PBP4 activity and its overexpression are necessary for PBP4-mediated high-level β-lactam resistance

Li Basuino, Ambre Jousselin, J. Andrew, Natalie C.J. Strynadka, Mariana G. Pinho, Henry F. Chambers, Som S. Chatterjee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: PBP4 is typically considered unimportant for conferring high-level β-lactam resistance in Staphylococcus aureus. Mutations in PBP4 have been associated with β-lactamnon-susceptibility among natural strains of S. aureus. We have previously shown that PBP4 can mediate high-level β-lactam resistance in laboratory-generated strains passaged in β-lactamantibiotics. Mutations in the pbp4 promoter that up-regulate its expression and missensemutations that surround PBP4's active site were detected in high frequencies among passaged strains, suggesting PBP4 plays a key role in resistance. How these mutations participate in PBP4's ability to provide high-level β-lactamresistance is unknown. Objectives: To determine whether enzymatic activity of PBP4 is required for high-level β-lactam resistance and to investigate how the pbp4-associatedmutations provide β-lactamresistance. Methods: The catalytic activity of PBP4 was disabled through introduction of a serine to alanine point mutation in its active site (Ser-75 → Ala) in a representative and well-studied passaged strain, CRB. pbp4 promoter and missense mutations detected in CRB were reconstituted in a WT strain individually and in combination. β-Lactam resistance of the resultant strains was evaluated by population analysis. Bacterial peptidoglycan composition of the pbp4 mutants was evaluated with and without antibiotic treatment using LC. Results: PBP4 inactivation imparted complete β-lactam susceptibility of CRB. Reconstitution of PBP4 missense mutations alone did not impart β-lactam resistance, but did so in synergism with pbp4 promoter mutation. A similar synergistic interaction of pbp4 mutations was observed in enhanced peptidoglycan cross-linking upon antibiotic treatment. Conclusions: PBP4's activity and overexpression both contribute to high-level β-lactamresistance.

Original languageEnglish
Pages (from-to)1177-1180
Number of pages4
JournalJournal of Antimicrobial Chemotherapy
Volume73
Issue number5
DOIs
Publication statusPublished - 1 May 2018

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    Basuino, L., Jousselin, A., Andrew, J., Strynadka, N. C. J., Pinho, M. G., Chambers, H. F., & Chatterjee, S. S. (2018). PBP4 activity and its overexpression are necessary for PBP4-mediated high-level β-lactam resistance. Journal of Antimicrobial Chemotherapy, 73(5), 1177-1180. https://doi.org/10.1093/jac/dkx531