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Title: A unique class of Zn2+-binding serine-based PBPs underlies cephalosporin resistance and sporogenesis in Clostridioides difficile

Abstract

AbstractTreatment with β-lactam antibiotics, particularly cephalosporins, is a major risk factor for Clostridioides difficile infection. These broad-spectrum antibiotics irreversibly inhibit penicillin-binding proteins (PBPs), which are serine-based enzymes that assemble the bacterial cell wall. However, C. difficile has four different PBPs (PBP1-3 and SpoVD) with various roles in growth and spore formation, and their specific links to β-lactam resistance in this pathogen are underexplored. Here, we show that PBP2 (known to be essential for vegetative growth) is the primary bactericidal target for β-lactams in C. difficile. PBP2 is insensitive to cephalosporin inhibition, and this appears to be the main basis for cephalosporin resistance in this organism. We determine crystal structures of C. difficile PBP2, alone and in complex with β-lactams, revealing unique features including ligand-induced conformational changes and an active site Zn2+-binding motif that influences β-lactam binding and protein stability. The Zn2+-binding motif is also present in C. difficile PBP3 and SpoVD (which are known to be essential for sporulation), as well as in other bacterial taxa including species living in extreme environments and the human gut. We speculate that this thiol-containing motif and its cognate Zn2+ might function as a redox sensor to regulate cell wall synthesis for survival inmore » adverse or anaerobic environments.« less

Authors:
 [1];  [1];  [2];  [1];  [1]; ORCiD logo [1];  [1];  [1];  [3];  [1]; ORCiD logo [1];  [1]; ORCiD logo [3]; ORCiD logo [4]; ORCiD logo [1];  [1];  [2];  [1]; ORCiD logo [1]
  1. Univ. of South Florida, Tampa, FL (United States)
  2. Univ. of South Florida, Tampa, FL (United States). College of Public Health
  3. Univ. of Arizona, Tucson, AZ (United States)
  4. Rutgers Univ., Piscataway, NJ (United States)
Publication Date:
Research Org.:
Argonne National Lab. (ANL), Argonne, IL (United States). Advanced Photon Source (APS)
Sponsoring Org.:
USDOE Office of Science (SC), Biological and Environmental Research (BER); National Institutes of Health (NIH)
OSTI Identifier:
1879695
Alternate Identifier(s):
OSTI ID: 1900634
Grant/Contract Number:  
AC02-06CH11357; S10_RR25528; S10_RR028976; R21 AI147654; R01 AI161762; R01 AI132711; R35 GM128624; R35 GM133617; T32 GM008804
Resource Type:
Accepted Manuscript
Journal Name:
Nature Communications
Additional Journal Information:
Journal Volume: 13; Journal Issue: 1; Journal ID: ISSN 2041-1723
Publisher:
Nature Publishing Group
Country of Publication:
United States
Language:
ENGLISH
Subject:
59 BASIC BIOLOGICAL SCIENCES; antimicrobial resistance; bacteriology; pathogens; x-ray crystallography

Citation Formats

Sacco, Michael D., Wang, Shaohui, Adapa, Swamy R., Zhang, Xiujun, Lewandowski, Eric M., Gongora, Maura V., Keramisanou, Dimitra, Atlas, Zachary D., Townsend, Julia A., Gatdula, Jean R., Morgan, Ryan T., Hammond, Lauren R., Marty, Michael T., Wang, Jun, Eswara, Prahathees J., Gelis, Ioannis, Jiang, Rays H. Y., Sun, Xingmin, and Chen, Yu. A unique class of Zn2+-binding serine-based PBPs underlies cephalosporin resistance and sporogenesis in Clostridioides difficile. United States: N. p., 2022. Web. doi:10.1038/s41467-022-32086-6.
Sacco, Michael D., Wang, Shaohui, Adapa, Swamy R., Zhang, Xiujun, Lewandowski, Eric M., Gongora, Maura V., Keramisanou, Dimitra, Atlas, Zachary D., Townsend, Julia A., Gatdula, Jean R., Morgan, Ryan T., Hammond, Lauren R., Marty, Michael T., Wang, Jun, Eswara, Prahathees J., Gelis, Ioannis, Jiang, Rays H. Y., Sun, Xingmin, & Chen, Yu. A unique class of Zn2+-binding serine-based PBPs underlies cephalosporin resistance and sporogenesis in Clostridioides difficile. United States. https://doi.org/10.1038/s41467-022-32086-6
Sacco, Michael D., Wang, Shaohui, Adapa, Swamy R., Zhang, Xiujun, Lewandowski, Eric M., Gongora, Maura V., Keramisanou, Dimitra, Atlas, Zachary D., Townsend, Julia A., Gatdula, Jean R., Morgan, Ryan T., Hammond, Lauren R., Marty, Michael T., Wang, Jun, Eswara, Prahathees J., Gelis, Ioannis, Jiang, Rays H. Y., Sun, Xingmin, and Chen, Yu. Thu . "A unique class of Zn2+-binding serine-based PBPs underlies cephalosporin resistance and sporogenesis in Clostridioides difficile". United States. https://doi.org/10.1038/s41467-022-32086-6. https://www.osti.gov/servlets/purl/1879695.
@article{osti_1879695,
title = {A unique class of Zn2+-binding serine-based PBPs underlies cephalosporin resistance and sporogenesis in Clostridioides difficile},
author = {Sacco, Michael D. and Wang, Shaohui and Adapa, Swamy R. and Zhang, Xiujun and Lewandowski, Eric M. and Gongora, Maura V. and Keramisanou, Dimitra and Atlas, Zachary D. and Townsend, Julia A. and Gatdula, Jean R. and Morgan, Ryan T. and Hammond, Lauren R. and Marty, Michael T. and Wang, Jun and Eswara, Prahathees J. and Gelis, Ioannis and Jiang, Rays H. Y. and Sun, Xingmin and Chen, Yu},
abstractNote = {AbstractTreatment with β-lactam antibiotics, particularly cephalosporins, is a major risk factor for Clostridioides difficile infection. These broad-spectrum antibiotics irreversibly inhibit penicillin-binding proteins (PBPs), which are serine-based enzymes that assemble the bacterial cell wall. However, C. difficile has four different PBPs (PBP1-3 and SpoVD) with various roles in growth and spore formation, and their specific links to β-lactam resistance in this pathogen are underexplored. Here, we show that PBP2 (known to be essential for vegetative growth) is the primary bactericidal target for β-lactams in C. difficile. PBP2 is insensitive to cephalosporin inhibition, and this appears to be the main basis for cephalosporin resistance in this organism. We determine crystal structures of C. difficile PBP2, alone and in complex with β-lactams, revealing unique features including ligand-induced conformational changes and an active site Zn2+-binding motif that influences β-lactam binding and protein stability. The Zn2+-binding motif is also present in C. difficile PBP3 and SpoVD (which are known to be essential for sporulation), as well as in other bacterial taxa including species living in extreme environments and the human gut. We speculate that this thiol-containing motif and its cognate Zn2+ might function as a redox sensor to regulate cell wall synthesis for survival in adverse or anaerobic environments.},
doi = {10.1038/s41467-022-32086-6},
journal = {Nature Communications},
number = 1,
volume = 13,
place = {United States},
year = {Thu Jul 28 00:00:00 EDT 2022},
month = {Thu Jul 28 00:00:00 EDT 2022}
}

Works referenced in this record:

Overview of the CCP 4 suite and current developments
journal, March 2011

  • Winn, Martyn D.; Ballard, Charles C.; Cowtan, Kevin D.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 67, Issue 4
  • DOI: 10.1107/S0907444910045749

Glycosyltransferases and Transpeptidases/Penicillin-Binding Proteins: Valuable Targets for New Antibacterials
journal, February 2016


Structural coordination of polymerization and crosslinking by a SEDS–bPBP peptidoglycan synthase complex
journal, March 2020

  • Sjodt, Megan; Rohs, Patricia D. A.; Gilman, Morgan S. A.
  • Nature Microbiology, Vol. 5, Issue 6
  • DOI: 10.1038/s41564-020-0687-z

Rational design of a new antibiotic class for drug-resistant infections
journal, September 2021


Antibiotics and hospital-acquired Clostridium difficile infection: update of systematic review and meta-analysis
journal, December 2013

  • Slimings, Claudia; Riley, Thomas V.
  • Journal of Antimicrobial Chemotherapy, Vol. 69, Issue 4
  • DOI: 10.1093/jac/dkt477

Iterative model building, structure refinement and density modification with the PHENIX AutoBuild wizard
journal, December 2007

  • Terwilliger, Thomas C.; Grosse-Kunstleve, Ralf W.; Afonine, Pavel V.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 64, Issue 1
  • DOI: 10.1107/S090744490705024X

Structure of a Zn2+-containing D-alanyl-D-alanine-cleaving carboxypeptidase at 2.5 Å resolution
journal, September 1982

  • Dideberg, O.; Charlier, P.; Dive, G.
  • Nature, Vol. 299, Issue 5882
  • DOI: 10.1038/299469a0

Peptidoglycan Cross-Linking Activity of L,D-Transpeptidases from Clostridium difficile and Inactivation of These Enzymes by β-Lactams
journal, October 2017

  • Sütterlin, Laetitia; Edoo, Zainab; Hugonnet, Jean-Emmanuel
  • Antimicrobial Agents and Chemotherapy, Vol. 62, Issue 1
  • DOI: 10.1128/AAC.01607-17

ImageJ2: ImageJ for the next generation of scientific image data
journal, November 2017

  • Rueden, Curtis T.; Schindelin, Johannes; Hiner, Mark C.
  • BMC Bioinformatics, Vol. 18, Issue 1
  • DOI: 10.1186/s12859-017-1934-z

High-Throughput Analysis of Gene Essentiality and Sporulation in Clostridium difficile
journal, May 2015


Macromolecular structure determination using X-rays, neutrons and electrons: recent developments in Phenix
journal, October 2019

  • Liebschner, Dorothee; Afonine, Pavel V.; Baker, Matthew L.
  • Acta Crystallographica Section D Structural Biology, Vol. 75, Issue 10
  • DOI: 10.1107/S2059798319011471

The penicillin-binding proteins: structure and role in peptidoglycan biosynthesis
journal, March 2008


Structural basis for effectiveness of siderophore-conjugated monocarbams against clinically relevant strains of Pseudomonas aeruginosa
journal, December 2010

  • Han, S.; Zaniewski, R. P.; Marr, E. S.
  • Proceedings of the National Academy of Sciences, Vol. 107, Issue 51
  • DOI: 10.1073/pnas.1013092107

How good are my data and what is the resolution?
journal, June 2013

  • Evans, Philip R.; Murshudov, Garib N.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 69, Issue 7
  • DOI: 10.1107/S0907444913000061

How allosteric control of Staphylococcus aureus penicillin binding protein 2a enables methicillin resistance and physiological function
journal, October 2013

  • Otero, L. H.; Rojas-Altuve, A.; Llarrull, L. I.
  • Proceedings of the National Academy of Sciences, Vol. 110, Issue 42
  • DOI: 10.1073/pnas.1300118110

The Immune Protein Calprotectin Impacts Clostridioides difficile Metabolism through Zinc Limitation
journal, December 2019

  • Lopez, Christopher A.; Beavers, William N.; Weiss, Andy
  • mBio, Vol. 10, Issue 6
  • DOI: 10.1128/mBio.02289-19

Susceptibilities of clinical Clostridium difficile isolates to antimicrobials: a systematic review and meta-analysis of studies since 1970
journal, February 2018


Interactions of zinc- and redox-signaling pathways
journal, May 2021


Sequencing and functional analysis of the genome of Bacillus subtilis strain 168
journal, June 1996


MoRDa , an automatic molecular replacement pipeline
journal, August 2015

  • Vagin, Alexey; Lebedev, Andrey
  • Acta Crystallographica Section A Foundations and Advances, Vol. 71, Issue a1
  • DOI: 10.1107/S2053273315099672

Zinc Level and Its Role in Recurrent Clostridium difficile Infection: A Case Report and Literature Review
journal, January 2020

  • Parvataneni, Swetha; Dasari, Avinash R.
  • Journal of Investigative Medicine High Impact Case Reports, Vol. 8
  • DOI: 10.1177/2324709620941315

Reversible inactivation of a peptidoglycan transpeptidase by a β-lactam antibiotic mediated by β-lactam-ring recyclization in the enzyme active site
journal, August 2017


Clostridium difficile Has an Original Peptidoglycan Structure with a High Level of N-Acetylglucosamine Deacetylation and Mainly 3-3 Cross-links
journal, August 2011

  • Peltier, Johann; Courtin, Pascal; El Meouche, Imane
  • Journal of Biological Chemistry, Vol. 286, Issue 33
  • DOI: 10.1074/jbc.M111.259150

Clostridium difficile Infection
journal, April 2015

  • Leffler, Daniel A.; Lamont, J. Thomas
  • New England Journal of Medicine, Vol. 372, Issue 16
  • DOI: 10.1056/NEJMra1403772

Dietary zinc alters the microbiota and decreases resistance to Clostridium difficile infection
journal, September 2016

  • Zackular, Joseph P.; Moore, Jessica L.; Jordan, Ashley T.
  • Nature Medicine, Vol. 22, Issue 11
  • DOI: 10.1038/nm.4174

iMOSFLM : a new graphical interface for diffraction-image processing with MOSFLM
journal, March 2011

  • Battye, T. Geoff G.; Kontogiannis, Luke; Johnson, Owen
  • Acta Crystallographica Section D Biological Crystallography, Vol. 67, Issue 4
  • DOI: 10.1107/S0907444910048675

Metallo‐β‐Lactamases: A Class Apart
journal, August 1998

  • Bush, Karen
  • Clinical Infectious Diseases, Vol. 27, Issue s1
  • DOI: 10.1086/514922

SEDS proteins are a widespread family of bacterial cell wall polymerases
journal, August 2016

  • Meeske, Alexander J.; Riley, Eammon P.; Robins, William P.
  • Nature, Vol. 537, Issue 7622
  • DOI: 10.1038/nature19331

Heliobacterium modesticaldum, sp. nov., a thermophilic heliobacterium of hot springs and volcanic soils
journal, April 1995

  • Kimble, Linda K.; Mandelco, Linda; Woese, Carl R.
  • Archives of Microbiology, Vol. 163, Issue 4
  • DOI: 10.1007/BF00393378

Determination of the in vitro Sporulation Frequency of Clostridium difficile
journal, January 2017


The PSIPRED protein structure prediction server
journal, April 2000


Zinc finger proteins: new insights into structural and functional diversity
journal, February 2001


Bis‐Cyclic Guanidines as a Novel Class of Compounds Potent against Clostridium difficile
journal, June 2018


Coot model-building tools for molecular graphics
journal, November 2004

  • Emsley, Paul; Cowtan, Kevin
  • Acta Crystallographica Section D Biological Crystallography, Vol. 60, Issue 12, p. 2126-2132
  • DOI: 10.1107/S0907444904019158

REFMAC 5 for the refinement of macromolecular crystal structures
journal, March 2011

  • Murshudov, Garib N.; Skubák, Pavol; Lebedev, Andrey A.
  • Acta Crystallographica Section D Biological Crystallography, Vol. 67, Issue 4
  • DOI: 10.1107/S0907444911001314

Crystal Structure of Penicillin-Binding Protein 3 (PBP3) from Escherichia coli
journal, May 2014


Penicillin-binding protein SpoVD disulphide is a target for StoA in Bacillus subtilis forespores
journal, January 2010


Molecular architecture of the PBP2–MreC core bacterial cell wall synthesis complex
journal, October 2017

  • Contreras-Martel, Carlos; Martins, Alexandre; Ecobichon, Chantal
  • Nature Communications, Vol. 8, Issue 1
  • DOI: 10.1038/s41467-017-00783-2

Strain-Dependent RstA Regulation of Clostridioides difficile Toxin Production and Sporulation
journal, January 2020

  • Edwards, Adrianne N.; Krall, Ellen G.; McBride, Shonna M.
  • Journal of Bacteriology, Vol. 202, Issue 2
  • DOI: 10.1128/JB.00586-19

Role of the Intestinal Microbiota in Resistance to Colonization by Clostridium difficile
journal, May 2014


Historical Perspectives on Studies of Clostridium difficile and C. difficile Infection
journal, January 2008

  • Bartlett, John G.
  • Clinical Infectious Diseases, Vol. 46, Issue s1
  • DOI: 10.1086/521865

Automatic generation of protein structure cartoons with Pro-origami
journal, October 2011


Overview of Zinc Absorption and Excretion in the Human Gastrointestinal Tract
journal, May 2000


Cephamycins inhibit pathogen sporulation and effectively treat recurrent Clostridioides difficile infection
journal, August 2019

  • Srikhanta, Yogitha N.; Hutton, Melanie L.; Awad, Milena M.
  • Nature Microbiology, Vol. 4, Issue 12
  • DOI: 10.1038/s41564-019-0519-1

Metal and Redox Modulation of Cysteine Protein Function
journal, August 2003


HMMER web server: interactive sequence similarity searching
journal, May 2011

  • Finn, R. D.; Clements, J.; Eddy, S. R.
  • Nucleic Acids Research, Vol. 39, Issue suppl
  • DOI: 10.1093/nar/gkr367

Penicillin Binding Proteins: key players in bacterial cell cycle and drug resistance processes
journal, September 2006


When anaerobes encounter oxygen: mechanisms of oxygen toxicity, tolerance and defence
journal, June 2021


A novel regulator controls C lostridium difficile sporulation, motility and toxin production: A novel regulator of C. difficile physiology
journal, March 2016

  • Edwards, Adrianne N.; Tamayo, Rita; McBride, Shonna M.
  • Molecular Microbiology, Vol. 100, Issue 6
  • DOI: 10.1111/mmi.13361

Profile hidden Markov models
journal, October 1998


Antistaphylococcal Activity of Ceftobiprole, a New Broad-Spectrum Cephalosporin
journal, October 2005


The Role of Reactive Oxygen Species in Antibiotic-Mediated Killing of Bacteria
journal, June 2017


Discovery of SARS-CoV-2 Papain-like Protease Inhibitors through a Combination of High-Throughput Screening and a FlipGFP-Based Reporter Assay
journal, June 2021


Recent advances in the understanding of antibiotic resistance in Clostridium difficile infection
journal, December 2015


Structural Insight into the Transglycosylation Step of Bacterial Cell-Wall Biosynthesis
journal, March 2007


Bayesian Deconvolution of Mass and Ion Mobility Spectra: From Binary Interactions to Polydisperse Ensembles
journal, April 2015