Literature DB >> 25564464

Structural and molecular basis for resistance to aminoglycoside antibiotics by the adenylyltransferase ANT(2″)-Ia.

Georgina Cox1, Peter J Stogios2, Alexei Savchenko2, Gerard D Wright3.   

Abstract

The aminoglycosides are highly effective broad-spectrum antimicrobial agents. However, their efficacy is diminished due to enzyme-mediated covalent modification, which reduces affinity of the drug for the target ribosome. One of the most prevalent aminoglycoside resistance enzymes in Gram-negative pathogens is the adenylyltransferase ANT(2″)-Ia, which confers resistance to gentamicin, tobramycin, and kanamycin. Despite the importance of this enzyme in drug resistance, its structure and molecular mechanism have been elusive. This study describes the structural and mechanistic basis for adenylylation of aminoglycosides by the ANT(2″)-Ia enzyme. ANT(2″)-Ia confers resistance by magnesium-dependent transfer of a nucleoside monophosphate (AMP) to the 2″-hydroxyl of aminoglycoside substrates containing a 2-deoxystreptamine core. The catalyzed reaction follows a direct AMP transfer mechanism from ATP to the substrate antibiotic. Central to catalysis is the coordination of two Mg(2+) ions, positioning of the modifiable substrate ring, and the presence of a catalytic base (Asp86). Comparative structural analysis revealed that ANT(2″)-Ia has a two-domain structure with an N-terminal active-site architecture that is conserved among other antibiotic nucleotidyltransferases, including Lnu(A), LinB, ANT(4')-Ia, ANT(4″)-Ib, and ANT(6)-Ia. There is also similarity between the nucleotidyltransferase fold of ANT(2″)-Ia and DNA polymerase β. This similarity is consistent with evolution from a common ancestor, with the nucleotidyltransferase fold having adapted for activity against chemically distinct molecules. IMPORTANCE  : To successfully manage the threat associated with multidrug-resistant infectious diseases, innovative therapeutic strategies need to be developed. One such approach involves the enhancement or potentiation of existing antibiotics against resistant strains of bacteria. The reduction in clinical usefulness of the aminoglycosides is a particular problem among Gram-negative human pathogens, since there are very few therapeutic options for infections caused by these organisms. In order to successfully circumvent or inhibit the activity of aminoglycoside-modifying enzymes, and to thus rejuvenate the activity of the aminoglycoside antibiotics against Gram-negative pathogens, structural and mechanistic information is crucial. This study reveals the structure of a clinically prevalent aminoglycoside resistance enzyme [ANT(2″)-Ia] and depicts the molecular basis underlying modification of antibiotic substrates. Combined, these findings provide the groundwork for the development of broad-spectrum inhibitors against antibiotic nucleotidyltransferases.
Copyright © 2015 Cox et al.

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Year:  2015        PMID: 25564464      PMCID: PMC4313920          DOI: 10.1128/mBio.02180-14

Source DB:  PubMed          Journal:  mBio            Impact factor:   7.867


INTRODUCTION

The use of antibiotics for the successful treatment of infectious diseases has been severely compromised due to the emergence of multidrug-resistant bacteria, a problem that has been acknowledged on a global scale (1, 2). One class of antibiotics whose clinical efficacy is particularly diminished due to an increase in the prevalence of resistant bacteria is the aminoglycosides. The aminoglycosides are natural antibiotics produced from soil-dwelling bacteria. The founding member of this family, streptomycin, was identified in 1944 (3) and was the result of an orchestrated effort to identify antibacterial agents from fermentation products of soil microbes (4). Following the discovery of streptomycin, numerous additional aminoglycosides were identified and semisynthetic derivatives such as amikacin developed, resulting in >20 members of this class, many of which are effective antimicrobial drugs. The aminoglycosides are structurally diverse and consist of two or more amino-modified sugars linked to an aminocyclitol core; broad-spectrum bactericidal activity is achieved by interference with protein synthesis, including corruption of the genetic code (5). All members of this class bind to rRNA and proteins within the 30S subunit of the ribosome; however, interaction with and binding to the target are achieved in different ways according to the chemical structure of the drug (5). Members of the aminoglycoside family that contain a 2-deoxystreptamine (2-DOS) core, such as gentamicin, kanamycin, and tobramycin (Fig. 1A), have been particularly effective against many Gram-negative bacterial pathogens. This class of aminoglycoside is decorated at positions 4 and 6 of the 2-DOS core with amino-modified sugars; these substituents are referred to as the prime and double-prime rings, respectively. Such 4,6-disubstituted aminoglycosides bind to 16S rRNA; in particular, the double-prime ring exhibits key interactions with G1405 of the 16S rRNA (Fig. 1B) (6, 7).
FIG 1 

(A) 2-DOS (4,6-disubstituted 2-deoxystreptamine)-based aminoglycoside antibiotics amenable to modification by the nucleotidyltransferase ANT(2″)-Ia (23); the 2″-OH site of modification is in red. (B) Crystal structure of gentamicin C1A (in yellow) in complex with a decoding A site oligonucleotide (in grey) (7). Hydrogen bonds between the 2″-OH of gentamicin and the RNA are shown as dashed lines.

(A) 2-DOS (4,6-disubstituted 2-deoxystreptamine)-based aminoglycoside antibiotics amenable to modification by the nucleotidyltransferase ANT(2″)-Ia (23); the 2″-OH site of modification is in red. (B) Crystal structure of gentamicin C1A (in yellow) in complex with a decoding A site oligonucleotide (in grey) (7). Hydrogen bonds between the 2″-OH of gentamicin and the RNA are shown as dashed lines. Despite the broad-spectrum activity and clinical success of these drugs, their usefulness in the control of bacterial infections has been overshadowed by the emergence of resistance. Indeed, these drugs are inactivated by a variety of resistance mechanisms. The most common mechanism is covalent modification of the drug, a process that renders the antibiotic unable to bind effectively to the ribosome and thus alleviates the drug-induced translation interference (8). Aminoglycoside inactivation is catalyzed by a plethora of aminoglycoside-modifying enzymes (AMEs) that operate by different molecular mechanisms, including phosphorylation (catalyzed by nucleoside triphosphate-dependent O-phosphotransferases [APHs]), acetylation (catalyzed by acyl-coenzyme A-dependent N-acetyltransferases [AACs]) and adenylylation (catalyzed by nucleoside triphosphate-dependent O-nucleotidyltransferases [ANTs]) (9). Structural and biochemical knowledge of these modifying enzymes is crucial for the development of strategies to circumvent their activity and to thus rejuvenate the antibacterial action of the aminoglycosides (10). To date, there have been significant advances providing structural, mechanistic, and inhibitory insight into many members of the APH enzymes (11, 12). The AAC family has also been well characterized through structure-function studies of AAC(3) and AAC(6′) enzymes (13–20). In contrast, the ANT family of enzymes is not well characterized (11), and there are only three ANT enzymes with determined crystal structures: ANT(4′)-Ia (PDB ID: 1KNY) (21), ANT(4′)-IIb (PDB ID: 4EBJ and 4EBK), and ANT(6)-Ia (PDB ID: 2PBE). There are five main classes of ANT enzymes, defined by their regioselectivity of chemical modification at positions 2″, 3″, 4′, 6, and 9 of substrate aminoglycosides. The aminoglycoside 2″-O-nucleotidyltransferase [ANT(2″)-Ia] was originally identified within a clinical isolate of Klebsiella pneumoniae in 1971 (22) and is now one of the most clinically prevalent ANT enzymes harbored by Gram-negative pathogens in North America (23–25). This allele has spread to many other bacterial genera, including Pseudomonas, Acinetobacter, and Enterobacter, all members of the so-called ESKAPE pathogens, which have been designated highly clinically important (26, 27). ANT(2″)-Ia confers antibiotic resistance by magnesium-dependent transfer of a nucleoside monophosphate (AMP) to the 2″-OH of aminoglycoside substrates (Fig. 1A) (28). ANT(2″)-Ia is one of the few AMEs that modify a hydroxyl moiety on the double-prime ring. Understanding the molecular basis of ANT(2″)-Ia-mediated drug inactivation is vital to help guide the development of new aminoglycoside-like antibiotics such as plazomicin (29) and for the identification of inhibitors targeting AMEs, which could rescue the activity of older aminoglycoside drugs such as gentamicin. Here we report the three-dimensional (3D) structure of ANT(2″)-Ia and propose a molecular mechanism of adenylylation mediated by this widespread resistance element.

RESULTS

Purification of ANT(2″)-Ia.

Previous reports (30–34) indicated that expression of ANT(2″)-Ia in Escherichia coli resulted in only partially soluble recombinant protein. We expressed the enzyme in fusion with glutathione S-transferase (GST), which resulted in significant improvement in expression of soluble protein, allowing us to obtain pure ANT(2″)-Ia (>95% homogeneity) after removal of the N-terminal GST moiety (see Materials and Methods). To confirm the activity of recombinant ANT(2″)-Ia, we used the EnzChek pyrophosphatase assay, which allows continuous measurement of the release of pyrophosphate by ANT(2″)-Ia by coupling it to the colorimetric detection of phosphate in the presence of excess pyrophosphatase. Accordingly, ANT(2″)-Ia kinetic parameters (Table 1) were consistent with previous reports (33), indicating that the protein retained full activity and was suitable for structural and mechanistic studies.
TABLE 1 

ANT(2″)-Ia steady-state kinetic parameters at 25°C

Enzyme and substratekcat (s−1)Km (μM)kcat/Km (M−1 s−1)
Wild-type ANT(2″)-Ia; kanamycin B5.2 ± 0.223.9 ± 6.62.1 × 105
Wild-type ANT(2″)-Ia; MgATP15.3 ± 0.635 ± 74.4 × 105
D44A mutant; kanamycin B<0.05
D44A mutant; MgATP<0.05
D86A mutant; kanamycin B<0.05
D86A mutant; MgATP<0.05
H42A mutant; kanamycin B<0.05
H42A mutant; MgATP<0.05
R40A mutant; kanamycin B7.5 ± 0.216.5 ± 1.64.53 × 105
R40A mutant; MgATP8.1 ± 0.697 ± 148 × 104
ANT(2″)-Ia steady-state kinetic parameters at 25°C

Structural characterization of ANT(2″)-Ia reveals the molecular framework for its activity.

To decipher the mechanism underlying adenylylation of 4,6-disubstituted 2-DOS-containing aminoglycosides by ANT(2″)-Ia, we sought to determine the crystal structure of the protein alone and in complex with a substrate aminoglycoside. The apoenzyme structure was solved using the sulfur single-anomalous-dispersion (S-SAD) phasing method. The protein crystallized with one molecule per asymmetric unit, and the apo structure was refined to 1.48 Å. The ANT(2″)-Ia–kanamycin B cocrystal complex was solved by molecular replacement (MR) using the apoenzyme as the search model and refined to 1.73 Å. The final models of ANT(2″)-Ia contained interpretable electron density for residues 3 to 177 (refinement statistics can be found in Table 2).
TABLE 2 

X-ray diffraction data collection and refinement statistics

StatisticResult for ligand (PDB code)
Apo (4WQK)Kanamycin B (4WQL)
Data collection
Space groupP21P21
Cell dimensions
    a, b, c (Å)45.5, 42.1, 47.745.5, 42.0, 47.8
    β (°)105.49105.2
Resolution (Å)40.0−1.4825.0−1.73
Rsyma0.036 (0.251)b0.064 (0.564)
I/σ(I)63.68 (5.39)33.4 (3.57)
Completeness (%)96.8 (77.4)100.0 (100.0)
Redundancy7.0 (4.5)4.4 (4.3)
Refinement
Resolution (Å)40.0−1.4825.0−1.73
No. of unique reflections: working, test28,068, 1,99518,351, 1,781
R factor/free R factorc15.9/19.6 (28.3/32.1)14.8/18.4 (28.4/33.1)
No. of refined atoms (molecules)
    Protein14151397
    Magnesium32
    SubstrateNA33
    Other solvent4552
    Water281243
B factors
    Protein24.623.4
    Magnesium24.532.9
    SubstrateNA45.6
    Other solvent47.452.3
    Water39.240.7
RMSD
    Bond lengths (Å)0.0010.020
    Bond angles (°)1.4411.668

Rsym = ΣΣ | I(h) − I(h) /ΣΣ(h), where (h) and I(h) are the ith and mean measurements of the intensity of reflection h.

Values in parentheses are those for the outer shells of the data.

, where and are the observed and calculated structure-factor amplitudes, respectively.

X-ray diffraction data collection and refinement statistics Rsym = ΣΣ | I(h) − I(h) /ΣΣ(h), where (h) and I(h) are the ith and mean measurements of the intensity of reflection h. Values in parentheses are those for the outer shells of the data. , where and are the observed and calculated structure-factor amplitudes, respectively. The structure of ANT(2″)-Ia reveals that the protein comprises two main domains: a larger N-terminal domain (residues 3 to 92) that is centered on a β-sheet with three interspersed α-helices and a C-terminal domain (residues 93 to 177) that contains two β-hairpins followed by four α-helices forming a bundle (Fig. 2). The general conformation of the N-terminal domain of ANT(2″)-Ia (Fig. 2) follows the α1-β1-α2-β2-X-β4-β3 NT fold topology (where X corresponds to a variable insert across nucleotidyltransferase [NT] fold-containing proteins), which is typical of this group of proteins (35). The C-terminal domain adopts two β-hairpins, with the first forming an interaction on one edge of the NT domain core β-sheet, plus a bundle of three α-helices.
FIG 2 

Crystal structure of ANT(2″)-Ia. The nucleotidyltransferase (NT) fold is in black, and the C-terminal domain is in cyan; α-helices and β-sheets are labeled.

Crystal structure of ANT(2″)-Ia. The nucleotidyltransferase (NT) fold is in black, and the C-terminal domain is in cyan; α-helices and β-sheets are labeled.

ANT(2″)-Ia–kanamycin B complex structure reveals the specifics of antibiotic substrate recognition.

The apo and kanamycin B-bound structures of ANT(2″)-Ia align with a root mean square deviation (RMSD) of 0.15 Å across 159 matching Cα atoms, indicating that no gross conformational rearrangements occur upon aminoglycoside binding. The NT and C-terminal domains of ANT(2″)-Ia form the walls of a large cleft ~28 Å in diameter (Fig. 3A), which in the case of the kanamycin B-bound structure harbors unambiguous additional electron density corresponding to the antibiotic molecule. The central ring of the antibiotic is directed toward the interior of the protein, and the prime and double-prime rings point toward solvent (Fig. 3A and 4B). The cleft also harbors two Mg2+ ions; the first ion (MgI2+) is coordinated by Asp44 and Asp46 and three ordered water molecules, whereas the second ion (MgII2+) is chelated by Asp44, Asp46, and Asp86 side chains and the 2″-OH (the site of O-adenylylation) and the 3″-NH2 groups of the antibiotic substrate (Fig. 3B). Notably, both Mg2+ ions in the ANT(2″)-Ia active site lack a sixth coordinating ligand.
FIG 3 

Molecular basis underlying adenylylation of kanamycin B by ANT(2″)-Ia. (A) Surface representation of ANT(2″)-Ia with kanamycin B present in the large cleft. Catalytic Mg2+ ions are shown as orange spheres. The 2″-OH is also labeled and the region of the protein involved in nucleotide binding is in blue (the ternary structure of LinB [36] was used to assist in the identification of residues that may be important in nucleotide binding). (B) Interactions between the ANT(2″)-Ia active site and kanamycin B. The catalytic base is labeled (Asp86), and bond distance (Å) between the 2″-OH of kanamycin B and Asp86 is also shown. Electron density for kanamycin B is a simulated annealing Fo-Fc map contoured at 2.0 σ, and the Mg2+ ions are as described above.

Molecular basis underlying adenylylation of kanamycin B by ANT(2″)-Ia. (A) Surface representation of ANT(2″)-Ia with kanamycin B present in the large cleft. Catalytic Mg2+ ions are shown as orange spheres. The 2″-OH is also labeled and the region of the protein involved in nucleotide binding is in blue (the ternary structure of LinB [36] was used to assist in the identification of residues that may be important in nucleotide binding). (B) Interactions between the ANT(2″)-Ia active site and kanamycin B. The catalytic base is labeled (Asp86), and bond distance (Å) between the 2″-OH of kanamycin B and Asp86 is also shown. Electron density for kanamycin B is a simulated annealing Fo-Fc map contoured at 2.0 σ, and the Mg2+ ions are as described above. According to the ANT(2″)-Ia–kanamycin B complex structure, the antibiotic molecule is anchored in the enzyme active site through eight hydrogen bonds formed between side chain or main-chain atoms belonging to a total of nine residues (Fig. 3B). On the substrate side, hydrogen bonds are formed by the hydroxyl/amino groups that face the interior of the active site (Fig. 3B). Importantly, both the NT fold and the C-terminal domains of ANT(2″)-Ia contribute residues involved in binding the antibiotic substrate. The enzyme also forms two major stacking interactions between aromatic side chains and the antibiotic, with Tyr74 and Tyr134 situated over the central 2-DOS ring and the prime rings of kanamycin B, respectively. Electron density corresponding to the 6″ carbon and 6″-OH atoms of kanamycin B was relatively poorly defined, likely due to the lack of interactions between ANT(2″)-Ia and this area of the substrate. Overall, our analysis of the ANT(2″)-Ia–kanamycin B structure showed that the enzyme’s active site forms interactions with all three rings of the aminoglycoside substrate. These interactions effectively secure the position of the 2″-OH nucleotidylation site in close proximity to the MgI2+ ion and the remainder of the deep active-site cleft, which is adequate in size to accommodate a nucleoside triphosphate (Fig. 3A).

ANT(2″)-Ia shares conserved molecular features with other NT-fold enzymes.

Comparative structural analysis searches identified the lincosamide nucleotidyltransferase Lnu(A) (PDB ID: 4WH5 and 4FO1) as the closest structural homolog of ANT(2″)-Ia (Z score of 16.4), despite low primary sequence conservation between these enzymes (17% sequence identity). The ANT(2″)-Ia and Lnu(A) structures superposed with an RMSD of 2.4 Å over 146 Cα atoms (Fig. 4A). However, Lnu(A) lacks an equivalent of the C-terminal α-helix in ANT(2″)-Ia (residues 166 to 177). Importantly, the similarity between these two enzymes extends to the molecular composition of their active sites, including the positions of the Mg2+-coordinating residues, which in both enzymes also coordinate the substrate antibiotic ring to be adenylylated (Fig. 4B). In regard to the ANT(2″)-Ia–kanamycin B complex structure, the antibiotic appears to be more solvent exposed than lincomycin bound to Lnu(A); this observation is likely explained by the highly polar properties of the aminoglycosides. Furthermore, ANT(2″)-Ia residues conferring interactions with the antibiotic substrate are markedly different from their equivalents in Lnu(A).
FIG 4 

Conservation of the NT fold and catalytic architecture between ANT(2″)-Ia and nucleotidyltransferase enzymes. (A) Structures of ANT(2″)-Ia, lincosamide nucleotidyltransferase Lnu(A) (PDB ID: 4FO1), and DNA polymerase β (PDB ID: 2FMS) (37). The NT fold is in black, and the C-terminal domains are in light cyan. (B) Comparison of the catalytic architecture. Residues coordinating the Mg2+ ions are shown as sticks, Mg2+ ions and water molecules are shown as orange and red spheres, respectively, and dashed lines indicate hydrogen bonds. Kanamycin B (KanB), lincomycin (Lcm), and primer DNA are shown as sticks. DUP (2′-deoxyuridine-5′-α,β-imido-triphosphate) is shown as thin lines, and the α-phosphates are labeled. The modification site for each substrate is labeled.

Conservation of the NT fold and catalytic architecture between ANT(2″)-Ia and nucleotidyltransferase enzymes. (A) Structures of ANT(2″)-Ia, lincosamide nucleotidyltransferase Lnu(A) (PDB ID: 4FO1), and DNA polymerase β (PDB ID: 2FMS) (37). The NT fold is in black, and the C-terminal domains are in light cyan. (B) Comparison of the catalytic architecture. Residues coordinating the Mg2+ ions are shown as sticks, Mg2+ ions and water molecules are shown as orange and red spheres, respectively, and dashed lines indicate hydrogen bonds. Kanamycin B (KanB), lincomycin (Lcm), and primer DNA are shown as sticks. DUP (2′-deoxyuridine-5′-α,β-imido-triphosphate) is shown as thin lines, and the α-phosphates are labeled. The modification site for each substrate is labeled. We also observed significant structural similarity (Z score of 6.7 and Cα RMSD of 3.4 Å across 109 matching Cα atoms) between ANT(2″)-Ia and the lincosamide nucleotidyltransferase LinB (36), an enzyme that also features the NT fold domain (see Fig. S1 in the supplemental material). As observed between ANT(2″)-Ia and Lnu(A), residues of LinB coordinating the Mg2+ ions (Asp40 and Asp42) and the third acidic residue (Glu89) are conserved (see Fig. S1); however, the C-terminal domains of ANT(2″)-Ia and LinB do not show any structural similarity. Interestingly, our homology search also revealed similarity between the NT fold of ANT(2″)-Ia and DNA polymerase β (Polβ) (the palm domain) (37–39) (Fig. 4), a relationship that was also noted with ANT(4′) (21). As we observed between ANT(2″)-Ia, Lnu(A), and LinB, the structural similarity with DNA Polβ extends to the architecture of the catalytic center (Fig. 4B). The three acidic residues, two Mg2+ ions, and position of the nucleotidylation sites (3′-OH from the primer DNA for Polβ) spatially colocalize. In the polymerization reaction catalyzed by DNA Polβ, Asp256 is considered the catalytic base that activates the primer DNA 3′-OH for nucleophilic attack on the α-phosphate of incoming nucleoside triphosphates (40). However, beyond this domain, DNA Polβ contains additional N- and C-terminal domains that do not share any structural similarity with ANT(2″)-Ia. Finally, the structures of ANT(4′)-Ia, ANT(4″)-IIb, and ANT(6)-Ia enzymes were also identified as ANT(2″)-Ia homologs that share the conserved NT fold. However, the orientation of the aminoglycoside substrates, the architecture of the C-terminal domains, and their oligomeric state (dimeric) differ dramatically from those of ANT(2″)-Ia.

Site-directed mutagenesis confirms individual roles of ANT(2″)-Ia active-site residues.

To investigate the role of ANT(2″)-Ia active-site residues in catalysis and substrate recognition, we individually replaced them with alanine residues and tested the activities of corresponding enzyme variants in vitro. The Asp44-to-Ala substitution resulted in complete loss of ANT(2″)-Ia activity against both kanamycin B and ATP, even at substrate concentrations 5 times the K (Table 1). Mutation of Asp86 to Ala likewise rendered the enzyme entirely inactive (Table 1). We attempted to determine a nucleoside triphosphate/analogue-bound complex structure of ANT(2″)-Ia but were not successful. Due to similarities in the active sites of LinB and ANT(2″)-Ia, the ternary structure of the former (36) was used to assist in the identification of residues that may be important in nucleotide binding. This comparison identified the positively charged residues Arg40 and His42 as likely candidates; indeed, replacement of His42 resulted in loss of all enzyme activity (Table 1). However, Arg40 only marginally reduced the nucleotidyltransferase activity. To ascertain the effect of Arg40 substitution on nucleotide and kanamycin B binding, kinetic parameters were determined for both. For kanamycin B, the kinetics did not differ significantly from those of the wild-type enzyme, but nucleotide binding appeared to be impaired (Table 1). These findings implicate His42 and Arg40 in the function of ANT(2″)-Ia. Due to their distance from the kanamycin B 2″-OH group (10 and 13 Å, respectively), these residues are not involved in catalysis but instead likely coordinate ATP.

DISCUSSION

We present the structural and mechanistic characterization of the ANT(2″)-Ia enzyme in complex with its antibiotic substrate. The chemical modification of the 2″-OH provides the molecular logic for antibiotic resistance based on the importance of this site for interaction with the drug target (Fig. 1B) (28). Combining all of our findings allows the proposal of a mechanism for adenylylation by ANT(2″)-Ia (Fig. 5). The putative mechanism of ANT(2″)-Ia parallels the well-studied mechanism of DNA polymerization by DNA Polβ (40). Binding of the nucleoside triphosphate groups is stabilized by the two Mg2+ ions in the active site, His42 and Arg40, plus perhaps other nearby residues, such as Lys147 and His148. A catalytic base is predicted to be involved in a direct AMP transfer mechanism from ATP to the aminoglycoside, via activation of the 2″-OH. Our mutagenic and structural data suggest Asp86 as a likely candidate, due to the fact that it is essential for catalysis and that its interactions with the 2″-OH of the aminoglycoside would provide electrophilic polarization, increasing the nucleophilicity of the alcohol. The interaction of MgII2+ with the substrate 2″-OH would also lend electrophilic polarization to this group. In general, this chemical environment feature is consistent with a nucleophilic attack on the α-phosphate of the nucleoside triphosphate by the substrate 2″-OH. Collapse of a tetrahedral intermediate would release the energetic pyrophosphate as a suitable leaving group.
FIG 5 

Magnesium dependent adenylylation of gentamicin C2 by the aminoglycoside-modifying enzyme ANT(2″)-Ia.

Magnesium dependent adenylylation of gentamicin C2 by the aminoglycoside-modifying enzyme ANT(2″)-Ia. Catalysis relies on coordination of Mg2+ ions, positioning of the substrate ring targeted for modification, and the presence of a catalytic base. We observed that these active-site residues are conserved among other antibiotic nucleotidyltransferases, including Lnu(A), LinB, ANT(4′)-Ia, ANT(4″)-Ib, and ANT(6)-Ia (36). The similarity of catalytic architecture among these enzymes with that of DNA Polβ, which was previously noted for LinB (36), is consistent with a shared catalytic mechanism utilized by these enzymes. In turn, these observations suggest an evolutionary relationship between ANT(2″)-Ia, Lnu(A), LinB, and DNA Polβ enzymes, with divergent evolution of the NT fold toward adaptation for activity against chemically distinct substrates. Clearly, substrate specificity dramatically differs and this diversification appears to be conferred by distinct C-terminal domains. We anticipate that since ANT and Lnu enzymes share clear structural and catalytic similarities, as revealed through this study, it may be possible to develop broad-spectrum inhibitors against antibiotic nucleotidyltransferases. This strategy would rejuvenate multiple classes of antibiotics that are susceptible to inactivation via nucleotidylation. To allow for this possibility, it is necessary for these inhibitors to target the core nucleotidyltransferase catalytic machinery, since targeting the substrate recognition domain would be less fruitful. This study will allow such focused efforts, leading the way for structure-based drug design and the development of next-generation antibiotics that are recalcitrant to adenylylation.

MATERIALS AND METHODS

Overexpression and purification of ANT(2″)-Ia.

E. coli Rosetta (Merck KGaA, Darmstadt, Germany) (λDE3; pDEST15:aadB) (aadB, GenBank no. ACX70191.1) was used for overexpression of ANT(2″)-Ia as a GST fusion product as previously described (41). Glutathione affinity chromatography was utilized as an initial purification step in buffer A (20 mM Tris [pH 8.0], 300 mM NaCl), and the GST fusion tag was removed by tobacco etch virus (TEV) protease cleavage at 12°C, followed by elution of the cleaved protein with buffer A. ANT(2″)-Ia was purified to high homogeneity (>95%) by the inclusion of a final purification step involving gel filtration chromatography. Separation was carried out at 4°C using a HiPrep S200 (26/60) prepacked column (GE Healthcare), and samples were eluted in buffer A (20 mM Tris [pH 8.0], 300 mM NaCl, 1 mM dithiothreitol [DTT], and 5 mM MgCl2). For determination of the oligomeric state of ANT(2″)-Ia, the column was calibrated using a gel filtration LMW calibration kit (GE Healthcare) using the manufacturer’s guidelines. ANT(2″)-Ia eluted as a single well-defined peak corresponding to a monomeric form and a molecular mass of ~20 kDa; accordingly, analysis of all crystal structure contacts using the PDBePISA server (42) did not reveal any oligomeric assemblies.

Crystallization of ANT(2″)-Ia and data collection.

ANT(2″)-Ia was concentrated to 60 mg/ml, and crystals were grown at 20°C from hanging drops using the vapor diffusion method. Optimized crystallization conditions for ANT2(2″)-Ia were 10% 2-propanol, 20% polyethylene glycol (PEG) 4000, and 0.1 M HEPES (pH 7.5). ANT(2″)-Ia was cocrystallized with kanamycin B (Sigma Aldrich, Oakville, ON, Canada) at a ratio of 5 times the molar concentration of the former. For data collection, the crystals were passaged through mother liquor containing 20% (vol/vol) glycerol and frozen in nitrogen. Data were collected at 100 K with Cu Kα X rays generated by a Rigaku 007 Microfocus rotating-anode generator equipped with VariMax HF optics and a Rigaku Raxis IV2+ detector. All X-ray data were reduced with HKL-3000 (43). The ANT(2″)-Ia apoenzyme structure was solved by S-SAD using Phenix.solve (44); four of the six sulfur sites (four cysteine residues) were located. Automated model building was performed with Phenix.autobuild, refinement was performed using Phenix.refine, and manual model building was performed with Coot (45). The ANT(2″)-Ia–kanamycin B complex structure was solved by molecular replacement (MR) using the apoenzyme structure. Fo-Fc difference density corresponding to the aminoglycoside molecule was readily traceable after MR. Translation-libration-screw rotation (TLS) parameterization was utilized for refinement of both structures. Geometries were verified using the Phenix and Coot validation tools and the RCSB PDB deposition server. Occupancy values for solvent molecules and Mg2+ atoms were refined. All B factors were refined as isotropic. Average B factor and bond angle/bond length RMSD values were calculated using Phenix.

Structure analysis.

For comparison of similar structures, the Cα RMSD was calculated using the SSM superposition tool in Coot (46) and the Dali server (47). The PDBePISA tool (42) was utilized to identify protein-ligand interactions. Structural homologs in the PDB were identified using the Dali server (47). Secondary structure boundaries were generated using the PDBsum server (48).

Site-directed mutagenesis.

QuikChange (Agilent Technologies, Mississauga, Canada) site-directed mutagenesis was used to introduce point mutations within aadB in the pDEST15 vector (Life Technologies), according to the manufacturer’s suggested guidelines. Primers were designed using the QuikChange primer design program (Agilent Technologies). Resulting mutants were confirmed by sequencing at the MOBIX Central Facility (McMaster University, Hamilton, Canada).

ANT(2″)-Ia steady-state kinetic studies.

The continuous EnzChek pyrophosphate assay (Life Technologies) was used to assess wild-type and mutant ANT(2″)-Ia enzyme activity in vitro. The reaction was followed at 360 nm using a Spectramax Plus384 (Molecular Devices) microtiter plate reader. The assay was performed in duplicate, in 96-well plates (Nunc, ThermoScientific) with a final volume of 100 µl and 50 mM HEPES [pH 7.5], 40 mM KCl, 10 mM MgCl2, and 5 µg of ANT(2″)-Ia. For characterization of kanamycin B, ATP was kept at 5 times the K, and for assessment of ATP dependence, kanamycin was also kept at 5 times the K. The reaction mixtures were incubated with shaking for 3 min at 25°C, followed by initiation with nucleotide, and the formation of pyrophosphate was monitored for 10 min. Data were assessed using software in GraFit 5.0.13 (Erithacus Software). Conservation of NT fold (A) and catalytic apparatus (B) in ANT(2″)-Ia and LinB (36). The NT fold is shown in black, and the C-terminal domains light cyan. Residues coordinating the two magnesium ions are shown as sticks. Dashes indicate hydrogen bonds; Mg2+ ions and water molecules are in orange and red spheres, respectively. Kanamycin B (KanB) and clindamycin (Cli) are shown as sticks. α, β-Methyleneadenosine 5′-triphosphate is shown in thin lines, and the α-phosphate is labeled. The modification site for each substrate is labeled with an arrow. Download Figure S1, PNG file, 0.4 MB
  45 in total

1.  R-factor mediated gentamicin resistance: A new enzyme which modifies aminoglycoside antibiotics.

Authors:  R Benveniste; J Davies
Journal:  FEBS Lett       Date:  1971-05-20       Impact factor: 4.124

2.  A small molecule discrimination map of the antibiotic resistance kinome.

Authors:  Tushar Shakya; Peter J Stogios; Nicholas Waglechner; Elena Evdokimova; Linda Ejim; Jan E Blanchard; Andrew G McArthur; Alexei Savchenko; Gerard D Wright
Journal:  Chem Biol       Date:  2011-12-23

3.  Molecular mechanisms of antibiotic resistance.

Authors:  Gerard D Wright
Journal:  Chem Commun (Camb)       Date:  2011-02-01       Impact factor: 6.222

4.  Cloning, overexpression, and purification of aminoglycoside antibiotic nucleotidyltransferase (2'')-Ia: conformational studies with bound substrates.

Authors:  D R Ekman; E L DiGiammarino; E Wright; E D Witter; E H Serpersu
Journal:  Biochemistry       Date:  2001-06-19       Impact factor: 3.162

5.  The most frequent aminoglycoside resistance mechanisms--changes with time and geographic area: a reflection of aminoglycoside usage patterns? Aminoglycoside Resistance Study Groups.

Authors:  G H Miller; F J Sabatelli; R S Hare; Y Glupczynski; P Mackey; D Shlaes; K Shimizu; K J Shaw
Journal:  Clin Infect Dis       Date:  1997-01       Impact factor: 9.079

6.  Magnesium-induced assembly of a complete DNA polymerase catalytic complex.

Authors:  Vinod K Batra; William A Beard; David D Shock; Joseph M Krahn; Lars C Pedersen; Samuel H Wilson
Journal:  Structure       Date:  2006-04       Impact factor: 5.006

7.  Structure of DNA polymerase beta with a benzo[c]phenanthrene diol epoxide-adducted template exhibits mutagenic features.

Authors:  Vinod K Batra; David D Shock; Rajendra Prasad; William A Beard; Esther W Hou; Lars C Pedersen; Jane M Sayer; Haruhiko Yagi; Subodh Kumar; Donald M Jerina; Samuel H Wilson
Journal:  Proc Natl Acad Sci U S A       Date:  2006-11-01       Impact factor: 11.205

8.  Structural origins of gentamicin antibiotic action.

Authors:  S Yoshizawa; D Fourmy; J D Puglisi
Journal:  EMBO J       Date:  1998-11-16       Impact factor: 11.598

9.  Structural investigation of the antibiotic and ATP-binding sites in kanamycin nucleotidyltransferase.

Authors:  L C Pedersen; M M Benning; H M Holden
Journal:  Biochemistry       Date:  1995-10-17       Impact factor: 3.162

10.  Inhibition of the ANT(2")-Ia resistance enzyme and rescue of aminoglycoside antibiotic activity by synthetic α-hydroxytropolones.

Authors:  Danielle R Hirsch; Georgina Cox; Michael P D'Erasmo; Tushar Shakya; Christine Meck; Noushad Mohd; Gerard D Wright; Ryan P Murelli
Journal:  Bioorg Med Chem Lett       Date:  2014-09-19       Impact factor: 2.823

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  17 in total

1.  Structural and functional plasticity of antibiotic resistance nucleotidylyltransferases revealed by molecular characterization of lincosamide nucleotidylyltransferases lnu(A) and lnu(D).

Authors:  Peter J Stogios; Elena Evdokimova; Mariya Morar; Kalinka Koteva; Gerard D Wright; Patrice Courvalin; Alexei Savchenko
Journal:  J Mol Biol       Date:  2015-04-18       Impact factor: 5.469

2.  Effect of solvent and protein dynamics in ligand recognition and inhibition of aminoglycoside adenyltransferase 2″-Ia.

Authors:  Valjean R Bacot-Davis; Angelia V Bassenden; Tara Sprules; Albert M Berghuis
Journal:  Protein Sci       Date:  2017-07-21       Impact factor: 6.725

3.  Mechanisms of Resistance to Aminoglycoside Antibiotics: Overview and Perspectives.

Authors:  Sylvie Garneau-Tsodikova; Kristin J Labby
Journal:  Medchemcomm       Date:  2015-09-21       Impact factor: 3.597

4.  Antibiotic resistance and inhibition mechanism of novel aminoglycoside phosphotransferase APH(5) from B. subtilis subsp. subtilis strain RK.

Authors:  Rishikesh S Parulekar; Sagar S Barale; Kailas D Sonawane
Journal:  Braz J Microbiol       Date:  2019-08-10       Impact factor: 2.476

5.  Structural characterization of aminoglycoside 4'-O-adenylyltransferase ANT(4')-IIb from Pseudomonas aeruginosa.

Authors:  Cameron Semper; Peter Stogios; Djalal Meziane-Cherif; Elena Evdokimova; Patrice Courvalin; Alexei Savchenko
Journal:  Protein Sci       Date:  2020-01-29       Impact factor: 6.725

Review 6.  Crossroads of Antibiotic Resistance and Biosynthesis.

Authors:  Timothy A Wencewicz
Journal:  J Mol Biol       Date:  2019-07-06       Impact factor: 5.469

7.  Rifampin phosphotransferase is an unusual antibiotic resistance kinase.

Authors:  Peter J Stogios; Georgina Cox; Peter Spanogiannopoulos; Monica C Pillon; Nicholas Waglechner; Tatiana Skarina; Kalinka Koteva; Alba Guarné; Alexei Savchenko; Gerard D Wright
Journal:  Nat Commun       Date:  2016-04-22       Impact factor: 14.919

8.  Evaluating the Frequency of aac(6')-IIa, ant(2″)-I, intl1, and intl2 Genes in Aminoglycosides Resistant Klebsiella pneumoniae Isolates Obtained from Hospitalized Patients in Yazd, Iran.

Authors:  Hesam Mokhtari; Gilda Eslami; Hengameh Zandi; Amin Dehghan-Banadkouki; Mahmood Vakili
Journal:  Avicenna J Med Biotechnol       Date:  2018 Apr-Jun

Review 9.  Nanomaterials for alternative antibacterial therapy.

Authors:  Hassan A Hemeg
Journal:  Int J Nanomedicine       Date:  2017-11-10

10.  Structural and Functional Adaptation of Vancomycin Resistance VanT Serine Racemases.

Authors:  Djalal Meziane-Cherif; Peter J Stogios; Elena Evdokimova; Olga Egorova; Alexei Savchenko; Patrice Courvalin
Journal:  mBio       Date:  2015-08-11       Impact factor: 7.867

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