TA Systems & Persistence Flashcards
What is bacterial antibiotic resistance?
- Inherited trait that allows a resistant bacterial strain to grow in the presence of a [specific antibiotic] > the minimal inhibitory concentration (MIC) compared to a susceptible strain
- Trait often carried on MGEs
- MGEs allow for DNA shuffling of antibiotic resistance genes among different bacterial species of clinical importance
- BAR via MGEs often allows for emergence of multidrug resistant bacteria = superbugs
What is Bacterial Antibiotic Tolerance?
- Homogenously displayed by the whole population and allows the pop to transiently survive antibiotic exposure
- Most common method of BAT = when entire bacterial pop is slow growing due to environmental limitations or a genetic alteration (auxotroph) = the pop becomes tolerant to a specific class of antibiotic because it requires actively growing/dividing cells, which they aren’t.
- Tolerant bacteria requires a longer exposure to the antibiotic to observe the same level of death as in susceptible strain
o Minimal duration of killing (MDK): MDK99 = min duration of antibiotic treatment required to kill 99% of bacterial pop
What is Bacterial Persistence?
- Found only in a fraction (1%) of population and are genetically indistinguishable from sensitive cells within the pop (don’t have a MGE or something that makes it resistant)
o Persisters are also often multitolerant - Transiently survive antibiotic treatment and will not influence the MIC or MDK
- Can be ‘spontaneous/stochastic persistence’ or ‘triggered/induced persistence’
- In ‘triggered/induced persistence’ conditions (starvation, oxidative stress, C source transition) DNA damage or antibiotics increase the frequency of persister cells in pop
- P cells can revert stochastically (randomly) or through environ conditions
- Upon exit, new pop can be formed when antibiotics are removed from environ
Will Bacterial Persisters influence the MIC or MDK?
No
How do persister cells escape antibiotic treatments?
- P cells don’t change genetics to escape antibiotic treatments – survive due to phenotypic bistability
o Persisters not resistant, considered phenotypic variants that are tolerant to antibiotics (same genetics, different phenotype) - Survival due to transition into ‘dormant’ state – & substantial reduction of growth rate & metabolism
o Most antibiotics kill growing cells -> dormant state protects these ones
Why does a bacterial population have Persister cells?
o Considered a bet-hedging strategy in which a subpop of clonal cells sacrifices fast proliferation to ensure survival of the pop in adverse conditions
What does stochastic mean?
Having a random probability distribution or pattern that may be analyzed statistically but may not be predicted precisely.
- i.e. within a pop there will always be persister cells but we can’t predict which they will be
How are persister cells formed?
- Induced: Occurs due to environmental challenge
- Stochastically: Subpop of cells are in a persistent state prior to environmental challenge
- Responsive Diversification: Stochastic cells adapt to growth under new conditions following environmental cues
Effect of antibiotic on Tolerant vs Persistent cells
a) Tolerant are slow growing so the number of cells in the pop is reduced but at much slower rate than wild type. Have different MDK99
b) Reduces at same speed as wild-type till only persistent are left. MDK99 are the same
What is a biofilm?
- Microbial pop growing on a surface where the cells are enclosed by extracellular matrix & exhibit multicellular-like behaviour
- Involved in 80% of human bacterial chronic inflammatory & infections diseases & are multidrug tolerant & resistant to host immune system
- Contain increased prevalence of persister cells which appear to be responsible for cause and recalcitrance of chronic infections
- Are protective habitats for persisters against antibiotics & the immune system
o Persisters remain viable and repopulate biofilms when the level of antibiotics drops and they can recolonize the host after antibiotic removal
How is a biofilm formed?
- Bacterial cells settle onto hard surface
- Cells proliferate & secrete adhesive extracellular polymer substances (EPS)
- Cells detach and spread biofilm to new locations
What is the resistance mechanism of a biofilm?
- Treatment kills surface cells
- Persister cells remain on surface, protected by EPS
a. EPS protects from immune system
b. Diffuse antibiotic, reducing its efficacy so some cells survive - Biofilm regrows
Periodic Antibiotic Treatment - Periodic doses of lethal cones. VS Constant sub inhibitory stress
- Constant subinhibitory stress (Enough to select for sensitive cells, but not kill them all) resulted in antibiotic-resistance mutants
- Periodic doses of lethal antibiotic concs select for high-persistence mutants rather than antibiotic resistance
o MUCH worse than antibiotic resistant mutants because it allows entire populations to regrow with higher concs of persister cells.
What is the basic concept of toxin-antitoxin systems?
- Requires a low [stable toxin] & a very high [unstable antitoxin]
- Antitoxin is unstable due to being target of host RNAses or proteases
- Toxin must attack specific host target to cause cell death
- Toxin neutralized by antitoxin & cell protected against action of toxin
- Cognate antitoxin is either a protein or a small RNA mol
- Antitoxin counteracts the toxin activity by acting as a direct inhibitor or by controlling toxin production
- Toxins within TA modules cause inhibition of cell growth by interfering with cellular processes (DNA replication, translation, cell division & ATP synthesis)
- Ensures that only cells with TA system will survive – depends on de novo synthesis of antitoxin for cell survival
What happens when a bacteria loses its TA system?
- When bacteria lose TA system = selectively killed because unstable antitoxin degraded faster than more stable toxin
What is a Type I TA System?
mRNA coding toxin | Antisense RNA antitoxin
Translation of toxin prevented by formation of RNA duplex between toxin mRNA & an antisense RNA antitoxin which is degraded by ribonucleases
What is a Type II TA System?
Protein toxin | Protein antitoxin: Interact directly
Both toxin & antitoxin are proteins which form a complex, inhibiting toxin activity and repressing transcription of the TA locus
What is a Type III TA System?
Protein toxin | Small RNA antitoxin
What is a Type IV TA System?
Protein toxin | Protein antitoxin : Don’t interact directly
What is a Type V TA System?
mRNA coding toxin | RNAse antitoxin
What is a Type VI TA System?
Protein toxin | Protein antitoxin: Interact directly
What is the role of TA systems in Plasmids?
- Many TAs found across numerous prokaryotic genomes in addition to plasmids & bacteriophages
- Plasmid TA systems showed to be involved in:
o Plasmid stabilization (maintenance) of low copy plasmids [Plasmid Addiction]:
• Plasmid not ‘lost’ from pop
• Allows plasmid to become reservoir of antibiotic resistance genes
o Plasmid stabilization (maintenance) of multidrug resistance under non-selective pressure:
• Maintain metabolic burden in bacterial cell in an antibiotic-free environ
o Bacterial Persistence
What is the role of TA systems in Bacterial Genomes?
- Chromosomal TA systems shown to be involved in:
- Bacterial persistence via responding to nutrient stress (stringent response) or DNA damage response to antibiotics
- Bacterial pathogenicity
- Stabilization of genomic islands (regions on chromosome that often contain virulence genes)
- Acting as anti-addiction modules
- Anti-phage mechanism
- Biofilm formation
- Development of fruiting body formation in Myxococcus Xanthus.
What is the role of TA systems in regulating Bacterial Persistence?
- TA modules were shown to be highly expressed in isolated persister cells of E. coli and Mycobacterium tuberculosis.
- The first persister gene – hipA – was later found to be part of the hipBA type II TA system
- Ectopic (abnormal, in this case = overexpression) expression of Type II toxins from TA modules increases persistence
- Deletion of hipBA TA system = ↓ no. persisters in biofilm, ↑ biofilm sensitivity to antibiotic treatment
- Deletion of a Type I TA system -> ↓persister cells + ↓sensitivity to antibiotic treatment
- Deletion of single TA modules often insufficient to yield a detectable persistence defect
o Persister formation & regrowth has functional redundancy due to multiple TA systems - Evidence that stringent response (nutrient starvation) & SOS response (DNA Damage) activate TA systems and thereby ↑bacterial persistence
Why is bacterial persistence as a phenotype very difficult to study?
Because there is such a small percentage of the population that displays it.
What is the current hypothesis surrounding the purpose of TA modules?
Reversible Stasis Model [They are bacterial metabolic stress managers]
= TA Modules are linked to the metabolic state of the cell & activated/deactivated in response to changes in that metabolic state
- TA toxins don’t kill cells but induce a reversible stasis to enable some cells to survive episodes of extreme nutritional stress or other environmental challenges
- When conditions improve, part of pop is capable of recovery & resumes normal cell physiology
- Consistent with this:
o TA modules extremely common in genomes of bacteria that are confronted with periodic changes in environ
o Are absent in organisms that live in constant environ – like obligate intracellular parasites
What is the Structural Organisation of the ccdAB Type II TA system?
- ccd operon [bicistronic = 1 promoter] encodes:
o ccdA – antitoxin
o ccdB – toxin, targets DNA Gyrase leading to cell death - ccdB is translationally coupled to ccdA
o Translational coupling = Shine-Dalgarno for ccdB sequestered in hairpin loop, so can only translate after ribosome unwinds hairpin after translation of ccdA
o Means that ccdA is always produced in excess to ccdB - ccdA-ccdB can interact to form a complex:
o This neutralizes the action of ccdB
o Can bind to ccd operator-promoter -> Transcriptional repression (default state of operon)
o ccdA is the DNA binding element of ccdA-ccdB complex - ccdA is degraded by the bacterial host Lon protease
What is the cellular action of DNA Gyrase?
- DNA Gyrase has subunits – GyrA subunit targeted by ccdB toxin
o Gyrases catalyses the ATP-dependant negative super-coiling of ds-closed-circular DNA
o Introduces transient dsDNA breaks & reseals it
o GyrA is the catalytic core