Multi-target mode of action of silver against Staphylococcus aureus endows it with capability to combat antibiotic resistance

Nat Commun. 2021 Jun 7;12(1):3331. doi: 10.1038/s41467-021-23659-y.

Abstract

The rapid emergence of drug resistant Staphylococcus aureus (S. aureus) poses a serious threat to public health globally. Silver (Ag)-based antimicrobials are promising to combat antibiotic resistant S. aureus, yet their molecular targets are largely elusive. Herein, we separate and identify 38 authentic Ag+-binding proteins in S. aureus at the whole-cell scale. We then capture the molecular snapshot on the dynamic action of Ag+ against S. aureus and further validate that Ag+ could inhibit a key target 6-phosphogluconate dehydrogenase through binding to catalytic His185 by X-ray crystallography. Significantly, the multi-target mode of action of Ag+ (and nanosilver) endows its sustainable antimicrobial efficacy, leading to enhanced efficacy of conventional antibiotics and resensitization of MRSA to antibiotics. Our study resolves the long-standing question of the molecular targets of silver in S. aureus and offers insights into the sustainable bacterial susceptibility of silver, providing a potential approach for combating antimicrobial resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Crystallography, X-Ray
  • Drug Resistance, Bacterial / drug effects*
  • Metal Nanoparticles / chemistry*
  • Methicillin-Resistant Staphylococcus aureus
  • Microbial Sensitivity Tests
  • Phosphogluconate Dehydrogenase / drug effects
  • Proteomics
  • Silver / chemistry
  • Silver / pharmacology*
  • Silver Nitrate
  • Staphylococcal Infections
  • Staphylococcus aureus / drug effects*

Substances

  • Anti-Bacterial Agents
  • Silver
  • Silver Nitrate
  • Phosphogluconate Dehydrogenase