Enterotoxigenic Escherichia coli (ETEC) are pathogenic bacteria that cause diarrheal disease that disrupts the nutrition and the growth of children under the age of 5 and causes illness in travelers to countries where these bacteria are endemic. ETEC express long thin helical filaments on their surface, ∼1 micron long and 8 nm in diameter, called pili or fimbriae. Often essential virulence factors, these filaments, including ETEC CS20 pili, are composed of approximately 1,000 copies of the major pilin protein and one copy of a tip protein that provides binding specificity. While the structures of ETEC pili from different strains are similar, there are critical differences that alter their biophysical properties.
ETEC express Class 1 and/or Class 5 pilins. The Class 1 CS20 pilin, CsbA, is genetically similar to FimA from Type 1 pili that are expressed on many strains of Escherichia coli, including bacteria that infect the urinary tract or the gastrointestinal tract, and also to PapA pilins expressed on bacteria that infect the kidneys. Thus, despite CS20 being expressed on ETEC, its pilin is genetically distant from the Class 5 CFA/I pilin, CfaB, the most commonly expressed ETEC pilin.
We show here the three-dimensional structure and surface coulombic charge of CS20 pili, determined at 3.4 Å resolution by electron cryomicroscopy (cryo-EM). Our force spectroscopy data show that CS20 pili have a helix unwinding force that is twice that of CFA/I pili, and half that of Type 1 pili. Molecular dynamics simulations are further used to unveil features along the unwinding pathway at an atomistic scale. We see that CS20 pili bridge the genetic and environmental gap between Class 1 and Class 5 adhesion pili that are expressed on pathogenic bacteria.