Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae
Neisseria gonorrhoeae exhibits alarming antibiotic resistance trends and poses a significant challenge in therapeutic management. This study aimed to explore the association of penA alleles with penicillin-binding protein (PBP) occupancy patterns and reduced outer membrane permeability, impacting su...
| Authors: | ; ; ; ; ; ; ; |
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| Format: | Article |
| Publication date: | 2024 |
| Country: | España |
| Institution: | Conselleria de Salut i Consum del Govern de les Illes Balears |
| Repository: | Docusalut |
| Language: | English |
| OAI Identifier: | oai:docusalut.com:20.500.13003/21574 |
| Online Access: | https://hdl.handle.net/20.500.13003/21574 |
| Access Level: | Open access |
| Keyword: | beta-Lactam Resistance Bacterial Proteins Neisseria gonorrhoeae Anti-Bacterial Agents Microbial Sensitivity Tests Penicillin-Binding Proteins Humans beta-Lactams Gonorrhea Proteínas de Unión a las Penicilinas Pruebas de Sensibilidad Microbiana Gonorrea Humanos beta-Lactamas Proteínas Bacterianas Antibacterianos Resistencia betalactámica |
| _version_ | 1878733639482605568 |
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| author | López-Argüello, Silvia |
| author2 | Alcoceba Cruixent, Eva Ordóñez, Paula Taltavull, Biel Cabot, Gabriel Gomis Font, Maria Antònia Oliver, Antonio Moya, Bartolome |
| author2_role | author author author author author author author |
| author_browse | Alcoceba Cruixent, Eva Cabot, Gabriel Gomis Font, Maria Antònia López-Argüello, Silvia Moya, Bartolome Oliver, Antonio Ordóñez, Paula Taltavull, Biel |
| author_facet | López-Argüello, Silvia Alcoceba Cruixent, Eva Ordóñez, Paula Taltavull, Biel Cabot, Gabriel Gomis Font, Maria Antònia Oliver, Antonio Moya, Bartolome |
| author_role | author |
| collection | Docusalut |
| description | Neisseria gonorrhoeae exhibits alarming antibiotic resistance trends and poses a significant challenge in therapeutic management. This study aimed to explore the association of penA alleles with penicillin-binding protein (PBP) occupancy patterns and reduced outer membrane permeability, impacting susceptibility to last-line cephalosporins and potential β-lactam candidates. The whole genome sequence, the MICs and PBP IC50s were determined for 12 β-lactams and β-lactamase inhibitors in 8 clinical isolates with varying β-lactam sensitivity, 2 ATCC, and 3 WHO cephalosporin-resistant reference strains. The genetic analysis identified diverse determinants of β-lactam resistance including penA, ponA, porB, and mtrR alterations. Mosaic penA alleles were confirmed to be key determinants of cephalosporin resistance, with notable impacts on PBP2 IC50 affinities (in the presence of all PBPs). Substitutions in positions V316 and A501 exhibited significant effects on β-lactam PBP2 occupancy and MICs. PBP1 inhibition showed marginal effect on β-lactam sensitivity and PBP3 acted as a sink target. Ertapenem and piperacillin emerged as potential therapies against cephalosporin-resistant N. gonorrhoeae strains, along with combination therapies involving tazobactam and/or efflux inhibitors. The study determined the β-lactam PBP-binding affinities of last-line cephalosporins and alternative β-lactam candidates in strains carrying different penA alleles for the first time. These findings provide insights for developing new antimicrobial agents and enhancers against emerging resistant strains. Further research is warranted to optimize therapeutic interventions for cephalosporin-resistant N. gonorrhoeae infections. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_5a1fae218dedbbd28f23bb9e9a1dee64 |
| institution | Conselleria de Salut i Consum del Govern de les Illes Balears |
| instname_str | Conselleria de Salut i Consum del Govern de les Illes Balears |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:docusalut.com:20.500.13003/21574 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| publisher | Plos |
| publisherStr | Plos |
| reponame_str | Docusalut |
| spelling | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae López-Argüello, Silvia Alcoceba Cruixent, Eva Ordóñez, Paula Taltavull, Biel Cabot, Gabriel Gomis Font, Maria Antònia Oliver, Antonio Moya, Bartolome beta-Lactam Resistance Bacterial Proteins Neisseria gonorrhoeae Anti-Bacterial Agents Microbial Sensitivity Tests Penicillin-Binding Proteins Humans beta-Lactams Gonorrhea Proteínas de Unión a las Penicilinas Pruebas de Sensibilidad Microbiana Gonorrea Humanos beta-Lactamas Proteínas Bacterianas Antibacterianos Resistencia betalactámica Neisseria gonorrhoeae exhibits alarming antibiotic resistance trends and poses a significant challenge in therapeutic management. This study aimed to explore the association of penA alleles with penicillin-binding protein (PBP) occupancy patterns and reduced outer membrane permeability, impacting susceptibility to last-line cephalosporins and potential β-lactam candidates. The whole genome sequence, the MICs and PBP IC50s were determined for 12 β-lactams and β-lactamase inhibitors in 8 clinical isolates with varying β-lactam sensitivity, 2 ATCC, and 3 WHO cephalosporin-resistant reference strains. The genetic analysis identified diverse determinants of β-lactam resistance including penA, ponA, porB, and mtrR alterations. Mosaic penA alleles were confirmed to be key determinants of cephalosporin resistance, with notable impacts on PBP2 IC50 affinities (in the presence of all PBPs). Substitutions in positions V316 and A501 exhibited significant effects on β-lactam PBP2 occupancy and MICs. PBP1 inhibition showed marginal effect on β-lactam sensitivity and PBP3 acted as a sink target. Ertapenem and piperacillin emerged as potential therapies against cephalosporin-resistant N. gonorrhoeae strains, along with combination therapies involving tazobactam and/or efflux inhibitors. The study determined the β-lactam PBP-binding affinities of last-line cephalosporins and alternative β-lactam candidates in strains carrying different penA alleles for the first time. These findings provide insights for developing new antimicrobial agents and enhancers against emerging resistant strains. Further research is warranted to optimize therapeutic interventions for cephalosporin-resistant N. gonorrhoeae infections. Plos https://hdl.handle.net/20.500.13003/21574 |
| spellingShingle | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae López-Argüello, Silvia beta-Lactam Resistance Bacterial Proteins Neisseria gonorrhoeae Anti-Bacterial Agents Microbial Sensitivity Tests Penicillin-Binding Proteins Humans beta-Lactams Gonorrhea Proteínas de Unión a las Penicilinas Pruebas de Sensibilidad Microbiana Gonorrea Humanos beta-Lactamas Proteínas Bacterianas Antibacterianos Resistencia betalactámica |
| title | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae |
| title_full | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae |
| title_fullStr | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae |
| title_full_unstemmed | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae |
| title_short | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae |
| title_sort | Differential contribution of PBP occupancy and efflux on the effectiveness of β-lactams at their target site in clinical isolates of Neisseria gonorrhoeae |
| topic | beta-Lactam Resistance Bacterial Proteins Neisseria gonorrhoeae Anti-Bacterial Agents Microbial Sensitivity Tests Penicillin-Binding Proteins Humans beta-Lactams Gonorrhea Proteínas de Unión a las Penicilinas Pruebas de Sensibilidad Microbiana Gonorrea Humanos beta-Lactamas Proteínas Bacterianas Antibacterianos Resistencia betalactámica |
| topic_facet | beta-Lactam Resistance Bacterial Proteins Neisseria gonorrhoeae Anti-Bacterial Agents Microbial Sensitivity Tests Penicillin-Binding Proteins Humans beta-Lactams Gonorrhea Proteínas de Unión a las Penicilinas Pruebas de Sensibilidad Microbiana Gonorrea Humanos beta-Lactamas Proteínas Bacterianas Antibacterianos Resistencia betalactámica |
| url | https://hdl.handle.net/20.500.13003/21574 |