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Mechanisms of Resistance

MexCD-OprJ Multidrug Efflux System of Pseudomonas aeruginosa: Involvement in Chlorhexidine Resistance and Induction by Membrane-Damaging Agents Dependent upon the AlgU Stress Response Sigma Factor

Sebastien Fraud, Aaron J. Campigotto, Zhilin Chen, Keith Poole
Sebastien Fraud
Department of Microbiology and Immunology, Queen's University, Kingston, Ontario, Canada K7L 3N6
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Aaron J. Campigotto
Department of Microbiology and Immunology, Queen's University, Kingston, Ontario, Canada K7L 3N6
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Zhilin Chen
Department of Microbiology and Immunology, Queen's University, Kingston, Ontario, Canada K7L 3N6
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Keith Poole
Department of Microbiology and Immunology, Queen's University, Kingston, Ontario, Canada K7L 3N6
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  • For correspondence: poolek@queensu.ca
DOI: 10.1128/AAC.01072-08
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  • FIG. 1.
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    FIG. 1.

    Biocide induction of mexCD-oprJ expression in P. aeruginosa. Expression of mexD and rpsL was assessed in wild-type P. aeruginosa PAO1 strain K767 grown in the absence of biocide (lane 1) or after a 2.5-h exposure to a fourth of the MIC of the cationic biocides CHX (2.5 μg/ml) (lane 2), PHMB (1 μg/ml) (lane 2), alexidine (3 μg/m) (lane 2), or cetrimide (100 μg/ml) (lane 2) by semiquantitative RT-PCR. The PCR portion was carried out at 32 (top mexD panel) and 34 (bottom mexD panel) or 20 (top rpsL panel) and 22 (bottom rpsL panel) cycles.

  • FIG. 2.
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    FIG. 2.

    Impact of CHX and AlgU on mexCD-oprJ expression in P. aeruginosa. Expression of mexD and rpsL was assessed in P. aeruginosa strains K767 (wild type) (lanes 1 and 3), K2443 (ΔalgU) (lanes 2, 4, and 5), and K2443 carrying pMMB206 (lane 6) or pSF02 (pMMB206::algU) (lane 7) (A) or in strains K1542 (ΔmexB ΔmexXY) (lanes 1 and 3) and K2897 (ΔmexB ΔmexXY ΔalgU) (lanes 2 and 4) grown in the absence of CHX (−CHX) or after a 2.5-h exposure to a quarter of the MIC of this biocide (2.5 μg/ml for AlgU+ strains and 0.33 μg/ml for AlgU− strains) (+CHX) by semiquantitative RT-PCR (B). The PCR portion was carried out at 33 (top mexD panel) and 35 (bottom mexD panel) or 23 (top rpsL panel) and 25 (bottom rpsL panel) cycles.

  • FIG. 3.
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    FIG. 3.

    Impact of algU on mexCD-oprJ expression in nfxB strain K1536. The expression of mexD and rpsL was assessed in P. aeruginosa strains K767 (lanes 1), K2443 (ΔalgU) (lane 2), K1536 (nfxB) (lanes 3 and 5), K2895 (nfxB ΔalgU) (lanes 4 and 6), and K2895 carrying pMMB206 (lane 7) or pSF02 (pMMB206::algU) (lane 8) by semiquantitative RT-PCR. Cycle numbers are as per the legend to Fig. 2.

  • FIG. 4.
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    FIG. 4.

    Impact of membrane-active agents on PmexCD-oprJ-lacZ expression in P. aeruginosa. P. aeruginosa K2899 (K1542::PmexCD-oprJ-lacZ) (black bars) and AlgU− derivative K2901 (K2897::PmexCD-oprJ-lacZ) (white bars) were grown to log phase in the presence or absence of CHX, polymyxin B (PXB), ethanol (ETOH), SDS, melittin (MEL), EDTA, n-hexane (HEX), p-xylene (XYL), and the cationic antimicrobial peptides V8 and V681 and assayed for β-galactosidase activity. Values for activity measured were subsequently adjusted for background levels seen for promoter-free, lacZ-containing strains K2900 (K1542::promoterless lacZ) and K2902 (K2897::promoterless lacZ). The results shown are the fold change in activity observed in the presence versus the absence of the indicated agent and are the mean ± the standard deviation of at least two independent experiments performed in triplicate. MDAs were used under the following conditions: CHX, 1/8 MIC (1.25 and 0.16 μg/ml for K2899 and K2901 derivatives, respectively); polymyxin B, 1/4 MIC (0.125 μg/ml); ethanol, 1/8 MIC (0.5% [vol/vol]); SDS, 1/16 MIC (3.1 μg/ml); melittin, 1/4 MIC (15 μg/ml); EDTA, 1/16 MIC (11.6 μg/ml); n-hexane, 1/4 MIC (1.25% [vol/vol]); p-xylene, 1/8 MIC (0.0156% [vol/vol]); antimicrobial peptide V8, 1/8 MIC (8 μg/ml); and antimicrobial peptide V681, 1/8 MIC (16 μg/ml)]. Various MDA concentrations were tested, and results are shown for concentrations that did not adversely impact growth.

Tables

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  • TABLE 1.

    Bacterial strains used in this study

    Strain or plasmidDescriptionaSource or reference
    P. aeruginosa
        K767PAO1 prototroph 29
        K1521K767 ΔmexCD-oprJ 46
        K1536K767 nfxB 18
        K1523K767 ΔmexB 18
        K1542K767 ΔmexB ΔmexXYThis study
        K2443K767 ΔalgUThis study
        K2895K1536 ΔalgUThis study
        K2896K1542 ΔmexCD-oprJThis study
        K2897K1542 ΔalgUThis study
        K2898K2896 ΔalgUThis study
        K2899K1542 carrying a PmexCD-oprJ -lacZb transcriptional fusion at the attB siteThis study
        K2900K1542 carrying a promoterless lacZ gene at the attB siteThis study
        K2901K2897 carrying a PmexCD-oprJ -lacZ transcriptional fusion at the attB siteThis study
        K2902K2897 carrying a promoterless lacZ gene at the attB siteThis study
        K2888PAO1 prototroph 26
        K2890K2888 mexD::mini-Tn5-luxCDABE 26
        K2889CHX-passaged K2888This study
        K2891CHX-passaged K2890This study
    E. coli
        DH5αφ80dlacZΔM15 Δ(lacZYA-argF) endA1 recA1 2
        S17-1 thi pro hsdR recA Tra+ 43
    Plasmids
        pK18MobSacBBroad-host-range gene replacement vector; sacB Kmr 43
        miniCTX-lacZIntegration vector with promoterless lacZ; oriT+ Tcr 4
        pFLP2Source of Flp recombinase; Apr/Cbr 19
        pMMB206 P. aeruginosa and E. coli shuttle cloning vector; Cmr 32
        pEX18TcGene-replacement vector; sacB Tcr 19
        pCSV05pEX18Tc::ΔmexXY 7
        pRSP05pK18MobSacB::ΔmexCD-oprJ 46
        pSF01pK18MobSacB::ΔalgUThis study
        pSF02pMMB206::algUThis study
        pAJC03miniCTX-PmexCD-oprJ-lacZbThis study
    • ↵ a Apr, ampicillin resistance; Cmr, chloramphenicol resistance; Cbr, carbenicillin resistance; Kmr, kanamycin resistance; Tcr, tetracycline resistance.

    • ↵ b The mexCD-oprJ promoter region upstream of a promoterless lacZ gene.

  • TABLE 2.

    Contribution of AlgU and MexCD-OprJ to CHX resistance in P. aeruginosaa

    StrainRelevant propertiesbCHX MIC (μg/ml)
    K1542CDJ+ AlgU+10
    K2896CDJ− AlgU+2.5
    K2897CDJ+ AlgU−1.25
    K2898CDJ− AlgU−0.625
    K767CDJ+ AlgU+10
    K1521CDJ− AlgU+5
    K2443CDJ+ AlgU−2.5
    K2443 + pMMB206CDJ+ AlgU−2.5
    K2443 + pSF02cCDJ+ AlgU+10
    K1536NfxB− AlgU+20
    K2895NfxB− AlgU−2.5
    K2895 + pMMB206NfxB− AlgU−2.5
    K2895 + pSF02cNfxB− AlgU+20
    K2889CHX passaged; CDJ+>50d
    K2891CHX passaged; CDJ−10
    • ↵ a The MICs shown are for the most resistant isolates recovered.

    • ↵ b CDJ+, mexCD-oprJ present and inducible by CHX but not otherwise expressed in untreated cells; CDJ−, ΔmexCD-oprJ; AlgU+, algU present; AlgU−, ΔalgU; NfxB−, nfxB repressor gene inactivated; CHX passaged, strains recovered following serial passage in LB containing increasing concentrations of CHX.

    • ↵ c pSF02, plasmid pMMB206 carrying algU.

    • ↵ d Limit of CHX solubility.

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MexCD-OprJ Multidrug Efflux System of Pseudomonas aeruginosa: Involvement in Chlorhexidine Resistance and Induction by Membrane-Damaging Agents Dependent upon the AlgU Stress Response Sigma Factor
Sebastien Fraud, Aaron J. Campigotto, Zhilin Chen, Keith Poole
Antimicrobial Agents and Chemotherapy Nov 2008, 52 (12) 4478-4482; DOI: 10.1128/AAC.01072-08

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MexCD-OprJ Multidrug Efflux System of Pseudomonas aeruginosa: Involvement in Chlorhexidine Resistance and Induction by Membrane-Damaging Agents Dependent upon the AlgU Stress Response Sigma Factor
Sebastien Fraud, Aaron J. Campigotto, Zhilin Chen, Keith Poole
Antimicrobial Agents and Chemotherapy Nov 2008, 52 (12) 4478-4482; DOI: 10.1128/AAC.01072-08
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  • Top
  • Article
    • ABSTRACT
    • CHX-induced mexCD-oprJ expression is AlgU dependent.
    • Additional membrane-active agents induce mexCD-oprJ.
    • MexCD-OprJ and CHX resistance.
    • ACKNOWLEDGMENTS
    • FOOTNOTES
    • REFERENCES
  • Figures & Data
  • Info & Metrics
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KEYWORDS

Anti-Infective Agents, Local
chlorhexidine
Drug Resistance, Bacterial
Gene Expression Regulation, Bacterial
Pseudomonas aeruginosa

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