Revising the role of the pneumococcal vex-vncRS locus in vancomycin tolerance

J Bacteriol. 2004 Dec;186(24):8463-71. doi: 10.1128/JB.186.24.8463-8471.2004.

Abstract

Vancomycin is used increasingly to treat invasive infections caused by multidrug-resistant Streptococcus pneumoniae. Although no vancomycin-resistant strains have been isolated to date, tolerant strains that fail to die rapidly and that cause relapsing disease have been described. The vex123-pep27-vncRS locus, consisting of an ABC transporter, a presumed signaling peptide, and a two-component system, respectively, has been implicated in vancomycin tolerance. Recent findings, however, challenged this model. The data presented here indicate that erythromycin in the growth medium induces a vancomycin-tolerant phenotype and that loss of function of Pep27 or VncRS does not alter autolysis. However, a role for the ABC transporter encoded by the vex123 genes in tolerance was confirmed. A vex3 mutant was considerably more tolerant to vancomycin treatment than the wild-type strain T4, and the strength of the phenotype depended on the orientation of the resistance cassette used to construct the mutant. Microarray results suggested a number of genes that might be involved in tolerance in the vex3 mutant. Although the exact function and regulation of the vex123-pep27-vncRS locus remains to be determined, several factors influence the autolysis behavior of S. pneumoniae, including the bacterial capsule, erythromycin, and the lytA and vex3 gene products.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • ATP-Binding Cassette Transporters / genetics
  • ATP-Binding Cassette Transporters / metabolism
  • Adult
  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Autolysis
  • Bacterial Proteins / genetics
  • Bacterial Proteins / metabolism*
  • Colony Count, Microbial
  • Culture Media
  • Drug Tolerance / genetics*
  • Erythromycin / pharmacology
  • Gene Deletion
  • Gene Expression Regulation, Bacterial
  • Humans
  • Male
  • Mice
  • Microbial Sensitivity Tests
  • Oligonucleotide Array Sequence Analysis
  • Protein Kinases / genetics
  • Protein Kinases / metabolism
  • Streptococcus pneumoniae / drug effects*
  • Streptococcus pneumoniae / genetics
  • Streptococcus pneumoniae / growth & development
  • Transcription Factors / genetics
  • Transcription Factors / metabolism
  • Vancomycin / pharmacology*

Substances

  • ATP-Binding Cassette Transporters
  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Culture Media
  • Transcription Factors
  • VncR protein, Streptococcus pneumoniae
  • Erythromycin
  • Vancomycin
  • Protein Kinases
  • VncS histidine kinase