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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Autores principales: 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
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Publicado: American Society for Microbiology 2020
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic group B Streptococcus
human milk oligosaccharides
resistance
adjuvants
antifolate drugs
Microbiology
QR1-502
spellingShingle 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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