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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.
FarR Regulates the farAB-Encoded Efflux Pump of Neisseria gonorrhoeae via an MtrR Regulatory Mechanism
E.-H. Lee,1 C. Rouquette-Loughlin,1 J. P. Folster,1 and W. M. Shafer1,2*
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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ABSTRACT
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The
farAB operon of Neisseria gonorrhoeae encodes an
efflux pump which mediates gonococcal resistance to antibacterial fatty
acids. It was previously observed that expression of the farAB
operon was positively regulated by MtrR, which is a repressor of the
mtrCDE-encoded efflux pump system (E.-H. Lee and W.
M. Shafer, Mol. Microbiol. 33:839-845, 1999). This regulation
was believed to be indirect since MtrR did not bind to the
farAB promoter. In this study, computer analysis of the
gonococcal genome sequence database, lacZ reporter fusions,
and gel mobility shift assays were used to elucidate the regulatory
mechanism by which expression of the farAB operon is modulated
by MtrR in gonococci. We identified a regulatory protein belonging to
the MarR family of transcriptional repressors and found that it
negatively controls expression of farAB by directly binding to
the farAB promoter. We designated this regulator FarR to
signify its role in regulating the farAB operon. We found that
MtrR binds to the farR promoter, thereby repressing
farR expression. Hence, MtrR regulates farAB in a
positive fashion by modulating farR expression. This MtrR
regulatory cascade seems to play an important role in adjusting levels
of the FarAB and MtrCDE efflux pumps to prevent their excess expression
in
gonococci.
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INTRODUCTION
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Neisseria gonorrhoeae is a strictly human pathogen that causes
the sexually transmitted disease gonorrhea. Gonococci often infect
mucosal sites bathed in fluids containing host-derived antimicrobial
hydrophobic agents (HAs), such as free fatty acids (FAs) and bile
salts. Gonococcal resistance to certain antimicrobial HAs has been
attributed to the mtrCDE (for "multiple transferable
resistance")-encoded efflux pump, which exports a number of
host-derived antimicrobial HAs (e.g., bile salts, antibacterial
peptides, and FAs) (11,
28,
35). The mtr
locus consists of three tandemly linked genes (mtrCDE)
encoding cell envelope proteins that are divergently transcribed from
the mtrR gene, positioned 250 bp upstream
(11). The MtrR protein is
a transcriptional repressor belonging to the TetR family of proteins
and plays a critical role in modulating transcription of the
mtrCDE operon. Thus, mutations within the mtrR coding
region or the intergenic region between mtrR and
mtrCDE enhanced mtrCDE expression, leading to
elevated resistance to HAs
(11,
12).
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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MATERIALS AND METHODS
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Bacterial strains and culture
conditions.
The bacterial
strains used in this study are listed in Table
1. E. coli strain TOP10 (Invitrogen, Carlsbad, Calif.) was used
in all cloning experiments. N. gonorrhoeae strain
FA19 was used as the primary gonococcal strain. E. coli
strains were grown in Luria-Bertani broth at 37°C. Gonococcal
strains were grown on gonococcal medium base (GCB) agar(Difco Laboratories, Detroit, Mich.) containing glucose and iron
supplements at 37°C under 3.8% (vol/vol) CO2
(33).
Efficiency-of-plating
(EOP) analysis.
After
overnight growth on GCB agar plates with or without supplementation of
palmitic acid (150 µg/ml; Sigma, St. Louis, Mo.), the CFU of
gonococci were determined from GCB-palmitic acid plates and compared
with the CFU on GCB plates as previously described
(30).
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.
Construction and use of
farAB-lacZ and farR-lacZ fusions in
gonococci.
The
farAB-lacZ and farR-lacZ fusions used in
this study were prepared in pLES94 as previously described
(36). Briefly, an
approximately 300-bp sequence upstream of farA and
farR was amplified by PCR using primers farA26B and
farA52B and farRB1 and farRB2 (Table
2), respectively, and
ligated into the BamHI site of pLES94. The ligation mixtures
were introduced into E. coli TOP10 by transformation, and
transformants were selected on LB agar plates supplemented
with ampicillin (100 µg/ml; Sigma). After the orientation and
sequence of the insert were checked and found correct, the resulting
plasmids were used to transform strain FA19 to allow insertion of the
farAB-lacZ or farR-lacZ fusion at the proAB
site on the gonococcal chromosome
(36). Transformants were
selected on GCB plates containing chloramphenicol (1 µg/ml;
Sigma). To create a farR mutation in the farR-lacZ
fusion strain (EL33), a 2.5-kb DNA sequence encompassing the
farR coding region, interrupted by a kanamycin resistance
cassette, was amplified by PCR using oligonucleotide primers
marR2 and marR4 from strain EL24
(farR::Kmr) and
this product was introduced into strain EL33 by transformation. For the
mtrR mutation in strain EL33, a 720-bp region containing the
deleted mtrR gene
(11) was amplified from
DNA of strain KH11 (same as FA19 except
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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RESULTS AND DISCUSSION
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Identification of a regulatory
protein (FarR) involved in negative regulation of the farAB
operon.
Members of the MarR
family of repressors (EmrR [E. coli], MarR
[E. coli], and MexR [P.
aeruginosa]) are involved in the regulation of efflux pump
operons (3,
4,
6,
16,
18,
21,
29,
32,
39). In an attempt to
identify a transcriptional regulatory protein that directly modulates
farAB, we sought to identify a MarR-like protein(s) in
gonococci. Since Neisseria meningitidis and N.
gonorrhoeae are genetically closely related and since the complete
annotation of the meningococcal genome sequencing database was
available, we searched for a meningococcal marR-like gene(s)
in the online database of N. meningitidis strain MC58
(www.tigr.org).
This search identified two meningococcal open reading frames that
encode transcriptional regulators of the MarR family (TIGR locus names:
NMB1843 and NMB1585). Furthermore, sequences homologous to these genes,
marR1 for NMB1843 and marR2 for NMB1585, were
subsequently identified in the N. gonorrhoeae FA1090 genome
sequence database
(www.genome.ou.edu).
When the putative products of marR1 and marR2 were
compared with other MarR family regulatory proteins that modulate
efflux pump operons, they were found to have 20 to 25% amino
acid identity (data not presented).
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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To ascertain if MarR1 or MarR2 regulates the farAB
operon, a farAB-lacZ reporter fusion was constructed in strain
FA19. For this purpose, 300 bp of the farAB upstream region,
including the ATG start codon and the codons for the first seven amino
acids, was amplified by PCR and cloned into pLES94, resulting in a
translational lacZ fusion. The resulting recombinant plasmid
was introduced into the proAB site on the gonococcal
chromosome by homologous recombination
(36). We performed a
chemiluminescence ß-Gal assay using stationary cells grown
overnight on GCB agar to permit maximal expression of farAB.
The results showed that the marR1 mutation (strain EL26)
caused a fourfold increase (P = 0.02) in the amount of
ß-Gal production (Fig.
1B), while the
marR2 mutation (strain EL29) did not (P =
0.5) impact farAB expression (Fig.
1B). On the basis of these
results and the FA susceptibility data (Fig.
1A), we hypothesized that
MarR1 negatively regulates farAB expression. Because MarR1 had
the most significant impact on gonococcal susceptibility to FAs and
farAB expression, we studied it in more detail. MarR1 was
renamed FarR to signify its role in regulation of farAB
expression.
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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Autoregulation of farR
expression.
Regulatory
proteins that control expression of efflux pump operons are often
subject to autoregulation
(20,
29). To explore this
possibility, we conducted an EMSA using FarR and a DNA fragment
containing the farR promoter. A retarded complex was observed
at the concentration of 5 ng, indicating that FarR might regulate its
own expression (Fig. 3A).
The specificity of this binding was confirmed by performing a
competition assay, the results of which are shown in Fig.
3C. This experiment
revealed that an unlabeled farR promoter sequence but not a
DNA sequence within the farB coding region could compete with
farR binding to the labeled farR promoter sequence.
To determine if FarR regulates its own expression, the farR
gene was inactivated by a nonpolar kanamycin resistance cassette in the
farR-lacZ fusion strain EL33, giving rise to strain EL35, and
ß-Gal activity was assessed. The results (Table
3) revealed that inactivation of farR in strain EL35 resulted in
a greater-than-twofold increase in ß-Gal activity, indicating
that FarR represses its own
expression.
MtrR binds to the FarR
promoter, resulting in regulation of farAB.
Previously, we observed that MtrR, a
repressor of the mtr efflux system
(19,
28), was involved in
positive regulation of the farAB operon
(15). The presence of
both MtrR and its DNA-binding activity was shown to be
required for the basal level of farAB expression and FA
resistance in gonococci. However, because MtrR did not bind to the
farAB promoter in a specific manner (Fig.
4), we hypothesized that MtrR may indirectly regulate the farAB
operon through its capacity to regulate another gene, perhaps a
transcriptional repressor of farAB
(15). Accordingly, we
asked whether MtrR modulates farR expression. We noted that
the putative promoter region for the farR gene contained a
sequence
(5'-GATTAAAATATAACTATTAA-3')
resembling the mtrR-CDE intervening region. This
sequence encompassed the -10 region of the mtrR
promoter and the 13-bp inverted repeat sequence (homologous nucleotides
are underlined), which was previously shown to be important for MtrR
regulation of mtrCDE
(12). However, this site
only partially overlaps the MtrR-binding site previously identified by
Lucas et al. (19),
suggesting that the precise nucleotides for MtrR regulation remain
unidentified. Therefore, to determine if MtrR binds to the
farR promoter, we performed an EMSA using a purified MBP-MtrR
fusion protein(19). MBP-MtrR-dependent
gel shifts were observed for the mtrR-mtrCDE intergenic and
the farR promoter regions (Fig.
4). The specificity of
this binding was indicated by the finding that an unlabeled
farR promoter DNA sequence could compete with the labeled
complexes but that the farAB upstream sequence was unable to
compete with this binding (data not shown).

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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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To ascertain the in
vivo effects of MtrR binding to the farR promoter, we
constructed an mtrR deletion strain from a derivative of
strain FA19 that contained a translational farR-lacZ fusion
(strain EL37). The level of ß-Gal activity, directly
correlating with farR expression, in cells taken at late log
phase of growth was assessed. The results demonstrated that deletion of
mtrR resulted in a 54% increase in farR-lacZ
expression compared with that for the parent strain (Table
3). These results indicate
that MtrR negatively regulates farR expression. It is
important to emphasize that the modest increase in farR
expression due to the loss of MtrR is not an unusual phenomenon for
efflux pump operons since inactivation of acrR and
mexR was also shown to cause only a small increase in
expression of the acrAB and mexAB-oprM efflux pump
operons, respectively
(20,
29). Taken together,
these results suggest that MtrR is involved in positive regulation of
farAB expression by downregulating expression of
farR.
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.
|
|
The mechanism
by which MtrR regulates expression of the far and mtr
systems emphasizes two important features. First, the farAB
operon can be directly regulated in a negative manner by FarR. Our data
also support the notion that this operon can be upregulated by MtrR and
by FarR repression of farR (Fig.
5). This is different from
many other efflux pump operons, which are directly regulated by an
activator (e.g., the MexT activator of mexEF-oprN in P.
aeruginosa
[13]) or a
repressor (e.g., the EmrR repressor of the emrAB operon in
E. coli
[18]).
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.
 |
ACKNOWLEDGMENTS
|
|---|
We are grateful to J. Pohl
and O. Stuchlik of the Emory Microchemical Facility for their help in
FarR purification and N-terminal sequencing of FarR. We are thankful to
the Gonococcal Genome Sequencing Project (supported by NIH grant
AI-38399) of the University of Oklahoma (B. A. Roe,
S. P. Lin, L. Song, X. Yuan, S. Clifton, T. Dulcey, L. Lewis,
and D. W. Dyer) for providing the sequence of the FA1090
genome online. We are also thankful to L. Pucko, S. Katzif, and S.
Satola for helping with manuscript preparation and careful
reading.
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.
 |
FOOTNOTES
|
|---|
* Corresponding
author. Mailing address: Department of Microbiology and Immunology,
Emory University School of Medicine, Atlanta, GA 30322. Phone: (404)
728-7688. Fax: (404) 329-2210. E-mail:
wshafer{at}emory.edu. 
 |
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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
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