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1.
Antimicrob Agents Chemother ; 58(5): 2754-62, 2014 May.
Article in English | MEDLINE | ID: mdl-24590485

ABSTRACT

Due to their lack of toxicity to mammalian cells and good serum stability, proline-rich antimicrobial peptides (PR-AMPs) have been proposed as promising candidates for the treatment of infections caused by antimicrobial-resistant bacterial pathogens. It has been hypothesized that these peptides act on multiple targets within bacterial cells, and therefore the likelihood of the emergence of resistance was considered to be low. Here, we show that spontaneous Escherichia coli mutants resistant to pyrrhocoricin arise at a frequency of approximately 6 Ɨ 10(-7). Multiple independently derived mutants all contained a deletion in a nonessential gene that encodes the putative peptide uptake permease SbmA. Sensitivity could be restored to the mutants by complementation with an intact copy of the sbmA gene. These findings question the viability of the development of insect PR-AMPs as antimicrobials.


Subject(s)
Anti-Bacterial Agents/pharmacology , Antimicrobial Cationic Peptides/pharmacology , Escherichia coli/drug effects , Insect Proteins/pharmacology
2.
BMC Microbiol ; 14: 31, 2014 Feb 10.
Article in English | MEDLINE | ID: mdl-24512075

ABSTRACT

BACKGROUND: The community-associated methicillin-resistant S. aureus (CA-MRSA) ST93 clone is becoming dominant in Australia and is clinically highly virulent. In addition, sepsis and skin infection models demonstrate that ST93 CA-MRSA is the most virulent global clone of S. aureus tested to date. While the determinants of virulence have been studied in other clones of CA-MRSA, the basis for hypervirulence in ST93 CA-MRSA has not been defined. RESULTS: Here, using a geographically and temporally dispersed collection of ST93 isolates we demonstrate that the ST93 population hyperexpresses key CA-MRSA exotoxins, in particular α-hemolysin, in comparison to other global clones. Gene deletion and complementation studies, and virulence comparisons in a murine skin infection model, showed unequivocally that increased expression of α-hemolysin is the key staphylococcal virulence determinant for this clone. Genome sequencing and comparative genomics of strains with divergent exotoxin profiles demonstrated that, like other S. aureus clones, the quorum sensing agr system is the master regulator of toxin expression and virulence in ST93 CA-MRSA. However, we also identified a previously uncharacterized AraC/XylS family regulator (AryK) that potentiates toxin expression and virulence in S. aureus. CONCLUSIONS: These data demonstrate that hyperexpression of α-hemolysin mediates enhanced virulence in ST93 CA-MRSA, and additional control of exotoxin production, in particular α-hemolysin, mediated by regulatory systems other than agr have the potential to fine-tune virulence in CA-MRSA.


Subject(s)
Community-Acquired Infections/microbiology , Community-Acquired Infections/pathology , Gene Expression , Hemolysin Proteins/biosynthesis , Methicillin-Resistant Staphylococcus aureus/pathogenicity , Staphylococcal Skin Infections/microbiology , Staphylococcal Skin Infections/pathology , Animals , Australia , Bacterial Toxins/biosynthesis , Bacterial Toxins/genetics , Disease Models, Animal , Female , Gene Deletion , Gene Expression Regulation, Bacterial , Genetic Complementation Test , Genome, Bacterial , Hemolysin Proteins/genetics , Humans , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Mice , Mice, Inbred BALB C , Sequence Analysis, DNA
3.
Mol Biol Rep ; 41(12): 7945-53, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25156536

ABSTRACT

DnaK plays a central role in stress response in the important human pathogen Neisseria gonorrhoeae. The genes encoding the DnaK chaperone machine (DnaK/DnaJ/GrpE) in N. gonorrhoeae are transcribed from RpoH (σ(32))-dependent promoters. In this study, we cloned, purified and biochemically characterised N. gonorrhoeae DnaK (NgDnaK) and RpoH. The NgDnaK and RpoH sequences are 73 and 50 % identical to the sequences of their respective E. coli counterparts. Similar to EcDnaK, nucleotide-free NgDnaK exists as a mix of monomers, dimers and higher oligomeric species in solution, and dissociates into monomers on addition of ATP. Like E. coli σ(32), RpoH of N. gonorrhoeae is monomeric in solution. Kinetic analysis of the basal ATPase activity of purified NgDnaK revealed a V max of 193 pmol phosphate released per minute per microgram DnaK (which is significantly higher than reported basal ATPase activity of EcDnaK), and the turnover number against ATP was 0.4 min(-1) under our assay conditions. Nucleotide-free NgDnaK bound a short model substrate, NR-peptide, with micromolar affinity close to that reported for EcDnaK. Our analysis showed that interaction between N. gonorrhoeae RpoH and DnaK appears to be ATP-dependent and non-specific, in stark contrast to the E. coli DnaK system where σ(32) and DnaK interact as monomers even in the absence of ATP. Sequence comparison showed that the DnaK-binding site of σ(32) is not conserved in RpoH. Our findings suggest that the mechanism of DnaK/RpoH recognition in N. gonorrhoeae is different from that in E. coli.


Subject(s)
Bacterial Proteins/metabolism , HSP70 Heat-Shock Proteins/metabolism , Heat-Shock Proteins/metabolism , Neisseria gonorrhoeae/metabolism , Sigma Factor/metabolism , Amino Acid Sequence , Bacterial Proteins/chemistry , Bacterial Proteins/isolation & purification , Cloning, Molecular , HSP70 Heat-Shock Proteins/genetics , HSP70 Heat-Shock Proteins/isolation & purification , Heat-Shock Proteins/isolation & purification , Kinetics , Molecular Sequence Data , Neisseria gonorrhoeae/enzymology , Neisseria gonorrhoeae/genetics , Promoter Regions, Genetic , Sigma Factor/isolation & purification
4.
J Infect Dis ; 207(6): 929-39, 2013 Mar 15.
Article in English | MEDLINE | ID: mdl-23255563

ABSTRACT

The occurrence of mutations in methicillin-resistant Staphylococcus aureus (MRSA) during persistent infection leads to antimicrobial resistance but may also impact host-pathogen interactions. Here, we investigate the host-pathogen consequences of 2 mutations arising in clinical MRSA during persistent infection: RpoB H481Y, which is linked to rifampicin resistance, and RelA F128Y, which is associated with an active stringent response. Allelic exchange experiments showed that both mutations cause global transcriptional changes, leading to upregulation of capsule production, with attenuated virulence in a murine bacteremia model and reduced susceptibility to both antimicrobial peptides and whole-blood killing. Disruption of capsule biosynthesis reversed these impacts on innate immune function. These data clearly link MRSA persistence and reduced virulence to the same mechanisms that alter antimicrobial susceptibility. Our study highlights the wider consequences of suboptimal antimicrobial use, where drug resistance and immune escape mechanisms coevolve, thus increasing the likelihood of treatment failure.


Subject(s)
DNA-Directed RNA Polymerases/genetics , Drug Resistance, Bacterial/genetics , Methicillin-Resistant Staphylococcus aureus/genetics , Methicillin-Resistant Staphylococcus aureus/pathogenicity , Staphylococcal Infections/immunology , Transcription Factor RelA/genetics , Transcription, Genetic/genetics , Animals , Bacterial Capsules/genetics , Bacterial Capsules/immunology , Bacterial Capsules/metabolism , Female , Host-Pathogen Interactions/genetics , Host-Pathogen Interactions/immunology , Humans , Immunity, Innate , Methicillin-Resistant Staphylococcus aureus/drug effects , Mice , Mice, Inbred BALB C , Phenotype , Polymorphism, Single Nucleotide , Rifampin , Up-Regulation , Virulence/genetics , alpha-Defensins/pharmacology , beta-Defensins/pharmacology
5.
PLoS Pathog ; 7(11): e1002359, 2011 Nov.
Article in English | MEDLINE | ID: mdl-22102812

ABSTRACT

Antimicrobial resistance in Staphylococcus aureus is a major public health threat, compounded by emergence of strains with resistance to vancomycin and daptomycin, both last line antimicrobials. Here we have performed high throughput DNA sequencing and comparative genomics for five clinical pairs of vancomycin-susceptible (VSSA) and vancomycin-intermediate ST239 S.Ā aureus (VISA); each pair isolated before and after vancomycin treatment failure. These comparisons revealed a frequent pattern of mutation among the VISA strains within the essential walKR two-component regulatory locus involved in control of cell wall metabolism. We then conducted bi-directional allelic exchange experiments in our clinical VSSA and VISA strains and showed that single nucleotide substitutions within either walK or walR lead to co-resistance to vancomycin and daptomycin, and caused the typical cell wall thickening observed in resistant clinical isolates. Ion Torrent genome sequencing confirmed no additional regulatory mutations had been introduced into either the walR or walK VISA mutants during the allelic exchange process. However, two potential compensatory mutations were detected within putative transport genes for the walK mutant. The minimal genetic changes in either walK or walR also attenuated virulence, reduced biofilm formation, and led to consistent transcriptional changes that suggest an important role for this regulator in control of central metabolism. This study highlights the dramatic impacts of single mutations that arise during persistent S.Ā aureus infections and demonstrates the role played by walKR to increase drug resistance, control metabolism and alter the virulence potential of this pathogen.


Subject(s)
Anti-Bacterial Agents/pharmacology , Bacterial Proteins/genetics , Drug Resistance, Multiple, Bacterial/genetics , Staphylococcus aureus/drug effects , Staphylococcus aureus/genetics , Animals , Anti-Bacterial Agents/therapeutic use , Bacterial Proteins/metabolism , Biofilms , Cell Wall/genetics , Cell Wall/metabolism , Daptomycin/pharmacology , Daptomycin/therapeutic use , High-Throughput Nucleotide Sequencing , Humans , Microbial Sensitivity Tests , Molecular Typing , Mutation , Polymorphism, Single Nucleotide , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus aureus/metabolism , Staphylococcus aureus/pathogenicity , Vancomycin/pharmacology , Vancomycin/therapeutic use , Vancomycin Resistance/genetics , Virulence Factors
6.
Mol Microbiol ; 82(4): 976-87, 2011 Nov.
Article in English | MEDLINE | ID: mdl-22032638

ABSTRACT

Mitochondria originated from Gram-negative bacteria through endosymbiosis. In modern day mitochondria, the Sorting and Assembly Machinery (SAM) is responsible for eukaryotic Ɵ-barrel protein assembly in the mitochondrial outer membrane. The SAM is the functional equivalent of the Ɵ-barrel assembly machinery found in the outer membrane of Gram-negative bacteria. In this study we examined the import pathway of a pathogenic bacterial protein, PorB, which is targeted from pathogenic Neisseria to the host mitochondria. We have developed a new method for measurement of PorB assembly into mitochondria that relies on the mobility shift exhibited by bacterial Ɵ-barrel proteins once folded and separated under semi-native electrophoretic conditions. We show that PorB is targeted to the outer mitochondrial membrane with a dependence on the intermembrane space shuttling chaperones and the core component of the SAM, Sam50, which is a functional homologue of BamA that is required for PorB assembly in bacteria. The peripheral subunits of the SAM, Sam35 and Sam37, which are essential for eukaryotic Ɵ-barrel protein assembly but do not have distinguishable functional homologues in bacteria, are not required for PorB assembly in eukaryotes. This shows that PorB uses an evolutionary conserved 'bacterial like' mechanism to infiltrate the host mitochondrial outer membrane.


Subject(s)
Host-Pathogen Interactions , Mitochondrial Membranes/metabolism , Porins/metabolism , Protein Multimerization , Electrophoretic Mobility Shift Assay , Mitochondrial Proteins/metabolism , Models, Biological , Models, Molecular , Molecular Chaperones/metabolism , Neisseria gonorrhoeae/metabolism , Neisseria gonorrhoeae/pathogenicity , Protein Transport
7.
PLoS Pathog ; 6(6): e1000944, 2010 Jun 10.
Article in English | MEDLINE | ID: mdl-20548948

ABSTRACT

Staphylococcus aureus frequently invades the human bloodstream, leading to life threatening bacteremia and often secondary foci of infection. Failure of antibiotic therapy to eradicate infection is frequently described; in some cases associated with altered S. aureus antimicrobial resistance or the small colony variant (SCV) phenotype. Newer antimicrobials, such as linezolid, remain the last available therapy for some patients with multi-resistant S. aureus infections. Using comparative and functional genomics we investigated the molecular determinants of resistance and SCV formation in sequential S. aureus isolates from a patient who had a persistent and recurrent S. aureus infection, after failed therapy with multiple antimicrobials, including linezolid. Two point mutations in key staphylococcal genes dramatically affected clinical behaviour of the bacterium, altering virulence and antimicrobial resistance. Most strikingly, a single nucleotide substitution in relA (SACOL1689) reduced RelA hydrolase activity and caused accumulation of the intracellular signalling molecule guanosine 3', 5'-bis(diphosphate) (ppGpp) and permanent activation of the stringent response, which has not previously been reported in S. aureus. Using the clinical isolate and a defined mutant with an identical relA mutation, we demonstrate for the first time the impact of an active stringent response in S. aureus, which was associated with reduced growth, and attenuated virulence in the Galleria mellonella model. In addition, a mutation in rlmN (SACOL1230), encoding a ribosomal methyltransferase that methylates 23S rRNA at position A2503, caused a reduction in linezolid susceptibility. These results reinforce the exquisite adaptability of S. aureus and show how subtle molecular changes cause major alterations in bacterial behaviour, as well as highlighting potential weaknesses of current antibiotic treatment regimens.


Subject(s)
Acetamides/pharmacology , Drug Resistance, Bacterial/genetics , Ligases/genetics , Methyltransferases/genetics , Oxazolidinones/pharmacology , Point Mutation/genetics , Staphylococcal Infections/genetics , Staphylococcus aureus/isolation & purification , Aged , Amino Acid Sequence , Anti-Bacterial Agents/pharmacology , Biomarkers/metabolism , Blotting, Western , Gene Expression Profiling , Humans , Linezolid , Male , Microbial Sensitivity Tests , Molecular Sequence Data , Oligonucleotide Array Sequence Analysis , RNA, Messenger/genetics , RNA, Ribosomal, 23S/genetics , Reverse Transcriptase Polymerase Chain Reaction , Sequence Homology, Amino Acid , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus aureus/drug effects , Staphylococcus aureus/genetics , Virulence/genetics
8.
Clin Microbiol Rev ; 23(1): 99-139, 2010 Jan.
Article in English | MEDLINE | ID: mdl-20065327

ABSTRACT

The emergence of vancomycin-intermediate Staphylococcus aureus (VISA) and heterogeneous vancomycin-intermediate Staphylococcus aureus (hVISA) over the past decade has provided a challenge to diagnostic microbiologists to detect these strains, clinicians treating patients with infections due to these strains, and researchers attempting to understand the resistance mechanisms. Recent data show that these strains have been detected globally and in many cases are associated with glycopeptide treatment failure; however, more rigorous clinical studies are required to clearly define the contribution of hVISA to glycopeptide treatment outcomes. It is now becoming clear that sequential point mutations in key global regulatory genes contribute to the hVISA and VISA phenotypes, which are associated predominately with cell wall thickening and restricted vancomycin access to its site of activity in the division septum; however, the phenotypic features of these strains can vary because the mutations leading to resistance can vary. Interestingly, changes in the staphylococcal surface and expression of agr are likely to impact host-pathogen interactions in hVISA and VISA infections. Given the subtleties of vancomycin susceptibility testing against S. aureus, it is imperative that diagnostic laboratories use well-standardized methods and have a framework for detecting reduced vancomycin susceptibility in S. aureus.


Subject(s)
Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Staphylococcal Infections/microbiology , Staphylococcus aureus/drug effects , Vancomycin Resistance , Vancomycin/pharmacology , Vancomycin/therapeutic use , Humans , Microbial Sensitivity Tests , Staphylococcal Infections/drug therapy , Treatment Outcome
9.
J Bacteriol ; 193(20): 5728-36, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21856854

ABSTRACT

Two human-specific neisserial pathogens, Neisseria gonorrhoeae and Neisseria meningitidis, require the expression of type IV pili (tfp) for initial attachment to the host during infection. However, the mechanisms controlling the assembly and functionality of tfp are poorly understood. It is known that the gonococcal pilE gene, encoding the major subunit, is positively regulated by IHF, a multifunctional DNA binding protein. A neisserial specific repetitive DNA sequence, termed the Correia repeat-enclosed element (CREE) is situated upstream of three pil loci: pilHIJKX (pilH-X), pilGD, and pilF. CREEs have been shown to contain strong promoters, and some CREE variants contain a functional IHF binding site. CREEs might therefore be involved in the regulation of tfp biogenesis in pathogenic Neisseria. Site-directed and deletion mutagenesis on promoter::cat reporter constructs demonstrated that transcription of pilH-X and pilGD is from a σ(70) promoter and is independent of the CREE. The insertion of a CREE in the pilF promoter region in N. meningitidis generated a functional σ(70) promoter. However, there is also a functional promoter at this position in N. gonorrhoeae, where there is no CREE. These results suggest CREE insertion in these three pil loci does not influence transcription and that IHF does not coordinately regulate tfp biogenesis.


Subject(s)
Fimbriae Proteins/genetics , Gene Expression Regulation, Bacterial , Neisseria gonorrhoeae/genetics , Neisseria meningitidis/genetics , Response Elements , Transcription, Genetic , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Base Sequence , Fimbriae Proteins/metabolism , Molecular Sequence Data , Neisseria/chemistry , Neisseria/genetics , Neisseria/metabolism , Neisseria gonorrhoeae/chemistry , Neisseria gonorrhoeae/metabolism , Neisseria meningitidis/chemistry , Neisseria meningitidis/metabolism , Promoter Regions, Genetic , Sequence Alignment
10.
Mol Microbiol ; 78(5): 1216-31, 2010 Dec.
Article in English | MEDLINE | ID: mdl-21091506

ABSTRACT

Mycobacterium ulcerans is the causative agent of the debilitating skin disease Buruli ulcer, which is most prevalent in Western and Central Africa. M. ulcerans shares >98% DNA sequence identity with Mycobacterium marinum, however, M. marinum produces granulomatous, but not ulcerative, lesions in humans and animals. Here we report the differential expression of a small heat shock protein (Hsp18) between strains of M. ulcerans (Hsp18(+) ) and M. marinum (Hsp18(-) ) and describe the molecular basis for this difference. We show by gene deletion and GFP reporter assays in M. marinum that a divergently transcribed gene called hspR_2, immediately upstream of hsp18, encodes a MerR-like regulatory protein that represses hsp18 transcription while promoting its own expression. Naturally occurring mutations within a 70 bp segment of the 144 bp hspR_2-hsp18 intergenic region among M. ulcerans strains inhibit hspR_2 transcription and explain the Hsp18(+) phenotype. We also propose a biological role for Hsp18, as we show that this protein significantly enhances bacterial attachment or aggregation during biofilm formation. This study has uncovered a new member of the MerR family of transcriptional regulators and suggests that upregulation of hsp18 expression was an important pathoadaptive response in the evolution of M. ulcerans from a M. marinum-like ancestor.


Subject(s)
Bacterial Proteins/metabolism , Biofilms , Gene Expression Regulation, Bacterial , Heat-Shock Proteins/metabolism , Mycobacterium ulcerans/physiology , alpha-Crystallins/metabolism , Bacterial Proteins/genetics , Base Sequence , Heat-Shock Proteins/genetics , Molecular Sequence Data , Mycobacterium marinum/classification , Mycobacterium marinum/genetics , Mycobacterium marinum/metabolism , Mycobacterium ulcerans/classification , Mycobacterium ulcerans/genetics , Phylogeny , Promoter Regions, Genetic , Up-Regulation , alpha-Crystallins/genetics
11.
Cell Microbiol ; 12(3): 372-85, 2010 Mar.
Article in English | MEDLINE | ID: mdl-19888989

ABSTRACT

Gram-negative bacterial peptidoglycan is specifically recognized by the host intracellular sensor NOD1, resulting in the generation of innate immune responses. Although epithelial cells are normally refractory to external stimulation with peptidoglycan, these cells have been shown to respond in a NOD1-dependent manner to Gram-negative pathogens that can either invade or secrete factors into host cells. In the present work, we report that Gram-negative bacteria can deliver peptidoglycan to cytosolic NOD1 in host cells via a novel mechanism involving outer membrane vesicles (OMVs). We purified OMVs from the Gram-negative mucosal pathogens: Helicobacter pylori, Pseudomonas aeruginosa and Neisseria gonorrhoea and demonstrated that these peptidoglycan containing OMVs upregulated NF-kappaB and NOD1-dependent responses in vitro. These OMVs entered epithelial cells through lipid rafts thereby inducing NOD1-dependent responses in vitro. Moreover, OMVs delivered intragastrically to mice-induced innate and adaptive immune responses via a NOD1-dependent but TLR-independent mechanism. Collectively, our findings identify OMVs as a generalized mechanism whereby Gram-negative bacteria deliver peptidoglycan to cytosolic NOD1. We propose that OMVs released by bacteria in vivo may promote inflammation and pathology in infected hosts.


Subject(s)
Epithelial Cells/immunology , Gram-Negative Bacteria/immunology , NF-kappa B/immunology , Nod1 Signaling Adaptor Protein/immunology , Peptidoglycan/metabolism , Secretory Vesicles/metabolism , Animals , Female , HeLa Cells , Helicobacter pylori/immunology , Humans , Male , Mice , Neisseria/immunology , Peptidoglycan/immunology , Pseudomonas aeruginosa/immunology , Secretory Vesicles/immunology
12.
J Bacteriol ; 192(20): 5556-7, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20729356

ABSTRACT

Community methicillin-resistant Staphylococcus aureus (cMRSA) is an emerging issue that has resulted in multiple worldwide epidemics. We report the first complete genome sequence of an ST93-MRSA-IV clinical isolate that caused severe invasive infection and a familial outbreak of skin infection. This isolate is a representative of the most common Australian clone of cMRSA that is more distantly related to the previously sequenced genomes of S. aureus.


Subject(s)
Genome, Bacterial , Methicillin-Resistant Staphylococcus aureus/classification , Methicillin-Resistant Staphylococcus aureus/genetics , Community-Acquired Infections , Humans , Molecular Sequence Data , Staphylococcal Infections/epidemiology , Staphylococcal Infections/microbiology
13.
J Bacteriol ; 192(21): 5848-9, 2010 Nov.
Article in English | MEDLINE | ID: mdl-20802046

ABSTRACT

We report here the complete 2.92-Mb genome sequence of a clinical isolate of methicillin-resistant Staphylococcus aureus subsp. aureus that demonstrates intermediate-level vancomycin resistance. The strain, named JKD6008, belongs to multilocus sequence type 239 and was isolated from the bloodstream of a patient in New Zealand in 2003.


Subject(s)
Anti-Bacterial Agents/pharmacology , Drug Resistance, Multiple, Bacterial/genetics , Methicillin-Resistant Staphylococcus aureus/drug effects , Methicillin-Resistant Staphylococcus aureus/genetics , Vancomycin/pharmacology , Methicillin-Resistant Staphylococcus aureus/classification , Molecular Sequence Data
14.
Cell Microbiol ; 10(5): 1058-73, 2008 May.
Article in English | MEDLINE | ID: mdl-18067606

ABSTRACT

Intramacrophage survival appears to be a pathogenic trait common to Salmonellae and definition of the metabolic requirements of Salmonella within macrophages might provide opportunities for novel therapeutic interventions. We show that loss of PurG function in Salmonella enterica serovar Typhimurium SL1344 leads to death of the bacterium in RAW264.7 cells, which was due to unavailability of purine nucleotides but not thiamine in the phagosome of RAW264.7 cells. Phagosomal escape of purG mutant restored growth, suggesting that the phagosomal environment, but not the cytosol, is toxic to Salmonella purine auxotrophs. NADPH oxidase inhibition restored the growth of purG mutant in RAW264.7 cells, implying that the Salmonella-containing vacuole acquires reactive oxygen species (ROS) that are lethal to purine auxotrophs. Under purine limiting conditions, purG mutant was unable to repair the damage caused by hydrogen peroxide or UV irradiation, suggesting that ROS-mediated DNA damage may have been responsible for the attenuated phenotype of purG mutant in RAW264.7 cells and in mice. These studies highlight the possibility of utilizing the Salmonella purine nucleotide biosynthetic pathway as a prospective therapeutic target and also underline the importance of metabolic pathways in assembling a comprehensive understanding of the host-pathogen interactions inside phagocytic cells.


Subject(s)
Macrophages/microbiology , Purines/metabolism , Reactive Oxygen Species/metabolism , Salmonella typhimurium/growth & development , Animals , Male , Mice , Mice, Inbred C57BL , NADPH Oxidases/antagonists & inhibitors , Phagosomes/microbiology , Salmonella typhimurium/genetics , Salmonella typhimurium/metabolism , Thiamine/metabolism
15.
Cent Eur J Public Health ; 17(4): 183-6, 2009 Dec.
Article in English | MEDLINE | ID: mdl-20377045

ABSTRACT

The results of the study Benchmarking Regional Health Management II suggest that compulsory measles immunisation is a good practice in public health management. Yet, the potential achievement of the desired health outcome alone is not a sufficient reason to make the immunisation obligatory. Rather, compulsory measles immunisation is a morally challenging measure. In this article, compulsory measles immunisation is critically evaluated from a public health ethics point of view. For this evaluation, a set of ethical criteria is proposed: respect for autonomy, health maximisation, efficiency, proportionality and social justice. The authors suggest it should not be taken for granted that compulsory measles immunisation should be championed, rather, health policy makers in the European Union should try to raise immunisation rates with non-compulsory means.


Subject(s)
Benchmarking/ethics , Benchmarking/methods , Immunization Programs/ethics , Measles Vaccine/administration & dosage , Public Health Practice/ethics , Efficiency, Organizational , Humans , Personhood , Quality of Health Care , Social Justice
16.
J Bacteriol ; 190(9): 3323-35, 2008 May.
Article in English | MEDLINE | ID: mdl-18310333

ABSTRACT

Type IV fimbriae are essential virulence factors of Dichelobacter nodosus, the principal causative agent of ovine foot rot. The fimA fimbrial subunit gene is required for virulence, but fimA mutants exhibit several phenotypic changes and it is not certain if the effects on virulence result from the loss of type IV fimbria-mediated twitching motility, cell adherence, or reduced protease secretion. We showed that mutation of either the pilT or pilU gene eliminated the ability to carry out twitching motility. However, the pilT mutants displayed decreased adhesion to epithelial cells and reduced protease secretion, whereas the pilU mutants had wild-type levels of extracellular protease secretion and adherence. These data provided evidence that PilT is required for the type IV fimbria-dependent protease secretion pathway in D. nodosus. It was postulated that sufficient fimbrial retraction must occur in the pilU mutants to allow protease secretion, but not twitching motility, to take place. Although no cell movement was detected in a pilU mutant of D. nodosus, aberrant motion was detected in an equivalent mutant of Pseudomonas aeruginosa. These observations explain how in D. nodosus protease secretion can occur in a pilU mutant but not in a pilT mutant. In addition, virulence studies with sheep showed that both the pilT and pilU mutants were avirulent, providing evidence that mutation of the type IV fimbrial system affects virulence by eliminating twitching motility, not by altering cell adherence or protease secretion.


Subject(s)
Adenosine Triphosphatases/genetics , Bacterial Proteins/genetics , Dichelobacter nodosus/pathogenicity , Fimbriae Proteins/genetics , Foot Rot/microbiology , Molecular Motor Proteins/genetics , Sheep Diseases/microbiology , Virulence Factors/genetics , Amino Acid Sequence , Animals , Bacterial Adhesion/genetics , Dichelobacter nodosus/cytology , Dichelobacter nodosus/genetics , Fimbriae, Bacterial/genetics , Fimbriae, Bacterial/ultrastructure , Molecular Sequence Data , Mutation , Peptide Hydrolases/metabolism , Protein Transport/genetics , Virulence/genetics
17.
BMC Genomics ; 9: 462, 2008 Oct 07.
Article in English | MEDLINE | ID: mdl-18840298

ABSTRACT

BACKGROUND: Mycolactones are immunosuppressive and cytotoxic polyketides, comprising five naturally occurring structural variants (named A/B, C, D, E and F), produced by different species of very closely related mycobacteria including the human pathogen, Mycobacterium ulcerans. In M. ulcerans strain Agy99, mycolactone A/B is produced by three highly homologous type I polyketide megasynthases (PKS), whose genes (mlsA1: 51 kb, mlsA2: 7.2 kb and mlsB: 42 kb) are found on a 174 kb plasmid, known as pMUM001. RESULTS: We report here comparative genomic analysis of pMUM001, the complete DNA sequence of a 190 kb megaplasmid (pMUM002) from Mycobacterium liflandii 128FXT and partial sequence of two additional pMUM replicons, combined with liquid chromatography-tandem mass spectrometric (LC-MS/MS) analysis. These data reveal how PKS module and domain differences affecting MlsB correlate with the production of mycolactones E and F. For mycolactone E these differences from MlsB in M. ulcerans Agy99 include replacement of the AT domain of the loading module (acetate to propionate) and the absence of an entire extension module. For mycolactone F there is also a reduction of one extension module but also a swap of ketoreductase domains that explains the characteristic stereochemistry of the two terminal side-chain hydroxyls, an arrangement unique to mycolactone F CONCLUSION: The mycolactone PKS locus on pMUM002 revealed the same large, three-gene structure and extraordinary pattern of near-identical PKS domain sequence repetition as observed in pMUM001 with greater than 98.5% nucleotide identity among domains of the same function. Intra- and inter-strain comparisons suggest that the extreme sequence homogeneity seen among the mls PKS genes is caused by frequent recombination-mediated domain replacement. This work has shed light on the evolution of mycolactone biosynthesis among an unusual group of mycobacteria and highlights the potential of the mls locus to become a toolbox for combinatorial PKS biochemistry.


Subject(s)
Bacterial Proteins/genetics , Bacterial Toxins/metabolism , Genes, Bacterial/genetics , Mycobacterium ulcerans/genetics , Bacterial Proteins/metabolism , Bacterial Toxins/chemistry , Chromatography, Liquid , Macrolides , Models, Genetic , Molecular Structure , Mycobacterium ulcerans/metabolism , Plasmids/genetics , Plasmids/metabolism , Polyketide Synthases/genetics , Polyketide Synthases/metabolism , Polymerase Chain Reaction , Sequence Analysis, DNA , Tandem Mass Spectrometry
18.
Antimicrob Agents Chemother ; 52(10): 3755-62, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18644967

ABSTRACT

Methicillin-resistant Staphylococcus aureus (MRSA), once restricted to hospitals, is spreading rapidly through the wider community. Resistance to vancomycin, the principal drug used to treat MRSA infections, has only recently emerged, is mainly low level, and characteristically appears during vancomycin therapy (vancomycin-intermediate S. aureus [VISA] and hetero-resistant VISA). This phenomenon suggests the adaptation of MRSA through mutation, although defining the mutations leading to resistance in clinical isolates has been difficult. We studied a vancomycin-susceptible clinical MRSA isolate (MIC of 1 microg/ml) and compared it with an isogenic blood culture isolate from the same patient, despite 42 days of vancomycin treatment (MIC of 4 microg/ml). A whole-genome sequencing approach allowed the nearly complete assembly of the genome sequences of the two isolates and revealed only six nucleotide substitutions in the VISA strain compared with the parent strain. One mutation occurred in graS, encoding a putative two-component regulatory sensor, leading to a change from a polar to a nonpolar amino acid (T136I) in the conserved histidine region of the predicted protein. Replacing the graS allele of the vancomycin-susceptible parent strain with the graS allele from the VISA derivative resulted in increased vancomycin resistance at a level between those of the vancomycin-susceptible S. aureus and VISA clinical isolates, confirming a role for graRS in VISA. Our study suggests that MRSA is able to develop clinically significant vancomycin resistance via a single point mutation, and the two-component regulatory system graRS is a key mediator of this resistance. However, additional mutations are likely required to express the full VISA phenotype.


Subject(s)
Genes, Bacterial , Point Mutation , Staphylococcus aureus/drug effects , Staphylococcus aureus/genetics , Vancomycin Resistance/genetics , Amino Acid Sequence , Base Sequence , DNA Primers/genetics , DNA, Bacterial/genetics , Genomics , Humans , Molecular Sequence Data , Sequence Homology, Amino Acid , Sequence Homology, Nucleic Acid , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology
19.
BMC Microbiol ; 8: 39, 2008 Feb 27.
Article in English | MEDLINE | ID: mdl-18304359

ABSTRACT

BACKGROUND: Low-level vancomycin resistance in Staphylococcus aureus (vancomycin-intermediate S. aureus (VISA) and hetero-VISA [hVISA]) emerges during persistent infection and failed vancomycin therapy. Up-regulation of genes associated with the "cell wall stimulon" and mutations in the vraSR operon have both been implicated in the development of resistance, however the molecular mechanisms of resistance are not completely understood. To further elucidate the mechanisms leading to resistance transcriptome comparisons were performed using multiple clinical pairs of vancomycin-susceptible S. aureus (VSSA) and hVISA/VISA (n = 5), and three VSSA control pairs from hospitalized patients with persistent bacteraemia that did not develop hVISA/VISA. Based on the transcriptome results multiple genes were sequenced and innate immune system stimulation was assessed in the VSSA and hVISA/VISA pairs. RESULTS: Here we show that up-regulation of vraS and the "cell wall stimulon" is not essential for acquisition of low-level vancomycin resistance and that different transcriptional responses occur, even between closely related hVISA/VISA strains. DNA sequencing of vraSR, saeSR, mgrA, rot, and merR regulatory genes and upstream regions did not reveal any differences between VSSA and hVISA/VISA despite transcriptional changes suggesting mutations in these loci may be linked to resistance in these strains. Enhanced capsule production and reduced protein A expression in hVISA/VISA were confirmed by independent bioassays and fully supported the transcriptome data. None of these changes were observed in the three control pairs that remained vancomycin-susceptible during persistent bacteremia. In a macrophage model of infection the changes in cell surface structures in hVISA/VISA strains were associated with significantly reduced NF-kappaB activation resulting in reduced TNF-alpha and IL-1beta expression. CONCLUSION: We conclude that there are multiple pathways to low-level vancomycin resistance in S. aureus, even among closely related clinical strains, and these can result in an attenuated host immune response. The persistent infections associated with hVISA/VISA strains may be a consequence of changes in host pathogen interactions in addition to the reduced antibiotic susceptibility.


Subject(s)
Staphylococcus aureus/genetics , Vancomycin Resistance/genetics , Bacteremia/genetics , Bacteremia/microbiology , Bacterial Proteins/genetics , DNA Probes , DNA-Binding Proteins/genetics , Electrophoresis, Gel, Pulsed-Field , Gene Expression Profiling , Gene Expression Regulation, Bacterial , Humans , Methicillin Resistance , Mutation/genetics , NF-kappa B/metabolism , Oligonucleotide Array Sequence Analysis , Repressor Proteins/genetics , Staphylococcal Infections/microbiology , Staphylococcus aureus/drug effects , Staphylococcus aureus/immunology
20.
Res Microbiol ; 158(3): 279-86, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17320354

ABSTRACT

Heat shock response genes have been characterised in many organisms. Such genes are often induced not only following heat stress but also following a range of other stresses. In pathogenic bacteria, the common heat shock genes are usually induced during the initial infection process. The identification of other genes regulated during heat shock, besides the classical heat shock genes such as those of the dnaK and groEL operons, may provide information about other cellular responses such as membrane remodelling and nutrient scavenging that may be important in the early stages of infection. In this study, macroarray analysis has been used to identify a number of genes of Corynebacterium pseudotuberculosis that are either upregulated (e.g. clpB, dnaK) or downregulated (e.g. fagC, fas) in vitro following a heat shock. The major virulence factor, phospholipase D, was found to be highly downregulated.


Subject(s)
Corynebacterium pseudotuberculosis/genetics , Gene Expression Regulation, Bacterial , Hot Temperature , Phospholipase D/genetics , Virulence Factors/genetics , Down-Regulation/genetics , Oligonucleotide Array Sequence Analysis/methods , Reverse Transcriptase Polymerase Chain Reaction , Temperature
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