Literature DB >> 35913917

Contribution of Stenotrophomonas maltophilia MfsC transporter to protection against diamide and the regulation of its expression by the diamide responsive repressor DitR.

Angkana Boonyakanog1, Nisanart Charoenlap2,3, Sorayut Chattrakarn2, Paiboon Vattanaviboon2,3,4, Skorn Mongkolsuk1,2,3.   

Abstract

Stenotrophomonas maltophilia contains an operon comprising mfsB and mfsC, which encode membrane transporters in the major facilitator superfamily (MFS). The results of the topological analysis predicted that both MfsB and MfsC possess 12 transmembrane helices with the N- and C-termini located inside the cells. The deletion of mfsC increased the susceptibility to diamide, a chemical oxidizing agent, but not to antibiotics and oxidative stress-generating substances relative to wild-type K279a. Moreover, no altered phenotype was observed against all tested substances for the ΔmfsB mutant. The results of the expression analysis revealed that the mfsBC expression was significantly induced by exposure to diamide. The diamide-induced gene expression was mediated by DitR, a TetR-type transcriptional regulator encoded by smlt0547. A constitutively high expression of mfsC in the ditR mutant indicated that DitR acts as a transcriptional repressor of mfsBC under physiological conditions. Purified DitR was bound to three sites spanning from position + 21 to -57, corresponding to the putative mfsBC promoter sequence, thereby interfering with the binding of RNA polymerase. The results of electrophoretic mobility shift assays illustrated that the treatment of purified DitR with diamide caused the release of DitR from the mfsBC promoter region, and the diamide sensing mechanism of DitR required two conserved cysteine residues, Cys92 and Cys127. This suggests that exposure to diamide can oxidize DitR through the oxidation of cysteine residues, leading to its release from the promoter, thus allowing mfsBC transcription. Overall, MfsC and DitR play a role in adaptive resistance against the diamide of S. maltophilia.

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Year:  2022        PMID: 35913917      PMCID: PMC9342713          DOI: 10.1371/journal.pone.0272388

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.752


Introduction

Stenotrophomonas maltophilia is a Gram-negative, rod-shaped, aerobic bacterium, which is ubiquitous in the aqueous environment and soil [1]. It is an opportunistic pathogen causing hospital-acquired infections worldwide, with a relatively high incidence [2]. The treatment of S. maltophilia infections is quite challenging because this bacterium is inherently resistant to multiple classes of antibiotics. It deploys several strategies to protect itself from the antimicrobial activity of antibiotics (e.g., the presence of antibiotic efflux transporters and production of antibiotic modifying or degrading enzymes) [3, 4]. Efflux transporters are recognized as an important mechanism responsible for resistance against antibiotics and other toxic compounds [5]. The major facilitator superfamily (MFS) is a membrane transporter superfamily found in all domains of life. MFS members comprise many families that function as secondary active transporters, including uniporters, symporters, and antiporters, which transport substrates across membranes [6]. MFS contributes to transporting a broad spectrum of substrates, including simple monosaccharides, oligosaccharides, drugs, xenobiotics, nucleosides, amino acids, short peptides, lipids, and organic and inorganic anions and cations [6]. The genome of S. maltophilia contains genes that encode many transporters [3]; and, those responsible for antibiotic resistance have received much attention due to their multiple antimicrobial resistance characteristics. However, only a few efflux pumps belonging to MFS have been functionally studied, even though many putative mfs genes have been annotated in this bacterial species [3, 4]. The MFS tripartite efflux pump EmrCABsm has been shown to be implicated in resistance against tetracycline and carbonyl cyanide m-chlorophenyl hydrazone [7], while the MFS SmTcrA is involved in tetracycline resistance [8]. Recently, the contribution of MfsA to resistance against herbicide paraquat and multiple antibiotics, including fluoroquinolones, has been elucidated [9-11]. Therefore, the MFS pump not only plays a role in the antibiotic resistance of S. maltophilia but likely increases the ability of bacteria to survive during the saprophytic stage in soil, where S. maltophilia is exposed to environmental toxicants, such as pesticides [10]. The expression of several MFS efflux pumps can be induced upon exposure to increased levels of substrates. The Escherichia coli TetA-TetR system is one of the most well-characterized MFS gene regulation [12, 13]. TetA is a tetracycline-resistant MFS efflux pump, whose expression is controlled by the TetR transcription repressor. Under normal growth conditions without tetracycline, TetR represses the transcription of tetA by binding to the operator region of the tetA promoter and negatively affects the ability of RNA polymerase to transcribe tetA. Once tetracycline has entered E. coli, the drug-Mg2+ complex binds the TetR repressor and induces conformational change in TetR, leading to the dissociation of TetR from the tetA operator, thus allowing tetA transcription. Additionally, transcriptional regulators belonging to other families have been demonstrated to regulate the expression of mfs genes. For example, SoxR, a MerR family of transcriptional regulators that senses and responds to a superoxide anion, controls the expression of S. maltophilia mfsA, encoding a DHA14 family of MFS [10]. The expression of the mfs gene SmtcrA is negatively regulated by SmQnrR, a DeoR family of transcriptional regulators [8]. These adaptive regulations allow the bacteria to withstand harsh environments and sudden changes in environmental conditions. Here, we are interested in the MFS transporters because of their functional diversity in the extrusion of various substances. In this communication, we report the functional characterization and transcriptional regulation of two MFS encoding genes, mfsB (smlt0548) and mfsC (smlt0549). The deletion of mfsC renders the mutants increased sensitivity to diamide. The expression levels of mfsB and mfsC are controlled by the diamide-inducible regulator smlt0547, which we have named DitR.

Materials and methods

Bacterial growth conditions

Stenotrophomonas maltophilia K279a [3], which is a clinical isolate, was used as a parental wild-type strain. All S. maltophilia and Escherichia coli strains were aerobically cultured in a lysogeny broth (LB) medium and incubated at 35°C and 37°C, respectively, with continuous shaking at 180 rpm. Routinely, overnight cultures were inoculated into a fresh LB medium at a starting optical density at 600 nm (OD600) of 0.1. Exponential-phase cells were used in all experiments.

Molecular biology techniques

General molecular biology techniques (i.e., genomic DNA and RNA extraction, DNA cloning, agarose gel electrophoresis, Southern blot analysis, polymerase chain reaction (PCR), and Escherichia coli transformation) were performed using standard protocols [14]. Plasmid DNA extraction was performed using Qigen plasmid kit (Hilden, Germany). DNA fragments from agarose gel was purified using TIANgel purification kit (TIANGEN, Beijing, China). The transformation of S. maltophilia was conducted using electroporation, as previously described [10].

Construction of ΔmfsB, ΔmfsC, and Δsmlt0547 mutants

The unmarked gene deletion mutant of mfsB was constructed using the allelic exchange technique with the cre-lox antibiotic marker recycling system [15], as previously described [10]. The 809-bp mfsB downstream sequence was PCR-amplified using primers BT4198 and BT4199 (Table 1) and K279a genomic DNA as templates prior to cutting with ApaI and cloning into the pUC18Gm vector cut with ApaI and SmaI, yielding pMfsB-GmDown. The 853-bp mfsB upstream sequence was amplified using primers BT4196 and BT4197 (Table 1) before being cut with EcoRI and cloned into pMfsBGmDown cut with NcoI (fill-in with T4 DNA polymerase) and EcoRI, producing pMfsB-UpGmDown. This suicide plasmid was transferred into K279a using electroporation. Putative mutants generated from double-crossover events were selected from the gentamicin resistance (45 μg/mL). To excise the Gmr marker, pCM157 [15] expressing Cre-recombinase was introduced into the putative mutant and the resultant unmarked ΔmfsB mutants obtained from Cre-mediated loxP recombination were screened for the gentamicin sensitive phenotype. The plasmid pCM157 (carrying tetracycline-resistant gene) was cured by subculturing the strains on plates without antibiotic supplementation and screened for the tetracycline-sensitive colonies.
Table 1

List of primers used in this study.

PrimersSequence (5’ → 3’)
BT4069 TACCAGAGCGGATGCGGC
BT4085 CGTATGTAAGGAGCTCCG
BT4194 ACGAGGGCCCTGGAAATGCTGTTGC
BT4195 CGGAGGATCCACAACTGCTGACATG
BT4196 GAGCGAATTCGGCAGCATATCCACG
BT4197 CATCGGTACCGGCAGGCGGGC
BT4198 CTGTGGGCCCTACTCGCGCGAC
BT4199 GCCGGATCCCAGGGTCAGCAACG
BT4201 GTTTCTTCCATTTCGGCG
BT4202 GGGGGCGGCGAACAGGTC
BT4203 CATTCTGTGCGTGCTGCT
BT4204 ACCCCCAGAACCGATGCT
BT4228 TCCCCATGGTCCGTCGCACCC
BT4229 GGCTCGAGCCCGGCCGACTTCA
BT4250 TACAAGCCATCCACGCAT
BT4334 CCGACCACCAGCAACAGGG
BT4612 CGCGAATTCGCTGGAGACCGTGTT
BT4613 TGCCCATGGACGCGCCGAGATCTT
BT4614 GTGGGCCCGCATGCGAATCTGTG
BT4615 CAACGCACAGCGCGCCGAGC
BT4616 GCGGCTTTGTCGTTGCAC
BT4617 CGGCAGCATTTCGGTGGT
BT4669 AGCGCGCCCGTGCCTATCTGGAG
BT4670 AGGCACGGG CGCGCTGTACGAAA
BT4671 CGCCACGCCGTCCACTCGATGCA
BT4672 GTGGACGGCGTGGCGCTGCGATT
BT4686 CTGCATCCACCTCCCCTG
M13 Forward GTAAAACGACGGCCAGTG
M13 Reverse AACAGCTATGACCATGAT
Oligo(dT) CGTATCGATGTCGACTTTTTTTTTTTTTTTT
The ΔmfsC mutant was constructed using a suicide plasmid pMfsC-UpGmDown. The 946-bp mfsC downstream sequence amplified from K279a genomic DNA using primers BT4614 and BT4615 (Table 1) was cut with ApaI and cloned into pUC18Gm cut with ApaI and SmaI. Then, this pMfsC-GmDown plasmid was cut with Acc65I (fill-in with Klenow fragment) and EcoRI before being ligated with the 951-bp PCR product of the mfsC upstream fragment amplified using primers BT4612 and BT4613 (Table 1), which were cut with EcoRI. pMfsC-UpGmDown was introduced into K279a, and the unmarked ΔmfsC mutant was selected as described for the construction of the ΔmfsB mutant. The Δsmlt0547 (ΔditR) mutant was constructed using the pSmlt0547-UpGmDown plasmid. The 744-bp smlt0547 downstream sequence was amplified using primers BT4194 and BT4195 (Table 1) and K279a genomic DNA as templates. The PCR product was cut with ApaI and cloned into pUC18Gm cut with ApaI and SmaI. Then, this pSmlt0547-GmDown plasmid was cut with EcoRI (fill-in with Klenow fragment) before being ligated with the 716-bp PCR product of the mfsC upstream fragment amplified using primers BT4334 and BT4201 (Table 1). Then, pSmlt0547-UpGmDown was introduced into K279a, and the unmarked ΔditR mutant was selected as described for the construction of ΔmfsB mutant. All ΔmfsB, ΔmfsC, and ΔditR mutants were confirmed using PCR with primers flanking the deletion sequence and verified by Southern blot analysis.

Construction of mfsC and ditR expression plasmids

The mfsC full-length gene was amplified from K279a genomic DNA using primers BT4686 and BT4250 (Table 1). The 1231-bp PCR product was cloned into pBBR1MCS [16] at the SmaI site, yielding pMfsC for the mfsC expression under the lacZ promoter. pSmlt0547 or pDitR for the ditR expression was constructed by cloning 654-bp PCR products containing ditR full-length gene amplified using primers BT4085 and BT4069 (Table 1) into pBBR1MCS cut with SmaI.

Amino acid sequence alignment, phylogenetic and membrane topology analyses

The amino acid sequence alignment was performed using Clustal omega algorithm [17]. Phylogenetic tree was constructed by the neighbor-joining method with 500 bootstrap replicates using MEGA 11.0 software [18]. Protein topology of MfsB and MfsC was analyzed using the PROTTER algorithm [19].

Site-directed mutagenesis of DitR

Site-directed mutagenesis was performed to convert Cys92 and Cys127 of DitR to alanine using a two-step, PCR-based method, as previously described [20]. pDitR was used as a template for amplification with a mutagenized primer pair and the vector primers M13-forward and M13-reverse. The mutagenized primer pairs used were BT4669 and BT4670 (Table 1) for DitRC92A and BT4671 and BT4672 (Table 1) for DitRC127A. After the two-step PCR, the products were digested with KpnI and XhoI and cloned into pBBR1MCS cut with the same enzymes, generating pDitRC92A and pDitRC127A. The nucleotide sequences of the DNA insert were determined to confirm that no unexpected mutation had occurred. pDitRC92,127A was constructed as described for pDitRC127A, except for pDitRC92A, which was used as the DNA template.

Construction of mfsBC promoter-lacZ fusion

pP-lacZ, carrying the mfsBC promoter transcriptionally fused to the lacZ reporter gene, was constructed. The mfsBC promoter sequence was amplified using primers BT4201 and BT4202 (Table 1) and K279a genomic DNA as templates, and the 204-bp PCR product was cloned into the SmaI-cut pUFR027lacZ plasmid [21] containing a promoterless lacZ, yielding pP-lacZ.

Determination of resistance levels to oxidants

A plate sensitivity assay was performed to determine the oxidant resistance levels, as previously described, with some modifications [10]. The exponential-phase cultures of S. maltophilia K279a and the mutant strains were 10-fold serially diluted in a fresh LB broth, and 10 μL of each dilution was spotted onto an LB plate containing various oxidants (750 μM diamide, 75 μM N-ethyl maleimide [NEM], 200 μM H2O2, 75 μM cumene hydroperoxide, 200 μM plumbagin or 500 μM menadione). The number of colony forming units (CFUs) growing on the plates was scored after incubation at 35°C overnight. The resistance level against the oxidants was expressed as the percent survivals, defined as the CFU percentage on plates containing oxidants over that on the control plates without oxidants.

Antibiotic susceptibility testing

Antibiotic susceptibility on S. maltophilia K279a and mutant strains was determined using standard Kirby-Bauer disc diffusion assay [22]. The antibiotic discs, including carbenicillin (CAR100), cefepime (FEP30), ceftazidime (CAZ30), amikacin (AK30), gentamicin (CN30), netilmicin (NET30), neomycin (N30), levofloxacin (LEV5), moxifloxacin (MXF5), ofloxacin (OFX5), chloramphenicol (C30), tetracycline (TE30), tigecycline (TGC15), sulbactam/cefoperazone (SCF105), amoxicillin/clavulanic acid (AMC30), sulfamethoxazole/ trimethoprim (SXT25), polymyxin B (PB300), fosfomycin (FOS50) were purchased from Thermo Fisher Oxoid (Basingstoke, UK). Discs containing benzalkonium chloride (BAC, 0.5 mg) and acriflavine (ACR, 0.5 mg) were prepared using 6-mm-diameter discs soaked with 5 μL of 100 mg/mL BAC and ACR, respectively.

Real-time reverse transcriptase PCR

Expression analysis using real-time reverse transcriptase PCR (RT-PCR) was performed as previously described [10]. Exponential-phase S. maltophilia strains were challenged with the tested substances at sub-minimum inhibition concentrations i.e.100 μM H2O2, 50 μM cumene hydroperoxide, 50 μM NEM, 200 μM menadione, 100 μM plumbagin, 100 μM paraquat, 500 μM diamide, 32 μg/ml acriflavine, 200 μM phenazine, and 8 μg/ml benzalkonium chloride for 30 min before the cells were harvested for total RNA extraction. Reverse transcription reaction was performed using 5 μg of DNase I-treated RNA, random hexamers, and the RevertAid M-MuLV reverse transcriptase kit (Fermentas, Latvia). RT-PCR was performed using 20 ng of cDNA, an mfsC specific primer pair (BT4203 and BT4204 [Table 1]), and SYBR green PCR master mix (Applied Biosystems, Thermo Fisher Scientific, USA). The 16S ribosomal RNA gene amplified using primers BT2781 and BT2782 (Table 1) was used as the normalizing gene. The PCRs were run on an Applied Biosystems StepOne Plus for 40 cycles under the following conditions: denaturation at 95°C for 30 s, annealing at 58°C for 45 s, and extension at 72°C for 45 s. The relative expression was calculated using StepOne software v2.1 and expressed as fold expression over the uninduced level of K279a. For each experiment, at least three independent biological repeats were performed.

Purification of DitR protein

The 6×His-tag DitR protein was highly expressed using the pET-blue2 expression vector and E. coli system (Novagen). The 598-bp PCR product containing full-length ditR, amplified using primers BT4228 and BT4229 (Table 1) and K279a genomic DNA as templates, was cloned into pETBlue-2 at NcoI and XhoI sites, yielding pET-DitR. To purify DitR, an exponential-phase culture of E. coli BL21 (DE3)/pLacI harboring pET-DitR was induced with 250 μM isopropyl-β-D-thiogalactopyranoside overnight at 25°C. The 6×His-tag DitR protein was purified as previously described [23] using a column containing nickel-nitrilotriacetic acid resin (Qiagen, France) and elute with 150 mM imidazole. The purity of purified DitR was estimated by SDS-PAGE and densitometric analysis of the Coomassie blue-stained gels (S1 Fig). Fractions with DitR purity greater than 95% were used in further experiments.

Electrophoretic mobility shift assay

The putative mfsBC promoter sequence (204-bp), amplified using primers 32P-labeled BT4201 and BT4202 (Table 1) and pP-lacZ as DNA templates, was used as a probe. Electrophoretic mobility shift assay (EMSA) was conducted as previously described [10] using increasing amounts of purified DitR protein (0–100 nM) and 20 ng of 32P-labeled probe in the reaction mixture. The reaction was incubated at room temperature for 20 min. The protein–DNA complexes were analyzed on a 7% non-denaturing polyacrylamide gel electrophoresis (PAGE). The effects of diamide and dithiothreitol (DTT) on the DNA binding activity of purified DitR were determined by EMSA. Binding reactions containing 50 nM purified DitR protein and 20 ng of 32P-labeled probe were treated 0.25, 0.5 and 1 mM diamide at room temperature for 5 min prior to PAGE. The effects of DTT on the DNA binding activity of the diamide-treated DitR were determined by treating the diamide (1 mM)-treated DitR with 0, 1 and 5 mM DTT at room temperature for 5 min.

DNase I footprinting assay

The DNase I protection assay was performed as previously described [23]. Briefly, the binding reaction was set in a 20-μL reaction mixture containing 50 ng [32P]-labeled 204-bp mfsBC promoter fragments prepared as described for EMSA and increasing concentrations of purified DitR (0–50 nM). After incubation for 20 min, the binding mixture was treated with 0.25 unit DNase I for 30 s. The digested DNA was separated on a 6% polyacrylamide urea denaturing gel alongside the sequencing ladder.

5ʹ rapid amplification of cDNA ends

The 5ʹ rapid amplification of cDNA ends (RACE) was performed using a 5ʹ/3ʹ RACE kit (Roche, Germany), as previously described [10]. The DNase I-treated total RNA was reverse-transcribed using a specific primer BT4204 (SP1). The first-strand cDNA was purified prior to adding poly(A) to the 5ʹ-terminus using terminal transferase enzyme. The poly(A)-tailed cDNA was then PCR-amplified using a specific primer BT4617 (SP2) and an anchored oligo(dT) primer. The PCR product was cloned into pUC18, and the transcription start site (+1) was identified by DNA sequencing.

Enzymatic assay

Crude bacterial cell lysates were prepared from exponential-phase cultures, and protein assays were performed as previously described [20]. The β-galactosidase activity was determined using o-nitrophenyl-β-D-galactoside as a substrate, as previously described, and expressed as an international unit defined as the amount of enzyme generating 1 μmol of o-nitrophenol per min at 25°C [24]. Data shown are the mean ± SD of triplicate experiments.

Results and discussion

The contribution of MFS efflux pumps to the resistance of S. maltophilia against herbicide paraquat, antibiotics, and disinfectant quaternary ammonium compounds (QACs) has been previously reported [9, 10, 25]. The genome of S. maltophilia contains many putative genes encoding MFS with an unknown function [3, 26]. Here, we reported the functional and regulation characterization of smlt0548 and smlt0549 encoding two putative MFS transporters (hereafter referred to as mfsB and mfsC, respectively). This gene organization is conserved in all Stenotrophomonas strains, whose genome sequences are available in the Kyoto Encyclopedia of Genes and Genomes (KEGG) database.

MfsB and MfsC belong to the 12 transmembrane domain subfamily of MFS

The mfsB and mfsC encode 404- and 379-amino-acid proteins, respectively. Prokaryotic MFS transporters can be divided into two main clusters: the drug:H+ antiporter with 12 transmembrane α-helical domain (DHA12) and those with 14 transmembrane α-helical domain (DHA14) [27, 28]. The results from the membrane topology analysis of the deduced amino acid sequences of S. maltophilia MfsB and MfsC using the PROTTER algorithm [19] suggested that they are efflux pumps that belong to the DHA12 family. MfsB shares a low identity (less than 20%) with known and characterized MFS. MfsC shares 28.8% identity, which is the highest, with E. coli YicM (NepI), an efflux pump of purine ribonucleosides [29]. The results from phylogenetic analysis also showed that MfsC is closely related to YicM (Fig 1). Moreover, the fact that MfsB and MfsC share only 24.8% identity for the amino acid sequences and 29.7% identity for the nucleotide sequences, together with the data from phylogenetic tree analysis, suggests that the presence of mfsB and mfsC gene clusters is not attributable to gene duplication.
Fig 1

Phylogenetic analysis of S. maltophilia MfsC.

Phylogenetic tree was constructed by the neighbor-joining method with 500 bootstrap replicates using MEGA11 software. Amino acid sequences of known MFS belonging to DHA14 and DHA12 from various bacteria were retrieved from the UniProt (https://www.uniprot.org). DHA14; ActVA (Q53903), CmcT (Q04733), EmrB (P0AEJ0), LfrA (A0R5K5), MfsQ (B2FTN0), Mmr (P11545), Pur8 (P42670), QacA (Q1XG09), QacB (Q7WUJ5), SmvA (P37594), VceB (O51919). DHA12; AraE (P0AE24), Bcr (P28246), Blt (P39843), Bmr (P33449), CmlA (Q83V15), EmrD (P31442), EmrD-3 (C3LUT7), GalP (P0AEP1), LacY (P02920), LmrP (Q48658), MdfA (P0AEY8), MdtG (P25744), MhpT (P77589), NorA (P0A0J7), TetA (P02981), XylE (P0AGF4), YicM (J7R7Q1).

Phylogenetic analysis of S. maltophilia MfsC.

Phylogenetic tree was constructed by the neighbor-joining method with 500 bootstrap replicates using MEGA11 software. Amino acid sequences of known MFS belonging to DHA14 and DHA12 from various bacteria were retrieved from the UniProt (https://www.uniprot.org). DHA14; ActVA (Q53903), CmcT (Q04733), EmrB (P0AEJ0), LfrA (A0R5K5), MfsQ (B2FTN0), Mmr (P11545), Pur8 (P42670), QacA (Q1XG09), QacB (Q7WUJ5), SmvA (P37594), VceB (O51919). DHA12; AraE (P0AE24), Bcr (P28246), Blt (P39843), Bmr (P33449), CmlA (Q83V15), EmrD (P31442), EmrD-3 (C3LUT7), GalP (P0AEP1), LacY (P02920), LmrP (Q48658), MdfA (P0AEY8), MdtG (P25744), MhpT (P77589), NorA (P0A0J7), TetA (P02981), XylE (P0AGF4), YicM (J7R7Q1).

mfsC mutant is susceptible to diamide

To evaluate the physiological function of mfsB and mfsC in S. maltophilia, the ΔmfsB and ΔmfsC mutants were constructed and their phenotypes against various stress-producing substances were determined. The phenotypic antibiotic susceptibility of the mutants was initially determined using a standard Kirby-Bauer disc diffusion method [22] with various antibiotics. No alterations in the antibiotic susceptibility profiles of the ΔmfsB and ΔmfsC mutants relative to the wild-type K279a were observed for all antibiotics tested, including those belonging to β-lactams, fluoroquinolones, amino glycosides, and macrolides (Fig 2A). It is likely that MsfB and MfsC play no role in the antibiotic resistance of S. maltophilia.
Fig 2

Phenotypic analysis of ΔmfsB and ΔmfsC mutant strains.

(A) Antibiotic susceptibility of wild-type K279a (closed bar), ΔmfsB (open bar) and ΔmfsC (light-gray bar) mutant strains was determined using standard Kirby-Bauer disc diffusion assay [22]. The representative antibiotics from various classes including carbenicillin (CAR), cefepime (FEP), ceftazidime (CAZ), amikacin (AK), gentamicin (CN), netilmicin (NET), neomycin (N), levofloxacin (LEV), moxifloxacin (MXF), ofloxacin (OFX), chloramphenicol (C), tetracycline (TE), tigecycline (TGC), sulbactam/cefoperazone (SCF), amoxycilin/clavulanic acid (AMC), sulfamethoxazole/ trimethoprim (SXT), polymyxin B (PB), fosfomycin (FOS) were tested. Benzalkonium chloride (BAC) and acriflavine (ACR) were the representative of quaternary ammonium compound disinfectants (QACs). (B) The resistance levels of S. maltophilia K279a (closed bar), ΔmfsB (open bar), ΔmfsC (light-gray bar), and ΔmfsC harboring pMfsC (ΔmfsC/pMfsC, dark-gray bar) against the oxidants were determined using a plate sensitivity assay. Exponential cells were plated onto plates containing 750 μM diamide, 75 μM NEM, 250 μM H2O2, 75 μM cumene hydroperoxide (CHP), 200 μM plumbagin (PB), and 500 μM menadione (MD). Asterisk (*) indicates significant differences compared to K279a according to Dunnett’s post-hoc test (p-value < 0.05).

Phenotypic analysis of ΔmfsB and ΔmfsC mutant strains.

(A) Antibiotic susceptibility of wild-type K279a (closed bar), ΔmfsB (open bar) and ΔmfsC (light-gray bar) mutant strains was determined using standard Kirby-Bauer disc diffusion assay [22]. The representative antibiotics from various classes including carbenicillin (CAR), cefepime (FEP), ceftazidime (CAZ), amikacin (AK), gentamicin (CN), netilmicin (NET), neomycin (N), levofloxacin (LEV), moxifloxacin (MXF), ofloxacin (OFX), chloramphenicol (C), tetracycline (TE), tigecycline (TGC), sulbactam/cefoperazone (SCF), amoxycilin/clavulanic acid (AMC), sulfamethoxazole/ trimethoprim (SXT), polymyxin B (PB), fosfomycin (FOS) were tested. Benzalkonium chloride (BAC) and acriflavine (ACR) were the representative of quaternary ammonium compound disinfectants (QACs). (B) The resistance levels of S. maltophilia K279a (closed bar), ΔmfsB (open bar), ΔmfsC (light-gray bar), and ΔmfsC harboring pMfsC (ΔmfsC/pMfsC, dark-gray bar) against the oxidants were determined using a plate sensitivity assay. Exponential cells were plated onto plates containing 750 μM diamide, 75 μM NEM, 250 μM H2O2, 75 μM cumene hydroperoxide (CHP), 200 μM plumbagin (PB), and 500 μM menadione (MD). Asterisk (*) indicates significant differences compared to K279a according to Dunnett’s post-hoc test (p-value < 0.05). Next, the mutant phenotypes against ROS-generating agents and oxidants were determined using plate sensitivity assays [10]. As illustrated in Fig 2B, the ΔmfsC mutant showed roughly 10-fold more susceptibility to diamide, a thiol-depleting agent, than the wild-type K279a. A plasmid-borne expression of msfC from the pMfsC plasmid, which is a medium-copy-number expression vector pBBR1MCS carrying full-length mfsC, fully complements the diamide-susceptible phenotype of the ΔmfsC mutant (Fig 2B). The ΔmfsC mutant showed no altered susceptibility levels to NEM, a thiol-depleting electrophile, and other oxidants, including H2O2, organic hydroperoxide (cumene hydroperoxide), and superoxide generators/redox cycling drugs (menadione and plumbagin) relative to K279a (Fig 2B). The ΔmfsB mutant showed no phenotypic changes to all oxidants tested (Fig 2B). As the ΔmfsC mutant showed a susceptible phonotype to diamide but not to other ROS-generating agents and NEM, we speculated that the diamide-susceptible phenotype of the mutant is not attributable to the defects in the oxidative stress response. Thus, MfsC might be associated with diamide efflux transport. However, we cannot rule out the involvement of MfsC in the transportation of substances required for the protection of S. maltophilia from diamide toxicity.

Expression of mfsC is induced by diamide

The expression levels of mfsC in response to stresses, including oxidative stress and disinfectants, were determined using RT-PCR. Total RNA was extracted from exponential-phase cultures of S. maltophilia wild-type K279a grown under uninduced conditions and induced with sublethal concentrations of diamide, H2O2, cumene hydroperoxide, electrophile NEM, redox cycling drugs (menadione, plumbagin, paraquat, and phenazine), and biocide QACs (acriflavine and benzalkonium chloride) [10, 25]. The 16S ribosomal RNA was used as the normalizing gene. As shown in Fig 3, among all treated chemicals, diamide was the most potent inducer, as it could induce 16.3 ± 4.0-fold mfsC expression relative to the uninduced control. The treatment with benzalkonium chloride and NEM slightly induced mfsC expression by 1.7 ± 0.1-fold and 1.5 ± 0.3-fold, respectively, while other tested substances failed to induce mfsC expression (Fig 3).
Fig 3

Expression profile of mfsC in K279a.

RT-PCR was conducted to determine the expression level of mfsC in S. maltophilia K279a. Total RNA was extracted from the cultures grown under uninduced (UN) condition and induced with 100 μM H2O2, 50 μM cumene hydroperoxide (CHP), 50 μM NEM, 200 μM menadione (MD), 100 μM plumbagin (PB), 100 μM paraquat (PQ), 500 μM diamide, 32 μg/ml acriflavine (ACR), 200 μM phenazine (PZ), and 8 μg/ml benzalkonium chloride (BAC). The experiments were conducted in triplicate, and data are presented as mean ± SD. Asterisk (*) indicates significant differences compared to the uninduced level according to the Dunnett’s post-hoc test (p-value < 0.05).

Expression profile of mfsC in K279a.

RT-PCR was conducted to determine the expression level of mfsC in S. maltophilia K279a. Total RNA was extracted from the cultures grown under uninduced (UN) condition and induced with 100 μM H2O2, 50 μM cumene hydroperoxide (CHP), 50 μM NEM, 200 μM menadione (MD), 100 μM plumbagin (PB), 100 μM paraquat (PQ), 500 μM diamide, 32 μg/ml acriflavine (ACR), 200 μM phenazine (PZ), and 8 μg/ml benzalkonium chloride (BAC). The experiments were conducted in triplicate, and data are presented as mean ± SD. Asterisk (*) indicates significant differences compared to the uninduced level according to the Dunnett’s post-hoc test (p-value < 0.05).

mfsB and mfsC are transcribed as an operon

As mfsB and mfsC are separated by 29 bp, they represent an operon structure (Fig 4A). To prove this speculation, end-point RT-PCR experiments using the cDNA of S. maltophilia wild-type K279a cultivated under the induced conditions and primers flanking an intergenic region between mfsB and mfsC were conducted. A PCR product of approximately 900 bp, corresponding to the expected size, was obtained (Fig 4B). The results indicated that mfsB and mfsC were transcribed as an operon and the expression of mfsB and mfsC could be induced by diamide treatments (Fig 4B). Although mfsB was co-transcribed with mfsC in an diamide-inducible manner, it seems likely that MfsB has no role in the protection of S. maltophilia against all tested antibiotics and oxidants (Fig 2). The precise physiological role of S. maltophilia MfsB is as yet unknown and required further investigation.
Fig 4

Gene organization and operon structure analysis of mfsB and mfsC.

(A) Gene organization of ditR, mfsB and mfsC in S. maltophilia K279a. (B) Operon structure analysis of mfsB and mfsC was performed using RT-PCR. Total RNA were extracted from S. maltophilia K279a cultures grown under uninduced condition (UN) and induction with 500 μM diamide. After reverse transcription, cDNA was used as templates for PCR amplification using primers BT4612 and BT4617 flanking intergenic region of mfsB and mfsC with an expected size for the PCR product of 902 bp. The 16S ribosomal RNA was used as a loading control. M represents 100-bp DNA ladder.

Gene organization and operon structure analysis of mfsB and mfsC.

(A) Gene organization of ditR, mfsB and mfsC in S. maltophilia K279a. (B) Operon structure analysis of mfsB and mfsC was performed using RT-PCR. Total RNA were extracted from S. maltophilia K279a cultures grown under uninduced condition (UN) and induction with 500 μM diamide. After reverse transcription, cDNA was used as templates for PCR amplification using primers BT4612 and BT4617 flanking intergenic region of mfsB and mfsC with an expected size for the PCR product of 902 bp. The 16S ribosomal RNA was used as a loading control. M represents 100-bp DNA ladder.

Smlt0547 regulates mfsBC expression as a transcriptional repressor

According to K279a genome, smlt0547, encoding a transcriptional regulator in the TetR/AcrR family, is located immediately upstream of the mfsBC operon in a divergent orientation. This gene arrangement suggests that Smlt0547 can regulate the expression of the mfsBC operon. This gene organization is found in all Stenotrophomonas genome sequences available in the KEGG database [3, 26]. Certainly, this gene cluster also exists in diverse bacteria. To assess the role of Smlt0547 in the regulation of the mfsBC operon, the deletion mutant of smlt0547 was constructed, and the expression profile in response to the stresses of mfsC was examined using mfsBC promoter-lacZ fusion. The Δsmlt0547 mutant harboring pP-lacZ was grown to an exponential phase and challenged with various substances. The β-galactosidase activity from cell clear lysates was determined. The mfsBC promoter activity in uninduced cultures of the Δsmlt0547 mutant was comparatively higher (5.3 ± 1.0) than that of wild-type K279a (0.8 ± 0.5), and a constitutively high promoter activity was observed for treatment with diamide (5.7 ± 0.2) (Fig 5). This result indicates that Smlt0547 functions as a repressor regulating mfsBC expression in a diamide-inducible manner, and hereafter Smlt0547 is referred to as a diamide-inducible transcriptional repressor, DitR.
Fig 5

mfsBC promoter activity in S. maltophilia strains.

The plasmid pP-lacZ containing mfsBC promoter-lacZ fusion was introduced into S. maltophilia K279a and ΔditR mutant, which harbored the pBBR1MCS vector (ΔditR/pBBR), pDitR (ΔditR/pDitR), pDitRC92A (ΔditR/pDitRC92A), pDitRC127A (ΔditR/pDitRC127A), or pDitRC92,127A (ΔditR/pDitRC92,127A). Each strain was cultivated to an exponential phase before being induced with 500 μM diamide. The β-galactosidase activity in the clear lysates was determined. Experiments were performed in triplicate, and data are presented as mean ± SD. Asterisk (*) indicates significant differences of the diamide-induced versus uninduced (UN) condition in each strain using a paired t-test (p-value < 0.05).

mfsBC promoter activity in S. maltophilia strains.

The plasmid pP-lacZ containing mfsBC promoter-lacZ fusion was introduced into S. maltophilia K279a and ΔditR mutant, which harbored the pBBR1MCS vector (ΔditR/pBBR), pDitR (ΔditR/pDitR), pDitRC92A (ΔditR/pDitRC92A), pDitRC127A (ΔditR/pDitRC127A), or pDitRC92,127A (ΔditR/pDitRC92,127A). Each strain was cultivated to an exponential phase before being induced with 500 μM diamide. The β-galactosidase activity in the clear lysates was determined. Experiments were performed in triplicate, and data are presented as mean ± SD. Asterisk (*) indicates significant differences of the diamide-induced versus uninduced (UN) condition in each strain using a paired t-test (p-value < 0.05). The alignment of DitR-deduced amino acid sequence with other known transcriptional regulators belonging to the TetR family was performed and revealed that DitR shares 28.7% identity, which is the highest score, with TtgW from Pseudomonas putida and 25.9% identity with its paralogous SmeT. TtgW is a putative transcriptional regulator with an unknown function; it is expressed as an operon with TtgV, a transcriptional repressor of the ttgGHI operon encoding the solvent efflux pump [30]. SmeT acts as a transcriptional repressor of the multidrug efflux pump SmeDEF [31]. The potent inducers of both TtgW and SmeT are unknown. The binding of biocide triclosan to SmeT, however, can derepress the smeDEF expression [32]. Phylogenetic tree analysis also showed that DitR was evolutionally close to P. putida TtgW (Fig 6).
Fig 6

Phylogenetic analysis of S.maltophilia DitR.

Phylogenetic analysis was constructed by Molecular Evolutionary Genetics Analysis (MEGA) version 11 using neighbor-joining method with 500 bootstraps. Amino acid sequences of known transcription regulators belonging TetR family from various bacteria were retrieved from the NCBI databases; AcrR (NP_414997.1), ActR (WP_012067478.1), BpeR (WP_004526226.1), Btr1 (BAE07057.1), CgmR (CGL2612 [CAF21274.1]), CmeR (WP_002843095.1), Ecm10 (BAE98159.1), EmhR (WP_008080104.1), EncS (AAF81739.1), EnvR (EGT68974.1), FadR (NP_415705.1), IFeR (AAC25692.1), JadR2 (AAB36583.1), KijA8 (ACB46470.1), MepR (BAF76382.1), MexZ (QGX60202.1), MfsR (CAQ46150.1), MonR1 (AAO65809.1), MphR (AAS13766.1), MtrR (P39897.1), NalD (NP_252264.1), NapR7 (ABS50469.1), NemR (NP_416166.3), OrfH2 (BAC68287), Pip (ACO79951.1), QacR (BAE92852.1), RemM (CAE51183.1), RifQ (GCB89472.1), SCAB1401 (CBG67396.1), SchA21 (CAH10121.1), SchR3 (AEH42489.1), SCO2253 (NP_626502.1), SimR (3ZQL_A), SlgR1 (CBA11576.1), SmeT (WP_012512143.1), TamK (ADC79649.1), TcmR (AIS01202.1), Tei8 (CAE53340.1), TetR (WP_000470728.1), TtgR (RNF87112.1), TtgW (VCT90291.1), and VarR (BAB32408.1).

Phylogenetic analysis of S.maltophilia DitR.

Phylogenetic analysis was constructed by Molecular Evolutionary Genetics Analysis (MEGA) version 11 using neighbor-joining method with 500 bootstraps. Amino acid sequences of known transcription regulators belonging TetR family from various bacteria were retrieved from the NCBI databases; AcrR (NP_414997.1), ActR (WP_012067478.1), BpeR (WP_004526226.1), Btr1 (BAE07057.1), CgmR (CGL2612 [CAF21274.1]), CmeR (WP_002843095.1), Ecm10 (BAE98159.1), EmhR (WP_008080104.1), EncS (AAF81739.1), EnvR (EGT68974.1), FadR (NP_415705.1), IFeR (AAC25692.1), JadR2 (AAB36583.1), KijA8 (ACB46470.1), MepR (BAF76382.1), MexZ (QGX60202.1), MfsR (CAQ46150.1), MonR1 (AAO65809.1), MphR (AAS13766.1), MtrR (P39897.1), NalD (NP_252264.1), NapR7 (ABS50469.1), NemR (NP_416166.3), OrfH2 (BAC68287), Pip (ACO79951.1), QacR (BAE92852.1), RemM (CAE51183.1), RifQ (GCB89472.1), SCAB1401 (CBG67396.1), SchA21 (CAH10121.1), SchR3 (AEH42489.1), SCO2253 (NP_626502.1), SimR (3ZQL_A), SlgR1 (CBA11576.1), SmeT (WP_012512143.1), TamK (ADC79649.1), TcmR (AIS01202.1), Tei8 (CAE53340.1), TetR (WP_000470728.1), TtgR (RNF87112.1), TtgW (VCT90291.1), and VarR (BAB32408.1).

Purified DitR specifically binds to the mfsBC promoter region

The transcriptional regulator in the TetR family commonly exerts its regulatory function by binding to the target promoter. To evaluate whether the DitR protein binds to the mfsBC promoter region, the 6×His-tag DitR protein was purified and an EMSA assay was performed. As illustrated in Fig 7A, the shifted band, which is a purified DitR protein and an mfsBC promoter complex, was observed at a concentration of 1 nM. When the concentration of DitR protein was gradually increased, two shifted bands were observed, and a completed shift was obtained at the DitR concentration of 25 nM. The presence of two different band shifts of the protein-DNA complexes might have resulted from the binding of DitR occurring at multiple protein binding sites on the mfsBC promoter sequence. No binding complexes were observed when excess unrelated protein, bovine serum albumin (BSA), was added to the binding reaction instead of DitR protein, and excess unlabeled probe (CP) could compete with the labeled probe in the DitR-binding complexes, indicating the specificity of DitR binding to the ditR-mfsBC promoter region (Fig 7A). The ability of DitR to bind to the mfsBC promoter sequence indicated that the mfsBC expression was directly regulated by DitR.
Fig 7

Binding of purified DitR to mfsBC promoter.

(A) EMSA was performed using increased amounts of purified DitR (0–100 nM) and a 32P-labeled 204-bp mfsBC promoter region. BSA and CP signify unrelated protein bovine serum albumin (500 μM) and cold probe, which is an unlabeled mfsBC promoter fragment (100 ng). (B) EMSA experiments were repeated using 50 nM of DitR. After the binding reaction was completed, the mixtures were treated with the indicated concentrations of diamide (0–1 mM). In the DTT-treated experiments, the binding reaction was treated with 1 mM diamide prior to being treated with 1 and 5 mM DTT. Free (F) and bound (B) probes are marked by arrowheads.

Binding of purified DitR to mfsBC promoter.

(A) EMSA was performed using increased amounts of purified DitR (0–100 nM) and a 32P-labeled 204-bp mfsBC promoter region. BSA and CP signify unrelated protein bovine serum albumin (500 μM) and cold probe, which is an unlabeled mfsBC promoter fragment (100 ng). (B) EMSA experiments were repeated using 50 nM of DitR. After the binding reaction was completed, the mixtures were treated with the indicated concentrations of diamide (0–1 mM). In the DTT-treated experiments, the binding reaction was treated with 1 mM diamide prior to being treated with 1 and 5 mM DTT. Free (F) and bound (B) probes are marked by arrowheads.

Treating with diamide releases DitR from DitR-mfsBC promoter binding complexes

The result of the in vivo experiments showed that the mfsC expression could be induced in response to diamide exposure. We hypothesized that, as a member of the TetR family, DitR binds to the msfBC promoter and represses its transcription. The presence of diamide causes the release of DitR from the target promoter. Thus, we determined whether diamide interacts with purified DitR. EMSA experiments were repeated using 50 nM purified DitR. After the incubation, the binding reaction was treated with various concentrations of diamide before electrophoresis. As shown in Fig 7B, the free probe band was gradually increased upon treatment with enhanced concentrations of diamide (0.25–1.0 mM). The result suggested that diamide can react with purified DitR protein, leading to the release of DitR protein from the mfsBC promoter. Diamide behaves as an oxidizing agent capable of reacting with thiol groups in protein. We then postulated that DitR is oxidized by diamide, causing a conformational change in the protein structure and reducing the binding affinity to the mfsBC promoter. To confirm this speculation, the reducing agent dithiothreitol (DTT) was used in the diamide-treated EMSA experiment to reduce the diamide-oxidized DitR protein. DTT at concentrations of 1 and 5 mM was added to the binding reactions treated with 1 mM diamide. The results showed that, after treatment with DTT, the bound probe (DitR-mfsBC promoter complex) steadily increased in a DTT concentration-dependent manner (Fig 7B). This result indicates that the purified DitR protein can be reversibly oxidized by diamide, leading to the release of DitR protein from the mfsBC promoter region. The amino acid sequence alignment of S. maltophilia DitR with the deduced amino acid sequences derived from its orthologous coding DNA sequences, retrieved from the KEGG database [26], was conducted using the Clustal omega algorithm [17]. The DitR orthologs exist in various bacterial species, including Erwinia persicina, Yersinia canariae, Enterobacter sp, Pectobacterium carotovorum, Xanthomonas arboricola, Serratia fonticola, Pseudomonas cremoricolorata, Pseudomonas putida, Alcaligenes faecalis, and Acinetobacter bereziniae. The alignment result revealed two conserved cysteine residues, Cys92 and Cys127 (Fig 8), which were speculated to be targets of diamide oxidation. Site-directed mutagenesis was performed to assess the role of Cys92 and Cys127 in diamide sensing of DitR by replacing either Cys92 or Cys127 with Ala in pDitR expression plasmid, yielding pDitRC92A, pDitRC127A, and pDitRC92,127A. The plasmids were then introduced into the ΔditR mutant (formerly Δsmlt0547) harboring pP, and the mfsBC promoter activity in response to diamide was determined. The results in Fig 5 illustrate that the replacement of either Cys92 or Cys127 diminished the diamide-inducible property of DitR. This finding strongly suggests the involvement of Cys92 and Cys127 in the diamide sensing mechanism of S. maltophilia DitR. The inactivation of the TetR-type transcriptional repressor by cysteine modification has been reported in E. coli, where NemR, formerly called YdhM, regulates gloA and nemA encoding enzymes involved in the degradation of α-ketoaldehydes, electrophiles, and thiol-depleting agent NEM [33]. NemR likely senses and responds to NEM and alkylating agents through thiol-based oxidation of cysteine residues [33, 34]. Although the inactivation of both NemR and DitR repressors is mediated by the modification of cysteine residues, the findings that DitR shares a very low identity (15.9%) with NemR and NEM is not a potent inducer of DitR suggest the different mechanisms through which NemR and DitR are used to sense thiol-depleting agents.
Fig 8

Multiple alignment of S. maltophilia DitR with other orthologs.

Amino acid alignment was performed using Clustal omega. Arrowheads indicate the conserved cysteine residues, Cys92 and Cys127. Erwinia, Erwinia persicina: CI789_09880; Yersinia, Yersinia canariae: F0T03_09235; Enterobacter, Enterobacter sp. 638: Ent638_2692; Pectobacterium, Pectobacterium carotovorum subsp. carotovorum PCC21: PCC21_025910; Xanthomonas, Xanthomonas arboricola: XB05_05075; Serratia, Serratia fonticola GS2: AV650_21160; Pseudomonasc. Pseudomonas cremoricolorata: LK03_16165; Pseudomonasp, Pseudomonas putida GB-1: PputGB1_2508; Alcaligenes, Alcaligenes faecalis JQ135: AFA_03875; Acinetobacter, Acinetobacter bereziniae: BSR55_08870.

Multiple alignment of S. maltophilia DitR with other orthologs.

Amino acid alignment was performed using Clustal omega. Arrowheads indicate the conserved cysteine residues, Cys92 and Cys127. Erwinia, Erwinia persicina: CI789_09880; Yersinia, Yersinia canariae: F0T03_09235; Enterobacter, Enterobacter sp. 638: Ent638_2692; Pectobacterium, Pectobacterium carotovorum subsp. carotovorum PCC21: PCC21_025910; Xanthomonas, Xanthomonas arboricola: XB05_05075; Serratia, Serratia fonticola GS2: AV650_21160; Pseudomonasc. Pseudomonas cremoricolorata: LK03_16165; Pseudomonasp, Pseudomonas putida GB-1: PputGB1_2508; Alcaligenes, Alcaligenes faecalis JQ135: AFA_03875; Acinetobacter, Acinetobacter bereziniae: BSR55_08870.

Characterization of mfsBC promoter

The putative mfsBC promoters were localized by determining the transcriptional start site (+1). The 5ʹ RACE was performed to determine the 5ʹ end of the mfsBC transcript. The RACE-PCR products were cloned into the pUC18 vector and sequenced. Most sequences from four out of the seven independent clones mapped the 5ʹ end of the mfsBC transcript to A residue, located 65 nucleotides upstream of the translational start codon (ATG). The mfsBC promoter had sequence motifs GATTAT and TGTAGG corresponding to putative -35 and -10 regions, respectively, which were separated by 20 nucleotides (Fig 9A).
Fig 9

Characterization of the mfsBC promoter and localization of DitR.

(A) Putative promoter region of the msfBC operon was characterized. The translation start codon (ATG) and putative ribosome binding site (RBS) are indicated in bold and italic fonts, respectively. Arrowhead indicates putative transcription start site (+1), and the -35 and -10 motifs are underlined. DitR-binding Box I and Box II are boxed, and Box IIa and Box IIb are shaded in gray. (B) DNase I footprinting assay was conducted using increasing concentrations of purified DitR (0–50 nM) and 32P-labeled 204-bp mfsBC promoter sequence. G, A, T, C is the sequence ladder.

Characterization of the mfsBC promoter and localization of DitR.

(A) Putative promoter region of the msfBC operon was characterized. The translation start codon (ATG) and putative ribosome binding site (RBS) are indicated in bold and italic fonts, respectively. Arrowhead indicates putative transcription start site (+1), and the -35 and -10 motifs are underlined. DitR-binding Box I and Box II are boxed, and Box IIa and Box IIb are shaded in gray. (B) DNase I footprinting assay was conducted using increasing concentrations of purified DitR (0–50 nM) and 32P-labeled 204-bp mfsBC promoter sequence. G, A, T, C is the sequence ladder.

Localization of DitR binding sites on putative mfsBC promoters

DNase I footprinting assays were performed to localize the binding position of DitR protein on the mfsBC promoter sequence. The purified DitR protein and the 32P-labeled mfsBC promoter fragment were mixed in the binding reaction prior to DNase I digestion. Fig 9B shows two sites of DNase I protection: Box I and Box II. Box I sequence (5ʹCATACGCTCTGTATGTATTGTC3ʹ), which contains an inverted repeat CATACnnnnnGTATG, spans from position +21 to -1 corresponding to the mfsBC promoter, thereby covering the +1 site (Fig 9B). Box II has an extra-long sequence 5ʹTACATACGCAGTGCATGATTATTTACATACGACGCGTATGAATGTAG3ʹ starting from position -11 to -57. When DitR binding Box I was aligned with Box II, two sequences that share high identity with Box I (i.e., 5ʹCATACGCAGTGCATGATTATTT3ʹ and 5ʹCATACGACGCGTATGAATGTAG3ʹ) were identified and named Box IIa and Box IIb, respectively. The inverted repeat CATACnnnnnGTATG was conserved for both Box IIa and Box IIb, suggesting that DitR binds to the box as a homodimer similar to a typical TetR transcriptional repressor [35]. The DitR binding Box IIb is located between -35 and -10 motifs (at position -32 to -11) of the mfsBC promoter (Fig 9A), while Box IIa is located immediately upstream of the -35 motif at positions -55 to -34. It is likely that the mfsBC promoter contains three DitR binding sites. This was supported by the EMSA result, where multiple band shifts were detected (Fig 7A). The binding of DitR to these binding sites would hinder the binding of RNA polymerase to the mfsBC promoter, thereby inhibiting the transcription of mfsB and mfsC.

Conclusion

We showed here the role of the MfsC transporter in protecting S. maltophilia from the toxicity of diamide. mfsC was transcribed as a polycistronic mRNA with mfsB, which encodes MFS with an unknown function. The expression of mfsBC is controlled by the DitR repressor. Under physiological conditions, DitR binds three binding boxes spanning the mfsBC promoter sequence and represses the transcription of the mfsBC operon. Upon exposure to diamide, the oxidation of DitR at Cys92 and Cys127 leads to a release of DitR from the mfsBC promoter and, therefore, enables the binding of RNA polymerase to initiate mfsBC transcription. This adaptive response would help S. maltophilia survive diamide stress.

Purity of purified DitR protein.

The coomassie blue staining of DitR proteins (2, 5 and 10 μg) after purification and separation by 12.5% SDS-PAGE. M represents protein molecular weight markers. (TIF) Click here for additional data file.

Uncropped and unmodified image of end-point RT-PCR (Fig 4B).

(TIF) Click here for additional data file.

Uncropped and unmodified image of gel mobility shift assay (Fig 7A).

(TIF) Click here for additional data file.

Uncropped and unmodified image of gel mobility shift assay (X-ray film) (Fig 7A).

(TIF) Click here for additional data file.

Uncropped and unmodified image of gel mobility shift assay (Fig 7B).

(TIF) Click here for additional data file.

Uncropped and unmodified image of gel mobility shift assay (X-ray film) (Fig 7B).

(TIF) Click here for additional data file.

Uncropped and unmodified image of DNase I footprinting assay (X-ray film) (Fig 9B).

(TIF) Click here for additional data file.

Uncropped and unmodified image of DNase I footprinting assay (scanned X-ray film) (Fig 9B).

(TIF) Click here for additional data file.

Uncropped and unmodified image of SDS-PAGE of S1 Fig.

(TIF) Click here for additional data file.

Raw data for antibiotic susceptibility test of ΔmfsB and ΔmfsC mutants, compared to wild type strain (Fig 2A).

(XLSX) Click here for additional data file.

Raw data for determination of survival (%) of ΔmfsB and ΔmfsC mutants, and wild type strain against oxidants (Fig 2B).

(XLSX) Click here for additional data file.

Raw data for investigation of mfsC transcriptional level in the presence of several oxidants (Fig 3).

(XLSX) Click here for additional data file.

Raw data for in vivo characterization of site-directed mutagenesis of DitR on mfsBC promoter (Fig 5).

(XLSX) Click here for additional data file. (PDF) Click here for additional data file. 31 May 2022
PONE-D-22-09616
Contribution of Stenotrophomonas maltophilia MfsC transporter to protection against diamide and the regulation of its expression by the diamide responsive repressor DitR
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Please add a citation to support this phrase or upload the data that corresponds with these findings to a stable repository (such as Figshare or Dryad) and provide and URLs, DOIs, or accession numbers that may be used to access these data. Or, if the data are not a core part of the research being presented in your study, we ask that you remove the phrase that refers to these data. 7. Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Yes ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: No ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: The manuscript presented characterization of MfsC transporter to protection against diamide and the regulation of its expression by the diamide responsive repressor DitR in Stenotrophomonas maltophilia. Before the paper could be accepted for publication in PLOS ONE, the authors need make revisions as follow: 1. What’s the function of MfsB? What’s the relationship between MfsB and MfsC? Please add discussion. Reviewer #2: This is a very nice characterization of a transporter operon and its regulator that mediated resistance to diamide in Stenotrophomonas maltophilia (Steno). The authors show deletion of mfsC leads to increased sensitivity to diamide and that the regulator smlt0547 (named ditR here) is a repressor (based on deletion, complementation, and EMSA behavior) that binds the mfsC operon promoter (shown by EMSA and DNase footprinting) and is released by the presence of diamide (shown by EMSA) resulting in operon expression specific to diamide presence (qRT-PCR and reporter assays). Release by diamide is reversible by DTT treatment and loss of conserved reactive cysteines in DitR result in a diamide-insensitive and thus constitutively repressive protein (shown by reporter expression). These findings are related to the field via appropriate discussion and phylogenetic analyses. I think this is a really nice story and really enjoyed reading it. I have a few minor things to suggest or to be clarified, followed by some suggested text edits to make the manuscript more clear. 1. For the various compounds, particularly the oxidants, why were these concentrations chosen? It seems as if diamide is used at the highest concentration and one could argue that the repressor could be responsive and/or transporter active if the other compounds were present at higher concentrations. I do not think this is the case, but an explanation of why these concentrations were chosen would be very helpful. 2. Statistics: For all of the comparisons in which there are more than two groups (all of them) any t-tests need to be corrected for multiple comparisons by an appropriate post-test. For Fig 3 it would be a Dunnett’s post-test with WT as the comparator tested within each compound. For Fig 4 it would be a Dunnett’s post-test with untreated as the comparator. I don’t think this increased statistical rigor will change the conclusions but use of multiple-comparison corrected stats is important. 3. Figure suggestions: Fig 1 is unnecessary, the description in the text is sufficient. For the phylogenetic trees, I would prefer plotting the trees with quantitative branch lengths (actual branch lengths with an amino-acid difference scale) so that relative similarity is visually represented. 4. Methods: Line 97: I find it really hard to believe that a bunch of molecular biology was conducted according to a 21 year old method manual without the use of any kits or any deviations from those published methods. Please expand detail as needed. Line 110: Which plasmid was the cre recombinase expressed from and how was the strain cured of that plasmid? 5. This is really just a comment to improve future work. Having myself tried lacZ in Steno many times, it really is not a great reporter and seems to be due to poor protein folding. The authors have appropriately used a Unit based measure, as these numbers would look ridiculously low if the common Miller unit were used (1 Bgal unit in this manuscript would be 0.002 Miller Units, if my calculations are correct). I don’t think anything needs to change for this manuscript, but I would suggest using a better reporter for Steno in the future. XylE works very well as an enzymatic reporter and mScarlet works really well as a fluorescent reporter. Text edit suggestions: Line 25: change ‘transports’ to ‘transporters’ Line 44: edit first sentence to- “Stenotrophomonas maltophilia is a Gram-negative, rod-shaped, aerobic bacterium, which is ubiquitous in the aqueous environment and soil.” Line 50: edit start of sentence to- “Efflux transporters are recognized…” Line 52: Since the assumption of kingdom number keeps changing, I suggest using “all domains of life” instead of numbering the kingdoms. Line 57: change ‘several’ to ‘many’ and replace ‘however’ with ‘and’ Line 82: suggest “Here, we are interested in the MFS transporters because of their…” Line 83: change ‘gene’ to ‘transcriptional’ Line 86: Suggest putting the smlt gene number for DitR and stating ‘… which we have named DitR’ Line 351: change ‘direction’ to ‘orientation’ ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.
21 Jun 2022 Point-by-point Response to Reviewers PONE-D-22-09616 Contribution of Stenotrophomonas maltophilia MfsC transporter to protection against diamide and the regulation of its expression by the diamide responsive repressor DitR PLOS ONE Reviewer #1: The manuscript presented characterization of MfsC transporter to protection against diamide and the regulation of its expression by the diamide responsive repressor DitR in Stenotrophomonas maltophilia. Before the paper could be accepted for publication in PLOS ONE, the authors need make revisions as follow: 1. What’s the function of MfsB? What’s the relationship between MfsB and MfsC? Please add discussion. Reply: According to our current data, the function of MfsB is still unknown. The �  mfsB mutant showed no altered phenotypes against all tested oxidants, antibiotics and biocides. mfsB was co-transcribed with mfsC and its expression could be induced by diamide. We have added discussion about this mfsB as “Although mfsB was co-transcribed with mfsC in an diamide-inducible manner, it seems likely that MfsB has no role in the protection of S. maltophilia against all tested antibiotics and oxidants (Fig 2). The precise physiological role of S. maltophilia MfsB is as yet unknown and required further investigation.” (line 344-347) Reviewer #2: This is a very nice characterization of a transporter operon and its regulator that mediated resistance to diamide in Stenotrophomonas maltophilia (Steno). The authors show deletion of mfsC leads to increased sensitivity to diamide and that the regulator smlt0547 (named ditR here) is a repressor (based on deletion, complementation, and EMSA behavior) that binds the mfsC operon promoter (shown by EMSA and DNase footprinting) and is released by the presence of diamide (shown by EMSA) resulting in operon expression specific to diamide presence (qRT-PCR and reporter assays). Release by diamide is reversible by DTT treatment and loss of conserved reactive cysteines in DitR result in a diamide-insensitive and thus constitutively repressive protein (shown by reporter expression). These findings are related to the field via appropriate discussion and phylogenetic analyses. I think this is a really nice story and really enjoyed reading it. I have a few minor things to suggest or to be clarified, followed by some suggested text edits to make the manuscript more clear. 1. For the various compounds, particularly the oxidants, why were these concentrations chosen? It seems as if diamide is used at the highest concentration and one could argue that the repressor could be responsive and/or transporter active if the other compounds were present at higher concentrations. I do not think this is the case, but an explanation of why these concentrations were chosen would be very helpful. Reply: The oxidant concentrations that we used in expression analysis are the sub-minimal inhibitory concentrations (sub-MIC). We have added this statement on line 187. 2. Statistics: For all of the comparisons in which there are more than two groups (all of them) any t-tests need to be corrected for multiple comparisons by an appropriate post-test. For Fig 3 it would be a Dunnett’s post-test with WT as the comparator tested within each compound. For Fig 4 it would be a Dunnett’s post-test with untreated as the comparator. I don’t think this increased statistical rigor will change the conclusions but use of multiple-comparison corrected stats is important. Reply: Thank you for this valuable suggestion. We have changed statistical analysis to Dunnett’s post-test as suggestions and we found that it did not affect conclusions in both Fig 3 and Fig 4. 3. Figure suggestions: Fig 1 is unnecessary, the description in the text is sufficient. For the phylogenetic trees, I would prefer plotting the trees with quantitative branch lengths (actual branch lengths with an amino-acid difference scale) so that relative similarity is visually represented. Reply: Fig 1 has been removed as suggestion. The branch length of the phylogenetic trees in Fig. 2 (now Fig 1) and Fig 7 (now Fig 6) has been changed to an actual branch length to visually present the differences as suggestion. 4. Methods: Line 97: I find it really hard to believe that a bunch of molecular biology was conducted according to a 21 year old method manual without the use of any kits or any deviations from those published methods. Please expand detail as needed. Line 110: Which plasmid was the cre recombinase expressed from and how was the strain cured of that plasmid? Reply: Thank you for your comments. We did use some kits for plasmid preparation and extraction of DNA fragments from agarose gel. We have mentioned this on line 100-102. The Cre-recombinase protein was expressed from pCM157 plasmid. We have added more detail about the excision of Gmr cassette and curing of pCM157 as “To excise the Gmr marker, pCM157 [15] expressing Cre-recombinase was introduced into the putative mutant and the resultant unmarked ΔmfsB mutants obtained from Cre-mediated loxP recombination were screened for the gentamicin sensitive phenotype. The plasmid pCM157 (carrying tetracycline-resistant gene) was cured by serial subcultured the strains on plates without antibiotic supplementation and screened for the tetracycline-sensitive colonies.” (line 111-116). 5. This is really just a comment to improve future work. Having myself tried lacZ in Steno many times, it really is not a great reporter and seems to be due to poor protein folding. The authors have appropriately used a Unit based measure, as these numbers would look ridiculously low if the common Miller unit were used (1 Bgal unit in this manuscript would be 0.002 Miller Units, if my calculations are correct). I don’t think anything needs to change for this manuscript, but I would suggest using a better reporter for Steno in the future. XylE works very well as an enzymatic reporter and mScarlet works really well as a fluorescent reporter. Reply: We appreciate your valuable suggestions and it may be useful for our future works. 6. Text edit suggestions: Line 25: change ‘transports’ to ‘transporters’ Reply: We have edited as suggestion. Line 44: edit first sentence to- “Stenotrophomonas maltophilia is a Gram-negative, rod-shaped, aerobic bacterium, which is ubiquitous in the aqueous environment and soil.” Reply: We have edited as suggestion. Line 50: edit start of sentence to- “Efflux transporters are recognized…” Reply: We have edited as suggestion. Line 52: Since the assumption of kingdom number keeps changing, I suggest using “all domains of life” instead of numbering the kingdoms. Reply: We have edited as suggestion. Line 57: change ‘several’ to ‘many’ and replace ‘however’ with ‘and’ Reply: We have edited as suggestion. Line 82: suggest “Here, we are interested in the MFS transporters because of their…” Reply: We have edited as suggestion. Line 83: change ‘gene’ to ‘transcriptional’ Reply: We have edited as suggestion. Line 86: Suggest putting the smlt gene number for DitR and stating ‘… which we have named DitR’ Reply: We have edited as suggestion. Line 351: change ‘direction’ to ‘orientation’ Reply: We have edited as suggestion. Submitted filename: Responses to reviewers.docx Click here for additional data file. 19 Jul 2022 Contribution of Stenotrophomonas maltophilia MfsC transporter to protection against diamide and the regulation of its expression by the diamide responsive repressor DitR PONE-D-22-09616R1 Dear Dr. Vattanaviboon, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Yixin Shi Academic Editor PLOS ONE Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #1: (No Response) Reviewer #2: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: The responses to reviewer’s comments were clear, and the revised manuscript was satisfied. The authors know the importance of elucidation of MfsB function and the relationship between MfsB and MfsC. I recommend the paper could be accepted for publication in PLOS ONE. Reviewer #2: (No Response) ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No ********** 22 Jul 2022 PONE-D-22-09616R1 Contribution of Stenotrophomonas maltophilia MfsC transporter to protection against diamide and the regulation of its expression by the diamide responsive repressor DitR Dear Dr. Vattanaviboon: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Yixin Shi Academic Editor PLOS ONE
  33 in total

Review 1.  The TetR family of transcriptional repressors.

Authors:  Juan L Ramos; Manuel Martínez-Bueno; Antonio J Molina-Henares; Wilson Terán; Kazuya Watanabe; Xiaodong Zhang; María Trinidad Gallegos; Richard Brennan; Raquel Tobes
Journal:  Microbiol Mol Biol Rev       Date:  2005-06       Impact factor: 11.056

2.  The yicM (nepI) gene of Escherichia coli encodes a major facilitator superfamily protein involved in efflux of purine ribonucleosides.

Authors:  Sergey V Gronskiy; Natalia P Zakataeva; Maria V Vitushkina; Leonid R Ptitsyn; Irina B Altman; Anna E Novikova; Vitaliy A Livshits
Journal:  FEMS Microbiol Lett       Date:  2005-09-01       Impact factor: 2.742

3.  pBBR1MCS: a broad-host-range cloning vector.

Authors:  M E Kovach; R W Phillips; P H Elzer; R M Roop; K M Peterson
Journal:  Biotechniques       Date:  1994-05       Impact factor: 1.993

4.  Overexpression of Stenotrophomonas maltophilia major facilitator superfamily protein MfsA increases resistance to fluoroquinolone antibiotics.

Authors:  Paiboon Vattanaviboon; Punyawee Dulyayangkul; Skorn Mongkolsuk; Nisanart Charoenlap
Journal:  J Antimicrob Chemother       Date:  2018-05-01       Impact factor: 5.790

5.  The oxyR from Agrobacterium tumefaciens: evaluation of its role in the regulation of catalase and peroxide responses.

Authors:  Kaewkanya Nakjarung; Skorn Mongkolsuk; Paiboon Vattanaviboon
Journal:  Biochem Biophys Res Commun       Date:  2003-04-25       Impact factor: 3.575

6.  Characterization of a major facilitator superfamily (MFS) tripartite efflux pump EmrCABsm from Stenotrophomonas maltophilia.

Authors:  Yi-Wei Huang; Rouh-Mei Hu; Fang-Yeh Chu; Hui-Rung Lin; Tsuey-Ching Yang
Journal:  J Antimicrob Chemother       Date:  2013-06-21       Impact factor: 5.790

Review 7.  Antimicrobial therapy for Stenotrophomonas maltophilia infections.

Authors:  A C Nicodemo; J I Garcia Paez
Journal:  Eur J Clin Microbiol Infect Dis       Date:  2007-04       Impact factor: 3.267

8.  The binding of triclosan to SmeT, the repressor of the multidrug efflux pump SmeDEF, induces antibiotic resistance in Stenotrophomonas maltophilia.

Authors:  Alvaro Hernández; Federico M Ruiz; Antonio Romero; José L Martínez
Journal:  PLoS Pathog       Date:  2011-06-30       Impact factor: 6.823

Review 9.  Stenotrophomonas maltophilia as an Emerging Ubiquitous Pathogen: Looking Beyond Contemporary Antibiotic Therapy.

Authors:  Anthony A Adegoke; Thor A Stenström; Anthony I Okoh
Journal:  Front Microbiol       Date:  2017-11-30       Impact factor: 5.640

10.  The complete genome, comparative and functional analysis of Stenotrophomonas maltophilia reveals an organism heavily shielded by drug resistance determinants.

Authors:  Lisa C Crossman; Virginia C Gould; J Maxwell Dow; Georgios S Vernikos; Aki Okazaki; Mohammed Sebaihia; David Saunders; Claire Arrowsmith; Tim Carver; Nicholas Peters; Ellen Adlem; Arnaud Kerhornou; Angela Lord; Lee Murphy; Katharine Seeger; Robert Squares; Simon Rutter; Michael A Quail; Mari-Adele Rajandream; David Harris; Carol Churcher; Stephen D Bentley; Julian Parkhill; Nicholas R Thomson; Matthew B Avison
Journal:  Genome Biol       Date:  2008-04-17       Impact factor: 13.583

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