Transcriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women

ABSTRACT Neisseria gonorrhoeae is a bacterial pathogen responsible for the sexually transmitted infection gonorrhea. Emergence of antimicrobial resistance (AMR) of N. gonorrhoeae worldwide has resulted in limited therapeutic choices for this infection. Men who seek treatment often have symptomatic u...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Kathleen Nudel, Ryan McClure, Matthew Moreau, Emma Briars, A. Jeanine Abrams, Brian Tjaden, Xiao-Hong Su, David Trees, Peter A. Rice, Paola Massari, Caroline A. Genco
Formato: article
Lenguaje:EN
Publicado: American Society for Microbiology 2018
Materias:
Acceso en línea:https://doaj.org/article/355c292415414e6387a0346fd195fb2b
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:355c292415414e6387a0346fd195fb2b
record_format dspace
spelling oai:doaj.org-article:355c292415414e6387a0346fd195fb2b2021-11-15T15:24:22ZTranscriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women10.1128/mSphereDirect.00312-182379-5042https://doaj.org/article/355c292415414e6387a0346fd195fb2b2018-06-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphereDirect.00312-18https://doaj.org/toc/2379-5042ABSTRACT Neisseria gonorrhoeae is a bacterial pathogen responsible for the sexually transmitted infection gonorrhea. Emergence of antimicrobial resistance (AMR) of N. gonorrhoeae worldwide has resulted in limited therapeutic choices for this infection. Men who seek treatment often have symptomatic urethritis; in contrast, gonococcal cervicitis in women is usually minimally symptomatic, but may progress to pelvic inflammatory disease. Previously, we reported the first analysis of gonococcal transcriptome expression determined in secretions from women with cervical infection. Here, we defined gonococcal global transcriptional responses in urethral specimens from men with symptomatic urethritis and compared these with transcriptional responses in specimens obtained from women with cervical infections and in vitro-grown N. gonorrhoeae isolates. This is the first comprehensive comparison of gonococcal gene expression in infected men and women. RNA sequencing analysis revealed that 9.4% of gonococcal genes showed increased expression exclusively in men and included genes involved in host immune cell interactions, while 4.3% showed increased expression exclusively in women and included phage-associated genes. Infected men and women displayed comparable antibiotic-resistant genotypes and in vitro phenotypes, but a 4-fold higher expression of the Mtr efflux pump-related genes was observed in men. These results suggest that expression of AMR genes is programed genotypically and also driven by sex-specific environments. Collectively, our results indicate that distinct N. gonorrhoeae gene expression signatures are detected during genital infection in men and women. We propose that therapeutic strategies could target sex-specific differences in expression of antibiotic resistance genes. IMPORTANCE Recent emergence of antimicrobial resistance of Neisseria gonorrhoeae worldwide has resulted in limited therapeutic choices for treatment of infections caused by this organism. We performed global transcriptomic analysis of N. gonorrhoeae in subjects with gonorrhea who attended a Nanjing, China, sexually transmitted infection (STI) clinic, where antimicrobial resistance of N. gonorrhoeae is high and increasing. We found that N. gonorrhoeae transcriptional responses to infection differed in genital specimens taken from men and women, particularly antibiotic resistance gene expression, which was increased in men. These sex-specific findings may provide a new approach to guide therapeutic interventions and preventive measures that are also sex specific while providing additional insight to address antimicrobial resistance of N. gonorrhoeae.Kathleen NudelRyan McClureMatthew MoreauEmma BriarsA. Jeanine AbramsBrian TjadenXiao-Hong SuDavid TreesPeter A. RicePaola MassariCaroline A. GencoAmerican Society for MicrobiologyarticleNeisseria gonorrhoeaeRNA-seqantibiotic resistancehuman mucosal infectionMicrobiologyQR1-502ENmSphere, Vol 3, Iss 3 (2018)
institution DOAJ
collection DOAJ
language EN
topic Neisseria gonorrhoeae
RNA-seq
antibiotic resistance
human mucosal infection
Microbiology
QR1-502
spellingShingle Neisseria gonorrhoeae
RNA-seq
antibiotic resistance
human mucosal infection
Microbiology
QR1-502
Kathleen Nudel
Ryan McClure
Matthew Moreau
Emma Briars
A. Jeanine Abrams
Brian Tjaden
Xiao-Hong Su
David Trees
Peter A. Rice
Paola Massari
Caroline A. Genco
Transcriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women
description ABSTRACT Neisseria gonorrhoeae is a bacterial pathogen responsible for the sexually transmitted infection gonorrhea. Emergence of antimicrobial resistance (AMR) of N. gonorrhoeae worldwide has resulted in limited therapeutic choices for this infection. Men who seek treatment often have symptomatic urethritis; in contrast, gonococcal cervicitis in women is usually minimally symptomatic, but may progress to pelvic inflammatory disease. Previously, we reported the first analysis of gonococcal transcriptome expression determined in secretions from women with cervical infection. Here, we defined gonococcal global transcriptional responses in urethral specimens from men with symptomatic urethritis and compared these with transcriptional responses in specimens obtained from women with cervical infections and in vitro-grown N. gonorrhoeae isolates. This is the first comprehensive comparison of gonococcal gene expression in infected men and women. RNA sequencing analysis revealed that 9.4% of gonococcal genes showed increased expression exclusively in men and included genes involved in host immune cell interactions, while 4.3% showed increased expression exclusively in women and included phage-associated genes. Infected men and women displayed comparable antibiotic-resistant genotypes and in vitro phenotypes, but a 4-fold higher expression of the Mtr efflux pump-related genes was observed in men. These results suggest that expression of AMR genes is programed genotypically and also driven by sex-specific environments. Collectively, our results indicate that distinct N. gonorrhoeae gene expression signatures are detected during genital infection in men and women. We propose that therapeutic strategies could target sex-specific differences in expression of antibiotic resistance genes. IMPORTANCE Recent emergence of antimicrobial resistance of Neisseria gonorrhoeae worldwide has resulted in limited therapeutic choices for treatment of infections caused by this organism. We performed global transcriptomic analysis of N. gonorrhoeae in subjects with gonorrhea who attended a Nanjing, China, sexually transmitted infection (STI) clinic, where antimicrobial resistance of N. gonorrhoeae is high and increasing. We found that N. gonorrhoeae transcriptional responses to infection differed in genital specimens taken from men and women, particularly antibiotic resistance gene expression, which was increased in men. These sex-specific findings may provide a new approach to guide therapeutic interventions and preventive measures that are also sex specific while providing additional insight to address antimicrobial resistance of N. gonorrhoeae.
format article
author Kathleen Nudel
Ryan McClure
Matthew Moreau
Emma Briars
A. Jeanine Abrams
Brian Tjaden
Xiao-Hong Su
David Trees
Peter A. Rice
Paola Massari
Caroline A. Genco
author_facet Kathleen Nudel
Ryan McClure
Matthew Moreau
Emma Briars
A. Jeanine Abrams
Brian Tjaden
Xiao-Hong Su
David Trees
Peter A. Rice
Paola Massari
Caroline A. Genco
author_sort Kathleen Nudel
title Transcriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women
title_short Transcriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women
title_full Transcriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women
title_fullStr Transcriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women
title_full_unstemmed Transcriptome Analysis of <named-content content-type="genus-species">Neisseria gonorrhoeae</named-content> during Natural Infection Reveals Differential Expression of Antibiotic Resistance Determinants between Men and Women
title_sort transcriptome analysis of <named-content content-type="genus-species">neisseria gonorrhoeae</named-content> during natural infection reveals differential expression of antibiotic resistance determinants between men and women
publisher American Society for Microbiology
publishDate 2018
url https://doaj.org/article/355c292415414e6387a0346fd195fb2b
work_keys_str_mv AT kathleennudel transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT ryanmcclure transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT matthewmoreau transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT emmabriars transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT ajeanineabrams transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT briantjaden transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT xiaohongsu transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT davidtrees transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT peterarice transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT paolamassari transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
AT carolineagenco transcriptomeanalysisofnamedcontentcontenttypegenusspeciesneisseriagonorrhoeaenamedcontentduringnaturalinfectionrevealsdifferentialexpressionofantibioticresistancedeterminantsbetweenmenandwomen
_version_ 1718427939917266944