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Journal of Bacteriology, June 2006, p. 4531-4541, Vol. 188, No. 12
0021-9193/06/$08.00+0     doi:10.1128/JB.00146-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

The Lipid A 1-Phosphatase of Helicobacter pylori Is Required for Resistance to the Antimicrobial Peptide Polymyxin

An X. Tran,1 Judy D. Whittimore,1 Priscilla B. Wyrick,1 Sara C. McGrath,2 Robert J. Cotter,2 and M. Stephen Trent1*

Department of Microbiology, J. H. Quillen College of Medicine, Johnson City, Tennessee 37614,1 Department of Pharmacology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 212052

Received 26 January 2006/ Accepted 24 March 2006

Modification of the phosphate groups of lipid A with amine-containing substituents, such as phosphoethanolamine, reduces the overall net negative charge of gram-negative bacterial lipopolysaccharide, thereby lowering its affinity to cationic antimicrobial peptides. Modification of the 1 position of Helicobacter pylori lipid A is a two-step process involving the removal of the 1-phosphate group by a lipid A phosphatase, LpxEHP (Hp0021), followed by the addition of a phosphoethanolamine residue catalyzed by EptAHP (Hp0022). To demonstrate the importance of modifying the 1 position of H. pylori lipid A, we generated LpxEHP-deficient mutants in various H. pylori strains by insertion of a chloramphenicol resistance cassette into lpxEHP and examined the significance of LpxE with respect to cationic antimicrobial peptide resistance. Using both mass spectrometry analysis and an in vitro assay system, we showed that the loss of LpxEHP activity in various H. pylori strains resulted in the loss of modification of the 1 position of H. pylori lipid A, thus confirming the function of LpxEHP. Due to its unique lipid A structure, H. pylori is highly resistant to the antimicrobial peptide polymyxin (MIC > 250 µg/ml). However, disruption of lpxEHP in H. pylori results in a dramatic decrease in polymyxin resistance (MIC, 10 µg/ml). In conclusion, we have characterized the first gram-negative LpxE-deficient mutant and have shown the importance of modifying the 1 position of H. pylori lipid A for resistance to polymyxin.


* Corresponding author. Mailing address: Box 70579, Johnson City, TN 37614. Phone: (423) 439-6293. Fax: (423) 439-8044. E-mail: trentms{at}mail.etsu.edu.


Journal of Bacteriology, June 2006, p. 4531-4541, Vol. 188, No. 12
0021-9193/06/$08.00+0     doi:10.1128/JB.00146-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.




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