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Published on: September 8, 2021
Beta-lactam resistance in Staphylococcus aureus cells that do not require a cell wall for integrity
Elizabeth Fuller1, Catherine Elmer, Fiona Nattress
1University Hospital of North Durham, United Kingdom.
This study shows that Staphylococcus aureus can develop stable penicillin and methicillin resistance by growing with defective cell walls. This resistance occurs without typical resistance genes, suggesting a novel survival mechanism.
Area of Science:
- Microbiology
- Bacterial Pathogenesis
- Antibiotic Resistance
Background:
- Staphylococcus aureus is a significant human pathogen.
- Antibiotic resistance in S. aureus poses a global health threat.
- Understanding novel resistance mechanisms is crucial for developing new treatments.
Purpose of the Study:
- To investigate the development of penicillin and methicillin resistance in Staphylococcus aureus.
- To characterize the mechanism of resistance in cell wall-defective variants.
- To explore the role of cell wall integrity in antibiotic resistance.
Main Methods:
- Generating cell wall-defective S. aureus using high osmolality medium and sublethal penicillin G.
- Assessing antibiotic resistance (penicillin, methicillin) post-antibiotic removal.
- Analyzing resistance mechanisms, including mecA, beta-lactamase, and pbp gene mutations.
- Evaluating cell wall properties and osmotic stability of resistant strains.
Main Results:
- S. aureus ATCC 9144 developed stable, homogeneous penicillin and methicillin resistance after growth in sublethal penicillin G.
- Resistance acquisition was enhanced by transient cell wall-defective growth.
- Resistant cells were mecA-negative, beta-lactamase-negative, and lacked pbp gene mutations.
- Resistant cells exhibited diffuse, lysostaphin-resistant, but Triton X-100-sensitive cell walls and osmotic stability independent of intact cell walls.
Conclusions:
- Staphylococcus aureus can acquire stable penicillin and methicillin resistance through a mechanism not dependent on typical resistance genes.
- Transient cell wall-defective growth facilitates the development of this novel resistance.
- These resistant cells are osmotically stable without an intact cell wall and can readily adapt to penicillin G presence.
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