Previous Article | Next Article 
Antimicrobial Agents and Chemotherapy, March 2005, p. 973-980, Vol. 49, No. 3
0066-4804/05/$08.00+0 doi:10.1128/AAC.49.3.973-980.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Molecular Analysis of Resistance to Streptogramin A Compounds Conferred by the Vga Proteins of Staphylococci
Olivier Chesneau,1*
Heidi Ligeret,1
Negin Hosan-Aghaie,1
Anne Morvan,1 and
Elie Dassa2
Unité des Staphylocoques,1
Unité des Membranes Bactériennes, Institut Pasteur, Paris, France2
Received 4 May 2004/
Returned for modification 15 August 2004/
Accepted 26 October 2004

ABSTRACT
The Vga and Msr resistance determinants, encoded by mobile genetic
elements in various staphylococcal strains, belong to a family
of ATP-binding cassette (ABC) proteins whose functions and structures
are ill defined. Their amino acid sequences are similar to those
of proteins involved in the immunity of streptomycetes to the
macrolide-lincosamide-streptogramin antibiotics that they produce.
Sequence analysis of the genomes of the gram-positive bacteria
with low G+C contents revealed that Lmo0919 from
Listeria monocytogenes is more closely related to Vga variants than to Msr variants.
In the present study we compared the antibiotic resistance profiles
conferred by the Vga-like proteins in two staphylococcal hosts.
It was shown that Vga(A), the Vga(A) variant [Vga(A)v], and
Lmo0919 can confer resistance to lincosamides and streptogramin
A compounds, while only Vga(B) is able to increase the level
of resistance to pristinamycin, a mixture of streptogramin A
and streptogramin B compounds. By using polyclonal antibodies,
we found that the Vga(A) protein colocalized with the ß
subunit of the F
1-F
0 ATPase in the membrane fractions of staphylococcal
cells. In order to identify functional units in these atypical
ABC proteins, such as regions that might be involved in substrate
specificity and/or membrane targeting, we analyzed the resistance
phenotypes conferred by various plasmids carrying parts or modified
versions of the
vga(A) gene and we determined the subcellular
localization of the gene products. Only polypeptides composed
of two ABC domains were detected in the cell membranes. No region
of drug specificity was identified. Resistance properties were
dependent on the integrities of both Walker B motifs.

INTRODUCTION
ATP-binding cassette (ABC) systems share a highly conserved
ATP-binding and -hydrolyzing domain or protein. More than 95%
of the ABC systems are transporters made up of two hydrophobic
transmembrane domains associated with two hydrophilic ATP-binding
domains (
18). Antibiotic resistance mediated by ABC systems
is usually attributable to efflux pumps containing these four
core domains (
19,
21,
23,
28,
31,
41). By contrast, a growing
number of proteins that confer resistance to macrolide, lincosamide,
and streptogramin (MLS) antibiotics consist of a single polypeptide
chain carrying two fused hydrophilic ABC domains (for a review,
see reference
33). They form a distinct subfamily named ARE
(for antibiotic resistance) in the phylogenetic and functional
classification of the ABC proteins (
6).
Many members of the ARE subfamily have been found in MLS producers, such as Car(A) in Streptomyces thermotolerans, Srm(B) in Streptomyces ambofaciens, Tlr(C) in Streptomyces fradiae, Ole(B) in Streptomyces antibioticus, and Lmr(C) in Streptomyces lincolnensis (for a review, see reference 28). Others have been described in pathogens, mainly gram-positive bacteria, where they are either encoded by transposable elements, such as Mel or Orf5 in streptococci (10, 13, 37), or by the chromosome, such as Lsa recently characterized in Enterococcus faecalis (38) and Msr(C) in Enterococcus faecium (32, 39).
The assumption that ABC proteins of the ARE subfamily are parts of efflux pumps mediating resistance is based on transport experiments with radioactively labeled derivatives of the antibiotics. After an initial uptake phase, a decrease in the cell-associated radioactivity is observed, and this decrease is strongly inhibited by respiratory chain and proton motive force inhibitors (30, 34). However, since the ribosomes provide the main driving force for MLS uptake, it cannot be ruled out that the observed efflux is a consequence of an ABC-mediated change of the affinity of the ribosomes toward drugs. Moreover, and despite the efforts of several groups, the putative permeases that are expected to interact with such ABC proteins in order to form a canonical ABC transporter have not been identified so far (33, 35).
The Vga proteins encoded by plasmids or transposons in staphylococci belong to the ARE subfamily of ABC systems. Vga(A), the Vga(A) variant [Vga(A)v], and Vga(B) were initially reported to be determinants of resistance to streptogramin A (SGA) compounds (1, 3, 4, 11, 15). Msr(A) is responsible for inducible resistance to erythromycin (ERY) and type B streptogramins (SGBs) but not to lincosamides or 16-membered-ring macrolides (26, 27, 34, 35). The Vga(A) and Msr(A) proteins exhibit structural similarities but have distinct drug specificities. To study the basis of these specificities and the sequence-function relationships in this group of proteins, we analyzed the properties of Vga(A) and of other Vga(A)-related proteins: Vga(A)v, Vga(B), and a protein-coding open reading frame (ORF), Lmo0919, from Listeria monocytogenes. The role of the ABC domains of Vga(A) was investigated by generating clones for further analysis. The relevant phenotypes and subcellular localization of the proteins are reported and provide prospects for future investigations that might be helpful in understanding the mechanism of resistance.
(This work was presented in part at the 43rd Interscience Conference on Antimicrobial Agents and Chemotherapy, Chicago, Ill., 14 to 17 September 2003 [O. Chesneau, H. Ligeret, N. Hosan-Aghaie, E. Dassa, and N. El Solh, Abstr. 43rd Intersci. Conf. Antimicrob. Agents Chemother., abstr. C1-2071, 2003].)

MATERIALS AND METHODS
Strains and growth conditions.
Escherichia coli strains XL-2 Blue (Stratagene, Cedar Creek,
Tex.) and PM9, which is a derivative of strain JM109 carrying
a deletion of the
malE gene (
9), were used for the large-scale
preparation of plasmids and expression of the MalE-fusion protein,
respectively.
Staphylococcus aureus RN4220 (
22) and
Staphylococcus epidermidis BM3302 (
12), both of which are susceptible to MLS
antibiotics, were used as recipient strains in the transformation
experiments. Three clinical isolates were investigated:
S. aureus BM3327 and
S. epidermidis BM10385, which are resistant to SGA
by the presence of the
vga(A)
v and
vga(A) genes, respectively
(
16,
25), and
S. epidermidis IPF69, which is resistant to ERY
and SGB by the presence of the
msr(A) gene.
E. coli strains and staphylococci were grown in Luria medium and brain heart infusion (BHI) broth or agar (Becton Dickinson, le Pont de Claix, France), respectively, supplemented as necessary with antibiotics. Bacterial growth was monitored by measuring the optical density of the cell suspension at 600 nm. Transformation of the staphylococcal strains was performed as described previously (2, 7).
Chemicals and reagents.
Ampicillin, kanamycin, and chloramphenicol were purchased from Sigma (Lisle d'Abeau, Chesnes, France). The other antibiotics were kindly provided by their manufacturers: lincomycin (LC) and clindamycin (CLI) were provided by Pharmacia & Upjohn (Kalamazoo, Mich.); and the two components of pristinamycin (PT), with PTI as the SGB compound and PTII as the SGA compound, were provided by Aventis-Pharma (Vitry-sur Seine, France). Antibiotic disks came from Bio-Rad (Marnes-la-Coquette, France) or Eurobio (les Ulis, France). Disks of the SGA and SGB compounds, which contained 20 µg of PTII and 40 µg of PTI, respectively, were homemade. Isopropyl-ß-D-thiogalactopyranoside (IPTG) was from Euromedex (Mundolsheim, France).
Restriction enzymes, T4 DNA ligase, alkaline phosphatase, and antiprotease cocktail were from Roche Diagnostics (Mannheim, Germany). Amylose resin was supplied by New England BioLabs (Beverly, Mass.), and enhanced chemiluminescence detection products, including polyvinylidene difluoride membranes, were from Amersham Biosciences (Little Chalfont, England). Size markers were a 1-kb DNA ladder (BioLabs) for agarose gel electrophoresis and Rainbow (Amersham) for sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Protein concentrations were determined with a bicinchoninic acid kit (Pierce, Rockford, Ill.) with bovine serum albumin (Sigma) as the standard. Lysostaphin was from Ambi UK (Trowbridge, England). Lysozyme and all the other chemical reagents were from Sigma.
DNA manipulations.
All plasmids were constructed by common cloning techniques (36). Extraction of the DNA fragments separated by agarose gel electrophoresis was carried out with a Gene-Clean II kit (Bio 101, La Jolla, Calif.). Sequencing reactions and synthesis of the oligodeoxynucleotides (Table 1) were performed by Genome-Express (Meylan, France). The mutagenic primers were designed and used according to the guidelines supplied with the reagents of the QuikChange site-directed mutagenesis kit (Stratagene). High-fidelity DNA synthesis was done with Pfu DNA polymerase (Stratagene). The PCR assays were run on a Crocodile III apparatus (Appligène, Illkirch, France) with thermocycling conditions that varied according to the length of the DNA fragment amplified. Amplicons of the expected size were cloned into pCR4 (Invitrogen, Carlsbad, Calif.) and were sequenced to verify the integrity of the gene constructs. Inserts were subcloned into vectors of the pRB series, which enabled propagation of the plasmid constructs in staphylococci (7). Because transformation of S. epidermidis yielded more plasmid-less small-colony variants on kanamycin plates than that of S. aureus, pRB474 (with the cat gene as a resistance marker) was used instead of pRB374 (with the aadD gene as a resistance marker) throughout the study (Table 2).
The wild-type
vga(A) gene was amplified from plasmid pIP1617
(
4). The resulting BamHI-EcoRI-digested product was inserted
into pRB374, leading to pIP1707 (Fig.
1A). Two rounds of site-directed
mutagenesis were then performed to remove undesirable XbaI and
BamHI sites and to add an EcoRI site between the ribosome-binding
site (RBS) and the translation start of
vga(A), leading to pIP1748
(Fig.
1B). Plasmid pIP1835, obtained by subcloning the HindIII-XbaI
fragment of pIP1748 into pRB474, was the basis of all subsequent
modifications. This plasmid codes for the N-terminal half of
Vga(A) (Fig.
1C). Plasmids pIP1845, pIP1837, and pIP1867, which
express the wild-type Vga(A) protein, the C-terminal half of
Vga(A), and the Lmo0919 protein, respectively, resulted from
the replacement of the EcoRI fragment of pIP1835 by the corresponding
EcoRI-digested PCR products. Plasmid pIP1846, which directs
the independent expression of the two halves of Vga(A), was
obtained by subcloning a KpnI-digested PCR product encompassing
the RBS and the distal half of
vga(A) from pIP1837 into the
unique KpnI site of pIP1835. Plasmids that encode chimeric proteins
were constructed by using the internal XbaI site of the
vga(A)
gene as a frontier for domain shuffling (
4). The proximal half
of the
msr(A) gene, which contains an additional XbaI site at
the 3' end of the sequence, was amplified and digested with
EcoRI to replace the EcoRI fragment of pIP1835, leading to pIP1873
(Fig.
1D). XbaI-digested PCR products of the distal half of
msr(A) were inserted into the unique XbaI sites of pIP1835 and
pIP1873. The resulting plasmids, pIP1879 and pIP1880, respectively,
encode the N-terminal ABC domain of Vga(A) fused to the C-terminal
domain of Msr(A) and a full-length Msr(A) protein in which histidine
281 is replaced by leucine (H281L), respectively. This change
in the amino acid sequence of Msr(A) was due to the creation
of the XbaI site within the nucleotide sequence of the gene.
The 900-bp XbaI fragment from plasmid pIP1739 (see below), which
encodes the C-terminal half of Vga(A), was inserted into the
unique XbaI site of pIP1873 to generate the fusion of the N-terminal
ABC domain of Msr(A) with the C-terminal domain of Vga(A). Plasmids
pIP1861 and pIP1863, which carry the
vga(B) and
vga(A)
v genes,
respectively, were constructed by subcloning HindIII-KpnI and
BamHI-KpnI fragments from pIP1717 (
3) and pIP1810 (
15), respectively,
into pRB474. All the gene constructs were therefore under the
control of the
Bacillus subtilis vegII promoter (
7), and all
but the last two constructions were placed 9 nucleotides downstream
of the RBS of
vga(A) (Fig.
1).
Expression and purification of the MalE fusion protein.
The MalE fusion pMal-c0 expression vector was a modified version
of pMal-c2 (New England Biolabs). In pMal-c0, the polylinker
at the 5' end of the
malE gene was replaced by the authentic
malE sequence (J.-M. Clément, unpublished data). The
EcoRI fragment of pIP1746 carrying the
vga(A) gene was inserted
into pMal-c0 at the EcoRI site. The orientation of the insert,
in frame with the 3' end of the
malE gene, was confirmed by
restriction mapping. The resulting plasmid, pIP1739, was transformed
into
E. coli PM9. Cultures of a transformant were induced with
0.2 mM IPTG, and the MalE-Vga(A) fusion protein was observed
at 100 kDa in Coomassie blue-stained gels (data not shown).
Cells were broken in a French press at 16,000 lb/in
2, and the
fusion protein was purified from the lysate on amylose resin
by standard protocols. A total of 6 mg of protein, which eluted
from the column as a single peak, was obtained from 2 liters
of culture. The purity of the eluate was checked by SDS-PAGE.
The size of the purified protein, which reacted with an antibody
elicited against MalE, was consistent with that expected for
the hybrid protein. The final preparation was dialyzed against
phosphate-buffered saline, concentrated to 1.5 ml, and injected
into rabbits to raise antisera.
Production of antibodies directed against MalE-Vga(A).
Two New Zealand rabbits were immunized by intradermal injection of 200 µg of antigen preparation in Freund's complete adjuvant. The immune response was boosted with the same dose of proteins in Freund's incomplete adjuvant given subcutaneously every 2 weeks for 1.5 months. Serum samples were then taken twice weekly. The animals were bled 3 weeks after the last immunization. Antibodies were purified on a protein A-Sepharose column.
Susceptibility tests.
The MICs of lincosamides and streptogramins were determined in triplicate by the twofold dilution method with Mueller-Hinton agar and 104 CFU per spot after 24 h of incubation at 37°C. The concentrations of antibiotics ranged from 0.064 to 512 µg/ml. Disk diffusion assays carried out with various antibiotics were used in parallel for each recombinant strain to check the purity of the bacterial culture.
Preparation and analysis of cell fractions.
Cultures of staphylococci were grown in brain heart infusion medium at 37°C with vigorous shaking until the absorbance at 600 nm reached 0.7 units. Cells from 50-ml cultures were harvested by centrifugation at 5,000 x g for 10 min at 4°C, washed once in 50 mM Tris (pH 7.5), and resuspended in 1/10 of the same buffer with 30% (wt/vol) sucrose. Protoplasts were prepared by using 1 mg of lysostaphin per liter and 5 mg of lysozyme per liter at 37°C for 20 min. The protoplast pellets were lysed in 2 ml of buffer consisting of 50 mM Tris (pH 7.5), 150 mM NaCl, 10 mM MgCl2, and 20 mM dithiothreitol, hereafter called the sample buffer, in the presence of 15 µg of protease inhibitors per ml and with the help of ultrasonic disruption for 3 min in 30-s pulses at 4°C. Unbroken cells and debris were removed by centrifugation at 16,000 x g for 4 min, and the lysates were ultracentrifuged in a Beckman TL-100 instrument. Membranes were isolated by centrifugation at 30,000 x g for 30 min, and ribosomes were separated from the cytoplasm by centrifugation at 150,000 x g for 1 h. Because the membranes and ribosomes were resuspended in 200 µl of sample buffer, the cytosolic fractions were 10 times as dilute as both particulate fractions. For SDS-PAGE analysis, each sample was mixed with an identical volume of 2x Laemmli buffer and boiled for 5 min. Gels (10% [wt/vol] acrylamide) in Tris-glycine buffer were loaded with 1 volume of membranes and ribosomes and 10 volumes of the cytosolic fractions. Runs were performed at room temperature under a constant current of 40 mA. Proteins were either stained with Coomassie brilliant blue R-250 (Sigma) or transferred to a polyvinylidene difluoride membrane (Amersham).
Immunoblotting was carried out with antibodies directed against MalE-Vga(A) and with two antiserum samples used as controls for cellular fractionation. The first was raised against the ß subunit of the F1 protein of E. coli ATP synthase, and the second was raised against the L24 protein from B. subtilis. The working dilutions of these antibodies were 1/400 for those reacting against MalE and Vga(A), 1/15,000 for those reacting against anti-F1ß, and 1/1,000 for those reacting against anti-L24. Anti-rabbit or anti-mouse immunoglobulin G-peroxidase conjugates were diluted 10,000-fold. Bound peroxidase activity was revealed with enhanced chemiluminescence substrates on Fuji HR-E30 films.

RESULTS AND DISCUSSION
Phenotypes conferred by wild-type genes.
The MICs of lincosamides (LC and CLI) and streptogramins (SGA,
SGB, and PT) were determined for two staphylococcal hosts,
S. aureus RN4220 and
S. epidermidis BM3302, carrying
vga(A)-related
genes (Table
2). The
vga(A) gene conferred high-level resistance
to SGA (MIC = 32 µg/ml) in
S. aureus, whatever the vector
used. The
vga(A)
v gene, which is more prevalent than
vga(A)
among clinical isolates of this species (
17), was not more efficient
at conferring resistance (MIC = 32 µg/ml). These findings
were described earlier (
4,
15). The MICs of SGA due to the presence
of
vga(A) or
vga(A)
v were the same for
S. epidermidis. Interestingly,
we observed that
vga(A) or
vga(A)
v was able to confer low-level
resistance to LC (MICs = 4 and 8 µg/ml for
S. aureus and
S. epidermidis, respectively). This resistance-conferring trait
of
vga(A) was not described in previous analyses because of
the presence of a constitutively expressed
erm(C) gene in the
vector pOX300 (
4). Each gene,
vga(A) or
vga(A)
v, conferred a
slight increase in the basal level of resistance to CLI (MIC
from 0.125 to 1 µg/ml for
S. epidermidis and from 0.125
to 0.25 µg/ml for
S. aureus). This phenotype is similar
to that conferred by the
lsa gene in
Enterococcus faecalis,
although the levels of resistance to lincosamides were much
lower for staphylococci with the
vga(A) and the
vga(A)
v genes
(
38). We suggest, therefore, that
vga(A) or its variant,
vga(A)
v,
is involved in the LSA phenotype occasionally found among staphylococcal
isolates (
14,
17,
24).
Neither vga(A) nor vga(A)v was able to confer resistance to PT, which is a mixture of 70% SGA and 30% SGB. Conversely, we found that vga(B) determines a large increase in the level of resistance to PT (MIC from 0.125 to 2 µg/ml for S. epidermidis), while it confers low-level resistance to SGA (MIC = 4 µg/ml). To the best of our knowledge, this has never been described. The detection of this gene in clinical strains might therefore be of importance for prediction of the in vivo activity of quinupristin-dalfopristin (2, 11, 17, 24).
A search for protein sequences similar to the sequences of the Vga proteins led us to identify a L. monocytogenes protein-coding ORF, Lmo0919, which displays 41% amino acid identity with Vga(A) (Fig. 2). This ORF is chromosomally borne, and no gene encoding transmembrane proteins was found in its vicinity. When lmo0919 was cloned on pRB474, it was able to confer resistance to SGA (MIC = 8 µg/ml for both hosts) and LC (MIC = 4 µg/ml for S. epidermidis). This phenotype is similar to that conferred by vga(A) and vga(A)v in the same hosts, although the levels of resistance are lower. The slight difference might be due to the less efficient expression of lmo0919 in the staphylococcal background. A less efficient interaction with a putative partner encoded by the host chromosome could be another explanation. Nevertheless, we postulate that Lmo0919 contributes to the intrinsic resistance of Listeria strains to SGA compounds and lincosamide antibiotics (5, 40). We are attempting to inactivate the lmo0919 gene in L. monocytogenes CLIP72401 to further document the antibiotic resistance-conferring properties of this chromosomal gene.
The amino acid sequences of the five proteins analyzed in the
present study exhibited from 45 to 85% similarity in pairwise
comparisons. Conserved regions found universally in ABC proteins
were present, such as the Walker A and B motifs and the signature
motif involved in ATP binding and hydrolysis; the switch motif,
which could also be involved in ATP hydrolysis; and the LID
motif, which has been shown to be essential for the interaction
of the MalK ABC ATPase with its membrane partners, MalF and
MalG, in the
E. coli maltose transporter (
29). Except for Msr(A),
which is 488 amino acids (aa) in length, all the other Vga(A)-related
proteins had a lysine- and aspartate-rich C-terminal region.
One of the common traits of Vga(A), Vga(A)v, and Lmo0919 (522,
524, and 523 aa, respectively) is the 22-aa deletion found in
a region between the LID motif and the signature motifs of the
N-terminal ABC domain. Vga(B) and Msr(A) do not present such
deletions (Fig.
2). Despite this, it is rather difficult to
correlate the sequence-structure traits of these proteins with
their specificities for MLS antibiotics. We suspect, however,
that the two halves of the Vga(A)-related proteins are involved
in separate functions, given their structural dissimilarities.
Immune detection and subcellular localization of Vga(A) protein.
Since many ABC systems are known to be involved in the import or export of a wide variety of substances, the Vga(A) protein and similar systems have been thought to be part of classical transporters that expel the MLS antibiotics from bacteria (11, 34). However, this assumption has not been confirmed by establishment of the membrane localization of these proteins or by characterization of any partner that might anchor the ABC proteins in the bacterial membranes. We thus analyzed the subcellular localization of Vga(A) by using the antiserum raised against MalE-Vga(A).
Lysates obtained from S. aureus RN4220 and BM3327 and S. epidermidis BM3302, BM10385, and IPF69 were probed with the antibodies. Because of smearing problems due to protein A, only the S. epidermidis strains were used for Western blot analyses. There were few cross-reactive bands in S. epidermidis BM3302 (Fig. 3, lane 2). Lysates of strain BM3302 transformed by vga(A) gave, as expected, a band of 58 kDa that reacted with the antibodies (Fig. 3, lane 3). This band was probably the Vga(A) protein, since its size corresponded to that predicted. It was observed that Vga(A)v strongly cross-reacted with the polyclonal antiserum (Fig. 3, lane 5), whereas Vga(B) and Lmo0919 did not (Fig. 3, lanes 4 and 6).
Fractionation of cells from clinical isolates BM10385 and IPF69,
which express the
vga(A) and the
msr(A) genes, respectively,
from their native promoters, showed that Vga(A) colocalized
with the ß subunit of the F
1-F
0 ATPase in the membrane
fraction (Fig.
4). No trace of Vga(A) was detectable in the
cytosolic or the ribosomal fractions analyzed. To the best of
our knowledge, there are no previous reports of the membrane
localization of Vga(A)-related systems in bacteria of medical
interest. Since Msr(A) does not cross-react with the antibodies
raised against Vga(A), we cannot draw a conclusion about the
subcellular localization of Msr(A) in staphylococci.
A similar experiment was performed with laboratory strain BM3302
transformed with pIP1845, which expresses
vga(A) under the control
of the constitutive
vegII promoter. Most of the antibody-reacting
material of this strain was detected in the membrane fraction
(Fig.
5). However, it is worth mentioning that approximately
10 to 20% of the Vga(A) protein was also detected in the cytosolic
fraction (Fig.
5, lanes 3 and 7). This result was probably due
to overexpression of the
vga(A) gene from
vegII and might suggest
that the putative membrane proteins, which were expected to
form a canonical ABC transporter with Vga(A), are present in
limiting amounts. Olano et al. (
30) showed that Ole(B) partitions
equally between the membrane and the cytosolic fractions in
Streptomyces. Their observation and our findings give credence
to the hypothesis that Vga(A) and, probably, Msr(A) are able
to interact with the membranes of staphylococci.
Membrane targeting and expression of resistance.
It has been reported that either one of the two ABC domains
of Ole(B) is sufficient to confer resistance to oleandomycin
(
30). Moreover, it was demonstrated that the N-terminal ABC
domain of Ole(B) is able to recognize oleandomycin (
8). To test
the possibility that each ABC domain of Vga(A) would behave
similarly in conferring resistance to SGA, we constructed truncated
versions of
vga(A) by subcloning each half of the gene on separate
plasmids. When the two plasmids were transformed into
S. aureus and
S. epidermidis, neither was able to confer resistance to
any of the antibiotics tested (Table
2). In this respect, Vga(A)
behaves like Msr(A), whose N-and C-terminal domains were found
to be unable to promote erythromycin resistance (
35). Moreover,
each half of Vga(A) was expressed but was found exclusively
in the cytosolic fraction of the cells (Fig.
5, lanes 1, 2,
5, and 6). These truncated proteins were unable to reach the
membrane, probably because signals present in both moieties
are needed to target the membrane. We also constructed plasmid
pIP1846, in which the two halves were coexpressed in the same
cells. This plasmid is also unable to confer resistance to the
antibiotics tested, suggesting that the two halves of Vga(A)
cannot interact together in order to reconstitute a functional
system.
The Vga(A) protein consists of two ABC domains fused into a single polypeptide. In order to establish whether ATP hydrolysis is needed for resistance to SGA, we mutated an aspartate residue in either one of the two Walker B motifs of Vga(A). This quasi-invariant residue is in close contact with the
-phosphate of ATP in crystallized ABC proteins, such as HisP (20). Vga(A) proteins carrying substitutions of D104 or D409 for lysine were unable to confer resistance to SGA (Table 2). This result demonstrates that the two ATP-binding sites of Vga(A) are needed for the protein to function. To further document this finding, we analyzed the subcellular localization of the plasmid-encoded proteins in S. epidermidis BM3302. Approximately 80% of the Vga(A) proteins with mutations in either one of the two Walker B motifs were found in the cell membrane fractions, as was also found for the wild-type protein (Fig. 6). Susceptibility to SGA and lincosamide antibiotics was therefore due to inactive rather than misexpressed or mislocated proteins.
Vga(A) and Msr(A) have been characterized as determinants of
resistance to SGA and SGB, respectively. Since no transmembrane
domains, which are known to be responsible for substrate specificity
in ABC transporters, have been identified in these proteins,
the substrate specificity might be determined by sequences found
within the ABC proteins. To address this question, we constructed
two chimeras fusing portions of the
vga(A) and the
msr(A) genes.
DNA fragments encoding the N- and C-terminal halves of the Msr(A)
protein was amplified from strain IPF69. These fragments were
combined with similar fragments amplified from the
vga(A) gene.
As a control, the
msr(A) fragments were fused in order to reconstitute
a full-length
msr(A) gene. The plasmid constructs were transformed
into
S. aureus RN4220 and
S. epidermidis BM3302. The modified
version of
msr(A) promoted resistance to SGB (MICs = 128 and
256 µg/ml for
S. aureus and
S. epidermidis, respectively)
at levels similar to that conferred by the
msr(A) gene in clinical
strains (
26,
27,
34,
35). None of the two chimeras was able
to confer resistance to any of the antibiotics tested (Table
2). A fractionation experiment performed with the
S. epidermidis transformants showed that the two hybrid proteins were expressed,
as they were recognized by the antibodies directed against Vga(A)
(Fig.
6). The Vga(A)-Msr(A) chimera migrated faster than the
other hybrid because of the shorter lengths of the Vga(A) N-terminal
ABC domain and the Msr(A) C-terminal domain. The hybrid proteins
displayed the same pattern of subcellular localization as the
wild-type Vga(A).
In conclusion, the ABC domains of Vga(A), although dissimilar, must be present on the same polypeptide to confer resistance to SGA and lincosamide antibiotics. Only this mode of assembly, even between fused heterologous ABC domains from Vga(A) and Msr(A), can interact with the membranes of staphylococci. We do not know how such an interaction is mediated, but we propose that an as yet unidentified membrane protein encoded by the chromosome could act as an anchor for Vga(A). This hypothesis is in line with the observation that Lmo0919 from Listeria is less efficient than Vga(A) in conferring antibiotic resistance when it is expressed in Staphylococcus. Further analysis of the functional properties of this group of ABC proteins will be required in order to achieve a better understanding of their modes of functioning. We demonstrated here that modification of either one of the two Walker B motifs of Vga(A) suppresses resistance properties without altering the membrane localization of the protein. More work is needed, especially fundamental studies investigating the molecular basis of antibiotic(s) recognition.

ACKNOWLEDGMENTS
O.C. thanks N. El Solh for continuous support during this work.
We thank J.-M. Clément, C. Jacquet, and I. Podglajen
for the gift of plasmid pMal-c0,
L. monocytogenes CLIP72401,
and
S. epidermidis IPF69, respectively. We are also grateful
to K.-H. Altendorf and F. Le Hégarat for providing us
antibodies directed against the ß subunit of the F1
protein and against the ribosomal L24 protein, respectively.

FOOTNOTES
* Corresponding author. Mailing address: Unité des Agents Antibactériens, Institut Pasteur, 28 rue du Docteur Roux, 75724 Paris Cedex 15, France. Phone: (33) 1 45 68 35 88. Fax: (33) 1 45 68 83 19. E-mail:
chesneau{at}pasteur.fr.


REFERENCES
1 - Allignet, J., S. Aubert, A. Morvan, and N. El Solh. 1996. Distribution of genes encoding resistance to streptogramin A and related compounds among staphylococci resistant to these antibiotics. Antimicrob. Agents Chemother. 40:2523-2528.[Abstract]
2 - Allignet, J., and N. El Solh. 1995. Diversity among the gram-positive acetyltransferases inactivating streptogramin A and structurally related compounds and characterization of a new staphylococcal determinant, vatB. Antimicrob. Agents Chemother. 39:2027-2036.[Abstract]
3 - Allignet, J., and N. El Solh. 1997. Characterization of a new staphylococcal gene, vgaB, encoding a putative ABC transporter conferring resistance to streptogramin A and related compounds. Gene 202:133-138.[CrossRef][Medline]
4 - Allignet, J., V. Loncle, and N. El Solh. 1992. Sequence of a staphylococcal plasmid gene, vga, encoding a putative ATP-binding protein involved in resistance to virginiamycin A-like antibiotics. Gene 117:45-51.[CrossRef][Medline]
5 - Aureli, P., A. M. Ferrini, V. Mannoni, S. Hodzic, C. Wedell-Weergaard, and B. Oliva. 2003. Susceptibility of Listeria monocytogenes isolated from food in Italy to antibiotics. Int. J. Food Microbiol. 83:325-330.[CrossRef][Medline]
6 - Bouige, P., D. Laurent, L. Piloyan, and E. Dassa. 2002. Phylogenetic and functional classification of ATP-binding cassette (ABC) systems. Curr. Protein Pept. Sci. 3:541-559.[CrossRef][Medline]
7 - Brückner, R. 1992. A series of shuttle vectors for Bacillus subtilis and Escherichia coli. Gene 122:187-192.[CrossRef][Medline]
8 - Buche, A., C. Mendez, and J. A. Salas. 1997. Interaction between ATP, oleandomycin and the OleB ATP-binding cassette transporter of Streptomyces antibioticus involved in oleandomycin secretion. Biochem. J. 321:139-144.
9 - Clément, J. M., and O. Popescu. 1991. MalE as a tool for the production of heterologous proteins in Escherichia coli. Bull. Inst. Pasteur 89:243-253.
10 - Del Grosso, M., F. Iannelli, C. Messina, M. Santagati, N. Petrosillo, S. Stefani, G. Pozzi, and A. Pantosti. 2002. Macrolide efflux genes mef(A) and mef(E) are carried by different genetic elements in Streptococcus pneumoniae. J. Clin. Microbiol. 40:774-778.[Abstract/Free Full Text]
11 - El Solh, N., and J. Allignet. 1998. Staphylococcal resistance to streptogramins and related antibiotics. Drug Resist. Updates 1:169-175.[CrossRef][Medline]
12 - El Solh, N., J. Allignet, R. Bismuth, B. Buret, and J. M. Fouace. 1986. Conjugative transfer of staphylococcal antibiotic resistance markers in the absence of detectable plasmid DNA. Antimicrob. Agents Chemother. 30:161-169.[Abstract/Free Full Text]
13 - Gay, K., and D. S. Stephens. 2001. Structure and dissemination of a chromosomal insertion element encoding efflux in Streptococcus pneumoniae. J. Infect. Dis. 184:56-65.[CrossRef][Medline]
14 - Hamilton-Miller, J. M. T., and S. Shah. 2000. Patterns of phenotypic resistance to the macrolide-lincosamide-ketolide-streptogramin group of antibiotics in staphylococci. J. Antimicrob. Chemother. 46:941-949.[Abstract/Free Full Text]
15 - Haroche, J., J. Allignet, C. Buchrieser, and N. El Solh. 2000. Characterization of a variant of vga(A) conferring resistance to streptogramin A and related compounds. Antimicrob. Agents Chemother. 44:2271-2275.[Abstract/Free Full Text]
16 - Haroche, J., J. Allignet, and N. El Solh. 2002. Tn5406, a new staphylococcal transposon conferring resistance to streptogramin A and related compounds including dalfopristin. Antimicrob. Agents Chemother. 46:2337-2343.[Abstract/Free Full Text]
17 - Haroche, J., A. Morvan, M. Davi, J. Allignet, F. Bimet, and N. El Solh. 2003. Clonal diversity among streptogramin A-resistant Staphylococcus aureus isolates collected from French hospitals. J. Clin. Microbiol. 41:586-591.[Abstract/Free Full Text]
18 - Higgins, C. F., and K. J. Linton. 2001. Structural biology. The xyz of ABC transporters. Science 293:1782-1784.[Free Full Text]
19 - Huda, N., E.-W. Lee, J. Chen, Y. Morita, T. Kuroda, T. Mizushima, and T. Tsuchiya. 2003. Molecular cloning and characterization of an ABC multidrug efflux pump, VcaM, in non-O1 Vibrio cholerae. Antimicrob. Agents Chemother. 47:2413-2417.[Abstract/Free Full Text]
20 - Hung, L. W., I. X. Wang, K. Nikaido, P. Q. Liu, G. F. Ames, and S. H. Kim. 1998. Crystal structure of the ATP-binding subunit of an ABC tranporter. Nature 396:703-707.[CrossRef][Medline]
21 - Kobayashi, N., K. Nishino, and A. Yamaguchi. 2001. Novel macrolide-specific ABC-type efflux transporter in Escherichia coli. J. Bacteriol. 183:5639-5644.[Abstract/Free Full Text]
22 - Kreiswirth, B. N., S. Lofdahl, M. J. Bethey, M. O'Reilly, P. M. Schlievert, M. S. Bergdoll, and R. P. Novick. 1983. The toxic shock exotoxin structural gene is not detectably transmitted by a prophage. Nature 346:362-365.
23 - Lee, E.-W., M. N. Huda, T. Kuroda, T. Mizushima, and T. Tsuchiya. 2003. EfrAB, an ABC multidrug efflux pump in Enterococcus faecalis. Antimicrob. Agents Chemother. 47:3733-3738.[Abstract/Free Full Text]
24 - Lina, G., A. Quaglia, M.-E. Reverdy, R. Leclercq, F. Vandenesch, and J. Etienne. 1999. Distribution of genes encoding resistance to macrolides, lincosamides, and streptogramins among staphylococci. Antimicrob. Agents Chemother. 43:1062-1066.[Abstract/Free Full Text]
25 - Loncle, V., A. Casetta, A. Buu-Hoï, and N. El Solh. 1993. Analysis of pristinamycin-resistant Staphylococcus epidermidis isolates responsible for an outbreak in a Parisian hospital. Antimicrob. Agents Chemother. 37:2159-2165.[Abstract/Free Full Text]
26 - Matsuoka, M., K. Endou, H. Kobayashi, M. Inoue, and Y. Nakajima. 1998. A plasmid that encodes three genes for resistance to macrolide antibiotics in Staphylococcus aureus. FEMS Microbiol. Lett. 167:221-227.[CrossRef][Medline]
27 - Matsuoka, M., L. Janosi, K. Endou, and Y. Nakajima. 1999. Cloning and sequences of inducible and constitutive macrolide resistance genes in Staphylococcus aureus that correspond to an ABC transporter. FEMS Microbiol. Lett. 181:91-100.[CrossRef][Medline]
28 - Mendez, C., and J. A. Salas. 1998. ABC transporters in antibiotic-producing actinomycetes. FEMS Microbiol. Lett. 158:1-8.[Medline]
29 - Mourez, M., M. Hofnung, and E. Dassa. 1997. Subunit interactions in ABC transporters: a conserved sequence in hydrophobic membrane proteins of periplasmic permeases defines an important site of interaction with the ATPase subunits. EMBO J. 16:3066-3077.[CrossRef][Medline]
30 - Olano, C., A. M. Rodrigues, C. Mendez, and J. A. Salas. 1995. A second ABC transporter is involved in oleandomycin resistance and its secretion by Streptomyces antibioticus. Mol. Microbiol. 16:333-343.[CrossRef][Medline]
31 - Poelarends, G. J., P. Mazurkiewicz, M. Putman, R. H. Cool, H. W. van Veen, and W. N. Konings. 2000. An ABC-type multidrug transporter of Lactococcus lactis possesses an exceptionally broad substrate specificity. Drug Resist. Updates 3:330-334.[CrossRef][Medline]
32 - Portillo, A., F. Ruiz-Larrea, M. Zarazaga, A. Alonso, J. L. Martinez, and C. Torres. Macrolide resistance genes in Enterococcus spp. Antimicrob. Agents Chemother. 44:967-971.
33 - Reynolds, E., J. I. Ross, and J. H. Cove. 2003. Msr(A) and related macrolide/streptogramin resistance determinants: incomplete transporters? Int. J. Antimicrob. Agents 22:228-236.[CrossRef][Medline]
34 - Ross, J. I., E. A. Eady, J. H. Cove, W. J. Cunliffe, S. Baumberg, and J. C. Wootton. 1990. Inducible erythromycin resistance in staphylococci is encoded by a member of the ATP-binding transport super-gene family. Mol. Microbiol. 4:1207-1214.[CrossRef][Medline]
35 - Ross, J. I., E. A. Eady, J. H. Cove, and S. Baumberg. 1996. Minimal functional system required for expression of erythromycin resistance by msrA in Staphylococcus aureus RN4220. Gene 183:143-148.[CrossRef][Medline]
36 - Sambrook, J., E. F. Fritsch, and T. Maniatis. 1989. Molecular cloning: a laboratory manual, 2nd ed. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.
37 - Santagati, M., F. Iannelli, M. R. Oggioni, S. Stefani, and G. Pozzi. 2000. Characterization of a genetic element carrying the macrolide efflux gene mef(A) in Streptococcus pneumoniae. Antimicrob. Agents Chemother. 44:2585-2587.[Abstract/Free Full Text]
38 - Singh, K. V., G. M. Weinstock, and B. E. Murray. 2002. An Enterococcus faecalis ABC homologue (Lsa) is required for the resistance of this species to clindamycin and quinupristin-dalfopristin. Antimicrob. Agents Chemother. 46:1845-1850.[Abstract/Free Full Text]
39 - Singh, K. V., K. Malathum, and B. E. Murray. 2001. Disruption of an Enterococcus faecium species-specific gene, a homologue of acquired macrolide resistance genes of staphylococci, is associated with an increase in macrolide susceptibility. Antimicrob. Agents Chemother. 45:263-266.[Abstract/Free Full Text]
40 - Troxler, R., A. von Graevenitz, G. Funke, B. Wiedemann, and I. Stock. 2000. Natural antibiotic susceptibility of Listeria species: L. grayi, L. innocua, L. ivanovii, L. monocytogenes, L. seeligeri and L. welshimeri strains. Clin. Microbiol. Infect. Dis. 6:525-535.
41 - Tsuda, H., Y. Yamashita, Y. Shibata, Y. Nakano, and T. Koga. 2002. Genes involved in bacitracin resistance in Streptococcus mutans. Antimicrob. Agents Chemother. 46:3756-3764.[Abstract/Free Full Text]
Antimicrobial Agents and Chemotherapy, March 2005, p. 973-980, Vol. 49, No. 3
0066-4804/05/$08.00+0 doi:10.1128/AAC.49.3.973-980.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
This article has been cited by other articles:
-
Gentry, D. R., McCloskey, L., Gwynn, M. N., Rittenhouse, S. F., Scangarella, N., Shawar, R., Holmes, D. J.
(2008). Genetic Characterization of Vga ABC Proteins Conferring Reduced Susceptibility to Pleuromutilins in Staphylococcus aureus. Antimicrob. Agents Chemother.
52: 4507-4509
[Abstract]
[Full Text]
-
Jacquet, E., Girard, J.-M., Ramaen, O., Pamlard, O., Levaique, H., Betton, J.-M., Dassa, E., Chesneau, O.
(2008). ATP Hydrolysis and Pristinamycin IIA Inhibition of the Staphylococcus aureus Vga(A), a Dual ABC Protein Involved in Streptogramin A Resistance. J. Biol. Chem.
283: 25332-25339
[Abstract]
[Full Text]
-
Davidson, A. L., Dassa, E., Orelle, C., Chen, J.
(2008). Structure, Function, and Evolution of Bacterial ATP-Binding Cassette Systems. Microbiol. Mol. Biol. Rev.
72: 317-364
[Abstract]
[Full Text]
-
Novotna, G., Janata, J.
(2006). A New Evolutionary Variant of the Streptogramin A Resistance Protein, Vga(A)LC, from Staphylococcus haemolyticus with Shifted Substrate Specificity towards Lincosamides. Antimicrob. Agents Chemother.
50: 4070-4076
[Abstract]
[Full Text]
-
Poole, K.
(2005). Efflux-mediated antimicrobial resistance. J Antimicrob Chemother
56: 20-51
[Abstract]
[Full Text]