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.2019 Jan 23:10:10.
doi: 10.3389/fmicb.2019.00010. eCollection 2019.

Role of Two-Component System Response RegulatorbceR in the Antimicrobial Resistance, Virulence, Biofilm Formation, and Stress Response of Group B Streptococcus

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Role of Two-Component System Response RegulatorbceR in the Antimicrobial Resistance, Virulence, Biofilm Formation, and Stress Response of Group B Streptococcus

Ying Yang et al. Front Microbiol..

Abstract

Group B Streptococcus (GBS;Streptococcus agalactiae) is a leading cause of sepsis in neonates and pregnant mothers worldwide. Whereas the hyper-virulent serogroup III clonal cluster 17 has been associated with neonatal disease and meningitis, serogroup III ST283 was recently implicated in invasive disease among non-pregnant adults in Asia. Here, through comparative genome analyses of invasive and non-invasive ST283 strains, we identified a truncated DNA-binding regulator of a two-component system in a non-invasive strain that was homologous toBacillus subtilis bceR, encoding thebceRSAB response regulator, which was conserved among GBS strains. Using isogenic knockout and complementation mutants of the ST283 strain, we demonstrated that resistance to bacitracin and the human antimicrobial peptide cathelicidin LL-37 was reduced in the ΔbceR strain with MICs changing from 64 and 256 μg/ml to 0.25 and 64 μg/ml, respectively. Further, the ATP-binding cassette transporter was upregulated by sub-inhibitory concentrations of bacitracin in the wild-type strain. Upregulation ofdltA in the wild-type strain was also observed and thought to explain the increased resistance to antimicrobial peptides. DltA, an enzyme involved in D-alanylation during the synthesis of wall teichoic acids, which mediates reduced antimicrobial susceptibility, was previously shown to be regulated by thebceR-type regulator inStaphylococcus aureus. In a murine infection model, we found that the ΔbceR mutation significantly reduced the mortality rate compared to that with the wild-type strain (p < 0.01). Moreover, this mutant was more susceptible to oxidative stress compared to the wild-type strain (p < 0.001) and was associated with reduced biofilm formation (p < 0.0001). Based on 2-DGE and mass spectrometry, we showed that downregulation of alkyl hydroperoxide reductase (AhpC), a Gls24 family stress protein, and alcohol dehydrogenase (Adh) in the ΔbceR strain might explain the attenuated virulence and compromised stress response. Together, we showed for the first time that thebceR regulator in GBS plays an important role in bacitracin and antimicrobial peptide resistance, virulence, survival under oxidative stress, and biofilm formation.

Keywords: Group B Streptococcus; antimicrobial peptide resistance; bceR; infection; stress response; two component system; virulence.

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Figures

Figure 1
Figure 1
Proposed organization structure of BceRS system and working model in GBS. AMPs that usually function by pore formation in the membrane (bacitracin was used in this figure), bacitracin bind to the anionic loop of BceS and cause the phosphorylation of BceR, which result in the activation of BceR regulated AMPs resistance in GBS. (1) up-regulated the expression of the transporter BceAB to facilitate the resistance by expelling the bacitracin(left). (2)D-alanylation of teichoic acids by thedlt system, which in turn decreased negative charge of the bacterial membrane and ensure the resistance(right).
Figure 2
Figure 2
Relative expression ofbceA,bceB,dltA, andmprF(A–D) in GBS strains with addition of bacitracin. Genes expression ofbceA,bceB,dltA, andmprF in wild type GBS III-4 strain, CU_GBS_08 (bacitracin MIC 64 μg/ml), isogenic mutant (CU_GBS_08_ΔbceR, bacitracin MIC 0.25 μg/ml), and non-invasive GBS III-4 strain CU_GBS_12 (bacitracin MIC 0.25 μg/ml) were shown. GBS strains without treatment were normalized to 1. Error bars represent the standard deviation of the mean values from three independent experiments. Significance was determined by one-way ANOVA (p < 0.05,∗∗∗∗p < 0.0001).
Figure 3
Figure 3
Effect ofbceR deletion on proliferation of PBMCs. PBMCs were cultured in 25 μg/ml heat-killed GBS strains for 24 h, with phytohaemagglutinin (PHA) (10 μg/ml) only. Cell proliferation was determined by fluorescence intensity. Three independent experiments were performed and the mean ± SD was illustrated with the error bar. Statistical significance atp < 0.05,∗∗p < 0.01,∗∗∗∗p < 0.0001 were reached when GBS wild type strain was compared to the mutant (CU_GBS_08_ΔbceR). The mitogenicity effect between the wild type and ΔbceR strain was most significant at 72 h (p < 0.001).
Figure 4
Figure 4
Release of TNF-α, IL-6, IL-8, IL-1β, IL-10, and IL-12(A–F) from human lymphocytes as induced by wild type GBS and ΔbceR strain. Heat-killed GBS extract (5 μg/ml) (invasive strain CU_GBS_08; CU_GBS_08_ΔbceR; CU_GBS_08_ΔbceR+pbceR,bceR complementation strain) was incubated with human lymphocytes. Cytokine release was measured at 3, 6, 12, and 24 h. LPS represents the lipopolysaccharide control. Data are expressed as mean ± SD (∗∗p < 0.01,∗∗∗p < 0.001,∗∗∗∗p < 0.0001).
Figure 5
Figure 5
Kaplan–Meier survival curve. Survival rate was calculated at 10 days post-intraperitoneal injection. The difference in survival rate between CU_GBS_08 strain (wild type) and CU_GBS_08_ΔbceR strain is statistically significant with P< 0.01 by Fisher’s exact test.
Figure 6
Figure 6
Effect of H2O2 stress on GBS. The ΔbceR was significantly more susceptibility to H2O2 (40 mM) exposure than wild type (p < 0.05,∗∗∗p < 0.001).
Figure 7
Figure 7
Evaluation the role of two-component regulatorbceR on biofilm formation in GBS using crystal violet staining(A) and bacterial counting(B). Bacteria stained with crystal violet were measured at OD595. Significance was determined by one-way ANOVA (p < 0.05,∗∗∗p < 0.001,∗∗∗∗p < 0.0001).
Figure 8
Figure 8
Photographs of 2-DE gel in wild type(A) and ΔbceR strain(B) GBS strain. Red circles showed the proteins that found to have significantly decreased expression in ΔbceR strain. They were identified as alkyl hydroperoxide reductase (AhpC), The Gls24 family stress protein (Gls24), and alcohol dehydrogenase (Adh), respectively, by mass spectrometry. The gel photos were normalized and compared using software PDQuest (Version8.0.1, Bio-Rad, United States), Boolean method was chosen for detecting the proteins with statistic significantly difference in expression between GBS III-4 wild type and mutant strains.
Figure 9
Figure 9
Application of the 2-ΔΔCT method. The experiment was conducted to validate the effect ofbceR gene knockout on the expression of candidate genes.ahpC, alkyl hydroperoxide reductase;gls24, gls24 family general stress protein;adh, zinc-dependent alcohol dehydrogenase. Error bars represent the standard deviation of the mean values from at least three replicate.
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