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PmrA Mutations in Drug-Resistant Acinetobacter baumannii Affect Sensor Kinase-Response Regulator Interaction and
Felicia E Jaimes1, Alexander D Hondros1, Jude Kinkead1
1Department of Biochemistry & Molecular Biology, Brody School of Medicine, East Carolina University, 600 Moye Blvd, Greenville, NC 27858, USA.
Abstract:
Multi-drug resistance in Acinetobacter baumannii poses a significant human health threat. For multidrug-resistant pathogens, 'last line of defense' antibiotics like the polymyxins are implemented. Concerningly, polymyxin-resistance is evidenced in Acinetobacter baumannii and is mediated by the PmrAB two-component system. The response regulator PmrA upregulates pmrC, leading to lipooligosaccharide modifications that reduce polymyxin binding. Sequencing of A. baumannii resistant isolates has identified point mutations in the receiver domain of PmrA that correlate with increased resistance. To investigate functional impacts of these mutations, we characterized five PmrA mutations (D10N, M12I, I13M, G54E, and S119T) by assessing changes in PmrA DNA-binding affinity, dimerization, phosphorylation, and structure. Our findings suggest that these mutations impact the ability of PmrA to receive the activating phosphoryl group from the sensor kinase PmrB. The slow phosphoryl uptake is likely due to (1) disruption of the PmrB-PmrA interaction by interfering with the recognition site on PmrA, or (2) perturbation of PmrA's active site via steric hindrance or displacement of residues and ions necessary for coordination within the aspartic acid pocket. Slowed phosphorylation of a response regulator can lead to enhanced gene transcription through several mechanisms. These insights advance our understanding of PmrA-mediated resistance in A. baumannii.
Insights
Mutations in the PmrA protein of Acinetobacter baumannii reduce its ability to receive a key activating signal, leading to increased resistance against polymyxin antibiotics. This impacts last-resort drug effectiveness.
Area of Science:
- Microbiology
- Molecular Biology
- Biochemistry
Background:
- Multidrug resistance in Acinetobacter baumannii is a critical public health concern.
- Polymyxins are last-line antibiotics, but resistance is emerging in A. baumannii.
- Polymyxin resistance is linked to the PmrAB two-component system, involving PmrA-mediated lipooligosaccharide modification.
Purpose of the Study:
- To investigate the functional impact of specific PmrA mutations found in resistant A. baumannii isolates.
- To understand how these mutations affect PmrA's interaction with PmrB and its phosphorylation status.
Main Methods:
- Characterization of five PmrA mutations (D10N, M12I, I13M, G54E, S119T).
- Assessed changes in PmrA DNA-binding affinity, dimerization, phosphorylation, and structure.
- Evaluated the impact on PmrA's interaction with the sensor kinase PmrB.
Main Results:
- The studied PmrA mutations impair the protein's ability to accept a phosphoryl group from PmrB.
- This impaired phosphorylation may result from disrupted PmrB-PmrA interaction or perturbation of PmrA's active site.
- Slowed phosphorylation can potentially enhance PmrA-mediated gene transcription.
Conclusions:
- PmrA mutations conferring polymyxin resistance in A. baumannii affect its phosphorylation mechanism.
- Understanding these molecular mechanisms is crucial for combating antibiotic resistance.
- These findings provide insights into PmrA-regulated resistance pathways in Acinetobacter baumannii.
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