Modification of outer membrane protein profile and evidence suggesting an active drug pump in Enterobacter aerogenes
Stéphane Gayet1, Renaud Chollet, Gérard Molle
1EA2197-IFR 48, Faculté de Médecine, 13385 Marseille Cedex 05. UMR 5048, CNRS, U554 INSERM, 34090 Montpellier, France.
Abstract:
Two clinical strains of Enterobacter aerogenes that exhibited phenotypes of multiresistance to beta-lactam antibiotics, fluoroquinolones, chloramphenicol, tetracycline, and kanamycin were investigated. Both strains showed a porin pattern different from that of a susceptible strain, with a drastic reduction in the amount of the major porin but with an apparently conserved normal structure (size and immunogenicity), together with overproduction of two known outer membrane proteins, OmpX and LamB. In addition, the full-length O-polysaccharide phenotype was replaced by a semirough Ra phenotype. Moreover, in one isolate the intracellular accumulation of chloramphenicol was increased in the presence of the energy uncoupler carbonyl cyanide m-chlorophenylhydrazone, suggesting an energy-dependent efflux of chloramphenicol in this strain. The resistance strategies used by these isolates appear to be similar to that induced by stress in Escherichia coli cells.
Insights
Multidrug-resistant Enterobacter aerogenes strains exhibit altered outer membrane proteins and O-polysaccharide, suggesting stress-induced resistance mechanisms similar to Escherichia coli.
Area of Science:
- Microbiology
- Molecular Biology
- Drug Resistance
Background:
- Enterobacter aerogenes is a clinically significant pathogen.
- Multidrug resistance (MDR) in bacteria poses a major public health threat.
- Understanding resistance mechanisms is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the molecular mechanisms underlying multidrug resistance in two clinical isolates of Enterobacter aerogenes.
- To characterize the outer membrane protein profiles and O-polysaccharide structures of resistant strains.
- To explore potential efflux pump involvement in chloramphenicol resistance.
Main Methods:
- Phenotypic analysis of antibiotic resistance.
- Outer membrane protein profiling using SDS-PAGE.
- O-polysaccharide characterization.
- Analysis of intracellular drug accumulation in the presence of carbonyl cyanide m-chlorophenylhydrazone.
Main Results:
- Both resistant strains displayed a reduced major porin and overproduced OmpX and LamB outer membrane proteins.
- A semirough Ra O-polysaccharide phenotype was observed, replacing the full-length O-polysaccharide.
- One isolate showed increased intracellular chloramphenicol accumulation with an uncoupler, indicating energy-dependent efflux.
- Resistance strategies resembled those induced by stress in Escherichia coli.
Conclusions:
- Alterations in outer membrane porins and O-polysaccharide contribute to multidrug resistance in Enterobacter aerogenes.
- Energy-dependent efflux may play a role in chloramphenicol resistance.
- The observed resistance mechanisms are analogous to stress responses in Escherichia coli, highlighting conserved bacterial defense strategies.
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