Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureus

Tomatidine (TO), a steroid alkaloid, exerts a strong bactericidal activity on the infection-persistent phenotype of Staphylococcus aureus, the small-colony variant (SCV), with a minimal inhibitory concentration (MIC) of 0.06 μg/ml. Also, the combination of TO to an aminoglycoside (AMG) shows a stron...

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Main Authors: Jean-Philippe Langlois, Guillaume Millette, Isabelle Guay, Alexis Dubé-Duquette, Suzanne Chamberland, Pierre-Étienne Jacques, Sébastien Rodrigue, Kamal Bouarab, Éric Marsault, François Malouin
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-05-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2020.00805/full
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author Jean-Philippe Langlois
Guillaume Millette
Isabelle Guay
Alexis Dubé-Duquette
Suzanne Chamberland
Pierre-Étienne Jacques
Sébastien Rodrigue
Kamal Bouarab
Éric Marsault
François Malouin
author_facet Jean-Philippe Langlois
Guillaume Millette
Isabelle Guay
Alexis Dubé-Duquette
Suzanne Chamberland
Pierre-Étienne Jacques
Sébastien Rodrigue
Kamal Bouarab
Éric Marsault
François Malouin
author_sort Jean-Philippe Langlois
collection DOAJ
description Tomatidine (TO), a steroid alkaloid, exerts a strong bactericidal activity on the infection-persistent phenotype of Staphylococcus aureus, the small-colony variant (SCV), with a minimal inhibitory concentration (MIC) of 0.06 μg/ml. Also, the combination of TO to an aminoglycoside (AMG) shows a strong synergistic effect against prototypical (WT) S. aureus (MIC 0.06 μg/ml), which is otherwise unaffected by TO alone (MIC > 128 μg/ml). We have recently established that the ATP synthase (subunit AtpE) was the molecular target of TO and that TO reduces the production of ATP in S. aureus. The purpose of this study was to understand how TO and the TO-AMG combination exert bactericidal activities against S. aureus SCV and WT strains, respectively. The impact of TO and of the TO-gentamicin (GEN) combination on the membrane potential and generation of reactive oxygen species (ROS) were determined using florescent probes. GEN uptake in WT was assessed in the presence of TO. Virulence of SCV and WT strains as well as of in vitro-selected mutants showing resistance to TO or the TO-GEN combination was evaluated in a murine thigh infection model. TO causes a reduction in membrane potential in both WT and SCV, but significant amounts of ROS are only produced in SCVs. Besides, the presence of TO improves the uptake of GEN by the WT strain and the combination TO-GEN generated 2.5-folds more ROS in WT, compared to that induced by GEN alone. Under anaerobic conditions, WT adopts a fermentative slow-growth phenotype and becomes susceptible to TO even if used alone. In vivo, TO- or TO-GEN-resistant strains were significantly altered in their ability to colonize tissues. These results shed light on the mechanism of action of TO and its synergy with AMGs against S. aureus WT. TO bactericidal activity against SCVs is attributable to both a critical drop in the membrane potential accompanied by a substantial ROS production. In the WT, TO helps GEN uptake and ROS is also important for the synergy. Acquiring resistance to TO significantly impairs virulence. The residual ATP synthase activity of SCVs might represent the Achilles’ heel of persistent S. aureus.
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spelling doaj.art-97c6506a86c24882a045da7a0191407f2022-12-21T20:02:04ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2020-05-011110.3389/fmicb.2020.00805520087Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureusJean-Philippe Langlois0Guillaume Millette1Isabelle Guay2Alexis Dubé-Duquette3Suzanne Chamberland4Pierre-Étienne Jacques5Sébastien Rodrigue6Kamal Bouarab7Éric Marsault8François Malouin9Département de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Pharmacologie et Physiologie, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, QC, CanadaDépartement de Biologie, Faculté des Sciences, Université de Sherbrooke, Sherbrooke, QC, CanadaTomatidine (TO), a steroid alkaloid, exerts a strong bactericidal activity on the infection-persistent phenotype of Staphylococcus aureus, the small-colony variant (SCV), with a minimal inhibitory concentration (MIC) of 0.06 μg/ml. Also, the combination of TO to an aminoglycoside (AMG) shows a strong synergistic effect against prototypical (WT) S. aureus (MIC 0.06 μg/ml), which is otherwise unaffected by TO alone (MIC > 128 μg/ml). We have recently established that the ATP synthase (subunit AtpE) was the molecular target of TO and that TO reduces the production of ATP in S. aureus. The purpose of this study was to understand how TO and the TO-AMG combination exert bactericidal activities against S. aureus SCV and WT strains, respectively. The impact of TO and of the TO-gentamicin (GEN) combination on the membrane potential and generation of reactive oxygen species (ROS) were determined using florescent probes. GEN uptake in WT was assessed in the presence of TO. Virulence of SCV and WT strains as well as of in vitro-selected mutants showing resistance to TO or the TO-GEN combination was evaluated in a murine thigh infection model. TO causes a reduction in membrane potential in both WT and SCV, but significant amounts of ROS are only produced in SCVs. Besides, the presence of TO improves the uptake of GEN by the WT strain and the combination TO-GEN generated 2.5-folds more ROS in WT, compared to that induced by GEN alone. Under anaerobic conditions, WT adopts a fermentative slow-growth phenotype and becomes susceptible to TO even if used alone. In vivo, TO- or TO-GEN-resistant strains were significantly altered in their ability to colonize tissues. These results shed light on the mechanism of action of TO and its synergy with AMGs against S. aureus WT. TO bactericidal activity against SCVs is attributable to both a critical drop in the membrane potential accompanied by a substantial ROS production. In the WT, TO helps GEN uptake and ROS is also important for the synergy. Acquiring resistance to TO significantly impairs virulence. The residual ATP synthase activity of SCVs might represent the Achilles’ heel of persistent S. aureus.https://www.frontiersin.org/article/10.3389/fmicb.2020.00805/fullStaphylococcus aureussmall-colony variantATP synthase inhibitortomatidineaminoglycosidemode of action
spellingShingle Jean-Philippe Langlois
Guillaume Millette
Isabelle Guay
Alexis Dubé-Duquette
Suzanne Chamberland
Pierre-Étienne Jacques
Sébastien Rodrigue
Kamal Bouarab
Éric Marsault
François Malouin
Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureus
Frontiers in Microbiology
Staphylococcus aureus
small-colony variant
ATP synthase inhibitor
tomatidine
aminoglycoside
mode of action
title Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureus
title_full Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureus
title_fullStr Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureus
title_full_unstemmed Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureus
title_short Bactericidal Activity of the Bacterial ATP Synthase Inhibitor Tomatidine and the Combination of Tomatidine and Aminoglycoside Against Persistent and Virulent Forms of Staphylococcus aureus
title_sort bactericidal activity of the bacterial atp synthase inhibitor tomatidine and the combination of tomatidine and aminoglycoside against persistent and virulent forms of staphylococcus aureus
topic Staphylococcus aureus
small-colony variant
ATP synthase inhibitor
tomatidine
aminoglycoside
mode of action
url https://www.frontiersin.org/article/10.3389/fmicb.2020.00805/full
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