57
In silico identification of auxiliary genes
required for
-lactam resistance
Volumen 14 Número 1 - 2023
ABSTRACT
In silico idencaon of auxiliary genes required for
β-lactam resistance
(1) Carrera de Nutrición y Dietética. Escuela Superior Politécnica de Chimborazo, Riobamba, 060101, Ecuador.
* Correspondence to: igor.astudillo@espoch.edu.ec
Igor Eduardo Astudillo Skliarova ¹
igor.astudillo@espoch.edu.ec
Staphylococcus aureus is a type of bacteria commonly found on the skin and in the nasal passages of healthy
individuals. However, it can also cause a range of infecons in clinical sengs. One of the most concerning
aspects of S. aureus is its ability to develop anbioc resistance. Methicillin-resistant S. aureus (MRSA) is a strain
of the bacteria that is resistant to many anbiocs and can be dicult to treat. The primary mechanism of
methicillin resistance in MRSA is the presence of the mecA gene, which encodes for a modied penicillin-binding
protein known as PBP2a. This protein has a lower anity for beta-lactam anbiocs. Another gene, blaZ, is
also present in MRSA and encodes for a beta-lactamase enzyme that can hydrolyse and inacvate beta-lactam
anbiocs such as penicillin. In addion, there are several auxiliary factors that can contribute to beta-lactam
resistance. They can include eux pumps, enzymes that modify or degrade anbiocs, and bacterial cell wall
modicaons that reduce the anity of anbiocs for their targets. In this study, with the aid of the in silico
idencaon method, we idenfy the novel auxiliary factors aux1, aux2, aux4, aux11, aux14, aux16 and aux19.
Next, we show that aux2, aux4, aux11, aux14 are not directly involved in β-lactam resistance, but may contribute
through other mechanisms that decrease the ecacy of these anbiocs, whereas aux16 and aux19 are directly
associated with β-lactam and bacitracin resistance, respecvely. Understanding the various auxiliary factors that
contribute to beta-lactam resistance can help guide the development of new anbiocs and other therapeuc
strategies.
Keywords: auxiliary factors, Staphylococcus aureus, β-lactam anbioc, anbioc resistance, in silico
idencaon.
Facultad de
Salud Pública
Facultad de
Salud Pública
CSSN
La Ciencia al Servicio de la Salud y la Nutrición
REVISTA CIENTÍFICA DIGITAL
La Ciencia al Servicio de la Salud y la Nutrición
http://revistas.espoch.edu.ec/index.php/cssn
ISSN 1390-874X
BY
ARTÍCULOS ORIGINALES
1. INTRODUCTION
Staphylococcus aureus is a Gram-posive bacterium
that is commonly found on the skin and mucous
membranes of humans and other animals. It is a
leading cause of healthcare-associated infecons,
including bacteremia, sepsis, toxic shock syndrome,
and skin and so ssue infecons (1). Staphylococcus
aureus is able to acquire resistance to mulple
anbiocs, including methicillin, through the
acquision of anbioc resistance genes. This ability
to resist anbiocs has made it dicult to treat S.
aureus infecons and has led to the emergence
of methicillin-resistant S. aureus (MRSA). MRSA is
highly transmissible and can spread through contact
with infected persons or contaminated surfaces
and, therefore, it poses a major challenge to public
health and medical care (2).
Methicillin-resistant Staphylococcus aureus (MR SA)
is classied into three main types: healthcare-
associated (HA-MRSA), community-associated
(CA-MRSA) and livestock-associated (LA-MRSA)
(3). CA-MRSA strains are usually acquired in the
community and typically causes mild to moderate
skin and so ssue infecons, such as boils
and abscesses. One of the most important and
common CA-MRSA strains is MW2 (4).
MRSA strains possess the mecA gene, which
encodes the alternave penicillin-binding protein
PBP2A. This protein confers resistance to β-lactam
anbiocs by decreasing their ability to bind to
the cell wall. Addionally, some MRSA strains may
encode the beta-lactamase BlaZ, which hydrolyses
β-lactam anbiocs (5).
Although the presence of mecA is necessary
for the resistance to β-lactam anbiocs, it is
not sucient. Therefore, apart from mecA and
blaZ, many other genes involved in resistance to
β-lactam anbiocs have been idened and
iD
58
Igor Eduardo Astudillo Skliarova
http://revistas.espoch.edu.ec/index.php/cssn
named such as fem genes (factors essenal for
methicillin resistance) and aux genes (auxiliary
genes). Both of these factors are not related to
mecA gene (6). A list of currently known accessory
and auxiliary factors is presented on Table 1.
Auxiliary factors may aect the ability of
anbiocs to penetrate the bacterial cell wall or
alter the expression of resistance genes (28). One
such factor is the presence of eux pumps, which
are membrane proteins that can pump anbiocs
out of the bacterial cell. This can reduce the
concentraon of anbiocs inside the cell and
make it more dicult for the anbiocs to be
eecve (6). Another factor is the presence of
enzymes that can modify or degrade anbiocs.
Table 1: List of auxiliary factors.
For example, some bacteria produce beta-
lactamases that can hydrolyse and inacvate
beta-lactam anbiocs (29). Bacterial cell wall
modicaons, such as the addion of amino acids
or sugars to the pepdoglycan layer, can also
contribute to beta-lactam resistance by reducing
the anity of anbiocs for their targets (30).
Although the mechanisms of resistance to β-lactam
used by S. aureus have been studied for many
years, there are sll many unclear mechanisms.
Therefore, the aim of the present study is to
idenfy novel putave auxiliary factors genes
present in S. aureus using the in silico idencaon
method.
Gene Funcon
glmM
Phosphoglucosamine mutase: conversion of glucosamine-6-phosphate to glucosamine-1-phosphate dur-
ing the early stage of pepdoglycan synthesis (7).
glmS
Glucosamine-fructose-6-phosphate aminotransferase: conversion of D-fructose-6-phosphate to D-glu-
cosamine 6-phosphate (8).
murA Transferase: conversion of UDP-GlcNAc to UDP-GlcNAc-enoylpyruvate (9).
murB Reductase: conversion of UDP-GlcNAc-enoylpyruvate to UDP-MurNAc (9).
murC-F
Mur ligases: sequenal addion of the aminoacids L-Ala, D-Glu, L-Lys, and D-Ala-D-Ala to build the tetra-
pepde side chain (10).
glyS Glycine tRNA synthetase: provides a glycine substrate for the assembly of the pentaglycine bridge (11).
femX Pepdyltransferase: Incorporaon of the rst glycine of the pentaglycine bridge (12).
femA Pepdyltransferase: Incorporaon of the glycines 2 and 3 of the pentaglycine bridge (12).
femB Pepdyltransferase: Incorporaon of the glycines 4 and 5 of the pentaglycine bridge (12).
femC Glutamine synthetase repressor: Parcipates in the tetrapepde side chain amidaon (13).
gatD/murT Amidotransferase complex: amidaon of lipid II (14).
SAV1754 Probably funcons as a lipid II ippase during its translocaon to the outer leaet of the cell membrane (15).
sW Proposed lipid II ippase (16).
pbp1 PBP, possesses transpepdase acvity (17).
pbp2 Bifunconal PBP with transglycosylase and transpepdase domains (17).
pbp4 PBP, possesses transpepdase and carboxipepdase acvies (18).
prsA Probably required for posranscriponal maturaon of PBP2a (19).
fmtA Accessory PBP, possesses transpepdase acvity and has low anity to penicillin (20).
Llm (tarO)
Transferase: transfer of an N-acetylglucosamine-1-phosphate residue from UDP-N-acetylglucosamine to
undecaprenyl-phosphate to produce the WTA intermediate lipid α (21).
tarA Transferase: transfer of an N-acetylmannosamine residue to the lipid α to form the intermediate lipid β (21).
tarB Transferase: transfer of an sn-glycerol-3-phosphate unit to generate the intermediate lipid ϕ.1 (22).
tarD Cydylyltransferase: producon of CDP-glycerol for TarB during WTA synthesis (22).
tarL Cydylyltransferase: required for ribitol phosphate polymerisaon of WTA (22).
tarI CDP-ribitol synthase: Synthesis of CDP-ribitol for TarL during WTA synthesis (22).
tarS
ltaS
Glycosyltransferase: Addion of β-O-GlcNAc to the WTA (22).
LTA synthesis (23).
spsB Signal pepdase enzyme: posranscriponal regulaon of the protein LtaS (24).
pknB Eukaryote-like serine/threonine kinases: Associated with increased resistance to β-lactam anbiocs (25).
sigB Alternave sigma factor: Involved in β-lactam resistance (26).
vraSR
Two-component regulatory system: acvaon of specic genes required for anbioc resistance in re-
sponse to cell wall stress (27).
59
In silico identification of auxiliary genes
required for
-lactam resistance
Volumen 14 Número 1 - 2023
2. METHODOLOGY
In silico gene idencaon
The sequence of the genes of interest was
downloaded from the nucleode databases of the
Naonal Center for Biotechnology Informaon
(NCBI) (hp://www.ncbi.nlm.nih.gov/) and the
Kyoto Encyclopedia of Genes and Genomes
(KEGG) (hps://www.genome.jp/kegg/).
In silico protein characterisaon
With the aid of the programme protein-protein
BLAST (Basic Local Alignment Search Tool) (hp://
blast.ncbi.nlm.nih.gov/Blast.cgi?PAGE=Proteins),
the translated sequence of the genes was aligned
with the sequence of amino acids of already
known and studied proteins in order to predict
the funcon of the protein encoded by the gene
of interest. Several characteriscs of the protein
such as the isoelectric point (pI), molecular
weight (mW), co-localisaon with other genes,
the transmembrane helices, homology or
structure were predicted with the aid of the
online available programmes: Expert Protein
Analysis System (hps://www.expasy.org/),
DeepTMHMM (hp://www.cbs.dtu.dk/services/
TMHMM/) and Homology detecon & structure
predicon by HMM-HMM comparison (HHpred)
(hps://toolkit.tuebingen.mpg.de/tools/hhpred).
3. RESULTS
In 1999 the idencaon of 21 novel auxiliary
genes was reported in the Microbial Drug
Resistance journal (31). Unfortunately, aer
this, some of these genes have not been further
characterised and the funcon of many of these
auxiliary genes is sll unknown. In this study, we
decided to predict the funcon and properes of
the proteins encoded by uncharacterised genes
by using dierent bioinformacs tools.
The sequence data of the aux genes: aux1,
aux2, aux4, aux11, aux14, aux16 and aux19, was
retrieved with the aid of NCBI using the accession
numbers found in the afore-menoned report.
As these genes were discovered in S. aureus strain
COL. In order to predict the preliminary name
of the gene and the funcon of its product, the
amino acid sequence was aligned with homolog
sequences of other organisms using protein-
protein BLAST. This and other informaon related
to the protein were collected with the aid of the
following online available sowares: ExPaSy,
TMHMM Server v. 2.0 and HHpred. All the data
is shown in Table 2. Our results suggest that,
among all the genes described by De Lencastre
et al. in 1999 (31), aux16 and aux19 were directly
associated with anbioc resistance.
Table 2: Characteriscs of new auxiliary genes generated in the background of S. aureus strain MW2.
ND, not determined; ¹Paral sequence analysis; ²Metallo β-lactamase.
aux
gene
Accession
number
ORF
Putave
gene
Length
(aa)
pI/MW Stoichiometry Solubility Encoded protein Funcon
aux1 Y18639 1 prpC 247 5.10 / 28076 Monomer Soluble
Phosphorylated protein
phosphatase
Cellular regulaon
aux2 Y13639 388 pknB 664 5.76 / 74363 Monomer
Trans-
membrane
Protein kinase Cellular regulaon
aux4 Y18630 - ccpA 329 5.58 / 36060 Monomer Soluble Catabolite Control Protein A Transcriponal regulaon
aux11 Y18632 - lysA 421 5.58 / 47035 Homodimer Soluble
diaminopimelate decar-
boxylase
L-lysine biosynthesis
aux14 Y14324 271 - 303 5.64 / 34812 ND Soluble RNase adapter protein RapZ Cellular regulaon
aux16 AJ131754
1
1
cutD 540 8.93 / 60254 Homotrimer
Trans-
membrane
Osmoprotectant transporter
Choline and betaine/carnine
transporter
2 bla
MBL
2
228 5.68 / 26239 Monomer Soluble MBL
2
Resistance to broad range of
β-lactam resistance
4 gbsA 496 4.96 / 54623
Homotetra-
mer
Soluble
Betaine aldehyde dehydro-
genase
Glycine, serine and threonine
metabolism. Betaine biosynthesis
via choline pathway
5
1
betA 569 7.08 / 63624 Monomer Soluble Choline dehydrogenase
Glycine, serine and threonine
metabolism. Oxidaon of choline
to betaine aldehyde and betaine
aldehyde to glycine betaine
aux19 Y18641
1 vraD 252 7.03 / 27775 Monomer Soluble
Membrane transport and
signal transducon
ABC transporter. Also part of a
two component system. Associa-
ted to bacitracin
2
vraE
626 9.65 / 70105 Homotrimer
Trans-
membrane
Membrane transport and
signal transducon
ABC transporter. Also part of a
two component system. Associa-
ted to bacitracin resistance
60
Igor Eduardo Astudillo Skliarova
http://revistas.espoch.edu.ec/index.php/cssn
This suggests that all the three genes are involved in cellular regulaon. Moreover, a DeepTMHMM
analysis shows that aux2 is a transmembrane protein (Figure 1). The gene aux4 matched the catabolite
control protein a with 99.66% probability (Figure 1), which suggests that this gene is involved in
transcriponal regulaon. Finally, the gene aux11 matched the diaminopimelate decarboxylase gene
with 100% probability (Figure 1). Diaminopimelate decarboxylase is involved in L-lysine biosynthesis
(32).
The DNA sequences aux1, aux2, aux4 and aux14 are associated with regulaon mechanisms,
whereas aux11 is associated with biosynthec pathways.
The genes aux1, aux2 and aux14 matched respecvely the phosphorylated protein phosphatase with
100% probability, the protein kinase with 100% probability and RNase adapter protein RapZ with 100%
probability (Figure 1).
a
c
e
b
d
f
Figure 1: HHpred analysis of putave auxiliary factors aux1 (a), aux2 (b), aux4 (c), aux11 (d) and aux14 (e), and DeepTMHMM
analysis of aux2, showing the presence of a membrane-bound domain.
61
In silico identification of auxiliary genes
required for
-lactam resistance
Volumen 14 Número 1 - 2023
The DNA sequence aux19 was not directly associated with β-lactam resistance, but was associated
with bacitracin resistance.
The DNA sequence of aux19 comprises two ORFs. These ORFs were predicted to act as ABC transporters
and be part of a two component system (Table 2)(Figure 3). Although these ORFs were not predicted
a
c
b
d
e
Figure 2: HHpred analysis of the putave proteins associated with the putave auxiliary factor aux16: cutD (a), blaMBL
(b), gbsA (c) and betA (d), and DeepTMHMM analysis of putave protein cutD, showing the presence of membrane-bound
domains.
The DNA sequence aux16 could be associated with β-lactam resistance
The DNA sequence aux16 comprises 5 open reading frames (ORFs). Among these ORFs, the ORF2
was predicted with 99.85% probability to belong to the Subclass B3 metallo-beta-lactamases (MBL)
(Figure 2), which are a type of bacterial enzymes that can inacvate many beta-lactam anbiocs,
such as penicillins, cephalosporins, and carbapenems (33). Addionally, other ORFs associated with
aux16 may be involved in glycine, serine and threonine metabolism, betaine biosynthesis via choline
pathway and oxidaon of choline to betaine aldehyde and betaine aldehyde to glycine betaine (Table
2). Interesngly, the ORF1 of aux16 was predicted to be a membrane-anchored protein (Figure 2) and
act as a Choline and betaine/carnine transporter.
62
Igor Eduardo Astudillo Skliarova
http://revistas.espoch.edu.ec/index.php/cssn
4. DISCUSSIONS
As already menoned, auxiliary factors
signicantly contribute to β-lactam resistance
and during the last decades many of them have
been described. These factors have been studied
with the aid of transposon mutagenesis using
the transposon (Tn551) (35). In 1994, a large
Tn551 library produced in the background of S.
aureus strain COL was screened for mutants with
decreased levels of resistance to methicillin. The
complete DNA sequence of the 21 new auxiliary
genes derived from this library was published in
1999 (31).
to be directly associated with β-lactam resistance (Table 2)(Figure 3), they were predicted to be
associated with resistance to bacitracin, which is an anbioc that inhibits the synthesis of the cell
wall (34).
The DNA sequence aux19 was not directly associated with β-lactam resistance, but was associated
with bacitracin resistance.
The DNA sequence of aux19 comprises two ORFs. These ORFs were predicted to act as ABC transporters
and be part of a two component system (Table 2)(Figure 3). Although these ORFs were not predicted
to be directly associated with β-lactam resistance (Table 2)(Figure 3), they were predicted to be
associated with resistance to bacitracin, which is an anbioc that inhibits the synthesis of the cell
wall (34).
a b
c
Figure 3: HHpred analysis of the putave proteins associated with the putave auxiliary factor aux19: vraD (a) and vraE (b),
and DeepTMHMM analysis of putave protein vraE, showing the presence of membrane-bound domains.
In this study, seven of the 21 new auxiliary genes
were characterised by in silico sequence analysis.
As we can observe in Table 9, most of the genes
are involved in metabolic pathways, transport
and regulaon of gene expression.
It is known that any kind of selecve pressure,
including anbioc exposure, causes dramac
changes within the cell and this implies addional
metabolic costs. Therefore, in order to withstand
the damage caused by cell wall targeng
anbiocs, the cell must produce addional
63
In silico identification of auxiliary genes
required for
-lactam resistance
Volumen 14 Número 1 - 2023
proteins required for cell wall maintenance (36).
Notably, one of the aux genes aux11 has high
homology with the gene lysA, which encodes
diaminopimelate decarboxylase. This protein
is required for the synthesis of the amino acid
L-lysine (32), which is part of the tetrapepde
side chain of the PG (37). In consequence, it is
possible to speculate that, in the presence of
β-lactam anbiocs, enhanced expression of
diaminopimelate decarboxylase is crucial to
the cross-linking of PG, performed by penicillin
binding proteins.
When resistant bacteria are exposed to anbiocs,
before they synthesise anbioc resistance
proteins such as PBP2a, they temporarily become
more vulnerable to osmoc stress. Therefore, the
bacterial cell must acvate genes required for
the transport or synthesis of osmoprotectants
or compable solutes, which contribute to
withstanding osmoc stress (38). Some putave
genes that might play that important role have
been idened in this study: cutD, gbsA and
betA. All these genes were inially idened as
aux16. The putave gene cutD was predicted to
have transmembrane domains, which correlates
with the predicted funcon of its product. The
gene cutD may be required for the transport of
osmoprectants such as betaine or precursors
of other osmoprotectants such as choline (39).
The putave genes gbsA and betA encode the
proteins: betaine aldehyde dehydrogenase
and choline dehydrogenase, respecvely.
Betaine aldehyde dehydrogenase mediates the
biosynthesis of the osmoprotectant betaine,
whereas choline dehydrogenase is responsible
for the synthesis of the osmoprotectant glycine
betaine (40).
β-lactam anbiocs induce the expression of
operons that contain β-lactam resistance genes.
Furthermore, there is evidence that β-lactam
anbiocs also trigger a global stress response in
bacterial cells. This occurs when the cell detects
cell-wall synthesis perturbaons with the aid of
the specic VraS/R two-component system (27).
In this study we idened two putave genes:
vraD and vraE (inially idened as aux19), whose
products might be part of VraS/R two-component
system. The acvaon of this two-component
system leads to massive overexpression of genes,
many of which are crucial for β-lactam anbioc
resistance (27). For instance, VraS/R induces the
expression of RelP and RelQ, which synthesises
alarmones during the exponenal phase of
growth (41). Alarmones are generally produced
during nutrient starvaon (for instance, amino
acid starvaon) and play a principal role in
stringent response, whereby the synthesis of
rRNA, tRNA and amino acids available in the
cell is repressed and synthesis of amino acids
present in insucient amounts within the cell
is induced (42). The principal known alarmones
are guanosine tetraphosphate (ppGpp) and
guanosine pentaphosphate (pppGpp). During
nutrient starvaon, these alarmones are
produced by specic proteins such as RelA or
SpoT, which become acvated when uncharged
tRNA molecules bind the ribosomal site A (43).
There is evidence that this alarmones increase
the resistance of MRSA to anbiocs (44).
The global stress response requires the
parcipaon of many dierent genes involved
in cascade reacons such as protein kinases,
phosphatases or transcriponal regulators.
These molecules play similar roles in prokaryotes
and eukaryotes (45). We idened three putave
genes whose products may parcipate in this
cascade: prpC, pknB and ccpA (inially idened
as aux1, aux2 and aux4, respecvely). We can
presume that the products of these genes
may also be involved in the cascade reacons
triggered by the VraS/R two-component system,
but this proposed linkage must be veried
experimentally.
5. CONCLUSIONS
In conclusion, we can conrm that the gene
blrA is required for β-lactam resistance in the
CA-MRSA strain MW2, but does not aect the
expression of the gene mecA or the structure of
the wall teichoic acids. At the same me, many
auxiliary genes present in CA-MRSA strain MW2
may be involved in global cellular regulaon,
stress response and metabolic pathways.
The author declares no conict of interest
The author takes complete responsibility for the
informaon presented in this original scienc
arcle
6. CONFLICT OF INTEREST
7. LIMITATIONS OF LIABILITY
The present Research Project was funded by
Secretaría Nacional de Educación Superior,
Ciencia, Tecnología e Innovación (SENESCYT) in
2016.
8. FUNDING
64
Igor Eduardo Astudillo Skliarova
http://revistas.espoch.edu.ec/index.php/cssn
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I would like to thank my former MSc supervisor
Dr. Guoqing Xia for providing feedback on the
text, gures and tables of this original scienc
arcle. Addionally, I would like to express my
gratude to the Faculty of Public Health (Facultad
de Salud Pública) for allowing me to share the
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