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A Fluorescence-based Method to Study Bacterial Gene Regulation in Infected Tissues
Published on: February 19, 2019
Thymidine-dependent Staphylococcus aureus small-colony variants are associated with extensive alterations in
Barbara C Kahl1, Gunnar Belling, Petra Becker
1Institute of Medical Microbiology, University Clinics of Muenster, Domagkstr. 10, 48149 Muenster, Germany. kahl@uni-muenster.de
Abstract:
Chronic airway infection is a hallmark of cystic fibrosis (CF) and many CF patients are infected persistently by Staphylococcus aureus. Thymidine-dependent trimethoprim-sulfamethoxazole (SXT)-resistant S. aureus small-colony variants (SCVs), often in combination with isogenic normal S. aureus phenotypes, are highly prevalent and persistent in airway secretions of CF patients due to long-term SXT therapy (B. Kahl, M. Herrmann, A. S. Everding, H. G. Koch, K. Becker, E. Harms, R. A. Proctor, and G. Peters, J. Infect. Dis. 177:1023-1029, 1998). In this report, SCVs were compared to normal S. aureus by transcription analysis of important regulator (sigB, sarA, and agr) and virulence (alpha-hemolysin, hla, and protein A, spa) genes. Growth curve analyses revealed longer doubling times and lower final densities for SCVs than for normal strains. sigB activity was measured by transcription analysis of the sigB target gene asp23. For nearly all SCVs, expression of all regulators was decreased as assessed by asp23 reverse transcription-PCR for sigB and Northern analysis for sarA and agr. These results are in agreement with diminished hla signals in all SCVs and increased spa signals in 5 of 10 SCVs compared to the isogenic normal S. aureus. Both supplementation of SCVs with thymidine and activation of the agr quorum-sensing system by the supernatant of the isogenic normal strain reversed transcription to almost normal levels. In conclusion, multiple changes in growth characteristics and in regulator and virulence gene expression render SCVs less virulent and allow them to survive in the hostile environment present in the airways of CF patients, thereby illustrating adaptation of the bacteria during long-term persistence.
Insights
Small-colony variants (SCVs) of Staphylococcus aureus are thymidine-dependent and resistant to trimethoprim-sulfamethoxazole (SXT). These SCVs exhibit reduced virulence gene expression and altered growth, aiding their persistence in cystic fibrosis airways.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Chronic airway infection is characteristic of cystic fibrosis (CF).
- Staphylococcus aureus, particularly trimethoprim-sulfamethoxazole (SXT)-resistant small-colony variants (SCVs), frequently causes persistent infections in CF patients.
- Long-term SXT therapy contributes to the prevalence of SXT-resistant S. aureus SCVs.
Purpose of the Study:
- To compare the transcriptional profiles of regulator and virulence genes in S. aureus SCVs versus normal strains.
- To investigate the impact of SCV characteristics on bacterial adaptation and survival in the CF airway environment.
Main Methods:
- Growth curve analyses were performed to assess doubling times and final densities.
- Transcriptional analysis, including reverse transcription-PCR and Northern analysis, was used to measure the expression of key regulator genes (sigB, sarA, agr) and virulence genes (hla, spa).
- The effect of thymidine supplementation and agr quorum-sensing system activation on SCV gene expression was evaluated.
Main Results:
- SCVs displayed longer doubling times and lower final densities compared to normal S. aureus strains.
- Expression of regulator genes (sigB, sarA, agr) was significantly decreased in nearly all SCVs.
- Virulence gene expression showed diminished alpha-hemolysin (hla) signals in all SCVs and increased protein A (spa) signals in some SCVs.
- Thymidine supplementation and agr activation partially restored gene transcription to normal levels.
Conclusions:
- Multiple alterations in growth characteristics and regulator/virulence gene expression contribute to the reduced virulence of S. aureus SCVs.
- These adaptations enable SCVs to survive in the challenging CF airway environment, highlighting bacterial adaptation during chronic persistence.
- Understanding these mechanisms is crucial for developing strategies to combat persistent S. aureus infections in cystic fibrosis.
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