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Journal of Bacteriology, June 2006, p. 3757-3762, Vol. 188, No. 11
0021-9193/06/$08.00+0 doi:10.1128/JB.00038-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Isolation and Characterization of VceC Gain-of-Function Mutants That Can Function with the AcrAB Multiple-Drug-Resistant Efflux Pump of Escherichia coli
Govindsamy Vediyappan,
Tatyana Borisova, and
Joe A. Fralick*
Department of Microbiology and Immunology, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas 79430
Received 10 January 2006/
Accepted 1 March 2006

ABSTRACT
VceC is the outer membrane component of the major facilitator
(MF) VceAB-VceC multiple-drug-resistant (MDR) efflux pump of
Vibrio cholerae. TolC is the outer membrane component of the
resistance-nodulation-division AcrAB-TolC efflux pump of
Escherichia coli. Although these proteins share little amino acid sequence
identity, their crystal structures can be readily superimposed
upon one another. In this study, we have asked if TolC and VceC
are interchangeable for the functioning of the AcrAB and VceAB
pumps. We have found that TolC can replace VceC to form a functional
VceAB-TolC MDR pump, but VceC cannot replace TolC to form a
functional AcrAB-VceC pump. However, we have been able to isolate
gain-of-function (gof) VceC mutants which can functionally interface
with AcrAB. These mutations map to four different amino acids
located at the periplasmic tip of VceC. Chemical cross-linkage
experiments indicate that both wild-type and gof mutant VceC
can physically interact with the AcrAB complex, suggesting that
these gof mutations are not affecting the recruitment of VceC
to the AcrAB complex but rather its ability to functionally
interface with the AcrAB pump.

INTRODUCTION
Multiple-drug-resistant (MDR) extrusion pumps contribute to
the intrinsic and acquired antibiotic resistance in bacteria
and significantly impact on the growing problem of emerging
drug-resistant pathogens (
21,
22,
28-
32,
43,
44). The purpose
of these pumps is to remove deleterious agents, including antibiotics,
from the cell, thus lowering their intracellular accumulation
and effectively increasing the antibiotic dose needed for therapeutic
intervention. In gram-negative bacteria, these efflux pumps
are usually tripartite in architecture, composed of three distinct
classes of proteins: (i) cytoplasmic membrane translocase proteins
(CMTs), which often utilize proton-motive force as an energy
source and act as proton antiporters; (ii) outer membrane channel
or efflux proteins (OEPs), through which substrates traverse
the periplasm and outer membrane; and (iii) periplasmic accessory
or membrane fusion proteins (MFPs), which are often tethered
to the cytoplasmic membrane and are thought to consolidate the
CMTs and OEPs to form an active MDR efflux complex (
22,
25).
Unlike most transporters, MDR pumps often have broad overlapping
substrate specificities, including a variety of antibiotics.
These efflux systems can be amplified in resistant cells (
20,
24,
30) and can shift or expand their substrate profiles with
mutation (
14,
34). MDR extrusion pumps in conjunction with other
antibiotic resistance mechanisms result in highly resistant
bacteria, making them a major threat to antibiotic therapy.
Understanding the structure, assembly, and mechanism(s) of action
of these efflux systems will be paramount to the design and
development of new drugs which can either inactivate or circumvent
their action.
Well-studied examples of gram-negative MDR efflux pumps include the Escherichia coli AcrAB-TolC and the Pseudomonas aeruginosa MexAB-OprM pumps (31, 39, 45, 46). Chemical cross-linkage studies have indicated that all three components of the AcrAB-TolC pump interact with each other (16, 40, 41), and crystal structures for OEPs (TolC [19], OprM [3], and VceC [11]), for an MFP (MexA [15]), and for a CMT (AcrB [27]) have been solved. This information has led to several models on how these pump components interact to form a functional efflux pump complex (2, 4, 9-12, 15, 18, 19, 27, 41). However, detailed interactions between these different components, their stoichiometry, and the means by which they remove substrates from the cell are just beginning to be deciphered.
Recently, the crystal structure of VceC, an OEP for the Vibrio cholerae VceAB pump (7, 43), has been solved (11), and its architecture has been shown to be very similar to that of TolC (19) and OprM (3). In fact, despite a very low degree of amino acid sequence identity, these three OEP structures can be readily superimposed upon one another (11). However, regardless of the similarities in these OEP structures, it has been suggested that the VceA-VceB-VceC pump may differ substantially from the AcrA-AcrB-TolC pump in details of the protein-protein interaction and subunit stoichiometry (11).
In this report we have examined the interchangeability of TolC and VceC with the AcrAB and VceAB pumps. We have found that while TolC can functionally replace VceC of the VceAB-VceC MDR efflux pump, VceC does not function with the AcrAB pump. We have, however, been able to select VceC gain-of-function (gof) mutations, which enables the mutant VceC to function with the AcrAB pump in E. coli. These substitution mutations map to four different amino acids positioned at the periplasmic tip of VceC, in alpha helixes 3, 4, and 8, where it may interact with AcrB. Finally, chemical cross-linkage experiments have indicated that both wild-type and gof mutant VceC can physically interact with the AcrAB complex, suggesting that these gof mutations are not affecting the recruitment or docking of VceC to the AcrAB complex per se but rather its ability to functionally interface with the AcrAB pump.

MATERIALS AND METHODS
Bacterial strains, plasmids, and growth media.
Bacterial strains and plasmids used in this study are listed
in Table
1.
E. coli strains were routinely grown in Luria-Bertani
(LB) broth (with 0.5% NaCl) in a gyratory shaking water bath
(New Brunswick) at 250 rpm at 37°C. Kanamycin, tetracycline,
chloramphenicol, and carbenicillin were used at 50, 12.5, 25,
and 100 µg/ml, respectively.
Antimicrobial susceptibilities.
Cells to be tested were grown overnight in LB medium at 37°C.
The culture was diluted 1:10,000, and 0.1 ml was added to 3
ml of LB soft agar (0.8%) and poured over an LB agar plate.
A 6-mm disk containing 20 µl of deoxycholate (DOC) (10%),
sodium dodecyl sulfate (SDS) (10%), novobiocin (NOV) (20 µg/ml),
or cyanide carbonyl
m-chlorophenylhydrazone (CCCP) (8 mM) was
then placed on the
E. coli lawn, and the plate was incubated
at 37°C for 24 h. The diameters of the zones of inhibition
were measured in millimeters and used to determine relative
sensitivities. The MIC of inhibitors was determined by either
spotting 10 µl of the strain to be tested (

10
5/ml) on
LB agar plates containing different concentrations of the inhibitor
and incubating the plates overnight at 37°C or adding 10
µl of the strain to be tested (

10
5/ml) to 200 µl
in microtiter wells containing serial dilutions of the inhibitor
to be tested and incubating the microtiter plate in a humidity
box overnight at 37°C. The MICs are the averages of two
or more determinations rounded off to the nearest whole numbers.
DSP cross-linkage and membrane preparation.
To stabilize the protein-protein interaction, E. coli cells were cross-linked "in vivo" by dithiobissuccinimidyl propionate (DSP), as described by Thanabalu et al. (38). LBB1175 (tolC::Tn10) carrying wild-type vceC (pVC91) or gof allele A209V (pVC91-209) was grown to a density of approximately 108/ml and treated with DSP. Total membrane preparations were obtained using a modification of the differential solubilization method of Schnaitman (33). Cells were harvested by centrifugation, and the pellets were resuspended in cold 0.05 M HEPES, pH 7.4, containing 2 mM phenylmethylsulfonyl fluoride (PMSF), and disrupted by passage through a French pressure cell (type #43398A; Aminco, Silver Spring, Md.) at 1,000 kg/cm2. The pressate was centrifuged at 2,000 x g to remove unbroken cells, and the supernatant was centrifuged at 200,000 x g for 45 min at 5°C. The pellet was resuspended in HEPES buffer containing 2% Triton X-100 and allowed to sit at room temperature for 20 min. The protein content was determined (5), and about 50 µg of protein was used for immunoprecipitation (IP) analysis.
Immunoprecipitation and Western blot analysis.
IP was performed as described by Werner et al. (42) with the following modifications. VceC-associated DSP cross-linked proteins were immunoprecipitated with anti-VceC polyclonal antibody (43) and affinity purified by TrueBlot anti-rabbit immunoglobulin (Ig) IP beads (eBioscience [www.ebioscience.com]). Washed IP beads were resuspended in 60 µl of Laemmli sample buffer containing 0.1% mercaptoethanol and boiled for 5 min. The proteins were resolved by sodium dodecyl sulfate-polyacrylamide (10%) gel electrophoresis (SDS-PAGE) and transferred to a polyvinylidene difluoride (PVDF) membrane (Bio-Rad, CA). Rabbit anti-VceC, anti-AcrA, and anti-AcrB primary antibodies were used at a dilution of 1/5,000, followed by rabbit TrueBlot horseradish peroxidase (HRP) anti-rabbit IgG (eBioscience) secondary antibody. Blots were developed employing SuperSignal West Pico Chemiluminescent substrates (Pierce) and X-ray films (Marsh Bio Products, Inc., NY).

RESULTS
TolC can replace VceC in the functioning of the VceAB pump.
The protonophore cyanide carbonyl
m-chlorophenylhydrazone (CCCP)
is a substrate of the VceAB-VceC MDR efflux pump when expressed
in an
E. coli tolC mutant (
7). It is not a substrate for the
major
E. coli MDR pump, AcrAB-TolC (
29,
37). On the other hand,
the antibiotic novobiocin (NOV), which is a substrate for the
AcrAB-TolC pump (
13,
29,
37), is not a substrate for the VceAB-VceC
pump (
7). Deoxycholate (DOC) is a substrate for both VceAB-VceC
and AcrAB-TolC pumps (
7,
13,
29,
37). The differences in substrate
specificity between these two MDR efflux pumps allow us to distinguish
between their functioning in the same cell. To determine if
TolC could replace VceC in the VceAB-VceC pump, we placed a
plasmid carrying the
vceAB genes (pVC4) (
7) into an
acrAB mutant
(LBB1135) (
13) and examined its sensitivity to CCCP, DOC, and
NOV. The results are presented in Table
2 and indicate that
TolC can replace VceC in the functioning of the VceAB pump (i.e.,
in the removal of CCCP and DOC but not NOV).
VceC cannot replace TolC for resistance to CCCP, NOV, or DOC.
To determine if VceC can replace TolC in the functioning of
MDR efflux pumps which remove CCCP, NOV, or DOC, we transformed
a
tolC mutant (LBB1175) (
13) with a plasmid carrying
vceC (pVC91)
(
43) and examined the transformant's sensitivity to these inhibitors.
As can be seen from Table
3, the presence of VceC does not increase
resistance to these inhibitors or to any other inhibitors we
have examined, including nalidixic acid, erythromycin, acriflavin,
sodium dodecyl sulfate, and bile salts, in a
tolC mutant (data
not shown).
Isolation of gain-of-function (gof) mutants.
E. coli tolC null mutants are hypersensitive to detergents and
bile salts and cannot grow on an LB agar plate containing 0.05%
DOC (DOC plates) (
13). In search of
vceC gof mutations which
would enable VceC to functionally replace TolC, we selected
for DOC resistance by plating a
tolC deletion mutant, carrying
pVC91, on DOC plates. Using this selection scheme, we were able
to isolate DOC-resistant mutants. Plasmids from these mutants
were transformed back into a
tolC deletion mutant to determine
if the gof phenotype cosegregated with pVC91. In all cases it
did. Thus far, we have sequenced 15 independently isolated
vceC gof mutations. All are point mutations which map to one of four
different codons in
vceC (Table
4). It should be pointed out
that all of the VceC gof mutant OEPs are still functional with
the VceAB pump, as determined by sensitivity to CCCP and DOC
in a
tolC,
acrAB background (data not shown). We have also found
that the relative amount of VceC produced in cells carrying
the
vceC gof mutations (pVC91-gof) was very similar to that
produced from the same cells carrying wild-type
vceC (pVC91)
(Fig.
1).
Evidence that VceC gof mutant proteins function with the AcrAB MDR efflux pump.
To determine if the VceC gof mutants are utilizing the AcrAB
pump for DOC resistance, we have examined a
tolC acrAB strain
(LBB1136) (
13) carrying the
vceC gof alleles for sensitivity
to DOC, NOV, and CCCP. We have also examined a
tolC acrB strain
to determine if AcrD might be involved, since it utilizes AcrA
and TolC for function (
2). In both cases the presence of the
vceC gof alleles did not alter the sensitivity of these strains
to DOC, NOV, or CCCP (data not shown). We have also determined
that the
vceC gof mutations could not complement a
tolC null
mutant with respect to colicin E1 tolerance, hemolysin secretion,
and sensitivity to U3 phage (data not shown), suggesting that
these VceC gof mutants cannot replace TolC for all of its functions
and appear to be specific for the functioning of an MDR efflux
pump (e.g., the AcrAB pump). Finally, we have determined the
MICs for a
tolC mutant (LBB1175) carrying the
vceC gof alleles
for DOC, NOV, and CCCP (Table
5). It is apparent from these
results that the VceC gof mutants increase the resistance of
LBB1175 to DOC and NOV, although not to the same extent as does
TolC. Furthermore, the VceC gof mutants do not provide resistance
to CCCP, which is what one would expect if the mutant VceCs
were functioning with the AcrAB pump.
Location of gof mutations in the crystal structure of VceC.
According to the crystal structure of VceC (
11), three of the
gof substitutions map to alpha helix H3 (A209V, L219R, and L219F),
one maps to alpha helix H4 (Q236R), and one maps to alpha helix
H8 (V445E). To illustrate the location of these VceC gof mutations
on the crystal structure of VceC, we downloaded the VceC structure
from the Protein Data Bank web site (
http://www.rcsb.org/pdb/)
and rendered an image using the "rasmol" program. It can be
seen from this figure (Fig.
2) that the five different VceC
gof amino acid substitutions lie near the periplasmic tip of
the VceC channel.
Cross-linkage analysis of VceC and VceCA209V to AcrAB.
To determine if the difference in function of VceC and the VceC
gof mutants may be the result of their ability to physically
interface with the AcrAB complex (i.e., recruitment and/or docking),
we examined if we could chemically cross-link VceC and gof mutant
VceC-A209V with AcrA and AcrB. The results from in vivo cross-linkage
with dithiobis succinimidyl propionate (DSP), followed by immunoprecipitation
employing anti-VceC, are given in Fig.
3. It can be seen that
both VceC (lane 2) and VceC-A209V (lane 3) proteins can be cross-linked
to a complex that contains AcrA and AcrB. It can also be seen
that AcrA and AcrB are not immunoprecipitated by anti-VceC serum
in the absence of VceC (lane 1).

DISCUSSION
Tripartite MDR efflux pumps in gram-negative bacteria span both
membranes of the cell envelope and expel a broad range of substrates
from the cell to its surrounding environment. Genetic analysis
suggests that the CMTs and MFPs of specific pumps are quite
specific for each other and are not readily interchanged between
homologous pumps, even though they may share a common OEP (
39,
44). On the other hand, some OEPs are less discriminating with
respect to their CMT-MFP partners. For example,
E. coli TolC
can functionally interact with a resistance-nodulation-division
pump (AcrAB) (
13), a major facilitator (MF) pump (EmrAB) (
23),
an ATP-binding cassette pump (HylBD) (
6), and other MDR efflux
and protein pumps in
E. coli (
35). OprM, which belongs to the
TolC family of outer membrane proteins, can also interact with
multiple resistance-nodulation-division pumps in
Pseudomonas aeruginosa (
26,
36,
44). However, even these OEPs show some
specificities. For example, TolC and OprM can both functionally
interact with MexCD and MexXY pumps (
1,
35,
44), yet OprM, but
not TolC, can functionally interact with MexAB. Also, TolC,
but not OprM, can functionally interact with AcrAB (
39). Finally,
some OEPs, such as OprN, appear to be relegated to a single
MDR pump (MexEF) (
17). The molecular mechanisms which underlie
the specificities of these interactions are not yet understood.
The architecture of the OEPs whose crystal structure has been solved (TolC, OprM, and VceC) has been remarkably similar, even though their amino acid sequence identity is quite low (3, 11, 19). In each case the homotrimers of these proteins make up a long "cannon-shaped" structure consisting of a 40-Å-long ß-barrel, which passes through the outer membrane and a 100-Å-long
-helical barrel which projects into the periplasm and is closed at its periplasmic end (19). Based on this structure and the crystal structures of AcrB (27) and MexA (15), an AcrA homologue, and with the evidence that TolC could be cross-linked independently to either AcrA or AcrB (16, 40, 41), models have been proposed which attempt to explain the assembly and function of MDR pumps (2, 4, 9-12, 15, 18, 19, 27, 41). In such models, the periplasmic ends of a trimeric AcrB and trimeric TolC are envisioned to dock in such a manner as to form a continuous channel which crosses the periplasm and spans the outer membrane. The periplasmic contact between the CMT and the OEP has been suggested to involve the TolC entrance coils and the apex (TolC docking domain) of AcrB (12, 27). In these models this connection is bridged and stabilized by the MFP, which is anchored to the cytoplasmic membrane and may have a role in the recruitment of TolC to the AcrB antiporter (18). During the assembly of the MDR pump, the periplasmic end of the OEP must open in order for the pump to function. This transition to the open state has been likened to an "iris-like" realignment of the entrance helicies (4, 19). This opening of the OEP is thought to occur through conformational changes in TolC via its interaction(s) with either CMT or MFP (19). The observation that a "locked" TolC (i.e., by introducing intermonomer disulfide bridges at the narrowest point of the TolC entrance constriction) can still be recruited by the HylBD complex suggests that the opening step can be uncoupled from recruitment and assembly steps (4). Obviously, the opening of the OEP is a key step in the functioning of an efflux pump.
In this study, we have shown that E. coli TolC can function with the V. cholerae VceAB efflux pump but that VceC cannot function with the E. coli AcrAB efflux pump. We were, however, able to isolate VceC gof mutants which enabled this OEP to functionally interface with the AcrAB pump, albeit not as effectively as TolC (Table 5). These results demonstrate that VceC can replace TolC for the functioning of the AcrAB pump and suggest that the VceAB-VceC pump may not differ substantially from the AcrAB-TolC pump with respect to the assembly of the OEP with the pump complex.
All of the isolated vceC gof mutations were single-base-pair substitutions (transitions and transversions) that mapped to four different codons, resulting in five different amino acid substitutions. These substitutions appear to be specific and are located at positions near the periplasmic tip of VceC in the H3, H4, and H8 alpha helicies. An analogous region of TolC has been proposed to interact with AcrB, such that the six hairpins at the periplasmic end of the AcrB trimer could dock with the six
-helix-turn-
-helix structures at the base of the TolC trimer (18, 19). We have compared the amino acid substitutions of the vceC gof mutations with the corresponding amino acid residues of TolC (Table 4) as determined by superposition of VceC on TolC (11). It can be seen that none of the gof substitutions resulted in the same amino acid as that found in TolC. In fact, for the most part, the substitutions were of a different class than the corresponding TolC residue. We also found no difference in the functionality of VceC containing a single substitution versus VceC containing four gof substitutions, as determined by DOC, NOV, and CCCP sensitivity (data not shown). These results, and the findings that VceC gof mutations do not affect their ability to functionally interact with the VceAB pump and wild-type VceC can be cross-linked to the AcrAB pump, suggest that the gof substitutions may not define amino acids directly involved in the physical docking of VceC to the AcrAB complex. A more likely explanation would be that these substitutions change the structural aspects of VceC such that it can functionally interface with the AcrAB pump. This could involve interactions between or within protomers. Interestingly, one of the gof mutations targets an amino acid residue, V445, converting it from a hydrophobic to an acidic (Glu) residue, similar to that found at the same location in TolC (D374). It has been hypothesized that this amino acid and A449, which become exposed to the solvent upon the opening of the VceC channel, may interact with VceA in the assembly of the VceAB-VceC pump (11). However, as stated above, this change does not appreciably affect its ability to function with VceAB.
Models for the assembly of MDR efflux pumps have suggested that the functional docking of an OEP with its corresponding pump involves a two-step process: (i) the physical docking of the OEP with its corresponding CMT-MFP pump and (ii) the opening of the OEP channel (9, 12, 18, 19, 27). Our results and those of Andersen et al. (4) support that view and suggest that these two steps can be genetically separated. Hence, an intriguing, albeit speculative, explanation for our results would be that the difference between wild-type VceC and the VceC gof proteins is the ability of the mutant VceC to undergo the transition to the open state when in association with the AcrAB complex (or persist in an open or partially open state), whereas the wild-type VceC cannot. Deciphering the differences in the interaction(s) between VceC and VceC gof proteins with the AcrAB complex may provide important insights into the functional assembly and specificity of OEPs with their CMT-MFP pump counterparts.

ACKNOWLEDGMENTS
We thank Joe Bass for his excellent technical assistance and
Helen Zgurskaya, Hiroshi Nikaido, G. Deckers-Hebestreit, K.
Attendorf, and Rajeev Misra for their generous gifs of antibodies.
This research was supported by grant AI48696 from the National Institutes of Health.

FOOTNOTES
* Corresponding author. Mailing address: Department of Microbiology and Immunology, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430. Phone: (806) 743-2555. Fax: (806) 743-2334. E-mail:
joe.fralick{at}ttuhsc.edu.


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Journal of Bacteriology, June 2006, p. 3757-3762, Vol. 188, No. 11
0021-9193/06/$08.00+0 doi:10.1128/JB.00038-06
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