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Antimicrobial Agents and Chemotherapy, October 2006, p. 3305-3311, Vol. 50, No. 10
0066-4804/06/$08.00+0 doi:10.1128/AAC.00490-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Faculté de Chimie, University Louis Pasteur/CNRS LC3-UMR7177, Institut le Bel, 4 rue Blaise Pascal, F-67070 Strasbourg, France,1 INSERM Unité 575, Physiopathologie du Système Nerveux, 5 rue Blaise Pascal, F-67084 Strasbourg, France,2 Généthon-CNRS UMR8115, 1 rue de l'Internationale, BP60, F-91002 Evry, France,3 UPRES EA-3432 Institut de Bactériologie ULP-HUS, 3 rue Koeberlé, F-67000 Strasbourg, France4
Received 20 April 2006/ Returned for modification 9 June 2006/ Accepted 14 July 2006
| ABSTRACT |
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| INTRODUCTION |
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Cationic antimicrobial peptides play a central role
in preventing the onset of infection in many organisms, and following
the introduction of a number of such peptides in clinical trials
(16), it seems likely
that development of these peptides will provide the basis for a new
class of antibiotics. LAH4, a histidine-rich amphipathic
-helical peptide
(4), has been shown to
possess both antibiotic
(34) and DNA delivery
(17,
18) capabilities. This
dual functionality could be exploited in therapeutic strategies for a
number of diseases, a notable example being cystic fibrosis, where LAH4
or a derivative thereof could form part of a gene delivery vehicle
while concomitantly fighting microbial infections that result from the
underlying condition. Therefore, a fundamental understanding of the
antibiotic strategies employed by cationic antimicrobial peptides such
as LAH4 will aid the design of more powerful antibiotics that may
eventually become frontline treatments for a variety of infectious
diseases.
To understand in greater detail how histidine-rich peptides operate against their microbial targets, we synthesized a series of derivatives of LAH4 and combined biophysical studies of their interactions using model membranes from solid-state nuclear magnetic resonance (NMR) of chain-deuterated lipids with in vitro observations of their properties against a variety of pathogenic bacterial targets. The original design of LAH4 (4) was inspired by the antibiotic peptide magainin, isolated from Xenopus laevis (37), which is thought to exert most of its bactericidal effects through disruption of the cell membrane (7, 38). In contrast, a number of cationic antimicrobial peptides, while also disrupting bacterial membranes, have been shown to operate through intracellular modes of killing, such as binding nucleic acids (26, 36) or inhibiting nucleic acid or protein synthesis (10, 27, 32).
Here, we show that LAH4 derivatives do display antibiotic activity at neutral pH but do not strongly disrupt model membranes, nor do they have a bacteriolytic effect on Escherichia coli or Bacillus megaterium, even at concentrations well above the determined MICs. At acidic pH, however, where the antibiotic activities of the peptides are enhanced and a bacteriolytic effect is observed at and above the MIC, the peptides adopt an in-plane orientation in the membrane and destabilize the anionic lipid component of model membranes. The LAH peptides show activity against a variety of pathogenic strains of Staphylococcus aureus at neutral pH. Furthermore, the LAH peptides, though ineffective against Pseudomonas aeruginosa at neutral pH, are highly active at acidic pH. These results indicate that these histidine-rich cationic peptides can operate with at least two distinct modes of bacterial killing and have the potential to be developed into effective antimicrobial agents.
| MATERIALS AND METHODS |
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In order to determine whether bacterial lysis was implicated in the bacterial growth inhibition mechanism, 1 ml of a mid-logarithmic-phase culture of bacteria with a starting OD600 of 0.4 (pH 7.2) or 0.2 (pH 5.5) was incubated with peptide under the usual experimental conditions, and the OD600 was measured after 10 min (T0) and 2 h (T1). Statistical analysis was by analysis of variance (19), with the one-tailed Bonferonni post hoc t test. After 2 h, the bacterial culture medium was diluted (10 µl/1 ml of Mueller-Hinton broth medium), and serial 10-fold dilutions were prepared and spread out on Mueller-Hinton agar. For each experiment, after 18 h, the colonies were counted.
Sample preparation for solid-state NMR. Samples with different lipid compositions were prepared for 2H echo NMR: POPE-POPE-d31-POPG and POPE-POPG-d31, with respective molar ratios of 2:1:1 and 3:1. A total of around 5 mg lipids per sample was dissolved, mixed in chloroform, and dried under rotor evaporation at room temperature. The lipid films were exposed to a vacuum overnight and were then rehydrated with 5 ml of a suspension of LAH peptide in 0.1 M Tris-0.1 M KCl buffer, pH 7.5, at room temperature to give a final concentration of 2.5% by mole relative to the lipids. The samples were briefly sonicated in a bath sonicator and subjected to five rapid freeze-thaw cycles and then centrifuged at 21,000 x g for 20 min at room temperature. Previous determination of a binding constant of 4.2 x 103 (34) for LAH4 and phosphatidylcholine vesicles at pH 7.5 indicated that very little peptide would be free in solution after this process. The pellets, containing lipid vesicles and associated LAH peptides, were transferred to Bruker 4-mm magic angle spinning (MAS)rotors for NMR measurements. Lipid vesicles were also prepared in this way in the absence of peptide. After solid-state NMR measurements were recorded for these samples at pH 7.5, the pellets were resuspended in a large excess of buffer (0.1 M Tris-HCl, 0.1 M KCl) at pH 5. The samples were then sonicated as described above for 5 min and again centrifuged and loaded into MAS rotors for further NMR measurements.
Solid-state NMR. 2H quadrupole experiments (13) for samples containing POPG-d31 or POPE-d31 were performed at 46.10 MHz on a Bruker Avance 300 NMR spectrometer using a 4-mm MAS probe and a spectral width of 200 KHz with recycle delay, echo delay, acquisition time, and 90° pulse lengths of 0.3 s, 42 µs, 2 ms, and 5 µs, respectively. The temperature was maintained at 298 K. Between 50,000 and 200,000 transients were acquired to obtain a signal-to-noise ratio greater than 50:1. During processing, the first 40 points were removed in order to start Fourier transformation at the beginning of the echo. Spectra were zero filled to 8,192points, and 50-Hz exponential line broadening was applied. Smoothed deuterium order parameter profiles were obtained from symmetrized and dePaked 2H NMR powder spectra using published procedures (29, 30, 31).
| RESULTS |
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The series of LAH4 isomers displayed antibiotic activity against both E. coli and B. megaterium at neutral pH, with a MIC of 5 µM, and were all more effective than magainin 2. There were practically no differences in antibiotic activity between the LAH4 isomers at either neutral or acidic pH, indicating that the positioning of the histidine residues does not significantly influence antimicrobial activity. Increasing the number of histidine residues in the peptide sequence slightly enhanced the antibiotic activity at neutral pH (Table 1). In contrast, the addition of phenylalanine residues to the sequence (LAH4-L1-F4) noticeably reduced the antibiotic activity of the peptide, reaching the level observed for magainin 2, which is also rich in phenylalanine. When the pH in the growth medium was lowered to 5.5, the activities of the peptides against both test bacteria were enhanced (Table 1); indeed, for the LAH4 isomers, a peptide concentration as low as 0.5 µM had an inhibitory effect against E. coli.
To gain some understanding of the mechanism of antibacterial action of the LAH peptides, two assays were performed to determine whether the peptides were bactericidal or bacteriostatic and, if bactericidal, whether the cell membrane was disrupted. After an initial period of growth of the two test bacterial strains, peptide was added at concentrations corresponding to the MIC50, the MIC100, and two times the MIC100. Four peptides were selected for this comparative study; LAH4-L1, LAH6-L1, and the original LAH4 were compared with magainin 2 at both neutral and acidic pHs (Fig. 1). Examples are shown for the action of LAH6-L1 on B. megaterium (Fig. 1A) and LAH4 and magainin 2 on E. coli (Fig. 1B and C). At acidic pH, when the histidine peptides are charged, the LAH peptides are expected to adopt an orientation, like magainin 2 (9), parallel to the membrane surface (1, 4). As seen for LAH4 and LAH6-L1 (Fig. 1A and B), under these conditions, the optical densities of the cultures were dramatically reduced after 2 h of incubation (T1) by the addition of the peptides at their effective antibacterial concentrations compared with the optical densities of control bacteria or bacteria incubated with peptide for only 10 min (T0). The reduction in optical density indicates that the bacterial cells were disrupted by the presence of the peptide and suggests that the mechanism of action, under acidic conditions, for all of the LAH peptides studied involves disruption of the bacterial membrane, inducing bacterial lysis. At neutral pH, however, addition of LAH peptides, even at concentrations twice the MIC100, caused, proportionally, a much more modest drop in optical density. This indicates that disruption of the bacterial membrane is not a crucial determinant of the peptide activity when the histidines are not charged. This result is in stark contrast with that for magainin 2, which can be seen to be lytic at pH 7.2 (Fig. 1C), and it is known that disruption of the bacterial membrane forms a large part of the killing strategy of that peptide (7, 38). To determine whether the LAH peptides were bacteriostatic or also bactericidal at neutral pH, the cultures were grown as described above, incubated with peptides for 2 hours, washed, and then plated. A large number of colonies were observed after incubation with LAH4-L1-F4 at pH 7.2 for 2 hours, indicating that bacteria remain viable even after treatment with this peptide at its MIC100. Very few colonies, however, were observed after 2 hours of incubation with LAH4-L1, LAH6-L1, or magainin 2 at either pH (Fig. 1D), indicating that the LAH peptides are also bactericidal at neutral pH. In summary, the results of these two assays indicate that the LAH peptides are bactericidal at both acidic and neutral pHs but operate through different mechanisms, depending on the pH.
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Similar spectra of chain-deuterated lipids were obtained in the presence of LAH6-L1, LAH4-L1-F4, and the remaining LAH4 isomers (not shown). Importantly, LAH6-L1 caused no disruption of either PE or PG acyl chains at pH 7.5 but was extremely disruptive at acidic pH, while LAH4-L1-F4 and the remaining LAH4 isomers behaved similarly to LAH4-L1 in terms of their effects on the mobilities of the acyl chains of both labeled PE and PG probes.
Antibacterial assays; pathogenic bacteria. Next, three of the LAH peptides were selected to be tested against a range of pathogenic bacteria. LAH6-L1 was selected because it had shown the highest activity against both test bacteria, LAH4-L1 was selected because it is the most effective transfection agent and is representative of the LAH4 isomer series, LAH4-L1-F4 was selected to assess the role of the hydrophobic surface, and magainin 2 was selected to provide a useful comparison. The efficiencies of inhibition of the peptides can be readily compared (Fig. 3). Of the LAH peptides, in each case, LAH6-L1 was the most effective antibiotic, and it was the only LAH peptide to have any activity against the gram-negative bacterium Pseudomonas aeruginosa at neutral pH, albeit only at higher concentrations (Fig. 3G). In comparison, magainin 2 was as effective against P. aeruginosa as against E. coli (Fig. 3A and G). Magainin 2, however, had almost no detectable activity against the S. aureus strains (gram positive) used here, but a number of the LAH peptides did demonstrate considerable activity (Fig. 3B to F). These results indicate that the antibiotic efficiencies of the peptides are strongly dependent on the organism and that those peptides rich in histidine may succeed where other antibiotic peptides have previously struggled. Our study compared the effects of the four peptides selected above to those of five strains of S. aureus, including both MRSA and methillicin-sensitive S. aureus strains (Fig. 3B to F). S. aureus 2079 is sensitive to multiple antibiotics, and it and S4820 are sensitive to methillicin. The remaining three strains are resistant to methicillin, while all except strain 2079 exhibit resistance to one or more of the aminoglycoside antibiotics and erythromycin. The performances of the LAH peptides varied according to the strain tested, but it can be seen that LAH4-L1 was efficient at killing four out of five of the strains tested, while LAH4-L1-F4 again performed poorly in comparison. LAH6-L1 was in some cases highly effective, showed some killing capacity against all the strains tested (Fig. 3B to F), and was the most effective peptide overall, displaying some attractive antibiotic capabilities. As observed above, the LAH peptides were poorly active against P. aeruginosa at neutral pH (Fig. 3G), but when the cultures were grown in an acidic environment, the LAH peptides became highly effective antibiotic agents, with activities well in excess of that of magainin 2 (Fig. 3H). Again, LAH6-L1 was the most effective antibiotic and was effective at concentrations as low as 10 µM.
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| DISCUSSION |
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For this reason, we have sought to understand in more detail the mechanism of antimicrobial action of histidine-rich cationic amphipathic peptides that have previously been shown to possess antibiotic activity (34). The structural design of LAH4 was inspired by amphipathic helical peptides, such as magainin (34). Magainins have been shown to induce channel-like activity in biological membranes (12, 14), and while a number of different mechanisms have been proposed for its killing strategy, disruption of the bacterial membrane is believed by most to be the main cause of cell death (7, 8, 38).
LAH4, however, is noticeably different from magainin 2 in that the positively charged lysines are located at the N and C termini, as anchors, rather than dispersed along the helix. The result of this is that LAH4 adopts a transmembrane orientation at neutral pH (pH 5), in contrast to magainin and other cationic helical peptides, which are oriented parallel to the membrane surface (5, 6, 21). Consistent with this, our data show that at neutral pH, the LAH peptides use a rather different killing strategy than magainin 2, since at peptide levels even double the MIC100, no cell lysis was observed. In addition, increasing the hydrophobicity of the already hydrophobic face of the peptide by introducing four phenylalanine residues reduced activity against all bacteria tested. While the mechanism of antibiotic activity of the LAH peptides at neutral pH is obscure and is an interesting line of further study, its strategy may center on nucleic acid binding or the inhibition of nucleic acid and/or protein synthesis, as has been shown for buforin 2, tachyplesin, and pleurocidin, as well as other cationic peptides (26, 27, 36).
Solid-state NMR. At acidic pH, the observed activities of the LAH peptides were altered in a number of respects. First, the activities of the LAH peptides against E. coli and, to a lesser extent, B. megaterium were enhanced. Secondly, the LAH peptides were lytic at acidic pH, as evidenced by a drop in the optical density when the peptides were added to bacterial cultures at their effective concentrations. LAH4 has been shown to adopt an in-plane orientation at acidic pH when the histidine residues become protonated below a pH of approximately 6.1 (4). In this orientation, the peptides disrupt the membrane much more efficiently (34) and have been shown to interact strongly with anionic lipids (23). Recently, we used solid-state NMR as a tool to probe the lipid chain order of 2H-labeled lipids in mixed-membrane environments (21-23). Briefly, synthetic lipids carrying 2H labels throughout the length of, in this case, the saturated acyl chain were incorporated into lipid vesicles. The observed quadrupolar splittings for each CD2 group (Fig. 2) were scaled according to the order profile of the membrane (30), allowing a measure of membrane disorder to be determined on binding and insertion of the peptide (21-23). This method is particularly effective at discriminating between anionic and zwitterionic lipid components when membrane-active peptides are added to the system, and recently, we have shown that pleurocidin, a cationic amphipathic helical and histidine-rich peptide from winter flounder, disturbs anionic lipids in mixed PE-PG model membranes, without affecting the overall morphology of the bilayer, at concentrations at which channel-like activity has been observed (21). Using the same solid-state NMR method, we saw that at acidic pH, the disruption of the chain order in anionic PG in the presence of each of the LAH4 isomers was rather dramatic and was of a much greater magnitude than that of the zwitterionic PE lipid chains. Hence, we propose a model for LAH peptide-induced disruption of the membrane at acidic pH in which the observed changes in the spectra can be interpreted as a general increase in the mobility of the lipid chain, where the strongly cationic LAH peptides insert into the membrane and bind preferentially, but not exclusively, to the anionic PG in the head group interface region without causing an overall change in the morphology of the membrane. The resulting increase in the separation of the anionic lipids allows an increase in the disorder, or cis-trans isomerizations, at the level of the fatty acyl chains that is reflected in the observed reduction-of-order parameter throughout the acyl chain. This model can be compared with a previous study of the membrane insertion of ethanol at the hydrocarbon-water interface (3), where the hydrophobic core of the membrane also becomes disordered, albeit at rather high ethanol concentrations, and a very recent study of the effect of both melittin- and magainin-derived peptides on deuterated phosphatidylcholine(28), where both these peptides adopt an in-plane orientation and disrupt the acyl chain order in a fashion similar to that shown here for the LAH peptides at acidic pH.
Interestingly, the disruption of the PG acyl chains at acidic pH is much greater for LAH4-L1 than the effect of pleurocidin at the same concentration (21). This may reflect the nature of the charged residues responsible for the interaction with the anionic lipids since, with pleurocidin, the interaction is likely mediated by lysine residues with relatively long, flexible side chains, while histidine residues are uniquely responsible for this interaction for LAH4-L1.
Activities of LAH peptides against pathogenic bacteria. At neutral pH, the LAH peptides demonstrate clear antibiotic activity against both methicillin-sensitive and -resistant strains of S. aureus but are almost completely ineffective against P. aeruginosa. Importantly, however, we have shown that lowering the pH of the medium activates the peptides and that LAH4-L1 and LAH6-L1 become highly active under acidic conditions against P. aeruginosa, a pathogen that commonly infests the airways of cystic fibrosis patients. The high antimicrobial activities of the peptides at acidic pH in vitro may be directly relevant to in vivo applications, since the epithelial-lining fluid can become rather acidic as a result of certain conditions. Exhaled human breath condensate has a pH of approximately 6.15, but in patients with cystic fibrosis, for example, this value can fall as low as 5.32 (33). Certain antimicrobial peptides have been shown recently to be effective against P. aeruginosa in vivo (40), a fact that increases the likelihood that histidine-rich peptides may be similarly applicable to combat lung infections.
The mechanism of disruption of the bacterial membrane has been the target of a large number of studies that sought to understand how cationic helical peptides function, yet it has been shown that, for a number of cationic peptides, membrane depolarization is incomplete even when 90% or more of the bacteria have been killed. Hence, although the membrane interactions of cationic antibiotic peptides are an important factor, they may be important for entry into the cell but not constitute the main killing mechanism among many classes of peptides (11, 15, 35). This finding is consistent with our demonstration of antibiotic activity of the LAH peptides despite the absence of significant membrane disruption. Nevertheless, the antibacterial activities of LAH peptides are modulated strongly by the pH of the media, and the enhanced activities of LAH peptides at acidic pH against the test bacteria, E. coli and B. megaterium, and the activation of the peptides at low pH against P. aeruginosa indicate that the effective disruption of the membrane is a key component of the antibiotic mechanism.
| ACKNOWLEDGMENTS |
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This work was supported by Vaincre la Mucoviscidose (TG0501), Inserm, Hôpitaux Universitaires de Strasbourg (PHRC3150 to MHMB), Université Louis Pasteur (a postdoctoral grant to A.J.M.), and the CNRS (Poste Rouge for A.J.M.).
| FOOTNOTES |
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| REFERENCES |
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