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Antimicrobial Agents and Chemotherapy, February 2006, p. 587-595, Vol. 50, No. 2
0066-4804/06/$08.00+0 doi:10.1128/AAC.50.2.587-595.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Loss of the Homotypic Fusion and Vacuole Protein Sorting or Golgi-Associated Retrograde Protein Vesicle Tethering Complexes Results in Gentamicin Sensitivity in the Yeast Saccharomyces cerevisiae
Mark C. Wagner,1
Elizabeth E. Molnar,1
Bruce A. Molitoris,1 and
Mark G. Goebl2*
Department of Medicine, Division of Nephrology, and the Indiana Center for Biological Microscopy,1
Department of Biochemistry and Molecular Biology and the Walther Cancer Institute, Indiana University School of Medicine, Indianapolis, Indiana 462022
Received 4 August 2005/
Returned for modification 10 October 2005/
Accepted 23 November 2005

ABSTRACT
Gentamicin continues to be a primary antibiotic against gram-negative
infections. Unfortunately, associated nephro- and ototoxicity
limit its use. Our previous mammalian studies showed that gentamicin
is trafficked to the endoplasmic reticulum in a retrograde manner
and subsequently released into the cytosol. To better dissect
the mechanism through which gentamicin induces toxicity, we
have chosen to study its toxicity using the simple eukaryote
Saccharomyces cerevisiae. A recent screen of the yeast deletion
library identified multiple gentamicin-sensitive strains, many
of which participate in intracellular trafficking. Our approach
was to evaluate gentamicin sensitivity under logarithmic growth
conditions. By quantifying growth inhibition in the presence
of gentamicin, we determined that several of the sensitive strains
were part of the Golgi-associated retrograde protein (GARP)
and homotypic fusion and vacuole protein sorting (HOPS) complexes.
Further evaluation of their other components showed that the
deletion of any GARP member resulted in gentamicin-hypersensitive
strains, while the deletion of other HOPS members resulted in
less gentamicin sensitivity. Other genes whose deletion resulted
in gentamicin hypersensitivity included
ZUO1,
SAC1, and
NHX1.
Finally, we utilized a Texas Red gentamicin conjugate to characterize
gentamicin uptake and localization in both gentamicin-sensitive
and -insensitive strains. These studies were consistent
with our mammalian studies, suggesting that gentamicin toxicity
in yeast results from alterations to intracellular trafficking
pathways. The identification of genes whose absence results
in gentamicin toxicity will help target specific pathways and
mechanisms that contribute to gentamicin toxicity.

INTRODUCTION
Gentamicin is one of the primary aminoglycoside antibiotics
used in the treatment of serious gram-negative infections. While
gentamicin is highly efficacious, its use is limited because
of associated nephro- and ototoxicity. In fact, aminoglycosides
are a leading cause of acute renal failure in hospitalized patients
(
18,
34), with certain high-risk groups of patients experiencing
an incidence rate of acute renal failure near 50% when treated
(
36). Thus, a better understanding of the causes of this toxicity
may lead to therapeutic treatments that reduce or prevent renal
toxicity while maintaining the aminoglycoside antibacterial
activity. Since there are no new antibiotics for gram-negative
bacteria in development, it is especially important that efforts
be made to minimize the toxicity of existing gram-negative antibiotics
(
19,
28).
The use of model systems is being highly exploited for the analysis of complex biological problems. In particular, the baker's yeast Saccharomyces cerevisiae has proved to be a sophisticated model for such analysis. Indeed, although yeasts are relatively resistant to the toxic effects of antibiotics, Blackburn and Avery utilized a yeast strain library containing a deletion of each nonessential yeast gene individually within a single genetic background to screen for mutants that were hypersensitive to gentamicin (3). Their analysis uncovered 17 mutants that are more sensitive to gentamicin than the wild-type (WT) parent strain when grown on yeast extract-peptone-dextrose medium containing gentamicin.
Our work has concentrated on the intracellular trafficking pathways involved in cell toxicity in proximal tubule cells, the primary site of nephrotoxicity (30, 31). Following glomerular filtration, aminoglycosides rapidly bind to the apical membrane of proximal tubule cells and are endocytosed. Our data show that (32) a small percentage of the endocytosed gentamicin traffics via an endocytic retrograde pathway through the Golgi complex and into the endoplasmic reticulum (ER), where it is subsequently released into the cytosol. It is the cytosolic gentamicin that appears to trigger the associated intracellular pathologies (32).
To further delineate the intracellular mechanisms of aminoglycoside toxicity, we set out to utilize the yeast Saccharomyces cerevisiae as a model system to identify the intracellular pathways involved. We report here that deletions of the genes encoding the four known components of the Golgi-associated retrograde protein (GARP) complex all cause sensitivity to gentamicin. Furthermore, the absence of the GARP-associated proteins Vps45, Ypt6, and Tlg2 results in gentamicin sensitivity. Thus, the elimination of multiple proteins involved in vesicle targeting and fusion in addition to the nascent chain-associated complex (NAC) containing Zuo1, Ssb1/2, and Ssz1 results in gentamicin sensitivity. We have also utilized our Texas Red (TR)-gentamicin conjugate to begin characterizing its cellular transport in both wild-type and gentamicin-hypersensitive yeast strains.

MATERIALS AND METHODS
Evaluation of strains for gentamicin sensitivity, logarithmic growth assay.
The strains to be evaluated (Table
1) were inoculated from frozen
stocks onto YPD (1% yeast extract, 2% peptone, 2% dextrose)
plates. A freshly prepared overnight liquid culture in YPD at
30°C was diluted to 2.5
x 10
6 cells/ml, and eight 1-ml cultures
were started, four untreated and four treated. The tubes were
incubated continuously at 30°C for 4 to 5 h. At that time,
the treated tubes received gentamicin and all tubes were incubated
at 30°C for an additional 24 to 30 h. The growth of each
sample was determined by measuring the optical density at 660
nm following sonication and dilution to enable measurement in
the linear range. The percent inhibition of all treated samples
was calculated by comparison to the same strain grown in the
absence of gentamicin. Each strain was evaluated a minimum of
eight times over 48 h, with the hypersensitive strains being
measured up to 24 times. Data was analyzed using KaleidaGraph's
(Synergy Software, Reading, PA) box plot. Each box encloses
50% of the data, with the median value displayed as the line
in the box. The top and bottom of the box mark the limits of
±25% of the variable population. The lines extending
from the top and bottom of each box mark the minimum and maximum
values within the data set that fall within an acceptable range.
Any value outside of this range is displayed as an individual
point.
Microscopy analysis of TR-gentamicin uptake.
TR was conjugated to gentamicin as previously described (
32).
Yeasts were incubated with TR-gentamicin or lucifer yellow (LY)
for the specified period of time under the same growth conditions
as those used for the growth assay. LY accumulates in the yeast
vacuole via fluid-phase endocytosis (
22). An aliquot of the
yeast was removed and washed one time using fresh YPD medium
and a 15-s spin in a microfuge. The yeasts were resuspended
in 100 to 200 µl of YPD and placed onto a MatTek 35-mm
coverslip dish that had been previously coated with concanavalin
A. Yeasts were allowed to attach for 15 min and gently washed
with YPD, and a 1-mm-thick 25% gelatin square was placed on
top. Images were collected within 1 h by using a Zeiss UV LSM-510
confocal microscope system. TR-gentamicin was excited with the
543-nm line of the helium-neon laser (long-pass filter wavelength,
560 nm), and LY was excited with the 488-nm line of the argon
laser (band-pass filter wavelength, 505 to 530 nm). A differential
interference contrast (DIC) image was also collected using the
488-nm laser line. Image stacks were collected with a step size
of 0.1 µm for three-dimensional reconstructions using
Voxx software (
8).
The staining of yeasts for the viability assay using methylene blue was performed according to established methods (38). Briefly, yeasts were incubated 1:1 with 0.01% methylene blue in 2% Na citrate solution. Viability was evaluated by counting a minimum of 300 cells on 4 different days for each strain.
Flow cytometry.
Yeasts in the logarithmic-growth phase were incubated for 5 h in the presence of 100 µg/ml Oregon Green (OG)-gentamicin. Yeasts were then pelleted and washed two times with YPD and resuspended into phosphate-buffered saline for propidium iodide (PI) staining and subsequent flow cytometry. A BD FACSCalibur was used, and 50,000 cells of each strain were analyzed for fluorescence using a 488-nm excitation wavelength and a 515-to-545-nm emission wavelength for OG-gentamicin and a 488-nm excitation wavelength and a 564-to-606-nm emission wavelength for PI. In data not shown, OG-gentamicin reacted with yeast in a manner indistinguishable from that of TR-gentamicin.

RESULTS
Evaluation of gentamicin-sensitive mutants under logarithmic-growth-phase conditions.
Our initial studies examined the effect on growth rate of a
high concentration of gentamicin (500 µg/ml) added to
both wild-type and mutant strains in the early logarithmic-growth
phase. Figure
1 shows the percent growth of each respective
strain in the presence of gentamicin compared to that for an
additional culture of the same strain grown simultaneously in
the absence of gentamicin. The strains that were previously
identified to be most inhibited by gentamicin contained deletions
of
YDR455c,
VPS16,
SAC1,
VPS54, and
ZUO1. Each of these five
strains is inhibited by over 80% and often by more than 90%.
However, to our surprise, under these conditions, many of the
strains that were previously identified as sensitive deletion
strains (
3) (Table
1; deleted for
CHS1,
CHC1,
MNN9,
RIB1,
SPS1,
PEP3, PEP5,
VPS33, VPS15, OR VPS34) have, at most, 20% inhibition
in the presence of 500 µg/ml gentamicin. Loss of Gcs1
resulted in about 40% inhibition, while loss of Cax4 (data not
shown) is more variable but resulted in <20% inhibition with
100 µg/ml gentamicin.
Within the previously identified mutants were cells lacking
components of several protein complexes, including the NAC,
the HOPS (homotypic fusion and vacuole protein sorting) complex,
and the GARP complex (
13,
40). Therefore, we postulated that
mutants lacking other components of these complexes would exhibit
similar sensitivities to gentamicin. To test this hypothesis,
we determined the gentamicin sensitivity of cells with mutations
for other components of these complexes. Zuo1 is part of the
NAC complex, and in agreement with Craig's laboratory, we found
that a strain lacking an associated protein, Ssz1, is also inhibited
by over 90% (
14). Another protein complex that was implicated
by the previous data was the HOPS complex, whose members include
Pep3, Pep5, Vam6, Vps16, Vps33, and Vps41 (
40). This complex
has been localized to specific domains on the vacuole where
fusion occurs (
41). Specificity of fusion for both target membrane
and vesicle depend also on the interacting t- and v-SNARE proteins.
Evaluation of the HOPS members and Vps8, which coprecipitates
with Pep3 and Vps16, shows only a mutant lacking Vps16 to be
strongly inhibited by gentamicin, while mutants lacking Vps41
and Vps8 had their growth inhibited by approximately 50% in
the presence of gentamicin. The deletion of
YDR455c disrupts
the coding region for
NHX1, which encodes a Na
+/H
+ exchanger
that was recently implicated in regulating vesicle trafficking
out of the late endosome compartment (
4).
SAC1 encodes a lipid
phosphoinositide phosphatase which may function along with the
phosphatidylinositol 4-kinase, Stt4, to regulate which membranes
contain PI4P, which in turn contributes to endocytic and vacuolar
trafficking (
37).
In Fig. 2, an evaluation of the most sensitive strains at several concentrations is shown. Mutants lacking Nhx1 show sensitivities similar to those lacking Ydr455c at 500 µg/ml. This supports the conclusion that the YDR455c deletion actually disrupts NHX1. Loss of Nhx1 causes significantly less inhibition when the gentamicin concentration is reduced to 100 or 50 µg/ml. In contrast, mutants lacking Sac1, Zuo1, and Vps16 are inhibited strongly by a concentration of 100 µg/ml, shown for the Sac1 mutant, while a concentration of 50 µg/ml inhibited only mutants lacking Zuo1 and Vps16 strongly. Vps54 is a member of the GARP complex and forms a 1:1:1 complex with Vps52 and Vps53 within the GARP complex (9). The GARP complex is another membrane-tethering complex that participates in membrane fusion, which in this case, involves endosomes arriving at the trans-Golgi network (40). Mutants deleted for VPS52, VPS53, or VPS54 are inhibited strongly by gentamicin. This is in agreement with data from Conibear and Stevens showing that, if one of these proteins is missing, the other two proteins are unstable (10). Vps51 assembles with Vps52, Vps53, and Vps54 and also binds the t-SNARE protein Tlg1, which is in close proximity to the t-SNARE protein Tlg2. Another GARP-associated factor, the Rab-GTPase Ypt6, resides on the vesicle and binds to the GARP complex when GTP is bound. Vps45 is a member of the Sec1p/Munc18 (SM) family whose members have essential roles in regulating multiple membrane transport pathways (39). The absence of Vps45 results in strong gentamicin sensitivity, while TLG2 and YPT6 deletion strains are inhibited approximately 50%.
Comparison of TR-gentamicin and lucifer yellow uptake in mutant strains.
The mechanism by which gentamicin induces toxicity is likely
to be related to the cellular components it encounters. We have
previously characterized and used TR-gentamicin to follow the
uptake of gentamicin and retrograde trafficking in LLCPK cells
(
29-
32). To compare the uptake of TR-gentamicin in the different
deletion strains, we added 500 µg/ml TR-gentamicin and
1 mg/ml LY (vacuole marker) to logarithmically growing cultures.
After 12 to 15 h, each strain was imaged by confocal microscopy.
To permit an accurate comparison of uptake between strains,
all images in Fig.
3A were collected using the same laser power
and gain. For each strain, three images were acquired simultaneously
to show the location of TR-gentamicin and LY as well as the
morphology of the cells by DIC. Under these conditions, it was
clear that the most sensitive gentamicin strains contained more
TR-gentamicin and more LY than did less sensitive strains. This
result was observed for all strains, including the less sensitive
strains not shown in Fig.
3A. Note also that, in most cases,
the TR-gentamicin appears to colocalize with the LY in the vacuole
(arrows). Figure
3B shows that 2-h incubation of cells with
TR-gentamicin and LY also results in their colocalization in
most mutants examined. Many of the Vps mutants (lacking Vps16,
Vps52, Vps53, or Vps54) are known to have altered vacuolar morphology
which is quite evident in cells lacking Vps16 (Fig.
3A) or Vps54
(Fig.
3B). Note also the distinct punctate staining in many
mutant strains, which likely corresponds to a vesicular intermediate
and/or dispersed vacuolar component. In addition, cells with
SAC1 and
ZUO1 mutations have clear membrane labeling in addition
to vacuolar staining with TR-gentamicin. Interestingly, at this
early time point, cells deleted for
YDR455c appear to have less
TR-gentamicin concentrated in the vacuole, with more present
at the vacuolar membrane, often at punctate sites. To quantify
gentamicin uptake, flow cytometry was used. Yeasts in logarithmic-growth
phase were incubated with 100 µg/ml OG-gentamicin for
5 h. In Fig.
4A, the raw data from the WT and
SAC1 deletion
strain are presented. Note the significant shift to increased
OG-gentamicin uptake for the
SAC1 deletion strain. In Fig.
4B,
the mean value of OG-gentamicin is plotted for each strain analyzed
along with the percent dead/injured values calculated from PI
staining. Note the strong linear correlation (
R value 0.95,
r2 = 0.90) between increased gentamicin uptake and death/injury.
TR-gentamicin location in sensitive strains visualized by Voxx.
TR-gentamicin was added to logarithmic-growth-phase cultures
at a concentration of 50 µg/ml, with an additional 50
µg/ml unlabeled gentamicin added to wild-type cells as
well as cells with
VPS54,
VPS45,
NHX1, and
SAC1 mutations. The
objective was to have gentamicin at a concentration that inhibited
growth (Fig.
1 and
2). Cells were imaged between 12 to 15 h
after adding TR-gentamicin. In order to better evaluate the
location of TR-gentamicin in the sensitive strains, a three-dimensional,
voxel-based rendering program, Voxx, was used (
8). Image stacks
were collected with a 0.1-µm
z-step enabling three-dimensionally
rendered images to be constructed (Fig.
5). Images are rendered
at maximum intensity so comparisons can be made only on location,
not quantity, of TR-gentamicin. Based on TR-gentamicin's colocalization
with LY, it is evident that most TR-gentamicin is delivered
to the vacuole. Fragmentation of the vacuole is known to occur
in GARP deletion strains with
VPS51,
VPS52,
VPS53, and
VPS54 mutations, and TR-gentamicin is found in multiple spherical-shaped
structures, which is consistent with vacuole localization in
these deletion strains. The
VPS16 deletion strain contains no
normal vacuolar structure, while
VPS45 mutants have one large
central vacuole (
16). In the
VPS16 mutant strain, TR-gentamicin
is distributed throughout the cell in both diffuse and distinct
staining patterns. For the
VPS45 mutant, we observe some cells
with one large vacuole but also see smaller punctate structures,
often at the cell periphery. Both
NHX1 and
ZUO1 mutants appear
to have concentrated TR-gentamicin in their vacuole. In the
gentamicin-sensitive strains, TR-gentamicin is often observed
to be present in a diffuse pattern that may represent cytosolic
release from a membrane-bound organelle, though at this time,
the appearance of TR-gentamicin in highly fragmented vacuoles
cannot be excluded.
Evaluation of yeast viability following gentamicin treatment.
The gentamicin-induced inhibition in the growth assay could
be caused by a fungistatic or fungicidal action of the aminoglycoside.
To address the viability of the gentamicin-sensitive strains,
we utilized a standard methylene blue assay. Gentamicin was
added to logarithmically growing cultures and incubated for
an additional 20 to 30 h, at which point viability was assessed.
We chose to evaluate viability using the lowest concentration
of gentamicin that resulted in significant growth inhibition
for the respective strain. Note that, while growth inhibition
is severely reduced at similar gentamicin concentrations, viability
assessed with methylene blue was quite variable, even among
strains lacking components of specific protein complexes (Fig.
6). This difference may simply reflect the fact that the growth
assay is a more sensitive indicator of cell inhibition than
viability assays.

DISCUSSION
Cellular injury caused by gentamicin is most pronounced in kidney
proximal tubule cells, which accumulate the highest concentrations
of this antibiotic. Following unimpaired filtration of gentamicin
across the glomerulus, cellular uptake involves both fluid-phase
and receptor-mediated, megalin-associated endocytosis (
21,
35).
The majority of internalized gentamicin is delivered to the
lysosome. The mechanism by which gentamicin produces cell injury
is still unresolved, though recent studies from our laboratory
support the importance of retrograde movement of gentamicin
through the endosomal system. Utilizing TR-gentamicin in proximal
tubule cells, we showed that 5 to 10% of internalized gentamicin
is initially trafficked from endosomes to the Golgi (
29,
31).
Further analysis revealed gentamicin delivery to the endoplasmic
reticulum, with subsequent cytosolic release and subcellular
compartment association, including the nucleus and mitochondria
(
32). Furthermore, we observed a reduction in mitochondrial
potential in gentamicin-treated cells which was at times consistent
with cytosolic delivery of gentamicin, suggesting one possible
mechanism of toxicity. The movement of gentamicin through multiple
membrane-bound organelles and its eventual cytosolic delivery
would potentially enable this polycationic antibiotic to encounter
and disrupt multiple biochemical processes occurring in both
membrane and cytosolic locations. The mechanism(s) by which
gentamicin undergoes retrograde trafficking to the ER may involve
pathways utilized by other cellular toxins (
20,
33). Therefore,
investigating the trafficking and interactions of gentamicin
in a eukaryotic model system that is more amenable to genetic,
biochemical, and molecular dissection could lead to a better
understanding of the pathophysiology of gentamicin and other
toxins.
The recent screening of a yeast deletion library for antibiotic-sensitive strains by Blackburn and Avery (3) uncovered many gentamicin-sensitive strains possessing mutations in proteins involved in intracellular trafficking pathways. These observations provided findings for the eukaryotic model system that were consistent with our mammalian studies (29-32). Therefore, we set out to further characterize the specific pathways and protein complexes, which if deleted, would lead to increased gentamicin sensitivity. We also utilized TR-gentamicin as a tool to begin characterizing its transport in yeast and evaluating differences between the gentamicin-sensitive strains as a tool to further understand cellular toxicity.
We did note many similarities and some differences between our findings and those of Blackburn and Avery (3). These differences most likely resulted from differences in the sensitivities of our screens. Their screen was performed under a single condition (YPD with 256 µg/ml gentamicin and growth evaluated after 2 days at 30°C). While false positives were unlikely to be overlooked due to the careful analysis of mutants after the preliminary screen, the uneven growth rate of the strains within the mutant collection as well as the uneven number of cells present in each initial culture could have caused difficulties in determining antibiotic sensitivities with a fraction of the mutants.
Our results, as shown in Fig. 7, suggest that the deletion of a protein from any of several intracellular vesicular pathways and or complexes resulted in sensitivity to gentamicin. One such complex that appeared critical for tolerating gentamicin is the NAC containing Zuo1 (13, 14). Zuo1 is a ribosome-associated J protein and a partner of Ssb1 and Ssb2 of Hsp70 and the Hsp70-related protein Ssz1. Together, they act as a molecular chaperone to facilitate protein folding of nascent proteins. Their absence clearly caused gentamicin sensitivity, and a recent study suggests the mechanism may be due to altered plasma membrane function that results in ion transport changes (14, 15). Kim and Craig also suggested this chaperone complex may participate in the folding of WD40 proteins, many of which are involved in the secretory pathway (15). Their studies emphasized the importance of understanding both a protein's interaction(s) and the cellular pathway(s) in which it participates.
Two other protein complexes, HOPS and GARP, have multiple members
whose absence resulted in significant gentamicin sensitivity.
Blackburn and Avery identified four members of the HOPS complex
(Pep3, Pep5, Vps33, and Vps16) as affecting gentamicin resistance
(
3). In our growth assay, cells with
VPS16 mutations were gentamicin
sensitive while cells lacking the other HOPS components were
minimally affected. We also examined cells with two other HOPS-member
mutations (Vam6 and Vps41) and found that the loss of Vps41
resulted in an approximately 50% growth inhibition in the presence
of gentamicin, while the loss of Vam6 caused little growth retardation.
Interestingly, the loss of Vps8, which has an association with
Pep3, Pep5, Vps16, and Vps33 based on affinity precipitation,
resulted in a growth inhibition of greater than 50%. The HOPS
complex plays an important role in vacuole fusion events (
40).
The variable effects we observed in the HOPS deletion mutants
suggest either that the vacuole fusion event is not important
in inducing gentamicin sensitivity or that some HOPS members
participate in other pathways with a greater effect on gentamicin
sensitivity. In support of the latter, Vps41 has been shown
to be involved in both vesicle budding and fusion during vacuole
biogenesis and Vps16, whose loss results in one of the most
gentamicin-sensitive strains, was shown to have more than a
50% reduction in Dcp1-dependent mRNA decapping activity (
23-
25,
27,
42,
43). Reduction in decapping activity would remove a
key signal needed to increase translation, which is potentially
important for adaptation following gentamicin exposure.
Vps54 (Luv1) was identified by Blackburn and Avery as important for gentamicin resistance though they did not discuss its role as a component of the GARP complex (3). This complex contains at least four proteins (Vps51, Vps52, Vps53, and Vps54) and has an associated Rab, Ypt6, in addition to interacting with various t- and v-SNAREs, and the SM protein, Vps45 (39, 40). This complex has a critical role in the docking and fusion of endosome-derived vesicles with the trans-Golgi network. The absence of any of the GARP members resulted in significant and similar gentamicin sensitivities. This is not surprising for Vps52, Vps53, or Vps54 since each of these proteins is necessary for the stability of the remaining components of the complex, and the absence of any one of them results in the rapid degradation of the other two (10). In contrast, loss of Vps51 does not eliminate the other GARP members (26). Consequently, the similar gentamicin sensitivities we observed in cells with Vps51 mutations or the other GARP members support our conclusion that the loss of the GARP complex is a key contributor to inducing gentamicin toxicity. In further support of this, the deletion of YPT6, TLG2, or VPS45 resulted in significant gentamicin sensitivity. The loss of Vps45 results in down-regulation of Tlg2 but not Tlg1, and the truncation of Tlg2 inhibits the association of Vps45 with the t-SNAREs (7). The increased gentamicin sensitivity caused by loss of Vps45 compared to loss of Tlg2 suggests that the loss of Vps45 affects another pathway in addition to GARP. Recent studies have shown the importance of this SM protein in both yeast and mammalian cells. There are only four SM proteins in yeasts and seven in mammals, while many more SNAREs exist (39). The SM proteins are essential for intracellular membrane fusion events and appear to work closely with specific SNAREs to provide specificity in the membrane fusion process (11). Vps45 and Tlg2 have also been shown to have a role in the constitutive Cvt pathway (1). Future analysis of strains containing specific point mutations of the gentamicin-sensitive deletion proteins and double mutants will help to define what pathways and interactions, when absent, result in toxicity.
The final two strains that exhibited significant gentamicin toxicity had SAC1 or NHX1 mutations. NHX1 is present on the opposite DNA strand but overlaps YDR455c (4). We found similar results when analyzing either YDR455c or NHX1 mutants. Nhx1 is one of the oldest members of the Na+/H+ exchanger family (5). Members of this family have important roles in multiple functions including salt tolerance, transepithelial Na+ transport, vesicle trafficking, and vesicle biogenesis. Several studies have shown the importance of Nhx1 in endosomal trafficking, where it appears to regulate the pH of endosomes (2, 6). NHX1 mutants missort CPY and have a general defect in vesicle trafficking out of the endosome that appears to be a pH-dependent event. SAC1 codes for a lipid phosphatase that has been localized to ER and Golgi membranes (12, 17). Its enzymatic activity acts on phosphatidylinositol 4-phosphate [PtdIns(4)P]. SAC1 mutants accumulate PtdIns(4)P at ER and vacuolar membranes, which in turn results in altered late endocytic and vacuolar trafficking (37). A common attribute of many of the gentamicin-sensitive mutants is altered trafficking involving endosomes. This information, when taken together, enables better predictions to be made concerning how and why specific gene deletions result in increased gentamicin toxicity.
Our previous studies in mammalian cells documented the utility of TR-gentamicin as a probe to monitor the intracellular location of gentamicin. In the present studies, the level of TR-gentamicin uptake correlated qualitatively with growth inhibition and LY uptake (Fig. 3). To quantitatively address uptake, we utilized OG-gentamicin and flow analysis (Fig. 4). While there is a clear positive correlation between gentamicin uptake and dead/injured cells, additional studies are needed to establish for each strain whether localization or uptake is the most critical parameter. Delivery of gentamicin to a specific cellular location may be critical for inducing cell toxicity. Localization of TR-gentamicin clearly showed that delivery to LY staining vacuole structures was the predominant pathway. This is consistent with mammalian studies in which the majority of intracellular gentamicin was localized to the lysosome. A critical question is whether gentamicin is trafficked to other locations and/or whether it causes missorting in the trafficking pathways. The present studies support the importance of the GARP, HOPS, and NAC protein complexes whose absences resulted in gentamicin-sensitive strains. Visual analysis of these strains using TR-gentamicin suggested localization to smaller punctate structures, possibly endosomes, and fragmented vacuole pieces for the GARP mutants. Distinguishing fragmented vacuole localization of TR-gentamicin from endosomal or cytosolic locations will require further investigation. However, the known effect of gentamicin on membrane fusion and documented cytosolic release in mammalian cells suggests that cytosolic release is a likely mechanism by which gentamicin induces toxicity in both yeast and mammalian cells.

ACKNOWLEDGMENTS
This work was supported by National Institutes of Health grants
P50-DK-61594 and PO1-DK-53465, a Veterans Affairs Merit Review
(to B. A. Molitoris), NSF grant MCB-0091317 (to M. G. Goebl),
and an Indiana Genomics Initiative grant (INGEN) from the Lilly
Endowment to Indiana University School of Medicine.
We would like to thank Pat Smith of the IU Pulmonary Flow Facility for her assistance in performing the flow cytometry experiments and Stacy Bennett for technical assistance.

FOOTNOTES
* Corresponding author. Mailing address: Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, John D. Van Nuys Medical Science Building, 635 Barnhill Drive, Room 405, Indianapolis, IN 46202-5122. Phone: (317) 274-2055. Fax: (317) 274-4686. E-mail:
mgoebl{at}iupui.edu.

Supplemental material for this article may be found at http://aac.asm.org/. 

REFERENCES
1 - Abeliovich, H., T. Darsow, and S. D. Emr. 1999. Cytoplasm to vacuole trafficking of aminopeptidase I requires a t-SNARE-Sec1p complex composed of Tlg2p and Vps45p. EMBO J. 18:6005-6016.[CrossRef][Medline]
2 - Ali, R., C. L. Brett, S. Mukherjee, and R. Rao. 2004. Inhibition of sodium/proton exchange by a Rab-GTPase-activating protein regulates endosomal traffic in yeast. J. Biol. Chem. 279:4498-4506.[Abstract/Free Full Text]
3 - Blackburn, A. S., and S. V. Avery. 2003. Genome-wide screening of Saccharomyces cerevisiae to identify genes required for antibiotic insusceptibility of eukaryotes. Antimicrob. Agents Chemother. 47:676-681.[Abstract/Free Full Text]
4 - Bowers, K., B. P. Levi, F. I. Patel, and T. H. Stevens. 2000. The sodium/proton exchanger Nhx1p is required for endosomal protein trafficking in the yeast Saccharomyces cerevisiae. Mol. Biol. Cell 11:4277-4294.[Abstract/Free Full Text]
5 - Brett, C. L., M. Donowitz, and R. Rao. 2005. Evolutionary origins of eukaryotic sodium/proton exchangers. Am. J. Physiol. Cell Physiol. 288:C223-239.[Abstract/Free Full Text]
6 - Brett, C. L., Y. Wei, M. Donowitz, and R. Rao. 2002. Human Na+/H+ exchanger isoform 6 is found in recycling endosomes of cells, not in mitochondria. Am. J. Physiol. Cell Physiol. 282:C1031-C1041.[Abstract/Free Full Text]
7 - Bryant, N. J., and D. E. James. 2001. Vps45p stabilizes the syntaxin homologue Tlg2p and positively regulates SNARE complex formation. EMBO J. 20:3380-3388.[CrossRef][Medline]
8 - Clendenon, J. L., C. L. Phillips, R. M. Sandoval, S. Fang, and K. W. Dunn. 2002. Voxx: a PC-based, near real-time volume rendering system for biological microscopy. Am. J. Physiol. Cell Physiol. 282:C213-218.[Abstract/Free Full Text]
9 - Conibear, E., J. N. Cleck, and T. H. Stevens. 2003. Vps51p mediates the association of the GARP (Vps52/53/54) complex with the late Golgi t-SNARE Tlg1p. Mol. Biol. Cell 14:1610-1623.[Abstract/Free Full Text]
10 - Conibear, E., and T. H. Stevens. 2000. Vps52p, Vps53p, and Vps54p form a novel multisubunit complex required for protein sorting at the yeast late Golgi. Mol. Biol. Cell 11:305-323.[Abstract/Free Full Text]
11 - Dulubova, I., T. Yamaguchi, Y. Gao, S.-W. Min, I. Huryeva, T. C. Sudhof, and J. Rizo. 2002. How Tlg2p/syntaxin 16 snares Vps45. EMBO J. 21:3620-3631.[CrossRef][Medline]
12 - Foti, M., A. Audhya, and S. D. Emr. 2001. Sac1 lipid phosphatase and Stt4 phosphatidylinositol 4-kinase regulate a pool of phosphatidylinositol 4-phosphate that functions in the control of the actin cytoskeleton and vacuole morphology. Mol. Biol. Cell 12:2396-2411.[Abstract/Free Full Text]
13 - Gautschi, M., A. Mun, S. Ross, and S. Rospert. 2002. A functional chaperone triad on the yeast ribosome. Proc. Natl. Acad. Sci. USA 99:4209-4214.[Abstract/Free Full Text]
14 - Huang, P., M. Gautschi, W. Walter, S. Rospert, and E. A. Craig. 2005. The Hsp70 Ssz1 modulates the function of the ribosome-associated J-protein Zuo1. Nat. Struct. Mol. Biol. 12:497-504.[CrossRef][Medline]
15 - Kim, S.-Y., and E. A. Craig. 2005. Broad sensitivity of Saccharomyces cerevisiae lacking ribosome-associated chaperone Ssb or Zuo1 to cations, including aminoglycosides. Eukaryot. Cell 4:82-89.[Abstract/Free Full Text]
16 - Koning, A. J., L. L. Larson, E. J. Cadera, M. L. Parrish, and R. L. Wright. 2002. Mutations that affect vacuole biogenesis inhibit proliferation of the endoplasmic reticulum in Saccharomyces cerevisiae. Genetics 160:1335-1352.[Abstract/Free Full Text]
17 - Konrad, G., T. Schlecker, F. Faulhammer, and P. Mayinger. 2002. Retention of the yeast Sac1p phosphatase in the endoplasmic reticulum causes distinct changes in cellular phosphoinositide levels and stimulates microsomal ATP transport. J. Biol. Chem. 277:10547-10554.[Abstract/Free Full Text]
18 - Leehey, D., B. Braun, D. Tholl, L. Chung, C. Gross, J. Roback, and J. Lentino. 1993. Can pharmacokinetic dosing decrease nephrotoxicity associated with aminoglycoside therapy? J. Am. Soc. Nephrol. 4:81-90.[Abstract]
19 - Levy, S. B., and B. Marshall. 2004. Antibacterial resistance worldwide: causes, challenges and responses. Nat. Med. 10:S122-S129.[CrossRef][Medline]
20 - Lord, J. M., and L. M. Roberts. 1998. Toxin entry: retrograde transport through the secretory pathway. J. Cell Biol. 140:733-736.[Free Full Text]
21 - Moestrup, S., S. Cui, H. Vorum, C. Bregengard, S. Bjorn, K. Norris, J. Gliemann, and E. Christensen. 1995. Evidence that epithelial glycoprotein 330/megalin mediates uptake of polybasic drugs. J. Clin. Investig. 96:1404-1413.[Medline]
22 - Munn, A. L., A. Heese-Peck, B. J. Stevenson, H. Pichler, and H. Riezman. 1999. Specific sterols required for the internalization step of endocytosis in yeast. Mol. Biol. Cell 10:3943-3957.[Abstract/Free Full Text]
23 - Peterson, M. R., and S. D. Emr. 2001. The class C Vps complex functions at multiple stages of the vacuolar transport pathway. Traffic 2:476-486.[CrossRef][Medline]
24 - Piper, R. C., N. J. Bryant, and T. H. Stevens. 1997. The membrane protein alkaline phosphatase is delivered to the vacuole by a route that is distinct from the VPS-dependent pathway. J. Cell Biol. 138:531-545.[Abstract/Free Full Text]
25 - Price, A., D. Seals, W. Wickner, and C. Ungermann. 2000. The docking stage of yeast vacuole fusion requires the transfer of proteins from a cis-SNARE complex to a Rab/Ypt protein. J. Cell Biol. 148:1231-1238.[Abstract/Free Full Text]
26 - Reggiori, F., C.-W. Wang, P. E. Stromhaug, T. Shintani, and D. J. Klionsky. 2003. Vps51 is part of the yeast Vps fifty-three tethering complex essential for retrograde traffic from the early endosome and Cvt vesicle completion. J. Biol. Chem. 278:5009-5020.[Abstract/Free Full Text]
27 - Rehling, P., T. Darsow, D. J. Katzmann, and S. D. Emr. 1999. Formation of AP-3 transport intermediates requires Vps41 function. Nat. Cell Biol. 1:346-353.[CrossRef][Medline]
28 - Ridley, R. G. 2004. Research on infectious diseases requires better coordination. Nat. Med. 10:S137-S140.[CrossRef][Medline]
29 - Sandoval, R., J. Leiser, and B. Molitoris. 1998. Aminoglycoside antibiotics traffic to the Golgi complex in LLC-PK1 cells. J. Am. Soc. Nephrol. 9:167-174.[Abstract]
30 - Sandoval, R. M., R. L. Bacallao, K. W. Dunn, J. D. Leiser, and B. A. Molitoris. 2002. Nucleotide depletion increases trafficking of gentamicin to the Golgi complex in LLC-PK1 cells. Am. J. Physiol. Renal Physiol. 283:F1422-F1429.[Abstract/Free Full Text]
31 - Sandoval, R. M., K. W. Dunn, and B. A. Molitoris. 2000. Gentamicin traffics rapidly and directly to the Golgi complex in LLC-PK1 cells. Am. J. Physiol. Renal Physiol. 279:F884-F890.[Abstract/Free Full Text]
32 - Sandoval, R. M., and B. A. Molitoris. 2004. Gentamicin traffics retrograde through the secretory pathway and is released in the cytosol via the endoplasmic reticulum. Am. J. Physiol. Renal Physiol. 286:F617-F624.[Abstract/Free Full Text]
33 - Sandvig, K., M. Ryd, O. Garred, E. Schweda, P. Holm, and B. van Deurs. 1994. Retrograde transport from the Golgi complex to the ER of both Shiga toxin and the nontoxic Shiga B-fragment is regulated by butyric acid and cAMP. J. Cell Biol. 126:53-64.[Abstract/Free Full Text]
34 - Schentag, J., M. Plaut, and F. Cerra. 1981. Comparative nephrotoxicity of gentamicin and tobramycin: pharmacokinetic and clinical studies in 201 patients. Antimicrob. Agents Chemother. 19:859-866.[Abstract/Free Full Text]
35 - Schmitz, C., J. Hilpert, C. Jacobsen, C. Boensch, E. I. Christensen, F. C. Luft, and T. E. Willnow. 2002. Megalin deficiency offers protection from renal aminoglycoside accumulation. J. Biol. Chem. 277:618-622.[Abstract/Free Full Text]
36 - Smith, C. R., R. D. Moore, and P. S. Lietman. 1986. Studies of risk factors for aminoglycoside nephrotoxicity. Am. J. Kidney Dis. 8:308-313.[Medline]
37 - Tahirovic, S., M. Schorr, and P. Mayinger. 2005. Regulation of intracellular phosphatidylinositol-4-phosphate by the Sac1 lipid phosphatase. Traffic 6:116-130.[CrossRef][Medline]
38 - Teparic, R., I. Stuparevic, and V. Mrsa. 2004. Increased mortality of Saccharomyces cerevisiae cell wall protein mutants. Microbiology 150:3145-3150.[Abstract/Free Full Text]
39 - Toonen, R. F., and M. Verhage. 2003. Vesicle trafficking: pleasure and pain from SM genes. Trends Cell Biol. 13:177-186.[CrossRef][Medline]
40 - Whyte, J. R. C., and S. Munro. 2002. Vesicle tethering complexes in membrane traffic. J. Cell Sci. 115:2627-2637.[Abstract/Free Full Text]
41 - Wickner, W. 2002. Yeast vacuoles and membrane fusion pathways. EMBO J. 21:1241-1247.[CrossRef][Medline]
42 - Wurmser, A. E., T. K. Sato, and S. D. Emr. 2000. New component of the vacuolar class C-Vps complex couples nucleotide exchange on the Ypt7 GTPase to SNARE-dependent docking and fusion. J. Cell Biol. 151:551-562.[Abstract/Free Full Text]
43 - Zhang, S., C. J. Williams, K. Hagan, and S. W. Peltz. 1999. Mutations in VPS16 and MRT1 stabilize mRNAs by activating an inhibitor of the decapping enzyme. Mol. Cell. Biol. 19:7568-7576.[Abstract/Free Full Text]
Antimicrobial Agents and Chemotherapy, February 2006, p. 587-595, Vol. 50, No. 2
0066-4804/06/$08.00+0 doi:10.1128/AAC.50.2.587-595.2006
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