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Journal of Bacteriology, December 2003, p. 7145-7152, Vol. 185, No. 24
0021-9193/03/$08.00+0 DOI: 10.1128/JB.185.24.7145-7152.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia 30322,1 Laboratories of Microbial Pathogenesis, Veterans Affairs Medical Center, Decatur, Georgia 300332
Received 16 July 2003/ Accepted 8 September 2003
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A recent study by Lee and Shafer(15) revealed a second efflux pump system that can modulate levels of gonococcal resistance to a subset of HAs. This system was termed far (for "FA resistance") because it confers resistance to long-chain FAs. The far system was found to be responsible for the mtr-independent mechanism of FA resistance, which was previously observed in a number of clinical isolates obtained from homosexual men with rectal infections (22). The far system is composed of the FarA membrane fusion protein and the FarB cytoplasmic membrane transporter protein. This efflux pump requires the MtrE protein (5) as the outer membrane channel to export antibacterial FAs from inside the cell (15). Although the mtr- and the far-encoded systems independently mediate gonococcal resistance to host-derived antimicrobial HAs, their expression is controlled by MtrR. In contrast to that of the mtr system, expression of farAB was positively associated with the presence of a functional MtrR protein. However, the results indicated that this regulation was indirect because MtrR did not bind to the farAB operon (15).
At the amino acid sequence level, the farAB system is similar to the emrAB efflux pump system of Escherichia coli, which provides resistance to uncoupling agents and certain antibiotics (17). The emrAB operon is negatively controlled by the product of the emrR gene, which is located upstream of emrA (18). EmrR belongs to the MarR family of transcriptional regulatory proteins, which control a variety of biological functions, including resistance to antimicrobial agents (e.g., antibiotics, organic solvents, and oxidative stress agents) (1, 24). In addition to EmrR, at least two MarR family proteins are involved in the resistance of E. coli (MarR) and Pseudomonas aeruginosa (MexR) to antimicrobial agents by modulating the expression of efflux pump systems. MarR is a negative regulator of the marRAB operon in E. coli (21, 32). Mutations in the marR gene or certain inducing conditions cause the overexpression of the MarA activator, resulting in activation of a number of genetic loci, including the acrAB efflux pump system, and enhance bacterial resistance to antimicrobial agents (10, 27). In P. aeruginosa, inactivation of the MexR repressor results in the overexpression of the mexA-mexB-oprM efflux pump system, which is a major determinant for resistance to a broad range of antimicrobials (29, 31, 37, 40). The analysis of the crystal structures for MarR and MexR suggested that MarR family proteins bind to DNA as dimers through a conserved helix-turn-helix motif (2, 3). This binding often occurs through recognition of inverted or direct repeat sequences (6, 21, 39).
Since we previously observed that the farAB operon was regulated indirectly by the MtrR repressor, we sought to elucidate the molecular mechanism by which farAB is regulated via a MtrR-dependent mechanism. Accordingly, we asked if there is a regulatory protein in gonococci that directly controls expression of the farAB operon. We now report on the identification of a regulatory protein (FarR) in gonococci that belongs to the MarR family and show that it directly controls expression of farAB. Furthermore, we found that the MtrR repressor modulates expression of farR and is consequently implicated in positive regulation of the farAB operon. Thus, MtrR appears to be of importance in differentially controlling two efflux pumps, those encoded by mtrCDE and farAB, in gonococci.
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TABLE 1. Bacterial
strains and plasmids used in this study
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Construction of an insertional mutation in marR1 (farR) and marR2. A 956-bp region encompassing the marR1 (farR) gene was prepared by PCR using oligonucleotide primers marR2 and marR4 (Table 2). This PCR product was cloned into the pBAD-TOPO vector (Invitrogen) according to the manufacturer's instructions. The resulting construct was digested with StuI, which cleaved the plasmid at a unique restriction site located at the 5'-end sequence of the insert. The nonpolar aphA-3 cassette (23) was digested with SmaI from pUC18K and cloned into the StuI site of the construct so that it would be in the same transcriptional orientation as farR. This recombinant plasmid was introduced into E. coli TOP10 by transformation. Transformants were selected with kanamycin (50 µg/ml; Sigma) after gene expression was induced with 0.002% (vol/vol) arabinose. The plasmid was then purified from the host E. coli and used to transform N. gonorrhoeae strain FA19 as described previously (11). The transformants were selected on GCB agar plates containing kanamycin (50 µg/ml). An insertional mutation in the marR2 gene was also created with the kanamycin cassette as described above, with modifications. Briefly, two steps of PCR were carried out to create a SmaI restriction site in the middle of marR2. In the first step, two PCRs amplified each half of marR2. One reaction encompassed the upstream sequence and the 5'-end region of marR2, and the other one included the 3' end of marR2 and its downstream sequence. SmaI restriction sites were introduced at the 3' end of the 5' region with primer R2#5 and at the 5' end of the 3' section of the marR2 gene with primer R2#6 (Table 2). An 1,800-bp fragment encompassing the entire marR2 gene in which the SmaI site was created was then amplified with primers R2#1 and R2#2 (Table 2). The resulting DNA was cloned into the pUC18 vector, and the aphA-3 cassette was introduced into the created SmaI site of the marR2 gene.
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TABLE 2. Oligonucleotide
sequences used in this study
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mtrR) with
primers RT1B and KH9#3and transformed into EL33 as described above. Transformants were
selected on GCB agar containing kanamycin (50 µg/ml) for the
farR mutation and erythromycin (0.5 µg/ml) for the
mtrR mutation. ß-Gal assay. Nonpiliated, transparent colony types were routinely grown on GCB agar or in GCB broth (Difco) as previously described (11). GCB-grown cells were harvested when the optical density of culture at 600 nm reached 0.3, and plate culture cells were taken after 20 h of growth. The cells were washed once in phosphate-buffered saline (pH 7.4) and frozen at -70°C overnight. The cell pellets were suspended in lysate buffer (1 mM dithiothreitol, 100 mM potassium phosphate, pH 7.8) and broken by repeated freeze-thaw cycles. The cell debris was removed by centrifugation at 15,000 x g for 10 min at 4°C. The amount of ß-galactosidase (ß-Gal) in the cell extracts was measured with a chemiluminescent ß-Gal assay kit (Clontech, Palo Alto, Calif.) by following the manufacturer's instructions.
Purification of FarR and MtrR. To overexpress and purify FarR, a 438-bp region containing the farR structural gene was amplified by PCR using oligonucleotides primers marR7 and marR8. This PCR product was cloned into pBAD (Invitrogen), producing a C-terminal fusion with a histidine tag. The recombinant plasmid was introduced by transformation into E. coli TOP10, and the resulting transformants were selected on LB plates supplemented with ampicillin (100 µg/ml). The E. coli strain containing pBFAR1 was grown in 200 ml of LB broth at 37°C with vigorous aeration. When the optical density of the culture at 600 nm reached 0.6, FarR expression was induced by the addition of 0.002% (wt/vol) arabinose for 3 h. Cells were harvested by centrifugation at 6,000 x g for 10 min and resuspended in 20 ml of binding buffer (1 mM phenylmethylsulfonyl fluoride, 5 mM imidazole, 20 mM phosphate, 500 mM NaCl, pH 7.8). After addition of lysozyme (100 µg/ml), cells were broken by repeated freeze-thaw and sonication cycles. Insoluble debris was removed by centrifugation at 3,000 x g for 15 min, and the supernatant was passed through a 0.8-µm-pore-size syringe filter (Millipore). All further purification was carried out by following the manufacturer's instruction (Invitrogen). The supernatant was loaded on a mini-Ni2+ affinity column that was equilibrated with native binding buffer (20 mM sodium phosphate, 500 mM sodium chloride, pH 7.8). After the column was washed with washing buffer (20 mM sodium phosphate, 500 mM sodium chloride, pH 6.0) several times, the FarR-His protein was eluted with 5 ml of each of five imidazole elution buffers that had increasing imidazole concentrations (50, 100, 200. 350, and 500 mM). All fractions were collected and subjected to electrophoresis on a sodium dodecyl sulfate-15% polyacrylamide gel electrophoresis (SDS-15% PAGE) gel (14). A major peak of FarR was eluted with a minor peak of non-FarR material at about 350 to 450 mM imidazole. To remove this minor contamination, the FarR fraction was further purified by high-pressure liquid chromatography (HPLC; Jupiter 5µ C4, 300 A, 250 by 4.6 mm; Phenomenex). A major peak of FarR was collected in a solution of 70% acetonitrile-10% water-0.1% (vol/vol) trifluoroacetic acid and lyophilized. The lyophilized FarR protein was dissolved in water, dialyzed overnight against a buffer composed of 5 mM Tris (pH 8.0), 5 mM EDTA, 2 mM dithiothreitol, and 0.01% Triton X-100, and concentrated with a Centricon YM-3 centrifugal filter (Amicon; Millipore). The N-terminal amino acid sequence of FarR was analyzed by the automated Edman degradation method using cLC-Procise sequenator (Applied Biosystems, Foster City, Calif.). The MtrR-maltose binding protein (MBP) was purified as described previously (19).
Electrophoretic
mobility shift assay (EMSA).
The farAB and farR
promoter fragments were amplified by PCR from FA19 chromosomal DNA with
oligonucleotides pairs farA26 and farA52B for the
farAB promoter, farRB1and farRB2 for the
farR promoter, KH9#2 and
KH9#3 for the mtrR-CDE intervening region,
and farB1 and farB2 for the farB coding
region, (Table 2). The PCR
products were end labeled with [
-32P]dATP
by using T4 polynucleotide kinase (New England Biolabs). Approximately
5 ng of the labeled DNA fragment was incubated with FarR or MtrR in 30
µl of reaction buffer (10 mM Tris-HCl [pH 7.5], 0.5
mM dithiothreitol, 0.5 mM EDTA, 4% [vol/vol] glycerol,
1 mM MgCl2, 50 mM NaCl, poly[dI-dC] [0.5
µg/ml], salmon sperm [200 µg/ml]) at
room temperature for 25 min. For the competition assay, a nonlabeled
target or irrelevant DNA was added in the binding reaction buffer.
Samples were subjected to electrophoresis in a 4.5% native
polyacrylamide gel at 4°C, followed by autoradiography
(19).
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To determine whether the putative marR1- or marR2-encoded protein or both regulate farAB gene expression, we created an insertional mutation within the marR1 and marR2 genes in N. gonorrhoeae strain FA19 (see Materials and Methods for details). Transformants of strain FA19 containing the kanamycin resistance (Kmr) cassette in marR1 or marR2 were examined for their susceptibility to long-chain FAs. Since these types of FAs are very hydrophobic, with limited solubility, it was impossible to obtain a FA concentration higher than the MIC for the wild-type strain FA19. We therefore performed an EOP experiment using palmitic acid as described previously (30). CFU of transformants EL24 (marR1::Kmr) and EL27 (marR2::Kmr) were calculated from bacterial growth on GCB agar plates supplemented or not supplemented with palmitic acid (150 µg/ml). The results demonstrated that the marR1::Kmr mutation had a more significant (P = 0.01) impact on gonococcal susceptibility to palmitic acid than the marR2::Kmr mutation (P = 0.07). In this respect, the EOP of strain EL24 was sixfold higher than that of the parental strain, FA19 (Fig. 1A).
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FIG. 1. Effect
of the marR1 mutation on FA resistance and farAB
expression in N. gonorrhoeae FA19. (A) An EOP
experiment was performed with strains FA19, EL24 (same as FA19 except
marR1::Kmr) and EL27 (same as
FA19 except marR2::Kmr) on GCB
agar plates containing palmitic acid (150 µg/ml). EOPs are
average values (± standard deviations [SD]) from at
least three independent experiments. (B) Expression of
farAB in EL12 (FA19[pLFAB1]) and its isogenic mutant
strains EL26 (EL24[pLFAB1]) and EL29
(EL27[pLFAB1]). Shown are the amounts of
ß-Gal in cell extracts prepared as described in
Materials and Methods from reporter strains EL12 and EL26, which
contained the farAB::lacZ fusion.
The results are averages of at least four independent experiments;
error bars represent 1
SD.
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DNA-binding properties of FarR. To determine whether FarR regulates the expression of farAB by directly binding to the farAB operon, FarR was purified. The farR coding sequence was cloned into the pBAD-TOPO vector to form a C-terminal fusion with a histidine tag with expression under the control of the arabinose-inducible promoter in E. coli TOP10. Crude cell extracts were prepared from a 200-ml culture and passed through a mini-Ni2+ affinity column. Analysis of fractions eluted from this matrix by SDS-PAGE revealed that the FarR-His fusion protein was slightly contaminated with a protein of about 40 kDa (Fig. 2, lane 3). This contaminating 40-kDa protein was removed from the FarR-His fusion protein by HPLC (Fig. 2, lane 4). The recovered FarR-His fusion protein was shown to have a molecular mass of 20 kDa when analyzed by HPLC, which is in good agreement with the predicted mass of 20.68 kDa (data not shown). N-terminal amino acid sequencing confirmed that the first nine amino acids of the recovered protein (MPTQSKHAS) were identical to the corresponding amino acid sequence predicted by DNA sequence analysis of farR (data not presented). The DNA-binding capacity of the FarR-His protein was studied by EMSA. The target DNA consisted of approximately 300 bp of the farA upstream region that included the farAB promoter (PfarAB). Using EMSA, we detected two potential FarR-DNA complexes. The first (form I) was observed at a level of 0.2 ng of FarR, and a slower-migrating complex (form II) was observed with increasing levels of FarR (1 to 5 ng) (Fig. 3A), suggesting that FarR binds to at least two sites in the upstream sequence of farA. To show the binding specificity of FarR, we performed competition assays. Addition of a 200-fold molar excess of a heterologous unlabeled DNA fragment containing 310 bp of the mtrR-CDE intervening region had no effect on binding (Fig. 3B). However, addition of unlabeled PfarAB inhibited the binding of FarR to the labeled PfarAB fragment. These results indicated that FarR binds to the farAB promoter in a specific manner.
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FIG. 2. Expression
and purification of FarR-His. Protein samples collected during the
purification were analyzed on SDS-15% PAGE gels stained
with Coomassie brilliant blue. Lane 1, molecular weight standard
markers (arrows [left], 17- and 32-kDa markers); lane 2, cell
lysate after induction; lane 3, pooled fraction after
Ni2+ affinity chromatography; lane 4, purified FarR
after HPLC purification. Arrow (right), location of the FarR-His
monomer.
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FIG. 3. DNA-binding
properties of FarR. Shown is the binding of the purified His-tagged
FarR protein to target DNA sequences. (A) FarR binding to
farAB, farR, and mtrR-CDE promoter regions.
Lanes 1, free labeled probe; lanes 2, probe with 0.2 ng of FarR; lanes
3, probe with 1 ng of FarR; lanes 4, probe with 5 ng of FarR. The probe
used is indicated at the bottom of each panel. (B and C) Competition
assays. (B) 32P-labeled 300-bp DNA encompassing
the farAB promoter region was incubated with 5 ng of FarR.
This binding was competed with unlabeled farAB (300 bp) or the
mtrR-CDE intergenic region (310 bp). Lane 1, no protein added;
lane 2, FarR; lane 3, FarR with 0.1 µg of farAB DNA;
lane 4, FarR with 1 µg of farAB DNA; lane 5, FarR with
0.1 µg of mtrR-CDE DNA; lane 6, FarR with 1 µg
of mtrR-CDE DNA. (C) The 32P-labeled
305-bp farR promoter region was incubated with 5 ng of FarR.
This binding was competed with the unlabeled farR promoter
(305 bp) or a DNA sequence containing the farB coding region
(365 bp). Lane 1, no protein added; lane 2, FarR; lane 3, FarR with 1
µg of farR DNA; lane 4, FarR with 1 µg of
farB
DNA.
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TABLE 3. Effect
of farR or mtrR mutation on farR
expression in N. gonorrhoeaea
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FIG. 4. MtrR
binds to the DNA sequence upstream of farR. Shown is the
binding of MBP-MtrR to target DNA sequences, the mtrR-CDE,
farAB, and farR promoter regions. Lanes 1 (from
left), free labeled probe; lanes 2, probe with 1.6 µg of
MBP-MtrR; lanes 3, probe with 4 µg of MBP-MtrR. The probe used
is indicated at the
bottom.
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N. gonorrhoeae possesses far- and mtr-encoded efflux pumps to independently meditate gonococcal resistance to host-derived HAs. FarAB belongs to the major facilitator superfamily, while MtrCDE belongs to the resistance/nodulation/division family, of drug efflux pumps. Despite the structural dissimilarities between FarAB and MtrCDE, their expression is related in that both of the efflux operons are regulated by the same transcriptional regulatory protein (MtrR). Previously, Lee and Shafer (15) observed that MtrR was indirectly involved in the positive regulation of farAB whereas MtrR repressed mtrCDE. The results presented herein strongly suggest that MtrR modulates farAB indirectly via regulation of a second gene, farR, which encodes a repressor of farAB (Fig. 5). It is important that, because farAB expression is less than that of mtrCDE, the decreased amount of MtrE, which is shared by both efflux pumps in an MtrR-positive strain (e.g., FA19), is likely to be sufficient for maximal FarAB activity (15).
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FIG. 5. A
model for MtrR regulation of farAB and mtrCDE efflux
pump operons in N. gonorrhoeae. This model describes
the ability of MtrR to positively regulate (+) farAB
expression by repressing (-) farR and mtrCDE
expression. This MtrR regulatory circuit is most likely to be important
in preventing the excess expression of these efflux pumps in
gonococci.
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The ability of MtrR to regulate mtr and far efflux operons in opposite ways highlights an important feature of gene control in gonococci (Fig. 5) because loss of MtrR repressor activity resulted in increased expression of mtrCDE but decreased expression of farAB. A similar regulatory scheme has been reported for the production of two major porins, OmpF and OmpC, which determine the permeability of the outer membrane in E. coli. The production of OmpF and OmpC is under the control of EnvZ and OmpR, a two-component signal transduction system encoded by the ompB locus. The level of OmpF, which forms a larger pore, relative to that of OmpC was modulated by the status of OmpF phosphorylation in response to environmental conditions (7, 25). Switching between OmpF and OmpC seems to be an important part of bacterial adaptation and survival under stress conditions (26).
N. gonorrhoeae uses the mtr and far efflux pump systems to resist the antimicrobial agents that bathe certain mucosal sites which this organism infects (15, 22, 34). However, overproduction of an efflux pump seems to be detrimental, as gonococcal growth was slowed when the mtr system was overproduced (9). In dealing with this problem, gonococci seem to use MtrR to adjust the total activity of efflux pumps. Our results may also explain why McFarland et al. (22) observed an Mtr-independent mechanism by which gonococci resist fecal lipids since their test strains did not express resistance to HAs such as erythromycin or Triton X-100, which would have required mtrR mutations to cause overexpression of mtrCDE. During rectal infections where gonococci would be confronted with toxic fecal lipids, those strains producing an active MtrR repressor would increase farAB expression due to the ability of MtrR to reduce farR expression. This hypothesis is in keeping with the model described in Fig. 5.
We observed that a DNA sequence upstream of farR resembles the mtrR-CDE intervening region encompassing an inverted repeat sequence. Conventional and competitive EMSA experiments that used a PCR product encompassing the sequence upstream of farR revealed that MtrR could bind to this region. This observation, coupled with the results from ß-Gal fusion assays (Table 3), demonstrates that MtrR is a multigene regulator in gonococci. We are now addressing this hypothesis and are attempting to identify other MtrR-regulated genes through a combination of proteomic and genomic approaches. Because an MtrR-like protein was identified as a potential virulence factor in P. aeruginosa (38), it may be that MtrR in gonococci and similar proteins in other bacteria regulate genes involved in virulence.
The protein purification and sequencing work performed at the Microchemical Facility was supported by NIH-NCRR grants 02878, 12878, and 13948. Work in our laboratories was supported by NIH grants. AI-21150-17 (W.M.S.) and AI-37945 (R. Lehrer, UCLA Health Sciences Center). J.P.F. was supported by NIH training grant 5T32 AI-07470. W.M.S. is the recipient of a Senior Research Career Scientist Award from the VA Medical Research Service.
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