Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosis

Mycobacterium tuberculosis (Mtb) expresses a broad-spectrum β-lactamase (BlaC) that mediates resistance to one of the highly effective antibacterials, β-lactams. Nonetheless, β-lactams showed mycobactericidal activity in combination with β-lactamase inhibitor, clavulanate (Clav). However, the mechan...

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Main Authors: Saurabh Mishra, Prashant Shukla, Ashima Bhaskar, Kushi Anand, Priyanka Baloni, Rajiv Kumar Jha, Abhilash Mohan, Raju S Rajmani, Valakunja Nagaraja, Nagasuma Chandra, Amit Singh
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2017-05-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/25624
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author Saurabh Mishra
Prashant Shukla
Ashima Bhaskar
Kushi Anand
Priyanka Baloni
Rajiv Kumar Jha
Abhilash Mohan
Raju S Rajmani
Valakunja Nagaraja
Nagasuma Chandra
Amit Singh
author_facet Saurabh Mishra
Prashant Shukla
Ashima Bhaskar
Kushi Anand
Priyanka Baloni
Rajiv Kumar Jha
Abhilash Mohan
Raju S Rajmani
Valakunja Nagaraja
Nagasuma Chandra
Amit Singh
author_sort Saurabh Mishra
collection DOAJ
description Mycobacterium tuberculosis (Mtb) expresses a broad-spectrum β-lactamase (BlaC) that mediates resistance to one of the highly effective antibacterials, β-lactams. Nonetheless, β-lactams showed mycobactericidal activity in combination with β-lactamase inhibitor, clavulanate (Clav). However, the mechanistic aspects of how Mtb responds to β-lactams such as Amoxicillin in combination with Clav (referred as Augmentin [AG]) are not clear. Here, we identified cytoplasmic redox potential and intracellular redox sensor, WhiB4, as key determinants of mycobacterial resistance against AG. Using computer-based, biochemical, redox-biosensor, and genetic strategies, we uncovered a functional linkage between specific determinants of β-lactam resistance (e.g. β-lactamase) and redox potential in Mtb. We also describe the role of WhiB4 in coordinating the activity of β-lactamase in a redox-dependent manner to tolerate AG. Disruption of WhiB4 enhances AG tolerance, whereas overexpression potentiates AG activity against drug-resistant Mtb. Our findings suggest that AG can be exploited to diminish drug-resistance in Mtb through redox-based interventions.
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spelling doaj.art-d811501a595641efbdfc414e2992d5c82022-12-22T04:32:36ZengeLife Sciences Publications LtdeLife2050-084X2017-05-01610.7554/eLife.25624Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosisSaurabh Mishra0https://orcid.org/0000-0003-1590-884XPrashant Shukla1Ashima Bhaskar2Kushi Anand3Priyanka Baloni4Rajiv Kumar Jha5Abhilash Mohan6Raju S Rajmani7Valakunja Nagaraja8Nagasuma Chandra9Amit Singh10https://orcid.org/0000-0001-6761-1664Microbiology and Cell Biology, Centre for Infectious Disease Research, Indian Institute of Science, Bangalore, IndiaMicrobiology and Cell Biology, Centre for Infectious Disease Research, Indian Institute of Science, Bangalore, India; International Centre for Genetic Engineering and Biotechnology, New Delhi, IndiaNational Institute of Immunology, New Delhi, IndiaMicrobiology and Cell Biology, Centre for Infectious Disease Research, Indian Institute of Science, Bangalore, IndiaDepartment of Biochemistry, Indian Institute of Science, Bangalore, India; Molecular Biophysics Unit, Indian Institute of Science, Bangalore, IndiaMicrobiology and Cell Biology, Centre for Infectious Disease Research, Indian Institute of Science, Bangalore, IndiaDepartment of Biochemistry, Indian Institute of Science, Bangalore, IndiaMicrobiology and Cell Biology, Centre for Infectious Disease Research, Indian Institute of Science, Bangalore, IndiaMicrobiology and Cell Biology, Centre for Infectious Disease Research, Indian Institute of Science, Bangalore, India; Jawaharlal Nehru Centre for Advanced Scientific Research, Bangalore, IndiaDepartment of Biochemistry, Indian Institute of Science, Bangalore, IndiaMicrobiology and Cell Biology, Centre for Infectious Disease Research, Indian Institute of Science, Bangalore, IndiaMycobacterium tuberculosis (Mtb) expresses a broad-spectrum β-lactamase (BlaC) that mediates resistance to one of the highly effective antibacterials, β-lactams. Nonetheless, β-lactams showed mycobactericidal activity in combination with β-lactamase inhibitor, clavulanate (Clav). However, the mechanistic aspects of how Mtb responds to β-lactams such as Amoxicillin in combination with Clav (referred as Augmentin [AG]) are not clear. Here, we identified cytoplasmic redox potential and intracellular redox sensor, WhiB4, as key determinants of mycobacterial resistance against AG. Using computer-based, biochemical, redox-biosensor, and genetic strategies, we uncovered a functional linkage between specific determinants of β-lactam resistance (e.g. β-lactamase) and redox potential in Mtb. We also describe the role of WhiB4 in coordinating the activity of β-lactamase in a redox-dependent manner to tolerate AG. Disruption of WhiB4 enhances AG tolerance, whereas overexpression potentiates AG activity against drug-resistant Mtb. Our findings suggest that AG can be exploited to diminish drug-resistance in Mtb through redox-based interventions.https://elifesciences.org/articles/25624Mycobacterium tuberculosisMycothioldrug toleranceAmoxicillin-ClavulanatePeptidoglycanpersistence
spellingShingle Saurabh Mishra
Prashant Shukla
Ashima Bhaskar
Kushi Anand
Priyanka Baloni
Rajiv Kumar Jha
Abhilash Mohan
Raju S Rajmani
Valakunja Nagaraja
Nagasuma Chandra
Amit Singh
Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosis
eLife
Mycobacterium tuberculosis
Mycothiol
drug tolerance
Amoxicillin-Clavulanate
Peptidoglycan
persistence
title Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosis
title_full Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosis
title_fullStr Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosis
title_full_unstemmed Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosis
title_short Efficacy of β-lactam/β-lactamase inhibitor combination is linked to WhiB4-mediated changes in redox physiology of Mycobacterium tuberculosis
title_sort efficacy of β lactam β lactamase inhibitor combination is linked to whib4 mediated changes in redox physiology of mycobacterium tuberculosis
topic Mycobacterium tuberculosis
Mycothiol
drug tolerance
Amoxicillin-Clavulanate
Peptidoglycan
persistence
url https://elifesciences.org/articles/25624
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