Dysregulation of Streptococcus pneumoniae zinc homeostasis breaks ampicillin resistance in a pneumonia infection model

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Brazel, Erin B
Tan, Aimee
Neville, Stephanie L
Iverson, Amy R
Udagedara, Saumya R
Cunningham, Bliss A
Sikanyika, Mwilye
De Oliveira, David MP
Keller, Bernhard
Bohlmann, Lisa
El-Deeb, Ibrahim M
Ganio, Katherine
Eijkelkamp, Bart A
McEwan, Alastair G
von Itzstein, Mark
et al.
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2022
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Abstract

Streptococcus pneumoniae is the primary cause of community-acquired bacterial pneumonia with rates of penicillin and multidrug-resistance exceeding 80% and 40%, respectively. The innate immune response generates a variety of antimicrobial agents to control infection, including zinc stress. Here, we characterize the impact of zinc intoxication on S. pneumoniae, observing disruptions in central carbon metabolism, lipid biogenesis, and peptidoglycan biosynthesis. Characterization of the pivotal peptidoglycan biosynthetic enzyme GlmU indicates a sensitivity to zinc inhibition. Disruption of the sole zinc efflux pathway, czcD, renders S. pneumoniae highly susceptible to β-lactam antibiotics. To dysregulate zinc homeostasis in the wild-type strain, we investigated the safe-for-human-use ionophore 5,7-dichloro-2-[(dimethylamino)methyl]quinolin-8-ol (PBT2). PBT2 rendered wild-type S. pneumoniae strains sensitive to a range of antibiotics. Using an invasive ampicillin-resistant strain, we demonstrate in a murine pneumonia infection model the efficacy of PBT2 + ampicillin treatment. These findings present a therapeutic modality to break antibiotic resistance in multidrug-resistant S. pneumoniae.

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Cell Reports

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38

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2

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© 2021 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Biochemistry and cell biology

Medical physiology

Biological sciences

Science & Technology

Life Sciences & Biomedicine

Cell Biology

SURFACE PROTEIN-A

ANTIMICROBIAL SUSCEPTIBILITY

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Brazel, EB; Tan, A; Neville, SL; Iverson, AR; Udagedara, SR; Cunningham, BA; Sikanyika, M; De Oliveira, DMP; Keller, B; Bohlmann, L; El-Deeb, IM; Ganio, K; Eijkelkamp, BA; McEwan, AG; von Itzstein, M; Maher, MJ; Walker, MJ; Rosch, JW; McDevitt, CA, Dysregulation of Streptococcus pneumoniae zinc homeostasis breaks ampicillin resistance in a pneumonia infection model, Cell Reports, 2022, 38 (2), pp. 110202

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