SULM – Schweizerische Union für Labormedizin | Union Suisse de Médecine de Laboratoire | Swiss Union of Laboratory Medicine

Abstracts SGM 2016


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J.M. BUYCK, 1, P. SAINT AUGUSTE1, C. SCHLEBERGER1, D. BUMANN1

1Focal area infection biology, Biozentrum, University of Basel, Basel, Switzerland.

Pseudomonas aeruginosa is a major opportunistic pathogen. Because of its high intrinsic resistance to antibiotics and the emergence of additional resistance mechanisms, it has become one of the most dangerous infectious agents in hospital-acquired infections. It is often assumed that the P. aeruginosa outer membrane simple porins crucially determine antibiotic translocation and efficacy. Indeed, inactivation of one of its 35 different simple porins, OprD, decreases P. aeruginosa susceptibility specifically to carbapenems. However, if similar links also exist between other antibiotics and simple porins remains largely unclear. To determine which porins P. aeruginosa expresses, we have developed a sensitive targeted mass spectrometry-based proteomic approach. The results showed that diverse P. aeruginosa strains including human clinical isolates, express only a rather small subset of simple porins under various in vitro conditions. As expected, OprF was the dominant simple porin. In addition, five other simple porins (OprD, FadL, OprG, OprQ, OprE) were commonly detected. Six other porins were detected at low and variable levels (Tsx, OpdQ, OpdC, OpdH, OpdP, OprB). All other porins were below our detection threshold of ca. 30 molecules per cell. To assess the functional relevance of these porins, we generated a series of single or multiple gene deletions on PA14 strain. Antimicrobial susceptibility testing revealed that none of the simple porins other than OprD affected minimal inhibitory concentrations (MIC) of diverse antibiotics. Surprisingly, even a delta34 strain lacking all simple porins had identical MIC values compared to parental PA14 (except for carbapenems where the delta34 strain phenocopied the oprD mutant). This strain grew normally on rich media but had severe growth defects on minimal media containing single carbon sources. Interestingly, we did not detect any compensatory expression of cryptic porins in various multiple knock-outs. These results suggest a role of simple porins in nutrient uptake, but do not support current models of antibiotics membrane translocation. In addition of simple porins, alternative translocation routes likely exist. These findings have major implications for the mechanism of antibiotic action against P. aeruginosa and developments of urgently needed novel drugs.

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