Apt (Adenine Phosphoribosyltransferase) Mutation in Laboratory-Selected Vancomycin-Intermediate Staphylococcus aureus

Reena Lamichhane-Khadka1,2, Santosh Dulal1, Jesus A Cuaron1

  • 1Department of Biology, New Mexico State University, Las Cruces, NM 88003, USA.

Insights

Mutations in the adenine phosphoribosyltransferase (apt) gene contribute to reduced vancomycin susceptibility in Staphylococcus aureus. This finding suggests altered purine metabolism plays a role in vancomycin-intermediate Staphylococcus aureus (VISA) development.

Area of Science:

  • Microbiology
  • Genomics
  • Molecular Biology

Background:

  • Vancomycin is a critical antibiotic for treating Staphylococcus aureus infections.
  • Emergence of vancomycin-intermediate Staphylococcus aureus (VISA) poses a significant public health threat.
  • Mechanisms underlying VISA development are not fully understood.

Purpose of the Study:

  • To investigate the genomic and transcriptomic changes associated with laboratory-derived vancomycin-intermediate Staphylococcus aureus (VISA) strains.
  • To identify specific genetic mutations and altered gene expression patterns contributing to vancomycin resistance.

Main Methods:

  • Comparative genomic sequencing of VISA strains (MM66-3, MM66-4) and their hetero-VISA parent (MM66).
  • Transcriptional profiling to analyze gene expression changes in VISA strains.
  • Phenotypic characterization including autolysis, growth in salt, virulence factor activity, and susceptibility to Congo red and vancomycin.

Main Results:

  • Unique mutations were identified in apt, ssaA6, and walK genes in VISA strains.
  • Shared transcriptional changes included upregulation of cell envelope genes and downregulation of virulence genes.
  • VISA strains exhibited reduced autolysis, salt tolerance, and virulence factor activity.
  • Mutations in apt were linked to improved growth in adenine/2-fluoroadenine and reduced vancomycin susceptibility.

Conclusions:

  • The adenine phosphoribosyltransferase (apt) gene mutation is a key factor in reduced vancomycin susceptibility.
  • Altered purine metabolism, influenced by apt mutations, contributes to the VISA phenotype.
  • These findings offer new insights into VISA mechanisms and potential therapeutic targets.