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Comparative Study
. 2011 Jan 20:11:16.
doi: 10.1186/1471-2180-11-16.

Induction kinetics of the Staphylococcus aureus cell wall stress stimulon in response to different cell wall active antibiotics

Affiliations
Comparative Study

Induction kinetics of the Staphylococcus aureus cell wall stress stimulon in response to different cell wall active antibiotics

Vanina Dengler et al. BMC Microbiol. .

Abstract

Background: Staphylococcus aureus activates a protective cell wall stress stimulon (CWSS) in response to the inhibition of cell wall synthesis or cell envelope damage caused by several structurally and functionally different antibiotics. CWSS induction is coordinated by the VraSR two-component system, which senses an unknown signal triggered by diverse cell wall active agents.

Results: We have constructed a highly sensitive luciferase reporter gene system, using the promoter of sas016 (S. aureus N315), which detects very subtle differences in expression as well as measuring > 4 log-fold changes in CWSS activity, to compare the concentration dependence of CWSS induction kinetics of antibiotics with different cell envelope targets. We compared the effects of subinhibitory up to suprainhibitory concentrations of fosfomycin, D-cycloserine, tunicamycin, bacitracin, flavomycin, vancomycin, teicoplanin, oxacillin, lysostaphin and daptomycin. Induction kinetics were both strongly antibiotic- and concentration-dependent. Most antibiotics triggered an immediate response with induction beginning within 10 min, except for tunicamycin, D-cycloserine and fosfomycin which showed lags of up to one generation before induction commenced. Induction characteristics, such as the rate of CWSS induction once initiated and maximal induction reached, were strongly antibiotic dependent. We observed a clear correlation between the inhibitory effects of specific antibiotic concentrations on growth and corresponding increases in CWSS induction kinetics. Inactivation of VraR increased susceptibility to the antibiotics tested from 2- to 16-fold, with the exceptions of oxacillin and D-cycloserine, where no differences were detected in the methicillin susceptible S. aureus strain background analysed. There was no apparent correlation between the induction capacity of the various antibiotics and the relative importance of the CWSS for the corresponding resistance phenotypes.

Conclusion: CWSS induction profiles were unique for each antibiotic. Differences observed in optimal induction conditions for specific antibiotics should be determined and taken into account when designing and interpreting CWSS induction studies.

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Figures

Figure 1
Figure 1
Schematic representation of the enzymatic steps involved in S. aureus cell wall synthesis and the targets of cell wall active antibiotics. Fosfomycin inhibits the enzyme MurA (UDP-N-acetylglucosamine-3-enolpyruvyl transferase) that catalyses the addition of phosphoenolpyruvate (PEP) to UDP-N-acetyl-glucosamine (GlcNAc) to form UDP-N-acetyl-muramic acid (UDP-MurNAc) [34]. D-cycloserine prevents the addition of D-alanine to the peptidoglycan precursor by inhibiting D-alanine:D-alanine ligase A and alanine racemase [35]. Tunicamycin is a glycoprotein antibiotic that inhibits the transfer of peptidoglycan precursor (phospho-MurNAc-pentapeptide) to the lipid carrier undecaprenyl pyrophosphate (or C55-isoprenyl pyrophosphate), catalysed by the translocase MraY [36,37]. Sub-lethal concentrations of tunicamycin also inhibit TarO, the first enzyme in the wall teichoic acid pathway [38,39]. Bacitracin forms a metal-dependent complex with the lipid carrier undecaprenyl pyrophosphate, thereby preventing dephosphorylation and the recycling of the lipid carrier required for cell wall synthesis [40,41]. Flavomycin (a moenomycin complex) is a phosphoglycolipid antibiotic that inhibits transglycosylation through binding of the transglycosylase domain of penicillin-binding protein 2 (PBP2) [42]. Glycopeptide antibiotics, such as vancomycin and teicoplanin, inhibit cell wall synthesis by binding the D-ala-D-ala of the lipid II and sterically hindering transglycosylation and transpeptidation. Teicoplanin activity is enhanced through its interaction with the cytoplasmic membrane [43]. ß-lactam antibiotics, such as oxacillin, bind the transpeptidase active domain of penicillin-binding proteins (PBPs) by mimicking the D-ala-D-ala end of the pentapeptide [44]. The mode of action of daptomycin is not fully known, it causes calcium-dependent disruption of membrane function and potassium efflux [45], but was also predicted to directly or indirectly inhibit peptidoglycan systhesis [9]. Lysostaphin is a zinc metalloenzyme that cleaves the pentaglycine crosslinking bridge specific for the cell wall of S. aureus [46]. (Adapted from [47]).
Figure 2
Figure 2
Induction kinetics of three CWSS promoters in response to varying concentrations of oxacillin. Luciferase activities and growth curves of strain BB255 containing: A, psas016-luc+; B, psa0908-luc+; and C, ptcaA-luc+; after addition of 0, 0.5, 1, 2 or 5-fold the MIC of oxacillin at time point zero.
Figure 3
Figure 3
Northern blot analysis of sas016 and sas016p-luc+ transcript induction BB255 psas016p-luc+. RNA was harvested from cultures after 20 and 60 min of induction with 0, 0.2, 0.5, 1, 2 or 5-fold MIC concentrations of oxacillin. Transcripts hybridising to sas016 and luc+-specific DIG and their approximate sizes are indicated. Approximate transcript sizes are indicated on the left side of the blots. Ethidium bromide stained 16S rRNA bands are shown below Northern blots as an indication of RNA loading.
Figure 4
Figure 4
Antibiotic dependent induction of the cell wall stress stimulon. The upper graph shows relative light units (RLU) measured upon induction of BB255 psas016p-luc+ of cultures stressed with 1x MIC of different antibiotics. The corresponding OD values at each sampling point are presented below. The graphs shown are representative results of between two and four induction experiments performed for each antibiotic.
Figure 5
Figure 5
Concentration-dependent cell wall stress stimulon induction kinetics of different cell wall active antibiotics. Graphs show relative light units (RLU) measured upon induction of BB255 psas016p-luc+ with five different antibiotic concentrations and the corresponding OD values at each sampling point. The graphs shown are representative results of between two and four induction experiments performed for each antibiotic. A, concentration-dependent induction kinetics of antibiotics scored as high- or medium-level inducers. B, concentration-dependent induction kinetics of antibiotics scored as low-level inducers and the fluoroquinolone antibiotic ciprofloxacin.

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