et al., 2018). The key feature of these protrusions, however, is that they enable an L. monocytogenes bacterium to bypass several host cells on its way to the more distant recipient cell. This model explains L. monocytogenes’ ability to seemingly spread across two host cells in less than 30 min, even though the formation, uptake, and resolution of a single intercellular protrusion can take up to 45 min in MDCK cells (Robbins et al., 1999).
An extension of our model then argues that intracellular pathogens that spread from cell to cell without making extracellular protrusions would be expected to spread via a process resembling a random walk. The Gramnegative bacillus Burkholderia thailandensis is an example of a bacterial pathogen that spreads intercellularly primarily by inducing the cytoplasmic fusion of two neighboring host cells. Indeed, consistent with our pioneer model, infection foci created by B. thailandensis in mammalian host cells are significantly more isotropic than those created by wildtype L. monocytogenes (French et al., 2011).
This type of dual spreading behavior is not uncommon in other organisms. For example, the ricewater weevil, Lissorhoptrus orzyzophilus, migrates by both crawling and flying (Shigesada et al., 1995). If relatively few beetles migrate by flying, then early migration would be dominated by short steps and later migration would be dominated by longer steps. This ecological model parallels our heterogeneous L. monocytogenes celltocell spread model given that: (1) the mean squared displacement accelerates with time in both ricewater weevil migration pattern data and L. monocytogenes celltocell spread live microscopy assays (Shigesada et al., 1995), (2) the migration boundary of this organism deviates from a circle similar to bacterial infection foci (Andow et al., 1990), and (3) the ricewater weevil bimodal migration mechanism resembles that of bacterial local spread versus pioneer spread in long protrusions. In another ecological example, the population of European starlings, Sturnus vulgaris, is made up of shortdistance and longdistance migrants. The latter of the two groups was able to establish colonies that helped to promote survival of the species (Shigesada et al., 1995). Indeed, we argue that heterogeneous spread increases the chance of L. monocytogenes survival in an actively extruding tissue (Figure 5 and discussed below).
Dual spreading behavior can also occur in a variety of other microbial pathogens. Vaccinia virus undergoes intercellular celltocell spread via an actinmediated process resembling that of L. monocytogenes. In addition, vaccinia virus can accelerate its own rate of spread by inducing the expression of viral proteins on the surface of an infected host cell. Upon encountering those proteins, new incoming viral particles are repelled from the alreadyinfected host cells by actin projections and encouraged to infect virusfree host cells. The repulsion of superinfecting virions thus creates ‘viral superspreaders,’ whose spreading behavior resembles that of L. monocytogenes pioneers. Both viral superspreaders and bacterial pioneers skip host cells on their way to a recipient uninfected host cell, create anisotropic infection foci, and accelerate the pathogen’s rate of spread (Doceul et al., 2010).
Even though mixing two random walks recapitulated the decrease in circularity seen in experimental data, we cannot rule out alternative spread models. For example, a wellcharacterized mathematical model is the Lévy flight, a random walk model where the step sizes are drawn from a heavytailed distribution instead of a normal distribution, thus ensuring a nontrivial fraction of arbitrary long steps (Dubkov et al., 2008). Lévy flights are used to model animals foraging for food: animals will take short steps as they are feeding and long steps as they are searching for the next feeding ground (Viswanathan et al., 2008). For L. monocytogenes celltocell spread, a Lévy flight would indicate that at any given point, all bacteria have the ability to spread as either a pioneer or as a nonpioneer. With a Lévy flight, however, it is more difficult to mechanistically explain what allows a bacterium to become a pioneer. On the other hand, in our heterogeneous spread model, bacteria interconvert between two spread behaviors and retain that behavior until their next replication event. We designed the simulation this way to resemble a bacterium creating either a short protrusion or a straight, long protrusion, and replicating once they have broken out of the doublemembrane vacuole in the cytoplasm of the recipient cell. The increase in directional persistence in pioneers is equivalent to a larger diffusion coefficient at long times.
Given that it is a foodborne pathogen, L. monocytogenes infections begin in the host’s alimentary canal. In this work, we propose that L. monocytogenes may have evolved the ability to spread via host cell skipping to maximize its chances of surviving, replicating, and spreading in a host’s actively extruding intestinal epithelium. Under the conditions set by our single random walk simulations, L. monocytogenes’ ability to establish a stable steady state was attained by only a narrow set of effective diffusion coefficients (Figure 5C). Also, in this model, an individual effective diffusion coefficient usually led to an allornothing outcome. If the step sizes were too small, then the infection was cleared 100% of the time. If the step sizes were too large, then the infection got out of control and caused uncontrolled growth 100% of the time. If the step sizes fell in a narrow range in between, the bacterium was able to successfully extrude many bacteria while sustaining the infection 100% of the time. This stable steady state is a desirable outcome for both bacteria and host: L. monocytogenes can promote the extrusion of its offspring, which can either (1) exit the animal via feces and infect other host animals, or (2) escape the extruded host cell and try to reinvade a different villus. This second point is important because our simulation considers a single villus only, even though the mammalian small intestine contains millions of individual villi (Guyton and Hall, 2006), each of which is a potential site of infection.
Given our findings, it was important to include pioneers in the host extrusion simulations. Simulating an effective diffusion coefficient that previously led to bacterial clearance and mixing it with larger effective diffusion coefficients allowed L. monocytogenes to attain a stable steady state (Figure 5D). Even though heterogeneous spread did not lead to 100% stable steady state, 10–15% of stable steady state infections become significant in the context of the millions of villi that make up the intestinal epithelium. Under these conditions, bacterial clearance was the most likely outcome, and uncontrolled growth remained low, unlike in the case of the random walk (Figure 5C). It is critical for bacteria to avoid uncontrolled growth in any single villus site as this could result in death of the host animal, which harms both the host and the pathogen since the pathogen can no longer replicate and spread to other hosts (Falkow, 2006). Importantly, high but not 100% of bacterial clearance allows L. monocytogenes to extrude more offspring while being able to achieve a stable steady state in a smaller fraction of villi. Finally, given that step size is a function of nutrient availability, temperature, and monolayer age, among other factors, our model predicts that heterogeneous spread widens the range of biological conditions that L. monocytogenes can explore to create a stable steady state. This is an import hostpathogen relationship because it does not harm the host and promotes pathogenic success. Beyond the gut, it is also possible that pioneers may be more successful at reaching distant organs within the host animal. In fact, it has been shown that a very small number of founder L. monocytogenes bacteria can spread from the gut to organs such as the spleen and gall bladder, a process that leads to bottlenecking (Zhang et al., 2017).
In our current model of an actively extruding epithelium, host cell extrusion occurs at regular intervals and is not influenced by bacterial load. An alternate mechanism that would also be expected to lead to a stable steady state would be forcing extrusion to occur after a preset number of bacteria is reached. Uncontrolled growth is inhibited since bacteria are extruded as soon as the number gets too high, and bacterial clearance does not occur since extrusion stops if bacterial counts get low. However, this alternative mechanism would require that the host cell be able to sense the number of intracellular bacteria and specifically alter its behavior accordingly. Our model, in contrast, presents a simple physical mechanism by which steady state can be achieved without additional sensing capabilities on the part of the host cell.
In addition to L. monocytogenes, other pathogens have evolved strategies to create persistent infections in their hosts. For example, the lambda phage induces expression of the λ repressor to change its gene expression profile from an active hostkilling lytic state to a dormant lysogenic state. During the lysogenic state, the lambda phage integrates its genome into the bacterial chromosome, which is then inconspicuously replicated by the host’s DNA replication machinery (Ptashne, 2006). The lambda phage stays dormant until environmental conditions, such as host bacteria availability, indicate that it is safe to kill the donor and spread to recipient hosts. Just like pioneer L. monocytogenes behavior, spontaneous induction from a lysogenic to lytic state is rare, a characteristic that promotes phage replication (Little et al., 1999). A continuous lytic state, similar to L. monocytogenes taking large steps in an extruding monolayer, would cause indiscriminate host death, thus harming both host and pathogen. Indeed, strategies that help establish persistent infections are critical in creating stable host pathogen interactions that have evolved over millions of years.
Materials and methods
Bacterial strains and growth conditions
Request a detailed protocolAll 10403S Listeria monocytogenes strains used in this study are summarized in Table 1. The plasmid pMP74RFP (Ortega et al., 2017) was stably integrated into the genome of GRR L. monocytogenes via conjugation with E. coli SM10 λpir as previously described (Lauer et al., 2002). Three days before carrying out infection assays, bacteria were streaked out onto BHI agar plates containing 200 µg/mL streptomycin and 7.5 µg/mL chloramphenicol. Bacteria were inoculated and grown in liquid cultures overnight as previously described (Ortega et al., 2017).
Mammalian cell culture
Request a detailed protocolMadinDarby canine kidney (MDCK) type II G cells (Mays et al., 1995) were grown in DMEM with low glucose and no phenol red (Sigma D5921) and low sodium bicarbonate (1.0 g/L) in the presence of 10% fetal bovine serum (FBS) and 1% penicillinstreptomycin. For live microscopy assays, 24well plasticbottom plates (Ibidi 82406) were coated with 50 µg/mL rattail collagenI (Thermo Fisher A1048301), diluted in 0.2 N acetic acid, for 2 hr at 37°C and airdried for 24 hr. Wells were washed with DPBS once before seeding. MDCK cells were cultured and seeded as instantconfluent monolayers as previously described (Ortega et al., 2017).
Infection assay
Request a detailed protocolFlagellated bacteria (OD600 of 0.8) were washed twice with DPBS and diluted in DMEM. Host cells were washed once with DMEM, and bacteria were added at a multiplicity of infection (MOI) of 200–300 bacteria per host cell in a volume of 500 µL/well. Bacteria and host cells were incubated together at 37°C for 10 min. Host cells were washed three times with DMEM to remove nonadherent bacteria and were incubated at 37°C for 15–20 min to allow a small number of adherent bacteria to invade host cells. It was important to keep the number of invading bacteria low because it prevents foci from merging with others. Media was replaced for DMEM +10% FBS+50 µg/mL gentamicin, and host cells were incubated at 37°C for 20 min to kill adherent bacteria. Media was replaced for DMEM +10% FBS+10 µg/mL gentamicin, and host cells were incubated for approximately 4 hr. The total time starting with the three DMEM washes until the end of the incubation is 5 hr.
Microscopy
Request a detailed protocolFor live microscopy assays, MDCK cells were cultured on rattail collagenIcoated 24well plates (Ibidi 82406) for 48 hr as described above. Five hours postinfection, host cells were washed with Leibowitz’s L15 once and incubated with 1 µg/mL Hoechst, diluted in L15, for 10 min at 37°C. Cells were washed with L15 three times and media was replaced with L15 +10% FBS+10 µg/mL gentamicin. MDCK cells and L. monocytogenes were imaged every 5 min with a 20X air objective (NA = 0.75) in an inverted Eclipse TiE microscope using µManager’s autofocus feature. Red channel (bacteria), blue channel (nuclei), and phase (MDCK monolayers) were imaged. Environmental chamber was equilibrated to 37°C for at least 2 hr prior to imaging.
For fixed microscopy assays, MDCK cells and L. monocytogenes were coincubated for 22 hr after the addition of gentamicin. Host cells were washed once with DPBS and fixed with 4% formaldehyde for 10 min at room temperature. Paraformaldehyde was removed and quenched with 50 mM NH_{4}Cl for 10 min. Membranes were permeabilized with 0.03% TritonX100, diluted in DPBS, for 7 min. Samples were incubated with 0.2 µM AlexaFluor488 phalloidin, diluted in DPBS, for 20 min at room temperature.
Image analysis
Request a detailed protocolAll image TIFF files were imported into MATLAB and processed with the image processing toolbox (MathWorks). To process experimental microscopy data, images were read in as 1024 × 1024 matrices, converted to doubleprecision numbers, and normalized to intensities ranging from 0 to 1. Images were thresholded using Otsu’s method (Sezgin and Sankur, 2004). Bacterial debris was excluded from the thresholded mask by inspection.
To quantify the total fluorescence intensity for a given time point, the thresholded mask was dilated until the infection focus was represented as a single continuous round shape. The median of the intensity values found outside of the thresholded mask was set as the image’s background, which was then subtracted from every value in the matrix. Finally, backgroundsubtracted intensity values were summed. For a full timelapse movie, total fluorescence intensity values were fit to an exponential function, which provided an estimated value for growth rate. Doubling time was calculated by dividing the natural log of 2 by the growth rate.
To quantify the mean squared displacement (MSD) for a given time point, the distance squared to each pixel of the thresholded mask was normalized by that pixel’s fluorescence intensity. All normalized squared distances were averaged. For a full timelapse movie, MSD values were fit to a linear function. The slope of this line was divided by four to estimate an effective diffusion coefficient.
To quantify the area of an intracellular bacterial focus for a given time point, the x y coordinates of the thresholded mask were calculated. MATLAB’s boundary() function, using x y coordinates as input, was then used to calculate a boundary that fully encompasses all of the points while shrinking towards them. This function also returns the area contained inside the boundary. The radial speed of the focus is equivalent to the slope of the square root of the area divided by π plotted as a function of time (Liebhold and Tobin, 2008).
To quantify circularity, the boundary of the infection focus was used to calculate the smallest circle that fully encompasses the boundary, as described previously (Zheng and Hryciw, 2015). Then, the area of the boundary was divided by the area of a circle. A perfect circle thus has a circularity of 1.
To use the Voronoi tessellation to estimate the position of host cell boundaries, nuclei were thresholded as described above and segmented using a watershed transform. The center of mass of each nucleus was calculated and used as the input for MATLAB’s Voronoi() function.
To calculate the L. monocytogenes point spread function (PSF), twenty 9 × 9 pixeled images containing individual bacterial cells, obtained from live microscopy experiments, were interpolated and aligned at subpixel resolution according to their center of mass. Images were averaged to create the PSF. Simulated data in Cartesian coordinates were binned in a 1024 × 1024 matrix and convolved with the PSF to generate data that matched the resolution of our microscope system.
Simulation methodology
Request a detailed protocolAll data were generated from simulations written in MATLAB (Ortega, 2018; copy archived at https://github.com/elifesciencespublications/Listeria_spread_simulations).
At the beginning of the random walk simulations, several parameters are set: the effective diffusion coefficient (D), the replication rate (krep), the maximum bacteria to be accumulated (maxnbact), and the timestep (delt). Every run of the for loop is equivalent to a single time step during which (1) bacteria age, (2) bacteria replicate, and (3) bacteria move. For bacterial aging, a vector called bacthist keeps track of each bacterium’s age. These numbers increase monotonically until a particular number reaches that bacterium’s replication time, drawn from a normal distribution with mean ln(2)/krep and variance mean/5. For replication, the positions of those bacteria whose age has reached their replication time are duplicated. Both daughters are assigned a new replication time from the same distribution and their ages are set to 0. Finally, the bacteria move in the x and y dimensions by sampling random numbers from the standard normal distribution scaled by the square root of 2*D*delt, where D is the effective diffusion coefficient and delt = 0.01 is the time step. At every time step, the number of bacteria, the MSD, the area of the boundary, and the circularity of the boundary, calculated as above, are recorded.
For heterogeneous spread simulations, the values of D_{slow}, D_{fast}, and P were set prior to the start of the simulation. P refers to the probability of becoming a pioneer. At the start of a bacterium’s life, it chooses whether to spread according to D_{slow} with probability P or according to D_{fast} with probability 1–P.
To add persistence to the bacterial cell motility, two new parameters, θ and β, were included. In these simulations, the angle of movement is sampled from a normal distribution with mean θ (the angle associated with the previous step) and standard deviation β. For a random walk, β >> 2π, which means that any angle between 0 and 2π is equally possible. For a persistent random walk, β limits the angle of movement to values close to the angle of the previous step. When β = 0, the angle of movement is constant over time, and the bacteria will be perfectly persistent. To plot circularity as a function of persistence, one thousand random angles were generated for each value of β, and the cosine values of the angles were averaged. For β = 0, persistence was close to 1. As β increased, persistence was close to 0.
To add host cell boundaries, a Cartesian lattice was used to define boundaries between host cells. The parameter γ defines the probability with which simulated bacteria will cross the boundaries. In these simulations, the new bacterial positions are calculated, and those bacteria that do not cross a boundary are moved to the new positions. Those new positions that require boundary crossing are attained with probability γ. The remaining bacteria reflect from the boundary, remaining in the same cell.
For host cell extrusion simulations, a circular host cell (of size R = 1) is created in the center of the monolayer and extrudes after every fixed period of time. At this point, the simulated bacteria found inside the host cell were eliminated from the monolayer and cumulatively summed over the entire simulation. After extrusion, remaining bacteria are radially moved inwards by a distance equal to the radius of the extruded host cell. The number of bacteria at the beginning of the simulation is 100. If the number of bacteria goes to 0, then bacterial clearance is triggered. If the number of bacteria in the monolayer reaches 1 × 10^{5}, then uncontrolled growth is triggered. If the number of extruded bacteria reaches 2 × 10^{5}, stable steady state is triggered. Triggering any of these three outcomes causes the simulation to end.
Any combination of the above parameters (simple random walk, two effective diffusion coefficients, persistence, host cell boundaries, and host cell extrusion) can be used for any given simulation.
Random walk theory
Request a detailed protocolThe reactiondiffusion equation we used to formalize the null hypothesis of an isotropic random walk is defined as follows:
is a differential equation where Φ represents the bacterial concentration as a function of position and time, t refers to time, r refers to the position of the bacteria in polar coordinates or their radial distance to the center of mass, D is the effective diffusion coefficient, and k is the exponential growth rate. Its analytical solution (Shigesada et al., 1995) is:
where $\varphi}_{0$ represents the initial concentration of bacteria located at the source (0,0).
To calculate the radial speed, that is how fast the focus grows after long periods of time, we set the above equation equal to some threshold concentration Φ and solved for the radial distance r at which this threshold concentration is reached, as a function of time. We take the derivative with respect to time, and solve for the limit of dr/dt as time approaches infinity to obtain:
The stepbystep derivation has been previously described (Andow et al., 1990). Equation 3 then predicts that stochastic simulations where D = 1 and k = 1 will generate infection foci that move a constant speed of 2 at long times (Figure 2—figure supplement 2).
We calculated the radial speed of simulated data by assuming that the area of the boundary is circular and thus can be approximated by πr^{2}. We divided the area of the boundary by π and took the square root to obtain the average value of the radial distance, r, from the boundary to the origin of the simulation at (0,0). We plotted r as a function of time and took the slope of the linear fit to approximate dr/dt (Liebhold and Tobin, 2008).
Analytic approximation for extrusion steady state
Here we derive an approximate relation between diffusivity and extrusion rate that yields a steady state in the case of bacteria spreading homogeneously as a random walk. The existence of a steady state requires that the rate at which new bacteria appear through replication equals the average rate at which bacteria are removed by extrusion, and that the spatial spreading of the focus in each extrusion period is balanced by contraction of the monolayer after removal of the extruded cell.
We assume that in steady state, the bacterial distribution just before an extrusion event can be approximated by a Gaussian distribution with variance σ^{2}. Each bacterium replicates at a rate k_{rep}, and is extruded at an effective rate 1/E*[1 − exp(−R^{2}/σ^{2})] corresponding to the extrusion rate times the probability of the bacterium being found within radius R of the center. In order for these two rates to be precisely balanced, we must have:
When a contraction operation corresponding to the extrusion event is performed on the steadystate Gaussian distribution, the new radial bacterial distribution is given by:
where $\mathcal{\mathcal{N}}$ is a normalization constant. The mean squared radial displacement for such a distribution can be calculated as:
To achieve steady state, we must have ⟨r^{2}⟩_{postext} +4 DE = σ^{2}, as additional spreading during the extrusion period should return the assumed variance σ^{2} before the next extrusion event. This allows a solution for D in terms of σ which, together with Equation 4, yields the following equality for maintaining steady state:
Calculation of fraction of bacteria with pioneer ancestors
Request a detailed protocolThe fraction of bacteria with at least one pioneer ancestor in their family tree can be calculated in a straightforward manner by noting that each replication event in the chain of ancestors preceding the bacterium resulted in a pioneer with probability P and that each of these choices of pioneer or nonpioneer identity are made independently of each other. Therefore, the probability that none of a bacterium’s ancestors are pioneers is given by (1 − P)^{N}, where N is the number of generations preceding the bacterium. The probability of at least one pioneer ancestor is consequently:
Data availability
All data generated or analyzed during this study are included in the manuscript. MatLab code for simulations is available at https://github.com/Fabianjr90/Listeria_spread_simulations (copy archived at https://github.com/elifesciencespublications/Listeria_spread_simulations).
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Decision letter

Wendy S GarrettSenior Editor; Harvard TH Chan School of Public Health, United States

Kim OrthReviewing Editor; HHMI/University of Texas Southwestern Medical Center, United States

James SlauchReviewer; University of Illinois, United States

Babak MomeniReviewer; Boston College, United States
In the interests of transparency, eLife includes the editorial decision letter, peer reviews, and accompanying author responses.
[Editorial note: This article has been through an editorial process in which the authors decide how to respond to the issues raised during peer review. The Reviewing Editor's assessment is that all the issues have been addressed.]
Thank you for submitting your article "Listeria monocytogenes celltocell spread in epithelia is heterogeneous and dominated by rare pioneer bacteria" for consideration by eLife. Your article has been reviewed by three peer reviewers, and the evaluation has been overseen by a Reviewing Editor and Wendy Garrett as the Senior Editor. The following individuals involved in review of your submission have agreed to reveal their identity: James Slauch (Reviewer #2); Babak Momeni (Reviewer #3). Reviewer #1 remains anonymous.
The Reviewing Editor has highlighted the concerns that require revision and/or responses, and we have included the separate reviews below for your consideration. If you have any questions, please do not hesitate to contact us.
Overall, this submission was well received by all three reviewers. The reviewers highlight that your work provides important insight into the infection process. All three reviewers feel that more explanation is needed to more clearly understand not only your experiments but also the conclusions that are drawn from them. We highly recommend that you address these issues brought up by all the reviewers when submitting your revised manuscript. This will allow the readers to fully understand and appreciate your scientific study on the concept of rare "pioneer" bacteria that are important for spread during an infection, in this case for Listeria.
Thank you for taking part in this form of peer review. We look forward to your revised manuscript.
Separate reviews (please respond to each point):
Reviewer #1:
I don't have any major concerns.
Minor Comments:
This is a very nice manuscript that details an interesting phenomenon that is likely to have impact on a number of both intracellular and extracellular pathogens. I only have a few minor comments.
1) The authors should note that the idea of a pioneer leading a charge that ends up in a different tissue site is a variation of their model, that leads to bottlenecking. In Listeria, this spreading of a few founder bacteria from the intestine into deeper tissue sites was first shown by Waldor and coworkers (Zhang (PMID: 28559314).
2) Figure 3D is really the heart of the paper and shows that the simulations have predictive value. Unfortunately, the measurement parameters of circularity have to be defined better within the manuscript for the nonmathematicians because this turns out to be the single most important measurement parameter in the manuscript. The concept is intuitive, but better definitions within the body of the results are necessary to explain what deviation from circularity means.
3) Subsection “Simulations predict that heterogeneous spread increases the chance of a persistent Listeria monocytogenes infection in the intestinal epithelium”: I don't like the term death to the animal, since during growth in tissue, death may occur at much lower loads of bacteria than what the authors predict for death. Uncontrolled tissue growth is more appropriate. Their definition of death is a blackening out of the movie images.
4) Figure 5D is quite important, but there is no definition of what the colors mean. I think that Red: Bacterial clearance; Green: host animal death; Blue: stable steady state, with blue stable when the Df/Ds ratio is stable
Reviewer #2:
Ortega et al. combine modeling and experimentation to promote the concept that rare "pioneer" bacteria, which spread beyond the neighboring host cells, are important in the biology of Listeria. This is an interesting and very well written paper that provides important insight into the infection process. It builds on quantitative knowledge gained over many years to inform their models. I have only minor comments on presentation.
Although generally clear, throughout the paper and in the figure legends, the authors should strive to acknowledge which parameters are based on assumptions and/or simplifications, and which are based on experimental data.
Minor Comments:
1) Figure 1C. Y axis. Average fluorescence intensity of what?
2) Subsection “Allowing simulated bacteria to interconvert between pioneer and nonpioneer behavior recapitulates the noncircular phenotype of experimental foci” and Figure 3D. As stated, the circularity of the simulations is dependent on time, but it is not clear how this time relates to the experimental results being used as the benchmark. Please comment.
3) Figure 5D. You need to label the lines. After I stared at it a little while, I realized that the "outcomes" colors are indicated under 5C, but it was not immediately obvious.
4) Subsection “Allowing simulated bacteria to interconvert between pioneer and nonpioneer behavior recapitulates the noncircular phenotype of experimental foci” and Figure 5C. You carefully discuss the fact that clearance versus death is dependent on the rate of host cell extrusion, but it is not clear what times you used for extrusion relative to replication, for example. Minutes, hours, days…?
5) I also wonder if you considered having extrusion dependent on the number of bacteria in the host cell instead of time.
6) Some people might read primarily the discussion. Redefine or just spell out "MSD" in paragraph five of the Discussion section.
Additional data files and statistical comments:
Seems more than thorough.
Reviewer #3:
The authors use modeling to infer the mechanism of celltocell spread of L. monocytogenes in epithelial cells. They start by observing that despite expecting each infection to be clonal, the spread appears anisotropic. They then create simple models of random walk (continuum and agentbased) and note that their model predictions do not match experimental observations. Based on insights on known mechanisms of spread, they propose a different model in which a small fraction of progeny spread over longer distances, and examine whether such a model describes the observations properly.
The manuscript has a logical flow, is easy to follow, and has a nice combination of theoretical modeling and supporting experiments. It is generally wellwritten and contains useful and interesting information. I find the premise interesting and important, but I feel some of the results could benefit from additional explanation to clarify the rationale for some of the assumptions made in the model.
Main concerns:
1) One concern regards the construction of the model. The observed parameter that the authors have used to fit the parameters is "circularity", and their model they introduce two additional degrees of freedom (Dfast/Dslow and P), both of which affect circularity. When fitting the parameters of their model, they assume Dfast/Dslow = 100, and sweep over values of P (in Figure 3D) to find a P value for which their simulations match the experimental data. Since circularity is the only parameter they are using for fitting, it leaves the question open if with other values of these parameters the same outcome can be achieved (say, Dfast/Dslow = 10 and P = 1e4). I suspect the authors have already examined this when constraining their model parameters, but I think it helps to explicitly mention their process of eliminating the alternative possibilities in their manuscript.
2) When examining the GRR mutant, the authors have mentioned that "This mutant… is less persistent than wildtype bacteria and it is therefore likely to enter protrusions at a lower frequency than wildtype bacteria and to form protrusions that are less straight". First, the authors should clarify what they mean by "less persistent", and why persistence matters.
Second, if I understand correctly, the reference they cite mentions that celltocell spread is less efficient with GRR mutant and the trajectory of protrusions is less straight. I expected the authors to quantitatively assess the hypothesis that the spread of GRR mutant still follows their model (with different P and Dfast/Dslow parameters that they estimate). In my opinion, this is a missed opportunity in the current paper. The experiments are already done by the authors and there are some estimates of the difference between WT and GRR mutants in the reference they have cited. Thus, the only remaining part is making quantitative predictions based on the model about how the spread is expected to be and comparing those predictions with experimental data. If the results match, that would reenforce the model, and if they don't, perhaps they can speculate what other factors might be involved.
3) In the last section of the Results: "Simulations predict that heterogeneous spread increases the chance of a persistent Listeria monocytogenes infection in the intestinal epithelium", in my opinion, there are aspects that need to be clarified. What is the significance of a stable steady state infection per infection site/villus? Based on the discussions in the paper, one can consider the overall infection as a metapopulation of several sites/villi. In this context, a steadystate infection would be important in the overall infection, not at each site/villus, since unstable sites/villi can still persist at the metapopulation level. This is because infections that spread too quickly are still primarily contained within that site (conceptually similar to coexistence with spatial refuge in a preypredator ecological model) and the ones that are cleared can still infect other sites (dispersalclearance balance, conceptually similar to mutationselection balance in evolutionary theory). Without a more thorough investigation, it is not obvious to me why the special case of stable steady state would be the best strategy for maintaining an infection compared to these alternatives. I suggest deemphasizing stable steady state infection at each site as the "evolutionarily preferred" solution for persistent infection.
Minor comments:
1) In determining the circularity, the authors mention that they use the smallest circle that contains all the points. How do you find this circle? Maybe I am overthinking it, but to me this is not trivial.
2) The choice of P = 0.01 is justified in Figure 3D, but it's not clear to me how the choice of Dfast/Dslow = 100 was made. Would you please elaborate?
3) Is the "effective" diffusion coefficient in Figure 5C the same as Dslow? I think it is and it helps to mention it explicitly.
4) I think it would have helped to include the spread for another microbe that does not have extracellular protrusions (no pioneer cells, as a point of reference), as a negative control. Would you observe a homogeneous plaque shape in these cases? If not, what are the parameters involved, and do they contribute to the heterogeneous spread observed for L. monocytogenes? I suggest this only as an optional addition, if such a system already exists.
https://doi.org/10.7554/eLife.40032.035Author response
Reviewer #1:
I don't have any major concerns.
Minor Comments:
This is a very nice manuscript that details an interesting phenomenon that is likely to have impact on a number of both intracellular and extracellular pathogens. I only have a few minor comments.
1) The authors should note that the idea of a pioneer leading a charge that ends up in a different tissue site is a variation of their model, that leads to bottlenecking. In Listeria, this spreading of a few founder bacteria from the intestine into deeper tissue sites was first shown by Waldor and coworkers (Zhang (PMID: 28559314).
Thank you for the suggestion. We have added a few sentences about bottlenecking in paragraph ten of the Discussion and included a citation of Zhang et al., 2017.
2) Figure 3D is really the heart of the paper and shows that the simulations have predictive value. Unfortunately, the measurement parameters of circularity have to be defined better within the manuscript for the nonmathematicians because this turns out to be the single most important measurement parameter in the manuscript. The concept is intuitive, but better definitions within the body of the results are necessary to explain what deviation from circularity means.
We agree that we should have explained the concept of circularity better. In the Results section, we have added the following sentence: “For a perfect circle, this metric would be equal to 1, and for a square, this metric would be equal to 2/pi (Zheng et al., 2015).” This added citation also describes circularity in more detail.
3) Subsection “Simulations predict that heterogeneous spread increases the chance of a persistent Listeria monocytogenes infection in the intestinal epithelium”: I don't like the term death to the animal, since during growth in tissue, death may occur at much lower loads of bacteria than what the authors predict for death. Uncontrolled tissue growth is more appropriate. Their definition of death is a blackening out of the movie images.
This is a good point. We have changed all instances of “host animal death” to “uncontrolled growth.” We made these changes in the text; Figure 5 and Figure 5—figure supplement 1 (previously Figure S6A); and Video 9.
4) Figure 5D is quite important, but there is no definition of what the colors mean. I think that Red: Bacterial clearance; Green: host animal death; Blue: stable steady state, with blue stable when the Df/Ds ratio is stable
We apologize for the oversight. The figure legend is the same as Figure 5C. We have added the labels to Figure 5D.
Reviewer #2:
Ortega et al. combine modeling and experimentation to promote the concept that rare "pioneer" bacteria, which spread beyond the neighboring host cells, are important in the biology of Listeria. This is an interesting and very well written paper that provides important insight into the infection process. It builds on quantitative knowledge gained over many years to inform their models. I have only minor comments on presentation.
Although generally clear, throughout the paper and in the figure legends, the authors should strive to acknowledge which parameters are based on assumptions and/or simplifications, and which are based on experimental data.
Minor Comments:
1) Figure 1C. Y axis. Average fluorescence intensity of what?
Thank you for catching this. This was meant to be “Total bacterial fluorescence intensity.” We have changed the axis label and figure legend accordingly.
2) Subsection “Allowing simulated bacteria to interconvert between pioneer and nonpioneer behavior recapitulates the noncircular phenotype of experimental foci” and Figure 3D. As stated, the circularity of the simulations is dependent on time, but it is not clear how this time relates to the experimental results being used as the benchmark. Please comment.
The times are comparable as 1 simulation step is, on average, equivalent to 1.7 minutes. Therefore, 800 steps, when simulations were stopped, are roughly equivalent to 1360 minutes, which is approximately the last time point of the experimental data. We have included this information in the figure legend.
3) Figure 5D. You need to label the lines. After I stared at it a little while, I realized that the "outcomes" colors are indicated under 5C, but it was not immediately obvious.
This was also noted by reviewer #1 (minor point 4). We have added the label to Figure 5D.
4) Subsection “Allowing simulated bacteria to interconvert between pioneer and nonpioneer behavior recapitulates the noncircular phenotype of experimental foci” and Figure 5C. You carefully discuss the fact that clearance versus death is dependent on the rate of host cell extrusion, but it is not clear what times you used for extrusion relative to replication, for example. Minutes, hours, days…?
We agree that it is useful to clarify the correspondence between times and distances in the simulation with real times and distances. The bacterial replication rate of 1 is equivalent to 0.006 replication events per minute. This was calculated by normalizing the simulation steps by the doubling time of intracellular L. monocytogenes, which is approximately 120 minutes in MDCK cells. Then, the period of host cell extrusion ranges from a period of 0.10 (i.e. 10 simulation steps) to 0.50 (i.e. 50 simulation steps). These translate to approximately 17 to 85 minutes respectively. The radius of a human enterocyte is approximately 7 µm (Ho et al., 2017), which scales the effective diffusion coefficients to speeds from 0 to 0.2 µm/sec, which is the average speed of intracellular L. monocytogenes (Robbins et al., 1999). We have added this information to the legend of Figure 5.
5) I also wonder if you considered having extrusion dependent on the number of bacteria in the host cell instead of time.
Thank you for raising this possibility. This kind of mechanism would be another way of enabling establishment of a stable steady state; by forcing extrusion to occur after a preset number of bacteria is reached, one effectively inhibits both uncontrolled growth (cannot get to high numbers since the host cell will then be immediately extruded) and bacterial clearance (since extrusion stops if bacterial counts get low). This scenario would require that the host cell be able to measure the number of intracellular bacteria in some way. Our model demonstrates an alternate physical mechanism by which steady state can be achieved without additional sensing capabilities on the part of the host cell. We have included a brief comment on this in the Discussion paragraph ten.
6) Some people might read primarily the discussion. Redefine or just spell out "MSD" in paragraph five of the Discussion section.
We have now fixed that.
Additional data files and statistical comments:
Seems more than thorough.
Reviewer #3:
The authors use modeling to infer the mechanism of celltocell spread of L. monocytogenes in epithelial cells. They start by observing that despite expecting each infection to be clonal, the spread appears anisotropic. They then create simple models of random walk (continuum and agentbased) and note that their model predictions do not match experimental observations. Based on insights on known mechanisms of spread, they propose a different model in which a small fraction of progeny spread over longer distances, and examine whether such a model describes the observations properly.
The manuscript has a logical flow, is easy to follow, and has a nice combination of theoretical modeling and supporting experiments. It is generally wellwritten and contains useful and interesting information. I find the premise interesting and important, but I feel some of the results could benefit from additional explanation to clarify the rationale for some of the assumptions made in the model.
Main concerns:
1) One concern regards the construction of the model. The observed parameter that the authors have used to fit the parameters is "circularity", and their model they introduce two additional degrees of freedom (Dfast/Dslow and P), both of which affect circularity. When fitting the parameters of their model, they assume Dfast/Dslow = 100, and sweep over values of P (in Figure 3D) to find a P value for which their simulations match the experimental data. Since circularity is the only parameter they are using for fitting, it leaves the question open if with other values of these parameters the same outcome can be achieved (say, Dfast/Dslow = 10 and P = 1e4). I suspect the authors have already examined this when constraining their model parameters, but I think it helps to explicitly mention their process of eliminating the alternative possibilities in their manuscript.
We included these data in what was previously Figure S5F (and has now been moved to Figure 3D). In this figure, we spanned a range of values of Dfast/Dslow and showed that larger values of Dfast/Dslow make foci less circular. We have expanded the text to make this more clear (subsection “Decreasing the persistence of bacterial motility leads to more circular infection foci”).
2) When examining the GRR mutant, the authors have mentioned that "This mutant… is less persistent than wildtype bacteria and it is therefore likely to enter protrusions at a lower frequency than wildtype bacteria and to form protrusions that are less straight". First, the authors should clarify what they mean by "less persistent", and why persistence matters.
We have expanded our explanation of directional persistence in subsection “Decreasing the persistence of bacterial motility leads to more circular infection foci”.
Second, if I understand correctly, the reference they cite mentions that celltocell spread is less efficient with GRR mutant and the trajectory of protrusions is less straight. I expected the authors to quantitatively assess the hypothesis that the spread of GRR mutant still follows their model (with different P and Dfast/Dslow parameters that they estimate). In my opinion, this is a missed opportunity in the current paper. The experiments are already done by the authors and there are some estimates of the difference between WT and GRR mutants in the reference they have cited. Thus, the only remaining part is making quantitative predictions based on the model about how the spread is expected to be and comparing those predictions with experimental data. If the results match, that would reenforce the model, and if they don't, perhaps they can speculate what other factors might be involved.
Thank you for this interesting suggestion. We ran additional simulations to test what feature of the change in behavior of the GRR mutant is most likely to allow the bacteria to make more circular foci. In these simulations, we varied both the directional persistence and the Dfast/Dslow ratio. The data show that persistence has little effect on circularity, particularly in the presence of pioneers (Dfast/Dslow > 1). Specifically, when bacteria are perfectly persistent, circularity actually increases in a random walk (at this artificial extreme, essentially all the bacteria simply move straight outward from the center). However, when pioneers are present, changing the persistence alone ends up having very little effect on circularity over a very large range of possible values. Given that changes in persistence over a degree quantitatively much greater than the actual persistence change for the GRR mutant has no effect on circularity in the simulations, but that changing Dfast/Dslow does, we conclude that the GRR mutant Lm likely is deficient in making long extracellular protrusions, i.e. GRR pioneers take shorter steps than wildtype pioneers. These new results are summarized in Figure 4—figure supplement 1 and discussed in more detail in the fourth paragraph of the Discussion.
3) In the last section of the Results: "Simulations predict that heterogeneous spread increases the chance of a persistent Listeria monocytogenes infection in the intestinal epithelium", in my opinion, there are aspects that need to be clarified. What is the significance of a stable steady state infection per infection site/villus? Based on the discussions in the paper, one can consider the overall infection as a metapopulation of several sites/villi. In this context, a steadystate infection would be important in the overall infection, not at each site/villus, since unstable sites/villi can still persist at the metapopulation level. This is because infections that spread too quickly are still primarily contained within that site (conceptually similar to coexistence with spatial refuge in a preypredator ecological model) and the ones that are cleared can still infect other sites (dispersalclearance balance, conceptually similar to mutationselection balance in evolutionary theory). Without a more thorough investigation, it is not obvious to me why the special case of stable steady state would be the best strategy for maintaining an infection compared to these alternatives. I suggest deemphasizing stable steady state infection at each site as the "evolutionarily preferred" solution for persistent infection.
This is an important point to clarify. At the level of the bacterial population infecting any single villus, it is most important for bacteria to avoid uncontrolled growth in any single site as this could result in tissue damage and possible death of the animal. But, if every infection site in the entire intestine were cleared, there would be no persistent infection to result in fecal shedding of replicated bacteria that can go on to infect other hosts. In this context, the observation that the “blue” range in Figure 5C is so narrow for the model based on a simple random walk suggests that it would be very difficult to hit this “sweet spot” for the whole metapopulation in the intestine, as the most likely outcomes at any given cell extrusion rate would always be either complete clearance at every site or rampant uncontrolled growth. At the level of the metapopulation, then, our results suggest that the “best” option for the bacteria to most likely persist at some few sites would be to have a fairly large range of parameters where both clearance (red) and stable steady state (blue) are possible outcomes for the bacterial population in any single villus. Figure 5D indicates that this is exactly the result of adding pioneer behavior to the cell extrusion simulations. So, having the expanded “blue” range in Figure 5D, i.e. an expanded regime to attain a stable steady state, means that not all bacteria were cleared and also that uncontrolled growth at any single site within the entire intestinal metapopulation could be avoided. This specifically is the outcome that we argue is most favorable for the bacteria. We have included a more complete explanation in paragraph eleven of the Discussion section.
Minor comments:
1) In determining the circularity, the authors mention that they use the smallest circle that contains all the points. How do you find this circle? Maybe I am overthinking it, but to me this is not trivial.
Indeed you are right, this is not trivial. The detailed explanation for this algorithm can be found in Zheng and Hryciw, 2015, which we have now cited in subsection “Stochastic simulations of celltocell spread via random walks are inconsistent with observed shapes of infection foci” and the Materials and methods section. In short, once the boundary of the focus is calculated using MATLAB’s boundary() function, the two farthest vertices are determined, which set the diameter of a temporary circle. If all the other points are contained within the circle, then the algorithm stops. If not, then the point that lies farthest outside of the circle is used to draw a new a circle (including the first two original points. The algorithm proceeds iteratively until the smallest circumscribing circle is determined.
2) The choice of P = 0.01 is justified in Figure 3D, but it's not clear to me how the choice of Dfast/Dslow = 100 was made. Would you please elaborate?
We chose the value of Dfast/Dslow to be 100 because the observed size of jumps for individual pioneer events are approximately 10 times longer than for nonpioneers, and the effective step size scales as the square root of the diffusion coefficient. We explain this in paragraph four of subsection “Allowing simulated bacteria to interconvert between pioneer and nonpioneer behavior
recapitulates the noncircular phenotype of experimental foci”.
3) Is the "effective" diffusion coefficient in Figure 5C the same as Dslow? I think it is and it helps to mention it explicitly.
Figure 5C describes a simple random walk with only a single effective diffusion coefficient. We have added “random walk simulations with only a single effective diffusion coefficient (no pioneers)” to the figure legend.
4) I think it would have helped to include the spread for another microbe that does not have extracellular protrusions (no pioneer cells, as a point of reference), as a negative control. Would you observe a homogeneous plaque shape in these cases? If not, what are the parameters involved, and do they contribute to the heterogeneous spread observed for L. monocytogenes? I suggest this only as an optional addition, if such a system already exists.
Thank you for the suggestion. Among bacterial pathogens that use this form of actinbased motility to spread from cell to cell, we do not know of any pathogens that are unable to make extracellular protrusions. However, in addition to being able to make protrusions (both intracellular and extracellular), Burkholderia thailandesis spreads primarily by inducing the fusion of neighboring host cells (French et al., 2011). If most spread occurs by fusion with neighboring cells, we would expect that this kind of spread would yield more circular foci than those dominated by pioneer behavior such as we have described here for L. monocytogenes. Indeed, B. thailandesis generates infectious foci that are indeed significantly more isotropic than those created by L. monocytogenes (French et al., 2011). We have added a new paragraph in the Discussion section describing this.
https://doi.org/10.7554/eLife.40032.036Article and author information
Author details
Funding
Howard Hughes Medical Institute
 Fabian E Ortega
 Julie A Theriot
James S. McDonnell Foundation
 Elena F Koslover
National Institute of Allergy and Infectious Diseases (R37 AI036929)
 Julie A Theriot
The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
Acknowledgements
We dedicate this work to Stanley Falkow (1934–2018).
We thank W James Nelson for providing MDCK type II G cells, and Alexander J Ball for wordsmithing. This work was funded by a Howard Hughes Medical Institute Gilliam Fellowship for Advanced Study and a Stanford Graduate Fellowship (FEO); a James S McDonnell Postdoctoral Fellowship Award in Complex Systems (EFK); and NIH Grant R37AI036929 and the Howard Hughes Medical Institute (JAT).
Senior Editor
 Wendy S Garrett, Harvard TH Chan School of Public Health, United States
Reviewing Editor
 Kim Orth, HHMI/University of Texas Southwestern Medical Center, United States
Reviewers
 James Slauch, University of Illinois, United States
 Babak Momeni, Boston College, United States
Publication history
 Received: July 12, 2018
 Accepted: November 9, 2018
 Version of Record published: February 5, 2019 (version 1)
Copyright
© 2019, Ortega et al.
This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.
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