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Journal of Bacteriology, January 2007, p. 220-227, Vol. 189, No. 1
0021-9193/07/$08.00+0 doi:10.1128/JB.01149-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Microbiology Group, Department of Biology,1 Molecular Biology Program, New Mexico State University, Las Cruces, New Mexico 88003-8001,2 Department of Biological Sciences, Illinois State University, Normal, Illinois 61791-4120,3 Department of Microbiology and Immunology, University of Louisville School of Medicine, Louisville, Kentucky 402924
Received 23 July 2006/ Accepted 10 October 2006
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Growth of the gram-positive pathogen Staphylococcus aureus with salicylate also induces reduced susceptibility to multiple antimicrobials, including membrane-active cleaners/disinfectants and plant essential oils, the DNA topoisomerase inhibitor ciprofloxacin, the protein synthesis inhibitor fusidic acid, and the DNA-intercalating dye ethidium (14, 15, 42, 43, 45, 46). The salicylate-induced phenotype is partially due to the activation of antimicrobial efflux and a proton motive force-independent reduction in antimicrobial accumulation (43). The drugs for which salicylate reduces accumulation are substrates of the well-characterized multidrug efflux pump NorA, yet NorA does not play a role in this mechanism (23, 43). In addition, salicylate also increases the frequency at which S. aureus acquires genotypic resistance to ciprofloxacin and fusidic acid (14, 45).
The S. aureus genome also contains numerous marR paralogs, historically referred to as the staphylococcal accessory regulator (sarA) family of genes (for a review, see reference 29). Some of these S. aureus marR paralogues (e.g., sarA, mgrA, and mepR) have already been implicated in the control of intrinsic antimicrobial resistance (21, 22, 36, 51, 52, 53).
We now characterize transcriptome alterations that occur in S. aureus cells exposed to salicylate and support some of these findings with physiological experimentation. The implications of our findings with respect to the salicylate-inducible multiple antimicrobial resistance mechanism of S. aureus are discussed.
(This work was presented in part at poster sessions of the 45th International Conference on Antimicrobial Agents and Chemotherapy, Washington, DC, 2005, and the 106th General Meeting of the American Society for Microbiology, Orlando, FL, 2006.)
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All bacteria were cultured in Luria Broth (LB) (Difco, Detroit, MI) at 37°C with shaking (200 rpm) or on LB agar prepared with antibiotic additions as required (chloramphenicol, 20 mg/liter, or kanamycin, 50 mg/liter) (Sigma-Aldrich, St. Louis, MO). Working-stock LB agar cultures were kept at 4°C, and all strains were maintained in LB containing 20% glycerol at 80°C. All broth cultures were inoculated with overnight cultures to reach an initial optical density at 600 nm (OD600) of 0.01. For growth curves, the OD600 was read over a 7-h period with triplicate LB cultures prepared with or without salicylate addition. To determine the effect of gluconate and glucose on salicylate toxicity, one 24-h OD600 was recorded for triplicate cultures. Cultures for RNA isolation and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) assays were induced at mid-exponential phase (OD600 = 0.7) with 2 mM sodium salicylate (pH 7.0) (Sigma-Aldrich) for 1 h, and cell lysates and RNA were isolated from cultures that had reached a final OD600 of 1.1. Susceptibility to antimicrobials was determined using the gradient plate method, as previously described (36).
Metabolic and glyceraldehyde-3-phosphate dehydrogenase assays. The metabolic activity of S. aureus was determined with mid-exponential-phase control and 2 mM salicylate-induced cultures (OD600 = 0.5) at 36°C separately dispensed into glass boats within airtight glass chambers. At intervals, a computer-controlled multiplexer (Sable Systems International, Las Vegas, NV) flushed the chambers for 2 min into a Li-Cor 6251 CO2 analyzer (Li-Cor, Lincoln, NE) linked to an Oxzilla O2 analyzer (Sable Systems International), and O2 consumption and CO2 production were determined using DATACAN software (Sable Systems International). Airflow was controlled with a mass flow meter (Sierra Instruments, Monterey, CA) and scrubbed of water vapor with a magnesium perchlorate filter before entering the CO2/O2 analyzers. A chamber containing sterile LB controlled for potential background CO2 and gas leakage in the chambers.
GAPDH activities (NAD+ reduction [OD340] per mg protein [OD280] per min) of control cultures and 2 mM salicylate-induced cultures were measured using the method of Fillinger et al. (9). In separate experiments, the GAPDH inhibitor iodoacetate (20 µg/ml) (41) and 2 mM salicylate were added separately to lysates from control cultures to determine if salicylate directly affects GAPDH activity.
DNA and RNA purification. S. aureus chromosomal DNA was extracted as described previously (46), and plasmid DNA was purified from E. coli using the Plasmid Midi kit (QIAGEN Inc., Valencia, CA) following the manufacturer's instructions. RNA for selective capture of transcribed sequences (SCOTS) (13) and real-time PCR was isolated using a bead mill homogenization procedure (28). RNA for microarrays was isolated from cultures pretreated with an equal volume of RNA Protect (QIAGEN Inc.) before cell harvest (8,000 x g; 20 min; 4°C). The pellets were then resuspended in 1 ml Trizol (Invitrogen, Carlsbad, CA) and processed in an FP120 FastPrep cell disruptor (MP Biomedicals, Irvine, CA) for 40 s at a setting of 6.0. Chloroform (1:1) was then added to the lysates, followed by centrifugation (16,000 x g; 15 min; 4°C), and RNA was precipitated in 100% ethyl alcohol (1:1). The RNA was then further purified with RNeasy spin columns (QIAGEN) following the manufacturer's instructions.
cDNA synthesis. Contaminating DNA was removed from all RNA samples using DNAfree (Ambion, Austin, TX). For SCOTS and real-time PCR, RNA was converted to first-strand cDNA with Moloney murine leukemia virus SuperScript III Reverse Transcriptase (Invitrogen) using XbaI- or SalI-linked random nonamers (Table 1) (IDT, Coralville, IA) or random hexamers (Invitrogen), respectively. Second-strand cDNA was synthesized from first-strand cDNA using DNA polymerase I (New England Biolabs Inc., Ipswich, MA) and linked for SCOTS, or from random hexamers at 37°C for 20 min. cDNA for microarray analyses were produced with SuperScript II Reverse Transcriptase (Invitrogen) with 2 µg of RNA combined with random hexamers (Invitrogen), 0.25 mM deoxynucleoside triphosphate (Invitrogen), and 0.25 mM aminoallyl-dUTP (Ambion). Remnant RNA was removed by incubation in hydrolysis buffer (100 mM EDTA, 200 mM NaOH) for 15 min at 65°C.
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TABLE 1. Primers used in this study
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1.5-fold change in gene expression, and a two-tailed Student's t test (P < 0.10). SCOTS. The SCOTS technique (13) was used to identify genes exclusively upregulated by growth in the presence of salicylate. The complete rRNA operon of SH1000 was PCR amplified using primers Rrn1-1 and Rrn1-2 (Table 1) and cloned into the pCR-XL-TOPO vector (Invitrogen), resulting in plasmid pJR-1. Initially, photobiotinylated SH1000 chromosomal DNA was prehybridized at 70°C for 30 min to the S. aureus rRNA gene operon (pJR-1). SalI-linked (salicylate-induced) and XbaI-linked (control) (Table 1) cDNAs were then separately hybridized to rRNA gene-blocked chromosomal DNA overnight at 70°C in 10 mM N-[2-hydroxyethyl]-piperazine-N'-[3-propanesulfonic acid] and 1 mM EDTA. cDNA-blocked chromosomal DNA duplexes were then pulled down using streptavidin-coated beads (Invitrogen), and captured cDNA was then further PCR amplified with the respective SalI- or XbaI-specific primers (Table 1). These cDNA populations were then normalized by two subsequent rounds of block capture hybridization. To enrich for salicylate-induced cDNAs exclusively, rRNA gene-blocked chromosomal DNA was prehybridized to denatured normalized control XbaI-linked cDNAs for 30 min at 70°C, and then denatured salicylate-induced SalI-linked cDNA was added and hybridization was continued overnight (70°C). Hybridized cDNA-chromosomal duplexes were then captured with streptavidin, and salicylate-induced cDNAs were amplified by PCR using the SalI-linked primer. After three rounds of enrichment, total salicylate-induced cDNA was cloned into pCR-XL-TOPO (Invitrogen), and cDNA clones were purified using Plasmid Midi kits (QIAGEN) and sequenced (Table 2).
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TABLE 2. Genes upregulated or downregulated in response to growth in the presence of 2 mM salicylate for 1 h
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CT method (25). |
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Two millimolar salicylate addition slightly reduced the growth of SH1000, and 5 mM halted further growth after 5 h (Fig. 1). Since slowly growing bacteria express increased antimicrobial resistance (2, 7), growth inhibition by salicylate may contribute to the salicylate-inducible antimicrobial resistance mechanism. In addition, respirometric analysis revealed that O2 consumption by SH1000 cultures was reduced (P < 0.01) during exposure to 2 mM salicylate by 31.2% after 50 min (13.0 versus 9.0 µl) and by 59% after 150 min (16.0 versus 6.7 µl). Likewise, CO2 production by SH1000 cultures was reduced (P < 0.01) during salicylate exposure by 35.4% after 50 min (11.3 versus 17.4 µl) and by 56.9% after 150 min (9.1 versus 21.0 µl). In contrast to our results, it was reported that Mycobacterium tuberculosis demonstrates increased O2 consumption upon exposure to salicylate (8).
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FIG. 1. Growth of SH1000 with and without salicylate. The error bars represent standard deviations.
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2-fold in strain SH1000 following 1 h of exposure to 2 mM salicylate (2.66 ± 0.06 compared to 1.32 ± 0.04 OD340/OD280/min). Addition of the GAPDH inhibitor iodoacetate to untreated SH1000 lysates inhibited GAPDH activity as expected (1.04 ± 0.04 OD340/OD280/min), yet the addition of 2 mM salicylate to the same lysates had no significant effect on activity (2.7 ± 0.23 OD340/OD280/min) (for all experiments, n = 3 and P < 0.05). This suggests that growth in the presence of 2 mM salicylate results in lowered GAPDH activity as a consequence of decreased gapA2 expression. It should be noted that the S. aureus chromosome contains two putative gapA genes: gapA1 (336 amino acids; accession no. YP_185712) and gapA2 (341 amino acids; accession no. YP_186571). Growth of S. aureus in the presence of salicylate also downregulated the transcription of pgi, which encodes glucose-6-phosphate isomerase. Pgi catalyzes the interconversion of glucose-6-phosphate to fructose-6-phosphate, and its activity is also required for glycolysis to occur. In addition, a phosphoglycerate transporter (SACOL0200) (phosphoglycerates are important intermediates for glycolysis) was also downregulated (Table 2). In support of our findings, it was previously demonstrated that salicylate reduces glycolysis in a eukaryotic system (4).
In contrast to the genes mentioned above, genes found within the S. aureus gluconate operon (gntRKP), gntK and gntP, were upregulated following growth in the presence of salicylate (Table 2). The signal for gntR also appeared strong by array analysis (1.6-fold), but this finding proved insignificant (P > 0.10). Increased gluconate uptake might be an important metabolic alteration that occurs in S. aureus to compensate for the growth-inhibitory events occurring during salicylate exposure. The addition of gluconate to growth media in excess of salicylate ameliorated the growth-inhibitory effect(s) of salicylate, especially at 10 mM salicylate (Table 3). This gluconate response could be due to (i) gluconate alleviation of enzymatic inhibition by salicylate and/or (ii) the gluconate addition providing an alternative carbon and energy source for utilization by cells exposed to salicylate. In support of the former hypothesis, salicylate acts as a competitive inhibitor of
-ketoglutarate dehydrogenase in cardiac mitochrondia (35). Since there is no evidence of an Entner-Doudoroff pathway in S. aureus (49), gluconate is probably initially oxidized via the pentose phosphate cycle (PPC) in S. aureus, as it is in the closely related model bacterium Bacillus subtilis (37). The PPC is required for the production of pentose phosphates for nucleotide biosynthesis and the anabolic redox cofactor NADPH required for various biosynthetic reactions. In B. subtilis, induction of gntKP is repressed by glucose addition (34). Furthermore, S. aureus grown without glucose metabolizes >64% of added glucose via the PPC, while cells grown with glucose oxidize only <38% via the PPC (49). These findings demonstrate that glucose addition reduces the contributions of gluconate metabolism and the PPC to overall cell metabolism. We hypothesized that if the metabolism of the salicylate-treated cell relied on a gluconate metabolic pathway, which could be repressed by glucose addition, than glucose addition would contribute to salicylate toxicity. As predicted, the addition of glucose to SH1000 cultures growing in the presence of salicylate exacerbated the growth-inhibitory effects of salicylate (Table 3).
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TABLE 3. Effects of gluconate and glucose on salicylate growth inhibition
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Collectively, we speculate that salicylate inhibits glycolysis and gluconeogenesis and induces gluconate metabolism, which provides energy and metabolites for growth during salicylate exposure. It should be noted that B. subtilis has the ability to grow on gluconate by an incompletely defined pathway (10).
Upon salicylate induction for 1 h, the two cistronic open reading frames SACOL2300 and SACOL2301 are induced 1.7- and 2-fold, respectively, and SACOL2300 was also captured by SCOTS (Table 2). SACOL2301 encodes an
-subunit of a putative formate dehydrogenase, suggesting that formate dehydrogenase activity increases following salicylate induction. Perhaps salicylate-induced alterations in formate metabolism contribute to the salicylate effect.
Topoisomerase IV is required for DNA synthesis and is the primary target of fluoroquinolones in S. aureus (33). Single-step fluoroquinolone-resistant S. aureus mutants possess mutations in the genes encoding both topoisomerase IV subunits, parE and parC (20, 33). Fusidic acid binds to the complex of elongation factor G (EF-G), GTP/GDP and the ribosome, inhibiting the release of EF-G-GDP after the translocation step of peptide synthesis, thereby inhibiting protein synthesis (5, 50). Mutations in fusA, the gene encoding EF-G in S. aureus, lead to fusidic acid resistance by reducing the affinity of the drug for the protein synthesis machinery (3). Growth of S. aureus with salicylate leads to a reduction in susceptibility to both ciprofloxacin and fusidic acid (14, 42). Both parE and fusA were identified as salicylate inducible via SCOTS analysis, and this was confirmed by real-time PCR (Table 2). Even though parE and parC are carried on a polycistronic transcript (19), neither was upregulated on the array. fusA was also upregulated by salicylate on the array analysis, but this proved insignificant. Since salicylate exposure elevates parE and fusA transcription, it is possible that increased production of antimicrobial target increases intrinsic resistance to ciprofloxacin and fusidic acid, respectively. Such a mechanism may function by binding the antimicrobials and reducing, in this case, the intracellular concentrations of these drugs. In support of this notion, S. aureus mutants overexpressing penicillin-binding protein 4, one of the drug targets of ß-lactams, leads to elevated ß-lactam resistance expression (12, 16). On the other hand, Ince and Hooper (19) reported that decreased transcription of the parEC operon in first-step fluoroquinolone-resistant mutants of S. aureus led to increased resistance to fluoroquinolones, making our findings somewhat contradictory. Furthermore, in contrast to our findings, growth in the presence of salicylate actually reduces fusA transcription in E. coli and M. tuberculosis (8, 40).
Even though we previously demonstrated that antimicrobial efflux is stimulated by growth in the presence of salicylate, particularly ethidium efflux (43), we did not detect transcriptional alteration of any antimicrobial efflux pump gene. Despite this finding, however, we do reveal that growth in the presence of salicylate downregulates mgrA (Table 2), which encodes a strain-dependent SarA family (for a review, see reference 29) negative regulator of genes encoding the antimicrobial efflux pumps NorA, NorB, NorC, and Tet38 (22, 26, 51, 52, 53). We speculate that early during salicylate induction one or more of these efflux pump transcriptional units may be upregulated transiently, leading to increased production of a pump(s), but then returns to its preinduced activity level. It is therefore of interest that the overexpression of norB leads to increased ethidium resistance (52) and that growth in the presence of salicylate induces ethidium efflux and resistance (43). Since growth of S. aureus in the presence of salicylate reduces susceptibility to fusidic acid (42) and common house cleaners (46) and reduces mgrA expression (this study), we hypothesized that mgrA mutants should demonstrate reduced susceptibility to fusidic acid and a common house cleaner. mgrA::cat mutants of strains Becker (CYL1040) and Newman (CYL1050) demonstrated reduced susceptibility to ciprofloxacin, as expected (53), and to a common house cleaner but increased susceptibility to fusidic acid (Table 4) . Furthermore, the addition of 2 mM salicylate to all drug gradients led to reduced susceptibility in all cases, with the exception of Becker and CYL1040 growing on ciprofloxacin gradients, where salicylate actually led to an unexpected reduction in ciprofloxacin resistance. Of the multiple strains this laboratory has investigated, this is the first S. aureus strain we have come across that did not demonstrate increased resistance to ciprofloxacin when induced with salicylate. Since mgrA inactivation does not completely inhibit salicylate-inducible reduced susceptibility to multiple antimicrobials (with the exception discussed above), it appears that salicylate can induce reduced susceptibility via an mgrA-independent pathway.
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TABLE 4. Effects of mgrA inactivation on intrinsic antimicrobial resistance
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Besides mgrA, we note that another SarA family gene, sarR, which encodes a negative regulator of sarA, was also downregulated after growth with salicylate. This suggests that sarA is upregulated by salicylate induction, which was demonstrated by real-time PCR analysis in our previous study using SH1000 (46). We also demonstrated that sarA is required for the full expression of intrinsic multiple antimicrobial resistance (36) and salicylate-induced reduced susceptibility to multiple antimicrobials (46). In contrast to these findings, Kupferwasser et al. (24) reported that sarA regulation in S. aureus was repressed by growth in the presence of 0.3 mM salicylate.
Growth in the presence of salicylate also increased expression of the nucleotide-binding component (SACOL2462) of an ABC transporter putatively constituted by SACOL2461 and SACOL2462 (Table 2). The 3' region of the SACOL2462 ORF overlaps with the 5' region of a putative permease gene (SACOL2461), suggesting that the two genes are cistronic. ABC-type pumps transport chemically assorted substrates, including antimicrobials, and have been implicated in antimicrobial resistance (for a review, see reference 38). Pasca et al. (39) described an ABC transporter in M. tuberculosis involved with intrinsic ciprofloxacin resistance and efflux.
In conclusion, salicylate downregulates genes involved with glycolysis and gluconeogenesis: mgrA, a repressor of multidrug efflux pump genes, as well as sarR, which regulates a gene (sarA) that enhances intrinsic antimicrobial resistance. Salicylate also upregulates gluconate and formate metabolic genes, as well as two antibiotic target genes. More experimentation will be required to confirm a possible connection between salicylate-induced alterations in metabolic pathways and antibiotic target gene upregulation and reduced antimicrobial susceptibility.
The DNA microarrays were obtained through NIAID's Pathogen Functional Genomics Resource Center, Division of Microbiology and Infectious Diseases, NIAID, NIH.
Published ahead of print on 20 October 2006. ![]()
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