Determinants of intrinsic aminoglycoside resistance in Pseudomonas aeruginosa

Thomas Krahn1, Christie Gilmour, Justin Tilak

  • 1Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Ontario, Canada.

Insights

Researchers identified genes in Pseudomonas aeruginosa that, when disrupted, increase susceptibility to multiple aminoglycoside antibiotics. This finding sheds light on the complex mechanisms of antibiotic resistance in this bacterium.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • Pseudomonas aeruginosa is an opportunistic pathogen known for its intrinsic resistance to many antibiotics.
  • Aminoglycosides are a class of antibiotics crucial for treating P. aeruginosa infections, but resistance is a growing concern.

Purpose of the Study:

  • To identify genes in P. aeruginosa that contribute to intrinsic resistance against multiple aminoglycoside antibiotics.
  • To understand the mechanisms underlying this resistance, focusing on cell envelope permeability and membrane integrity.

Main Methods:

  • Screening of a transposon insertion mutant library of P. aeruginosa for enhanced susceptibility to paromomycin.
  • Characterization of identified mutants using deletion analysis, gene complementation, and assessment of aminoglycoside uptake and cytoplasmic membrane potential.
  • Investigating the role of identified genes in both intrinsic and acquired resistance by testing clinical isolates.

Main Results:

  • Disruption of genes involved in lipid biosynthesis (lptA, faoA), phosphate uptake (pstB), two-component regulation (amgRS, PA2797-PA2798), and a gene of unknown function (PA0392) enhanced susceptibility to multiple aminoglycosides.
  • Increased susceptibility was not due to altered aminoglycoside permeation of the cell envelope.
  • Several mutants exhibited increased cytoplasmic membrane depolarization upon gentamicin exposure, suggesting increased membrane susceptibility to damage.
  • Combinations of gene deletions further increased aminoglycoside susceptibility, indicating complex interactions within the resistome.
  • Deletion of these genes reduced the high-level aminoglycoside resistance in clinical P. aeruginosa isolates.

Conclusions:

  • Several novel genes contribute to the intrinsic pan-aminoglycoside resistance of P. aeruginosa.
  • The resistance mechanism involves increased susceptibility of the cytoplasmic membrane to antibiotic-induced damage rather than reduced uptake.
  • These identified genes are important targets for understanding and potentially overcoming aminoglycoside resistance in P. aeruginosa, including in clinical settings.

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