TCA cycle-mediated generation of ROS is a key mediator for HeR-MRSA survival under β-lactam antibiotic exposure

PLoS One. 2014 Jun 16;9(6):e99605. doi: 10.1371/journal.pone.0099605. eCollection 2014.

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a major multidrug resistant pathogen responsible for several difficult-to-treat infections in humans. Clinical Hetero-resistant (HeR) MRSA strains, mostly associated with persistent infections, are composed of mixed cell populations that contain organisms with low levels of resistance (hetero-resistant HeR) and those that display high levels of drug resistance (homo-resistant HoR). However, the full understanding of β-lactam-mediated HeR/HoR selection remains to be completed. In previous studies we demonstrated that acquisition of the HoR phenotype during exposure to β-lactam antibiotics depended on two key elements: (1) activation of the SOS response, a conserved regulatory network in bacteria that is induced in response to DNA damage, resulting in increased mutation rates, and (2) adaptive metabolic changes redirecting HeR-MRSA metabolism to the tricarboxylic acid (TCA) cycle in order to increase the energy supply for cell-wall synthesis. In the present work, we identified that both main mechanistic components are associated through TCA cycle-mediated reactive oxygen species (ROS) production, which temporally affects DNA integrity and triggers activation of the SOS response resulting in enhanced mutagenesis. The present work brings new insights into a role of ROS generation on the development of resistance to β-lactam antibiotics in a model of natural occurrence, emphasizing the cytoprotective role in HeR-MRSA survival mechanism.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • 2,2'-Dipyridyl / pharmacology
  • Adaptation, Physiological
  • Anti-Bacterial Agents / pharmacology*
  • Bacterial Proteins / genetics
  • Bacterial Proteins / physiology
  • Citric Acid Cycle / physiology*
  • DNA Damage
  • DNA, Bacterial / analysis
  • Drug Resistance, Multiple, Bacterial / physiology*
  • Gene Expression Profiling
  • Methicillin-Resistant Staphylococcus aureus / drug effects
  • Methicillin-Resistant Staphylococcus aureus / genetics
  • Methicillin-Resistant Staphylococcus aureus / physiology*
  • Mutation Rate
  • Oxacillin / pharmacology
  • Penicillin-Binding Proteins / genetics
  • Penicillin-Binding Proteins / physiology
  • Reactive Oxygen Species / metabolism*
  • Real-Time Polymerase Chain Reaction
  • SOS Response, Genetics
  • Thiourea / pharmacology
  • beta-Lactam Resistance / physiology*
  • beta-Lactams / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • DNA, Bacterial
  • Penicillin-Binding Proteins
  • Reactive Oxygen Species
  • beta-Lactams
  • mecA protein, Staphylococcus aureus
  • 2,2'-Dipyridyl
  • Thiourea
  • Oxacillin