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Journal of Bacteriology, October 2001, p. 5803-5812, Vol. 183, No. 20
0021-9193/01/$04.00+0 DOI: 10.1128/JB.183.20.5803-5812.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Analysis of a Complete Library of Putative Drug
Transporter Genes in Escherichia coli
Kunihiko
Nishino and
Akihito
Yamaguchi*
Department of Cell Membrane Biology,
Institute of Scientific and Industrial Research, Osaka University,
Ibaraki, Osaka 567-0047, Faculty of Pharmaceutical Science, Osaka
University, Suita, Osaka 565-0871, and CREST, Japan Science and
Technology Corporation, Osaka 567-0047, Japan
Received 16 April 2001/Accepted 17 July 2001
 |
ABSTRACT |
The complete sequencing of bacterial genomes has revealed
a large number of drug transporter genes. In Escherichia
coli, there are 37 open reading frames (ORFs) assumed to be
drug transporter genes on the basis of sequence similarities, although
the transport capabilities of most of them have not been established
yet. We cloned all 37 putative drug transporter genes in E.
coli and investigated their drug resistance phenotypes using an
E. coli drug-sensitive mutant as a host. E.
coli cells transformed with a plasmid carrying one of 20 ORFs,
i.e., fsr, mdfA, yceE,
yceL, bcr, emrKY,
emrAB, emrD, yidY,
yjiO, ydhE, acrAB, cusA
(formerly ybdE), yegMNO,
acrD, acrEF, yhiUV,
emrE, ydgFE, and ybjYZ, exhibited
increased resistance to some of the 26 representative antimicrobial
agents and chemical compounds tested in this study. Of these 20 ORFs,
cusA, yegMNO, ydgFE,
yceE, yceL, yidY, and
ybjYZ are novel drug resistance genes. The fsr,
bcr, yjiO, ydhE, acrD, and yhiUV
genes gave broader resistance spectra than previously reported.
 |
INTRODUCTION |
Bacterial species that have
developed clinical resistance to antimicrobial agents are increasing in
numbers, and the mechanisms underlying their resistance are being
studied. The active efflux of antibiotics is mediated by a family of
transmembrane proteins frequently referred to as drug resistance
translocases (3, 31, 39, 40, 53). The first drug-pumping
protein to be reported was the plasmid-encoded tetracycline resistance
Tet protein in 1980 (24).
Five families of drug extrusion translocases are currently identified
based on sequence similarity (3, 31, 42, 53). These are
the MF (major facilitator) family, SMR (small multidrug resistance)
family, RND (resistance nodulation cell division) family, ABC
(ATP-binding cassette) family, and recently identified MATE (multidrug
and toxic compound extrusion) family (4). Membrane transporters of the MF family possess 12 to 14 transmembrane domains. For example, Bcr (Escherichia coli) (1),
EmrB (E. coli) (19), EmrD (E. coli)
(29), MdfA/Cmr (E. coli) (6,
32), NorA (Staphylococcus aureus) (58),
QacA (S. aureus) (45), and Bmr
(Bacillus subtilis) (30) are members of this
family, and these systems mediate drug extrusion with different
specificities. Transporters of the SMR family are rather small and
usually possess four transmembrane domains. SMR (or QacC) (S. aureus) (11, 18), QacE (Klebsiella aerogenes) (35), and EmrE (E. coli)
(57) belong to this family. EmrE seems to be organized as
a homooligomer, most likely a trimer (28). Some proteins
in this family appear to function as heterooligomers (14,
23). Transporters of the RND family are usually components of
tripartite efflux systems facilitating extrusion of substrates directly
into the external medium rather than into the periplasm. Besides the
inner-membrane RND transporter, such systems contain a membrane fusion
protein (MFP) and an outer membrane factor (OMF). AcrA-AcrB-TolC
(E. coli) (21) and MexA-MexB-OprM
(Pseudomonas aeruginosa) (41)
are examples of tripartite efflux systems, where AcrB and MexB are RND
transporters, AcrA and MexA are MFPs, and TolC and OprM are OMFs. An
electrochemical potential gradient of H+ across
cell membranes seems to be the driving force for drug efflux by the MF,
SMR, and RND family transporters (9, 59). Transporters of
the ABC family utilize ATP as an energy source. LmrA (Lactococcus
lactis) (54) and MsrA (S. aureus)
(44) are members of this family. Transporters of the MATE
family have 12 predicted transmembrane segments, like members of the MF
family. However, the MATE family transporters do not exhibit
significant sequence similarity to any member of the MF family
(4). NorM (Vibrio parahaemolyticus)
(26) is a member of this family. NorM seems to be an
Na+-driven multidrug efflux pump
(25).
The last 5 years have seen impressive progress in the sequencing of the
entire genomes of both prokaryotic and eukaryotic free-living
organisms. As of June 2001, the complete genome sequences of 46 microbial species were publicly available (TIGR microbial database, http://www.tigr.org/tdb/mdb /mdbcomplete.html).
The complete genome sequence of E. coli was
determined by Blattner et al. in 1997 (2). Surprisingly,
analysis of microbial genomes has revealed a large number of putative
drug transporter genes (36-38, 48). In E. coli, in the five families, 37 putative drug transporter genes (19 MF, 3 SMR, 7 RND, 7 ABC, and 1 MATE) were found in the course of
sequence annotation. The transport systems of these genes were
classified according to the putative membrane topology, protein family,
bioenergetics, and substrate specificity (38). However,
the transport capability of the majority of them has not been
established yet.
To investigate the power of prediction and to investigate the substrate
specificity of potential drug transporters, first we cloned all 37 putative drug transporter genes of E. coli with native
promoters and proximate genes into multicopy plasmids and then
investigated their drug resistance phenotypes using an E. coli mutant lacking the major multidrug efflux system AcrAB as a
host. We examined the susceptibility of E. coli cells
harboring a multicopy plasmid carrying a putative drug transporter gene to 26 representative antimicrobial agents and chemical compounds well
translocated by AcrAB or other major drug transporters. We found that
16 of 33 plasmids constructed conferred drug resistance on E. coli cells. The other 17 of the 33 multicopy plasmids carrying drug transporter open reading frames (ORFs) did not produce increased resistance to any compounds tested in this study. There is a
possibility that these ORFs might not be expressed from their own
native promoters or that their expression might be repressed by other
ORFs that were cloned simultaneously. For this reason, we cloned these
ORFs into an expression vector and then investigated their drug
resistance phenotypes with induction by IPTG
(isopropyl-
-D-thiogalactopyranoside). As a
result, we identified several new drug resistance genes by using
information on the complete genome sequence, and we showed that the
substrate spectra of some previously identified transporters were more
extensive than originally thought.
 |
MATERIALS AND METHODS |
Bacteria and growth.
E. coli W3104
(56) was used as the donor of chromosomal DNA. E. coli TG1 (50) was used as the cloning host. E. coli KAM3 (26), a derivative of K-12 that lacks a
restriction system and AcrAB, was used for drug susceptibility testing
and expression confirmation. E. coli cells were grown in
2×YT medium (46), supplemented with ampicillin (100 µg/ml) when necessary, under aerobic conditions at 37°C. Competent
cells were prepared by the method of Hanahan (12).
Drug susceptibility test.
The MICs of drugs were determined
on YT agar containing various drugs (chloramphenicol, tetracycline,
minocycline, erythromycin, nalidixic acid, norfloxacin, enoxacin,
kanamycin, vancomycin, fosfomycin, fosmidomycin, bicyclomycin,
doxorubicin, novobiocin, rifampin, trimethoprim, acriflavine, crystal
violet, ethidium bromide, rhodamine 6G, methylviologen,
tetraphenylphosphonium bromide [TPP], carbonyl cyanide
m-chlorophenylhydrazone [CCCP], benzalkonium, sodium dodecyl
sulfate [SDS], and deoxycholate) at various concentrations, as
indicated. These agar plates were made by the twofold agar dilution
technique (33). We added 0.1 mM IPTG to agar plates when
we examined the susceptibility of E. coli cells harboring
pTrc6His plasmids that carry drug transporter ORFs under control of the
trc promoter (see Tables 1 and 3). A total of
104 cells on a test agar plate were incubated at
37°C for 24 h, and then growth was evaluated.
Construction of multicopy plasmid library containing putative
drug transporter ORFs.
ORFs assumed to be drug transporter genes
were cloned from E. coli W3104 as follows. Chromosomal
DNA from E. coli W3104 was isolated as described
(46). ORFs were amplified with native promoters and
peripheral genes by means of PCR using primers containing the
restriction enzyme site that exists in the multicloning sites of the
pUC118 and pUC119 vectors. The DNA fragments were digested with
restriction enzymes and then ligated into the multicloning sites of
pUC118 and pUC119. The fragment sizes, multicloning sites used, and
deduced functions of the putative products of ORFs are shown in Table
1. All drug transporter
ORFs were arranged to be in the same orientation as the lactose
promoter of pUC vectors, while some of the peripheral ORFs were in the
reverse orientation. The initial amplification of the recombinant
plasmids was done in TG1, and plasmid DNA from five independent
colonies of every recombinant was extracted, followed by transformation
of KAM3 cells with these plasmids. The resistance to drugs and toxic
compounds was measured without induction because the lac
promoters in these plasmids were separated by about 300 to 500 bp from
the nearest ORFs and the endogenous promoters were expected to work.
The nucleotide sequences of the recombinant plasmids were determined by
the dideoxy chain termination method (47) using a DNA
sequencer (ALF Express; Pharmacia Biotech). Sequence data were analyzed
with Genetyx sequence analysis software (Software Development Co.). The
SwissProt and GenBank databases were screened for sequence
similarities.
Construction of expression plasmid library containing putative
drug transporter ORFs.
We constructed the original expression
vector pTrc6His as follows. The oligonucleotides
5'-GCATCACCATCACCATCACTA-3', which codes for hexahistidine,
and 5'-AGCTTAGTGATGGTGATGGTGATGCTGCA-3' were annealed
together. The resulting annealed fragment was inserted into the
PstI and HindIII sites of the pTrc99A
expression vector to produce pTrc6His. Drug transporter ORFs were
amplified by PCR using primers containing the restriction enzyme site
that exists in the multicloning sites of the pTrc6His vector, and then
the DNA fragments were ligated into the vector to produce an expression plasmid library (Table 1). Competent KAM3 cells were transformed with
at least five of the constructed plasmids that were extracted from
independent colonies, and then the susceptibilities of all transformants to various drugs were measured with induction by 0.1 mM
IPTG, and protein expression was detected with antipolyhistidine antibodies.
 |
RESULTS AND DISCUSSION |
Cloning and analysis of MF- and MATE-type drug transporter
ORFs.
In the MF family, there are 19 ORFs on the chromosomal DNA
of E. coli that can be assumed to be drug transporters on
the basis of sequence similarities (Table 1). Among these transporters, EmrB, EmrY, YebQ, and YegB possess 14 hydrophobic regions, and Fsr,
MdfA (Cmr), YdeA, Bcr, EmrD, YceE, YdeF, YdhC, YidY, YieO, YjiO, YajR,
YceL, YnfM, and YdiM possess 12 hydrophobic regions, which may be
transmembrane domains, as judged from hydropathy analysis according to
Eisenberg et al. (7) (data not shown). All of these
transporters possessing 14 hydrophobic regions have the glycine-rich
motif (motif C) in transmembrane segment V that is conserved in the
MF-type drug transporters (13, 42). Transporters possessing 12 hydrophobic regions have the
GXXXX(R/K)XGR(R/K) motif (motif A) in the
putative cytoplasmic loop between transmembrane segments II and III
that is conserved in the MF-type drug transporters (42,
55). Therefore, it is likely that these transporters are members
of the MF family. In the MATE family, only ydhE had been
identified as a multidrug resistance (MDR) gene (26).
In these two families, EmrA/B (
19), Fsr (
8),
MdfA (Cmr) (
6,
32), Bcr (
1), EmrD
(
29), YjiO (
6), and YdhE
(
26)
had been identified as drug exporters, and YdeA (
5)
had
been reported as an exporter of
L-arabinose and IPTG,
although
the transport capabilities of EmrY, YebQ, YegB, YceE, YdeF,
YdhC,
YidY, YieO, YajR, YceL, YnfM, and YdiM have not been established
yet. We amplified these 20 ORF clusters with the endogenous promoters
and some peripheral ORFs from the chromosomal DNA of
E. coli
W3104
by PCR. The PCR fragments were cloned into multicopy pUC vectors
(Table
1). The MICs of 24 different compounds for
E. coli
KAM3
cells harboring these plasmids were measured. We used a broad
range of toxic compounds, including representative cationic dyes,
antimicrobial agents, antiseptics, anticancer drugs, uncouplers,
and
detergents that are well translocated by AcrAB or other major
drug
transporters.
E. coli KAM3, which lacks AcrAB, showed
hypersensitivity
to these compounds (Table
2). The MICs were measured without
IPTG
so that the ORFs were expected to be expressed under the
control of the
endogenous promoters.
In the MF family, nine different plasmids (pUCemrAB,
pUCfsr, pUCmdfA, pUCbcr, pUCemrD, pUCydhE, pUCemrKY,
pUCyegMNOB, and
pUCyceE) conferred drug resistance on
E. coli KAM3 cells (Table
2). pUCemrAB conferred resistance to
deoxycholate (32-fold the
wild-type level), CCCP (8-fold),
rhodamine 6G (2-fold), methylviologen
(2-fold), and SDS (2-fold).
Thus, EmrB, which is a putative transmembrane
protein, seems to be a
multidrug transporter, as reported by Lomovskaya
and Lewis
(
19).
emrA encodes a protein containing a
single hydrophobic
domain and a C-terminal hydrophilic domain. This
gene is needed
for
emrB-modulated drug resistance
(
19). The gene
fsr was believed
to code for
resistance to a single drug, fosmidomycin (
8).
pUCfsr
indeed increased resistance to fosmidomycin (32-fold),
but also
unexpectedly increased slightly (2-fold) the MIC of
trimethoprim
and CCCP (Table
2). pUCmdfA conferred resistance to
chloramphenicol
(16-fold), norfloxacin (8-fold), acriflavine (8-fold),
doxorubicin
(4-fold), trimethoprim (4-fold), ethidium bromide (4-fold),
TPP
(4-fold), and tetracycline (2-fold), as reported by Edgar and
Bibi
(
6). pUCbcr conferred resistance to tetracycline (4-fold),
fosfomycin (4-fold), kanamycin (2-fold), and acriflavine (2-fold).
Since the insert region of pUCbcr possesses two ORFs (
yejD
and
bcr), we cloned the
bcr gene alone into the
pTrc6His expression
vector (pTrcHbcr) under the control of the
trc promoter and investigated
the drug resistance phenotype
in the presence of IPTG. Protein
expression was detected with an
antipolyhistidine antibody (Fig.
1).
pTrcHbcr exhibited a drug resistance pattern comparable to
that of
pUCbcr (Table
3). These two plasmids also
conferred bicyclomycin
resistance (16-fold) (Tables
2 and
3), as
reported previously
(
1). Although
bcr had
been reported to codes for resistance
to a single drug, bicyclomycin
(
1), this gene seems to confer
a moderate increase in
resistance to some other compounds. pUCemrD
conferred
resistance to SDS (2-fold) and benzalkonium (2-fold).
Naroditskaya et
al. (
29) reported that the
emrD gene confers
resistance to some uncouplers. This gene also conferred resistance
to
detergents. pUCydhE conferred increased resistance to TPP (32-fold),
deoxycholate (32-fold), norfloxacin (8-fold), enoxacin (8-fold),
doxorubicin (8-fold), trimethoprim (4-fold), chloramphenicol (2-fold),
fosfomycin (2-fold), ethidium bromide (2-fold), and benzalkonium
(2-fold), indicating that this gene confers resistance to a far
broader
range of compounds, including toxic compounds, than reported
by Morita
et al. (
26). pUCemrKY conferred resistance to doxorubicin
(32-fold), rhodamine 6G (16-fold), benzalkonium (8-fold), erythromycin
(4-fold), crystal violet (4-fold), TPP (4-fold), deoxycholate
(4-fold),
fosfomycin (2-fold), novobiocin (2-fold), acriflavine
(2-fold),
ethidium bromide (2-fold), methylviologen (2-fold),
and SDS (2-fold).
The insert region of this plasmid carries four
ORFs (
evgS,
evgA,
emrK, and
emrY) (Table
1). In
our previous
study (
33), we found that overexpression of
evgA, which is a
response regulator of a two-component
system, confers multidrug
resistance by stimulating the expression of
several MDR transporters.
Although the expression of
emrK/Y
is also regulated by
evgA (
15),
emrK/Y only conferred deoxycholate resistance
(
33). pUCyegMNOB
conferred resistance to deoxycholate
(32-fold), novobiocin (16-fold),
SDS (4-fold), nalidixic acid (2-fold),
norfloxacin (2-fold), and
fosfomycin (2-fold). This plasmid contains
eight ORFs in its insert
region (Table
1), and this region contains
both MF- (
yegB) and
RND-type (
yegN/O) transporter
ORFs.

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FIG. 1.
Expression of putative drug transporter ORFs.
Twenty-eight putative drug transporter ORFs were cloned into pTrc6His
expression vectors to produce hexahistidine-tagged proteins under
control of the trc (trp/lac hybrid)
promoter. E. coli KAM3 cells harboring the
constructed plasmids were cultured in 2×YT medium in the presence of
0.1 mM IPTG for induction of protein expression. The cells were
harvested and then disrupted by sonication. Total cell proteins were
separated on an SDS-polyacrylamide gel, and protein expression was
detected by Western blot analysis with an antipolyhistidine antibody.
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TABLE 3.
Drug resistance of E. coli KAM3 harboring
plasmids carrying putative drug transporter ORFs under control of the
trc promotera
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We cloned
yegB into an expression vector (pTrcHyegB) and
investigated the resulting drug resistance phenotype.
yegB
expression
could be detected (Fig.
1), but this gene did not confer
resistance
to any of the compounds listed in Table
3. Identification of
the drug resistance gene in this locus is discussed later. pUCyceE
conferred fosfomycin resistance (4-fold) on
E. coli
(Table
2).
We also cloned
yceE into an expression vector
(pTrcHyceE). Expression
of
yceE could be detected (Fig.
1),
and pTrcHyceE conferred resistance
to fosfomycin (4-fold) and
deoxycholate (2-fold) in the presence
of IPTG (Table
3). Deoxycholate
resistance of pUCyceE might not
be detectable because the expression
level of
yceE was lower than
that of pTrcHyceE.
yceE seems to be a novel resistance
gene.
E. coli cells harboring multicopy plasmids carrying
either
yajR,
yceL,
ydeA,
ydeF,
ynfM,
ydhC,
ydiM,
yebQ,
yidY,
yieO, or
yjiO did not show any resistance to the compounds tested in
this
study (Table
2). Since there is a possibility that these ORFs
are
not expressed from their native promoters, we cloned these
ORFs into
the pTrc6His expression vector. The expression of all
these ORFs except
ynfM could be detected (Fig.
1). We found again
that
yceL,
yidY, and
yjiO conferred drug
resistance (Table
3).
yceL conferred resistance to
norfloxacin (2-fold) and enoxacin
(2-fold).
yidY conferred
chloramphenicol resistance (2-fold).
yjiO conferred
resistance to acriflavine (4-fold), chloramphenicol
(2-fold),
norfloxacin (2-fold), ethidium bromide (2-fold), and
TPP (2-fold),
indicating that this gene confers resistance to
a broader range of
compounds than previously reported (
6).
ydeA
has been reported to be an
L-arabinose and IPTG
exporter
(
5), but this gene did not confer resistance to
any of the
compounds tested in this study. pUCynfM and pUCyebQ
conferred
hypersensitivity to acriflavine and trimethoprim,
respectively
(Table
2). However, when
ynfM or
yebQ was expressed alone from
an expression vector, these
genes did not confer the hypersensitivity
phenotype (Table
3). In
the case of the pUC plasmid library,
these genes were cloned
simultaneously with putative regulatory
gene
ynfL or
kdgR, respectively (Table
1). Thus, it seems that
overexpression of
ynfL or
kdgR in the induction
of acriflavine
or trimethoprim would be deleterious to cell growth
In summary, we found two novel multidrug resistance determinants
(
yceE and
yceL) and one chloramphenicol
resistance gene (
yidY).
Two drug-specific determinants,
fsr and
bcr, were revealed to
be multidrug
resistance ones. In addition,
emrD,
yjiO, and
ydhE conferred broader resistance than hitherto
believed.
Cloning and analysis of RND-type drug transporter ORFs.
In the
RND family, there are seven ORFs on the chromosomal DNA of
E. coli that can be assumed to be drug transporters on
the basis of sequence similarities. AcrB, AcrD, AcrF, YhiV, CusA
(formerly YbdE), YegN, and YegO possess 12 hydrophobic regions, which
may be transmembrane domains, as judged from hydropathy analysis
according to Eisenberg et al. (7) (data not shown). AcrD,
AcrF, YhiV, CusA, YegN, and YegO exhibit sequence similarity to AcrB at
76, 84, 79, 41, 47, and 48% similarity and 66, 77, 71, 20, 28, and 28% identity, respectively, in the amino acid sequences.
Of these seven ORFs, AcrA/B (
21), AcrD (
43),
and AcrE/F (
16,
22; J. Xu, M. L. Nilles, and K. P. Bertrand, Abstr. 93rd
Gen. Meet. Am. Soc. Microbiol. 1993, abstr.
K-169, p. 290, 1993)
had been identified as drug exporters. It was
reported that
yhiU/V shows homology to
acrA/B
(
20,
22) and
yhiU/V confers octane
resistance
on
E. coli (
52), but deletion of this gene
pair does
not increase the susceptibility of
E. coli
(
49). Recently, the
ybdE gene was renamed
cusA (
27) and has been shown to be involved
in
the efflux of copper (
10). The transport capabilities of
YegN and YegO have not been reported
yet.
We cloned these ORFs with some peripheral ORFs into multicopy
plasmids (Table
1) and investigated their drug resistance phenotypes
(Table
2). Among them, pUCacrAB, pUCacrD,
pUCacrEF, pUCyhiUV,
and pUCyegMNOB
conferred drug resistance. pUCacrAB conferred increased
resistance to doxorubicin (>64-fold), novobiocin (64-fold), rhodamine
6G (64-fold), TPP (64-fold), trimethoprim (>32-fold), ethidium
bromide
(>32-fold), deoxycholate (>32-fold), erythromycin (32-fold),
benzalkonium (32-fold), acriflavine (>16-fold), minocycline (16-fold),
SDS (>8-fold), chloramphenicol (8-fold), tetracycline (8-fold),
norfloxacin (8-fold), enoxacin (8-fold), crystal violet (8-fold),
nalidixic acid (8-fold), and rifampin (2-fold). This broad specificity
is the same as that reported previously (
20,
22,
34,
51).
pUCacrD conferred resistance to deoxycholate (>32-fold), SDS
(>8-fold),
novobiocin (4-fold), and kanamycin (2-fold). When
acrD was cloned
into an expression vector, it slightly
increased (2-fold) the
MIC of tetracycline, nalidixic acid,
norfloxacin, and fosfomycin
in addition to deoxycholate (>32-fold),
SDS (>8-fold), novobiocin
(4-fold), and kanamycin (2-fold) (Table
3).
AcrD expression is
shown in Fig.
1. Although the
acrD gene
was reported to mediate
an aminoglycoside resistance (
43),
this gene confers resistance
to some other compounds in addition to an
aminoglycoside. pUCacrEF
conferred resistance to acriflavine
(8-fold), ethidium bromide
(4-fold), rhodamine 6G (4-fold),
deoxycholate (4-fold), doxorubicin
(2-fold), and SDS (2-fold). The
insert region of pUCacrEF possesses
three genes
(
envR,
acrE, and
acrF) (Table
1).
Since
envR is a
regulatory gene for
acrE/F
(
envC/D) (
2,
17,
21), we cloned
the
acrE/F gene pair into an expression vector
(pTrcHacrEF). Expression
of
acrF was detected, as shown
in Fig.
1, and pTrcHacrEF conferred
far broader
resistance to doxorubicin (>64-fold), erythromycin
(64-fold),
rhodamine 6G (64-fold), trimethoprim (>32-fold), deoxycholate
(>32-fold), novobiocin (32-fold), acriflavine (32-fold), ethidium
bromide (32-fold), TPP (32-fold), chloramphenicol (16-fold),
minocycline
(16-fold), crystal violet (16-fold), benzalkonium
(16-fold), SDS
(>8-fold), tetracycline (8-fold), enoxacin
(8-fold), nalidixic
acid (4-fold), norfloxacin (4-fold), and
methylviologen (2-fold)
(Table
3) than pUCacrEF. This
is because
envR acts as a repressor
of
acrEF.
pUCyhiUV conferred resistance to rhodamine 6G (16-fold),
erythromycin (8-fold), doxorubicin (8-fold), ethidium bromide
(4-fold),
TPP (4-fold), SDS (4-fold), deoxycholate (4-fold), crystal
violet
(2-fold), and benzalkonium (2-fold), indicating that YhiV
is a
multidrug resistance determinant. YhiU seems to be a membrane
fusion
protein (MFP) like AcrA. Although pUCcusA did not show
any
resistance to the compounds tested in this study (Table
2),
when
cusA (
ybdE) was cloned into an expression vector
with the
putative MFP ORF
cusB (
ylcD)
(pTrcHcusAB), this plasmid conferred
fosfomycin resistance
(2-fold) in the presence of IPTG (Table
3). pUCyegMNOB
conferred resistance to deoxycholate (32-fold),
novobiocin
(16-fold), SDS (4-fold), nalidixic acid (2-fold), norfloxacin
(2-fold),
and fosfomycin (2-fold) as described above. This plasmid
contains eight
ORFs, including three putative drug transporter
ORFs,
yeg-N
(RND),
-O (RND), and
-B (MF) (Table
1). We
separately
cloned these three transporter ORFs into an expression
vector
(pTrcHyeg-N, -O, or -B) and then investigated their
drug resistance
phenotypes in the presence of IPTG (Table
3). The
expression
of YegN and YegB was detectable, while YegO was not
detectable
with an antipolyhistidine antibody (Fig.
1), possibly
because
the C terminus of YegO undergoes processing and the histidine
tag may be removed. Out of three expression plasmids, only
pTrcHyegO
conferred drug resistance to deoxycholate (4-fold),
nalidixic
acid (2-fold), norfloxacin (2-fold), fosfomycin (2-fold), and
SDS (2-fold), but lacked novobiocin resistance. Since YegM exhibits
47% similarity and 28% identity to the AcrA membrane fusion protein
and the other ORFs (
yegK/L and
baeS/R)
included in pUCyegMNOB
are not transporter ORFs, there
is a possibility that a multicomplex(es)
formation (for example,
YegM/N/O) may act as a transporter. When
the
yegMNO
genes were cloned together into vector pUC, this plasmid
conferred
a drug resistance phenotype comparable to that of pUCyegMNOB,
but
the plasmid carrying the
yegM/N genes did not confer
resistance.
(S. Nagakubo, K. Nishino and A. Yamaguchi,
unpublished data).
Thus, resistance conferred by pUCyegMNOB
seems to be due to overexpression
of MFP and RND genes. Partially,
overexpression of
yegO is responsible
for the drug
resistance in this
complex.
Cloning and analysis of SMR-type drug transporter ORFs.
There
are three ORFs that can be assumed to encode SMR-type drug exporters on
the basis of sequence similarities. All three of these ORFs
(emrE, ydgF/E, and sugE) encode
putative membrane proteins having four putative hydrophobic
transmembrane regions. EmrE, YdgF/E, and SugE consist of 110, 109/121,
and 155 amino acid residues, respectively. YdgF/E and SugE exhibit
similarity to EmrE (56%/53% and 54% similarity and 35%/32% and
33% identity at the amino acid level). YdgF/E is considered a
two-component-type SMR transporter (14).
Among them, only EmrE had been identified as a multidrug exporter,
although the transport capabilities of YdgF/E and SugE
have not been
reported yet. We cloned these ORFs into multicopy
vectors (Table
1),
and investigated the drug resistance (Table
2). pUCemrE and
pUCydgFE conferred drug resistance on
E. coli KAM3. The
emrE gene conferred resistance to acriflavine
(16-fold),
ethidium bromide (8-fold), crystal violet (2-fold),
methylviologen
(2-fold), and benzalkonium (2-fold), the resistance
phenotype
being the same as that reported by Yerushalmi et al.
(
57). pUCydgFE
conferred resistance to deoxycholate
(4-fold) and SDS (2-fold).
We also cloned
ydgFE into
an expression vector (pTrcHydgFE). YdgE
expression is shown
in Fig.
1. pTrcHydgFE conferred broader resistance
to
deoxycholate (4-fold), nalidixic acid (2-fold), fosfomycin
(2-fold),
and SDS (2-fold) (Table
3) than pUCydgFE. This is because
the
expression level of
ydgFE with the expression vector was
higher
than that with the multicopy vector. These results indicate that
ydgFE is a novel drug resistance determinant.
sugE did not confer
resistance to any of the compounds
tested in this study (Tables
2 and
3), although the expression of
sugE was detected (Fig.
1).
Cloning and analysis of ABC-type drug transporter ORFs.
There are seven ORFs that can be assumed to be genes encoding
ABC-type drug exporters on the basis of sequence similarities. MdlA, MdlB, YddA, YojI, YojH, and YhiH each possess six hydrophobic putative transmembrane regions, and YbjZ possesses four hydrophobic regions. Among them, only YhiH has two nuleotide-binding domains, and
the others have a single nucleotide-binding domain. None of these has
yet been reported to have transport capability. We cloned all of these
ORFs with some peripheral ORFs into pUC vectors (Table 1),
and the resulting drug resistance was investigated (Table 2).
Only pUCybjYZ conferred increased resistance on E. coli KAM3. This plasmid confers erythromycin-specific
resistance (8-fold). However, YbjZ has no sequence homology to MsrA
(44), which is an ABC-type macrolide-specific
exporter in gram-positive cocci, except for the nucleotide-binding
domain. We also cloned seven putative ABC-type ORFs into expression
vectors (pTrcH-mdlA, -mdlB, -ybjZ, -yddA, -yojI, yojH, and
-yhiH). None of them conferred resistance to any of the compounds
listed in Table 3, although their expression was detected (Fig. 1).
Overexpression of ybjY alone also did not confer drug
resistance. It seems that ybjY and ybjZ make a
complex for the drug resistance phenotype, and this gene pair exhibited
resistance against macrolides composed of 14- and 15-membered
lactones, such as clarithromycin, oleandomycin, and azithromycin,
in addition to erythromycin (17a). Thus, ybjY/Z is a novel macrolide resistance determinant. This is the first experimentally identified ABC-type drug resistance gene in
gram-negative bacteria.
In this study, the 37 putative drug exporter genes in
E. coli were all cloned into multicopy vectors and expression
vectors,
and the resistance phenotypes against 26 structurally
different
compounds were investigated. As a result, we found that 20 genes
(11 MF, 2 SMR, 6 RND, and 1 ABC) conferred drug resistance.
Among
them, we identified seven novel drug resistance determinants,
yceE,
yceL,
yidY,
ydgFE,
yegO,
cusA (
ybdE), and
ybjYZ (3 MF, 1
SMR, 2 RND, and 1 ABC), their drug resistance
capabilities having
not yet been reported. When
yegMNO
were expressed together, this
complex gave broader resistance spectra
than
yegO alone. The
ybjZ gene is the first case
of an experimentally identified ABC drug
exporter gene in gram-negative
bacteria. In addition, the
fsr,
bcr,
yjiO,
ydhE,
acrD, and
yhiUV genes
gave broader resistance
spectra than previously
reported.
The remaining 17 of the 37 putative drug transporter ORFs did not
confer resistance to the compounds tested in this study
on
E. coli. The possible reasons are as follows. (i) These
ORFs
might confer resistance to compounds other than those tested in
this study. (ii) These ORFs might need complex formation with
other
ORFs for drug resistance. (iii) These ORFs might be unrelated
to drug
resistance. Recently, Sulavik et al. reported antibiotic
susceptibility profiles of
E. coli strains lacking
multidrug efflux
pump genes (
49). They reported that
deletion of three known
MDR pump genes (
acrAB,
mdfA, and
emrE) and three OMF genes
(
tolC,
yjcP, and
yohG) resulted in
strains with increased susceptibility
to some compounds. However,
they reported that deletion of other
known and predicted MDR pump
genes, including
yhiUV,
yegMNO, and
ybjYZ, which were identified as drug resistance
determinants in
our study, did not increase susceptibility to any
compounds. Thus,
the method of overexpression analysis in this study is
useful
for identifying drug resistance factors underlying chromosomal
DNA. The drug exporter ORF expression library established in this
study
is a genetic resource for bacterial drug resistance, and
we believe
that the library should be useful for the future development
of
chemotherapy.
 |
ACKNOWLEDGMENTS |
We thank T. Tsuchiya and Y. Morita of Okayama University for
providing us with the E. coli KAM3 strain.
K. Nishino is supported by a research fellowship from the Japan Society
for the Promotion of Science for Young Scientists. This work was
supported by grants-in-aid from the Ministry of Education, Culture,
Sports, Science and Technology of Japan.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Institute of
Scientific and Industrial Research, Osaka University, 8-1 Mihogaoka,
Ibaraki-shi, Osaka 567-0047, Japan. Phone: 81-6-6879-8545. Fax:
81-6-6879-8549. E-mail:
akihito{at}sanken.osaka-u.ac.jp.
 |
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Journal of Bacteriology, October 2001, p. 5803-5812, Vol. 183, No. 20
0021-9193/01/$04.00+0 DOI: 10.1128/JB.183.20.5803-5812.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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