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Antimicrobial Agents and Chemotherapy, October 2006, p. 3460-3463, Vol. 50, No. 10
0066-4804/06/$08.00+0 doi:10.1128/AAC.00440-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Method for Regulated Expression of Single-Copy Efflux Pump Genes in a Surrogate Pseudomonas aeruginosa Strain: Identification of the BpeEF-OprC Chloramphenicol and Trimethoprim Efflux Pump of Burkholderia pseudomallei 1026b
Ayush Kumar,1
Kim-Lee Chua,2 and
Herbert P. Schweizer1*
Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, Colorado 80523-1682,1
Department of Biochemistry, National University of Singapore, Singapore2
Received 7 April 2006/
Returned for modification 18 June 2006/
Accepted 21 July 2006

ABSTRACT
Construction and integration of recombinant mini-Tn
7 expression
vectors into the chromosome of a surrogate, efflux-sensitized,
and biosafe
Pseudomonas aeruginosa host was validated as a generally
applicable method for studies of uncharacterized bacterial efflux
pumps. Using this method, the
Burkholderia pseudomallei bpeEF-oprC operon was shown to encode a chloramphenicol and trimethoprim
efflux pump.

TEXT
Multidrug resistance pumps play major roles in intrinsic and
acquired bacterial antibiotic resistance and also in bacterial
pathogenicity (
13). A major handicap associated with the characterization
of bacterial efflux pumps is that they are under very tight
regulatory control and thus considered "silent" in wild-type
strains because inducing conditions are usually unknown. For
this reason, such endeavors are restricted to clinical or laboratory-induced
mutants overexpressing these pumps, but such mutants are scarce
in many bacterial species, especially those whose use is restricted
or those that are difficult to cultivate and genetically modify.
In this study, we describe a method that may have widespread
use in the study of uncharacterized bacterial efflux pumps.
The method employs a novel mini-Tn
7-based gene integration system
developed in our laboratory (
3) and a surrogate, drug-susceptible
Pseudomonas aeruginosa strain which allows regulated gene expression
from an unmarked, single-copy, chromosomally integrated recombinant
construct. Here, we test the method by cloning, expressing,
and functionally characterizing a new resistance nodulation
cell division (RND) chloramphenicol and trimethoprim efflux
pump of
Burkholderia pseudomallei 1026b. In strain K96243, this
pump is encoded by the BPSS0292-BPSS0293-BPSS0294 genes, and
in 1710b, a strain more closely related to 1026b than K96243,
the same pump is encoded by the genes annotated as
ceoA-ceoB-BURPS1710b_A1842
(Fig.
1). In both strains, these genes are located on chromosome
II, albeit in two different regions of the chromosome. These
RND efflux pump genes are parts of operons which also contain
genes encoding lipase-like proteins, BPSS0291 in K96243 and
llpE in 1710b (Fig.
1). Upstream of these operons, and transcribed
divergently from them, are BPSS0290 and
ceoR, respectively,
which encode LysR type regulatory proteins. The transcriptional
organization of this region of
B. pseudomallei K29243 chromosome
II is reminiscent of the
Burkholderia cenocepacia ceoAB-opcM efflux pump genes, which are part of a transcriptional unit
with the upstream, lipase-like-protein-encoding
llpE gene (
11).
Expression of the
llpE-ceoAB-opcM operon is believed to be under
the transcriptional control of a LysR type regulator encoded
by the upstream and divergently transcribed
ceoR gene. It is
therefore likely that the BPSS0292-BPSS0293-BPSS0294 genes and
ceoA-ceoB-BURPS1710b_A1842 encode a drug efflux pump, which
will hereafter be named BpeEF-OprC for all
B. pseudomallei strains
to comply with established
B. pseudomallei efflux pump nomenclature.
The bacterial strains and plasmids used in this study are listed
in Table
1. All bacterial strains were routinely grown in Luria-Bertani
(LB) medium (EM Sciences, Gibbstown, NJ). Growth medium was
supplemented with ampicillin (Sigma, St. Louis, MO) (100 µg/ml)
for the selection of
Escherichia coli strains containing plasmids
carrying the ampicillin resistance marker. Fosmid-containing
E. coli strains were grown in LB broth supplemented with 12
µg/ml of chloramphenicol (Sigma). Induction of fosmids
to attain multiple copies was performed by adding 0.2%
L-arabinose
(Eastman Chemicals, Rochester, NY) to the growth medium. Gentamicin
(Gm)-resistant
P. aeruginosa strains were selected on LB plates
containing 15 µg/ml Gm (Sigma) (LB+Gm15 plates).
Fosmid clones of a
B. pseudomallei 1026b library containing
contigs corresponding to the location for
bpeEF-oprC on
B. pseudomallei K96243 were obtained from the University of Washington Genome
Sequencing Center and used for PCR amplification of portions
of the
bpeEF-oprC operon. PCR primers were designed based on
the
B. pseudomallei K96243 sequence available from GenBank.
The following primers were used to introduce the restriction
sites, indicated by underlined bases and denoted in parentheses
(base changes introduced to generate new restriction sites are
lowercase): BpeEFEc (CATCC
GAATTCAGAACAACCG) (EcoRI), BpeEFCR
(GCCGCCG
aAgcTTCAACGCG) (HindIII), BpeBgF (CGACACGATGC
AGATCTACC)
(BglII), and BpeBgR (GGT
AGATCTGCATCGTGTCG) (BglII). Under standard
PCR conditions for G+C-rich DNA (
7), primer sets BpeEFEc and
BpeBgR and BpeEFCR and BpeBgF were used to amplify two fragments
of 3,632 bp and 2,479 bp, respectively. The 3,632-bp fragment
contained the membrane fusion protein-encoding gene,
bpeE, and
a portion of the RND pump-encoding gene,
bpeF, while the 2,479-bp
fragment contained the remainder of the
bpeF gene and the outer
membrane component-encoding gene,
oprC. Both fragments were
cloned into the pCR2.1 vector (Invitrogen, Carlsbad, CA) by
utilizing
E. coli Top10F' as the host, following the manufacturer's
instructions. The
bpeEF-oprC operon was then assembled in its
entirety in the cloning vector pUCP20 (
14) to yield pPS1679
(bacterial strains and plasmids are listed in Table
1). The
complete
bpeEF-oprC operon was isolated from pPS1679 by digestion
with EcoRI (blunt ended with T4 polymerase [NEB, Beverly, MA])
and HindIII, and the resulting fragment was subsequently ligated
into the SmaI/HindIII-digested pUC18-mini-Tn
7T-LAC vector to
yield pPS1738 (Fig.
2). In this plasmid, expression of the
bpeEF-oprC operon is driven from the
tac promoter, which is controlled
by the
lacIq-encoded Lac repressor and therefore inducible by
addition of IPTG (isopropyl-ß-
D-thiogalactopyranoside)
(Gold Biotechnology, St. Louis, MO) to the growth medium. The
integrity of the entire
bpeEF-oprC operon was determined by
sequencing at the Colorado State University Macromoleular Resources
core facility. Sequence alignments showed that the
B. pseudomallei 1026b
bpeEF-oprC sequence is nearly identical (with a difference
in 19 out of 6,020 nucleotides within the sequenced DNA) to
the
bpeEF-oprC operon of strain K96243. Open reading frame predictions
showed that only 3 of the 19 base changes resulted in amino
acid changes.
A surrogate, drug-susceptible, and biosafe
P. aeruginosa strain
was constructed by transforming PAO397 with a suicide plasmid
containing the previously described unmarked
pscC allele (
15)
with a rapid electroporation method (
4). Chromosomal plasmid
integration events were selected by plating the transformation
mixture on LB+Gm15 plates, and the resulting merodiploids were
resolved by streaking transformants on LB plates supplemented
with 5% sucrose. Gm-susceptible colonies were then analyzed
for the deletion of the
pscC gene by colony PCR (
7) with primers
PscB-F (ATGGATCATCTGTTGAGCGG) and PscC-R (ACCAGGCGCCGTCTTTGGGA).
The PCR fragment of expected size from one of the colonies was
sequenced to confirm the deletion of 1,673 bp from the
pscC gene. One strain containing the correct
pscC allele was retained
and named PAO750. This strain is highly drug susceptible by
virtue of deletions of five operons encoding RND pumps as well
as the
opmH gene encoding the
P. aeruginosa TolC homolog that
was shown to function with various RND pumps (
6,
8). Deletion
of the
pscC gene, which encodes the outer membrane component
of the sole
P. aeruginosa type III secretion system, renders
the organism avirulent (
15) and makes it thus a suitable biosafe
host strain for the cloning of DNA segments from a category
B pathogen.
Insertion of bpeEF-oprC into the PAO750 genome was performed using the mini-Tn7 system as previously described (3, 5) and is illustrated in Fig. 2. Briefly, competent PAO750 cells were electroporated with 50 ng each of pPS1738 and the helper plasmid pTNS2. Transformants were selected on LB+Gm15 plates, and the Gm marker was subsequently deleted using Flp recombinase (5), yielding PAO789. The drug susceptibility pattern of PAO789 was assessed by determining MICs on Mueller-Hinton broth (Difco, Becton-Dickinson, Sparks, MD)-grown cells with the twofold broth microdilution technique, following National Committee for Clinical Laboratory Standards (NCCLS) guidelines (12) or by the Etest method (AB Biodisk, Piscataway, NJ) (ciprofloxacin only). Induction of BpeEF-OprC expression in PAO789 with 1 mM IPTG resulted in a significant (fourfold) increase in the MICs for chloramphenicol and trimethoprim, but no change was observed in MICs for the other antibiotics and antimicrobials tested (Table 2). Addition of the known RND efflux pump inhibitor Phe-Arg-ß-naphthylamide dichloride (Sigma) (9) to IPTG-induced cells at a final concentration of 10 µg/ml caused an 8- to 16-fold decrease in the MICs for chloramphenicol and trimethoprim. These data indicate that BpeEF-OprC is a chloramphenicol and trimethoprim efflux pump of possible clinical significance because both of these antibiotics have been used, for eradication and acute-phase melioidosis therapies, respectively (2).
The method described in this study may have widespread use in
the characterization of efflux pumps from bacterial pathogens.
To avoid interference between resistance determinants contained
on the mini-Tn
7 elements and those provided by the RND pumps,
several mini-Tn
7-LAC expression vectors with diverse selection
markers were constructed (data not shown). Single-copy insertion
and inducible efflux pump expression are desirable features
since the presence of RND efflux operons on multicopy plasmids
is often not well tolerated by bacteria. Expression from a regulated
promoter also circumvents the reliance on clinical or laboratory-induced-pump-overexpressing
mutants for characterization of the substrate profiles and possible
clinical significance of uncharacterized pumps. This method
may also be used for rapid characterization of clinical isolates
that exhibit multidrug resistance phenotypes, by matching the
antibiotic resistance profile of the clinical isolates with
those established for different pumps of that organism. By using
a panel of strains expressing different pumps, one pump at a
time, the method may also be applicable to the screening and
identification of broad-spectrum efflux pump inhibitors. One
possible drawback of using the testing and screening approach
with a surrogate
P. aeruginosa strain may be the inability to
correctly identify peptide substrates and inhibitors that actually
work in strains which are naturally resistant to peptide antibiotics,
e.g., polymyxin-resistant
Burkholderia spp. Lastly, the data
obtained in this study further increase our understanding of
the role that RND pumps play in clinically significant intrinsic
and acquired
B. pseudomallei antibiotic resistance, a step towards
development of sorely needed improved therapies for melioidosis.
In addition to AmrAB-OprA (
10) and BpeAB-OprB (
1), which export
aminoglycosides and macrolides, BpeEF-OprC is the third example
of a
B. pseudomallei RND pump exporting clinically significant
antibiotics.

ACKNOWLEDGMENTS
This work was supported by NIH grant AI065357.
We thank M. Jacobs from the University of Washington Genome Sequencing Center for providing fosmids containing B. pseudomallei genomic DNA.

FOOTNOTES
* Corresponding author. Mailing address: Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO 80523-1682. Phone: (970) 491-3536. Fax: (970) 491-1815. E-mail:
Herbert.Schweizer{at}colostate.edu.


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Antimicrobial Agents and Chemotherapy, October 2006, p. 3460-3463, Vol. 50, No. 10
0066-4804/06/$08.00+0 doi:10.1128/AAC.00440-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
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