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Published on: May 23, 2020
Multidrug Adaptive Resistance of Pseudomonas aeruginosa Swarming Cells
Shannon R Coleman1, Travis Blimkie1, Reza Falsafi1
1Center for Microbial Diseases and Immunity Research, Department of Microbiology and Immunology, University of British Columbia, Vancouver, Canada.
Abstract:
Swarming surface motility is a complex adaptation leading to multidrug antibiotic resistance and virulence factor production in Pseudomonas aeruginosa Here, we expanded previous studies to demonstrate that under swarming conditions, P. aeruginosa PA14 is more resistant to multiple antibiotics, including aminoglycosides, β-lactams, chloramphenicol, ciprofloxacin, tetracycline, trimethoprim, and macrolides, than swimming cells, but is not more resistant to polymyxin B. We investigated the mechanism(s) of swarming-mediated antibiotic resistance by examining the transcriptomes of swarming cells and swarming cells treated with tobramycin by transcriptomics (RNA-Seq) and reverse transcriptase quantitative PCR (qRT-PCR). RNA-Seq of swarming cells (versus swimming) revealed 1,581 dysregulated genes, including 104 transcriptional regulators, two-component systems, and sigma factors, numerous upregulated virulence and iron acquisition factors, and downregulated ribosomal genes. Strain PA14 mutants in resistome genes that were dysregulated under swarming conditions were tested for their ability to swarm in the presence of tobramycin. In total, 41 mutants in genes dysregulated under swarming conditions were shown to be more resistant to tobramycin under swarming conditions, indicating that swarming-mediated tobramycin resistance was multideterminant. Focusing on two genes downregulated under swarming conditions, both prtN and wbpW mutants were more resistant to tobramycin, while the prtN mutant was additionally resistant to trimethoprim under swarming conditions; complementation of these mutants restored susceptibility. RNA-Seq of swarming cells treated with subinhibitory concentrations of tobramycin revealed the upregulation of the multidrug efflux pump MexXY and downregulation of virulence factors.
Insights
Swarming motility in Pseudomonas aeruginosa enhances resistance to many antibiotics, but not polymyxin B. This multideterminant resistance involves numerous gene dysregulations, including specific mutations conferring tobramycin and trimethoprim resistance.
Area of Science:
- Microbiology
- Bacterial Pathogenesis
- Antimicrobial Resistance
Background:
- Swarming surface motility in *Pseudomonas aeruginosa* is linked to increased virulence and antibiotic resistance.
- Previous studies indicated swarming enhances resistance, but mechanisms remain incompletely understood.
Purpose of the Study:
- To investigate the transcriptomic changes associated with swarming in *P. aeruginosa* PA14.
- To identify genes and pathways contributing to swarming-mediated antibiotic resistance.
Main Methods:
- Transcriptomic analysis (RNA-Seq) of swarming versus swimming *P. aeruginosa* PA14 cells.
- Gene expression analysis of swarming cells treated with tobramycin.
- Mutant analysis of dysregulated genes for antibiotic resistance phenotypes during swarming.
- Reverse transcriptase quantitative PCR (qRT-PCR) for gene expression validation.
Main Results:
- Swarming cells exhibited increased resistance to multiple antibiotics (aminoglycosides, β-lactams, etc.) but not polymyxin B.
- RNA-Seq revealed 1,581 dysregulated genes in swarming cells, including regulators, virulence factors, and ribosomal genes.
- 41 mutants in dysregulated genes showed enhanced tobramycin resistance during swarming, confirming multideterminant resistance.
- Mutants in *prtN* and *wbpW* displayed increased tobramycin resistance, with *prtN* also showing trimethoprim resistance.
- Tobramycin treatment upregulated the MexXY efflux pump and downregulated virulence factors in swarming cells.
Conclusions:
- Swarming motility significantly enhances *P. aeruginosa*'s resistance to a broad spectrum of antibiotics through complex genetic regulation.
- Specific gene dysregulations, including downregulation of *prtN* and *wbpW*, contribute to antibiotic resistance during swarming.
- The MexXY efflux pump plays a role in tobramycin resistance under swarming conditions.
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