Comprehensive analysis of phospholipids and glycolipids in the opportunistic pathogen Enterococcus faecalis
Rafi Rashid1,2, Amaury Cazenave-Gassiot3,4, Iris H Gao1,2
1Singapore Centre on Environmental Life Sciences Engineering, Nanyang Technological University, Singapore, Singapore.
Abstract:
Enterococcus faecalis is a Gram-positive, opportunistic, pathogenic bacterium that causes a significant number of antibiotic-resistant infections in hospitalized patients. The development of antibiotic resistance in hospital-associated pathogens is a formidable public health threat. In E. faecalis and other Gram-positive pathogens, correlations exist between lipid composition and antibiotic resistance. Resistance to the last-resort antibiotic daptomycin is accompanied by a decrease in phosphatidylglycerol (PG) levels, whereas multiple peptide resistance factor (MprF) converts anionic PG into cationic lysyl-PG via a trans-esterification reaction, providing resistance to cationic antimicrobial peptides. Unlike previous studies that relied on thin layer chromatography and spectrophotometry, we have performed liquid chromatography-tandem mass spectrometry (LC-MS/MS) directly on lipids extracted from E. faecalis, and quantified the phospholipids through multiple reaction monitoring (MRM). In the daptomycin-sensitive E. faecalis strain OG1RF, we have identified 17 PGs, 8 lysyl-PGs (LPGs), 23 cardiolipins (CL), 3 glycerophospho-diglucosyl-diacylglycerols (GPDGDAG), 5 diglucosyl-diacylglycerols (DGDAG), 3 diacylglycerols (DAGs), and 4 triacylglycerols (TAGs). We have quantified PG and shown that PG levels vary during growth of E. faecalis in vitro. We also show that two daptomycin-resistant (DapR) strains of E. faecalis have substantially lower levels of PG and LPG levels. Since LPG levels in these strains are lower, daptomycin resistance is likely due to the reduction in PG. This lipidome map is the first comprehensive analysis of membrane phospholipids and glycolipids in the important human pathogen E. faecalis, for which antimicrobial resistance and altered lipid homeostasis have been intimately linked.
Insights
Antibiotic resistance in Enterococcus faecalis is linked to altered lipid composition. This study reveals lower phosphatidylglycerol (PG) levels in daptomycin-resistant strains, suggesting PG reduction contributes to resistance.
Area of Science:
- Microbiology
- Biochemistry
- Molecular Biology
Background:
- Enterococcus faecalis is a significant cause of hospital-associated infections, often exhibiting antibiotic resistance.
- Lipid composition in Gram-positive pathogens like E. faecalis is correlated with antibiotic resistance.
- Daptomycin resistance is associated with decreased phosphatidylglycerol (PG) and altered lysyl-phosphatidylglycerol (LPG) levels.
Purpose of the Study:
- To comprehensively analyze the lipidome of Enterococcus faecalis, focusing on phospholipids and glycolipids.
- To investigate the relationship between lipid composition, particularly PG and LPG, and daptomycin resistance in E. faecalis.
- To establish a lipidome map for E. faecalis using advanced mass spectrometry techniques.
Main Methods:
- Lipids were extracted from E. faecalis strains.
- Liquid chromatography-tandem mass spectrometry (LC-MS/MS) was employed for lipid identification and quantification.
- Multiple reaction monitoring (MRM) was used to quantify phospholipids, including PG and LPG.
Main Results:
- A comprehensive lipidome map of E. faecalis was generated, identifying numerous PG, LPG, cardiolipin, and other lipid species.
- Phosphatidylglycerol (PG) levels were quantified and shown to vary during in vitro growth.
- Daptomycin-resistant (DapR) E. faecalis strains exhibited substantially lower levels of both PG and LPG.
Conclusions:
- Reduced levels of phosphatidylglycerol (PG) are strongly implicated in daptomycin resistance in E. faecalis.
- This study provides the first detailed lipidome analysis of E. faecalis, linking lipid homeostasis to antimicrobial resistance.
- The findings highlight the potential of targeting lipid metabolism for combating antibiotic-resistant E. faecalis infections.
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