Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteria

The exploration of therapies combining antimicrobial lung proteins and conventional antibiotics is important due to the growing problem of multidrug-resistant bacteria. The aim of this study was to investigate whether human SP-A and a recombinant trimeric fragment (rfhSP-A) have cooperative antimicr...

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Main Authors: Juan Manuel Coya, Víctor Fraile-Ágreda, Lidia de Tapia, Belén García-Fojeda, Alejandra Sáenz, José A. Bengoechea, Nina Kronqvist, Jan Johansson, Cristina Casals
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.927017/full
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author Juan Manuel Coya
Víctor Fraile-Ágreda
Lidia de Tapia
Belén García-Fojeda
Alejandra Sáenz
José A. Bengoechea
Nina Kronqvist
Jan Johansson
Cristina Casals
author_facet Juan Manuel Coya
Víctor Fraile-Ágreda
Lidia de Tapia
Belén García-Fojeda
Alejandra Sáenz
José A. Bengoechea
Nina Kronqvist
Jan Johansson
Cristina Casals
author_sort Juan Manuel Coya
collection DOAJ
description The exploration of therapies combining antimicrobial lung proteins and conventional antibiotics is important due to the growing problem of multidrug-resistant bacteria. The aim of this study was to investigate whether human SP-A and a recombinant trimeric fragment (rfhSP-A) have cooperative antimicrobial activity with antibiotics against pathogenic Gram-negative bacteria. We found that SP-A bound the cationic peptide polymyxin B (PMB) with an apparent dissociation constant (KD) of 0.32 ± 0.04 µM. SP-A showed synergistic microbicidal activity with polymyxin B and E, but not with other antibiotics, against three SP-A-resistant pathogenic bacteria: Klebsiella pneumoniae, non-typable Haemophilus influenzae (NTHi), and Pseudomonas aeruginosa. SP-A was not able to bind to K. pneumoniae, NTHi, or to mutant strains thereof expressing long-chain lipopolysaccharides (or lipooligosaccharides) and/or polysaccharide capsules. In the presence of PMB, SP-A induced the formation of SP-A/PMB aggregates that enhance PMB-induced bacterial membrane permeabilization. Furthermore, SP-A bound to a molecular derivative of PMB lacking the acyl chain (PMBN) with a KD of 0.26 ± 0.02 μM, forming SP-A/PMBN aggregates. PMBN has no bactericidal activity but can bind to the outer membrane of Gram-negative bacteria. Surprisingly, SP-A and PMBN showed synergistic bactericidal activity against Gram-negative bacteria. Unlike native supratrimeric SP-A, the trimeric rfhSP-A fragment had small but significant direct bactericidal activity against K. pneumoniae, NTHi, and P. aeruginosa. rfhSP-A did not bind to PMB under physiological conditions but acted additively with PMB and other antibiotics against these pathogenic bacteria. In summary, our results significantly improve our understanding of the antimicrobial actions of SP-A and its synergistic action with PMB. A peptide based on SP-A may aid the therapeutic use of PMB, a relatively cytotoxic antibiotic that is currently being reintroduced into clinics due to the global problem of antibiotic resistance.
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spelling doaj.art-7efda82791254f3697a49e40591c35532022-12-22T04:02:53ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-09-011310.3389/fimmu.2022.927017927017Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteriaJuan Manuel Coya0Víctor Fraile-Ágreda1Lidia de Tapia2Belén García-Fojeda3Alejandra Sáenz4José A. Bengoechea5Nina Kronqvist6Jan Johansson7Cristina Casals8Department of Biochemistry and Molecular Biology, Complutense University of Madrid, Madrid, SpainDepartment of Biochemistry and Molecular Biology, Complutense University of Madrid, Madrid, SpainDepartment of Biochemistry and Molecular Biology, Complutense University of Madrid, Madrid, SpainDepartment of Biochemistry and Molecular Biology, Complutense University of Madrid, Madrid, SpainDepartment of Biochemistry and Molecular Biology, Complutense University of Madrid, Madrid, SpainWellcome-Wolfson Institute for Experimental Medicine, Queen’s University Belfast, Belfast, United KingdomDepartment of Biosciences and Nutrition, Neo, Karolinska Institutet, Huddinge, SwedenDepartment of Biosciences and Nutrition, Neo, Karolinska Institutet, Huddinge, SwedenDepartment of Biochemistry and Molecular Biology, Complutense University of Madrid, Madrid, SpainThe exploration of therapies combining antimicrobial lung proteins and conventional antibiotics is important due to the growing problem of multidrug-resistant bacteria. The aim of this study was to investigate whether human SP-A and a recombinant trimeric fragment (rfhSP-A) have cooperative antimicrobial activity with antibiotics against pathogenic Gram-negative bacteria. We found that SP-A bound the cationic peptide polymyxin B (PMB) with an apparent dissociation constant (KD) of 0.32 ± 0.04 µM. SP-A showed synergistic microbicidal activity with polymyxin B and E, but not with other antibiotics, against three SP-A-resistant pathogenic bacteria: Klebsiella pneumoniae, non-typable Haemophilus influenzae (NTHi), and Pseudomonas aeruginosa. SP-A was not able to bind to K. pneumoniae, NTHi, or to mutant strains thereof expressing long-chain lipopolysaccharides (or lipooligosaccharides) and/or polysaccharide capsules. In the presence of PMB, SP-A induced the formation of SP-A/PMB aggregates that enhance PMB-induced bacterial membrane permeabilization. Furthermore, SP-A bound to a molecular derivative of PMB lacking the acyl chain (PMBN) with a KD of 0.26 ± 0.02 μM, forming SP-A/PMBN aggregates. PMBN has no bactericidal activity but can bind to the outer membrane of Gram-negative bacteria. Surprisingly, SP-A and PMBN showed synergistic bactericidal activity against Gram-negative bacteria. Unlike native supratrimeric SP-A, the trimeric rfhSP-A fragment had small but significant direct bactericidal activity against K. pneumoniae, NTHi, and P. aeruginosa. rfhSP-A did not bind to PMB under physiological conditions but acted additively with PMB and other antibiotics against these pathogenic bacteria. In summary, our results significantly improve our understanding of the antimicrobial actions of SP-A and its synergistic action with PMB. A peptide based on SP-A may aid the therapeutic use of PMB, a relatively cytotoxic antibiotic that is currently being reintroduced into clinics due to the global problem of antibiotic resistance.https://www.frontiersin.org/articles/10.3389/fimmu.2022.927017/fullcollectin SP-Arecombinant trimeric fragmentmultidrug-resistant bacteriamicrobial infectionlungpolymyxin B
spellingShingle Juan Manuel Coya
Víctor Fraile-Ágreda
Lidia de Tapia
Belén García-Fojeda
Alejandra Sáenz
José A. Bengoechea
Nina Kronqvist
Jan Johansson
Cristina Casals
Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteria
Frontiers in Immunology
collectin SP-A
recombinant trimeric fragment
multidrug-resistant bacteria
microbial infection
lung
polymyxin B
title Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteria
title_full Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteria
title_fullStr Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteria
title_full_unstemmed Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteria
title_short Cooperative action of SP-A and its trimeric recombinant fragment with polymyxins against Gram-negative respiratory bacteria
title_sort cooperative action of sp a and its trimeric recombinant fragment with polymyxins against gram negative respiratory bacteria
topic collectin SP-A
recombinant trimeric fragment
multidrug-resistant bacteria
microbial infection
lung
polymyxin B
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.927017/full
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