Research Article
24 March 2017

The Mechanism of Killing by the Proline-Rich Peptide Bac7(1–35) against Clinical Strains of Pseudomonas aeruginosa Differs from That against Other Gram-Negative Bacteria

ABSTRACT

Pseudomonas aeruginosa infections represent a serious threat to worldwide health. Proline-rich antimicrobial peptides (PR-AMPs), a particular group of peptide antibiotics, have demonstrated in vitro activity against P. aeruginosa strains. Here we show that the mammalian PR-AMP Bac7(1–35) is active against some multidrug-resistant cystic fibrosis isolates of P. aeruginosa. By confocal microscopy and cytometric analyses, we investigated the mechanism of killing against P. aeruginosa strain PAO1 and three selected isolates, and we observed that the peptide inactivated the target cells by disrupting their cellular membranes. This effect is deeply different from that previously described for PR-AMPs in Escherichia coli and Salmonella enterica serovar Typhimurium, where these peptides act intracellularly after having been internalized by means of the transporter SbmA without membranolytic effects. The heterologous expression of SbmA in PAO1 cells enhanced the internalization of Bac7(1–35) into the cytoplasm, making the bacteria more susceptible to the peptide but at the same time more resistant to the membrane lysis, similarly to what occurs in E. coli. The results evidenced a new mechanism of action for PR-AMPs and indicate that Bac7 has multiple and variable modes of action that depend on the characteristics of the different target species and the possibility to be internalized by bacterial transporters. This feature broadens the spectrum of activity of the peptide and makes the development of peptide-resistant bacteria a more difficult process.

INTRODUCTION

Innovative anti-infective agents are urgently needed to overcome the antibiotic resistance problem. Antimicrobial peptides (AMPs) are a large class of innate immunity effectors with a remarkable capacity to kill microorganisms, which are currently in the limelight as potential future anti-infective therapeutics (1). Most AMPs strongly interact with bacterial membranes, leading to a lethal permeabilization of the microbial envelope (2). However, some AMPs kill bacteria mainly by interfering with internal cellular functions and without significant perturbation of cell membranes at microbicidal concentrations (3, 4).
The group of proline-rich peptides (PR-AMPs) is the best known example of these intracellular-acting peptides (5, 6). Some of them have been identified in mammal neutrophils (7), whereas others have been found in hemolymph of insects and crustaceans (8). All of them invariably have a high number of proline and arginine residues, show similar spectra of activity, including several Gram-negative species, and have similar modes of action. Recently different PR-AMPs, both mammalian Bac7(1–35) and insect oncocin and apidaecins, were demonstrated to efficiently bind to different regions of prokaryote ribosomes (911), leading to the inhibition of protein synthesis (12).
PR-AMPs reach the ribosome after having crossed the cell membranes by means of SbmA/BacA, an inner membrane transporter present in several but not all proteobacteria. In Escherichia coli, some PR-AMPs appeared to rely exclusively on the SbmA uptake system (13), whereas others, including Bac7(1–35) and oncocin, are quite active also in SbmA-deleted strains (14), likely because of the presence of a second bacterial transport system recently identified as the yjiL-mdtM gene cluster (13).
Pseudomonas aeruginosa is an emergent pathogen with high intrinsic antibiotic resistance and is among the most common hospital pathogens (15). Serious P. aeruginosa infections are often associated with compromised host defenses such as in neutropenia, severe burns, or cystic fibrosis (CF) (16). These infections demonstrate high morbidity and mortality for the limited therapies, in particular due to the spread of antimicrobial-resistant strains (17). For these reasons, finding alternative prevention and treatment strategies is an urgent priority (18).
A number of P. aeruginosa strains, including multidrug-resistant (MDR) strains, show considerable susceptibility to the PR-AMP Bac7(1–35), with MIC values ranging from 0.5 to 32 μM (19). In addition, the artificial long proline-rich antimicrobial peptide dimer A3-APO, is active against strains of P. aeruginosa (20). Despite this clear anti-Pseudomonas activity and different from other gammaproteobacteria, P. aeruginosa lacks the inner membrane protein SbmA as well as the homologue of the yjiL-mdtM cluster. Therefore, the mechanism used by this PR-AMP to cross the bacterial membranes and more in general the mechanism of bacterial killing are still puzzling.
In this study, we investigated the activity of Bac7(1–35) against P. aeruginosa strains and the mechanism by which the peptide kills these bacteria. We then evaluated the effect of the heterologous expression of the E. coli SbmA transporter on the susceptibility to PR-AMPs in this bacterial species, which naturally lacks this transporter. The results highlight a different mechanism of action for PR-AMPs from that previously described against other Gram-negative bacteria, which is also influenced by the expression of SbmA.

RESULTS

Antimicrobial activity of Bac7(1–35) against clinical isolates of Pseudomonas aeruginosa.

The antimicrobial activity of Bac7(1–35) was tested against a panel of P. aeruginosa strains, including the reference PAO1 strain and 11 different multidrug-resistant (MDR) strains obtained from CF patients (21). Bac7(1–35) inhibited the growth of most strains, showing MIC values of between 4 and 32 μM. PAO1 was inhibited at 8 μM, while PA07 and PA08 strains were not susceptible to Bac7(1–35) up to 32 μM (Table 1). Based on these results, PA21, PA05, and PA35 strains, exhibiting low, medium, and high susceptibilities to the peptide, respectively, were selected together with the PAO1 reference strain for a further characterization. The minimal bactericidal concentration (MBC) values of Bac7(1–35) for these four strains were identical to those of the MIC and indicated that the peptide has a bactericidal activity at bacterial growth-inhibiting concentrations. Differently, at subinhibitory concentrations, Bac7(1–35) could not inhibit biofilm formation of the four strains (see Fig. S1 in the supplemental material).
TABLE 1
TABLE 1 Antimicrobial activity of Bac7(1–35)
aThe MIC was defined as the lowest concentration of peptide that prevented visible growth of bacteria after incubation for 20 h at 37°C. MIC values are representative of three independent experiments with comparable results.

Mechanism of action of Bac7(1–35) on P. aeruginosa PAO1.

We investigated the effects of Bac7(1–35) on membrane integrity by propidium iodide (PI)-uptake assay. Treatment of PAO1 cells with Bac7(1–35) at the MIC (8 μM) resulted in 60% of PI-positive cells within 60 min, indicating a rapid and vast permeabilization of the cells. Twenty percent of PI-positive cells were also observed even at the sublethal (1/2 MIC) Bac7(1–35) concentration (Fig. 1A). Overall the membranolytic effects due to the peptide were not so different from those caused by the α-helical BMAP27(1–18), a lytic AMP that permeabilized ∼70% of cells after 15 min of incubation (Fig. 1A).
FIG 1
FIG 1 Evaluation of membrane permeabilization and bactericidal activity on P. aeruginosa strains. Shown is a comparison between the kinetics of permeabilization and cell killing of PAO1 cells in the presence of Bac7(1–35) (A and B) or tobramycin (C and D). (E) Permeabilization level of PAO1 PA05 PA21 and PA35 strains in the presence of Bac7(1–35) for 30 min. The permeabilization assay and the bactericidal activity (killing) assay were performed on 1 × 106/ml cells in MHB. The level of permeabilization has been reported as percentages of PI-positive cells. Data are means from four independent experiments. The dashed line in panel A (noted by § below the panel) represents the permeabilization kinetics of the BMAP27(1–18) peptide used as a control. *, P < 0.05, **, P ≤ 0.01, and ***, P ≤ 0.001, versus the starting inoculum (ANOVA with Tukey-Kramer posttest).
The PAO1 cell viability was then evaluated under the same conditions used in the PI uptake assay. Bac7(1–35) decreased significantly (2 logs) the number of viable cells within 60 min of incubation (Fig. 1B), clearly indicating the simultaneity of events between bacterial killing and membrane damage.
PA21, PA05, and PA35 strains of P. aeruginosa were also tested for cell permeabilization (Fig. 1E). A positive correlation between the extent of membrane damage and the susceptibility of the different strains was found with the less susceptible PA21 showing the lowest level of permeabilization (25% of PI-positive cells) and with the more susceptible PA35 exhibiting the highest effect (>70% PI-positive cells) to its membrane.
To exclude the possibility that the observed membrane lysis is only a consequence of cell death, we carried out cell permeabilization and killing kinetics assays also with tobramycin, a nonlytic and protein synthesis inhibitor antibiotic. The aminoglycoside confirmed to do not alter the permeability of the membrane within a time period (30 min) in which it caused a 2- to 3-log decrease of the number of viable PAO1 cells (Fig. 1C and D).
Taken together, these results underline the different mechanism of P. aeruginosa killing between Bac7(1–35) and a nonlytic antibiotic, and strongly indicate membrane perturbation as a major mechanism of Bac7 activity against this bacteria.

Internalization of Bac7(1–35)-BY into P. aeruginosa cells.

Localization of the peptide in PAO1 cells was examined by confocal scanning laser microscopy using the fluorescent derivative Bac7(1–35)-BY. This boron dipyrromethene (BODIPY)-linked peptide has previously been tested on E. coli cells (22), and it shows the same MIC values of the unlabeled peptide against PAO1 cells (data not shown). Although fluorescence due to the peptide was present into the cytoplasm, the most intense signal was visible on the membrane, suggesting that the peptide accumulated on the bacterial surface (Fig. 2A). (See the plot profile in Fig. S2 in the supplemental material for a detailed analysis of the fluorescence distribution.) This distribution diverged from that observed in E. coli cells, where Bac7(1–35)-BY was homogeneously distributed between the cytoplasm and the membranes (Fig. 2C).
FIG 2
FIG 2 Evaluation of peptide internalization and localization into bacterial cells. (A to C) Confocal microscopy images of PAO1 (A), PAO1(psbmA1) (B), and E. coli ATCC 25922 (C) treated with Bac7(1–35)-BY for 30 min. P. aeruginosa and E. coli cells have been exposed to 1 μM and 0.25 μM peptide, respectively. All images are representative sections from the middle of the bacterial cell. Many fields were examined, and for each experiment, over 95% of the cells displayed the pattern of the respective representative cell shown here. (D to G) Mean fluorescence intensity (MFI) of PAO1 (D), PAO1(psbmA1) (E), E. coli ATCC 25922 (F), and PA05, PA21, and PA35 (G) cells exposed to Bac7(1–35)-BY. Bacterial cells (1 × 106 CFU/ml) were incubated with the peptide for 30 min, extensively washed, and analyzed by flow cytometry after (gray histograms) or without (white histograms) incubation with 1 mg/ml TB for 10 min at 37°C. Data are expressed as the average MFI with standard deviation from three independent experiments. *, P < 0.05, and **, P ≤ 0.005, versus the TB-untreated sample (Student-Newman-Keuls multiple comparisons test, ANOVA).
We also investigated the level of Bac7(1–35)-BY internalization by cytometric analyses. After treatment with the peptide at different times, the PAO1 cells were analyzed with or without the presence of trypan blue (TB) to evaluate the aliquot of the extracellularly accessible BODIPY dye by fluorescence quenching. Data confirmed the partial intracellular localization of Bac7(1–35)-BY, even though the high level of quenching (>60%) was consistent with a high exposition of the peptide on the cell surface (Fig. 2D). In contrast, fluorescence of Bac7(1–35)-BY was not quenched at all in E. coli cells (<10%) treated under the same conditions (Fig. 2F), according to its known intracellular localization (22). Internalization of Bac7(1–35)-BY was also evaluated in PA35, PA05, and PA21 strains (Table 1). These strains showed very different levels of fluorescence and quenching in the presence of TB (Fig. 2G) at different peptide concentrations, and the absence of any correlation between the level of fluorescence of each strain and the relative susceptibility to Bac7(1–35).
Overall the confocal and cytometric data concur to indicate that Bac7 is mainly localized on the cell surface in P. aeruginosa strains instead of reaching the cytoplasm, and this unusual localization for a proline-rich peptide could boost its membranolytic activity.

Heterologous expression of SbmA in P. aeruginosa PAO1.

A primary role of the membrane protein SbmA in the internalization of proline-rich peptides has clearly been described in E. coli and Sinorhizobium meliloti (23, 24). However, a gene homologous to sbmA is lacking in P. aeruginosa genome. For this reason, we investigated the possibility that the E. coli SbmA protein could be functional in P. aeruginosa and could affect the activity of proline-rich peptides. To this aim, the E. coli sbmA gene was cloned into an IncP wide-host-range plasmid and introduced into PAO1 cells by triparental mating to yield the PAO1(psbmA1) strain. PAO1(psbmA1) expressed constitutively the protein at a similar level to that observed in E. coli (Fig. 3). Its susceptibility toward different peptides was tested, including both PR-AMPs, such as the mammal-derived Bac7(1–35) and Bac5(1–31) and the insect-derived oncocin 112 and apidaecin 137, as well as to the unrelated lytic α-helical BMAP27(1–18) and cyclic polymyxin B AMPs.
FIG 3
FIG 3 Expression of the E. coli SbmA protein in P. aeruginosa PAO1. (A and B) Western blot analysis of SbmA in (A) a total lysate of E. coli SC122 cells and in (B) total lysates of P. aeruginosa PAO1 cells (lane 2) and P. aeruginosa PAO1(psbmA1) cells (lane 3). A purified recombinant E. coli SbmA protein was also added (lane 1). Western blot analyses were performed by using a polyclonal anti-SbmA antibody.
Data clearly indicated that the expression of SbmA in PAO1 increased specifically the susceptibility to proline-rich peptides, with MIC values decreased 2- to 4-fold for both Bac7(1–35) and oncocin 112, but not for the unrelated BMAP27(1–18) and polymyxin B peptides (Table 2). The sensitivities of the two strains to AMPs were also tested by growth inhibition assay. Growth of the SbmA-expressing strain PAO1(psbmA1) was more inhibited than that of the wild-type strain by all of the proline-rich peptides, including apidaecin 137 and Bac5(1–31) (Fig. 4). On the contrary, the extent of inhibition was unchanged by BMAP27(1–18) and polymyxin B (Fig. 4), thus underlining that the expression of SbmA did not affect the activity of all of the AMPs but specifically of the proline-rich family.
TABLE 2
TABLE 2 Antimicrobial activities of different proline-rich and lytic peptides against P. aeruginosa expressing E. coli SbmA
StrainMIC (μM)a
Bac7(1–35)Bac5(1–31)Apidaecin 137Oncocin 112BMAP27(1–18)Polymyxin B
PAO18>64>64>6481
PAO1(psbmA1)2–464>648–1681
a
MIC was defined as the lowest concentration of peptide that prevented visible growth of bacteria after incubation for 20 h at 37°C. MIC values are representative of three independent experiments with comparable results.
FIG 4
FIG 4 Growth kinetics of P. aeruginosa PAO1 and PAO1(psbmA1) in the presence of different proline-rich and lytic peptides. Bacterial suspensions (1 × 106 cells/ml) of PAO1 (solid lines) and PAO1(psbmA1) (dashed lines) were grown for 4 h in the presence of 1/16 MIC of peptides Bac7(1–35) (1 μM), Bac5(1–31) (4 μM), oncocin 112 (Onc112 [4 μM]), or apidaecin 137 (Api137 [4 μM]) or with 1/16 the MIC of BMAP27(1–18) (0.5 μM) or 1/4 the MIC of polymyxin B (0.25 μM), and the absorbance (Abs) at 620 nm was measured every 10 min. The results are means ± standard deviations from three independent experiments. As a control, the growth kinetics of the PAO1 strain carrying empty pMP220 plasmid in the presence of Bac7(1–35) were also assessed and gave similar results to those obtained with the wild-type PAO1 strain (data not shown).
Localization of Bac7(1–35)-BY was examined in PAO1(psbmA1) cells. The peptide appeared distributed into the cytoplasm and was less visible on the surface of the cells than in the wild-type strain (Fig. 2B [see the relative plot profile in Fig. S2]). In addition, it is worth noting that the fraction of the internalized peptide in PAO1(psbmA1) increased, as suggested by the lower level of quenching (∼35%), in comparison to the wild-type strain (∼60% of reduction), and the unchanged level of fluorescence intensity of the cells (Fig. 2D). These results indicate that in SbmA-expressing P. aeruginosa cells the uptake of Bac7(1–35) is enhanced lowering the amount of peptide located on the cell surface.
We also evaluated the kinetics of permeabilization due to different concentrations of Bac7(1–35) when SbmA is expressed in P. aeruginosa cells (Fig. 5). Interestingly, a decrease of nearly 50% of permeabilized cells was observed in the PAO1(psbmA1) strain with respect to the wild-type strain (Fig. 5B). Conversely, BMAP27(1–18) permeabilized both strains to the same extent (see Fig. 1A and 5A), indicating that the protective effect of SbmA on the membrane permeabilization is specific for proline-rich peptides.
FIG 5
FIG 5 Evaluation of membrane permeabilization of the SbmA-expressing P. aeruginosa strain by Bac7(1–35). (A) Permeabilization kinetics of PAO1(psbmA1) cells in the presence of Bac7(1–35) at different concentrations. (B) Comparison between membrane permeabilization of PAO1 (light gray histograms) and PAO1(psbmA1) (dark gray histograms) cells after 60 min of incubation with Bac7(1–35). The assay was performed on 1 × 106/ml cells in MH broth, and the membrane permeabilization has been reported as percentages of PI-positive cells. Data are means from four independent experiments. The dashed line in panel A (noted by § below the panel) represents the permeabilization kinetics using the peptide BMAP27(1–18) as a control.**, P < 0.005, and ***, P < 0.0005, versus the PAO1 strain (Student-Newman-Keuls multiple comparisons test, ANOVA).

DISCUSSION

P. aeruginosa infections represent an urgent and worldwide health problem that needs to be addressed through the development of new therapeutic agents. PR-AMPs such as Bac7(1–35) and optimized apidaecins have been proved to be active against several strains of this opportunistic pathogen (19, 25). Here we showed that it is active also against P. aeruginosa strains isolated from CF patients, and it acts through a complex mechanism that involves membranolytic activity.
Hosts and pathogens can coexist in CF for years, leading to genotypes of the P. aeruginosa strains present in CF infections that differ from those of wild-type P. aeruginosa (26). These strains are characterized by high mutation rates in vivo that are linked to the evolution of antibiotic resistance (27). It is worth noting that Bac7(1–35) possesses good antimicrobial activity against almost half of these CF strains that are resistant to at least three groups of antibiotics. Despite their genotypes not having been characterized yet, this result indicates that mutations that are responsible for the resistance to the currently used antibiotics could not lead to resistance to this peptide, suggesting it has a different mode of action.
The mechanism of action of PR-AMPs, such as Bac7 and other proline-rich peptides, has previously been well depicted in E. coli and Salmonella enterica serovar Typhimurium (22, 28). PR-AMPs cross the plasma membrane, exploiting the inner membrane protein SbmA (23, 29), and enter the cytoplasm, where they inhibit vital functions such as protein synthesis (12). Bac7(1–35) and other PR-AMPs have also shown membranolytic activity in E. coli and S. Typhimurium, but only at much higher concentrations than their MIC values (16- to 64-fold); however, lytic effects due to PR-AMPs occur over longer times than those observed by most AMPs with lytic activity (30). For this reason, membrane damage has been described as a secondary effect at killing concentrations (30). No other species have been studied in details in relation to the killing mechanism.
Here we show that this peptide affects P. aeruginosa strains by a different mechanism. P. aeruginosa strains are susceptible to Bac7(1–35) at micromolar concentrations despite the fact they do not have a gene homologue to SbmA or other PR-AMPs' known transporters. This apparent discrepancy can be explained by the fact that killing mechanism of Bac7(1–35) against P. aeruginosa relies mainly on membrane permeabilization occurring at the MIC and that this effect on membrane integrity is responsible for the bacterial cell death. Fifty percent of PAO1 cells are permeabilized within 30 min of incubation with the peptide, a value that is not so different from that observed for canonical lytic AMPs. On the contrary, less than 5% of E. coli and S. enterica serovar Typhimurium cells are permeabilized within the same time period with Bac7(1–35) used at near MICs (22, 31). Moreover, the temporal correlation between membrane damage and cellular death here evidenced for Bac7(1–35) against PAO1 cells is a typical feature of the activity of membranolytic peptides.
Significant fluorescence quenching has been observed in the peptide-treated P. aeruginosa strains, a feature that has never been observed previously in E. coli or S. enterica serovar Typhimurium cells (22, 31), where the internalization of the peptide is very efficient. These data are consistent with an extracellular localization of the peptide, and this observation is strengthened also by the images obtained by confocal microscopy showing the localization of most of the peptide on the bacterial surface, possibly on the membranes. Again these results suggest that the killing of P. aeruginosa cells is due to a membrane-related event rather than to inhibition of an internal target.
By cytometric analysis, we observed an intense fluorescence in peptide-treated P. aeruginosa strains, with marked difference among the strains, but always higher than that detected on the susceptible E. coli strains analyzed under the same conditions. P. aeruginosa produces at least three exopolysaccharides, namely, alginate, Psl, and Pel (32, 33), which could influence the binding of Bac7(1–35) to the surface of the cells. Alginate is produced by a subset of strains that are often isolated from lungs of chronically colonized CF patients, and its overproduction is responsible for the mucoid phenotype of P. aeruginosa strains (32). Psl and Pel are often associated with nonmucoid strains and are necessary for biofilm formation (34). The anionic alginate could interact electrostatically with Bac7(1–35) enhancing the binding of the peptide, while the cationic Pel could repulse it (35). In this respect, it has been shown that alginate in solution inhibits the antimicrobial activity of structurally different peptides, including Bac7(1–35) (36). We do not know whether the strains analyzed in this study express one of these biopolymers; however, we found that the amount of peptide bound to each strain is nonpredictive of the antibacterial activity. It is worth noting that PA21 is the less susceptible strain and at the same time binds to Bac7(1–35) very efficiently (Fig. 2G). On the contrary, PA35 showing the highest level of peptide-derived fluorescence is also the more susceptible to Bac7(1–35). Further studies will be necessary to understand this complex relationship between different binding ability and bacterial killing capacity.
When a copy of the E. colisbmA gene was introduced into the PAO1 cells, we found that the level of expression of the SbmA protein in P. aeruginosa was comparable to that in E. coli, allowing a direct comparison of the effects of SbmA expression on the susceptibility to the peptide. The presence of a functional SbmA transporter made P. aeruginosa cells more susceptible to different proline-rich peptides of both mammalian and insect origins. In addition, the decreased level of fluorescence quenching in the strain expressing SbmA and the confocal microscopy images are consistent with a more efficient SbmA-mediated internalization of Bac7(1–35).
Our results show that the sbmA gene can be efficiently expressed in P. aeruginosa, resulting in functional transport, and confirm that the SbmA protein is a stand-alone transporter that does not need other subunits to translocate proline-rich peptides across the membrane (29).
Previously an heterologous expression of SbmA was achieved in Sinorhizobium meliloti, an alphaproteobacterium symbiotic with leguminous plants, showing that SbmA is functionally interchangeable with its homolog BacA of S. meliloti (24). BacA is essential for bacteroid development (37), and it has been proposed to protect bacteria from host-derived NCR peptides during the instauration of symbiosis (38). BacA is thought to reduce the extent of cytoplasmic membrane damage due to nodule-specific cysteine-rich (NCR) peptides, possibly by mediating their uptake into the cytoplasm, thus reducing their local concentration at the membrane level. The BacA homolog SbmA could have a similar effect when expressed in P. aeruginosa cells. That the percentage of PI-positive cells in bacteria expressing SbmA was significantly lower than that in the wild-type PAO1 cells suggests that expressed SbmA could decrease the amount of surface-bound Bac7(1–35) by mediating its internalization into the cytoplasm and reducing the damaging effect onto the bacterial cell membrane.
Overall, these results indicate that a peptide antibiotic such as Bac7(1–35) has a complex and variable mode of action, where membranolytic effects and intracellular activity may participate both in bacterial killing in different proportions according to the different bacterial species and also different strains. Otvos et al. also demonstrated that slight changes in amino acid composition of the nonlytic PR-AMP pyrrhocoricin resulted in derivatives with an altered mode of action. It was shown that the dimeric pyrrhocoricin derivative Pip-pyrr-MeArg (39) and also the mixed pyrrhocoricin-drosocin dimer (40) kill bacteria better than the native proline-rich peptide due to improved activity on bacterial membranes (39).
In conclusion, we have shown that the proline-rich peptide Bac7(1–35) has the ability to kill P. aeruginosa CF clinical isolates switching from a mode of action mainly based on intracellular activity, as observed in E. coli and S. enterica, to a mechanism mainly based on membrane damage, as shown here against P. aeruginosa strains. Therefore, we showed that Bac7(1–35) and possibly other PR-AMPs are capable of inhibiting bacteria via a multimodal mechanism, which could be varied depending on the nature of the target bacteria, the composition of their cellular membrane, and the presence of suitable transmembrane transporters. In this respect, the presence of SbmA/BacA plays the role of a “switch” allowing or not the internalization of the peptide and hence changing the peptide effects. These features point out the potential of Bac7(1–35) as an antibiotic molecule, since its multimodal mode of action makes the development of resistance in bacteria a more difficult and slow process.

MATERIALS AND METHODS

Antimicrobial peptides.

Bac7(1–35) and its BODIPY fluorescently labeled derivative [Bac7(1–35)-BY] were prepared as previously described (14). Bac5(1–31) and BMAP27(1–18) were chemically synthesized as previously described (41). Apidaecin 137 and oncocin 112 were generously provided by Ralf Hoffmann (13, 42).

Bacterial strains and growth conditions.

The bacteria used in this study were multidrug-resistant P. aeruginosa strains (PA03, PA05, PA07, PA08, PA09, PA10, PA14, PA21, PA22, PA31, PA33, PA35, and PA36) isolated from the respiratory tract of CF patients at the Bambino Gesù Pediatric Hospital of Rome (21). Each CF isolate, except PA21 and PA31, was resistant to at least three of the following groups of antibiotics (defined as multidrug resistant [MDR]): β-lactams with or without β-lactamase inhibitor, aminoglycosides, fluoroquinolones, folate pathway inhibitors (trimethoprim-sulfamethoxazole), tetracyclines, and macrolides. As reference strains, Pseudomonas aeruginosa PAO1 and Escherichia coli ATCC 25922 were used. The PAO1(psbmA1) strain was prepared in this study as described below. The inoculum was incubated overnight at 37°C with shaking in Mueller-Hinton broth (MHB) supplemented with 300 μg/ml of tetracycline only for the PAO1(psbmA1) strain. For the assays, the overnight bacterial cultures were diluted 1:30 in fresh MHB and incubated at 37°C with shaking for approximately 2 h.
The E. coli sbmA gene, including 187 bp of the promoter region, was obtained from the pMAU1 plasmid (23) and inserted into the broad-host-range pMP220 plasmid (43). The resulting plasmid, psbmA1, was mobilized from E. coli into P. aeruginosa PAO1 via triparental mating with the helper strain of E. coli (pRK2013) (44). Transconjugants were then selected on LB agar in the presence of 300 μg/ml tetracycline, 100 μg/ml ampicillin, and 25 μg/ml nalidixic acid. The presence of the plasmid and expression of SbmA were verified by PCR and Western blotting, respectively.

Evaluation of the antimicrobial activity of peptides.

MIC determinations were carried out in MHB on mid-log-phase bacteria (1 × 105 to 5 × 105 CFU/ml) as previously described (19). The MIC was taken as the lowest concentration of antimicrobial peptide resulting in the complete inhibition of visible growth after 20 h of incubation at 37°C. The minimum bactericidal concentration (MBC) was determined by spreading 25 μl of the bacterial suspension in the wells corresponding to the MIC or 2- and 4-fold the MIC onto MHB agar plates and by counting the viable colonies after 24 h. The MBC was taken as the lowest concentration resulting in killing of at least 99.99% of the original inoculum.
The bacterial growth curves were obtained using mid-log-phase bacteria at 1 × 106 CFU/ml in MHB, in the presence of increasing peptide concentrations, monitoring the optical density at 620 nm at 37°C every 10 min for 4 h in a microplate reader with intermittent shaking (Tecan Trading AG, Switzerland).
The bactericidal activity was determined using a mid-logarithmic-phase bacteria suspension, diluted in fresh MHB to a final concentration of 1 × 106 CFU/ml, and incubated at 37°C with different peptide concentrations. After a 2-h incubation, samples were removed, diluted in phosphate-buffered saline (PBS), plated on Mueller-Hinton agar, and incubated overnight to allow the colony counts.
Data are expressed as means ± standard deviation (SD). Significance was evaluated by an analysis of variance (ANOVA) between groups with a Tukey-Kramer posttest. P values of <0.05 were considered statistically significant.

Flow cytometric analysis.

The flow cytometric assays were performed with a Cytomics FC 500 instrument (Beckman-Coulter, Inc., Fullerton, CA), as described previously (14, 22). Integrity of bacterial cell membrane was assessed by measuring the propidium iodide (PI) uptake by flow cytometry, as previously described (30). Briefly, mid-log-phase bacterial cultures, diluted at 1 × 106 CFU/ml in MHB, were incubated at 37°C for different times with increasing concentrations of Bac7(1–35). PI was added to all samples at a final concentration of 10 μg/ml. At the end of the incubation, the bacterial cells were analyzed by flow cytometry.
For the uptake evaluation, cultures of mid-log-phase bacteria, diluted to 1 × 106 CFU/ml in MHB, were incubated at 37°C for different times with different concentrations of peptide and analyzed as extensively described (14, 22).
Data analysis was performed with the FCS Express3 software (De Novo Software, Los Angeles, CA). Data are expressed as means ± SD. Significance of differences among groups was assessed by using the program Instat (GraphPad Software, Inc.) and performed by an ANOVA followed by the Student Newman-Keuls posttest. P values of <0.05 were considered statistically significant.

CSLM.

Confocal scanning laser microscopy (CSLM) analyses were performed by using a Nikon C1-SI confocal microscope, as described previously (14, 22). P. aeruginosa PAO1, PAO1(psbmA1), and E. coli ATCC 25922 cells treated for 30 min with 1 μM (P. aeruginosa strains) or 0.25 μM (E. coli strain) Bac7(1–35)-BY were prepared following the same protocol used for the flow cytometric assay (described above) without any fixation. Briefly, after the incubation with the peptides, the cells were washed three times with buffered high-salt solution, and 10 μl of each bacterial suspension was placed between two cover glasses to obtain an unmovable monolayer of cells. The image stacks collected by CSLM were analyzed with the EZ-C1 Free Viewer (Nikon Corporation) and the Image J 1.40g (Wayne Resband, National Institutes of Health, USA) software. Images were then deconvolved using Huygens software with the classical CMLE algorithm.

Protein analysis.

Total protein lysates were prepared starting from 10 ml of mid-log-phase bacteria that were pelleted in a 2-ml tube by centrifugation at 8,000 × g for 5 min and resuspended in the appropriate volume of sample buffer (3% SDS [wt/vol], 0.1 M dithiothreitol [DTT], 7.5% glycerol [wt/vol], and 0.0125% bromophenol blue in 0.125 M Tris-HCl [pH 6.8]) in order to normalize the concentration of cells per milliliter. Bacteria were lysed by freezing them at −20°C, sonication for 10 s at 35 kHz, and heating at 80°C for 10 min. Proteins were separated by SDS-PAGE, transferred to a nitrocellulose membrane, and detected as previously reported. Purified recombinant SbmA (29) was loaded as a control.

ACKNOWLEDGMENTS

The CF clinical isolates are a generous gift of IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, and have been generously provided by E. Fiscarelli. We thank R. Hoffmann for the insect-derived proline-rich peptides (oncocin and apidaecin) and G. Baj for technical assistance with confocal microscopy.
This study was supported by Fondazione per la Ricerca sulla Fibrosi Cistica-Onlus, Verona, Italy (FFC project 14#2014), and by the University of Trieste (FRA2014).

Supplemental Material

File (zac004176057s1.pdf)
ASM does not own the copyrights to Supplemental Material that may be linked to, or accessed through, an article. The authors have granted ASM a non-exclusive, world-wide license to publish the Supplemental Material files. Please contact the corresponding author directly for reuse.

REFERENCES

1.
Peters BM, Shirtliff ME, and Jabra-Rizk MA. 2010. Antimicrobial peptides: primeval molecules or future drugs?PLoS Pathog6:e1001067.
2.
Nguyen LT, Haney EF, and Vogel HJ. 2011. The expanding scope of antimicrobial peptide structures and their modes of action. Trends Biotechnol29:464–472.
3.
Nicolas P. 2009. Multifunctional host defense peptides: intracellular-targeting antimicrobial peptides. FEBS J276:6483–6496.
4.
Scocchi M, Mardirossian M, Runti G, and Benincasa M. 2016. Non-membrane permeabilizing modes of action of antimicrobial peptides on bacteria. Curr Top Med Chem16:76–88.
5.
Li W, Tailhades J, O'Brien-Simpson NM, Separovic F, Otvos L Jr, Hossain MA, and Wade JD. 2014. Proline-rich antimicrobial peptides: potential therapeutics against antibiotic-resistant bacteria. Amino Acids46:2287–2294.
6.
Scocchi M, Tossi A, and Gennaro R. 2011. Proline-rich antimicrobial peptides: converging to a non-lytic mechanism of action. Cell Mol Life Sci68:2317–2330.
7.
Zanetti M, Gennaro R, Scocchi M, and Skerlavaj B. 2000. Structure and biology of cathelicidins. Adv Exp Med Biol479:203–218.
8.
Cudic M and Otvos L Jr. 2002. Intracellular targets of antibacterial peptides. Curr Drug Targets3:101–106.
9.
Krizsan A, Prahl C, Goldbach T, Knappe D, and Hoffmann R. 2015. Short proline-rich antimicrobial peptides inhibit either the bacterial 70S ribosome or the assembly of its large 50S subunit. Chembiochem16:2304–2308.
10.
Roy RN, Lomakin IB, Gagnon MG, and Steitz TA. 2015. The mechanism of inhibition of protein synthesis by the proline-rich peptide oncocin. Nat Struct Mol Biol22:466–469.
11.
Seefeldt AC, Nguyen F, Antunes S, Pérébaskine N, Graf M, Arenz S, Inampudi KK, Douat C, Guichard G, Wilson DN, and Innis CA. 2015. The proline-rich antimicrobial peptide Onc112 inhibits translation by blocking and destabilizing the initiation complex. Nat Struct Mol Biol22:470–475.
12.
Mardirossian M, Grzela R, Giglione C, Meinnel T, Gennaro R, Mergaert P, and Scocchi M. 2014. The host antimicrobial peptide Bac71-35 binds to bacterial ribosomal proteins and inhibits protein synthesis. Chem Biol21:1639–1647.
13.
Krizsan A, Knappe D, and Hoffmann R. 2015. Influence of the yjiL-mdtM gene cluster on the antibacterial activity of proline-rich antimicrobial peptides overcoming Escherichia coli resistance induced by the missing SbmA transporter system. Antimicrob Agents Chemother59:5992–5998.
14.
Guida F, Benincasa M, Zahariev S, Scocchi M, Berti F, Gennaro R, and Tossi A. 2015. Effect of size and N-terminal residue characteristics on bacterial cell penetration and antibacterial activity of the proline-rich peptide Bac7. J Med Chem58:1195–1204.
15.
Hidron AI, Edwards JR, Patel J, Horan TC, Sievert DM, Pollock DA, and Fridkin SK, National Healthcare Safety Network Team Participating National Healthcare Safety Network Facilities. 2008. NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006–2007. Infect Control Hosp Epidemiol29:996–1011.
16.
Lyczak JB, Cannon CL, and Pier GB. 2000. Establishment of Pseudomonas aeruginosa infection: lessons from a versatile opportunist. Microbes Infect Inst Pasteur2:1051–1060.
17.
Jones ME, Draghi DC, Thornsberry C, Karlowsky JA, Sahm DF, and Wenzel RP. 2004. Emerging resistance among bacterial pathogens in the intensive care unit—a European and North American Surveillance study (2000–2002). Ann Clin Microbiol Antimicrob3:1.
18.
Gellatly SL and Hancock REW. 2013. Pseudomonas aeruginosa: new insights into pathogenesis and host defenses. Pathog Dis67:159–173.
19.
Benincasa M, Scocchi M, Podda E, Skerlavaj B, Dolzani L, and Gennaro R. 2004. Antimicrobial activity of Bac7 fragments against drug-resistant clinical isolates. Peptides25:2055–2061.
20.
Cassone M, Vogiatzi P, La Montagna R, De Olivier Inacio V, Cudic P, Wade JD, and Otvos L Jr. 2008. Scope and limitations of the designer proline-rich antibacterial peptide dimer, A3-APO, alone or in synergy with conventional antibiotics. Peptides29:1878–1886.
21.
Pompilio A, Scocchi M, Pomponio S, Guida F, Di Primio A, Fiscarelli E, Gennaro R, and Di Bonaventura G. 2011. Antibacterial and anti-biofilm effects of cathelicidin peptides against pathogens isolated from cystic fibrosis patients. Peptides32:1807–1814.
22.
Benincasa M, Pacor S, Gennaro R, and Scocchi M. 2009. Rapid and reliable detection of antimicrobial peptide penetration into Gram-negative bacteria based on fluorescence quenching. Antimicrob Agents Chemother53:3501–3504.
23.
Mattiuzzo M, Bandiera A, Gennaro R, Benincasa M, Pacor S, Antcheva N, and Scocchi M. 2007. Role of the Escherichia coli SbmA in the antimicrobial activity of proline-rich peptides. Mol Microbiol66:151–163.
24.
Marlow VL, Haag AF, Kobayashi H, Fletcher V, Scocchi M, Walker GC, and Ferguson GP. 2009. Essential role for the BacA protein in the uptake of a truncated eukaryotic peptide in Sinorhizobium meliloti. J Bacteriol191:1519–1527.
25.
Bluhm MEC, Knappe D, and Hoffmann R. 2015. Structure-activity relationship study using peptide arrays to optimize Api137 for an increased antimicrobial activity against Pseudomonas aeruginosa. Eur J Med Chem103:574–582.
26.
Smith EE, Buckley DG, Wu Z, Saenphimmachak C, Hoffman LR, D'Argenio DA, Miller SI, Ramsey BW, Speert DP, Moskowitz SM, Burns JL, Kaul R, and Olson MV. 2006. Genetic adaptation by Pseudomonas aeruginosa to the airways of cystic fibrosis patients. Proc Natl Acad Sci U S A103:8487–8492.
27.
Oliver A, Cantón R, Campo P, Baquero F, and Blázquez J. 2000. High frequency of hypermutable Pseudomonas aeruginosa in cystic fibrosis lung infection. Science288:1251–1253.
28.
Szabo D, Ostorhazi E, Binas A, Rozgonyi F, Kocsis B, Cassone M, Wade JD, Nolte O, and Otvos L Jr. 2010. The designer proline-rich antibacterial peptide A3-APO is effective against systemic Escherichia coli infections in different mouse models. Int J Antimicrob Agents35:357–361.
29.
Runti G, Lopez Ruiz MC, Stoilova T, Hussain R, Jennions M, Choudhury HG, Benincasa M, Gennaro R, Beis K, and Scocchi M. 2013. Functional characterization of SbmA, a bacterial inner membrane transporter required for importing the antimicrobial peptide Bac7(1-35). J Bacteriol195:5343–5351.
30.
Podda E, Benincasa M, Pacor S, Micali F, Mattiuzzo M, Gennaro R, and Scocchi M. 2006. Dual mode of action of Bac7, a proline-rich antibacterial peptide. Biochim Biophys Acta1760:1732–1740.
31.
Benincasa M, Zahariev S, Pelillo C, Milan A, Gennaro R, and Scocchi M. 2015. PEGylation of the peptide Bac7(1-35) reduces renal clearance while retaining antibacterial activity and bacterial cell penetration capacity. Eur J Med Chem95:210–219.
32.
Ryder C, Byrd M, and Wozniak DJ. 2007. Role of polysaccharides in Pseudomonas aeruginosa biofilm development. Curr Opin Microbiol10:644–648.
33.
Frank DW. 2012. Research topic on Pseudomonas aeruginosa, biology, genetics, and host-pathogen interactions. Front Microbiol3:20.
34.
Colvin KM, Irie Y, Tart CS, Urbano R, Whitney JC, Ryder C, Howell PL, Wozniak DJ, and Parsek MR. 2012. The Pel and Psl polysaccharides provide Pseudomonas aeruginosa structural redundancy within the biofilm matrix. Environ Microbiol14:1913–1928.
35.
Jennings LK, Storek KM, Ledvina HE, Coulon C, Marmont LS, Sadovskaya I, Secor PR, Tseng BS, Scian M, Filloux A, Wozniak DJ, Howell PL, and Parsek MR. 2015. Pel is a cationic exopolysaccharide that cross-links extracellular DNA in the Pseudomonas aeruginosa biofilm matrix. Proc Natl Acad Sci U S A112:11353–11358.
36.
Benincasa M, Mattiuzzo M, Herasimenka Y, Cescutti P, Rizzo R, and Gennaro R. 2009. Activity of antimicrobial peptides in the presence of polysaccharides produced by pulmonary pathogens. J Pept Sci15:595–600.
37.
Glazebrook J, Ichige A, and Walker GC. 1993. A Rhizobium meliloti homolog of the Escherichia coli peptide-antibiotic transport protein SbmA is essential for bacteroid development. Genes Dev7:1485–1497.
38.
Haag AF, Baloban M, Sani M, Kerscher B, Pierre O, Farkas A, Longhi R, Boncompagni E, Hérouart D, Dall'Angelo S, Kondorosi E, Zanda M, Mergaert P, and Ferguson GP. 2011. Protection of Sinorhizobium against host cysteine-rich antimicrobial peptides is critical for symbiosis. PLoS Biol9:e1001169.
39.
Bower MA, Cudic M, Campbell W, Wade JD, and Otvos L Jr. 2003. Walking the fine line between intracellular and membrane activities of antibacterial peptides. Lett Pept Sci10:463–473.
40.
Otvos L, Snyder C, Condie B, Bulet P, and Wade JD. 2005. Chimeric antimicrobial peptides exhibit multiple modes of action. Int J Pept Res Ther11:29–42.
41.
Tomasinsig L, Benincasa M, Scocchi M, Skerlavaj B, Tossi A, Zanetti M, and Gennaro R. 2010. Role of cathelicidin peptides in bovine host defense and healing. Probiotics Antimicrob Proteins2:12–20.
42.
Berthold N, Czihal P, Fritsche S, Sauer U, Schiffer G, Knappe D, Alber G, and Hoffmann R. 2013. Novel apidaecin 1b analogs with superior serum stabilities for treatment of infections by Gram-negative pathogens. Antimicrob Agents Chemother57:402–409.
43.
Spaink HP, Okker RJ, Wijffelman CA, Pees E, and Lugtenberg BJ. 1987. Promoters in the nodulation region of the Rhizobium leguminosarum Sym plasmid pRL1JI. Plant Mol Biol9:27–39.
44.
Figurski DH and Helinski DR. 1979. Replication of an origin-containing derivative of plasmid RK2 dependent on a plasmid function provided in trans. Proc Natl Acad Sci U S A76:1648–1652.

Information & Contributors

Information

Published In

cover image Antimicrobial Agents and Chemotherapy
Antimicrobial Agents and Chemotherapy
Volume 61Number 4April 2017
eLocator: 10.1128/aac.01660-16

History

Received: 3 August 2016
Returned for modification: 30 September 2016
Accepted: 15 January 2017
Published online: 24 March 2017

Permissions

Request permissions for this article.

Keywords

  1. proline rich
  2. antimicrobial peptide
  3. Bac7
  4. cystic fibrosis isolate
  5. Pseudomonas aeruginosa
  6. mechanism of action

Contributors

Authors

Giulia Runti
Department of Life Sciences, University of Trieste, Trieste, Italy
Monica Benincasa
Department of Life Sciences, University of Trieste, Trieste, Italy
Grazia Giuffrida
Department of Life Sciences, University of Trieste, Trieste, Italy
Giulia Devescovi
Group of Bacteriology and Plant Bacteriology, International Centre for Genetic Engineering and Biotechnology, Trieste, Italy
Vittorio Venturi
Group of Bacteriology and Plant Bacteriology, International Centre for Genetic Engineering and Biotechnology, Trieste, Italy
Renato Gennaro
Department of Life Sciences, University of Trieste, Trieste, Italy
Marco Scocchi
Department of Life Sciences, University of Trieste, Trieste, Italy

Notes

Address correspondence to Marco Scocchi, [email protected].
G.R. and M.B. contributed equally to this article.

Metrics & Citations

Metrics

Note:

  • For recently published articles, the TOTAL download count will appear as zero until a new month starts.
  • There is a 3- to 4-day delay in article usage, so article usage will not appear immediately after publication.
  • Citation counts come from the Crossref Cited by service.

Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. For an editable text file, please select Medlars format which will download as a .txt file. Simply select your manager software from the list below and click Download.

View Options

Figures

Tables

Media

Share

Share

Share the article link

Share with email

Email a colleague

Share on social media

American Society for Microbiology ("ASM") is committed to maintaining your confidence and trust with respect to the information we collect from you on websites owned and operated by ASM ("ASM Web Sites") and other sources. This Privacy Policy sets forth the information we collect about you, how we use this information and the choices you have about how we use such information.
FIND OUT MORE about the privacy policy