A biofilm-tropic Pseudomonas aeruginosa bacteriophage uses the exopolysaccharide Psl as receptor

Reviewer #1 (Public review):

Summary:

Walton et al. set out to isolate new phages targeting the opportunistic pathogen Pseudomonas aeruginosa. Using a double ∆fliF ∆pilA mutant strain, they were able to isolate 4 new phages, CLEW-1. -3, -6, and -10, which were unable to infect the parental PAO1F Wt strain. Further experiments showed that the 4 phages were only able to infect a ∆fliF strain, indicating a role of the MS-protein in the flagellum complex. Through further mutational analysis of the flagellum apparatus, the authors were able to identify the involvement of c-di-GMP in phage infection. Depletion of c-di-GMP levels by an inducible phosphodiesterase renders the bacteria resistant to phage infection, while elevation of c-di-GMP through the Wsp system made the cells sensitive to infection by CLEW-1. Using TnSeq, the authors were able to not only reaffirm the involvement of c-di-GMP in phage infection but also able to identify the exopolysaccharide PSL as a downstream target for CLEW-1. C-di-GMP is a known regulator of PSL biosynthesis. The authors show that CLEW-1 binds directly to PSL on the cell surface and that deletion of the pslC gene resulted in complete phage resistance. The authors also provide evidence that the phage-PSL interaction happens during the biofilm mode of growth and that the addition of the CLEW-1 phage specifically resulted in a significant loss of biofilm biomass. Lastly, the authors set out to test if CLEW-1 could be used to resolve a biofilm infection using a mouse keratitis model. Unfortunately, while the authors noted a reduction in bacterial load assessed by GFP fluorescence, the keratitis did not resolve under the tested parameters.

Strengths:

The experiments carried out in this manuscript are thoughtful and rational and sufficient explanation is provided for why the authors chose each specific set of experiments. The data presented strongly supports their conclusions and they give present compelling explanations for any deviation. The authors have not only developed a new technique for screening for phages targeting P. aeruginosa, but also highlight the importance of looking for phages during the biofilm mode of growth, as opposed to the more standard techniques involving planktonic cultures.

Weaknesses:

While the paper is strong, I do feel that further discussions could have gone into the decision to focus on CLEW-1 for the majority of the paper. The paper also doesn't provide any detailed information on the genetic composition of the phages. It is unclear if the phages isolated are temperate or virulent. Many temperate phages enter the lytic cycle in response to QS signalling, and while the data as it is doesn't suggest that is the case, perhaps the paper would be strengthened by further elimination of this possibility. At the very least it might be worth mentioning in the discussion section.

Reviewer #2 (Public review):

This manuscript by Walton et al. suggests that they have identified a new bacteriophage that uses the exopolysaccharide Psl from Pseudomonas aeruginosa (PA) as a receptor. As Psl is an important component in biofilms, the authors suggest that this phage (and others similarly isolated) may be able to specifically target biofilm-growing bacteria. While an interesting suggestion, the manner in which this paper is written makes it difficult to draw this conclusion. Also, some of the results do not directly follow from the data as presented and some relevant controls seem to be missing.

Author response:

Reviewer #1 (Public review):

Summary:

Walton et al. set out to isolate new phages targeting the opportunistic pathogen Pseudomonas aeruginosa. Using a double ∆fliF ∆pilA mutant strain, they were able to isolate 4 new phages, CLEW-1. -3, -6, and -10, which were unable to infect the parental PAO1F Wt strain. Further experiments showed that the 4 phages were only able to infect a ∆fliF strain, indicating a role of the MS-protein in the flagellum complex. Through further mutational analysis of the flagellum apparatus, the authors were able to identify the involvement of c-di-GMP in phage infection. Depletion of c-di-GMP levels by an inducible phosphodiesterase renders the bacteria resistant to phage infection, while elevation of c-di-GMP through the Wsp system made the cells sensitive to infection by CLEW-1. Using TnSeq, the authors were able to not only reaffirm the involvement of c-di-GMP in phage infection but also able to identify the exopolysaccharide PSL as a downstream target for CLEW-1. C-di-GMP is a known regulator of PSL biosynthesis. The authors show that CLEW-1 binds directly to PSL on the cell surface and that deletion of the pslC gene resulted in complete phage resistance. The authors also provide evidence that the phage-PSL interaction happens during the biofilm mode of growth and that the addition of the CLEW-1 phage specifically resulted in a significant loss of biofilm biomass. Lastly, the authors set out to test if CLEW-1 could be used to resolve a biofilm infection using a mouse keratitis model. Unfortunately, while the authors noted a reduction in bacterial load assessed by GFP fluorescence, the keratitis did not resolve under the tested parameters.

Strengths:

The experiments carried out in this manuscript are thoughtful and rational and sufficient explanation is provided for why the authors chose each specific set of experiments. The data presented strongly supports their conclusions and they give present compelling explanations for any deviation. The authors have not only developed a new technique for screening for phages targeting P. aeruginosa, but also highlight the importance of looking for phages during the biofilm mode of growth, as opposed to the more standard techniques involving planktonic cultures.

Weaknesses:

While the paper is strong, I do feel that further discussions could have gone into the decision to focus on CLEW-1 for the majority of the paper. The paper also doesn't provide any detailed information on the genetic composition of the phages. It is unclear if the phages isolated are temperate or virulent. Many temperate phages enter the lytic cycle in response to QS signalling, and while the data as it is doesn't suggest that is the case, perhaps the paper would be strengthened by further elimination of this possibility. At the very least it might be worth mentioning in the discussion section.

Thank you for your review. We will upload the genomes of all Clew phages and Ocp-2 before resubmission. It turns out that the Clew phage are highly related, which we wanted to express with the genomic comparison in the supplementary figure (rather unsuccessfully). It therefore made sense to focus our in-depth analysis on one of the phage. We will include a supplementary figure demonstrating that all Clew-1 phage require an intact psl locus for infection, to make that logic clearer. The phage are virulent (there is apparently a bit of a debate about this with regard to Bruynogheviruses, but we have not been able to isolate lysogens). This will be explained in the revised version of the manuscript as well.

Reviewer #2 (Public review):

This manuscript by Walton et al. suggests that they have identified a new bacteriophage that uses the exopolysaccharide Psl from Pseudomonas aeruginosa (PA) as a receptor. As Psl is an important component in biofilms, the authors suggest that this phage (and others similarly isolated) may be able to specifically target biofilm-growing bacteria. While an interesting suggestion, the manner in which this paper is written makes it difficult to draw this conclusion. Also, some of the results do not directly follow from the data as presented and some relevant controls seem to be missing.

Thank you for your review. We would argue that the combination of demonstrating Psl-dependent binding of Clew-1 to P. aeruginosa, as well as demonstration of direct binding of Clew-1 to affinity-purified Psl, indicates that the phage binds directly to Psl and uses it as a receptor. In looking at the recommendations, it appears that the remark about controls refers to not using the ∆pslC mutant alone (as opposed to the ∆fliF2 ∆pslC double mutant) as a control for some of the binding experiments. However, since the ∆fliF2 mutant is more permissive for phage infection, analyzing the effect of deleting pslC in the context of the ∆fliF2 mutant background is the more stringent test.