Inhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins

ABSTRACT Staphylococcus aureus is intrinsically resistant to polymyxins (polymyxin B and colistin), an important class of cationic antimicrobial peptides used in treatment of Gram-negative bacterial infections. To understand the mechanisms underlying intrinsic polymyxin resistance in S. aureus, we s...

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Autores principales: Martin Vestergaard, Katrine Nøhr-Meldgaard, Martin Saxtorph Bojer, Christina Krogsgård Nielsen, Rikke Louise Meyer, Christoph Slavetinsky, Andreas Peschel, Hanne Ingmer
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Publicado: American Society for Microbiology 2017
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spelling oai:doaj.org-article:4070bcfecf0543d99c2c5142798997952021-11-15T15:51:50ZInhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins10.1128/mBio.01114-172150-7511https://doaj.org/article/4070bcfecf0543d99c2c5142798997952017-11-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.01114-17https://doaj.org/toc/2150-7511ABSTRACT Staphylococcus aureus is intrinsically resistant to polymyxins (polymyxin B and colistin), an important class of cationic antimicrobial peptides used in treatment of Gram-negative bacterial infections. To understand the mechanisms underlying intrinsic polymyxin resistance in S. aureus, we screened the Nebraska Transposon Mutant Library established in S. aureus strain JE2 for increased susceptibility to polymyxin B. Nineteen mutants displayed at least 2-fold reductions in MIC, while the greatest reductions (8-fold) were observed for mutants with inactivation of either graS, graR, vraF, or vraG or the subunits of the ATP synthase (atpA, atpB, atpG, or atpH), which during respiration is the main source of energy. Inactivation of atpA also conferred hypersusceptibility to colistin and the aminoglycoside gentamicin, whereas susceptibilities to nisin, gallidermin, bacitracin, vancomycin, ciprofloxacin, linezolid, daptomycin, and oxacillin were unchanged. ATP synthase activity is known to be inhibited by oligomycin A, and the presence of this compound increased polymyxin B-mediated killing of S. aureus. Our results demonstrate that the ATP synthase contributes to intrinsic resistance of S. aureus towards polymyxins and that inhibition of the ATP synthase sensitizes S. aureus to this group of compounds. These findings show that by modulation of bacterial metabolism, new classes of antibiotics may show efficacy against pathogens towards which they were previously considered inapplicable. In light of the need for new treatment options for infections with serious pathogens like S. aureus, this approach may pave the way for novel applications of existing antibiotics. IMPORTANCE Bacterial pathogens that cause disease in humans remain a serious threat to public health, and antibiotics are still our primary weapon in treating bacterial diseases. The ability to eradicate bacterial infections is critically challenged by development of resistance to all clinically available antibiotics. Polymyxins constitute an important class of antibiotics for treatment of infections caused by Gram-negative pathogens, whereas Gram-positive bacteria remain largely insusceptible towards class of antibiotics. Here we performed a whole-genome screen among nonessential genes for polymyxin intrinsic resistance determinants in Staphylococcus aureus. We found that the ATP synthase is important for polymyxin susceptibility and that inhibition of the ATP synthase sensitizes S. aureus towards polymyxins. Our study provides novel insights into the mechanisms that limit polymyxin activity against S. aureus and provides valuable targets for inhibitors to potentially enable the use of polymyxins against S. aureus and other Gram-positive pathogens.Martin VestergaardKatrine Nøhr-MeldgaardMartin Saxtorph BojerChristina Krogsgård NielsenRikke Louise MeyerChristoph SlavetinskyAndreas PeschelHanne IngmerAmerican Society for MicrobiologyarticleATP synthaseStaphylococcus aureusantimicrobial peptidesatpAintrinsic resistanceoligomycin AMicrobiologyQR1-502ENmBio, Vol 8, Iss 5 (2017)
institution DOAJ
collection DOAJ
language EN
topic ATP synthase
Staphylococcus aureus
antimicrobial peptides
atpA
intrinsic resistance
oligomycin A
Microbiology
QR1-502
spellingShingle ATP synthase
Staphylococcus aureus
antimicrobial peptides
atpA
intrinsic resistance
oligomycin A
Microbiology
QR1-502
Martin Vestergaard
Katrine Nøhr-Meldgaard
Martin Saxtorph Bojer
Christina Krogsgård Nielsen
Rikke Louise Meyer
Christoph Slavetinsky
Andreas Peschel
Hanne Ingmer
Inhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins
description ABSTRACT Staphylococcus aureus is intrinsically resistant to polymyxins (polymyxin B and colistin), an important class of cationic antimicrobial peptides used in treatment of Gram-negative bacterial infections. To understand the mechanisms underlying intrinsic polymyxin resistance in S. aureus, we screened the Nebraska Transposon Mutant Library established in S. aureus strain JE2 for increased susceptibility to polymyxin B. Nineteen mutants displayed at least 2-fold reductions in MIC, while the greatest reductions (8-fold) were observed for mutants with inactivation of either graS, graR, vraF, or vraG or the subunits of the ATP synthase (atpA, atpB, atpG, or atpH), which during respiration is the main source of energy. Inactivation of atpA also conferred hypersusceptibility to colistin and the aminoglycoside gentamicin, whereas susceptibilities to nisin, gallidermin, bacitracin, vancomycin, ciprofloxacin, linezolid, daptomycin, and oxacillin were unchanged. ATP synthase activity is known to be inhibited by oligomycin A, and the presence of this compound increased polymyxin B-mediated killing of S. aureus. Our results demonstrate that the ATP synthase contributes to intrinsic resistance of S. aureus towards polymyxins and that inhibition of the ATP synthase sensitizes S. aureus to this group of compounds. These findings show that by modulation of bacterial metabolism, new classes of antibiotics may show efficacy against pathogens towards which they were previously considered inapplicable. In light of the need for new treatment options for infections with serious pathogens like S. aureus, this approach may pave the way for novel applications of existing antibiotics. IMPORTANCE Bacterial pathogens that cause disease in humans remain a serious threat to public health, and antibiotics are still our primary weapon in treating bacterial diseases. The ability to eradicate bacterial infections is critically challenged by development of resistance to all clinically available antibiotics. Polymyxins constitute an important class of antibiotics for treatment of infections caused by Gram-negative pathogens, whereas Gram-positive bacteria remain largely insusceptible towards class of antibiotics. Here we performed a whole-genome screen among nonessential genes for polymyxin intrinsic resistance determinants in Staphylococcus aureus. We found that the ATP synthase is important for polymyxin susceptibility and that inhibition of the ATP synthase sensitizes S. aureus towards polymyxins. Our study provides novel insights into the mechanisms that limit polymyxin activity against S. aureus and provides valuable targets for inhibitors to potentially enable the use of polymyxins against S. aureus and other Gram-positive pathogens.
format article
author Martin Vestergaard
Katrine Nøhr-Meldgaard
Martin Saxtorph Bojer
Christina Krogsgård Nielsen
Rikke Louise Meyer
Christoph Slavetinsky
Andreas Peschel
Hanne Ingmer
author_facet Martin Vestergaard
Katrine Nøhr-Meldgaard
Martin Saxtorph Bojer
Christina Krogsgård Nielsen
Rikke Louise Meyer
Christoph Slavetinsky
Andreas Peschel
Hanne Ingmer
author_sort Martin Vestergaard
title Inhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins
title_short Inhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins
title_full Inhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins
title_fullStr Inhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins
title_full_unstemmed Inhibition of the ATP Synthase Eliminates the Intrinsic Resistance of <italic toggle="yes">Staphylococcus aureus</italic> towards Polymyxins
title_sort inhibition of the atp synthase eliminates the intrinsic resistance of <italic toggle="yes">staphylococcus aureus</italic> towards polymyxins
publisher American Society for Microbiology
publishDate 2017
url https://doaj.org/article/4070bcfecf0543d99c2c514279899795
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