Manganese acquisition is essential for virulence of Enterococcus faecalis

Autor: Kristi L. Frank, Scott J. Hultgren, José A. Lemos, Aaron J L Lynch, Todd Kitten, Shannon P. Baker, Ana L. Flores-Mireles, Cristina Colomer-Winter
Rok vydání: 2019
Předmět:
Bacterial Diseases
0301 basic medicine
Physiology
Host Defense Mechanism
Urine
Moths
FOS: Health sciences
Pathology and Laboratory Medicine
Mice
Medicine and Health Sciences
Enterococcus faecalis
lcsh:QH301-705.5
Cation Transport Proteins
Mammals
0303 health sciences
Virulence
biology
Eukaryota
60303 Biological Adaptation
Animal Models
Bacterial Pathogens
Body Fluids
Mutant Strains
Chemistry
Infectious Diseases
Experimental Organism Systems
Medical Microbiology
Metals
Physical Sciences
Vertebrates
Urinary Tract Infections
Leporids
Rabbits
Pathogens
Anatomy
Research Article
Biotechnology
Chemical Elements
lcsh:Immunologic diseases. Allergy
Catheters
Bladder
030106 microbiology
Immunology
Research and Analysis Methods
Microbiology
60104 Cell Metabolism
03 medical and health sciences
Bacterial Proteins
60503 Microbial Genetics
Immunity
Virology
Enterococcus Infections
Genetics
Animals
Humans
Microbial Pathogens
Molecular Biology
Gram-Positive Bacterial Infections
030304 developmental biology
Manganese
Bacteria
030306 microbiology
Permease
FOS: Clinical medicine
Organisms
Biology and Life Sciences
Renal System
Endocarditis
Bacterial

biology.organism_classification
Disease Models
Animal

lcsh:Biology (General)
Biofilms
Catheter-Related Infections
FOS: Biological sciences
Mutation
Amniotes
110309 Infectious Diseases
Medical Devices and Equipment
ATP-Binding Cassette Transporters
Parasitology
Calprotectin
lcsh:RC581-607
Leukocyte L1 Antigen Complex
Enterococcus
Ex vivo
60501 Bacteriology
Zdroj: PLoS Pathogens
PLoS Pathogens, Vol 14, Iss 9, p e1007102 (2018)
DOI: 10.25376/hra.7804589.v1
Popis: Manganese (Mn) is an essential micronutrient that is not readily available to pathogens during infection due to an active host defense mechanism known as nutritional immunity. To overcome this nutrient restriction, bacteria utilize high-affinity transporters that allow them to compete with host metal-binding proteins. Despite the established role of Mn in bacterial pathogenesis, little is known about the relevance of Mn in the pathophysiology of E. faecalis. Here, we identified and characterized the major Mn acquisition systems of E. faecalis. We discovered that the ABC-type permease EfaCBA and two Nramp-type transporters, named MntH1 and MntH2, work collectively to promote cell growth under Mn-restricted conditions. The simultaneous inactivation of EfaCBA, MntH1 and MntH2 (ΔefaΔmntH1ΔmntH2 strain) led to drastic reductions (>95%) in cellular Mn content, severe growth defects in body fluids (serum and urine) ex vivo, significant loss of virulence in Galleria mellonella, and virtually complete loss of virulence in rabbit endocarditis and murine catheter-associated urinary tract infection (CAUTI) models. Despite the functional redundancy of EfaCBA, MntH1 and MntH2 under in vitro or ex vivo conditions and in the invertebrate model, dual inactivation of efaCBA and mntH2 (ΔefaΔmntH2 strain) was sufficient to prompt maximal sensitivity to calprotectin, a Mn- and Zn-chelating host antimicrobial protein, and for the loss of virulence in mammalian models. Interestingly, EfaCBA appears to play a prominent role during systemic infection, whereas MntH2 was more important during CAUTI. The different roles of EfaCBA and MntH2 in these sites could be attributed, at least in part, to the differential expression of efaA and mntH2 in cells isolated from hearts or from bladders. Collectively, this study demonstrates that Mn acquisition is essential for the pathogenesis of E. faecalis and validates Mn uptake systems as promising targets for the development of new antimicrobials.
Author summary Enterococcus faecalis is a leading cause of hospital-acquired infections that are often difficult to treat due to their exceptional multidrug resistance. Manganese (Mn) is an essential micronutrient for bacterial pathogens during infection. To prevent infection, the host limits Mn bioavailability to invading bacteria in an active process known as nutritional immunity. To overcome this limitation, bacteria produce high-affinity Mn uptake systems to scavenge Mn from host tissues. Here, we identified the main Mn transporters of E. faecalis and show that, by working collectively, they are essential for growth of this opportunistic pathogen in Mn-restricted environments. Notably, the inability to acquire Mn during infection rendered E. faecalis virtually avirulent in different animal models, thereby revealing the essentiality of Mn acquisition to enterococcal pathogenesis. The results reported here highlight that bacterial Mn transport systems are promising targets for the development of novel antimicrobial therapies, which are expected to be particularly powerful to combat enterococcal infections.
Databáze: OpenAIRE