Literature DB >> 34825882

A functional menadione biosynthesis pathway is required for capsule production by Staphylococcus aureus.

Dina Altwiley1,2, Tarcisio Brignoli1, Andrew Edwards3, Mario Recker4, Jean C Lee5, Ruth C Massey1,6.   

Abstract

Staphylococcus aureus is a major human pathogen that utilises a wide array of pathogenic and immune evasion strategies to cause disease. One immune evasion strategy, common to many bacterial pathogens, is the ability of S. aureus to produce a capsule that protects the bacteria from several aspects of the human immune system. To identify novel regulators of capsule production by S. aureus, we applied a genome wide association study (GWAS) to a collection of 300 bacteraemia isolates that represent the two major MRSA clones in UK and Irish hospitals: CC22 and CC30. One of the loci associated with capsule production, the menD gene, encodes an enzyme critical to the biosynthesis of menadione. Mutations in this gene that result in menadione auxotrophy induce the slow growing small-colony variant (SCV) form of S. aureus often associated with chronic infections due to their increased resistance to antibiotics and ability to survive inside phagocytes. Utilising such an SCV, we functionally verified this association between menD and capsule production. Although the clinical isolates with polymorphisms in the menD gene in our collections had no apparent growth defects, they were more resistant to gentamicin when compared to those with the wild-type menD gene. Our work suggests that menadione is involved in the production of the S. aureus capsule, and that amongst clinical isolates polymorphisms exist in the menD gene that confer the characteristic increased gentamicin resistance, but not the major growth defect associated with SCV phenotype.

Entities:  

Keywords:  SCVs; Staphylococcus aureus; capsule; menadione; persisters; small colony variants

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Substances:

Year:  2021        PMID: 34825882      PMCID: PMC8743628          DOI: 10.1099/mic.0.001108

Source DB:  PubMed          Journal:  Microbiology (Reading)        ISSN: 1350-0872            Impact factor:   2.956


Introduction

As a successful human pathogen, has evolved many mechanisms to evade host immunity, including the production of a polysaccharide capsule that protects the bacteria from uptake and killing by phagocytes [1-3]. The enzymes responsible for the biosynthesis of this capsule are encoded within a multi-gene locus (cap) that has both highly conserved and variable genes responsible for the capsule serotypes [2, 4]. The importance of capsule production to the ability of to cause disease has been demonstrated in many animal models, and as a result it was a target of an anti-staphylococcal vaccine attempt, albeit unsuccessful in clinical trials in humans [5]. Recent population-based analyses of human isolates may partially explain the lack of success of this vaccine in clinical trials, as it found significant variability in the amount of capsule produced by clinical isolates [6, 7]. Although there are associations between the levels of capsule production and increased patient mortality [8], that capsule negative variants are frequently isolated from patients suggests that capsule production is not critical for survival in humans or the ability to cause disease. Using traditional molecular approaches, several regulators of the expression of the cap locus have been identified such as Agr and MgrA [9, 10]. However, the existence of variability across a collection of isolates can facilitate alternative approaches to the identification of novel regulators through the use of genome wide association (GWAS) approaches [8, 11–14]. These have the added benefit of allowing a greater understanding of the role and relevance of these regulators in the natural environment of the human host [8, 11]. A previous application of this approach to a collection of community-acquired methicillin resistant (MRSA) USA300 isolates identified several conserved mutations within the cap locus as responsible for variability in capsule production [6]. Here, we sought to extend this approach to a collection of healthcare-acquired MRSA representing the two major clones circulating in UK and Irish hospitals, clonal complexes 22 and 30 (CC22, CC30). We observed a high level of variability with regards to capsule production within our collection of clinical isolates. Interestingly, no polymorphisms within the cap locus were identified as associated with this phenotype, although several loci distal to the cap locus were associated with capsule production. One of these genes, menD, encodes an enzyme critical to the biosynthesis of menadione [15]. Mutations in this gene have been shown in many studies to be responsible for an alternative means utilized by to both resist the effect of antibiotics and evade clearance by phagocytes by switching to the slow growing small colony variant (SCV) or persister phenotype [15-17]. The expression of many virulence factors is reduced when the bacteria switch to SCVs, including the production of cytolytic toxins [18]; however, there are contradictory reports on what effect this switch has on capsule production [19-21]. In this study we explore the link between the SCV phenotype and capsule production and conclude that the link is dependent upon the specific pathway that becomes mutated during the switch to the SCV form.

Methods

Bacterial strains and culture conditions

Bacterial strains used are listed in Table S1 (available in the online version of this article). Bacterial strains were routinely stored at −80 °C in 15% glycerol/broth stocks until required. Unless stated otherwise, strains were streaked onto Tryptic Soy agar (TSA) and single colonies transferred to 5 ml Tryptic Soy broth (TSB) in 50 ml tubes. All bacterial cultures were propagated in a shaking incubator for 18 h at 37 °C at 180 r.p.m.

In vitro capsule production quantification

To quantify capsule production, strains were grown overnight on the surface of TSA plates at 37 °C. They were then transferred to nitrocellulose (NC) membranes and the membranes were placed bacteria side up in a clean petri dish and baked for 15 min at 60 °C. To remove excess bacteria from the filters, membranes were washed three times in PBS and the proteins removed by incubating the filters in trypsin solution for 1 h at 37 °C. Membranes were then rinsed and blocked in Bovine Serum Albumin (BSA) for 1 h, and washed three times in PBS with 0.05% Tween. The membranes were incubated for 1 h in diluted anti-cap antiserum 1 : 1000 - 1 : 3000 (5–15 µl:15 ml PBS) at room temperature with gentle agitation. Filters were washed three times for 3 min each with PBS/Tween. Protein G-HRP conjugate was diluted in PBS/Tween to a 1 : 5000 dilution and incubated for 1 h at room temperature with gentle agitation. The membranes were washed three times for 3 min each with PBS. Finally, the reactivity of the colonies was detected using the Opti-4CN Substrate Kit (BIORAD), according to manufacturer instructions. The clinical isolates were scored visually by three individuals as 0, 1 or 2, where 0 indicated no capsule detection, 1 a medium level of capsule detection and 2 a high level of capsule detection (Table S1).

GWAS

Genome-wide association mapping was conducted using a generalized linear model, with capsule production as the quantitative response variable. We accounted for bacterial population substructure by adding to the regression model the first two components from a principal component decomposition of SNP data for each set of clinical samples (CC22 and CC30). The first two components accounted for 32 and 40% of the total variance for CC22 and CC30, respectively. In both cases, three distinct clusters were identified. We further considered a third model where we used cluster membership as covariates in our regression model, where clusters were defined using K-means clustering analysis (setting K=3); this, however, yielded identical results to the one based on PCA components. In total, 2066 (CC22) and 3189 (CC30) unique SNPs were analysed, the majority of which were subsequently filtered out for exhibiting a minor allele frequency (maf) of <0.03, reducing the data to 378 and 1124 SNPs, respectively. Reported P-values are not corrected for multiple comparisons; Sidak corrected significance thresholds are indicated in the Manhattan plots.

mRNA extraction

The bacteria were grown in TSB at 37 °C in a shaking incubator for 18 h. RNA was extracted by Quick-RNA Fungal/Bacterial Miniprep Kit (Zymo Research) according to the manufacturer’s instructions. RNA integrity was checked by running a 5 µl aliquot of the RNA on a 1% agarose gel and observing the intensity of the ribosomal RNA (rRNA). RNA samples were treated by TURBO DNase (Invitrogen) to eliminate any genomic DNA contamination. To verify that the samples were free from any DNA contamination, RNA samples were subjected to RT-qPCR with a no template control (NTC) and 2.5 ng of a known genomic DNA, and threshold rates were compared.

Quantitative reverse transcriptase (RT-qPCR)

To quantify the expression of the capE gene of the wild-type and the mutants, RT-qPCR was performed using gyrB as a reference gene. Complementary DNA (cDNA) was generated from mRNA using a qScript cDNA Synthesis Kit following the manufacture’s (Quantabio) protocol, and the cDNA was used as a template for the qPCR reaction. Primers used are listed in Table 1. The reverse-transcriptase PCR (RT-PCR) was performed as follows: 10 µl 2x SensiFAST SYBR Mix, 0.8 µl of 10 µM forward primer, 0.8 µl of 10 µM µl reverse primer, 1 µl cDNA and RNase-free water up to a total of 20 µl volume. The PCR cycles consisted of initial denaturation at 95 °C for 2 min followed by 40 cycles of denaturation at 95 °C for 10 s, annealing at 55 °C for 60 s and extension at 72 °C for 10 s. RT-PCR was carried out in triplicate for each sample and ≥3 biological repeats using the primers listed in Table 1. The ratio of capE and gyrB transcript number was calculated using the using the 2-(ΔCt ply – ΔCt recA) method.
Table 1.

Oligonucleotide primers used in this study

Primer

Sequence Sequence (5′ → 3′ end)

RT capE F

 ACATTGGTGATGTGCGTGAT

RT capE R

 TCACATGACGGCACTTGTTT

RT gyrA F

 CCAGGTAAATTAGCCGATTGC

RT gyrA R

 AAATCGCCTGCGTTCTAGAG

Oligonucleotide primers used in this study Primer Sequence Sequence (5′ → 3′ end) RT capE F ACATTGGTGATGTGCGTGAT RT capE R TCACATGACGGCACTTGTTT RT gyrA F CCAGGTAAATTAGCCGATTGC RT gyrA R AAATCGCCTGCGTTCTAGAG

Selection and verification of SCV strains

strain Newman was grown in TSB at 37 °C in a shaking incubator overnight. The culture was diluted 1/10 into TSB with 2 µg ml−1 gentamicin and incubated for 8 h. The resulting culture was then plated on blood agar containing 2 µg ml−1 gentamicin. Pin-prick sized colonies were further isolated by streaking onto fresh agar plates with 2 µg ml−1 gentamicin. Auxotrophy to both menadione and hemin was examined by placing a filter disc saturated in these growth reagents onto a freshly inoculated lawn of the purified SCV colonies, and enhanced growth surrounding the disc visually examined.

Results and discussion

Capsule production varies across closely related bacteraemia isolates

Recent work has suggested that there is significant variability amongst clinical isolates in the amount of capsule they produce [6, 7]. Given the importance of capsule in protecting the bacteria from many aspects of the human immune system, we sought to examine the variability of this in isolates from invasive disease, where the anti-bacterial effects of the immune system should be the most stringent. We focussed on a collection of isolates from 300 cases of bacteraemia, representing both the two major clones of MRSA strains circulating in UK and Irish hospitals (CC22 and CC30), as well as the two major capsule serotypes of that cause disease in humans (capsule type 5 (CP5) and type 8 (CP8)). We performed a semi-quantification of capsule production by each isolate using anti-CP5 (for the CC22 isolates) and anti-CP8 (for the CC30 isolates) antiserum. The reactivity of the antisera was demonstrated using a pair of wild-type and capsule negative isogenic mutants (Fig. 1). Across the clinical bacteraemia isolates there was significant variability in capsule production, with the majority of isolates producing abundant capsule (57%), 20% producing moderate levels of capsule and with no detectable capsule being produced by 23 % of the isolates (Fig. 1, Table S1).
Fig. 1.

Capsule production varies significantly across clinical bacteraemia isolates. Immunoblots of isolates were performed with either anti-CP5 or anti-CP8 antiserum. Blots of isogenic CP5 and CP8 wild-type and cap- mutant were performed as controls (top row). Ten CC22 (rows 2 and 3) and 10 CC30 (rows 4 and 5) isolates representative of the variability in intensity of anti-capsule anti-serum binding are presented. The CC22s were probed with the anti-CP5 antiserum and the CC30s with the anti-CP8 antiserum.

Capsule production varies significantly across clinical bacteraemia isolates. Immunoblots of isolates were performed with either anti-CP5 or anti-CP8 antiserum. Blots of isogenic CP5 and CP8 wild-type and cap- mutant were performed as controls (top row). Ten CC22 (rows 2 and 3) and 10 CC30 (rows 4 and 5) isolates representative of the variability in intensity of anti-capsule anti-serum binding are presented. The CC22s were probed with the anti-CP5 antiserum and the CC30s with the anti-CP8 antiserum.

The genetic basis of the variability in capsule production is multifactorial

As the genome sequence for each of the 300 clinical isolates was available, we performed a GWAS (genome wide association study) to identify polymorphic loci that associated with the level of capsule produced by the isolates. For this, the data from the two distinct clones were analysed independently, with population structure within the clones being accounted for (Fig. 2, Tables 2 and 3). We applied both uncorrected and corrected (for multiple comparisons) significance thresholds to this analysis, as our previous work has demonstrated that the stringency of multiple correction approaches increases the likelihood of type II errors or false negative results. Only one locus was found associated at the multiple test corrected significance threshold: the agrC gene, which is part of a well-established regulatory system of many virulence factors including capsule [8, 9, 11], providing good proof of concept for this approach. A further 169 loci were found associated with capsule production at the P<0.05 significance threshold, including two genes, in which mutations result in the switching of to the small colony variant (SCV) or persister phenotype: fabD and menD. SCVs auxotrophic for fatty acids that are more resistant to FAS-II inhibitors, such as triclosan, are associated with mutations in the fabD and fabI genes [22, 23]. SCVs auxotrophic for menadione are more resistant to aminoglycoside antibiotics, such as gentamicin, and are associated with mutations in the menD gene [15, 16].
Fig. 2.

loci associated with capsule production. Manhattan plots representing the results of a GWAS analysis identifying polymorphic loci associated with the level of capsule produced by (a) 136 CC22 and (b) 159 CC30 bacteraemia isolates. The x-axes represent the genomic position of the polymorphisms relative to the origin of replication and the y-axes represent the strength of the association with capsule production. Uncorrected (P<0.05) and multiple tests corrected (P<1.3×10−4, for CC22; and P<4.5×10−5 for CC30s) significance thresholds are indicated as blue and red lines, respectively.

loci associated with capsule production. Manhattan plots representing the results of a GWAS analysis identifying polymorphic loci associated with the level of capsule produced by (a) 136 CC22 and (b) 159 CC30 bacteraemia isolates. The x-axes represent the genomic position of the polymorphisms relative to the origin of replication and the y-axes represent the strength of the association with capsule production. Uncorrected (P<0.05) and multiple tests corrected (P<1.3×10−4, for CC22; and P<4.5×10−5 for CC30s) significance thresholds are indicated as blue and red lines, respectively. Loci associated with capsule production in the CC22 collection of isolates Gene or locus tag Protein function P value SAEMRSA15_RS00260 type I restriction endonuclease subunit R 0.00014021 Intergenic between SAEMRSA15_RS13970 and clfB 0.00034659 SAEMRSA15_RS11275 thiol-disulfide oxidoreductase DCC family protein 0.00034659 SAEMRSA15_RS12900 NAD(P)-dependent oxidoreductase 0.00034659 SAEMRSA15_RS01030 type 1 glutamine amidotransferase 0.00034659 SAEMRSA15_RS00265 hypothetical protein 0.00034659 SAEMRSA15_RS08245 acetyl-CoA carboxylase biotin carboxylase subunit 0.00034659 SAEMRSA15_RS10695 LytTR family DNA-binding domain-containing protein 0.00075253 SAEMRSA15_RS10690 GHKL domain-containing protein 0.00077225 SAEMRSA15_RS02555 RNA polymerase sigma factor 0.00120048 ileS isoleucine--tRNA ligase 0.00139006 SAEMRSA15_RS12840 glycerate kinase 0.00280998 SAEMRSA15_RS11120 ATP synthase subunit I 0.0030996 SAEMRSA15_RS02630 amidohydrolase 0.00366703 SAEMRSA15_RS12955 APC family permease 0.00386528 SAEMRSA15_RS13455 LrgB family protein 0.00400753 menD 2-succinyl-5-enolpyruvyl-6-hydroxy-3-cyclohexene-1-carboxylic-acid synthase 0.00507518 SAEMRSA15_RS09800 metal-dependent hydrolase 0.00516556 graR response regulator transcription factor GraR/ApsR 0.00546077 rsmG 16S rRNA (guanine(527)-N(7))-methyltransferase RsmG 0.00895798 Intergenic between SAEMRSA15_RS08855 and SAEMRSA15_RS08860 0.01032749 Intergenic between SAEMRSA15_RS01390 and brnQ 0.01032749 sbnC staphyloferrin B biosynthesis protein SbnC 0.01032749 SAEMRSA15_RS03060 WecB/TagA/CpsF family glycosyltransferase 0.0108 Intergenic between guaC and SAEMRSA15_RS06385 0.01141554 SAEMRSA15_RS04275 Glu/Leu/Phe/Val dehydrogenase 0.01534142 SAEMRSA15_RS14050 amidase domain-containing protein 0.01534142 SAEMRSA15_RS04670 ATP-binding cassette domain-containing protein 0.01534142 SAEMRSA15_RS08370 histidine--tRNA ligase 0.01534142 SAEMRSA15_RS08350 replication-associated recombination protein A 0.01534142 Intergenic between SAEMRSA15_RS02335 and tilS 0.01534142 SAEMRSA15_RS14225 ATP phosphoribosyltransferase 0.01534142 SAEMRSA15_RS11600 hypothetical protein 0.01534142 SAEMRSA15_RS09105 MFS transporter 0.01577408 SAEMRSA15_RS11705 energy-coupling factor transporter ATPase 0.01652847 SAEMRSA15_RS13060 hypothetical protein 0.01671052 sdhA succinate dehydrogenase flavoprotein subunit 0.01836527 fabD ACP S-malonyltransferase 0.01905729 ribB 3,4-dihydroxy-2-butanone-4-phosphate synthase 0.02115675 SAEMRSA15_RS13160 DUF3427 domain-containing protein 0.02147993 SAEMRSA15_RS02320 nucleotide pyrophosphohydrolase 0.02182662 Intergenic between brnQ and SAEMRSA15_RS00800 0.02388376 radA DNA repair protein RadA 0.02388376 SAEMRSA15_RS02405 tRNA-Lys 0.02388376 SAEMRSA15_RS01035 PrsW family intramembrane metalloprotease 0.0245801 SAEMRSA15_RS01275 ABC transporter permease 0.02728306 SAEMRSA15_RS07140 hypothetical protein 0.02954242 pyk pyruvate kinase 0.0303263 SAEMRSA15_RS11310 hypothetical protein 0.03044146 feoB ferrous iron transport protein B 0.03071363 SAEMRSA15_RS02010 YbcC family protein 0.03520898 SAEMRSA15_RS01135 CDP-glycerol glycerophosphotransferase family protein 0.03607997 dltB PG:teichoic acid d-alanyltransferase DltB 0.03944867 SAEMRSA15_RS05405 YfcC family protein 0.04425032 SAEMRSA15_RS05040 DUF4064 domain-containing protein 0.04807582 SAEMRSA15_RS03910 thermonuclease family protein 0.04901599 Loci associated with capsule production in the CC30 collection of isolates Gene or locus tag Protein function P value agrC autoinducer sensor protein 4.06×10−5 SAR1756 hypothetical protein 0.000610781 kdpA putative potassium-transporting ATPase a chain 0.00079868 leuB 3-isopropylmalate dehydrogenase 0.00079868 SAR2555 conserved hypothetical protein 0.001102934 Intergenic between sstD and SAR0791 0.002038995 ccpA catabolite control protein A 0.005730767 SAR2382 putative transcriptional regulator 0.005772766 SAR2759 putative aminotransferase-putative imidazoleglycerol-phosphate dehydratase 0.005813137 SAR1218 putative membrane protein 0.007268775 SAR0457a hypothetical protein 0.008232546 SAR2533 putative ketopantoate reductase 0.008799502 SAR0109 putative transporter protein 0.009570567 yycG Two-component regulatory system family, sensor kinase protein. 0.010100134 thiE putative thiamine-phosphate pyrophosphorylase 0.010702445 fabD ACP S-malonyltransferase 0.011824195 SAR1343 amino acid permease 0.01386841 SAR2522 putative glycerate kinase 0.01579356 SAR1674 putative GTPase 0.018539766 SAR0122 putative transport protein 0.018645214 SAR1668 conserved hypothetical protein 0.019293181 ilvA threonine dehydratase biosynthetic 0.020495129 dfrB dihydrofolate reductase type I 0.021075917 Intergenic between polS and proC 0.022922752 SAR2025 putative ABC transporter ATP-binding protein 0.02367155 SAR0793 hypothetical protein 0.023724266 SAR1619 putative exported protein 0.023978842 SAR0743 putative sodium:sulphate symporter protein 0.02413635 arsR2 arsenical resistance operon repressor 2 0.024274209 SAR0108 putative peptidase 0.024560717 SAR0559 putative aminotransferase 0.02466874 SAR1002 putative membrane protein 0.02622901 SAR0942 putative membrane protein 0.026651981 SAR2740 conserved hypothetical protein 0.026988447 ureC urease alpha subunit 0.027434322 qoxB putative quinol oxidase polypeptide I 0.028188487 mnhD Na+/H+antiporter subunit 0.030064463 SAR2534 putative transport protein 0.030662069 SAR2779 putative N-acetyltransferase 0.031463295 SAR1684 conserved hypothetical protein 0.031847864 SAR1699 conserved hypothetical protein 0.031847864 SAR1995 putative lipoprotein 0.031847864 SAR0463 putative lipoprotein 0.031847864 SAR0010 putative membrane protein 0.033712843 SAR0245 putative zinc-binding dehydrogenase 0.035487178 ureE urease accessory protein UreE 0.035624064 odhA 2-oxoglutarate dehydrogenase E1 component 0.036566931 SAR2186 conserved hypothetical protein 0.037233673 hisB putative imidazoleglycerol-phosphate dehydratase 0.037571061 SAR0291 putative membrane protein 0.038246027 SAR1876 hypothetical protein 0.038551026 SAR1703 putative oxygenase 0.039218922 SAR1655 putative methyltransferase 0.039424074 SAR2464 TetR family regulatory protein 0.039515902 SAR0987 conserved hypothetical protein 0.039515902 SAR1868 aldo/keto reductase family protein 0.039515902 SAR0466 MutT domain containing protein 0.039515902 SAR0278 putative exported protein 0.039515902 Intergenic between rsbU and SAR2156 0.039515902 ldh1 l-lactate dehydrogenase 1 0.039515902 mvaD mevalonate diphosphate decarboxylase 0.039515902 SAR0969 conserved hypothetical protein 0.039515902 SAR1973 putative membrane protein 0.039515902 SAR0247 putative zinc-binding dehydrogenase 0.039515902 SAR0770 conserved hypothetical protein 0.039515902 SAR2619 thiamine pyrophosphate enzyme 0.039515902 SAR1281 conserved hypothetical protein 0.039515902 SAR0655 putative Na +dependent nucleoside transporter 0.039515902 SAR1332 response regulator 0.039515902 SAR2588 putative membrane protein 0.039515902 SAR1165 hypothetical protein 0.039515902 SAR1221 putative CoA synthetase protein 0.039515902 Intergenic between SAR0994 and tRNA-Ser 0.039515902 SAR2006 conserved hypothetical protein 0.039515902 SAR0636 putative membrane protein (pseudogene) 0.039515902 SAR2780 putative membrane protein 0.039515902 SAR1141 Similar to Staphylococcus aureus exotoxin 0.039515902 SAR1670 conserved hypothetical protein 0.039515902 SAR1685 putative biotin carboxylase subunit of acetyl-CoA carboxylase 0.039515902 lysS lysyl-tRNA synthetase 0.039515902 Intergenic between lysS and SAR1413 0.039515902 Intergenic between SAR1326 and SAR1327 0.039515902 pbp4 penicillin-binding protein 4 0.039515902 SAR0880 conserved hypothetical protein 0.039515902 Intergenic between ehb and SAR1448 0.039515902 vraD ABC transporter ATP-binding protein 0.039515902 SAR1265 putative pyruvate flavodoxin/ferredoxin oxidoreductase 0.039515902 SAR0147 putative nucleotidase 0.039515902 Intergenic between sodM and sasG 0.039515902 SAR1193 hypothetical protein 0.039515902 SAR0509 putative RNA binding protein 0.039515902 Intergenic between SAR1932 and SAR1933 0.039515902 SAR0810 putative phosphohydrolase 0.039515902 Intergenic between rpmH and dnaA 0.039515902 bglA 6-phospho-beta-glucosidase 0.039515902 Intergenic between SAR1870 and a SAM riboswitch 0.039515902 cysJ putative sulfite reductase [NADPH] flavoprotein alpha-component 0.039515902 SAR2424 putative aldose 1-epimerase 0.039515902 pta putative phosphate acetyltransferase 0.039515902 SAR0269a hypothetical protein 0.039515902 tRNA-Thr tRNA Thr anticodon TGT, Cove score 85.17 0.039515902 SAR1352 putative transketolase 0.039515902 SAR0290 hypothetical protein 0.039515902 crtN squalene synthase 0.039515902 SAR1840 putative exported protein 0.039630048 SAR1941 RNA pseudouridylate synthase 0.041094881 SAR2411 putative transport protein 0.041580291 SAR0900 putative pyridine nucleotide-disulphide oxidoreductase 0.042472995 folC putative folylpolyglutamate synthase 0.042664521 sasC putative surface anchored protein 0.043300254 SAR2119 membrane anchored protein 0.044028342 SAR1279 conserved hypothetical protein 0.047982904 gidB putative glucose inhibited division protein B 0.048056799 SAR2787 hypothetical protein 0.048327331

Functional verification of the role of menD in capsule production

There are contradictory reports in the literature on the effect the switch to SCV has on capsule production [19-21], and as such we sought to resolve these contradictions by verifying our GWAS findings with a focus on the menD gene. The menD gene encodes an enzyme involved in the biosynthesis of menadione, which is a vitamin K2 precursor that is synthesised by [15]. The importance of menadione for efficient respiration by the bacteria is such that inactivation of the gene results in a slow-growing small colony variant (SCV) phenotype [15, 16]. There are other metabolic pathways that can mutate and result in an SCV phenotype such as in the hemin biosynthesis pathway [18], and collectively the SCV phenotype is associated with significant changes in virulence, in particular with regards to reduced toxin production [18]. Given the association between polymorphisms in the menD gene and capsule production, we sought to examine this in further detail. SCVs were selected from a culture strain Newman by overnight growth in gentamicin (2 µg ml−1), on the basis of their enhanced resistance to the aminoglycoside class of antibiotics. Of these SCVs we identified a menadione auxotrophic SCV, as well as a hemin auxotrophic SCV as a comparator, by restoring the growth defect through the addition of either menadione or hemin on a disc (Fig. 3a). The menD gene in the menadione auxotrophic SCV was sequenced where we found a K253STOP substitution to be responsible for the SCV phenotype (Fig. 4). We performed immunoblots of the wild-type strain Newman and the SCVs, where there was a significant effect on capsule production for the menadione auxotrophic SCV but not the hemin auxotrophic SCV (Fig. 3b, c). The effect on capsule production by the menD SCV was restored by growing the bacteria in the presence of exogenous menadione (Fig. S1). To further examine the effect on capsule production, we quantified the transcription of the capE gene, where we found this to be significantly reduced in the menadione auxotroph, but not the hemin auxotroph (Fig. 3d). While further work is underway to examine the effect mutations in fabD and triclosan resistance has on capsule production, here we have verified the observed association between the menD gene and capsule production. The discrepancy between the levels of capsule production by the hemB and menD SCVs may also explain some of the discrepancy in the literature in relation to capsule production by SCVs, in that the effect is dependent upon the pathway that becomes mutated.
Fig. 3.

Capsule production is affected in a menadione auxotrophic SCV. (a) menD and hemB SCVs of strain Newman were selected, and auxotrophy to menadione and hemin determined by examining enhanced growth of the SCV when the medium was supplemented with a disc containing the respective growth reagent. (b and c) Immunoblotting of the wild-type Newman and the menD and hemB SCVs demonstrate that the capsule production is only affected in the menadione auxotrophic SCV. (d) Transcription of the capE gene is lower in the menadione-auxotrophic SCV relative wild-type Newman, but not in the hemin auxotroph.

Fig. 4.

The MenD amino acid sequence. The effect of the non-synonomous polymorphism present in the CC30 (indicated in blue font) and CC22 (in red font) collection of isolates studied here are indicated. The mutation responsible for the menadione auxotrophic SCV phenotype of strain Newman is highlighted in yellow (K253:STOP).

Capsule production is affected in a menadione auxotrophic SCV. (a) menD and hemB SCVs of strain Newman were selected, and auxotrophy to menadione and hemin determined by examining enhanced growth of the SCV when the medium was supplemented with a disc containing the respective growth reagent. (b and c) Immunoblotting of the wild-type Newman and the menD and hemB SCVs demonstrate that the capsule production is only affected in the menadione auxotrophic SCV. (d) Transcription of the capE gene is lower in the menadione-auxotrophic SCV relative wild-type Newman, but not in the hemin auxotroph. The MenD amino acid sequence. The effect of the non-synonomous polymorphism present in the CC30 (indicated in blue font) and CC22 (in red font) collection of isolates studied here are indicated. The mutation responsible for the menadione auxotrophic SCV phenotype of strain Newman is highlighted in yellow (K253:STOP).

The menD polymorphisms in the clinical isolates do not affect growth but do increase resistance to gentamicin

Having demonstrated that capsule production is affected in the menadione auxotrophic SCVs, we examined whether the isolates with polymorphisms within our collections of bacteraemia isolates also had the SCV phenotype. There were nine isolates with non-synonomous polymorphism in the menD gene, and the position and effect of the SNPs on the amino acids sequence are illustrated in Fig. 4. We selected at random nine isolates from the collection with the non-polymorphic menD gene (i.e. identical to the respective reference strains MRSA252 [24] and HO 5096 0412 [25]). These isolates were grown in TSB with and without 2 µg ml−1 of gentamicin to examine the two main features of SCVs, slow growth and increased resistance to gentamicin. We found that the clinical menD variants grew as well as those with the reference menD gene in TSB, demonstrating that they have no growth defect in vitro, perhaps as a result of compensatory mutations [26]. However, in the presence of gentamicin we found that the variants had a growth advantage, which suggests they have a partial SCV phenotype, at least with respect to their enhanced resistance to this antibiotic (Fig. 5a). The addition of menadione restored the sensitivity of the menD variants to gentamicin. To further verify the association between the variant menD gene and capsule production in the clinical isolates, we cloned the gene into the pRMC2 expression plasmid and introduced this into the clinical isolate ASARM59. This had the effect of increasing capsule production in this isolate (Fig. 5b, c).
Fig. 5.

Clinical isolates with menD polymorphisms have no growth defect but are more resistant to gentamicin. (a) The growth of the nine clinical isolates containing non-synonomous polymorphism in the menD gene was compared to that of nine randomly selected isolates with the wild-type or reference menD gene. In TSB we observed no effect on growth associated with the polymorphic menD gene, however in a concentration of 2 µg ml−1 of gentamicin, the menD variants grew significantly better. The ability of the variants to grow in gentamicin was lost for all but one isolate when menadione was added to the growth medium. (b and c) The clinical isolate ASARM59 was complemented by introducing the menD gene on the expression plasmid pRMC2, and this resulted in an increase in capsule production.

Clinical isolates with menD polymorphisms have no growth defect but are more resistant to gentamicin. (a) The growth of the nine clinical isolates containing non-synonomous polymorphism in the menD gene was compared to that of nine randomly selected isolates with the wild-type or reference menD gene. In TSB we observed no effect on growth associated with the polymorphic menD gene, however in a concentration of 2 µg ml−1 of gentamicin, the menD variants grew significantly better. The ability of the variants to grow in gentamicin was lost for all but one isolate when menadione was added to the growth medium. (b and c) The clinical isolate ASARM59 was complemented by introducing the menD gene on the expression plasmid pRMC2, and this resulted in an increase in capsule production. In summary, in this study we have identified novel putative effectors of capsule production by , including the menadione biosynthesis pathway. In doing so, we have resolved an apparent contradiction in the literature with respect to the effect that the switch from normal growth to the SCV form has on capsule production. We found that this crucially depends on which metabolic pathway has been mutated to result in the switch. What is intriguing is that all isolates studied here were from cases of bacteraemia, and despite the importance of capsule production to the protection of the bacteria from many aspects of the human immune system, we found that around one in five isolates do not express capsule to any detectable levels. It is possible that the loss of capsule coincides with enhanced antibiotic resistance, as we have observed here for mutations in menD. With further investigation we may find that mutations of the other associated loci also confer advantages to the bacteria that over-ride the cost associated with the loss of capsule. But what is clear is that even within a clone, is highly adaptable and diverse in its means of causing disease, which may explain our lack of success in producing an effective vaccine using capsule as its major target. Click here for additional data file.
Table 2.

Loci associated with capsule production in the CC22 collection of isolates

Gene or locus tag

Protein function

P value

SAEMRSA15_RS00260

type I restriction endonuclease subunit R

0.00014021

Intergenic between SAEMRSA15_RS13970 and clfB

0.00034659

SAEMRSA15_RS11275

thiol-disulfide oxidoreductase DCC family protein

0.00034659

SAEMRSA15_RS12900

NAD(P)-dependent oxidoreductase

0.00034659

SAEMRSA15_RS01030

type 1 glutamine amidotransferase

0.00034659

SAEMRSA15_RS00265

hypothetical protein

0.00034659

SAEMRSA15_RS08245

acetyl-CoA carboxylase biotin carboxylase subunit

0.00034659

SAEMRSA15_RS10695

LytTR family DNA-binding domain-containing protein

0.00075253

SAEMRSA15_RS10690

GHKL domain-containing protein

0.00077225

SAEMRSA15_RS02555

RNA polymerase sigma factor

0.00120048

ileS

isoleucine--tRNA ligase

0.00139006

SAEMRSA15_RS12840

glycerate kinase

0.00280998

SAEMRSA15_RS11120

ATP synthase subunit I

0.0030996

SAEMRSA15_RS02630

amidohydrolase

0.00366703

SAEMRSA15_RS12955

APC family permease

0.00386528

SAEMRSA15_RS13455

LrgB family protein

0.00400753

menD

2-succinyl-5-enolpyruvyl-6-hydroxy-3-cyclohexene-1-carboxylic-acid synthase

0.00507518

SAEMRSA15_RS09800

metal-dependent hydrolase

0.00516556

graR

response regulator transcription factor GraR/ApsR

0.00546077

rsmG

16S rRNA (guanine(527)-N(7))-methyltransferase RsmG

0.00895798

Intergenic between SAEMRSA15_RS08855 and SAEMRSA15_RS08860

0.01032749

Intergenic between SAEMRSA15_RS01390 and brnQ

0.01032749

sbnC

staphyloferrin B biosynthesis protein SbnC

0.01032749

SAEMRSA15_RS03060

WecB/TagA/CpsF family glycosyltransferase

0.0108

Intergenic between guaC and SAEMRSA15_RS06385

0.01141554

SAEMRSA15_RS04275

Glu/Leu/Phe/Val dehydrogenase

0.01534142

SAEMRSA15_RS14050

amidase domain-containing protein

0.01534142

SAEMRSA15_RS04670

ATP-binding cassette domain-containing protein

0.01534142

SAEMRSA15_RS08370

histidine--tRNA ligase

0.01534142

SAEMRSA15_RS08350

replication-associated recombination protein A

0.01534142

Intergenic between SAEMRSA15_RS02335 and tilS

0.01534142

SAEMRSA15_RS14225

ATP phosphoribosyltransferase

0.01534142

SAEMRSA15_RS11600

hypothetical protein

0.01534142

SAEMRSA15_RS09105

MFS transporter

0.01577408

SAEMRSA15_RS11705

energy-coupling factor transporter ATPase

0.01652847

SAEMRSA15_RS13060

hypothetical protein

0.01671052

sdhA

succinate dehydrogenase flavoprotein subunit

0.01836527

fabD

ACP S-malonyltransferase

0.01905729

ribB

3,4-dihydroxy-2-butanone-4-phosphate synthase

0.02115675

SAEMRSA15_RS13160

DUF3427 domain-containing protein

0.02147993

SAEMRSA15_RS02320

nucleotide pyrophosphohydrolase

0.02182662

Intergenic between brnQ and SAEMRSA15_RS00800

0.02388376

radA

DNA repair protein RadA

0.02388376

SAEMRSA15_RS02405

tRNA-Lys

0.02388376

SAEMRSA15_RS01035

PrsW family intramembrane metalloprotease

0.0245801

SAEMRSA15_RS01275

ABC transporter permease

0.02728306

SAEMRSA15_RS07140

hypothetical protein

0.02954242

pyk

pyruvate kinase

0.0303263

SAEMRSA15_RS11310

hypothetical protein

0.03044146

feoB

ferrous iron transport protein B

0.03071363

SAEMRSA15_RS02010

YbcC family protein

0.03520898

SAEMRSA15_RS01135

CDP-glycerol glycerophosphotransferase family protein

0.03607997

dltB

PG:teichoic acid d-alanyltransferase DltB

0.03944867

SAEMRSA15_RS05405

YfcC family protein

0.04425032

SAEMRSA15_RS05040

DUF4064 domain-containing protein

0.04807582

SAEMRSA15_RS03910

thermonuclease family protein

0.04901599

Table 3.

Loci associated with capsule production in the CC30 collection of isolates

Gene or locus tag

Protein function

P value

agrC

autoinducer sensor protein

4.06×10−5

SAR1756

hypothetical protein

0.000610781

kdpA

putative potassium-transporting ATPase a chain

0.00079868

leuB

3-isopropylmalate dehydrogenase

0.00079868

SAR2555

conserved hypothetical protein

0.001102934

Intergenic between sstD and SAR0791

0.002038995

ccpA

catabolite control protein A

0.005730767

SAR2382

putative transcriptional regulator

0.005772766

SAR2759

putative aminotransferase-putative imidazoleglycerol-phosphate dehydratase

0.005813137

SAR1218

putative membrane protein

0.007268775

SAR0457a

hypothetical protein

0.008232546

SAR2533

putative ketopantoate reductase

0.008799502

SAR0109

putative transporter protein

0.009570567

yycG

Two-component regulatory system family, sensor kinase protein.

0.010100134

thiE

putative thiamine-phosphate pyrophosphorylase

0.010702445

fabD

ACP S-malonyltransferase

0.011824195

SAR1343

amino acid permease

0.01386841

SAR2522

putative glycerate kinase

0.01579356

SAR1674

putative GTPase

0.018539766

SAR0122

putative transport protein

0.018645214

SAR1668

conserved hypothetical protein

0.019293181

ilvA

threonine dehydratase biosynthetic

0.020495129

dfrB

dihydrofolate reductase type I

0.021075917

Intergenic between polS and proC

0.022922752

SAR2025

putative ABC transporter ATP-binding protein

0.02367155

SAR0793

hypothetical protein

0.023724266

SAR1619

putative exported protein

0.023978842

SAR0743

putative sodium:sulphate symporter protein

0.02413635

arsR2

arsenical resistance operon repressor 2

0.024274209

SAR0108

putative peptidase

0.024560717

SAR0559

putative aminotransferase

0.02466874

SAR1002

putative membrane protein

0.02622901

SAR0942

putative membrane protein

0.026651981

SAR2740

conserved hypothetical protein

0.026988447

ureC

urease alpha subunit

0.027434322

qoxB

putative quinol oxidase polypeptide I

0.028188487

mnhD

Na+/H+antiporter subunit

0.030064463

SAR2534

putative transport protein

0.030662069

SAR2779

putative N-acetyltransferase

0.031463295

SAR1684

conserved hypothetical protein

0.031847864

SAR1699

conserved hypothetical protein

0.031847864

SAR1995

putative lipoprotein

0.031847864

SAR0463

putative lipoprotein

0.031847864

SAR0010

putative membrane protein

0.033712843

SAR0245

putative zinc-binding dehydrogenase

0.035487178

ureE

urease accessory protein UreE

0.035624064

odhA

2-oxoglutarate dehydrogenase E1 component

0.036566931

SAR2186

conserved hypothetical protein

0.037233673

hisB

putative imidazoleglycerol-phosphate dehydratase

0.037571061

SAR0291

putative membrane protein

0.038246027

SAR1876

hypothetical protein

0.038551026

SAR1703

putative oxygenase

0.039218922

SAR1655

putative methyltransferase

0.039424074

SAR2464

TetR family regulatory protein

0.039515902

SAR0987

conserved hypothetical protein

0.039515902

SAR1868

aldo/keto reductase family protein

0.039515902

SAR0466

MutT domain containing protein

0.039515902

SAR0278

putative exported protein

0.039515902

Intergenic between rsbU and SAR2156

0.039515902

ldh1

l-lactate dehydrogenase 1

0.039515902

mvaD

mevalonate diphosphate decarboxylase

0.039515902

SAR0969

conserved hypothetical protein

0.039515902

SAR1973

putative membrane protein

0.039515902

SAR0247

putative zinc-binding dehydrogenase

0.039515902

SAR0770

conserved hypothetical protein

0.039515902

SAR2619

thiamine pyrophosphate enzyme

0.039515902

SAR1281

conserved hypothetical protein

0.039515902

SAR0655

putative Na +dependent nucleoside transporter

0.039515902

SAR1332

response regulator

0.039515902

SAR2588

putative membrane protein

0.039515902

SAR1165

hypothetical protein

0.039515902

SAR1221

putative CoA synthetase protein

0.039515902

Intergenic between SAR0994 and tRNA-Ser

0.039515902

SAR2006

conserved hypothetical protein

0.039515902

SAR0636

putative membrane protein (pseudogene)

0.039515902

SAR2780

putative membrane protein

0.039515902

SAR1141

Similar to Staphylococcus aureus exotoxin

0.039515902

SAR1670

conserved hypothetical protein

0.039515902

SAR1685

putative biotin carboxylase subunit of acetyl-CoA carboxylase

0.039515902

lysS

lysyl-tRNA synthetase

0.039515902

Intergenic between lysS and SAR1413

0.039515902

Intergenic between SAR1326 and SAR1327

0.039515902

pbp4

penicillin-binding protein 4

0.039515902

SAR0880

conserved hypothetical protein

0.039515902

Intergenic between ehb and SAR1448

0.039515902

vraD

ABC transporter ATP-binding protein

0.039515902

SAR1265

putative pyruvate flavodoxin/ferredoxin oxidoreductase

0.039515902

SAR0147

putative nucleotidase

0.039515902

Intergenic between sodM and sasG

0.039515902

SAR1193

hypothetical protein

0.039515902

SAR0509

putative RNA binding protein

0.039515902

Intergenic between SAR1932 and SAR1933

0.039515902

SAR0810

putative phosphohydrolase

0.039515902

Intergenic between rpmH and dnaA

0.039515902

bglA

6-phospho-beta-glucosidase

0.039515902

Intergenic between SAR1870 and a SAM riboswitch

0.039515902

cysJ

putative sulfite reductase [NADPH] flavoprotein alpha-component

0.039515902

SAR2424

putative aldose 1-epimerase

0.039515902

pta

putative phosphate acetyltransferase

0.039515902

SAR0269a

hypothetical protein

0.039515902

tRNA-Thr

tRNA Thr anticodon TGT, Cove score 85.17

0.039515902

SAR1352

putative transketolase

0.039515902

SAR0290

hypothetical protein

0.039515902

crtN

squalene synthase

0.039515902

SAR1840

putative exported protein

0.039630048

SAR1941

RNA pseudouridylate synthase

0.041094881

SAR2411

putative transport protein

0.041580291

SAR0900

putative pyridine nucleotide-disulphide oxidoreductase

0.042472995

folC

putative folylpolyglutamate synthase

0.042664521

sasC

putative surface anchored protein

0.043300254

SAR2119

membrane anchored protein

0.044028342

SAR1279

conserved hypothetical protein

0.047982904

gidB

putative glucose inhibited division protein B

0.048056799

SAR2787

hypothetical protein

0.048327331

  26 in total

1.  Reporter metabolite analysis of transcriptional profiles of a Staphylococcus aureus strain with normal phenotype and its isogenic hemB mutant displaying the small-colony-variant phenotype.

Authors:  Jochen Seggewiss; Karsten Becker; Oliver Kotte; Martin Eisenacher; Mohammad Reza Khoschkhoi Yazdi; Andreas Fischer; Peter McNamara; Nahed Al Laham; Richard Proctor; Georg Peters; Matthias Heinemann; Christof von Eiff
Journal:  J Bacteriol       Date:  2006-09-15       Impact factor: 3.490

2.  Prolonged growth of a clinical Staphylococcus aureus strain selects for a stable small-colony-variant cell type.

Authors:  Long M G Bui; Peter Hoffmann; John D Turnidge; Peter S Zilm; Stephen P Kidd
Journal:  Infect Immun       Date:  2014-11-10       Impact factor: 3.441

Review 3.  Challenges for a universal Staphylococcus aureus vaccine.

Authors:  Richard A Proctor
Journal:  Clin Infect Dis       Date:  2012-02-21       Impact factor: 9.079

4.  Natural mutations in a Staphylococcus aureus virulence regulator attenuate cytotoxicity but permit bacteremia and abscess formation.

Authors:  Sudip Das; Claudia Lindemann; Bernadette C Young; Julius Muller; Babett Österreich; Nicola Ternette; Ann-Cathrin Winkler; Kerstin Paprotka; Richard Reinhardt; Konrad U Förstner; Elizabeth Allen; Amy Flaxman; Yuko Yamaguchi; Christine S Rollier; Pauline van Diemen; Sebastian Blättner; Christian W Remmele; Martina Selle; Marcus Dittrich; Tobias Müller; Jörg Vogel; Knut Ohlsen; Derrick W Crook; Ruth Massey; Daniel J Wilson; Thomas Rudel; David H Wyllie; Martin J Fraunholz
Journal:  Proc Natl Acad Sci U S A       Date:  2016-05-16       Impact factor: 11.205

5.  Staphylococcus aureus serotype 5 capsular polysaccharide is antiphagocytic and enhances bacterial virulence in a murine bacteremia model.

Authors:  M Thakker; J S Park; V Carey; J C Lee
Journal:  Infect Immun       Date:  1998-11       Impact factor: 3.441

6.  Identification of the genetic basis for clinical menadione-auxotrophic small-colony variant isolates of Staphylococcus aureus.

Authors:  Jonas Lannergård; Christof von Eiff; Gunnar Sander; Tina Cordes; Jochen Seggewiss; Georg Peters; Richard A Proctor; Karsten Becker; Diarmaid Hughes
Journal:  Antimicrob Agents Chemother       Date:  2008-09-08       Impact factor: 5.191

7.  Complete genomes of two clinical Staphylococcus aureus strains: evidence for the rapid evolution of virulence and drug resistance.

Authors:  Matthew T G Holden; Edward J Feil; Jodi A Lindsay; Sharon J Peacock; Nicholas P J Day; Mark C Enright; Tim J Foster; Catrin E Moore; Laurence Hurst; Rebecca Atkin; Andrew Barron; Nathalie Bason; Stephen D Bentley; Carol Chillingworth; Tracey Chillingworth; Carol Churcher; Louise Clark; Craig Corton; Ann Cronin; Jon Doggett; Linda Dowd; Theresa Feltwell; Zahra Hance; Barbara Harris; Heidi Hauser; Simon Holroyd; Kay Jagels; Keith D James; Nicola Lennard; Alexandra Line; Rebecca Mayes; Sharon Moule; Karen Mungall; Douglas Ormond; Michael A Quail; Ester Rabbinowitsch; Kim Rutherford; Mandy Sanders; Sarah Sharp; Mark Simmonds; Kim Stevens; Sally Whitehead; Bart G Barrell; Brian G Spratt; Julian Parkhill
Journal:  Proc Natl Acad Sci U S A       Date:  2004-06-22       Impact factor: 11.205

8.  A genomic portrait of the emergence, evolution, and global spread of a methicillin-resistant Staphylococcus aureus pandemic.

Authors:  Matthew T G Holden; Li-Yang Hsu; Kevin Kurt; Lucy A Weinert; Alison E Mather; Simon R Harris; Birgit Strommenger; Franziska Layer; Wolfgang Witte; Herminia de Lencastre; Robert Skov; Henrik Westh; Helena Zemlicková; Geoffrey Coombs; Angela M Kearns; Robert L R Hill; Jonathan Edgeworth; Ian Gould; Vanya Gant; Jonathan Cooke; Giles F Edwards; Paul R McAdam; Kate E Templeton; Angela McCann; Zhemin Zhou; Santiago Castillo-Ramírez; Edward J Feil; Lyndsey O Hudson; Mark C Enright; Francois Balloux; David M Aanensen; Brian G Spratt; J Ross Fitzgerald; Julian Parkhill; Mark Achtman; Stephen D Bentley; Ulrich Nübel
Journal:  Genome Res       Date:  2013-01-08       Impact factor: 9.043

9.  Fatty Acid Supplementation Reverses the Small Colony Variant Phenotype in Triclosan-Adapted Staphylococcus aureus: Genetic, Proteomic and Phenotypic Analyses.

Authors:  Abdulrahman S Bazaid; Sarah Forbes; Gavin J Humphreys; Ruth G Ledder; Ronan O'Cualain; Andrew J McBain
Journal:  Sci Rep       Date:  2018-03-01       Impact factor: 4.379

10.  Molecular epidemiology and expression of capsular polysaccharides in Staphylococcus aureus clinical isolates in the United States.

Authors:  Naglaa Mohamed; Yekaterina Timofeyeva; Dorota Jamrozy; Eduardo Rojas; Li Hao; Natalie C Silmon de Monerri; Julio Hawkins; Guy Singh; Bing Cai; Paul Liberator; Shite Sebastian; Robert G K Donald; Ingrid L Scully; C Hal Jones; C Buddy Creech; Isaac Thomsen; Julian Parkhill; Sharon J Peacock; Kathrin U Jansen; Matthew T G Holden; Annaliesa S Anderson
Journal:  PLoS One       Date:  2019-01-14       Impact factor: 3.240

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  2 in total

1.  Antibacterial activity of novel linear polyamines against Staphylococcus aureus.

Authors:  Edward J A Douglas; Abdulaziz H Alkhzem; Toska Wonfor; Shuxian Li; Timothy J Woodman; Ian S Blagbrough; Maisem Laabei
Journal:  Front Microbiol       Date:  2022-08-22       Impact factor: 6.064

2.  Targeted control of pneumolysin production by a mobile genetic element in Streptococcus pneumoniae.

Authors:  Emily J Stevens; Daniel J Morse; Dora Bonini; Seána Duggan; Tarcisio Brignoli; Mario Recker; John A Lees; Nicholas J Croucher; Stephen Bentley; Daniel J Wilson; Sarah G Earle; Robert Dixon; Angela Nobbs; Howard Jenkinson; Tim van Opijnen; Derek Thibault; Oliver J Wilkinson; Mark S Dillingham; Simon Carlile; Rachel M McLoughlin; Ruth C Massey
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  2 in total

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