Librossoo
Librossoo
Librossoo
Received 1 April 2010; returned 5 May 2010; revised 19 May 2010; accepted 6 June 2010
Background: Despite evidence that altered membrane porins may impair microbial drug uptake thereby poten-
tially compounding efflux pump-mediated multidrug resistance, few studies have evaluated gene transcription
to identify multidrug-resistance-associated porins and other potential drug targets.
Methods: Genes that encode six membrane porins (fadL, lamB, ompC, ompF, ompW and yiaT) and two mem-
brane proteins (tolC and ompT) were assessed by PCR and by quantitative real-time PCR (qRT –PCR) analysis of
10 multidrug-resistant (MDR) and 10 antibiotic-susceptible (AS) Escherichia coli isolates. The mean DDCt values
for the study E. coli genes were analysed by the Wilcoxon test (P ¼ 0.05).
Results: All 20 E. coli isolates tested positive for tolC, lamB, ompC, ompF genes, while 10 MDR and 9/10 (90%) AS
isolates were positive for the fadL gene. Seven out of 10 (70%) MDR and 7/10 (70%) AS isolates were positive for
the yiaT gene, while 7/10 (70%) MDR and only 4/10 (40%) AS isolates were positive for the ompT gene. The
mean DDCt values for the tolC and yiaT genes were significantly higher in MDR than in AS isolates (Wilcoxon
test; P,0.05). No significant difference was seen with respect to fadL, lamB, ompC, ompF, ompT and ompW
gene transcription (Wilcoxon test; P .0.05).
Conclusions: Findings suggest up-regulated transcription of tolC and yiaT genes in the MDR E. coli isolates.
These results indirectly suggest that TolC and YiaT proteins may play some role(s) in multidrug resistance,
but proteomic studies are needed before the two proteins are considered potential drug targets.
# The Author 2010. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved.
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Porin gene transcription in multidrug-resistant E. coli JAC
A number of researchers have reported that impaired uptake of Materials and methods
the drug molecules due to altered porins may compound
EP-mediated drug resistance.20,21,23,24 In fact, various research- Study E. coli isolates
ers have reported altered porin expression in drug-resistant All 10 MDR and 9 antimicrobial-susceptible (AS) E. coli strains used in this
Gram-negative bacteria.4,18,25,26 Clinically significant multidrug research were isolated from faecal samples and/or intestinal contents
resistance related to altered membrane permeability has been from scouring calves at the North Dakota State University (NDSU) Veter-
reported in Gram-negative enteric bacteria.20,21 These research- inary Diagnostic Laboratory (VDL). The scouring neonatal calves from
ers specifically document porin loss as a major bacterial resist- which the study isolates were cultured were raised at various beef and
ance mechanism that restricts the influx of b-lactam and dairy farms located within the State of North Dakota as well as
fluoroquinolone antibiotics.20,21 Porin modification, which may western parts of Minnesota. The AS1 isolate (ATCC E. coli strain
involve either up- or down-regulation of porin genes, has also #25922) used as the experimental control was an ATCC strain (Manassas,
VA, USA) with known broad-spectrum antimicrobial agent susceptibility.
been cited as a mechanistic event in the development of drug
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Vinson et al.
Table 1. Annealing temperatures of the primers used in routine PCR analysis of porin and OMP genes
Porin gene Primer sequence (3′ 5′ ) Annealing temperature (8C) Amplicon size (bp)
a
Note that the ompT gene encodes an outer membrane-based protease, OmpT.
100 mL of 30 U of XbaI (Promega Corporation, Madison, WI, USA) in 1× Reverse Transcription Kit (Qiagen) according to the manufacturer’s
restriction buffer and 1.0 mL of BSA (Promega Corporation), followed by instructions. Four reactions containing reverse transcriptase (RT positive)
incubation at 378C for 2 h. After incubation, the restriction digestion and four reactions without reverse transcriptase (RT negative) were pre-
mixture was replaced with 200 mL of 0.5× Tris/borate/EDTA (TBE) and pared for each of the RNA samples. The cDNA synthesis was completed
allowed to incubate at room temperature for 5 min. Electrophoresis on a DNA Engine Thermocycler (Bio-Rad Laboratories) after which the
was then carried out on the CHEF-mapper system (Bio-Rad Laboratories) resulting cDNA product was diluted 10-fold, and a 1:100 dilution was
using a 1% SeaKem Gold agarose gel and 0.5× TBE running buffer using used in the qRT–PCR.
the following electrophoresis conditions: initial switch time, 2.16 s; final The Quantitect SYBR Green PCR Kit (Qiagen) was used for all real-time
switch time, 63.8 s; run time, 18 h; 148C; and ramping factor linear. PCRs in accordance with the manufacturer’s instructions. Primers used in
Upon completion of electrophoresis, the gel was stained for 30 min in this study (Table 2) were designed based on specific porin and OMP gene
an ethidium bromide solution (1 mg/mL) and destained with double dis- sequences obtained from the EcoCyc Database for E. coli K-12, strain
tilled water. Samples were further characterized using the BioNumerics MG1655 (SRI International) and manufactured by Trilink Biotechnologies.
software (Applied Maths, Austin, TX, USA). The primers include a housekeeping gene, gapA, used for a quantitative
control. Working concentrations were determined by testing each
primer at 300, 600 and 900 nM for each of the target genes. Each PCR
PCR assay reaction contained 5 mL of cDNA, 12.5 mL 2× QuantiTect SYBR Green
The PCR assay for the porin genes was carried out according to the con- PCR master mix, the appropriate concentration of primer (Table 2) and
ditions shown in Table 1. Primers used in this study (Table 2) were enough nuclease-free water to bring the volume to 25 mL. qRT– PCR
designed based on specific porin and OMP gene sequences obtained was performed using an iCycler IQ (Bio-Rad Laboratories) with the follow-
from the EcoCyc Database for E. coli K-12, strain MG1655 (SRI Inter- ing cycling conditions: an initial incubation of 958C for 15 min; followed
national, Menlo Park, CA, USA) and manufactured by Trilink Biotechnolo- by 40 cycles of 15 s at 948C, 30 s at the appropriate annealing tempera-
gies (San Diego, CA, USA). PCR products were run in a 1.5% agarose gel, ture (Table 2) and 728C for 30 s. All test samples were run in duplicate
and stained with ethidium bromide for visualization. including an RT-negative control for each sample set along with a
blank control consisting of nuclease-free water in place of cDNA. Quanti-
fication for each target gene was determined by the DDCt method using
Quantitative real-time PCR the housekeeping gene, gapA.35
To isolate RNA, 10 MDR and 10 AS E. coli isolates were inoculated into
4.0 mL of LB broth (EMD Chemicals, Gibbstown, NJ, USA) and incubated
at 378C to mid-logarithmic phase with OD600 values ranging from 0.15
Statistical analysis
to 0.30. Purification of total RNA from each of the study E. coli strains The statistical analysis on the DDCt values obtained by qRT–PCR was per-
was performed using the RNeasy Protect Bacteria Mini Kit (Qiagen, formed using SAS Version 9.13. Descriptive statistics entailed numerical
Valencia, CA, USA), according to the manufacturer’s instructions. An summaries and graphs. A non-parametric approach Wilcoxon rank sum
additional DNase treatment was carried out using Ambion’s DNA-free test was used to compare the location parameters of the DDCt values
Kit (Ambion, Austin, TX, USA) according to the manufacturer’s instruc- for the two groups of E. coli (MDR and AS E. coli isolates). All tests were
tions. The synthesis of cDNA was performed using the Quantitect done at a 5% level of significance.
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Porin gene transcription in multidrug-resistant E. coli JAC
Table 2. Working concentrations of the primers used in the qRT– PCR assay for porin and membrane protease genes
Name Reference Primer sequence (5′ 3′ ) Concentration (nM) Annealing temperature (8C)
Note that ompT is a gene that encodes the membrane-based protease OmpT.
Results MDR and 10 AS E. coli isolates) were computed, and the Wilcoxon
test (P ¼ 0.05) was used to determine the level of statistical sig-
PFGE nificance between the gene transcription in the two E. coli
PFGE (Figure 1) did not indicate a clonal relationship between any groups. Based on the qRT–PCR data, the mean DDCt values for
of the isolates tested. The data indicate that all the study E. coli the tolC (P ¼ 0.0002436) and yiaT (P¼ 0.0041) genes were signifi-
isolates were distinct from each other, thus none of the data cantly higher in the MDR E. coli isolates than in the AS E. coli iso-
is a duplicate of any other isolates. lates, but no significant difference was seen for the fadL
(P ¼ 0.3154), lamB (P¼ 0.1903), ompC (P ¼0.1716), ompF
(P ¼ 0.5787), ompT (P¼ 0.2303) and ompW (P ¼ 0.1903) genes
Routine PCR (Table 3). Of the two membrane protein genes that were appar-
Analysis of PCR products showed the relevant bands for the OMP ently significantly hypertranscribed in the MDR isolates, tolC
and porin genes tolC (197 bp), fadL (294 bp), yiaT (136 bp), lamB showed the highest level of significance (P ¼ 0.0002436) followed
(111 bp), ompC (162 bp) and ompF (191 bp) and for the mem- by yiaT (P ¼0.0041). The mean DDCt values for the other
brane protease gene ompT (198 bp) in all the MDR and AS E. coli OMP-encoding genes appeared higher, but statistical analysis
isolates (Figure 2). With reference to results of routine PCR, all did not reveal any significant difference between the transcrip-
MDR and AS E. coli isolates had detectable tolC, lamB, ompC and tion of MDR and AS E. coli isolates.
ompF genes (Figure 2). PCR products for all the studied
outer-membrane-encoding genes were also detected in all of
the 10 MDR strains, while the fadL gene was detected in 9/10 AS Discussion
E. coli isolates (Figure 2). Seven out of 10 (70%) MDR and 7/10
(70%) AS E. coli isolates tested positive for the yiaT gene PFGE data did not indicate a significant clonal relationship
(Figure 2), while 7/10 MDR isolates and 4/10 AS E. coli isolates between the E. coli isolates tested during the study. Of the six
were positive for the ompT gene (Figure 2). All the PCR results porin and two OMP genes studied, the mean DDCt values for
were mirrored by the individual DDCt values [see the Supplemen- the tolC and yiaT genes were significantly higher (P,0.05) in
tary data, available at JAC Online (http://jac.oxfordjournals.org/)] MDR than for the AS E. coli isolates, while that of the ompT
for each of the porin genes as determined by qRT–PCR. gene was borderline (Table 3). Interestingly, no statistically sig-
nificant difference (P .0.05) was seen in the transcription
levels of fadL, lamB, ompC, ompF and ompW genes even
qRT– PCR though the sum of the scores was higher than what was
The mean DDCt values for the study porin and the other two expected under the null hypothesis of no difference. Overall,
membrane protein genes in the 20 study E. coli isolates (10 these findings are consistent with up-regulated transcription of
1929
Vinson et al.
100
55
60
65
70
75
80
85
90
95
76.9 AS 2
69.8 AS 8
76.9 MDR 9
69.2
AS 5
65.6 MDR 1
65.1 AS 1
84.2 MDR 2
tolC and yiaT genes, but not the other six OMP genes in the yiaT transcription in MDR E. coli isolates in contrast to extremely
MDR E. coli isolates. Except for the yiaT gene, altered low transcription levels in the AS E. coli isolates. YiaT is a 27.4 kDa
porin-gene-associated drug resistance has been investigated protein that was first reported as a putative outer membrane
for the other seven proteins in drug-resistant E. coli isolates,27,36 porin.37 Despite the current knowledge of its structural identity
but not in MDR bacteria. The present findings strongly suggest, and spatial location within the bacterial cell,37 the physiological
albeit indirectly, that expression of TolC and YiaT proteins may and other biochemical functions of the protein have not been
be crucial in mediating MDR mechanisms. Plans are underway described to date. For the first time, data from our research
to study both proteins by translational proteomics as a prelude demonstrate that up-regulated transcription of the yiaT gene
to evaluating their suitability as potential targets for developing may be associated with yet to be described drug resistance
efficacious drugs against potentially deadly MDR pathogens. mechanisms. Subject to corroboration by translational proteo-
Based on routine PCR data, the tolC gene was present in all mics, the present findings further suggest, albeit indirectly, that
study MDR and AS E. coli isolates (Figure 2). However, when the this porin may play some role(s) in MDR mechanisms. Since
qRT –PCR data were analysed, the mean DDCt value for the YiaT protein is predicted to be related to transmembrane sub-
gene was significantly higher in the MDR isolates (P,0.05) strate transport, these mechanisms deserve to be unravelled
than in the AS E. coli isolates (Table 3 and Figure 3). TolC has and characterized before the protein is fully considered a poten-
been widely reported for its drug efflux properties and plays a tial target for developing new drugs against XDR/MDR pathogens.
critical role in mediating clinically significant MDR.15,17,29 However, the fact that a minority of both MDR and AS E. coli iso-
Up-regulation of TolC and other membrane proteins was also lates did not transcribe the yiaT gene suggests that if it were to
recently reported in E. coli isolates with resistance to chloram- play a role in drug resistance mechanisms in MDR E. coli, the
phenicol,36 streptomycin25 and nalidixic acid.27 As would have mechanism in question would perhaps be an adjunct to some
been expected, therefore, the present data strongly suggest, other system. This finding is not surprising since most membrane
albeit indirectly, that possible TolC overexpression may be an porins are physiologically redundant and work together in multi-
important mechanism of MDR in Gram-negative bacteria. component networks. For example, the expression of OmpC and
These findings need to be corroborated by translational proteo- OmpF is modulated by the transcription regulators OmpR and
mics to explore the potential for developing TolC-targeting thera- EnvZ, and both are encoded by the ompB operon.38 What
peutic agents with efficacy against MDR/XDR Gram-negative needs to be defined for YiaT are the possible regulatory pathways
bacteria. involved in its expression in addition to determining the precise
Routine PCR analysis of the genes that encode the study manner in which those expression patterns may affect outer
membrane proteins revealed that 2/10 MDR and 3/10 AS E. coli membrane permeability and drug resistance.
isolates were negative for the yiaT gene. On the other hand, FadL is an outer membrane b-barrel protein involved in the
the qRT–PCR data were remarkably consistent with up-regulated uptake of long-chain fatty acids.25,39 The amino terminus of the
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Porin gene transcription in multidrug-resistant E. coli JAC
er
er
dd
dd
bp 1 2 3 4 5 6 7 8 9 10 11 bp 1 2 3 4 5 6 7 8 9 10 11
La
La
200 300
100 200
12 13 14 15 16 17 18 19 20 12 13 14 15 16 17 18 19 20
200 300
100 200
A = tolC B = fadL
er
er
dd
dd
La
bp bp
200
100 100
12 13 14 15 16 17 18 19 20
12 13 14 15 16 17 18 19 20
200
100 100
C = yiaT D = lamB
er
er
dd
dd
bp 1 2 3 4 5 6 7 8 9 10 11 bp 1 2 3 4 5 6 7 8 9 10 11 12
La
La
300 300
200 200
12 13 14 15 16 17 18 19 20 12 13 14 15 16 17 18 19 20
300 300
200 200
E = ompC F = ompF
er
dd
bp 1 2 3 4 5 6 7 8 9 10 11
La
300
200
12 13 14 15 16 17 18 19 20
300
200
G = ompT
Figure 2. Analysis of porin and membrane protease gene PCR products in 1% agarose gels stained with ethidium bromide. Lanes 1 –10 represent MDR
E. coli isolates and lanes 11 –20 represent AS E. coli isolates. Note that duplicate lanes were loaded for each of the samples.
protein also contains an attachment site for bacteriophage T2, statistically significant difference between the mean DDCt
while the carboxyl end has a crucial amino acid sequence needed values for the 10 MDR and 10 AS E. coli isolates. OmpC is a
for fatty acid transport.40 Based on digital analysis of the relevant small trimeric porin through which transmembrane transport
two-dimensional gel protein spot in a single E. coli isolate, a of small ions and other hydrophilic solutes ≤500 Da takes
Chinese research team recently reported down-regulation of FadL place.41 The up-regulation of OmpC has been reported in
expression in nalidixic acid- and streptomycin-resistant E. coli iso- drug-resistant bacteria,27 while decreased production of the
lates.25,27 The qRT–PCR data from the present study did not protein has also been observed in response to exogenous polya-
demonstrate a statistically significant difference in fadL gene tran- mines.42 The latter compounds are known to induce resistance
scription rates between the MDR and AS E. coli groups. to ColE7, a product of an SOS regulon that encodes a bacteriocin
Routine PCR analysis showed ompC expression by all 20 study with potency against susceptible E. coli and related enterobac-
E. coli isolates, while qRT–PCR analysis did not reveal a teria under conditions of stress.42 The rather conflicting findings
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Vinson et al.
by Li et al.25 and our data are not surprising since current evi- lead to decreased expression or total OmpC loss.18 Li et al.25
dence suggests that progression of drug resistance mechanisms have suggested that this porin along with TolC may play impor-
like those caused by continued exposure to subinhibitory concen- tant roles in drug resistance mechanisms. However, their con-
trations of certain antimicrobial agents may in a step-by-step clusions on OmpC were based on digital analysis of relevant
manner select for porin expression modifications that eventually gel spots from a single drug-resistant E. coli strain.25 Whereas
Table 3. Wilcoxon analysis (P¼0.05) of mean DDCt values for the 10 MDR and 10 AS E. coli isolates
Primer No. of MDR E. coli isolates No. of AS E. coli isolates Wilcoxon statistic P value
A statistically significant difference was verified for the transcription levels of the tolC and yiaT genes (P,0.05), but
not for fadL, lamB, ompC, ompF, ompT and ompW genes (P.0.05). A single asterisk indicates a statistically
significant P value, while double asterisks denote a highly significant P value.
900.0 12 000.0
478.83 yiaT ompT
800.0 6897.33
10 000.0
700.0
600.0 8000.0
Ct
Ct
500.0
6000.0
Mean
Mean
400.0
300.0 4000.0
200.0 1158.02
2000.0
100.0
7.16
0.0 0.0
MDR AS MDR AS
Ct
600.0 400.0
Mean
Mean
300.0
400.0
200.0
91.63
200.0 72.39
100.0
0.0 0.0
MDR AS MDR AS
Figure 3. Bar graphs showing the mean DDCt values for the yiaT, ompT, tolC, lamB, ompC, fadL, ompW and ompF genes in the 10 MDR and 10 AS E. coli
isolates.
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Porin gene transcription in multidrug-resistant E. coli JAC
10 000.0 ompC 2000.0 fadL
1052.83
6668.41
9000.0 1800.0
8000.0 1600.0
7000.0 1400.0
3874.25
Ct
Ct
6000.0 1200.0
5000.0 1000.0
Mean
Mean
4000.0 800.0
3000.0 600.0
80 000.0 300.0
Ct
Ct
250.0
60 000.0
Mean
Mean
200.0
40 000.0 150.0
100.0 59.11
20 000.0
1053.94 50.0
0.0 0.0
MDR AS MDR AS
Figure 3. Continued.
current evidence on the unequivocal role of TolC in multidrug OmpF production may decrease in response to exogenous polya-
resistance justifies targeting it for the development of novel mines.22 The latter have been shown to inhibit the influx of anti-
drugs, the conflicting results on OmpC transcription dynamics biotic molecules into bacteria.31 Most recently, down-regulation
suggest that despite the potential role in drug resistance mech- of OmpFexpression was reported in a drug-resistant E. coli isolate.25
anisms, targeting this protein may be problematic and unre- In the present study, routine PCR analysis showed the pres-
warding. This is due to the consideration that both ence of the lamB gene in all 20 study E. coli isolates. The mean
up-regulation and down-regulation may have mechanistic impli- DDCt values obtained by qRT –PCR analysis of the 10 MDR
cations for drug resistance. E. coli were higher than for the 10 AS E. coli isolates, but this
Routine PCR analysis showed the presence of the ompF gene in difference was statistically insignificant. LamB is a sugar-specific
all 20 study E. coli isolates, while qRT–PCR analysis revealed no stat- porin involved in transmembrane transport of maltose and mal-
istically significant difference between the mean DDCt values for todextrins that are crucial for bacterial metabolism.46 This porin
the 10 MDR and 10 AS E. coli isolates. OmpF is a large porin that was reported to be down-regulated in a tetracycline-resistant
allows transmembrane diffusion of solutes such as sugars, ions E. coli isolate,47 but was also later shown to be up-regulated in
and amino acids ,600 Da in size.30,43 Loss of large-channel a streptomycin-resistant E. coli isolate.25 Our finding with
porins is often associated with increased resistance to hydrophilic regard to the presence of the gene in all 20 E. coli isolates
antibacterial agents.33 For instance, ompF E. coli mutant strains studied is neither surprising nor of much significance.
have been reported to develop resistance to b-lactam antibiotics,44 Transcription dynamics of the ompT gene in the two E. coli
while clinical isolates of porin-deficient Serratia marcescens were groups were also evaluated and found to be borderline. This
resistant to aminoglycosides and b-lactam antibiotics.45 An ompF- gene encodes an outer membrane protease that is known to
null mutant Salmonella enterica serovar Typhi isolate was also hydrolyse the antimicrobial peptide protamine.48 Recently,
resistant to chloramphenicol.33 Under physiological conditions, up-regulation of OmpT was reported in a drug-resistant E. coli
OmpF imports group A colicins, the bactericidal molecules pro- isolate25,36 suggesting it may play a role in drug resistance
duced by certain E. coli isolates.20 Other studies have shown that most probably through degradation of antibiotic molecules.
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Vinson et al.
The membrane protease has also been reported to be a virulence 6 Jain A, Mondal R. Extensively drug-resistant tuberculosis: current
factor in urinary tract infections.49 Based on this background, we challenges and threats. FEMS Immunol Med Microbiol 2008; 53: 145–50.
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enzyme might indeed participate in drug resistance mechan- 2006; 43: S49–56.
isms. In the present study, routine ompT PCR results were the 8 Vila J, Martı́ S, Sánchez-Céspedes J. Porins, efflux pumps and multidrug
most dramatic as 7/10 of the MDR and only 4/10 AS E. coli resistance in Acinetobacter baumannii. J Antimicrob Chemother 2007; 59:
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28 Benz B, Maier E, Gentsdiev I. TolC of Escherichia coli functions as an 40 Cristalli G, DiRusso CC, Black PN. The amino-terminal region of the
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29 Sulavik C, Houseweart C, Cramer C et al. Antibiotic susceptibility exposed domain required for bacteriophage T2 binding. Arch Biochem
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