A Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim
ABSTRACT Adjuvants can be used to potentiate the function of antibiotics whose efficacy has been reduced by acquired or intrinsic resistance. In the present study, we discovered that human milk oligosaccharides (HMOs) sensitize strains of group B Streptococcus (GBS) to trimethoprim (TMP), an antibio...
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American Society for Microbiology
2020
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oai:doaj.org-article:bed98e0db5e049edbda650b23600e0042021-11-15T15:57:02ZA Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim10.1128/mBio.00076-202150-7511https://doaj.org/article/bed98e0db5e049edbda650b23600e0042020-04-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.00076-20https://doaj.org/toc/2150-7511ABSTRACT Adjuvants can be used to potentiate the function of antibiotics whose efficacy has been reduced by acquired or intrinsic resistance. In the present study, we discovered that human milk oligosaccharides (HMOs) sensitize strains of group B Streptococcus (GBS) to trimethoprim (TMP), an antibiotic to which GBS is intrinsically resistant. Reductions in the MIC of TMP reached as high as 512-fold across a diverse panel of isolates. To better understand HMOs’ mechanism of action, we characterized the metabolic response of GBS to HMO treatment using ultrahigh-performance liquid chromatography–high-resolution tandem mass spectrometry (UPLC-HRMS/MS) analysis. These data showed that when challenged by HMOs, GBS undergoes significant perturbations in metabolic pathways related to the biosynthesis and incorporation of macromolecules involved in membrane construction. This study represents reports the metabolic characterization of a cell that is perturbed by HMOs. IMPORTANCE Group B Streptococcus is an important human pathogen that causes serious infections during pregnancy which can lead to chorioamnionitis, funisitis, premature rupture of gestational membranes, preterm birth, neonatal sepsis, and death. GBS is evolving antimicrobial resistance mechanisms, and the work presented in this paper provides evidence that prebiotics such as human milk oligosaccharides can act as adjuvants to restore the utility of antibiotics.Schuyler A. ChambersRebecca E. MooreKelly M. CraftHarrison C. ThomasRishub DasShannon D. ManningSimona G. CodreanuStacy D. SherrodDavid M. AronoffJohn A. McLeanJennifer A. GaddySteven D. TownsendAmerican Society for Microbiologyarticlegroup B Streptococcushuman milk oligosaccharidesresistanceadjuvantsantifolate drugsMicrobiologyQR1-502ENmBio, Vol 11, Iss 2 (2020) |
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group B Streptococcus human milk oligosaccharides resistance adjuvants antifolate drugs Microbiology QR1-502 |
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group B Streptococcus human milk oligosaccharides resistance adjuvants antifolate drugs Microbiology QR1-502 Schuyler A. Chambers Rebecca E. Moore Kelly M. Craft Harrison C. Thomas Rishub Das Shannon D. Manning Simona G. Codreanu Stacy D. Sherrod David M. Aronoff John A. McLean Jennifer A. Gaddy Steven D. Townsend A Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim |
description |
ABSTRACT Adjuvants can be used to potentiate the function of antibiotics whose efficacy has been reduced by acquired or intrinsic resistance. In the present study, we discovered that human milk oligosaccharides (HMOs) sensitize strains of group B Streptococcus (GBS) to trimethoprim (TMP), an antibiotic to which GBS is intrinsically resistant. Reductions in the MIC of TMP reached as high as 512-fold across a diverse panel of isolates. To better understand HMOs’ mechanism of action, we characterized the metabolic response of GBS to HMO treatment using ultrahigh-performance liquid chromatography–high-resolution tandem mass spectrometry (UPLC-HRMS/MS) analysis. These data showed that when challenged by HMOs, GBS undergoes significant perturbations in metabolic pathways related to the biosynthesis and incorporation of macromolecules involved in membrane construction. This study represents reports the metabolic characterization of a cell that is perturbed by HMOs. IMPORTANCE Group B Streptococcus is an important human pathogen that causes serious infections during pregnancy which can lead to chorioamnionitis, funisitis, premature rupture of gestational membranes, preterm birth, neonatal sepsis, and death. GBS is evolving antimicrobial resistance mechanisms, and the work presented in this paper provides evidence that prebiotics such as human milk oligosaccharides can act as adjuvants to restore the utility of antibiotics. |
format |
article |
author |
Schuyler A. Chambers Rebecca E. Moore Kelly M. Craft Harrison C. Thomas Rishub Das Shannon D. Manning Simona G. Codreanu Stacy D. Sherrod David M. Aronoff John A. McLean Jennifer A. Gaddy Steven D. Townsend |
author_facet |
Schuyler A. Chambers Rebecca E. Moore Kelly M. Craft Harrison C. Thomas Rishub Das Shannon D. Manning Simona G. Codreanu Stacy D. Sherrod David M. Aronoff John A. McLean Jennifer A. Gaddy Steven D. Townsend |
author_sort |
Schuyler A. Chambers |
title |
A Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim |
title_short |
A Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim |
title_full |
A Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim |
title_fullStr |
A Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim |
title_full_unstemmed |
A Solution to Antifolate Resistance in Group B <italic toggle="yes">Streptococcus</italic>: Untargeted Metabolomics Identifies Human Milk Oligosaccharide-Induced Perturbations That Result in Potentiation of Trimethoprim |
title_sort |
solution to antifolate resistance in group b <italic toggle="yes">streptococcus</italic>: untargeted metabolomics identifies human milk oligosaccharide-induced perturbations that result in potentiation of trimethoprim |
publisher |
American Society for Microbiology |
publishDate |
2020 |
url |
https://doaj.org/article/bed98e0db5e049edbda650b23600e004 |
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