Expression of acrA gene in ciprofloxacin and tetracycline resistant Esherichia coli mutants with possible mutation in acrR
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International Research Journal of Applied and Basic Sciences © 2013 Available online at www.irjabs.com ISSN 2251-838X / Vol, 6 (9): 1285-1290 Science Explorer Publications Expression of acrA gene in ciprofloxacin and tetracycline resistant Esherichia coli mutants with possible mutation in acrR Razieh Pourahmad Jaktaji1 and Nasim Jazayeri2 Corresponding author: Razieh Pourahmad Jaktaji ABSTRACT: In E. coli the major transporter responsible for the high intrinsic level of antibiotic resistance is AcrAB-TolC. The ingredients of pump are encoded by acrA, acrB and tolC. The expression of first two genes is inhibited by a repressor called AcrR. However, MarA activates the expression of three genes. Occurrence of a mutation in marR and acrR can lead to overexpression of the pump. The aims of this research were to use ciprofloxacin and tetracycline resistant mutants having a mutation in marR gene for studying first, the possible presence of mutations in acrR gene and then the expression of acrA. For these purposes the DNA binding region of acrR gene in these mutants were amplified and sequenced, and the relative expression of acrA in these mutants was quantified by real time PCR. Results showed that one of the mutant and its clone had a mutation in acrR, but none of the mutants overexpresses acrA in comparison with wild type strain. The effect of marR and acrR mutations on acrAB overexpression is dependent on levels of resistance to tetracycline and ciprofloxacin. Key Words: AcrAB-TolC pump; acrA; acrR; antibiotic multiple resistance; marR INTRODUCTION Generation of multiple irrelevant drug resistant phenotypes in pathogenic gram negative bacteria, such as E. coli is a clinical problem. It can be associated with increase in activity of membrane transporters which have a role in exports of antibiotics (Piddock, 2006). There are five classes of efflux transporters, including the ATP- binding cassette (ABC) family; the major facilitator superfamily (MFS); the resistance-nodulation-division (RND) family; the small multidrug resistance (SMR) family and the multidrug and toxic compound extrusion (MATE) family (Piddock, 2006). Some of these transporters produce the tripartite complexes while others produce two component complexes in bacterial membrane (Grkovic et al., 2002). One of the important membrane transporters in E. coli is AcrAB-TolC pump that belongs to RND family (Piddock, 2006). As the name shows it consists of three ingredients, including AcrA, a periplasmic membrane-fusion protein; AcrB, the inner membrane protein; and TolC, an outer membrane channel. These are encoded by acrA, acrB and tolC. The first two genes are located in acrAB operon, while tolC is placed on different site of bacterial chromosome (Viveiros et al., 2007). The acrAB operon is negatively regulated by AcrR repressor (Su et al., 2007). The repressor encoding gene, acrR is positioned upstream of acrAB operon and transcribed divergently from the same promoter. Figure 1 shows the region of genome containing this operon and its regulatory gene. The N-terminal domain of AcrR contains DNA-binding helix-turn-helix (HTH) motif, while its C-terminal domain has drug binding site. The attachment of drug to C-terminal ligand domain leads to conformational change of N-terminal DNA-binding domain and thereby dissociates AcrR from its operator site (Gu et al., 2008) On the other hand, MarA, a global transcriptional activator, activates acrAB and tolC expressions (Rhee et al., 1998). Expression of MarA is under the control of MarR repressor (Martin & Rosner, 1995). This repressor, like AcrR possesses DNA binding and drug binding sites (Perera & Grove, 2010). Occurrence of a mutation in marR and acrR can overactivate the AcrAB-TolC pump (Grkovic et al., 2002). In the previous work gyrA mutants, which are resistant to ciprofloxacin and tetracycline and either or not having a mutation in marR were described (Pourahmad Jaktaji et al., 2012). These mutants and their increased tetracycline resistant clones could overexpress acrAB, if they lacked AcrR activity. The aims of this research were first, to study the possible presence of mutations in acrR gene and then to study acrA expression in these mutants.
Intl. Res. J. Appl. Basic. Sci. Vol., 6 (9), 1285-1290, 2013 MATERIALS and METHODS Antimicrobial Agent and Media Tetracycline hydrochloride (Tc) (Sigma) was used to induce resistance in mutants. Stock solution was 4 mg/ml. LB broth (Merck, Germany) and LBA containing 1.5% agar (Merck, Germany) were used for cultivation of strain and mutants. Bacterial Strain and Mutants MG1655 was wild type strain. Ciprofloxacin and tetracycline resistant mutants either or not having mutation in marR gene isolated from previous work [10] are listed in Table 1. Mutants W25, W26 and W49 were isolated from cultivation of wild type strain on LBA plus 40 ng/ml ciprofloxacin (Pourahmad Jaktaji & Mohiti, 2010). The resistance of mutants to Tc was increased up to 45 µg/ml in Clone C6, by cultivation of above mutants on LBA agar containing up to 20 µg/ml Tc (Pourahmad Jaktaji & Mohiti, 2013). It was described that resistance to tetracycline can also be divided to three levels, including low levels of resistance (MIC: 1 to 10 µg/ml), intermediate levels of resistance (MIC: 10 to 50 µg/ml) and high levels of resistance (MIC: >50 µg/ml) (George & Levy, 1983). It was mentioned that resistance to ciprofloxacin can be divided to three levels, including low levels of resistance (MIC: 0.063 to 1 µg/ml), intermediate levels of resistance (MIC: 1 to 32 µg/ml) and high levels of resistance (MIC: >32 µg/ml) (Kishii & Takei, 2009). Based on above definitions mutants have low to intermediate levels of resistance to ciprofloxacin and tetracycline. PCR Amplification and DNA Sequencing As described previously colony PCR was used to amplify the 5′ end of acrR gene in wild type and mutants (Pourahmad Jaktaji & Mohiti, 2010). A single colony from each mutant and clone on LB agar was suspended in 100 µL of sterile water and heated at 95˚C for 3 min and cooled on ice. It can be used as a PCR template for acrR amplification. Primers for amplification are listed in Table 2. PCR products (240 bp) were sequenced and compared with MG1655 acrR sequence obtained from NCBI (NC_000913.2). acre Expression Analysis By Real Time PCR After cultivation of bacteria in LB broth plus 3 µg/ml Tc (except for wild type) at 37ºC with shaking at 150 rpm and grown to mid-logarithmic phase (OD600 of 0.6), each culture was pelleted by centrifugation following stabilization in RNA protect bacterial reagent (Qiagen. Germany) and RNA was extracted immediately using an RNeasy Mini Kit (Qiagen, Germany). Contaminating genomic DNA was eliminated by RNase-free DNase I treatment according to the manufacturer's instruction (Fermentas, Life science research) and its absence was confirmed by amplification of RNA samples plus a DNA sample as a positive control. Total RNA concentration was estimated at OD260 using spectrophotometer (Ultrospec 1100, Amersham Pharmacia Biothech). Purified total RNA (2 µg) was used as a template in RT-PCR using a RevertAid Reverse Transcriptase kit (Fermentas, Life science research). The cDNAs obtained from reverse transcription were used to quantify the level of acrA and gapA, as an endogenous reference gene by real time PCR in a Rotor Gene 6000 thermocycler (Corbett Research, Australia) using a SYBR Green kit (Takara, Japan). Primers used in this experiment are listed in Table 2. Thermal cycling conditions were described previously (Viveiros et al., 2007). Relative gene expression was calculated using the efficiency method pfaffl (ratio of acrA expression to gapA expression) (Pfaffl et al., 2002). All data on acrA expression are the average of triplicate analyses. The data were recorded as mean±SD. Statistical analysis of relative expression was done by SPSS version 16. T-test was used for comparison of relative gene expression data. RESULTS Presence of mutation in acrR Mutants listed in Table 1 with different MIC for ciprofloxacin and tetracycline were analyzed for presence of possible mutation in first region of acrR gene relevant to HTH motif of encoded protein. Figure 2 shows the result of gel electrophoresis of the acrR PCR product of MG1655 and mutants. The comparison of nucleotide sequence of PCR products with published sequence of acrR showed that W26 and its derived clone, C14 had changes in acrR. Figure 3 shows the comparison of nucleotide sequence of C14 PCR product with that of wild type. The same changes was also seen in W26. However, other mutants and clones were the same as wild type. Thus, mutants and clones had just single mutation in marR or acrR. A G/C heterozypote genotype at nucleotide position 131 in coding region of acrR in W26 and C14 could cause silent mutation at Thr-44 codon and a G/C heterozygote genotype at position 133 could change Arg-45 (CGC) to Pro (CCC). Substitution of Arg-45 with Cys, but not Pro was reported previously (Webber ET AL., 2005). 1286
Intl. Res. J. Appl. Basic. Sci. Vol., 6 (9), 1285-1290, 2013 Expression of acrA in mutants As mutants used in this study harbor either a mutation in marR (W25, W49, C6 and C17) or acrR (W26 and C14), it was possible that they overexpress acrAB. Purified RNAs were used for real time analysis. Results reveal that the efficiency of acrA and gapA were 1.96 and 2.1, respectively. The melting curve of two genes showed just one major peak which indicates the purity of samples. The melting point of acrA and gapA were 88 and 86 degree centigrade. Table 3 shows the acrA relative expression in these mutants. The T-test analysis showed no significant difference between wild type and mutants for expression of acrA (P
Intl. Res. J. Appl. Basic. Sci. Vol., 6 (9), 1285-1290, 2013 Furthermore, it is possible that the accumulation of other mutations is also necessary for high levels of resistance and overactivity of pump (Lindgren et al., 2003). ACKNOWLEDGEMENT This work was financially supported by the University of Shahrekord. We thank Prof. R. G. Lloyd for kind gift of MG1655. REFERENCES Aono R, Tsukagoshi N, Yamamoto M. 1998. Involvement of outer membrane protein TolC a possible member of the mar-sox regulon in maintenance and improvement of organic solvent tolerance of Escherichia coli K-12. J Bacteriol. 180: 938-944. Cohen SP, Hachler H, Levy SB. 1993. Genetic and functional analysis of the multiple antibiotic resistance (mar) locus in Escherichia coli. J Bacteriol. 175: 1484-1492. Dzwokai M, Alberti M, Lynch C, Nikaido H, Hearst JE. 1996. The local repressor AcrR plays a modulating role in the regulation of acrAB genes of Escherichia coli by global stress signals. Mol Microbiol. 19: 101-112. 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Identification of mar mutants among quinolone resistant clinical isolates of Escherichia coli. Antimicrobial Agents Chemother. 40: 1695-1698. Martin RG, Rosner JL. 1995. Binding of purified multiple antibiotic resistance repressor protein (MarR) to mar operator sequences. Proc Natl Acad Sci USA. 92: 5456-5460. Mazzariol A, Tokue Y, Kanegawa TM, Cornaglia G, Nikaido H. 2000. High level fluoroquinolone resistant clinical isolates of Escherichia coli overproduce multidrug efflux protein AcrA. Antimicrobial Agents Chemother. 44: 3441-3443. Perera IC, Grove A. 2010. Molecular mechanisms of ligand-mediated attenuation of DNA binding by MarR family transcriptional regulators. J Mol Cell Biol. 2: 243-254. Pfaffl MW, Horgan GW, Dempfle L. 2002. Relative expression software tool (REST ©) for group wise comparison and statistical analysis of relative expression results in real time PCR. Nuc Acids Res. 30: 1-10. Piddock LJV, White DG, Gensberg K, Pumbwe L, Griggs DJ. 2000. 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Intl. Res. J. Appl. Basic. Sci. Vol., 6 (9), 1285-1290, 2013 acrR AcrR site acrB acrA Figure 1. acrAB operon and its upstream neighboring gene and regulatory region. Modified and adapted from Dzwokai et al 1996. Table 1. Bacterial strain and mutants Strain/Mutant/Clone Relevant MIC Source/Reference properties Ciprofloxacin Tetracycline (ng/ml) (µg/ml) MG1655 Wild type 35 3 A gift from Prof. R. G. Lloyd W25 Wild type; gyrA 75 4 Pourahmad & Mohiti, (Ser83→Leu) and 2010 marR (Met74→Thr) W26 Wild type; gyrA 75 4 Pourahmad & Mohiti, (Ser83→Leu) 2010 W49 Wild type; gyrA 625 4 Pourahmad & Mohiti, and marOR (20 2010 bp duplication in operator) C6 W25; gyrA 1000 45 Pourahmad & Ebadi, (Ser83→Leu) and 2013 marR (Met74→Thr) C12 W26; gyrA 1000 30 Pourahmad & Ebadi, (Ser83→Leu) 2013 C16 W49; gyrA and 1000 30 Pourahmad & Ebadi, marOR (20 bp 2013 duplication in operator) Table 2. List of primers used in this study Gene Primer sequence (5′-3′) Length of amplicon (bp) Reference acrR F: CACGAACATATGGCACG 240 This work R: GCCTGATACTCAAGCTC acrA F: TTGAAATTACGCTTCAGGAT 189 Viveiros et al., 2007 R: ACTTACGAGCAGATCAAAGC gapA F: ACTTACGAGCAGATCAAAGC 170 Viveiros et al., 2007 R: AGTTTCACGAAGTTGTCGTT 1289
Intl. Res. J. Appl. Basic. Sci. Vol., 6 (9), 1285-1290, 2013 wt W26 C6 C14 C17 Figure 2. PCR products of acrR gene in wild type (wt) and mutants. First lane shows the 1 Kb ladder and other lanes show PCR products. TT ACC/GCG/CCGG TT AC G C G CGG Figure 3. Sequence output from acrR PCR product of C14 mutant (first part) and wild type (second part) using forward and reverse primers. Underlined nucleotides show the differences between nucleotide sequences of two parts. Table 2. Relative expression of acrA in wild type (MG1655) and mutants as determined by real time PCR Strain/mutant Relative expression of acrA Wild type (MG1655) 1±0 EM3 1.25±0.017 EM4 1.16±0.021 EM9 1.62±0.01 C6 1.2±0.015 C14 1.28±0.013 C17 1.4±0.013 1290
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