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Regulation and Anaerobic Function of the Clostridioides difficile ?-Lactamase.


ABSTRACT: Clostridioides difficile causes severe antibiotic-associated diarrhea and colitis. C. difficile is an anaerobic, Gram-positive sporeformer that is highly resistant to ?-lactams, the most commonly prescribed antibiotics. The resistance of C. difficile to ?-lactam antibiotics allows the pathogen to replicate and cause disease in antibiotic-treated patients. However, the mechanisms of ?-lactam resistance in C. difficile are not fully understood. Our data reinforce prior evidence that C. difficile produces a ?-lactamase, which is a common ?-lactam resistance mechanism found in other bacterial species. Here, we characterize the C. difficile bla operon that encodes a lipoprotein of unknown function and a ?-lactamase that was greatly induced in response to several classes of ?-lactam antibiotics. An in-frame deletion of the operon abolished ?-lactamase activity in C. difficile strain 630?erm and resulted in decreased resistance to the ?-lactam ampicillin. We found that the activity of this ?-lactamase, BlaCDD, is dependent upon the redox state of the enzyme. In addition, we observed that transport of BlaCDD out of the cytosol and to the cell surface is facilitated by an N-terminal signal sequence. Our data demonstrate that a cotranscribed lipoprotein, BlaX, aids in BlaCDD activity. Further, we identified a conserved BlaRI regulatory system and demonstrated via insertional disruption that BlaRI controls transcription of the blaXCDD genes in response to ?-lactams. These results provide support for the function of a ?-lactamase in C. difficile antibiotic resistance and reveal the unique roles of a coregulated lipoprotein and reducing environment in C. difficile ?-lactamase activity.

SUBMITTER: Sandhu BK 

PROVIDER: S-EPMC7187622 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Regulation and Anaerobic Function of the <i>Clostridioides difficile</i> β-Lactamase.

Sandhu Brindar K BK   Edwards Adrianne N AN   Anderson Sarah E SE   Woods Emily C EC   McBride Shonna M SM  

Antimicrobial agents and chemotherapy 20191220 1


<i>Clostridioides difficile</i> causes severe antibiotic-associated diarrhea and colitis. <i>C. difficile</i> is an anaerobic, Gram-positive sporeformer that is highly resistant to β-lactams, the most commonly prescribed antibiotics. The resistance of <i>C. difficile</i> to β-lactam antibiotics allows the pathogen to replicate and cause disease in antibiotic-treated patients. However, the mechanisms of β-lactam resistance in <i>C. difficile</i> are not fully understood. Our data reinforce prior  ...[more]

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