The Novel Membrane-Associated Auxiliary Factors AuxA and AuxB Modulate β-lactam Resistance in MRSA by stabilizing Lipoteichoic Acids

Research output: Contribution to journalJournal articleResearchpeer-review

  • Kasper Mikkelsen
  • Wanchat Sirisarn
  • Ohood Alharbi
  • Mohanned Alharbi
  • Huayong Liu
  • Katrine Nøhr-Meldgaard
  • Katharina Mayer
  • Martin Vestergaard
  • Laura A. Gallagher
  • Jeremy P. Derrick
  • Andrew J. McBain
  • Jacob Biboy
  • Waldemar Vollmer
  • James P. O'Gara
  • Tom Grunert
  • Ingmer, Hanne
  • Guoqing Xia

A major determinant of β-lactam resistance in methicillin-resistant Staphylococcus aureus (MRSA) is the drug insensitive transpeptidase, PBP2a, encoded by mecA. Full expression of the resistance phenotype requires auxiliary factors. Two such factors, auxiliary factor A (auxA, SAUSA300_0980) and B (auxB, SAUSA300_1003), were identified in a screen against mutants with increased susceptibility to β-lactams in the MRSA strain, JE2. auxA and auxB encode transmembrane proteins, with AuxA predicted to be a transporter. Inactivation of auxA or auxB enhanced β-lactam susceptibility in community-, hospital- and livestock-associated MRSA strains without affecting PBP2a expression, peptidoglycan cross-linking or wall teichoic acid synthesis. Both mutants displayed increased susceptibility to inhibitors of lipoteichoic acid (LTA) synthesis and alanylation pathways and released LTA even in the absence of β-lactams. The β-lactam susceptibility of the aux mutants was suppressed by mutations inactivating gdpP, which was previously found to allow growth of mutants lacking the lipoteichoic synthase enzyme, LtaS. Using the Galleria mellonella infection model, enhanced survival of larvae inoculated with either auxA or auxB mutants was observed compared with the wild-type strain following treatment with amoxicillin. These results indicate that AuxA and AuxB are central for LTA stability and potential inhibitors can be tools to re-sensitize MRSA strains to β-lactams and combat MRSA infections.

Original languageEnglish
Article number106283
JournalInternational Journal of Antimicrobial Agents
Volume57
Issue number3
ISSN0924-8579
DOIs
Publication statusPublished - 2021

    Research areas

  • antibiotic resistance, auxA, auxB, auxiliary factor, lipoteichoic acid, methicillin-resistant Staphylococcus aureus, β-lactam resistance

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