Impact of Bicarbonate-β-Lactam Exposures on Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) Gene Expression in Bicarbonate-β-Lactam-Responsive vs. Non-Responsive Strains

Methicillin-resistant <i>Staphylococcus aureu</i><i>s</i> (MRSA) infections represent a difficult clinical treatment issue. Recently, a novel phenotype was discovered amongst selected MRSA which exhibited enhanced β-lactam susceptibility in vitro in the presence of NaHCO<s...

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Autores principales: Selvi C. Ersoy, Blake M. Hanson, Richard A. Proctor, Cesar A. Arias, Truc T. Tran, Henry F. Chambers, Arnold S. Bayer
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/3a0d850746cb45ea808e50bf8ec72ec5
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Sumario:Methicillin-resistant <i>Staphylococcus aureu</i><i>s</i> (MRSA) infections represent a difficult clinical treatment issue. Recently, a novel phenotype was discovered amongst selected MRSA which exhibited enhanced β-lactam susceptibility in vitro in the presence of NaHCO<sub>3</sub> (termed ‘NaHCO<sub>3</sub>-responsiveness’). This increased β-lactam susceptibility phenotype has been verified in both ex vivo and in vivo models. Mechanistic studies to-date have implicated NaHCO<sub>3</sub>-mediated repression of genes involved in the production, as well as maturation, of the alternative penicillin-binding protein (PBP) 2a, a necessary component of MRSA β-lactam resistance. Herein, we utilized RNA-sequencing (RNA-seq) to identify genes that were differentially expressed in NaHCO<sub>3</sub>-responsive (MRSA 11/11) vs. non-responsive (COL) strains, in the presence vs. absence of NaHCO<sub>3</sub>-β-lactam co-exposures. These investigations revealed that NaHCO<sub>3</sub> selectively repressed the expression of a cadre of genes in strain 11/11 known to be a part of the <i>sigB</i>-<i>sarA</i>-<i>agr</i> regulon, as well as a number of genes involved in the anchoring of cell wall proteins in MRSA. Moreover, several genes related to autolysis, cell division, and cell wall biosynthesis/remodeling, were also selectively impacted by NaHCO<sub>3</sub>-OXA exposure in the NaHCO<sub>3</sub>-responsive strain MRSA 11/11. These outcomes provide an important framework for further studies to mechanistically verify the functional relevance of these genetic perturbations to the NaHCO<sub>3</sub>-responsiveness phenotype in MRSA.