Profiling cell envelope-antibiotic interactions reveals vulnerabilities to β-lactams in a multidrug-resistant bacterium
Andrew M. Hogan,
A. S. M. Zisanur Rahman,
Anna Motnenko,
Aakash Natarajan,
Dustin T. Maydaniuk,
Beltina León,
Zayra Batun,
Armando Palacios,
Alejandra Bosch and
Silvia T. Cardona ()
Additional contact information
Andrew M. Hogan: University of Manitoba
A. S. M. Zisanur Rahman: University of Manitoba
Anna Motnenko: University of Manitoba
Aakash Natarajan: University of Manitoba
Dustin T. Maydaniuk: University of Manitoba
Beltina León: Universidad Nacional de La Plata
Zayra Batun: University of Manitoba
Armando Palacios: University of Manitoba
Alejandra Bosch: Universidad Nacional de La Plata
Silvia T. Cardona: University of Manitoba
Nature Communications, 2023, vol. 14, issue 1, 1-21
Abstract:
Abstract The cell envelope of Gram-negative bacteria belonging to the Burkholderia cepacia complex (Bcc) presents unique restrictions to antibiotic penetration. As a consequence, Bcc species are notorious for causing recalcitrant multidrug-resistant infections in immunocompromised individuals. Here, we present the results of a genome-wide screen for cell envelope-associated resistance and susceptibility determinants in a Burkholderia cenocepacia clinical isolate. For this purpose, we construct a high-density, randomly-barcoded transposon mutant library and expose it to 19 cell envelope-targeting antibiotics. By quantifying relative mutant fitness with BarSeq, followed by validation with CRISPR-interference, we profile over a hundred functional associations and identify mediators of antibiotic susceptibility in the Bcc cell envelope. We reveal connections between β-lactam susceptibility, peptidoglycan synthesis, and blockages in undecaprenyl phosphate metabolism. The synergy of the β-lactam/β-lactamase inhibitor combination ceftazidime/avibactam is primarily mediated by inhibition of the PenB carbapenemase. In comparison with ceftazidime, avibactam more strongly potentiates the activity of aztreonam and meropenem in a panel of Bcc clinical isolates. Finally, we characterize in Bcc the iron and receptor-dependent activity of the siderophore-cephalosporin antibiotic, cefiderocol. Our work has implications for antibiotic target prioritization, and for using additional combinations of β-lactam/β-lactamase inhibitors that can extend the utility of current antibacterial therapies.
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-40494-5
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DOI: 10.1038/s41467-023-40494-5
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