Transcriptomics Analysis Uncovers Transient Ceftazidime Tolerance in Burkholderia Biofilms

Supaksorn Chattagul1,2, Mohd M Khan3,4, Alison J Scott5

  • 1Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

Insights

Burkholderia pseudomallei biofilms develop tolerance to ceftazidime (CAZ) by altering gene expression, particularly related to iron-sulfur metabolism and stress responses. Targeting iron metabolism with deferoxamine (DFO) reduced this CAZ tolerance.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • *Burkholderia pseudomallei* causes melioidosis, a severe infectious disease.
  • This bacterium exhibits transient ceftazidime (CAZ) tolerance in biofilms, complicating treatment.
  • Understanding the mechanisms behind this tolerance is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate gene expression changes in *B. pseudomallei* during ceftazidime tolerance in biofilms.
  • To elucidate the mechanistic basis of transient CAZ tolerance in *B. pseudomallei* biofilms.
  • To explore potential therapeutic targets for overcoming CAZ tolerance.

Main Methods:

  • RNA-sequencing was performed on *B. pseudomallei* K96243 in planktonic, biofilm, and planktonic shedding states.
  • Gene expression profiles were compared across different growth conditions and in response to CAZ.
  • RT-qPCR was used to validate the expression of specific genes.
  • The effect of iron chelator deferoxamine (DFO) on biofilm formation and CAZ tolerance was assessed.

Main Results:

  • Significant changes in the expression of 651 genes (10.97%) were observed in biofilm and planktonic shedding states compared to the planktonic state.
  • Highly expressed genes were associated with nitrosative stress response, Fe-S homeostasis, and nitrate respiration.
  • Expression of genes involved in Fe-S cluster biogenesis and DNA-binding of ferritin increased, particularly in late-stage biofilms.
  • Deferoxamine (DFO) treatment significantly reduced biofilm formation and associated CAZ tolerance.

Conclusions:

  • A shift in Fe-S metabolism and stress response gene expression contributes to ceftazidime tolerance in *B. pseudomallei* biofilms.
  • Stabilization of reactive oxygen species (ROS) via altered Fe-S metabolism may limit CAZ tolerance.
  • Targeting iron metabolism presents a potential strategy to overcome CAZ tolerance in melioidosis treatment.

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