1. Proteomic Changes of Klebsiella pneumoniae in Response to Colistin Treatment and crrB Mutation-Mediated Colistin Resistance
- Author
-
Lang Sun, Xiaojing Guo, Tanxi Cai, Yinlei Bai, Zhensheng Xie, Pernille Kronholm Rasmussen, Xuefu You, Jifeng Wang, Nali Zhu, Xiang Ding, Finn Kirpekar, Xiulan Chen, Lili Niu, and Fuquan Yang
- Subjects
Proteomics ,medicine.drug_class ,Klebsiella pneumoniae ,Polymyxin ,Mutant ,Microbial Sensitivity Tests ,medicine.disease_cause ,Microbiology ,Lipid A ,Polymyxin resistance ,03 medical and health sciences ,Bacterial Proteins ,Mechanisms of Resistance ,Drug Resistance, Bacterial ,medicine ,polycyclic compounds ,Pharmacology (medical) ,Multidrug efflux pump KexD ,030304 developmental biology ,Pharmacology ,0303 health sciences ,Mutation ,biology ,030306 microbiology ,Chemistry ,Colistin ,Lipid A modification ,β-lactamase ,biology.organism_classification ,Anti-Bacterial Agents ,Infectious Diseases ,CrrB mutation ,lipids (amino acids, peptides, and proteins) ,Efflux ,Bacteria ,medicine.drug - Abstract
Polymyxins are increasingly used as the critical last-resort therapeutic options for multidrug-resistant Gram-negative bacteria. Unfortunately, polymyxin resistance has increased gradually over the past few years. Although studies on polymyxin mechanisms are expanding, systemwide analyses of the underlying mechanism for polymyxin resistance and stress response are still lacking. To understand how Klebsiella pneumoniae adapts to colistin (polymyxin E) pressure, we carried out proteomic analysis of a K. pneumoniae strain cultured with different concentrations of colistin. Our results showed that the proteomic responses to colistin treatment in K. pneumoniae involve several pathways, including (i) gluconeogenesis and the tricarboxylic acid (TCA) cycle, (ii) arginine biosynthesis, (iii) porphyrin and chlorophyll metabolism, and (iv) enterobactin biosynthesis. Interestingly, decreased abundances of class A β-lactamases, including TEM, SHV-11, and SHV-4, were observed in cells treated with colistin. Moreover, we present comprehensive proteome atlases of paired polymyxin-susceptible and -resistant K. pneumoniae strains. The polymyxin-resistant strain Ci, a mutant of K. pneumoniae ATCC BAA 2146, showed a missense mutation in crrB. This crrB mutant, which displayed lipid A modification with 4-amino-4-deoxy-L-arabinose (L-Ara4N) and palmitoylation, showed striking increases in the expression of CrrAB, PmrAB, PhoPQ, ArnBCADT, and PagP. We hypothesize that crrB mutations induce elevated expression of the arnBCADTEF operon and pagP via PmrAB and PhoPQ. Moreover, the multidrug efflux pump KexD, which was induced by crrB mutation, also contributed to colistin resistance. Overall, our results demonstrated proteomic responses to colistin treatment and the mechanism of CrrB-mediated colistin resistance, which may offer valuable information on the management of polymyxin resistance.
- Published
- 2020
- Full Text
- View/download PDF