genetic determinants of intrinsic colistin tolerance in Acinetobacter baumannii

Infect Immun. 2013 Feb;81(2):542-51. doi: 10.1128/IAI.00704-12. Epub 2012 Dec 10.

Abstract

Acinetobacter baumannii is a leading cause of multidrug-resistant infections worldwide. This organism poses a particular challenge due to its ability to acquire resistance to new antibiotics through adaptation or mutation. This study was undertaken to determine the mechanisms governing the adaptability of A. baumannii to the antibiotic colistin. Screening of a transposon mutant library identified over 30 genes involved in inducible colistin resistance in A. baumannii. One of the genes identified was lpsB, which encodes a glycosyltransferase involved in lipopolysaccharide (LPS) synthesis. We demonstrate that loss of LpsB function results in increased sensitivity to both colistin and cationic antimicrobial peptides of the innate immune system. Moreover, LpsB is critical for pathogenesis in a pulmonary model of infection. Taken together, these data define bacterial processes required for intrinsic colistin tolerance in A. baumannii and underscore the importance of outer membrane structure in both antibiotic resistance and the pathogenesis of A. baumannii.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acinetobacter Infections / drug therapy
  • Acinetobacter Infections / genetics
  • Acinetobacter Infections / immunology
  • Acinetobacter Infections / microbiology*
  • Acinetobacter baumannii / drug effects*
  • Acinetobacter baumannii / genetics*
  • Acinetobacter baumannii / immunology
  • Animals
  • Anti-Bacterial Agents / immunology
  • Anti-Bacterial Agents / pharmacology
  • Antimicrobial Cationic Peptides / genetics
  • Antimicrobial Cationic Peptides / immunology
  • Bacterial Proteins / genetics
  • Bacterial Proteins / immunology
  • Colistin / immunology
  • Colistin / pharmacology*
  • Drug Resistance, Multiple, Bacterial
  • Female
  • Glycosyltransferases / genetics
  • Glycosyltransferases / immunology
  • Immune Tolerance / genetics
  • Immune Tolerance / immunology
  • Immunity, Innate / genetics
  • Immunity, Innate / immunology
  • Lipopolysaccharides / genetics
  • Lipopolysaccharides / immunology
  • Lung / drug effects
  • Lung / immunology
  • Lung / microbiology
  • Mannosyltransferases / genetics
  • Mannosyltransferases / immunology
  • Mice
  • Mice, Inbred C57BL
  • Molecular Sequence Data
  • Mutation / immunology
  • Pneumonia / genetics
  • Pneumonia / immunology
  • Pneumonia / microbiology

Substances

  • Anti-Bacterial Agents
  • Antimicrobial Cationic Peptides
  • Bacterial Proteins
  • Lipopolysaccharides
  • Glycosyltransferases
  • LpsB protein, bacteria
  • Mannosyltransferases
  • Colistin

Associated data

  • GENBANK/GSE40771